code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries APC,0706,Inj talquetamab-tgvs 0.25 mg,,,,,0 APC,0707,"Cantharidin top, applicator",,,,,0 APC,0743,"Inj, cyclophosphamide, nos",,,,,0 APC,0759,"Naltrexone, depot form",,,,,0 APC,0764,Ketorolac tromethamine inj,,,,,0 APC,0768,"Inj, tarlatamab-dlle, 1 mg",,,,,0 APC,0785,"Inj, cyclophosphamd, sandoz",,,,,0 APC,0790,"Inj, methylpred acetate 1 mg",,,,,0 APC,0801,"Inj, methylpred sod succ 5mg",,,,,0 APC,0810,Goserelin acetate implant,,,,,0 APC,0827,Floxuridine injection,,,,,0 APC,0902,"Injection,onabotulinumtoxinA",,,,,0 APC,0963,"Albumin (human), 5%, 250 ml",,,,,0 APC,1207,"Octreotide injection, depot",,,,,0 APC,1214,Inj IVIG privigen 500 mg,,,,,0 APC,1281,Bevacizumab injection,,,,,0 APC,1468,"Inj, abilify maintena, 1 mg",,,,,0 APC,1471,"Injection, Pertuzumab, 1 mg",,,,,0 APC,1482,"Darbepoetin alfa, esrd use",,,,,0 APC,1488,"Injection, ramucirumab",,,,,0 APC,1490,Inj pembrolizumab,,,,,0 APC,1506,New Technology - Level 6 ($401 - $500),,,,,0 APC,1508,New Technology - Level 8 ($601 - $700),,,,,0 APC,1576,"New Technology - Level 39 ($15,001-$20,000)",,,,,0 APC,1580,"New Technology - Level 43 ($40,001-$50,000)",,,,,0 APC,1658,"Injection, belinostat, 10mg",,,,,0 APC,1685,"Darbepoetin alfa, non-esrd",,,,,0 APC,1712,Paclitaxel protein bound,,,,,0 APC,1822,"Injection, zarxio",,,,,0 APC,1829,Penicillin g benzathine inj,,,,,0 APC,1847,"Injection, inflectra",,,,,0 APC,2042,"Endo, single, pulmonary",,,,,0 APC,2050,Cath coronary drug-delivery,,,,,0 APC,2051,Cath renal denerv radiofreq,,,,,0 APC,2616,"Brachytx, non-str,Yttrium-90",,,,,0 APC,2638,"Brachytx, stranded, I-125",,,,,0 APC,5012,Clinic Visits and Related Services,,,,,0 APC,5021,Level 1 Type A ED Visits,,,,,0 APC,5022,Level 2 Type A ED Visits,,,,,0 APC,5023,Level 3 Type A ED Visits,,,,,0 APC,5024,Level 4 Type A ED Visits,,,,,0 APC,5025,Level 5 Type A ED Visits,,,,,0 APC,5041,Critical Care,,,,,0 APC,5045,Trauma Response with Critical Care,,,,,0 APC,5051,Level 1 Skin Procedures,,,,,0 APC,5052,Level 2 Skin Procedures,,,,,0 APC,5053,Level 3 Skin Procedures,,,,,0 APC,5054,Level 4 Skin Procedures,,,,,0 APC,5055,Level 5 Skin Procedures,,,,,0 APC,5071,Level 1 Excision/ Biopsy/ Incision and Drainage,,,,,0 APC,5072,Level 2 Excision/ Biopsy/ Incision and Drainage,,,,,0 APC,5073,Level 3 Excision/ Biopsy/ Incision and Drainage,,,,,0 APC,5091,Level 1 Breast/Lymphatic Surgery and Related Procedures,,,,,0 APC,5092,Level 2 Breast/Lymphatic Surgery and Related Procedures,,,,,0 APC,5093,Level 3 Breast/Lymphatic Surgery and Related Procedures,,,,,0 APC,5094,Level 4 Breast/Lymphatic Surgery and Related Procedures,,,,,0 APC,5101,Level 1 Strapping and Cast Application,,,,,0 APC,5102,Level 2 Strapping and Cast Application,,,,,0 APC,5111,Level 1 Musculoskeletal Procedures,,,,,0 APC,5112,Level 2 Musculoskeletal Procedures,,,,,0 APC,5113,Level 3 Musculoskeletal Procedures,,,,,0 APC,5114,Level 4 Musculoskeletal Procedures,,,,,0 APC,5115,Level 5 Musculoskeletal Procedures,,,,,0 APC,5116,Level 6 Musculoskeletal Procedures,,,,,0 APC,5151,Level 1 Airway Endoscopy,,,,,0 APC,5152,Level 2 Airway Endoscopy,,,,,0 APC,5153,Level 3 Airway Endoscopy,,,,,0 APC,5154,Level 4 Airway Endoscopy,,,,,0 APC,5155,Level 5 Airway Endoscopy,,,,,0 APC,5161,Level 1 ENT Procedures,,,,,0 APC,5162,Level 2 ENT Procedures,,,,,0 APC,5163,Level 3 ENT Procedures,,,,,0 APC,5164,Level 4 ENT Procedures,,,,,0 APC,5165,Level 5 ENT Procedures,,,,,0 APC,5166,Cochlear Implant Procedure,,,,,0 APC,5181,Level 1 Vascular Procedures,,,,,0 APC,5182,Level 2 Vascular Procedures,,,,,0 APC,5183,Level 3 Vascular Procedures,,,,,0 APC,5184,Level 4 Vascular Procedures,,,,,0 APC,5191,Level 1 Endovascular Procedures,,,,,0 APC,5192,Level 2 Endovascular Procedures,,,,,0 APC,5193,Level 3 Endovascular Procedures,,,,,0 APC,5194,Level 4 Endovascular Procedures,,,,,0 APC,5200,Implantation Wireless PA Pressure Monitor,,,,,0 APC,5212,Level 2 Electrophysiologic Procedures,,,,,0 APC,5213,Level 3 Electrophysiologic Procedures,,,,,0 APC,5221,Level 1 Pacemaker and Similar Procedures,,,,,0 APC,5222,Level 2 Pacemaker and Similar Procedures,,,,,0 APC,5223,Level 3 Pacemaker and Similar Procedures,,,,,0 APC,5224,Level 4 Pacemaker and Similar Procedures,,,,,0 APC,5231,Level 1 ICD and Similar Procedures,,,,,0 APC,5232,Level 2 ICD and Similar Procedures,,,,,0 APC,5241,Level 1 Blood Product Exchange and Related Services,,,,,0 APC,5242,Level 2 Blood Product Exchange and Related Services,,,,,0 APC,5243,Level 3 Blood Product Exchange and Related Services,,,,,0 APC,5301,Level 1 Upper GI Procedures,,,,,0 APC,5302,Level 2 Upper GI Procedures,,,,,0 APC,5303,Level 3 Upper GI Procedures,,,,,0 APC,5311,Level 1 Lower GI Procedures,,,,,0 APC,5312,Level 2 Lower GI Procedures,,,,,0 APC,5313,Level 3 Lower GI Procedures,,,,,0 APC,5331,Complex GI Procedures,,,,,0 APC,5341,Level 1 Abdominal/Peritoneal/Biliary and Related Procedures,,,,,0 APC,5342,Level 2 Abdominal/Peritoneal/Biliary and Related Procedures,,,,,0 APC,5361,Level 1 Laparoscopy and Related Services,,,,,0 APC,5362,Level 2 Laparoscopy and Related Services,,,,,0 APC,5371,Level 1 Urology and Related Services,,,,,0 APC,5372,Level 2 Urology and Related Services,,,,,0 APC,5373,Level 3 Urology and Related Services,,,,,0 APC,5374,Level 4 Urology and Related Services,,,,,0 APC,5375,Level 5 Urology and Related Services,,,,,0 APC,5376,Level 6 Urology and Related Services,,,,,0 APC,5377,Level 7 Urology and Related Services,,,,,0 APC,5378,Level 8 Urology and Related Services,,,,,0 APC,5401,Dialysis,,,,,0 APC,5411,Level 1 Gynecologic Procedures,,,,,0 APC,5412,Level 2 Gynecologic Procedures,,,,,0 APC,5413,Level 3 Gynecologic Procedures,,,,,0 APC,5414,Level 4 Gynecologic Procedures,,,,,0 APC,5415,Level 5 Gynecologic Procedures,,,,,0 APC,5416,Level 6 Gynecologic Procedures,,,,,0 APC,5431,Level 1 Nerve Procedures,,,,,0 APC,5432,Level 2 Nerve Procedures,,,,,0 APC,5441,Level 1 Nerve Injections,,,,,0 APC,5442,Level 2 Nerve Injections,,,,,0 APC,5443,Level 3 Nerve Injections,,,,,0 APC,5461,Level 1 Neurostimulator and Related Procedures,,,,,0 APC,5462,Level 2 Neurostimulator and Related Procedures,,,,,0 APC,5463,Level 3 Neurostimulator and Related Procedures,,,,,0 APC,5464,Level 4 Neurostimulator and Related Procedures,,,,,0 APC,5465,Level 5 Neurostimulator and Related Procedures,,,,,0 APC,5471,Implantation of Drug Infusion Device,,,,,0 APC,5481,Laser Eye Procedures,,,,,0 APC,5491,Level 1 Intraocular Procedures,,,,,0 APC,5492,Level 2 Intraocular Procedures,,,,,0 APC,5493,Level 3 Intraocular Procedures,,,,,0 APC,5501,"Level 1 Extraocular, Repair, and Plastic Eye Procedures",,,,,0 APC,5502,"Level 2 Extraocular, Repair, and Plastic Eye Procedures",,,,,0 APC,5503,"Level 3 Extraocular, Repair, and Plastic Eye Procedures",,,,,0 APC,5504,"Level 4 Extraocular, Repair, and Plastic Eye Procedures",,,,,0 APC,5521,Level 1 Imaging without Contrast,,,,,0 APC,5522,Level 2 Imaging without Contrast,,,,,0 APC,5523,Level 3 Imaging without Contrast,,,,,0 APC,5524,Level 4 Imaging without Contrast,,,,,0 APC,5571,Level 1 Imaging with Contrast,,,,,0 APC,5572,Level 2 Imaging with Contrast,,,,,0 APC,5573,Level 3 Imaging with Contrast,,,,,0 APC,5591,Level 1 Nuclear Medicine and Related Services,,,,,0 APC,5592,Level 2 Nuclear Medicine and Related Services,,,,,0 APC,5593,Level 3 Nuclear Medicine and Related Services,,,,,0 APC,5594,Level 4 Nuclear Medicine and Related Services,,,,,0 APC,5611,Level 1 Therapeutic Radiation Treatment Preparation,,,,,0 APC,5612,Level 2 Therapeutic Radiation Treatment Preparation,,,,,0 APC,5613,Level 3 Therapeutic Radiation Treatment Preparation,,,,,0 APC,5622,Level 2 Radiation Therapy,,,,,0 APC,5623,Level 3 Radiation Therapy,,,,,0 APC,5624,Level 4 Radiation Therapy,,,,,0 APC,5626,Level 6 Radiation Therapy,,,,,0 APC,5627,Level 7 Radiation Therapy,,,,,0 APC,5661,Therapeutic Nuclear Medicine,,,,,0 APC,5671,Level 1 Pathology,,,,,0 APC,5672,Level 2 Pathology,,,,,0 APC,5673,Level 3 Pathology,,,,,0 APC,5674,Level 4 Pathology,,,,,0 APC,5691,Level 1 Drug Administration,,,,,0 APC,5692,Level 2 Drug Administration,,,,,0 APC,5693,Level 3 Drug Administration,,,,,0 APC,5694,Level 4 Drug Administration,,,,,0 APC,5721,Level 1 Diagnostic Tests and Related Services,,,,,0 APC,5722,Level 2 Diagnostic Tests and Related Services,,,,,0 APC,5723,Level 3 Diagnostic Tests and Related Services,,,,,0 APC,5724,Level 4 Diagnostic Tests and Related Services,,,,,0 APC,5731,Level 1 Minor Procedures,,,,,0 APC,5732,Level 2 Minor Procedures,,,,,0 APC,5733,Level 3 Minor Procedures,,,,,0 APC,5734,Level 4 Minor Procedures,,,,,0 APC,5735,Level 5 Minor Procedures,,,,,0 APC,5741,Level 1 Electronic Analysis of Devices,,,,,0 APC,5742,Level 2 Electronic Analysis of Devices,,,,,0 APC,5743,Level 3 Electronic Analysis of Devices,,,,,0 APC,5771,Cardiac Rehabilitation,,,,,0 APC,5781,Resuscitation and Cardioversion,,,,,0 APC,5791,Pulmonary Treatment,,,,,0 APC,5801,Ventilation Initiation and Management,,,,,0 APC,5821,Level 1 Health and Behavior Services,,,,,0 APC,5822,Level 2 Health and Behavior Services,,,,,0 APC,5823,Level 3 Health and Behavior Services,,,,,0 APC,7043,Infliximab not biosimil 10mg,,,,,0 APC,7046,Doxorubicin inj 10mg,,,,,0 APC,7048,Alteplase recombinant,,,,,0 APC,7308,Aminolevulinic acid hcl top,,,,,0 APC,9013,Inj risankizumab-rzaa?1 mg,,,,,0 APC,9029,"Inj., guselkumab, 1 mg",,,,,0 APC,9057,Inj nivol relatlimab 3mg/1mg,,,,,0 APC,9100,"Inj, bortezomib, hospira",,,,,0 APC,9120,"Injection, Fulvestrant",,,,,0 APC,9123,"Inj pemetrexed, hospira 10mg",,,,,0 APC,9131,"Inj, Ado-trastuzumab Emt 1mg",,,,,0 APC,9150,"Inj mosunetuzumab-axgb, 1 mg",,,,,0 APC,9214,Bevacizumab injection,,,,,0 APC,9215,Cetuximab injection,,,,,0 APC,9217,Leuprolide acetate suspnsion,,,,,0 APC,9250,Inj epcoritamab-bysp 0.16 mg,,,,,0 APC,9255,"Inj, invega sustenna, 1 mg",,,,,0 APC,9256,Dexamethasone intra implant,,,,,0 APC,9264,Tocilizumab injection,,,,,0 APC,9272,"Inj, denosumab",,,,,0 APC,9284,Ipilimumab injection,,,,,0 APC,9290,"Inj, bupivacaine, nos, 0.5mg",,,,,0 APC,9295,"Injection, Carfilzomib, 1 mg",,,,,0 APC,9329,Inj mvasi 10 mg,,,,,0 APC,9330,"Inj., kanjinti, 10 mg",,,,,0 APC,9336,Inj truxima 10 mg,,,,,0 APC,9348,"Inj., zirabev, 10 mg",,,,,0 APC,9353,Inj fam-trastu deru-nxki 1mg,,,,,0 APC,9364,Inj enfort vedo-ejfv 0.25mg,,,,,0 APC,9376,Sacituzumab govitecan-hziy,,,,,0 APC,9378,"Daratumumab, hyaluronidase",,,,,0 APC,9390,"Pertuzu, trastuzu, 10 mg",,,,,0 APC,9398,Covid-19 Vaccine Administration,,,,,0 APC,9430,"Piflu f-18, dia 1 millicurie",,,,,0 APC,9431,"Inj, dostarlimab-gxly, 10 mg",,,,,0 APC,9432,"Inj, amivantamab-vmjw",,,,,0 APC,9441,Inj ferric carboxymaltos 1mg,,,,,0 APC,9449,"Injection, blinatumomab",,,,,0 APC,9453,"Injection, nivolumab",,,,,0 APC,9463,"Inj., aprepitant, 1 mg",,,,,0 APC,9483,"Inj, atezolizumab,10 mg",,,,,0 APC,9492,"Inj., durvalumab, 10 mg",,,,,0 APC,9510,Whole blood for transfusion,,,,,0 APC,9512,RBC leukocytes reduced,,,,,0 APC,9513,"Plasma, frz between 8-24hour",,,,,0 APC,9522,RBC leukoreduced irradiated,,,,,0 APC,9523,Cryoprecipitatereducedplasma,,,,,0 APC,9525,"Platelets, hla-m, l/r, unit",,,,,0 APC,9530,Plate pheres leukoredu irrad,,,,,0 APC,9536,Platelets pheresis path redu,,,,,0 APC,N700,Non-OPPS Clinic Services,,,,,0 APC,N800,Clinical Diagnostic Lab Services,,,,,0 APC,N801,Therapy Services,,,,,0 APC,N804,Mammography Services,,,,,0 APC,N805,Durable Medical Equipment,,,,,0 APC,N806,Pharmacy Services,,,,,0 APC,N809,Other Medicine,,,,,0 APC,N811,"Observation, Other",,,,,0 APC,N900,Non-covered Services,,,,,0 APC,N902,Packaged Services,,,,,0 APC,N903,Influenza Vaccines & Pneumococcal Pneumonia Vaccines,,,,,0 APC,N905,Not Recognized by OPPS,,,,,0 APC,N907,Not Billable to FI,,,,,0 CDM,0232T_PBB,Pr Njx Pltlt Plasma W/Img Harvest/Preparation-Pbb,1177.0,1177.0,,,0 CDM,0465T_PBB,Pr Supchrdl Njx Of Rx Agt W/O Supply Of Medication-Pbb,835.0,835.0,,,0 CDM,0521T_PBB,Pr Interrog Dev Eval Wrls Car Stimulator In Person-Pbb,414.0,414.0,,,0 CDM,0522T_PBB,Pr Prgrmg Device Eval Wrls Car Stimulator In Person-Pbb,400.0,400.0,,,0 CDM,0537T_PBB,Pr Car-T Therapy Hrvg Bld Drv T Lmphcyt Pr Day-Pbb,4264.0,4264.0,,,0 CDM,0540T_PBB,Pr Car-T Therapy Autologous Cell Administration-Pbb,6113.0,6113.0,,,0 CDM,0589T_PBB,Pr Elec Alys Smpl Prgrmg Iins Bldr Dysf Ptn 1-3-Pbb,342.0,342.0,,,0 CDM,0590T_PBB,Pr Elec Alys Cplx Prgrmg Iins Bldr Dysf Ptn 4+-Pbb,253.0,253.0,,,0 CDM,0720T_PBB,Pr Perq Elec Nrv Field Stimj Cranial Nrvs Wo Impltj-Pbb,2734.0,2734.0,,,0 CDM,10000_00781106101,Alprazolam: 100 Tablet In 1 Bottle (0781-1061-01),5.26,5.26,,,0 CDM,10000_51991070401,Alprazolam: 100 Tablet In 1 Bottle (51991-704-01),6.0,6.0,,,0 CDM,10003_74676590200,NDC Description Not Available,6122.13,6122.13,,,0 CDM,10004_PBB,Pr Fine Needle Aspiration Bx W/O Img Gdn Ea Addl-Pbb,817.0,817.0,,,0 CDM,10005_PBB,Pr Fine Needle Aspiration Bx W/Us Gdn 1St Lesion-Pbb,1493.0,1493.0,,,0 CDM,10006_PBB,Pr Fine Needle Aspiration Bx W/Us Gdn Ea Addl-Pbb,1025.0,1025.0,,,0 CDM,10012_58181304005,"Gleostine: 1 Bottle In 1 Carton (58181-3040-5) / 5 Capsule, Gelatin Coated In 1 Bottle",697.44,697.44,,,0 CDM,10016_00574012901,"Clindamycin Palmitate Hydrochloride: 1 Bottle, Glass In 1 Carton (0574-0129-01) / 100 Ml In 1 Bottle, Glass",6.0,6.0,,,0 CDM,10016_16714048301,Clindamycin Palmitate Hydrochloride (Pediatric): 1 Bottle In 1 Carton (16714-483-01) / 100 Ml In 1 Bottle,42.46,42.46,,,0 CDM,10021_PBB,Pr Fine Needle Aspiration Bx W/O Img Gdn 1St Lesion-Pbb,1051.0,1051.0,,,0 CDM,10026_00832121789,NDC Description Not Available,5.87,5.87,,,0 CDM,10035_PBB,Pr Plmt Sft Tiss Loclzj Dev Perq 1St Lesion-Pbb,710.0,710.0,,,0 CDM,10040_PBB,Pr Acne Surgery-Pbb,1039.0,1039.0,,,0 CDM,10048_00904608561,"Citalopram: 100 Blister Pack In 1 Carton (0904-6085-61) / 1 Tablet, Film Coated In 1 Blister Pack",4.79,4.79,,,0 CDM,10048_65862000601,"Citalopram: 100 Tablet, Film Coated In 1 Bottle (65862-006-01)",4.86,4.86,,,0 CDM,10060_PBB,Pr Incision & Drainage Abscess Simple/Single-Pbb,798.0,798.0,,,0 CDM,10061_PBB,Pr Incision & Drainage Abscess Complicated/Multiple-Pbb,1582.0,1582.0,,,0 CDM,10068_50242008525,NDC Description Not Available,589.62,589.62,,,0 CDM,10068_50242008527,"Activase: 1 Kit In 1 Carton (50242-085-27) * 100 Ml In 1 Vial, Single-Use * 100 Ml In 1 Vial, Single-Use",589.62,589.62,,,0 CDM,10075_00904626945,Ziprasidone: 80 Blister Pack In 1 Carton (0904-6269-45) / 1 Capsule In 1 Blister Pack,17.1,17.1,,,0 CDM,10075_16714083501,Ziprasidone: 60 Capsule In 1 Bottle (16714-835-01),8.37,8.37,,,0 CDM,10075_68084010309,"Ziprasidone Hydrochloride: 80 Blister Pack In 1 Box, Unit-Dose (68084-103-09) / 1 Capsule In 1 Blister Pack (68084-103-11)",17.18,17.18,,,0 CDM,10075_68084010311,NDC Description Not Available,17.18,17.18,,,0 CDM,10080_PBB,Pr Incision & Drainage Pilonidal Cyst Simple-Pbb,1043.0,1043.0,,,0 CDM,10120_PBB,Pr Incision & Removal Foreign Body Subq Tiss Simple-Pbb,954.0,954.0,,,0 CDM,10121_PBB,Pr Incision & Removal Foreign Body Subq Tiss Comp-Pbb,2177.0,2177.0,,,0 CDM,10125_00245531911,"Klor-Con M: 100 Tablet, Extended Release In 1 Bottle (0245-5319-11)",3.64,3.64,,,0 CDM,10125_00245531989,NDC Description Not Available,3.81,3.81,,,0 CDM,10125_00904729361,"Potassium Chloride: 100 Blister Pack In 1 Carton (0904-7293-61) / 1 Tablet, Extended Release In 1 Blister Pack",3.54,3.54,,,0 CDM,10125_55289073890,"Potassium Chloride: 90 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTIC (55289-738-90)",6.0,6.0,,,0 CDM,10125_62037072001,"Potassium Chloride: 100 Tablet, Extended Release In 1 Bottle, Plastic (62037-720-01)",6.0,6.0,,,0 CDM,10125_63739097310,"Potassium Chloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-973-10) / 10 Tablet, Extended Release In 1 Blister Pack",4.72,4.72,,,0 CDM,10125_69238106901,"Potassium Chloride: 100 Tablet, Extended Release In 1 Bottle (69238-1069-1)",3.87,3.87,,,0 CDM,10140_PBB,Pr I&D Hematoma Seroma/Fluid Collection-Pbb,1181.0,1181.0,,,0 CDM,10145_55150019410,"Esmolol Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-194-10) / 10 Ml In 1 Vial, Single-Dose",14.54,14.54,,,0 CDM,10145_67457018210,Esmolol Hydrochloride: 10 Vial In 1 Carton (67457-182-10) / 10 Ml In 1 Vial (67457-182-00),14.15,14.15,,,0 CDM,1014_00472008216,Acyclovir: 473 Ml In 1 Bottle (0472-0082-16),38.03,38.03,,,0 CDM,1014_31722068147,Acyclovir: 473 Ml In 1 Bottle (31722-681-47),8.39,8.39,,,0 CDM,10153_00172572810,NDC Description Not Available,5.57,5.57,,,0 CDM,10153_00904719306,"Famotidine: 50 Blister Pack In 1 Carton (0904-7193-06) / 1 Tablet, Film Coated In 1 Blister Pack",5.69,5.69,,,0 CDM,10153_00904719361,"Famotidine: 100 Blister Pack In 1 Carton (0904-7193-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.6,5.6,,,0 CDM,10153_50268029911,NDC Description Not Available,6.0,6.0,,,0 CDM,10153_60687059511,NDC Description Not Available,5.54,5.54,,,0 CDM,10153_61442012101,Famotidine: 24 Bottle In 1 Box (61442-121-01) / 100 Tablet In 1 Bottle,5.71,5.71,,,0 CDM,10153_63739064510,"Famotidine: 10 Blister Pack In 1 Box, Unit-Dose (63739-645-10) / 10 Tablet In 1 Blister Pack",5.61,5.61,,,0 CDM,10160_PBB,Pr Puncture Aspiration Abscess Hematoma Bulla/Cyst-Pbb,816.0,816.0,,,0 CDM,10167_00093727098,Pravastatin Sodium: 90 Tablet In 1 Bottle (0093-7270-98),6.0,6.0,,,0 CDM,10167_60505132309,Pravastatin Sodium: 90 Tablet In 1 Bottle (60505-1323-9),6.0,6.0,,,0 CDM,10180_PBB,Pr Incision & Drainage Complex Po Wound Infection-Pbb,2086.0,2086.0,,,0 CDM,10190_00409210205,"Sodium Chloride: 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-2102-05) / 5 mL in 1 VIAL, SINGLE-DOSE",6.0,6.0,,,0 CDM,10190_00409488801,NDC Description Not Available,37.6,37.6,,,0 CDM,10190_00409488802,NDC Description Not Available,55.49,55.49,,,0 CDM,10190_00409488803,NDC Description Not Available,30.21,30.21,,,0 CDM,10190_00409488806,NDC Description Not Available,63.69,63.69,,,0 CDM,10190_00409488810,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-4888-10) / 10 Ml In 1 Vial, Single-Dose (0409-4888-02)",28.51,28.51,,,0 CDM,10190_00409488812,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-4888-12) / 10 Ml In 1 Vial, Single-Dose (0409-4888-01)",59.0,59.0,,,0 CDM,10190_00409488850,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-4888-50) / 50 Ml In 1 Vial, Single-Dose (0409-4888-06)",36.01,36.01,,,0 CDM,10190_63323018600,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-186-00) / 100 Ml In 1 Vial, Single-Dose",65.02,65.02,,,0 CDM,10190_63323018601,NDC Description Not Available,44.7,44.7,,,0 CDM,10190_99999002495,NDC Description Not Available,3.86,3.86,,,0 CDM,10198_00093001806,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (0093-0018-06)",16.85,16.85,,,0 CDM,10198_33342009809,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (33342-098-09)",6.0,6.0,,,0 CDM,10205_00143955401,Leucovorin Calcium: 1 Vial In 1 Box (0143-9554-01) / 10 Ml In 1 Vial,61.3,61.3,,,0 CDM,10205_25021081430,Leucovorin Calcium: 1 Vial In 1 Carton (25021-814-30) / 10 Ml In 1 Vial,67.15,67.15,,,0 CDM,10205_67457052810,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-528-10) / 10 Ml In 1 Vial, Single-Dose",69.04,69.04,,,0 CDM,10205_71288016120,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-161-20) / 10 Ml In 1 Vial, Single-Dose",56.35,56.35,,,0 CDM,10207_00781148701,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0781-1487-01)",4.07,4.07,,,0 CDM,10207_00904718461,"Amitriptyline Hydrochloride: 100 Blister Pack In 1 Carton (0904-7184-61) / 1 Tablet, Film Coated In 1 Blister Pack",4.89,4.89,,,0 CDM,10207_50268003811,NDC Description Not Available,3.9,3.9,,,0 CDM,10207_60687043311,NDC Description Not Available,3.91,3.91,,,0 CDM,10219_50268068711,NDC Description Not Available,6.0,6.0,,,0 CDM,10219_50268068715,"Primidone: 50 Blister Pack In 1 Box, Unit-Dose (50268-687-15) / 1 Tablet In 1 Blister Pack (50268-687-11)",6.0,6.0,,,0 CDM,1021_00006003220,Stromectol: 2 Blister Pack In 1 Carton (0006-0032-20) / 10 Tablet In 1 Blister Pack,28.85,28.85,,,0 CDM,1021_42799080601,Ivermectin: 2 Blister Pack In 1 Carton (42799-806-01) / 10 Tablet In 1 Blister Pack,25.68,25.68,,,0 CDM,10225_11980018005,"Pred Forte: 1 Bottle, Dropper In 1 Carton (11980-180-05) / 5 Ml In 1 Bottle, Dropper",994.48,994.48,,,0 CDM,10225_50090055900,"Prednisolone Acetate: 1 Bottle, Plastic In 1 Carton (50090-0559-0) / 10 Ml In 1 Bottle, Plastic",6.0,6.0,,,0 CDM,10225_60758011905,"Prednisolone Acetate: 1 Bottle, Dropper In 1 Carton (60758-119-05) / 5 Ml In 1 Bottle, Dropper",272.8,272.8,,,0 CDM,10225_60758011910,"Prednisolone Acetate: 1 Bottle, Dropper In 1 Carton (60758-119-10) / 10 Ml In 1 Bottle, Dropper",545.6,545.6,,,0 CDM,10225_60758011915,"Prednisolone Acetate: 1 Bottle, Dropper In 1 Carton (60758-119-15) / 15 Ml In 1 Bottle, Dropper",818.4,818.4,,,0 CDM,10225_61314063705,"Prednisolone Acetate: 1 Bottle, Plastic In 1 Carton (61314-637-05) / 5 Ml In 1 Bottle, Plastic",274.35,274.35,,,0 CDM,10225_61314063710,"Prednisolone Acetate: 1 Bottle, Plastic In 1 Carton (61314-637-10) / 10 Ml In 1 Bottle, Plastic",548.27,548.27,,,0 CDM,102292_70004024440,NDC Description Not Available,213.31,213.31,,,0 CDM,102292_70092126937,NDC Description Not Available,213.31,213.31,,,0 CDM,102292_99999001757,NDC Description Not Available,168.41,168.41,,,0 CDM,102293_70004025440,NDC Description Not Available,273.73,273.73,,,0 CDM,102301_00281032608,Nitro-Bid: 48 Packet In 1 Box (0281-0326-08) / 1 G In 1 Packet,14.11,14.11,,,0 CDM,102349_75987008010,Krystexxa: 1 Vial In 1 Carton (75987-080-10) / 1 Ml In 1 Vial,24399.01,24399.01,,,0 CDM,102355_50102091101,Ella: 1 BLISTER PACK in 1 CARTON (50102-911-01) / 1 TABLET in 1 BLISTER PACK,221.65,221.65,,,0 CDM,102355_73302045601,Ella: 1 Blister Pack In 1 Carton (73302-456-01) / 1 Tablet In 1 Blister Pack,240.25,240.25,,,0 CDM,102365_00456060001,NDC Description Not Available,27.97,27.97,,,0 CDM,102365_00456060010,"Teflaro: 10 Vial, Single-Dose In 1 Carton (0456-0600-10) / 20 Ml In 1 Vial, Single-Dose (0456-0600-01)",28.74,28.74,,,0 CDM,10236_00641037621,NDC Description Not Available,57.56,57.56,,,0 CDM,10236_00641037625,Diphenhydramine Hydrochloride: 25 Vial In 1 Package (0641-0376-25) / 1 Ml In 1 Vial (0641-0376-21),59.0,59.0,,,0 CDM,10236_63323066400,NDC Description Not Available,59.0,59.0,,,0 CDM,10236_63323066401,"Diphenhydramine: 25 Vial, Single-Dose In 1 Tray (63323-664-01) / 1 Ml In 1 Vial, Single-Dose (63323-664-00)",58.78,58.78,,,0 CDM,10236_72485010101,NDC Description Not Available,59.0,59.0,,,0 CDM,102378_00597035556,Pradaxa: 60 Blister Pack In 1 Carton (0597-0355-56) / 1 Capsule In 1 Blister Pack,20.51,20.51,,,0 CDM,102438_00006306101,NDC Description Not Available,14.95,14.95,,,0 CDM,102438_00143938401,"Fosaprepitant Dimeglumine: 1 Vial, Single-Dose In 1 Carton (0143-9384-01) / 5 Ml In 1 Vial, Single-Dose",2.93,2.93,,,0 CDM,102438_16714024801,"Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (16714-248-01) / 5 Ml In 1 Vial, Single-Dose",3.67,3.67,,,0 CDM,102438_67457088910,"Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (67457-889-10) / 5 Ml In 1 Vial, Single-Dose",3.67,3.67,,,0 CDM,102438_72205005401,"Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (72205-054-01) / 5 Ml In 1 Vial, Single-Dose",1.12,1.12,,,0 CDM,102442_62856038901,"Halaven: 1 Vial, Single-Dose In 1 Carton (62856-389-01) / 2 Ml In 1 Vial, Single-Dose",940.6,940.6,,,0 CDM,10247_55513047801,NDC Description Not Available,111.09,111.09,,,0 CDM,10247_59676032000,NDC Description Not Available,179.06,179.06,,,0 CDM,10247_59676032004,"Procrit: 4 Vial, Multi-Dose In 1 Carton (59676-320-04) / 1 Ml In 1 Vial, Multi-Dose (59676-320-00)",179.06,179.06,,,0 CDM,102483_55513073001,"Xgeva: 1 Vial, Single-Use In 1 Carton (55513-730-01) / 1.7 Ml In 1 Vial, Single-Use",182.93,182.93,,,0 CDM,10249_00603020922,Magnesium Oxide: 120 Tablet In 1 Bottle (0603-0209-22),1.4,1.4,,,0 CDM,10249_01000670028,NDC Description Not Available,1.4,1.4,,,0 CDM,10249_05789663412,NDC Description Not Available,1.51,1.51,,,0 CDM,10249_06498033990,NDC Description Not Available,1.4,1.4,,,0 CDM,10250_00904208560,NDC Description Not Available,1.7,1.7,,,0 CDM,10250_04009310144,NDC Description Not Available,1.67,1.67,,,0 CDM,102530_50742037201,NDC Description Not Available,258.07,258.07,,,0 CDM,102570_13533080013,NDC Description Not Available,489.1,489.1,,,0 CDM,102585_13533080020,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-20) / 50 Ml In 1 Vial, Glass (13533-800-21)",474.86,474.86,,,0 CDM,102589_13533080024,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-24) / 200 Ml In 1 Vial, Glass (13533-800-25)",489.1,489.1,,,0 CDM,102590_13533080071,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-71) / 100 Ml In 1 Vial, Glass (13533-800-72)",481.65,481.65,,,0 CDM,102590_13533080072,NDC Description Not Available,483.11,483.11,,,0 CDM,102627_00259050116,Cuvposa: 1 Bottle In 1 Carton (0259-0501-16) / 473 Ml In 1 Bottle,22.12,22.12,,,0 CDM,102650_00904735661,"Lurasidone Hydrochloride: 100 Blister Pack In 1 Carton (0904-7356-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 CDM,10281_00409338211,NDC Description Not Available,63.23,63.23,,,0 CDM,10281_17478005001,Sufentanil Citrate: 10 AMPULE in 1 CARTON (17478-050-01) / 1 mL in 1 AMPULE,30.05,30.05,,,0 CDM,103030_00409115902,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-02) / 30 Ml In 1 Vial, Single-Dose (0409-1159-19)",0.39,0.39,,,0 CDM,103060_63323047701,NDC Description Not Available,0.36,0.36,,,0 CDM,103060_63323047727,"Nesacaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-477-27) / 20 Ml In 1 Vial, Single-Dose (63323-477-01)",0.44,0.44,,,0 CDM,103063_00781315606,NDC Description Not Available,0.75,0.75,,,0 CDM,103063_00781315695,"Acetaminophen: 10 Vial, Glass In 1 Carton (0781-3156-95) / 100 Ml In 1 Vial, Glass (0781-3156-06)",1.79,1.79,,,0 CDM,103063_24201010001,NDC Description Not Available,0.93,0.93,,,0 CDM,103063_43825010201,"Ofirmev: 24 VIAL, GLASS in 1 CARTON (43825-102-01) / 100 mL in 1 VIAL, GLASS",3.18,3.18,,,0 CDM,10307_00008103006,"Rapamune: 1 Carton In 1 Kit (0008-1030-06) / 1 Bottle, Glass In 1 Carton (0008-1030-04) / 60 Ml In 1 Bottle, Glass",171.29,171.29,,,0 CDM,10311_00904679204,Modafinil: 30 Blister Pack In 1 Carton (0904-6792-04) / 1 Tablet In 1 Blister Pack,87.45,87.45,,,0 CDM,10311_54868489700,PROVIGIL: 30 TABLET in 1 BOTTLE (54868-4897-0),87.45,87.45,,,0 CDM,10311_68084072111,NDC Description Not Available,104.78,104.78,,,0 CDM,103155_00065074114,"Tetracaine Hydrochloride: 12 Blister Pack In 1 Carton (0065-0741-14) / 1 Bottle, Dropper In 1 Blister Pack / 4 Ml In 1 Bottle, Dropper",81.23,81.23,,,0 CDM,103157_00003085722,Sprycel: 1 Bottle In 1 Carton (0003-0857-22) / 30 Tablet In 1 Bottle,3770.91,3770.91,,,0 CDM,103157_60505381703,"Dasatinib: 30 Tablet, Film Coated In 1 Bottle (60505-3817-3)",2579.3,2579.3,,,0 CDM,103192_70004084140,NDC Description Not Available,192.74,192.74,,,0 CDM,103192_99999005149,NDC Description Not Available,193.0,193.0,,,0 CDM,103221_63323054303,NDC Description Not Available,7.6,7.6,,,0 CDM,103221_63323054313,Heparin Sodium: 25 Vial In 1 Tray (63323-543-13) / .5 Ml In 1 Vial (63323-543-03),7.6,7.6,,,0 CDM,103221_71839011801,NDC Description Not Available,5.36,5.36,,,0 CDM,103264_00409030201,"Topotecan: 1 Vial, Single-Dose In 1 Carton (0409-0302-01) / 4 Ml In 1 Vial, Single-Dose",11.4,11.4,,,0 CDM,103264_16729015131,Topotecan Hydrochloride: 1 Vial In 1 Package (16729-151-31) / 4 Ml In 1 Vial,23.45,23.45,,,0 CDM,103264_16729024331,"Topotecan: 1 Vial, Multi-Dose In 1 Carton (16729-243-31) / 4 Ml In 1 Vial, Multi-Dose",22.74,22.74,,,0 CDM,103323_99999002282,NDC Description Not Available,56.74,56.74,,,0 CDM,103374_00517760401,NDC Description Not Available,88.11,88.11,,,0 CDM,103374_63323069030,Acetylcysteine: 3 Vial In 1 Carton (63323-690-30) / 30 Ml In 1 Vial (63323-690-22),16.13,16.13,,,0 CDM,103374_99999002383,NDC Description Not Available,17.33,17.33,,,0 CDM,10337_16714067102,"Ondansetron: 1 Bottle, Plastic In 1 Carton (16714-671-02) / 50 Ml In 1 Bottle, Plastic",9.97,9.97,,,0 CDM,10337_17856055504,"Ondansetron: 120 Syringe In 1 Box, Unit-Dose (17856-0555-4) / 1.25 Ml In 1 Syringe",9.14,9.14,,,0 CDM,10337_50268064711,NDC Description Not Available,15.47,15.47,,,0 CDM,10337_60687025240,NDC Description Not Available,16.74,16.74,,,0 CDM,10337_60687025246,NDC Description Not Available,17.16,17.16,,,0 CDM,10337_62135055558,Ondansetron Hydrochloride: 50 Ml In 1 Bottle (62135-555-58),27.12,27.12,,,0 CDM,1033_00641601301,NDC Description Not Available,21.07,21.07,,,0 CDM,1033_00641601401,NDC Description Not Available,14.98,14.98,,,0 CDM,1033_00641601501,NDC Description Not Available,2.44,2.44,,,0 CDM,1033_00641601510,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-6015-10) / 25 Ml In 1 Vial (0641-6015-01),2.44,2.44,,,0 CDM,1033_25021031910,Diltiazem Hydrochloride: 10 Vial In 1 Carton (25021-319-10) / 10 Ml In 1 Vial,21.24,21.24,,,0 CDM,1033_25021031925,Diltiazem Hydrochloride: 10 Vial In 1 Carton (25021-319-25) / 25 Ml In 1 Vial,2.44,2.44,,,0 CDM,1033_70860030141,NDC Description Not Available,11.35,11.35,,,0 CDM,103450_63323054001,Heparin Sodium: 25 Vial In 1 Tray (63323-540-01) / 1 Ml In 1 Vial,25.93,25.93,,,0 CDM,103450_63323054003,NDC Description Not Available,25.93,25.93,,,0 CDM,103457_63323026206,Heparin Sodium: 25 Vial In 1 Tray (63323-262-06) / 1 Ml In 1 Vial (63323-262-03),27.27,27.27,,,0 CDM,103472_99999001868,NDC Description Not Available,35.8,35.8,,,0 CDM,103474_99999001870,NDC Description Not Available,44.83,44.83,,,0 CDM,103475_99999001871,NDC Description Not Available,938.0,938.0,,,0 CDM,103491_99999001883,NDC Description Not Available,170.32,170.32,,,0 CDM,103507_99999001900,NDC Description Not Available,73.3,73.3,,,0 CDM,10350_00093342501,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3425-01)",4.84,4.84,,,0 CDM,10350_00591024001,"Lorazepam: 100 TABLET in 1 BOTTLE, PLASTIC (0591-0240-01)",6.0,6.0,,,0 CDM,10350_00904600760,Lorazepam: 100 Tablet In 1 Bottle (0904-6007-60),6.0,6.0,,,0 CDM,10350_00904600761,Lorazepam: 100 Blister Pack In 1 Carton (0904-6007-61) / 1 Tablet In 1 Blister Pack,4.67,4.67,,,0 CDM,10350_60687062711,NDC Description Not Available,6.0,6.0,,,0 CDM,10350_63304077201,Lorazepam: 100 Tablet In 1 Bottle (63304-772-01),6.0,6.0,,,0 CDM,10350_69315090401,Lorazepam: 100 Tablet In 1 Bottle (69315-904-01),4.68,4.68,,,0 CDM,103519_99999001902,NDC Description Not Available,59.0,59.0,,,0 CDM,10355_51079088601,NDC Description Not Available,5.43,5.43,,,0 CDM,10355_60687062011,NDC Description Not Available,5.02,5.02,,,0 CDM,10364_00536127180,First Aid Antiseptic: 1 Tube In 1 Box (0536-1271-80) / 28.4 G In 1 Tube,1.52,1.52,,,0 CDM,103698_62856058446,Banzel: 1 Bottle In 1 Carton (62856-584-46) / 460 Ml In 1 Bottle,320.37,320.37,,,0 CDM,103698_72603026101,Rufinamide: 1 Bottle In 1 Carton (72603-261-01) / 460 Ml In 1 Bottle,86.49,86.49,,,0 CDM,103716_49401010101,Benlysta: 1 Vial In 1 Carton (49401-101-01) / 1.5 Ml In 1 Vial,348.86,348.86,,,0 CDM,103717_49401010201,Benlysta: 1 Vial In 1 Carton (49401-102-01) / 5 Ml In 1 Vial,345.52,345.52,,,0 CDM,10374_00904589161,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5891-61) / 1 Tablet In 1 Blister Pack",4.94,4.94,,,0 CDM,103801_00409001601,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (0409-0016-01) / 16 Ml In 1 Vial, Multi-Dose",21.08,21.08,,,0 CDM,103801_00409020120,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (0409-0201-20) / 16 Ml In 1 Vial, Multi-Dose",21.04,21.04,,,0 CDM,103801_43066001001,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (43066-010-01) / 16 Ml In 1 Vial, Multi-Dose",11.42,11.42,,,0 CDM,103801_62332067816,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (62332-678-16) / 16 Ml In 1 Vial, Multi-Dose",13.31,13.31,,,0 CDM,103801_66758005003,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (66758-050-03) / 16 Ml In 1 Vial, Multi-Dose",19.2,19.2,,,0 CDM,103801_67457053316,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (67457-533-16) / 16 Ml In 1 Vial, Multi-Dose",13.37,13.37,,,0 CDM,103801_71288014416,"Docetaxel Anhydrous: 1 Vial, Multi-Dose In 1 Carton (71288-144-16) / 16 Ml In 1 Vial, Multi-Dose",13.36,13.36,,,0 CDM,103872_00003232711,"Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2327-11) / 10 Ml In 1 Vial, Single-Use",788.68,788.68,,,0 CDM,103873_00003232822,"Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2328-22) / 40 Ml In 1 Vial, Single-Use",798.95,798.95,,,0 CDM,10390_45802073200,NDC Description Not Available,1.56,1.56,,,0 CDM,10390_45802073230,Acetaminophen For Children: 12 Blister Pack In 1 Carton (45802-732-30) / 1 Suppository In 1 Blister Pack,1.48,1.48,,,0 CDM,10390_51672211500,NDC Description Not Available,1.82,1.82,,,0 CDM,10390_51672211502,Feverall Childrens: 6 Blister Pack In 1 Carton (51672-2115-2) / 1 Suppository In 1 Blister Pack (51672-2115-0),2.0,2.0,,,0 CDM,103965_50419032502,NDC Description Not Available,5.56,5.56,,,0 CDM,103_00904704861,"Losartan Potassium: 100 Blister Pack In 1 Carton (0904-7048-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.65,5.65,,,0 CDM,103_63739068610,"Losartan Potassium: 10 Blister Pack In 1 Box, Unit-Dose (63739-686-10) / 10 Tablet, Film Coated In 1 Blister Pack",5.25,5.25,,,0 CDM,103_65862020290,"Losartan Potassium: 90 Tablet, Film Coated In 1 Bottle (65862-202-90)",6.0,6.0,,,0 CDM,103_68084034701,"Losartan Potassium: 100 Blister Pack In 1 Box, Unit-Dose (68084-347-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-347-11)",5.69,5.69,,,0 CDM,103_68084034711,NDC Description Not Available,5.56,5.56,,,0 CDM,103_68180037709,Losartan Potassium: 90 Tablet In 1 Bottle (68180-377-09),5.82,5.82,,,0 CDM,104107_57894015012,Zytiga: 120 Tablet In 1 Bottle (57894-150-12),142.24,142.24,,,0 CDM,104114_00597014061,"Tradjenta: 100 Blister Pack In 1 Carton (0597-0140-61) / 1 Tablet, Film Coated In 1 Blister Pack",108.52,108.52,,,0 CDM,104114_00597014090,"Tradjenta: 90 Tablet, Film Coated In 1 Bottle (0597-0140-90)",108.52,108.52,,,0 CDM,10412_00517671001,NDC Description Not Available,128.53,128.53,,,0 CDM,1041_25208000104,"Aggrastat: 1 Vial, Glass In 1 Carton (25208-001-04) / 15 Ml In 1 Vial, Glass",25.43,25.43,,,0 CDM,104227_59676027801,"Edurant: 30 Tablet, Film Coated In 1 Bottle (59676-278-01)",306.01,306.01,,,0 CDM,10423_00009082501,Solu-Cortef: 1 Vial In 1 Carton (0009-0825-01) / 2 Ml In 1 Vial,59.0,59.0,,,0 CDM,10468_51672126705,Triamcinolone Acetonide: 1 Tube In 1 Carton (51672-1267-5) / 5 G In 1 Tube,399.72,399.72,,,0 CDM,1046_00517760401,NDC Description Not Available,64.54,64.54,,,0 CDM,1046_63323069404,Acetylcysteine: 25 Vial In 1 Carton (63323-694-04) / 4 Ml In 1 Vial (63323-694-22),73.42,73.42,,,0 CDM,1046_63323069422,NDC Description Not Available,74.27,74.27,,,0 CDM,10475_00143950601,NDC Description Not Available,5.88,5.88,,,0 CDM,10475_00409669501,"Amidate: 10 Vial, Single-Dose In 1 Tray (0409-6695-01) / 10 Ml In 1 Vial, Single-Dose (0409-6695-11)",7.03,7.03,,,0 CDM,10475_00409669502,"Amidate: 10 Vial, Single-Dose In 1 Tray (0409-6695-02) / 20 Ml In 1 Vial, Single-Dose (0409-6695-12)",6.76,6.76,,,0 CDM,10475_55150022110,"Etomidate: 10 Vial, Single-Dose In 1 Carton (55150-221-10) / 10 Ml In 1 Vial, Single-Dose",6.81,6.81,,,0 CDM,10475_65219044501,NDC Description Not Available,6.06,6.06,,,0 CDM,10475_67457090200,NDC Description Not Available,6.63,6.63,,,0 CDM,10475_72266014601,NDC Description Not Available,5.9,5.9,,,0 CDM,10475_72485050801,NDC Description Not Available,4.72,4.72,,,0 CDM,10491_00121043130,"Milk Of Magnesia: 10 Tray In 1 Case (0121-0431-30) / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",3.71,3.71,,,0 CDM,10491_63739019601,NDC Description Not Available,3.71,3.71,,,0 CDM,10491_66689005301,NDC Description Not Available,3.71,3.71,,,0 CDM,10493_02055503200,NDC Description Not Available,3.0,3.0,,,0 CDM,10493_04009310600,NDC Description Not Available,5.67,5.67,,,0 CDM,10493_05026885411,NDC Description Not Available,3.62,3.62,,,0 CDM,10493_07733393725,NDC Description Not Available,3.96,3.96,,,0 CDM,105120_00078033184,"Simulect: 1 Vial, Single-Use In 1 Carton (0078-0331-84) / 5 Ml In 1 Vial, Single-Use",29360.28,29360.28,,,0 CDM,105128_51079025520,"Metoprolol Tartrate: 100 Blister Pack In 1 Carton (51079-255-20) / 1 Tablet, Film Coated In 1 Blister Pack (51079-255-01)",5.89,5.89,,,0 CDM,105147_99999001934,NDC Description Not Available,17.37,17.37,,,0 CDM,10515_00904188361,NDC Description Not Available,1.92,1.92,,,0 CDM,105197_00517231001,NDC Description Not Available,3.8,3.8,,,0 CDM,105197_00517231005,"Venofer: 5 Vial, Single-Dose In 1 Box (0517-2310-05) / 10 Ml In 1 Vial, Single-Dose (0517-2310-01)",3.91,3.91,,,0 CDM,105197_00517234001,"Venofer: 1 Vial, Single-Dose In 1 Box (0517-2340-01) / 5 Ml In 1 Vial, Single-Dose",4.17,4.17,,,0 CDM,105199_00074364203,Lupron Depot: 1 Kit In 1 Carton (0074-3642-03) * 1 Ml In 1 Syringe * 1 Swab In 1 Packet,13912.82,13912.82,,,0 CDM,10519_00168000380,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0003-80) / 80 G In 1 Tube,57.54,57.54,,,0 CDM,10519_45802006336,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-063-36) / 80 G In 1 Tube,50.6,50.6,,,0 CDM,105202_00409724101,EPINEPHRINE: 25 AMPULE in 1 CARTON (0409-7241-01) / 1 mL in 1 AMPULE (0409-7241-10),4.0,4.0,,,0 CDM,105202_42023015901,NDC Description Not Available,11.82,11.82,,,0 CDM,105202_42023015925,Adrenalin: 25 Vial In 1 Carton (42023-159-25) / 1 Ml In 1 Vial (42023-159-01),29.5,29.5,,,0 CDM,105202_54288010301,NDC Description Not Available,12.05,12.05,,,0 CDM,105202_54288012001,Epinephrine: 1 Vial In 1 Carton (54288-120-01) / 10 Ml In 1 Vial,7.52,7.52,,,0 CDM,105267_52015008001,"Dificid: 1 Bottle In 1 Carton (52015-080-01) / 20 Tablet, Film Coated In 1 Bottle",1566.95,1566.95,,,0 CDM,105275_43066015010,Nexterone: 100 Ml In 1 Bag (43066-150-10),46.48,46.48,,,0 CDM,105276_43066036020,Nexterone: 200 Ml In 1 Bag (43066-360-20),21.59,21.59,,,0 CDM,105349_00074347303,Lupron Depot: 1 Kit In 1 Carton (0074-3473-03) * 1 Swab In 1 Packet * 1.5 Ml In 1 Syringe,10899.28,10899.28,,,0 CDM,105375_00003037113,"Nulojix: 1 Vial, Single-Use In 1 Carton (0003-0371-13) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",25.94,25.94,,,0 CDM,105413_01093995666,NDC Description Not Available,2.0,2.0,,,0 CDM,105413_04098521154,NDC Description Not Available,2.0,2.0,,,0 CDM,105431_50458058001,NDC Description Not Available,119.99,119.99,,,0 CDM,105431_50458058010,"Xarelto: 10 Blister Pack In 1 Carton (50458-580-10) / 10 Tablet, Film Coated In 1 Blister Pack (50458-580-01)",118.78,118.78,,,0 CDM,105478_00004082205,"Tamiflu: 1 Bottle, Glass In 1 Carton (0004-0822-05) / 60 Ml In 1 Bottle, Glass",124.24,124.24,,,0 CDM,105572_00186077739,"Brilinta: 10 Blister Pack In 1 Box, Unit-Dose (0186-0777-39) / 10 Tablet In 1 Blister Pack",47.11,47.11,,,0 CDM,105572_72205036891,Ticagrelor: 100 Tablet In 1 Bottle (72205-368-91),33.66,33.66,,,0 CDM,105597_00032004570,"Creon: 70 Capsule, Delayed Release In 1 Bottle (0032-0045-70)",10.35,10.35,,,0 CDM,105597_00032120370,"Creon: 1 Bottle In 1 Carton (0032-1203-70) / 70 Capsule, Delayed Release In 1 Bottle",10.94,10.94,,,0 CDM,10564_00904052361,NDC Description Not Available,1.69,1.69,,,0 CDM,10601_00378912416,NDC Description Not Available,170.86,170.86,,,0 CDM,10601_47781042811,NDC Description Not Available,170.86,170.86,,,0 CDM,10601_60505700902,Fentanyl: 5 Pouch In 1 Carton (60505-7009-2) / 1 Patch In 1 Pouch (60505-7009-0) / 72 H In 1 Patch,120.28,120.28,,,0 CDM,106048_63020004901,"Velcade: 1 Vial In 1 Carton (63020-049-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",306.27,306.27,,,0 CDM,1060_00143957701,NDC Description Not Available,1.05,1.05,,,0 CDM,1060_00409427601,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4276-01) / 20 Ml In 1 Vial, Multi-Dose (0409-4276-16)",0.56,0.56,,,0 CDM,1060_00409427602,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4276-02) / 50 Ml In 1 Vial, Multi-Dose (0409-4276-17)",2.43,2.43,,,0 CDM,1060_00409427616,NDC Description Not Available,0.63,0.63,,,0 CDM,1060_00409427617,NDC Description Not Available,2.99,2.99,,,0 CDM,1060_50102040010,"Lidocaine Hydrochloride: 10 Vial, Multi-Dose In 1 Tray (50102-400-10) / 20 Ml In 1 Vial, Multi-Dose (50102-400-01)",1.18,1.18,,,0 CDM,1060_55150025110,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-251-10) / 10 Ml In 1 Vial, Multi-Dose",3.73,3.73,,,0 CDM,1060_63323020102,Lidocaine: 25 Vial In 1 Tray (63323-201-02) / 2 Ml In 1 Vial (63323-201-01),4.1,4.1,,,0 CDM,1060_63323020103,NDC Description Not Available,1.18,1.18,,,0 CDM,1060_63323020110,Lidocaine: 25 Vial In 1 Tray (63323-201-10) / 10 Ml In 1 Vial (63323-201-03),1.72,1.72,,,0 CDM,1060_63323048501,NDC Description Not Available,2.95,2.95,,,0 CDM,1060_63323048503,NDC Description Not Available,2.95,2.95,,,0 CDM,1060_63323048557,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-485-57) / 50 Ml In 1 Vial, Multi-Dose (63323-485-03)",5.62,5.62,,,0 CDM,1060_70756064687,Lidocaine Hydrochloride: 1 Vial In 1 Carton (70756-646-87) / 20 Ml In 1 Vial,3.93,3.93,,,0 CDM,106134_42023016401,NDC Description Not Available,661.83,661.83,,,0 CDM,106134_99999002016,NDC Description Not Available,1323.92,1323.92,,,0 CDM,106150_99999002023,NDC Description Not Available,6.1,6.1,,,0 CDM,106209_99999002037,NDC Description Not Available,55.15,55.15,,,0 CDM,10620_00009766304,Aromasin: 30 Tablet In 1 Bottle (0009-7663-04),237.92,237.92,,,0 CDM,10620_51991000590,"Exemestane: 90 Tablet, Film Coated In 1 Bottle (51991-005-90)",20.67,20.67,,,0 CDM,106237_09999000072,NDC Description Not Available,3.55,3.55,,,0 CDM,106246_99999002054,NDC Description Not Available,59.0,59.0,,,0 CDM,106259_99999002055,NDC Description Not Available,51.34,51.34,,,0 CDM,106262_99999002102,NDC Description Not Available,1.51,1.51,,,0 CDM,106263_99999002056,NDC Description Not Available,39.33,39.33,,,0 CDM,106264_99999002061,NDC Description Not Available,61.64,61.64,,,0 CDM,106265_99999002057,NDC Description Not Available,1.31,1.31,,,0 CDM,106266_99999002062,NDC Description Not Available,136.68,136.68,,,0 CDM,106272_24208000202,"2 VIAL, SINGLE-USE in 1 CARTON (24208-002-02) / 1.2 mL in 1 VIAL, SINGLE-USE",809.54,809.54,,,0 CDM,106288_99999002066,NDC Description Not Available,59.0,59.0,,,0 CDM,106289_99999002068,NDC Description Not Available,6.2,6.2,,,0 CDM,10628_00054372763,"Propranolol Hydrochloride: 500 Ml In 1 Bottle, Plastic (0054-3727-63)",6.0,6.0,,,0 CDM,106291_99999003903,NDC Description Not Available,59.52,59.52,,,0 CDM,106294_99999002069,NDC Description Not Available,5.83,5.83,,,0 CDM,10638_43598045901,Trientine Hydrochloride: 100 Capsule In 1 Bottle (43598-459-01),310.0,310.0,,,0 CDM,106431_62756006040,Epoprostenol: 1 Vial In 1 Carton (62756-060-40) / 10 Ml In 1 Vial,69.78,69.78,,,0 CDM,106431_66215040201,Veletri: 1 Vial In 1 Carton (66215-402-01) / 10 Ml In 1 Vial,75.68,75.68,,,0 CDM,106503_70092166343,NDC Description Not Available,59.0,59.0,,,0 CDM,106521_00641049121,NDC Description Not Available,16.75,16.75,,,0 CDM,106521_00641613501,NDC Description Not Available,59.0,59.0,,,0 CDM,106521_00713035102,NDC Description Not Available,58.72,58.72,,,0 CDM,106521_14789070007,NDC Description Not Available,59.0,59.0,,,0 CDM,106521_23155029431,NDC Description Not Available,59.04,59.04,,,0 CDM,106521_23155029442,Prochlorperazine Edisylate: 10 Vial In 1 Package (23155-294-42) / 2 Ml In 1 Vial (23155-294-31),58.01,58.01,,,0 CDM,106521_25021079002,Prochlorperazine Edisylate: 10 Vial In 1 Carton (25021-790-02) / 2 Ml In 1 Vial,59.0,59.0,,,0 CDM,106521_43066009001,NDC Description Not Available,59.0,59.0,,,0 CDM,106521_55390007710,Prochlorperazine Edisylate: 10 VIAL in 1 BOX (55390-077-10) / 2 mL in 1 VIAL,59.0,59.0,,,0 CDM,106521_67457064000,NDC Description Not Available,108.46,108.46,,,0 CDM,106521_70860077841,NDC Description Not Available,59.0,59.0,,,0 CDM,10652_00338070348,Potassium Chloride: 24 Bag In 1 Carton (0338-0703-48) / 100 Ml In 1 Bag,26.77,26.77,,,0 CDM,10652_00990707726,Potassium Chloride: 24 Pouch In 1 Case (0990-7077-26) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,38.6,38.6,,,0 CDM,10655_00143918001,NDC Description Not Available,0.83,0.83,,,0 CDM,10655_00143918401,NDC Description Not Available,0.33,0.33,,,0 CDM,10655_63323031159,"Calcium Gluconate: 25 VIAL, SINGLE-USE in 1 TRAY (63323-311-59) / 50 mL in 1 VIAL, SINGLE-USE",0.15,0.15,,,0 CDM,10655_63323036001,NDC Description Not Available,0.71,0.71,,,0 CDM,10655_63323036003,NDC Description Not Available,0.38,0.38,,,0 CDM,10655_70069072701,NDC Description Not Available,0.36,0.36,,,0 CDM,106568_00904625549,Sore Throat Logenzes Sore Throat: 18 Blister Pack In 1 Carton (0904-6255-49) / 18 Lozenge In 1 Blister Pack,2.0,2.0,,,0 CDM,106568_06382471016,NDC Description Not Available,2.0,2.0,,,0 CDM,106568_63824071316,Cepacol Extra Strength Sore Throat Cherry: 2 Blister Pack In 1 Carton (63824-713-16) / 8 Lozenge In 1 Blister Pack,2.0,2.0,,,0 CDM,106572_00074969403,Lupron Depot-Ped: 1 Kit In 1 Carton (0074-9694-03) * 1.5 Ml In 1 Syringe * 1 Swab In 1 Packet,1295.9,1295.9,,,0 CDM,106623_51144005001,"Adcetris: 1 Vial, Single-Dose In 1 Box (51144-050-01) / 10.5 Ml In 1 Vial, Single-Dose",1587.79,1587.79,,,0 CDM,10665_00009722401,NDC Description Not Available,29024.47,29024.47,,,0 CDM,10665_00009722402,Atgam: 5 Ampule In 1 Carton (0009-7224-02) / 5 Ml In 1 Ampule (0009-7224-01),30568.03,30568.03,,,0 CDM,106700_11704037001,"Cyanokit: 1 VIAL, GLASS in 1 CARTON (11704-370-01) / 250 mL in 1 VIAL, GLASS",5782.1,5782.1,,,0 CDM,106700_50633031011,"Cyanokit: 1 Vial, Glass In 1 Carton (50633-310-11) / 250 Ml In 1 Vial, Glass",6686.6,6686.6,,,0 CDM,10682_50268071811,NDC Description Not Available,58.37,58.37,,,0 CDM,10682_50268071813,Sirolimus: 30 Blister Pack In 1 Box (50268-718-13) / 1 Tablet In 1 Blister Pack (50268-718-11),58.36,58.36,,,0 CDM,10682_55111065301,Sirolimus: 100 Tablet In 1 Bottle (55111-653-01),46.51,46.51,,,0 CDM,10686_50268059811,NDC Description Not Available,12.18,12.18,,,0 CDM,10686_50268059815,"Nifedipine Er: 50 Blister Pack In 1 Box, Unit-Dose (50268-598-15) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack (50268-598-11)",12.18,12.18,,,0 CDM,10688_00409189301,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1893-01) / 1 Ml In 1 Cartridge (0409-1893-03),59.0,59.0,,,0 CDM,10688_00409189303,NDC Description Not Available,59.0,59.0,,,0 CDM,10688_00641612701,NDC Description Not Available,19.07,19.07,,,0 CDM,10688_63323045101,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Box (63323-451-01) / 1 Ml In 1 Vial, Single-Dose (63323-451-00)",25.03,25.03,,,0 CDM,10693_00904504561,Captopril: 100 BLISTER PACK in 1 CARTON (0904-5045-61) / 1 TABLET in 1 BLISTER PACK,8.77,8.77,,,0 CDM,10693_00904710561,Captopril: 100 Blister Pack In 1 Carton (0904-7105-61) / 1 Tablet In 1 Blister Pack,8.77,8.77,,,0 CDM,10695_00409131230,Hydromorphone Hydrochloride: 10 Cartridge In 1 Carton (0409-1312-30) / 1 Ml In 1 Cartridge (0409-1312-03),2.95,2.95,,,0 CDM,10695_00409336501,"25 VIAL, SINGLE-DOSE in 1 TRAY (0409-3365-01) / 1 mL in 1 VIAL, SINGLE-DOSE (0409-3365-11)",11.09,11.09,,,0 CDM,10695_00409336511,NDC Description Not Available,3.05,3.05,,,0 CDM,10696_00555015902,Chlordiazepoxide Hydrochloride: 100 Capsule In 1 Bottle (0555-0159-02),3.82,3.82,,,0 CDM,10696_51079014101,NDC Description Not Available,3.69,3.69,,,0 CDM,10696_60687080711,NDC Description Not Available,4.1,4.1,,,0 CDM,10705_51672128101,Desonide: 1 Tube In 1 Carton (51672-1281-1) / 15 G In 1 Tube,143.32,143.32,,,0 CDM,10705_72603016401,Desonide: 1 Tube In 1 Carton (72603-164-01) / 15 G In 1 Tube,124.9,124.9,,,0 CDM,107091_00409018101,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0181-01) / 26.3 Ml In 1 Vial, Single-Dose",58.27,58.27,,,0 CDM,107091_00409018125,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0181-25) / 26.3 Ml In 1 Vial, Single-Dose",60.28,60.28,,,0 CDM,107091_00409018601,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0186-01) / 25 Ml In 1 Vial, Single-Dose",65.46,65.46,,,0 CDM,107091_25021023550,Gemcitabine: 1 Vial In 1 Carton (25021-235-50) / 25 Ml In 1 Vial,66.2,66.2,,,0 CDM,107091_67457061730,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (67457-617-30) / 26.3 Ml In 1 Vial, Single-Dose",49.61,49.61,,,0 CDM,107091_71288011728,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-117-28) / 26.3 Ml In 1 Vial, Single-Dose",28.99,28.99,,,0 CDM,107092_00409018201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0182-01) / 52.6 Ml In 1 Vial, Single-Dose",60.69,60.69,,,0 CDM,107093_00409018301,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0183-01) / 5.26 Ml In 1 Vial, Single-Dose",62.52,62.52,,,0 CDM,107093_00409018325,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0183-25) / 5.26 Ml In 1 Vial, Single-Dose",61.15,61.15,,,0 CDM,107093_71288011706,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-117-06) / 5.26 Ml In 1 Vial, Single-Dose",46.79,46.79,,,0 CDM,107121_00409337504,"Levophed: 10 Vial, Single-Dose In 1 Carton (0409-3375-04) / 4 Ml In 1 Vial, Single-Dose (0409-3375-14)",68.68,68.68,,,0 CDM,107121_44567064201,NDC Description Not Available,471.64,471.64,,,0 CDM,107121_70004077540,NDC Description Not Available,389.2,389.2,,,0 CDM,107121_70004078540,NDC Description Not Available,389.2,389.2,,,0 CDM,107130_50458057801,NDC Description Not Available,119.18,119.18,,,0 CDM,107130_50458057810,"Xarelto: 10 Blister Pack In 1 Carton (50458-578-10) / 10 Tablet, Film Coated In 1 Blister Pack (50458-578-01)",118.92,118.92,,,0 CDM,107131_50458057901,NDC Description Not Available,119.61,119.61,,,0 CDM,107131_50458057910,"Xarelto: 10 Blister Pack In 1 Carton (50458-579-10) / 10 Tablet, Film Coated In 1 Blister Pack (50458-579-01)",119.03,119.03,,,0 CDM,10713_00143924501,NDC Description Not Available,38.22,38.22,,,0 CDM,10713_63323012800,NDC Description Not Available,38.77,38.77,,,0 CDM,10713_63323012820,"Dacarbazine: 10 Vial, Single-Dose In 1 Tray (63323-128-20) / 20 Ml In 1 Vial, Single-Dose (63323-128-00)",39.25,39.25,,,0 CDM,10719_00378911216,NDC Description Not Available,6.0,6.0,,,0 CDM,107215_50881000560,"Jakafi: 60 Tablet In 1 Bottle, Plastic (50881-005-60)",1793.65,1793.65,,,0 CDM,107216_50881001060,"Jakafi: 60 Tablet In 1 Bottle, Plastic (50881-010-60)",1277.74,1277.74,,,0 CDM,107237_00013111420,NDC Description Not Available,134.0,134.0,,,0 CDM,107237_14789050010,"Tranexamic acid: 10 VIAL, SINGLE-DOSE in 1 BOX (14789-500-10) / 10 mL in 1 VIAL, SINGLE-DOSE",442.2,442.2,,,0 CDM,107237_23155016631,NDC Description Not Available,55.53,55.53,,,0 CDM,107237_39822100001,Tranexamic Acid: 10 Vial In 1 Carton (39822-1000-1) / 10 Ml In 1 Vial,47.13,47.13,,,0 CDM,107237_43066000801,NDC Description Not Available,59.0,59.0,,,0 CDM,107237_55150018810,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (55150-188-10) / 10 Ml In 1 Vial, Single-Dose",57.96,57.96,,,0 CDM,107237_61990061100,NDC Description Not Available,59.0,59.0,,,0 CDM,107237_63323056397,Tranexamic Acid: 10 AMPULE in 1 BOX (63323-563-97) / 10 mL in 1 AMPULE,393.23,393.23,,,0 CDM,107237_67457019700,NDC Description Not Available,100.5,100.5,,,0 CDM,107237_70860040741,NDC Description Not Available,393.23,393.23,,,0 CDM,107237_72485010701,"Tranexamic Acid: 1 Vial, Glass In 1 Carton (72485-107-01) / 10 Ml In 1 Vial, Glass",59.0,59.0,,,0 CDM,107237_72485051001,NDC Description Not Available,56.64,56.64,,,0 CDM,107237_72603038701,NDC Description Not Available,59.0,59.0,,,0 CDM,107237_81284061100,NDC Description Not Available,58.3,58.3,,,0 CDM,107237_81284061200,NDC Description Not Available,59.0,59.0,,,0 CDM,107237_81284061210,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (81284-612-10) / 10 Ml In 1 Vial, Single-Dose (81284-612-00)",59.0,59.0,,,0 CDM,10724_51079067001,NDC Description Not Available,17.22,17.22,,,0 CDM,10724_51079067005,Methotrexate: 20 Blister Pack In 1 Carton (51079-670-05) / 1 Tablet In 1 Blister Pack (51079-670-01),17.17,17.17,,,0 CDM,107266_61755000502,"Eylea: 1 Vial, Single-Use In 1 Carton (61755-005-02) / .05 Ml In 1 Vial, Single-Use",6256.38,6256.38,,,0 CDM,107276_42023020101,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (42023-201-01) / 5 Ml In 1 Vial, Single-Dose",67.62,67.62,,,0 CDM,107276_63323064907,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (63323-649-07) / 5 Ml In 1 Vial, Single-Dose",73.3,73.3,,,0 CDM,107276_70710183301,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (70710-1833-1) / 5 Ml In 1 Vial, Single-Dose",61.81,61.81,,,0 CDM,1072_49281075221,"Tubersol: 1 Vial, Multi-Dose In 1 Carton (49281-752-21) / 1 Ml In 1 Vial, Multi-Dose (49281-752-78)",672.97,672.97,,,0 CDM,1072_49281075278,NDC Description Not Available,677.58,677.58,,,0 CDM,107320_16714088801,Clobazam: 100 Tablet In 1 Bottle (16714-888-01),21.73,21.73,,,0 CDM,107320_67386031501,Onfi: 1 Bottle In 1 Carton (67386-315-01) / 100 Tablet In 1 Bottle,370.88,370.88,,,0 CDM,107320_68180015801,Clobazam: 1 Bottle In 1 Carton (68180-158-01) / 100 Tablet In 1 Bottle,7.44,7.44,,,0 CDM,107320_69238130601,Clobazam: 100 Tablet In 1 Bottle (69238-1306-1),5.84,5.84,,,0 CDM,107322_16714088701,Clobazam: 100 Tablet In 1 Bottle (16714-887-01),10.87,10.87,,,0 CDM,107322_60687042311,NDC Description Not Available,16.12,16.12,,,0 CDM,107322_67386031401,Onfi: 1 Bottle In 1 Carton (67386-314-01) / 100 Tablet In 1 Bottle,188.23,188.23,,,0 CDM,107533_65628008003,"Lansoprazole: 1 Kit In 1 Container (65628-080-03) * .27 G In 1 Bottle, Plastic * 90 Ml In 1 Bottle, Plastic",7.5,7.5,,,0 CDM,107533_65628008010,"Lansoprazole: 1 Kit In 1 Container (65628-080-10) * 300 Ml In 1 Bottle, Plastic * .9 G In 1 Bottle, Plastic",14.98,14.98,,,0 CDM,107572_63833082502,Berinert: 1 Kit In 1 Carton (63833-825-02) * 10 Ml In 1 Vial (63833-835-01) * 10 Ml In 1 Vial (63833-765-15),549.08,549.08,,,0 CDM,107572_63833083501,NDC Description Not Available,549.03,549.03,,,0 CDM,107635_50633021011,"Voraxaze: 1 Vial In 1 Carton (50633-210-11) / 1 Injection, Powder, For Solution In 1 Vial",1852.83,1852.83,,,0 CDM,10764_00054350547,Lidocaine Hydrochloride: 50 Ml In 1 Bottle (0054-3505-47),267.99,267.99,,,0 CDM,10764_60432046550,NDC Description Not Available,198.4,198.4,,,0 CDM,107728_65649055107,Relistor: 1 Blister Pack In 1 Carton (65649-551-07) / 1 Syringe In 1 Blister Pack / .6 Ml In 1 Syringe,9.33,9.33,,,0 CDM,10772_17478040303,FUL-GLO: 300 APPLICATOR in 1 CARTON (17478-403-03) / 1 STRIP in 1 APPLICATOR,6.0,6.0,,,0 CDM,107829_00168020437,Lidocaine: 1 Tube In 1 Carton (0168-0204-37) / 35.44 G In 1 Tube,1488.0,1488.0,,,0 CDM,107829_51672300803,Lidocaine: 50 G In 1 Jar (51672-3008-3),471.2,471.2,,,0 CDM,107829_51672302002,Lidocaine: 1 Tube In 1 Carton (51672-3020-2) / 30 G In 1 Tube,186.0,186.0,,,0 CDM,107829_63629250401,Lidocaine: 1 Tube In 1 Carton (63629-2504-1) / 35.44 G In 1 Tube,69.44,69.44,,,0 CDM,1079_00603633020,"Valganciclovir: 60 Tablet, Film Coated In 1 Bottle, Plastic (0603-6330-20)",104.33,104.33,,,0 CDM,1079_50268078711,NDC Description Not Available,98.83,98.83,,,0 CDM,1079_63739007633,"Valganciclovir: 3 Blister Pack In 1 Box, Unit-Dose (63739-076-33) / 10 Tablet, Film Coated In 1 Blister Pack",263.5,263.5,,,0 CDM,1079_65862075360,Valganciclovir Hydrochloride: 60 Tablet In 1 Bottle (65862-753-60),24.61,24.61,,,0 CDM,1079_68084096595,NDC Description Not Available,121.15,121.15,,,0 CDM,108136_53276101001,NDC Description Not Available,373.55,373.55,,,0 CDM,108222_05707400177,NDC Description Not Available,2.0,2.0,,,0 CDM,108222_51224016224,Astringent: 12 Box In 1 Carton (51224-162-24) / 12 Packet In 1 Box (51224-162-12) / 2299 Mg In 1 Packet (51224-162-99),1.49,1.49,,,0 CDM,1082_16729003510,"Anastrozole: 30 Tablet In 1 Bottle, Plastic (16729-035-10)",27.0,27.0,,,0 CDM,1082_50268007511,NDC Description Not Available,27.0,27.0,,,0 CDM,1082_60687011211,NDC Description Not Available,27.0,27.0,,,0 CDM,10859_00338070548,Potassium Chloride: 24 Bag In 1 Carton (0338-0705-48) / 100 Ml In 1 Bag,19.3,19.3,,,0 CDM,10859_00990707526,Potassium Chloride: 24 Pouch In 1 Case (0990-7075-26) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,19.33,19.33,,,0 CDM,10859_14789010816,NDC Description Not Available,22.4,22.4,,,0 CDM,10868_00143956401,Phentolamine Mesylate: 1 Vial In 1 Box (0143-9564-01) / 1 Ml In 1 Vial,2940.39,2940.39,,,0 CDM,10884_17478028310,"Gentamicin Sulfate: 1 BOTTLE, DROPPER in 1 CARTON (17478-283-10) / 5 mL in 1 BOTTLE, DROPPER",95.17,95.17,,,0 CDM,10884_24208058060,"Gentamicin Sulfate: 1 Bottle, Dropper In 1 Carton (24208-580-60) / 5 Ml In 1 Bottle, Dropper",221.41,221.41,,,0 CDM,10888_00536123201,"Aspirin Regular Strength: 1 Bottle, Plastic In 1 Carton (0536-1232-01) / 100 Tablet, Delayed Release In 1 Bottle, Plastic",1.93,1.93,,,0 CDM,1088_54092018981,Pentasa: 240 Capsule In 1 Bottle (54092-189-81),18.82,18.82,,,0 CDM,10896_00480372056,"Pyrimethamine: 30 Tablet In 1 Bottle, Plastic (0480-3720-56)",1590.3,1590.3,,,0 CDM,10896_43598067230,"Pyrimethamine: 30 Tablet In 1 Bottle, Plastic (43598-672-30)",1813.5,1813.5,,,0 CDM,1092_50268068611,NDC Description Not Available,4.5,4.5,,,0 CDM,1092_50268068615,"Primidone: 50 Blister Pack In 1 Box, Unit-Dose (50268-686-15) / 1 Tablet In 1 Blister Pack (50268-686-11)",4.46,4.46,,,0 CDM,10931_00185080130,Rifampin: 30 Capsule In 1 Bottle (0185-0801-30),16.09,16.09,,,0 CDM,10931_24658080130,Rifampin: 30 Capsule In 1 Bottle (24658-801-30),24.79,24.79,,,0 CDM,10931_60687057511,NDC Description Not Available,19.75,19.75,,,0 CDM,10954_00904738361,Tamsulosin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7383-61) / 1 Capsule In 1 Blister Pack,5.67,5.67,,,0 CDM,10954_63739056710,"Tamsulosin Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-567-10) / 10 Capsule In 1 Blister Pack",5.54,5.54,,,0 CDM,10954_68084029911,NDC Description Not Available,5.48,5.48,,,0 CDM,10973_00904655304,"Linezolid: 30 Blister Pack In 1 Carton (0904-6553-04) / 1 Tablet, Film Coated In 1 Blister Pack",38.38,38.38,,,0 CDM,10973_31722074920,"Linezolid: 20 Tablet, Film Coated In 1 Bottle (31722-749-20)",36.43,36.43,,,0 CDM,10973_67877041933,"Linezolid: 1 Blister Pack In 1 Carton (67877-419-33) / 10 Tablet, Film Coated In 1 Blister Pack",21.7,21.7,,,0 CDM,10975_68382000514,"Topiramate: 60 Capsule, Coated Pellets In 1 Bottle (68382-005-14)",8.22,8.22,,,0 CDM,10988_00904605161,Levetiracetam: 100 BLISTER PACK in 1 CARTON (0904-6051-61) / 1 TABLET in 1 BLISTER PACK,5.65,5.65,,,0 CDM,10988_00904712361,"Levetiracetam: 100 Blister Pack In 1 Carton (0904-7123-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.65,5.65,,,0 CDM,10988_68084085911,NDC Description Not Available,5.47,5.47,,,0 CDM,1098_00185041501,"Bupropion Hydrochloride: 100 Tablet, Extended Release In 1 Bottle (0185-0415-01)",6.0,6.0,,,0 CDM,11000_PBB,Pr Dbrdmt Extensv Eczmt/Infct Skin Up 10% Bdy Surf-Pbb,496.0,496.0,,,0 CDM,11001_PBB,Pr Dbrdmt Extnsve Eczmt/Infct Skn Ea Addl 10%-Pbb,278.0,278.0,,,0 CDM,11042_PBB,Pr Debridement Subcutaneous Tissue 1St 20 Sq Cm/<-Pbb,874.0,874.0,,,0 CDM,11043_PBB,Pr Debridement Muscle &/Fascia 1St 20 Sq Cm/<-Pbb,2734.0,2734.0,,,0 CDM,11044_00574703612,aspirin: 12 PACKET in 1 CARTON (0574-7036-12) / 1 SUPPOSITORY in 1 PACKET,2.3,2.3,,,0 CDM,11044_PBB,Pr Debridement Bone 1St 20 Sq Cm/<-Pbb,2447.0,2447.0,,,0 CDM,11045_PBB,Pr Debridement Subcutaneous Tissue Ea Addl 20 Sq Cm-Pbb,772.0,772.0,,,0 CDM,11046_PBB,Pr Debridement Muscle &/Fascia Ea Addl 20 Sq Cm-Pbb,598.0,598.0,,,0 CDM,11047_PBB,Pr Debridement Bone Each Additional 20 Sq Cm-Pbb,998.0,998.0,,,0 CDM,110508_00054318863,"Diazepam: 500 Ml In 1 Bottle, Plastic (0054-3188-63)",6.81,6.81,,,0 CDM,110508_00121090505,NDC Description Not Available,23.75,23.75,,,0 CDM,110508_68094075059,NDC Description Not Available,23.75,23.75,,,0 CDM,110508_68094075062,"Diazepam: 3 Tray In 1 Case (68094-750-62) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-750-59)",23.75,23.75,,,0 CDM,110517_00116400515,"Lactulose: 15 Ml In 1 Cup, Unit-Dose (0116-4005-15)",9.03,9.03,,,0 CDM,110517_00116400530,"Lactulose: 30 Ml In 1 Cup, Unit-Dose (0116-4005-30)",10.23,10.23,,,0 CDM,110517_00121115430,NDC Description Not Available,9.98,9.98,,,0 CDM,110517_00121457715,NDC Description Not Available,4.62,4.62,,,0 CDM,110517_00527512570,Lactulose: 473 Ml In 1 Bottle (0527-5125-70),6.0,6.0,,,0 CDM,110517_66689003801,NDC Description Not Available,7.63,7.63,,,0 CDM,110517_66689003901,NDC Description Not Available,6.05,6.05,,,0 CDM,110532_99999002291,NDC Description Not Available,98.28,98.28,,,0 CDM,110555_00641600701,NDC Description Not Available,9.57,9.57,,,0 CDM,110555_00641600801,NDC Description Not Available,19.51,19.51,,,0 CDM,110555_00641616201,NDC Description Not Available,15.62,15.62,,,0 CDM,110555_65219057201,NDC Description Not Available,9.25,9.25,,,0 CDM,110555_99999002157,NDC Description Not Available,44.53,44.53,,,0 CDM,110558_00409610220,NDC Description Not Available,39.13,39.13,,,0 CDM,110558_71288020310,NDC Description Not Available,19.67,19.67,,,0 CDM,110558_99999002158,NDC Description Not Available,193.0,193.0,,,0 CDM,11055_PBB,Pr Paring/Cutting Benign Hyperkeratotic Lesion 1-Pbb,180.0,180.0,,,0 CDM,110562_63323006403,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Carton (63323-064-03) / 2 Ml In 1 Vial, Single-Dose (63323-064-01)",86.81,86.81,,,0 CDM,110562_63323010602,NDC Description Not Available,82.16,82.16,,,0 CDM,110562_99999002160,NDC Description Not Available,26.53,26.53,,,0 CDM,11056_PBB,Pr Paring/Cutting Benign Hyperkeratotic Lesion 2-4-Pbb,224.0,224.0,,,0 CDM,11057_PBB,Pr Paring/Cutting Benign Hyperkeratotic Lesion >4-Pbb,316.0,316.0,,,0 CDM,110639_50242006101,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-061-01) / 16 Ml In 1 Vial, Single-Use",14.39,14.39,,,0 CDM,110640_99999004166,NDC Description Not Available,98.49,98.49,,,0 CDM,110646_76075010101,"Kyprolis: 1 Vial, Single-Use In 1 Carton (76075-101-01) / 30 Ml In 1 Vial, Single-Use",373.34,373.34,,,0 CDM,110656_99999002217,NDC Description Not Available,426.69,426.69,,,0 CDM,110667_99999002232,NDC Description Not Available,167.53,167.53,,,0 CDM,110672_49771000201,NDC Description Not Available,2225.8,2225.8,,,0 CDM,110673_73562010410,Viokace: 1 Bottle In 1 Carton (73562-104-10) / 100 Tablet In 1 Bottle,26.2,26.2,,,0 CDM,110769_00904053061,NDC Description Not Available,2.0,2.0,,,0 CDM,110769_00904053961,NDC Description Not Available,2.0,2.0,,,0 CDM,110808_50242014501,"Perjeta: 1 Vial, Single-Use In 1 Carton (50242-145-01) / 14 Ml In 1 Vial, Single-Use",105.71,105.71,,,0 CDM,110854_00006409501,NDC Description Not Available,252.26,252.26,,,0 CDM,110854_00006409502,Vaqta: 10 Syringe In 1 Carton (0006-4095-02) / .5 Ml In 1 Syringe (0006-4095-01),251.52,251.52,,,0 CDM,110931_60793070505,"Thrombin-Jmi: 1 Kit In 1 Carton (60793-705-05) * 5 Ml In 1 Vial, Glass (60793-218-09) * 5 Ml In 1 Vial, Glass (60793-315-01)",501.5,501.5,,,0 CDM,110985_08068104900,NDC Description Not Available,6.0,6.0,,,0 CDM,11099_00115107201,Dipyridamole: 100 Tablet In 1 Bottle (0115-1072-01),6.68,6.68,,,0 CDM,11099_64980013501,"Dipyridamole: 100 Tablet, Film Coated In 1 Bottle (64980-135-01)",15.82,15.82,,,0 CDM,11100000,Hc Private Room,4934.0,4934.0,,,0 CDM,11101_00054830125,Furosemide: 10 Blister Pack In 1 Carton (0054-8301-25) / 10 Tablet In 1 Blister Pack,5.97,5.97,,,0 CDM,11101_00603374121,"Furosemide: 100 TABLET in 1 BOTTLE, PLASTIC (0603-3741-21)",6.0,6.0,,,0 CDM,11102_PBB,Pr Tangential Biopsy Skin Single Lesion-Pbb,418.0,418.0,,,0 CDM,11103_PBB,Pr Tangential Biopsy Skin Ea Sep/Additional Lesion-Pbb,241.0,241.0,,,0 CDM,11104_PBB,Pr Punch Biopsy Skin Single Lesion-Pbb,526.0,526.0,,,0 CDM,11105_PBB,Pr Punch Biopsy Skin Ea Sep/Additional Lesion-Pbb,286.0,286.0,,,0 CDM,11106_PBB,Pr Incisional Biopsy Skin Single Lesion-Pbb,642.0,642.0,,,0 CDM,11107_PBB,Pr Incisional Biopsy Skin Ea Sep/Additional Lesion-Pbb,342.0,342.0,,,0 CDM,11109_00904686961,Trazodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6869-61) / 1 Tablet In 1 Blister Pack,5.24,5.24,,,0 CDM,11109_60687045411,NDC Description Not Available,4.09,4.09,,,0 CDM,11109_68382080601,Trazodone Hydrochloride: 100 Tablet In 1 Bottle (68382-806-01),5.13,5.13,,,0 CDM,111143_70092124505,NDC Description Not Available,193.0,193.0,,,0 CDM,111143_70324007701,NDC Description Not Available,193.0,193.0,,,0 CDM,1111F,Pr Dischrg Meds Reconciled W/Current Med List,0.01,0.01,,,0 CDM,1111F_PBB,Pr Dischrg Meds Reconciled W/Current Med List-Pbb,0.01,0.01,,,0 CDM,1111_63323045200,NDC Description Not Available,59.0,59.0,,,0 CDM,11124_00121067516,473 mL in 1 BOTTLE (0121-0675-16),6.0,6.0,,,0 CDM,11129_00904637361,"Ropinirole: 100 Blister Pack In 1 Carton (0904-6373-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.64,5.64,,,0 CDM,11129_60687057711,NDC Description Not Available,5.67,5.67,,,0 CDM,11157_00143938101,NDC Description Not Available,182.62,182.62,,,0 CDM,11157_00143938110,"Doxycycline: 10 Vial In 1 Carton (0143-9381-10) / 1 Injection, Powder, For Solution In 1 Vial (0143-9381-01)",12.75,12.75,,,0 CDM,11157_63323013002,NDC Description Not Available,9.63,9.63,,,0 CDM,11157_63323013011,Doxy 100: 10 Vial In 1 Tray (63323-130-11) / 10 Ml In 1 Vial (63323-130-02),25.78,25.78,,,0 CDM,11157_67457043700,NDC Description Not Available,7.36,7.36,,,0 CDM,11158_00049001481,NDC Description Not Available,96.5,96.5,,,0 CDM,11158_00409299803,"Ampicillin and Sulbactam: 10 VIAL in 1 CARTON (0409-2998-03) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL",96.5,96.5,,,0 CDM,11158_00641611701,NDC Description Not Available,94.14,94.14,,,0 CDM,11158_00641611710,Ampicillin And Sulbactam: 10 Vial In 1 Carton (0641-6117-10) / 3 G In 1 Vial (0641-6117-01),71.16,71.16,,,0 CDM,11158_44567021110,Ampicillin And Sulbactam: 10 Vial In 1 Carton (44567-211-10) / 20 Ml In 1 Vial,55.06,55.06,,,0 CDM,11158_55150011720,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (55150-117-20) / 1 Injection, Powder, For Solution In 1 Vial",75.22,75.22,,,0 CDM,11158_63323036920,"Ampicillin and Sulbactam: 10 VIAL in 1 CARTON (63323-369-20) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL",32.17,32.17,,,0 CDM,11158_71288003220,NDC Description Not Available,81.29,81.29,,,0 CDM,11158_71288003221,"Ampicillin And Sulbactam: 10 Vial, Single-Dose In 1 Carton (71288-032-21) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (71288-032-20)",96.5,96.5,,,0 CDM,11158_72485041701,NDC Description Not Available,32.17,32.17,,,0 CDM,11163_00591079501,"Dicyclomine Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0591-0795-01)",6.0,6.0,,,0 CDM,11163_00904698861,Dicyclomine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6988-61) / 1 Tablet In 1 Blister Pack,5.98,5.98,,,0 CDM,111849_63323009301,NDC Description Not Available,59.0,59.0,,,0 CDM,111849_63323009330,"Sodium Chloride: 25 Vial, Plastic In 1 Tray (63323-093-30) / 30 Ml In 1 Vial, Plastic (63323-093-01)",59.0,59.0,,,0 CDM,111849_63323009502,NDC Description Not Available,56.73,56.73,,,0 CDM,111849_63323009903,NDC Description Not Available,53.1,53.1,,,0 CDM,111933_00143972101,NDC Description Not Available,193.0,193.0,,,0 CDM,111933_44567043624,Levofloxacin: 24 Pouch In 1 Carton (44567-436-24) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,193.0,193.0,,,0 CDM,111933_99999002276,NDC Description Not Available,6.17,6.17,,,0 CDM,111935_99999002278,NDC Description Not Available,277.2,277.2,,,0 CDM,111937_99999002280,NDC Description Not Available,145.53,145.53,,,0 CDM,111938_99999002313,NDC Description Not Available,193.0,193.0,,,0 CDM,11194_42023012901,Fluphenazine Decanoate: 1 Vial In 1 Carton (42023-129-01) / 5 Ml In 1 Vial,94.32,94.32,,,0 CDM,11194_55150026705,"Fluphenazine Decanoate: 1 Vial, Multi-Dose In 1 Carton (55150-267-05) / 5 Ml In 1 Vial, Multi-Dose",144.72,144.72,,,0 CDM,11194_55390046505,"Fluphenazine Decanoate: 1 VIAL, MULTI-DOSE in 1 BOX (55390-465-05) / 5 mL in 1 VIAL, MULTI-DOSE",59.0,59.0,,,0 CDM,11194_63323027205,"Fluphenazine Decanoate: 1 Vial, Multi-Dose In 1 Carton (63323-272-05) / 5 Ml In 1 Vial, Multi-Dose",191.69,191.69,,,0 CDM,111992_54643564901,Infuvite Adult: 1 Kit In 1 Carton (54643-5649-1) * 5 Ml In 1 Vial (54643-5657-1) * 5 Ml In 1 Vial (54643-5659-1),102.19,102.19,,,0 CDM,11200_PBB,Pr Rmvl Skin Tags Mlt Fibrq Tags Any Up To&Inc 15-Pbb,716.0,716.0,,,0 CDM,11201_PBB,Pr Rmvl Skin Tags Mlt Fibrq Tags Any Ea Addl 10-Pbb,266.0,266.0,,,0 CDM,112028_03076816836,NDC Description Not Available,6.0,6.0,,,0 CDM,112030_00469260230,"Myrbetriq: 1 Bottle In 1 Carton (0469-2602-30) / 30 Tablet, Film Coated, Extended Release In 1 Bottle",95.13,95.13,,,0 CDM,11210_00409113403,"Morphine Sulfate: 1 Vial, Single-Dose In 1 Carton (0409-1134-03) / 20 Ml In 1 Vial, Single-Dose",104.39,104.39,,,0 CDM,112196_00456120130,"Linzess: 1 Bottle In 1 Carton (0456-1201-30) / 30 Capsule, Gelatin Coated In 1 Bottle",113.8,113.8,,,0 CDM,112197_00456120230,"Linzess: 1 Bottle In 1 Carton (0456-1202-30) / 30 Capsule, Gelatin Coated In 1 Bottle",113.46,113.46,,,0 CDM,11221_00054474125,"Prednisone: 100 Tablet In 1 Bottle, Plastic (0054-4741-25)",2.28,2.28,,,0 CDM,11221_00603533521,"Prednisone: 100 Tablet In 1 Bottle, Plastic (0603-5335-21)",2.39,2.39,,,0 CDM,11221_64380078206,"Prednisone: 100 Tablet In 1 Bottle, Plastic (64380-782-06)",2.14,2.14,,,0 CDM,11229_00093415573,Amoxicillin: 100 Ml In 1 Bottle (0093-4155-73),6.0,6.0,,,0 CDM,112367_10361079301,E-Z-Gas Ii: 50 Pouch In 1 Box (10361-793-01) / 4 G In 1 Pouch,14.66,14.66,,,0 CDM,11259_00143951001,"Etoposide: 1 Vial In 1 Box, Unit-Dose (0143-9510-01) / 5 Ml In 1 Vial",6.25,6.25,,,0 CDM,11259_00703565301,"Toposar: 1 VIAL, MULTI-DOSE in 1 CARTON (0703-5653-01) / 5 mL in 1 VIAL, MULTI-DOSE",6.22,6.22,,,0 CDM,11259_16729011408,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-08) / 25 Ml In 1 Vial, Multi-Dose",6.73,6.73,,,0 CDM,11259_16729011411,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-11) / 50 Ml In 1 Vial, Multi-Dose",6.7,6.7,,,0 CDM,11259_16729011431,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-31) / 5 Ml In 1 Vial, Multi-Dose",6.86,6.86,,,0 CDM,11259_63323010405,"Etoposide: 10 Box In 1 Carton (63323-104-05) / 1 Vial, Multi-Dose In 1 Box (63323-104-01) / 5 Ml In 1 Vial, Multi-Dose",8.27,8.27,,,0 CDM,11259_63323010406,"Etoposide: 1 Vial, Multi-Dose In 1 Carton (63323-104-06) / 5 Ml In 1 Vial, Multi-Dose",7.65,7.65,,,0 CDM,11259_63323010425,"Etoposide: 1 Vial, Multi-Dose In 1 Carton (63323-104-25) / 25 Ml In 1 Vial, Multi-Dose",8.14,8.14,,,0 CDM,11259_63323010450,"Etoposide: 1 Vial, Multi-Dose In 1 Carton (63323-104-50) / 50 Ml In 1 Vial, Multi-Dose",8.15,8.15,,,0 CDM,11267_65162067384,Risperidone: 30 Ml In 1 Bottle (65162-673-84),6.16,6.16,,,0 CDM,1126_68084028401,"Hydroxyurea: 100 Blister Pack In 1 Box, Unit-Dose (68084-284-01) / 1 Capsule In 1 Blister Pack (68084-284-11)",13.5,13.5,,,0 CDM,1126_68084028411,NDC Description Not Available,26.91,26.91,,,0 CDM,112744_59676056630,"Prezista: 30 Tablet, Film Coated In 1 Bottle, Plastic (59676-566-30)",446.02,446.02,,,0 CDM,112744_60687081911,NDC Description Not Available,63.56,63.56,,,0 CDM,11295_00121059500,"Sodium Citrate And Citric Acid: 10 Tray In 1 Case (0121-0595-00) / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (0121-0595-15)",29.02,29.02,,,0 CDM,11295_00121059516,Sodium Citrate And Citric Acid: 473 Ml In 1 Bottle (0121-0595-16),6.0,6.0,,,0 CDM,11295_00121059530,"Sodium Citrate And Citric Acid: 10 Tray In 1 Case (0121-0595-30) / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",11.16,11.16,,,0 CDM,11295_00121119030,NDC Description Not Available,30.08,30.08,,,0 CDM,11295_06025800116,NDC Description Not Available,6.4,6.4,,,0 CDM,11298_00228249710,"Nifedipine: 100 CAPSULE, LIQUID FILLED in 1 BOTTLE (0228-2497-10)",6.0,6.0,,,0 CDM,11298_00904722961,Nifedipine: 100 Blister Pack In 1 Carton (0904-7229-61) / 1 Capsule In 1 Blister Pack,6.68,6.68,,,0 CDM,11298_69315021101,"Nifedipine: 100 Capsule In 1 Bottle, Plastic (69315-211-01)",5.95,5.95,,,0 CDM,1129_24208063110,"Neomycin And Polymyxin B Sulfates And Hydrocortisone: 1 Bottle, Dropper In 1 Carton (24208-631-10) / 10 Ml In 1 Bottle, Dropper",520.18,520.18,,,0 CDM,11300_PBB,Pr Shaving Skin Lesion 1 Trunk/Arm/Leg Diam 0.5Cm/<-Pbb,509.0,509.0,,,0 CDM,11301_64980050448,Cyproheptadine Hydrochloride: 473 Ml In 1 Bottle (64980-504-48),6.05,6.05,,,0 CDM,11301_PBB,Pr Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm-Pbb,625.0,625.0,,,0 CDM,11302_PBB,Pr Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm-Pbb,745.0,745.0,,,0 CDM,11303_PBB,Pr Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm-Pbb,894.0,894.0,,,0 CDM,11305_PBB,Pr Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/<-Pbb,548.0,548.0,,,0 CDM,11306_PBB,Pr Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm-Pbb,665.0,665.0,,,0 CDM,11307_PBB,Pr Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm-Pbb,782.0,782.0,,,0 CDM,11308_PBB,Pr Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm-Pbb,901.0,901.0,,,0 CDM,11309_00703574711,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0703-5747-11) / 50 Ml In 1 Vial, Multi-Dose",25.72,25.72,,,0 CDM,11309_00703574811,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0703-5748-11) / 100 Ml In 1 Vial, Multi-Dose",25.66,25.66,,,0 CDM,11309_16729028811,Cisplatin: 50 Ml In 1 Vial (16729-288-11),24.42,24.42,,,0 CDM,11309_16729028838,Cisplatin: 100 Ml In 1 Vial (16729-288-38),21.71,21.71,,,0 CDM,11309_25021025350,Cisplatin: 1 Vial In 1 Carton (25021-253-50) / 50 Ml In 1 Vial,34.12,34.12,,,0 CDM,11309_25021025351,Cisplatin: 1 Vial In 1 Carton (25021-253-51) / 100 Ml In 1 Vial,25.37,25.37,,,0 CDM,11309_44567053001,Cisplatin: 1 Vial In 1 Carton (44567-530-01) / 50 Ml In 1 Vial,670.0,670.0,,,0 CDM,11309_60505627700,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (60505-6277-0) / 50 Ml In 1 Vial, Multi-Dose",40.2,40.2,,,0 CDM,11309_63323010351,Cisplatin: 1 Vial In 1 Carton (63323-103-51) / 50 Ml In 1 Vial,27.0,27.0,,,0 CDM,11309_63323010364,Cisplatin: 1 Vial In 1 Carton (63323-103-64) / 200 Ml In 1 Vial,26.46,26.46,,,0 CDM,11309_63323010365,Cisplatin: 1 Vial In 1 Carton (63323-103-65) / 100 Ml In 1 Vial,25.94,25.94,,,0 CDM,11310_PBB,Pr Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/<-Pbb,625.0,625.0,,,0 CDM,11311_PBB,Pr Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm-Pbb,738.0,738.0,,,0 CDM,11312_PBB,Pr Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm-Pbb,865.0,865.0,,,0 CDM,11313_PBB,Pr Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm-Pbb,1084.0,1084.0,,,0 CDM,1133_64067021601,"Uvadex: 12 Vial, Glass In 1 Carton (64067-216-01) / 10 Ml In 1 Vial, Glass",3893.84,3893.84,,,0 CDM,113490_00121094510,NDC Description Not Available,25.92,25.92,,,0 CDM,113508_00143918001,NDC Description Not Available,0.67,0.67,,,0 CDM,113508_63323036001,NDC Description Not Available,0.67,0.67,,,0 CDM,113508_63323036003,NDC Description Not Available,0.36,0.36,,,0 CDM,11352_17478071410,"Ciprofloxacin: 1 BOTTLE, DROPPER in 1 CARTON (17478-714-10) / 5 mL in 1 BOTTLE, DROPPER",55.0,55.0,,,0 CDM,11352_61314065605,"Ciprofloxacin Hydrochloride: 1 Bottle, Plastic In 1 Carton (61314-656-05) / 5 Ml In 1 Bottle, Plastic",86.8,86.8,,,0 CDM,11352_61314065625,"Ciprofloxacin Hydrochloride: 1 Bottle, Plastic In 1 Carton (61314-656-25) / 2.5 Ml In 1 Bottle, Plastic",65.1,65.1,,,0 CDM,11353_60505082306,"Calcitonin Salmon: 1 Bottle, Glass In 1 Carton (60505-0823-6) / 30 Spray, Metered In 1 Bottle, Glass",464.2,464.2,,,0 CDM,113575_99999002366,NDC Description Not Available,36.49,36.49,,,0 CDM,11361_59651029960,"Tamoxifen Citrate: 60 Tablet, Film Coated In 1 Bottle (59651-299-60)",3.26,3.26,,,0 CDM,11361_75907005860,"Tamoxifen Citrate: 60 Tablet, Film Coated In 1 Bottle (75907-058-60)",3.16,3.16,,,0 CDM,11363_59676034000,NDC Description Not Available,179.06,179.06,,,0 CDM,11363_59676034001,"Procrit: 4 Vial, Single-Dose In 1 Carton (59676-340-01) / 1 Ml In 1 Vial, Single-Dose (59676-340-00)",179.06,179.06,,,0 CDM,113672_50242008801,"Kadcyla: 1 Vial, Single-Use In 1 Carton (50242-088-01) / 5 Ml In 1 Vial, Single-Use",264.96,264.96,,,0 CDM,11374_00527131101,Terbutaline Sulfate: 100 Tablet In 1 Bottle (0527-1311-01),32.97,32.97,,,0 CDM,11374_62559072201,Terbutaline Sulfate: 100 Tablet In 1 Bottle (62559-722-01),7.57,7.57,,,0 CDM,113759_00904592861,"Labetalol hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-5928-61) / 1 TABLET, FILM COATED in 1 BLISTER PACK",5.59,5.59,,,0 CDM,113792_00054855324,METHADONE HYDROCHLORIDE: 100 BLISTER PACK in 1 CARTON (0054-8553-24) / 1 TABLET in 1 BLISTER PACK,5.94,5.94,,,0 CDM,113792_00406575562,Methadone Hydrochloride: 100 Tablet In 1 Blister Pack (0406-5755-62),6.0,6.0,,,0 CDM,11379_00409018501,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0185-01) / 5 Ml In 1 Vial, Single-Dose",72.59,72.59,,,0 CDM,11379_71288011310,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-113-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",59.91,59.91,,,0 CDM,113801_42858030125,Hydromorphone Hydrochloride: 4 Blister Pack In 1 Carton (42858-301-25) / 25 Tablet In 1 Blister Pack,5.37,5.37,,,0 CDM,113806_00406055262,Oxycodone Hydrochloride: 100 Tablet In 1 Blister Pack (0406-0552-62),5.45,5.45,,,0 CDM,113807_00054023524,Morphine Sulfate: 100 Blister Pack In 1 Carton (0054-0235-24) / 1 Tablet In 1 Blister Pack,5.79,5.79,,,0 CDM,113878_70505010010,"Doxylamine Succinate And Pyridoxine Hydrochloride: 100 Tablet, Delayed Release In 1 Bottle (70505-100-10)",19.4,19.4,,,0 CDM,113918_24208050307,Lotemax: 1 Bottle In 1 Carton (24208-503-07) / 5 G In 1 Bottle,1606.24,1606.24,,,0 CDM,113936_00378876616,NDC Description Not Available,24.73,24.73,,,0 CDM,113936_12496120401,NDC Description Not Available,55.68,55.68,,,0 CDM,113936_12496120403,"Suboxone: 30 Pouch In 1 Carton (12496-1204-3) / 1 Film, Soluble In 1 Pouch (12496-1204-1)",55.68,55.68,,,0 CDM,114003_00187526701,NDC Description Not Available,6.06,6.06,,,0 CDM,11400_PBB,Pr Exc B9 Lesion Mrgn Xcp Sk Tg T/A/L 0.5 Cm/<-Pbb,964.0,964.0,,,0 CDM,11401_PBB,Pr Exc B9 Lesion Mrgn Xcp Sk Tg T/A/L 0.6-1.0 Cm-Pbb,1650.0,1650.0,,,0 CDM,11402_PBB,Pr Exc B9 Lesion Mrgn Xcp Sk Tg T/A/L 1.1-2.0 Cm-Pbb,1650.0,1650.0,,,0 CDM,11403_PBB,Pr Exc B9 Lesion Mrgn Xcp Sk Tg T/A/L 2.1-3.0 Cm-Pbb,1650.0,1650.0,,,0 CDM,11404_PBB,Pr Exc B9 Lesion Mrgn Xcp Sk Tg T/A/L 3.1-4.0 Cm-Pbb,2472.0,2472.0,,,0 CDM,114063_00003089321,"Eliquis: 60 Tablet, Film Coated In 1 Bottle, Plastic (0003-0893-21)",61.57,61.57,,,0 CDM,114063_00003089331,"Eliquis: 10 Blister Pack In 1 Carton (0003-0893-31) / 10 Tablet, Film Coated In 1 Blister Pack",61.84,61.84,,,0 CDM,11406_PBB,Pr Exc B9 Lesion Mrgn Xcp Sk Tg T/A/L >4.0 Cm-Pbb,3301.0,3301.0,,,0 CDM,114104_55292013301,NDC Description Not Available,2296.08,2296.08,,,0 CDM,114104_55292013306,NDC Description Not Available,2201.99,2201.99,,,0 CDM,114170_68875010301,"Gattex: 1 Kit In 1 Carton (68875-0103-1) * .5 Ml In 1 Syringe, Plastic * .7 Ml In 1 Packet * .5 Ml In 1 Vial (68875-0101-1)",12046.14,12046.14,,,0 CDM,114179_00003089421,"Eliquis: 60 Tablet, Film Coated In 1 Bottle, Plastic (0003-0894-21)",61.49,61.49,,,0 CDM,114179_00003089431,"Eliquis: 10 Blister Pack In 1 Carton (0003-0894-31) / 10 Tablet, Film Coated In 1 Blister Pack",61.85,61.85,,,0 CDM,11420_PBB,Pr Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/<-Pbb,964.0,964.0,,,0 CDM,11421_PBB,Pr Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.6-1.0Cm-Pbb,1380.0,1380.0,,,0 CDM,11422_PBB,Pr Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 1.1-2.0Cm-Pbb,1558.0,1558.0,,,0 CDM,11423_PBB,Pr Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 2.1-3.0Cm-Pbb,2291.0,2291.0,,,0 CDM,11424_PBB,Pr Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 3.1-4.0Cm-Pbb,2609.0,2609.0,,,0 CDM,114253_51552134501,Lets Kit: 1 Kit In 1 Box (51552-1345-1) * 180 Mg In 1 Container (51552-0454-9) * 500 Mg In 1 Container (51552-0269-9) * 4 G In 1 Container (51552-0106-9),14.41,14.41,,,0 CDM,114269_50419042201,Skyla: 1 Intrauterine Device In 1 Carton (50419-422-01),6115.74,6115.74,,,0 CDM,11426_PBB,Pr Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G > 4.0Cm-Pbb,3664.0,3664.0,,,0 CDM,114344_66794015701,"Gablofen: 20 Ml In 1 Syringe, Glass (66794-157-01)",1702.77,1702.77,,,0 CDM,11440_PBB,Pr Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5Cm/<-Pbb,1148.0,1148.0,,,0 CDM,11441_PBB,Pr Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 0.6-1.0Cm-Pbb,1690.0,1690.0,,,0 CDM,11442_PBB,Pr Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 1.1-2.0Cm-Pbb,2022.0,2022.0,,,0 CDM,11443_PBB,Pr Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 2.1-3.0Cm-Pbb,2521.0,2521.0,,,0 CDM,11444_PBB,Pr Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 3.1-4.0Cm-Pbb,3110.0,3110.0,,,0 CDM,11446_PBB,Pr Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M > 4.0Cm-Pbb,4207.0,4207.0,,,0 CDM,11450_PBB,Pr Excision Hidradenitis Axillary Smpl/Intrm Rpr-Pbb,2657.0,2657.0,,,0 CDM,11451_PBB,Pr Excision Hidradenitis Axillary Complex Repair-Pbb,3470.0,3470.0,,,0 CDM,114559_50242008701,"Kadcyla: 1 Vial, Single-Use In 1 Carton (50242-087-01) / 8 Ml In 1 Vial, Single-Use",265.09,265.09,,,0 CDM,11459_00703315401,"Bleomycin: 1 VIAL, SINGLE-DOSE in 1 CARTON (0703-3154-01) / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL, SINGLE-DOSE",383.24,383.24,,,0 CDM,11459_61703033218,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (61703-332-18) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",338.08,338.08,,,0 CDM,11459_63323013610,"Bleomycin: 1 Vial In 1 Carton (63323-136-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",221.91,221.91,,,0 CDM,11459_71288010610,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (71288-106-10) / 15 Powder, For Solution In 1 Vial, Single-Dose",205.56,205.56,,,0 CDM,114601_59148001871,"Abilify Maintena: 1 Kit In 1 Carton (59148-018-71) * 1.5 Ml In 1 Vial, Single-Use * 5 Ml In 1 Vial, Single-Use",47.87,47.87,,,0 CDM,114601_59148023212,"Abilify Maintena: 1 Kit In 1 Carton (59148-232-12) * 1.5 Ml In 1 Vial, Single-Use (59148-235-70) * 2.5 Ml In 1 Vial, Single-Use (59148-100-12)",45.12,45.12,,,0 CDM,114602_59148001970,NDC Description Not Available,47.94,47.94,,,0 CDM,114602_59148001971,"Abilify Maintena: 1 Kit In 1 Carton (59148-019-71) * 1.9 Ml In 1 Vial, Single-Use * 5 Ml In 1 Vial, Single-Use",47.77,47.77,,,0 CDM,114602_59148024512,"Abilify Maintena: 1 Kit In 1 Carton (59148-245-12) * 1.9 Ml In 1 Vial, Single-Use (59148-238-90) * 2.5 Ml In 1 Vial, Single-Use (59148-100-12)",48.65,48.65,,,0 CDM,11462_PBB,Pr Excision Hidradenitis Inguinal Smpl/Intrm Rpr-Pbb,2549.0,2549.0,,,0 CDM,11463_PBB,Pr Excision Hidradenitis Inguinal Complex Repair-Pbb,3470.0,3470.0,,,0 CDM,11470_PBB,Pr Excision H/P/P/U Simple/Intermediate Repair-Pbb,2987.0,2987.0,,,0 CDM,11471_PBB,Pr Excision H/P/P/U Complex Repair-Pbb,3695.0,3695.0,,,0 CDM,114840_00378039918,NDC Description Not Available,413.34,413.34,,,0 CDM,114840_69097032303,"Dimethyl Fumarate: 1 Bottle, Plastic In 1 Carton (69097-323-03) / 60 Capsule, Delayed Release In 1 Bottle, Plastic",11.63,11.63,,,0 CDM,11487_16714025701,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-257-01)",4.73,4.73,,,0 CDM,11487_50268003711,NDC Description Not Available,5.49,5.49,,,0 CDM,114955_00338955524,Dexmedetomidine Hydrochloride: 24 Bag In 1 Carton (0338-9555-24) / 50 Ml In 1 Bag,204.48,204.48,,,0 CDM,114955_00409145420,Precedex: 20 Bottle In 1 Tray (0409-1454-20) / 50 Ml In 1 Bottle (0409-1454-01),193.0,193.0,,,0 CDM,114955_00409166055,NDC Description Not Available,188.97,188.97,,,0 CDM,114955_70121138801,NDC Description Not Available,250.6,250.6,,,0 CDM,114955_71225012602,NDC Description Not Available,193.0,193.0,,,0 CDM,114957_00143952501,NDC Description Not Available,193.0,193.0,,,0 CDM,114957_00338955712,Dexmedetomidine Hydrochloride: 12 Bag In 1 Carton (0338-9557-12) / 100 Ml In 1 Bag,229.57,229.57,,,0 CDM,114957_00409159601,NDC Description Not Available,280.1,280.1,,,0 CDM,114957_00409166035,NDC Description Not Available,280.0,280.0,,,0 CDM,114957_00781349546,NDC Description Not Available,268.8,268.8,,,0 CDM,114957_55150029701,NDC Description Not Available,445.95,445.95,,,0 CDM,114957_67457092500,NDC Description Not Available,459.2,459.2,,,0 CDM,114957_70121171201,NDC Description Not Available,193.0,193.0,,,0 CDM,11498_00023079815,"Refresh Tears: 1 Bottle, Dropper In 1 Carton (0023-0798-15) / 15 Ml In 1 Bottle, Dropper",51.99,51.99,,,0 CDM,11498_50268006815,"Carboxymethylcellulose Sodium: 1 Bottle, Dropper In 1 Carton (50268-068-15) / 15 Ml In 1 Bottle, Dropper",49.06,49.06,,,0 CDM,115010_00032301613,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-3016-13)",78.34,78.34,,,0 CDM,115012_05777100704,NDC Description Not Available,105.09,105.09,,,0 CDM,11501_00409337813,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0409-3378-13) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (0409-3378-11)",36.76,36.76,,,0 CDM,11501_00409338511,NDC Description Not Available,59.51,59.51,,,0 CDM,11501_00781311390,NDC Description Not Available,62.76,62.76,,,0 CDM,11501_44567080210,"Piperacillin And Tazobactam: 10 Vial In 1 Box (44567-802-10) / 1 Injection, Powder, For Solution In 1 Vial",41.44,41.44,,,0 CDM,11501_55150012030,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-120-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",49.3,49.3,,,0 CDM,11501_60505615700,NDC Description Not Available,64.33,64.33,,,0 CDM,115045_00065414727,"Simbrinza: 1 Bottle, Dropper In 1 Carton (0065-4147-27) / 8 Ml In 1 Bottle, Dropper",11.24,11.24,,,0 CDM,11512_67457016300,NDC Description Not Available,523.45,523.45,,,0 CDM,11512_67457016302,"Sotradecol: 5 Vial, Multi-Dose In 1 Carton (67457-163-02) / 2 Ml In 1 Vial, Multi-Dose (67457-163-00)",523.45,523.45,,,0 CDM,11515_00536104710,Sodium Bicarbonate Antacid: 1000 Tablet In 1 Bottle (0536-1047-10),3.76,3.76,,,0 CDM,11515_07733383125,NDC Description Not Available,4.12,4.12,,,0 CDM,11515_66553000801,NDC Description Not Available,3.71,3.71,,,0 CDM,11515_77333082725,NDC Description Not Available,3.67,3.67,,,0 CDM,11519_00517071001,Fomepizole: 1 Vial In 1 Carton (0517-0710-01) / 1.5 Ml In 1 Vial,145.07,145.07,,,0 CDM,11519_67457021102,"Fomepizole: 1 Vial, Glass In 1 Carton (67457-211-02) / 1.5 Ml In 1 Vial, Glass",67.47,67.47,,,0 CDM,11519_70710147801,Fomepizole: 1 Vial In 1 Carton (70710-1478-1) / 1.5 Ml In 1 Vial,100.56,100.56,,,0 CDM,11530_00093342701,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3427-01)",5.4,5.4,,,0 CDM,11530_00904600961,Lorazepam: 100 Blister Pack In 1 Carton (0904-6009-61) / 1 Tablet In 1 Blister Pack,3.14,3.14,,,0 CDM,11530_13107008501,Lorazepam: 100 Tablet In 1 Bottle (13107-085-01),3.75,3.75,,,0 CDM,11530_51079038720,Lorazepam: 100 BLISTER PACK in 1 CARTON (51079-387-20) / 1 TABLET in 1 BLISTER PACK (51079-387-01),1.94,1.94,,,0 CDM,11530_60687064911,NDC Description Not Available,5.88,5.88,,,0 CDM,11551_00904737661,Meclizine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7376-61) / 1 Tablet In 1 Blister Pack,5.96,5.96,,,0 CDM,11551_50268052311,NDC Description Not Available,6.0,6.0,,,0 CDM,11551_51079051120,Meclizine Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-511-20) / 1 TABLET in 1 BLISTER PACK (51079-511-01),6.0,6.0,,,0 CDM,11551_60687073011,NDC Description Not Available,6.0,6.0,,,0 CDM,11551_70710116201,Meclizine Hydrochloride: 100 Tablet In 1 Bottle (70710-1162-1),6.0,6.0,,,0 CDM,11567_00406838001,"Morphine Sulfate: 100 Tablet, Extended Release In 1 Bottle (0406-8380-01)",15.41,15.41,,,0 CDM,11567_00406838023,"Morphine Sulfate: 1 Tablet, Extended Release In 1 Blister Pack (0406-8380-23)",19.22,19.22,,,0 CDM,11568_00172392560,Diazepam: 100 Tablet In 1 Bottle (0172-3925-60),4.2,4.2,,,0 CDM,11568_51079028401,NDC Description Not Available,5.09,5.09,,,0 CDM,11568_51079028420,Diazepam: 100 Blister Pack In 1 Carton (51079-284-20) / 1 Tablet In 1 Blister Pack (51079-284-01),3.2,3.2,,,0 CDM,11579_00641049321,NDC Description Not Available,4.65,4.65,,,0 CDM,11579_00641049325,Phenytoin Sodium: 25 Vial In 1 Carton (0641-0493-25) / 2 Ml In 1 Vial (0641-0493-21),4.66,4.66,,,0 CDM,11579_00641255541,NDC Description Not Available,2.69,2.69,,,0 CDM,11579_42192061405,NDC Description Not Available,6.65,6.65,,,0 CDM,1157_00904601946,Bicalutamide: 30 Tablet In 1 Bottle (0904-6019-46),6.0,6.0,,,0 CDM,1157_16729002310,Bicalutamide: 30 Tablet In 1 Bottle (16729-023-10),6.0,6.0,,,0 CDM,11599_24208067004,"Sulfacetamide Sodium: 1 Bottle, Dropper In 1 Carton (24208-670-04) / 15 Ml In 1 Bottle, Dropper",302.25,302.25,,,0 CDM,11599_61314070101,"Sulfacetamide Sodium: 15 Ml In 1 Bottle, Plastic (61314-701-01)",276.03,276.03,,,0 CDM,11600_PBB,Pr Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/<-Pbb,1764.0,1764.0,,,0 CDM,11601_PBB,Pr Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm-Pbb,1925.0,1925.0,,,0 CDM,11602_PBB,Pr Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm-Pbb,2322.0,2322.0,,,0 CDM,11603_PBB,Pr Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm-Pbb,2358.0,2358.0,,,0 CDM,11604_PBB,Pr Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm-Pbb,2963.0,2963.0,,,0 CDM,11606_PBB,Pr Excision Malignant Lesion Trunk/Arm/Leg > 4.0 Cm-Pbb,3844.0,3844.0,,,0 CDM,11617_42291018790,"Diltiazem Hydrochloride: 90 CAPSULE, COATED, EXTENDED RELEASE in 1 BOTTLE (42291-187-90)",6.0,6.0,,,0 CDM,11617_60687022811,NDC Description Not Available,9.86,9.86,,,0 CDM,11617_68682099898,"Diltiazem Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (68682-998-98)",10.66,10.66,,,0 CDM,11620_PBB,Pr Excision Malignant Lesion S/N/H/F/G 0.5 Cm/<-Pbb,1764.0,1764.0,,,0 CDM,11621_PBB,Pr Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm-Pbb,1925.0,1925.0,,,0 CDM,11622_PBB,Pr Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm-Pbb,2321.0,2321.0,,,0 CDM,11623_PBB,Pr Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm-Pbb,2882.0,2882.0,,,0 CDM,11624_05026886011,NDC Description Not Available,2.0,2.0,,,0 CDM,11624_PBB,Pr Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm-Pbb,3360.0,3360.0,,,0 CDM,11626_PBB,Pr Excision Malignant Lesion S/N/H/F/G >4.0 Cm-Pbb,4166.0,4166.0,,,0 CDM,116328_99999002586,NDC Description Not Available,1145.86,1145.86,,,0 CDM,11635_51672412401,"Carbamazepine: 100 Tablet, Extended Release In 1 Bottle (51672-4124-1)",6.0,6.0,,,0 CDM,11635_60687058311,NDC Description Not Available,20.86,20.86,,,0 CDM,116364_99999002611,NDC Description Not Available,245.0,245.0,,,0 CDM,11638_42937070110,"Phenazopyridine Hydrochloride: 100 TABLET, COATED in 1 BOTTLE (42937-701-10)",5.47,5.47,,,0 CDM,11638_65162068110,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (65162-681-10),3.71,3.71,,,0 CDM,11638_75826011410,"Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle, Plastic (75826-114-10)",3.99,3.99,,,0 CDM,11640_PBB,Pr Excision Malignant Lesion F/E/E/N/L 0.5 Cm/<-Pbb,1846.0,1846.0,,,0 CDM,116413_68180042311,Cefixime: 1 Blister Pack In 1 Carton (68180-423-11) / 10 Capsule In 1 Blister Pack,74.4,74.4,,,0 CDM,11641_PBB,Pr Excision Malignant Lesion F/E/E/N/L 0.6-1.0 Cm-Pbb,2321.0,2321.0,,,0 CDM,11642_PBB,Pr Excision Malignant Lesion F/E/E/N/L 1.1-2.0 Cm-Pbb,2803.0,2803.0,,,0 CDM,11643_PBB,Pr Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm-Pbb,3204.0,3204.0,,,0 CDM,11644_PBB,Pr Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm-Pbb,3679.0,3679.0,,,0 CDM,11646_PBB,Pr Excision Malignant Lesion F/E/E/N/L >4.0 Cm-Pbb,4804.0,4804.0,,,0 CDM,116549_00409128305,10 SYRINGE in 1 CARTON (0409-1283-05) / .5 mL in 1 SYRINGE (0409-1283-04),35.13,35.13,,,0 CDM,116549_00409426411,NDC Description Not Available,8.4,8.4,,,0 CDM,11655_00338381424,Clindamycin Phosphate: 24 Bag In 1 Carton (0338-3814-24) / 50 Ml In 1 Bag (0338-3814-50),96.5,96.5,,,0 CDM,11655_00338381450,NDC Description Not Available,64.33,64.33,,,0 CDM,11655_00781329009,Clindamycin In 5 Percent Dextrose: 24 Bag In 1 Carton (0781-3290-09) / 50 Ml In 1 Bag (0781-3290-91),65.91,65.91,,,0 CDM,11655_00781329091,NDC Description Not Available,64.55,64.55,,,0 CDM,116576_04746907405,NDC Description Not Available,6.0,6.0,,,0 CDM,116576_47469074050,NDC Description Not Available,6.21,6.21,,,0 CDM,11658_68084028011,NDC Description Not Available,6.72,6.72,,,0 CDM,11658_68850001202,"Myambutol: 10 Blister Pack In 1 Box, Unit-Dose (68850-012-02) / 10 Tablet, Film Coated In 1 Blister Pack",4.85,4.85,,,0 CDM,116637_00517113401,NDC Description Not Available,59.0,59.0,,,0 CDM,116637_00548960200,"Neostigmine Methylsulfate: 10 Carton In 1 Package (0548-9602-00) / 1 Vial, Multi-Dose In 1 Carton / 10 Ml In 1 Vial, Multi-Dose",8.73,8.73,,,0 CDM,11685_00270014957,Cystografin: 10 Bottle In 1 Package (0270-0149-57) / 300 Ml In 1 Bottle,2.0,2.0,,,0 CDM,116869_57894035001,"Simponi Aria: 1 Vial, Single-Dose In 1 Carton (57894-350-01) / 4 Ml In 1 Vial, Single-Dose",262.94,262.94,,,0 CDM,11689_00172409660,Baclofen: 100 Tablet In 1 Bottle (0172-4096-60),2.0,2.0,,,0 CDM,11689_00603240621,"Baclofen: 100 Tablet In 1 Bottle, Plastic (0603-2406-21)",4.18,4.18,,,0 CDM,11689_00904647561,Baclofen: 100 Blister Pack In 1 Carton (0904-6475-61) / 1 Tablet In 1 Blister Pack,3.87,3.87,,,0 CDM,11689_10135053201,"Baclofen: 100 Tablet In 1 Bottle, Plastic (10135-532-01)",4.14,4.14,,,0 CDM,11689_16714007104,Baclofen: 100 Tablet In 1 Bottle (16714-071-04),3.26,3.26,,,0 CDM,11689_50268010611,NDC Description Not Available,4.15,4.15,,,0 CDM,11689_60687081511,NDC Description Not Available,3.22,3.22,,,0 CDM,11689_63739047910,"Baclofen: 10 Blister Pack In 1 Box, Unit-Dose (63739-479-10) / 10 Tablet In 1 Blister Pack",4.34,4.34,,,0 CDM,11689_72888001001,Baclofen: 100 Tablet In 1 Bottle (72888-010-01),6.0,6.0,,,0 CDM,116921_00517065001,"Injectafer: 1 Vial, Single-Dose In 1 Box (0517-0650-01) / 15 Ml In 1 Vial, Single-Dose",12.86,12.86,,,0 CDM,11705_00904637161,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6371-61) / 1 Tablet In 1 Blister Pack,6.0,6.0,,,0 CDM,11705_69097012805,Amlodipine Besylate: 90 Tablet In 1 Bottle (69097-128-05),6.0,6.0,,,0 CDM,11713_08065183004,NDC Description Not Available,935.96,935.96,,,0 CDM,11720_PBB,Pr Debridement Nail Any Method 1-5-Pbb,182.0,182.0,,,0 CDM,11721_PBB,Pr Debridement Nail Any Method 6/>-Pbb,276.0,276.0,,,0 CDM,11723_00054852725,"Lithium Carbonate: 10 Capsule, Gelatin Coated In 1 Blister Pack (0054-8527-25)",4.85,4.85,,,0 CDM,11724_00781911195,"Oxacillin: 10 VIAL in 1 PACKAGE (0781-9111-95) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL (0781-9111-80)",23.42,23.42,,,0 CDM,11724_25021016224,"Oxacillin: 10 Vial In 1 Carton (25021-162-24) / 1 Injection, Powder, For Solution In 1 Vial",24.12,24.12,,,0 CDM,11724_55150012824,"Oxacillin: 10 Vial In 1 Box (55150-128-24) / 1 Injection, Powder, For Solution In 1 Vial",23.23,23.23,,,0 CDM,11724_63323081201,NDC Description Not Available,20.34,20.34,,,0 CDM,11730_PBB,Pr Avulsion Nail Plate Partial/Complete Simple 1-Pbb,662.0,662.0,,,0 CDM,11732_PBB,Pr Avulsion Nail Plate Partial/Comp Simple Ea Addl-Pbb,332.0,332.0,,,0 CDM,11740_PBB,Pr Evacuation Subungual Hematoma-Pbb,304.0,304.0,,,0 CDM,117420_99999002657,NDC Description Not Available,328.72,328.72,,,0 CDM,117424_09999000002,NDC Description Not Available,59.0,59.0,,,0 CDM,117452_67684200003,Dotarem: 10 Vial In 1 Package (67684-2000-3) / 20 Ml In 1 Vial,3.37,3.37,,,0 CDM,117459_10481011208,"MONSELS SOLUTION: 8 g in 1 BOTTLE, GLASS (10481-0112-8)",71.8,71.8,,,0 CDM,117460_59365512801,Paragard T 380A: 1 Pouch In 1 Carton (59365-5128-1) / 1 Intrauterine Device In 1 Pouch,6852.96,6852.96,,,0 CDM,117460_59365512901,Paragard T 380A: 1 Pouch In 1 Carton (59365-5129-1) / 1 Intrauterine Device In 1 Pouch,6435.6,6435.6,,,0 CDM,117478_67386031321,Onfi: 1 Bottle In 1 Carton (67386-313-21) / 120 Ml In 1 Bottle,235.53,235.53,,,0 CDM,117478_69238153502,"Clobazam: 1 Bottle, Glass In 1 Carton (69238-1535-2) / 120 Ml In 1 Bottle, Glass",6.0,6.0,,,0 CDM,11747_00904715361,Benzonatate: 100 Blister Pack In 1 Carton (0904-7153-61) / 1 Capsule In 1 Blister Pack,5.7,5.7,,,0 CDM,11747_42806071401,Benzonatate: 100 Capsule In 1 Bottle (42806-714-01),5.85,5.85,,,0 CDM,11747_68084021411,NDC Description Not Available,5.81,5.81,,,0 CDM,117507_45802018816,Hemorrhoidal: 1 Tube In 1 Carton (45802-188-16) / 57 G In 1 Tube,4.99,4.99,,,0 CDM,11750_PBB,Pr Excision Nail Matrix Permanent Removal-Pbb,1374.0,1374.0,,,0 CDM,117547_49702022813,"Tivicay: 30 Tablet, Film Coated In 1 Bottle (49702-228-13)",470.74,470.74,,,0 CDM,11755_PBB,Pr Biopsy Nail Unit Separate Procedure-Pbb,944.0,944.0,,,0 CDM,11758_63739057010,"Simvastatin: 10 Blister Pack In 1 Box, Unit-Dose (63739-570-10) / 10 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 CDM,11760_PBB,Pr Repair Nail Bed-Pbb,1686.0,1686.0,,,0 CDM,11765_PBB,Pr Wedge Excision Skin Nail Fold-Pbb,816.0,816.0,,,0 CDM,11770_PBB,Pr Excision Pilonidal Cyst/Sinus Simple-Pbb,1970.0,1970.0,,,0 CDM,11771_PBB,Pr Excision Pilonidal Cyst/Sinus Extensive-Pbb,4189.0,4189.0,,,0 CDM,11777_00409830020,NDC Description Not Available,13.57,13.57,,,0 CDM,11777_00781315894,NDC Description Not Available,2.03,2.03,,,0 CDM,11777_00781315895,"Bivalirudin: 10 Vial, Single-Use In 1 Carton (0781-3158-95) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (0781-3158-94)",2.02,2.02,,,0 CDM,11777_55111065207,NDC Description Not Available,7.37,7.37,,,0 CDM,11777_71288042710,NDC Description Not Available,1.96,1.96,,,0 CDM,117830_50419025001,"Adempas: 90 Tablet, Film Coated In 1 Bottle (50419-250-01)",952.34,952.34,,,0 CDM,117831_50419025101,"Adempas: 90 Tablet, Film Coated In 1 Bottle (50419-251-01)",889.73,889.73,,,0 CDM,11785_60758080205,"Timolol Maleate: 1 Bottle, Dropper In 1 Carton (60758-802-05) / 5 Ml In 1 Bottle, Dropper",18.48,18.48,,,0 CDM,11785_61314022605,"Timolol Maleate: 5 Ml In 1 Bottle, Plastic (61314-226-05)",32.06,32.06,,,0 CDM,118215_00338051141,Gentamicin Sulfate In Sodium Chloride: 50 Ml In 1 Bag (0338-0511-41),193.0,193.0,,,0 CDM,118215_09999000015,NDC Description Not Available,0.81,0.81,,,0 CDM,118257_09999000054,NDC Description Not Available,10.8,10.8,,,0 CDM,118299_00409230802,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2308-02) / 2 Ml In 1 Vial, Single-Dose (0409-2308-22)",0.91,0.91,,,0 CDM,118299_00409230821,NDC Description Not Available,8.9,8.9,,,0 CDM,118299_00409230822,NDC Description Not Available,1.36,1.36,,,0 CDM,118300_00409000101,NDC Description Not Available,34.97,34.97,,,0 CDM,118300_00409230504,NDC Description Not Available,17.35,17.35,,,0 CDM,118300_00409230505,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2305-05) / 5 Ml In 1 Vial, Single-Dose (0409-2305-04)",11.12,11.12,,,0 CDM,118300_00409230516,NDC Description Not Available,36.81,36.81,,,0 CDM,118300_00409230517,"Midazolam: 25 Vial, Single-Dose In 1 Tray (0409-2305-17) / 2 Ml In 1 Vial, Single-Dose (0409-2305-16)",30.82,30.82,,,0 CDM,118300_00409230550,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2305-50) / 5 Ml In 1 Vial, Single-Dose (0409-2305-55)",29.5,29.5,,,0 CDM,118300_00641605901,NDC Description Not Available,29.5,29.5,,,0 CDM,118300_23155060031,NDC Description Not Available,29.5,29.5,,,0 CDM,118300_55390012510,Midazolam: 10 VIAL in 1 BOX (55390-125-10) / 10 mL in 1 VIAL,21.59,21.59,,,0 CDM,118300_55390013702,Midazolam: 10 VIAL in 1 BOX (55390-137-02) / 2 mL in 1 VIAL,31.47,31.47,,,0 CDM,118300_55390013705,Midazolam: 10 VIAL in 1 BOX (55390-137-05) / 5 mL in 1 VIAL,29.5,29.5,,,0 CDM,118300_57664063340,NDC Description Not Available,19.67,19.67,,,0 CDM,118300_63323041115,NDC Description Not Available,32.78,32.78,,,0 CDM,118300_63323041118,NDC Description Not Available,11.51,11.51,,,0 CDM,118300_70069081601,NDC Description Not Available,34.53,34.53,,,0 CDM,11830_60505016601,Fluvoxamine Maleate: 100 Tablet In 1 Bottle (60505-0166-1),6.0,6.0,,,0 CDM,11833_00409146401,"Nalbuphine Hydrochloride: 25 Carton In 1 Case (0409-1464-01) / 1 Vial, Multi-Dose In 1 Carton (0409-1464-61) / 10 Ml In 1 Vial, Multi-Dose",59.0,59.0,,,0 CDM,11833_00409146461,NDC Description Not Available,59.0,59.0,,,0 CDM,118383_66215050115,"Opsumit: 1 Blister Pack In 1 Carton (66215-501-15) / 15 Tablet, Film Coated In 1 Blister Pack",2628.9,2628.9,,,0 CDM,11840_00168001531,Hydrocortisone: 1 Tube In 1 Carton (0168-0015-31) / 28.35 G In 1 Tube,37.65,37.65,,,0 CDM,11840_45802043803,Hydrocortisone: 1 Tube In 1 Carton (45802-438-03) / 28 G In 1 Tube,6.98,6.98,,,0 CDM,118426_50242007001,"Gazyva: 1 Vial, Single-Use In 1 Carton (50242-070-01) / 40 Ml In 1 Vial, Single-Use",559.86,559.86,,,0 CDM,118459_00536114398,Rugby Petrolatum Hydrating Skin Protectant: 454 G In 1 Jar (0536-1143-98),76.0,76.0,,,0 CDM,11845_60687022401,"Gemfibrozil: 100 Blister Pack In 1 Box, Unit-Dose (60687-224-01) / 1 Tablet In 1 Blister Pack (60687-224-11)",6.0,6.0,,,0 CDM,11845_60687022411,NDC Description Not Available,6.0,6.0,,,0 CDM,118536_00527213335,"Posaconazole: 60 Tablet, Delayed Release In 1 Bottle (0527-2133-35)",25.84,25.84,,,0 CDM,118536_50268068311,NDC Description Not Available,189.23,189.23,,,0 CDM,118536_60687052311,NDC Description Not Available,292.13,292.13,,,0 CDM,118536_60687052321,"Posaconazole: 30 Blister Pack In 1 Box, Unit-Dose (60687-523-21) / 1 Tablet, Delayed Release In 1 Blister Pack (60687-523-11)",292.44,292.44,,,0 CDM,118536_72319002302,"Posaconazole: 60 Tablet, Delayed Release In 1 Bottle (72319-023-02)",46.5,46.5,,,0 CDM,1185_00527131301,"Pilocarpine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0527-1313-01)",5.6,5.6,,,0 CDM,1185_68084092895,NDC Description Not Available,14.11,14.11,,,0 CDM,11864_53746057101,Bethanechol Chloride: 100 Tablet In 1 Bottle (53746-571-01),1.82,1.82,,,0 CDM,11864_65162057110,Bethanechol Chloride: 100 Tablet In 1 Bottle (65162-571-10),1.57,1.57,,,0 CDM,11866_00225029515,"Anaspaz: 100 Tablet, Orally Disintegrating In 1 Bottle, Plastic (0225-0295-15)",3.84,3.84,,,0 CDM,11866_42192033801,"Hyoscyamine Sulfate Odt: 100 Tablet, Orally Disintegrating In 1 Bottle (42192-338-01)",3.55,3.55,,,0 CDM,11875_62135052047,Oxybutynin Chloride: 473 Ml In 1 Bottle (62135-520-47),28.7,28.7,,,0 CDM,118777_70004081022,NDC Description Not Available,0.99,0.99,,,0 CDM,118781_09999000079,NDC Description Not Available,3.68,3.68,,,0 CDM,118817_67386031401,Onfi: 1 Bottle In 1 Carton (67386-314-01) / 100 Tablet In 1 Bottle,103.27,103.27,,,0 CDM,118841_09999000236,NDC Description Not Available,193.0,193.0,,,0 CDM,11884_10019092602,"Ifosfamide: 1 Vial, Single-Dose In 1 Carton (10019-926-02) / 60 Ml In 1 Vial, Single-Dose (10019-926-16)",205.86,205.86,,,0 CDM,11884_10019092616,NDC Description Not Available,226.7,226.7,,,0 CDM,118892_70954020010,Digoxin: 100 Tablet In 1 Bottle (70954-200-10),57.14,57.14,,,0 CDM,118899_51079099120,"Tramadol Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-991-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-991-01)",5.82,5.82,,,0 CDM,118959_00054038325,Cyclophosphamide: 100 Capsule In 1 Bottle (0054-0383-25),85.22,85.22,,,0 CDM,118_00641600201,NDC Description Not Available,59.0,59.0,,,0 CDM,118_00641604501,NDC Description Not Available,50.86,50.86,,,0 CDM,118_00641604525,Lorazepam: 25 Vial In 1 Carton (0641-6045-25) / 1 Ml In 1 Vial (0641-6045-01),48.59,48.59,,,0 CDM,119008_00002766901,"Cyramza: 1 Vial, Single-Dose In 1 Carton (0002-7669-01) / 10 Ml In 1 Vial, Single-Dose",489.57,489.57,,,0 CDM,119008_00002767801,"Cyramza: 1 Vial, Single-Dose In 1 Carton (0002-7678-01) / 50 Ml In 1 Vial, Single-Dose",488.14,488.14,,,0 CDM,11900_PBB,Pr Injection Intralesional Up To & Includ 7 Lesions-Pbb,418.0,418.0,,,0 CDM,119013_64764030020,"Entyvio: 1 Vial, Single-Dose In 1 Carton (64764-300-20) / 5 Ml In 1 Vial, Single-Dose",196.6,196.6,,,0 CDM,11901_PBB,Pr Injection Intralesional >7 Lesions-Pbb,559.0,559.0,,,0 CDM,119094_62856027230,Fycompa: 30 Tablet In 1 Bottle (62856-272-30),128.34,128.34,,,0 CDM,119094_69616027230,Fycompa: 30 Tablet In 1 Bottle (69616-272-30),128.34,128.34,,,0 CDM,119095_69616027430,Fycompa: 30 Tablet In 1 Bottle (69616-274-30),253.58,253.58,,,0 CDM,119113_00006360301,NDC Description Not Available,51.59,51.59,,,0 CDM,11912_00054418325,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4183-25)",0.75,0.75,,,0 CDM,11912_00054817625,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8176-25) / 1 Tablet In 1 Blister Pack,0.71,0.71,,,0 CDM,119153_05820400401,NDC Description Not Available,5.25,5.25,,,0 CDM,119153_05820400408,NDC Description Not Available,4.64,4.64,,,0 CDM,119167_00173086906,Anoro Ellipta: 1 Tray In 1 Carton (0173-0869-06) / 1 Inhaler In 1 Tray / 7 Powder In 1 Inhaler,50.98,50.98,,,0 CDM,119167_00173086910,Anoro Ellipta: 1 Tray In 1 Carton (0173-0869-10) / 1 Inhaler In 1 Tray / 30 Powder In 1 Inhaler,2944.01,2944.01,,,0 CDM,119187_00310621030,"Farxiga: 30 Tablet, Film Coated In 1 Bottle, Plastic (0310-6210-30)",121.05,121.05,,,0 CDM,119187_00310621039,"Farxiga: 3 Blister Pack In 1 Carton (0310-6210-39) / 10 Tablet, Film Coated In 1 Blister Pack",121.79,121.79,,,0 CDM,11920_PBB,Pr Tattooing Incl Micropigmentation 6.0 Cm/<-Pbb,2916.0,2916.0,,,0 CDM,11921_PBB,Pr Tattooing Incl Micropigmentation 6.1-20.0 Cm-Pbb,1400.0,1400.0,,,0 CDM,11922_PBB,Pr Tattooing Incl Micropigmentation Ea 20.0 Cm-Pbb,311.0,311.0,,,0 CDM,11933_00069154220,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0069-1542-20) / 100 Ml In 1 Vial, Multi-Dose",20.99,20.99,,,0 CDM,11933_00069303420,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0069-3034-20) / 100 Ml In 1 Vial, Multi-Dose",20.28,20.28,,,0 CDM,11933_25021020751,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (25021-207-51) / 100 Ml In 1 Vial,42.02,42.02,,,0 CDM,11933_45963073360,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (45963-733-60) / 100 Ml In 1 Vial, Multi-Dose",43.4,43.4,,,0 CDM,11933_63323010161,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (63323-101-61) / 100 Ml In 1 Vial, Multi-Dose",42.48,42.48,,,0 CDM,119385_00169701301,"Tretten: 1 Kit In 1 Kit (0169-7013-01) * 3 Ml In 1 Vial, Glass (0169-7113-11) * 3.2 Ml In 1 Vial, Glass (0169-7000-93)",85.18,85.18,,,0 CDM,119385_00169711311,NDC Description Not Available,81.46,81.46,,,0 CDM,119413_00409189001,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1890-01) / 1 Ml In 1 Cartridge (0409-1890-03),29.5,29.5,,,0 CDM,119413_00409189003,NDC Description Not Available,40.24,40.24,,,0 CDM,119413_00409189013,NDC Description Not Available,38.45,38.45,,,0 CDM,119451_00085433101,"Noxafil: 1 Vial, Glass In 1 Carton (0085-4331-01) / 16.7 Ml In 1 Vial, Glass",3553.97,3553.97,,,0 CDM,119451_68462090401,Posaconazole: 1 Vial In 1 Carton (68462-904-01) / 16.7 Ml In 1 Vial,1809.04,1809.04,,,0 CDM,11949_00003029305,"Kenalog-40: 1 Vial, Single-Dose In 1 Carton (0003-0293-05) / 1 Ml In 1 Vial, Single-Dose",15.86,15.86,,,0 CDM,11949_00003029320,"Kenalog-40: 1 Vial, Multi-Dose In 1 Carton (0003-0293-20) / 5 Ml In 1 Vial, Multi-Dose",15.94,15.94,,,0 CDM,11949_00003029328,"Kenalog-40: 1 Vial, Multi-Dose In 1 Carton (0003-0293-28) / 10 Ml In 1 Vial, Multi-Dose",13.29,13.29,,,0 CDM,11949_00703024101,"Triamcinolone Acetonide: 1 Vial, Single-Dose In 1 Carton (0703-0241-01) / 1 Ml In 1 Vial, Single-Dose",15.37,15.37,,,0 CDM,11949_00703024301,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (0703-0243-01) / 5 Ml In 1 Vial, Multi-Dose",14.58,14.58,,,0 CDM,11949_00703024501,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (0703-0245-01) / 10 Ml In 1 Vial, Multi-Dose",12.4,12.4,,,0 CDM,11949_16714013001,Triamcinolone Acetonide: 1 Vial In 1 Carton (16714-130-01) / 1 Ml In 1 Vial,14.75,14.75,,,0 CDM,11949_16714013025,Triamcinolone Acetonide: 25 Vial In 1 Carton (16714-130-25) / 1 Ml In 1 Vial,14.75,14.75,,,0 CDM,11949_16714015001,Triamcinolone Acetonide: 1 Vial In 1 Carton (16714-150-01) / 10 Ml In 1 Vial,14.75,14.75,,,0 CDM,11949_67457062102,"Triamcinolone Acetonide: 1 Vial, Single-Dose In 1 Carton (67457-621-02) / 1 Ml In 1 Vial, Single-Dose",14.89,14.89,,,0 CDM,11949_70121104901,NDC Description Not Available,14.43,14.43,,,0 CDM,11949_70121104902,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1049-2) / 1 Ml In 1 Vial (70121-1049-1),14.53,14.53,,,0 CDM,11949_70121104905,Triamcinolone Acetonide: 25 Vial In 1 Carton (70121-1049-5) / 1 Ml In 1 Vial (70121-1049-1),14.41,14.41,,,0 CDM,11949_70121116801,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1168-1) / 5 Ml In 1 Vial, Multi-Dose",14.75,14.75,,,0 CDM,11949_70121116901,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1169-1) / 10 Ml In 1 Vial, Multi-Dose",10.85,10.85,,,0 CDM,11949_70121165101,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1651-1) / 1 Ml In 1 Vial,14.41,14.41,,,0 CDM,11949_70121165201,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1652-1) / 5 Ml In 1 Vial, Multi-Dose",14.75,14.75,,,0 CDM,11949_70121165301,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1653-1) / 10 Ml In 1 Vial, Multi-Dose",14.75,14.75,,,0 CDM,11949_70121165401,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1654-1) / 5 Ml In 1 Vial, Multi-Dose",14.75,14.75,,,0 CDM,11949_70121165501,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1655-1) / 10 Ml In 1 Vial, Multi-Dose",13.77,13.77,,,0 CDM,11949_70121165701,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1657-1) / 1 Ml In 1 Vial,14.53,14.53,,,0 CDM,11949_76420008501,"Kenalog-40: 1 Ml In 1 Vial, Single-Dose (76420-085-01)",15.68,15.68,,,0 CDM,11950_CSMPBB,"Pr Subcutaneous Injection Filling Material 1 Cc/<-Csm,Pbb",120.0,120.0,,,0 CDM,11950_PBB,Pr Subcutaneous Injection Filling Material 1 Cc/<-Pbb,491.0,491.0,,,0 CDM,11951_PBB,Pr Subcutaneous Injection Filling Matrl 1.1-5.0 Cc-Pbb,758.0,758.0,,,0 CDM,119527_05280048846,NDC Description Not Available,10.79,10.79,,,0 CDM,119668_73090042001,"Sylvant: 1 Vial, Single-Dose In 1 Box (73090-420-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",1008.15,1008.15,,,0 CDM,11971_PBB,Pr Removal Tissue Expander W/O Insertion Implant-Pbb,1508.0,1508.0,,,0 CDM,119762_63833038602,"Kcentra: 1 Kit In 1 Carton (63833-386-02) * 20 Ml In 1 Vial, Single-Use (63833-396-01) * 20 Ml In 1 Vial, Single-Use (63833-761-20)",18.48,18.48,,,0 CDM,119762_63833039601,NDC Description Not Available,18.48,18.48,,,0 CDM,11976_PBB,Pr Removal Implantable Contraceptive Capsules-Pbb,964.0,964.0,,,0 CDM,119802_57970010001,Dalvance: 1 Vial In 1 Package (57970-100-01) / 25 Ml In 1 Vial,119.2,119.2,,,0 CDM,11980_PBB,Pr Subcutaneous Hormone Pellet Implantation-Pbb,577.0,577.0,,,0 CDM,11981_PBB,Pr Insertion Drug Delivery Implant-Pbb,964.0,964.0,,,0 CDM,11982_PBB,Pr Removal Non-Biodegradable Drug Delivery Implant-Pbb,964.0,964.0,,,0 CDM,11983_PBB,Pr Rmvl W/Rinsj Non-Biodegradable Drug Dlvr Implt-Pbb,1048.0,1048.0,,,0 CDM,119857_05820400404,NDC Description Not Available,6.65,6.65,,,0 CDM,119948_63833039701,NDC Description Not Available,18.48,18.48,,,0 CDM,11995_50242010039,NDC Description Not Available,299.77,299.77,,,0 CDM,11995_50242010040,Pulmozyme: 5 Pouch In 1 Carton (50242-100-40) / 6 Ampule In 1 Pouch (50242-100-39) / 2.5 Ml In 1 Ampule,276.4,276.4,,,0 CDM,11996_00093873901,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (0093-8739-01),8.02,8.02,,,0 CDM,11996_60687077811,NDC Description Not Available,13.28,13.28,,,0 CDM,11996_62559082001,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (62559-820-01),5.78,5.78,,,0 CDM,12001_PBB,Pr Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5Cm/<-Pbb,990.0,990.0,,,0 CDM,12002_PBB,Pr Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5Cm-Pbb,1190.0,1190.0,,,0 CDM,12004_PBB,Pr Simple Rpr Scalp/Neck/Ax/Genit/Trunk 7.6-12.5Cm-Pbb,1476.0,1476.0,,,0 CDM,12005_PBB,Pr Smpl Rpr Scalp/Neck/Ax/Genit/Trunk 12.6-20.0Cm-Pbb,1561.0,1561.0,,,0 CDM,120061_72893000201,Beleodaq: 1 Vial In 1 Carton (72893-002-01) / 10 Ml In 1 Vial,325.92,325.92,,,0 CDM,12006_PBB,Pr Smpl Rpr Scalp/Neck/Ax/Genit/Trunk 20.1-30.0Cm-Pbb,1888.0,1888.0,,,0 CDM,12007_PBB,Pr Simple Repair Scalp/Neck/Ax/Genit/Trunk >30.0Cm-Pbb,3239.0,3239.0,,,0 CDM,12011_PBB,Pr Simple Repair F/E/E/N/L/M 2.5Cm/<-Pbb,1190.0,1190.0,,,0 CDM,12013_PBB,Pr Simple Repair F/E/E/N/L/M 2.6Cm-5.0 Cm-Pbb,1400.0,1400.0,,,0 CDM,12014_PBB,Pr Simple Repair F/E/E/N/L/M 5.1Cm-7.5 Cm-Pbb,1476.0,1476.0,,,0 CDM,12015_PBB,Pr Simple Repair F/E/E/N/L/M 7.6Cm-12.5 Cm-Pbb,1806.0,1806.0,,,0 CDM,12016_PBB,Pr Simple Repair F/E/E/N/L/M 12.6Cm-20.0 Cm-Pbb,2626.0,2626.0,,,0 CDM,12017_PBB,Pr Simple Repair F/E/E/N/L/M 20.1Cm-30.0 Cm-Pbb,3282.0,3282.0,,,0 CDM,12018_PBB,Pr Simple Repair F/E/E/N/L/M >30.0 Cm-Pbb,4753.0,4753.0,,,0 CDM,12019_43393000101,NDC Description Not Available,310.0,310.0,,,0 CDM,12019_64875000101,NDC Description Not Available,266.6,266.6,,,0 CDM,12020_PBB,Pr Tx Superficial Wound Dehiscence Simple Closure-Pbb,1610.0,1610.0,,,0 CDM,12021_00074455211,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-4552-11) / 10 Tablet In 1 Blister Pack",9.95,9.95,,,0 CDM,12021_00904695061,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6950-61) / 1 Tablet In 1 Blister Pack,5.2,5.2,,,0 CDM,12021_16729044815,Levothyroxine Sodium: 90 Tablet In 1 Bottle (16729-448-15),5.3,5.3,,,0 CDM,12021_51079044001,NDC Description Not Available,5.38,5.38,,,0 CDM,12021_60687046411,NDC Description Not Available,5.23,5.23,,,0 CDM,12021_72305005090,Euthyrox: 6 Blister Pack In 1 Carton (72305-050-90) / 15 Tablet In 1 Blister Pack,6.0,6.0,,,0 CDM,12031_PBB,Pr Repair Intermediate S/A/T/E 2.5 Cm/<-Pbb,1362.0,1362.0,,,0 CDM,12032_PBB,Pr Repair Intermediate S/A/T/E 2.6-7.5 Cm-Pbb,1874.0,1874.0,,,0 CDM,12034_PBB,Pr Repair Intermediate S/A/T/E 7.6-12.5 Cm-Pbb,1972.0,1972.0,,,0 CDM,12035_PBB,Pr Repair Intermediate S/A/T/E 12.6-20.0Cm-Pbb,2674.0,2674.0,,,0 CDM,12036_PBB,Pr Repair Intermediate S/A/T/E 20.1-30.0 Cm-Pbb,3239.0,3239.0,,,0 CDM,12037_PBB,Pr Repair Intermediate S/A/T/E >30.0 Cm-Pbb,4544.0,4544.0,,,0 CDM,12041_PBB,Pr Repair Intermediate N/H/F/Xtrnl Gent 2.5Cm/<-Pbb,1622.0,1622.0,,,0 CDM,12042_PBB,Pr Repair Intermediate N/H/F/Xtrnl Gent 2.6-7.5 Cm-Pbb,1931.0,1931.0,,,0 CDM,12044_PBB,Pr Repair Intermediate N/H/F/Xtrnl Gent 7.6-12.5Cm-Pbb,2280.0,2280.0,,,0 CDM,12045_PBB,Pr Repair Intermediate N/H/F/Xtrnl Gent 12.6-20 Cm-Pbb,2977.0,2977.0,,,0 CDM,12046_PBB,Pr Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm-Pbb,3853.0,3853.0,,,0 CDM,12047_PBB,Pr Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm-Pbb,3858.0,3858.0,,,0 CDM,12048_00574705012,Bisacodyl: 12 Blister Pack In 1 Carton (0574-7050-12) / 1 Suppository In 1 Blister Pack,2.0,2.0,,,0 CDM,12048_45802071032,Bisacodyl: 10 BLISTER PACK in 1 CARTON (45802-710-32) / 5 SUPPOSITORY in 1 BLISTER PACK,2.0,2.0,,,0 CDM,12049_00407141210,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1412-10) / 10 Ml In 1 Vial, Glass",30.45,30.45,,,0 CDM,12049_00407141220,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1412-20) / 20 Ml In 1 Vial, Glass",49.51,49.51,,,0 CDM,12049_00407141234,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1412-34) / 150 Ml In 1 Bottle, Plastic",4.62,4.62,,,0 CDM,12049_00407141238,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1412-38) / 50 Ml In 1 Bottle, Plastic",5.25,5.25,,,0 CDM,12051_PBB,Pr Repair Intermediate F/E/E/N/L&/Muc 2.5 Cm/<-Pbb,1931.0,1931.0,,,0 CDM,12052_PBB,Pr Repair Intermediate F/E/E/N/L&/Muc 2.6-5.0 Cm-Pbb,2192.0,2192.0,,,0 CDM,12053_PBB,Pr Repair Intermediate F/E/E/N/L&/Muc 5.1-7.5 Cm-Pbb,2546.0,2546.0,,,0 CDM,12054_PBB,Pr Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm-Pbb,3156.0,3156.0,,,0 CDM,12055_PBB,Pr Repair Intermediate F/E/E/N/L&/Muc 12.6-20.0Cm-Pbb,4205.0,4205.0,,,0 CDM,12056_PBB,Pr Repair Intermediate F/E/E/N/L&/Muc 20.1-30.0Cm-Pbb,4909.0,4909.0,,,0 CDM,12057_PBB,Pr Repair Intermediate F/E/E/N/L&/Muc >30.0 Cm-Pbb,5818.0,5818.0,,,0 CDM,12059_24208034205,"Desmopressin Acetate: 1 Bottle, Pump In 1 Carton (24208-342-05) / 5 Ml In 1 Bottle, Pump",1221.47,1221.47,,,0 CDM,12063_45802046611,Econazole Nitrate: 1 Tube In 1 Carton (45802-466-11) / 30 G In 1 Tube,310.44,310.44,,,0 CDM,12063_51672130302,Econazole Nitrate: 1 Tube In 1 Carton (51672-1303-2) / 30 G In 1 Tube,310.44,310.44,,,0 CDM,12077_50268074411,NDC Description Not Available,4.73,4.73,,,0 CDM,12077_62332003331,"Ropinirole: 100 Tablet, Film Coated In 1 Bottle (62332-033-31)",4.89,4.89,,,0 CDM,12080_00054874025,Prednisone: 10 Blister Pack In 1 Carton (0054-8740-25) / 10 Tablet In 1 Blister Pack,2.0,2.0,,,0 CDM,12080_59651048501,Prednisone: 100 Tablet In 1 Bottle (59651-485-01),1.91,1.91,,,0 CDM,12085_00093314701,Cephalexin: 100 Capsule In 1 Bottle (0093-3147-01),5.12,5.12,,,0 CDM,12085_00093314705,Cephalexin: 500 Capsule In 1 Bottle (0093-3147-05),6.0,6.0,,,0 CDM,12085_00904733735,NDC Description Not Available,4.93,4.93,,,0 CDM,12085_10544005720,cephalexin: 20 CAPSULE in 1 BOTTLE (10544-057-20),6.0,6.0,,,0 CDM,12085_42291020950,Cephalexin: 500 Capsule In 1 Bottle (42291-209-50),1.5,1.5,,,0 CDM,12085_43063053610,"Cephalexin: 10 Capsule In 1 Bottle, Plastic (43063-536-10)",6.0,6.0,,,0 CDM,12085_50090594800,Cephalexin: 20 Capsule In 1 Bottle (50090-5948-0),6.0,6.0,,,0 CDM,12085_50268015211,NDC Description Not Available,4.79,4.79,,,0 CDM,12085_50268015215,Cephalexin: 50 Blister Pack In 1 Box (50268-152-15) / 1 Capsule In 1 Blister Pack (50268-152-11),6.0,6.0,,,0 CDM,12085_50436011704,cephalexin: 14 CAPSULE in 1 BOTTLE (50436-0117-4),6.0,6.0,,,0 CDM,12085_50436011705,cephalexin: 20 CAPSULE in 1 BOTTLE (50436-0117-5),6.0,6.0,,,0 CDM,12085_60687016301,"Cephalexin: 100 Blister Pack In 1 Box, Unit-Dose (60687-163-01) / 1 Capsule In 1 Blister Pack (60687-163-11)",6.0,6.0,,,0 CDM,12085_60687016311,NDC Description Not Available,5.07,5.07,,,0 CDM,12085_65862001901,Cephalexin: 100 Capsule In 1 Bottle (65862-019-01),6.0,6.0,,,0 CDM,12085_68180012201,Cephalexin: 100 Capsule In 1 Bottle (68180-122-01),4.45,4.45,,,0 CDM,12092_68084004501,"Paroxetine: 100 Blister Pack In 1 Box, Unit-Dose (68084-045-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-045-11)",4.44,4.44,,,0 CDM,12092_68084004511,NDC Description Not Available,4.4,4.4,,,0 CDM,12097_00338008903,Dextrose And Sodium Chloride: 24 Bag In 1 Carton (0338-0089-03) / 500 Ml In 1 Bag,193.0,193.0,,,0 CDM,12097_00338008904,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0089-04) / 1000 Ml In 1 Bag,91.27,91.27,,,0 CDM,12097_63323087074,Dextrose And Sodium Chloride: 10 Bag In 1 Case (63323-870-74) / 1000 Ml In 1 Bag (63323-870-04),96.5,96.5,,,0 CDM,12098_00206885516,"Zosyn: 10 VIAL, SINGLE-USE in 1 CARTON (0206-8855-16) / 20 mL in 1 VIAL, SINGLE-USE (0206-8855-08)",23.0,23.0,,,0 CDM,12098_00409337904,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0409-3379-04) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (0409-3379-11)",48.25,48.25,,,0 CDM,12098_00409339011,NDC Description Not Available,47.85,47.85,,,0 CDM,12098_00781311491,NDC Description Not Available,47.5,47.5,,,0 CDM,12098_00781311495,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0781-3114-95) / 20 Ml In 1 Vial, Single-Use (0781-3114-91)",33.51,33.51,,,0 CDM,12098_44567080310,"Piperacillin And Tazobactam: 10 Vial In 1 Box (44567-803-10) / 1 Injection, Powder, For Solution In 1 Vial",48.25,48.25,,,0 CDM,12098_55150012150,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-121-50) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",49.11,49.11,,,0 CDM,12098_60505615900,NDC Description Not Available,44.84,44.84,,,0 CDM,12098_65219025905,NDC Description Not Available,36.79,36.79,,,0 CDM,12098_81284015300,NDC Description Not Available,46.88,46.88,,,0 CDM,12100000,Hc Semi-Private Room,4934.0,4934.0,,,0 CDM,121147_00409651001,"Vancomycin Hydrochloride: 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON (0409-6510-01) / 100 mL in 1 VIAL, PHARMACY BULK PACKAGE",49.97,49.97,,,0 CDM,121213_99999002757,NDC Description Not Available,3.31,3.31,,,0 CDM,121215_63323020500,"Omegaven: 10 Vial, Single-Dose In 1 Carton (63323-205-00) / 100 Ml In 1 Vial, Single-Dose (63323-205-31)",500.66,500.66,,,0 CDM,121215_63323020531,NDC Description Not Available,533.12,533.12,,,0 CDM,121257_69238157401,"Sildenafil: 1 Bottle, Glass In 1 Carton (69238-1574-1) / 112 Ml In 1 Bottle, Glass",6.8,6.8,,,0 CDM,121266_67979000201,"Supprelin La: 1 Vial, Glass In 1 Carton (67979-002-01) / 1 Implant In 1 Vial, Glass",213268.37,213268.37,,,0 CDM,121285_68982085005,"Octagam Immune Globulin (Human): 300 Ml In 1 Bottle, Glass (68982-850-05)",650.74,650.74,,,0 CDM,1212_00904629304,"Atorvastatin Calcium: 30 Blister Pack In 1 Carton (0904-6293-04) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 CDM,1212_51079021101,NDC Description Not Available,6.0,6.0,,,0 CDM,1212_68084059095,NDC Description Not Available,6.0,6.0,,,0 CDM,121398_00597015337,"Jardiance: 30 Blister Pack In 1 Carton (0597-0153-37) / 1 Tablet, Film Coated In 1 Blister Pack",127.46,127.46,,,0 CDM,121398_00597015390,"Jardiance: 90 Tablet, Film Coated In 1 Bottle (0597-0153-90)",126.36,126.36,,,0 CDM,121399_00597015230,"Jardiance: 30 Tablet, Film Coated In 1 Bottle (0597-0152-30)",126.3,126.3,,,0 CDM,121399_00597015237,"Jardiance: 30 Blister Pack In 1 Carton (0597-0152-37) / 1 Tablet, Film Coated In 1 Blister Pack",127.75,127.75,,,0 CDM,121399_00597015290,"Jardiance: 90 Tablet, Film Coated In 1 Bottle (0597-0152-90)",126.46,126.46,,,0 CDM,1213_72078003400,NDC Description Not Available,410.65,410.65,,,0 CDM,12155_00904647461,"Pantoprazole Sodium: 100 Blister Pack In 1 Carton (0904-6474-61) / 1 Tablet, Delayed Release In 1 Blister Pack",6.0,6.0,,,0 CDM,12155_00904687045,"Pantoprazole Sodium: 80 Blister Pack In 1 Carton (0904-6870-45) / 1 Tablet, Delayed Release In 1 Blister Pack",6.0,6.0,,,0 CDM,12155_35573042851,NDC Description Not Available,6.0,6.0,,,0 CDM,12155_50268063911,NDC Description Not Available,6.0,6.0,,,0 CDM,12155_51079005101,NDC Description Not Available,6.0,6.0,,,0 CDM,12155_63739056410,"Pantoprazole Sodium: 10 Blister Pack In 1 Box, Unit-Dose (63739-564-10) / 10 Tablet, Delayed Release In 1 Blister Pack",6.0,6.0,,,0 CDM,12155_68084081309,"Pantoprazole Sodium: 80 Blister Pack In 1 Box, Unit-Dose (68084-813-09) / 1 Tablet, Delayed Release In 1 Blister Pack (68084-813-11)",6.0,6.0,,,0 CDM,12155_68084081311,NDC Description Not Available,6.0,6.0,,,0 CDM,12156_00009069801,Solu-Medrol: 1 Vial In 1 Carton (0009-0698-01) / 16 Ml In 1 Vial,1.4,1.4,,,0 CDM,12156_00009069802,Solu-Medrol: 1 Vial In 1 Carton (0009-0698-02) / 16 Ml In 1 Vial,1.23,1.23,,,0 CDM,12156_00143985101,"Methylprednisolone Sodium Succinate: 1 Injection, Powder, For Solution In 1 Vial, Multi-Dose (0143-9851-01)",1.25,1.25,,,0 CDM,12156_43598013074,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (43598-130-74) / 16 Ml In 1 Vial, Multi-Dose",1.21,1.21,,,0 CDM,12156_63323026530,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (63323-265-30) / 16 Ml In 1 Vial, Multi-Dose",1.06,1.06,,,0 CDM,12157_63739057210,"Simvastatin: 10 Blister Pack In 1 Box, Unit-Dose (63739-572-10) / 10 Tablet, Film Coated In 1 Blister Pack",5.97,5.97,,,0 CDM,12157_68084051211,NDC Description Not Available,6.0,6.0,,,0 CDM,12165_00574402435,Erythromycin: 1 Tube In 1 Carton (0574-4024-35) / 3.5 G In 1 Tube,92.82,92.82,,,0 CDM,12165_24208091019,Erythromycin: 50 Tube In 1 Box (24208-910-19) / 1 G In 1 Tube,61.58,61.58,,,0 CDM,12165_24208091055,Erythromycin: 1 Tube In 1 Carton (24208-910-55) / 3.5 G In 1 Tube,94.25,94.25,,,0 CDM,12165_48102005711,Erythromycin: 50 Tube In 1 Carton (48102-057-11) / 1 G In 1 Tube,60.76,60.76,,,0 CDM,12165_72485067031,Erythromycin: 50 Tube In 1 Carton (72485-670-31) / 1 G In 1 Tube,62.84,62.84,,,0 CDM,12172_68084084401,"Venlafaxine: 100 Blister Pack In 1 Box, Unit-Dose (68084-844-01) / 1 Tablet In 1 Blister Pack (68084-844-11)",5.91,5.91,,,0 CDM,12172_68084084411,NDC Description Not Available,5.73,5.73,,,0 CDM,12184_42023011625,Pitocin: 25 Vial In 1 Tray (42023-116-25) / 1 Ml In 1 Vial,26.91,26.91,,,0 CDM,12184_63323001203,NDC Description Not Available,55.53,55.53,,,0 CDM,12209_00143950301,"Acetazolamide: 1 Vial In 1 Box, Unit-Dose (0143-9503-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",294.54,294.54,,,0 CDM,12209_23155031331,"Acetazolamide: 5 Ml In 1 Vial, Glass (23155-313-31)",265.99,265.99,,,0 CDM,12209_39822019001,"Acetazolamide: 1 Vial, Glass In 1 Carton (39822-0190-1) / 5 Ml In 1 Vial, Glass",211.05,211.05,,,0 CDM,12209_67457085350,Acetazolamide: 1 Vial In 1 Carton (67457-853-50) / 5 Ml In 1 Vial,268.0,268.0,,,0 CDM,122183_52536009605,NDC Description Not Available,15.35,15.35,,,0 CDM,122183_65628020810,Firvanq: 1 Kit In 1 Carton (65628-208-10) * 15 G In 1 Bottle * 289 Ml In 1 Bottle,15.9,15.9,,,0 CDM,122186_00264780510,Sodium Chloride: 24 Container In 1 Case (0264-7805-10) / 500 Ml In 1 Container,0.89,0.89,,,0 CDM,122186_00338005403,Sodium Chloride: 24 Bag In 1 Carton (0338-0054-03) / 500 Ml In 1 Bag,0.95,0.95,,,0 CDM,122186_09999006822,NDC Description Not Available,0.08,0.08,,,0 CDM,122186_63323053021,NDC Description Not Available,0.05,0.05,,,0 CDM,122205_99999002844,NDC Description Not Available,57.7,57.7,,,0 CDM,12222_60687028101,"Nortriptyline Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-281-01) / 1 Capsule In 1 Blister Pack (60687-281-11)",4.82,4.82,,,0 CDM,12222_60687028111,NDC Description Not Available,4.72,4.72,,,0 CDM,12222_75907006901,"Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle, Plastic (75907-069-01)",5.95,5.95,,,0 CDM,122236_00517102001,NDC Description Not Available,16.75,16.75,,,0 CDM,122236_42023016401,NDC Description Not Available,27.21,27.21,,,0 CDM,122236_42023016425,Vasostrict: 25 Vial In 1 Carton (42023-164-25) / 1 Ml In 1 Vial (42023-164-01),30.0,30.0,,,0 CDM,122236_43598091411,NDC Description Not Available,7.87,7.87,,,0 CDM,122236_55150037001,"Vasopressin: 1 Vial, Multi-Dose In 1 Carton (55150-370-01) / 1 Ml In 1 Vial, Multi-Dose",9.57,9.57,,,0 CDM,122236_63323093000,NDC Description Not Available,7.7,7.7,,,0 CDM,122259_50242013201,"Herceptin: 1 Vial, Single-Dose In 1 Carton (50242-132-01) / 15 Ml In 1 Vial, Single-Dose",696.09,696.09,,,0 CDM,12225_00009307301,"Depo-Medrol: 1 Vial, Single-Dose In 1 Package (0009-3073-01) / 1 Ml In 1 Vial, Single-Dose",1.9,1.9,,,0 CDM,12225_70121157301,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (70121-1573-1) / 1 Ml In 1 Vial, Single-Dose",2.95,2.95,,,0 CDM,12227_00904530661,Diphenhydramine Hydrochloride: 10 Blister Pack In 1 Box (0904-5306-61) / 10 Capsule In 1 Blister Pack,1.61,1.61,,,0 CDM,12227_00904723724,Diphenhydramine Hydrochloride: 2 Blister Pack In 1 Carton (0904-7237-24) / 12 Capsule In 1 Blister Pack,1.8,1.8,,,0 CDM,12227_00904723760,Diphenhydramine Hydrochloride: 100 Capsule In 1 Bottle (0904-7237-60),1.74,1.74,,,0 CDM,12227_00904723761,"Diphenhydramine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (0904-7237-61) / 10 Capsule In 1 Blister Pack",1.82,1.82,,,0 CDM,12227_10135014901,NDC Description Not Available,2.0,2.0,,,0 CDM,12228_00591115930,Acyclovir: 1 Tube In 1 Carton (0591-1159-30) / 30 G In 1 Tube,3967.94,3967.94,,,0 CDM,12228_16714088502,Acyclovir: 1 Tube In 1 Carton (16714-885-02) / 30 G In 1 Tube,2188.48,2188.48,,,0 CDM,12228_51672136002,Acyclovir: 1 Tube In 1 Carton (51672-1360-2) / 30 G In 1 Tube,310.07,310.07,,,0 CDM,12228_68462074635,Acyclovir: 1 Tube In 1 Carton (68462-746-35) / 30 G In 1 Tube,186.0,186.0,,,0 CDM,122315_09999006822,NDC Description Not Available,0.08,0.08,,,0 CDM,12233_00143149501,Phenobarbital: 100 Tablet In 1 Bottle (0143-1495-01),4.8,4.8,,,0 CDM,12233_13517075501,Phenobarbital: 100 TABLET in 1 BOTTLE (13517-755-01),2.22,2.22,,,0 CDM,12233_51293069101,"Phenobarbital: 100 TABLET in 1 BOTTLE, PLASTIC (51293-691-01)",4.9,4.9,,,0 CDM,12234_00143962101,NDC Description Not Available,59.0,59.0,,,0 CDM,12234_00143962125,Cyanocobalamin: 25 Vial In 1 Box (0143-9621-25) / 1 Ml In 1 Vial (0143-9621-01),59.0,59.0,,,0 CDM,12234_00517003101,NDC Description Not Available,59.0,59.0,,,0 CDM,12234_00517003125,"Cyanocobalamin: 25 Vial, Multi-Dose In 1 Tray (0517-0031-25) / 1 Ml In 1 Vial, Multi-Dose (0517-0031-01)",59.0,59.0,,,0 CDM,12234_63323004400,NDC Description Not Available,59.0,59.0,,,0 CDM,12234_63323004401,"Cyanocobalamin: 25 Vial, Multi-Dose In 1 Tray (63323-044-01) / 1 Ml In 1 Vial, Multi-Dose (63323-044-00)",59.0,59.0,,,0 CDM,12234_69680011201,NDC Description Not Available,59.11,59.11,,,0 CDM,12234_69680011225,Cyanocobalamin: 25 Vial In 1 Box (69680-112-25) / 1 Ml In 1 Vial (69680-112-01),59.0,59.0,,,0 CDM,12234_70069000501,NDC Description Not Available,59.0,59.0,,,0 CDM,12234_71288030301,NDC Description Not Available,59.0,59.0,,,0 CDM,12234_71288030302,"Cyanocobalamin: 25 Vial, Multi-Dose In 1 Carton (71288-303-02) / 1 Ml In 1 Vial, Multi-Dose (71288-303-01)",59.0,59.0,,,0 CDM,12234_71288030391,NDC Description Not Available,59.0,59.0,,,0 CDM,12234_72603065001,NDC Description Not Available,59.0,59.0,,,0 CDM,12236_00264761600,Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7616-00) / 1000 Ml In 1 Container,96.5,96.5,,,0 CDM,12236_00338007704,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0077-04) / 1000 Ml In 1 Bag,96.5,96.5,,,0 CDM,122380_00597010051,"Spiriva Respimat: 1 Cartridge In 1 Carton (0597-0100-51) / 10 Spray, Metered In 1 Cartridge",465.0,465.0,,,0 CDM,122380_00597010061,"Spiriva Respimat: 1 Cartridge In 1 Carton (0597-0100-61) / 60 Spray, Metered In 1 Cartridge",3269.84,3269.84,,,0 CDM,122384_00173087306,"Incruse Ellipta: 1 Tray In 1 Carton (0173-0873-06) / 1 Inhaler In 1 Tray / 7 Aerosol, Powder In 1 Inhaler",66.47,66.47,,,0 CDM,122384_00173087310,"Incruse Ellipta: 1 Tray In 1 Carton (0173-0873-10) / 1 Inhaler In 1 Tray / 30 Aerosol, Powder In 1 Inhaler",73.18,73.18,,,0 CDM,12238_51079008701,NDC Description Not Available,5.93,5.93,,,0 CDM,12238_68084012011,NDC Description Not Available,5.91,5.91,,,0 CDM,122413_61958140101,"Tybost: 30 Tablet, Film Coated In 1 Bottle (61958-1401-1)",62.47,62.47,,,0 CDM,122426_68611019002,Iluvien: 1 Tray In 1 Carton (68611-190-02) / 1 Applicator In 1 Tray / 1 Implant In 1 Applicator,3126.67,3126.67,,,0 CDM,122499_00409189301,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1893-01) / 1 Ml In 1 Cartridge (0409-1893-03),59.0,59.0,,,0 CDM,122562_13533080040,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-40) / 400 Ml In 1 Vial, Glass (13533-800-41)",489.1,489.1,,,0 CDM,12263_13925050530,Dapsone: 2 BLISTER PACK in 1 CARTON (13925-505-30) / 15 TABLET in 1 BLISTER PACK,15.0,15.0,,,0 CDM,12263_49938010130,Dapsone: 2 Blister Pack In 1 Carton (49938-101-30) / 15 Tablet In 1 Blister Pack,17.36,17.36,,,0 CDM,12263_70954013610,Dapsone: 30 Tablet In 1 Bottle (70954-136-10),7.5,7.5,,,0 CDM,12263_70954013620,Dapsone: 100 Tablet In 1 Bottle (70954-136-20),6.7,6.7,,,0 CDM,122640_65649065102,NDC Description Not Available,2521.2,2521.2,,,0 CDM,122734_55513015001,NDC Description Not Available,982.48,982.48,,,0 CDM,122734_55513016001,Blincyto: 1 Kit In 1 Package (55513-160-01) * 3.088 Ml In 1 Vial (55513-150-01) * 10.6 Ml In 1 Vial (55513-155-01),691.56,691.56,,,0 CDM,122755_00006411903,"Gardasil 9: 10 Vial, Single-Dose In 1 Carton (0006-4119-03) / .5 Ml In 1 Vial, Single-Dose (0006-4119-01)",1921.46,1921.46,,,0 CDM,122755_00006412101,NDC Description Not Available,1931.07,1931.07,,,0 CDM,122756_00006411903,"Gardasil 9: 10 Vial, Single-Dose In 1 Carton (0006-4119-03) / .5 Ml In 1 Vial, Single-Dose (0006-4119-01)",1921.46,1921.46,,,0 CDM,122756_00006412101,NDC Description Not Available,1976.69,1976.69,,,0 CDM,122756_00006412102,"Gardasil 9: 10 Syringe, Glass In 1 Carton (0006-4121-02) / .5 Ml In 1 Syringe, Glass (0006-4121-01)",1994.56,1994.56,,,0 CDM,122799_67919003001,"Zerbaxa: 10 Vial, Single-Dose In 1 Carton (67919-030-01) / 10 Ml In 1 Vial, Single-Dose",55.16,55.16,,,0 CDM,122819_00003377211,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3772-11) / 4 Ml In 1 Vial, Single-Dose",210.78,210.78,,,0 CDM,122820_00003377412,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3774-12) / 10 Ml In 1 Vial, Single-Dose",214.96,214.96,,,0 CDM,12292_00168041660,Tacrolimus: 1 Tube In 1 Carton (0168-0416-60) / 60 G In 1 Tube,1679.58,1679.58,,,0 CDM,12292_16729042210,Tacrolimus: 1 Tube In 1 Carton (16729-422-10) / 30 G In 1 Tube,619.94,619.94,,,0 CDM,12292_45802070000,Tacrolimus: 1 Tube In 1 Carton (45802-700-00) / 30 G In 1 Tube,619.94,619.94,,,0 CDM,122_65862004824,Zidovudine: 240 Ml In 1 Bottle (65862-048-24),6.18,6.18,,,0 CDM,12310_00004080085,Tamiflu: 1 Blister Pack In 1 Carton (0004-0800-85) / 10 Capsule In 1 Blister Pack,94.17,94.17,,,0 CDM,12310_31722063231,Oseltamivir Phosphate: 10 Capsule In 1 Carton (31722-632-31),16.12,16.12,,,0 CDM,12310_33342025866,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (33342-258-66) / 10 Capsule In 1 Blister Pack,15.5,15.5,,,0 CDM,12310_47781047013,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (47781-470-13) / 10 Capsule In 1 Blister Pack,63.25,63.25,,,0 CDM,12310_64380079901,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (64380-799-01),11.47,11.47,,,0 CDM,12310_72205004411,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (72205-044-11) / 10 Capsule In 1 Blister Pack,11.47,11.47,,,0 CDM,12318_63323018000,NDC Description Not Available,117.95,117.95,,,0 CDM,12318_63323018001,Pyridoxine Hydrochloride: 25 Vial In 1 Tray (63323-180-01) / 1 Ml In 1 Vial (63323-180-00),121.67,121.67,,,0 CDM,123229_99999002930,NDC Description Not Available,31.77,31.77,,,0 CDM,123323_00006302601,NDC Description Not Available,382.14,382.14,,,0 CDM,123323_00006302602,Keytruda: 1 Vial In 1 Carton (0006-3026-02) / 4 Ml In 1 Vial (0006-3026-01),382.12,382.12,,,0 CDM,123323_00006302604,Keytruda: 2 Vial In 1 Carton (0006-3026-04) / 4 Ml In 1 Vial (0006-3026-01),384.08,384.08,,,0 CDM,123424_58160097602,NDC Description Not Available,226.41,226.41,,,0 CDM,123424_58160097620,Bexsero: 10 Syringe In 1 Carton (58160-976-20) / .5 Ml In 1 Syringe (58160-976-02),1494.08,1494.08,,,0 CDM,123426_59011041010,"Oxycontin: 100 Tablet, Film Coated, Extended Release In 1 Bottle (59011-410-10)",35.13,35.13,,,0 CDM,123426_59011041020,"Oxycontin: 2 Blister Pack In 1 Carton (59011-410-20) / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",34.6,34.6,,,0 CDM,123428_59011042010,"Oxycontin: 100 Tablet, Film Coated, Extended Release In 1 Bottle (59011-420-10)",61.66,61.66,,,0 CDM,123428_59011042020,"Oxycontin: 2 Blister Pack In 1 Carton (59011-420-20) / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",64.81,64.81,,,0 CDM,123430_59011044010,"Oxycontin: 100 Tablet, Film Coated, Extended Release In 1 Bottle (59011-440-10)",111.43,111.43,,,0 CDM,123430_59011044020,"Oxycontin: 2 Blister Pack In 1 Carton (59011-440-20) / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",110.9,110.9,,,0 CDM,12343_00597004037,Micardis: 3 Blister Pack In 1 Carton (0597-0040-37) / 10 Tablet In 1 Blister Pack,28.99,28.99,,,0 CDM,12349_76310002415,NDC Description Not Available,492.98,492.98,,,0 CDM,1234_00904726261,"Oxcarbazepine: 100 Blister Pack In 1 Carton (0904-7262-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.85,5.85,,,0 CDM,1234_60687071111,NDC Description Not Available,5.86,5.86,,,0 CDM,1234_68084084511,NDC Description Not Available,5.87,5.87,,,0 CDM,12352_00904662061,Isosorbide Dinitrate: 100 Blister Pack In 1 Carton (0904-6620-61) / 1 Tablet In 1 Blister Pack,5.49,5.49,,,0 CDM,12352_16714000901,Isosorbide Dinitrate: 100 Tablet In 1 Bottle (16714-009-01),5.8,5.8,,,0 CDM,12352_63739036710,"Isosorbide Dinitrate: 10 Blister Pack In 1 Box, Unit-Dose (63739-367-10) / 10 Tablet In 1 Blister Pack",5.63,5.63,,,0 CDM,12352_68084008311,NDC Description Not Available,6.0,6.0,,,0 CDM,123552_55513019201,Neulasta: 1 Kit In 1 Carton (55513-192-01) * .6 Ml In 1 Syringe,3583.38,3583.38,,,0 CDM,123576_57841130103,"Movantik: 10 Blister Pack In 1 Carton (57841-1301-3) / 10 Tablet, Film Coated In 1 Blister Pack",81.81,81.81,,,0 CDM,123576_82625880201,"Movantik: 30 Tablet, Film Coated In 1 Bottle (82625-8802-1)",88.62,88.62,,,0 CDM,123638_00409166020,Precedex: 10 Vial In 1 Carton (0409-1660-20) / 20 Ml In 1 Vial (0409-1660-22),164.43,164.43,,,0 CDM,123638_00409166022,NDC Description Not Available,164.43,164.43,,,0 CDM,123638_00781349380,NDC Description Not Available,161.2,161.2,,,0 CDM,12371_00904759060,NDC Description Not Available,2.0,2.0,,,0 CDM,12371_00904759080,NDC Description Not Available,2.0,2.0,,,0 CDM,12371_00904759161,NDC Description Not Available,2.0,2.0,,,0 CDM,12371_02055502101,NDC Description Not Available,2.0,2.0,,,0 CDM,123796_00456270001,NDC Description Not Available,603.63,603.63,,,0 CDM,123796_00456270010,"Avycaz: 10 Vial, Single-Dose In 1 Carton (0456-2700-10) / 1 Powder, For Solution In 1 Vial, Single-Dose (0456-2700-01)",557.17,557.17,,,0 CDM,123844_00469052001,NDC Description Not Available,706.28,706.28,,,0 CDM,123844_00469052002,Cresemba: 2 Blister Pack In 1 Carton (0469-0520-02) / 7 Capsule In 1 Blister Pack,704.02,704.02,,,0 CDM,12384_16714069401,Fluconazole: 30 Tablet In 1 Bottle (16714-694-01),5.8,5.8,,,0 CDM,12384_55111014330,Fluconazole: 30 Tablet In 1 Bottle (55111-143-30),6.95,6.95,,,0 CDM,123931_00023585801,Liletta: 1 Tray In 1 Carton (0023-5858-01) / 1 Intrauterine Device In 1 Tray,5599.17,5599.17,,,0 CDM,123949_00078065415,"Jadenu: 30 Tablet, Film Coated In 1 Bottle (0078-0654-15)",311.18,311.18,,,0 CDM,123949_31722001130,"Deferasirox: 30 Tablet, Film Coated In 1 Bottle (31722-011-30)",8.48,8.48,,,0 CDM,123950_00078065515,"Jadenu: 30 Tablet, Film Coated In 1 Bottle (0078-0655-15)",638.79,638.79,,,0 CDM,123950_70700027030,"Deferasirox: 30 Tablet In 1 Bottle, Plastic (70700-270-30)",6.2,6.2,,,0 CDM,123951_31722001330,"Deferasirox: 30 Tablet, Film Coated In 1 Bottle (31722-013-30)",33.9,33.9,,,0 CDM,123951_43598085130,Deferasirox: 30 Tablet In 1 Bottle (43598-851-30),157.08,157.08,,,0 CDM,123951_70700027130,"Deferasirox: 30 Tablet In 1 Bottle, Plastic (70700-271-30)",12.4,12.4,,,0 CDM,12413_68180028001,Ethambutol Hydrochloride: 100 Tablet In 1 Bottle (68180-280-01),2.85,2.85,,,0 CDM,12429_00093417773,Cephalexin: 100 Ml In 1 Bottle (0093-4177-73),11.15,11.15,,,0 CDM,12429_24979015514,Cephalexin: 100 mL in 1 BOTTLE (24979-155-14),6.0,6.0,,,0 CDM,12429_24979015538,Cephalexin: 200 mL in 1 BOTTLE (24979-155-38),6.0,6.0,,,0 CDM,12429_42043014358,Cephalexin: 200 mL in 1 BOTTLE (42043-143-58),11.44,11.44,,,0 CDM,124427_00093551798,"Sildenafil: 90 Tablet, Film Coated In 1 Bottle (0093-5517-98)",6.27,6.27,,,0 CDM,124482_65649055107,Relistor: 1 Blister Pack In 1 Carton (65649-551-07) / 1 Syringe In 1 Blister Pack / .6 Ml In 1 Syringe,15.73,15.73,,,0 CDM,124482_99999003058,NDC Description Not Available,4.01,4.01,,,0 CDM,124502_00143918001,NDC Description Not Available,0.7,0.7,,,0 CDM,124502_63323036001,NDC Description Not Available,0.8,0.8,,,0 CDM,124596_63323026206,Heparin Sodium: 25 Vial In 1 Tray (63323-262-06) / 1 Ml In 1 Vial (63323-262-03),7.12,7.12,,,0 CDM,124597_63323054031,Heparin Sodium: 25 Vial In 1 Tray (63323-540-31) / 30 Ml In 1 Vial,9.42,9.42,,,0 CDM,124598_63323054031,Heparin Sodium: 25 Vial In 1 Tray (63323-540-31) / 30 Ml In 1 Vial,2.48,2.48,,,0 CDM,12461_00832030100,"Chlorpromazine Hydrochloride: 100 TABLET, SUGAR COATED in 1 BOTTLE (0832-0301-00)",6.0,6.0,,,0 CDM,12461_00904713006,"Chlorpromazine Hydrochloride: 50 Blister Pack In 1 Carton (0904-7130-06) / 1 Tablet, Film Coated In 1 Blister Pack",3.1,3.1,,,0 CDM,12461_00904713061,"Chlorpromazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7130-61) / 1 Tablet, Film Coated In 1 Blister Pack",9.1,9.1,,,0 CDM,12461_60687043011,NDC Description Not Available,10.02,10.02,,,0 CDM,124632_50742036260,"Ivabradine: 60 Tablet, Film Coated In 1 Bottle (50742-362-60)",14.99,14.99,,,0 CDM,124632_55513080060,"Corlanor: 60 Tablet, Film Coated In 1 Bottle (55513-800-60)",58.1,58.1,,,0 CDM,124634_00078079761,NDC Description Not Available,1546.46,1546.46,,,0 CDM,124634_00078081881,Sandostatin Lar Depot: 1 Kit In 1 Kit (0078-0818-81) * 6 Ml In 1 Vial (0078-0797-61) * 2 Ml In 1 Syringe,1355.51,1355.51,,,0 CDM,124635_00078080461,NDC Description Not Available,1540.78,1540.78,,,0 CDM,124635_00078082581,Sandostatin Lar Depot: 1 Kit In 1 Kit (0078-0825-81) * 2 Ml In 1 Syringe * 6 Ml In 1 Vial (0078-0804-61),1541.01,1541.01,,,0 CDM,12477_04494610328,NDC Description Not Available,6.0,6.0,,,0 CDM,124851_66302001401,"Unituxin: 1 Vial, Single-Dose In 1 Box (66302-014-01) / 5 Ml In 1 Vial, Single-Dose",646.59,646.59,,,0 CDM,124882_49591012611,NDC Description Not Available,13428.14,13428.14,,,0 CDM,124882_70257012651,"Varizig: 1 Vial, Glass In 1 Carton (70257-126-51) / 1.2 Ml In 1 Vial, Glass (70257-126-11)",14623.22,14623.22,,,0 CDM,124888_50458060601,Invega Trinza: 1 Syringe In 1 Kit (50458-606-01) / 1 Ml In 1 Syringe,85.99,85.99,,,0 CDM,124890_50458060801,Invega Trinza: 1 Syringe In 1 Kit (50458-608-01) / 1 Ml In 1 Syringe,86.49,86.49,,,0 CDM,124891_50458060901,Invega Trinza: 1 Syringe In 1 Kit (50458-609-01) / 1 Ml In 1 Syringe,85.77,85.77,,,0 CDM,1249_00093729601,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (0093-7296-01)",5.49,5.49,,,0 CDM,1249_00904630361,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6303-61)",5.57,5.57,,,0 CDM,1249_00904730861,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7308-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.61,5.61,,,0 CDM,1249_68462016501,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68462-165-01)",5.4,5.4,,,0 CDM,125036_10122062001,NDC Description Not Available,108.38,108.38,,,0 CDM,125036_10122062010,"Kengreal: 10 Vial, Single-Use In 1 Carton (10122-620-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (10122-620-01)",108.78,108.78,,,0 CDM,125098_00078065920,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0659-20)",71.87,71.87,,,0 CDM,125098_00078065967,"Entresto: 180 Tablet, Film Coated In 1 Bottle (0078-0659-67)",71.19,71.19,,,0 CDM,125099_00078077720,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0777-20)",71.66,71.66,,,0 CDM,125099_00078077767,"Entresto: 180 Tablet, Film Coated In 1 Bottle (0078-0777-67)",71.59,71.59,,,0 CDM,125100_00078069620,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0696-20)",72.88,72.88,,,0 CDM,125100_00078069667,"Entresto: 180 Tablet, Film Coated In 1 Bottle (0078-0696-67)",71.49,71.49,,,0 CDM,12511_00409427501,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4275-01) / 50 Ml In 1 Vial, Multi-Dose (0409-4275-16)",59.0,59.0,,,0 CDM,12511_63323048457,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-484-57) / 50 Ml In 1 Vial, Multi-Dose",0.56,0.56,,,0 CDM,1251_50419042301,Mirena: 1 Intrauterine Device In 1 Carton (50419-423-01),7318.22,7318.22,,,0 CDM,12539_00074334603,Lupron Depot: 1 Kit In 1 Carton (0074-3346-03) * 1.5 Ml In 1 Syringe * 1 Swab In 1 Packet,13956.6,13956.6,,,0 CDM,125540_99999003124,NDC Description Not Available,193.0,193.0,,,0 CDM,125541_99999003125,NDC Description Not Available,193.0,193.0,,,0 CDM,125549_25021018482,Fluconazole: 10 Pouch In 1 Carton (25021-184-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,60.3,60.3,,,0 CDM,125549_25021018487,Fluconazole: 10 Pouch In 1 Carton (25021-184-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,48.03,48.03,,,0 CDM,125549_99999003135,NDC Description Not Available,48.82,48.82,,,0 CDM,125583_99999003166,NDC Description Not Available,35.53,35.53,,,0 CDM,125594_99999003165,NDC Description Not Available,0.06,0.06,,,0 CDM,12562_00409018101,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0181-01) / 26.3 Ml In 1 Vial, Single-Dose",56.77,56.77,,,0 CDM,12562_00409018125,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0181-25) / 26.3 Ml In 1 Vial, Single-Dose",60.69,60.69,,,0 CDM,12562_00409018601,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0186-01) / 25 Ml In 1 Vial, Single-Dose",65.84,65.84,,,0 CDM,12562_25021023550,Gemcitabine: 1 Vial In 1 Carton (25021-235-50) / 25 Ml In 1 Vial,64.08,64.08,,,0 CDM,12562_67457061730,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (67457-617-30) / 26.3 Ml In 1 Vial, Single-Dose",48.63,48.63,,,0 CDM,12562_71288011728,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-117-28) / 26.3 Ml In 1 Vial, Single-Dose",29.5,29.5,,,0 CDM,125636_42023011310,Ketalar: 10 Vial In 1 Carton (42023-113-10) / 20 Ml In 1 Vial,20.86,20.86,,,0 CDM,125687_00409909431,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-31) / 20 Ml In 1 Vial, Single-Dose (0409-9094-16)",19.68,19.68,,,0 CDM,125688_99999003212,NDC Description Not Available,160.8,160.8,,,0 CDM,125690_50242004110,Cathflo Activase: 10 Vial In 1 Carton (50242-041-10) / 2 Ml In 1 Vial,620.28,620.28,,,0 CDM,125690_50242004164,Cathflo Activase: 1 Vial In 1 Carton (50242-041-64) / 2 Ml In 1 Vial,589.53,589.53,,,0 CDM,125873_57894050505,"Darzalex Iv: 1 Vial, Single-Dose In 1 Box (57894-505-05) / 5 Ml In 1 Vial, Single-Dose",326.49,326.49,,,0 CDM,125873_57894050520,"Darzalex Iv: 1 Vial, Single-Dose In 1 Box (57894-505-20) / 20 Ml In 1 Vial, Single-Dose",327.75,327.75,,,0 CDM,125892_55513007901,Imlygic: 1 Vial In 1 Carton (55513-079-01) / 1 Ml In 1 Vial,445.76,445.76,,,0 CDM,125899_99999003333,NDC Description Not Available,103.54,103.54,,,0 CDM,125901_00264959820,Lidocaine Hydrochloride And Dextrose: 24 Container In 1 Case (0264-9598-20) / 250 Ml In 1 Container,0.96,0.96,,,0 CDM,125901_00338041102,Lidocaine Hydrochloride And Dextrose: 24 Bag In 1 Carton (0338-0411-02) / 250 Ml In 1 Bag,0.45,0.45,,,0 CDM,125937_59676061001,"Yondelis: 20 Ml In 1 Vial, Single-Use (59676-610-01)",2354.03,2354.03,,,0 CDM,125999_99999003728,NDC Description Not Available,146.32,146.32,,,0 CDM,126007_00006542302,NDC Description Not Available,882.41,882.41,,,0 CDM,126007_00006542312,"Bridion: 10 Vial, Single-Dose In 1 Carton (0006-5423-12) / 2 Ml In 1 Vial, Single-Dose (0006-5423-02)",848.22,848.22,,,0 CDM,126008_99999003373,NDC Description Not Available,39.9,39.9,,,0 CDM,126022_99999003380,NDC Description Not Available,6.0,6.0,,,0 CDM,126032_99999003383,NDC Description Not Available,109.34,109.34,,,0 CDM,126070_00904693961,Hydroxyurea: 100 Blister Pack In 1 Carton (0904-6939-61) / 1 Capsule In 1 Blister Pack,12.15,12.15,,,0 CDM,126070_68084028401,"Hydroxyurea: 100 Blister Pack In 1 Box, Unit-Dose (68084-284-01) / 1 Capsule In 1 Blister Pack (68084-284-11)",12.87,12.87,,,0 CDM,126070_68084028411,NDC Description Not Available,10.97,10.97,,,0 CDM,126086_99999003420,NDC Description Not Available,220.32,220.32,,,0 CDM,12610_00536128636,"Stomach Relief Regular Strength: 237 Ml In 1 Bottle, Plastic (0536-1286-36)",2.0,2.0,,,0 CDM,126140_61314032601,Zarxio: 1 Blister Pack In 1 Carton (61314-326-01) / 1 Syringe In 1 Blister Pack / .8 Ml In 1 Syringe,6.13,6.13,,,0 CDM,126140_61314032605,NDC Description Not Available,6.13,6.13,,,0 CDM,126140_61314032610,Zarxio: 2 Blister Pack In 1 Carton (61314-326-10) / 5 Syringe In 1 Blister Pack (61314-326-05) / .8 Ml In 1 Syringe,6.13,6.13,,,0 CDM,126141_61314030401,ZARXIO: 1 BLISTER PACK in 1 CARTON (61314-304-01) / 1 SYRINGE in 1 BLISTER PACK / .5 mL in 1 SYRINGE,6.16,6.16,,,0 CDM,126141_61314031801,Zarxio: 1 Blister Pack In 1 Carton (61314-318-01) / 1 Syringe In 1 Blister Pack / .5 Ml In 1 Syringe,6.13,6.13,,,0 CDM,126141_61314031805,NDC Description Not Available,6.13,6.13,,,0 CDM,126141_61314031810,Zarxio: 2 Blister Pack In 1 Carton (61314-318-10) / 5 Syringe In 1 Blister Pack (61314-318-05) / .5 Ml In 1 Syringe,6.13,6.13,,,0 CDM,126149_68727080001,Defitelio: 2.5 Ml In 1 Vial (68727-800-01),4722.25,4722.25,,,0 CDM,12618_00074706811,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7068-11) / 10 Tablet In 1 Blister Pack",10.18,10.18,,,0 CDM,12618_00904695561,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6955-61) / 1 Tablet In 1 Blister Pack,5.84,5.84,,,0 CDM,12618_51079044301,NDC Description Not Available,5.76,5.76,,,0 CDM,12618_51079044320,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (51079-443-20) / 1 Tablet In 1 Blister Pack (51079-443-01),5.86,5.86,,,0 CDM,126227_68992307501,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3075-1) / 1 Bottle In 1 Pouch / 100 Tablet, Extended Release In 1 Bottle",10.64,10.64,,,0 CDM,126227_68992307503,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3075-3) / 1 Bottle, Plastic In 1 Pouch / 30 Tablet, Extended Release In 1 Bottle, Plastic",10.62,10.62,,,0 CDM,126228_68992301001,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3010-1) / 1 Bottle In 1 Pouch / 100 Tablet, Extended Release In 1 Bottle",10.64,10.64,,,0 CDM,126228_68992301003,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3010-3) / 1 Bottle, Plastic In 1 Pouch / 30 Tablet, Extended Release In 1 Bottle, Plastic",10.66,10.66,,,0 CDM,126229_68992304001,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3040-1) / 1 Bottle In 1 Pouch / 100 Tablet, Extended Release In 1 Bottle",10.62,10.62,,,0 CDM,126229_68992304003,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3040-3) / 1 Bottle, Plastic In 1 Pouch / 30 Tablet, Extended Release In 1 Bottle, Plastic",10.66,10.66,,,0 CDM,12642_61314063006,"Neomycin And Polymyxin B Sulfates And Dexamethasone: 5 Ml In 1 Bottle, Plastic (61314-630-06)",111.6,111.6,,,0 CDM,12642_82667010005,"Maxitrol: 5 Ml In 1 Bottle, Plastic (82667-100-05)",712.49,712.49,,,0 CDM,12645_00409022210,Meropenem: 10 Vial In 1 Carton (0409-0222-10) / 10 Ml In 1 Vial (0409-0222-01),38.6,38.6,,,0 CDM,12645_55150020720,"Meropenem: 10 Vial In 1 Carton (55150-207-20) / 1 Injection, Powder, For Solution In 1 Vial",38.6,38.6,,,0 CDM,12645_63323050701,NDC Description Not Available,35.99,35.99,,,0 CDM,12645_63323050720,Meropenem: 10 Vial In 1 Carton (63323-507-20) / 10 Ml In 1 Vial (63323-507-01),38.6,38.6,,,0 CDM,126519_00186077660,Brilinta: 60 Tablet In 1 Bottle (0186-0776-60),47.06,47.06,,,0 CDM,126519_00480268806,"Ticagrelor: 60 Tablet, Film Coated In 1 Bottle (0480-2688-06)",43.77,43.77,,,0 CDM,126628_06373614308,NDC Description Not Available,34.48,34.48,,,0 CDM,12664_60687048301,Nitrofurantoin: 100 Blister Pack In 1 Box (60687-483-01) / 1 Capsule In 1 Blister Pack (60687-483-11),17.05,17.05,,,0 CDM,12665_00185012801,Bumetanide: 100 Tablet In 1 Bottle (0185-0128-01),6.0,6.0,,,0 CDM,126668_00641612501,NDC Description Not Available,58.14,58.14,,,0 CDM,12671_00003257016,"Azactam: 10 Vial, Single-Dose In 1 Carton (0003-2570-16) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",16.65,16.65,,,0 CDM,12671_00409083001,"Aztreonam: 10 Vial, Single-Dose In 1 Carton (0409-0830-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0409-0830-11)",18.28,18.28,,,0 CDM,12671_00409083011,NDC Description Not Available,18.52,18.52,,,0 CDM,12671_51479004215,"AZACTAM: 10 VIAL, SINGLE-DOSE in 1 CARTON (51479-042-15) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, SINGLE-DOSE",75.74,75.74,,,0 CDM,126757_70004080640,NDC Description Not Available,0.16,0.16,,,0 CDM,126774_44567061101,NDC Description Not Available,1.93,1.93,,,0 CDM,126774_65219065002,NDC Description Not Available,1.93,1.93,,,0 CDM,126808_15054004301,"Onivyde: 1 Vial, Single-Dose In 1 Carton (15054-0043-1) / 10 Ml In 1 Vial, Single-Dose",435.09,435.09,,,0 CDM,126871_00904531346,NDC Description Not Available,6.0,6.0,,,0 CDM,126871_00904531360,NDC Description Not Available,6.0,6.0,,,0 CDM,126892_00173088101,Nucala: 1 Vial In 1 Carton (0173-0881-01) / 1 Ml In 1 Vial,146.69,146.69,,,0 CDM,126899_61958190101,"Genvoya: 30 Tablet In 1 Bottle, Plastic (61958-1901-1)",848.4,848.4,,,0 CDM,12695_00168000615,Triamcinolone Acetonide: 15 G In 1 Tube (0168-0006-15),28.83,28.83,,,0 CDM,12695_00168000616,Triamcinolone Acetonide: 454 G In 1 Jar (0168-0006-16),154.82,154.82,,,0 CDM,12695_21922006330,Triamcinolone Acetonide: 454 G In 1 Jar (21922-063-30),154.82,154.82,,,0 CDM,12695_45802005505,Triamcinolone Acetonide: 454 G In 1 Jar (45802-055-05),208.3,208.3,,,0 CDM,12695_45802005535,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-055-35) / 15 G In 1 Tube,28.0,28.0,,,0 CDM,12697_00409109812,NDC Description Not Available,94.74,94.74,,,0 CDM,12697_00703203301,NDC Description Not Available,93.8,93.8,,,0 CDM,12697_00703205601,NDC Description Not Available,154.1,154.1,,,0 CDM,12697_00781315075,NDC Description Not Available,67.93,67.93,,,0 CDM,12697_00781315095,Cisatracurium Besylate: 10 Box In 1 Carton (0781-3150-95) / 1 Vial In 1 Box (0781-3150-75) / 5 Ml In 1 Vial,58.84,58.84,,,0 CDM,12697_00781315270,NDC Description Not Available,78.15,78.15,,,0 CDM,12697_00781315295,"Cisatracurium Besylate: 10 Vial, Multi-Dose In 1 Carton (0781-3152-95) / 10 Ml In 1 Vial, Multi-Dose (0781-3152-70)",72.92,72.92,,,0 CDM,12697_63323041701,NDC Description Not Available,123.28,123.28,,,0 CDM,12697_70069014101,Cisatracurium Besylate: 1 Vial In 1 Carton (70069-141-01) / 5 Ml In 1 Vial,59.0,59.0,,,0 CDM,12697_70069016101,Cisatracurium Besylate: 1 Vial In 1 Carton (70069-161-01) / 10 Ml In 1 Vial,61.11,61.11,,,0 CDM,12697_71288071205,NDC Description Not Available,58.31,58.31,,,0 CDM,127027_00003452211,"Empliciti: 1 Vial, Single-Use In 1 Carton (0003-4522-11) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",50.18,50.18,,,0 CDM,127043_06817600011,NDC Description Not Available,6.0,6.0,,,0 CDM,12704_43547026910,"Ropinirole Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (43547-269-10)",4.61,4.61,,,0 CDM,127065_60505622800,"Bendamustine Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (60505-6228-0) / 5 Ml In 1 Vial, Multi-Dose",218.26,218.26,,,0 CDM,127065_63459034804,"Bendeka: 1 Vial, Multi-Dose In 1 Carton (63459-348-04) / 4 Ml In 1 Vial, Multi-Dose",165.49,165.49,,,0 CDM,12706_67877023022,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (67877-230-22) / 225 Ml In 1 Bottle, Plastic",54.55,54.55,,,0 CDM,127136_66215060206,"Uptravi: 1 Bottle In 1 Carton (66215-602-06) / 60 Tablet, Coated In 1 Bottle",366.51,366.51,,,0 CDM,127261_00002882401,NDC Description Not Available,6.41,6.41,,,0 CDM,127261_00002882427,Humulin R U-500 Kwikpen: 2 Syringe In 1 Carton (0002-8824-27) / 3 Ml In 1 Syringe,6.41,6.41,,,0 CDM,12728_70842016001,NDC Description Not Available,16.89,16.89,,,0 CDM,12734_45802005935,Nystatin: 1 Tube In 1 Carton (45802-059-35) / 15 G In 1 Tube,86.77,86.77,,,0 CDM,12734_51672128901,Nystatin: 1 Tube In 1 Carton (51672-1289-1) / 15 G In 1 Tube,54.04,54.04,,,0 CDM,12746_00641256941,NDC Description Not Available,26.4,26.4,,,0 CDM,127585_99999002058,NDC Description Not Available,16.51,16.51,,,0 CDM,127686_61958200201,"Descovy: 30 Tablet In 1 Bottle, Plastic (61958-2002-1)",455.15,455.15,,,0 CDM,12773_00121065705,NDC Description Not Available,3.08,3.08,,,0 CDM,12773_00121178105,NDC Description Not Available,1.85,1.85,,,0 CDM,12773_00121197121,NDC Description Not Available,3.86,3.86,,,0 CDM,12773_45802020126,Childrens Acetaminophen: 1 Bottle In 1 Carton (45802-201-26) / 118 Ml In 1 Bottle,2.0,2.0,,,0 CDM,12773_45802020326,Childrens Acetaminophen: 1 Bottle In 1 Carton (45802-203-26) / 118 Ml In 1 Bottle,2.0,2.0,,,0 CDM,12773_50580061201,Childrens Tylenol: 1 Bottle In 1 Carton (50580-612-01) / 120 Ml In 1 Bottle,2.0,2.0,,,0 CDM,12773_50580061401,Childrens Tylenol: 1 Bottle In 1 Carton (50580-614-01) / 120 Ml In 1 Bottle,2.0,2.0,,,0 CDM,12773_68094001559,NDC Description Not Available,2.24,2.24,,,0 CDM,12773_68094023159,NDC Description Not Available,1.48,1.48,,,0 CDM,12773_81033000205,NDC Description Not Available,2.0,2.0,,,0 CDM,12773_99999001340,NDC Description Not Available,0.92,0.92,,,0 CDM,12773_99999001341,NDC Description Not Available,1.1,1.1,,,0 CDM,12773_99999002035,NDC Description Not Available,0.26,0.26,,,0 CDM,12801_00054817525,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8175-25) / 1 Tablet In 1 Blister Pack,0.39,0.39,,,0 CDM,12801_00904726661,Dexamethasone: 100 Blister Pack In 1 Carton (0904-7266-61) / 1 Tablet In 1 Blister Pack,0.4,0.4,,,0 CDM,12802_51079098601,NDC Description Not Available,3.62,3.62,,,0 CDM,12802_51079098620,Buspirone Hydrochloride: 100 Blister Pack In 1 Carton (51079-986-20) / 1 Tablet In 1 Blister Pack (51079-986-01),3.28,3.28,,,0 CDM,12813_16729011505,Mitomycin: 1 Vial In 1 Carton (16729-115-05) / 10 Ml In 1 Vial,1616.1,1616.1,,,0 CDM,12813_55390025101,"Mitomycin: 1 VIAL in 1 BOX, UNIT-DOSE (55390-251-01) / 10 mL in 1 VIAL",375.2,375.2,,,0 CDM,12830_63323013210,"Mitoxantrone: 1 Vial, Multi-Dose In 1 Box (63323-132-10) / 10 Ml In 1 Vial, Multi-Dose",659.69,659.69,,,0 CDM,12840_16714049601,Clotrimazole And Betamethasone Dipropionate: 1 Tube In 1 Carton (16714-496-01) / 15 G In 1 Tube,135.88,135.88,,,0 CDM,12840_51672404801,Clotrimazole And Betamethasone Dipropionate: 1 Tube In 1 Carton (51672-4048-1) / 15 G In 1 Tube,104.54,104.54,,,0 CDM,12883_00998061505,"Maxidex: 5 mL in 1 BOTTLE, PLASTIC (0998-0615-05)",467.55,467.55,,,0 CDM,12883_24208072002,"Dexamethasone Sodium Phosphate: 1 Bottle, Dropper In 1 Carton (24208-720-02) / 5 Ml In 1 Bottle, Dropper",334.18,334.18,,,0 CDM,12892_25021031802,Adenosine: 10 Vial In 1 Carton (25021-318-02) / 2 Ml In 1 Vial,8.35,8.35,,,0 CDM,12892_63323065102,"Adenosine: 10 Vial, Single-Use In 1 Tray (63323-651-02) / 2 Ml In 1 Vial, Single-Use (63323-651-00)",11.46,11.46,,,0 CDM,12892_67457085500,NDC Description Not Available,6.25,6.25,,,0 CDM,128989_99999002295,NDC Description Not Available,59.0,59.0,,,0 CDM,129105_50242091701,"Tecentriq: 1 Vial, Single-Use In 1 Carton (50242-917-01) / 20 Ml In 1 Vial, Single-Use",615.34,615.34,,,0 CDM,129112_00065080050,"Bss Plus: 1 Kit In 1 Package (0065-0800-50) * 480 Ml In 1 Bottle, Glass * 20 Ml In 1 Vial, Single-Dose",607.16,607.16,,,0 CDM,129137_99999003470,NDC Description Not Available,431.21,431.21,,,0 CDM,129244_50474087015,Briviact: 1 Bottle In 1 Carton (50474-870-15) / 300 Ml In 1 Bottle,191.51,191.51,,,0 CDM,129247_50474057009,"Briviact: 100 Blister Pack In 1 Carton (50474-570-09) / 1 Tablet, Film Coated In 1 Blister Pack",149.08,149.08,,,0 CDM,129272_13668058130,Tadalafil: 30 Tablet In 1 Bottle (13668-581-30),9.3,9.3,,,0 CDM,129272_27241012302,Tadalafil: 60 Tablet In 1 Bottle (27241-123-02),5.56,5.56,,,0 CDM,129364_00074056111,"Venclexta: 1 Blister Pack In 1 Carton (0074-0561-11) / 2 Tablet, Film Coated In 1 Blister Pack",79.86,79.86,,,0 CDM,129365_00074056607,"Venclexta: 1 Blister Pack In 1 Carton (0074-0566-07) / 7 Tablet, Film Coated In 1 Blister Pack",305.75,305.75,,,0 CDM,129365_00074056611,"Venclexta: 1 Blister Pack In 1 Carton (0074-0566-11) / 1 Tablet, Film Coated In 1 Blister Pack",380.59,380.59,,,0 CDM,129366_00074057611,"Venclexta: 1 Blister Pack In 1 Carton (0074-0576-11) / 1 Tablet, Film Coated In 1 Blister Pack",793.86,793.86,,,0 CDM,12941_66215010106,"Tracleer: 1 Bottle, Plastic In 1 Carton (66215-101-06) / 60 Tablet, Film Coated In 1 Bottle, Plastic",1260.83,1260.83,,,0 CDM,129534_16714003701,NDC Description Not Available,59.0,59.0,,,0 CDM,129534_42023021625,Ephedrine Sulfate: 25 Vial In 1 Carton (42023-216-25) / 1 Ml In 1 Vial (42023-216-01),89.32,89.32,,,0 CDM,129534_43598072511,NDC Description Not Available,59.0,59.0,,,0 CDM,129534_72603020301,NDC Description Not Available,126.05,126.05,,,0 CDM,129593_00023585318,"Delzicol: 180 Capsule, Delayed Release In 1 Bottle (0023-5853-18)",24.06,24.06,,,0 CDM,129593_60687055633,NDC Description Not Available,43.03,43.03,,,0 CDM,129686_76075010201,"Kyprolis: 1 Vial, Single-Dose In 1 Carton (76075-102-01) / 15 Ml In 1 Vial, Single-Dose",372.63,372.63,,,0 CDM,129739_72626270101,"Sofosbuvir And Velpatasvir: 2 Blister Pack In 1 Carton (72626-2701-1) / 14 Tablet, Film Coated In 1 Blister Pack",1771.43,1771.43,,,0 CDM,12983_00904579146,"Childrens Mapap: 1 Bottle, Plastic In 1 Carton (0904-5791-46) / 30 Tablet, Chewable In 1 Bottle, Plastic",0.57,0.57,,,0 CDM,1299_00378911616,NDC Description Not Available,6.43,6.43,,,0 CDM,1299_00378911693,Nitroglycerin: 30 Pouch In 1 Carton (0378-9116-93) / 1 Patch In 1 Pouch (0378-9116-16) / 14 H In 1 Patch,6.43,6.43,,,0 CDM,129_50268059711,NDC Description Not Available,7.12,7.12,,,0 CDM,129_50268059715,"Nifedipine Er: 50 Blister Pack In 1 Box, Unit-Dose (50268-597-15) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack (50268-597-11)",7.12,7.12,,,0 CDM,13014_00115351101,Pyridostigmine Bromide: 100 Tablet In 1 Bottle (0115-3511-01),5.54,5.54,,,0 CDM,13014_00904662261,Pyridostigmine Bromide: 100 Blister Pack In 1 Carton (0904-6622-61) / 1 Tablet In 1 Blister Pack,8.34,8.34,,,0 CDM,13014_68084049411,NDC Description Not Available,8.59,8.59,,,0 CDM,13030_00065039702,"Cyclogyl: 1 Bottle, Plastic In 1 Carton (0065-0397-02) / 2 Ml In 1 Bottle, Plastic",273.8,273.8,,,0 CDM,130335_00264959820,Lidocaine Hydrochloride And Dextrose: 24 Container In 1 Case (0264-9598-20) / 250 Ml In 1 Container,0.48,0.48,,,0 CDM,130335_00338041102,Lidocaine Hydrochloride And Dextrose: 24 Bag In 1 Carton (0338-0411-02) / 250 Ml In 1 Bag,0.27,0.27,,,0 CDM,130439_61553034334,NDC Description Not Available,26.75,26.75,,,0 CDM,130491_57894005427,"Stelara: 1 Vial, Single-Use In 1 Box (57894-054-27) / 26 Ml In 1 Vial, Single-Use",104.98,104.98,,,0 CDM,130534_00143997922,"Cefuroxime: 25 Vial In 1 Carton (0143-9979-22) / 1 Injection, Powder, For Solution In 1 Vial (0143-9979-90)",59.0,59.0,,,0 CDM,13057_00409163010,"Atropine Sulfate: 10 Carton In 1 Package (0409-1630-10) / 1 Syringe, Plastic In 1 Carton / 10 Ml In 1 Syringe, Plastic (0409-1630-15)",22.94,22.94,,,0 CDM,13057_00409163015,NDC Description Not Available,0.92,0.92,,,0 CDM,13057_16729048403,"Atropine Sulfate: 10 Ml In 1 Syringe, Glass (16729-484-03)",0.97,0.97,,,0 CDM,13057_64253040030,NDC Description Not Available,0.84,0.84,,,0 CDM,13057_76329334001,Atropine Sulfate: 10 Carton In 1 Package (76329-3340-1) / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,1.36,1.36,,,0 CDM,1305_00904516561,"Senna-Lax: 10 BLISTER PACK in 1 BOX (0904-5165-61) / 10 TABLET, FILM COATED in 1 BLISTER PACK",1.08,1.08,,,0 CDM,1305_00904652261,"Senna-Lax: 10 Blister Pack In 1 Box (0904-6522-61) / 10 Tablet, Film Coated In 1 Blister Pack",1.46,1.46,,,0 CDM,1305_00904725261,"Sennosides: 10 Blister Pack In 1 Box, Unit-Dose (0904-7252-61) / 10 Tablet, Film Coated In 1 Blister Pack",1.08,1.08,,,0 CDM,1305_10135031401,Sennosides: 1 Bottle In 1 Carton (10135-314-01) / 100 Tablet In 1 Bottle,1.03,1.03,,,0 CDM,1305_57896043401,Geri-Kot: 100 Tablet In 1 Bottle (57896-434-01),1.07,1.07,,,0 CDM,1305_67618030010,"Senokot: 1 Bottle, Plastic In 1 Carton (67618-300-10) / 100 Tablet In 1 Bottle, Plastic",1.6,1.6,,,0 CDM,1305_67618030050,"Senokot: 1 Bottle, Plastic In 1 Carton (67618-300-50) / 50 Tablet In 1 Bottle, Plastic",1.17,1.17,,,0 CDM,130640_99999003701,NDC Description Not Available,141.98,141.98,,,0 CDM,130643_00517037401,NDC Description Not Available,9.05,9.05,,,0 CDM,130643_14789011907,NDC Description Not Available,18.17,18.17,,,0 CDM,13066_00904679861,Lisinopril: 100 Blister Pack In 1 Carton (0904-6798-61) / 1 Tablet In 1 Blister Pack,5.97,5.97,,,0 CDM,13066_60687032511,NDC Description Not Available,6.0,6.0,,,0 CDM,1306_00121086800,"Nystatin: 10 Tray In 1 Case (0121-0868-00) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0868-05)",11.72,11.72,,,0 CDM,1306_00121086805,NDC Description Not Available,11.72,11.72,,,0 CDM,1306_00121086816,Nystatin: 473 Ml In 1 Bottle (0121-0868-16),6.0,6.0,,,0 CDM,1306_00904727641,NDC Description Not Available,5.83,5.83,,,0 CDM,1306_60432053716,"Nystatin: 473 mL in 1 BOTTLE, PLASTIC (60432-537-16)",6.0,6.0,,,0 CDM,1306_60432053760,"Nystatin: 60 mL in 1 BOTTLE, GLASS (60432-537-60)",6.0,6.0,,,0 CDM,1306_63739016070,"Nystatin: 5 Ml In 1 Cup, Unit-Dose (63739-160-70)",8.56,8.56,,,0 CDM,1306_99999001191,NDC Description Not Available,5.83,5.83,,,0 CDM,13072_00409139122,Meropenem: 10 Vial In 1 Carton (0409-1391-22) / 20 Ml In 1 Vial (0409-1391-21),19.3,19.3,,,0 CDM,13072_55150020830,"Meropenem: 10 Vial In 1 Carton (55150-208-30) / 1 Injection, Powder, For Solution In 1 Vial",15.87,15.87,,,0 CDM,13072_63323050801,NDC Description Not Available,12.59,12.59,,,0 CDM,13072_63323050830,Meropenem: 10 Vial In 1 Carton (63323-508-30) / 20 Ml In 1 Vial (63323-508-01),15.51,15.51,,,0 CDM,130766_63323082000,Smoflipid: 10 Bag In 1 Case (63323-820-00) / 100 Ml In 1 Bag (63323-820-01),148.19,148.19,,,0 CDM,130766_63323082001,NDC Description Not Available,190.49,190.49,,,0 CDM,130766_63323082003,NDC Description Not Available,193.0,193.0,,,0 CDM,130766_63323082004,NDC Description Not Available,191.67,191.67,,,0 CDM,130766_63323082074,Smoflipid: 10 Bag In 1 Case (63323-820-74) / 250 Ml In 1 Bag (63323-820-04),156.26,156.26,,,0 CDM,130779_00069080901,"Inflectra: 1 Vial, Single-Use In 1 Carton (0069-0809-01) / 10 Ml In 1 Vial, Single-Use",635.66,635.66,,,0 CDM,130867_05556641000,NDC Description Not Available,2408.8,2408.8,,,0 CDM,130867_05556641001,NDC Description Not Available,2538.66,2538.66,,,0 CDM,130867_05556641003,NDC Description Not Available,7037.5,7037.5,,,0 CDM,13086_00002021301,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-0213-01) / 3 Ml In 1 Vial, Multi-Dose",2.79,2.79,,,0 CDM,13086_00002821501,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-01) / 10 Ml In 1 Vial, Multi-Dose",2.71,2.71,,,0 CDM,13086_00169183302,Novolin R: 1 Vial In 1 Carton (0169-1833-02) / 10 Ml In 1 Vial,11.8,11.8,,,0 CDM,13086_00169183311,Novolin R: 1 Vial In 1 Carton (0169-1833-11) / 10 Ml In 1 Vial,15.07,15.07,,,0 CDM,130880_46287000660,"Sodium Polystyrene Sulfonate: 10 Bottle, Unit-Dose In 1 Carton (46287-006-60) / 60 Ml In 1 Bottle, Unit-Dose",153.64,153.64,,,0 CDM,130910_52652300101,Qbrelis: 150 Ml In 1 Bottle (52652-3001-1),1128.9,1128.9,,,0 CDM,130975_71285042101,NDC Description Not Available,240.8,240.8,,,0 CDM,13100_PBB,Pr Repair Complex Trunk 1.1-2.5 Cm-Pbb,2226.0,2226.0,,,0 CDM,13101_PBB,Pr Repair Complex Trunk 2.6-7.5 Cm-Pbb,4140.0,4140.0,,,0 CDM,13102_PBB,Pr Repair Complex Trunk Each Additional 5 Cm/<-Pbb,1583.0,1583.0,,,0 CDM,13104_00591271202,"Albendazole: 2 Tablet, Film Coated In 1 Bottle (0591-2712-02)",600.32,600.32,,,0 CDM,13104_43598045202,"Albendazole: 2 Tablet, Film Coated In 1 Bottle (43598-452-02)",248.0,248.0,,,0 CDM,131096_50419042401,Kyleena: 1 Intrauterine Device In 1 Carton (50419-424-01),7291.64,7291.64,,,0 CDM,131096_50419042408,Kyleena: 1 Intrauterine Device In 1 Carton (50419-424-08),6505.29,6505.29,,,0 CDM,131119_52652400101,Epaned: 150 Ml In 1 Bottle (52652-4001-1),48.87,48.87,,,0 CDM,131119_69238214107,Enalapril Maleate: 1 Bottle In 1 Carton (69238-2141-7) / 150 Ml In 1 Bottle,11.14,11.14,,,0 CDM,13120_PBB,Pr Repair Complex Scalp/Arm/Leg 1.1-2.5 Cm-Pbb,3517.0,3517.0,,,0 CDM,13121_57894003001,"Remicade: 1 Vial, Single-Use In 1 Box (57894-030-01) / 10 Ml In 1 Vial, Single-Use",780.95,780.95,,,0 CDM,13121_57894016001,"Infliximab: 1 Vial, Single-Use In 1 Box (57894-160-01) / 10 Ml In 1 Vial, Single-Use",257.34,257.34,,,0 CDM,13121_PBB,Pr Repair Complex Scalp/Arm/Leg 2.6-7.5 Cm-Pbb,5394.0,5394.0,,,0 CDM,13122_PBB,Pr Repair Complex Scalp/Arm/Leg Ea Addl 5 Cm/<-Pbb,2170.0,2170.0,,,0 CDM,131281_71266821101,NDC Description Not Available,49.6,49.6,,,0 CDM,131281_71266821105,NDC Description Not Available,372.0,372.0,,,0 CDM,131289_00006302501,NDC Description Not Available,254.6,254.6,,,0 CDM,13131_PBB,Pr Repair Complex F/C/C/M/N/Ax/G/H/F 1.1-2.5 Cm-Pbb,4105.0,4105.0,,,0 CDM,13132_PBB,Pr Repair Complex F/C/C/M/N/Ax/G/H/F 2.6-7.5 Cm-Pbb,7970.0,7970.0,,,0 CDM,13133_PBB,Pr Repair Complex F/C/C/M/N/Ax/G/H/F Ea Addl 5 Cm/<-Pbb,3167.0,3167.0,,,0 CDM,131359_69374090305,NDC Description Not Available,110.55,110.55,,,0 CDM,13142_00121053005,NDC Description Not Available,6.46,6.46,,,0 CDM,131455_64406005801,"Spinraza: 1 Vial, Single-Use In 1 Box (64406-058-01) / 5 Ml In 1 Vial, Single-Use",7505.51,7505.51,,,0 CDM,13145_60687012311,NDC Description Not Available,11.75,11.75,,,0 CDM,13145_70700026305,"Lansoprazole: 500 Capsule, Delayed Release In 1 Bottle (70700-263-05)",6.0,6.0,,,0 CDM,13149_55390002810,Famotidine: 10 VIAL in 1 BOX (55390-028-10) / 4 mL in 1 VIAL,59.0,59.0,,,0 CDM,13151_PBB,Pr Repair Complex Eyelid/Nose/Ear/Lip 1.1-2.5 Cm-Pbb,5159.0,5159.0,,,0 CDM,13152_59762500801,Misoprostol: 60 Tablet In 1 Bottle (59762-5008-1),5.99,5.99,,,0 CDM,13152_60687074601,Misoprostol: 100 Blister Pack In 1 Carton (60687-746-01) / 1 Tablet In 1 Blister Pack (60687-746-11),14.08,14.08,,,0 CDM,13152_60687074611,NDC Description Not Available,14.08,14.08,,,0 CDM,13152_PBB,Pr Repair Complex Eyelid/Nose/Ear/Lip 2.6-7.5 Cm-Pbb,10078.0,10078.0,,,0 CDM,131530_00456120330,"Linzess: 1 Bottle In 1 Carton (0456-1203-30) / 30 Capsule, Gelatin Coated In 1 Bottle",108.53,108.53,,,0 CDM,13153_PBB,Pr Repair Complx Eyelid/Nose/Ear/Lip Ea Addl 5 Cm/<-Pbb,4044.0,4044.0,,,0 CDM,13159_24338013610,E.E.S: 200 Ml In 1 Bottle (24338-136-10),37.17,37.17,,,0 CDM,13159_52536013613,Erythromycin Ethylsuccinate: 200 Ml In 1 Bottle (52536-136-13),11.79,11.79,,,0 CDM,13160_PBB,Pr Secondary Closure Surg Wound/Dehsn Xtnsv/Comp-Pbb,7690.0,7690.0,,,0 CDM,13173_00121048900,"Diphenhydramine Hydrochloride: 10 Tray In 1 Case (0121-0489-00) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0489-05)",15.83,15.83,,,0 CDM,13173_00121048905,NDC Description Not Available,9.61,9.61,,,0 CDM,13173_00121048910,NDC Description Not Available,3.11,3.11,,,0 CDM,13173_00121097810,NDC Description Not Available,9.48,9.48,,,0 CDM,13173_69339015105,NDC Description Not Available,13.43,13.43,,,0 CDM,13185_00054001920,Prednisone: 10 Blister Pack In 1 Carton (0054-0019-20) / 10 Tablet In 1 Blister Pack,0.07,0.07,,,0 CDM,13185_10135077901,Prednisone: 100 Tablet In 1 Bottle (10135-779-01),0.07,0.07,,,0 CDM,13185_59651048901,Prednisone: 100 Tablet In 1 Bottle (59651-489-01),0.07,0.07,,,0 CDM,13185_60687085411,NDC Description Not Available,0.08,0.08,,,0 CDM,13186_00832121201,Jantoven: 100 Blister Pack In 1 Carton (0832-1212-01) / 1 Tablet In 1 Blister Pack (0832-1212-89),4.49,4.49,,,0 CDM,13186_00832121289,NDC Description Not Available,4.45,4.45,,,0 CDM,13190_60758088005,"Fluorometholone: 1 Bottle, Dropper In 1 Carton (60758-880-05) / 5 Ml In 1 Bottle, Dropper",480.13,480.13,,,0 CDM,13213_00781345095,"Cefazolin: 10 Vial In 1 Carton (0781-3450-95) / 1 Injection, Powder, For Solution In 1 Vial (0781-3450-70)",59.81,59.81,,,0 CDM,13213_44567070625,"Cefazolin: 25 Vial In 1 Carton (44567-706-25) / 1 Injection, Powder, For Solution In 1 Vial",193.0,193.0,,,0 CDM,13221_63037010005,NDC Description Not Available,27.67,27.67,,,0 CDM,13221_70004020232,NDC Description Not Available,24.37,24.37,,,0 CDM,13221_70004022932,NDC Description Not Available,24.45,24.45,,,0 CDM,13221_70092109236,NDC Description Not Available,24.59,24.59,,,0 CDM,13221_70092109337,NDC Description Not Available,7.58,7.58,,,0 CDM,13221_73013101301,NDC Description Not Available,24.37,24.37,,,0 CDM,13221_99999317401,NDC Description Not Available,19.35,19.35,,,0 CDM,132376_99999003767,NDC Description Not Available,5.4,5.4,,,0 CDM,132376_99999005045,NDC Description Not Available,27.0,27.0,,,0 CDM,132380_99999005044,NDC Description Not Available,12.72,12.72,,,0 CDM,13247_00904718261,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-7182-61) / 1 Tablet, Extended Release In 1 Blister Pack",12.78,12.78,,,0 CDM,13247_51079076701,NDC Description Not Available,15.41,15.41,,,0 CDM,13247_51079076708,"Divalproex Sodium: 80 Blister Pack In 1 Carton (51079-767-08) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack (51079-767-01)",15.41,15.41,,,0 CDM,13247_68084041511,NDC Description Not Available,13.56,13.56,,,0 CDM,132519_99999003787,NDC Description Not Available,57.0,57.0,,,0 CDM,13252_00591352511,NDC Description Not Available,18.55,18.55,,,0 CDM,13252_00591352530,Lidocaine: 30 Pouch In 1 Carton (0591-3525-30) / 1 G In 1 Pouch (0591-3525-11),18.56,18.56,,,0 CDM,13252_00603188010,NDC Description Not Available,18.57,18.57,,,0 CDM,13252_42291047711,NDC Description Not Available,14.84,14.84,,,0 CDM,13252_42291049511,NDC Description Not Available,14.84,14.84,,,0 CDM,13252_42858011830,Lidocaine 5%: 30 POUCH in 1 PACKAGE (42858-118-30) / 1 PATCH in 1 POUCH,13.44,13.44,,,0 CDM,13252_61959000101,NDC Description Not Available,164.77,164.77,,,0 CDM,13252_65162079104,NDC Description Not Available,15.58,15.58,,,0 CDM,13252_82347050504,NDC Description Not Available,17.82,17.82,,,0 CDM,13252_82347050505,Lidocaine 5%: 30 Pouch In 1 Package (82347-0505-5) / 14 G In 1 Pouch (82347-0505-4),17.67,17.67,,,0 CDM,132535_63323039810,Azithromycin: 10 Vial In 1 Tray (63323-398-10) / 5 Ml In 1 Vial (63323-398-01),191.29,191.29,,,0 CDM,13258_16729013800,"Clonazepam: 100 Tablet In 1 Bottle, Plastic (16729-138-00)",2.75,2.75,,,0 CDM,13258_50268017511,NDC Description Not Available,3.84,3.84,,,0 CDM,13258_51079088320,Clonazepam: 100 BLISTER PACK in 1 CARTON (51079-883-20) / 1 TABLET in 1 BLISTER PACK (51079-883-01),3.91,3.91,,,0 CDM,13258_59651072401,Clonazepam: 100 Tablet In 1 Bottle (59651-724-01),2.0,2.0,,,0 CDM,13259_00904385461,"Carbamazepine: 100 Blister Pack In 1 Carton (0904-3854-61) / 1 Tablet, Chewable In 1 Blister Pack",3.31,3.31,,,0 CDM,13259_51672404101,"Carbamazepine: 100 Tablet, Chewable In 1 Bottle (51672-4041-1)",2.89,2.89,,,0 CDM,132645_50242015001,"Ocrevus: 1 Vial, Single-Use In 1 Carton (50242-150-01) / 10 Ml In 1 Vial, Single-Use",445.36,445.36,,,0 CDM,132652_00024591400,NDC Description Not Available,12740.72,12740.72,,,0 CDM,132652_00024591401,"Dupixent: 2 Syringe, Glass In 1 Carton (0024-5914-01) / 2 Ml In 1 Syringe, Glass (0024-5914-00)",4910.49,4910.49,,,0 CDM,132748_76045000903,NDC Description Not Available,59.0,59.0,,,0 CDM,132748_76045000906,Dilaudid: 10 Syringe In 1 Carton (76045-009-06) / .5 Ml In 1 Syringe (76045-009-96),11.8,11.8,,,0 CDM,132748_76045000996,NDC Description Not Available,16.76,16.76,,,0 CDM,132847_00781602194,Diluent: 1 Vial In 1 Carton (0781-6021-94) / 50 Ml In 1 Vial,151.08,151.08,,,0 CDM,132847_43598012611,Sterile Diluent For Treprostinil: 1 Vial In 1 Carton (43598-126-11) / 50 Ml In 1 Vial,171.82,171.82,,,0 CDM,132912_00078073461,"Ilaris: 1 Vial, Single-Use In 1 Carton (0078-0734-61) / 1 Ml In 1 Vial, Single-Use",575.59,575.59,,,0 CDM,132915_51754100601,Nipride Rtu: 1 Vial In 1 Vial (51754-1006-1) / 100 Ml In 1 Vial,308.0,308.0,,,0 CDM,132965_44087353501,"Bavencio: 1 Vial, Single-Dose In 1 Carton (44087-3535-1) / 10 Ml In 1 Vial, Single-Dose",655.13,655.13,,,0 CDM,13300000,Hc Triple Room,4934.0,4934.0,,,0 CDM,13304_00143921001,NDC Description Not Available,0.25,0.25,,,0 CDM,13304_63323047827,"Nesacaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-478-27) / 20 Ml In 1 Vial, Single-Dose (63323-478-01)",0.29,0.29,,,0 CDM,13314_00904646161,Promethazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6461-61) / 1 Tablet In 1 Blister Pack,3.0,3.0,,,0 CDM,13314_00904730461,Promethazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7304-61) / 1 Tablet In 1 Blister Pack,2.94,2.94,,,0 CDM,13314_68084015511,NDC Description Not Available,3.0,3.0,,,0 CDM,13317_00641617801,"Octreotide Acetate: 1 Vial, Multi-Dose In 1 Carton (0641-6178-01) / 5 Ml In 1 Vial, Multi-Dose",8.04,8.04,,,0 CDM,13317_23155068631,"Octreotide Acetate: 5 Ml In 1 Vial, Glass (23155-686-31)",6.98,6.98,,,0 CDM,13317_63323037905,"Octreotide: 1 Vial, Multi-Dose In 1 Carton (63323-379-05) / 5 Ml In 1 Vial, Multi-Dose",16.65,16.65,,,0 CDM,13326_67457022005,"Isosulfan Blue: 6 Vial, Glass In 1 Carton (67457-220-05) / 5 Ml In 1 Vial, Glass (67457-220-00)",161.38,161.38,,,0 CDM,13346_00378301701,"Captopril: 100 TABLET in 1 BOTTLE, PLASTIC (0378-3017-01)",11.69,11.69,,,0 CDM,13346_27241016201,Captopril: 100 Tablet In 1 Bottle (27241-162-01),8.68,8.68,,,0 CDM,13352_00904716806,Ursodiol: 50 Blister Pack In 1 Carton (0904-7168-06) / 1 Capsule In 1 Blister Pack,30.37,30.37,,,0 CDM,13352_00904716861,Ursodiol: 100 Blister Pack In 1 Carton (0904-7168-61) / 1 Capsule In 1 Blister Pack,27.24,27.24,,,0 CDM,13352_42291092301,Ursodiol: 100 Capsule In 1 Bottle (42291-923-01),4.35,4.35,,,0 CDM,13352_50268079711,NDC Description Not Available,25.64,25.64,,,0 CDM,13352_60687010001,"Ursodiol: 100 Blister Pack In 1 Box, Unit-Dose (60687-100-01) / 1 Capsule In 1 Blister Pack (60687-100-11)",36.92,36.92,,,0 CDM,13352_60687010011,NDC Description Not Available,36.92,36.92,,,0 CDM,13361_24208031510,"Polymyxin B Sulfate And Trimethoprim: 1 Bottle, Dropper In 1 Carton (24208-315-10) / 10 Ml In 1 Bottle, Dropper",66.65,66.65,,,0 CDM,13361_61314062810,"Polymyxin B Sulfate And Trimethoprim: 10 Ml In 1 Bottle, Plastic (61314-628-10)",64.17,64.17,,,0 CDM,133736_63323060501,NDC Description Not Available,42.43,42.43,,,0 CDM,133747_00409082911,NDC Description Not Available,22.11,22.11,,,0 CDM,133747_63323040101,NDC Description Not Available,24.17,24.17,,,0 CDM,133760_60505614600,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6146-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",29.41,29.41,,,0 CDM,133760_60505614604,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6146-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",28.57,28.57,,,0 CDM,133761_00409973501,NDC Description Not Available,16.84,16.84,,,0 CDM,133761_25021012250,"Cefepime: 10 Vial In 1 Carton (25021-122-50) / 1 Injection, Powder, For Solution In 1 Vial",16.75,16.75,,,0 CDM,133761_60505614504,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6145-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",14.75,14.75,,,0 CDM,133761_60505614700,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6147-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",23.67,23.67,,,0 CDM,133761_60505614704,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6147-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",24.36,24.36,,,0 CDM,133765_00078069802,NDC Description Not Available,1014.26,1014.26,,,0 CDM,133773_00003257016,"Azactam: 10 Vial, Single-Dose In 1 Carton (0003-2570-16) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",19.92,19.92,,,0 CDM,133773_00409083011,NDC Description Not Available,22.43,22.43,,,0 CDM,133774_55150020720,"Meropenem: 10 Vial In 1 Carton (55150-207-20) / 1 Injection, Powder, For Solution In 1 Vial",11.8,11.8,,,0 CDM,133774_63323050701,NDC Description Not Available,11.8,11.8,,,0 CDM,133774_63323050720,Meropenem: 10 Vial In 1 Carton (63323-507-20) / 10 Ml In 1 Vial (63323-507-01),11.8,11.8,,,0 CDM,133775_55150020830,"Meropenem: 10 Vial In 1 Carton (55150-208-30) / 1 Injection, Powder, For Solution In 1 Vial",7.37,7.37,,,0 CDM,133775_63323050801,NDC Description Not Available,5.73,5.73,,,0 CDM,133775_63323050831,Meropenem: 10 Vial In 1 Carton (63323-508-31) / 20 Ml In 1 Vial (63323-508-21),5.9,5.9,,,0 CDM,133775_70121145301,NDC Description Not Available,7.37,7.37,,,0 CDM,133779_00409733201,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7332-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7332-11)",14.0,14.0,,,0 CDM,133779_00409733211,NDC Description Not Available,14.7,14.7,,,0 CDM,133779_00409733221,NDC Description Not Available,14.75,14.75,,,0 CDM,133779_00781320885,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (0781-3208-85) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",14.75,14.75,,,0 CDM,133779_60505614800,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (60505-6148-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",14.75,14.75,,,0 CDM,133782_00143985601,NDC Description Not Available,7.38,7.38,,,0 CDM,133782_00409733513,NDC Description Not Available,7.38,7.38,,,0 CDM,133782_00781320990,NDC Description Not Available,7.38,7.38,,,0 CDM,133782_60505614900,NDC Description Not Available,7.38,7.38,,,0 CDM,133784_00143926201,NDC Description Not Available,29.5,29.5,,,0 CDM,133784_00143992490,Cefazolin: 3 Ml In 1 Vial (0143-9924-90),18.57,18.57,,,0 CDM,133784_44567070725,"Cefazolin: 25 Vial In 1 Carton (44567-707-25) / 1 Injection, Powder, For Solution In 1 Vial",14.75,14.75,,,0 CDM,133784_60505074905,"Cefazolin: 25 VIAL, SINGLE-DOSE in 1 CARTON (60505-0749-5) / 3 mL in 1 VIAL, SINGLE-DOSE",14.75,14.75,,,0 CDM,133784_60505614200,NDC Description Not Available,15.73,15.73,,,0 CDM,133786_00409508211,NDC Description Not Available,29.5,29.5,,,0 CDM,133786_44567023525,"Ceftazidime: 25 Vial In 1 Carton (44567-235-25) / 1 Injection, Powder, For Solution In 1 Vial",29.5,29.5,,,0 CDM,133787_00409508413,NDC Description Not Available,16.0,16.0,,,0 CDM,133787_25021012850,"Ceftazidime: 10 Vial In 1 Carton (25021-128-50) / 1 Injection, Powder, For Solution In 1 Vial",18.42,18.42,,,0 CDM,133787_44567023610,"Ceftazidime: 10 Vial In 1 Carton (44567-236-10) / 1 Injection, Powder, For Solution In 1 Vial",16.75,16.75,,,0 CDM,133843_63323059303,"Glucagon: 1 Kit In 1 Carton (63323-593-03) * 1 Ml In 1 Vial, Single-Dose (63323-596-03) * 1 Ml In 1 Vial, Single-Dose (63323-185-03)",1536.45,1536.45,,,0 CDM,133843_63323059603,NDC Description Not Available,1692.96,1692.96,,,0 CDM,133843_63323059606,NDC Description Not Available,542.7,542.7,,,0 CDM,133843_63323059611,NDC Description Not Available,1485.06,1485.06,,,0 CDM,133848_00052060202,Tice Bcg: 1 Vial In 1 Carton (0052-0602-02) / 50 Ml In 1 Vial (0052-0602-01),61.9,61.9,,,0 CDM,133849_63323001002,Gentamicin: 25 Vial In 1 Tray (63323-010-02) / 2 Ml In 1 Vial (63323-010-01),62.78,62.78,,,0 CDM,133849_63323001003,NDC Description Not Available,63.7,63.7,,,0 CDM,133855_50242013201,"Herceptin: 1 Vial, Single-Dose In 1 Carton (50242-132-01) / 15 Ml In 1 Vial, Single-Dose",695.0,695.0,,,0 CDM,133974_99999003925,NDC Description Not Available,193.0,193.0,,,0 CDM,133975_99999003926,NDC Description Not Available,21.05,21.05,,,0 CDM,133980_00904663861,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6638-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.71,5.71,,,0 CDM,133987_59572071030,"Idhifa: 30 Tablet, Film Coated In 1 Bottle (59572-710-30)",7025.53,7025.53,,,0 CDM,134028_00074262500,NDC Description Not Available,974.27,974.27,,,0 CDM,134028_00074262528,"Mavyret: 4 Carton In 1 Carton (0074-2625-28) / 7 Dose Pack In 1 Carton / 3 Tablet, Film Coated In 1 Dose Pack",974.29,974.29,,,0 CDM,134036_63323001003,NDC Description Not Available,48.25,48.25,,,0 CDM,134037_63323001002,Gentamicin: 25 Vial In 1 Tray (63323-010-02) / 2 Ml In 1 Vial (63323-010-01),38.6,38.6,,,0 CDM,134037_63323001003,NDC Description Not Available,38.83,38.83,,,0 CDM,134047_50242015001,"Ocrevus: 1 Vial, Single-Use In 1 Carton (50242-150-01) / 10 Ml In 1 Vial, Single-Use",4128.2,4128.2,,,0 CDM,134056_71287011901,NDC Description Not Available,3105000.0,3105000.0,,,0 CDM,13405_00832121601,Jantoven: 100 Blister Pack In 1 Carton (0832-1216-01) / 1 Tablet In 1 Blister Pack (0832-1216-89),5.47,5.47,,,0 CDM,13405_00832121689,NDC Description Not Available,5.56,5.56,,,0 CDM,13405_62584099411,NDC Description Not Available,5.52,5.52,,,0 CDM,134062_00008010001,"Besponsa: 1 Vial, Single-Dose In 1 Carton (0008-0100-01) / 4 Ml In 1 Vial, Single-Dose",16770.93,16770.93,,,0 CDM,134111_99999003981,NDC Description Not Available,193.0,193.0,,,0 CDM,134112_99999003982,NDC Description Not Available,193.0,193.0,,,0 CDM,134142_00008451001,"Mylotarg: 1 Vial, Single-Dose In 1 Carton (0008-4510-01) / 5 Ml In 1 Vial, Single-Dose",1484.27,1484.27,,,0 CDM,134147_00574113316,Spironolactone: 473 Ml In 1 Bottle (0574-1133-16),29.27,29.27,,,0 CDM,134147_46287002001,Carospir: 473 Ml In 1 Bottle (46287-020-01),36.4,36.4,,,0 CDM,13414_00065002315,"Miostat: 12 Vial, Glass In 1 Carton (0065-0023-15) / 1.5 Ml In 1 Vial, Glass",296.16,296.16,,,0 CDM,13419_70515026210,Lanoxin: 10 Ampule In 1 Box (70515-262-10) / 1 Ml In 1 Ampule,103.68,103.68,,,0 CDM,134244_00310450012,Imfinzi: 1 Vial In 1 Carton (0310-4500-12) / 2.4 Ml In 1 Vial,558.25,558.25,,,0 CDM,134244_00310461150,Imfinzi: 1 Vial In 1 Carton (0310-4611-50) / 10 Ml In 1 Vial,557.16,557.16,,,0 CDM,13428_00597004137,Micardis: 3 Blister Pack In 1 Carton (0597-0041-37) / 10 Tablet In 1 Blister Pack,28.99,28.99,,,0 CDM,13436_00093542088,Cabergoline: 1 Bottle In 1 Carton (0093-5420-88) / 8 Tablet In 1 Bottle,1.77,1.77,,,0 CDM,134374_09999007085,NDC Description Not Available,231.82,231.82,,,0 CDM,134374_70092111675,NDC Description Not Available,231.82,231.82,,,0 CDM,134376_55513015001,NDC Description Not Available,601.9,601.9,,,0 CDM,134376_55513016001,Blincyto: 1 Kit In 1 Package (55513-160-01) * 3.088 Ml In 1 Vial (55513-150-01) * 10.6 Ml In 1 Vial (55513-155-01),989.29,989.29,,,0 CDM,134437_55292070254,NDC Description Not Available,209.43,209.43,,,0 CDM,134437_55292070255,Panhematin: 1 Vial In 1 Carton (55292-702-55) / 48 Ml In 1 Vial (55292-702-54),209.43,209.43,,,0 CDM,134504_24338015001,NDC Description Not Available,8299.69,8299.69,,,0 CDM,134504_24338015020,"Triptodur: 1 Kit In 1 Carton (24338-150-20) * 2 Ml In 1 Vial * 2 Ml In 1 Syringe, Glass",10307.03,10307.03,,,0 CDM,134551_70004081022,NDC Description Not Available,0.97,0.97,,,0 CDM,1346_54482014801,"Carnitor Sf: 24 Bottle, Plastic In 1 Case (54482-148-01) / 118 Ml In 1 Bottle, Plastic",12.01,12.01,,,0 CDM,134713_70092165844,NDC Description Not Available,75.58,75.58,,,0 CDM,134732_32909072403,"Readi-Cat 2: 24 BOTTLE, PLASTIC in 1 CARTON (32909-724-03) / 450 mL in 1 BOTTLE, PLASTIC",27.9,27.9,,,0 CDM,13490_00409371801,"Ampicillin: 10 Vial, Glass In 1 Package (0409-3718-01) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0409-3718-10)",193.0,193.0,,,0 CDM,13490_00781340778,NDC Description Not Available,190.56,190.56,,,0 CDM,13497_00143983001,"Methotrexate: 1 Vial In 1 Box (0143-9830-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",21.3,21.3,,,0 CDM,13497_63323012250,"Methotrexate: 1 Vial In 1 Carton (63323-122-50) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",21.3,21.3,,,0 CDM,134_00904627761,"Quetiapine fumarate: 100 BLISTER PACK in 1 CARTON (0904-6277-61) / 1 TABLET, FILM COATED in 1 BLISTER PACK",3.75,3.75,,,0 CDM,134_00904663861,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6638-61) / 1 Tablet, Film Coated In 1 Blister Pack",3.89,3.89,,,0 CDM,134_16729014501,"Quetiapine: 100 Tablet, Film Coated In 1 Bottle (16729-145-01)",4.1,4.1,,,0 CDM,13507_00409163802,Precedex: 25 Vial In 1 Tray (0409-1638-02) / 2 Ml In 1 Vial (0409-1638-32),40.58,40.58,,,0 CDM,13507_55150020902,Dexmedetomidine: 25 Vial In 1 Carton (55150-209-02) / 2 Ml In 1 Vial,48.26,48.26,,,0 CDM,13507_66794023002,NDC Description Not Available,35.18,35.18,,,0 CDM,13507_67457025100,NDC Description Not Available,112.83,112.83,,,0 CDM,13507_67457025102,"Dexmedetomidine: 25 Vial, Glass In 1 Carton (67457-251-02) / 2 Ml In 1 Vial, Glass (67457-251-00)",112.83,112.83,,,0 CDM,13517_00338130501,"Mesnex: 1 Vial, Multi-Dose In 1 Box (0338-1305-01) / 10 Ml In 1 Vial, Multi-Dose",45.4,45.4,,,0 CDM,13517_10019095301,"Mesna: 1 Vial, Multi-Dose In 1 Box (10019-953-01) / 10 Ml In 1 Vial, Multi-Dose (10019-953-62)",41.59,41.59,,,0 CDM,13517_10019095362,NDC Description Not Available,44.8,44.8,,,0 CDM,13517_25021020110,Mesna: 1 Vial In 1 Carton (25021-201-10) / 10 Ml In 1 Vial,38.29,38.29,,,0 CDM,13521_00074706911,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7069-11) / 10 Tablet In 1 Blister Pack",10.01,10.01,,,0 CDM,13521_00074706990,Synthroid: 90 Tablet In 1 Bottle (0074-7069-90),10.28,10.28,,,0 CDM,13521_00904695661,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6956-61) / 1 Tablet In 1 Blister Pack,5.82,5.82,,,0 CDM,13521_51079044501,NDC Description Not Available,5.79,5.79,,,0 CDM,13521_60687053011,NDC Description Not Available,5.87,5.87,,,0 CDM,13540_00517231001,NDC Description Not Available,3.97,3.97,,,0 CDM,13540_00517231005,"Venofer: 5 Vial, Single-Dose In 1 Box (0517-2310-05) / 10 Ml In 1 Vial, Single-Dose (0517-2310-01)",4.1,4.1,,,0 CDM,13540_00517234001,"Venofer: 1 Vial, Single-Dose In 1 Box (0517-2340-01) / 5 Ml In 1 Vial, Single-Dose",4.15,4.15,,,0 CDM,13540_00517234010,"Venofer: 10 Vial, Single-Dose In 1 Box (0517-2340-10) / 5 Ml In 1 Vial, Single-Dose",4.16,4.16,,,0 CDM,13540_00517234025,"Venofer: 25 Vial, Single-Dose In 1 Tray (0517-2340-25) / 5 Ml In 1 Vial, Single-Dose",4.1,4.1,,,0 CDM,13551_00054001020,Flecainide Acetate: 100 Blister Pack In 1 Carton (0054-0010-20) / 1 Tablet In 1 Blister Pack,5.34,5.34,,,0 CDM,13556_00904641292,"Major Regular Strength Assorted Flavors: 150 Tablet, Chewable In 1 Bottle, Plastic (0904-6412-92)",3.55,3.55,,,0 CDM,13556_66553000401,NDC Description Not Available,3.63,3.63,,,0 CDM,13556_68084098833,NDC Description Not Available,4.97,4.97,,,0 CDM,135603_00409338511,NDC Description Not Available,23.36,23.36,,,0 CDM,135603_00781311390,NDC Description Not Available,19.67,19.67,,,0 CDM,135603_44567080210,"Piperacillin And Tazobactam: 10 Vial In 1 Box (44567-802-10) / 1 Injection, Powder, For Solution In 1 Vial",19.67,19.67,,,0 CDM,135603_55150012030,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-120-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",19.67,19.67,,,0 CDM,135604_00409339011,NDC Description Not Available,23.35,23.35,,,0 CDM,135604_00781311491,NDC Description Not Available,14.75,14.75,,,0 CDM,135604_00781311495,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0781-3114-95) / 20 Ml In 1 Vial, Single-Use (0781-3114-91)",15.13,15.13,,,0 CDM,135604_44567080310,"Piperacillin And Tazobactam: 10 Vial In 1 Box (44567-803-10) / 1 Injection, Powder, For Solution In 1 Vial",14.75,14.75,,,0 CDM,135604_60505615900,NDC Description Not Available,20.54,20.54,,,0 CDM,135604_65219025905,NDC Description Not Available,17.72,17.72,,,0 CDM,135604_81284015300,NDC Description Not Available,14.75,14.75,,,0 CDM,13563_54288014701,Methylene Blue: 1 Vial In 1 Carton (54288-147-01) / 10 Ml In 1 Vial,34.64,34.64,,,0 CDM,135655_00143950901,NDC Description Not Available,2.95,2.95,,,0 CDM,135655_00409205105,"Ketamine Hydrochloride: 10 Vial, Multi-Dose In 1 Box (0409-2051-05) / 5 Ml In 1 Vial, Multi-Dose (0409-2051-15)",2.96,2.96,,,0 CDM,135718_58160081912,Shingrix: 1 Kit In 1 Carton (58160-819-12) * .5 Ml In 1 Vial (58160-828-01) * .5 Ml In 1 Vial (58160-829-01),1325.93,1325.93,,,0 CDM,135718_58160082311,Shingrix: 1 Kit In 1 Carton (58160-823-11) * .5 Ml In 1 Vial (58160-828-03) * .5 Ml In 1 Vial (58160-829-03),1358.75,1358.75,,,0 CDM,135718_58160082801,NDC Description Not Available,1325.93,1325.93,,,0 CDM,135718_58160082803,NDC Description Not Available,1356.03,1356.03,,,0 CDM,1357_00068059701,"Rifadin Iv: 1 Vial, Glass In 1 Carton (0068-0597-01) / 10 Ml In 1 Vial, Glass",58.3,58.3,,,0 CDM,13584_00173071820,"Flovent Hfa: 1 Inhaler In 1 Carton (0173-0718-20) / 120 Aerosol, Metered In 1 Inhaler",1268.14,1268.14,,,0 CDM,13584_66993007896,"Fluticasone Propionate Hfa: 1 Inhaler In 1 Carton (66993-078-96) / 120 Aerosol, Metered In 1 Inhaler",824.27,824.27,,,0 CDM,135891_73562011201,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-112-01)",50.38,50.38,,,0 CDM,135895_73562011101,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-111-01)",36.79,36.79,,,0 CDM,135896_73562011001,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-110-01)",25.64,25.64,,,0 CDM,135897_73562011501,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-115-01)",12.86,12.86,,,0 CDM,135905_00781340795,"Ampicillin: 10 Vial, Glass In 1 Package (0781-3407-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-3407-78)",56.77,56.77,,,0 CDM,135920_01698602080,NDC Description Not Available,120.04,120.04,,,0 CDM,135920_08913020201,NDC Description Not Available,122.33,122.33,,,0 CDM,136189_00006307502,"Prevymis: 4 Dose Pack In 1 Carton (0006-3075-02) / 7 Tablet, Film Coated In 1 Dose Pack (0006-3075-01)",953.57,953.57,,,0 CDM,136189_00006307503,NDC Description Not Available,1635.48,1635.48,,,0 CDM,136190_00006307603,NDC Description Not Available,1650.48,1650.48,,,0 CDM,136190_00006307604,"Prevymis: 14 Blister Pack In 1 Carton (0006-3076-04) / 1 Tablet, Film Coated In 1 Blister Pack (0006-3076-03)",1654.23,1654.23,,,0 CDM,136199_47426020101,"Cinvanti: 1 Vial, Glass In 1 Carton (47426-201-01) / 18 Ml In 1 Vial, Glass",22.68,22.68,,,0 CDM,136207_00310173030,"Fasenra: 1 Syringe, Glass In 1 Carton (0310-1730-30) / 1 Ml In 1 Syringe, Glass",804.06,804.06,,,0 CDM,136276_73562011401,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-114-01)",98.78,98.78,,,0 CDM,136306_63459060111,NDC Description Not Available,648.36,648.36,,,0 CDM,136361_07431258913,NDC Description Not Available,2.0,2.0,,,0 CDM,136376_68982034701,"Fibryga: 1 Kit In 1 Carton (68982-347-01) * 50 Ml In 1 Bottle, Glass (68982-348-01)",7.37,7.37,,,0 CDM,136388_00003373413,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3734-13) / 24 Ml In 1 Vial, Single-Dose",213.22,213.22,,,0 CDM,1363_42023010301,NDC Description Not Available,1553.48,1553.48,,,0 CDM,13648_00591299801,Ursodiol: 100 Tablet In 1 Bottle (0591-2998-01),13.31,13.31,,,0 CDM,13648_60687052711,NDC Description Not Available,21.08,21.08,,,0 CDM,13648_60687052721,"Ursodiol: 30 Blister Pack In 1 Box, Unit-Dose (60687-527-21) / 1 Tablet In 1 Blister Pack (60687-527-11)",18.43,18.43,,,0 CDM,13653_62559013807,Hydrocortisone: 7 Bottle In 1 Box (62559-138-07) / 60 Ml In 1 Bottle (62559-138-11),132.81,132.81,,,0 CDM,13654_70752010212,Albuterol Sulfate: 473 Ml In 1 Bottle (70752-102-12),6.0,6.0,,,0 CDM,13657_00046110281,"Premarin: 100 Tablet, Film Coated In 1 Bottle (0046-1102-81)",43.85,43.85,,,0 CDM,13659_63739067310,"Losortan Potassium: 10 Blister Pack In 1 Box, Unit-Dose (63739-673-10) / 10 Tablet, Film Coated In 1 Blister Pack",5.22,5.22,,,0 CDM,13659_65862020199,"Losartan Potassium: 1000 Tablet, Film Coated In 1 Bottle (65862-201-99)",5.36,5.36,,,0 CDM,13659_68084034611,NDC Description Not Available,5.12,5.12,,,0 CDM,136919_63739054410,"Spironolactone: 10 Blister Pack In 1 Box, Unit-Dose (63739-544-10) / 10 Tablet In 1 Blister Pack",5.98,5.98,,,0 CDM,136929_00904052260,NDC Description Not Available,6.0,6.0,,,0 CDM,136930_00517234010,"Venofer: 10 Vial, Single-Dose In 1 Box (0517-2340-10) / 5 Ml In 1 Vial, Single-Dose",3.22,3.22,,,0 CDM,137007_00904632261,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6322-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",5.94,5.94,,,0 CDM,137071_57962001428,"Imbruvica: 1 Blister Pack In 1 Carton (57962-014-28) / 28 Tablet, Film Coated In 1 Blister Pack",2268.49,2268.49,,,0 CDM,137073_57962042028,"Imbruvica: 1 Blister Pack In 1 Carton (57962-420-28) / 28 Tablet, Film Coated In 1 Blister Pack",3716.69,3716.69,,,0 CDM,137115_61958250101,"Biktarvy: 30 Tablet In 1 Bottle, Plastic (61958-2501-1)",837.16,837.16,,,0 CDM,137118_64764030020,"Entyvio: 1 Vial, Single-Dose In 1 Carton (64764-300-20) / 5 Ml In 1 Vial, Single-Dose",9359.91,9359.91,,,0 CDM,137124_09999006364,NDC Description Not Available,5.99,5.99,,,0 CDM,137142_57894003001,"Remicade: 1 Vial, Single-Use In 1 Box (57894-030-01) / 10 Ml In 1 Vial, Single-Use",479.11,479.11,,,0 CDM,137150_00268024705,"Histamine Positive Skin Test Control: 5 Ml In 1 Vial, Multi-Dose (0268-0247-05)",2379.34,2379.34,,,0 CDM,137153_50242003706,NDC Description Not Available,1077.45,1077.45,,,0 CDM,137153_50242012047,"Tnkase: 1 Kit In 1 Carton (50242-120-47) * 1 Vial, Single-Use In 1 Carton (50242-037-06) / 10 Ml In 1 Vial, Single-Use * 1 Vial, Single-Use In 1 Carton (50242-901-09) / 10 Ml In 1 Vial, Single-Us",1048.9,1048.9,,,0 CDM,137168_67157010150,"Ascor: 1 Vial, Glass In 1 Carton (67157-101-50) / 50 Ml In 1 Vial, Glass",297.34,297.34,,,0 CDM,13716_50633012011,"Digifab: 1 Vial, Glass In 1 Carton (50633-120-11) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass (50633-120-12)",30813.3,30813.3,,,0 CDM,137180_68547050102,"Giapreza: 1 Vial, Single-Dose In 1 Carton (68547-501-02) / 1 Ml In 1 Vial, Single-Dose",11053.32,11053.32,,,0 CDM,137181_70092143350,NDC Description Not Available,2.25,2.25,,,0 CDM,137222_08068104900,NDC Description Not Available,6.0,6.0,,,0 CDM,137222_08068111600,NDC Description Not Available,6.0,6.0,,,0 CDM,137222_54629005001,NDC Description Not Available,6.0,6.0,,,0 CDM,13726_50268043011,NDC Description Not Available,3.89,3.89,,,0 CDM,13726_50268043015,"Indomethacin: 50 Blister Pack In 1 Box, Unit-Dose (50268-430-15) / 1 Capsule In 1 Blister Pack (50268-430-11)",5.74,5.74,,,0 CDM,13726_63629191301,Indomethacin: 100 Capsule In 1 Bottle (63629-1913-1),4.78,4.78,,,0 CDM,137320_62064012201,NDC Description Not Available,510.71,510.71,,,0 CDM,137320_62064012202,"Trogarzo: 2 Vial, Single-Use In 1 Carton (62064-122-02) / 1.33 Ml In 1 Vial, Single-Use (62064-122-01)",500.87,500.87,,,0 CDM,137341_62327033303,NDC Description Not Available,951.4,951.4,,,0 CDM,137342_62327044404,NDC Description Not Available,985.8,985.8,,,0 CDM,13735_57237010601,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (57237-106-01)",3.1,3.1,,,0 CDM,13735_60687021111,NDC Description Not Available,4.77,4.77,,,0 CDM,13735_62756079688,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (62756-796-88)",2.24,2.24,,,0 CDM,137435_25357002503,"Photrexa Cross-Linking Kit: 2 Pouch In 1 Box (25357-025-03) / 1 Pouch In 1 Pouch / 1 Syringe, Glass In 1 Pouch / 1 Kit In 1 Syringe, Glass",13076.84,13076.84,,,0 CDM,137443_13533031801,Hyperrab: 1 Vial In 1 Carton (13533-318-01) / 1 Ml In 1 Vial (13533-318-10),315.58,315.58,,,0 CDM,137443_13533031805,Hyperrab: 1 Vial In 1 Carton (13533-318-05) / 5 Ml In 1 Vial (13533-318-50),336.94,336.94,,,0 CDM,137443_13533031850,NDC Description Not Available,319.83,319.83,,,0 CDM,13760_49938010230,Dapsone: 2 Blister Pack In 1 Carton (49938-102-30) / 15 Tablet In 1 Blister Pack,14.15,14.15,,,0 CDM,13760_70954013510,Dapsone: 30 Tablet In 1 Bottle (70954-135-10),6.1,6.1,,,0 CDM,13760_70954013520,Dapsone: 100 Tablet In 1 Bottle (70954-135-20),5.49,5.49,,,0 CDM,13768_00409493311,NDC Description Not Available,59.0,59.0,,,0 CDM,13768_76329331601,Epinephrine: 10 VIAL in 1 PACKAGE (76329-3316-1) / 10 mL in 1 VIAL,12.01,12.01,,,0 CDM,13768_76329331801,Epinephrine: 10 Carton In 1 Package (76329-3318-1) / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,13.62,13.62,,,0 CDM,137877_51754050001,Caffeine Citrate: 1 Vial In 1 Carton (51754-0500-1) / 3 Ml In 1 Vial,13.4,13.4,,,0 CDM,137923_09999006027,NDC Description Not Available,6.0,6.0,,,0 CDM,137923_99999004283,NDC Description Not Available,6.0,6.0,,,0 CDM,137923_99999005194,NDC Description Not Available,6.0,6.0,,,0 CDM,137923_99999005514,NDC Description Not Available,5.98,5.98,,,0 CDM,137959_00093551798,"Sildenafil: 90 Tablet, Film Coated In 1 Bottle (0093-5517-98)",5.84,5.84,,,0 CDM,13795_00143963701,NDC Description Not Available,10.53,10.53,,,0 CDM,13795_00143978501,NDC Description Not Available,22.6,22.6,,,0 CDM,13795_00143978510,"Valproate Sodium: 10 Vial, Single-Dose In 1 Carton (0143-9785-10) / 5 Ml In 1 Vial, Single-Dose (0143-9785-01)",22.82,22.82,,,0 CDM,13795_63323049401,NDC Description Not Available,8.98,8.98,,,0 CDM,13795_70860078441,NDC Description Not Available,9.67,9.67,,,0 CDM,137960_00904634061,Metoprolol Tartrate: 100 BLISTER PACK in 1 CARTON (0904-6340-61) / 1 TABLET in 1 BLISTER PACK,5.92,5.92,,,0 CDM,137961_00904663861,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6638-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.71,5.71,,,0 CDM,13798_00009370105,"Caverject: 6 Vial, Single-Dose In 1 Package (0009-3701-05) / 1 Ml In 1 Vial, Single-Dose (0009-3701-08)",77.11,77.11,,,0 CDM,138013_70255001002,"Mektovi: 1 Bottle In 1 Carton (70255-010-02) / 180 Tablet, Film Coated In 1 Bottle",268.8,268.8,,,0 CDM,138018_99999004327,NDC Description Not Available,1100.55,1100.55,,,0 CDM,13804_08068110000,NDC Description Not Available,0.47,0.47,,,0 CDM,13804_56151161011,NDC Description Not Available,9.24,9.24,,,0 CDM,13804_56151161211,NDC Description Not Available,9.24,9.24,,,0 CDM,138062_25021017915,Daptomycin: 1 Vial In 1 Carton (25021-179-15) / 7 Ml In 1 Vial,1.48,1.48,,,0 CDM,138062_25021017916,Daptomycin: 10 Vial In 1 Carton (25021-179-16) / 7 Ml In 1 Vial,1.48,1.48,,,0 CDM,138062_43598047611,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (43598-476-11) / 7 Ml In 1 Vial, Single-Dose",0.77,0.77,,,0 CDM,138069_64950036204,"Cocaine Hydrochloride: 1 Bottle, Glass In 1 Carton (64950-362-04) / 4 Ml In 1 Bottle, Glass",9.49,9.49,,,0 CDM,13806_00378007801,"Carbidopa And Levodopa: 100 Tablet In 1 Bottle, Plastic (0378-0078-01)",6.0,6.0,,,0 CDM,13806_42291046501,Carbidopa and levodopa: 100 TABLET in 1 BOTTLE (42291-465-01),6.0,6.0,,,0 CDM,13806_50228045701,Carbidopa And Levodopa: 100 Tablet In 1 Bottle (50228-457-01),6.0,6.0,,,0 CDM,13806_59651045601,Carbidopa And Levodopa: 100 Tablet In 1 Bottle (59651-456-01),6.0,6.0,,,0 CDM,138070_00023608201,NDC Description Not Available,119.3,119.3,,,0 CDM,138070_00023608210,"Infed: 10 Vial, Single-Dose In 1 Carton (0023-6082-10) / 2 Ml In 1 Vial, Single-Dose (0023-6082-01)",120.06,120.06,,,0 CDM,138115_00115101101,Baclofen: 100 Tablet In 1 Bottle (0115-1011-01),3.33,3.33,,,0 CDM,138115_50268010511,NDC Description Not Available,8.84,8.84,,,0 CDM,138115_52817031910,Baclofen: 100 Tablet In 1 Bottle (52817-319-10),5.76,5.76,,,0 CDM,138115_60687080411,NDC Description Not Available,8.87,8.87,,,0 CDM,138170_00069130501,NDC Description Not Available,12.85,12.85,,,0 CDM,138170_00069130510,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1305-10) / 1 Ml In 1 Vial, Single-Dose (0069-1305-01)",73.9,73.9,,,0 CDM,138170_59353000210,"Retacrit: 10 Vial, Single-Dose In 1 Carton (59353-002-10) / 1 Ml In 1 Vial, Single-Dose (59353-002-01)",73.9,73.9,,,0 CDM,138171_00069130601,NDC Description Not Available,8.63,8.63,,,0 CDM,138171_59353000301,NDC Description Not Available,7.39,7.39,,,0 CDM,138172_00069130701,NDC Description Not Available,7.73,7.73,,,0 CDM,138172_00069130710,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1307-10) / 1 Ml In 1 Vial, Single-Dose (0069-1307-01)",7.39,7.39,,,0 CDM,138172_59353000401,NDC Description Not Available,7.39,7.39,,,0 CDM,138173_00069130801,NDC Description Not Available,10.7,10.7,,,0 CDM,138173_00069130810,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1308-10) / 1 Ml In 1 Vial, Single-Dose (0069-1308-01)",73.9,73.9,,,0 CDM,138173_59353001001,NDC Description Not Available,73.9,73.9,,,0 CDM,138174_00069130901,NDC Description Not Available,68.24,68.24,,,0 CDM,138174_00069130904,"Retacrit: 4 Vial, Single-Dose In 1 Carton (0069-1309-04) / 1 Ml In 1 Vial, Single-Dose (0069-1309-01)",73.9,73.9,,,0 CDM,138272_83257000541,Fulphila: 1 Syringe In 1 Carton (83257-005-41) / .6 Ml In 1 Syringe,1144.99,1144.99,,,0 CDM,138273_00069100201,"Xeljanz: 60 Tablet, Film Coated In 1 Bottle (0069-1002-01)",597.68,597.68,,,0 CDM,138377_59676080030,"Symtuza: 30 Tablet, Film Coated In 1 Bottle (59676-800-30)",974.83,974.83,,,0 CDM,13855_00440162620,NDC Description Not Available,2.0,2.0,,,0 CDM,13855_00904585361,Ibuprofen: 100 Blister Pack In 1 Carton (0904-5853-61) / 1 Tablet In 1 Blister Pack,1.25,1.25,,,0 CDM,13855_52605012105,"Ibuprofen: 500 TABLET, FILM COATED in 1 BOTTLE (52605-121-05)",1.0,1.0,,,0 CDM,13855_59651036001,Ibuprofen: 100 Tablet In 1 Bottle (59651-360-01),1.0,1.0,,,0 CDM,13855_60687044601,"Ibuprofen: 100 Blister Pack In 1 Box, Unit-Dose (60687-446-01) / 1 Tablet In 1 Blister Pack (60687-446-11)",1.0,1.0,,,0 CDM,13855_60687044611,NDC Description Not Available,1.2,1.2,,,0 CDM,13855_65162046410,Ibuprofen: 100 Tablet In 1 Bottle (65162-464-10),1.34,1.34,,,0 CDM,13855_66267011615,NDC Description Not Available,1.33,1.33,,,0 CDM,13855_66267011620,IBU: 20 TABLET in 1 BOTTLE (66267-116-20),2.0,2.0,,,0 CDM,13855_66267011640,IBU: 40 TABLET in 1 BOTTLE (66267-116-40),1.0,1.0,,,0 CDM,1386_00228212710,Clonidine Hydrochloride: 100 Tablet In 1 Bottle (0228-2127-10),4.23,4.23,,,0 CDM,1386_00904744261,Clonidine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7442-61) / 1 Tablet In 1 Blister Pack,3.95,3.95,,,0 CDM,1386_60687011311,NDC Description Not Available,4.32,4.32,,,0 CDM,13875_00143117201,Captopril: 100 Tablet In 1 Bottle (0143-1172-01),6.73,6.73,,,0 CDM,13875_00904710661,Captopril: 100 Blister Pack In 1 Carton (0904-7106-61) / 1 Tablet In 1 Blister Pack,9.29,9.29,,,0 CDM,13875_31722014201,Captopril: 100 Tablet In 1 Bottle (31722-142-01),5.79,5.79,,,0 CDM,138762_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,39.33,39.33,,,0 CDM,138762_00002751017,Humalog: 1 Vial In 1 Carton (0002-7510-17) / 3 Ml In 1 Vial,51.06,51.06,,,0 CDM,138762_00002753301,Humalog: 1 Vial In 1 Carton (0002-7533-01) / 3 Ml In 1 Vial,51.27,51.27,,,0 CDM,138762_00024592605,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,50.89,50.89,,,0 CDM,138763_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,22.24,22.24,,,0 CDM,138763_00002751017,Humalog: 1 Vial In 1 Carton (0002-7510-17) / 3 Ml In 1 Vial,92.02,92.02,,,0 CDM,138763_00002753301,Humalog: 1 Vial In 1 Carton (0002-7533-01) / 3 Ml In 1 Vial,22.3,22.3,,,0 CDM,138763_00002773701,Insulin Lispro: 1 Vial In 1 Carton (0002-7737-01) / 10 Ml In 1 Vial,8.38,8.38,,,0 CDM,138763_00024592605,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,43.81,43.81,,,0 CDM,138766_00338104902,"Nitroglycerin In Dextrose: 12 Bottle, Glass In 1 Box (0338-1049-02) / 250 Ml In 1 Bottle, Glass",193.0,193.0,,,0 CDM,138775_00049053028,"Pfizerpen: 1 Vial In 1 Carton (0049-0530-28) / 1 Powder, For Solution In 1 Vial",38.6,38.6,,,0 CDM,138826_00904600761,Lorazepam: 100 Blister Pack In 1 Carton (0904-6007-61) / 1 Tablet In 1 Blister Pack,6.0,6.0,,,0 CDM,138826_63739049910,"Lorazepam: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-499-10) / 10 TABLET in 1 BLISTER PACK",5.69,5.69,,,0 CDM,138855_63739026310,"Clonazepam: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-263-10) / 10 TABLET in 1 BLISTER PACK",4.14,4.14,,,0 CDM,138891_00069005902,NDC Description Not Available,5.9,5.9,,,0 CDM,138891_00409272301,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2723-01) / 1 Ml In 1 Vial, Single-Dose (0409-2723-30)",5.9,5.9,,,0 CDM,138891_00409272302,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Tray (0409-2723-02) / 10 Ml In 1 Vial, Multi-Dose (0409-2723-31)",5.9,5.9,,,0 CDM,138891_00409272330,NDC Description Not Available,5.9,5.9,,,0 CDM,138891_00409272331,NDC Description Not Available,5.9,5.9,,,0 CDM,138891_63323026203,NDC Description Not Available,6.29,6.29,,,0 CDM,138891_63323026206,Heparin Sodium: 25 Vial In 1 Tray (63323-262-06) / 1 Ml In 1 Vial (63323-262-03),5.57,5.57,,,0 CDM,138891_71288040302,"Heparin Sodium: 25 Vial, Single-Dose In 1 Carton (71288-403-02) / 1 Ml In 1 Vial, Single-Dose (71288-403-01)",5.9,5.9,,,0 CDM,138891_71288040310,NDC Description Not Available,5.9,5.9,,,0 CDM,138903_00002021301,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-0213-01) / 3 Ml In 1 Vial, Multi-Dose",47.2,47.2,,,0 CDM,138903_00002821501,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-01) / 10 Ml In 1 Vial, Multi-Dose",43.03,43.03,,,0 CDM,138903_00002821517,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-17) / 3 Ml In 1 Vial, Multi-Dose",59.0,59.0,,,0 CDM,138903_00169183311,Novolin R: 1 Vial In 1 Carton (0169-1833-11) / 10 Ml In 1 Vial,25.8,25.8,,,0 CDM,138903_50090049700,Novolin R: 1 Vial In 1 Carton (50090-0497-0) / 10 Ml In 1 Vial,59.0,59.0,,,0 CDM,138949_63323054031,Heparin Sodium: 25 Vial In 1 Tray (63323-540-31) / 30 Ml In 1 Vial,1.59,1.59,,,0 CDM,138953_00409272301,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2723-01) / 1 Ml In 1 Vial, Single-Dose (0409-2723-30)",19.67,19.67,,,0 CDM,138953_63323026203,NDC Description Not Available,19.67,19.67,,,0 CDM,138953_63323026206,Heparin Sodium: 25 Vial In 1 Tray (63323-262-06) / 1 Ml In 1 Vial (63323-262-03),19.67,19.67,,,0 CDM,138977_50458057701,NDC Description Not Available,59.72,59.72,,,0 CDM,138981_76075010301,"Kyprolis: 1 Vial, Single-Dose In 1 Carton (76075-103-01) / 10 Ml In 1 Vial, Single-Dose",370.12,370.12,,,0 CDM,138989_60505619301,Palonosetron: 1 Vial In 1 Carton (60505-6193-1) / 5 Ml In 1 Vial,12.06,12.06,,,0 CDM,138989_63323067321,NDC Description Not Available,33.5,33.5,,,0 CDM,138995_47335017795,Ilumya: 1 Ml In 1 Carton (47335-177-95),721.51,721.51,,,0 CDM,138998_00310110501,NDC Description Not Available,172.54,172.54,,,0 CDM,138998_00310110539,Lokelma: 11 Packet In 1 Box (0310-1105-39) / 5 G In 1 Packet (0310-1105-01),169.57,169.57,,,0 CDM,138999_00310111001,NDC Description Not Available,172.37,172.37,,,0 CDM,138999_00310111039,Lokelma: 11 Packet In 1 Box (0310-1110-39) / 10 G In 1 Packet (0310-1110-01),169.57,169.57,,,0 CDM,139007_43528000301,NDC Description Not Available,1001.62,1001.62,,,0 CDM,139061_42747076101,"Poteligeo: 1 Vial, Glass In 1 Carton (42747-761-01) / 5 Ml In 1 Vial, Glass",1542.99,1542.99,,,0 CDM,139064_00069029101,Nivestym: 1 Syringe In 1 Carton (0069-0291-01) / .5 Ml In 1 Syringe,4.53,4.53,,,0 CDM,139065_00069029201,Nivestym: 1 Syringe In 1 Carton (0069-0292-01) / .8 Ml In 1 Syringe,4.89,4.89,,,0 CDM,139065_00069029210,Nivestym: 10 Carton In 1 Carton (0069-0292-10) / 1 Syringe In 1 Carton (0069-0292-01) / .8 Ml In 1 Syringe,4.89,4.89,,,0 CDM,139102_70127010001,NDC Description Not Available,405.48,405.48,,,0 CDM,139102_70127010010,"Epidiolex: 1 Bottle, Glass In 1 Carton (70127-100-10) / 100 Ml In 1 Bottle, Glass (70127-100-01)",323.8,323.8,,,0 CDM,139151_69374098255,NDC Description Not Available,70.66,70.66,,,0 CDM,139151_70004043009,NDC Description Not Available,59.0,59.0,,,0 CDM,139151_70004043509,NDC Description Not Available,55.34,55.34,,,0 CDM,139151_71266908002,NDC Description Not Available,75.82,75.82,,,0 CDM,139192_00268024901,NDC Description Not Available,284.08,284.08,,,0 CDM,139201_00006306901,"Pifeltro: 30 Tablet, Film Coated In 1 Bottle (0006-3069-01)",366.61,366.61,,,0 CDM,139270_61755000801,"Libtayo: 1 Vial, Single-Use In 1 Carton (61755-008-01) / 7 Ml In 1 Vial, Single-Use",199.14,199.14,,,0 CDM,139356_00024591800,NDC Description Not Available,12995.54,12995.54,,,0 CDM,139356_00024591801,"Dupixent: 2 Syringe, Glass In 1 Carton (0024-5918-01) / 1.14 Ml In 1 Syringe, Glass (0024-5918-00)",7308.54,7308.54,,,0 CDM,13935_39822041201,Tobramycin: 1 Vial In 1 Carton (39822-0412-1) / 30 Ml In 1 Vial,34.38,34.38,,,0 CDM,13935_39822041206,Tobramycin: 6 Vial In 1 Carton (39822-0412-6) / 30 Ml In 1 Vial,34.63,34.63,,,0 CDM,13951_00472001304,Griseofulvin: 120 Ml In 1 Bottle (0472-0013-04),20.04,20.04,,,0 CDM,13955_00115170001,"Hydrocortisone: 100 Tablet In 1 Bottle, Plastic (0115-1700-01)",5.62,5.62,,,0 CDM,13955_59762007501,Hydrocortisone: 100 Tablet In 1 Bottle (59762-0075-1),3.92,3.92,,,0 CDM,13984_00904663561,"Bupropion Hydrochloride: 100 Blister Pack In 1 Carton (0904-6635-61) / 1 Tablet, Film Coated In 1 Blister Pack",7.5,7.5,,,0 CDM,13984_51079094320,"Bupropion Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-943-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-943-01)",7.62,7.62,,,0 CDM,139854_00469142590,Xospata: 1 Bottle In 1 Carton (0469-1425-90) / 90 Tablet In 1 Bottle,1265.55,1265.55,,,0 CDM,1398_00641617301,NDC Description Not Available,146.65,146.65,,,0 CDM,1398_58914008052,Bentyl: 5 Ampule In 1 Box (58914-080-52) / 2 Ml In 1 Ampule,563.19,563.19,,,0 CDM,1398_72266012701,NDC Description Not Available,143.4,143.4,,,0 CDM,1398_72266012705,"Dicyclomine Hydrochloride: 5 Vial, Single-Dose In 1 Carton (72266-127-05) / 2 Ml In 1 Vial, Single-Dose (72266-127-01)",164.82,164.82,,,0 CDM,139934_69374098810,NDC Description Not Available,672.0,672.0,,,0 CDM,139943_00409351501,"Vancomycin Hydrochloride: 10 Vial In 1 Tray (0409-3515-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-3515-11)",64.33,64.33,,,0 CDM,139943_00409351511,NDC Description Not Available,64.34,64.34,,,0 CDM,139943_67457082415,NDC Description Not Available,64.33,64.33,,,0 CDM,139944_55150047101,NDC Description Not Available,64.33,64.33,,,0 CDM,139944_67457082312,NDC Description Not Available,64.31,64.31,,,0 CDM,139944_67457082399,"Vancomycin Hydrochloride: 10 Vial, Single-Dose In 1 Carton (67457-823-99) / 25 Ml In 1 Vial, Single-Dose (67457-823-12)",58.8,58.8,,,0 CDM,139944_68462047830,NDC Description Not Available,64.33,64.33,,,0 CDM,13995_00904728961,Benztropine Mesylate: 100 Blister Pack In 1 Carton (0904-7289-61) / 1 Tablet In 1 Blister Pack,5.11,5.11,,,0 CDM,13995_60687036811,NDC Description Not Available,6.0,6.0,,,0 CDM,13995_68084038811,NDC Description Not Available,4.82,4.82,,,0 CDM,13995_76385010401,"BENZTROPINE MESYLATE: 100 TABLET in 1 BOTTLE, PLASTIC (76385-104-01)",5.51,5.51,,,0 CDM,14000_PBB,Pr Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/<-Pbb,6796.0,6796.0,,,0 CDM,14001_PBB,Pr Adjnt Tis Transfr/Rearrange Trunk 10.1-30.0 Sqcm-Pbb,7460.0,7460.0,,,0 CDM,140022_50242021501,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-215-01) / 1 Ml In 1 Syringe, Glass",299.9,299.9,,,0 CDM,140022_50242021503,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-215-03) / 1 Ml In 1 Syringe, Glass",316.27,316.27,,,0 CDM,140023_50242021401,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-214-01) / .5 Ml In 1 Syringe, Glass",307.95,307.95,,,0 CDM,140023_50242021403,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-214-03) / .5 Ml In 1 Syringe, Glass",316.27,316.27,,,0 CDM,14005_51672203701,Clotrimazole: 1 Bottle In 1 Carton (51672-2037-1) / 10 Ml In 1 Bottle,223.82,223.82,,,0 CDM,14007_00378116001,Guanfacine: 100 TABLET in 1 BOTTLE (0378-1160-01),6.0,6.0,,,0 CDM,14007_00591044401,"Guanfacine: 100 Tablet In 1 Bottle, Plastic (0591-0444-01)",4.08,4.08,,,0 CDM,14007_00904714004,Guanfacine: 30 Blister Pack In 1 Carton (0904-7140-04) / 1 Tablet In 1 Blister Pack,9.97,9.97,,,0 CDM,14007_60687071011,NDC Description Not Available,17.16,17.16,,,0 CDM,14007_60687071021,Guanfacine Hydrochloride: 30 Blister Pack In 1 Carton (60687-710-21) / 1 Tablet In 1 Blister Pack (60687-710-11),17.16,17.16,,,0 CDM,14010_00054001120,Flecainide Acetate: 100 Blister Pack In 1 Carton (0054-0011-20) / 1 Tablet In 1 Blister Pack,5.98,5.98,,,0 CDM,14010_00054001121,Flecainide Acetate: 60 Tablet In 1 Bottle (0054-0011-21),5.99,5.99,,,0 CDM,14020_PBB,Pr Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/<-Pbb,8690.0,8690.0,,,0 CDM,140213_54288010502,NDC Description Not Available,6666.5,6666.5,,,0 CDM,140213_54288010515,Dehydrated Alcohol: 10 Ampule In 1 Carton (54288-105-15) / 5 Ml In 1 Ampule (54288-105-02),6666.5,6666.5,,,0 CDM,14021_PBB,Pr Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm-Pbb,8307.0,8307.0,,,0 CDM,140247_68611018001,Yutiq: 1 Pouch In 1 Carton (68611-180-01) / 1 Applicator In 1 Pouch / 1 Implant In 1 Applicator,3325.43,3325.43,,,0 CDM,140247_71879013601,"Yutiq: 1 Pouch In 1 Box, Unit-Dose (71879-136-01) / 1 Applicator In 1 Pouch / 1 Implant In 1 Applicator",3348.51,3348.51,,,0 CDM,140363_69374098505,NDC Description Not Available,28.19,28.19,,,0 CDM,140366_44567062001,NDC Description Not Available,1.92,1.92,,,0 CDM,140366_80830236201,NDC Description Not Available,1.93,1.93,,,0 CDM,14037_00378003201,"Metoprolol Tartrate: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-0032-01)",6.0,6.0,,,0 CDM,14037_51079080101,NDC Description Not Available,5.19,5.19,,,0 CDM,14037_62584026611,NDC Description Not Available,5.56,5.56,,,0 CDM,140386_66658050101,"Gamifant: 1 Vial, Single-Use In 1 Carton (66658-501-01) / 2 Ml In 1 Vial, Single-Use",3005.91,3005.91,,,0 CDM,140386_66658050501,"Gamifant: 1 Vial, Single-Use In 1 Carton (66658-505-01) / 10 Ml In 1 Vial, Single-Use",1519.65,1519.65,,,0 CDM,140408_70004093232,NDC Description Not Available,1822.8,1822.8,,,0 CDM,14040_PBB,Pr Adjt Tis Trns/Reargmt F/C/C/M/N/A/G/H/F 10Sqcm/<-Pbb,8307.0,8307.0,,,0 CDM,14041_PBB,Pr Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm-Pbb,10510.0,10510.0,,,0 CDM,140431_32909012107,"Varibar Thin Honey: 12 Bottle, Plastic In 1 Case (32909-121-07) / 250 Ml In 1 Bottle, Plastic",24.8,24.8,,,0 CDM,140503_00310320001,NDC Description Not Available,837.5,837.5,,,0 CDM,14060_PBB,Pr Adjt Tis Trnsfr/Rearrgmt E/N/E/L Dfct 10 Sq Cm/<-Pbb,10510.0,10510.0,,,0 CDM,14061_PBB,Pr Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm-Pbb,14916.0,14916.0,,,0 CDM,14066_00641139831,NDC Description Not Available,221.79,221.79,,,0 CDM,14066_00641139835,Chlorpromazine Hydrochloride: 25 Ampule In 1 Carton (0641-1398-35) / 2 Ml In 1 Ampule (0641-1398-31),221.79,221.79,,,0 CDM,14076_50268043111,NDC Description Not Available,6.0,6.0,,,0 CDM,14076_50268043115,"Indomethacin: 50 Blister Pack In 1 Box, Unit-Dose (50268-431-15) / 1 Capsule In 1 Blister Pack (50268-431-11)",6.0,6.0,,,0 CDM,14076_68462030201,Indomethacin: 100 Capsule In 1 Bottle (68462-302-01),6.0,6.0,,,0 CDM,14084_00536110888,Nicotine Transdermal System Step 1: 14 Patch In 1 Carton (0536-1108-88) / 24 H In 1 Patch,3.26,3.26,,,0 CDM,14084_00536589688,Nicotine: 14 Pouch In 1 Carton (0536-5896-88) / 1 H In 1 Pouch,3.26,3.26,,,0 CDM,14084_60505706300,NDC Description Not Available,3.53,3.53,,,0 CDM,140970_00338107302,Dobutamine Hydrochloride In Dextrose: 18 Bag In 1 Carton (0338-1073-02) / 250 Ml In 1 Bag,193.0,193.0,,,0 CDM,141021_99999004599,NDC Description Not Available,6.0,6.0,,,0 CDM,141051_63739022510,NDC Description Not Available,2.0,2.0,,,0 CDM,141083_54092054701,"Motegrity: 30 Tablet, Film Coated In 1 Bottle (54092-547-01)",114.59,114.59,,,0 CDM,141114_00069029301,NDC Description Not Available,4.89,4.89,,,0 CDM,141114_00069029310,"Nivestym: 10 Vial, Single-Dose In 1 Carton (0069-0293-10) / 1 Ml In 1 Vial, Single-Dose (0069-0293-01)",4.89,4.89,,,0 CDM,141115_00069029401,NDC Description Not Available,4.89,4.89,,,0 CDM,141115_00069029410,"Nivestym: 10 Vial, Single-Dose In 1 Carton (0069-0294-10) / 1.6 Ml In 1 Vial, Single-Dose (0069-0294-01)",4.89,4.89,,,0 CDM,141122_00023923201,"Botox Cosmetic: 1 Vial, Glass In 1 Carton (0023-9232-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",43.74,43.74,,,0 CDM,141124_72187040101,"Elzonris: 1 Vial, Single-Dose In 1 Carton (72187-0401-1) / 1 Ml In 1 Vial, Single-Dose",1446.71,1446.71,,,0 CDM,141136_58468022501,"Cablivi: 1 Kit In 1 Carton (58468-0225-1) * 1 Ml In 1 Vial, Glass (58468-0227-1) * 1 Ml In 1 Syringe, Glass (58468-0229-1)",4645.49,4645.49,,,0 CDM,141152_06961806259,NDC Description Not Available,6.0,6.0,,,0 CDM,14119_00904723661,Megestrol Acetate: 100 Blister Pack In 1 Carton (0904-7236-61) / 1 Tablet In 1 Blister Pack,6.0,6.0,,,0 CDM,14119_64380015901,Megestrol Acetate: 100 Tablet In 1 Bottle (64380-159-01),4.14,4.14,,,0 CDM,141228_50458002802,"Spravato: 2 Blister Pack In 1 Kit (50458-028-02) / 1 Vial, Single-Use In 1 Blister Pack / .2 Ml In 1 Vial, Single-Use (50458-028-00)",2586.02,2586.02,,,0 CDM,141229_50458002803,"Spravato: 3 Blister Pack In 1 Kit (50458-028-03) / 1 Vial, Single-Use In 1 Blister Pack / .2 Ml In 1 Vial, Single-Use (50458-028-00)",329.08,329.08,,,0 CDM,141254_50242091801,"Tecentriq: 1 Vial, Single-Use In 1 Carton (50242-918-01) / 14 Ml In 1 Vial, Single-Use",619.42,619.42,,,0 CDM,141272_50242007701,"Herceptin Hylecta: 1 Vial, Single-Dose In 1 Carton (50242-077-01) / 5 Ml In 1 Vial, Single-Dose",522.07,522.07,,,0 CDM,141334_55513088002,Evenity: 2 Syringe In 1 Carton (55513-880-02) / 1.17 Ml In 1 Syringe (55513-880-01),72.11,72.11,,,0 CDM,141334_55513099802,"Evenity: 2 Syringe, Glass In 1 Carton (55513-998-02) / 1.17 Ml In 1 Syringe, Glass (55513-998-01)",75.69,75.69,,,0 CDM,14144_65862036101,"Lamotrigine: 100 Tablet, Chewable In 1 Bottle (65862-361-01)",2.18,2.18,,,0 CDM,14144_68462022801,"Lamotrigine: 100 Tablet, Chewable In 1 Bottle (68462-228-01)",3.0,3.0,,,0 CDM,141646_00409113002,"Sodium Chloride: 12 BOTTLE, GLASS in 1 CASE (0409-1130-02) / 250 mL in 1 BOTTLE, GLASS",1405.0,1405.0,,,0 CDM,141646_00409329905,Sodium Acetate: 25 Vial In 1 Tray (0409-3299-05) / 50 Ml In 1 Vial (0409-3299-15),1405.0,1405.0,,,0 CDM,141646_00409663501,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-6635-01) / 5 Ml In 1 Vial, Single-Dose (0409-6635-18)",1405.0,1405.0,,,0 CDM,141646_00409818301,"Potassium Acetate: 25 Vial, Single-Dose In 1 Tray (0409-8183-01) / 20 Ml In 1 Vial, Single-Dose (0409-8183-11)",1405.0,1405.0,,,0 CDM,141646_06425333335,NDC Description Not Available,1405.0,1405.0,,,0 CDM,141646_54482014701,Carnitor: 5 Vial In 1 Carton (54482-147-01) / 5 Ml In 1 Vial,1405.0,1405.0,,,0 CDM,141646_63323009502,NDC Description Not Available,1405.0,1405.0,,,0 CDM,141646_63323036001,NDC Description Not Available,1405.0,1405.0,,,0 CDM,141646_99999000959,NDC Description Not Available,1405.0,1405.0,,,0 CDM,141646_99999000984,NDC Description Not Available,1405.0,1405.0,,,0 CDM,141646_99999001790,NDC Description Not Available,1405.0,1405.0,,,0 CDM,141646_99999005734,NDC Description Not Available,1405.0,1405.0,,,0 CDM,141646_99999005735,NDC Description Not Available,1405.0,1405.0,,,0 CDM,141775_69374092510,NDC Description Not Available,5.9,5.9,,,0 CDM,14182_00264786500,Potassium Chloride In Sodium Chloride: 12 Container In 1 Case (0264-7865-00) / 1000 Ml In 1 Container,59.0,59.0,,,0 CDM,14182_00338069104,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0691-04) / 1000 Ml In 1 Bag,193.0,193.0,,,0 CDM,141992_99999004675,NDC Description Not Available,6.0,6.0,,,0 CDM,142015_50242010501,"Polivy: 1 Vial, Single-Dose In 1 Carton (50242-105-01) / 20 Ml In 1 Vial, Single-Dose",585.13,585.13,,,0 CDM,142127_51079005820,Chlorthalidone: 100 Blister Pack In 1 Carton (51079-058-20) / 1 Tablet In 1 Blister Pack (51079-058-01),11.87,11.87,,,0 CDM,142137_68084028801,"Fludrocortisone Acetate: 100 Blister Pack In 1 Box, Unit-Dose (68084-288-01) / 1 Tablet In 1 Blister Pack (68084-288-11)",5.85,5.85,,,0 CDM,142147_68084026901,"Hydroxychloroquine Sulfate: 100 Blister Pack In 1 Box, Unit-Dose (68084-269-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-269-11)",12.09,12.09,,,0 CDM,142156_50111043301,Trazodone Hydrochloride: 100 TABLET in 1 BOTTLE (50111-433-01),5.87,5.87,,,0 CDM,142176_44567062101,NDC Description Not Available,1.11,1.11,,,0 CDM,142176_65219016401,NDC Description Not Available,1.11,1.11,,,0 CDM,142176_65219016450,Calcium Gluconate: 24 Bag In 1 Case (65219-164-50) / 100 Ml In 1 Bag (65219-164-01),1.11,1.11,,,0 CDM,142176_80830236301,NDC Description Not Available,1.12,1.12,,,0 CDM,14222_51079077620,Hydrochlorothiazide: 100 BLISTER PACK in 1 CARTON (51079-776-20) / 1 CAPSULE in 1 BLISTER PACK (51079-776-01),5.61,5.61,,,0 CDM,14222_57237000201,Hydrochlorothiazide: 100 Capsule In 1 Bottle (57237-002-01),6.0,6.0,,,0 CDM,14222_60687068311,NDC Description Not Available,5.9,5.9,,,0 CDM,14238_64980013301,"Dipyridamole: 100 Tablet, Film Coated In 1 Bottle (64980-133-01)",7.35,7.35,,,0 CDM,14240_45802088014,Nystatin And Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-880-14) / 15 G In 1 Tube,129.93,129.93,,,0 CDM,14240_51672126301,Nystatin And Triamcinolone Acetonide: 1 Tube In 1 Carton (51672-1263-1) / 15 G In 1 Tube,129.93,129.93,,,0 CDM,14240_62332060615,Nystatin And Triamcinolone Acetonide: 1 Tube In 1 Carton (62332-606-15) / 15 G In 1 Tube,129.83,129.83,,,0 CDM,142429_00143951901,NDC Description Not Available,20.47,20.47,,,0 CDM,142429_00703367501,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3675-01) / 10 Ml In 1 Vial, Single-Dose",10.13,10.13,,,0 CDM,142429_16729027730,Methotrexate: 1 Vial In 1 Carton (16729-277-30) / 2 Ml In 1 Vial,23.34,23.34,,,0 CDM,142466_00143951901,NDC Description Not Available,9.44,9.44,,,0 CDM,142466_00703367501,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3675-01) / 10 Ml In 1 Vial, Single-Dose",60.18,60.18,,,0 CDM,142569_55513020601,Mvasi: 1 Vial In 1 Carton (55513-206-01) / 4 Ml In 1 Vial,467.43,467.43,,,0 CDM,142569_55513020701,Mvasi: 1 Vial In 1 Carton (55513-207-01) / 16 Ml In 1 Vial,467.46,467.46,,,0 CDM,142573_55513013201,"Kanjinti: 1 Vial, Multi-Dose In 1 Carton (55513-132-01) / 20 Ml In 1 Vial, Multi-Dose",605.35,605.35,,,0 CDM,142576_52652500101,Katerzia: 1 Bottle In 1 Carton (52652-5001-1) / 150 Ml In 1 Bottle,72.69,72.69,,,0 CDM,142620_16729011505,Mitomycin: 1 Vial In 1 Carton (16729-115-05) / 10 Ml In 1 Vial,116.01,116.01,,,0 CDM,142626_00409357801,"Tobramycin: 25 Vial, Multi-Dose In 1 Tray (0409-3578-01) / 2 Ml In 1 Vial, Multi-Dose (0409-3578-11)",14.14,14.14,,,0 CDM,14286_00409014411,"Azithromycin: 10 Vial, Single-Dose In 1 Tray (0409-0144-11) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0409-0144-21)",193.0,193.0,,,0 CDM,14286_55150017410,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (55150-174-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",118.98,118.98,,,0 CDM,14286_63323039801,NDC Description Not Available,186.26,186.26,,,0 CDM,14286_70860010010,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (70860-100-10) / 5 Ml In 1 Vial, Single-Dose (70860-100-41)",16.75,16.75,,,0 CDM,14286_70860010041,NDC Description Not Available,156.25,156.25,,,0 CDM,142935_00338954001,NDC Description Not Available,193.2,193.2,,,0 CDM,142935_00338954002,NDC Description Not Available,243.26,243.26,,,0 CDM,142980_64193042402,"Feiba: 1 Kit In 1 Carton (64193-424-02) * 20 Ml In 1 Vial, Glass (64193-324-01) * 20 Ml In 1 Vial, Glass (64764-517-20)",17.71,17.71,,,0 CDM,142983_00338012612,Myxredlin: 12 Container In 1 Carton (0338-0126-12) / 100 Ml In 1 Container,10.88,10.88,,,0 CDM,14301_PBB,Pr Adjnt Tis Trnsfr/Reargmt Any Area 30.1-60 Sq Cm-Pbb,3596.0,3596.0,,,0 CDM,14302_PBB,Pr Adjt Tis Trnsfr/Reargmt Defec Ea Addl 30 Sqcm-Pbb,3596.0,3596.0,,,0 CDM,143056_99999004800,NDC Description Not Available,5.41,5.41,,,0 CDM,143061_55513020601,Mvasi: 1 Vial In 1 Carton (55513-206-01) / 4 Ml In 1 Vial,467.8,467.8,,,0 CDM,143061_55513020701,Mvasi: 1 Vial In 1 Carton (55513-207-01) / 16 Ml In 1 Vial,467.48,467.48,,,0 CDM,143069_99999005339,NDC Description Not Available,999.58,999.58,,,0 CDM,143074_55150018810,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (55150-188-10) / 10 Ml In 1 Vial, Single-Dose",18.6,18.6,,,0 CDM,143074_67457019700,NDC Description Not Available,27.9,27.9,,,0 CDM,143074_81284061100,NDC Description Not Available,10.23,10.23,,,0 CDM,143074_99999004802,NDC Description Not Available,58.77,58.77,,,0 CDM,14308_00536407810,NDC Description Not Available,1.75,1.75,,,0 CDM,14308_00904227260,NDC Description Not Available,1.8,1.8,,,0 CDM,143251_00049319028,"Vfend: 1 Vial, Single-Dose In 1 Carton (0049-3190-28) / 20 Ml In 1 Vial, Single-Dose",46.25,46.25,,,0 CDM,143252_00409651001,"Vancomycin Hydrochloride: 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON (0409-6510-01) / 100 mL in 1 VIAL, PHARMACY BULK PACKAGE",49.85,49.85,,,0 CDM,143268_68134040116,Baclofen: 473 Ml In 1 Bottle (68134-401-16),51.46,51.46,,,0 CDM,143269_72694051501,"Asparlas: 1 Vial, Single-Use In 1 Carton (72694-515-01) / 5 Ml In 1 Vial, Single-Use",532.28,532.28,,,0 CDM,1432_00517610101,NDC Description Not Available,191.67,191.67,,,0 CDM,1432_00517610125,Zinc Sulfate: 25 Vial In 1 Tray (0517-6101-25) / 10 Ml In 1 Vial (0517-6101-01),185.12,185.12,,,0 CDM,143338_00078082761,"1 VIAL, SINGLE-DOSE in 1 CARTON (0078-0827-61) / .05 mL in 1 VIAL, SINGLE-DOSE",2065.83,2065.83,,,0 CDM,14340_45802021001,Nitroglycerin Lingual: 1 Bottle In 1 Carton (45802-210-01) / 60 Spray In 1 Bottle,1159.79,1159.79,,,0 CDM,143425_00409113002,"Sodium Chloride: 12 BOTTLE, GLASS in 1 CASE (0409-1130-02) / 250 mL in 1 BOTTLE, GLASS",1405.0,1405.0,,,0 CDM,143425_00409663501,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-6635-01) / 5 Ml In 1 Vial, Single-Dose (0409-6635-18)",1405.0,1405.0,,,0 CDM,143425_00409818301,"Potassium Acetate: 25 Vial, Single-Dose In 1 Tray (0409-8183-01) / 20 Ml In 1 Vial, Single-Dose (0409-8183-11)",1405.0,1405.0,,,0 CDM,143425_63323096520,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-965-20) / 20 Ml In 1 Vial, Single-Dose (63323-965-02)",1405.0,1405.0,,,0 CDM,143425_99999000984,NDC Description Not Available,1405.0,1405.0,,,0 CDM,14348_00049001381,NDC Description Not Available,59.0,59.0,,,0 CDM,14348_00641611601,NDC Description Not Available,103.82,103.82,,,0 CDM,14348_00641611610,Ampicillin And Sulbactam: 10 Vial In 1 Carton (0641-6116-10) / 1.5 G In 1 Vial (0641-6116-01),52.86,52.86,,,0 CDM,14348_25021014220,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (25021-142-20) / 1 Injection, Powder, For Solution In 1 Vial",108.67,108.67,,,0 CDM,14348_44567021010,Ampicillin And Sulbactam: 10 Vial In 1 Carton (44567-210-10) / 10 Ml In 1 Vial,193.0,193.0,,,0 CDM,14348_55150011620,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (55150-116-20) / 1 Injection, Powder, For Solution In 1 Vial",34.85,34.85,,,0 CDM,14348_71288003120,NDC Description Not Available,86.97,86.97,,,0 CDM,143637_55150020210,"Pantoprazole Sodium: 10 Vial, Single-Dose In 1 Carton (55150-202-10) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (55150-202-00)",58.29,58.29,,,0 CDM,143638_55150020210,"Pantoprazole Sodium: 10 Vial, Single-Dose In 1 Carton (55150-202-10) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (55150-202-00)",193.0,193.0,,,0 CDM,143668_55513014101,"Kanjinti: 1 Vial, Single-Dose In 1 Carton (55513-141-01) / 7.15 Ml In 1 Vial, Single-Dose",605.78,605.78,,,0 CDM,14371_42806014448,"Demeclocycline Hydrochloride: 48 Tablet, Film Coated In 1 Bottle (42806-144-48)",142.14,142.14,,,0 CDM,143721_83257000412,"Ogivri: 1 Kit In 1 Carton (83257-004-12) * 20 Ml In 1 Vial, Multi-Dose (83257-003-11) * 20 Ml In 1 Vial (83257-002-11)",414.52,414.52,,,0 CDM,143736_63323050601,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-506-01) / 1 Ml In 1 Vial (63323-506-00),5.86,5.86,,,0 CDM,143736_63323050616,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-506-16) / 1 Ml In 1 Vial (63323-506-41),5.9,5.9,,,0 CDM,143736_69374054701,NDC Description Not Available,5.9,5.9,,,0 CDM,143736_70069002101,NDC Description Not Available,5.9,5.9,,,0 CDM,143736_76045010910,"Dexamethasone Sodium Phosphate: 24 Blister Pack In 1 Carton (76045-109-10) / 1 Syringe, Glass In 1 Blister Pack / 1 Ml In 1 Syringe, Glass (76045-109-01)",5.65,5.65,,,0 CDM,14380_47335089060,NDC Description Not Available,14.59,14.59,,,0 CDM,143813_63459010310,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-103-10) / 10 Ml In 1 Vial, Single-Use",566.46,566.46,,,0 CDM,143813_63459010450,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-104-50) / 50 Ml In 1 Vial, Single-Use",566.52,566.52,,,0 CDM,14382_42658001001,"Cladribine: 1 Ml In 1 Vial, Single-Dose (42658-010-01)",230.51,230.51,,,0 CDM,14382_63323014010,"Cladribine: 1 Vial, Single-Dose In 1 Carton (63323-140-10) / 10 Ml In 1 Vial, Single-Dose",291.45,291.45,,,0 CDM,143844_59572071101,"Reblozyl: 1 Vial, Glass In 1 Carton (59572-711-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",278.34,278.34,,,0 CDM,143845_59572077501,"Reblozyl: 1 Vial, Glass In 1 Carton (59572-775-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",271.54,271.54,,,0 CDM,143928_00078088361,"Adakveo: 10 Ml In 1 Vial, Glass (0078-0883-61)",772.47,772.47,,,0 CDM,143941_55513022301,"Nplate: 1 Vial, Single-Dose In 1 Carton (55513-223-01) / .25 Ml In 1 Vial, Single-Dose",132.29,132.29,,,0 CDM,14401_00409909332,Fentanyl Citrate: 10 Ampule In 1 Cello Pack (0409-9093-32) / 2 Ml In 1 Ampule (0409-9093-37),59.0,59.0,,,0 CDM,14401_00409909335,Fentanyl Citrate: 10 Ampule In 1 Cello Pack (0409-9093-35) / 5 Ml In 1 Ampule (0409-9093-45),12.97,12.97,,,0 CDM,14401_00409909412,NDC Description Not Available,52.77,52.77,,,0 CDM,14401_00409909417,NDC Description Not Available,6.34,6.34,,,0 CDM,14401_00409909418,NDC Description Not Available,6.56,6.56,,,0 CDM,14401_00409909422,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-22) / 2 Ml In 1 Vial, Single-Dose (0409-9094-12)",59.0,59.0,,,0 CDM,14401_00409909431,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-31) / 20 Ml In 1 Vial, Single-Dose (0409-9094-16)",59.0,59.0,,,0 CDM,14401_00409909441,NDC Description Not Available,6.62,6.62,,,0 CDM,14401_00409909461,"Fentanyl Citrate: 25 Carton In 1 Tray (0409-9094-61) / 1 Vial, Single-Dose In 1 Carton / 50 Ml In 1 Vial, Single-Dose (0409-9094-41)",5.83,5.83,,,0 CDM,14401_00641602701,NDC Description Not Available,58.7,58.7,,,0 CDM,14401_00641603001,Fentanyl Citrate: 50 Ml In 1 Vial (0641-6030-01),7.99,7.99,,,0 CDM,14401_00641624701,NDC Description Not Available,56.38,56.38,,,0 CDM,14401_09999007065,NDC Description Not Available,5.41,5.41,,,0 CDM,14401_63323080601,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Carton (63323-806-01) / 1 Ml In 1 Vial, Single-Dose (63323-806-11)",53.52,53.52,,,0 CDM,14401_63323080614,NDC Description Not Available,7.87,7.87,,,0 CDM,14401_63323080650,"Fentanyl Citrate: 1 Vial, Single-Dose In 1 Carton (63323-806-50) / 50 Ml In 1 Vial, Single-Dose",7.52,7.52,,,0 CDM,144022_61755000501,"Eylea: 1 Syringe, Glass In 1 Carton (61755-005-01) / .05 Ml In 1 Syringe, Glass",6260.81,6260.81,,,0 CDM,144165_00069031501,"Zirabev: 1 Vial, Single-Use In 1 Carton (0069-0315-01) / 4 Ml In 1 Vial, Single-Use",410.83,410.83,,,0 CDM,144165_00069034201,"Zirabev: 1 Vial, Single-Use In 1 Carton (0069-0342-01) / 16 Ml In 1 Vial, Single-Use",410.96,410.96,,,0 CDM,144175_06332325410,NDC Description Not Available,127.43,127.43,,,0 CDM,1441_55566220000,Ddavp: 10 Ampule In 1 Carton (55566-2200-0) / 1 Ml In 1 Ampule,157.44,157.44,,,0 CDM,1441_69918089901,Desmopressin Acetate: 1 Ml In 1 Ampule (69918-899-01),112.07,112.07,,,0 CDM,1441_69918089910,Desmopressin Acetate: 10 Ampule In 1 Carton (69918-899-10) / 1 Ml In 1 Ampule,131.31,131.31,,,0 CDM,1441_69918090110,"Desmopressin Acetate: 1 Vial, Multi-Dose In 1 Carton (69918-901-10) / 10 Ml In 1 Vial, Multi-Dose",98.73,98.73,,,0 CDM,144221_51144002001,"Padcev Ejfv: 1 Vial, Single-Dose In 1 Box (51144-020-01) / 2 Ml In 1 Vial, Single-Dose",234.74,234.74,,,0 CDM,144222_51144003001,"Padcev Ejfv: 1 Vial, Single-Dose In 1 Box (51144-030-01) / 3 Ml In 1 Vial, Single-Dose",234.86,234.86,,,0 CDM,144226_65597040601,"Enhertu: 1 Vial, Single-Dose In 1 Carton (65597-406-01) / 5 Ml In 1 Vial, Single-Dose",191.61,191.61,,,0 CDM,144354_00006385601,NDC Description Not Available,2056.44,2056.44,,,0 CDM,14441_00132020140,"Fleet: 133 Ml In 1 Bottle, With Applicator (0132-0201-40)",2.03,2.03,,,0 CDM,14441_00536741551,Ready-To-Use: 1 Bottle In 1 Carton (0536-7415-51) / 133 Ml In 1 Bottle,2.78,2.78,,,0 CDM,14441_01093976744,NDC Description Not Available,2.0,2.0,,,0 CDM,14456_00025145134,Cytotec: 100 Blister Pack In 1 Carton (0025-1451-34) / 1 Tablet In 1 Blister Pack,26.0,26.0,,,0 CDM,14456_60687073511,NDC Description Not Available,12.81,12.81,,,0 CDM,144572_00069023801,"Ruxience: 1 Vial, Single-Use In 1 Carton (0069-0238-01) / 10 Ml In 1 Vial, Single-Use",480.21,480.21,,,0 CDM,144572_00069024901,"Ruxience: 1 Vial, Single-Use In 1 Carton (0069-0249-01) / 50 Ml In 1 Vial, Single-Use",480.26,480.26,,,0 CDM,144590_75987013015,"Tepezza: 1 Vial, Single-Dose In 1 Carton (75987-130-15) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",2195.19,2195.19,,,0 CDM,1445_00113040378,Good Sense Pain Relief: 1 Bottle In 1 Carton (0113-0403-78) / 100 Tablet In 1 Bottle,1.0,1.0,,,0 CDM,1445_00536132701,"Rugby Regular Strength Acetaminophen: 100 Tablet In 1 Bottle, Plastic (0536-1327-01)",1.0,1.0,,,0 CDM,1445_00536132710,"Rugby Regular Strength Acetaminophen: 1000 Tablet In 1 Bottle, Plastic (0536-1327-10)",1.01,1.01,,,0 CDM,1445_00904677361,"Acetaminophen: 10 Blister Pack In 1 Box, Unit-Dose (0904-6773-61) / 10 Tablet In 1 Blister Pack",1.0,1.0,,,0 CDM,1445_10135012301,Acetaminophen 325mg: 100 TABLET in 1 BOTTLE (10135-123-01),0.89,0.89,,,0 CDM,1445_10135012305,NDC Description Not Available,1.0,1.0,,,0 CDM,1445_10135016314,NDC Description Not Available,1.0,1.0,,,0 CDM,1445_16103035311,Pharbetol Regular Strength: 1000 Tablet In 1 Bottle (16103-353-11),1.0,1.0,,,0 CDM,1445_63739008702,Acetaminophen 325Mg Rs: 30 Blister Pack In 1 Box (63739-087-02) / 10 Tablet In 1 Blister Pack,1.0,1.0,,,0 CDM,1445_63739044001,"Acetaminophen: 25 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-440-01) / 30 TABLET in 1 BLISTER PACK",1.0,1.0,,,0 CDM,1445_70677111901,"Pain Relief Regular Strength: 1 Bottle, Plastic In 1 Carton (70677-1119-1) / 100 Tablet In 1 Bottle, Plastic",1.0,1.0,,,0 CDM,1445_71399102503,Acetaminophen: 100 Pouch In 1 Package (71399-1025-3) / 1 Tablet In 1 Pouch,1.01,1.01,,,0 CDM,144709_00338004902,Sodium Chloride: 250 Ml In 1 Bag (0338-0049-02),137.23,137.23,,,0 CDM,144709_00338004903,Sodium Chloride: 500 Ml In 1 Bag (0338-0049-03),193.0,193.0,,,0 CDM,144709_00338004904,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),193.0,193.0,,,0 CDM,144709_00338004948,Sodium Chloride: 1 Bag In 1 Package (0338-0049-48) / 100 Ml In 1 Bag,64.33,64.33,,,0 CDM,144709_00338979101,NDC Description Not Available,193.0,193.0,,,0 CDM,144714_00069030601,NDC Description Not Available,540.96,540.96,,,0 CDM,144715_42023062201,"Bivalirudin: 1 Vial, Single-Dose In 1 Carton (42023-622-01) / 1 Injection, Solution In 1 Vial, Single-Dose",1.2,1.2,,,0 CDM,144718_59630026601,NDC Description Not Available,15.21,15.21,,,0 CDM,144718_59630026610,"Fetroja: 10 Vial, Single-Use In 1 Carton (59630-266-10) / 10 Ml In 1 Vial, Single-Use (59630-266-01)",19.48,19.48,,,0 CDM,144722_69968006009,Polysporin First Aid Antibiotic: 144 Packet In 1 Carton (69968-0060-9) / .9 G In 1 Packet,2.0,2.0,,,0 CDM,14484_00904578461,Fluoxetine: 100 Blister Pack In 1 Carton (0904-5784-61) / 1 Capsule In 1 Blister Pack,4.77,4.77,,,0 CDM,14484_16714072002,Fluoxetine: 100 Capsule In 1 Bottle (16714-720-02),3.18,3.18,,,0 CDM,1448_00093013501,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (0093-0135-01)",5.86,5.86,,,0 CDM,1448_00904630161,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6301-61)",5.87,5.87,,,0 CDM,1448_00904730661,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7306-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.93,5.93,,,0 CDM,1448_68084085411,NDC Description Not Available,5.9,5.9,,,0 CDM,1448_68462016301,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68462-163-01)",6.0,6.0,,,0 CDM,1448_72888003501,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (72888-035-01)",5.98,5.98,,,0 CDM,145003_00054040444,Morphine Sulfate: 30 mL in 1 BOTTLE (0054-0404-44),6.0,6.0,,,0 CDM,145003_00054051744,Morphine Sulfate: 30 Ml In 1 Bottle (0054-0517-44),10.66,10.66,,,0 CDM,145063_63459030547,"Herzuma: 1 Kit In 1 Carton (63459-305-47) * 50 Ml In 1 Vial, Multi-Dose (63459-307-41) * 20 Ml In 1 Vial (63459-221-20)",626.11,626.11,,,0 CDM,145063_63459030741,NDC Description Not Available,621.98,621.98,,,0 CDM,145070_71699005030,"Xcopri: 30 Tablet, Film Coated In 1 Bottle (71699-050-30)",238.89,238.89,,,0 CDM,145074_71699020128,"Xcopri Titration Pack: 1 Kit In 1 Carton (71699-201-28) * 1 Tablet In 1 Blister Pack * 1 Tablet, Film Coated In 1 Blister Pack",23.87,23.87,,,0 CDM,145094_67386013051,"Vyepti: 1 Vial, Single-Dose In 1 Carton (67386-130-51) / 1 Ml In 1 Vial, Single-Dose",122.46,122.46,,,0 CDM,145114_00024065401,"Sarclisa: 1 Vial, Single-Dose In 1 Carton (0024-0654-01) / 5 Ml In 1 Vial, Single-Dose",517.37,517.37,,,0 CDM,145114_00024065601,"Sarclisa: 1 Vial, Single-Dose In 1 Carton (0024-0656-01) / 25 Ml In 1 Vial, Single-Dose",521.68,521.68,,,0 CDM,14512_68462033090,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (68462-330-90),6.0,6.0,,,0 CDM,145141_63459030343,"Herzuma: 1 Vial, Single-Dose In 1 Carton (63459-303-43) / 20 Ml In 1 Vial, Single-Dose",626.45,626.45,,,0 CDM,14531_23155024801,Venlafaxine: 100 Tablet In 1 Bottle (23155-248-01),4.83,4.83,,,0 CDM,14534_00591564301,"Minoxidil: 100 Tablet In 1 Bottle, Plastic (0591-5643-01)",6.0,6.0,,,0 CDM,14534_68084020511,NDC Description Not Available,6.0,6.0,,,0 CDM,145526_55135013201,"Trodelvy: 1 Vial In 1 Box (55135-132-01) / 1 Powder, For Solution In 1 Vial",229.7,229.7,,,0 CDM,145635_17478054001,Hydromorphone Hydrochloride: 10 AMPULE in 1 CARTON (17478-540-01) / 1 mL in 1 AMPULE,1.48,1.48,,,0 CDM,145670_72493010140,NDC Description Not Available,2001.54,2001.54,,,0 CDM,145706_24338023005,NDC Description Not Available,303.84,303.84,,,0 CDM,145706_24338023012,"Nymalize: 12 Package In 1 Carton (24338-230-12) / 1 Syringe, Plastic In 1 Package (24338-230-05) / 5 Ml In 1 Syringe, Plastic",306.75,306.75,,,0 CDM,145706_24338023015,NDC Description Not Available,292.24,292.24,,,0 CDM,145715_57894050301,"Darzalex Faspro: 1 Vial, Single-Dose In 1 Box (57894-503-01) / 15 Ml In 1 Vial, Single-Dose",372.68,372.68,,,0 CDM,145846_76045012101,NDC Description Not Available,35.4,35.4,,,0 CDM,145893_55513067001,"Avsola: 1 Vial, Single-Dose In 1 Carton (55513-670-01) / 10 Ml In 1 Vial, Single-Dose",335.0,335.0,,,0 CDM,1458_00054001720,Prednisone: 10 Blister Pack In 1 Carton (0054-0017-20) / 10 Tablet In 1 Blister Pack,0.55,0.55,,,0 CDM,1458_00904692361,Prednisone: 100 Blister Pack In 1 Carton (0904-6923-61) / 1 Tablet In 1 Blister Pack,0.57,0.57,,,0 CDM,1458_59746017306,Prednisone: 100 Tablet In 1 Bottle (59746-173-06),0.58,0.58,,,0 CDM,1458_60687013411,NDC Description Not Available,0.59,0.59,,,0 CDM,1458_70954005910,Prednisone: 100 Tablet In 1 Bottle (70954-059-10),0.57,0.57,,,0 CDM,14602_00045048101,NDC Description Not Available,1.0,1.0,,,0 CDM,14602_00904791459,"Ibuprofen: 1 Bottle, Plastic In 1 Carton (0904-7914-59) / 100 Tablet, Film Coated In 1 Bottle, Plastic",1.0,1.0,,,0 CDM,14602_00904791461,"Ibuprofen: 10 Blister Pack In 1 Carton (0904-7914-61) / 10 Tablet, Film Coated In 1 Blister Pack",1.03,1.03,,,0 CDM,14602_01093936233,NDC Description Not Available,0.5,0.5,,,0 CDM,14602_10135014301,NDC Description Not Available,0.67,0.67,,,0 CDM,14602_10135018301,NDC Description Not Available,0.67,0.67,,,0 CDM,14641_00168000580,Triamcinolone Acetonide: 80 G In 1 Tube (0168-0005-80),57.54,57.54,,,0 CDM,14647_00054418025,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4180-25)",1.17,1.17,,,0 CDM,14647_00054818025,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8180-25) / 1 Tablet In 1 Blister Pack,0.84,0.84,,,0 CDM,14663_00071041813,Nitrostat: 4 Bottle In 1 Carton (0071-0418-13) / 25 Tablet In 1 Bottle,9.98,9.98,,,0 CDM,14663_58151031094,NDC Description Not Available,8.51,8.51,,,0 CDM,14663_68462063925,NDC Description Not Available,1.52,1.52,,,0 CDM,14663_68462063945,Nitroglycerin: 4 Bottle In 1 Carton (68462-639-45) / 25 Tablet In 1 Bottle (68462-639-25),0.89,0.89,,,0 CDM,14663_69339017402,NDC Description Not Available,2.55,2.55,,,0 CDM,14663_70756001405,NDC Description Not Available,1.78,1.78,,,0 CDM,146815_75987015001,NDC Description Not Available,2081.32,2081.32,,,0 CDM,146815_75987015003,"Uplizna: 3 Vial, Single-Dose In 1 Carton (75987-150-03) / 10 Ml In 1 Vial, Single-Dose (75987-150-01)",2103.73,2103.73,,,0 CDM,146819_68727071201,"Zepzelca: 8 Ml In 1 Vial, Single-Dose (68727-712-01)",1346.27,1346.27,,,0 CDM,146860_50242024501,"Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-245-01) / 15 Ml In 1 Vial, Single-Dose",510.57,510.57,,,0 CDM,146861_50242026001,"Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-260-01) / 10 Ml In 1 Vial, Single-Dose",501.17,501.17,,,0 CDM,14696_23155007001,Methimazole: 100 Tablet In 1 Bottle (23155-070-01),4.35,4.35,,,0 CDM,14696_60687035711,NDC Description Not Available,5.47,5.47,,,0 CDM,14696_60687066911,NDC Description Not Available,5.13,5.13,,,0 CDM,1469_42291089890,"Venlafaxine Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (42291-898-90)",3.26,3.26,,,0 CDM,1469_59762018103,"Venlafaxine Hydrochloride: 100 BLISTER PACK in 1 CARTON (59762-0181-3) / 1 CAPSULE, EXTENDED RELEASE in 1 BLISTER PACK",3.79,3.79,,,0 CDM,1469_68084070911,NDC Description Not Available,4.01,4.01,,,0 CDM,14700_00409372001,"Ampicillin: 10 VIAL, GLASS in 1 PACKAGE (0409-3720-01) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, GLASS (0409-3720-10)",48.25,48.25,,,0 CDM,14700_00781340880,NDC Description Not Available,38.54,38.54,,,0 CDM,14700_00781340895,"Ampicillin: 10 Vial, Glass In 1 Package (0781-3408-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-3408-80)",56.05,56.05,,,0 CDM,14700_44567010310,"Ampicillin: 10 Vial In 1 Tray (44567-103-10) / 1 Injection, Powder, For Solution In 1 Vial",48.25,48.25,,,0 CDM,14700_55150011420,"Ampicillin: 10 Vial In 1 Box (55150-114-20) / 1 Injection, Powder, For Solution In 1 Vial",48.71,48.71,,,0 CDM,14700_65219002003,NDC Description Not Available,48.25,48.25,,,0 CDM,14700_72485042201,NDC Description Not Available,49.01,49.01,,,0 CDM,14709_00904662735,Ear Drops Major: 1 Bottle In 1 Carton (0904-6627-35) / 15 Ml In 1 Bottle,11.72,11.72,,,0 CDM,14709_04203710478,NDC Description Not Available,29.33,29.33,,,0 CDM,14709_70677115301,Foster And Thrive Earwax Removal Kit Ear Wax Drops: 1 Kit In 1 Kit (70677-1153-1) * 1 Bottle In 1 Box (70677-1154-1) / 15 Ml In 1 Bottle,16.84,16.84,,,0 CDM,14712_00407141489,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-89) / 50 Ml In 1 Bottle, Plastic",7.93,7.93,,,0 CDM,14712_00407141490,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-90) / 75 Ml In 1 Bottle, Plastic",7.74,7.74,,,0 CDM,14712_00407141491,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-91) / 100 Ml In 1 Bottle, Plastic",7.41,7.41,,,0 CDM,14712_00407141493,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-93) / 150 Ml In 1 Bottle, Plastic",6.22,6.22,,,0 CDM,14712_00407141494,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-94) / 200 Ml In 1 Bottle, Plastic",5.76,5.76,,,0 CDM,14716_00781602346,Clarithromycin: 100 Ml In 1 Bottle (0781-6023-46),108.19,108.19,,,0 CDM,147268_00409739172,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (0409-7391-72) / 15 Ml In 1 Vial, Single-Dose (0409-7391-82)",193.0,193.0,,,0 CDM,147268_63323088101,NDC Description Not Available,193.0,193.0,,,0 CDM,147302_71287021901,NDC Description Not Available,3105000.0,3105000.0,,,0 CDM,147311_58406005501,NDC Description Not Available,6371.04,6371.04,,,0 CDM,147377_50881001303,Monjuvi: 1 Vial In 1 Carton (50881-013-03) / 5 Ml In 1 Vial,91.69,91.69,,,0 CDM,147377_73535020801,Monjuvi: 1 Vial In 1 Carton (73535-208-01) / 5 Ml In 1 Vial,90.34,90.34,,,0 CDM,14750_16714005501,Mupirocin: 1 Tube In 1 Carton (16714-055-01) / 15 G In 1 Tube,1215.98,1215.98,,,0 CDM,147517_64281011006,"Provocholine Inhalation Solution: 6 Package In 1 Package (64281-110-06) / 6 Carton In 1 Package (64281-110-05) / 1 Kit In 1 Carton * 1 Vial, Plastic In 1 Kit / 3 Ml In 1 Vial, Plastic (64281-113-00",3645.0,3645.0,,,0 CDM,14757_49471000101,NDC Description Not Available,1142.51,1142.51,,,0 CDM,14757_49471000105,Pre-Pen: 5 Ampule In 1 Carton (49471-001-05) / .25 Ml In 1 Ampule,1129.14,1129.14,,,0 CDM,14758_00074368303,Lupron Depot: 1 Kit In 1 Carton (0074-3683-03) * 1.5 Ml In 1 Syringe * 1 Swab In 1 Packet,13874.07,13874.07,,,0 CDM,147681_69639010501,Akynzeo: 1 Vial In 1 Carton (69639-105-01) / 20 Ml In 1 Vial,4577.31,4577.31,,,0 CDM,147681_69639010601,"Akynzeo: 1 Vial, Single-Dose In 1 Carton (69639-106-01) / 20 Ml In 1 Vial, Single-Dose",4477.34,4477.34,,,0 CDM,14778_00143971001,NDC Description Not Available,20.94,20.94,,,0 CDM,14778_00409021210,NDC Description Not Available,24.09,24.09,,,0 CDM,14778_55390002010,Milrinone Lactate: 10 VIAL in 1 BOX (55390-020-10) / 20 mL in 1 VIAL,35.18,35.18,,,0 CDM,14778_63323061701,NDC Description Not Available,27.2,27.2,,,0 CDM,14778_63323061710,"Milrinone Lactate: 10 Vial, Single-Dose In 1 Tray (63323-617-10) / 10 Ml In 1 Vial, Single-Dose (63323-617-01)",26.51,26.51,,,0 CDM,14778_63323061720,"Milrinone Lactate: 10 Vial, Single-Dose In 1 Tray (63323-617-20) / 20 Ml In 1 Vial, Single-Dose (63323-617-02)",28.58,28.58,,,0 CDM,14778_70069080701,NDC Description Not Available,18.44,18.44,,,0 CDM,14782_67877028660,Riluzole: 60 Tablet In 1 Bottle (67877-286-60),6.0,6.0,,,0 CDM,14782_99999002613,NDC Description Not Available,37.14,37.14,,,0 CDM,14786_50383082416,Sulfamethoxazole and Trimethoprim: 473 mL in 1 BOTTLE (50383-824-16),11.57,11.57,,,0 CDM,14786_65862049647,Sulfamethoxazole And Trimethoprim: 473 Ml In 1 Bottle (65862-496-47),7.78,7.78,,,0 CDM,14786_66993072757,"Sulfamethoxazole And Trimethoprim: 473 Ml In 1 Bottle, Plastic (66993-727-57)",6.0,6.0,,,0 CDM,147876_01513702127,NDC Description Not Available,43.4,43.4,,,0 CDM,14787_72266025101,NDC Description Not Available,10.66,10.66,,,0 CDM,147892_50242010301,Polivy: 1 Vial In 1 Carton (50242-103-01) / 6 Ml In 1 Vial,592.16,592.16,,,0 CDM,148042_25682002501,"Ultomiris: 1 Vial, Glass In 1 Carton (25682-025-01) / 3 Ml In 1 Vial, Glass",969.58,969.58,,,0 CDM,148042_25682002801,"Ultomiris: 1 Vial, Glass In 1 Carton (25682-028-01) / 11 Ml In 1 Vial, Glass",969.6,969.6,,,0 CDM,14810_00338065604,"Acetic Acid: 1000 Ml In 1 Bottle, Plastic (0338-0656-04)",193.0,193.0,,,0 CDM,14816_39822105505,Amphotericin B: 10 Ml In 1 Vial (39822-1055-5),65.16,65.16,,,0 CDM,14826_00054023749,Morphine Sulfate: 100 Ml In 1 Bottle (0054-0237-49),6.0,6.0,,,0 CDM,14826_00054023763,Morphine Sulfate: 500 Ml In 1 Bottle (0054-0237-63),6.0,6.0,,,0 CDM,14826_00121090405,NDC Description Not Available,8.41,8.41,,,0 CDM,14826_60687076040,NDC Description Not Available,8.5,8.5,,,0 CDM,14826_68094000159,NDC Description Not Available,8.44,8.44,,,0 CDM,14826_68094000162,"Morphine Sulfate: 3 Tray In 1 Case (68094-001-62) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-001-59)",8.44,8.44,,,0 CDM,14826_99999005193,NDC Description Not Available,0.55,0.55,,,0 CDM,14839_00168005546,Betamethasone Dipropionate: 1 Tube In 1 Carton (0168-0055-46) / 45 G In 1 Tube,523.97,523.97,,,0 CDM,14839_16714099602,Betamethasone Dipropionate: 1 Tube In 1 Carton (16714-996-02) / 45 G In 1 Tube,449.75,449.75,,,0 CDM,14852_24208053920,Miochol E: 1 Kit In 1 Blister Pack (24208-539-20) * 2 Ml In 1 Vial * 2 Ml In 1 Ampule,868.05,868.05,,,0 CDM,148584_00069131101,NDC Description Not Available,73.9,73.9,,,0 CDM,148584_00069131110,"Retacrit: 10 Vial, Multi-Dose In 1 Carton (0069-1311-10) / 1 Ml In 1 Vial, Multi-Dose (0069-1311-01)",73.9,73.9,,,0 CDM,14858_42023011310,Ketalar: 10 Vial In 1 Carton (42023-113-10) / 20 Ml In 1 Vial,132.53,132.53,,,0 CDM,14861_16571067250,Phenobarbital: 500 Tablet In 1 Bottle (16571-672-50),3.94,3.94,,,0 CDM,14861_75826013810,"Phenobarbital: 100 Tablet In 1 Bottle, Plastic (75826-138-10)",4.91,4.91,,,0 CDM,148642_63361024310,"Vaxelis: 10 Vial, Single-Dose In 1 Package (63361-243-10) / .5 Ml In 1 Vial, Single-Dose (63361-243-58)",986.16,986.16,,,0 CDM,148642_63361024315,Vaxelis: 10 Syringe In 1 Package (63361-243-15) / .5 Ml In 1 Syringe (63361-243-88),980.56,980.56,,,0 CDM,148642_63361024358,NDC Description Not Available,980.55,980.55,,,0 CDM,148642_63361024388,NDC Description Not Available,992.85,992.85,,,0 CDM,148675_55513022401,"Riabni: 1 Vial, Single-Dose In 1 Carton (55513-224-01) / 10 Ml In 1 Vial, Single-Dose",480.22,480.22,,,0 CDM,148675_55513032601,"Riabni: 1 Vial, Single-Dose In 1 Carton (55513-326-01) / 50 Ml In 1 Vial, Single-Dose",479.43,479.43,,,0 CDM,14873_61703030906,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-06) / 1 Ml In 1 Vial, Single-Dose",92.95,92.95,,,0 CDM,14873_61703030926,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-26) / 1 Ml In 1 Vial, Single-Dose",83.19,83.19,,,0 CDM,148863_52652195001,"Thyquidity: 1 Bottle, Glass In 1 Carton (52652-1950-1) / 100 Ml In 1 Bottle, Glass",43.87,43.87,,,0 CDM,148866_00517040125,"Atropine Sulfate: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-0401-25) / 1 mL in 1 VIAL, SINGLE-DOSE",1.48,1.48,,,0 CDM,148866_00517100401,NDC Description Not Available,2.9,2.9,,,0 CDM,148866_16729052563,"Atropine Sulfate: 1 Vial, Single-Dose In 1 Carton (16729-525-63) / 1 Ml In 1 Vial, Single-Dose",3.13,3.13,,,0 CDM,148866_63323058003,NDC Description Not Available,1.18,1.18,,,0 CDM,14896_00904645561,"DOK: 10 BLISTER PACK in 1 PACKAGE (0904-6455-61) / 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK",2.0,2.0,,,0 CDM,14896_00904699860,"Docusate Sodium: 100 Capsule In 1 Bottle, Plastic (0904-6998-60)",2.0,2.0,,,0 CDM,14896_00904718361,"Docusate Sodium - Stool Softener Laxative: 10 Blister Pack In 1 Carton (0904-7183-61) / 10 Capsule, Liquid Filled In 1 Blister Pack",1.99,1.99,,,0 CDM,14896_00904728060,"Stool Softener Laxative: 100 Capsule, Liquid Filled In 1 Bottle, Plastic (0904-7280-60)",1.97,1.97,,,0 CDM,14896_00904728080,"Stool Softener Laxative: 1000 Capsule, Liquid Filled In 1 Bottle, Plastic (0904-7280-80)",2.0,2.0,,,0 CDM,14896_60687012911,NDC Description Not Available,2.0,2.0,,,0 CDM,14916_00904670461,Pramipexole Dihydrochloride: 100 Blister Pack In 1 Carton (0904-6704-61) / 1 Tablet In 1 Blister Pack,5.46,5.46,,,0 CDM,149236_00002751017,Humalog: 1 Vial In 1 Carton (0002-7510-17) / 3 Ml In 1 Vial,26.02,26.02,,,0 CDM,149236_00002753301,Humalog: 1 Vial In 1 Carton (0002-7533-01) / 3 Ml In 1 Vial,25.57,25.57,,,0 CDM,149236_00024592605,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,25.43,25.43,,,0 CDM,14929_01000670012,NDC Description Not Available,1.0,1.0,,,0 CDM,14929_05026885811,NDC Description Not Available,1.04,1.04,,,0 CDM,14929_07733394025,NDC Description Not Available,1.0,1.0,,,0 CDM,149315_49702025315,Cabenuva: 1 Kit In 1 Carton (49702-253-15) * 2 Ml In 1 Vial (49702-245-01) * 2 Ml In 1 Vial (49702-249-02),61.0,61.0,,,0 CDM,14938_00054458111,"Mercaptopurine: 25 Tablet In 1 Bottle, Plastic (0054-4581-11)",24.35,24.35,,,0 CDM,14951_00037044267,"Felbatol: 237 Ml In 1 Bottle, Plastic (0037-0442-67)",261.19,261.19,,,0 CDM,149722_73153090001,"Breyanzi: 1 Kit In 1 Carton (73153-900-01) * 5 Ml In 1 Vial, Single-Dose (73153-902-04) * 5 Ml In 1 Vial, Single-Dose (73153-901-08)",3275000.0,3275000.0,,,0 CDM,14999_00904666661,Gabapentin: 100 Blister Pack In 1 Carton (0904-6666-61) / 1 Capsule In 1 Blister Pack,4.28,4.28,,,0 CDM,14999_16714066202,Gabapentin: 500 Capsule In 1 Bottle (16714-662-02),4.55,4.55,,,0 CDM,14999_60687059111,NDC Description Not Available,4.52,4.52,,,0 CDM,14999_63739023610,"Gabapentin: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-236-10) / 10 CAPSULE in 1 BLISTER PACK",4.53,4.53,,,0 CDM,14999_63739068910,"Gabapentin: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-689-10) / 10 CAPSULE in 1 BLISTER PACK",5.25,5.25,,,0 CDM,14999_63739090310,Gabapentin: 10 Blister Pack In 1 Carton (63739-903-10) / 10 Capsule In 1 Blister Pack,4.31,4.31,,,0 CDM,14999_67877022310,Gabapentin: 1000 Capsule In 1 Bottle (67877-223-10),3.04,3.04,,,0 CDM,15004_PBB,Pr Prep Site F/S/N/H/F/G/M/D Gt 1St 100 Sq Cm/1Pct-Pbb,2228.0,2228.0,,,0 CDM,15012_00338001304,Sterile Water: 1000 Ml In 1 Bag (0338-0013-04),1405.0,1405.0,,,0 CDM,15012_00338113303,Clinimix: 1000 Ml In 1 Bag (0338-1133-03),241.55,241.55,,,0 CDM,15017_00517182001,Chlorothiazide Sodium: 1 Vial In 1 Carton (0517-1820-01) / 18 Ml In 1 Vial,1072.58,1072.58,,,0 CDM,15017_25021030520,Chlorothiazide Sodium: 1 Vial In 1 Carton (25021-305-20) / 18 Ml In 1 Vial,283.2,283.2,,,0 CDM,15017_47335033040,"Chlorothiazide Sodium: 1 Vial, Single-Dose In 1 Carton (47335-330-40) / 18 Ml In 1 Vial, Single-Dose",668.66,668.66,,,0 CDM,15017_63323065820,Chlorothiazide: 1 Vial In 1 Box (63323-658-20) / 18 Ml In 1 Vial,1139.17,1139.17,,,0 CDM,15019_00517651025,"Selenium: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-6510-25) / 10 mL in 1 VIAL, SINGLE-DOSE",59.0,59.0,,,0 CDM,15021_00904692461,"Sertraline Hydrochloride: 100 Blister Pack In 1 Carton (0904-6924-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.62,5.62,,,0 CDM,15021_16714061104,"Sertraline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-611-04)",5.78,5.78,,,0 CDM,15021_51079014920,"Sertraline Hydrochloride: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (51079-149-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-149-01)",5.55,5.55,,,0 CDM,15021_60687023111,NDC Description Not Available,5.74,5.74,,,0 CDM,15023_00093681519,NDC Description Not Available,78.65,78.65,,,0 CDM,15023_00093681573,"Budesonide: 6 Pouch In 1 Carton (0093-6815-73) / 5 Vial, Single-Dose In 1 Pouch (0093-6815-45) / 2 Ml In 1 Vial, Single-Dose (0093-6815-19)",53.53,53.53,,,0 CDM,15023_00186198804,Pulmicort Respules: 6 Pouch In 1 Carton (0186-1988-04) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,68.78,68.78,,,0 CDM,15023_00487960101,Budesonide: 6 Pouch In 1 Carton (0487-9601-01) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,68.91,68.91,,,0 CDM,15041_25021060103,Caffeine Citrate: 1 Vial In 1 Carton (25021-601-03) / 3 Ml In 1 Vial,21.73,21.73,,,0 CDM,15041_51754050001,Caffeine Citrate: 1 Vial In 1 Carton (51754-0500-1) / 3 Ml In 1 Vial,21.83,21.83,,,0 CDM,15041_63323040703,Caffeine Citrate: 1 Vial In 1 Box (63323-407-03) / 3 Ml In 1 Vial,27.86,27.86,,,0 CDM,15041_72485010401,"Caffeine Citrate: 1 Vial, Glass In 1 Carton (72485-104-01) / 3 Ml In 1 Vial, Glass",21.07,21.07,,,0 CDM,150428_00517481025,"Nitroglycerin: 25 Vial, Single-Dose In 1 Tray (0517-4810-25) / 10 Ml In 1 Vial, Single-Dose (0517-4810-01)",88.48,88.48,,,0 CDM,150429_00409272130,NDC Description Not Available,3.42,3.42,,,0 CDM,15044_00065064435,TOBREX: 3.5 g in 1 TUBE (0065-0644-35),1329.04,1329.04,,,0 CDM,150476_17478005002,Sufentanil Citrate: 10 AMPULE in 1 CARTON (17478-050-02) / 2 mL in 1 AMPULE,23.5,23.5,,,0 CDM,150483_00264194020,POTASSIUM CHLORIDE: 12 CONTAINER in 1 CASE (0264-1940-20) / 250 mL in 1 CONTAINER,1.44,1.44,,,0 CDM,150484_63323065102,"Adenosine: 10 Vial, Single-Use In 1 Tray (63323-651-02) / 2 Ml In 1 Vial, Single-Use (63323-651-00)",11.32,11.32,,,0 CDM,150485_63323006404,NDC Description Not Available,5.74,5.74,,,0 CDM,150502_58468003001,NDC Description Not Available,13343.3,13343.3,,,0 CDM,150502_58468003002,"Thyrogen: 2 Vial, Single-Dose In 1 Carton (58468-0030-2) / 1 Ml In 1 Vial, Single-Dose (58468-0030-1)",13351.21,13351.21,,,0 CDM,15050_PBB,Pr Pinch Graft 1/Mlt Sm Ulcer Tip/Oth Ar Up To 2 Cm-Pbb,7945.0,7945.0,,,0 CDM,150520_49702024015,Cabenuva: 1 Kit In 1 Carton (49702-240-15) * 3 Ml In 1 Vial (49702-238-01) * 3 Ml In 1 Vial (49702-243-02),46.61,46.61,,,0 CDM,15066_00054350049,Lidocaine Viscous: 1 Bottle In 1 Carton (0054-3500-49) / 100 Ml In 1 Bottle,16.13,16.13,,,0 CDM,15066_00121090315,NDC Description Not Available,19.83,19.83,,,0 CDM,15066_00121090340,"Lidocaine Viscous: 4 Tray In 1 Case (0121-0903-40) / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (0121-0903-15)",23.16,23.16,,,0 CDM,15066_00121495015,NDC Description Not Available,30.33,30.33,,,0 CDM,15066_00121495040,"Lidocaine Hydrochloride: 4 Tray In 1 Case (0121-4950-40) / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (0121-4950-15)",36.41,36.41,,,0 CDM,15066_62135071242,Lidocaine Hydrochloride: 100 Ml In 1 Bottle (62135-712-42),137.17,137.17,,,0 CDM,15066_72888012526,Lidocaine Hydrochloride: 100 Ml In 1 Bottle (72888-125-26),26.05,26.05,,,0 CDM,150673_79952011001,"Zynlonta: 1 Vial, Single-Dose In 1 Carton (79952-110-01) / 2 Ml In 1 Vial, Single-Dose",1362.62,1362.62,,,0 CDM,150681_00173089803,Jemperli: 1 Vial In 1 Carton (0173-0898-03) / 10 Ml In 1 Vial,1040.18,1040.18,,,0 CDM,15079_00149003978,NDC Description Not Available,1.03,1.03,,,0 CDM,15079_00904720546,"Major Bismuth Subsalicylate: 5 Blister Pack In 1 Box (0904-7205-46) / 6 Tablet, Chewable In 1 Blister Pack",1.03,1.03,,,0 CDM,15079_37000001804,Pepto-Bismol: 5 CELLO PACK in 1 CARTON (37000-018-04) / 6 TABLET in 1 CELLO PACK,1.01,1.01,,,0 CDM,1509_45802073000,Acetaminophen Pain Reliever Fever Reducer: 1 Suppository In 1 Blister Pack (45802-730-00),1.97,1.97,,,0 CDM,1509_45802073033,Acetaminophen Pain Reliever Fever Reducer: 100 Blister Pack In 1 Carton (45802-730-33) / 1 Suppository In 1 Blister Pack,1.95,1.95,,,0 CDM,15100_PBB,Pr Splt Agrft T/A/L 1St 100 Sqcm/=100Scm Adl 100Sqcm-Pbb,9416.0,9416.0,,,0 CDM,15275_PBB,Pr Sub Grft F/S/N/H/F/G/M/D <100Sq Cm 1St 25 Sq Cm-Pbb,6892.0,6892.0,,,0 CDM,15276_PBB,Pr Sub Grft F/S/N/H/F/G/M/D<100Sq Cm Ea Addl25Sq Cm-Pbb,5885.0,5885.0,,,0 CDM,15280_46287000901,Isoniazid: 473 Ml In 1 Bottle (46287-009-01),90.43,90.43,,,0 CDM,152926_73475304105,"Vyvgart: 1 Vial, Single-Dose In 1 Carton (73475-3041-5) / 20 Ml In 1 Vial, Single-Dose",207.3,207.3,,,0 CDM,152929_49702023803,NDC Description Not Available,44.29,44.29,,,0 CDM,152929_49702026423,Apretude: 1 Kit In 1 Carton (49702-264-23) * 3 Ml In 1 Vial (49702-238-03),44.34,44.34,,,0 CDM,152960_00078100060,"Leqvio: 1 Syringe, Glass In 1 Carton (0078-1000-60) / 1.5 Ml In 1 Syringe, Glass",76.75,76.75,,,0 CDM,152968_50458057501,"Xarelto: 1 Bottle In 1 Carton (50458-575-01) / 1 Granule, For Suspension In 1 Bottle",79.94,79.94,,,0 CDM,152977_55513011201,Tezspire: 1 Syringe In 1 Carton (55513-112-01) / 1.91 Ml In 1 Syringe,107.54,107.54,,,0 CDM,153117_00074231030,"Rinvoq: 30 Tablet, Extended Release In 1 Bottle (0074-2310-30)",1395.58,1395.58,,,0 CDM,153156_80446040101,"Kimmtrak: 1 Vial, Glass In 1 Carton (80446-401-01) / .5 Ml In 1 Vial, Glass",1365.24,1365.24,,,0 CDM,153313_52536060011,Baclofen: 1 Bottle In 1 Carton (52536-600-11) / 120 Ml In 1 Bottle,88.71,88.71,,,0 CDM,15335_00143916101,NDC Description Not Available,193.0,193.0,,,0 CDM,15335_00143916125,Vancomycin Hydrochloride: 25 Vial In 1 Package (0143-9161-25) / 513 Mg In 1 Vial (0143-9161-01),193.0,193.0,,,0 CDM,15335_00409433211,NDC Description Not Available,114.8,114.8,,,0 CDM,15335_67457033900,NDC Description Not Available,193.0,193.0,,,0 CDM,15336_00187410010,Librax: 100 Capsule In 1 Bottle (0187-4100-10),306.56,306.56,,,0 CDM,153431_42023023701,NDC Description Not Available,59.49,59.49,,,0 CDM,15344_36000024201,"Tobramycin: 1 Vial, Multi-Dose In 1 Carton (36000-242-01) / 30 Ml In 1 Vial, Multi-Dose",9.05,9.05,,,0 CDM,15344_63323030601,NDC Description Not Available,35.4,35.4,,,0 CDM,15344_63323030602,"Tobramycin: 25 Vial, Multi-Dose In 1 Tray (63323-306-02) / 2 Ml In 1 Vial, Multi-Dose (63323-306-01)",21.02,21.02,,,0 CDM,15344_63323030605,NDC Description Not Available,9.3,9.3,,,0 CDM,15344_63323030630,"Tobramycin: 10 Vial, Multi-Dose In 1 Tray (63323-306-30) / 30 Ml In 1 Vial, Multi-Dose (63323-306-05)",9.25,9.25,,,0 CDM,15344_67457042800,NDC Description Not Available,9.19,9.19,,,0 CDM,15344_67457047300,NDC Description Not Available,50.08,50.08,,,0 CDM,153477_70121156801,Releuko: 1 Syringe In 1 Box (70121-1568-1) / .5 Ml In 1 Syringe,3.55,3.55,,,0 CDM,153478_70121157001,Releuko: 1 Syringe In 1 Box (70121-1570-1) / .8 Ml In 1 Syringe,3.55,3.55,,,0 CDM,153478_70121157007,Releuko: 10 Syringe In 1 Box (70121-1570-7) / .8 Ml In 1 Syringe,3.55,3.55,,,0 CDM,153488_57894011101,"Carvykti: 1 Injection, Suspension In 1 Bag (57894-111-01)",3525000.0,3525000.0,,,0 CDM,15360_00536100836,"Rugby Aspirin: 1 Bottle In 1 Carton (0536-1008-36) / 36 Tablet, Chewable In 1 Bottle",2.0,2.0,,,0 CDM,15360_00904679430,"Aspirin Low Dose Chewable Orange: 300 Blister Pack In 1 Carton (0904-6794-30) / 1 Tablet, Chewable In 1 Blister Pack",1.81,1.81,,,0 CDM,15360_00904679480,"Aspirin Low Dose Chewable Orange: 1000 Tablet, Chewable In 1 Package (0904-6794-80)",2.0,2.0,,,0 CDM,15360_63739043402,Aspirin Chewable: 30 Blister Pack In 1 Box (63739-434-02) / 10 Tablet In 1 Blister Pack,1.55,1.55,,,0 CDM,15360_66553000201,NDC Description Not Available,1.86,1.86,,,0 CDM,153639_60505623100,NDC Description Not Available,28.81,28.81,,,0 CDM,153639_60505623105,"Cefazolin: 25 Vial, Single-Dose In 1 Carton (60505-6231-5) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (60505-6231-0)",16.72,16.72,,,0 CDM,153723_00074104328,"Rinvoq: 28 Tablet, Extended Release In 1 Bottle (0074-1043-28)",2691.44,2691.44,,,0 CDM,153731_00003712511,"Opdualag: 1 Vial, Single-Dose In 1 Carton (0003-7125-11) / 20 Ml In 1 Vial, Single-Dose",1246.46,1246.46,,,0 CDM,15396_00555088702,Estradiol: 100 Tablet In 1 Bottle (0555-0887-02),0.11,0.11,,,0 CDM,15398_52427028601,"Macrodantin: 100 Capsule In 1 Bottle, Plastic (52427-286-01)",72.67,72.67,,,0 CDM,154253_00409170401,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (0409-1704-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",53.98,53.98,,,0 CDM,154262_00409170301,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (0409-1703-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",50.91,50.91,,,0 CDM,154269_64406001901,"Byooviz: 1 Vial, Single-Dose In 1 Carton (64406-019-01) / .05 Ml In 1 Vial, Single-Dose (64406-019-07)",1559.63,1559.63,,,0 CDM,154273_00338114403,Clinimix E: 1000 Ml In 1 Bag (0338-1144-03),266.6,266.6,,,0 CDM,154273_00338702201,NDC Description Not Available,266.6,266.6,,,0 CDM,154279_70461012203,"FLUAD QUADRIVALENT: 10 SYRINGE, GLASS in 1 CARTON (70461-122-03) / .5 mL in 1 SYRINGE, GLASS (70461-122-04)",62.26,62.26,,,0 CDM,154279_70461012204,NDC Description Not Available,62.26,62.26,,,0 CDM,154282_19515080841,NDC Description Not Available,18.25,18.25,,,0 CDM,154289_70121175401,Alymsys: 1 Vial In 1 Carton (70121-1754-1) / 4 Ml In 1 Vial,481.16,481.16,,,0 CDM,154289_70121175501,Alymsys: 1 Vial In 1 Carton (70121-1755-1) / 16 Ml In 1 Vial,481.46,481.46,,,0 CDM,154291_49281012288,NDC Description Not Available,43.38,43.38,,,0 CDM,1542_63323039306,Colistimethate: 1 Vial In 1 Box (63323-393-06) / 2 Ml In 1 Vial,187.54,187.54,,,0 CDM,154383_71266908101,NDC Description Not Available,193.0,193.0,,,0 CDM,154391_66302071604,Tyvaso Dpi: 1 Blister Pack In 1 Kit (66302-716-04) / 4 Blister Pack In 1 Blister Pack / 4 Inhalant In 1 Blister Pack,634.8,634.8,,,0 CDM,154392_66302073204,Tyvaso Dpi: 1 Blister Pack In 1 Kit (66302-732-04) / 4 Blister Pack In 1 Blister Pack / 4 Inhalant In 1 Blister Pack,924.91,924.91,,,0 CDM,154393_66302074804,Tyvaso Dpi: 1 Blister Pack In 1 Kit (66302-748-04) / 4 Blister Pack In 1 Blister Pack / 4 Inhalant In 1 Blister Pack,163.25,163.25,,,0 CDM,154394_66302076404,Tyvaso Dpi: 1 Blister Pack In 1 Kit (66302-764-04) / 4 Blister Pack In 1 Blister Pack / 4 Inhalant In 1 Blister Pack,476.1,476.1,,,0 CDM,154426_00006468100,"M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01)",622.78,622.78,,,0 CDM,154426_58160083103,NDC Description Not Available,613.63,613.63,,,0 CDM,154427_00409002002,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (0409-0020-02) / 4 Ml In 1 Vial, Single-Dose",73.7,73.7,,,0 CDM,154427_00409002103,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (0409-0021-03) / 20 Ml In 1 Vial, Single-Dose",66.71,66.71,,,0 CDM,154427_00409104501,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (0409-1045-01) / 4 Ml In 1 Vial, Single-Dose",73.67,73.67,,,0 CDM,154427_00409218801,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (0409-2188-01) / 20 Ml In 1 Vial, Single-Dose",66.71,66.71,,,0 CDM,154455_71336100301,"Amvuttra: 1 Syringe, Glass In 1 Carton (71336-1003-1) / .5 Ml In 1 Syringe, Glass",21483.18,21483.18,,,0 CDM,154463_00074501501,"Skyrizi: 1 Vial, Single-Dose In 1 Carton (0074-5015-01) / 10 Ml In 1 Vial, Single-Dose",112.23,112.23,,,0 CDM,15449_00555003302,Chlordiazepoxide Hydrochloride: 100 Capsule In 1 Bottle (0555-0033-02),6.0,6.0,,,0 CDM,15449_51079037501,NDC Description Not Available,6.0,6.0,,,0 CDM,15476_10147092103,Haloperidol Decanoate: 3 Ampule In 1 Box (10147-0921-3) / 1 Ml In 1 Ampule,173.47,173.47,,,0 CDM,154883_24208004040,Xipere: 1 Tray In 1 Carton (24208-040-40) / 1 Vial In 1 Tray / .9 Ml In 1 Vial (24208-040-41),308.72,308.72,,,0 CDM,1550_00409409201,"Copper: 25 Vial, Single-Dose In 1 Tray (0409-4092-01) / 10 Ml In 1 Vial, Single-Dose (0409-4092-11)",135.73,135.73,,,0 CDM,155503_52652800101,Zonisade: 1 Bottle In 1 Carton (52652-8001-1) / 150 Ml In 1 Bottle,140.23,140.23,,,0 CDM,155535_00597003510,"Spevigo: 2 Vial, Glass In 1 Carton (0597-0035-10) / 7.5 Ml In 1 Vial, Glass",268.08,268.08,,,0 CDM,15556_25021024110,Busulfan: 8 Vial In 1 Carton (25021-241-10) / 10 Ml In 1 Vial,55.84,55.84,,,0 CDM,15556_59148007090,NDC Description Not Available,55.83,55.83,,,0 CDM,15556_59148007091,Busulfex: 8 Carton In 1 Carton (59148-070-91) / 1 Vial In 1 Carton (59148-070-90) / 10 Ml In 1 Vial,55.83,55.83,,,0 CDM,15556_67457089300,NDC Description Not Available,10.82,10.82,,,0 CDM,15556_71288011610,NDC Description Not Available,12.84,12.84,,,0 CDM,15556_71288011611,"Busulfan: 8 Vial, Single-Dose In 1 Carton (71288-116-11) / 10 Ml In 1 Vial, Single-Dose (71288-116-10)",12.99,12.99,,,0 CDM,155667_70121162701,Fylnetra: 1 Syringe In 1 Carton (70121-1627-1) / .6 Ml In 1 Syringe,1395.83,1395.83,,,0 CDM,155670_61314062594,"Cimerli: 1 Vial, Single-Dose In 1 Carton (61314-625-94) / .05 Ml In 1 Vial, Single-Dose",1822.4,1822.4,,,0 CDM,155670_70114044101,"Cimerli: 1 Vial, Single-Dose In 1 Carton (70114-441-01) / .05 Ml In 1 Vial, Single-Dose",1822.4,1822.4,,,0 CDM,155671_61314062494,"Cimerli: 1 Vial, Single-Dose In 1 Carton (61314-624-94) / .05 Ml In 1 Vial, Single-Dose",1822.4,1822.4,,,0 CDM,155671_70114044001,"Cimerli: 1 Vial, Single-Dose In 1 Carton (70114-440-01) / .05 Ml In 1 Vial, Single-Dose",1822.4,1822.4,,,0 CDM,15576_PBB,Pr Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral-Pbb,11518.0,11518.0,,,0 CDM,15594_00409114405,Verapamil Hydrochloride: 25 Vial In 1 Carton (0409-1144-05) / 2 Ml In 1 Vial (0409-1144-65),173.65,173.65,,,0 CDM,155955_43825020001,"Terlivaz: 1 Vial, Single-Dose In 1 Carton (43825-200-01) / 5 Ml In 1 Vial, Single-Dose",6613.68,6613.68,,,0 CDM,156033_00310450525,Imjudo: 1 Vial In 1 Carton (0310-4505-25) / 1.25 Ml In 1 Vial,608.63,608.63,,,0 CDM,156033_00310453530,Imjudo: 1 Vial In 1 Carton (0310-4535-30) / 15 Ml In 1 Vial,599.68,599.68,,,0 CDM,156037_57894045001,"Tecvayli: 1 Vial, Single-Dose In 1 Carton (57894-450-01) / 1.7 Ml In 1 Vial, Single-Dose",158.39,158.39,,,0 CDM,156038_57894044901,"Tecvayli: 1 Vial, Single-Dose In 1 Carton (57894-449-01) / 3 Ml In 1 Vial, Single-Dose",210.22,210.22,,,0 CDM,156040_58160082703,NDC Description Not Available,1064.18,1064.18,,,0 CDM,156040_58160082730,Menveo: 10 Vial In 1 Carton (58160-827-30) / .5 Ml In 1 Vial (58160-827-03),1049.23,1049.23,,,0 CDM,1560_63323048737,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-487-37) / 30 Ml In 1 Vial, Single-Dose (63323-487-07)",2.75,2.75,,,0 CDM,15614_00338001304,Sterile Water: 1000 Ml In 1 Bag (0338-0013-04),193.0,193.0,,,0 CDM,15614_00338001306,Sterile Water: 2000 Ml In 1 Bag (0338-0013-06),59.0,59.0,,,0 CDM,156232_67684423001,Elucirem: 1 Vial In 1 Carton (67684-4230-1) / 3 Ml In 1 Vial,73.22,73.22,,,0 CDM,156232_67684423101,Elucirem: 1 Vial In 1 Carton (67684-4231-1) / 7.5 Ml In 1 Vial,72.23,72.23,,,0 CDM,156232_67684423201,Elucirem: 1 Vial In 1 Carton (67684-4232-1) / 10 Ml In 1 Vial,73.99,73.99,,,0 CDM,156274_72903085301,"Elahere: 1 Vial, Single-Use In 1 Carton (72903-853-01) / 20 Ml In 1 Vial, Single-Use",294.88,294.88,,,0 CDM,156287_73650031601,"Tzield: 1 Vial, Single-Dose In 1 Carton (73650-316-01) / 2 Ml In 1 Vial, Single-Dose",162.12,162.12,,,0 CDM,15630_PBB,Pr Delay Flap/Sctj Flap Eyelids Nose Ears/Lips-Pbb,6417.0,6417.0,,,0 CDM,15636_08065183905,NDC Description Not Available,1270.49,1270.49,,,0 CDM,156631_61958300201,Sunlenca: 1 Kit In 1 Carton (61958-3002-1) * 1.5 Ml In 1 Vial (61958-3004-1),44.51,44.51,,,0 CDM,156631_61958300501,Sunlenca: 1 Kit In 1 Carton (61958-3005-1) * 1.5 Ml In 1 Vial (61958-3004-1),70.47,70.47,,,0 CDM,156634_50242014201,Lunsumio: 1 Vial In 1 Carton (50242-142-01) / 30 Ml In 1 Vial,4117.14,4117.14,,,0 CDM,156634_50242015901,Lunsumio: 1 Vial In 1 Carton (50242-159-01) / 1 Ml In 1 Vial,4131.22,4131.22,,,0 CDM,156641_73150015006,"Briumvi: 1 Vial, Single-Dose In 1 Carton (73150-150-06) / 6 Ml In 1 Vial, Single-Dose",321.48,321.48,,,0 CDM,156866_62756030101,"Sezaby: 1 Injection In 1 Vial, Single-Dose (62756-301-01)",9.1,9.1,,,0 CDM,156922_62856021201,"Leqembi: 1 Vial, Single-Dose In 1 Carton (62856-212-01) / 2 Ml In 1 Vial, Single-Dose",8.55,8.55,,,0 CDM,156922_62856021501,"Leqembi: 1 Vial, Single-Dose In 1 Carton (62856-215-01) / 5 Ml In 1 Vial, Single-Dose",8.55,8.55,,,0 CDM,15701_60687019511,NDC Description Not Available,5.55,5.55,,,0 CDM,15701_62037059790,"Cartia Xt: 90 Capsule, Extended Release In 1 Bottle (62037-597-90)",6.0,6.0,,,0 CDM,15701_68682099398,"Diltiazem Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (68682-993-98)",5.85,5.85,,,0 CDM,157260_00143913901,NDC Description Not Available,9.8,9.8,,,0 CDM,15728_00904701606,Bumetanide: 50 Blister Pack In 1 Carton (0904-7016-06) / 1 Tablet In 1 Blister Pack,6.62,6.62,,,0 CDM,15728_50268013111,NDC Description Not Available,6.2,6.2,,,0 CDM,15728_60687038411,NDC Description Not Available,6.71,6.71,,,0 CDM,15740_PBB,Pr Flap Island Pedicle Anatomic Named Axial Artery-Pbb,15106.0,15106.0,,,0 CDM,15760_PBB,Pr Graft Composite W/Primary Closure Donor Area-Pbb,9429.0,9429.0,,,0 CDM,15765_00281032608,Nitro-Bid: 48 Packet In 1 Box (0281-0326-08) / 1 G In 1 Packet,14.86,14.86,,,0 CDM,15769_00486112501,"K Phos Neutral: 100 Tablet, Coated In 1 Bottle (0486-1125-01)",4.34,4.34,,,0 CDM,15769_06498010401,NDC Description Not Available,3.17,3.17,,,0 CDM,15769_06936725001,NDC Description Not Available,3.16,3.16,,,0 CDM,15770_00115140408,"Pyridostigmine Bromide: 30 TABLET, EXTENDED RELEASE in 1 BOTTLE (0115-1404-08)",99.98,99.98,,,0 CDM,15780_PBB,Pr Dermabrasion Total Face-Pbb,8737.0,8737.0,,,0 CDM,15781_00904707107,Nadolol: 30 Blister Pack In 1 Carton (0904-7071-07) / 1 Tablet In 1 Blister Pack,22.39,22.39,,,0 CDM,15781_51079081320,Nadolol: 100 BLISTER PACK in 1 CARTON (51079-813-20) / 1 TABLET in 1 BLISTER PACK (51079-813-01),37.34,37.34,,,0 CDM,15781_60687031395,NDC Description Not Available,22.18,22.18,,,0 CDM,15781_76385013401,Nadolol: 100 Tablet In 1 Bottle (76385-134-01),5.4,5.4,,,0 CDM,15781_PBB,Pr Dermabrasion Segmental Face-Pbb,5356.0,5356.0,,,0 CDM,15782_PBB,Pr Dermabrasion Regional Other Than Face-Pbb,6310.0,6310.0,,,0 CDM,157838_50881000603,"Zynyz: 1 Vial, Single-Use In 1 Carton (50881-006-03) / 20 Ml In 1 Vial, Single-Use",161.88,161.88,,,0 CDM,15783_PBB,Pr Dermabrasion Superficial Any Site-Pbb,235.0,235.0,,,0 CDM,15788_CSMPBB,"Pr Chemical Peel Facial Epidermal-Csm,Pbb",17.0,17.0,,,0 CDM,15788_PBB,Pr Chemical Peel Facial Epidermal-Pbb,3948.0,3948.0,,,0 CDM,157957_00074357501,Lupron Depot-Ped: 1 Kit In 1 Carton (0074-3575-01) * 1.5 Ml In 1 Syringe (0074-3410-01) * 2 Swab In 1 Packet (0074-0010-01),9582.12,9582.12,,,0 CDM,15801_68462026001,"Verapamil Hydrochloride: 100 Tablet, Film Coated, Extended Release In 1 Bottle (68462-260-01)",6.0,6.0,,,0 CDM,15801_75834015901,Verapamil Hydrochloride: 100 Tablet In 1 Bottle (75834-159-01),6.0,6.0,,,0 CDM,15804_00054849619,Leucovorin Calcium: 5 Blister Pack In 1 Carton (0054-8496-19) / 10 Tablet In 1 Blister Pack,9.77,9.77,,,0 CDM,15804_00555048401,Leucovorin Calcium: 30 Tablet In 1 Bottle (0555-0484-01),7.24,7.24,,,0 CDM,15804_00555048402,Leucovorin Calcium: 100 Tablet In 1 Bottle (0555-0484-02),7.44,7.44,,,0 CDM,15804_51079058106,Leucovorin Calcium: 50 BLISTER PACK in 1 CARTON (51079-581-06) / 1 TABLET in 1 BLISTER PACK (51079-581-01),16.25,16.25,,,0 CDM,158399_01650059920,NDC Description Not Available,6.0,6.0,,,0 CDM,15839_PBB,Pr Excision Excessive Skin & Subq Tissue Other Area-Pbb,6100.0,6100.0,,,0 CDM,158400_82705001001,"Epkinly: 1 Vial, Glass In 1 Carton (82705-010-01) / .8 Ml In 1 Vial, Glass",298.22,298.22,,,0 CDM,158401_82705000201,"Epkinly: 1 Vial, Glass In 1 Carton (82705-002-01) / .8 Ml In 1 Vial, Glass",298.27,298.27,,,0 CDM,15850_PBB,Remvl Suture Under Anes Same Surgn-Pbb,367.0,367.0,,,0 CDM,15851_PBB,Pr Removal Sutures/Staples Requiring Anesthesia-Pbb,410.0,410.0,,,0 CDM,15852_PBB,Pr Dressing Change Under Anesthesia-Pbb,449.0,449.0,,,0 CDM,15853_PBB,Pr Removal Sutures/Staples Not Requiring Anesthesia-Pbb,79.0,79.0,,,0 CDM,15854_00904722461,Folic Acid: 100 Blister Pack In 1 Carton (0904-7224-61) / 1 Tablet In 1 Blister Pack,5.86,5.86,,,0 CDM,15854_53746036101,Folic Acid: 100 Tablet In 1 Bottle (53746-361-01),5.8,5.8,,,0 CDM,15854_60687068111,NDC Description Not Available,5.69,5.69,,,0 CDM,15854_PBB,Pr Removal Sutures&Staples Not Requiring Anesthesia-Pbb,94.0,94.0,,,0 CDM,15859_24208048610,"Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle, Dropper In 1 Carton (24208-486-10) / 10 Ml In 1 Bottle, Dropper",309.94,309.94,,,0 CDM,15859_42571014726,Dorzolamide Hydrochloride And Timolol Maleate Ophthalmic Solution: 1 Bottle In 1 Carton (42571-147-26) / 10 Ml In 1 Bottle,310.0,310.0,,,0 CDM,15859_65862094601,"Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle, Dropper In 1 Carton (65862-946-01) / 10 Ml In 1 Bottle, Dropper",124.0,124.0,,,0 CDM,15859_70069005101,Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle In 1 Carton (70069-051-01) / 10 Ml In 1 Bottle,124.0,124.0,,,0 CDM,15859_71921022610,"Dorzolamide Hydrochloride Timolol Maleate: 1 Bottle, Dispensing In 1 Carton (71921-226-10) / 10 Ml In 1 Bottle, Dispensing",217.0,217.0,,,0 CDM,15859_82584060510,"Cosopt: 1 Bottle, Dropper In 1 Carton (82584-605-10) / 10 Ml In 1 Bottle, Dropper",1390.66,1390.66,,,0 CDM,15862_00472173803,Miconazole Nitrate: 3 Suppository In 1 Carton (0472-1738-03),98.69,98.69,,,0 CDM,15872_00168008031,Hydrocortisone: 30 G In 1 Tube (0168-0080-31),20.46,20.46,,,0 CDM,15872_00472033720,Hydrocortisone: 1 Tube In 1 Carton (0472-0337-20) / 20 G In 1 Tube,30.51,30.51,,,0 CDM,15872_00472033730,Hydrocortisone: 1 Tube In 1 Carton (0472-0337-30) / 30 G In 1 Tube,39.02,39.02,,,0 CDM,15872_63629866701,Hydrocortisone: 1 Tube In 1 Carton (63629-8667-1) / 28 G In 1 Tube,30.21,30.21,,,0 CDM,158788_19515081041,NDC Description Not Available,22.35,22.35,,,0 CDM,158788_49281042388,NDC Description Not Available,19.01,19.01,,,0 CDM,158818_00069020701,NDC Description Not Available,307.0,307.0,,,0 CDM,158818_00069034401,"Abrysvo: 1 Tray In 1 Carton (0069-0344-01) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01)",307.0,307.0,,,0 CDM,158818_58160072303,NDC Description Not Available,292.0,292.0,,,0 CDM,15883_00143993805,"Amoxicillin: 500 CAPSULE in 1 BOTTLE, PLASTIC (0143-9938-05)",6.0,6.0,,,0 CDM,15883_16714029801,Amoxicillin: 100 Capsule In 1 Bottle (16714-298-01),5.23,5.23,,,0 CDM,15883_65862001601,Amoxicillin: 100 Capsule In 1 Bottle (65862-016-01),3.61,3.61,,,0 CDM,158840_50242012501,"Columvi: 1 Vial, Single-Dose In 1 Carton (50242-125-01) / 2.5 Ml In 1 Vial, Single-Dose",11809.86,11809.86,,,0 CDM,158840_50242012701,"Columvi: 1 Vial, Single-Dose In 1 Carton (50242-127-01) / 10 Ml In 1 Vial, Single-Dose",11822.08,11822.08,,,0 CDM,158854_73475310203,"Vyvgart Hytrulo: 1 Vial, Single-Dose In 1 Carton (73475-3102-3) / 5.6 Ml In 1 Vial, Single-Dose",142.34,142.34,,,0 CDM,15886_00955101501,NDC Description Not Available,15.34,15.34,,,0 CDM,15886_16714006601,NDC Description Not Available,13.46,13.46,,,0 CDM,15886_63323053701,NDC Description Not Available,13.78,13.78,,,0 CDM,15894_55513026701,NDC Description Not Available,12.99,12.99,,,0 CDM,15894_59676030300,NDC Description Not Available,23.46,23.46,,,0 CDM,15897_23155021631,"Cidofovir Dihydrate: 5 Ml In 1 Vial, Glass (23155-216-31)",1916.74,1916.74,,,0 CDM,15906_64980013401,"Dipyridamole: 100 Tablet, Film Coated In 1 Bottle (64980-134-01)",11.83,11.83,,,0 CDM,159109_55566105000,NDC Description Not Available,253125.0,253125.0,,,0 CDM,159109_55566105001,Adstiladrin: 4 Vial In 1 Carton (55566-1050-1) / 20 Ml In 1 Vial (55566-1050-0),253125.0,253125.0,,,0 CDM,159113_58160072303,NDC Description Not Available,292.0,292.0,,,0 CDM,159113_58160084811,Arexvy: 1 Kit In 1 Carton (58160-848-11) * .5 Ml In 1 Vial (58160-723-03) * .5 Ml In 1 Vial (58160-744-03),292.0,292.0,,,0 CDM,159117_68547011110,"Xacduro: 1 Kit In 1 Carton (68547-111-10) * 5 Ml In 1 Vial, Single-Dose (68547-211-20) * 2.5 Ml In 1 Vial, Single-Dose (68547-311-30)",3245.67,3245.67,,,0 CDM,159147_49281057488,Beyfortus: 1 Syringe In 1 Carton (49281-574-88) / 1 Ml In 1 Syringe,253.5,253.5,,,0 CDM,159147_49281057500,Beyfortus: 1 Syringe In 1 Carton (49281-575-00) / .5 Ml In 1 Syringe,507.0,507.0,,,0 CDM,159148_49281057488,Beyfortus: 1 Syringe In 1 Carton (49281-574-88) / 1 Ml In 1 Syringe,507.0,507.0,,,0 CDM,15916_00904505359,"Sudogest: 1 Bottle, Plastic In 1 Carton (0904-5053-59) / 100 Tablet, Film Coated In 1 Bottle, Plastic",1.01,1.01,,,0 CDM,159245_82829000201,"Izervay: 1 Vial, Single-Dose In 1 Carton (82829-002-01) / .35 Ml In 1 Vial, Single-Dose",703.5,703.5,,,0 CDM,15947_00904680806,"Montelukast Sodium: 50 Blister Pack In 1 Carton (0904-6808-06) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 CDM,15947_00904680861,"Montelukast Sodium: 100 Blister Pack In 1 Carton (0904-6808-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 CDM,15947_31722072690,"Montelukast Sodium: 90 Tablet, Film Coated In 1 Bottle (31722-726-90)",6.0,6.0,,,0 CDM,15947_65862057490,"Montelukast Sodium: 90 Tablet, Film Coated In 1 Bottle (65862-574-90)",6.0,6.0,,,0 CDM,15947_68084087511,NDC Description Not Available,6.0,6.0,,,0 CDM,159489_00069252202,"Elrexfio: 1 Vial, Single-Dose In 1 Carton (0069-2522-02) / 1.1 Ml In 1 Vial, Single-Dose (0069-2522-01)",1150.52,1150.52,,,0 CDM,159489_00069449402,"Elrexfio: 1 Vial, Single-Dose In 1 Carton (0069-4494-02) / 1.9 Ml In 1 Vial, Single-Dose (0069-4494-01)",1152.69,1152.69,,,0 CDM,159513_61755005000,NDC Description Not Available,2257.18,2257.18,,,0 CDM,159513_61755005001,"Eylea Hd: 1 Vial, Single-Dose In 1 Carton (61755-050-01) / .07 Ml In 1 Vial, Single-Dose (61755-050-00)",2210.43,2210.43,,,0 CDM,159655_80777010201,NDC Description Not Available,141.5,141.5,,,0 CDM,15977_00904661761,"Hydroxyzine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6617-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.49,5.49,,,0 CDM,15977_16714008210,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (16714-082-10),6.0,6.0,,,0 CDM,15977_60687067511,NDC Description Not Available,5.53,5.53,,,0 CDM,15977_63739048610,"Hydroxyzine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-486-10) / 10 Tablet In 1 Blister Pack",5.42,5.42,,,0 CDM,15985_00093874001,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (0093-8740-01),9.76,9.76,,,0 CDM,15990_00406831523,"Morphine Sulfate: 1 Tablet, Extended Release In 1 Blister Pack (0406-8315-23)",5.85,5.85,,,0 CDM,15990_00406831562,"Morphine Sulfate: 100 Tablet, Extended Release In 1 Blister Pack (0406-8315-62)",6.0,6.0,,,0 CDM,15990_00904655761,"Morphine Sulfate Extended Release: 100 Blister Pack In 1 Carton (0904-6557-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",7.1,7.1,,,0 CDM,15990_42858051501,"Ms Contin: 100 Tablet In 1 Bottle, Plastic (42858-515-01)",28.46,28.46,,,0 CDM,159914_66658011301,NDC Description Not Available,217.05,217.05,,,0 CDM,159969_81033006620,Likmez: 200 Ml In 1 Bottle (81033-066-20),47.83,47.83,,,0 CDM,160186_00078116861,"Cosentyx: 5 Ml In 1 Vial, Glass (0078-1168-61)",115.19,115.19,,,0 CDM,16020_PBB,Pr Drs&/Dbrdmt Prtl-Thkns Burns 1St/Sbsq Small-Pbb,511.0,511.0,,,0 CDM,160231_00002757501,"Omvoh: 1 Vial, Single-Dose In 1 Carton (0002-7575-01) / 15 Ml In 1 Vial, Single-Dose",214.25,214.25,,,0 CDM,16024_00078027422,Neoral: 1 Bottle In 1 Carton (0078-0274-22) / 50 Ml In 1 Bottle,58.84,58.84,,,0 CDM,16030_00121155000,"Guaifenesin And Codeine Phosphate: 10 Tray In 1 Case (0121-1550-00) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (0121-1550-10)",6.0,6.0,,,0 CDM,16030_00121155010,NDC Description Not Available,24.48,24.48,,,0 CDM,16033_00904657261,Allopurinol: 100 Blister Pack In 1 Carton (0904-6572-61) / 1 Tablet In 1 Blister Pack,5.97,5.97,,,0 CDM,16033_16714057701,Allopurinol: 100 Tablet In 1 Bottle (16714-577-01),5.98,5.98,,,0 CDM,16033_51079020601,NDC Description Not Available,6.0,6.0,,,0 CDM,16033_51079020620,Allopurinol: 100 Blister Pack In 1 Carton (51079-206-20) / 1 Tablet In 1 Blister Pack (51079-206-01),5.96,5.96,,,0 CDM,160399_70114034001,"Loqtorzi: 1 Vial, Glass In 1 Carton (70114-340-01) / 6 Ml In 1 Vial, Glass",259.44,259.44,,,0 CDM,1604_00338001304,Sterile Water: 1000 Ml In 1 Bag (0338-0013-04),1405.0,1405.0,,,0 CDM,1604_00338114203,Clinimix E: 1000 Ml In 1 Bag (0338-1142-03),272.8,272.8,,,0 CDM,16052_63323047400,NDC Description Not Available,58.46,58.46,,,0 CDM,16052_67457042600,NDC Description Not Available,58.04,58.04,,,0 CDM,16052_67457042612,Haloperidol Lactate: 25 Vial In 1 Carton (67457-426-12) / 1 Ml In 1 Vial (67457-426-00),58.13,58.13,,,0 CDM,160609_00002821301,NDC Description Not Available,3.29,3.29,,,0 CDM,16073_49702020548,Epivir: 240 Ml In 1 Bottle (49702-205-48),11.77,11.77,,,0 CDM,160918_00409180501,Hydromorphone Hydrochloride: 10 Syringe In 1 Cello Pack (0409-1805-01) / .5 Ml In 1 Syringe (0409-1805-10),19.67,19.67,,,0 CDM,160918_00409180510,NDC Description Not Available,22.18,22.18,,,0 CDM,160922_50242022701,"Xolair: 1 Syringe, Glass In 1 Carton (50242-227-01) / 2 Ml In 1 Syringe, Glass",276.06,276.06,,,0 CDM,160_00904650361,Celecoxib: 100 Blister Pack In 1 Carton (0904-6503-61) / 1 Capsule In 1 Blister Pack,12.36,12.36,,,0 CDM,160_50268016911,NDC Description Not Available,7.3,7.3,,,0 CDM,160_60687044711,NDC Description Not Available,12.55,12.55,,,0 CDM,160_68084097611,NDC Description Not Available,12.55,12.55,,,0 CDM,16100000,Hc Hospital At Home Room,4790.0,4790.0,,,0 CDM,16104_00536252525,Capsaicin: 1 Tube In 1 Carton (0536-2525-25) / 60 G In 1 Tube,43.16,43.16,,,0 CDM,16104_50268019560,Capsaicin External Analgesic: 1 Tube In 1 Carton (50268-195-60) / 60 G In 1 Tube,19.72,19.72,,,0 CDM,16104_50488102501,Capsaicin: 1 Tube In 1 Carton (50488-1025-1) / 120 G In 1 Tube,3239.38,3239.38,,,0 CDM,161115_73776000111,NDC Description Not Available,3475000.0,3475000.0,,,0 CDM,161376_81960003103,"Pemgarda: 9 Vial, Single-Dose In 1 Carton (81960-031-03) / 4 Ml In 1 Vial, Single-Dose",25987.56,25987.56,,,0 CDM,16139_00074714811,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7148-11) / 10 Tablet In 1 Blister Pack",9.82,9.82,,,0 CDM,16139_68180097501,Levothyroxine Sodium: 100 Tablet In 1 Bottle (68180-975-01),6.0,6.0,,,0 CDM,161510_65219059004,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-590-04) / 4 Ml In 1 Vial, Single-Dose",32.8,32.8,,,0 CDM,161511_65219059210,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-592-10) / 10 Ml In 1 Vial, Single-Dose",32.8,32.8,,,0 CDM,161512_65219059420,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-594-20) / 20 Ml In 1 Vial, Single-Dose",32.8,32.8,,,0 CDM,161513_60505626600,NDC Description Not Available,17.39,17.39,,,0 CDM,16178_00409372601,"Ampicillin: 10 VIAL, GLASS in 1 PACKAGE (0409-3726-01) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, GLASS (0409-3726-10)",96.5,96.5,,,0 CDM,16178_00781340485,NDC Description Not Available,66.43,66.43,,,0 CDM,16178_44567010210,"Ampicillin: 10 Vial In 1 Tray (44567-102-10) / 1 Injection, Powder, For Solution In 1 Vial",96.5,96.5,,,0 CDM,16178_55150011310,"Ampicillin: 10 Vial In 1 Box (55150-113-10) / 1 Injection, Powder, For Solution In 1 Vial",54.91,54.91,,,0 CDM,16180_00143985801,NDC Description Not Available,32.03,32.03,,,0 CDM,16180_00409733801,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7338-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7338-11)",30.45,30.45,,,0 CDM,16180_00409733811,NDC Description Not Available,29.65,29.65,,,0 CDM,16180_00409733821,NDC Description Not Available,29.5,29.5,,,0 CDM,16180_00781320785,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (0781-3207-85) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",29.5,29.5,,,0 CDM,16199_50383004224,Prednisolone: 1 BOTTLE in 1 CARTON (50383-042-24) / 240 mL in 1 BOTTLE,1.98,1.98,,,0 CDM,162029_55513006901,NDC Description Not Available,6750.0,6750.0,,,0 CDM,162029_55513007701,Imdelltra (Amg757): 1 Kit In 1 Package (55513-077-01) * 10 Mg In 1 Vial (55513-069-01) * 7 Ml In 1 Vial (55513-068-01),7553.41,7553.41,,,0 CDM,162030_55513005901,Imdelltra (Amg757): 1 Kit In 1 Package (55513-059-01) * 1 Mg In 1 Vial (55513-103-01) * 7 Ml In 1 Vial (55513-068-01),6738.85,6738.85,,,0 CDM,162030_55513010301,NDC Description Not Available,6750.0,6750.0,,,0 CDM,16205_00904640761,"Bisacodyl: 10 Blister Pack In 1 Box (0904-6407-61) / 10 Tablet, Delayed Release In 1 Blister Pack",1.09,1.09,,,0 CDM,162197_82959011201,"Rytelo: 1 Vial, Single-Dose In 1 Carton (82959-112-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",414.63,414.63,,,0 CDM,162198_82959011101,"Rytelo: 1 Vial, Single-Dose In 1 Carton (82959-111-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",780.65,780.65,,,0 CDM,162364_19515081041,NDC Description Not Available,22.35,22.35,,,0 CDM,162364_19515081052,Flulaval 2024/2025: 10 Syringe In 1 Carton (19515-810-52) / .5 Ml In 1 Syringe (19515-810-41),22.35,22.35,,,0 CDM,162364_49281012488,NDC Description Not Available,73.41,73.41,,,0 CDM,162364_49281042450,"Fluzone Trivalent Northern Hemisphere: 10 Syringe, Glass In 1 Package (49281-424-50) / .5 Ml In 1 Syringe, Glass (49281-424-88)",19.93,19.93,,,0 CDM,162364_49281042488,NDC Description Not Available,19.93,19.93,,,0 CDM,162364_58160088441,NDC Description Not Available,18.98,18.98,,,0 CDM,16240_00182055589,Hydralazine Hydrochloride: 100 BLISTER PACK in 1 BOX (0182-0555-89) / 1 TABLET in 1 BLISTER PACK (0182-0555-00),4.0,4.0,,,0 CDM,16240_00904644261,"Hydralazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6442-61) / 1 Tablet, Film Coated In 1 Blister Pack",4.5,4.5,,,0 CDM,16240_23155083401,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (23155-834-01),3.0,3.0,,,0 CDM,16240_31722052101,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (31722-521-01),4.11,4.11,,,0 CDM,16240_50111032801,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (50111-328-01),4.09,4.09,,,0 CDM,16240_51079007601,NDC Description Not Available,4.23,4.23,,,0 CDM,16240_60687083311,NDC Description Not Available,4.08,4.08,,,0 CDM,16240_62584073411,NDC Description Not Available,3.36,3.36,,,0 CDM,16240_63739032810,Hydralazine Hydrochloride: 10 Blister Pack In 1 Case (63739-328-10) / 10 Tablet In 1 Blister Pack,3.78,3.78,,,0 CDM,16240_64380073506,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (64380-735-06),3.88,3.88,,,0 CDM,162460_19515081041,NDC Description Not Available,22.35,22.35,,,0 CDM,162460_49281012465,"Fluzone High Dose Northern Hemisphere: 5 Syringe, Glass In 1 Package (49281-124-65) / .5 Ml In 1 Syringe, Glass (49281-124-88)",73.41,73.41,,,0 CDM,162460_49281012488,NDC Description Not Available,73.41,73.41,,,0 CDM,162478_00002940101,"Kisunla: 1 Vial, Single-Dose In 1 Carton (0002-9401-01) / 20 Ml In 1 Vial, Single-Dose",26.63,26.63,,,0 CDM,16248_00143926701,Clindamycin In 5 Percent Dextrose: 1 Vial In 1 Carton (0143-9267-01) / 50 Ml In 1 Vial,39.99,39.99,,,0 CDM,16248_00338341050,NDC Description Not Available,193.0,193.0,,,0 CDM,16248_00781328891,NDC Description Not Available,193.0,193.0,,,0 CDM,16248_99999001589,NDC Description Not Available,193.0,193.0,,,0 CDM,162531_72078006550,NDC Description Not Available,59.32,59.32,,,0 CDM,162532_72078006650,NDC Description Not Available,74.86,74.86,,,0 CDM,16261_00173072020,"Flovent Hfa: 1 Inhaler In 1 Carton (0173-0720-20) / 120 Aerosol, Metered In 1 Inhaler",2637.04,2637.04,,,0 CDM,16261_66993008096,"Fluticasone Propionate Hfa: 1 Inhaler In 1 Carton (66993-080-96) / 120 Aerosol, Metered In 1 Inhaler",1714.03,1714.03,,,0 CDM,16262_63323063110,"Leucovorin Calcium: 1 Vial, Single-Use In 1 Carton (63323-631-10) / 10 Ml In 1 Vial, Single-Use",74.68,74.68,,,0 CDM,162811_80777029109,NDC Description Not Available,129.0,129.0,,,0 CDM,162812_80777011001,NDC Description Not Available,141.55,141.55,,,0 CDM,162812_80777011093,"Spikevax: 10 Syringe, Plastic In 1 Carton (80777-110-93) / .5 Ml In 1 Syringe, Plastic (80777-110-01)",141.8,141.8,,,0 CDM,162812_80777011096,"Spikevax: 10 Syringe, Plastic In 1 Carton (80777-110-96) / .5 Ml In 1 Syringe, Plastic (80777-110-01)",141.8,141.8,,,0 CDM,163141_57894065001,NDC Description Not Available,245.95,245.95,,,0 CDM,163141_57894065002,"Tremfya: 1 Vial, Single-Dose In 1 Carton (57894-650-02) / 20 Ml In 1 Vial, Single-Dose (57894-650-01)",382.09,382.09,,,0 CDM,16318_63323048801,NDC Description Not Available,1.61,1.61,,,0 CDM,16327_00093720198,Pravastatin Sodium: 90 Tablet In 1 Bottle (0093-7201-98),5.33,5.33,,,0 CDM,16327_00904589261,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5892-61) / 1 Tablet In 1 Blister Pack",4.69,4.69,,,0 CDM,16327_60687017811,NDC Description Not Available,4.93,4.93,,,0 CDM,16343_00378087316,NDC Description Not Available,383.72,383.72,,,0 CDM,16343_00378087399,Clonidine: 4 Pouch In 1 Carton (0378-0873-99) / 1 Patch In 1 Pouch (0378-0873-16) / 7 D In 1 Patch,383.72,383.72,,,0 CDM,163501_00469342510,Vyloy: 1 Vial In 1 Box (0469-3425-10) / 5 Ml In 1 Vial,168.08,168.08,,,0 CDM,16350_68084034511,NDC Description Not Available,6.18,6.18,,,0 CDM,16350_68084034521,"Topiramate: 30 Blister Pack In 1 Box, Unit-Dose (68084-345-21) / 1 Tablet, Film Coated In 1 Blister Pack (68084-345-11)",6.18,6.18,,,0 CDM,163571_83226200101,"Aurlumyn: 1 Vial, Single-Dose In 1 Carton (83226-2001-1) / 1 Ml In 1 Vial, Single-Dose",24.75,24.75,,,0 CDM,16365_16714082001,"Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (16714-820-01)",13.97,13.97,,,0 CDM,16365_33342009607,"Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (33342-096-07)",6.0,6.0,,,0 CDM,16365_42291080030,"Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (42291-800-30)",6.0,6.0,,,0 CDM,16365_61958040101,"Viread: 30 Tablet, Coated In 1 Bottle, Plastic (61958-0401-1)",259.06,259.06,,,0 CDM,16365_64380071404,Tenofovir Disoproxil Fumarate: 30 Tablet In 1 Bottle (64380-714-04),6.0,6.0,,,0 CDM,16376_00517040125,"Atropine Sulfate: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-0401-25) / 1 mL in 1 VIAL, SINGLE-DOSE",1.24,1.24,,,0 CDM,16376_00517100401,NDC Description Not Available,2.98,2.98,,,0 CDM,16376_00641600601,NDC Description Not Available,1.18,1.18,,,0 CDM,16376_00641625101,NDC Description Not Available,1.18,1.18,,,0 CDM,16376_16729051205,NDC Description Not Available,1.18,1.18,,,0 CDM,16376_16729052563,"Atropine Sulfate: 1 Vial, Single-Dose In 1 Carton (16729-525-63) / 1 Ml In 1 Vial, Single-Dose",3.22,3.22,,,0 CDM,16376_63323058003,NDC Description Not Available,1.18,1.18,,,0 CDM,16384_00781304072,NDC Description Not Available,59.0,59.0,,,0 CDM,16384_00781304095,Regonol: 10 Ampule In 1 Carton (0781-3040-95) / 2 Ml In 1 Ampule (0781-3040-72),59.0,59.0,,,0 CDM,16408_00172375810,"Lisinopril: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (0172-3758-10) / 1 TABLET in 1 BLISTER PACK (0172-3758-00)",6.0,6.0,,,0 CDM,16408_00904679761,Lisinopril: 100 Blister Pack In 1 Carton (0904-6797-61) / 1 Tablet In 1 Blister Pack,5.75,5.75,,,0 CDM,16421_00093416176,Amoxicillin: 50 Ml In 1 Bottle (0093-4161-76),6.43,6.43,,,0 CDM,16421_65862007101,Amoxicillin: 100 Ml In 1 Bottle (65862-071-01),6.0,6.0,,,0 CDM,16463_00904578961,Acyclovir: 100 Blister Pack In 1 Carton (0904-5789-61) / 1 Capsule In 1 Blister Pack,5.65,5.65,,,0 CDM,16463_72578000201,Acyclovir: 100 Capsule In 1 Bottle (72578-002-01),6.0,6.0,,,0 CDM,16464_29300012801,Hydrochlorothiazide: 100 Tablet In 1 Bottle (29300-128-01),4.56,4.56,,,0 CDM,16464_60687059311,NDC Description Not Available,5.65,5.65,,,0 CDM,164719_65597080101,"Datroway: 1 Vial, Single-Dose In 1 Carton (65597-801-01) / 5 Ml In 1 Vial, Single-Dose",29493.15,29493.15,,,0 CDM,16477_00093101042,Mupirocin: 1 Tube In 1 Carton (0093-1010-42) / 22 G In 1 Tube,56.47,56.47,,,0 CDM,16477_45802011222,Mupirocin: 1 Tube In 1 Carton (45802-112-22) / 22 G In 1 Tube,55.79,55.79,,,0 CDM,16477_68462018022,Mupirocin: 22 G In 1 Tube (68462-180-22),55.79,55.79,,,0 CDM,16482_00409302401,NITROPRESS: 1 VIAL in 1 CARTON (0409-3024-01) / 2 mL in 1 VIAL,319.86,319.86,,,0 CDM,16482_14789001202,"Sodium Nitroprusside: 1 Vial, Glass In 1 Carton (14789-012-02) / 2 Ml In 1 Vial, Glass",536.0,536.0,,,0 CDM,16482_42998030202,Nitropress: 1 VIAL in 1 CARTON (42998-302-02) / 2 mL in 1 VIAL,5901.9,5901.9,,,0 CDM,16482_71288020202,"Sodium Nitroprusside: 1 Vial, Single-Dose In 1 Carton (71288-202-02) / 2 Ml In 1 Vial, Single-Dose",201.0,201.0,,,0 CDM,164968_50881002311,"Niktimvo: 1 Vial, Single-Use In 1 Carton (50881-023-11) / .44 Ml In 1 Vial, Single-Use",236.25,236.25,,,0 CDM,164968_50881003412,"Niktimvo: 1 Vial, Single-Use In 1 Carton (50881-034-12) / .18 Ml In 1 Vial, Single-Use",369.98,369.98,,,0 CDM,16503_60793070001,NDC Description Not Available,182.34,182.34,,,0 CDM,16503_60793070010,Bicillin L-A: 10 Syringe In 1 Package (60793-700-10) / 1 Ml In 1 Syringe (60793-700-01),196.47,196.47,,,0 CDM,16506_00904592161,Digoxin: 100 Blister Pack In 1 Carton (0904-5921-61) / 1 Tablet In 1 Blister Pack,8.36,8.36,,,0 CDM,16506_42292000320,DIGITEK: 100 BLISTER PACK in 1 CARTON (42292-003-20) / 1 TABLET in 1 BLISTER PACK (42292-003-01),8.36,8.36,,,0 CDM,16506_60687054011,NDC Description Not Available,7.18,7.18,,,0 CDM,16518_00245021111,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (0245-0211-11),4.98,4.98,,,0 CDM,16518_00904681761,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6817-61) / 1 Tablet In 1 Blister Pack,5.74,5.74,,,0 CDM,16518_60687038711,NDC Description Not Available,6.07,6.07,,,0 CDM,165415_08068110000,NDC Description Not Available,0.45,0.45,,,0 CDM,165415_56151161011,NDC Description Not Available,0.32,0.32,,,0 CDM,16564_00904608261,Zolpidem Tartrate: 100 Blister Pack In 1 Carton (0904-6082-61) / 1 Tablet In 1 Blister Pack,4.43,4.43,,,0 CDM,16564_16714062101,"Zolpidem Tartrate: 100 Tablet, Film Coated In 1 Bottle (16714-621-01)",3.94,3.94,,,0 CDM,16564_68084018911,NDC Description Not Available,4.48,4.48,,,0 CDM,16577_00054429725,"Furosemide: 100 Tablet In 1 Bottle, Plastic (0054-4297-25)",3.0,3.0,,,0 CDM,16577_00054829725,Furosemide: 10 Blister Pack In 1 Carton (0054-8297-25) / 10 Tablet In 1 Blister Pack,5.86,5.86,,,0 CDM,16577_00904717761,Furosemide: 100 Blister Pack In 1 Carton (0904-7177-61) / 1 Tablet In 1 Blister Pack,4.86,4.86,,,0 CDM,16577_51079007201,NDC Description Not Available,6.0,6.0,,,0 CDM,16577_51079007220,Furosemide: 100 BLISTER PACK in 1 CARTON (51079-072-20) / 1 TABLET in 1 BLISTER PACK (51079-072-01),5.94,5.94,,,0 CDM,16577_69315011601,Furosemide: 100 Tablet In 1 Bottle (69315-116-01),4.7,4.7,,,0 CDM,16590_39822210002,"Dactinomycin: 1 Vial, Single-Dose In 1 Carton (39822-2100-2) / 1 Ml In 1 Vial, Single-Dose (39822-2100-1)",3883.24,3883.24,,,0 CDM,16590_42658000801,"Dactinomycin: 1 Vial In 1 Carton (42658-008-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",3350.0,3350.0,,,0 CDM,16590_55150043101,"Dactinomycin: 1 Vial, Single-Dose In 1 Carton (55150-431-01) / 1 Ml In 1 Vial, Single-Dose",5723.28,5723.28,,,0 CDM,16590_67457051305,"Dactinomycin: 1 VIAL, SINGLE-DOSE in 1 CARTON (67457-513-05) / 1 mL in 1 VIAL, SINGLE-DOSE",9413.83,9413.83,,,0 CDM,16590_71288012902,"Dactinomycin: 1 Vial, Single-Dose In 1 Carton (71288-129-02) / 1 Ml In 1 Vial, Single-Dose",2948.0,2948.0,,,0 CDM,16592_51079092401,NDC Description Not Available,20.53,20.53,,,0 CDM,16592_51079092420,"Diltiazem Hydrochloride: 100 Blister Pack In 1 Carton (51079-924-20) / 1 Capsule, Extended Release In 1 Blister Pack (51079-924-01)",20.53,20.53,,,0 CDM,16599_00409427701,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4277-01) / 20 Ml In 1 Vial, Multi-Dose (0409-4277-16)",0.59,0.59,,,0 CDM,16599_00409427702,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4277-02) / 50 Ml In 1 Vial, Multi-Dose (0409-4277-17)",0.4,0.4,,,0 CDM,16599_00409427716,NDC Description Not Available,0.35,0.35,,,0 CDM,16599_00409427717,NDC Description Not Available,2.95,2.95,,,0 CDM,16599_55150025410,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-254-10) / 10 Ml In 1 Vial, Multi-Dose",5.62,5.62,,,0 CDM,16599_55150025520,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-255-20) / 20 Ml In 1 Vial, Multi-Dose",2.95,2.95,,,0 CDM,16599_55150025650,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-256-50) / 50 Ml In 1 Vial, Multi-Dose",2.95,2.95,,,0 CDM,16599_63323020202,Lidocaine: 25 Vial In 1 Tray (63323-202-02) / 2 Ml In 1 Vial (63323-202-01),0.77,0.77,,,0 CDM,16599_63323048601,NDC Description Not Available,0.82,0.82,,,0 CDM,16599_63323048602,NDC Description Not Available,2.56,2.56,,,0 CDM,16599_63323048605,NDC Description Not Available,0.05,0.05,,,0 CDM,16599_63323048617,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-17) / 10 Ml In 1 Vial, Multi-Dose (63323-486-01)",0.69,0.69,,,0 CDM,16599_63323048626,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-26) / 20 Ml In 1 Vial, Multi-Dose (63323-486-41)",2.95,2.95,,,0 CDM,16599_63323048627,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-27) / 20 Ml In 1 Vial, Multi-Dose (63323-486-02)",0.83,0.83,,,0 CDM,16599_63323048657,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-57) / 50 Ml In 1 Vial, Multi-Dose (63323-486-05)",2.95,2.95,,,0 CDM,16625_00641600701,NDC Description Not Available,5.72,5.72,,,0 CDM,16625_00641600801,NDC Description Not Available,11.67,11.67,,,0 CDM,16625_00641600810,Bumetanide: 10 Vial In 1 Carton (0641-6008-10) / 4 Ml In 1 Vial (0641-6008-01),10.12,10.12,,,0 CDM,16625_25021032110,Bumetanide: 10 Vial In 1 Carton (25021-321-10) / 10 Ml In 1 Vial,5.41,5.41,,,0 CDM,16625_65219057001,NDC Description Not Available,12.6,12.6,,,0 CDM,16625_65219057004,"Bumetanide: 10 Vial, Single-Dose In 1 Carton (65219-570-04) / 4 Ml In 1 Vial, Single-Dose (65219-570-01)",11.59,11.59,,,0 CDM,16625_65219057201,NDC Description Not Available,6.7,6.7,,,0 CDM,16625_68462046940,NDC Description Not Available,9.91,9.91,,,0 CDM,16625_68462046954,"Bumetanide: 10 Vial, Single-Dose In 1 Carton (68462-469-54) / 4 Ml In 1 Vial, Single-Dose (68462-469-40)",7.62,7.62,,,0 CDM,16625_68462047040,NDC Description Not Available,6.44,6.44,,,0 CDM,16625_70748032302,NDC Description Not Available,4.86,4.86,,,0 CDM,16625_72205010101,NDC Description Not Available,10.3,10.3,,,0 CDM,16625_72205010201,NDC Description Not Available,5.1,5.1,,,0 CDM,16628_00009075801,Solu-Medrol: 1 Vial In 1 Carton (0009-0758-01) / 8 Ml In 1 Vial,1.87,1.87,,,0 CDM,16628_00143985001,"Methylprednisolone Sodium Succinate: 1 Injection, Powder, For Solution In 1 Vial, Multi-Dose (0143-9850-01)",1.93,1.93,,,0 CDM,16628_43598012811,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (43598-128-11) / 8 Ml In 1 Vial, Multi-Dose",1.94,1.94,,,0 CDM,16644_55150043501,NDC Description Not Available,1386.01,1386.01,,,0 CDM,16644_67457020850,"Dexrazoxane Hydrochloride: 1 KIT in 1 PACKAGE (67457-208-50) * 50 mL in 1 VIAL, SINGLE-DOSE (67457-209-50) * 50 mL in 1 VIAL (67457-205-50)",1470.01,1470.01,,,0 CDM,16644_72266010101,Dexrazoxane: 1 Vial In 1 Carton (72266-101-01) / 50 Ml In 1 Vial,1347.59,1347.59,,,0 CDM,16644_72611071601,"Dexrazoxane: 1 Vial, Single-Dose In 1 Carton (72611-716-01) / 50 Ml In 1 Vial, Single-Dose",1179.59,1179.59,,,0 CDM,16649_68084010409,"Ziprasidone Hydrochloride: 80 Blister Pack In 1 Box, Unit-Dose (68084-104-09) / 1 Capsule In 1 Blister Pack (68084-104-11)",17.18,17.18,,,0 CDM,16649_68084010411,NDC Description Not Available,17.18,17.18,,,0 CDM,16651_00781108901,Alprazolam: 100 Tablet In 1 Bottle (0781-1089-01),5.71,5.71,,,0 CDM,16654_00517040525,Phenylephrine Hydrochloride: 25 VIAL in 1 CARTON (0517-0405-25) / 5 mL in 1 VIAL,0.03,0.03,,,0 CDM,16654_00641614201,NDC Description Not Available,0.06,0.06,,,0 CDM,16654_00641614225,Phenylephrine Hydrochloride: 25 Vial In 1 Carton (0641-6142-25) / 1 Ml In 1 Vial (0641-6142-01),0.07,0.07,,,0 CDM,16654_10019016301,NDC Description Not Available,0.01,0.01,,,0 CDM,16654_42023021401,NDC Description Not Available,0.06,0.06,,,0 CDM,16654_42023021410,"Phenylephrine Hydrochloride: 10 Vial, Pharmacy Bulk Package In 1 Carton (42023-214-10) / 5 Ml In 1 Vial, Pharmacy Bulk Package",0.06,0.06,,,0 CDM,16654_51754400001,NDC Description Not Available,0.06,0.06,,,0 CDM,16654_63323075100,NDC Description Not Available,0.04,0.04,,,0 CDM,16654_66758001604,"Phenylephrine Hydrochloride: 25 VIAL, SINGLE-DOSE in 1 CARTON (66758-016-04) / 5 mL in 1 VIAL, SINGLE-DOSE (66758-016-03)",0.02,0.02,,,0 CDM,16654_70756062285,NDC Description Not Available,0.03,0.03,,,0 CDM,16654_71288080875,NDC Description Not Available,0.03,0.03,,,0 CDM,16688_06373612002,NDC Description Not Available,16.93,16.93,,,0 CDM,16688_49348015078,Sunmark Lice Treatment: 1 Bottle In 1 Carton (49348-150-78) / 59 Ml In 1 Bottle,661.39,661.39,,,0 CDM,16693_68462030450,Norethindrone Acetate: 50 Tablet In 1 Bottle (68462-304-50),6.0,6.0,,,0 CDM,16709_00378351501,"Mirtazapine: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-3515-01)",4.9,4.9,,,0 CDM,16709_00904651961,"Mirtazapine: 100 Blister Pack In 1 Carton (0904-6519-61) / 1 Tablet, Film Coated In 1 Blister Pack",4.6,4.6,,,0 CDM,16709_51079008601,NDC Description Not Available,4.74,4.74,,,0 CDM,16709_51079008620,"Mirtazapine: 100 Blister Pack In 1 Carton (51079-086-20) / 1 Tablet, Film Coated In 1 Blister Pack (51079-086-01)",4.82,4.82,,,0 CDM,16709_63739009810,"Mirtazapine: 10 Blister Pack In 1 Box (63739-098-10) / 10 Tablet, Film Coated In 1 Blister Pack",4.85,4.85,,,0 CDM,16709_68084011911,NDC Description Not Available,3.97,3.97,,,0 CDM,16719_00071080324,Neurontin: 100 Capsule In 1 Bottle (0071-0803-24),17.94,17.94,,,0 CDM,16719_00904666561,Gabapentin: 100 Blister Pack In 1 Carton (0904-6665-61) / 1 Capsule In 1 Blister Pack,4.46,4.46,,,0 CDM,16719_16714066101,Gabapentin: 100 Capsule In 1 Bottle (16714-661-01),4.89,4.89,,,0 CDM,16719_60687058011,NDC Description Not Available,4.66,4.66,,,0 CDM,16719_63739059110,"Gabapentin: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-591-10) / 10 CAPSULE in 1 BLISTER PACK",4.23,4.23,,,0 CDM,16719_63739067510,"Gabapentin: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-675-10) / 10 CAPSULE in 1 BLISTER PACK",4.66,4.66,,,0 CDM,16719_63739090210,Gabapentin: 10 Blister Pack In 1 Carton (63739-902-10) / 10 Capsule In 1 Blister Pack,4.57,4.57,,,0 CDM,16739_00078033184,"Simulect: 1 Vial, Single-Use In 1 Carton (0078-0331-84) / 5 Ml In 1 Vial, Single-Use",30072.41,30072.41,,,0 CDM,16760_00264180031,Sodium Chloride: 84 Container In 1 Case (0264-1800-31) / 50 Ml In 1 Container,172.38,172.38,,,0 CDM,16760_00264180032,Sodium Chloride: 64 Container In 1 Case (0264-1800-32) / 100 Ml In 1 Container,193.0,193.0,,,0 CDM,16760_00264780009,Sodium Chloride: 12 Container In 1 Case (0264-7800-09) / 1000 Ml In 1 Container,193.0,193.0,,,0 CDM,16760_00264780020,Sodium Chloride: 24 Container In 1 Case (0264-7800-20) / 250 Ml In 1 Container,193.0,193.0,,,0 CDM,16760_00338004902,Sodium Chloride: 250 Ml In 1 Bag (0338-0049-02),177.94,177.94,,,0 CDM,16760_00338004903,Sodium Chloride: 500 Ml In 1 Bag (0338-0049-03),180.23,180.23,,,0 CDM,16760_00338004904,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),189.39,189.39,,,0 CDM,16760_00338004911,Sodium Chloride: 4 Bag In 1 Package (0338-0049-11) / 50 Ml In 1 Bag,193.0,193.0,,,0 CDM,16760_00338004918,Sodium Chloride: 4 Bag In 1 Package (0338-0049-18) / 100 Ml In 1 Bag,192.33,192.33,,,0 CDM,16760_00338004931,Sodium Chloride: 16 Bag In 1 Package (0338-0049-31) / 50 Ml In 1 Bag,177.57,177.57,,,0 CDM,16760_00338004938,Sodium Chloride: 16 Bag In 1 Package (0338-0049-38) / 100 Ml In 1 Bag,185.9,185.9,,,0 CDM,16760_00338004941,Sodium Chloride: 1 Bag In 1 Package (0338-0049-41) / 50 Ml In 1 Bag,176.71,176.71,,,0 CDM,16760_00338004948,Sodium Chloride: 1 Bag In 1 Package (0338-0049-48) / 100 Ml In 1 Bag,190.55,190.55,,,0 CDM,16760_00338055311,Sodium Chloride: 50 Ml In 1 Bag (0338-0553-11),193.0,193.0,,,0 CDM,16760_00338055318,Sodium Chloride: 100 Ml In 1 Bag (0338-0553-18),193.0,193.0,,,0 CDM,16760_00338915930,Sodium Chloride: 100 Ml In 1 Bag (0338-9159-30),193.0,193.0,,,0 CDM,16760_00338954302,Sodium Chloride: 250 Ml In 1 Bag (0338-9543-02),188.18,188.18,,,0 CDM,16760_00338954304,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-04),191.71,191.71,,,0 CDM,16760_00338979101,NDC Description Not Available,193.0,193.0,,,0 CDM,16760_00409710168,NDC Description Not Available,193.0,193.0,,,0 CDM,16760_00409798406,Sodium Chloride: 60 BAG in 1 CASE (0409-7984-06) / 50 mL in 1 BAG,193.0,193.0,,,0 CDM,16760_00409798413,Sodium Chloride: 48 POUCH in 1 CASE (0409-7984-13) / 1 BAG in 1 POUCH / 50 mL in 1 BAG,193.0,193.0,,,0 CDM,16760_00990798303,Sodium Chloride: 24 Pouch In 1 Case (0990-7983-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,193.0,193.0,,,0 CDM,16760_63323062350,Sodium Chloride: 60 BAG in 1 BOX (63323-623-50) / 50 mL in 1 BAG,193.0,193.0,,,0 CDM,16760_63323062351,Sodium Chloride: 20 BAG in 1 BOX (63323-623-51) / 500 mL in 1 BAG,193.0,193.0,,,0 CDM,16760_65219022401,NDC Description Not Available,185.46,185.46,,,0 CDM,16760_65219047005,NDC Description Not Available,193.0,193.0,,,0 CDM,16760_76297000122,NDC Description Not Available,193.0,193.0,,,0 CDM,16760_76297000132,NDC Description Not Available,193.0,193.0,,,0 CDM,16781_00904632206,"Metoprolol Succinate: 50 Blister Pack In 1 Carton (0904-6322-06) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",5.79,5.79,,,0 CDM,16781_00904632261,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6322-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",5.94,5.94,,,0 CDM,16781_45963070911,"Metoprolol Succinate: 100 Tablet, Film Coated, Extended Release In 1 Bottle (45963-709-11)",6.0,6.0,,,0 CDM,16781_50268054011,NDC Description Not Available,5.77,5.77,,,0 CDM,16781_51079016901,NDC Description Not Available,5.95,5.95,,,0 CDM,16781_60687039011,NDC Description Not Available,6.03,6.03,,,0 CDM,16781_67877059001,"Metoprolol Succinate: 100 Tablet, Film Coated, Extended Release In 1 Bottle (67877-590-01)",6.0,6.0,,,0 CDM,16824_50268029711,NDC Description Not Available,8.68,8.68,,,0 CDM,16824_60687050011,NDC Description Not Available,9.92,9.92,,,0 CDM,16824_64380073706,"Vitamin D: 100 Capsule In 1 Bottle, Plastic (64380-737-06)",6.0,6.0,,,0 CDM,16826_00904718861,Hydrocortisone: 100 Blister Pack In 1 Carton (0904-7188-61) / 1 Tablet In 1 Blister Pack,11.13,11.13,,,0 CDM,16826_50268040611,NDC Description Not Available,11.39,11.39,,,0 CDM,16826_59762007401,Hydrocortisone: 100 Tablet In 1 Bottle (59762-0074-1),5.61,5.61,,,0 CDM,16829_16714078202,1 TUBE in 1 CARTON (16714-782-02) / 30 g in 1 TUBE,657.51,657.51,,,0 CDM,16829_21922001705,Clobetasol Propionate: 1 Tube In 1 Carton (21922-017-05) / 30 G In 1 Tube,61.94,61.94,,,0 CDM,16829_43386009661,Clobetasol Propionate: 1 Tube In 1 Carton (43386-096-61) / 30 G In 1 Tube,74.4,74.4,,,0 CDM,16829_51672125902,Clobetasol Propionate: 1 Tube In 1 Carton (51672-1259-2) / 30 G In 1 Tube,61.94,61.94,,,0 CDM,1685_00527131801,Terbutaline Sulfate: 100 Tablet In 1 Bottle (0527-1318-01),26.99,26.99,,,0 CDM,1685_62559072101,Terbutaline Sulfate: 100 Tablet In 1 Bottle (62559-721-01),6.2,6.2,,,0 CDM,16875_00067628171,Maalox: 355 mL in 1 BOTTLE (0067-6281-71),6.75,6.75,,,0 CDM,16875_00121176130,"Mag-Al Plus: 10 Tray In 1 Case (0121-1761-30) / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",5.99,5.99,,,0 CDM,16875_00904732562,NDC Description Not Available,6.62,6.62,,,0 CDM,16875_57237031603,NDC Description Not Available,6.1,6.1,,,0 CDM,16875_63739015977,NDC Description Not Available,3.6,3.6,,,0 CDM,16875_99999002112,NDC Description Not Available,2.0,2.0,,,0 CDM,16881_00641047721,NDC Description Not Available,259.5,259.5,,,0 CDM,16881_00641047725,Phenobarbital Sodium: 25 Vial In 1 Carton (0641-0477-25) / 1 Ml In 1 Vial (0641-0477-21),344.62,344.62,,,0 CDM,16881_14789012807,NDC Description Not Available,139.94,139.94,,,0 CDM,16881_54288013701,NDC Description Not Available,100.86,100.86,,,0 CDM,16889_00143975401,NDC Description Not Available,2.95,2.95,,,0 CDM,16889_43598012901,NDC Description Not Available,2.36,2.36,,,0 CDM,16889_63323025803,"Methylprednisolone Sodium Succinate: 25 Vial, Single-Dose In 1 Tray (63323-258-03) / 2 Ml In 1 Vial, Single-Dose (63323-258-01)",3.25,3.25,,,0 CDM,16900_24208029905,Lotemax: 1 Bottle In 1 Carton (24208-299-05) / 5 Ml In 1 Bottle,1972.35,1972.35,,,0 CDM,16966_68180015001,Famotidine: 50 Ml In 1 Bottle (68180-150-01),6.21,6.21,,,0 CDM,16966_69238209004,Famotidine: 50 Ml In 1 Bottle (69238-2090-4),19.65,19.65,,,0 CDM,16966_99999002234,NDC Description Not Available,1.65,1.65,,,0 CDM,16966_99999002235,NDC Description Not Available,3.52,3.52,,,0 CDM,16966_99999002236,NDC Description Not Available,5.17,5.17,,,0 CDM,16966_99999002237,NDC Description Not Available,6.58,6.58,,,0 CDM,16973_00074310932,Gengraf: 5 Blister Pack In 1 Carton (0074-3109-32) / 6 Capsule In 1 Blister Pack,43.32,43.32,,,0 CDM,16973_00078024815,"Neoral: 30 Blister Pack In 1 Carton (0078-0248-15) / 1 Capsule, Liquid Filled In 1 Blister Pack (0078-0248-61)",68.93,68.93,,,0 CDM,16973_00093902019,NDC Description Not Available,26.74,26.74,,,0 CDM,16973_51862046001,NDC Description Not Available,18.72,18.72,,,0 CDM,16973_60505463203,"Cyclosporine, Modfied: 30 Blister Pack In 1 Carton (60505-4632-3) / 6 Capsule, Liquid Filled In 1 Blister Pack",20.45,20.45,,,0 CDM,16973_75907004881,NDC Description Not Available,39.12,39.12,,,0 CDM,16977_00574200815,"Nystop: 15 G In 1 Bottle, Plastic (0574-2008-15)",120.25,120.25,,,0 CDM,16977_16714076903,"Nystatin: 60 G In 1 Bottle, Plastic (16714-769-03)",335.55,335.55,,,0 CDM,16977_68308015215,"Nystatin: 15 G In 1 Bottle, Plastic (68308-152-15)",43.44,43.44,,,0 CDM,16977_68308015260,"Nystatin: 60 G In 1 Bottle, Plastic (68308-152-60)",136.53,136.53,,,0 CDM,16977_69315030615,"Nystatin: 15 G In 1 Bottle, Plastic (69315-306-15)",120.25,120.25,,,0 CDM,16992_50484001030,Collagenase Santyl: 1 Tube In 1 Carton (50484-010-30) / 30 G In 1 Tube,1912.48,1912.48,,,0 CDM,16996_00270131630,Isovue 370: 10 Vial In 1 Box (0270-1316-30) / 50 Ml In 1 Vial,3.44,3.44,,,0 CDM,169_00904659204,"Tolterodine Tartrate: 30 Blister Pack In 1 Carton (0904-6592-04) / 1 Capsule, Extended Release In 1 Blister Pack",56.22,56.22,,,0 CDM,169_13668018930,"Tolterodine Tartrate: 30 Capsule, Extended Release In 1 Bottle (13668-189-30)",6.2,6.2,,,0 CDM,169_60687031911,NDC Description Not Available,62.27,62.27,,,0 CDM,16_82260010305,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (82260-103-05) / 5 Ml In 1 Bottle, Dropper",248.0,248.0,,,0 CDM,17000_PBB,Pr Destruction Premalignant Lesion 1St-Pbb,538.0,538.0,,,0 CDM,17003_PBB,Pr Destruction Premalignant Lesion 2-14 Ea-Pbb,121.0,121.0,,,0 CDM,17004_PBB,Pr Destruction Premalignant Lesion 15/>-Pbb,1931.0,1931.0,,,0 CDM,17016_43547037503,Irbesartan: 30 Tablet In 1 Bottle (43547-375-03),6.0,6.0,,,0 CDM,17021_35573044525,"Levalbuterol: 25 Pouch In 1 Carton (35573-445-25) / 25 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",2.48,2.48,,,0 CDM,17021_76204090001,Levalbuterol: 30 Pouch In 1 Carton (76204-900-01) / 1 Ampule In 1 Pouch (76204-900-11) / 3 Ml In 1 Ampule,2.05,2.05,,,0 CDM,17021_76204090011,NDC Description Not Available,3.31,3.31,,,0 CDM,17029_00054024424,Codeine Sulfate: 10 Blister Pack In 1 Box (0054-0244-24) / 10 Tablet In 1 Blister Pack,6.0,6.0,,,0 CDM,17038_00378082501,"Clozapine: 100 Tablet In 1 Bottle, Plastic (0378-0825-01)",5.56,5.56,,,0 CDM,17038_51079092101,NDC Description Not Available,4.6,4.6,,,0 CDM,17043_00641614501,NDC Description Not Available,14.75,14.75,,,0 CDM,17043_00641614601,NDC Description Not Available,2.95,2.95,,,0 CDM,17043_63323016501,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-165-01) / 1 Ml In 1 Vial (63323-165-02),11.99,11.99,,,0 CDM,17043_63323016502,NDC Description Not Available,5.65,5.65,,,0 CDM,17043_63323016505,"Dexamethasone Sodium Phosphate: 25 Vial, Multi-Dose In 1 Tray (63323-165-05) / 5 Ml In 1 Vial, Multi-Dose (63323-165-03)",8.43,8.43,,,0 CDM,17043_67457041900,NDC Description Not Available,4.85,4.85,,,0 CDM,17043_67457042200,NDC Description Not Available,8.03,8.03,,,0 CDM,17043_67457042300,NDC Description Not Available,7.33,7.33,,,0 CDM,17043_67457042312,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-423-12) / 1 Ml In 1 Vial (67457-423-00),1.2,1.2,,,0 CDM,17077_00409131901,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-1319-01) / 100 Ml In 1 Vial, Pharmacy Bulk Package",64.04,64.04,,,0 CDM,17077_00409651001,"Vancomycin Hydrochloride: 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON (0409-6510-01) / 100 mL in 1 VIAL, PHARMACY BULK PACKAGE",61.63,61.63,,,0 CDM,17077_25021015899,Vancomycin: 1 Bottle In 1 Carton (25021-158-99) / 100 Ml In 1 Bottle,34.25,34.25,,,0 CDM,17077_68001040775,"Vancomycin Hydrochloride: 1 Vial, Glass In 1 Carton (68001-407-75) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",59.0,59.0,,,0 CDM,17078_00093342601,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3426-01)",5.2,5.2,,,0 CDM,17078_00904600861,Lorazepam: 100 Blister Pack In 1 Carton (0904-6008-61) / 1 Tablet In 1 Blister Pack,5.13,5.13,,,0 CDM,17078_13107008401,Lorazepam: 100 Tablet In 1 Bottle (13107-084-01),5.49,5.49,,,0 CDM,17080_00501379801,NDC Description Not Available,11.97,11.97,,,0 CDM,17100000,Hc Newborn Nursery,4271.0,4271.0,,,0 CDM,17106_PBB,Pr Destruction Cutaneous Vasc Proliferative <10Cm-Pbb,2330.0,2330.0,,,0 CDM,17107_PBB,Pr Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm-Pbb,4532.0,4532.0,,,0 CDM,17108_PBB,Pr Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm-Pbb,6473.0,6473.0,,,0 CDM,17110_PBB,Pr Destruction Benign Lesions Up To 14-Pbb,587.0,587.0,,,0 CDM,17111_PBB,Pr Destruction Benign Lesions 15/>-Pbb,653.0,653.0,,,0 CDM,17124_00409082901,"Aztreonam: 10 Vial, Single-Dose In 1 Carton (0409-0829-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0409-0829-11)",19.3,19.3,,,0 CDM,17124_00409082911,NDC Description Not Available,19.29,19.29,,,0 CDM,17124_63323040101,NDC Description Not Available,21.4,21.4,,,0 CDM,17124_63323040120,"Aztreonam: 10 Vial In 1 Tray (63323-401-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-401-01)",20.2,20.2,,,0 CDM,1714_48433023015,Strong Iodine Solution: 14 Ml In 1 Bottle (48433-230-15),42.2,42.2,,,0 CDM,17178_60432012916,"CARBAMAZEPINE: 450 mL in 1 BOTTLE, PLASTIC (60432-129-16)",10.15,10.15,,,0 CDM,17197_00832121100,Jantoven: 100 Tablet In 1 Bottle (0832-1211-00),5.31,5.31,,,0 CDM,17197_00832121101,Jantoven: 100 Blister Pack In 1 Carton (0832-1211-01) / 1 Tablet In 1 Blister Pack (0832-1211-89),4.24,4.24,,,0 CDM,17197_00832121189,NDC Description Not Available,5.65,5.65,,,0 CDM,17200000,Hc Nursery Newborn Level 2,5852.0,5852.0,,,0 CDM,17202_00378715501,"Budesonide: 100 CAPSULE, DELAYED RELEASE in 1 BOTTLE, PLASTIC (0378-7155-01)",27.59,27.59,,,0 CDM,17202_60687059633,NDC Description Not Available,83.7,83.7,,,0 CDM,17202_65162077810,"Budesonide: 100 Capsule, Delayed Release In 1 Bottle (65162-778-10)",13.8,13.8,,,0 CDM,17202_65483070210,ENTOCORT: 100 CAPSULE in 1 BOTTLE (65483-702-10),27.59,27.59,,,0 CDM,17204_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,34.42,34.42,,,0 CDM,17204_00002751017,Humalog: 1 Vial In 1 Carton (0002-7510-17) / 3 Ml In 1 Vial,30.42,30.42,,,0 CDM,17204_00002753301,Humalog: 1 Vial In 1 Carton (0002-7533-01) / 3 Ml In 1 Vial,38.06,38.06,,,0 CDM,17204_00024592410,"Admelog: 1 Vial, Multi-Dose In 1 Carton (0024-5924-10) / 10 Ml In 1 Vial, Multi-Dose",33.97,33.97,,,0 CDM,17204_00024592605,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,32.86,32.86,,,0 CDM,17204_50090137500,Humalog: 1 Vial In 1 Carton (50090-1375-0) / 10 Ml In 1 Vial,59.0,59.0,,,0 CDM,1721_00143314250,"Doxycycline Hyclate: 50 Capsule, Gelatin Coated In 1 Bottle, Plastic (0143-3142-50)",7.44,7.44,,,0 CDM,1721_00904042804,Doxycycline Hyclate: 30 Blister Pack In 1 Carton (0904-0428-04) / 1 Capsule In 1 Blister Pack,13.26,13.26,,,0 CDM,1721_00904042806,Doxycycline Hyclate: 50 Blister Pack In 1 Carton (0904-0428-06) / 1 Capsule In 1 Blister Pack,12.67,12.67,,,0 CDM,1721_50268027811,NDC Description Not Available,8.35,8.35,,,0 CDM,1721_60687051311,NDC Description Not Available,10.39,10.39,,,0 CDM,1721_69238110002,Doxycycline Hyclate: 50 Capsule In 1 Bottle (69238-1100-2),5.98,5.98,,,0 CDM,17239_00904704661,"Hydroxychloroquine Sulfate: 100 Blister Pack In 1 Carton (0904-7046-61) / 1 Tablet, Film Coated In 1 Blister Pack",8.62,8.62,,,0 CDM,17239_68084026901,"Hydroxychloroquine Sulfate: 100 Blister Pack In 1 Box, Unit-Dose (68084-269-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-269-11)",11.77,11.77,,,0 CDM,17239_68084026911,NDC Description Not Available,11.97,11.97,,,0 CDM,17250_PBB,Pr Chemical Cauterization Of Granulation Tissue-Pbb,504.0,504.0,,,0 CDM,17260_PBB,Pr Destruction Malignant Lesion T/A/L 0.5 Cm/<-Pbb,948.0,948.0,,,0 CDM,17261_PBB,Pr Destruction Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm-Pbb,1027.0,1027.0,,,0 CDM,17262_PBB,Pr Destruction Mal Lesion Trunk/Arm/Leg 1.1-2.0Cm-Pbb,1246.0,1246.0,,,0 CDM,17263_PBB,Pr Destruction Mal Lesion Trunk/Arm/Leg 2.1-3.0Cm-Pbb,1402.0,1402.0,,,0 CDM,17264_PBB,Pr Destruction Mal Lesion Trunk/Arm/Leg 3.1-4.0Cm-Pbb,1554.0,1554.0,,,0 CDM,17266_00115169430,"Epinephrine: 1 Case In 1 Carton (0115-1694-30) / 1 Syringe, Glass In 1 Case / .3 Ml In 1 Syringe, Glass",335.0,335.0,,,0 CDM,17266_00115169449,"Epinephrine: 2 Case In 1 Carton (0115-1694-49) / 1 Syringe, Glass In 1 Case / .3 Ml In 1 Syringe, Glass",335.0,335.0,,,0 CDM,17266_PBB,Pr Destruction Mal Lesion Trunk/Arm/Leg > 4.0 Cm-Pbb,1933.0,1933.0,,,0 CDM,17270_PBB,Pr Destruction Malignant Lesion S/N/H/F/G 0.5 Cm/<-Pbb,1094.0,1094.0,,,0 CDM,17271_PBB,Pr Destruction Malignant Lesion S/N/H/F/G 0.6-1.0Cm-Pbb,1145.0,1145.0,,,0 CDM,17272_PBB,Pr Destruction Malignant Lesion S/N/H/F/G 1.1-2.0Cm-Pbb,1363.0,1363.0,,,0 CDM,17273_PBB,Pr Destruction Malignant Lesion S/N/H/F/G 2.1-3.0Cm-Pbb,1626.0,1626.0,,,0 CDM,17274_PBB,Pr Destruction Malignant Lesion S/N/H/F/G 3.1-4.0Cm-Pbb,1781.0,1781.0,,,0 CDM,17276_00591251260,"Bosentan: 60 Tablet, Film Coated In 1 Bottle (0591-2512-60)",135.85,135.85,,,0 CDM,17276_66215010203,"Tracleer: 10 Blister Pack In 1 Carton (66215-102-03) / 3 Tablet, Film Coated In 1 Blister Pack",1260.83,1260.83,,,0 CDM,17276_66215010206,"Tracleer: 1 Bottle, Plastic In 1 Carton (66215-102-06) / 60 Tablet, Film Coated In 1 Bottle, Plastic",1261.61,1261.61,,,0 CDM,17276_68382044714,"Bosentan: 60 Tablet, Coated In 1 Bottle (68382-447-14)",120.2,120.2,,,0 CDM,17276_PBB,Pr Dstrj Mal Lesion S/N/H/F/G Lesion Diam > 4.0 Cm-Pbb,2008.0,2008.0,,,0 CDM,17280_PBB,Pr Destruction Malignant Lesion F/E/E/N/L/M 0.5Cm/<-Pbb,1286.0,1286.0,,,0 CDM,17281_PBB,Pr Destruction Mal Lesion F/E/E/N/L/M 0.6-1.0Cm-Pbb,1325.0,1325.0,,,0 CDM,17282_PBB,Pr Destruction Mal Lesion F/E/E/N/L/M 1.1-2.0Cm-Pbb,1554.0,1554.0,,,0 CDM,17283_17478020102,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (17478-201-02) / 2 Ml In 1 Bottle, Dropper",201.5,201.5,,,0 CDM,17283_17478020115,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (17478-201-15) / 15 Ml In 1 Bottle, Dropper",558.0,558.0,,,0 CDM,17283_42702010210,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (42702-102-10) / 10 Ml In 1 Bottle, Dropper",372.0,372.0,,,0 CDM,17283_70756062925,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (70756-629-25) / 2 Ml In 1 Bottle, Dropper",201.5,201.5,,,0 CDM,17283_70756064935,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (70756-649-35) / 15 Ml In 1 Bottle, Dropper",558.0,558.0,,,0 CDM,17283_72603052001,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (72603-520-01) / 2 Ml In 1 Bottle, Dropper",201.5,201.5,,,0 CDM,17283_PBB,Pr Destruction Mal Lesion F/E/E/N/L/M 2.1-3.0Cm-Pbb,1781.0,1781.0,,,0 CDM,17284_PBB,Pr Destruction Mal Lesion F/E/E/N/L/M 3.1-4.0Cm-Pbb,2008.0,2008.0,,,0 CDM,17286_PBB,Pr Destruction Mal Lesion F/E/E/N/L/M >4.0 Cm-Pbb,2234.0,2234.0,,,0 CDM,172_00143983701,"Penicillin V Potassium: 100 Tablet, Film Coated In 1 Bottle (0143-9837-01)",5.48,5.48,,,0 CDM,172_16714023401,"Penicillin V Potassium: 100 Tablet, Film Coated In 1 Bottle (16714-234-01)",5.38,5.38,,,0 CDM,17300000,Hc Nursery Level 3,12669.0,12669.0,,,0 CDM,17300001,Hc Icu Peds,12669.0,12669.0,,,0 CDM,17300002,Hc Nursery Icu,7227.0,7227.0,,,0 CDM,17309_01381152501,NDC Description Not Available,6.0,6.0,,,0 CDM,1730_00591555701,"Propranolol Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0591-5557-01)",6.0,6.0,,,0 CDM,1730_69292053801,Propranolol Hydrochloride: 100 Tablet In 1 Bottle (69292-538-01),6.0,6.0,,,0 CDM,17311_PBB,Pr Mohs Micrographic H/N/H/F/G 1St Stage 5 Blocks-Pbb,7844.0,7844.0,,,0 CDM,17312_PBB,Pr Mohs Micrographic H/N/H/F/G Each Addl Stage-Pbb,4771.0,4771.0,,,0 CDM,17313_PBB,Pr Mohs Trunk/Arm/Leg 1St Stage 5 Blocks-Pbb,7202.0,7202.0,,,0 CDM,17314_PBB,Pr Mohs Trunk/Arm/Leg Ea Stage After 1St Stage-Pbb,4451.0,4451.0,,,0 CDM,17315_PBB,Pr Mohs Trunk/Arm/Leg Ea Addl Block Any Stage-Pbb,959.0,959.0,,,0 CDM,17325_00009041701,Depo-Testosterone: 1 Vial In 1 Carton (0009-0417-01) / 1 Ml In 1 Vial,0.71,0.71,,,0 CDM,17325_00009041702,Depo-Testosterone: 1 Vial In 1 Carton (0009-0417-02) / 10 Ml In 1 Vial,0.46,0.46,,,0 CDM,17325_00409656201,Testosterone Cypionate: 1 Vial In 1 Carton (0409-6562-01) / 1 Ml In 1 Vial,0.56,0.56,,,0 CDM,17325_00409656202,Testosterone Cypionate: 1 Vial In 1 Carton (0409-6562-02) / 1 Ml In 1 Vial,2.36,2.36,,,0 CDM,17325_00574082001,"Testosterone Cypionate: 1 Vial, Glass In 1 Carton (0574-0820-01) / 1 Ml In 1 Vial, Glass",0.72,0.72,,,0 CDM,17325_00574082701,"Testosterone Cypionate: 1 Vial, Glass In 1 Carton (0574-0827-01) / 1 Ml In 1 Vial, Glass",0.62,0.62,,,0 CDM,17325_52536062501,"Testosterone Cypionate: 1 Vial, Single-Dose In 1 Carton (52536-625-01) / 1 Ml In 1 Vial, Single-Dose",0.9,0.9,,,0 CDM,17325_69097080232,"Testosterone Cypionate: 1 Vial, Glass In 1 Carton (69097-802-32) / 1 Ml In 1 Vial, Glass",0.25,0.25,,,0 CDM,17325_70700028922,Testosterone Cypionate: 1 Vial In 1 Carton (70700-289-22) / 1 Ml In 1 Vial,2.36,2.36,,,0 CDM,17328_00264757810,Mannitol: 24 Container In 1 Case (0264-7578-10) / 500 Ml In 1 Container,48.7,48.7,,,0 CDM,17328_00338035702,Osmitrol: 250 Ml In 1 Bag (0338-0357-02),73.5,73.5,,,0 CDM,17328_00338035703,Osmitrol: 500 Ml In 1 Bag (0338-0357-03),55.38,55.38,,,0 CDM,17328_00990771512,NDC Description Not Available,30.8,30.8,,,0 CDM,17328_00990771513,NDC Description Not Available,26.66,26.66,,,0 CDM,17345_00904585440,Ibuprofen: 500 Tablet In 1 Bottle (0904-5854-40),2.0,2.0,,,0 CDM,17345_00904585460,Ibuprofen: 100 Tablet In 1 Bottle (0904-5854-60),2.0,2.0,,,0 CDM,17345_00904585461,Ibuprofen: 100 Blister Pack In 1 Carton (0904-5854-61) / 1 Tablet In 1 Blister Pack,2.0,2.0,,,0 CDM,17345_49999000600,Ibuprofen: 100 TABLET in 1 BOTTLE (49999-006-00),2.0,2.0,,,0 CDM,17345_49999000640,Ibuprofen: 40 TABLET in 1 BOTTLE (49999-006-40),2.0,2.0,,,0 CDM,17345_50090728803,"Ibuprofen: 30 Tablet, Film Coated In 1 Bottle (50090-7288-3)",2.0,2.0,,,0 CDM,17345_55289014212,"Ibuprofen: 12 TABLET in 1 BOTTLE, PLASTIC (55289-142-12)",2.0,2.0,,,0 CDM,17345_55289014215,"Ibuprofen: 15 TABLET in 1 BOTTLE, PLASTIC (55289-142-15)",2.0,2.0,,,0 CDM,17345_55289014240,"Ibuprofen: 40 TABLET in 1 BOTTLE, PLASTIC (55289-142-40)",2.0,2.0,,,0 CDM,17345_55289014290,"Ibuprofen: 90 TABLET in 1 BOTTLE, PLASTIC (55289-142-90)",2.0,2.0,,,0 CDM,17345_55289014298,"Ibuprofen: 120 TABLET in 1 BOTTLE, PLASTIC (55289-142-98)",2.0,2.0,,,0 CDM,17345_60687045701,"Ibuprofen: 100 Blister Pack In 1 Box, Unit-Dose (60687-457-01) / 1 Tablet In 1 Blister Pack (60687-457-11)",2.0,2.0,,,0 CDM,17345_60687045711,NDC Description Not Available,2.0,2.0,,,0 CDM,17345_60760037460,"Ibuprofen: 60 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (60760-374-60)",2.0,2.0,,,0 CDM,17345_65162046510,Ibuprofen: 100 Tablet In 1 Bottle (65162-465-10),2.0,2.0,,,0 CDM,17345_67877032005,"Ibuprofen: 500 Tablet, Film Coated In 1 Bottle (67877-320-05)",2.0,2.0,,,0 CDM,17356_00409508211,NDC Description Not Available,79.84,79.84,,,0 CDM,17356_25021012720,"Ceftazidime: 25 Vial In 1 Carton (25021-127-20) / 1 Injection, Powder, For Solution In 1 Vial",96.5,96.5,,,0 CDM,17356_44567023525,"Ceftazidime: 25 Vial In 1 Carton (44567-235-25) / 1 Injection, Powder, For Solution In 1 Vial",86.19,86.19,,,0 CDM,1735_45802014303,Triple Antibiotic: 1 Tube In 1 Carton (45802-143-03) / 28 G In 1 Tube,5.43,5.43,,,0 CDM,17360_00168013460,Fluocinonide: 1 Bottle In 1 Carton (0168-0134-60) / 60 Ml In 1 Bottle,248.13,248.13,,,0 CDM,17360_PBB,Pr Chemical Exfoliation Acne-Pbb,1324.0,1324.0,,,0 CDM,17400000,Hc Nursery Level 4,25397.0,25397.0,,,0 CDM,17402_00574010601,"Bromocriptine Mesylate: 100 Tablet In 1 Bottle, Plastic (0574-0106-01)",18.63,18.63,,,0 CDM,17402_00574010603,"Bromocriptine Mesylate: 30 Tablet In 1 Bottle, Plastic (0574-0106-03)",20.52,20.52,,,0 CDM,17402_00781532501,Bromocriptine Mesylate: 100 Tablet In 1 Bottle (0781-5325-01),31.01,31.01,,,0 CDM,17402_00781532531,Bromocriptine Mesylate: 30 Tablet In 1 Bottle (0781-5325-31),31.1,31.1,,,0 CDM,17402_60687028611,NDC Description Not Available,42.76,42.76,,,0 CDM,17437_00003049420,"Kenalog-10: 1 Vial, Multi-Dose In 1 Carton (0003-0494-20) / 5 Ml In 1 Vial, Multi-Dose",48.1,48.1,,,0 CDM,17437_50090029501,"Kenalog-10: 1 Vial, Multi-Dose In 1 Carton (50090-0295-1) / 5 Ml In 1 Vial, Multi-Dose",59.0,59.0,,,0 CDM,1744_00009316901,NDC Description Not Available,2.58,2.58,,,0 CDM,1744_00009316906,Prostin Vr Pediatric: 5 Ampule In 1 Package (0009-3169-06) / 1 Ml In 1 Ampule (0009-3169-01),2.61,2.61,,,0 CDM,17456_00054312041,"Calcitriol: 1 Bottle, Glass In 1 Carton (0054-3120-41) / 15 Ml In 1 Bottle, Glass",63.74,63.74,,,0 CDM,17456_30698091115,Rocaltrol: 15 Ml In 1 Bottle (30698-911-15),88.73,88.73,,,0 CDM,17458_00069023401,1 VIAL in 1 CARTON (0069-0234-01) / 50 mL in 1 VIAL,3.86,3.86,,,0 CDM,17458_00069024801,1 VIAL in 1 CARTON (0069-0248-01) / 100 mL in 1 VIAL,1.93,1.93,,,0 CDM,17458_00409469954,NDC Description Not Available,1.93,1.93,,,0 CDM,17458_16714069001,NDC Description Not Available,1.93,1.93,,,0 CDM,17458_43598054952,NDC Description Not Available,1.93,1.93,,,0 CDM,17458_63323026922,NDC Description Not Available,4.42,4.42,,,0 CDM,17458_63323026929,Diprivan: 10 Vial In 1 Box (63323-269-29) / 20 Ml In 1 Vial (63323-269-22),2.98,2.98,,,0 CDM,17458_63323026950,Diprivan: 20 Vial In 1 Box (63323-269-50) / 50 Ml In 1 Vial (63323-269-30),3.43,3.43,,,0 CDM,17458_63323026965,Diprivan: 10 Vial In 1 Box (63323-269-65) / 100 Ml In 1 Vial (63323-269-35),2.7,2.7,,,0 CDM,17458_63323026967,Diprivan: 10 Vial In 1 Box (63323-269-67) / 100 Ml In 1 Vial (63323-269-21),1.93,1.93,,,0 CDM,17458_63323026978,Diprivan: 10 Vial In 1 Box (63323-269-78) / 100 Ml In 1 Vial (63323-269-31),1.93,1.93,,,0 CDM,17458_63323027026,Propofol: 10 VIAL in 1 BOX (63323-270-26) / 20 mL in 1 VIAL,11.8,11.8,,,0 CDM,17458_72572061201,NDC Description Not Available,1.93,1.93,,,0 CDM,17488_00093202631,Azithromycin: 30 Ml In 1 Bottle (0093-2026-31),25.92,25.92,,,0 CDM,17488_59762314001,Azithromycin: 1 Bottle In 1 Carton (59762-3140-1) / 30 Ml In 1 Bottle,20.58,20.58,,,0 CDM,17540_00378912116,NDC Description Not Available,44.21,44.21,,,0 CDM,17540_47781042411,NDC Description Not Available,44.21,44.21,,,0 CDM,17564_00703321301,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (0703-3213-01) / 5 Ml In 1 Vial, Multi-Dose",2.23,2.23,,,0 CDM,17564_00703321701,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (0703-3217-01) / 25 Ml In 1 Vial, Multi-Dose",2.95,2.95,,,0 CDM,17564_16714013701,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (16714-137-01) / 50 Ml In 1 Vial, Multi-Dose",1.93,1.93,,,0 CDM,17564_25021025550,Paclitaxel: 1 Vial In 1 Carton (25021-255-50) / 50 Ml In 1 Vial,1.43,1.43,,,0 CDM,17564_61703034209,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (61703-342-09) / 5 Ml In 1 Vial, Multi-Dose",2.08,2.08,,,0 CDM,17564_61703034250,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (61703-342-50) / 50 Ml In 1 Vial, Multi-Dose",1.59,1.59,,,0 CDM,17564_63323076350,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (63323-763-50) / 50 Ml In 1 Vial, Multi-Dose",2.88,2.88,,,0 CDM,17564_70860020005,Paclitaxel: 1 Vial In 1 Carton (70860-200-05) / 5 Ml In 1 Vial,3.02,3.02,,,0 CDM,17565_00113030601,Good Sense Clear Lax: 119 G In 1 Bottle (0113-0306-01),2.0,2.0,,,0 CDM,1756_63739088810,"Paroxetine: 10 Blister Pack In 1 Box, Unit-Dose (63739-888-10) / 10 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 CDM,1756_68084004411,NDC Description Not Available,5.74,5.74,,,0 CDM,17571_00904635261,"Levofloxacin: 100 Blister Pack In 1 Carton (0904-6352-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 CDM,17609_00049053028,"Pfizerpen: 1 Vial In 1 Carton (0049-0530-28) / 1 Powder, For Solution In 1 Vial",10.17,10.17,,,0 CDM,17609_00781613694,"Penicillin G Potassium: 1 Vial In 1 Carton (0781-6136-94) / 1 Injection, Powder, For Solution In 1 Vial",12.31,12.31,,,0 CDM,17620_13533060250,"Thrombate Iii: 1 Kit In 1 Carton (13533-602-50) * 10 Ml In 1 Vial, Glass (13533-605-21) * 10 Ml In 1 Vial, Glass (13533-200-10)",29.2,29.2,,,0 CDM,17622_00430375414,"Estrace: 36 Carton In 1 Case (0430-3754-14) / 1 Tube, With Applicator In 1 Carton / 42.5 G In 1 Tube, With Applicator",2137.52,2137.52,,,0 CDM,17622_47781010444,"Estradiol: 1 Tube, With Applicator In 1 Carton (47781-104-44) / 42.5 G In 1 Tube, With Applicator",1036.88,1036.88,,,0 CDM,17637_00024279201,NDC Description Not Available,42.61,42.61,,,0 CDM,17637_00143957001,NDC Description Not Available,42.61,42.61,,,0 CDM,17641_65862002106,"Mirtazapine: 5 Blister Pack In 1 Carton (65862-021-06) / 6 Tablet, Orally Disintegrating In 1 Blister Pack",5.48,5.48,,,0 CDM,17652_00378617401,"Metolazone: 100 Tablet In 1 Bottle, Plastic (0378-6174-01)",15.23,15.23,,,0 CDM,17652_72888005401,Metolazone: 100 Tablet In 1 Bottle (72888-054-01),5.66,5.66,,,0 CDM,17668_00143987501,NDC Description Not Available,6.97,6.97,,,0 CDM,17668_63323061601,NDC Description Not Available,8.96,8.96,,,0 CDM,17668_63323061602,NDC Description Not Available,4.22,4.22,,,0 CDM,17668_67457015300,NDC Description Not Available,8.85,8.85,,,0 CDM,17671_23155002601,Verapamil Hydrochloride: 100 Tablet In 1 Bottle (23155-026-01),5.95,5.95,,,0 CDM,17692_00409120713,NDC Description Not Available,22.45,22.45,,,0 CDM,17692_55150040301,NDC Description Not Available,15.16,15.16,,,0 CDM,17692_63323001001,NDC Description Not Available,31.55,31.55,,,0 CDM,17692_63323001002,Gentamicin: 25 Vial In 1 Tray (63323-010-02) / 2 Ml In 1 Vial (63323-010-01),30.09,30.09,,,0 CDM,17692_63323001003,NDC Description Not Available,20.8,20.8,,,0 CDM,17692_63323001020,Gentamicin: 25 Vial In 1 Tray (63323-010-20) / 20 Ml In 1 Vial (63323-010-03),20.61,20.61,,,0 CDM,17697_00904635361,"Levofloxacin: 100 Blister Pack In 1 Carton (0904-6353-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 CDM,17701_00078024915,"Femara: 30 Tablet, Film Coated In 1 Bottle, Plastic (0078-0249-15)",165.04,165.04,,,0 CDM,17701_00093762056,"Letrozole: 30 Tablet, Film Coated In 1 Bottle (0093-7620-56)",6.0,6.0,,,0 CDM,17701_50268047611,NDC Description Not Available,6.0,6.0,,,0 CDM,17717_00338001304,Sterile Water: 1000 Ml In 1 Bag (0338-0013-04),1405.0,1405.0,,,0 CDM,17717_00338114703,Clinimix E: 1000 Ml In 1 Bag (0338-1147-03),252.0,252.0,,,0 CDM,17717_00338703001,NDC Description Not Available,279.0,279.0,,,0 CDM,17723_16714062201,"Zolpidem Tartrate: 100 Tablet, Film Coated In 1 Bottle (16714-622-01)",5.91,5.91,,,0 CDM,17723_42291096401,"Zolpidem Tartrate: 100 Tablet, Film Coated In 1 Bottle (42291-964-01)",6.0,6.0,,,0 CDM,17732_68382000414,"Topiramate: 60 Capsule, Coated Pellets In 1 Bottle (68382-004-14)",6.72,6.72,,,0 CDM,17735_10019055301,Transderm Scop: 10 POUCH in 1 BOX (10019-553-01) / 1 PATCH in 1 POUCH / 3 d in 1 PATCH,132.04,132.04,,,0 CDM,17735_10019055303,Transderm Scop: 10 Pouch In 1 Box (10019-553-03) / 1 Patch In 1 Pouch / 3 D In 1 Patch,132.04,132.04,,,0 CDM,17735_10019055390,Transderm Scop: 1 Patch In 1 Pouch (10019-553-90) / 3 D In 1 Patch,132.04,132.04,,,0 CDM,17735_45802058001,"Scopolamine Transdermal System: 1 Patch, Extended Release In 1 Pouch (45802-580-01)",118.83,118.83,,,0 CDM,17735_50742050501,NDC Description Not Available,58.9,58.9,,,0 CDM,17757_00409739172,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (0409-7391-72) / 15 Ml In 1 Vial, Single-Dose (0409-7391-82)",41.65,41.65,,,0 CDM,17757_00409739182,NDC Description Not Available,45.62,45.62,,,0 CDM,17757_00517731501,NDC Description Not Available,157.63,157.63,,,0 CDM,17757_00517731525,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (0517-7315-25) / 15 Ml In 1 Vial, Single-Dose (0517-7315-01)",92.03,92.03,,,0 CDM,17757_63323088101,NDC Description Not Available,223.33,223.33,,,0 CDM,17757_63323088116,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (63323-881-16) / 15 Ml In 1 Vial, Single-Dose (63323-881-01)",92.03,92.03,,,0 CDM,17757_63323088401,NDC Description Not Available,129.88,129.88,,,0 CDM,17757_63323088406,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (63323-884-06) / 5 Ml In 1 Vial, Single-Dose (63323-884-01)",130.05,130.05,,,0 CDM,17765_00045018404,NDC Description Not Available,2.0,2.0,,,0 CDM,17765_00045019201,NDC Description Not Available,3.67,3.67,,,0 CDM,17765_01191700555,NDC Description Not Available,2.0,2.0,,,0 CDM,17765_24385036126,Good Neighbor Pharmacy Childrens Ibuprofen: 1 Bottle In 1 Carton (24385-361-26) / 120 Ml In 1 Bottle,2.0,2.0,,,0 CDM,17765_24385037226,Good Neighbor Pharmacy Childrens Ibuprofen: 1 Bottle In 1 Carton (24385-372-26) / 120 Ml In 1 Bottle,2.0,2.0,,,0 CDM,17765_49348049934,Sunmark Ibuprofen Childrens: 1 Bottle In 1 Carton (49348-499-34) / 120 Ml In 1 Bottle,2.0,2.0,,,0 CDM,17765_50580060122,"Childrens Motrin: 1 Bottle, Plastic In 1 Carton (50580-601-22) / 30 Ml In 1 Bottle, Plastic",3.66,3.66,,,0 CDM,17765_51672213008,Ibuprofen: 1 Bottle In 1 Carton (51672-2130-8) / 120 Ml In 1 Bottle,2.0,2.0,,,0 CDM,17765_59651003212,Ibuprofen: 1 Bottle In 1 Carton (59651-032-12) / 120 Ml In 1 Bottle,2.0,2.0,,,0 CDM,17765_68094049459,NDC Description Not Available,1.51,1.51,,,0 CDM,17765_68094049461,"Childrens Ibuprofen: 10 Tray In 1 Case (68094-494-61) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-494-59)",1.52,1.52,,,0 CDM,17765_68094050359,NDC Description Not Available,7.67,7.67,,,0 CDM,17765_68094060059,NDC Description Not Available,1.89,1.89,,,0 CDM,17790_00093117701,Neomycin Sulfate: 100 Tablet In 1 Bottle (0093-1177-01),6.89,6.89,,,0 CDM,17790_39822031005,"Neomycin Sulfate: 100 Blister Pack In 1 Box, Unit-Dose (39822-0310-5) / 1 Tablet In 1 Blister Pack (39822-0310-7)",8.42,8.42,,,0 CDM,17800_00944283301,NDC Description Not Available,12.73,12.73,,,0 CDM,17813_00591060501,"Labetalol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-0605-01)",5.21,5.21,,,0 CDM,17813_00904710961,"Labetalol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7109-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.02,5.02,,,0 CDM,17813_10135071101,"Labetalol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (10135-711-01)",5.8,5.8,,,0 CDM,17813_60687043911,NDC Description Not Available,5.16,5.16,,,0 CDM,17826_00054074287,"Albuterol Sulfate: 1 Canister In 1 Carton (0054-0742-87) / 200 Aerosol, Metered In 1 Canister",223.07,223.07,,,0 CDM,17826_00093317431,"Albuterol Sulfate Hfa: 1 Inhaler In 1 Carton (0093-3174-31) / 200 Aerosol, Metered In 1 Inhaler",223.08,223.08,,,0 CDM,17826_00173068220,"Ventolin Hfa: 1 Inhaler In 1 Carton (0173-0682-20) / 200 Aerosol, Metered In 1 Inhaler",353.55,353.55,,,0 CDM,17826_00173068224,"Ventolin Hfa: 1 Inhaler In 1 Carton (0173-0682-24) / 60 Aerosol, Metered In 1 Inhaler",140.87,140.87,,,0 CDM,17826_00781729685,"Albuterol Sulfate: 1 Canister In 1 Carton (0781-7296-85) / 200 Aerosol, Metered In 1 Canister",223.07,223.07,,,0 CDM,17826_59310057922,"PROAIR: 1 INHALER in 1 CARTON (59310-579-22) / 200 AEROSOL, METERED in 1 INHALER",454.49,454.49,,,0 CDM,17826_66993001968,"Albuterol Sulfate Hfa: 1 Inhaler In 1 Carton (66993-019-68) / 200 Aerosol, Metered In 1 Inhaler",223.09,223.09,,,0 CDM,17826_68180096301,"Albuterol Sulfate: 1 Canister In 1 Carton (68180-963-01) / 200 Aerosol, Metered In 1 Canister",223.08,223.08,,,0 CDM,17826_69097014260,Albuterol Sulfate: 1 Canister In 1 Carton (69097-142-60) / 200 Inhalant In 1 Canister,161.1,161.1,,,0 CDM,17880_23155007101,Methimazole: 100 Tablet In 1 Bottle (23155-071-01),4.4,4.4,,,0 CDM,17880_49884064101,Methimazole: 100 Tablet In 1 Bottle (49884-641-01),4.4,4.4,,,0 CDM,17880_60687068011,NDC Description Not Available,5.38,5.38,,,0 CDM,17880_62135020690,Methimazole: 90 Tablet In 1 Bottle (62135-206-90),18.6,18.6,,,0 CDM,17880_72603031601,Methimazole: 100 Tablet In 1 Bottle (72603-316-01),6.0,6.0,,,0 CDM,17900_00093031801,"Diltiazem Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-0318-01)",6.0,6.0,,,0 CDM,17900_51079074520,"Diltiazem Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-745-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-745-01)",4.68,4.68,,,0 CDM,17900_60687071711,NDC Description Not Available,5.16,5.16,,,0 CDM,17917_61314022705,"Timolol Maleate: 5 Ml In 1 Bottle, Plastic (61314-227-05)",59.83,59.83,,,0 CDM,17917_64980051405,Timolol Maleate: 1 Bottle In 1 Carton (64980-514-05) / 5 Ml In 1 Bottle,60.14,60.14,,,0 CDM,17917_68682081305,"Timolol Maleate: 1 Bottle, Dispensing In 1 Carton (68682-813-05) / 5 Ml In 1 Bottle, Dispensing",68.2,68.2,,,0 CDM,17919_10135014614,"Sodium Polystyrene Sulfonate: 15 G In 1 Bottle, Plastic (10135-146-14)",19.72,19.72,,,0 CDM,17920_00409272101,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2721-01) / 1 Ml In 1 Vial, Single-Dose (0409-2721-30)",5.3,5.3,,,0 CDM,17920_00409272130,NDC Description Not Available,4.65,4.65,,,0 CDM,17920_63323054209,NDC Description Not Available,5.9,5.9,,,0 CDM,17931_00998020415,ISOPTO CARPINE: 1 BOTTLE in 1 CARTON (0998-0204-15) / 15 mL in 1 BOTTLE,590.09,590.09,,,0 CDM,17945_00904712004,"Colchicine: 30 Blister Pack In 1 Carton (0904-7120-04) / 1 Tablet, Film Coated In 1 Blister Pack",29.75,29.75,,,0 CDM,17945_42292005401,NDC Description Not Available,57.62,57.62,,,0 CDM,17945_60687038911,NDC Description Not Available,57.62,57.62,,,0 CDM,17945_64764011901,"Colcrys: 100 Tablet, Film Coated In 1 Bottle, Plastic (64764-119-01)",44.59,44.59,,,0 CDM,17948_63323016202,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-162-02) / 2 Ml In 1 Vial, Single-Use (63323-162-03)",13.69,13.69,,,0 CDM,17949_00054817925,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8179-25) / 1 Tablet In 1 Blister Pack,1.4,1.4,,,0 CDM,17949_72603021201,Dexamethasone: 100 Mg In 1 Bottle (72603-212-01),1.73,1.73,,,0 CDM,17999MIRDY_PBB,Miradry Procedure-Pbb,255.0,255.0,,,0 CDM,17999_PBB,Pr Unlisted Px Skin Muc Membrane & Subq Tissue-Pbb,1141.0,1141.0,,,0 CDM,1800_00904629161,"Atorvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6291-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.83,5.83,,,0 CDM,18017_00409162301,"Butorphanol Tartrate: 10 Vial, Single-Dose In 1 Carton (0409-1623-01) / 1 Ml In 1 Vial, Single-Dose (0409-1623-21)",59.0,59.0,,,0 CDM,18017_00409162321,NDC Description Not Available,59.0,59.0,,,0 CDM,18026_53489017601,Albuterol Sulfate: 100 Tablet In 1 Bottle (53489-176-01),4.48,4.48,,,0 CDM,18026_69238134401,Albuterol: 100 Tablet In 1 Bottle (69238-1344-1),3.83,3.83,,,0 CDM,18026_70710106101,Albuterol: 100 Tablet In 1 Bottle (70710-1061-1),6.14,6.14,,,0 CDM,18027_54288014101,NDC Description Not Available,4.36,4.36,,,0 CDM,18027_67457038600,NDC Description Not Available,9.72,9.72,,,0 CDM,18027_71288080320,NDC Description Not Available,9.86,9.86,,,0 CDM,18027_71288080321,"Mycophenolate Mofetil: 4 Vial, Single-Dose In 1 Carton (71288-803-21) / 20 Ml In 1 Vial, Single-Dose (71288-803-20)",10.07,10.07,,,0 CDM,18027_72485041501,NDC Description Not Available,5.53,5.53,,,0 CDM,18051_00591533501,"Trihexyphenidyl Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0591-5335-01)",3.02,3.02,,,0 CDM,18065_00009379401,"Corvert: 1 Vial, Single-Dose In 1 Carton (0009-3794-01) / 10 Ml In 1 Vial, Single-Dose",3750.87,3750.87,,,0 CDM,18121_33342005507,Pioglitazone: 30 Tablet In 1 Bottle (33342-055-07),5.62,5.62,,,0 CDM,18121_64764030114,Actos: 30 Tablet In 1 Bottle (64764-301-14),122.72,122.72,,,0 CDM,18124_00228306111,"Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, Amphetamine Sulfate: 100 Capsule, Extended Release In 1 Bottle (0228-3061-11)",7.23,7.23,,,0 CDM,18124_54092039101,"Adderall Xr: 100 Capsule, Extended Release In 1 Bottle (54092-391-01)",44.17,44.17,,,0 CDM,18144_00378018301,"Propranolol Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0378-0183-01)",4.93,4.93,,,0 CDM,18144_00904670506,Propranolol Hydrochloride: 50 Blister Pack In 1 Carton (0904-6705-06) / 1 Tablet In 1 Blister Pack,5.0,5.0,,,0 CDM,18144_00904670561,Propranolol Hydrochloride: 100 Blister Pack In 1 Carton (0904-6705-61) / 1 Tablet In 1 Blister Pack,6.92,6.92,,,0 CDM,18144_50268066311,NDC Description Not Available,4.12,4.12,,,0 CDM,18144_60687059811,NDC Description Not Available,4.56,4.56,,,0 CDM,18144_69238207801,Propranolol Hydrochloride: 100 Tablet In 1 Bottle (69238-2078-1),5.37,5.37,,,0 CDM,18173_00781627043,Oxcarbazepine: 250 Ml In 1 Bottle (0781-6270-43),17.63,17.63,,,0 CDM,18173_65162064978,Oxcarbazepine: 1 Bottle In 1 Carton (65162-649-78) / 250 Ml In 1 Bottle,27.76,27.76,,,0 CDM,1818_00603243321,"Benztropine Mesylate: 100 Tablet In 1 Bottle, Plastic (0603-2433-21)",6.0,6.0,,,0 CDM,18193_00182194989,Carbidopa and Levodopa: 100 BLISTER PACK in 1 BOX (0182-1949-89) / 1 TABLET in 1 BLISTER PACK (0182-1949-00),6.0,6.0,,,0 CDM,18193_00378008501,"Carbidopa And Levodopa: 100 Tablet In 1 Bottle, Plastic (0378-0085-01)",5.06,5.06,,,0 CDM,18193_00904623761,Carbidopa and Levodopa: 100 BLISTER PACK in 1 CARTON (0904-6237-61) / 1 TABLET in 1 BLISTER PACK,3.84,3.84,,,0 CDM,18193_00904725761,Carbidopa And Levodopa: 100 Blister Pack In 1 Carton (0904-7257-61) / 1 Tablet In 1 Blister Pack,4.37,4.37,,,0 CDM,18193_00904750161,Carbidopa And Levodopa: 100 Blister Pack In 1 Carton (0904-7501-61) / 1 Tablet In 1 Blister Pack,4.8,4.8,,,0 CDM,18193_59651045701,Carbidopa And Levodopa: 100 Tablet In 1 Bottle (59651-457-01),5.05,5.05,,,0 CDM,18193_60687066111,NDC Description Not Available,5.0,5.0,,,0 CDM,18208_55150012715,"Oxacillin: 10 Vial In 1 Box (55150-127-15) / 1 Injection, Powder, For Solution In 1 Vial",48.62,48.62,,,0 CDM,18215_00168014630,Hydrocortisone: 29 G In 1 Tube (0168-0146-30),20.39,20.39,,,0 CDM,18228_00168009930,Ketoconazole: 1 Tube In 1 Carton (0168-0099-30) / 30 G In 1 Tube,154.94,154.94,,,0 CDM,18228_51672129802,Ketoconazole: 1 Tube In 1 Carton (51672-1298-2) / 30 G In 1 Tube,235.85,235.85,,,0 CDM,18244_00054026424,Hydromorphone Hydrochloride: 10 CONTAINER in 1 CARTON (0054-0264-24) / 10 TABLET in 1 CONTAINER,5.29,5.29,,,0 CDM,18244_00406324401,Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle (0406-3244-01),5.38,5.38,,,0 CDM,18244_42858030201,"Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-302-01)",5.77,5.77,,,0 CDM,18244_42858030225,Hydromorphone Hydrochloride: 4 Blister Pack In 1 Carton (42858-302-25) / 25 Tablet In 1 Blister Pack,5.41,5.41,,,0 CDM,18244_60687059011,NDC Description Not Available,5.59,5.59,,,0 CDM,18263_00832003889,NDC Description Not Available,5.85,5.85,,,0 CDM,18263_00904282161,Oxybutynin Chloride: 100 BLISTER PACK in 1 CARTON (0904-2821-61) / 1 TABLET in 1 BLISTER PACK,5.86,5.86,,,0 CDM,18263_00904702761,Oxybutynin Chloride: 100 Blister Pack In 1 Carton (0904-7027-61) / 1 Tablet In 1 Blister Pack,6.0,6.0,,,0 CDM,18263_60687067011,NDC Description Not Available,5.77,5.77,,,0 CDM,18286_00093026215,Fluocinonide: 1 Tube In 1 Carton (0093-0262-15) / 15 G In 1 Tube,225.9,225.9,,,0 CDM,18304_00409012501,NDC Description Not Available,27.59,27.59,,,0 CDM,18304_00409226720,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0409-2267-20) / 20 Ml In 1 Vial, Multi-Dose",23.37,23.37,,,0 CDM,18304_36000032201,NDC Description Not Available,25.85,25.85,,,0 CDM,18304_36000032202,Labetalol Hydrochloride: 1 Vial In 1 Carton (36000-322-02) / 20 Ml In 1 Vial (36000-322-01),25.75,25.75,,,0 CDM,18304_72266010201,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (72266-102-01) / 20 Ml In 1 Vial, Multi-Dose",37.51,37.51,,,0 CDM,18304_72611073401,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (72611-734-01) / 20 Ml In 1 Vial, Multi-Dose",29.5,29.5,,,0 CDM,18309_00054023524,Morphine Sulfate: 100 Blister Pack In 1 Carton (0054-0235-24) / 1 Tablet In 1 Blister Pack,5.38,5.38,,,0 CDM,18311_00378021401,"Haloperidol: 100 Tablet In 1 Bottle, Plastic (0378-0214-01)",5.34,5.34,,,0 CDM,18311_51079073501,NDC Description Not Available,5.92,5.92,,,0 CDM,18311_51079073520,Haloperidol: 100 Blister Pack In 1 Carton (51079-735-20) / 1 Tablet In 1 Blister Pack (51079-735-01),5.48,5.48,,,0 CDM,18362_00555060602,Megestrol Acetate: 100 Tablet In 1 Bottle (0555-0606-02),6.0,6.0,,,0 CDM,18362_49884028901,Megestrol Acetate: 100 Tablet In 1 Bottle (49884-289-01),6.0,6.0,,,0 CDM,18362_64380015801,Megestrol Acetate: 100 Tablet In 1 Bottle (64380-158-01),3.37,3.37,,,0 CDM,18378_58468008001,"Thymoglobulin: 1 Vial, Glass In 1 Carton (58468-0080-1) / 5 Ml In 1 Vial, Glass",7227.59,7227.59,,,0 CDM,18383_00781224801,Dicloxacillin Sodium: 100 CAPSULE in 1 BOTTLE (0781-2248-01),3.0,3.0,,,0 CDM,18383_59651056501,Dicloxacillin Sodium: 100 Capsule In 1 Bottle (59651-565-01),3.88,3.88,,,0 CDM,18389_00168005646,Betamethasone Dipropionate: 1 Tube In 1 Carton (0168-0056-46) / 45 G In 1 Tube,609.9,609.9,,,0 CDM,1839_00781522301,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (0781-5223-01)",4.82,4.82,,,0 CDM,1839_00904630261,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6302-61)",5.08,5.08,,,0 CDM,1839_00904730761,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7307-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.03,5.03,,,0 CDM,1839_51079093101,NDC Description Not Available,6.0,6.0,,,0 CDM,1839_65862014401,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (65862-144-01)",5.44,5.44,,,0 CDM,1839_68382009401,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68382-094-01)",5.1,5.1,,,0 CDM,1839_68462016401,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68462-164-01)",6.0,6.0,,,0 CDM,1840_00143924701,"Dexrazoxane: 1 Vial In 1 Box (0143-9247-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",1545.95,1545.95,,,0 CDM,1840_55150043201,NDC Description Not Available,1631.88,1631.88,,,0 CDM,1840_55150043401,"Dexrazoxane: 1 Kit In 1 Package (55150-434-01) * 25 Ml In 1 Vial, Single-Dose (55150-432-01) * 25 Ml In 1 Vial (55150-433-01)",1685.49,1685.49,,,0 CDM,1840_55390001402,Dexrazoxane: 1 KIT in 1 PACKAGE (55390-014-02) * 25 mL in 1 VIAL * 25 mL in 1 VIAL (55390-015-01),1281.54,1281.54,,,0 CDM,18440_00409337402,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0409-3374-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (0409-3374-11)",96.5,96.5,,,0 CDM,18440_00409338311,NDC Description Not Available,63.0,63.0,,,0 CDM,18440_00781311090,NDC Description Not Available,95.62,95.62,,,0 CDM,18440_00781311095,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0781-3110-95) / 10 Ml In 1 Vial, Single-Use (0781-3110-90)",89.52,89.52,,,0 CDM,18440_55150011930,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-119-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",89.41,89.41,,,0 CDM,18440_60505615600,NDC Description Not Available,59.0,59.0,,,0 CDM,18443_10702001001,"Hydroxyzine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (10702-010-01)",6.0,6.0,,,0 CDM,18443_16714008110,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (16714-081-10),4.8,4.8,,,0 CDM,18443_23155050001,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (23155-500-01),5.75,5.75,,,0 CDM,18443_60687066411,NDC Description Not Available,5.56,5.56,,,0 CDM,18443_63739048310,"Hydroxyzine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-483-10) / 10 Tablet In 1 Blister Pack",5.91,5.91,,,0 CDM,18443_68084025301,"Hydroxyzine Hydrochloride: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-253-01) / 1 TABLET, FILM COATED in 1 BLISTER PACK (68084-253-11)",5.72,5.72,,,0 CDM,18447_00469305130,"Ambisome: 12.5 Ml In 1 Vial, Single-Dose (0469-3051-30)",416.81,416.81,,,0 CDM,18447_55150036501,"Amphotericin B: 1 Vial, Single-Dose In 1 Carton (55150-365-01) / 12.5 Ml In 1 Vial, Single-Dose",341.18,341.18,,,0 CDM,18476_00406575523,Methadone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-5755-23),5.45,5.45,,,0 CDM,18482_17478026312,"Proparacaine Hydrochloride: 1 BOTTLE, DROPPER in 1 CARTON (17478-263-12) / 15 mL in 1 BOTTLE, DROPPER",217.62,217.62,,,0 CDM,18482_24208073006,"Proparacaine Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-730-06) / 15 Ml In 1 Bottle, Dropper",217.53,217.53,,,0 CDM,18482_61314001601,Proparacaine Hydrochloride: 1 Bottle In 1 Carton (61314-016-01) / 15 Ml In 1 Bottle,217.62,217.62,,,0 CDM,18488_04910038164,NDC Description Not Available,6.31,6.31,,,0 CDM,18488_04910040007,NDC Description Not Available,6.38,6.38,,,0 CDM,18501_71837584301,NDC Description Not Available,392.67,392.67,,,0 CDM,18501_71837584305,"Leukine: 5 Vial, Single-Dose In 1 Carton (71837-5843-5) / 1 Ml In 1 Vial, Single-Dose (71837-5843-1)",379.59,379.59,,,0 CDM,18535_00409318202,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3182-02) / 30 Ml In 1 Vial, Multi-Dose (0409-3182-21)",0.13,0.13,,,0 CDM,18560_76336045518,"Metopirone: 18 Capsule, Gelatin Coated In 1 Bottle (76336-455-18)",315.72,315.72,,,0 CDM,1857_00007440701,ARGATROBAN: 1 VIAL in 1 CARTON (0007-4407-01) / 2.5 mL in 1 VIAL,35.2,35.2,,,0 CDM,1857_00007440754,ARGATROBAN: 1 VIAL in 1 CARTON (0007-4407-54) / 2.5 mL in 1 VIAL,35.2,35.2,,,0 CDM,1857_00143967401,Argatroban: 2.5 Ml In 1 Vial (0143-9674-01),13.24,13.24,,,0 CDM,1857_00409114001,"Argatroban: 1 Vial, Single-Dose In 1 Carton (0409-1140-01) / 2.5 Ml In 1 Vial, Single-Dose",7.28,7.28,,,0 CDM,1857_42023018201,Argatroban: 1 Vial In 1 Carton (42023-182-01) / 2.5 Ml In 1 Vial,13.67,13.67,,,0 CDM,1857_63323052603,"Argatroban: 1 Vial, Single-Dose In 1 Carton (63323-526-03) / 2.5 Ml In 1 Vial, Single-Dose",8.66,8.66,,,0 CDM,18593_17478021502,"Atropine: 1 BOTTLE, DROPPER in 1 CARTON (17478-215-02) / 2 mL in 1 BOTTLE, DROPPER",237.4,237.4,,,0 CDM,18593_60219174802,"Atropine: 1 Bottle, Dropper In 1 Carton (60219-1748-2) / 2 Ml In 1 Bottle, Dropper",222.58,222.58,,,0 CDM,18593_60219174903,"Atropine: 1 Bottle, Dropper In 1 Carton (60219-1749-3) / 5 Ml In 1 Bottle, Dropper",271.5,271.5,,,0 CDM,18593_60505622600,"Atropine: 1 Bottle, Dropper In 1 Carton (60505-6226-0) / 2 Ml In 1 Bottle, Dropper",225.5,225.5,,,0 CDM,18594_16714069601,Fluconazole: 1 Bottle In 1 Carton (16714-696-01) / 35 Ml In 1 Bottle,56.24,56.24,,,0 CDM,1859_00713019757,Miconazole Nitrate: 7 SUPPOSITORY in 1 BOX (0713-0197-57),0.85,0.85,,,0 CDM,1859_01093904633,NDC Description Not Available,14.16,14.16,,,0 CDM,1859_49348083361,Miconazole 7: 7 Suppository In 1 Applicator (49348-833-61),14.16,14.16,,,0 CDM,1859_61269073607,Miconazole 7: 7 Suppository In 1 Box (61269-736-07),2.22,2.22,,,0 CDM,18605_00378773293,"Ondansetron: 30 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE, PLASTIC (0378-7732-93)",1.5,1.5,,,0 CDM,18605_16714020010,NDC Description Not Available,6.0,6.0,,,0 CDM,18605_57237007710,"Ondansetron: 3 Blister Pack In 1 Carton (57237-077-10) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",1.43,1.43,,,0 CDM,18605_65862039010,"Ondansetron: 3 Blister Pack In 1 Carton (65862-390-10) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",1.55,1.55,,,0 CDM,18631_16714039102,Cefdinir: 60 CAPSULE in 1 BOTTLE (16714-391-02),9.57,9.57,,,0 CDM,18631_60687069911,NDC Description Not Available,20.92,20.92,,,0 CDM,18631_67877054360,Cefdinir: 60 Capsule In 1 Bottle (67877-543-60),6.0,6.0,,,0 CDM,18631_68001036206,Cefdinir: 60 Capsule In 1 Bottle (68001-362-06),7.5,7.5,,,0 CDM,18631_68180071160,Cefdinir: 60 Capsule In 1 Bottle (68180-711-60),6.0,6.0,,,0 CDM,186346_99999004786,NDC Description Not Available,600.97,600.97,,,0 CDM,18646_00487930201,NDC Description Not Available,4.88,4.88,,,0 CDM,18666_68084034401,"Topiramate: 100 Blister Pack In 1 Box, Unit-Dose (68084-344-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-344-11)",5.68,5.68,,,0 CDM,18666_68084034411,NDC Description Not Available,4.89,4.89,,,0 CDM,18699_00641036725,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (0641-0367-25) / 1 Ml In 1 Vial (0641-0367-21),7.29,7.29,,,0 CDM,18699_63323051610,Dexamethasone Sodium Phosphate: 10 Vial In 1 Tray (63323-516-10) / 10 Ml In 1 Vial (63323-516-01),5.72,5.72,,,0 CDM,18699_70069002501,NDC Description Not Available,5.9,5.9,,,0 CDM,18699_70069002510,Dexamethasone Sodium Phosphate: 10 Vial In 1 Carton (70069-025-10) / 10 Ml In 1 Vial,5.9,5.9,,,0 CDM,18711_47335089160,NDC Description Not Available,9.5,9.5,,,0 CDM,18711_67877053814,Temozolomide: 14 Capsule In 1 Bottle (67877-538-14),11.81,11.81,,,0 CDM,18713_00006096054,"COZAAR: 90 TABLET, FILM COATED in 1 BOTTLE (0006-0960-54)",31.38,31.38,,,0 CDM,18713_00904704961,"Losartan Potassium: 100 Blister Pack In 1 Carton (0904-7049-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 CDM,18713_63739069810,"Losartan Potassium: 10 Blister Pack In 1 Box, Unit-Dose (63739-698-10) / 10 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 CDM,18713_65862020390,"Losartan Potassium: 90 Tablet, Film Coated In 1 Bottle (65862-203-90)",6.0,6.0,,,0 CDM,18713_68084034811,NDC Description Not Available,6.0,6.0,,,0 CDM,18726_04167936503,NDC Description Not Available,6.0,6.0,,,0 CDM,18726_04167936513,NDC Description Not Available,6.02,6.02,,,0 CDM,1872_00409341301,Metoclopramide: 25 AMPULE in 1 CONTAINER (0409-3413-01) / 2 mL in 1 AMPULE,6.0,6.0,,,0 CDM,1872_00409341401,"Metoclopramide: 25 Vial, Single-Dose In 1 Tray (0409-3414-01) / 2 Ml In 1 Vial, Single-Dose (0409-3414-18)",58.73,58.73,,,0 CDM,1872_00409341418,NDC Description Not Available,58.82,58.82,,,0 CDM,1872_00409341421,NDC Description Not Available,57.43,57.43,,,0 CDM,18731_10135073590,Pyrazinamide: 90 Tablet In 1 Bottle (10135-735-90),22.61,22.61,,,0 CDM,18731_60687078911,NDC Description Not Available,35.99,35.99,,,0 CDM,18731_61748001201,Pyrazinamide: 100 Tablet In 1 Container (61748-012-01),30.53,30.53,,,0 CDM,18749_25021020401,Vinorelbine: 1 Vial In 1 Carton (25021-204-01) / 1 Ml In 1 Vial,144.47,144.47,,,0 CDM,18749_45963060755,"Vinorelbine: 1 Vial, Single-Dose In 1 Carton (45963-607-55) / 1 Ml In 1 Vial, Single-Dose",45.53,45.53,,,0 CDM,18771_50383074120,"Albuterol Sulfate: 1 BOTTLE, GLASS in 1 CARTON (50383-741-20) / 20 mL in 1 BOTTLE, GLASS",5.83,5.83,,,0 CDM,18771_69374033005,NDC Description Not Available,5.66,5.66,,,0 CDM,1878_00904659961,"Perphenazine: 100 Blister Pack In 1 Carton (0904-6599-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.14,6.14,,,0 CDM,1879_50268059511,NDC Description Not Available,6.0,6.0,,,0 CDM,1879_65162018910,Naproxen: 100 Tablet In 1 Bottle (65162-189-10),6.0,6.0,,,0 CDM,18830_32909018601,NDC Description Not Available,12.62,12.62,,,0 CDM,18868_00093031901,"Diltiazem Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-0319-01)",5.86,5.86,,,0 CDM,18868_60687072811,NDC Description Not Available,5.03,5.03,,,0 CDM,18887_00904578561,Fluoxetine: 100 Blister Pack In 1 Carton (0904-5785-61) / 1 Capsule In 1 Blister Pack,3.33,3.33,,,0 CDM,18887_00904734661,Fluoxetine: 100 Blister Pack In 1 Carton (0904-7346-61) / 1 Capsule In 1 Blister Pack,3.39,3.39,,,0 CDM,18887_16714072102,Fluoxetine: 100 Capsule In 1 Bottle (16714-721-02),2.94,2.94,,,0 CDM,18890_00054327099,"Fluticasone Propionate: 1 Bottle, Glass In 1 Carton (0054-3270-99) / 120 Spray, Metered In 1 Bottle, Glass",84.62,84.62,,,0 CDM,18890_60505082901,"Fluticasone Propionate: 1 Bottle, Spray In 1 Carton (60505-0829-1) / 120 Spray, Metered In 1 Bottle, Spray",111.6,111.6,,,0 CDM,18916_55513014401,NDC Description Not Available,22.94,22.94,,,0 CDM,18916_59676031000,NDC Description Not Available,51.87,51.87,,,0 CDM,18916_59676031001,"Procrit: 6 Vial, Single-Dose In 1 Carton (59676-310-01) / 1 Ml In 1 Vial, Single-Dose (59676-310-00)",31.64,31.64,,,0 CDM,1893_00781310395,"Oxacillin: 10 VIAL, PHARMACY BULK PACKAGE in 1 PACKAGE (0781-3103-95) / 100 mL in 1 VIAL, PHARMACY BULK PACKAGE (0781-3103-46)",18.6,18.6,,,0 CDM,1893_55150012999,"Oxacillin: 1 Vial, Pharmacy Bulk Package In 1 Box (55150-129-99) / 100 Ml In 1 Vial, Pharmacy Bulk Package",18.59,18.59,,,0 CDM,1893_63323081100,"Oxacillin: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-811-00) / 100 Ml In 1 Vial, Pharmacy Bulk Package",19.56,19.56,,,0 CDM,1893_64679070002,NDC Description Not Available,13.96,13.96,,,0 CDM,18942_00536126595,Rugby Clotrimazole Antifungal Cream: 1 Tube In 1 Box (0536-1265-95) / 28 G In 1 Tube,6.33,6.33,,,0 CDM,18942_45802043401,Clotrimazole: 1 Tube In 1 Carton (45802-434-01) / 15 G In 1 Tube,19.53,19.53,,,0 CDM,18942_45802043411,Clotrimazole: 1 Tube In 1 Carton (45802-434-11) / 28 G In 1 Tube,26.72,26.72,,,0 CDM,18942_51672127501,Clotrimazole: 1 Tube In 1 Carton (51672-1275-1) / 15 G In 1 Tube,72.54,72.54,,,0 CDM,18942_51672200201,Clotrimazole: 1 Tube In 1 Carton (51672-2002-1) / 15 G In 1 Tube,31.62,31.62,,,0 CDM,18942_68462018117,Clotrimazole: 15 G In 1 Tube (68462-181-17),64.55,64.55,,,0 CDM,18949_04628750030,NDC Description Not Available,17.3,17.3,,,0 CDM,18953_16714061204,"Sertraline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-612-04)",3.14,3.14,,,0 CDM,18953_59762490003,"SERTRALINE HYDROCHLORIDE: 100 BLISTER PACK in 1 DOSE PACK (59762-4900-3) / 1 TABLET, FILM COATED in 1 BLISTER PACK",3.41,3.41,,,0 CDM,18953_60687024211,NDC Description Not Available,3.56,3.56,,,0 CDM,18958_00904661561,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-6615-61) / 1 Capsule, Delayed Release In 1 Blister Pack",5.55,5.55,,,0 CDM,18958_55111053201,"Divalproex Sodium: 100 Capsule, Delayed Release In 1 Bottle (55111-532-01)",5.79,5.79,,,0 CDM,18958_63739099510,"Divalproex Sodium: 10 Blister Pack In 1 Box, Unit-Dose (63739-995-10) / 10 Capsule In 1 Blister Pack",4.67,4.67,,,0 CDM,18958_68084031301,"Divalproex Sodium: 100 Blister Pack In 1 Box, Unit-Dose (68084-313-01) / 1 Capsule, Coated Pellets In 1 Blister Pack (68084-313-11)",5.23,5.23,,,0 CDM,18958_68084031311,NDC Description Not Available,5.23,5.23,,,0 CDM,18991_68084028801,"Fludrocortisone Acetate: 100 Blister Pack In 1 Box, Unit-Dose (68084-288-01) / 1 Tablet In 1 Blister Pack (68084-288-11)",5.66,5.66,,,0 CDM,18991_68084028811,NDC Description Not Available,5.64,5.64,,,0 CDM,18995_00069005903,Heparin Sodium: 25 Vial In 1 Container (0069-0059-03) / 1 Ml In 1 Vial (0069-0059-04),19.67,19.67,,,0 CDM,18995_00409272330,NDC Description Not Available,11.8,11.8,,,0 CDM,18995_00641040037,NDC Description Not Available,9.83,9.83,,,0 CDM,18995_63323026201,Heparin Sodium: 25 Vial In 1 Tray (63323-262-01) / 1 Ml In 1 Vial,7.37,7.37,,,0 CDM,18995_63323026203,NDC Description Not Available,11.17,11.17,,,0 CDM,18995_63323026206,Heparin Sodium: 25 Vial In 1 Tray (63323-262-06) / 1 Ml In 1 Vial (63323-262-03),11.01,11.01,,,0 CDM,18995_67457037412,NDC Description Not Available,9.45,9.45,,,0 CDM,18995_71288040301,NDC Description Not Available,11.01,11.01,,,0 CDM,18995_81952011409,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Carton (81952-114-09) / 10 Ml In 1 Vial, Multi-Dose (81952-114-04)",1.97,1.97,,,0 CDM,19000_PBB,Pr Puncture Aspiration Cyst Of Breast-Pbb,662.0,662.0,,,0 CDM,19001_PBB,Pr Puncture Aspiration Cyst Breast Each Addl Cyst-Pbb,380.0,380.0,,,0 CDM,19008_66658023401,NDC Description Not Available,1194.48,1194.48,,,0 CDM,19008_66658023407,"Kineret: 7 Syringe, Glass In 1 Carton (66658-234-07) / .67 Ml In 1 Syringe, Glass",1347.39,1347.39,,,0 CDM,19027_00904658304,"Lamivudine: 30 Blister Pack In 1 Carton (0904-6583-04) / 1 Tablet, Film Coated In 1 Blister Pack",47.73,47.73,,,0 CDM,19027_60505325106,"Lamivudine: 60 Tablet, Film Coated In 1 Bottle (60505-3251-6)",23.25,23.25,,,0 CDM,19028_50242005121,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-051-21) / 10 Ml In 1 Vial, Single-Use",418.78,418.78,,,0 CDM,19028_50242005306,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-053-06) / 50 Ml In 1 Vial, Single-Use",595.86,595.86,,,0 CDM,19032_00904635961,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6359-61)",5.54,5.54,,,0 CDM,19032_00904736261,"Risperidone: 100 Blister Pack In 1 Carton (0904-7362-61) / 1 Tablet, Film Coated In 1 Blister Pack",4.05,4.05,,,0 CDM,19032_43547034106,Risperidone: 60 Tablet In 1 Bottle (43547-341-06),4.45,4.45,,,0 CDM,19032_68084027211,NDC Description Not Available,4.68,4.68,,,0 CDM,19040_00781149001,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0781-1490-01)",7.09,7.09,,,0 CDM,19040_51079056320,"Amitriptyline Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-563-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-563-01)",7.09,7.09,,,0 CDM,19040_70756020511,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (70756-205-11)",5.86,5.86,,,0 CDM,19057_66259014601,NDC Description Not Available,648.79,648.79,,,0 CDM,19057_70100042401,NDC Description Not Available,1365.13,1365.13,,,0 CDM,19057_70100042402,"Indocyanine Green: 6 Package In 1 Carton (70100-424-02) / 1 Kit In 1 Package * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial * 10 Ml In 1 Vial, Plastic (0409-4887-17)",1325.42,1325.42,,,0 CDM,19058_00338008503,Dextrose And Sodium Chloride: 24 Bag In 1 Carton (0338-0085-03) / 500 Ml In 1 Bag,96.5,96.5,,,0 CDM,19058_00338008504,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0085-04) / 1000 Ml In 1 Bag,92.63,92.63,,,0 CDM,19060_43547035110,Lisinopril: 100 Tablet In 1 Bottle (43547-351-10),6.0,6.0,,,0 CDM,19060_60687065611,NDC Description Not Available,5.62,5.62,,,0 CDM,19060_68084076511,NDC Description Not Available,6.0,6.0,,,0 CDM,19066_50242004110,Cathflo Activase: 10 Vial In 1 Carton (50242-041-10) / 2 Ml In 1 Vial,681.88,681.88,,,0 CDM,19066_50242004164,Cathflo Activase: 1 Vial In 1 Carton (50242-041-64) / 2 Ml In 1 Vial,559.23,559.23,,,0 CDM,19083_PBB,Pr Bx Breast W/Device 1St Lesion Ultrasound Guid-Pbb,1545.0,1545.0,,,0 CDM,19085_10147170003,Itraconazole: 30 Capsule In 1 Bottle (10147-1700-3),46.02,46.02,,,0 CDM,19085_50268045011,NDC Description Not Available,18.58,18.58,,,0 CDM,19085_60687029995,NDC Description Not Available,20.67,20.67,,,0 CDM,19098_00904582360,NDC Description Not Available,1.74,1.74,,,0 CDM,19098_07733394825,NDC Description Not Available,1.74,1.74,,,0 CDM,19100_PBB,Pr Bx Breast Needle Core W/O Imaging Guidance Spx-Pbb,1129.0,1129.0,,,0 CDM,19117_00904709761,Tacrolimus: 100 Blister Pack In 1 Carton (0904-7097-61) / 1 Capsule In 1 Blister Pack,8.47,8.47,,,0 CDM,19117_16714009901,Tacrolimus: 100 Capsule In 1 Bottle (16714-099-01),9.44,9.44,,,0 CDM,19117_51079081801,NDC Description Not Available,7.12,7.12,,,0 CDM,19117_68084045011,NDC Description Not Available,9.26,9.26,,,0 CDM,19120_PBB,Pr Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion-Pbb,4446.0,4446.0,,,0 CDM,19127_00069582043,Tikosyn: 40 Blister Pack In 1 Carton (0069-5820-43) / 1 Capsule In 1 Blister Pack,68.71,68.71,,,0 CDM,19127_42291041360,"Dofetilide: 60 Capsule In 1 Bottle, Plastic (42291-413-60)",6.0,6.0,,,0 CDM,19127_72205004160,Dofetilide: 60 Capsule In 1 Bottle (72205-041-60),6.42,6.42,,,0 CDM,19155_00781163501,Isosorbide Dinitrate: 100 Tablet In 1 Bottle (0781-1635-01),6.0,6.0,,,0 CDM,19155_50268044711,NDC Description Not Available,5.98,5.98,,,0 CDM,19189_00121077001,"Lorazepam: 1 Bottle, Dropper In 1 Carton (0121-0770-01) / 30 Ml In 1 Bottle, Dropper",12.93,12.93,,,0 CDM,19223_00009074630,Depo-Provera: 1 Vial In 1 Carton (0009-0746-30) / 1 Ml In 1 Vial,2.35,2.35,,,0 CDM,19223_00009737611,Depo-Provera: 1 Syringe In 1 Carton (0009-7376-11) / 1 Ml In 1 Syringe,2.45,2.45,,,0 CDM,19223_00548540000,"Medroxyprogesterone Acetate: 1 Vial, Single-Dose In 1 Carton (0548-5400-00) / 1 Ml In 1 Vial, Single-Dose",1.62,1.62,,,0 CDM,19223_55150032901,"Medroxyprogesterone Acetate: 1 Vial, Single-Dose In 1 Carton (55150-329-01) / 1 Ml In 1 Vial, Single-Dose",1.3,1.3,,,0 CDM,19223_59762453701,medroxyprogesterone acetate: 1 VIAL in 1 CARTON (59762-4537-1) / 1 mL in 1 VIAL,2.73,2.73,,,0 CDM,19223_66993037083,Medroxyprogesterone Acetate: 1 Vial In 1 Carton (66993-370-83) / 1 Ml In 1 Vial,0.5,0.5,,,0 CDM,19223_67457088700,NDC Description Not Available,1.34,1.34,,,0 CDM,19223_67457088799,Medroxyprogesterone Acetate: 1 Vial In 1 Carton (67457-887-99) / 1 Ml In 1 Vial (67457-887-00),1.37,1.37,,,0 CDM,19223_70700031522,Medroxyprogesterone Acetate: 1 Ml In 1 Container (70700-315-22),1.54,1.54,,,0 CDM,19254_00517560125,"Hydroxyzine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0517-5601-25) / 1 Ml In 1 Vial, Single-Dose (0517-5601-01)",162.71,162.71,,,0 CDM,19259_68180040501,Cefixime: 50 Ml In 1 Bottle (68180-405-01),11.16,11.16,,,0 CDM,1925_00904637461,"Ropinirole: 100 Blister Pack In 1 Carton (0904-6374-61) / 1 Tablet, Film Coated In 1 Blister Pack",3.52,3.52,,,0 CDM,1925_60687058811,NDC Description Not Available,4.99,4.99,,,0 CDM,1925_68462025501,"Ropinirole: 100 Tablet, Film Coated In 1 Bottle (68462-255-01)",4.67,4.67,,,0 CDM,19281_00713063737,Metronidazole: 1 Tube In 1 Carton (0713-0637-37) / 45 G In 1 Tube,607.67,607.67,,,0 CDM,19281_51672411606,Metronidazole: 1 Tube In 1 Carton (51672-4116-6) / 45 G In 1 Tube,607.67,607.67,,,0 CDM,19292_05026886811,NDC Description Not Available,1.75,1.75,,,0 CDM,19292_08068113100,NDC Description Not Available,1.32,1.32,,,0 CDM,19294_00517400201,NDC Description Not Available,236.68,236.68,,,0 CDM,19294_00517400225,Papaverine Hydrochloride: 25 Vial In 1 Carton (0517-4002-25) / 2 Ml In 1 Vial (0517-4002-01),230.49,230.49,,,0 CDM,19294_14789012105,"Papaverine Hydrochloride: 10 Vial, Single-Use In 1 Carton (14789-121-05) / 2 Ml In 1 Vial, Single-Use (14789-121-07)",209.38,209.38,,,0 CDM,19294_14789012107,NDC Description Not Available,224.95,224.95,,,0 CDM,19294_54288014201,NDC Description Not Available,217.75,217.75,,,0 CDM,19294_72516002401,NDC Description Not Available,245.17,245.17,,,0 CDM,19294_72516002425,Papaverine Hydrochloride: 25 Vial In 1 Carton (72516-024-25) / 2 Ml In 1 Vial,245.53,245.53,,,0 CDM,19299_00904043004,"Doxycycline Hyclate: 30 Blister Pack In 1 Carton (0904-0430-04) / 1 Tablet, Coated In 1 Blister Pack",22.49,22.49,,,0 CDM,19299_00904043006,"Doxycycline Hyclate: 50 Blister Pack In 1 Carton (0904-0430-06) / 1 Tablet, Coated In 1 Blister Pack",13.55,13.55,,,0 CDM,19299_53489012002,"Doxycycline Hyclate: 50 Tablet, Film Coated In 1 Bottle, Plastic (53489-120-02)",5.9,5.9,,,0 CDM,19299_62584069311,NDC Description Not Available,23.77,23.77,,,0 CDM,19299_62584069321,"Doxycycline: 30 Blister Pack In 1 Box, Unit-Dose (62584-693-21) / 1 Tablet, Coated In 1 Blister Pack (62584-693-11)",23.77,23.77,,,0 CDM,192_00009001201,Cortef: 50 Tablet In 1 Bottle (0009-0012-01),6.24,6.24,,,0 CDM,192_50268040511,NDC Description Not Available,10.09,10.09,,,0 CDM,192_59762007301,Hydrocortisone: 50 Tablet In 1 Bottle (59762-0073-1),6.0,6.0,,,0 CDM,192_64380097025,"Hydrocortisone: 50 Tablet In 1 Bottle, Plastic (64380-970-25)",5.41,5.41,,,0 CDM,19310_00527058601,Dicyclomine Hydrochloride: 100 Capsule In 1 Bottle (0527-0586-01),5.2,5.2,,,0 CDM,19310_60687036901,"Dicyclomine Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-369-01) / 1 Capsule In 1 Blister Pack (60687-369-11)",5.92,5.92,,,0 CDM,19310_60687036911,NDC Description Not Available,5.61,5.61,,,0 CDM,19320_00781323394,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3233-94) / 25 Ml In 1 Vial, Single-Dose",18.77,18.77,,,0 CDM,19320_10019093801,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-938-01) / 25 Ml In 1 Vial, Single-Dose (10019-938-25)",12.4,12.4,,,0 CDM,19320_10019095501,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-955-01) / 25 Ml In 1 Vial, Single-Dose (10019-955-50)",24.52,24.52,,,0 CDM,19320_10019095550,NDC Description Not Available,24.53,24.53,,,0 CDM,19321_51079068401,NDC Description Not Available,5.06,5.06,,,0 CDM,19321_51079068420,Atenolol: 100 Blister Pack In 1 Carton (51079-684-20) / 1 Tablet In 1 Blister Pack (51079-684-01),6.0,6.0,,,0 CDM,19346_51079062485,"Sulfamylon: 5 PACKET in 1 CARTON (51079-624-85) / 1 POWDER, FOR SOLUTION in 1 PACKET (51079-624-84)",1529.07,1529.07,,,0 CDM,1934_23155024901,Venlafaxine: 100 Tablet In 1 Bottle (23155-249-01),4.64,4.64,,,0 CDM,1934_68084085601,"Venlafaxine: 100 Blister Pack In 1 Box, Unit-Dose (68084-856-01) / 1 Tablet In 1 Blister Pack (68084-856-11)",5.98,5.98,,,0 CDM,1934_68084085611,NDC Description Not Available,5.97,5.97,,,0 CDM,19350_PBB,Pr Nipple/Areola Reconstruction-Pbb,13676.0,13676.0,,,0 CDM,19355_PBB,Pr Correction Inverted Nipples-Pbb,6180.0,6180.0,,,0 CDM,1935_49348014546,NICOTINE: 14 PATCH in 1 CARTON (49348-145-46) / 24 h in 1 PATCH,5.74,5.74,,,0 CDM,1935_60505706200,NDC Description Not Available,3.53,3.53,,,0 CDM,1935_70677003101,Nicotine: 14 Pouch In 1 Carton (70677-0031-1) / 1 H In 1 Pouch,5.74,5.74,,,0 CDM,19375_00054000725,"Calcitriol: 100 Capsule In 1 Bottle, Plastic (0054-0007-25)",5.88,5.88,,,0 CDM,19375_23155066201,Calcitriol: 100 Capsule In 1 Bottle (23155-662-01),3.05,3.05,,,0 CDM,19375_60687034511,NDC Description Not Available,4.94,4.94,,,0 CDM,19375_64380072306,Calcitriol: 100 Capsule In 1 Container (64380-723-06),4.8,4.8,,,0 CDM,19377_63323071050,Leucovorin Calcium: 1 Vial In 1 Box (63323-710-50) / 20 Ml In 1 Vial,39.81,39.81,,,0 CDM,19377_67457052920,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-529-20) / 20 Ml In 1 Vial, Single-Dose",67.65,67.65,,,0 CDM,19380_PBB,Pr Revision Of Reconstructed Breast-Pbb,9088.0,9088.0,,,0 CDM,19398_68462033490,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (68462-334-90),5.07,5.07,,,0 CDM,19416_00904700861,Lamotrigine: 100 Blister Pack In 1 Carton (0904-7008-61) / 1 Tablet In 1 Blister Pack,3.3,3.3,,,0 CDM,19416_51079049920,Lamotrigine: 100 BLISTER PACK in 1 CARTON (51079-499-20) / 1 TABLET in 1 BLISTER PACK (51079-499-01),3.96,3.96,,,0 CDM,19416_65862022801,Lamotrigine: 100 Tablet In 1 Bottle (65862-228-01),3.4,3.4,,,0 CDM,19416_68084031911,NDC Description Not Available,3.67,3.67,,,0 CDM,1942_00409729501,"Potassium Phosphates: 25 Vial, Single-Dose In 1 Tray (0409-7295-01) / 15 Ml In 1 Vial, Single-Dose (0409-7295-11)",33.79,33.79,,,0 CDM,1942_00409729511,NDC Description Not Available,59.0,59.0,,,0 CDM,1942_00517205101,NDC Description Not Available,160.6,160.6,,,0 CDM,1942_00517205125,"Potassium Phosphates: 25 Vial, Single-Dose In 1 Tray (0517-2051-25) / 5 Ml In 1 Vial, Single-Dose (0517-2051-01)",160.6,160.6,,,0 CDM,1942_65219005209,NDC Description Not Available,160.54,160.54,,,0 CDM,1942_65219005229,"Potassium Phosphates: 25 Vial, Single-Dose In 1 Tray (65219-052-29) / 5 Ml In 1 Vial, Single-Dose (65219-052-09)",160.67,160.67,,,0 CDM,1942_65219005409,NDC Description Not Available,102.68,102.68,,,0 CDM,1942_70069074601,NDC Description Not Available,151.96,151.96,,,0 CDM,1942_70069074625,Potassium Phosphate: 25 Bottle In 1 Carton (70069-746-25) / 5 Ml In 1 Bottle,151.96,151.96,,,0 CDM,1942_80830169101,NDC Description Not Available,108.93,108.93,,,0 CDM,1942_80830169301,NDC Description Not Available,154.1,154.1,,,0 CDM,1942_80830169303,"Potassium Phosphates: 5 Vial, Single-Dose In 1 Carton (80830-1693-3) / 5 Ml In 1 Vial, Single-Dose (80830-1693-1)",154.1,154.1,,,0 CDM,1946_00074366303,Lupron Depot: 1 Kit In 1 Carton (0074-3663-03) * 1.5 Ml In 1 Syringe * 1 Ml In 1 Packet,8888.54,8888.54,,,0 CDM,19473_00143924101,"Bleomycin: 1 Vial In 1 Box, Unit-Dose (0143-9241-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",279.07,279.07,,,0 CDM,19473_61703032322,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (61703-323-22) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",234.18,234.18,,,0 CDM,19473_63323013720,"Bleomycin: 1 Vial In 1 Carton (63323-137-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",198.38,198.38,,,0 CDM,19473_71288010720,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (71288-107-20) / 30 Powder, For Solution In 1 Vial, Single-Dose",152.55,152.55,,,0 CDM,19475_00904683006,"Finasteride: 50 Blister Pack In 1 Carton (0904-6830-06) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 CDM,19475_00904683061,"Finasteride: 100 Blister Pack In 1 Carton (0904-6830-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.39,6.39,,,0 CDM,19475_16729009001,"Finasteride: 100 Tablet, Film Coated In 1 Bottle (16729-090-01)",6.0,6.0,,,0 CDM,19475_51079032120,"Finasteride: 100 BLISTER PACK in 1 CARTON (51079-321-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-321-01)",6.0,6.0,,,0 CDM,19475_60687042811,NDC Description Not Available,6.0,6.0,,,0 CDM,19475_65862014990,"Finasteride: 90 Tablet, Film Coated In 1 Bottle (65862-149-90)",6.0,6.0,,,0 CDM,19475_78206015301,"Proscar: 30 Tablet, Film Coated In 1 Bottle (78206-153-01)",33.74,33.74,,,0 CDM,19477_47335093640,"Leuprolide Acetate: 1 Kit In 1 Carton (47335-936-40) * 1 Vial, Multi-Dose In 1 Carton / 2.8 Ml In 1 Vial, Multi-Dose * 1 Ml In 1 Packet",126.64,126.64,,,0 CDM,19492_68382014406,Ramipril: 30 Capsule In 1 Bottle (68382-144-06),3.48,3.48,,,0 CDM,19521_68382014601,Ramipril: 100 Capsule In 1 Bottle (68382-146-01),2.87,2.87,,,0 CDM,19534_60505056403,"Brimonidine Tartrate: 1 Bottle, Dropper In 1 Carton (60505-0564-3) / 15 Ml In 1 Bottle, Dropper",2851.66,2851.66,,,0 CDM,19534_61314014405,Brimonidine Tartrate: 1 Bottle In 1 Carton (61314-144-05) / 5 Ml In 1 Bottle,950.77,950.77,,,0 CDM,19534_82182077305,"Brimonidine Tartrate: 1 Bottle, Dropper In 1 Carton (82182-773-05) / 5 Ml In 1 Bottle, Dropper",710.78,710.78,,,0 CDM,19575_00143931801,NDC Description Not Available,96.59,96.59,,,0 CDM,19575_00409337504,"Levophed: 10 Vial, Single-Dose In 1 Carton (0409-3375-04) / 4 Ml In 1 Vial, Single-Dose (0409-3375-14)",150.59,150.59,,,0 CDM,19575_00409337514,NDC Description Not Available,150.59,150.59,,,0 CDM,19575_00781375575,NDC Description Not Available,85.39,85.39,,,0 CDM,19575_63323094021,NDC Description Not Available,70.35,70.35,,,0 CDM,19575_67457085200,NDC Description Not Available,116.99,116.99,,,0 CDM,1961_00378967131,NDC Description Not Available,6.0,6.0,,,0 CDM,1961_00487020100,NDC Description Not Available,6.0,6.0,,,0 CDM,1961_00487020101,"Ipratropium Bromide And Albuterol Sulfate: 30 Pouch In 1 Carton (0487-0201-01) / 1 Vial, Single-Use In 1 Pouch / 3 Ml In 1 Vial, Single-Use",5.99,5.99,,,0 CDM,1961_60687040579,NDC Description Not Available,6.0,6.0,,,0 CDM,1961_76204060001,Ipratropium Bromide And Albuterol Sulfate: 30 Pouch In 1 Carton (76204-600-01) / 1 Ampule In 1 Pouch / 3 Ml In 1 Ampule,5.99,5.99,,,0 CDM,1961_76204060030,Ipratropium Bromide And Albuterol Sulfate: 1 Pouch In 1 Carton (76204-600-30) / 30 Ampule In 1 Pouch / 3 Ml In 1 Ampule,6.0,6.0,,,0 CDM,19647_51672404301,Clorazepate Dipotassium: 100 Tablet In 1 Bottle (51672-4043-1),8.65,8.65,,,0 CDM,19675_00006473900,"PNEUMOVAX 23: 1 VIAL, MULTI-DOSE in 1 CARTON (0006-4739-00) / .5 mL in 1 VIAL, MULTI-DOSE (0006-4739-01)",96.5,96.5,,,0 CDM,19675_00006494300,"Pneumovax 23: 10 Vial, Single-Dose In 1 Carton (0006-4943-00) / .5 Ml In 1 Vial, Single-Dose (0006-4943-01)",117.08,117.08,,,0 CDM,19675_00006494301,NDC Description Not Available,784.45,784.45,,,0 CDM,19689_00338022103,Plasma-Lyte A: 500 Ml In 1 Bag (0338-0221-03),193.0,193.0,,,0 CDM,1970_00904647761,"Donepezil Hydrochloride: 100 Blister Pack In 1 Carton (0904-6477-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.18,5.18,,,0 CDM,1970_60687029211,NDC Description Not Available,4.83,4.83,,,0 CDM,1972_00904711061,"Labetalol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7110-61) / 1 Tablet, Film Coated In 1 Blister Pack",3.38,3.38,,,0 CDM,1972_23155072401,Labetalol Hydrochloride: 100 Tablet In 1 Bottle (23155-724-01),3.14,3.14,,,0 CDM,1972_51079092920,"Labetalol HCl: 100 BLISTER PACK in 1 CARTON (51079-929-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-929-01)",4.61,4.61,,,0 CDM,1972_60687045011,NDC Description Not Available,4.22,4.22,,,0 CDM,19731_00904635861,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6358-61)",5.9,5.9,,,0 CDM,19731_00904736161,"Risperidone: 100 Blister Pack In 1 Carton (0904-7361-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.76,5.76,,,0 CDM,19731_68084027111,NDC Description Not Available,5.09,5.09,,,0 CDM,19733_63323028701,NDC Description Not Available,0.84,0.84,,,0 CDM,19733_63323028720,Naropin: 5 Ampule In 1 Box (63323-287-20) / 20 Ml In 1 Ampule (63323-287-01),0.84,0.84,,,0 CDM,19735_00487980101,"Ipratropium Bromide: 30 Pouch In 1 Carton (0487-9801-01) / 1 Vial, Single-Dose In 1 Pouch / 2.5 Ml In 1 Vial, Single-Dose",5.96,5.96,,,0 CDM,19735_60687039479,NDC Description Not Available,5.81,5.81,,,0 CDM,19735_76204010001,Ipratropium Bromide: 30 Pouch In 1 Carton (76204-100-01) / 1 Ampule In 1 Pouch / 2.5 Ml In 1 Ampule,6.0,6.0,,,0 CDM,19751_63323012700,NDC Description Not Available,74.66,74.66,,,0 CDM,19751_63323012710,"Dacarbazine: 10 Vial, Single-Dose In 1 Tray (63323-127-10) / 10 Ml In 1 Vial, Single-Dose (63323-127-00)",77.08,77.08,,,0 CDM,19782_45802004635,Gentamicin Sulfate: 1 Tube In 1 Carton (45802-046-35) / 15 G In 1 Tube,244.87,244.87,,,0 CDM,1979_00074364103,Lupron Depot: 1 Kit In 1 Carton (0074-3641-03) * 1 Ml In 1 Syringe * 1 Ml In 1 Packet,11708.28,11708.28,,,0 CDM,19802_00173071920,"Flovent Hfa: 1 Inhaler In 1 Carton (0173-0719-20) / 120 Aerosol, Metered In 1 Inhaler",1697.74,1697.74,,,0 CDM,19802_66993007996,"Fluticasone Propionate Hfa: 1 Inhaler In 1 Carton (66993-079-96) / 120 Aerosol, Metered In 1 Inhaler",1103.58,1103.58,,,0 CDM,19810_00527296337,"Chlorpromazine Hydrochloride: 100 Tablet, Coated In 1 Bottle (0527-2963-37)",1.17,1.17,,,0 CDM,19810_00832601900,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0832-6019-00)",0.99,0.99,,,0 CDM,19810_50268016411,NDC Description Not Available,2.11,2.11,,,0 CDM,19810_60687044111,NDC Description Not Available,5.5,5.5,,,0 CDM,19846_23594050501,MILLIPRED: 100 TABLET in 1 BOTTLE (23594-505-01),95.77,95.77,,,0 CDM,19846_42658016005,Prednisolone: 100 Tablet In 1 Bottle (42658-160-05),69.75,69.75,,,0 CDM,19846_59651049101,Prednisolone: 100 Tablet In 1 Bottle (59651-491-01),76.62,76.62,,,0 CDM,19846_73534050501,Millipred: 100 Tablet In 1 Bottle (73534-505-01),95.77,95.77,,,0 CDM,19906_00121101605,NDC Description Not Available,222.86,222.86,,,0 CDM,19906_00173054700,Mepron: 42 Pouch In 1 Dose Pack (0173-0547-00) / 5 Ml In 1 Pouch,205.57,205.57,,,0 CDM,19906_50268008611,NDC Description Not Available,94.21,94.21,,,0 CDM,19906_60687053440,NDC Description Not Available,177.16,177.16,,,0 CDM,19906_63739020301,"Atovaquone: 5 Ml In 1 Cup, Unit-Dose (63739-203-01)",141.49,141.49,,,0 CDM,19906_66689006201,NDC Description Not Available,222.86,222.86,,,0 CDM,19906_81033010405,NDC Description Not Available,117.37,117.37,,,0 CDM,19907_00054319446,Diphenoxylate Hydrochloride And Atropine Sulfate: 1 Bottle In 1 Carton (0054-3194-46) / 60 Ml In 1 Bottle,36.18,36.18,,,0 CDM,19969_65862010701,Zidovudine: 100 Capsule In 1 Bottle (65862-107-01),9.39,9.39,,,0 CDM,19977_51079097901,NDC Description Not Available,3.96,3.96,,,0 CDM,19977_51079097920,"Spironolactone: 100 Blister Pack In 1 Carton (51079-979-20) / 1 Tablet, Film Coated In 1 Blister Pack (51079-979-01)",3.3,3.3,,,0 CDM,19977_60687047611,NDC Description Not Available,4.09,4.09,,,0 CDM,19977_63739054510,"Spironolactone: 10 Blister Pack In 1 Box, Unit-Dose (63739-545-10) / 10 Tablet In 1 Blister Pack",3.79,3.79,,,0 CDM,199_00338006910,Ketorolac Tromethamine: 10 Vial In 1 Carton (0338-0069-10) / 1 Ml In 1 Vial,59.0,59.0,,,0 CDM,199_00409379319,NDC Description Not Available,58.03,58.03,,,0 CDM,199_62332059901,NDC Description Not Available,59.0,59.0,,,0 CDM,199_63323016100,NDC Description Not Available,56.69,56.69,,,0 CDM,199_63323016101,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-161-01) / 1 Ml In 1 Vial, Single-Use (63323-161-00)",59.0,59.0,,,0 CDM,199_70860070041,NDC Description Not Available,59.0,59.0,,,0 CDM,199_72266023401,NDC Description Not Available,58.5,58.5,,,0 CDM,199_72603015301,NDC Description Not Available,57.77,57.77,,,0 CDM,199_72611071901,NDC Description Not Available,59.0,59.0,,,0 CDM,20000000,Hc Icu,12679.0,12679.0,,,0 CDM,20010_49702021301,NDC Description Not Available,173.09,173.09,,,0 CDM,20010_49702021326,"Retrovir: 5 Vial, Single-Use In 1 Carton (49702-213-26) / 20 Ml In 1 Vial, Single-Use (49702-213-01)",195.64,195.64,,,0 CDM,20053_00338107702,Dobutamine Hydrochloride In Dextrose: 18 Bag In 1 Carton (0338-1077-02) / 250 Ml In 1 Bag,49.23,49.23,,,0 CDM,20084_51079028501,NDC Description Not Available,4.71,4.71,,,0 CDM,20087_51079088801,NDC Description Not Available,5.98,5.98,,,0 CDM,20087_51079088820,Metoclopramide: 100 Blister Pack In 1 Carton (51079-888-20) / 1 Tablet In 1 Blister Pack (51079-888-01),6.0,6.0,,,0 CDM,20087_60687063111,NDC Description Not Available,6.0,6.0,,,0 CDM,20094_00338005403,Sodium Chloride: 24 Bag In 1 Carton (0338-0054-03) / 500 Ml In 1 Bag,6.43,6.43,,,0 CDM,20100000,Hc Icu High-Severity,25397.0,25397.0,,,0 CDM,20103_PBB,Pr Exploration Penetrating Wound Spx Extremity-Pbb,3667.0,3667.0,,,0 CDM,20110_00904552361,Doxazosin: 100 Blister Pack In 1 Carton (0904-5523-61) / 1 Tablet In 1 Blister Pack,3.72,3.72,,,0 CDM,20110_51079095820,Doxazosin: 100 BLISTER PACK in 1 CARTON (51079-958-20) / 1 TABLET in 1 BLISTER PACK (51079-958-01),19.42,19.42,,,0 CDM,20110_68084085195,NDC Description Not Available,5.66,5.66,,,0 CDM,20124_10888713502,PROGESTERONE: 100 CAPSULE in 1 BOTTLE (10888-7135-2),0.51,0.51,,,0 CDM,20158_00378181177,"Levothyroxine Sodium: 90 Tablet In 1 Bottle, Plastic (0378-1811-77)",6.0,6.0,,,0 CDM,20158_42292003901,NDC Description Not Available,5.87,5.87,,,0 CDM,20158_60687050811,NDC Description Not Available,5.97,5.97,,,0 CDM,20167_00904630521,"Sore Throat Cherry: 177 Ml In 1 Bottle, Spray (0904-6305-21)",2.4,2.4,,,0 CDM,20167_07811201103,NDC Description Not Available,4.28,4.28,,,0 CDM,20181_00093227534,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (0093-2275-34)",10.47,10.47,,,0 CDM,20181_16714001401,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (16714-014-01)",6.0,6.0,,,0 CDM,20181_60687080311,NDC Description Not Available,39.49,39.49,,,0 CDM,20181_65862050301,"Amoxicillin And Clavulanate Potassium: 100 Tablet, Film Coated In 1 Bottle (65862-503-01)",6.0,6.0,,,0 CDM,20181_65862050320,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (65862-503-20)",6.0,6.0,,,0 CDM,20200_PBB,Pr Biopsy Muscle Superficial-Pbb,1045.0,1045.0,,,0 CDM,20205_PBB,Pr Biopsy Muscle Deep-Pbb,2854.0,2854.0,,,0 CDM,20206_PBB,Pr Biopsy Muscle Percutaneous Needle-Pbb,1847.0,1847.0,,,0 CDM,20220_PBB,Pr Biopsy Bone Trocar/Needle Superficial-Pbb,1847.0,1847.0,,,0 CDM,20223_74676590400,NDC Description Not Available,5854.82,5854.82,,,0 CDM,20223_74676590401,"Trelstar: 1 Kit In 1 Carton (74676-5904-1) * 2 Ml In 1 Vial, Single-Dose (74676-5904-0) * 2 Ml In 1 Syringe",6122.17,6122.17,,,0 CDM,20240_PBB,Pr Biopsy Bone Open Superficial-Pbb,2030.0,2030.0,,,0 CDM,20263_00046074905,Premarin: 1 Vial In 1 Carton (0046-0749-05) / 5 Ml In 1 Vial,1785.57,1785.57,,,0 CDM,20269_14789060010,"Arsenic Trioxide: 10 Vial, Single-Dose In 1 Carton (14789-600-10) / 10 Ml In 1 Vial, Single-Dose",376.7,376.7,,,0 CDM,20269_23155086931,NDC Description Not Available,87.53,87.53,,,0 CDM,20269_23155086941,"Arsenic Trioxide: 10 Vial, Single-Dose In 1 Carton (23155-869-41) / 10 Ml In 1 Vial, Single-Dose (23155-869-31)",76.38,76.38,,,0 CDM,20269_63323063703,NDC Description Not Available,397.98,397.98,,,0 CDM,20269_68382099701,NDC Description Not Available,253.28,253.28,,,0 CDM,20269_68382099710,Arsenic Trioxide: 10 Vial In 1 Carton (68382-997-10) / 10 Ml In 1 Vial (68382-997-01),252.24,252.24,,,0 CDM,20269_70121148301,NDC Description Not Available,100.3,100.3,,,0 CDM,20269_70121148307,"Arsenic Trioxide: 10 Vial, Single-Dose In 1 Carton (70121-1483-7) / 10 Ml In 1 Vial, Single-Dose (70121-1483-1)",100.5,100.5,,,0 CDM,20274_00054355563,Methadone Hydrochloride: 500 Ml In 1 Bottle (0054-3555-63),7.22,7.22,,,0 CDM,20277_24208048510,"Dorzolamide Hcl: 1 Bottle, Dropper In 1 Carton (24208-485-10) / 10 Ml In 1 Bottle, Dropper",210.74,210.74,,,0 CDM,20277_42571014126,Dorzolamide Hydrochloride Ophthalmic Solution: 1 Bottle In 1 Carton (42571-141-26) / 10 Ml In 1 Bottle,210.74,210.74,,,0 CDM,20277_50383023210,Dorzolamide Hydrochloride: 1 BOTTLE in 1 CARTON (50383-232-10) / 10 mL in 1 BOTTLE,217.0,217.0,,,0 CDM,20277_61314001910,Dorzolamide Hydrochloride: 10 Ml In 1 Bottle (61314-019-10),155.0,155.0,,,0 CDM,20280_00121067016,Ethosuximide: 473 Ml In 1 Bottle (0121-0670-16),6.04,6.04,,,0 CDM,2028_45802046564,Ketoconazole: 120 Ml In 1 Bottle (45802-465-64),136.9,136.9,,,0 CDM,20302_00409114112,NDC Description Not Available,105.34,105.34,,,0 CDM,20302_63323009502,NDC Description Not Available,46.06,46.06,,,0 CDM,20302_63323009903,NDC Description Not Available,32.56,32.56,,,0 CDM,20314_00046110081,"Premarin: 100 Tablet, Film Coated In 1 Bottle (0046-1100-81)",42.82,42.82,,,0 CDM,20324_00143985601,NDC Description Not Available,23.44,23.44,,,0 CDM,20324_00143985625,"Ceftriaxone: 25 Vial In 1 Box (0143-9856-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9856-01)",24.12,24.12,,,0 CDM,20324_00409733503,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7335-03) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7335-13)",17.48,17.48,,,0 CDM,20324_00409733513,NDC Description Not Available,23.31,23.31,,,0 CDM,20324_00781320990,NDC Description Not Available,23.94,23.94,,,0 CDM,20324_60505614900,NDC Description Not Available,23.76,23.76,,,0 CDM,20330_00093227434,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (0093-2274-34)",8.75,8.75,,,0 CDM,20330_60687079211,NDC Description Not Available,34.92,34.92,,,0 CDM,20330_65862050220,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (65862-502-20)",6.0,6.0,,,0 CDM,20352_00009043601,R-Gene: 1 Container In 1 Carton (0009-0436-01) / 300 Ml In 1 Container,235.2,235.2,,,0 CDM,20361_00067612814,SUNMARK NICOTINE TRANSDERMAL SYSTEM: 14 POUCH in 1 CARTON (0067-6128-14) / 1 PATCH in 1 POUCH / 24 h in 1 PATCH,3.26,3.26,,,0 CDM,20361_00536589488,Nicotine: 14 Pouch In 1 Carton (0536-5894-88) / 1 H In 1 Pouch,3.26,3.26,,,0 CDM,20361_43598044671,NDC Description Not Available,3.26,3.26,,,0 CDM,20361_60505706100,NDC Description Not Available,3.53,3.53,,,0 CDM,20366_64380075806,"Acarbose: 100 Tablet In 1 Bottle, Plastic (64380-758-06)",6.0,6.0,,,0 CDM,20378_17478023835,AK-POLY-BAC: 1 TUBE in 1 CARTON (17478-238-35) / 3.5 g in 1 TUBE,86.18,86.18,,,0 CDM,20378_24208055555,Bacitracin Zinc And Polymyxin B Sulfate: 1 Tube In 1 Carton (24208-555-55) / 3.5 G In 1 Tube,142.12,142.12,,,0 CDM,20393_00065040872,"Alcon Tears Lubricant Eye Drops: 1 Bottle, Dropper In 1 Carton (0065-0408-72) / 15 Ml In 1 Bottle, Dropper",684.05,684.05,,,0 CDM,20393_00998040815,"Isopto Tears: 15 Ml In 1 Bottle, Dropper (0998-0408-15)",1810.71,1810.71,,,0 CDM,20394_00143987201,NDC Description Not Available,55.07,55.07,,,0 CDM,20394_63323060400,NDC Description Not Available,76.72,76.72,,,0 CDM,20396_00904662361,Tacrolimus: 100 Blister Pack In 1 Carton (0904-6623-61) / 1 Capsule In 1 Blister Pack,6.65,6.65,,,0 CDM,20396_51079081701,NDC Description Not Available,7.07,7.07,,,0 CDM,20396_68084044911,NDC Description Not Available,12.29,12.29,,,0 CDM,20412_00143966001,NDC Description Not Available,13.96,13.96,,,0 CDM,20412_00409177805,"Metoprolol Tartrate: 10 Vial, Single-Dose In 1 Carton (0409-1778-05) / 5 Ml In 1 Vial, Single-Dose (0409-1778-15)",14.17,14.17,,,0 CDM,20412_00409177815,NDC Description Not Available,12.59,12.59,,,0 CDM,20412_72266012201,NDC Description Not Available,12.52,12.52,,,0 CDM,20412_72611074001,NDC Description Not Available,11.8,11.8,,,0 CDM,20419_00009085605,Hemabate: 1 Ml In 1 Ampule (0009-0856-05),938.0,938.0,,,0 CDM,20419_00009085608,Hemabate: 10 Ampule In 1 Package (0009-0856-08) / 1 Ml In 1 Ampule (0009-0856-05),938.0,938.0,,,0 CDM,20419_81298501001,NDC Description Not Available,991.6,991.6,,,0 CDM,20419_81298501005,"Carboprost Tromethamine: 1 Carton In 1 Box (81298-5010-5) / 1 Vial, Single-Dose In 1 Carton (81298-5010-1) / 1 Ml In 1 Vial, Single-Dose",979.92,979.92,,,0 CDM,2042_16714036501,Elinest: 1 Blister Pack In 1 Packet (16714-365-01) / 1 Kit In 1 Blister Pack,6.0,6.0,,,0 CDM,2042_16714036504,Elinest: 6 Blister Pack In 1 Carton (16714-365-04) / 1 Kit In 1 Blister Pack,5.95,5.95,,,0 CDM,20431_76128015575,"Photofrin: 1 Vial In 1 Box, Unit-Dose (76128-155-75) / 31.8 Ml In 1 Vial",74167.14,74167.14,,,0 CDM,20436_00143985201,NDC Description Not Available,238.99,238.99,,,0 CDM,20436_54482014701,Carnitor: 5 Vial In 1 Carton (54482-147-01) / 5 Ml In 1 Vial,256.93,256.93,,,0 CDM,20437_00143950901,NDC Description Not Available,85.36,85.36,,,0 CDM,20437_00409205115,NDC Description Not Available,56.1,56.1,,,0 CDM,20461_45802056201,"Clindamycin Phosphate: 1 Bottle, With Applicator In 1 Carton (45802-562-01) / 30 Ml In 1 Bottle, With Applicator",149.55,149.55,,,0 CDM,20468_54838050140,"Haloperidol: 120 Ml In 1 Bottle, Dropper (54838-501-40)",6.47,6.47,,,0 CDM,20476_00338361250,NDC Description Not Available,96.5,96.5,,,0 CDM,20476_00781328909,Clindamycin In 5 Percent Dextrose: 24 Bag In 1 Carton (0781-3289-09) / 50 Ml In 1 Bag (0781-3289-91),96.73,96.73,,,0 CDM,20476_00781328991,NDC Description Not Available,113.62,113.62,,,0 CDM,20484_00065039515,"Cyclogyl: 1 Bottle, Plastic In 1 Carton (0065-0395-15) / 15 Ml In 1 Bottle, Plastic",597.81,597.81,,,0 CDM,20493_00187170405,Mephyton: 1 BOTTLE in 1 CARTON (0187-1704-05) / 100 TABLET in 1 BOTTLE,364.32,364.32,,,0 CDM,20493_00904688210,Phytonadione: 20 Blister Pack In 1 Carton (0904-6882-10) / 1 Tablet In 1 Blister Pack,530.66,530.66,,,0 CDM,20493_69238105103,Phytonadione: 1 Bottle In 1 Carton (69238-1051-3) / 30 Tablet In 1 Bottle,248.0,248.0,,,0 CDM,204_00054005746,Digoxin: 60 Ml In 1 Bottle (0054-0057-46),15.09,15.09,,,0 CDM,20500_PBB,Pr Injection Sinus Tract Therapeutic Separate Proc-Pbb,850.0,850.0,,,0 CDM,20515_00591534701,"Probenecid: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-5347-01)",4.38,4.38,,,0 CDM,20515_10135054101,"Probenecid: 100 Tablet, Film Coated In 1 Bottle (10135-541-01)",5.19,5.19,,,0 CDM,20519_00904720660,"Antiflatulent: 100 Tablet, Chewable In 1 Bottle (0904-7206-60)",1.97,1.97,,,0 CDM,20519_10135020301,NDC Description Not Available,0.67,0.67,,,0 CDM,20519_77333081225,NDC Description Not Available,1.98,1.98,,,0 CDM,20520_PBB,Pr Removal Foreign Body Muscle/Tendon Sheath Simple-Pbb,1469.0,1469.0,,,0 CDM,20525_PBB,Pr Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp-Pbb,3769.0,3769.0,,,0 CDM,20526_PBB,Pr Injection Therapeutic Carpal Tunnel-Pbb,754.0,754.0,,,0 CDM,20527_PBB,Pr Injection Enzyme Palmar Fascial Cord-Pbb,1118.0,1118.0,,,0 CDM,20536_61314064725,Tobramycin And Dexamethasone: 1 Bottle In 1 Carton (61314-647-25) / 2.5 Ml In 1 Bottle,235.17,235.17,,,0 CDM,20541_00378235093,"Esomeprazole Magnesium: 30 Capsule, Delayed Release Pellets In 1 Bottle, Plastic (0378-2350-93)",5.24,5.24,,,0 CDM,20545_00406055223,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-0552-23),4.94,4.94,,,0 CDM,20545_00406055262,Oxycodone Hydrochloride: 100 Tablet In 1 Blister Pack (0406-0552-62),5.4,5.4,,,0 CDM,20545_00904696661,Oxycodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6966-61) / 1 Tablet In 1 Blister Pack,6.0,6.0,,,0 CDM,20545_65162004710,Oxycodone Hydrochloride: 100 Tablet In 1 Bottle (65162-047-10),6.0,6.0,,,0 CDM,20545_68084035411,NDC Description Not Available,6.0,6.0,,,0 CDM,20550_00002445301,NDC Description Not Available,103.73,103.73,,,0 CDM,20550_55111026279,"Olanzapine: 10 Tablet, Orally Disintegrating In 1 Blister Pack (55111-262-79)",10.72,10.72,,,0 CDM,20550_55111026281,"Olanzapine: 3 Blister Pack In 1 Carton (55111-262-81) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",10.72,10.72,,,0 CDM,20550_60505327500,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3275-0) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",11.07,11.07,,,0 CDM,20550_PBB,Pr Injection 1 Tendon Sheath/Ligament Aponeurosis-Pbb,712.0,712.0,,,0 CDM,20551_PBB,Pr Injection Single Tendon Origin/Insertion-Pbb,712.0,712.0,,,0 CDM,20552_PBB,Pr Injection Single/Mlt Trigger Point 1/2 Muscles-Pbb,754.0,754.0,,,0 CDM,20553_PBB,Pr Injection Single/Mlt Trigger Point 3/> Muscles-Pbb,622.0,622.0,,,0 CDM,20554_65862060130,Modafinil: 30 Tablet In 1 Bottle (65862-601-30),4.83,4.83,,,0 CDM,20587_00409000101,NDC Description Not Available,18.44,18.44,,,0 CDM,20587_00409230516,NDC Description Not Available,39.33,39.33,,,0 CDM,20587_00641605701,NDC Description Not Available,37.94,37.94,,,0 CDM,20587_00641605901,NDC Description Not Available,33.47,33.47,,,0 CDM,20587_23155060031,NDC Description Not Available,19.67,19.67,,,0 CDM,20587_63323041115,NDC Description Not Available,32.16,32.16,,,0 CDM,20587_63323041118,NDC Description Not Available,28.96,28.96,,,0 CDM,20587_70860060002,"Midazolam: 25 Vial, Single-Dose In 1 Carton (70860-600-02) / 2 Ml In 1 Vial, Single-Dose (70860-600-41)",28.53,28.53,,,0 CDM,20600_PBB,Pr Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O Us-Pbb,587.0,587.0,,,0 CDM,20601_00143978401,NDC Description Not Available,10.08,10.08,,,0 CDM,20601_36000014801,NDC Description Not Available,16.86,16.86,,,0 CDM,20601_63323042405,"Flumazenil: 10 Vial, Multi-Dose In 1 Tray (63323-424-05) / 5 Ml In 1 Vial, Multi-Dose (63323-424-01)",14.49,14.49,,,0 CDM,20604_PBB,Pr Arthrocnt Aspir&/Inj Small Jt/Bursaw/Us Rec Rprt-Pbb,1692.0,1692.0,,,0 CDM,20605_PBB,Pr Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O Us-Pbb,712.0,712.0,,,0 CDM,20606_PBB,Pr Arthrocentesis Aspir&/Inj Interm Jt/Burs W/Us-Pbb,1816.0,1816.0,,,0 CDM,20610_PBB,Pr Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O Us-Pbb,800.0,800.0,,,0 CDM,20611_PBB,Pr Arthrocentesis Aspir&/Inj Major Jt/Bursa W/Us-Pbb,1907.0,1907.0,,,0 CDM,20612_PBB,Pr Aspiration&/Injection Ganglion Cyst Any Locatj-Pbb,626.0,626.0,,,0 CDM,20617_68084002111,NDC Description Not Available,54.71,54.71,,,0 CDM,20617_68084002121,"Abacavir: 30 Blister Pack In 1 Box, Unit-Dose (68084-021-21) / 1 Tablet, Film Coated In 1 Blister Pack (68084-021-11)",54.71,54.71,,,0 CDM,20623_06936728302,NDC Description Not Available,2.84,2.84,,,0 CDM,20630_50228048301,Diltiazem Hydrochloride: 100 Tablet In 1 Bottle (50228-483-01),6.0,6.0,,,0 CDM,20630_51079074720,"Diltiazem Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-747-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-747-01)",6.0,6.0,,,0 CDM,2063_00338067304,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0673-04),193.0,193.0,,,0 CDM,20652_23155048901,Desmopressin Acetate: 100 Tablet In 1 Bottle (23155-489-01),6.51,6.51,,,0 CDM,20652_55566260000,Ddavp: 1 Bottle In 1 Carton (55566-2600-0) / 100 Tablet In 1 Bottle,48.31,48.31,,,0 CDM,20652_60505025701,Desmopressin Acetate: 100 Tablet In 1 Bottle (60505-0257-1),4.76,4.76,,,0 CDM,20652_60687072111,NDC Description Not Available,13.58,13.58,,,0 CDM,20652_69918010101,Desmopressin Acetate: 1 Bottle In 1 Carton (69918-101-01) / 100 Tablet In 1 Bottle,6.51,6.51,,,0 CDM,20670_24208079535,Neomycin And Polymyxin B Sulfates And Dexamethasone: 1 Tube In 1 Carton (24208-795-35) / 3.5 G In 1 Tube,98.52,98.52,,,0 CDM,20670_61314063136,Neomycin And Polymyxin B Sulfates And Dexamethasone: 3.5 G In 1 Tube (61314-631-36),111.61,111.61,,,0 CDM,20670_PBB,Pr Removal Implant Superficial Separate Procedure-Pbb,1510.0,1510.0,,,0 CDM,20680_24201040002,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (24201-400-02) / 2 Ml In 1 Vial, Multi-Dose",12143.76,12143.76,,,0 CDM,20680_67457067502,"Miacalcin: 1 Vial, Multi-Dose In 1 Carton (67457-675-02) / 2 Ml In 1 Vial, Multi-Dose",15325.72,15325.72,,,0 CDM,20680_PBB,Pr Removal Implant Deep-Pbb,5347.0,5347.0,,,0 CDM,20687_00536129901,"Meclizine Hydrochloride: 100 Tablet, Chewable In 1 Bottle (0536-1299-01)",5.77,5.77,,,0 CDM,20687_69618002801,"Meclizine Hcl 25 Mg: 100 Tablet In 1 Bottle, Plastic (69618-028-01)",6.0,6.0,,,0 CDM,20693_55513019001,Neulasta: 1 Syringe In 1 Carton (55513-190-01) / .6 Ml In 1 Syringe,3399.62,3399.62,,,0 CDM,20697_PBB,Pr App Mltpln Uni Xtrnl Fix Strtctc Adjmt Exchange-Pbb,14538.0,14538.0,,,0 CDM,20749_00409230001,NDC Description Not Available,168.88,168.88,,,0 CDM,20757_00056051030,"SUSTIVA: 30 TABLET, FILM COATED in 1 BOTTLE (0056-0510-30)",202.66,202.66,,,0 CDM,20758_00006384371,"Invanz: 10 Vial, Single-Dose In 1 Package (0006-3843-71) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",360.25,360.25,,,0 CDM,20758_00143939810,"Ertapenem Sodium: 10 Vial, Single-Dose In 1 Carton (0143-9398-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0143-9398-01)",114.59,114.59,,,0 CDM,20758_55150028220,"Ertapenem: 10 Vial, Single-Dose In 1 Carton (55150-282-20) / 1 Injection In 1 Vial, Single-Dose",171.08,171.08,,,0 CDM,20758_60505619600,NDC Description Not Available,96.81,96.81,,,0 CDM,2081_65862002206,"Mirtazapine: 5 Blister Pack In 1 Carton (65862-022-06) / 6 Tablet, Orally Disintegrating In 1 Blister Pack",5.96,5.96,,,0 CDM,2085_61314020315,Pilocarpine Hydrochloride: 1 Bottle In 1 Carton (61314-203-15) / 15 Ml In 1 Bottle,488.91,488.91,,,0 CDM,2085_70069018101,Pilocarpine Hydrochloride: 1 Bottle In 1 Carton (70069-181-01) / 15 Ml In 1 Bottle,459.98,459.98,,,0 CDM,2089_54838055840,Loratadine: 120 Ml In 1 Carton (54838-558-40),2.0,2.0,,,0 CDM,20950_PBB,Pr Mntr Interstitial Fluid Pressure Cmprt Syndrome-Pbb,2281.0,2281.0,,,0 CDM,20_67308010101,Levulan Kerastick: 1 Kit In 1 Applicator (67308-101-01) * 1.5 Ml In 1 Ampule * 1.5 Ml In 1 Ampule,2437.97,2437.97,,,0 CDM,20_67308010106,Levulan Kerastick: 6 Applicator In 1 Carton (67308-101-06) / 1 Kit In 1 Applicator (67308-101-01) * 1.5 Ml In 1 Ampule * 1.5 Ml In 1 Ampule,2437.95,2437.95,,,0 CDM,21011_PBB,Pr Excision Tumor Soft Tiss Face/Scalp Subq <2Cm-Pbb,1397.0,1397.0,,,0 CDM,21012_PBB,Pr Excision Tumor Soft Tiss Face/Scalp Subq 2 Cm/>-Pbb,1920.0,1920.0,,,0 CDM,21013_PBB,Pr Exc Tumor Soft Tiss Face&Scalp Subfascial <2Cm-Pbb,2255.0,2255.0,,,0 CDM,21014_PBB,Pr Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/>-Pbb,2964.0,2964.0,,,0 CDM,21021_09277160001,NDC Description Not Available,47.86,47.86,,,0 CDM,21025_PBB,Pr Excision Bone Mandible-Pbb,6561.0,6561.0,,,0 CDM,21086_PBB,Pr Impression & Preparation Auricular Prosthesis-Pbb,15515.0,15515.0,,,0 CDM,2110_00121075908,Prednisolone Sodium Phosphate: 237 Ml In 1 Bottle (0121-0759-08),1.54,1.54,,,0 CDM,2110_00121088508,Prednisolone: 240 Ml In 1 Bottle (0121-0885-08),5.99,5.99,,,0 CDM,2110_42799081501,"Prednisolone Sodium Phosphate: 237 Ml In 1 Bottle, Plastic (42799-815-01)",6.0,6.0,,,0 CDM,2110_50383004224,Prednisolone: 1 BOTTLE in 1 CARTON (50383-042-24) / 240 mL in 1 BOTTLE,2.28,2.28,,,0 CDM,2110_50383004248,Prednisolone: 1 BOTTLE in 1 CARTON (50383-042-48) / 480 mL in 1 BOTTLE,1.87,1.87,,,0 CDM,2110_69238212209,Prednisolone Sodium Phosphate: 237 Ml In 1 Bottle (69238-2122-9),1.74,1.74,,,0 CDM,21110_PBB,Pr Appl Interdental Fixation Device Non-Fx/Dislc-Pbb,4729.0,4729.0,,,0 CDM,21151_00264762320,Dextrose And Sodium Chloride: 24 Container In 1 Case (0264-7623-20) / 250 Ml In 1 Container,193.0,193.0,,,0 CDM,2122_00069013701,NDC Description Not Available,1.97,1.97,,,0 CDM,2122_00409272001,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2720-01) / 1 Ml In 1 Vial, Single-Dose (0409-2720-30)",16.05,16.05,,,0 CDM,2122_00409272030,NDC Description Not Available,14.59,14.59,,,0 CDM,2122_00409272031,NDC Description Not Available,19.67,19.67,,,0 CDM,2122_00641039137,NDC Description Not Available,21.56,21.56,,,0 CDM,2122_25021040066,Heparin Sodium: 25 Vial In 1 Carton (25021-400-66) / 1 Ml In 1 Vial,9.83,9.83,,,0 CDM,2122_63323054003,NDC Description Not Available,27.08,27.08,,,0 CDM,2122_63323054011,Heparin Sodium: 25 Vial In 1 Tray (63323-540-11) / 10 Ml In 1 Vial,8.2,8.2,,,0 CDM,2122_63323054013,Heparin Sodium: 25 Vial In 1 Tray (63323-540-13) / 1 Ml In 1 Vial (63323-540-03),29.5,29.5,,,0 CDM,2122_63323054033,NDC Description Not Available,2.11,2.11,,,0 CDM,2122_63739093114,NDC Description Not Available,2.51,2.51,,,0 CDM,2122_71288040210,NDC Description Not Available,3.41,3.41,,,0 CDM,21235_PBB,Pr Graft Ear Crtlg Autogenous Nose/Ear-Pbb,8220.0,8220.0,,,0 CDM,21244_00206886101,NDC Description Not Available,64.33,64.33,,,0 CDM,21289_39328006325,NDC Description Not Available,62.5,62.5,,,0 CDM,21310_PBB,"Closed Treatment, Nasal Bone Fx W/O Manipulation-Pbb",1790.0,1790.0,,,0 CDM,21315_PBB,Pr Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization-Pbb,3089.0,3089.0,,,0 CDM,21320_PBB,Pr Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization-Pbb,4652.0,4652.0,,,0 CDM,21336_77790002215,"Vista Gonio Eye Lubricant: 1 Bottle, Dropper In 1 Carton (77790-022-15) / 15 Ml In 1 Bottle, Dropper",182.94,182.94,,,0 CDM,213_00121065402,Fluphenazine Hydrochloride: 60 Ml In 1 Bottle (0121-0654-02),33.67,33.67,,,0 CDM,21400_PBB,Pr Clsd Tx Fx Orbit Except Blowout W/O Manipulation-Pbb,1591.0,1591.0,,,0 CDM,21440_PBB,Pr Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx-Pbb,3632.0,3632.0,,,0 CDM,21450_PBB,Pr Closed Tx Mandibular Fracture W/O Manipulation-Pbb,5053.0,5053.0,,,0 CDM,21480_PBB,Pr Closed Tx Temporomandibular Dislocation 1St/Sbsq-Pbb,1790.0,1790.0,,,0 CDM,21501_PBB,Pr I&D Deep Absc/Hmtma Soft Tissue Neck/Thorax-Pbb,5789.0,5789.0,,,0 CDM,21502_PBB,Pr I&D Dp Absc/Hmtma Sft Tis Nck/Thrx Prtl Rib Ostc-Pbb,6086.0,6086.0,,,0 CDM,21537_00538800924,NDC Description Not Available,1.5,1.5,,,0 CDM,21537_00538862842,NDC Description Not Available,2.0,2.0,,,0 CDM,21537_01191711810,NDC Description Not Available,2.0,2.0,,,0 CDM,21550_PBB,Pr Biopsy Soft Tissue Neck/Thorax-Pbb,2610.0,2610.0,,,0 CDM,21552_PBB,Pr Exc Tumor Soft Tis Neck/Ant Thorax Subq 3 Cm/>-Pbb,2592.0,2592.0,,,0 CDM,21555_PBB,Pr Exc Tumor Soft Tissue Neck/Ant Thorax Subq <3Cm-Pbb,4514.0,4514.0,,,0 CDM,21556_PBB,Pr Exc Tumor Soft Tiss Neck/Thorax Subfascial <5Cm-Pbb,5384.0,5384.0,,,0 CDM,2155_00904678261,Haloperidol: 100 Blister Pack In 1 Carton (0904-6782-61) / 1 Tablet In 1 Blister Pack,5.14,5.14,,,0 CDM,2155_51079073601,NDC Description Not Available,5.79,5.79,,,0 CDM,2155_51079073620,Haloperidol: 100 Blister Pack In 1 Carton (51079-736-20) / 1 Tablet In 1 Blister Pack (51079-736-01),5.73,5.73,,,0 CDM,2155_60687016111,NDC Description Not Available,5.83,5.83,,,0 CDM,2167_31722053101,Torsemide: 100 Tablet In 1 Bottle (31722-531-01),2.2,2.2,,,0 CDM,2167_68084053911,NDC Description Not Available,2.85,2.85,,,0 CDM,21820_PBB,Pr Closed Treatment Sternum Fracture-Pbb,2202.0,2202.0,,,0 CDM,2183_00054042825,flucytosine: 100 CAPSULE in 1 BOTTLE (0054-0428-25),787.67,787.67,,,0 CDM,2183_43386077001,Flucytosine: 100 Capsule In 1 Bottle (43386-770-01),124.0,124.0,,,0 CDM,2183_59651033201,Flucytosine: 100 Capsule In 1 Bottle (59651-332-01),124.0,124.0,,,0 CDM,2183_60687061011,NDC Description Not Available,971.36,971.36,,,0 CDM,21930_PBB,Pr Excision Tumor Soft Tissue Back/Flank Subq <3Cm-Pbb,8796.0,8796.0,,,0 CDM,21931_PBB,Pr Excision Tumor Soft Tis Back/Flank Subq 3 Cm/>-Pbb,2729.0,2729.0,,,0 CDM,21932_PBB,Pr Exc Tumor Soft Tiss Back/Flank Subfascial <5Cm-Pbb,2986.0,2986.0,,,0 CDM,21933_PBB,Pr Exc Tumor Soft Tiss Back/Flank Subfascial 5 Cm/>-Pbb,3295.0,3295.0,,,0 CDM,2195_00409080101,"Nipent: 1 Vial, Single-Dose In 1 Carton (0409-0801-01) / 5 Ml In 1 Vial, Single-Dose",12623.45,12623.45,,,0 CDM,2200_00409956610,"Cefepime: 10 Vial In 1 Carton (0409-9566-10) / 1 Injection, Powder, For Solution In 1 Vial (0409-9566-01)",96.5,96.5,,,0 CDM,2200_60505614600,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6146-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",96.1,96.1,,,0 CDM,2200_60505614604,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6146-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",52.23,52.23,,,0 CDM,2206_59762500005,Sulfasalazine: 1 Bottle In 1 Carton (59762-5000-5) / 100 Tablet In 1 Bottle,2.37,2.37,,,0 CDM,2206_62135096001,Sulfasalazine: 100 Tablet In 1 Bottle (62135-960-01),12.4,12.4,,,0 CDM,2214_24201023701,fludarabine phosphate: 1 VIAL in 1 CARTON (24201-237-01) / 2 mL in 1 VIAL,604.8,604.8,,,0 CDM,2214_25021024202,Fludarabine Phosphate: 1 Vial In 1 Carton (25021-242-02) / 2 Ml In 1 Vial,986.0,986.0,,,0 CDM,2214_45963060955,"Fludarabine Phosphate: 1 Vial, Glass In 1 Carton (45963-609-55) / 2 Ml In 1 Vial, Glass",442.02,442.02,,,0 CDM,2214_63323019202,Fludarabine: 1 Vial In 1 Box (63323-192-02) / 2 Ml In 1 Vial,1056.53,1056.53,,,0 CDM,2217_00378087116,NDC Description Not Available,164.29,164.29,,,0 CDM,2217_00591350854,NDC Description Not Available,164.29,164.29,,,0 CDM,22310_PBB,Pr Cltx Vrt Bdy Fx W/O Manj Req&W/Csting/Bracing-Pbb,2421.0,2421.0,,,0 CDM,2278_63323048917,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-489-17) / 10 Ml In 1 Vial, Single-Dose (63323-489-01)",0.75,0.75,,,0 CDM,2279_60687073179,NDC Description Not Available,111.6,111.6,,,0 CDM,2279_65162091446,Tobramycin: 56 Ampule In 1 Carton (65162-914-46) / 5 Ml In 1 Ampule,105.19,105.19,,,0 CDM,22900_PBB,Pr Exc Tumor Soft Tissue Abdl Wall Subfascial <5Cm-Pbb,4675.0,4675.0,,,0 CDM,22902_PBB,Pr Exc Tumor Soft Tissue Abdominal Wall Subq <3Cm-Pbb,1915.0,1915.0,,,0 CDM,22903_PBB,Pr Exc Tumor Soft Tissue Abdominal Wall Subq 3 Cm/>-Pbb,2532.0,2532.0,,,0 CDM,22904_PBB,Pr Rad Resection Tumor Soft Tissue Abdl Wall <5Cm-Pbb,4566.0,4566.0,,,0 CDM,22905_PBB,Pr Rad Resection Tumor Soft Tissue Abdl Wall 5 Cm/>-Pbb,5988.0,5988.0,,,0 CDM,2295_01483201101,NDC Description Not Available,86.25,86.25,,,0 CDM,2295_57782039726,"Cromolyn Sodium: 1 Bottle In 1 Carton (57782-397-26) / 200 Spray, Metered In 1 Bottle",43.37,43.37,,,0 CDM,2304_59762081201,Nadolol: 100 TABLET in 1 BOTTLE (59762-0812-1),15.38,15.38,,,0 CDM,2304_76385013501,Nadolol: 100 Tablet In 1 Bottle (76385-135-01),6.0,6.0,,,0 CDM,23071_PBB,Pr Excision Tumor Soft Tissue Shoulder Subq 3 Cm/>-Pbb,2417.0,2417.0,,,0 CDM,23073_PBB,Pr Exc Tumor Soft Tissue Shoulder Subfascial 5 Cm/>-Pbb,5655.0,5655.0,,,0 CDM,23075_PBB,Pr Excision Tumor Soft Tissue Shoulder Subq <3Cm-Pbb,4758.0,4758.0,,,0 CDM,2315_00338051909,Intralipid: 250 Ml In 1 Bag (0338-0519-09),263.2,263.2,,,0 CDM,2315_00338051913,Intralipid: 500 Ml In 1 Bag (0338-0519-13),80.9,80.9,,,0 CDM,2315_00338051958,Intralipid: 100 Ml In 1 Bag (0338-0519-58),192.57,192.57,,,0 CDM,2315_65219053101,NDC Description Not Available,171.57,171.57,,,0 CDM,2315_65219053301,NDC Description Not Available,246.4,246.4,,,0 CDM,2315_65219053501,NDC Description Not Available,86.16,86.16,,,0 CDM,2315_99999001012,NDC Description Not Available,30.56,30.56,,,0 CDM,2329_65862029084,Ribavirin: 84 Capsule In 1 Bottle (65862-290-84),8.27,8.27,,,0 CDM,23405_PBB,Pr Tenotomy Shoulder Area 1 Tendon-Pbb,6034.0,6034.0,,,0 CDM,234_00904670961,Glycopyrrolate: 100 Blister Pack In 1 Carton (0904-6709-61) / 1 Tablet In 1 Blister Pack,6.72,6.72,,,0 CDM,234_49884006501,Glycopyrrolate: 100 Tablet In 1 Bottle (49884-065-01),4.01,4.01,,,0 CDM,23500_PBB,Pr Clsd Tx Clavicular Fracture W/O Manipulation-Pbb,2304.0,2304.0,,,0 CDM,23540_PBB,Pr Clsd Tx Acromioclavicular Dislc W/O Manipulation-Pbb,2634.0,2634.0,,,0 CDM,23570_PBB,Pr Closed Tx Scapular Fracture W/O Manipulation-Pbb,2741.0,2741.0,,,0 CDM,23600_PBB,Pr Cltx Proximal Humeral Fracture W/O Manipulation-Pbb,3511.0,3511.0,,,0 CDM,23605_PBB,Pr Cltx Prox Humrl Fx W/Mnpj W/Wo Skeletal Tracj-Pbb,6365.0,6365.0,,,0 CDM,23620_PBB,Pr Cltx Greater Humeral Tuberosity Fx W/O Mnpj-Pbb,3074.0,3074.0,,,0 CDM,23650_PBB,Pr Clsd Tx Shoulder Dislc W/Manipulation W/O Anes-Pbb,3074.0,3074.0,,,0 CDM,23665_PBB,Pr Cltx Shoulder Dislc W/Fx Humeral Tubrst W/Mnpj-Pbb,6143.0,6143.0,,,0 CDM,2367_16714017101,Tizanidine: 150 Tablet In 1 Bottle (16714-171-01),4.94,4.94,,,0 CDM,2367_50268075911,NDC Description Not Available,5.71,5.71,,,0 CDM,2367_50268075915,"Tizanidine: 50 Blister Pack In 1 Box, Unit-Dose (50268-759-15) / 1 Tablet In 1 Blister Pack (50268-759-11)",5.88,5.88,,,0 CDM,2367_68084077595,NDC Description Not Available,6.69,6.69,,,0 CDM,23708_00143902201,NDC Description Not Available,47.86,47.86,,,0 CDM,23708_00143902202,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0143-9022-02) / 5 Ml In 1 Syringe, Glass (0143-9022-01)",49.82,49.82,,,0 CDM,23708_00310072010,"Faslodex: 2 Syringe, Glass In 1 Carton (0310-0720-10) / 5 Ml In 1 Syringe, Glass",649.58,649.58,,,0 CDM,23708_00310772010,"Fulvestrant: 2 SYRINGE, GLASS in 1 CARTON (0310-7720-10) / 5 mL in 1 SYRINGE, GLASS",117.25,117.25,,,0 CDM,23708_00781353201,NDC Description Not Available,108.88,108.88,,,0 CDM,23708_00781353212,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0781-3532-12) / 5 Ml In 1 Syringe, Glass (0781-3532-01)",107.35,107.35,,,0 CDM,23708_00781905501,NDC Description Not Available,67.0,67.0,,,0 CDM,23708_00781905512,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0781-9055-12) / 5 Ml In 1 Syringe, Glass (0781-9055-01)",67.0,67.0,,,0 CDM,23708_16714007001,NDC Description Not Available,543.54,543.54,,,0 CDM,23708_43598026202,"Fulvestrant: 2 Syringe, Glass In 1 Carton (43598-262-02) / 5 Ml In 1 Syringe, Glass (43598-262-11)",67.0,67.0,,,0 CDM,23708_43598026223,"Fulvestrant: 2 Syringe, Glass In 1 Carton (43598-262-23) / 5 Ml In 1 Syringe, Glass (43598-262-11)",192.07,192.07,,,0 CDM,23708_63323071505,"Fulvestrant: 2 Syringe, Glass In 1 Carton (63323-715-05) / 5 Ml In 1 Syringe, Glass (63323-715-01)",331.3,331.3,,,0 CDM,2375_00054449911,Leucovorin Calcium: 25 Tablet In 1 Bottle (0054-4499-11),70.05,70.05,,,0 CDM,2375_00555048527,Leucovorin Calcium: 25 Tablet In 1 Bottle (0555-0485-27),55.44,55.44,,,0 CDM,2375_00904670310,Leucovorin Calcium: 20 Blister Pack In 1 Carton (0904-6703-10) / 1 Tablet In 1 Blister Pack,58.53,58.53,,,0 CDM,2375_60687022711,NDC Description Not Available,66.38,66.38,,,0 CDM,23774_62935075680,Eligard: 1 Syringe In 1 Carton (62935-756-80) / .25 Ml In 1 Syringe,3026.32,3026.32,,,0 CDM,23812_00409131203,NDC Description Not Available,55.38,55.38,,,0 CDM,23812_00409131230,Hydromorphone Hydrochloride: 10 Cartridge In 1 Carton (0409-1312-30) / 1 Ml In 1 Cartridge (0409-1312-03),20.58,20.58,,,0 CDM,23819_00703066601,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0703-0666-01) / 20 Ml In 1 Vial, Multi-Dose",357.79,357.79,,,0 CDM,23820_00703067601,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0703-0676-01) / 20 Ml In 1 Vial, Multi-Dose",405.24,405.24,,,0 CDM,23820_66302010201,Remodulin: 1 Vial In 1 Box (66302-102-01) / 20 Ml In 1 Vial,425.79,425.79,,,0 CDM,23821_00703068601,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0703-0686-01) / 20 Ml In 1 Vial, Multi-Dose",135.08,135.08,,,0 CDM,23821_00781342780,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0781-3427-80) / 20 Ml In 1 Vial, Multi-Dose",299.39,299.39,,,0 CDM,23821_66302010501,Remodulin: 1 Vial In 1 Box (66302-105-01) / 20 Ml In 1 Vial,425.88,425.88,,,0 CDM,23822_00703069601,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0703-0696-01) / 20 Ml In 1 Vial, Multi-Dose",405.23,405.23,,,0 CDM,23822_43598064811,Treprostinil: 1 Vial In 1 Carton (43598-648-11) / 20 Ml In 1 Vial,377.29,377.29,,,0 CDM,23822_66302011001,Remodulin: 1 Vial In 1 Box (66302-110-01) / 20 Ml In 1 Vial,352.89,352.89,,,0 CDM,23826_00955100301,NDC Description Not Available,19.67,19.67,,,0 CDM,23826_16714000601,NDC Description Not Available,19.67,19.67,,,0 CDM,23826_63323055921,NDC Description Not Available,19.65,19.65,,,0 CDM,23827_00075062160,Lovenox: 10 Cello Pack In 1 Carton (0075-0621-60) / 1 Syringe In 1 Cello Pack (0075-0621-01) / .6 Ml In 1 Syringe,16.64,16.64,,,0 CDM,23827_00548560300,Enoxaparin Sodium: 10 Syringe In 1 Carton (0548-5603-00) / .6 Ml In 1 Syringe,10.55,10.55,,,0 CDM,23827_00955100601,NDC Description Not Available,14.61,14.61,,,0 CDM,23827_16714002601,NDC Description Not Available,14.05,14.05,,,0 CDM,23827_63323056621,NDC Description Not Available,10.42,10.42,,,0 CDM,23827_63323060701,NDC Description Not Available,13.67,13.67,,,0 CDM,23827_63323060708,NDC Description Not Available,10.78,10.78,,,0 CDM,23828_00955100810,Enoxaparin Sodium: 10 Cello Pack In 1 Carton (0955-1008-10) / 1 Syringe In 1 Cello Pack (0955-1008-01) / .8 Ml In 1 Syringe,14.32,14.32,,,0 CDM,23828_16714003601,NDC Description Not Available,14.2,14.2,,,0 CDM,23828_63323053101,NDC Description Not Available,15.54,15.54,,,0 CDM,23828_63323058421,NDC Description Not Available,7.92,7.92,,,0 CDM,23829_00781326805,NDC Description Not Available,10.12,10.12,,,0 CDM,23829_16714004601,NDC Description Not Available,12.93,12.93,,,0 CDM,23829_63323058621,NDC Description Not Available,6.67,6.67,,,0 CDM,23829_63323058696,Enoxaparin Sodium: 10 Blister Pack In 1 Carton (63323-586-96) / 1 Syringe In 1 Blister Pack (63323-586-21) / 1 Ml In 1 Syringe,11.8,11.8,,,0 CDM,23829_63323060501,NDC Description Not Available,13.39,13.39,,,0 CDM,23830_00075062001,NDC Description Not Available,16.62,16.62,,,0 CDM,23830_00703854021,NDC Description Not Available,14.75,14.75,,,0 CDM,23830_00781324602,NDC Description Not Available,14.82,14.82,,,0 CDM,23830_00955100401,NDC Description Not Available,14.75,14.75,,,0 CDM,23830_16714001601,NDC Description Not Available,14.75,14.75,,,0 CDM,23830_63323053501,NDC Description Not Available,14.75,14.75,,,0 CDM,23830_63323056421,NDC Description Not Available,14.75,14.75,,,0 CDM,23830_63323056497,Enoxaparin Sodium: 10 Blister Pack In 1 Carton (63323-564-97) / 1 Syringe In 1 Blister Pack (63323-564-21) / .4 Ml In 1 Syringe,14.75,14.75,,,0 CDM,23830_63323056887,Enoxaparin sodium: 10 SYRINGE in 1 CARTON (63323-568-87) / .4 mL in 1 SYRINGE,14.75,14.75,,,0 CDM,2384_00904561061,ENALAPRIL MALEATE: 100 BLISTER PACK in 1 CARTON (0904-5610-61) / 1 TABLET in 1 BLISTER PACK,6.0,6.0,,,0 CDM,2384_16714044401,Enalapril Maleate: 100 Tablet In 1 Bottle (16714-444-01),3.46,3.46,,,0 CDM,2384_23155077201,Enalapril Maleate: 100 Tablet In 1 Bottle (23155-772-01),5.14,5.14,,,0 CDM,2384_51672424501,Enalapril Maleate: 100 Tablet In 1 Bottle (51672-4245-1),3.59,3.59,,,0 CDM,2384_64679092502,ENALAPRIL MALEATE: 100 TABLET in 1 BOTTLE (64679-925-02),4.9,4.9,,,0 CDM,24071_PBB,Pr Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3Cm/>-Pbb,2344.0,2344.0,,,0 CDM,24073_PBB,Pr Exc Tumor Soft Tiss Upper Arm/Elbw Subfasc 5Cm/>-Pbb,3063.0,3063.0,,,0 CDM,24075_PBB,Pr Exc Tumor Soft Tiss Upper Arm/Elbow Subq <3Cm-Pbb,4738.0,4738.0,,,0 CDM,2408_68084024411,NDC Description Not Available,6.86,6.86,,,0 CDM,24096_43547037703,"Voriconazole: 30 Tablet, Coated In 1 Bottle (43547-377-03)",35.44,35.44,,,0 CDM,24096_51079016401,NDC Description Not Available,52.89,52.89,,,0 CDM,24096_51079016403,"Voriconazole: 30 Blister Pack In 1 Carton (51079-164-03) / 1 Tablet, Film Coated In 1 Blister Pack (51079-164-01)",52.89,52.89,,,0 CDM,24096_68462057230,"Voriconazole: 30 Tablet, Film Coated In 1 Bottle (68462-572-30)",13.44,13.44,,,0 CDM,24097_00904702404,"Voriconazole: 30 Blister Pack In 1 Carton (0904-7024-04) / 1 Tablet, Film Coated In 1 Blister Pack",136.51,136.51,,,0 CDM,24097_51079016501,NDC Description Not Available,204.23,204.23,,,0 CDM,24097_51079016503,"Voriconazole: 30 Blister Pack In 1 Carton (51079-165-03) / 1 Tablet, Film Coated In 1 Blister Pack (51079-165-01)",204.23,204.23,,,0 CDM,24097_63739000833,"Voriconazole: 3 Blister Pack In 1 Box, Unit-Dose (63739-008-33) / 10 Tablet In 1 Blister Pack",122.45,122.45,,,0 CDM,24098_00049319028,"Vfend: 1 Vial, Single-Dose In 1 Carton (0049-3190-28) / 20 Ml In 1 Vial, Single-Dose",20.2,20.2,,,0 CDM,24098_00781341694,"Voriconazole: 1 Vial, Single-Use In 1 Carton (0781-3416-94) / 20 Ml In 1 Vial, Single-Use",24.54,24.54,,,0 CDM,24098_70436002980,"Voriconazole: 1 Injection, Powder, Lyophilized, For Solution In 1 Box (70436-029-80)",40.89,40.89,,,0 CDM,24105_PBB,Pr Excision Olecranon Bursa-Pbb,3625.0,3625.0,,,0 CDM,2415_00378827031,NDC Description Not Available,5.81,5.81,,,0 CDM,2415_00487950101,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-9501-01) / 1 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",3.54,3.54,,,0 CDM,2415_00487950102,NDC Description Not Available,2.0,2.0,,,0 CDM,2415_60687039579,NDC Description Not Available,2.0,2.0,,,0 CDM,2415_76204020001,Albuterol Sulfate: 30 Pouch In 1 Carton (76204-200-01) / 1 Ampule In 1 Pouch / 3 Ml In 1 Ampule,5.4,5.4,,,0 CDM,24164_00245021311,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (0245-0213-11),4.62,4.62,,,0 CDM,24164_00904681907,Midodrine Hydrochloride: 30 Blister Pack In 1 Carton (0904-6819-07) / 1 Tablet In 1 Blister Pack,6.66,6.66,,,0 CDM,24164_50268056311,NDC Description Not Available,8.26,8.26,,,0 CDM,24164_60687040995,NDC Description Not Available,8.74,8.74,,,0 CDM,24225_08068114000,NDC Description Not Available,2.45,2.45,,,0 CDM,2431_63323022901,NDC Description Not Available,20.36,20.36,,,0 CDM,2431_63323022905,"Protamine Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-229-05) / 5 Ml In 1 Vial, Single-Dose (63323-229-01)",21.3,21.3,,,0 CDM,2431_63323022930,"Protamine Sulfate: 1 Vial, Single-Dose In 1 Box (63323-229-30) / 25 Ml In 1 Vial, Single-Dose",13.97,13.97,,,0 CDM,24357_PBB,Pr Tenotomy Elbow Lateral/Medial Percutaneous-Pbb,4178.0,4178.0,,,0 CDM,2447_55292020111,Chemet: 100 Capsule In 1 Bottle (55292-201-11),136.62,136.62,,,0 CDM,24500_PBB,Pr Clsd Tx Humeral Shaft Fracture W/O Manipulation-Pbb,3779.0,3779.0,,,0 CDM,24530_PBB,Pr Cltx Sprcndylr/Transcndylr Humeral Fx W/Wo Manj-Pbb,3890.0,3890.0,,,0 CDM,24535_PBB,Pr Cltx Sprcndylr/Transcndylr Humeral Fx W/Manj-Pbb,7568.0,7568.0,,,0 CDM,2453_00904205661,Diphenhydramine Hydrochloride: 10 Blister Pack In 1 Box (0904-2056-61) / 10 Capsule In 1 Blister Pack,2.0,2.0,,,0 CDM,2453_10135015601,NDC Description Not Available,2.0,2.0,,,0 CDM,2453_10135015610,NDC Description Not Available,2.0,2.0,,,0 CDM,24560_PBB,Pr Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj-Pbb,3787.0,3787.0,,,0 CDM,24576_PBB,Pr Cltx Humeral Condylar Fx Medial/Lat W/O Manj-Pbb,3137.0,3137.0,,,0 CDM,24600_PBB,Pr Treatment Closed Elbow Dislocation W/O Anes-Pbb,3461.0,3461.0,,,0 CDM,2460_05846800901,NDC Description Not Available,191.18,191.18,,,0 CDM,24620_PBB,Pr Closed Tx Monteggia Fx Dislocation Elbow W/Manj-Pbb,5712.0,5712.0,,,0 CDM,24640_PBB,Pr Cltx Rdl Head Sublxtj Chld Nursemaid Elbw W/Manj-Pbb,1406.0,1406.0,,,0 CDM,24645_00409163110,"Calcium Chloride: 10 Carton In 1 Container (0409-1631-10) / 1 Syringe, Plastic In 1 Carton (0409-1631-40) / 10 Ml In 1 Syringe, Plastic",76.85,76.85,,,0 CDM,24645_00409163140,NDC Description Not Available,82.74,82.74,,,0 CDM,24645_76329330401,Calcium Chloride: 10 Syringe In 1 Package (76329-3304-1) / 10 Ml In 1 Syringe,70.35,70.35,,,0 CDM,24650_PBB,Pr Closed Tx Radial Head/Neck Fx W/O Manipulation-Pbb,2969.0,2969.0,,,0 CDM,24655_PBB,Pr Closed Tx Radial Head/Neck Fx W/Manipulation-Pbb,4433.0,4433.0,,,0 CDM,2466_72078003500,NDC Description Not Available,59.0,59.0,,,0 CDM,24670_PBB,Pr Closed Tx Ulnar Fracture Proximal End W/O Manj-Pbb,3674.0,3674.0,,,0 CDM,24680_49281024658,NDC Description Not Available,451.16,451.16,,,0 CDM,24680_49281025251,"Imovax Rabies: 1 Kit In 1 Package (49281-252-51) * 1 Ml In 1 Vial, Single-Use (49281-246-58) * 1 Ml In 1 Syringe (49281-263-58)",451.16,451.16,,,0 CDM,24680_50632001001,"Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01)",2773.2,2773.2,,,0 CDM,24680_50632001301,NDC Description Not Available,2773.2,2773.2,,,0 CDM,2490_00143992950,"Ciprofloxacin: 50 Tablet, Film Coated In 1 Bottle (0143-9929-50)",6.0,6.0,,,0 CDM,2490_00172531310,NDC Description Not Available,6.0,6.0,,,0 CDM,2490_59651087350,"Ciprofloxacin: 50 Tablet, Film Coated In 1 Bottle (59651-873-50)",6.0,6.0,,,0 CDM,2490_62135031050,"Ciprofloxacin: 50 Tablet, Film Coated In 1 Bottle, Plastic (62135-310-50)",32.0,32.0,,,0 CDM,2490_65862007850,"Ciprofloxacin: 50 Tablet, Film Coated In 1 Bottle (65862-078-50)",6.0,6.0,,,0 CDM,2490_68084007101,"Ciprofloxacin: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-071-01) / 1 TABLET, FILM COATED in 1 BLISTER PACK (68084-071-11)",6.0,6.0,,,0 CDM,25000002,Hc Rocuronium 10 Mg/Ml Iv Soln,69.0,69.0,,,0 CDM,25000003,Hc Albuterol Sulfate (Proventil) 5 Mg/Ml Continuous Inhl Soln,119.0,119.0,,,0 CDM,25000004,Hc Mannitol 20 % Iv Solp - 500 Ml Flex Container,231.0,231.0,,,0 CDM,25000005,Hc Ketamine 10 Mg/Ml Inj Soln - 20 Ml Vial,146.0,146.0,,,0 CDM,25000006,Hc Vecuronium Bromide 10 Mg Iv Solr - 10Ml Vial,69.0,69.0,,,0 CDM,25000007,Hc Sodium Bicarbonate 1 Meq/Ml Iv Syrg,71.0,71.0,,,0 CDM,25000008,Hc Calcium Chloride 10 % (100 Mg/Ml) Iv Syrg,74.0,74.0,,,0 CDM,25000009,Hc Esmolol In Iso-Osmotic Saline 10 Mg/Ml Iv Solp,1664.0,1664.0,,,0 CDM,25000010,Hc Diphenhydramine Hcl 50 Mg/Ml Inj Soln (Aka Benadryl),69.0,69.0,,,0 CDM,25000011,Hc Calcium Gluconate 100 Mg/Ml (10%) Iv Soln,69.0,69.0,,,0 CDM,25000012,Hc Dextrose 50% In Water (D50W) Iv Syrg,69.0,69.0,,,0 CDM,25000013,Hc Dobutamine 250 Mg/20 Ml Iv Soln - 20 Ml Vial,69.0,69.0,,,0 CDM,25000014,Hc Etomidate 2 Mg/1 Ml Inj - 10 Ml Vial,69.0,69.0,,,0 CDM,25000015,Hc Labetalol 5 Mg/Ml Iv Soln,69.0,69.0,,,0 CDM,25000016,Hc Furosemide 100 Mg Inj - 10 Ml Vial,69.0,69.0,,,0 CDM,25000017,Hc Lidocaine Hcl 1 % Inj Soln,69.0,69.0,,,0 CDM,25000018,Hc Morphine 100 Mg/4 Ml Iv Soln (4 Ml Vial),89.0,89.0,,,0 CDM,25000019,Hc Naloxone 0.4 Mg/Ml Inj Soln (Aka Narcan) 1 Ml Vial,129.0,129.0,,,0 CDM,25000020,Hc Nicardipine 2.5 Mg/Ml Iv Soln - 10Ml,165.0,165.0,,,0 CDM,25000021,Hc Nitroprusside Sodium 25 Mg/Ml Iv Soln (Aka Nipride),7202.0,7202.0,,,0 CDM,25000022,Hc Nitroglycerin 50 Mg/10 Ml (5 Mg/Ml) Iv Soln,82.0,82.0,,,0 CDM,25000023,Hc Norepinephrine Bitartrate 1 Mg/Ml Iv Soln (4 Ml Vial),156.0,156.0,,,0 CDM,25000024,Hc Terbutaline 1 Mg/Ml,146.0,146.0,,,0 CDM,25000025,Hc Vasopressin (Pitressin) 20 Unit/Ml Inj Soln,69.0,69.0,,,0 CDM,25000026,Hc Triamcinolone 0.1% Crm Employee Health,1.0,1.0,,,0 CDM,25000027,Hc Tetracaine Employee Health,2.0,2.0,,,0 CDM,25000028,Hc Sulfctmide Sodm Opthlmc Sol Usp 10% Employee Health,5.0,5.0,,,0 CDM,25000029,Hc Truvada Oral Tblt Employee Health,41.0,41.0,,,0 CDM,25000030,Hc Triamcinolone 0.1% Cream Employee Health,1.0,1.0,,,0 CDM,25000031,Hc Bactroban Cream 15 Gm Employee Health,71.0,71.0,,,0 CDM,25000032,Hc Lodine 500Mg Oral Employee Health,2.0,2.0,,,0 CDM,25000033,Hc Valtrex 1Gm Caps Employee Health,21.0,21.0,,,0 CDM,25000033_99070_250,Hc Valtrex 1Gm Caps Employee Health,21.0,21.0,,,0 CDM,25000034,Hc Thermazine Slvr Sulfadiazine 1.25Oz Employee Health,7.0,7.0,,,0 CDM,25000035,Hc Tetrcaine Employee Health,2.0,2.0,,,0 CDM,25000036,Hc Cipro 500Mg Employee Health,5.0,5.0,,,0 CDM,25000037,Hc Ciprofloxan Hcl Opth Sol 0.3% 2.5Ml Employee Health,25.0,25.0,,,0 CDM,25000038,Hc Zyrtec 10Mg Oral Employee Health,2.0,2.0,,,0 CDM,25000039,Hc Tamiflu 75 Mg Employee Health,79.0,79.0,,,0 CDM,25000040,Hc Inhaled Nitric Oxide,150.0,150.0,,,0 CDM,25000889,Hc 20% Dextratose Sol 500Ml (Impella),65.0,65.0,,,0 CDM,25000_PBB,Pr Incision Extensor Tendon Sheath Wrist-Pbb,3461.0,3461.0,,,0 CDM,25071_PBB,Pr Exc Tumor Soft Tiss Forearm And/Wrist Subq 3Cm/>-Pbb,3976.0,3976.0,,,0 CDM,25073_PBB,Pr Exc Tumor Sft Tiss Forearm&/Wrist Subfasc 3Cm/>-Pbb,5596.0,5596.0,,,0 CDM,25075_PBB,Pr Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm-Pbb,3322.0,3322.0,,,0 CDM,25100002,Hc Ibuprofen 600 Mg Employee Health,1.0,1.0,,,0 CDM,25100003,Hc Zithromax 250 Mg Employee Health,23.0,23.0,,,0 CDM,25100004,Hc Naproxyn 250 Mg Ucm Employee Health,1.0,1.0,,,0 CDM,25100005,Hc Zithromax 250Mg Employee Health,23.0,23.0,,,0 CDM,25100006,Hc Ibuprofn 600 Mg Employee Health,1.0,1.0,,,0 CDM,25111_PBB,Pr Excision Ganglion Wrist Dorsal/Volar Primary-Pbb,3304.0,3304.0,,,0 CDM,25118_PBB,Pr Synovectomy Extensor Tendon Shth Wrist 1 Cmprt-Pbb,3936.0,3936.0,,,0 CDM,25203_00006483701,NDC Description Not Available,117.09,117.09,,,0 CDM,25203_00006483703,"Pneumovax 23: 10 Syringe, Glass In 1 Carton (0006-4837-03) / .5 Ml In 1 Syringe, Glass (0006-4837-01)",117.09,117.09,,,0 CDM,25235_00049392020,NDC Description Not Available,204.02,204.02,,,0 CDM,25235_00049392083,"Geodon: 10 Vial, Single-Dose In 1 Carton (0049-3920-83) / 1 Ml In 1 Vial, Single-Dose (0049-3920-20)",215.84,215.84,,,0 CDM,25235_43598084811,NDC Description Not Available,157.45,157.45,,,0 CDM,25279_00409490264,NDC Description Not Available,116.36,116.36,,,0 CDM,25279_00409664816,NDC Description Not Available,59.0,59.0,,,0 CDM,25279_00409751716,"Dextrose: 10 Carton In 1 Container (0409-7517-16) / 1 Syringe, Plastic In 1 Carton / 50 Ml In 1 Syringe, Plastic (0409-7517-66)",115.64,115.64,,,0 CDM,25279_00409751766,NDC Description Not Available,115.23,115.23,,,0 CDM,25279_70092147550,NDC Description Not Available,84.42,84.42,,,0 CDM,25279_76329330201,Dextrose Monohydrate: 1 Syringe In 1 Carton (76329-3302-1) / 50 Ml In 1 Syringe,126.54,126.54,,,0 CDM,25279_99999003849,NDC Description Not Available,59.0,59.0,,,0 CDM,2527_00485005708,"Ed Apap: 236 Ml In 1 Bottle, Plastic (0485-0057-08)",6.0,6.0,,,0 CDM,2527_58657052504,M-Pap: 120 Ml In 1 Bottle (58657-525-04),2.05,2.05,,,0 CDM,25286_00409664802,"Dextrose: 25 Vial, Single-Dose In 1 Tray (0409-6648-02) / 50 Ml In 1 Vial, Single-Dose (0409-6648-16)",59.0,59.0,,,0 CDM,25286_00409664816,NDC Description Not Available,59.0,59.0,,,0 CDM,25286_00409751766,NDC Description Not Available,107.2,107.2,,,0 CDM,25286_76329330201,Dextrose Monohydrate: 1 Syringe In 1 Carton (76329-3302-1) / 50 Ml In 1 Syringe,123.28,123.28,,,0 CDM,2528_04580252555,NDC Description Not Available,59.99,59.99,,,0 CDM,2528_07139901408,NDC Description Not Available,59.99,59.99,,,0 CDM,2528_45802041954,"Ammonium Lactate: 225 G In 1 Bottle, Plastic (45802-419-54)",125.55,125.55,,,0 CDM,2528_63044048409,"Ammonium Lactate: 225 g in 1 BOTTLE, PLASTIC (63044-484-09)",40.46,40.46,,,0 CDM,25295_PBB,Pr Tnols Flxr/Xtnsr Tendon Forearm&/Wrist 1 Ea-Pbb,5436.0,5436.0,,,0 CDM,2531_00115441101,Dantrolene Sodium: 100 Capsule In 1 Bottle (0115-4411-01),5.02,5.02,,,0 CDM,2531_00904721104,Dantrolene Sodium: 30 Blister Pack In 1 Carton (0904-7211-04) / 1 Capsule In 1 Blister Pack,9.81,9.81,,,0 CDM,2531_42023012401,Dantrium: 100 Capsule In 1 Bottle (42023-124-01),6.64,6.64,,,0 CDM,2531_68084030011,NDC Description Not Available,10.1,10.1,,,0 CDM,25320_00264151031,Dextrose: 84 Container In 1 Case (0264-1510-31) / 50 Ml In 1 Container,193.0,193.0,,,0 CDM,25320_00264151032,Dextrose: 64 Container In 1 Case (0264-1510-32) / 100 Ml In 1 Container,193.0,193.0,,,0 CDM,25320_00264751010,Dextrose: 24 Container In 1 Case (0264-7510-10) / 500 Ml In 1 Container,193.0,193.0,,,0 CDM,25320_00264751020,Dextrose: 24 Container In 1 Case (0264-7510-20) / 250 Ml In 1 Container,193.0,193.0,,,0 CDM,25320_00338001702,Dextrose: 250 Ml In 1 Bag (0338-0017-02),177.93,177.93,,,0 CDM,25320_00338001703,Dextrose: 500 Ml In 1 Bag (0338-0017-03),182.54,182.54,,,0 CDM,25320_00338001704,Dextrose: 1000 Ml In 1 Bag (0338-0017-04),96.13,96.13,,,0 CDM,25320_00338001718,Dextrose: 4 Bag In 1 Pouch (0338-0017-18) / 100 Ml In 1 Bag,184.81,184.81,,,0 CDM,25320_00338001731,Dextrose: 16 Bag In 1 Pouch (0338-0017-31) / 50 Ml In 1 Bag,177.37,177.37,,,0 CDM,25320_00338001738,Dextrose: 16 Bag In 1 Pouch (0338-0017-38) / 100 Ml In 1 Bag,176.56,176.56,,,0 CDM,25320_00338001741,Dextrose: 1 Bag In 1 Package (0338-0017-41) / 50 Ml In 1 Bag,156.31,156.31,,,0 CDM,25320_00338001748,Dextrose: 1 Bag In 1 Package (0338-0017-48) / 100 Ml In 1 Bag,187.29,187.29,,,0 CDM,25320_00338055111,Dextrose: 50 Ml In 1 Bag (0338-0551-11),193.0,193.0,,,0 CDM,25320_00338055118,Dextrose: 100 Ml In 1 Bag (0338-0551-18),193.0,193.0,,,0 CDM,25320_00409792261,Dextrose: 32 POUCH in 1 CASE (0409-7922-61) / 1 BAG in 1 POUCH / 150 mL in 1 BAG,180.13,180.13,,,0 CDM,25320_65219023801,NDC Description Not Available,179.94,179.94,,,0 CDM,25321_00338002302,Dextrose: 250 Ml In 1 Bag (0338-0023-02),191.31,191.31,,,0 CDM,25321_00338002303,Dextrose: 500 Ml In 1 Bag (0338-0023-03),180.94,180.94,,,0 CDM,25321_00338002304,Dextrose: 1000 Ml In 1 Bag (0338-0023-04),193.0,193.0,,,0 CDM,25322_00338071906,Dextrose: 2000 Ml In 1 Bag (0338-0719-06),193.0,193.0,,,0 CDM,25324_00009514001,NDC Description Not Available,78.69,78.69,,,0 CDM,25324_00009514004,Zyvox: 10 Bag In 1 Box (0009-5140-04) / 300 Ml In 1 Bag (0009-5140-01),64.34,64.34,,,0 CDM,25324_00781343346,NDC Description Not Available,64.33,64.33,,,0 CDM,25324_57664068331,NDC Description Not Available,116.48,116.48,,,0 CDM,25324_66794021963,NDC Description Not Available,64.33,64.33,,,0 CDM,25442_00409127303,NDC Description Not Available,93.31,93.31,,,0 CDM,25442_00641624401,NDC Description Not Available,72.23,72.23,,,0 CDM,25500_PBB,Pr Closed Tx Radial Shaft Fracture W/O Manipulation-Pbb,2855.0,2855.0,,,0 CDM,25505_PBB,Pr Closed Tx Radial Shaft Fracture W/Manipulation-Pbb,5545.0,5545.0,,,0 CDM,25520_PBB,Pr Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt-Pbb,4873.0,4873.0,,,0 CDM,25530_PBB,Pr Closed Tx Ulnar Shaft Fracture W/O Manipulation-Pbb,2855.0,2855.0,,,0 CDM,25559_00409553424,NDC Description Not Available,134.74,134.74,,,0 CDM,25560_00409663714,Sodium Bicarbonate: 10 Carton In 1 Package (0409-6637-14) / 1 Syringe In 1 Carton / 50 Ml In 1 Syringe (0409-6637-24),132.88,132.88,,,0 CDM,25560_00409663724,NDC Description Not Available,136.47,136.47,,,0 CDM,25560_69374091450,NDC Description Not Available,99.5,99.5,,,0 CDM,25560_70092101550,NDC Description Not Available,99.5,99.5,,,0 CDM,25560_70092101650,NDC Description Not Available,99.5,99.5,,,0 CDM,25560_76329335201,Sodium Bicarbonate: 1 Syringe In 1 Carton (76329-3352-1) / 50 Ml In 1 Syringe,121.77,121.77,,,0 CDM,25560_PBB,Pr Closed Tx Radial&Ulnar Shaft Fractures W/O Mnpj-Pbb,3119.0,3119.0,,,0 CDM,25565_PBB,Pr Closed Tx Radial&Ulnar Shaft Fractures W/Mnpj-Pbb,6235.0,6235.0,,,0 CDM,25576_76329124001,Phytonadione: 1 Syringe In 1 Carton (76329-1240-1) / .5 Ml In 1 Syringe,165.7,165.7,,,0 CDM,25600_PBB,Pr Cltx Dstl Radial Fx/Epiphysl Sep W/O Mnpj-Pbb,3288.0,3288.0,,,0 CDM,25605_PBB,Pr Cltx Dstl Rdl Fx/Epiphysl Sep W/Mnpj-Pbb,6061.0,6061.0,,,0 CDM,25611_76045000401,NDC Description Not Available,19.04,19.04,,,0 CDM,25622_PBB,Pr Closed Tx Carpal Scaphoid Fracture W/O Mnpj-Pbb,3461.0,3461.0,,,0 CDM,25630_PBB,Pr Cltx Carpal Bone Fx W/O Mnpj Each Bone-Pbb,3119.0,3119.0,,,0 CDM,25633_00409128303,NDC Description Not Available,59.0,59.0,,,0 CDM,25635_PBB,Pr Cltx Carpal Bone Fx W/Mnpj Each Bone-Pbb,4020.0,4020.0,,,0 CDM,25640_55513020910,Neupogen: 10 Syringe In 1 Box (55513-209-10) / .8 Ml In 1 Syringe (55513-209-01),5.56,5.56,,,0 CDM,25641_55513092491,Neupogen: 1 Syringe In 1 Box (55513-924-91) / .5 Ml In 1 Syringe,4.97,4.97,,,0 CDM,25644_00075291201,Lovenox: 10 Cello Pack In 1 Carton (0075-2912-01) / 1 Syringe In 1 Cello Pack (0075-2912-00) / .8 Ml In 1 Syringe,16.65,16.65,,,0 CDM,25644_16714005601,NDC Description Not Available,13.59,13.59,,,0 CDM,25644_63323060901,NDC Description Not Available,13.82,13.82,,,0 CDM,25644_63323065521,NDC Description Not Available,6.46,6.46,,,0 CDM,25645_60793070204,NDC Description Not Available,178.53,178.53,,,0 CDM,25645_60793070210,Bicillin L-A: 10 Syringe In 1 Package (60793-702-10) / 4 Ml In 1 Syringe (60793-702-04),178.14,178.14,,,0 CDM,25646_60793070102,NDC Description Not Available,168.12,168.12,,,0 CDM,25646_60793070110,Bicillin L-A: 10 Syringe In 1 Package (60793-701-10) / 2 Ml In 1 Syringe (60793-701-02),168.21,168.21,,,0 CDM,25653_00904690904,azithromycin monohydrate: 3 BLISTER PACK in 1 CARTON (0904-6909-04) / 10 TABLET in 1 BLISTER PACK,14.12,14.12,,,0 CDM,25653_00904735104,"Azithromycin: 30 Blister Pack In 1 Carton (0904-7351-04) / 1 Tablet, Film Coated In 1 Blister Pack",14.12,14.12,,,0 CDM,25653_50268009911,NDC Description Not Available,18.16,18.16,,,0 CDM,25653_60687075311,NDC Description Not Available,22.74,22.74,,,0 CDM,25653_60687075321,"Azithromycin: 30 Blister Pack In 1 Carton (60687-753-21) / 1 Tablet, Film Coated In 1 Blister Pack (60687-753-11)",22.74,22.74,,,0 CDM,25653_65862064230,"Azithromycin: 30 Tablet, Film Coated In 1 Bottle (65862-642-30)",7.9,7.9,,,0 CDM,25653_68180086211,"Azithromycin: 1 Blister Pack In 1 Carton (68180-862-11) / 3 Tablet, Film Coated In 1 Blister Pack",10.07,10.07,,,0 CDM,25667_89122072420,NDC Description Not Available,254.6,254.6,,,0 CDM,25675_PBB,Pr Closed Tx Distal Radioulnar Dislocation W/Mnpj-Pbb,4505.0,4505.0,,,0 CDM,25682_76329146901,Naloxone Hydrochloride: 10 Syringe In 1 Box (76329-1469-1) / 2 Ml In 1 Syringe,107.92,107.92,,,0 CDM,25682_76329336901,Naloxone Hydrochloride: 10 Syringe In 1 Box (76329-3369-1) / 2 Ml In 1 Syringe,109.23,109.23,,,0 CDM,25763_49281079051,Typhim Vi: 1 Syringe In 1 Package (49281-790-51) / .5 Ml In 1 Syringe (49281-790-88),705.85,705.85,,,0 CDM,25800036,Hc Intrathecal Drug Mixture,748.0,748.0,,,0 CDM,25800036_258,Hc Intrathecal Drug Mixture,748.0,748.0,,,0 CDM,25925_00904642661,"Escitalopram: 100 Blister Pack In 1 Carton (0904-6426-61) / 1 Tablet, Film Coated In 1 Blister Pack",4.91,4.91,,,0 CDM,25925_68084061701,"Escitalopram: 100 Blister Pack In 1 Box, Unit-Dose (68084-617-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-617-11)",4.19,4.19,,,0 CDM,25925_68084061711,NDC Description Not Available,4.17,4.17,,,0 CDM,25943_31722015130,"Valsartan: 30 Tablet, Film Coated In 1 Bottle (31722-151-30)",6.0,6.0,,,0 CDM,25943_60687061211,NDC Description Not Available,5.99,5.99,,,0 CDM,25968_00024515010,"Elitek: 3 Kit In 1 Carton (0024-5150-10) / 1 Kit In 1 Kit * 1 Ml In 1 Vial, Single-Use (0024-5154-11) * 1 Ml In 1 Ampule (0024-5152-11)",2408.64,2408.64,,,0 CDM,25968_00024515411,NDC Description Not Available,2435.75,2435.75,,,0 CDM,26000224,Hc Pemivibart Infusion,1182.0,1182.0,,,0 CDM,26000243,Hc Casirivi And Imdevi Infusion,892.0,892.0,,,0 CDM,26000247,Hc Sotrovimab Infusion,1277.0,1277.0,,,0 CDM,26010_PBB,Pr Drainage Finger Abscess Simple-Pbb,1338.0,1338.0,,,0 CDM,26031_62935022305,Eligard: 1 Kit In 1 Carton (62935-223-05) * .375 Ml In 1 Syringe (62935-221-04) * .375 Ml In 1 Syringe (62935-224-05),3026.32,3026.32,,,0 CDM,26031_62935022710,Eligard: 1 Syringe In 1 Carton (62935-227-10) / .375 Ml In 1 Syringe,3026.32,3026.32,,,0 CDM,26040_PBB,Pr Fasciotomy Palmar Percutaneous-Pbb,3385.0,3385.0,,,0 CDM,2604_00409175550,"Marcaine With Epinephrine: 1 Vial, Multi-Dose In 1 Carton (0409-1755-50) / 50 Ml In 1 Vial, Multi-Dose",4.63,4.63,,,0 CDM,26055_PBB,Pr Tendon Sheath Incision-Pbb,3174.0,3174.0,,,0 CDM,2607_62037055901,"Potassium Chloride: 100 Capsule, Extended Release In 1 Bottle, Plastic (62037-559-01)",3.22,3.22,,,0 CDM,26096360,"Hc Intravenous Infusion, Hydration; Initial, 31 Minutes To 1 Hour",1055.0,1055.0,,,0 CDM,26096361,"Hc Intravenous Infusion, Hydration; Each Additional Hour",497.0,497.0,,,0 CDM,26096365,"Hc Iv Infusion,Therapy, Prophylaxis, Or Dx; Initial, Up To 1 Hour",1579.0,1579.0,,,0 CDM,26096366,"Hc Iv Infusion, Therapy, Prophylaxis, Or Diagnosis; Each Additional Hour",665.0,665.0,,,0 CDM,26096367,"Hc Iv Inf,Ther, Prophylaxis, Or Dx; Add Seq Inf Of A New Drug/Substance, Up To 1 Hr",693.0,693.0,,,0 CDM,26096368,"Hc Ivinfusion, Therapy, Prophylaxis, Or Dx (Specify Substance Or Drug); Concurrent Infusion",387.0,387.0,,,0 CDM,26096369,"Hc Sq Inf Ther Or Prophylaxis; Ini, Up To 1 Hr, Incl Pump Set-Up And Establish Of Sq Inf Site(S)",536.0,536.0,,,0 CDM,26096370,Hc Subcu Inf For Ther Or Prophylaxis (Specify Substance Or Drug); Each Add Hr,140.0,140.0,,,0 CDM,26096372,"Hc Therapeutic, Prophylactic, Or Dx Inj; Sq Or Im",373.0,373.0,,,0 CDM,26096372_PBB,"Hc Therapeutic, Prophylactic, Or Dx Inj; Sq Or Im-Pbb",364.0,364.0,,,0 CDM,26096374,"Hc Therapeutic, Prophylactic, Or Dx Inj; Iv Push, Single Or Initial Substance/Drug",536.0,536.0,,,0 CDM,26096375,"Hc Therapeutic, Prophylactic, Or Dx Inj; Each Additional Sequential Iv Push Of A New Substance/Drug",413.0,413.0,,,0 CDM,26096376,"Hc Thrptc, Prphlctc, Or Dx Inj; Each Add Seq Iv Push Of The Same Substance/Drug Prov In A Facility",387.0,387.0,,,0 CDM,26096377,Hc Applicaton On-Body Injector,117.0,117.0,,,0 CDM,26115_PBB,Pr Exc Tum/Vasc Mal Sft Tiss Hand/Fngr Subq <1.5Cm-Pbb,5546.0,5546.0,,,0 CDM,26116_PBB,Pr Exc Tum/Vas Mal Sft Tis Hand/Fngr Subfasc<1.5Cm-Pbb,5480.0,5480.0,,,0 CDM,26160_PBB,Pr Exc Lesion Tdn Shth/Jt Capsl Hand/Fngr-Pbb,3634.0,3634.0,,,0 CDM,26170_PBB,Pr Excision Tendon Palm Flexor/Extensor Single Each-Pbb,4160.0,4160.0,,,0 CDM,2617_00832712389,NDC Description Not Available,4.13,4.13,,,0 CDM,2617_00904686061,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-6860-61) / 1 Tablet, Delayed Release In 1 Blister Pack",3.74,3.74,,,0 CDM,2617_68084077601,"Divalproex Sodium: 100 Blister Pack In 1 Box, Unit-Dose (68084-776-01) / 1 Tablet, Delayed Release In 1 Blister Pack (68084-776-11)",5.74,5.74,,,0 CDM,2617_68084077611,NDC Description Not Available,3.58,3.58,,,0 CDM,26196372,Hc Travel Immunoglobulin Adminstration,32.0,32.0,,,0 CDM,26225_16729029315,"Eplerenone: 90 Tablet, Film Coated In 1 Bottle (16729-293-15)",8.68,8.68,,,0 CDM,26225_51991087733,"Eplerenone: 30 Tablet, Film Coated In 1 Bottle (51991-877-33)",8.68,8.68,,,0 CDM,26225_59762171002,"Eplerenone: 30 Tablet, Film Coated In 1 Bottle (59762-1710-2)",8.68,8.68,,,0 CDM,26225_59762171003,"Eplerenone: 90 Tablet, Film Coated In 1 Bottle (59762-1710-3)",8.68,8.68,,,0 CDM,26225_60687045111,NDC Description Not Available,25.84,25.84,,,0 CDM,26226_16729029410,"Eplerenone: 30 Tablet, Film Coated In 1 Bottle (16729-294-10)",8.68,8.68,,,0 CDM,26226_31722005030,"Eplerenone: 30 Tablet, Film Coated In 1 Bottle (31722-050-30)",5.16,5.16,,,0 CDM,26226_59762172001,"Eplerenone: 30 Tablet, Film Coated In 1 Bottle (59762-1720-1)",8.68,8.68,,,0 CDM,26236_PBB,Pr Partial Excision Distal Phalanx Finger-Pbb,4386.0,4386.0,,,0 CDM,26320_PBB,Pr Removal Implant From Finger/Hand-Pbb,3580.0,3580.0,,,0 CDM,26341_PBB,Pr Maniplatn Palar Fascial Crd Post Inj Single Cord-Pbb,1022.0,1022.0,,,0 CDM,26356_PBB,Pr Rpr/Advmnt Flxr Tdn Zone 2 W/O Fr Grft Ea Tendon-Pbb,6878.0,6878.0,,,0 CDM,26421_16714081301,Ezetimibe: 30 Tablet In 1 Bottle (16714-813-01),6.0,6.0,,,0 CDM,26421_51660020030,Ezetimibe: 30 Tablet In 1 Bottle (51660-200-30),6.0,6.0,,,0 CDM,26421_60687037311,NDC Description Not Available,64.05,64.05,,,0 CDM,26421_69238115403,Ezetimibe: 30 Tablet In 1 Bottle (69238-1154-3),6.0,6.0,,,0 CDM,26432_PBB,Pr Cltx Dstl Xtnsr Tdn Insj W/Wo Percutan Pinning-Pbb,4982.0,4982.0,,,0 CDM,26437_PBB,Pr Realignment Extensor Tendon Hand Each Tendon-Pbb,4806.0,4806.0,,,0 CDM,26440_PBB,Pr Tenolysis Flexor Tendon Palm/Finger Each Tendon-Pbb,6167.0,6167.0,,,0 CDM,26445_PBB,Pr Tenolysis Extensor Tendon Hand/Finger Each-Pbb,5688.0,5688.0,,,0 CDM,26525_PBB,Pr Capsulectomy/Capsulotomy Iphal Joint Each-Pbb,6502.0,6502.0,,,0 CDM,26527_53276101015,NDC Description Not Available,1240.0,1240.0,,,0 CDM,26530_00283067902,Hurricaine Topical Anesthetic: 59.7 G In 1 Can (0283-0679-02),191.58,191.58,,,0 CDM,26572_16714014301,Aripiprazole: 30 Tablet In 1 Bottle (16714-143-01),7.3,7.3,,,0 CDM,26572_50268008911,NDC Description Not Available,4.85,4.85,,,0 CDM,26572_60687017901,"Aripiprazole: 100 Blister Pack In 1 Box, Unit-Dose (60687-179-01) / 1 Tablet In 1 Blister Pack (60687-179-11)",50.94,50.94,,,0 CDM,26572_60687017911,NDC Description Not Available,50.94,50.94,,,0 CDM,26587_PBB,Pr Rcnstj Polydactylous Digit Soft Tissue & Bone-Pbb,7720.0,7720.0,,,0 CDM,26600_PBB,Pr Cltx Metacarpal Fx W/O Manipulation Each Bone-Pbb,2693.0,2693.0,,,0 CDM,26605_PBB,Pr Cltx Metacarpal Fx W/Manipulation Each Bone-Pbb,3502.0,3502.0,,,0 CDM,26608_68084031001,"Divalproex Sodium: 100 Blister Pack In 1 Box, Unit-Dose (68084-310-01) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack (68084-310-11)",9.13,9.13,,,0 CDM,26608_68084031011,NDC Description Not Available,9.13,9.13,,,0 CDM,26637_16714075501,Atomoxetine: 30 Capsule In 1 Bottle (16714-755-01),4.2,4.2,,,0 CDM,26641_PBB,Pr Cltx Carpo/Metacarpal Dislocation Thumb W/Manj-Pbb,3635.0,3635.0,,,0 CDM,26650_PBB,Pr Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb-Pbb,7541.0,7541.0,,,0 CDM,26670_PBB,Pr Cltx Carpo/Metacarpl Dislc Thmb Manj Ea W/O Anes-Pbb,2963.0,2963.0,,,0 CDM,26700_PBB,Pr Cltx Metacarpophalangeal Dislc W/Manj W/O Anes-Pbb,2693.0,2693.0,,,0 CDM,26720_PBB,Pr Cltx Phlngl Fx Prox/Middle Px/F/T W/O Manj Ea-Pbb,2023.0,2023.0,,,0 CDM,26725_PBB,Pr Cltx Phlngl Fx Prox/Middle Px/F/T W/Manj Ea-Pbb,3502.0,3502.0,,,0 CDM,26740_PBB,Pr Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj-Pbb,3092.0,3092.0,,,0 CDM,26750_PBB,Pr Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea-Pbb,2023.0,2023.0,,,0 CDM,26755_PBB,Pr Cltx Dstl Phlngl Fx Fngr/Thmb W/Manj Ea-Pbb,2693.0,2693.0,,,0 CDM,26770_PBB,Pr Cltx Iphal Jt Dislc W/Manj W/O Anes-Pbb,2693.0,2693.0,,,0 CDM,2682_61314066505,Apraclonidine: 5 Ml In 1 Bottle (61314-665-05),398.35,398.35,,,0 CDM,2689_51079097801,NDC Description Not Available,4.5,4.5,,,0 CDM,2689_51079097820,"Carbidopa And Levodopa: 100 Blister Pack In 1 Carton (51079-978-20) / 1 Tablet, Extended Release In 1 Blister Pack (51079-978-01)",6.0,6.0,,,0 CDM,26951_PBB,Pr Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr-Pbb,5779.0,5779.0,,,0 CDM,2699_50268048211,NDC Description Not Available,1.74,1.74,,,0 CDM,2699_51079069001,NDC Description Not Available,1.63,1.63,,,0 CDM,2699_51079069020,Loperamide Hydrochloride: 100 Blister Pack In 1 Carton (51079-690-20) / 1 Capsule In 1 Blister Pack (51079-690-01),1.65,1.65,,,0 CDM,2699_60687022911,NDC Description Not Available,1.75,1.75,,,0 CDM,27000000,Noncdm Charge Record,2854.0,2854.0,,,0 CDM,27000000_270,Noncdm Charge Record Medical Supplies,140.49,140.49,,,0 CDM,27000000_3427,Noncdm Charge Record Medical Supplies,20.26,20.26,,,0 CDM,27000000_7031707,Noncdm Charge Record Medical Supplies,2731.16,2731.16,,,0 CDM,27000000_7036174,Noncdm Charge Record Medical Supplies,35.61,35.61,,,0 CDM,27000000_7036175,Noncdm Charge Record Medical Supplies,132.45,132.45,,,0 CDM,27000000_7036176,Noncdm Charge Record Medical Supplies,208.8,208.8,,,0 CDM,27000000_7044818,Noncdm Charge Record Medical Supplies,1851.98,1851.98,,,0 CDM,27000000_7057775,Noncdm Charge Record Medical Supplies,893.55,893.55,,,0 CDM,27000000_7078818,Noncdm Charge Record Medical Supplies,3560.06,3560.06,,,0 CDM,27000000_7111785,Noncdm Charge Record Medical Supplies,350.28,350.28,,,0 CDM,27000000_7112230,Noncdm Charge Record Medical Supplies,7.36,7.36,,,0 CDM,27000000_7133616,Noncdm Charge Record Medical Supplies,1093.53,1093.53,,,0 CDM,27000000_7177342,Noncdm Charge Record Medical Supplies,3978.24,3978.24,,,0 CDM,27000001,Hc Catheter Ptca Cutting Balloon,10286.85,10286.85,,,0 CDM,27000002,Hc Covered Stent- Jomed Stent,22686.3,22686.3,,,0 CDM,27000003,Hc Embolization Coils,382.2,382.2,,,0 CDM,27000003_7126571,Hc Embolization Coils,667.05,667.05,,,0 CDM,27000003_7173333,Hc Embolization Coils,6989.12,6989.12,,,0 CDM,27000004,Hc Gore Stent Viabahn #Vbh070502 5Cm,10060.05,10060.05,,,0 CDM,27000005,Hc Gore Stent Viabahn #Vbj051002 10Cm,13511.4,13511.4,,,0 CDM,27000006,Hc Gore Stent Viabahn #Vbj061502 15Cm,15575.7,15575.7,,,0 CDM,27000007,Hc Impella Cp Device,155708.7,155708.7,,,0 CDM,27000008,Hc Impella Introducer Kit,4218.9,4218.9,,,0 CDM,27000009,Hc Impella Lp 2.5 Pump Set,149832.9,149832.9,,,0 CDM,27000010,Hc Vascular Plug,12736.5,12736.5,,,0 CDM,27000011,Hc Abbott Acculink Stent,11449.2,11449.2,,,0 CDM,27000012,Hc Abbott Coronary Stent,16047.15,16047.15,,,0 CDM,27000013,Hc Abbott Herulink Stent,6158.25,6158.25,,,0 CDM,27000014,Hc Acs Biliary Stent,16744.35,16744.35,,,0 CDM,27000015,Hc Additional Right Heart Cathete,938.7,938.7,,,0 CDM,27000016,Hc Aga Sizing Balloon,1755.6,1755.6,,,0 CDM,27000017,Hc Amplatz Delivery System,2621.85,2621.85,,,0 CDM,27000018,Hc Amplatz Pda/Duct Occluder,7232.4,7232.4,,,0 CDM,27000019,Hc Amplatzer Guidewires,605.85,605.85,,,0 CDM,27000020,Hc Amplatzer Sizing Plate,25.2,25.2,,,0 CDM,27000021,Hc Amplatzer Torque Delivery System,3425.1,3425.1,,,0 CDM,27000022,Hc Ampltz Trqvue Exchg Sys 45 Deg Ang,350.7,350.7,,,0 CDM,27000023,Hc Angio Kit,161.7,161.7,,,0 CDM,27000023_272,Hc Angio Kit,161.7,161.7,,,0 CDM,27000024,Hc Angiojet - Coronary,17716.65,17716.65,,,0 CDM,27000025,Hc Angiojet - Peripheral,11152.05,11152.05,,,0 CDM,27000026,Hc Angiojet Catheter,11294.85,11294.85,,,0 CDM,27000027,Hc Angioplasty Balloon,4676.7,4676.7,,,0 CDM,27000028,Hc Aortic Balloon,4830.0,4830.0,,,0 CDM,27000029,Hc Asd Septal Occluder,24410.4,24410.4,,,0 CDM,27000030,Hc Avanti Sheath,189.0,189.0,,,0 CDM,27000031,Hc Balloon Ag-Sizing,832.65,832.65,,,0 CDM,27000032,Hc Balloon Bb-Sizing,1199.1,1199.1,,,0 CDM,27000033,Hc Balloon Catheter Zmedii,2533.65,2533.65,,,0 CDM,27000034,Hc Balloon Occlusion Balloon,1199.1,1199.1,,,0 CDM,27000035,Hc Biopatch Antimicrobial Dressing,26.25,26.25,,,0 CDM,27000036,Hc Biopsy Forceps,2341.5,2341.5,,,0 CDM,27000037,Hc Biopsy Sheath,451.5,451.5,,,0 CDM,27000038,Hc Boston Cto Cross Boss,10999.8,10999.8,,,0 CDM,27000039,Hc C7-Xr Drangonfly Imagining Cath Kit,6568.8,6568.8,,,0 CDM,27000040,Hc Cardiohelp Ecmo Disposable Set;Adlt,42324.45,42324.45,,,0 CDM,27000041,Hc Cardiomems Hf System,111545.7,111545.7,,,0 CDM,27000042,"Hc Caridiac Asst Protk Cannula 17,21Fr",2594.55,2594.55,,,0 CDM,27000043,Hc Cath 10Fr Esophageal Pacing Cath,4800.6,4800.6,,,0 CDM,27000044,Hc Cath 7.5Fr Swanz Ganz Catheter,889.35,889.35,,,0 CDM,27000045,Hc Cath Array Catheter,1303.05,1303.05,,,0 CDM,27000046,Hc Cath Asahi Tornus Device,991.2,991.2,,,0 CDM,27000047,Hc Cath Atlnts Pv Ivus Imgng Cth 15Mhz,189.0,189.0,,,0 CDM,27000048,Hc Cath Atlnts Sr Pro Crnry Ivus 40Mhz,4800.6,4800.6,,,0 CDM,27000049,Hc Cath Bal Dil Cordis Peripheral,4643.1,4643.1,,,0 CDM,27000050,Hc Cath Baln Ampltzr Szng Balloon,1924.65,1924.65,,,0 CDM,27000051,Hc Cath Biosens/Webstr Defl Curve Quad,1877.4,1877.4,,,0 CDM,27000052,Hc Cath Biosens/Webstr Fxed Curve Quad,4328.1,4328.1,,,0 CDM,27000053,Hc Cath Biosense Cournand Decapolar,2621.85,2621.85,,,0 CDM,27000054,Hc Cath Biosns/Web Deflc Curve Octaplr,4328.1,4328.1,,,0 CDM,27000055,Hc Cath Biosns/Web Fixed Curve Octaplr,4328.1,4328.1,,,0 CDM,27000056,Hc Cath Blzr Ii Xp 10Mm Tip (Ablation),2621.85,2621.85,,,0 CDM,27000057,Hc Cath Celsius 4Mm D6T-Bl-252-Rt,12757.5,12757.5,,,0 CDM,27000058,Hc Cath Cordis Biopsy Catheter,1184.4,1184.4,,,0 CDM,27000059,Hc Cath Deflc Curve Decapolar D6-10Dr,4328.1,4328.1,,,0 CDM,27000060,Hc Cath Ep Dx Ablation Temp Control,7912.8,7912.8,,,0 CDM,27000061,Hc Cath Ep Dx Less Than 20,4328.1,4328.1,,,0 CDM,27000062,Hc Cath Ep Dx/Ablat No Vec Map N/Cool,3721.2,3721.2,,,0 CDM,27000063,Hc Cath Frontrunner,6934.2,6934.2,,,0 CDM,27000064,Hc Cath Guiding Optitorque Cath Radial,925.05,925.05,,,0 CDM,27000065,Hc Cath Infusion Catheter,991.2,991.2,,,0 CDM,27000066,Hc Cath Polar Balloon Cath,4670.4,4670.4,,,0 CDM,27000067,Hc Cath Polarcath 5/2/135),3391.5,3391.5,,,0 CDM,27000068,Hc Cath Prowler Microcatheter,2943.15,2943.15,,,0 CDM,27000069,Hc Cath Quickcath Extractn Catheter,6730.5,6730.5,,,0 CDM,27000070,Hc Cath Silverhawk Ls Bx Cath,19070.1,19070.1,,,0 CDM,27000071,Hc Cath Silverhawk Ms Bx Cath,14104.65,14104.65,,,0 CDM,27000072,Hc Cath Sparrowhawk Biopsy Cath,1040.55,1040.55,,,0 CDM,27000073,Hc Cath Superfusion Catheter,921.9,921.9,,,0 CDM,27000074,Hc Cath Transit Infsn Catheter,787.5,787.5,,,0 CDM,27000075,Hc Cath Transl Atherectomy Directional,18086.25,18086.25,,,0 CDM,27000076,Hc Cath Wedge Pressure Catheter,182.7,182.7,,,0 CDM,27000077,Hc Catheter 2Mm Decapolar Fixed Curve,5424.3,5424.3,,,0 CDM,27000078,Hc Catheter 2Mm Decapolar Steerable,5424.3,5424.3,,,0 CDM,27000078_272,Hc Catheter 2Mm Decapolar Steerable,5424.3,5424.3,,,0 CDM,27000079,Hc Catheter 4Fr Quadripolar Jsn Curve,4328.1,4328.1,,,0 CDM,27000080,Hc Catheter 4Fr/Deca/2-8-60Cm,3169.95,3169.95,,,0 CDM,27000081,Hc Catheter 4Frcournand Quad252,1182.3,1182.3,,,0 CDM,27000082,Hc Catheter 4Frjosephson Quad252,1151.85,1151.85,,,0 CDM,27000083,Hc Catheter 5Fr Quadripolar Crd2 Curve,4328.1,4328.1,,,0 CDM,27000084,Hc Catheter 5Fr Quadripolar Jsn Curve,4328.1,4328.1,,,0 CDM,27000085,Hc Catheter 5Frcournand Quad1Mm,1151.85,1151.85,,,0 CDM,27000086,Hc Catheter 5Frcournand Quad555,815.85,815.85,,,0 CDM,27000087,Hc Catheter 5Frdeflocta,38.85,38.85,,,0 CDM,27000088,Hc Catheter 6 Fr Duocapolar,38.85,38.85,,,0 CDM,27000089,Hc Catheter 6Frcournand Quad555,5090.4,5090.4,,,0 CDM,27000090,Hc Catheter 6Frfixedcournanddeca,1182.3,1182.3,,,0 CDM,27000091,Hc Catheter Acu Nav Ice,679.35,679.35,,,0 CDM,27000091_C1759_272,Hc Catheter Acu Nav Ice,679.35,679.35,,,0 CDM,27000092,Hc Catheter Angiosculpt Coronary,4923.45,4923.45,,,0 CDM,27000093,Hc Catheter Angiosculpt Peripheral,4160.1,4160.1,,,0 CDM,27000094,Hc Catheter Arrow Berman Angiographic,768.6,768.6,,,0 CDM,27000095,Hc Catheter Arrow Trpl Lumen Cath,1008.0,1008.0,,,0 CDM,27000096,Hc Catheter Arrow Wedge,347.55,347.55,,,0 CDM,27000097,Hc Catheter Balloon Cutting,1649.55,1649.55,,,0 CDM,27000098,Hc Catheter Basket Retrieval,130.2,130.2,,,0 CDM,27000099,Hc Catheter Bib Pta,2259.6,2259.6,,,0 CDM,27000100,Hc Catheter Biosense Defl Decapolar,130.2,130.2,,,0 CDM,27000101,Hc Catheter Biosense Defl Octapolar,995.4,995.4,,,0 CDM,27000102,Hc Catheter Bipolar Pacing,995.4,995.4,,,0 CDM,27000103,Hc Catheter Blade,18534.6,18534.6,,,0 CDM,27000104,Hc Catheter Cardima 16 Pol Electrode,1281.0,1281.0,,,0 CDM,27000105,Hc Catheter Ccfreezor 4Mm,1281.0,1281.0,,,0 CDM,27000106,Hc Catheter Ccfreezor 6Mm,1310.4,1310.4,,,0 CDM,27000107,Hc Catheter Ccfreezor 8Mm,1310.4,1310.4,,,0 CDM,27000108,Hc Catheter Celsius Ds 8Mm,6819.75,6819.75,,,0 CDM,27000109,Hc Catheter Central Line Double Lumen,189.0,189.0,,,0 CDM,27000110,Hc Catheter Cobra,1539.3,1539.3,,,0 CDM,27000111,Hc Catheter Cook Halo,8201.55,8201.55,,,0 CDM,27000112,Hc Catheter Cordis Cobra,4328.1,4328.1,,,0 CDM,27000113,Hc Catheter Cordis Pigtail,39.9,39.9,,,0 CDM,27000114,Hc Catheter Cordis Supertorque Pig,544.95,544.95,,,0 CDM,27000115,Hc Catheter Coronary,205.8,205.8,,,0 CDM,27000116,Hc Catheter Coronary Guidng,205.8,205.8,,,0 CDM,27000117,Hc Catheter Ep Dx/Ablat 3D Vector Map,382.2,382.2,,,0 CDM,27000118,Hc Catheter Ept 4Fr Steerable Deca,4328.1,4328.1,,,0 CDM,27000119,Hc Catheter Ept 4Fr Steerable Quad,4328.1,4328.1,,,0 CDM,27000120,Hc Catheter Ept 5Fr Steerable Deca,4328.1,4328.1,,,0 CDM,27000121,Hc Catheter Ept 5Fr Steerable Quad,4328.1,4328.1,,,0 CDM,27000122,Hc Catheter Ept Blazer Ii Bost Scien,6819.75,6819.75,,,0 CDM,27000123,Hc Catheter Fast Tracker,15369.9,15369.9,,,0 CDM,27000124,Hc Catheter Fasttracker,2690.1,2690.1,,,0 CDM,27000125,Hc Catheter Fixed Quad,4328.1,4328.1,,,0 CDM,27000126,Hc Catheter Guiding,217.35,217.35,,,0 CDM,27000127,Hc Catheter Ivus,4800.6,4800.6,,,0 CDM,27000128,Hc Catheter Luma Catheter,2964.15,2964.15,,,0 CDM,27000129,Hc Catheter Maxi Pta,1245.3,1245.3,,,0 CDM,27000130,Hc Catheter Monitoring,3108.0,3108.0,,,0 CDM,27000131,Hc Catheter Mpa,2735.25,2735.25,,,0 CDM,27000132,Hc Catheter Mullins Balloon Pta,3617.25,3617.25,,,0 CDM,27000133,Hc Catheter Multitrak,220.5,220.5,,,0 CDM,27000134,Hc Catheter Navistar 4Mm,42.0,42.0,,,0 CDM,27000135,Hc Catheter Navistar Ds 8Mm,12757.5,12757.5,,,0 CDM,27000136,Hc Catheter Nykanen Rf,7676.55,7676.55,,,0 CDM,27000137,Hc Catheter Opta Pro Pta,570.15,570.15,,,0 CDM,27000138,Hc Catheter Pacing Transesophageal,3976.35,3976.35,,,0 CDM,27000139,Hc Catheter Perferation,428.4,428.4,,,0 CDM,27000140,Hc Catheter Perferation Co Axial,3277.05,3277.05,,,0 CDM,27000141,Hc Catheter Picc Line,1310.4,1310.4,,,0 CDM,27000142,Hc Catheter Pronto Excision Cath,6449.1,6449.1,,,0 CDM,27000143,Hc Catheter Rapid Transit Micro,1310.4,1310.4,,,0 CDM,27000144,Hc Catheter Savvy Pta,570.15,570.15,,,0 CDM,27000145,Hc Catheter Septostomy,2103.15,2103.15,,,0 CDM,27000146,Hc Catheter Straight/Angled Glde,217.35,217.35,,,0 CDM,27000147,Hc Catheter Terumo Glide,921.9,921.9,,,0 CDM,27000148,Hc Catheter Thermodilution,804.3,804.3,,,0 CDM,27000149,Hc Catheter Tracker,804.3,804.3,,,0 CDM,27000150,Hc Catheter Tyshak Pta,2223.9,2223.9,,,0 CDM,27000151,Hc Catheter Volcano Pv Visions,4800.6,4800.6,,,0 CDM,27000152,Hc Catheter Zmedii Pta,1877.4,1877.4,,,0 CDM,27000153,Hc Clippers Lead Clippers,301.35,301.35,,,0 CDM,27000154,Hc Coil Occlusion,270.9,270.9,,,0 CDM,27000155,Hc Combitran Press Monit Set (Impella),259.35,259.35,,,0 CDM,27000156,Hc Control Wire-Venture Guiding Wire,605.85,605.85,,,0 CDM,27000157,Hc Controller Hand Cntrl Kit For Acist,248.85,248.85,,,0 CDM,27000158,Hc Cordis Coronary Stent,11450.25,11450.25,,,0 CDM,27000159,Hc Cordis Endo Vascular Stent,16843.05,16843.05,,,0 CDM,27000160,Hc Coronary Laser Catheter Spectronic,11599.35,11599.35,,,0 CDM,27000161,Hc Coronary Stent Scimed,14998.2,14998.2,,,0 CDM,27000162,Hc Covered Stent-Icast Stent,24941.7,24941.7,,,0 CDM,27000163,Hc Crosser Cto Catheter,13227.9,13227.9,,,0 CDM,27000164,Hc Cryocath Tubing,248.85,248.85,,,0 CDM,27000165,Hc Db Firm Guide Wire,430.5,430.5,,,0 CDM,27000166,Hc Defb Ld Gdnt Endotk Rlnc Sg #0181,466.2,466.2,,,0 CDM,27000167,Hc Des,23127.3,23127.3,,,0 CDM,27000168,Hc Device Aga Vsd,317.1,317.1,,,0 CDM,27000169,Hc Device Cribriform Asd Occluder,24410.4,24410.4,,,0 CDM,27000170,Hc Diagnostic Catheter,918.75,918.75,,,0 CDM,27000170_7159323,Hc Diagnostic Catheter,466.2,466.2,,,0 CDM,27000170_7160896,Hc Diagnostic Catheter,699.3,699.3,,,0 CDM,27000170_7161977,Hc Diagnostic Catheter,22435.88,22435.88,,,0 CDM,27000170_7166497,Hc Diagnostic Catheter,93.24,93.24,,,0 CDM,27000170_7167536,Hc Diagnostic Catheter,3411.03,3411.03,,,0 CDM,27000170_7167740,Hc Diagnostic Catheter,7614.6,7614.6,,,0 CDM,27000170_7167749,Hc Diagnostic Catheter,7614.6,7614.6,,,0 CDM,27000170_7167821,Hc Diagnostic Catheter,3411.03,3411.03,,,0 CDM,27000170_7167935,Hc Diagnostic Catheter,1297.59,1297.59,,,0 CDM,27000170_7173316,Hc Diagnostic Catheter,188.5,188.5,,,0 CDM,27000170_7173609,Hc Diagnostic Catheter,3411.03,3411.03,,,0 CDM,27000170_7174479,Hc Diagnostic Catheter,177.78,177.78,,,0 CDM,27000170_7174524,Hc Diagnostic Catheter,699.3,699.3,,,0 CDM,27000170_7175595,Hc Diagnostic Catheter,1087.8,1087.8,,,0 CDM,27000170_7180031,Hc Diagnostic Catheter,947.94,947.94,,,0 CDM,27000170_C1887_272,Hc Diagnostic Catheter,2878.51,2878.51,,,0 CDM,27000171,Hc Diagnostic Wire,554.4,554.4,,,0 CDM,27000172,Hc Diamondback Catheter,9311.4,9311.4,,,0 CDM,27000173,Hc Diamondback Coronary Device,2675.4,2675.4,,,0 CDM,27000174,Hc Dist Main Stent Grft 26-40 X 22-36,23702.7,23702.7,,,0 CDM,27000175,Hc Dorado 6X40Mm Pta Balloon,3868.2,3868.2,,,0 CDM,27000176,Hc Duct Occluder Pda,10785.6,10785.6,,,0 CDM,27000177,Hc Ekosonic Catheter,30182.25,30182.25,,,0 CDM,27000178,Hc Ekosonic Mach4E Systems,220134.6,220134.6,,,0 CDM,27000179,Hc Embolization Protective System,17319.75,17319.75,,,0 CDM,27000180,Hc Endopros Viabahn Cvrd Stent W/Del System,20111.7,20111.7,,,0 CDM,27000181,Hc Fast Cath Sheath,158.55,158.55,,,0 CDM,27000182,Hc Femostop,1344.0,1344.0,,,0 CDM,27000183,Hc Forceps Biopsy,24410.4,24410.4,,,0 CDM,27000184,Hc Forceps Vascular Retrieval,2579.85,2579.85,,,0 CDM,27000185,Hc Fox Hollow Device,18086.25,18086.25,,,0 CDM,27000186,Hc Guidewire Asahi Miracle Bros Wire,526.05,526.05,,,0 CDM,27000187,Hc Grand Slam Wire,270.9,270.9,,,0 CDM,27000188,Hc Grifka Bag,2043.3,2043.3,,,0 CDM,27000189,Hc Guide Micro,957.6,957.6,,,0 CDM,27000190,Hc Guide Renal Artery,991.2,991.2,,,0 CDM,27000191,Hc Guide Wire For Impella (Plat Supp),430.5,430.5,,,0 CDM,27000192,Hc Guidewire Amplatzer,325.5,325.5,,,0 CDM,27000193,Hc Guidewire Angled Guidewire,567.0,567.0,,,0 CDM,27000194,Hc Guidewire Exchange,196.35,196.35,,,0 CDM,27000195,Hc Guidewire Extra Stiff Wire,253.05,253.05,,,0 CDM,27000196,Hc Guidewire Glide,345.45,345.45,,,0 CDM,27000197,Hc Guidewire Gore,466.2,466.2,,,0 CDM,27000198,Hc Guidewire J,156.45,156.45,,,0 CDM,27000199,Hc Guidewire Pressure,2711.1,2711.1,,,0 CDM,27000200,Hc Guidewire Ptca,570.15,570.15,,,0 CDM,27000201,Hc Guidewire Radi,294.0,294.0,,,0 CDM,27000202,Hc Guidewire Speciality,570.15,570.15,,,0 CDM,27000203,Hc Guidewire Stereotaxis Pegasus,560.7,560.7,,,0 CDM,27000204,Hc Guidewire Straight,466.2,466.2,,,0 CDM,27000205,Hc Guidewire Wholey Wire 150Cm,572.25,572.25,,,0 CDM,27000206,Hc Guidewire Wholey Wire 300Cm,571.2,571.2,,,0 CDM,27000207,Hc Guidwire Spectranetics Quick Cross,550.2,550.2,,,0 CDM,27000208,Hc Heartmate Php Catheter,37672.95,37672.95,,,0 CDM,27000209,Hc Helex Septal Occluder,31178.7,31178.7,,,0 CDM,27000210,Hc Iabp Cathether,4881.45,4881.45,,,0 CDM,27000211,Hc Icd Mdtrnc Entrst Mdl 154,203.7,203.7,,,0 CDM,27000212,Hc Icd Mdtrnc Virtuso Mdl D154Awg,154877.1,154877.1,,,0 CDM,27000213,Hc Impact Admiral Drug Coat Bal <120,16529.1,16529.1,,,0 CDM,27000214,Hc Impact Admiral Drug Coat Bal >120,15017.1,15017.1,,,0 CDM,27000215,Hc Inflators,522.9,522.9,,,0 CDM,27000216,Hc Int Glide Sheath Terumo 6Fr/10Cm,374.85,374.85,,,0 CDM,27000217,Hc Int Sht Amplatzer Delivery System 45 Deg Cv,4539.15,4539.15,,,0 CDM,27000218,Hc Int Sht Ampltz Trqvue Del Sys 45Deg,375.9,375.9,,,0 CDM,27000219,Hc Integrity Bms Stent,2711.1,2711.1,,,0 CDM,27000220,Hc Intra Cardiac Echo Catheter,28934.85,28934.85,,,0 CDM,27000221,Hc Intra Vascular Ultrasound Catheter,6251.7,6251.7,,,0 CDM,27000222,Hc Intravascular Retriever Set,2711.1,2711.1,,,0 CDM,27000223,Hc Introducer Picc,207.9,207.9,,,0 CDM,27000224,Hc Introducer Transseptal Guiding,327.6,327.6,,,0 CDM,27000225,Hc Iv Solt Set Braun Vista Pmp (Impel),90.3,90.3,,,0 CDM,27000226,Hc Ivus Catheter (Research),1016.0,1016.0,,,0 CDM,27000227,Hc Lds Medtronic Selst Ld Del Sys C304-S59,203.7,203.7,,,0 CDM,27000228,Hc Lead Medtronic Slcscr Biplr Pcng #3830,203.7,203.7,,,0 CDM,27000229,Hc Lifestent,17613.75,17613.75,,,0 CDM,27000230,Hc Lifestent 100Mm,16843.05,16843.05,,,0 CDM,27000231,Hc Lifestent 120Mm,16843.05,16843.05,,,0 CDM,27000232,Hc Lifestent 150Mm,16843.05,16843.05,,,0 CDM,27000233,Hc Lifestent 170Mm,12958.05,12958.05,,,0 CDM,27000234,"Hc Lifestent 20,30,40Mm",16843.05,16843.05,,,0 CDM,27000235,Hc Long Drug Coated Ballon Catheter,9256.8,9256.8,,,0 CDM,27000236,Hc Magic Torque Modfd J Mlkdt Vsl Wre,560.7,560.7,,,0 CDM,27000237,"Hc Maquet Avalon Elite 27,31Fr-Cannula",12314.4,12314.4,,,0 CDM,27000238,"Hc Medtrnc Bmdius Cannul 15,17,19,21Fr",1068.9,1068.9,,,0 CDM,27000239,Hc Medtronic Biomedius 25F,1989.75,1989.75,,,0 CDM,27000240,Hc Melody Valve,144660.6,144660.6,,,0 CDM,27000241,Hc Micropuncture Introducer Set,233.1,233.1,,,0 CDM,27000242,Hc Microsnare,1249.5,1249.5,,,0 CDM,27000243,Hc Mitral Baloon,3868.2,3868.2,,,0 CDM,27000244,Hc Mitral Clip,135619.05,135619.05,,,0 CDM,27000244_278,Hc Mitral Clip,135619.05,135619.05,,,0 CDM,27000245,Hc Mreye Flipper Delivery System,520.8,520.8,,,0 CDM,27000246,Hc Navix Patch,520.8,520.8,,,0 CDM,27000247,Hc Needle Cook Micropuncture,221.55,221.55,,,0 CDM,27000247_272,Hc Needle Cook Micropuncture,221.55,221.55,,,0 CDM,27000248,Hc Needle Smart,537.6,537.6,,,0 CDM,27000249,Hc Needle Teflon,3187.8,3187.8,,,0 CDM,27000250,Hc Needle Transeptal,567.0,567.0,,,0 CDM,27000251,Hc Nitrous Oxide Cartridge,345.45,345.45,,,0 CDM,27000252,Hc One Valve Pressure Transducer,142.8,142.8,,,0 CDM,27000253,Hc Pads Defibpads,567.0,567.0,,,0 CDM,27000254,Hc Patch Cardiva Boomerang Hemostasis,334.95,334.95,,,0 CDM,27000255,Hc Pediavascular Introd Sheath,360.15,360.15,,,0 CDM,27000256,Hc Perclose,2829.75,2829.75,,,0 CDM,27000257,Hc Percu Surge,20710.2,20710.2,,,0 CDM,27000258,Hc Pericardiocentesis Kit,4289.25,4289.25,,,0 CDM,27000258_272,Hc Pericardiocentesis Kit,4289.25,4289.25,,,0 CDM,27000259,Hc Pericardiocentesis Tray,1852.2,1852.2,,,0 CDM,27000260,Hc Platinum Plus Guidewire,512.4,512.4,,,0 CDM,27000261,Hc Plug Vascular,3761.1,3761.1,,,0 CDM,27000262,Hc Polar Inflation Unit,6099.45,6099.45,,,0 CDM,27000263,Hc Pressure Wire,568.05,568.05,,,0 CDM,27000264,Hc Prox Main Stent Grft 22-40X 113-160,24493.35,24493.35,,,0 CDM,27000265,Hc Prox Main Stent Grft 42-46X 113-162,36003.45,36003.45,,,0 CDM,27000266,Hc Proxis Embolic Protection Kit,8454.6,8454.6,,,0 CDM,27000267,Hc Proxis Embolization Catheter,7031.85,7031.85,,,0 CDM,27000268,Hc Ptca Guide Cath,943.95,943.95,,,0 CDM,27000269,Hc Quattro Catheter/Thermogard,4824.75,4824.75,,,0 CDM,27000270,Hc Rotablator Advancer,2710.05,2710.05,,,0 CDM,27000271,Hc Rotablator Burr,12474.0,12474.0,,,0 CDM,27000272,Hc Rotablator Wire,2377.2,2377.2,,,0 CDM,27000273,Hc Rotaglide Lubricant,784.35,784.35,,,0 CDM,27000274,Hc Rotoblator Advancer,1549.8,1549.8,,,0 CDM,27000275,Hc Rotoblator Burr,6389.25,6389.25,,,0 CDM,27000276,Hc Rotoblator Guidewire,25303.95,25303.95,,,0 CDM,27000277,Hc Retrieval Dev Ins Amplatzer Exch Systm,3123.75,3123.75,,,0 CDM,27000278,Hc Sept Amplatzer Septal Occluder,33961.2,33961.2,,,0 CDM,27000279,Hc Sheath,365.4,365.4,,,0 CDM,27000279_C1893_272,Hc Sheath,365.4,365.4,,,0 CDM,27000280,Hc Sheath /23Cm,552.3,552.3,,,0 CDM,27000281,Hc Sheath 14Fr/11Cm,581.7,581.7,,,0 CDM,27000282,Hc Sheath 6Fr/45Cm,542.85,542.85,,,0 CDM,27000283,Hc Sheath 6Fr/90Cm,569.1,569.1,,,0 CDM,27000284,Hc Sheath 7Fr/85Cm Curved,538.65,538.65,,,0 CDM,27000285,Hc Sheath 8/9Fr-Ice,3761.1,3761.1,,,0 CDM,27000286,Hc Sheath Ag-Delivery,273.0,273.0,,,0 CDM,27000287,Hc Sheath Arrow Super Flex,481.95,481.95,,,0 CDM,27000288,Hc Sheath Cook Check Flow,679.35,679.35,,,0 CDM,27000289,Hc Sheath Hausdorf,679.35,679.35,,,0 CDM,27000290,Hc Sheath Introducer Cordis Brite Tip,158.55,158.55,,,0 CDM,27000291,Hc Sheath Mp 89Cm,556.5,556.5,,,0 CDM,27000292,Hc Sheath- Navi Port Sheath,1014.3,1014.3,,,0 CDM,27000293,Hc Sheath Terumo,203.7,203.7,,,0 CDM,27000294,Hc Sheaths Convoy Sheaths,2827.65,2827.65,,,0 CDM,27000295,Hc Short Drug Coated Ballon Catheter,8163.75,8163.75,,,0 CDM,27000296,Hc Slalom Pta Ballon,2533.65,2533.65,,,0 CDM,27000297,Hc Snares,1449.0,1449.0,,,0 CDM,27000298,Hc Sphere Inflation Device,2390.85,2390.85,,,0 CDM,27000299,Hc Sptl Impl Sys+R[3]C Amp Septl Occl Asd,22713.6,22713.6,,,0 CDM,27000300,Hc Septal Imp System Cribiform Ocldr Asd,29355.9,29355.9,,,0 CDM,27000301,Hc Sptl Impl System Musclr Vsd Occluder,45495.45,45495.45,,,0 CDM,27000302,Hc Starclose Artl Closr System,1926.75,1926.75,,,0 CDM,27000303,Hc Start Up Kit/Thermogard,1665.3,1665.3,,,0 CDM,27000304,Hc Statlock Iab Securmnt System,152.25,152.25,,,0 CDM,27000305,Hc Stent Atrium Covered,20111.7,20111.7,,,0 CDM,27000306,Hc Stent Balloon Mounted,3390.45,3390.45,,,0 CDM,27000307,Hc Stent Coronary Ave,16994.25,16994.25,,,0 CDM,27000308,Hc Stent Driver Medtronic,24136.35,24136.35,,,0 CDM,27000309,Hc Stent Drug Eluting,20111.7,20111.7,,,0 CDM,27000310,Hc Stent Genesis Bare,3617.25,3617.25,,,0 CDM,27000311,Hc Stent Genesis Premounted,3617.25,3617.25,,,0 CDM,27000312,Hc Stent Guidant Coronary,12958.05,12958.05,,,0 CDM,27000313,Hc Stent Icast Covered Stents,203.7,203.7,,,0 CDM,27000314,Hc Stent Palmaz Xl,5696.25,5696.25,,,0 CDM,27000315,Hc Stent Promus Everolimus Eluting Ste,24261.3,24261.3,,,0 CDM,27000316,Hc Stent Protege,14466.9,14466.9,,,0 CDM,27000317,Hc Stent Racer Medtronic,18141.9,18141.9,,,0 CDM,27000318,Hc Stent Vision Guidant,24418.8,24418.8,,,0 CDM,27000319,"Hc Stent, Bil, Smt Cordis Nitil Stent",12958.05,12958.05,,,0 CDM,27000320,"Hc Stent, Biliary, Cordis",18141.9,18141.9,,,0 CDM,27000321,"Hc Stent, Coated & Covered, With Delivery System",31424.4,31424.4,,,0 CDM,27000322,"Hc Stent,Cordis W/Hepa Coat",13955.55,13955.55,,,0 CDM,27000323,Hc Straight Exchange Wire,196.35,196.35,,,0 CDM,27000324,Hc Straight Guidewire,183.75,183.75,,,0 CDM,27000325,Hc Swan Cover Contamination Sleeve,464.1,464.1,,,0 CDM,27000326,Hc Talent Extension Prox Dist,10866.45,10866.45,,,0 CDM,27000327,Hc Tandem Heart Kit Perc Lvad,75966.45,75966.45,,,0 CDM,27000328,Hc Tr Band External Closure Device,384.3,384.3,,,0 CDM,27000329,Hc Transit Exchnge Device,2741.55,2741.55,,,0 CDM,27000330,Hc Transit Infusion Catheter,1083.6,1083.6,,,0 CDM,27000331,Hc Tray Pericardiocentesis,207.9,207.9,,,0 CDM,27000332,Hc Tri Active Fx Kit Embolic Prt Kit,8482.95,8482.95,,,0 CDM,27000333,Hc Vasc Solution Guideliners Catheter,1361.85,1361.85,,,0 CDM,27000334,Hc Vascular Plug,2461.2,2461.2,,,0 CDM,27000335,Hc Vascular Plug Amplatzer,3297.0,3297.0,,,0 CDM,27000336,Hc Vascular Plug Ii Amplatzer,4272.45,4272.45,,,0 CDM,27000337,Hc Viperslide Lubricant,451.5,451.5,,,0 CDM,27000338,Hc Viperwire Coronary Guidewire,1102.5,1102.5,,,0 CDM,27000339,Hc Volcano Track Back Ii,568.05,568.05,,,0 CDM,27000340,Hc Vpad Hemostasis,269.85,269.85,,,0 CDM,27000341,Hc Wire Bard Temporary Pacing,2518.95,2518.95,,,0 CDM,27000342,Hc Wire Filter,11323.2,11323.2,,,0 CDM,27000343,Hc Wire Filter Accunet,11610.9,11610.9,,,0 CDM,27000344,Hc Xience Drug Eluting Stent,26142.9,26142.9,,,0 CDM,27000345,Hc Zilver Ptx Drug Eluting Periph Stent,8117.55,8117.55,,,0 CDM,27000346,Hc Boomerang Vascular Closure Device,1850.1,1850.1,,,0 CDM,27000347,Hc Indigo Suction Cannister,2063.25,2063.25,,,0 CDM,27000348,Hc Indigo Tubing,2509.5,2509.5,,,0 CDM,27000349,Hc Indigo 8 Separator,11124.75,11124.75,,,0 CDM,27000350,Hc Lung Biopsy Plug,1369.2,1369.2,,,0 CDM,27000400,Hc Medtronic Achieve Cable,2116.8,2116.8,,,0 CDM,27000401,Hc Medtronic Coaxial Umbilical,1319.85,1319.85,,,0 CDM,27000402,Hc Medtronic Electrical Umbilical,1979.25,1979.25,,,0 CDM,27000403,Hc Medtronic Achieve Mapping Catheter,7534.8,7534.8,,,0 CDM,27000404,Hc Frnt Advnce Cryoablation Catheter,42382.2,42382.2,,,0 CDM,27000405,Hc Medtronic Flexcath Advance,11302.2,11302.2,,,0 CDM,27000406,Hc Selectra Accessory Kit,1169.7,1169.7,,,0 CDM,27000407,Hc Selectra Straight45 Stylet,1754.55,1754.55,,,0 CDM,27000408,Hc Situs Lead Deliv System,4012.05,4012.05,,,0 CDM,27000409,Hc Sorin Tip Atrial Lead,9069.9,9069.9,,,0 CDM,27000410,Hc - Lead Attain Performa,22132.95,22132.95,,,0 CDM,27000411,Hc Biotronik Cable,322.35,322.35,,,0 CDM,27000412,Hc Biotronik Stylet,382.2,382.2,,,0 CDM,27000412_270,Hc Biotronik Stylet,382.2,382.2,,,0 CDM,27000413,Hc Mineral Oil,142.8,142.8,,,0 CDM,27000414,Hc Sorin Alligator Cable,405.3,405.3,,,0 CDM,27000415,Hc Sorin Wand Cover,350.7,350.7,,,0 CDM,27000416,Hc Mm Classic Sheath Splitable Short,197.4,197.4,,,0 CDM,27000417,Hc Lariat Suture Delivery Device,22882.65,22882.65,,,0 CDM,27000418,Hc Lead Locking Device #2 518-019,4364.85,4364.85,,,0 CDM,27000419,Hc Needle St. Jude Transeptal,1450.05,1450.05,,,0 CDM,27000420,Hc Softip Guide Cannula,1387.05,1387.05,,,0 CDM,27000421,Hc St Jude Slitter,248.85,248.85,,,0 CDM,27000422,Hc Surecut Suture Cutter,1849.05,1849.05,,,0 CDM,27000423,Hc Tensure Suture Tightener,925.05,925.05,,,0 CDM,27000424,Hc #2 Bidirectional Torque Wrench,350.7,350.7,,,0 CDM,27000425,Hc Ablation Manifold Kit Abbott#46075,299.25,299.25,,,0 CDM,27000426,Hc Acuity Pro Implnt Lead Deliv Syst,18140.85,18140.85,,,0 CDM,27000427,Hc Anchoring Sleeve Kit #5867,197.4,197.4,,,0 CDM,27000428,Hc Boston Sci Medical Adhesive,121.8,121.8,,,0 CDM,27000429,Hc Boston Sci Reliance Ez-4 Tool #7001,2017.05,2017.05,,,0 CDM,27000430,Hc Brd Silcn Cl Wound Suc Evac M#70740,815.85,815.85,,,0 CDM,27000431,Hc Bsnse Wbstr Clflw Pmp Tbng M#Cft001,458.85,458.85,,,0 CDM,27000432,Hc Bstn Scn Flxtnd Fixation Tool,183.75,183.75,,,0 CDM,27000433,Hc Cameron Hlt Q-Guide Insrtn Tl #4010,1153.95,1153.95,,,0 CDM,27000434,Hc Circucool Tubing Set,331.8,331.8,,,0 CDM,27000435,Hc Cook Bulldog Extender,829.5,829.5,,,0 CDM,27000436,Hc Cook Micropuncture Intro,252.0,252.0,,,0 CDM,27000437,Hc Cook Ne Snare Retrieval Kit,4198.95,4198.95,,,0 CDM,27000438,Hc Cps Standard Package,7619.85,7619.85,,,0 CDM,27000439,Hc Crycth Coxl Cbl Umblcl Cabl 203Cx,504.0,504.0,,,0 CDM,27000440,Hc Ept Perivac Tray,3664.5,3664.5,,,0 CDM,27000441,Hc Ev3 Snare Kit,1430.1,1430.1,,,0 CDM,27000442,Hc External Patch Biosense Xrp6-11,3090.15,3090.15,,,0 CDM,27000443,Hc Gdnt Easytrak Suture Sleeve #6773,143.85,143.85,,,0 CDM,27000444,Hc Guidant Disposable Surgical Cable,172.2,172.2,,,0 CDM,27000444_272,Hc Guidant Disposable Surgical Cable,172.2,172.2,,,0 CDM,27000445,Hc Guidant Lead Delivery Acessry Kit,531.3,531.3,,,0 CDM,27000446,Hc Guidant Stylet,345.45,345.45,,,0 CDM,27000447,Hc Guidant Universal Cutter,134.4,134.4,,,0 CDM,27000448,Hc Hemostat Softgrip Lr Sgh001,320.25,320.25,,,0 CDM,27000449,Hc Lead Extraction Spectra Kit#518-027,940.8,940.8,,,0 CDM,27000450,Hc Lead Extraction Spectra Locking,1172.85,1172.85,,,0 CDM,27000451,Hc Lv Lead Extender-Bipolar,2017.05,2017.05,,,0 CDM,27000452,Hc Mdt Adjustable Slitter,211.05,211.05,,,0 CDM,27000453,Hc Mdt Sterile Sleeve/Head Cover #6177,61.95,61.95,,,0 CDM,27000454,Hc Mdtrnc Lead Extndr #6726,446.25,446.25,,,0 CDM,27000455,Hc Medafor Arista Powder Packet,498.75,498.75,,,0 CDM,27000456,Hc Medtronic Rotation Tool Kit 6056,173.25,173.25,,,0 CDM,27000457,Hc Medtronic Sealing Adaptr Sssa Ew 09,371.7,371.7,,,0 CDM,27000457_272,Hc Medtronic Sealing Adaptr Sssa Ew 09,371.7,371.7,,,0 CDM,27000458,Hc Medtronic Service Kit M#5873C,278.25,278.25,,,0 CDM,27000459,Hc Medtronic Steering Handle,156.45,156.45,,,0 CDM,27000460,Hc Medtronic Testing Cable,359.1,359.1,,,0 CDM,27000461,Hc Medtronic Transvalvular Instn Tool,116.55,116.55,,,0 CDM,27000462,Hc Medtronic Upsizing Sleeve M#6920,302.4,302.4,,,0 CDM,27000463,Hc Medtronic Wrench Kit M#5873W,346.5,346.5,,,0 CDM,27000464,Hc Needle Ablation Transeptal #407200,2112.6,2112.6,,,0 CDM,27000465,Hc Needle Baylis Transeptal Needle,2376.15,2376.15,,,0 CDM,27000466,Hc Needle Cook Transeptal,569.1,569.1,,,0 CDM,27000467,Hc Prsre Prdct Safeshth Sealng Adpt 9F,567.0,567.0,,,0 CDM,27000468,Hc Reflexion Spiral Catheter,14210.7,14210.7,,,0 CDM,27000469,Hc Rhythmia Location Reference Patch,4342.8,4342.8,,,0 CDM,27000469_272,Hc Rhythmia Location Reference Patch,4342.8,4342.8,,,0 CDM,27000470,Hc Rhythmia Umbilical Cord,9183.3,9183.3,,,0 CDM,27000471,Hc Sheath Gdng Shth 6F Mp-A2 #532-642,382.2,382.2,,,0 CDM,27000473,Hc Sorin-Situs Lds-Rl055,2017.05,2017.05,,,0 CDM,27000474,Hc St. Jude Lead Cap 4033A,160.65,160.65,,,0 CDM,27000475,Hc St. Jude Navx Patch,6776.7,6776.7,,,0 CDM,27000476,Hc Stjd Brk Trnsptl Nedle #407205 89Cm,1438.5,1438.5,,,0 CDM,27000477,Hc Stjude Lead Delivery/Final Pack,3837.75,3837.75,,,0 CDM,27000478,Hc Stylet Guidant 80Cm # 6490,606.9,606.9,,,0 CDM,27000479,Hc Stylet Medtronic Stylet,286.65,286.65,,,0 CDM,27000480,Hc Stylt St.Jd Strble 46Cm Loc 4036,1631.7,1631.7,,,0 CDM,27000481,Hc Surgicele Hemostat Dress 4 X 8,278.25,278.25,,,0 CDM,27000482,Hc Tightrail Mini Dil Sheath,14057.4,14057.4,,,0 CDM,27000483,Hc Transpac Iv Bifurcated Monitor Kit,72.45,72.45,,,0 CDM,27000484,Hc Transpac Iv Monitoring Kit,37.8,37.8,,,0 CDM,27000485,Hc Tunneling Tool Medtronic M#6996T,3722.25,3722.25,,,0 CDM,27000486,Hc Wholey Wire,940.8,940.8,,,0 CDM,27000487,Hc Intra-Aortic Balloon Pump Linear,3108.0,3108.0,,,0 CDM,27000488,Hc Intra-Aortic Balloon Pump Mega,3288.6,3288.6,,,0 CDM,27000489,Hc Cath Hc Dx Other Thn 3D Mapping,4927.65,4927.65,,,0 CDM,27000490,Hc Diagnostic Halo Livewire M#401904,5074.65,5074.65,,,0 CDM,27000491,Hc Boston Sci Blazer Sx-20 Cath Diose,7907.55,7907.55,,,0 CDM,27000492,Hc Cath Ep Dx Otr Thn 3D Mpng 20/>Elec,10194.45,10194.45,,,0 CDM,27000493,Hc St Jude Radius Cath Reflex Spiral,14210.7,14210.7,,,0 CDM,27000494,Hc Cath Ep Dx Ablatn 3D/Vec Mapping,23584.05,23584.05,,,0 CDM,27000495,Hc Thermocool Bidirectional Nav St Cth,26875.8,26875.8,,,0 CDM,27000496,Hc Boston Sci Intella Tip Mifi Xp Cath,18641.7,18641.7,,,0 CDM,27000497,Hc Cath Hc Dx Abltn Otr Thn Cool Tip,7992.6,7992.6,,,0 CDM,27000498,Hc Cath Infusion Periph Centrl Midline,870.45,870.45,,,0 CDM,27000499,Hc Volcano Cath Visions Pv Ultrsnd,9925.65,9925.65,,,0 CDM,27000500,Hc Boston Scientific Ultra Ice Cath,12092.85,12092.85,,,0 CDM,27000501,Hc Catheter Intracard Echocardiography,25739.7,25739.7,,,0 CDM,27000502,Hc Int Sheath Guid Ep Strbl Other Plwy,1145.55,1145.55,,,0 CDM,27000503,Hc Findrwirz Guidewire System,5087.25,5087.25,,,0 CDM,27000504,Hc Guide Wire,478.8,478.8,,,0 CDM,27000504_7165236,Hc Guide Wire,271.95,271.95,,,0 CDM,27000504_7178521,Hc Guide Wire,971.25,971.25,,,0 CDM,27000504_C1769_272,Hc Guide Wire,478.8,478.8,,,0 CDM,27000505,Hc Termo Radiofocus Gldwr Gr3506,1460.55,1460.55,,,0 CDM,27000506,Hc Acuity Pro Guiding Cathtr (Cs-Eh R),4129.65,4129.65,,,0 CDM,27000507,Hc Attain Command 6250V,3394.65,3394.65,,,0 CDM,27000508,Hc Boston Sci Acuity Extend Hook 7008,3715.95,3715.95,,,0 CDM,27000509,Hc Bs Acuity Pro Inner Catheter Cs-Ic,2347.8,2347.8,,,0 CDM,27000510,Hc Bs Acuity Pro Outer Catheter,4737.6,4737.6,,,0 CDM,27000511,Hc Catheter Guiding,831.6,831.6,,,0 CDM,27000512,Hc Cps Aim Sl Sub90 59Cm Introduc/Shth,3276.0,3276.0,,,0 CDM,27000513,Hc Biotronik Hls Safesheath,261.45,261.45,,,0 CDM,27000514,Hc Inth Shth Gdng Intcard Ep Peel Away,446.25,446.25,,,0 CDM,27000515,Hc Biotronik Lead Delivery System,4012.05,4012.05,,,0 CDM,27000516,Hc Biotronik-Extended Hook-45,1527.75,1527.75,,,0 CDM,27000517,Hc Cps Direct Sl Ii 7F 47Cm 135 Cath,5859.0,5859.0,,,0 CDM,27000518,Hc Int Sheath Guidng Intcard Ep Fx Cr,477.75,477.75,,,0 CDM,27000518_C1893_272,Hc Int Sheath Guidng Intcard Ep Fx Cr,477.75,477.75,,,0 CDM,27000519,Hc Intrdcr- Medtrnc Guidwre Thndr 190S,415.8,415.8,,,0 CDM,27000521,Hc Super Arrow Flex Psi Sheath,868.35,868.35,,,0 CDM,27000522,Hc Int Shth Otr Thn Gdng Incard Ep N L,332.85,332.85,,,0 CDM,27000523,Hc Probe Cyroablation,9727.2,9727.2,,,0 CDM,27000523_C2618_272,Hc Probe Cyroablation,9727.2,9727.2,,,0 CDM,27000524,Hc Endocath Occlusion Balloon,3006.15,3006.15,,,0 CDM,27000525,Hc Boston Sci Balloon Catheter,231.0,231.0,,,0 CDM,27000526,Hc 8F Flexability Catheter,17131.8,17131.8,,,0 CDM,27000527,Hc Cath Ep Dx/Abltn Otr 3D Vc Mp Cl Tp,10904.25,10904.25,,,0 CDM,27000528,Hc Chilli Ii Cool-Tip Ablation Cath,6684.3,6684.3,,,0 CDM,27000529,Hc St Jude Tacti Catheter Quartz,25191.6,25191.6,,,0 CDM,27000531,Hc Lead Guidnt Reliance Sg M#180/181,32023.95,32023.95,,,0 CDM,27000532,Hc Dual Chamber Pacemaker,30235.8,30235.8,,,0 CDM,27000532_C1785_275,Hc Dual Chamber Pacemaker,30235.8,30235.8,,,0 CDM,27000536,Hc Single Chamber Pacemaker,23213.4,23213.4,,,0 CDM,27000536_C1786_275,Hc Single Chamber Pacemaker,23213.4,23213.4,,,0 CDM,27000538_C1896_275,Hc Sq-Icd Lead,25943.19,25943.19,,,0 CDM,27000539_C1898_275,Hc Biotronik Setroxs Leads,15937.95,15937.95,,,0 CDM,27000547,Hc Medtronic Mri Surescan Lead,9069.9,9069.9,,,0 CDM,27000551_C1898_275,Hc Sorin Tilda Lead,4244.1,4244.1,,,0 CDM,27000553,Hc Bi-V Pacemaker,52288.95,52288.95,,,0 CDM,27000553_C2621_275,Hc Bi-V Pacemaker,52288.95,52288.95,,,0 CDM,27000555,Hc Implant Is-1 Plug,205.8,205.8,,,0 CDM,27000556,Hc Electrode Cameron Hlt Q-Trk #3010,23074.8,23074.8,,,0 CDM,27000557,Hc Lead Spectronetics Cutter M#518-024,601.65,601.65,,,0 CDM,27000558,Hc Medtronic Pin Plug Kit-M#6725,767.55,767.55,,,0 CDM,27000559,Hc Tyrx Absorb Antibact Envelope 6133,12744.9,12744.9,,,0 CDM,27000559_278,Hc Tyrx Absorb Antibact Envelope 6133,12744.9,12744.9,,,0 CDM,27000559_7179559,Hc Tyrx Absorb Antibact Envelope 6133,12744.9,12744.9,,,0 CDM,27000560,Hc Dual Chamber Icd,112447.65,112447.65,,,0 CDM,27000560_C1721_278,Hc Dual Chamber Icd,112447.65,112447.65,,,0 CDM,27000561,Hc Single Chamber Icd,102497.85,102497.85,,,0 CDM,27000561_C1722_278,Hc Single Chamber Icd,110829.41,110829.41,,,0 CDM,27000562,Hc Catheter Swan Ganz,605.85,605.85,,,0 CDM,27000563,Hc Loop Recorder,39666.9,39666.9,,,0 CDM,27000563_C1764_278,Hc Loop Recorder,39666.9,39666.9,,,0 CDM,27000568,Hc Boston Sci Lead Cap Kit # 6623,161.7,161.7,,,0 CDM,27000569,Hc Guidant Lead Repair Kit #6946,768.6,768.6,,,0 CDM,27000569_C1778_278,Hc Guidant Lead Repair Kit #6946,768.6,768.6,,,0 CDM,27000570,Hc Medtronic-Lead Repair Kit #5867-5,576.45,576.45,,,0 CDM,27000571,Hc Bi-V Icd,155691.9,155691.9,,,0 CDM,27000571_C1882_278,Hc Bi-V Icd,155691.9,155691.9,,,0 CDM,27000574,Hc Brady Adapter Connector Model #6162,3356.85,3356.85,,,0 CDM,27000577,Hc Tachy Adapter Connector Model #6931,3356.85,3356.85,,,0 CDM,27000599,Hc Lead Extraction Laser Spectra 12-15,17059.35,17059.35,,,0 CDM,27000600,Hc Spectranetic Glidelght Laser Sheath,19432.35,19432.35,,,0 CDM,27000601,Hc Lead Medtronic Delivery System,430.5,430.5,,,0 CDM,27000602,Hc Intella Map Orion High Res Cath,25898.25,25898.25,,,0 CDM,27000603,Hc Additional Catheter,71.4,71.4,,,0 CDM,27000604,Hc Addtnl Wire Stndard (Straight/J),78.75,78.75,,,0 CDM,27000605,Hc Leukocyte Filter Each Unit,676.2,676.2,,,0 CDM,27000606,Hc Blood Warmer,174.3,174.3,,,0 CDM,27000607,Hc Blood Administration Supplies,111.3,111.3,,,0 CDM,27000700,Hc Arctic Gel Medium Pad,4952.85,4952.85,,,0 CDM,27000701,Hc Arctic Gel Large Pad,4952.85,4952.85,,,0 CDM,27000702_CSM,Hc Obagi Nu-Derm Gentle Cleanser 6.7 Fl Oz (198 Ml) Cash-Csm,42.0,42.0,,,0 CDM,27000703_CSM,Hc Obagi Nu-Derm Toner 6.7 Fl Oz (198 Ml) Cash-Csm,42.0,42.0,,,0 CDM,27000704_CSM,Hc Obagi Nu-Derm Clear 2.0 Oz (57 G) Cash-Csm,108.0,108.0,,,0 CDM,27000705_CSM,Hc Obagi Nu-Derm Exfoderm Forte 2.0 Oz (57 G) Cash-Csm,74.0,74.0,,,0 CDM,27000706_CSM,Hc Obagi Nu-Derm Blender? 2.0 Oz (57 G) Cash-Csm,104.0,104.0,,,0 CDM,27000707_CSM,Hc Obagi Nu-Derm Trial Kit Norm-Oily Cash-Csm,246.0,246.0,,,0 CDM,27000708_CSM,Hc Obagi Nu-Derm Trial Kit Norm-Dry Cash-Csm,246.0,246.0,,,0 CDM,27000709_CSM,Hc Elastiderm Eye Cream 0.5 Oz (15 G) Cash-Csm,112.0,112.0,,,0 CDM,27000710_CSM,Hc Tretinoin 0.05% Cream 0.7 Oz (20 G) Cash-Csm,92.0,92.0,,,0 CDM,27000711,Hc Dermabond Topical Skin Adhesive Employee Health,88.2,88.2,,,0 CDM,27000751,"""Hc Indigo8 Torq85 """"Clinical Trial""""""",3875.55,3875.55,,,0 CDM,27000752,"""Hc Indigo8 Xtorq115 """"Clinical Trial""""""",3875.55,3875.55,,,0 CDM,27000753,"""Hc Separator8 """"Clinical Trial""""""",2521.05,2521.05,,,0 CDM,27000754,Hc Abbott Absolute Pro Self Expanding Stent,3924.9,3924.9,,,0 CDM,27000755,Hc Catheter Viewflex Xtra Ice (Ice Catheter) Research,2271.0,2271.0,,,0 CDM,27000_PBB,Pr Tenotomy Adductor Hip Percutaneous Spx-Pbb,5281.0,5281.0,,,0 CDM,27001725,Hc Catheter Balloon Dil Armada Peripheral,865.2,865.2,,,0 CDM,27004220,Hc Refill Kit For Implant Infusion Pump,135.45,135.45,,,0 CDM,27004220_A4220_270,Hc Refill Kit For Implant Infusion Pump,135.45,135.45,,,0 CDM,27004627_7029596,Noncdm Charge Record Medical Supplies,28.08,28.08,,,0 CDM,27005264,"Hc Ear Mold/Insert,Not Disposable, Any Type",139.65,139.65,,,0 CDM,27005264_V5264_270,"Hc Ear Mold/Insert,Not Disposable, Any Type",139.65,139.65,,,0 CDM,27005266,Hc Battery For Hearing Device,11.55,11.55,,,0 CDM,27005266_V5266_270,Hc Battery For Hearing Device,11.55,11.55,,,0 CDM,27009272_7116704,Noncdm Charge Record Medical Supplies,1835.04,1835.04,,,0 CDM,27043_PBB,Pr Excision Tumor Soft Tissue Pelvis&Hip Subq 3Cm/>-Pbb,2719.0,2719.0,,,0 CDM,27047_PBB,Pr Exc Tumor Soft Tissue Pelvis & Hip Subq <3Cm-Pbb,4398.0,4398.0,,,0 CDM,27099070,Hc Cane,109.2,109.2,,,0 CDM,27100000_1668,Noncdm Charge Record Medical Supplies,188.88,188.88,,,0 CDM,27100000_510101,Noncdm Charge Record Medical Supplies,161.62,161.62,,,0 CDM,27100000_7000929,Noncdm Charge Record Medical Supplies,2022.37,2022.37,,,0 CDM,27100000_7011062,Noncdm Charge Record Medical Supplies,1742.27,1742.27,,,0 CDM,27100000_7012284,Noncdm Charge Record Medical Supplies,10291.98,10291.98,,,0 CDM,27100000_7012490,Noncdm Charge Record Medical Supplies,10090.29,10090.29,,,0 CDM,27100000_7013370,Noncdm Charge Record Medical Supplies,13651.89,13651.89,,,0 CDM,27100000_7015689,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27100000_7015733,Noncdm Charge Record Medical Supplies,3528.0,3528.0,,,0 CDM,27100000_7027834,Noncdm Charge Record Medical Supplies,1266.51,1266.51,,,0 CDM,27100000_7029205,Noncdm Charge Record Medical Supplies,732.66,732.66,,,0 CDM,27100000_7031552,Noncdm Charge Record Medical Supplies,7207.2,7207.2,,,0 CDM,27100000_7031918,Noncdm Charge Record Medical Supplies,145.6,145.6,,,0 CDM,27100000_7032731,Noncdm Charge Record Medical Supplies,1839.6,1839.6,,,0 CDM,27100000_7034804,Noncdm Charge Record Medical Supplies,1090.0,1090.0,,,0 CDM,27100000_7037784,Noncdm Charge Record Medical Supplies,1118.88,1118.88,,,0 CDM,27100000_7037792,Noncdm Charge Record Medical Supplies,709.01,709.01,,,0 CDM,27100000_7037793,Noncdm Charge Record Medical Supplies,1159.67,1159.67,,,0 CDM,27100000_7037796,Noncdm Charge Record Medical Supplies,506.99,506.99,,,0 CDM,27100000_7037804,Noncdm Charge Record Medical Supplies,458.43,458.43,,,0 CDM,27100000_7037815,Noncdm Charge Record Medical Supplies,709.01,709.01,,,0 CDM,27100000_7037816,Noncdm Charge Record Medical Supplies,709.01,709.01,,,0 CDM,27100000_7044761,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27100000_7044820,Noncdm Charge Record Medical Supplies,1402.2,1402.2,,,0 CDM,27100000_7045603,Noncdm Charge Record Medical Supplies,1228.13,1228.13,,,0 CDM,27100000_7047683,Noncdm Charge Record Medical Supplies,2035.74,2035.74,,,0 CDM,27100000_7047684,Noncdm Charge Record Medical Supplies,2035.74,2035.74,,,0 CDM,27100000_7047689,Noncdm Charge Record Medical Supplies,1895.88,1895.88,,,0 CDM,27100000_7047693,Noncdm Charge Record Medical Supplies,2035.74,2035.74,,,0 CDM,27100000_7047756,Noncdm Charge Record Medical Supplies,478.8,478.8,,,0 CDM,27100000_7048479,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27100000_7048994,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27100000_7049588,Noncdm Charge Record Medical Supplies,1437.45,1437.45,,,0 CDM,27100000_7053321,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27100000_7053322,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27100000_7053328,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27100000_7053338,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27100000_7053423,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27100000_7053446,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27100000_7053571,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27100000_7054920,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27100000_7055824,Noncdm Charge Record Medical Supplies,12820.5,12820.5,,,0 CDM,27100000_7058023,Noncdm Charge Record Medical Supplies,1375.29,1375.29,,,0 CDM,27100000_7058370,Noncdm Charge Record Medical Supplies,1127.89,1127.89,,,0 CDM,27100000_7058387,Noncdm Charge Record Medical Supplies,1190.98,1190.98,,,0 CDM,27100000_7058553,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27100000_7058583,Noncdm Charge Record Medical Supplies,862.47,862.47,,,0 CDM,27100000_7058592,Noncdm Charge Record Medical Supplies,1196.58,1196.58,,,0 CDM,27100000_7063571,Noncdm Charge Record Medical Supplies,9846.14,9846.14,,,0 CDM,27100000_7064499,Noncdm Charge Record Medical Supplies,1561.77,1561.77,,,0 CDM,27100000_7064761,Noncdm Charge Record Medical Supplies,1756.02,1756.02,,,0 CDM,27100000_7064784,Noncdm Charge Record Medical Supplies,2924.63,2924.63,,,0 CDM,27100000_7065026,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27100000_7065869,Noncdm Charge Record Medical Supplies,1420.36,1420.36,,,0 CDM,27100000_7068227,Noncdm Charge Record Medical Supplies,2882.67,2882.67,,,0 CDM,27100000_7068849,Noncdm Charge Record Medical Supplies,12797.19,12797.19,,,0 CDM,27100000_7068882,Noncdm Charge Record Medical Supplies,722.61,722.61,,,0 CDM,27100000_7069121,Noncdm Charge Record Medical Supplies,11002.32,11002.32,,,0 CDM,27100000_7069260,Noncdm Charge Record Medical Supplies,10582.74,10582.74,,,0 CDM,27100000_7069658,Noncdm Charge Record Medical Supplies,1779.33,1779.33,,,0 CDM,27100000_7069768,Noncdm Charge Record Medical Supplies,893.55,893.55,,,0 CDM,27100000_7071172,Noncdm Charge Record Medical Supplies,3364.41,3364.41,,,0 CDM,27100000_7071277,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27100000_7071475,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27100000_7071762,Noncdm Charge Record Medical Supplies,7731.15,7731.15,,,0 CDM,27100000_7071765,Noncdm Charge Record Medical Supplies,7731.15,7731.15,,,0 CDM,27100000_7072345,Noncdm Charge Record Medical Supplies,3255.63,3255.63,,,0 CDM,27100000_7072398,Noncdm Charge Record Medical Supplies,3360.84,3360.84,,,0 CDM,27100000_7075242,Noncdm Charge Record Medical Supplies,2753.69,2753.69,,,0 CDM,27100000_7075505,Noncdm Charge Record Medical Supplies,3811.96,3811.96,,,0 CDM,27100000_7075799,Noncdm Charge Record Medical Supplies,15167.04,15167.04,,,0 CDM,27100000_7078949,Noncdm Charge Record Medical Supplies,2128.98,2128.98,,,0 CDM,27100000_7082160,Noncdm Charge Record Medical Supplies,1328.67,1328.67,,,0 CDM,27100000_7082166,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27100000_7082820,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27100000_7089595,Noncdm Charge Record Medical Supplies,56.49,56.49,,,0 CDM,27100000_7115923,Noncdm Charge Record Medical Supplies,6048.0,6048.0,,,0 CDM,27100000_7133517,Noncdm Charge Record Medical Supplies,16.74,16.74,,,0 CDM,27100000_7133870,Noncdm Charge Record Medical Supplies,3738.69,3738.69,,,0 CDM,27100000_7133871,Noncdm Charge Record Medical Supplies,3255.63,3255.63,,,0 CDM,27100001,Hc Heliox Therapy Per Hour,42.0,42.0,,,0 CDM,27100001_271,Hc Heliox Therapy Per Hour,42.0,42.0,,,0 CDM,27100495_7029810,Noncdm Charge Record Medical Supplies,35271.94,35271.94,,,0 CDM,27100499_7030185,Noncdm Charge Record Medical Supplies,2414.0,2414.0,,,0 CDM,27100499_7030187,Noncdm Charge Record Medical Supplies,2150.06,2150.06,,,0 CDM,27100501_7030184,Noncdm Charge Record Medical Supplies,2449.44,2449.44,,,0 CDM,27100501_7033148,Noncdm Charge Record Medical Supplies,1512.0,1512.0,,,0 CDM,27100508_7030183,Noncdm Charge Record Medical Supplies,794.1,794.1,,,0 CDM,27100508_7037245,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27101766_513508,Noncdm Charge Record Medical Supplies,4596.73,4596.73,,,0 CDM,27101766_7027888,Noncdm Charge Record Medical Supplies,1.94,1.94,,,0 CDM,27101769_407172,Noncdm Charge Record Medical Supplies,893.55,893.55,,,0 CDM,27101769_7031232,Noncdm Charge Record Medical Supplies,108.78,108.78,,,0 CDM,27101769_7048939,Noncdm Charge Record Medical Supplies,83.53,83.53,,,0 CDM,27101769_7049546,Noncdm Charge Record Medical Supplies,331.31,331.31,,,0 CDM,27101769_7049583,Noncdm Charge Record Medical Supplies,248.48,248.48,,,0 CDM,27101769_7056463,Noncdm Charge Record Medical Supplies,482.52,482.52,,,0 CDM,27101769_7058597,Noncdm Charge Record Medical Supplies,108.78,108.78,,,0 CDM,27101769_7065064,Noncdm Charge Record Medical Supplies,225.33,225.33,,,0 CDM,27101769_7065459,Noncdm Charge Record Medical Supplies,499.22,499.22,,,0 CDM,27101769_7075501,Noncdm Charge Record Medical Supplies,967.05,967.05,,,0 CDM,27101769_7076337,Noncdm Charge Record Medical Supplies,163.17,163.17,,,0 CDM,27101769_7076408,Noncdm Charge Record Medical Supplies,318.57,318.57,,,0 CDM,27101769_7077501,Noncdm Charge Record Medical Supplies,334.11,334.11,,,0 CDM,27101769_7109346,Noncdm Charge Record Medical Supplies,244.76,244.76,,,0 CDM,27101769_7157875,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27101769_7158968,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27101769_7159074,Noncdm Charge Record Medical Supplies,4017.09,4017.09,,,0 CDM,27101769_7159425,Noncdm Charge Record Medical Supplies,283.6,283.6,,,0 CDM,27101769_7159426,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27101769_7163959,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27101769_7165308,Noncdm Charge Record Medical Supplies,565.66,565.66,,,0 CDM,27101769_7167027,Noncdm Charge Record Medical Supplies,108.78,108.78,,,0 CDM,27101769_7168419,Noncdm Charge Record Medical Supplies,1149.96,1149.96,,,0 CDM,27101769_7168420,Noncdm Charge Record Medical Supplies,1025.64,1025.64,,,0 CDM,27101769_7172255,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27101769_7172288,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27101769_7172328,Noncdm Charge Record Medical Supplies,283.6,283.6,,,0 CDM,27101769_7172356,Noncdm Charge Record Medical Supplies,411.81,411.81,,,0 CDM,27101769_7172388,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27101769_7172389,Noncdm Charge Record Medical Supplies,1958.04,1958.04,,,0 CDM,27101769_7172393,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27101769_7172488,Noncdm Charge Record Medical Supplies,1300.7,1300.7,,,0 CDM,27101769_7172501,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27101769_7172574,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27101769_7172578,Noncdm Charge Record Medical Supplies,411.81,411.81,,,0 CDM,27101769_7172615,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27101769_7172690,Noncdm Charge Record Medical Supplies,411.81,411.81,,,0 CDM,27101769_7172691,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27101769_7172698,Noncdm Charge Record Medical Supplies,411.81,411.81,,,0 CDM,27101769_7172744,Noncdm Charge Record Medical Supplies,340.87,340.87,,,0 CDM,27101769_7172971,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27101769_7172983,Noncdm Charge Record Medical Supplies,2660.45,2660.45,,,0 CDM,27101769_7173013,Noncdm Charge Record Medical Supplies,532.24,532.24,,,0 CDM,27101769_7173028,Noncdm Charge Record Medical Supplies,291.38,291.38,,,0 CDM,27101769_7173104,Noncdm Charge Record Medical Supplies,565.66,565.66,,,0 CDM,27101769_7173249,Noncdm Charge Record Medical Supplies,561.38,561.38,,,0 CDM,27101769_7173381,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27101769_7173382,Noncdm Charge Record Medical Supplies,769.23,769.23,,,0 CDM,27101769_7173384,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27101769_7173385,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27101769_7173416,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27101769_7173420,Noncdm Charge Record Medical Supplies,1300.7,1300.7,,,0 CDM,27101769_7173467,Noncdm Charge Record Medical Supplies,330.22,330.22,,,0 CDM,27101769_7173587,Noncdm Charge Record Medical Supplies,565.66,565.66,,,0 CDM,27101769_7173993,Noncdm Charge Record Medical Supplies,330.22,330.22,,,0 CDM,27101769_7174030,Noncdm Charge Record Medical Supplies,532.24,532.24,,,0 CDM,27101769_7174145,Noncdm Charge Record Medical Supplies,411.81,411.81,,,0 CDM,27101769_7175561,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27101769_7176906,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27101769_7176973,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27101769_7177297,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27101769_7177377,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27101769_7177553,Noncdm Charge Record Medical Supplies,561.38,561.38,,,0 CDM,27101769_7177563,Noncdm Charge Record Medical Supplies,330.22,330.22,,,0 CDM,27101769_7177696,Noncdm Charge Record Medical Supplies,574.98,574.98,,,0 CDM,27101769_7177746,Noncdm Charge Record Medical Supplies,561.38,561.38,,,0 CDM,27101769_7177867,Noncdm Charge Record Medical Supplies,574.98,574.98,,,0 CDM,27101769_7178130,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27101769_7178198,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27101769_7178256,Noncdm Charge Record Medical Supplies,2074.59,2074.59,,,0 CDM,27101769_7178321,Noncdm Charge Record Medical Supplies,561.38,561.38,,,0 CDM,27101769_7178331,Noncdm Charge Record Medical Supplies,561.38,561.38,,,0 CDM,27101769_7178341,Noncdm Charge Record Medical Supplies,561.38,561.38,,,0 CDM,27101769_7178342,Noncdm Charge Record Medical Supplies,561.38,561.38,,,0 CDM,27101769_7178542,Noncdm Charge Record Medical Supplies,1793.24,1793.24,,,0 CDM,27101769_7178596,Noncdm Charge Record Medical Supplies,283.6,283.6,,,0 CDM,27101769_7178726,Noncdm Charge Record Medical Supplies,561.38,561.38,,,0 CDM,27101769_7178864,Noncdm Charge Record Medical Supplies,561.38,561.38,,,0 CDM,27101769_7179217,Noncdm Charge Record Medical Supplies,330.84,330.84,,,0 CDM,27101769_7179219,Noncdm Charge Record Medical Supplies,418.34,418.34,,,0 CDM,27101769_7179522,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27101769_7179644,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27101769_7179699,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27101769_7179741,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27101769_7179773,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27101769_7179800,Noncdm Charge Record Medical Supplies,283.6,283.6,,,0 CDM,27101769_7180038,Noncdm Charge Record Medical Supplies,340.87,340.87,,,0 CDM,27101769_7180099,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27101769_7180110,Noncdm Charge Record Medical Supplies,3228.59,3228.59,,,0 CDM,27101769_7180117,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27101769_7180128,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27101769_7180192,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27101769_7180363,Noncdm Charge Record Medical Supplies,1792.54,1792.54,,,0 CDM,27101769_7180438,Noncdm Charge Record Medical Supplies,81.97,81.97,,,0 CDM,27101769_C1769_271,Noncdm Charge Record Medical Supplies,476.88,476.88,,,0 CDM,27101887_7015410,Noncdm Charge Record Medical Supplies,53.93,53.93,,,0 CDM,27103675_33525,Noncdm Charge Record Medical Supplies,360.07,360.07,,,0 CDM,27103675_33526,Noncdm Charge Record Medical Supplies,360.07,360.07,,,0 CDM,27103675_33527,Noncdm Charge Record Medical Supplies,31.78,31.78,,,0 CDM,27103675_33528,Noncdm Charge Record Medical Supplies,425.87,425.87,,,0 CDM,27103675_7000570,Noncdm Charge Record Medical Supplies,360.07,360.07,,,0 CDM,27104334_7044819,Noncdm Charge Record Medical Supplies,47.58,47.58,,,0 CDM,27104336_7010716,Noncdm Charge Record Medical Supplies,2.1,2.1,,,0 CDM,27104373_7037336,Noncdm Charge Record Medical Supplies,4.74,4.74,,,0 CDM,27104398_32874,Noncdm Charge Record Medical Supplies,2.17,2.17,,,0 CDM,27104398_33726,Noncdm Charge Record Medical Supplies,7.93,7.93,,,0 CDM,27104398_7011748,Noncdm Charge Record Medical Supplies,8.55,8.55,,,0 CDM,27104657_7027954,Noncdm Charge Record Medical Supplies,9.78,9.78,,,0 CDM,27104657_7029361,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27105171,Hc Hearing Aid Monaural Ite - Cros Transmitter,863.1,863.1,,,0 CDM,27105172,Hc Hearing Aid Monaural Itc - Cros Transmitter,863.1,863.1,,,0 CDM,27105181,Hc Hearing Aid Monaural Bte - Cros Transmitter,863.1,863.1,,,0 CDM,27105181_V5181_271,Hc Hearing Aid Monaural Bte - Cros Transmitter,863.1,863.1,,,0 CDM,27105213,Hc Hearing Aid Binaural Ite/Bte - Economy Cros Transmitter & Receiver,1680.0,1680.0,,,0 CDM,27105214,Hc Hearing Aid Binaural Itc/Itc - Economy Cros Transmitter & Receiver,1680.0,1680.0,,,0 CDM,27105254,"Hc Hearing Id, Digit, Mon, Cic - Economy",890.4,890.4,,,0 CDM,27105255,"Hc Hearing Aid, Digit, Mon, Itc - Economy",890.4,890.4,,,0 CDM,27105256,"Hc Hearing Aid, Digit, Mon, Ite - Economy",890.4,890.4,,,0 CDM,27105257,"Hc Hearing Aid, Digit, Mon, Bte - Economy",890.4,890.4,,,0 CDM,27105257_V5257_271,"Hc Hearing Aid, Digit, Mon, Bte - Economy",890.4,890.4,,,0 CDM,27105258,"Hc Hearing Aid Digital, Binaural, Cic - Economy",1780.8,1780.8,,,0 CDM,27105258_V5258_271,"Hc Hearing Aid Digital, Binaural, Cic - Economy",1780.8,1780.8,,,0 CDM,27105259,"Hc Hearing Aid Digital, Binaural, Itc - Economy",1780.8,1780.8,,,0 CDM,27105260,"Hc Hearing Aid Digital, Binaural, Ite - Economy",1780.8,1780.8,,,0 CDM,27105261,"Hc Hearing Aid Digital, Binaural, Bte - Economy",1780.8,1780.8,,,0 CDM,27105261_V5261_271,"Hc Hearing Aid Digital, Binaural, Bte - Economy",1780.8,1780.8,,,0 CDM,27105275,Hc Ear Impression,66.15,66.15,,,0 CDM,27105275_V5275_271,Hc Ear Impression,66.15,66.15,,,0 CDM,27106452,"Hc High Compression Bandage, Width Greater Than 3 Inches And Less Than 5 Inches, Per Yard",93.45,93.45,,,0 CDM,27106452_3037,"Hc High Compression Bandage, Width Greater Than 3 Inches And Less Than 5 Inches, Per Yard",60.06,60.06,,,0 CDM,27106452_3038,"Hc High Compression Bandage, Width Greater Than 3 Inches And Less Than 5 Inches, Per Yard",60.06,60.06,,,0 CDM,27106452_7000331,"Hc High Compression Bandage, Width Greater Than 3 Inches And Less Than 5 Inches, Per Yard",121.53,121.53,,,0 CDM,27106452_7000332,"Hc High Compression Bandage, Width Greater Than 3 Inches And Less Than 5 Inches, Per Yard",84.85,84.85,,,0 CDM,27106452_7000333,"Hc High Compression Bandage, Width Greater Than 3 Inches And Less Than 5 Inches, Per Yard",60.75,60.75,,,0 CDM,27106452_7014373,"Hc High Compression Bandage, Width Greater Than 3 Inches And Less Than 5 Inches, Per Yard",94.64,94.64,,,0 CDM,27107002_7015808,Noncdm Charge Record Medical Supplies,1839.6,1839.6,,,0 CDM,27109733_767053,Noncdm Charge Record Medical Supplies,427.35,427.35,,,0 CDM,27197_PBB,Pr Clsd Tx Pelvic Ring Fx W/O Manipulation-Pbb,4692.0,4692.0,,,0 CDM,27198_PBB,Pr Clsd Tx Pelvic Ring Fx W/Manipulation W/Anes-Pbb,14545.0,14545.0,,,0 CDM,27199070,Hc Crutches,147.0,147.0,,,0 CDM,27200000,Noncdm Charge Record,2827.5,2827.5,,,0 CDM,27200000_125662,Noncdm Charge Record Medical Supplies,368.61,368.61,,,0 CDM,27200000_272,Noncdm Charge Record Medical Supplies,4538.75,4538.75,,,0 CDM,27200000_3218,Noncdm Charge Record Medical Supplies,173.9,173.9,,,0 CDM,27200000_33135,Noncdm Charge Record Medical Supplies,3348.87,3348.87,,,0 CDM,27200000_33241,Noncdm Charge Record Medical Supplies,3291.12,3291.12,,,0 CDM,27200000_3514,Noncdm Charge Record Medical Supplies,97.7,97.7,,,0 CDM,27200000_400635,Noncdm Charge Record Medical Supplies,37.24,37.24,,,0 CDM,27200000_419631,Noncdm Charge Record Medical Supplies,1461.6,1461.6,,,0 CDM,27200000_511419,Noncdm Charge Record Medical Supplies,418.49,418.49,,,0 CDM,27200000_512740,Noncdm Charge Record Medical Supplies,1654.35,1654.35,,,0 CDM,27200000_513361,Noncdm Charge Record Medical Supplies,698.5,698.5,,,0 CDM,27200000_513362,Noncdm Charge Record Medical Supplies,606.06,606.06,,,0 CDM,27200000_513601,Noncdm Charge Record Medical Supplies,581.74,581.74,,,0 CDM,27200000_514040,Noncdm Charge Record Medical Supplies,418.49,418.49,,,0 CDM,27200000_514131,Noncdm Charge Record Medical Supplies,3224.55,3224.55,,,0 CDM,27200000_514140,Noncdm Charge Record Medical Supplies,660.8,660.8,,,0 CDM,27200000_515275,Noncdm Charge Record Medical Supplies,1409.87,1409.87,,,0 CDM,27200000_515367,Noncdm Charge Record Medical Supplies,1948.4,1948.4,,,0 CDM,27200000_515407,Noncdm Charge Record Medical Supplies,1399.38,1399.38,,,0 CDM,27200000_516597,Noncdm Charge Record Medical Supplies,2769.23,2769.23,,,0 CDM,27200000_516598,Noncdm Charge Record Medical Supplies,2769.23,2769.23,,,0 CDM,27200000_516672,Noncdm Charge Record Medical Supplies,803.74,803.74,,,0 CDM,27200000_518062,Noncdm Charge Record Medical Supplies,729.68,729.68,,,0 CDM,27200000_522755,Noncdm Charge Record Medical Supplies,1948.4,1948.4,,,0 CDM,27200000_522756,Noncdm Charge Record Medical Supplies,1948.4,1948.4,,,0 CDM,27200000_608027,Noncdm Charge Record Medical Supplies,1423.46,1423.46,,,0 CDM,27200000_609189,Noncdm Charge Record Medical Supplies,3022.53,3022.53,,,0 CDM,27200000_609190,Noncdm Charge Record Medical Supplies,3395.49,3395.49,,,0 CDM,27200000_622255,Noncdm Charge Record Medical Supplies,2524.47,2524.47,,,0 CDM,27200000_623745,Noncdm Charge Record Medical Supplies,125.85,125.85,,,0 CDM,27200000_624793,Noncdm Charge Record Medical Supplies,4075.52,4075.52,,,0 CDM,27200000_626884,Noncdm Charge Record Medical Supplies,1888.11,1888.11,,,0 CDM,27200000_7000342,Noncdm Charge Record Medical Supplies,1454.16,1454.16,,,0 CDM,27200000_7000386,Noncdm Charge Record Medical Supplies,1152.68,1152.68,,,0 CDM,27200000_7000458,Noncdm Charge Record Medical Supplies,5508.93,5508.93,,,0 CDM,27200000_7000474,Noncdm Charge Record Medical Supplies,1274.28,1274.28,,,0 CDM,27200000_7000477,Noncdm Charge Record Medical Supplies,3068.69,3068.69,,,0 CDM,27200000_7000586,Noncdm Charge Record Medical Supplies,1052.13,1052.13,,,0 CDM,27200000_7000592,Noncdm Charge Record Medical Supplies,342.04,342.04,,,0 CDM,27200000_7000643,Noncdm Charge Record Medical Supplies,1194.64,1194.64,,,0 CDM,27200000_7000645,Noncdm Charge Record Medical Supplies,1274.28,1274.28,,,0 CDM,27200000_7000655,Noncdm Charge Record Medical Supplies,2549.65,2549.65,,,0 CDM,27200000_7000667,Noncdm Charge Record Medical Supplies,4444.44,4444.44,,,0 CDM,27200000_7000672,Noncdm Charge Record Medical Supplies,653.69,653.69,,,0 CDM,27200000_7000690,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27200000_7000694,Noncdm Charge Record Medical Supplies,488.58,488.58,,,0 CDM,27200000_7000707,Noncdm Charge Record Medical Supplies,4496.89,4496.89,,,0 CDM,27200000_7000776,Noncdm Charge Record Medical Supplies,3187.08,3187.08,,,0 CDM,27200000_7000777,Noncdm Charge Record Medical Supplies,3051.43,3051.43,,,0 CDM,27200000_7000778,Noncdm Charge Record Medical Supplies,3812.19,3812.19,,,0 CDM,27200000_7000783,Noncdm Charge Record Medical Supplies,3482.2,3482.2,,,0 CDM,27200000_7000858,Noncdm Charge Record Medical Supplies,517.32,517.32,,,0 CDM,27200000_7000859,Noncdm Charge Record Medical Supplies,351.2,351.2,,,0 CDM,27200000_7000899,Noncdm Charge Record Medical Supplies,2267.06,2267.06,,,0 CDM,27200000_7000908,Noncdm Charge Record Medical Supplies,2351.52,2351.52,,,0 CDM,27200000_7000930,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27200000_7000957,Noncdm Charge Record Medical Supplies,2234.81,2234.81,,,0 CDM,27200000_7000959,Noncdm Charge Record Medical Supplies,1593.86,1593.86,,,0 CDM,27200000_7000966,Noncdm Charge Record Medical Supplies,3170.16,3170.16,,,0 CDM,27200000_7001056,Noncdm Charge Record Medical Supplies,3239.86,3239.86,,,0 CDM,27200000_7001081,Noncdm Charge Record Medical Supplies,7552.44,7552.44,,,0 CDM,27200000_7001124,Noncdm Charge Record Medical Supplies,2104.43,2104.43,,,0 CDM,27200000_7001125,Noncdm Charge Record Medical Supplies,5164.33,5164.33,,,0 CDM,27200000_7001283,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7001295,Noncdm Charge Record Medical Supplies,1162.39,1162.39,,,0 CDM,27200000_7001296,Noncdm Charge Record Medical Supplies,1180.26,1180.26,,,0 CDM,27200000_7001297,Noncdm Charge Record Medical Supplies,1410.1,1410.1,,,0 CDM,27200000_7001302,Noncdm Charge Record Medical Supplies,1454.16,1454.16,,,0 CDM,27200000_7001303,Noncdm Charge Record Medical Supplies,1522.92,1522.92,,,0 CDM,27200000_7001304,Noncdm Charge Record Medical Supplies,2058.18,2058.18,,,0 CDM,27200000_7001306,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7005496,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7010030,Noncdm Charge Record Medical Supplies,1498.06,1498.06,,,0 CDM,27200000_7010031,Noncdm Charge Record Medical Supplies,2699.92,2699.92,,,0 CDM,27200000_7010032,Noncdm Charge Record Medical Supplies,2699.92,2699.92,,,0 CDM,27200000_7010138,Noncdm Charge Record Medical Supplies,2649.57,2649.57,,,0 CDM,27200000_7010139,Noncdm Charge Record Medical Supplies,2649.57,2649.57,,,0 CDM,27200000_7010169,Noncdm Charge Record Medical Supplies,4118.1,4118.1,,,0 CDM,27200000_7010318,Noncdm Charge Record Medical Supplies,4556.1,4556.1,,,0 CDM,27200000_7010319,Noncdm Charge Record Medical Supplies,3229.6,3229.6,,,0 CDM,27200000_7010320,Noncdm Charge Record Medical Supplies,4419.42,4419.42,,,0 CDM,27200000_7010321,Noncdm Charge Record Medical Supplies,2873.81,2873.81,,,0 CDM,27200000_7010322,Noncdm Charge Record Medical Supplies,3908.24,3908.24,,,0 CDM,27200000_7010383,Noncdm Charge Record Medical Supplies,1238.77,1238.77,,,0 CDM,27200000_7010695,Noncdm Charge Record Medical Supplies,6935.08,6935.08,,,0 CDM,27200000_7010696,Noncdm Charge Record Medical Supplies,6319.19,6319.19,,,0 CDM,27200000_7010697,Noncdm Charge Record Medical Supplies,6952.08,6952.08,,,0 CDM,27200000_7010759,Noncdm Charge Record Medical Supplies,5630.14,5630.14,,,0 CDM,27200000_7011060,Noncdm Charge Record Medical Supplies,1682.36,1682.36,,,0 CDM,27200000_7011064,Noncdm Charge Record Medical Supplies,1575.91,1575.91,,,0 CDM,27200000_7011066,Noncdm Charge Record Medical Supplies,11655.0,11655.0,,,0 CDM,27200000_7011067,Noncdm Charge Record Medical Supplies,2064.65,2064.65,,,0 CDM,27200000_7011068,Noncdm Charge Record Medical Supplies,2372.8,2372.8,,,0 CDM,27200000_7011193,Noncdm Charge Record Medical Supplies,1612.28,1612.28,,,0 CDM,27200000_7011266,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27200000_7011451,Noncdm Charge Record Medical Supplies,1723.46,1723.46,,,0 CDM,27200000_7011540,Noncdm Charge Record Medical Supplies,3914.76,3914.76,,,0 CDM,27200000_7011544,Noncdm Charge Record Medical Supplies,1527.19,1527.19,,,0 CDM,27200000_7011740,Noncdm Charge Record Medical Supplies,1738.69,1738.69,,,0 CDM,27200000_7011741,Noncdm Charge Record Medical Supplies,1134.98,1134.98,,,0 CDM,27200000_7011742,Noncdm Charge Record Medical Supplies,1460.37,1460.37,,,0 CDM,27200000_7011751,Noncdm Charge Record Medical Supplies,1086.71,1086.71,,,0 CDM,27200000_7011892,Noncdm Charge Record Medical Supplies,1284.07,1284.07,,,0 CDM,27200000_7011907,Noncdm Charge Record Medical Supplies,3069.15,3069.15,,,0 CDM,27200000_7011928,Noncdm Charge Record Medical Supplies,1911.42,1911.42,,,0 CDM,27200000_7011934,Noncdm Charge Record Medical Supplies,1911.42,1911.42,,,0 CDM,27200000_7011994,Noncdm Charge Record Medical Supplies,1558.35,1558.35,,,0 CDM,27200000_7012077,Noncdm Charge Record Medical Supplies,2202.64,2202.64,,,0 CDM,27200000_7012115,Noncdm Charge Record Medical Supplies,5828.53,5828.53,,,0 CDM,27200000_7012124,Noncdm Charge Record Medical Supplies,1410.26,1410.26,,,0 CDM,27200000_7012125,Noncdm Charge Record Medical Supplies,1449.46,1449.46,,,0 CDM,27200000_7012140,Noncdm Charge Record Medical Supplies,1891.57,1891.57,,,0 CDM,27200000_7012166,Noncdm Charge Record Medical Supplies,2876.68,2876.68,,,0 CDM,27200000_7012167,Noncdm Charge Record Medical Supplies,2459.98,2459.98,,,0 CDM,27200000_7012168,Noncdm Charge Record Medical Supplies,3181.97,3181.97,,,0 CDM,27200000_7012169,Noncdm Charge Record Medical Supplies,5291.99,5291.99,,,0 CDM,27200000_7012170,Noncdm Charge Record Medical Supplies,1560.84,1560.84,,,0 CDM,27200000_7012203,Noncdm Charge Record Medical Supplies,5641.02,5641.02,,,0 CDM,27200000_7012232,Noncdm Charge Record Medical Supplies,1313.13,1313.13,,,0 CDM,27200000_7012233,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27200000_7012235,Noncdm Charge Record Medical Supplies,5582.39,5582.39,,,0 CDM,27200000_7012241,Noncdm Charge Record Medical Supplies,178.71,178.71,,,0 CDM,27200000_7012242,Noncdm Charge Record Medical Supplies,225.33,225.33,,,0 CDM,27200000_7012243,Noncdm Charge Record Medical Supplies,178.71,178.71,,,0 CDM,27200000_7012244,Noncdm Charge Record Medical Supplies,178.71,178.71,,,0 CDM,27200000_7012248,Noncdm Charge Record Medical Supplies,1495.11,1495.11,,,0 CDM,27200000_7012268,Noncdm Charge Record Medical Supplies,2550.89,2550.89,,,0 CDM,27200000_7012278,Noncdm Charge Record Medical Supplies,829.37,829.37,,,0 CDM,27200000_7012297,Noncdm Charge Record Medical Supplies,4594.71,4594.71,,,0 CDM,27200000_7012314,Noncdm Charge Record Medical Supplies,7692.23,7692.23,,,0 CDM,27200000_7012468,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27200000_7012504,Noncdm Charge Record Medical Supplies,6050.34,6050.34,,,0 CDM,27200000_7012507,Noncdm Charge Record Medical Supplies,8888.88,8888.88,,,0 CDM,27200000_7012513,Noncdm Charge Record Medical Supplies,4525.22,4525.22,,,0 CDM,27200000_7012516,Noncdm Charge Record Medical Supplies,1939.3,1939.3,,,0 CDM,27200000_7012586,Noncdm Charge Record Medical Supplies,8568.0,8568.0,,,0 CDM,27200000_7012589,Noncdm Charge Record Medical Supplies,630.0,630.0,,,0 CDM,27200000_7012590,Noncdm Charge Record Medical Supplies,15699.6,15699.6,,,0 CDM,27200000_7012592,Noncdm Charge Record Medical Supplies,15094.8,15094.8,,,0 CDM,27200000_7012593,Noncdm Charge Record Medical Supplies,15094.8,15094.8,,,0 CDM,27200000_7012619,Noncdm Charge Record Medical Supplies,3022.6,3022.6,,,0 CDM,27200000_7012649,Noncdm Charge Record Medical Supplies,3506.6,3506.6,,,0 CDM,27200000_7012650,Noncdm Charge Record Medical Supplies,2052.91,2052.91,,,0 CDM,27200000_7012655,Noncdm Charge Record Medical Supplies,1853.14,1853.14,,,0 CDM,27200000_7012661,Noncdm Charge Record Medical Supplies,3506.6,3506.6,,,0 CDM,27200000_7012705,Noncdm Charge Record Medical Supplies,3212.28,3212.28,,,0 CDM,27200000_7012738,Noncdm Charge Record Medical Supplies,20966.11,20966.11,,,0 CDM,27200000_7013263,Noncdm Charge Record Medical Supplies,2059.05,2059.05,,,0 CDM,27200000_7013277,Noncdm Charge Record Medical Supplies,7255.24,7255.24,,,0 CDM,27200000_7013288,Noncdm Charge Record Medical Supplies,25033.39,25033.39,,,0 CDM,27200000_7013289,Noncdm Charge Record Medical Supplies,21588.56,21588.56,,,0 CDM,27200000_7013290,Noncdm Charge Record Medical Supplies,11029.9,11029.9,,,0 CDM,27200000_7013316,Noncdm Charge Record Medical Supplies,189.66,189.66,,,0 CDM,27200000_7013334,Noncdm Charge Record Medical Supplies,374.55,374.55,,,0 CDM,27200000_7013337,Noncdm Charge Record Medical Supplies,39.94,39.94,,,0 CDM,27200000_7013340,Noncdm Charge Record Medical Supplies,1221.81,1221.81,,,0 CDM,27200000_7013383,Noncdm Charge Record Medical Supplies,2942.04,2942.04,,,0 CDM,27200000_7013410,Noncdm Charge Record Medical Supplies,8805.97,8805.97,,,0 CDM,27200000_7013415,Noncdm Charge Record Medical Supplies,8369.22,8369.22,,,0 CDM,27200000_7013454,Noncdm Charge Record Medical Supplies,870.24,870.24,,,0 CDM,27200000_7013486,Noncdm Charge Record Medical Supplies,2525.25,2525.25,,,0 CDM,27200000_7013490,Noncdm Charge Record Medical Supplies,22377.6,22377.6,,,0 CDM,27200000_7013549,Noncdm Charge Record Medical Supplies,1274.74,1274.74,,,0 CDM,27200000_7013550,Noncdm Charge Record Medical Supplies,1402.25,1402.25,,,0 CDM,27200000_7013556,Noncdm Charge Record Medical Supplies,2466.12,2466.12,,,0 CDM,27200000_7013661,Noncdm Charge Record Medical Supplies,3978.24,3978.24,,,0 CDM,27200000_7013662,Noncdm Charge Record Medical Supplies,3978.24,3978.24,,,0 CDM,27200000_7013663,Noncdm Charge Record Medical Supplies,3978.24,3978.24,,,0 CDM,27200000_7013664,Noncdm Charge Record Medical Supplies,3978.24,3978.24,,,0 CDM,27200000_7013682,Noncdm Charge Record Medical Supplies,1269.46,1269.46,,,0 CDM,27200000_7013909,Noncdm Charge Record Medical Supplies,3552.52,3552.52,,,0 CDM,27200000_7014097,Noncdm Charge Record Medical Supplies,3063.01,3063.01,,,0 CDM,27200000_7014103,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7014137,Noncdm Charge Record Medical Supplies,1401.39,1401.39,,,0 CDM,27200000_7014259,Noncdm Charge Record Medical Supplies,3456.46,3456.46,,,0 CDM,27200000_7014261,Noncdm Charge Record Medical Supplies,6487.95,6487.95,,,0 CDM,27200000_7014300,Noncdm Charge Record Medical Supplies,1994.33,1994.33,,,0 CDM,27200000_7014318,Noncdm Charge Record Medical Supplies,3426.57,3426.57,,,0 CDM,27200000_7014340,Noncdm Charge Record Medical Supplies,3360.14,3360.14,,,0 CDM,27200000_7014353,Noncdm Charge Record Medical Supplies,3382.44,3382.44,,,0 CDM,27200000_7014358,Noncdm Charge Record Medical Supplies,1979.8,1979.8,,,0 CDM,27200000_7014361,Noncdm Charge Record Medical Supplies,2129.07,2129.07,,,0 CDM,27200000_7014425,Noncdm Charge Record Medical Supplies,2684.27,2684.27,,,0 CDM,27200000_7014427,Noncdm Charge Record Medical Supplies,202.13,202.13,,,0 CDM,27200000_7014428,Noncdm Charge Record Medical Supplies,5266.8,5266.8,,,0 CDM,27200000_7014479,Noncdm Charge Record Medical Supplies,2267.95,2267.95,,,0 CDM,27200000_7014495,Noncdm Charge Record Medical Supplies,1454.04,1454.04,,,0 CDM,27200000_7014497,Noncdm Charge Record Medical Supplies,2855.48,2855.48,,,0 CDM,27200000_7014955,Noncdm Charge Record Medical Supplies,12104.64,12104.64,,,0 CDM,27200000_7015478,Noncdm Charge Record Medical Supplies,3611.5,3611.5,,,0 CDM,27200000_7015486,Noncdm Charge Record Medical Supplies,4553.22,4553.22,,,0 CDM,27200000_7015540,Noncdm Charge Record Medical Supplies,3049.2,3049.2,,,0 CDM,27200000_7015626,Noncdm Charge Record Medical Supplies,2444.37,2444.37,,,0 CDM,27200000_7015635,Noncdm Charge Record Medical Supplies,2952.83,2952.83,,,0 CDM,27200000_7015656,Noncdm Charge Record Medical Supplies,1962.78,1962.78,,,0 CDM,27200000_7015659,Noncdm Charge Record Medical Supplies,4123.28,4123.28,,,0 CDM,27200000_7015660,Noncdm Charge Record Medical Supplies,1962.78,1962.78,,,0 CDM,27200000_7015661,Noncdm Charge Record Medical Supplies,18014.74,18014.74,,,0 CDM,27200000_7015662,Noncdm Charge Record Medical Supplies,1962.78,1962.78,,,0 CDM,27200000_7015663,Noncdm Charge Record Medical Supplies,4133.29,4133.29,,,0 CDM,27200000_7015664,Noncdm Charge Record Medical Supplies,1962.78,1962.78,,,0 CDM,27200000_7015698,Noncdm Charge Record Medical Supplies,5951.38,5951.38,,,0 CDM,27200000_7015699,Noncdm Charge Record Medical Supplies,8617.79,8617.79,,,0 CDM,27200000_7015724,Noncdm Charge Record Medical Supplies,46581.15,46581.15,,,0 CDM,27200000_7015737,Noncdm Charge Record Medical Supplies,9552.66,9552.66,,,0 CDM,27200000_7015880,Noncdm Charge Record Medical Supplies,1557.36,1557.36,,,0 CDM,27200000_7016255,Noncdm Charge Record Medical Supplies,27.75,27.75,,,0 CDM,27200000_7016371,Noncdm Charge Record Medical Supplies,1887.9,1887.9,,,0 CDM,27200000_7016509,Noncdm Charge Record Medical Supplies,2789.98,2789.98,,,0 CDM,27200000_7016510,Noncdm Charge Record Medical Supplies,3190.28,3190.28,,,0 CDM,27200000_7016568,Noncdm Charge Record Medical Supplies,2377.08,2377.08,,,0 CDM,27200000_7016587,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27200000_7016759,Noncdm Charge Record Medical Supplies,1199.52,1199.52,,,0 CDM,27200000_7016795,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7017262,Noncdm Charge Record Medical Supplies,230.54,230.54,,,0 CDM,27200000_7017801,Noncdm Charge Record Medical Supplies,4950.97,4950.97,,,0 CDM,27200000_7018517,Noncdm Charge Record Medical Supplies,1397.05,1397.05,,,0 CDM,27200000_7018909,Noncdm Charge Record Medical Supplies,3552.52,3552.52,,,0 CDM,27200000_7018910,Noncdm Charge Record Medical Supplies,1836.45,1836.45,,,0 CDM,27200000_7018943,Noncdm Charge Record Medical Supplies,3212.28,3212.28,,,0 CDM,27200000_7019006,Noncdm Charge Record Medical Supplies,2828.44,2828.44,,,0 CDM,27200000_7019042,Noncdm Charge Record Medical Supplies,731.88,731.88,,,0 CDM,27200000_7019043,Noncdm Charge Record Medical Supplies,463.68,463.68,,,0 CDM,27200000_7019295,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27200000_7019420,Noncdm Charge Record Medical Supplies,411.81,411.81,,,0 CDM,27200000_7019457,Noncdm Charge Record Medical Supplies,222.91,222.91,,,0 CDM,27200000_7019466,Noncdm Charge Record Medical Supplies,173.43,173.43,,,0 CDM,27200000_7019539,Noncdm Charge Record Medical Supplies,152.68,152.68,,,0 CDM,27200000_7019608,Noncdm Charge Record Medical Supplies,57.11,57.11,,,0 CDM,27200000_7019667,Noncdm Charge Record Medical Supplies,230.67,230.67,,,0 CDM,27200000_7019691,Noncdm Charge Record Medical Supplies,202.4,202.4,,,0 CDM,27200000_7019750,Noncdm Charge Record Medical Supplies,4075.36,4075.36,,,0 CDM,27200000_7020054,Noncdm Charge Record Medical Supplies,163.56,163.56,,,0 CDM,27200000_7020055,Noncdm Charge Record Medical Supplies,163.56,163.56,,,0 CDM,27200000_7020056,Noncdm Charge Record Medical Supplies,128.75,128.75,,,0 CDM,27200000_7020238,Noncdm Charge Record Medical Supplies,163.56,163.56,,,0 CDM,27200000_7020239,Noncdm Charge Record Medical Supplies,264.11,264.11,,,0 CDM,27200000_7020332,Noncdm Charge Record Medical Supplies,2991.45,2991.45,,,0 CDM,27200000_7020416,Noncdm Charge Record Medical Supplies,1943.28,1943.28,,,0 CDM,27200000_7020417,Noncdm Charge Record Medical Supplies,1684.61,1684.61,,,0 CDM,27200000_7020752,Noncdm Charge Record Medical Supplies,2991.45,2991.45,,,0 CDM,27200000_7020756,Noncdm Charge Record Medical Supplies,3252.3,3252.3,,,0 CDM,27200000_7020758,Noncdm Charge Record Medical Supplies,3211.6,3211.6,,,0 CDM,27200000_7020838,Noncdm Charge Record Medical Supplies,1404.82,1404.82,,,0 CDM,27200000_7020952,Noncdm Charge Record Medical Supplies,4623.15,4623.15,,,0 CDM,27200000_7021315,Noncdm Charge Record Medical Supplies,3441.61,3441.61,,,0 CDM,27200000_7021676,Noncdm Charge Record Medical Supplies,3604.35,3604.35,,,0 CDM,27200000_7021751,Noncdm Charge Record Medical Supplies,5477.85,5477.85,,,0 CDM,27200000_7021765,Noncdm Charge Record Medical Supplies,1229.59,1229.59,,,0 CDM,27200000_7021766,Noncdm Charge Record Medical Supplies,5557.92,5557.92,,,0 CDM,27200000_7021846,Noncdm Charge Record Medical Supplies,4327.89,4327.89,,,0 CDM,27200000_7021954,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27200000_7021955,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27200000_7021956,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27200000_7022006,Noncdm Charge Record Medical Supplies,2708.16,2708.16,,,0 CDM,27200000_7022007,Noncdm Charge Record Medical Supplies,2794.41,2794.41,,,0 CDM,27200000_7022239,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7022240,Noncdm Charge Record Medical Supplies,2317.12,2317.12,,,0 CDM,27200000_7022241,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27200000_7022242,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27200000_7022286,Noncdm Charge Record Medical Supplies,1127.97,1127.97,,,0 CDM,27200000_7022290,Noncdm Charge Record Medical Supplies,1127.97,1127.97,,,0 CDM,27200000_7022293,Noncdm Charge Record Medical Supplies,5944.05,5944.05,,,0 CDM,27200000_7022395,Noncdm Charge Record Medical Supplies,11616.15,11616.15,,,0 CDM,27200000_7022524,Noncdm Charge Record Medical Supplies,8420.81,8420.81,,,0 CDM,27200000_7022719,Noncdm Charge Record Medical Supplies,111.89,111.89,,,0 CDM,27200000_7023209,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27200000_7023536,Noncdm Charge Record Medical Supplies,3229.6,3229.6,,,0 CDM,27200000_7023694,Noncdm Charge Record Medical Supplies,12681.26,12681.26,,,0 CDM,27200000_7023809,Noncdm Charge Record Medical Supplies,1498.99,1498.99,,,0 CDM,27200000_7023836,Noncdm Charge Record Medical Supplies,1146.08,1146.08,,,0 CDM,27200000_7023851,Noncdm Charge Record Medical Supplies,4421.13,4421.13,,,0 CDM,27200000_7023934,Noncdm Charge Record Medical Supplies,1379.64,1379.64,,,0 CDM,27200000_7023996,Noncdm Charge Record Medical Supplies,2556.33,2556.33,,,0 CDM,27200000_7024034,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7024037,Noncdm Charge Record Medical Supplies,4182.66,4182.66,,,0 CDM,27200000_7024040,Noncdm Charge Record Medical Supplies,2556.33,2556.33,,,0 CDM,27200000_7024055,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27200000_7024060,Noncdm Charge Record Medical Supplies,1922.69,1922.69,,,0 CDM,27200000_7024062,Noncdm Charge Record Medical Supplies,7281.89,7281.89,,,0 CDM,27200000_7024069,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7024072,Noncdm Charge Record Medical Supplies,4413.36,4413.36,,,0 CDM,27200000_7024083,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27200000_7024092,Noncdm Charge Record Medical Supplies,1596.66,1596.66,,,0 CDM,27200000_7026666,Noncdm Charge Record Medical Supplies,4589.28,4589.28,,,0 CDM,27200000_7027793,Noncdm Charge Record Medical Supplies,1981.35,1981.35,,,0 CDM,27200000_7027879,Noncdm Charge Record Medical Supplies,1285.2,1285.2,,,0 CDM,27200000_7027936,Noncdm Charge Record Medical Supplies,705.6,705.6,,,0 CDM,27200000_7027999,Noncdm Charge Record Medical Supplies,42.84,42.84,,,0 CDM,27200000_7028005,Noncdm Charge Record Medical Supplies,370.94,370.94,,,0 CDM,27200000_7028012,Noncdm Charge Record Medical Supplies,297.54,297.54,,,0 CDM,27200000_7028083,Noncdm Charge Record Medical Supplies,5128.2,5128.2,,,0 CDM,27200000_7028104,Noncdm Charge Record Medical Supplies,1531.47,1531.47,,,0 CDM,27200000_7028479,Noncdm Charge Record Medical Supplies,1531.47,1531.47,,,0 CDM,27200000_7028649,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27200000_7028971,Noncdm Charge Record Medical Supplies,1233.95,1233.95,,,0 CDM,27200000_7029014,Noncdm Charge Record Medical Supplies,4364.8,4364.8,,,0 CDM,27200000_7029030,Noncdm Charge Record Medical Supplies,2209.95,2209.95,,,0 CDM,27200000_7029084,Noncdm Charge Record Medical Supplies,2276.61,2276.61,,,0 CDM,27200000_7029146,Noncdm Charge Record Medical Supplies,1507.38,1507.38,,,0 CDM,27200000_7029164,Noncdm Charge Record Medical Supplies,211.68,211.68,,,0 CDM,27200000_7029177,Noncdm Charge Record Medical Supplies,2209.95,2209.95,,,0 CDM,27200000_7029184,Noncdm Charge Record Medical Supplies,103.8,103.8,,,0 CDM,27200000_7029199,Noncdm Charge Record Medical Supplies,212.09,212.09,,,0 CDM,27200000_7029277,Noncdm Charge Record Medical Supplies,4374.72,4374.72,,,0 CDM,27200000_7029278,Noncdm Charge Record Medical Supplies,4374.72,4374.72,,,0 CDM,27200000_7029279,Noncdm Charge Record Medical Supplies,4374.72,4374.72,,,0 CDM,27200000_7029280,Noncdm Charge Record Medical Supplies,5164.6,5164.6,,,0 CDM,27200000_7029310,Noncdm Charge Record Medical Supplies,62.32,62.32,,,0 CDM,27200000_7029327,Noncdm Charge Record Medical Supplies,68.61,68.61,,,0 CDM,27200000_7029350,Noncdm Charge Record Medical Supplies,1163.01,1163.01,,,0 CDM,27200000_7029357,Noncdm Charge Record Medical Supplies,1822.06,1822.06,,,0 CDM,27200000_7029360,Noncdm Charge Record Medical Supplies,2452.21,2452.21,,,0 CDM,27200000_7029375,Noncdm Charge Record Medical Supplies,1738.54,1738.54,,,0 CDM,27200000_7029384,Noncdm Charge Record Medical Supplies,1163.01,1163.01,,,0 CDM,27200000_7029388,Noncdm Charge Record Medical Supplies,2120.17,2120.17,,,0 CDM,27200000_7029400,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7029413,Noncdm Charge Record Medical Supplies,691.53,691.53,,,0 CDM,27200000_7029415,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7029541,Noncdm Charge Record Medical Supplies,2377.62,2377.62,,,0 CDM,27200000_7029634,Noncdm Charge Record Medical Supplies,1569.77,1569.77,,,0 CDM,27200000_7029650,Noncdm Charge Record Medical Supplies,3403.26,3403.26,,,0 CDM,27200000_7029651,Noncdm Charge Record Medical Supplies,4654.23,4654.23,,,0 CDM,27200000_7029653,Noncdm Charge Record Medical Supplies,11437.34,11437.34,,,0 CDM,27200000_7029659,Noncdm Charge Record Medical Supplies,5586.63,5586.63,,,0 CDM,27200000_7029755,Noncdm Charge Record Medical Supplies,504.0,504.0,,,0 CDM,27200000_7029870,Noncdm Charge Record Medical Supplies,2907.0,2907.0,,,0 CDM,27200000_7029948,Noncdm Charge Record Medical Supplies,730.8,730.8,,,0 CDM,27200000_7029968,Noncdm Charge Record Medical Supplies,2075.87,2075.87,,,0 CDM,27200000_7030056,Noncdm Charge Record Medical Supplies,293.83,293.83,,,0 CDM,27200000_7030126,Noncdm Charge Record Medical Supplies,10004.4,10004.4,,,0 CDM,27200000_7030173,Noncdm Charge Record Medical Supplies,1587.41,1587.41,,,0 CDM,27200000_7030180,Noncdm Charge Record Medical Supplies,3212.28,3212.28,,,0 CDM,27200000_7030194,Noncdm Charge Record Medical Supplies,10764.01,10764.01,,,0 CDM,27200000_7030200,Noncdm Charge Record Medical Supplies,1864.8,1864.8,,,0 CDM,27200000_7030236,Noncdm Charge Record Medical Supplies,936.88,936.88,,,0 CDM,27200000_7030325,Noncdm Charge Record Medical Supplies,4763.01,4763.01,,,0 CDM,27200000_7030335,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7030338,Noncdm Charge Record Medical Supplies,12432.0,12432.0,,,0 CDM,27200000_7030433,Noncdm Charge Record Medical Supplies,1628.93,1628.93,,,0 CDM,27200000_7030436,Noncdm Charge Record Medical Supplies,44.71,44.71,,,0 CDM,27200000_7030439,Noncdm Charge Record Medical Supplies,24234.63,24234.63,,,0 CDM,27200000_7030440,Noncdm Charge Record Medical Supplies,3188.81,3188.81,,,0 CDM,27200000_7030441,Noncdm Charge Record Medical Supplies,1266.46,1266.46,,,0 CDM,27200000_7030466,Noncdm Charge Record Medical Supplies,3188.81,3188.81,,,0 CDM,27200000_7030483,Noncdm Charge Record Medical Supplies,2691.57,2691.57,,,0 CDM,27200000_7030504,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27200000_7030511,Noncdm Charge Record Medical Supplies,450.66,450.66,,,0 CDM,27200000_7030524,Noncdm Charge Record Medical Supplies,4374.72,4374.72,,,0 CDM,27200000_7030535,Noncdm Charge Record Medical Supplies,4343.43,4343.43,,,0 CDM,27200000_7030725,Noncdm Charge Record Medical Supplies,382.67,382.67,,,0 CDM,27200000_7030930,Noncdm Charge Record Medical Supplies,2395.51,2395.51,,,0 CDM,27200000_7030933,Noncdm Charge Record Medical Supplies,1097.6,1097.6,,,0 CDM,27200000_7030937,Noncdm Charge Record Medical Supplies,3069.15,3069.15,,,0 CDM,27200000_7030938,Noncdm Charge Record Medical Supplies,1198.13,1198.13,,,0 CDM,27200000_7030945,Noncdm Charge Record Medical Supplies,2501.06,2501.06,,,0 CDM,27200000_7030950,Noncdm Charge Record Medical Supplies,3574.2,3574.2,,,0 CDM,27200000_7030957,Noncdm Charge Record Medical Supplies,3774.96,3774.96,,,0 CDM,27200000_7030966,Noncdm Charge Record Medical Supplies,512.82,512.82,,,0 CDM,27200000_7031017,Noncdm Charge Record Medical Supplies,4018.88,4018.88,,,0 CDM,27200000_7031048,Noncdm Charge Record Medical Supplies,2020.2,2020.2,,,0 CDM,27200000_7031058,Noncdm Charge Record Medical Supplies,947.24,947.24,,,0 CDM,27200000_7031071,Noncdm Charge Record Medical Supplies,2915.1,2915.1,,,0 CDM,27200000_7031237,Noncdm Charge Record Medical Supplies,135975.0,135975.0,,,0 CDM,27200000_7031255,Noncdm Charge Record Medical Supplies,4685.62,4685.62,,,0 CDM,27200000_7031304,Noncdm Charge Record Medical Supplies,11768.4,11768.4,,,0 CDM,27200000_7031305,Noncdm Charge Record Medical Supplies,11768.4,11768.4,,,0 CDM,27200000_7031328,Noncdm Charge Record Medical Supplies,201.6,201.6,,,0 CDM,27200000_7031456,Noncdm Charge Record Medical Supplies,4817.4,4817.4,,,0 CDM,27200000_7031475,Noncdm Charge Record Medical Supplies,4817.4,4817.4,,,0 CDM,27200000_7031701,Noncdm Charge Record Medical Supplies,1499.61,1499.61,,,0 CDM,27200000_7031702,Noncdm Charge Record Medical Supplies,2081.97,2081.97,,,0 CDM,27200000_7031708,Noncdm Charge Record Medical Supplies,2578.79,2578.79,,,0 CDM,27200000_7031709,Noncdm Charge Record Medical Supplies,2505.44,2505.44,,,0 CDM,27200000_7031715,Noncdm Charge Record Medical Supplies,2505.44,2505.44,,,0 CDM,27200000_7031716,Noncdm Charge Record Medical Supplies,2324.24,2324.24,,,0 CDM,27200000_7031799,Noncdm Charge Record Medical Supplies,2016.0,2016.0,,,0 CDM,27200000_7031868,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7031872,Noncdm Charge Record Medical Supplies,6006.21,6006.21,,,0 CDM,27200000_7031901,Noncdm Charge Record Medical Supplies,3780.0,3780.0,,,0 CDM,27200000_7031919,Noncdm Charge Record Medical Supplies,6021.75,6021.75,,,0 CDM,27200000_7031967,Noncdm Charge Record Medical Supplies,10567.2,10567.2,,,0 CDM,27200000_7031983,Noncdm Charge Record Medical Supplies,4442.81,4442.81,,,0 CDM,27200000_7032038,Noncdm Charge Record Medical Supplies,511.3,511.3,,,0 CDM,27200000_7032107,Noncdm Charge Record Medical Supplies,156.72,156.72,,,0 CDM,27200000_7032124,Noncdm Charge Record Medical Supplies,114.06,114.06,,,0 CDM,27200000_7032134,Noncdm Charge Record Medical Supplies,1917.25,1917.25,,,0 CDM,27200000_7032138,Noncdm Charge Record Medical Supplies,2876.84,2876.84,,,0 CDM,27200000_7032146,Noncdm Charge Record Medical Supplies,2733.09,2733.09,,,0 CDM,27200000_7032152,Noncdm Charge Record Medical Supplies,2198.21,2198.21,,,0 CDM,27200000_7032170,Noncdm Charge Record Medical Supplies,191.76,191.76,,,0 CDM,27200000_7032244,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27200000_7032273,Noncdm Charge Record Medical Supplies,1409.09,1409.09,,,0 CDM,27200000_7032471,Noncdm Charge Record Medical Supplies,3317.79,3317.79,,,0 CDM,27200000_7032473,Noncdm Charge Record Medical Supplies,3317.79,3317.79,,,0 CDM,27200000_7032474,Noncdm Charge Record Medical Supplies,3317.79,3317.79,,,0 CDM,27200000_7032501,Noncdm Charge Record Medical Supplies,1437.45,1437.45,,,0 CDM,27200000_7032522,Noncdm Charge Record Medical Supplies,3996.43,3996.43,,,0 CDM,27200000_7032524,Noncdm Charge Record Medical Supplies,3996.43,3996.43,,,0 CDM,27200000_7032557,Noncdm Charge Record Medical Supplies,1521.37,1521.37,,,0 CDM,27200000_7032578,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27200000_7032629,Noncdm Charge Record Medical Supplies,1088.64,1088.64,,,0 CDM,27200000_7032666,Noncdm Charge Record Medical Supplies,2570.4,2570.4,,,0 CDM,27200000_7032706,Noncdm Charge Record Medical Supplies,1424.47,1424.47,,,0 CDM,27200000_7032872,Noncdm Charge Record Medical Supplies,211.68,211.68,,,0 CDM,27200000_7032978,Noncdm Charge Record Medical Supplies,1466.32,1466.32,,,0 CDM,27200000_7032996,Noncdm Charge Record Medical Supplies,709.75,709.75,,,0 CDM,27200000_7033014,Noncdm Charge Record Medical Supplies,4040.46,4040.46,,,0 CDM,27200000_7033015,Noncdm Charge Record Medical Supplies,4012.36,4012.36,,,0 CDM,27200000_7033016,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27200000_7033047,Noncdm Charge Record Medical Supplies,7498.05,7498.05,,,0 CDM,27200000_7033050,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7033051,Noncdm Charge Record Medical Supplies,23916.06,23916.06,,,0 CDM,27200000_7033085,Noncdm Charge Record Medical Supplies,9448.32,9448.32,,,0 CDM,27200000_7033132,Noncdm Charge Record Medical Supplies,15.54,15.54,,,0 CDM,27200000_7033150,Noncdm Charge Record Medical Supplies,756.0,756.0,,,0 CDM,27200000_7033214,Noncdm Charge Record Medical Supplies,2439.36,2439.36,,,0 CDM,27200000_7033323,Noncdm Charge Record Medical Supplies,100.8,100.8,,,0 CDM,27200000_7033639,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7033811,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7034457,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27200000_7034458,Noncdm Charge Record Medical Supplies,1670.55,1670.55,,,0 CDM,27200000_7034810,Noncdm Charge Record Medical Supplies,65.47,65.47,,,0 CDM,27200000_7035039,Noncdm Charge Record Medical Supplies,33.99,33.99,,,0 CDM,27200000_7035181,Noncdm Charge Record Medical Supplies,24877.44,24877.44,,,0 CDM,27200000_7035183,Noncdm Charge Record Medical Supplies,24877.44,24877.44,,,0 CDM,27200000_7035983,Noncdm Charge Record Medical Supplies,2497.28,2497.28,,,0 CDM,27200000_7035984,Noncdm Charge Record Medical Supplies,2723.16,2723.16,,,0 CDM,27200000_7035985,Noncdm Charge Record Medical Supplies,21367.5,21367.5,,,0 CDM,27200000_7035986,Noncdm Charge Record Medical Supplies,2758.35,2758.35,,,0 CDM,27200000_7035988,Noncdm Charge Record Medical Supplies,4479.4,4479.4,,,0 CDM,27200000_7035989,Noncdm Charge Record Medical Supplies,1911.42,1911.42,,,0 CDM,27200000_7036325,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27200000_7037145,Noncdm Charge Record Medical Supplies,2501.94,2501.94,,,0 CDM,27200000_7037147,Noncdm Charge Record Medical Supplies,22528.8,22528.8,,,0 CDM,27200000_7037210,Noncdm Charge Record Medical Supplies,6.6,6.6,,,0 CDM,27200000_7037211,Noncdm Charge Record Medical Supplies,15.54,15.54,,,0 CDM,27200000_7037368,Noncdm Charge Record Medical Supplies,2851.59,2851.59,,,0 CDM,27200000_7037369,Noncdm Charge Record Medical Supplies,18103.68,18103.68,,,0 CDM,27200000_7037370,Noncdm Charge Record Medical Supplies,19627.95,19627.95,,,0 CDM,27200000_7037373,Noncdm Charge Record Medical Supplies,560.99,560.99,,,0 CDM,27200000_7037374,Noncdm Charge Record Medical Supplies,610.72,610.72,,,0 CDM,27200000_7037747,Noncdm Charge Record Medical Supplies,922.61,922.61,,,0 CDM,27200000_7037748,Noncdm Charge Record Medical Supplies,873.27,873.27,,,0 CDM,27200000_7037749,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27200000_7037752,Noncdm Charge Record Medical Supplies,986.01,986.01,,,0 CDM,27200000_7037759,Noncdm Charge Record Medical Supplies,384.62,384.62,,,0 CDM,27200000_7037782,Noncdm Charge Record Medical Supplies,277.78,277.78,,,0 CDM,27200000_7037783,Noncdm Charge Record Medical Supplies,709.01,709.01,,,0 CDM,27200000_7037787,Noncdm Charge Record Medical Supplies,371.02,371.02,,,0 CDM,27200000_7037795,Noncdm Charge Record Medical Supplies,642.97,642.97,,,0 CDM,27200000_7037797,Noncdm Charge Record Medical Supplies,1824.01,1824.01,,,0 CDM,27200000_7037798,Noncdm Charge Record Medical Supplies,458.43,458.43,,,0 CDM,27200000_7037802,Noncdm Charge Record Medical Supplies,376.84,376.84,,,0 CDM,27200000_7037803,Noncdm Charge Record Medical Supplies,506.99,506.99,,,0 CDM,27200000_7037807,Noncdm Charge Record Medical Supplies,376.84,376.84,,,0 CDM,27200000_7037810,Noncdm Charge Record Medical Supplies,611.89,611.89,,,0 CDM,27200000_7037811,Noncdm Charge Record Medical Supplies,641.02,641.02,,,0 CDM,27200000_7037814,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7037840,Noncdm Charge Record Medical Supplies,2525.25,2525.25,,,0 CDM,27200000_7037906,Noncdm Charge Record Medical Supplies,1017.17,1017.17,,,0 CDM,27200000_7037911,Noncdm Charge Record Medical Supplies,26806.5,26806.5,,,0 CDM,27200000_7037912,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7037914,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7037999,Noncdm Charge Record Medical Supplies,3199.3,3199.3,,,0 CDM,27200000_7038000,Noncdm Charge Record Medical Supplies,1648.64,1648.64,,,0 CDM,27200000_7038004,Noncdm Charge Record Medical Supplies,4133.64,4133.64,,,0 CDM,27200000_7038339,Noncdm Charge Record Medical Supplies,5174.82,5174.82,,,0 CDM,27200000_7038344,Noncdm Charge Record Medical Supplies,4941.72,4941.72,,,0 CDM,27200000_7038540,Noncdm Charge Record Medical Supplies,3521.75,3521.75,,,0 CDM,27200000_7038601,Noncdm Charge Record Medical Supplies,1180.81,1180.81,,,0 CDM,27200000_7038845,Noncdm Charge Record Medical Supplies,1540.87,1540.87,,,0 CDM,27200000_7038848,Noncdm Charge Record Medical Supplies,556.9,556.9,,,0 CDM,27200000_7039641,Noncdm Charge Record Medical Supplies,1955.79,1955.79,,,0 CDM,27200000_7039642,Noncdm Charge Record Medical Supplies,1955.79,1955.79,,,0 CDM,27200000_7039709,Noncdm Charge Record Medical Supplies,2121.21,2121.21,,,0 CDM,27200000_7039710,Noncdm Charge Record Medical Supplies,1521.37,1521.37,,,0 CDM,27200000_7040696,Noncdm Charge Record Medical Supplies,781.27,781.27,,,0 CDM,27200000_7040699,Noncdm Charge Record Medical Supplies,2769.23,2769.23,,,0 CDM,27200000_7040704,Noncdm Charge Record Medical Supplies,2468.28,2468.28,,,0 CDM,27200000_7040706,Noncdm Charge Record Medical Supplies,78.17,78.17,,,0 CDM,27200000_7040707,Noncdm Charge Record Medical Supplies,2599.25,2599.25,,,0 CDM,27200000_7040708,Noncdm Charge Record Medical Supplies,2307.69,2307.69,,,0 CDM,27200000_7040709,Noncdm Charge Record Medical Supplies,2384.61,2384.61,,,0 CDM,27200000_7040711,Noncdm Charge Record Medical Supplies,2737.84,2737.84,,,0 CDM,27200000_7040714,Noncdm Charge Record Medical Supplies,2384.61,2384.61,,,0 CDM,27200000_7040783,Noncdm Charge Record Medical Supplies,3846.15,3846.15,,,0 CDM,27200000_7041694,Noncdm Charge Record Medical Supplies,2469.23,2469.23,,,0 CDM,27200000_7041695,Noncdm Charge Record Medical Supplies,2372.8,2372.8,,,0 CDM,27200000_7041780,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7041781,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7041785,Noncdm Charge Record Medical Supplies,5461.92,5461.92,,,0 CDM,27200000_7042065,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7042303,Noncdm Charge Record Medical Supplies,1608.16,1608.16,,,0 CDM,27200000_7042382,Noncdm Charge Record Medical Supplies,2474.74,2474.74,,,0 CDM,27200000_7042685,Noncdm Charge Record Medical Supplies,5699.41,5699.41,,,0 CDM,27200000_7043154,Noncdm Charge Record Medical Supplies,3132.86,3132.86,,,0 CDM,27200000_7043522,Noncdm Charge Record Medical Supplies,1427.81,1427.81,,,0 CDM,27200000_7044546,Noncdm Charge Record Medical Supplies,5353.53,5353.53,,,0 CDM,27200000_7045077,Noncdm Charge Record Medical Supplies,2369.85,2369.85,,,0 CDM,27200000_7045082,Noncdm Charge Record Medical Supplies,1328.9,1328.9,,,0 CDM,27200000_7045088,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7045477,Noncdm Charge Record Medical Supplies,1835.66,1835.66,,,0 CDM,27200000_7045481,Noncdm Charge Record Medical Supplies,3677.23,3677.23,,,0 CDM,27200000_7045605,Noncdm Charge Record Medical Supplies,1248.79,1248.79,,,0 CDM,27200000_7045608,Noncdm Charge Record Medical Supplies,2524.47,2524.47,,,0 CDM,27200000_7046528,Noncdm Charge Record Medical Supplies,1660.84,1660.84,,,0 CDM,27200000_7046529,Noncdm Charge Record Medical Supplies,1078.09,1078.09,,,0 CDM,27200000_7046545,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7046573,Noncdm Charge Record Medical Supplies,3127.42,3127.42,,,0 CDM,27200000_7046577,Noncdm Charge Record Medical Supplies,3127.42,3127.42,,,0 CDM,27200000_7046578,Noncdm Charge Record Medical Supplies,3127.42,3127.42,,,0 CDM,27200000_7046894,Noncdm Charge Record Medical Supplies,7466.97,7466.97,,,0 CDM,27200000_7047647,Noncdm Charge Record Medical Supplies,37165.85,37165.85,,,0 CDM,27200000_7047675,Noncdm Charge Record Medical Supplies,1822.06,1822.06,,,0 CDM,27200000_7047685,Noncdm Charge Record Medical Supplies,1895.88,1895.88,,,0 CDM,27200000_7047690,Noncdm Charge Record Medical Supplies,1895.88,1895.88,,,0 CDM,27200000_7048352,Noncdm Charge Record Medical Supplies,1686.09,1686.09,,,0 CDM,27200000_7048471,Noncdm Charge Record Medical Supplies,404.04,404.04,,,0 CDM,27200000_7048472,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7048529,Noncdm Charge Record Medical Supplies,761.46,761.46,,,0 CDM,27200000_7048921,Noncdm Charge Record Medical Supplies,225.25,225.25,,,0 CDM,27200000_7048942,Noncdm Charge Record Medical Supplies,1604.74,1604.74,,,0 CDM,27200000_7048947,Noncdm Charge Record Medical Supplies,1594.39,1594.39,,,0 CDM,27200000_7048949,Noncdm Charge Record Medical Supplies,740.09,740.09,,,0 CDM,27200000_7048950,Noncdm Charge Record Medical Supplies,734.26,734.26,,,0 CDM,27200000_7048959,Noncdm Charge Record Medical Supplies,740.09,740.09,,,0 CDM,27200000_7048966,Noncdm Charge Record Medical Supplies,1261.85,1261.85,,,0 CDM,27200000_7048975,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7048979,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7048987,Noncdm Charge Record Medical Supplies,2525.25,2525.25,,,0 CDM,27200000_7048988,Noncdm Charge Record Medical Supplies,3906.44,3906.44,,,0 CDM,27200000_7048993,Noncdm Charge Record Medical Supplies,3172.1,3172.1,,,0 CDM,27200000_7048995,Noncdm Charge Record Medical Supplies,3127.42,3127.42,,,0 CDM,27200000_7048997,Noncdm Charge Record Medical Supplies,5653.95,5653.95,,,0 CDM,27200000_7049056,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7049366,Noncdm Charge Record Medical Supplies,1581.27,1581.27,,,0 CDM,27200000_7049613,Noncdm Charge Record Medical Supplies,512.82,512.82,,,0 CDM,27200000_7049650,Noncdm Charge Record Medical Supplies,1768.54,1768.54,,,0 CDM,27200000_7049845,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7049936,Noncdm Charge Record Medical Supplies,1687.64,1687.64,,,0 CDM,27200000_7050075,Noncdm Charge Record Medical Supplies,3303.03,3303.03,,,0 CDM,27200000_7050076,Noncdm Charge Record Medical Supplies,3303.03,3303.03,,,0 CDM,27200000_7050078,Noncdm Charge Record Medical Supplies,3412.12,3412.12,,,0 CDM,27200000_7050984,Noncdm Charge Record Medical Supplies,2610.72,2610.72,,,0 CDM,27200000_7051536,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7051541,Noncdm Charge Record Medical Supplies,1149.96,1149.96,,,0 CDM,27200000_7051551,Noncdm Charge Record Medical Supplies,2214.45,2214.45,,,0 CDM,27200000_7051619,Noncdm Charge Record Medical Supplies,3473.19,3473.19,,,0 CDM,27200000_7051727,Noncdm Charge Record Medical Supplies,4188.03,4188.03,,,0 CDM,27200000_7051815,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7052525,Noncdm Charge Record Medical Supplies,3651.9,3651.9,,,0 CDM,27200000_7052546,Noncdm Charge Record Medical Supplies,3908.31,3908.31,,,0 CDM,27200000_7052562,Noncdm Charge Record Medical Supplies,1655.01,1655.01,,,0 CDM,27200000_7052571,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7052590,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7052786,Noncdm Charge Record Medical Supplies,2066.82,2066.82,,,0 CDM,27200000_7052837,Noncdm Charge Record Medical Supplies,1464.95,1464.95,,,0 CDM,27200000_7052881,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7052950,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7053104,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7053456,Noncdm Charge Record Medical Supplies,823.62,823.62,,,0 CDM,27200000_7053982,Noncdm Charge Record Medical Supplies,5368.01,5368.01,,,0 CDM,27200000_7053983,Noncdm Charge Record Medical Supplies,7310.33,7310.33,,,0 CDM,27200000_7053984,Noncdm Charge Record Medical Supplies,16227.44,16227.44,,,0 CDM,27200000_7053985,Noncdm Charge Record Medical Supplies,1811.93,1811.93,,,0 CDM,27200000_7054065,Noncdm Charge Record Medical Supplies,27933.15,27933.15,,,0 CDM,27200000_7054072,Noncdm Charge Record Medical Supplies,745.92,745.92,,,0 CDM,27200000_7054092,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7054126,Noncdm Charge Record Medical Supplies,10878.0,10878.0,,,0 CDM,27200000_7054159,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27200000_7054160,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7054163,Noncdm Charge Record Medical Supplies,1877.78,1877.78,,,0 CDM,27200000_7054840,Noncdm Charge Record Medical Supplies,3990.8,3990.8,,,0 CDM,27200000_7054927,Noncdm Charge Record Medical Supplies,1552.99,1552.99,,,0 CDM,27200000_7054994,Noncdm Charge Record Medical Supplies,1841.49,1841.49,,,0 CDM,27200000_7055015,Noncdm Charge Record Medical Supplies,281.48,281.48,,,0 CDM,27200000_7055016,Noncdm Charge Record Medical Supplies,281.48,281.48,,,0 CDM,27200000_7055017,Noncdm Charge Record Medical Supplies,281.48,281.48,,,0 CDM,27200000_7055056,Noncdm Charge Record Medical Supplies,4700.85,4700.85,,,0 CDM,27200000_7055161,Noncdm Charge Record Medical Supplies,2998.47,2998.47,,,0 CDM,27200000_7055163,Noncdm Charge Record Medical Supplies,3550.55,3550.55,,,0 CDM,27200000_7055424,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7055425,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7055491,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7055492,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7055493,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27200000_7055761,Noncdm Charge Record Medical Supplies,28728.0,28728.0,,,0 CDM,27200000_7055966,Noncdm Charge Record Medical Supplies,2874.9,2874.9,,,0 CDM,27200000_7056003,Noncdm Charge Record Medical Supplies,1569.54,1569.54,,,0 CDM,27200000_7056135,Noncdm Charge Record Medical Supplies,1758.96,1758.96,,,0 CDM,27200000_7056445,Noncdm Charge Record Medical Supplies,1489.51,1489.51,,,0 CDM,27200000_7056621,Noncdm Charge Record Medical Supplies,1423.08,1423.08,,,0 CDM,27200000_7056659,Noncdm Charge Record Medical Supplies,942.48,942.48,,,0 CDM,27200000_7056722,Noncdm Charge Record Medical Supplies,3580.42,3580.42,,,0 CDM,27200000_7056832,Noncdm Charge Record Medical Supplies,19425.0,19425.0,,,0 CDM,27200000_7057073,Noncdm Charge Record Medical Supplies,1438.53,1438.53,,,0 CDM,27200000_7057076,Noncdm Charge Record Medical Supplies,349.73,349.73,,,0 CDM,27200000_7057206,Noncdm Charge Record Medical Supplies,4242.42,4242.42,,,0 CDM,27200000_7057207,Noncdm Charge Record Medical Supplies,2801.86,2801.86,,,0 CDM,27200000_7057223,Noncdm Charge Record Medical Supplies,814.14,814.14,,,0 CDM,27200000_7057232,Noncdm Charge Record Medical Supplies,1229.83,1229.83,,,0 CDM,27200000_7057237,Noncdm Charge Record Medical Supplies,1263.7,1263.7,,,0 CDM,27200000_7057238,Noncdm Charge Record Medical Supplies,3501.62,3501.62,,,0 CDM,27200000_7057241,Noncdm Charge Record Medical Supplies,1522.46,1522.46,,,0 CDM,27200000_7057488,Noncdm Charge Record Medical Supplies,2159.98,2159.98,,,0 CDM,27200000_7057651,Noncdm Charge Record Medical Supplies,2587.2,2587.2,,,0 CDM,27200000_7057745,Noncdm Charge Record Medical Supplies,1546.23,1546.23,,,0 CDM,27200000_7057753,Noncdm Charge Record Medical Supplies,1546.23,1546.23,,,0 CDM,27200000_7057766,Noncdm Charge Record Medical Supplies,1546.23,1546.23,,,0 CDM,27200000_7057768,Noncdm Charge Record Medical Supplies,1763.79,1763.79,,,0 CDM,27200000_7057801,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7058028,Noncdm Charge Record Medical Supplies,2326.04,2326.04,,,0 CDM,27200000_7058069,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27200000_7058176,Noncdm Charge Record Medical Supplies,3717.94,3717.94,,,0 CDM,27200000_7058273,Noncdm Charge Record Medical Supplies,1603.41,1603.41,,,0 CDM,27200000_7058279,Noncdm Charge Record Medical Supplies,3449.88,3449.88,,,0 CDM,27200000_7058433,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7058434,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7058464,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7058529,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7058539,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7058635,Noncdm Charge Record Medical Supplies,870.24,870.24,,,0 CDM,27200000_7058636,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27200000_7058678,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27200000_7058770,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27200000_7062344,Noncdm Charge Record Medical Supplies,6388.34,6388.34,,,0 CDM,27200000_7062357,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27200000_7062406,Noncdm Charge Record Medical Supplies,2315.07,2315.07,,,0 CDM,27200000_7062543,Noncdm Charge Record Medical Supplies,89479.32,89479.32,,,0 CDM,27200000_7062545,Noncdm Charge Record Medical Supplies,12869.65,12869.65,,,0 CDM,27200000_7062651,Noncdm Charge Record Medical Supplies,79370.55,79370.55,,,0 CDM,27200000_7062707,Noncdm Charge Record Medical Supplies,10606.05,10606.05,,,0 CDM,27200000_7062708,Noncdm Charge Record Medical Supplies,5993.94,5993.94,,,0 CDM,27200000_7062905,Noncdm Charge Record Medical Supplies,1546.23,1546.23,,,0 CDM,27200000_7064256,Noncdm Charge Record Medical Supplies,4941.72,4941.72,,,0 CDM,27200000_7064391,Noncdm Charge Record Medical Supplies,4988.34,4988.34,,,0 CDM,27200000_7064445,Noncdm Charge Record Medical Supplies,4941.72,4941.72,,,0 CDM,27200000_7064552,Noncdm Charge Record Medical Supplies,4988.34,4988.34,,,0 CDM,27200000_7064708,Noncdm Charge Record Medical Supplies,12525.24,12525.24,,,0 CDM,27200000_7064765,Noncdm Charge Record Medical Supplies,3247.86,3247.86,,,0 CDM,27200000_7064819,Noncdm Charge Record Medical Supplies,2452.21,2452.21,,,0 CDM,27200000_7067151,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27200000_7067576,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27200000_7067632,Noncdm Charge Record Medical Supplies,2346.54,2346.54,,,0 CDM,27200000_7067724,Noncdm Charge Record Medical Supplies,2074.59,2074.59,,,0 CDM,27200000_7069016,Noncdm Charge Record Medical Supplies,1862.86,1862.86,,,0 CDM,27200000_7069106,Noncdm Charge Record Medical Supplies,3286.71,3286.71,,,0 CDM,27200000_7069913,Noncdm Charge Record Medical Supplies,9627.03,9627.03,,,0 CDM,27200000_7070226,Noncdm Charge Record Medical Supplies,1328.67,1328.67,,,0 CDM,27200000_7071050,Noncdm Charge Record Medical Supplies,5942.11,5942.11,,,0 CDM,27200000_7071152,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7071676,Noncdm Charge Record Medical Supplies,393.71,393.71,,,0 CDM,27200000_7071861,Noncdm Charge Record Medical Supplies,200.29,200.29,,,0 CDM,27200000_7071908,Noncdm Charge Record Medical Supplies,95.76,95.76,,,0 CDM,27200000_7071990,Noncdm Charge Record Medical Supplies,2197.74,2197.74,,,0 CDM,27200000_7071997,Noncdm Charge Record Medical Supplies,2197.74,2197.74,,,0 CDM,27200000_7072031,Noncdm Charge Record Medical Supplies,2197.74,2197.74,,,0 CDM,27200000_7072226,Noncdm Charge Record Medical Supplies,2197.74,2197.74,,,0 CDM,27200000_7072254,Noncdm Charge Record Medical Supplies,1373.5,1373.5,,,0 CDM,27200000_7072265,Noncdm Charge Record Medical Supplies,2197.74,2197.74,,,0 CDM,27200000_7072301,Noncdm Charge Record Medical Supplies,2515.54,2515.54,,,0 CDM,27200000_7072308,Noncdm Charge Record Medical Supplies,3574.2,3574.2,,,0 CDM,27200000_7072346,Noncdm Charge Record Medical Supplies,2404.89,2404.89,,,0 CDM,27200000_7072360,Noncdm Charge Record Medical Supplies,3374.58,3374.58,,,0 CDM,27200000_7072361,Noncdm Charge Record Medical Supplies,4220.12,4220.12,,,0 CDM,27200000_7072374,Noncdm Charge Record Medical Supplies,2218.41,2218.41,,,0 CDM,27200000_7072376,Noncdm Charge Record Medical Supplies,4242.42,4242.42,,,0 CDM,27200000_7072383,Noncdm Charge Record Medical Supplies,2501.55,2501.55,,,0 CDM,27200000_7072421,Noncdm Charge Record Medical Supplies,2591.45,2591.45,,,0 CDM,27200000_7072462,Noncdm Charge Record Medical Supplies,3390.75,3390.75,,,0 CDM,27200000_7072481,Noncdm Charge Record Medical Supplies,3422.45,3422.45,,,0 CDM,27200000_7072497,Noncdm Charge Record Medical Supplies,2515.54,2515.54,,,0 CDM,27200000_7072698,Noncdm Charge Record Medical Supplies,156.72,156.72,,,0 CDM,27200000_7072939,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27200000_7073594,Noncdm Charge Record Medical Supplies,2020.2,2020.2,,,0 CDM,27200000_7073812,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27200000_7074312,Noncdm Charge Record Medical Supplies,2384.61,2384.61,,,0 CDM,27200000_7074318,Noncdm Charge Record Medical Supplies,2163.17,2163.17,,,0 CDM,27200000_7074323,Noncdm Charge Record Medical Supplies,7140.63,7140.63,,,0 CDM,27200000_7074327,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27200000_7074329,Noncdm Charge Record Medical Supplies,2846.15,2846.15,,,0 CDM,27200000_7074330,Noncdm Charge Record Medical Supplies,1394.09,1394.09,,,0 CDM,27200000_7074333,Noncdm Charge Record Medical Supplies,360.45,360.45,,,0 CDM,27200000_7074337,Noncdm Charge Record Medical Supplies,1394.09,1394.09,,,0 CDM,27200000_7074342,Noncdm Charge Record Medical Supplies,17948.7,17948.7,,,0 CDM,27200000_7074343,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27200000_7074346,Noncdm Charge Record Medical Supplies,2769.23,2769.23,,,0 CDM,27200000_7074350,Noncdm Charge Record Medical Supplies,1394.09,1394.09,,,0 CDM,27200000_7074357,Noncdm Charge Record Medical Supplies,770.55,770.55,,,0 CDM,27200000_7074367,Noncdm Charge Record Medical Supplies,1394.09,1394.09,,,0 CDM,27200000_7074368,Noncdm Charge Record Medical Supplies,19580.4,19580.4,,,0 CDM,27200000_7074370,Noncdm Charge Record Medical Supplies,2769.23,2769.23,,,0 CDM,27200000_7074467,Noncdm Charge Record Medical Supplies,63.0,63.0,,,0 CDM,27200000_7074468,Noncdm Charge Record Medical Supplies,63.0,63.0,,,0 CDM,27200000_7074717,Noncdm Charge Record Medical Supplies,13860.0,13860.0,,,0 CDM,27200000_7074803,Noncdm Charge Record Medical Supplies,509.01,509.01,,,0 CDM,27200000_7074804,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7074806,Noncdm Charge Record Medical Supplies,764.96,764.96,,,0 CDM,27200000_7075048,Noncdm Charge Record Medical Supplies,3799.53,3799.53,,,0 CDM,27200000_7075110,Noncdm Charge Record Medical Supplies,376.11,376.11,,,0 CDM,27200000_7075246,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7075503,Noncdm Charge Record Medical Supplies,3061.06,3061.06,,,0 CDM,27200000_7076351,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7076380,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7076384,Noncdm Charge Record Medical Supplies,23271.15,23271.15,,,0 CDM,27200000_7076391,Noncdm Charge Record Medical Supplies,7614.6,7614.6,,,0 CDM,27200000_7076399,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 CDM,27200000_7076678,Noncdm Charge Record Medical Supplies,5099.68,5099.68,,,0 CDM,27200000_7076823,Noncdm Charge Record Medical Supplies,1876.46,1876.46,,,0 CDM,27200000_7076825,Noncdm Charge Record Medical Supplies,4324.0,4324.0,,,0 CDM,27200000_7076826,Noncdm Charge Record Medical Supplies,1876.46,1876.46,,,0 CDM,27200000_7076827,Noncdm Charge Record Medical Supplies,1876.46,1876.46,,,0 CDM,27200000_7076828,Noncdm Charge Record Medical Supplies,1876.46,1876.46,,,0 CDM,27200000_7076904,Noncdm Charge Record Medical Supplies,4257.96,4257.96,,,0 CDM,27200000_7077197,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7077671,Noncdm Charge Record Medical Supplies,1919.19,1919.19,,,0 CDM,27200000_7077672,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7077819,Noncdm Charge Record Medical Supplies,3801.16,3801.16,,,0 CDM,27200000_7077932,Noncdm Charge Record Medical Supplies,22435.88,22435.88,,,0 CDM,27200000_7077937,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7078079,Noncdm Charge Record Medical Supplies,2095.25,2095.25,,,0 CDM,27200000_7078092,Noncdm Charge Record Medical Supplies,3567.41,3567.41,,,0 CDM,27200000_7078093,Noncdm Charge Record Medical Supplies,3361.75,3361.75,,,0 CDM,27200000_7078095,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7078129,Noncdm Charge Record Medical Supplies,1607.07,1607.07,,,0 CDM,27200000_7078198,Noncdm Charge Record Medical Supplies,2498.18,2498.18,,,0 CDM,27200000_7078483,Noncdm Charge Record Medical Supplies,3254.86,3254.86,,,0 CDM,27200000_7078485,Noncdm Charge Record Medical Supplies,2419.2,2419.2,,,0 CDM,27200000_7078722,Noncdm Charge Record Medical Supplies,24458.96,24458.96,,,0 CDM,27200000_7078723,Noncdm Charge Record Medical Supplies,23208.99,23208.99,,,0 CDM,27200000_7078724,Noncdm Charge Record Medical Supplies,30791.03,30791.03,,,0 CDM,27200000_7078725,Noncdm Charge Record Medical Supplies,3962.7,3962.7,,,0 CDM,27200000_7078726,Noncdm Charge Record Medical Supplies,3962.7,3962.7,,,0 CDM,27200000_7078727,Noncdm Charge Record Medical Supplies,34374.48,34374.48,,,0 CDM,27200000_7078853,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7078908,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7078951,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27200000_7078986,Noncdm Charge Record Medical Supplies,3024.0,3024.0,,,0 CDM,27200000_7079068,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27200000_7079070,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27200000_7079162,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7079309,Noncdm Charge Record Medical Supplies,5014.8,5014.8,,,0 CDM,27200000_7079488,Noncdm Charge Record Medical Supplies,4941.72,4941.72,,,0 CDM,27200000_7079489,Noncdm Charge Record Medical Supplies,4941.72,4941.72,,,0 CDM,27200000_7079649,Noncdm Charge Record Medical Supplies,147.63,147.63,,,0 CDM,27200000_7080122,Noncdm Charge Record Medical Supplies,2312.03,2312.03,,,0 CDM,27200000_7080602,Noncdm Charge Record Medical Supplies,1017.48,1017.48,,,0 CDM,27200000_7080626,Noncdm Charge Record Medical Supplies,1184.92,1184.92,,,0 CDM,27200000_7081312,Noncdm Charge Record Medical Supplies,5292.0,5292.0,,,0 CDM,27200000_7081320,Noncdm Charge Record Medical Supplies,1342.66,1342.66,,,0 CDM,27200000_7081322,Noncdm Charge Record Medical Supplies,20823.6,20823.6,,,0 CDM,27200000_7081328,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27200000_7081332,Noncdm Charge Record Medical Supplies,1587.6,1587.6,,,0 CDM,27200000_7081517,Noncdm Charge Record Medical Supplies,425.87,425.87,,,0 CDM,27200000_7081518,Noncdm Charge Record Medical Supplies,127.35,127.35,,,0 CDM,27200000_7081519,Noncdm Charge Record Medical Supplies,595.18,595.18,,,0 CDM,27200000_7081520,Noncdm Charge Record Medical Supplies,25.48,25.48,,,0 CDM,27200000_7081552,Noncdm Charge Record Medical Supplies,2062.16,2062.16,,,0 CDM,27200000_7081569,Noncdm Charge Record Medical Supplies,257.89,257.89,,,0 CDM,27200000_7082075,Noncdm Charge Record Medical Supplies,3768.45,3768.45,,,0 CDM,27200000_7082076,Noncdm Charge Record Medical Supplies,3303.03,3303.03,,,0 CDM,27200000_7082077,Noncdm Charge Record Medical Supplies,3303.03,3303.03,,,0 CDM,27200000_7082161,Noncdm Charge Record Medical Supplies,3434.34,3434.34,,,0 CDM,27200000_7082189,Noncdm Charge Record Medical Supplies,9261.84,9261.84,,,0 CDM,27200000_7082341,Noncdm Charge Record Medical Supplies,177.78,177.78,,,0 CDM,27200000_7082373,Noncdm Charge Record Medical Supplies,177.78,177.78,,,0 CDM,27200000_7082381,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7082557,Noncdm Charge Record Medical Supplies,9207.45,9207.45,,,0 CDM,27200000_7082558,Noncdm Charge Record Medical Supplies,9867.9,9867.9,,,0 CDM,27200000_7082793,Noncdm Charge Record Medical Supplies,2671.9,2671.9,,,0 CDM,27200000_7082795,Noncdm Charge Record Medical Supplies,5598.29,5598.29,,,0 CDM,27200000_7082798,Noncdm Charge Record Medical Supplies,2538.77,2538.77,,,0 CDM,27200000_7082800,Noncdm Charge Record Medical Supplies,1274.28,1274.28,,,0 CDM,27200000_7082819,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27200000_7082897,Noncdm Charge Record Medical Supplies,829.91,829.91,,,0 CDM,27200000_7083666,Noncdm Charge Record Medical Supplies,280.15,280.15,,,0 CDM,27200000_7084333,Noncdm Charge Record Medical Supplies,729.37,729.37,,,0 CDM,27200000_7084365,Noncdm Charge Record Medical Supplies,9261.84,9261.84,,,0 CDM,27200000_7084382,Noncdm Charge Record Medical Supplies,3773.07,3773.07,,,0 CDM,27200000_7084384,Noncdm Charge Record Medical Supplies,1204.35,1204.35,,,0 CDM,27200000_7084568,Noncdm Charge Record Medical Supplies,3000.0,3000.0,,,0 CDM,27200000_7084573,Noncdm Charge Record Medical Supplies,3000.0,3000.0,,,0 CDM,27200000_7084574,Noncdm Charge Record Medical Supplies,3000.0,3000.0,,,0 CDM,27200000_7084575,Noncdm Charge Record Medical Supplies,3000.0,3000.0,,,0 CDM,27200000_7084576,Noncdm Charge Record Medical Supplies,2307.69,2307.69,,,0 CDM,27200000_7084577,Noncdm Charge Record Medical Supplies,3000.0,3000.0,,,0 CDM,27200000_7084578,Noncdm Charge Record Medical Supplies,2307.69,2307.69,,,0 CDM,27200000_7084579,Noncdm Charge Record Medical Supplies,2307.69,2307.69,,,0 CDM,27200000_7084580,Noncdm Charge Record Medical Supplies,2307.69,2307.69,,,0 CDM,27200000_7084649,Noncdm Charge Record Medical Supplies,1468.53,1468.53,,,0 CDM,27200000_7084653,Noncdm Charge Record Medical Supplies,531.54,531.54,,,0 CDM,27200000_7084654,Noncdm Charge Record Medical Supplies,2307.69,2307.69,,,0 CDM,27200000_7084656,Noncdm Charge Record Medical Supplies,4447.0,4447.0,,,0 CDM,27200000_7084657,Noncdm Charge Record Medical Supplies,6025.64,6025.64,,,0 CDM,27200000_7084659,Noncdm Charge Record Medical Supplies,2307.69,2307.69,,,0 CDM,27200000_7084660,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27200000_7084701,Noncdm Charge Record Medical Supplies,4895.1,4895.1,,,0 CDM,27200000_7084705,Noncdm Charge Record Medical Supplies,489.51,489.51,,,0 CDM,27200000_7084708,Noncdm Charge Record Medical Supplies,244.76,244.76,,,0 CDM,27200000_7084962,Noncdm Charge Record Medical Supplies,1274.28,1274.28,,,0 CDM,27200000_7084964,Noncdm Charge Record Medical Supplies,1269.07,1269.07,,,0 CDM,27200000_7085424,Noncdm Charge Record Medical Supplies,2083.68,2083.68,,,0 CDM,27200000_7085561,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7085564,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7085568,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7085598,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27200000_7085599,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27200000_7085603,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27200000_7085605,Noncdm Charge Record Medical Supplies,4846.93,4846.93,,,0 CDM,27200000_7085606,Noncdm Charge Record Medical Supplies,3867.58,3867.58,,,0 CDM,27200000_7085608,Noncdm Charge Record Medical Supplies,9.32,9.32,,,0 CDM,27200000_7085609,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27200000_7085683,Noncdm Charge Record Medical Supplies,3451.85,3451.85,,,0 CDM,27200000_7085685,Noncdm Charge Record Medical Supplies,3382.06,3382.06,,,0 CDM,27200000_7086104,Noncdm Charge Record Medical Supplies,1429.68,1429.68,,,0 CDM,27200000_7086106,Noncdm Charge Record Medical Supplies,441.8,441.8,,,0 CDM,27200000_7086108,Noncdm Charge Record Medical Supplies,73.66,73.66,,,0 CDM,27200000_7086110,Noncdm Charge Record Medical Supplies,857.81,857.81,,,0 CDM,27200000_7086342,Noncdm Charge Record Medical Supplies,277.2,277.2,,,0 CDM,27200000_7086370,Noncdm Charge Record Medical Supplies,76.72,76.72,,,0 CDM,27200000_7086373,Noncdm Charge Record Medical Supplies,6006.21,6006.21,,,0 CDM,27200000_7086439,Noncdm Charge Record Medical Supplies,2008.19,2008.19,,,0 CDM,27200000_7086458,Noncdm Charge Record Medical Supplies,3224.55,3224.55,,,0 CDM,27200000_7086460,Noncdm Charge Record Medical Supplies,3418.8,3418.8,,,0 CDM,27200000_7086568,Noncdm Charge Record Medical Supplies,327.6,327.6,,,0 CDM,27200000_7086574,Noncdm Charge Record Medical Supplies,315.93,315.93,,,0 CDM,27200000_7087015,Noncdm Charge Record Medical Supplies,77.77,77.77,,,0 CDM,27200000_7087561,Noncdm Charge Record Medical Supplies,10502.9,10502.9,,,0 CDM,27200000_7087562,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27200000_7087653,Noncdm Charge Record Medical Supplies,449.2,449.2,,,0 CDM,27200000_7087655,Noncdm Charge Record Medical Supplies,14607.6,14607.6,,,0 CDM,27200000_7087658,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7087691,Noncdm Charge Record Medical Supplies,11768.4,11768.4,,,0 CDM,27200000_7087753,Noncdm Charge Record Medical Supplies,260.85,260.85,,,0 CDM,27200000_7087758,Noncdm Charge Record Medical Supplies,1546.23,1546.23,,,0 CDM,27200000_7087762,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7087951,Noncdm Charge Record Medical Supplies,207.69,207.69,,,0 CDM,27200000_7088048,Noncdm Charge Record Medical Supplies,3213.83,3213.83,,,0 CDM,27200000_7088051,Noncdm Charge Record Medical Supplies,159.67,159.67,,,0 CDM,27200000_7088053,Noncdm Charge Record Medical Supplies,6241.8,6241.8,,,0 CDM,27200000_7088593,Noncdm Charge Record Medical Supplies,2991.45,2991.45,,,0 CDM,27200000_7088652,Noncdm Charge Record Medical Supplies,2435.66,2435.66,,,0 CDM,27200000_7088659,Noncdm Charge Record Medical Supplies,2905.43,2905.43,,,0 CDM,27200000_7089738,Noncdm Charge Record Medical Supplies,0.41,0.41,,,0 CDM,27200000_7090463,Noncdm Charge Record Medical Supplies,1734.5,1734.5,,,0 CDM,27200000_7090541,Noncdm Charge Record Medical Supplies,2758.35,2758.35,,,0 CDM,27200000_7090703,Noncdm Charge Record Medical Supplies,727.04,727.04,,,0 CDM,27200000_7090704,Noncdm Charge Record Medical Supplies,1088.73,1088.73,,,0 CDM,27200000_7090732,Noncdm Charge Record Medical Supplies,1142.19,1142.19,,,0 CDM,27200000_7090738,Noncdm Charge Record Medical Supplies,1142.19,1142.19,,,0 CDM,27200000_7090746,Noncdm Charge Record Medical Supplies,1369.23,1369.23,,,0 CDM,27200000_7090748,Noncdm Charge Record Medical Supplies,1244.75,1244.75,,,0 CDM,27200000_7090765,Noncdm Charge Record Medical Supplies,707.16,707.16,,,0 CDM,27200000_7090766,Noncdm Charge Record Medical Supplies,813.21,813.21,,,0 CDM,27200000_7090787,Noncdm Charge Record Medical Supplies,1224.86,1224.86,,,0 CDM,27200000_7090883,Noncdm Charge Record Medical Supplies,4589.28,4589.28,,,0 CDM,27200000_7091007,Noncdm Charge Record Medical Supplies,54.88,54.88,,,0 CDM,27200000_7091100,Noncdm Charge Record Medical Supplies,4528.82,4528.82,,,0 CDM,27200000_7091102,Noncdm Charge Record Medical Supplies,615.38,615.38,,,0 CDM,27200000_7091103,Noncdm Charge Record Medical Supplies,4777.62,4777.62,,,0 CDM,27200000_7091105,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27200000_7091111,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27200000_7091114,Noncdm Charge Record Medical Supplies,3638.3,3638.3,,,0 CDM,27200000_7091115,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7091120,Noncdm Charge Record Medical Supplies,4528.82,4528.82,,,0 CDM,27200000_7091249,Noncdm Charge Record Medical Supplies,1313.13,1313.13,,,0 CDM,27200000_7091269,Noncdm Charge Record Medical Supplies,6759.9,6759.9,,,0 CDM,27200000_7091328,Noncdm Charge Record Medical Supplies,2295.73,2295.73,,,0 CDM,27200000_7091334,Noncdm Charge Record Medical Supplies,2424.24,2424.24,,,0 CDM,27200000_7091337,Noncdm Charge Record Medical Supplies,28686.84,28686.84,,,0 CDM,27200000_7091709,Noncdm Charge Record Medical Supplies,2.8,2.8,,,0 CDM,27200000_7091770,Noncdm Charge Record Medical Supplies,3738.23,3738.23,,,0 CDM,27200000_7091790,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7091799,Noncdm Charge Record Medical Supplies,1981.35,1981.35,,,0 CDM,27200000_7091802,Noncdm Charge Record Medical Supplies,15167.04,15167.04,,,0 CDM,27200000_7091814,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7091839,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7091840,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7091841,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7091878,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7091881,Noncdm Charge Record Medical Supplies,4467.75,4467.75,,,0 CDM,27200000_7091889,Noncdm Charge Record Medical Supplies,3790.21,3790.21,,,0 CDM,27200000_7091913,Noncdm Charge Record Medical Supplies,2812.74,2812.74,,,0 CDM,27200000_7092115,Noncdm Charge Record Medical Supplies,24882.48,24882.48,,,0 CDM,27200000_7092502,Noncdm Charge Record Medical Supplies,7302.87,7302.87,,,0 CDM,27200000_7092503,Noncdm Charge Record Medical Supplies,212.12,212.12,,,0 CDM,27200000_7092507,Noncdm Charge Record Medical Supplies,617.48,617.48,,,0 CDM,27200000_7092509,Noncdm Charge Record Medical Supplies,153.92,153.92,,,0 CDM,27200000_7092510,Noncdm Charge Record Medical Supplies,212.12,212.12,,,0 CDM,27200000_7092515,Noncdm Charge Record Medical Supplies,153.92,153.92,,,0 CDM,27200000_7092520,Noncdm Charge Record Medical Supplies,617.48,617.48,,,0 CDM,27200000_7092523,Noncdm Charge Record Medical Supplies,617.48,617.48,,,0 CDM,27200000_7092549,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27200000_7092678,Noncdm Charge Record Medical Supplies,1974.56,1974.56,,,0 CDM,27200000_7092681,Noncdm Charge Record Medical Supplies,5091.98,5091.98,,,0 CDM,27200000_7092682,Noncdm Charge Record Medical Supplies,6177.15,6177.15,,,0 CDM,27200000_7093060,Noncdm Charge Record Medical Supplies,380.73,380.73,,,0 CDM,27200000_7093068,Noncdm Charge Record Medical Supplies,380.73,380.73,,,0 CDM,27200000_7094797,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27200000_7094801,Noncdm Charge Record Medical Supplies,10007.76,10007.76,,,0 CDM,27200000_7094863,Noncdm Charge Record Medical Supplies,5169.22,5169.22,,,0 CDM,27200000_7095129,Noncdm Charge Record Medical Supplies,3655.94,3655.94,,,0 CDM,27200000_7095488,Noncdm Charge Record Medical Supplies,15167.04,15167.04,,,0 CDM,27200000_7095674,Noncdm Charge Record Medical Supplies,751.97,751.97,,,0 CDM,27200000_7096662,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27200000_7096663,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27200000_7096670,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27200000_7096674,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7096678,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27200000_7096681,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27200000_7096863,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27200000_7096897,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27200000_7096910,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7096917,Noncdm Charge Record Medical Supplies,429.64,429.64,,,0 CDM,27200000_7096935,Noncdm Charge Record Medical Supplies,521.21,521.21,,,0 CDM,27200000_7097121,Noncdm Charge Record Medical Supplies,650.35,650.35,,,0 CDM,27200000_7097242,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7097246,Noncdm Charge Record Medical Supplies,650.35,650.35,,,0 CDM,27200000_7097371,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7097372,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7097406,Noncdm Charge Record Medical Supplies,198.14,198.14,,,0 CDM,27200000_7097503,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7097577,Noncdm Charge Record Medical Supplies,778.55,778.55,,,0 CDM,27200000_7097765,Noncdm Charge Record Medical Supplies,778.55,778.55,,,0 CDM,27200000_7097784,Noncdm Charge Record Medical Supplies,834.5,834.5,,,0 CDM,27200000_7097829,Noncdm Charge Record Medical Supplies,97.12,97.12,,,0 CDM,27200000_7097866,Noncdm Charge Record Medical Supplies,536.13,536.13,,,0 CDM,27200000_7097964,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7098022,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7098055,Noncdm Charge Record Medical Supplies,753.69,753.69,,,0 CDM,27200000_7098061,Noncdm Charge Record Medical Supplies,1684.54,1684.54,,,0 CDM,27200000_7098062,Noncdm Charge Record Medical Supplies,1690.75,1690.75,,,0 CDM,27200000_7098081,Noncdm Charge Record Medical Supplies,497.28,497.28,,,0 CDM,27200000_7098120,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7098123,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7098131,Noncdm Charge Record Medical Supplies,753.69,753.69,,,0 CDM,27200000_7098158,Noncdm Charge Record Medical Supplies,1684.54,1684.54,,,0 CDM,27200000_7098274,Noncdm Charge Record Medical Supplies,947.94,947.94,,,0 CDM,27200000_7098291,Noncdm Charge Record Medical Supplies,447.95,447.95,,,0 CDM,27200000_7098418,Noncdm Charge Record Medical Supplies,129.21,129.21,,,0 CDM,27200000_7098649,Noncdm Charge Record Medical Supplies,3482.57,3482.57,,,0 CDM,27200000_7098652,Noncdm Charge Record Medical Supplies,1357.81,1357.81,,,0 CDM,27200000_7098721,Noncdm Charge Record Medical Supplies,80.03,80.03,,,0 CDM,27200000_7098724,Noncdm Charge Record Medical Supplies,4192.53,4192.53,,,0 CDM,27200000_7098726,Noncdm Charge Record Medical Supplies,2054.85,2054.85,,,0 CDM,27200000_7098728,Noncdm Charge Record Medical Supplies,11647.23,11647.23,,,0 CDM,27200000_7098733,Noncdm Charge Record Medical Supplies,175.42,175.42,,,0 CDM,27200000_7099963,Noncdm Charge Record Medical Supplies,4487.18,4487.18,,,0 CDM,27200000_7100047,Noncdm Charge Record Medical Supplies,3701.88,3701.88,,,0 CDM,27200000_7103760,Noncdm Charge Record Medical Supplies,91.69,91.69,,,0 CDM,27200000_7103768,Noncdm Charge Record Medical Supplies,97.9,97.9,,,0 CDM,27200000_7103769,Noncdm Charge Record Medical Supplies,91.69,91.69,,,0 CDM,27200000_7108471,Noncdm Charge Record Medical Supplies,900.01,900.01,,,0 CDM,27200000_7109207,Noncdm Charge Record Medical Supplies,1264.57,1264.57,,,0 CDM,27200000_7109238,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7109240,Noncdm Charge Record Medical Supplies,5349.64,5349.64,,,0 CDM,27200000_7109455,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7109456,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7109496,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7109544,Noncdm Charge Record Medical Supplies,5314.68,5314.68,,,0 CDM,27200000_7109666,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7109667,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7109770,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7110056,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27200000_7110092,Noncdm Charge Record Medical Supplies,3690.75,3690.75,,,0 CDM,27200000_7110163,Noncdm Charge Record Medical Supplies,1863.61,1863.61,,,0 CDM,27200000_7110314,Noncdm Charge Record Medical Supplies,864.34,864.34,,,0 CDM,27200000_7110503,Noncdm Charge Record Medical Supplies,1597.51,1597.51,,,0 CDM,27200000_7110570,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7110591,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7110592,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7110599,Noncdm Charge Record Medical Supplies,474.9,474.9,,,0 CDM,27200000_7110605,Noncdm Charge Record Medical Supplies,3257.57,3257.57,,,0 CDM,27200000_7110606,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27200000_7110681,Noncdm Charge Record Medical Supplies,474.9,474.9,,,0 CDM,27200000_7110701,Noncdm Charge Record Medical Supplies,1437.45,1437.45,,,0 CDM,27200000_7110719,Noncdm Charge Record Medical Supplies,856.8,856.8,,,0 CDM,27200000_7110720,Noncdm Charge Record Medical Supplies,885.11,885.11,,,0 CDM,27200000_7110999,Noncdm Charge Record Medical Supplies,1383.06,1383.06,,,0 CDM,27200000_7111001,Noncdm Charge Record Medical Supplies,1841.49,1841.49,,,0 CDM,27200000_7111002,Noncdm Charge Record Medical Supplies,5244.75,5244.75,,,0 CDM,27200000_7111005,Noncdm Charge Record Medical Supplies,5341.88,5341.88,,,0 CDM,27200000_7111402,Noncdm Charge Record Medical Supplies,6241.8,6241.8,,,0 CDM,27200000_7111431,Noncdm Charge Record Medical Supplies,5629.36,5629.36,,,0 CDM,27200000_7111935,Noncdm Charge Record Medical Supplies,116.55,116.55,,,0 CDM,27200000_7112090,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7112091,Noncdm Charge Record Medical Supplies,14105.0,14105.0,,,0 CDM,27200000_7112094,Noncdm Charge Record Medical Supplies,7381.5,7381.5,,,0 CDM,27200000_7112095,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7112103,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7112104,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7112105,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7112109,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7112110,Noncdm Charge Record Medical Supplies,2167.83,2167.83,,,0 CDM,27200000_7112119,Noncdm Charge Record Medical Supplies,2097.9,2097.9,,,0 CDM,27200000_7112742,Noncdm Charge Record Medical Supplies,3224.55,3224.55,,,0 CDM,27200000_7112746,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27200000_7112765,Noncdm Charge Record Medical Supplies,955.71,955.71,,,0 CDM,27200000_7112872,Noncdm Charge Record Medical Supplies,1506.96,1506.96,,,0 CDM,27200000_7112873,Noncdm Charge Record Medical Supplies,1915.1,1915.1,,,0 CDM,27200000_7112874,Noncdm Charge Record Medical Supplies,0.01,0.01,,,0 CDM,27200000_7112876,Noncdm Charge Record Medical Supplies,1506.96,1506.96,,,0 CDM,27200000_7113038,Noncdm Charge Record Medical Supplies,19.04,19.04,,,0 CDM,27200000_7114175,Noncdm Charge Record Medical Supplies,1209.65,1209.65,,,0 CDM,27200000_7114274,Noncdm Charge Record Medical Supplies,257.11,257.11,,,0 CDM,27200000_7114306,Noncdm Charge Record Medical Supplies,722.77,722.77,,,0 CDM,27200000_7114307,Noncdm Charge Record Medical Supplies,722.77,722.77,,,0 CDM,27200000_7114515,Noncdm Charge Record Medical Supplies,15606.04,15606.04,,,0 CDM,27200000_7114712,Noncdm Charge Record Medical Supplies,21756.0,21756.0,,,0 CDM,27200000_7115686,Noncdm Charge Record Medical Supplies,6.22,6.22,,,0 CDM,27200000_7115907,Noncdm Charge Record Medical Supplies,1829.52,1829.52,,,0 CDM,27200000_7115924,Noncdm Charge Record Medical Supplies,2847.6,2847.6,,,0 CDM,27200000_7115962,Noncdm Charge Record Medical Supplies,835.66,835.66,,,0 CDM,27200000_7115977,Noncdm Charge Record Medical Supplies,835.66,835.66,,,0 CDM,27200000_7115978,Noncdm Charge Record Medical Supplies,27.74,27.74,,,0 CDM,27200000_7116161,Noncdm Charge Record Medical Supplies,502.8,502.8,,,0 CDM,27200000_7116207,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27200000_7116208,Noncdm Charge Record Medical Supplies,504.0,504.0,,,0 CDM,27200000_7116209,Noncdm Charge Record Medical Supplies,504.0,504.0,,,0 CDM,27200000_7116210,Noncdm Charge Record Medical Supplies,504.0,504.0,,,0 CDM,27200000_7116212,Noncdm Charge Record Medical Supplies,65.52,65.52,,,0 CDM,27200000_7116296,Noncdm Charge Record Medical Supplies,1555.09,1555.09,,,0 CDM,27200000_7116393,Noncdm Charge Record Medical Supplies,1966.59,1966.59,,,0 CDM,27200000_7116394,Noncdm Charge Record Medical Supplies,1841.8,1841.8,,,0 CDM,27200000_7116417,Noncdm Charge Record Medical Supplies,116.32,116.32,,,0 CDM,27200000_7116422,Noncdm Charge Record Medical Supplies,4867.98,4867.98,,,0 CDM,27200000_7116456,Noncdm Charge Record Medical Supplies,1297.9,1297.9,,,0 CDM,27200000_7116516,Noncdm Charge Record Medical Supplies,2435.66,2435.66,,,0 CDM,27200000_7116517,Noncdm Charge Record Medical Supplies,3181.97,3181.97,,,0 CDM,27200000_7116518,Noncdm Charge Record Medical Supplies,5325.95,5325.95,,,0 CDM,27200000_7116588,Noncdm Charge Record Medical Supplies,166.32,166.32,,,0 CDM,27200000_7116647,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27200000_7116654,Noncdm Charge Record Medical Supplies,3304.19,3304.19,,,0 CDM,27200000_7116655,Noncdm Charge Record Medical Supplies,3304.19,3304.19,,,0 CDM,27200000_7116686,Noncdm Charge Record Medical Supplies,4364.8,4364.8,,,0 CDM,27200000_7116696,Noncdm Charge Record Medical Supplies,142.81,142.81,,,0 CDM,27200000_7116697,Noncdm Charge Record Medical Supplies,128.59,128.59,,,0 CDM,27200000_7116707,Noncdm Charge Record Medical Supplies,7279.4,7279.4,,,0 CDM,27200000_7116730,Noncdm Charge Record Medical Supplies,7235.89,7235.89,,,0 CDM,27200000_7117000,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27200000_7117044,Noncdm Charge Record Medical Supplies,2240.64,2240.64,,,0 CDM,27200000_7117110,Noncdm Charge Record Medical Supplies,139.79,139.79,,,0 CDM,27200000_7117221,Noncdm Charge Record Medical Supplies,677.32,677.32,,,0 CDM,27200000_7117242,Noncdm Charge Record Medical Supplies,15462.3,15462.3,,,0 CDM,27200000_7117299,Noncdm Charge Record Medical Supplies,556.95,556.95,,,0 CDM,27200000_7117329,Noncdm Charge Record Medical Supplies,99.69,99.69,,,0 CDM,27200000_7117409,Noncdm Charge Record Medical Supplies,2318.06,2318.06,,,0 CDM,27200000_7117434,Noncdm Charge Record Medical Supplies,3753.84,3753.84,,,0 CDM,27200000_7117440,Noncdm Charge Record Medical Supplies,1041.11,1041.11,,,0 CDM,27200000_7117451,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27200000_7117496,Noncdm Charge Record Medical Supplies,830.61,830.61,,,0 CDM,27200000_7117515,Noncdm Charge Record Medical Supplies,1981.35,1981.35,,,0 CDM,27200000_7117566,Noncdm Charge Record Medical Supplies,2267.44,2267.44,,,0 CDM,27200000_7117582,Noncdm Charge Record Medical Supplies,502.74,502.74,,,0 CDM,27200000_7117600,Noncdm Charge Record Medical Supplies,1648.64,1648.64,,,0 CDM,27200000_7117608,Noncdm Charge Record Medical Supplies,3310.87,3310.87,,,0 CDM,27200000_7117627,Noncdm Charge Record Medical Supplies,8352.75,8352.75,,,0 CDM,27200000_7117831,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27200000_7117935,Noncdm Charge Record Medical Supplies,255.48,255.48,,,0 CDM,27200000_7117976,Noncdm Charge Record Medical Supplies,2655.01,2655.01,,,0 CDM,27200000_7117987,Noncdm Charge Record Medical Supplies,129.44,129.44,,,0 CDM,27200000_7118023,Noncdm Charge Record Medical Supplies,3387.02,3387.02,,,0 CDM,27200000_7118093,Noncdm Charge Record Medical Supplies,116.55,116.55,,,0 CDM,27200000_7118097,Noncdm Charge Record Medical Supplies,1423.46,1423.46,,,0 CDM,27200000_7118107,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27200000_7118137,Noncdm Charge Record Medical Supplies,18.81,18.81,,,0 CDM,27200000_7118171,Noncdm Charge Record Medical Supplies,345.22,345.22,,,0 CDM,27200000_7118258,Noncdm Charge Record Medical Supplies,4823.15,4823.15,,,0 CDM,27200000_7118289,Noncdm Charge Record Medical Supplies,742.14,742.14,,,0 CDM,27200000_7118385,Noncdm Charge Record Medical Supplies,13908.3,13908.3,,,0 CDM,27200000_7118408,Noncdm Charge Record Medical Supplies,3473.35,3473.35,,,0 CDM,27200000_7118435,Noncdm Charge Record Medical Supplies,543.9,543.9,,,0 CDM,27200000_7118442,Noncdm Charge Record Medical Supplies,26845.35,26845.35,,,0 CDM,27200000_7118445,Noncdm Charge Record Medical Supplies,54390.0,54390.0,,,0 CDM,27200000_7118449,Noncdm Charge Record Medical Supplies,8467.2,8467.2,,,0 CDM,27200000_7118450,Noncdm Charge Record Medical Supplies,12237.75,12237.75,,,0 CDM,27200000_7118472,Noncdm Charge Record Medical Supplies,3130.53,3130.53,,,0 CDM,27200000_7118473,Noncdm Charge Record Medical Supplies,206.84,206.84,,,0 CDM,27200000_7118529,Noncdm Charge Record Medical Supplies,77.7,77.7,,,0 CDM,27200000_7118534,Noncdm Charge Record Medical Supplies,1479.72,1479.72,,,0 CDM,27200000_7118535,Noncdm Charge Record Medical Supplies,1071.33,1071.33,,,0 CDM,27200000_7118536,Noncdm Charge Record Medical Supplies,935.51,935.51,,,0 CDM,27200000_7118606,Noncdm Charge Record Medical Supplies,27.76,27.76,,,0 CDM,27200000_7118641,Noncdm Charge Record Medical Supplies,151.15,151.15,,,0 CDM,27200000_7118721,Noncdm Charge Record Medical Supplies,1261.36,1261.36,,,0 CDM,27200000_7118762,Noncdm Charge Record Medical Supplies,1423.46,1423.46,,,0 CDM,27200000_7118817,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27200000_7118907,Noncdm Charge Record Medical Supplies,1841.49,1841.49,,,0 CDM,27200000_7118960,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7118971,Noncdm Charge Record Medical Supplies,627.11,627.11,,,0 CDM,27200000_7118972,Noncdm Charge Record Medical Supplies,634.11,634.11,,,0 CDM,27200000_7118982,Noncdm Charge Record Medical Supplies,1752.59,1752.59,,,0 CDM,27200000_7118983,Noncdm Charge Record Medical Supplies,931.43,931.43,,,0 CDM,27200000_7119074,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7119150,Noncdm Charge Record Medical Supplies,637.14,637.14,,,0 CDM,27200000_7119181,Noncdm Charge Record Medical Supplies,18.81,18.81,,,0 CDM,27200000_7119189,Noncdm Charge Record Medical Supplies,248.64,248.64,,,0 CDM,27200000_7119192,Noncdm Charge Record Medical Supplies,1546.23,1546.23,,,0 CDM,27200000_7119193,Noncdm Charge Record Medical Supplies,1546.23,1546.23,,,0 CDM,27200000_7119226,Noncdm Charge Record Medical Supplies,334.11,334.11,,,0 CDM,27200000_7119251,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27200000_7119252,Noncdm Charge Record Medical Supplies,848.64,848.64,,,0 CDM,27200000_7119253,Noncdm Charge Record Medical Supplies,11.81,11.81,,,0 CDM,27200000_7119254,Noncdm Charge Record Medical Supplies,161.49,161.49,,,0 CDM,27200000_7120167,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27200000_7120882,Noncdm Charge Record Medical Supplies,8820.0,8820.0,,,0 CDM,27200000_7120884,Noncdm Charge Record Medical Supplies,38811.15,38811.15,,,0 CDM,27200000_7120892,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27200000_7121008,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7121537,Noncdm Charge Record Medical Supplies,108.06,108.06,,,0 CDM,27200000_7121538,Noncdm Charge Record Medical Supplies,3108.0,3108.0,,,0 CDM,27200000_7121541,Noncdm Charge Record Medical Supplies,1530.69,1530.69,,,0 CDM,27200000_7121545,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27200000_7121546,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27200000_7121548,Noncdm Charge Record Medical Supplies,2074.59,2074.59,,,0 CDM,27200000_7121549,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27200000_7121550,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27200000_7121552,Noncdm Charge Record Medical Supplies,588.65,588.65,,,0 CDM,27200000_7121555,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27200000_7121558,Noncdm Charge Record Medical Supplies,2.64,2.64,,,0 CDM,27200000_7121560,Noncdm Charge Record Medical Supplies,2465.03,2465.03,,,0 CDM,27200000_7121562,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7121564,Noncdm Charge Record Medical Supplies,4634.03,4634.03,,,0 CDM,27200000_7121565,Noncdm Charge Record Medical Supplies,3655.94,3655.94,,,0 CDM,27200000_7121567,Noncdm Charge Record Medical Supplies,1756.02,1756.02,,,0 CDM,27200000_7121568,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27200000_7121576,Noncdm Charge Record Medical Supplies,3655.94,3655.94,,,0 CDM,27200000_7121577,Noncdm Charge Record Medical Supplies,3348.25,3348.25,,,0 CDM,27200000_7121585,Noncdm Charge Record Medical Supplies,3767.83,3767.83,,,0 CDM,27200000_7121586,Noncdm Charge Record Medical Supplies,802.8,802.8,,,0 CDM,27200000_7121587,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27200000_7121594,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7121597,Noncdm Charge Record Medical Supplies,1452.99,1452.99,,,0 CDM,27200000_7121600,Noncdm Charge Record Medical Supplies,104.9,104.9,,,0 CDM,27200000_7121605,Noncdm Charge Record Medical Supplies,660.14,660.14,,,0 CDM,27200000_7121776,Noncdm Charge Record Medical Supplies,3875.91,3875.91,,,0 CDM,27200000_7121778,Noncdm Charge Record Medical Supplies,3875.91,3875.91,,,0 CDM,27200000_7121781,Noncdm Charge Record Medical Supplies,499.61,499.61,,,0 CDM,27200000_7122910,Noncdm Charge Record Medical Supplies,3110.7,3110.7,,,0 CDM,27200000_7122923,Noncdm Charge Record Medical Supplies,9523.94,9523.94,,,0 CDM,27200000_7122925,Noncdm Charge Record Medical Supplies,10787.32,10787.32,,,0 CDM,27200000_7122944,Noncdm Charge Record Medical Supplies,21.17,21.17,,,0 CDM,27200000_7122975,Noncdm Charge Record Medical Supplies,2254.89,2254.89,,,0 CDM,27200000_7123176,Noncdm Charge Record Medical Supplies,349.58,349.58,,,0 CDM,27200000_7124412,Noncdm Charge Record Medical Supplies,7342.65,7342.65,,,0 CDM,27200000_7124565,Noncdm Charge Record Medical Supplies,9.09,9.09,,,0 CDM,27200000_7125159,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7125177,Noncdm Charge Record Medical Supplies,1738.7,1738.7,,,0 CDM,27200000_7125296,Noncdm Charge Record Medical Supplies,884.23,884.23,,,0 CDM,27200000_7126372,Noncdm Charge Record Medical Supplies,2680.65,2680.65,,,0 CDM,27200000_7126498,Noncdm Charge Record Medical Supplies,2794.41,2794.41,,,0 CDM,27200000_7126539,Noncdm Charge Record Medical Supplies,2129.76,2129.76,,,0 CDM,27200000_7126546,Noncdm Charge Record Medical Supplies,2434.66,2434.66,,,0 CDM,27200000_7126548,Noncdm Charge Record Medical Supplies,1724.32,1724.32,,,0 CDM,27200000_7126566,Noncdm Charge Record Medical Supplies,1350.04,1350.04,,,0 CDM,27200000_7126578,Noncdm Charge Record Medical Supplies,2748.87,2748.87,,,0 CDM,27200000_7126589,Noncdm Charge Record Medical Supplies,2525.25,2525.25,,,0 CDM,27200000_7126595,Noncdm Charge Record Medical Supplies,1891.76,1891.76,,,0 CDM,27200000_7126647,Noncdm Charge Record Medical Supplies,249.9,249.9,,,0 CDM,27200000_7126833,Noncdm Charge Record Medical Supplies,59.6,59.6,,,0 CDM,27200000_7127484,Noncdm Charge Record Medical Supplies,178.71,178.71,,,0 CDM,27200000_7128434,Noncdm Charge Record Medical Supplies,3108.0,3108.0,,,0 CDM,27200000_7128692,Noncdm Charge Record Medical Supplies,519.81,519.81,,,0 CDM,27200000_7129650,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27200000_7130357,Noncdm Charge Record Medical Supplies,95.33,95.33,,,0 CDM,27200000_7130707,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27200000_7132458,Noncdm Charge Record Medical Supplies,3837.21,3837.21,,,0 CDM,27200000_7132959,Noncdm Charge Record Medical Supplies,14685.3,14685.3,,,0 CDM,27200000_7132967,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7132971,Noncdm Charge Record Medical Supplies,16526.79,16526.79,,,0 CDM,27200000_7132976,Noncdm Charge Record Medical Supplies,12237.75,12237.75,,,0 CDM,27200000_7132979,Noncdm Charge Record Medical Supplies,3807.3,3807.3,,,0 CDM,27200000_7132985,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27200000_7132986,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27200000_7132990,Noncdm Charge Record Medical Supplies,49930.02,49930.02,,,0 CDM,27200000_7133007,Noncdm Charge Record Medical Supplies,16526.79,16526.79,,,0 CDM,27200000_7133013,Noncdm Charge Record Medical Supplies,1717.17,1717.17,,,0 CDM,27200000_7133016,Noncdm Charge Record Medical Supplies,13465.41,13465.41,,,0 CDM,27200000_7133031,Noncdm Charge Record Medical Supplies,13465.41,13465.41,,,0 CDM,27200000_7133749,Noncdm Charge Record Medical Supplies,288.73,288.73,,,0 CDM,27200000_7133874,Noncdm Charge Record Medical Supplies,2377.62,2377.62,,,0 CDM,27200000_7134495,Noncdm Charge Record Medical Supplies,4920.97,4920.97,,,0 CDM,27200000_7134521,Noncdm Charge Record Medical Supplies,521.21,521.21,,,0 CDM,27200000_7134522,Noncdm Charge Record Medical Supplies,521.21,521.21,,,0 CDM,27200000_7134705,Noncdm Charge Record Medical Supplies,3518.15,3518.15,,,0 CDM,27200000_7136182,Noncdm Charge Record Medical Supplies,12348.0,12348.0,,,0 CDM,27200000_7136183,Noncdm Charge Record Medical Supplies,15120.0,15120.0,,,0 CDM,27200000_7136184,Noncdm Charge Record Medical Supplies,19404.0,19404.0,,,0 CDM,27200000_7136185,Noncdm Charge Record Medical Supplies,23940.0,23940.0,,,0 CDM,27200000_7137240,Noncdm Charge Record Medical Supplies,4487.18,4487.18,,,0 CDM,27200000_7137265,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27200000_7137754,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27200000_7141000,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27200000_7141640,Noncdm Charge Record Medical Supplies,28920.0,28920.0,,,0 CDM,27200000_7141684,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7141699,Noncdm Charge Record Medical Supplies,334.11,334.11,,,0 CDM,27200000_7143240,Noncdm Charge Record Medical Supplies,1612.8,1612.8,,,0 CDM,27200000_7143250,Noncdm Charge Record Medical Supplies,1839.6,1839.6,,,0 CDM,27200000_7143812,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7144016,Noncdm Charge Record Medical Supplies,7560.0,7560.0,,,0 CDM,27200000_7144017,Noncdm Charge Record Medical Supplies,2611.0,2611.0,,,0 CDM,27200000_7144018,Noncdm Charge Record Medical Supplies,7863.33,7863.33,,,0 CDM,27200000_7144019,Noncdm Charge Record Medical Supplies,2621.11,2621.11,,,0 CDM,27200000_7144041,Noncdm Charge Record Medical Supplies,2918.16,2918.16,,,0 CDM,27200000_7144523,Noncdm Charge Record Medical Supplies,2991.45,2991.45,,,0 CDM,27200000_7144987,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7144989,Noncdm Charge Record Medical Supplies,6980.4,6980.4,,,0 CDM,27200000_7145316,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27200000_7145321,Noncdm Charge Record Medical Supplies,792.54,792.54,,,0 CDM,27200000_7145905,Noncdm Charge Record Medical Supplies,576.58,576.58,,,0 CDM,27200000_7145921,Noncdm Charge Record Medical Supplies,93.24,93.24,,,0 CDM,27200000_7148092,Noncdm Charge Record Medical Supplies,37.14,37.14,,,0 CDM,27200000_7148831,Noncdm Charge Record Medical Supplies,312.12,312.12,,,0 CDM,27200000_7148937,Noncdm Charge Record Medical Supplies,14584.29,14584.29,,,0 CDM,27200000_7149650,Noncdm Charge Record Medical Supplies,20.2,20.2,,,0 CDM,27200000_7149652,Noncdm Charge Record Medical Supplies,23.0,23.0,,,0 CDM,27200000_7150202,Noncdm Charge Record Medical Supplies,86600.54,86600.54,,,0 CDM,27200000_7150203,Noncdm Charge Record Medical Supplies,10367.12,10367.12,,,0 CDM,27200000_7150204,Noncdm Charge Record Medical Supplies,12564.09,12564.09,,,0 CDM,27200000_7151059,Noncdm Charge Record Medical Supplies,321.3,321.3,,,0 CDM,27200000_7152032,Noncdm Charge Record Medical Supplies,13.76,13.76,,,0 CDM,27200000_7152317,Noncdm Charge Record Medical Supplies,4422.45,4422.45,,,0 CDM,27200000_7152319,Noncdm Charge Record Medical Supplies,6182.13,6182.13,,,0 CDM,27200000_7152878,Noncdm Charge Record Medical Supplies,3566.43,3566.43,,,0 CDM,27200000_7153003,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7153382,Noncdm Charge Record Medical Supplies,1910.16,1910.16,,,0 CDM,27200000_7153496,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7153781,Noncdm Charge Record Medical Supplies,363.25,363.25,,,0 CDM,27200000_7154207,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27200000_7154265,Noncdm Charge Record Medical Supplies,9727.11,9727.11,,,0 CDM,27200000_7154268,Noncdm Charge Record Medical Supplies,211.68,211.68,,,0 CDM,27200000_7154279,Noncdm Charge Record Medical Supplies,882.0,882.0,,,0 CDM,27200000_7154535,Noncdm Charge Record Medical Supplies,1097.51,1097.51,,,0 CDM,27200000_7154543,Noncdm Charge Record Medical Supplies,428.4,428.4,,,0 CDM,27200000_7154544,Noncdm Charge Record Medical Supplies,740.09,740.09,,,0 CDM,27200000_7154567,Noncdm Charge Record Medical Supplies,1008.47,1008.47,,,0 CDM,27200000_7154568,Noncdm Charge Record Medical Supplies,3797.9,3797.9,,,0 CDM,27200000_7154570,Noncdm Charge Record Medical Supplies,576.92,576.92,,,0 CDM,27200000_7154589,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7154601,Noncdm Charge Record Medical Supplies,576.92,576.92,,,0 CDM,27200000_7154631,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7154708,Noncdm Charge Record Medical Supplies,1460.76,1460.76,,,0 CDM,27200000_7154770,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7154771,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7154827,Noncdm Charge Record Medical Supplies,615.38,615.38,,,0 CDM,27200000_7154830,Noncdm Charge Record Medical Supplies,2440.95,2440.95,,,0 CDM,27200000_7154833,Noncdm Charge Record Medical Supplies,293.71,293.71,,,0 CDM,27200000_7154860,Noncdm Charge Record Medical Supplies,130.38,130.38,,,0 CDM,27200000_7154861,Noncdm Charge Record Medical Supplies,615.38,615.38,,,0 CDM,27200000_7155007,Noncdm Charge Record Medical Supplies,882.0,882.0,,,0 CDM,27200000_7155033,Noncdm Charge Record Medical Supplies,1142.19,1142.19,,,0 CDM,27200000_7155076,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7155077,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27200000_7155220,Noncdm Charge Record Medical Supplies,1209.6,1209.6,,,0 CDM,27200000_7155254,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7155255,Noncdm Charge Record Medical Supplies,1295.65,1295.65,,,0 CDM,27200000_7155256,Noncdm Charge Record Medical Supplies,710.96,710.96,,,0 CDM,27200000_7155257,Noncdm Charge Record Medical Supplies,1097.51,1097.51,,,0 CDM,27200000_7155269,Noncdm Charge Record Medical Supplies,902.21,902.21,,,0 CDM,27200000_7155301,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27200000_7155302,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7155303,Noncdm Charge Record Medical Supplies,75348.0,75348.0,,,0 CDM,27200000_7155317,Noncdm Charge Record Medical Supplies,2238.46,2238.46,,,0 CDM,27200000_7155324,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7155357,Noncdm Charge Record Medical Supplies,428.4,428.4,,,0 CDM,27200000_7155358,Noncdm Charge Record Medical Supplies,50505.0,50505.0,,,0 CDM,27200000_7155359,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27200000_7155377,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7155427,Noncdm Charge Record Medical Supplies,1159.2,1159.2,,,0 CDM,27200000_7155428,Noncdm Charge Record Medical Supplies,882.0,882.0,,,0 CDM,27200000_7155541,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27200000_7155542,Noncdm Charge Record Medical Supplies,1095.57,1095.57,,,0 CDM,27200000_7155552,Noncdm Charge Record Medical Supplies,3030.3,3030.3,,,0 CDM,27200000_7155562,Noncdm Charge Record Medical Supplies,3018.96,3018.96,,,0 CDM,27200000_7155569,Noncdm Charge Record Medical Supplies,330.84,330.84,,,0 CDM,27200000_7155570,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7155572,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27200000_7155575,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7155577,Noncdm Charge Record Medical Supplies,439.0,439.0,,,0 CDM,27200000_7155579,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27200000_7155581,Noncdm Charge Record Medical Supplies,5245.63,5245.63,,,0 CDM,27200000_7155591,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27200000_7155594,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7155604,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27200000_7155616,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7155618,Noncdm Charge Record Medical Supplies,2377.62,2377.62,,,0 CDM,27200000_7155622,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7155633,Noncdm Charge Record Medical Supplies,808.86,808.86,,,0 CDM,27200000_7155636,Noncdm Charge Record Medical Supplies,2377.62,2377.62,,,0 CDM,27200000_7155664,Noncdm Charge Record Medical Supplies,30214.8,30214.8,,,0 CDM,27200000_7155665,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27200000_7155728,Noncdm Charge Record Medical Supplies,2222.22,2222.22,,,0 CDM,27200000_7155729,Noncdm Charge Record Medical Supplies,2121.21,2121.21,,,0 CDM,27200000_7155732,Noncdm Charge Record Medical Supplies,2191.14,2191.14,,,0 CDM,27200000_7155734,Noncdm Charge Record Medical Supplies,1407.52,1407.52,,,0 CDM,27200000_7155737,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7155746,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27200000_7155747,Noncdm Charge Record Medical Supplies,1159.67,1159.67,,,0 CDM,27200000_7155749,Noncdm Charge Record Medical Supplies,50505.0,50505.0,,,0 CDM,27200000_7155758,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27200000_7155769,Noncdm Charge Record Medical Supplies,2676.24,2676.24,,,0 CDM,27200000_7155777,Noncdm Charge Record Medical Supplies,792.54,792.54,,,0 CDM,27200000_7155780,Noncdm Charge Record Medical Supplies,1841.49,1841.49,,,0 CDM,27200000_7155783,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7155800,Noncdm Charge Record Medical Supplies,6550.11,6550.11,,,0 CDM,27200000_7155801,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27200000_7155803,Noncdm Charge Record Medical Supplies,2680.65,2680.65,,,0 CDM,27200000_7155805,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27200000_7155815,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7155818,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7155821,Noncdm Charge Record Medical Supplies,1910.16,1910.16,,,0 CDM,27200000_7155828,Noncdm Charge Record Medical Supplies,6153.84,6153.84,,,0 CDM,27200000_7155833,Noncdm Charge Record Medical Supplies,5014.8,5014.8,,,0 CDM,27200000_7155834,Noncdm Charge Record Medical Supplies,11088.0,11088.0,,,0 CDM,27200000_7155835,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27200000_7155836,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27200000_7155837,Noncdm Charge Record Medical Supplies,2867.13,2867.13,,,0 CDM,27200000_7155838,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7155839,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7155840,Noncdm Charge Record Medical Supplies,1790.98,1790.98,,,0 CDM,27200000_7155842,Noncdm Charge Record Medical Supplies,36713.25,36713.25,,,0 CDM,27200000_7155844,Noncdm Charge Record Medical Supplies,1566.43,1566.43,,,0 CDM,27200000_7155855,Noncdm Charge Record Medical Supplies,4102.56,4102.56,,,0 CDM,27200000_7155857,Noncdm Charge Record Medical Supplies,4102.56,4102.56,,,0 CDM,27200000_7155870,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27200000_7155876,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7155878,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7155879,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27200000_7155880,Noncdm Charge Record Medical Supplies,21672.0,21672.0,,,0 CDM,27200000_7155884,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27200000_7155885,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7155895,Noncdm Charge Record Medical Supplies,1839.6,1839.6,,,0 CDM,27200000_7155897,Noncdm Charge Record Medical Supplies,1211.87,1211.87,,,0 CDM,27200000_7155901,Noncdm Charge Record Medical Supplies,28570.6,28570.6,,,0 CDM,27200000_7155902,Noncdm Charge Record Medical Supplies,9141.25,9141.25,,,0 CDM,27200000_7155903,Noncdm Charge Record Medical Supplies,17963.62,17963.62,,,0 CDM,27200000_7155904,Noncdm Charge Record Medical Supplies,7364.95,7364.95,,,0 CDM,27200000_7155905,Noncdm Charge Record Medical Supplies,3380.34,3380.34,,,0 CDM,27200000_7155909,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7155911,Noncdm Charge Record Medical Supplies,1895.88,1895.88,,,0 CDM,27200000_7155917,Noncdm Charge Record Medical Supplies,452.04,452.04,,,0 CDM,27200000_7155919,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7155922,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27200000_7155938,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7155941,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27200000_7155943,Noncdm Charge Record Medical Supplies,24696.0,24696.0,,,0 CDM,27200000_7155944,Noncdm Charge Record Medical Supplies,24192.0,24192.0,,,0 CDM,27200000_7155945,Noncdm Charge Record Medical Supplies,655.2,655.2,,,0 CDM,27200000_7155946,Noncdm Charge Record Medical Supplies,1033.2,1033.2,,,0 CDM,27200000_7155947,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27200000_7155948,Noncdm Charge Record Medical Supplies,5014.8,5014.8,,,0 CDM,27200000_7155954,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27200000_7155957,Noncdm Charge Record Medical Supplies,21672.0,21672.0,,,0 CDM,27200000_7155960,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27200000_7155961,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7155963,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7155964,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7155965,Noncdm Charge Record Medical Supplies,1407.52,1407.52,,,0 CDM,27200000_7155977,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27200000_7155978,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7155979,Noncdm Charge Record Medical Supplies,7207.2,7207.2,,,0 CDM,27200000_7155982,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7155991,Noncdm Charge Record Medical Supplies,2648.02,2648.02,,,0 CDM,27200000_7155993,Noncdm Charge Record Medical Supplies,7207.2,7207.2,,,0 CDM,27200000_7155994,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7156006,Noncdm Charge Record Medical Supplies,876.69,876.69,,,0 CDM,27200000_7156017,Noncdm Charge Record Medical Supplies,876.69,876.69,,,0 CDM,27200000_7156022,Noncdm Charge Record Medical Supplies,374.51,374.51,,,0 CDM,27200000_7156023,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7156025,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7156044,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7156047,Noncdm Charge Record Medical Supplies,316.63,316.63,,,0 CDM,27200000_7156213,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7156214,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7156215,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7156222,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7156223,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27200000_7156227,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7156228,Noncdm Charge Record Medical Supplies,3585.7,3585.7,,,0 CDM,27200000_7156239,Noncdm Charge Record Medical Supplies,4218.48,4218.48,,,0 CDM,27200000_7156245,Noncdm Charge Record Medical Supplies,70289.13,70289.13,,,0 CDM,27200000_7156246,Noncdm Charge Record Medical Supplies,904.89,904.89,,,0 CDM,27200000_7156247,Noncdm Charge Record Medical Supplies,1098.52,1098.52,,,0 CDM,27200000_7156248,Noncdm Charge Record Medical Supplies,1058.4,1058.4,,,0 CDM,27200000_7156250,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27200000_7156253,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7156260,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7156288,Noncdm Charge Record Medical Supplies,2909.09,2909.09,,,0 CDM,27200000_7156289,Noncdm Charge Record Medical Supplies,3605.28,3605.28,,,0 CDM,27200000_7156291,Noncdm Charge Record Medical Supplies,3053.61,3053.61,,,0 CDM,27200000_7156462,Noncdm Charge Record Medical Supplies,1097.51,1097.51,,,0 CDM,27200000_7156463,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27200000_7156464,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27200000_7156467,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7156478,Noncdm Charge Record Medical Supplies,1383.06,1383.06,,,0 CDM,27200000_7156488,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27200000_7156491,Noncdm Charge Record Medical Supplies,1033.2,1033.2,,,0 CDM,27200000_7156492,Noncdm Charge Record Medical Supplies,5014.8,5014.8,,,0 CDM,27200000_7156496,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7156501,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7156506,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7156531,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7156532,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27200000_7156535,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27200000_7156537,Noncdm Charge Record Medical Supplies,709.01,709.01,,,0 CDM,27200000_7156558,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7156559,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7156561,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7156562,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7156565,Noncdm Charge Record Medical Supplies,1839.6,1839.6,,,0 CDM,27200000_7156568,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7156570,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7156571,Noncdm Charge Record Medical Supplies,3403.26,3403.26,,,0 CDM,27200000_7156572,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7156573,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7156574,Noncdm Charge Record Medical Supplies,1351.98,1351.98,,,0 CDM,27200000_7156580,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27200000_7156581,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7156582,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7156588,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7156589,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7156602,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7156604,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7156605,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7156607,Noncdm Charge Record Medical Supplies,11989.73,11989.73,,,0 CDM,27200000_7156608,Noncdm Charge Record Medical Supplies,4307.69,4307.69,,,0 CDM,27200000_7156610,Noncdm Charge Record Medical Supplies,2997.44,2997.44,,,0 CDM,27200000_7156611,Noncdm Charge Record Medical Supplies,1208.55,1208.55,,,0 CDM,27200000_7156612,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7156613,Noncdm Charge Record Medical Supplies,11903.64,11903.64,,,0 CDM,27200000_7156617,Noncdm Charge Record Medical Supplies,16860.9,16860.9,,,0 CDM,27200000_7156619,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7156621,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7156622,Noncdm Charge Record Medical Supplies,5014.8,5014.8,,,0 CDM,27200000_7156623,Noncdm Charge Record Medical Supplies,12600.0,12600.0,,,0 CDM,27200000_7156624,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27200000_7156626,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27200000_7156629,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7156639,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7156641,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27200000_7156646,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7156651,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7156660,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7156661,Noncdm Charge Record Medical Supplies,1895.88,1895.88,,,0 CDM,27200000_7156664,Noncdm Charge Record Medical Supplies,484.74,484.74,,,0 CDM,27200000_7156668,Noncdm Charge Record Medical Supplies,1401.0,1401.0,,,0 CDM,27200000_7156670,Noncdm Charge Record Medical Supplies,19036.5,19036.5,,,0 CDM,27200000_7156682,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27200000_7156702,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7156722,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27200000_7156733,Noncdm Charge Record Medical Supplies,1872.57,1872.57,,,0 CDM,27200000_7156734,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7156735,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7156737,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7156740,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27200000_7156743,Noncdm Charge Record Medical Supplies,3000.0,3000.0,,,0 CDM,27200000_7156744,Noncdm Charge Record Medical Supplies,3000.0,3000.0,,,0 CDM,27200000_7156745,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27200000_7156746,Noncdm Charge Record Medical Supplies,1159.67,1159.67,,,0 CDM,27200000_7156747,Noncdm Charge Record Medical Supplies,50505.0,50505.0,,,0 CDM,27200000_7156749,Noncdm Charge Record Medical Supplies,3000.0,3000.0,,,0 CDM,27200000_7156750,Noncdm Charge Record Medical Supplies,18259.5,18259.5,,,0 CDM,27200000_7156751,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27200000_7156752,Noncdm Charge Record Medical Supplies,1159.67,1159.67,,,0 CDM,27200000_7156754,Noncdm Charge Record Medical Supplies,73815.0,73815.0,,,0 CDM,27200000_7156755,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7156759,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27200000_7156760,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7156761,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27200000_7156762,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27200000_7156770,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7156780,Noncdm Charge Record Medical Supplies,1335.6,1335.6,,,0 CDM,27200000_7156786,Noncdm Charge Record Medical Supplies,1180.81,1180.81,,,0 CDM,27200000_7156789,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7156791,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7156792,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27200000_7156793,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27200000_7156797,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27200000_7156802,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27200000_7156803,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27200000_7156804,Noncdm Charge Record Medical Supplies,12600.0,12600.0,,,0 CDM,27200000_7156806,Noncdm Charge Record Medical Supplies,5014.8,5014.8,,,0 CDM,27200000_7156807,Noncdm Charge Record Medical Supplies,5245.63,5245.63,,,0 CDM,27200000_7156819,Noncdm Charge Record Medical Supplies,1841.49,1841.49,,,0 CDM,27200000_7156821,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7156822,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7156824,Noncdm Charge Record Medical Supplies,1895.88,1895.88,,,0 CDM,27200000_7156828,Noncdm Charge Record Medical Supplies,904.89,904.89,,,0 CDM,27200000_7156829,Noncdm Charge Record Medical Supplies,49240.8,49240.8,,,0 CDM,27200000_7156830,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7156831,Noncdm Charge Record Medical Supplies,862.47,862.47,,,0 CDM,27200000_7156833,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7156865,Noncdm Charge Record Medical Supplies,1439.39,1439.39,,,0 CDM,27200000_7156875,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27200000_7156876,Noncdm Charge Record Medical Supplies,714.84,714.84,,,0 CDM,27200000_7156897,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27200000_7156900,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7156903,Noncdm Charge Record Medical Supplies,797.2,797.2,,,0 CDM,27200000_7156907,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27200000_7156908,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27200000_7156909,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7156910,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7156912,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27200000_7156915,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7156916,Noncdm Charge Record Medical Supplies,19036.5,19036.5,,,0 CDM,27200000_7156920,Noncdm Charge Record Medical Supplies,3131.31,3131.31,,,0 CDM,27200000_7156928,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7156932,Noncdm Charge Record Medical Supplies,652.68,652.68,,,0 CDM,27200000_7156933,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7156936,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7156937,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7156941,Noncdm Charge Record Medical Supplies,1910.16,1910.16,,,0 CDM,27200000_7156945,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27200000_7156946,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7156950,Noncdm Charge Record Medical Supplies,390.24,390.24,,,0 CDM,27200000_7156965,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7156966,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27200000_7156974,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7156979,Noncdm Charge Record Medical Supplies,19513.03,19513.03,,,0 CDM,27200000_7156986,Noncdm Charge Record Medical Supplies,1713.6,1713.6,,,0 CDM,27200000_7156993,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7156994,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7157000,Noncdm Charge Record Medical Supplies,1839.6,1839.6,,,0 CDM,27200000_7157014,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27200000_7157015,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7157029,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7157032,Noncdm Charge Record Medical Supplies,61683.38,61683.38,,,0 CDM,27200000_7157040,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7157048,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7157049,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27200000_7157050,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27200000_7157055,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27200000_7157064,Noncdm Charge Record Medical Supplies,477.08,477.08,,,0 CDM,27200000_7157072,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7157073,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7157074,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27200000_7157081,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27200000_7157087,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7157089,Noncdm Charge Record Medical Supplies,694.64,694.64,,,0 CDM,27200000_7157098,Noncdm Charge Record Medical Supplies,1460.76,1460.76,,,0 CDM,27200000_7157100,Noncdm Charge Record Medical Supplies,3835.11,3835.11,,,0 CDM,27200000_7157107,Noncdm Charge Record Medical Supplies,411.81,411.81,,,0 CDM,27200000_7157110,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7157119,Noncdm Charge Record Medical Supplies,341.88,341.88,,,0 CDM,27200000_7157121,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7157122,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7157124,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7157127,Noncdm Charge Record Medical Supplies,1764.72,1764.72,,,0 CDM,27200000_7157132,Noncdm Charge Record Medical Supplies,8568.0,8568.0,,,0 CDM,27200000_7157143,Noncdm Charge Record Medical Supplies,1157.57,1157.57,,,0 CDM,27200000_7157145,Noncdm Charge Record Medical Supplies,225.26,225.26,,,0 CDM,27200000_7157158,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7157162,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27200000_7157163,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7157164,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7157165,Noncdm Charge Record Medical Supplies,2183.37,2183.37,,,0 CDM,27200000_7157166,Noncdm Charge Record Medical Supplies,5244.75,5244.75,,,0 CDM,27200000_7157167,Noncdm Charge Record Medical Supplies,380.73,380.73,,,0 CDM,27200000_7157168,Noncdm Charge Record Medical Supplies,318.57,318.57,,,0 CDM,27200000_7157169,Noncdm Charge Record Medical Supplies,435.12,435.12,,,0 CDM,27200000_7157170,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7157171,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27200000_7157174,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7157176,Noncdm Charge Record Medical Supplies,233.1,233.1,,,0 CDM,27200000_7157200,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27200000_7157201,Noncdm Charge Record Medical Supplies,1738.7,1738.7,,,0 CDM,27200000_7157208,Noncdm Charge Record Medical Supplies,252.52,252.52,,,0 CDM,27200000_7157209,Noncdm Charge Record Medical Supplies,1958.04,1958.04,,,0 CDM,27200000_7157213,Noncdm Charge Record Medical Supplies,730.8,730.8,,,0 CDM,27200000_7157214,Noncdm Charge Record Medical Supplies,909.09,909.09,,,0 CDM,27200000_7157226,Noncdm Charge Record Medical Supplies,24475.5,24475.5,,,0 CDM,27200000_7157228,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7157229,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7157231,Noncdm Charge Record Medical Supplies,130.38,130.38,,,0 CDM,27200000_7157233,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7157260,Noncdm Charge Record Medical Supplies,130.38,130.38,,,0 CDM,27200000_7157265,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7157266,Noncdm Charge Record Medical Supplies,707.07,707.07,,,0 CDM,27200000_7157274,Noncdm Charge Record Medical Supplies,130.38,130.38,,,0 CDM,27200000_7157283,Noncdm Charge Record Medical Supplies,3333.33,3333.33,,,0 CDM,27200000_7157284,Noncdm Charge Record Medical Supplies,15034.95,15034.95,,,0 CDM,27200000_7157286,Noncdm Charge Record Medical Supplies,882.0,882.0,,,0 CDM,27200000_7157287,Noncdm Charge Record Medical Supplies,130.38,130.38,,,0 CDM,27200000_7157289,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27200000_7157290,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27200000_7157292,Noncdm Charge Record Medical Supplies,2230.15,2230.15,,,0 CDM,27200000_7157302,Noncdm Charge Record Medical Supplies,2847.7,2847.7,,,0 CDM,27200000_7157305,Noncdm Charge Record Medical Supplies,1895.88,1895.88,,,0 CDM,27200000_7157317,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7157322,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27200000_7157328,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27200000_7157329,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7157330,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7157332,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27200000_7157333,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27200000_7157340,Noncdm Charge Record Medical Supplies,2676.24,2676.24,,,0 CDM,27200000_7157342,Noncdm Charge Record Medical Supplies,248.64,248.64,,,0 CDM,27200000_7157343,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7157356,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7157357,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7157361,Noncdm Charge Record Medical Supplies,1118.18,1118.18,,,0 CDM,27200000_7157365,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7157366,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7157367,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7157368,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7157369,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7157370,Noncdm Charge Record Medical Supplies,16278.15,16278.15,,,0 CDM,27200000_7157372,Noncdm Charge Record Medical Supplies,2121.21,2121.21,,,0 CDM,27200000_7157374,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7157382,Noncdm Charge Record Medical Supplies,761.46,761.46,,,0 CDM,27200000_7157388,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7157394,Noncdm Charge Record Medical Supplies,3188.81,3188.81,,,0 CDM,27200000_7157395,Noncdm Charge Record Medical Supplies,270.4,270.4,,,0 CDM,27200000_7157396,Noncdm Charge Record Medical Supplies,270.4,270.4,,,0 CDM,27200000_7157397,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7157398,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7157402,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7157407,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7157410,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7157411,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7157416,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7157426,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7157427,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7157432,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7157438,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7157441,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27200000_7157447,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7157448,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7157450,Noncdm Charge Record Medical Supplies,1118.88,1118.88,,,0 CDM,27200000_7157456,Noncdm Charge Record Medical Supplies,1118.18,1118.18,,,0 CDM,27200000_7157494,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27200000_7157495,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27200000_7157496,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27200000_7157497,Noncdm Charge Record Medical Supplies,19036.5,19036.5,,,0 CDM,27200000_7157523,Noncdm Charge Record Medical Supplies,442.89,442.89,,,0 CDM,27200000_7157526,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7157527,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27200000_7157530,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7157531,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7157537,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27200000_7157538,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7157541,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7157544,Noncdm Charge Record Medical Supplies,1841.49,1841.49,,,0 CDM,27200000_7157545,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7157581,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7157585,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7157586,Noncdm Charge Record Medical Supplies,1407.92,1407.92,,,0 CDM,27200000_7157587,Noncdm Charge Record Medical Supplies,1104.89,1104.89,,,0 CDM,27200000_7157590,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27200000_7157592,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7157593,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7157594,Noncdm Charge Record Medical Supplies,652.68,652.68,,,0 CDM,27200000_7157595,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7157596,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7157597,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7157602,Noncdm Charge Record Medical Supplies,1910.16,1910.16,,,0 CDM,27200000_7157606,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7157615,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7157628,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7157630,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7157637,Noncdm Charge Record Medical Supplies,778.94,778.94,,,0 CDM,27200000_7157638,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27200000_7157640,Noncdm Charge Record Medical Supplies,761.46,761.46,,,0 CDM,27200000_7157652,Noncdm Charge Record Medical Supplies,489.51,489.51,,,0 CDM,27200000_7157655,Noncdm Charge Record Medical Supplies,15120.0,15120.0,,,0 CDM,27200000_7157656,Noncdm Charge Record Medical Supplies,3580.42,3580.42,,,0 CDM,27200000_7157657,Noncdm Charge Record Medical Supplies,489.51,489.51,,,0 CDM,27200000_7157658,Noncdm Charge Record Medical Supplies,769.23,769.23,,,0 CDM,27200000_7157659,Noncdm Charge Record Medical Supplies,3580.42,3580.42,,,0 CDM,27200000_7157662,Noncdm Charge Record Medical Supplies,77.11,77.11,,,0 CDM,27200000_7157663,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7157664,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7157665,Noncdm Charge Record Medical Supplies,2486.4,2486.4,,,0 CDM,27200000_7157666,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7157668,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27200000_7157671,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27200000_7157672,Noncdm Charge Record Medical Supplies,1351.98,1351.98,,,0 CDM,27200000_7157675,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7157677,Noncdm Charge Record Medical Supplies,3333.33,3333.33,,,0 CDM,27200000_7157678,Noncdm Charge Record Medical Supplies,792.54,792.54,,,0 CDM,27200000_7157682,Noncdm Charge Record Medical Supplies,1048.95,1048.95,,,0 CDM,27200000_7157683,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7157688,Noncdm Charge Record Medical Supplies,2486.4,2486.4,,,0 CDM,27200000_7157692,Noncdm Charge Record Medical Supplies,6332.55,6332.55,,,0 CDM,27200000_7157695,Noncdm Charge Record Medical Supplies,2486.4,2486.4,,,0 CDM,27200000_7157727,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7157730,Noncdm Charge Record Medical Supplies,1351.98,1351.98,,,0 CDM,27200000_7157732,Noncdm Charge Record Medical Supplies,10062.15,10062.15,,,0 CDM,27200000_7157733,Noncdm Charge Record Medical Supplies,2789.43,2789.43,,,0 CDM,27200000_7157754,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7157756,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7157759,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7157760,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7157761,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7157762,Noncdm Charge Record Medical Supplies,862.47,862.47,,,0 CDM,27200000_7157774,Noncdm Charge Record Medical Supplies,8568.0,8568.0,,,0 CDM,27200000_7157792,Noncdm Charge Record Medical Supplies,1979.09,1979.09,,,0 CDM,27200000_7157793,Noncdm Charge Record Medical Supplies,30214.8,30214.8,,,0 CDM,27200000_7157795,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7157807,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7157814,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27200000_7157847,Noncdm Charge Record Medical Supplies,58973.6,58973.6,,,0 CDM,27200000_7157874,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7157876,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7157877,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7157878,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7157890,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27200000_7157892,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7157893,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7157898,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7157899,Noncdm Charge Record Medical Supplies,15034.95,15034.95,,,0 CDM,27200000_7157903,Noncdm Charge Record Medical Supplies,5014.8,5014.8,,,0 CDM,27200000_7157906,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7157910,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7157911,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7157912,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7157915,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27200000_7157916,Noncdm Charge Record Medical Supplies,904.89,904.89,,,0 CDM,27200000_7157917,Noncdm Charge Record Medical Supplies,1934.73,1934.73,,,0 CDM,27200000_7157936,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7157937,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7157938,Noncdm Charge Record Medical Supplies,393.12,393.12,,,0 CDM,27200000_7157940,Noncdm Charge Record Medical Supplies,24696.0,24696.0,,,0 CDM,27200000_7157941,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27200000_7157967,Noncdm Charge Record Medical Supplies,19036.5,19036.5,,,0 CDM,27200000_7157968,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27200000_7157972,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7157977,Noncdm Charge Record Medical Supplies,1451.52,1451.52,,,0 CDM,27200000_7158016,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7158017,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7158638,Noncdm Charge Record Medical Supplies,2354.31,2354.31,,,0 CDM,27200000_7158642,Noncdm Charge Record Medical Supplies,3574.2,3574.2,,,0 CDM,27200000_7158643,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27200000_7158644,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7158653,Noncdm Charge Record Medical Supplies,19036.5,19036.5,,,0 CDM,27200000_7158655,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7158665,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7158672,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7158677,Noncdm Charge Record Medical Supplies,2784.84,2784.84,,,0 CDM,27200000_7158683,Noncdm Charge Record Medical Supplies,3024.0,3024.0,,,0 CDM,27200000_7158684,Noncdm Charge Record Medical Supplies,463.68,463.68,,,0 CDM,27200000_7158685,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7158688,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27200000_7158690,Noncdm Charge Record Medical Supplies,273.43,273.43,,,0 CDM,27200000_7158692,Noncdm Charge Record Medical Supplies,2338.77,2338.77,,,0 CDM,27200000_7158693,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27200000_7158694,Noncdm Charge Record Medical Supplies,1686.09,1686.09,,,0 CDM,27200000_7158695,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7158703,Noncdm Charge Record Medical Supplies,2039.62,2039.62,,,0 CDM,27200000_7158708,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7158721,Noncdm Charge Record Medical Supplies,6550.11,6550.11,,,0 CDM,27200000_7158722,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27200000_7158723,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7158724,Noncdm Charge Record Medical Supplies,2680.65,2680.65,,,0 CDM,27200000_7158727,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27200000_7158729,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27200000_7158736,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7158737,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7158741,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7158742,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7158743,Noncdm Charge Record Medical Supplies,1841.49,1841.49,,,0 CDM,27200000_7158746,Noncdm Charge Record Medical Supplies,30214.8,30214.8,,,0 CDM,27200000_7158760,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27200000_7158761,Noncdm Charge Record Medical Supplies,1104.12,1104.12,,,0 CDM,27200000_7158762,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27200000_7158763,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27200000_7158777,Noncdm Charge Record Medical Supplies,449.81,449.81,,,0 CDM,27200000_7158780,Noncdm Charge Record Medical Supplies,2054.85,2054.85,,,0 CDM,27200000_7158783,Noncdm Charge Record Medical Supplies,893.55,893.55,,,0 CDM,27200000_7158803,Noncdm Charge Record Medical Supplies,1473.19,1473.19,,,0 CDM,27200000_7158806,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7158810,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7158811,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7158821,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7158852,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27200000_7158853,Noncdm Charge Record Medical Supplies,310.8,310.8,,,0 CDM,27200000_7158856,Noncdm Charge Record Medical Supplies,8568.0,8568.0,,,0 CDM,27200000_7158858,Noncdm Charge Record Medical Supplies,1895.88,1895.88,,,0 CDM,27200000_7158869,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7158913,Noncdm Charge Record Medical Supplies,5477.85,5477.85,,,0 CDM,27200000_7158914,Noncdm Charge Record Medical Supplies,4483.29,4483.29,,,0 CDM,27200000_7158923,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7158924,Noncdm Charge Record Medical Supplies,19036.5,19036.5,,,0 CDM,27200000_7158926,Noncdm Charge Record Medical Supplies,1864.8,1864.8,,,0 CDM,27200000_7158946,Noncdm Charge Record Medical Supplies,2505.82,2505.82,,,0 CDM,27200000_7158947,Noncdm Charge Record Medical Supplies,2369.85,2369.85,,,0 CDM,27200000_7158949,Noncdm Charge Record Medical Supplies,5749.8,5749.8,,,0 CDM,27200000_7158951,Noncdm Charge Record Medical Supplies,6371.4,6371.4,,,0 CDM,27200000_7158952,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27200000_7158953,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7158954,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7158965,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7158967,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7158980,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7158988,Noncdm Charge Record Medical Supplies,2486.4,2486.4,,,0 CDM,27200000_7158989,Noncdm Charge Record Medical Supplies,2369.85,2369.85,,,0 CDM,27200000_7158990,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7158991,Noncdm Charge Record Medical Supplies,6332.55,6332.55,,,0 CDM,27200000_7158995,Noncdm Charge Record Medical Supplies,277.32,277.32,,,0 CDM,27200000_7159006,Noncdm Charge Record Medical Supplies,28360.5,28360.5,,,0 CDM,27200000_7159008,Noncdm Charge Record Medical Supplies,19036.5,19036.5,,,0 CDM,27200000_7159014,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7159018,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7159019,Noncdm Charge Record Medical Supplies,4118.1,4118.1,,,0 CDM,27200000_7159023,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7159024,Noncdm Charge Record Medical Supplies,862.47,862.47,,,0 CDM,27200000_7159025,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7159026,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7159027,Noncdm Charge Record Medical Supplies,3069.15,3069.15,,,0 CDM,27200000_7159037,Noncdm Charge Record Medical Supplies,229.32,229.32,,,0 CDM,27200000_7159043,Noncdm Charge Record Medical Supplies,1241.03,1241.03,,,0 CDM,27200000_7159044,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7159050,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27200000_7159053,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27200000_7159054,Noncdm Charge Record Medical Supplies,3224.55,3224.55,,,0 CDM,27200000_7159055,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7159057,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27200000_7159066,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7159069,Noncdm Charge Record Medical Supplies,2843.82,2843.82,,,0 CDM,27200000_7159070,Noncdm Charge Record Medical Supplies,2843.82,2843.82,,,0 CDM,27200000_7159071,Noncdm Charge Record Medical Supplies,2843.82,2843.82,,,0 CDM,27200000_7159072,Noncdm Charge Record Medical Supplies,5407.92,5407.92,,,0 CDM,27200000_7159073,Noncdm Charge Record Medical Supplies,8997.66,8997.66,,,0 CDM,27200000_7159075,Noncdm Charge Record Medical Supplies,6231.54,6231.54,,,0 CDM,27200000_7159076,Noncdm Charge Record Medical Supplies,2843.82,2843.82,,,0 CDM,27200000_7159082,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7159085,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7159093,Noncdm Charge Record Medical Supplies,7614.6,7614.6,,,0 CDM,27200000_7159099,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27200000_7159108,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7159113,Noncdm Charge Record Medical Supplies,355.87,355.87,,,0 CDM,27200000_7159135,Noncdm Charge Record Medical Supplies,1251.13,1251.13,,,0 CDM,27200000_7159138,Noncdm Charge Record Medical Supplies,30214.8,30214.8,,,0 CDM,27200000_7159139,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7159140,Noncdm Charge Record Medical Supplies,1628.59,1628.59,,,0 CDM,27200000_7159164,Noncdm Charge Record Medical Supplies,2634.03,2634.03,,,0 CDM,27200000_7159211,Noncdm Charge Record Medical Supplies,442.89,442.89,,,0 CDM,27200000_7159215,Noncdm Charge Record Medical Supplies,576.92,576.92,,,0 CDM,27200000_7159216,Noncdm Charge Record Medical Supplies,16278.15,16278.15,,,0 CDM,27200000_7159218,Noncdm Charge Record Medical Supplies,15306.9,15306.9,,,0 CDM,27200000_7159219,Noncdm Charge Record Medical Supplies,31313.1,31313.1,,,0 CDM,27200000_7159222,Noncdm Charge Record Medical Supplies,310.48,310.48,,,0 CDM,27200000_7159235,Noncdm Charge Record Medical Supplies,188.97,188.97,,,0 CDM,27200000_7159251,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27200000_7159257,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7159264,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7159265,Noncdm Charge Record Medical Supplies,1839.6,1839.6,,,0 CDM,27200000_7159268,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7159269,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7159278,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7159282,Noncdm Charge Record Medical Supplies,15.54,15.54,,,0 CDM,27200000_7159283,Noncdm Charge Record Medical Supplies,15.54,15.54,,,0 CDM,27200000_7159285,Noncdm Charge Record Medical Supplies,77.7,77.7,,,0 CDM,27200000_7159291,Noncdm Charge Record Medical Supplies,1383.06,1383.06,,,0 CDM,27200000_7159295,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27200000_7159308,Noncdm Charge Record Medical Supplies,15.54,15.54,,,0 CDM,27200000_7159319,Noncdm Charge Record Medical Supplies,1268.06,1268.06,,,0 CDM,27200000_7159320,Noncdm Charge Record Medical Supplies,2355.55,2355.55,,,0 CDM,27200000_7159334,Noncdm Charge Record Medical Supplies,3000.0,3000.0,,,0 CDM,27200000_7159335,Noncdm Charge Record Medical Supplies,3000.0,3000.0,,,0 CDM,27200000_7159336,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27200000_7159337,Noncdm Charge Record Medical Supplies,1159.67,1159.67,,,0 CDM,27200000_7159338,Noncdm Charge Record Medical Supplies,50505.0,50505.0,,,0 CDM,27200000_7159342,Noncdm Charge Record Medical Supplies,6153.84,6153.84,,,0 CDM,27200000_7159345,Noncdm Charge Record Medical Supplies,5014.8,5014.8,,,0 CDM,27200000_7159351,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7159353,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7159359,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7159362,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27200000_7159365,Noncdm Charge Record Medical Supplies,714.84,714.84,,,0 CDM,27200000_7159367,Noncdm Charge Record Medical Supplies,1660.84,1660.84,,,0 CDM,27200000_7159368,Noncdm Charge Record Medical Supplies,778.55,778.55,,,0 CDM,27200000_7159369,Noncdm Charge Record Medical Supplies,536.13,536.13,,,0 CDM,27200000_7159370,Noncdm Charge Record Medical Supplies,778.55,778.55,,,0 CDM,27200000_7159373,Noncdm Charge Record Medical Supplies,1895.88,1895.88,,,0 CDM,27200000_7159391,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7159392,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7159414,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7159415,Noncdm Charge Record Medical Supplies,27156.15,27156.15,,,0 CDM,27200000_7159416,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7159418,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7159419,Noncdm Charge Record Medical Supplies,15.54,15.54,,,0 CDM,27200000_7159423,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7159424,Noncdm Charge Record Medical Supplies,1097.51,1097.51,,,0 CDM,27200000_7159429,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7159430,Noncdm Charge Record Medical Supplies,519.11,519.11,,,0 CDM,27200000_7159431,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27200000_7159433,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27200000_7159436,Noncdm Charge Record Medical Supplies,1005.51,1005.51,,,0 CDM,27200000_7159438,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7159439,Noncdm Charge Record Medical Supplies,3263.4,3263.4,,,0 CDM,27200000_7159441,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7159442,Noncdm Charge Record Medical Supplies,2377.62,2377.62,,,0 CDM,27200000_7159444,Noncdm Charge Record Medical Supplies,3212.51,3212.51,,,0 CDM,27200000_7159448,Noncdm Charge Record Medical Supplies,1056.74,1056.74,,,0 CDM,27200000_7159462,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7159463,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7159464,Noncdm Charge Record Medical Supplies,15.54,15.54,,,0 CDM,27200000_7159471,Noncdm Charge Record Medical Supplies,77.7,77.7,,,0 CDM,27200000_7159485,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7159486,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27200000_7159487,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7159488,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7159489,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7159497,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7159498,Noncdm Charge Record Medical Supplies,108.78,108.78,,,0 CDM,27200000_7159500,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27200000_7159502,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7159507,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7159508,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7159522,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7159524,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7159536,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7159542,Noncdm Charge Record Medical Supplies,2183.37,2183.37,,,0 CDM,27200000_7159550,Noncdm Charge Record Medical Supplies,61071.5,61071.5,,,0 CDM,27200000_7159556,Noncdm Charge Record Medical Supplies,287.49,287.49,,,0 CDM,27200000_7159573,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7159574,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7159575,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7159576,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7159577,Noncdm Charge Record Medical Supplies,3270.96,3270.96,,,0 CDM,27200000_7159606,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27200000_7159610,Noncdm Charge Record Medical Supplies,757.58,757.58,,,0 CDM,27200000_7159611,Noncdm Charge Record Medical Supplies,959.6,959.6,,,0 CDM,27200000_7159631,Noncdm Charge Record Medical Supplies,324.08,324.08,,,0 CDM,27200000_7159639,Noncdm Charge Record Medical Supplies,6441.33,6441.33,,,0 CDM,27200000_7159646,Noncdm Charge Record Medical Supplies,355.87,355.87,,,0 CDM,27200000_7159649,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27200000_7159650,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7159652,Noncdm Charge Record Medical Supplies,1149.12,1149.12,,,0 CDM,27200000_7159660,Noncdm Charge Record Medical Supplies,2991.45,2991.45,,,0 CDM,27200000_7159664,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7159694,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27200000_7159705,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7159711,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27200000_7159716,Noncdm Charge Record Medical Supplies,2082.36,2082.36,,,0 CDM,27200000_7159717,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7159720,Noncdm Charge Record Medical Supplies,1612.28,1612.28,,,0 CDM,27200000_7159721,Noncdm Charge Record Medical Supplies,16278.15,16278.15,,,0 CDM,27200000_7159727,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7159734,Noncdm Charge Record Medical Supplies,734.26,734.26,,,0 CDM,27200000_7159740,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7159742,Noncdm Charge Record Medical Supplies,2191.14,2191.14,,,0 CDM,27200000_7159743,Noncdm Charge Record Medical Supplies,652.68,652.68,,,0 CDM,27200000_7159749,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7159752,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7159755,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7159756,Noncdm Charge Record Medical Supplies,368.68,368.68,,,0 CDM,27200000_7159762,Noncdm Charge Record Medical Supplies,1841.49,1841.49,,,0 CDM,27200000_7159771,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7159772,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7159774,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7159775,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7159778,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7159788,Noncdm Charge Record Medical Supplies,1872.57,1872.57,,,0 CDM,27200000_7159790,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27200000_7159793,Noncdm Charge Record Medical Supplies,2742.81,2742.81,,,0 CDM,27200000_7159794,Noncdm Charge Record Medical Supplies,380.73,380.73,,,0 CDM,27200000_7159801,Noncdm Charge Record Medical Supplies,420.36,420.36,,,0 CDM,27200000_7159802,Noncdm Charge Record Medical Supplies,287.18,287.18,,,0 CDM,27200000_7159806,Noncdm Charge Record Medical Supplies,3585.7,3585.7,,,0 CDM,27200000_7159807,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7159808,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7159810,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27200000_7159824,Noncdm Charge Record Medical Supplies,8874.82,8874.82,,,0 CDM,27200000_7159846,Noncdm Charge Record Medical Supplies,281.48,281.48,,,0 CDM,27200000_7159869,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7159882,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7159893,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7159894,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7159899,Noncdm Charge Record Medical Supplies,2222.22,2222.22,,,0 CDM,27200000_7159901,Noncdm Charge Record Medical Supplies,1097.51,1097.51,,,0 CDM,27200000_7159905,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27200000_7159910,Noncdm Charge Record Medical Supplies,6048.0,6048.0,,,0 CDM,27200000_7159921,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7159925,Noncdm Charge Record Medical Supplies,5014.8,5014.8,,,0 CDM,27200000_7159932,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7159934,Noncdm Charge Record Medical Supplies,1841.49,1841.49,,,0 CDM,27200000_7159943,Noncdm Charge Record Medical Supplies,7327.11,7327.11,,,0 CDM,27200000_7159947,Noncdm Charge Record Medical Supplies,1351.98,1351.98,,,0 CDM,27200000_7159954,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27200000_7159955,Noncdm Charge Record Medical Supplies,1097.51,1097.51,,,0 CDM,27200000_7159956,Noncdm Charge Record Medical Supplies,710.96,710.96,,,0 CDM,27200000_7159959,Noncdm Charge Record Medical Supplies,4365.9,4365.9,,,0 CDM,27200000_7159980,Noncdm Charge Record Medical Supplies,9021.6,9021.6,,,0 CDM,27200000_7159989,Noncdm Charge Record Medical Supplies,10717.48,10717.48,,,0 CDM,27200000_7159990,Noncdm Charge Record Medical Supplies,22610.7,22610.7,,,0 CDM,27200000_7159994,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27200000_7160007,Noncdm Charge Record Medical Supplies,2676.24,2676.24,,,0 CDM,27200000_7160017,Noncdm Charge Record Medical Supplies,757.58,757.58,,,0 CDM,27200000_7160018,Noncdm Charge Record Medical Supplies,959.6,959.6,,,0 CDM,27200000_7160031,Noncdm Charge Record Medical Supplies,15881.88,15881.88,,,0 CDM,27200000_7160032,Noncdm Charge Record Medical Supplies,4475.52,4475.52,,,0 CDM,27200000_7160033,Noncdm Charge Record Medical Supplies,15881.88,15881.88,,,0 CDM,27200000_7160034,Noncdm Charge Record Medical Supplies,4475.52,4475.52,,,0 CDM,27200000_7160036,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7160048,Noncdm Charge Record Medical Supplies,1383.06,1383.06,,,0 CDM,27200000_7160056,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7160057,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7160058,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27200000_7160059,Noncdm Charge Record Medical Supplies,11903.64,11903.64,,,0 CDM,27200000_7160060,Noncdm Charge Record Medical Supplies,16860.9,16860.9,,,0 CDM,27200000_7160064,Noncdm Charge Record Medical Supplies,7207.2,7207.2,,,0 CDM,27200000_7160071,Noncdm Charge Record Medical Supplies,808.86,808.86,,,0 CDM,27200000_7160072,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27200000_7160073,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7160074,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7160084,Noncdm Charge Record Medical Supplies,19036.5,19036.5,,,0 CDM,27200000_7160094,Noncdm Charge Record Medical Supplies,870.24,870.24,,,0 CDM,27200000_7160095,Noncdm Charge Record Medical Supplies,870.24,870.24,,,0 CDM,27200000_7160098,Noncdm Charge Record Medical Supplies,5014.8,5014.8,,,0 CDM,27200000_7160099,Noncdm Charge Record Medical Supplies,1033.2,1033.2,,,0 CDM,27200000_7160154,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7160155,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7160156,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7160180,Noncdm Charge Record Medical Supplies,8702.4,8702.4,,,0 CDM,27200000_7160181,Noncdm Charge Record Medical Supplies,27156.15,27156.15,,,0 CDM,27200000_7160183,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7160184,Noncdm Charge Record Medical Supplies,3263.4,3263.4,,,0 CDM,27200000_7160209,Noncdm Charge Record Medical Supplies,55019.37,55019.37,,,0 CDM,27200000_7160213,Noncdm Charge Record Medical Supplies,34965.0,34965.0,,,0 CDM,27200000_7160214,Noncdm Charge Record Medical Supplies,9595.02,9595.02,,,0 CDM,27200000_7160215,Noncdm Charge Record Medical Supplies,1934.73,1934.73,,,0 CDM,27200000_7160216,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7160220,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7160230,Noncdm Charge Record Medical Supplies,463.48,463.48,,,0 CDM,27200000_7160232,Noncdm Charge Record Medical Supplies,330.84,330.84,,,0 CDM,27200000_7160243,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27200000_7160244,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7160245,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7160248,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27200000_7160264,Noncdm Charge Record Medical Supplies,2974.36,2974.36,,,0 CDM,27200000_7160265,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27200000_7160267,Noncdm Charge Record Medical Supplies,1940.4,1940.4,,,0 CDM,27200000_7160272,Noncdm Charge Record Medical Supplies,2913.75,2913.75,,,0 CDM,27200000_7160280,Noncdm Charge Record Medical Supplies,5014.8,5014.8,,,0 CDM,27200000_7160283,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7160288,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7160289,Noncdm Charge Record Medical Supplies,1577.31,1577.31,,,0 CDM,27200000_7160295,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7160296,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7160302,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7160309,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7160319,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27200000_7160325,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7160326,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27200000_7160338,Noncdm Charge Record Medical Supplies,1149.96,1149.96,,,0 CDM,27200000_7160345,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7160348,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7160349,Noncdm Charge Record Medical Supplies,2905.43,2905.43,,,0 CDM,27200000_7160350,Noncdm Charge Record Medical Supplies,24696.0,24696.0,,,0 CDM,27200000_7160351,Noncdm Charge Record Medical Supplies,5014.8,5014.8,,,0 CDM,27200000_7160352,Noncdm Charge Record Medical Supplies,3956.4,3956.4,,,0 CDM,27200000_7160380,Noncdm Charge Record Medical Supplies,883.91,883.91,,,0 CDM,27200000_7160381,Noncdm Charge Record Medical Supplies,1450.82,1450.82,,,0 CDM,27200000_7160382,Noncdm Charge Record Medical Supplies,883.91,883.91,,,0 CDM,27200000_7160383,Noncdm Charge Record Medical Supplies,883.91,883.91,,,0 CDM,27200000_7160384,Noncdm Charge Record Medical Supplies,693.7,693.7,,,0 CDM,27200000_7160385,Noncdm Charge Record Medical Supplies,2297.43,2297.43,,,0 CDM,27200000_7160390,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7160398,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7160409,Noncdm Charge Record Medical Supplies,2758.35,2758.35,,,0 CDM,27200000_7160413,Noncdm Charge Record Medical Supplies,9141.25,9141.25,,,0 CDM,27200000_7160417,Noncdm Charge Record Medical Supplies,30875.49,30875.49,,,0 CDM,27200000_7160424,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7160425,Noncdm Charge Record Medical Supplies,1848.71,1848.71,,,0 CDM,27200000_7160434,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7160439,Noncdm Charge Record Medical Supplies,2847.7,2847.7,,,0 CDM,27200000_7160447,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27200000_7160459,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7160462,Noncdm Charge Record Medical Supplies,5477.85,5477.85,,,0 CDM,27200000_7160467,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7160473,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7160483,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7160484,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7160486,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7160487,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7160499,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7160500,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7160524,Noncdm Charge Record Medical Supplies,2121.21,2121.21,,,0 CDM,27200000_7160529,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27200000_7160530,Noncdm Charge Record Medical Supplies,2222.22,2222.22,,,0 CDM,27200000_7160545,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7160546,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7160553,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7160557,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7160558,Noncdm Charge Record Medical Supplies,909.09,909.09,,,0 CDM,27200000_7160559,Noncdm Charge Record Medical Supplies,5245.63,5245.63,,,0 CDM,27200000_7160560,Noncdm Charge Record Medical Supplies,37054.08,37054.08,,,0 CDM,27200000_7160564,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27200000_7160691,Noncdm Charge Record Medical Supplies,3028.28,3028.28,,,0 CDM,27200000_7160692,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27200000_7160693,Noncdm Charge Record Medical Supplies,2235.43,2235.43,,,0 CDM,27200000_7160694,Noncdm Charge Record Medical Supplies,3278.94,3278.94,,,0 CDM,27200000_7160695,Noncdm Charge Record Medical Supplies,5042.73,5042.73,,,0 CDM,27200000_7160698,Noncdm Charge Record Medical Supplies,652.68,652.68,,,0 CDM,27200000_7160699,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7160700,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7160701,Noncdm Charge Record Medical Supplies,1383.06,1383.06,,,0 CDM,27200000_7160702,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7160705,Noncdm Charge Record Medical Supplies,778.55,778.55,,,0 CDM,27200000_7160712,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7160715,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7160721,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27200000_7160722,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7160724,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7160740,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7160753,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7160758,Noncdm Charge Record Medical Supplies,5245.63,5245.63,,,0 CDM,27200000_7160760,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27200000_7160761,Noncdm Charge Record Medical Supplies,71223.7,71223.7,,,0 CDM,27200000_7160767,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7160768,Noncdm Charge Record Medical Supplies,839.16,839.16,,,0 CDM,27200000_7160779,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27200000_7160790,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7160793,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7160810,Noncdm Charge Record Medical Supplies,1450.82,1450.82,,,0 CDM,27200000_7160811,Noncdm Charge Record Medical Supplies,1450.82,1450.82,,,0 CDM,27200000_7160814,Noncdm Charge Record Medical Supplies,419.97,419.97,,,0 CDM,27200000_7160815,Noncdm Charge Record Medical Supplies,3000.0,3000.0,,,0 CDM,27200000_7160816,Noncdm Charge Record Medical Supplies,3000.0,3000.0,,,0 CDM,27200000_7160817,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27200000_7160818,Noncdm Charge Record Medical Supplies,1159.67,1159.67,,,0 CDM,27200000_7160819,Noncdm Charge Record Medical Supplies,50505.0,50505.0,,,0 CDM,27200000_7160825,Noncdm Charge Record Medical Supplies,5014.8,5014.8,,,0 CDM,27200000_7160826,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7160827,Noncdm Charge Record Medical Supplies,37054.08,37054.08,,,0 CDM,27200000_7160833,Noncdm Charge Record Medical Supplies,4763.01,4763.01,,,0 CDM,27200000_7160834,Noncdm Charge Record Medical Supplies,5742.03,5742.03,,,0 CDM,27200000_7160836,Noncdm Charge Record Medical Supplies,652.68,652.68,,,0 CDM,27200000_7160837,Noncdm Charge Record Medical Supplies,4933.95,4933.95,,,0 CDM,27200000_7160839,Noncdm Charge Record Medical Supplies,19036.5,19036.5,,,0 CDM,27200000_7160841,Noncdm Charge Record Medical Supplies,1056.74,1056.74,,,0 CDM,27200000_7160844,Noncdm Charge Record Medical Supplies,5014.8,5014.8,,,0 CDM,27200000_7160845,Noncdm Charge Record Medical Supplies,2852.99,2852.99,,,0 CDM,27200000_7160846,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7160849,Noncdm Charge Record Medical Supplies,11062.8,11062.8,,,0 CDM,27200000_7160861,Noncdm Charge Record Medical Supplies,3162.39,3162.39,,,0 CDM,27200000_7160862,Noncdm Charge Record Medical Supplies,2913.75,2913.75,,,0 CDM,27200000_7160870,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7160874,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7160875,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7160886,Noncdm Charge Record Medical Supplies,1717.17,1717.17,,,0 CDM,27200000_7160895,Noncdm Charge Record Medical Supplies,19036.5,19036.5,,,0 CDM,27200000_7160898,Noncdm Charge Record Medical Supplies,1157.57,1157.57,,,0 CDM,27200000_7160900,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7160915,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7160916,Noncdm Charge Record Medical Supplies,61071.5,61071.5,,,0 CDM,27200000_7160917,Noncdm Charge Record Medical Supplies,70.71,70.71,,,0 CDM,27200000_7160918,Noncdm Charge Record Medical Supplies,2128.98,2128.98,,,0 CDM,27200000_7160925,Noncdm Charge Record Medical Supplies,11062.8,11062.8,,,0 CDM,27200000_7160928,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27200000_7160929,Noncdm Charge Record Medical Supplies,442.89,442.89,,,0 CDM,27200000_7160930,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7160940,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7160944,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7160945,Noncdm Charge Record Medical Supplies,1097.51,1097.51,,,0 CDM,27200000_7160947,Noncdm Charge Record Medical Supplies,71223.7,71223.7,,,0 CDM,27200000_7160955,Noncdm Charge Record Medical Supplies,1254.96,1254.96,,,0 CDM,27200000_7160958,Noncdm Charge Record Medical Supplies,5477.85,5477.85,,,0 CDM,27200000_7160959,Noncdm Charge Record Medical Supplies,3931.62,3931.62,,,0 CDM,27200000_7160960,Noncdm Charge Record Medical Supplies,1872.57,1872.57,,,0 CDM,27200000_7160963,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7160965,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27200000_7160966,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7160967,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7160978,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7160979,Noncdm Charge Record Medical Supplies,93.24,93.24,,,0 CDM,27200000_7160980,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7160981,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7160995,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7160996,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7160999,Noncdm Charge Record Medical Supplies,652.68,652.68,,,0 CDM,27200000_7161014,Noncdm Charge Record Medical Supplies,10062.15,10062.15,,,0 CDM,27200000_7161022,Noncdm Charge Record Medical Supplies,913.25,913.25,,,0 CDM,27200000_7161023,Noncdm Charge Record Medical Supplies,44425.83,44425.83,,,0 CDM,27200000_7161024,Noncdm Charge Record Medical Supplies,86357.8,86357.8,,,0 CDM,27200000_7161027,Noncdm Charge Record Medical Supplies,1940.4,1940.4,,,0 CDM,27200000_7161032,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7161033,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7161037,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27200000_7161039,Noncdm Charge Record Medical Supplies,5477.85,5477.85,,,0 CDM,27200000_7161046,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7161047,Noncdm Charge Record Medical Supplies,20396.25,20396.25,,,0 CDM,27200000_7161058,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27200000_7161066,Noncdm Charge Record Medical Supplies,3585.7,3585.7,,,0 CDM,27200000_7161070,Noncdm Charge Record Medical Supplies,6180.03,6180.03,,,0 CDM,27200000_7161076,Noncdm Charge Record Medical Supplies,1020.53,1020.53,,,0 CDM,27200000_7161077,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27200000_7161081,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27200000_7161093,Noncdm Charge Record Medical Supplies,2238.46,2238.46,,,0 CDM,27200000_7161097,Noncdm Charge Record Medical Supplies,808.86,808.86,,,0 CDM,27200000_7161099,Noncdm Charge Record Medical Supplies,2752.21,2752.21,,,0 CDM,27200000_7161105,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7161130,Noncdm Charge Record Medical Supplies,16278.15,16278.15,,,0 CDM,27200000_7161135,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27200000_7161138,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7161139,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7161142,Noncdm Charge Record Medical Supplies,19036.5,19036.5,,,0 CDM,27200000_7161144,Noncdm Charge Record Medical Supplies,1033.2,1033.2,,,0 CDM,27200000_7161145,Noncdm Charge Record Medical Supplies,1209.6,1209.6,,,0 CDM,27200000_7161149,Noncdm Charge Record Medical Supplies,86357.8,86357.8,,,0 CDM,27200000_7161152,Noncdm Charge Record Medical Supplies,5331.39,5331.39,,,0 CDM,27200000_7161154,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7161160,Noncdm Charge Record Medical Supplies,44425.83,44425.83,,,0 CDM,27200000_7161164,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7161170,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7161178,Noncdm Charge Record Medical Supplies,2240.64,2240.64,,,0 CDM,27200000_7161182,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27200000_7161183,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7161184,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7161185,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7161188,Noncdm Charge Record Medical Supplies,3185.7,3185.7,,,0 CDM,27200000_7161197,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7161203,Noncdm Charge Record Medical Supplies,5407.92,5407.92,,,0 CDM,27200000_7161204,Noncdm Charge Record Medical Supplies,11173.26,11173.26,,,0 CDM,27200000_7161206,Noncdm Charge Record Medical Supplies,3038.07,3038.07,,,0 CDM,27200000_7161207,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7161208,Noncdm Charge Record Medical Supplies,10606.05,10606.05,,,0 CDM,27200000_7161209,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7161210,Noncdm Charge Record Medical Supplies,24475.5,24475.5,,,0 CDM,27200000_7161211,Noncdm Charge Record Medical Supplies,606.06,606.06,,,0 CDM,27200000_7161212,Noncdm Charge Record Medical Supplies,37319.31,37319.31,,,0 CDM,27200000_7161215,Noncdm Charge Record Medical Supplies,1546.23,1546.23,,,0 CDM,27200000_7161216,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7161217,Noncdm Charge Record Medical Supplies,862.47,862.47,,,0 CDM,27200000_7161219,Noncdm Charge Record Medical Supplies,904.89,904.89,,,0 CDM,27200000_7161221,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7161224,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7161225,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27200000_7161226,Noncdm Charge Record Medical Supplies,19513.03,19513.03,,,0 CDM,27200000_7161228,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7161229,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7161230,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7161231,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7161232,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7161234,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27200000_7161237,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7161241,Noncdm Charge Record Medical Supplies,595.68,595.68,,,0 CDM,27200000_7161244,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7161246,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7161247,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7161248,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7161249,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7161258,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7161261,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7161262,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7161263,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7161265,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7161269,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7161278,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27200000_7161279,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7161286,Noncdm Charge Record Medical Supplies,5477.85,5477.85,,,0 CDM,27200000_7161305,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7161308,Noncdm Charge Record Medical Supplies,450.34,450.34,,,0 CDM,27200000_7161328,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27200000_7161329,Noncdm Charge Record Medical Supplies,909.09,909.09,,,0 CDM,27200000_7161333,Noncdm Charge Record Medical Supplies,1499.61,1499.61,,,0 CDM,27200000_7161342,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7161358,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7161362,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27200000_7161365,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7161371,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7161375,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7161376,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27200000_7161385,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7161388,Noncdm Charge Record Medical Supplies,798.14,798.14,,,0 CDM,27200000_7161390,Noncdm Charge Record Medical Supplies,701.17,701.17,,,0 CDM,27200000_7161394,Noncdm Charge Record Medical Supplies,959.6,959.6,,,0 CDM,27200000_7161395,Noncdm Charge Record Medical Supplies,484.74,484.74,,,0 CDM,27200000_7161402,Noncdm Charge Record Medical Supplies,5477.85,5477.85,,,0 CDM,27200000_7161404,Noncdm Charge Record Medical Supplies,1159.9,1159.9,,,0 CDM,27200000_7161405,Noncdm Charge Record Medical Supplies,1644.75,1644.75,,,0 CDM,27200000_7161411,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7161431,Noncdm Charge Record Medical Supplies,61071.5,61071.5,,,0 CDM,27200000_7161434,Noncdm Charge Record Medical Supplies,3185.7,3185.7,,,0 CDM,27200000_7161435,Noncdm Charge Record Medical Supplies,2742.81,2742.81,,,0 CDM,27200000_7161443,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7161444,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7161446,Noncdm Charge Record Medical Supplies,904.89,904.89,,,0 CDM,27200000_7161450,Noncdm Charge Record Medical Supplies,3131.31,3131.31,,,0 CDM,27200000_7161452,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7161453,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7161474,Noncdm Charge Record Medical Supplies,1327.74,1327.74,,,0 CDM,27200000_7161478,Noncdm Charge Record Medical Supplies,3131.31,3131.31,,,0 CDM,27200000_7161491,Noncdm Charge Record Medical Supplies,4840.71,4840.71,,,0 CDM,27200000_7161497,Noncdm Charge Record Medical Supplies,3018.96,3018.96,,,0 CDM,27200000_7161507,Noncdm Charge Record Medical Supplies,6413.9,6413.9,,,0 CDM,27200000_7161513,Noncdm Charge Record Medical Supplies,6872.04,6872.04,,,0 CDM,27200000_7161514,Noncdm Charge Record Medical Supplies,7689.22,7689.22,,,0 CDM,27200000_7161515,Noncdm Charge Record Medical Supplies,7689.22,7689.22,,,0 CDM,27200000_7161527,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7161528,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7161530,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7161531,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7161532,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7161533,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7161536,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7161548,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27200000_7161556,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27200000_7161572,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7161577,Noncdm Charge Record Medical Supplies,1280.46,1280.46,,,0 CDM,27200000_7161592,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27200000_7161605,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7161612,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7161613,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7161615,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7161620,Noncdm Charge Record Medical Supplies,3188.81,3188.81,,,0 CDM,27200000_7161621,Noncdm Charge Record Medical Supplies,3188.81,3188.81,,,0 CDM,27200000_7161625,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7161627,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7161629,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7161641,Noncdm Charge Record Medical Supplies,6180.03,6180.03,,,0 CDM,27200000_7161648,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7161649,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7161652,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7161654,Noncdm Charge Record Medical Supplies,565.66,565.66,,,0 CDM,27200000_7161655,Noncdm Charge Record Medical Supplies,565.66,565.66,,,0 CDM,27200000_7161656,Noncdm Charge Record Medical Supplies,5477.85,5477.85,,,0 CDM,27200000_7161663,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7161664,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7161670,Noncdm Charge Record Medical Supplies,876.69,876.69,,,0 CDM,27200000_7161674,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7161675,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7161676,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7161677,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7161679,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7161681,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7161700,Noncdm Charge Record Medical Supplies,5972.4,5972.4,,,0 CDM,27200000_7161702,Noncdm Charge Record Medical Supplies,1959.59,1959.59,,,0 CDM,27200000_7161706,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27200000_7161720,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7161723,Noncdm Charge Record Medical Supplies,10649.79,10649.79,,,0 CDM,27200000_7161725,Noncdm Charge Record Medical Supplies,3270.96,3270.96,,,0 CDM,27200000_7161730,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7161735,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27200000_7161749,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7161764,Noncdm Charge Record Medical Supplies,1764.72,1764.72,,,0 CDM,27200000_7161772,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7161774,Noncdm Charge Record Medical Supplies,108.78,108.78,,,0 CDM,27200000_7161778,Noncdm Charge Record Medical Supplies,3706.29,3706.29,,,0 CDM,27200000_7161779,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27200000_7161786,Noncdm Charge Record Medical Supplies,3764.25,3764.25,,,0 CDM,27200000_7161788,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7161790,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7161791,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7161799,Noncdm Charge Record Medical Supplies,7207.2,7207.2,,,0 CDM,27200000_7161800,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7161804,Noncdm Charge Record Medical Supplies,7207.2,7207.2,,,0 CDM,27200000_7161805,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27200000_7161806,Noncdm Charge Record Medical Supplies,1790.98,1790.98,,,0 CDM,27200000_7161808,Noncdm Charge Record Medical Supplies,1839.6,1839.6,,,0 CDM,27200000_7161815,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27200000_7161816,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7161818,Noncdm Charge Record Medical Supplies,330.93,330.93,,,0 CDM,27200000_7161819,Noncdm Charge Record Medical Supplies,3605.28,3605.28,,,0 CDM,27200000_7161829,Noncdm Charge Record Medical Supplies,330.93,330.93,,,0 CDM,27200000_7161833,Noncdm Charge Record Medical Supplies,757.58,757.58,,,0 CDM,27200000_7161834,Noncdm Charge Record Medical Supplies,959.6,959.6,,,0 CDM,27200000_7161840,Noncdm Charge Record Medical Supplies,757.58,757.58,,,0 CDM,27200000_7161841,Noncdm Charge Record Medical Supplies,959.6,959.6,,,0 CDM,27200000_7161845,Noncdm Charge Record Medical Supplies,1262.62,1262.62,,,0 CDM,27200000_7161857,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27200000_7161859,Noncdm Charge Record Medical Supplies,652.68,652.68,,,0 CDM,27200000_7161862,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7161871,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7161879,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7161880,Noncdm Charge Record Medical Supplies,72339.12,72339.12,,,0 CDM,27200000_7161908,Noncdm Charge Record Medical Supplies,8806.52,8806.52,,,0 CDM,27200000_7161909,Noncdm Charge Record Medical Supplies,2377.62,2377.62,,,0 CDM,27200000_7161914,Noncdm Charge Record Medical Supplies,1763.44,1763.44,,,0 CDM,27200000_7161915,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7161924,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7161932,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27200000_7161933,Noncdm Charge Record Medical Supplies,1159.67,1159.67,,,0 CDM,27200000_7161934,Noncdm Charge Record Medical Supplies,419.97,419.97,,,0 CDM,27200000_7161935,Noncdm Charge Record Medical Supplies,50505.0,50505.0,,,0 CDM,27200000_7161936,Noncdm Charge Record Medical Supplies,464.29,464.29,,,0 CDM,27200000_7161938,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27200000_7161940,Noncdm Charge Record Medical Supplies,3376.3,3376.3,,,0 CDM,27200000_7161942,Noncdm Charge Record Medical Supplies,3376.3,3376.3,,,0 CDM,27200000_7161943,Noncdm Charge Record Medical Supplies,1159.67,1159.67,,,0 CDM,27200000_7161945,Noncdm Charge Record Medical Supplies,50505.0,50505.0,,,0 CDM,27200000_7161949,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7161950,Noncdm Charge Record Medical Supplies,862.47,862.47,,,0 CDM,27200000_7161951,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7161953,Noncdm Charge Record Medical Supplies,115.31,115.31,,,0 CDM,27200000_7161958,Noncdm Charge Record Medical Supplies,5232.32,5232.32,,,0 CDM,27200000_7161961,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7161962,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7161964,Noncdm Charge Record Medical Supplies,443.12,443.12,,,0 CDM,27200000_7161965,Noncdm Charge Record Medical Supplies,157.57,157.57,,,0 CDM,27200000_7161970,Noncdm Charge Record Medical Supplies,125.1,125.1,,,0 CDM,27200000_7161972,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27200000_7161973,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27200000_7161974,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7161976,Noncdm Charge Record Medical Supplies,1274.28,1274.28,,,0 CDM,27200000_7161978,Noncdm Charge Record Medical Supplies,31973.55,31973.55,,,0 CDM,27200000_7161981,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7161983,Noncdm Charge Record Medical Supplies,1274.28,1274.28,,,0 CDM,27200000_7161992,Noncdm Charge Record Medical Supplies,24192.0,24192.0,,,0 CDM,27200000_7161993,Noncdm Charge Record Medical Supplies,61071.5,61071.5,,,0 CDM,27200000_7162011,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7162024,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7162029,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7162067,Noncdm Charge Record Medical Supplies,1868.3,1868.3,,,0 CDM,27200000_7162134,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7162139,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7162143,Noncdm Charge Record Medical Supplies,2377.62,2377.62,,,0 CDM,27200000_7162145,Noncdm Charge Record Medical Supplies,13519.8,13519.8,,,0 CDM,27200000_7162146,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7162147,Noncdm Charge Record Medical Supplies,9790.2,9790.2,,,0 CDM,27200000_7162150,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7162151,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7162154,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7162155,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7162156,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7162157,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7162170,Noncdm Charge Record Medical Supplies,701.17,701.17,,,0 CDM,27200000_7162172,Noncdm Charge Record Medical Supplies,15034.95,15034.95,,,0 CDM,27200000_7162177,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7162178,Noncdm Charge Record Medical Supplies,5014.8,5014.8,,,0 CDM,27200000_7162179,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7162180,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7162181,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7162185,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7162186,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7162187,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7162192,Noncdm Charge Record Medical Supplies,1194.64,1194.64,,,0 CDM,27200000_7162201,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7162204,Noncdm Charge Record Medical Supplies,11062.8,11062.8,,,0 CDM,27200000_7162207,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7162208,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27200000_7162209,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7162214,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7162221,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27200000_7162231,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7162233,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7162237,Noncdm Charge Record Medical Supplies,520.59,520.59,,,0 CDM,27200000_7162251,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7162272,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7162282,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7162284,Noncdm Charge Record Medical Supplies,24192.0,24192.0,,,0 CDM,27200000_7162285,Noncdm Charge Record Medical Supplies,22680.0,22680.0,,,0 CDM,27200000_7162289,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7162292,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7162294,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27200000_7162295,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7162298,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7162304,Noncdm Charge Record Medical Supplies,3212.28,3212.28,,,0 CDM,27200000_7162305,Noncdm Charge Record Medical Supplies,4411.42,4411.42,,,0 CDM,27200000_7162313,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7162314,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7162319,Noncdm Charge Record Medical Supplies,188.7,188.7,,,0 CDM,27200000_7162334,Noncdm Charge Record Medical Supplies,1772.73,1772.73,,,0 CDM,27200000_7162337,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7162350,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7162353,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7162354,Noncdm Charge Record Medical Supplies,870.24,870.24,,,0 CDM,27200000_7162365,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7162366,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7162375,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7162377,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7162381,Noncdm Charge Record Medical Supplies,883.91,883.91,,,0 CDM,27200000_7162383,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27200000_7162387,Noncdm Charge Record Medical Supplies,2676.24,2676.24,,,0 CDM,27200000_7162408,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7162414,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7162423,Noncdm Charge Record Medical Supplies,115.31,115.31,,,0 CDM,27200000_7162431,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7162432,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7162440,Noncdm Charge Record Medical Supplies,61071.5,61071.5,,,0 CDM,27200000_7162444,Noncdm Charge Record Medical Supplies,745.92,745.92,,,0 CDM,27200000_7162457,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7162458,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7162461,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7162463,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27200000_7162491,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7162493,Noncdm Charge Record Medical Supplies,707.07,707.07,,,0 CDM,27200000_7162505,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7162508,Noncdm Charge Record Medical Supplies,8568.0,8568.0,,,0 CDM,27200000_7162509,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7162511,Noncdm Charge Record Medical Supplies,543.9,543.9,,,0 CDM,27200000_7162536,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7162537,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7162538,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27200000_7162539,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7162540,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7162541,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7162542,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7162544,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7162550,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7162553,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27200000_7162554,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7162571,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27200000_7162572,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27200000_7162575,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7162576,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7162577,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7162578,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7162579,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7162581,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7162582,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7162584,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27200000_7162597,Noncdm Charge Record Medical Supplies,115.31,115.31,,,0 CDM,27200000_7162600,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7162601,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7162603,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7162606,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27200000_7162608,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7162609,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27200000_7162610,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27200000_7162614,Noncdm Charge Record Medical Supplies,748.25,748.25,,,0 CDM,27200000_7162617,Noncdm Charge Record Medical Supplies,24696.0,24696.0,,,0 CDM,27200000_7162618,Noncdm Charge Record Medical Supplies,24696.0,24696.0,,,0 CDM,27200000_7162619,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7162621,Noncdm Charge Record Medical Supplies,2034.54,2034.54,,,0 CDM,27200000_7162623,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7162625,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7162626,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7162628,Noncdm Charge Record Medical Supplies,834.5,834.5,,,0 CDM,27200000_7162650,Noncdm Charge Record Medical Supplies,108.78,108.78,,,0 CDM,27200000_7162652,Noncdm Charge Record Medical Supplies,714.84,714.84,,,0 CDM,27200000_7162662,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7162664,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27200000_7162670,Noncdm Charge Record Medical Supplies,2066.82,2066.82,,,0 CDM,27200000_7162671,Noncdm Charge Record Medical Supplies,2847.7,2847.7,,,0 CDM,27200000_7162673,Noncdm Charge Record Medical Supplies,1818.18,1818.18,,,0 CDM,27200000_7162675,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27200000_7162676,Noncdm Charge Record Medical Supplies,3869.46,3869.46,,,0 CDM,27200000_7162679,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7162681,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7162692,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7162694,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7162696,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7162697,Noncdm Charge Record Medical Supplies,714.84,714.84,,,0 CDM,27200000_7162698,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7162699,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7162704,Noncdm Charge Record Medical Supplies,252.52,252.52,,,0 CDM,27200000_7162736,Noncdm Charge Record Medical Supplies,393.12,393.12,,,0 CDM,27200000_7162738,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7162739,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7162740,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7162741,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27200000_7162745,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7162746,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7162747,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7162748,Noncdm Charge Record Medical Supplies,3574.2,3574.2,,,0 CDM,27200000_7162749,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7162752,Noncdm Charge Record Medical Supplies,2377.62,2377.62,,,0 CDM,27200000_7162767,Noncdm Charge Record Medical Supplies,2377.62,2377.62,,,0 CDM,27200000_7162771,Noncdm Charge Record Medical Supplies,6759.9,6759.9,,,0 CDM,27200000_7162780,Noncdm Charge Record Medical Supplies,206.64,206.64,,,0 CDM,27200000_7162784,Noncdm Charge Record Medical Supplies,2391.84,2391.84,,,0 CDM,27200000_7162785,Noncdm Charge Record Medical Supplies,122.27,122.27,,,0 CDM,27200000_7162786,Noncdm Charge Record Medical Supplies,272.16,272.16,,,0 CDM,27200000_7162791,Noncdm Charge Record Medical Supplies,8717.94,8717.94,,,0 CDM,27200000_7162793,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7162798,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27200000_7162800,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7162807,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7162814,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7162818,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7162825,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7162826,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7162827,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7162828,Noncdm Charge Record Medical Supplies,2091.6,2091.6,,,0 CDM,27200000_7162829,Noncdm Charge Record Medical Supplies,2520.1,2520.1,,,0 CDM,27200000_7162830,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7162831,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7162832,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7162833,Noncdm Charge Record Medical Supplies,3069.15,3069.15,,,0 CDM,27200000_7162840,Noncdm Charge Record Medical Supplies,2222.22,2222.22,,,0 CDM,27200000_7162842,Noncdm Charge Record Medical Supplies,3127.42,3127.42,,,0 CDM,27200000_7162843,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7162850,Noncdm Charge Record Medical Supplies,11033.4,11033.4,,,0 CDM,27200000_7162853,Noncdm Charge Record Medical Supplies,6332.55,6332.55,,,0 CDM,27200000_7162855,Noncdm Charge Record Medical Supplies,6332.55,6332.55,,,0 CDM,27200000_7162859,Noncdm Charge Record Medical Supplies,3127.42,3127.42,,,0 CDM,27200000_7162870,Noncdm Charge Record Medical Supplies,6293.7,6293.7,,,0 CDM,27200000_7162871,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7162874,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7162876,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7162903,Noncdm Charge Record Medical Supplies,2222.22,2222.22,,,0 CDM,27200000_7162904,Noncdm Charge Record Medical Supplies,4365.9,4365.9,,,0 CDM,27200000_7162905,Noncdm Charge Record Medical Supplies,1565.66,1565.66,,,0 CDM,27200000_7162912,Noncdm Charge Record Medical Supplies,781.2,781.2,,,0 CDM,27200000_7162915,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7162916,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27200000_7162920,Noncdm Charge Record Medical Supplies,1647.56,1647.56,,,0 CDM,27200000_7162922,Noncdm Charge Record Medical Supplies,4650.34,4650.34,,,0 CDM,27200000_7162923,Noncdm Charge Record Medical Supplies,4365.9,4365.9,,,0 CDM,27200000_7162927,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7162929,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7162931,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7162932,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7162935,Noncdm Charge Record Medical Supplies,2121.21,2121.21,,,0 CDM,27200000_7162936,Noncdm Charge Record Medical Supplies,2222.22,2222.22,,,0 CDM,27200000_7162939,Noncdm Charge Record Medical Supplies,428.4,428.4,,,0 CDM,27200000_7162944,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7162946,Noncdm Charge Record Medical Supplies,797.2,797.2,,,0 CDM,27200000_7162948,Noncdm Charge Record Medical Supplies,797.2,797.2,,,0 CDM,27200000_7162949,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27200000_7162968,Noncdm Charge Record Medical Supplies,839.16,839.16,,,0 CDM,27200000_7162969,Noncdm Charge Record Medical Supplies,1468.53,1468.53,,,0 CDM,27200000_7163055,Noncdm Charge Record Medical Supplies,959.6,959.6,,,0 CDM,27200000_7163059,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7163067,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7163110,Noncdm Charge Record Medical Supplies,1033.2,1033.2,,,0 CDM,27200000_7163127,Noncdm Charge Record Medical Supplies,3018.96,3018.96,,,0 CDM,27200000_7163129,Noncdm Charge Record Medical Supplies,922.61,922.61,,,0 CDM,27200000_7163151,Noncdm Charge Record Medical Supplies,982.8,982.8,,,0 CDM,27200000_7163164,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7163166,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7163167,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7163168,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7163170,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7163172,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7163176,Noncdm Charge Record Medical Supplies,3531.46,3531.46,,,0 CDM,27200000_7163185,Noncdm Charge Record Medical Supplies,473.97,473.97,,,0 CDM,27200000_7163188,Noncdm Charge Record Medical Supplies,473.97,473.97,,,0 CDM,27200000_7163190,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7163191,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7163193,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7163195,Noncdm Charge Record Medical Supplies,707.07,707.07,,,0 CDM,27200000_7163197,Noncdm Charge Record Medical Supplies,652.68,652.68,,,0 CDM,27200000_7163199,Noncdm Charge Record Medical Supplies,7474.74,7474.74,,,0 CDM,27200000_7163200,Noncdm Charge Record Medical Supplies,8041.95,8041.95,,,0 CDM,27200000_7163201,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7163202,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7163203,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7163204,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7163207,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7163208,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7163210,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7163211,Noncdm Charge Record Medical Supplies,3185.7,3185.7,,,0 CDM,27200000_7163213,Noncdm Charge Record Medical Supplies,6153.84,6153.84,,,0 CDM,27200000_7163222,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27200000_7163223,Noncdm Charge Record Medical Supplies,19513.03,19513.03,,,0 CDM,27200000_7163228,Noncdm Charge Record Medical Supplies,3270.96,3270.96,,,0 CDM,27200000_7163233,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27200000_7163238,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27200000_7163239,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27200000_7163240,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7163241,Noncdm Charge Record Medical Supplies,698.29,698.29,,,0 CDM,27200000_7163242,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7163274,Noncdm Charge Record Medical Supplies,520.59,520.59,,,0 CDM,27200000_7163277,Noncdm Charge Record Medical Supplies,1587.6,1587.6,,,0 CDM,27200000_7163295,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7163297,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7163325,Noncdm Charge Record Medical Supplies,428.4,428.4,,,0 CDM,27200000_7163326,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7163327,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7163336,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7163341,Noncdm Charge Record Medical Supplies,100.8,100.8,,,0 CDM,27200000_7163347,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7163349,Noncdm Charge Record Medical Supplies,33504.24,33504.24,,,0 CDM,27200000_7163351,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7163353,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7163354,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7163355,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7163357,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7163358,Noncdm Charge Record Medical Supplies,606.06,606.06,,,0 CDM,27200000_7163361,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7163362,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7163364,Noncdm Charge Record Medical Supplies,2066.82,2066.82,,,0 CDM,27200000_7163365,Noncdm Charge Record Medical Supplies,1818.18,1818.18,,,0 CDM,27200000_7163366,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7163367,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27200000_7163370,Noncdm Charge Record Medical Supplies,1872.57,1872.57,,,0 CDM,27200000_7163373,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7163374,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27200000_7163385,Noncdm Charge Record Medical Supplies,757.58,757.58,,,0 CDM,27200000_7163386,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27200000_7163387,Noncdm Charge Record Medical Supplies,909.09,909.09,,,0 CDM,27200000_7163388,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7163400,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7163403,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27200000_7163406,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7163409,Noncdm Charge Record Medical Supplies,23333.31,23333.31,,,0 CDM,27200000_7163412,Noncdm Charge Record Medical Supplies,1357.81,1357.81,,,0 CDM,27200000_7163419,Noncdm Charge Record Medical Supplies,4040.4,4040.4,,,0 CDM,27200000_7163424,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7163436,Noncdm Charge Record Medical Supplies,3605.28,3605.28,,,0 CDM,27200000_7163438,Noncdm Charge Record Medical Supplies,3053.61,3053.61,,,0 CDM,27200000_7163443,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7163476,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7163491,Noncdm Charge Record Medical Supplies,27156.15,27156.15,,,0 CDM,27200000_7163495,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7163510,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7163517,Noncdm Charge Record Medical Supplies,3263.4,3263.4,,,0 CDM,27200000_7163522,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7163523,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7163544,Noncdm Charge Record Medical Supplies,3270.96,3270.96,,,0 CDM,27200000_7163547,Noncdm Charge Record Medical Supplies,19036.5,19036.5,,,0 CDM,27200000_7163551,Noncdm Charge Record Medical Supplies,2222.22,2222.22,,,0 CDM,27200000_7163559,Noncdm Charge Record Medical Supplies,3434.34,3434.34,,,0 CDM,27200000_7163570,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7163574,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7163575,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7163580,Noncdm Charge Record Medical Supplies,3131.31,3131.31,,,0 CDM,27200000_7163590,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7163591,Noncdm Charge Record Medical Supplies,8874.82,8874.82,,,0 CDM,27200000_7163603,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7163605,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7163606,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27200000_7163609,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7163615,Noncdm Charge Record Medical Supplies,19036.5,19036.5,,,0 CDM,27200000_7163627,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7163638,Noncdm Charge Record Medical Supplies,3025.64,3025.64,,,0 CDM,27200000_7163645,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7163646,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7163647,Noncdm Charge Record Medical Supplies,707.07,707.07,,,0 CDM,27200000_7163649,Noncdm Charge Record Medical Supplies,701.17,701.17,,,0 CDM,27200000_7163650,Noncdm Charge Record Medical Supplies,883.91,883.91,,,0 CDM,27200000_7163656,Noncdm Charge Record Medical Supplies,5477.85,5477.85,,,0 CDM,27200000_7163657,Noncdm Charge Record Medical Supplies,2222.22,2222.22,,,0 CDM,27200000_7163660,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7163661,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7163662,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7163663,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7163665,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7163666,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7163670,Noncdm Charge Record Medical Supplies,792.54,792.54,,,0 CDM,27200000_7163671,Noncdm Charge Record Medical Supplies,792.54,792.54,,,0 CDM,27200000_7163675,Noncdm Charge Record Medical Supplies,6604.5,6604.5,,,0 CDM,27200000_7163690,Noncdm Charge Record Medical Supplies,3185.7,3185.7,,,0 CDM,27200000_7163691,Noncdm Charge Record Medical Supplies,3185.7,3185.7,,,0 CDM,27200000_7163694,Noncdm Charge Record Medical Supplies,701.17,701.17,,,0 CDM,27200000_7163695,Noncdm Charge Record Medical Supplies,883.91,883.91,,,0 CDM,27200000_7163697,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7163698,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7163699,Noncdm Charge Record Medical Supplies,4920.97,4920.97,,,0 CDM,27200000_7163708,Noncdm Charge Record Medical Supplies,463.48,463.48,,,0 CDM,27200000_7163724,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27200000_7163729,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7163731,Noncdm Charge Record Medical Supplies,2545.45,2545.45,,,0 CDM,27200000_7163734,Noncdm Charge Record Medical Supplies,2766.12,2766.12,,,0 CDM,27200000_7163739,Noncdm Charge Record Medical Supplies,15532.23,15532.23,,,0 CDM,27200000_7163742,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7163743,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7163744,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7163745,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7163747,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7163748,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27200000_7163753,Noncdm Charge Record Medical Supplies,3519.81,3519.81,,,0 CDM,27200000_7163757,Noncdm Charge Record Medical Supplies,1872.57,1872.57,,,0 CDM,27200000_7163758,Noncdm Charge Record Medical Supplies,2027.97,2027.97,,,0 CDM,27200000_7163765,Noncdm Charge Record Medical Supplies,19036.5,19036.5,,,0 CDM,27200000_7163769,Noncdm Charge Record Medical Supplies,2212.51,2212.51,,,0 CDM,27200000_7163795,Noncdm Charge Record Medical Supplies,3270.96,3270.96,,,0 CDM,27200000_7163816,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7163817,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7163836,Noncdm Charge Record Medical Supplies,546.69,546.69,,,0 CDM,27200000_7163838,Noncdm Charge Record Medical Supplies,543.9,543.9,,,0 CDM,27200000_7163842,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7163843,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7163848,Noncdm Charge Record Medical Supplies,1644.75,1644.75,,,0 CDM,27200000_7163858,Noncdm Charge Record Medical Supplies,3238.85,3238.85,,,0 CDM,27200000_7163887,Noncdm Charge Record Medical Supplies,698.37,698.37,,,0 CDM,27200000_7163957,Noncdm Charge Record Medical Supplies,665.89,665.89,,,0 CDM,27200000_7163963,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7163964,Noncdm Charge Record Medical Supplies,7381.5,7381.5,,,0 CDM,27200000_7163965,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7163966,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7163967,Noncdm Charge Record Medical Supplies,1841.49,1841.49,,,0 CDM,27200000_7163968,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7163971,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7163972,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7163981,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7163988,Noncdm Charge Record Medical Supplies,3797.9,3797.9,,,0 CDM,27200000_7163989,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7163990,Noncdm Charge Record Medical Supplies,47090.55,47090.55,,,0 CDM,27200000_7163996,Noncdm Charge Record Medical Supplies,7207.2,7207.2,,,0 CDM,27200000_7164015,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7164021,Noncdm Charge Record Medical Supplies,1056.72,1056.72,,,0 CDM,27200000_7164022,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7164026,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7164027,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27200000_7164039,Noncdm Charge Record Medical Supplies,1056.72,1056.72,,,0 CDM,27200000_7164040,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27200000_7164041,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27200000_7164050,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7164051,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27200000_7164052,Noncdm Charge Record Medical Supplies,1530.69,1530.69,,,0 CDM,27200000_7164054,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27200000_7164055,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27200000_7164060,Noncdm Charge Record Medical Supplies,4603.34,4603.34,,,0 CDM,27200000_7164061,Noncdm Charge Record Medical Supplies,4841.1,4841.1,,,0 CDM,27200000_7164062,Noncdm Charge Record Medical Supplies,7485.54,7485.54,,,0 CDM,27200000_7164063,Noncdm Charge Record Medical Supplies,1836.05,1836.05,,,0 CDM,27200000_7164067,Noncdm Charge Record Medical Supplies,7381.5,7381.5,,,0 CDM,27200000_7164068,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7164069,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7164070,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7164084,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7164094,Noncdm Charge Record Medical Supplies,1209.85,1209.85,,,0 CDM,27200000_7164102,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27200000_7164107,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27200000_7164108,Noncdm Charge Record Medical Supplies,4164.72,4164.72,,,0 CDM,27200000_7164123,Noncdm Charge Record Medical Supplies,2121.21,2121.21,,,0 CDM,27200000_7164124,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7164125,Noncdm Charge Record Medical Supplies,2222.22,2222.22,,,0 CDM,27200000_7164126,Noncdm Charge Record Medical Supplies,1565.66,1565.66,,,0 CDM,27200000_7164129,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7164133,Noncdm Charge Record Medical Supplies,3434.34,3434.34,,,0 CDM,27200000_7164135,Noncdm Charge Record Medical Supplies,281.48,281.48,,,0 CDM,27200000_7164136,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7164140,Noncdm Charge Record Medical Supplies,4164.72,4164.72,,,0 CDM,27200000_7164159,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7164161,Noncdm Charge Record Medical Supplies,7731.15,7731.15,,,0 CDM,27200000_7164168,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27200000_7164172,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27200000_7164191,Noncdm Charge Record Medical Supplies,281.48,281.48,,,0 CDM,27200000_7164196,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27200000_7164200,Noncdm Charge Record Medical Supplies,2034.54,2034.54,,,0 CDM,27200000_7164206,Noncdm Charge Record Medical Supplies,29300.67,29300.67,,,0 CDM,27200000_7164207,Noncdm Charge Record Medical Supplies,10334.1,10334.1,,,0 CDM,27200000_7164211,Noncdm Charge Record Medical Supplies,29300.67,29300.67,,,0 CDM,27200000_7164214,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7164215,Noncdm Charge Record Medical Supplies,16301.46,16301.46,,,0 CDM,27200000_7164217,Noncdm Charge Record Medical Supplies,16301.46,16301.46,,,0 CDM,27200000_7164222,Noncdm Charge Record Medical Supplies,2268.84,2268.84,,,0 CDM,27200000_7164231,Noncdm Charge Record Medical Supplies,1998.36,1998.36,,,0 CDM,27200000_7164248,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27200000_7164251,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7164252,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7164253,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7164255,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7164257,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7164261,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7164262,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7164267,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7164271,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7164276,Noncdm Charge Record Medical Supplies,5796.42,5796.42,,,0 CDM,27200000_7164277,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7164279,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7164281,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7164286,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7164288,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7164289,Noncdm Charge Record Medical Supplies,281.48,281.48,,,0 CDM,27200000_7164292,Noncdm Charge Record Medical Supplies,1562.4,1562.4,,,0 CDM,27200000_7164296,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27200000_7164298,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7164299,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7164301,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7164309,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7164310,Noncdm Charge Record Medical Supplies,876.69,876.69,,,0 CDM,27200000_7164311,Noncdm Charge Record Medical Supplies,876.69,876.69,,,0 CDM,27200000_7164313,Noncdm Charge Record Medical Supplies,273.43,273.43,,,0 CDM,27200000_7164315,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7164316,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7164323,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7164332,Noncdm Charge Record Medical Supplies,1644.75,1644.75,,,0 CDM,27200000_7164333,Noncdm Charge Record Medical Supplies,1327.74,1327.74,,,0 CDM,27200000_7164334,Noncdm Charge Record Medical Supplies,779.49,779.49,,,0 CDM,27200000_7164335,Noncdm Charge Record Medical Supplies,1555.24,1555.24,,,0 CDM,27200000_7164375,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7164383,Noncdm Charge Record Medical Supplies,883.91,883.91,,,0 CDM,27200000_7164387,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7164388,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7164389,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7164390,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7164402,Noncdm Charge Record Medical Supplies,7365.96,7365.96,,,0 CDM,27200000_7164405,Noncdm Charge Record Medical Supplies,2700.85,2700.85,,,0 CDM,27200000_7164407,Noncdm Charge Record Medical Supplies,7308.0,7308.0,,,0 CDM,27200000_7164416,Noncdm Charge Record Medical Supplies,22680.0,22680.0,,,0 CDM,27200000_7164417,Noncdm Charge Record Medical Supplies,24192.0,24192.0,,,0 CDM,27200000_7164424,Noncdm Charge Record Medical Supplies,1048.95,1048.95,,,0 CDM,27200000_7164425,Noncdm Charge Record Medical Supplies,1048.95,1048.95,,,0 CDM,27200000_7164426,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7164428,Noncdm Charge Record Medical Supplies,22680.0,22680.0,,,0 CDM,27200000_7164431,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7164436,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7164441,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27200000_7164446,Noncdm Charge Record Medical Supplies,4724.16,4724.16,,,0 CDM,27200000_7164448,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7164456,Noncdm Charge Record Medical Supplies,4568.76,4568.76,,,0 CDM,27200000_7164465,Noncdm Charge Record Medical Supplies,5361.3,5361.3,,,0 CDM,27200000_7164468,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7164475,Noncdm Charge Record Medical Supplies,6550.11,6550.11,,,0 CDM,27200000_7164481,Noncdm Charge Record Medical Supplies,4724.16,4724.16,,,0 CDM,27200000_7164484,Noncdm Charge Record Medical Supplies,6625.02,6625.02,,,0 CDM,27200000_7164496,Noncdm Charge Record Medical Supplies,1489.51,1489.51,,,0 CDM,27200000_7164506,Noncdm Charge Record Medical Supplies,15034.95,15034.95,,,0 CDM,27200000_7164508,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7164509,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7164511,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27200000_7164516,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7164517,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7164519,Noncdm Charge Record Medical Supplies,2121.21,2121.21,,,0 CDM,27200000_7164521,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7164525,Noncdm Charge Record Medical Supplies,3123.08,3123.08,,,0 CDM,27200000_7164550,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27200000_7164564,Noncdm Charge Record Medical Supplies,5361.3,5361.3,,,0 CDM,27200000_7164593,Noncdm Charge Record Medical Supplies,1907.54,1907.54,,,0 CDM,27200000_7164596,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7164599,Noncdm Charge Record Medical Supplies,5361.3,5361.3,,,0 CDM,27200000_7164600,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7164606,Noncdm Charge Record Medical Supplies,4724.16,4724.16,,,0 CDM,27200000_7164608,Noncdm Charge Record Medical Supplies,1907.54,1907.54,,,0 CDM,27200000_7164618,Noncdm Charge Record Medical Supplies,3028.28,3028.28,,,0 CDM,27200000_7164621,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7164622,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7164623,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7164625,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7164626,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7164627,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7164628,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7164641,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7164646,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7164650,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7164655,Noncdm Charge Record Medical Supplies,1351.98,1351.98,,,0 CDM,27200000_7164656,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7164659,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7164662,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7164678,Noncdm Charge Record Medical Supplies,1450.82,1450.82,,,0 CDM,27200000_7164683,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7164687,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7164690,Noncdm Charge Record Medical Supplies,4669.38,4669.38,,,0 CDM,27200000_7164701,Noncdm Charge Record Medical Supplies,2238.46,2238.46,,,0 CDM,27200000_7164705,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7164707,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7164708,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7164755,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7164758,Noncdm Charge Record Medical Supplies,2602.95,2602.95,,,0 CDM,27200000_7164761,Noncdm Charge Record Medical Supplies,11559.2,11559.2,,,0 CDM,27200000_7164772,Noncdm Charge Record Medical Supplies,5361.3,5361.3,,,0 CDM,27200000_7164775,Noncdm Charge Record Medical Supplies,14584.29,14584.29,,,0 CDM,27200000_7164791,Noncdm Charge Record Medical Supplies,2766.12,2766.12,,,0 CDM,27200000_7164792,Noncdm Charge Record Medical Supplies,1872.57,1872.57,,,0 CDM,27200000_7164814,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7164817,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27200000_7164819,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7164821,Noncdm Charge Record Medical Supplies,5361.3,5361.3,,,0 CDM,27200000_7164824,Noncdm Charge Record Medical Supplies,769.23,769.23,,,0 CDM,27200000_7164826,Noncdm Charge Record Medical Supplies,489.51,489.51,,,0 CDM,27200000_7164827,Noncdm Charge Record Medical Supplies,797.2,797.2,,,0 CDM,27200000_7164877,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7164878,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7164879,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7164882,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7164892,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7164893,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7164894,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7164901,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7164906,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7164923,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7164927,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7164928,Noncdm Charge Record Medical Supplies,10062.15,10062.15,,,0 CDM,27200000_7164929,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7164931,Noncdm Charge Record Medical Supplies,6153.84,6153.84,,,0 CDM,27200000_7164943,Noncdm Charge Record Medical Supplies,5245.63,5245.63,,,0 CDM,27200000_7164971,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27200000_7164972,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7164978,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7164986,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7164990,Noncdm Charge Record Medical Supplies,5361.3,5361.3,,,0 CDM,27200000_7164995,Noncdm Charge Record Medical Supplies,2676.24,2676.24,,,0 CDM,27200000_7165002,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7165004,Noncdm Charge Record Medical Supplies,5361.3,5361.3,,,0 CDM,27200000_7165007,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7165010,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7165020,Noncdm Charge Record Medical Supplies,1644.75,1644.75,,,0 CDM,27200000_7165022,Noncdm Charge Record Medical Supplies,1327.74,1327.74,,,0 CDM,27200000_7165023,Noncdm Charge Record Medical Supplies,1159.9,1159.9,,,0 CDM,27200000_7165024,Noncdm Charge Record Medical Supplies,1555.24,1555.24,,,0 CDM,27200000_7165027,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7165035,Noncdm Charge Record Medical Supplies,4780.34,4780.34,,,0 CDM,27200000_7165040,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7165041,Noncdm Charge Record Medical Supplies,1841.49,1841.49,,,0 CDM,27200000_7165045,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7165046,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7165047,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7165048,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7165049,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7165050,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7165058,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7165061,Noncdm Charge Record Medical Supplies,443.12,443.12,,,0 CDM,27200000_7165063,Noncdm Charge Record Medical Supplies,109.79,109.79,,,0 CDM,27200000_7165064,Noncdm Charge Record Medical Supplies,969.62,969.62,,,0 CDM,27200000_7165065,Noncdm Charge Record Medical Supplies,969.62,969.62,,,0 CDM,27200000_7165073,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7165074,Noncdm Charge Record Medical Supplies,10691.52,10691.52,,,0 CDM,27200000_7165076,Noncdm Charge Record Medical Supplies,14584.29,14584.29,,,0 CDM,27200000_7165078,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7165079,Noncdm Charge Record Medical Supplies,1097.51,1097.51,,,0 CDM,27200000_7165085,Noncdm Charge Record Medical Supplies,3729.6,3729.6,,,0 CDM,27200000_7165090,Noncdm Charge Record Medical Supplies,9954.0,9954.0,,,0 CDM,27200000_7165103,Noncdm Charge Record Medical Supplies,296.89,296.89,,,0 CDM,27200000_7165108,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7165121,Noncdm Charge Record Medical Supplies,44425.83,44425.83,,,0 CDM,27200000_7165122,Noncdm Charge Record Medical Supplies,86357.8,86357.8,,,0 CDM,27200000_7165123,Noncdm Charge Record Medical Supplies,14131.69,14131.69,,,0 CDM,27200000_7165127,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7165128,Noncdm Charge Record Medical Supplies,32.63,32.63,,,0 CDM,27200000_7165129,Noncdm Charge Record Medical Supplies,1450.82,1450.82,,,0 CDM,27200000_7165131,Noncdm Charge Record Medical Supplies,1450.82,1450.82,,,0 CDM,27200000_7165132,Noncdm Charge Record Medical Supplies,1081.35,1081.35,,,0 CDM,27200000_7165133,Noncdm Charge Record Medical Supplies,1450.82,1450.82,,,0 CDM,27200000_7165139,Noncdm Charge Record Medical Supplies,5361.3,5361.3,,,0 CDM,27200000_7165143,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7165154,Noncdm Charge Record Medical Supplies,10062.15,10062.15,,,0 CDM,27200000_7165156,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7165157,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7165160,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7165161,Noncdm Charge Record Medical Supplies,2238.46,2238.46,,,0 CDM,27200000_7165166,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7165174,Noncdm Charge Record Medical Supplies,1573.89,1573.89,,,0 CDM,27200000_7165193,Noncdm Charge Record Medical Supplies,367.13,367.13,,,0 CDM,27200000_7165195,Noncdm Charge Record Medical Supplies,652.68,652.68,,,0 CDM,27200000_7165198,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7165199,Noncdm Charge Record Medical Supplies,1161.77,1161.77,,,0 CDM,27200000_7165205,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7165206,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27200000_7165207,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7165210,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27200000_7165222,Noncdm Charge Record Medical Supplies,1841.49,1841.49,,,0 CDM,27200000_7165224,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7165225,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7165226,Noncdm Charge Record Medical Supplies,2913.75,2913.75,,,0 CDM,27200000_7165231,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7165232,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7165233,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7165235,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7165237,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7165247,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7165259,Noncdm Charge Record Medical Supplies,10691.52,10691.52,,,0 CDM,27200000_7165261,Noncdm Charge Record Medical Supplies,14584.29,14584.29,,,0 CDM,27200000_7165269,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7165273,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7165287,Noncdm Charge Record Medical Supplies,1033.2,1033.2,,,0 CDM,27200000_7165288,Noncdm Charge Record Medical Supplies,24192.0,24192.0,,,0 CDM,27200000_7165289,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7165290,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7165291,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7165292,Noncdm Charge Record Medical Supplies,6428.35,6428.35,,,0 CDM,27200000_7165299,Noncdm Charge Record Medical Supplies,5331.39,5331.39,,,0 CDM,27200000_7165307,Noncdm Charge Record Medical Supplies,4345.76,4345.76,,,0 CDM,27200000_7165309,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7165311,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7165314,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7165315,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7165316,Noncdm Charge Record Medical Supplies,2676.24,2676.24,,,0 CDM,27200000_7165327,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7165328,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7165329,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27200000_7165330,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7165337,Noncdm Charge Record Medical Supplies,3087.34,3087.34,,,0 CDM,27200000_7165339,Noncdm Charge Record Medical Supplies,9415.46,9415.46,,,0 CDM,27200000_7165340,Noncdm Charge Record Medical Supplies,18502.54,18502.54,,,0 CDM,27200000_7165343,Noncdm Charge Record Medical Supplies,1713.6,1713.6,,,0 CDM,27200000_7165355,Noncdm Charge Record Medical Supplies,3270.96,3270.96,,,0 CDM,27200000_7165366,Noncdm Charge Record Medical Supplies,904.89,904.89,,,0 CDM,27200000_7165372,Noncdm Charge Record Medical Supplies,642.6,642.6,,,0 CDM,27200000_7165387,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7165390,Noncdm Charge Record Medical Supplies,24192.0,24192.0,,,0 CDM,27200000_7165392,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27200000_7165393,Noncdm Charge Record Medical Supplies,909.09,909.09,,,0 CDM,27200000_7165394,Noncdm Charge Record Medical Supplies,2144.52,2144.52,,,0 CDM,27200000_7165395,Noncdm Charge Record Medical Supplies,1958.04,1958.04,,,0 CDM,27200000_7165396,Noncdm Charge Record Medical Supplies,122.27,122.27,,,0 CDM,27200000_7165410,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7165415,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7165424,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27200000_7165425,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27200000_7165426,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7165435,Noncdm Charge Record Medical Supplies,2024.08,2024.08,,,0 CDM,27200000_7165438,Noncdm Charge Record Medical Supplies,6550.11,6550.11,,,0 CDM,27200000_7165439,Noncdm Charge Record Medical Supplies,709.01,709.01,,,0 CDM,27200000_7165441,Noncdm Charge Record Medical Supplies,2486.4,2486.4,,,0 CDM,27200000_7165442,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27200000_7165444,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7165445,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7165459,Noncdm Charge Record Medical Supplies,6550.11,6550.11,,,0 CDM,27200000_7165462,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27200000_7165465,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27200000_7165467,Noncdm Charge Record Medical Supplies,595.73,595.73,,,0 CDM,27200000_7165469,Noncdm Charge Record Medical Supplies,595.73,595.73,,,0 CDM,27200000_7165470,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7165474,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27200000_7165476,Noncdm Charge Record Medical Supplies,26037.27,26037.27,,,0 CDM,27200000_7165478,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7165479,Noncdm Charge Record Medical Supplies,2486.4,2486.4,,,0 CDM,27200000_7165480,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7165481,Noncdm Charge Record Medical Supplies,870.24,870.24,,,0 CDM,27200000_7165482,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27200000_7165491,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7165495,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7165496,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27200000_7165498,Noncdm Charge Record Medical Supplies,281.48,281.48,,,0 CDM,27200000_7165501,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7165504,Noncdm Charge Record Medical Supplies,1660.84,1660.84,,,0 CDM,27200000_7165506,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7165520,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7165524,Noncdm Charge Record Medical Supplies,1450.82,1450.82,,,0 CDM,27200000_7165525,Noncdm Charge Record Medical Supplies,1573.89,1573.89,,,0 CDM,27200000_7165526,Noncdm Charge Record Medical Supplies,1644.75,1644.75,,,0 CDM,27200000_7165527,Noncdm Charge Record Medical Supplies,1159.9,1159.9,,,0 CDM,27200000_7165537,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7165538,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7165546,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7165547,Noncdm Charge Record Medical Supplies,808.86,808.86,,,0 CDM,27200000_7165549,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27200000_7165552,Noncdm Charge Record Medical Supplies,5361.3,5361.3,,,0 CDM,27200000_7165558,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27200000_7165559,Noncdm Charge Record Medical Supplies,1505.83,1505.83,,,0 CDM,27200000_7165560,Noncdm Charge Record Medical Supplies,1046.0,1046.0,,,0 CDM,27200000_7165566,Noncdm Charge Record Medical Supplies,2222.22,2222.22,,,0 CDM,27200000_7165567,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27200000_7165575,Noncdm Charge Record Medical Supplies,3434.34,3434.34,,,0 CDM,27200000_7165597,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27200000_7165599,Noncdm Charge Record Medical Supplies,310.8,310.8,,,0 CDM,27200000_7165600,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7165601,Noncdm Charge Record Medical Supplies,5361.3,5361.3,,,0 CDM,27200000_7165603,Noncdm Charge Record Medical Supplies,228.12,228.12,,,0 CDM,27200000_7165608,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7165609,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7165613,Noncdm Charge Record Medical Supplies,2486.4,2486.4,,,0 CDM,27200000_7165614,Noncdm Charge Record Medical Supplies,2486.4,2486.4,,,0 CDM,27200000_7165617,Noncdm Charge Record Medical Supplies,8369.22,8369.22,,,0 CDM,27200000_7165621,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7165642,Noncdm Charge Record Medical Supplies,7614.6,7614.6,,,0 CDM,27200000_7165643,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7165644,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7165652,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7165674,Noncdm Charge Record Medical Supplies,4009.78,4009.78,,,0 CDM,27200000_7165680,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7165681,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7165682,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27200000_7165683,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7165684,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27200000_7165691,Noncdm Charge Record Medical Supplies,5331.39,5331.39,,,0 CDM,27200000_7165694,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7165695,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7165703,Noncdm Charge Record Medical Supplies,11903.64,11903.64,,,0 CDM,27200000_7165705,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7165706,Noncdm Charge Record Medical Supplies,16860.9,16860.9,,,0 CDM,27200000_7165707,Noncdm Charge Record Medical Supplies,543.9,543.9,,,0 CDM,27200000_7165710,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7165712,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7165713,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7165714,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7165715,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7165717,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7165722,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7165723,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7165724,Noncdm Charge Record Medical Supplies,27156.15,27156.15,,,0 CDM,27200000_7165726,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7165730,Noncdm Charge Record Medical Supplies,2486.4,2486.4,,,0 CDM,27200000_7165731,Noncdm Charge Record Medical Supplies,6332.55,6332.55,,,0 CDM,27200000_7165732,Noncdm Charge Record Medical Supplies,2486.4,2486.4,,,0 CDM,27200000_7165733,Noncdm Charge Record Medical Supplies,808.86,808.86,,,0 CDM,27200000_7165735,Noncdm Charge Record Medical Supplies,2486.4,2486.4,,,0 CDM,27200000_7165736,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27200000_7165737,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7165746,Noncdm Charge Record Medical Supplies,1839.6,1839.6,,,0 CDM,27200000_7165747,Noncdm Charge Record Medical Supplies,281.48,281.48,,,0 CDM,27200000_7165749,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27200000_7165750,Noncdm Charge Record Medical Supplies,8341.48,8341.48,,,0 CDM,27200000_7165751,Noncdm Charge Record Medical Supplies,1604.89,1604.89,,,0 CDM,27200000_7165754,Noncdm Charge Record Medical Supplies,3000.0,3000.0,,,0 CDM,27200000_7165755,Noncdm Charge Record Medical Supplies,388.34,388.34,,,0 CDM,27200000_7165756,Noncdm Charge Record Medical Supplies,3067.44,3067.44,,,0 CDM,27200000_7165757,Noncdm Charge Record Medical Supplies,392.15,392.15,,,0 CDM,27200000_7165758,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27200000_7165759,Noncdm Charge Record Medical Supplies,73815.0,73815.0,,,0 CDM,27200000_7165760,Noncdm Charge Record Medical Supplies,2913.75,2913.75,,,0 CDM,27200000_7165761,Noncdm Charge Record Medical Supplies,2384.61,2384.61,,,0 CDM,27200000_7165762,Noncdm Charge Record Medical Supplies,388.34,388.34,,,0 CDM,27200000_7165763,Noncdm Charge Record Medical Supplies,392.15,392.15,,,0 CDM,27200000_7165764,Noncdm Charge Record Medical Supplies,3263.4,3263.4,,,0 CDM,27200000_7165765,Noncdm Charge Record Medical Supplies,2222.22,2222.22,,,0 CDM,27200000_7165766,Noncdm Charge Record Medical Supplies,3225.6,3225.6,,,0 CDM,27200000_7165772,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7165773,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27200000_7165776,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27200000_7165784,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7165795,Noncdm Charge Record Medical Supplies,188.7,188.7,,,0 CDM,27200000_7165796,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27200000_7165805,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7165806,Noncdm Charge Record Medical Supplies,3069.15,3069.15,,,0 CDM,27200000_7165808,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7165810,Noncdm Charge Record Medical Supplies,930.46,930.46,,,0 CDM,27200000_7165812,Noncdm Charge Record Medical Supplies,6177.15,6177.15,,,0 CDM,27200000_7165813,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7165815,Noncdm Charge Record Medical Supplies,95.76,95.76,,,0 CDM,27200000_7165820,Noncdm Charge Record Medical Supplies,1081.35,1081.35,,,0 CDM,27200000_7165821,Noncdm Charge Record Medical Supplies,1269.46,1269.46,,,0 CDM,27200000_7165822,Noncdm Charge Record Medical Supplies,1161.77,1161.77,,,0 CDM,27200000_7165843,Noncdm Charge Record Medical Supplies,95.76,95.76,,,0 CDM,27200000_7165844,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27200000_7165845,Noncdm Charge Record Medical Supplies,3276.0,3276.0,,,0 CDM,27200000_7165848,Noncdm Charge Record Medical Supplies,5361.3,5361.3,,,0 CDM,27200000_7165849,Noncdm Charge Record Medical Supplies,3484.23,3484.23,,,0 CDM,27200000_7165850,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27200000_7165852,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7165860,Noncdm Charge Record Medical Supplies,272.16,272.16,,,0 CDM,27200000_7165861,Noncdm Charge Record Medical Supplies,2939.78,2939.78,,,0 CDM,27200000_7165867,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7165877,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27200000_7165878,Noncdm Charge Record Medical Supplies,2035.74,2035.74,,,0 CDM,27200000_7165879,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7165907,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7165914,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7165917,Noncdm Charge Record Medical Supplies,3270.96,3270.96,,,0 CDM,27200000_7165923,Noncdm Charge Record Medical Supplies,748.25,748.25,,,0 CDM,27200000_7165927,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27200000_7165933,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7165934,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7165938,Noncdm Charge Record Medical Supplies,143.98,143.98,,,0 CDM,27200000_7165941,Noncdm Charge Record Medical Supplies,1351.98,1351.98,,,0 CDM,27200000_7165942,Noncdm Charge Record Medical Supplies,1486.8,1486.8,,,0 CDM,27200000_7165944,Noncdm Charge Record Medical Supplies,1097.51,1097.51,,,0 CDM,27200000_7165946,Noncdm Charge Record Medical Supplies,1351.98,1351.98,,,0 CDM,27200000_7165949,Noncdm Charge Record Medical Supplies,5331.39,5331.39,,,0 CDM,27200000_7165950,Noncdm Charge Record Medical Supplies,448.1,448.1,,,0 CDM,27200000_7165951,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7165952,Noncdm Charge Record Medical Supplies,489.12,489.12,,,0 CDM,27200000_7165962,Noncdm Charge Record Medical Supplies,1601.4,1601.4,,,0 CDM,27200000_7165971,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27200000_7165974,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27200000_7165975,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7165976,Noncdm Charge Record Medical Supplies,862.47,862.47,,,0 CDM,27200000_7165977,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7165979,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27200000_7165980,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27200000_7165981,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27200000_7165982,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7165989,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7165990,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7165998,Noncdm Charge Record Medical Supplies,1225.33,1225.33,,,0 CDM,27200000_7166016,Noncdm Charge Record Medical Supplies,310.48,310.48,,,0 CDM,27200000_7166023,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7166027,Noncdm Charge Record Medical Supplies,3639.08,3639.08,,,0 CDM,27200000_7166037,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7166038,Noncdm Charge Record Medical Supplies,648.8,648.8,,,0 CDM,27200000_7166056,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7166063,Noncdm Charge Record Medical Supplies,470.63,470.63,,,0 CDM,27200000_7166066,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7166079,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7166080,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7166082,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7166087,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7166088,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7166090,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7166101,Noncdm Charge Record Medical Supplies,233.1,233.1,,,0 CDM,27200000_7166111,Noncdm Charge Record Medical Supplies,1269.46,1269.46,,,0 CDM,27200000_7166112,Noncdm Charge Record Medical Supplies,1161.77,1161.77,,,0 CDM,27200000_7166113,Noncdm Charge Record Medical Supplies,1360.84,1360.84,,,0 CDM,27200000_7166131,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7166135,Noncdm Charge Record Medical Supplies,2183.37,2183.37,,,0 CDM,27200000_7166136,Noncdm Charge Record Medical Supplies,1701.63,1701.63,,,0 CDM,27200000_7166137,Noncdm Charge Record Medical Supplies,2066.82,2066.82,,,0 CDM,27200000_7166142,Noncdm Charge Record Medical Supplies,1118.18,1118.18,,,0 CDM,27200000_7166143,Noncdm Charge Record Medical Supplies,876.69,876.69,,,0 CDM,27200000_7166144,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7166152,Noncdm Charge Record Medical Supplies,1371.25,1371.25,,,0 CDM,27200000_7166153,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7166154,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7166156,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7166157,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7166159,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7166160,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27200000_7166162,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27200000_7166166,Noncdm Charge Record Medical Supplies,3270.96,3270.96,,,0 CDM,27200000_7166172,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27200000_7166189,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7166190,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7166210,Noncdm Charge Record Medical Supplies,3185.7,3185.7,,,0 CDM,27200000_7166211,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7166212,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7166216,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7166217,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27200000_7166219,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27200000_7166224,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7166225,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7166226,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27200000_7166235,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27200000_7166237,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27200000_7166238,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27200000_7166242,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27200000_7166246,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7166247,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7166255,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27200000_7166260,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27200000_7166271,Noncdm Charge Record Medical Supplies,10334.1,10334.1,,,0 CDM,27200000_7166273,Noncdm Charge Record Medical Supplies,2268.84,2268.84,,,0 CDM,27200000_7166274,Noncdm Charge Record Medical Supplies,2268.84,2268.84,,,0 CDM,27200000_7166275,Noncdm Charge Record Medical Supplies,797.2,797.2,,,0 CDM,27200000_7166276,Noncdm Charge Record Medical Supplies,2043.51,2043.51,,,0 CDM,27200000_7166303,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7166309,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7166322,Noncdm Charge Record Medical Supplies,4920.97,4920.97,,,0 CDM,27200000_7166351,Noncdm Charge Record Medical Supplies,65.27,65.27,,,0 CDM,27200000_7166353,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7166355,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7166367,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7166368,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7166371,Noncdm Charge Record Medical Supplies,4920.97,4920.97,,,0 CDM,27200000_7166383,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7166385,Noncdm Charge Record Medical Supplies,55019.37,55019.37,,,0 CDM,27200000_7166387,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7166389,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7166400,Noncdm Charge Record Medical Supplies,178.71,178.71,,,0 CDM,27200000_7166402,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27200000_7166403,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7166419,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7166432,Noncdm Charge Record Medical Supplies,463.48,463.48,,,0 CDM,27200000_7166433,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7166434,Noncdm Charge Record Medical Supplies,947.94,947.94,,,0 CDM,27200000_7166435,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7166436,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7166437,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7166438,Noncdm Charge Record Medical Supplies,2377.62,2377.62,,,0 CDM,27200000_7166446,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7166447,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7166450,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7166451,Noncdm Charge Record Medical Supplies,695.42,695.42,,,0 CDM,27200000_7166452,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7166453,Noncdm Charge Record Medical Supplies,1377.16,1377.16,,,0 CDM,27200000_7166454,Noncdm Charge Record Medical Supplies,1360.84,1360.84,,,0 CDM,27200000_7166456,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7166457,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7166458,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7166462,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7166466,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7166468,Noncdm Charge Record Medical Supplies,757.58,757.58,,,0 CDM,27200000_7166474,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7166476,Noncdm Charge Record Medical Supplies,572.96,572.96,,,0 CDM,27200000_7166483,Noncdm Charge Record Medical Supplies,3270.96,3270.96,,,0 CDM,27200000_7166486,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7166498,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27200000_7166499,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27200000_7166501,Noncdm Charge Record Medical Supplies,16278.15,16278.15,,,0 CDM,27200000_7166503,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7166510,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7166511,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7166514,Noncdm Charge Record Medical Supplies,2464.56,2464.56,,,0 CDM,27200000_7166519,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7166522,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7166534,Noncdm Charge Record Medical Supplies,2183.37,2183.37,,,0 CDM,27200000_7166535,Noncdm Charge Record Medical Supplies,2066.82,2066.82,,,0 CDM,27200000_7166542,Noncdm Charge Record Medical Supplies,1439.16,1439.16,,,0 CDM,27200000_7166543,Noncdm Charge Record Medical Supplies,1377.16,1377.16,,,0 CDM,27200000_7166544,Noncdm Charge Record Medical Supplies,1014.92,1014.92,,,0 CDM,27200000_7166545,Noncdm Charge Record Medical Supplies,665.73,665.73,,,0 CDM,27200000_7166550,Noncdm Charge Record Medical Supplies,11559.2,11559.2,,,0 CDM,27200000_7166551,Noncdm Charge Record Medical Supplies,7485.54,7485.54,,,0 CDM,27200000_7166553,Noncdm Charge Record Medical Supplies,2833.33,2833.33,,,0 CDM,27200000_7166554,Noncdm Charge Record Medical Supplies,3196.58,3196.58,,,0 CDM,27200000_7166558,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7166560,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7166570,Noncdm Charge Record Medical Supplies,7731.15,7731.15,,,0 CDM,27200000_7166573,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7166587,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7166595,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27200000_7166596,Noncdm Charge Record Medical Supplies,904.89,904.89,,,0 CDM,27200000_7166597,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7166603,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7166617,Noncdm Charge Record Medical Supplies,2066.82,2066.82,,,0 CDM,27200000_7166619,Noncdm Charge Record Medical Supplies,1818.18,1818.18,,,0 CDM,27200000_7166620,Noncdm Charge Record Medical Supplies,3069.15,3069.15,,,0 CDM,27200000_7166623,Noncdm Charge Record Medical Supplies,130.38,130.38,,,0 CDM,27200000_7166632,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7166634,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7166639,Noncdm Charge Record Medical Supplies,484.74,484.74,,,0 CDM,27200000_7166649,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7166653,Noncdm Charge Record Medical Supplies,10062.15,10062.15,,,0 CDM,27200000_7166659,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7166660,Noncdm Charge Record Medical Supplies,1907.54,1907.54,,,0 CDM,27200000_7166663,Noncdm Charge Record Medical Supplies,646.85,646.85,,,0 CDM,27200000_7166664,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7166666,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27200000_7166670,Noncdm Charge Record Medical Supplies,130.38,130.38,,,0 CDM,27200000_7166671,Noncdm Charge Record Medical Supplies,2942.04,2942.04,,,0 CDM,27200000_7166673,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7166674,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7166680,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7166698,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27200000_7166701,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7166715,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7166717,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7166718,Noncdm Charge Record Medical Supplies,648.8,648.8,,,0 CDM,27200000_7166722,Noncdm Charge Record Medical Supplies,665.73,665.73,,,0 CDM,27200000_7166723,Noncdm Charge Record Medical Supplies,1269.46,1269.46,,,0 CDM,27200000_7166732,Noncdm Charge Record Medical Supplies,797.2,797.2,,,0 CDM,27200000_7166744,Noncdm Charge Record Medical Supplies,778.48,778.48,,,0 CDM,27200000_7166755,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7166757,Noncdm Charge Record Medical Supplies,4345.76,4345.76,,,0 CDM,27200000_7166761,Noncdm Charge Record Medical Supplies,876.69,876.69,,,0 CDM,27200000_7166762,Noncdm Charge Record Medical Supplies,1934.73,1934.73,,,0 CDM,27200000_7166763,Noncdm Charge Record Medical Supplies,876.69,876.69,,,0 CDM,27200000_7166768,Noncdm Charge Record Medical Supplies,1033.2,1033.2,,,0 CDM,27200000_7166780,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7166788,Noncdm Charge Record Medical Supplies,2486.4,2486.4,,,0 CDM,27200000_7166789,Noncdm Charge Record Medical Supplies,2486.4,2486.4,,,0 CDM,27200000_7166792,Noncdm Charge Record Medical Supplies,2486.4,2486.4,,,0 CDM,27200000_7166814,Noncdm Charge Record Medical Supplies,14131.69,14131.69,,,0 CDM,27200000_7166817,Noncdm Charge Record Medical Supplies,904.89,904.89,,,0 CDM,27200000_7166820,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27200000_7166821,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7166823,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7166824,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7166825,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7166835,Noncdm Charge Record Medical Supplies,2676.24,2676.24,,,0 CDM,27200000_7166840,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7166841,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27200000_7166855,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7166856,Noncdm Charge Record Medical Supplies,1118.88,1118.88,,,0 CDM,27200000_7166857,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7166859,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27200000_7166861,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7166862,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7166867,Noncdm Charge Record Medical Supplies,214.7,214.7,,,0 CDM,27200000_7166869,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7166870,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7166871,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7166872,Noncdm Charge Record Medical Supplies,11903.64,11903.64,,,0 CDM,27200000_7166873,Noncdm Charge Record Medical Supplies,16860.9,16860.9,,,0 CDM,27200000_7166877,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7166880,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7166883,Noncdm Charge Record Medical Supplies,2066.82,2066.82,,,0 CDM,27200000_7166884,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7166885,Noncdm Charge Record Medical Supplies,1095.57,1095.57,,,0 CDM,27200000_7166886,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7166889,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7166890,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7166891,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7166892,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7166895,Noncdm Charge Record Medical Supplies,3131.31,3131.31,,,0 CDM,27200000_7166899,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27200000_7166906,Noncdm Charge Record Medical Supplies,904.89,904.89,,,0 CDM,27200000_7166920,Noncdm Charge Record Medical Supplies,2212.51,2212.51,,,0 CDM,27200000_7166926,Noncdm Charge Record Medical Supplies,955.71,955.71,,,0 CDM,27200000_7166928,Noncdm Charge Record Medical Supplies,2212.51,2212.51,,,0 CDM,27200000_7166940,Noncdm Charge Record Medical Supplies,233.1,233.1,,,0 CDM,27200000_7166942,Noncdm Charge Record Medical Supplies,3276.0,3276.0,,,0 CDM,27200000_7166943,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7166945,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7166947,Noncdm Charge Record Medical Supplies,797.2,797.2,,,0 CDM,27200000_7166960,Noncdm Charge Record Medical Supplies,1351.98,1351.98,,,0 CDM,27200000_7166961,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27200000_7166962,Noncdm Charge Record Medical Supplies,648.8,648.8,,,0 CDM,27200000_7166963,Noncdm Charge Record Medical Supplies,1078.09,1078.09,,,0 CDM,27200000_7166964,Noncdm Charge Record Medical Supplies,1383.06,1383.06,,,0 CDM,27200000_7166965,Noncdm Charge Record Medical Supplies,672.1,672.1,,,0 CDM,27200000_7166966,Noncdm Charge Record Medical Supplies,911.03,911.03,,,0 CDM,27200000_7166967,Noncdm Charge Record Medical Supplies,648.8,648.8,,,0 CDM,27200000_7166968,Noncdm Charge Record Medical Supplies,2066.82,2066.82,,,0 CDM,27200000_7166969,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27200000_7166970,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7166971,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27200000_7166972,Noncdm Charge Record Medical Supplies,1118.18,1118.18,,,0 CDM,27200000_7166974,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7166975,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7166976,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7166977,Noncdm Charge Record Medical Supplies,2183.37,2183.37,,,0 CDM,27200000_7166978,Noncdm Charge Record Medical Supplies,1460.76,1460.76,,,0 CDM,27200000_7166979,Noncdm Charge Record Medical Supplies,5244.75,5244.75,,,0 CDM,27200000_7166980,Noncdm Charge Record Medical Supplies,380.73,380.73,,,0 CDM,27200000_7166981,Noncdm Charge Record Medical Supplies,318.57,318.57,,,0 CDM,27200000_7166982,Noncdm Charge Record Medical Supplies,435.12,435.12,,,0 CDM,27200000_7166983,Noncdm Charge Record Medical Supplies,62.16,62.16,,,0 CDM,27200000_7166984,Noncdm Charge Record Medical Supplies,62.16,62.16,,,0 CDM,27200000_7166985,Noncdm Charge Record Medical Supplies,62.16,62.16,,,0 CDM,27200000_7166992,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27200000_7166993,Noncdm Charge Record Medical Supplies,30214.8,30214.8,,,0 CDM,27200000_7167007,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27200000_7167022,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7167028,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7167037,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7167039,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7167058,Noncdm Charge Record Medical Supplies,3605.28,3605.28,,,0 CDM,27200000_7167060,Noncdm Charge Record Medical Supplies,3053.61,3053.61,,,0 CDM,27200000_7167064,Noncdm Charge Record Medical Supplies,590.52,590.52,,,0 CDM,27200000_7167076,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7167077,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7167082,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27200000_7167093,Noncdm Charge Record Medical Supplies,15215.76,15215.76,,,0 CDM,27200000_7167094,Noncdm Charge Record Medical Supplies,3434.34,3434.34,,,0 CDM,27200000_7167098,Noncdm Charge Record Medical Supplies,3131.31,3131.31,,,0 CDM,27200000_7167100,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27200000_7167101,Noncdm Charge Record Medical Supplies,745.92,745.92,,,0 CDM,27200000_7167103,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7167106,Noncdm Charge Record Medical Supplies,590.52,590.52,,,0 CDM,27200000_7167107,Noncdm Charge Record Medical Supplies,1159.28,1159.28,,,0 CDM,27200000_7167108,Noncdm Charge Record Medical Supplies,1360.84,1360.84,,,0 CDM,27200000_7167109,Noncdm Charge Record Medical Supplies,15215.76,15215.76,,,0 CDM,27200000_7167113,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7167114,Noncdm Charge Record Medical Supplies,4747.47,4747.47,,,0 CDM,27200000_7167122,Noncdm Charge Record Medical Supplies,3131.31,3131.31,,,0 CDM,27200000_7167126,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27200000_7167129,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27200000_7167136,Noncdm Charge Record Medical Supplies,5897.43,5897.43,,,0 CDM,27200000_7167139,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7167147,Noncdm Charge Record Medical Supplies,1818.18,1818.18,,,0 CDM,27200000_7167150,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7167158,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7167160,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7167161,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7167163,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7167164,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7167172,Noncdm Charge Record Medical Supplies,86357.8,86357.8,,,0 CDM,27200000_7167173,Noncdm Charge Record Medical Supplies,14131.69,14131.69,,,0 CDM,27200000_7167180,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7167183,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7167192,Noncdm Charge Record Medical Supplies,707.07,707.07,,,0 CDM,27200000_7167203,Noncdm Charge Record Medical Supplies,2676.24,2676.24,,,0 CDM,27200000_7167208,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7167209,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7167211,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7167215,Noncdm Charge Record Medical Supplies,2066.82,2066.82,,,0 CDM,27200000_7167219,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7167223,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7167226,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7167228,Noncdm Charge Record Medical Supplies,233.1,233.1,,,0 CDM,27200000_7167233,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7167235,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7167237,Noncdm Charge Record Medical Supplies,2525.25,2525.25,,,0 CDM,27200000_7167238,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7167239,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7167240,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7167242,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7167243,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7167245,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7167246,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7167248,Noncdm Charge Record Medical Supplies,178.71,178.71,,,0 CDM,27200000_7167251,Noncdm Charge Record Medical Supplies,1460.76,1460.76,,,0 CDM,27200000_7167252,Noncdm Charge Record Medical Supplies,1097.51,1097.51,,,0 CDM,27200000_7167257,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7167264,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7167265,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7167267,Noncdm Charge Record Medical Supplies,19036.5,19036.5,,,0 CDM,27200000_7167273,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7167275,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7167276,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7167283,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27200000_7167288,Noncdm Charge Record Medical Supplies,3434.34,3434.34,,,0 CDM,27200000_7167290,Noncdm Charge Record Medical Supplies,3185.7,3185.7,,,0 CDM,27200000_7167294,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7167295,Noncdm Charge Record Medical Supplies,24192.0,24192.0,,,0 CDM,27200000_7167299,Noncdm Charge Record Medical Supplies,3185.7,3185.7,,,0 CDM,27200000_7167300,Noncdm Charge Record Medical Supplies,3185.7,3185.7,,,0 CDM,27200000_7167305,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7167306,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7167307,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7167353,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7167354,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7167362,Noncdm Charge Record Medical Supplies,2066.82,2066.82,,,0 CDM,27200000_7167363,Noncdm Charge Record Medical Supplies,904.89,904.89,,,0 CDM,27200000_7167365,Noncdm Charge Record Medical Supplies,5031.08,5031.08,,,0 CDM,27200000_7167367,Noncdm Charge Record Medical Supplies,1818.18,1818.18,,,0 CDM,27200000_7167369,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27200000_7167375,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7167393,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7167394,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27200000_7167407,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7167436,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7167441,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7167446,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7167448,Noncdm Charge Record Medical Supplies,281.48,281.48,,,0 CDM,27200000_7167467,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7167477,Noncdm Charge Record Medical Supplies,281.48,281.48,,,0 CDM,27200000_7167487,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7167499,Noncdm Charge Record Medical Supplies,61071.5,61071.5,,,0 CDM,27200000_7167501,Noncdm Charge Record Medical Supplies,11062.8,11062.8,,,0 CDM,27200000_7167507,Noncdm Charge Record Medical Supplies,5641.02,5641.02,,,0 CDM,27200000_7167531,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7167539,Noncdm Charge Record Medical Supplies,234.36,234.36,,,0 CDM,27200000_7167540,Noncdm Charge Record Medical Supplies,1351.98,1351.98,,,0 CDM,27200000_7167547,Noncdm Charge Record Medical Supplies,1660.84,1660.84,,,0 CDM,27200000_7167558,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7167574,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7167599,Noncdm Charge Record Medical Supplies,443.12,443.12,,,0 CDM,27200000_7167601,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7167602,Noncdm Charge Record Medical Supplies,14584.29,14584.29,,,0 CDM,27200000_7167614,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7167640,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7167641,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7167642,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7167643,Noncdm Charge Record Medical Supplies,5656.56,5656.56,,,0 CDM,27200000_7167644,Noncdm Charge Record Medical Supplies,3131.31,3131.31,,,0 CDM,27200000_7167646,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7167648,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7167650,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7167651,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7167654,Noncdm Charge Record Medical Supplies,10.08,10.08,,,0 CDM,27200000_7167655,Noncdm Charge Record Medical Supplies,10.08,10.08,,,0 CDM,27200000_7167657,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27200000_7167661,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7167666,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7167667,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27200000_7167670,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7167671,Noncdm Charge Record Medical Supplies,5656.56,5656.56,,,0 CDM,27200000_7167673,Noncdm Charge Record Medical Supplies,3131.31,3131.31,,,0 CDM,27200000_7167674,Noncdm Charge Record Medical Supplies,29300.67,29300.67,,,0 CDM,27200000_7167675,Noncdm Charge Record Medical Supplies,16301.46,16301.46,,,0 CDM,27200000_7167676,Noncdm Charge Record Medical Supplies,1546.23,1546.23,,,0 CDM,27200000_7167678,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7167684,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7167685,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7167686,Noncdm Charge Record Medical Supplies,2268.84,2268.84,,,0 CDM,27200000_7167693,Noncdm Charge Record Medical Supplies,4345.76,4345.76,,,0 CDM,27200000_7167702,Noncdm Charge Record Medical Supplies,3053.61,3053.61,,,0 CDM,27200000_7167706,Noncdm Charge Record Medical Supplies,7614.6,7614.6,,,0 CDM,27200000_7167715,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7167724,Noncdm Charge Record Medical Supplies,1738.7,1738.7,,,0 CDM,27200000_7167727,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7167728,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7167731,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7167732,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7167738,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7167742,Noncdm Charge Record Medical Supplies,2387.25,2387.25,,,0 CDM,27200000_7167752,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7167753,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7167755,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7167757,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7167763,Noncdm Charge Record Medical Supplies,2387.25,2387.25,,,0 CDM,27200000_7167764,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7167775,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7167778,Noncdm Charge Record Medical Supplies,255.38,255.38,,,0 CDM,27200000_7167808,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7167814,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7167818,Noncdm Charge Record Medical Supplies,2905.43,2905.43,,,0 CDM,27200000_7167835,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27200000_7167846,Noncdm Charge Record Medical Supplies,2905.43,2905.43,,,0 CDM,27200000_7167851,Noncdm Charge Record Medical Supplies,686.32,686.32,,,0 CDM,27200000_7167852,Noncdm Charge Record Medical Supplies,967.68,967.68,,,0 CDM,27200000_7167856,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27200000_7167857,Noncdm Charge Record Medical Supplies,1118.18,1118.18,,,0 CDM,27200000_7167860,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27200000_7167863,Noncdm Charge Record Medical Supplies,350.93,350.93,,,0 CDM,27200000_7167866,Noncdm Charge Record Medical Supplies,9021.6,9021.6,,,0 CDM,27200000_7167869,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7167870,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7167873,Noncdm Charge Record Medical Supplies,3053.61,3053.61,,,0 CDM,27200000_7167895,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7167898,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7167900,Noncdm Charge Record Medical Supplies,987.02,987.02,,,0 CDM,27200000_7167924,Noncdm Charge Record Medical Supplies,4669.38,4669.38,,,0 CDM,27200000_7167927,Noncdm Charge Record Medical Supplies,2066.82,2066.82,,,0 CDM,27200000_7167930,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7167932,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7167933,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7167934,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7167936,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7167937,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7167949,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7167951,Noncdm Charge Record Medical Supplies,3844.83,3844.83,,,0 CDM,27200000_7167953,Noncdm Charge Record Medical Supplies,15291.36,15291.36,,,0 CDM,27200000_7167955,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7167958,Noncdm Charge Record Medical Supplies,3576.07,3576.07,,,0 CDM,27200000_7167964,Noncdm Charge Record Medical Supplies,11655.0,11655.0,,,0 CDM,27200000_7167966,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7167967,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7167968,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7167969,Noncdm Charge Record Medical Supplies,350.93,350.93,,,0 CDM,27200000_7167977,Noncdm Charge Record Medical Supplies,1118.88,1118.88,,,0 CDM,27200000_7167978,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7167979,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7167982,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7167991,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7167992,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7168003,Noncdm Charge Record Medical Supplies,3844.83,3844.83,,,0 CDM,27200000_7168014,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7168016,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7168020,Noncdm Charge Record Medical Supplies,287.18,287.18,,,0 CDM,27200000_7168027,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27200000_7168033,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7168038,Noncdm Charge Record Medical Supplies,2676.24,2676.24,,,0 CDM,27200000_7168044,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7168045,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7168052,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27200000_7168067,Noncdm Charge Record Medical Supplies,1336.44,1336.44,,,0 CDM,27200000_7168080,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7168084,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7168093,Noncdm Charge Record Medical Supplies,4284.0,4284.0,,,0 CDM,27200000_7168096,Noncdm Charge Record Medical Supplies,2009.94,2009.94,,,0 CDM,27200000_7168117,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7168120,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7168121,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7168122,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7168123,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7168139,Noncdm Charge Record Medical Supplies,4345.76,4345.76,,,0 CDM,27200000_7168147,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7168162,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7168163,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7168168,Noncdm Charge Record Medical Supplies,95.76,95.76,,,0 CDM,27200000_7168185,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7168192,Noncdm Charge Record Medical Supplies,2464.56,2464.56,,,0 CDM,27200000_7168193,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7168195,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27200000_7168197,Noncdm Charge Record Medical Supplies,1118.88,1118.88,,,0 CDM,27200000_7168198,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7168199,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7168200,Noncdm Charge Record Medical Supplies,31973.55,31973.55,,,0 CDM,27200000_7168206,Noncdm Charge Record Medical Supplies,606.06,606.06,,,0 CDM,27200000_7168207,Noncdm Charge Record Medical Supplies,3053.61,3053.61,,,0 CDM,27200000_7168209,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7168213,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7168239,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7168244,Noncdm Charge Record Medical Supplies,2937.06,2937.06,,,0 CDM,27200000_7168248,Noncdm Charge Record Medical Supplies,1118.88,1118.88,,,0 CDM,27200000_7168249,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7168250,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7168251,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7168253,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7168273,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7168274,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7168275,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7168276,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7168280,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7168281,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7168292,Noncdm Charge Record Medical Supplies,53877.18,53877.18,,,0 CDM,27200000_7168293,Noncdm Charge Record Medical Supplies,29300.67,29300.67,,,0 CDM,27200000_7168294,Noncdm Charge Record Medical Supplies,10334.1,10334.1,,,0 CDM,27200000_7168295,Noncdm Charge Record Medical Supplies,2268.84,2268.84,,,0 CDM,27200000_7168299,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7168307,Noncdm Charge Record Medical Supplies,44425.83,44425.83,,,0 CDM,27200000_7168308,Noncdm Charge Record Medical Supplies,86357.8,86357.8,,,0 CDM,27200000_7168309,Noncdm Charge Record Medical Supplies,14131.69,14131.69,,,0 CDM,27200000_7168314,Noncdm Charge Record Medical Supplies,452.04,452.04,,,0 CDM,27200000_7168322,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7168326,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7168337,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7168338,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7168339,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7168343,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7168344,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7168349,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7168350,Noncdm Charge Record Medical Supplies,907.2,907.2,,,0 CDM,27200000_7168361,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7168374,Noncdm Charge Record Medical Supplies,707.07,707.07,,,0 CDM,27200000_7168375,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7168380,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7168384,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7168385,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7168386,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7168403,Noncdm Charge Record Medical Supplies,2066.82,2066.82,,,0 CDM,27200000_7168404,Noncdm Charge Record Medical Supplies,1818.18,1818.18,,,0 CDM,27200000_7168415,Noncdm Charge Record Medical Supplies,473.97,473.97,,,0 CDM,27200000_7168418,Noncdm Charge Record Medical Supplies,3131.31,3131.31,,,0 CDM,27200000_7168421,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7168424,Noncdm Charge Record Medical Supplies,7728.82,7728.82,,,0 CDM,27200000_7168426,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7168429,Noncdm Charge Record Medical Supplies,480.96,480.96,,,0 CDM,27200000_7168437,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7168438,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7168439,Noncdm Charge Record Medical Supplies,698.29,698.29,,,0 CDM,27200000_7168440,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7168458,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7168459,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7168460,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7168461,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7168463,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27200000_7168464,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7168473,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7168474,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7168479,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7168487,Noncdm Charge Record Medical Supplies,2183.37,2183.37,,,0 CDM,27200000_7168488,Noncdm Charge Record Medical Supplies,2066.82,2066.82,,,0 CDM,27200000_7168490,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27200000_7168491,Noncdm Charge Record Medical Supplies,3395.49,3395.49,,,0 CDM,27200000_7168493,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7168494,Noncdm Charge Record Medical Supplies,95.76,95.76,,,0 CDM,27200000_7168495,Noncdm Charge Record Medical Supplies,808.86,808.86,,,0 CDM,27200000_7168496,Noncdm Charge Record Medical Supplies,1383.06,1383.06,,,0 CDM,27200000_7168497,Noncdm Charge Record Medical Supplies,808.86,808.86,,,0 CDM,27200000_7168501,Noncdm Charge Record Medical Supplies,1097.51,1097.51,,,0 CDM,27200000_7168504,Noncdm Charge Record Medical Supplies,22610.7,22610.7,,,0 CDM,27200000_7168505,Noncdm Charge Record Medical Supplies,71223.7,71223.7,,,0 CDM,27200000_7168510,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7168519,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7168520,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7168538,Noncdm Charge Record Medical Supplies,823.62,823.62,,,0 CDM,27200000_7168539,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7168540,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7168541,Noncdm Charge Record Medical Supplies,1328.67,1328.67,,,0 CDM,27200000_7168544,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7168546,Noncdm Charge Record Medical Supplies,5639.93,5639.93,,,0 CDM,27200000_7168547,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7168548,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7168549,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7168564,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7168566,Noncdm Charge Record Medical Supplies,808.86,808.86,,,0 CDM,27200000_7168569,Noncdm Charge Record Medical Supplies,19513.03,19513.03,,,0 CDM,27200000_7168570,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7168580,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27200000_7168589,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7168613,Noncdm Charge Record Medical Supplies,31080.0,31080.0,,,0 CDM,27200000_7168614,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7168616,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27200000_7168627,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7168628,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7168629,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7168632,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27200000_7168642,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7168643,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7168649,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7168651,Noncdm Charge Record Medical Supplies,904.89,904.89,,,0 CDM,27200000_7168653,Noncdm Charge Record Medical Supplies,30769.2,30769.2,,,0 CDM,27200000_7168654,Noncdm Charge Record Medical Supplies,904.89,904.89,,,0 CDM,27200000_7168655,Noncdm Charge Record Medical Supplies,17933.16,17933.16,,,0 CDM,27200000_7168656,Noncdm Charge Record Medical Supplies,1934.73,1934.73,,,0 CDM,27200000_7168659,Noncdm Charge Record Medical Supplies,72587.89,72587.89,,,0 CDM,27200000_7168660,Noncdm Charge Record Medical Supplies,10717.48,10717.48,,,0 CDM,27200000_7168661,Noncdm Charge Record Medical Supplies,22610.7,22610.7,,,0 CDM,27200000_7168662,Noncdm Charge Record Medical Supplies,1934.73,1934.73,,,0 CDM,27200000_7168667,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7168668,Noncdm Charge Record Medical Supplies,1405.44,1405.44,,,0 CDM,27200000_7168671,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7168675,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7168695,Noncdm Charge Record Medical Supplies,2066.82,2066.82,,,0 CDM,27200000_7168697,Noncdm Charge Record Medical Supplies,4345.76,4345.76,,,0 CDM,27200000_7168698,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7168699,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7168700,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7168701,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7168702,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7168715,Noncdm Charge Record Medical Supplies,1675.21,1675.21,,,0 CDM,27200000_7168716,Noncdm Charge Record Medical Supplies,1289.04,1289.04,,,0 CDM,27200000_7168718,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7168722,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7168725,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7168728,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7168730,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7168733,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7168739,Noncdm Charge Record Medical Supplies,707.07,707.07,,,0 CDM,27200000_7168746,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7168749,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7168750,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7168751,Noncdm Charge Record Medical Supplies,1981.35,1981.35,,,0 CDM,27200000_7168752,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7168753,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7168757,Noncdm Charge Record Medical Supplies,2212.51,2212.51,,,0 CDM,27200000_7168758,Noncdm Charge Record Medical Supplies,2937.06,2937.06,,,0 CDM,27200000_7168759,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7168760,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7168761,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7168762,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27200000_7168764,Noncdm Charge Record Medical Supplies,904.89,904.89,,,0 CDM,27200000_7168765,Noncdm Charge Record Medical Supplies,1098.52,1098.52,,,0 CDM,27200000_7168766,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7168768,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7168774,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7168775,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7168776,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7168798,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7168800,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27200000_7168811,Noncdm Charge Record Medical Supplies,327.6,327.6,,,0 CDM,27200000_7168813,Noncdm Charge Record Medical Supplies,1980.65,1980.65,,,0 CDM,27200000_7168814,Noncdm Charge Record Medical Supplies,873.27,873.27,,,0 CDM,27200000_7168815,Noncdm Charge Record Medical Supplies,61071.5,61071.5,,,0 CDM,27200000_7168828,Noncdm Charge Record Medical Supplies,5369.07,5369.07,,,0 CDM,27200000_7168830,Noncdm Charge Record Medical Supplies,5563.32,5563.32,,,0 CDM,27200000_7168839,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7168844,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7168845,Noncdm Charge Record Medical Supplies,11903.64,11903.64,,,0 CDM,27200000_7168863,Noncdm Charge Record Medical Supplies,590.52,590.52,,,0 CDM,27200000_7168865,Noncdm Charge Record Medical Supplies,2540.79,2540.79,,,0 CDM,27200000_7168866,Noncdm Charge Record Medical Supplies,2540.79,2540.79,,,0 CDM,27200000_7168867,Noncdm Charge Record Medical Supplies,2540.79,2540.79,,,0 CDM,27200000_7168870,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27200000_7168872,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7168874,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7168875,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7168888,Noncdm Charge Record Medical Supplies,2676.24,2676.24,,,0 CDM,27200000_7168893,Noncdm Charge Record Medical Supplies,1841.49,1841.49,,,0 CDM,27200000_7168894,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7168895,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7168899,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7168903,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7168909,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7168910,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7168913,Noncdm Charge Record Medical Supplies,1790.98,1790.98,,,0 CDM,27200000_7168921,Noncdm Charge Record Medical Supplies,5768.45,5768.45,,,0 CDM,27200000_7168935,Noncdm Charge Record Medical Supplies,15034.95,15034.95,,,0 CDM,27200000_7168936,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27200000_7168938,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27200000_7168948,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7168953,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27200000_7168954,Noncdm Charge Record Medical Supplies,2540.79,2540.79,,,0 CDM,27200000_7168955,Noncdm Charge Record Medical Supplies,2540.79,2540.79,,,0 CDM,27200000_7168956,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7168957,Noncdm Charge Record Medical Supplies,590.52,590.52,,,0 CDM,27200000_7168958,Noncdm Charge Record Medical Supplies,590.52,590.52,,,0 CDM,27200000_7168961,Noncdm Charge Record Medical Supplies,2435.66,2435.66,,,0 CDM,27200000_7168963,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7168964,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27200000_7168965,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7168969,Noncdm Charge Record Medical Supplies,1405.44,1405.44,,,0 CDM,27200000_7168972,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7168977,Noncdm Charge Record Medical Supplies,1289.04,1289.04,,,0 CDM,27200000_7168981,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27200000_7168983,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7168993,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7168996,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7168997,Noncdm Charge Record Medical Supplies,44425.83,44425.83,,,0 CDM,27200000_7168999,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27200000_7169002,Noncdm Charge Record Medical Supplies,463.87,463.87,,,0 CDM,27200000_7169005,Noncdm Charge Record Medical Supplies,86357.95,86357.95,,,0 CDM,27200000_7169006,Noncdm Charge Record Medical Supplies,22610.7,22610.7,,,0 CDM,27200000_7169019,Noncdm Charge Record Medical Supplies,543.9,543.9,,,0 CDM,27200000_7169048,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7169059,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27200000_7169075,Noncdm Charge Record Medical Supplies,24192.0,24192.0,,,0 CDM,27200000_7169081,Noncdm Charge Record Medical Supplies,3519.81,3519.81,,,0 CDM,27200000_7169082,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7169083,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7169084,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27200000_7169087,Noncdm Charge Record Medical Supplies,2020.2,2020.2,,,0 CDM,27200000_7169096,Noncdm Charge Record Medical Supplies,10955.7,10955.7,,,0 CDM,27200000_7169097,Noncdm Charge Record Medical Supplies,57109.5,57109.5,,,0 CDM,27200000_7169098,Noncdm Charge Record Medical Supplies,11709.39,11709.39,,,0 CDM,27200000_7169101,Noncdm Charge Record Medical Supplies,30769.2,30769.2,,,0 CDM,27200000_7169106,Noncdm Charge Record Medical Supplies,12292.14,12292.14,,,0 CDM,27200000_7169107,Noncdm Charge Record Medical Supplies,7000.77,7000.77,,,0 CDM,27200000_7169108,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7169117,Noncdm Charge Record Medical Supplies,856.8,856.8,,,0 CDM,27200000_7169118,Noncdm Charge Record Medical Supplies,6182.13,6182.13,,,0 CDM,27200000_7169119,Noncdm Charge Record Medical Supplies,1357.81,1357.81,,,0 CDM,27200000_7169129,Noncdm Charge Record Medical Supplies,1118.88,1118.88,,,0 CDM,27200000_7169137,Noncdm Charge Record Medical Supplies,1244.88,1244.88,,,0 CDM,27200000_7169139,Noncdm Charge Record Medical Supplies,590.52,590.52,,,0 CDM,27200000_7169142,Noncdm Charge Record Medical Supplies,707.07,707.07,,,0 CDM,27200000_7169147,Noncdm Charge Record Medical Supplies,2066.82,2066.82,,,0 CDM,27200000_7169148,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7169154,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27200000_7169161,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7169164,Noncdm Charge Record Medical Supplies,1701.63,1701.63,,,0 CDM,27200000_7169165,Noncdm Charge Record Medical Supplies,2066.82,2066.82,,,0 CDM,27200000_7169167,Noncdm Charge Record Medical Supplies,1818.18,1818.18,,,0 CDM,27200000_7169169,Noncdm Charge Record Medical Supplies,748.25,748.25,,,0 CDM,27200000_7169173,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 CDM,27200000_7169174,Noncdm Charge Record Medical Supplies,4529.91,4529.91,,,0 CDM,27200000_7169177,Noncdm Charge Record Medical Supplies,3531.46,3531.46,,,0 CDM,27200000_7169196,Noncdm Charge Record Medical Supplies,601.63,601.63,,,0 CDM,27200000_7169200,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7169202,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7169203,Noncdm Charge Record Medical Supplies,3185.7,3185.7,,,0 CDM,27200000_7169204,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7169205,Noncdm Charge Record Medical Supplies,3185.7,3185.7,,,0 CDM,27200000_7169224,Noncdm Charge Record Medical Supplies,904.89,904.89,,,0 CDM,27200000_7169226,Noncdm Charge Record Medical Supplies,1810.57,1810.57,,,0 CDM,27200000_7169228,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7169235,Noncdm Charge Record Medical Supplies,10878.0,10878.0,,,0 CDM,27200000_7169247,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7169249,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7169282,Noncdm Charge Record Medical Supplies,4345.76,4345.76,,,0 CDM,27200000_7169285,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7169297,Noncdm Charge Record Medical Supplies,122.27,122.27,,,0 CDM,27200000_7169307,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7169309,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7169310,Noncdm Charge Record Medical Supplies,2183.37,2183.37,,,0 CDM,27200000_7169311,Noncdm Charge Record Medical Supplies,2066.82,2066.82,,,0 CDM,27200000_7169312,Noncdm Charge Record Medical Supplies,1818.18,1818.18,,,0 CDM,27200000_7169313,Noncdm Charge Record Medical Supplies,1678.32,1678.32,,,0 CDM,27200000_7169317,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7169324,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7169325,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7169331,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7169336,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7169337,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7169339,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27200000_7169340,Noncdm Charge Record Medical Supplies,497.34,497.34,,,0 CDM,27200000_7169341,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27200000_7169343,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7169350,Noncdm Charge Record Medical Supplies,745.92,745.92,,,0 CDM,27200000_7169354,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7169355,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7169356,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7169357,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7169365,Noncdm Charge Record Medical Supplies,1439.16,1439.16,,,0 CDM,27200000_7169366,Noncdm Charge Record Medical Supplies,1161.77,1161.77,,,0 CDM,27200000_7169369,Noncdm Charge Record Medical Supplies,1769.24,1769.24,,,0 CDM,27200000_7169375,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27200000_7169396,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7169413,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7169417,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7169419,Noncdm Charge Record Medical Supplies,792.54,792.54,,,0 CDM,27200000_7169435,Noncdm Charge Record Medical Supplies,1097.51,1097.51,,,0 CDM,27200000_7169438,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27200000_7169443,Noncdm Charge Record Medical Supplies,1839.6,1839.6,,,0 CDM,27200000_7169451,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7169453,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27200000_7169456,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7169458,Noncdm Charge Record Medical Supplies,4164.72,4164.72,,,0 CDM,27200000_7169459,Noncdm Charge Record Medical Supplies,1122.76,1122.76,,,0 CDM,27200000_7169465,Noncdm Charge Record Medical Supplies,856.8,856.8,,,0 CDM,27200000_7169466,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7169467,Noncdm Charge Record Medical Supplies,122.27,122.27,,,0 CDM,27200000_7169503,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7169504,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7169507,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7169508,Noncdm Charge Record Medical Supplies,792.54,792.54,,,0 CDM,27200000_7169509,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27200000_7169510,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7169512,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7169514,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7169515,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7169516,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7169519,Noncdm Charge Record Medical Supplies,6233.32,6233.32,,,0 CDM,27200000_7169523,Noncdm Charge Record Medical Supplies,4364.8,4364.8,,,0 CDM,27200000_7169524,Noncdm Charge Record Medical Supplies,1839.6,1839.6,,,0 CDM,27200000_7169534,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27200000_7169535,Noncdm Charge Record Medical Supplies,20590.5,20590.5,,,0 CDM,27200000_7169542,Noncdm Charge Record Medical Supplies,539.28,539.28,,,0 CDM,27200000_7169552,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7169553,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7169554,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7169556,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7169557,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7169558,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7169559,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7169561,Noncdm Charge Record Medical Supplies,1779.33,1779.33,,,0 CDM,27200000_7169562,Noncdm Charge Record Medical Supplies,2183.37,2183.37,,,0 CDM,27200000_7169563,Noncdm Charge Record Medical Supplies,1701.63,1701.63,,,0 CDM,27200000_7169564,Noncdm Charge Record Medical Supplies,2066.82,2066.82,,,0 CDM,27200000_7169566,Noncdm Charge Record Medical Supplies,1118.18,1118.18,,,0 CDM,27200000_7169568,Noncdm Charge Record Medical Supplies,1818.18,1818.18,,,0 CDM,27200000_7169569,Noncdm Charge Record Medical Supplies,693.47,693.47,,,0 CDM,27200000_7169571,Noncdm Charge Record Medical Supplies,2066.82,2066.82,,,0 CDM,27200000_7169572,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7169573,Noncdm Charge Record Medical Supplies,281.48,281.48,,,0 CDM,27200000_7169577,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7169578,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7169579,Noncdm Charge Record Medical Supplies,1668.76,1668.76,,,0 CDM,27200000_7169584,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27200000_7169587,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7169597,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27200000_7169600,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27200000_7169616,Noncdm Charge Record Medical Supplies,4170.09,4170.09,,,0 CDM,27200000_7169631,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27200000_7169634,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27200000_7169636,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27200000_7169638,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27200000_7169643,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7169653,Noncdm Charge Record Medical Supplies,4304.58,4304.58,,,0 CDM,27200000_7169654,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27200000_7169656,Noncdm Charge Record Medical Supplies,2836.05,2836.05,,,0 CDM,27200000_7169658,Noncdm Charge Record Medical Supplies,4304.58,4304.58,,,0 CDM,27200000_7169663,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27200000_7169667,Noncdm Charge Record Medical Supplies,201.6,201.6,,,0 CDM,27200000_7169670,Noncdm Charge Record Medical Supplies,19513.03,19513.03,,,0 CDM,27200000_7169672,Noncdm Charge Record Medical Supplies,7308.0,7308.0,,,0 CDM,27200000_7169680,Noncdm Charge Record Medical Supplies,534.58,534.58,,,0 CDM,27200000_7169681,Noncdm Charge Record Medical Supplies,4345.76,4345.76,,,0 CDM,27200000_7169689,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7169690,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7169693,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7169694,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27200000_7169698,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7169706,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27200000_7169721,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27200000_7169728,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7169729,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7169730,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7169732,Noncdm Charge Record Medical Supplies,20924.61,20924.61,,,0 CDM,27200000_7169733,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27200000_7169741,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27200000_7169742,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7169758,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7169762,Noncdm Charge Record Medical Supplies,201.6,201.6,,,0 CDM,27200000_7169777,Noncdm Charge Record Medical Supplies,870.24,870.24,,,0 CDM,27200000_7169779,Noncdm Charge Record Medical Supplies,3131.31,3131.31,,,0 CDM,27200000_7169781,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27200000_7169782,Noncdm Charge Record Medical Supplies,792.54,792.54,,,0 CDM,27200000_7169790,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7169792,Noncdm Charge Record Medical Supplies,3559.83,3559.83,,,0 CDM,27200000_7169799,Noncdm Charge Record Medical Supplies,3162.62,3162.62,,,0 CDM,27200000_7169800,Noncdm Charge Record Medical Supplies,5656.56,5656.56,,,0 CDM,27200000_7169801,Noncdm Charge Record Medical Supplies,3131.31,3131.31,,,0 CDM,27200000_7169812,Noncdm Charge Record Medical Supplies,349.58,349.58,,,0 CDM,27200000_7169816,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7169825,Noncdm Charge Record Medical Supplies,6022.8,6022.8,,,0 CDM,27200000_7169829,Noncdm Charge Record Medical Supplies,155.4,155.4,,,0 CDM,27200000_7169830,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7169842,Noncdm Charge Record Medical Supplies,19513.03,19513.03,,,0 CDM,27200000_7169843,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7169844,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7169848,Noncdm Charge Record Medical Supplies,34965.0,34965.0,,,0 CDM,27200000_7169853,Noncdm Charge Record Medical Supplies,1118.88,1118.88,,,0 CDM,27200000_7169855,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7169856,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7169859,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7169861,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7169864,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7169865,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7169871,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7169877,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7169880,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7169883,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7169884,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7169887,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7169888,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7169889,Noncdm Charge Record Medical Supplies,590.52,590.52,,,0 CDM,27200000_7169890,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7169892,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7169904,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7169914,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7169923,Noncdm Charge Record Medical Supplies,590.52,590.52,,,0 CDM,27200000_7169940,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7169941,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7169945,Noncdm Charge Record Medical Supplies,1097.51,1097.51,,,0 CDM,27200000_7169950,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7169952,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7169953,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7169964,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7169984,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7169986,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7169988,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27200000_7169989,Noncdm Charge Record Medical Supplies,19425.0,19425.0,,,0 CDM,27200000_7170007,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7170013,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7170014,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7170015,Noncdm Charge Record Medical Supplies,2198.91,2198.91,,,0 CDM,27200000_7170016,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7170017,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7170019,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7170020,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7170021,Noncdm Charge Record Medical Supplies,3488.73,3488.73,,,0 CDM,27200000_7170022,Noncdm Charge Record Medical Supplies,3978.24,3978.24,,,0 CDM,27200000_7170023,Noncdm Charge Record Medical Supplies,4281.27,4281.27,,,0 CDM,27200000_7170033,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7170034,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7170035,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7170036,Noncdm Charge Record Medical Supplies,4281.27,4281.27,,,0 CDM,27200000_7170037,Noncdm Charge Record Medical Supplies,2464.56,2464.56,,,0 CDM,27200000_7170042,Noncdm Charge Record Medical Supplies,22680.0,22680.0,,,0 CDM,27200000_7170046,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7170050,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7170051,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7170053,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7170056,Noncdm Charge Record Medical Supplies,26806.5,26806.5,,,0 CDM,27200000_7170058,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27200000_7170059,Noncdm Charge Record Medical Supplies,2564.1,2564.1,,,0 CDM,27200000_7170066,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7170067,Noncdm Charge Record Medical Supplies,2198.91,2198.91,,,0 CDM,27200000_7170068,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7170069,Noncdm Charge Record Medical Supplies,4708.62,4708.62,,,0 CDM,27200000_7170076,Noncdm Charge Record Medical Supplies,773.43,773.43,,,0 CDM,27200000_7170079,Noncdm Charge Record Medical Supplies,3519.81,3519.81,,,0 CDM,27200000_7170081,Noncdm Charge Record Medical Supplies,3488.73,3488.73,,,0 CDM,27200000_7170082,Noncdm Charge Record Medical Supplies,784.77,784.77,,,0 CDM,27200000_7170085,Noncdm Charge Record Medical Supplies,1097.51,1097.51,,,0 CDM,27200000_7170093,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7170095,Noncdm Charge Record Medical Supplies,26806.5,26806.5,,,0 CDM,27200000_7170101,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7170106,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7170119,Noncdm Charge Record Medical Supplies,1604.89,1604.89,,,0 CDM,27200000_7170123,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7170124,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7170127,Noncdm Charge Record Medical Supplies,943.28,943.28,,,0 CDM,27200000_7170128,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7170130,Noncdm Charge Record Medical Supplies,1153.84,1153.84,,,0 CDM,27200000_7170131,Noncdm Charge Record Medical Supplies,984.77,984.77,,,0 CDM,27200000_7170134,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7170137,Noncdm Charge Record Medical Supplies,10062.15,10062.15,,,0 CDM,27200000_7170144,Noncdm Charge Record Medical Supplies,808.86,808.86,,,0 CDM,27200000_7170153,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7170162,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7170163,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7170174,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7170180,Noncdm Charge Record Medical Supplies,3797.36,3797.36,,,0 CDM,27200000_7170188,Noncdm Charge Record Medical Supplies,8568.0,8568.0,,,0 CDM,27200000_7170190,Noncdm Charge Record Medical Supplies,2863.63,2863.63,,,0 CDM,27200000_7170193,Noncdm Charge Record Medical Supplies,530.69,530.69,,,0 CDM,27200000_7170206,Noncdm Charge Record Medical Supplies,489.51,489.51,,,0 CDM,27200000_7170208,Noncdm Charge Record Medical Supplies,784.77,784.77,,,0 CDM,27200000_7170210,Noncdm Charge Record Medical Supplies,4708.62,4708.62,,,0 CDM,27200000_7170218,Noncdm Charge Record Medical Supplies,15606.04,15606.04,,,0 CDM,27200000_7170219,Noncdm Charge Record Medical Supplies,1824.48,1824.48,,,0 CDM,27200000_7170222,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27200000_7170223,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7170229,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27200000_7170244,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27200000_7170248,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7170263,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7170266,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7170269,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7170276,Noncdm Charge Record Medical Supplies,1940.4,1940.4,,,0 CDM,27200000_7170282,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7170283,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27200000_7170284,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7170285,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7170286,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7170291,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27200000_7170306,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7170307,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7170308,Noncdm Charge Record Medical Supplies,3185.7,3185.7,,,0 CDM,27200000_7170309,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7170310,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7170311,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7170312,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7170313,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27200000_7170314,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7170331,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7170332,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7170333,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7170334,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7170335,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7170336,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7170337,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7170339,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7170341,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7170343,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7170344,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7170345,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27200000_7170347,Noncdm Charge Record Medical Supplies,870.24,870.24,,,0 CDM,27200000_7170349,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27200000_7170350,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7170351,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7170352,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7170353,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7170354,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7170355,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7170387,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7170388,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27200000_7170389,Noncdm Charge Record Medical Supplies,965.16,965.16,,,0 CDM,27200000_7170390,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27200000_7170391,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27200000_7170405,Noncdm Charge Record Medical Supplies,352.05,352.05,,,0 CDM,27200000_7170406,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7170407,Noncdm Charge Record Medical Supplies,698.29,698.29,,,0 CDM,27200000_7170408,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27200000_7170410,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7170423,Noncdm Charge Record Medical Supplies,893.55,893.55,,,0 CDM,27200000_7170424,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7170431,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7170434,Noncdm Charge Record Medical Supplies,8568.0,8568.0,,,0 CDM,27200000_7170436,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7170437,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27200000_7170445,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7170447,Noncdm Charge Record Medical Supplies,1118.18,1118.18,,,0 CDM,27200000_7170450,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7170451,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7170455,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7170469,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27200000_7170470,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7170472,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7170476,Noncdm Charge Record Medical Supplies,3764.56,3764.56,,,0 CDM,27200000_7170477,Noncdm Charge Record Medical Supplies,4226.88,4226.88,,,0 CDM,27200000_7170495,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27200000_7170496,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7170510,Noncdm Charge Record Medical Supplies,489.51,489.51,,,0 CDM,27200000_7170512,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7170535,Noncdm Charge Record Medical Supplies,714.84,714.84,,,0 CDM,27200000_7170538,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27200000_7170539,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7170540,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7170541,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7170542,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27200000_7170543,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27200000_7170544,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7170547,Noncdm Charge Record Medical Supplies,1097.51,1097.51,,,0 CDM,27200000_7170550,Noncdm Charge Record Medical Supplies,1439.16,1439.16,,,0 CDM,27200000_7170554,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7170560,Noncdm Charge Record Medical Supplies,17614.8,17614.8,,,0 CDM,27200000_7170583,Noncdm Charge Record Medical Supplies,130.38,130.38,,,0 CDM,27200000_7170589,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7170590,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7170609,Noncdm Charge Record Medical Supplies,3603.6,3603.6,,,0 CDM,27200000_7170640,Noncdm Charge Record Medical Supplies,15054.48,15054.48,,,0 CDM,27200000_7170647,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27200000_7170648,Noncdm Charge Record Medical Supplies,1118.18,1118.18,,,0 CDM,27200000_7170650,Noncdm Charge Record Medical Supplies,8568.0,8568.0,,,0 CDM,27200000_7170651,Noncdm Charge Record Medical Supplies,1118.18,1118.18,,,0 CDM,27200000_7170652,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27200000_7170653,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7170657,Noncdm Charge Record Medical Supplies,44425.83,44425.83,,,0 CDM,27200000_7170658,Noncdm Charge Record Medical Supplies,14131.69,14131.69,,,0 CDM,27200000_7170659,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27200000_7170660,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7170665,Noncdm Charge Record Medical Supplies,3181.97,3181.97,,,0 CDM,27200000_7170667,Noncdm Charge Record Medical Supplies,2913.75,2913.75,,,0 CDM,27200000_7170675,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7170676,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7170677,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7170683,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7170685,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27200000_7170688,Noncdm Charge Record Medical Supplies,2905.43,2905.43,,,0 CDM,27200000_7170689,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27200000_7170690,Noncdm Charge Record Medical Supplies,15054.48,15054.48,,,0 CDM,27200000_7170691,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27200000_7170692,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7170705,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7170708,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7170710,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7170711,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27200000_7170712,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7170713,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7170714,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7170719,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27200000_7170723,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7170727,Noncdm Charge Record Medical Supplies,2059.05,2059.05,,,0 CDM,27200000_7170745,Noncdm Charge Record Medical Supplies,8568.0,8568.0,,,0 CDM,27200000_7170746,Noncdm Charge Record Medical Supplies,8568.0,8568.0,,,0 CDM,27200000_7170761,Noncdm Charge Record Medical Supplies,3270.96,3270.96,,,0 CDM,27200000_7170765,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7170769,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7170770,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7170773,Noncdm Charge Record Medical Supplies,3185.7,3185.7,,,0 CDM,27200000_7170776,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7170781,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7170798,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7170800,Noncdm Charge Record Medical Supplies,797.2,797.2,,,0 CDM,27200000_7170801,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7170802,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7170803,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27200000_7170804,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7170805,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7170806,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7170807,Noncdm Charge Record Medical Supplies,2564.1,2564.1,,,0 CDM,27200000_7170808,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7170809,Noncdm Charge Record Medical Supplies,1377.16,1377.16,,,0 CDM,27200000_7170819,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27200000_7170820,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27200000_7170822,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27200000_7170823,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7170826,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7170827,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7170828,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7170846,Noncdm Charge Record Medical Supplies,2034.54,2034.54,,,0 CDM,27200000_7170854,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27200000_7170856,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27200000_7170865,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27200000_7170867,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27200000_7170872,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27200000_7170873,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27200000_7170874,Noncdm Charge Record Medical Supplies,2905.43,2905.43,,,0 CDM,27200000_7170875,Noncdm Charge Record Medical Supplies,33.02,33.02,,,0 CDM,27200000_7170881,Noncdm Charge Record Medical Supplies,104.9,104.9,,,0 CDM,27200000_7170886,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27200000_7170887,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7170895,Noncdm Charge Record Medical Supplies,376.84,376.84,,,0 CDM,27200000_7170898,Noncdm Charge Record Medical Supplies,2198.91,2198.91,,,0 CDM,27200000_7170899,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7170900,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7170901,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7170902,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7170903,Noncdm Charge Record Medical Supplies,4281.27,4281.27,,,0 CDM,27200000_7170904,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7170905,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7170906,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7170907,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7170908,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7170910,Noncdm Charge Record Medical Supplies,11062.8,11062.8,,,0 CDM,27200000_7170911,Noncdm Charge Record Medical Supplies,17614.8,17614.8,,,0 CDM,27200000_7170931,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7170932,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7170935,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27200000_7170936,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7170937,Noncdm Charge Record Medical Supplies,2913.75,2913.75,,,0 CDM,27200000_7170955,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7170956,Noncdm Charge Record Medical Supplies,2198.91,2198.91,,,0 CDM,27200000_7170958,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7170962,Noncdm Charge Record Medical Supplies,4708.62,4708.62,,,0 CDM,27200000_7170987,Noncdm Charge Record Medical Supplies,1675.21,1675.21,,,0 CDM,27200000_7170992,Noncdm Charge Record Medical Supplies,16278.15,16278.15,,,0 CDM,27200000_7170997,Noncdm Charge Record Medical Supplies,22610.7,22610.7,,,0 CDM,27200000_7170998,Noncdm Charge Record Medical Supplies,70289.13,70289.13,,,0 CDM,27200000_7171003,Noncdm Charge Record Medical Supplies,11062.8,11062.8,,,0 CDM,27200000_7171004,Noncdm Charge Record Medical Supplies,11062.8,11062.8,,,0 CDM,27200000_7171005,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27200000_7171009,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7171010,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7171011,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7171012,Noncdm Charge Record Medical Supplies,714.84,714.84,,,0 CDM,27200000_7171013,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7171015,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7171016,Noncdm Charge Record Medical Supplies,2198.91,2198.91,,,0 CDM,27200000_7171017,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7171018,Noncdm Charge Record Medical Supplies,4708.62,4708.62,,,0 CDM,27200000_7171019,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27200000_7171020,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27200000_7171021,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7171023,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7171024,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7171025,Noncdm Charge Record Medical Supplies,3978.24,3978.24,,,0 CDM,27200000_7171026,Noncdm Charge Record Medical Supplies,672.1,672.1,,,0 CDM,27200000_7171027,Noncdm Charge Record Medical Supplies,672.1,672.1,,,0 CDM,27200000_7171028,Noncdm Charge Record Medical Supplies,714.84,714.84,,,0 CDM,27200000_7171029,Noncdm Charge Record Medical Supplies,1383.06,1383.06,,,0 CDM,27200000_7171030,Noncdm Charge Record Medical Supplies,104.9,104.9,,,0 CDM,27200000_7171031,Noncdm Charge Record Medical Supplies,67.99,67.99,,,0 CDM,27200000_7171032,Noncdm Charge Record Medical Supplies,23550.25,23550.25,,,0 CDM,27200000_7171033,Noncdm Charge Record Medical Supplies,8463.79,8463.79,,,0 CDM,27200000_7171034,Noncdm Charge Record Medical Supplies,16631.68,16631.68,,,0 CDM,27200000_7171035,Noncdm Charge Record Medical Supplies,31801.76,31801.76,,,0 CDM,27200000_7171036,Noncdm Charge Record Medical Supplies,18502.54,18502.54,,,0 CDM,27200000_7171037,Noncdm Charge Record Medical Supplies,29629.41,29629.41,,,0 CDM,27200000_7171038,Noncdm Charge Record Medical Supplies,1891.84,1891.84,,,0 CDM,27200000_7171039,Noncdm Charge Record Medical Supplies,2002.79,2002.79,,,0 CDM,27200000_7171052,Noncdm Charge Record Medical Supplies,1313.13,1313.13,,,0 CDM,27200000_7171055,Noncdm Charge Record Medical Supplies,15054.48,15054.48,,,0 CDM,27200000_7171063,Noncdm Charge Record Medical Supplies,3131.31,3131.31,,,0 CDM,27200000_7171067,Noncdm Charge Record Medical Supplies,1477.08,1477.08,,,0 CDM,27200000_7171078,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7171080,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7171081,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7171085,Noncdm Charge Record Medical Supplies,8568.0,8568.0,,,0 CDM,27200000_7171088,Noncdm Charge Record Medical Supplies,330.22,330.22,,,0 CDM,27200000_7171091,Noncdm Charge Record Medical Supplies,2509.71,2509.71,,,0 CDM,27200000_7171092,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7171094,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27200000_7171102,Noncdm Charge Record Medical Supplies,10691.52,10691.52,,,0 CDM,27200000_7171103,Noncdm Charge Record Medical Supplies,14584.29,14584.29,,,0 CDM,27200000_7171114,Noncdm Charge Record Medical Supplies,13978.23,13978.23,,,0 CDM,27200000_7171116,Noncdm Charge Record Medical Supplies,2676.24,2676.24,,,0 CDM,27200000_7171118,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7171120,Noncdm Charge Record Medical Supplies,1919.19,1919.19,,,0 CDM,27200000_7171126,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7171127,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7171128,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7171129,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27200000_7171131,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7171132,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7171133,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27200000_7171153,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7171154,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27200000_7171155,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7171164,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7171172,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7171173,Noncdm Charge Record Medical Supplies,6552.0,6552.0,,,0 CDM,27200000_7171174,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7171177,Noncdm Charge Record Medical Supplies,12292.14,12292.14,,,0 CDM,27200000_7171184,Noncdm Charge Record Medical Supplies,856.8,856.8,,,0 CDM,27200000_7171185,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27200000_7171186,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27200000_7171188,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7171192,Noncdm Charge Record Medical Supplies,2195.17,2195.17,,,0 CDM,27200000_7171203,Noncdm Charge Record Medical Supplies,590.52,590.52,,,0 CDM,27200000_7171211,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7171217,Noncdm Charge Record Medical Supplies,3641.02,3641.02,,,0 CDM,27200000_7171218,Noncdm Charge Record Medical Supplies,1412.59,1412.59,,,0 CDM,27200000_7171221,Noncdm Charge Record Medical Supplies,4529.91,4529.91,,,0 CDM,27200000_7171228,Noncdm Charge Record Medical Supplies,590.52,590.52,,,0 CDM,27200000_7171234,Noncdm Charge Record Medical Supplies,4529.91,4529.91,,,0 CDM,27200000_7171235,Noncdm Charge Record Medical Supplies,4529.91,4529.91,,,0 CDM,27200000_7171236,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7171239,Noncdm Charge Record Medical Supplies,452.04,452.04,,,0 CDM,27200000_7171245,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7171246,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7171247,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7171248,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7171250,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7171258,Noncdm Charge Record Medical Supplies,3199.3,3199.3,,,0 CDM,27200000_7171268,Noncdm Charge Record Medical Supplies,2385.39,2385.39,,,0 CDM,27200000_7171297,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27200000_7171298,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7171313,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7171325,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7171326,Noncdm Charge Record Medical Supplies,1056.72,1056.72,,,0 CDM,27200000_7171327,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27200000_7171336,Noncdm Charge Record Medical Supplies,1439.16,1439.16,,,0 CDM,27200000_7171345,Noncdm Charge Record Medical Supplies,3797.9,3797.9,,,0 CDM,27200000_7171346,Noncdm Charge Record Medical Supplies,1377.16,1377.16,,,0 CDM,27200000_7171347,Noncdm Charge Record Medical Supplies,1360.84,1360.84,,,0 CDM,27200000_7171353,Noncdm Charge Record Medical Supplies,2195.17,2195.17,,,0 CDM,27200000_7171359,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7171360,Noncdm Charge Record Medical Supplies,2198.91,2198.91,,,0 CDM,27200000_7171362,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7171363,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7171364,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7171366,Noncdm Charge Record Medical Supplies,4708.62,4708.62,,,0 CDM,27200000_7171377,Noncdm Charge Record Medical Supplies,4284.0,4284.0,,,0 CDM,27200000_7171379,Noncdm Charge Record Medical Supplies,1693.44,1693.44,,,0 CDM,27200000_7171380,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27200000_7171381,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7171390,Noncdm Charge Record Medical Supplies,17136.0,17136.0,,,0 CDM,27200000_7171391,Noncdm Charge Record Medical Supplies,489.51,489.51,,,0 CDM,27200000_7171392,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7171393,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7171401,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7171402,Noncdm Charge Record Medical Supplies,489.51,489.51,,,0 CDM,27200000_7171411,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7171412,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27200000_7171413,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7171418,Noncdm Charge Record Medical Supplies,34918.38,34918.38,,,0 CDM,27200000_7171425,Noncdm Charge Record Medical Supplies,4370.62,4370.62,,,0 CDM,27200000_7171426,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7171434,Noncdm Charge Record Medical Supplies,684.61,684.61,,,0 CDM,27200000_7171435,Noncdm Charge Record Medical Supplies,130.15,130.15,,,0 CDM,27200000_7171438,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7171442,Noncdm Charge Record Medical Supplies,1017.87,1017.87,,,0 CDM,27200000_7171443,Noncdm Charge Record Medical Supplies,107.0,107.0,,,0 CDM,27200000_7171444,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7171445,Noncdm Charge Record Medical Supplies,480.26,480.26,,,0 CDM,27200000_7171446,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27200000_7171459,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27200000_7171464,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7171465,Noncdm Charge Record Medical Supplies,2198.91,2198.91,,,0 CDM,27200000_7171466,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7171467,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7171468,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7171469,Noncdm Charge Record Medical Supplies,4708.62,4708.62,,,0 CDM,27200000_7171476,Noncdm Charge Record Medical Supplies,1017.87,1017.87,,,0 CDM,27200000_7171478,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27200000_7171479,Noncdm Charge Record Medical Supplies,3025.64,3025.64,,,0 CDM,27200000_7171480,Noncdm Charge Record Medical Supplies,3025.64,3025.64,,,0 CDM,27200000_7171481,Noncdm Charge Record Medical Supplies,3025.64,3025.64,,,0 CDM,27200000_7171482,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7171483,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7171489,Noncdm Charge Record Medical Supplies,1623.93,1623.93,,,0 CDM,27200000_7171497,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7171503,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7171504,Noncdm Charge Record Medical Supplies,784.77,784.77,,,0 CDM,27200000_7171506,Noncdm Charge Record Medical Supplies,1895.88,1895.88,,,0 CDM,27200000_7171507,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7171510,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7171512,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7171516,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7171518,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7171519,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27200000_7171520,Noncdm Charge Record Medical Supplies,792.54,792.54,,,0 CDM,27200000_7171522,Noncdm Charge Record Medical Supplies,3383.84,3383.84,,,0 CDM,27200000_7171524,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7171538,Noncdm Charge Record Medical Supplies,5656.56,5656.56,,,0 CDM,27200000_7171539,Noncdm Charge Record Medical Supplies,3131.31,3131.31,,,0 CDM,27200000_7171547,Noncdm Charge Record Medical Supplies,590.52,590.52,,,0 CDM,27200000_7171553,Noncdm Charge Record Medical Supplies,44425.83,44425.83,,,0 CDM,27200000_7171554,Noncdm Charge Record Medical Supplies,86357.8,86357.8,,,0 CDM,27200000_7171555,Noncdm Charge Record Medical Supplies,14131.69,14131.69,,,0 CDM,27200000_7171557,Noncdm Charge Record Medical Supplies,2195.17,2195.17,,,0 CDM,27200000_7171561,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7171567,Noncdm Charge Record Medical Supplies,2874.9,2874.9,,,0 CDM,27200000_7171573,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7171595,Noncdm Charge Record Medical Supplies,15120.0,15120.0,,,0 CDM,27200000_7171597,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7171599,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7171613,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7171617,Noncdm Charge Record Medical Supplies,904.89,904.89,,,0 CDM,27200000_7171620,Noncdm Charge Record Medical Supplies,86357.8,86357.8,,,0 CDM,27200000_7171621,Noncdm Charge Record Medical Supplies,14131.69,14131.69,,,0 CDM,27200000_7171624,Noncdm Charge Record Medical Supplies,44425.83,44425.83,,,0 CDM,27200000_7171626,Noncdm Charge Record Medical Supplies,201.6,201.6,,,0 CDM,27200000_7171627,Noncdm Charge Record Medical Supplies,709.01,709.01,,,0 CDM,27200000_7171636,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27200000_7171642,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7171643,Noncdm Charge Record Medical Supplies,2198.91,2198.91,,,0 CDM,27200000_7171644,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7171645,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7171646,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27200000_7171654,Noncdm Charge Record Medical Supplies,3069.15,3069.15,,,0 CDM,27200000_7171655,Noncdm Charge Record Medical Supplies,252.52,252.52,,,0 CDM,27200000_7171657,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7171660,Noncdm Charge Record Medical Supplies,707.07,707.07,,,0 CDM,27200000_7171663,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7171679,Noncdm Charge Record Medical Supplies,2253.3,2253.3,,,0 CDM,27200000_7171697,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7171698,Noncdm Charge Record Medical Supplies,2198.91,2198.91,,,0 CDM,27200000_7171699,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7171700,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7171703,Noncdm Charge Record Medical Supplies,2833.4,2833.4,,,0 CDM,27200000_7171709,Noncdm Charge Record Medical Supplies,14584.29,14584.29,,,0 CDM,27200000_7171710,Noncdm Charge Record Medical Supplies,10691.52,10691.52,,,0 CDM,27200000_7171712,Noncdm Charge Record Medical Supplies,2195.17,2195.17,,,0 CDM,27200000_7171725,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7171753,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7171754,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7171757,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7171760,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7171761,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7171764,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7171766,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7171767,Noncdm Charge Record Medical Supplies,2833.4,2833.4,,,0 CDM,27200000_7171772,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7171773,Noncdm Charge Record Medical Supplies,856.8,856.8,,,0 CDM,27200000_7171788,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7171791,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7171793,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7171794,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7171813,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7171818,Noncdm Charge Record Medical Supplies,2198.91,2198.91,,,0 CDM,27200000_7171819,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7171820,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7171821,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7171822,Noncdm Charge Record Medical Supplies,3488.73,3488.73,,,0 CDM,27200000_7171823,Noncdm Charge Record Medical Supplies,3978.24,3978.24,,,0 CDM,27200000_7171842,Noncdm Charge Record Medical Supplies,210.49,210.49,,,0 CDM,27200000_7171843,Noncdm Charge Record Medical Supplies,480.26,480.26,,,0 CDM,27200000_7171844,Noncdm Charge Record Medical Supplies,146.15,146.15,,,0 CDM,27200000_7171845,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27200000_7171846,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7171849,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7171853,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7171857,Noncdm Charge Record Medical Supplies,748.25,748.25,,,0 CDM,27200000_7171858,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7171862,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27200000_7171863,Noncdm Charge Record Medical Supplies,146.15,146.15,,,0 CDM,27200000_7171864,Noncdm Charge Record Medical Supplies,1357.81,1357.81,,,0 CDM,27200000_7171867,Noncdm Charge Record Medical Supplies,519.35,519.35,,,0 CDM,27200000_7171871,Noncdm Charge Record Medical Supplies,9415.46,9415.46,,,0 CDM,27200000_7171873,Noncdm Charge Record Medical Supplies,7585.92,7585.92,,,0 CDM,27200000_7171874,Noncdm Charge Record Medical Supplies,3481.74,3481.74,,,0 CDM,27200000_7171884,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7171887,Noncdm Charge Record Medical Supplies,590.52,590.52,,,0 CDM,27200000_7171889,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7171893,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7171894,Noncdm Charge Record Medical Supplies,2195.17,2195.17,,,0 CDM,27200000_7171896,Noncdm Charge Record Medical Supplies,590.52,590.52,,,0 CDM,27200000_7171905,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7171911,Noncdm Charge Record Medical Supplies,870.24,870.24,,,0 CDM,27200000_7171913,Noncdm Charge Record Medical Supplies,947.24,947.24,,,0 CDM,27200000_7171915,Noncdm Charge Record Medical Supplies,128.59,128.59,,,0 CDM,27200000_7171928,Noncdm Charge Record Medical Supplies,5620.74,5620.74,,,0 CDM,27200000_7171932,Noncdm Charge Record Medical Supplies,784.77,784.77,,,0 CDM,27200000_7171934,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7171935,Noncdm Charge Record Medical Supplies,2198.91,2198.91,,,0 CDM,27200000_7171936,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7171937,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7171939,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27200000_7171940,Noncdm Charge Record Medical Supplies,904.89,904.89,,,0 CDM,27200000_7171941,Noncdm Charge Record Medical Supplies,873.27,873.27,,,0 CDM,27200000_7171947,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7171953,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7171958,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27200000_7171962,Noncdm Charge Record Medical Supplies,1244.83,1244.83,,,0 CDM,27200000_7171964,Noncdm Charge Record Medical Supplies,3087.34,3087.34,,,0 CDM,27200000_7171965,Noncdm Charge Record Medical Supplies,2195.17,2195.17,,,0 CDM,27200000_7171971,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7171972,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7171973,Noncdm Charge Record Medical Supplies,3069.15,3069.15,,,0 CDM,27200000_7171974,Noncdm Charge Record Medical Supplies,24669.75,24669.75,,,0 CDM,27200000_7171980,Noncdm Charge Record Medical Supplies,5620.74,5620.74,,,0 CDM,27200000_7171983,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7171995,Noncdm Charge Record Medical Supplies,7308.0,7308.0,,,0 CDM,27200000_7171996,Noncdm Charge Record Medical Supplies,893.55,893.55,,,0 CDM,27200000_7171999,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7172012,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7172017,Noncdm Charge Record Medical Supplies,3488.73,3488.73,,,0 CDM,27200000_7172018,Noncdm Charge Record Medical Supplies,3978.24,3978.24,,,0 CDM,27200000_7172019,Noncdm Charge Record Medical Supplies,15306.9,15306.9,,,0 CDM,27200000_7172020,Noncdm Charge Record Medical Supplies,15306.9,15306.9,,,0 CDM,27200000_7172025,Noncdm Charge Record Medical Supplies,271.49,271.49,,,0 CDM,27200000_7172037,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7172047,Noncdm Charge Record Medical Supplies,1581.97,1581.97,,,0 CDM,27200000_7172060,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7172065,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7172066,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7172068,Noncdm Charge Record Medical Supplies,2939.78,2939.78,,,0 CDM,27200000_7172074,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7172091,Noncdm Charge Record Medical Supplies,2198.91,2198.91,,,0 CDM,27200000_7172092,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7172098,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7172111,Noncdm Charge Record Medical Supplies,86357.8,86357.8,,,0 CDM,27200000_7172112,Noncdm Charge Record Medical Supplies,14131.69,14131.69,,,0 CDM,27200000_7172113,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7172114,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7172116,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27200000_7172126,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7172130,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7172132,Noncdm Charge Record Medical Supplies,572.96,572.96,,,0 CDM,27200000_7172133,Noncdm Charge Record Medical Supplies,572.96,572.96,,,0 CDM,27200000_7172143,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7172146,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7172149,Noncdm Charge Record Medical Supplies,2195.17,2195.17,,,0 CDM,27200000_7172150,Noncdm Charge Record Medical Supplies,1735.66,1735.66,,,0 CDM,27200000_7172151,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7172153,Noncdm Charge Record Medical Supplies,4345.76,4345.76,,,0 CDM,27200000_7172157,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7172161,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7172202,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27200000_7172211,Noncdm Charge Record Medical Supplies,1839.6,1839.6,,,0 CDM,27200000_7172212,Noncdm Charge Record Medical Supplies,2268.84,2268.84,,,0 CDM,27200000_7172223,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7172226,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7172252,Noncdm Charge Record Medical Supplies,11062.8,11062.8,,,0 CDM,27200000_7172256,Noncdm Charge Record Medical Supplies,22610.7,22610.7,,,0 CDM,27200000_7172257,Noncdm Charge Record Medical Supplies,41958.0,41958.0,,,0 CDM,27200000_7172274,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7172278,Noncdm Charge Record Medical Supplies,1236.52,1236.52,,,0 CDM,27200000_7172287,Noncdm Charge Record Medical Supplies,5897.43,5897.43,,,0 CDM,27200000_7172289,Noncdm Charge Record Medical Supplies,5400.15,5400.15,,,0 CDM,27200000_7172291,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7172294,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27200000_7172305,Noncdm Charge Record Medical Supplies,70289.13,70289.13,,,0 CDM,27200000_7172306,Noncdm Charge Record Medical Supplies,2525.25,2525.25,,,0 CDM,27200000_7172307,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7172315,Noncdm Charge Record Medical Supplies,876.69,876.69,,,0 CDM,27200000_7172320,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7172321,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7172329,Noncdm Charge Record Medical Supplies,1097.51,1097.51,,,0 CDM,27200000_7172330,Noncdm Charge Record Medical Supplies,773.43,773.43,,,0 CDM,27200000_7172348,Noncdm Charge Record Medical Supplies,1405.44,1405.44,,,0 CDM,27200000_7172351,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7172352,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7172353,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27200000_7172354,Noncdm Charge Record Medical Supplies,1161.77,1161.77,,,0 CDM,27200000_7172355,Noncdm Charge Record Medical Supplies,1439.16,1439.16,,,0 CDM,27200000_7172357,Noncdm Charge Record Medical Supplies,411.81,411.81,,,0 CDM,27200000_7172363,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27200000_7172370,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7172372,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7172377,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27200000_7172378,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27200000_7172379,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7172380,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7172381,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7172387,Noncdm Charge Record Medical Supplies,2540.79,2540.79,,,0 CDM,27200000_7172390,Noncdm Charge Record Medical Supplies,2540.79,2540.79,,,0 CDM,27200000_7172391,Noncdm Charge Record Medical Supplies,2540.79,2540.79,,,0 CDM,27200000_7172392,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7172394,Noncdm Charge Record Medical Supplies,10691.52,10691.52,,,0 CDM,27200000_7172401,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7172402,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7172403,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7172410,Noncdm Charge Record Medical Supplies,1033.2,1033.2,,,0 CDM,27200000_7172427,Noncdm Charge Record Medical Supplies,2789.43,2789.43,,,0 CDM,27200000_7172428,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7172434,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7172436,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27200000_7172437,Noncdm Charge Record Medical Supplies,652.68,652.68,,,0 CDM,27200000_7172440,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7172441,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7172443,Noncdm Charge Record Medical Supplies,1789.82,1789.82,,,0 CDM,27200000_7172444,Noncdm Charge Record Medical Supplies,11088.0,11088.0,,,0 CDM,27200000_7172450,Noncdm Charge Record Medical Supplies,61071.5,61071.5,,,0 CDM,27200000_7172452,Noncdm Charge Record Medical Supplies,2314.45,2314.45,,,0 CDM,27200000_7172453,Noncdm Charge Record Medical Supplies,876.69,876.69,,,0 CDM,27200000_7172456,Noncdm Charge Record Medical Supplies,61071.5,61071.5,,,0 CDM,27200000_7172460,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7172461,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7172462,Noncdm Charge Record Medical Supplies,34965.0,34965.0,,,0 CDM,27200000_7172463,Noncdm Charge Record Medical Supplies,9595.02,9595.02,,,0 CDM,27200000_7172464,Noncdm Charge Record Medical Supplies,1934.73,1934.73,,,0 CDM,27200000_7172466,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7172467,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7172478,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7172479,Noncdm Charge Record Medical Supplies,11903.64,11903.64,,,0 CDM,27200000_7172480,Noncdm Charge Record Medical Supplies,16860.9,16860.9,,,0 CDM,27200000_7172491,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7172499,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7172500,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7172502,Noncdm Charge Record Medical Supplies,1678.32,1678.32,,,0 CDM,27200000_7172504,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7172505,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7172513,Noncdm Charge Record Medical Supplies,2615.76,2615.76,,,0 CDM,27200000_7172522,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7172523,Noncdm Charge Record Medical Supplies,61071.5,61071.5,,,0 CDM,27200000_7172531,Noncdm Charge Record Medical Supplies,7350.81,7350.81,,,0 CDM,27200000_7172533,Noncdm Charge Record Medical Supplies,473.97,473.97,,,0 CDM,27200000_7172534,Noncdm Charge Record Medical Supplies,1770.01,1770.01,,,0 CDM,27200000_7172535,Noncdm Charge Record Medical Supplies,2608.78,2608.78,,,0 CDM,27200000_7172541,Noncdm Charge Record Medical Supplies,982.29,982.29,,,0 CDM,27200000_7172552,Noncdm Charge Record Medical Supplies,2669.04,2669.04,,,0 CDM,27200000_7172553,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7172554,Noncdm Charge Record Medical Supplies,2198.91,2198.91,,,0 CDM,27200000_7172555,Noncdm Charge Record Medical Supplies,2198.91,2198.91,,,0 CDM,27200000_7172561,Noncdm Charge Record Medical Supplies,4170.09,4170.09,,,0 CDM,27200000_7172563,Noncdm Charge Record Medical Supplies,13170.15,13170.15,,,0 CDM,27200000_7172572,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7172573,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7172577,Noncdm Charge Record Medical Supplies,1701.63,1701.63,,,0 CDM,27200000_7172582,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27200000_7172585,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27200000_7172586,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7172589,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7172591,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7172592,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27200000_7172621,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7172623,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27200000_7172625,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7172627,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7172631,Noncdm Charge Record Medical Supplies,1056.72,1056.72,,,0 CDM,27200000_7172635,Noncdm Charge Record Medical Supplies,825.25,825.25,,,0 CDM,27200000_7172651,Noncdm Charge Record Medical Supplies,3188.81,3188.81,,,0 CDM,27200000_7172660,Noncdm Charge Record Medical Supplies,2797.2,2797.2,,,0 CDM,27200000_7172661,Noncdm Charge Record Medical Supplies,2797.2,2797.2,,,0 CDM,27200000_7172662,Noncdm Charge Record Medical Supplies,2797.2,2797.2,,,0 CDM,27200000_7172666,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7172672,Noncdm Charge Record Medical Supplies,4170.09,4170.09,,,0 CDM,27200000_7172673,Noncdm Charge Record Medical Supplies,7308.0,7308.0,,,0 CDM,27200000_7172674,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7172679,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7172680,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27200000_7172682,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27200000_7172683,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27200000_7172686,Noncdm Charge Record Medical Supplies,3270.96,3270.96,,,0 CDM,27200000_7172707,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7172708,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7172710,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7172711,Noncdm Charge Record Medical Supplies,1962.78,1962.78,,,0 CDM,27200000_7172713,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27200000_7172715,Noncdm Charge Record Medical Supplies,626.49,626.49,,,0 CDM,27200000_7172720,Noncdm Charge Record Medical Supplies,181.44,181.44,,,0 CDM,27200000_7172734,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27200000_7172735,Noncdm Charge Record Medical Supplies,2847.7,2847.7,,,0 CDM,27200000_7172736,Noncdm Charge Record Medical Supplies,96.12,96.12,,,0 CDM,27200000_7172737,Noncdm Charge Record Medical Supplies,563.94,563.94,,,0 CDM,27200000_7172738,Noncdm Charge Record Medical Supplies,1266.2,1266.2,,,0 CDM,27200000_7172742,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7172749,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7172750,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7172751,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7172754,Noncdm Charge Record Medical Supplies,13356.0,13356.0,,,0 CDM,27200000_7172756,Noncdm Charge Record Medical Supplies,8243.97,8243.97,,,0 CDM,27200000_7172760,Noncdm Charge Record Medical Supplies,4531.46,4531.46,,,0 CDM,27200000_7172781,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7172782,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7172783,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7172784,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27200000_7172793,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27200000_7172794,Noncdm Charge Record Medical Supplies,1159.67,1159.67,,,0 CDM,27200000_7172795,Noncdm Charge Record Medical Supplies,50505.0,50505.0,,,0 CDM,27200000_7172801,Noncdm Charge Record Medical Supplies,7653.45,7653.45,,,0 CDM,27200000_7172802,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27200000_7172804,Noncdm Charge Record Medical Supplies,7653.45,7653.45,,,0 CDM,27200000_7172805,Noncdm Charge Record Medical Supplies,1159.67,1159.67,,,0 CDM,27200000_7172824,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7172826,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7172827,Noncdm Charge Record Medical Supplies,1895.88,1895.88,,,0 CDM,27200000_7172828,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7172829,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7172832,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7172849,Noncdm Charge Record Medical Supplies,4838.4,4838.4,,,0 CDM,27200000_7172855,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7172856,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7172859,Noncdm Charge Record Medical Supplies,904.89,904.89,,,0 CDM,27200000_7172860,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7172868,Noncdm Charge Record Medical Supplies,14607.6,14607.6,,,0 CDM,27200000_7172873,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7172874,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7172879,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7172880,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7172888,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7172890,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7172891,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7172897,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7172898,Noncdm Charge Record Medical Supplies,4920.97,4920.97,,,0 CDM,27200000_7172907,Noncdm Charge Record Medical Supplies,2198.91,2198.91,,,0 CDM,27200000_7172908,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7172915,Noncdm Charge Record Medical Supplies,1577.15,1577.15,,,0 CDM,27200000_7172934,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7172938,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7172954,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7172955,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7172957,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7172960,Noncdm Charge Record Medical Supplies,181.44,181.44,,,0 CDM,27200000_7172962,Noncdm Charge Record Medical Supplies,3185.7,3185.7,,,0 CDM,27200000_7172964,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7172969,Noncdm Charge Record Medical Supplies,2525.25,2525.25,,,0 CDM,27200000_7172970,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7172978,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7172980,Noncdm Charge Record Medical Supplies,773.43,773.43,,,0 CDM,27200000_7172984,Noncdm Charge Record Medical Supplies,4669.38,4669.38,,,0 CDM,27200000_7172993,Noncdm Charge Record Medical Supplies,178.71,178.71,,,0 CDM,27200000_7172994,Noncdm Charge Record Medical Supplies,3185.7,3185.7,,,0 CDM,27200000_7172996,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7173001,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27200000_7173002,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7173010,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27200000_7173011,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27200000_7173012,Noncdm Charge Record Medical Supplies,5540.01,5540.01,,,0 CDM,27200000_7173014,Noncdm Charge Record Medical Supplies,4988.34,4988.34,,,0 CDM,27200000_7173015,Noncdm Charge Record Medical Supplies,4988.34,4988.34,,,0 CDM,27200000_7173016,Noncdm Charge Record Medical Supplies,4677.54,4677.54,,,0 CDM,27200000_7173017,Noncdm Charge Record Medical Supplies,4483.29,4483.29,,,0 CDM,27200000_7173018,Noncdm Charge Record Medical Supplies,1295.65,1295.65,,,0 CDM,27200000_7173019,Noncdm Charge Record Medical Supplies,1118.88,1118.88,,,0 CDM,27200000_7173020,Noncdm Charge Record Medical Supplies,1097.51,1097.51,,,0 CDM,27200000_7173021,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7173022,Noncdm Charge Record Medical Supplies,1258.74,1258.74,,,0 CDM,27200000_7173023,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27200000_7173024,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27200000_7173025,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7173027,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7173029,Noncdm Charge Record Medical Supplies,11062.8,11062.8,,,0 CDM,27200000_7173032,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7173034,Noncdm Charge Record Medical Supplies,181.44,181.44,,,0 CDM,27200000_7173037,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7173041,Noncdm Charge Record Medical Supplies,3185.7,3185.7,,,0 CDM,27200000_7173042,Noncdm Charge Record Medical Supplies,3185.7,3185.7,,,0 CDM,27200000_7173044,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7173051,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7173058,Noncdm Charge Record Medical Supplies,1405.44,1405.44,,,0 CDM,27200000_7173059,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7173061,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7173075,Noncdm Charge Record Medical Supplies,7308.0,7308.0,,,0 CDM,27200000_7173077,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7173081,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7173082,Noncdm Charge Record Medical Supplies,2284.38,2284.38,,,0 CDM,27200000_7173085,Noncdm Charge Record Medical Supplies,4102.56,4102.56,,,0 CDM,27200000_7173086,Noncdm Charge Record Medical Supplies,4102.56,4102.56,,,0 CDM,27200000_7173088,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7173089,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7173100,Noncdm Charge Record Medical Supplies,8935.5,8935.5,,,0 CDM,27200000_7173101,Noncdm Charge Record Medical Supplies,8935.5,8935.5,,,0 CDM,27200000_7173103,Noncdm Charge Record Medical Supplies,3559.83,3559.83,,,0 CDM,27200000_7173106,Noncdm Charge Record Medical Supplies,904.89,904.89,,,0 CDM,27200000_7173109,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7173110,Noncdm Charge Record Medical Supplies,2198.91,2198.91,,,0 CDM,27200000_7173111,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7173113,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7173114,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7173123,Noncdm Charge Record Medical Supplies,19425.0,19425.0,,,0 CDM,27200000_7173126,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7173138,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7173147,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7173149,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7173213,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7173214,Noncdm Charge Record Medical Supplies,882.0,882.0,,,0 CDM,27200000_7173215,Noncdm Charge Record Medical Supplies,5641.02,5641.02,,,0 CDM,27200000_7173216,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7173220,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7173221,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7173224,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7173241,Noncdm Charge Record Medical Supplies,3379.95,3379.95,,,0 CDM,27200000_7173250,Noncdm Charge Record Medical Supplies,4345.76,4345.76,,,0 CDM,27200000_7173253,Noncdm Charge Record Medical Supplies,2195.17,2195.17,,,0 CDM,27200000_7173258,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27200000_7173266,Noncdm Charge Record Medical Supplies,17614.8,17614.8,,,0 CDM,27200000_7173267,Noncdm Charge Record Medical Supplies,11062.8,11062.8,,,0 CDM,27200000_7173309,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7173310,Noncdm Charge Record Medical Supplies,1522.92,1522.92,,,0 CDM,27200000_7173312,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7173324,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7173325,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7173327,Noncdm Charge Record Medical Supplies,4281.27,4281.27,,,0 CDM,27200000_7173328,Noncdm Charge Record Medical Supplies,1159.67,1159.67,,,0 CDM,27200000_7173331,Noncdm Charge Record Medical Supplies,283.6,283.6,,,0 CDM,27200000_7173337,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7173345,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7173349,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27200000_7173352,Noncdm Charge Record Medical Supplies,27972.0,27972.0,,,0 CDM,27200000_7173353,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7173354,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7173355,Noncdm Charge Record Medical Supplies,698.29,698.29,,,0 CDM,27200000_7173356,Noncdm Charge Record Medical Supplies,984.62,984.62,,,0 CDM,27200000_7173357,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7173360,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27200000_7173361,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27200000_7173362,Noncdm Charge Record Medical Supplies,709.01,709.01,,,0 CDM,27200000_7173363,Noncdm Charge Record Medical Supplies,709.01,709.01,,,0 CDM,27200000_7173371,Noncdm Charge Record Medical Supplies,709.01,709.01,,,0 CDM,27200000_7173374,Noncdm Charge Record Medical Supplies,8710.17,8710.17,,,0 CDM,27200000_7173377,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27200000_7173378,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7173379,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7173380,Noncdm Charge Record Medical Supplies,1824.01,1824.01,,,0 CDM,27200000_7173383,Noncdm Charge Record Medical Supplies,489.51,489.51,,,0 CDM,27200000_7173387,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7173388,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7173389,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7173390,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7173395,Noncdm Charge Record Medical Supplies,6180.03,6180.03,,,0 CDM,27200000_7173403,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7173405,Noncdm Charge Record Medical Supplies,23263.38,23263.38,,,0 CDM,27200000_7173406,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7173407,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7173408,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7173410,Noncdm Charge Record Medical Supplies,4281.27,4281.27,,,0 CDM,27200000_7173411,Noncdm Charge Record Medical Supplies,8008.56,8008.56,,,0 CDM,27200000_7173415,Noncdm Charge Record Medical Supplies,44425.83,44425.83,,,0 CDM,27200000_7173418,Noncdm Charge Record Medical Supplies,86357.8,86357.8,,,0 CDM,27200000_7173419,Noncdm Charge Record Medical Supplies,8473.57,8473.57,,,0 CDM,27200000_7173421,Noncdm Charge Record Medical Supplies,2608.78,2608.78,,,0 CDM,27200000_7173423,Noncdm Charge Record Medical Supplies,1770.01,1770.01,,,0 CDM,27200000_7173431,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27200000_7173435,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7173441,Noncdm Charge Record Medical Supplies,449.81,449.81,,,0 CDM,27200000_7173446,Noncdm Charge Record Medical Supplies,2195.17,2195.17,,,0 CDM,27200000_7173454,Noncdm Charge Record Medical Supplies,3846.15,3846.15,,,0 CDM,27200000_7173458,Noncdm Charge Record Medical Supplies,15094.8,15094.8,,,0 CDM,27200000_7173459,Noncdm Charge Record Medical Supplies,798.37,798.37,,,0 CDM,27200000_7173464,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7173480,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7173514,Noncdm Charge Record Medical Supplies,1421.91,1421.91,,,0 CDM,27200000_7173515,Noncdm Charge Record Medical Supplies,808.86,808.86,,,0 CDM,27200000_7173547,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27200000_7173554,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7173555,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7173556,Noncdm Charge Record Medical Supplies,5219.81,5219.81,,,0 CDM,27200000_7173589,Noncdm Charge Record Medical Supplies,3559.83,3559.83,,,0 CDM,27200000_7173590,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7173594,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27200000_7173595,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7173610,Noncdm Charge Record Medical Supplies,512.82,512.82,,,0 CDM,27200000_7173611,Noncdm Charge Record Medical Supplies,590.52,590.52,,,0 CDM,27200000_7173612,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27200000_7173614,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7173643,Noncdm Charge Record Medical Supplies,1550.12,1550.12,,,0 CDM,27200000_7173649,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7173665,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7173666,Noncdm Charge Record Medical Supplies,590.52,590.52,,,0 CDM,27200000_7173670,Noncdm Charge Record Medical Supplies,1546.23,1546.23,,,0 CDM,27200000_7173674,Noncdm Charge Record Medical Supplies,709.01,709.01,,,0 CDM,27200000_7173680,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7173682,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7173684,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7173685,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27200000_7173686,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7173687,Noncdm Charge Record Medical Supplies,2088.58,2088.58,,,0 CDM,27200000_7173688,Noncdm Charge Record Medical Supplies,20590.5,20590.5,,,0 CDM,27200000_7173692,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7173699,Noncdm Charge Record Medical Supplies,2259.94,2259.94,,,0 CDM,27200000_7173702,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7173703,Noncdm Charge Record Medical Supplies,2836.05,2836.05,,,0 CDM,27200000_7173714,Noncdm Charge Record Medical Supplies,709.01,709.01,,,0 CDM,27200000_7173716,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27200000_7173727,Noncdm Charge Record Medical Supplies,17136.0,17136.0,,,0 CDM,27200000_7173734,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7173735,Noncdm Charge Record Medical Supplies,698.29,698.29,,,0 CDM,27200000_7173736,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7173753,Noncdm Charge Record Medical Supplies,1772.73,1772.73,,,0 CDM,27200000_7173763,Noncdm Charge Record Medical Supplies,5656.56,5656.56,,,0 CDM,27200000_7173765,Noncdm Charge Record Medical Supplies,3131.31,3131.31,,,0 CDM,27200000_7173768,Noncdm Charge Record Medical Supplies,600.23,600.23,,,0 CDM,27200000_7173776,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7173779,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7173782,Noncdm Charge Record Medical Supplies,1421.91,1421.91,,,0 CDM,27200000_7173788,Noncdm Charge Record Medical Supplies,2503.11,2503.11,,,0 CDM,27200000_7173789,Noncdm Charge Record Medical Supplies,4669.38,4669.38,,,0 CDM,27200000_7173790,Noncdm Charge Record Medical Supplies,1190.7,1190.7,,,0 CDM,27200000_7173796,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27200000_7173797,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7173815,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7173945,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7173950,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7173951,Noncdm Charge Record Medical Supplies,252.52,252.52,,,0 CDM,27200000_7173953,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7173956,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27200000_7173967,Noncdm Charge Record Medical Supplies,438.88,438.88,,,0 CDM,27200000_7173968,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27200000_7173969,Noncdm Charge Record Medical Supplies,7653.45,7653.45,,,0 CDM,27200000_7173970,Noncdm Charge Record Medical Supplies,1159.67,1159.67,,,0 CDM,27200000_7173971,Noncdm Charge Record Medical Supplies,50505.0,50505.0,,,0 CDM,27200000_7173972,Noncdm Charge Record Medical Supplies,419.97,419.97,,,0 CDM,27200000_7173973,Noncdm Charge Record Medical Supplies,726.5,726.5,,,0 CDM,27200000_7173974,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7173976,Noncdm Charge Record Medical Supplies,267.83,267.83,,,0 CDM,27200000_7173977,Noncdm Charge Record Medical Supplies,3696.58,3696.58,,,0 CDM,27200000_7173978,Noncdm Charge Record Medical Supplies,753.69,753.69,,,0 CDM,27200000_7173979,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7173981,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7173982,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7173984,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7173985,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7173986,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7173991,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7174001,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7174003,Noncdm Charge Record Medical Supplies,1157.57,1157.57,,,0 CDM,27200000_7174007,Noncdm Charge Record Medical Supplies,438.88,438.88,,,0 CDM,27200000_7174011,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7174012,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7174013,Noncdm Charge Record Medical Supplies,11903.64,11903.64,,,0 CDM,27200000_7174014,Noncdm Charge Record Medical Supplies,16860.9,16860.9,,,0 CDM,27200000_7174018,Noncdm Charge Record Medical Supplies,10691.52,10691.52,,,0 CDM,27200000_7174020,Noncdm Charge Record Medical Supplies,4345.76,4345.76,,,0 CDM,27200000_7174022,Noncdm Charge Record Medical Supplies,3605.28,3605.28,,,0 CDM,27200000_7174024,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7174027,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7174028,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7174035,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7174044,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7174045,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27200000_7174061,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7174062,Noncdm Charge Record Medical Supplies,698.29,698.29,,,0 CDM,27200000_7174063,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7174065,Noncdm Charge Record Medical Supplies,926.5,926.5,,,0 CDM,27200000_7174077,Noncdm Charge Record Medical Supplies,15054.48,15054.48,,,0 CDM,27200000_7174092,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7174121,Noncdm Charge Record Medical Supplies,808.86,808.86,,,0 CDM,27200000_7174125,Noncdm Charge Record Medical Supplies,624.94,624.94,,,0 CDM,27200000_7174134,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7174137,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7174141,Noncdm Charge Record Medical Supplies,590.52,590.52,,,0 CDM,27200000_7174150,Noncdm Charge Record Medical Supplies,3956.4,3956.4,,,0 CDM,27200000_7174151,Noncdm Charge Record Medical Supplies,3686.26,3686.26,,,0 CDM,27200000_7174159,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27200000_7174163,Noncdm Charge Record Medical Supplies,4345.76,4345.76,,,0 CDM,27200000_7174167,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7174168,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7174173,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7174175,Noncdm Charge Record Medical Supplies,489.51,489.51,,,0 CDM,27200000_7174184,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7174186,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7174188,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27200000_7174190,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27200000_7174191,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27200000_7174194,Noncdm Charge Record Medical Supplies,757.58,757.58,,,0 CDM,27200000_7174195,Noncdm Charge Record Medical Supplies,909.09,909.09,,,0 CDM,27200000_7174205,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7174209,Noncdm Charge Record Medical Supplies,3131.31,3131.31,,,0 CDM,27200000_7174215,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7174218,Noncdm Charge Record Medical Supplies,808.86,808.86,,,0 CDM,27200000_7174225,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7174229,Noncdm Charge Record Medical Supplies,748.25,748.25,,,0 CDM,27200000_7174237,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7174241,Noncdm Charge Record Medical Supplies,709.01,709.01,,,0 CDM,27200000_7174253,Noncdm Charge Record Medical Supplies,360.07,360.07,,,0 CDM,27200000_7174254,Noncdm Charge Record Medical Supplies,17136.0,17136.0,,,0 CDM,27200000_7174256,Noncdm Charge Record Medical Supplies,947.94,947.94,,,0 CDM,27200000_7174257,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7174258,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7174259,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27200000_7174261,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7174274,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27200000_7174276,Noncdm Charge Record Medical Supplies,1693.44,1693.44,,,0 CDM,27200000_7174277,Noncdm Charge Record Medical Supplies,1693.44,1693.44,,,0 CDM,27200000_7174280,Noncdm Charge Record Medical Supplies,1118.18,1118.18,,,0 CDM,27200000_7174282,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27200000_7174283,Noncdm Charge Record Medical Supplies,35280.0,35280.0,,,0 CDM,27200000_7174292,Noncdm Charge Record Medical Supplies,12432.0,12432.0,,,0 CDM,27200000_7174293,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7174294,Noncdm Charge Record Medical Supplies,10567.2,10567.2,,,0 CDM,27200000_7174295,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7174296,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7174299,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7174300,Noncdm Charge Record Medical Supplies,4467.75,4467.75,,,0 CDM,27200000_7174306,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7174308,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27200000_7174309,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27200000_7174318,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7174320,Noncdm Charge Record Medical Supplies,16278.15,16278.15,,,0 CDM,27200000_7174321,Noncdm Charge Record Medical Supplies,2913.75,2913.75,,,0 CDM,27200000_7174323,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7174329,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7174333,Noncdm Charge Record Medical Supplies,1017.87,1017.87,,,0 CDM,27200000_7174346,Noncdm Charge Record Medical Supplies,7308.0,7308.0,,,0 CDM,27200000_7174347,Noncdm Charge Record Medical Supplies,1868.53,1868.53,,,0 CDM,27200000_7174348,Noncdm Charge Record Medical Supplies,1071.33,1071.33,,,0 CDM,27200000_7174349,Noncdm Charge Record Medical Supplies,1241.03,1241.03,,,0 CDM,27200000_7174351,Noncdm Charge Record Medical Supplies,1978.4,1978.4,,,0 CDM,27200000_7174352,Noncdm Charge Record Medical Supplies,3252.21,3252.21,,,0 CDM,27200000_7174353,Noncdm Charge Record Medical Supplies,9415.46,9415.46,,,0 CDM,27200000_7174356,Noncdm Charge Record Medical Supplies,18502.54,18502.54,,,0 CDM,27200000_7174361,Noncdm Charge Record Medical Supplies,7585.92,7585.92,,,0 CDM,27200000_7174363,Noncdm Charge Record Medical Supplies,56256.43,56256.43,,,0 CDM,27200000_7174365,Noncdm Charge Record Medical Supplies,3481.74,3481.74,,,0 CDM,27200000_7174375,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7174384,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7174389,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7174390,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7174391,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7174392,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7174393,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7174394,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7174397,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7174398,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7174399,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7174403,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27200000_7174412,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27200000_7174422,Noncdm Charge Record Medical Supplies,10691.52,10691.52,,,0 CDM,27200000_7174435,Noncdm Charge Record Medical Supplies,2525.25,2525.25,,,0 CDM,27200000_7174436,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7174437,Noncdm Charge Record Medical Supplies,3185.7,3185.7,,,0 CDM,27200000_7174438,Noncdm Charge Record Medical Supplies,3185.7,3185.7,,,0 CDM,27200000_7174444,Noncdm Charge Record Medical Supplies,4257.96,4257.96,,,0 CDM,27200000_7174454,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7174455,Noncdm Charge Record Medical Supplies,784.77,784.77,,,0 CDM,27200000_7174456,Noncdm Charge Record Medical Supplies,4708.62,4708.62,,,0 CDM,27200000_7174458,Noncdm Charge Record Medical Supplies,11062.8,11062.8,,,0 CDM,27200000_7174461,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7174464,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7174465,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7174477,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7174482,Noncdm Charge Record Medical Supplies,784.77,784.77,,,0 CDM,27200000_7174484,Noncdm Charge Record Medical Supplies,4281.27,4281.27,,,0 CDM,27200000_7174485,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7174488,Noncdm Charge Record Medical Supplies,492.93,492.93,,,0 CDM,27200000_7174492,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27200000_7174493,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7174494,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7174496,Noncdm Charge Record Medical Supplies,784.77,784.77,,,0 CDM,27200000_7174508,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7174528,Noncdm Charge Record Medical Supplies,1455.48,1455.48,,,0 CDM,27200000_7174529,Noncdm Charge Record Medical Supplies,4170.09,4170.09,,,0 CDM,27200000_7174533,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7174535,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7174536,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7174538,Noncdm Charge Record Medical Supplies,1740.48,1740.48,,,0 CDM,27200000_7174539,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7174550,Noncdm Charge Record Medical Supplies,40.32,40.32,,,0 CDM,27200000_7174558,Noncdm Charge Record Medical Supplies,4345.76,4345.76,,,0 CDM,27200000_7174560,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7174565,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7174575,Noncdm Charge Record Medical Supplies,3846.15,3846.15,,,0 CDM,27200000_7174576,Noncdm Charge Record Medical Supplies,2253.3,2253.3,,,0 CDM,27200000_7174585,Noncdm Charge Record Medical Supplies,1911.42,1911.42,,,0 CDM,27200000_7174586,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7174587,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7174592,Noncdm Charge Record Medical Supplies,2968.14,2968.14,,,0 CDM,27200000_7174602,Noncdm Charge Record Medical Supplies,22610.7,22610.7,,,0 CDM,27200000_7174603,Noncdm Charge Record Medical Supplies,70289.13,70289.13,,,0 CDM,27200000_7174604,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7174619,Noncdm Charge Record Medical Supplies,1154.16,1154.16,,,0 CDM,27200000_7174649,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7174650,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7174690,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7174698,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7174711,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7174721,Noncdm Charge Record Medical Supplies,947.94,947.94,,,0 CDM,27200000_7174722,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7174740,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7174745,Noncdm Charge Record Medical Supplies,3000.0,3000.0,,,0 CDM,27200000_7174746,Noncdm Charge Record Medical Supplies,3000.0,3000.0,,,0 CDM,27200000_7174747,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27200000_7174748,Noncdm Charge Record Medical Supplies,7653.45,7653.45,,,0 CDM,27200000_7174749,Noncdm Charge Record Medical Supplies,1159.67,1159.67,,,0 CDM,27200000_7174750,Noncdm Charge Record Medical Supplies,50505.0,50505.0,,,0 CDM,27200000_7174751,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7174757,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7174758,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7174759,Noncdm Charge Record Medical Supplies,2610.72,2610.72,,,0 CDM,27200000_7174766,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27200000_7174767,Noncdm Charge Record Medical Supplies,4531.46,4531.46,,,0 CDM,27200000_7174771,Noncdm Charge Record Medical Supplies,947.94,947.94,,,0 CDM,27200000_7174782,Noncdm Charge Record Medical Supplies,10691.52,10691.52,,,0 CDM,27200000_7174785,Noncdm Charge Record Medical Supplies,14584.29,14584.29,,,0 CDM,27200000_7174787,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7174788,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7174789,Noncdm Charge Record Medical Supplies,745.92,745.92,,,0 CDM,27200000_7174790,Noncdm Charge Record Medical Supplies,862.47,862.47,,,0 CDM,27200000_7174791,Noncdm Charge Record Medical Supplies,12349.41,12349.41,,,0 CDM,27200000_7174793,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7174795,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7174801,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7174802,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7174803,Noncdm Charge Record Medical Supplies,11903.64,11903.64,,,0 CDM,27200000_7174805,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7174810,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7174811,Noncdm Charge Record Medical Supplies,16860.9,16860.9,,,0 CDM,27200000_7174812,Noncdm Charge Record Medical Supplies,427.35,427.35,,,0 CDM,27200000_7174813,Noncdm Charge Record Medical Supplies,1484.07,1484.07,,,0 CDM,27200000_7174814,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27200000_7174817,Noncdm Charge Record Medical Supplies,2714.61,2714.61,,,0 CDM,27200000_7174820,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7174850,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27200000_7174852,Noncdm Charge Record Medical Supplies,15094.8,15094.8,,,0 CDM,27200000_7174855,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7174876,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7174881,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7174884,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7174886,Noncdm Charge Record Medical Supplies,61071.5,61071.5,,,0 CDM,27200000_7174887,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27200000_7174889,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7174890,Noncdm Charge Record Medical Supplies,2121.21,2121.21,,,0 CDM,27200000_7174911,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27200000_7174912,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7174913,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27200000_7174914,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27200000_7174915,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7174916,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7174918,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7174921,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7174923,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7174930,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27200000_7174934,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27200000_7174936,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27200000_7174943,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7174944,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7174945,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7174946,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7174947,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7174948,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7174949,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7174950,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7174953,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7174954,Noncdm Charge Record Medical Supplies,24696.0,24696.0,,,0 CDM,27200000_7174955,Noncdm Charge Record Medical Supplies,24192.0,24192.0,,,0 CDM,27200000_7174972,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7174973,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7174974,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7174975,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7174976,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7174977,Noncdm Charge Record Medical Supplies,17171.7,17171.7,,,0 CDM,27200000_7174979,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7174980,Noncdm Charge Record Medical Supplies,108.78,108.78,,,0 CDM,27200000_7174981,Noncdm Charge Record Medical Supplies,1196.58,1196.58,,,0 CDM,27200000_7174982,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7174983,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7174984,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7175001,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7175003,Noncdm Charge Record Medical Supplies,19036.5,19036.5,,,0 CDM,27200000_7175006,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27200000_7175007,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27200000_7175053,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7175059,Noncdm Charge Record Medical Supplies,246.96,246.96,,,0 CDM,27200000_7175099,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_7175106,Noncdm Charge Record Medical Supplies,4364.8,4364.8,,,0 CDM,27200000_7175108,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7175113,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7175114,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7175115,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7175122,Noncdm Charge Record Medical Supplies,19425.0,19425.0,,,0 CDM,27200000_7175127,Noncdm Charge Record Medical Supplies,252.52,252.52,,,0 CDM,27200000_7175128,Noncdm Charge Record Medical Supplies,909.09,909.09,,,0 CDM,27200000_7175130,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27200000_7175131,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7175139,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7175146,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7175158,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7175171,Noncdm Charge Record Medical Supplies,1421.91,1421.91,,,0 CDM,27200000_7175173,Noncdm Charge Record Medical Supplies,75757.5,75757.5,,,0 CDM,27200000_7175174,Noncdm Charge Record Medical Supplies,22610.7,22610.7,,,0 CDM,27200000_7175175,Noncdm Charge Record Medical Supplies,70289.13,70289.13,,,0 CDM,27200000_7175176,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7175178,Noncdm Charge Record Medical Supplies,3773.66,3773.66,,,0 CDM,27200000_7175182,Noncdm Charge Record Medical Supplies,217.56,217.56,,,0 CDM,27200000_7175195,Noncdm Charge Record Medical Supplies,17136.0,17136.0,,,0 CDM,27200000_7175201,Noncdm Charge Record Medical Supplies,11655.0,11655.0,,,0 CDM,27200000_7175204,Noncdm Charge Record Medical Supplies,3773.66,3773.66,,,0 CDM,27200000_7175209,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7175214,Noncdm Charge Record Medical Supplies,310.8,310.8,,,0 CDM,27200000_7175218,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7175219,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7175220,Noncdm Charge Record Medical Supplies,6177.15,6177.15,,,0 CDM,27200000_7175227,Noncdm Charge Record Medical Supplies,3773.66,3773.66,,,0 CDM,27200000_7175234,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7175235,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7175245,Noncdm Charge Record Medical Supplies,10691.52,10691.52,,,0 CDM,27200000_7175251,Noncdm Charge Record Medical Supplies,14584.29,14584.29,,,0 CDM,27200000_7175252,Noncdm Charge Record Medical Supplies,2715.38,2715.38,,,0 CDM,27200000_7175256,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7175259,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7175284,Noncdm Charge Record Medical Supplies,641.02,641.02,,,0 CDM,27200000_7175285,Noncdm Charge Record Medical Supplies,600.23,600.23,,,0 CDM,27200000_7175286,Noncdm Charge Record Medical Supplies,1054.78,1054.78,,,0 CDM,27200000_7175287,Noncdm Charge Record Medical Supplies,600.23,600.23,,,0 CDM,27200000_7175296,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7175536,Noncdm Charge Record Medical Supplies,12820.5,12820.5,,,0 CDM,27200000_7175541,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7175546,Noncdm Charge Record Medical Supplies,2913.75,2913.75,,,0 CDM,27200000_7175547,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7175548,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27200000_7175578,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7175586,Noncdm Charge Record Medical Supplies,7381.5,7381.5,,,0 CDM,27200000_7175587,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7175588,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27200000_7175596,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27200000_7175609,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7175612,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7175619,Noncdm Charge Record Medical Supplies,373.28,373.28,,,0 CDM,27200000_7175620,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7175641,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7175649,Noncdm Charge Record Medical Supplies,2525.25,2525.25,,,0 CDM,27200000_7175650,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7175655,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7175660,Noncdm Charge Record Medical Supplies,15094.8,15094.8,,,0 CDM,27200000_7175663,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7175665,Noncdm Charge Record Medical Supplies,3185.7,3185.7,,,0 CDM,27200000_7175667,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7175670,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7175680,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7175681,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7175682,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7175683,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7175684,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7175685,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7175686,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7175687,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7175730,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7175731,Noncdm Charge Record Medical Supplies,784.77,784.77,,,0 CDM,27200000_7175738,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7175739,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7175742,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7175743,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7175744,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7175746,Noncdm Charge Record Medical Supplies,4365.9,4365.9,,,0 CDM,27200000_7175752,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27200000_7175762,Noncdm Charge Record Medical Supplies,4170.09,4170.09,,,0 CDM,27200000_7175767,Noncdm Charge Record Medical Supplies,1839.6,1839.6,,,0 CDM,27200000_7175768,Noncdm Charge Record Medical Supplies,201.6,201.6,,,0 CDM,27200000_7175769,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7175772,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7175781,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7175794,Noncdm Charge Record Medical Supplies,5143.74,5143.74,,,0 CDM,27200000_7175817,Noncdm Charge Record Medical Supplies,5143.74,5143.74,,,0 CDM,27200000_7175820,Noncdm Charge Record Medical Supplies,24192.0,24192.0,,,0 CDM,27200000_7175821,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7175822,Noncdm Charge Record Medical Supplies,1740.48,1740.48,,,0 CDM,27200000_7175847,Noncdm Charge Record Medical Supplies,33.41,33.41,,,0 CDM,27200000_7175853,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7175865,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7175882,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7175885,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7175886,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7175887,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7175904,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7175905,Noncdm Charge Record Medical Supplies,2247.84,2247.84,,,0 CDM,27200000_7175906,Noncdm Charge Record Medical Supplies,1512.0,1512.0,,,0 CDM,27200000_7175911,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27200000_7175912,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27200000_7175913,Noncdm Charge Record Medical Supplies,876.69,876.69,,,0 CDM,27200000_7175918,Noncdm Charge Record Medical Supplies,14131.69,14131.69,,,0 CDM,27200000_7175920,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7175921,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7175922,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7175923,Noncdm Charge Record Medical Supplies,7350.81,7350.81,,,0 CDM,27200000_7175924,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7175925,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7175926,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27200000_7175927,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7175946,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7175947,Noncdm Charge Record Medical Supplies,124.32,124.32,,,0 CDM,27200000_7175949,Noncdm Charge Record Medical Supplies,1592.85,1592.85,,,0 CDM,27200000_7175952,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7175953,Noncdm Charge Record Medical Supplies,2657.34,2657.34,,,0 CDM,27200000_7175956,Noncdm Charge Record Medical Supplies,2657.34,2657.34,,,0 CDM,27200000_7175960,Noncdm Charge Record Medical Supplies,2470.86,2470.86,,,0 CDM,27200000_7175961,Noncdm Charge Record Medical Supplies,2470.86,2470.86,,,0 CDM,27200000_7175962,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7175967,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7175971,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7175975,Noncdm Charge Record Medical Supplies,19425.0,19425.0,,,0 CDM,27200000_7175977,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27200000_7175981,Noncdm Charge Record Medical Supplies,967.05,967.05,,,0 CDM,27200000_7175982,Noncdm Charge Record Medical Supplies,14677.14,14677.14,,,0 CDM,27200000_7175983,Noncdm Charge Record Medical Supplies,3872.02,3872.02,,,0 CDM,27200000_7175988,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27200000_7175990,Noncdm Charge Record Medical Supplies,1421.91,1421.91,,,0 CDM,27200000_7175998,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7176009,Noncdm Charge Record Medical Supplies,3271.17,3271.17,,,0 CDM,27200000_7176010,Noncdm Charge Record Medical Supplies,572.96,572.96,,,0 CDM,27200000_7176026,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7176029,Noncdm Charge Record Medical Supplies,449.81,449.81,,,0 CDM,27200000_7176042,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7176043,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7176045,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7176046,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7176049,Noncdm Charge Record Medical Supplies,1512.0,1512.0,,,0 CDM,27200000_7176072,Noncdm Charge Record Medical Supplies,181.2,181.2,,,0 CDM,27200000_7176073,Noncdm Charge Record Medical Supplies,684.61,684.61,,,0 CDM,27200000_7176074,Noncdm Charge Record Medical Supplies,600.23,600.23,,,0 CDM,27200000_7176084,Noncdm Charge Record Medical Supplies,1176.38,1176.38,,,0 CDM,27200000_7176092,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27200000_7176108,Noncdm Charge Record Medical Supplies,30214.8,30214.8,,,0 CDM,27200000_7176109,Noncdm Charge Record Medical Supplies,11062.8,11062.8,,,0 CDM,27200000_7176114,Noncdm Charge Record Medical Supplies,519.35,519.35,,,0 CDM,27200000_7176116,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7176117,Noncdm Charge Record Medical Supplies,128.59,128.59,,,0 CDM,27200000_7176131,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7176138,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7176139,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27200000_7176140,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27200000_7176141,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27200000_7176148,Noncdm Charge Record Medical Supplies,1864.8,1864.8,,,0 CDM,27200000_7176149,Noncdm Charge Record Medical Supplies,2738.74,2738.74,,,0 CDM,27200000_7176153,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7176161,Noncdm Charge Record Medical Supplies,590.52,590.52,,,0 CDM,27200000_7176162,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7176172,Noncdm Charge Record Medical Supplies,3130.53,3130.53,,,0 CDM,27200000_7176180,Noncdm Charge Record Medical Supplies,2271.79,2271.79,,,0 CDM,27200000_7176183,Noncdm Charge Record Medical Supplies,615.38,615.38,,,0 CDM,27200000_7176184,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7176185,Noncdm Charge Record Medical Supplies,698.29,698.29,,,0 CDM,27200000_7176186,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7176188,Noncdm Charge Record Medical Supplies,34965.0,34965.0,,,0 CDM,27200000_7176189,Noncdm Charge Record Medical Supplies,9595.02,9595.02,,,0 CDM,27200000_7176191,Noncdm Charge Record Medical Supplies,1118.18,1118.18,,,0 CDM,27200000_7176193,Noncdm Charge Record Medical Supplies,4988.34,4988.34,,,0 CDM,27200000_7176200,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7176206,Noncdm Charge Record Medical Supplies,1176.38,1176.38,,,0 CDM,27200000_7176213,Noncdm Charge Record Medical Supplies,893.55,893.55,,,0 CDM,27200000_7176214,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7176221,Noncdm Charge Record Medical Supplies,3069.15,3069.15,,,0 CDM,27200000_7176224,Noncdm Charge Record Medical Supplies,3069.15,3069.15,,,0 CDM,27200000_7176231,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27200000_7176233,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7176236,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27200000_7176239,Noncdm Charge Record Medical Supplies,2939.78,2939.78,,,0 CDM,27200000_7176243,Noncdm Charge Record Medical Supplies,2997.98,2997.98,,,0 CDM,27200000_7176283,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7176284,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7176286,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27200000_7176288,Noncdm Charge Record Medical Supplies,2939.78,2939.78,,,0 CDM,27200000_7176290,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7176299,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27200000_7176300,Noncdm Charge Record Medical Supplies,3773.66,3773.66,,,0 CDM,27200000_7176303,Noncdm Charge Record Medical Supplies,15094.8,15094.8,,,0 CDM,27200000_7176320,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7176329,Noncdm Charge Record Medical Supplies,10839.15,10839.15,,,0 CDM,27200000_7176333,Noncdm Charge Record Medical Supplies,1738.7,1738.7,,,0 CDM,27200000_7176338,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7176339,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27200000_7176341,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7176342,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7176349,Noncdm Charge Record Medical Supplies,15054.48,15054.48,,,0 CDM,27200000_7176355,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27200000_7176356,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7176357,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7176360,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7176366,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7176369,Noncdm Charge Record Medical Supplies,3978.24,3978.24,,,0 CDM,27200000_7176378,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27200000_7176385,Noncdm Charge Record Medical Supplies,415.46,415.46,,,0 CDM,27200000_7176386,Noncdm Charge Record Medical Supplies,360.07,360.07,,,0 CDM,27200000_7176388,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7176390,Noncdm Charge Record Medical Supplies,122.27,122.27,,,0 CDM,27200000_7176391,Noncdm Charge Record Medical Supplies,798.37,798.37,,,0 CDM,27200000_7176396,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27200000_7176397,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7176398,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7176437,Noncdm Charge Record Medical Supplies,49.95,49.95,,,0 CDM,27200000_7176439,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7176443,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7176445,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27200000_7176447,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7176450,Noncdm Charge Record Medical Supplies,3773.66,3773.66,,,0 CDM,27200000_7176465,Noncdm Charge Record Medical Supplies,224.33,224.33,,,0 CDM,27200000_7176473,Noncdm Charge Record Medical Supplies,9072.0,9072.0,,,0 CDM,27200000_7176525,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7176526,Noncdm Charge Record Medical Supplies,1521.37,1521.37,,,0 CDM,27200000_7176527,Noncdm Charge Record Medical Supplies,1477.08,1477.08,,,0 CDM,27200000_7176529,Noncdm Charge Record Medical Supplies,4376.06,4376.06,,,0 CDM,27200000_7176534,Noncdm Charge Record Medical Supplies,1176.38,1176.38,,,0 CDM,27200000_7176537,Noncdm Charge Record Medical Supplies,489.51,489.51,,,0 CDM,27200000_7176540,Noncdm Charge Record Medical Supplies,784.77,784.77,,,0 CDM,27200000_7176548,Noncdm Charge Record Medical Supplies,1604.89,1604.89,,,0 CDM,27200000_7176549,Noncdm Charge Record Medical Supplies,1486.01,1486.01,,,0 CDM,27200000_7176550,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27200000_7176553,Noncdm Charge Record Medical Supplies,115.31,115.31,,,0 CDM,27200000_7176555,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27200000_7176556,Noncdm Charge Record Medical Supplies,19425.0,19425.0,,,0 CDM,27200000_7176569,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7176608,Noncdm Charge Record Medical Supplies,9072.0,9072.0,,,0 CDM,27200000_7176610,Noncdm Charge Record Medical Supplies,14584.29,14584.29,,,0 CDM,27200000_7176611,Noncdm Charge Record Medical Supplies,10691.52,10691.52,,,0 CDM,27200000_7176623,Noncdm Charge Record Medical Supplies,5750.81,5750.81,,,0 CDM,27200000_7176625,Noncdm Charge Record Medical Supplies,1421.91,1421.91,,,0 CDM,27200000_7176632,Noncdm Charge Record Medical Supplies,2016.0,2016.0,,,0 CDM,27200000_7176636,Noncdm Charge Record Medical Supplies,7308.0,7308.0,,,0 CDM,27200000_7176641,Noncdm Charge Record Medical Supplies,11903.64,11903.64,,,0 CDM,27200000_7176642,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7176643,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7176644,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7176665,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7176682,Noncdm Charge Record Medical Supplies,419.97,419.97,,,0 CDM,27200000_7176683,Noncdm Charge Record Medical Supplies,73815.0,73815.0,,,0 CDM,27200000_7176684,Noncdm Charge Record Medical Supplies,3067.13,3067.13,,,0 CDM,27200000_7176686,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27200000_7176687,Noncdm Charge Record Medical Supplies,7653.45,7653.45,,,0 CDM,27200000_7176688,Noncdm Charge Record Medical Supplies,1159.67,1159.67,,,0 CDM,27200000_7176689,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27200000_7176690,Noncdm Charge Record Medical Supplies,73815.0,73815.0,,,0 CDM,27200000_7176692,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7176693,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27200000_7176694,Noncdm Charge Record Medical Supplies,2913.75,2913.75,,,0 CDM,27200000_7176697,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7176710,Noncdm Charge Record Medical Supplies,8202.79,8202.79,,,0 CDM,27200000_7176727,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7176731,Noncdm Charge Record Medical Supplies,31080.0,31080.0,,,0 CDM,27200000_7176743,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27200000_7176744,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7176745,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27200000_7176746,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7176785,Noncdm Charge Record Medical Supplies,1717.17,1717.17,,,0 CDM,27200000_7176786,Noncdm Charge Record Medical Supplies,909.09,909.09,,,0 CDM,27200000_7176787,Noncdm Charge Record Medical Supplies,909.09,909.09,,,0 CDM,27200000_7176789,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7176796,Noncdm Charge Record Medical Supplies,4345.76,4345.76,,,0 CDM,27200000_7176803,Noncdm Charge Record Medical Supplies,17136.0,17136.0,,,0 CDM,27200000_7176812,Noncdm Charge Record Medical Supplies,14131.69,14131.69,,,0 CDM,27200000_7176813,Noncdm Charge Record Medical Supplies,22610.7,22610.7,,,0 CDM,27200000_7176814,Noncdm Charge Record Medical Supplies,9595.02,9595.02,,,0 CDM,27200000_7176820,Noncdm Charge Record Medical Supplies,338.08,338.08,,,0 CDM,27200000_7176821,Noncdm Charge Record Medical Supplies,19454.4,19454.4,,,0 CDM,27200000_7176822,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7176825,Noncdm Charge Record Medical Supplies,5947.2,5947.2,,,0 CDM,27200000_7176827,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7176828,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7176829,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7176830,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7176832,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7176833,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7176837,Noncdm Charge Record Medical Supplies,2556.33,2556.33,,,0 CDM,27200000_7176839,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27200000_7176878,Noncdm Charge Record Medical Supplies,1421.91,1421.91,,,0 CDM,27200000_7176880,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27200000_7176882,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7176885,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27200000_7176896,Noncdm Charge Record Medical Supplies,23384.59,23384.59,,,0 CDM,27200000_7176947,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7176952,Noncdm Charge Record Medical Supplies,784.77,784.77,,,0 CDM,27200000_7176954,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7176955,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7176961,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7176964,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7176965,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7176966,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7176970,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7176975,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7176976,Noncdm Charge Record Medical Supplies,947.94,947.94,,,0 CDM,27200000_7176981,Noncdm Charge Record Medical Supplies,870.24,870.24,,,0 CDM,27200000_7176996,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7177010,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 CDM,27200000_7177011,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7177020,Noncdm Charge Record Medical Supplies,255.38,255.38,,,0 CDM,27200000_7177022,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7177023,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7177026,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7177031,Noncdm Charge Record Medical Supplies,1786.93,1786.93,,,0 CDM,27200000_7177032,Noncdm Charge Record Medical Supplies,3271.17,3271.17,,,0 CDM,27200000_7177034,Noncdm Charge Record Medical Supplies,3271.17,3271.17,,,0 CDM,27200000_7177035,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7177036,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7177039,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27200000_7177041,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7177042,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7177048,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27200000_7177049,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27200000_7177063,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7177068,Noncdm Charge Record Medical Supplies,38.85,38.85,,,0 CDM,27200000_7177077,Noncdm Charge Record Medical Supplies,1173.66,1173.66,,,0 CDM,27200000_7177080,Noncdm Charge Record Medical Supplies,5128.2,5128.2,,,0 CDM,27200000_7177081,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7177082,Noncdm Charge Record Medical Supplies,769.23,769.23,,,0 CDM,27200000_7177084,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7177110,Noncdm Charge Record Medical Supplies,997.92,997.92,,,0 CDM,27200000_7177111,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7177132,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7177133,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7177134,Noncdm Charge Record Medical Supplies,997.92,997.92,,,0 CDM,27200000_7177138,Noncdm Charge Record Medical Supplies,2054.91,2054.91,,,0 CDM,27200000_7177147,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7177162,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7177167,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7177168,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27200000_7177175,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7177186,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27200000_7177187,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7177190,Noncdm Charge Record Medical Supplies,5943.2,5943.2,,,0 CDM,27200000_7177194,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27200000_7177198,Noncdm Charge Record Medical Supplies,1489.51,1489.51,,,0 CDM,27200000_7177200,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27200000_7177201,Noncdm Charge Record Medical Supplies,1423.08,1423.08,,,0 CDM,27200000_7177210,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27200000_7177214,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7177216,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7177220,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7177222,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7177223,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7177226,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7177227,Noncdm Charge Record Medical Supplies,641.02,641.02,,,0 CDM,27200000_7177228,Noncdm Charge Record Medical Supplies,600.23,600.23,,,0 CDM,27200000_7177229,Noncdm Charge Record Medical Supplies,1054.78,1054.78,,,0 CDM,27200000_7177230,Noncdm Charge Record Medical Supplies,600.23,600.23,,,0 CDM,27200000_7177231,Noncdm Charge Record Medical Supplies,217.56,217.56,,,0 CDM,27200000_7177233,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27200000_7177235,Noncdm Charge Record Medical Supplies,590.52,590.52,,,0 CDM,27200000_7177236,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7177239,Noncdm Charge Record Medical Supplies,34965.0,34965.0,,,0 CDM,27200000_7177240,Noncdm Charge Record Medical Supplies,14565.6,14565.6,,,0 CDM,27200000_7177242,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7177244,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7177245,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7177246,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7177247,Noncdm Charge Record Medical Supplies,1507.38,1507.38,,,0 CDM,27200000_7177251,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7177270,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7177271,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27200000_7177272,Noncdm Charge Record Medical Supplies,6180.03,6180.03,,,0 CDM,27200000_7177273,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27200000_7177279,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7177283,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7177285,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7177287,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7177295,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7177296,Noncdm Charge Record Medical Supplies,1173.66,1173.66,,,0 CDM,27200000_7177299,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7177300,Noncdm Charge Record Medical Supplies,2615.76,2615.76,,,0 CDM,27200000_7177301,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7177304,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7177305,Noncdm Charge Record Medical Supplies,3053.61,3053.61,,,0 CDM,27200000_7177310,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7177313,Noncdm Charge Record Medical Supplies,3605.28,3605.28,,,0 CDM,27200000_7177334,Noncdm Charge Record Medical Supplies,5143.74,5143.74,,,0 CDM,27200000_7177338,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7177339,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7177340,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7177341,Noncdm Charge Record Medical Supplies,3488.73,3488.73,,,0 CDM,27200000_7177343,Noncdm Charge Record Medical Supplies,1173.66,1173.66,,,0 CDM,27200000_7177348,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7177352,Noncdm Charge Record Medical Supplies,3252.21,3252.21,,,0 CDM,27200000_7177353,Noncdm Charge Record Medical Supplies,1978.4,1978.4,,,0 CDM,27200000_7177354,Noncdm Charge Record Medical Supplies,1868.53,1868.53,,,0 CDM,27200000_7177357,Noncdm Charge Record Medical Supplies,11062.8,11062.8,,,0 CDM,27200000_7177358,Noncdm Charge Record Medical Supplies,3252.21,3252.21,,,0 CDM,27200000_7177359,Noncdm Charge Record Medical Supplies,1978.4,1978.4,,,0 CDM,27200000_7177360,Noncdm Charge Record Medical Supplies,1868.53,1868.53,,,0 CDM,27200000_7177367,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27200000_7177375,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7177382,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7177389,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7177409,Noncdm Charge Record Medical Supplies,201.6,201.6,,,0 CDM,27200000_7177436,Noncdm Charge Record Medical Supplies,882.0,882.0,,,0 CDM,27200000_7177437,Noncdm Charge Record Medical Supplies,201.6,201.6,,,0 CDM,27200000_7177453,Noncdm Charge Record Medical Supplies,2939.78,2939.78,,,0 CDM,27200000_7177460,Noncdm Charge Record Medical Supplies,1249.16,1249.16,,,0 CDM,27200000_7177465,Noncdm Charge Record Medical Supplies,6177.15,6177.15,,,0 CDM,27200000_7177469,Noncdm Charge Record Medical Supplies,1173.66,1173.66,,,0 CDM,27200000_7177471,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7177474,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7177475,Noncdm Charge Record Medical Supplies,784.77,784.77,,,0 CDM,27200000_7177476,Noncdm Charge Record Medical Supplies,1678.32,1678.32,,,0 CDM,27200000_7177478,Noncdm Charge Record Medical Supplies,4708.62,4708.62,,,0 CDM,27200000_7177479,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7177480,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7177487,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7177491,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7177494,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7177501,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27200000_7177515,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7177521,Noncdm Charge Record Medical Supplies,443.02,443.02,,,0 CDM,27200000_7177526,Noncdm Charge Record Medical Supplies,11088.0,11088.0,,,0 CDM,27200000_7177527,Noncdm Charge Record Medical Supplies,9072.0,9072.0,,,0 CDM,27200000_7177528,Noncdm Charge Record Medical Supplies,9021.6,9021.6,,,0 CDM,27200000_7177550,Noncdm Charge Record Medical Supplies,17136.0,17136.0,,,0 CDM,27200000_7177554,Noncdm Charge Record Medical Supplies,4345.76,4345.76,,,0 CDM,27200000_7177556,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27200000_7177558,Noncdm Charge Record Medical Supplies,1958.04,1958.04,,,0 CDM,27200000_7177562,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7177564,Noncdm Charge Record Medical Supplies,8568.0,8568.0,,,0 CDM,27200000_7177567,Noncdm Charge Record Medical Supplies,784.77,784.77,,,0 CDM,27200000_7177568,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7177571,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7177573,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7177579,Noncdm Charge Record Medical Supplies,4669.38,4669.38,,,0 CDM,27200000_7177580,Noncdm Charge Record Medical Supplies,4610.72,4610.72,,,0 CDM,27200000_7177585,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7177586,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7177591,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7177608,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7177620,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7177623,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7177635,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7177637,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7177645,Noncdm Charge Record Medical Supplies,13356.0,13356.0,,,0 CDM,27200000_7177674,Noncdm Charge Record Medical Supplies,292.38,292.38,,,0 CDM,27200000_7177679,Noncdm Charge Record Medical Supplies,177.78,177.78,,,0 CDM,27200000_7177680,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7177683,Noncdm Charge Record Medical Supplies,2913.75,2913.75,,,0 CDM,27200000_7177690,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7177691,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7177694,Noncdm Charge Record Medical Supplies,1841.49,1841.49,,,0 CDM,27200000_7177698,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7177699,Noncdm Charge Record Medical Supplies,1841.49,1841.49,,,0 CDM,27200000_7177700,Noncdm Charge Record Medical Supplies,4780.34,4780.34,,,0 CDM,27200000_7177701,Noncdm Charge Record Medical Supplies,1710.02,1710.02,,,0 CDM,27200000_7177702,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7177703,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7177704,Noncdm Charge Record Medical Supplies,1507.38,1507.38,,,0 CDM,27200000_7177706,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7177708,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7177709,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7177712,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7177713,Noncdm Charge Record Medical Supplies,1176.38,1176.38,,,0 CDM,27200000_7177716,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7177717,Noncdm Charge Record Medical Supplies,2525.25,2525.25,,,0 CDM,27200000_7177718,Noncdm Charge Record Medical Supplies,473.27,473.27,,,0 CDM,27200000_7177719,Noncdm Charge Record Medical Supplies,218.26,218.26,,,0 CDM,27200000_7177720,Noncdm Charge Record Medical Supplies,709.01,709.01,,,0 CDM,27200000_7177729,Noncdm Charge Record Medical Supplies,519.35,519.35,,,0 CDM,27200000_7177730,Noncdm Charge Record Medical Supplies,1838.09,1838.09,,,0 CDM,27200000_7177731,Noncdm Charge Record Medical Supplies,201.6,201.6,,,0 CDM,27200000_7177747,Noncdm Charge Record Medical Supplies,4345.76,4345.76,,,0 CDM,27200000_7177748,Noncdm Charge Record Medical Supplies,6177.15,6177.15,,,0 CDM,27200000_7177751,Noncdm Charge Record Medical Supplies,16860.9,16860.9,,,0 CDM,27200000_7177752,Noncdm Charge Record Medical Supplies,11903.64,11903.64,,,0 CDM,27200000_7177762,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7177763,Noncdm Charge Record Medical Supplies,6177.15,6177.15,,,0 CDM,27200000_7177764,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7177766,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7177767,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7177775,Noncdm Charge Record Medical Supplies,601.56,601.56,,,0 CDM,27200000_7177777,Noncdm Charge Record Medical Supplies,4279.4,4279.4,,,0 CDM,27200000_7177782,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27200000_7177783,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27200000_7177784,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27200000_7177788,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27200000_7177789,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27200000_7177791,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7177792,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7177796,Noncdm Charge Record Medical Supplies,2191.14,2191.14,,,0 CDM,27200000_7177797,Noncdm Charge Record Medical Supplies,5219.81,5219.81,,,0 CDM,27200000_7177798,Noncdm Charge Record Medical Supplies,784.77,784.77,,,0 CDM,27200000_7177800,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7177801,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7177814,Noncdm Charge Record Medical Supplies,882.0,882.0,,,0 CDM,27200000_7177816,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27200000_7177817,Noncdm Charge Record Medical Supplies,12755.13,12755.13,,,0 CDM,27200000_7177826,Noncdm Charge Record Medical Supplies,1244.83,1244.83,,,0 CDM,27200000_7177827,Noncdm Charge Record Medical Supplies,3087.34,3087.34,,,0 CDM,27200000_7177828,Noncdm Charge Record Medical Supplies,11294.01,11294.01,,,0 CDM,27200000_7177830,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7177831,Noncdm Charge Record Medical Supplies,709.01,709.01,,,0 CDM,27200000_7177843,Noncdm Charge Record Medical Supplies,24192.0,24192.0,,,0 CDM,27200000_7177848,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7177849,Noncdm Charge Record Medical Supplies,3978.24,3978.24,,,0 CDM,27200000_7177853,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27200000_7177869,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7177876,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27200000_7177883,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7177884,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7177891,Noncdm Charge Record Medical Supplies,1645.06,1645.06,,,0 CDM,27200000_7177897,Noncdm Charge Record Medical Supplies,1173.66,1173.66,,,0 CDM,27200000_7177903,Noncdm Charge Record Medical Supplies,19425.0,19425.0,,,0 CDM,27200000_7177910,Noncdm Charge Record Medical Supplies,792.54,792.54,,,0 CDM,27200000_7177917,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7177929,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7177931,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7177933,Noncdm Charge Record Medical Supplies,1439.16,1439.16,,,0 CDM,27200000_7177934,Noncdm Charge Record Medical Supplies,1679.02,1679.02,,,0 CDM,27200000_7177935,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7177936,Noncdm Charge Record Medical Supplies,2525.25,2525.25,,,0 CDM,27200000_7177944,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7177948,Noncdm Charge Record Medical Supplies,11062.8,11062.8,,,0 CDM,27200000_7177971,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27200000_7177972,Noncdm Charge Record Medical Supplies,12755.13,12755.13,,,0 CDM,27200000_7177973,Noncdm Charge Record Medical Supplies,11062.8,11062.8,,,0 CDM,27200000_7177974,Noncdm Charge Record Medical Supplies,714.84,714.84,,,0 CDM,27200000_7177975,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27200000_7177976,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7177977,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7177978,Noncdm Charge Record Medical Supplies,248.64,248.64,,,0 CDM,27200000_7177987,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7177988,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27200000_7177990,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7177993,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27200000_7178000,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7178013,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27200000_7178017,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27200000_7178021,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7178023,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27200000_7178034,Noncdm Charge Record Medical Supplies,11903.64,11903.64,,,0 CDM,27200000_7178035,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7178036,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7178037,Noncdm Charge Record Medical Supplies,16860.9,16860.9,,,0 CDM,27200000_7178041,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27200000_7178043,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27200000_7178080,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7178096,Noncdm Charge Record Medical Supplies,201.6,201.6,,,0 CDM,27200000_7178109,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7178110,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7178117,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7178118,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7178119,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7178127,Noncdm Charge Record Medical Supplies,15034.95,15034.95,,,0 CDM,27200000_7178128,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7178129,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7178131,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7178132,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27200000_7178158,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27200000_7178197,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7178200,Noncdm Charge Record Medical Supplies,1056.72,1056.72,,,0 CDM,27200000_7178202,Noncdm Charge Record Medical Supplies,16860.9,16860.9,,,0 CDM,27200000_7178204,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7178205,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27200000_7178206,Noncdm Charge Record Medical Supplies,11903.64,11903.64,,,0 CDM,27200000_7178223,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7178224,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7178228,Noncdm Charge Record Medical Supplies,1173.66,1173.66,,,0 CDM,27200000_7178232,Noncdm Charge Record Medical Supplies,1581.97,1581.97,,,0 CDM,27200000_7178238,Noncdm Charge Record Medical Supplies,1155.56,1155.56,,,0 CDM,27200000_7178240,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7178242,Noncdm Charge Record Medical Supplies,58275.0,58275.0,,,0 CDM,27200000_7178255,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7178259,Noncdm Charge Record Medical Supplies,4838.4,4838.4,,,0 CDM,27200000_7178262,Noncdm Charge Record Medical Supplies,1439.16,1439.16,,,0 CDM,27200000_7178266,Noncdm Charge Record Medical Supplies,1056.72,1056.72,,,0 CDM,27200000_7178267,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7178268,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7178269,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7178276,Noncdm Charge Record Medical Supplies,11062.8,11062.8,,,0 CDM,27200000_7178320,Noncdm Charge Record Medical Supplies,3559.83,3559.83,,,0 CDM,27200000_7178325,Noncdm Charge Record Medical Supplies,2540.79,2540.79,,,0 CDM,27200000_7178326,Noncdm Charge Record Medical Supplies,2540.79,2540.79,,,0 CDM,27200000_7178327,Noncdm Charge Record Medical Supplies,2540.79,2540.79,,,0 CDM,27200000_7178328,Noncdm Charge Record Medical Supplies,1958.04,1958.04,,,0 CDM,27200000_7178329,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27200000_7178330,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7178332,Noncdm Charge Record Medical Supplies,4345.76,4345.76,,,0 CDM,27200000_7178333,Noncdm Charge Record Medical Supplies,2758.35,2758.35,,,0 CDM,27200000_7178339,Noncdm Charge Record Medical Supplies,4722.22,4722.22,,,0 CDM,27200000_7178340,Noncdm Charge Record Medical Supplies,4345.76,4345.76,,,0 CDM,27200000_7178368,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7178373,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7178374,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7178375,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7178376,Noncdm Charge Record Medical Supplies,3488.73,3488.73,,,0 CDM,27200000_7178377,Noncdm Charge Record Medical Supplies,3978.24,3978.24,,,0 CDM,27200000_7178387,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27200000_7178389,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7178394,Noncdm Charge Record Medical Supplies,354.31,354.31,,,0 CDM,27200000_7178403,Noncdm Charge Record Medical Supplies,808.86,808.86,,,0 CDM,27200000_7178412,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7178426,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7178427,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7178473,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27200000_7178474,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7178475,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7178482,Noncdm Charge Record Medical Supplies,1770.01,1770.01,,,0 CDM,27200000_7178484,Noncdm Charge Record Medical Supplies,181.44,181.44,,,0 CDM,27200000_7178485,Noncdm Charge Record Medical Supplies,2198.91,2198.91,,,0 CDM,27200000_7178486,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7178488,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7178489,Noncdm Charge Record Medical Supplies,2766.12,2766.12,,,0 CDM,27200000_7178490,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7178491,Noncdm Charge Record Medical Supplies,784.77,784.77,,,0 CDM,27200000_7178502,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7178503,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27200000_7178508,Noncdm Charge Record Medical Supplies,1173.66,1173.66,,,0 CDM,27200000_7178509,Noncdm Charge Record Medical Supplies,870.24,870.24,,,0 CDM,27200000_7178511,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7178514,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7178516,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7178517,Noncdm Charge Record Medical Supplies,3488.73,3488.73,,,0 CDM,27200000_7178518,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7178519,Noncdm Charge Record Medical Supplies,3978.24,3978.24,,,0 CDM,27200000_7178532,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7178552,Noncdm Charge Record Medical Supplies,17136.0,17136.0,,,0 CDM,27200000_7178555,Noncdm Charge Record Medical Supplies,11062.8,11062.8,,,0 CDM,27200000_7178556,Noncdm Charge Record Medical Supplies,15094.8,15094.8,,,0 CDM,27200000_7178557,Noncdm Charge Record Medical Supplies,12070.8,12070.8,,,0 CDM,27200000_7178568,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7178569,Noncdm Charge Record Medical Supplies,714.84,714.84,,,0 CDM,27200000_7178570,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7178571,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7178572,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7178600,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7178604,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27200000_7178631,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7178642,Noncdm Charge Record Medical Supplies,3481.74,3481.74,,,0 CDM,27200000_7178648,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7178655,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7178660,Noncdm Charge Record Medical Supplies,5182.59,5182.59,,,0 CDM,27200000_7178664,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7178679,Noncdm Charge Record Medical Supplies,14607.6,14607.6,,,0 CDM,27200000_7178681,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7178683,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7178684,Noncdm Charge Record Medical Supplies,2564.1,2564.1,,,0 CDM,27200000_7178712,Noncdm Charge Record Medical Supplies,2952.6,2952.6,,,0 CDM,27200000_7178730,Noncdm Charge Record Medical Supplies,451.36,451.36,,,0 CDM,27200000_7178733,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7178734,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7178746,Noncdm Charge Record Medical Supplies,14584.29,14584.29,,,0 CDM,27200000_7178747,Noncdm Charge Record Medical Supplies,10691.52,10691.52,,,0 CDM,27200000_7178762,Noncdm Charge Record Medical Supplies,1790.98,1790.98,,,0 CDM,27200000_7178766,Noncdm Charge Record Medical Supplies,709.01,709.01,,,0 CDM,27200000_7178768,Noncdm Charge Record Medical Supplies,128.59,128.59,,,0 CDM,27200000_7178769,Noncdm Charge Record Medical Supplies,175.6,175.6,,,0 CDM,27200000_7178770,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7178771,Noncdm Charge Record Medical Supplies,519.35,519.35,,,0 CDM,27200000_7178775,Noncdm Charge Record Medical Supplies,248.64,248.64,,,0 CDM,27200000_7178776,Noncdm Charge Record Medical Supplies,3488.73,3488.73,,,0 CDM,27200000_7178778,Noncdm Charge Record Medical Supplies,3978.24,3978.24,,,0 CDM,27200000_7178779,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7178780,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7178781,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7178783,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27200000_7178795,Noncdm Charge Record Medical Supplies,4345.76,4345.76,,,0 CDM,27200000_7178799,Noncdm Charge Record Medical Supplies,1857.03,1857.03,,,0 CDM,27200000_7178821,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7178824,Noncdm Charge Record Medical Supplies,1851.36,1851.36,,,0 CDM,27200000_7178836,Noncdm Charge Record Medical Supplies,49240.8,49240.8,,,0 CDM,27200000_7178840,Noncdm Charge Record Medical Supplies,4838.4,4838.4,,,0 CDM,27200000_7178843,Noncdm Charge Record Medical Supplies,61071.5,61071.5,,,0 CDM,27200000_7178845,Noncdm Charge Record Medical Supplies,11062.8,11062.8,,,0 CDM,27200000_7178847,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7178848,Noncdm Charge Record Medical Supplies,3978.24,3978.24,,,0 CDM,27200000_7178850,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7178851,Noncdm Charge Record Medical Supplies,3682.98,3682.98,,,0 CDM,27200000_7178856,Noncdm Charge Record Medical Supplies,1251.13,1251.13,,,0 CDM,27200000_7178858,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7178865,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7178866,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27200000_7178867,Noncdm Charge Record Medical Supplies,4345.76,4345.76,,,0 CDM,27200000_7178868,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7178870,Noncdm Charge Record Medical Supplies,146.15,146.15,,,0 CDM,27200000_7178876,Noncdm Charge Record Medical Supplies,147.63,147.63,,,0 CDM,27200000_7178881,Noncdm Charge Record Medical Supplies,784.77,784.77,,,0 CDM,27200000_7178882,Noncdm Charge Record Medical Supplies,800.31,800.31,,,0 CDM,27200000_7178883,Noncdm Charge Record Medical Supplies,2276.61,2276.61,,,0 CDM,27200000_7178884,Noncdm Charge Record Medical Supplies,1048.95,1048.95,,,0 CDM,27200000_7178885,Noncdm Charge Record Medical Supplies,5594.4,5594.4,,,0 CDM,27200000_7178886,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27200000_7178887,Noncdm Charge Record Medical Supplies,1336.44,1336.44,,,0 CDM,27200000_7178888,Noncdm Charge Record Medical Supplies,1336.44,1336.44,,,0 CDM,27200000_7178889,Noncdm Charge Record Medical Supplies,1864.8,1864.8,,,0 CDM,27200000_7178890,Noncdm Charge Record Medical Supplies,442.89,442.89,,,0 CDM,27200000_7178891,Noncdm Charge Record Medical Supplies,442.89,442.89,,,0 CDM,27200000_7178892,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7178894,Noncdm Charge Record Medical Supplies,2276.61,2276.61,,,0 CDM,27200000_7178897,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7178899,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7178901,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7178902,Noncdm Charge Record Medical Supplies,3978.24,3978.24,,,0 CDM,27200000_7178903,Noncdm Charge Record Medical Supplies,2657.34,2657.34,,,0 CDM,27200000_7178904,Noncdm Charge Record Medical Supplies,606.06,606.06,,,0 CDM,27200000_7178905,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7179084,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7179085,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27200000_7179090,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7179096,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7179099,Noncdm Charge Record Medical Supplies,2088.58,2088.58,,,0 CDM,27200000_7179100,Noncdm Charge Record Medical Supplies,15054.48,15054.48,,,0 CDM,27200000_7179116,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7179127,Noncdm Charge Record Medical Supplies,15054.48,15054.48,,,0 CDM,27200000_7179137,Noncdm Charge Record Medical Supplies,689.98,689.98,,,0 CDM,27200000_7179158,Noncdm Charge Record Medical Supplies,8568.0,8568.0,,,0 CDM,27200000_7179159,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7179160,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7179163,Noncdm Charge Record Medical Supplies,4193.4,4193.4,,,0 CDM,27200000_7179167,Noncdm Charge Record Medical Supplies,745.92,745.92,,,0 CDM,27200000_7179171,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7179172,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7179178,Noncdm Charge Record Medical Supplies,2214.45,2214.45,,,0 CDM,27200000_7179189,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27200000_7179195,Noncdm Charge Record Medical Supplies,524.09,524.09,,,0 CDM,27200000_7179196,Noncdm Charge Record Medical Supplies,5901.34,5901.34,,,0 CDM,27200000_7179199,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7179200,Noncdm Charge Record Medical Supplies,3978.24,3978.24,,,0 CDM,27200000_7179202,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27200000_7179227,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7179228,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7179229,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27200000_7179230,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7179231,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7179232,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7179233,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27200000_7179234,Noncdm Charge Record Medical Supplies,5244.75,5244.75,,,0 CDM,27200000_7179237,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7179239,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27200000_7179247,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7179248,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7179249,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7179259,Noncdm Charge Record Medical Supplies,6177.15,6177.15,,,0 CDM,27200000_7179260,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7179261,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7179262,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7179264,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7179265,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7179266,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27200000_7179275,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27200000_7179276,Noncdm Charge Record Medical Supplies,6518.64,6518.64,,,0 CDM,27200000_7179278,Noncdm Charge Record Medical Supplies,49.14,49.14,,,0 CDM,27200000_7179279,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27200000_7179282,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7179292,Noncdm Charge Record Medical Supplies,4914.0,4914.0,,,0 CDM,27200000_7179297,Noncdm Charge Record Medical Supplies,2540.79,2540.79,,,0 CDM,27200000_7179298,Noncdm Charge Record Medical Supplies,2540.79,2540.79,,,0 CDM,27200000_7179304,Noncdm Charge Record Medical Supplies,1486.01,1486.01,,,0 CDM,27200000_7179305,Noncdm Charge Record Medical Supplies,1770.01,1770.01,,,0 CDM,27200000_7179326,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27200000_7179341,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7179343,Noncdm Charge Record Medical Supplies,3069.15,3069.15,,,0 CDM,27200000_7179364,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27200000_7179369,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7179370,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7179374,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7179378,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7179384,Noncdm Charge Record Medical Supplies,2568.76,2568.76,,,0 CDM,27200000_7179387,Noncdm Charge Record Medical Supplies,876.69,876.69,,,0 CDM,27200000_7179390,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7179394,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7179401,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27200000_7179402,Noncdm Charge Record Medical Supplies,11566.8,11566.8,,,0 CDM,27200000_7179403,Noncdm Charge Record Medical Supplies,15094.8,15094.8,,,0 CDM,27200000_7179404,Noncdm Charge Record Medical Supplies,30214.8,30214.8,,,0 CDM,27200000_7179407,Noncdm Charge Record Medical Supplies,1225.33,1225.33,,,0 CDM,27200000_7179408,Noncdm Charge Record Medical Supplies,1825.95,1825.95,,,0 CDM,27200000_7179416,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7179418,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27200000_7179419,Noncdm Charge Record Medical Supplies,292.31,292.31,,,0 CDM,27200000_7179420,Noncdm Charge Record Medical Supplies,1468.53,1468.53,,,0 CDM,27200000_7179436,Noncdm Charge Record Medical Supplies,146.15,146.15,,,0 CDM,27200000_7179437,Noncdm Charge Record Medical Supplies,444.44,444.44,,,0 CDM,27200000_7179458,Noncdm Charge Record Medical Supplies,6182.13,6182.13,,,0 CDM,27200000_7179462,Noncdm Charge Record Medical Supplies,15034.95,15034.95,,,0 CDM,27200000_7179464,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7179466,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7179471,Noncdm Charge Record Medical Supplies,30214.8,30214.8,,,0 CDM,27200000_7179476,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7179478,Noncdm Charge Record Medical Supplies,2103.73,2103.73,,,0 CDM,27200000_7179481,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7179490,Noncdm Charge Record Medical Supplies,19513.03,19513.03,,,0 CDM,27200000_7179491,Noncdm Charge Record Medical Supplies,870.24,870.24,,,0 CDM,27200000_7179492,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27200000_7179497,Noncdm Charge Record Medical Supplies,1153.84,1153.84,,,0 CDM,27200000_7179500,Noncdm Charge Record Medical Supplies,1153.84,1153.84,,,0 CDM,27200000_7179501,Noncdm Charge Record Medical Supplies,1153.84,1153.84,,,0 CDM,27200000_7179510,Noncdm Charge Record Medical Supplies,2195.17,2195.17,,,0 CDM,27200000_7179511,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7179513,Noncdm Charge Record Medical Supplies,230.93,230.93,,,0 CDM,27200000_7179514,Noncdm Charge Record Medical Supplies,230.93,230.93,,,0 CDM,27200000_7179516,Noncdm Charge Record Medical Supplies,98.29,98.29,,,0 CDM,27200000_7179517,Noncdm Charge Record Medical Supplies,1017.87,1017.87,,,0 CDM,27200000_7179518,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7179519,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27200000_7179521,Noncdm Charge Record Medical Supplies,200.08,200.08,,,0 CDM,27200000_7179523,Noncdm Charge Record Medical Supplies,287.49,287.49,,,0 CDM,27200000_7179525,Noncdm Charge Record Medical Supplies,1153.84,1153.84,,,0 CDM,27200000_7179527,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7179528,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27200000_7179529,Noncdm Charge Record Medical Supplies,4102.56,4102.56,,,0 CDM,27200000_7179531,Noncdm Charge Record Medical Supplies,101.01,101.01,,,0 CDM,27200000_7179534,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27200000_7179535,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7179537,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7179551,Noncdm Charge Record Medical Supplies,7907.76,7907.76,,,0 CDM,27200000_7179554,Noncdm Charge Record Medical Supplies,2660.61,2660.61,,,0 CDM,27200000_7179558,Noncdm Charge Record Medical Supplies,2714.61,2714.61,,,0 CDM,27200000_7179564,Noncdm Charge Record Medical Supplies,2247.84,2247.84,,,0 CDM,27200000_7179567,Noncdm Charge Record Medical Supplies,2195.17,2195.17,,,0 CDM,27200000_7179581,Noncdm Charge Record Medical Supplies,3213.83,3213.83,,,0 CDM,27200000_7179587,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27200000_7179593,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7179607,Noncdm Charge Record Medical Supplies,1895.88,1895.88,,,0 CDM,27200000_7179608,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27200000_7179609,Noncdm Charge Record Medical Supplies,1841.49,1841.49,,,0 CDM,27200000_7179617,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7179621,Noncdm Charge Record Medical Supplies,17871.0,17871.0,,,0 CDM,27200000_7179624,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7179630,Noncdm Charge Record Medical Supplies,3978.24,3978.24,,,0 CDM,27200000_7179631,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7179637,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7179640,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27200000_7179645,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7179646,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7179653,Noncdm Charge Record Medical Supplies,4040.4,4040.4,,,0 CDM,27200000_7179660,Noncdm Charge Record Medical Supplies,6182.13,6182.13,,,0 CDM,27200000_7179661,Noncdm Charge Record Medical Supplies,1864.8,1864.8,,,0 CDM,27200000_7179664,Noncdm Charge Record Medical Supplies,224.33,224.33,,,0 CDM,27200000_7179665,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7179666,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7179671,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7179675,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27200000_7179681,Noncdm Charge Record Medical Supplies,17614.8,17614.8,,,0 CDM,27200000_7179682,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27200000_7179683,Noncdm Charge Record Medical Supplies,30214.8,30214.8,,,0 CDM,27200000_7179689,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7179691,Noncdm Charge Record Medical Supplies,14584.29,14584.29,,,0 CDM,27200000_7179692,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7179698,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7179702,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7179703,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7179704,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7179705,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7179707,Noncdm Charge Record Medical Supplies,1315.39,1315.39,,,0 CDM,27200000_7179712,Noncdm Charge Record Medical Supplies,23263.38,23263.38,,,0 CDM,27200000_7179716,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7179724,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7179731,Noncdm Charge Record Medical Supplies,2540.79,2540.79,,,0 CDM,27200000_7179736,Noncdm Charge Record Medical Supplies,543.9,543.9,,,0 CDM,27200000_7179738,Noncdm Charge Record Medical Supplies,2615.76,2615.76,,,0 CDM,27200000_7179739,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7179743,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7179744,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27200000_7179745,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7179746,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7179747,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7179748,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27200000_7179760,Noncdm Charge Record Medical Supplies,451.36,451.36,,,0 CDM,27200000_7179763,Noncdm Charge Record Medical Supplies,1864.8,1864.8,,,0 CDM,27200000_7179765,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27200000_7179766,Noncdm Charge Record Medical Supplies,1849.26,1849.26,,,0 CDM,27200000_7179767,Noncdm Charge Record Medical Supplies,5182.59,5182.59,,,0 CDM,27200000_7179774,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27200000_7179775,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27200000_7179792,Noncdm Charge Record Medical Supplies,6177.15,6177.15,,,0 CDM,27200000_7179794,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7179795,Noncdm Charge Record Medical Supplies,112.98,112.98,,,0 CDM,27200000_7179798,Noncdm Charge Record Medical Supplies,1786.93,1786.93,,,0 CDM,27200000_7179801,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7179805,Noncdm Charge Record Medical Supplies,445.06,445.06,,,0 CDM,27200000_7179806,Noncdm Charge Record Medical Supplies,146.15,146.15,,,0 CDM,27200000_7179810,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7179811,Noncdm Charge Record Medical Supplies,2579.64,2579.64,,,0 CDM,27200000_7179812,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7179817,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7179825,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7179826,Noncdm Charge Record Medical Supplies,751.75,751.75,,,0 CDM,27200000_7179827,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27200000_7179829,Noncdm Charge Record Medical Supplies,709.01,709.01,,,0 CDM,27200000_7179830,Noncdm Charge Record Medical Supplies,4708.62,4708.62,,,0 CDM,27200000_7179831,Noncdm Charge Record Medical Supplies,4281.27,4281.27,,,0 CDM,27200000_7179832,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7179833,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27200000_7179837,Noncdm Charge Record Medical Supplies,2198.91,2198.91,,,0 CDM,27200000_7179838,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27200000_7179842,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7179843,Noncdm Charge Record Medical Supplies,2183.37,2183.37,,,0 CDM,27200000_7179844,Noncdm Charge Record Medical Supplies,5244.75,5244.75,,,0 CDM,27200000_7179845,Noncdm Charge Record Medical Supplies,613.83,613.83,,,0 CDM,27200000_7179846,Noncdm Charge Record Medical Supplies,318.57,318.57,,,0 CDM,27200000_7179847,Noncdm Charge Record Medical Supplies,435.12,435.12,,,0 CDM,27200000_7179848,Noncdm Charge Record Medical Supplies,62.16,62.16,,,0 CDM,27200000_7179849,Noncdm Charge Record Medical Supplies,62.16,62.16,,,0 CDM,27200000_7179851,Noncdm Charge Record Medical Supplies,62.16,62.16,,,0 CDM,27200000_7179852,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7179854,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27200000_7179864,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27200000_7179873,Noncdm Charge Record Medical Supplies,452.04,452.04,,,0 CDM,27200000_7179884,Noncdm Charge Record Medical Supplies,257.42,257.42,,,0 CDM,27200000_7179903,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27200000_7179906,Noncdm Charge Record Medical Supplies,121.92,121.92,,,0 CDM,27200000_7179907,Noncdm Charge Record Medical Supplies,684.61,684.61,,,0 CDM,27200000_7179908,Noncdm Charge Record Medical Supplies,175.6,175.6,,,0 CDM,27200000_7179909,Noncdm Charge Record Medical Supplies,53.46,53.46,,,0 CDM,27200000_7179914,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7179915,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27200000_7179921,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27200000_7179927,Noncdm Charge Record Medical Supplies,1805.75,1805.75,,,0 CDM,27200000_7179946,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27200000_7179953,Noncdm Charge Record Medical Supplies,1377.16,1377.16,,,0 CDM,27200000_7179954,Noncdm Charge Record Medical Supplies,1321.68,1321.68,,,0 CDM,27200000_7179955,Noncdm Charge Record Medical Supplies,1337.99,1337.99,,,0 CDM,27200000_7179960,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27200000_7179961,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7179962,Noncdm Charge Record Medical Supplies,784.77,784.77,,,0 CDM,27200000_7179965,Noncdm Charge Record Medical Supplies,2198.91,2198.91,,,0 CDM,27200000_7179966,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7179967,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27200000_7179968,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7179969,Noncdm Charge Record Medical Supplies,3488.73,3488.73,,,0 CDM,27200000_7179970,Noncdm Charge Record Medical Supplies,4281.27,4281.27,,,0 CDM,27200000_7179972,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27200000_7179973,Noncdm Charge Record Medical Supplies,1864.8,1864.8,,,0 CDM,27200000_7179977,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27200000_7179979,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27200000_7179981,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27200000_7179983,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27200000_7179988,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27200000_7179990,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7179991,Noncdm Charge Record Medical Supplies,2626.26,2626.26,,,0 CDM,27200000_7180004,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7180005,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7180006,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7180013,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27200000_7180032,Noncdm Charge Record Medical Supplies,4531.46,4531.46,,,0 CDM,27200000_7180034,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7180039,Noncdm Charge Record Medical Supplies,4170.09,4170.09,,,0 CDM,27200000_7180041,Noncdm Charge Record Medical Supplies,3383.84,3383.84,,,0 CDM,27200000_7180044,Noncdm Charge Record Medical Supplies,3131.31,3131.31,,,0 CDM,27200000_7180052,Noncdm Charge Record Medical Supplies,17136.0,17136.0,,,0 CDM,27200000_7180053,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27200000_7180067,Noncdm Charge Record Medical Supplies,1406.3,1406.3,,,0 CDM,27200000_7180068,Noncdm Charge Record Medical Supplies,3177.93,3177.93,,,0 CDM,27200000_7180092,Noncdm Charge Record Medical Supplies,808.08,808.08,,,0 CDM,27200000_7180100,Noncdm Charge Record Medical Supplies,1101.4,1101.4,,,0 CDM,27200000_7180101,Noncdm Charge Record Medical Supplies,1629.76,1629.76,,,0 CDM,27200000_7180102,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27200000_7180104,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7180112,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27200000_7180113,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27200000_7180125,Noncdm Charge Record Medical Supplies,2540.79,2540.79,,,0 CDM,27200000_7180126,Noncdm Charge Record Medical Supplies,2540.79,2540.79,,,0 CDM,27200000_7180131,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27200000_7180142,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7180153,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27200000_7180172,Noncdm Charge Record Medical Supplies,281.48,281.48,,,0 CDM,27200000_7180190,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7180191,Noncdm Charge Record Medical Supplies,3271.17,3271.17,,,0 CDM,27200000_7180196,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7180197,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_7180199,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27200000_7180200,Noncdm Charge Record Medical Supplies,4778.55,4778.55,,,0 CDM,27200000_7180203,Noncdm Charge Record Medical Supplies,3271.17,3271.17,,,0 CDM,27200000_7180208,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27200000_7180226,Noncdm Charge Record Medical Supplies,698.29,698.29,,,0 CDM,27200000_7180231,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27200000_7180240,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7180264,Noncdm Charge Record Medical Supplies,3383.84,3383.84,,,0 CDM,27200000_7180269,Noncdm Charge Record Medical Supplies,4669.38,4669.38,,,0 CDM,27200000_7180270,Noncdm Charge Record Medical Supplies,4609.94,4609.94,,,0 CDM,27200000_7180274,Noncdm Charge Record Medical Supplies,2222.22,2222.22,,,0 CDM,27200000_7180285,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27200000_7180286,Noncdm Charge Record Medical Supplies,11062.8,11062.8,,,0 CDM,27200000_7180291,Noncdm Charge Record Medical Supplies,568.38,568.38,,,0 CDM,27200000_7180292,Noncdm Charge Record Medical Supplies,1815.85,1815.85,,,0 CDM,27200000_7180307,Noncdm Charge Record Medical Supplies,3605.28,3605.28,,,0 CDM,27200000_7180310,Noncdm Charge Record Medical Supplies,24192.0,24192.0,,,0 CDM,27200000_7180311,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7180313,Noncdm Charge Record Medical Supplies,1214.84,1214.84,,,0 CDM,27200000_7180314,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7180317,Noncdm Charge Record Medical Supplies,24192.0,24192.0,,,0 CDM,27200000_7180319,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7180320,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7180322,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7180323,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7180326,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27200000_7180333,Noncdm Charge Record Medical Supplies,28702.38,28702.38,,,0 CDM,27200000_7180337,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27200000_7180339,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27200000_7180353,Noncdm Charge Record Medical Supplies,7016.31,7016.31,,,0 CDM,27200000_7180365,Noncdm Charge Record Medical Supplies,4170.09,4170.09,,,0 CDM,27200000_7180384,Noncdm Charge Record Medical Supplies,1507.38,1507.38,,,0 CDM,27200000_7180403,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27200000_7180404,Noncdm Charge Record Medical Supplies,963.48,963.48,,,0 CDM,27200000_7180405,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27200000_7180413,Noncdm Charge Record Medical Supplies,282.24,282.24,,,0 CDM,27200000_7180419,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27200000_7180420,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27200000_7180421,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27200000_7180424,Noncdm Charge Record Medical Supplies,1771.56,1771.56,,,0 CDM,27200000_7180433,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7180452,Noncdm Charge Record Medical Supplies,876.69,876.69,,,0 CDM,27200000_7180478,Noncdm Charge Record Medical Supplies,217.56,217.56,,,0 CDM,27200000_7180501,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27200000_7180508,Noncdm Charge Record Medical Supplies,876.69,876.69,,,0 CDM,27200000_7180509,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27200000_7180517,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27200000_7180518,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27200000_7180685,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27200000_7180698,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27200000_7180708,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27200000_7180714,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7180715,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7180717,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27200000_7180718,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27200000_7180738,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27200000_7180799,Noncdm Charge Record Medical Supplies,1405.44,1405.44,,,0 CDM,27200000_7181252,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7181665,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27200000_7181666,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27200000_7181723,Noncdm Charge Record Medical Supplies,10265.02,10265.02,,,0 CDM,27200000_7182133,Noncdm Charge Record Medical Supplies,689.98,689.98,,,0 CDM,27200000_7182913,Noncdm Charge Record Medical Supplies,873.27,873.27,,,0 CDM,27200000_7182914,Noncdm Charge Record Medical Supplies,873.27,873.27,,,0 CDM,27200000_7182915,Noncdm Charge Record Medical Supplies,904.89,904.89,,,0 CDM,27200000_7186917,Noncdm Charge Record Medical Supplies,5328.75,5328.75,,,0 CDM,27200000_724188,Noncdm Charge Record Medical Supplies,1619.94,1619.94,,,0 CDM,27200000_732421,Noncdm Charge Record Medical Supplies,4201.63,4201.63,,,0 CDM,27200000_735841,Noncdm Charge Record Medical Supplies,2549.37,2549.37,,,0 CDM,27200000_745669,Noncdm Charge Record Medical Supplies,3025.71,3025.71,,,0 CDM,27200000_747412,Noncdm Charge Record Medical Supplies,1075.57,1075.57,,,0 CDM,27200000_747614,Noncdm Charge Record Medical Supplies,2446.15,2446.15,,,0 CDM,27200000_749830,Noncdm Charge Record Medical Supplies,212.12,212.12,,,0 CDM,27200000_749900,Noncdm Charge Record Medical Supplies,212.12,212.12,,,0 CDM,27200000_750961,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27200000_751316,Noncdm Charge Record Medical Supplies,753.76,753.76,,,0 CDM,27200000_752734,Noncdm Charge Record Medical Supplies,6262.62,6262.62,,,0 CDM,27200000_753423,Noncdm Charge Record Medical Supplies,2564.1,2564.1,,,0 CDM,27200000_754341,Noncdm Charge Record Medical Supplies,3428.05,3428.05,,,0 CDM,27200000_755119,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27200000_755842,Noncdm Charge Record Medical Supplies,1439.0,1439.0,,,0 CDM,27200000_755843,Noncdm Charge Record Medical Supplies,1123.5,1123.5,,,0 CDM,27200000_756906,Noncdm Charge Record Medical Supplies,1592.85,1592.85,,,0 CDM,27200000_757398,Noncdm Charge Record Medical Supplies,3945.92,3945.92,,,0 CDM,27200000_757401,Noncdm Charge Record Medical Supplies,1459.98,1459.98,,,0 CDM,27200000_758321,Noncdm Charge Record Medical Supplies,679.33,679.33,,,0 CDM,27200000_758840,Noncdm Charge Record Medical Supplies,2852.68,2852.68,,,0 CDM,27200000_758922,Noncdm Charge Record Medical Supplies,1697.13,1697.13,,,0 CDM,27200000_758923,Noncdm Charge Record Medical Supplies,1663.1,1663.1,,,0 CDM,27200000_763098,Noncdm Charge Record Medical Supplies,624.29,624.29,,,0 CDM,27200000_763196,Noncdm Charge Record Medical Supplies,2065.48,2065.48,,,0 CDM,27200000_767305,Noncdm Charge Record Medical Supplies,382.74,382.74,,,0 CDM,27200000_773066,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27200000_773173,Noncdm Charge Record Medical Supplies,5790.91,5790.91,,,0 CDM,27200000_773263,Noncdm Charge Record Medical Supplies,1846.15,1846.15,,,0 CDM,27200000_773452,Noncdm Charge Record Medical Supplies,1227.66,1227.66,,,0 CDM,27200000_773920,Noncdm Charge Record Medical Supplies,393.24,393.24,,,0 CDM,27200000_774375,Noncdm Charge Record Medical Supplies,393.24,393.24,,,0 CDM,27200000_774461,Noncdm Charge Record Medical Supplies,1166.67,1166.67,,,0 CDM,27200000_777180,Noncdm Charge Record Medical Supplies,4433.81,4433.81,,,0 CDM,27200000_777368,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27200000_777496,Noncdm Charge Record Medical Supplies,794.81,794.81,,,0 CDM,27200000_778848,Noncdm Charge Record Medical Supplies,1655.53,1655.53,,,0 CDM,27200000_780167,Noncdm Charge Record Medical Supplies,2549.65,2549.65,,,0 CDM,27200000_780642,Noncdm Charge Record Medical Supplies,2461.15,2461.15,,,0 CDM,27200000_780766,Noncdm Charge Record Medical Supplies,4438.22,4438.22,,,0 CDM,27200000_781008,Noncdm Charge Record Medical Supplies,2769.23,2769.23,,,0 CDM,27200001,Hc Atec Suction Canister W/Lid,53.55,53.55,,,0 CDM,27200001_272,Hc Atec Suction Canister W/Lid,53.55,53.55,,,0 CDM,27200002,Hc 800Cc Suction Canister Suros,42.0,42.0,,,0 CDM,27200002_272,Hc 800Cc Suction Canister Suros,42.0,42.0,,,0 CDM,27200003,Hc Needle Block 18G,53.55,53.55,,,0 CDM,27200004,Hc Civco Latex Free Probe Covers W/Gui,100.8,100.8,,,0 CDM,27200004_272,Hc Civco Latex Free Probe Covers W/Gui,100.8,100.8,,,0 CDM,27200005,Hc Detachable Balloons,4643.1,4643.1,,,0 CDM,27200006,Hc Feeding Tube W/Stylet,132.3,132.3,,,0 CDM,27200006_272,Hc Feeding Tube W/Stylet,2440.33,2440.33,,,0 CDM,27200006_7172716,Hc Feeding Tube W/Stylet,1393.78,1393.78,,,0 CDM,27200007,Hc Cardinal Biopsy Tray,141.75,141.75,,,0 CDM,27200007_272,Hc Cardinal Biopsy Tray,141.75,141.75,,,0 CDM,27200008,Hc Kopans Needle Wire,157.5,157.5,,,0 CDM,27200008_A4648_278,Hc Kopans Needle Wire,157.5,157.5,,,0 CDM,27200009,Hc Filter Needle,164.85,164.85,,,0 CDM,27200010,Hc Chiba Needle,173.25,173.25,,,0 CDM,27200010_272,Hc Chiba Needle,173.25,173.25,,,0 CDM,27200011,Hc Set Introducer,239.4,239.4,,,0 CDM,27200012,Hc Fna Co-Axial,256.2,256.2,,,0 CDM,27200012_272,Hc Fna Co-Axial,256.2,256.2,,,0 CDM,27200013,Hc Biopsy Needle 18G,285.6,285.6,,,0 CDM,27200013_272,Hc Biopsy Needle 18G,285.6,285.6,,,0 CDM,27200014,Hc Coil Emboli,339.15,339.15,,,0 CDM,27200015,Hc Achieve Co Axial Needle,378.0,378.0,,,0 CDM,27200015_272,Hc Achieve Co Axial Needle,378.0,378.0,,,0 CDM,27200016,Hc D Stat Hemostatic Bandage,395.85,395.85,,,0 CDM,27200017,Hc Temno Coaxial Needle,408.45,408.45,,,0 CDM,27200017_272,Hc Temno Coaxial Needle,408.45,408.45,,,0 CDM,27200018,Hc Suros Needle Guide For Fisher,427.35,427.35,,,0 CDM,27200018_272,Hc Suros Needle Guide For Fisher,427.35,427.35,,,0 CDM,27200019,Hc 18G Leloc Single Hook,445.2,445.2,,,0 CDM,27200020,Hc Flexma W/Bilary Drain W Lock,468.3,468.3,,,0 CDM,27200021,Hc Radi Bonopty Ciopsy Set,491.4,491.4,,,0 CDM,27200022,Hc 20G Leloc Single Hook,582.75,582.75,,,0 CDM,27200023,Hc Mr-Biopsy Sleeve,784.35,784.35,,,0 CDM,27200024,Hc Mr Biopsy Gun,784.35,784.35,,,0 CDM,27200025,Hc Picc Line Catheter,1030.05,1030.05,,,0 CDM,27200026,Hc 9G 20Mm Introducer Loc Set Suros,1573.95,1573.95,,,0 CDM,27200026_272,Hc 9G 20Mm Introducer Loc Set Suros,1573.95,1573.95,,,0 CDM,27200028,Hc Biosphere Embosphere Microsphere,1702.05,1702.05,,,0 CDM,27200030,Hc Celero Probe Handpiece,2294.25,2294.25,,,0 CDM,27200030_272,Hc Celero Probe Handpiece,2294.25,2294.25,,,0 CDM,27200031,Hc 9G 20Mm Handpiece Suros,2814.0,2814.0,,,0 CDM,27200031_272,Hc 9G 20Mm Handpiece Suros,2814.0,2814.0,,,0 CDM,27200032,Hc Denver Pleurx Cath Kit,3040.8,3040.8,,,0 CDM,27200033,Hc Interlock Fibered Coils,3164.7,3164.7,,,0 CDM,27200034,Hc Amplatzer Vascular Plug,3284.4,3284.4,,,0 CDM,27200035,Hc Denver Pleurex Drain Kit,4420.5,4420.5,,,0 CDM,27200036,Hc Vertrbralplasty Kit W Bone Cement,4538.1,4538.1,,,0 CDM,27200037,Hc Gdc Coils,4877.25,4877.25,,,0 CDM,27200038,Hc Hd500 Glue,9032.1,9032.1,,,0 CDM,27200039,Hc Lc Beads,9626.4,9626.4,,,0 CDM,27200040,Hc Penumbra Separator Wire,13318.2,13318.2,,,0 CDM,27200041,Hc Uniblate Rfa Needle,13997.55,13997.55,,,0 CDM,27200042,Hc Particle Emboli,14386.05,14386.05,,,0 CDM,27200043,Hc Glue Emboli,16638.3,16638.3,,,0 CDM,27200043_621,Hc Glue Emboli,16638.3,16638.3,,,0 CDM,27200044,Hc Onyx Liquid Embolic System,17824.8,17824.8,,,0 CDM,27200045,Hc Mr Uroablation Kit,20324.85,20324.85,,,0 CDM,27200046,Hc Biopatch,26.25,26.25,,,0 CDM,27200046_A4221_272,Hc Biopatch,26.25,26.25,,,0 CDM,27200047,Hc Supply Use Mainta Of Drug Inf Cath,26.25,26.25,,,0 CDM,27200048,Hc Foley Catheter Urinary 6F,108.15,108.15,,,0 CDM,27200049,Hc Uninary Catheter Anchor Device Adhesive Skin Attachment,35.7,35.7,,,0 CDM,27200050,Hc Urinary Drainage Bag,39.9,39.9,,,0 CDM,27200051,Hc Advantage I-125 Tiss Impl Mrkr Seed,416.85,416.85,,,0 CDM,27200052,Hc Alec Trimark Tissue Mark Suros,1508.85,1508.85,,,0 CDM,27200052_A4648_278,Hc Alec Trimark Tissue Mark Suros,1508.85,1508.85,,,0 CDM,27200053,Hc Suros Biopsy Site Identifier,1984.5,1984.5,,,0 CDM,27200053_A4648_278,Hc Suros Biopsy Site Identifier,1984.5,1984.5,,,0 CDM,27200055,Hc Tissue Marker Inrad Ultraclip,1949.85,1949.85,,,0 CDM,27200057,Hc Tiss Markr Senorx Site Marker Clip,1991.85,1991.85,,,0 CDM,27200057_A4648_278,Hc Tiss Markr Senorx Site Marker Clip,1991.85,1991.85,,,0 CDM,27200058,Hc Balloon Dilation Catheter,4726.05,4726.05,,,0 CDM,27200058_7155117,Hc Balloon Dilation Catheter,2867.13,2867.13,,,0 CDM,27200058_7160756,Hc Balloon Dilation Catheter,16278.15,16278.15,,,0 CDM,27200058_7161069,Hc Balloon Dilation Catheter,2303.34,2303.34,,,0 CDM,27200058_7162148,Hc Balloon Dilation Catheter,295.26,295.26,,,0 CDM,27200058_7163573,Hc Balloon Dilation Catheter,699.3,699.3,,,0 CDM,27200058_7164012,Hc Balloon Dilation Catheter,3496.5,3496.5,,,0 CDM,27200058_7164226,Hc Balloon Dilation Catheter,2867.13,2867.13,,,0 CDM,27200058_7165826,Hc Balloon Dilation Catheter,1935.28,1935.28,,,0 CDM,27200058_7165854,Hc Balloon Dilation Catheter,2867.13,2867.13,,,0 CDM,27200058_7169767,Hc Balloon Dilation Catheter,1903.65,1903.65,,,0 CDM,27200058_7171014,Hc Balloon Dilation Catheter,326.34,326.34,,,0 CDM,27200058_7171641,Hc Balloon Dilation Catheter,4537.68,4537.68,,,0 CDM,27200058_7173204,Hc Balloon Dilation Catheter,2564.1,2564.1,,,0 CDM,27200058_7174372,Hc Balloon Dilation Catheter,699.3,699.3,,,0 CDM,27200058_7174854,Hc Balloon Dilation Catheter,326.34,326.34,,,0 CDM,27200058_7175614,Hc Balloon Dilation Catheter,699.3,699.3,,,0 CDM,27200058_7175615,Hc Balloon Dilation Catheter,699.3,699.3,,,0 CDM,27200058_7176039,Hc Balloon Dilation Catheter,1903.65,1903.65,,,0 CDM,27200058_7176376,Hc Balloon Dilation Catheter,1903.65,1903.65,,,0 CDM,27200058_7176777,Hc Balloon Dilation Catheter,699.3,699.3,,,0 CDM,27200058_7176994,Hc Balloon Dilation Catheter,4576.53,4576.53,,,0 CDM,27200058_7177444,Hc Balloon Dilation Catheter,16278.15,16278.15,,,0 CDM,27200058_7177457,Hc Balloon Dilation Catheter,16278.15,16278.15,,,0 CDM,27200058_7177464,Hc Balloon Dilation Catheter,16278.15,16278.15,,,0 CDM,27200058_7177484,Hc Balloon Dilation Catheter,16278.15,16278.15,,,0 CDM,27200058_7178155,Hc Balloon Dilation Catheter,745.53,745.53,,,0 CDM,27200058_7180443,Hc Balloon Dilation Catheter,326.34,326.34,,,0 CDM,27200058_C1725_272,Hc Balloon Dilation Catheter,4630.92,4630.92,,,0 CDM,27200059,Hc Cath Cutting Balloon,4448.85,4448.85,,,0 CDM,27200060,Hc Lg Vessel Dilation Balloon Cat,4668.3,4668.3,,,0 CDM,27200061,Hc Cath Equalizer Occlusion Balloon,4670.4,4670.4,,,0 CDM,27200062,Hc Medium Profile Balloon,4697.7,4697.7,,,0 CDM,27200063,Hc High Profile Balloon,5028.45,5028.45,,,0 CDM,27200064,Hc Cath Std Occlusion Baloon,5028.45,5028.45,,,0 CDM,27200065,Hc Drainage Catheters,1092.0,1092.0,,,0 CDM,27200066,Hc Permacath,1770.3,1770.3,,,0 CDM,27200067,Hc Hemodialysis/Central Ven Cat,2277.45,2277.45,,,0 CDM,27200068,Hc Therasphere Yttrium-90,20657.7,20657.7,,,0 CDM,27200069,Hc Cath Abltn Non Card Endovasc,10874.85,10874.85,,,0 CDM,27200070,Hc Low Profile Sheath,975.45,975.45,,,0 CDM,27200071,Hc High Profile Sheath,937.65,937.65,,,0 CDM,27200072,Hc Infusion Catheter,1009.05,1009.05,,,0 CDM,27200072_7155441,Hc Infusion Catheter,808.08,808.08,,,0 CDM,27200072_7168214,Hc Infusion Catheter,404.04,404.04,,,0 CDM,27200072_7168394,Hc Infusion Catheter,1919.19,1919.19,,,0 CDM,27200072_C1751_272,Hc Infusion Catheter,1225.64,1225.64,,,0 CDM,27200073,Hc Temporary Access Catheter,1118.25,1118.25,,,0 CDM,27200074,Hc Penumbra Reperfusion Cath,6699.0,6699.0,,,0 CDM,27200075,Hc Catheter Thrombectomy/Embolectomy,6936.3,6936.3,,,0 CDM,27200076,Hc Solataire/Trevor Stroke Device,26046.3,26046.3,,,0 CDM,27200077,Hc Solitare Brain Device,28326.9,28326.9,,,0 CDM,27200078,Hc Cath Ureteral,960.75,960.75,,,0 CDM,27200079,Hc Closure Device,1741.95,1741.95,,,0 CDM,27200080,Hc Guidewire,571.2,571.2,,,0 CDM,27200080_C1769_272,Hc Guidewire,571.2,571.2,,,0 CDM,27200081,Hc Dasher Wire,569.1,569.1,,,0 CDM,27200082,Hc Coil Pusher,571.2,571.2,,,0 CDM,27200083,Hc Asahi Wire,2822.4,2822.4,,,0 CDM,27200084,Hc Imaging Coil Mag Res Endrctl,1194.9,1194.9,,,0 CDM,27200085,Hc Catheter Snare,3123.75,3123.75,,,0 CDM,27200086,Hc Bard Recovery Cone,3123.75,3123.75,,,0 CDM,27200087,Hc Alligator Retrieval Snare,14313.6,14313.6,,,0 CDM,27200088,Hc In Time Strand Basket,20408.85,20408.85,,,0 CDM,27200089,Hc Port Indwelling,3606.75,3606.75,,,0 CDM,27200090,Hc Stent Viabann,16744.35,16744.35,,,0 CDM,27200091,Hc Neuroform Stent 4.5 X 20Mm,8287.65,8287.65,,,0 CDM,27200092,"Hc Wall Stent (20,30)",13953.45,13953.45,,,0 CDM,27200093,"Hc Tracho Bronchial Wall Stent(20,30)",13953.45,13953.45,,,0 CDM,27200094,Hc Stent Bilary Palmaz Transpart,17037.3,17037.3,,,0 CDM,27200095,Hc Stent Viatorr,17208.45,17208.45,,,0 CDM,27200096,Hc Stent Trac Wallgraft (70Mm),17301.9,17301.9,,,0 CDM,27200097,Hc Wall Stent-42Mm Or 68Mm,7030.8,7030.8,,,0 CDM,27200098,Hc Vena Cava Filter,5155.5,5155.5,,,0 CDM,27200099,Hc Filter Catheter,8621.55,8621.55,,,0 CDM,27200100,Hc Embolization Protective System,21556.5,21556.5,,,0 CDM,27200101,Hc Guiding Catheter,915.6,915.6,,,0 CDM,27200102,Hc Catheter Glide Caths,940.8,940.8,,,0 CDM,27200103,Hc Gdc Tracker/Catheter,836.85,836.85,,,0 CDM,27200104,Hc Addl Target Catheter-Supersel,906.15,906.15,,,0 CDM,27200105,Hc Superselect Catheter & Wire,932.4,932.4,,,0 CDM,27200106,Hc Cath Envoy Guiding Catheter,933.45,933.45,,,0 CDM,27200107,Hc Haskal Tranjug Intrhep Port Acc Set,949.2,949.2,,,0 CDM,27200108,Hc Catheter Ablation Rf Dondcutr,10435.95,10435.95,,,0 CDM,27200109,Hc Hemodynamic Line Supply,1426.95,1426.95,,,0 CDM,27200109_272,Hc Hemodynamic Line Supply,1426.95,1426.95,,,0 CDM,27200110,Hc Lumbar Puncture Tray,55.65,55.65,,,0 CDM,27200110_272,Hc Lumbar Puncture Tray,55.65,55.65,,,0 CDM,27200111,Hc Cath Balloon Tsu Dsctr 8Mmx4Cm,1446.9,1446.9,,,0 CDM,27200112,Hc Cath Balloon Tsu Dsctr 12Mmx4Cm,1446.9,1446.9,,,0 CDM,27200113,Hc Cath Balloon Tsu Dsctr 16Mmx4Cm,1446.9,1446.9,,,0 CDM,27200114,Hc Guide Wire 15J,560.7,560.7,,,0 CDM,27200116,Hc Cath Balloon Tsu Dsctr 14Mmx4Cm,1446.9,1446.9,,,0 CDM,27200118,Hc Guide Wire V18 Gd Wre,430.5,430.5,,,0 CDM,27200119,Hc Set Introducer,147.0,147.0,,,0 CDM,27200120,Hc Cath Balloon Tsu Dsctr 10Mmx4Cm,1446.9,1446.9,,,0 CDM,27200122,Hc Esophageal Catheter,256.2,256.2,,,0 CDM,27200125,Hc Wire Level 1,100.8,100.8,,,0 CDM,27200125_C1769_272,Hc Wire Level 1,100.8,100.8,,,0 CDM,27200126,Hc Wire Level 2,206.85,206.85,,,0 CDM,27200126_C1769_272,Hc Wire Level 2,206.85,206.85,,,0 CDM,27200127,Hc Wire Level 3,514.5,514.5,,,0 CDM,27200128,Hc Wire Level 4,1072.05,1072.05,,,0 CDM,27200129,Hc Balloon Level 1,830.55,830.55,,,0 CDM,27200130,Hc Balloon Level 2,1344.0,1344.0,,,0 CDM,27200131,Hc Balloon Level 3,2063.25,2063.25,,,0 CDM,27200132,Hc Balloon Level 4,5176.5,5176.5,,,0 CDM,27200133,Hc Balloon Level 5,7951.65,7951.65,,,0 CDM,27200134,Hc Cutting Balloon,4158.0,4158.0,,,0 CDM,27200135,Hc Stealth Balloon Cath Syst,5028.45,5028.45,,,0 CDM,27200136,Hc Drain Level 1,100.8,100.8,,,0 CDM,27200137,Hc Drain Level 2,515.55,515.55,,,0 CDM,27200137_C1729_272,Hc Drain Level 2,515.55,515.55,,,0 CDM,27200138,Hc Drain Level 3,824.25,824.25,,,0 CDM,27200139,Hc Pleurx Drainage Kit (Complete),5513.55,5513.55,,,0 CDM,27200140,Hc Cath Hemodialys Pertnl Long Term,1775.55,1775.55,,,0 CDM,27200141,Hc Thrombectomy Catheter Level 1,5688.9,5688.9,,,0 CDM,27200142,Hc Thrombectomy Catheter Level 2,15465.45,15465.45,,,0 CDM,27200143,Hc Thrombectomy Kit,3953.25,3953.25,,,0 CDM,27200144,Hc Thrombectomy Catheter System,6168.75,6168.75,,,0 CDM,27200147,Hc Snare Level 2,3102.75,3102.75,,,0 CDM,27200148,Hc Snare Level 3,5152.35,5152.35,,,0 CDM,27200149,Hc Snare Level 4,12928.65,12928.65,,,0 CDM,27200150,Hc Catheter Snare,3362.1,3362.1,,,0 CDM,27200151,Hc Stent Viabann,12958.05,12958.05,,,0 CDM,27200152,Hc Pipeline Flow Diversion System,72007.95,72007.95,,,0 CDM,27200153,Hc Stent Level 4,6178.2,6178.2,,,0 CDM,27200154,Hc Stent Level 5,29725.5,29725.5,,,0 CDM,27200155,Hc Neuroform Stent 2.5 X 15Mm,8287.65,8287.65,,,0 CDM,27200156,Hc Neuroform Stent 4.5 X 10Mm,8046.15,8046.15,,,0 CDM,27200157,Hc Pipeline Embolization Device,73362.45,73362.45,,,0 CDM,27200158,Hc Wingspan Stent,9032.1,9032.1,,,0 CDM,27200159,Hc Guiding/Infusion Catheter Level 3,1820.7,1820.7,,,0 CDM,27200160,Hc Guiding/Infusion Catheter Level 8,10347.75,10347.75,,,0 CDM,27200161,Hc Guiding/Infusion Catheter Level 4,2061.15,2061.15,,,0 CDM,27200162,Hc Guiding/Infusion Catheter Level 7,6644.4,6644.4,,,0 CDM,27200163,Hc Occlusion Balloon Level 2,5799.15,5799.15,,,0 CDM,27200166,Hc Penumbra 3D Separator; Research,5071.0,5071.0,,,0 CDM,27200167,Hc Wire Level 5,1972.95,1972.95,,,0 CDM,27200168,Hc Rfa Needle,9257.85,9257.85,,,0 CDM,27200169,Hc Guiding/Infusion Catheter Level 5,2692.2,2692.2,,,0 CDM,27200172,Hc Volcano Platinum Cath,3148.95,3148.95,,,0 CDM,27200173,Hc Gi Tube Low Profile,2218.65,2218.65,,,0 CDM,27200174,Hc Coil Level 1,396.9,396.9,,,0 CDM,27200175,Hc Coil Level 2,2055.9,2055.9,,,0 CDM,27200176,Hc Coil Level 3,3474.45,3474.45,,,0 CDM,27200177,Hc Coil Level 5,8266.65,8266.65,,,0 CDM,27200178,Hc Coil Level 6,13391.7,13391.7,,,0 CDM,27200179,Hc Coli Level 4,5154.45,5154.45,,,0 CDM,27200180,Hc Embolic Spheres Level 1,1230.6,1230.6,,,0 CDM,27200181,Hc Embolic Spheres Level 2,6176.1,6176.1,,,0 CDM,27200182,Hc Ethiadol,4097.1,4097.1,,,0 CDM,27200183,Hc General Catheter Level 1,100.8,100.8,,,0 CDM,27200184,Hc General Catheter Level 2,317.1,317.1,,,0 CDM,27200185,Hc Inflation Device - Cadence,2565.15,2565.15,,,0 CDM,27200186,Hc Inflation Device- Standard,157.5,157.5,,,0 CDM,27200187,"Hc Kyphoplasty Cement, Additional Levels",1890.0,1890.0,,,0 CDM,27200188,Hc Kyphoplasty Kit,30870.0,30870.0,,,0 CDM,27200189,Hc Liquid Embolic,11522.7,11522.7,,,0 CDM,27200190,Hc Lp/Myelogram Kit,100.8,100.8,,,0 CDM,27200190_272,Hc Lp/Myelogram Kit,100.8,100.8,,,0 CDM,27200191,Hc Needle Level 1,100.8,100.8,,,0 CDM,27200191_272,Hc Needle Level 1,100.8,100.8,,,0 CDM,27200192,Hc Needle Level 2,253.05,253.05,,,0 CDM,27200192_272,Hc Needle Level 2,253.05,253.05,,,0 CDM,27200193,Hc Needle Level 3,515.55,515.55,,,0 CDM,27200194,Hc Procedure Pack,435.75,435.75,,,0 CDM,27200194_272,Hc Procedure Pack,435.75,435.75,,,0 CDM,27200195,Hc T-Fasteners,594.3,594.3,,,0 CDM,27200196,Hc 035 Thrombectomy; Rotational Cath,6188.7,6188.7,,,0 CDM,27200197,Hc Temp Cath (Non-Tunneled),1030.05,1030.05,,,0 CDM,27200198,Hc Fox Hollow Periphrl Rinsprtn Sys,921.9,921.9,,,0 CDM,27200199,Hc Sheath Level 1,199.5,199.5,,,0 CDM,27200199_C1894_272,Hc Sheath Level 1,199.5,199.5,,,0 CDM,27200200,Hc Achieve Coaxial 14G,246.75,246.75,,,0 CDM,27200201,Hc Needle Block 12G,42.0,42.0,,,0 CDM,27200202,Hc Hsg Catheter,101.85,101.85,,,0 CDM,27200222,Hc Eagle Eye Platinum Ivus Catheter,4977.0,4977.0,,,0 CDM,27200222_C1753_272,Hc Eagle Eye Platinum Ivus Catheter,4977.0,4977.0,,,0 CDM,27200225,Hc Thrombectomy Catheter Level 3,34825.35,34825.35,,,0 CDM,27200228,Hc Stent Level 3,31645.95,31645.95,,,0 CDM,27200229,Hc Drug Eluding Stent,7254.45,7254.45,,,0 CDM,27200230,Hc Spine Ablation/Augmentation System,32501.7,32501.7,,,0 CDM,27200242,Hc Itc Ballon,4175.85,4175.85,,,0 CDM,27200243,Hc Catheter Repair Kit,1055.25,1055.25,,,0 CDM,27200244,Hc Coil Detachment Device,1746.15,1746.15,,,0 CDM,27200244_7173334,Hc Coil Detachment Device,1472.42,1472.42,,,0 CDM,27200244_7173336,Hc Coil Detachment Device,8974.35,8974.35,,,0 CDM,27200245,Hc Vascular Plug Level 1,4097.1,4097.1,,,0 CDM,27200246,Hc Vascular Plug Level 2,9828.0,9828.0,,,0 CDM,27200247,Hc Vascular Plug Level 3,15361.5,15361.5,,,0 CDM,27200248,Hc Securement Device,206.85,206.85,,,0 CDM,27200248_A4333_272,Hc Securement Device,206.85,206.85,,,0 CDM,27200248_A4333_274,Hc Securement Device,206.85,206.85,,,0 CDM,27200249,Hc Drainage Supplies,158.55,158.55,,,0 CDM,27200249_A4358_272,Hc Drainage Supplies,158.55,158.55,,,0 CDM,27200249_A4358_274,Hc Drainage Supplies,158.55,158.55,,,0 CDM,27200250,Hc Fiducial Markers,766.5,766.5,,,0 CDM,27200250_A4648_278,Hc Fiducial Markers,766.5,766.5,,,0 CDM,27200251,Hc Pleurx Drainage Supplies Kit (Home),1417.5,1417.5,,,0 CDM,27200253,Hc Gi Tube Standard,1029.0,1029.0,,,0 CDM,27200254,Hc Minihawk Plaque Excision,10024.35,10024.35,,,0 CDM,27200255,Hc Cath Cutting Balloon,3593.1,3593.1,,,0 CDM,27200256,Hc Permacath (Tunneled),1861.65,1861.65,,,0 CDM,27200257,Hc Picc Line,1337.7,1337.7,,,0 CDM,27200258,Hc Neostar Catheter,1174.95,1174.95,,,0 CDM,27200259,Hc Eagle Eye Pltnm Ivus Cath; Research,1237.0,1237.0,,,0 CDM,27200263,Hc Closure Device Level 2,1151.85,1151.85,,,0 CDM,27200267,Hc Wire Level 6,2457.0,2457.0,,,0 CDM,27200268,Hc Snare Level 1,1751.4,1751.4,,,0 CDM,27200269,Hc Portacath,2303.7,2303.7,,,0 CDM,27200269_C1788_278,Hc Portacath,2303.7,2303.7,,,0 CDM,27200270,Hc Stent Level 1,13980.75,13980.75,,,0 CDM,27200271,Hc Stent Level 2,20580.0,20580.0,,,0 CDM,27200273,Hc Stent Level 6,13391.7,13391.7,,,0 CDM,27200274,Hc Embolization Protection System,7120.05,7120.05,,,0 CDM,27200277,Hc Guiding/Infusion Catheter Level 1,514.5,514.5,,,0 CDM,27200278,Hc Guiding/Infusion Catheter Level 2,1428.0,1428.0,,,0 CDM,27200280,Hc Guiding/Infusion Catheter Level 6,4134.9,4134.9,,,0 CDM,27200281,Hc Tracker/Catheter,708.75,708.75,,,0 CDM,27200282,Hc Sheath Level 2,435.75,435.75,,,0 CDM,27200283,Hc Sheath Level 3,1104.6,1104.6,,,0 CDM,27200284,Hc Sheath Level 4,2058.0,2058.0,,,0 CDM,27200285,Hc Stent Level 7,791.7,791.7,,,0 CDM,27200286,Hc Occlusion Balloon Level 1,1339.8,1339.8,,,0 CDM,27200287,Hc Sirs Spheres Microspheres,60465.3,60465.3,,,0 CDM,27200288,Hc Vti Headset,303.45,303.45,,,0 CDM,27200289,Hc Oncontrol Bx System Needle Set,607.95,607.95,,,0 CDM,27200289_272,Hc Oncontrol Bx System Needle Set,607.95,607.95,,,0 CDM,27200290,Hc Franseen Biopsy Needle,131.25,131.25,,,0 CDM,27200291,Hc Vt1737 Rfa Needle W/Vtube,8642.55,8642.55,,,0 CDM,27200292,Hc Indigo 8 Straight Tip 85Cm,16670.85,16670.85,,,0 CDM,27200293,Hc Indo 8 Straight Tip 115 Cm,16670.85,16670.85,,,0 CDM,27200294,Hc Radi Bonopty Penetration Set,581.7,581.7,,,0 CDM,27200295,Hc Vti Peds Headset,345.45,345.45,,,0 CDM,27200296,Hc Occlusion Bridge Balloon,8487.15,8487.15,,,0 CDM,27200297,Hc Oncontrol Bone Bx Access Tray,1923.6,1923.6,,,0 CDM,27200297_272,Hc Oncontrol Bone Bx Access Tray,1923.6,1923.6,,,0 CDM,27200298,Hc Rita Starburst Sde Needle,14666.4,14666.4,,,0 CDM,27200299,Hc Bridge Balloon Acc Kit,2644.95,2644.95,,,0 CDM,27200300,Hc Dexterity Diagnostic Catheter,4445.7,4445.7,,,0 CDM,27200301,Hc Shockwave Catheter,13965.0,13965.0,,,0 CDM,27200304,Hc Achieve Coaxial 18G,265.65,265.65,,,0 CDM,27200304_272,Hc Achieve Coaxial 18G,265.65,265.65,,,0 CDM,27200311,Hc Tissue Marker Interv Bx Site Mrkr,1991.85,1991.85,,,0 CDM,27200313,Hc 9G 20Mm Handpiece Petite Suros,3000.9,3000.9,,,0 CDM,27200313_272,Hc 9G 20Mm Handpiece Petite Suros,3000.9,3000.9,,,0 CDM,27200314,Hc 9G 20Mm Intrdcr Loc Set Petite Suro,1724.1,1724.1,,,0 CDM,27200314_272,Hc 9G 20Mm Intrdcr Loc Set Petite Suro,1724.1,1724.1,,,0 CDM,27200316,Hc Rita Starburst Rfa Needle,11078.55,11078.55,,,0 CDM,27200317,Hc Rita Bx Needle,475.65,475.65,,,0 CDM,27200320,Hc Angiovac Cannula/Circuit Kit,110910.45,110910.45,,,0 CDM,27200332,Hc 014 Thrombectomy; Rotational Cath,7575.75,7575.75,,,0 CDM,27200333,Hc Slvrhwk Plq Exsn Arthrectmy Device,9311.4,9311.4,,,0 CDM,27200349,Hc Closure Device Level 1,514.5,514.5,,,0 CDM,27200349_C1760_278,Hc Closure Device Level 1,514.5,514.5,,,0 CDM,27200351,Hc Closure Device,1483.65,1483.65,,,0 CDM,27200353,Hc Volcano Wire,2931.6,2931.6,,,0 CDM,27200353_C1769_272,Hc Volcano Wire,2931.6,2931.6,,,0 CDM,27200362,Hc Neuroform Stent 2.5 X 20Mm,8287.65,8287.65,,,0 CDM,27200364,Hc Wall Stent- 42Mm Or 68Mm,5696.25,5696.25,,,0 CDM,27200400,Hc Ez Io Needle 15Mm,520.8,520.8,,,0 CDM,27200401,Hc Ez Io Needle 25Mm,520.8,520.8,,,0 CDM,27200402,Hc Ez Io Needle 45Mm,464.1,464.1,,,0 CDM,27200500_272,Noncdm Charge Record Medical Supplies,11972.89,11972.89,,,0 CDM,27200501,Hc Eviva Probe Handpiece,1125.6,1125.6,,,0 CDM,27200501_272,Hc Eviva Probe Handpiece,1125.6,1125.6,,,0 CDM,27200502,Hc Bard Marquee 14G,177.45,177.45,,,0 CDM,27200502_272,Hc Bard Marquee 14G,177.45,177.45,,,0 CDM,27200503,Hc Bard Marquee 18G,420.0,420.0,,,0 CDM,27200503_272,Hc Bard Marquee 18G,420.0,420.0,,,0 CDM,27200506,Hc Blood Collection Bag,70.35,70.35,,,0 CDM,27200550,Hc Cpr Cart (Comer Ed),4499.25,4499.25,,,0 CDM,27200551,Hc Tightrail 11Fr Sheath #545-511,18916.8,18916.8,,,0 CDM,27200552,Hc Radiofocus Glidewire #Cg508,451.5,451.5,,,0 CDM,27200553,Hc Brite Tip Sheath #401-611M,326.55,326.55,,,0 CDM,27200_PBB,Pr Closed Treatment Coccygeal Fracture-Pbb,2119.0,2119.0,,,0 CDM,27201052_7076219,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27201052_7141693,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27201052_7161703,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27201052_C1052_278,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27201713_516287,Noncdm Charge Record Medical Supplies,104.79,104.79,,,0 CDM,27201713_7013622,Noncdm Charge Record Medical Supplies,357.29,357.29,,,0 CDM,27201713_7023997,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27201713_7024025,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27201713_7024073,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27201713_7026878,Noncdm Charge Record Medical Supplies,2191.14,2191.14,,,0 CDM,27201713_7028579,Noncdm Charge Record Medical Supplies,4726.49,4726.49,,,0 CDM,27201713_7028865,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27201713_7030305,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27201713_7030404,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27201713_7031083,Noncdm Charge Record Medical Supplies,3877.23,3877.23,,,0 CDM,27201713_7031153,Noncdm Charge Record Medical Supplies,3675.21,3675.21,,,0 CDM,27201713_7031156,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27201713_7031159,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27201713_7032844,Noncdm Charge Record Medical Supplies,1919.19,1919.19,,,0 CDM,27201713_7032992,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27201713_7034963,Noncdm Charge Record Medical Supplies,70.71,70.71,,,0 CDM,27201713_7049575,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27201713_7076891,Noncdm Charge Record Medical Supplies,1118.18,1118.18,,,0 CDM,27201713_7087740,Noncdm Charge Record Medical Supplies,225.25,225.25,,,0 CDM,27201713_7088617,Noncdm Charge Record Medical Supplies,208.08,208.08,,,0 CDM,27201713_7115011,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27201713_7115020,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27201715,Hc Brachytherapy Needle,13.65,13.65,,,0 CDM,27201715_7036078,Hc Brachytherapy Needle,512.63,512.63,,,0 CDM,27201715_C1715_272,Hc Brachytherapy Needle,13.65,13.65,,,0 CDM,27201724_7015390,Noncdm Charge Record Medical Supplies,5901.84,5901.84,,,0 CDM,27201724_7030063,Noncdm Charge Record Medical Supplies,4851.0,4851.0,,,0 CDM,27201724_7032693,Noncdm Charge Record Medical Supplies,18259.5,18259.5,,,0 CDM,27201724_7033368,Noncdm Charge Record Medical Supplies,12373.2,12373.2,,,0 CDM,27201724_7033371,Noncdm Charge Record Medical Supplies,13330.65,13330.65,,,0 CDM,27201724_7048497,Noncdm Charge Record Medical Supplies,26029.5,26029.5,,,0 CDM,27201724_7048502,Noncdm Charge Record Medical Supplies,21456.75,21456.75,,,0 CDM,27201724_7083137,Noncdm Charge Record Medical Supplies,10483.2,10483.2,,,0 CDM,27201724_7083138,Noncdm Charge Record Medical Supplies,10483.2,10483.2,,,0 CDM,27201724_7083139,Noncdm Charge Record Medical Supplies,14791.14,14791.14,,,0 CDM,27201724_7083142,Noncdm Charge Record Medical Supplies,14791.14,14791.14,,,0 CDM,27201725_7014491,Noncdm Charge Record Medical Supplies,1335.6,1335.6,,,0 CDM,27201725_7014492,Noncdm Charge Record Medical Supplies,1335.6,1335.6,,,0 CDM,27201725_7014493,Noncdm Charge Record Medical Supplies,1335.6,1335.6,,,0 CDM,27201725_7014494,Noncdm Charge Record Medical Supplies,1335.6,1335.6,,,0 CDM,27201725_7014587,Noncdm Charge Record Medical Supplies,1002.96,1002.96,,,0 CDM,27201725_7014635,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7014640,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7014648,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7014650,Noncdm Charge Record Medical Supplies,1444.8,1444.8,,,0 CDM,27201725_7014654,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7014655,Noncdm Charge Record Medical Supplies,1006.24,1006.24,,,0 CDM,27201725_7014666,Noncdm Charge Record Medical Supplies,856.8,856.8,,,0 CDM,27201725_7014668,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7014673,Noncdm Charge Record Medical Supplies,1002.96,1002.96,,,0 CDM,27201725_7014683,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7014704,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7014773,Noncdm Charge Record Medical Supplies,1260.0,1260.0,,,0 CDM,27201725_7014803,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27201725_7014806,Noncdm Charge Record Medical Supplies,4032.0,4032.0,,,0 CDM,27201725_7014808,Noncdm Charge Record Medical Supplies,4032.0,4032.0,,,0 CDM,27201725_7014898,Noncdm Charge Record Medical Supplies,907.2,907.2,,,0 CDM,27201725_7014928,Noncdm Charge Record Medical Supplies,907.2,907.2,,,0 CDM,27201725_7014934,Noncdm Charge Record Medical Supplies,934.69,934.69,,,0 CDM,27201725_7014936,Noncdm Charge Record Medical Supplies,907.2,907.2,,,0 CDM,27201725_7015075,Noncdm Charge Record Medical Supplies,882.0,882.0,,,0 CDM,27201725_7015116,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7015117,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7015239,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7015240,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7015479,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7015493,Noncdm Charge Record Medical Supplies,4158.0,4158.0,,,0 CDM,27201725_7015495,Noncdm Charge Record Medical Supplies,4158.0,4158.0,,,0 CDM,27201725_7015828,Noncdm Charge Record Medical Supplies,4032.0,4032.0,,,0 CDM,27201725_7015856,Noncdm Charge Record Medical Supplies,4032.0,4032.0,,,0 CDM,27201725_7015860,Noncdm Charge Record Medical Supplies,8495.17,8495.17,,,0 CDM,27201725_7015882,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7015924,Noncdm Charge Record Medical Supplies,6159.93,6159.93,,,0 CDM,27201725_7016125,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7016126,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7016127,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7016128,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7016129,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7016131,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7016133,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7016134,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7016135,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7016136,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7016137,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7016138,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7016140,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7016183,Noncdm Charge Record Medical Supplies,655.2,655.2,,,0 CDM,27201725_7016186,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7016192,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7016193,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7016194,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7016197,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7016201,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7016202,Noncdm Charge Record Medical Supplies,554.4,554.4,,,0 CDM,27201725_7016216,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7016222,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7016224,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7016374,Noncdm Charge Record Medical Supplies,8495.17,8495.17,,,0 CDM,27201725_7016375,Noncdm Charge Record Medical Supplies,8994.89,8994.89,,,0 CDM,27201725_7016822,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016832,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016843,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016862,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016864,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016865,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016875,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016878,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016934,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7016935,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7016944,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016945,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016946,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016948,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016951,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7016954,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7016955,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016956,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016958,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016963,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7016965,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7016970,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016971,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016972,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016973,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016976,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016977,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016979,Noncdm Charge Record Medical Supplies,658.35,658.35,,,0 CDM,27201725_7016981,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7016982,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7016984,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7016985,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016986,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016991,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7016992,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7016994,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7016996,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7016999,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7017001,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7017013,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7017014,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7017017,Noncdm Charge Record Medical Supplies,686.37,686.37,,,0 CDM,27201725_7017018,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7017019,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7017020,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7017021,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7017022,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7017023,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7017024,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7017025,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7017026,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7017027,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7017028,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7017034,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7017035,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7017036,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7017037,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7017038,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7017039,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7017040,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7017046,Noncdm Charge Record Medical Supplies,576.45,576.45,,,0 CDM,27201725_7017047,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7017053,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7017142,Noncdm Charge Record Medical Supplies,1108.8,1108.8,,,0 CDM,27201725_7017958,Noncdm Charge Record Medical Supplies,18881.1,18881.1,,,0 CDM,27201725_7018627,Noncdm Charge Record Medical Supplies,11577.3,11577.3,,,0 CDM,27201725_7018628,Noncdm Charge Record Medical Supplies,11577.3,11577.3,,,0 CDM,27201725_7018629,Noncdm Charge Record Medical Supplies,11577.3,11577.3,,,0 CDM,27201725_7018630,Noncdm Charge Record Medical Supplies,12742.8,12742.8,,,0 CDM,27201725_7018631,Noncdm Charge Record Medical Supplies,11577.3,11577.3,,,0 CDM,27201725_7018632,Noncdm Charge Record Medical Supplies,11577.3,11577.3,,,0 CDM,27201725_7018634,Noncdm Charge Record Medical Supplies,11577.3,11577.3,,,0 CDM,27201725_7018635,Noncdm Charge Record Medical Supplies,10221.4,10221.4,,,0 CDM,27201725_7018636,Noncdm Charge Record Medical Supplies,7509.6,7509.6,,,0 CDM,27201725_7019009,Noncdm Charge Record Medical Supplies,66.75,66.75,,,0 CDM,27201725_7019922,Noncdm Charge Record Medical Supplies,907.2,907.2,,,0 CDM,27201725_7019997,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7020083,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7023775,Noncdm Charge Record Medical Supplies,13908.3,13908.3,,,0 CDM,27201725_7023776,Noncdm Charge Record Medical Supplies,13908.3,13908.3,,,0 CDM,27201725_7023777,Noncdm Charge Record Medical Supplies,13908.3,13908.3,,,0 CDM,27201725_7027884,Noncdm Charge Record Medical Supplies,11592.0,11592.0,,,0 CDM,27201725_7027923,Noncdm Charge Record Medical Supplies,11592.0,11592.0,,,0 CDM,27201725_7028016,Noncdm Charge Record Medical Supplies,3315.01,3315.01,,,0 CDM,27201725_7028046,Noncdm Charge Record Medical Supplies,185.15,185.15,,,0 CDM,27201725_7028090,Noncdm Charge Record Medical Supplies,2672.21,2672.21,,,0 CDM,27201725_7028593,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7028928,Noncdm Charge Record Medical Supplies,2263.8,2263.8,,,0 CDM,27201725_7028929,Noncdm Charge Record Medical Supplies,1814.4,1814.4,,,0 CDM,27201725_7028962,Noncdm Charge Record Medical Supplies,635.04,635.04,,,0 CDM,27201725_7029411,Noncdm Charge Record Medical Supplies,218.02,218.02,,,0 CDM,27201725_7029417,Noncdm Charge Record Medical Supplies,226.03,226.03,,,0 CDM,27201725_7029694,Noncdm Charge Record Medical Supplies,10411.8,10411.8,,,0 CDM,27201725_7029698,Noncdm Charge Record Medical Supplies,15369.06,15369.06,,,0 CDM,27201725_7029699,Noncdm Charge Record Medical Supplies,11888.1,11888.1,,,0 CDM,27201725_7029820,Noncdm Charge Record Medical Supplies,4869.5,4869.5,,,0 CDM,27201725_7029821,Noncdm Charge Record Medical Supplies,4845.34,4845.34,,,0 CDM,27201725_7029823,Noncdm Charge Record Medical Supplies,4833.26,4833.26,,,0 CDM,27201725_7029894,Noncdm Charge Record Medical Supplies,4869.02,4869.02,,,0 CDM,27201725_7030140,Noncdm Charge Record Medical Supplies,4857.18,4857.18,,,0 CDM,27201725_7030319,Noncdm Charge Record Medical Supplies,4585.8,4585.8,,,0 CDM,27201725_7031312,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27201725_7031313,Noncdm Charge Record Medical Supplies,2024.59,2024.59,,,0 CDM,27201725_7031314,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27201725_7031315,Noncdm Charge Record Medical Supplies,4670.75,4670.75,,,0 CDM,27201725_7031523,Noncdm Charge Record Medical Supplies,655.2,655.2,,,0 CDM,27201725_7031524,Noncdm Charge Record Medical Supplies,655.2,655.2,,,0 CDM,27201725_7031556,Noncdm Charge Record Medical Supplies,4859.23,4859.23,,,0 CDM,27201725_7031639,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7031640,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7031641,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7031642,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7031727,Noncdm Charge Record Medical Supplies,3775.16,3775.16,,,0 CDM,27201725_7031765,Noncdm Charge Record Medical Supplies,2836.05,2836.05,,,0 CDM,27201725_7031767,Noncdm Charge Record Medical Supplies,3956.4,3956.4,,,0 CDM,27201725_7031797,Noncdm Charge Record Medical Supplies,10221.4,10221.4,,,0 CDM,27201725_7031798,Noncdm Charge Record Medical Supplies,7509.6,7509.6,,,0 CDM,27201725_7031811,Noncdm Charge Record Medical Supplies,44.1,44.1,,,0 CDM,27201725_7031894,Noncdm Charge Record Medical Supplies,2703.46,2703.46,,,0 CDM,27201725_7031897,Noncdm Charge Record Medical Supplies,2833.18,2833.18,,,0 CDM,27201725_7032102,Noncdm Charge Record Medical Supplies,3150.0,3150.0,,,0 CDM,27201725_7032113,Noncdm Charge Record Medical Supplies,1335.6,1335.6,,,0 CDM,27201725_7032548,Noncdm Charge Record Medical Supplies,1136.65,1136.65,,,0 CDM,27201725_7032560,Noncdm Charge Record Medical Supplies,22905.96,22905.96,,,0 CDM,27201725_7032618,Noncdm Charge Record Medical Supplies,4032.0,4032.0,,,0 CDM,27201725_7032637,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27201725_7032638,Noncdm Charge Record Medical Supplies,3956.4,3956.4,,,0 CDM,27201725_7032639,Noncdm Charge Record Medical Supplies,3956.4,3956.4,,,0 CDM,27201725_7032641,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27201725_7032642,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27201725_7032697,Noncdm Charge Record Medical Supplies,4032.0,4032.0,,,0 CDM,27201725_7032722,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7033215,Noncdm Charge Record Medical Supplies,4032.0,4032.0,,,0 CDM,27201725_7036445,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036446,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036447,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036456,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036460,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036461,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036471,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036473,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036478,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036492,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036498,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036511,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036520,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036534,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036552,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036557,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036568,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036578,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036586,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036590,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036591,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036594,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036595,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036604,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036605,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036607,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036612,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036616,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036622,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036623,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036628,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036641,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036659,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036661,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036663,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036666,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036668,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036674,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036676,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036681,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036683,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036684,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036685,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036687,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036691,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036695,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036699,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036716,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036754,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036762,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036777,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036782,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036788,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036789,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036792,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036801,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036806,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036818,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036826,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036841,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036843,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036846,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036859,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036863,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036867,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036868,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036870,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036874,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036878,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036882,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036885,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036887,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036893,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036897,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036902,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036903,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036909,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036924,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7036932,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7037359,Noncdm Charge Record Medical Supplies,4032.0,4032.0,,,0 CDM,27201725_7037360,Noncdm Charge Record Medical Supplies,4032.0,4032.0,,,0 CDM,27201725_7038101,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7038537,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7038538,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7040705,Noncdm Charge Record Medical Supplies,3450.85,3450.85,,,0 CDM,27201725_7053955,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7053956,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7054765,Noncdm Charge Record Medical Supplies,5040.0,5040.0,,,0 CDM,27201725_7054769,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27201725_7054770,Noncdm Charge Record Medical Supplies,6405.0,6405.0,,,0 CDM,27201725_7054772,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27201725_7054777,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27201725_7057296,Noncdm Charge Record Medical Supplies,57.64,57.64,,,0 CDM,27201725_7057298,Noncdm Charge Record Medical Supplies,47.82,47.82,,,0 CDM,27201725_7057300,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057301,Noncdm Charge Record Medical Supplies,128.52,128.52,,,0 CDM,27201725_7057311,Noncdm Charge Record Medical Supplies,69.93,69.93,,,0 CDM,27201725_7057315,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057316,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057317,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057319,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057321,Noncdm Charge Record Medical Supplies,47.25,47.25,,,0 CDM,27201725_7057324,Noncdm Charge Record Medical Supplies,47.18,47.18,,,0 CDM,27201725_7057329,Noncdm Charge Record Medical Supplies,128.52,128.52,,,0 CDM,27201725_7057335,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057340,Noncdm Charge Record Medical Supplies,45.91,45.91,,,0 CDM,27201725_7057347,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057348,Noncdm Charge Record Medical Supplies,45.5,45.5,,,0 CDM,27201725_7057352,Noncdm Charge Record Medical Supplies,46.48,46.48,,,0 CDM,27201725_7057353,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057356,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057358,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057359,Noncdm Charge Record Medical Supplies,128.52,128.52,,,0 CDM,27201725_7057360,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057361,Noncdm Charge Record Medical Supplies,45.42,45.42,,,0 CDM,27201725_7057365,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057370,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057371,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057372,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057379,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057380,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057389,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057391,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057398,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057400,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057406,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057408,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057410,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057413,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057415,Noncdm Charge Record Medical Supplies,68.56,68.56,,,0 CDM,27201725_7057416,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057420,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057422,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057423,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057424,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27201725_7057658,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7057799,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201725_7057998,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7057999,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7071674,Noncdm Charge Record Medical Supplies,319.74,319.74,,,0 CDM,27201725_7071870,Noncdm Charge Record Medical Supplies,100.48,100.48,,,0 CDM,27201725_7075087,Noncdm Charge Record Medical Supplies,756.0,756.0,,,0 CDM,27201725_7075089,Noncdm Charge Record Medical Supplies,756.0,756.0,,,0 CDM,27201725_7075107,Noncdm Charge Record Medical Supplies,957.6,957.6,,,0 CDM,27201725_7075115,Noncdm Charge Record Medical Supplies,832.65,832.65,,,0 CDM,27201725_7075330,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7075333,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7075335,Noncdm Charge Record Medical Supplies,481.48,481.48,,,0 CDM,27201725_7075940,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7075952,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7075968,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7075989,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7076566,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7078080,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7078882,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7080642,Noncdm Charge Record Medical Supplies,635.04,635.04,,,0 CDM,27201725_7086299,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201725_7086300,Noncdm Charge Record Medical Supplies,767.97,767.97,,,0 CDM,27201725_7086307,Noncdm Charge Record Medical Supplies,535.5,535.5,,,0 CDM,27201725_7087555,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27201725_7087557,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27201725_7087563,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27201725_7091506,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7091508,Noncdm Charge Record Medical Supplies,604.8,604.8,,,0 CDM,27201725_7091509,Noncdm Charge Record Medical Supplies,604.8,604.8,,,0 CDM,27201725_7091510,Noncdm Charge Record Medical Supplies,604.8,604.8,,,0 CDM,27201725_7108432,Noncdm Charge Record Medical Supplies,951.03,951.03,,,0 CDM,27201725_7108439,Noncdm Charge Record Medical Supplies,907.2,907.2,,,0 CDM,27201725_7108460,Noncdm Charge Record Medical Supplies,907.2,907.2,,,0 CDM,27201725_7108479,Noncdm Charge Record Medical Supplies,907.2,907.2,,,0 CDM,27201725_7112615,Noncdm Charge Record Medical Supplies,10836.0,10836.0,,,0 CDM,27201725_7116705,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27201725_7117788,Noncdm Charge Record Medical Supplies,504.0,504.0,,,0 CDM,27201725_7119766,Noncdm Charge Record Medical Supplies,690.48,690.48,,,0 CDM,27201725_7119767,Noncdm Charge Record Medical Supplies,680.4,680.4,,,0 CDM,27201725_7119770,Noncdm Charge Record Medical Supplies,682.42,682.42,,,0 CDM,27201725_7119772,Noncdm Charge Record Medical Supplies,680.4,680.4,,,0 CDM,27201725_7119774,Noncdm Charge Record Medical Supplies,689.42,689.42,,,0 CDM,27201725_7119780,Noncdm Charge Record Medical Supplies,686.45,686.45,,,0 CDM,27201725_7119789,Noncdm Charge Record Medical Supplies,670.32,670.32,,,0 CDM,27201725_7119790,Noncdm Charge Record Medical Supplies,670.32,670.32,,,0 CDM,27201725_7119793,Noncdm Charge Record Medical Supplies,677.04,677.04,,,0 CDM,27201725_7119794,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27201725_7119802,Noncdm Charge Record Medical Supplies,670.32,670.32,,,0 CDM,27201725_7119803,Noncdm Charge Record Medical Supplies,686.92,686.92,,,0 CDM,27201725_7119805,Noncdm Charge Record Medical Supplies,683.47,683.47,,,0 CDM,27201725_7119811,Noncdm Charge Record Medical Supplies,678.38,678.38,,,0 CDM,27201725_7119812,Noncdm Charge Record Medical Supplies,670.32,670.32,,,0 CDM,27201725_7119814,Noncdm Charge Record Medical Supplies,670.32,670.32,,,0 CDM,27201725_7119815,Noncdm Charge Record Medical Supplies,670.32,670.32,,,0 CDM,27201725_7119817,Noncdm Charge Record Medical Supplies,670.32,670.32,,,0 CDM,27201725_7119821,Noncdm Charge Record Medical Supplies,673.2,673.2,,,0 CDM,27201725_7119822,Noncdm Charge Record Medical Supplies,696.71,696.71,,,0 CDM,27201725_7119825,Noncdm Charge Record Medical Supplies,686.45,686.45,,,0 CDM,27201725_7119826,Noncdm Charge Record Medical Supplies,670.32,670.32,,,0 CDM,27201725_7119828,Noncdm Charge Record Medical Supplies,670.32,670.32,,,0 CDM,27201725_7119830,Noncdm Charge Record Medical Supplies,670.32,670.32,,,0 CDM,27201725_7119833,Noncdm Charge Record Medical Supplies,670.32,670.32,,,0 CDM,27201725_7121582,Noncdm Charge Record Medical Supplies,604.8,604.8,,,0 CDM,27201725_7129630,Noncdm Charge Record Medical Supplies,4630.92,4630.92,,,0 CDM,27201725_7133480,Noncdm Charge Record Medical Supplies,21367.5,21367.5,,,0 CDM,27201725_7134516,Noncdm Charge Record Medical Supplies,17388.0,17388.0,,,0 CDM,27201725_7158381,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7158465,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27201725_7158766,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7162728,Noncdm Charge Record Medical Supplies,36519.0,36519.0,,,0 CDM,27201725_7162731,Noncdm Charge Record Medical Supplies,36519.0,36519.0,,,0 CDM,27201725_7162732,Noncdm Charge Record Medical Supplies,36519.0,36519.0,,,0 CDM,27201725_7162733,Noncdm Charge Record Medical Supplies,36519.0,36519.0,,,0 CDM,27201725_7170669,Noncdm Charge Record Medical Supplies,11577.3,11577.3,,,0 CDM,27201725_7171545,Noncdm Charge Record Medical Supplies,7614.6,7614.6,,,0 CDM,27201725_7171608,Noncdm Charge Record Medical Supplies,7614.6,7614.6,,,0 CDM,27201725_7172422,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201725_7173944,Noncdm Charge Record Medical Supplies,30103.5,30103.5,,,0 CDM,27201725_7174140,Noncdm Charge Record Medical Supplies,7614.6,7614.6,,,0 CDM,27201725_7174480,Noncdm Charge Record Medical Supplies,7614.6,7614.6,,,0 CDM,27201725_7175689,Noncdm Charge Record Medical Supplies,4367.83,4367.83,,,0 CDM,27201725_7176627,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27201725_763265,Noncdm Charge Record Medical Supplies,1134.42,1134.42,,,0 CDM,27201725_769718,Noncdm Charge Record Medical Supplies,442.89,442.89,,,0 CDM,27201726_618744,Noncdm Charge Record Medical Supplies,1979.09,1979.09,,,0 CDM,27201726_622726,Noncdm Charge Record Medical Supplies,795.65,795.65,,,0 CDM,27201726_7000368,Noncdm Charge Record Medical Supplies,1631.0,1631.0,,,0 CDM,27201726_7000591,Noncdm Charge Record Medical Supplies,795.65,795.65,,,0 CDM,27201726_7001114,Noncdm Charge Record Medical Supplies,2569.93,2569.93,,,0 CDM,27201726_7010966,Noncdm Charge Record Medical Supplies,1790.05,1790.05,,,0 CDM,27201726_7010967,Noncdm Charge Record Medical Supplies,1790.05,1790.05,,,0 CDM,27201726_7012811,Noncdm Charge Record Medical Supplies,5130.71,5130.71,,,0 CDM,27201726_7012816,Noncdm Charge Record Medical Supplies,5761.89,5761.89,,,0 CDM,27201726_7012825,Noncdm Charge Record Medical Supplies,6029.65,6029.65,,,0 CDM,27201726_7013312,Noncdm Charge Record Medical Supplies,2569.93,2569.93,,,0 CDM,27201726_7013313,Noncdm Charge Record Medical Supplies,2569.93,2569.93,,,0 CDM,27201726_7013839,Noncdm Charge Record Medical Supplies,1631.0,1631.0,,,0 CDM,27201726_7013840,Noncdm Charge Record Medical Supplies,1631.0,1631.0,,,0 CDM,27201726_7013841,Noncdm Charge Record Medical Supplies,1248.96,1248.96,,,0 CDM,27201726_7013842,Noncdm Charge Record Medical Supplies,1631.0,1631.0,,,0 CDM,27201726_7028071,Noncdm Charge Record Medical Supplies,1790.05,1790.05,,,0 CDM,27201726_7028072,Noncdm Charge Record Medical Supplies,1790.05,1790.05,,,0 CDM,27201726_7028081,Noncdm Charge Record Medical Supplies,1790.05,1790.05,,,0 CDM,27201726_7028093,Noncdm Charge Record Medical Supplies,1790.05,1790.05,,,0 CDM,27201726_7028094,Noncdm Charge Record Medical Supplies,1790.05,1790.05,,,0 CDM,27201726_7028161,Noncdm Charge Record Medical Supplies,1790.05,1790.05,,,0 CDM,27201726_7028280,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27201726_7028287,Noncdm Charge Record Medical Supplies,936.32,936.32,,,0 CDM,27201726_7028500,Noncdm Charge Record Medical Supplies,2057.26,2057.26,,,0 CDM,27201726_7028502,Noncdm Charge Record Medical Supplies,2057.26,2057.26,,,0 CDM,27201726_7028503,Noncdm Charge Record Medical Supplies,2057.26,2057.26,,,0 CDM,27201726_7028932,Noncdm Charge Record Medical Supplies,450.66,450.66,,,0 CDM,27201726_7028933,Noncdm Charge Record Medical Supplies,450.66,450.66,,,0 CDM,27201726_7028941,Noncdm Charge Record Medical Supplies,951.82,951.82,,,0 CDM,27201726_7029051,Noncdm Charge Record Medical Supplies,1432.01,1432.01,,,0 CDM,27201726_7029116,Noncdm Charge Record Medical Supplies,2057.26,2057.26,,,0 CDM,27201726_7029136,Noncdm Charge Record Medical Supplies,1432.01,1432.01,,,0 CDM,27201726_7029158,Noncdm Charge Record Medical Supplies,1233.95,1233.95,,,0 CDM,27201726_7029187,Noncdm Charge Record Medical Supplies,1233.95,1233.95,,,0 CDM,27201726_7029236,Noncdm Charge Record Medical Supplies,1432.01,1432.01,,,0 CDM,27201726_7029348,Noncdm Charge Record Medical Supplies,1053.34,1053.34,,,0 CDM,27201726_7029371,Noncdm Charge Record Medical Supplies,1065.04,1065.04,,,0 CDM,27201726_7029390,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27201726_7032723,Noncdm Charge Record Medical Supplies,1590.91,1590.91,,,0 CDM,27201726_7039065,Noncdm Charge Record Medical Supplies,1790.05,1790.05,,,0 CDM,27201726_7039066,Noncdm Charge Record Medical Supplies,1790.05,1790.05,,,0 CDM,27201726_7042125,Noncdm Charge Record Medical Supplies,14055.93,14055.93,,,0 CDM,27201726_7048025,Noncdm Charge Record Medical Supplies,2569.93,2569.93,,,0 CDM,27201726_7048361,Noncdm Charge Record Medical Supplies,3830.4,3830.4,,,0 CDM,27201726_7048362,Noncdm Charge Record Medical Supplies,7701.82,7701.82,,,0 CDM,27201726_7048364,Noncdm Charge Record Medical Supplies,7889.66,7889.66,,,0 CDM,27201726_7072144,Noncdm Charge Record Medical Supplies,1092.46,1092.46,,,0 CDM,27201726_7072483,Noncdm Charge Record Medical Supplies,1092.46,1092.46,,,0 CDM,27201726_7085683,Noncdm Charge Record Medical Supplies,3076.02,3076.02,,,0 CDM,27201726_7085685,Noncdm Charge Record Medical Supplies,3484.07,3484.07,,,0 CDM,27201726_7088654,Noncdm Charge Record Medical Supplies,2270.39,2270.39,,,0 CDM,27201726_7092680,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27201726_7092683,Noncdm Charge Record Medical Supplies,2214.45,2214.45,,,0 CDM,27201726_7092684,Noncdm Charge Record Medical Supplies,2214.45,2214.45,,,0 CDM,27201726_7116582,Noncdm Charge Record Medical Supplies,1790.05,1790.05,,,0 CDM,27201726_7116633,Noncdm Charge Record Medical Supplies,2406.76,2406.76,,,0 CDM,27201726_7116634,Noncdm Charge Record Medical Supplies,2406.76,2406.76,,,0 CDM,27201726_7116672,Noncdm Charge Record Medical Supplies,1233.95,1233.95,,,0 CDM,27201726_7116673,Noncdm Charge Record Medical Supplies,1233.95,1233.95,,,0 CDM,27201726_7117758,Noncdm Charge Record Medical Supplies,1979.09,1979.09,,,0 CDM,27201726_7118286,Noncdm Charge Record Medical Supplies,1790.05,1790.05,,,0 CDM,27201726_7126530,Noncdm Charge Record Medical Supplies,1233.95,1233.95,,,0 CDM,27201726_7126531,Noncdm Charge Record Medical Supplies,1233.95,1233.95,,,0 CDM,27201726_7128948,Noncdm Charge Record Medical Supplies,1233.95,1233.95,,,0 CDM,27201726_7133461,Noncdm Charge Record Medical Supplies,2129.37,2129.37,,,0 CDM,27201726_7133463,Noncdm Charge Record Medical Supplies,2129.37,2129.37,,,0 CDM,27201726_7137343,Noncdm Charge Record Medical Supplies,1790.05,1790.05,,,0 CDM,27201726_7140654,Noncdm Charge Record Medical Supplies,4526.02,4526.02,,,0 CDM,27201726_7140655,Noncdm Charge Record Medical Supplies,4526.02,4526.02,,,0 CDM,27201726_7140656,Noncdm Charge Record Medical Supplies,4526.02,4526.02,,,0 CDM,27201726_7140659,Noncdm Charge Record Medical Supplies,4526.02,4526.02,,,0 CDM,27201726_7140660,Noncdm Charge Record Medical Supplies,4526.02,4526.02,,,0 CDM,27201726_7140661,Noncdm Charge Record Medical Supplies,4526.02,4526.02,,,0 CDM,27201726_7140662,Noncdm Charge Record Medical Supplies,4526.02,4526.02,,,0 CDM,27201726_7140663,Noncdm Charge Record Medical Supplies,4539.61,4539.61,,,0 CDM,27201726_7148634,Noncdm Charge Record Medical Supplies,5361.3,5361.3,,,0 CDM,27201726_7148825,Noncdm Charge Record Medical Supplies,5361.3,5361.3,,,0 CDM,27201726_7148826,Noncdm Charge Record Medical Supplies,5457.8,5457.8,,,0 CDM,27201726_7155066,Noncdm Charge Record Medical Supplies,6946.38,6946.38,,,0 CDM,27201726_7157800,Noncdm Charge Record Medical Supplies,4526.02,4526.02,,,0 CDM,27201726_7157805,Noncdm Charge Record Medical Supplies,4526.02,4526.02,,,0 CDM,27201726_7158626,Noncdm Charge Record Medical Supplies,1790.05,1790.05,,,0 CDM,27201726_7160269,Noncdm Charge Record Medical Supplies,16278.15,16278.15,,,0 CDM,27201726_7160796,Noncdm Charge Record Medical Supplies,2569.93,2569.93,,,0 CDM,27201726_7161726,Noncdm Charge Record Medical Supplies,1935.28,1935.28,,,0 CDM,27201726_7161831,Noncdm Charge Record Medical Supplies,16278.15,16278.15,,,0 CDM,27201726_7162801,Noncdm Charge Record Medical Supplies,4526.02,4526.02,,,0 CDM,27201726_7163975,Noncdm Charge Record Medical Supplies,1935.28,1935.28,,,0 CDM,27201726_7164201,Noncdm Charge Record Medical Supplies,16278.15,16278.15,,,0 CDM,27201726_7164675,Noncdm Charge Record Medical Supplies,16278.15,16278.15,,,0 CDM,27201726_7165158,Noncdm Charge Record Medical Supplies,4526.02,4526.02,,,0 CDM,27201726_7166161,Noncdm Charge Record Medical Supplies,16278.15,16278.15,,,0 CDM,27201726_7166460,Noncdm Charge Record Medical Supplies,250.97,250.97,,,0 CDM,27201726_7166463,Noncdm Charge Record Medical Supplies,16278.15,16278.15,,,0 CDM,27201726_7166502,Noncdm Charge Record Medical Supplies,250.19,250.19,,,0 CDM,27201726_7167683,Noncdm Charge Record Medical Supplies,633.26,633.26,,,0 CDM,27201726_7169506,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27201726_7169930,Noncdm Charge Record Medical Supplies,1935.28,1935.28,,,0 CDM,27201726_7171601,Noncdm Charge Record Medical Supplies,1738.7,1738.7,,,0 CDM,27201726_7171670,Noncdm Charge Record Medical Supplies,2103.96,2103.96,,,0 CDM,27201726_7171677,Noncdm Charge Record Medical Supplies,1735.66,1735.66,,,0 CDM,27201726_7171805,Noncdm Charge Record Medical Supplies,16278.15,16278.15,,,0 CDM,27201726_7172096,Noncdm Charge Record Medical Supplies,258.9,258.9,,,0 CDM,27201726_7172099,Noncdm Charge Record Medical Supplies,1735.66,1735.66,,,0 CDM,27201726_7172169,Noncdm Charge Record Medical Supplies,125.1,125.1,,,0 CDM,27201726_7173055,Noncdm Charge Record Medical Supplies,1935.28,1935.28,,,0 CDM,27201726_7173598,Noncdm Charge Record Medical Supplies,652.29,652.29,,,0 CDM,27201726_7173600,Noncdm Charge Record Medical Supplies,5522.14,5522.14,,,0 CDM,27201726_7175545,Noncdm Charge Record Medical Supplies,16278.15,16278.15,,,0 CDM,27201726_7176351,Noncdm Charge Record Medical Supplies,2129.37,2129.37,,,0 CDM,27201726_7177131,Noncdm Charge Record Medical Supplies,16278.15,16278.15,,,0 CDM,27201726_7177238,Noncdm Charge Record Medical Supplies,104.43,104.43,,,0 CDM,27201726_7177502,Noncdm Charge Record Medical Supplies,4526.02,4526.02,,,0 CDM,27201726_7177684,Noncdm Charge Record Medical Supplies,16278.15,16278.15,,,0 CDM,27201726_7178610,Noncdm Charge Record Medical Supplies,1738.7,1738.7,,,0 CDM,27201726_7178644,Noncdm Charge Record Medical Supplies,16278.15,16278.15,,,0 CDM,27201726_7179083,Noncdm Charge Record Medical Supplies,17280.48,17280.48,,,0 CDM,27201726_743537,Noncdm Charge Record Medical Supplies,795.65,795.65,,,0 CDM,27201726_749680,Noncdm Charge Record Medical Supplies,1631.0,1631.0,,,0 CDM,27201726_751465,Noncdm Charge Record Medical Supplies,2047.78,2047.78,,,0 CDM,27201726_771074,Noncdm Charge Record Medical Supplies,337.91,337.91,,,0 CDM,27201726_C1726_272,Noncdm Charge Record Medical Supplies,250.97,250.97,,,0 CDM,27201729_1146,Noncdm Charge Record Medical Supplies,108.94,108.94,,,0 CDM,27201729_1147,Noncdm Charge Record Medical Supplies,107.0,107.0,,,0 CDM,27201729_1148,Noncdm Charge Record Medical Supplies,108.94,108.94,,,0 CDM,27201729_1149,Noncdm Charge Record Medical Supplies,108.94,108.94,,,0 CDM,27201729_1150,Noncdm Charge Record Medical Supplies,98.99,98.99,,,0 CDM,27201729_1151,Noncdm Charge Record Medical Supplies,108.94,108.94,,,0 CDM,27201729_1152,Noncdm Charge Record Medical Supplies,108.94,108.94,,,0 CDM,27201729_1153,Noncdm Charge Record Medical Supplies,98.99,98.99,,,0 CDM,27201729_1284,Noncdm Charge Record Medical Supplies,40.01,40.01,,,0 CDM,27201729_31280,Noncdm Charge Record Medical Supplies,39.98,39.98,,,0 CDM,27201729_31281,Noncdm Charge Record Medical Supplies,40.09,40.09,,,0 CDM,27201729_31282,Noncdm Charge Record Medical Supplies,39.98,39.98,,,0 CDM,27201729_513136,Noncdm Charge Record Medical Supplies,1677.0,1677.0,,,0 CDM,27201729_520716,Noncdm Charge Record Medical Supplies,53.38,53.38,,,0 CDM,27201729_522695,Noncdm Charge Record Medical Supplies,52.22,52.22,,,0 CDM,27201729_623615,Noncdm Charge Record Medical Supplies,56.95,56.95,,,0 CDM,27201729_623616,Noncdm Charge Record Medical Supplies,57.81,57.81,,,0 CDM,27201729_624133,Noncdm Charge Record Medical Supplies,57.8,57.8,,,0 CDM,27201729_626805,Noncdm Charge Record Medical Supplies,40.09,40.09,,,0 CDM,27201729_627379,Noncdm Charge Record Medical Supplies,56.95,56.95,,,0 CDM,27201729_7000480,Noncdm Charge Record Medical Supplies,134.58,134.58,,,0 CDM,27201729_7000525,Noncdm Charge Record Medical Supplies,1636.55,1636.55,,,0 CDM,27201729_7001289,Noncdm Charge Record Medical Supplies,534.13,534.13,,,0 CDM,27201729_7012333,Noncdm Charge Record Medical Supplies,1093.86,1093.86,,,0 CDM,27201729_7012683,Noncdm Charge Record Medical Supplies,840.02,840.02,,,0 CDM,27201729_7012684,Noncdm Charge Record Medical Supplies,840.02,840.02,,,0 CDM,27201729_7013352,Noncdm Charge Record Medical Supplies,503.18,503.18,,,0 CDM,27201729_7014354,Noncdm Charge Record Medical Supplies,375.98,375.98,,,0 CDM,27201729_7015424,Noncdm Charge Record Medical Supplies,317.52,317.52,,,0 CDM,27201729_7015425,Noncdm Charge Record Medical Supplies,191.52,191.52,,,0 CDM,27201729_7017154,Noncdm Charge Record Medical Supplies,796.42,796.42,,,0 CDM,27201729_7023743,Noncdm Charge Record Medical Supplies,40.4,40.4,,,0 CDM,27201729_7027776,Noncdm Charge Record Medical Supplies,293.78,293.78,,,0 CDM,27201729_7027822,Noncdm Charge Record Medical Supplies,350.93,350.93,,,0 CDM,27201729_7028038,Noncdm Charge Record Medical Supplies,350.93,350.93,,,0 CDM,27201729_7028129,Noncdm Charge Record Medical Supplies,909.09,909.09,,,0 CDM,27201729_7028167,Noncdm Charge Record Medical Supplies,350.93,350.93,,,0 CDM,27201729_7028189,Noncdm Charge Record Medical Supplies,3916.08,3916.08,,,0 CDM,27201729_7028285,Noncdm Charge Record Medical Supplies,97.59,97.59,,,0 CDM,27201729_7028979,Noncdm Charge Record Medical Supplies,383.29,383.29,,,0 CDM,27201729_7028985,Noncdm Charge Record Medical Supplies,350.93,350.93,,,0 CDM,27201729_7029016,Noncdm Charge Record Medical Supplies,356.13,356.13,,,0 CDM,27201729_7029017,Noncdm Charge Record Medical Supplies,388.89,388.89,,,0 CDM,27201729_7029029,Noncdm Charge Record Medical Supplies,383.29,383.29,,,0 CDM,27201729_7029034,Noncdm Charge Record Medical Supplies,25.2,25.2,,,0 CDM,27201729_7029035,Noncdm Charge Record Medical Supplies,1043.28,1043.28,,,0 CDM,27201729_7029040,Noncdm Charge Record Medical Supplies,350.93,350.93,,,0 CDM,27201729_7029099,Noncdm Charge Record Medical Supplies,383.29,383.29,,,0 CDM,27201729_7029123,Noncdm Charge Record Medical Supplies,488.25,488.25,,,0 CDM,27201729_7029130,Noncdm Charge Record Medical Supplies,1090.13,1090.13,,,0 CDM,27201729_7029150,Noncdm Charge Record Medical Supplies,375.73,375.73,,,0 CDM,27201729_7029197,Noncdm Charge Record Medical Supplies,383.29,383.29,,,0 CDM,27201729_7029211,Noncdm Charge Record Medical Supplies,375.73,375.73,,,0 CDM,27201729_7029212,Noncdm Charge Record Medical Supplies,350.93,350.93,,,0 CDM,27201729_7029238,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27201729_7029323,Noncdm Charge Record Medical Supplies,1090.15,1090.15,,,0 CDM,27201729_7029446,Noncdm Charge Record Medical Supplies,1600.62,1600.62,,,0 CDM,27201729_7029564,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27201729_7030070,Noncdm Charge Record Medical Supplies,529.25,529.25,,,0 CDM,27201729_7030076,Noncdm Charge Record Medical Supplies,488.18,488.18,,,0 CDM,27201729_7030084,Noncdm Charge Record Medical Supplies,124.61,124.61,,,0 CDM,27201729_7030088,Noncdm Charge Record Medical Supplies,488.18,488.18,,,0 CDM,27201729_7030402,Noncdm Charge Record Medical Supplies,1482.87,1482.87,,,0 CDM,27201729_7030501,Noncdm Charge Record Medical Supplies,2194.02,2194.02,,,0 CDM,27201729_7031307,Noncdm Charge Record Medical Supplies,48.02,48.02,,,0 CDM,27201729_7031503,Noncdm Charge Record Medical Supplies,8671.21,8671.21,,,0 CDM,27201729_7031504,Noncdm Charge Record Medical Supplies,8678.58,8678.58,,,0 CDM,27201729_7032228,Noncdm Charge Record Medical Supplies,50.4,50.4,,,0 CDM,27201729_7032435,Noncdm Charge Record Medical Supplies,947.52,947.52,,,0 CDM,27201729_7033644,Noncdm Charge Record Medical Supplies,952.56,952.56,,,0 CDM,27201729_7082348,Noncdm Charge Record Medical Supplies,780.42,780.42,,,0 CDM,27201729_7085551,Noncdm Charge Record Medical Supplies,1846.54,1846.54,,,0 CDM,27201729_7086566,Noncdm Charge Record Medical Supplies,485.75,485.75,,,0 CDM,27201729_7086569,Noncdm Charge Record Medical Supplies,485.75,485.75,,,0 CDM,27201729_7091104,Noncdm Charge Record Medical Supplies,153.46,153.46,,,0 CDM,27201729_7116973,Noncdm Charge Record Medical Supplies,428.4,428.4,,,0 CDM,27201729_7117296,Noncdm Charge Record Medical Supplies,1270.08,1270.08,,,0 CDM,27201729_7118223,Noncdm Charge Record Medical Supplies,3780.0,3780.0,,,0 CDM,27201729_7118659,Noncdm Charge Record Medical Supplies,18.75,18.75,,,0 CDM,27201729_7118924,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27201729_7162254,Noncdm Charge Record Medical Supplies,541.02,541.02,,,0 CDM,27201729_7176685,Noncdm Charge Record Medical Supplies,3000.0,3000.0,,,0 CDM,27201729_744470,Noncdm Charge Record Medical Supplies,4753.76,4753.76,,,0 CDM,27201729_750593,Noncdm Charge Record Medical Supplies,523.69,523.69,,,0 CDM,27201729_C1729_272,Noncdm Charge Record Medical Supplies,2296.9,2296.9,,,0 CDM,27201730_7013794,Noncdm Charge Record Medical Supplies,3107.61,3107.61,,,0 CDM,27201730_7017444,Noncdm Charge Record Medical Supplies,1784.79,1784.79,,,0 CDM,27201730_7022428,Noncdm Charge Record Medical Supplies,6052.72,6052.72,,,0 CDM,27201730_7023281,Noncdm Charge Record Medical Supplies,982.8,982.8,,,0 CDM,27201730_7031485,Noncdm Charge Record Medical Supplies,602.28,602.28,,,0 CDM,27201730_7032703,Noncdm Charge Record Medical Supplies,189.0,189.0,,,0 CDM,27201730_7032704,Noncdm Charge Record Medical Supplies,1665.72,1665.72,,,0 CDM,27201730_7141786,Noncdm Charge Record Medical Supplies,3102.12,3102.12,,,0 CDM,27201730_7143955,Noncdm Charge Record Medical Supplies,1532.16,1532.16,,,0 CDM,27201730_7172943,Noncdm Charge Record Medical Supplies,12600.0,12600.0,,,0 CDM,27201731_7017457,Noncdm Charge Record Medical Supplies,8037.4,8037.4,,,0 CDM,27201731_7022579,Noncdm Charge Record Medical Supplies,6088.32,6088.32,,,0 CDM,27201731_7031488,Noncdm Charge Record Medical Supplies,2808.69,2808.69,,,0 CDM,27201731_7032701,Noncdm Charge Record Medical Supplies,191.08,191.08,,,0 CDM,27201731_7032859,Noncdm Charge Record Medical Supplies,597.99,597.99,,,0 CDM,27201731_7032906,Noncdm Charge Record Medical Supplies,2106.72,2106.72,,,0 CDM,27201731_7057785,Noncdm Charge Record Medical Supplies,32760.0,32760.0,,,0 CDM,27201731_7141680,Noncdm Charge Record Medical Supplies,7560.0,7560.0,,,0 CDM,27201732_7013815,Noncdm Charge Record Medical Supplies,18607.68,18607.68,,,0 CDM,27201732_7014244,Noncdm Charge Record Medical Supplies,461.05,461.05,,,0 CDM,27201732_7017453,Noncdm Charge Record Medical Supplies,1522.08,1522.08,,,0 CDM,27201732_7017467,Noncdm Charge Record Medical Supplies,655.2,655.2,,,0 CDM,27201732_7022696,Noncdm Charge Record Medical Supplies,5954.76,5954.76,,,0 CDM,27201732_7022697,Noncdm Charge Record Medical Supplies,5942.16,5942.16,,,0 CDM,27201732_7031638,Noncdm Charge Record Medical Supplies,13860.0,13860.0,,,0 CDM,27201732_7076152,Noncdm Charge Record Medical Supplies,14112.0,14112.0,,,0 CDM,27201732_7076154,Noncdm Charge Record Medical Supplies,10146.23,10146.23,,,0 CDM,27201732_7076490,Noncdm Charge Record Medical Supplies,12096.0,12096.0,,,0 CDM,27201732_7133486,Noncdm Charge Record Medical Supplies,12881.1,12881.1,,,0 CDM,27201732_7133497,Noncdm Charge Record Medical Supplies,12884.13,12884.13,,,0 CDM,27201732_7133498,Noncdm Charge Record Medical Supplies,12879.72,12879.72,,,0 CDM,27201732_7143979,Noncdm Charge Record Medical Supplies,12879.72,12879.72,,,0 CDM,27201732_7143982,Noncdm Charge Record Medical Supplies,12897.36,12897.36,,,0 CDM,27201732_7144075,Noncdm Charge Record Medical Supplies,22564.08,22564.08,,,0 CDM,27201732_7144079,Noncdm Charge Record Medical Supplies,22589.77,22589.77,,,0 CDM,27201733_7045083,Noncdm Charge Record Medical Supplies,16317.0,16317.0,,,0 CDM,27201733_7141737,Noncdm Charge Record Medical Supplies,6697.74,6697.74,,,0 CDM,27201733_7141806,Noncdm Charge Record Medical Supplies,7435.89,7435.89,,,0 CDM,27201733_7160561,Noncdm Charge Record Medical Supplies,42588.0,42588.0,,,0 CDM,27201733_7160562,Noncdm Charge Record Medical Supplies,42588.0,42588.0,,,0 CDM,27201750_521219,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27201750_7000508,Noncdm Charge Record Medical Supplies,408.24,408.24,,,0 CDM,27201750_7014388,Noncdm Charge Record Medical Supplies,1841.49,1841.49,,,0 CDM,27201750_7027802,Noncdm Charge Record Medical Supplies,742.84,742.84,,,0 CDM,27201750_7027955,Noncdm Charge Record Medical Supplies,23.89,23.89,,,0 CDM,27201750_7032904,Noncdm Charge Record Medical Supplies,2113.44,2113.44,,,0 CDM,27201750_7039708,Noncdm Charge Record Medical Supplies,543.9,543.9,,,0 CDM,27201750_735408,Noncdm Charge Record Medical Supplies,501.63,501.63,,,0 CDM,27201750_777957,Noncdm Charge Record Medical Supplies,12.75,12.75,,,0 CDM,27201751,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",528.15,528.15,,,0 CDM,27201751_1049,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",730.8,730.8,,,0 CDM,27201751_33401,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",955.71,955.71,,,0 CDM,27201751_510368,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",1010.1,1010.1,,,0 CDM,27201751_602543,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",823.62,823.62,,,0 CDM,27201751_7011863,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",738.15,738.15,,,0 CDM,27201751_7011864,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",738.15,738.15,,,0 CDM,27201751_7011867,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",478.8,478.8,,,0 CDM,27201751_7011911,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",738.15,738.15,,,0 CDM,27201751_7012266,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",1164.24,1164.24,,,0 CDM,27201751_7014317,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",1010.1,1010.1,,,0 CDM,27201751_7014658,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",5901.34,5901.34,,,0 CDM,27201751_7014659,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",5573.48,5573.48,,,0 CDM,27201751_7014686,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",5464.2,5464.2,,,0 CDM,27201751_7014687,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",5609.91,5609.91,,,0 CDM,27201751_7014688,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",5245.63,5245.63,,,0 CDM,27201751_7015460,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",5405.55,5405.55,,,0 CDM,27201751_7015502,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",2938.32,2938.32,,,0 CDM,27201751_7015518,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",2480.31,2480.31,,,0 CDM,27201751_7015526,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",5644.75,5644.75,,,0 CDM,27201751_7016370,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",5409.56,5409.56,,,0 CDM,27201751_7016373,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",5841.75,5841.75,,,0 CDM,27201751_7016376,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",5264.43,5264.43,,,0 CDM,27201751_7016583,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",994.7,994.7,,,0 CDM,27201751_7027787,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",1394.72,1394.72,,,0 CDM,27201751_7028180,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",1200.85,1200.85,,,0 CDM,27201751_7028490,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",2356.2,2356.2,,,0 CDM,27201751_7029100,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",871.92,871.92,,,0 CDM,27201751_7029731,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",2498.13,2498.13,,,0 CDM,27201751_7030119,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",7381.5,7381.5,,,0 CDM,27201751_7032971,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",630.0,630.0,,,0 CDM,27201751_7036061,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",699.3,699.3,,,0 CDM,27201751_7057593,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",5678.06,5678.06,,,0 CDM,27201751_7057603,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",8295.98,8295.98,,,0 CDM,27201751_7075951,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",5418.0,5418.0,,,0 CDM,27201751_7082804,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",913.13,913.13,,,0 CDM,27201751_7085572,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",3076.92,3076.92,,,0 CDM,27201751_7088595,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",2480.65,2480.65,,,0 CDM,27201751_7089422,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",699.3,699.3,,,0 CDM,27201751_7092406,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",2192.4,2192.4,,,0 CDM,27201751_7115005,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",913.25,913.25,,,0 CDM,27201751_7115022,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",1126.65,1126.65,,,0 CDM,27201751_7118334,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",753.69,753.69,,,0 CDM,27201751_727242,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",528.67,528.67,,,0 CDM,27201751_743581,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",478.8,478.8,,,0 CDM,27201751_C1751_272,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",528.15,528.15,,,0 CDM,27201752_7014335,Noncdm Charge Record Medical Supplies,512.82,512.82,,,0 CDM,27201752_7027956,Noncdm Charge Record Medical Supplies,234.36,234.36,,,0 CDM,27201752_7030917,Noncdm Charge Record Medical Supplies,888.54,888.54,,,0 CDM,27201752_7031719,Noncdm Charge Record Medical Supplies,863.86,863.86,,,0 CDM,27201752_7031720,Noncdm Charge Record Medical Supplies,1319.27,1319.27,,,0 CDM,27201752_7031722,Noncdm Charge Record Medical Supplies,957.44,957.44,,,0 CDM,27201752_7047711,Noncdm Charge Record Medical Supplies,895.23,895.23,,,0 CDM,27201753_7013817,Noncdm Charge Record Medical Supplies,6111.0,6111.0,,,0 CDM,27201753_7014555,Noncdm Charge Record Medical Supplies,3658.7,3658.7,,,0 CDM,27201753_7015727,Noncdm Charge Record Medical Supplies,3402.0,3402.0,,,0 CDM,27201753_7016344,Noncdm Charge Record Medical Supplies,7005.6,7005.6,,,0 CDM,27201753_7016680,Noncdm Charge Record Medical Supplies,18648.0,18648.0,,,0 CDM,27201753_7111771,Noncdm Charge Record Medical Supplies,7030.8,7030.8,,,0 CDM,27201753_7148055,Noncdm Charge Record Medical Supplies,17136.0,17136.0,,,0 CDM,27201753_C1753_272,Noncdm Charge Record Medical Supplies,4800.6,4800.6,,,0 CDM,27201755_7174059,Noncdm Charge Record Medical Supplies,1.05,1.05,,,0 CDM,27201757_512622,Noncdm Charge Record Medical Supplies,599.77,599.77,,,0 CDM,27201757_512623,Noncdm Charge Record Medical Supplies,599.77,599.77,,,0 CDM,27201757_512625,Noncdm Charge Record Medical Supplies,599.77,599.77,,,0 CDM,27201757_513978,Noncdm Charge Record Medical Supplies,599.77,599.77,,,0 CDM,27201757_514861,Noncdm Charge Record Medical Supplies,974.28,974.28,,,0 CDM,27201757_516675,Noncdm Charge Record Medical Supplies,629.76,629.76,,,0 CDM,27201757_7014526,Noncdm Charge Record Medical Supplies,1079.44,1079.44,,,0 CDM,27201757_7015485,Noncdm Charge Record Medical Supplies,9880.08,9880.08,,,0 CDM,27201757_7015500,Noncdm Charge Record Medical Supplies,673.24,673.24,,,0 CDM,27201757_7015752,Noncdm Charge Record Medical Supplies,655.01,655.01,,,0 CDM,27201757_7015753,Noncdm Charge Record Medical Supplies,698.67,698.67,,,0 CDM,27201757_7015754,Noncdm Charge Record Medical Supplies,1037.92,1037.92,,,0 CDM,27201757_7015755,Noncdm Charge Record Medical Supplies,681.01,681.01,,,0 CDM,27201757_7015868,Noncdm Charge Record Medical Supplies,8215.2,8215.2,,,0 CDM,27201757_7015886,Noncdm Charge Record Medical Supplies,2016.0,2016.0,,,0 CDM,27201757_7015920,Noncdm Charge Record Medical Supplies,34226.85,34226.85,,,0 CDM,27201757_7020887,Noncdm Charge Record Medical Supplies,3276.0,3276.0,,,0 CDM,27201757_7032727,Noncdm Charge Record Medical Supplies,14565.6,14565.6,,,0 CDM,27201757_7032728,Noncdm Charge Record Medical Supplies,5443.2,5443.2,,,0 CDM,27201757_7032818,Noncdm Charge Record Medical Supplies,372.96,372.96,,,0 CDM,27201757_7037364,Noncdm Charge Record Medical Supplies,3691.8,3691.8,,,0 CDM,27201757_7039706,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27201757_7044809,Noncdm Charge Record Medical Supplies,14086.8,14086.8,,,0 CDM,27201757_7050335,Noncdm Charge Record Medical Supplies,10054.8,10054.8,,,0 CDM,27201757_7087071,Noncdm Charge Record Medical Supplies,15073.8,15073.8,,,0 CDM,27201757_7094443,Noncdm Charge Record Medical Supplies,14374.45,14374.45,,,0 CDM,27201757_7096806,Noncdm Charge Record Medical Supplies,9777.6,9777.6,,,0 CDM,27201757_7098417,Noncdm Charge Record Medical Supplies,32604.43,32604.43,,,0 CDM,27201757_7098421,Noncdm Charge Record Medical Supplies,31792.32,31792.32,,,0 CDM,27201757_7110164,Noncdm Charge Record Medical Supplies,34322.4,34322.4,,,0 CDM,27201757_7110165,Noncdm Charge Record Medical Supplies,9802.8,9802.8,,,0 CDM,27201757_7110166,Noncdm Charge Record Medical Supplies,29282.4,29282.4,,,0 CDM,27201757_7114177,Noncdm Charge Record Medical Supplies,34272.0,34272.0,,,0 CDM,27201757_7114178,Noncdm Charge Record Medical Supplies,33488.62,33488.62,,,0 CDM,27201757_7114179,Noncdm Charge Record Medical Supplies,33796.38,33796.38,,,0 CDM,27201757_7114180,Noncdm Charge Record Medical Supplies,14086.8,14086.8,,,0 CDM,27201757_7114182,Noncdm Charge Record Medical Supplies,4914.0,4914.0,,,0 CDM,27201757_7114184,Noncdm Charge Record Medical Supplies,630.0,630.0,,,0 CDM,27201757_7136211,Noncdm Charge Record Medical Supplies,28274.4,28274.4,,,0 CDM,27201757_7143243,Noncdm Charge Record Medical Supplies,49240.8,49240.8,,,0 CDM,27201757_7143244,Noncdm Charge Record Medical Supplies,49240.8,49240.8,,,0 CDM,27201757_7143245,Noncdm Charge Record Medical Supplies,49240.8,49240.8,,,0 CDM,27201757_7143248,Noncdm Charge Record Medical Supplies,62315.4,62315.4,,,0 CDM,27201757_7145920,Noncdm Charge Record Medical Supplies,7326.14,7326.14,,,0 CDM,27201757_7148084,Noncdm Charge Record Medical Supplies,22680.0,22680.0,,,0 CDM,27201757_7153902,Noncdm Charge Record Medical Supplies,12755.13,12755.13,,,0 CDM,27201757_7154277,Noncdm Charge Record Medical Supplies,7326.14,7326.14,,,0 CDM,27201757_7162271,Noncdm Charge Record Medical Supplies,22680.0,22680.0,,,0 CDM,27201757_778914,Noncdm Charge Record Medical Supplies,1037.91,1037.91,,,0 CDM,27201757_C1757_272,Noncdm Charge Record Medical Supplies,8215.2,8215.2,,,0 CDM,27201758_514711,Noncdm Charge Record Medical Supplies,530.76,530.76,,,0 CDM,27201758_7000547,Noncdm Charge Record Medical Supplies,88.74,88.74,,,0 CDM,27201758_7014346,Noncdm Charge Record Medical Supplies,95.57,95.57,,,0 CDM,27201758_7028068,Noncdm Charge Record Medical Supplies,141.12,141.12,,,0 CDM,27201758_7028321,Noncdm Charge Record Medical Supplies,1681.27,1681.27,,,0 CDM,27201758_7088653,Noncdm Charge Record Medical Supplies,324.24,324.24,,,0 CDM,27201758_7098725,Noncdm Charge Record Medical Supplies,101.63,101.63,,,0 CDM,27201758_7098730,Noncdm Charge Record Medical Supplies,398.53,398.53,,,0 CDM,27201758_7110628,Noncdm Charge Record Medical Supplies,101.63,101.63,,,0 CDM,27201758_7158776,Noncdm Charge Record Medical Supplies,530.76,530.76,,,0 CDM,27201758_7161131,Noncdm Charge Record Medical Supplies,186.87,186.87,,,0 CDM,27201758_7166523,Noncdm Charge Record Medical Supplies,324.24,324.24,,,0 CDM,27201758_7167249,Noncdm Charge Record Medical Supplies,686.87,686.87,,,0 CDM,27201758_738298,Noncdm Charge Record Medical Supplies,84.3,84.3,,,0 CDM,27201759_7013799,Noncdm Charge Record Medical Supplies,14676.48,14676.48,,,0 CDM,27201759_7022581,Noncdm Charge Record Medical Supplies,14248.08,14248.08,,,0 CDM,27201759_7030126,Noncdm Charge Record Medical Supplies,10493.18,10493.18,,,0 CDM,27201759_7033316,Noncdm Charge Record Medical Supplies,306.63,306.63,,,0 CDM,27201759_7033317,Noncdm Charge Record Medical Supplies,95.76,95.76,,,0 CDM,27201759_7091276,Noncdm Charge Record Medical Supplies,12970.44,12970.44,,,0 CDM,27201759_7141941,Noncdm Charge Record Medical Supplies,19101.6,19101.6,,,0 CDM,27201759_C1759_272,Noncdm Charge Record Medical Supplies,13256.61,13256.61,,,0 CDM,27201760_7014484,Noncdm Charge Record Medical Supplies,514.08,514.08,,,0 CDM,27201760_7114176,Noncdm Charge Record Medical Supplies,1170.8,1170.8,,,0 CDM,27201760_7114183,Noncdm Charge Record Medical Supplies,1196.88,1196.88,,,0 CDM,27201760_7114308,Noncdm Charge Record Medical Supplies,1144.59,1144.59,,,0 CDM,27201760_7136210,Noncdm Charge Record Medical Supplies,1190.7,1190.7,,,0 CDM,27201761_7110367,Noncdm Charge Record Medical Supplies,23688.0,23688.0,,,0 CDM,27201761_7110368,Noncdm Charge Record Medical Supplies,23688.0,23688.0,,,0 CDM,27201761_7110369,Noncdm Charge Record Medical Supplies,23688.0,23688.0,,,0 CDM,27201761_7110370,Noncdm Charge Record Medical Supplies,23688.0,23688.0,,,0 CDM,27201761_7113603,Noncdm Charge Record Medical Supplies,18434.5,18434.5,,,0 CDM,27201761_7113604,Noncdm Charge Record Medical Supplies,26806.5,26806.5,,,0 CDM,27201761_7113607,Noncdm Charge Record Medical Supplies,18565.31,18565.31,,,0 CDM,27201761_7134517,Noncdm Charge Record Medical Supplies,18244.23,18244.23,,,0 CDM,27201761_7134518,Noncdm Charge Record Medical Supplies,26806.5,26806.5,,,0 CDM,27201761_7176365,Noncdm Charge Record Medical Supplies,36519.0,36519.0,,,0 CDM,27201765_612026,Noncdm Charge Record Medical Supplies,2336.05,2336.05,,,0 CDM,27201765_723839,Noncdm Charge Record Medical Supplies,2578.87,2578.87,,,0 CDM,27201766_618742,Noncdm Charge Record Medical Supplies,1373.5,1373.5,,,0 CDM,27201766_7011925,Noncdm Charge Record Medical Supplies,508.94,508.94,,,0 CDM,27201766_7013810,Noncdm Charge Record Medical Supplies,4528.44,4528.44,,,0 CDM,27201766_7013813,Noncdm Charge Record Medical Supplies,4503.32,4503.32,,,0 CDM,27201766_7013824,Noncdm Charge Record Medical Supplies,4482.24,4482.24,,,0 CDM,27201766_7015797,Noncdm Charge Record Medical Supplies,2469.6,2469.6,,,0 CDM,27201766_7017462,Noncdm Charge Record Medical Supplies,122.61,122.61,,,0 CDM,27201766_7019745,Noncdm Charge Record Medical Supplies,5572.33,5572.33,,,0 CDM,27201766_7019746,Noncdm Charge Record Medical Supplies,8392.36,8392.36,,,0 CDM,27201766_7020331,Noncdm Charge Record Medical Supplies,3423.5,3423.5,,,0 CDM,27201766_7020755,Noncdm Charge Record Medical Supplies,1640.33,1640.33,,,0 CDM,27201766_7028966,Noncdm Charge Record Medical Supplies,3261.46,3261.46,,,0 CDM,27201766_7029193,Noncdm Charge Record Medical Supplies,3286.8,3286.8,,,0 CDM,27201766_7029622,Noncdm Charge Record Medical Supplies,2832.69,2832.69,,,0 CDM,27201766_7029632,Noncdm Charge Record Medical Supplies,2679.86,2679.86,,,0 CDM,27201766_7029645,Noncdm Charge Record Medical Supplies,3480.44,3480.44,,,0 CDM,27201766_7030097,Noncdm Charge Record Medical Supplies,60.48,60.48,,,0 CDM,27201766_7030285,Noncdm Charge Record Medical Supplies,4374.72,4374.72,,,0 CDM,27201766_7030318,Noncdm Charge Record Medical Supplies,2043.51,2043.51,,,0 CDM,27201766_7030320,Noncdm Charge Record Medical Supplies,3541.54,3541.54,,,0 CDM,27201766_7030527,Noncdm Charge Record Medical Supplies,340.7,340.7,,,0 CDM,27201766_7030528,Noncdm Charge Record Medical Supplies,532.98,532.98,,,0 CDM,27201766_7030927,Noncdm Charge Record Medical Supplies,2847.6,2847.6,,,0 CDM,27201766_7030929,Noncdm Charge Record Medical Supplies,2847.6,2847.6,,,0 CDM,27201766_7031192,Noncdm Charge Record Medical Supplies,4374.72,4374.72,,,0 CDM,27201766_7031324,Noncdm Charge Record Medical Supplies,378.0,378.0,,,0 CDM,27201766_7031325,Noncdm Charge Record Medical Supplies,306.06,306.06,,,0 CDM,27201766_7031410,Noncdm Charge Record Medical Supplies,11516.4,11516.4,,,0 CDM,27201766_7031411,Noncdm Charge Record Medical Supplies,11062.8,11062.8,,,0 CDM,27201766_7031671,Noncdm Charge Record Medical Supplies,52.91,52.91,,,0 CDM,27201766_7031672,Noncdm Charge Record Medical Supplies,52.42,52.42,,,0 CDM,27201766_7031673,Noncdm Charge Record Medical Supplies,53.71,53.71,,,0 CDM,27201766_7031674,Noncdm Charge Record Medical Supplies,52.42,52.42,,,0 CDM,27201766_7031683,Noncdm Charge Record Medical Supplies,4374.72,4374.72,,,0 CDM,27201766_7031686,Noncdm Charge Record Medical Supplies,2923.2,2923.2,,,0 CDM,27201766_7031687,Noncdm Charge Record Medical Supplies,5559.54,5559.54,,,0 CDM,27201766_7031689,Noncdm Charge Record Medical Supplies,5954.48,5954.48,,,0 CDM,27201766_7031691,Noncdm Charge Record Medical Supplies,4374.72,4374.72,,,0 CDM,27201766_7031698,Noncdm Charge Record Medical Supplies,1931.39,1931.39,,,0 CDM,27201766_7031699,Noncdm Charge Record Medical Supplies,1588.44,1588.44,,,0 CDM,27201766_7031770,Noncdm Charge Record Medical Supplies,1020.59,1020.59,,,0 CDM,27201766_7031785,Noncdm Charge Record Medical Supplies,516.45,516.45,,,0 CDM,27201766_7031879,Noncdm Charge Record Medical Supplies,57.96,57.96,,,0 CDM,27201766_7031948,Noncdm Charge Record Medical Supplies,5938.1,5938.1,,,0 CDM,27201766_7032551,Noncdm Charge Record Medical Supplies,304.92,304.92,,,0 CDM,27201766_7032635,Noncdm Charge Record Medical Supplies,796.19,796.19,,,0 CDM,27201766_7032636,Noncdm Charge Record Medical Supplies,670.39,670.39,,,0 CDM,27201766_7032670,Noncdm Charge Record Medical Supplies,432.34,432.34,,,0 CDM,27201766_7032672,Noncdm Charge Record Medical Supplies,670.39,670.39,,,0 CDM,27201766_7032678,Noncdm Charge Record Medical Supplies,574.56,574.56,,,0 CDM,27201766_7047629,Noncdm Charge Record Medical Supplies,3995.82,3995.82,,,0 CDM,27201766_7047652,Noncdm Charge Record Medical Supplies,4244.36,4244.36,,,0 CDM,27201766_7047653,Noncdm Charge Record Medical Supplies,4156.64,4156.64,,,0 CDM,27201766_7055248,Noncdm Charge Record Medical Supplies,4428.9,4428.9,,,0 CDM,27201766_7055252,Noncdm Charge Record Medical Supplies,4428.9,4428.9,,,0 CDM,27201766_7055254,Noncdm Charge Record Medical Supplies,3871.55,3871.55,,,0 CDM,27201766_7055255,Noncdm Charge Record Medical Supplies,4244.36,4244.36,,,0 CDM,27201766_7116211,Noncdm Charge Record Medical Supplies,5040.0,5040.0,,,0 CDM,27201766_7116213,Noncdm Charge Record Medical Supplies,4374.72,4374.72,,,0 CDM,27201766_7116214,Noncdm Charge Record Medical Supplies,4374.72,4374.72,,,0 CDM,27201766_7116217,Noncdm Charge Record Medical Supplies,8114.4,8114.4,,,0 CDM,27201766_7129621,Noncdm Charge Record Medical Supplies,2898.21,2898.21,,,0 CDM,27201766_7133495,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27201766_7133496,Noncdm Charge Record Medical Supplies,9046.8,9046.8,,,0 CDM,27201766_7160563,Noncdm Charge Record Medical Supplies,6552.0,6552.0,,,0 CDM,27201766_7163571,Noncdm Charge Record Medical Supplies,990.68,990.68,,,0 CDM,27201766_7164324,Noncdm Charge Record Medical Supplies,274.28,274.28,,,0 CDM,27201766_7169428,Noncdm Charge Record Medical Supplies,4840.71,4840.71,,,0 CDM,27201766_7173785,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27201766_7174476,Noncdm Charge Record Medical Supplies,458.43,458.43,,,0 CDM,27201766_7174525,Noncdm Charge Record Medical Supplies,7264.95,7264.95,,,0 CDM,27201766_7174526,Noncdm Charge Record Medical Supplies,4351.2,4351.2,,,0 CDM,27201766_7174827,Noncdm Charge Record Medical Supplies,3605.28,3605.28,,,0 CDM,27201766_7174951,Noncdm Charge Record Medical Supplies,4351.2,4351.2,,,0 CDM,27201766_7174989,Noncdm Charge Record Medical Supplies,4351.2,4351.2,,,0 CDM,27201766_7174990,Noncdm Charge Record Medical Supplies,494.17,494.17,,,0 CDM,27201766_7175192,Noncdm Charge Record Medical Supplies,5563.32,5563.32,,,0 CDM,27201766_7176008,Noncdm Charge Record Medical Supplies,64.88,64.88,,,0 CDM,27201766_7176215,Noncdm Charge Record Medical Supplies,4351.2,4351.2,,,0 CDM,27201766_7176421,Noncdm Charge Record Medical Supplies,274.28,274.28,,,0 CDM,27201766_7176423,Noncdm Charge Record Medical Supplies,6340.32,6340.32,,,0 CDM,27201766_7176753,Noncdm Charge Record Medical Supplies,4351.2,4351.2,,,0 CDM,27201766_7176756,Noncdm Charge Record Medical Supplies,4351.2,4351.2,,,0 CDM,27201766_7176757,Noncdm Charge Record Medical Supplies,3869.46,3869.46,,,0 CDM,27201766_7176967,Noncdm Charge Record Medical Supplies,157.5,157.5,,,0 CDM,27201766_7176984,Noncdm Charge Record Medical Supplies,274.28,274.28,,,0 CDM,27201766_7177083,Noncdm Charge Record Medical Supplies,4351.2,4351.2,,,0 CDM,27201766_7177364,Noncdm Charge Record Medical Supplies,89.36,89.36,,,0 CDM,27201766_7177366,Noncdm Charge Record Medical Supplies,4840.71,4840.71,,,0 CDM,27201766_7177373,Noncdm Charge Record Medical Supplies,4351.2,4351.2,,,0 CDM,27201766_7177388,Noncdm Charge Record Medical Supplies,4351.2,4351.2,,,0 CDM,27201766_7177613,Noncdm Charge Record Medical Supplies,89.36,89.36,,,0 CDM,27201766_7177653,Noncdm Charge Record Medical Supplies,5563.32,5563.32,,,0 CDM,27201766_7177654,Noncdm Charge Record Medical Supplies,494.17,494.17,,,0 CDM,27201766_7178007,Noncdm Charge Record Medical Supplies,494.17,494.17,,,0 CDM,27201766_7178138,Noncdm Charge Record Medical Supplies,494.17,494.17,,,0 CDM,27201766_7178143,Noncdm Charge Record Medical Supplies,5563.32,5563.32,,,0 CDM,27201766_7178145,Noncdm Charge Record Medical Supplies,4351.2,4351.2,,,0 CDM,27201766_7178227,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27201766_7178229,Noncdm Charge Record Medical Supplies,1592.85,1592.85,,,0 CDM,27201766_7178353,Noncdm Charge Record Medical Supplies,324.4,324.4,,,0 CDM,27201766_7178404,Noncdm Charge Record Medical Supplies,163.17,163.17,,,0 CDM,27201766_7178405,Noncdm Charge Record Medical Supplies,274.28,274.28,,,0 CDM,27201766_7178605,Noncdm Charge Record Medical Supplies,893.55,893.55,,,0 CDM,27201766_7178614,Noncdm Charge Record Medical Supplies,163.17,163.17,,,0 CDM,27201766_7178616,Noncdm Charge Record Medical Supplies,3869.46,3869.46,,,0 CDM,27201766_7179327,Noncdm Charge Record Medical Supplies,89.36,89.36,,,0 CDM,27201766_7179371,Noncdm Charge Record Medical Supplies,89.36,89.36,,,0 CDM,27201766_7179383,Noncdm Charge Record Medical Supplies,5563.32,5563.32,,,0 CDM,27201766_7179456,Noncdm Charge Record Medical Supplies,89.36,89.36,,,0 CDM,27201766_7179457,Noncdm Charge Record Medical Supplies,89.36,89.36,,,0 CDM,27201766_7179461,Noncdm Charge Record Medical Supplies,5563.32,5563.32,,,0 CDM,27201766_7179507,Noncdm Charge Record Medical Supplies,3869.46,3869.46,,,0 CDM,27201766_7179881,Noncdm Charge Record Medical Supplies,89.36,89.36,,,0 CDM,27201766_7180036,Noncdm Charge Record Medical Supplies,576.53,576.53,,,0 CDM,27201766_7180037,Noncdm Charge Record Medical Supplies,89.36,89.36,,,0 CDM,27201766_7180157,Noncdm Charge Record Medical Supplies,85.47,85.47,,,0 CDM,27201766_758920,Noncdm Charge Record Medical Supplies,366.67,366.67,,,0 CDM,27201766_758921,Noncdm Charge Record Medical Supplies,328.21,328.21,,,0 CDM,27201769_120181,Noncdm Charge Record Medical Supplies,361.38,361.38,,,0 CDM,27201769_511090,Noncdm Charge Record Medical Supplies,89.74,89.74,,,0 CDM,27201769_604349,Noncdm Charge Record Medical Supplies,418.34,418.34,,,0 CDM,27201769_604350,Noncdm Charge Record Medical Supplies,418.34,418.34,,,0 CDM,27201769_633629,Noncdm Charge Record Medical Supplies,835.35,835.35,,,0 CDM,27201769_7000535,Noncdm Charge Record Medical Supplies,1006.86,1006.86,,,0 CDM,27201769_7000536,Noncdm Charge Record Medical Supplies,412.04,412.04,,,0 CDM,27201769_7000537,Noncdm Charge Record Medical Supplies,287.18,287.18,,,0 CDM,27201769_7000538,Noncdm Charge Record Medical Supplies,287.18,287.18,,,0 CDM,27201769_7000673,Noncdm Charge Record Medical Supplies,325.08,325.08,,,0 CDM,27201769_7000675,Noncdm Charge Record Medical Supplies,69.64,69.64,,,0 CDM,27201769_7001102,Noncdm Charge Record Medical Supplies,101.61,101.61,,,0 CDM,27201769_7001103,Noncdm Charge Record Medical Supplies,194.88,194.88,,,0 CDM,27201769_7001104,Noncdm Charge Record Medical Supplies,111.89,111.89,,,0 CDM,27201769_7001107,Noncdm Charge Record Medical Supplies,49.17,49.17,,,0 CDM,27201769_7002070,Noncdm Charge Record Medical Supplies,108.78,108.78,,,0 CDM,27201769_7002696,Noncdm Charge Record Medical Supplies,108.78,108.78,,,0 CDM,27201769_7010587,Noncdm Charge Record Medical Supplies,341.88,341.88,,,0 CDM,27201769_7011571,Noncdm Charge Record Medical Supplies,370.65,370.65,,,0 CDM,27201769_7011592,Noncdm Charge Record Medical Supplies,131.54,131.54,,,0 CDM,27201769_7011710,Noncdm Charge Record Medical Supplies,66.29,66.29,,,0 CDM,27201769_7011861,Noncdm Charge Record Medical Supplies,292.32,292.32,,,0 CDM,27201769_7011862,Noncdm Charge Record Medical Supplies,500.62,500.62,,,0 CDM,27201769_7011870,Noncdm Charge Record Medical Supplies,879.31,879.31,,,0 CDM,27201769_7011880,Noncdm Charge Record Medical Supplies,25.48,25.48,,,0 CDM,27201769_7011881,Noncdm Charge Record Medical Supplies,970.31,970.31,,,0 CDM,27201769_7011882,Noncdm Charge Record Medical Supplies,183.08,183.08,,,0 CDM,27201769_7011883,Noncdm Charge Record Medical Supplies,231.7,231.7,,,0 CDM,27201769_7011884,Noncdm Charge Record Medical Supplies,286.79,286.79,,,0 CDM,27201769_7011885,Noncdm Charge Record Medical Supplies,357.69,357.69,,,0 CDM,27201769_7011886,Noncdm Charge Record Medical Supplies,357.62,357.62,,,0 CDM,27201769_7011888,Noncdm Charge Record Medical Supplies,359.08,359.08,,,0 CDM,27201769_7011890,Noncdm Charge Record Medical Supplies,253.73,253.73,,,0 CDM,27201769_7011891,Noncdm Charge Record Medical Supplies,294.38,294.38,,,0 CDM,27201769_7011894,Noncdm Charge Record Medical Supplies,273.36,273.36,,,0 CDM,27201769_7011895,Noncdm Charge Record Medical Supplies,197.2,197.2,,,0 CDM,27201769_7011896,Noncdm Charge Record Medical Supplies,282.49,282.49,,,0 CDM,27201769_7011909,Noncdm Charge Record Medical Supplies,260.43,260.43,,,0 CDM,27201769_7011913,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27201769_7011915,Noncdm Charge Record Medical Supplies,606.06,606.06,,,0 CDM,27201769_7011918,Noncdm Charge Record Medical Supplies,504.18,504.18,,,0 CDM,27201769_7011922,Noncdm Charge Record Medical Supplies,418.14,418.14,,,0 CDM,27201769_7011938,Noncdm Charge Record Medical Supplies,418.76,418.76,,,0 CDM,27201769_7012109,Noncdm Charge Record Medical Supplies,278.87,278.87,,,0 CDM,27201769_7012583,Noncdm Charge Record Medical Supplies,1461.6,1461.6,,,0 CDM,27201769_7012584,Noncdm Charge Record Medical Supplies,7560.0,7560.0,,,0 CDM,27201769_7012817,Noncdm Charge Record Medical Supplies,178.87,178.87,,,0 CDM,27201769_7013475,Noncdm Charge Record Medical Supplies,139.02,139.02,,,0 CDM,27201769_7013812,Noncdm Charge Record Medical Supplies,1048.32,1048.32,,,0 CDM,27201769_7013826,Noncdm Charge Record Medical Supplies,1940.4,1940.4,,,0 CDM,27201769_7014094,Noncdm Charge Record Medical Supplies,74.9,74.9,,,0 CDM,27201769_7014540,Noncdm Charge Record Medical Supplies,1681.99,1681.99,,,0 CDM,27201769_7015379,Noncdm Charge Record Medical Supplies,3302.96,3302.96,,,0 CDM,27201769_7015386,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27201769_7015393,Noncdm Charge Record Medical Supplies,3367.73,3367.73,,,0 CDM,27201769_7015415,Noncdm Charge Record Medical Supplies,3376.98,3376.98,,,0 CDM,27201769_7015446,Noncdm Charge Record Medical Supplies,3277.34,3277.34,,,0 CDM,27201769_7015480,Noncdm Charge Record Medical Supplies,1193.47,1193.47,,,0 CDM,27201769_7015524,Noncdm Charge Record Medical Supplies,1676.64,1676.64,,,0 CDM,27201769_7015569,Noncdm Charge Record Medical Supplies,1328.9,1328.9,,,0 CDM,27201769_7016132,Noncdm Charge Record Medical Supplies,1461.6,1461.6,,,0 CDM,27201769_7016478,Noncdm Charge Record Medical Supplies,2848.86,2848.86,,,0 CDM,27201769_7016479,Noncdm Charge Record Medical Supplies,2848.86,2848.86,,,0 CDM,27201769_7016581,Noncdm Charge Record Medical Supplies,1162.88,1162.88,,,0 CDM,27201769_7016630,Noncdm Charge Record Medical Supplies,366.26,366.26,,,0 CDM,27201769_7016632,Noncdm Charge Record Medical Supplies,166.25,166.25,,,0 CDM,27201769_7017455,Noncdm Charge Record Medical Supplies,38.64,38.64,,,0 CDM,27201769_7017464,Noncdm Charge Record Medical Supplies,17.09,17.09,,,0 CDM,27201769_7018040,Noncdm Charge Record Medical Supplies,37.92,37.92,,,0 CDM,27201769_7018047,Noncdm Charge Record Medical Supplies,32.63,32.63,,,0 CDM,27201769_7018052,Noncdm Charge Record Medical Supplies,36.52,36.52,,,0 CDM,27201769_7018056,Noncdm Charge Record Medical Supplies,37.92,37.92,,,0 CDM,27201769_7018057,Noncdm Charge Record Medical Supplies,36.52,36.52,,,0 CDM,27201769_7018058,Noncdm Charge Record Medical Supplies,37.92,37.92,,,0 CDM,27201769_7019752,Noncdm Charge Record Medical Supplies,447.24,447.24,,,0 CDM,27201769_7026429,Noncdm Charge Record Medical Supplies,283.6,283.6,,,0 CDM,27201769_7027873,Noncdm Charge Record Medical Supplies,31.78,31.78,,,0 CDM,27201769_7027876,Noncdm Charge Record Medical Supplies,53.17,53.17,,,0 CDM,27201769_7027885,Noncdm Charge Record Medical Supplies,161.99,161.99,,,0 CDM,27201769_7027886,Noncdm Charge Record Medical Supplies,31.25,31.25,,,0 CDM,27201769_7027899,Noncdm Charge Record Medical Supplies,119.65,119.65,,,0 CDM,27201769_7028063,Noncdm Charge Record Medical Supplies,3480.96,3480.96,,,0 CDM,27201769_7028106,Noncdm Charge Record Medical Supplies,418.32,418.32,,,0 CDM,27201769_7028114,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27201769_7028124,Noncdm Charge Record Medical Supplies,126.79,126.79,,,0 CDM,27201769_7028126,Noncdm Charge Record Medical Supplies,31.25,31.25,,,0 CDM,27201769_7028141,Noncdm Charge Record Medical Supplies,418.32,418.32,,,0 CDM,27201769_7028163,Noncdm Charge Record Medical Supplies,2748.31,2748.31,,,0 CDM,27201769_7028165,Noncdm Charge Record Medical Supplies,54.83,54.83,,,0 CDM,27201769_7028166,Noncdm Charge Record Medical Supplies,31.25,31.25,,,0 CDM,27201769_7028304,Noncdm Charge Record Medical Supplies,835.35,835.35,,,0 CDM,27201769_7028448,Noncdm Charge Record Medical Supplies,1328.9,1328.9,,,0 CDM,27201769_7028591,Noncdm Charge Record Medical Supplies,6931.76,6931.76,,,0 CDM,27201769_7028948,Noncdm Charge Record Medical Supplies,1623.93,1623.93,,,0 CDM,27201769_7028973,Noncdm Charge Record Medical Supplies,1204.56,1204.56,,,0 CDM,27201769_7028974,Noncdm Charge Record Medical Supplies,542.25,542.25,,,0 CDM,27201769_7028989,Noncdm Charge Record Medical Supplies,1375.29,1375.29,,,0 CDM,27201769_7028990,Noncdm Charge Record Medical Supplies,1392.38,1392.38,,,0 CDM,27201769_7028995,Noncdm Charge Record Medical Supplies,1280.16,1280.16,,,0 CDM,27201769_7028997,Noncdm Charge Record Medical Supplies,88.7,88.7,,,0 CDM,27201769_7029000,Noncdm Charge Record Medical Supplies,1591.14,1591.14,,,0 CDM,27201769_7029003,Noncdm Charge Record Medical Supplies,420.01,420.01,,,0 CDM,27201769_7029004,Noncdm Charge Record Medical Supplies,570.78,570.78,,,0 CDM,27201769_7029033,Noncdm Charge Record Medical Supplies,3384.22,3384.22,,,0 CDM,27201769_7029036,Noncdm Charge Record Medical Supplies,58.86,58.86,,,0 CDM,27201769_7029037,Noncdm Charge Record Medical Supplies,31.25,31.25,,,0 CDM,27201769_7029041,Noncdm Charge Record Medical Supplies,421.73,421.73,,,0 CDM,27201769_7029048,Noncdm Charge Record Medical Supplies,31.25,31.25,,,0 CDM,27201769_7029049,Noncdm Charge Record Medical Supplies,3194.02,3194.02,,,0 CDM,27201769_7029055,Noncdm Charge Record Medical Supplies,87.88,87.88,,,0 CDM,27201769_7029058,Noncdm Charge Record Medical Supplies,133.22,133.22,,,0 CDM,27201769_7029067,Noncdm Charge Record Medical Supplies,131.1,131.1,,,0 CDM,27201769_7029069,Noncdm Charge Record Medical Supplies,131.17,131.17,,,0 CDM,27201769_7029070,Noncdm Charge Record Medical Supplies,92.84,92.84,,,0 CDM,27201769_7029076,Noncdm Charge Record Medical Supplies,875.95,875.95,,,0 CDM,27201769_7029077,Noncdm Charge Record Medical Supplies,253.47,253.47,,,0 CDM,27201769_7029078,Noncdm Charge Record Medical Supplies,304.95,304.95,,,0 CDM,27201769_7029080,Noncdm Charge Record Medical Supplies,56.09,56.09,,,0 CDM,27201769_7029081,Noncdm Charge Record Medical Supplies,835.35,835.35,,,0 CDM,27201769_7029082,Noncdm Charge Record Medical Supplies,418.32,418.32,,,0 CDM,27201769_7029083,Noncdm Charge Record Medical Supplies,1638.0,1638.0,,,0 CDM,27201769_7029085,Noncdm Charge Record Medical Supplies,7933.17,7933.17,,,0 CDM,27201769_7029086,Noncdm Charge Record Medical Supplies,23.84,23.84,,,0 CDM,27201769_7029104,Noncdm Charge Record Medical Supplies,36.38,36.38,,,0 CDM,27201769_7029105,Noncdm Charge Record Medical Supplies,31.25,31.25,,,0 CDM,27201769_7029107,Noncdm Charge Record Medical Supplies,1065.23,1065.23,,,0 CDM,27201769_7029109,Noncdm Charge Record Medical Supplies,93.04,93.04,,,0 CDM,27201769_7029127,Noncdm Charge Record Medical Supplies,991.29,991.29,,,0 CDM,27201769_7029144,Noncdm Charge Record Medical Supplies,132.08,132.08,,,0 CDM,27201769_7029160,Noncdm Charge Record Medical Supplies,31.25,31.25,,,0 CDM,27201769_7029162,Noncdm Charge Record Medical Supplies,517.07,517.07,,,0 CDM,27201769_7029171,Noncdm Charge Record Medical Supplies,556.92,556.92,,,0 CDM,27201769_7029182,Noncdm Charge Record Medical Supplies,31.25,31.25,,,0 CDM,27201769_7029189,Noncdm Charge Record Medical Supplies,418.32,418.32,,,0 CDM,27201769_7029195,Noncdm Charge Record Medical Supplies,453.6,453.6,,,0 CDM,27201769_7029196,Noncdm Charge Record Medical Supplies,285.62,285.62,,,0 CDM,27201769_7029214,Noncdm Charge Record Medical Supplies,63.4,63.4,,,0 CDM,27201769_7029232,Noncdm Charge Record Medical Supplies,172.09,172.09,,,0 CDM,27201769_7029311,Noncdm Charge Record Medical Supplies,398.16,398.16,,,0 CDM,27201769_7029320,Noncdm Charge Record Medical Supplies,393.12,393.12,,,0 CDM,27201769_7029356,Noncdm Charge Record Medical Supplies,14.31,14.31,,,0 CDM,27201769_7029374,Noncdm Charge Record Medical Supplies,223.81,223.81,,,0 CDM,27201769_7029380,Noncdm Charge Record Medical Supplies,31.25,31.25,,,0 CDM,27201769_7029406,Noncdm Charge Record Medical Supplies,1328.9,1328.9,,,0 CDM,27201769_7029408,Noncdm Charge Record Medical Supplies,1173.27,1173.27,,,0 CDM,27201769_7029410,Noncdm Charge Record Medical Supplies,1242.97,1242.97,,,0 CDM,27201769_7029542,Noncdm Charge Record Medical Supplies,1017.87,1017.87,,,0 CDM,27201769_7029638,Noncdm Charge Record Medical Supplies,380.73,380.73,,,0 CDM,27201769_7029648,Noncdm Charge Record Medical Supplies,922.53,922.53,,,0 CDM,27201769_7029655,Noncdm Charge Record Medical Supplies,1223.78,1223.78,,,0 CDM,27201769_7029696,Noncdm Charge Record Medical Supplies,1375.29,1375.29,,,0 CDM,27201769_7029814,Noncdm Charge Record Medical Supplies,393.12,393.12,,,0 CDM,27201769_7029815,Noncdm Charge Record Medical Supplies,403.2,403.2,,,0 CDM,27201769_7029817,Noncdm Charge Record Medical Supplies,546.9,546.9,,,0 CDM,27201769_7029818,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27201769_7029819,Noncdm Charge Record Medical Supplies,327.6,327.6,,,0 CDM,27201769_7029834,Noncdm Charge Record Medical Supplies,478.48,478.48,,,0 CDM,27201769_7029837,Noncdm Charge Record Medical Supplies,705.6,705.6,,,0 CDM,27201769_7029839,Noncdm Charge Record Medical Supplies,429.89,429.89,,,0 CDM,27201769_7029856,Noncdm Charge Record Medical Supplies,1260.44,1260.44,,,0 CDM,27201769_7029861,Noncdm Charge Record Medical Supplies,414.41,414.41,,,0 CDM,27201769_7029881,Noncdm Charge Record Medical Supplies,478.8,478.8,,,0 CDM,27201769_7029885,Noncdm Charge Record Medical Supplies,403.2,403.2,,,0 CDM,27201769_7029892,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27201769_7029895,Noncdm Charge Record Medical Supplies,1078.76,1078.76,,,0 CDM,27201769_7029963,Noncdm Charge Record Medical Supplies,393.12,393.12,,,0 CDM,27201769_7029983,Noncdm Charge Record Medical Supplies,335.5,335.5,,,0 CDM,27201769_7029992,Noncdm Charge Record Medical Supplies,941.22,941.22,,,0 CDM,27201769_7030007,Noncdm Charge Record Medical Supplies,404.95,404.95,,,0 CDM,27201769_7030011,Noncdm Charge Record Medical Supplies,466.55,466.55,,,0 CDM,27201769_7030013,Noncdm Charge Record Medical Supplies,966.87,966.87,,,0 CDM,27201769_7030041,Noncdm Charge Record Medical Supplies,1670.55,1670.55,,,0 CDM,27201769_7030237,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27201769_7030339,Noncdm Charge Record Medical Supplies,393.12,393.12,,,0 CDM,27201769_7030550,Noncdm Charge Record Medical Supplies,478.8,478.8,,,0 CDM,27201769_7030568,Noncdm Charge Record Medical Supplies,478.8,478.8,,,0 CDM,27201769_7030595,Noncdm Charge Record Medical Supplies,646.85,646.85,,,0 CDM,27201769_7030613,Noncdm Charge Record Medical Supplies,487.57,487.57,,,0 CDM,27201769_7030614,Noncdm Charge Record Medical Supplies,664.34,664.34,,,0 CDM,27201769_7030617,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27201769_7030629,Noncdm Charge Record Medical Supplies,714.84,714.84,,,0 CDM,27201769_7030776,Noncdm Charge Record Medical Supplies,914.92,914.92,,,0 CDM,27201769_7031042,Noncdm Charge Record Medical Supplies,703.18,703.18,,,0 CDM,27201769_7031122,Noncdm Charge Record Medical Supplies,310.8,310.8,,,0 CDM,27201769_7031142,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27201769_7031198,Noncdm Charge Record Medical Supplies,82.96,82.96,,,0 CDM,27201769_7031230,Noncdm Charge Record Medical Supplies,108.78,108.78,,,0 CDM,27201769_7031506,Noncdm Charge Record Medical Supplies,1565.66,1565.66,,,0 CDM,27201769_7031509,Noncdm Charge Record Medical Supplies,488.88,488.88,,,0 CDM,27201769_7031619,Noncdm Charge Record Medical Supplies,2444.4,2444.4,,,0 CDM,27201769_7031620,Noncdm Charge Record Medical Supplies,4561.9,4561.9,,,0 CDM,27201769_7031623,Noncdm Charge Record Medical Supplies,705.6,705.6,,,0 CDM,27201769_7031625,Noncdm Charge Record Medical Supplies,393.12,393.12,,,0 CDM,27201769_7031626,Noncdm Charge Record Medical Supplies,393.12,393.12,,,0 CDM,27201769_7031650,Noncdm Charge Record Medical Supplies,606.06,606.06,,,0 CDM,27201769_7031669,Noncdm Charge Record Medical Supplies,100.55,100.55,,,0 CDM,27201769_7031670,Noncdm Charge Record Medical Supplies,69.66,69.66,,,0 CDM,27201769_7031721,Noncdm Charge Record Medical Supplies,937.44,937.44,,,0 CDM,27201769_7031730,Noncdm Charge Record Medical Supplies,2444.4,2444.4,,,0 CDM,27201769_7031748,Noncdm Charge Record Medical Supplies,418.32,418.32,,,0 CDM,27201769_7031749,Noncdm Charge Record Medical Supplies,418.32,418.32,,,0 CDM,27201769_7031775,Noncdm Charge Record Medical Supplies,88.81,88.81,,,0 CDM,27201769_7031784,Noncdm Charge Record Medical Supplies,319.35,319.35,,,0 CDM,27201769_7031789,Noncdm Charge Record Medical Supplies,87.84,87.84,,,0 CDM,27201769_7031792,Noncdm Charge Record Medical Supplies,448.33,448.33,,,0 CDM,27201769_7031877,Noncdm Charge Record Medical Supplies,114.29,114.29,,,0 CDM,27201769_7031881,Noncdm Charge Record Medical Supplies,303.63,303.63,,,0 CDM,27201769_7031884,Noncdm Charge Record Medical Supplies,146.16,146.16,,,0 CDM,27201769_7031887,Noncdm Charge Record Medical Supplies,75.65,75.65,,,0 CDM,27201769_7031899,Noncdm Charge Record Medical Supplies,3351.6,3351.6,,,0 CDM,27201769_7031900,Noncdm Charge Record Medical Supplies,896.7,896.7,,,0 CDM,27201769_7032135,Noncdm Charge Record Medical Supplies,856.8,856.8,,,0 CDM,27201769_7032221,Noncdm Charge Record Medical Supplies,376.74,376.74,,,0 CDM,27201769_7032229,Noncdm Charge Record Medical Supplies,360.36,360.36,,,0 CDM,27201769_7032231,Noncdm Charge Record Medical Supplies,269.94,269.94,,,0 CDM,27201769_7032469,Noncdm Charge Record Medical Supplies,691.2,691.2,,,0 CDM,27201769_7032470,Noncdm Charge Record Medical Supplies,702.0,702.0,,,0 CDM,27201769_7032553,Noncdm Charge Record Medical Supplies,655.2,655.2,,,0 CDM,27201769_7032851,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27201769_7033007,Noncdm Charge Record Medical Supplies,3528.0,3528.0,,,0 CDM,27201769_7033152,Noncdm Charge Record Medical Supplies,705.6,705.6,,,0 CDM,27201769_7036457,Noncdm Charge Record Medical Supplies,705.6,705.6,,,0 CDM,27201769_7036539,Noncdm Charge Record Medical Supplies,606.06,606.06,,,0 CDM,27201769_7036558,Noncdm Charge Record Medical Supplies,398.16,398.16,,,0 CDM,27201769_7036559,Noncdm Charge Record Medical Supplies,705.6,705.6,,,0 CDM,27201769_7036577,Noncdm Charge Record Medical Supplies,960.4,960.4,,,0 CDM,27201769_7036598,Noncdm Charge Record Medical Supplies,488.88,488.88,,,0 CDM,27201769_7036621,Noncdm Charge Record Medical Supplies,488.88,488.88,,,0 CDM,27201769_7036632,Noncdm Charge Record Medical Supplies,393.12,393.12,,,0 CDM,27201769_7036731,Noncdm Charge Record Medical Supplies,606.06,606.06,,,0 CDM,27201769_7036745,Noncdm Charge Record Medical Supplies,606.06,606.06,,,0 CDM,27201769_7036748,Noncdm Charge Record Medical Supplies,393.12,393.12,,,0 CDM,27201769_7036751,Noncdm Charge Record Medical Supplies,606.06,606.06,,,0 CDM,27201769_7036764,Noncdm Charge Record Medical Supplies,606.06,606.06,,,0 CDM,27201769_7036799,Noncdm Charge Record Medical Supplies,393.12,393.12,,,0 CDM,27201769_7036813,Noncdm Charge Record Medical Supplies,705.6,705.6,,,0 CDM,27201769_7036816,Noncdm Charge Record Medical Supplies,393.12,393.12,,,0 CDM,27201769_7036828,Noncdm Charge Record Medical Supplies,705.6,705.6,,,0 CDM,27201769_7036833,Noncdm Charge Record Medical Supplies,398.16,398.16,,,0 CDM,27201769_7036856,Noncdm Charge Record Medical Supplies,393.12,393.12,,,0 CDM,27201769_7036862,Noncdm Charge Record Medical Supplies,705.6,705.6,,,0 CDM,27201769_7036869,Noncdm Charge Record Medical Supplies,398.16,398.16,,,0 CDM,27201769_7036908,Noncdm Charge Record Medical Supplies,705.6,705.6,,,0 CDM,27201769_7037391,Noncdm Charge Record Medical Supplies,217.67,217.67,,,0 CDM,27201769_7038342,Noncdm Charge Record Medical Supplies,3024.0,3024.0,,,0 CDM,27201769_7039686,Noncdm Charge Record Medical Supplies,384.62,384.62,,,0 CDM,27201769_7039687,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27201769_7042700,Noncdm Charge Record Medical Supplies,103.93,103.93,,,0 CDM,27201769_7042702,Noncdm Charge Record Medical Supplies,103.91,103.91,,,0 CDM,27201769_7044642,Noncdm Charge Record Medical Supplies,1461.6,1461.6,,,0 CDM,27201769_7044741,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27201769_7045084,Noncdm Charge Record Medical Supplies,1034.26,1034.26,,,0 CDM,27201769_7047642,Noncdm Charge Record Medical Supplies,13734.77,13734.77,,,0 CDM,27201769_7048961,Noncdm Charge Record Medical Supplies,672.1,672.1,,,0 CDM,27201769_7049935,Noncdm Charge Record Medical Supplies,1687.64,1687.64,,,0 CDM,27201769_7054220,Noncdm Charge Record Medical Supplies,3920.39,3920.39,,,0 CDM,27201769_7055453,Noncdm Charge Record Medical Supplies,385.47,385.47,,,0 CDM,27201769_7056793,Noncdm Charge Record Medical Supplies,482.52,482.52,,,0 CDM,27201769_7057598,Noncdm Charge Record Medical Supplies,1737.14,1737.14,,,0 CDM,27201769_7057786,Noncdm Charge Record Medical Supplies,3276.0,3276.0,,,0 CDM,27201769_7057802,Noncdm Charge Record Medical Supplies,330.84,330.84,,,0 CDM,27201769_7058371,Noncdm Charge Record Medical Supplies,402.56,402.56,,,0 CDM,27201769_7058372,Noncdm Charge Record Medical Supplies,372.49,372.49,,,0 CDM,27201769_7062446,Noncdm Charge Record Medical Supplies,5244.75,5244.75,,,0 CDM,27201769_7065340,Noncdm Charge Record Medical Supplies,495.34,495.34,,,0 CDM,27201769_7065341,Noncdm Charge Record Medical Supplies,283.6,283.6,,,0 CDM,27201769_7066483,Noncdm Charge Record Medical Supplies,283.6,283.6,,,0 CDM,27201769_7071881,Noncdm Charge Record Medical Supplies,756.0,756.0,,,0 CDM,27201769_7071884,Noncdm Charge Record Medical Supplies,497.28,497.28,,,0 CDM,27201769_7072061,Noncdm Charge Record Medical Supplies,1194.64,1194.64,,,0 CDM,27201769_7072151,Noncdm Charge Record Medical Supplies,1194.64,1194.64,,,0 CDM,27201769_7072206,Noncdm Charge Record Medical Supplies,9712.5,9712.5,,,0 CDM,27201769_7072211,Noncdm Charge Record Medical Supplies,1147.78,1147.78,,,0 CDM,27201769_7072225,Noncdm Charge Record Medical Supplies,1194.64,1194.64,,,0 CDM,27201769_7072279,Noncdm Charge Record Medical Supplies,1187.87,1187.87,,,0 CDM,27201769_7072294,Noncdm Charge Record Medical Supplies,18648.0,18648.0,,,0 CDM,27201769_7072328,Noncdm Charge Record Medical Supplies,1194.64,1194.64,,,0 CDM,27201769_7072460,Noncdm Charge Record Medical Supplies,1194.64,1194.64,,,0 CDM,27201769_7075937,Noncdm Charge Record Medical Supplies,1538.88,1538.88,,,0 CDM,27201769_7075946,Noncdm Charge Record Medical Supplies,394.78,394.78,,,0 CDM,27201769_7075964,Noncdm Charge Record Medical Supplies,756.0,756.0,,,0 CDM,27201769_7075972,Noncdm Charge Record Medical Supplies,1587.6,1587.6,,,0 CDM,27201769_7075977,Noncdm Charge Record Medical Supplies,285.62,285.62,,,0 CDM,27201769_7078354,Noncdm Charge Record Medical Supplies,161.28,161.28,,,0 CDM,27201769_7086263,Noncdm Charge Record Medical Supplies,357.84,357.84,,,0 CDM,27201769_7089427,Noncdm Charge Record Medical Supplies,1160.22,1160.22,,,0 CDM,27201769_7096804,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27201769_7096808,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27201769_7097502,Noncdm Charge Record Medical Supplies,291.38,291.38,,,0 CDM,27201769_7097727,Noncdm Charge Record Medical Supplies,291.38,291.38,,,0 CDM,27201769_7098057,Noncdm Charge Record Medical Supplies,574.98,574.98,,,0 CDM,27201769_7098279,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27201769_7109243,Noncdm Charge Record Medical Supplies,1300.7,1300.7,,,0 CDM,27201769_7109255,Noncdm Charge Record Medical Supplies,2074.59,2074.59,,,0 CDM,27201769_7109263,Noncdm Charge Record Medical Supplies,3108.0,3108.0,,,0 CDM,27201769_7109536,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27201769_7109579,Noncdm Charge Record Medical Supplies,2074.59,2074.59,,,0 CDM,27201769_7111096,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27201769_7112616,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27201769_7112617,Noncdm Charge Record Medical Supplies,3276.0,3276.0,,,0 CDM,27201769_7112620,Noncdm Charge Record Medical Supplies,3276.0,3276.0,,,0 CDM,27201769_7112621,Noncdm Charge Record Medical Supplies,2368.8,2368.8,,,0 CDM,27201769_7112622,Noncdm Charge Record Medical Supplies,3427.2,3427.2,,,0 CDM,27201769_7112623,Noncdm Charge Record Medical Supplies,3427.2,3427.2,,,0 CDM,27201769_7113083,Noncdm Charge Record Medical Supplies,554.4,554.4,,,0 CDM,27201769_7113085,Noncdm Charge Record Medical Supplies,2016.0,2016.0,,,0 CDM,27201769_7115010,Noncdm Charge Record Medical Supplies,3754.8,3754.8,,,0 CDM,27201769_7115014,Noncdm Charge Record Medical Supplies,3250.8,3250.8,,,0 CDM,27201769_7115015,Noncdm Charge Record Medical Supplies,3250.8,3250.8,,,0 CDM,27201769_7115017,Noncdm Charge Record Medical Supplies,2545.2,2545.2,,,0 CDM,27201769_7115021,Noncdm Charge Record Medical Supplies,3754.8,3754.8,,,0 CDM,27201769_7116087,Noncdm Charge Record Medical Supplies,1034.26,1034.26,,,0 CDM,27201769_7116215,Noncdm Charge Record Medical Supplies,3228.24,3228.24,,,0 CDM,27201769_7116618,Noncdm Charge Record Medical Supplies,1511.65,1511.65,,,0 CDM,27201769_7117042,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27201769_7117585,Noncdm Charge Record Medical Supplies,937.44,937.44,,,0 CDM,27201769_7117790,Noncdm Charge Record Medical Supplies,806.4,806.4,,,0 CDM,27201769_7118109,Noncdm Charge Record Medical Supplies,3024.0,3024.0,,,0 CDM,27201769_7118411,Noncdm Charge Record Medical Supplies,868.73,868.73,,,0 CDM,27201769_7118641,Noncdm Charge Record Medical Supplies,158.71,158.71,,,0 CDM,27201769_7119102,Noncdm Charge Record Medical Supplies,1557.36,1557.36,,,0 CDM,27201769_7121592,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27201769_7121596,Noncdm Charge Record Medical Supplies,714.84,714.84,,,0 CDM,27201769_7126500,Noncdm Charge Record Medical Supplies,1517.48,1517.48,,,0 CDM,27201769_7126519,Noncdm Charge Record Medical Supplies,1517.48,1517.48,,,0 CDM,27201769_7126520,Noncdm Charge Record Medical Supplies,1161.23,1161.23,,,0 CDM,27201769_7126663,Noncdm Charge Record Medical Supplies,761.46,761.46,,,0 CDM,27201769_7133464,Noncdm Charge Record Medical Supplies,630.0,630.0,,,0 CDM,27201769_7133472,Noncdm Charge Record Medical Supplies,161.73,161.73,,,0 CDM,27201769_7133494,Noncdm Charge Record Medical Supplies,524.79,524.79,,,0 CDM,27201769_7136212,Noncdm Charge Record Medical Supplies,285.62,285.62,,,0 CDM,27201769_7137189,Noncdm Charge Record Medical Supplies,235.87,235.87,,,0 CDM,27201769_7137263,Noncdm Charge Record Medical Supplies,101.1,101.1,,,0 CDM,27201769_7137274,Noncdm Charge Record Medical Supplies,488.88,488.88,,,0 CDM,27201769_7143247,Noncdm Charge Record Medical Supplies,101.1,101.1,,,0 CDM,27201769_7143249,Noncdm Charge Record Medical Supplies,147.16,147.16,,,0 CDM,27201769_7145001,Noncdm Charge Record Medical Supplies,161.62,161.62,,,0 CDM,27201769_7145005,Noncdm Charge Record Medical Supplies,982.8,982.8,,,0 CDM,27201769_7145006,Noncdm Charge Record Medical Supplies,982.8,982.8,,,0 CDM,27201769_7145007,Noncdm Charge Record Medical Supplies,391.88,391.88,,,0 CDM,27201769_7145008,Noncdm Charge Record Medical Supplies,398.16,398.16,,,0 CDM,27201769_7145020,Noncdm Charge Record Medical Supplies,6678.0,6678.0,,,0 CDM,27201769_7145906,Noncdm Charge Record Medical Supplies,1179.36,1179.36,,,0 CDM,27201769_7145911,Noncdm Charge Record Medical Supplies,1335.6,1335.6,,,0 CDM,27201769_7145912,Noncdm Charge Record Medical Supplies,12600.0,12600.0,,,0 CDM,27201769_7147540,Noncdm Charge Record Medical Supplies,430.77,430.77,,,0 CDM,27201769_7150889,Noncdm Charge Record Medical Supplies,1512.04,1512.04,,,0 CDM,27201769_7154208,Noncdm Charge Record Medical Supplies,411.81,411.81,,,0 CDM,27201769_7154537,Noncdm Charge Record Medical Supplies,283.6,283.6,,,0 CDM,27201769_7155258,Noncdm Charge Record Medical Supplies,283.6,283.6,,,0 CDM,27201769_7155283,Noncdm Charge Record Medical Supplies,331.23,331.23,,,0 CDM,27201769_7155387,Noncdm Charge Record Medical Supplies,470.08,470.08,,,0 CDM,27201769_7155576,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27201769_7155782,Noncdm Charge Record Medical Supplies,334.11,334.11,,,0 CDM,27201769_7155868,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27201769_7156221,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27201769_7157504,Noncdm Charge Record Medical Supplies,108.78,108.78,,,0 CDM,27201769_7157669,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27201769_7157673,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27201769_7157728,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27201769_7157757,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27201769_7157873,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27201769_7157879,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27201769_7157897,Noncdm Charge Record Medical Supplies,932.17,932.17,,,0 CDM,27201769_7158623,Noncdm Charge Record Medical Supplies,655.2,655.2,,,0 CDM,27201769_7158624,Noncdm Charge Record Medical Supplies,1134.0,1134.0,,,0 CDM,27201769_7158625,Noncdm Charge Record Medical Supplies,1191.69,1191.69,,,0 CDM,27201769_7158786,Noncdm Charge Record Medical Supplies,283.6,283.6,,,0 CDM,27201769_7158916,Noncdm Charge Record Medical Supplies,707.07,707.07,,,0 CDM,27201769_7159223,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27201769_7159316,Noncdm Charge Record Medical Supplies,108.78,108.78,,,0 CDM,27201769_7159317,Noncdm Charge Record Medical Supplies,108.78,108.78,,,0 CDM,27201769_7159329,Noncdm Charge Record Medical Supplies,85.47,85.47,,,0 CDM,27201769_7159350,Noncdm Charge Record Medical Supplies,240.87,240.87,,,0 CDM,27201769_7159417,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7159421,Noncdm Charge Record Medical Supplies,783.22,783.22,,,0 CDM,27201769_7159505,Noncdm Charge Record Medical Supplies,334.11,334.11,,,0 CDM,27201769_7159605,Noncdm Charge Record Medical Supplies,252.52,252.52,,,0 CDM,27201769_7159704,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27201769_7159854,Noncdm Charge Record Medical Supplies,283.6,283.6,,,0 CDM,27201769_7159902,Noncdm Charge Record Medical Supplies,283.6,283.6,,,0 CDM,27201769_7160176,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27201769_7160231,Noncdm Charge Record Medical Supplies,418.34,418.34,,,0 CDM,27201769_7160292,Noncdm Charge Record Medical Supplies,411.81,411.81,,,0 CDM,27201769_7160310,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27201769_7160454,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27201769_7160461,Noncdm Charge Record Medical Supplies,668.22,668.22,,,0 CDM,27201769_7160509,Noncdm Charge Record Medical Supplies,225.26,225.26,,,0 CDM,27201769_7160714,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27201769_7160871,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27201769_7160957,Noncdm Charge Record Medical Supplies,565.66,565.66,,,0 CDM,27201769_7160994,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27201769_7161038,Noncdm Charge Record Medical Supplies,2237.76,2237.76,,,0 CDM,27201769_7161050,Noncdm Charge Record Medical Supplies,430.77,430.77,,,0 CDM,27201769_7161257,Noncdm Charge Record Medical Supplies,330.84,330.84,,,0 CDM,27201769_7161529,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27201769_7161534,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27201769_7161570,Noncdm Charge Record Medical Supplies,442.89,442.89,,,0 CDM,27201769_7161571,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27201769_7161623,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27201769_7161626,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7161650,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7161651,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7161673,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7161680,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27201769_7161740,Noncdm Charge Record Medical Supplies,487.57,487.57,,,0 CDM,27201769_7161755,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27201769_7161820,Noncdm Charge Record Medical Supplies,418.34,418.34,,,0 CDM,27201769_7161836,Noncdm Charge Record Medical Supplies,1149.96,1149.96,,,0 CDM,27201769_7161837,Noncdm Charge Record Medical Supplies,1149.96,1149.96,,,0 CDM,27201769_7161971,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27201769_7162158,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7162184,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7162222,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27201769_7162296,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27201769_7162361,Noncdm Charge Record Medical Supplies,80.03,80.03,,,0 CDM,27201769_7162430,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27201769_7162580,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7162583,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7162813,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27201769_7162841,Noncdm Charge Record Medical Supplies,1565.66,1565.66,,,0 CDM,27201769_7163181,Noncdm Charge Record Medical Supplies,108.78,108.78,,,0 CDM,27201769_7163371,Noncdm Charge Record Medical Supplies,380.73,380.73,,,0 CDM,27201769_7163372,Noncdm Charge Record Medical Supplies,442.89,442.89,,,0 CDM,27201769_7163653,Noncdm Charge Record Medical Supplies,565.66,565.66,,,0 CDM,27201769_7163669,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7163696,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7163732,Noncdm Charge Record Medical Supplies,203.65,203.65,,,0 CDM,27201769_7163733,Noncdm Charge Record Medical Supplies,380.73,380.73,,,0 CDM,27201769_7163746,Noncdm Charge Record Medical Supplies,2020.2,2020.2,,,0 CDM,27201769_7164019,Noncdm Charge Record Medical Supplies,330.84,330.84,,,0 CDM,27201769_7164064,Noncdm Charge Record Medical Supplies,2833.26,2833.26,,,0 CDM,27201769_7164065,Noncdm Charge Record Medical Supplies,3196.58,3196.58,,,0 CDM,27201769_7164254,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7164256,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7164282,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7164297,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7164359,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27201769_7164376,Noncdm Charge Record Medical Supplies,411.81,411.81,,,0 CDM,27201769_7164415,Noncdm Charge Record Medical Supplies,3659.67,3659.67,,,0 CDM,27201769_7164485,Noncdm Charge Record Medical Supplies,3356.64,3356.64,,,0 CDM,27201769_7164680,Noncdm Charge Record Medical Supplies,418.34,418.34,,,0 CDM,27201769_7164688,Noncdm Charge Record Medical Supplies,2660.45,2660.45,,,0 CDM,27201769_7164789,Noncdm Charge Record Medical Supplies,380.73,380.73,,,0 CDM,27201769_7164790,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27201769_7164860,Noncdm Charge Record Medical Supplies,684.61,684.61,,,0 CDM,27201769_7164863,Noncdm Charge Record Medical Supplies,1120.0,1120.0,,,0 CDM,27201769_7164983,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27201769_7165100,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27201769_7165223,Noncdm Charge Record Medical Supplies,334.11,334.11,,,0 CDM,27201769_7165234,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7165253,Noncdm Charge Record Medical Supplies,390.76,390.76,,,0 CDM,27201769_7165310,Noncdm Charge Record Medical Supplies,382.67,382.67,,,0 CDM,27201769_7165388,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27201769_7165432,Noncdm Charge Record Medical Supplies,330.22,330.22,,,0 CDM,27201769_7165447,Noncdm Charge Record Medical Supplies,330.22,330.22,,,0 CDM,27201769_7165493,Noncdm Charge Record Medical Supplies,244.76,244.76,,,0 CDM,27201769_7165494,Noncdm Charge Record Medical Supplies,330.22,330.22,,,0 CDM,27201769_7165748,Noncdm Charge Record Medical Supplies,1300.7,1300.7,,,0 CDM,27201769_7165789,Noncdm Charge Record Medical Supplies,331.23,331.23,,,0 CDM,27201769_7165872,Noncdm Charge Record Medical Supplies,2091.61,2091.61,,,0 CDM,27201769_7165885,Noncdm Charge Record Medical Supplies,418.34,418.34,,,0 CDM,27201769_7166245,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27201769_7166360,Noncdm Charge Record Medical Supplies,495.34,495.34,,,0 CDM,27201769_7166513,Noncdm Charge Record Medical Supplies,418.34,418.34,,,0 CDM,27201769_7166517,Noncdm Charge Record Medical Supplies,330.22,330.22,,,0 CDM,27201769_7166524,Noncdm Charge Record Medical Supplies,341.88,341.88,,,0 CDM,27201769_7167003,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27201769_7167019,Noncdm Charge Record Medical Supplies,945.38,945.38,,,0 CDM,27201769_7167210,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7167287,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27201769_7167304,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7167308,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7167517,Noncdm Charge Record Medical Supplies,291.38,291.38,,,0 CDM,27201769_7167668,Noncdm Charge Record Medical Supplies,330.84,330.84,,,0 CDM,27201769_7167677,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27201769_7167681,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27201769_7167691,Noncdm Charge Record Medical Supplies,565.66,565.66,,,0 CDM,27201769_7167714,Noncdm Charge Record Medical Supplies,420.98,420.98,,,0 CDM,27201769_7167729,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7167730,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7167751,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27201769_7167754,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7167765,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7167925,Noncdm Charge Record Medical Supplies,783.22,783.22,,,0 CDM,27201769_7167929,Noncdm Charge Record Medical Supplies,1118.88,1118.88,,,0 CDM,27201769_7168071,Noncdm Charge Record Medical Supplies,330.22,330.22,,,0 CDM,27201769_7168086,Noncdm Charge Record Medical Supplies,565.66,565.66,,,0 CDM,27201769_7168164,Noncdm Charge Record Medical Supplies,279.72,279.72,,,0 CDM,27201769_7168165,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27201769_7168278,Noncdm Charge Record Medical Supplies,329.61,329.61,,,0 CDM,27201769_7168486,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27201769_7168575,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27201769_7168611,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27201769_7168694,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27201769_7168696,Noncdm Charge Record Medical Supplies,706.68,706.68,,,0 CDM,27201769_7168705,Noncdm Charge Record Medical Supplies,330.93,330.93,,,0 CDM,27201769_7168717,Noncdm Charge Record Medical Supplies,283.53,283.53,,,0 CDM,27201769_7168719,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7168720,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7168723,Noncdm Charge Record Medical Supplies,18065.25,18065.25,,,0 CDM,27201769_7168748,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7168801,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27201769_7168825,Noncdm Charge Record Medical Supplies,1810.41,1810.41,,,0 CDM,27201769_7168831,Noncdm Charge Record Medical Supplies,1810.41,1810.41,,,0 CDM,27201769_7168832,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27201769_7168836,Noncdm Charge Record Medical Supplies,1678.32,1678.32,,,0 CDM,27201769_7168838,Noncdm Charge Record Medical Supplies,1810.41,1810.41,,,0 CDM,27201769_7168919,Noncdm Charge Record Medical Supplies,418.34,418.34,,,0 CDM,27201769_7169149,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27201769_7169199,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7169201,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7169280,Noncdm Charge Record Medical Supplies,283.6,283.6,,,0 CDM,27201769_7169303,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27201769_7169304,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27201769_7169306,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27201769_7169379,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27201769_7169448,Noncdm Charge Record Medical Supplies,283.6,283.6,,,0 CDM,27201769_7169501,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7169502,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7169628,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7169819,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27201769_7169886,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7169906,Noncdm Charge Record Medical Supplies,340.87,340.87,,,0 CDM,27201769_7169939,Noncdm Charge Record Medical Supplies,495.34,495.34,,,0 CDM,27201769_7169946,Noncdm Charge Record Medical Supplies,283.6,283.6,,,0 CDM,27201769_7170096,Noncdm Charge Record Medical Supplies,233.1,233.1,,,0 CDM,27201769_7170120,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27201769_7170909,Noncdm Charge Record Medical Supplies,283.6,283.6,,,0 CDM,27201769_7171348,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27201769_7171498,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27201769_7171582,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27201769_7171605,Noncdm Charge Record Medical Supplies,458.43,458.43,,,0 CDM,27201769_7171774,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27201769_7171808,Noncdm Charge Record Medical Supplies,418.34,418.34,,,0 CDM,27201769_7171835,Noncdm Charge Record Medical Supplies,341.88,341.88,,,0 CDM,27201769_7171938,Noncdm Charge Record Medical Supplies,283.6,283.6,,,0 CDM,27201769_7172123,Noncdm Charge Record Medical Supplies,330.84,330.84,,,0 CDM,27201769_7172152,Noncdm Charge Record Medical Supplies,561.38,561.38,,,0 CDM,27201769_7172224,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27201769_7172277,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27201769_7172312,Noncdm Charge Record Medical Supplies,411.81,411.81,,,0 CDM,27201769_7172420,Noncdm Charge Record Medical Supplies,115.36,115.36,,,0 CDM,27201769_7172778,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7172779,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7172823,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7172939,Noncdm Charge Record Medical Supplies,418.34,418.34,,,0 CDM,27201769_7173263,Noncdm Charge Record Medical Supplies,418.34,418.34,,,0 CDM,27201769_7173320,Noncdm Charge Record Medical Supplies,4075.36,4075.36,,,0 CDM,27201769_7173323,Noncdm Charge Record Medical Supplies,1530.69,1530.69,,,0 CDM,27201769_7173326,Noncdm Charge Record Medical Supplies,1530.69,1530.69,,,0 CDM,27201769_7173330,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27201769_7173987,Noncdm Charge Record Medical Supplies,380.73,380.73,,,0 CDM,27201769_7173988,Noncdm Charge Record Medical Supplies,380.73,380.73,,,0 CDM,27201769_7174055,Noncdm Charge Record Medical Supplies,430.77,430.77,,,0 CDM,27201769_7174161,Noncdm Charge Record Medical Supplies,418.34,418.34,,,0 CDM,27201769_7174162,Noncdm Charge Record Medical Supplies,528.36,528.36,,,0 CDM,27201769_7174301,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27201769_7174395,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7174396,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7174452,Noncdm Charge Record Medical Supplies,137.07,137.07,,,0 CDM,27201769_7174487,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27201769_7174557,Noncdm Charge Record Medical Supplies,561.38,561.38,,,0 CDM,27201769_7174605,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27201769_7174952,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27201769_7174968,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7174971,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7175191,Noncdm Charge Record Medical Supplies,156.49,156.49,,,0 CDM,27201769_7175664,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27201769_7175866,Noncdm Charge Record Medical Supplies,380.73,380.73,,,0 CDM,27201769_7175937,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27201769_7175938,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27201769_7176226,Noncdm Charge Record Medical Supplies,613.83,613.83,,,0 CDM,27201769_7176228,Noncdm Charge Record Medical Supplies,310.8,310.8,,,0 CDM,27201769_7176229,Noncdm Charge Record Medical Supplies,310.8,310.8,,,0 CDM,27201769_7176361,Noncdm Charge Record Medical Supplies,411.81,411.81,,,0 CDM,27201769_7176536,Noncdm Charge Record Medical Supplies,769.23,769.23,,,0 CDM,27201769_7176795,Noncdm Charge Record Medical Supplies,561.38,561.38,,,0 CDM,27201769_7176881,Noncdm Charge Record Medical Supplies,283.6,283.6,,,0 CDM,27201769_7176974,Noncdm Charge Record Medical Supplies,532.24,532.24,,,0 CDM,27201769_7177667,Noncdm Charge Record Medical Supplies,418.34,418.34,,,0 CDM,27201769_7177916,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27201769_7179093,Noncdm Charge Record Medical Supplies,1084.07,1084.07,,,0 CDM,27201769_7179164,Noncdm Charge Record Medical Supplies,340.87,340.87,,,0 CDM,27201769_7179218,Noncdm Charge Record Medical Supplies,418.34,418.34,,,0 CDM,27201769_7179267,Noncdm Charge Record Medical Supplies,574.98,574.98,,,0 CDM,27201769_7179295,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27201769_7179734,Noncdm Charge Record Medical Supplies,1793.24,1793.24,,,0 CDM,27201769_7180035,Noncdm Charge Record Medical Supplies,184.46,184.46,,,0 CDM,27201769_7180195,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201769_7180340,Noncdm Charge Record Medical Supplies,1793.24,1793.24,,,0 CDM,27201769_7180361,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27201769_7180362,Noncdm Charge Record Medical Supplies,411.81,411.81,,,0 CDM,27201769_7180364,Noncdm Charge Record Medical Supplies,574.98,574.98,,,0 CDM,27201769_722708,Noncdm Charge Record Medical Supplies,418.34,418.34,,,0 CDM,27201769_742827,Noncdm Charge Record Medical Supplies,48.25,48.25,,,0 CDM,27201769_751381,Noncdm Charge Record Medical Supplies,75.76,75.76,,,0 CDM,27201769_751382,Noncdm Charge Record Medical Supplies,75.76,75.76,,,0 CDM,27201769_751386,Noncdm Charge Record Medical Supplies,75.76,75.76,,,0 CDM,27201769_755503,Noncdm Charge Record Medical Supplies,107.72,107.72,,,0 CDM,27201769_773614,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27201769_773969,Noncdm Charge Record Medical Supplies,425.32,425.32,,,0 CDM,27201769_775240,Noncdm Charge Record Medical Supplies,80.58,80.58,,,0 CDM,27201769_780063,Noncdm Charge Record Medical Supplies,606.06,606.06,,,0 CDM,27201769_C1769_272,Noncdm Charge Record Medical Supplies,837.6,837.6,,,0 CDM,27201772_7000661,Noncdm Charge Record Medical Supplies,1088.35,1088.35,,,0 CDM,27201772_7000771,Noncdm Charge Record Medical Supplies,1223.78,1223.78,,,0 CDM,27201772_7000773,Noncdm Charge Record Medical Supplies,1249.42,1249.42,,,0 CDM,27201772_7000775,Noncdm Charge Record Medical Supplies,900.7,900.7,,,0 CDM,27201772_7013384,Noncdm Charge Record Medical Supplies,2152.75,2152.75,,,0 CDM,27201773_7000641,Noncdm Charge Record Medical Supplies,1508.7,1508.7,,,0 CDM,27201773_7012597,Noncdm Charge Record Medical Supplies,1677.4,1677.4,,,0 CDM,27201773_7031936,Noncdm Charge Record Medical Supplies,1461.6,1461.6,,,0 CDM,27201773_7039688,Noncdm Charge Record Medical Supplies,233.1,233.1,,,0 CDM,27201773_7042416,Noncdm Charge Record Medical Supplies,1461.6,1461.6,,,0 CDM,27201773_7049334,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201773_7049339,Noncdm Charge Record Medical Supplies,155.4,155.4,,,0 CDM,27201773_7055164,Noncdm Charge Record Medical Supplies,707.38,707.38,,,0 CDM,27201773_7072221,Noncdm Charge Record Medical Supplies,2440.79,2440.79,,,0 CDM,27201773_7072260,Noncdm Charge Record Medical Supplies,3011.11,3011.11,,,0 CDM,27201773_7072352,Noncdm Charge Record Medical Supplies,3300.31,3300.31,,,0 CDM,27201773_7072359,Noncdm Charge Record Medical Supplies,195.88,195.88,,,0 CDM,27201773_7072433,Noncdm Charge Record Medical Supplies,2675.21,2675.21,,,0 CDM,27201773_7074521,Noncdm Charge Record Medical Supplies,78.79,78.79,,,0 CDM,27201773_7083136,Noncdm Charge Record Medical Supplies,31792.32,31792.32,,,0 CDM,27201773_7083140,Noncdm Charge Record Medical Supplies,132.55,132.55,,,0 CDM,27201773_7083141,Noncdm Charge Record Medical Supplies,31801.03,31801.03,,,0 CDM,27201773_7083145,Noncdm Charge Record Medical Supplies,31675.28,31675.28,,,0 CDM,27201773_7085270,Noncdm Charge Record Medical Supplies,4364.8,4364.8,,,0 CDM,27201773_7115905,Noncdm Charge Record Medical Supplies,28980.0,28980.0,,,0 CDM,27201773_7115929,Noncdm Charge Record Medical Supplies,28476.0,28476.0,,,0 CDM,27201773_7116695,Noncdm Charge Record Medical Supplies,18.26,18.26,,,0 CDM,27201773_7120868,Noncdm Charge Record Medical Supplies,567.21,567.21,,,0 CDM,27201773_7122799,Noncdm Charge Record Medical Supplies,1506.96,1506.96,,,0 CDM,27201773_7150802,Noncdm Charge Record Medical Supplies,5089.35,5089.35,,,0 CDM,27201781_C1781_272,Noncdm Charge Record Medical Supplies,6881.42,6881.42,,,0 CDM,27201782_7013410,Noncdm Charge Record Medical Supplies,8805.97,8805.97,,,0 CDM,27201782_7033047,Noncdm Charge Record Medical Supplies,7498.05,7498.05,,,0 CDM,27201782_7033048,Noncdm Charge Record Medical Supplies,27459.18,27459.18,,,0 CDM,27201782_7118208,Noncdm Charge Record Medical Supplies,4071.09,4071.09,,,0 CDM,27201782_7150484,Noncdm Charge Record Medical Supplies,6604.5,6604.5,,,0 CDM,27201787_7012489,Noncdm Charge Record Medical Supplies,7808.85,7808.85,,,0 CDM,27201787_7091999,Noncdm Charge Record Medical Supplies,10691.52,10691.52,,,0 CDM,27201787_7098529,Noncdm Charge Record Medical Supplies,12284.37,12284.37,,,0 CDM,27201787_7148938,Noncdm Charge Record Medical Supplies,10691.52,10691.52,,,0 CDM,27201787_7160253,Noncdm Charge Record Medical Supplies,7808.85,7808.85,,,0 CDM,27201788_7016552,Noncdm Charge Record Medical Supplies,8119.65,8119.65,,,0 CDM,27201788_7163759,Noncdm Charge Record Medical Supplies,8935.5,8935.5,,,0 CDM,27201817_7013419,Noncdm Charge Record Medical Supplies,1854.72,1854.72,,,0 CDM,27201817_7015657,Noncdm Charge Record Medical Supplies,28134.46,28134.46,,,0 CDM,27201817_7029263,Noncdm Charge Record Medical Supplies,1854.72,1854.72,,,0 CDM,27201830_7022008,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27201830_7030083,Noncdm Charge Record Medical Supplies,241.92,241.92,,,0 CDM,27201830_7090369,Noncdm Charge Record Medical Supplies,147.63,147.63,,,0 CDM,27201830_777464,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27201876_7029282,Noncdm Charge Record Medical Supplies,115.31,115.31,,,0 CDM,27201886_7012263,Noncdm Charge Record Medical Supplies,55167.0,55167.0,,,0 CDM,27201886_7016345,Noncdm Charge Record Medical Supplies,655.2,655.2,,,0 CDM,27201886_7029093,Noncdm Charge Record Medical Supplies,17962.5,17962.5,,,0 CDM,27201886_7030323,Noncdm Charge Record Medical Supplies,14703.95,14703.95,,,0 CDM,27201886_7031484,Noncdm Charge Record Medical Supplies,2540.16,2540.16,,,0 CDM,27201886_7049685,Noncdm Charge Record Medical Supplies,9162.72,9162.72,,,0 CDM,27201886_7092115,Noncdm Charge Record Medical Supplies,24882.48,24882.48,,,0 CDM,27201886_7133010,Noncdm Charge Record Medical Supplies,12043.5,12043.5,,,0 CDM,27201886_7137262,Noncdm Charge Record Medical Supplies,8956.25,8956.25,,,0 CDM,27201886_7145024,Noncdm Charge Record Medical Supplies,11768.4,11768.4,,,0 CDM,27201886_7157981,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27201886_7166356,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27201886_7176256,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27201886_7176258,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27201886_7176767,Noncdm Charge Record Medical Supplies,120.67,120.67,,,0 CDM,27201887_7011858,Noncdm Charge Record Medical Supplies,115.56,115.56,,,0 CDM,27201887_7013709,Noncdm Charge Record Medical Supplies,116.72,116.72,,,0 CDM,27201887_7014486,Noncdm Charge Record Medical Supplies,72.26,72.26,,,0 CDM,27201887_7015373,Noncdm Charge Record Medical Supplies,2296.17,2296.17,,,0 CDM,27201887_7015374,Noncdm Charge Record Medical Supplies,1655.58,1655.58,,,0 CDM,27201887_7015375,Noncdm Charge Record Medical Supplies,4002.6,4002.6,,,0 CDM,27201887_7015378,Noncdm Charge Record Medical Supplies,195.1,195.1,,,0 CDM,27201887_7015384,Noncdm Charge Record Medical Supplies,136.13,136.13,,,0 CDM,27201887_7015406,Noncdm Charge Record Medical Supplies,912.24,912.24,,,0 CDM,27201887_7015407,Noncdm Charge Record Medical Supplies,115.31,115.31,,,0 CDM,27201887_7015417,Noncdm Charge Record Medical Supplies,2296.17,2296.17,,,0 CDM,27201887_7015447,Noncdm Charge Record Medical Supplies,120.12,120.12,,,0 CDM,27201887_7015449,Noncdm Charge Record Medical Supplies,177.78,177.78,,,0 CDM,27201887_7015459,Noncdm Charge Record Medical Supplies,2186.56,2186.56,,,0 CDM,27201887_7015462,Noncdm Charge Record Medical Supplies,2191.03,2191.03,,,0 CDM,27201887_7015463,Noncdm Charge Record Medical Supplies,1568.45,1568.45,,,0 CDM,27201887_7015490,Noncdm Charge Record Medical Supplies,82.53,82.53,,,0 CDM,27201887_7015494,Noncdm Charge Record Medical Supplies,87.5,87.5,,,0 CDM,27201887_7015505,Noncdm Charge Record Medical Supplies,2296.86,2296.86,,,0 CDM,27201887_7015600,Noncdm Charge Record Medical Supplies,192.86,192.86,,,0 CDM,27201887_7015770,Noncdm Charge Record Medical Supplies,2298.24,2298.24,,,0 CDM,27201887_7015799,Noncdm Charge Record Medical Supplies,2297.21,2297.21,,,0 CDM,27201887_7015830,Noncdm Charge Record Medical Supplies,6386.69,6386.69,,,0 CDM,27201887_7015918,Noncdm Charge Record Medical Supplies,2066.4,2066.4,,,0 CDM,27201887_7015919,Noncdm Charge Record Medical Supplies,2066.4,2066.4,,,0 CDM,27201887_7016584,Noncdm Charge Record Medical Supplies,1260.16,1260.16,,,0 CDM,27201887_7016911,Noncdm Charge Record Medical Supplies,16121.0,16121.0,,,0 CDM,27201887_7019935,Noncdm Charge Record Medical Supplies,53.88,53.88,,,0 CDM,27201887_7027795,Noncdm Charge Record Medical Supplies,372.96,372.96,,,0 CDM,27201887_7027833,Noncdm Charge Record Medical Supplies,95.76,95.76,,,0 CDM,27201887_7027868,Noncdm Charge Record Medical Supplies,46.87,46.87,,,0 CDM,27201887_7027869,Noncdm Charge Record Medical Supplies,891.21,891.21,,,0 CDM,27201887_7027902,Noncdm Charge Record Medical Supplies,827.05,827.05,,,0 CDM,27201887_7028101,Noncdm Charge Record Medical Supplies,115.31,115.31,,,0 CDM,27201887_7028103,Noncdm Charge Record Medical Supplies,115.31,115.31,,,0 CDM,27201887_7028113,Noncdm Charge Record Medical Supplies,1412.46,1412.46,,,0 CDM,27201887_7028123,Noncdm Charge Record Medical Supplies,393.12,393.12,,,0 CDM,27201887_7028152,Noncdm Charge Record Medical Supplies,8.57,8.57,,,0 CDM,27201887_7028967,Noncdm Charge Record Medical Supplies,802.48,802.48,,,0 CDM,27201887_7028970,Noncdm Charge Record Medical Supplies,115.4,115.4,,,0 CDM,27201887_7028986,Noncdm Charge Record Medical Supplies,394.02,394.02,,,0 CDM,27201887_7029005,Noncdm Charge Record Medical Supplies,65.52,65.52,,,0 CDM,27201887_7029009,Noncdm Charge Record Medical Supplies,893.55,893.55,,,0 CDM,27201887_7029023,Noncdm Charge Record Medical Supplies,645.12,645.12,,,0 CDM,27201887_7029042,Noncdm Charge Record Medical Supplies,47.76,47.76,,,0 CDM,27201887_7029072,Noncdm Charge Record Medical Supplies,140.92,140.92,,,0 CDM,27201887_7029089,Noncdm Charge Record Medical Supplies,278.07,278.07,,,0 CDM,27201887_7029090,Noncdm Charge Record Medical Supplies,277.59,277.59,,,0 CDM,27201887_7029091,Noncdm Charge Record Medical Supplies,313.44,313.44,,,0 CDM,27201887_7029110,Noncdm Charge Record Medical Supplies,402.69,402.69,,,0 CDM,27201887_7029111,Noncdm Charge Record Medical Supplies,2731.68,2731.68,,,0 CDM,27201887_7029115,Noncdm Charge Record Medical Supplies,115.31,115.31,,,0 CDM,27201887_7029139,Noncdm Charge Record Medical Supplies,272.21,272.21,,,0 CDM,27201887_7029141,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,27201887_7029142,Noncdm Charge Record Medical Supplies,2822.4,2822.4,,,0 CDM,27201887_7029148,Noncdm Charge Record Medical Supplies,2192.4,2192.4,,,0 CDM,27201887_7029165,Noncdm Charge Record Medical Supplies,280.2,280.2,,,0 CDM,27201887_7029169,Noncdm Charge Record Medical Supplies,60.78,60.78,,,0 CDM,27201887_7029186,Noncdm Charge Record Medical Supplies,118.66,118.66,,,0 CDM,27201887_7029200,Noncdm Charge Record Medical Supplies,477.32,477.32,,,0 CDM,27201887_7029202,Noncdm Charge Record Medical Supplies,1719.27,1719.27,,,0 CDM,27201887_7029209,Noncdm Charge Record Medical Supplies,61.74,61.74,,,0 CDM,27201887_7029219,Noncdm Charge Record Medical Supplies,277.53,277.53,,,0 CDM,27201887_7029220,Noncdm Charge Record Medical Supplies,273.6,273.6,,,0 CDM,27201887_7029221,Noncdm Charge Record Medical Supplies,370.53,370.53,,,0 CDM,27201887_7029231,Noncdm Charge Record Medical Supplies,311.94,311.94,,,0 CDM,27201887_7029242,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27201887_7029243,Noncdm Charge Record Medical Supplies,582.12,582.12,,,0 CDM,27201887_7029283,Noncdm Charge Record Medical Supplies,125.39,125.39,,,0 CDM,27201887_7029284,Noncdm Charge Record Medical Supplies,177.78,177.78,,,0 CDM,27201887_7029322,Noncdm Charge Record Medical Supplies,284.76,284.76,,,0 CDM,27201887_7029430,Noncdm Charge Record Medical Supplies,1763.44,1763.44,,,0 CDM,27201887_7029431,Noncdm Charge Record Medical Supplies,1763.44,1763.44,,,0 CDM,27201887_7029438,Noncdm Charge Record Medical Supplies,1261.85,1261.85,,,0 CDM,27201887_7029442,Noncdm Charge Record Medical Supplies,115.31,115.31,,,0 CDM,27201887_7029448,Noncdm Charge Record Medical Supplies,1261.85,1261.85,,,0 CDM,27201887_7029813,Noncdm Charge Record Medical Supplies,871.92,871.92,,,0 CDM,27201887_7029826,Noncdm Charge Record Medical Supplies,841.68,841.68,,,0 CDM,27201887_7029828,Noncdm Charge Record Medical Supplies,49.14,49.14,,,0 CDM,27201887_7029832,Noncdm Charge Record Medical Supplies,841.68,841.68,,,0 CDM,27201887_7029836,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27201887_7029840,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,27201887_7029853,Noncdm Charge Record Medical Supplies,37.8,37.8,,,0 CDM,27201887_7029854,Noncdm Charge Record Medical Supplies,37.8,37.8,,,0 CDM,27201887_7029855,Noncdm Charge Record Medical Supplies,478.8,478.8,,,0 CDM,27201887_7029863,Noncdm Charge Record Medical Supplies,58.28,58.28,,,0 CDM,27201887_7029868,Noncdm Charge Record Medical Supplies,41.58,41.58,,,0 CDM,27201887_7029871,Noncdm Charge Record Medical Supplies,119.25,119.25,,,0 CDM,27201887_7029907,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029913,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029916,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029920,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029922,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029923,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029928,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029930,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029935,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029936,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029937,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029943,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029945,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029954,Noncdm Charge Record Medical Supplies,228.46,228.46,,,0 CDM,27201887_7029960,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029961,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029965,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029967,Noncdm Charge Record Medical Supplies,251.37,251.37,,,0 CDM,27201887_7029977,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029978,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029986,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029990,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029993,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029994,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7029996,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7030000,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7030016,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7030017,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7030019,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7030020,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7030023,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7030024,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7030026,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7030027,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7030061,Noncdm Charge Record Medical Supplies,279.28,279.28,,,0 CDM,27201887_7030117,Noncdm Charge Record Medical Supplies,841.68,841.68,,,0 CDM,27201887_7030133,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201887_7030134,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7030139,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7030141,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7030371,Noncdm Charge Record Medical Supplies,177.78,177.78,,,0 CDM,27201887_7030372,Noncdm Charge Record Medical Supplies,278.59,278.59,,,0 CDM,27201887_7030551,Noncdm Charge Record Medical Supplies,478.8,478.8,,,0 CDM,27201887_7030552,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7030553,Noncdm Charge Record Medical Supplies,478.8,478.8,,,0 CDM,27201887_7030554,Noncdm Charge Record Medical Supplies,478.15,478.15,,,0 CDM,27201887_7030555,Noncdm Charge Record Medical Supplies,341.88,341.88,,,0 CDM,27201887_7030557,Noncdm Charge Record Medical Supplies,50.94,50.94,,,0 CDM,27201887_7030560,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7030561,Noncdm Charge Record Medical Supplies,115.31,115.31,,,0 CDM,27201887_7030563,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7030565,Noncdm Charge Record Medical Supplies,515.85,515.85,,,0 CDM,27201887_7030566,Noncdm Charge Record Medical Supplies,57.91,57.91,,,0 CDM,27201887_7030567,Noncdm Charge Record Medical Supplies,57.91,57.91,,,0 CDM,27201887_7030990,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27201887_7031011,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7031012,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7031015,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7031016,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7031234,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7031235,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7031292,Noncdm Charge Record Medical Supplies,1234.8,1234.8,,,0 CDM,27201887_7031293,Noncdm Charge Record Medical Supplies,1234.8,1234.8,,,0 CDM,27201887_7031294,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27201887_7031295,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27201887_7031425,Noncdm Charge Record Medical Supplies,1220.69,1220.69,,,0 CDM,27201887_7031428,Noncdm Charge Record Medical Supplies,1288.51,1288.51,,,0 CDM,27201887_7031436,Noncdm Charge Record Medical Supplies,1219.68,1219.68,,,0 CDM,27201887_7031437,Noncdm Charge Record Medical Supplies,1302.34,1302.34,,,0 CDM,27201887_7031439,Noncdm Charge Record Medical Supplies,1270.08,1270.08,,,0 CDM,27201887_7031440,Noncdm Charge Record Medical Supplies,1219.68,1219.68,,,0 CDM,27201887_7031492,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27201887_7031495,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27201887_7031515,Noncdm Charge Record Medical Supplies,12489.75,12489.75,,,0 CDM,27201887_7031516,Noncdm Charge Record Medical Supplies,15151.5,15151.5,,,0 CDM,27201887_7031522,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7031614,Noncdm Charge Record Medical Supplies,101.01,101.01,,,0 CDM,27201887_7031621,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27201887_7031682,Noncdm Charge Record Medical Supplies,4374.72,4374.72,,,0 CDM,27201887_7031696,Noncdm Charge Record Medical Supplies,769.64,769.64,,,0 CDM,27201887_7031780,Noncdm Charge Record Medical Supplies,42.84,42.84,,,0 CDM,27201887_7031807,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27201887_7031808,Noncdm Charge Record Medical Supplies,57.91,57.91,,,0 CDM,27201887_7031816,Noncdm Charge Record Medical Supplies,57.91,57.91,,,0 CDM,27201887_7031823,Noncdm Charge Record Medical Supplies,47.43,47.43,,,0 CDM,27201887_7031825,Noncdm Charge Record Medical Supplies,140.64,140.64,,,0 CDM,27201887_7031834,Noncdm Charge Record Medical Supplies,95.18,95.18,,,0 CDM,27201887_7031835,Noncdm Charge Record Medical Supplies,85.53,85.53,,,0 CDM,27201887_7031838,Noncdm Charge Record Medical Supplies,99.43,99.43,,,0 CDM,27201887_7031852,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7031855,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7031856,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7031863,Noncdm Charge Record Medical Supplies,324.67,324.67,,,0 CDM,27201887_7032137,Noncdm Charge Record Medical Supplies,327.6,327.6,,,0 CDM,27201887_7032508,Noncdm Charge Record Medical Supplies,4374.72,4374.72,,,0 CDM,27201887_7032536,Noncdm Charge Record Medical Supplies,1125.94,1125.94,,,0 CDM,27201887_7032607,Noncdm Charge Record Medical Supplies,13.21,13.21,,,0 CDM,27201887_7032712,Noncdm Charge Record Medical Supplies,3024.0,3024.0,,,0 CDM,27201887_7032787,Noncdm Charge Record Medical Supplies,3225.6,3225.6,,,0 CDM,27201887_7032789,Noncdm Charge Record Medical Supplies,3225.6,3225.6,,,0 CDM,27201887_7032790,Noncdm Charge Record Medical Supplies,3225.6,3225.6,,,0 CDM,27201887_7032791,Noncdm Charge Record Medical Supplies,2721.6,2721.6,,,0 CDM,27201887_7032800,Noncdm Charge Record Medical Supplies,1461.6,1461.6,,,0 CDM,27201887_7032802,Noncdm Charge Record Medical Supplies,1461.6,1461.6,,,0 CDM,27201887_7032883,Noncdm Charge Record Medical Supplies,46.98,46.98,,,0 CDM,27201887_7032885,Noncdm Charge Record Medical Supplies,49.14,49.14,,,0 CDM,27201887_7032916,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7032946,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7032949,Noncdm Charge Record Medical Supplies,3301.2,3301.2,,,0 CDM,27201887_7032965,Noncdm Charge Record Medical Supplies,3402.0,3402.0,,,0 CDM,27201887_7032973,Noncdm Charge Record Medical Supplies,3376.8,3376.8,,,0 CDM,27201887_7032974,Noncdm Charge Record Medical Supplies,2930.76,2930.76,,,0 CDM,27201887_7033012,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7033117,Noncdm Charge Record Medical Supplies,163.17,163.17,,,0 CDM,27201887_7033122,Noncdm Charge Record Medical Supplies,105.84,105.84,,,0 CDM,27201887_7033124,Noncdm Charge Record Medical Supplies,181.94,181.94,,,0 CDM,27201887_7033322,Noncdm Charge Record Medical Supplies,100.8,100.8,,,0 CDM,27201887_7033326,Noncdm Charge Record Medical Supplies,65.52,65.52,,,0 CDM,27201887_7037149,Noncdm Charge Record Medical Supplies,2142.0,2142.0,,,0 CDM,27201887_7037150,Noncdm Charge Record Medical Supplies,2142.0,2142.0,,,0 CDM,27201887_7037351,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7039617,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,27201887_7040703,Noncdm Charge Record Medical Supplies,1419.58,1419.58,,,0 CDM,27201887_7040719,Noncdm Charge Record Medical Supplies,674.13,674.13,,,0 CDM,27201887_7040720,Noncdm Charge Record Medical Supplies,1097.37,1097.37,,,0 CDM,27201887_7040725,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27201887_7041879,Noncdm Charge Record Medical Supplies,1419.58,1419.58,,,0 CDM,27201887_7044815,Noncdm Charge Record Medical Supplies,100.6,100.6,,,0 CDM,27201887_7044821,Noncdm Charge Record Medical Supplies,40.32,40.32,,,0 CDM,27201887_7044825,Noncdm Charge Record Medical Supplies,90.72,90.72,,,0 CDM,27201887_7045236,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,27201887_7046584,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27201887_7048496,Noncdm Charge Record Medical Supplies,705.6,705.6,,,0 CDM,27201887_7048498,Noncdm Charge Record Medical Supplies,705.6,705.6,,,0 CDM,27201887_7048499,Noncdm Charge Record Medical Supplies,705.6,705.6,,,0 CDM,27201887_7048500,Noncdm Charge Record Medical Supplies,705.6,705.6,,,0 CDM,27201887_7057242,Noncdm Charge Record Medical Supplies,2573.84,2573.84,,,0 CDM,27201887_7057590,Noncdm Charge Record Medical Supplies,3755.19,3755.19,,,0 CDM,27201887_7057595,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7057599,Noncdm Charge Record Medical Supplies,2888.52,2888.52,,,0 CDM,27201887_7057604,Noncdm Charge Record Medical Supplies,276.39,276.39,,,0 CDM,27201887_7057608,Noncdm Charge Record Medical Supplies,12574.8,12574.8,,,0 CDM,27201887_7057664,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27201887_7071620,Noncdm Charge Record Medical Supplies,177.78,177.78,,,0 CDM,27201887_7071852,Noncdm Charge Record Medical Supplies,1131.65,1131.65,,,0 CDM,27201887_7071862,Noncdm Charge Record Medical Supplies,3276.0,3276.0,,,0 CDM,27201887_7071874,Noncdm Charge Record Medical Supplies,3276.0,3276.0,,,0 CDM,27201887_7071876,Noncdm Charge Record Medical Supplies,226.8,226.8,,,0 CDM,27201887_7071878,Noncdm Charge Record Medical Supplies,1091.66,1091.66,,,0 CDM,27201887_7072740,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27201887_7072747,Noncdm Charge Record Medical Supplies,554.4,554.4,,,0 CDM,27201887_7072749,Noncdm Charge Record Medical Supplies,2749.82,2749.82,,,0 CDM,27201887_7075939,Noncdm Charge Record Medical Supplies,1262.98,1262.98,,,0 CDM,27201887_7075941,Noncdm Charge Record Medical Supplies,8038.8,8038.8,,,0 CDM,27201887_7075953,Noncdm Charge Record Medical Supplies,7534.8,7534.8,,,0 CDM,27201887_7078091,Noncdm Charge Record Medical Supplies,7374.5,7374.5,,,0 CDM,27201887_7078361,Noncdm Charge Record Medical Supplies,141.12,141.12,,,0 CDM,27201887_7082336,Noncdm Charge Record Medical Supplies,3379.95,3379.95,,,0 CDM,27201887_7084332,Noncdm Charge Record Medical Supplies,5704.78,5704.78,,,0 CDM,27201887_7086281,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,27201887_7086335,Noncdm Charge Record Medical Supplies,1270.08,1270.08,,,0 CDM,27201887_7086336,Noncdm Charge Record Medical Supplies,1270.08,1270.08,,,0 CDM,27201887_7086338,Noncdm Charge Record Medical Supplies,1219.68,1219.68,,,0 CDM,27201887_7086339,Noncdm Charge Record Medical Supplies,1220.35,1220.35,,,0 CDM,27201887_7086341,Noncdm Charge Record Medical Supplies,1219.68,1219.68,,,0 CDM,27201887_7086344,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27201887_7094439,Noncdm Charge Record Medical Supplies,630.0,630.0,,,0 CDM,27201887_7096702,Noncdm Charge Record Medical Supplies,630.0,630.0,,,0 CDM,27201887_7096703,Noncdm Charge Record Medical Supplies,630.0,630.0,,,0 CDM,27201887_7096805,Noncdm Charge Record Medical Supplies,1824.48,1824.48,,,0 CDM,27201887_7096887,Noncdm Charge Record Medical Supplies,1760.03,1760.03,,,0 CDM,27201887_7098523,Noncdm Charge Record Medical Supplies,8321.04,8321.04,,,0 CDM,27201887_7098528,Noncdm Charge Record Medical Supplies,12272.4,12272.4,,,0 CDM,27201887_7098530,Noncdm Charge Record Medical Supplies,12272.4,12272.4,,,0 CDM,27201887_7098533,Noncdm Charge Record Medical Supplies,12272.4,12272.4,,,0 CDM,27201887_7110718,Noncdm Charge Record Medical Supplies,126000.0,126000.0,,,0 CDM,27201887_7111099,Noncdm Charge Record Medical Supplies,6022.8,6022.8,,,0 CDM,27201887_7111100,Noncdm Charge Record Medical Supplies,628.99,628.99,,,0 CDM,27201887_7111105,Noncdm Charge Record Medical Supplies,628.99,628.99,,,0 CDM,27201887_7111108,Noncdm Charge Record Medical Supplies,6022.8,6022.8,,,0 CDM,27201887_7112691,Noncdm Charge Record Medical Supplies,1890.0,1890.0,,,0 CDM,27201887_7112695,Noncdm Charge Record Medical Supplies,1890.0,1890.0,,,0 CDM,27201887_7113084,Noncdm Charge Record Medical Supplies,2746.8,2746.8,,,0 CDM,27201887_7114181,Noncdm Charge Record Medical Supplies,630.0,630.0,,,0 CDM,27201887_7116559,Noncdm Charge Record Medical Supplies,1728.72,1728.72,,,0 CDM,27201887_7116790,Noncdm Charge Record Medical Supplies,236.21,236.21,,,0 CDM,27201887_7116908,Noncdm Charge Record Medical Supplies,1915.2,1915.2,,,0 CDM,27201887_7117977,Noncdm Charge Record Medical Supplies,226.11,226.11,,,0 CDM,27201887_7122937,Noncdm Charge Record Medical Supplies,1219.68,1219.68,,,0 CDM,27201887_7126650,Noncdm Charge Record Medical Supplies,1134.0,1134.0,,,0 CDM,27201887_7129341,Noncdm Charge Record Medical Supplies,5730.48,5730.48,,,0 CDM,27201887_7133475,Noncdm Charge Record Medical Supplies,4284.0,4284.0,,,0 CDM,27201887_7133476,Noncdm Charge Record Medical Supplies,4155.48,4155.48,,,0 CDM,27201887_7133478,Noncdm Charge Record Medical Supplies,4181.18,4181.18,,,0 CDM,27201887_7133479,Noncdm Charge Record Medical Supplies,4377.24,4377.24,,,0 CDM,27201887_7133484,Noncdm Charge Record Medical Supplies,15094.8,15094.8,,,0 CDM,27201887_7133493,Noncdm Charge Record Medical Supplies,122.27,122.27,,,0 CDM,27201887_7136187,Noncdm Charge Record Medical Supplies,876.05,876.05,,,0 CDM,27201887_7143241,Noncdm Charge Record Medical Supplies,4914.0,4914.0,,,0 CDM,27201887_7144106,Noncdm Charge Record Medical Supplies,534.24,534.24,,,0 CDM,27201887_7144986,Noncdm Charge Record Medical Supplies,7056.0,7056.0,,,0 CDM,27201887_7144990,Noncdm Charge Record Medical Supplies,6108.48,6108.48,,,0 CDM,27201887_7144991,Noncdm Charge Record Medical Supplies,6108.48,6108.48,,,0 CDM,27201887_7144992,Noncdm Charge Record Medical Supplies,8272.32,8272.32,,,0 CDM,27201887_7144993,Noncdm Charge Record Medical Supplies,5720.59,5720.59,,,0 CDM,27201887_7145016,Noncdm Charge Record Medical Supplies,15094.8,15094.8,,,0 CDM,27201887_7145021,Noncdm Charge Record Medical Supplies,439.0,439.0,,,0 CDM,27201887_7145022,Noncdm Charge Record Medical Supplies,2691.36,2691.36,,,0 CDM,27201887_7145023,Noncdm Charge Record Medical Supplies,110.88,110.88,,,0 CDM,27201887_7148041,Noncdm Charge Record Medical Supplies,7812.0,7812.0,,,0 CDM,27201887_7148042,Noncdm Charge Record Medical Supplies,7812.0,7812.0,,,0 CDM,27201887_7148043,Noncdm Charge Record Medical Supplies,7812.0,7812.0,,,0 CDM,27201887_7148044,Noncdm Charge Record Medical Supplies,7812.0,7812.0,,,0 CDM,27201887_7148045,Noncdm Charge Record Medical Supplies,7812.0,7812.0,,,0 CDM,27201887_7148051,Noncdm Charge Record Medical Supplies,2016.0,2016.0,,,0 CDM,27201887_7148082,Noncdm Charge Record Medical Supplies,24192.0,24192.0,,,0 CDM,27201887_7150491,Noncdm Charge Record Medical Supplies,651.13,651.13,,,0 CDM,27201887_7150493,Noncdm Charge Record Medical Supplies,725.72,725.72,,,0 CDM,27201887_7153905,Noncdm Charge Record Medical Supplies,2164.23,2164.23,,,0 CDM,27201887_7153928,Noncdm Charge Record Medical Supplies,2391.84,2391.84,,,0 CDM,27201887_7154272,Noncdm Charge Record Medical Supplies,5263.91,5263.91,,,0 CDM,27201887_7154284,Noncdm Charge Record Medical Supplies,132.3,132.3,,,0 CDM,27201887_7156302,Noncdm Charge Record Medical Supplies,2230.15,2230.15,,,0 CDM,27201887_7156497,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27201887_7158616,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27201887_7158617,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27201887_7158618,Noncdm Charge Record Medical Supplies,1990.8,1990.8,,,0 CDM,27201887_7158749,Noncdm Charge Record Medical Supplies,11088.0,11088.0,,,0 CDM,27201887_7158750,Noncdm Charge Record Medical Supplies,11088.0,11088.0,,,0 CDM,27201887_7160548,Noncdm Charge Record Medical Supplies,413.68,413.68,,,0 CDM,27201887_7162273,Noncdm Charge Record Medical Supplies,5014.8,5014.8,,,0 CDM,27201887_7165654,Noncdm Charge Record Medical Supplies,7614.6,7614.6,,,0 CDM,27201887_7166141,Noncdm Charge Record Medical Supplies,93.24,93.24,,,0 CDM,27201887_7167312,Noncdm Charge Record Medical Supplies,22827.17,22827.17,,,0 CDM,27201887_7167950,Noncdm Charge Record Medical Supplies,36519.0,36519.0,,,0 CDM,27201887_7176763,Noncdm Charge Record Medical Supplies,7614.6,7614.6,,,0 CDM,27201887_721259,Noncdm Charge Record Medical Supplies,116.42,116.42,,,0 CDM,27201887_727243,Noncdm Charge Record Medical Supplies,122.38,122.38,,,0 CDM,27201887_746408,Noncdm Charge Record Medical Supplies,128.98,128.98,,,0 CDM,27201887_760800,Noncdm Charge Record Medical Supplies,100.33,100.33,,,0 CDM,27201887_761194,Noncdm Charge Record Medical Supplies,115.31,115.31,,,0 CDM,27201887_768992,Noncdm Charge Record Medical Supplies,111.89,111.89,,,0 CDM,27201887_773147,Noncdm Charge Record Medical Supplies,477.0,477.0,,,0 CDM,27201888_7031278,Noncdm Charge Record Medical Supplies,2056.79,2056.79,,,0 CDM,27201892_511094,Noncdm Charge Record Medical Supplies,666.0,666.0,,,0 CDM,27201892_513717,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27201892_517789,Noncdm Charge Record Medical Supplies,343.75,343.75,,,0 CDM,27201892_520093,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27201892_620627,Noncdm Charge Record Medical Supplies,414.12,414.12,,,0 CDM,27201892_625300,Noncdm Charge Record Medical Supplies,200.59,200.59,,,0 CDM,27201892_625302,Noncdm Charge Record Medical Supplies,254.92,254.92,,,0 CDM,27201892_6295582,Noncdm Charge Record Medical Supplies,1376.07,1376.07,,,0 CDM,27201892_7000970,Noncdm Charge Record Medical Supplies,343.75,343.75,,,0 CDM,27201892_7011865,Noncdm Charge Record Medical Supplies,200.59,200.59,,,0 CDM,27201892_7012054,Noncdm Charge Record Medical Supplies,677.31,677.31,,,0 CDM,27201892_7012587,Noncdm Charge Record Medical Supplies,2856.02,2856.02,,,0 CDM,27201892_7013856,Noncdm Charge Record Medical Supplies,677.31,677.31,,,0 CDM,27201892_7013857,Noncdm Charge Record Medical Supplies,677.31,677.31,,,0 CDM,27201892_7014333,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27201892_7016718,Noncdm Charge Record Medical Supplies,314.5,314.5,,,0 CDM,27201892_7016720,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27201892_7016721,Noncdm Charge Record Medical Supplies,184.75,184.75,,,0 CDM,27201892_7016722,Noncdm Charge Record Medical Supplies,235.87,235.87,,,0 CDM,27201892_7016723,Noncdm Charge Record Medical Supplies,184.72,184.72,,,0 CDM,27201892_7016724,Noncdm Charge Record Medical Supplies,184.58,184.58,,,0 CDM,27201892_7029128,Noncdm Charge Record Medical Supplies,200.59,200.59,,,0 CDM,27201892_7029329,Noncdm Charge Record Medical Supplies,1565.98,1565.98,,,0 CDM,27201892_7029778,Noncdm Charge Record Medical Supplies,325.58,325.58,,,0 CDM,27201892_7031932,Noncdm Charge Record Medical Supplies,217.56,217.56,,,0 CDM,27201892_7031933,Noncdm Charge Record Medical Supplies,141.12,141.12,,,0 CDM,27201892_7086109,Noncdm Charge Record Medical Supplies,419.58,419.58,,,0 CDM,27201892_7117779,Noncdm Charge Record Medical Supplies,360.99,360.99,,,0 CDM,27201892_734257,Noncdm Charge Record Medical Supplies,1395.71,1395.71,,,0 CDM,27201892_779649,Noncdm Charge Record Medical Supplies,360.99,360.99,,,0 CDM,27201892_780977,Noncdm Charge Record Medical Supplies,343.75,343.75,,,0 CDM,27201893_520841,Noncdm Charge Record Medical Supplies,168.66,168.66,,,0 CDM,27201893_7013809,Noncdm Charge Record Medical Supplies,773.39,773.39,,,0 CDM,27201893_7016342,Noncdm Charge Record Medical Supplies,845.04,845.04,,,0 CDM,27201893_7029785,Noncdm Charge Record Medical Supplies,2646.0,2646.0,,,0 CDM,27201893_7031980,Noncdm Charge Record Medical Supplies,831.6,831.6,,,0 CDM,27201893_7032104,Noncdm Charge Record Medical Supplies,3150.0,3150.0,,,0 CDM,27201893_7032518,Noncdm Charge Record Medical Supplies,95.97,95.97,,,0 CDM,27201893_7032897,Noncdm Charge Record Medical Supplies,851.76,851.76,,,0 CDM,27201893_7075957,Noncdm Charge Record Medical Supplies,3855.6,3855.6,,,0 CDM,27201893_7086217,Noncdm Charge Record Medical Supplies,876.96,876.96,,,0 CDM,27201893_7091091,Noncdm Charge Record Medical Supplies,1285.2,1285.2,,,0 CDM,27201893_7091092,Noncdm Charge Record Medical Supplies,1335.6,1335.6,,,0 CDM,27201893_7091093,Noncdm Charge Record Medical Supplies,1285.2,1285.2,,,0 CDM,27201893_7091094,Noncdm Charge Record Medical Supplies,1285.2,1285.2,,,0 CDM,27201893_7091096,Noncdm Charge Record Medical Supplies,1285.2,1285.2,,,0 CDM,27201893_7116216,Noncdm Charge Record Medical Supplies,4901.72,4901.72,,,0 CDM,27201893_7144091,Noncdm Charge Record Medical Supplies,922.32,922.32,,,0 CDM,27201894_128620,Noncdm Charge Record Medical Supplies,128.69,128.69,,,0 CDM,27201894_3188,Noncdm Charge Record Medical Supplies,386.95,386.95,,,0 CDM,27201894_513953,Noncdm Charge Record Medical Supplies,349.11,349.11,,,0 CDM,27201894_631196,Noncdm Charge Record Medical Supplies,127.91,127.91,,,0 CDM,27201894_7000633,Noncdm Charge Record Medical Supplies,315.46,315.46,,,0 CDM,27201894_7001098,Noncdm Charge Record Medical Supplies,85.47,85.47,,,0 CDM,27201894_7001099,Noncdm Charge Record Medical Supplies,85.47,85.47,,,0 CDM,27201894_7001100,Noncdm Charge Record Medical Supplies,85.47,85.47,,,0 CDM,27201894_7001101,Noncdm Charge Record Medical Supplies,85.47,85.47,,,0 CDM,27201894_7001105,Noncdm Charge Record Medical Supplies,181.43,181.43,,,0 CDM,27201894_7011860,Noncdm Charge Record Medical Supplies,64.88,64.88,,,0 CDM,27201894_7011878,Noncdm Charge Record Medical Supplies,318.57,318.57,,,0 CDM,27201894_7011919,Noncdm Charge Record Medical Supplies,274.28,274.28,,,0 CDM,27201894_7011939,Noncdm Charge Record Medical Supplies,274.28,274.28,,,0 CDM,27201894_7011940,Noncdm Charge Record Medical Supplies,178.71,178.71,,,0 CDM,27201894_7011941,Noncdm Charge Record Medical Supplies,274.28,274.28,,,0 CDM,27201894_7011942,Noncdm Charge Record Medical Supplies,157.78,157.78,,,0 CDM,27201894_7012082,Noncdm Charge Record Medical Supplies,85.47,85.47,,,0 CDM,27201894_7012120,Noncdm Charge Record Medical Supplies,227.08,227.08,,,0 CDM,27201894_7012153,Noncdm Charge Record Medical Supplies,286.92,286.92,,,0 CDM,27201894_7012595,Noncdm Charge Record Medical Supplies,90.72,90.72,,,0 CDM,27201894_7012596,Noncdm Charge Record Medical Supplies,40.32,40.32,,,0 CDM,27201894_7012707,Noncdm Charge Record Medical Supplies,880.34,880.34,,,0 CDM,27201894_7013621,Noncdm Charge Record Medical Supplies,48.03,48.03,,,0 CDM,27201894_7013791,Noncdm Charge Record Medical Supplies,473.76,473.76,,,0 CDM,27201894_7013804,Noncdm Charge Record Medical Supplies,184.16,184.16,,,0 CDM,27201894_7014245,Noncdm Charge Record Medical Supplies,90.72,90.72,,,0 CDM,27201894_7014485,Noncdm Charge Record Medical Supplies,135.98,135.98,,,0 CDM,27201894_7015409,Noncdm Charge Record Medical Supplies,879.58,879.58,,,0 CDM,27201894_7015731,Noncdm Charge Record Medical Supplies,958.73,958.73,,,0 CDM,27201894_7015747,Noncdm Charge Record Medical Supplies,825.06,825.06,,,0 CDM,27201894_7015751,Noncdm Charge Record Medical Supplies,876.59,876.59,,,0 CDM,27201894_7016751,Noncdm Charge Record Medical Supplies,288.03,288.03,,,0 CDM,27201894_7017443,Noncdm Charge Record Medical Supplies,40.38,40.38,,,0 CDM,27201894_7017452,Noncdm Charge Record Medical Supplies,40.32,40.32,,,0 CDM,27201894_7017454,Noncdm Charge Record Medical Supplies,40.32,40.32,,,0 CDM,27201894_7017456,Noncdm Charge Record Medical Supplies,40.76,40.76,,,0 CDM,27201894_7017459,Noncdm Charge Record Medical Supplies,40.32,40.32,,,0 CDM,27201894_7020333,Noncdm Charge Record Medical Supplies,85.47,85.47,,,0 CDM,27201894_7021592,Noncdm Charge Record Medical Supplies,110.88,110.88,,,0 CDM,27201894_7027803,Noncdm Charge Record Medical Supplies,1360.35,1360.35,,,0 CDM,27201894_7027804,Noncdm Charge Record Medical Supplies,476.5,476.5,,,0 CDM,27201894_7027821,Noncdm Charge Record Medical Supplies,117.68,117.68,,,0 CDM,27201894_7027872,Noncdm Charge Record Medical Supplies,126.0,126.0,,,0 CDM,27201894_7027931,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27201894_7027938,Noncdm Charge Record Medical Supplies,235.38,235.38,,,0 CDM,27201894_7028019,Noncdm Charge Record Medical Supplies,46.42,46.42,,,0 CDM,27201894_7028020,Noncdm Charge Record Medical Supplies,100.8,100.8,,,0 CDM,27201894_7028037,Noncdm Charge Record Medical Supplies,962.64,962.64,,,0 CDM,27201894_7028039,Noncdm Charge Record Medical Supplies,200.59,200.59,,,0 CDM,27201894_7028040,Noncdm Charge Record Medical Supplies,277.2,277.2,,,0 CDM,27201894_7028096,Noncdm Charge Record Medical Supplies,364.74,364.74,,,0 CDM,27201894_7028097,Noncdm Charge Record Medical Supplies,374.85,374.85,,,0 CDM,27201894_7028120,Noncdm Charge Record Medical Supplies,524.16,524.16,,,0 CDM,27201894_7028140,Noncdm Charge Record Medical Supplies,379.33,379.33,,,0 CDM,27201894_7028969,Noncdm Charge Record Medical Supplies,332.54,332.54,,,0 CDM,27201894_7028992,Noncdm Charge Record Medical Supplies,213.19,213.19,,,0 CDM,27201894_7028999,Noncdm Charge Record Medical Supplies,58.03,58.03,,,0 CDM,27201894_7029026,Noncdm Charge Record Medical Supplies,403.2,403.2,,,0 CDM,27201894_7029028,Noncdm Charge Record Medical Supplies,372.68,372.68,,,0 CDM,27201894_7029044,Noncdm Charge Record Medical Supplies,463.17,463.17,,,0 CDM,27201894_7029053,Noncdm Charge Record Medical Supplies,332.54,332.54,,,0 CDM,27201894_7029054,Noncdm Charge Record Medical Supplies,337.63,337.63,,,0 CDM,27201894_7029062,Noncdm Charge Record Medical Supplies,213.19,213.19,,,0 CDM,27201894_7029063,Noncdm Charge Record Medical Supplies,562.81,562.81,,,0 CDM,27201894_7029065,Noncdm Charge Record Medical Supplies,46.47,46.47,,,0 CDM,27201894_7029066,Noncdm Charge Record Medical Supplies,510.55,510.55,,,0 CDM,27201894_7029071,Noncdm Charge Record Medical Supplies,1864.8,1864.8,,,0 CDM,27201894_7029075,Noncdm Charge Record Medical Supplies,576.53,576.53,,,0 CDM,27201894_7029097,Noncdm Charge Record Medical Supplies,57.01,57.01,,,0 CDM,27201894_7029098,Noncdm Charge Record Medical Supplies,42.08,42.08,,,0 CDM,27201894_7029103,Noncdm Charge Record Medical Supplies,56.37,56.37,,,0 CDM,27201894_7029117,Noncdm Charge Record Medical Supplies,536.13,536.13,,,0 CDM,27201894_7029118,Noncdm Charge Record Medical Supplies,536.13,536.13,,,0 CDM,27201894_7029120,Noncdm Charge Record Medical Supplies,516.45,516.45,,,0 CDM,27201894_7029121,Noncdm Charge Record Medical Supplies,516.45,516.45,,,0 CDM,27201894_7029122,Noncdm Charge Record Medical Supplies,56.19,56.19,,,0 CDM,27201894_7029125,Noncdm Charge Record Medical Supplies,516.45,516.45,,,0 CDM,27201894_7029129,Noncdm Charge Record Medical Supplies,297.36,297.36,,,0 CDM,27201894_7029151,Noncdm Charge Record Medical Supplies,56.97,56.97,,,0 CDM,27201894_7029152,Noncdm Charge Record Medical Supplies,57.0,57.0,,,0 CDM,27201894_7029153,Noncdm Charge Record Medical Supplies,529.2,529.2,,,0 CDM,27201894_7029154,Noncdm Charge Record Medical Supplies,60.38,60.38,,,0 CDM,27201894_7029155,Noncdm Charge Record Medical Supplies,503.65,503.65,,,0 CDM,27201894_7029163,Noncdm Charge Record Medical Supplies,181.74,181.74,,,0 CDM,27201894_7029172,Noncdm Charge Record Medical Supplies,516.45,516.45,,,0 CDM,27201894_7029174,Noncdm Charge Record Medical Supplies,516.45,516.45,,,0 CDM,27201894_7029194,Noncdm Charge Record Medical Supplies,180.67,180.67,,,0 CDM,27201894_7029206,Noncdm Charge Record Medical Supplies,474.77,474.77,,,0 CDM,27201894_7029208,Noncdm Charge Record Medical Supplies,56.45,56.45,,,0 CDM,27201894_7029222,Noncdm Charge Record Medical Supplies,297.36,297.36,,,0 CDM,27201894_7029227,Noncdm Charge Record Medical Supplies,468.47,468.47,,,0 CDM,27201894_7029228,Noncdm Charge Record Medical Supplies,194.49,194.49,,,0 CDM,27201894_7029233,Noncdm Charge Record Medical Supplies,297.36,297.36,,,0 CDM,27201894_7029235,Noncdm Charge Record Medical Supplies,297.36,297.36,,,0 CDM,27201894_7029239,Noncdm Charge Record Medical Supplies,42.17,42.17,,,0 CDM,27201894_7029244,Noncdm Charge Record Medical Supplies,518.92,518.92,,,0 CDM,27201894_7029246,Noncdm Charge Record Medical Supplies,127.91,127.91,,,0 CDM,27201894_7029334,Noncdm Charge Record Medical Supplies,612.29,612.29,,,0 CDM,27201894_7029349,Noncdm Charge Record Medical Supplies,347.76,347.76,,,0 CDM,27201894_7029352,Noncdm Charge Record Medical Supplies,912.24,912.24,,,0 CDM,27201894_7029383,Noncdm Charge Record Medical Supplies,55.9,55.9,,,0 CDM,27201894_7029443,Noncdm Charge Record Medical Supplies,347.76,347.76,,,0 CDM,27201894_7029543,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27201894_7029736,Noncdm Charge Record Medical Supplies,410.55,410.55,,,0 CDM,27201894_7029869,Noncdm Charge Record Medical Supplies,42.08,42.08,,,0 CDM,27201894_7029891,Noncdm Charge Record Medical Supplies,650.16,650.16,,,0 CDM,27201894_7029949,Noncdm Charge Record Medical Supplies,518.92,518.92,,,0 CDM,27201894_7029962,Noncdm Charge Record Medical Supplies,1267.56,1267.56,,,0 CDM,27201894_7030039,Noncdm Charge Record Medical Supplies,110.88,110.88,,,0 CDM,27201894_7030064,Noncdm Charge Record Medical Supplies,127.38,127.38,,,0 CDM,27201894_7030093,Noncdm Charge Record Medical Supplies,95.76,95.76,,,0 CDM,27201894_7030108,Noncdm Charge Record Medical Supplies,213.19,213.19,,,0 CDM,27201894_7030136,Noncdm Charge Record Medical Supplies,131.04,131.04,,,0 CDM,27201894_7030495,Noncdm Charge Record Medical Supplies,115.92,115.92,,,0 CDM,27201894_7032269,Noncdm Charge Record Medical Supplies,83.53,83.53,,,0 CDM,27201894_7032552,Noncdm Charge Record Medical Supplies,304.92,304.92,,,0 CDM,27201894_7032803,Noncdm Charge Record Medical Supplies,200.59,200.59,,,0 CDM,27201894_7037008,Noncdm Charge Record Medical Supplies,323.87,323.87,,,0 CDM,27201894_7037015,Noncdm Charge Record Medical Supplies,363.89,363.89,,,0 CDM,27201894_7037032,Noncdm Charge Record Medical Supplies,312.48,312.48,,,0 CDM,27201894_7037033,Noncdm Charge Record Medical Supplies,309.31,309.31,,,0 CDM,27201894_7037054,Noncdm Charge Record Medical Supplies,312.48,312.48,,,0 CDM,27201894_7037070,Noncdm Charge Record Medical Supplies,323.78,323.78,,,0 CDM,27201894_7037079,Noncdm Charge Record Medical Supplies,363.89,363.89,,,0 CDM,27201894_7037083,Noncdm Charge Record Medical Supplies,309.31,309.31,,,0 CDM,27201894_7037088,Noncdm Charge Record Medical Supplies,325.58,325.58,,,0 CDM,27201894_7041791,Noncdm Charge Record Medical Supplies,3605.28,3605.28,,,0 CDM,27201894_7048501,Noncdm Charge Record Medical Supplies,120.96,120.96,,,0 CDM,27201894_7049206,Noncdm Charge Record Medical Supplies,289.82,289.82,,,0 CDM,27201894_7062480,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27201894_7071860,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27201894_7071882,Noncdm Charge Record Medical Supplies,265.76,265.76,,,0 CDM,27201894_7074326,Noncdm Charge Record Medical Supplies,943.51,943.51,,,0 CDM,27201894_7074351,Noncdm Charge Record Medical Supplies,943.51,943.51,,,0 CDM,27201894_7074358,Noncdm Charge Record Medical Supplies,943.51,943.51,,,0 CDM,27201894_7074365,Noncdm Charge Record Medical Supplies,943.51,943.51,,,0 CDM,27201894_7074366,Noncdm Charge Record Medical Supplies,943.51,943.51,,,0 CDM,27201894_7075934,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27201894_7075945,Noncdm Charge Record Medical Supplies,120.96,120.96,,,0 CDM,27201894_7075949,Noncdm Charge Record Medical Supplies,120.96,120.96,,,0 CDM,27201894_7075970,Noncdm Charge Record Medical Supplies,378.0,378.0,,,0 CDM,27201894_7075975,Noncdm Charge Record Medical Supplies,120.96,120.96,,,0 CDM,27201894_7075987,Noncdm Charge Record Medical Supplies,298.17,298.17,,,0 CDM,27201894_7080415,Noncdm Charge Record Medical Supplies,375.58,375.58,,,0 CDM,27201894_7086210,Noncdm Charge Record Medical Supplies,347.76,347.76,,,0 CDM,27201894_7086265,Noncdm Charge Record Medical Supplies,110.88,110.88,,,0 CDM,27201894_7086627,Noncdm Charge Record Medical Supplies,119.7,119.7,,,0 CDM,27201894_7088613,Noncdm Charge Record Medical Supplies,32.63,32.63,,,0 CDM,27201894_7088615,Noncdm Charge Record Medical Supplies,53.48,53.48,,,0 CDM,27201894_7092111,Noncdm Charge Record Medical Supplies,5388.22,5388.22,,,0 CDM,27201894_7092112,Noncdm Charge Record Medical Supplies,5429.76,5429.76,,,0 CDM,27201894_7092114,Noncdm Charge Record Medical Supplies,5411.84,5411.84,,,0 CDM,27201894_7092499,Noncdm Charge Record Medical Supplies,576.53,576.53,,,0 CDM,27201894_7093037,Noncdm Charge Record Medical Supplies,224.4,224.4,,,0 CDM,27201894_7094441,Noncdm Charge Record Medical Supplies,2634.89,2634.89,,,0 CDM,27201894_7094442,Noncdm Charge Record Medical Supplies,2568.0,2568.0,,,0 CDM,27201894_7096989,Noncdm Charge Record Medical Supplies,3170.16,3170.16,,,0 CDM,27201894_7110632,Noncdm Charge Record Medical Supplies,1156.41,1156.41,,,0 CDM,27201894_7110633,Noncdm Charge Record Medical Supplies,1156.41,1156.41,,,0 CDM,27201894_7115006,Noncdm Charge Record Medical Supplies,1106.45,1106.45,,,0 CDM,27201894_7116298,Noncdm Charge Record Medical Supplies,108.78,108.78,,,0 CDM,27201894_7116757,Noncdm Charge Record Medical Supplies,102.67,102.67,,,0 CDM,27201894_7116950,Noncdm Charge Record Medical Supplies,278.26,278.26,,,0 CDM,27201894_7117988,Noncdm Charge Record Medical Supplies,151.52,151.52,,,0 CDM,27201894_7119064,Noncdm Charge Record Medical Supplies,204.62,204.62,,,0 CDM,27201894_7120879,Noncdm Charge Record Medical Supplies,3024.0,3024.0,,,0 CDM,27201894_7120886,Noncdm Charge Record Medical Supplies,3024.0,3024.0,,,0 CDM,27201894_7123014,Noncdm Charge Record Medical Supplies,2587.94,2587.94,,,0 CDM,27201894_7127634,Noncdm Charge Record Medical Supplies,224.33,224.33,,,0 CDM,27201894_7127635,Noncdm Charge Record Medical Supplies,175.37,175.37,,,0 CDM,27201894_7129385,Noncdm Charge Record Medical Supplies,331.23,331.23,,,0 CDM,27201894_7144134,Noncdm Charge Record Medical Supplies,418.32,418.32,,,0 CDM,27201894_7148083,Noncdm Charge Record Medical Supplies,4284.0,4284.0,,,0 CDM,27201894_7150696,Noncdm Charge Record Medical Supplies,2338.56,2338.56,,,0 CDM,27201894_7158778,Noncdm Charge Record Medical Supplies,943.51,943.51,,,0 CDM,27201894_7159095,Noncdm Charge Record Medical Supplies,85.47,85.47,,,0 CDM,27201894_7159324,Noncdm Charge Record Medical Supplies,8820.0,8820.0,,,0 CDM,27201894_7160663,Noncdm Charge Record Medical Supplies,2142.0,2142.0,,,0 CDM,27201894_7161689,Noncdm Charge Record Medical Supplies,4247.2,4247.2,,,0 CDM,27201894_7167063,Noncdm Charge Record Medical Supplies,1726.34,1726.34,,,0 CDM,27201894_7168741,Noncdm Charge Record Medical Supplies,943.51,943.51,,,0 CDM,27201894_7169719,Noncdm Charge Record Medical Supplies,1156.41,1156.41,,,0 CDM,27201894_7170797,Noncdm Charge Record Medical Supplies,1156.41,1156.41,,,0 CDM,27201894_7172896,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27201894_7172905,Noncdm Charge Record Medical Supplies,1564.88,1564.88,,,0 CDM,27201894_7172906,Noncdm Charge Record Medical Supplies,1173.66,1173.66,,,0 CDM,27201894_7173143,Noncdm Charge Record Medical Supplies,7264.95,7264.95,,,0 CDM,27201894_7173311,Noncdm Charge Record Medical Supplies,331.23,331.23,,,0 CDM,27201894_7173597,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27201894_7173946,Noncdm Charge Record Medical Supplies,64.88,64.88,,,0 CDM,27201894_7173962,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27201894_7176253,Noncdm Charge Record Medical Supplies,3271.17,3271.17,,,0 CDM,27201894_7178075,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27201894_7179216,Noncdm Charge Record Medical Supplies,3271.17,3271.17,,,0 CDM,27201894_7179269,Noncdm Charge Record Medical Supplies,1147.86,1147.86,,,0 CDM,27201894_7179368,Noncdm Charge Record Medical Supplies,1147.86,1147.86,,,0 CDM,27201894_7179690,Noncdm Charge Record Medical Supplies,1156.49,1156.49,,,0 CDM,27201894_759945,Noncdm Charge Record Medical Supplies,584.24,584.24,,,0 CDM,27201894_760022,Noncdm Charge Record Medical Supplies,1733.95,1733.95,,,0 CDM,27201894_766132,Noncdm Charge Record Medical Supplies,85.47,85.47,,,0 CDM,27201894_769167,Noncdm Charge Record Medical Supplies,516.45,516.45,,,0 CDM,27201894_780069,Noncdm Charge Record Medical Supplies,584.24,584.24,,,0 CDM,27202615_7030958,Noncdm Charge Record Medical Supplies,1533.8,1533.8,,,0 CDM,27202615_7032934,Noncdm Charge Record Medical Supplies,416.24,416.24,,,0 CDM,27202617_C2617_272,Noncdm Charge Record Medical Supplies,1101.4,1101.4,,,0 CDM,27202618_7015709,Noncdm Charge Record Medical Supplies,17871.0,17871.0,,,0 CDM,27202618_7094237,Noncdm Charge Record Medical Supplies,3387.72,3387.72,,,0 CDM,27202618_7094238,Noncdm Charge Record Medical Supplies,2496.7,2496.7,,,0 CDM,27202618_7094239,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27202618_7115963,Noncdm Charge Record Medical Supplies,13720.21,13720.21,,,0 CDM,27202618_7117598,Noncdm Charge Record Medical Supplies,41017.83,41017.83,,,0 CDM,27202618_7163279,Noncdm Charge Record Medical Supplies,17871.0,17871.0,,,0 CDM,27202618_7165167,Noncdm Charge Record Medical Supplies,20590.5,20590.5,,,0 CDM,27202618_7171168,Noncdm Charge Record Medical Supplies,17871.0,17871.0,,,0 CDM,27202618_7171242,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27202618_7171266,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27202618_7173201,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27202618_7173777,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27202618_7174380,Noncdm Charge Record Medical Supplies,4529.91,4529.91,,,0 CDM,27202618_7175632,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27202618_7175657,Noncdm Charge Record Medical Supplies,34343.4,34343.4,,,0 CDM,27202618_7175717,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27202618_7176040,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27202618_7176083,Noncdm Charge Record Medical Supplies,11460.75,11460.75,,,0 CDM,27202618_7176134,Noncdm Charge Record Medical Supplies,27195.0,27195.0,,,0 CDM,27202618_7176192,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27202618_7176254,Noncdm Charge Record Medical Supplies,4529.91,4529.91,,,0 CDM,27202618_7176255,Noncdm Charge Record Medical Supplies,4529.91,4529.91,,,0 CDM,27202618_7176749,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27202618_7177710,Noncdm Charge Record Medical Supplies,20590.5,20590.5,,,0 CDM,27202618_7178254,Noncdm Charge Record Medical Supplies,34343.4,34343.4,,,0 CDM,27202618_7179769,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27202618_C2618_272,Noncdm Charge Record Medical Supplies,34343.4,34343.4,,,0 CDM,27202623_7076283,Noncdm Charge Record Medical Supplies,19191.9,19191.9,,,0 CDM,27202623_7076284,Noncdm Charge Record Medical Supplies,17443.65,17443.65,,,0 CDM,27202623_7076285,Noncdm Charge Record Medical Supplies,16217.88,16217.88,,,0 CDM,27202623_7076286,Noncdm Charge Record Medical Supplies,16762.67,16762.67,,,0 CDM,27202623_7076287,Noncdm Charge Record Medical Supplies,16494.66,16494.66,,,0 CDM,27202623_7076289,Noncdm Charge Record Medical Supplies,15820.35,15820.35,,,0 CDM,27202623_7121435,Noncdm Charge Record Medical Supplies,12742.8,12742.8,,,0 CDM,27202623_7121448,Noncdm Charge Record Medical Supplies,11577.3,11577.3,,,0 CDM,27202623_7133565,Noncdm Charge Record Medical Supplies,7509.6,7509.6,,,0 CDM,27202623_7133589,Noncdm Charge Record Medical Supplies,7509.6,7509.6,,,0 CDM,27202623_7133593,Noncdm Charge Record Medical Supplies,9021.6,9021.6,,,0 CDM,27202623_7133596,Noncdm Charge Record Medical Supplies,9021.6,9021.6,,,0 CDM,27202623_7133611,Noncdm Charge Record Medical Supplies,9021.6,9021.6,,,0 CDM,27202623_7133614,Noncdm Charge Record Medical Supplies,9021.6,9021.6,,,0 CDM,27202623_7153970,Noncdm Charge Record Medical Supplies,28476.0,28476.0,,,0 CDM,27202623_7153972,Noncdm Charge Record Medical Supplies,28476.0,28476.0,,,0 CDM,27202623_7153975,Noncdm Charge Record Medical Supplies,28476.0,28476.0,,,0 CDM,27202623_7153976,Noncdm Charge Record Medical Supplies,28476.0,28476.0,,,0 CDM,27202623_7153977,Noncdm Charge Record Medical Supplies,28476.0,28476.0,,,0 CDM,27202623_7153981,Noncdm Charge Record Medical Supplies,28476.0,28476.0,,,0 CDM,27202623_7153982,Noncdm Charge Record Medical Supplies,28476.0,28476.0,,,0 CDM,27202623_7153984,Noncdm Charge Record Medical Supplies,28476.0,28476.0,,,0 CDM,27202623_7153986,Noncdm Charge Record Medical Supplies,28476.0,28476.0,,,0 CDM,27202623_7153988,Noncdm Charge Record Medical Supplies,28476.0,28476.0,,,0 CDM,27202623_7153989,Noncdm Charge Record Medical Supplies,28476.0,28476.0,,,0 CDM,27202623_7153990,Noncdm Charge Record Medical Supplies,28476.0,28476.0,,,0 CDM,27202623_7153993,Noncdm Charge Record Medical Supplies,28476.0,28476.0,,,0 CDM,27202623_7153995,Noncdm Charge Record Medical Supplies,28476.0,28476.0,,,0 CDM,27202623_7153996,Noncdm Charge Record Medical Supplies,28476.0,28476.0,,,0 CDM,27202623_7153997,Noncdm Charge Record Medical Supplies,28476.0,28476.0,,,0 CDM,27202625_C2625_272,Noncdm Charge Record Medical Supplies,694.64,694.64,,,0 CDM,27202627_402864,Noncdm Charge Record Medical Supplies,1139.39,1139.39,,,0 CDM,27202627_511127,Noncdm Charge Record Medical Supplies,189.9,189.9,,,0 CDM,27202627_516738,Noncdm Charge Record Medical Supplies,189.9,189.9,,,0 CDM,27202627_517421,Noncdm Charge Record Medical Supplies,189.9,189.9,,,0 CDM,27202627_520294,Noncdm Charge Record Medical Supplies,189.9,189.9,,,0 CDM,27202627_7000541,Noncdm Charge Record Medical Supplies,352.83,352.83,,,0 CDM,27202627_7014320,Noncdm Charge Record Medical Supplies,665.73,665.73,,,0 CDM,27202627_7021512,Noncdm Charge Record Medical Supplies,69.47,69.47,,,0 CDM,27202627_7088647,Noncdm Charge Record Medical Supplies,125.1,125.1,,,0 CDM,27202627_7088661,Noncdm Charge Record Medical Supplies,125.1,125.1,,,0 CDM,27202627_7088663,Noncdm Charge Record Medical Supplies,125.1,125.1,,,0 CDM,27202627_7118192,Noncdm Charge Record Medical Supplies,337.22,337.22,,,0 CDM,27202627_7137228,Noncdm Charge Record Medical Supplies,604.43,604.43,,,0 CDM,27202627_769839,Noncdm Charge Record Medical Supplies,352.83,352.83,,,0 CDM,27202628_7014480,Noncdm Charge Record Medical Supplies,1148.36,1148.36,,,0 CDM,27202628_7014676,Noncdm Charge Record Medical Supplies,1148.36,1148.36,,,0 CDM,27202628_7015578,Noncdm Charge Record Medical Supplies,1249.92,1249.92,,,0 CDM,27202628_7015837,Noncdm Charge Record Medical Supplies,8328.6,8328.6,,,0 CDM,27202628_7016634,Noncdm Charge Record Medical Supplies,252.0,252.0,,,0 CDM,27202628_7028389,Noncdm Charge Record Medical Supplies,2024.82,2024.82,,,0 CDM,27202628_7030979,Noncdm Charge Record Medical Supplies,5760.72,5760.72,,,0 CDM,27202628_7032841,Noncdm Charge Record Medical Supplies,4265.73,4265.73,,,0 CDM,27202628_7032977,Noncdm Charge Record Medical Supplies,4694.15,4694.15,,,0 CDM,27202628_7041786,Noncdm Charge Record Medical Supplies,4397.87,4397.87,,,0 CDM,27202628_7041792,Noncdm Charge Record Medical Supplies,4576.53,4576.53,,,0 CDM,27202628_7057592,Noncdm Charge Record Medical Supplies,1249.92,1249.92,,,0 CDM,27202628_7057594,Noncdm Charge Record Medical Supplies,1249.92,1249.92,,,0 CDM,27202628_7057600,Noncdm Charge Record Medical Supplies,8568.0,8568.0,,,0 CDM,27202628_7088658,Noncdm Charge Record Medical Supplies,1064.72,1064.72,,,0 CDM,27202628_7115179,Noncdm Charge Record Medical Supplies,8395.23,8395.23,,,0 CDM,27202628_7139702,Noncdm Charge Record Medical Supplies,10116.18,10116.18,,,0 CDM,27202630_7084959,Noncdm Charge Record Medical Supplies,14719.09,14719.09,,,0 CDM,27202630_7141764,Noncdm Charge Record Medical Supplies,19972.93,19972.93,,,0 CDM,27202630_7144100,Noncdm Charge Record Medical Supplies,12136.74,12136.74,,,0 CDM,27204081_7155811,Noncdm Charge Record Medical Supplies,178.25,178.25,,,0 CDM,27204087_2704,Noncdm Charge Record Medical Supplies,34.35,34.35,,,0 CDM,27204087_33908,Noncdm Charge Record Medical Supplies,32.63,32.63,,,0 CDM,27204087_33944,Noncdm Charge Record Medical Supplies,164.71,164.71,,,0 CDM,27204087_33945,Noncdm Charge Record Medical Supplies,213.37,213.37,,,0 CDM,27204087_33957,Noncdm Charge Record Medical Supplies,249.96,249.96,,,0 CDM,27204087_33958,Noncdm Charge Record Medical Supplies,249.96,249.96,,,0 CDM,27204087_511993,Noncdm Charge Record Medical Supplies,1518.42,1518.42,,,0 CDM,27204087_514800,Noncdm Charge Record Medical Supplies,1556.33,1556.33,,,0 CDM,27204087_621219,Noncdm Charge Record Medical Supplies,906.75,906.75,,,0 CDM,27204087_625307,Noncdm Charge Record Medical Supplies,206.05,206.05,,,0 CDM,27204087_7000516,Noncdm Charge Record Medical Supplies,484.74,484.74,,,0 CDM,27204087_7000517,Noncdm Charge Record Medical Supplies,747.32,747.32,,,0 CDM,27204087_7011569,Noncdm Charge Record Medical Supplies,1824.63,1824.63,,,0 CDM,27204087_7012617,Noncdm Charge Record Medical Supplies,660.83,660.83,,,0 CDM,27204087_7014374,Noncdm Charge Record Medical Supplies,749.45,749.45,,,0 CDM,27204087_7014375,Noncdm Charge Record Medical Supplies,747.32,747.32,,,0 CDM,27204087_7014376,Noncdm Charge Record Medical Supplies,663.89,663.89,,,0 CDM,27204087_7014377,Noncdm Charge Record Medical Supplies,747.32,747.32,,,0 CDM,27204087_7014378,Noncdm Charge Record Medical Supplies,487.16,487.16,,,0 CDM,27204087_7014379,Noncdm Charge Record Medical Supplies,710.74,710.74,,,0 CDM,27204087_7014380,Noncdm Charge Record Medical Supplies,749.8,749.8,,,0 CDM,27204087_7014381,Noncdm Charge Record Medical Supplies,747.32,747.32,,,0 CDM,27204087_7014382,Noncdm Charge Record Medical Supplies,708.86,708.86,,,0 CDM,27204087_7014384,Noncdm Charge Record Medical Supplies,754.78,754.78,,,0 CDM,27204087_7014385,Noncdm Charge Record Medical Supplies,721.17,721.17,,,0 CDM,27204087_7014471,Noncdm Charge Record Medical Supplies,1183.54,1183.54,,,0 CDM,27204087_7014478,Noncdm Charge Record Medical Supplies,2230.3,2230.3,,,0 CDM,27204087_7014488,Noncdm Charge Record Medical Supplies,1213.77,1213.77,,,0 CDM,27204087_7014496,Noncdm Charge Record Medical Supplies,1414.14,1414.14,,,0 CDM,27204087_7027784,Noncdm Charge Record Medical Supplies,232.4,232.4,,,0 CDM,27204087_7027813,Noncdm Charge Record Medical Supplies,915.8,915.8,,,0 CDM,27204087_7028998,Noncdm Charge Record Medical Supplies,1075.37,1075.37,,,0 CDM,27204087_7029012,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27204087_7029096,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27204087_7029149,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27204087_7029328,Noncdm Charge Record Medical Supplies,714.55,714.55,,,0 CDM,27204087_7029382,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27204087_7029386,Noncdm Charge Record Medical Supplies,684.18,684.18,,,0 CDM,27204087_7029663,Noncdm Charge Record Medical Supplies,1414.14,1414.14,,,0 CDM,27204087_7029704,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27204087_7031320,Noncdm Charge Record Medical Supplies,543.9,543.9,,,0 CDM,27204087_7031322,Noncdm Charge Record Medical Supplies,543.9,543.9,,,0 CDM,27204087_7031613,Noncdm Charge Record Medical Supplies,579.6,579.6,,,0 CDM,27204087_7032933,Noncdm Charge Record Medical Supplies,484.74,484.74,,,0 CDM,27204087_7037213,Noncdm Charge Record Medical Supplies,1197.5,1197.5,,,0 CDM,27204087_7037214,Noncdm Charge Record Medical Supplies,1197.5,1197.5,,,0 CDM,27204087_7037215,Noncdm Charge Record Medical Supplies,1197.5,1197.5,,,0 CDM,27204087_7049342,Noncdm Charge Record Medical Supplies,713.91,713.91,,,0 CDM,27204087_7117130,Noncdm Charge Record Medical Supplies,1410.26,1410.26,,,0 CDM,27204087_7141703,Noncdm Charge Record Medical Supplies,458.43,458.43,,,0 CDM,27204087_7143880,Noncdm Charge Record Medical Supplies,474.01,474.01,,,0 CDM,27204087_7143881,Noncdm Charge Record Medical Supplies,2044.73,2044.73,,,0 CDM,27204087_7149374,Noncdm Charge Record Medical Supplies,747.32,747.32,,,0 CDM,27204087_7161267,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27204087_7161521,Noncdm Charge Record Medical Supplies,1427.74,1427.74,,,0 CDM,27204087_721152,Noncdm Charge Record Medical Supplies,1208.0,1208.0,,,0 CDM,27204087_729851,Noncdm Charge Record Medical Supplies,568.38,568.38,,,0 CDM,27204087_772272,Noncdm Charge Record Medical Supplies,568.38,568.38,,,0 CDM,27204087_B4087_272,Noncdm Charge Record Medical Supplies,754.78,754.78,,,0 CDM,27204088_136183,Noncdm Charge Record Medical Supplies,754.78,754.78,,,0 CDM,27204088_136184,Noncdm Charge Record Medical Supplies,754.78,754.78,,,0 CDM,27204088_7000515,Noncdm Charge Record Medical Supplies,747.32,747.32,,,0 CDM,27204088_7014316,Noncdm Charge Record Medical Supplies,747.32,747.32,,,0 CDM,27204088_7028107,Noncdm Charge Record Medical Supplies,747.32,747.32,,,0 CDM,27204088_7049000,Noncdm Charge Record Medical Supplies,747.32,747.32,,,0 CDM,27204088_7049002,Noncdm Charge Record Medical Supplies,484.74,484.74,,,0 CDM,27204088_7145010,Noncdm Charge Record Medical Supplies,2046.76,2046.76,,,0 CDM,27204088_7145014,Noncdm Charge Record Medical Supplies,1781.03,1781.03,,,0 CDM,27204088_7145017,Noncdm Charge Record Medical Supplies,2676.24,2676.24,,,0 CDM,27204088_7145025,Noncdm Charge Record Medical Supplies,2676.24,2676.24,,,0 CDM,27204088_7145027,Noncdm Charge Record Medical Supplies,2676.24,2676.24,,,0 CDM,27204088_7145029,Noncdm Charge Record Medical Supplies,4125.87,4125.87,,,0 CDM,27204088_7145031,Noncdm Charge Record Medical Supplies,2676.24,2676.24,,,0 CDM,27204114_7012126,Noncdm Charge Record Medical Supplies,564.49,564.49,,,0 CDM,27204114_7014058,Noncdm Charge Record Pharmacy,554.11,554.11,,,0 CDM,27204114_780010,Noncdm Charge Record Medical Supplies,418.74,418.74,,,0 CDM,27204215_120669,Noncdm Charge Record Medical Supplies,88.71,88.71,,,0 CDM,27204215_1537,Noncdm Charge Record Medical Supplies,122.84,122.84,,,0 CDM,27204215_1548,Noncdm Charge Record Medical Supplies,10.88,10.88,,,0 CDM,27204215_1550,Noncdm Charge Record Medical Supplies,10.78,10.78,,,0 CDM,27204215_1551,Noncdm Charge Record Medical Supplies,11.89,11.89,,,0 CDM,27204215_1552,Noncdm Charge Record Medical Supplies,11.32,11.32,,,0 CDM,27204215_1554,Noncdm Charge Record Medical Supplies,10.22,10.22,,,0 CDM,27204215_1692,Noncdm Charge Record Medical Supplies,0.25,0.25,,,0 CDM,27204215_1694,Noncdm Charge Record Medical Supplies,0.46,0.46,,,0 CDM,27204215_33772,Noncdm Charge Record Medical Supplies,81.2,81.2,,,0 CDM,27204215_401404,Noncdm Charge Record Medical Supplies,162.32,162.32,,,0 CDM,27204215_5040,Noncdm Charge Record Medical Supplies,25.88,25.88,,,0 CDM,27204215_510414,Noncdm Charge Record Medical Supplies,34.89,34.89,,,0 CDM,27204215_510416,Noncdm Charge Record Medical Supplies,48.88,48.88,,,0 CDM,27204215_510431,Noncdm Charge Record Medical Supplies,56.96,56.96,,,0 CDM,27204215_516874,Noncdm Charge Record Medical Supplies,91.05,91.05,,,0 CDM,27204215_611470,Noncdm Charge Record Medical Supplies,297.68,297.68,,,0 CDM,27204215_7000369,Noncdm Charge Record Medical Supplies,102.49,102.49,,,0 CDM,27204215_7000657,Noncdm Charge Record Medical Supplies,316.09,316.09,,,0 CDM,27204215_7000834,Noncdm Charge Record Medical Supplies,102.49,102.49,,,0 CDM,27204215_7000969,Noncdm Charge Record Medical Supplies,1425.22,1425.22,,,0 CDM,27204215_7001058,Noncdm Charge Record Medical Supplies,156.18,156.18,,,0 CDM,27204215_7001059,Noncdm Charge Record Medical Supplies,208.7,208.7,,,0 CDM,27204215_7001275,Noncdm Charge Record Medical Supplies,11.72,11.72,,,0 CDM,27204215_7010875,Noncdm Charge Record Medical Supplies,234.71,234.71,,,0 CDM,27204215_7010944,Noncdm Charge Record Medical Supplies,1389.74,1389.74,,,0 CDM,27204215_7011292,Noncdm Charge Record Medical Supplies,275.06,275.06,,,0 CDM,27204215_7011498,Noncdm Charge Record Medical Supplies,102.49,102.49,,,0 CDM,27204215_7011554,Noncdm Charge Record Medical Supplies,721.06,721.06,,,0 CDM,27204215_7011556,Noncdm Charge Record Medical Supplies,377.78,377.78,,,0 CDM,27204215_7011889,Noncdm Charge Record Medical Supplies,14.37,14.37,,,0 CDM,27204215_7011897,Noncdm Charge Record Medical Supplies,73.59,73.59,,,0 CDM,27204215_7011917,Noncdm Charge Record Medical Supplies,89.28,89.28,,,0 CDM,27204215_7012202,Noncdm Charge Record Medical Supplies,61.85,61.85,,,0 CDM,27204215_7012317,Noncdm Charge Record Medical Supplies,63.94,63.94,,,0 CDM,27204215_7012501,Noncdm Charge Record Medical Supplies,5212.12,5212.12,,,0 CDM,27204215_7013267,Noncdm Charge Record Medical Supplies,264.18,264.18,,,0 CDM,27204215_7013457,Noncdm Charge Record Medical Supplies,256.41,256.41,,,0 CDM,27204215_7013707,Noncdm Charge Record Medical Supplies,387.57,387.57,,,0 CDM,27204215_7014142,Noncdm Charge Record Medical Supplies,9.0,9.0,,,0 CDM,27204215_7015482,Noncdm Charge Record Medical Supplies,1000.78,1000.78,,,0 CDM,27204215_7018920,Noncdm Charge Record Medical Supplies,465.5,465.5,,,0 CDM,27204215_7019483,Noncdm Charge Record Medical Supplies,34.89,34.89,,,0 CDM,27204215_7019674,Noncdm Charge Record Medical Supplies,34.89,34.89,,,0 CDM,27204215_7024010,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27204215_7024013,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27204215_7027865,Noncdm Charge Record Medical Supplies,0.23,0.23,,,0 CDM,27204215_7028273,Noncdm Charge Record Medical Supplies,43.7,43.7,,,0 CDM,27204215_7028275,Noncdm Charge Record Medical Supplies,267.32,267.32,,,0 CDM,27204215_7028276,Noncdm Charge Record Medical Supplies,251.9,251.9,,,0 CDM,27204215_7028277,Noncdm Charge Record Medical Supplies,267.32,267.32,,,0 CDM,27204215_7028976,Noncdm Charge Record Medical Supplies,73.03,73.03,,,0 CDM,27204215_7028977,Noncdm Charge Record Medical Supplies,1546.23,1546.23,,,0 CDM,27204215_7029011,Noncdm Charge Record Medical Supplies,80.84,80.84,,,0 CDM,27204215_7029052,Noncdm Charge Record Medical Supplies,85.68,85.68,,,0 CDM,27204215_7029134,Noncdm Charge Record Medical Supplies,2610.72,2610.72,,,0 CDM,27204215_7029138,Noncdm Charge Record Medical Supplies,1546.23,1546.23,,,0 CDM,27204215_7029304,Noncdm Charge Record Medical Supplies,12.85,12.85,,,0 CDM,27204215_7029569,Noncdm Charge Record Medical Supplies,83.16,83.16,,,0 CDM,27204215_7029570,Noncdm Charge Record Medical Supplies,34.07,34.07,,,0 CDM,27204215_7029582,Noncdm Charge Record Medical Supplies,83.16,83.16,,,0 CDM,27204215_7029584,Noncdm Charge Record Medical Supplies,393.71,393.71,,,0 CDM,27204215_7029591,Noncdm Charge Record Medical Supplies,412.12,412.12,,,0 CDM,27204215_7030058,Noncdm Charge Record Medical Supplies,19.31,19.31,,,0 CDM,27204215_7030073,Noncdm Charge Record Medical Supplies,45.36,45.36,,,0 CDM,27204215_7030077,Noncdm Charge Record Medical Supplies,57.91,57.91,,,0 CDM,27204215_7030078,Noncdm Charge Record Medical Supplies,62.16,62.16,,,0 CDM,27204215_7030089,Noncdm Charge Record Medical Supplies,2.49,2.49,,,0 CDM,27204215_7030513,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27204215_7030912,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27204215_7031179,Noncdm Charge Record Medical Supplies,3656.49,3656.49,,,0 CDM,27204215_7031254,Noncdm Charge Record Medical Supplies,1357.81,1357.81,,,0 CDM,27204215_7031717,Noncdm Charge Record Medical Supplies,26.41,26.41,,,0 CDM,27204215_7032116,Noncdm Charge Record Medical Supplies,0.23,0.23,,,0 CDM,27204215_7032724,Noncdm Charge Record Medical Supplies,1590.91,1590.91,,,0 CDM,27204215_7055309,Noncdm Charge Record Medical Supplies,1.09,1.09,,,0 CDM,27204215_7058668,Noncdm Charge Record Medical Supplies,1048.95,1048.95,,,0 CDM,27204215_7071649,Noncdm Charge Record Medical Supplies,381.85,381.85,,,0 CDM,27204215_7072167,Noncdm Charge Record Medical Supplies,178.16,178.16,,,0 CDM,27204215_7072181,Noncdm Charge Record Medical Supplies,539.7,539.7,,,0 CDM,27204215_7072207,Noncdm Charge Record Medical Supplies,1390.83,1390.83,,,0 CDM,27204215_7072318,Noncdm Charge Record Medical Supplies,1314.68,1314.68,,,0 CDM,27204215_7072333,Noncdm Charge Record Medical Supplies,2004.66,2004.66,,,0 CDM,27204215_7072484,Noncdm Charge Record Medical Supplies,1390.83,1390.83,,,0 CDM,27204215_7072607,Noncdm Charge Record Medical Supplies,2169.77,2169.77,,,0 CDM,27204215_7078197,Noncdm Charge Record Medical Supplies,2492.96,2492.96,,,0 CDM,27204215_7088741,Noncdm Charge Record Medical Supplies,295.26,295.26,,,0 CDM,27204215_7092522,Noncdm Charge Record Medical Supplies,1970.47,1970.47,,,0 CDM,27204215_7098020,Noncdm Charge Record Medical Supplies,2030.46,2030.46,,,0 CDM,27204215_7098306,Noncdm Charge Record Medical Supplies,2030.46,2030.46,,,0 CDM,27204215_7116537,Noncdm Charge Record Medical Supplies,1365.26,1365.26,,,0 CDM,27204215_7117056,Noncdm Charge Record Medical Supplies,80.84,80.84,,,0 CDM,27204215_7118838,Noncdm Charge Record Medical Supplies,293.71,293.71,,,0 CDM,27204215_7118975,Noncdm Charge Record Medical Supplies,93.24,93.24,,,0 CDM,27204215_7122751,Noncdm Charge Record Medical Supplies,14724.15,14724.15,,,0 CDM,27204215_7126832,Noncdm Charge Record Medical Supplies,595.73,595.73,,,0 CDM,27204215_7127633,Noncdm Charge Record Medical Supplies,80.84,80.84,,,0 CDM,27204215_7128877,Noncdm Charge Record Medical Supplies,1839.6,1839.6,,,0 CDM,27204215_7128878,Noncdm Charge Record Medical Supplies,367.92,367.92,,,0 CDM,27204215_7133485,Noncdm Charge Record Medical Supplies,42.66,42.66,,,0 CDM,27204215_7160950,Noncdm Charge Record Medical Supplies,46.62,46.62,,,0 CDM,27204215_7161071,Noncdm Charge Record Medical Supplies,503.5,503.5,,,0 CDM,27204215_7161314,Noncdm Charge Record Medical Supplies,233.1,233.1,,,0 CDM,27204215_7164127,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27204215_7164325,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27204215_7164346,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27204215_7164350,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27204215_7164358,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27204215_7165165,Noncdm Charge Record Medical Supplies,46.62,46.62,,,0 CDM,27204215_7165891,Noncdm Charge Record Medical Supplies,147.63,147.63,,,0 CDM,27204215_7168734,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27204215_7168904,Noncdm Charge Record Medical Supplies,46.62,46.62,,,0 CDM,27204215_7170715,Noncdm Charge Record Medical Supplies,2030.46,2030.46,,,0 CDM,27204215_7173495,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27204215_7173500,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27204215_7173511,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27204215_7173518,Noncdm Charge Record Medical Supplies,1398.6,1398.6,,,0 CDM,27204215_7173691,Noncdm Charge Record Medical Supplies,297.59,297.59,,,0 CDM,27204215_7176241,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27204215_7176242,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27204215_7179625,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27204215_7180392,Noncdm Charge Record Medical Supplies,46.62,46.62,,,0 CDM,27204215_740185,Noncdm Charge Record Medical Supplies,67.83,67.83,,,0 CDM,27204215_753596,Noncdm Charge Record Medical Supplies,3271.33,3271.33,,,0 CDM,27204215_769753,Noncdm Charge Record Medical Supplies,101.79,101.79,,,0 CDM,27204215_777463,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27204215_779523,Noncdm Charge Record Medical Supplies,237.76,237.76,,,0 CDM,27204216_2681,Noncdm Charge Record Medical Supplies,26.34,26.34,,,0 CDM,27204216_5243,Noncdm Charge Record Medical Supplies,13.61,13.61,,,0 CDM,27204216_7000794,Noncdm Charge Record Medical Supplies,13.55,13.55,,,0 CDM,27204221_7015855,Noncdm Charge Record Medical Supplies,630.0,630.0,,,0 CDM,27204300_3309,Noncdm Charge Record Medical Supplies,33.57,33.57,,,0 CDM,27204300_3310,Noncdm Charge Record Medical Supplies,48.79,48.79,,,0 CDM,27204300_33906,Noncdm Charge Record Medical Supplies,50.5,50.5,,,0 CDM,27204300_5199,Noncdm Charge Record Medical Supplies,10.65,10.65,,,0 CDM,27204300_5203,Noncdm Charge Record Medical Supplies,6.91,6.91,,,0 CDM,27204300_7000913,Noncdm Charge Record Medical Supplies,10.65,10.65,,,0 CDM,27204300_7010712,Noncdm Charge Record Medical Supplies,10.65,10.65,,,0 CDM,27204300_7010869,Noncdm Charge Record Medical Supplies,18.1,18.1,,,0 CDM,27204300_7011042,Noncdm Charge Record Medical Supplies,12.2,12.2,,,0 CDM,27204300_7011043,Noncdm Charge Record Medical Supplies,12.12,12.12,,,0 CDM,27204300_7011487,Noncdm Charge Record Medical Supplies,13.83,13.83,,,0 CDM,27204300_7011691,Noncdm Charge Record Medical Supplies,13.83,13.83,,,0 CDM,27204300_7011692,Noncdm Charge Record Medical Supplies,13.83,13.83,,,0 CDM,27204300_7011702,Noncdm Charge Record Medical Supplies,13.83,13.83,,,0 CDM,27204300_7013778,Noncdm Charge Record Medical Supplies,13.83,13.83,,,0 CDM,27204300_7020241,Noncdm Charge Record Medical Supplies,948.72,948.72,,,0 CDM,27204300_7028259,Noncdm Charge Record Medical Supplies,13.83,13.83,,,0 CDM,27204300_7028260,Noncdm Charge Record Medical Supplies,13.83,13.83,,,0 CDM,27204300_7028261,Noncdm Charge Record Medical Supplies,13.83,13.83,,,0 CDM,27204300_7031616,Noncdm Charge Record Medical Supplies,2066.4,2066.4,,,0 CDM,27204300_7031865,Noncdm Charge Record Medical Supplies,95.76,95.76,,,0 CDM,27204300_777458,Noncdm Charge Record Medical Supplies,120.37,120.37,,,0 CDM,27204301_7029859,Noncdm Charge Record Medical Supplies,119.25,119.25,,,0 CDM,27204301_7030523,Noncdm Charge Record Medical Supplies,119.25,119.25,,,0 CDM,27204301_7031508,Noncdm Charge Record Medical Supplies,119.25,119.25,,,0 CDM,27204301_7031939,Noncdm Charge Record Medical Supplies,183.37,183.37,,,0 CDM,27204305_7031892,Noncdm Charge Record Medical Supplies,27694.8,27694.8,,,0 CDM,27204305_7031893,Noncdm Charge Record Medical Supplies,27694.8,27694.8,,,0 CDM,27204333_7001309,Noncdm Charge Record Medical Supplies,11.04,11.04,,,0 CDM,27204333_7027847,Noncdm Charge Record Medical Supplies,47.18,47.18,,,0 CDM,27204333_7030142,Noncdm Charge Record Medical Supplies,137.0,137.0,,,0 CDM,27204336_1119,Noncdm Charge Record Medical Supplies,25.71,25.71,,,0 CDM,27204336_1126,Noncdm Charge Record Medical Supplies,17.99,17.99,,,0 CDM,27204336_1127,Noncdm Charge Record Medical Supplies,19.13,19.13,,,0 CDM,27204336_1131,Noncdm Charge Record Medical Supplies,6.41,6.41,,,0 CDM,27204336_1132,Noncdm Charge Record Medical Supplies,6.25,6.25,,,0 CDM,27204336_1133,Noncdm Charge Record Medical Supplies,6.21,6.21,,,0 CDM,27204336_1134,Noncdm Charge Record Medical Supplies,5.55,5.55,,,0 CDM,27204336_1135,Noncdm Charge Record Medical Supplies,5.96,5.96,,,0 CDM,27204336_1136,Noncdm Charge Record Medical Supplies,5.4,5.4,,,0 CDM,27204336_2709,Noncdm Charge Record Medical Supplies,41.41,41.41,,,0 CDM,27204336_31116,Noncdm Charge Record Medical Supplies,41.41,41.41,,,0 CDM,27204336_31120,Noncdm Charge Record Medical Supplies,41.88,41.88,,,0 CDM,27204336_32707,Noncdm Charge Record Medical Supplies,50.19,50.19,,,0 CDM,27204336_32708,Noncdm Charge Record Medical Supplies,78.79,78.79,,,0 CDM,27204336_32710,Noncdm Charge Record Medical Supplies,50.19,50.19,,,0 CDM,27204336_510319,Noncdm Charge Record Medical Supplies,29.45,29.45,,,0 CDM,27204336_512631,Noncdm Charge Record Medical Supplies,93.79,93.79,,,0 CDM,27204336_513316,Noncdm Charge Record Medical Supplies,30.15,30.15,,,0 CDM,27204336_514868,Noncdm Charge Record Medical Supplies,24.94,24.94,,,0 CDM,27204336_515216,Noncdm Charge Record Medical Supplies,24.94,24.94,,,0 CDM,27204336_515911,Noncdm Charge Record Medical Supplies,21.86,21.86,,,0 CDM,27204336_516739,Noncdm Charge Record Medical Supplies,85.31,85.31,,,0 CDM,27204336_516740,Noncdm Charge Record Medical Supplies,87.36,87.36,,,0 CDM,27204336_517068,Noncdm Charge Record Medical Supplies,24.94,24.94,,,0 CDM,27204336_517716,Noncdm Charge Record Medical Supplies,49.65,49.65,,,0 CDM,27204336_520268,Noncdm Charge Record Medical Supplies,17.78,17.78,,,0 CDM,27204336_520285,Noncdm Charge Record Medical Supplies,21.74,21.74,,,0 CDM,27204336_520296,Noncdm Charge Record Medical Supplies,28.32,28.32,,,0 CDM,27204336_520297,Noncdm Charge Record Medical Supplies,5.21,5.21,,,0 CDM,27204336_520680,Noncdm Charge Record Medical Supplies,94.96,94.96,,,0 CDM,27204336_520965,Noncdm Charge Record Medical Supplies,224.16,224.16,,,0 CDM,27204336_521039,Noncdm Charge Record Medical Supplies,28.98,28.98,,,0 CDM,27204336_521197,Noncdm Charge Record Medical Supplies,80.03,80.03,,,0 CDM,27204336_521200,Noncdm Charge Record Medical Supplies,18.6,18.6,,,0 CDM,27204336_608683,Noncdm Charge Record Medical Supplies,41.22,41.22,,,0 CDM,27204336_628611,Noncdm Charge Record Medical Supplies,67.25,67.25,,,0 CDM,27204336_628787,Noncdm Charge Record Medical Supplies,34.39,34.39,,,0 CDM,27204336_7000490,Noncdm Charge Record Medical Supplies,19.27,19.27,,,0 CDM,27204336_7000491,Noncdm Charge Record Medical Supplies,18.45,18.45,,,0 CDM,27204336_7000492,Noncdm Charge Record Medical Supplies,13.72,13.72,,,0 CDM,27204336_7000496,Noncdm Charge Record Medical Supplies,32.71,32.71,,,0 CDM,27204336_7000606,Noncdm Charge Record Medical Supplies,18.91,18.91,,,0 CDM,27204336_7000607,Noncdm Charge Record Medical Supplies,16.62,16.62,,,0 CDM,27204336_7000895,Noncdm Charge Record Medical Supplies,46.12,46.12,,,0 CDM,27204336_7010713,Noncdm Charge Record Medical Supplies,3.57,3.57,,,0 CDM,27204336_7010714,Noncdm Charge Record Medical Supplies,3.57,3.57,,,0 CDM,27204336_7010715,Noncdm Charge Record Medical Supplies,3.57,3.57,,,0 CDM,27204336_7010717,Noncdm Charge Record Medical Supplies,4.2,4.2,,,0 CDM,27204336_7010756,Noncdm Charge Record Medical Supplies,21.76,21.76,,,0 CDM,27204336_7010757,Noncdm Charge Record Medical Supplies,77.77,77.77,,,0 CDM,27204336_7011355,Noncdm Charge Record Medical Supplies,17.25,17.25,,,0 CDM,27204336_7011687,Noncdm Charge Record Medical Supplies,53.54,53.54,,,0 CDM,27204336_7014326,Noncdm Charge Record Medical Supplies,25.18,25.18,,,0 CDM,27204336_7014327,Noncdm Charge Record Medical Supplies,27.64,27.64,,,0 CDM,27204336_7014328,Noncdm Charge Record Medical Supplies,66.08,66.08,,,0 CDM,27204336_7014329,Noncdm Charge Record Medical Supplies,48.78,48.78,,,0 CDM,27204336_7028217,Noncdm Charge Record Medical Supplies,46.62,46.62,,,0 CDM,27204336_7028218,Noncdm Charge Record Medical Supplies,26.86,26.86,,,0 CDM,27204336_7085950,Noncdm Charge Record Medical Supplies,815.07,815.07,,,0 CDM,27204336_7171008,Noncdm Charge Record Medical Supplies,21.76,21.76,,,0 CDM,27204336_750031,Noncdm Charge Record Medical Supplies,63.23,63.23,,,0 CDM,27204336_751069,Noncdm Charge Record Medical Supplies,132.79,132.79,,,0 CDM,27204336_751070,Noncdm Charge Record Medical Supplies,132.79,132.79,,,0 CDM,27204336_757386,Noncdm Charge Record Medical Supplies,23.03,23.03,,,0 CDM,27204336_776812,Noncdm Charge Record Medical Supplies,4.66,4.66,,,0 CDM,27204346_513318,Noncdm Charge Record Medical Supplies,547.4,547.4,,,0 CDM,27204354_1730,Noncdm Charge Record Medical Supplies,10.17,10.17,,,0 CDM,27204354_3454,Noncdm Charge Record Medical Supplies,93.79,93.79,,,0 CDM,27204354_7001030,Noncdm Charge Record Medical Supplies,108.73,108.73,,,0 CDM,27204354_7001032,Noncdm Charge Record Medical Supplies,76.85,76.85,,,0 CDM,27204369_7000425,Noncdm Charge Record Medical Supplies,103.65,103.65,,,0 CDM,27204369_7010871,Noncdm Charge Record Medical Supplies,961.61,961.61,,,0 CDM,27204369_7132955,Noncdm Charge Record Medical Supplies,0.08,0.08,,,0 CDM,27204550_7054236,Noncdm Charge Record Medical Supplies,211.89,211.89,,,0 CDM,27204570_7011061,Noncdm Charge Record Medical Supplies,1164.49,1164.49,,,0 CDM,27204657_7015768,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27204657_7028168,Noncdm Charge Record Medical Supplies,10.73,10.73,,,0 CDM,27204657_7029656,Noncdm Charge Record Medical Supplies,61.77,61.77,,,0 CDM,27204657_7054787,Noncdm Charge Record Medical Supplies,423.19,423.19,,,0 CDM,27204740_1045,Noncdm Charge Record Medical Supplies,41.5,41.5,,,0 CDM,27204740_7019819,Noncdm Charge Record Medical Supplies,332.71,332.71,,,0 CDM,27204740_7028116,Noncdm Charge Record Medical Supplies,168.15,168.15,,,0 CDM,27205057_7049440,Noncdm Charge Record Medical Supplies,16.78,16.78,,,0 CDM,27205102_33327,Noncdm Charge Record Medical Supplies,2487.65,2487.65,,,0 CDM,27205102_33905,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27205102_522975,Noncdm Charge Record Medical Supplies,59.99,59.99,,,0 CDM,27205102_602270,Noncdm Charge Record Medical Supplies,59.99,59.99,,,0 CDM,27205102_7029102,Noncdm Charge Record Medical Supplies,84.78,84.78,,,0 CDM,27205102_750474,Noncdm Charge Record Medical Supplies,1736.13,1736.13,,,0 CDM,27205171,Hc Cros Hearing Aid Monaural Ite - Standard,1260.0,1260.0,,,0 CDM,27205181,Hc Cros Hearing Aid Monaural Bte - Standard,1260.0,1260.0,,,0 CDM,27205213,Hc Hearing Aid Binaural Ite/Bte - Standard Cros Transmitter & Receiver,2520.0,2520.0,,,0 CDM,27205214,Hc Hearing Aid Binaural Itc/Itc - Standard Cros Transmitter & Receiver,2520.0,2520.0,,,0 CDM,27205254,"Hc Hearing Id, Digit, Mon, Cic - Standard",1335.6,1335.6,,,0 CDM,27205255,"Hc Hearing Aid, Digit, Mon, Itc - Standard",1335.6,1335.6,,,0 CDM,27205256,"Hc Hearing Aid, Digit, Mon, Ite - Standard",1335.6,1335.6,,,0 CDM,27205256_V5256_271,"Hc Hearing Aid, Digit, Mon, Ite - Standard",1335.6,1335.6,,,0 CDM,27205257,"Hc Hearing Aid, Digit, Mon, Bte - Standard",1335.6,1335.6,,,0 CDM,27205257_V5257_271,"Hc Hearing Aid, Digit, Mon, Bte - Standard",1335.6,1335.6,,,0 CDM,27205258,"Hc Hearing Aid Digital, Binaural, Cic - Standard",2671.2,2671.2,,,0 CDM,27205258_V5258_271,"Hc Hearing Aid Digital, Binaural, Cic - Standard",2671.2,2671.2,,,0 CDM,27205259,"Hc Hearing Aid Digital, Binaural, Itc - Standard",2671.2,2671.2,,,0 CDM,27205259_V5259_271,"Hc Hearing Aid Digital, Binaural, Itc - Standard",2671.2,2671.2,,,0 CDM,27205260,"Hc Hearing Aid Digital, Binaural, Ite - Standard",2671.2,2671.2,,,0 CDM,27205261,"Hc Hearing Aid Digital, Binaural, Bte - Standard",2671.2,2671.2,,,0 CDM,27205261_V5261_271,"Hc Hearing Aid Digital, Binaural, Bte - Standard",2671.2,2671.2,,,0 CDM,27205999_7028044,Noncdm Charge Record Medical Supplies,50.57,50.57,,,0 CDM,27205999_7030462,Noncdm Charge Record Medical Supplies,257.89,257.89,,,0 CDM,27206021,"Hc Collagen Dressing, Sterile, Size 16 Sq. In. Or Less, Each",52.5,52.5,,,0 CDM,27206021_7018009,"Hc Collagen Dressing, Sterile, Size 16 Sq. In. Or Less, Each",6032.17,6032.17,,,0 CDM,27206209_7037356,Noncdm Charge Record Medical Supplies,38.46,38.46,,,0 CDM,27206213_7011697,Noncdm Charge Record Medical Supplies,52.6,52.6,,,0 CDM,27206213_7011698,Noncdm Charge Record Medical Supplies,121.83,121.83,,,0 CDM,27206213_7011699,Noncdm Charge Record Medical Supplies,188.35,188.35,,,0 CDM,27206213_7011700,Noncdm Charge Record Medical Supplies,479.09,479.09,,,0 CDM,27206213_7011712,Noncdm Charge Record Medical Supplies,111.13,111.13,,,0 CDM,27206213_7016325,Noncdm Charge Record Medical Supplies,44.6,44.6,,,0 CDM,27206234_7016328,Noncdm Charge Record Medical Supplies,9.42,9.42,,,0 CDM,27206234_7016329,Noncdm Charge Record Medical Supplies,10.1,10.1,,,0 CDM,27206237_7011709,Noncdm Charge Record Medical Supplies,65.77,65.77,,,0 CDM,27206237_7016330,Noncdm Charge Record Medical Supplies,23.99,23.99,,,0 CDM,27206250_7000899,Noncdm Charge Record Medical Supplies,2267.06,2267.06,,,0 CDM,27206261_A6261_272,NDC Description Not Available,85.31,85.31,,,0 CDM,27206402_7042305,Noncdm Charge Record Medical Supplies,0.46,0.46,,,0 CDM,27206441_7037358,Noncdm Charge Record Medical Supplies,25.96,25.96,,,0 CDM,27206441_7037482,Noncdm Charge Record Medical Supplies,368.73,368.73,,,0 CDM,27206441_7037499,Noncdm Charge Record Medical Supplies,18.34,18.34,,,0 CDM,27206443_7037372,Noncdm Charge Record Medical Supplies,3313.13,3313.13,,,0 CDM,27206443_7037470,Noncdm Charge Record Medical Supplies,33.37,33.37,,,0 CDM,27206443_7037486,Noncdm Charge Record Medical Supplies,37.85,37.85,,,0 CDM,27206512_1247,Noncdm Charge Record Medical Supplies,16.47,16.47,,,0 CDM,27206512_1249,Noncdm Charge Record Medical Supplies,6.89,6.89,,,0 CDM,27206512_1250,Noncdm Charge Record Medical Supplies,53.61,53.61,,,0 CDM,27206512_33394,Noncdm Charge Record Medical Supplies,8.0,8.0,,,0 CDM,27206512_33396,Noncdm Charge Record Medical Supplies,38.0,38.0,,,0 CDM,27206512_33398,Noncdm Charge Record Medical Supplies,37.22,37.22,,,0 CDM,27206512_33399,Noncdm Charge Record Medical Supplies,31.78,31.78,,,0 CDM,27206512_510073,Noncdm Charge Record Medical Supplies,2191.45,2191.45,,,0 CDM,27206512_7010726,Noncdm Charge Record Medical Supplies,42.74,42.74,,,0 CDM,27206512_7011746,Noncdm Charge Record Medical Supplies,109.01,109.01,,,0 CDM,27206512_7023666,Noncdm Charge Record Medical Supplies,319.27,319.27,,,0 CDM,27206512_753779,Noncdm Charge Record Medical Supplies,61.98,61.98,,,0 CDM,27206512_767457,Noncdm Charge Record Medical Supplies,91.37,91.37,,,0 CDM,27206550_7062338,Noncdm Charge Record Medical Supplies,3777.65,3777.65,,,0 CDM,27206550_7062339,Noncdm Charge Record Medical Supplies,381.58,381.58,,,0 CDM,27206550_7062340,Noncdm Charge Record Medical Supplies,309.87,309.87,,,0 CDM,27206550_7062341,Noncdm Charge Record Medical Supplies,241.87,241.87,,,0 CDM,27206550_7062342,Noncdm Charge Record Medical Supplies,414.58,414.58,,,0 CDM,27206550_7062343,Noncdm Charge Record Medical Supplies,424.47,424.47,,,0 CDM,27206550_7078357,Noncdm Charge Record Medical Supplies,4545.8,4545.8,,,0 CDM,27206550_7078359,Noncdm Charge Record Medical Supplies,3832.63,3832.63,,,0 CDM,27206550_7078365,Noncdm Charge Record Medical Supplies,3842.36,3842.36,,,0 CDM,27206550_7078367,Noncdm Charge Record Medical Supplies,5055.02,5055.02,,,0 CDM,27206550_7078369,Noncdm Charge Record Medical Supplies,5156.15,5156.15,,,0 CDM,27206550_7080120,Noncdm Charge Record Medical Supplies,2297.04,2297.04,,,0 CDM,27206550_7080121,Noncdm Charge Record Medical Supplies,2934.3,2934.3,,,0 CDM,27206550_7080123,Noncdm Charge Record Medical Supplies,2287.75,2287.75,,,0 CDM,27207002_7010698,Noncdm Charge Record Medical Supplies,3764.32,3764.32,,,0 CDM,27207002_7032730,Noncdm Charge Record Medical Supplies,2207.52,2207.52,,,0 CDM,27207030_7016260,Noncdm Charge Record Medical Supplies,11.73,11.73,,,0 CDM,27207030_7018155,Noncdm Charge Record Medical Supplies,396.02,396.02,,,0 CDM,27207520_7018378,Noncdm Charge Record Medical Supplies,1296.11,1296.11,,,0 CDM,27207520_7023417,Noncdm Charge Record Medical Supplies,491.38,491.38,,,0 CDM,27207520_7023418,Noncdm Charge Record Medical Supplies,491.38,491.38,,,0 CDM,27207520_7087968,Noncdm Charge Record Medical Supplies,261.53,261.53,,,0 CDM,27207520_7093031,Noncdm Charge Record Medical Supplies,181.24,181.24,,,0 CDM,27207520_7093032,Noncdm Charge Record Medical Supplies,491.38,491.38,,,0 CDM,27207520_7097026,Noncdm Charge Record Medical Supplies,378.33,378.33,,,0 CDM,27207520_7098593,Noncdm Charge Record Medical Supplies,284.26,284.26,,,0 CDM,27207520_7098600,Noncdm Charge Record Medical Supplies,300.77,300.77,,,0 CDM,27207520_7108420,Noncdm Charge Record Medical Supplies,365.97,365.97,,,0 CDM,27207521_32633,Noncdm Charge Record Medical Supplies,256.41,256.41,,,0 CDM,27207521_32634,Noncdm Charge Record Medical Supplies,226.38,226.38,,,0 CDM,27207521_32635,Noncdm Charge Record Medical Supplies,238.39,238.39,,,0 CDM,27207521_32636,Noncdm Charge Record Medical Supplies,256.41,256.41,,,0 CDM,27207521_32642,Noncdm Charge Record Medical Supplies,165.44,165.44,,,0 CDM,27207521_32643,Noncdm Charge Record Medical Supplies,161.28,161.28,,,0 CDM,27207521_32651,Noncdm Charge Record Medical Supplies,318.18,318.18,,,0 CDM,27207521_32652,Noncdm Charge Record Medical Supplies,206.39,206.39,,,0 CDM,27207521_41959,Noncdm Charge Record Medical Supplies,1296.11,1296.11,,,0 CDM,27207521_41961,Noncdm Charge Record Medical Supplies,1296.11,1296.11,,,0 CDM,27207521_41962,Noncdm Charge Record Medical Supplies,378.33,378.33,,,0 CDM,27207521_41964,Noncdm Charge Record Medical Supplies,1296.11,1296.11,,,0 CDM,27207521_41965,Noncdm Charge Record Medical Supplies,1296.11,1296.11,,,0 CDM,27207521_5052,Noncdm Charge Record Medical Supplies,318.18,318.18,,,0 CDM,27207521_7000713,Noncdm Charge Record Medical Supplies,2786.94,2786.94,,,0 CDM,27207521_7000714,Noncdm Charge Record Medical Supplies,2786.94,2786.94,,,0 CDM,27207521_7000715,Noncdm Charge Record Medical Supplies,2786.94,2786.94,,,0 CDM,27207521_7012092,Noncdm Charge Record Medical Supplies,1296.11,1296.11,,,0 CDM,27207521_7012093,Noncdm Charge Record Medical Supplies,555.09,555.09,,,0 CDM,27207521_7014362,Noncdm Charge Record Medical Supplies,1600.93,1600.93,,,0 CDM,27207521_7014363,Noncdm Charge Record Medical Supplies,1678.78,1678.78,,,0 CDM,27207521_7014365,Noncdm Charge Record Medical Supplies,1678.78,1678.78,,,0 CDM,27207521_7014366,Noncdm Charge Record Medical Supplies,1678.78,1678.78,,,0 CDM,27207521_7014367,Noncdm Charge Record Medical Supplies,1678.78,1678.78,,,0 CDM,27207521_7014368,Noncdm Charge Record Medical Supplies,1678.78,1678.78,,,0 CDM,27207521_7014370,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27207521_7014371,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27207521_7014372,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27207521_7018413,Noncdm Charge Record Medical Supplies,1296.11,1296.11,,,0 CDM,27207521_7021886,Noncdm Charge Record Medical Supplies,465.5,465.5,,,0 CDM,27207521_7021887,Noncdm Charge Record Medical Supplies,455.12,455.12,,,0 CDM,27207521_7021889,Noncdm Charge Record Medical Supplies,491.38,491.38,,,0 CDM,27207521_7027742,Noncdm Charge Record Medical Supplies,6.7,6.7,,,0 CDM,27207521_7027783,Noncdm Charge Record Medical Supplies,20.98,20.98,,,0 CDM,27207521_7043269,Noncdm Charge Record Medical Supplies,1833.72,1833.72,,,0 CDM,27207521_7050449,Noncdm Charge Record Medical Supplies,53.15,53.15,,,0 CDM,27207521_7058274,Noncdm Charge Record Medical Supplies,479.88,479.88,,,0 CDM,27207521_7093041,Noncdm Charge Record Medical Supplies,496.19,496.19,,,0 CDM,27207521_7094137,Noncdm Charge Record Medical Supplies,3046.08,3046.08,,,0 CDM,27207521_7094138,Noncdm Charge Record Medical Supplies,328.5,328.5,,,0 CDM,27207521_7094141,Noncdm Charge Record Medical Supplies,325.15,325.15,,,0 CDM,27207521_7094143,Noncdm Charge Record Medical Supplies,3722.61,3722.61,,,0 CDM,27207521_7098597,Noncdm Charge Record Medical Supplies,328.6,328.6,,,0 CDM,27207521_7132617,Noncdm Charge Record Medical Supplies,604.8,604.8,,,0 CDM,27207521_7132619,Noncdm Charge Record Medical Supplies,584.64,584.64,,,0 CDM,27207521_7132620,Noncdm Charge Record Medical Supplies,768.6,768.6,,,0 CDM,27207521_7171945,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27207521_7173280,Noncdm Charge Record Medical Supplies,1678.78,1678.78,,,0 CDM,27207521_754713,Noncdm Charge Record Medical Supplies,1655.01,1655.01,,,0 CDM,27209250_7000899,Noncdm Charge Record Pharmacy,2159.1,2159.1,,,0 CDM,27209250_7032145,Noncdm Charge Record Pharmacy,252.41,252.41,,,0 CDM,27209250_7033111,Noncdm Charge Record Pharmacy,352.46,352.46,,,0 CDM,27209250_755271,Noncdm Charge Record Pharmacy,3310.09,3310.09,,,0 CDM,27220_PBB,Pr Cltx Acetabulum Hip/Sockt Fx W/O Manj-Pbb,5494.0,5494.0,,,0 CDM,27246_PBB,Pr Cltx Greater Trochanteric Fx W/O Manj-Pbb,4542.0,4542.0,,,0 CDM,27250_PBB,Pr Cltx Hip Dislocation Traumatic W/O Anesthesia-Pbb,4512.0,4512.0,,,0 CDM,27267_PBB,Pr Closed Tx Femoral Fracture Prox Head W/O Manj-Pbb,3102.0,3102.0,,,0 CDM,2727_00409915801,Vitamin K1: 5 Tray In 1 Container (0409-9158-01) / 5 Ampule In 1 Tray (0409-9158-50) / 1 Ml In 1 Ampule (0409-9158-31),32.92,32.92,,,0 CDM,2727_00409915831,NDC Description Not Available,32.84,32.84,,,0 CDM,2727_00409915850,NDC Description Not Available,32.64,32.64,,,0 CDM,2727_43598040511,NDC Description Not Available,28.69,28.69,,,0 CDM,2727_69097070831,NDC Description Not Available,28.58,28.58,,,0 CDM,2727_69097070896,Phytonadione: 10 Vial In 1 Carton (69097-708-96) / 1 Ml In 1 Vial,28.66,28.66,,,0 CDM,27292_00074379902,Humira: 2 Kit In 1 Carton (0074-3799-02) / 1 Kit In 1 Kit * 1 Syringe In 1 Tray / .8 Ml In 1 Syringe * 1 Ml In 1 Packet,620.33,620.33,,,0 CDM,27299070,Hc Knee Pullover Sleeve,85.05,85.05,,,0 CDM,27301714,"Hc Catheter Atherectomy, Directional 7Frx9.6Cm X 75Mm",17654.7,17654.7,,,0 CDM,27301725,"Hc Penta Ray High Density Mapping Catheter: #D128202, #D128205",17593.8,17593.8,,,0 CDM,27301726_PBB,Hc Cre Rx Biliary 8-10 Mm 3.0Cm #M00558920-Pbb,1382.85,1382.85,,,0 CDM,27301730,Hc Achive Advance,7142.1,7142.1,,,0 CDM,27301731,Hc Response #401132,3481.8,3481.8,,,0 CDM,27301732,Hc Acqmap Catheter #900003-Us,10862.25,10862.25,,,0 CDM,27301733,Hc Blazer Ii Catheter #M0045031Tl0,7723.8,7723.8,,,0 CDM,27301753,Hc Bw Ultrasound Catheter 90Cm,4940.25,4940.25,,,0 CDM,27301753_C1753_272,Hc Bw Ultrasound Catheter 90Cm,4940.25,4940.25,,,0 CDM,27301757,Hc Flow Treiver Device For Thrombectomy,61797.75,61797.75,,,0 CDM,27301757_C1757_272,Hc Flow Treiver Device For Thrombectomy,61797.75,61797.75,,,0 CDM,27301759,Hc Soundstar Eco- Ice Us Catheter #10438577,23916.9,23916.9,,,0 CDM,27301759_C1759_272,Hc Soundstar Eco- Ice Us Catheter #10438577,23916.9,23916.9,,,0 CDM,27301766,Hc Sheath Introducer Flexcath #4Fc12,11142.6,11142.6,,,0 CDM,27301769,Hc Eviva Needle Guide,37.8,37.8,,,0 CDM,27301769_C1769_272,Hc Eviva Needle Guide,37.8,37.8,,,0 CDM,27301773,Hc Snare Vascular En Snare #En2006020,3253.95,3253.95,,,0 CDM,27301886,Hc Tacticath Sensor Ablation #A-Tcse-Df,25068.75,25068.75,,,0 CDM,27301887,Hc His Delivery Cath #C315His02,2152.5,2152.5,,,0 CDM,27301887_C1887_272,Hc His Delivery Cath #C315His02,2152.5,2152.5,,,0 CDM,27301893,Hc Visisheath #501-116,2373.0,2373.0,,,0 CDM,27301894,Hc Avantis #504-658,388.5,388.5,,,0 CDM,27302628,Hc Bridge Oclusion Ballon Catheter,7589.4,7589.4,,,0 CDM,27302630,Hc Celsius Rmt Thermocool Catheter,20507.55,20507.55,,,0 CDM,27305171,Hc Cros Hearing Aid Monaural Ite - Advanced,2100.0,2100.0,,,0 CDM,27305181,Hc Cros Hearing Aid Monaural Bte - Advanced,2100.0,2100.0,,,0 CDM,27305213,Hc Hearing Aid Binaural Ite/Bte - Advanced Cros Transmitter & Receiver,4200.0,4200.0,,,0 CDM,27305214,Hc Hearing Aid Binaural Itc/Itc - Advanced Cros Transmitter & Receiver,4200.0,4200.0,,,0 CDM,27305254,"Hc Hearing Id, Digit, Mon, Cic - Advanced",2226.0,2226.0,,,0 CDM,27305255,"Hc Hearing Aid, Digit, Mon, Itc - Advanced",2226.0,2226.0,,,0 CDM,27305256,"Hc Hearing Aid, Digit, Mon, Ite - Advanced",2226.0,2226.0,,,0 CDM,27305257,"Hc Hearing Aid, Digit, Mon, Bte - Advanced",2226.0,2226.0,,,0 CDM,27305257_V5257_271,"Hc Hearing Aid, Digit, Mon, Bte - Advanced",2226.0,2226.0,,,0 CDM,27305258,"Hc Hearing Aid Digital, Binaural, Cic - Advanced",4452.0,4452.0,,,0 CDM,27305259,"Hc Hearing Aid Digital, Binaural, Itc - Advanced",4452.0,4452.0,,,0 CDM,27305260,"Hc Hearing Aid Digital, Binaural, Ite - Advanced",4452.0,4452.0,,,0 CDM,27305261,"Hc Hearing Aid Digital, Binaural, Bte - Advanced",4452.0,4452.0,,,0 CDM,27305261_V5261_271,"Hc Hearing Aid Digital, Binaural, Bte - Advanced",4452.0,4452.0,,,0 CDM,27306_PBB,Pr Tenotomy Prq Adductor/Hamstring 1 Tendon Spx-Pbb,4639.0,4639.0,,,0 CDM,27327_PBB,Pr Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm-Pbb,10037.0,10037.0,,,0 CDM,27337_PBB,Pr Excison Tumor Soft Tissue Thigh/Knee Subq 3 Cm/>-Pbb,2422.0,2422.0,,,0 CDM,27340_50268014411,NDC Description Not Available,22.66,22.66,,,0 CDM,27341_00904701006,Buprenorphine Hydrochloride And Naloxone Hydrochloride Dihydrate: 50 Blister Pack In 1 Carton (0904-7010-06) / 1 Tablet In 1 Blister Pack,24.71,24.71,,,0 CDM,27341_50268014511,NDC Description Not Available,31.12,31.12,,,0 CDM,27354_00904715404,Buprenorphine: 30 Blister Pack In 1 Carton (0904-7154-04) / 1 Tablet In 1 Blister Pack,14.51,14.51,,,0 CDM,27354_50383092493,Buprenorphine Hydrochloride: 30 Tablet In 1 Bottle (50383-924-93),5.55,5.55,,,0 CDM,27354_60687048111,NDC Description Not Available,12.66,12.66,,,0 CDM,2735_00409321311,NDC Description Not Available,52.42,52.42,,,0 CDM,2735_00409321312,"Diazepam: 10 Vial, Multi-Dose In 1 Box (0409-3213-12) / 10 Ml In 1 Vial, Multi-Dose (0409-3213-11)",59.0,59.0,,,0 CDM,2736_00182125989,Trazodone Hydrochloride: 100 BLISTER PACK in 1 BOX (0182-1259-89) / 1 TABLET in 1 BLISTER PACK (0182-1259-00),6.0,6.0,,,0 CDM,2736_00904399061,"Trazodone Hydrochloride: 100 TABLET in 1 BOX, UNIT-DOSE (0904-3990-61)",5.68,5.68,,,0 CDM,2736_00904686861,Trazodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6868-61) / 1 Tablet In 1 Blister Pack,4.62,4.62,,,0 CDM,2736_50111056001,Trazodone Hydrochloride: 100 Tablet In 1 Bottle (50111-560-01),4.81,4.81,,,0 CDM,2736_60687044311,NDC Description Not Available,4.5,4.5,,,0 CDM,2736_68382080501,Trazodone Hydrochloride: 100 Tablet In 1 Bottle (68382-805-01),5.09,5.09,,,0 CDM,27399070,Hc Suture Removal Set,156.45,156.45,,,0 CDM,27400031,Hc Ankle Air Splint Employee Health,181.65,181.65,,,0 CDM,27400032,"Hc Finger Orthosis, Pip/Dip, Without Joint, Prefab Employee Health",87.15,87.15,,,0 CDM,27400033,Hc Slings Employee Health,58.8,58.8,,,0 CDM,27400034,Hc Tennis Elbow Support Employee Health,100.8,100.8,,,0 CDM,27400036,Hc Post Op Shoe Employee Health,57.75,57.75,,,0 CDM,27400120_33045,Noncdm Charge Record Medical Supplies,19.17,19.17,,,0 CDM,27400120_33046,Noncdm Charge Record Medical Supplies,15.12,15.12,,,0 CDM,27400120_33047,Noncdm Charge Record Medical Supplies,19.19,19.19,,,0 CDM,27400130,"Hc Cervical, Flexible, Thermoplastic Collar, Molded To Patient",599.55,599.55,,,0 CDM,27400130_L0130_274,"Hc Cervical, Flexible, Thermoplastic Collar, Molded To Patient",599.55,599.55,,,0 CDM,27400172_33149,Noncdm Charge Record Medical Supplies,64.96,64.96,,,0 CDM,27400172_33150,Noncdm Charge Record Medical Supplies,63.22,63.22,,,0 CDM,27400172_33320,Noncdm Charge Record Medical Supplies,63.35,63.35,,,0 CDM,27400172_7057074,Noncdm Charge Record Medical Supplies,287.49,287.49,,,0 CDM,27400172_7085610,Noncdm Charge Record Medical Supplies,596.17,596.17,,,0 CDM,27400479_7031802,Noncdm Charge Record Medical Supplies,43545.6,43545.6,,,0 CDM,27400481_7031801,Noncdm Charge Record Medical Supplies,41851.54,41851.54,,,0 CDM,27400482_7012824,Noncdm Charge Record Medical Supplies,22680.0,22680.0,,,0 CDM,27400494_7030926,Noncdm Charge Record Medical Supplies,50505.0,50505.0,,,0 CDM,27400497_7033160,Noncdm Charge Record Medical Supplies,1503.68,1503.68,,,0 CDM,27400498_7028423,Noncdm Charge Record Medical Supplies,2142.0,2142.0,,,0 CDM,27400498_7033145,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27400506_7028424,Noncdm Charge Record Medical Supplies,3780.0,3780.0,,,0 CDM,27400506_7029809,Noncdm Charge Record Medical Supplies,3061.8,3061.8,,,0 CDM,27400506_7030188,Noncdm Charge Record Medical Supplies,2520.0,2520.0,,,0 CDM,27400508_7049428,Noncdm Charge Record Medical Supplies,26943.84,26943.84,,,0 CDM,27401714,"Hc Catheter Atherectomy, Directional 6Fr X 5.9Cm",17654.7,17654.7,,,0 CDM,27401725,Hc Dxterity Diagnostic Cath #Dxt5Jr35,696.15,696.15,,,0 CDM,27401725_C1725_272,Hc Dxterity Diagnostic Cath #Dxt5Jr35,696.15,696.15,,,0 CDM,27401730,"Hc Webster Quadrapolar Catheter #D6-Dr-252-Rt, Electrophysiology, Diagnostic, Other Than 3D Mapping",1209.6,1209.6,,,0 CDM,27401730_C1730_272,"Hc Webster Quadrapolar Catheter #D6-Dr-252-Rt, Electrophysiology, Diagnostic, Other Than 3D Mapping",1209.6,1209.6,,,0 CDM,27401731,Hc Map-It Duo Deca #903269,11049.15,11049.15,,,0 CDM,27401733,Hc Celsius Tc Rmt,11551.05,11551.05,,,0 CDM,27401753,Hc Visions Pv Ivus Catheter # 86700,6277.95,6277.95,,,0 CDM,27401759,Hc Viewflex Ice Catheter #D087031,17641.05,17641.05,,,0 CDM,27401766,Hc Acqguide Steerable Sheath # 900002-Us,7426.65,7426.65,,,0 CDM,27401769,Hc Visionwire #352023,1114.05,1114.05,,,0 CDM,27401810_7027836,Noncdm Charge Record Medical Supplies,288.54,288.54,,,0 CDM,27401810_7027837,Noncdm Charge Record Medical Supplies,288.54,288.54,,,0 CDM,27401810_7027838,Noncdm Charge Record Medical Supplies,288.54,288.54,,,0 CDM,27401810_7027894,Noncdm Charge Record Medical Supplies,287.28,287.28,,,0 CDM,27401810_7027895,Noncdm Charge Record Medical Supplies,278.46,278.46,,,0 CDM,27401810_7027896,Noncdm Charge Record Medical Supplies,287.28,287.28,,,0 CDM,27401810_7027913,Noncdm Charge Record Medical Supplies,278.46,278.46,,,0 CDM,27401810_7027914,Noncdm Charge Record Medical Supplies,278.46,278.46,,,0 CDM,27401810_7027915,Noncdm Charge Record Medical Supplies,288.06,288.06,,,0 CDM,27401810_7028143,Noncdm Charge Record Medical Supplies,285.6,285.6,,,0 CDM,27401820_7031272,Noncdm Charge Record Medical Supplies,197.06,197.06,,,0 CDM,27401820_7031276,Noncdm Charge Record Medical Supplies,197.06,197.06,,,0 CDM,27401820_7031283,Noncdm Charge Record Medical Supplies,197.06,197.06,,,0 CDM,27401820_7031527,Noncdm Charge Record Medical Supplies,197.06,197.06,,,0 CDM,27401830_33055,Noncdm Charge Record Medical Supplies,100.96,100.96,,,0 CDM,27401830_7028084,Noncdm Charge Record Medical Supplies,211.68,211.68,,,0 CDM,27401830_7028085,Noncdm Charge Record Medical Supplies,531.15,531.15,,,0 CDM,27401830_7028086,Noncdm Charge Record Medical Supplies,195.25,195.25,,,0 CDM,27401830_7028087,Noncdm Charge Record Medical Supplies,262.18,262.18,,,0 CDM,27401830_7055558,Noncdm Charge Record Medical Supplies,181.44,181.44,,,0 CDM,27401832_7011361,Noncdm Charge Record Medical Supplies,584.48,584.48,,,0 CDM,27401832_7031262,Noncdm Charge Record Medical Supplies,331.58,331.58,,,0 CDM,27401832_7031274,Noncdm Charge Record Medical Supplies,380.62,380.62,,,0 CDM,27401832_7031286,Noncdm Charge Record Medical Supplies,445.79,445.79,,,0 CDM,27401832_7034246,Noncdm Charge Record Medical Supplies,445.79,445.79,,,0 CDM,27401834,"Hc Knee Orthotic, Without Knee Joint, Rigid, Custom",603.75,603.75,,,0 CDM,27401834_L1834_274,"Hc Knee Orthotic, Without Knee Joint, Rigid, Custom",603.75,603.75,,,0 CDM,27401886,Hc Ez Steer Bidirectional Cath,4643.1,4643.1,,,0 CDM,27401886_C1886_272,Hc Ez Steer Bidirectional Cath,4643.1,4643.1,,,0 CDM,27401887,Hc Catheter Angiographic Glidecath 5Fr 100Cm #Cg508,451.5,451.5,,,0 CDM,27401893,Hc Visisheath #501-114,2373.0,2373.0,,,0 CDM,27401894,Hc Avantis #504-610X,76.65,76.65,,,0 CDM,27401902_7028042,Noncdm Charge Record Medical Supplies,158.13,158.13,,,0 CDM,27401902_7028043,Noncdm Charge Record Medical Supplies,150.27,150.27,,,0 CDM,27401902_7028125,Noncdm Charge Record Medical Supplies,145.78,145.78,,,0 CDM,27401902_7031263,Noncdm Charge Record Medical Supplies,167.08,167.08,,,0 CDM,27401902_7031267,Noncdm Charge Record Medical Supplies,167.08,167.08,,,0 CDM,27401902_7031277,Noncdm Charge Record Medical Supplies,167.08,167.08,,,0 CDM,27401902_7031281,Noncdm Charge Record Medical Supplies,167.08,167.08,,,0 CDM,27401960,"Hc Ankle-Foot Orthotic, Posterior Solid Ankle, Custom",595.35,595.35,,,0 CDM,27401960_L1960_274,"Hc Ankle-Foot Orthotic, Posterior Solid Ankle, Custom",595.35,595.35,,,0 CDM,27402628,Hc Guidant Catheter Balloon #6714-105,446.25,446.25,,,0 CDM,27403003_7028053,Noncdm Charge Record Medical Supplies,98.28,98.28,,,0 CDM,27403003_7028057,Noncdm Charge Record Medical Supplies,124.74,124.74,,,0 CDM,27403003_7028058,Noncdm Charge Record Medical Supplies,98.28,98.28,,,0 CDM,27403003_7028059,Noncdm Charge Record Medical Supplies,98.28,98.28,,,0 CDM,27403003_7028060,Noncdm Charge Record Medical Supplies,57.35,57.35,,,0 CDM,27403003_7028157,Noncdm Charge Record Medical Supplies,98.28,98.28,,,0 CDM,27403003_7028158,Noncdm Charge Record Medical Supplies,124.74,124.74,,,0 CDM,27403003_7031533,Noncdm Charge Record Medical Supplies,98.28,98.28,,,0 CDM,27403003_7034814,Noncdm Charge Record Medical Supplies,98.28,98.28,,,0 CDM,27403260_1070000357,Noncdm Charge Record Medical Supplies,20.31,20.31,,,0 CDM,27403260_33463,Noncdm Charge Record Medical Supplies,27.04,27.04,,,0 CDM,27403260_33497,Noncdm Charge Record Medical Supplies,27.04,27.04,,,0 CDM,27403260_7028045,Noncdm Charge Record Medical Supplies,63.61,63.61,,,0 CDM,27403260_7031752,Noncdm Charge Record Medical Supplies,63.61,63.61,,,0 CDM,27403260_7033634,Noncdm Charge Record Medical Supplies,98.06,98.06,,,0 CDM,27403260_7034805,Noncdm Charge Record Medical Supplies,19.4,19.4,,,0 CDM,27403260_7034806,Noncdm Charge Record Medical Supplies,19.4,19.4,,,0 CDM,27403260_7034807,Noncdm Charge Record Medical Supplies,19.4,19.4,,,0 CDM,27403260_7034808,Noncdm Charge Record Medical Supplies,19.4,19.4,,,0 CDM,27403260_7034809,Noncdm Charge Record Medical Supplies,20.28,20.28,,,0 CDM,27403260_7043922,Noncdm Charge Record Medical Supplies,49.14,49.14,,,0 CDM,27403480_7034811,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27403480_7034812,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27403649_7031246,Noncdm Charge Record Medical Supplies,20.04,20.04,,,0 CDM,27403649_7054867,Noncdm Charge Record Medical Supplies,135.83,135.83,,,0 CDM,27403649_7054868,Noncdm Charge Record Medical Supplies,135.83,135.83,,,0 CDM,27403649_7054869,Noncdm Charge Record Medical Supplies,135.83,135.83,,,0 CDM,27403649_7054871,Noncdm Charge Record Medical Supplies,135.83,135.83,,,0 CDM,27403649_7054872,Noncdm Charge Record Medical Supplies,135.83,135.83,,,0 CDM,27403649_7054875,Noncdm Charge Record Medical Supplies,135.83,135.83,,,0 CDM,27403649_7091316,Noncdm Charge Record Medical Supplies,21724.92,21724.92,,,0 CDM,27403650_7057848,Noncdm Charge Record Medical Supplies,218.99,218.99,,,0 CDM,27403670_7117614,Noncdm Charge Record Medical Supplies,288.09,288.09,,,0 CDM,27403670_7117615,Noncdm Charge Record Medical Supplies,288.09,288.09,,,0 CDM,27403671,"Hc Shoulder Orthotic, Shoulder Joint Design, Without Joints, Custom, Includes Fit And Adjustment",747.6,747.6,,,0 CDM,27403671_L3671_274,"Hc Shoulder Orthotic, Shoulder Joint Design, Without Joints, Custom, Includes Fit And Adjustment",747.6,747.6,,,0 CDM,27403702,"Hc Elbow Orthotic, Without Joints, Custom, Includes Fitting And Adjustment",756.0,756.0,,,0 CDM,27403702_L3702_274,"Hc Elbow Orthotic, Without Joints, Custom, Includes Fitting And Adjustment",756.0,756.0,,,0 CDM,27403760,"Hc Elbow Orthotic, Adjustable Position Locking Joint, Prefabricated, Includes Fitting And Adjustment",720.3,720.3,,,0 CDM,27403760_L3760_274,"Hc Elbow Orthotic, Adjustable Position Locking Joint, Prefabricated, Includes Fitting And Adjustment",720.3,720.3,,,0 CDM,27403763,"Hc Ewho, Rigid, Without Joints, Custom, Includes Fitting And Adjustment",719.25,719.25,,,0 CDM,27403763_L3763_274,"Hc Ewho, Rigid, Without Joints, Custom, Includes Fitting And Adjustment",719.25,719.25,,,0 CDM,27403764,Hc Ewho W/Joint(S) Cf,2154.6,2154.6,,,0 CDM,27403806,"Hc Whfo, Includes One Or More Nontorsion Joints, Custom, Includes Fitting And Adjustment",903.0,903.0,,,0 CDM,27403806_L3806_274,"Hc Whfo, Includes One Or More Nontorsion Joints, Custom, Includes Fitting And Adjustment",903.0,903.0,,,0 CDM,27403807,"Hc Whfo, Without Joints, Prefabricated Custom",302.4,302.4,,,0 CDM,27403807_7031528,"Hc Whfo, Without Joints, Prefabricated Custom",141.37,141.37,,,0 CDM,27403807_7031530,"Hc Whfo, Without Joints, Prefabricated Custom",141.37,141.37,,,0 CDM,27403807_7031531,"Hc Whfo, Without Joints, Prefabricated Custom",141.37,141.37,,,0 CDM,27403807_7031534,"Hc Whfo, Without Joints, Prefabricated Custom",141.37,141.37,,,0 CDM,27403807_7031535,"Hc Whfo, Without Joints, Prefabricated Custom",141.37,141.37,,,0 CDM,27403807_L3807_274,"Hc Whfo, Without Joints, Prefabricated Custom",302.4,302.4,,,0 CDM,27403808,"Hc Whfo, Rigid Without Joints, Custom, Includes Fitting And Adjustment",715.05,715.05,,,0 CDM,27403808_L3808_274,"Hc Whfo, Rigid Without Joints, Custom, Includes Fitting And Adjustment",715.05,715.05,,,0 CDM,27403905,Hc Who W/ Jnt(S) Cust Fab,637.35,637.35,,,0 CDM,27403905_L3905_274,Hc Who W/ Jnt(S) Cust Fab,637.35,637.35,,,0 CDM,27403906,"Hc Wrst-Hnd Orthosis, W/O Joints,May Incld Soft Intrfc,Straps,Custm Fabricatd,Includs Fittng And Adj",662.55,662.55,,,0 CDM,27403906_L3906_274,"Hc Wrst-Hnd Orthosis, W/O Joints,May Incld Soft Intrfc,Straps,Custm Fabricatd,Includs Fittng And Adj",662.55,662.55,,,0 CDM,27403908,"Hc Wrist Hand Orthosis, Wrist Extension Control Cock-Up, Non Molded, Prefabricated, Off-The-Shelf",514.5,514.5,,,0 CDM,27403908_7027855,"Hc Wrist Hand Orthosis, Wrist Extension Control Cock-Up, Non Molded, Prefabricated, Off-The-Shelf",130.08,130.08,,,0 CDM,27403908_7027856,"Hc Wrist Hand Orthosis, Wrist Extension Control Cock-Up, Non Molded, Prefabricated, Off-The-Shelf",130.08,130.08,,,0 CDM,27403908_7027857,"Hc Wrist Hand Orthosis, Wrist Extension Control Cock-Up, Non Molded, Prefabricated, Off-The-Shelf",130.08,130.08,,,0 CDM,27403908_7031261,"Hc Wrist Hand Orthosis, Wrist Extension Control Cock-Up, Non Molded, Prefabricated, Off-The-Shelf",107.1,107.1,,,0 CDM,27403908_7031270,"Hc Wrist Hand Orthosis, Wrist Extension Control Cock-Up, Non Molded, Prefabricated, Off-The-Shelf",107.1,107.1,,,0 CDM,27403908_7031271,"Hc Wrist Hand Orthosis, Wrist Extension Control Cock-Up, Non Molded, Prefabricated, Off-The-Shelf",106.93,106.93,,,0 CDM,27403908_7031275,"Hc Wrist Hand Orthosis, Wrist Extension Control Cock-Up, Non Molded, Prefabricated, Off-The-Shelf",117.16,117.16,,,0 CDM,27403908_7031279,"Hc Wrist Hand Orthosis, Wrist Extension Control Cock-Up, Non Molded, Prefabricated, Off-The-Shelf",107.1,107.1,,,0 CDM,27403908_7031282,"Hc Wrist Hand Orthosis, Wrist Extension Control Cock-Up, Non Molded, Prefabricated, Off-The-Shelf",107.1,107.1,,,0 CDM,27403908_7043919,"Hc Wrist Hand Orthosis, Wrist Extension Control Cock-Up, Non Molded, Prefabricated, Off-The-Shelf",130.08,130.08,,,0 CDM,27403908_7043920,"Hc Wrist Hand Orthosis, Wrist Extension Control Cock-Up, Non Molded, Prefabricated, Off-The-Shelf",130.08,130.08,,,0 CDM,27403908_L3908_274,"Hc Wrist Hand Orthosis, Wrist Extension Control Cock-Up, Non Molded, Prefabricated, Off-The-Shelf",514.5,514.5,,,0 CDM,27403912_7037355,Noncdm Charge Record Medical Supplies,63.0,63.0,,,0 CDM,27403913,"Hc Hfo, Without Joints, Custom, Includes Fitting And Adjustment",579.6,579.6,,,0 CDM,27403913_L3913_274,"Hc Hfo, Without Joints, Custom, Includes Fitting And Adjustment",579.6,579.6,,,0 CDM,27403919,"Hc Static Hand Orthosis, Custom",459.9,459.9,,,0 CDM,27403919_L3919_274,"Hc Static Hand Orthosis, Custom",459.9,459.9,,,0 CDM,27403921,"Hc Hfo Includes One Or More Nontorsion Joints, Custom, Includes Fitting And Adjustment",541.8,541.8,,,0 CDM,27403921_L3921_274,"Hc Hfo Includes One Or More Nontorsion Joints, Custom, Includes Fitting And Adjustment",541.8,541.8,,,0 CDM,27403923_7031269,Noncdm Charge Record Medical Supplies,107.1,107.1,,,0 CDM,27403923_7031280,Noncdm Charge Record Medical Supplies,107.1,107.1,,,0 CDM,27403925,"Hc Finger Orthosis, Pip/Dip, Non Torsion Joint, Prefabricated, Off-The-Shelf",246.75,246.75,,,0 CDM,27403925_L3925_274,"Hc Finger Orthosis, Pip/Dip, Non Torsion Joint, Prefabricated, Off-The-Shelf",246.75,246.75,,,0 CDM,27403927,"Hc Finger Orthosis, Pip/Dip, Without Joint, Prefabricated, Off-The-Shelf",240.45,240.45,,,0 CDM,27403927_L3927_274,"Hc Finger Orthosis, Pip/Dip, Without Joint, Prefabricated, Off-The-Shelf",240.45,240.45,,,0 CDM,27403929_7037349,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27403929_7037392,Noncdm Charge Record Medical Supplies,7.77,7.77,,,0 CDM,27403931,"Hc Whfo, Thumb Spica, Includes Fitting And Adjustment",185.85,185.85,,,0 CDM,27403931_L3931_274,"Hc Whfo, Thumb Spica, Includes Fitting And Adjustment",185.85,185.85,,,0 CDM,27403933,"Hc Finger Orthotic, Without Joints, Custom, Includes Fitting And Adjustment",592.2,592.2,,,0 CDM,27403933_L3933_274,"Hc Finger Orthotic, Without Joints, Custom, Includes Fitting And Adjustment",592.2,592.2,,,0 CDM,27403935,"Hc Finger Orthotic, Nontorsion Joint, Custom, Includes Fitting And Adjustment",301.35,301.35,,,0 CDM,27403935_L3935_274,"Hc Finger Orthotic, Nontorsion Joint, Custom, Includes Fitting And Adjustment",301.35,301.35,,,0 CDM,27403967,"Hc Sewho, Airplane Splint, Custom Made, Includes Fitting And Adjustment",1284.15,1284.15,,,0 CDM,27403967_L3967_274,"Hc Sewho, Airplane Splint, Custom Made, Includes Fitting And Adjustment",1284.15,1284.15,,,0 CDM,27403971,Hc Sewho Cap Design W/Jnt(S) Cf,5181.75,5181.75,,,0 CDM,27403971_L3971_274,Hc Sewho Cap Design W/Jnt(S) Cf,5181.75,5181.75,,,0 CDM,27403980,"Hc Upper Extremity Fracture Orthotic, Humeral, Includes Fitting And Adjustment",699.3,699.3,,,0 CDM,27404350_7027798,Noncdm Charge Record Medical Supplies,100.24,100.24,,,0 CDM,27404350_7027958,Noncdm Charge Record Medical Supplies,100.24,100.24,,,0 CDM,27404361_7027829,Noncdm Charge Record Medical Supplies,329.83,329.83,,,0 CDM,27404361_7027830,Noncdm Charge Record Medical Supplies,326.83,326.83,,,0 CDM,27404361_7027831,Noncdm Charge Record Medical Supplies,354.51,354.51,,,0 CDM,27404386_7031249,Noncdm Charge Record Medical Supplies,234.66,234.66,,,0 CDM,27404386_7031266,Noncdm Charge Record Medical Supplies,347.73,347.73,,,0 CDM,27404386_7031268,Noncdm Charge Record Medical Supplies,286.65,286.65,,,0 CDM,27404386_7031532,Noncdm Charge Record Medical Supplies,276.22,276.22,,,0 CDM,27404386_7031536,Noncdm Charge Record Medical Supplies,280.75,280.75,,,0 CDM,27404386_7032172,Noncdm Charge Record Medical Supplies,245.8,245.8,,,0 CDM,27404386_7032173,Noncdm Charge Record Medical Supplies,234.66,234.66,,,0 CDM,27404386_7043703,Noncdm Charge Record Medical Supplies,151.76,151.76,,,0 CDM,27404386_7043704,Noncdm Charge Record Medical Supplies,151.76,151.76,,,0 CDM,27404387_7031259,Noncdm Charge Record Medical Supplies,331.28,331.28,,,0 CDM,27404396_7031248,Noncdm Charge Record Medical Supplies,571.91,571.91,,,0 CDM,27404396_7032168,Noncdm Charge Record Medical Supplies,611.2,611.2,,,0 CDM,27404398,"Hc Foot Drop Splint, Recumbent Positioning Device, Prefabricated, Off-The-Shelf",426.3,426.3,,,0 CDM,27404398_L4398_274,"Hc Foot Drop Splint, Recumbent Positioning Device, Prefabricated, Off-The-Shelf",426.3,426.3,,,0 CDM,27405171,Hc Cros Hearing Aid Monaural Ite - Premium,2835.0,2835.0,,,0 CDM,27405181,Hc Cros Hearing Aid Monaural Bte - Premium,2835.0,2835.0,,,0 CDM,27405213,Hc Hearing Aid Binaural Ite/Bte - Premium Cros Transmitter & Receiver,5670.0,5670.0,,,0 CDM,27405214,Hc Hearing Aid Binaural Itc/Itc - Premium Cros Transmitter & Receiver,5670.0,5670.0,,,0 CDM,27405254,"Hc Hearing Aid, Digit, Mon, Cic - Premium",3005.1,3005.1,,,0 CDM,27405255,"Hc Hearing Aid, Digit, Mon, Itc - Premium",3005.1,3005.1,,,0 CDM,27405256,"Hc Hearing Aid, Digit, Mon, Ite - Premium",3005.1,3005.1,,,0 CDM,27405257,"Hc Hearing Aid, Digit, Mon, Bte - Premium",3005.1,3005.1,,,0 CDM,27405257_V5257_271,"Hc Hearing Aid, Digit, Mon, Bte - Premium",3005.1,3005.1,,,0 CDM,27405258,"Hc Hearing Aid Digital, Binaural, Cic - Premium",6010.2,6010.2,,,0 CDM,27405259,"Hc Hearing Aid Digital, Binaural, Itc - Premium",6010.2,6010.2,,,0 CDM,27405259_V5259_271,"Hc Hearing Aid Digital, Binaural, Itc - Premium",6010.2,6010.2,,,0 CDM,27405260,"Hc Hearing Aid Digital, Binaural, Ite - Premium",6010.2,6010.2,,,0 CDM,27405260_V5260_271,"Hc Hearing Aid Digital, Binaural, Ite - Premium",6010.2,6010.2,,,0 CDM,27405261,"Hc Hearing Aid Digital, Binaural, Bte - Premium",6010.2,6010.2,,,0 CDM,27405261_V5261_271,"Hc Hearing Aid Digital, Binaural, Bte - Premium",6010.2,6010.2,,,0 CDM,27406442_7037483,Noncdm Charge Record Medical Supplies,26.86,26.86,,,0 CDM,27408000,Hc Vest Surgical 3 Medium Cup Right Left,266.7,266.7,,,0 CDM,27408501_7028102,Noncdm Charge Record Medical Supplies,561.71,561.71,,,0 CDM,27408509_7034826,Noncdm Charge Record Medical Supplies,1522.18,1522.18,,,0 CDM,274099001,Hc Fitting And Orientation Of Speech Processor,315.0,315.0,,,0 CDM,27499070,Hc Dermabond Topical Skin Adhesive,96.6,96.6,,,0 CDM,27499070_99070_270,Hc Dermabond Topical Skin Adhesive,96.6,96.6,,,0 CDM,27500001,Hc Cardiodrive Adapter,704.55,704.55,,,0 CDM,27500002,Hc Quickcas,14074.2,14074.2,,,0 CDM,27500004,Hc Rmt Catheter Biosense Webster,35260.05,35260.05,,,0 CDM,27500004_275,Hc Rmt Catheter Biosense Webster,35260.05,35260.05,,,0 CDM,27500_PBB,Pr Closed Tx Femoral Shaft Fx W/O Manipulation-Pbb,6403.0,6403.0,,,0 CDM,27501605_7160669,Noncdm Charge Record Medical Supplies,54180.0,54180.0,,,0 CDM,27501605_7161956,Noncdm Charge Record Medical Supplies,63756.0,63756.0,,,0 CDM,27501721_7112683,Noncdm Charge Record Medical Supplies,60116.88,60116.88,,,0 CDM,27501721_7112687,Noncdm Charge Record Medical Supplies,66783.57,66783.57,,,0 CDM,27501721_7114170,Noncdm Charge Record Medical Supplies,60060.0,60060.0,,,0 CDM,27501721_7115715,Noncdm Charge Record Medical Supplies,60480.0,60480.0,,,0 CDM,27501722_7037022,Noncdm Charge Record Medical Supplies,91224.0,91224.0,,,0 CDM,27501722_7112694,Noncdm Charge Record Medical Supplies,60480.0,60480.0,,,0 CDM,27501722_7114172,Noncdm Charge Record Medical Supplies,55146.0,55146.0,,,0 CDM,27501722_7114714,Noncdm Charge Record Medical Supplies,56851.2,56851.2,,,0 CDM,27501722_7114715,Noncdm Charge Record Medical Supplies,56851.2,56851.2,,,0 CDM,27501725,Hc Dxterity Diagnostic Cath #Dxt6Pig45A,19.95,19.95,,,0 CDM,27501725_C1725_272,Hc Dxterity Diagnostic Cath #Dxt6Pig45A,19.95,19.95,,,0 CDM,27501730,Hc Epstar Catheter #Dcf-2-8-55-130,13949.25,13949.25,,,0 CDM,27501731,Hc Hc Map-It 4/3.3F Duo-Decapolar Fixed Curve #903273,10743.6,10743.6,,,0 CDM,27501731_C1731_272,Hc Hc Map-It 4/3.3F Duo-Decapolar Fixed Curve #903273,10743.6,10743.6,,,0 CDM,27501733,Hc Device Lead Locking 65Cm Stainless Steel #518-062,14183.4,14183.4,,,0 CDM,27501759,Hc Reprocess Acunav 8F-90 Sms,6034.35,6034.35,,,0 CDM,27501766,Hc Pinnacle 8Fr Sheath,78.75,78.75,,,0 CDM,27501769,Hc Glidewire #Gs3508,1531.95,1531.95,,,0 CDM,27501769_C1769_272,Hc Glidewire #Gs3508,1531.95,1531.95,,,0 CDM,27501777_7029793,Noncdm Charge Record Medical Supplies,13548.38,13548.38,,,0 CDM,27501777_7076481,Noncdm Charge Record Medical Supplies,12600.0,12600.0,,,0 CDM,27501777_7076488,Noncdm Charge Record Medical Supplies,12600.0,12600.0,,,0 CDM,27501777_7154269,Noncdm Charge Record Medical Supplies,12726.0,12726.0,,,0 CDM,27501779_7036234,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27501779_7036267,Noncdm Charge Record Medical Supplies,1764.0,1764.0,,,0 CDM,27501779_7036295,Noncdm Charge Record Medical Supplies,1512.0,1512.0,,,0 CDM,27501785_7078356,Noncdm Charge Record Medical Supplies,16632.0,16632.0,,,0 CDM,27501785_7078358,Noncdm Charge Record Medical Supplies,17342.23,17342.23,,,0 CDM,27501785_7114713,Noncdm Charge Record Medical Supplies,16939.44,16939.44,,,0 CDM,27501785_7120874,Noncdm Charge Record Medical Supplies,15717.54,15717.54,,,0 CDM,27501786_7111104,Noncdm Charge Record Medical Supplies,71668.8,71668.8,,,0 CDM,27501786_7120877,Noncdm Charge Record Medical Supplies,58695.0,58695.0,,,0 CDM,27501786_7159326,Noncdm Charge Record Medical Supplies,66024.0,66024.0,,,0 CDM,27501786_7160669,Noncdm Charge Record Medical Supplies,75600.0,75600.0,,,0 CDM,27501882_7050179,Noncdm Charge Record Medical Supplies,82270.63,82270.63,,,0 CDM,27501882_7078370,Noncdm Charge Record Medical Supplies,82908.0,82908.0,,,0 CDM,27501882_7112684,Noncdm Charge Record Medical Supplies,93939.43,93939.43,,,0 CDM,27501882_7112693,Noncdm Charge Record Medical Supplies,86032.8,86032.8,,,0 CDM,27501882_7114166,Noncdm Charge Record Medical Supplies,73710.0,73710.0,,,0 CDM,27501882_7114171,Noncdm Charge Record Medical Supplies,82908.0,82908.0,,,0 CDM,27501882_7114174,Noncdm Charge Record Medical Supplies,71820.0,71820.0,,,0 CDM,27501883_7033816,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27501887,Hc Catheter Guiding Latex Free # C304L6906,5571.3,5571.3,,,0 CDM,27501894,Hc Fast-Cath Short Sheath (13Cm Or Less),119.7,119.7,,,0 CDM,27501895_7039646,Noncdm Charge Record Medical Supplies,22176.0,22176.0,,,0 CDM,27501895_7039647,Noncdm Charge Record Medical Supplies,22176.0,22176.0,,,0 CDM,27501895_7039648,Noncdm Charge Record Medical Supplies,22176.0,22176.0,,,0 CDM,27501895_7039649,Noncdm Charge Record Medical Supplies,22176.0,22176.0,,,0 CDM,27501895_7039650,Noncdm Charge Record Medical Supplies,22176.0,22176.0,,,0 CDM,27501895_7039651,Noncdm Charge Record Medical Supplies,22176.0,22176.0,,,0 CDM,27501898_7028604,Noncdm Charge Record Medical Supplies,3216.62,3216.62,,,0 CDM,27501898_7029796,Noncdm Charge Record Medical Supplies,2077.51,2077.51,,,0 CDM,27501898_7086192,Noncdm Charge Record Medical Supplies,3030.3,3030.3,,,0 CDM,27501898_7086199,Noncdm Charge Record Medical Supplies,2001.38,2001.38,,,0 CDM,27501898_7086205,Noncdm Charge Record Medical Supplies,1965.6,1965.6,,,0 CDM,27501900_7036263,Noncdm Charge Record Medical Supplies,9097.2,9097.2,,,0 CDM,27501900_7076469,Noncdm Charge Record Medical Supplies,7560.0,7560.0,,,0 CDM,27501900_7086170,Noncdm Charge Record Medical Supplies,8400.02,8400.02,,,0 CDM,27501900_7114169,Noncdm Charge Record Medical Supplies,10609.83,10609.83,,,0 CDM,27501_PBB,Pr Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj-Pbb,5988.0,5988.0,,,0 CDM,27502621_7050180,Noncdm Charge Record Medical Supplies,29751.12,29751.12,,,0 CDM,27502621_7080030,Noncdm Charge Record Medical Supplies,29867.04,29867.04,,,0 CDM,27502621_7080031,Noncdm Charge Record Medical Supplies,29867.04,29867.04,,,0 CDM,27502_PBB,Pr Cltx Fem Shft Fx W/Manj W/Wo Skin/Skeletal Tracj-Pbb,6145.0,6145.0,,,0 CDM,27503_55513054610,Neupogen: 10 Vial In 1 Box (55513-546-10) / 1.6 Ml In 1 Vial (55513-546-01),7.0,7.0,,,0 CDM,27508000,Hc Vest Surgical 4 Large Cup Right Left,267.75,267.75,,,0 CDM,27508_PBB,Pr Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj-Pbb,5486.0,5486.0,,,0 CDM,27510_PBB,Pr Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj-Pbb,5472.0,5472.0,,,0 CDM,27516_PBB,Pr Cltx Distal Femoral Epiphysl Separation W/O Manj-Pbb,6037.0,6037.0,,,0 CDM,27520_PBB,Pr Closed Tx Patellar Fracture W/O Manipulation-Pbb,3250.0,3250.0,,,0 CDM,27530_PBB,Pr Cltx Tibial Fx Proximal W/O Manipulation-Pbb,4206.0,4206.0,,,0 CDM,27532_PBB,Pr Cltx Tibial Fx Proximal W/Wo Manj W/Skel Tracj-Pbb,5670.0,5670.0,,,0 CDM,27538_PBB,Pr Cltx Intercondylar Spi&/Tubrst Fx Kne W/Wo Man-Pbb,4757.0,4757.0,,,0 CDM,27550_PBB,Pr Closed Tx Knee Dislocation W/O Anesthesia-Pbb,2926.0,2926.0,,,0 CDM,27584_00143951901,NDC Description Not Available,10.29,10.29,,,0 CDM,27584_00703367101,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3671-01) / 2 Ml In 1 Vial, Single-Dose",20.31,20.31,,,0 CDM,27584_00703367501,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3675-01) / 10 Ml In 1 Vial, Single-Dose",10.78,10.78,,,0 CDM,27584_16729027730,Methotrexate: 1 Vial In 1 Carton (16729-277-30) / 2 Ml In 1 Vial,11.08,11.08,,,0 CDM,27584_61703040841,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (61703-408-41) / 40 Ml In 1 Vial, Single-Dose",12.24,12.24,,,0 CDM,27584_63323012110,NDC Description Not Available,11.14,11.14,,,0 CDM,2758_00904693186,Polyethylene Glycol 3350: 17 G In 1 Packet (0904-6931-86),2.96,2.96,,,0 CDM,2758_45802086800,NDC Description Not Available,3.91,3.91,,,0 CDM,2758_45802086866,Polyethylene Glycol 3350: 14 Packet In 1 Carton (45802-868-66) / 17 G In 1 Packet,3.9,3.9,,,0 CDM,2758_51079030601,NDC Description Not Available,2.87,2.87,,,0 CDM,2758_51079030630,Polyethylene Glycol (3350): 30 Pouch In 1 Carton (51079-306-30) / 17 G In 1 Pouch (51079-306-01),2.87,2.87,,,0 CDM,2758_60687043127,Polyethylene Glycol 3350: 30 Pouch In 1 Carton (60687-431-27) / 17 G In 1 Pouch (60687-431-99),2.78,2.78,,,0 CDM,27599070,"Hc Finger Splint, Plain",85.05,85.05,,,0 CDM,27601725,Hc Catheter Balloon Dilatation .035In 22Mm 120Cm 4Cm,4347.0,4347.0,,,0 CDM,27601769,Hc Wholey Guidewire,648.9,648.9,,,0 CDM,27601780_7035357,Noncdm Charge Record Medical Supplies,1.05,1.05,,,0 CDM,27601780_7035381,Noncdm Charge Record Medical Supplies,1.05,1.05,,,0 CDM,27601780_7035450,Noncdm Charge Record Medical Supplies,3846.15,3846.15,,,0 CDM,27601780_7035590,Noncdm Charge Record Medical Supplies,3846.15,3846.15,,,0 CDM,27601780_7041282,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27601780_7041287,Noncdm Charge Record Medical Supplies,6954.15,6954.15,,,0 CDM,27601780_7041300,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27601780_7041305,Noncdm Charge Record Medical Supplies,6954.15,6954.15,,,0 CDM,27601780_7041306,Noncdm Charge Record Medical Supplies,6954.15,6954.15,,,0 CDM,27601780_7041309,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27601780_7041316,Noncdm Charge Record Medical Supplies,6954.15,6954.15,,,0 CDM,27601780_7041323,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27601780_7041337,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27601786,Hc Micra Model Mc1Vr01 Rate Resp Pacemaker,96186.3,96186.3,,,0 CDM,27601786_C1786_275,Hc Micra Model Mc1Vr01 Rate Resp Pacemaker,96186.3,96186.3,,,0 CDM,27601887,Hc His Delivery Catheter,2152.5,2152.5,,,0 CDM,27601894,"Hc Ntroducer/Sheath #Mi2355A, Other Than Guiding, Other Than Intracardiac Electrophysiological, Nonl",5416.95,5416.95,,,0 CDM,27601898,Hc Bipolar Endocardial Pacing Lead #4471,3720.15,3720.15,,,0 CDM,27601899,Hc Wavelinq Endo Avf,37010.4,37010.4,,,0 CDM,27602630_7028807,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602630_7028812,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602630_7042551,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27602630_7042604,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27602630_7042671,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27602630_7043733,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27602630_7043742,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27602632_610402,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_610949,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_610952,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_610953,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_620042,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_620974,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_623462,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_623463,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7028771,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7028773,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7028778,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7028787,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7028788,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7028792,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7028793,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7028795,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7028798,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7028799,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7028801,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7028804,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7028805,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7028810,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7028814,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7028817,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7028820,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7028823,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7028828,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7028832,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7029316,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7029317,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27602632_7030124,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7030241,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7035365,Noncdm Charge Record Medical Supplies,1.05,1.05,,,0 CDM,27602632_7035389,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7035428,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7035474,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7035485,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7035486,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7035557,Noncdm Charge Record Medical Supplies,3846.15,3846.15,,,0 CDM,27602632_7035629,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7035648,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7035663,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7035671,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7035677,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7035686,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7035688,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7035704,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7035705,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7035708,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7035718,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7035719,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7035766,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7035785,Noncdm Charge Record Medical Supplies,3846.15,3846.15,,,0 CDM,27602632_7041260,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27602632_7043739,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27602632_7046346,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7072734,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27602632_7085121,Noncdm Charge Record Medical Supplies,1170.55,1170.55,,,0 CDM,27602632_7096851,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096855,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096865,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096866,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096871,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27602632_7096872,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096873,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096875,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096892,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27602632_7096894,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096903,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096906,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27602632_7096908,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27602632_7096909,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096914,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096920,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096928,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096948,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096950,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096965,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096970,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096972,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096973,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27602632_7096977,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096978,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096980,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096984,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096987,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096988,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7096997,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7097004,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27602632_7118814,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7119985,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27602632_7120020,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27602632_7120031,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27602632_7134496,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7134497,Noncdm Charge Record Medical Supplies,538.36,538.36,,,0 CDM,27602632_7134498,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7134499,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7134501,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7134502,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7134504,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7134505,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7138290,Noncdm Charge Record Medical Supplies,7886.55,7886.55,,,0 CDM,27602632_7143864,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7143868,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7144523,Noncdm Charge Record Medical Supplies,3120.95,3120.95,,,0 CDM,27602632_7144781,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7144782,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7144785,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7144790,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7144791,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7144794,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7144797,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7144798,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7144799,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7144800,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7145203,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_7147942,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7147944,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7147950,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7147953,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7151072,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7154293,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154295,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154298,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154301,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154302,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154304,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154305,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154307,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154308,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154309,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154310,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154311,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154312,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154313,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154314,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154315,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154316,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154317,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154318,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154319,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154320,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154321,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154322,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154323,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154324,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154325,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154326,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154327,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154328,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154329,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154330,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154331,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154332,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154333,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154334,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154335,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154338,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154339,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154341,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27602632_7154432,Noncdm Charge Record Medical Supplies,4623.15,4623.15,,,0 CDM,27602632_7154438,Noncdm Charge Record Medical Supplies,989.67,989.67,,,0 CDM,27602632_7154745,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7154746,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7154747,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7154753,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7155275,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27602632_7155462,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27602632_7155683,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27602632_7156172,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27602632_7158043,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7158045,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7160149,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_7160150,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27602632_724757,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_735138,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_758428,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27602632_V2632_276,Noncdm Charge Record Medical Supplies,1632.09,1632.09,,,0 CDM,27602787_7035755,Noncdm Charge Record Medical Supplies,3846.15,3846.15,,,0 CDM,27602787_7119987,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27602787_7119990,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27602787_7119997,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27602787_7120006,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27602787_7120013,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27602787_7156058,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27605_PBB,Pr Tenotomy Prq Achilles Tendon Spx Local Anes-Pbb,2290.0,2290.0,,,0 CDM,27606_00603307821,"Cyclobenzaprine Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0603-3078-21)",5.59,5.59,,,0 CDM,27606_10702000610,"Cyclobenzaprine Hydrochloride: 1000 Tablet, Film Coated In 1 Bottle (10702-006-10)",6.0,6.0,,,0 CDM,27606_29300041301,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (29300-413-01)",5.3,5.3,,,0 CDM,27606_50268019011,NDC Description Not Available,5.66,5.66,,,0 CDM,27606_50268019015,"Cyclobenzaprine Hydrochloride: 50 Blister Pack In 1 Box (50268-190-15) / 1 Tablet, Film Coated In 1 Blister Pack (50268-190-11)",5.63,5.63,,,0 CDM,27606_52817033010,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (52817-330-10)",5.25,5.25,,,0 CDM,27606_68084075311,NDC Description Not Available,6.0,6.0,,,0 CDM,27606_68084075395,NDC Description Not Available,5.45,5.45,,,0 CDM,27608000,Hc Vest Surgical 5 Xl Cup Right Left,265.65,265.65,,,0 CDM,27618_PBB,Pr Exc Tumor Soft Tissue Leg/Ankle Subq <3Cm-Pbb,4076.0,4076.0,,,0 CDM,27632_PBB,Pr Excision Tumor Soft Tissue Leg/Ankle Subq 3 Cm/>-Pbb,2382.0,2382.0,,,0 CDM,27644_00023916330,"Restasis: 30 Vial, Single-Use In 1 Tray (0023-9163-30) / .4 Ml In 1 Vial, Single-Use",66.72,66.72,,,0 CDM,27696_62935030640,Eligard: 1 Syringe In 1 Carton (62935-306-40) / .5 Ml In 1 Syringe,3026.32,3026.32,,,0 CDM,27699070,Hc Tennis Elbow Support,91.35,91.35,,,0 CDM,27701725,Hc Catheter Balloon Dilation 20Mm 4Cm Nucleus-X,4922.4,4922.4,,,0 CDM,27701766,Hc Safe Sheath 7Fr 13 Cm #Ss7,469.35,469.35,,,0 CDM,27701769,Hc Guidewire Vascular 0.014Inx185Cm Straight-Tip,3557.4,3557.4,,,0 CDM,27701887,Hc 6Fr Langston Dual Lumen Catheter,5758.2,5758.2,,,0 CDM,27701898,Hc Optisure #Lda210Q-58,4122.3,4122.3,,,0 CDM,27702630,"Hc Thermocool 3.5 Mm Catheter, Electrophysiology, Diagnostic/Ablation, Other Than 3D Or Vector Mappi",27591.9,27591.9,,,0 CDM,27708000,Hc Vst 2 Frnt Zip Adjstbl Shldr Strp Wo Cps Postop,271.95,271.95,,,0 CDM,27711_00548560800,Enoxaparin Sodium: 1 Vial In 1 Carton (0548-5608-00) / 3 Ml In 1 Vial,27.3,27.3,,,0 CDM,27750_PBB,Pr Cltx Tibial Shaft Fx W/O Manipulation-Pbb,3738.0,3738.0,,,0 CDM,27752_PBB,Pr Cltx Tibial Shaft Fx W/Manj W/Wo Skel Tracj-Pbb,7278.0,7278.0,,,0 CDM,27760_PBB,Pr Cltx Medial Malleolus Fx W/O Manipulation-Pbb,3542.0,3542.0,,,0 CDM,27762_PBB,Pr Cltx Medial Malls Fx W/Manj W/Wo Skn/Skel Tracj-Pbb,5905.0,5905.0,,,0 CDM,27767_PBB,Pr Closed Treatment Pst Malleolus Fracture W/O Manj-Pbb,2466.0,2466.0,,,0 CDM,27768_PBB,Pr Closed Treatment Pst Malleolus Fracture W/Manj-Pbb,3850.0,3850.0,,,0 CDM,27780_PBB,Pr Cltx Prox Fibula/Shft Fx W/O Manj-Pbb,2704.0,2704.0,,,0 CDM,27781_PBB,Pr Cltx Prox Fibula/Shft Fx W/Manj-Pbb,4914.0,4914.0,,,0 CDM,27786_PBB,Pr Cltx Dstl Fibular Fx Lat Malls W/O Manj-Pbb,3145.0,3145.0,,,0 CDM,27788_PBB,Pr Cltx Dstl Fibular Fx Lat Malls W/Manj-Pbb,5503.0,5503.0,,,0 CDM,27800000_278,Noncdm Charge Record Medical Supplies,17122.11,17122.11,,,0 CDM,27800000_514589,Noncdm Charge Record Medical Supplies,2079.48,2079.48,,,0 CDM,27800000_7000769,Noncdm Charge Record Medical Supplies,585.93,585.93,,,0 CDM,27800000_7003762,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27800000_7011017,Noncdm Charge Record Medical Supplies,5283.6,5283.6,,,0 CDM,27800000_7011022,Noncdm Charge Record Medical Supplies,1518.42,1518.42,,,0 CDM,27800000_7011856,Noncdm Charge Record Medical Supplies,2332.24,2332.24,,,0 CDM,27800000_7012070,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27800000_7012178,Noncdm Charge Record Medical Supplies,414.96,414.96,,,0 CDM,27800000_7012179,Noncdm Charge Record Medical Supplies,2449.38,2449.38,,,0 CDM,27800000_7012180,Noncdm Charge Record Medical Supplies,2545.52,2545.52,,,0 CDM,27800000_7012181,Noncdm Charge Record Medical Supplies,2583.52,2583.52,,,0 CDM,27800000_7012184,Noncdm Charge Record Medical Supplies,2542.59,2542.59,,,0 CDM,27800000_7012185,Noncdm Charge Record Medical Supplies,2516.16,2516.16,,,0 CDM,27800000_7012186,Noncdm Charge Record Medical Supplies,2516.16,2516.16,,,0 CDM,27800000_7012472,Noncdm Charge Record Medical Supplies,6177.15,6177.15,,,0 CDM,27800000_7012522,Noncdm Charge Record Medical Supplies,1301.09,1301.09,,,0 CDM,27800000_7012523,Noncdm Charge Record Medical Supplies,859.68,859.68,,,0 CDM,27800000_7012578,Noncdm Charge Record Medical Supplies,2973.6,2973.6,,,0 CDM,27800000_7012585,Noncdm Charge Record Medical Supplies,1683.36,1683.36,,,0 CDM,27800000_7012594,Noncdm Charge Record Medical Supplies,8920.8,8920.8,,,0 CDM,27800000_7012792,Noncdm Charge Record Medical Supplies,1663.95,1663.95,,,0 CDM,27800000_7012804,Noncdm Charge Record Medical Supplies,1495.18,1495.18,,,0 CDM,27800000_7013275,Noncdm Charge Record Medical Supplies,22120.41,22120.41,,,0 CDM,27800000_7013276,Noncdm Charge Record Medical Supplies,19497.88,19497.88,,,0 CDM,27800000_7013286,Noncdm Charge Record Medical Supplies,52625.43,52625.43,,,0 CDM,27800000_7013287,Noncdm Charge Record Medical Supplies,21588.56,21588.56,,,0 CDM,27800000_7013288,Noncdm Charge Record Medical Supplies,25033.39,25033.39,,,0 CDM,27800000_7013290,Noncdm Charge Record Medical Supplies,11029.9,11029.9,,,0 CDM,27800000_7013292,Noncdm Charge Record Medical Supplies,54630.87,54630.87,,,0 CDM,27800000_7013293,Noncdm Charge Record Medical Supplies,54630.87,54630.87,,,0 CDM,27800000_7013294,Noncdm Charge Record Medical Supplies,47205.01,47205.01,,,0 CDM,27800000_7013295,Noncdm Charge Record Medical Supplies,47205.01,47205.01,,,0 CDM,27800000_7013561,Noncdm Charge Record Medical Supplies,663.95,663.95,,,0 CDM,27800000_7013562,Noncdm Charge Record Medical Supplies,663.95,663.95,,,0 CDM,27800000_7013563,Noncdm Charge Record Medical Supplies,663.95,663.95,,,0 CDM,27800000_7013568,Noncdm Charge Record Medical Supplies,663.95,663.95,,,0 CDM,27800000_7014556,Noncdm Charge Record Medical Supplies,136500.0,136500.0,,,0 CDM,27800000_7015247,Noncdm Charge Record Medical Supplies,612.36,612.36,,,0 CDM,27800000_7015253,Noncdm Charge Record Medical Supplies,619.51,619.51,,,0 CDM,27800000_7015254,Noncdm Charge Record Medical Supplies,35742.0,35742.0,,,0 CDM,27800000_7015256,Noncdm Charge Record Medical Supplies,124.11,124.11,,,0 CDM,27800000_7015258,Noncdm Charge Record Medical Supplies,45066.0,45066.0,,,0 CDM,27800000_7015265,Noncdm Charge Record Medical Supplies,45066.0,45066.0,,,0 CDM,27800000_7015376,Noncdm Charge Record Medical Supplies,20880.42,20880.42,,,0 CDM,27800000_7015477,Noncdm Charge Record Medical Supplies,22120.41,22120.41,,,0 CDM,27800000_7015692,Noncdm Charge Record Medical Supplies,13609.16,13609.16,,,0 CDM,27800000_7015697,Noncdm Charge Record Medical Supplies,14491.05,14491.05,,,0 CDM,27800000_7015701,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27800000_7015702,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27800000_7015704,Noncdm Charge Record Medical Supplies,14491.05,14491.05,,,0 CDM,27800000_7015705,Noncdm Charge Record Medical Supplies,14491.05,14491.05,,,0 CDM,27800000_7015710,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27800000_7015711,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27800000_7015712,Noncdm Charge Record Medical Supplies,14491.05,14491.05,,,0 CDM,27800000_7015714,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27800000_7015719,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27800000_7015721,Noncdm Charge Record Medical Supplies,14491.05,14491.05,,,0 CDM,27800000_7015722,Noncdm Charge Record Medical Supplies,14491.05,14491.05,,,0 CDM,27800000_7015723,Noncdm Charge Record Medical Supplies,14491.05,14491.05,,,0 CDM,27800000_7015806,Noncdm Charge Record Medical Supplies,123.69,123.69,,,0 CDM,27800000_7015961,Noncdm Charge Record Medical Supplies,2677.08,2677.08,,,0 CDM,27800000_7016571,Noncdm Charge Record Medical Supplies,55555.5,55555.5,,,0 CDM,27800000_7016932,Noncdm Charge Record Medical Supplies,73815.0,73815.0,,,0 CDM,27800000_7017545,Noncdm Charge Record Medical Supplies,21756.0,21756.0,,,0 CDM,27800000_7017547,Noncdm Charge Record Medical Supplies,21756.0,21756.0,,,0 CDM,27800000_7017550,Noncdm Charge Record Medical Supplies,136500.0,136500.0,,,0 CDM,27800000_7017552,Noncdm Charge Record Medical Supplies,136500.0,136500.0,,,0 CDM,27800000_7017553,Noncdm Charge Record Medical Supplies,136500.0,136500.0,,,0 CDM,27800000_7017561,Noncdm Charge Record Medical Supplies,21756.0,21756.0,,,0 CDM,27800000_7017562,Noncdm Charge Record Medical Supplies,21756.0,21756.0,,,0 CDM,27800000_7019741,Noncdm Charge Record Medical Supplies,14491.05,14491.05,,,0 CDM,27800000_7019742,Noncdm Charge Record Medical Supplies,14491.05,14491.05,,,0 CDM,27800000_7019743,Noncdm Charge Record Medical Supplies,14491.05,14491.05,,,0 CDM,27800000_7019744,Noncdm Charge Record Medical Supplies,14491.05,14491.05,,,0 CDM,27800000_7019749,Noncdm Charge Record Medical Supplies,1026.34,1026.34,,,0 CDM,27800000_7020669,Noncdm Charge Record Medical Supplies,4638.69,4638.69,,,0 CDM,27800000_7020670,Noncdm Charge Record Medical Supplies,7187.25,7187.25,,,0 CDM,27800000_7020676,Noncdm Charge Record Medical Supplies,5232.32,5232.32,,,0 CDM,27800000_7020679,Noncdm Charge Record Medical Supplies,2898.21,2898.21,,,0 CDM,27800000_7020787,Noncdm Charge Record Medical Supplies,14491.05,14491.05,,,0 CDM,27800000_7020788,Noncdm Charge Record Medical Supplies,14491.05,14491.05,,,0 CDM,27800000_7021282,Noncdm Charge Record Medical Supplies,14491.05,14491.05,,,0 CDM,27800000_7021416,Noncdm Charge Record Medical Supplies,189000.0,189000.0,,,0 CDM,27800000_7023497,Noncdm Charge Record Medical Supplies,7466.97,7466.97,,,0 CDM,27800000_7023498,Noncdm Charge Record Medical Supplies,7466.97,7466.97,,,0 CDM,27800000_7023690,Noncdm Charge Record Medical Supplies,62121.15,62121.15,,,0 CDM,27800000_7023691,Noncdm Charge Record Medical Supplies,62121.15,62121.15,,,0 CDM,27800000_7023692,Noncdm Charge Record Medical Supplies,62121.15,62121.15,,,0 CDM,27800000_7023693,Noncdm Charge Record Medical Supplies,62121.15,62121.15,,,0 CDM,27800000_7024197,Noncdm Charge Record Medical Supplies,3224.55,3224.55,,,0 CDM,27800000_7024610,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27800000_7024691,Noncdm Charge Record Medical Supplies,1756.02,1756.02,,,0 CDM,27800000_7024766,Noncdm Charge Record Medical Supplies,2362.08,2362.08,,,0 CDM,27800000_7024953,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27800000_7024991,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27800000_7025030,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27800000_7025117,Noncdm Charge Record Medical Supplies,439.0,439.0,,,0 CDM,27800000_7025127,Noncdm Charge Record Medical Supplies,1530.69,1530.69,,,0 CDM,27800000_7025290,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27800000_7025336,Noncdm Charge Record Medical Supplies,1491.84,1491.84,,,0 CDM,27800000_7025633,Noncdm Charge Record Medical Supplies,439.0,439.0,,,0 CDM,27800000_7025640,Noncdm Charge Record Medical Supplies,1530.69,1530.69,,,0 CDM,27800000_7026049,Noncdm Charge Record Medical Supplies,439.0,439.0,,,0 CDM,27800000_7026196,Noncdm Charge Record Medical Supplies,1452.99,1452.99,,,0 CDM,27800000_7026356,Noncdm Charge Record Medical Supplies,1756.02,1756.02,,,0 CDM,27800000_7026614,Noncdm Charge Record Medical Supplies,470.08,470.08,,,0 CDM,27800000_7027877,Noncdm Charge Record Medical Supplies,87.8,87.8,,,0 CDM,27800000_7028250,Noncdm Charge Record Medical Supplies,777.7,777.7,,,0 CDM,27800000_7030324,Noncdm Charge Record Medical Supplies,17348.47,17348.47,,,0 CDM,27800000_7030511,Noncdm Charge Record Medical Supplies,427.35,427.35,,,0 CDM,27800000_7031561,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27800000_7032149,Noncdm Charge Record Medical Supplies,1784.16,1784.16,,,0 CDM,27800000_7032259,Noncdm Charge Record Medical Supplies,136500.0,136500.0,,,0 CDM,27800000_7032260,Noncdm Charge Record Medical Supplies,136500.0,136500.0,,,0 CDM,27800000_7032819,Noncdm Charge Record Medical Supplies,2034.63,2034.63,,,0 CDM,27800000_7034823,Noncdm Charge Record Medical Supplies,3213.21,3213.21,,,0 CDM,27800000_7034824,Noncdm Charge Record Medical Supplies,1340.64,1340.64,,,0 CDM,27800000_7034827,Noncdm Charge Record Medical Supplies,3213.21,3213.21,,,0 CDM,27800000_7037013,Noncdm Charge Record Medical Supplies,241.92,241.92,,,0 CDM,27800000_7037390,Noncdm Charge Record Medical Supplies,126000.0,126000.0,,,0 CDM,27800000_7039669,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27800000_7039755,Noncdm Charge Record Medical Supplies,9097.2,9097.2,,,0 CDM,27800000_7040658,Noncdm Charge Record Medical Supplies,3239.35,3239.35,,,0 CDM,27800000_7041120,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27800000_7042252,Noncdm Charge Record Medical Supplies,2408.7,2408.7,,,0 CDM,27800000_7043086,Noncdm Charge Record Medical Supplies,127.84,127.84,,,0 CDM,27800000_7044826,Noncdm Charge Record Medical Supplies,705.6,705.6,,,0 CDM,27800000_7045614,Noncdm Charge Record Medical Supplies,601.56,601.56,,,0 CDM,27800000_7045617,Noncdm Charge Record Medical Supplies,601.56,601.56,,,0 CDM,27800000_7045626,Noncdm Charge Record Medical Supplies,601.56,601.56,,,0 CDM,27800000_7046894,Noncdm Charge Record Medical Supplies,7466.97,7466.97,,,0 CDM,27800000_7047636,Noncdm Charge Record Medical Supplies,36491.03,36491.03,,,0 CDM,27800000_7047648,Noncdm Charge Record Medical Supplies,37750.54,37750.54,,,0 CDM,27800000_7047654,Noncdm Charge Record Medical Supplies,76575.68,76575.68,,,0 CDM,27800000_7048014,Noncdm Charge Record Medical Supplies,601.56,601.56,,,0 CDM,27800000_7048015,Noncdm Charge Record Medical Supplies,867.98,867.98,,,0 CDM,27800000_7050025,Noncdm Charge Record Medical Supplies,76575.68,76575.68,,,0 CDM,27800000_7050026,Noncdm Charge Record Medical Supplies,37808.04,37808.04,,,0 CDM,27800000_7050034,Noncdm Charge Record Medical Supplies,34440.52,34440.52,,,0 CDM,27800000_7050035,Noncdm Charge Record Medical Supplies,37808.04,37808.04,,,0 CDM,27800000_7050993,Noncdm Charge Record Medical Supplies,4506.6,4506.6,,,0 CDM,27800000_7054266,Noncdm Charge Record Medical Supplies,44605.24,44605.24,,,0 CDM,27800000_7054268,Noncdm Charge Record Medical Supplies,36252.65,36252.65,,,0 CDM,27800000_7054275,Noncdm Charge Record Medical Supplies,58995.35,58995.35,,,0 CDM,27800000_7054277,Noncdm Charge Record Medical Supplies,59531.72,59531.72,,,0 CDM,27800000_7054319,Noncdm Charge Record Medical Supplies,44083.87,44083.87,,,0 CDM,27800000_7054323,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27800000_7054400,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27800000_7054428,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27800000_7054471,Noncdm Charge Record Medical Supplies,44083.87,44083.87,,,0 CDM,27800000_7054694,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27800000_7054710,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27800000_7054713,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27800000_7054730,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27800000_7054732,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27800000_7054733,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27800000_7062356,Noncdm Charge Record Medical Supplies,66045.0,66045.0,,,0 CDM,27800000_7062358,Noncdm Charge Record Medical Supplies,66045.0,66045.0,,,0 CDM,27800000_7062360,Noncdm Charge Record Medical Supplies,66045.0,66045.0,,,0 CDM,27800000_7062361,Noncdm Charge Record Medical Supplies,66045.0,66045.0,,,0 CDM,27800000_7062362,Noncdm Charge Record Medical Supplies,66045.0,66045.0,,,0 CDM,27800000_7071713,Noncdm Charge Record Medical Supplies,156188.55,156188.55,,,0 CDM,27800000_7072850,Noncdm Charge Record Medical Supplies,994.56,994.56,,,0 CDM,27800000_7072851,Noncdm Charge Record Medical Supplies,994.56,994.56,,,0 CDM,27800000_7076049,Noncdm Charge Record Medical Supplies,7187.25,7187.25,,,0 CDM,27800000_7076309,Noncdm Charge Record Medical Supplies,17339.53,17339.53,,,0 CDM,27800000_7078090,Noncdm Charge Record Medical Supplies,19269.6,19269.6,,,0 CDM,27800000_7078094,Noncdm Charge Record Medical Supplies,19269.6,19269.6,,,0 CDM,27800000_7078096,Noncdm Charge Record Medical Supplies,19269.6,19269.6,,,0 CDM,27800000_7078106,Noncdm Charge Record Medical Supplies,526607.0,526607.0,,,0 CDM,27800000_7078632,Noncdm Charge Record Medical Supplies,11577.3,11577.3,,,0 CDM,27800000_7078974,Noncdm Charge Record Medical Supplies,14616.0,14616.0,,,0 CDM,27800000_7078978,Noncdm Charge Record Medical Supplies,14616.0,14616.0,,,0 CDM,27800000_7078982,Noncdm Charge Record Medical Supplies,57506.4,57506.4,,,0 CDM,27800000_7079072,Noncdm Charge Record Medical Supplies,1204.35,1204.35,,,0 CDM,27800000_7079400,Noncdm Charge Record Medical Supplies,92448.0,92448.0,,,0 CDM,27800000_7079552,Noncdm Charge Record Medical Supplies,8857.8,8857.8,,,0 CDM,27800000_7081314,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27800000_7081323,Noncdm Charge Record Medical Supplies,17293.5,17293.5,,,0 CDM,27800000_7081330,Noncdm Charge Record Medical Supplies,20684.16,20684.16,,,0 CDM,27800000_7081331,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27800000_7081886,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27800000_7084385,Noncdm Charge Record Medical Supplies,19269.6,19269.6,,,0 CDM,27800000_7085685,Noncdm Charge Record Medical Supplies,2259.94,2259.94,,,0 CDM,27800000_7086007,Noncdm Charge Record Medical Supplies,7187.25,7187.25,,,0 CDM,27800000_7090685,Noncdm Charge Record Medical Supplies,10878.0,10878.0,,,0 CDM,27800000_7096809,Noncdm Charge Record Medical Supplies,1787.1,1787.1,,,0 CDM,27800000_7096890,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27800000_7098731,Noncdm Charge Record Medical Supplies,37296.0,37296.0,,,0 CDM,27800000_7098732,Noncdm Charge Record Medical Supplies,37296.0,37296.0,,,0 CDM,27800000_7098735,Noncdm Charge Record Medical Supplies,37296.0,37296.0,,,0 CDM,27800000_7108801,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27800000_7109325,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27800000_7109326,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27800000_7109423,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27800000_7109473,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27800000_7110526,Noncdm Charge Record Medical Supplies,1369.4,1369.4,,,0 CDM,27800000_7110527,Noncdm Charge Record Medical Supplies,1380.24,1380.24,,,0 CDM,27800000_7110528,Noncdm Charge Record Medical Supplies,1412.88,1412.88,,,0 CDM,27800000_7111302,Noncdm Charge Record Medical Supplies,8660.08,8660.08,,,0 CDM,27800000_7111303,Noncdm Charge Record Medical Supplies,8660.08,8660.08,,,0 CDM,27800000_7111312,Noncdm Charge Record Medical Supplies,37808.04,37808.04,,,0 CDM,27800000_7111329,Noncdm Charge Record Medical Supplies,8660.08,8660.08,,,0 CDM,27800000_7111337,Noncdm Charge Record Medical Supplies,49131.26,49131.26,,,0 CDM,27800000_7111347,Noncdm Charge Record Medical Supplies,9525.6,9525.6,,,0 CDM,27800000_7111363,Noncdm Charge Record Medical Supplies,76575.68,76575.68,,,0 CDM,27800000_7111371,Noncdm Charge Record Medical Supplies,9525.6,9525.6,,,0 CDM,27800000_7111374,Noncdm Charge Record Medical Supplies,38191.88,38191.88,,,0 CDM,27800000_7111399,Noncdm Charge Record Medical Supplies,5014.8,5014.8,,,0 CDM,27800000_7111409,Noncdm Charge Record Medical Supplies,5755.62,5755.62,,,0 CDM,27800000_7112255,Noncdm Charge Record Medical Supplies,3502.8,3502.8,,,0 CDM,27800000_7112278,Noncdm Charge Record Medical Supplies,3502.8,3502.8,,,0 CDM,27800000_7113800,Noncdm Charge Record Medical Supplies,4741.25,4741.25,,,0 CDM,27800000_7114022,Noncdm Charge Record Medical Supplies,85680.0,85680.0,,,0 CDM,27800000_7114023,Noncdm Charge Record Medical Supplies,86184.0,86184.0,,,0 CDM,27800000_7114025,Noncdm Charge Record Medical Supplies,85680.0,85680.0,,,0 CDM,27800000_7114028,Noncdm Charge Record Medical Supplies,85680.0,85680.0,,,0 CDM,27800000_7114030,Noncdm Charge Record Medical Supplies,85680.0,85680.0,,,0 CDM,27800000_7114031,Noncdm Charge Record Medical Supplies,85680.0,85680.0,,,0 CDM,27800000_7115915,Noncdm Charge Record Medical Supplies,12273.61,12273.61,,,0 CDM,27800000_7115916,Noncdm Charge Record Medical Supplies,9605.43,9605.43,,,0 CDM,27800000_7115919,Noncdm Charge Record Medical Supplies,12273.61,12273.61,,,0 CDM,27800000_7115926,Noncdm Charge Record Medical Supplies,10939.52,10939.52,,,0 CDM,27800000_7118379,Noncdm Charge Record Medical Supplies,1440.02,1440.02,,,0 CDM,27800000_7118421,Noncdm Charge Record Medical Supplies,530.16,530.16,,,0 CDM,27800000_7118646,Noncdm Charge Record Medical Supplies,6899.99,6899.99,,,0 CDM,27800000_7120865,Noncdm Charge Record Medical Supplies,1415.82,1415.82,,,0 CDM,27800000_7120872,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27800000_7126370,Noncdm Charge Record Medical Supplies,26037.27,26037.27,,,0 CDM,27800000_7128042,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27800000_7129323,Noncdm Charge Record Medical Supplies,3855.32,3855.32,,,0 CDM,27800000_7130358,Noncdm Charge Record Medical Supplies,4929.12,4929.12,,,0 CDM,27800000_7130359,Noncdm Charge Record Medical Supplies,7303.8,7303.8,,,0 CDM,27800000_7130360,Noncdm Charge Record Medical Supplies,7816.62,7816.62,,,0 CDM,27800000_7130924,Noncdm Charge Record Medical Supplies,111.89,111.89,,,0 CDM,27800000_7133452,Noncdm Charge Record Medical Supplies,156682.05,156682.05,,,0 CDM,27800000_7133453,Noncdm Charge Record Medical Supplies,156682.05,156682.05,,,0 CDM,27800000_7133454,Noncdm Charge Record Medical Supplies,157948.56,157948.56,,,0 CDM,27800000_7133455,Noncdm Charge Record Medical Supplies,156682.05,156682.05,,,0 CDM,27800000_7133514,Noncdm Charge Record Medical Supplies,1249.92,1249.92,,,0 CDM,27800000_7133515,Noncdm Charge Record Medical Supplies,1357.2,1357.2,,,0 CDM,27800000_7133525,Noncdm Charge Record Medical Supplies,75348.0,75348.0,,,0 CDM,27800000_7133526,Noncdm Charge Record Medical Supplies,75348.0,75348.0,,,0 CDM,27800000_7133527,Noncdm Charge Record Medical Supplies,75348.0,75348.0,,,0 CDM,27800000_7133529,Noncdm Charge Record Medical Supplies,75348.0,75348.0,,,0 CDM,27800000_7133532,Noncdm Charge Record Medical Supplies,75348.0,75348.0,,,0 CDM,27800000_7133534,Noncdm Charge Record Medical Supplies,83134.8,83134.8,,,0 CDM,27800000_7133536,Noncdm Charge Record Medical Supplies,83134.8,83134.8,,,0 CDM,27800000_7133537,Noncdm Charge Record Medical Supplies,83134.8,83134.8,,,0 CDM,27800000_7133539,Noncdm Charge Record Medical Supplies,83134.8,83134.8,,,0 CDM,27800000_7133540,Noncdm Charge Record Medical Supplies,83134.8,83134.8,,,0 CDM,27800000_7133541,Noncdm Charge Record Medical Supplies,83134.8,83134.8,,,0 CDM,27800000_7133544,Noncdm Charge Record Medical Supplies,75348.0,75348.0,,,0 CDM,27800000_7133546,Noncdm Charge Record Medical Supplies,83134.8,83134.8,,,0 CDM,27800000_7133550,Noncdm Charge Record Medical Supplies,75348.0,75348.0,,,0 CDM,27800000_7133555,Noncdm Charge Record Medical Supplies,75348.0,75348.0,,,0 CDM,27800000_7133752,Noncdm Charge Record Medical Supplies,982.8,982.8,,,0 CDM,27800000_7133755,Noncdm Charge Record Medical Supplies,68806.08,68806.08,,,0 CDM,27800000_7133777,Noncdm Charge Record Medical Supplies,68806.08,68806.08,,,0 CDM,27800000_7133795,Noncdm Charge Record Medical Supplies,68806.08,68806.08,,,0 CDM,27800000_7133810,Noncdm Charge Record Medical Supplies,66739.68,66739.68,,,0 CDM,27800000_7133823,Noncdm Charge Record Medical Supplies,71628.48,71628.48,,,0 CDM,27800000_7133827,Noncdm Charge Record Medical Supplies,66739.68,66739.68,,,0 CDM,27800000_7133833,Noncdm Charge Record Medical Supplies,73846.08,73846.08,,,0 CDM,27800000_7133838,Noncdm Charge Record Medical Supplies,66739.68,66739.68,,,0 CDM,27800000_7133842,Noncdm Charge Record Medical Supplies,71628.48,71628.48,,,0 CDM,27800000_7133843,Noncdm Charge Record Medical Supplies,72959.04,72959.04,,,0 CDM,27800000_7133863,Noncdm Charge Record Medical Supplies,83134.8,83134.8,,,0 CDM,27800000_7133864,Noncdm Charge Record Medical Supplies,83134.8,83134.8,,,0 CDM,27800000_7133879,Noncdm Charge Record Medical Supplies,6946.38,6946.38,,,0 CDM,27800000_7133880,Noncdm Charge Record Medical Supplies,4505.76,4505.76,,,0 CDM,27800000_7134128,Noncdm Charge Record Medical Supplies,6371.4,6371.4,,,0 CDM,27800000_7134519,Noncdm Charge Record Medical Supplies,6487.95,6487.95,,,0 CDM,27800000_7134524,Noncdm Charge Record Medical Supplies,21503.0,21503.0,,,0 CDM,27800000_7134527,Noncdm Charge Record Medical Supplies,9168.6,9168.6,,,0 CDM,27800000_7136051,Noncdm Charge Record Medical Supplies,2051.28,2051.28,,,0 CDM,27800000_7137252,Noncdm Charge Record Medical Supplies,1577.38,1577.38,,,0 CDM,27800000_7141638,Noncdm Charge Record Medical Supplies,13143.51,13143.51,,,0 CDM,27800000_7141646,Noncdm Charge Record Medical Supplies,9605.43,9605.43,,,0 CDM,27800000_7141649,Noncdm Charge Record Medical Supplies,142800.0,142800.0,,,0 CDM,27800000_7141658,Noncdm Charge Record Medical Supplies,142800.0,142800.0,,,0 CDM,27800000_7147539,Noncdm Charge Record Medical Supplies,884.38,884.38,,,0 CDM,27800000_7147928,Noncdm Charge Record Medical Supplies,13143.51,13143.51,,,0 CDM,27800000_7148037,Noncdm Charge Record Medical Supplies,132300.0,132300.0,,,0 CDM,27800000_7148038,Noncdm Charge Record Medical Supplies,132300.0,132300.0,,,0 CDM,27800000_7148039,Noncdm Charge Record Medical Supplies,141855.0,141855.0,,,0 CDM,27800000_7148040,Noncdm Charge Record Medical Supplies,137418.75,137418.75,,,0 CDM,27800000_7148054,Noncdm Charge Record Medical Supplies,21516.92,21516.92,,,0 CDM,27800000_7153882,Noncdm Charge Record Medical Supplies,37056.6,37056.6,,,0 CDM,27800000_7154073,Noncdm Charge Record Medical Supplies,9234.39,9234.39,,,0 CDM,27800000_7154079,Noncdm Charge Record Medical Supplies,9234.39,9234.39,,,0 CDM,27800000_7154090,Noncdm Charge Record Medical Supplies,9234.39,9234.39,,,0 CDM,27800000_7154098,Noncdm Charge Record Medical Supplies,9234.39,9234.39,,,0 CDM,27800000_7154101,Noncdm Charge Record Medical Supplies,9234.39,9234.39,,,0 CDM,27800000_7154103,Noncdm Charge Record Medical Supplies,9234.39,9234.39,,,0 CDM,27800000_7154105,Noncdm Charge Record Medical Supplies,9234.39,9234.39,,,0 CDM,27800000_7154127,Noncdm Charge Record Medical Supplies,10054.8,10054.8,,,0 CDM,27800000_7154129,Noncdm Charge Record Medical Supplies,10054.8,10054.8,,,0 CDM,27800000_7154130,Noncdm Charge Record Medical Supplies,9694.14,9694.14,,,0 CDM,27800000_7154132,Noncdm Charge Record Medical Supplies,9694.14,9694.14,,,0 CDM,27800000_7154136,Noncdm Charge Record Medical Supplies,9694.14,9694.14,,,0 CDM,27800000_7154141,Noncdm Charge Record Medical Supplies,9694.14,9694.14,,,0 CDM,27800000_7154148,Noncdm Charge Record Medical Supplies,9234.39,9234.39,,,0 CDM,27800000_7154152,Noncdm Charge Record Medical Supplies,9644.6,9644.6,,,0 CDM,27800000_7154740,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27800000_7157227,Noncdm Charge Record Medical Supplies,6730.76,6730.76,,,0 CDM,27800000_7157556,Noncdm Charge Record Medical Supplies,5128.2,5128.2,,,0 CDM,27800000_7159045,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27800000_7160375,Noncdm Charge Record Medical Supplies,21756.0,21756.0,,,0 CDM,27800000_7160376,Noncdm Charge Record Medical Supplies,21756.0,21756.0,,,0 CDM,27800000_7160377,Noncdm Charge Record Medical Supplies,21756.0,21756.0,,,0 CDM,27800000_7160378,Noncdm Charge Record Medical Supplies,21756.0,21756.0,,,0 CDM,27800000_7160379,Noncdm Charge Record Medical Supplies,21756.0,21756.0,,,0 CDM,27800000_7161484,Noncdm Charge Record Medical Supplies,12944.82,12944.82,,,0 CDM,27800000_7161697,Noncdm Charge Record Medical Supplies,132300.0,132300.0,,,0 CDM,27800000_7161698,Noncdm Charge Record Medical Supplies,132300.0,132300.0,,,0 CDM,27800000_7161699,Noncdm Charge Record Medical Supplies,132300.0,132300.0,,,0 CDM,27800000_7162082,Noncdm Charge Record Medical Supplies,4611.6,4611.6,,,0 CDM,27800000_7162083,Noncdm Charge Record Medical Supplies,4611.6,4611.6,,,0 CDM,27800000_7162084,Noncdm Charge Record Medical Supplies,4611.6,4611.6,,,0 CDM,27800000_7162085,Noncdm Charge Record Medical Supplies,4611.6,4611.6,,,0 CDM,27800000_7162086,Noncdm Charge Record Medical Supplies,4611.6,4611.6,,,0 CDM,27800000_7162087,Noncdm Charge Record Medical Supplies,5115.6,5115.6,,,0 CDM,27800000_7162088,Noncdm Charge Record Medical Supplies,5115.6,5115.6,,,0 CDM,27800000_7162089,Noncdm Charge Record Medical Supplies,5115.6,5115.6,,,0 CDM,27800000_7162090,Noncdm Charge Record Medical Supplies,5115.6,5115.6,,,0 CDM,27800000_7162091,Noncdm Charge Record Medical Supplies,5115.6,5115.6,,,0 CDM,27800000_7162092,Noncdm Charge Record Medical Supplies,5115.6,5115.6,,,0 CDM,27800000_7162094,Noncdm Charge Record Medical Supplies,5115.6,5115.6,,,0 CDM,27800000_7162095,Noncdm Charge Record Medical Supplies,5115.6,5115.6,,,0 CDM,27800000_7162096,Noncdm Charge Record Medical Supplies,6441.12,6441.12,,,0 CDM,27800000_7162097,Noncdm Charge Record Medical Supplies,6441.12,6441.12,,,0 CDM,27800000_7162098,Noncdm Charge Record Medical Supplies,6441.12,6441.12,,,0 CDM,27800000_7162099,Noncdm Charge Record Medical Supplies,6441.12,6441.12,,,0 CDM,27800000_7162101,Noncdm Charge Record Medical Supplies,6441.12,6441.12,,,0 CDM,27800000_7162103,Noncdm Charge Record Medical Supplies,6441.12,6441.12,,,0 CDM,27800000_7162104,Noncdm Charge Record Medical Supplies,6441.12,6441.12,,,0 CDM,27800000_7162105,Noncdm Charge Record Medical Supplies,6441.12,6441.12,,,0 CDM,27800000_7162106,Noncdm Charge Record Medical Supplies,4611.6,4611.6,,,0 CDM,27800000_7162107,Noncdm Charge Record Medical Supplies,4611.6,4611.6,,,0 CDM,27800000_7162108,Noncdm Charge Record Medical Supplies,4611.6,4611.6,,,0 CDM,27800000_7162109,Noncdm Charge Record Medical Supplies,4611.6,4611.6,,,0 CDM,27800000_7162110,Noncdm Charge Record Medical Supplies,4611.6,4611.6,,,0 CDM,27800000_7162111,Noncdm Charge Record Medical Supplies,4611.6,4611.6,,,0 CDM,27800000_7162112,Noncdm Charge Record Medical Supplies,4611.6,4611.6,,,0 CDM,27800000_7162113,Noncdm Charge Record Medical Supplies,5115.6,5115.6,,,0 CDM,27800000_7162114,Noncdm Charge Record Medical Supplies,5115.6,5115.6,,,0 CDM,27800000_7162116,Noncdm Charge Record Medical Supplies,5115.6,5115.6,,,0 CDM,27800000_7162117,Noncdm Charge Record Medical Supplies,5115.6,5115.6,,,0 CDM,27800000_7162118,Noncdm Charge Record Medical Supplies,5115.6,5115.6,,,0 CDM,27800000_7162119,Noncdm Charge Record Medical Supplies,5115.6,5115.6,,,0 CDM,27800000_7162122,Noncdm Charge Record Medical Supplies,6441.12,6441.12,,,0 CDM,27800000_7162123,Noncdm Charge Record Medical Supplies,6441.12,6441.12,,,0 CDM,27800000_7162124,Noncdm Charge Record Medical Supplies,6441.12,6441.12,,,0 CDM,27800000_7162125,Noncdm Charge Record Medical Supplies,6441.12,6441.12,,,0 CDM,27800000_7162126,Noncdm Charge Record Medical Supplies,6441.12,6441.12,,,0 CDM,27800000_7162128,Noncdm Charge Record Medical Supplies,5871.6,5871.6,,,0 CDM,27800000_7162129,Noncdm Charge Record Medical Supplies,7197.12,7197.12,,,0 CDM,27800000_7162130,Noncdm Charge Record Medical Supplies,7197.12,7197.12,,,0 CDM,27800000_7162131,Noncdm Charge Record Medical Supplies,7197.12,7197.12,,,0 CDM,27800000_7162268,Noncdm Charge Record Medical Supplies,821.29,821.29,,,0 CDM,27800000_7162421,Noncdm Charge Record Medical Supplies,155.4,155.4,,,0 CDM,27800000_7163457,Noncdm Charge Record Medical Supplies,3491.22,3491.22,,,0 CDM,27800000_7163466,Noncdm Charge Record Medical Supplies,3491.22,3491.22,,,0 CDM,27800000_7163467,Noncdm Charge Record Medical Supplies,5128.2,5128.2,,,0 CDM,27800000_7164476,Noncdm Charge Record Medical Supplies,2680.65,2680.65,,,0 CDM,27800000_7166469,Noncdm Charge Record Medical Supplies,44425.83,44425.83,,,0 CDM,27800000_7166471,Noncdm Charge Record Medical Supplies,86357.8,86357.8,,,0 CDM,27800000_7166812,Noncdm Charge Record Medical Supplies,44425.83,44425.83,,,0 CDM,27800000_7166813,Noncdm Charge Record Medical Supplies,86358.04,86358.04,,,0 CDM,27800000_7166888,Noncdm Charge Record Medical Supplies,9030.0,9030.0,,,0 CDM,27800000_7167168,Noncdm Charge Record Medical Supplies,44425.83,44425.83,,,0 CDM,27800000_7167618,Noncdm Charge Record Medical Supplies,126000.0,126000.0,,,0 CDM,27800000_7167620,Noncdm Charge Record Medical Supplies,108003.0,108003.0,,,0 CDM,27800000_7167625,Noncdm Charge Record Medical Supplies,180600.0,180600.0,,,0 CDM,27800000_7167626,Noncdm Charge Record Medical Supplies,180600.0,180600.0,,,0 CDM,27800000_7168291,Noncdm Charge Record Medical Supplies,11173.26,11173.26,,,0 CDM,27800000_7169477,Noncdm Charge Record Medical Supplies,9269.61,9269.61,,,0 CDM,27800000_7169481,Noncdm Charge Record Medical Supplies,8741.25,8741.25,,,0 CDM,27800000_7169655,Noncdm Charge Record Medical Supplies,6032.17,6032.17,,,0 CDM,27800000_7169657,Noncdm Charge Record Medical Supplies,12432.0,12432.0,,,0 CDM,27800000_7169710,Noncdm Charge Record Medical Supplies,21756.0,21756.0,,,0 CDM,27800000_7170792,Noncdm Charge Record Medical Supplies,3224.55,3224.55,,,0 CDM,27800000_7171872,Noncdm Charge Record Medical Supplies,18502.54,18502.54,,,0 CDM,27800000_7176190,Noncdm Charge Record Medical Supplies,155400.0,155400.0,,,0 CDM,27800000_728286,Noncdm Charge Record Medical Supplies,3100.23,3100.23,,,0 CDM,27800000_735263,Noncdm Charge Record Medical Supplies,165.11,165.11,,,0 CDM,27800000_778617,Noncdm Charge Record Medical Supplies,6742.81,6742.81,,,0 CDM,27800001,Hc Tavr Valve,156714.6,156714.6,,,0 CDM,27800002,Hc Gore Cardiofrm Sptl Occldr 15-35Mm,9947.7,9947.7,,,0 CDM,27800003,Hc Watchman Access System,9286.2,9286.2,,,0 CDM,27800003_278,Hc Watchman Access System,9286.2,9286.2,,,0 CDM,27800003_7135028,Hc Watchman Access System,9286.2,9286.2,,,0 CDM,27800006,Hc Injection Agent Synthetic Implant Urinary,3460.8,3460.8,,,0 CDM,27800006_L8606_278,Hc Injection Agent Synthetic Implant Urinary,3460.8,3460.8,,,0 CDM,27800007,Hc Inject Agent Collagen Implant 2.5Ml,2601.9,2601.9,,,0 CDM,27800008,Hc Implant Contraception Intratubal Occlusion Device,10314.15,10314.15,,,0 CDM,27800009,Hc Pessary Non Rubber Any Time,623.7,623.7,,,0 CDM,27800009_A4562_274,Hc Pessary Non Rubber Any Time,623.7,623.7,,,0 CDM,27800009_A4562_278,Hc Pessary Non Rubber Any Time,623.7,623.7,,,0 CDM,27800010,Hc Ob Catheter Ureteral,997.5,997.5,,,0 CDM,27800011,Hc Edwards Sapien Valve,1478445.15,1478445.15,,,0 CDM,27800012,Hc Numed Cp Unmounted Covered Stent,29980.65,29980.65,,,0 CDM,27800013,Hc Numed Cp Mounted Covered Stent,35240.1,35240.1,,,0 CDM,27800013_C1874_278,Hc Numed Cp Mounted Covered Stent,35240.1,35240.1,,,0 CDM,27800508_7015760,Noncdm Charge Record Medical Supplies,130014.71,130014.71,,,0 CDM,27800508_7016932,Noncdm Charge Record Medical Supplies,72374.17,72374.17,,,0 CDM,27800560,Hc Cangaroo Xl #Cmcv-009-Xlg,8576.4,8576.4,,,0 CDM,27801601_7075251,Noncdm Charge Record Medical Supplies,13601.31,13601.31,,,0 CDM,27801601_7133746,Noncdm Charge Record Medical Supplies,2514.96,2514.96,,,0 CDM,27801601_7133747,Noncdm Charge Record Medical Supplies,2724.54,2724.54,,,0 CDM,27801601_7141708,Noncdm Charge Record Medical Supplies,12432.0,12432.0,,,0 CDM,27801713_521444,Noncdm Charge Record Medical Supplies,2703.96,2703.96,,,0 CDM,27801713_7000961,Noncdm Charge Record Medical Supplies,2804.97,2804.97,,,0 CDM,27801713_7001593,Noncdm Charge Record Medical Supplies,312.35,312.35,,,0 CDM,27801713_7001600,Noncdm Charge Record Medical Supplies,312.35,312.35,,,0 CDM,27801713_7001603,Noncdm Charge Record Medical Supplies,473.97,473.97,,,0 CDM,27801713_7001605,Noncdm Charge Record Medical Supplies,540.56,540.56,,,0 CDM,27801713_7001606,Noncdm Charge Record Medical Supplies,480.54,480.54,,,0 CDM,27801713_7001607,Noncdm Charge Record Medical Supplies,506.22,506.22,,,0 CDM,27801713_7001609,Noncdm Charge Record Medical Supplies,558.04,558.04,,,0 CDM,27801713_7001610,Noncdm Charge Record Medical Supplies,558.04,558.04,,,0 CDM,27801713_7001611,Noncdm Charge Record Medical Supplies,558.04,558.04,,,0 CDM,27801713_7001612,Noncdm Charge Record Medical Supplies,558.04,558.04,,,0 CDM,27801713_7001613,Noncdm Charge Record Medical Supplies,570.86,570.86,,,0 CDM,27801713_7001614,Noncdm Charge Record Medical Supplies,445.07,445.07,,,0 CDM,27801713_7001615,Noncdm Charge Record Medical Supplies,492.62,492.62,,,0 CDM,27801713_7001616,Noncdm Charge Record Medical Supplies,532.25,532.25,,,0 CDM,27801713_7001617,Noncdm Charge Record Medical Supplies,540.17,540.17,,,0 CDM,27801713_7002285,Noncdm Charge Record Medical Supplies,335.66,335.66,,,0 CDM,27801713_7002286,Noncdm Charge Record Medical Supplies,313.29,313.29,,,0 CDM,27801713_7002287,Noncdm Charge Record Medical Supplies,313.29,313.29,,,0 CDM,27801713_7002288,Noncdm Charge Record Medical Supplies,313.29,313.29,,,0 CDM,27801713_7002313,Noncdm Charge Record Medical Supplies,15104.26,15104.26,,,0 CDM,27801713_7002332,Noncdm Charge Record Medical Supplies,1081.58,1081.58,,,0 CDM,27801713_7002336,Noncdm Charge Record Medical Supplies,1148.72,1148.72,,,0 CDM,27801713_7002337,Noncdm Charge Record Medical Supplies,1148.72,1148.72,,,0 CDM,27801713_7002346,Noncdm Charge Record Medical Supplies,1148.72,1148.72,,,0 CDM,27801713_7002356,Noncdm Charge Record Medical Supplies,637.76,637.76,,,0 CDM,27801713_7002358,Noncdm Charge Record Medical Supplies,584.62,584.62,,,0 CDM,27801713_7002359,Noncdm Charge Record Medical Supplies,597.9,597.9,,,0 CDM,27801713_7002360,Noncdm Charge Record Medical Supplies,589.93,589.93,,,0 CDM,27801713_7002361,Noncdm Charge Record Medical Supplies,597.9,597.9,,,0 CDM,27801713_7002367,Noncdm Charge Record Medical Supplies,1230.77,1230.77,,,0 CDM,27801713_7002371,Noncdm Charge Record Medical Supplies,1076.92,1076.92,,,0 CDM,27801713_7002372,Noncdm Charge Record Medical Supplies,1076.92,1076.92,,,0 CDM,27801713_7002373,Noncdm Charge Record Medical Supplies,1076.92,1076.92,,,0 CDM,27801713_7002383,Noncdm Charge Record Medical Supplies,1153.84,1153.84,,,0 CDM,27801713_7002395,Noncdm Charge Record Medical Supplies,1338.93,1338.93,,,0 CDM,27801713_7002398,Noncdm Charge Record Medical Supplies,1151.98,1151.98,,,0 CDM,27801713_7002402,Noncdm Charge Record Medical Supplies,722.61,722.61,,,0 CDM,27801713_7002408,Noncdm Charge Record Medical Supplies,1316.55,1316.55,,,0 CDM,27801713_7002456,Noncdm Charge Record Medical Supplies,313.29,313.29,,,0 CDM,27801713_7002458,Noncdm Charge Record Medical Supplies,313.29,313.29,,,0 CDM,27801713_7002493,Noncdm Charge Record Medical Supplies,352.45,352.45,,,0 CDM,27801713_7002495,Noncdm Charge Record Medical Supplies,335.66,335.66,,,0 CDM,27801713_7002920,Noncdm Charge Record Medical Supplies,293.68,293.68,,,0 CDM,27801713_7002921,Noncdm Charge Record Medical Supplies,345.92,345.92,,,0 CDM,27801713_7002922,Noncdm Charge Record Medical Supplies,130.54,130.54,,,0 CDM,27801713_7002923,Noncdm Charge Record Medical Supplies,176.96,176.96,,,0 CDM,27801713_7002925,Noncdm Charge Record Medical Supplies,395.34,395.34,,,0 CDM,27801713_7002926,Noncdm Charge Record Medical Supplies,288.58,288.58,,,0 CDM,27801713_7002928,Noncdm Charge Record Medical Supplies,395.34,395.34,,,0 CDM,27801713_7002939,Noncdm Charge Record Medical Supplies,404.66,404.66,,,0 CDM,27801713_7002951,Noncdm Charge Record Medical Supplies,149.18,149.18,,,0 CDM,27801713_7003005,Noncdm Charge Record Medical Supplies,440.56,440.56,,,0 CDM,27801713_7003010,Noncdm Charge Record Medical Supplies,419.11,419.11,,,0 CDM,27801713_7003011,Noncdm Charge Record Medical Supplies,440.79,440.79,,,0 CDM,27801713_7003012,Noncdm Charge Record Medical Supplies,462.47,462.47,,,0 CDM,27801713_7003013,Noncdm Charge Record Medical Supplies,433.57,433.57,,,0 CDM,27801713_7003014,Noncdm Charge Record Medical Supplies,462.47,462.47,,,0 CDM,27801713_7003016,Noncdm Charge Record Medical Supplies,462.47,462.47,,,0 CDM,27801713_7003022,Noncdm Charge Record Medical Supplies,440.56,440.56,,,0 CDM,27801713_7003027,Noncdm Charge Record Medical Supplies,462.47,462.47,,,0 CDM,27801713_7003028,Noncdm Charge Record Medical Supplies,462.47,462.47,,,0 CDM,27801713_7003029,Noncdm Charge Record Medical Supplies,439.35,439.35,,,0 CDM,27801713_7003030,Noncdm Charge Record Medical Supplies,462.47,462.47,,,0 CDM,27801713_7003038,Noncdm Charge Record Medical Supplies,282.41,282.41,,,0 CDM,27801713_7003041,Noncdm Charge Record Medical Supplies,316.78,316.78,,,0 CDM,27801713_7003042,Noncdm Charge Record Medical Supplies,345.92,345.92,,,0 CDM,27801713_7003057,Noncdm Charge Record Medical Supplies,200.47,200.47,,,0 CDM,27801713_7003060,Noncdm Charge Record Medical Supplies,2935.19,2935.19,,,0 CDM,27801713_7003062,Noncdm Charge Record Medical Supplies,2973.42,2973.42,,,0 CDM,27801713_7003063,Noncdm Charge Record Medical Supplies,3319.34,3319.34,,,0 CDM,27801713_7003064,Noncdm Charge Record Medical Supplies,3090.44,3090.44,,,0 CDM,27801713_7003067,Noncdm Charge Record Medical Supplies,5123.23,5123.23,,,0 CDM,27801713_7003078,Noncdm Charge Record Medical Supplies,4214.45,4214.45,,,0 CDM,27801713_7003079,Noncdm Charge Record Medical Supplies,3815.38,3815.38,,,0 CDM,27801713_7003084,Noncdm Charge Record Medical Supplies,6128.66,6128.66,,,0 CDM,27801713_7003085,Noncdm Charge Record Medical Supplies,5015.85,5015.85,,,0 CDM,27801713_7003212,Noncdm Charge Record Medical Supplies,1644.44,1644.44,,,0 CDM,27801713_7003220,Noncdm Charge Record Medical Supplies,818.18,818.18,,,0 CDM,27801713_7003270,Noncdm Charge Record Medical Supplies,289.04,289.04,,,0 CDM,27801713_7003273,Noncdm Charge Record Medical Supplies,289.04,289.04,,,0 CDM,27801713_7003423,Noncdm Charge Record Medical Supplies,244.41,244.41,,,0 CDM,27801713_7003427,Noncdm Charge Record Medical Supplies,3048.01,3048.01,,,0 CDM,27801713_7003441,Noncdm Charge Record Medical Supplies,1664.33,1664.33,,,0 CDM,27801713_7003455,Noncdm Charge Record Medical Supplies,5707.68,5707.68,,,0 CDM,27801713_7003475,Noncdm Charge Record Medical Supplies,3379.95,3379.95,,,0 CDM,27801713_7003550,Noncdm Charge Record Medical Supplies,2342.66,2342.66,,,0 CDM,27801713_7003594,Noncdm Charge Record Medical Supplies,722.61,722.61,,,0 CDM,27801713_7003762,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27801713_7003802,Noncdm Charge Record Medical Supplies,564.72,564.72,,,0 CDM,27801713_7003803,Noncdm Charge Record Medical Supplies,589.28,589.28,,,0 CDM,27801713_7003804,Noncdm Charge Record Medical Supplies,589.28,589.28,,,0 CDM,27801713_7003810,Noncdm Charge Record Medical Supplies,3057.86,3057.86,,,0 CDM,27801713_7003812,Noncdm Charge Record Medical Supplies,515.61,515.61,,,0 CDM,27801713_7004095,Noncdm Charge Record Medical Supplies,140.87,140.87,,,0 CDM,27801713_7004241,Noncdm Charge Record Medical Supplies,3774.35,3774.35,,,0 CDM,27801713_7004249,Noncdm Charge Record Medical Supplies,1081.58,1081.58,,,0 CDM,27801713_7004265,Noncdm Charge Record Medical Supplies,637.76,637.76,,,0 CDM,27801713_7004604,Noncdm Charge Record Medical Supplies,3764.56,3764.56,,,0 CDM,27801713_7004679,Noncdm Charge Record Medical Supplies,9577.62,9577.62,,,0 CDM,27801713_7004832,Noncdm Charge Record Medical Supplies,4039.16,4039.16,,,0 CDM,27801713_7004833,Noncdm Charge Record Medical Supplies,4167.83,4167.83,,,0 CDM,27801713_7004834,Noncdm Charge Record Medical Supplies,3779.72,3779.72,,,0 CDM,27801713_7004835,Noncdm Charge Record Medical Supplies,3338.45,3338.45,,,0 CDM,27801713_7004843,Noncdm Charge Record Medical Supplies,6616.31,6616.31,,,0 CDM,27801713_7004946,Noncdm Charge Record Medical Supplies,744.06,744.06,,,0 CDM,27801713_7005299,Noncdm Charge Record Medical Supplies,4031.7,4031.7,,,0 CDM,27801713_7005364,Noncdm Charge Record Medical Supplies,279.72,279.72,,,0 CDM,27801713_7005365,Noncdm Charge Record Medical Supplies,279.72,279.72,,,0 CDM,27801713_7005366,Noncdm Charge Record Medical Supplies,279.72,279.72,,,0 CDM,27801713_7005367,Noncdm Charge Record Medical Supplies,284.51,284.51,,,0 CDM,27801713_7005368,Noncdm Charge Record Medical Supplies,305.06,305.06,,,0 CDM,27801713_7005369,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7005370,Noncdm Charge Record Medical Supplies,2587.41,2587.41,,,0 CDM,27801713_7005371,Noncdm Charge Record Medical Supplies,2851.59,2851.59,,,0 CDM,27801713_7005372,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7005373,Noncdm Charge Record Medical Supplies,2811.19,2811.19,,,0 CDM,27801713_7005374,Noncdm Charge Record Medical Supplies,3356.64,3356.64,,,0 CDM,27801713_7005375,Noncdm Charge Record Medical Supplies,279.72,279.72,,,0 CDM,27801713_7005376,Noncdm Charge Record Medical Supplies,279.72,279.72,,,0 CDM,27801713_7005377,Noncdm Charge Record Medical Supplies,279.72,279.72,,,0 CDM,27801713_7005378,Noncdm Charge Record Medical Supplies,279.72,279.72,,,0 CDM,27801713_7005379,Noncdm Charge Record Medical Supplies,279.72,279.72,,,0 CDM,27801713_7005380,Noncdm Charge Record Medical Supplies,380.73,380.73,,,0 CDM,27801713_7005404,Noncdm Charge Record Medical Supplies,329.58,329.58,,,0 CDM,27801713_7005408,Noncdm Charge Record Medical Supplies,404.04,404.04,,,0 CDM,27801713_7005434,Noncdm Charge Record Medical Supplies,644.91,644.91,,,0 CDM,27801713_7005449,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27801713_7005465,Noncdm Charge Record Medical Supplies,843.6,843.6,,,0 CDM,27801713_7005467,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27801713_7005471,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801713_7005478,Noncdm Charge Record Medical Supplies,3846.15,3846.15,,,0 CDM,27801713_7005481,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7005485,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7005489,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7005491,Noncdm Charge Record Medical Supplies,2703.96,2703.96,,,0 CDM,27801713_7005494,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7005496,Noncdm Charge Record Medical Supplies,217.74,217.74,,,0 CDM,27801713_7005497,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27801713_7005498,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27801713_7005499,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7005625,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7005626,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7005643,Noncdm Charge Record Medical Supplies,372.96,372.96,,,0 CDM,27801713_7005653,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7005654,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7005658,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7005664,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27801713_7005667,Noncdm Charge Record Medical Supplies,380.73,380.73,,,0 CDM,27801713_7005975,Noncdm Charge Record Medical Supplies,913.91,913.91,,,0 CDM,27801713_7005976,Noncdm Charge Record Medical Supplies,913.91,913.91,,,0 CDM,27801713_7007163,Noncdm Charge Record Medical Supplies,1405.05,1405.05,,,0 CDM,27801713_7007417,Noncdm Charge Record Medical Supplies,743.12,743.12,,,0 CDM,27801713_7007419,Noncdm Charge Record Medical Supplies,743.12,743.12,,,0 CDM,27801713_7012008,Noncdm Charge Record Medical Supplies,8857.8,8857.8,,,0 CDM,27801713_7012010,Noncdm Charge Record Medical Supplies,5322.45,5322.45,,,0 CDM,27801713_7012011,Noncdm Charge Record Medical Supplies,8857.8,8857.8,,,0 CDM,27801713_7012272,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27801713_7012483,Noncdm Charge Record Medical Supplies,20612.49,20612.49,,,0 CDM,27801713_7012495,Noncdm Charge Record Medical Supplies,10727.19,10727.19,,,0 CDM,27801713_7013289,Noncdm Charge Record Medical Supplies,21588.56,21588.56,,,0 CDM,27801713_7014114,Noncdm Charge Record Medical Supplies,1217.25,1217.25,,,0 CDM,27801713_7018051,Noncdm Charge Record Medical Supplies,36.52,36.52,,,0 CDM,27801713_7019754,Noncdm Charge Record Medical Supplies,5270.39,5270.39,,,0 CDM,27801713_7021811,Noncdm Charge Record Medical Supplies,7964.25,7964.25,,,0 CDM,27801713_7023911,Noncdm Charge Record Medical Supplies,3504.79,3504.79,,,0 CDM,27801713_7024038,Noncdm Charge Record Medical Supplies,2079.25,2079.25,,,0 CDM,27801713_7024042,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7024054,Noncdm Charge Record Medical Supplies,3973.12,3973.12,,,0 CDM,27801713_7024076,Noncdm Charge Record Medical Supplies,2486.4,2486.4,,,0 CDM,27801713_7024077,Noncdm Charge Record Medical Supplies,3613.05,3613.05,,,0 CDM,27801713_7024078,Noncdm Charge Record Medical Supplies,3108.0,3108.0,,,0 CDM,27801713_7024085,Noncdm Charge Record Medical Supplies,1752.91,1752.91,,,0 CDM,27801713_7024300,Noncdm Charge Record Medical Supplies,167.83,167.83,,,0 CDM,27801713_7024304,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7024306,Noncdm Charge Record Medical Supplies,372.96,372.96,,,0 CDM,27801713_7024307,Noncdm Charge Record Medical Supplies,472.42,472.42,,,0 CDM,27801713_7024315,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7024326,Noncdm Charge Record Medical Supplies,155.4,155.4,,,0 CDM,27801713_7024348,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7024356,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7024387,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7024412,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7024415,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7024423,Noncdm Charge Record Medical Supplies,3947.16,3947.16,,,0 CDM,27801713_7024440,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27801713_7024445,Noncdm Charge Record Medical Supplies,3947.16,3947.16,,,0 CDM,27801713_7024467,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7024476,Noncdm Charge Record Medical Supplies,155.4,155.4,,,0 CDM,27801713_7024481,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7024484,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7024495,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27801713_7024500,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7024503,Noncdm Charge Record Medical Supplies,1608.39,1608.39,,,0 CDM,27801713_7024509,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7024512,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7024514,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7024516,Noncdm Charge Record Medical Supplies,287.49,287.49,,,0 CDM,27801713_7024518,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7024532,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7024543,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7024548,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7024569,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7024571,Noncdm Charge Record Medical Supplies,3372.18,3372.18,,,0 CDM,27801713_7024590,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7024592,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7024593,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7024610,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27801713_7024638,Noncdm Charge Record Medical Supplies,3226.1,3226.1,,,0 CDM,27801713_7024640,Noncdm Charge Record Medical Supplies,7536.9,7536.9,,,0 CDM,27801713_7024642,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7024668,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7024691,Noncdm Charge Record Medical Supplies,1756.02,1756.02,,,0 CDM,27801713_7024716,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7024732,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801713_7024752,Noncdm Charge Record Medical Supplies,613.83,613.83,,,0 CDM,27801713_7024756,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7024760,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7024764,Noncdm Charge Record Medical Supplies,613.83,613.83,,,0 CDM,27801713_7024771,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7024775,Noncdm Charge Record Medical Supplies,3799.53,3799.53,,,0 CDM,27801713_7024778,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7024809,Noncdm Charge Record Medical Supplies,3720.28,3720.28,,,0 CDM,27801713_7024810,Noncdm Charge Record Medical Supplies,233.1,233.1,,,0 CDM,27801713_7024822,Noncdm Charge Record Medical Supplies,1207.98,1207.98,,,0 CDM,27801713_7024826,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7024843,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7024844,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7024870,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7024871,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7024875,Noncdm Charge Record Medical Supplies,167.83,167.83,,,0 CDM,27801713_7024878,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27801713_7024888,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7024892,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7024909,Noncdm Charge Record Medical Supplies,3372.18,3372.18,,,0 CDM,27801713_7024915,Noncdm Charge Record Medical Supplies,3069.15,3069.15,,,0 CDM,27801713_7024920,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7024921,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7024922,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7024924,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7024925,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7024927,Noncdm Charge Record Medical Supplies,1655.01,1655.01,,,0 CDM,27801713_7024953,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27801713_7024978,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7024991,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27801713_7024992,Noncdm Charge Record Medical Supplies,6177.15,6177.15,,,0 CDM,27801713_7025017,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7025019,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801713_7025022,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7025023,Noncdm Charge Record Medical Supplies,3720.28,3720.28,,,0 CDM,27801713_7025030,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27801713_7025032,Noncdm Charge Record Medical Supplies,4972.8,4972.8,,,0 CDM,27801713_7025043,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7025046,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7025050,Noncdm Charge Record Medical Supplies,1246.31,1246.31,,,0 CDM,27801713_7025056,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7025057,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7025080,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7025084,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7025085,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27801713_7025087,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7025112,Noncdm Charge Record Medical Supplies,1095.57,1095.57,,,0 CDM,27801713_7025114,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7025117,Noncdm Charge Record Medical Supplies,439.0,439.0,,,0 CDM,27801713_7025127,Noncdm Charge Record Medical Supplies,1530.69,1530.69,,,0 CDM,27801713_7025131,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7025132,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7025133,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7025134,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7025138,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7025142,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7025148,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7025155,Noncdm Charge Record Medical Supplies,8212.89,8212.89,,,0 CDM,27801713_7025157,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7025159,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7025164,Noncdm Charge Record Medical Supplies,287.49,287.49,,,0 CDM,27801713_7025167,Noncdm Charge Record Medical Supplies,522.14,522.14,,,0 CDM,27801713_7025175,Noncdm Charge Record Medical Supplies,22144.5,22144.5,,,0 CDM,27801713_7025191,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27801713_7025199,Noncdm Charge Record Medical Supplies,155.4,155.4,,,0 CDM,27801713_7025213,Noncdm Charge Record Medical Supplies,167.83,167.83,,,0 CDM,27801713_7025219,Noncdm Charge Record Medical Supplies,167.83,167.83,,,0 CDM,27801713_7025227,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7025229,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7025240,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7025241,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7025242,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7025260,Noncdm Charge Record Medical Supplies,7925.4,7925.4,,,0 CDM,27801713_7025273,Noncdm Charge Record Medical Supplies,3372.18,3372.18,,,0 CDM,27801713_7025277,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27801713_7025282,Noncdm Charge Record Medical Supplies,167.83,167.83,,,0 CDM,27801713_7025290,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27801713_7025295,Noncdm Charge Record Medical Supplies,5271.17,5271.17,,,0 CDM,27801713_7025314,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27801713_7025338,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7025339,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7025350,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7025358,Noncdm Charge Record Medical Supplies,3799.53,3799.53,,,0 CDM,27801713_7025361,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7025362,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27801713_7025363,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7025376,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7025390,Noncdm Charge Record Medical Supplies,191.76,191.76,,,0 CDM,27801713_7025399,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27801713_7025422,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7025428,Noncdm Charge Record Medical Supplies,546.62,546.62,,,0 CDM,27801713_7025440,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7025450,Noncdm Charge Record Medical Supplies,447.55,447.55,,,0 CDM,27801713_7025454,Noncdm Charge Record Medical Supplies,454.16,454.16,,,0 CDM,27801713_7025475,Noncdm Charge Record Medical Supplies,85.47,85.47,,,0 CDM,27801713_7025479,Noncdm Charge Record Medical Supplies,1825.95,1825.95,,,0 CDM,27801713_7025492,Noncdm Charge Record Medical Supplies,2455.32,2455.32,,,0 CDM,27801713_7025520,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7025521,Noncdm Charge Record Medical Supplies,23.54,23.54,,,0 CDM,27801713_7025526,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7025527,Noncdm Charge Record Medical Supplies,8275.05,8275.05,,,0 CDM,27801713_7025548,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7025551,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7025553,Noncdm Charge Record Medical Supplies,167.83,167.83,,,0 CDM,27801713_7025567,Noncdm Charge Record Medical Supplies,402.8,402.8,,,0 CDM,27801713_7025568,Noncdm Charge Record Medical Supplies,522.14,522.14,,,0 CDM,27801713_7025571,Noncdm Charge Record Medical Supplies,454.16,454.16,,,0 CDM,27801713_7025604,Noncdm Charge Record Medical Supplies,4105.67,4105.67,,,0 CDM,27801713_7025606,Noncdm Charge Record Medical Supplies,1226.62,1226.62,,,0 CDM,27801713_7025608,Noncdm Charge Record Medical Supplies,1251.16,1251.16,,,0 CDM,27801713_7025618,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7025633,Noncdm Charge Record Medical Supplies,439.0,439.0,,,0 CDM,27801713_7025634,Noncdm Charge Record Medical Supplies,3384.61,3384.61,,,0 CDM,27801713_7025638,Noncdm Charge Record Medical Supplies,3504.27,3504.27,,,0 CDM,27801713_7025640,Noncdm Charge Record Medical Supplies,1530.69,1530.69,,,0 CDM,27801713_7025644,Noncdm Charge Record Medical Supplies,155.4,155.4,,,0 CDM,27801713_7025651,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7025685,Noncdm Charge Record Medical Supplies,3432.05,3432.05,,,0 CDM,27801713_7025705,Noncdm Charge Record Medical Supplies,2595.18,2595.18,,,0 CDM,27801713_7025706,Noncdm Charge Record Medical Supplies,2070.04,2070.04,,,0 CDM,27801713_7025730,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7025770,Noncdm Charge Record Medical Supplies,5660.44,5660.44,,,0 CDM,27801713_7025806,Noncdm Charge Record Medical Supplies,93.24,93.24,,,0 CDM,27801713_7025809,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7025845,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7025853,Noncdm Charge Record Medical Supplies,2804.97,2804.97,,,0 CDM,27801713_7025869,Noncdm Charge Record Medical Supplies,549.34,549.34,,,0 CDM,27801713_7025877,Noncdm Charge Record Medical Supplies,3947.16,3947.16,,,0 CDM,27801713_7025882,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7025890,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7025891,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7025898,Noncdm Charge Record Medical Supplies,113.96,113.96,,,0 CDM,27801713_7025899,Noncdm Charge Record Medical Supplies,522.14,522.14,,,0 CDM,27801713_7025907,Noncdm Charge Record Medical Supplies,454.16,454.16,,,0 CDM,27801713_7025943,Noncdm Charge Record Medical Supplies,372.96,372.96,,,0 CDM,27801713_7025947,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27801713_7025955,Noncdm Charge Record Medical Supplies,522.14,522.14,,,0 CDM,27801713_7025994,Noncdm Charge Record Medical Supplies,1569.54,1569.54,,,0 CDM,27801713_7026003,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7026004,Noncdm Charge Record Medical Supplies,458.43,458.43,,,0 CDM,27801713_7026009,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7026019,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7026022,Noncdm Charge Record Medical Supplies,147.63,147.63,,,0 CDM,27801713_7026025,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7026048,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27801713_7026049,Noncdm Charge Record Medical Supplies,439.0,439.0,,,0 CDM,27801713_7026051,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7026056,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7026072,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7026100,Noncdm Charge Record Medical Supplies,726.69,726.69,,,0 CDM,27801713_7026114,Noncdm Charge Record Medical Supplies,454.16,454.16,,,0 CDM,27801713_7026134,Noncdm Charge Record Medical Supplies,701.63,701.63,,,0 CDM,27801713_7026136,Noncdm Charge Record Medical Supplies,3947.16,3947.16,,,0 CDM,27801713_7026139,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7026141,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7026175,Noncdm Charge Record Medical Supplies,3720.28,3720.28,,,0 CDM,27801713_7026181,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27801713_7026182,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7026183,Noncdm Charge Record Medical Supplies,139.86,139.86,,,0 CDM,27801713_7026189,Noncdm Charge Record Medical Supplies,139.86,139.86,,,0 CDM,27801713_7026195,Noncdm Charge Record Medical Supplies,569.15,569.15,,,0 CDM,27801713_7026196,Noncdm Charge Record Medical Supplies,1452.99,1452.99,,,0 CDM,27801713_7026210,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7026211,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7026215,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7026244,Noncdm Charge Record Medical Supplies,3226.1,3226.1,,,0 CDM,27801713_7026271,Noncdm Charge Record Medical Supplies,1613.05,1613.05,,,0 CDM,27801713_7026284,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7026289,Noncdm Charge Record Medical Supplies,124.32,124.32,,,0 CDM,27801713_7026307,Noncdm Charge Record Medical Supplies,3947.16,3947.16,,,0 CDM,27801713_7026308,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7026309,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7026321,Noncdm Charge Record Medical Supplies,75.76,75.76,,,0 CDM,27801713_7026322,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7026333,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7026342,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7026343,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7026345,Noncdm Charge Record Medical Supplies,9052.05,9052.05,,,0 CDM,27801713_7026356,Noncdm Charge Record Medical Supplies,1756.02,1756.02,,,0 CDM,27801713_7026383,Noncdm Charge Record Medical Supplies,7381.5,7381.5,,,0 CDM,27801713_7026399,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801713_7026413,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7026430,Noncdm Charge Record Medical Supplies,1522.92,1522.92,,,0 CDM,27801713_7026431,Noncdm Charge Record Medical Supplies,1561.77,1561.77,,,0 CDM,27801713_7026433,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7026434,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7026436,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7026445,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7026470,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7026477,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7026481,Noncdm Charge Record Medical Supplies,18259.5,18259.5,,,0 CDM,27801713_7026482,Noncdm Charge Record Medical Supplies,1670.55,1670.55,,,0 CDM,27801713_7026503,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7026504,Noncdm Charge Record Medical Supplies,17.86,17.86,,,0 CDM,27801713_7026507,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7026508,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7026509,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7026510,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7026511,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7026512,Noncdm Charge Record Medical Supplies,2602.95,2602.95,,,0 CDM,27801713_7026523,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7026533,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7026546,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7026556,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7026559,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7026562,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7026576,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7026599,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7026614,Noncdm Charge Record Medical Supplies,470.08,470.08,,,0 CDM,27801713_7026616,Noncdm Charge Record Medical Supplies,7117.32,7117.32,,,0 CDM,27801713_7026879,Noncdm Charge Record Medical Supplies,2525.25,2525.25,,,0 CDM,27801713_7026880,Noncdm Charge Record Medical Supplies,3108.0,3108.0,,,0 CDM,27801713_7026922,Noncdm Charge Record Medical Supplies,13519.8,13519.8,,,0 CDM,27801713_7026923,Noncdm Charge Record Medical Supplies,2913.75,2913.75,,,0 CDM,27801713_7026925,Noncdm Charge Record Medical Supplies,2214.45,2214.45,,,0 CDM,27801713_7026928,Noncdm Charge Record Medical Supplies,3108.0,3108.0,,,0 CDM,27801713_7026989,Noncdm Charge Record Medical Supplies,1008.0,1008.0,,,0 CDM,27801713_7027005,Noncdm Charge Record Medical Supplies,12975.28,12975.28,,,0 CDM,27801713_7027006,Noncdm Charge Record Medical Supplies,701.63,701.63,,,0 CDM,27801713_7027007,Noncdm Charge Record Medical Supplies,701.63,701.63,,,0 CDM,27801713_7027008,Noncdm Charge Record Medical Supplies,768.45,768.45,,,0 CDM,27801713_7027014,Noncdm Charge Record Medical Supplies,679.26,679.26,,,0 CDM,27801713_7027016,Noncdm Charge Record Medical Supplies,1149.96,1149.96,,,0 CDM,27801713_7027032,Noncdm Charge Record Medical Supplies,701.63,701.63,,,0 CDM,27801713_7027055,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7027060,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27801713_7027061,Noncdm Charge Record Medical Supplies,617.13,617.13,,,0 CDM,27801713_7027069,Noncdm Charge Record Medical Supplies,1163.91,1163.91,,,0 CDM,27801713_7027100,Noncdm Charge Record Medical Supplies,1207.46,1207.46,,,0 CDM,27801713_7027101,Noncdm Charge Record Medical Supplies,1114.03,1114.03,,,0 CDM,27801713_7027103,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7027134,Noncdm Charge Record Medical Supplies,1250.58,1250.58,,,0 CDM,27801713_7027141,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7027166,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801713_7027194,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801713_7027211,Noncdm Charge Record Medical Supplies,10410.25,10410.25,,,0 CDM,27801713_7027226,Noncdm Charge Record Medical Supplies,451.28,451.28,,,0 CDM,27801713_7027227,Noncdm Charge Record Medical Supplies,363.64,363.64,,,0 CDM,27801713_7027228,Noncdm Charge Record Medical Supplies,701.63,701.63,,,0 CDM,27801713_7027229,Noncdm Charge Record Medical Supplies,751.75,751.75,,,0 CDM,27801713_7027230,Noncdm Charge Record Medical Supplies,751.75,751.75,,,0 CDM,27801713_7027232,Noncdm Charge Record Medical Supplies,1804.66,1804.66,,,0 CDM,27801713_7027264,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27801713_7027276,Noncdm Charge Record Medical Supplies,345.92,345.92,,,0 CDM,27801713_7027278,Noncdm Charge Record Medical Supplies,345.92,345.92,,,0 CDM,27801713_7027286,Noncdm Charge Record Medical Supplies,1207.46,1207.46,,,0 CDM,27801713_7027287,Noncdm Charge Record Medical Supplies,1123.54,1123.54,,,0 CDM,27801713_7027288,Noncdm Charge Record Medical Supplies,897.34,897.34,,,0 CDM,27801713_7027289,Noncdm Charge Record Medical Supplies,1207.46,1207.46,,,0 CDM,27801713_7027303,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7027345,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801713_7027346,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801713_7027429,Noncdm Charge Record Medical Supplies,604.04,604.04,,,0 CDM,27801713_7027451,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801713_7027452,Noncdm Charge Record Medical Supplies,1264.96,1264.96,,,0 CDM,27801713_7027463,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801713_7027478,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7027481,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7027498,Noncdm Charge Record Medical Supplies,395.34,395.34,,,0 CDM,27801713_7027535,Noncdm Charge Record Medical Supplies,11007.44,11007.44,,,0 CDM,27801713_7027541,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7027550,Noncdm Charge Record Medical Supplies,701.63,701.63,,,0 CDM,27801713_7027553,Noncdm Charge Record Medical Supplies,391.38,391.38,,,0 CDM,27801713_7027559,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7027574,Noncdm Charge Record Medical Supplies,1207.46,1207.46,,,0 CDM,27801713_7027575,Noncdm Charge Record Medical Supplies,1123.54,1123.54,,,0 CDM,27801713_7027576,Noncdm Charge Record Medical Supplies,1379.95,1379.95,,,0 CDM,27801713_7027583,Noncdm Charge Record Medical Supplies,701.63,701.63,,,0 CDM,27801713_7027584,Noncdm Charge Record Medical Supplies,701.63,701.63,,,0 CDM,27801713_7027588,Noncdm Charge Record Medical Supplies,1207.46,1207.46,,,0 CDM,27801713_7027589,Noncdm Charge Record Medical Supplies,345.92,345.92,,,0 CDM,27801713_7027590,Noncdm Charge Record Medical Supplies,1207.46,1207.46,,,0 CDM,27801713_7027591,Noncdm Charge Record Medical Supplies,1250.58,1250.58,,,0 CDM,27801713_7027601,Noncdm Charge Record Medical Supplies,1293.7,1293.7,,,0 CDM,27801713_7027667,Noncdm Charge Record Medical Supplies,2181.82,2181.82,,,0 CDM,27801713_7027891,Noncdm Charge Record Medical Supplies,428.4,428.4,,,0 CDM,27801713_7028376,Noncdm Charge Record Medical Supplies,471.16,471.16,,,0 CDM,27801713_7028377,Noncdm Charge Record Medical Supplies,279.72,279.72,,,0 CDM,27801713_7028378,Noncdm Charge Record Medical Supplies,279.72,279.72,,,0 CDM,27801713_7028379,Noncdm Charge Record Medical Supplies,279.72,279.72,,,0 CDM,27801713_7028380,Noncdm Charge Record Medical Supplies,279.72,279.72,,,0 CDM,27801713_7028381,Noncdm Charge Record Medical Supplies,1046.3,1046.3,,,0 CDM,27801713_7028382,Noncdm Charge Record Medical Supplies,2587.41,2587.41,,,0 CDM,27801713_7028383,Noncdm Charge Record Medical Supplies,2657.34,2657.34,,,0 CDM,27801713_7028384,Noncdm Charge Record Medical Supplies,3356.64,3356.64,,,0 CDM,27801713_7028385,Noncdm Charge Record Medical Supplies,279.72,279.72,,,0 CDM,27801713_7028386,Noncdm Charge Record Medical Supplies,279.72,279.72,,,0 CDM,27801713_7028387,Noncdm Charge Record Medical Supplies,279.72,279.72,,,0 CDM,27801713_7028388,Noncdm Charge Record Medical Supplies,279.72,279.72,,,0 CDM,27801713_7028585,Noncdm Charge Record Medical Supplies,2382.06,2382.06,,,0 CDM,27801713_7028586,Noncdm Charge Record Medical Supplies,3410.25,3410.25,,,0 CDM,27801713_7028607,Noncdm Charge Record Medical Supplies,679.25,679.25,,,0 CDM,27801713_7028608,Noncdm Charge Record Medical Supplies,391.38,391.38,,,0 CDM,27801713_7028612,Noncdm Charge Record Medical Supplies,2795.96,2795.96,,,0 CDM,27801713_7028614,Noncdm Charge Record Medical Supplies,743.98,743.98,,,0 CDM,27801713_7028620,Noncdm Charge Record Medical Supplies,391.38,391.38,,,0 CDM,27801713_7028621,Noncdm Charge Record Medical Supplies,391.38,391.38,,,0 CDM,27801713_7028622,Noncdm Charge Record Medical Supplies,391.38,391.38,,,0 CDM,27801713_7028623,Noncdm Charge Record Medical Supplies,679.25,679.25,,,0 CDM,27801713_7028624,Noncdm Charge Record Medical Supplies,679.26,679.26,,,0 CDM,27801713_7028637,Noncdm Charge Record Medical Supplies,651.13,651.13,,,0 CDM,27801713_7028638,Noncdm Charge Record Medical Supplies,416.86,416.86,,,0 CDM,27801713_7028639,Noncdm Charge Record Medical Supplies,829.06,829.06,,,0 CDM,27801713_7028640,Noncdm Charge Record Medical Supplies,751.9,751.9,,,0 CDM,27801713_7028642,Noncdm Charge Record Medical Supplies,679.25,679.25,,,0 CDM,27801713_7028651,Noncdm Charge Record Medical Supplies,1503.5,1503.5,,,0 CDM,27801713_7028653,Noncdm Charge Record Medical Supplies,572.03,572.03,,,0 CDM,27801713_7028655,Noncdm Charge Record Medical Supplies,4169.54,4169.54,,,0 CDM,27801713_7028659,Noncdm Charge Record Medical Supplies,1326.41,1326.41,,,0 CDM,27801713_7028663,Noncdm Charge Record Medical Supplies,1299.46,1299.46,,,0 CDM,27801713_7028664,Noncdm Charge Record Medical Supplies,3507.3,3507.3,,,0 CDM,27801713_7028665,Noncdm Charge Record Medical Supplies,1207.53,1207.53,,,0 CDM,27801713_7028668,Noncdm Charge Record Medical Supplies,679.25,679.25,,,0 CDM,27801713_7028670,Noncdm Charge Record Medical Supplies,829.06,829.06,,,0 CDM,27801713_7028673,Noncdm Charge Record Medical Supplies,480.56,480.56,,,0 CDM,27801713_7028674,Noncdm Charge Record Medical Supplies,391.38,391.38,,,0 CDM,27801713_7028675,Noncdm Charge Record Medical Supplies,679.25,679.25,,,0 CDM,27801713_7028676,Noncdm Charge Record Medical Supplies,391.38,391.38,,,0 CDM,27801713_7028678,Noncdm Charge Record Medical Supplies,473.58,473.58,,,0 CDM,27801713_7028683,Noncdm Charge Record Medical Supplies,1403.81,1403.81,,,0 CDM,27801713_7028687,Noncdm Charge Record Medical Supplies,2036.2,2036.2,,,0 CDM,27801713_7028689,Noncdm Charge Record Medical Supplies,1351.13,1351.13,,,0 CDM,27801713_7028690,Noncdm Charge Record Medical Supplies,3825.4,3825.4,,,0 CDM,27801713_7028692,Noncdm Charge Record Medical Supplies,1393.08,1393.08,,,0 CDM,27801713_7028696,Noncdm Charge Record Medical Supplies,1796.04,1796.04,,,0 CDM,27801713_7028698,Noncdm Charge Record Medical Supplies,3018.8,3018.8,,,0 CDM,27801713_7028705,Noncdm Charge Record Medical Supplies,679.26,679.26,,,0 CDM,27801713_7028706,Noncdm Charge Record Medical Supplies,391.38,391.38,,,0 CDM,27801713_7028707,Noncdm Charge Record Medical Supplies,679.26,679.26,,,0 CDM,27801713_7028708,Noncdm Charge Record Medical Supplies,679.25,679.25,,,0 CDM,27801713_7028710,Noncdm Charge Record Medical Supplies,679.25,679.25,,,0 CDM,27801713_7028711,Noncdm Charge Record Medical Supplies,679.25,679.25,,,0 CDM,27801713_7028713,Noncdm Charge Record Medical Supplies,679.25,679.25,,,0 CDM,27801713_7028719,Noncdm Charge Record Medical Supplies,910.96,910.96,,,0 CDM,27801713_7028720,Noncdm Charge Record Medical Supplies,887.41,887.41,,,0 CDM,27801713_7028725,Noncdm Charge Record Medical Supplies,1299.46,1299.46,,,0 CDM,27801713_7028732,Noncdm Charge Record Medical Supplies,1331.07,1331.07,,,0 CDM,27801713_7028733,Noncdm Charge Record Medical Supplies,1642.03,1642.03,,,0 CDM,27801713_7028737,Noncdm Charge Record Medical Supplies,703.73,703.73,,,0 CDM,27801713_7028740,Noncdm Charge Record Medical Supplies,904.43,904.43,,,0 CDM,27801713_7028742,Noncdm Charge Record Medical Supplies,1476.69,1476.69,,,0 CDM,27801713_7028743,Noncdm Charge Record Medical Supplies,2687.41,2687.41,,,0 CDM,27801713_7028745,Noncdm Charge Record Medical Supplies,1728.51,1728.51,,,0 CDM,27801713_7028746,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7028750,Noncdm Charge Record Medical Supplies,874.2,874.2,,,0 CDM,27801713_7028755,Noncdm Charge Record Medical Supplies,1471.95,1471.95,,,0 CDM,27801713_7028756,Noncdm Charge Record Medical Supplies,1842.73,1842.73,,,0 CDM,27801713_7028759,Noncdm Charge Record Medical Supplies,391.37,391.37,,,0 CDM,27801713_7028760,Noncdm Charge Record Medical Supplies,391.38,391.38,,,0 CDM,27801713_7028761,Noncdm Charge Record Medical Supplies,679.26,679.26,,,0 CDM,27801713_7028917,Noncdm Charge Record Medical Supplies,1299.14,1299.14,,,0 CDM,27801713_7028925,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27801713_7028927,Noncdm Charge Record Medical Supplies,4001.55,4001.55,,,0 CDM,27801713_7028937,Noncdm Charge Record Medical Supplies,3760.68,3760.68,,,0 CDM,27801713_7028940,Noncdm Charge Record Medical Supplies,3760.68,3760.68,,,0 CDM,27801713_7029457,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7029728,Noncdm Charge Record Medical Supplies,2335.66,2335.66,,,0 CDM,27801713_7029730,Noncdm Charge Record Medical Supplies,2335.66,2335.66,,,0 CDM,27801713_7029902,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7030053,Noncdm Charge Record Medical Supplies,1441.02,1441.02,,,0 CDM,27801713_7030145,Noncdm Charge Record Medical Supplies,1644.44,1644.44,,,0 CDM,27801713_7030155,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7030157,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27801713_7030159,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7030160,Noncdm Charge Record Medical Supplies,404.04,404.04,,,0 CDM,27801713_7030161,Noncdm Charge Record Medical Supplies,3846.15,3846.15,,,0 CDM,27801713_7030164,Noncdm Charge Record Medical Supplies,644.91,644.91,,,0 CDM,27801713_7030165,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27801713_7030166,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801713_7030170,Noncdm Charge Record Medical Supplies,637.76,637.76,,,0 CDM,27801713_7030216,Noncdm Charge Record Medical Supplies,19953.36,19953.36,,,0 CDM,27801713_7030244,Noncdm Charge Record Medical Supplies,446.78,446.78,,,0 CDM,27801713_7030251,Noncdm Charge Record Medical Supplies,2323.23,2323.23,,,0 CDM,27801713_7030293,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7030296,Noncdm Charge Record Medical Supplies,5982.9,5982.9,,,0 CDM,27801713_7030300,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7030301,Noncdm Charge Record Medical Supplies,6581.19,6581.19,,,0 CDM,27801713_7030403,Noncdm Charge Record Medical Supplies,2183.37,2183.37,,,0 CDM,27801713_7030571,Noncdm Charge Record Medical Supplies,4634.03,4634.03,,,0 CDM,27801713_7030572,Noncdm Charge Record Medical Supplies,3162.39,3162.39,,,0 CDM,27801713_7030575,Noncdm Charge Record Medical Supplies,3655.94,3655.94,,,0 CDM,27801713_7030577,Noncdm Charge Record Medical Supplies,3655.94,3655.94,,,0 CDM,27801713_7030580,Noncdm Charge Record Medical Supplies,3767.83,3767.83,,,0 CDM,27801713_7030585,Noncdm Charge Record Medical Supplies,3348.25,3348.25,,,0 CDM,27801713_7030631,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27801713_7030633,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27801713_7030640,Noncdm Charge Record Medical Supplies,730.38,730.38,,,0 CDM,27801713_7030642,Noncdm Charge Record Medical Supplies,67.99,67.99,,,0 CDM,27801713_7030643,Noncdm Charge Record Medical Supplies,1491.84,1491.84,,,0 CDM,27801713_7030649,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27801713_7030657,Noncdm Charge Record Medical Supplies,3480.96,3480.96,,,0 CDM,27801713_7030676,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27801713_7030678,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27801713_7030679,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27801713_7030684,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7030685,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7030689,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7030691,Noncdm Charge Record Medical Supplies,660.14,660.14,,,0 CDM,27801713_7030692,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7030693,Noncdm Charge Record Medical Supplies,1002.33,1002.33,,,0 CDM,27801713_7030695,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7030699,Noncdm Charge Record Medical Supplies,802.8,802.8,,,0 CDM,27801713_7030700,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27801713_7030705,Noncdm Charge Record Medical Supplies,1367.52,1367.52,,,0 CDM,27801713_7030708,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7030709,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7030711,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7030712,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7030714,Noncdm Charge Record Medical Supplies,1326.08,1326.08,,,0 CDM,27801713_7030716,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7030717,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7030720,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7030722,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7030725,Noncdm Charge Record Medical Supplies,382.67,382.67,,,0 CDM,27801713_7030730,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7030734,Noncdm Charge Record Medical Supplies,1491.84,1491.84,,,0 CDM,27801713_7030735,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7030740,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7030743,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7030745,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7030746,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7030751,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7030755,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7030757,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7030759,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7030761,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27801713_7030768,Noncdm Charge Record Medical Supplies,1367.52,1367.52,,,0 CDM,27801713_7030773,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7030779,Noncdm Charge Record Medical Supplies,248.64,248.64,,,0 CDM,27801713_7030781,Noncdm Charge Record Medical Supplies,163.17,163.17,,,0 CDM,27801713_7030782,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7030785,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7030787,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27801713_7030789,Noncdm Charge Record Medical Supplies,470.08,470.08,,,0 CDM,27801713_7030790,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7030791,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7030915,Noncdm Charge Record Medical Supplies,34.07,34.07,,,0 CDM,27801713_7030916,Noncdm Charge Record Medical Supplies,334.11,334.11,,,0 CDM,27801713_7030966,Noncdm Charge Record Medical Supplies,512.82,512.82,,,0 CDM,27801713_7031091,Noncdm Charge Record Medical Supplies,12820.5,12820.5,,,0 CDM,27801713_7031092,Noncdm Charge Record Medical Supplies,2913.75,2913.75,,,0 CDM,27801713_7031128,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27801713_7031131,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7031140,Noncdm Charge Record Medical Supplies,11553.99,11553.99,,,0 CDM,27801713_7031145,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27801713_7031168,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7031175,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7031205,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27801713_7031211,Noncdm Charge Record Medical Supplies,644.91,644.91,,,0 CDM,27801713_7031213,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27801713_7031215,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27801713_7031216,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27801713_7031219,Noncdm Charge Record Medical Supplies,3457.65,3457.65,,,0 CDM,27801713_7031220,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27801713_7031306,Noncdm Charge Record Medical Supplies,279.72,279.72,,,0 CDM,27801713_7031370,Noncdm Charge Record Medical Supplies,13107.99,13107.99,,,0 CDM,27801713_7031374,Noncdm Charge Record Medical Supplies,7575.75,7575.75,,,0 CDM,27801713_7031442,Noncdm Charge Record Medical Supplies,279.72,279.72,,,0 CDM,27801713_7031537,Noncdm Charge Record Medical Supplies,531.47,531.47,,,0 CDM,27801713_7031546,Noncdm Charge Record Medical Supplies,3030.3,3030.3,,,0 CDM,27801713_7031547,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7031548,Noncdm Charge Record Medical Supplies,139.86,139.86,,,0 CDM,27801713_7031549,Noncdm Charge Record Medical Supplies,139.86,139.86,,,0 CDM,27801713_7031565,Noncdm Charge Record Medical Supplies,531.47,531.47,,,0 CDM,27801713_7031577,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7031578,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7031584,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7031608,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7031915,Noncdm Charge Record Medical Supplies,1099.19,1099.19,,,0 CDM,27801713_7031916,Noncdm Charge Record Medical Supplies,2525.25,2525.25,,,0 CDM,27801713_7032035,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27801713_7032491,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27801713_7032733,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27801713_7032738,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7032752,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7032755,Noncdm Charge Record Medical Supplies,893.55,893.55,,,0 CDM,27801713_7032762,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7032763,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7032764,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27801713_7032778,Noncdm Charge Record Medical Supplies,9502.71,9502.71,,,0 CDM,27801713_7032781,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801713_7032923,Noncdm Charge Record Medical Supplies,2525.25,2525.25,,,0 CDM,27801713_7032929,Noncdm Charge Record Medical Supplies,4678.78,4678.78,,,0 CDM,27801713_7033418,Noncdm Charge Record Medical Supplies,3651.9,3651.9,,,0 CDM,27801713_7033686,Noncdm Charge Record Medical Supplies,263.87,263.87,,,0 CDM,27801713_7033689,Noncdm Charge Record Medical Supplies,276.77,276.77,,,0 CDM,27801713_7033690,Noncdm Charge Record Medical Supplies,395.34,395.34,,,0 CDM,27801713_7033691,Noncdm Charge Record Medical Supplies,345.92,345.92,,,0 CDM,27801713_7033692,Noncdm Charge Record Medical Supplies,345.92,345.92,,,0 CDM,27801713_7033810,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801713_7034822,Noncdm Charge Record Medical Supplies,17482.5,17482.5,,,0 CDM,27801713_7034828,Noncdm Charge Record Medical Supplies,4061.77,4061.77,,,0 CDM,27801713_7034970,Noncdm Charge Record Medical Supplies,70.71,70.71,,,0 CDM,27801713_7037367,Noncdm Charge Record Medical Supplies,2097.0,2097.0,,,0 CDM,27801713_7037822,Noncdm Charge Record Medical Supplies,143.74,143.74,,,0 CDM,27801713_7037826,Noncdm Charge Record Medical Supplies,6860.91,6860.91,,,0 CDM,27801713_7037833,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7037835,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7037836,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7037837,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7037838,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 CDM,27801713_7038390,Noncdm Charge Record Medical Supplies,1095.57,1095.57,,,0 CDM,27801713_7039680,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801713_7042246,Noncdm Charge Record Medical Supplies,1264.49,1264.49,,,0 CDM,27801713_7042247,Noncdm Charge Record Medical Supplies,1264.49,1264.49,,,0 CDM,27801713_7042249,Noncdm Charge Record Medical Supplies,14196.49,14196.49,,,0 CDM,27801713_7042250,Noncdm Charge Record Medical Supplies,818.73,818.73,,,0 CDM,27801713_7042251,Noncdm Charge Record Medical Supplies,1264.49,1264.49,,,0 CDM,27801713_7042334,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27801713_7042463,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27801713_7044557,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7044742,Noncdm Charge Record Medical Supplies,9999.99,9999.99,,,0 CDM,27801713_7046356,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7046372,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27801713_7046538,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27801713_7047678,Noncdm Charge Record Medical Supplies,3457.65,3457.65,,,0 CDM,27801713_7047698,Noncdm Charge Record Medical Supplies,3457.65,3457.65,,,0 CDM,27801713_7047699,Noncdm Charge Record Medical Supplies,3519.81,3519.81,,,0 CDM,27801713_7047703,Noncdm Charge Record Medical Supplies,3519.81,3519.81,,,0 CDM,27801713_7047795,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27801713_7047796,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7047797,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27801713_7047799,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7047800,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7047801,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7047802,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27801713_7047803,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7047804,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7048138,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7048140,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27801713_7048141,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7048142,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27801713_7048143,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7048144,Noncdm Charge Record Medical Supplies,1048.95,1048.95,,,0 CDM,27801713_7048523,Noncdm Charge Record Medical Supplies,818.73,818.73,,,0 CDM,27801713_7048524,Noncdm Charge Record Medical Supplies,1264.49,1264.49,,,0 CDM,27801713_7048525,Noncdm Charge Record Medical Supplies,1264.49,1264.49,,,0 CDM,27801713_7048526,Noncdm Charge Record Medical Supplies,818.73,818.73,,,0 CDM,27801713_7048922,Noncdm Charge Record Medical Supplies,818.73,818.73,,,0 CDM,27801713_7048924,Noncdm Charge Record Medical Supplies,1264.49,1264.49,,,0 CDM,27801713_7048963,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27801713_7048964,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27801713_7048967,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27801713_7049396,Noncdm Charge Record Medical Supplies,2804.97,2804.97,,,0 CDM,27801713_7049402,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27801713_7049403,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7049408,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27801713_7049409,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7049410,Noncdm Charge Record Medical Supplies,479.8,479.8,,,0 CDM,27801713_7049411,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7049412,Noncdm Charge Record Medical Supplies,9629.91,9629.91,,,0 CDM,27801713_7049413,Noncdm Charge Record Medical Supplies,9020.97,9020.97,,,0 CDM,27801713_7049416,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27801713_7049417,Noncdm Charge Record Medical Supplies,8034.96,8034.96,,,0 CDM,27801713_7049548,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27801713_7049550,Noncdm Charge Record Medical Supplies,1507.38,1507.38,,,0 CDM,27801713_7049559,Noncdm Charge Record Medical Supplies,3791.76,3791.76,,,0 CDM,27801713_7049584,Noncdm Charge Record Medical Supplies,7855.47,7855.47,,,0 CDM,27801713_7049585,Noncdm Charge Record Medical Supplies,7855.47,7855.47,,,0 CDM,27801713_7049587,Noncdm Charge Record Medical Supplies,7731.15,7731.15,,,0 CDM,27801713_7049592,Noncdm Charge Record Medical Supplies,435.12,435.12,,,0 CDM,27801713_7049593,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27801713_7049729,Noncdm Charge Record Medical Supplies,1264.49,1264.49,,,0 CDM,27801713_7049730,Noncdm Charge Record Medical Supplies,1264.49,1264.49,,,0 CDM,27801713_7049731,Noncdm Charge Record Medical Supplies,818.73,818.73,,,0 CDM,27801713_7049733,Noncdm Charge Record Medical Supplies,1264.49,1264.49,,,0 CDM,27801713_7049759,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801713_7049785,Noncdm Charge Record Medical Supplies,3846.15,3846.15,,,0 CDM,27801713_7049814,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7049817,Noncdm Charge Record Medical Supplies,4560.99,4560.99,,,0 CDM,27801713_7049820,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27801713_7049821,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7049822,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7050024,Noncdm Charge Record Medical Supplies,1298.88,1298.88,,,0 CDM,27801713_7050042,Noncdm Charge Record Medical Supplies,1171.2,1171.2,,,0 CDM,27801713_7050117,Noncdm Charge Record Medical Supplies,4554.39,4554.39,,,0 CDM,27801713_7050517,Noncdm Charge Record Medical Supplies,2144.52,2144.52,,,0 CDM,27801713_7050556,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27801713_7050605,Noncdm Charge Record Medical Supplies,6651.12,6651.12,,,0 CDM,27801713_7050634,Noncdm Charge Record Medical Supplies,4895.1,4895.1,,,0 CDM,27801713_7050703,Noncdm Charge Record Medical Supplies,1017.87,1017.87,,,0 CDM,27801713_7050711,Noncdm Charge Record Medical Supplies,3861.69,3861.69,,,0 CDM,27801713_7050907,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27801713_7050947,Noncdm Charge Record Medical Supplies,3791.76,3791.76,,,0 CDM,27801713_7050949,Noncdm Charge Record Medical Supplies,3861.69,3861.69,,,0 CDM,27801713_7050963,Noncdm Charge Record Medical Supplies,6759.9,6759.9,,,0 CDM,27801713_7050978,Noncdm Charge Record Medical Supplies,7855.47,7855.47,,,0 CDM,27801713_7050983,Noncdm Charge Record Medical Supplies,7855.47,7855.47,,,0 CDM,27801713_7050990,Noncdm Charge Record Medical Supplies,7855.47,7855.47,,,0 CDM,27801713_7050993,Noncdm Charge Record Medical Supplies,4506.6,4506.6,,,0 CDM,27801713_7051000,Noncdm Charge Record Medical Supplies,1895.88,1895.88,,,0 CDM,27801713_7051005,Noncdm Charge Record Medical Supplies,7855.47,7855.47,,,0 CDM,27801713_7051126,Noncdm Charge Record Medical Supplies,1919.19,1919.19,,,0 CDM,27801713_7051146,Noncdm Charge Record Medical Supplies,10458.42,10458.42,,,0 CDM,27801713_7051149,Noncdm Charge Record Medical Supplies,7855.47,7855.47,,,0 CDM,27801713_7051150,Noncdm Charge Record Medical Supplies,2548.56,2548.56,,,0 CDM,27801713_7051181,Noncdm Charge Record Medical Supplies,7855.47,7855.47,,,0 CDM,27801713_7051182,Noncdm Charge Record Medical Supplies,7606.83,7606.83,,,0 CDM,27801713_7051191,Noncdm Charge Record Medical Supplies,7855.47,7855.47,,,0 CDM,27801713_7051554,Noncdm Charge Record Medical Supplies,1771.56,1771.56,,,0 CDM,27801713_7051559,Noncdm Charge Record Medical Supplies,1771.56,1771.56,,,0 CDM,27801713_7051636,Noncdm Charge Record Medical Supplies,1383.06,1383.06,,,0 CDM,27801713_7052463,Noncdm Charge Record Medical Supplies,802.2,802.2,,,0 CDM,27801713_7052498,Noncdm Charge Record Medical Supplies,1274.28,1274.28,,,0 CDM,27801713_7052511,Noncdm Charge Record Medical Supplies,800.31,800.31,,,0 CDM,27801713_7052526,Noncdm Charge Record Medical Supplies,1274.28,1274.28,,,0 CDM,27801713_7052578,Noncdm Charge Record Medical Supplies,2727.27,2727.27,,,0 CDM,27801713_7052609,Noncdm Charge Record Medical Supplies,512.82,512.82,,,0 CDM,27801713_7052616,Noncdm Charge Record Medical Supplies,1274.28,1274.28,,,0 CDM,27801713_7052623,Noncdm Charge Record Medical Supplies,4708.62,4708.62,,,0 CDM,27801713_7052624,Noncdm Charge Record Medical Supplies,3597.51,3597.51,,,0 CDM,27801713_7052641,Noncdm Charge Record Medical Supplies,1274.28,1274.28,,,0 CDM,27801713_7052647,Noncdm Charge Record Medical Supplies,1409.7,1409.7,,,0 CDM,27801713_7052676,Noncdm Charge Record Medical Supplies,1989.12,1989.12,,,0 CDM,27801713_7052690,Noncdm Charge Record Medical Supplies,1274.28,1274.28,,,0 CDM,27801713_7052703,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7052712,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27801713_7052715,Noncdm Charge Record Medical Supplies,1463.04,1463.04,,,0 CDM,27801713_7052716,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27801713_7052727,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27801713_7052751,Noncdm Charge Record Medical Supplies,1919.19,1919.19,,,0 CDM,27801713_7052762,Noncdm Charge Record Medical Supplies,800.31,800.31,,,0 CDM,27801713_7052763,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27801713_7052765,Noncdm Charge Record Medical Supplies,955.71,955.71,,,0 CDM,27801713_7052804,Noncdm Charge Record Medical Supplies,15501.15,15501.15,,,0 CDM,27801713_7052805,Noncdm Charge Record Medical Supplies,20551.65,20551.65,,,0 CDM,27801713_7052816,Noncdm Charge Record Medical Supplies,1274.28,1274.28,,,0 CDM,27801713_7052822,Noncdm Charge Record Medical Supplies,1274.28,1274.28,,,0 CDM,27801713_7052828,Noncdm Charge Record Medical Supplies,1274.28,1274.28,,,0 CDM,27801713_7052891,Noncdm Charge Record Medical Supplies,3597.51,3597.51,,,0 CDM,27801713_7052946,Noncdm Charge Record Medical Supplies,533.91,533.91,,,0 CDM,27801713_7052969,Noncdm Charge Record Medical Supplies,1274.28,1274.28,,,0 CDM,27801713_7052983,Noncdm Charge Record Medical Supplies,1274.28,1274.28,,,0 CDM,27801713_7052997,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7052998,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7052999,Noncdm Charge Record Medical Supplies,955.71,955.71,,,0 CDM,27801713_7053038,Noncdm Charge Record Medical Supplies,8337.21,8337.21,,,0 CDM,27801713_7053103,Noncdm Charge Record Medical Supplies,2059.05,2059.05,,,0 CDM,27801713_7053324,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801713_7053337,Noncdm Charge Record Medical Supplies,6596.73,6596.73,,,0 CDM,27801713_7053340,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801713_7053345,Noncdm Charge Record Medical Supplies,6254.85,6254.85,,,0 CDM,27801713_7053350,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801713_7053393,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27801713_7053410,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27801713_7053418,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801713_7053421,Noncdm Charge Record Medical Supplies,2222.22,2222.22,,,0 CDM,27801713_7053435,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801713_7053436,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801713_7053438,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801713_7053459,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801713_7053460,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801713_7053479,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801713_7053480,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801713_7053520,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801713_7053545,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801713_7053551,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801713_7053552,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801713_7053553,Noncdm Charge Record Medical Supplies,2222.22,2222.22,,,0 CDM,27801713_7053554,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801713_7053563,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27801713_7053575,Noncdm Charge Record Medical Supplies,5796.42,5796.42,,,0 CDM,27801713_7053576,Noncdm Charge Record Medical Supplies,6254.85,6254.85,,,0 CDM,27801713_7053579,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801713_7053609,Noncdm Charge Record Medical Supplies,9222.99,9222.99,,,0 CDM,27801713_7054067,Noncdm Charge Record Medical Supplies,10735.88,10735.88,,,0 CDM,27801713_7054075,Noncdm Charge Record Medical Supplies,1041.18,1041.18,,,0 CDM,27801713_7054081,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27801713_7054082,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7054093,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27801713_7054094,Noncdm Charge Record Medical Supplies,5835.27,5835.27,,,0 CDM,27801713_7054181,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27801713_7054277,Noncdm Charge Record Medical Supplies,59531.72,59531.72,,,0 CDM,27801713_7054419,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801713_7054710,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801713_7054715,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801713_7054731,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801713_7054918,Noncdm Charge Record Medical Supplies,818.73,818.73,,,0 CDM,27801713_7054919,Noncdm Charge Record Medical Supplies,818.73,818.73,,,0 CDM,27801713_7054949,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7054956,Noncdm Charge Record Medical Supplies,10472.02,10472.02,,,0 CDM,27801713_7054975,Noncdm Charge Record Medical Supplies,644.91,644.91,,,0 CDM,27801713_7054977,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27801713_7054979,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27801713_7054985,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27801713_7054987,Noncdm Charge Record Medical Supplies,7187.25,7187.25,,,0 CDM,27801713_7054990,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27801713_7054991,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7054992,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27801713_7054993,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7054995,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27801713_7054996,Noncdm Charge Record Medical Supplies,6410.25,6410.25,,,0 CDM,27801713_7055490,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7055717,Noncdm Charge Record Medical Supplies,2082.36,2082.36,,,0 CDM,27801713_7055743,Noncdm Charge Record Medical Supplies,1662.78,1662.78,,,0 CDM,27801713_7055904,Noncdm Charge Record Medical Supplies,1569.54,1569.54,,,0 CDM,27801713_7055916,Noncdm Charge Record Medical Supplies,1585.08,1585.08,,,0 CDM,27801713_7056582,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27801713_7056584,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27801713_7056619,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27801713_7056703,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27801713_7056705,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27801713_7056733,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27801713_7057747,Noncdm Charge Record Medical Supplies,5322.45,5322.45,,,0 CDM,27801713_7057774,Noncdm Charge Record Medical Supplies,5322.45,5322.45,,,0 CDM,27801713_7057865,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7057867,Noncdm Charge Record Medical Supplies,1849.26,1849.26,,,0 CDM,27801713_7057870,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7057873,Noncdm Charge Record Medical Supplies,9145.29,9145.29,,,0 CDM,27801713_7057875,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7057877,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7057878,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7057881,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7057883,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7057884,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7057885,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7057886,Noncdm Charge Record Medical Supplies,1849.26,1849.26,,,0 CDM,27801713_7057887,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7057888,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7057894,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7057895,Noncdm Charge Record Medical Supplies,9751.35,9751.35,,,0 CDM,27801713_7057896,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7057903,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27801713_7057905,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27801713_7057906,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7057908,Noncdm Charge Record Medical Supplies,3434.34,3434.34,,,0 CDM,27801713_7057909,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7057910,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7057913,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7057917,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7057919,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7057921,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7057923,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7057924,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7057925,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7057930,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7057931,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7057934,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7057936,Noncdm Charge Record Medical Supplies,2012.43,2012.43,,,0 CDM,27801713_7057939,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7057941,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7057942,Noncdm Charge Record Medical Supplies,9355.08,9355.08,,,0 CDM,27801713_7057943,Noncdm Charge Record Medical Supplies,8469.3,8469.3,,,0 CDM,27801713_7057945,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7057946,Noncdm Charge Record Medical Supplies,1849.26,1849.26,,,0 CDM,27801713_7057948,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7057949,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7057950,Noncdm Charge Record Medical Supplies,8725.71,8725.71,,,0 CDM,27801713_7057952,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7057954,Noncdm Charge Record Medical Supplies,652.16,652.16,,,0 CDM,27801713_7057956,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7057960,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7057961,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7057966,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7057967,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7057968,Noncdm Charge Record Medical Supplies,233.1,233.1,,,0 CDM,27801713_7057969,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7057970,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7057973,Noncdm Charge Record Medical Supplies,233.1,233.1,,,0 CDM,27801713_7057976,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27801713_7057977,Noncdm Charge Record Medical Supplies,8975.9,8975.9,,,0 CDM,27801713_7057978,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7057985,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7057986,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7057987,Noncdm Charge Record Medical Supplies,7897.43,7897.43,,,0 CDM,27801713_7057988,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7057991,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7057992,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7057995,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058001,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058005,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7058006,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7058007,Noncdm Charge Record Medical Supplies,2012.43,2012.43,,,0 CDM,27801713_7058008,Noncdm Charge Record Medical Supplies,1849.26,1849.26,,,0 CDM,27801713_7058009,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7058010,Noncdm Charge Record Medical Supplies,1849.26,1849.26,,,0 CDM,27801713_7058014,Noncdm Charge Record Medical Supplies,7956.48,7956.48,,,0 CDM,27801713_7058016,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7058017,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7058018,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7058019,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7058020,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7058022,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7058025,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7058030,Noncdm Charge Record Medical Supplies,2478.63,2478.63,,,0 CDM,27801713_7058031,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7058033,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7058035,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7058036,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7058040,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7058041,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058042,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058043,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058047,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058049,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058050,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058053,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058054,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058058,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058059,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7058061,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7058064,Noncdm Charge Record Medical Supplies,8725.71,8725.71,,,0 CDM,27801713_7058068,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7058070,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7058073,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7058075,Noncdm Charge Record Medical Supplies,233.1,233.1,,,0 CDM,27801713_7058076,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7058077,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7058079,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7058081,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7058085,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058087,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7058088,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7058092,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7058097,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058101,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7058102,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7058104,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7058105,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7058110,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7058111,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7058112,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7058113,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7058114,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7058121,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7058122,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27801713_7058123,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7058129,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058133,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058137,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7058142,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058144,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7058146,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7058147,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7058150,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058157,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7058158,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058159,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058160,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058162,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801713_7058195,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058197,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058198,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058199,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058208,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058209,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058210,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058218,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058219,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058220,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058237,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058240,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058241,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058242,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058247,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058380,Noncdm Charge Record Medical Supplies,868.37,868.37,,,0 CDM,27801713_7058448,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058457,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7058458,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27801713_7058460,Noncdm Charge Record Medical Supplies,3480.96,3480.96,,,0 CDM,27801713_7058466,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7058469,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058470,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7058471,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7058472,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7058474,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7058475,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058476,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7058478,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7058479,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7058480,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058481,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058482,Noncdm Charge Record Medical Supplies,13022.52,13022.52,,,0 CDM,27801713_7058483,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7058484,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7058485,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7058486,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7058488,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7058489,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058490,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7058491,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7058493,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058494,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7058496,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7058500,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7058502,Noncdm Charge Record Medical Supplies,12766.11,12766.11,,,0 CDM,27801713_7058537,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27801713_7058558,Noncdm Charge Record Medical Supplies,846.93,846.93,,,0 CDM,27801713_7058570,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27801713_7058571,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7058575,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27801713_7058576,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27801713_7058581,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27801713_7058584,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7058587,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7058660,Noncdm Charge Record Medical Supplies,2797.2,2797.2,,,0 CDM,27801713_7058673,Noncdm Charge Record Medical Supplies,2797.2,2797.2,,,0 CDM,27801713_7058713,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27801713_7058733,Noncdm Charge Record Medical Supplies,2797.2,2797.2,,,0 CDM,27801713_7058771,Noncdm Charge Record Medical Supplies,2797.2,2797.2,,,0 CDM,27801713_7058778,Noncdm Charge Record Medical Supplies,543.9,543.9,,,0 CDM,27801713_7062547,Noncdm Charge Record Medical Supplies,9308.46,9308.46,,,0 CDM,27801713_7062560,Noncdm Charge Record Medical Supplies,9852.36,9852.36,,,0 CDM,27801713_7062568,Noncdm Charge Record Medical Supplies,9580.41,9580.41,,,0 CDM,27801713_7062569,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7062591,Noncdm Charge Record Medical Supplies,2808.86,2808.86,,,0 CDM,27801713_7062596,Noncdm Charge Record Medical Supplies,9308.46,9308.46,,,0 CDM,27801713_7062625,Noncdm Charge Record Medical Supplies,378.79,378.79,,,0 CDM,27801713_7062635,Noncdm Charge Record Medical Supplies,10031.07,10031.07,,,0 CDM,27801713_7062757,Noncdm Charge Record Medical Supplies,1349.76,1349.76,,,0 CDM,27801713_7062771,Noncdm Charge Record Medical Supplies,1732.71,1732.71,,,0 CDM,27801713_7062792,Noncdm Charge Record Medical Supplies,4032.63,4032.63,,,0 CDM,27801713_7062797,Noncdm Charge Record Medical Supplies,2206.68,2206.68,,,0 CDM,27801713_7062856,Noncdm Charge Record Medical Supplies,3123.54,3123.54,,,0 CDM,27801713_7062870,Noncdm Charge Record Medical Supplies,4576.53,4576.53,,,0 CDM,27801713_7062922,Noncdm Charge Record Medical Supplies,3123.54,3123.54,,,0 CDM,27801713_7062952,Noncdm Charge Record Medical Supplies,1326.08,1326.08,,,0 CDM,27801713_7065015,Noncdm Charge Record Medical Supplies,9999.99,9999.99,,,0 CDM,27801713_7065306,Noncdm Charge Record Medical Supplies,13100.22,13100.22,,,0 CDM,27801713_7065588,Noncdm Charge Record Medical Supplies,13100.22,13100.22,,,0 CDM,27801713_7065604,Noncdm Charge Record Medical Supplies,13100.22,13100.22,,,0 CDM,27801713_7065699,Noncdm Charge Record Medical Supplies,9999.99,9999.99,,,0 CDM,27801713_7065721,Noncdm Charge Record Medical Supplies,8065.26,8065.26,,,0 CDM,27801713_7065735,Noncdm Charge Record Medical Supplies,8065.26,8065.26,,,0 CDM,27801713_7065806,Noncdm Charge Record Medical Supplies,13100.22,13100.22,,,0 CDM,27801713_7065824,Noncdm Charge Record Medical Supplies,13100.22,13100.22,,,0 CDM,27801713_7065889,Noncdm Charge Record Medical Supplies,13100.22,13100.22,,,0 CDM,27801713_7066034,Noncdm Charge Record Medical Supplies,1608.39,1608.39,,,0 CDM,27801713_7066204,Noncdm Charge Record Medical Supplies,9999.99,9999.99,,,0 CDM,27801713_7066284,Noncdm Charge Record Medical Supplies,8065.26,8065.26,,,0 CDM,27801713_7066337,Noncdm Charge Record Medical Supplies,8065.26,8065.26,,,0 CDM,27801713_7066469,Noncdm Charge Record Medical Supplies,9999.99,9999.99,,,0 CDM,27801713_7066609,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7066628,Noncdm Charge Record Medical Supplies,3720.28,3720.28,,,0 CDM,27801713_7066706,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27801713_7066860,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7066914,Noncdm Charge Record Medical Supplies,3480.96,3480.96,,,0 CDM,27801713_7067063,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7067085,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7067119,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7067131,Noncdm Charge Record Medical Supplies,9121.98,9121.98,,,0 CDM,27801713_7067160,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7067161,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7067175,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7067179,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7067233,Noncdm Charge Record Medical Supplies,3480.96,3480.96,,,0 CDM,27801713_7067234,Noncdm Charge Record Medical Supplies,7925.4,7925.4,,,0 CDM,27801713_7067357,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7067396,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7067410,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7067476,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27801713_7067484,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7067502,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7067503,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7067532,Noncdm Charge Record Medical Supplies,1013.21,1013.21,,,0 CDM,27801713_7067649,Noncdm Charge Record Medical Supplies,3480.96,3480.96,,,0 CDM,27801713_7067673,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7067674,Noncdm Charge Record Medical Supplies,3384.61,3384.61,,,0 CDM,27801713_7067677,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7067681,Noncdm Charge Record Medical Supplies,739.7,739.7,,,0 CDM,27801713_7067723,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7067735,Noncdm Charge Record Medical Supplies,167.83,167.83,,,0 CDM,27801713_7067777,Noncdm Charge Record Medical Supplies,567.21,567.21,,,0 CDM,27801713_7067788,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7067932,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7067968,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27801713_7067987,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7068004,Noncdm Charge Record Medical Supplies,7925.4,7925.4,,,0 CDM,27801713_7068059,Noncdm Charge Record Medical Supplies,3720.28,3720.28,,,0 CDM,27801713_7068075,Noncdm Charge Record Medical Supplies,8212.89,8212.89,,,0 CDM,27801713_7068086,Noncdm Charge Record Medical Supplies,167.83,167.83,,,0 CDM,27801713_7068104,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7068162,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27801713_7068309,Noncdm Charge Record Medical Supplies,3480.96,3480.96,,,0 CDM,27801713_7068310,Noncdm Charge Record Medical Supplies,3480.96,3480.96,,,0 CDM,27801713_7068315,Noncdm Charge Record Medical Supplies,8212.89,8212.89,,,0 CDM,27801713_7068348,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27801713_7068423,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7068478,Noncdm Charge Record Medical Supplies,1003.88,1003.88,,,0 CDM,27801713_7068513,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7068514,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7068518,Noncdm Charge Record Medical Supplies,1418.02,1418.02,,,0 CDM,27801713_7068525,Noncdm Charge Record Medical Supplies,124.32,124.32,,,0 CDM,27801713_7068547,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7068606,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7068614,Noncdm Charge Record Medical Supplies,4700.85,4700.85,,,0 CDM,27801713_7068622,Noncdm Charge Record Medical Supplies,1434.34,1434.34,,,0 CDM,27801713_7068641,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7068642,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7068649,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27801713_7068650,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7068659,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7068660,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7068661,Noncdm Charge Record Medical Supplies,7117.32,7117.32,,,0 CDM,27801713_7068664,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7068691,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7068705,Noncdm Charge Record Medical Supplies,13100.22,13100.22,,,0 CDM,27801713_7068738,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7068769,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7068773,Noncdm Charge Record Medical Supplies,3947.16,3947.16,,,0 CDM,27801713_7068787,Noncdm Charge Record Medical Supplies,2595.18,2595.18,,,0 CDM,27801713_7068794,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7068796,Noncdm Charge Record Medical Supplies,1357.96,1357.96,,,0 CDM,27801713_7068799,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7068809,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27801713_7068830,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27801713_7068846,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27801713_7068852,Noncdm Charge Record Medical Supplies,1546.23,1546.23,,,0 CDM,27801713_7068856,Noncdm Charge Record Medical Supplies,1062.94,1062.94,,,0 CDM,27801713_7068861,Noncdm Charge Record Medical Supplies,2012.43,2012.43,,,0 CDM,27801713_7068884,Noncdm Charge Record Medical Supplies,9401.7,9401.7,,,0 CDM,27801713_7068889,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7068890,Noncdm Charge Record Medical Supplies,1353.71,1353.71,,,0 CDM,27801713_7068893,Noncdm Charge Record Medical Supplies,7824.39,7824.39,,,0 CDM,27801713_7068902,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7068903,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7068924,Noncdm Charge Record Medical Supplies,1491.84,1491.84,,,0 CDM,27801713_7068944,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7068945,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7068953,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27801713_7068957,Noncdm Charge Record Medical Supplies,1491.84,1491.84,,,0 CDM,27801713_7068971,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7068972,Noncdm Charge Record Medical Supplies,1491.84,1491.84,,,0 CDM,27801713_7068986,Noncdm Charge Record Medical Supplies,1392.38,1392.38,,,0 CDM,27801713_7068988,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7069008,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7069018,Noncdm Charge Record Medical Supplies,4444.44,4444.44,,,0 CDM,27801713_7069029,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7069042,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7069046,Noncdm Charge Record Medical Supplies,1353.71,1353.71,,,0 CDM,27801713_7069062,Noncdm Charge Record Medical Supplies,458.43,458.43,,,0 CDM,27801713_7069066,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7069068,Noncdm Charge Record Medical Supplies,1546.23,1546.23,,,0 CDM,27801713_7069082,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27801713_7069095,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7069107,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7069132,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27801713_7069177,Noncdm Charge Record Medical Supplies,11282.04,11282.04,,,0 CDM,27801713_7069179,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7069184,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7069186,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7069187,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7069188,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7069211,Noncdm Charge Record Medical Supplies,1761.85,1761.85,,,0 CDM,27801713_7069215,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7069216,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7069224,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27801713_7069257,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7069268,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7069305,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7069317,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7069389,Noncdm Charge Record Medical Supplies,9401.7,9401.7,,,0 CDM,27801713_7069422,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27801713_7069434,Noncdm Charge Record Medical Supplies,12494.16,12494.16,,,0 CDM,27801713_7069454,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27801713_7069497,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27801713_7069537,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7069545,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7069577,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7069608,Noncdm Charge Record Medical Supplies,1292.93,1292.93,,,0 CDM,27801713_7069654,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7069655,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7069668,Noncdm Charge Record Medical Supplies,10334.1,10334.1,,,0 CDM,27801713_7069689,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7069708,Noncdm Charge Record Medical Supplies,10536.12,10536.12,,,0 CDM,27801713_7069735,Noncdm Charge Record Medical Supplies,1367.52,1367.52,,,0 CDM,27801713_7069756,Noncdm Charge Record Medical Supplies,1326.08,1326.08,,,0 CDM,27801713_7069788,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7069789,Noncdm Charge Record Medical Supplies,1934.73,1934.73,,,0 CDM,27801713_7069792,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7069827,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7069832,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7069837,Noncdm Charge Record Medical Supplies,10334.1,10334.1,,,0 CDM,27801713_7069838,Noncdm Charge Record Medical Supplies,10536.12,10536.12,,,0 CDM,27801713_7069840,Noncdm Charge Record Medical Supplies,12229.98,12229.98,,,0 CDM,27801713_7069846,Noncdm Charge Record Medical Supplies,916.86,916.86,,,0 CDM,27801713_7069860,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7069878,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7069879,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7069880,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7069910,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27801713_7069919,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7069933,Noncdm Charge Record Medical Supplies,209.79,209.79,,,0 CDM,27801713_7069940,Noncdm Charge Record Medical Supplies,3947.16,3947.16,,,0 CDM,27801713_7069951,Noncdm Charge Record Medical Supplies,7117.32,7117.32,,,0 CDM,27801713_7069986,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7069987,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7069990,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7069994,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7070003,Noncdm Charge Record Medical Supplies,4963.48,4963.48,,,0 CDM,27801713_7070041,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7070042,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7070043,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7070058,Noncdm Charge Record Medical Supplies,1429.68,1429.68,,,0 CDM,27801713_7070060,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7070070,Noncdm Charge Record Medical Supplies,3947.16,3947.16,,,0 CDM,27801713_7070095,Noncdm Charge Record Medical Supplies,1243.2,1243.2,,,0 CDM,27801713_7070103,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7070121,Noncdm Charge Record Medical Supplies,1546.23,1546.23,,,0 CDM,27801713_7070130,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7070140,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7070156,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7070198,Noncdm Charge Record Medical Supplies,9145.29,9145.29,,,0 CDM,27801713_7070199,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27801713_7070203,Noncdm Charge Record Medical Supplies,12494.16,12494.16,,,0 CDM,27801713_7070205,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7070221,Noncdm Charge Record Medical Supplies,1289.82,1289.82,,,0 CDM,27801713_7070692,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27801713_7070693,Noncdm Charge Record Medical Supplies,1048.95,1048.95,,,0 CDM,27801713_7070694,Noncdm Charge Record Medical Supplies,1048.95,1048.95,,,0 CDM,27801713_7070704,Noncdm Charge Record Medical Supplies,12424.23,12424.23,,,0 CDM,27801713_7070826,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27801713_7070827,Noncdm Charge Record Medical Supplies,1048.95,1048.95,,,0 CDM,27801713_7070828,Noncdm Charge Record Medical Supplies,1048.95,1048.95,,,0 CDM,27801713_7070839,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27801713_7070966,Noncdm Charge Record Medical Supplies,11010.09,11010.09,,,0 CDM,27801713_7070975,Noncdm Charge Record Medical Supplies,11010.09,11010.09,,,0 CDM,27801713_7071060,Noncdm Charge Record Medical Supplies,1048.95,1048.95,,,0 CDM,27801713_7071069,Noncdm Charge Record Medical Supplies,699.65,699.65,,,0 CDM,27801713_7071070,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27801713_7071151,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27801713_7071269,Noncdm Charge Record Medical Supplies,1048.95,1048.95,,,0 CDM,27801713_7071270,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27801713_7071271,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27801713_7071322,Noncdm Charge Record Medical Supplies,1048.95,1048.95,,,0 CDM,27801713_7071325,Noncdm Charge Record Medical Supplies,1048.95,1048.95,,,0 CDM,27801713_7071343,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7071481,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27801713_7072857,Noncdm Charge Record Medical Supplies,9044.28,9044.28,,,0 CDM,27801713_7072858,Noncdm Charge Record Medical Supplies,543.9,543.9,,,0 CDM,27801713_7072859,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27801713_7072867,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7073735,Noncdm Charge Record Medical Supplies,5905.2,5905.2,,,0 CDM,27801713_7073737,Noncdm Charge Record Medical Supplies,5874.12,5874.12,,,0 CDM,27801713_7073890,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7073911,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7073917,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7073918,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7074008,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7074009,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7074011,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7074039,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7074052,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7074062,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7074063,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7074163,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7074165,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7074195,Noncdm Charge Record Medical Supplies,5885.78,5885.78,,,0 CDM,27801713_7074198,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7074199,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7074200,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7074889,Noncdm Charge Record Medical Supplies,200.47,200.47,,,0 CDM,27801713_7074911,Noncdm Charge Record Medical Supplies,1656.56,1656.56,,,0 CDM,27801713_7074925,Noncdm Charge Record Medical Supplies,363.97,363.97,,,0 CDM,27801713_7074929,Noncdm Charge Record Medical Supplies,341.12,341.12,,,0 CDM,27801713_7074931,Noncdm Charge Record Medical Supplies,1560.99,1560.99,,,0 CDM,27801713_7074935,Noncdm Charge Record Medical Supplies,1656.56,1656.56,,,0 CDM,27801713_7074942,Noncdm Charge Record Medical Supplies,1193.66,1193.66,,,0 CDM,27801713_7074946,Noncdm Charge Record Medical Supplies,297.44,297.44,,,0 CDM,27801713_7074949,Noncdm Charge Record Medical Supplies,14256.67,14256.67,,,0 CDM,27801713_7074957,Noncdm Charge Record Medical Supplies,1624.71,1624.71,,,0 CDM,27801713_7074963,Noncdm Charge Record Medical Supplies,1656.56,1656.56,,,0 CDM,27801713_7075689,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27801713_7075701,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7075715,Noncdm Charge Record Medical Supplies,11616.15,11616.15,,,0 CDM,27801713_7075730,Noncdm Charge Record Medical Supplies,1656.56,1656.56,,,0 CDM,27801713_7075732,Noncdm Charge Record Medical Supplies,2525.25,2525.25,,,0 CDM,27801713_7075734,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27801713_7075736,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27801713_7075762,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7075768,Noncdm Charge Record Medical Supplies,885.78,885.78,,,0 CDM,27801713_7075771,Noncdm Charge Record Medical Supplies,13103.64,13103.64,,,0 CDM,27801713_7076048,Noncdm Charge Record Medical Supplies,5192.84,5192.84,,,0 CDM,27801713_7076058,Noncdm Charge Record Medical Supplies,1236.67,1236.67,,,0 CDM,27801713_7076065,Noncdm Charge Record Medical Supplies,28438.2,28438.2,,,0 CDM,27801713_7076304,Noncdm Charge Record Medical Supplies,10984.61,10984.61,,,0 CDM,27801713_7076315,Noncdm Charge Record Medical Supplies,644.91,644.91,,,0 CDM,27801713_7076316,Noncdm Charge Record Medical Supplies,8352.75,8352.75,,,0 CDM,27801713_7076322,Noncdm Charge Record Medical Supplies,543.9,543.9,,,0 CDM,27801713_7076323,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27801713_7076324,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27801713_7076329,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27801713_7076330,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27801713_7076331,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27801713_7076332,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27801713_7076335,Noncdm Charge Record Medical Supplies,9790.2,9790.2,,,0 CDM,27801713_7076339,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27801713_7076341,Noncdm Charge Record Medical Supplies,543.9,543.9,,,0 CDM,27801713_7076343,Noncdm Charge Record Medical Supplies,543.9,543.9,,,0 CDM,27801713_7076345,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27801713_7076346,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27801713_7076378,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27801713_7076383,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27801713_7076397,Noncdm Charge Record Medical Supplies,11616.15,11616.15,,,0 CDM,27801713_7076398,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27801713_7076399,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 CDM,27801713_7076400,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27801713_7076402,Noncdm Charge Record Medical Supplies,9160.83,9160.83,,,0 CDM,27801713_7076407,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27801713_7077106,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801713_7077211,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27801713_7077396,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27801713_7077419,Noncdm Charge Record Medical Supplies,3266.31,3266.31,,,0 CDM,27801713_7077488,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27801713_7077503,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27801713_7077506,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27801713_7077530,Noncdm Charge Record Medical Supplies,2999.22,2999.22,,,0 CDM,27801713_7077554,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7077610,Noncdm Charge Record Medical Supplies,3278.94,3278.94,,,0 CDM,27801713_7077625,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7077668,Noncdm Charge Record Medical Supplies,29526.0,29526.0,,,0 CDM,27801713_7078290,Noncdm Charge Record Medical Supplies,3682.98,3682.98,,,0 CDM,27801713_7078322,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27801713_7079072,Noncdm Charge Record Medical Supplies,1204.35,1204.35,,,0 CDM,27801713_7079552,Noncdm Charge Record Medical Supplies,8857.8,8857.8,,,0 CDM,27801713_7079798,Noncdm Charge Record Medical Supplies,2773.29,2773.29,,,0 CDM,27801713_7079881,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7080051,Noncdm Charge Record Medical Supplies,1298.99,1298.99,,,0 CDM,27801713_7081481,Noncdm Charge Record Medical Supplies,16596.72,16596.72,,,0 CDM,27801713_7081683,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7081701,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7081706,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7081712,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7081715,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7081727,Noncdm Charge Record Medical Supplies,7575.75,7575.75,,,0 CDM,27801713_7081737,Noncdm Charge Record Medical Supplies,6134.03,6134.03,,,0 CDM,27801713_7081738,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7081759,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7081773,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7081798,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7081806,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7081821,Noncdm Charge Record Medical Supplies,7575.75,7575.75,,,0 CDM,27801713_7081877,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7081878,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7081883,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7081884,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7081885,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7081886,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7081887,Noncdm Charge Record Medical Supplies,4995.02,4995.02,,,0 CDM,27801713_7081888,Noncdm Charge Record Medical Supplies,4871.73,4871.73,,,0 CDM,27801713_7081952,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7081953,Noncdm Charge Record Medical Supplies,6632.57,6632.57,,,0 CDM,27801713_7081954,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7081993,Noncdm Charge Record Medical Supplies,4761.92,4761.92,,,0 CDM,27801713_7082003,Noncdm Charge Record Medical Supplies,4699.04,4699.04,,,0 CDM,27801713_7082020,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082032,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082050,Noncdm Charge Record Medical Supplies,4876.45,4876.45,,,0 CDM,27801713_7082051,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082109,Noncdm Charge Record Medical Supplies,818.73,818.73,,,0 CDM,27801713_7082152,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7082153,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7082178,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27801713_7082280,Noncdm Charge Record Medical Supplies,4908.7,4908.7,,,0 CDM,27801713_7082466,Noncdm Charge Record Medical Supplies,4908.7,4908.7,,,0 CDM,27801713_7082474,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082481,Noncdm Charge Record Medical Supplies,4751.44,4751.44,,,0 CDM,27801713_7082484,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082491,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082496,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082498,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082501,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082509,Noncdm Charge Record Medical Supplies,5173.85,5173.85,,,0 CDM,27801713_7082513,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27801713_7082517,Noncdm Charge Record Medical Supplies,4699.04,4699.04,,,0 CDM,27801713_7082518,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082523,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082531,Noncdm Charge Record Medical Supplies,4753.99,4753.99,,,0 CDM,27801713_7082535,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082538,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27801713_7082544,Noncdm Charge Record Medical Supplies,4688.56,4688.56,,,0 CDM,27801713_7082859,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801713_7082865,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27801713_7082870,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082871,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082873,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082876,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082879,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082880,Noncdm Charge Record Medical Supplies,5173.85,5173.85,,,0 CDM,27801713_7082885,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27801713_7082894,Noncdm Charge Record Medical Supplies,5173.85,5173.85,,,0 CDM,27801713_7082895,Noncdm Charge Record Medical Supplies,5332.94,5332.94,,,0 CDM,27801713_7082899,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082900,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27801713_7082903,Noncdm Charge Record Medical Supplies,4620.43,4620.43,,,0 CDM,27801713_7082904,Noncdm Charge Record Medical Supplies,4541.82,4541.82,,,0 CDM,27801713_7082905,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082909,Noncdm Charge Record Medical Supplies,4908.7,4908.7,,,0 CDM,27801713_7082914,Noncdm Charge Record Medical Supplies,1318.39,1318.39,,,0 CDM,27801713_7082922,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27801713_7082930,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27801713_7082942,Noncdm Charge Record Medical Supplies,5306.42,5306.42,,,0 CDM,27801713_7082946,Noncdm Charge Record Medical Supplies,5283.6,5283.6,,,0 CDM,27801713_7082947,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082948,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27801713_7082949,Noncdm Charge Record Medical Supplies,5173.85,5173.85,,,0 CDM,27801713_7082950,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27801713_7082951,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27801713_7082958,Noncdm Charge Record Medical Supplies,6665.49,6665.49,,,0 CDM,27801713_7082964,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082966,Noncdm Charge Record Medical Supplies,4699.04,4699.04,,,0 CDM,27801713_7082972,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082978,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082990,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7082993,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27801713_7082995,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7083004,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7083011,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27801713_7083017,Noncdm Charge Record Medical Supplies,14475.12,14475.12,,,0 CDM,27801713_7083018,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7083019,Noncdm Charge Record Medical Supplies,385.41,385.41,,,0 CDM,27801713_7083029,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27801713_7083044,Noncdm Charge Record Medical Supplies,1314.94,1314.94,,,0 CDM,27801713_7083045,Noncdm Charge Record Medical Supplies,4384.61,4384.61,,,0 CDM,27801713_7083046,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7083056,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801713_7083062,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7083063,Noncdm Charge Record Medical Supplies,4384.61,4384.61,,,0 CDM,27801713_7083065,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27801713_7083069,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7083071,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7083073,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7083081,Noncdm Charge Record Medical Supplies,5283.6,5283.6,,,0 CDM,27801713_7083082,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7083086,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7083094,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27801713_7083097,Noncdm Charge Record Medical Supplies,1309.34,1309.34,,,0 CDM,27801713_7083098,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27801713_7083113,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27801713_7083144,Noncdm Charge Record Medical Supplies,6421.28,6421.28,,,0 CDM,27801713_7084896,Noncdm Charge Record Medical Supplies,549.27,549.27,,,0 CDM,27801713_7084897,Noncdm Charge Record Medical Supplies,502.33,502.33,,,0 CDM,27801713_7084899,Noncdm Charge Record Medical Supplies,502.33,502.33,,,0 CDM,27801713_7088619,Noncdm Charge Record Medical Supplies,345.92,345.92,,,0 CDM,27801713_7088630,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27801713_7088631,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27801713_7090525,Noncdm Charge Record Medical Supplies,1048.95,1048.95,,,0 CDM,27801713_7090666,Noncdm Charge Record Medical Supplies,346.1,346.1,,,0 CDM,27801713_7090670,Noncdm Charge Record Medical Supplies,315.02,315.02,,,0 CDM,27801713_7090672,Noncdm Charge Record Medical Supplies,11007.44,11007.44,,,0 CDM,27801713_7090674,Noncdm Charge Record Medical Supplies,5212.12,5212.12,,,0 CDM,27801713_7090684,Noncdm Charge Record Medical Supplies,306.25,306.25,,,0 CDM,27801713_7090685,Noncdm Charge Record Medical Supplies,10878.0,10878.0,,,0 CDM,27801713_7090686,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27801713_7090690,Noncdm Charge Record Medical Supplies,5835.27,5835.27,,,0 CDM,27801713_7090697,Noncdm Charge Record Medical Supplies,345.92,345.92,,,0 CDM,27801713_7090699,Noncdm Charge Record Medical Supplies,370.63,370.63,,,0 CDM,27801713_7090701,Noncdm Charge Record Medical Supplies,5445.22,5445.22,,,0 CDM,27801713_7090706,Noncdm Charge Record Medical Supplies,345.94,345.94,,,0 CDM,27801713_7090707,Noncdm Charge Record Medical Supplies,345.92,345.92,,,0 CDM,27801713_7090709,Noncdm Charge Record Medical Supplies,345.92,345.92,,,0 CDM,27801713_7090721,Noncdm Charge Record Medical Supplies,1344.21,1344.21,,,0 CDM,27801713_7090730,Noncdm Charge Record Medical Supplies,15697.5,15697.5,,,0 CDM,27801713_7090733,Noncdm Charge Record Medical Supplies,333.8,333.8,,,0 CDM,27801713_7090737,Noncdm Charge Record Medical Supplies,18653.83,18653.83,,,0 CDM,27801713_7090740,Noncdm Charge Record Medical Supplies,11007.44,11007.44,,,0 CDM,27801713_7090754,Noncdm Charge Record Medical Supplies,370.63,370.63,,,0 CDM,27801713_7090761,Noncdm Charge Record Medical Supplies,11007.44,11007.44,,,0 CDM,27801713_7090762,Noncdm Charge Record Medical Supplies,1564.68,1564.68,,,0 CDM,27801713_7090763,Noncdm Charge Record Medical Supplies,11007.44,11007.44,,,0 CDM,27801713_7090764,Noncdm Charge Record Medical Supplies,1560.99,1560.99,,,0 CDM,27801713_7090767,Noncdm Charge Record Medical Supplies,8741.25,8741.25,,,0 CDM,27801713_7090775,Noncdm Charge Record Medical Supplies,5594.15,5594.15,,,0 CDM,27801713_7090785,Noncdm Charge Record Medical Supplies,370.63,370.63,,,0 CDM,27801713_7090786,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27801713_7090791,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27801713_7090794,Noncdm Charge Record Medical Supplies,1560.99,1560.99,,,0 CDM,27801713_7091097,Noncdm Charge Record Medical Supplies,2525.25,2525.25,,,0 CDM,27801713_7091107,Noncdm Charge Record Medical Supplies,2758.35,2758.35,,,0 CDM,27801713_7091117,Noncdm Charge Record Medical Supplies,2641.8,2641.8,,,0 CDM,27801713_7091258,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7091260,Noncdm Charge Record Medical Supplies,7575.75,7575.75,,,0 CDM,27801713_7091268,Noncdm Charge Record Medical Supplies,895.28,895.28,,,0 CDM,27801713_7091275,Noncdm Charge Record Medical Supplies,10139.85,10139.85,,,0 CDM,27801713_7091286,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7091287,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7091307,Noncdm Charge Record Medical Supplies,28757.88,28757.88,,,0 CDM,27801713_7091321,Noncdm Charge Record Medical Supplies,379.68,379.68,,,0 CDM,27801713_7091330,Noncdm Charge Record Medical Supplies,13788.92,13788.92,,,0 CDM,27801713_7091361,Noncdm Charge Record Medical Supplies,1437.45,1437.45,,,0 CDM,27801713_7091364,Noncdm Charge Record Medical Supplies,22851.57,22851.57,,,0 CDM,27801713_7091373,Noncdm Charge Record Medical Supplies,19036.5,19036.5,,,0 CDM,27801713_7091375,Noncdm Charge Record Medical Supplies,379.95,379.95,,,0 CDM,27801713_7091379,Noncdm Charge Record Medical Supplies,3410.25,3410.25,,,0 CDM,27801713_7091618,Noncdm Charge Record Medical Supplies,5910.56,5910.56,,,0 CDM,27801713_7091621,Noncdm Charge Record Medical Supplies,1284.38,1284.38,,,0 CDM,27801713_7091637,Noncdm Charge Record Medical Supplies,1212.12,1212.12,,,0 CDM,27801713_7091642,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27801713_7091701,Noncdm Charge Record Medical Supplies,1239.78,1239.78,,,0 CDM,27801713_7091702,Noncdm Charge Record Medical Supplies,1298.99,1298.99,,,0 CDM,27801713_7091714,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27801713_7091749,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27801713_7091772,Noncdm Charge Record Medical Supplies,10295.02,10295.02,,,0 CDM,27801713_7091779,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7091781,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7091787,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27801713_7091788,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7091807,Noncdm Charge Record Medical Supplies,141701.49,141701.49,,,0 CDM,27801713_7091809,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27801713_7091812,Noncdm Charge Record Medical Supplies,4001.55,4001.55,,,0 CDM,27801713_7091816,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7091818,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7091819,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7091822,Noncdm Charge Record Medical Supplies,2745.4,2745.4,,,0 CDM,27801713_7091823,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7091829,Noncdm Charge Record Medical Supplies,4001.55,4001.55,,,0 CDM,27801713_7091837,Noncdm Charge Record Medical Supplies,10295.02,10295.02,,,0 CDM,27801713_7091846,Noncdm Charge Record Medical Supplies,1017.09,1017.09,,,0 CDM,27801713_7091857,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7091858,Noncdm Charge Record Medical Supplies,2797.2,2797.2,,,0 CDM,27801713_7091859,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7091871,Noncdm Charge Record Medical Supplies,6604.5,6604.5,,,0 CDM,27801713_7091873,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27801713_7091874,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7091875,Noncdm Charge Record Medical Supplies,2797.2,2797.2,,,0 CDM,27801713_7091880,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801713_7091883,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7091896,Noncdm Charge Record Medical Supplies,11616.15,11616.15,,,0 CDM,27801713_7091903,Noncdm Charge Record Medical Supplies,2790.72,2790.72,,,0 CDM,27801713_7091907,Noncdm Charge Record Medical Supplies,3224.55,3224.55,,,0 CDM,27801713_7091924,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7091926,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27801713_7091928,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7092116,Noncdm Charge Record Medical Supplies,5283.6,5283.6,,,0 CDM,27801713_7092497,Noncdm Charge Record Medical Supplies,3613.05,3613.05,,,0 CDM,27801713_7092511,Noncdm Charge Record Medical Supplies,10839.15,10839.15,,,0 CDM,27801713_7092517,Noncdm Charge Record Medical Supplies,11616.15,11616.15,,,0 CDM,27801713_7092524,Noncdm Charge Record Medical Supplies,4623.15,4623.15,,,0 CDM,27801713_7094512,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7094557,Noncdm Charge Record Medical Supplies,1920.74,1920.74,,,0 CDM,27801713_7094658,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7094731,Noncdm Charge Record Medical Supplies,1920.74,1920.74,,,0 CDM,27801713_7094734,Noncdm Charge Record Medical Supplies,1920.74,1920.74,,,0 CDM,27801713_7094736,Noncdm Charge Record Medical Supplies,5423.46,5423.46,,,0 CDM,27801713_7094802,Noncdm Charge Record Medical Supplies,1849.26,1849.26,,,0 CDM,27801713_7094803,Noncdm Charge Record Medical Supplies,2478.63,2478.63,,,0 CDM,27801713_7094812,Noncdm Charge Record Medical Supplies,4731.93,4731.93,,,0 CDM,27801713_7094842,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7094843,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7094890,Noncdm Charge Record Medical Supplies,1849.26,1849.26,,,0 CDM,27801713_7094892,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7094923,Noncdm Charge Record Medical Supplies,1920.74,1920.74,,,0 CDM,27801713_7094932,Noncdm Charge Record Medical Supplies,1920.74,1920.74,,,0 CDM,27801713_7094953,Noncdm Charge Record Medical Supplies,2010.88,2010.88,,,0 CDM,27801713_7094954,Noncdm Charge Record Medical Supplies,2010.88,2010.88,,,0 CDM,27801713_7094965,Noncdm Charge Record Medical Supplies,6138.3,6138.3,,,0 CDM,27801713_7095034,Noncdm Charge Record Medical Supplies,1920.74,1920.74,,,0 CDM,27801713_7095037,Noncdm Charge Record Medical Supplies,1920.74,1920.74,,,0 CDM,27801713_7095103,Noncdm Charge Record Medical Supplies,2010.88,2010.88,,,0 CDM,27801713_7095108,Noncdm Charge Record Medical Supplies,2010.88,2010.88,,,0 CDM,27801713_7095123,Noncdm Charge Record Medical Supplies,3213.67,3213.67,,,0 CDM,27801713_7095138,Noncdm Charge Record Medical Supplies,1920.74,1920.74,,,0 CDM,27801713_7095149,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7095205,Noncdm Charge Record Medical Supplies,5019.42,5019.42,,,0 CDM,27801713_7095216,Noncdm Charge Record Medical Supplies,4623.15,4623.15,,,0 CDM,27801713_7095217,Noncdm Charge Record Medical Supplies,4623.15,4623.15,,,0 CDM,27801713_7095224,Noncdm Charge Record Medical Supplies,7754.46,7754.46,,,0 CDM,27801713_7095227,Noncdm Charge Record Medical Supplies,1920.74,1920.74,,,0 CDM,27801713_7095261,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7095277,Noncdm Charge Record Medical Supplies,1920.74,1920.74,,,0 CDM,27801713_7095280,Noncdm Charge Record Medical Supplies,1920.74,1920.74,,,0 CDM,27801713_7095282,Noncdm Charge Record Medical Supplies,3213.67,3213.67,,,0 CDM,27801713_7095288,Noncdm Charge Record Medical Supplies,4219.11,4219.11,,,0 CDM,27801713_7095380,Noncdm Charge Record Medical Supplies,1920.74,1920.74,,,0 CDM,27801713_7095412,Noncdm Charge Record Medical Supplies,1920.74,1920.74,,,0 CDM,27801713_7095427,Noncdm Charge Record Medical Supplies,1920.74,1920.74,,,0 CDM,27801713_7095428,Noncdm Charge Record Medical Supplies,1920.74,1920.74,,,0 CDM,27801713_7095456,Noncdm Charge Record Medical Supplies,5019.42,5019.42,,,0 CDM,27801713_7095527,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7095536,Noncdm Charge Record Medical Supplies,5762.23,5762.23,,,0 CDM,27801713_7095540,Noncdm Charge Record Medical Supplies,8290.59,8290.59,,,0 CDM,27801713_7095574,Noncdm Charge Record Medical Supplies,2223.77,2223.77,,,0 CDM,27801713_7095576,Noncdm Charge Record Medical Supplies,2223.77,2223.77,,,0 CDM,27801713_7095596,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7095598,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7095616,Noncdm Charge Record Medical Supplies,8212.89,8212.89,,,0 CDM,27801713_7095627,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7095683,Noncdm Charge Record Medical Supplies,256.03,256.03,,,0 CDM,27801713_7095688,Noncdm Charge Record Medical Supplies,9308.46,9308.46,,,0 CDM,27801713_7095691,Noncdm Charge Record Medical Supplies,8290.59,8290.59,,,0 CDM,27801713_7095774,Noncdm Charge Record Medical Supplies,9199.68,9199.68,,,0 CDM,27801713_7095818,Noncdm Charge Record Medical Supplies,8725.71,8725.71,,,0 CDM,27801713_7095820,Noncdm Charge Record Medical Supplies,8873.34,8873.34,,,0 CDM,27801713_7095838,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7095879,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801713_7095891,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7095895,Noncdm Charge Record Medical Supplies,8873.34,8873.34,,,0 CDM,27801713_7095961,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7095970,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27801713_7095977,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27801713_7096065,Noncdm Charge Record Medical Supplies,9355.08,9355.08,,,0 CDM,27801713_7096110,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7096116,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7096118,Noncdm Charge Record Medical Supplies,1095.57,1095.57,,,0 CDM,27801713_7096147,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27801713_7096155,Noncdm Charge Record Medical Supplies,8212.89,8212.89,,,0 CDM,27801713_7096200,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7096229,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7096238,Noncdm Charge Record Medical Supplies,9355.08,9355.08,,,0 CDM,27801713_7096251,Noncdm Charge Record Medical Supplies,5762.23,5762.23,,,0 CDM,27801713_7096289,Noncdm Charge Record Medical Supplies,2223.77,2223.77,,,0 CDM,27801713_7096298,Noncdm Charge Record Medical Supplies,1095.57,1095.57,,,0 CDM,27801713_7096315,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7096374,Noncdm Charge Record Medical Supplies,9417.24,9417.24,,,0 CDM,27801713_7096432,Noncdm Charge Record Medical Supplies,10240.86,10240.86,,,0 CDM,27801713_7096441,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7096446,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27801713_7096456,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27801713_7096658,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27801713_7096659,Noncdm Charge Record Medical Supplies,2758.35,2758.35,,,0 CDM,27801713_7096661,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27801713_7096672,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27801713_7096677,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27801713_7096680,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27801713_7096879,Noncdm Charge Record Medical Supplies,29125.84,29125.84,,,0 CDM,27801713_7096890,Noncdm Charge Record Medical Supplies,1181.04,1181.04,,,0 CDM,27801713_7096922,Noncdm Charge Record Medical Supplies,679.88,679.88,,,0 CDM,27801713_7096936,Noncdm Charge Record Medical Supplies,679.88,679.88,,,0 CDM,27801713_7096983,Noncdm Charge Record Medical Supplies,29125.84,29125.84,,,0 CDM,27801713_7097109,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097110,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097111,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7097112,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7097117,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7097125,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097126,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27801713_7097132,Noncdm Charge Record Medical Supplies,4840.71,4840.71,,,0 CDM,27801713_7097133,Noncdm Charge Record Medical Supplies,2634.03,2634.03,,,0 CDM,27801713_7097136,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097139,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27801713_7097152,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097153,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097154,Noncdm Charge Record Medical Supplies,4840.71,4840.71,,,0 CDM,27801713_7097163,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097166,Noncdm Charge Record Medical Supplies,4840.71,4840.71,,,0 CDM,27801713_7097176,Noncdm Charge Record Medical Supplies,3613.05,3613.05,,,0 CDM,27801713_7097181,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27801713_7097184,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097191,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27801713_7097192,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27801713_7097211,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801713_7097214,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097217,Noncdm Charge Record Medical Supplies,4700.85,4700.85,,,0 CDM,27801713_7097218,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097219,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097227,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27801713_7097228,Noncdm Charge Record Medical Supplies,3310.02,3310.02,,,0 CDM,27801713_7097229,Noncdm Charge Record Medical Supplies,3613.05,3613.05,,,0 CDM,27801713_7097230,Noncdm Charge Record Medical Supplies,3613.05,3613.05,,,0 CDM,27801713_7097250,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097253,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7097255,Noncdm Charge Record Medical Supplies,4226.88,4226.88,,,0 CDM,27801713_7097258,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097260,Noncdm Charge Record Medical Supplies,4226.88,4226.88,,,0 CDM,27801713_7097261,Noncdm Charge Record Medical Supplies,4840.71,4840.71,,,0 CDM,27801713_7097265,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097268,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27801713_7097271,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097272,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097278,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27801713_7097280,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097281,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097287,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097290,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801713_7097294,Noncdm Charge Record Medical Supplies,4347.32,4347.32,,,0 CDM,27801713_7097295,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097300,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097314,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097329,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27801713_7097330,Noncdm Charge Record Medical Supplies,4226.88,4226.88,,,0 CDM,27801713_7097334,Noncdm Charge Record Medical Supplies,4226.88,4226.88,,,0 CDM,27801713_7097337,Noncdm Charge Record Medical Supplies,3613.05,3613.05,,,0 CDM,27801713_7097338,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097339,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097340,Noncdm Charge Record Medical Supplies,4840.71,4840.71,,,0 CDM,27801713_7097344,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097345,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097346,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097348,Noncdm Charge Record Medical Supplies,5454.54,5454.54,,,0 CDM,27801713_7097351,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097354,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7097361,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7097365,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27801713_7097366,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27801713_7097368,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097369,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097370,Noncdm Charge Record Medical Supplies,4226.88,4226.88,,,0 CDM,27801713_7097385,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097386,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097387,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7097391,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097399,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7097402,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801713_7097404,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097405,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097415,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7097418,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801713_7097419,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801713_7097421,Noncdm Charge Record Medical Supplies,2634.03,2634.03,,,0 CDM,27801713_7097427,Noncdm Charge Record Medical Supplies,4537.68,4537.68,,,0 CDM,27801713_7097435,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801713_7097441,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097442,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7097447,Noncdm Charge Record Medical Supplies,5151.51,5151.51,,,0 CDM,27801713_7097457,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27801713_7097458,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097483,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097486,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801713_7097491,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097492,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097495,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097509,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097511,Noncdm Charge Record Medical Supplies,11406.36,11406.36,,,0 CDM,27801713_7097515,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7097516,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7097517,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7097522,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7097523,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7097524,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097534,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097555,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097586,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7097589,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097590,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801713_7097593,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27801713_7097595,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097596,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097597,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097599,Noncdm Charge Record Medical Supplies,4537.68,4537.68,,,0 CDM,27801713_7097603,Noncdm Charge Record Medical Supplies,5151.51,5151.51,,,0 CDM,27801713_7097614,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097616,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7097619,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097626,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097627,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27801713_7097628,Noncdm Charge Record Medical Supplies,360.01,360.01,,,0 CDM,27801713_7097629,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097631,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097632,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097633,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27801713_7097645,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097647,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097650,Noncdm Charge Record Medical Supplies,8391.6,8391.6,,,0 CDM,27801713_7097651,Noncdm Charge Record Medical Supplies,8391.6,8391.6,,,0 CDM,27801713_7097656,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801713_7097657,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801713_7097664,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097666,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097668,Noncdm Charge Record Medical Supplies,3613.05,3613.05,,,0 CDM,27801713_7097702,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7097703,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7097710,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097711,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097714,Noncdm Charge Record Medical Supplies,11406.36,11406.36,,,0 CDM,27801713_7097723,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097731,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097733,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097740,Noncdm Charge Record Medical Supplies,4537.68,4537.68,,,0 CDM,27801713_7097741,Noncdm Charge Record Medical Supplies,4537.68,4537.68,,,0 CDM,27801713_7097745,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27801713_7097746,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27801713_7097747,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097749,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097755,Noncdm Charge Record Medical Supplies,2634.03,2634.03,,,0 CDM,27801713_7097758,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27801713_7097759,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27801713_7097785,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097794,Noncdm Charge Record Medical Supplies,3947.16,3947.16,,,0 CDM,27801713_7097795,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097808,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097809,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097812,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801713_7097816,Noncdm Charge Record Medical Supplies,4840.71,4840.71,,,0 CDM,27801713_7097831,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801713_7097832,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801713_7097833,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801713_7097837,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097842,Noncdm Charge Record Medical Supplies,361.3,361.3,,,0 CDM,27801713_7097843,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097851,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27801713_7097861,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097862,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097863,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27801713_7097864,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097872,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27801713_7097873,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097874,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097876,Noncdm Charge Record Medical Supplies,11196.57,11196.57,,,0 CDM,27801713_7097878,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801713_7097879,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097881,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097886,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801713_7097892,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097895,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7097899,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097902,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097903,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801713_7097904,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801713_7097913,Noncdm Charge Record Medical Supplies,3310.02,3310.02,,,0 CDM,27801713_7097923,Noncdm Charge Record Medical Supplies,2937.06,2937.06,,,0 CDM,27801713_7097924,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7097948,Noncdm Charge Record Medical Supplies,4840.71,4840.71,,,0 CDM,27801713_7097952,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27801713_7097953,Noncdm Charge Record Medical Supplies,11406.36,11406.36,,,0 CDM,27801713_7097959,Noncdm Charge Record Medical Supplies,4840.71,4840.71,,,0 CDM,27801713_7097960,Noncdm Charge Record Medical Supplies,4840.71,4840.71,,,0 CDM,27801713_7097968,Noncdm Charge Record Medical Supplies,1111.11,1111.11,,,0 CDM,27801713_7097973,Noncdm Charge Record Medical Supplies,4226.88,4226.88,,,0 CDM,27801713_7097980,Noncdm Charge Record Medical Supplies,4226.88,4226.88,,,0 CDM,27801713_7097982,Noncdm Charge Record Medical Supplies,4840.71,4840.71,,,0 CDM,27801713_7097985,Noncdm Charge Record Medical Supplies,1320.9,1320.9,,,0 CDM,27801713_7098021,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7098074,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7098078,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7098154,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7098167,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7098168,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27801713_7098531,Noncdm Charge Record Medical Supplies,11151.79,11151.79,,,0 CDM,27801713_7099131,Noncdm Charge Record Medical Supplies,2051.28,2051.28,,,0 CDM,27801713_7099574,Noncdm Charge Record Medical Supplies,2564.1,2564.1,,,0 CDM,27801713_7099959,Noncdm Charge Record Medical Supplies,576.92,576.92,,,0 CDM,27801713_7100203,Noncdm Charge Record Medical Supplies,576.92,576.92,,,0 CDM,27801713_7100538,Noncdm Charge Record Medical Supplies,2777.78,2777.78,,,0 CDM,27801713_7103377,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7104052,Noncdm Charge Record Medical Supplies,982.9,982.9,,,0 CDM,27801713_7109220,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801713_7109222,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801713_7109235,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27801713_7109239,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801713_7109242,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801713_7109247,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801713_7109257,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27801713_7109260,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801713_7109261,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27801713_7109262,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801713_7109266,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27801713_7109269,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801713_7109274,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801713_7109277,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27801713_7109278,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27801713_7109281,Noncdm Charge Record Medical Supplies,2657.34,2657.34,,,0 CDM,27801713_7109287,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7109291,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27801713_7109292,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27801713_7109313,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27801713_7109314,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801713_7109318,Noncdm Charge Record Medical Supplies,2657.34,2657.34,,,0 CDM,27801713_7109320,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801713_7109333,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801713_7109335,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27801713_7109336,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27801713_7109338,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27801713_7109343,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27801713_7109348,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27801713_7109372,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801713_7109385,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27801713_7109388,Noncdm Charge Record Medical Supplies,31390.8,31390.8,,,0 CDM,27801713_7109390,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801713_7109391,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801713_7109392,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27801713_7109393,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27801713_7109395,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7109397,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27801713_7109398,Noncdm Charge Record Medical Supplies,2191.14,2191.14,,,0 CDM,27801713_7109399,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801713_7109409,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801713_7109411,Noncdm Charge Record Medical Supplies,10256.4,10256.4,,,0 CDM,27801713_7109412,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27801713_7109414,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27801713_7109425,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801713_7109427,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27801713_7109430,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27801713_7109431,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801713_7109432,Noncdm Charge Record Medical Supplies,2657.34,2657.34,,,0 CDM,27801713_7109447,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27801713_7109450,Noncdm Charge Record Medical Supplies,2191.14,2191.14,,,0 CDM,27801713_7109451,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801713_7109452,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801713_7109453,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801713_7109454,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801713_7109463,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801713_7109464,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7109466,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801713_7109474,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801713_7109484,Noncdm Charge Record Medical Supplies,1054.55,1054.55,,,0 CDM,27801713_7109492,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801713_7109502,Noncdm Charge Record Medical Supplies,10256.4,10256.4,,,0 CDM,27801713_7109505,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27801713_7109513,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27801713_7109514,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27801713_7109515,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27801713_7109519,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27801713_7109520,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27801713_7109522,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27801713_7109527,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7109528,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801713_7109530,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801713_7109532,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7109534,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27801713_7109543,Noncdm Charge Record Medical Supplies,6643.35,6643.35,,,0 CDM,27801713_7109545,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27801713_7109551,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27801713_7109563,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27801713_7109564,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27801713_7109565,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 CDM,27801713_7109586,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27801713_7109596,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7109602,Noncdm Charge Record Medical Supplies,1235.43,1235.43,,,0 CDM,27801713_7110589,Noncdm Charge Record Medical Supplies,22144.5,22144.5,,,0 CDM,27801713_7110600,Noncdm Charge Record Medical Supplies,22144.5,22144.5,,,0 CDM,27801713_7110601,Noncdm Charge Record Medical Supplies,22144.5,22144.5,,,0 CDM,27801713_7110616,Noncdm Charge Record Medical Supplies,22144.5,22144.5,,,0 CDM,27801713_7110631,Noncdm Charge Record Medical Supplies,22144.5,22144.5,,,0 CDM,27801713_7110638,Noncdm Charge Record Medical Supplies,22144.5,22144.5,,,0 CDM,27801713_7110645,Noncdm Charge Record Medical Supplies,5524.47,5524.47,,,0 CDM,27801713_7110692,Noncdm Charge Record Medical Supplies,22144.5,22144.5,,,0 CDM,27801713_7110694,Noncdm Charge Record Medical Supplies,22144.5,22144.5,,,0 CDM,27801713_7110865,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27801713_7110871,Noncdm Charge Record Medical Supplies,10878.0,10878.0,,,0 CDM,27801713_7110873,Noncdm Charge Record Medical Supplies,10878.0,10878.0,,,0 CDM,27801713_7112092,Noncdm Charge Record Medical Supplies,4856.25,4856.25,,,0 CDM,27801713_7112093,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27801713_7112739,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27801713_7112747,Noncdm Charge Record Medical Supplies,2602.95,2602.95,,,0 CDM,27801713_7112751,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27801713_7112752,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27801713_7112760,Noncdm Charge Record Medical Supplies,6938.61,6938.61,,,0 CDM,27801713_7113145,Noncdm Charge Record Medical Supplies,14840.7,14840.7,,,0 CDM,27801713_7115972,Noncdm Charge Record Medical Supplies,48951.0,48951.0,,,0 CDM,27801713_7116608,Noncdm Charge Record Medical Supplies,3069.15,3069.15,,,0 CDM,27801713_7116739,Noncdm Charge Record Medical Supplies,8710.17,8710.17,,,0 CDM,27801713_7117276,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7117414,Noncdm Charge Record Medical Supplies,503.5,503.5,,,0 CDM,27801713_7117593,Noncdm Charge Record Medical Supplies,994.56,994.56,,,0 CDM,27801713_7117594,Noncdm Charge Record Medical Supplies,994.56,994.56,,,0 CDM,27801713_7118122,Noncdm Charge Record Medical Supplies,3146.85,3146.85,,,0 CDM,27801713_7118233,Noncdm Charge Record Medical Supplies,2102.56,2102.56,,,0 CDM,27801713_7118255,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27801713_7118276,Noncdm Charge Record Medical Supplies,9044.28,9044.28,,,0 CDM,27801713_7118493,Noncdm Charge Record Medical Supplies,12548.55,12548.55,,,0 CDM,27801713_7118494,Noncdm Charge Record Medical Supplies,23698.5,23698.5,,,0 CDM,27801713_7119188,Noncdm Charge Record Medical Supplies,6239.31,6239.31,,,0 CDM,27801713_7119194,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27801713_7119195,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27801713_7119269,Noncdm Charge Record Medical Supplies,1448.49,1448.49,,,0 CDM,27801713_7119270,Noncdm Charge Record Medical Supplies,1624.71,1624.71,,,0 CDM,27801713_7121554,Noncdm Charge Record Medical Supplies,637.37,637.37,,,0 CDM,27801713_7121573,Noncdm Charge Record Medical Supplies,2991.45,2991.45,,,0 CDM,27801713_7121579,Noncdm Charge Record Medical Supplies,6682.2,6682.2,,,0 CDM,27801713_7121580,Noncdm Charge Record Medical Supplies,3108.0,3108.0,,,0 CDM,27801713_7121585,Noncdm Charge Record Medical Supplies,3767.83,3767.83,,,0 CDM,27801713_7121590,Noncdm Charge Record Medical Supplies,14895.09,14895.09,,,0 CDM,27801713_7121591,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27801713_7121599,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27801713_7121601,Noncdm Charge Record Medical Supplies,345.92,345.92,,,0 CDM,27801713_7121602,Noncdm Charge Record Medical Supplies,1910.33,1910.33,,,0 CDM,27801713_7121606,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7124615,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7124955,Noncdm Charge Record Medical Supplies,19813.5,19813.5,,,0 CDM,27801713_7126632,Noncdm Charge Record Medical Supplies,9044.28,9044.28,,,0 CDM,27801713_7126633,Noncdm Charge Record Medical Supplies,9044.28,9044.28,,,0 CDM,27801713_7126640,Noncdm Charge Record Medical Supplies,1592.85,1592.85,,,0 CDM,27801713_7127642,Noncdm Charge Record Medical Supplies,644.91,644.91,,,0 CDM,27801713_7127778,Noncdm Charge Record Medical Supplies,7109.55,7109.55,,,0 CDM,27801713_7130703,Noncdm Charge Record Medical Supplies,2991.45,2991.45,,,0 CDM,27801713_7130919,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27801713_7133695,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27801713_7134486,Noncdm Charge Record Medical Supplies,6954.15,6954.15,,,0 CDM,27801713_7136286,Noncdm Charge Record Medical Supplies,12167.82,12167.82,,,0 CDM,27801713_7136291,Noncdm Charge Record Medical Supplies,13992.99,13992.99,,,0 CDM,27801713_7136299,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27801713_7136300,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7136304,Noncdm Charge Record Medical Supplies,14786.31,14786.31,,,0 CDM,27801713_7137570,Noncdm Charge Record Medical Supplies,32027.94,32027.94,,,0 CDM,27801713_7137571,Noncdm Charge Record Medical Supplies,57793.26,57793.26,,,0 CDM,27801713_7143848,Noncdm Charge Record Medical Supplies,1351.98,1351.98,,,0 CDM,27801713_7144996,Noncdm Charge Record Medical Supplies,2247.84,2247.84,,,0 CDM,27801713_7145124,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27801713_7145125,Noncdm Charge Record Medical Supplies,3651.9,3651.9,,,0 CDM,27801713_7145126,Noncdm Charge Record Medical Supplies,4623.15,4623.15,,,0 CDM,27801713_7145314,Noncdm Charge Record Medical Supplies,3418.8,3418.8,,,0 CDM,27801713_7145315,Noncdm Charge Record Medical Supplies,4623.15,4623.15,,,0 CDM,27801713_7145317,Noncdm Charge Record Medical Supplies,3651.9,3651.9,,,0 CDM,27801713_7145318,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27801713_7145319,Noncdm Charge Record Medical Supplies,2257.26,2257.26,,,0 CDM,27801713_7145320,Noncdm Charge Record Medical Supplies,2890.44,2890.44,,,0 CDM,27801713_7146578,Noncdm Charge Record Medical Supplies,3598.92,3598.92,,,0 CDM,27801713_7154206,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27801713_7154250,Noncdm Charge Record Medical Supplies,13986.0,13986.0,,,0 CDM,27801713_7154291,Noncdm Charge Record Medical Supplies,2284.02,2284.02,,,0 CDM,27801713_7154292,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27801713_7154726,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27801713_7155521,Noncdm Charge Record Medical Supplies,982.9,982.9,,,0 CDM,27801713_7155543,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27801713_7155571,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27801713_7155614,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7155615,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7155620,Noncdm Charge Record Medical Supplies,3034.96,3034.96,,,0 CDM,27801713_7155621,Noncdm Charge Record Medical Supplies,3034.96,3034.96,,,0 CDM,27801713_7155626,Noncdm Charge Record Medical Supplies,17871.0,17871.0,,,0 CDM,27801713_7155731,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7155785,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7155809,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7155841,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27801713_7155864,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7155888,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7155940,Noncdm Charge Record Medical Supplies,6689.97,6689.97,,,0 CDM,27801713_7155958,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7155962,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7155976,Noncdm Charge Record Medical Supplies,33.02,33.02,,,0 CDM,27801713_7155989,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7156018,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7156252,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7156254,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7156290,Noncdm Charge Record Medical Supplies,223.78,223.78,,,0 CDM,27801713_7156475,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7156563,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7156566,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27801713_7156609,Noncdm Charge Record Medical Supplies,2727.27,2727.27,,,0 CDM,27801713_7156620,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7156649,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7156683,Noncdm Charge Record Medical Supplies,108.78,108.78,,,0 CDM,27801713_7156748,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7156794,Noncdm Charge Record Medical Supplies,3108.0,3108.0,,,0 CDM,27801713_7156820,Noncdm Charge Record Medical Supplies,334.11,334.11,,,0 CDM,27801713_7156848,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7156866,Noncdm Charge Record Medical Supplies,3069.15,3069.15,,,0 CDM,27801713_7156878,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7156881,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7156899,Noncdm Charge Record Medical Supplies,108.78,108.78,,,0 CDM,27801713_7156930,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7156939,Noncdm Charge Record Medical Supplies,6954.15,6954.15,,,0 CDM,27801713_7156964,Noncdm Charge Record Medical Supplies,6954.15,6954.15,,,0 CDM,27801713_7156969,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27801713_7156995,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27801713_7157027,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7157028,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7157106,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27801713_7157134,Noncdm Charge Record Medical Supplies,818.73,818.73,,,0 CDM,27801713_7157364,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7157499,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7157518,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7157520,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7157547,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27801713_7157549,Noncdm Charge Record Medical Supplies,1973.58,1973.58,,,0 CDM,27801713_7157601,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7157607,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7157608,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7157611,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7157629,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7157631,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27801713_7157645,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7157653,Noncdm Charge Record Medical Supplies,769.23,769.23,,,0 CDM,27801713_7157670,Noncdm Charge Record Medical Supplies,248.64,248.64,,,0 CDM,27801713_7157913,Noncdm Charge Record Medical Supplies,334.11,334.11,,,0 CDM,27801713_7157974,Noncdm Charge Record Medical Supplies,6938.61,6938.61,,,0 CDM,27801713_7158628,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7158629,Noncdm Charge Record Medical Supplies,101.01,101.01,,,0 CDM,27801713_7158648,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7158657,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27801713_7158663,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7158664,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7158668,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7158707,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27801713_7158730,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7159033,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7159131,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7159142,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7159177,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7159232,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7159253,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7159343,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7159636,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7159641,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7159670,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7159671,Noncdm Charge Record Medical Supplies,34.03,34.03,,,0 CDM,27801713_7159688,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7159693,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7159706,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7159728,Noncdm Charge Record Medical Supplies,34.03,34.03,,,0 CDM,27801713_7159763,Noncdm Charge Record Medical Supplies,334.11,334.11,,,0 CDM,27801713_7159800,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7159883,Noncdm Charge Record Medical Supplies,240.87,240.87,,,0 CDM,27801713_7159945,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7160019,Noncdm Charge Record Medical Supplies,252.52,252.52,,,0 CDM,27801713_7160055,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7160112,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7160287,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7160308,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7160339,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7160370,Noncdm Charge Record Medical Supplies,1359.66,1359.66,,,0 CDM,27801713_7160422,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27801713_7160451,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7160488,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7160566,Noncdm Charge Record Medical Supplies,20008.84,20008.84,,,0 CDM,27801713_7160573,Noncdm Charge Record Medical Supplies,5504.73,5504.73,,,0 CDM,27801713_7160584,Noncdm Charge Record Medical Supplies,829.06,829.06,,,0 CDM,27801713_7160585,Noncdm Charge Record Medical Supplies,829.06,829.06,,,0 CDM,27801713_7160586,Noncdm Charge Record Medical Supplies,560.84,560.84,,,0 CDM,27801713_7160594,Noncdm Charge Record Medical Supplies,9836.82,9836.82,,,0 CDM,27801713_7160599,Noncdm Charge Record Medical Supplies,10015.53,10015.53,,,0 CDM,27801713_7160600,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7160613,Noncdm Charge Record Medical Supplies,9836.82,9836.82,,,0 CDM,27801713_7160615,Noncdm Charge Record Medical Supplies,3341.1,3341.1,,,0 CDM,27801713_7160616,Noncdm Charge Record Medical Supplies,829.06,829.06,,,0 CDM,27801713_7160620,Noncdm Charge Record Medical Supplies,904.43,904.43,,,0 CDM,27801713_7160622,Noncdm Charge Record Medical Supplies,3341.1,3341.1,,,0 CDM,27801713_7160630,Noncdm Charge Record Medical Supplies,3341.1,3341.1,,,0 CDM,27801713_7160632,Noncdm Charge Record Medical Supplies,3341.1,3341.1,,,0 CDM,27801713_7160633,Noncdm Charge Record Medical Supplies,12455.31,12455.31,,,0 CDM,27801713_7160638,Noncdm Charge Record Medical Supplies,10015.53,10015.53,,,0 CDM,27801713_7160639,Noncdm Charge Record Medical Supplies,3341.1,3341.1,,,0 CDM,27801713_7160640,Noncdm Charge Record Medical Supplies,1017.48,1017.48,,,0 CDM,27801713_7160641,Noncdm Charge Record Medical Supplies,72587.89,72587.89,,,0 CDM,27801713_7160644,Noncdm Charge Record Medical Supplies,10015.53,10015.53,,,0 CDM,27801713_7160645,Noncdm Charge Record Medical Supplies,3341.1,3341.1,,,0 CDM,27801713_7160647,Noncdm Charge Record Medical Supplies,10163.16,10163.16,,,0 CDM,27801713_7160654,Noncdm Charge Record Medical Supplies,9836.82,9836.82,,,0 CDM,27801713_7160656,Noncdm Charge Record Medical Supplies,949.65,949.65,,,0 CDM,27801713_7160657,Noncdm Charge Record Medical Supplies,12455.31,12455.31,,,0 CDM,27801713_7160662,Noncdm Charge Record Medical Supplies,904.43,904.43,,,0 CDM,27801713_7160667,Noncdm Charge Record Medical Supplies,10015.53,10015.53,,,0 CDM,27801713_7160674,Noncdm Charge Record Medical Supplies,6956.55,6956.55,,,0 CDM,27801713_7160678,Noncdm Charge Record Medical Supplies,62217.11,62217.11,,,0 CDM,27801713_7160680,Noncdm Charge Record Medical Supplies,9836.82,9836.82,,,0 CDM,27801713_7160686,Noncdm Charge Record Medical Supplies,10163.16,10163.16,,,0 CDM,27801713_7160704,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7160835,Noncdm Charge Record Medical Supplies,637.14,637.14,,,0 CDM,27801713_7160920,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7160924,Noncdm Charge Record Medical Supplies,283.6,283.6,,,0 CDM,27801713_7160939,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7161035,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7161040,Noncdm Charge Record Medical Supplies,2660.45,2660.45,,,0 CDM,27801713_7161106,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27801713_7161127,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7161136,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7161163,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7161175,Noncdm Charge Record Medical Supplies,10839.15,10839.15,,,0 CDM,27801713_7161190,Noncdm Charge Record Medical Supplies,2214.45,2214.45,,,0 CDM,27801713_7161195,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7161196,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27801713_7161198,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7161222,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7161252,Noncdm Charge Record Medical Supplies,660.45,660.45,,,0 CDM,27801713_7161275,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7161302,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27801713_7161327,Noncdm Charge Record Medical Supplies,252.52,252.52,,,0 CDM,27801713_7161340,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27801713_7161355,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7161361,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7161363,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7161373,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7161374,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7161393,Noncdm Charge Record Medical Supplies,252.52,252.52,,,0 CDM,27801713_7161400,Noncdm Charge Record Medical Supplies,1300.7,1300.7,,,0 CDM,27801713_7161441,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7161442,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7161551,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7161617,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7161622,Noncdm Charge Record Medical Supplies,270.4,270.4,,,0 CDM,27801713_7161624,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27801713_7161657,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27801713_7161672,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7161707,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27801713_7161710,Noncdm Charge Record Medical Supplies,3846.15,3846.15,,,0 CDM,27801713_7161713,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27801713_7161750,Noncdm Charge Record Medical Supplies,3348.87,3348.87,,,0 CDM,27801713_7161751,Noncdm Charge Record Medical Supplies,2602.95,2602.95,,,0 CDM,27801713_7161775,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27801713_7161776,Noncdm Charge Record Medical Supplies,6410.25,6410.25,,,0 CDM,27801713_7161777,Noncdm Charge Record Medical Supplies,1219.89,1219.89,,,0 CDM,27801713_7161814,Noncdm Charge Record Medical Supplies,2804.97,2804.97,,,0 CDM,27801713_7161832,Noncdm Charge Record Medical Supplies,252.52,252.52,,,0 CDM,27801713_7161843,Noncdm Charge Record Medical Supplies,4292.92,4292.92,,,0 CDM,27801713_7161844,Noncdm Charge Record Medical Supplies,252.52,252.52,,,0 CDM,27801713_7161858,Noncdm Charge Record Medical Supplies,2191.14,2191.14,,,0 CDM,27801713_7161903,Noncdm Charge Record Medical Supplies,13599.05,13599.05,,,0 CDM,27801713_7161904,Noncdm Charge Record Medical Supplies,2299.92,2299.92,,,0 CDM,27801713_7161905,Noncdm Charge Record Medical Supplies,3333.33,3333.33,,,0 CDM,27801713_7161906,Noncdm Charge Record Medical Supplies,3760.68,3760.68,,,0 CDM,27801713_7161982,Noncdm Charge Record Medical Supplies,108.78,108.78,,,0 CDM,27801713_7162065,Noncdm Charge Record Medical Supplies,1029.14,1029.14,,,0 CDM,27801713_7162140,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7162141,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7162183,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7162190,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7162198,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7162199,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7162200,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7162220,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27801713_7162248,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7162293,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7162320,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7162333,Noncdm Charge Record Medical Supplies,225.26,225.26,,,0 CDM,27801713_7162338,Noncdm Charge Record Medical Supplies,240.87,240.87,,,0 CDM,27801713_7162346,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27801713_7162360,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7162384,Noncdm Charge Record Medical Supplies,2424.24,2424.24,,,0 CDM,27801713_7162388,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7162396,Noncdm Charge Record Medical Supplies,2079.25,2079.25,,,0 CDM,27801713_7162479,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7162484,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7162497,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27801713_7162624,Noncdm Charge Record Medical Supplies,6954.15,6954.15,,,0 CDM,27801713_7162627,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7162630,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7162646,Noncdm Charge Record Medical Supplies,3341.1,3341.1,,,0 CDM,27801713_7162653,Noncdm Charge Record Medical Supplies,470.08,470.08,,,0 CDM,27801713_7162702,Noncdm Charge Record Medical Supplies,3484.84,3484.84,,,0 CDM,27801713_7162742,Noncdm Charge Record Medical Supplies,104.9,104.9,,,0 CDM,27801713_7162757,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7162768,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27801713_7162792,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7162806,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7162816,Noncdm Charge Record Medical Supplies,101.01,101.01,,,0 CDM,27801713_7162817,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27801713_7162819,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27801713_7162820,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27801713_7162902,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7162928,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801713_7162941,Noncdm Charge Record Medical Supplies,1383.06,1383.06,,,0 CDM,27801713_7162945,Noncdm Charge Record Medical Supplies,1284.38,1284.38,,,0 CDM,27801713_7162947,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27801713_7163023,Noncdm Charge Record Medical Supplies,3119.27,3119.27,,,0 CDM,27801713_7163048,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7163049,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7163169,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7163171,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7163175,Noncdm Charge Record Medical Supplies,11266.5,11266.5,,,0 CDM,27801713_7163189,Noncdm Charge Record Medical Supplies,93.24,93.24,,,0 CDM,27801713_7163198,Noncdm Charge Record Medical Supplies,3411.03,3411.03,,,0 CDM,27801713_7163205,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7163206,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7163209,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7163235,Noncdm Charge Record Medical Supplies,2377.62,2377.62,,,0 CDM,27801713_7163236,Noncdm Charge Record Medical Supplies,2257.57,2257.57,,,0 CDM,27801713_7163319,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7163324,Noncdm Charge Record Medical Supplies,769.23,769.23,,,0 CDM,27801713_7163329,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7163334,Noncdm Charge Record Medical Supplies,9013.2,9013.2,,,0 CDM,27801713_7163350,Noncdm Charge Record Medical Supplies,240.87,240.87,,,0 CDM,27801713_7163352,Noncdm Charge Record Medical Supplies,947.94,947.94,,,0 CDM,27801713_7163359,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7163368,Noncdm Charge Record Medical Supplies,39339.51,39339.51,,,0 CDM,27801713_7163369,Noncdm Charge Record Medical Supplies,2742.81,2742.81,,,0 CDM,27801713_7163384,Noncdm Charge Record Medical Supplies,252.52,252.52,,,0 CDM,27801713_7163394,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7163410,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7163426,Noncdm Charge Record Medical Supplies,4506.6,4506.6,,,0 CDM,27801713_7163427,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801713_7163429,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801713_7163430,Noncdm Charge Record Medical Supplies,380.73,380.73,,,0 CDM,27801713_7163431,Noncdm Charge Record Medical Supplies,3348.87,3348.87,,,0 CDM,27801713_7163432,Noncdm Charge Record Medical Supplies,2602.95,2602.95,,,0 CDM,27801713_7163433,Noncdm Charge Record Medical Supplies,3861.69,3861.69,,,0 CDM,27801713_7163434,Noncdm Charge Record Medical Supplies,559.44,559.44,,,0 CDM,27801713_7163437,Noncdm Charge Record Medical Supplies,223.78,223.78,,,0 CDM,27801713_7163440,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7163455,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,27801713_7163469,Noncdm Charge Record Medical Supplies,2939.39,2939.39,,,0 CDM,27801713_7163481,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7163497,Noncdm Charge Record Medical Supplies,1802.64,1802.64,,,0 CDM,27801713_7163498,Noncdm Charge Record Medical Supplies,34.03,34.03,,,0 CDM,27801713_7163499,Noncdm Charge Record Medical Supplies,34.03,34.03,,,0 CDM,27801713_7163507,Noncdm Charge Record Medical Supplies,2610.72,2610.72,,,0 CDM,27801713_7163526,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7163527,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7163587,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7163588,Noncdm Charge Record Medical Supplies,6954.15,6954.15,,,0 CDM,27801713_7163617,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7163639,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27801713_7163659,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7163664,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7163730,Noncdm Charge Record Medical Supplies,3286.71,3286.71,,,0 CDM,27801713_7163751,Noncdm Charge Record Medical Supplies,1515.15,1515.15,,,0 CDM,27801713_7163852,Noncdm Charge Record Medical Supplies,3484.84,3484.84,,,0 CDM,27801713_7163861,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801713_7163864,Noncdm Charge Record Medical Supplies,3108.0,3108.0,,,0 CDM,27801713_7163866,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27801713_7163867,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27801713_7163871,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27801713_7163872,Noncdm Charge Record Medical Supplies,1631.7,1631.7,,,0 CDM,27801713_7163951,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7163973,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7164005,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7164011,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7164024,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7164025,Noncdm Charge Record Medical Supplies,1258.74,1258.74,,,0 CDM,27801713_7164048,Noncdm Charge Record Medical Supplies,427.35,427.35,,,0 CDM,27801713_7164049,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7164053,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7164081,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7164082,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7164083,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7164138,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7164177,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27801713_7164278,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7164280,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7164287,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7164329,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7164330,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7164363,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7164364,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7164406,Noncdm Charge Record Medical Supplies,71223.7,71223.7,,,0 CDM,27801713_7164423,Noncdm Charge Record Medical Supplies,2463.09,2463.09,,,0 CDM,27801713_7164437,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7164440,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7164449,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7164450,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7164461,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7164483,Noncdm Charge Record Medical Supplies,11559.2,11559.2,,,0 CDM,27801713_7164490,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7164520,Noncdm Charge Record Medical Supplies,2222.22,2222.22,,,0 CDM,27801713_7164557,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27801713_7164558,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7164559,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27801713_7164584,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7164624,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7164651,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7164661,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27801713_7164673,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7164674,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7164709,Noncdm Charge Record Medical Supplies,2703.96,2703.96,,,0 CDM,27801713_7164797,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7164798,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7164800,Noncdm Charge Record Medical Supplies,9269.61,9269.61,,,0 CDM,27801713_7164802,Noncdm Charge Record Medical Supplies,9300.69,9300.69,,,0 CDM,27801713_7164803,Noncdm Charge Record Medical Supplies,9269.61,9269.61,,,0 CDM,27801713_7164828,Noncdm Charge Record Medical Supplies,9836.82,9836.82,,,0 CDM,27801713_7164891,Noncdm Charge Record Medical Supplies,6954.15,6954.15,,,0 CDM,27801713_7164954,Noncdm Charge Record Medical Supplies,165.11,165.11,,,0 CDM,27801713_7164966,Noncdm Charge Record Medical Supplies,12455.31,12455.31,,,0 CDM,27801713_7164973,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7164980,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7164981,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7164982,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7165003,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7165026,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7165042,Noncdm Charge Record Medical Supplies,334.11,334.11,,,0 CDM,27801713_7165043,Noncdm Charge Record Medical Supplies,334.11,334.11,,,0 CDM,27801713_7165044,Noncdm Charge Record Medical Supplies,334.11,334.11,,,0 CDM,27801713_7165099,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27801713_7165119,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7165150,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27801713_7165159,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7165190,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27801713_7165221,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27801713_7165331,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7165335,Noncdm Charge Record Medical Supplies,1383.06,1383.06,,,0 CDM,27801713_7165391,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7165434,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7165440,Noncdm Charge Record Medical Supplies,829.06,829.06,,,0 CDM,27801713_7165532,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7165540,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7165541,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7165676,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7165787,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7165874,Noncdm Charge Record Medical Supplies,1538.46,1538.46,,,0 CDM,27801713_7165875,Noncdm Charge Record Medical Supplies,1538.46,1538.46,,,0 CDM,27801713_7165876,Noncdm Charge Record Medical Supplies,1538.46,1538.46,,,0 CDM,27801713_7165912,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7165915,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7165920,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7165964,Noncdm Charge Record Medical Supplies,1284.38,1284.38,,,0 CDM,27801713_7165965,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7166036,Noncdm Charge Record Medical Supplies,132.09,132.09,,,0 CDM,27801713_7166054,Noncdm Charge Record Medical Supplies,9836.82,9836.82,,,0 CDM,27801713_7166055,Noncdm Charge Record Medical Supplies,9836.82,9836.82,,,0 CDM,27801713_7166085,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7166099,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7166122,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7166132,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27801713_7166133,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7166155,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27801713_7166186,Noncdm Charge Record Medical Supplies,318.57,318.57,,,0 CDM,27801713_7166251,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7166252,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7166267,Noncdm Charge Record Medical Supplies,225.26,225.26,,,0 CDM,27801713_7166288,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7166289,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7166301,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7166575,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27801713_7166606,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7166607,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27801713_7166644,Noncdm Charge Record Medical Supplies,130.38,130.38,,,0 CDM,27801713_7166648,Noncdm Charge Record Medical Supplies,652.68,652.68,,,0 CDM,27801713_7166677,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7166736,Noncdm Charge Record Medical Supplies,1284.38,1284.38,,,0 CDM,27801713_7166756,Noncdm Charge Record Medical Supplies,561.38,561.38,,,0 CDM,27801713_7166852,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7166854,Noncdm Charge Record Medical Supplies,1134.42,1134.42,,,0 CDM,27801713_7166858,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27801713_7166860,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27801713_7166878,Noncdm Charge Record Medical Supplies,334.11,334.11,,,0 CDM,27801713_7166879,Noncdm Charge Record Medical Supplies,334.11,334.11,,,0 CDM,27801713_7166924,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7166946,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27801713_7166959,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801713_7166973,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7167020,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7167036,Noncdm Charge Record Medical Supplies,606.06,606.06,,,0 CDM,27801713_7167038,Noncdm Charge Record Medical Supplies,1118.88,1118.88,,,0 CDM,27801713_7167059,Noncdm Charge Record Medical Supplies,219.11,219.11,,,0 CDM,27801713_7167102,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7167104,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7167131,Noncdm Charge Record Medical Supplies,9269.61,9269.61,,,0 CDM,27801713_7167132,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7167135,Noncdm Charge Record Medical Supplies,1429.68,1429.68,,,0 CDM,27801713_7167148,Noncdm Charge Record Medical Supplies,1678.32,1678.32,,,0 CDM,27801713_7167154,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27801713_7167236,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27801713_7167244,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7167285,Noncdm Charge Record Medical Supplies,3018.64,3018.64,,,0 CDM,27801713_7167291,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7167292,Noncdm Charge Record Medical Supplies,2447.55,2447.55,,,0 CDM,27801713_7167293,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7167355,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7167385,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7167431,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7167433,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27801713_7167434,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7167435,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7167437,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7167439,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7167440,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7167468,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7167480,Noncdm Charge Record Medical Supplies,6689.97,6689.97,,,0 CDM,27801713_7167483,Noncdm Charge Record Medical Supplies,6938.61,6938.61,,,0 CDM,27801713_7167484,Noncdm Charge Record Medical Supplies,6938.61,6938.61,,,0 CDM,27801713_7167485,Noncdm Charge Record Medical Supplies,7855.47,7855.47,,,0 CDM,27801713_7167486,Noncdm Charge Record Medical Supplies,7855.47,7855.47,,,0 CDM,27801713_7167488,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7167511,Noncdm Charge Record Medical Supplies,6099.45,6099.45,,,0 CDM,27801713_7167535,Noncdm Charge Record Medical Supplies,1678.32,1678.32,,,0 CDM,27801713_7167680,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7167687,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7167695,Noncdm Charge Record Medical Supplies,2292.15,2292.15,,,0 CDM,27801713_7167700,Noncdm Charge Record Medical Supplies,3605.28,3605.28,,,0 CDM,27801713_7167701,Noncdm Charge Record Medical Supplies,223.78,223.78,,,0 CDM,27801713_7167774,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7167776,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7167854,Noncdm Charge Record Medical Supplies,225.26,225.26,,,0 CDM,27801713_7167855,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7167872,Noncdm Charge Record Medical Supplies,606.06,606.06,,,0 CDM,27801713_7167923,Noncdm Charge Record Medical Supplies,857.81,857.81,,,0 CDM,27801713_7167975,Noncdm Charge Record Medical Supplies,606.06,606.06,,,0 CDM,27801713_7167976,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7167994,Noncdm Charge Record Medical Supplies,1678.32,1678.32,,,0 CDM,27801713_7167997,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27801713_7168021,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7168023,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7168025,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7168068,Noncdm Charge Record Medical Supplies,606.06,606.06,,,0 CDM,27801713_7168187,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7168196,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7168204,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7168205,Noncdm Charge Record Medical Supplies,2524.47,2524.47,,,0 CDM,27801713_7168212,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7168215,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7168223,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7168231,Noncdm Charge Record Medical Supplies,6938.61,6938.61,,,0 CDM,27801713_7168232,Noncdm Charge Record Medical Supplies,6938.61,6938.61,,,0 CDM,27801713_7168234,Noncdm Charge Record Medical Supplies,473.97,473.97,,,0 CDM,27801713_7168236,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7168237,Noncdm Charge Record Medical Supplies,7855.47,7855.47,,,0 CDM,27801713_7168238,Noncdm Charge Record Medical Supplies,7855.47,7855.47,,,0 CDM,27801713_7168246,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7168247,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7168267,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7168325,Noncdm Charge Record Medical Supplies,244.76,244.76,,,0 CDM,27801713_7168327,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7168328,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7168333,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27801713_7168357,Noncdm Charge Record Medical Supplies,1546.23,1546.23,,,0 CDM,27801713_7168379,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7168381,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7168382,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7168395,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7168414,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7168428,Noncdm Charge Record Medical Supplies,3846.15,3846.15,,,0 CDM,27801713_7168430,Noncdm Charge Record Medical Supplies,446.78,446.78,,,0 CDM,27801713_7168432,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7168445,Noncdm Charge Record Medical Supplies,2066.82,2066.82,,,0 CDM,27801713_7168462,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7168465,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7168466,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7168475,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7168476,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7168477,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7168492,Noncdm Charge Record Medical Supplies,1678.32,1678.32,,,0 CDM,27801713_7168521,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7168522,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7168527,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7168537,Noncdm Charge Record Medical Supplies,93.24,93.24,,,0 CDM,27801713_7168542,Noncdm Charge Record Medical Supplies,170.94,170.94,,,0 CDM,27801713_7168596,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27801713_7168599,Noncdm Charge Record Medical Supplies,34.03,34.03,,,0 CDM,27801713_7168631,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27801713_7168721,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27801713_7168726,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27801713_7168770,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7168771,Noncdm Charge Record Medical Supplies,3622.53,3622.53,,,0 CDM,27801713_7168782,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7168797,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27801713_7168799,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27801713_7168812,Noncdm Charge Record Medical Supplies,1383.06,1383.06,,,0 CDM,27801713_7168816,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801713_7168817,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27801713_7168826,Noncdm Charge Record Medical Supplies,735.59,735.59,,,0 CDM,27801713_7168827,Noncdm Charge Record Medical Supplies,722.61,722.61,,,0 CDM,27801713_7168864,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7168877,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7168881,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7168892,Noncdm Charge Record Medical Supplies,446.78,446.78,,,0 CDM,27801713_7168897,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7168914,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7168915,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7168950,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7168951,Noncdm Charge Record Medical Supplies,606.06,606.06,,,0 CDM,27801713_7168952,Noncdm Charge Record Medical Supplies,1258.74,1258.74,,,0 CDM,27801713_7168966,Noncdm Charge Record Medical Supplies,1980.65,1980.65,,,0 CDM,27801713_7168980,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27801713_7169062,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7169064,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7169073,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7169074,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7169095,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7169110,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7169111,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7169114,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27801713_7169115,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7169127,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7169128,Noncdm Charge Record Medical Supplies,396.27,396.27,,,0 CDM,27801713_7169134,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7169136,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7169145,Noncdm Charge Record Medical Supplies,763.63,763.63,,,0 CDM,27801713_7169158,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7169159,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7169160,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7169308,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27801713_7169314,Noncdm Charge Record Medical Supplies,15027.18,15027.18,,,0 CDM,27801713_7169316,Noncdm Charge Record Medical Supplies,14895.09,14895.09,,,0 CDM,27801713_7169376,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27801713_7169377,Noncdm Charge Record Medical Supplies,1087.8,1087.8,,,0 CDM,27801713_7169423,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27801713_7169424,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27801713_7169427,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801713_7169468,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27801713_7169505,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27801713_7169518,Noncdm Charge Record Medical Supplies,11559.2,11559.2,,,0 CDM,27801713_7169629,Noncdm Charge Record Medical Supplies,757.58,757.58,,,0 CDM,27801713_7169630,Noncdm Charge Record Medical Supplies,757.58,757.58,,,0 CDM,27801713_7169679,Noncdm Charge Record Medical Supplies,565.66,565.66,,,0 CDM,27801713_7169722,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7169723,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7169727,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7169747,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801713_7169748,Noncdm Charge Record Medical Supplies,6604.5,6604.5,,,0 CDM,27801713_7169749,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801713_7169841,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27801713_7169854,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27801713_7169857,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7169858,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7169860,Noncdm Charge Record Medical Supplies,9013.2,9013.2,,,0 CDM,27801713_7169878,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7169879,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7169882,Noncdm Charge Record Medical Supplies,2525.25,2525.25,,,0 CDM,27801713_7169885,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7169901,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27801713_7169902,Noncdm Charge Record Medical Supplies,1678.32,1678.32,,,0 CDM,27801713_7169915,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7169916,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7169917,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7169987,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7170041,Noncdm Charge Record Medical Supplies,1678.32,1678.32,,,0 CDM,27801713_7170043,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27801713_7170077,Noncdm Charge Record Medical Supplies,763.63,763.63,,,0 CDM,27801713_7170086,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7170087,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7170132,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27801713_7170133,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27801713_7170164,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7170192,Noncdm Charge Record Medical Supplies,10512.81,10512.81,,,0 CDM,27801713_7170230,Noncdm Charge Record Medical Supplies,13908.3,13908.3,,,0 CDM,27801713_7170287,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801713_7170412,Noncdm Charge Record Medical Supplies,3341.1,3341.1,,,0 CDM,27801713_7170428,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27801713_7170429,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27801713_7170430,Noncdm Charge Record Medical Supplies,2175.6,2175.6,,,0 CDM,27801713_7170461,Noncdm Charge Record Medical Supplies,3954.93,3954.93,,,0 CDM,27801713_7170462,Noncdm Charge Record Medical Supplies,3954.93,3954.93,,,0 CDM,27801713_7170471,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7170533,Noncdm Charge Record Medical Supplies,1299.46,1299.46,,,0 CDM,27801713_7170682,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27801713_7170771,Noncdm Charge Record Medical Supplies,6891.99,6891.99,,,0 CDM,27801713_7170810,Noncdm Charge Record Medical Supplies,561.38,561.38,,,0 CDM,27801713_7170888,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7170889,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7170891,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7170892,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7171147,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7171149,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7171171,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7171178,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7171180,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7171199,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27801713_7171225,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7171227,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7171237,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7171238,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7171240,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7171243,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7171244,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7171249,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27801713_7171343,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27801713_7171344,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27801713_7171349,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7171372,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27801713_7171373,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27801713_7171383,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27801713_7171394,Noncdm Charge Record Medical Supplies,489.51,489.51,,,0 CDM,27801713_7171414,Noncdm Charge Record Medical Supplies,396.27,396.27,,,0 CDM,27801713_7171415,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7171416,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7171431,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7171432,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7171471,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7171492,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7171493,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7171494,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7171570,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7171571,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7171572,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7171598,Noncdm Charge Record Medical Supplies,6954.15,6954.15,,,0 CDM,27801713_7171610,Noncdm Charge Record Medical Supplies,778.55,778.55,,,0 CDM,27801713_7171630,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27801713_7171719,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7171838,Noncdm Charge Record Medical Supplies,531.47,531.47,,,0 CDM,27801713_7171839,Noncdm Charge Record Medical Supplies,531.47,531.47,,,0 CDM,27801713_7171847,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7171848,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7171850,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7171854,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7171855,Noncdm Charge Record Medical Supplies,77.7,77.7,,,0 CDM,27801713_7171869,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7171882,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7171883,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7171888,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7171890,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7171891,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7171892,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7171900,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7171909,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27801713_7171921,Noncdm Charge Record Medical Supplies,531.47,531.47,,,0 CDM,27801713_7171923,Noncdm Charge Record Medical Supplies,531.47,531.47,,,0 CDM,27801713_7171925,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7171933,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27801713_7171998,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7172000,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27801713_7172038,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27801713_7172039,Noncdm Charge Record Medical Supplies,1483.91,1483.91,,,0 CDM,27801713_7172072,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7172073,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7172075,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7172094,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27801713_7172117,Noncdm Charge Record Medical Supplies,139.86,139.86,,,0 CDM,27801713_7172125,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7172128,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7172275,Noncdm Charge Record Medical Supplies,1421.91,1421.91,,,0 CDM,27801713_7172286,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7172298,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7172304,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7172316,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7172319,Noncdm Charge Record Medical Supplies,5594.4,5594.4,,,0 CDM,27801713_7172458,Noncdm Charge Record Medical Supplies,5524.47,5524.47,,,0 CDM,27801713_7172459,Noncdm Charge Record Medical Supplies,5524.47,5524.47,,,0 CDM,27801713_7172508,Noncdm Charge Record Medical Supplies,34.03,34.03,,,0 CDM,27801713_7172559,Noncdm Charge Record Medical Supplies,6915.3,6915.3,,,0 CDM,27801713_7172560,Noncdm Charge Record Medical Supplies,13069.14,13069.14,,,0 CDM,27801713_7172567,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7172568,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7172626,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7172639,Noncdm Charge Record Medical Supplies,4859.2,4859.2,,,0 CDM,27801713_7172640,Noncdm Charge Record Medical Supplies,1125.87,1125.87,,,0 CDM,27801713_7172641,Noncdm Charge Record Medical Supplies,1125.87,1125.87,,,0 CDM,27801713_7172656,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7172659,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7172701,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7172705,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7172714,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7172721,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7172722,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7172752,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7172821,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7172923,Noncdm Charge Record Medical Supplies,2874.9,2874.9,,,0 CDM,27801713_7172924,Noncdm Charge Record Medical Supplies,3030.3,3030.3,,,0 CDM,27801713_7172925,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7172927,Noncdm Charge Record Medical Supplies,404.04,404.04,,,0 CDM,27801713_7172930,Noncdm Charge Record Medical Supplies,404.04,404.04,,,0 CDM,27801713_7172995,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7172998,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27801713_7173026,Noncdm Charge Record Medical Supplies,479.8,479.8,,,0 CDM,27801713_7173038,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7173043,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7173096,Noncdm Charge Record Medical Supplies,4895.1,4895.1,,,0 CDM,27801713_7173135,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7173153,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7173162,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7173177,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27801713_7173207,Noncdm Charge Record Medical Supplies,19425.0,19425.0,,,0 CDM,27801713_7173252,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7173358,Noncdm Charge Record Medical Supplies,926.5,926.5,,,0 CDM,27801713_7173359,Noncdm Charge Record Medical Supplies,352.05,352.05,,,0 CDM,27801713_7173369,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27801713_7173370,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27801713_7173409,Noncdm Charge Record Medical Supplies,489.51,489.51,,,0 CDM,27801713_7173463,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7173472,Noncdm Charge Record Medical Supplies,16247.07,16247.07,,,0 CDM,27801713_7173484,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27801713_7173517,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7173538,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7173548,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7173583,Noncdm Charge Record Medical Supplies,10839.15,10839.15,,,0 CDM,27801713_7173584,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7173585,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7173586,Noncdm Charge Record Medical Supplies,3954.93,3954.93,,,0 CDM,27801713_7173588,Noncdm Charge Record Medical Supplies,442.89,442.89,,,0 CDM,27801713_7173596,Noncdm Charge Record Medical Supplies,3978.24,3978.24,,,0 CDM,27801713_7173613,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7173615,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7173683,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7173738,Noncdm Charge Record Medical Supplies,352.05,352.05,,,0 CDM,27801713_7173739,Noncdm Charge Record Medical Supplies,1155.56,1155.56,,,0 CDM,27801713_7173947,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7173948,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7174019,Noncdm Charge Record Medical Supplies,561.38,561.38,,,0 CDM,27801713_7174023,Noncdm Charge Record Medical Supplies,223.78,223.78,,,0 CDM,27801713_7174029,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7174064,Noncdm Charge Record Medical Supplies,352.05,352.05,,,0 CDM,27801713_7174112,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7174122,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7174128,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7174132,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7174136,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7174138,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7174139,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7174183,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27801713_7174193,Noncdm Charge Record Medical Supplies,252.52,252.52,,,0 CDM,27801713_7174197,Noncdm Charge Record Medical Supplies,698.29,698.29,,,0 CDM,27801713_7174199,Noncdm Charge Record Medical Supplies,352.05,352.05,,,0 CDM,27801713_7174214,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7174216,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7174217,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7174236,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7174238,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7174239,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7174273,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7174327,Noncdm Charge Record Medical Supplies,4848.48,4848.48,,,0 CDM,27801713_7174328,Noncdm Charge Record Medical Supplies,4848.48,4848.48,,,0 CDM,27801713_7174350,Noncdm Charge Record Medical Supplies,935.51,935.51,,,0 CDM,27801713_7174434,Noncdm Charge Record Medical Supplies,505.05,505.05,,,0 CDM,27801713_7174527,Noncdm Charge Record Medical Supplies,1793.24,1793.24,,,0 CDM,27801713_7174534,Noncdm Charge Record Medical Supplies,202.02,202.02,,,0 CDM,27801713_7174537,Noncdm Charge Record Medical Supplies,240.87,240.87,,,0 CDM,27801713_7174566,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7174567,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7174574,Noncdm Charge Record Medical Supplies,388.5,388.5,,,0 CDM,27801713_7174584,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7174591,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7174601,Noncdm Charge Record Medical Supplies,75757.5,75757.5,,,0 CDM,27801713_7174709,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7174723,Noncdm Charge Record Medical Supplies,240.87,240.87,,,0 CDM,27801713_7174729,Noncdm Charge Record Medical Supplies,104.9,104.9,,,0 CDM,27801713_7174739,Noncdm Charge Record Medical Supplies,1155.56,1155.56,,,0 CDM,27801713_7174741,Noncdm Charge Record Medical Supplies,352.05,352.05,,,0 CDM,27801713_7174742,Noncdm Charge Record Medical Supplies,352.05,352.05,,,0 CDM,27801713_7174769,Noncdm Charge Record Medical Supplies,240.87,240.87,,,0 CDM,27801713_7174770,Noncdm Charge Record Medical Supplies,932.4,932.4,,,0 CDM,27801713_7174786,Noncdm Charge Record Medical Supplies,2073.81,2073.81,,,0 CDM,27801713_7174967,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7174970,Noncdm Charge Record Medical Supplies,479.8,479.8,,,0 CDM,27801713_7174999,Noncdm Charge Record Medical Supplies,479.8,479.8,,,0 CDM,27801713_7175000,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7175031,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27801713_7175048,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7175056,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27801713_7175057,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27801713_7175058,Noncdm Charge Record Medical Supplies,3807.3,3807.3,,,0 CDM,27801713_7175134,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7175137,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7175140,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7175170,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7175279,Noncdm Charge Record Medical Supplies,9.94,9.94,,,0 CDM,27801713_7175556,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7175589,Noncdm Charge Record Medical Supplies,1452.99,1452.99,,,0 CDM,27801713_7175592,Noncdm Charge Record Medical Supplies,1530.69,1530.69,,,0 CDM,27801713_7175652,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7175654,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7175674,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7175704,Noncdm Charge Record Medical Supplies,3341.1,3341.1,,,0 CDM,27801713_7175705,Noncdm Charge Record Medical Supplies,12455.31,12455.31,,,0 CDM,27801713_7175729,Noncdm Charge Record Medical Supplies,1771.56,1771.56,,,0 CDM,27801713_7175771,Noncdm Charge Record Medical Supplies,3690.75,3690.75,,,0 CDM,27801713_7175773,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27801713_7175793,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7175813,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7175816,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7175818,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7175837,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7175842,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7175883,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7175901,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7175916,Noncdm Charge Record Medical Supplies,3030.3,3030.3,,,0 CDM,27801713_7175933,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7176128,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7176129,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27801713_7176130,Noncdm Charge Record Medical Supplies,1297.59,1297.59,,,0 CDM,27801713_7176132,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7176179,Noncdm Charge Record Medical Supplies,177.16,177.16,,,0 CDM,27801713_7176181,Noncdm Charge Record Medical Supplies,1215.39,1215.39,,,0 CDM,27801713_7176182,Noncdm Charge Record Medical Supplies,352.05,352.05,,,0 CDM,27801713_7176187,Noncdm Charge Record Medical Supplies,926.5,926.5,,,0 CDM,27801713_7176244,Noncdm Charge Record Medical Supplies,427.35,427.35,,,0 CDM,27801713_7176245,Noncdm Charge Record Medical Supplies,349.65,349.65,,,0 CDM,27801713_7176285,Noncdm Charge Record Medical Supplies,2610.72,2610.72,,,0 CDM,27801713_7176287,Noncdm Charge Record Medical Supplies,714.84,714.84,,,0 CDM,27801713_7176291,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7176292,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7176343,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7176344,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7176358,Noncdm Charge Record Medical Supplies,1258.74,1258.74,,,0 CDM,27801713_7176367,Noncdm Charge Record Medical Supplies,683.76,683.76,,,0 CDM,27801713_7176368,Noncdm Charge Record Medical Supplies,831.39,831.39,,,0 CDM,27801713_7176412,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7176441,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7176442,Noncdm Charge Record Medical Supplies,217.56,217.56,,,0 CDM,27801713_7176444,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27801713_7176542,Noncdm Charge Record Medical Supplies,2073.81,2073.81,,,0 CDM,27801713_7176554,Noncdm Charge Record Medical Supplies,1678.32,1678.32,,,0 CDM,27801713_7176660,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801713_7176666,Noncdm Charge Record Medical Supplies,4079.25,4079.25,,,0 CDM,27801713_7176667,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801713_7176669,Noncdm Charge Record Medical Supplies,9673.65,9673.65,,,0 CDM,27801713_7176670,Noncdm Charge Record Medical Supplies,16899.75,16899.75,,,0 CDM,27801713_7176726,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7176732,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7176735,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7176788,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7176854,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7176871,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7176899,Noncdm Charge Record Medical Supplies,470.08,470.08,,,0 CDM,27801713_7176901,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7176904,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7176912,Noncdm Charge Record Medical Supplies,479.8,479.8,,,0 CDM,27801713_7176941,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7176943,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27801713_7176946,Noncdm Charge Record Medical Supplies,9044.28,9044.28,,,0 CDM,27801713_7176953,Noncdm Charge Record Medical Supplies,163.17,163.17,,,0 CDM,27801713_7176972,Noncdm Charge Record Medical Supplies,240.87,240.87,,,0 CDM,27801713_7176985,Noncdm Charge Record Medical Supplies,427.35,427.35,,,0 CDM,27801713_7177146,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7177204,Noncdm Charge Record Medical Supplies,769.23,769.23,,,0 CDM,27801713_7177221,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7177225,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7177314,Noncdm Charge Record Medical Supplies,223.78,223.78,,,0 CDM,27801713_7177333,Noncdm Charge Record Medical Supplies,714.84,714.84,,,0 CDM,27801713_7177349,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7177351,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7177368,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7177370,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7177374,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7177392,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7177394,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7177503,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27801713_7177504,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7177557,Noncdm Charge Record Medical Supplies,252.52,252.52,,,0 CDM,27801713_7177566,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7177578,Noncdm Charge Record Medical Supplies,812.35,812.35,,,0 CDM,27801713_7177581,Noncdm Charge Record Medical Supplies,2580.81,2580.81,,,0 CDM,27801713_7177640,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7177714,Noncdm Charge Record Medical Supplies,1268.38,1268.38,,,0 CDM,27801713_7177768,Noncdm Charge Record Medical Supplies,489.51,489.51,,,0 CDM,27801713_7177854,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7177868,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7177875,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801713_7177877,Noncdm Charge Record Medical Supplies,629.37,629.37,,,0 CDM,27801713_7177878,Noncdm Charge Record Medical Supplies,1013.98,1013.98,,,0 CDM,27801713_7177881,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7177937,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7178010,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27801713_7178011,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27801713_7178065,Noncdm Charge Record Medical Supplies,1383.06,1383.06,,,0 CDM,27801713_7178072,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27801713_7178073,Noncdm Charge Record Medical Supplies,699.3,699.3,,,0 CDM,27801713_7178199,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7178201,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7178203,Noncdm Charge Record Medical Supplies,1080.03,1080.03,,,0 CDM,27801713_7178264,Noncdm Charge Record Medical Supplies,1258.74,1258.74,,,0 CDM,27801713_7178265,Noncdm Charge Record Medical Supplies,1258.74,1258.74,,,0 CDM,27801713_7178407,Noncdm Charge Record Medical Supplies,5190.36,5190.36,,,0 CDM,27801713_7178483,Noncdm Charge Record Medical Supplies,2073.81,2073.81,,,0 CDM,27801713_7178522,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27801713_7178523,Noncdm Charge Record Medical Supplies,979.02,979.02,,,0 CDM,27801713_7178617,Noncdm Charge Record Medical Supplies,689.98,689.98,,,0 CDM,27801713_7178693,Noncdm Charge Record Medical Supplies,15811.95,15811.95,,,0 CDM,27801713_7178702,Noncdm Charge Record Medical Supplies,93.24,93.24,,,0 CDM,27801713_7178735,Noncdm Charge Record Medical Supplies,2874.9,2874.9,,,0 CDM,27801713_7178736,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7178737,Noncdm Charge Record Medical Supplies,3030.3,3030.3,,,0 CDM,27801713_7178738,Noncdm Charge Record Medical Supplies,404.04,404.04,,,0 CDM,27801713_7178740,Noncdm Charge Record Medical Supplies,404.04,404.04,,,0 CDM,27801713_7178742,Noncdm Charge Record Medical Supplies,12179.48,12179.48,,,0 CDM,27801713_7178745,Noncdm Charge Record Medical Supplies,1297.43,1297.43,,,0 CDM,27801713_7178749,Noncdm Charge Record Medical Supplies,1297.43,1297.43,,,0 CDM,27801713_7178751,Noncdm Charge Record Medical Supplies,1297.43,1297.43,,,0 CDM,27801713_7178854,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801713_7178859,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7178861,Noncdm Charge Record Medical Supplies,380.73,380.73,,,0 CDM,27801713_7178862,Noncdm Charge Record Medical Supplies,380.73,380.73,,,0 CDM,27801713_7178863,Noncdm Charge Record Medical Supplies,380.73,380.73,,,0 CDM,27801713_7178880,Noncdm Charge Record Medical Supplies,256.41,256.41,,,0 CDM,27801713_7178896,Noncdm Charge Record Medical Supplies,689.98,689.98,,,0 CDM,27801713_7179168,Noncdm Charge Record Medical Supplies,2327.89,2327.89,,,0 CDM,27801713_7179194,Noncdm Charge Record Medical Supplies,4842.26,4842.26,,,0 CDM,27801713_7179236,Noncdm Charge Record Medical Supplies,4.98,4.98,,,0 CDM,27801713_7179240,Noncdm Charge Record Medical Supplies,11266.5,11266.5,,,0 CDM,27801713_7179302,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801713_7179366,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7179367,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7179400,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7179409,Noncdm Charge Record Medical Supplies,252.52,252.52,,,0 CDM,27801713_7179410,Noncdm Charge Record Medical Supplies,909.09,909.09,,,0 CDM,27801713_7179425,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7179426,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7179448,Noncdm Charge Record Medical Supplies,1103.34,1103.34,,,0 CDM,27801713_7179482,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7179483,Noncdm Charge Record Medical Supplies,1258.74,1258.74,,,0 CDM,27801713_7179524,Noncdm Charge Record Medical Supplies,180.65,180.65,,,0 CDM,27801713_7179573,Noncdm Charge Record Medical Supplies,4.98,4.98,,,0 CDM,27801713_7179596,Noncdm Charge Record Medical Supplies,1794.87,1794.87,,,0 CDM,27801713_7179602,Noncdm Charge Record Medical Supplies,3030.3,3030.3,,,0 CDM,27801713_7179603,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801713_7179604,Noncdm Charge Record Medical Supplies,404.04,404.04,,,0 CDM,27801713_7179605,Noncdm Charge Record Medical Supplies,404.04,404.04,,,0 CDM,27801713_7179606,Noncdm Charge Record Medical Supplies,404.04,404.04,,,0 CDM,27801713_7179629,Noncdm Charge Record Medical Supplies,8088.57,8088.57,,,0 CDM,27801713_7179676,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7179677,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7179679,Noncdm Charge Record Medical Supplies,303.03,303.03,,,0 CDM,27801713_7179700,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27801713_7179737,Noncdm Charge Record Medical Supplies,352.05,352.05,,,0 CDM,27801713_7179742,Noncdm Charge Record Medical Supplies,582.75,582.75,,,0 CDM,27801713_7179816,Noncdm Charge Record Medical Supplies,271.95,271.95,,,0 CDM,27801713_7179828,Noncdm Charge Record Medical Supplies,352.05,352.05,,,0 CDM,27801713_7179835,Noncdm Charge Record Medical Supplies,358.43,358.43,,,0 CDM,27801713_7179839,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27801713_7179841,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27801713_7179910,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7179943,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801713_7179951,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27801713_7179975,Noncdm Charge Record Medical Supplies,139.86,139.86,,,0 CDM,27801713_7180025,Noncdm Charge Record Medical Supplies,1445.22,1445.22,,,0 CDM,27801713_7180135,Noncdm Charge Record Medical Supplies,9.94,9.94,,,0 CDM,27801713_7180143,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27801713_7180144,Noncdm Charge Record Medical Supplies,2540.79,2540.79,,,0 CDM,27801713_7180214,Noncdm Charge Record Medical Supplies,1155.56,1155.56,,,0 CDM,27801713_7180215,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27801713_7180223,Noncdm Charge Record Medical Supplies,352.05,352.05,,,0 CDM,27801713_7180225,Noncdm Charge Record Medical Supplies,714.52,714.52,,,0 CDM,27801713_7180227,Noncdm Charge Record Medical Supplies,1173.66,1173.66,,,0 CDM,27801713_7180271,Noncdm Charge Record Medical Supplies,739.7,739.7,,,0 CDM,27801713_7180422,Noncdm Charge Record Medical Supplies,1752.91,1752.91,,,0 CDM,27801713_7180442,Noncdm Charge Record Medical Supplies,217.56,217.56,,,0 CDM,27801713_7183249,Noncdm Charge Record Medical Supplies,1530.69,1530.69,,,0 CDM,27801713_735263,Noncdm Charge Record Medical Supplies,165.11,165.11,,,0 CDM,27801713_743231,Noncdm Charge Record Medical Supplies,4628.2,4628.2,,,0 CDM,27801713_C1713_278,Noncdm Charge Record Medical Supplies,3482.18,3482.18,,,0 CDM,27801717,"Hc Brachytherapy Source, Nonstranded, High Dose Rate Iridium-192, Per Source",1047.9,1047.9,,,0 CDM,27801717_C1717_278,"Hc Brachytherapy Source, Nonstranded, High Dose Rate Iridium-192, Per Source",1047.9,1047.9,,,0 CDM,27801719,"Hc Brachytherapy Source, Nonstranded, Nonhigh Dose Rate Iridium-192, Per Source",453.6,453.6,,,0 CDM,27801721_7031633,Noncdm Charge Record Medical Supplies,59220.0,59220.0,,,0 CDM,27801721_C1721_278,Noncdm Charge Record Medical Supplies,84374.01,84374.01,,,0 CDM,27801725_7028595,Noncdm Charge Record Medical Supplies,5638.43,5638.43,,,0 CDM,27801725_7134520,Noncdm Charge Record Medical Supplies,21424.5,21424.5,,,0 CDM,27801725_7164393,Noncdm Charge Record Medical Supplies,26806.5,26806.5,,,0 CDM,27801725_7174319,Noncdm Charge Record Medical Supplies,36519.0,36519.0,,,0 CDM,27801726_7085685,Noncdm Charge Record Medical Supplies,2784.56,2784.56,,,0 CDM,27801726_7118047,Noncdm Charge Record Medical Supplies,2139.86,2139.86,,,0 CDM,27801726_7157543,Noncdm Charge Record Medical Supplies,4526.02,4526.02,,,0 CDM,27801726_7158725,Noncdm Charge Record Medical Supplies,4526.02,4526.02,,,0 CDM,27801726_7159523,Noncdm Charge Record Medical Supplies,4526.02,4526.02,,,0 CDM,27801726_7161303,Noncdm Charge Record Medical Supplies,4522.14,4522.14,,,0 CDM,27801726_7162025,Noncdm Charge Record Medical Supplies,1790.05,1790.05,,,0 CDM,27801726_7175244,Noncdm Charge Record Medical Supplies,14055.93,14055.93,,,0 CDM,27801726_7175934,Noncdm Charge Record Medical Supplies,5361.3,5361.3,,,0 CDM,27801726_7176991,Noncdm Charge Record Medical Supplies,4526.02,4526.02,,,0 CDM,27801726_7176993,Noncdm Charge Record Medical Supplies,4526.02,4526.02,,,0 CDM,27801726_C1726_278,Noncdm Charge Record Medical Supplies,2259.94,2259.94,,,0 CDM,27801728,"Hc Implanted Catheter, Brachytherapy Seed Administration",27.3,27.3,,,0 CDM,27801729_31122,Noncdm Charge Record Medical Supplies,1216.37,1216.37,,,0 CDM,27801729_7012763,Noncdm Charge Record Medical Supplies,1702.18,1702.18,,,0 CDM,27801729_7019294,Noncdm Charge Record Medical Supplies,2100.67,2100.67,,,0 CDM,27801729_7119373,Noncdm Charge Record Medical Supplies,3462.86,3462.86,,,0 CDM,27801729_7119374,Noncdm Charge Record Medical Supplies,3462.86,3462.86,,,0 CDM,27801729_7171946,Noncdm Charge Record Medical Supplies,124.87,124.87,,,0 CDM,27801729_7172014,Noncdm Charge Record Medical Supplies,541.02,541.02,,,0 CDM,27801729_745965,Noncdm Charge Record Medical Supplies,1428.15,1428.15,,,0 CDM,27801729_C1729_278,Noncdm Charge Record Medical Supplies,3320.51,3320.51,,,0 CDM,27801733,"Hc Blazer Ii Xp, Catheter",13112.4,13112.4,,,0 CDM,27801747_7055605,Noncdm Charge Record Medical Supplies,11655.0,11655.0,,,0 CDM,27801747_7160847,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801748_7097013,Noncdm Charge Record Medical Supplies,22766.1,22766.1,,,0 CDM,27801748_7115315,Noncdm Charge Record Medical Supplies,1437.45,1437.45,,,0 CDM,27801750_516901,Noncdm Charge Record Medical Supplies,1797.13,1797.13,,,0 CDM,27801750_7010559,Noncdm Charge Record Medical Supplies,1369.54,1369.54,,,0 CDM,27801750_7012332,Noncdm Charge Record Medical Supplies,1446.8,1446.8,,,0 CDM,27801750_7014444,Noncdm Charge Record Medical Supplies,2974.74,2974.74,,,0 CDM,27801750_7015361,Noncdm Charge Record Medical Supplies,1693.44,1693.44,,,0 CDM,27801750_7015365,Noncdm Charge Record Medical Supplies,1693.44,1693.44,,,0 CDM,27801750_7015383,Noncdm Charge Record Medical Supplies,1693.44,1693.44,,,0 CDM,27801750_7015392,Noncdm Charge Record Medical Supplies,1693.44,1693.44,,,0 CDM,27801750_7015405,Noncdm Charge Record Medical Supplies,1693.44,1693.44,,,0 CDM,27801750_7015432,Noncdm Charge Record Medical Supplies,1693.44,1693.44,,,0 CDM,27801750_7015457,Noncdm Charge Record Medical Supplies,1693.44,1693.44,,,0 CDM,27801750_7118017,Noncdm Charge Record Medical Supplies,2984.94,2984.94,,,0 CDM,27801750_7118577,Noncdm Charge Record Medical Supplies,1587.6,1587.6,,,0 CDM,27801750_7118578,Noncdm Charge Record Medical Supplies,1587.6,1587.6,,,0 CDM,27801751_C1751_278,Noncdm Charge Record Medical Supplies,4968.92,4968.92,,,0 CDM,27801752_7014351,Noncdm Charge Record Medical Supplies,595.57,595.57,,,0 CDM,27801752_7028963,Noncdm Charge Record Medical Supplies,430.36,430.36,,,0 CDM,27801752_7028987,Noncdm Charge Record Medical Supplies,229.1,229.1,,,0 CDM,27801752_7117774,Noncdm Charge Record Medical Supplies,814.97,814.97,,,0 CDM,27801752_7157651,Noncdm Charge Record Medical Supplies,408.24,408.24,,,0 CDM,27801752_7165925,Noncdm Charge Record Medical Supplies,1369.54,1369.54,,,0 CDM,27801752_7172518,Noncdm Charge Record Medical Supplies,1841.49,1841.49,,,0 CDM,27801752_7174338,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801752_7179385,Noncdm Charge Record Medical Supplies,2035.74,2035.74,,,0 CDM,27801752_C1752_278,Noncdm Charge Record Medical Supplies,2035.01,2035.01,,,0 CDM,27801760_7011908,Noncdm Charge Record Medical Supplies,1288.69,1288.69,,,0 CDM,27801760_7012121,Noncdm Charge Record Medical Supplies,1153.3,1153.3,,,0 CDM,27801760_7030102,Noncdm Charge Record Medical Supplies,1451.59,1451.59,,,0 CDM,27801760_7031393,Noncdm Charge Record Medical Supplies,1011.38,1011.38,,,0 CDM,27801760_7031394,Noncdm Charge Record Medical Supplies,1049.58,1049.58,,,0 CDM,27801760_7111098,Noncdm Charge Record Medical Supplies,18725.7,18725.7,,,0 CDM,27801760_7122989,Noncdm Charge Record Medical Supplies,1190.7,1190.7,,,0 CDM,27801760_7122990,Noncdm Charge Record Medical Supplies,1204.14,1204.14,,,0 CDM,27801760_7130708,Noncdm Charge Record Medical Supplies,1193.51,1193.51,,,0 CDM,27801760_7160547,Noncdm Charge Record Medical Supplies,17482.5,17482.5,,,0 CDM,27801760_7162734,Noncdm Charge Record Medical Supplies,1251.11,1251.11,,,0 CDM,27801760_7166126,Noncdm Charge Record Medical Supplies,3797.9,3797.9,,,0 CDM,27801760_7173393,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27801760_7175640,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801760_7175642,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801760_7178633,Noncdm Charge Record Medical Supplies,18356.62,18356.62,,,0 CDM,27801760_C1760_278,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801762_7001156,Noncdm Charge Record Medical Supplies,6110.55,6110.55,,,0 CDM,27801762_7001173,Noncdm Charge Record Medical Supplies,9712.5,9712.5,,,0 CDM,27801762_7001174,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801762_7001177,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801762_7001178,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801762_7001179,Noncdm Charge Record Medical Supplies,15151.5,15151.5,,,0 CDM,27801762_7001180,Noncdm Charge Record Medical Supplies,15.54,15.54,,,0 CDM,27801762_7016567,Noncdm Charge Record Medical Supplies,8352.75,8352.75,,,0 CDM,27801762_7029708,Noncdm Charge Record Medical Supplies,20318.55,20318.55,,,0 CDM,27801762_7029711,Noncdm Charge Record Medical Supplies,33282.24,33282.24,,,0 CDM,27801762_7029717,Noncdm Charge Record Medical Supplies,33558.63,33558.63,,,0 CDM,27801762_7029718,Noncdm Charge Record Medical Supplies,67971.96,67971.96,,,0 CDM,27801762_7054212,Noncdm Charge Record Medical Supplies,5400.15,5400.15,,,0 CDM,27801762_7054214,Noncdm Charge Record Medical Supplies,4351.2,4351.2,,,0 CDM,27801762_7075706,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27801762_7076387,Noncdm Charge Record Medical Supplies,7614.6,7614.6,,,0 CDM,27801762_7078985,Noncdm Charge Record Medical Supplies,62937.0,62937.0,,,0 CDM,27801762_7091601,Noncdm Charge Record Medical Supplies,16091.67,16091.67,,,0 CDM,27801762_7091778,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801762_7091908,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27801762_7091930,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801762_7095630,Noncdm Charge Record Medical Supplies,34100.29,34100.29,,,0 CDM,27801762_7096219,Noncdm Charge Record Medical Supplies,16694.46,16694.46,,,0 CDM,27801762_7096774,Noncdm Charge Record Medical Supplies,48181.77,48181.77,,,0 CDM,27801762_7125334,Noncdm Charge Record Medical Supplies,23310.0,23310.0,,,0 CDM,27801762_7125335,Noncdm Charge Record Medical Supplies,12432.0,12432.0,,,0 CDM,27801762_7130712,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27801762_7133466,Noncdm Charge Record Medical Supplies,15843.03,15843.03,,,0 CDM,27801762_7133467,Noncdm Charge Record Medical Supplies,18749.01,18749.01,,,0 CDM,27801762_7159090,Noncdm Charge Record Medical Supplies,7614.6,7614.6,,,0 CDM,27801762_7159092,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27801762_7159094,Noncdm Charge Record Medical Supplies,1903.65,1903.65,,,0 CDM,27801762_C1762_278,Noncdm Charge Record Medical Supplies,801.67,801.67,,,0 CDM,27801763_7012006,Noncdm Charge Record Medical Supplies,5322.45,5322.45,,,0 CDM,27801763_7012716,Noncdm Charge Record Medical Supplies,5710.95,5710.95,,,0 CDM,27801763_7012717,Noncdm Charge Record Medical Supplies,15306.9,15306.9,,,0 CDM,27801763_7015912,Noncdm Charge Record Medical Supplies,3467.52,3467.52,,,0 CDM,27801763_7019738,Noncdm Charge Record Medical Supplies,13192.61,13192.61,,,0 CDM,27801763_7022396,Noncdm Charge Record Medical Supplies,9797.58,9797.58,,,0 CDM,27801763_7029721,Noncdm Charge Record Medical Supplies,57536.85,57536.85,,,0 CDM,27801763_7032828,Noncdm Charge Record Medical Supplies,4389.5,4389.5,,,0 CDM,27801763_7057062,Noncdm Charge Record Medical Supplies,16627.8,16627.8,,,0 CDM,27801763_7057063,Noncdm Charge Record Medical Supplies,16146.06,16146.06,,,0 CDM,27801763_7057064,Noncdm Charge Record Medical Supplies,16627.8,16627.8,,,0 CDM,27801763_7076712,Noncdm Charge Record Medical Supplies,1981.35,1981.35,,,0 CDM,27801763_7091112,Noncdm Charge Record Medical Supplies,1.05,1.05,,,0 CDM,27801763_7096774,Noncdm Charge Record Medical Supplies,50590.47,50590.47,,,0 CDM,27801763_7124616,Noncdm Charge Record Medical Supplies,1305.36,1305.36,,,0 CDM,27801763_7141667,Noncdm Charge Record Medical Supplies,8119.65,8119.65,,,0 CDM,27801763_7141670,Noncdm Charge Record Medical Supplies,13706.01,13706.01,,,0 CDM,27801763_7178774,Noncdm Charge Record Medical Supplies,36441.3,36441.3,,,0 CDM,27801763_C1763_278,Noncdm Charge Record Medical Supplies,35975.1,35975.1,,,0 CDM,27801764_7031241,Noncdm Charge Record Medical Supplies,24610.49,24610.49,,,0 CDM,27801764_7094440,Noncdm Charge Record Medical Supplies,21168.0,21168.0,,,0 CDM,27801764_7112689,Noncdm Charge Record Medical Supplies,23064.04,23064.04,,,0 CDM,27801764_7118155,Noncdm Charge Record Medical Supplies,26712.0,26712.0,,,0 CDM,27801764_C1764_278,Noncdm Charge Record Medical Supplies,23410.8,23410.8,,,0 CDM,27801765_7043087,Noncdm Charge Record Medical Supplies,2564.8,2564.8,,,0 CDM,27801767_7012463,Noncdm Charge Record Medical Supplies,156234.44,156234.44,,,0 CDM,27801767_7054125,Noncdm Charge Record Medical Supplies,141608.25,141608.25,,,0 CDM,27801767_7071713,Noncdm Charge Record Medical Supplies,156188.55,156188.55,,,0 CDM,27801767_7078402,Noncdm Charge Record Medical Supplies,128520.0,128520.0,,,0 CDM,27801767_7119332,Noncdm Charge Record Medical Supplies,229215.0,229215.0,,,0 CDM,27801767_7126373,Noncdm Charge Record Medical Supplies,125796.3,125796.3,,,0 CDM,27801767_7126374,Noncdm Charge Record Medical Supplies,90528.27,90528.27,,,0 CDM,27801767_7149079,Noncdm Charge Record Medical Supplies,130924.5,130924.5,,,0 CDM,27801767_7163648,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27801767_C1767_278,Noncdm Charge Record Medical Supplies,150891.87,150891.87,,,0 CDM,27801768_513977,Noncdm Charge Record Medical Supplies,2322.57,2322.57,,,0 CDM,27801768_514794,Noncdm Charge Record Medical Supplies,867.26,867.26,,,0 CDM,27801768_521127,Noncdm Charge Record Medical Supplies,6363.63,6363.63,,,0 CDM,27801768_7001255,Noncdm Charge Record Medical Supplies,1863.72,1863.72,,,0 CDM,27801768_7001256,Noncdm Charge Record Medical Supplies,6815.07,6815.07,,,0 CDM,27801768_7001259,Noncdm Charge Record Medical Supplies,4970.6,4970.6,,,0 CDM,27801768_7010164,Noncdm Charge Record Medical Supplies,1724.94,1724.94,,,0 CDM,27801768_7010166,Noncdm Charge Record Medical Supplies,1756.02,1756.02,,,0 CDM,27801768_7012493,Noncdm Charge Record Medical Supplies,990.44,990.44,,,0 CDM,27801768_7014532,Noncdm Charge Record Medical Supplies,1919.19,1919.19,,,0 CDM,27801768_7014998,Noncdm Charge Record Medical Supplies,3755.47,3755.47,,,0 CDM,27801768_7015003,Noncdm Charge Record Medical Supplies,7421.05,7421.05,,,0 CDM,27801768_7015004,Noncdm Charge Record Medical Supplies,7421.05,7421.05,,,0 CDM,27801768_7015005,Noncdm Charge Record Medical Supplies,3467.52,3467.52,,,0 CDM,27801768_7015006,Noncdm Charge Record Medical Supplies,3732.39,3732.39,,,0 CDM,27801768_7015007,Noncdm Charge Record Medical Supplies,3568.83,3568.83,,,0 CDM,27801768_7015022,Noncdm Charge Record Medical Supplies,14905.12,14905.12,,,0 CDM,27801768_7015024,Noncdm Charge Record Medical Supplies,3755.47,3755.47,,,0 CDM,27801768_7015025,Noncdm Charge Record Medical Supplies,3755.47,3755.47,,,0 CDM,27801768_7015027,Noncdm Charge Record Medical Supplies,14905.12,14905.12,,,0 CDM,27801768_7015028,Noncdm Charge Record Medical Supplies,14905.12,14905.12,,,0 CDM,27801768_7015030,Noncdm Charge Record Medical Supplies,21880.32,21880.32,,,0 CDM,27801768_7015031,Noncdm Charge Record Medical Supplies,8368.29,8368.29,,,0 CDM,27801768_7015032,Noncdm Charge Record Medical Supplies,22494.15,22494.15,,,0 CDM,27801768_7015034,Noncdm Charge Record Medical Supplies,12432.0,12432.0,,,0 CDM,27801768_7015068,Noncdm Charge Record Medical Supplies,7421.05,7421.05,,,0 CDM,27801768_7015081,Noncdm Charge Record Medical Supplies,14203.56,14203.56,,,0 CDM,27801768_7015082,Noncdm Charge Record Medical Supplies,5345.76,5345.76,,,0 CDM,27801768_7015099,Noncdm Charge Record Medical Supplies,3732.39,3732.39,,,0 CDM,27801768_7015100,Noncdm Charge Record Medical Supplies,14203.56,14203.56,,,0 CDM,27801768_7015161,Noncdm Charge Record Medical Supplies,7421.05,7421.05,,,0 CDM,27801768_7015170,Noncdm Charge Record Medical Supplies,3732.39,3732.39,,,0 CDM,27801768_7015171,Noncdm Charge Record Medical Supplies,3568.83,3568.83,,,0 CDM,27801768_7015174,Noncdm Charge Record Medical Supplies,5072.64,5072.64,,,0 CDM,27801768_7015181,Noncdm Charge Record Medical Supplies,7421.05,7421.05,,,0 CDM,27801768_7015183,Noncdm Charge Record Medical Supplies,3568.83,3568.83,,,0 CDM,27801768_7015184,Noncdm Charge Record Medical Supplies,3732.39,3732.39,,,0 CDM,27801768_7015189,Noncdm Charge Record Medical Supplies,3732.39,3732.39,,,0 CDM,27801768_7015190,Noncdm Charge Record Medical Supplies,7421.05,7421.05,,,0 CDM,27801768_7015192,Noncdm Charge Record Medical Supplies,17264.94,17264.94,,,0 CDM,27801768_7015198,Noncdm Charge Record Medical Supplies,3755.47,3755.47,,,0 CDM,27801768_7015200,Noncdm Charge Record Medical Supplies,9930.06,9930.06,,,0 CDM,27801768_7015213,Noncdm Charge Record Medical Supplies,37443.63,37443.63,,,0 CDM,27801768_7015233,Noncdm Charge Record Medical Supplies,3755.47,3755.47,,,0 CDM,27801768_7015245,Noncdm Charge Record Medical Supplies,8717.94,8717.94,,,0 CDM,27801768_7015266,Noncdm Charge Record Medical Supplies,45066.0,45066.0,,,0 CDM,27801768_7015623,Noncdm Charge Record Medical Supplies,24145.28,24145.28,,,0 CDM,27801768_7015624,Noncdm Charge Record Medical Supplies,36829.8,36829.8,,,0 CDM,27801768_7015625,Noncdm Charge Record Medical Supplies,38671.29,38671.29,,,0 CDM,27801768_7015630,Noncdm Charge Record Medical Supplies,93814.98,93814.98,,,0 CDM,27801768_7015688,Noncdm Charge Record Medical Supplies,149659.91,149659.91,,,0 CDM,27801768_7015720,Noncdm Charge Record Medical Supplies,3732.39,3732.39,,,0 CDM,27801768_7015726,Noncdm Charge Record Medical Supplies,3755.47,3755.47,,,0 CDM,27801768_7015890,Noncdm Charge Record Medical Supplies,10808.07,10808.07,,,0 CDM,27801768_7015898,Noncdm Charge Record Medical Supplies,10299.14,10299.14,,,0 CDM,27801768_7015902,Noncdm Charge Record Medical Supplies,5072.64,5072.64,,,0 CDM,27801768_7015905,Noncdm Charge Record Medical Supplies,3467.52,3467.52,,,0 CDM,27801768_7015907,Noncdm Charge Record Medical Supplies,3467.52,3467.52,,,0 CDM,27801768_7015908,Noncdm Charge Record Medical Supplies,5072.64,5072.64,,,0 CDM,27801768_7015911,Noncdm Charge Record Medical Supplies,5072.64,5072.64,,,0 CDM,27801768_7016326,Noncdm Charge Record Medical Supplies,15654.33,15654.33,,,0 CDM,27801768_7019739,Noncdm Charge Record Medical Supplies,13192.61,13192.61,,,0 CDM,27801768_7019740,Noncdm Charge Record Medical Supplies,13192.61,13192.61,,,0 CDM,27801768_7021314,Noncdm Charge Record Medical Supplies,3732.39,3732.39,,,0 CDM,27801768_7021594,Noncdm Charge Record Medical Supplies,36829.8,36829.8,,,0 CDM,27801768_7022252,Noncdm Charge Record Medical Supplies,3755.47,3755.47,,,0 CDM,27801768_7024231,Noncdm Charge Record Medical Supplies,1934.73,1934.73,,,0 CDM,27801768_7026849,Noncdm Charge Record Medical Supplies,8391.6,8391.6,,,0 CDM,27801768_7028330,Noncdm Charge Record Medical Supplies,2478.63,2478.63,,,0 CDM,27801768_7028361,Noncdm Charge Record Medical Supplies,7645.68,7645.68,,,0 CDM,27801768_7028362,Noncdm Charge Record Medical Supplies,7645.68,7645.68,,,0 CDM,27801768_7029615,Noncdm Charge Record Medical Supplies,36829.8,36829.8,,,0 CDM,27801768_7029629,Noncdm Charge Record Medical Supplies,25905.18,25905.18,,,0 CDM,27801768_7032682,Noncdm Charge Record Medical Supplies,6324.78,6324.78,,,0 CDM,27801768_7033419,Noncdm Charge Record Medical Supplies,38057.46,38057.46,,,0 CDM,27801768_7046348,Noncdm Charge Record Medical Supplies,38671.29,38671.29,,,0 CDM,27801768_7047654,Noncdm Charge Record Medical Supplies,76575.68,76575.68,,,0 CDM,27801768_7050033,Noncdm Charge Record Medical Supplies,34353.5,34353.5,,,0 CDM,27801768_7053750,Noncdm Charge Record Medical Supplies,37296.0,37296.0,,,0 CDM,27801768_7055247,Noncdm Charge Record Medical Supplies,38191.88,38191.88,,,0 CDM,27801768_7057574,Noncdm Charge Record Medical Supplies,29440.53,29440.53,,,0 CDM,27801768_7057577,Noncdm Charge Record Medical Supplies,26390.8,26390.8,,,0 CDM,27801768_7057578,Noncdm Charge Record Medical Supplies,24215.2,24215.2,,,0 CDM,27801768_7058413,Noncdm Charge Record Medical Supplies,37290.17,37290.17,,,0 CDM,27801768_7058423,Noncdm Charge Record Medical Supplies,37290.17,37290.17,,,0 CDM,27801768_7078313,Noncdm Charge Record Medical Supplies,7575.75,7575.75,,,0 CDM,27801768_7086105,Noncdm Charge Record Medical Supplies,13192.61,13192.61,,,0 CDM,27801768_7086107,Noncdm Charge Record Medical Supplies,13192.61,13192.61,,,0 CDM,27801768_7091341,Noncdm Charge Record Medical Supplies,34693.05,34693.05,,,0 CDM,27801768_7111337,Noncdm Charge Record Medical Supplies,49131.26,49131.26,,,0 CDM,27801768_7111359,Noncdm Charge Record Medical Supplies,76575.68,76575.68,,,0 CDM,27801768_7124877,Noncdm Charge Record Medical Supplies,112665.0,112665.0,,,0 CDM,27801768_7124878,Noncdm Charge Record Medical Supplies,112665.0,112665.0,,,0 CDM,27801768_7124879,Noncdm Charge Record Medical Supplies,112665.0,112665.0,,,0 CDM,27801768_7125336,Noncdm Charge Record Medical Supplies,112665.0,112665.0,,,0 CDM,27801768_7125337,Noncdm Charge Record Medical Supplies,112665.0,112665.0,,,0 CDM,27801768_7144768,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801768_7168434,Noncdm Charge Record Medical Supplies,8717.94,8717.94,,,0 CDM,27801768_755874,Noncdm Charge Record Medical Supplies,4118.1,4118.1,,,0 CDM,27801768_771817,Noncdm Charge Record Medical Supplies,5112.66,5112.66,,,0 CDM,27801768_C1768_278,Noncdm Charge Record Medical Supplies,92118.51,92118.51,,,0 CDM,27801769_7018041,Noncdm Charge Record Medical Supplies,42.19,42.19,,,0 CDM,27801769_7018042,Noncdm Charge Record Medical Supplies,35.9,35.9,,,0 CDM,27801769_7018043,Noncdm Charge Record Medical Supplies,42.89,42.89,,,0 CDM,27801769_7018044,Noncdm Charge Record Medical Supplies,35.28,35.28,,,0 CDM,27801769_7018045,Noncdm Charge Record Medical Supplies,34.74,34.74,,,0 CDM,27801769_7018046,Noncdm Charge Record Medical Supplies,38.0,38.0,,,0 CDM,27801769_7018050,Noncdm Charge Record Medical Supplies,69.38,69.38,,,0 CDM,27801769_7018053,Noncdm Charge Record Medical Supplies,53.61,53.61,,,0 CDM,27801769_7018054,Noncdm Charge Record Medical Supplies,69.38,69.38,,,0 CDM,27801769_7027608,Noncdm Charge Record Medical Supplies,354.31,354.31,,,0 CDM,27801769_7028925,Noncdm Charge Record Medical Supplies,541.96,541.96,,,0 CDM,27801769_7030244,Noncdm Charge Record Medical Supplies,446.78,446.78,,,0 CDM,27801769_7116961,Noncdm Charge Record Medical Supplies,162.49,162.49,,,0 CDM,27801769_7164930,Noncdm Charge Record Medical Supplies,783.22,783.22,,,0 CDM,27801769_C1769_278,Noncdm Charge Record Medical Supplies,580.38,580.38,,,0 CDM,27801771_7011437,Noncdm Charge Record Medical Supplies,10631.6,10631.6,,,0 CDM,27801771_7011438,Noncdm Charge Record Medical Supplies,9666.2,9666.2,,,0 CDM,27801771_7013657,Noncdm Charge Record Medical Supplies,51549.45,51549.45,,,0 CDM,27801771_7032856,Noncdm Charge Record Medical Supplies,6923.07,6923.07,,,0 CDM,27801771_7115004,Noncdm Charge Record Medical Supplies,27195.0,27195.0,,,0 CDM,27801771_7115019,Noncdm Charge Record Medical Supplies,23853.9,23853.9,,,0 CDM,27801771_7118124,Noncdm Charge Record Medical Supplies,2415.85,2415.85,,,0 CDM,27801771_7118556,Noncdm Charge Record Medical Supplies,7106.99,7106.99,,,0 CDM,27801771_7126402,Noncdm Charge Record Medical Supplies,13098.74,13098.74,,,0 CDM,27801771_7142721,Noncdm Charge Record Medical Supplies,11828.01,11828.01,,,0 CDM,27801771_C1771_278,Noncdm Charge Record Medical Supplies,12564.09,12564.09,,,0 CDM,27801772_7012467,Noncdm Charge Record Medical Supplies,104257.86,104257.86,,,0 CDM,27801772_7012470,Noncdm Charge Record Medical Supplies,104257.86,104257.86,,,0 CDM,27801772_7157819,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801772_7163604,Noncdm Charge Record Medical Supplies,3519.81,3519.81,,,0 CDM,27801772_C1772_278,Noncdm Charge Record Medical Supplies,28084.66,28084.66,,,0 CDM,27801776_7028834,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27801776_7028835,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7028836,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7028837,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7028838,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7028840,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7028842,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7028843,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7028863,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27801776_7028866,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27801776_7028868,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27801776_7028869,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801776_7028870,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27801776_7028875,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7028876,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7028880,Noncdm Charge Record Medical Supplies,3108.0,3108.0,,,0 CDM,27801776_7028883,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7028884,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7028904,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7028905,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801776_7028908,Noncdm Charge Record Medical Supplies,8059.43,8059.43,,,0 CDM,27801776_7028911,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27801776_7028915,Noncdm Charge Record Medical Supplies,16118.86,16118.86,,,0 CDM,27801776_7028918,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27801776_7028919,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27801776_7028920,Noncdm Charge Record Medical Supplies,7381.5,7381.5,,,0 CDM,27801776_7028921,Noncdm Charge Record Medical Supplies,7381.5,7381.5,,,0 CDM,27801776_7028922,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27801776_7028924,Noncdm Charge Record Medical Supplies,7381.5,7381.5,,,0 CDM,27801776_7030238,Noncdm Charge Record Medical Supplies,4249.64,4249.64,,,0 CDM,27801776_7030239,Noncdm Charge Record Medical Supplies,24452.65,24452.65,,,0 CDM,27801776_7030240,Noncdm Charge Record Medical Supplies,9448.25,9448.25,,,0 CDM,27801776_7030242,Noncdm Charge Record Medical Supplies,5083.98,5083.98,,,0 CDM,27801776_7030243,Noncdm Charge Record Medical Supplies,27322.43,27322.43,,,0 CDM,27801776_7030253,Noncdm Charge Record Medical Supplies,59531.72,59531.72,,,0 CDM,27801776_7030260,Noncdm Charge Record Medical Supplies,2544.29,2544.29,,,0 CDM,27801776_7030262,Noncdm Charge Record Medical Supplies,8485.54,8485.54,,,0 CDM,27801776_7030317,Noncdm Charge Record Medical Supplies,41313.71,41313.71,,,0 CDM,27801776_7030573,Noncdm Charge Record Medical Supplies,24966.1,24966.1,,,0 CDM,27801776_7030576,Noncdm Charge Record Medical Supplies,24966.1,24966.1,,,0 CDM,27801776_7030579,Noncdm Charge Record Medical Supplies,24966.1,24966.1,,,0 CDM,27801776_7030583,Noncdm Charge Record Medical Supplies,2475.52,2475.52,,,0 CDM,27801776_7030586,Noncdm Charge Record Medical Supplies,8467.2,8467.2,,,0 CDM,27801776_7030588,Noncdm Charge Record Medical Supplies,44605.24,44605.24,,,0 CDM,27801776_7030601,Noncdm Charge Record Medical Supplies,9448.25,9448.25,,,0 CDM,27801776_7030718,Noncdm Charge Record Medical Supplies,31828.8,31828.8,,,0 CDM,27801776_7030719,Noncdm Charge Record Medical Supplies,31828.8,31828.8,,,0 CDM,27801776_7030721,Noncdm Charge Record Medical Supplies,31828.8,31828.8,,,0 CDM,27801776_7030731,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7030732,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7030733,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7030767,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7030770,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7030771,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7030780,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7030783,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7030788,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7030800,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7030801,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7030802,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7030803,Noncdm Charge Record Medical Supplies,7926.57,7926.57,,,0 CDM,27801776_7030808,Noncdm Charge Record Medical Supplies,7265.73,7265.73,,,0 CDM,27801776_7030809,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801776_7030812,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801776_7030822,Noncdm Charge Record Medical Supplies,7265.73,7265.73,,,0 CDM,27801776_7030825,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27801776_7030826,Noncdm Charge Record Medical Supplies,44083.87,44083.87,,,0 CDM,27801776_7030828,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801776_7030829,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801776_7030832,Noncdm Charge Record Medical Supplies,3108.0,3108.0,,,0 CDM,27801776_7030836,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27801776_7030839,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27801776_7030840,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801776_7030841,Noncdm Charge Record Medical Supplies,7965.03,7965.03,,,0 CDM,27801776_7030842,Noncdm Charge Record Medical Supplies,7926.57,7926.57,,,0 CDM,27801776_7030847,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27801776_7030855,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27801776_7030856,Noncdm Charge Record Medical Supplies,44083.87,44083.87,,,0 CDM,27801776_7030857,Noncdm Charge Record Medical Supplies,44083.87,44083.87,,,0 CDM,27801776_7030861,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27801776_7030864,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7030866,Noncdm Charge Record Medical Supplies,3108.0,3108.0,,,0 CDM,27801776_7030867,Noncdm Charge Record Medical Supplies,20419.56,20419.56,,,0 CDM,27801776_7030869,Noncdm Charge Record Medical Supplies,28965.01,28965.01,,,0 CDM,27801776_7030871,Noncdm Charge Record Medical Supplies,44083.87,44083.87,,,0 CDM,27801776_7030872,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801776_7030875,Noncdm Charge Record Medical Supplies,28965.01,28965.01,,,0 CDM,27801776_7030876,Noncdm Charge Record Medical Supplies,7580.41,7580.41,,,0 CDM,27801776_7030877,Noncdm Charge Record Medical Supplies,28965.01,28965.01,,,0 CDM,27801776_7030880,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801776_7030881,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801776_7030885,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27801776_7030886,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801776_7030888,Noncdm Charge Record Medical Supplies,8444.05,8444.05,,,0 CDM,27801776_7030889,Noncdm Charge Record Medical Supplies,8730.76,8730.76,,,0 CDM,27801776_7030892,Noncdm Charge Record Medical Supplies,8444.05,8444.05,,,0 CDM,27801776_7030895,Noncdm Charge Record Medical Supplies,8444.05,8444.05,,,0 CDM,27801776_7030897,Noncdm Charge Record Medical Supplies,20751.73,20751.73,,,0 CDM,27801776_7030898,Noncdm Charge Record Medical Supplies,20751.73,20751.73,,,0 CDM,27801776_7030900,Noncdm Charge Record Medical Supplies,21979.0,21979.0,,,0 CDM,27801776_7030901,Noncdm Charge Record Medical Supplies,8059.43,8059.43,,,0 CDM,27801776_7030903,Noncdm Charge Record Medical Supplies,8444.05,8444.05,,,0 CDM,27801776_7030905,Noncdm Charge Record Medical Supplies,8444.05,8444.05,,,0 CDM,27801776_7030908,Noncdm Charge Record Medical Supplies,20751.73,20751.73,,,0 CDM,27801776_7031032,Noncdm Charge Record Medical Supplies,8702.4,8702.4,,,0 CDM,27801776_7031039,Noncdm Charge Record Medical Supplies,8702.4,8702.4,,,0 CDM,27801776_7031345,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27801776_7031363,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801776_7031396,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7031561,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27801776_7031562,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27801776_7031564,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27801776_7031569,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27801776_7031572,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27801776_7031581,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27801776_7031590,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27801776_7031592,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27801776_7031594,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27801776_7031595,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27801776_7031604,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27801776_7032239,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7032243,Noncdm Charge Record Medical Supplies,21662.76,21662.76,,,0 CDM,27801776_7032437,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7032489,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 CDM,27801776_7032497,Noncdm Charge Record Medical Supplies,3690.75,3690.75,,,0 CDM,27801776_7032561,Noncdm Charge Record Medical Supplies,15151.5,15151.5,,,0 CDM,27801776_7032563,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7032583,Noncdm Charge Record Medical Supplies,3690.75,3690.75,,,0 CDM,27801776_7032584,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7032601,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27801776_7032606,Noncdm Charge Record Medical Supplies,428.4,428.4,,,0 CDM,27801776_7032653,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27801776_7032848,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7032924,Noncdm Charge Record Medical Supplies,15151.5,15151.5,,,0 CDM,27801776_7032928,Noncdm Charge Record Medical Supplies,15151.5,15151.5,,,0 CDM,27801776_7042254,Noncdm Charge Record Medical Supplies,2913.75,2913.75,,,0 CDM,27801776_7042257,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7042259,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7042261,Noncdm Charge Record Medical Supplies,8444.05,8444.05,,,0 CDM,27801776_7042262,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27801776_7044570,Noncdm Charge Record Medical Supplies,7097.9,7097.9,,,0 CDM,27801776_7044579,Noncdm Charge Record Medical Supplies,10878.0,10878.0,,,0 CDM,27801776_7044580,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27801776_7044747,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7044749,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801776_7046377,Noncdm Charge Record Medical Supplies,22196.56,22196.56,,,0 CDM,27801776_7046540,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7046542,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801776_7046554,Noncdm Charge Record Medical Supplies,35175.18,35175.18,,,0 CDM,27801776_7046564,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27801776_7047786,Noncdm Charge Record Medical Supplies,24966.1,24966.1,,,0 CDM,27801776_7047788,Noncdm Charge Record Medical Supplies,44605.24,44605.24,,,0 CDM,27801776_7047808,Noncdm Charge Record Medical Supplies,5825.17,5825.17,,,0 CDM,27801776_7048145,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27801776_7048522,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801776_7048532,Noncdm Charge Record Medical Supplies,7965.03,7965.03,,,0 CDM,27801776_7048533,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27801776_7048539,Noncdm Charge Record Medical Supplies,44083.87,44083.87,,,0 CDM,27801776_7048944,Noncdm Charge Record Medical Supplies,31828.8,31828.8,,,0 CDM,27801776_7048952,Noncdm Charge Record Medical Supplies,24966.1,24966.1,,,0 CDM,27801776_7048969,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7049422,Noncdm Charge Record Medical Supplies,11500.57,11500.57,,,0 CDM,27801776_7049425,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27801776_7049823,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27801776_7049825,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7053874,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27801776_7054084,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7054085,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7054277,Noncdm Charge Record Medical Supplies,59531.72,59531.72,,,0 CDM,27801776_7054283,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7054317,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7054374,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7054379,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7054394,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7054400,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7054419,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7054436,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7054486,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27801776_7054687,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801776_7054694,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801776_7054695,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801776_7054696,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801776_7054699,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801776_7054706,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801776_7054710,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801776_7054711,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801776_7054712,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801776_7054713,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801776_7054714,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801776_7054715,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801776_7054717,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801776_7054729,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801776_7054730,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801776_7054731,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801776_7054732,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801776_7054733,Noncdm Charge Record Medical Supplies,14763.0,14763.0,,,0 CDM,27801776_7054909,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801776_7054930,Noncdm Charge Record Medical Supplies,24452.65,24452.65,,,0 CDM,27801776_7054936,Noncdm Charge Record Medical Supplies,12538.06,12538.06,,,0 CDM,27801776_7054938,Noncdm Charge Record Medical Supplies,24966.1,24966.1,,,0 CDM,27801776_7054951,Noncdm Charge Record Medical Supplies,31828.8,31828.8,,,0 CDM,27801776_7054961,Noncdm Charge Record Medical Supplies,7580.41,7580.41,,,0 CDM,27801776_7054967,Noncdm Charge Record Medical Supplies,21662.76,21662.76,,,0 CDM,27801776_7055489,Noncdm Charge Record Medical Supplies,35175.18,35175.18,,,0 CDM,27801776_7056444,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7056471,Noncdm Charge Record Medical Supplies,4291.06,4291.06,,,0 CDM,27801776_7056486,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7056566,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7056581,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7056586,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7056598,Noncdm Charge Record Medical Supplies,14562.92,14562.92,,,0 CDM,27801776_7056611,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7056612,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801776_7056626,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7056639,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7056681,Noncdm Charge Record Medical Supplies,7056.0,7056.0,,,0 CDM,27801776_7056761,Noncdm Charge Record Medical Supplies,21811.17,21811.17,,,0 CDM,27801776_7056762,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7056785,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7058285,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27801776_7058286,Noncdm Charge Record Medical Supplies,15151.5,15151.5,,,0 CDM,27801776_7058289,Noncdm Charge Record Medical Supplies,15151.5,15151.5,,,0 CDM,27801776_7058290,Noncdm Charge Record Medical Supplies,15151.5,15151.5,,,0 CDM,27801776_7058296,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27801776_7058300,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27801776_7058307,Noncdm Charge Record Medical Supplies,15151.5,15151.5,,,0 CDM,27801776_7058418,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27801776_7058436,Noncdm Charge Record Medical Supplies,18259.5,18259.5,,,0 CDM,27801776_7058441,Noncdm Charge Record Medical Supplies,7381.5,7381.5,,,0 CDM,27801776_7058445,Noncdm Charge Record Medical Supplies,34430.39,34430.39,,,0 CDM,27801776_7058447,Noncdm Charge Record Medical Supplies,24425.15,24425.15,,,0 CDM,27801776_7058453,Noncdm Charge Record Medical Supplies,9448.25,9448.25,,,0 CDM,27801776_7058503,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27801776_7058510,Noncdm Charge Record Medical Supplies,7097.9,7097.9,,,0 CDM,27801776_7058513,Noncdm Charge Record Medical Supplies,28965.01,28965.01,,,0 CDM,27801776_7058515,Noncdm Charge Record Medical Supplies,7097.9,7097.9,,,0 CDM,27801776_7058517,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27801776_7058521,Noncdm Charge Record Medical Supplies,8444.05,8444.05,,,0 CDM,27801776_7058523,Noncdm Charge Record Medical Supplies,8444.05,8444.05,,,0 CDM,27801776_7058524,Noncdm Charge Record Medical Supplies,8730.76,8730.76,,,0 CDM,27801776_7058526,Noncdm Charge Record Medical Supplies,18935.49,18935.49,,,0 CDM,27801776_7058527,Noncdm Charge Record Medical Supplies,22501.92,22501.92,,,0 CDM,27801776_7058561,Noncdm Charge Record Medical Supplies,14436.66,14436.66,,,0 CDM,27801776_7058599,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27801776_7058605,Noncdm Charge Record Medical Supplies,17705.11,17705.11,,,0 CDM,27801776_7062747,Noncdm Charge Record Medical Supplies,6816.23,6816.23,,,0 CDM,27801776_7072827,Noncdm Charge Record Medical Supplies,8059.43,8059.43,,,0 CDM,27801776_7072832,Noncdm Charge Record Medical Supplies,26379.15,26379.15,,,0 CDM,27801776_7072833,Noncdm Charge Record Medical Supplies,23519.79,23519.79,,,0 CDM,27801776_7072839,Noncdm Charge Record Medical Supplies,28965.01,28965.01,,,0 CDM,27801776_7072841,Noncdm Charge Record Medical Supplies,18935.49,18935.49,,,0 CDM,27801776_7072868,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27801776_7074867,Noncdm Charge Record Medical Supplies,1048.95,1048.95,,,0 CDM,27801776_7074879,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27801776_7074882,Noncdm Charge Record Medical Supplies,39995.69,39995.69,,,0 CDM,27801776_7075672,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27801776_7075716,Noncdm Charge Record Medical Supplies,11655.0,11655.0,,,0 CDM,27801776_7075729,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7075752,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7075775,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801776_7076064,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27801776_7076311,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7076889,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27801776_7076901,Noncdm Charge Record Medical Supplies,31828.8,31828.8,,,0 CDM,27801776_7076905,Noncdm Charge Record Medical Supplies,27322.43,27322.43,,,0 CDM,27801776_7076911,Noncdm Charge Record Medical Supplies,7125.87,7125.87,,,0 CDM,27801776_7077523,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27801776_7079072,Noncdm Charge Record Medical Supplies,1204.35,1204.35,,,0 CDM,27801776_7082130,Noncdm Charge Record Medical Supplies,22501.92,22501.92,,,0 CDM,27801776_7082154,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7087745,Noncdm Charge Record Medical Supplies,12538.06,12538.06,,,0 CDM,27801776_7087747,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27801776_7087748,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801776_7087749,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7087764,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7087765,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7087766,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7088622,Noncdm Charge Record Medical Supplies,5825.17,5825.17,,,0 CDM,27801776_7088636,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7088637,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7088638,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27801776_7090528,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27801776_7090537,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7090538,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7090678,Noncdm Charge Record Medical Supplies,10878.0,10878.0,,,0 CDM,27801776_7090685,Noncdm Charge Record Medical Supplies,10878.0,10878.0,,,0 CDM,27801776_7090779,Noncdm Charge Record Medical Supplies,10878.0,10878.0,,,0 CDM,27801776_7091248,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27801776_7091255,Noncdm Charge Record Medical Supplies,14374.5,14374.5,,,0 CDM,27801776_7091278,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7091295,Noncdm Charge Record Medical Supplies,24370.6,24370.6,,,0 CDM,27801776_7091311,Noncdm Charge Record Medical Supplies,14374.5,14374.5,,,0 CDM,27801776_7091318,Noncdm Charge Record Medical Supplies,19114.2,19114.2,,,0 CDM,27801776_7091319,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801776_7091342,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27801776_7091346,Noncdm Charge Record Medical Supplies,14374.5,14374.5,,,0 CDM,27801776_7091349,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801776_7091360,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801776_7091378,Noncdm Charge Record Medical Supplies,24370.6,24370.6,,,0 CDM,27801776_7091382,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 CDM,27801776_7091585,Noncdm Charge Record Medical Supplies,35839.12,35839.12,,,0 CDM,27801776_7091586,Noncdm Charge Record Medical Supplies,12062.92,12062.92,,,0 CDM,27801776_7091587,Noncdm Charge Record Medical Supplies,12832.16,12832.16,,,0 CDM,27801776_7091589,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27801776_7091590,Noncdm Charge Record Medical Supplies,34965.0,34965.0,,,0 CDM,27801776_7091602,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 CDM,27801776_7091605,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7091607,Noncdm Charge Record Medical Supplies,10878.0,10878.0,,,0 CDM,27801776_7091613,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7091615,Noncdm Charge Record Medical Supplies,22412.56,22412.56,,,0 CDM,27801776_7091624,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7091640,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7091641,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 CDM,27801776_7091642,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801776_7091647,Noncdm Charge Record Medical Supplies,35839.12,35839.12,,,0 CDM,27801776_7091649,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7091651,Noncdm Charge Record Medical Supplies,11258.73,11258.73,,,0 CDM,27801776_7091654,Noncdm Charge Record Medical Supplies,34965.0,34965.0,,,0 CDM,27801776_7091665,Noncdm Charge Record Medical Supplies,10878.0,10878.0,,,0 CDM,27801776_7091673,Noncdm Charge Record Medical Supplies,34790.18,34790.18,,,0 CDM,27801776_7091678,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27801776_7091682,Noncdm Charge Record Medical Supplies,10878.0,10878.0,,,0 CDM,27801776_7091686,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 CDM,27801776_7091694,Noncdm Charge Record Medical Supplies,34965.0,34965.0,,,0 CDM,27801776_7091698,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7091717,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7091720,Noncdm Charge Record Medical Supplies,16059.19,16059.19,,,0 CDM,27801776_7091723,Noncdm Charge Record Medical Supplies,17832.15,17832.15,,,0 CDM,27801776_7091729,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7091737,Noncdm Charge Record Medical Supplies,3690.75,3690.75,,,0 CDM,27801776_7091739,Noncdm Charge Record Medical Supplies,12832.16,12832.16,,,0 CDM,27801776_7091803,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801776_7091834,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7091844,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801776_7091854,Noncdm Charge Record Medical Supplies,7412.58,7412.58,,,0 CDM,27801776_7091870,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7091902,Noncdm Charge Record Medical Supplies,1165.5,1165.5,,,0 CDM,27801776_7092829,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801776_7092839,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7092840,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7092841,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27801776_7092843,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7093142,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7093168,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093228,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093258,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093284,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093286,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27801776_7093287,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093314,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093319,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093385,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093388,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093389,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093404,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093417,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093432,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093433,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093441,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093472,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093489,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093502,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 CDM,27801776_7093520,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 CDM,27801776_7093525,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093526,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093552,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093562,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093563,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093580,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093633,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093662,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 CDM,27801776_7093713,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093720,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093721,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093740,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093744,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093748,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7093756,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093758,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093785,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093824,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093841,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093852,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7093885,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093895,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093913,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093916,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 CDM,27801776_7093917,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7093957,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 CDM,27801776_7093964,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7094081,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7094082,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7094084,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7094091,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7094104,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7094154,Noncdm Charge Record Medical Supplies,26083.89,26083.89,,,0 CDM,27801776_7094173,Noncdm Charge Record Medical Supplies,21950.25,21950.25,,,0 CDM,27801776_7094490,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27801776_7094492,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27801776_7094495,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094497,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094499,Noncdm Charge Record Medical Supplies,28129.34,28129.34,,,0 CDM,27801776_7094513,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094522,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7094531,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094561,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094571,Noncdm Charge Record Medical Supplies,2913.75,2913.75,,,0 CDM,27801776_7094610,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094611,Noncdm Charge Record Medical Supplies,21667.81,21667.81,,,0 CDM,27801776_7094623,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27801776_7094624,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27801776_7094625,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27801776_7094626,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27801776_7094627,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094630,Noncdm Charge Record Medical Supplies,16118.86,16118.86,,,0 CDM,27801776_7094645,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094646,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094649,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094654,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094655,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094683,Noncdm Charge Record Medical Supplies,28129.34,28129.34,,,0 CDM,27801776_7094744,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094746,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094750,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094754,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094768,Noncdm Charge Record Medical Supplies,30083.89,30083.89,,,0 CDM,27801776_7094823,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27801776_7094834,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27801776_7094836,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094846,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094852,Noncdm Charge Record Medical Supplies,21667.81,21667.81,,,0 CDM,27801776_7094860,Noncdm Charge Record Medical Supplies,2913.75,2913.75,,,0 CDM,27801776_7094866,Noncdm Charge Record Medical Supplies,28129.34,28129.34,,,0 CDM,27801776_7094887,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094895,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094896,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094903,Noncdm Charge Record Medical Supplies,16118.86,16118.86,,,0 CDM,27801776_7094936,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7094958,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095008,Noncdm Charge Record Medical Supplies,16118.86,16118.86,,,0 CDM,27801776_7095020,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095059,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27801776_7095064,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095070,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095071,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095073,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27801776_7095079,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095109,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095146,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095147,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095151,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095158,Noncdm Charge Record Medical Supplies,2913.75,2913.75,,,0 CDM,27801776_7095161,Noncdm Charge Record Medical Supplies,16118.86,16118.86,,,0 CDM,27801776_7095162,Noncdm Charge Record Medical Supplies,28129.34,28129.34,,,0 CDM,27801776_7095230,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095232,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095235,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095236,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095241,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095244,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27801776_7095249,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095260,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095262,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095266,Noncdm Charge Record Medical Supplies,21667.81,21667.81,,,0 CDM,27801776_7095272,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27801776_7095278,Noncdm Charge Record Medical Supplies,16118.86,16118.86,,,0 CDM,27801776_7095285,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095315,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095324,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095333,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095334,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095340,Noncdm Charge Record Medical Supplies,6604.5,6604.5,,,0 CDM,27801776_7095341,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095367,Noncdm Charge Record Medical Supplies,16118.86,16118.86,,,0 CDM,27801776_7095385,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095386,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095401,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095402,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095431,Noncdm Charge Record Medical Supplies,2913.75,2913.75,,,0 CDM,27801776_7095432,Noncdm Charge Record Medical Supplies,2913.75,2913.75,,,0 CDM,27801776_7095436,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7095443,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7098024,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 CDM,27801776_7098025,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 CDM,27801776_7098051,Noncdm Charge Record Medical Supplies,15151.5,15151.5,,,0 CDM,27801776_7098052,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 CDM,27801776_7098071,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 CDM,27801776_7098178,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 CDM,27801776_7098242,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 CDM,27801776_7098244,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 CDM,27801776_7098262,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 CDM,27801776_7098937,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801776_7098938,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801776_7098987,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801776_7098999,Noncdm Charge Record Medical Supplies,17692.29,17692.29,,,0 CDM,27801776_7099031,Noncdm Charge Record Medical Supplies,16573.41,16573.41,,,0 CDM,27801776_7099044,Noncdm Charge Record Medical Supplies,23916.06,23916.06,,,0 CDM,27801776_7099100,Noncdm Charge Record Medical Supplies,23916.06,23916.06,,,0 CDM,27801776_7099125,Noncdm Charge Record Medical Supplies,46398.56,46398.56,,,0 CDM,27801776_7099133,Noncdm Charge Record Medical Supplies,16573.41,16573.41,,,0 CDM,27801776_7099143,Noncdm Charge Record Medical Supplies,9102.56,9102.56,,,0 CDM,27801776_7099162,Noncdm Charge Record Medical Supplies,23916.06,23916.06,,,0 CDM,27801776_7099233,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801776_7099239,Noncdm Charge Record Medical Supplies,17692.29,17692.29,,,0 CDM,27801776_7099265,Noncdm Charge Record Medical Supplies,3803.42,3803.42,,,0 CDM,27801776_7099278,Noncdm Charge Record Medical Supplies,909.09,909.09,,,0 CDM,27801776_7099305,Noncdm Charge Record Medical Supplies,51025.59,51025.59,,,0 CDM,27801776_7099313,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27801776_7099347,Noncdm Charge Record Medical Supplies,23916.06,23916.06,,,0 CDM,27801776_7099442,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801776_7099448,Noncdm Charge Record Medical Supplies,14999.98,14999.98,,,0 CDM,27801776_7099451,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801776_7099456,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801776_7099512,Noncdm Charge Record Medical Supplies,29401.68,29401.68,,,0 CDM,27801776_7099547,Noncdm Charge Record Medical Supplies,23916.06,23916.06,,,0 CDM,27801776_7099552,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801776_7099601,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801776_7099607,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801776_7099610,Noncdm Charge Record Medical Supplies,68205.06,68205.06,,,0 CDM,27801776_7099624,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801776_7099652,Noncdm Charge Record Medical Supplies,14999.98,14999.98,,,0 CDM,27801776_7099719,Noncdm Charge Record Medical Supplies,14999.98,14999.98,,,0 CDM,27801776_7099720,Noncdm Charge Record Medical Supplies,14999.98,14999.98,,,0 CDM,27801776_7099725,Noncdm Charge Record Medical Supplies,51025.59,51025.59,,,0 CDM,27801776_7099731,Noncdm Charge Record Medical Supplies,51025.59,51025.59,,,0 CDM,27801776_7099733,Noncdm Charge Record Medical Supplies,1880.34,1880.34,,,0 CDM,27801776_7099771,Noncdm Charge Record Medical Supplies,3162.39,3162.39,,,0 CDM,27801776_7099916,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27801776_7100167,Noncdm Charge Record Medical Supplies,3504.27,3504.27,,,0 CDM,27801776_7100264,Noncdm Charge Record Medical Supplies,3803.42,3803.42,,,0 CDM,27801776_7100439,Noncdm Charge Record Medical Supplies,28846.12,28846.12,,,0 CDM,27801776_7100555,Noncdm Charge Record Medical Supplies,6923.07,6923.07,,,0 CDM,27801776_7100570,Noncdm Charge Record Medical Supplies,7735.04,7735.04,,,0 CDM,27801776_7100801,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27801776_7100855,Noncdm Charge Record Medical Supplies,16059.19,16059.19,,,0 CDM,27801776_7101034,Noncdm Charge Record Medical Supplies,8321.67,8321.67,,,0 CDM,27801776_7101205,Noncdm Charge Record Medical Supplies,17027.96,17027.96,,,0 CDM,27801776_7101211,Noncdm Charge Record Medical Supplies,16059.19,16059.19,,,0 CDM,27801776_7101375,Noncdm Charge Record Medical Supplies,4273.5,4273.5,,,0 CDM,27801776_7101402,Noncdm Charge Record Medical Supplies,19265.72,19265.72,,,0 CDM,27801776_7101752,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27801776_7101763,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7101820,Noncdm Charge Record Medical Supplies,5827.5,5827.5,,,0 CDM,27801776_7101898,Noncdm Charge Record Medical Supplies,3006.99,3006.99,,,0 CDM,27801776_7101901,Noncdm Charge Record Medical Supplies,22412.56,22412.56,,,0 CDM,27801776_7101988,Noncdm Charge Record Medical Supplies,22412.56,22412.56,,,0 CDM,27801776_7102131,Noncdm Charge Record Medical Supplies,12432.0,12432.0,,,0 CDM,27801776_7102462,Noncdm Charge Record Medical Supplies,12432.0,12432.0,,,0 CDM,27801776_7102755,Noncdm Charge Record Medical Supplies,43216.74,43216.74,,,0 CDM,27801776_7103008,Noncdm Charge Record Medical Supplies,8205.12,8205.12,,,0 CDM,27801776_7103776,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 CDM,27801776_7103778,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 CDM,27801776_7103789,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 CDM,27801776_7103794,Noncdm Charge Record Medical Supplies,9712.5,9712.5,,,0 CDM,27801776_7103795,Noncdm Charge Record Medical Supplies,9712.5,9712.5,,,0 CDM,27801776_7103818,Noncdm Charge Record Medical Supplies,17482.5,17482.5,,,0 CDM,27801776_7103850,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27801776_7103860,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 CDM,27801776_7103869,Noncdm Charge Record Medical Supplies,9712.5,9712.5,,,0 CDM,27801776_7103890,Noncdm Charge Record Medical Supplies,17482.5,17482.5,,,0 CDM,27801776_7103933,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 CDM,27801776_7103935,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 CDM,27801776_7103938,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 CDM,27801776_7103953,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 CDM,27801776_7103961,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 CDM,27801776_7103970,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 CDM,27801776_7104047,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27801776_7104064,Noncdm Charge Record Medical Supplies,9712.5,9712.5,,,0 CDM,27801776_7104078,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 CDM,27801776_7104116,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27801776_7104139,Noncdm Charge Record Medical Supplies,9712.5,9712.5,,,0 CDM,27801776_7104153,Noncdm Charge Record Medical Supplies,12062.92,12062.92,,,0 CDM,27801776_7104215,Noncdm Charge Record Medical Supplies,9712.5,9712.5,,,0 CDM,27801776_7104223,Noncdm Charge Record Medical Supplies,35839.12,35839.12,,,0 CDM,27801776_7104238,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 CDM,27801776_7104248,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 CDM,27801776_7104252,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 CDM,27801776_7104416,Noncdm Charge Record Medical Supplies,46398.56,46398.56,,,0 CDM,27801776_7104481,Noncdm Charge Record Medical Supplies,10209.78,10209.78,,,0 CDM,27801776_7104852,Noncdm Charge Record Medical Supplies,46398.56,46398.56,,,0 CDM,27801776_7104883,Noncdm Charge Record Medical Supplies,10209.78,10209.78,,,0 CDM,27801776_7104888,Noncdm Charge Record Medical Supplies,46398.56,46398.56,,,0 CDM,27801776_7105047,Noncdm Charge Record Medical Supplies,22517.46,22517.46,,,0 CDM,27801776_7105147,Noncdm Charge Record Medical Supplies,10209.78,10209.78,,,0 CDM,27801776_7105441,Noncdm Charge Record Medical Supplies,32261.04,32261.04,,,0 CDM,27801776_7105664,Noncdm Charge Record Medical Supplies,29401.68,29401.68,,,0 CDM,27801776_7105895,Noncdm Charge Record Medical Supplies,68205.06,68205.06,,,0 CDM,27801776_7105901,Noncdm Charge Record Medical Supplies,61752.08,61752.08,,,0 CDM,27801776_7106000,Noncdm Charge Record Medical Supplies,64358.91,64358.91,,,0 CDM,27801776_7106034,Noncdm Charge Record Medical Supplies,7905.98,7905.98,,,0 CDM,27801776_7106079,Noncdm Charge Record Medical Supplies,15982.89,15982.89,,,0 CDM,27801776_7106080,Noncdm Charge Record Medical Supplies,9401.7,9401.7,,,0 CDM,27801776_7106122,Noncdm Charge Record Medical Supplies,64358.91,64358.91,,,0 CDM,27801776_7106156,Noncdm Charge Record Medical Supplies,28846.12,28846.12,,,0 CDM,27801776_7106157,Noncdm Charge Record Medical Supplies,15279.7,15279.7,,,0 CDM,27801776_7106197,Noncdm Charge Record Medical Supplies,22116.3,22116.3,,,0 CDM,27801776_7106271,Noncdm Charge Record Medical Supplies,7905.98,7905.98,,,0 CDM,27801776_7107426,Noncdm Charge Record Medical Supplies,12432.0,12432.0,,,0 CDM,27801776_7107858,Noncdm Charge Record Medical Supplies,12432.0,12432.0,,,0 CDM,27801776_7108044,Noncdm Charge Record Medical Supplies,12432.0,12432.0,,,0 CDM,27801776_7110207,Noncdm Charge Record Medical Supplies,9401.7,9401.7,,,0 CDM,27801776_7110209,Noncdm Charge Record Medical Supplies,28846.12,28846.12,,,0 CDM,27801776_7110220,Noncdm Charge Record Medical Supplies,3504.27,3504.27,,,0 CDM,27801776_7110235,Noncdm Charge Record Medical Supplies,8158.5,8158.5,,,0 CDM,27801776_7110251,Noncdm Charge Record Medical Supplies,14374.5,14374.5,,,0 CDM,27801776_7110254,Noncdm Charge Record Medical Supplies,24370.6,24370.6,,,0 CDM,27801776_7110256,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27801776_7110269,Noncdm Charge Record Medical Supplies,2521.36,2521.36,,,0 CDM,27801776_7110275,Noncdm Charge Record Medical Supplies,19355.07,19355.07,,,0 CDM,27801776_7110276,Noncdm Charge Record Medical Supplies,24370.6,24370.6,,,0 CDM,27801776_7110855,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27801776_7110861,Noncdm Charge Record Medical Supplies,3108.0,3108.0,,,0 CDM,27801776_7110862,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801776_7110867,Noncdm Charge Record Medical Supplies,17705.11,17705.11,,,0 CDM,27801776_7110871,Noncdm Charge Record Medical Supplies,10878.0,10878.0,,,0 CDM,27801776_7110873,Noncdm Charge Record Medical Supplies,10878.0,10878.0,,,0 CDM,27801776_7110874,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27801776_7110876,Noncdm Charge Record Medical Supplies,10878.0,10878.0,,,0 CDM,27801776_7117317,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27801776_7117324,Noncdm Charge Record Medical Supplies,10878.0,10878.0,,,0 CDM,27801776_7118131,Noncdm Charge Record Medical Supplies,28741.23,28741.23,,,0 CDM,27801776_7118323,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27801776_7121551,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27801776_7121589,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27801776_7126785,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7127620,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7127825,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7127826,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7127827,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7127828,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7127829,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7127830,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27801776_7127831,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27801776_7129685,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7129686,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7129690,Noncdm Charge Record Medical Supplies,18648.0,18648.0,,,0 CDM,27801776_7133849,Noncdm Charge Record Medical Supplies,12432.0,12432.0,,,0 CDM,27801776_7134467,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801776_7134468,Noncdm Charge Record Medical Supplies,3108.0,3108.0,,,0 CDM,27801776_7134469,Noncdm Charge Record Medical Supplies,7265.73,7265.73,,,0 CDM,27801776_7134470,Noncdm Charge Record Medical Supplies,3108.0,3108.0,,,0 CDM,27801776_7134471,Noncdm Charge Record Medical Supplies,7265.73,7265.73,,,0 CDM,27801776_7134472,Noncdm Charge Record Medical Supplies,3108.0,3108.0,,,0 CDM,27801776_7134473,Noncdm Charge Record Medical Supplies,7580.41,7580.41,,,0 CDM,27801776_7143825,Noncdm Charge Record Medical Supplies,28965.01,28965.01,,,0 CDM,27801776_7143826,Noncdm Charge Record Medical Supplies,20419.56,20419.56,,,0 CDM,27801776_7143847,Noncdm Charge Record Medical Supplies,10878.0,10878.0,,,0 CDM,27801776_7143849,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7143852,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7147932,Noncdm Charge Record Medical Supplies,3108.0,3108.0,,,0 CDM,27801776_7150255,Noncdm Charge Record Medical Supplies,9634.8,9634.8,,,0 CDM,27801776_7151056,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7151057,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7154423,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7154424,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7154425,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7154426,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7154719,Noncdm Charge Record Medical Supplies,7097.9,7097.9,,,0 CDM,27801776_7154736,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7155623,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801776_7155624,Noncdm Charge Record Medical Supplies,9790.2,9790.2,,,0 CDM,27801776_7155625,Noncdm Charge Record Medical Supplies,30303.0,30303.0,,,0 CDM,27801776_7156280,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801776_7157026,Noncdm Charge Record Medical Supplies,874.12,874.12,,,0 CDM,27801776_7158027,Noncdm Charge Record Medical Supplies,7097.9,7097.9,,,0 CDM,27801776_7158030,Noncdm Charge Record Medical Supplies,3108.0,3108.0,,,0 CDM,27801776_7158032,Noncdm Charge Record Medical Supplies,7311.18,7311.18,,,0 CDM,27801776_7158034,Noncdm Charge Record Medical Supplies,8059.43,8059.43,,,0 CDM,27801776_7158035,Noncdm Charge Record Medical Supplies,8059.43,8059.43,,,0 CDM,27801776_7160131,Noncdm Charge Record Medical Supplies,7965.03,7965.03,,,0 CDM,27801776_7160133,Noncdm Charge Record Medical Supplies,7965.03,7965.03,,,0 CDM,27801776_7160134,Noncdm Charge Record Medical Supplies,8730.76,8730.76,,,0 CDM,27801776_7160142,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801776_7160571,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7160581,Noncdm Charge Record Medical Supplies,16118.86,16118.86,,,0 CDM,27801776_7160665,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27801776_7161079,Noncdm Charge Record Medical Supplies,16118.86,16118.86,,,0 CDM,27801776_7161082,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7161086,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7161095,Noncdm Charge Record Medical Supplies,16118.86,16118.86,,,0 CDM,27801776_7161618,Noncdm Charge Record Medical Supplies,40404.0,40404.0,,,0 CDM,27801776_7162032,Noncdm Charge Record Medical Supplies,27515.12,27515.12,,,0 CDM,27801776_7162040,Noncdm Charge Record Medical Supplies,19114.2,19114.2,,,0 CDM,27801776_7162042,Noncdm Charge Record Medical Supplies,19114.2,19114.2,,,0 CDM,27801776_7162043,Noncdm Charge Record Medical Supplies,19114.2,19114.2,,,0 CDM,27801776_7162059,Noncdm Charge Record Medical Supplies,10878.0,10878.0,,,0 CDM,27801776_7162301,Noncdm Charge Record Medical Supplies,10458.42,10458.42,,,0 CDM,27801776_7162535,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27801776_7162770,Noncdm Charge Record Medical Supplies,924.63,924.63,,,0 CDM,27801776_7162961,Noncdm Charge Record Medical Supplies,8935.5,8935.5,,,0 CDM,27801776_7162976,Noncdm Charge Record Medical Supplies,53321.62,53321.62,,,0 CDM,27801776_7162978,Noncdm Charge Record Medical Supplies,53321.62,53321.62,,,0 CDM,27801776_7162991,Noncdm Charge Record Medical Supplies,8935.5,8935.5,,,0 CDM,27801776_7162995,Noncdm Charge Record Medical Supplies,35839.12,35839.12,,,0 CDM,27801776_7162996,Noncdm Charge Record Medical Supplies,8935.5,8935.5,,,0 CDM,27801776_7162999,Noncdm Charge Record Medical Supplies,8935.5,8935.5,,,0 CDM,27801776_7163000,Noncdm Charge Record Medical Supplies,8935.5,8935.5,,,0 CDM,27801776_7163001,Noncdm Charge Record Medical Supplies,9790.2,9790.2,,,0 CDM,27801776_7163002,Noncdm Charge Record Medical Supplies,17871.0,17871.0,,,0 CDM,27801776_7163003,Noncdm Charge Record Medical Supplies,17871.0,17871.0,,,0 CDM,27801776_7163004,Noncdm Charge Record Medical Supplies,17871.0,17871.0,,,0 CDM,27801776_7163006,Noncdm Charge Record Medical Supplies,30303.0,30303.0,,,0 CDM,27801776_7163007,Noncdm Charge Record Medical Supplies,30303.0,30303.0,,,0 CDM,27801776_7163008,Noncdm Charge Record Medical Supplies,30303.0,30303.0,,,0 CDM,27801776_7163009,Noncdm Charge Record Medical Supplies,23310.0,23310.0,,,0 CDM,27801776_7163011,Noncdm Charge Record Medical Supplies,23310.0,23310.0,,,0 CDM,27801776_7163012,Noncdm Charge Record Medical Supplies,9790.2,9790.2,,,0 CDM,27801776_7163013,Noncdm Charge Record Medical Supplies,9790.2,9790.2,,,0 CDM,27801776_7163014,Noncdm Charge Record Medical Supplies,8935.5,8935.5,,,0 CDM,27801776_7163019,Noncdm Charge Record Medical Supplies,8935.5,8935.5,,,0 CDM,27801776_7163021,Noncdm Charge Record Medical Supplies,9790.2,9790.2,,,0 CDM,27801776_7163024,Noncdm Charge Record Medical Supplies,18648.0,18648.0,,,0 CDM,27801776_7163031,Noncdm Charge Record Medical Supplies,5633.25,5633.25,,,0 CDM,27801776_7163037,Noncdm Charge Record Medical Supplies,18648.0,18648.0,,,0 CDM,27801776_7163038,Noncdm Charge Record Medical Supplies,18648.0,18648.0,,,0 CDM,27801776_7163040,Noncdm Charge Record Medical Supplies,18648.0,18648.0,,,0 CDM,27801776_7163042,Noncdm Charge Record Medical Supplies,18648.0,18648.0,,,0 CDM,27801776_7163045,Noncdm Charge Record Medical Supplies,17832.15,17832.15,,,0 CDM,27801776_7163046,Noncdm Charge Record Medical Supplies,18648.0,18648.0,,,0 CDM,27801776_7163053,Noncdm Charge Record Medical Supplies,17832.15,17832.15,,,0 CDM,27801776_7163058,Noncdm Charge Record Medical Supplies,18648.0,18648.0,,,0 CDM,27801776_7163853,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801776_7163860,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801776_7163862,Noncdm Charge Record Medical Supplies,11212.11,11212.11,,,0 CDM,27801776_7163863,Noncdm Charge Record Medical Supplies,10458.42,10458.42,,,0 CDM,27801776_7163865,Noncdm Charge Record Medical Supplies,10878.0,10878.0,,,0 CDM,27801776_7163868,Noncdm Charge Record Medical Supplies,10458.42,10458.42,,,0 CDM,27801776_7163870,Noncdm Charge Record Medical Supplies,11344.2,11344.2,,,0 CDM,27801776_7163876,Noncdm Charge Record Medical Supplies,11344.2,11344.2,,,0 CDM,27801776_7163884,Noncdm Charge Record Medical Supplies,10458.42,10458.42,,,0 CDM,27801776_7164250,Noncdm Charge Record Medical Supplies,12237.75,12237.75,,,0 CDM,27801776_7164430,Noncdm Charge Record Medical Supplies,986.79,986.79,,,0 CDM,27801776_7164522,Noncdm Charge Record Medical Supplies,58333.28,58333.28,,,0 CDM,27801776_7165101,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27801776_7168568,Noncdm Charge Record Medical Supplies,33955.68,33955.68,,,0 CDM,27801776_7169378,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27801776_7169891,Noncdm Charge Record Medical Supplies,17871.0,17871.0,,,0 CDM,27801776_7171776,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27801776_7171837,Noncdm Charge Record Medical Supplies,598.29,598.29,,,0 CDM,27801776_7172524,Noncdm Charge Record Medical Supplies,41958.0,41958.0,,,0 CDM,27801776_739060,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801776_750908,Noncdm Charge Record Medical Supplies,2719.5,2719.5,,,0 CDM,27801776_754907,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27801776_C1776_278,Noncdm Charge Record Medical Supplies,17536.98,17536.98,,,0 CDM,27801777_7028959,Noncdm Charge Record Medical Supplies,15120.0,15120.0,,,0 CDM,27801778_7030508,Noncdm Charge Record Medical Supplies,23264.45,23264.45,,,0 CDM,27801778_7030509,Noncdm Charge Record Medical Supplies,23807.28,23807.28,,,0 CDM,27801778_7033805,Noncdm Charge Record Medical Supplies,23620.8,23620.8,,,0 CDM,27801778_7033808,Noncdm Charge Record Medical Supplies,23620.8,23620.8,,,0 CDM,27801778_7033811,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801778_7033816,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801778_7054127,Noncdm Charge Record Medical Supplies,15151.5,15151.5,,,0 CDM,27801778_7054129,Noncdm Charge Record Medical Supplies,26223.75,26223.75,,,0 CDM,27801778_7093063,Noncdm Charge Record Medical Supplies,35384.58,35384.58,,,0 CDM,27801778_7093064,Noncdm Charge Record Medical Supplies,36446.12,36446.12,,,0 CDM,27801778_7096938,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27801778_7096940,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27801778_7096958,Noncdm Charge Record Medical Supplies,20202.0,20202.0,,,0 CDM,27801778_7111616,Noncdm Charge Record Medical Supplies,71623.86,71623.86,,,0 CDM,27801778_7112106,Noncdm Charge Record Medical Supplies,28360.5,28360.5,,,0 CDM,27801778_7112111,Noncdm Charge Record Medical Supplies,28979.88,28979.88,,,0 CDM,27801778_7112112,Noncdm Charge Record Medical Supplies,28902.46,28902.46,,,0 CDM,27801778_7112115,Noncdm Charge Record Medical Supplies,28360.5,28360.5,,,0 CDM,27801778_7119335,Noncdm Charge Record Medical Supplies,50505.0,50505.0,,,0 CDM,27801778_7119336,Noncdm Charge Record Medical Supplies,50505.0,50505.0,,,0 CDM,27801778_7126370,Noncdm Charge Record Medical Supplies,26037.27,26037.27,,,0 CDM,27801778_7126372,Noncdm Charge Record Medical Supplies,2680.65,2680.65,,,0 CDM,27801778_7150479,Noncdm Charge Record Medical Supplies,28229.55,28229.55,,,0 CDM,27801778_7167201,Noncdm Charge Record Medical Supplies,2680.65,2680.65,,,0 CDM,27801778_7171219,Noncdm Charge Record Medical Supplies,2121.21,2121.21,,,0 CDM,27801778_7179242,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801778_C1778_278,Noncdm Charge Record Medical Supplies,25797.88,25797.88,,,0 CDM,27801779_C1779_278,Noncdm Charge Record Medical Supplies,777.0,777.0,,,0 CDM,27801780_7119931,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27801780_7134497,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27801780_7143864,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27801780_7147942,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27801780_C1780_278,Noncdm Charge Record Medical Supplies,2395.75,2395.75,,,0 CDM,27801781_407767,Noncdm Charge Record Medical Supplies,1670.55,1670.55,,,0 CDM,27801781_610848,Noncdm Charge Record Medical Supplies,191.99,191.99,,,0 CDM,27801781_7001128,Noncdm Charge Record Medical Supplies,1849.26,1849.26,,,0 CDM,27801781_7001129,Noncdm Charge Record Medical Supplies,2536.13,2536.13,,,0 CDM,27801781_7001130,Noncdm Charge Record Medical Supplies,3319.5,3319.5,,,0 CDM,27801781_7001136,Noncdm Charge Record Medical Supplies,4068.37,4068.37,,,0 CDM,27801781_7001139,Noncdm Charge Record Medical Supplies,6183.44,6183.44,,,0 CDM,27801781_7011500,Noncdm Charge Record Medical Supplies,1723.54,1723.54,,,0 CDM,27801781_7011501,Noncdm Charge Record Medical Supplies,1723.54,1723.54,,,0 CDM,27801781_7011517,Noncdm Charge Record Medical Supplies,1622.22,1622.22,,,0 CDM,27801781_7011518,Noncdm Charge Record Medical Supplies,1672.88,1672.88,,,0 CDM,27801781_7011519,Noncdm Charge Record Medical Supplies,2428.59,2428.59,,,0 CDM,27801781_7011521,Noncdm Charge Record Medical Supplies,702.41,702.41,,,0 CDM,27801781_7011707,Noncdm Charge Record Medical Supplies,5902.8,5902.8,,,0 CDM,27801781_7011856,Noncdm Charge Record Medical Supplies,2332.24,2332.24,,,0 CDM,27801781_7012719,Noncdm Charge Record Medical Supplies,4001.55,4001.55,,,0 CDM,27801781_7012726,Noncdm Charge Record Medical Supplies,4425.87,4425.87,,,0 CDM,27801781_7012839,Noncdm Charge Record Medical Supplies,4242.42,4242.42,,,0 CDM,27801781_7013261,Noncdm Charge Record Medical Supplies,32905.95,32905.95,,,0 CDM,27801781_7015628,Noncdm Charge Record Medical Supplies,2812.12,2812.12,,,0 CDM,27801781_7017382,Noncdm Charge Record Medical Supplies,6183.44,6183.44,,,0 CDM,27801781_7019405,Noncdm Charge Record Medical Supplies,4068.37,4068.37,,,0 CDM,27801781_7019406,Noncdm Charge Record Medical Supplies,2536.13,2536.13,,,0 CDM,27801781_7023761,Noncdm Charge Record Medical Supplies,2612.12,2612.12,,,0 CDM,27801781_7031497,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27801781_7047846,Noncdm Charge Record Medical Supplies,11445.21,11445.21,,,0 CDM,27801781_7047849,Noncdm Charge Record Medical Supplies,34374.48,34374.48,,,0 CDM,27801781_7076049,Noncdm Charge Record Medical Supplies,7458.74,7458.74,,,0 CDM,27801781_7078948,Noncdm Charge Record Medical Supplies,1610.02,1610.02,,,0 CDM,27801781_7078996,Noncdm Charge Record Medical Supplies,331.71,331.71,,,0 CDM,27801781_7081325,Noncdm Charge Record Medical Supplies,92532.93,92532.93,,,0 CDM,27801781_7081326,Noncdm Charge Record Medical Supplies,123379.83,123379.83,,,0 CDM,27801781_7087552,Noncdm Charge Record Medical Supplies,8119.65,8119.65,,,0 CDM,27801781_7088643,Noncdm Charge Record Medical Supplies,1083.92,1083.92,,,0 CDM,27801781_7112741,Noncdm Charge Record Medical Supplies,71452.92,71452.92,,,0 CDM,27801781_7112753,Noncdm Charge Record Medical Supplies,45726.45,45726.45,,,0 CDM,27801781_7113600,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27801781_7113602,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27801781_7113605,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27801781_7117959,Noncdm Charge Record Medical Supplies,10606.05,10606.05,,,0 CDM,27801781_7133873,Noncdm Charge Record Medical Supplies,2772.34,2772.34,,,0 CDM,27801781_7134128,Noncdm Charge Record Medical Supplies,6696.52,6696.52,,,0 CDM,27801781_7150310,Noncdm Charge Record Medical Supplies,1622.22,1622.22,,,0 CDM,27801781_7150311,Noncdm Charge Record Medical Supplies,2742.74,2742.74,,,0 CDM,27801781_7150312,Noncdm Charge Record Medical Supplies,5488.27,5488.27,,,0 CDM,27801781_7150313,Noncdm Charge Record Medical Supplies,6970.08,6970.08,,,0 CDM,27801781_7150314,Noncdm Charge Record Medical Supplies,9786.0,9786.0,,,0 CDM,27801781_7163077,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27801781_768645,Noncdm Charge Record Medical Supplies,3560.37,3560.37,,,0 CDM,27801781_774257,Noncdm Charge Record Medical Supplies,2128.98,2128.98,,,0 CDM,27801781_774267,Noncdm Charge Record Medical Supplies,2890.44,2890.44,,,0 CDM,27801781_774268,Noncdm Charge Record Medical Supplies,7249.41,7249.41,,,0 CDM,27801781_774270,Noncdm Charge Record Medical Supplies,17670.92,17670.92,,,0 CDM,27801781_774271,Noncdm Charge Record Medical Supplies,5874.12,5874.12,,,0 CDM,27801781_774272,Noncdm Charge Record Medical Supplies,11655.0,11655.0,,,0 CDM,27801781_C1781_278,Noncdm Charge Record Medical Supplies,19489.45,19489.45,,,0 CDM,27801783_7024197,Noncdm Charge Record Medical Supplies,3224.55,3224.55,,,0 CDM,27801783_7084658,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27801785_7033053,Noncdm Charge Record Medical Supplies,14978.16,14978.16,,,0 CDM,27801785_7033054,Noncdm Charge Record Medical Supplies,15195.6,15195.6,,,0 CDM,27801785_C1785_278,Noncdm Charge Record Medical Supplies,16724.53,16724.53,,,0 CDM,27801786_7033056,Noncdm Charge Record Medical Supplies,12297.6,12297.6,,,0 CDM,27801787_7167603,Noncdm Charge Record Medical Supplies,10691.52,10691.52,,,0 CDM,27801788_521194,Noncdm Charge Record Medical Supplies,2850.22,2850.22,,,0 CDM,27801788_7013850,Noncdm Charge Record Medical Supplies,1994.44,1994.44,,,0 CDM,27801788_7013851,Noncdm Charge Record Medical Supplies,1461.6,1461.6,,,0 CDM,27801788_7013852,Noncdm Charge Record Medical Supplies,2485.96,2485.96,,,0 CDM,27801788_7016045,Noncdm Charge Record Medical Supplies,1974.67,1974.67,,,0 CDM,27801788_7016380,Noncdm Charge Record Medical Supplies,1159.2,1159.2,,,0 CDM,27801788_7017800,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801788_7017802,Noncdm Charge Record Medical Supplies,2991.45,2991.45,,,0 CDM,27801788_7116732,Noncdm Charge Record Medical Supplies,1557.36,1557.36,,,0 CDM,27801788_7123003,Noncdm Charge Record Medical Supplies,11476.08,11476.08,,,0 CDM,27801788_7126795,Noncdm Charge Record Medical Supplies,2253.3,2253.3,,,0 CDM,27801788_7164946,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 CDM,27801788_C1788_278,Noncdm Charge Record Medical Supplies,6436.15,6436.15,,,0 CDM,27801789_7108702,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108708,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108713,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27801789_7108714,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108715,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108716,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27801789_7108718,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108725,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108734,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108738,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108751,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108766,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108768,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108769,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108770,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108787,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108788,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108801,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108804,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108812,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108825,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108826,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108838,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108841,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108842,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108844,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108850,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108852,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27801789_7108871,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108880,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108882,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108893,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108907,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108910,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108913,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108917,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108918,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108927,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108961,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108966,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108967,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108970,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108975,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108988,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108989,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108990,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108991,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108992,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7108998,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7109001,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7109002,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7109024,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7109030,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7109035,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7109040,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7109060,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7109074,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7109084,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7109085,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7109093,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27801789_7109121,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_7109123,Noncdm Charge Record Medical Supplies,8508.15,8508.15,,,0 CDM,27801789_C1789_278,Noncdm Charge Record Medical Supplies,6755.24,6755.24,,,0 CDM,27801813_7013268,Noncdm Charge Record Medical Supplies,76432.64,76432.64,,,0 CDM,27801813_7013270,Noncdm Charge Record Medical Supplies,86385.69,86385.69,,,0 CDM,27801813_7013273,Noncdm Charge Record Medical Supplies,83355.98,83355.98,,,0 CDM,27801813_7013274,Noncdm Charge Record Medical Supplies,77875.6,77875.6,,,0 CDM,27801813_7013290,Noncdm Charge Record Medical Supplies,11029.9,11029.9,,,0 CDM,27801813_7015476,Noncdm Charge Record Medical Supplies,77875.6,77875.6,,,0 CDM,27801813_7030324,Noncdm Charge Record Medical Supplies,17482.5,17482.5,,,0 CDM,27801813_7050048,Noncdm Charge Record Medical Supplies,103283.66,103283.66,,,0 CDM,27801813_7071618,Noncdm Charge Record Medical Supplies,103283.66,103283.66,,,0 CDM,27801813_7076309,Noncdm Charge Record Medical Supplies,17482.5,17482.5,,,0 CDM,27801813_7076310,Noncdm Charge Record Medical Supplies,78780.03,78780.03,,,0 CDM,27801813_7087589,Noncdm Charge Record Medical Supplies,78780.03,78780.03,,,0 CDM,27801813_7141651,Noncdm Charge Record Medical Supplies,76432.64,76432.64,,,0 CDM,27801813_7179067,Noncdm Charge Record Medical Supplies,105783.73,105783.73,,,0 CDM,27801813_C1813_278,Noncdm Charge Record Medical Supplies,74225.72,74225.72,,,0 CDM,27801814_777371,Noncdm Charge Record Medical Supplies,2961.15,2961.15,,,0 CDM,27801815_7013286,Noncdm Charge Record Medical Supplies,52625.43,52625.43,,,0 CDM,27801815_7013288,Noncdm Charge Record Medical Supplies,25033.39,25033.39,,,0 CDM,27801815_7013291,Noncdm Charge Record Medical Supplies,54630.87,54630.87,,,0 CDM,27801815_7013292,Noncdm Charge Record Medical Supplies,54630.87,54630.87,,,0 CDM,27801815_7013293,Noncdm Charge Record Medical Supplies,54630.87,54630.87,,,0 CDM,27801817_7015465,Noncdm Charge Record Medical Supplies,4284.0,4284.0,,,0 CDM,27801817_7015468,Noncdm Charge Record Medical Supplies,3729.6,3729.6,,,0 CDM,27801817_7015528,Noncdm Charge Record Medical Supplies,3729.6,3729.6,,,0 CDM,27801817_7029268,Noncdm Charge Record Medical Supplies,33707.52,33707.52,,,0 CDM,27801817_7029893,Noncdm Charge Record Medical Supplies,4939.2,4939.2,,,0 CDM,27801817_7030110,Noncdm Charge Record Medical Supplies,33707.52,33707.52,,,0 CDM,27801817_7030277,Noncdm Charge Record Medical Supplies,24383.52,24383.52,,,0 CDM,27801817_7030281,Noncdm Charge Record Medical Supplies,24383.52,24383.52,,,0 CDM,27801817_7030283,Noncdm Charge Record Medical Supplies,24383.52,24383.52,,,0 CDM,27801817_7030284,Noncdm Charge Record Medical Supplies,24383.52,24383.52,,,0 CDM,27801817_7031882,Noncdm Charge Record Medical Supplies,4616.64,4616.64,,,0 CDM,27801817_7031956,Noncdm Charge Record Medical Supplies,33707.52,33707.52,,,0 CDM,27801817_7032216,Noncdm Charge Record Medical Supplies,24383.52,24383.52,,,0 CDM,27801817_7032218,Noncdm Charge Record Medical Supplies,27025.07,27025.07,,,0 CDM,27801817_7032805,Noncdm Charge Record Medical Supplies,9550.8,9550.8,,,0 CDM,27801817_7040713,Noncdm Charge Record Medical Supplies,6604.5,6604.5,,,0 CDM,27801817_7071854,Noncdm Charge Record Medical Supplies,53306.05,53306.05,,,0 CDM,27801817_7071863,Noncdm Charge Record Medical Supplies,45153.36,45153.36,,,0 CDM,27801817_7071866,Noncdm Charge Record Medical Supplies,50374.8,50374.8,,,0 CDM,27801817_7071869,Noncdm Charge Record Medical Supplies,69611.43,69611.43,,,0 CDM,27801817_7071885,Noncdm Charge Record Medical Supplies,63496.91,63496.91,,,0 CDM,27801817_7074657,Noncdm Charge Record Medical Supplies,9550.8,9550.8,,,0 CDM,27801817_7074732,Noncdm Charge Record Medical Supplies,9550.8,9550.8,,,0 CDM,27801817_7078363,Noncdm Charge Record Medical Supplies,50374.8,50374.8,,,0 CDM,27801817_7112624,Noncdm Charge Record Medical Supplies,50374.8,50374.8,,,0 CDM,27801817_7157599,Noncdm Charge Record Medical Supplies,27583.5,27583.5,,,0 CDM,27801820_7033807,Noncdm Charge Record Medical Supplies,135975.0,135975.0,,,0 CDM,27801820_7091998,Noncdm Charge Record Medical Supplies,154607.46,154607.46,,,0 CDM,27801820_7096964,Noncdm Charge Record Medical Supplies,174825.0,174825.0,,,0 CDM,27801820_7114522,Noncdm Charge Record Medical Supplies,91635.5,91635.5,,,0 CDM,27801820_7119332,Noncdm Charge Record Medical Supplies,229215.0,229215.0,,,0 CDM,27801820_7126369,Noncdm Charge Record Medical Supplies,83535.27,83535.27,,,0 CDM,27801820_7148936,Noncdm Charge Record Medical Supplies,188034.0,188034.0,,,0 CDM,27801820_7164777,Noncdm Charge Record Medical Supplies,188034.0,188034.0,,,0 CDM,27801820_7165374,Noncdm Charge Record Medical Supplies,168119.49,168119.49,,,0 CDM,27801820_C1820_278,Noncdm Charge Record Medical Supplies,172942.13,172942.13,,,0 CDM,27801821_7024309,Noncdm Charge Record Medical Supplies,4195.8,4195.8,,,0 CDM,27801821_7024340,Noncdm Charge Record Medical Supplies,3910.25,3910.25,,,0 CDM,27801821_7024341,Noncdm Charge Record Medical Supplies,3910.25,3910.25,,,0 CDM,27801821_7024383,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801821_7024452,Noncdm Charge Record Medical Supplies,3910.25,3910.25,,,0 CDM,27801821_7024462,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801821_7024498,Noncdm Charge Record Medical Supplies,4195.8,4195.8,,,0 CDM,27801821_7024585,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801821_7024733,Noncdm Charge Record Medical Supplies,3910.25,3910.25,,,0 CDM,27801821_7024736,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801821_7024759,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801821_7025127,Noncdm Charge Record Medical Supplies,1530.69,1530.69,,,0 CDM,27801821_7025640,Noncdm Charge Record Medical Supplies,1756.02,1756.02,,,0 CDM,27801821_7026041,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801821_7026042,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27801821_7026045,Noncdm Charge Record Medical Supplies,3496.5,3496.5,,,0 CDM,27801821_7026188,Noncdm Charge Record Medical Supplies,3910.25,3910.25,,,0 CDM,27801821_7026196,Noncdm Charge Record Medical Supplies,1452.99,1452.99,,,0 CDM,27801821_7026198,Noncdm Charge Record Medical Supplies,4195.8,4195.8,,,0 CDM,27801821_7026356,Noncdm Charge Record Medical Supplies,1756.02,1756.02,,,0 CDM,27801821_7026611,Noncdm Charge Record Medical Supplies,3910.25,3910.25,,,0 CDM,27801821_7032023,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27801821_7044760,Noncdm Charge Record Medical Supplies,3910.25,3910.25,,,0 CDM,27801821_7058661,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801821_7058687,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801821_7058691,Noncdm Charge Record Medical Supplies,6798.75,6798.75,,,0 CDM,27801821_7058741,Noncdm Charge Record Medical Supplies,6798.75,6798.75,,,0 CDM,27801821_7058775,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801821_7058776,Noncdm Charge Record Medical Supplies,2991.45,2991.45,,,0 CDM,27801821_7058777,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801821_7059170,Noncdm Charge Record Medical Supplies,42735.0,42735.0,,,0 CDM,27801821_7062053,Noncdm Charge Record Medical Supplies,46620.0,46620.0,,,0 CDM,27801821_7073714,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801821_7073779,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801821_7073799,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801821_7073994,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801821_7074057,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801821_7074058,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801821_7074098,Noncdm Charge Record Medical Supplies,6798.75,6798.75,,,0 CDM,27801821_7074160,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27801821_7074237,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27801821_7081667,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27801821_7081808,Noncdm Charge Record Medical Supplies,1926.57,1926.57,,,0 CDM,27801821_7081881,Noncdm Charge Record Medical Supplies,1926.57,1926.57,,,0 CDM,27801821_7081893,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27801821_7082060,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27801821_7082483,Noncdm Charge Record Medical Supplies,1670.55,1670.55,,,0 CDM,27801821_7082512,Noncdm Charge Record Medical Supplies,1505.83,1505.83,,,0 CDM,27801821_7082546,Noncdm Charge Record Medical Supplies,1670.55,1670.55,,,0 CDM,27801821_7082885,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27801821_7082900,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27801821_7082914,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27801821_7082958,Noncdm Charge Record Medical Supplies,7381.5,7381.5,,,0 CDM,27801821_7083044,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27801821_7083094,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27801821_7083097,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27801821_7083098,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27801821_7091280,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27801821_7091281,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27801821_7091283,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27801821_7091300,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801821_7091329,Noncdm Charge Record Medical Supplies,1359.75,1359.75,,,0 CDM,27801821_7091335,Noncdm Charge Record Medical Supplies,41958.0,41958.0,,,0 CDM,27801821_7091358,Noncdm Charge Record Medical Supplies,41958.0,41958.0,,,0 CDM,27801821_7091783,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801821_7091825,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801821_7091860,Noncdm Charge Record Medical Supplies,6604.5,6604.5,,,0 CDM,27801821_7091862,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27801821_7091904,Noncdm Charge Record Medical Supplies,3108.0,3108.0,,,0 CDM,27801821_7157850,Noncdm Charge Record Medical Supplies,46620.0,46620.0,,,0 CDM,27801821_7157851,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27801821_7157852,Noncdm Charge Record Medical Supplies,3885.0,3885.0,,,0 CDM,27801821_7163618,Noncdm Charge Record Medical Supplies,6021.75,6021.75,,,0 CDM,27801821_7165895,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801821_7168018,Noncdm Charge Record Medical Supplies,31080.0,31080.0,,,0 CDM,27801821_7174756,Noncdm Charge Record Medical Supplies,1476.3,1476.3,,,0 CDM,27801821_C1821_278,Noncdm Charge Record Medical Supplies,13849.69,13849.69,,,0 CDM,27801823,Hc Respistim? Lqs (Left) Stimulation Lead ? 65Cm,83563.2,83563.2,,,0 CDM,27801825_C1825_278,Noncdm Charge Record Medical Supplies,117895.26,117895.26,,,0 CDM,27801827_7119332,Noncdm Charge Record Medical Supplies,229215.0,229215.0,,,0 CDM,27801827_7119335,Noncdm Charge Record Medical Supplies,50505.0,50505.0,,,0 CDM,27801874_7012802,Noncdm Charge Record Medical Supplies,1517.64,1517.64,,,0 CDM,27801874_7015152,Noncdm Charge Record Medical Supplies,16188.48,16188.48,,,0 CDM,27801874_7015179,Noncdm Charge Record Medical Supplies,13451.76,13451.76,,,0 CDM,27801874_7015508,Noncdm Charge Record Medical Supplies,17871.0,17871.0,,,0 CDM,27801874_7015520,Noncdm Charge Record Medical Supplies,19425.0,19425.0,,,0 CDM,27801874_7016099,Noncdm Charge Record Medical Supplies,6526.8,6526.8,,,0 CDM,27801874_7016120,Noncdm Charge Record Medical Supplies,6526.8,6526.8,,,0 CDM,27801874_7017143,Noncdm Charge Record Medical Supplies,21697.2,21697.2,,,0 CDM,27801874_7017157,Noncdm Charge Record Medical Supplies,15765.12,15765.12,,,0 CDM,27801874_7020046,Noncdm Charge Record Medical Supplies,26161.59,26161.59,,,0 CDM,27801874_7028451,Noncdm Charge Record Medical Supplies,2787.49,2787.49,,,0 CDM,27801874_7028516,Noncdm Charge Record Medical Supplies,13209.0,13209.0,,,0 CDM,27801874_7028517,Noncdm Charge Record Medical Supplies,13597.5,13597.5,,,0 CDM,27801874_7028521,Noncdm Charge Record Medical Supplies,14957.25,14957.25,,,0 CDM,27801874_7028526,Noncdm Charge Record Medical Supplies,14264.25,14264.25,,,0 CDM,27801874_7028936,Noncdm Charge Record Medical Supplies,11763.78,11763.78,,,0 CDM,27801874_7028947,Noncdm Charge Record Medical Supplies,11763.78,11763.78,,,0 CDM,27801874_7031300,Noncdm Charge Record Medical Supplies,105874.02,105874.02,,,0 CDM,27801874_7031420,Noncdm Charge Record Medical Supplies,24842.63,24842.63,,,0 CDM,27801874_7031422,Noncdm Charge Record Medical Supplies,24842.63,24842.63,,,0 CDM,27801874_7036062,Noncdm Charge Record Medical Supplies,53.96,53.96,,,0 CDM,27801874_7036074,Noncdm Charge Record Medical Supplies,37937.02,37937.02,,,0 CDM,27801874_7036076,Noncdm Charge Record Medical Supplies,19425.0,19425.0,,,0 CDM,27801874_7036079,Noncdm Charge Record Medical Supplies,18259.5,18259.5,,,0 CDM,27801874_7036493,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7037650,Noncdm Charge Record Medical Supplies,23853.9,23853.9,,,0 CDM,27801874_7043412,Noncdm Charge Record Medical Supplies,25400.13,25400.13,,,0 CDM,27801874_7043414,Noncdm Charge Record Medical Supplies,25400.13,25400.13,,,0 CDM,27801874_7043416,Noncdm Charge Record Medical Supplies,24656.43,24656.43,,,0 CDM,27801874_7043418,Noncdm Charge Record Medical Supplies,25400.13,25400.13,,,0 CDM,27801874_7043420,Noncdm Charge Record Medical Supplies,26666.64,26666.64,,,0 CDM,27801874_7043421,Noncdm Charge Record Medical Supplies,26033.38,26033.38,,,0 CDM,27801874_7043422,Noncdm Charge Record Medical Supplies,25400.13,25400.13,,,0 CDM,27801874_7043424,Noncdm Charge Record Medical Supplies,25400.13,25400.13,,,0 CDM,27801874_7043427,Noncdm Charge Record Medical Supplies,21471.1,21471.1,,,0 CDM,27801874_7043431,Noncdm Charge Record Medical Supplies,25400.13,25400.13,,,0 CDM,27801874_7043433,Noncdm Charge Record Medical Supplies,29355.06,29355.06,,,0 CDM,27801874_7043438,Noncdm Charge Record Medical Supplies,29355.06,29355.06,,,0 CDM,27801874_7043439,Noncdm Charge Record Medical Supplies,21118.86,21118.86,,,0 CDM,27801874_7043440,Noncdm Charge Record Medical Supplies,22175.58,22175.58,,,0 CDM,27801874_7043444,Noncdm Charge Record Medical Supplies,25400.13,25400.13,,,0 CDM,27801874_7043445,Noncdm Charge Record Medical Supplies,28515.9,28515.9,,,0 CDM,27801874_7043447,Noncdm Charge Record Medical Supplies,26033.38,26033.38,,,0 CDM,27801874_7043449,Noncdm Charge Record Medical Supplies,28236.18,28236.18,,,0 CDM,27801874_7043455,Noncdm Charge Record Medical Supplies,26033.38,26033.38,,,0 CDM,27801874_7043459,Noncdm Charge Record Medical Supplies,25630.4,25630.4,,,0 CDM,27801874_7043461,Noncdm Charge Record Medical Supplies,26350.01,26350.01,,,0 CDM,27801874_7043462,Noncdm Charge Record Medical Supplies,28210.75,28210.75,,,0 CDM,27801874_7043463,Noncdm Charge Record Medical Supplies,27956.46,27956.46,,,0 CDM,27801874_7043464,Noncdm Charge Record Medical Supplies,26666.64,26666.64,,,0 CDM,27801874_7043465,Noncdm Charge Record Medical Supplies,28480.94,28480.94,,,0 CDM,27801874_7043470,Noncdm Charge Record Medical Supplies,25400.13,25400.13,,,0 CDM,27801874_7043474,Noncdm Charge Record Medical Supplies,25400.13,25400.13,,,0 CDM,27801874_7043475,Noncdm Charge Record Medical Supplies,16475.76,16475.76,,,0 CDM,27801874_7043476,Noncdm Charge Record Medical Supplies,26033.38,26033.38,,,0 CDM,27801874_7043478,Noncdm Charge Record Medical Supplies,25400.13,25400.13,,,0 CDM,27801874_7043480,Noncdm Charge Record Medical Supplies,26160.04,26160.04,,,0 CDM,27801874_7043483,Noncdm Charge Record Medical Supplies,25400.13,25400.13,,,0 CDM,27801874_7043484,Noncdm Charge Record Medical Supplies,27956.46,27956.46,,,0 CDM,27801874_7043485,Noncdm Charge Record Medical Supplies,16475.76,16475.76,,,0 CDM,27801874_7044545,Noncdm Charge Record Medical Supplies,23853.9,23853.9,,,0 CDM,27801874_7045090,Noncdm Charge Record Medical Supplies,37937.02,37937.02,,,0 CDM,27801874_7047656,Noncdm Charge Record Medical Supplies,25069.8,25069.8,,,0 CDM,27801874_7047662,Noncdm Charge Record Medical Supplies,25692.24,25692.24,,,0 CDM,27801874_7047663,Noncdm Charge Record Medical Supplies,25795.98,25795.98,,,0 CDM,27801874_7047672,Noncdm Charge Record Medical Supplies,25484.76,25484.76,,,0 CDM,27801874_7048023,Noncdm Charge Record Medical Supplies,2787.49,2787.49,,,0 CDM,27801874_7048699,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048700,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048702,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048703,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048705,Noncdm Charge Record Medical Supplies,3628.8,3628.8,,,0 CDM,27801874_7048707,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048708,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048709,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048710,Noncdm Charge Record Medical Supplies,3040.8,3040.8,,,0 CDM,27801874_7048711,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048712,Noncdm Charge Record Medical Supplies,3088.8,3088.8,,,0 CDM,27801874_7048713,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048714,Noncdm Charge Record Medical Supplies,3208.8,3208.8,,,0 CDM,27801874_7048715,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048716,Noncdm Charge Record Medical Supplies,3061.8,3061.8,,,0 CDM,27801874_7048717,Noncdm Charge Record Medical Supplies,3628.8,3628.8,,,0 CDM,27801874_7048718,Noncdm Charge Record Medical Supplies,3124.8,3124.8,,,0 CDM,27801874_7048719,Noncdm Charge Record Medical Supplies,3031.96,3031.96,,,0 CDM,27801874_7048720,Noncdm Charge Record Medical Supplies,3107.09,3107.09,,,0 CDM,27801874_7048722,Noncdm Charge Record Medical Supplies,3068.8,3068.8,,,0 CDM,27801874_7048723,Noncdm Charge Record Medical Supplies,3061.8,3061.8,,,0 CDM,27801874_7048725,Noncdm Charge Record Medical Supplies,3068.8,3068.8,,,0 CDM,27801874_7048726,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048727,Noncdm Charge Record Medical Supplies,3030.3,3030.3,,,0 CDM,27801874_7048728,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048729,Noncdm Charge Record Medical Supplies,3156.3,3156.3,,,0 CDM,27801874_7048730,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048731,Noncdm Charge Record Medical Supplies,3093.3,3093.3,,,0 CDM,27801874_7048732,Noncdm Charge Record Medical Supplies,3056.07,3056.07,,,0 CDM,27801874_7048733,Noncdm Charge Record Medical Supplies,3124.8,3124.8,,,0 CDM,27801874_7048734,Noncdm Charge Record Medical Supplies,3628.8,3628.8,,,0 CDM,27801874_7048735,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048736,Noncdm Charge Record Medical Supplies,3042.25,3042.25,,,0 CDM,27801874_7048737,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048738,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048739,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048740,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048742,Noncdm Charge Record Medical Supplies,3103.8,3103.8,,,0 CDM,27801874_7048743,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048745,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048746,Noncdm Charge Record Medical Supplies,3138.8,3138.8,,,0 CDM,27801874_7048747,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048748,Noncdm Charge Record Medical Supplies,3027.44,3027.44,,,0 CDM,27801874_7048749,Noncdm Charge Record Medical Supplies,3036.98,3036.98,,,0 CDM,27801874_7048750,Noncdm Charge Record Medical Supplies,3088.8,3088.8,,,0 CDM,27801874_7048752,Noncdm Charge Record Medical Supplies,3103.8,3103.8,,,0 CDM,27801874_7048754,Noncdm Charge Record Medical Supplies,3047.26,3047.26,,,0 CDM,27801874_7048755,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048756,Noncdm Charge Record Medical Supplies,3077.55,3077.55,,,0 CDM,27801874_7048757,Noncdm Charge Record Medical Supplies,3068.8,3068.8,,,0 CDM,27801874_7048758,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048759,Noncdm Charge Record Medical Supplies,3208.8,3208.8,,,0 CDM,27801874_7048760,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048761,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048762,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048763,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048764,Noncdm Charge Record Medical Supplies,3077.55,3077.55,,,0 CDM,27801874_7048765,Noncdm Charge Record Medical Supplies,2998.8,2998.8,,,0 CDM,27801874_7048840,Noncdm Charge Record Medical Supplies,11763.78,11763.78,,,0 CDM,27801874_7057121,Noncdm Charge Record Medical Supplies,3024.0,3024.0,,,0 CDM,27801874_7062599,Noncdm Charge Record Medical Supplies,130468.01,130468.01,,,0 CDM,27801874_7062608,Noncdm Charge Record Medical Supplies,130468.01,130468.01,,,0 CDM,27801874_7062656,Noncdm Charge Record Medical Supplies,130468.01,130468.01,,,0 CDM,27801874_7074630,Noncdm Charge Record Medical Supplies,3005.1,3005.1,,,0 CDM,27801874_7074639,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27801874_7074640,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7074644,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7074647,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27801874_7074648,Noncdm Charge Record Medical Supplies,3005.1,3005.1,,,0 CDM,27801874_7074650,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7074652,Noncdm Charge Record Medical Supplies,2766.96,2766.96,,,0 CDM,27801874_7074654,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7074655,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27801874_7074659,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7074660,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27801874_7074662,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27801874_7074666,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27801874_7074670,Noncdm Charge Record Medical Supplies,3086.45,3086.45,,,0 CDM,27801874_7074671,Noncdm Charge Record Medical Supplies,2883.6,2883.6,,,0 CDM,27801874_7074673,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27801874_7074675,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7074676,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27801874_7074680,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7074684,Noncdm Charge Record Medical Supplies,2689.2,2689.2,,,0 CDM,27801874_7074690,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7074691,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7074693,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27801874_7074694,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27801874_7074695,Noncdm Charge Record Medical Supplies,2965.85,2965.85,,,0 CDM,27801874_7074696,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7074701,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7074712,Noncdm Charge Record Medical Supplies,3039.12,3039.12,,,0 CDM,27801874_7074715,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27801874_7074718,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27801874_7074724,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7074728,Noncdm Charge Record Medical Supplies,2948.4,2948.4,,,0 CDM,27801874_7074730,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7074735,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7074737,Noncdm Charge Record Medical Supplies,2903.04,2903.04,,,0 CDM,27801874_7074738,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7074740,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7074746,Noncdm Charge Record Medical Supplies,3061.8,3061.8,,,0 CDM,27801874_7074748,Noncdm Charge Record Medical Supplies,2721.6,2721.6,,,0 CDM,27801874_7074751,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7074752,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7074754,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7074755,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7074758,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27801874_7074761,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27801874_7075980,Noncdm Charge Record Medical Supplies,36212.4,36212.4,,,0 CDM,27801874_7075986,Noncdm Charge Record Medical Supplies,36212.4,36212.4,,,0 CDM,27801874_7076472,Noncdm Charge Record Medical Supplies,14616.0,14616.0,,,0 CDM,27801874_7076563,Noncdm Charge Record Medical Supplies,3124.8,3124.8,,,0 CDM,27801874_7076574,Noncdm Charge Record Medical Supplies,3219.3,3219.3,,,0 CDM,27801874_7076576,Noncdm Charge Record Medical Supplies,3225.6,3225.6,,,0 CDM,27801874_7076589,Noncdm Charge Record Medical Supplies,3196.8,3196.8,,,0 CDM,27801874_7076596,Noncdm Charge Record Medical Supplies,3124.8,3124.8,,,0 CDM,27801874_7076601,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7076602,Noncdm Charge Record Medical Supplies,3124.8,3124.8,,,0 CDM,27801874_7080160,Noncdm Charge Record Medical Supplies,6879.6,6879.6,,,0 CDM,27801874_7080773,Noncdm Charge Record Medical Supplies,35429.94,35429.94,,,0 CDM,27801874_7082108,Noncdm Charge Record Medical Supplies,24957.24,24957.24,,,0 CDM,27801874_7082344,Noncdm Charge Record Medical Supplies,27567.96,27567.96,,,0 CDM,27801874_7082345,Noncdm Charge Record Medical Supplies,26208.21,26208.21,,,0 CDM,27801874_7082346,Noncdm Charge Record Medical Supplies,23853.9,23853.9,,,0 CDM,27801874_7082347,Noncdm Charge Record Medical Supplies,26161.59,26161.59,,,0 CDM,27801874_7091032,Noncdm Charge Record Medical Supplies,3502.8,3502.8,,,0 CDM,27801874_7091037,Noncdm Charge Record Medical Supplies,3502.8,3502.8,,,0 CDM,27801874_7091043,Noncdm Charge Record Medical Supplies,3502.8,3502.8,,,0 CDM,27801874_7091251,Noncdm Charge Record Medical Supplies,37808.04,37808.04,,,0 CDM,27801874_7091263,Noncdm Charge Record Medical Supplies,92750.49,92750.49,,,0 CDM,27801874_7091291,Noncdm Charge Record Medical Supplies,38671.29,38671.29,,,0 CDM,27801874_7091314,Noncdm Charge Record Medical Supplies,26604.48,26604.48,,,0 CDM,27801874_7091324,Noncdm Charge Record Medical Supplies,36829.8,36829.8,,,0 CDM,27801874_7091354,Noncdm Charge Record Medical Supplies,89922.21,89922.21,,,0 CDM,27801874_7091370,Noncdm Charge Record Medical Supplies,38671.29,38671.29,,,0 CDM,27801874_7091389,Noncdm Charge Record Medical Supplies,36829.8,36829.8,,,0 CDM,27801874_7111374,Noncdm Charge Record Medical Supplies,73156.88,73156.88,,,0 CDM,27801874_7111592,Noncdm Charge Record Medical Supplies,76575.68,76575.68,,,0 CDM,27801874_7112255,Noncdm Charge Record Medical Supplies,3502.8,3502.8,,,0 CDM,27801874_7112261,Noncdm Charge Record Medical Supplies,3502.8,3502.8,,,0 CDM,27801874_7112264,Noncdm Charge Record Medical Supplies,3502.8,3502.8,,,0 CDM,27801874_7116365,Noncdm Charge Record Medical Supplies,12574.8,12574.8,,,0 CDM,27801874_7117828,Noncdm Charge Record Medical Supplies,17046.96,17046.96,,,0 CDM,27801874_7117829,Noncdm Charge Record Medical Supplies,16768.08,16768.08,,,0 CDM,27801874_7119764,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27801874_7119768,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,27801874_7119797,Noncdm Charge Record Medical Supplies,3175.2,3175.2,,,0 CDM,27801874_7150665,Noncdm Charge Record Medical Supplies,29331.75,29331.75,,,0 CDM,27801874_7150872,Noncdm Charge Record Medical Supplies,162299.76,162299.76,,,0 CDM,27801874_7150878,Noncdm Charge Record Medical Supplies,162299.76,162299.76,,,0 CDM,27801874_7167340,Noncdm Charge Record Medical Supplies,13860.0,13860.0,,,0 CDM,27801874_7169862,Noncdm Charge Record Medical Supplies,25400.13,25400.13,,,0 CDM,27801874_C1874_278,Noncdm Charge Record Medical Supplies,47514.87,47514.87,,,0 CDM,27801876_7014735,Noncdm Charge Record Medical Supplies,12338.76,12338.76,,,0 CDM,27801876_7014738,Noncdm Charge Record Medical Supplies,5670.0,5670.0,,,0 CDM,27801876_7014742,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27801876_7014913,Noncdm Charge Record Medical Supplies,4284.0,4284.0,,,0 CDM,27801876_7015271,Noncdm Charge Record Medical Supplies,3325.14,3325.14,,,0 CDM,27801876_7015275,Noncdm Charge Record Medical Supplies,3325.14,3325.14,,,0 CDM,27801876_7015281,Noncdm Charge Record Medical Supplies,3325.14,3325.14,,,0 CDM,27801876_7015288,Noncdm Charge Record Medical Supplies,3325.14,3325.14,,,0 CDM,27801876_7015291,Noncdm Charge Record Medical Supplies,3325.14,3325.14,,,0 CDM,27801876_7015303,Noncdm Charge Record Medical Supplies,3325.14,3325.14,,,0 CDM,27801876_7015594,Noncdm Charge Record Medical Supplies,8663.55,8663.55,,,0 CDM,27801876_7015615,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27801876_7015667,Noncdm Charge Record Medical Supplies,141983.15,141983.15,,,0 CDM,27801876_7016242,Noncdm Charge Record Medical Supplies,6300.0,6300.0,,,0 CDM,27801876_7016244,Noncdm Charge Record Medical Supplies,6426.0,6426.0,,,0 CDM,27801876_7016818,Noncdm Charge Record Medical Supplies,6021.75,6021.75,,,0 CDM,27801876_7016833,Noncdm Charge Record Medical Supplies,6021.75,6021.75,,,0 CDM,27801876_7016844,Noncdm Charge Record Medical Supplies,6021.75,6021.75,,,0 CDM,27801876_7016863,Noncdm Charge Record Medical Supplies,6021.75,6021.75,,,0 CDM,27801876_7016868,Noncdm Charge Record Medical Supplies,8568.0,8568.0,,,0 CDM,27801876_7016869,Noncdm Charge Record Medical Supplies,6021.75,6021.75,,,0 CDM,27801876_7016877,Noncdm Charge Record Medical Supplies,8568.0,8568.0,,,0 CDM,27801876_7016885,Noncdm Charge Record Medical Supplies,18609.15,18609.15,,,0 CDM,27801876_7016888,Noncdm Charge Record Medical Supplies,6021.75,6021.75,,,0 CDM,27801876_7016894,Noncdm Charge Record Medical Supplies,6021.75,6021.75,,,0 CDM,27801876_7017131,Noncdm Charge Record Medical Supplies,14374.5,14374.5,,,0 CDM,27801876_7017139,Noncdm Charge Record Medical Supplies,11952.09,11952.09,,,0 CDM,27801876_7019430,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27801876_7019572,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27801876_7019666,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27801876_7028513,Noncdm Charge Record Medical Supplies,15132.08,15132.08,,,0 CDM,27801876_7028527,Noncdm Charge Record Medical Supplies,15501.15,15501.15,,,0 CDM,27801876_7028935,Noncdm Charge Record Medical Supplies,17839.92,17839.92,,,0 CDM,27801876_7028942,Noncdm Charge Record Medical Supplies,17010.47,17010.47,,,0 CDM,27801876_7030914,Noncdm Charge Record Medical Supplies,21756.0,21756.0,,,0 CDM,27801876_7032278,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27801876_7032281,Noncdm Charge Record Medical Supplies,4284.0,4284.0,,,0 CDM,27801876_7032286,Noncdm Charge Record Medical Supplies,4284.0,4284.0,,,0 CDM,27801876_7032311,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27801876_7032316,Noncdm Charge Record Medical Supplies,4284.0,4284.0,,,0 CDM,27801876_7045086,Noncdm Charge Record Medical Supplies,15244.74,15244.74,,,0 CDM,27801876_7045089,Noncdm Charge Record Medical Supplies,15244.74,15244.74,,,0 CDM,27801876_7048386,Noncdm Charge Record Medical Supplies,15501.15,15501.15,,,0 CDM,27801876_7048388,Noncdm Charge Record Medical Supplies,16181.02,16181.02,,,0 CDM,27801876_7050173,Noncdm Charge Record Medical Supplies,442.89,442.89,,,0 CDM,27801876_7050174,Noncdm Charge Record Medical Supplies,357.42,357.42,,,0 CDM,27801876_7055446,Noncdm Charge Record Medical Supplies,126013.86,126013.86,,,0 CDM,27801876_7062438,Noncdm Charge Record Medical Supplies,20038.83,20038.83,,,0 CDM,27801876_7062441,Noncdm Charge Record Medical Supplies,20038.83,20038.83,,,0 CDM,27801876_7062452,Noncdm Charge Record Medical Supplies,20038.83,20038.83,,,0 CDM,27801876_7062453,Noncdm Charge Record Medical Supplies,29032.6,29032.6,,,0 CDM,27801876_7062467,Noncdm Charge Record Medical Supplies,20038.83,20038.83,,,0 CDM,27801876_7062475,Noncdm Charge Record Medical Supplies,20038.83,20038.83,,,0 CDM,27801876_7075349,Noncdm Charge Record Medical Supplies,14112.0,14112.0,,,0 CDM,27801876_7075473,Noncdm Charge Record Medical Supplies,73165.43,73165.43,,,0 CDM,27801876_7075929,Noncdm Charge Record Medical Supplies,3325.14,3325.14,,,0 CDM,27801876_7075962,Noncdm Charge Record Medical Supplies,6174.0,6174.0,,,0 CDM,27801876_7075978,Noncdm Charge Record Medical Supplies,3325.14,3325.14,,,0 CDM,27801876_7075979,Noncdm Charge Record Medical Supplies,3325.14,3325.14,,,0 CDM,27801876_7076045,Noncdm Charge Record Medical Supplies,37750.54,37750.54,,,0 CDM,27801876_7076060,Noncdm Charge Record Medical Supplies,89922.21,89922.21,,,0 CDM,27801876_7076061,Noncdm Charge Record Medical Supplies,38191.88,38191.88,,,0 CDM,27801876_7076062,Noncdm Charge Record Medical Supplies,59302.97,59302.97,,,0 CDM,27801876_7080321,Noncdm Charge Record Medical Supplies,8780.1,8780.1,,,0 CDM,27801876_7108425,Noncdm Charge Record Medical Supplies,10054.8,10054.8,,,0 CDM,27801876_7108430,Noncdm Charge Record Medical Supplies,10054.8,10054.8,,,0 CDM,27801876_7108431,Noncdm Charge Record Medical Supplies,10148.73,10148.73,,,0 CDM,27801876_7108449,Noncdm Charge Record Medical Supplies,10485.44,10485.44,,,0 CDM,27801876_7108457,Noncdm Charge Record Medical Supplies,10054.8,10054.8,,,0 CDM,27801876_7112690,Noncdm Charge Record Medical Supplies,8820.0,8820.0,,,0 CDM,27801876_7115386,Noncdm Charge Record Medical Supplies,6879.6,6879.6,,,0 CDM,27801876_7115391,Noncdm Charge Record Medical Supplies,6552.0,6552.0,,,0 CDM,27801876_7115395,Noncdm Charge Record Medical Supplies,6879.6,6879.6,,,0 CDM,27801876_7115405,Noncdm Charge Record Medical Supplies,6552.0,6552.0,,,0 CDM,27801876_7115407,Noncdm Charge Record Medical Supplies,6552.0,6552.0,,,0 CDM,27801876_7115413,Noncdm Charge Record Medical Supplies,6552.0,6552.0,,,0 CDM,27801876_7115417,Noncdm Charge Record Medical Supplies,6552.0,6552.0,,,0 CDM,27801876_7115790,Noncdm Charge Record Medical Supplies,7223.58,7223.58,,,0 CDM,27801876_7115793,Noncdm Charge Record Medical Supplies,6879.6,6879.6,,,0 CDM,27801876_7115797,Noncdm Charge Record Medical Supplies,6552.0,6552.0,,,0 CDM,27801876_7115798,Noncdm Charge Record Medical Supplies,6552.0,6552.0,,,0 CDM,27801876_7115808,Noncdm Charge Record Medical Supplies,6552.0,6552.0,,,0 CDM,27801876_7115809,Noncdm Charge Record Medical Supplies,6552.0,6552.0,,,0 CDM,27801876_7115814,Noncdm Charge Record Medical Supplies,7156.42,7156.42,,,0 CDM,27801876_7115815,Noncdm Charge Record Medical Supplies,7223.58,7223.58,,,0 CDM,27801876_7115816,Noncdm Charge Record Medical Supplies,6552.0,6552.0,,,0 CDM,27801876_7115904,Noncdm Charge Record Medical Supplies,44284.97,44284.97,,,0 CDM,27801876_7115909,Noncdm Charge Record Medical Supplies,41824.69,41824.69,,,0 CDM,27801876_7115914,Noncdm Charge Record Medical Supplies,39364.42,39364.42,,,0 CDM,27801876_7115920,Noncdm Charge Record Medical Supplies,39364.42,39364.42,,,0 CDM,27801876_7116978,Noncdm Charge Record Medical Supplies,8234.57,8234.57,,,0 CDM,27801876_7117195,Noncdm Charge Record Medical Supplies,4834.26,4834.26,,,0 CDM,27801876_7141685,Noncdm Charge Record Medical Supplies,7938.0,7938.0,,,0 CDM,27801876_7141686,Noncdm Charge Record Medical Supplies,7938.0,7938.0,,,0 CDM,27801876_7141687,Noncdm Charge Record Medical Supplies,7938.0,7938.0,,,0 CDM,27801876_7141688,Noncdm Charge Record Medical Supplies,7938.0,7938.0,,,0 CDM,27801876_7141689,Noncdm Charge Record Medical Supplies,8946.0,8946.0,,,0 CDM,27801876_7143246,Noncdm Charge Record Medical Supplies,8820.0,8820.0,,,0 CDM,27801876_7144981,Noncdm Charge Record Medical Supplies,4834.26,4834.26,,,0 CDM,27801876_7158621,Noncdm Charge Record Medical Supplies,4834.26,4834.26,,,0 CDM,27801876_7164232,Noncdm Charge Record Medical Supplies,6021.75,6021.75,,,0 CDM,27801876_C1876_278,Noncdm Charge Record Medical Supplies,20202.0,20202.0,,,0 CDM,27801877_7015270,Noncdm Charge Record Medical Supplies,5071.5,5071.5,,,0 CDM,27801877_7015313,Noncdm Charge Record Medical Supplies,6048.0,6048.0,,,0 CDM,27801877_7027935,Noncdm Charge Record Medical Supplies,9324.0,9324.0,,,0 CDM,27801878_7011016,Noncdm Charge Record Medical Supplies,5555.55,5555.55,,,0 CDM,27801878_7057657,Noncdm Charge Record Medical Supplies,2672.88,2672.88,,,0 CDM,27801878_7085272,Noncdm Charge Record Medical Supplies,41730.73,41730.73,,,0 CDM,27801880_7015922,Noncdm Charge Record Medical Supplies,8300.25,8300.25,,,0 CDM,27801880_7016378,Noncdm Charge Record Medical Supplies,5679.4,5679.4,,,0 CDM,27801880_7016379,Noncdm Charge Record Medical Supplies,5825.13,5825.13,,,0 CDM,27801880_7016682,Noncdm Charge Record Medical Supplies,7030.8,7030.8,,,0 CDM,27801880_7044823,Noncdm Charge Record Medical Supplies,5275.2,5275.2,,,0 CDM,27801882_7030269,Noncdm Charge Record Medical Supplies,73080.0,73080.0,,,0 CDM,27801883_7012475,Noncdm Charge Record Medical Supplies,4623.15,4623.15,,,0 CDM,27801883_7093071,Noncdm Charge Record Medical Supplies,2000.78,2000.78,,,0 CDM,27801883_7112116,Noncdm Charge Record Medical Supplies,6278.16,6278.16,,,0 CDM,27801883_7112118,Noncdm Charge Record Medical Supplies,6329.96,6329.96,,,0 CDM,27801883_C1883_278,Noncdm Charge Record Medical Supplies,5184.04,5184.04,,,0 CDM,27801884_7015966,Noncdm Charge Record Medical Supplies,3981.6,3981.6,,,0 CDM,27801884_7015972,Noncdm Charge Record Medical Supplies,3981.6,3981.6,,,0 CDM,27801884_7015973,Noncdm Charge Record Medical Supplies,3981.6,3981.6,,,0 CDM,27801884_7015974,Noncdm Charge Record Medical Supplies,4989.6,4989.6,,,0 CDM,27801884_7016001,Noncdm Charge Record Medical Supplies,6501.6,6501.6,,,0 CDM,27801884_7016010,Noncdm Charge Record Medical Supplies,6501.6,6501.6,,,0 CDM,27801884_7016026,Noncdm Charge Record Medical Supplies,4989.6,4989.6,,,0 CDM,27801884_7016034,Noncdm Charge Record Medical Supplies,3981.6,3981.6,,,0 CDM,27801884_7070624,Noncdm Charge Record Medical Supplies,12273.61,12273.61,,,0 CDM,27801884_7071811,Noncdm Charge Record Medical Supplies,461.01,461.01,,,0 CDM,27801884_7074798,Noncdm Charge Record Medical Supplies,461.01,461.01,,,0 CDM,27801884_7074800,Noncdm Charge Record Medical Supplies,461.01,461.01,,,0 CDM,27801884_7074801,Noncdm Charge Record Medical Supplies,461.01,461.01,,,0 CDM,27801884_7074802,Noncdm Charge Record Medical Supplies,461.01,461.01,,,0 CDM,27801884_7074847,Noncdm Charge Record Medical Supplies,461.01,461.01,,,0 CDM,27801884_7075357,Noncdm Charge Record Medical Supplies,3074.4,3074.4,,,0 CDM,27801884_7075923,Noncdm Charge Record Medical Supplies,9021.6,9021.6,,,0 CDM,27801884_7075926,Noncdm Charge Record Medical Supplies,9021.6,9021.6,,,0 CDM,27801884_7075938,Noncdm Charge Record Medical Supplies,9021.6,9021.6,,,0 CDM,27801884_7075948,Noncdm Charge Record Medical Supplies,6501.6,6501.6,,,0 CDM,27801884_7075956,Noncdm Charge Record Medical Supplies,6501.6,6501.6,,,0 CDM,27801884_7075959,Noncdm Charge Record Medical Supplies,6501.6,6501.6,,,0 CDM,27801884_7075967,Noncdm Charge Record Medical Supplies,9021.6,9021.6,,,0 CDM,27801884_7075981,Noncdm Charge Record Medical Supplies,4989.6,4989.6,,,0 CDM,27801884_7078945,Noncdm Charge Record Medical Supplies,210.06,210.06,,,0 CDM,27801884_7160334,Noncdm Charge Record Medical Supplies,14724.15,14724.15,,,0 CDM,27801884_C1884_278,Noncdm Charge Record Medical Supplies,7907.46,7907.46,,,0 CDM,27801887,Hc Attain Command + Surevalve 6250V-Am Guidecath,2338.35,2338.35,,,0 CDM,27801887_C1887_278,Hc Attain Command + Surevalve 6250V-Am Guidecath,2338.35,2338.35,,,0 CDM,27801889_511419,Noncdm Charge Record Medical Supplies,418.49,418.49,,,0 CDM,27801889_625920,Noncdm Charge Record Medical Supplies,188.65,188.65,,,0 CDM,27801889_7012305,Noncdm Charge Record Medical Supplies,1432.47,1432.47,,,0 CDM,27801889_7024197,Noncdm Charge Record Medical Supplies,3224.55,3224.55,,,0 CDM,27801889_7029426,Noncdm Charge Record Medical Supplies,447.45,447.45,,,0 CDM,27801889_7029437,Noncdm Charge Record Medical Supplies,447.45,447.45,,,0 CDM,27801889_7029444,Noncdm Charge Record Medical Supplies,447.45,447.45,,,0 CDM,27801889_7030910,Noncdm Charge Record Medical Supplies,9129.75,9129.75,,,0 CDM,27801889_7032819,Noncdm Charge Record Medical Supplies,2167.83,2167.83,,,0 CDM,27801889_7038002,Noncdm Charge Record Medical Supplies,310.8,310.8,,,0 CDM,27801889_7050364,Noncdm Charge Record Medical Supplies,13143.51,13143.51,,,0 CDM,27801889_7071707,Noncdm Charge Record Medical Supplies,66704.4,66704.4,,,0 CDM,27801889_7078096,Noncdm Charge Record Medical Supplies,19269.6,19269.6,,,0 CDM,27801889_7080048,Noncdm Charge Record Medical Supplies,14212.62,14212.62,,,0 CDM,27801889_7081310,Noncdm Charge Record Medical Supplies,5710.95,5710.95,,,0 CDM,27801889_7081319,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27801889_7084385,Noncdm Charge Record Medical Supplies,19269.6,19269.6,,,0 CDM,27801889_7087656,Noncdm Charge Record Medical Supplies,34343.4,34343.4,,,0 CDM,27801889_7109273,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27801889_7109324,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27801889_7109325,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27801889_7109326,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27801889_7109327,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27801889_7109331,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27801889_7109359,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27801889_7109421,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27801889_7109423,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27801889_7109472,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27801889_7109473,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27801889_7109510,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27801889_7110968,Noncdm Charge Record Medical Supplies,10489.5,10489.5,,,0 CDM,27801889_7113148,Noncdm Charge Record Medical Supplies,15209.91,15209.91,,,0 CDM,27801889_7113765,Noncdm Charge Record Medical Supplies,5379.17,5379.17,,,0 CDM,27801889_7115228,Noncdm Charge Record Medical Supplies,9479.4,9479.4,,,0 CDM,27801889_7115313,Noncdm Charge Record Medical Supplies,2896.27,2896.27,,,0 CDM,27801889_7115314,Noncdm Charge Record Medical Supplies,2896.27,2896.27,,,0 CDM,27801889_7115960,Noncdm Charge Record Medical Supplies,32348.42,32348.42,,,0 CDM,27801889_7115961,Noncdm Charge Record Medical Supplies,32229.5,32229.5,,,0 CDM,27801889_7115966,Noncdm Charge Record Medical Supplies,32229.5,32229.5,,,0 CDM,27801889_7115970,Noncdm Charge Record Medical Supplies,32229.5,32229.5,,,0 CDM,27801889_7115974,Noncdm Charge Record Medical Supplies,32286.73,32286.73,,,0 CDM,27801889_7116297,Noncdm Charge Record Medical Supplies,39364.76,39364.76,,,0 CDM,27801889_7120168,Noncdm Charge Record Medical Supplies,6241.8,6241.8,,,0 CDM,27801889_7120175,Noncdm Charge Record Medical Supplies,6241.8,6241.8,,,0 CDM,27801889_7120870,Noncdm Charge Record Medical Supplies,34188.0,34188.0,,,0 CDM,27801889_7120871,Noncdm Charge Record Medical Supplies,34188.0,34188.0,,,0 CDM,27801889_7120878,Noncdm Charge Record Medical Supplies,34188.0,34188.0,,,0 CDM,27801889_7125298,Noncdm Charge Record Medical Supplies,22921.5,22921.5,,,0 CDM,27801889_7125338,Noncdm Charge Record Medical Supplies,66045.0,66045.0,,,0 CDM,27801889_7125339,Noncdm Charge Record Medical Supplies,66045.0,66045.0,,,0 CDM,27801889_7125340,Noncdm Charge Record Medical Supplies,66045.0,66045.0,,,0 CDM,27801889_7125341,Noncdm Charge Record Medical Supplies,66045.0,66045.0,,,0 CDM,27801889_7125342,Noncdm Charge Record Medical Supplies,66045.0,66045.0,,,0 CDM,27801889_7126804,Noncdm Charge Record Medical Supplies,3846.15,3846.15,,,0 CDM,27801889_7127118,Noncdm Charge Record Medical Supplies,10276.88,10276.88,,,0 CDM,27801889_7132456,Noncdm Charge Record Medical Supplies,16278.15,16278.15,,,0 CDM,27801889_7136052,Noncdm Charge Record Medical Supplies,52447.5,52447.5,,,0 CDM,27801889_7137027,Noncdm Charge Record Medical Supplies,1909.4,1909.4,,,0 CDM,27801889_7141665,Noncdm Charge Record Medical Supplies,6133.68,6133.68,,,0 CDM,27801889_7141679,Noncdm Charge Record Medical Supplies,6133.68,6133.68,,,0 CDM,27801889_7143882,Noncdm Charge Record Medical Supplies,19630.8,19630.8,,,0 CDM,27801889_7143883,Noncdm Charge Record Medical Supplies,19630.8,19630.8,,,0 CDM,27801889_7143888,Noncdm Charge Record Medical Supplies,3780.0,3780.0,,,0 CDM,27801889_7143889,Noncdm Charge Record Medical Supplies,3780.0,3780.0,,,0 CDM,27801889_7143890,Noncdm Charge Record Medical Supplies,3780.0,3780.0,,,0 CDM,27801889_7144113,Noncdm Charge Record Medical Supplies,19630.8,19630.8,,,0 CDM,27801889_7144114,Noncdm Charge Record Medical Supplies,19630.8,19630.8,,,0 CDM,27801889_7144115,Noncdm Charge Record Medical Supplies,19630.8,19630.8,,,0 CDM,27801889_7144119,Noncdm Charge Record Medical Supplies,4284.0,4284.0,,,0 CDM,27801889_7144120,Noncdm Charge Record Medical Supplies,4284.0,4284.0,,,0 CDM,27801889_7144123,Noncdm Charge Record Medical Supplies,4284.0,4284.0,,,0 CDM,27801889_7144125,Noncdm Charge Record Medical Supplies,4284.0,4284.0,,,0 CDM,27801889_7144126,Noncdm Charge Record Medical Supplies,4284.0,4284.0,,,0 CDM,27801889_7144127,Noncdm Charge Record Medical Supplies,3780.0,3780.0,,,0 CDM,27801889_7144128,Noncdm Charge Record Medical Supplies,3780.0,3780.0,,,0 CDM,27801889_7144129,Noncdm Charge Record Medical Supplies,3780.0,3780.0,,,0 CDM,27801889_7144130,Noncdm Charge Record Medical Supplies,3780.0,3780.0,,,0 CDM,27801889_7144526,Noncdm Charge Record Medical Supplies,35454.51,35454.51,,,0 CDM,27801889_7144527,Noncdm Charge Record Medical Supplies,34149.15,34149.15,,,0 CDM,27801889_7145035,Noncdm Charge Record Medical Supplies,4284.0,4284.0,,,0 CDM,27801889_7145036,Noncdm Charge Record Medical Supplies,4284.0,4284.0,,,0 CDM,27801889_7145039,Noncdm Charge Record Medical Supplies,5785.92,5785.92,,,0 CDM,27801889_7145908,Noncdm Charge Record Medical Supplies,10645.49,10645.49,,,0 CDM,27801889_7145909,Noncdm Charge Record Medical Supplies,12449.81,12449.81,,,0 CDM,27801889_7145917,Noncdm Charge Record Medical Supplies,11908.51,11908.51,,,0 CDM,27801889_7145918,Noncdm Charge Record Medical Supplies,12449.81,12449.81,,,0 CDM,27801889_7145919,Noncdm Charge Record Medical Supplies,11547.65,11547.65,,,0 CDM,27801889_7148046,Noncdm Charge Record Medical Supplies,83134.8,83134.8,,,0 CDM,27801889_7150490,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27801889_7150501,Noncdm Charge Record Medical Supplies,3780.0,3780.0,,,0 CDM,27801889_7150502,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27801889_7150509,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27801889_7150511,Noncdm Charge Record Medical Supplies,5796.0,5796.0,,,0 CDM,27801889_7150512,Noncdm Charge Record Medical Supplies,5796.0,5796.0,,,0 CDM,27801889_7150515,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27801889_7150516,Noncdm Charge Record Medical Supplies,5796.0,5796.0,,,0 CDM,27801889_7150517,Noncdm Charge Record Medical Supplies,5796.0,5796.0,,,0 CDM,27801889_7150519,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27801889_7150520,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27801889_7150521,Noncdm Charge Record Medical Supplies,5796.0,5796.0,,,0 CDM,27801889_7150523,Noncdm Charge Record Medical Supplies,5796.0,5796.0,,,0 CDM,27801889_7150524,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27801889_7150527,Noncdm Charge Record Medical Supplies,5796.0,5796.0,,,0 CDM,27801889_7150528,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27801889_7150530,Noncdm Charge Record Medical Supplies,5796.0,5796.0,,,0 CDM,27801889_7150531,Noncdm Charge Record Medical Supplies,5796.0,5796.0,,,0 CDM,27801889_7150535,Noncdm Charge Record Medical Supplies,5796.0,5796.0,,,0 CDM,27801889_7150537,Noncdm Charge Record Medical Supplies,5796.0,5796.0,,,0 CDM,27801889_7150538,Noncdm Charge Record Medical Supplies,5796.0,5796.0,,,0 CDM,27801889_7150545,Noncdm Charge Record Medical Supplies,5796.0,5796.0,,,0 CDM,27801889_7150554,Noncdm Charge Record Medical Supplies,5796.0,5796.0,,,0 CDM,27801889_7150556,Noncdm Charge Record Medical Supplies,5796.0,5796.0,,,0 CDM,27801889_7150557,Noncdm Charge Record Medical Supplies,5796.0,5796.0,,,0 CDM,27801889_7150558,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27801889_7150563,Noncdm Charge Record Medical Supplies,19630.8,19630.8,,,0 CDM,27801889_7150564,Noncdm Charge Record Medical Supplies,19630.8,19630.8,,,0 CDM,27801889_7150565,Noncdm Charge Record Medical Supplies,19630.8,19630.8,,,0 CDM,27801889_7150566,Noncdm Charge Record Medical Supplies,19630.8,19630.8,,,0 CDM,27801889_7150567,Noncdm Charge Record Medical Supplies,19630.8,19630.8,,,0 CDM,27801889_7150568,Noncdm Charge Record Medical Supplies,19630.8,19630.8,,,0 CDM,27801889_7150569,Noncdm Charge Record Medical Supplies,19630.8,19630.8,,,0 CDM,27801889_7150570,Noncdm Charge Record Medical Supplies,19630.8,19630.8,,,0 CDM,27801889_7150571,Noncdm Charge Record Medical Supplies,19630.8,19630.8,,,0 CDM,27801889_7150572,Noncdm Charge Record Medical Supplies,19630.8,19630.8,,,0 CDM,27801889_7150574,Noncdm Charge Record Medical Supplies,19630.8,19630.8,,,0 CDM,27801889_7150575,Noncdm Charge Record Medical Supplies,19630.8,19630.8,,,0 CDM,27801889_7150581,Noncdm Charge Record Medical Supplies,19630.8,19630.8,,,0 CDM,27801889_7150590,Noncdm Charge Record Medical Supplies,3780.0,3780.0,,,0 CDM,27801889_7150591,Noncdm Charge Record Medical Supplies,3780.0,3780.0,,,0 CDM,27801889_7150596,Noncdm Charge Record Medical Supplies,3780.0,3780.0,,,0 CDM,27801889_7150598,Noncdm Charge Record Medical Supplies,3780.0,3780.0,,,0 CDM,27801889_7150599,Noncdm Charge Record Medical Supplies,3780.0,3780.0,,,0 CDM,27801889_7150777,Noncdm Charge Record Medical Supplies,10946.21,10946.21,,,0 CDM,27801889_7150778,Noncdm Charge Record Medical Supplies,12449.81,12449.81,,,0 CDM,27801889_7150779,Noncdm Charge Record Medical Supplies,11367.22,11367.22,,,0 CDM,27801889_7150780,Noncdm Charge Record Medical Supplies,12449.81,12449.81,,,0 CDM,27801889_7150781,Noncdm Charge Record Medical Supplies,10645.49,10645.49,,,0 CDM,27801889_7150782,Noncdm Charge Record Medical Supplies,11547.65,11547.65,,,0 CDM,27801889_7150783,Noncdm Charge Record Medical Supplies,11096.57,11096.57,,,0 CDM,27801889_7150784,Noncdm Charge Record Medical Supplies,12449.81,12449.81,,,0 CDM,27801889_7150786,Noncdm Charge Record Medical Supplies,9743.33,9743.33,,,0 CDM,27801889_7150788,Noncdm Charge Record Medical Supplies,9743.33,9743.33,,,0 CDM,27801889_7150789,Noncdm Charge Record Medical Supplies,12449.81,12449.81,,,0 CDM,27801889_7152432,Noncdm Charge Record Medical Supplies,6724.69,6724.69,,,0 CDM,27801889_7152433,Noncdm Charge Record Medical Supplies,7346.18,7346.18,,,0 CDM,27801889_7152434,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27801889_7153100,Noncdm Charge Record Medical Supplies,967.68,967.68,,,0 CDM,27801889_7153789,Noncdm Charge Record Medical Supplies,128520.0,128520.0,,,0 CDM,27801889_7153949,Noncdm Charge Record Medical Supplies,40792.5,40792.5,,,0 CDM,27801889_7153950,Noncdm Charge Record Medical Supplies,40792.5,40792.5,,,0 CDM,27801889_7153951,Noncdm Charge Record Medical Supplies,40792.5,40792.5,,,0 CDM,27801889_7153952,Noncdm Charge Record Medical Supplies,40792.5,40792.5,,,0 CDM,27801889_7153953,Noncdm Charge Record Medical Supplies,40792.5,40792.5,,,0 CDM,27801889_7154273,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27801889_7154275,Noncdm Charge Record Medical Supplies,3780.0,3780.0,,,0 CDM,27801889_7154276,Noncdm Charge Record Medical Supplies,3780.0,3780.0,,,0 CDM,27801889_7154344,Noncdm Charge Record Medical Supplies,18027.19,18027.19,,,0 CDM,27801889_7154444,Noncdm Charge Record Medical Supplies,21672.0,21672.0,,,0 CDM,27801889_7155673,Noncdm Charge Record Medical Supplies,28430.43,28430.43,,,0 CDM,27801889_7156320,Noncdm Charge Record Medical Supplies,1270.08,1270.08,,,0 CDM,27801889_7156634,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7157269,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7157424,Noncdm Charge Record Medical Supplies,4700.85,4700.85,,,0 CDM,27801889_7157865,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7158948,Noncdm Charge Record Medical Supplies,5361.3,5361.3,,,0 CDM,27801889_7158949,Noncdm Charge Record Medical Supplies,5749.8,5749.8,,,0 CDM,27801889_7158950,Noncdm Charge Record Medical Supplies,6033.7,6033.7,,,0 CDM,27801889_7158951,Noncdm Charge Record Medical Supplies,6444.9,6444.9,,,0 CDM,27801889_7159480,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7159521,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7159820,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7159821,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27801889_7159822,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27801889_7159823,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27801889_7159997,Noncdm Charge Record Medical Supplies,7.77,7.77,,,0 CDM,27801889_7160035,Noncdm Charge Record Medical Supplies,4700.85,4700.85,,,0 CDM,27801889_7160097,Noncdm Charge Record Medical Supplies,26029.5,26029.5,,,0 CDM,27801889_7160391,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7160723,Noncdm Charge Record Medical Supplies,1.05,1.05,,,0 CDM,27801889_7160742,Noncdm Charge Record Medical Supplies,3552.68,3552.68,,,0 CDM,27801889_7160743,Noncdm Charge Record Medical Supplies,2991.45,2991.45,,,0 CDM,27801889_7161610,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7161632,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27801889_7161633,Noncdm Charge Record Medical Supplies,34343.4,34343.4,,,0 CDM,27801889_7161634,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27801889_7161692,Noncdm Charge Record Medical Supplies,2340.58,2340.58,,,0 CDM,27801889_7161784,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7162149,Noncdm Charge Record Medical Supplies,36519.0,36519.0,,,0 CDM,27801889_7162258,Noncdm Charge Record Medical Supplies,1176.22,1176.22,,,0 CDM,27801889_7162569,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7162648,Noncdm Charge Record Medical Supplies,22435.88,22435.88,,,0 CDM,27801889_7162685,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27801889_7162691,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7162838,Noncdm Charge Record Medical Supplies,26029.5,26029.5,,,0 CDM,27801889_7162919,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7162921,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7163227,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7163599,Noncdm Charge Record Medical Supplies,1556.33,1556.33,,,0 CDM,27801889_7163737,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7163738,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7164066,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7164072,Noncdm Charge Record Medical Supplies,26029.5,26029.5,,,0 CDM,27801889_7164185,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7164195,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7164218,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7164260,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7164272,Noncdm Charge Record Medical Supplies,1.05,1.05,,,0 CDM,27801889_7164411,Noncdm Charge Record Medical Supplies,25407.9,25407.9,,,0 CDM,27801889_7164572,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7164663,Noncdm Charge Record Medical Supplies,52447.5,52447.5,,,0 CDM,27801889_7164665,Noncdm Charge Record Medical Supplies,52447.5,52447.5,,,0 CDM,27801889_7165252,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7165522,Noncdm Charge Record Medical Supplies,52447.5,52447.5,,,0 CDM,27801889_7165523,Noncdm Charge Record Medical Supplies,52447.5,52447.5,,,0 CDM,27801889_7165739,Noncdm Charge Record Medical Supplies,6180.03,6180.03,,,0 CDM,27801889_7165931,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7166151,Noncdm Charge Record Medical Supplies,4731.93,4731.93,,,0 CDM,27801889_7166369,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27801889_7166386,Noncdm Charge Record Medical Supplies,55167.0,55167.0,,,0 CDM,27801889_7166410,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7166500,Noncdm Charge Record Medical Supplies,34343.4,34343.4,,,0 CDM,27801889_7166699,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7166798,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27801889_7166800,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27801889_7167061,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7167062,Noncdm Charge Record Medical Supplies,194250.0,194250.0,,,0 CDM,27801889_7167112,Noncdm Charge Record Medical Supplies,3837.21,3837.21,,,0 CDM,27801889_7167231,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27801889_7167465,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7167466,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7167471,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7167627,Noncdm Charge Record Medical Supplies,4964.4,4964.4,,,0 CDM,27801889_7167631,Noncdm Charge Record Medical Supplies,4964.4,4964.4,,,0 CDM,27801889_7167632,Noncdm Charge Record Medical Supplies,6300.0,6300.0,,,0 CDM,27801889_7167762,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7167931,Noncdm Charge Record Medical Supplies,1864.8,1864.8,,,0 CDM,27801889_7168069,Noncdm Charge Record Medical Supplies,23263.38,23263.38,,,0 CDM,27801889_7168150,Noncdm Charge Record Medical Supplies,2083.68,2083.68,,,0 CDM,27801889_7168615,Noncdm Charge Record Medical Supplies,52447.5,52447.5,,,0 CDM,27801889_7168703,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7169168,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7169525,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7169531,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7169708,Noncdm Charge Record Medical Supplies,7614.6,7614.6,,,0 CDM,27801889_7169736,Noncdm Charge Record Medical Supplies,26029.5,26029.5,,,0 CDM,27801889_7170154,Noncdm Charge Record Medical Supplies,24514.35,24514.35,,,0 CDM,27801889_7171279,Noncdm Charge Record Medical Supplies,2466.98,2466.98,,,0 CDM,27801889_7172120,Noncdm Charge Record Medical Supplies,34343.4,34343.4,,,0 CDM,27801889_7172122,Noncdm Charge Record Medical Supplies,2136.75,2136.75,,,0 CDM,27801889_7172944,Noncdm Charge Record Medical Supplies,5241.6,5241.6,,,0 CDM,27801889_7173376,Noncdm Charge Record Medical Supplies,23263.38,23263.38,,,0 CDM,27801889_7173417,Noncdm Charge Record Medical Supplies,19370.61,19370.61,,,0 CDM,27801889_7173474,Noncdm Charge Record Medical Supplies,1.05,1.05,,,0 CDM,27801889_7173608,Noncdm Charge Record Medical Supplies,684.61,684.61,,,0 CDM,27801889_7174009,Noncdm Charge Record Medical Supplies,3642.73,3642.73,,,0 CDM,27801889_7174069,Noncdm Charge Record Medical Supplies,23263.38,23263.38,,,0 CDM,27801889_7174260,Noncdm Charge Record Medical Supplies,23263.38,23263.38,,,0 CDM,27801889_7174657,Noncdm Charge Record Medical Supplies,22874.88,22874.88,,,0 CDM,27801889_7174833,Noncdm Charge Record Medical Supplies,26418.0,26418.0,,,0 CDM,27801889_7174856,Noncdm Charge Record Medical Supplies,34343.4,34343.4,,,0 CDM,27801889_7175126,Noncdm Charge Record Medical Supplies,23263.38,23263.38,,,0 CDM,27801889_7175633,Noncdm Charge Record Medical Supplies,23263.38,23263.38,,,0 CDM,27801889_7175811,Noncdm Charge Record Medical Supplies,3212.28,3212.28,,,0 CDM,27801889_7176019,Noncdm Charge Record Medical Supplies,23263.38,23263.38,,,0 CDM,27801889_7176208,Noncdm Charge Record Medical Supplies,6216.0,6216.0,,,0 CDM,27801889_7176521,Noncdm Charge Record Medical Supplies,7731.15,7731.15,,,0 CDM,27801889_7176730,Noncdm Charge Record Medical Supplies,52447.5,52447.5,,,0 CDM,27801889_7177207,Noncdm Charge Record Medical Supplies,23263.38,23263.38,,,0 CDM,27801889_7177481,Noncdm Charge Record Medical Supplies,23263.38,23263.38,,,0 CDM,27801889_7178680,Noncdm Charge Record Medical Supplies,34343.4,34343.4,,,0 CDM,27801889_7178728,Noncdm Charge Record Medical Supplies,23263.38,23263.38,,,0 CDM,27801889_7179776,Noncdm Charge Record Medical Supplies,4529.91,4529.91,,,0 CDM,27801889_7179902,Noncdm Charge Record Medical Supplies,3501.62,3501.62,,,0 CDM,27801889_7180256,Noncdm Charge Record Medical Supplies,23263.38,23263.38,,,0 CDM,27801889_C1889_278,Noncdm Charge Record Medical Supplies,31446.04,31446.04,,,0 CDM,27801891_7128880,Noncdm Charge Record Medical Supplies,112198.8,112198.8,,,0 CDM,27801891_C1891_278,Noncdm Charge Record Medical Supplies,111810.3,111810.3,,,0 CDM,27801894_7029170,Noncdm Charge Record Medical Supplies,3665.53,3665.53,,,0 CDM,27801894_7126372,Noncdm Charge Record Medical Supplies,2680.65,2680.65,,,0 CDM,27801895_7030411,Noncdm Charge Record Medical Supplies,13530.71,13530.71,,,0 CDM,27801895_7030422,Noncdm Charge Record Medical Supplies,15994.61,15994.61,,,0 CDM,27801895_7086190,Noncdm Charge Record Medical Supplies,15120.0,15120.0,,,0 CDM,27801895_7086206,Noncdm Charge Record Medical Supplies,14616.0,14616.0,,,0 CDM,27801895_7086322,Noncdm Charge Record Medical Supplies,15120.0,15120.0,,,0 CDM,27801895_7086323,Noncdm Charge Record Medical Supplies,15120.0,15120.0,,,0 CDM,27801895_7086325,Noncdm Charge Record Medical Supplies,14616.0,14616.0,,,0 CDM,27801895_7086326,Noncdm Charge Record Medical Supplies,15120.0,15120.0,,,0 CDM,27801895_7086327,Noncdm Charge Record Medical Supplies,15120.0,15120.0,,,0 CDM,27801895_7086328,Noncdm Charge Record Medical Supplies,15120.0,15120.0,,,0 CDM,27801895_7086329,Noncdm Charge Record Medical Supplies,15120.0,15120.0,,,0 CDM,27801895_7086330,Noncdm Charge Record Medical Supplies,14616.0,14616.0,,,0 CDM,27801896_7030496,Noncdm Charge Record Medical Supplies,20160.0,20160.0,,,0 CDM,27801896_7162276,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27801896_C1896_278,Noncdm Charge Record Medical Supplies,10683.75,10683.75,,,0 CDM,27801897,"Hc Lead, Neurostimulator Test Kit",12551.7,12551.7,,,0 CDM,27801897_7030509,"Hc Lead, Neurostimulator Test Kit",21639.45,21639.45,,,0 CDM,27801897_7033811,"Hc Lead, Neurostimulator Test Kit",1554.0,1554.0,,,0 CDM,27801897_7091327,"Hc Lead, Neurostimulator Test Kit",10170.93,10170.93,,,0 CDM,27801897_7096938,"Hc Lead, Neurostimulator Test Kit",17094.0,17094.0,,,0 CDM,27801897_7096939,"Hc Lead, Neurostimulator Test Kit",9324.0,9324.0,,,0 CDM,27801897_7096940,"Hc Lead, Neurostimulator Test Kit",17094.0,17094.0,,,0 CDM,27801897_7098524,"Hc Lead, Neurostimulator Test Kit",13986.0,13986.0,,,0 CDM,27801897_7126370,"Hc Lead, Neurostimulator Test Kit",26037.27,26037.27,,,0 CDM,27801897_7175210,"Hc Lead, Neurostimulator Test Kit",310.8,310.8,,,0 CDM,27801897_C1897_278,"Hc Lead, Neurostimulator Test Kit",7629.77,7629.77,,,0 CDM,27801898_7028499,Noncdm Charge Record Medical Supplies,2525.25,2525.25,,,0 CDM,27801898_7028951,Noncdm Charge Record Medical Supplies,1965.6,1965.6,,,0 CDM,27801898_7029795,Noncdm Charge Record Medical Supplies,2068.57,2068.57,,,0 CDM,27801898_7030328,Noncdm Charge Record Medical Supplies,1679.66,1679.66,,,0 CDM,27801898_7032709,Noncdm Charge Record Medical Supplies,2157.09,2157.09,,,0 CDM,27801898_7032710,Noncdm Charge Record Medical Supplies,2119.24,2119.24,,,0 CDM,27801898_7086324,Noncdm Charge Record Medical Supplies,1965.6,1965.6,,,0 CDM,27801900_7029790,Noncdm Charge Record Medical Supplies,9056.88,9056.88,,,0 CDM,27801900_7030519,Noncdm Charge Record Medical Supplies,7247.52,7247.52,,,0 CDM,27801900_7030520,Noncdm Charge Record Medical Supplies,7434.0,7434.0,,,0 CDM,27801900_7031424,Noncdm Charge Record Medical Supplies,8400.02,8400.02,,,0 CDM,27801900_7031430,Noncdm Charge Record Medical Supplies,8400.02,8400.02,,,0 CDM,27801900_7031433,Noncdm Charge Record Medical Supplies,8400.02,8400.02,,,0 CDM,27801900_7086292,Noncdm Charge Record Medical Supplies,7434.0,7434.0,,,0 CDM,27801900_7086293,Noncdm Charge Record Medical Supplies,7434.0,7434.0,,,0 CDM,27802007_7174894,Noncdm Charge Record Medical Supplies,11655.0,11655.0,,,0 CDM,27802007_7174898,Noncdm Charge Record Medical Supplies,35042.7,35042.7,,,0 CDM,27802007_A2007_278,Noncdm Charge Record Medical Supplies,15918.96,15918.96,,,0 CDM,27802615_7001123,Noncdm Charge Record Medical Supplies,6161.38,6161.38,,,0 CDM,27802615_7030381,Noncdm Charge Record Medical Supplies,8755.25,8755.25,,,0 CDM,27802617_513740,Noncdm Charge Record Medical Supplies,1156.1,1156.1,,,0 CDM,27802617_514589,Noncdm Charge Record Medical Supplies,2079.48,2079.48,,,0 CDM,27802617_618907,Noncdm Charge Record Medical Supplies,1002.33,1002.33,,,0 CDM,27802617_7000558,Noncdm Charge Record Medical Supplies,948.64,948.64,,,0 CDM,27802617_7000561,Noncdm Charge Record Medical Supplies,948.1,948.1,,,0 CDM,27802617_7001285,Noncdm Charge Record Medical Supplies,777.7,777.7,,,0 CDM,27802617_7001286,Noncdm Charge Record Medical Supplies,694.41,694.41,,,0 CDM,27802617_7013560,Noncdm Charge Record Medical Supplies,663.95,663.95,,,0 CDM,27802617_7013561,Noncdm Charge Record Medical Supplies,663.95,663.95,,,0 CDM,27802617_7013562,Noncdm Charge Record Medical Supplies,663.95,663.95,,,0 CDM,27802617_7013563,Noncdm Charge Record Medical Supplies,663.95,663.95,,,0 CDM,27802617_7013565,Noncdm Charge Record Medical Supplies,663.95,663.95,,,0 CDM,27802617_7013566,Noncdm Charge Record Medical Supplies,663.95,663.95,,,0 CDM,27802617_7013568,Noncdm Charge Record Medical Supplies,663.95,663.95,,,0 CDM,27802617_7013570,Noncdm Charge Record Medical Supplies,663.95,663.95,,,0 CDM,27802617_7013571,Noncdm Charge Record Medical Supplies,663.95,663.95,,,0 CDM,27802617_7014474,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27802617_7014481,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27802617_7014711,Noncdm Charge Record Medical Supplies,15314.42,15314.42,,,0 CDM,27802617_7014718,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27802617_7014752,Noncdm Charge Record Medical Supplies,15540.0,15540.0,,,0 CDM,27802617_7015362,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27802617_7015377,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27802617_7015381,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27802617_7015388,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27802617_7015397,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27802617_7015401,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27802617_7015426,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27802617_7015440,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27802617_7015441,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27802617_7015442,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27802617_7015443,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27802617_7015544,Noncdm Charge Record Medical Supplies,497.61,497.61,,,0 CDM,27802617_7015547,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27802617_7015551,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27802617_7015552,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27802617_7015555,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27802617_7015561,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27802617_7015563,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27802617_7015564,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27802617_7015571,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27802617_7015603,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27802617_7015611,Noncdm Charge Record Medical Supplies,407.92,407.92,,,0 CDM,27802617_7015614,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27802617_7015622,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27802617_7028247,Noncdm Charge Record Medical Supplies,948.64,948.64,,,0 CDM,27802617_7028248,Noncdm Charge Record Medical Supplies,700.46,700.46,,,0 CDM,27802617_7028250,Noncdm Charge Record Medical Supplies,777.7,777.7,,,0 CDM,27802617_7028251,Noncdm Charge Record Medical Supplies,1079.87,1079.87,,,0 CDM,27802617_7029256,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27802617_7029257,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27802617_7029259,Noncdm Charge Record Medical Supplies,971.25,971.25,,,0 CDM,27802617_7030965,Noncdm Charge Record Medical Supplies,497.34,497.34,,,0 CDM,27802617_7045612,Noncdm Charge Record Medical Supplies,601.56,601.56,,,0 CDM,27802617_7045613,Noncdm Charge Record Medical Supplies,601.56,601.56,,,0 CDM,27802617_7045614,Noncdm Charge Record Medical Supplies,601.56,601.56,,,0 CDM,27802617_7045616,Noncdm Charge Record Medical Supplies,601.56,601.56,,,0 CDM,27802617_7045617,Noncdm Charge Record Medical Supplies,601.56,601.56,,,0 CDM,27802617_7045621,Noncdm Charge Record Medical Supplies,601.56,601.56,,,0 CDM,27802617_7045623,Noncdm Charge Record Medical Supplies,601.56,601.56,,,0 CDM,27802617_7045624,Noncdm Charge Record Medical Supplies,601.56,601.56,,,0 CDM,27802617_7045626,Noncdm Charge Record Medical Supplies,601.56,601.56,,,0 CDM,27802617_7048014,Noncdm Charge Record Medical Supplies,601.56,601.56,,,0 CDM,27802617_7048015,Noncdm Charge Record Medical Supplies,867.98,867.98,,,0 CDM,27802617_7075958,Noncdm Charge Record Medical Supplies,715.68,715.68,,,0 CDM,27802617_7075960,Noncdm Charge Record Medical Supplies,715.68,715.68,,,0 CDM,27802617_7075961,Noncdm Charge Record Medical Supplies,715.68,715.68,,,0 CDM,27802617_7117147,Noncdm Charge Record Medical Supplies,800.31,800.31,,,0 CDM,27802617_7118930,Noncdm Charge Record Medical Supplies,867.98,867.98,,,0 CDM,27802617_7133468,Noncdm Charge Record Medical Supplies,1101.4,1101.4,,,0 CDM,27802617_7137252,Noncdm Charge Record Medical Supplies,1577.38,1577.38,,,0 CDM,27802617_7137255,Noncdm Charge Record Medical Supplies,1577.38,1577.38,,,0 CDM,27802617_7137256,Noncdm Charge Record Medical Supplies,1577.39,1577.39,,,0 CDM,27802617_7155915,Noncdm Charge Record Medical Supplies,1101.4,1101.4,,,0 CDM,27802617_7157650,Noncdm Charge Record Medical Supplies,694.64,694.64,,,0 CDM,27802617_7162476,Noncdm Charge Record Medical Supplies,884.38,884.38,,,0 CDM,27802617_7162477,Noncdm Charge Record Medical Supplies,948.1,948.1,,,0 CDM,27802617_7162737,Noncdm Charge Record Medical Supplies,1030.07,1030.07,,,0 CDM,27802617_7170694,Noncdm Charge Record Medical Supplies,2079.48,2079.48,,,0 CDM,27802617_7171879,Noncdm Charge Record Medical Supplies,1101.4,1101.4,,,0 CDM,27802617_7175147,Noncdm Charge Record Medical Supplies,695.1,695.1,,,0 CDM,27802617_777792,Noncdm Charge Record Medical Supplies,1153.3,1153.3,,,0 CDM,27802617_777793,Noncdm Charge Record Medical Supplies,1261.14,1261.14,,,0 CDM,27802617_C2617_278,Noncdm Charge Record Medical Supplies,1401.8,1401.8,,,0 CDM,27802621_7031637,Noncdm Charge Record Medical Supplies,22785.84,22785.84,,,0 CDM,27802621_7032989,Noncdm Charge Record Medical Supplies,83160.0,83160.0,,,0 CDM,27802624_7089014,Noncdm Charge Record Medical Supplies,109220.52,109220.52,,,0 CDM,27802625_7012725,Noncdm Charge Record Medical Supplies,7560.83,7560.83,,,0 CDM,27802625_7012729,Noncdm Charge Record Medical Supplies,8540.16,8540.16,,,0 CDM,27802625_7015363,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27802625_7015387,Noncdm Charge Record Medical Supplies,365.19,365.19,,,0 CDM,27802625_7015389,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27802625_7015398,Noncdm Charge Record Medical Supplies,1010.1,1010.1,,,0 CDM,27802625_7015419,Noncdm Charge Record Medical Supplies,442.15,442.15,,,0 CDM,27802625_7015566,Noncdm Charge Record Medical Supplies,466.2,466.2,,,0 CDM,27802625_7015572,Noncdm Charge Record Medical Supplies,481.74,481.74,,,0 CDM,27802625_7015608,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27802625_7015609,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27802625_7017146,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 CDM,27802625_7023497,Noncdm Charge Record Medical Supplies,7466.97,7466.97,,,0 CDM,27802625_7023498,Noncdm Charge Record Medical Supplies,7466.97,7466.97,,,0 CDM,27802625_7029019,Noncdm Charge Record Medical Supplies,497.34,497.34,,,0 CDM,27802625_7029020,Noncdm Charge Record Medical Supplies,531.02,531.02,,,0 CDM,27802625_7029185,Noncdm Charge Record Medical Supplies,497.34,497.34,,,0 CDM,27802625_7029191,Noncdm Charge Record Medical Supplies,497.34,497.34,,,0 CDM,27802625_7029192,Noncdm Charge Record Medical Supplies,497.34,497.34,,,0 CDM,27802625_7029201,Noncdm Charge Record Medical Supplies,497.34,497.34,,,0 CDM,27802625_7029203,Noncdm Charge Record Medical Supplies,483.13,483.13,,,0 CDM,27802625_7029559,Noncdm Charge Record Medical Supplies,1002.33,1002.33,,,0 CDM,27802625_7030234,Noncdm Charge Record Medical Supplies,497.35,497.35,,,0 CDM,27802625_7046894,Noncdm Charge Record Medical Supplies,7466.97,7466.97,,,0 CDM,27802625_7147539,Noncdm Charge Record Medical Supplies,884.38,884.38,,,0 CDM,27802625_7157529,Noncdm Charge Record Medical Supplies,868.3,868.3,,,0 CDM,27802625_7157569,Noncdm Charge Record Medical Supplies,867.98,867.98,,,0 CDM,27802625_7157714,Noncdm Charge Record Medical Supplies,868.22,868.22,,,0 CDM,27802625_7158972,Noncdm Charge Record Medical Supplies,868.22,868.22,,,0 CDM,27802625_7161264,Noncdm Charge Record Medical Supplies,5439.0,5439.0,,,0 CDM,27802625_7161927,Noncdm Charge Record Medical Supplies,868.3,868.3,,,0 CDM,27802625_7165702,Noncdm Charge Record Medical Supplies,868.3,868.3,,,0 CDM,27802625_7168425,Noncdm Charge Record Medical Supplies,766.74,766.74,,,0 CDM,27802625_7171676,Noncdm Charge Record Medical Supplies,766.74,766.74,,,0 CDM,27802625_7173261,Noncdm Charge Record Medical Supplies,884.38,884.38,,,0 CDM,27802625_C2625_278,Noncdm Charge Record Medical Supplies,1003.14,1003.14,,,0 CDM,27802627_732425,Noncdm Charge Record Medical Supplies,76.15,76.15,,,0 CDM,27802627_734876,Noncdm Charge Record Medical Supplies,74.59,74.59,,,0 CDM,27802627_751189,Noncdm Charge Record Medical Supplies,495.34,495.34,,,0 CDM,27802627_777075,Noncdm Charge Record Medical Supplies,122.25,122.25,,,0 CDM,27802627_777076,Noncdm Charge Record Medical Supplies,66.04,66.04,,,0 CDM,27802629_7148057,Noncdm Charge Record Medical Supplies,15699.6,15699.6,,,0 CDM,27802630_V2630_278,Noncdm Charge Record Medical Supplies,738.15,738.15,,,0 CDM,27802632_620972,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27802632_7005367,Noncdm Charge Record Medical Supplies,279.72,279.72,,,0 CDM,27802632_7005369,Noncdm Charge Record Medical Supplies,1033.41,1033.41,,,0 CDM,27802632_7005496,Noncdm Charge Record Medical Supplies,194.25,194.25,,,0 CDM,27802632_7028803,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27802632_7028809,Noncdm Charge Record Medical Supplies,1126.65,1126.65,,,0 CDM,27802632_7035402,Noncdm Charge Record Medical Supplies,3846.15,3846.15,,,0 CDM,27802632_7035459,Noncdm Charge Record Medical Supplies,1.05,1.05,,,0 CDM,27802632_7035488,Noncdm Charge Record Medical Supplies,1.05,1.05,,,0 CDM,27802632_7035533,Noncdm Charge Record Medical Supplies,1.05,1.05,,,0 CDM,27802632_7035635,Noncdm Charge Record Medical Supplies,1.05,1.05,,,0 CDM,27802632_7035672,Noncdm Charge Record Medical Supplies,3846.15,3846.15,,,0 CDM,27802632_7035687,Noncdm Charge Record Medical Supplies,1157.73,1157.73,,,0 CDM,27802632_7035699,Noncdm Charge Record Medical Supplies,1.05,1.05,,,0 CDM,27802632_7035755,Noncdm Charge Record Medical Supplies,3846.15,3846.15,,,0 CDM,27802632_7035804,Noncdm Charge Record Medical Supplies,3846.15,3846.15,,,0 CDM,27802632_7082305,Noncdm Charge Record Medical Supplies,1.05,1.05,,,0 CDM,27802632_7119928,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119930,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119931,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119932,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119933,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119934,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119937,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119938,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119940,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119942,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119946,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119951,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119954,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119957,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119958,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119959,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119960,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119963,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119964,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119968,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119969,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119972,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119977,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119978,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119982,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119983,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119984,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119985,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119997,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7119998,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7120004,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7120006,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7120008,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7120010,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7120013,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7120014,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7120015,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7120017,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7120020,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7120021,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7120022,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7120026,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7120028,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7120029,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7120032,Noncdm Charge Record Medical Supplies,3302.25,3302.25,,,0 CDM,27802632_7134496,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7134497,Noncdm Charge Record Medical Supplies,1230.25,1230.25,,,0 CDM,27802632_7134498,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7134499,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7134500,Noncdm Charge Record Medical Supplies,4623.15,4623.15,,,0 CDM,27802632_7134501,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7134502,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7134504,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7134505,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7134507,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7143864,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7143868,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7144826,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27802632_7144850,Noncdm Charge Record Medical Supplies,1.05,1.05,,,0 CDM,27802632_7147942,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7147944,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7147950,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7147953,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7147955,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7151066,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7151070,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7151072,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7151075,Noncdm Charge Record Medical Supplies,4623.15,4623.15,,,0 CDM,27802632_7151076,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7154432,Noncdm Charge Record Medical Supplies,4623.15,4623.15,,,0 CDM,27802632_7154438,Noncdm Charge Record Medical Supplies,989.67,989.67,,,0 CDM,27802632_7154745,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7154746,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7154747,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7156050,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27802632_7156051,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27802632_7156064,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27802632_7156070,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27802632_7156071,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27802632_7156072,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27802632_7156074,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27802632_7156075,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27802632_7156107,Noncdm Charge Record Medical Supplies,1.05,1.05,,,0 CDM,27802632_7156110,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27802632_7156114,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27802632_7156115,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27802632_7156119,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27802632_7156121,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27802632_7156143,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27802632_7156160,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27802632_7156161,Noncdm Charge Record Medical Supplies,1.05,1.05,,,0 CDM,27802632_7156212,Noncdm Charge Record Medical Supplies,3923.85,3923.85,,,0 CDM,27802632_7158043,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7158045,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7158053,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7158054,Noncdm Charge Record Medical Supplies,4623.15,4623.15,,,0 CDM,27802632_7160149,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_7160150,Noncdm Charge Record Medical Supplies,1282.05,1282.05,,,0 CDM,27802632_V2632_278,Noncdm Charge Record Medical Supplies,1472.05,1472.05,,,0 CDM,27802634,"Hc Brachytherapy Source, Nonstranded, High Activity, Iodine-125, Greater Than 1.01Mci, Per Source",394.8,394.8,,,0 CDM,27802638,"Hc Brachytherapy Source, Stranded, Iodine-125, Per Source",223.65,223.65,,,0 CDM,27802638_C2638_278,"Hc Brachytherapy Source, Stranded, Iodine-125, Per Source",223.65,223.65,,,0 CDM,27802639,"Hc Brachytherapy Source, Nonstranded, Iodine-125, Per Source",199.5,199.5,,,0 CDM,27802639_C2639_278,"Hc Brachytherapy Source, Nonstranded, Iodine-125, Per Source",199.5,199.5,,,0 CDM,27802790_7054213,Noncdm Charge Record Medical Supplies,6319.6,6319.6,,,0 CDM,27802790_7125373,Noncdm Charge Record Medical Supplies,38850.0,38850.0,,,0 CDM,27802790_V2790_278,Noncdm Charge Record Medical Supplies,14274.14,14274.14,,,0 CDM,27803001,Hc Radioelements Brachtx Any Type Ea,1690.5,1690.5,,,0 CDM,27804100_7001180,Noncdm Charge Record Medical Supplies,15.54,15.54,,,0 CDM,27804100_7076069,Noncdm Charge Record Medical Supplies,180.58,180.58,,,0 CDM,27804100_7157211,Noncdm Charge Record Medical Supplies,8764.56,8764.56,,,0 CDM,27804100_7168928,Noncdm Charge Record Medical Supplies,8808.39,8808.39,,,0 CDM,27804100_7172497,Noncdm Charge Record Medical Supplies,20979.0,20979.0,,,0 CDM,27804100_7179686,Noncdm Charge Record Medical Supplies,300.31,300.31,,,0 CDM,27804100_7179945,Noncdm Charge Record Medical Supplies,8808.39,8808.39,,,0 CDM,27804100_A2007_278,Noncdm Charge Record Medical Supplies,19425.0,19425.0,,,0 CDM,27804100_Q4100_278,Noncdm Charge Record Medical Supplies,16011.57,16011.57,,,0 CDM,27804104_7001154,Noncdm Charge Record Medical Supplies,14655.31,14655.31,,,0 CDM,27804104_7022577,Noncdm Charge Record Medical Supplies,35849.46,35849.46,,,0 CDM,27804104_7022578,Noncdm Charge Record Medical Supplies,21767.27,21767.27,,,0 CDM,27804104_7023063,Noncdm Charge Record Medical Supplies,55908.03,55908.03,,,0 CDM,27804104_7050414,Noncdm Charge Record Medical Supplies,25553.59,25553.59,,,0 CDM,27804104_7082354,Noncdm Charge Record Medical Supplies,86506.52,86506.52,,,0 CDM,27804104_Q4104_278,Noncdm Charge Record Medical Supplies,33823.0,33823.0,,,0 CDM,27804106_Q4106_278,Noncdm Charge Record Medical Supplies,2991.45,2991.45,,,0 CDM,27804107_7031615,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 CDM,27804107_Q4107_278,Noncdm Charge Record Medical Supplies,10101.0,10101.0,,,0 CDM,27804108_7050409,Noncdm Charge Record Medical Supplies,17010.79,17010.79,,,0 CDM,27804108_7050410,Noncdm Charge Record Medical Supplies,1127.5,1127.5,,,0 CDM,27804108_7050411,Noncdm Charge Record Medical Supplies,5600.93,5600.93,,,0 CDM,27804116_7014543,Noncdm Charge Record Medical Supplies,291.92,291.92,,,0 CDM,27804116_7014544,Noncdm Charge Record Pharmacy,108.63,108.63,,,0 CDM,27804116_7014545,Noncdm Charge Record Medical Supplies,226.42,226.42,,,0 CDM,27804116_7043525,Noncdm Charge Record Medical Supplies,255.32,255.32,,,0 CDM,27804116_7056964,Noncdm Charge Record Pharmacy,250.13,250.13,,,0 CDM,27804116_7076059,Noncdm Charge Record Medical Supplies,245.76,245.76,,,0 CDM,27804116_7076069,Noncdm Charge Record Medical Supplies,218.09,218.09,,,0 CDM,27804116_7076288,Noncdm Charge Record Medical Supplies,166.05,166.05,,,0 CDM,27804116_7148935,Noncdm Charge Record Medical Supplies,209.61,209.61,,,0 CDM,27804116_7170497,Noncdm Charge Record Medical Supplies,40302.99,40302.99,,,0 CDM,27804116_Q4116_278,Noncdm Charge Record Medical Supplies,344.07,344.07,,,0 CDM,27804125_7113144,Noncdm Charge Record Medical Supplies,8857.8,8857.8,,,0 CDM,27804128_Q4128_278,Noncdm Charge Record Medical Supplies,95159.19,95159.19,,,0 CDM,27804130_7001190,Noncdm Charge Record Medical Supplies,237.92,237.92,,,0 CDM,27804130_7022640,Noncdm Charge Record Medical Supplies,254.93,254.93,,,0 CDM,27804130_7022641,Noncdm Charge Record Medical Supplies,254.93,254.93,,,0 CDM,27804130_Q4130_278,Noncdm Charge Record Medical Supplies,482.46,482.46,,,0 CDM,27804158,Hc Kerecis Omega3 Wound 14Mm,1057.35,1057.35,,,0 CDM,27804158_Q4158_278,Hc Kerecis Omega3 Wound 14Mm,36692.53,36692.53,,,0 CDM,27804186_7031889,Noncdm Charge Record Pharmacy,595.97,595.97,,,0 CDM,27804186_7031890,Noncdm Charge Record Pharmacy,1550.92,1550.92,,,0 CDM,27804186_7031891,Noncdm Charge Record Medical Supplies,943.75,943.75,,,0 CDM,27804186_7048040,Noncdm Charge Record Pharmacy,947.14,947.14,,,0 CDM,27804186_7048041,Noncdm Charge Record Pharmacy,1188.66,1188.66,,,0 CDM,27804262_7030151,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27804262_7113766,Noncdm Charge Record Medical Supplies,662.3,662.3,,,0 CDM,27804262_A4262_274,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27804263_7027814,Noncdm Charge Record Medical Supplies,161.28,161.28,,,0 CDM,27804263_7027823,Noncdm Charge Record Medical Supplies,161.28,161.28,,,0 CDM,27804263_7027824,Noncdm Charge Record Medical Supplies,161.28,161.28,,,0 CDM,27804263_7027832,Noncdm Charge Record Medical Supplies,161.28,161.28,,,0 CDM,27804263_7031557,Noncdm Charge Record Medical Supplies,153.72,153.72,,,0 CDM,27804263_7088895,Noncdm Charge Record Medical Supplies,204.12,204.12,,,0 CDM,27804300_1271,Noncdm Charge Record Medical Supplies,630.0,630.0,,,0 CDM,27804300_7010452,Noncdm Charge Record Medical Supplies,1449.5,1449.5,,,0 CDM,27804300_7028132,Noncdm Charge Record Medical Supplies,374.82,374.82,,,0 CDM,27804301_510706,Noncdm Charge Record Medical Supplies,3661.5,3661.5,,,0 CDM,27804301_514000,Noncdm Charge Record Medical Supplies,2977.85,2977.85,,,0 CDM,27804301_7012329,Noncdm Charge Record Medical Supplies,3313.9,3313.9,,,0 CDM,27804301_777836,Noncdm Charge Record Medical Supplies,14636.35,14636.35,,,0 CDM,27804561_7040526,Noncdm Charge Record Medical Supplies,378.2,378.2,,,0 CDM,27804561_7040535,Noncdm Charge Record Medical Supplies,378.2,378.2,,,0 CDM,27804561_7040539,Noncdm Charge Record Medical Supplies,321.45,321.45,,,0 CDM,27804561_7040561,Noncdm Charge Record Medical Supplies,378.2,378.2,,,0 CDM,27804561_7040563,Noncdm Charge Record Medical Supplies,367.16,367.16,,,0 CDM,27804561_7040565,Noncdm Charge Record Medical Supplies,378.2,378.2,,,0 CDM,27804561_7040566,Noncdm Charge Record Medical Supplies,378.2,378.2,,,0 CDM,27804561_7040574,Noncdm Charge Record Medical Supplies,378.2,378.2,,,0 CDM,27804561_7040575,Noncdm Charge Record Medical Supplies,378.2,378.2,,,0 CDM,27804561_7040579,Noncdm Charge Record Medical Supplies,378.2,378.2,,,0 CDM,27804561_7040580,Noncdm Charge Record Medical Supplies,385.76,385.76,,,0 CDM,27804561_7040588,Noncdm Charge Record Medical Supplies,381.98,381.98,,,0 CDM,27804561_7040593,Noncdm Charge Record Medical Supplies,247.46,247.46,,,0 CDM,27804561_7040606,Noncdm Charge Record Medical Supplies,321.45,321.45,,,0 CDM,27804648,"Hc Tissue Marker, Implantable, Any Type, Each",2073.75,2073.75,,,0 CDM,27804648_7015638,"Hc Tissue Marker, Implantable, Any Type, Each",917.78,917.78,,,0 CDM,27804648_7119449,"Hc Tissue Marker, Implantable, Any Type, Each",2318.4,2318.4,,,0 CDM,27804648_7160157,"Hc Tissue Marker, Implantable, Any Type, Each",943.28,943.28,,,0 CDM,27804648_7161343,"Hc Tissue Marker, Implantable, Any Type, Each",943.28,943.28,,,0 CDM,27804648_7161448,"Hc Tissue Marker, Implantable, Any Type, Each",943.28,943.28,,,0 CDM,27804648_7163477,"Hc Tissue Marker, Implantable, Any Type, Each",943.28,943.28,,,0 CDM,27804648_7164071,"Hc Tissue Marker, Implantable, Any Type, Each",943.28,943.28,,,0 CDM,27804648_7165057,"Hc Tissue Marker, Implantable, Any Type, Each",943.28,943.28,,,0 CDM,27804648_7165801,"Hc Tissue Marker, Implantable, Any Type, Each",943.28,943.28,,,0 CDM,27804648_7169805,"Hc Tissue Marker, Implantable, Any Type, Each",943.28,943.28,,,0 CDM,27804648_7170125,"Hc Tissue Marker, Implantable, Any Type, Each",943.28,943.28,,,0 CDM,27804648_7178372,"Hc Tissue Marker, Implantable, Any Type, Each",943.28,943.28,,,0 CDM,27804648_A4648_278,"Hc Tissue Marker, Implantable, Any Type, Each",2073.75,2073.75,,,0 CDM,27804649_7011874,Noncdm Charge Record Medical Supplies,1390.83,1390.83,,,0 CDM,27807521_7033096,Noncdm Charge Record Medical Supplies,680.4,680.4,,,0 CDM,27807521_7033101,Noncdm Charge Record Medical Supplies,787.65,787.65,,,0 CDM,27807521_7033102,Noncdm Charge Record Medical Supplies,680.4,680.4,,,0 CDM,27807521_7033105,Noncdm Charge Record Medical Supplies,750.15,750.15,,,0 CDM,27807521_7033108,Noncdm Charge Record Medical Supplies,680.4,680.4,,,0 CDM,27807521_A7521_278,Noncdm Charge Record Medical Supplies,1393.0,1393.0,,,0 CDM,27808509_7033087,Noncdm Charge Record Medical Supplies,1254.96,1254.96,,,0 CDM,27808509_7033089,Noncdm Charge Record Medical Supplies,1254.96,1254.96,,,0 CDM,27808509_7033091,Noncdm Charge Record Medical Supplies,1254.96,1254.96,,,0 CDM,27808509_7033094,Noncdm Charge Record Medical Supplies,1254.96,1254.96,,,0 CDM,27808509_7033098,Noncdm Charge Record Medical Supplies,1254.96,1254.96,,,0 CDM,27808509_7033104,Noncdm Charge Record Medical Supplies,1254.96,1254.96,,,0 CDM,27808509_7037651,Noncdm Charge Record Medical Supplies,1481.76,1481.76,,,0 CDM,27808509_7037652,Noncdm Charge Record Medical Supplies,1481.76,1481.76,,,0 CDM,27808509_7037654,Noncdm Charge Record Medical Supplies,1254.96,1254.96,,,0 CDM,27808509_7037655,Noncdm Charge Record Medical Supplies,1481.76,1481.76,,,0 CDM,27808509_7037656,Noncdm Charge Record Medical Supplies,1481.76,1481.76,,,0 CDM,27808509_7037657,Noncdm Charge Record Medical Supplies,1254.96,1254.96,,,0 CDM,27808509_7037659,Noncdm Charge Record Medical Supplies,1254.96,1254.96,,,0 CDM,27808509_7037660,Noncdm Charge Record Medical Supplies,1596.42,1596.42,,,0 CDM,27808509_7037661,Noncdm Charge Record Medical Supplies,1481.76,1481.76,,,0 CDM,27808509_7037662,Noncdm Charge Record Medical Supplies,1481.76,1481.76,,,0 CDM,27808509_7037663,Noncdm Charge Record Medical Supplies,1481.76,1481.76,,,0 CDM,27808509_7037665,Noncdm Charge Record Medical Supplies,1934.73,1934.73,,,0 CDM,27808509_7037666,Noncdm Charge Record Medical Supplies,1481.76,1481.76,,,0 CDM,27808509_7075894,Noncdm Charge Record Medical Supplies,3213.21,3213.21,,,0 CDM,27808509_7075895,Noncdm Charge Record Medical Supplies,2400.93,2400.93,,,0 CDM,27808509_7075899,Noncdm Charge Record Medical Supplies,2258.51,2258.51,,,0 CDM,27808509_7082629,Noncdm Charge Record Medical Supplies,2258.51,2258.51,,,0 CDM,27808604_7000768,Noncdm Charge Record Medical Supplies,24688.86,24688.86,,,0 CDM,27808604_7000769,Noncdm Charge Record Medical Supplies,585.93,585.93,,,0 CDM,27808604_7157349,Noncdm Charge Record Medical Supplies,24688.71,24688.71,,,0 CDM,27808604_7162881,Noncdm Charge Record Medical Supplies,24688.86,24688.86,,,0 CDM,27808604_L8604_278,Noncdm Charge Record Medical Supplies,24688.86,24688.86,,,0 CDM,27808606_7120881,Noncdm Charge Record Medical Supplies,8935.5,8935.5,,,0 CDM,27808606_7174651,Noncdm Charge Record Medical Supplies,1.05,1.05,,,0 CDM,27808610_621001,Noncdm Charge Record Medical Supplies,394.01,394.01,,,0 CDM,27808610_621002,Noncdm Charge Record Medical Supplies,394.01,394.01,,,0 CDM,27808610_7030148,Noncdm Charge Record Medical Supplies,645.22,645.22,,,0 CDM,27808610_7030515,Noncdm Charge Record Medical Supplies,76.38,76.38,,,0 CDM,27808610_7031256,Noncdm Charge Record Medical Supplies,473.97,473.97,,,0 CDM,27808610_7039033,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27808610_7054836,Noncdm Charge Record Medical Supplies,177.16,177.16,,,0 CDM,27808610_7055827,Noncdm Charge Record Medical Supplies,1592.85,1592.85,,,0 CDM,27808610_7088052,Noncdm Charge Record Medical Supplies,1133.1,1133.1,,,0 CDM,27808610_7128870,Noncdm Charge Record Medical Supplies,7850.29,7850.29,,,0 CDM,27808610_767149,Noncdm Charge Record Medical Supplies,2564.1,2564.1,,,0 CDM,27808610_775121,Noncdm Charge Record Medical Supplies,427.35,427.35,,,0 CDM,27808610_775122,Noncdm Charge Record Medical Supplies,427.35,427.35,,,0 CDM,27808610_775123,Noncdm Charge Record Medical Supplies,427.35,427.35,,,0 CDM,27808610_L8610_278,Noncdm Charge Record Medical Supplies,4195.8,4195.8,,,0 CDM,27808612_514001,Noncdm Charge Record Medical Supplies,1055.87,1055.87,,,0 CDM,27808612_514168,Noncdm Charge Record Medical Supplies,5788.65,5788.65,,,0 CDM,27808612_618248,Noncdm Charge Record Medical Supplies,3528.36,3528.36,,,0 CDM,27808612_6295583,Noncdm Charge Record Medical Supplies,2476.61,2476.61,,,0 CDM,27808612_7012320,Noncdm Charge Record Medical Supplies,41336.01,41336.01,,,0 CDM,27808612_7029248,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27808612_7080585,Noncdm Charge Record Medical Supplies,621.6,621.6,,,0 CDM,27808612_7082362,Noncdm Charge Record Medical Supplies,4662.0,4662.0,,,0 CDM,27808612_7086271,Noncdm Charge Record Medical Supplies,1111.62,1111.62,,,0 CDM,27808612_775873,Noncdm Charge Record Medical Supplies,35286.72,35286.72,,,0 CDM,27808612_779044,Noncdm Charge Record Medical Supplies,11328.89,11328.89,,,0 CDM,27808612_779047,Noncdm Charge Record Medical Supplies,12340.7,12340.7,,,0 CDM,27808612_780641,Noncdm Charge Record Medical Supplies,33528.8,33528.8,,,0 CDM,27808612_L8612_278,Noncdm Charge Record Medical Supplies,7770.0,7770.0,,,0 CDM,27808613_113001,Noncdm Charge Record Medical Supplies,263.4,263.4,,,0 CDM,27808613_126494,Noncdm Charge Record Medical Supplies,178.01,178.01,,,0 CDM,27808613_520113,Noncdm Charge Record Medical Supplies,1624.17,1624.17,,,0 CDM,27808613_607398,Noncdm Charge Record Medical Supplies,226.96,226.96,,,0 CDM,27808613_617570,Noncdm Charge Record Medical Supplies,120.82,120.82,,,0 CDM,27808613_623097,Noncdm Charge Record Medical Supplies,335.28,335.28,,,0 CDM,27808613_7012777,Noncdm Charge Record Medical Supplies,1175.89,1175.89,,,0 CDM,27808613_7012778,Noncdm Charge Record Medical Supplies,2727.27,2727.27,,,0 CDM,27808613_7012779,Noncdm Charge Record Medical Supplies,2727.27,2727.27,,,0 CDM,27808613_7012780,Noncdm Charge Record Medical Supplies,1962.57,1962.57,,,0 CDM,27808613_7012781,Noncdm Charge Record Medical Supplies,3287.88,3287.88,,,0 CDM,27808613_7012783,Noncdm Charge Record Medical Supplies,237.76,237.76,,,0 CDM,27808613_7012785,Noncdm Charge Record Medical Supplies,292.7,292.7,,,0 CDM,27808613_7012786,Noncdm Charge Record Medical Supplies,3287.88,3287.88,,,0 CDM,27808613_7014323,Noncdm Charge Record Medical Supplies,180.03,180.03,,,0 CDM,27808613_7014324,Noncdm Charge Record Medical Supplies,368.61,368.61,,,0 CDM,27808613_7048213,Noncdm Charge Record Medical Supplies,101.56,101.56,,,0 CDM,27808613_L8613_278,Noncdm Charge Record Medical Supplies,1300.9,1300.9,,,0 CDM,27808614_7049401,Noncdm Charge Record Medical Supplies,206263.97,206263.97,,,0 CDM,27808614_7080790,Noncdm Charge Record Medical Supplies,106020.29,106020.29,,,0 CDM,27808614_7087553,Noncdm Charge Record Medical Supplies,146122.68,146122.68,,,0 CDM,27808614_7087558,Noncdm Charge Record Medical Supplies,168246.85,168246.85,,,0 CDM,27808614_7174481,Noncdm Charge Record Medical Supplies,91688.17,91688.17,,,0 CDM,27808614_L8614_278,Noncdm Charge Record Medical Supplies,186425.45,186425.45,,,0 CDM,27808619_7030220,Noncdm Charge Record Medical Supplies,11181.42,11181.42,,,0 CDM,27808619_7030534,Noncdm Charge Record Medical Supplies,21409.23,21409.23,,,0 CDM,27808630_7070702,Noncdm Charge Record Medical Supplies,12424.23,12424.23,,,0 CDM,27808630_7071342,Noncdm Charge Record Medical Supplies,12424.23,12424.23,,,0 CDM,27808630_7071491,Noncdm Charge Record Medical Supplies,12424.23,12424.23,,,0 CDM,27808690_7030220,Noncdm Charge Record Medical Supplies,49456.05,49456.05,,,0 CDM,27808690_L8690_278,Noncdm Charge Record Medical Supplies,52284.66,52284.66,,,0 CDM,27808699_7001218,Noncdm Charge Record Medical Supplies,52066.77,52066.77,,,0 CDM,27808699_7001219,Noncdm Charge Record Medical Supplies,47065.48,47065.48,,,0 CDM,27808699_7011877,Noncdm Charge Record Medical Supplies,556.65,556.65,,,0 CDM,27808699_7011929,Noncdm Charge Record Medical Supplies,781.82,781.82,,,0 CDM,27808699_7011931,Noncdm Charge Record Medical Supplies,781.82,781.82,,,0 CDM,27808699_7012352,Noncdm Charge Record Medical Supplies,2870.31,2870.31,,,0 CDM,27808699_7012356,Noncdm Charge Record Medical Supplies,3300.85,3300.85,,,0 CDM,27808699_7012358,Noncdm Charge Record Medical Supplies,3300.85,3300.85,,,0 CDM,27808699_7012361,Noncdm Charge Record Medical Supplies,2870.31,2870.31,,,0 CDM,27808699_7012366,Noncdm Charge Record Medical Supplies,2870.31,2870.31,,,0 CDM,27808699_7012367,Noncdm Charge Record Medical Supplies,2870.31,2870.31,,,0 CDM,27808699_7012368,Noncdm Charge Record Medical Supplies,2870.31,2870.31,,,0 CDM,27808699_7012369,Noncdm Charge Record Medical Supplies,2870.31,2870.31,,,0 CDM,27808699_7012371,Noncdm Charge Record Medical Supplies,2870.31,2870.31,,,0 CDM,27808699_7012398,Noncdm Charge Record Medical Supplies,3085.58,3085.58,,,0 CDM,27808699_7012401,Noncdm Charge Record Medical Supplies,3157.34,3157.34,,,0 CDM,27808699_7012402,Noncdm Charge Record Medical Supplies,3300.85,3300.85,,,0 CDM,27808699_7012403,Noncdm Charge Record Medical Supplies,3300.85,3300.85,,,0 CDM,27808699_7012404,Noncdm Charge Record Medical Supplies,2870.31,2870.31,,,0 CDM,27808699_7012406,Noncdm Charge Record Medical Supplies,3300.85,3300.85,,,0 CDM,27808699_7012407,Noncdm Charge Record Medical Supplies,3054.83,3054.83,,,0 CDM,27808699_7012409,Noncdm Charge Record Medical Supplies,3128.64,3128.64,,,0 CDM,27808699_7012411,Noncdm Charge Record Medical Supplies,3157.34,3157.34,,,0 CDM,27808699_7012414,Noncdm Charge Record Medical Supplies,2870.31,2870.31,,,0 CDM,27808699_7012459,Noncdm Charge Record Medical Supplies,3300.85,3300.85,,,0 CDM,27808699_7012461,Noncdm Charge Record Medical Supplies,2870.31,2870.31,,,0 CDM,27808699_7012534,Noncdm Charge Record Medical Supplies,3193.22,3193.22,,,0 CDM,27808699_7012540,Noncdm Charge Record Medical Supplies,3300.85,3300.85,,,0 CDM,27808699_7012541,Noncdm Charge Record Medical Supplies,2870.31,2870.31,,,0 CDM,27808699_7012543,Noncdm Charge Record Medical Supplies,3157.34,3157.34,,,0 CDM,27808699_7012546,Noncdm Charge Record Medical Supplies,3300.85,3300.85,,,0 CDM,27808699_7012548,Noncdm Charge Record Medical Supplies,3102.14,3102.14,,,0 CDM,27808699_7012728,Noncdm Charge Record Medical Supplies,17094.0,17094.0,,,0 CDM,27808699_7012730,Noncdm Charge Record Medical Supplies,16965.8,16965.8,,,0 CDM,27808699_7012754,Noncdm Charge Record Medical Supplies,3157.34,3157.34,,,0 CDM,27808699_7015780,Noncdm Charge Record Medical Supplies,9605.43,9605.43,,,0 CDM,27808699_7015781,Noncdm Charge Record Medical Supplies,12273.61,12273.61,,,0 CDM,27808699_7015802,Noncdm Charge Record Medical Supplies,9605.43,9605.43,,,0 CDM,27808699_7015815,Noncdm Charge Record Medical Supplies,9605.43,9605.43,,,0 CDM,27808699_7015818,Noncdm Charge Record Medical Supplies,12273.61,12273.61,,,0 CDM,27808699_7015822,Noncdm Charge Record Medical Supplies,9605.43,9605.43,,,0 CDM,27808699_7015838,Noncdm Charge Record Medical Supplies,9605.43,9605.43,,,0 CDM,27808699_7015866,Noncdm Charge Record Medical Supplies,6234.28,6234.28,,,0 CDM,27808699_7015876,Noncdm Charge Record Medical Supplies,9605.43,9605.43,,,0 CDM,27808699_7015877,Noncdm Charge Record Medical Supplies,10939.52,10939.52,,,0 CDM,27808699_7015975,Noncdm Charge Record Medical Supplies,6501.6,6501.6,,,0 CDM,27808699_7015999,Noncdm Charge Record Medical Supplies,6501.6,6501.6,,,0 CDM,27808699_7016019,Noncdm Charge Record Medical Supplies,6501.6,6501.6,,,0 CDM,27808699_7016027,Noncdm Charge Record Medical Supplies,6501.6,6501.6,,,0 CDM,27808699_7016543,Noncdm Charge Record Medical Supplies,2870.31,2870.31,,,0 CDM,27808699_7017077,Noncdm Charge Record Medical Supplies,34491.03,34491.03,,,0 CDM,27808699_7027880,Noncdm Charge Record Medical Supplies,952.56,952.56,,,0 CDM,27808699_7028931,Noncdm Charge Record Medical Supplies,507.12,507.12,,,0 CDM,27808699_7028946,Noncdm Charge Record Medical Supplies,461.01,461.01,,,0 CDM,27808699_7029441,Noncdm Charge Record Medical Supplies,507.12,507.12,,,0 CDM,27808699_7030360,Noncdm Charge Record Medical Supplies,447.45,447.45,,,0 CDM,27808699_7030365,Noncdm Charge Record Medical Supplies,447.45,447.45,,,0 CDM,27808699_7030526,Noncdm Charge Record Medical Supplies,1184.4,1184.4,,,0 CDM,27808699_7030984,Noncdm Charge Record Medical Supplies,1700.75,1700.75,,,0 CDM,27808699_7032257,Noncdm Charge Record Medical Supplies,136500.0,136500.0,,,0 CDM,27808699_7032258,Noncdm Charge Record Medical Supplies,136500.0,136500.0,,,0 CDM,27808699_7032446,Noncdm Charge Record Medical Supplies,3528.0,3528.0,,,0 CDM,27808699_7032448,Noncdm Charge Record Medical Supplies,5402.88,5402.88,,,0 CDM,27808699_7032454,Noncdm Charge Record Medical Supplies,5402.88,5402.88,,,0 CDM,27808699_7032455,Noncdm Charge Record Medical Supplies,3528.0,3528.0,,,0 CDM,27808699_7032458,Noncdm Charge Record Medical Supplies,5402.88,5402.88,,,0 CDM,27808699_7032464,Noncdm Charge Record Medical Supplies,5402.88,5402.88,,,0 CDM,27808699_7033125,Noncdm Charge Record Medical Supplies,461.01,461.01,,,0 CDM,27808699_7033126,Noncdm Charge Record Medical Supplies,447.45,447.45,,,0 CDM,27808699_7033127,Noncdm Charge Record Medical Supplies,447.45,447.45,,,0 CDM,27808699_7033128,Noncdm Charge Record Medical Supplies,461.01,461.01,,,0 CDM,27808699_7033129,Noncdm Charge Record Medical Supplies,175.54,175.54,,,0 CDM,27808699_7033130,Noncdm Charge Record Medical Supplies,527.6,527.6,,,0 CDM,27808699_7050330,Noncdm Charge Record Medical Supplies,14969.0,14969.0,,,0 CDM,27808699_7050331,Noncdm Charge Record Medical Supplies,14969.0,14969.0,,,0 CDM,27808699_7050339,Noncdm Charge Record Medical Supplies,14969.0,14969.0,,,0 CDM,27808699_7050342,Noncdm Charge Record Medical Supplies,13143.51,13143.51,,,0 CDM,27808699_7054767,Noncdm Charge Record Medical Supplies,4284.0,4284.0,,,0 CDM,27808699_7054771,Noncdm Charge Record Medical Supplies,5829.39,5829.39,,,0 CDM,27808699_7054774,Noncdm Charge Record Medical Supplies,4284.0,4284.0,,,0 CDM,27808699_7054780,Noncdm Charge Record Medical Supplies,5785.92,5785.92,,,0 CDM,27808699_7054783,Noncdm Charge Record Medical Supplies,4347.63,4347.63,,,0 CDM,27808699_7054785,Noncdm Charge Record Medical Supplies,4284.0,4284.0,,,0 CDM,27808699_7054793,Noncdm Charge Record Medical Supplies,4151.7,4151.7,,,0 CDM,27808699_7075589,Noncdm Charge Record Medical Supplies,4788.0,4788.0,,,0 CDM,27808699_768450,Noncdm Charge Record Medical Supplies,697.58,697.58,,,0 CDM,27808_PBB,Pr Closed Tx Bimalleolar Ankle Fracture W/O Manj-Pbb,3542.0,3542.0,,,0 CDM,27809352_C9352_278,Noncdm Charge Record Medical Supplies,48309.98,48309.98,,,0 CDM,27809353_7044547,Noncdm Charge Record Medical Supplies,13751.97,13751.97,,,0 CDM,27809358_7001153,Noncdm Charge Record Medical Supplies,3671.32,3671.32,,,0 CDM,27809358_7001184,Noncdm Charge Record Medical Supplies,6730.76,6730.76,,,0 CDM,27809358_7001257,Noncdm Charge Record Medical Supplies,3092.69,3092.69,,,0 CDM,27809358_7001258,Noncdm Charge Record Medical Supplies,4976.4,4976.4,,,0 CDM,27809358_7001260,Noncdm Charge Record Medical Supplies,6579.32,6579.32,,,0 CDM,27809358_7014527,Noncdm Charge Record Medical Supplies,3186.63,3186.63,,,0 CDM,27809358_7015961,Noncdm Charge Record Medical Supplies,2677.08,2677.08,,,0 CDM,27809358_7016412,Noncdm Charge Record Medical Supplies,10953.83,10953.83,,,0 CDM,27809358_C9358_278,Noncdm Charge Record Medical Supplies,1923.08,1923.08,,,0 CDM,27809359_7022283,Noncdm Charge Record Medical Supplies,13072.25,13072.25,,,0 CDM,27809359_7042253,Noncdm Charge Record Medical Supplies,9696.96,9696.96,,,0 CDM,27809359_7043207,Noncdm Charge Record Medical Supplies,12820.5,12820.5,,,0 CDM,27809359_7043253,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 CDM,27809359_7043310,Noncdm Charge Record Medical Supplies,1748.25,1748.25,,,0 CDM,27809359_7058281,Noncdm Charge Record Medical Supplies,1554.0,1554.0,,,0 CDM,27809359_7069599,Noncdm Charge Record Medical Supplies,5469.46,5469.46,,,0 CDM,27809359_7136304,Noncdm Charge Record Medical Supplies,14786.31,14786.31,,,0 CDM,27809359_7158024,Noncdm Charge Record Medical Supplies,1395.95,1395.95,,,0 CDM,27809359_7161285,Noncdm Charge Record Medical Supplies,15501.15,15501.15,,,0 CDM,27809359_7162854,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27809359_7164985,Noncdm Charge Record Medical Supplies,5431.23,5431.23,,,0 CDM,27809359_7167220,Noncdm Charge Record Medical Supplies,1133.87,1133.87,,,0 CDM,27809359_7167500,Noncdm Charge Record Medical Supplies,5050.5,5050.5,,,0 CDM,27809359_7174042,Noncdm Charge Record Medical Supplies,8710.17,8710.17,,,0 CDM,27809359_C9359_278,Noncdm Charge Record Medical Supplies,8805.59,8805.59,,,0 CDM,27809361_7029706,Noncdm Charge Record Medical Supplies,23260.79,23260.79,,,0 CDM,27809361_7029709,Noncdm Charge Record Medical Supplies,18531.45,18531.45,,,0 CDM,27809361_7029715,Noncdm Charge Record Medical Supplies,22535.59,22535.59,,,0 CDM,27809361_7029716,Noncdm Charge Record Medical Supplies,22952.58,22952.58,,,0 CDM,27809361_7029719,Noncdm Charge Record Medical Supplies,23597.49,23597.49,,,0 CDM,27809362_7001158,Noncdm Charge Record Medical Supplies,3764.56,3764.56,,,0 CDM,27809362_7001161,Noncdm Charge Record Medical Supplies,2400.93,2400.93,,,0 CDM,27809362_7001163,Noncdm Charge Record Medical Supplies,2331.0,2331.0,,,0 CDM,27809362_7001237,Noncdm Charge Record Medical Supplies,8042.88,8042.88,,,0 CDM,27809362_7001238,Noncdm Charge Record Medical Supplies,7614.6,7614.6,,,0 CDM,27809362_7017076,Noncdm Charge Record Medical Supplies,18054.99,18054.99,,,0 CDM,27809362_7070106,Noncdm Charge Record Medical Supplies,17444.43,17444.43,,,0 CDM,27809362_7070107,Noncdm Charge Record Medical Supplies,31014.73,31014.73,,,0 CDM,27809362_7070479,Noncdm Charge Record Medical Supplies,20529.89,20529.89,,,0 CDM,27809362_C9362_278,Noncdm Charge Record Medical Supplies,27812.72,27812.72,,,0 CDM,27809364_7022639,Noncdm Charge Record Medical Supplies,11421.9,11421.9,,,0 CDM,27809457_7014993,Noncdm Charge Record Pharmacy,10743.0,10743.0,,,0 CDM,27809457_7015376,Noncdm Charge Record Pharmacy,20040.52,20040.52,,,0 CDM,27810_PBB,Pr Closed Tx Bimalleolar Ankle Fracture W/Manj-Pbb,5905.0,5905.0,,,0 CDM,27816_PBB,Pr Cltx Trimalleolar Ankle Fx W/O Manipulation-Pbb,3347.0,3347.0,,,0 CDM,27818_PBB,Pr Cltx Trimalleolar Ankle Fx W/Manipulation-Pbb,4753.0,4753.0,,,0 CDM,27824_PBB,Pr Cltx Fx W8 Brg Artclr Prtn Dstl Tibia W/O Manj-Pbb,3542.0,3542.0,,,0 CDM,27830_PBB,Pr Cltx Prox Tibfib Jt Dislc W/O Anes-Pbb,3738.0,3738.0,,,0 CDM,27839_00781232206,NDC Description Not Available,63.17,63.17,,,0 CDM,27839_00781232268,Aprepitant: 1 Blister Pack In 1 Carton (0781-2322-68) / 6 Capsule In 1 Blister Pack (0781-2322-06),56.67,56.67,,,0 CDM,27839_13668059283,NDC Description Not Available,63.17,63.17,,,0 CDM,27839_68462058440,NDC Description Not Available,56.85,56.85,,,0 CDM,27840_00781232306,NDC Description Not Available,63.17,63.17,,,0 CDM,27840_68462058540,NDC Description Not Available,63.17,63.17,,,0 CDM,27840_PBB,Pr Closed Tx Ankle Dislocation W/O Anesthesia-Pbb,3738.0,3738.0,,,0 CDM,27842_PBB,Pr Cltx Ankle Dislc Req Anes W/Wo Prq Skel Fixj-Pbb,6882.0,6882.0,,,0 CDM,27901725,"Hc Catheter, Ballon Atlas Gold, 16Mm X 20Mm",3952.2,3952.2,,,0 CDM,27901725_C1725_278,"Hc Catheter, Ballon Atlas Gold, 16Mm X 20Mm",3952.2,3952.2,,,0 CDM,27901732,Hc Advisor Hd Grid Mapping Catheter D-Avhd-Df16,17175.9,17175.9,,,0 CDM,27901732_C1732_278,Hc Advisor Hd Grid Mapping Catheter D-Avhd-Df16,17175.9,17175.9,,,0 CDM,27901760,Hc Angio Seal Sts Plus,2275.35,2275.35,,,0 CDM,27901766,Hc Tightrail 13Fr Sheath #545-513,20413.05,20413.05,,,0 CDM,27901766_C1766_272,Hc Tightrail 13Fr Sheath #545-513,20413.05,20413.05,,,0 CDM,27901769,Hc Toray Guide #Trg-25175,1439.55,1439.55,,,0 CDM,27901773,Hc Spectranetics Accessory Kit #518-027,978.6,978.6,,,0 CDM,27901777,Hc Plexa Promri Df-1 S 65/17 #414006,27043.8,27043.8,,,0 CDM,27901779,Hc Solia S 45 #377176,3713.85,3713.85,,,0 CDM,27901817,Hc Amplatzer Pfo Occluder,49688.1,49688.1,,,0 CDM,27901823,Hc Remede? Implantable Pulse Generator,236758.2,236758.2,,,0 CDM,27901823_C1823_278,Hc Remede? Implantable Pulse Generator,236758.2,236758.2,,,0 CDM,27901874,Hc Orsiro Stent,4105.5,4105.5,,,0 CDM,27901887,Hc Needle Transseptal Brk-1 #407201,1055.25,1055.25,,,0 CDM,27901889,Hc Spaceoar Classic Sv-2101,17766.0,17766.0,,,0 CDM,27901896,Hc S-Icd Lead #3501 45Cm,37138.5,37138.5,,,0 CDM,27901897_7043150,Noncdm Charge Record Medical Supplies,201.6,201.6,,,0 CDM,27901897_7148053,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,27901898,Hc Ingevity Mri Lead,3605.7,3605.7,,,0 CDM,27902630,"Hc Thermocool 4 Mm Catheter, Electrophysiology, Diagnostic/Ablation, Other Than 3D Or Vector Mapping",27591.9,27591.9,,,0 CDM,27904158,Hc Kerecis Omega3 Wound 16Mm,1248.45,1248.45,,,0 CDM,27904648,Hc Ghiatas Beaded Breast Loc Wire,29.4,29.4,,,0 CDM,2795_00228234810,Propylthiouracil: 100 Tablet In 1 Bottle (0228-2348-10),4.97,4.97,,,0 CDM,2795_68084096495,NDC Description Not Available,17.36,17.36,,,0 CDM,27972_00078038725,Zometa: 1 VIAL in 1 CARTON (0078-0387-25) / 5 mL in 1 VIAL,1421.54,1421.54,,,0 CDM,27972_43598033011,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (43598-330-11) / 5 Ml In 1 Vial, Glass",74.74,74.74,,,0 CDM,27972_54288010001,Zoledronic Acid: 1 Vial In 1 Carton (54288-100-01) / 5 Ml In 1 Vial,36.14,36.14,,,0 CDM,27972_55111068507,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (55111-685-07) / 5 Ml In 1 Vial, Glass",121.0,121.0,,,0 CDM,27972_67457039054,Zoledronic Acid: 1 Vial In 1 Carton (67457-390-54) / 5 Ml In 1 Vial,70.24,70.24,,,0 CDM,2797_00270131535,Isovue 300: 10 Bottle In 1 Box (0270-1315-35) / 100 Ml In 1 Bottle,3.07,3.07,,,0 CDM,2799_16714044301,Enalapril Maleate: 100 Tablet In 1 Bottle (16714-443-01),6.0,6.0,,,0 CDM,2799_51672403801,Enalapril Maleate: 100 Tablet In 1 Bottle (51672-4038-1),5.2,5.2,,,0 CDM,2799_64679092402,ENALAPRIL MALEATE: 100 TABLET in 1 BOTTLE (64679-924-02),5.85,5.85,,,0 CDM,2799_68682071101,Enalapril Maleate: 100 Tablet In 1 Bottle (68682-711-01),5.35,5.35,,,0 CDM,28001725,"Hc Medtronic Dx, Terity",141.75,141.75,,,0 CDM,28001732,Hc Intella Open-Irrigated Ablation Catheter # Pmr96200,25995.9,25995.9,,,0 CDM,28001733,Hc Device Lead Locking .43-.66Mm Sls #518-019,12694.5,12694.5,,,0 CDM,28001760,Hc Terumo Angioseal Sts Plus,2187.15,2187.15,,,0 CDM,28001766,Hc Direx Steerable Sheath #M004Ds200,6508.95,6508.95,,,0 CDM,28001769,Hc Guidewire Platinum Plus # M001466010,664.65,664.65,,,0 CDM,28001887,Hc Pvc Cd Leymon Catheter #Ca-41103-Pn,14414.4,14414.4,,,0 CDM,28001889,Hc Barrigel Procedural Kit Gel Catalog 10263069,16884.0,16884.0,,,0 CDM,28001889_C1889_278,Hc Barrigel Procedural Kit Gel Catalog 10263069,16884.0,16884.0,,,0 CDM,28001896,Hc Lead Defib Sub #6996Sq - 58Cm,23248.05,23248.05,,,0 CDM,28001898,Hc Lead Cap Kit,185.85,185.85,,,0 CDM,28004158,Hc Kerecis Omega3 Wound 1.75X1.75Cm,1818.6,1818.6,,,0 CDM,28004158_Q4158_278,Hc Kerecis Omega3 Wound 1.75X1.75Cm,43677.11,43677.11,,,0 CDM,28004648,Hc Bard Ultraclip (Wing),367.5,367.5,,,0 CDM,28004648_A4648_278,Hc Bard Ultraclip (Wing),367.5,367.5,,,0 CDM,28008_PBB,Pr Fasciotomy Foot&/Toe-Pbb,3571.0,3571.0,,,0 CDM,28039_PBB,Pr Excision Tumor Soft Tis Foot/Toe Subq 1.5 Cm/>-Pbb,2665.0,2665.0,,,0 CDM,28043_PBB,Pr Excision Tumor Soft Tissue Foot/Toe Subq <1.5Cm-Pbb,3893.0,3893.0,,,0 CDM,28060_PBB,Pr Fasciectomy Plantar Fascia Partial Spx-Pbb,4357.0,4357.0,,,0 CDM,28066_00078093926,Vigamox: 1 Bottle In 1 Carton (0078-0939-26) / 3 Ml In 1 Bottle,1245.78,1245.78,,,0 CDM,28066_00781713593,"Moxifloxacin Ophthalmic Solution: 1 Bottle, Plastic In 1 Carton (0781-7135-93) / 3 Ml In 1 Bottle, Plastic",217.01,217.01,,,0 CDM,28066_00832141003,"Moxifloxacin Hydrochloride: 1 Bottle, Plastic In 1 Carton (0832-1410-03) / 3 Ml In 1 Bottle, Plastic",158.66,158.66,,,0 CDM,28066_16714064301,Moxifloxacin: 1 Bottle In 1 Carton (16714-643-01) / 3 Ml In 1 Bottle,316.39,316.39,,,0 CDM,28066_60505058204,"Moxifloxacin: 1 Bottle, Dropper In 1 Carton (60505-0582-4) / 3 Ml In 1 Bottle, Dropper",415.03,415.03,,,0 CDM,28066_62332050503,Moxifloxacin Ophthalmic Solution: 1 Bottle In 1 Carton (62332-505-03) / 3 Ml In 1 Bottle,124.01,124.01,,,0 CDM,28066_68180042201,Moxifloxacin: 1 Bottle In 1 Carton (68180-422-01) / 3 Ml In 1 Bottle,93.0,93.0,,,0 CDM,28066_72266015801,Moxifloxacin Ophthalmic Solution: 1 Bottle In 1 Carton (72266-158-01) / 3 Ml In 1 Bottle,71.93,71.93,,,0 CDM,28101725,Hc Catheter Balloon Dilatation .035In 9Fr 20Mm 120Cm 4Cm,4135.95,4135.95,,,0 CDM,28101732,Hc Intellanav Mifi - Ablation Cath,25995.9,25995.9,,,0 CDM,28101760,Hc Perclose Proglide,1786.05,1786.05,,,0 CDM,28101773,Hc Tighrail Sub-C #560-013,15304.8,15304.8,,,0 CDM,28101773_C1773_272,Hc Tighrail Sub-C #560-013,15304.8,15304.8,,,0 CDM,28101887,Hc Catheter Angiographic Jr4 #7701-20,92.4,92.4,,,0 CDM,28101887_C1887_272,Hc Catheter Angiographic Jr4 #7701-20,92.4,92.4,,,0 CDM,28101896,Hc Transvene? Lead Cs/Svc #6937A,10833.9,10833.9,,,0 CDM,28101898,Hc Solia S 60,3720.15,3720.15,,,0 CDM,28104158,Hc Kerecis Omega3 Wound 3X3.5Cm,2728.95,2728.95,,,0 CDM,28104648,Hc Bard Ultracor (Twirl),358.05,358.05,,,0 CDM,28104648_A4648_278,Hc Bard Ultracor (Twirl),358.05,358.05,,,0 CDM,2817_00143968201,NDC Description Not Available,37.37,37.37,,,0 CDM,2817_00143968225,Glycopyrrolate: 25 Vial In 1 Carton (0143-9682-25) / 1 Ml In 1 Vial (0143-9682-01),38.62,38.62,,,0 CDM,2817_00517460101,NDC Description Not Available,51.89,51.89,,,0 CDM,2817_00517460125,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Tray (0517-4601-25) / 1 Ml In 1 Vial, Single-Dose",65.56,65.56,,,0 CDM,2817_00517460525,"Glycopyrrolate: 25 Vial, Multi-Dose In 1 Tray (0517-4605-25) / 5 Ml In 1 Vial, Multi-Dose",73.7,73.7,,,0 CDM,2817_16714053601,Glycopyrrolate: 1 Vial In 1 Carton (16714-536-01) / 1 Ml In 1 Vial,59.0,59.0,,,0 CDM,28190_PBB,Pr Removal Foreign Body Foot Subcutaneous-Pbb,1691.0,1691.0,,,0 CDM,28201725,Hc Catheter Balloon Dilatation .035In 16Mm 120Cm 2Cm,2239.65,2239.65,,,0 CDM,28201732,Hc Halo Xp Non-Nav Catheter #D7T20282Rt,2702.7,2702.7,,,0 CDM,28201760,Hc 6Fr Angio-Seal Closure Device.035In Vascular Collagen Valuelink Guidewire Insertion,1054.2,1054.2,,,0 CDM,28201887,Hc Catheter Launcher 6F Al 2.0 #La6Al20,420.0,420.0,,,0 CDM,28201898,Hc Solia S 53,3720.15,3720.15,,,0 CDM,28201898_C1898_278,Hc Solia S 53,3720.15,3720.15,,,0 CDM,28204158,Hc Kerecis Omega3 Wound 3X7Cm,5118.75,5118.75,,,0 CDM,28204648,Hc Bard Senomark Ultracor (Ribbon),389.55,389.55,,,0 CDM,28204648_A4648_278,Hc Bard Senomark Ultracor (Ribbon),389.55,389.55,,,0 CDM,28301732,Hc Pacel Flow Directed Pacing Catheter,836.85,836.85,,,0 CDM,28301760,Hc 8 Fr Angio-Seal Closure Device.035In Vascular Collagen Valuelink Guidewire Insertion,1253.7,1253.7,,,0 CDM,28301898,Hc Attain Surevalve 90 Degree #6248V-90,300.3,300.3,,,0 CDM,28304648,Hc Hydromark Breast Biopsy Tissue Marker,283.5,283.5,,,0 CDM,28304648_A4648_278,Hc Hydromark Breast Biopsy Tissue Marker,283.5,283.5,,,0 CDM,28314_00143931601,NDC Description Not Available,96.5,96.5,,,0 CDM,28314_00143972101,NDC Description Not Available,96.5,96.5,,,0 CDM,28314_25021013282,Levofloxacin: 24 Pouch In 1 Carton (25021-132-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,136.58,136.58,,,0 CDM,28314_44567043624,Levofloxacin: 24 Pouch In 1 Carton (44567-436-24) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,96.5,96.5,,,0 CDM,28314_44567043724,Levofloxacin: 24 Pouch In 1 Carton (44567-437-24) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,96.5,96.5,,,0 CDM,28315_00143972001,NDC Description Not Available,64.33,64.33,,,0 CDM,28315_00409052831,NDC Description Not Available,64.33,64.33,,,0 CDM,28315_00409444401,NDC Description Not Available,64.33,64.33,,,0 CDM,28315_25021013283,Levofloxacin: 24 Pouch In 1 Carton (25021-132-83) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,64.33,64.33,,,0 CDM,28315_44567043724,Levofloxacin: 24 Pouch In 1 Carton (44567-437-24) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,64.33,64.33,,,0 CDM,28316_25021013281,Levofloxacin: 24 Pouch In 1 Carton (25021-132-81) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,193.0,193.0,,,0 CDM,28316_63323035550,Levofloxacin: 1 Bag In 1 Pouch (63323-355-50) / 50 Ml In 1 Bag,193.0,193.0,,,0 CDM,28330_00409904501,"Bupivacaine Hydrochloride And Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-9045-01) / 10 Ml In 1 Vial, Single-Dose (0409-9045-11)",3.03,3.03,,,0 CDM,28330_00409904517,"Bupivacaine Hydrochloride And Epinephrine: 25 Vial, Single-Dose In 1 Tray (0409-9045-17) / 30 Ml In 1 Vial, Single-Dose (0409-9045-16)",2.09,2.09,,,0 CDM,28330_63323046201,NDC Description Not Available,3.93,3.93,,,0 CDM,28331_63323046037,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-460-37) / 30 Ml In 1 Vial, Single-Dose (63323-460-01)",29.5,29.5,,,0 CDM,28332_00409154101,NDC Description Not Available,2.95,2.95,,,0 CDM,28332_00409904201,"Bupivacaine Hydrochloride And Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-9042-01) / 10 Ml In 1 Vial, Single-Dose (0409-9042-11)",3.53,3.53,,,0 CDM,28332_63323046837,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-468-37) / 30 Ml In 1 Vial, Single-Dose (63323-468-02)",2.48,2.48,,,0 CDM,28333_00143933001,NDC Description Not Available,2.28,2.28,,,0 CDM,28333_00143933301,NDC Description Not Available,5.9,5.9,,,0 CDM,28333_00409115901,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-01) / 10 Ml In 1 Vial, Single-Dose (0409-1159-18)",2.02,2.02,,,0 CDM,28333_00409115902,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-02) / 30 Ml In 1 Vial, Single-Dose (0409-1159-19)",0.55,0.55,,,0 CDM,28333_00409115909,NDC Description Not Available,0.79,0.79,,,0 CDM,28333_00409115910,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-10) / 30 Ml In 1 Vial, Single-Dose (0409-1159-09)",0.79,0.79,,,0 CDM,28333_00409115918,NDC Description Not Available,2.29,2.29,,,0 CDM,28333_00409115919,NDC Description Not Available,0.74,0.74,,,0 CDM,28333_00409155910,"Marcaine: 10 Vial, Single-Dose In 1 Tray (0409-1559-10) / 10 Ml In 1 Vial, Single-Dose (0409-1559-18)",2.26,2.26,,,0 CDM,28333_00409155918,NDC Description Not Available,2.1,2.1,,,0 CDM,28333_00409155930,"Marcaine: 10 Vial, Single-Dose In 1 Carton (0409-1559-30) / 30 Ml In 1 Vial, Single-Dose (0409-1559-19)",0.79,0.79,,,0 CDM,28333_55150016710,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-167-10) / 10 Ml In 1 Vial, Single-Dose",2.36,2.36,,,0 CDM,28333_55150016830,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-168-30) / 30 Ml In 1 Vial, Single-Dose",0.79,0.79,,,0 CDM,28333_63323046401,NDC Description Not Available,5.9,5.9,,,0 CDM,28333_63323046402,NDC Description Not Available,0.79,0.79,,,0 CDM,28333_70594011401,NDC Description Not Available,2.36,2.36,,,0 CDM,28333_71288072111,"Bupivacaine Hydrochloride: 1 Vial, Single-Dose In 1 Carton (71288-721-11) / 10 Ml In 1 Vial, Single-Dose",2.36,2.36,,,0 CDM,28333_71288072232,"Bupivacaine Hydrochloride: 1 Vial, Single-Dose In 1 Carton (71288-722-32) / 30 Ml In 1 Vial, Single-Dose",0.79,0.79,,,0 CDM,28333_76420001810,"Bupivacaine Hydrochloride: 10 Ml In 1 Vial, Single-Dose (76420-018-10)",2.12,2.12,,,0 CDM,28334_00143933101,NDC Description Not Available,0.38,0.38,,,0 CDM,28334_00409116201,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1162-01) / 10 Ml In 1 Vial, Single-Dose (0409-1162-18)",0.73,0.73,,,0 CDM,28334_00409116202,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1162-02) / 30 Ml In 1 Vial, Single-Dose (0409-1162-19)",0.29,0.29,,,0 CDM,28334_00409116219,NDC Description Not Available,0.2,0.2,,,0 CDM,28334_00409156010,"Marcaine: 10 Vial, Single-Dose In 1 Tray (0409-1560-10) / 10 Ml In 1 Vial, Single-Dose (0409-1560-18)",1.18,1.18,,,0 CDM,28334_00409156019,NDC Description Not Available,0.39,0.39,,,0 CDM,28334_55150016910,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-169-10) / 10 Ml In 1 Vial, Single-Dose",1.18,1.18,,,0 CDM,28334_55150017030,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-170-30) / 30 Ml In 1 Vial, Single-Dose",0.33,0.33,,,0 CDM,28334_63323046601,NDC Description Not Available,0.39,0.39,,,0 CDM,28334_63323046637,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-466-37) / 30 Ml In 1 Vial, Single-Dose (63323-466-01)",0.39,0.39,,,0 CDM,28334_70594011701,NDC Description Not Available,1.18,1.18,,,0 CDM,28335_00409116518,NDC Description Not Available,0.71,0.71,,,0 CDM,28335_00409116519,NDC Description Not Available,0.08,0.08,,,0 CDM,28335_55150017230,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-172-30) / 30 Ml In 1 Vial, Single-Dose",0.07,0.07,,,0 CDM,28335_63323047201,NDC Description Not Available,0.35,0.35,,,0 CDM,28340_00409176102,10 DOSE PACK in 1 CARTON (0409-1761-02) / 1 AMPULE in 1 DOSE PACK / 2 mL in 1 AMPULE (0409-1761-19),2.51,2.51,,,0 CDM,28340_00409361311,NDC Description Not Available,2.46,2.46,,,0 CDM,28345_70004025440,NDC Description Not Available,273.73,273.73,,,0 CDM,28382_63323054501,NDC Description Not Available,3.46,3.46,,,0 CDM,28382_63323054505,NDC Description Not Available,1.13,1.13,,,0 CDM,28397_66794016202,"Mitigo: 1 Ml In 1 Vial, Single-Use (66794-162-02)",47.43,47.43,,,0 CDM,28400_PBB,Pr Closed Tx Calcaneal Fracture W/O Manipulation-Pbb,3689.0,3689.0,,,0 CDM,28401732,Hc Pacel Endocardial Pacing Catheter #401763,836.85,836.85,,,0 CDM,28401760,Hc Device 5Fr Vascade Vascular Closure Bx/5Ea-Manufacturing Item# 700-5000Dx-05U,1107.75,1107.75,,,0 CDM,28401760_C1760_278,Hc Device 5Fr Vascade Vascular Closure Bx/5Ea-Manufacturing Item# 700-5000Dx-05U,1107.75,1107.75,,,0 CDM,28403_00338070434,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0704-34) / 1000 Ml In 1 Bag,193.0,193.0,,,0 CDM,28404648,Hc Bard Ultracor Twirl Marker Clip,93.45,93.45,,,0 CDM,28404648_A4648_278,Hc Bard Ultracor Twirl Marker Clip,93.45,93.45,,,0 CDM,28430_PBB,Pr Closed Tx Talus Fracture W/O Manipulation-Pbb,3457.0,3457.0,,,0 CDM,28431_00904429909,NDC Description Not Available,11.91,11.91,,,0 CDM,28435_PBB,Pr Closed Tx Talus Fracture W/Manipulation-Pbb,4148.0,4148.0,,,0 CDM,28450_PBB,Pr Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj-Pbb,2998.0,2998.0,,,0 CDM,28455_PBB,Pr Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj-Pbb,4148.0,4148.0,,,0 CDM,28460_00078064930,"Gleevec: 30 Tablet In 1 Box, Unit-Dose (0078-0649-30)",522.99,522.99,,,0 CDM,28460_59651024130,"Imatinib Mesylate: 30 Tablet, Film Coated In 1 Bottle (59651-241-30)",6.72,6.72,,,0 CDM,28461_00078040134,Gleevec: 90 Tablet In 1 Bottle (0078-0401-34),522.5,522.5,,,0 CDM,28461_42292004301,NDC Description Not Available,27.0,27.0,,,0 CDM,28461_47335047281,"Imatinib Mesylate: 90 Tablet, Film Coated In 1 Bottle (47335-472-81)",16.5,16.5,,,0 CDM,28470_PBB,Pr Closed Tx Metatarsal Fracture W/O Manipulation-Pbb,2767.0,2767.0,,,0 CDM,28475_PBB,Pr Cltx Metar Fx W/Manj-Pbb,3799.0,3799.0,,,0 CDM,28476_PBB,Pr Prq Skel Fixj Metar Fx W/Manj-Pbb,5530.0,5530.0,,,0 CDM,28485_00113006510,"Good Sense Nasal: 1 Bottle, Spray In 1 Carton (0113-0065-10) / 30 Ml In 1 Bottle, Spray",5.82,5.82,,,0 CDM,28485_00904676130,"Nasal Decongestant: 1 Bottle, Spray In 1 Carton (0904-6761-30) / 30 Ml In 1 Bottle, Spray",4.28,4.28,,,0 CDM,28485_00904700635,"Major: 1 Bottle, Spray In 1 Carton (0904-7006-35) / 15 Ml In 1 Bottle, Spray",3.8,3.8,,,0 CDM,28485_00904742730,"Major Nasal Decongestant: 1 Bottle, Pump In 1 Carton (0904-7427-30) / 30 Ml In 1 Bottle, Pump",4.28,4.28,,,0 CDM,28485_00904743535,"Major Nasal Decongestant: 1 Bottle, Spray In 1 Carton (0904-7435-35) / 15 Ml In 1 Bottle, Spray",3.8,3.8,,,0 CDM,28485_04110081123,NDC Description Not Available,11.6,11.6,,,0 CDM,28485_37000080301,"Vicks Sinex: 1 BOTTLE, SPRAY in 1 CARTON (37000-803-01) / 15 mL in 1 BOTTLE, SPRAY",9.55,9.55,,,0 CDM,28485_45802041059,"Oxymetazoline Hcl: 1 Bottle, Spray In 1 Carton (45802-410-59) / 30 Ml In 1 Bottle, Spray",3.99,3.99,,,0 CDM,2848_00054329450,Furosemide: 120 Ml In 1 Bottle (0054-3294-50),6.0,6.0,,,0 CDM,28490_00225080047,"Neo-Synephrine Mild: 15 Ml In 1 Bottle, Spray (0225-0800-47)",6.49,6.49,,,0 CDM,28490_PBB,Pr Cltx Fx Grt Toe Phlx/Phlg W/O Manj-Pbb,1554.0,1554.0,,,0 CDM,28495_00225080547,"Neo-Synephrine Regular: 15 Ml In 1 Bottle, Spray (0225-0805-47)",6.59,6.59,,,0 CDM,28495_PBB,Pr Cltx Fx Grt Toe Phlx/Phlg W/Manj-Pbb,2077.0,2077.0,,,0 CDM,28501760,Hc Device 6/7Fr Vascade Vascular Closure Bx/5Ea-Manufacturer Item 700-5801Dx-05U,1107.75,1107.75,,,0 CDM,28501760_C1760_278,Hc Device 6/7Fr Vascade Vascular Closure Bx/5Ea-Manufacturer Item 700-5801Dx-05U,1107.75,1107.75,,,0 CDM,28504648,Hc Gold Anchor Marker Clip,174.3,174.3,,,0 CDM,28510_PBB,Pr Cltx Fx Phlx/Phlg Oth/Thn Grt Toe W/O Manj-Pbb,1502.0,1502.0,,,0 CDM,28515_PBB,Pr Cltx Fx Phlx/Phlg Oth/Thn Grt Toe W/Manj-Pbb,1904.0,1904.0,,,0 CDM,28530_PBB,Pr Closed Treatment Sesamoid Fracture-Pbb,1846.0,1846.0,,,0 CDM,2854_00378363701,"Cetirizine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-3637-01)",5.73,5.73,,,0 CDM,2854_00904671746,"Cetirizine: 1 Bottle In 1 Carton (0904-6717-46) / 30 Tablet, Film Coated In 1 Bottle",6.0,6.0,,,0 CDM,2854_00904671761,"Cetirizine: 100 Blister Pack In 1 Carton (0904-6717-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.71,5.71,,,0 CDM,2854_51079059701,NDC Description Not Available,5.9,5.9,,,0 CDM,2854_51079059720,"Cetirizine Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (51079-597-20) / 1 Tablet, Film Coated In 1 Blister Pack (51079-597-01)",5.92,5.92,,,0 CDM,2854_60505263301,"Cetirizine Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE (60505-2633-1)",6.0,6.0,,,0 CDM,28576_00904386575,NDC Description Not Available,2.0,2.0,,,0 CDM,28576_01093940233,NDC Description Not Available,2.0,2.0,,,0 CDM,28602_00003362412,"REYATAZ: 60 CAPSULE, GELATIN COATED in 1 BOTTLE, PLASTIC (0003-3624-12)",151.21,151.21,,,0 CDM,28604648,Hc Fudicial Markers,749.7,749.7,,,0 CDM,28604648_A4648_278,Hc Fudicial Markers,749.7,749.7,,,0 CDM,2861_00121065816,Trihexyphenidyl Hydrochloride: 473 Ml In 1 Bottle (0121-0658-16),6.7,6.7,,,0 CDM,28630_PBB,Pr Cltx Metatarsophlngl Jt Dislc W/O Anes-Pbb,1846.0,1846.0,,,0 CDM,28635_PBB,Pr Cltx Metatarsophlngl Jt Dislc Req Anes-Pbb,2077.0,2077.0,,,0 CDM,28660_PBB,Pr Cltx Interphalangeal Joint Dislocation W/O Anes-Pbb,1378.0,1378.0,,,0 CDM,286_00093342201,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-3422-01)",6.0,6.0,,,0 CDM,286_00904740161,"Cyclobenzaprine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7401-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 CDM,286_50268019111,NDC Description Not Available,6.0,6.0,,,0 CDM,286_51079064420,"Cyclobenzaprine Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-644-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-644-01)",6.0,6.0,,,0 CDM,286_60687055811,NDC Description Not Available,6.0,6.0,,,0 CDM,286_63739006610,"Cyclobenzaprine Hydrochloride: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-066-10) / 10 TABLET, FILM COATED in 1 BLISTER PACK",6.0,6.0,,,0 CDM,28704648_7144233,Noncdm Charge Record Medical Supplies,277.2,277.2,,,0 CDM,28704648_7148080,Noncdm Charge Record Medical Supplies,380.97,380.97,,,0 CDM,28704648_7154740,Noncdm Charge Record Medical Supplies,909.8,909.8,,,0 CDM,28723_50242004062,"Xolair: 1 Vial, Single-Use In 1 Carton (50242-040-62) / 1.2 Ml In 1 Vial, Single-Use",309.83,309.83,,,0 CDM,2878_00054355663,Methadone Hydrochloride: 500 Ml In 1 Bottle (0054-3556-63),6.0,6.0,,,0 CDM,2879_00904629061,"Atorvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6290-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.98,5.98,,,0 CDM,2879_68084009701,"Atorvastatin Calcium: 100 Blister Pack In 1 Box, Unit-Dose (68084-097-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-097-11)",5.9,5.9,,,0 CDM,2879_68084009711,NDC Description Not Available,5.95,5.95,,,0 CDM,28804648,Hc Reflector Loc Saviscout 10Cm Brchthrpy Brst Preld Ndl,2508.0,2508.0,,,0 CDM,28804648_A4648_278,Hc Reflector Loc Saviscout 10Cm Brchthrpy Brst Preld Ndl,2394.0,2394.0,,,0 CDM,28883_61958060101,"Emtriva: 30 Capsule In 1 Bottle, Plastic (61958-0601-1)",110.89,110.89,,,0 CDM,28883_69097064202,Emtricitabine: 30 Capsule In 1 Bottle (69097-642-02),95.79,95.79,,,0 CDM,28891_45802006000,NDC Description Not Available,1.99,1.99,,,0 CDM,28891_57896014509,NDC Description Not Available,2.0,2.0,,,0 CDM,28904648,Hc Reflector Loc Saviscout 5Cm Brchthrpy Brst Preld Ndl,2508.0,2508.0,,,0 CDM,28904648_A4648_278,Hc Reflector Loc Saviscout 5Cm Brchthrpy Brst Preld Ndl,2394.0,2394.0,,,0 CDM,28983_99999001239,NDC Description Not Available,2.0,2.0,,,0 CDM,2899_64380082706,Ketoconazole: 100 Tablet In 1 Bottle (64380-827-06),6.52,6.52,,,0 CDM,29004648,Hc Reflector Loc Saviscout 7.5Cm Brchthrpy Brst Preld Ndl,2508.0,2508.0,,,0 CDM,29004648_A4648_278,Hc Reflector Loc Saviscout 7.5Cm Brchthrpy Brst Preld Ndl,2394.0,2394.0,,,0 CDM,29065_PBB,Pr Application Cast Shoulder Hand Long Arm-Pbb,1027.0,1027.0,,,0 CDM,29075_PBB,Pr Application Cast Elbow Finger Short Arm-Pbb,798.0,798.0,,,0 CDM,29104648,Hc Reflector Loc Saviscout 7.5Cm Brchthrpy Brst Sngl Hnd Ndl,2508.0,2508.0,,,0 CDM,29104648_A4648_278,Hc Reflector Loc Saviscout 7.5Cm Brchthrpy Brst Sngl Hnd Ndl,2394.0,2394.0,,,0 CDM,29105_PBB,Pr Application Long Arm Splint Shoulder Hand-Pbb,1027.0,1027.0,,,0 CDM,29125_PBB,Pr Application Short Arm Splint Forearm-Hand Static-Pbb,589.0,589.0,,,0 CDM,29132_00409663501,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-6635-01) / 5 Ml In 1 Vial, Single-Dose (0409-6635-18)",7.0,7.0,,,0 CDM,29132_00409665318,NDC Description Not Available,6.95,6.95,,,0 CDM,29132_63323096502,NDC Description Not Available,5.06,5.06,,,0 CDM,29132_63323096503,NDC Description Not Available,5.45,5.45,,,0 CDM,29132_63323096520,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-965-20) / 20 Ml In 1 Vial, Single-Dose (63323-965-02)",1.88,1.88,,,0 CDM,29155_00904651061,Aripiprazole: 100 Blister Pack In 1 Carton (0904-6510-61) / 1 Tablet In 1 Blister Pack,119.66,119.66,,,0 CDM,29155_50268008811,NDC Description Not Available,5.13,5.13,,,0 CDM,29155_60687016811,NDC Description Not Available,50.94,50.94,,,0 CDM,2917_00904552261,Doxazosin: 100 Blister Pack In 1 Carton (0904-5522-61) / 1 Tablet In 1 Blister Pack,5.89,5.89,,,0 CDM,29286_00078079975,Ciprodex: 1 Bottle In 1 Carton (0078-0799-75) / 7.5 Ml In 1 Bottle,1544.36,1544.36,,,0 CDM,29286_00781618667,"Ciprofloxacin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (0781-6186-67) / 7.5 Ml In 1 Bottle, Dropper",1389.94,1389.94,,,0 CDM,29286_16714062801,"Ciprofloxacin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (16714-628-01) / 7.5 Ml In 1 Bottle, Dropper",1274.8,1274.8,,,0 CDM,29286_43598032675,"Ciprofloxacin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (43598-326-75) / 7.5 Ml In 1 Bottle, Dropper",766.82,766.82,,,0 CDM,29286_62756042790,"Ciprofloxacin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (62756-427-90) / 7.5 Ml In 1 Bottle, Dropper",1389.94,1389.94,,,0 CDM,29286_72485062513,"Ciprofloxacin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (72485-625-13) / 7.5 Ml In 1 Bottle, Dropper",715.31,715.31,,,0 CDM,29305_PBB,Pr Application Hip Spica Cast 1 Leg-Pbb,1692.0,1692.0,,,0 CDM,2930_70720095036,Zoladex: 1 Pouch In 1 Carton (70720-950-36) / 1 Syringe In 1 Pouch / 1 Implant In 1 Syringe,6776.83,6776.83,,,0 CDM,29325_PBB,Pr Appl Hip Spica Cast One&One-Half Spica/Both Legs-Pbb,2052.0,2052.0,,,0 CDM,29345_PBB,Pr Application Long Leg Cast Thigh-Toe-Pbb,877.0,877.0,,,0 CDM,29349_06498014612,NDC Description Not Available,2.47,2.47,,,0 CDM,29349_06498014698,NDC Description Not Available,2.47,2.47,,,0 CDM,29349_07135101399,NDC Description Not Available,3.09,3.09,,,0 CDM,29350_63323009002,NDC Description Not Available,30.42,30.42,,,0 CDM,29360_27241013421,NDC Description Not Available,6.2,6.2,,,0 CDM,29360_42806026698,NDC Description Not Available,6.2,6.2,,,0 CDM,29360_49884046565,Cholestyramine: 60 Packet In 1 Carton (49884-465-65) / 9 G In 1 Packet (49884-465-64),12.72,12.72,,,0 CDM,29368_10454071110,"Myobloc: 1 Vial, Single-Use In 1 Carton (10454-711-10) / 1 Ml In 1 Vial, Single-Use",83.85,83.85,,,0 CDM,29375_00409250410,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0409-2504-10) / 5 Ml In 1 Vial, Single-Dose",53.05,53.05,,,0 CDM,29375_00781331275,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0781-3312-75) / 5 Ml In 1 Vial, Single-Dose",23.46,23.46,,,0 CDM,29375_16714083401,"Palonosetron: 1 Vial, Single-Use In 1 Carton (16714-834-01) / 5 Ml In 1 Vial, Single-Use",189.42,189.42,,,0 CDM,29375_55111069407,"Palonosetron: 1 Vial, Single-Use In 1 Carton (55111-694-07) / 5 Ml In 1 Vial, Single-Use",33.36,33.36,,,0 CDM,29375_60505619301,Palonosetron: 1 Vial In 1 Carton (60505-6193-1) / 5 Ml In 1 Vial,12.06,12.06,,,0 CDM,29375_71288040905,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (71288-409-05) / 5 Ml In 1 Vial, Single-Dose",6.03,6.03,,,0 CDM,29376_00904677861,"Rosuvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6778-61) / 1 Tablet, Coated In 1 Blister Pack",6.21,6.21,,,0 CDM,29376_13668072090,Rosuvastatin Calcium: 90 Tablet In 1 Bottle (13668-720-90),4.85,4.85,,,0 CDM,29376_16714098801,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (16714-988-01)",5.23,5.23,,,0 CDM,29376_51407015390,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (51407-153-90)",5.57,5.57,,,0 CDM,29376_60687023411,NDC Description Not Available,8.68,8.68,,,0 CDM,29376_72205002790,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (72205-027-90)",6.0,6.0,,,0 CDM,29377_50268070911,NDC Description Not Available,4.95,4.95,,,0 CDM,29377_60687024501,"Rosuvastatin Calcium: 100 Blister Pack In 1 Box, Unit-Dose (60687-245-01) / 1 Tablet, Film Coated In 1 Blister Pack (60687-245-11)",8.68,8.68,,,0 CDM,29377_60687024511,NDC Description Not Available,8.68,8.68,,,0 CDM,29378_50268071011,NDC Description Not Available,5.37,5.37,,,0 CDM,29378_60687025601,"Rosuvastatin Calcium: 100 Blister Pack In 1 Box, Unit-Dose (60687-256-01) / 1 Tablet, Film Coated In 1 Blister Pack (60687-256-11)",8.68,8.68,,,0 CDM,29378_60687025611,NDC Description Not Available,8.68,8.68,,,0 CDM,29379_00310075430,"CRESTOR: 30 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0310-0754-30)",57.16,57.16,,,0 CDM,29379_00904678161,"Rosuvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6781-61) / 1 Tablet, Coated In 1 Blister Pack",8.4,8.4,,,0 CDM,29379_16714099101,"Rosuvastatin Calcium: 30 Tablet, Film Coated In 1 Bottle (16714-991-01)",6.0,6.0,,,0 CDM,29379_16729028710,"Rosuvastatin: 30 Tablet, Film Coated In 1 Bottle (16729-287-10)",6.0,6.0,,,0 CDM,29379_50268071111,NDC Description Not Available,8.2,8.2,,,0 CDM,293_00143927901,"Mitomycin: 1 Vial In 1 Box, Unit-Dose (0143-9279-01) / 40 Ml In 1 Vial",1020.4,1020.4,,,0 CDM,293_71288013850,"Mitomycin: 1 Vial, Single-Dose In 1 Carton (71288-138-50) / 40 Ml In 1 Vial, Single-Dose",680.26,680.26,,,0 CDM,29405_PBB,Pr Application Short Leg Cast Below Knee-Toe-Pbb,944.0,944.0,,,0 CDM,29425_PBB,Pr Application Short Leg Cast Walking/Ambulatory-Pbb,944.0,944.0,,,0 CDM,29428_00409592101,"Aminophylline: 25 Vial, Single-Dose In 1 Tray (0409-5921-01) / 10 Ml In 1 Vial, Single-Dose (0409-5921-16)",61.57,61.57,,,0 CDM,29428_00409592116,NDC Description Not Available,91.15,91.15,,,0 CDM,29428_00409592216,NDC Description Not Available,40.88,40.88,,,0 CDM,29429_00409592116,NDC Description Not Available,59.0,59.0,,,0 CDM,29429_00409592216,NDC Description Not Available,74.11,74.11,,,0 CDM,2942_00054195030,Indomethacin: 30 Suppository In 1 Box (0054-1950-30),1918.46,1918.46,,,0 CDM,2942_69344010233,Indocin: 30 Suppository In 1 Box (69344-102-33),2243.82,2243.82,,,0 CDM,2942_70710185206,NDC Description Not Available,2131.62,2131.62,,,0 CDM,2942_70710185207,Indomethacin: 5 Blister Pack In 1 Carton (70710-1852-7) / 6 Suppository In 1 Blister Pack (70710-1852-6),2131.62,2131.62,,,0 CDM,29450_PBB,Pr Appl Clubfoot Cast Molding/Manj Long/Short Leg-Pbb,506.0,506.0,,,0 CDM,29471_00517113001,NDC Description Not Available,0.42,0.42,,,0 CDM,29471_42023015901,NDC Description Not Available,10.26,10.26,,,0 CDM,29471_42023016801,Adrenalin: 1 Vial In 1 Carton (42023-168-01) / 30 Ml In 1 Vial,5.6,5.6,,,0 CDM,29471_54288010301,NDC Description Not Available,7.38,7.38,,,0 CDM,29471_54288012001,Epinephrine: 1 Vial In 1 Carton (54288-120-01) / 10 Ml In 1 Vial,6.04,6.04,,,0 CDM,29471_68462076010,"Epinephrine: 1 Vial, Multi-Dose In 1 Carton (68462-760-10) / 10 Ml In 1 Vial, Multi-Dose",6.03,6.03,,,0 CDM,29471_76329906000,Epinephrine: 1 Vial In 1 Carton (76329-9060-0) / 30 Ml In 1 Vial,5.02,5.02,,,0 CDM,29515_PBB,Pr Application Short Leg Splint Calf Foot-Pbb,859.0,859.0,,,0 CDM,29529_00703423901,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4239-01) / 60 Ml In 1 Vial, Multi-Dose",34.9,34.9,,,0 CDM,29529_00703424401,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4244-01) / 5 Ml In 1 Vial, Multi-Dose",50.86,50.86,,,0 CDM,29529_00703424601,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4246-01) / 15 Ml In 1 Vial, Multi-Dose",45.44,45.44,,,0 CDM,29529_00703424801,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4248-01) / 45 Ml In 1 Vial, Multi-Dose",45.6,45.6,,,0 CDM,29529_54288016401,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-164-01) / 5 Ml In 1 Vial, Multi-Dose",29.52,29.52,,,0 CDM,29529_54288016501,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-165-01) / 15 Ml In 1 Vial, Multi-Dose",55.78,55.78,,,0 CDM,29529_55150033501,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (55150-335-01) / 45 Ml In 1 Vial, Multi-Dose",29.42,29.42,,,0 CDM,29529_55150038601,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (55150-386-01) / 60 Ml In 1 Vial, Multi-Dose",26.8,26.8,,,0 CDM,29529_61703033918,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-18) / 5 Ml In 1 Vial, Multi-Dose",89.78,89.78,,,0 CDM,29529_61703033922,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-22) / 15 Ml In 1 Vial, Multi-Dose",45.9,45.9,,,0 CDM,29529_61703033950,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-50) / 45 Ml In 1 Vial, Multi-Dose",33.16,33.16,,,0 CDM,29529_61703033956,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-56) / 60 Ml In 1 Vial, Multi-Dose",32.02,32.02,,,0 CDM,29529_61703060005,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-600-05) / 60 Ml In 1 Vial, Multi-Dose",31.62,31.62,,,0 CDM,29529_63323017260,Carboplatin: 1 Vial In 1 Box (63323-172-60) / 60 Ml In 1 Vial,57.5,57.5,,,0 CDM,29540_PBB,Pr Strapping Ankle &/Foot-Pbb,372.0,372.0,,,0 CDM,29550_PBB,Pr Strapping Toes-Pbb,232.0,232.0,,,0 CDM,29580_PBB,Pr Strapping Unna Boot-Pbb,527.0,527.0,,,0 CDM,29581_PBB,Pr Appl Mltlayr Compres Leg Below Knee W/Ankle Foot-Pbb,122.0,122.0,,,0 CDM,29609_00904657304,"Bupropion Hydrochloride: 30 Blister Pack In 1 Carton (0904-6573-04) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",14.44,14.44,,,0 CDM,29609_51079010903,"Bupropion Hydrochloride: 30 BLISTER PACK in 1 CARTON (51079-109-03) / 1 TABLET, FILM COATED, EXTENDED RELEASE in 1 BLISTER PACK (51079-109-01)",12.65,12.65,,,0 CDM,29609_68084025211,NDC Description Not Available,15.7,15.7,,,0 CDM,29609_68180032009,"Bupropion Hydrochloride Xl: 90 Tablet, Extended Release In 1 Bottle (68180-320-09)",5.93,5.93,,,0 CDM,29610_00591333119,"Bupropion Hydrochloride Xl: 90 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (0591-3331-19)",8.1,8.1,,,0 CDM,29610_00904708404,"Bupropion Hydrochloride Xl: 30 Blister Pack In 1 Carton (0904-7084-04) / 1 Tablet, Extended Release In 1 Blister Pack",8.11,8.11,,,0 CDM,29610_00904708461,"Bupropion Hydrochloride Xl: 100 Blister Pack In 1 Carton (0904-7084-61) / 1 Tablet, Extended Release In 1 Blister Pack",11.31,11.31,,,0 CDM,29610_00904750561,"Bupropion Hydrochloride Xl: 100 Blister Pack In 1 Carton (0904-7505-61) / 1 Tablet, Extended Release In 1 Blister Pack",19.62,19.62,,,0 CDM,29610_16729044310,"Bupropion Hydrochloride: 30 Tablet, Extended Release In 1 Bottle (16729-443-10)",4.56,4.56,,,0 CDM,29610_60687031211,NDC Description Not Available,11.29,11.29,,,0 CDM,29610_68180031909,"Bupropion Hydrochloride Xl: 90 Tablet, Extended Release In 1 Bottle (68180-319-09)",4.28,4.28,,,0 CDM,29646_16714035801,"Levetiracetam: 473 Ml In 1 Bottle, Plastic (16714-358-01)",6.46,6.46,,,0 CDM,29740_PBB,Pr Wedging Cast Except Clubfoot Casts-Pbb,1318.0,1318.0,,,0 CDM,2974_00527193106,"Clarithromycin: 60 Tablet, Film Coated In 1 Bottle, Plastic (0527-1931-06)",5.82,5.82,,,0 CDM,2974_65862022560,"Clarithromycin: 60 Tablet, Film Coated In 1 Bottle (65862-225-60)",5.81,5.81,,,0 CDM,29848_PBB,Pr Ndsc Wrst Surg W/Rls Transvrs Carpl Ligm-Pbb,4069.0,4069.0,,,0 CDM,29983_07214003147,NDC Description Not Available,81.03,81.03,,,0 CDM,29983_07214003711,NDC Description Not Available,36.71,36.71,,,0 CDM,29983_07214063386,NDC Description Not Available,90.85,90.85,,,0 CDM,29983_07214063608,NDC Description Not Available,90.85,90.85,,,0 CDM,30000024,Hc Specimen Freezing For Study,110.0,110.0,,,0 CDM,30000042,Hc Extra Processing,24.0,24.0,,,0 CDM,30000043,Hc Slide Preparation,31.0,31.0,,,0 CDM,30000044,Hc Shipping Preparation,31.0,31.0,,,0 CDM,30000045,Hc Dry Ice Shipping,24.0,24.0,,,0 CDM,30000046,Hc Special Storage/Management,24.0,24.0,,,0 CDM,30000047,Hc -Specimen Processing Routine,24.0,24.0,,,0 CDM,30000048,Hc Specimen Processing Complex,31.0,31.0,,,0 CDM,30000057,Hc Dna Storage Only,170.0,170.0,,,0 CDM,30000058,Hc Cryo Preserve Only,521.0,521.0,,,0 CDM,30000060,Hc Living Organ Donor Nat Testing,205.0,205.0,,,0 CDM,30000061,Hc Busalfan Pharmacokinetics,528.0,528.0,,,0 CDM,30000070,Hc Miscellanous Lab Charge,319.55,319.55,,,0 CDM,30000077,Hc Ig Paraprotein Qual Bld/Ur,312.0,312.0,,,0 CDM,30000103,Hc Prostate Cancer Screeningl; Psa,482.0,482.0,,,0 CDM,30000219,"Hc Hiv-1 Genotypic Drug Resistance, P",880.0,880.0,,,0 CDM,30000270,"Hc Jak2 Exon 12 Mutation Detection, B",937.0,937.0,,,0 CDM,30000435,"Hc Infectious Agent Antigen Ddetection Rapid Antibody Of Oral Mucosa, Hiv-1 Or Hiv-2, Screening",374.0,374.0,,,0 CDM,30000479,Hc Opiates Presumptv,182.0,182.0,,,0 CDM,30000480,Hc Drug Testing Definitive 1-7C,0.55,0.55,,,0 CDM,30000770,"Hc Quantitative M-Protein Study, S Immunoprecip And Mass Spec",314.0,314.0,,,0 CDM,30002020,Hc Respiratory Panel Dna Or Rna 22 Targets Including Coronavirus 2 (Sars-Cov-2),4099.0,4099.0,,,0 CDM,3000202001,"Hc Respiratory Panel, Pcr, V",1375.0,1375.0,,,0 CDM,30002410,Hc Coronavirus 2 Sars Cov2 Influenza A Influenza B Rsv,968.0,968.0,,,0 CDM,30002750,"Hc Hematology (Heparin-Induced Thrombocytopenia), Platelet Antibody Reactivity By Flow Cytometry, Se",944.0,944.0,,,0 CDM,30003520,Hc Nfct Ds Bv&Vaginitis Amp Prb,627.0,627.0,,,0 CDM,30003610,Hc Neurflmnt Lt Chn Dig Ia Quan,1320.0,1320.0,,,0 CDM,30009612,"Hc Catheterization For Collection Of Specimen, Single Patient",86.0,86.0,,,0 CDM,30020_PBB,Pr Drainage Abscess/Hematoma Nasal Septum-Pbb,1354.0,1354.0,,,0 CDM,30036415,Hc Collection Of Venous Blood By Venipuncture,65.0,65.0,,,0 CDM,30036415_LAF,Hc Collection Of Venous Blood By Venipuncture-Laf,22.0,22.0,,,0 CDM,30036591,Hc Collection Of Blood Specimen From A Completely Implantable Venous Access Device,461.0,461.0,,,0 CDM,30036592,"Hc Collection Of Blood Specimen Using Est Cntrl Or Peripherl Cath, Venous, Not Otherwise Specified",467.0,467.0,,,0 CDM,30080050,Hc General Health Panel,1297.0,1297.0,,,0 CDM,30080143,Hc Acetaminophen,208.0,208.0,,,0 CDM,30080145,"Hc Adalimumab Qt Reflx Ab,S",212.0,212.0,,,0 CDM,30080151,"Hc Amiodarone, S",183.0,183.0,,,0 CDM,30080155,Hc Caffeine Drug Quadrant,133.0,133.0,,,0 CDM,30080157,Hc Carbamazepine; Free,107.0,107.0,,,0 CDM,30080158,Hc Cyclosporine,458.0,458.0,,,0 CDM,30080159,Hc Clozapine,169.0,169.0,,,0 CDM,30080161,"Hc Asy Carbamazepin 10,11-Epxid",159.0,159.0,,,0 CDM,30080167,"Hc Felbamate, Serum",175.0,175.0,,,0 CDM,30080168,Hc Ethosuximide,403.0,403.0,,,0 CDM,30080169,Hc Everolimus,196.0,196.0,,,0 CDM,30080171,"Hc Gabapentin, Whole Blood, Serum, Or Plasma",145.0,145.0,,,0 CDM,30080173,Hc Halpoperidol,155.0,155.0,,,0 CDM,30080175,Hc Lamotrigine,123.0,123.0,,,0 CDM,30080177,Hc Levetiracetam,120.0,120.0,,,0 CDM,30080179,Hc Salicylate,208.0,208.0,,,0 CDM,30080180,Hc Mycophenolate,227.0,227.0,,,0 CDM,30080181,"Hc Flecainide,S",120.0,120.0,,,0 CDM,30080183,Hc Oxcarbazepine,151.0,151.0,,,0 CDM,30080187,"Hc Posaconalole, S",105.0,105.0,,,0 CDM,30080189,"Hc Itraconazole,S",223.0,223.0,,,0 CDM,30080190,"Hc Procainamide, Serum",429.0,429.0,,,0 CDM,30080193,"Hc Leflunomide Metabolite,S",223.0,223.0,,,0 CDM,30080203,Hc Zonisamide,154.0,154.0,,,0 CDM,30080204,Hc Methotrexate,208.0,208.0,,,0 CDM,30080230,"Hc Infliximab Qnt, Serum",127.0,127.0,,,0 CDM,30080235,"Hc Lacosamide,S",105.0,105.0,,,0 CDM,30080280,"Hc Vedolizumab Qnt Ab, S",212.0,212.0,,,0 CDM,30080285,"Hc Voriconazole, S",105.0,105.0,,,0 CDM,30080299,Hc Drug Quantitative Everolimus,450.0,450.0,,,0 CDM,30080320,Hc Drug Screen Quantalcohols,195.0,195.0,,,0 CDM,30080321,"Hc Ethyl Glucuronide Conf, U",185.0,185.0,,,0 CDM,30080324,Hc Drug Screen Amphetamines 1/2,162.0,162.0,,,0 CDM,30080326,Hc Amphetamines 5 Or More,139.0,139.0,,,0 CDM,30080329,Hc Analgesics Non-Opioid 1 Or 2,159.0,159.0,,,0 CDM,30080332,Hc Fluoxetin,162.0,162.0,,,0 CDM,30080339,Hc Antiepileptics Nos 1-3,181.0,181.0,,,0 CDM,30080346,Hc Benzodiazepines Conf,131.0,131.0,,,0 CDM,30080347,Hc Benzodiazepines 13 Or More,138.0,138.0,,,0 CDM,30080348,Hc Drug Screening Buprenorphine,139.0,139.0,,,0 CDM,30080349,Hc Cannabinoids Quntitative,139.0,139.0,,,0 CDM,30080353,Hc Cocaine And Met Confirmation,142.0,142.0,,,0 CDM,30080354,Hc Drug Screening Fentanyl,139.0,139.0,,,0 CDM,30080356,Hc Heroin Metabolite,139.0,139.0,,,0 CDM,30080358,Hc Methadone,139.0,139.0,,,0 CDM,30080359,Hc Drug Screening Methylenedioxyamphetamines,139.0,139.0,,,0 CDM,30080361,Hc Opiates 1 Or More,139.0,139.0,,,0 CDM,30080364,"Hc Csm Hybrid Drug Profile, Opioids",138.0,138.0,,,0 CDM,30080365,Hc Drug Screening Oxycodone,139.0,139.0,,,0 CDM,30080375,Hc Mitotane,162.0,162.0,,,0 CDM,30080377,Hc Drug/Substance Nos 7/More,139.0,139.0,,,0 CDM,30080400,Hc Acth Stimulation Panel; For Adrenal Insufficiency,334.0,334.0,,,0 CDM,30080408,Hc Aldosterone Suppression Evaluation Panel,648.0,648.0,,,0 CDM,30080410,Hc Calcitonin Stimulation Pane,419.0,419.0,,,0 CDM,30080412,Hc Corticotropic Releasing Hormone (Crh) Stimulation Panel,3089.0,3089.0,,,0 CDM,30080416,Hc Renal Vein Renin Stimulation Panel,681.0,681.0,,,0 CDM,30080417,Hc Peripheral Vein Renin Stimulation Panel,227.0,227.0,,,0 CDM,30080420,"Hc Dexamethasone Suppression Panel, 48 Hour",574.0,574.0,,,0 CDM,30080422,Hc Glucagon Tolerance Panel; For Insulinoma,1517.0,1517.0,,,0 CDM,30080424,Hc Glucagon Tolerance Panel; For Pheochromocytoma,306.0,306.0,,,0 CDM,30080426,Hc Gonadotropin Releasing Hormone Stimulation Panel,2252.0,2252.0,,,0 CDM,30080428,Hc Growth Hormone Stimulation Panel,1291.0,1291.0,,,0 CDM,30080430,Hc Growth Hormone Suppression Panel,2025.0,2025.0,,,0 CDM,30080432,Hc Insulin-Induced C-Peptide Suppression Panel,2748.0,2748.0,,,0 CDM,30080434,Hc Insulin Tolerance Panel; For Acth Insufficiency,1466.0,1466.0,,,0 CDM,30080435,Hc Insulin Tolerance Panel; For Growth Hormone Deficiency,2658.0,2658.0,,,0 CDM,30080436,Hc Metyrapone Panel,1053.0,1053.0,,,0 CDM,30080438,Hc Thyrotropin Releasing Hormone (Trh) Stimulation Panel; 1 Hour,464.0,464.0,,,0 CDM,30080439,Hc Thyrotropin Releasing Hormone (Trh) Stimulation Panel; 2 Hour,937.0,937.0,,,0 CDM,30081002,"Hc Urinalysis, By Dip Stick Or Tab Reagent; Non-Auto, W/Out Microscopy",116.0,116.0,,,0 CDM,30081003,"Hc Urinalysis, Auto, Without Microscopy",112.0,112.0,,,0 CDM,30081003_LAF,"Hc Urinalysis, Auto, Without Microscopy-Laf",22.0,22.0,,,0 CDM,30081025,"Hc Urine Pregnancy Test, By Visual Color Comparison Methods",301.0,301.0,,,0 CDM,30081120,Hc Idh1 Exon 4 Variants,922.0,922.0,,,0 CDM,30081121,Hc Idh2 Exon 4 Variants,922.0,922.0,,,0 CDM,30081170,Hc Abl1 Kinase Variants,815.0,815.0,,,0 CDM,30081175,Hc Asxl1 Full Gene Analysis,94.0,94.0,,,0 CDM,30081178,Hc Single Gene Repeat Expansion Analysis - Atxn1,685.0,685.0,,,0 CDM,30081184,Hc Single Gene Repeat Expansion Analysis - Cacna1A,685.0,685.0,,,0 CDM,30081200,"Hc Aspa Canavan Disease Gene Analysis, Common Variants",158.0,158.0,,,0 CDM,30081206,Hc Bcr Abl1 T(9:22) Major Qualitative,1192.0,1192.0,,,0 CDM,30081207,Hc Bcr Abl1 T(9:22) Minor Qualitative,1192.0,1192.0,,,0 CDM,30081209,"Hc Blm, Bloom Syndrom, Gene Analysis",126.0,126.0,,,0 CDM,30081210,Hc Braf Gene Analysis V600E Variant,1438.0,1438.0,,,0 CDM,30081219,Hc Calreticulin Exon 9 Variants,1339.0,1339.0,,,0 CDM,30081220,Hc Cystic Fibrosis Common Variant,616.0,616.0,,,0 CDM,30081228,Hc Cytogenomic Constitutionl Microarray Analysi; Interrogatn Of Genomic Regions For Copy Num Variant,1993.0,1993.0,,,0 CDM,30081229,Hc Cytgenmc Cnstutnal Mcrary Anlys; Intrgtn Gnmc Rgns 4 Cpy Nbr&Sng Ncltde Plymrph Vrnts Chrmsm Abn,2556.0,2556.0,,,0 CDM,30081240,"Hc F2 Prothombin Gene Analysis, 20210G>A Variant",676.0,676.0,,,0 CDM,30081241,"Hc F5 Coagulation Factor 5 Gene Analysis, Leiden Variant",676.0,676.0,,,0 CDM,30081242,Hc Fanconi Anemia Gene Common Variant,1565.0,1565.0,,,0 CDM,30081243,Hc Fmr1 Fragile X Gene Analysis; Evaluation To Detect Abnormal Alleles,1683.0,1683.0,,,0 CDM,30081245,Hc Flt3 Gene,1264.0,1264.0,,,0 CDM,30081246,Hc Flt3 Gene Analys,365.0,365.0,,,0 CDM,30081251,"Hc Gba Gaucher Disease Gene Analysis, Common Variants",158.0,158.0,,,0 CDM,30081255,"Hc Hexa Tay-Sachs Disease Gene Analysis, Common Variants",158.0,158.0,,,0 CDM,30081256,"Hc Hfe Hemochromatosis Gene Analysis, Common Variants",458.0,458.0,,,0 CDM,30081257,"Hc Hba1/Hba1 Alpha Globin 1 And Alpha Globin 2 Gene Analysis, For Common Deletions Or Variant",833.0,833.0,,,0 CDM,30081260,"Hc Ikbkap Familiar Dysautonomia Gene Analysis, Common Variants",158.0,158.0,,,0 CDM,30081261,Hc Ich Gene Arrangement Analysis To Detect Abnormal Clonal Population; Amplified Methodology,3905.0,3905.0,,,0 CDM,30081264,"Hc Igk, Gene Arrangement Analysis, Evaluation And Abnormal Clonal Population(S)",1778.0,1778.0,,,0 CDM,30081265,Hc Comarative Analysis Using Str Markers; Patient And Comparative Specimen,3208.0,3208.0,,,0 CDM,30081266,Hc Hc Comarative Analysis Using Str Markers; Each Additional Specifmen,1890.0,1890.0,,,0 CDM,30081267,"Hc Chimrsm Engrftmnt Anlysis,Post Transplnt Spec,Inc Comp To Prev Perfrmd Bl Anlyss;W/Out Cell Selct",800.0,800.0,,,0 CDM,30081268,"Hc Chimrsm Engrft Anlysis Post Transplnt Spec,Incl Comprsn To Prev Perf Baselne Anlysis;W/Cell Selct",800.0,800.0,,,0 CDM,30081269,Hc Hba1/Hba1 Alpha Glob 1 & Alpha Glob 2 Gene Analysis Dltns/Vrnt,833.0,833.0,,,0 CDM,30081270,Hc Jak2 V617F Variant,1439.0,1439.0,,,0 CDM,30081273,Hc Kit D816 Variants,1339.0,1339.0,,,0 CDM,30081275,Hc Kras Gene Analysis Codons 12 13,1678.0,1678.0,,,0 CDM,30081276,Hc Kras Gene Analys Codon 61 146,815.0,815.0,,,0 CDM,30081283,Hc Il28B Polymorphisms For Hepatitis C,638.0,638.0,,,0 CDM,30081287,Hc Mgmt Promoter Methylation,944.0,944.0,,,0 CDM,30081288,Hc Mlh1 Gene Analysis Promoter Methylation Analysis,858.0,858.0,,,0 CDM,30081290,"Hc Mcoln1 Mucolipidois Gene Analysis, Common Variants",158.0,158.0,,,0 CDM,30081291,"Hc Mthfr Gene Analysis, Common Variants",451.0,451.0,,,0 CDM,30081301,"Hc Msi Gene Analy Of Mrkrs For Msmtch Rpr Defcncy, Incl Comprsn Of Neoplstc And Nrml Tissue, If Perf",4011.0,4011.0,,,0 CDM,30081310,Hc Npm1 Gene Exon 12 Var,440.0,440.0,,,0 CDM,30081310_LAF,Hc Npm1 Gene Exon 12 Var-Laf,139.0,139.0,,,0 CDM,30081314,Hc Pdgfra Targt Analys,1339.0,1339.0,,,0 CDM,30081315,Hc Modl-Pml/Raralpha T(15:17) Qual,1859.0,1859.0,,,0 CDM,30081330,"Hc Smpd1(Sphingomyelin Phosphodiesterase 1,Acid Lysosoml)(Eg,Nieman-Pck Dis,Typa)Gne Als,Cmmn Vrints",158.0,158.0,,,0 CDM,30081331,Hc Methylation Specific Mlpa For Pws And As,793.0,793.0,,,0 CDM,30081334,Hc Runx1 Targeted Gene Analysis,1317.0,1317.0,,,0 CDM,30081350,Hc Ugt1A1 Genotyping For Gilbert Syndrome,850.0,850.0,,,0 CDM,30081380,Hc Mica Genotype,930.0,930.0,,,0 CDM,30081400,Hc Molecular Pathology Procedure Level 1,638.0,638.0,,,0 CDM,30081401,"Hc Molecular Pathology Procedure, Level 2",796.0,796.0,,,0 CDM,30081402,Hc Molecular Pathology Procedure Level 3,3905.0,3905.0,,,0 CDM,30081403,Hc Cebpa Full Sequence Gene,5213.0,5213.0,,,0 CDM,30081404,Hc Molecular Pathology Procedure Level 5,5874.0,5874.0,,,0 CDM,30081405,Hc Lrsv- Molecular Pathology Procedure Level 6,1753.0,1753.0,,,0 CDM,30081406,Hc Molecular Pathology Procedure Level 7,2389.0,2389.0,,,0 CDM,30081407,Hc Mol Path Proc Lvl8,3186.0,3186.0,,,0 CDM,30081408,Hc Lrsv- Molecular Path Proc Lev 9,4781.0,4781.0,,,0 CDM,30081410,Hc Marfan Related Genetic Panel,4095.0,4095.0,,,0 CDM,30081415,Hc Exome Sequencing (Proband Only),11330.0,11330.0,,,0 CDM,30081432,Hc Hereditary Breast Cancer-Related Disorders Genomic Sequence Analysis Panel,470.0,470.0,,,0 CDM,30081433,Hc Hereditary Breast Cancer-Related Disorders Duplication/Deletion Analysis Panel,160.0,160.0,,,0 CDM,30081435,Hc Hereditary Colon Cancer Disorders Genomic Sequence Analysis Panel,470.0,470.0,,,0 CDM,30081436,Hc Hereditary Colon Cancer Disorders Duplication/Deletion Analysis Panel,160.0,160.0,,,0 CDM,30081443,Hc Comprehensive Brain Malformation Panel,5096.0,5096.0,,,0 CDM,30081445,Hc Lung Nsclc Panel Ngs,7297.0,7297.0,,,0 CDM,30081450,Hc Ngs Panel Hl 5-50 Loci,5361.0,5361.0,,,0 CDM,30081479,Hc Hypolactasia Variant,1974.0,1974.0,,,0 CDM,30081508,"Hc Fetal Cong Abn, Biochem Assays Of 2 Proteins, Util Maternal Serum, Algorith Rptd As A Risk Score",368.0,368.0,,,0 CDM,30081510,"Hc Fetal Cong Abnrm,Biochem Assays Of 3 Anlytes,Utilizng Maternl Serum,Alg Reported As A Risk Score",636.0,636.0,,,0 CDM,30081511,"Hc Fetal Cong Abn, Biocheml Assays Of 4 Analytes, Util Maternal Serum, Algorith Rptd As A Risk Scre",549.0,549.0,,,0 CDM,30081517,Hc Liver Ds Alys 3 Bmrk Srm Alg,880.0,880.0,,,0 CDM,30081596,Hc Nfct Ds Chrnc Hcv 6 Assays,425.0,425.0,,,0 CDM,30082010,Hc Ketone Body(S); Quantitative,157.0,157.0,,,0 CDM,30082013,Hc Acetylcholinesterase,363.0,363.0,,,0 CDM,30082016,Hc Acylcarnitine Newborn Screen,37.0,37.0,,,0 CDM,30082017,"Hc Acykcarbutubes; Quantitative, Each Specimen",398.0,398.0,,,0 CDM,30082024,Hc Adrenocorticotropic Hormone,619.0,619.0,,,0 CDM,30082042,"Hc Albumin; Other Source, Quantitative, Each Specimen",146.0,146.0,,,0 CDM,30082077,Hc Alcohol Immunoassay,231.0,231.0,,,0 CDM,30082088,"Hc Aldosterone, Serum",342.0,342.0,,,0 CDM,30082104,Hc Alpha-1-Antitrypsin; Phenotype,366.0,366.0,,,0 CDM,30082107,Hc Alpha-Fetoprotein (Afp); Afp-L3 Fraction Isoform And Total Afp,211.0,211.0,,,0 CDM,30082108,Hc Aluminum,149.0,149.0,,,0 CDM,30082127,Hc Cystine Qualitative Urine,415.0,415.0,,,0 CDM,30082128,Hc Amino Acids Newborn Screening,37.0,37.0,,,0 CDM,30082131,Hc Cystine Quantitative Urine,261.0,261.0,,,0 CDM,30082135,"Hc Aminolevulinic Acid, Delta",276.0,276.0,,,0 CDM,30082140,"Hc Ammonia, Urine",92.0,92.0,,,0 CDM,30082157,Hc Androstenedione,468.0,468.0,,,0 CDM,30082166,Hc Assay Anti-Mullerian Horm,260.0,260.0,,,0 CDM,30082172,Hc Apolipoprotein B,261.0,261.0,,,0 CDM,30082175,Hc Arsenic,178.0,178.0,,,0 CDM,30082180,Hc Ascorbic Acid,246.0,246.0,,,0 CDM,30082190,"Hc Silver, Serum",408.0,408.0,,,0 CDM,30082239,Hc Bile Acids; Total,187.0,187.0,,,0 CDM,30082261,Hc Biotinidase,204.0,204.0,,,0 CDM,30082300,Hc Cadmium,197.0,197.0,,,0 CDM,30082306,"Hc Vitamin D; 25 Hydroxy, Includes Fraction(S), If Performed",469.0,469.0,,,0 CDM,30082306_LAF,"Hc Vitamin D; 25 Hydroxy, Includes Fraction(S), If Performed-Laf",283.0,283.0,,,0 CDM,30082308,Hc Calcitonin,392.0,392.0,,,0 CDM,30082365,Hc Calculus; Infrared Spectroscopy,197.0,197.0,,,0 CDM,30082373,Hc Carbohydrate Deficient Transferrin,284.0,284.0,,,0 CDM,30082379,Hc Carnitine,348.0,348.0,,,0 CDM,30082380,Hc Carotene,204.0,204.0,,,0 CDM,30082383,Hc Catecholamines; Blood,404.0,404.0,,,0 CDM,30082384,Hc Catecholamines; Fractionated,400.0,400.0,,,0 CDM,30082397,Hc Afp Chemiluminescent Assay,631.0,631.0,,,0 CDM,3008239701,"Hc Myositis Specific Assay Eval, S",280.0,280.0,,,0 CDM,30082415,Hc Chloramphenicol,176.0,176.0,,,0 CDM,30082438,"Hc Chloride, Fecal",211.0,211.0,,,0 CDM,30082480,Hc Cholinesterase; Serum,122.0,122.0,,,0 CDM,30082482,Hc Cholinesterase; Rbc,91.0,91.0,,,0 CDM,30082495,Hc Chromium,300.0,300.0,,,0 CDM,30082525,"Hc Copper, Urine",232.0,232.0,,,0 CDM,30082528,Hc Coricosterone,502.0,502.0,,,0 CDM,30082530,Hc Cortisol Free Urinary,348.0,348.0,,,0 CDM,30082533,Hc Cortisol; Total,456.0,456.0,,,0 CDM,30082542,Hc Lacosamide (Vimpat),475.0,475.0,,,0 CDM,3008254201,"Hc Psychosine, Bs",277.0,277.0,,,0 CDM,3008254202,"Hc Glucopsychosine, Bs",277.0,277.0,,,0 CDM,3008254203,"Hc Oxysterols, Bs",277.0,277.0,,,0 CDM,3008254204,"Hc Lysopc By Lc Ms/Ms (Reflex), Bs",277.0,277.0,,,0 CDM,3008254205,"Hc Globotriaosylsphingosine, Bs",277.0,277.0,,,0 CDM,30082550,Hc Total Ck Assay Repeat,133.0,133.0,,,0 CDM,30082570,"Hc Chem-Creatinine, Fluid",187.0,187.0,,,0 CDM,30082570_LAF,"Hc Chem-Creatinine, Fluid-Laf",50.0,50.0,,,0 CDM,30082600,Hc Cyanide,151.0,151.0,,,0 CDM,30082626,Hc Dehydroepiandrostereone,168.0,168.0,,,0 CDM,30082627,Hc Dehydroepiandrostereone-Sulfate,567.0,567.0,,,0 CDM,30082633,"Hc 11-Deoxycorticosterone, S",279.0,279.0,,,0 CDM,30082634,"Hc Deoxycortisol, 11",196.0,196.0,,,0 CDM,30082642,Noncdm Charge Record,313.67,313.67,,,0 CDM,30082652,"Hc Vitamin D; 1, 25 Hydroxy, Includes Fraction(S), If Performed",442.0,442.0,,,0 CDM,30082656,"Hc Elastase, Pancreatic, Fecal, Qualitative Or Semi-Quantitative",326.0,326.0,,,0 CDM,30082657,Hc Neutrophil Oxidative Burst,186.0,186.0,,,0 CDM,30082658,Hc Galactosylcer B-Galactosidase,547.0,547.0,,,0 CDM,30082664,Hc Electrophoresis (Tbg),256.0,256.0,,,0 CDM,30082670,Hc Estradiol,450.0,450.0,,,0 CDM,30082670_LAF,Hc Estradiol-Laf,108.0,108.0,,,0 CDM,30082671,Hc Estrogens; Fractionated,350.0,350.0,,,0 CDM,30082679,Hc Estrone,331.0,331.0,,,0 CDM,30082693,Hc Ethylene Glycol,133.0,133.0,,,0 CDM,30082710,"Hc Fat Stain, Sudan",338.0,338.0,,,0 CDM,30082725,Hc Fatty Acids Nonesterified,152.0,152.0,,,0 CDM,30082726,Hc Peroxisomal Panel,518.0,518.0,,,0 CDM,30082759,"Hc Galactokinase, Rbc",464.0,464.0,,,0 CDM,30082760,"Hc Galactose, Quantitative, Ur",31.0,31.0,,,0 CDM,30082775,Hc Gal-1-P Uridyltransferase,342.0,342.0,,,0 CDM,30082776,Hc Galactosemia Newborn Screening,37.0,37.0,,,0 CDM,30082777,Hc Galectin-3,309.0,309.0,,,0 CDM,30082784,Hc Igg Serum,266.0,266.0,,,0 CDM,30082787,"Hc Gammaglobulin; Immunoglobulin Subclasses, Each",127.0,127.0,,,0 CDM,30082803,"Hc Gases, Blood, Any Combination Of Ph, Pco2, Po2, Co2, Hco3",361.0,361.0,,,0 CDM,30082810,Hc Blood Gases O2 Sat Only,193.0,193.0,,,0 CDM,30082941,Hc Gastrin,257.0,257.0,,,0 CDM,30082943,Hc Glucagon,350.0,350.0,,,0 CDM,30082955,Hc Glucose -6-Phosphate Dehydrogenase; Quantitative,207.0,207.0,,,0 CDM,30082985,Hc Fructosamine,150.0,150.0,,,0 CDM,30083001,Hc Follicle Stimulating Hormone,469.0,469.0,,,0 CDM,30083001_LAF,Hc Follicle Stimulating Hormone-Laf,124.0,124.0,,,0 CDM,30083002,Hc Luteinizing Hormone,411.0,411.0,,,0 CDM,30083002_LAF,Hc Luteinizing Hormone-Laf,176.0,176.0,,,0 CDM,30083003,"Hc Growth Hormone, Hgh Somatotropin",289.0,289.0,,,0 CDM,30083020,"Hc Hemoglobin Fractionation And Quantiation, Electrophoresis",37.0,37.0,,,0 CDM,30083021,Chem-Hemoglobin Chromatography Eval'n,386.0,386.0,,,0 CDM,30083033,"Hc Hemoglobin, F Fetal, Qualitative",49.0,49.0,,,0 CDM,30083051,"Hc Hemoglobin, Plasma",98.0,98.0,,,0 CDM,30083080,"Hc Hexosaminidase A&Ttl, Serum",442.0,442.0,,,0 CDM,30083090,"Hc Lrsv-Urine, Homocysteine",490.0,490.0,,,0 CDM,30083150,Hc Homovanillic Acid Hva,287.0,287.0,,,0 CDM,30083491,"Hc Hydroxycorticosteroids, 17-",228.0,228.0,,,0 CDM,30083497,"Hc Hydroxyindolacetic Acid, 5-",246.0,246.0,,,0 CDM,30083498,Hc 17-Hydroxyprogesterone,116.0,116.0,,,0 CDM,30083505,Hc Hydroxyproline; Total,180.0,180.0,,,0 CDM,30083516,"Hc Gliadin Antibody, Each",301.0,301.0,,,0 CDM,3008351601,"Hc Ganglioside Gq1B Antibody, Igg, S",510.0,510.0,,,0 CDM,30083519,Hc Immunoassay Igf Binding Prot 1,85.0,85.0,,,0 CDM,30083520,Hc Immunoassay Quan; Asca Iga,270.0,270.0,,,0 CDM,3008352001,Hc Igf-2,214.0,214.0,,,0 CDM,3008352002,Hc Cytokines,493.0,493.0,,,0 CDM,3008352003,Hc Interleukin-18 (Il-18),493.0,493.0,,,0 CDM,30083525,Hc Insulin Total,338.0,338.0,,,0 CDM,30083582,"Hc Ketogenic Steroids, Fractionation",91.0,91.0,,,0 CDM,30083586,"Hc Ketosteroids, 17-; Total",133.0,133.0,,,0 CDM,30083605,"Hc D-Lacate, Urine",247.0,247.0,,,0 CDM,30083615,"Hc Ldh, Fluid",159.0,159.0,,,0 CDM,30083625,"Hc Lactate Dehydrogenase; Isoenzymes, Separation And Quantitation",164.0,164.0,,,0 CDM,30083630,"Hc Lactoferrin, Fecal; Qualitative",123.0,123.0,,,0 CDM,30083661,Hc Fetal Lung Maturity Assessment; Lecithin Sphingomyelin Ratio,174.0,174.0,,,0 CDM,30083664,Hc Fetal Lung Maturity Assessment; Lamellar Body Density,105.0,105.0,,,0 CDM,30083695,Hc Lipoprotein A,146.0,146.0,,,0 CDM,30083735,"Hc Magnesium, Urine",29.0,29.0,,,0 CDM,30083785,Hc Manganese,232.0,232.0,,,0 CDM,30083789,Hc Mass Spectr Cobalt S,309.0,309.0,,,0 CDM,3008378902,"Hc Lysosomal/Peroxisomal D/O Scrn, Bs",309.0,309.0,,,0 CDM,3008378903,"Hc Pompe Disease, Bs",352.0,352.0,,,0 CDM,30083825,Hc Mercury,116.0,116.0,,,0 CDM,30083864,"Hc Mucopolysaccharides, Acid, Quantitative",100.0,100.0,,,0 CDM,3008386401,"Hc Mucopolysaccharidosis, Bs",366.0,366.0,,,0 CDM,30083873,"Hc Myelin Basic Protein, Cerebrospinal Fluid",180.0,180.0,,,0 CDM,30083883,Hc Nephelometry Ea Analyte Nes,280.0,280.0,,,0 CDM,30083884,Hc Assay Neurflmnt Light Chain,765.0,765.0,,,0 CDM,30083915,Hc Nucleotidase 5,122.0,122.0,,,0 CDM,30083916,Hc Oligoclonal Immune,250.0,250.0,,,0 CDM,30083918,"Hc Organic Acids; Total, Quantitative",199.0,199.0,,,0 CDM,30083919,"Hc Organic Acids, Qualitative, Each Specimen",402.0,402.0,,,0 CDM,30083921,"Hc Methylmalonic Acid, Quantitative",459.0,459.0,,,0 CDM,30083935,"Hc Osmolality, Fecal",198.0,198.0,,,0 CDM,30083951,"Hc Des-Gamma-Carboxy Prothrombin, S",263.0,263.0,,,0 CDM,30083986,"Hc Ph, Body Fluid",27.0,27.0,,,0 CDM,30083992,Hc Pcp Quan Assay,215.0,215.0,,,0 CDM,30083993,"Hc Calprotectin, Fecal",358.0,358.0,,,0 CDM,30084030,Hc Phenylalanine Blood,118.0,118.0,,,0 CDM,30084060,"Hc Phosphatase, Acid; Forensic Exam",180.0,180.0,,,0 CDM,30084066,"Hc Phosphatase, Acid; Prostatic",99.0,99.0,,,0 CDM,30084080,Hc Alkaline Phosphatase; Isoenzymes,214.0,214.0,,,0 CDM,30084081,Hc Lrsv- Phosphatidylglycerol Lvl,410.0,410.0,,,0 CDM,30084106,Hc Porphobilinogen Urine; Qual,99.0,99.0,,,0 CDM,30084110,"Hc Prophobilinogen, Urine; Quantitative",235.0,235.0,,,0 CDM,30084120,"Hc Porphyrins Fractioned Quantitative, Urine",302.0,302.0,,,0 CDM,30084126,"Hc Porphyrins, Feces; Quantitative",329.0,329.0,,,0 CDM,30084133,"Hc Potassium, Fluid",149.0,149.0,,,0 CDM,30084143,Hc 17-Hydroxypregnenolone,190.0,190.0,,,0 CDM,30084144,Hc Progesterone Lvl,349.0,349.0,,,0 CDM,30084144_LAF,Hc Progesterone Lvl-Laf,199.0,199.0,,,0 CDM,30084157,"Hc Total Protein, Spinal Fluid",185.0,185.0,,,0 CDM,30084163,Hc Pregnancy Related Plasma Proten A,235.0,235.0,,,0 CDM,30084166,"Hc Protein Electrophoresis, Csf",451.0,451.0,,,0 CDM,30084181,"Hc Protein; Western Blot, With Interpretation And Report, Blood Or Other Body Fluid",474.0,474.0,,,0 CDM,30084182,Hc Western Blot Crmp5,274.0,274.0,,,0 CDM,30084202,"Hc Protoporphyrin, Rbc; Quantitative",200.0,200.0,,,0 CDM,30084206,Hc Proinsulin,366.0,366.0,,,0 CDM,30084207,Hc Pyridocal Phosphate,370.0,370.0,,,0 CDM,30084210,Hc Pyruvate,256.0,256.0,,,0 CDM,30084220,Hc Pyruvate Kinase,128.0,128.0,,,0 CDM,30084235,"Hc Thyroid Receptor Assay; Endocrine, Other Than Estrogen Or Progesterone",418.0,418.0,,,0 CDM,30084238,Hc Interleukin Receptor Assay; Non-Endocrine,204.0,204.0,,,0 CDM,30084244,Hc Renin,321.0,321.0,,,0 CDM,30084252,Hc Riboflavin,388.0,388.0,,,0 CDM,30084255,Hc Selenium,342.0,342.0,,,0 CDM,30084260,Hc Serotonin,224.0,224.0,,,0 CDM,30084270,Hc Sex Hormone Binding Globulin,229.0,229.0,,,0 CDM,30084300,"Hc Sodium, Urine",175.0,175.0,,,0 CDM,30084302,Hc Sodium; Other Source,77.0,77.0,,,0 CDM,30084305,Hc Somatomedin,509.0,509.0,,,0 CDM,30084311,Hc Uroporphrynogen Synthetase,196.0,196.0,,,0 CDM,30084377,"Hc Carbohydrate Ur Sugars, Multiple Qualitative, Each Specimen",132.0,132.0,,,0 CDM,30084378,Hc Galactose-1-Phosphate$(G-1,175.0,175.0,,,0 CDM,30084393,"Hc Phospho-Tau 217, Plasma",908.0,908.0,,,0 CDM,30084402,"Hc Testosterone, Free",196.0,196.0,,,0 CDM,30084403,"Hc Testosterone, Total",270.0,270.0,,,0 CDM,30084425,Hc Thiamine B-1 (Niacin) Level,284.0,284.0,,,0 CDM,30084430,Hc Thiocyanate,100.0,100.0,,,0 CDM,30084437,Hc Tsh Newborn Screen,37.0,37.0,,,0 CDM,30084439,"Hc Thyroxine, Free Index Additional",347.0,347.0,,,0 CDM,30084439_LAF,"Hc Thyroxine, Free Index Additional-Laf",85.0,85.0,,,0 CDM,30084442,Hc Thyroxine Binding Globulin Tbg,143.0,143.0,,,0 CDM,30084443,Hc T4 Newborn Screen,37.0,37.0,,,0 CDM,30084445,Hc Thyroid Stimulating Immune Globulins (Tsi),785.0,785.0,,,0 CDM,30084478,Hc Triglycerides-Serum,151.0,151.0,,,0 CDM,30084478_LAF,Hc Triglycerides-Serum-Laf,43.0,43.0,,,0 CDM,30084482,Hc Triiodothyronine T3; Reverse,425.0,425.0,,,0 CDM,30084484,Hc Cardiac Troponin T Repeat,366.0,366.0,,,0 CDM,30084488,"Hc Trypsin; Feces, Qualitative",100.0,100.0,,,0 CDM,30084520,"Hc Urea Nitrogen Quantiative, Urine",158.0,158.0,,,0 CDM,30084545,Hc Urea Nitrogen Clearance,152.0,152.0,,,0 CDM,30084585,"Hc Vanillylmandelic Acid, Urine",282.0,282.0,,,0 CDM,30084586,Hc Vasoactive Intestinal Peptide,596.0,596.0,,,0 CDM,30084588,Hc Vasopressin Adh,245.0,245.0,,,0 CDM,30084590,Hc Vitamin A,197.0,197.0,,,0 CDM,3008459101,Hc Vitamin B3 And Metabolites,243.0,243.0,,,0 CDM,30084597,Hc Vitamin K,178.0,178.0,,,0 CDM,30084600,Hc Volatiles Screenings,133.0,133.0,,,0 CDM,30084620,"Hc Xylose Absorption Test, Blood And/Or Urine",140.0,140.0,,,0 CDM,30084630,Hc Zinc,197.0,197.0,,,0 CDM,30084681,Hc C-Peptide,404.0,404.0,,,0 CDM,30084702,"Hc Hcg, Alpha-Subunit, Quantitative",484.0,484.0,,,0 CDM,30084702_LAF,"Hc Hcg, Alpha-Subunit, Quantitative-Laf",143.0,143.0,,,0 CDM,30084704,"Hc Gonadotropin, Chorionic; Free Beta Chain",185.0,185.0,,,0 CDM,30084999,Hc Osmalality Fecal,66.0,66.0,,,0 CDM,30085008,Hc Bl Smear W/O Diff Wbc Count,40.0,40.0,,,0 CDM,30085027,"Hc Blood Count; Complete (Cbc), Automated",230.0,230.0,,,0 CDM,30085027_LAF,"Hc Blood Count; Complete (Cbc), Automated-Laf",61.0,61.0,,,0 CDM,30085060,Hc Peripheral Bld Smear,154.0,154.0,,,0 CDM,30085130,Hc Apixaban,301.0,301.0,,,0 CDM,30085247,"Hc Clotting; Factor Viii, Von Willebrand Factor, Multimetric Analysis",540.0,540.0,,,0 CDM,30085305,Hc Protein S Total Antigen,634.0,634.0,,,0 CDM,30085307,Hc Activated Protein C (Apc) Resistance Assay,596.0,596.0,,,0 CDM,30085335,Hc Adamt13 Factor Inhibitor Assay,648.0,648.0,,,0 CDM,30085347,Hc Coagulation Time; Activated,148.0,148.0,,,0 CDM,30085397,"Hc Coagulation And Fibrinolysis, Functional Activity, Nos Adamts-13, Each Analyte",622.0,622.0,,,0 CDM,30085410,Hc Fibrinolytic Factors And Inhibitors; Alpha-2 Antiplasmin,272.0,272.0,,,0 CDM,30085415,Hc Fibrinolytic Factors And Inhibitors; Plasminogen Activator,394.0,394.0,,,0 CDM,30085520,Hc Heparin Assay - Low Molecular Wt,721.0,721.0,,,0 CDM,30085549,Hc Myramidase,206.0,206.0,,,0 CDM,30085557,Hc Osmotic Fragility,380.0,380.0,,,0 CDM,30085576,Hc Pfa Adp Aggregation,391.0,391.0,,,0 CDM,30085610,Hc Protime Padua,180.0,180.0,,,0 CDM,30085610_LAF,Hc Protime Padua-Laf,36.0,36.0,,,0 CDM,30085613,"Hc Russell Viper Venom Time; Diluted, Mix",388.0,388.0,,,0 CDM,30085635,Hc Reptilase Test,158.0,158.0,,,0 CDM,30085651,"Hc Sedimentation Rate, Zeta",141.0,141.0,,,0 CDM,30085705,"Hc Thromboplastin Inhibition Tissue, Scr",244.0,244.0,,,0 CDM,30085730,Hc Partial Thromboplastin Time (Ptt) Hepcheck,216.0,216.0,,,0 CDM,30085732,Hc Ptt Substitution Plasma Fraction Each,295.0,295.0,,,0 CDM,30086000,"Hc Agglutinins, Febrile Francisella, Each Antigen",122.0,122.0,,,0 CDM,30086001,Hc Hypersensitivity Pneumonitis Panel,78.0,78.0,,,0 CDM,30086003,Hc Allergen Specific Ige,142.0,142.0,,,0 CDM,30086008,Hc Allergen Peanut Component,85.0,85.0,,,0 CDM,30086021,Hc Antibody Id Neutrophil Ab Drug Dep,477.0,477.0,,,0 CDM,30086022,Hc Antibody Id Platelet Ab Screen,505.0,505.0,,,0 CDM,30086023,Hc Antibody Identification; Platelet Associated Immunoglobulin Assay,234.0,234.0,,,0 CDM,30086038,"Hc Antinuclear Abs, Igg W/ Reflex",279.0,279.0,,,0 CDM,30086041,Hc Acetylcholn Rcptr Bndng Antb,149.0,149.0,,,0 CDM,30086043,Hc Acetylcholn Rcptr Modlg Antb,149.0,149.0,,,0 CDM,30086141,Hc C-Reactive Protein; High Sensitivity,375.0,375.0,,,0 CDM,30086146,Hc Beta-2 Glycoprotein Igg,405.0,405.0,,,0 CDM,30086147,"Hc Cardiolipin Antibody, Igg",544.0,544.0,,,0 CDM,30086148,Hc Anti-Phosphotidyl Serine Ab Igg,384.0,384.0,,,0 CDM,30086156,Hc Cold Agglutinin Screen,91.0,91.0,,,0 CDM,30086160,Hc C1 Q Complement Component,483.0,483.0,,,0 CDM,30086161,Hc C2 Function,299.0,299.0,,,0 CDM,30086200,"Hc Cyclic Citrullinated Peptide, Antibody",416.0,416.0,,,0 CDM,30086200_LAF,"Hc Cyclic Citrullinated Peptide, Antibody-Laf",116.0,116.0,,,0 CDM,30086225,"Hc Dsdna Ab With Reflex, Igg, S",213.0,213.0,,,0 CDM,30086235,Hc Myositis Ab3 Panel,464.0,464.0,,,0 CDM,3008623501,"Hc Myositis Specific Antigen Ab Eval, S",230.0,230.0,,,0 CDM,30086255,Hc Nmda Receptor Ab,453.0,453.0,,,0 CDM,3008625501,"Hc Myositis Specific Fluorescent Ab Screen , S",53.0,53.0,,,0 CDM,30086256,Hc Fluorescent Hu Ab Titer,168.0,168.0,,,0 CDM,30086300,"Hc Immunoassay For Tumor Antigen, Quantitative; Ca 15-3 (27.29)",461.0,461.0,,,0 CDM,30086301,"Hc Immunoassay For Tumor Antigen, Quantitative; Ca 19-9",409.0,409.0,,,0 CDM,30086316,Hc Chromogranin A,367.0,367.0,,,0 CDM,30086317,Strep Pneumoniae Serotype Each,52.0,52.0,,,0 CDM,30086329,"Hc Igg/Albumin Ratio,",128.0,128.0,,,0 CDM,30086331,"Hc Immunodiffusion; Gel Diffusion, Qualitative, Each Antigen Or Antibody",104.0,104.0,,,0 CDM,30086332,Hc Immune Complex Assay,204.0,204.0,,,0 CDM,30086335,Hc Immuno Electrophoresis Csf,974.0,974.0,,,0 CDM,30086336,Hc Inhibin A,220.0,220.0,,,0 CDM,30086337,Hc Insulin Antibodies,438.0,438.0,,,0 CDM,30086340,Hc Intrinsic Factor Antibodies,245.0,245.0,,,0 CDM,30086341,Hc Gad65 Ab Assay,413.0,413.0,,,0 CDM,3008634101,Hc Ia-2 Antibody,265.0,265.0,,,0 CDM,30086352,"Hc Dhr Flow Pma, B",702.0,702.0,,,0 CDM,30086355,Hc B Cells Total Cnt,389.0,389.0,,,0 CDM,30086356,Hc -Mononuclear Cell Ag Fetal Hgb,399.0,399.0,,,0 CDM,30086357,Hc Natural Killer (Nk) Cells Total Count,301.0,301.0,,,0 CDM,30086366,Hc Muscle-Specific Kinase Antb,1056.0,1056.0,,,0 CDM,30086367,"Hc Stem Cells, Total Count",600.0,600.0,,,0 CDM,30086376,Hc Throperoxidase Ab,412.0,412.0,,,0 CDM,30086382,"Hc Neutralization Test, Polio Virus",441.0,441.0,,,0 CDM,30086403,Hc Bacterial Antigen Test,433.0,433.0,,,0 CDM,30086592,Hc Vdrl Screen -Csf,168.0,168.0,,,0 CDM,30086593,Hc Vdrl-Csf Quantitative,213.0,213.0,,,0 CDM,30086603,Hc Antibody; Adenovirus,220.0,220.0,,,0 CDM,30086606,Hc Antibody; Aspergillus,220.0,220.0,,,0 CDM,30086609,"Hc S Pneumoniae Igg Ab, Each",107.0,107.0,,,0 CDM,30086611,Hc Antibody;Bartonella,88.0,88.0,,,0 CDM,30086612,Hc Antibody; Blastomyces,331.0,331.0,,,0 CDM,30086615,Hc Bordetella Pertussis Igg,224.0,224.0,,,0 CDM,30086617,Hc Antibody; Borrelia Burgdorferi Confirmatory Test; Western Blot,413.0,413.0,,,0 CDM,30086618,"Hc B. Burgdoferi Ab, Csf",438.0,438.0,,,0 CDM,30086622,Hc Antibody; Brucella,205.0,205.0,,,0 CDM,30086628,Hc Antibody; Candida,143.0,143.0,,,0 CDM,30086631,Hc Antibody; Chlamydia,212.0,212.0,,,0 CDM,30086632,Hc Antibody; Chlamydia Igm,210.0,210.0,,,0 CDM,30086635,Hc Antibody; Coxiella Burneti (Q Fever),199.0,199.0,,,0 CDM,30086648,Hc Antibody; Diphtheria,168.0,168.0,,,0 CDM,30086651,Hc Arbovirus Ab Igm,68.0,68.0,,,0 CDM,30086658,Hc Coxsackie A Ab Panel,157.0,157.0,,,0 CDM,30086665,"Hc Antibody, Ebv Capsid Igg",484.0,484.0,,,0 CDM,30086666,Hc Antibody Ehrlichia,143.0,143.0,,,0 CDM,30086671,Hc Saccharomyces Cer Ab Iga,243.0,243.0,,,0 CDM,30086682,Hc Echinococcus Ab Igg Wb Refx,186.0,186.0,,,0 CDM,30086684,Hc Antibody Haemophilus Influenza,263.0,263.0,,,0 CDM,30086687,Hc Antibody; Htlv-I,263.0,263.0,,,0 CDM,30086689,Hc Hiv2 Ab Confirmation,241.0,241.0,,,0 CDM,30086692,Hc Hepatitis Delta Ab,210.0,210.0,,,0 CDM,30086694,"Hc Antibody, Herpes Simplex Igg",470.0,470.0,,,0 CDM,30086698,Hc Histoplasma Antibody,163.0,163.0,,,0 CDM,30086701,Hc Antibody; Hiv-1,78.0,78.0,,,0 CDM,30086701_LAF,Hc Antibody; Hiv-1-Laf,84.0,84.0,,,0 CDM,30086702,Hc Hiv2 Ab Differentiation,78.0,78.0,,,0 CDM,30086707,Hc Hepatitis Be Antibody,200.0,200.0,,,0 CDM,30086708,Hc Hepatitis A Antibody; Total,289.0,289.0,,,0 CDM,30086710,Hc Influenza Virus A Antibody,100.0,100.0,,,0 CDM,30086713,Hc Legionella,108.0,108.0,,,0 CDM,30086720,Hc Antibody; Leptospira,255.0,255.0,,,0 CDM,30086727,Hc Antibody; Lymphocytic Choriomeningitis,107.0,107.0,,,0 CDM,30086735,Hc Mumps Titer,58.0,58.0,,,0 CDM,30086738,"Hc Antibody, Mycoplasma Pneumoniae Igg",191.0,191.0,,,0 CDM,30086747,Hc Antibody; Parvovirus,340.0,340.0,,,0 CDM,30086753,Hc T. Cruzi Ab Panel,291.0,291.0,,,0 CDM,30086756,Hc Antibodyl Respiratory Syncytial Virus,208.0,208.0,,,0 CDM,30086757,Hc Rocky Mtn Spotted Fever Ab,334.0,334.0,,,0 CDM,30086765,Hc Widal Agglutinins,392.0,392.0,,,0 CDM,30086771,Hc Antibody; Shigella,298.0,298.0,,,0 CDM,30086774,Hc Antibody; Teatnus,255.0,255.0,,,0 CDM,30086784,Hc Antibody; Trichinella,297.0,297.0,,,0 CDM,30086787,"Hc Antibody, Varicella-Zoster Igm",374.0,374.0,,,0 CDM,30086790,Hc Lrsv-Hepatitis E Virus Igm Ab Conf,168.0,168.0,,,0 CDM,30086793,Hc Antibody; Yersina Enterocolitica,163.0,163.0,,,0 CDM,30086800,Hc Thyroglobulin Antibody,412.0,412.0,,,0 CDM,30086804,Hc Hepatitis C Antibody; Confirmatory Test,412.0,412.0,,,0 CDM,30086807,Hc Pra Class I,378.0,378.0,,,0 CDM,30086812,Hc Hla Type; A B C Sgl Ag,370.0,370.0,,,0 CDM,30086817,"Hc Hla Typing; Dr/Dq, Multiple Antigens",1217.0,1217.0,,,0 CDM,30086825,Hc Endothelial Cell Crossmatch,496.0,496.0,,,0 CDM,30086831,"Hc Mica Antibody, Serum",474.0,474.0,,,0 CDM,30086832,Hc Hla Class I C1Q,550.0,550.0,,,0 CDM,30086849,Hc Allomap,534.0,534.0,,,0 CDM,30086886,Hc Indirect Ab Titer,869.0,869.0,,,0 CDM,30086891,"Hc Autologous Blood Or Component, Collection Process & Store; Intra- Or Postop Salave",4089.0,4089.0,,,0 CDM,30086902,"Hc Blood Typing, Serologic; Antigen Testing Of Donor Blood Using Reagent Serum, Each Antigen Test",186.0,186.0,,,0 CDM,30086960,"Hc Volume Reduction Of Blood Or Blood Products, Each Unit",298.0,298.0,,,0 CDM,30086975,"Hc Pretreatment Of Serum For Us In Rbc Antibody Identification, Incubation With Drugs, Each",399.0,399.0,,,0 CDM,30086976,Hc Serum Dilution,869.0,869.0,,,0 CDM,30087040,Hc Culture Bacterial Blood Additional,574.0,574.0,,,0 CDM,30087070,"Hc Culture, Aerobic",385.0,385.0,,,0 CDM,30087071,Hc Aerobic Quant Tissue Culture,465.0,465.0,,,0 CDM,30087077,Hc Clo Method For Definitive Id,186.0,186.0,,,0 CDM,30087077_LAF,Hc Clo Method For Definitive Id-Laf,39.0,39.0,,,0 CDM,30087081,Hc Methicillin Resistance Screen,255.0,255.0,,,0 CDM,30087103,Hc Fungus Culture Blood,207.0,207.0,,,0 CDM,30087149,Hc Afb Identtionific By Nucleic Acid Probe,367.0,367.0,,,0 CDM,30087158,Hc Myobacterium Identification By Sequencing,343.0,343.0,,,0 CDM,30087177,Hc Ova & Parasites Dir Smr W Id,103.0,103.0,,,0 CDM,30087184,Hc Susceptibility-Single Agent,227.0,227.0,,,0 CDM,30087186,"Hc Lantimicrobial Susceptibility, Nocardia",431.0,431.0,,,0 CDM,30087190,"Hc Susceptibility Studies, Antimicrobial Agent; Mycobactera, Proportion Method, Each Agent",140.0,140.0,,,0 CDM,30087206,Hc Smear Acid Fast Stain For Parasites,227.0,227.0,,,0 CDM,30087209,"Hc Smear, Primary Source With Interpretation; Complex Special Stain (Trichome) For Ova And Parasites",233.0,233.0,,,0 CDM,30087252,"Hc Culture, Herpes Simplex",374.0,374.0,,,0 CDM,30087272,Hc Ag Detect By If Crytosporidium,213.0,213.0,,,0 CDM,30087328,Hc Cryptosporidium Ag,313.0,313.0,,,0 CDM,30087329,Hc Giardia Ag,161.0,161.0,,,0 CDM,30087338,"Hc Infectious Agent Antigen Detect Enzyme Immunoassay Tech, Qual/Semiquant, Multiple-Step; Stool",443.0,443.0,,,0 CDM,30087341,Hc Hepatitis B Surface Ag Ia,281.0,281.0,,,0 CDM,30087350,"Hc Infect Agent Antigen Detect Enzyme Immunoassay Tech, Qual/Semiquant, Multiple-Step; Hepatitis B",200.0,200.0,,,0 CDM,30087385,Hc Histoplasma Ag,347.0,347.0,,,0 CDM,30087390,"Hc Infectious Agent Antigen Detect Enzyme Immunoassay Technique, Qual/Semiquant, Multiple; Hiv-1",187.0,187.0,,,0 CDM,30087400,Hc Influenza B Rapid,127.0,127.0,,,0 CDM,30087427,Hc Infect Ag Shiga-Like Toxin 2,118.0,118.0,,,0 CDM,30087449,Hc Immunoassay Fungitell,339.0,339.0,,,0 CDM,30087481,Noncdm Charge Record,155.0,155.0,,,0 CDM,30087494,Hc Trach/N Gonor Amplified Rna Sendout,319.0,319.0,,,0 CDM,30087496,Hc Infectious Agentt-Dna/Rna; Cytomegalovirus,1043.0,1043.0,,,0 CDM,30087497,Hc Viracor Cmv Pcr,991.0,991.0,,,0 CDM,30087501,Hc Flu A Rev Tr Amp Probe Ea Typ,249.0,249.0,,,0 CDM,30087502,"Hc Infect Agent Detect Dna/Rna; Flu Virus, Multiple, Multi Reverse & Amp Probe, 1St 2 Types",427.0,427.0,,,0 CDM,30087503,"Hc Infect Agent Detect Dna/Rna; Flu Virus, Multiple, Multi Reverse & Amp Probe, Ea Beyond 2",105.0,105.0,,,0 CDM,30087513,"Hc H Pylori + Clarithro Resist, Pcr, F",315.0,315.0,,,0 CDM,30087516,Hc Hepatitis B Amplified Probe Technique,193.0,193.0,,,0 CDM,30087521,"Hc Infectious Agent Detection By Dna Or Rna; Hepatitis C Virus, Quantification",503.0,503.0,,,0 CDM,30087532,"Hc Infectious Agent Detection By Dna Or Rna; Herpes Virus-6, Direct Probe Technique",565.0,565.0,,,0 CDM,3008753301,"Hc Hhv-6 A And B Dna Quant Pcr, P",728.0,728.0,,,0 CDM,30087535,Hc Hiv Pcr Qualitative,720.0,720.0,,,0 CDM,30087555,Hc Mycobacteria T Dir Na Probe,288.0,288.0,,,0 CDM,30087556,"Hc Infect Agent Detec By Nucleic Acid Rna Or Dna; Mycobacteria Tuberculosis, Amplified Probe Tech",382.0,382.0,,,0 CDM,30087561,"Hc Infect Agent Detect Nucleic Acid Rna/Dna; Mycobacteria Avium-Intracellulare, Direct Probe Tech",117.0,117.0,,,0 CDM,30087581,Hc Mycoplasma Amplif Na Probe,337.0,337.0,,,0 CDM,30087637,Hc Poct Coronavirus 2 Sars Cov2 Influenza A Influenza B Rsv,428.0,428.0,,,0 CDM,30087798,Hc Bordetella Pertussis Pcr,596.0,596.0,,,0 CDM,3008779801,Hc Mycoplasma Hominis Pcr,224.0,224.0,,,0 CDM,3008779802,Hc Ureaplasma Pcr,224.0,224.0,,,0 CDM,30087799,Hc Bk Virus Quantiative Pcr,661.0,661.0,,,0 CDM,30087806,Hc Hiv-1 Antigen Hiv 1/2 Ab,332.0,332.0,,,0 CDM,30087899,Hc C Albicans Ag Detection,274.0,274.0,,,0 CDM,30087900,Hc Infectious Agent Drug Susc Pheno Predct,909.0,909.0,,,0 CDM,30087901,Hc Infectious Agent Genotype,2140.0,2140.0,,,0 CDM,30087902,Hc Infectious Agent Genotype Analysis By Nucleic Acid Dna Or Rna; Hepatitis C Virus,1985.0,1985.0,,,0 CDM,30087903,Hc Phenotype Drug Res Hiv 10 Drugs,3641.0,3641.0,,,0 CDM,30087904,Hc Phenotype Drug Res Hiv Ea Addl Drug,117.0,117.0,,,0 CDM,30087910,Hc Cmv Genotyping,1388.0,1388.0,,,0 CDM,30087912,Hc Hepatitis B Genotype,823.0,823.0,,,0 CDM,30087999,Hc Infect Ag Dect Hiv Trophile,2746.0,2746.0,,,0 CDM,30088305,Hc Level Iv Renal Interpretation,938.0,938.0,,,0 CDM,30088313,Hc Periodic Acid Schiff (Pas),302.0,302.0,,,0 CDM,30088313_LAF,Hc Periodic Acid Schiff (Pas)-Laf,152.0,152.0,,,0 CDM,30088319,Hc Histochemical Enzyme I.D.,658.0,658.0,,,0 CDM,30088720,Hc Bilirubin Total Transcut,93.0,93.0,,,0 CDM,30088738,"Hc Hemoglobin, Quantitative, Transcutaneous",21.0,21.0,,,0 CDM,30089050,"Hc Cell Count, Miscellaneous Body Fluids, Except Blood",199.0,199.0,,,0 CDM,30089051,Hc Synovial Fluid Cell Ct W/Differential,478.0,478.0,,,0 CDM,30089060,"Hc Crystal Identification By Light Micrscopy With/Without Polar Lens Analysis, Tissue/Body Fluid",226.0,226.0,,,0 CDM,30089230,Hc Sweat Collection By Iontophoresis,376.0,376.0,,,0 CDM,30099000,Hc Urine Specimen Collection Only,67.0,67.0,,,0 CDM,30099001,Hc Special Prep Handle Transport,155.0,155.0,,,0 CDM,30100241,Hc Coronavirus 2 Sars Cov2 Influenza A Influenza B Rsv Poc,471.0,471.0,,,0 CDM,30100270,"Hc Jak2 Exon 12 Mutation Detection, Bm",937.0,937.0,,,0 CDM,30100479,Hc Alcohol Urn Presumptive,182.0,182.0,,,0 CDM,30100480,Hc Nicotine Urine,136.0,136.0,,,0 CDM,30100_PBB,Pr Biopsy Intranasal-Pbb,984.0,984.0,,,0 CDM,30115_PBB,Pr Excision Nasal Polyp Extensive-Pbb,4256.0,4256.0,,,0 CDM,30117_PBB,Pr Excision/Destruction Intranasal Lesion Int Appr-Pbb,3277.0,3277.0,,,0 CDM,30120_PBB,Pr Excision/Surgical Planing Skin Nose Rhinophyma-Pbb,9450.0,9450.0,,,0 CDM,30125_PBB,Pr Exc Dermoid Cyst Nose Complex Under Bone/Crtlg,5463.0,5463.0,,,0 CDM,30140_PBB,Pr Submucous Rescj Inferior Turbinate Prtl/Compl-Pbb,6060.0,6060.0,,,0 CDM,30180048,Hc Basic Metabolic Panel,379.0,379.0,,,0 CDM,30180048_LAF,Hc Basic Metabolic Panel-Laf,81.0,81.0,,,0 CDM,30180051,Hc Electrolyte Panel,192.0,192.0,,,0 CDM,30180051_LAF,Hc Electrolyte Panel-Laf,171.0,171.0,,,0 CDM,30180053,Hc Comprehensive Metabolic Panel,496.0,496.0,,,0 CDM,30180053_LAF,Hc Comprehensive Metabolic Panel-Laf,101.0,101.0,,,0 CDM,30180061,Hc Lipid Panel,465.0,465.0,,,0 CDM,30180061_LAF,Hc Lipid Panel-Laf,128.0,128.0,,,0 CDM,30180069,Hc Renal Function Panel,432.0,432.0,,,0 CDM,30180074,Hc Hepatitis Panel Acute,1118.0,1118.0,,,0 CDM,30180076,Hc Hepatic Function Panel,330.0,330.0,,,0 CDM,30180150,Hc Amikacin,310.0,310.0,,,0 CDM,30180156,Hc Carbamazepine; Total,806.0,806.0,,,0 CDM,30180162,Hc Digoxin; Total,327.0,327.0,,,0 CDM,30180164,Hc Valproic Acid; Total,776.0,776.0,,,0 CDM,30180170,Hc Gentamicin,528.0,528.0,,,0 CDM,30180176,Hc Lidocaine,367.0,367.0,,,0 CDM,30180178,Hc Lithium,382.0,382.0,,,0 CDM,30180184,Hc Phenobarbital,416.0,416.0,,,0 CDM,30180185,Hc Phenytoin; Total,505.0,505.0,,,0 CDM,30180186,Hc Phenytoin; Free,428.0,428.0,,,0 CDM,30180188,Hc Primidone,138.0,138.0,,,0 CDM,30180192,"Hc Procainamide, S",256.0,256.0,,,0 CDM,30180194,Hc Quinidine,189.0,189.0,,,0 CDM,30180195,Hc Sirolimus,563.0,563.0,,,0 CDM,30180197,Hc Tacrolimus,870.0,870.0,,,0 CDM,30180198,Hc Theophylline,425.0,425.0,,,0 CDM,30180200,Hc Tobramycin,386.0,386.0,,,0 CDM,30180201,Hc Topiramate,461.0,461.0,,,0 CDM,30180202,Hc Vancomycin,560.0,560.0,,,0 CDM,30180299,Hc Methotextrate Quantitative,490.0,490.0,,,0 CDM,30180307,Hc Drug Test Presumptive Chemistry Analyzers,70.0,70.0,,,0 CDM,30180321,Hc Phosphatidylethanol,145.0,145.0,,,0 CDM,30180326,"Hc Csm Hybrid Drug Profile, Amphetamines",138.0,138.0,,,0 CDM,30180338,Hc Trazodone,77.0,77.0,,,0 CDM,30180345,Hc Drug Screening Barbiturates,139.0,139.0,,,0 CDM,30180347,"Hc Csm Hybrid Drug Profile, Benzodiazepines",138.0,138.0,,,0 CDM,30180353,Hc Drug Screening Cocaine,158.0,158.0,,,0 CDM,30180368,"Hc Benzodiazepines Confirmation, U",66.0,66.0,,,0 CDM,30180402,Hc Acth Stimulation Panel; 21 Hydroxylase Deficiency,383.0,383.0,,,0 CDM,30180406,Hc Acth Stimulation Panel; 3 Beta-Hydroxydehydrogenase Deficiency,343.0,343.0,,,0 CDM,30180414,Hc Chorionic Gonadotropin Stimulation Panel; Testosterone Response,541.0,541.0,,,0 CDM,30180415,Hc Chornc Gonad Stimj Pnl Total Estradiol Response,541.0,541.0,,,0 CDM,30180418,Hc Combined Rapid Anterior Pituitary Eval Panel,2548.0,2548.0,,,0 CDM,30181003,"Hc Urinalysis, Specific Gravity Only",112.0,112.0,,,0 CDM,30181003_LAF,"Hc Urinalysis, Specific Gravity Only-Laf",22.0,22.0,,,0 CDM,30181206,Hc Bcr Abl1 T(9:22) Major Quantitative,1192.0,1192.0,,,0 CDM,30181207,Hc Bcr Abl1 T(9:22) Minor Quantitative,1192.0,1192.0,,,0 CDM,30181219,Hc Calr Mutation Analysis,1133.0,1133.0,,,0 CDM,30181220,Hc Ashks Cystic Fibrosis,341.0,341.0,,,0 CDM,30181242,Hc Ashks Fanconi Anemia,1565.0,1565.0,,,0 CDM,30181244,Hc Fragile X Diagnostic Testing Gene Analysis; Characterization Of Alleles,662.0,662.0,,,0 CDM,30181265,Hc Molar Pregnacy,1637.0,1637.0,,,0 CDM,30181301,Hc Msi Tumor Microsat Instab,1053.0,1053.0,,,0 CDM,30181331,Hc Imprinting Center Deletion Analysis,793.0,793.0,,,0 CDM,30181350,Hc Ugt1A1 Genotyping For Irinotecan Dosing,850.0,850.0,,,0 CDM,30181400,Hc Lct 13910 C/T Variant,1974.0,1974.0,,,0 CDM,30181401,Hc Galactosiemia Gene Analysis,1162.0,1162.0,,,0 CDM,30181402,Hc Igh Vdj Gene Rearrangement,3905.0,3905.0,,,0 CDM,30181404,Hc Familial Amyloid Dna Sequence,798.0,798.0,,,0 CDM,30181405,Hc Mol Path Proc Lvl6,1264.0,1264.0,,,0 CDM,30181406,Hc Mol Path Proc Lvl7,1264.0,1264.0,,,0 CDM,30181443,Hc Abnormal Ambiguous Genitalia Panel,5096.0,5096.0,,,0 CDM,30181445,Hc Ngs Panel Nsclc 5-50 Loci,5361.0,5361.0,,,0 CDM,30181450,Hc Oncoscreen Ngs Bm/B,4464.0,4464.0,,,0 CDM,30181479,Hc Molecular Diagnostics Nos,796.0,796.0,,,0 CDM,30181599,Hc Preeclampsia Sflt-1/Pigf Ratio,902.0,902.0,,,0 CDM,30182009,Hc Ketone Body(S); Qualitative,58.0,58.0,,,0 CDM,30182040,"Hc Albumin; Serum, Plasma Or Whole Blood",147.0,147.0,,,0 CDM,30182040_LAF,"Hc Albumin; Serum, Plasma Or Whole Blood-Laf",43.0,43.0,,,0 CDM,30182043,"Hc Albumin; Urine (Eg, Microalbumin), Quantitative",224.0,224.0,,,0 CDM,30182043_LAF,"Hc Albumin; Urine (Eg, Microalbumin), Quantitative-Laf",56.0,56.0,,,0 CDM,30182075,"Hc Alcohol, Breath",48.0,48.0,,,0 CDM,30182085,Hc Aldolase,326.0,326.0,,,0 CDM,30182088,"Hc Aldosterone, Urine",342.0,342.0,,,0 CDM,30182103,Hc Alpha-1-Antitrypsin; Total,337.0,337.0,,,0 CDM,30182105,"Hc Alpha-Fetoprotein, Serum",454.0,454.0,,,0 CDM,30182106,Hc Alpha-Fetoprotein (Afp); Amniotic Fluid,331.0,331.0,,,0 CDM,30182139,Hc Amino Acid Chromium Quantitative,1156.0,1156.0,,,0 CDM,30182140,Hc Ammonia,385.0,385.0,,,0 CDM,30182143,Hc Amniotic Fluid Scan,41.0,41.0,,,0 CDM,30182150,"Hc Amylase, Fluid",196.0,196.0,,,0 CDM,30182164,Hc Angiotensin 1- Converting Enzyme (Ace),366.0,366.0,,,0 CDM,30182172,Hc Lipoprotein A,261.0,261.0,,,0 CDM,30182175,"Hc Heavy Metal Arsenic/Creatinine Ratio, U",178.0,178.0,,,0 CDM,30182190,Hc Thallium,408.0,408.0,,,0 CDM,30182232,Hc Beta-2 Microglobulin-Urine,411.0,411.0,,,0 CDM,30182234,"Hc Alzheimer's Disease Evaluation, Abeta 42, Csf",503.0,503.0,,,0 CDM,30182247,Hc Bilirubin; Total,159.0,159.0,,,0 CDM,30182248,Hc Bilirubin; Direct,158.0,158.0,,,0 CDM,30182248_LAF,Hc Bilirubin; Direct-Laf,43.0,43.0,,,0 CDM,30182261,Hc Biotinidase Newborn Screening,37.0,37.0,,,0 CDM,30182270,"Hc Blood Occult, Peroxidase , Qual, Feces, Consec Spec, Single ,Colorectal Neoplasm Screen",72.0,72.0,,,0 CDM,30182271,"Hc Blood Occult, By Peroxidase Activity, Qualitative, Other Sources",59.0,59.0,,,0 CDM,30182272,"Hc Blood Occult, By Perodidase, Qual, Feces, 1-3 Simult, Other Than Colorectal Neoplasm Screen",110.0,110.0,,,0 CDM,30182274,"Hc Blood, Occult, By Fecal Hemoglobin Determination By Immunoassay, Qual, Feces, 1-3 Simultaneous",165.0,165.0,,,0 CDM,30182300,"Hc Heavy Metal Cadmium/Creatinine Ratio, U",197.0,197.0,,,0 CDM,30182310,Hc Calcium; Total,162.0,162.0,,,0 CDM,30182310_LAF,Hc Calcium; Total-Laf,43.0,43.0,,,0 CDM,30182330,Hc Calcium; Ionized,312.0,312.0,,,0 CDM,30182340,Hc Calcium Urine,196.0,196.0,,,0 CDM,30182355,Hc Calculus; Qualitative Analysis,41.0,41.0,,,0 CDM,30182374,Hc Carbon Diozide (Bicarbonate),82.0,82.0,,,0 CDM,30182374_LAF,Hc Carbon Diozide (Bicarbonate)-Laf,43.0,43.0,,,0 CDM,30182375,Hc Carboxyhemoglobin; Quantitative,206.0,206.0,,,0 CDM,30182378,Hc Carcinoembryonic Antigen (Cea),531.0,531.0,,,0 CDM,30182378_LAF,Hc Carcinoembryonic Antigen (Cea)-Laf,180.0,180.0,,,0 CDM,30182390,Hc Ceruloplasmin,337.0,337.0,,,0 CDM,30182397,Hc Chemiluminescent Assay Inflixmab,196.0,196.0,,,0 CDM,3018239701,"Hc Hmg-Coa Reductase Ab, S",449.0,449.0,,,0 CDM,3018239702,"Hc Platelet Function By Atp Release, Chemiluminescent Assay",369.0,369.0,,,0 CDM,30182435,Hc Chloride; Blood,30.0,30.0,,,0 CDM,30182435_LAF,Hc Chloride; Blood-Laf,43.0,43.0,,,0 CDM,30182436,Hc Chloride; Urine,35.0,35.0,,,0 CDM,30182438,"Hc Chloride, Fluid",211.0,211.0,,,0 CDM,30182465,Hc Cholesterol,162.0,162.0,,,0 CDM,30182465_LAF,Hc Cholesterol-Laf,43.0,43.0,,,0 CDM,30182507,Hc Citrate,42.0,42.0,,,0 CDM,30182523,Hc Collagen Cross Links-Any Method,547.0,547.0,,,0 CDM,30182525,Hc Copper,232.0,232.0,,,0 CDM,30182530,Hc Cortisol Free Saliva,348.0,348.0,,,0 CDM,30182542,Hc Dexamethasone Serum,475.0,475.0,,,0 CDM,30182544,Hc Acylglycines Ur Collection Chromosome Quantiative,1140.0,1140.0,,,0 CDM,30182550,Hc Emergency Total Ck Assay,133.0,133.0,,,0 CDM,30182553,"Hc Creatine Kinase, Mb Fraction Repeat",246.0,246.0,,,0 CDM,30182565,Hc Creatinine; Blood,151.0,151.0,,,0 CDM,30182565_LAF,Hc Creatinine; Blood-Laf,43.0,43.0,,,0 CDM,30182570,"Hc Creatinine, Urine",187.0,187.0,,,0 CDM,30182570_LAF,"Hc Creatinine, Urine-Laf",50.0,50.0,,,0 CDM,30182575,Hc Creatinine; Clearance,411.0,411.0,,,0 CDM,30182585,Hc Cryofibrinogen,91.0,91.0,,,0 CDM,30182595,"Hc Cryoglobulin, Qualitative Or Semi-Quantitative",197.0,197.0,,,0 CDM,30182607,Hc Cyanocobalamin Vitamin B-12,428.0,428.0,,,0 CDM,30182607_LAF,Hc Cyanocobalamin Vitamin B-12-Laf,143.0,143.0,,,0 CDM,30182610,Hc Cystatin C,311.0,311.0,,,0 CDM,30182615,"Hc Cystine And Homocystine, Urine, Qualitative",23.0,23.0,,,0 CDM,30182653,Hc El-1 Fecal Quantitative,260.0,260.0,,,0 CDM,30182657,Hc Asparginase Serum,270.0,270.0,,,0 CDM,30182668,Hc Erythropoietin,441.0,441.0,,,0 CDM,30182670,Hc Estradiol 17 Beta,450.0,450.0,,,0 CDM,30182670_LAF,Hc Estradiol 17 Beta-Laf,108.0,108.0,,,0 CDM,30182677,Hc Estriol,252.0,252.0,,,0 CDM,30182710,Hc Fecal Fat,338.0,338.0,,,0 CDM,30182728,Hc Ferritin,437.0,437.0,,,0 CDM,30182728_LAF,Hc Ferritin-Laf,130.0,130.0,,,0 CDM,30182731,Hc Fetal Fibronetin Assay,779.0,779.0,,,0 CDM,30182746,Hc Folic Acid; Serum,439.0,439.0,,,0 CDM,30182747,Hc Folic Acid; Rbc,369.0,369.0,,,0 CDM,30182760,"Hc Galactose, Newborn Screening",37.0,37.0,,,0 CDM,30182775,Hc Gal-1-Phos Uridyltrns Geno,342.0,342.0,,,0 CDM,30182784,Hc Immunoglobulin D,266.0,266.0,,,0 CDM,30182785,Hc Gammaglobulin; Ige,61.0,61.0,,,0 CDM,30182800,"Hc Gases, Blood, Ph Only",200.0,200.0,,,0 CDM,30182805,"Hc Gases, Blood, Any Combo Of Ph, Pco2, Po2, Co2, Hco3;W/ O2 Satrn By Direct Measure, Excpt Pulse Ox",428.0,428.0,,,0 CDM,30182945,"Hc Glucose, Fluid",188.0,188.0,,,0 CDM,30182947,Hc Glucose; Quantitative Blood,75.0,75.0,,,0 CDM,30182947_LAF,Hc Glucose; Quantitative Blood-Laf,43.0,43.0,,,0 CDM,30182948,"Hc Glucose; Blood, Reagent Strip",54.0,54.0,,,0 CDM,30182950,Hc Glucose; Post Glucose Dose,190.0,190.0,,,0 CDM,30182951,"Hc Glucose; Tolerance Test, 3 Specimens",403.0,403.0,,,0 CDM,30182952,"Hc Glucose Test Gtt, Each Additional Beyond 3 Specimens",122.0,122.0,,,0 CDM,30182962,Hc Glucose Blood By Glucose Monitor,85.0,85.0,,,0 CDM,30182963,"Hc Beta-Glucosidase, Leukocytes",416.0,416.0,,,0 CDM,30182977,"Hc Glutamyltransferase, Gamma",158.0,158.0,,,0 CDM,30182985,Hc Glycated Albumin,150.0,150.0,,,0 CDM,30183001,Hc Gonadotropin; Follicle Stimulating Hormone,469.0,469.0,,,0 CDM,30183001_LAF,Hc Gonadotropin; Follicle Stimulating Hormone-Laf,124.0,124.0,,,0 CDM,30183002,Hc Gonadtropin; Luteinizing Hormone,411.0,411.0,,,0 CDM,30183002_LAF,Hc Gonadtropin; Luteinizing Hormone-Laf,176.0,176.0,,,0 CDM,30183010,Hc Assay Of Haptoglobin Quantitative,387.0,387.0,,,0 CDM,30183013,"Hc Helicobacter Pylori; Breath Test Analysis For Urease Activity, Non-Radioactive Isotope",1213.0,1213.0,,,0 CDM,30183014,Hc Helicobacter Pylori; Drug Administration,405.0,405.0,,,0 CDM,30183018,Hc Heavy Metal Gadolinium,204.0,204.0,,,0 CDM,30183021,Hc Hemoglobin Fractj/Quantj Chromotography,210.0,210.0,,,0 CDM,30183036,Hc Hemoglobin; Glycosylated A1C,344.0,344.0,,,0 CDM,30183036_LAF,Hc Hemoglobin; Glycosylated A1C-Laf,92.0,92.0,,,0 CDM,30183037,"Hc Hemoglobin, Glycosylated A1C By Device Cleared By Fda",246.0,246.0,,,0 CDM,30183050,"Hc Hemoglobin; Methemoblobin, Quantitative",82.0,82.0,,,0 CDM,30183070,"Hc Hemosiderin, Qualitative",134.0,134.0,,,0 CDM,30183080,Hc Hexosaminidase Wbc,442.0,442.0,,,0 CDM,30183090,Hc Homocysteine,490.0,490.0,,,0 CDM,30183498,Hc 17Ohprogesterone Newborn Screen,37.0,37.0,,,0 CDM,30183516,Hc Centromere Abs,301.0,301.0,,,0 CDM,30183519,Hc 18-Hydroxycorticosterone,85.0,85.0,,,0 CDM,30183520,Hc Immunoassay Quan; Panca Igg,270.0,270.0,,,0 CDM,30183521,"Hc Ig Light Chains Free, S",260.0,260.0,,,0 CDM,30183529,Hc Asay Of Interleukin-6 (Il-6),270.0,270.0,,,0 CDM,30183540,Hc Iron,213.0,213.0,,,0 CDM,30183540_LAF,Hc Iron-Laf,61.0,61.0,,,0 CDM,30183550,Hc Iron Binding Capacity,269.0,269.0,,,0 CDM,30183550_LAF,Hc Iron Binding Capacity-Laf,83.0,83.0,,,0 CDM,30183605,Hc Lactate (Lactic Acid),247.0,247.0,,,0 CDM,30183615,Hc Lactate Dehydrogenase,159.0,159.0,,,0 CDM,30183655,Hc Lead,222.0,222.0,,,0 CDM,30183663,Hc Fetal Lung Maturity Assessment; Fluorescence Polarization,522.0,522.0,,,0 CDM,30183690,Hc Lipase,293.0,293.0,,,0 CDM,30183704,Hc Ldl Particle Concentration Nmr,284.0,284.0,,,0 CDM,30183718,"Hc Lipoprotein, Direct Measurement; High Density Cholesterol",179.0,179.0,,,0 CDM,30183718_LAF,"Hc Lipoprotein, Direct Measurement; High Density Cholesterol-Laf",30.0,30.0,,,0 CDM,30183721,"Hc Lipoprotein, Direct Measurement; Ldl Cholesterol",112.0,112.0,,,0 CDM,30183735,Hc Magnesium,123.0,123.0,,,0 CDM,30183735_LAF,Hc Magnesium-Laf,64.0,64.0,,,0 CDM,30183789,Hc Iodine,309.0,309.0,,,0 CDM,30183825,"Hc Mercury, Urine",112.0,112.0,,,0 CDM,30183874,Hc Myoglobin,199.0,199.0,,,0 CDM,30183880,Hc Natriuretic Peptide,500.0,500.0,,,0 CDM,30183883,"Hc C1 Esterase Inhibitor, Ql",309.0,309.0,,,0 CDM,30183921,"Hc Orotic Acid, Urine",290.0,290.0,,,0 CDM,30183930,Hc Osmolality; Blood,128.0,128.0,,,0 CDM,30183935,"Hc Osmolality, Fluid",198.0,198.0,,,0 CDM,30183937,Hc Osteocalcin,260.0,260.0,,,0 CDM,30183945,Hc Oxalate,48.0,48.0,,,0 CDM,30183970,Hc Parathryoid Hormone Test,594.0,594.0,,,0 CDM,30183986,"Hc Ph, Fecal",117.0,117.0,,,0 CDM,30184075,"Hc Phosphatase, Alkaline",104.0,104.0,,,0 CDM,30184075_LAF,"Hc Phosphatase, Alkaline-Laf",43.0,43.0,,,0 CDM,30184080,"Hc Alkaline Phosphatase; Isoenzymes, Bones",223.0,223.0,,,0 CDM,30184087,"Hc Glucose Phosphate Isomerase, B",372.0,372.0,,,0 CDM,30184100,Hc Phosphorus Inorganic Phosphate,117.0,117.0,,,0 CDM,30184105,Hc Phosphorus Inorganic Phosphate; Urine,144.0,144.0,,,0 CDM,30184112,"Hc Membrane Rupture Cervicovaginal Fluid For Specific Amniotic Fluid Pretiens, Qualitative, Each",615.0,615.0,,,0 CDM,30184120,"Hc Porphyrins, Fractioned",302.0,302.0,,,0 CDM,30184132,"Hc Potassium; Serum, Plasma Or Whole Blood",50.0,50.0,,,0 CDM,30184132_LAF,"Hc Potassium; Serum, Plasma Or Whole Blood-Laf",43.0,43.0,,,0 CDM,30184133,"Hc Potassium, Urine",81.0,81.0,,,0 CDM,30184144,Hc Progesterone,349.0,349.0,,,0 CDM,30184144_LAF,Hc Progesterone-Laf,199.0,199.0,,,0 CDM,30184146,Hc Prolactin,459.0,459.0,,,0 CDM,30184146_LAF,Hc Prolactin-Laf,155.0,155.0,,,0 CDM,30184153,Hc Prostate Specific Antigen (Psa); Total,433.0,433.0,,,0 CDM,30184153_LAF,Hc Prostate Specific Antigen (Psa); Total-Laf,175.0,175.0,,,0 CDM,30184154,Hc Prostate Specific Antigen (Psa); Free,356.0,356.0,,,0 CDM,30184155,"Hc Protein, Total, Except By Refractometry; Serum, Plasma Or Whole Blood",147.0,147.0,,,0 CDM,30184155_LAF,"Hc Protein, Total, Except By Refractometry; Serum, Plasma Or Whole Blood-Laf",43.0,43.0,,,0 CDM,30184156,"Hc Protein, Urine, Quantitative",185.0,185.0,,,0 CDM,30184156_LAF,"Hc Protein, Urine, Quantitative-Laf",92.0,92.0,,,0 CDM,30184157,"Hc Protein, Total, Body Fluid",185.0,185.0,,,0 CDM,30184165,Hc Protein; Electrophoretic Fractionation And Quantitation; Serum,405.0,405.0,,,0 CDM,30184166,"Hc Protein Electrophoresis, Urine",451.0,451.0,,,0 CDM,30184182,Hc Western Blot Paraneoplastic,274.0,274.0,,,0 CDM,30184295,"Hc Sodium; Serum, Plasma Or Whole Blood",50.0,50.0,,,0 CDM,30184295_LAF,"Hc Sodium; Serum, Plasma Or Whole Blood-Laf",43.0,43.0,,,0 CDM,30184300,"Hc Sodium, Fluid",42.0,42.0,,,0 CDM,30184305,Hc Beta-Hydroxybutyrate Assay,323.0,323.0,,,0 CDM,30184311,Hc Fluid Cholesterol Spectro,196.0,196.0,,,0 CDM,30184315,Hc Specific Gravity Fluid,38.0,38.0,,,0 CDM,30184392,"Hc Sulfate, Urine",28.0,28.0,,,0 CDM,30184393,"Hc Alzheimer's Disease Evaluation, Tau Phosphorylated, Csf",503.0,503.0,,,0 CDM,30184394,"Hc Alzheimer's Disease Evaluation, Total Tau, Csf",503.0,503.0,,,0 CDM,30184403,Hc Te Tesosterone,270.0,270.0,,,0 CDM,30184425,"Hc Vitamin B1, Plasma",309.0,309.0,,,0 CDM,30184432,Hc Thyroglobulin,483.0,483.0,,,0 CDM,30184433,"Hc Tpmt Activity Profile, Rbc",447.0,447.0,,,0 CDM,30184436,Hc Thyroxine; Total,265.0,265.0,,,0 CDM,30184439,"Hc Thyroxine, Free",347.0,347.0,,,0 CDM,30184439_LAF,"Hc Thyroxine, Free-Laf",85.0,85.0,,,0 CDM,30184443,Hc Thyroid Stimulating Hormone (Tsh),512.0,512.0,,,0 CDM,30184443_LAF,Hc Thyroid Stimulating Hormone (Tsh)-Laf,161.0,161.0,,,0 CDM,30184446,Hc Tocopherol Alpha,214.0,214.0,,,0 CDM,30184450,Hc Transferase; Aspartate Amino,152.0,152.0,,,0 CDM,30184450_LAF,Hc Transferase; Aspartate Amino-Laf,43.0,43.0,,,0 CDM,30184460,Hc Transferase; Alanine Amino,152.0,152.0,,,0 CDM,30184460_LAF,Hc Transferase; Alanine Amino-Laf,43.0,43.0,,,0 CDM,30184466,Hc Transferrin,237.0,237.0,,,0 CDM,30184478,"Hc Triglycerides, Fluid",151.0,151.0,,,0 CDM,30184478_LAF,"Hc Triglycerides, Fluid-Laf",43.0,43.0,,,0 CDM,30184479,Hc Thyroid Hormone Uptake,128.0,128.0,,,0 CDM,30184480,Hc Triiodothyronine T3; Total,322.0,322.0,,,0 CDM,30184481,Hc Triiodothyronine T3; Free,473.0,473.0,,,0 CDM,30184482,"Hc T3, Reverse Serum",226.0,226.0,,,0 CDM,30184484,Hc Cardiac Troponin T,366.0,366.0,,,0 CDM,30184520,"Hc Urea Niitrogen, Quantitative",158.0,158.0,,,0 CDM,30184520_LAF,"Hc Urea Niitrogen, Quantitative-Laf",43.0,43.0,,,0 CDM,30184540,Hc Urea Nitrogen,94.0,94.0,,,0 CDM,30184550,Hc Uric Acid; Blood,150.0,150.0,,,0 CDM,30184550_LAF,Hc Uric Acid; Blood-Laf,43.0,43.0,,,0 CDM,30184560,Hc Uric Acid; Other Source,168.0,168.0,,,0 CDM,30184702,"Hc Bhcg Quantitative, Serum",484.0,484.0,,,0 CDM,30184702_LAF,"Hc Bhcg Quantitative, Serum-Laf",143.0,143.0,,,0 CDM,30184703,"Hc Gonadotropin, Chorionic; Qualitative",110.0,110.0,,,0 CDM,30184999,Hc Polyglutamate Medhotrexate,293.0,293.0,,,0 CDM,30185306,"Hc Protein S, Functional",839.0,839.0,,,0 CDM,30185335,Hc Factor V Inhibitor Titer,648.0,648.0,,,0 CDM,30185347,Hc Teg Activated Coagn Time,287.0,287.0,,,0 CDM,30185520,Hc Heparinoid Assay,721.0,721.0,,,0 CDM,30185576,Hc Pfa Epinephrine Aggregation,391.0,391.0,,,0 CDM,30185610,Hc Hepcheck Pt,180.0,180.0,,,0 CDM,30185610_LAF,Hc Hepcheck Pt-Laf,36.0,36.0,,,0 CDM,30185613,"Hc Russell Viper Venom Time; Diluted, Defv",388.0,388.0,,,0 CDM,30185705,Hc Thromboplastin Inhibition Tissue Con,244.0,244.0,,,0 CDM,30185732,Hc Ptt Substitution Lupus Reagent,295.0,295.0,,,0 CDM,30186003,Hc Ige Specific Quantitative Multiallergen Panel,142.0,142.0,,,0 CDM,30186008,Hc Allegen Componenet Ige Each,99.0,99.0,,,0 CDM,30186021,Hc Antibody Id Neutrophil Screen,477.0,477.0,,,0 CDM,30186022,Hc Antibody Id Platelet Ab Drug Dep,505.0,505.0,,,0 CDM,30186146,Hc Beta-2 Glycoprotein Igm,405.0,405.0,,,0 CDM,30186147,"Hc Cardiolipin Antibody, Igm",544.0,544.0,,,0 CDM,30186148,Hc Anti-Phosphotidyl Serine Ab Igm,384.0,384.0,,,0 CDM,30186160,Hc Complement C-3,483.0,483.0,,,0 CDM,30186160_LAF,Hc Complement C-3-Laf,96.0,96.0,,,0 CDM,30186161,Hc C1 Esterase Inhib Activity,299.0,299.0,,,0 CDM,30186200,"Hc Connective Tissue Disease Cascade Peptide Ab, S",311.0,311.0,,,0 CDM,30186235,Hc Autoantibodies To Jo1,464.0,464.0,,,0 CDM,30186255,Hc Reticulin Ab Screen,453.0,453.0,,,0 CDM,30186256,Hc Fluorescent Ab Titer Anna 2,168.0,168.0,,,0 CDM,30186316,Hc Mesothalein Peptide Immunoassy,367.0,367.0,,,0 CDM,30186317,Hc Tetanus Toxoid Igg Ab,178.0,178.0,,,0 CDM,30186329,Hc Histo Ab Immunodiffusion,128.0,128.0,,,0 CDM,30186334,Hc Daratumumab Ife,289.0,289.0,,,0 CDM,30186341,Hc Islet Cell Antibody Serum,413.0,413.0,,,0 CDM,30186355,Hc B Cells Cd20 Total Count,389.0,389.0,,,0 CDM,30186356,Hc Mononuclear Cell Ag Qt Flow Ea,399.0,399.0,,,0 CDM,30186376,Hc Liver/Kidney Microsomal Ab,412.0,412.0,,,0 CDM,30186403,Hc Typing Cryptococcal,433.0,433.0,,,0 CDM,30186480,Hc Tb Cell Mediated Immunity Measurement,453.0,453.0,,,0 CDM,30186480_LAF,Hc Tb Cell Mediated Immunity Measurement-Laf,263.0,263.0,,,0 CDM,30186615,Hc Bordetella Ab (Pertus) Rflx,224.0,224.0,,,0 CDM,30186644,"Hc Antibody Cytomegalovirus, Igg",453.0,453.0,,,0 CDM,30186651,Hc Arbovirus Ab Igg,68.0,68.0,,,0 CDM,30186652,Hc Arbov Eastern Equine Igg,83.0,83.0,,,0 CDM,30186653,Hc Arbov St. Louis Igg,83.0,83.0,,,0 CDM,30186654,Hc Arbov Western Equine Igg,83.0,83.0,,,0 CDM,30186658,Hc Coxsackie B Ab Panel,157.0,157.0,,,0 CDM,30186671,Hc Saccharomyces Cer Ab Igg,243.0,243.0,,,0 CDM,30186682,Hc Schistosoma,186.0,186.0,,,0 CDM,30186689,Hc Hiv-1 Western Blot,273.0,273.0,,,0 CDM,30186692,Hc Hepatitis D Igm,210.0,210.0,,,0 CDM,30186694,Hc Herpes B Virus Primate Exp,470.0,470.0,,,0 CDM,30186701,Hc Antibody; Hiv-1 Conf,78.0,78.0,,,0 CDM,30186701_LAF,Hc Antibody; Hiv-1 Conf-Laf,84.0,84.0,,,0 CDM,30186702,Hc Hiv Ab Type 2,185.0,185.0,,,0 CDM,30186702_LAF,Hc Hiv Ab Type 2-Laf,129.0,129.0,,,0 CDM,30186710,Hc Influenza Virus B Antibody,100.0,100.0,,,0 CDM,30186735,"Hc Mumps Virus Ab, Igg/Igm",218.0,218.0,,,0 CDM,30186738,"Hc Antibody, Mycoplasma Pneumoniae, Igm",191.0,191.0,,,0 CDM,30186753,Hc E. Histolytica Ab,291.0,291.0,,,0 CDM,30186757,Hc Rickettsial Disease Ab,334.0,334.0,,,0 CDM,30186765,Hc Measles Igm,392.0,392.0,,,0 CDM,30186769,Hc Covdg (Sars-Cov-2 Igg Ab),200.0,200.0,,,0 CDM,30186787,"Hc Antibody, Varicella-Zoster Igg",374.0,374.0,,,0 CDM,30186790,Hc Dengue Fever Virus Antibody,156.0,156.0,,,0 CDM,30186800,Hc Thyroglobulin Ab Screen,263.0,263.0,,,0 CDM,30186807,Hc Pra Class Ii,378.0,378.0,,,0 CDM,30186832,Hc Hla Class Ii C1Q,550.0,550.0,,,0 CDM,30187070,"Hc Culture, Gall Bladder",385.0,385.0,,,0 CDM,30187071,"Hc Culture, Catheter Tip",465.0,465.0,,,0 CDM,30187081,"Hc Culture, Pertussis Screen",255.0,255.0,,,0 CDM,30187186,"Hc Sensitivity-Viral, Ea Antibiotic",431.0,431.0,,,0 CDM,30187206,Hc Acanthamoeba Stain,227.0,227.0,,,0 CDM,30187209,Hc Smear Complex Stain,127.0,127.0,,,0 CDM,30187252,"Hc Culture, Cytomegalovirus",374.0,374.0,,,0 CDM,30187385,Hc Blastomyces Ag Urine,347.0,347.0,,,0 CDM,30187390,Hc Hiv - 1 P24 Ag,78.0,78.0,,,0 CDM,30187390_LAF,Hc Hiv - 1 P24 Ag-Laf,168.0,168.0,,,0 CDM,30187449,Hc Inf Antigen By Eia Aspergillus,339.0,339.0,,,0 CDM,30187501,Hc Flu B Rev Tr Amp Probe Ea Typ,249.0,249.0,,,0 CDM,30187521,Hc Hepatitis C Amplified Probe Technique,193.0,193.0,,,0 CDM,30187535,Hc Hiv-1 Qual,233.0,233.0,,,0 CDM,30187798,Hc Varicella Zoster Pcr,596.0,596.0,,,0 CDM,30187799,Hc Bk Virus Quantitative Urine,661.0,661.0,,,0 CDM,30187899,Hc Cryptococcus Ag Titer Lfa S,300.0,300.0,,,0 CDM,30187902,Hc Genotype Dna/Rna Hep C,874.0,874.0,,,0 CDM,30187903,Hc Hiv Phenosense Fuzeon Entry,3641.0,3641.0,,,0 CDM,30188313,Hc Oil Red O (Oro),302.0,302.0,,,0 CDM,30188313_LAF,Hc Oil Red O (Oro)-Laf,152.0,152.0,,,0 CDM,30188319,Hc Napht-As-D-Chloroa Est(Nasdca),658.0,658.0,,,0 CDM,30200433,"Hc Infect Agent Antibody Detect Enzyme-Linked Immunosorbent Assay Tech, Hiv-1 And/Or Hiv-2, Screen",332.0,332.0,,,0 CDM,30200475,Hiv Combination Assay,241.0,241.0,,,0 CDM,30200475_LAF,Hiv Combination Assay-Laf,157.0,157.0,,,0 CDM,30200479,Hc Amphetamines Presumptv,182.0,182.0,,,0 CDM,30200480,Hc Nicotine Serum,136.0,136.0,,,0 CDM,30200_PBB,Pr Injection Turbinate Therapeutic-Pbb,655.0,655.0,,,0 CDM,30220_PBB,Pr Insertion Nasal Septal Prosthesis Button-Pbb,2533.0,2533.0,,,0 CDM,30280299,Hc Rivaroxaban,601.0,601.0,,,0 CDM,30280307,Hc Urine Drug Screen 5 Panel Nida,42.0,42.0,,,0 CDM,30280335,Hc Amitr Nortriptyline Assay,170.0,170.0,,,0 CDM,30281003,"Hc Urinalysis, Ph Only",112.0,112.0,,,0 CDM,30281003_LAF,"Hc Urinalysis, Ph Only-Laf",22.0,22.0,,,0 CDM,30281331,Hc Ms-Mlpa (Detects Methylation And Deletions In 15Q11- 13),793.0,793.0,,,0 CDM,30281400,Hc Platelet Transfusion Refractory Panel,86.0,86.0,,,0 CDM,30281401,Hc Mol Path Proc Lvl2,842.0,842.0,,,0 CDM,30281402,Hc Mpl Oncogene,1339.0,1339.0,,,0 CDM,30281403,Hc Molecular Path Proc Lev 4,815.0,815.0,,,0 CDM,30281404,Hc Nras Exon 1&2 Sequence,5874.0,5874.0,,,0 CDM,30281443,Hc Hypogonadotropic Hypogonadism/Kallmann Syndrome Panel,5096.0,5096.0,,,0 CDM,30281479,Hc Interleukin 28 Gene Analy,796.0,796.0,,,0 CDM,30282105,"Hc Aplha-Fetoprotein, Maternal",454.0,454.0,,,0 CDM,30282139,"Hc Amino Acid Quantitative, Plasma",1156.0,1156.0,,,0 CDM,30282150,Hc Amylase,196.0,196.0,,,0 CDM,30282172,Hc Apolipoprotein A-1,261.0,261.0,,,0 CDM,30282190,"Hc Potassium, Quantitative, Fecal",408.0,408.0,,,0 CDM,30282232,Hc Beta-2 Microglobulin-Serum,411.0,411.0,,,0 CDM,30282340,Hc Calcium (Not Aa),196.0,196.0,,,0 CDM,30282397,Hc Adalimumab Antibody,631.0,631.0,,,0 CDM,30282435,Hc Chloride Bld,122.0,122.0,,,0 CDM,30282438,Hc Chloride Sweat,211.0,211.0,,,0 CDM,30282523,Hc Collagen Xlinks C-Telopeptide,547.0,547.0,,,0 CDM,30282542,Hc Gc/Ms Arvas Quantitative,475.0,475.0,,,0 CDM,30282550,Hc Total Ck Assay,133.0,133.0,,,0 CDM,30282550_LAF,Hc Total Ck Assay-Laf,43.0,43.0,,,0 CDM,30282553,"Hc Creatine Kinase, Mb Fraction",246.0,246.0,,,0 CDM,30282570,"Hc Creatine, Conc",114.0,114.0,,,0 CDM,30282657,"Hc Acid Alpha-Glucosidase, Bld",309.0,309.0,,,0 CDM,30282784,Hc Igg Spinal Fluid,266.0,266.0,,,0 CDM,30282785,Hc Total Ige,84.0,84.0,,,0 CDM,30282945,"Hc Glucose, Spinal Fluid",188.0,188.0,,,0 CDM,30282947,Hc Glucose Tolerance Sample,75.0,75.0,,,0 CDM,30282947_LAF,Hc Glucose Tolerance Sample-Laf,43.0,43.0,,,0 CDM,30282951,Hc Gestational Glucose Tolerance; 3 Specimens,403.0,403.0,,,0 CDM,30283018,Hc Heavy Metal Qt Arsenic,134.0,134.0,,,0 CDM,30283080,Hc Histamine Urine,156.0,156.0,,,0 CDM,30283516,Hc Transglutaminase Ig Each Class,301.0,301.0,,,0 CDM,30283519,Hc Igf Binding Protein,85.0,85.0,,,0 CDM,30283520,Hc Immunoassay Quan; Alphhaompc Iga,128.0,128.0,,,0 CDM,30283521,Hc Multiple Sclerosis Profile,230.0,230.0,,,0 CDM,30283605,Hc Lactate Assay,247.0,247.0,,,0 CDM,30283655,"Hc Heavy Metal Lead/Creatinine Ratio, U",129.0,129.0,,,0 CDM,30283704,Hc Lipoprotein Quantiative Particles & Subparticles,284.0,284.0,,,0 CDM,30283789,"Hc N-Methyl Histamine, Ur",309.0,309.0,,,0 CDM,30283825,Hc Metanephrines,460.0,460.0,,,0 CDM,30283835,"Hc Osmolality,Urine",198.0,198.0,,,0 CDM,30283883,Hc Nephelometry Ig Free Light Chains,309.0,309.0,,,0 CDM,30284120,"Hc Porphyrins, Quantitative, Urine",302.0,302.0,,,0 CDM,30284122,Hc Prealbumin,259.0,259.0,,,0 CDM,30284157,Hc Protein Total Xcpt Refractometry Oth Src,151.0,151.0,,,0 CDM,30284182,Hc Amphiphysin Western Blot,274.0,274.0,,,0 CDM,30284311,Hc Bromide,196.0,196.0,,,0 CDM,30284439,"Hc Thyroxine, Fti",347.0,347.0,,,0 CDM,30284439_LAF,"Hc Thyroxine, Fti-Laf",85.0,85.0,,,0 CDM,30284702,Hc Beta Hcg Quantitative,484.0,484.0,,,0 CDM,30284702_LAF,Hc Beta Hcg Quantitative-Laf,143.0,143.0,,,0 CDM,30284703,Hc Hcg Qualitative,63.0,63.0,,,0 CDM,30284999,Hc Phenolphthalein,303.0,303.0,,,0 CDM,30285305,Hc Protein S Antigenic Assay,839.0,839.0,,,0 CDM,30285306,Hc Clotting Inhibitors Protein S Free,380.0,380.0,,,0 CDM,30285335,Hc Factor Vii Inhibitor Titer,648.0,648.0,,,0 CDM,30285520,Hc Heparin Assay Coagulation,721.0,721.0,,,0 CDM,30285576,Hc P2Y12 Inhibitor Each Agent,391.0,391.0,,,0 CDM,30286003,Hc Misc Nut Allergen,142.0,142.0,,,0 CDM,30286015,"Hc Actin Smooth Muscle Antibody, S",453.0,453.0,,,0 CDM,30286021,Hc Ancatest-P Quant/Confirm,477.0,477.0,,,0 CDM,30286022,Hc Platelet Crossmatching,505.0,505.0,,,0 CDM,30286036,Hc Anca Screen Each Antibody,195.0,195.0,,,0 CDM,30286037,Hc Anca Titer Each Antibody,214.0,214.0,,,0 CDM,30286038,Hc Ana Screen,279.0,279.0,,,0 CDM,30286039,Hc Antinuclear Antibodies; Titer,261.0,261.0,,,0 CDM,30286053,"Hc Nmo/Aqp4 Facs, S",453.0,453.0,,,0 CDM,30286060,Hc Antistreptolysis 0; Titer,290.0,290.0,,,0 CDM,30286077,Hc Bld Bank Md Services; Difficult Cross Match &/Or Eval Of Irrglr Antibdy; Intrprtn & Rprt,171.0,171.0,,,0 CDM,30286140,Hc C-Reactive Protein,276.0,276.0,,,0 CDM,30286140_LAF,Hc C-Reactive Protein-Laf,50.0,50.0,,,0 CDM,30286146,Hc Beta-2 Glycoprotein Iga,405.0,405.0,,,0 CDM,30286147,"Hc Cardiolipin Antibody, Iga",544.0,544.0,,,0 CDM,30286148,Hc Anti-Phosphotidyl Serine Ab Iga,384.0,384.0,,,0 CDM,30286157,Hc Cold Agglutinin; Titer,186.0,186.0,,,0 CDM,30286160,Hc Complement C-4,483.0,483.0,,,0 CDM,30286160_LAF,Hc Complement C-4-Laf,96.0,96.0,,,0 CDM,30286162,Hc Complement; Total Hemolytic,401.0,401.0,,,0 CDM,30286215,"Hc Deoxyribonuclease, Antibody",195.0,195.0,,,0 CDM,30286225,"Hc Deoxyribonuclease Acid Antibody, Native Or Double Stranded",477.0,477.0,,,0 CDM,30286225_LAF,"Hc Deoxyribonuclease Acid Antibody, Native Or Double Stranded-Laf",143.0,143.0,,,0 CDM,30286231,Hc Endomysial Antibody Ig,453.0,453.0,,,0 CDM,30286235,Hc Scl 70,464.0,464.0,,,0 CDM,30286235_LAF,Hc Scl 70-Laf,287.0,287.0,,,0 CDM,30286255,Hc Ancatest Screen,453.0,453.0,,,0 CDM,30286256,Hc Fluorescent Antib; Titer Ea Antib,168.0,168.0,,,0 CDM,30286258,"Hc Gliadin Deamidated Ab, Iga",354.0,354.0,,,0 CDM,30286300,"Hc Immunoassay For Tumor Antigen, Quantitative; Ca 15-3 (27.29)",461.0,461.0,,,0 CDM,30286304,"Hc Immunoassay For Tumor Antigen, Quantitative; Ca 125",520.0,520.0,,,0 CDM,30286308,"Hc Heterophile Antibodies, Screening",199.0,199.0,,,0 CDM,30286316,Hc Tumor Antigen Scc,367.0,367.0,,,0 CDM,30286317,Hc Diphtheria Toxoid Igg Ab,178.0,178.0,,,0 CDM,30286325,Hc Immunoelectrophoresis; Other Fluirds With Concentration,496.0,496.0,,,0 CDM,30286334,Hc Immunofication Electrophoresis; Serum,771.0,771.0,,,0 CDM,30286334_LAF,Hc Immunofication Electrophoresis; Serum-Laf,314.0,314.0,,,0 CDM,30286341,"Hc Enceph, Autoimm/Paraneo, Csf Islet Ab",266.0,266.0,,,0 CDM,30286352,Hc Cellular Function Assay Involving Stimulation And Detection Of Biomarker,1007.0,1007.0,,,0 CDM,30286353,"Hc Lymphocyte Transformation, Mitogen Or Antigen Induced Blastogenesis",443.0,443.0,,,0 CDM,30286356,"Hc Mononuclear Cell Antigen, Quantitative, Ige Receptor",399.0,399.0,,,0 CDM,30286359,Hc T Cell; Total Count,389.0,389.0,,,0 CDM,30286360,"Hc T Cells; Absolute Cd4 And Cd8 Count, Including Ratio",825.0,825.0,,,0 CDM,30286363,"Hc Mog-Igg1 Antb Flo Cytmtry, S",930.0,930.0,,,0 CDM,30286364,"Hc Transglutaminase Ab,Iga/Igg",354.0,354.0,,,0 CDM,30286376,Hc Throperoxidase Ab,412.0,412.0,,,0 CDM,30286381,"Hc Mitochondrial Antibody M2, S",354.0,354.0,,,0 CDM,30286384,Hc Nitroblue Tetrazolium Dye Test,514.0,514.0,,,0 CDM,30286403,Hc Streptococcus Screen Direct,433.0,433.0,,,0 CDM,30286406,Hc Particle Agglutination; Crytococcal Titer,345.0,345.0,,,0 CDM,30286431,Hc Rheumatoid Factor; Quantitative,288.0,288.0,,,0 CDM,30286431_LAF,Hc Rheumatoid Factor; Quantitative-Laf,54.0,54.0,,,0 CDM,30286480,Hc Quantiferon Tb Test Gold,159.0,159.0,,,0 CDM,30286480_LAF,Hc Quantiferon Tb Test Gold-Laf,263.0,263.0,,,0 CDM,30286486,Hc Skin Test Unlisted Antigen; Each,74.0,74.0,,,0 CDM,30286580,"Hc Skin Test; Tuberculosis, Intradermal",33.0,33.0,,,0 CDM,30286581,"Hc S. Pneumoniae Igg Ab,23 Serotypes, S",1196.0,1196.0,,,0 CDM,30286592,Hc Rpr Screen,168.0,168.0,,,0 CDM,30286593,Hc Rpr Quantitative,213.0,213.0,,,0 CDM,30286596,Hc P/Q-Type Calcium Channel Ab,149.0,149.0,,,0 CDM,30286615,Hc Bordetella Ab (Pertus),224.0,224.0,,,0 CDM,30286618,Hc B. Burg Ab Serum(Lyme)/Confirmatory,438.0,438.0,,,0 CDM,30286638,Hc Antibody; Coxiella Burnetii Q Fever Igg Igm,200.0,200.0,,,0 CDM,30286644,"Hc Antibody Cytomegalovirus, Igg",453.0,453.0,,,0 CDM,30286645,"Hc Antibody; Cytomegalovirus, Igm",518.0,518.0,,,0 CDM,30286652,Hc Arbov Eastern Equine Igm,83.0,83.0,,,0 CDM,30286653,Hc Arbov St. Louis Igm,83.0,83.0,,,0 CDM,30286654,Hc Arbov Western Equine Igm,83.0,83.0,,,0 CDM,30286658,Hc Echovirus Ab Panel,157.0,157.0,,,0 CDM,30286663,"Hc Antibody; Epstein-Barr (Eb) Virus, Early Antigen",298.0,298.0,,,0 CDM,30286664,"Hc Antibody; Epstein-Barr (Eb) Virus, Nuclear Antigen",319.0,319.0,,,0 CDM,30286665,"Hc Antibody, Ebv Capsid Igm",484.0,484.0,,,0 CDM,30286668,"Hc F. Tularensis Ab, Igm/Igg Elisa, S",275.0,275.0,,,0 CDM,30286671,"Hc Ab Fungus Id, Bowel Disease Differentiation Panel",261.0,261.0,,,0 CDM,30286677,Hc Antibody Helicobacter Pylori Igg,456.0,456.0,,,0 CDM,30286682,Hc Strongyloides Igg Ab,186.0,186.0,,,0 CDM,30286689,Hc Antibody Id-Electrophoresis,273.0,273.0,,,0 CDM,30286694,"Hc Antibody, Herpes Simplex Igm",470.0,470.0,,,0 CDM,30286695,"Hc Antibody; Herpes Simplex, Type 1",263.0,263.0,,,0 CDM,30286695_LAF,"Hc Antibody; Herpes Simplex, Type 1-Laf",127.0,127.0,,,0 CDM,30286696,"Hc Antibody; Herpes Simplex, Type 2",289.0,289.0,,,0 CDM,30286696_LAF,"Hc Antibody; Herpes Simplex, Type 2-Laf",127.0,127.0,,,0 CDM,30286702,Hc Hiv2 Ab Conf,78.0,78.0,,,0 CDM,30286703,Hc Antibody; Hiv-1 And Hiv-2; Single Result,108.0,108.0,,,0 CDM,30286704,Hc Hepatitis B Core Antibody; Total,390.0,390.0,,,0 CDM,30286705,Hc Hepatitis B Core Antibody; Igm Antibody,561.0,561.0,,,0 CDM,30286706,Hc Hepatitis B Surgact Antibody,255.0,255.0,,,0 CDM,30286709,Hc Hepatitis A Antibody; Igm Antibody,533.0,533.0,,,0 CDM,30286735,Hc Mumps Antibody Igm,218.0,218.0,,,0 CDM,30286738,Hc Mycoplasma Igm Reflex By Ifa,191.0,191.0,,,0 CDM,30286762,Hc Antibody; Rubella,350.0,350.0,,,0 CDM,30286762_LAF,Hc Antibody; Rubella-Laf,81.0,81.0,,,0 CDM,30286765,"Hc Antibody, Rubeola",377.0,377.0,,,0 CDM,30286769,Hc Covda (Sars-Cov-2 Iga Ab),200.0,200.0,,,0 CDM,30286777,Hc Antibody; Toxoplasma,409.0,409.0,,,0 CDM,30286778,"Hc Antibody; Toxoplasma, Igm",372.0,372.0,,,0 CDM,30286780,Hc Antibody; Treponema Pallidum,250.0,250.0,,,0 CDM,30286780_LAF,Hc Antibody; Treponema Pallidum-Laf,127.0,127.0,,,0 CDM,30286787,Hc Varicella Titer,55.0,55.0,,,0 CDM,30286788,"Hc Antibody; West Nile Virus, Igm",210.0,210.0,,,0 CDM,30286789,Hc Antibody; West Nile Virus; Igg,210.0,210.0,,,0 CDM,30286790,Hc Lrsv-Hepatitis E Igm Ab,168.0,168.0,,,0 CDM,30286800,Hc Thyroglobulin Reflx Ms,263.0,263.0,,,0 CDM,30286803,Hc Hepatitis C Antibody,513.0,513.0,,,0 CDM,30286803_LAF,Hc Hepatitis C Antibody-Laf,136.0,136.0,,,0 CDM,30286816,"Hc Hla Typing; Dr/Dq, Single Antigen",400.0,400.0,,,0 CDM,30286821,"Hc Hla Typing; Lymphocute Culture, Mixed",4242.0,4242.0,,,0 CDM,30286825,"Hc Hla Crossmatch, Non-Cytotocix; First Serum Sample Or Dilution",580.0,580.0,,,0 CDM,30286826,"Hc Hla Crossmatch, Non-Cytotocix; Each Additional Serum Sample Or Sample Dilution",290.0,290.0,,,0 CDM,30286828,"Hc Antibody Hla, Solid Phase Assay; Qual Assess Presence/Absence Antibody Hla Class I & Class Ii",898.0,898.0,,,0 CDM,30286829,Hc Antibody Hla Solid Phase Assay; Qual Assess Presence/Absence Antibody Hla Class I & Class Ii,898.0,898.0,,,0 CDM,30286830,"Hc Antibody To Hla, Solid Phase Assay; Antibody Id Qual Panel Complete Hla Phenotypes, Hla Class I",492.0,492.0,,,0 CDM,30286831,"Hc Antibody To Hla, Solid Phase Assay, Antibody Id Qual Panel Complete Hla Phenotypes, Hla Class Ii",492.0,492.0,,,0 CDM,30286832,Hc Hla Class I Spec Ag Ab Id,550.0,550.0,,,0 CDM,30286833,"Hc Antibody To Hla, Solid Phase Assays; High Def Qual Panel Id Antibody Specificities, Hla Class Ii",550.0,550.0,,,0 CDM,30286834,"Hc Antibody To Hla, Solid Phase Assays, Semi-Quantitative Panel, Hla Class I",1410.0,1410.0,,,0 CDM,30286835,"Hc Antibody To Hla, Solid Phase Assays, Semi-Quantitative Panel, Hla Class Ii",1410.0,1410.0,,,0 CDM,30286849,Hc Immunology Proc Znt8,534.0,534.0,,,0 CDM,30286850,"Hc Antibody Screen, Rbc, Each Serum Technique",324.0,324.0,,,0 CDM,30286850_LAF,"Hc Antibody Screen, Rbc, Each Serum Technique-Laf",52.0,52.0,,,0 CDM,30286860,"Hc Antibody Elution, Each Elution",378.0,378.0,,,0 CDM,30286870,"Hc Antibody Identification, Rbc Antibodies, Each Panel For Each Serum Technique",630.0,630.0,,,0 CDM,30286880,"Hc Antihuman Globulin Test; Direct, Each Antiserum",182.0,182.0,,,0 CDM,30286900,"Hc Blood Typing, Serologic, Abo",163.0,163.0,,,0 CDM,30286900_LAF,"Hc Blood Typing, Serologic, Abo-Laf",50.0,50.0,,,0 CDM,30286901,"Hc Blood Typing, Serologic, Rh (D)",141.0,141.0,,,0 CDM,30286901_LAF,"Hc Blood Typing, Serologic, Rh (D)-Laf",52.0,52.0,,,0 CDM,30286905,"Hc Blood Typing, Serologic, Rbc Antigens, Other Than Abo Or Rh (D), Each",238.0,238.0,,,0 CDM,30286920,Hc Compatibility Test Spin,170.0,170.0,,,0 CDM,30286922,Hc Compatibility Test Each Unit; Antiglobulin Technique,357.0,357.0,,,0 CDM,30286923,Hc Compatibility Test Each Unit; Electronic,262.0,262.0,,,0 CDM,30286927,"Hc Fresh Frozen Plasma, Thawing, Each Unit",389.0,389.0,,,0 CDM,30286945,"Hc Irradiation Of Blood Product, Each Unit",305.0,305.0,,,0 CDM,30286999,Hc Psc Serology Pannel,758.0,758.0,,,0 CDM,30287070,"Hc Culture, Biopsy",385.0,385.0,,,0 CDM,30287081,"Hc Culture, Enterococcus Screen",255.0,255.0,,,0 CDM,30287186,Hc Min Inhibitory Conc'n,431.0,431.0,,,0 CDM,30287206,"Hc Smear, Acid Fast Stain",227.0,227.0,,,0 CDM,30287389,"Hc Infect Agent Antigen Detec Enzyme Immunoassay Tech, Qual/Semiquant, Multi; Hiv-1 & 2, Single",241.0,241.0,,,0 CDM,30287389_LAF,"Hc Infect Agent Antigen Detec Enzyme Immunoassay Tech, Qual/Semiquant, Multi; Hiv-1 & 2, Single-Laf",157.0,157.0,,,0 CDM,30287449,Hc Antigen By Eia S Pneumoniae,339.0,339.0,,,0 CDM,30287529,Hc Hsv By Pcrb,319.0,319.0,,,0 CDM,30287535,Hc Hiv-1 Qual Anhe,233.0,233.0,,,0 CDM,30287798,Hc Enterovirus Pcr,302.0,302.0,,,0 CDM,30287799,Hc Infect Agent Detect By Pcr Quantitative Jcv,661.0,661.0,,,0 CDM,30287899,"Hc Cryptococcal Ag, Csf",193.0,193.0,,,0 CDM,30287902,Hc Hcv Genotype,831.0,831.0,,,0 CDM,30288313,Hc A-Napthyl Butyrate (Anb),302.0,302.0,,,0 CDM,30288313_LAF,Hc A-Napthyl Butyrate (Anb)-Laf,152.0,152.0,,,0 CDM,30288319,Hc Combined Esterase (Co Est),658.0,658.0,,,0 CDM,30300479,Hc Cannabinoid Presumptv,182.0,182.0,,,0 CDM,30300480,Hc Dihydrotestosterone,204.0,204.0,,,0 CDM,30300_PBB,Pr Removal Foreign Body Intranasal Office Procedure-Pbb,859.0,859.0,,,0 CDM,30380299,Hc Ganciclovir S,415.0,415.0,,,0 CDM,30380307,Hc Urine Drug Screen 9 Panel Non Nida,42.0,42.0,,,0 CDM,30380335,Hc Desipramine,135.0,135.0,,,0 CDM,30381220,Hc Cystic Fibrosis Carrier Testing Gene Analysis; Common Variants,1925.0,1925.0,,,0 CDM,30381402,Hc Mol Path Proc Lvl3,983.0,983.0,,,0 CDM,30381403,Hc Exon 12 Mutation Detection Bm,815.0,815.0,,,0 CDM,30381404,Hc Fgfr2 Targeted Sequence,1124.0,1124.0,,,0 CDM,30381443,"Hc 46,Xy Disorders Of Sex Development/Complete Gonadal Dysgenesis Panel",5096.0,5096.0,,,0 CDM,30381479,Hc Oncoscreen 46 Ngs,4464.0,4464.0,,,0 CDM,30382139,Hc Amino Acids 6/> Amino Acids Quantitative Ea Spe,853.0,853.0,,,0 CDM,30382150,"Hc Amaylase, Urine",196.0,196.0,,,0 CDM,30382172,Hc Apolipoprotein Each,74.0,74.0,,,0 CDM,30382190,"Hc Sodium, Quantitative, Fecal",408.0,408.0,,,0 CDM,30382232,Hc Beta-2 Microglobulin,234.0,234.0,,,0 CDM,30382397,Hc Pth-Related Protein,631.0,631.0,,,0 CDM,30382438,Hc Chloride Other Source,83.0,83.0,,,0 CDM,30382542,Hc Fatty Acids Essentials,441.0,441.0,,,0 CDM,30382550,Hc Creatine Phosphokinase-Serum,133.0,133.0,,,0 CDM,30382550_LAF,Hc Creatine Phosphokinase-Serum-Laf,43.0,43.0,,,0 CDM,30382553,"Hc Emergency Creatine Kinase, Mb Fraction",246.0,246.0,,,0 CDM,30382570,"Hc Heavy Metal Creatinine Ratio, Random, U",114.0,114.0,,,0 CDM,30382657,Hc Alpha Galactosidase Blood,453.0,453.0,,,0 CDM,30382784,"Hc Immunoglobulin Igg, Quantitative",266.0,266.0,,,0 CDM,30382945,"Hc Glucose,Urine",188.0,188.0,,,0 CDM,30382947,Hc Glucose Fasting Fbs,75.0,75.0,,,0 CDM,30382947_LAF,Hc Glucose Fasting Fbs-Laf,43.0,43.0,,,0 CDM,30383018,Hc Heavy Metal Qt Cadmium,134.0,134.0,,,0 CDM,30383080,Hc Histamine,156.0,156.0,,,0 CDM,30383088,Hc Assay Of Histamine,156.0,156.0,,,0 CDM,30383516,Hc Immunoassay For Ccp Ab,301.0,301.0,,,0 CDM,30383519,Hc Igf Ii,85.0,85.0,,,0 CDM,30383520,Hc Immunoassay Quan Asca Igg,128.0,128.0,,,0 CDM,30383789,Hc Mass Spectrom Qt Bile Acids,309.0,309.0,,,0 CDM,30383825,"Hc Metanephrines, Urine",460.0,460.0,,,0 CDM,30383883,Hc Nephelometry Quantitative Alpha 2 Fibrosp,309.0,309.0,,,0 CDM,30384182,Hc Western Blot Csf Prion Disease,274.0,274.0,,,0 CDM,30384311,"Hc Porphyrins, Total",196.0,196.0,,,0 CDM,30384439,Hc Final Free Thyroxine,347.0,347.0,,,0 CDM,30384439_LAF,Hc Final Free Thyroxine-Laf,85.0,85.0,,,0 CDM,30384999,"Hc Phenolphthalein,Ur",145.0,145.0,,,0 CDM,30385335,Hc Factor Viii Inhibitor Titer,648.0,648.0,,,0 CDM,30385576,Hc Platelet Aspirin Resistance,391.0,391.0,,,0 CDM,30386003,Hc Misc Fish Allergen,142.0,142.0,,,0 CDM,30386021,Hc Granulocyte Ab,477.0,477.0,,,0 CDM,30386022,Hc Platelet Factor 4 Ab By Elisa,505.0,505.0,,,0 CDM,30386038,"Hc Connective Tissue Disease Cascade Antinuclear Ab, S",279.0,279.0,,,0 CDM,30386039,"Hc Antinuclear Ab, Hep-2 Substrate, S",171.0,171.0,,,0 CDM,30386053,Hc Pediatric Autoimmune Encephalopathy Flowcyt,453.0,453.0,,,0 CDM,30386146,"Hc Beta-2 Glycoprotein, Ea Ab",405.0,405.0,,,0 CDM,30386148,Hc Anti Phos Serine Igg,384.0,384.0,,,0 CDM,30386161,"Hc Complement; Functional Activity, Each Component",303.0,303.0,,,0 CDM,30386162,Hc Hc Complement; Total Hemolytic (Ch50),265.0,265.0,,,0 CDM,30386235,Hc Ena-Ribonucleoprotein Antibody,464.0,464.0,,,0 CDM,30386235_LAF,Hc Ena-Ribonucleoprotein Antibody-Laf,143.0,143.0,,,0 CDM,30386255,Hc Myoglobin Ab Screen,453.0,453.0,,,0 CDM,30386256,Hc Fluorescent Ab Titer Anna 1,168.0,168.0,,,0 CDM,30386258,"Hc Gliadin Deamidated Ab, Igg",354.0,354.0,,,0 CDM,30386316,Hc Atni-Angiotensin Type 1 Receptor,367.0,367.0,,,0 CDM,30386317,Hc Toxoplasma Gondi Igg Ab Qt,178.0,178.0,,,0 CDM,30386335,"Hc Beta-2 Transferrin, Bf",400.0,400.0,,,0 CDM,30386341,"Hc Encephalopathy, Autoimm/Paraneo, Islet Ab",126.0,126.0,,,0 CDM,30386363,Hc Pediatric Autoimmune Encephalopathy Mog-Igg1,492.0,492.0,,,0 CDM,30386364,"Hc Transglutaminase Ab,Iga",354.0,354.0,,,0 CDM,30386376,Hc Thyroperoxidase Ab-Serum,200.0,200.0,,,0 CDM,30386431,Hc Rheumatoid Factor; Iga,159.0,159.0,,,0 CDM,30386618,Hc Lyme Disease,280.0,280.0,,,0 CDM,30386652,Hc Antibody Encephalitis Eastern Equine,244.0,244.0,,,0 CDM,30386653,Hc Antibody Encephalitis St. Louis,244.0,244.0,,,0 CDM,30386654,Hc Antibody Encephalitis Westrn Equine,244.0,244.0,,,0 CDM,30386658,"Hc Poliovirus Types 1,2,3",157.0,157.0,,,0 CDM,30386665,Hc Antibody Epstein-Barr Eb Virus Viral Capsid Vca,231.0,231.0,,,0 CDM,30386682,Hc Toxocara Canis Ab,186.0,186.0,,,0 CDM,30386689,Hc Htlv Western Blot,273.0,273.0,,,0 CDM,30386735,Hc Antibody Mumps Igg,218.0,218.0,,,0 CDM,30386738,Hc Mycoplasma Pneumoniae Ab,191.0,191.0,,,0 CDM,30386769,Hc Sars-Cov-2 Covid-19 Ab,193.0,193.0,,,0 CDM,30386778,Hc Toxoplasma Igm Ab,213.0,213.0,,,0 CDM,30386780,Hc Syphilis Ab Tp-Pa,250.0,250.0,,,0 CDM,30386780_LAF,Hc Syphilis Ab Tp-Pa-Laf,127.0,127.0,,,0 CDM,30386787,"Hc Varicella Zoster Ab Igm, S",242.0,242.0,,,0 CDM,30386790,Hc Lrsv-Hepatitis E Igg Ab,168.0,168.0,,,0 CDM,30386800,"Hc Thyroglobulin Antibody, S",317.0,317.0,,,0 CDM,30387070,"Hc Culture, Dialysis Fluid",385.0,385.0,,,0 CDM,30387081,"Hc Culture,Single Agent Screen",255.0,255.0,,,0 CDM,30387186,Hc Suseptibility Afb Slow Grower,431.0,431.0,,,0 CDM,30387206,"Hc Smear, Fungal",227.0,227.0,,,0 CDM,30387449,Hc Norovirus Antigen Stool,339.0,339.0,,,0 CDM,30387535,Hc Hiv-1 Amplified Probe Technique,193.0,193.0,,,0 CDM,30387798,Hc Enterovirus By Dna Amplified Probe,302.0,302.0,,,0 CDM,30387899,"Hc Cryptococcal Ag, Blood",193.0,193.0,,,0 CDM,30388305,Hc Level Iv Surg Path Cell Block,938.0,938.0,,,0 CDM,30388313,Hc Sudan Black B (Sbb),302.0,302.0,,,0 CDM,30388313_LAF,Hc Sudan Black B (Sbb)-Laf,152.0,152.0,,,0 CDM,30388319,Hc Acid Phosphatase Histostain,658.0,658.0,,,0 CDM,30400479,Hc Cocaine Presumptv,182.0,182.0,,,0 CDM,30400480,Hc Desiprmine,78.0,78.0,,,0 CDM,3041_00603150858,"Phenobarbital: 473 mL in 1 BOTTLE, PLASTIC (0603-1508-58)",14.46,14.46,,,0 CDM,3041_16571067516,Phenobarbital: 473 Ml In 1 Bottle (16571-675-16),6.0,6.0,,,0 CDM,3041_99999002316,NDC Description Not Available,4.4,4.4,,,0 CDM,30450_05280048316,NDC Description Not Available,9.12,9.12,,,0 CDM,3045_00054040444,Morphine Sulfate: 30 mL in 1 BOTTLE (0054-0404-44),6.0,6.0,,,0 CDM,30469_PBB,Pr Rpr Nsl Vlv Collapse Lw Nrg Subq/Sbmcsl Rmdlg-Pbb,1067.0,1067.0,,,0 CDM,3046_00407141110,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1411-10) / 10 Ml In 1 Vial, Glass",58.2,58.2,,,0 CDM,30480299,Hc Acetoacetate,521.0,521.0,,,0 CDM,30480307,Hc Urine Drug Screen 5 Panel Non Nida,42.0,42.0,,,0 CDM,30480335,"Hc Clomipramne, Serum",138.0,138.0,,,0 CDM,30481401,Hc Hypercholesterolemia Panel Apob,440.0,440.0,,,0 CDM,30481403,Hc Killer Cell Ig-Like Rept (Kir),815.0,815.0,,,0 CDM,30481404,Hc Fgfr3 Targeted Sequence,1124.0,1124.0,,,0 CDM,30481443,Hc Comprehensive Hereditary Cancer Panel,5096.0,5096.0,,,0 CDM,30482190,"Hc Thallium, Urine",408.0,408.0,,,0 CDM,30482397,"Hc Nitrogen, Total, Ur",631.0,631.0,,,0 CDM,30482542,Hc Prometh Tiopurine Metab,595.0,595.0,,,0 CDM,30482657,"Hc Adenosine Deaminase, Blood",186.0,186.0,,,0 CDM,30482784,"Hc Immunoglobulin Igm, Quantitative",266.0,266.0,,,0 CDM,30482947,"Hc Glucose, 2 Hr Post Prandial",75.0,75.0,,,0 CDM,30482947_LAF,"Hc Glucose, 2 Hr Post Prandial-Laf",43.0,43.0,,,0 CDM,30483018,Hc Heavy Metal Qt Lead,134.0,134.0,,,0 CDM,30483080,Hc Assay Of B-Hexosaminidase Each Assay,346.0,346.0,,,0 CDM,30483516,Hc Tysabri Ab Immunoassay,301.0,301.0,,,0 CDM,30483519,Hc Neopterin,85.0,85.0,,,0 CDM,30483520,Hc Immunoassay Quant Anti Cbir1,128.0,128.0,,,0 CDM,30483789,Hc Lysosomal Newborn Scrn,37.0,37.0,,,0 CDM,30483825,"Hc Heavy Metal Mercury/Creatinine Ratio, U",116.0,116.0,,,0 CDM,30484311,Hc Beta-Hydroxybutyrate Assay,196.0,196.0,,,0 CDM,30484999,Hc Potassium Fecal,66.0,66.0,,,0 CDM,30485048,Hc Total Eos Count,129.0,129.0,,,0 CDM,30485230,Hc Factor Vii,643.0,643.0,,,0 CDM,30485305,Hc Protein S Free Antigen,839.0,839.0,,,0 CDM,30485335,Hc Factor Ix Inhibitor Titer,648.0,648.0,,,0 CDM,30486021,Hc Hla Mica Ab,477.0,477.0,,,0 CDM,30486022,Hc Platelet Ab Id For Sra,505.0,505.0,,,0 CDM,30486148,Hc Anti Phos Serine Igm,384.0,384.0,,,0 CDM,30486235,Hc Ena-Sm Antibody,464.0,464.0,,,0 CDM,30486235_LAF,Hc Ena-Sm Antibody-Laf,143.0,143.0,,,0 CDM,30486255,Hc Anti Neuronal Ab Each,453.0,453.0,,,0 CDM,30486256,Hc Reticulin Ab Titer,168.0,168.0,,,0 CDM,30486317,Hc Rubella Igg Ab Qt,178.0,178.0,,,0 CDM,30486341,Hc Pediatric Autoimmune Encephalopathy Islet Ab,126.0,126.0,,,0 CDM,30486364,"Hc Transglutaminase Ab,Igg",354.0,354.0,,,0 CDM,30486431,Hc Rheumatoid Factor; Igg,159.0,159.0,,,0 CDM,30486658,Hc Polio (Enterovirus) Ab,102.0,102.0,,,0 CDM,30486671,"Hc Sacc Cerev, Igg Or Igm",204.0,204.0,,,0 CDM,30486682,Hc Cysticercosis,186.0,186.0,,,0 CDM,30486689,Hc Hiv 1 By If A,273.0,273.0,,,0 CDM,30486738,Hc Mycoplasma Pneu Antibody,232.0,232.0,,,0 CDM,30486769,Hc Sars-Cov-2 Covid-19 Igm Ab,193.0,193.0,,,0 CDM,30486780,Hc Syphilis Igg Antibody,250.0,250.0,,,0 CDM,30486780_LAF,Hc Syphilis Igg Antibody-Laf,127.0,127.0,,,0 CDM,30486790,Hc Coronavirus (Covid-19) Sars-Cov-2 Antibody Igm And Igg Panel,162.0,162.0,,,0 CDM,30486803,Hc Midwest Repiratory Panel,21.0,21.0,,,0 CDM,30487070,"Hc Culture, Ear",385.0,385.0,,,0 CDM,30487081,Hc Culture Acanthamoeba,255.0,255.0,,,0 CDM,30487798,Hc Methicillin Res Strep By Pcr,302.0,302.0,,,0 CDM,30487799,Hc Bk Virus Quantitative Blood,661.0,661.0,,,0 CDM,30487899,"Hc Cryptococcal, Titer",193.0,193.0,,,0 CDM,30488305,Hc Muscle Biopsy Level Iv,938.0,938.0,,,0 CDM,30488319,Hc Acid Phos+&Tart Inh Histostain,658.0,658.0,,,0 CDM,30500001,Hc Thromboplastin Inhibition Tissue Con,254.0,254.0,,,0 CDM,30500003,Hc Russell Viper Venom Con,388.0,388.0,,,0 CDM,30500479,Hc Benzodiazepines Presumptv,182.0,182.0,,,0 CDM,30500480,Hc Doxepine,86.0,86.0,,,0 CDM,3054_63323027810,"Vinblastine Sulfate: 1 Vial, Multi-Dose In 1 Box (63323-278-10) / 10 Ml In 1 Vial, Multi-Dose",34.98,34.98,,,0 CDM,30560_PBB,Pr Lysis Intranasal Synechia-Pbb,1400.0,1400.0,,,0 CDM,30580299,Hc Adalimumab Concentration,487.0,487.0,,,0 CDM,30580307,Hc Urine Medical Panel Drug Screen,75.0,75.0,,,0 CDM,30580335,Hc Imipramine/Desipramine,114.0,114.0,,,0 CDM,30580_PBB,Pr Repair Fistula Oromaxillary-Pbb,7546.0,7546.0,,,0 CDM,30581003,Hc Protein/Qual/Ur,92.0,92.0,,,0 CDM,30581403,Hc Hla Mica Type,815.0,815.0,,,0 CDM,30581404,Hc Kit Targeted Gene Analysis,158.0,158.0,,,0 CDM,30581443,Hc Hereditary Myeloid Malignancy Panel,5096.0,5096.0,,,0 CDM,30581479,"Hc Rna Fusion Ntrk1, Ntrk2, Ntrk3, Fgfr1, Fgfr2, Fgfr3",1988.0,1988.0,,,0 CDM,30582190,"Hc Electrolytes, Fecal By Aa",408.0,408.0,,,0 CDM,30582397,Hc Fibrospect Hcv,255.0,255.0,,,0 CDM,30582542,"Hc 18-Hydroxycorticosterone, S",400.0,400.0,,,0 CDM,30582570,"Hc Mucopolysaccharides Quant, U",115.0,115.0,,,0 CDM,30582657,Hc Aia Dehydratase,186.0,186.0,,,0 CDM,30582784,"Hc Gammaglobulin, Neonate Igm",266.0,266.0,,,0 CDM,30583018,Hc Heavy Metal Qt Mercury,134.0,134.0,,,0 CDM,30583516,Hc M2 Pbc Antibody Immunoassay,301.0,301.0,,,0 CDM,30583519,Hc Striational Ab,127.0,127.0,,,0 CDM,30583520,Hc Cystatin Quant,128.0,128.0,,,0 CDM,30583542,Hc Mass Spectrometry Qual,647.0,647.0,,,0 CDM,30583789,Hc Familial Amyloid Reflex,450.0,450.0,,,0 CDM,30584999,Hc Referred Lab Test Level 2,133.0,133.0,,,0 CDM,30585002,Hc Bleeding Time,106.0,106.0,,,0 CDM,30585004,Hc Blood Count; Automated Differential Wbc Count,75.0,75.0,,,0 CDM,30585007,"Hc Blood Count; Blood Smear, Microscopic Exam With Manual Differential Wbc Count",78.0,78.0,,,0 CDM,30585014,Hc Blood Count; Hematocrit,58.0,58.0,,,0 CDM,30585014_LAF,Hc Blood Count; Hematocrit-Laf,39.0,39.0,,,0 CDM,30585018,Hc Blood Count; Hemoglobin,98.0,98.0,,,0 CDM,30585018_LAF,Hc Blood Count; Hemoglobin-Laf,39.0,39.0,,,0 CDM,30585025,"Hc Complete Blood Count Platelet, Differential",281.0,281.0,,,0 CDM,30585025_LAF,"Hc Complete Blood Count Platelet, Differential-Laf",75.0,75.0,,,0 CDM,30585027,"Hc Blood Count; Complete (Cbc), Automated",230.0,230.0,,,0 CDM,30585027_LAF,"Hc Blood Count; Complete (Cbc), Automated-Laf",61.0,61.0,,,0 CDM,30585032,Hc Blood Count; Manual Cell Count Each,103.0,103.0,,,0 CDM,30585046,"Hc Blood Count; Reticulocytes, Automated, Including 1 Or More Cellular Parameters, Direct",148.0,148.0,,,0 CDM,30585048,Hc Wbc Count Automated,129.0,129.0,,,0 CDM,30585049,Hc Platelet Count Automated,122.0,122.0,,,0 CDM,30585049_LAF,Hc Platelet Count Automated-Laf,39.0,39.0,,,0 CDM,30585055,Hc Reticulated Plateley Assay,128.0,128.0,,,0 CDM,30585097,"Hc Bone Marrow, Smear Aspiration",383.0,383.0,,,0 CDM,30585130,Hc Chromogenic Substrate Assay,301.0,301.0,,,0 CDM,30585210,"Hc Clotting; Factor Ii , Prothombin, Specific",483.0,483.0,,,0 CDM,30585220,"Hc Clotting; Factor V, Labile Factor",618.0,618.0,,,0 CDM,30585230,Hc Factor Vii Padua,643.0,643.0,,,0 CDM,30585240,"Hc Clotting; Factor Viii, 1-Stage",813.0,813.0,,,0 CDM,30585245,"Hc Clotting; Factor Viii, Vw Factor, Ristocetin Cofactor",778.0,778.0,,,0 CDM,30585246,"Hc Clotting; Factor Viii, Vw Factor Antigen",516.0,516.0,,,0 CDM,30585250,Hc Clotting; Factor Ix,802.0,802.0,,,0 CDM,30585260,Hc Clotting; Factor X,739.0,739.0,,,0 CDM,30585270,Hc Clotting; Factor Xi,600.0,600.0,,,0 CDM,30585280,Hc Clotting; Factor Xii,793.0,793.0,,,0 CDM,30585291,"Hc Clotting; Factor Xiii, Screen Solubility",445.0,445.0,,,0 CDM,30585300,"Hc Clotting Ibhibitors Or Anticoagulations; Antithrombin Iii, Activity",645.0,645.0,,,0 CDM,30585301,"Hc Clotting Ibhibitors Or Anticoagulations; Antithrombin Iii, Antigen Assay",302.0,302.0,,,0 CDM,30585302,Hc Protein C Antigen,660.0,660.0,,,0 CDM,30585303,Hc Clotting Inhibitors Or Anticoagulants; Protein C; Activity,759.0,759.0,,,0 CDM,30585305,Hc Protein S Total,634.0,634.0,,,0 CDM,30585335,Hc Factor Inhibitor Titer,648.0,648.0,,,0 CDM,30585360,Hc Euglobulin Lysis,168.0,168.0,,,0 CDM,30585366,Hc Fibrin Degradation Products; Quantitative,148.0,148.0,,,0 CDM,30585370,Hc Fibrin Degradation Split Products; D Dimer; Quantitative,280.0,280.0,,,0 CDM,30585379,Hc Fibrin Degradation Products; D Dimer; Quantitative,418.0,418.0,,,0 CDM,30585384,Hc Hems-Fibrinogen; Activity,286.0,286.0,,,0 CDM,30585420,"Hc Fibrinolytic Factors And Inhibitors; Plasminogen, Except Antigenic Assay",280.0,280.0,,,0 CDM,30585441,Hc Heinz Bodies; Direct,115.0,115.0,,,0 CDM,30585445,Hc Heinz Bodies; Induxed; Acetul Phenylhydrazine,159.0,159.0,,,0 CDM,30585460,"Hc Hemoglobin Or Rbcs, Fetal, For Fetomaternal Hemorrhage, Kleihauer-Betke",164.0,164.0,,,0 CDM,30585461,"Hc Hemoglobin Or Rbcs, Fetal, For Fetomaternal Hemorrhage,Rosette",127.0,127.0,,,0 CDM,30585520,Hc Heparin Assay,721.0,721.0,,,0 CDM,30585525,Hc Heparin Neutralization,115.0,115.0,,,0 CDM,30585540,Hc Leukocyte Alkaline Phosphatase With Count,312.0,312.0,,,0 CDM,30585555,"Hc Osmotic Fragility, Rbc, Unincubated",166.0,166.0,,,0 CDM,30585557,"Hc Osmotic Fragility, Rbc, Incubated",158.0,158.0,,,0 CDM,30585576,Hc Platelet Aggregration Interpretation Each Agent,391.0,391.0,,,0 CDM,30585597,Hc Phospholipid Neutralization; Platelet,199.0,199.0,,,0 CDM,30585610,Hc Prothrombin Time,180.0,180.0,,,0 CDM,30585610_LAF,Hc Prothrombin Time-Laf,36.0,36.0,,,0 CDM,30585613,Hc Russell Viper Venom Time; Diluted,388.0,388.0,,,0 CDM,30585652,Hc Sedimentation Rate Auto,141.0,141.0,,,0 CDM,30585652_LAF,Hc Sedimentation Rate Auto-Laf,26.0,26.0,,,0 CDM,30585660,"Hc Sickling Of Rbc, Reduction",104.0,104.0,,,0 CDM,30585670,Hc Thrombin Time; Plasma,265.0,265.0,,,0 CDM,30585675,Hc Thrombin Tme; Titer,174.0,174.0,,,0 CDM,30585705,Hc Thromboplastin Inhibition Tissue Mix,244.0,244.0,,,0 CDM,30585730,Hc Partial Thromboplastin Time (Ptt),216.0,216.0,,,0 CDM,30585732,Hc Ptt Substitution,295.0,295.0,,,0 CDM,30585810,Hc Viscocity,248.0,248.0,,,0 CDM,30586003,Hc Allergen Level 1,37.0,37.0,,,0 CDM,30586021,Hc Hlat-Antibody Id Neutrophil Direct,477.0,477.0,,,0 CDM,30586022,Hc Antibody Id Platelet Ab Auto,505.0,505.0,,,0 CDM,30586078,"Hc Blood Bank Md Services; Investigate Transfucion React, Suspicion Transmiss Dx; Interp & Report",268.0,268.0,,,0 CDM,30586235,Hc Ena Ss-A Antibody Id,464.0,464.0,,,0 CDM,30586235_LAF,Hc Ena Ss-A Antibody Id-Laf,143.0,143.0,,,0 CDM,30586255,Hc Fluor Ab Scrn Nmo Igg,453.0,453.0,,,0 CDM,30586256,Hc Myoglobin Ab Titer,168.0,168.0,,,0 CDM,30586317,Hc Immunoassay For Infectious Angent Antibody Csf Prion Disease,178.0,178.0,,,0 CDM,30586341,"Hc Zinc Transporter 8 (Znt8) Antibody, Serum",413.0,413.0,,,0 CDM,30586431,Hc Rheumatoid Factor; Igm,159.0,159.0,,,0 CDM,30586689,Hc Hiv 2Ab Immunoblot,273.0,273.0,,,0 CDM,30586753,"Hc Tryponsoma, Cruzi Pcr",291.0,291.0,,,0 CDM,30586790,Hc Hep E Igg,351.0,351.0,,,0 CDM,30587070,"Hc Culture, External Female Genital",385.0,385.0,,,0 CDM,30587081,Hc Biopsy Culture Yersinia Scrn,255.0,255.0,,,0 CDM,30587185,Hc Susceptibility Micro,431.0,431.0,,,0 CDM,30587202,"Hc Smear Parasites, Giemsa Stain",314.0,314.0,,,0 CDM,30587205,Hc Quantitative Rapid Smear,190.0,190.0,,,0 CDM,30587798,Hc Infectious Agent Detection By Amplified Probe Each Organism,264.0,264.0,,,0 CDM,30587799,Hc Ebv Nucleic Acid Quant Blood,661.0,661.0,,,0 CDM,30600000_7037344,Hc Student Care Screen 1,246.48,246.48,,,0 CDM,30600003,Hc Specimen Handling,102.0,102.0,,,0 CDM,30600010,Hc Carba-R,243.0,243.0,,,0 CDM,30600112,Hc Fungi Tissue Exam,104.0,104.0,,,0 CDM,30600112_PBB,Hc Fungi Tissue Exam-Pbb,216.0,216.0,,,0 CDM,30600476,Hc Hpv High-Risk Types Screen,390.0,390.0,,,0 CDM,30600479,Hc Phencyclidiness Presumptv,182.0,182.0,,,0 CDM,30600480,Hc Pentobarbital,74.0,74.0,,,0 CDM,30680299,Hc Amiodarone,420.0,420.0,,,0 CDM,30680307,Hc Ethyl Glucuronide Screen U,209.0,209.0,,,0 CDM,30680335,Hc Nortriptyline,86.0,86.0,,,0 CDM,30681403,Hc C-Abl Mutation Assay,815.0,815.0,,,0 CDM,30681404,Hc Nras Exons 1 2 Targeted,440.0,440.0,,,0 CDM,30681443,Hc Hereditary Leukemia And Breast Cancer Panel,5096.0,5096.0,,,0 CDM,30682190,Hc Calcium By Aa,96.0,96.0,,,0 CDM,30682397,"Hc Vedolizumab Ab, S",241.0,241.0,,,0 CDM,30682542,Hc Col Chromotography Qual/Quan,312.0,312.0,,,0 CDM,30682570,"Hc N-Methylhistamine, Cr Random, U",114.0,114.0,,,0 CDM,30682657,Hc Beta-Glucosidase Assay,186.0,186.0,,,0 CDM,30682784,"Hc Immunoglobulin Iga, Quantitative",266.0,266.0,,,0 CDM,30683018,"Hc Iodine, Urine",309.0,309.0,,,0 CDM,30683516,Hc Adamt13 Ab By Elisa,301.0,301.0,,,0 CDM,30683519,Hc Trypsinogen,85.0,85.0,,,0 CDM,30683520,Hc Rna Polymerase Iii Ab Igg S,270.0,270.0,,,0 CDM,30684311,Hc Adenosine Deaminase,369.0,369.0,,,0 CDM,30684999,Hc Referred Lab Test Level 3,237.0,237.0,,,0 CDM,30685130,Hc Arixtra Level,283.0,283.0,,,0 CDM,30685335,Hc Factor X Inhibitor Titer,648.0,648.0,,,0 CDM,30685384,Hc Fibrinogen; Activity,286.0,286.0,,,0 CDM,30685999,Hc Manual Diff 500 Cell Count,432.0,432.0,,,0 CDM,30686003,Hc Allergen Level 2,96.0,96.0,,,0 CDM,30686235,Hc Ena Ss-B Antibody Id,464.0,464.0,,,0 CDM,30686235_LAF,Hc Ena Ss-B Antibody Id-Laf,143.0,143.0,,,0 CDM,30686255,Hc Flour Ab Screen Endomysial Iga,453.0,453.0,,,0 CDM,30686256,Hc Fluorescent Ab Titer Pca 1,168.0,168.0,,,0 CDM,30686682,Hc Echinococcus Ab,186.0,186.0,,,0 CDM,30687015,"Hc Concentration , For Infection Agents",119.0,119.0,,,0 CDM,30687040,Hc Culture Bacterial Definitive; Blood,574.0,574.0,,,0 CDM,30687045,"Hc Culture, Bacterial; Stool, Aerobic, Isolation & Prelim Exam, Salmonella And Shigella Species",537.0,537.0,,,0 CDM,30687046,"Hc Culture, Bacterial; Stool, Aerobic, Add Pathogens, Isolation & Presumptive Id Isolates, Each",117.0,117.0,,,0 CDM,30687070,Hc Culture Respiratory,385.0,385.0,,,0 CDM,30687071,Hc Quant Respiratory Culture,465.0,465.0,,,0 CDM,30687073,"Hc Culture, Bacterial; Quant, Anaer Isolat & Presumpt Id Isolate, Source Except Urine, Blood/Stool",249.0,249.0,,,0 CDM,30687075,"Hc Culture, Bacterial; Any Source, Except Blood, Anaerobic Isolation & Presumptive Id Of Isolates",447.0,447.0,,,0 CDM,30687076,"Hc Cult, Bacterial; Anaerobic Isolate, Add Meth Required For Definitive Identification, Each Isolate",190.0,190.0,,,0 CDM,30687077,"Hc Cult, Bacterial; Aerobic Isolate, Add Meth Required For Definitive Identification, Each Isolate",186.0,186.0,,,0 CDM,30687077_LAF,"Hc Cult, Bacterial; Aerobic Isolate, Add Meth Required For Definitive Identification, Each Isolate-L",39.0,39.0,,,0 CDM,30687081,"Hc Culture, N. Gonorrhoeae Bacteria",255.0,255.0,,,0 CDM,30687086,"Hc Culture, Bacterial, Quantitative Colony Count, Urne",311.0,311.0,,,0 CDM,30687086_LAF,"Hc Culture, Bacterial, Quantitative Colony Count, Urne-Laf",77.0,77.0,,,0 CDM,30687088,"Hc Culture, Bacterial; With Isolation And Presumptive Identification Of Isolates; Skin, Hair Or Nail",208.0,208.0,,,0 CDM,30687101,"Hc Culture, Fungi Isolation, With Presumptive Identification Of Isolates; Skin, Hair Or Nail",439.0,439.0,,,0 CDM,30687102,"Hc Culture, Fungi, W/ Id Isolates; Other",438.0,438.0,,,0 CDM,30687106,"Hc Culture, Fungi, Definitive Identification, Each Organism, Yeast",297.0,297.0,,,0 CDM,30687107,"Hc Culture, Fungi, Definitive Identification, Each Organism, Mold",232.0,232.0,,,0 CDM,30687110,"Hc Culture, Chlamydia, Any Source",433.0,433.0,,,0 CDM,30687116,"Hc Culture, Tubercle/ Other Acid-Fasti Bacilli, Afb, Any Source, Isolat & Presumptive Id Isolates",471.0,471.0,,,0 CDM,30687118,"Hc Culture, Mycobacterial, Definitive Identification, Each Isolate",243.0,243.0,,,0 CDM,30687140,"Hc Culture, Typing; Immunofluorescent Method, Each Antiserum",190.0,190.0,,,0 CDM,30687147,"Hc Culture, Typing; Immunologic Method, Other Than Immunofluorescence, Per Antiserum",82.0,82.0,,,0 CDM,30687149,Hc Culture Type Id Na Probe Kpc Per Culture,367.0,367.0,,,0 CDM,30687150,"Hc Culture, Typing; Id Nucleic Acid Probe, Amplified Probe Tech, Per Culture Or Isolate, Each",619.0,619.0,,,0 CDM,30687153,"Hc Culture, Typing; Identification By Nucleic Acid Sequencing Method, Each Isolate",1208.0,1208.0,,,0 CDM,30687154,Hc Culture Typing Id Blood Patgen&Resist Multl Ampl Probe 6 Or More Targets,1160.0,1160.0,,,0 CDM,30687168,Hc Macroscopic Examination; Arthropod,179.0,179.0,,,0 CDM,30687169,Hc Macroscopic Examination; Parasite,138.0,138.0,,,0 CDM,30687172,Hc Pinworm Exam,163.0,163.0,,,0 CDM,30687176,"Hc Homogenization, Tissue, For Culture",118.0,118.0,,,0 CDM,30687177,"Hc Ova And Parasites, Direct Smears, Concentration And Identification",408.0,408.0,,,0 CDM,30687181,"Hc Susceptibility Studies, Antimicrobial Agent; Agar Dilution Method, Per Agent",152.0,152.0,,,0 CDM,30687183,Hc Sc Std Carbapenem Resist Gen Amp Prb Tq Per Isol,681.0,681.0,,,0 CDM,30687184,Hc Susceptibility,227.0,227.0,,,0 CDM,30687185,"Hc Susceptibility Studies, Antimicrobial Agent; Enzyme Detection, Per Enzyme",68.0,68.0,,,0 CDM,30687186,Hc Susceptibility Of Yeast,431.0,431.0,,,0 CDM,30687187,"Hc Susceptib Studies, Antimicrobialt; Microdil/Agar, Minimum Lethal Concentration, Each",97.0,97.0,,,0 CDM,30687188,"Hc Susceptibility Studies, Antimicrobial Agent; Macrobroth Dilution, Each Agent",115.0,115.0,,,0 CDM,30687205,"Hc Smear, Gram Stain",190.0,190.0,,,0 CDM,30687206,Hc Smear Modified Acid Fast Bac,227.0,227.0,,,0 CDM,30687207,"Hc Smear, Primary Source Interp; Fluoresc Acid Fast Stain For Bact, Fungi, Parasites, Viruses",314.0,314.0,,,0 CDM,30687210,"Hc Smear, Primary Source With Interpretation; Wet Mount For Infectious Agents",167.0,167.0,,,0 CDM,30687210_PBB,"Hc Smear, Primary Source With Interpretation; Wet Mount For Infectious Agents-Pbb",276.0,276.0,,,0 CDM,30687220,Hc Tissue Exam Fungi,104.0,104.0,,,0 CDM,30687252,Hc Viral Culture,359.0,359.0,,,0 CDM,30687253,"Hc Virus Isolation; Tissue Culture, Additional Studies Or Definitive Identification, Each Isolate",386.0,386.0,,,0 CDM,30687254,"Hc Virus Isolation; Centrifuge Enhanced Tech, Id With Immunofluorescence Stain, Each Virus",319.0,319.0,,,0 CDM,30687260,"Hc Infectious Agent Antigen Detection By Immunofluorescent Technique, Adenovirus",230.0,230.0,,,0 CDM,30687269,"Hc Infectious Agent Antigen Detection By Immunofluorescent Technique, Giardia",213.0,213.0,,,0 CDM,30687272,"Hc Antigen By Dfa, Crypto/Giardia",213.0,213.0,,,0 CDM,30687273,Hc Infectious Agent Antigen Detection By Immunofluorescent Technique; Herpes Simplex Virus Type 2,135.0,135.0,,,0 CDM,30687274,Hc Infectious Agent Antigen Detection By Immunofluorescent Technique; Herpes Simplex Virus Type 1,135.0,135.0,,,0 CDM,30687275,Hc Infectious Agent Antigen Detection By Immunofluorescent Technique; Influenza B Virus,148.0,148.0,,,0 CDM,30687276,Hc Infectious Agent Antigen Detection By Immunofluorescent Technique; Influenza A Virus,148.0,148.0,,,0 CDM,30687279,"Hc Infectious Agent Antigen Detection By Immunofluorescent Technique; Parainfluenza Virus, Each",93.0,93.0,,,0 CDM,30687280,Hc Infectious Agent Antigen Detection By Immunofluorescent Technique; Respiratory Syncytial Virus,230.0,230.0,,,0 CDM,30687281,Hc Infectious Agent Antigen Detection By Immunofluorescent Technique; Pneumocystis Carinii,448.0,448.0,,,0 CDM,30687290,Hc Infectious Agent Antigen Detection By Immunofluorescent Technique; Varicella Zoster Virus,164.0,164.0,,,0 CDM,30687301,"Hc Infec Agent Antig Detect Enzyme Immuno, Qual/Semiquant, Mult-Step; Adenovir Enteric Types 40/41",352.0,352.0,,,0 CDM,30687305,"Hc Infec Agent Antig Detect Enzyme Immuno, Qual/Semiquant, Mult-Step; Aspergillus",242.0,242.0,,,0 CDM,30687324,"Hc Infec Agent Antig Detect Enzyme Immuno, Qual/Semiquant, Mult-Step; C Diff",280.0,280.0,,,0 CDM,3068732401,"Hc C. Difficile Toxin Antigen, Feces",280.0,280.0,,,0 CDM,30687340,"Hc Infec Agent Antig Detect Enzyme Immuno, Qual/Semiquant, Mult-Step; Hepatitis B Surface",456.0,456.0,,,0 CDM,30687340_LAF,"Hc Infec Agent Antig Detect Enzyme Immuno, Qual/Semiquant, Mult-Step; Hepatitis B Surface-Laf",99.0,99.0,,,0 CDM,30687400,Hc Influenza A Rapid,127.0,127.0,,,0 CDM,30687420,"Hc Infec Agent Antig Detect Enzyme Immuno, Qual/Semiquant, Mult-Stepd; Respiratory Syncytial Virus",194.0,194.0,,,0 CDM,30687425,"Hc Infec Agent Antig Detect Enzyme Immuno, Qual/Semiquant, Mult-Step; Rotavirus",277.0,277.0,,,0 CDM,30687427,Hc Infect Ag Shiga-Like Toxin 1,118.0,118.0,,,0 CDM,30687430,"Hc Infct Agnt Antigen Dtctn By Enzyme Immassy Tchnq, Qual Or Semiquan, Mult-Step Meth; Strep,Grp A",179.0,179.0,,,0 CDM,30687449,"Hc Antigen By Eia, Multistep (Legionel)",339.0,339.0,,,0 CDM,30687476,"Hc Infectious Agent Detection By Dna Or Rna; Borrelia Burdorferi, Amplified Probe Technique",687.0,687.0,,,0 CDM,30687480,Hc Candida Species,103.0,103.0,,,0 CDM,30687483,Hc Meningitis Encephilitis Panel Pcr Csf,2044.0,2044.0,,,0 CDM,30687490,"Hc Infectious Agent Detection By Dna Or Rna; Chlamydia Trachomatis, Direct Probe Technique",211.0,211.0,,,0 CDM,30687491,"Hc Infectious Agent Detection By Dna Or Rna; Chlamydia Trachomatis, Amplified Probe Technique",411.0,411.0,,,0 CDM,30687491_LAF,"Hc Infectious Agent Detection By Dna Or Rna; Chlamydia Trachomatis, Amplified Probe Technique-Laf",113.0,113.0,,,0 CDM,30687493,Hc Infectious Agent Detection By Dna Or Rna; C-Diff Toxin Gene,421.0,421.0,,,0 CDM,30687494,Hc Chlmy Trch&Neisra Gonor Mult,881.0,881.0,,,0 CDM,30687494_LAF,Hc Chlmy Trch&Neisra Gonor Mult,262.0,262.0,,,0 CDM,30687496,Hc Cmv By Pcr,570.0,570.0,,,0 CDM,3068749601,"Hc Cytomegalovirus, Pcr, Lower Resp",424.0,424.0,,,0 CDM,30687497,Hc Cmv Pcr Quantitative,991.0,991.0,,,0 CDM,30687498,"Hc Infct Agent Dtctn Dna Or Rna; Entervirus, Amplified Probe Tchnq, Incl Reverse Transcrip When Perf",546.0,546.0,,,0 CDM,30687507,"Hc Infect Agent Detect Dna/Rna;Gast Path, Multi Reverse Trans , Amp Probe, Types/Sub, 12-25 Targets",1917.0,1917.0,,,0 CDM,30687510,Hc Gardnerellis Vaginalis,103.0,103.0,,,0 CDM,30687517,"Hc Infectious Agent Detection By Dna Or Rna; Hepatitis B Virus, Quantification",1084.0,1084.0,,,0 CDM,30687522,"Hc Inf Agent Detection By Dna Or Rna; Hep C, Quantification, Inclds Reverse Transcription When Perf",1042.0,1042.0,,,0 CDM,30687522_LAF,"Hc Inf Agent Detection By Dna Or Rna; Hep C, Quantification, Inclds Reverse Transcription When Perf-",409.0,409.0,,,0 CDM,30687529,"Hc Infectious Agent Detection By Dna Or Rna; Herpes Simplex Virus, Direct Probe Technique",839.0,839.0,,,0 CDM,30687535,Hc Rna Hiv Qualitative Assay,650.0,650.0,,,0 CDM,30687536,Hc Hiv-1 Quantitative,954.0,954.0,,,0 CDM,30687538,Hc Hiv-2 Dna Rna Qualitative,615.0,615.0,,,0 CDM,30687563,Hc Mycoplasma Genitalium Tma,372.0,372.0,,,0 CDM,30687590,"Hc Infectious Agent Detection By Nucleic Acid Rna Or Dna; Neisseria Gonorrhoeae, Direct Probe Tech",249.0,249.0,,,0 CDM,30687591,"Hc Infct Agent Dtctn By Nucleic Acid Rna Or Dna; Neisseria Gonorrhoeae, Amplified Probe Tchnq",390.0,390.0,,,0 CDM,30687591_LAF,"Hc Infct Agent Dtctn By Nucleic Acid Rna Or Dna; Neisseria Gonorrhoeae, Amplified Probe Tchnq-Laf",149.0,149.0,,,0 CDM,30687593,Hc Orthopoxvirus Amp Prb Each,180.0,180.0,,,0 CDM,30687624,"Hc Infectious Agent Detection By Nucleic Acid Rna Or Dna; Hpv, High-Risk Types",390.0,390.0,,,0 CDM,30687624_LAF,"Hc Infectious Agent Detection By Nucleic Acid Rna Or Dna; Hpv, High-Risk Types-Laf",336.0,336.0,,,0 CDM,30687626,"Hc Infectious Agent Detection By Nucleic Acid Rna Or Dna; Hpv, High-Risk Types",390.0,390.0,,,0 CDM,3068762601,Hc Hpv Anal Detect / Genotyping Pcr,390.0,390.0,,,0 CDM,30687626_LAF,"Hc Infectious Agent Detection By Nucleic Acid Rna Or Dna; Hpv, High-Risk Types-Laf",336.0,336.0,,,0 CDM,30687631,"Hc Inf Agt Dtn Rna/Dna; Resp Vrs,Inc Mltx Rvs Trnscr,Wen Prf,&Mltx Amp Pbe Tch,Mult Typ,3-5 Tgts",796.0,796.0,,,0 CDM,30687632,Hc Respiratory Viral Panel Tem-Pcr,856.0,856.0,,,0 CDM,30687633,"Hc Infect Agent Det Rna Or Dna; Resp, Include Multi Reverse Trans, Amp, Types/Sub, 6-11 Targets",3234.0,3234.0,,,0 CDM,30687635,Hc Sars-Cov-2 Covid-19 Amp Prb,180.0,180.0,,,0 CDM,30687636,Hc Coronavirus 2 (Sars-Cov-2) Influenza A And B,785.0,785.0,,,0 CDM,30687637,Hc Iadna Sarscov2 & Inf A&B & Rsv Mult Amp Probe Tq,880.0,880.0,,,0 CDM,30687641,"Hc Infct Agent Dtctn By Nucl Acid Rna/Dna; Staphy Auerus, Methicillin Resist, Amplified Prob Tchnq",374.0,374.0,,,0 CDM,30687651,Hc Streptococcus Group A,160.0,160.0,,,0 CDM,30687660,Hc Trichomonas Vaginalis,103.0,103.0,,,0 CDM,30687661,"Hc Infct Agent Dtctn By Nucleic Acid Rna Or Dna; Trichomonas Vaginalis, Amplified Probe Tchnq",364.0,364.0,,,0 CDM,30687798,"Hc Ebv By Pcr, Csf",302.0,302.0,,,0 CDM,30687799,Hc Infectious Agent Detection Nos Quantitative Adenovirus,661.0,661.0,,,0 CDM,30687801,Hc Infectious Agent Amp Probe Perpcr,476.0,476.0,,,0 CDM,30687804,Hc Influenza A & B Immunoassay,252.0,252.0,,,0 CDM,30687811,Hc Sars-Cov-2 Covid-19 Poc,132.0,132.0,,,0 CDM,30687900,"Hc Hcv Genotypic Drug Resistance, S",909.0,909.0,,,0 CDM,30687902,"Hc Hcv Genotypic Drug Resistance, S",831.0,831.0,,,0 CDM,30687906,Hc Hiv Genotype Resist,886.0,886.0,,,0 CDM,30689055,"Hc Leukocyte Assessment, Fecal, Qualitative Or Semiquantitative",156.0,156.0,,,0 CDM,30700479,Hc Barbiturates Presumptv,182.0,182.0,,,0 CDM,30700480,Hc Clonazepam,139.0,139.0,,,0 CDM,30780299,Hc Amphotericin B,439.0,439.0,,,0 CDM,30780307,Hc Hypoglycemic Agent Screen,227.0,227.0,,,0 CDM,30781000,"Hc Urinalysis, By Dip Stick Or Tablet Reagent ; Non-Automated, With Microscopy",105.0,105.0,,,0 CDM,30781001,"Hc Ua,By Dip Stck/Tblt Rgnt For Blrbn,Gluc,Hgb,Ket,Lukcytes,Nit,Ph, Prot,Spec Grav,Urobil;Aut,W/Micr",140.0,140.0,,,0 CDM,30781001_LAF,"Hc Ua,By Dip Stck/Tblt Rgnt For Blrbn,Gluc,Hgb,Ket,Lukcytes,Nit,Ph, Prot,Spec Grav,Urobil;Aut,W/Micr",30.0,30.0,,,0 CDM,30781015,"Hc Urinalysis; Bacteriuria Screen, Except By Culture Of Dipstick",74.0,74.0,,,0 CDM,30781015_LAF,"Hc Urinalysis; Bacteriuria Screen, Except By Culture Of Dipstick-Laf",29.0,29.0,,,0 CDM,30781050,"Hc Volume Measurement For Timed Collection, Each",61.0,61.0,,,0 CDM,30781403,Hc Kras Gene Analy Codon 61,815.0,815.0,,,0 CDM,30781404,Hc Pdgfra Targeted Sequence,158.0,158.0,,,0 CDM,30781443,Hc Hereditary Lymphoid Malignancy/Immunodeficiency Predisposition Panel,5096.0,5096.0,,,0 CDM,30782397,Hc Chemiluminescent Assay,427.0,427.0,,,0 CDM,30782570,"Hc Ntx-Telopeptide, U",114.0,114.0,,,0 CDM,30782657,Hc Gluc Phos Isomerase,186.0,186.0,,,0 CDM,30783018,Hc Heavy Metal Blood,299.0,299.0,,,0 CDM,30783516,Hc Anti-Iga Antibody Igg,301.0,301.0,,,0 CDM,30783519,Hc Ach Receptor Binding Ab,127.0,127.0,,,0 CDM,30783520,Hc Neuron Specific Enolase,270.0,270.0,,,0 CDM,30784999,Hc Referred Lab Test Level 4,286.0,286.0,,,0 CDM,30785335,Hc Factor Xi Inhibitor Titer,648.0,648.0,,,0 CDM,30786003,Hc Allergen Peanut Component,133.0,133.0,,,0 CDM,30786021,Hc Ancatest-C Quant/Confirm,477.0,477.0,,,0 CDM,30786235,Hc Ss Antibody Id,464.0,464.0,,,0 CDM,30786255,Hc Ana Fluorsct Ab Screen,453.0,453.0,,,0 CDM,30786255_LAF,Hc Ana Fluorsct Ab Screen-Laf,100.0,100.0,,,0 CDM,30786256,"Hc Adrenal Ab, Ifa",168.0,168.0,,,0 CDM,30786317,Hc Tetanus Titer,122.0,122.0,,,0 CDM,30786682,"Hc Cysticerus Ab, E/A",186.0,186.0,,,0 CDM,30786790,Hc Hepatitis E Igm,351.0,351.0,,,0 CDM,30787015,Hc Cyclospora Stain Concentration,99.0,99.0,,,0 CDM,30787040,Hc Culture Bacterial Blood Aerobic W/Id Isolates,298.0,298.0,,,0 CDM,30787070,"Hc Culture, Eye",385.0,385.0,,,0 CDM,30787081,"Hc Culture, Beta Strep Bacteria",255.0,255.0,,,0 CDM,30787186,Hc Susceptiblty Stdy Antimicrbial Micro/Agar Dilutj,431.0,431.0,,,0 CDM,30787207,Hc Cyclospora Stain,164.0,164.0,,,0 CDM,30787449,Hc Ag Detect Nos Ia Mult,282.0,282.0,,,0 CDM,30787491,Hc Chlamydia Amplified Probe Assay Anhe,411.0,411.0,,,0 CDM,30787491_LAF,Hc Chlamydia Amplified Probe Assay Anhe-Laf,113.0,113.0,,,0 CDM,30787536,Hc Hiv-1 Rna Qual Anhe,954.0,954.0,,,0 CDM,30787591,Hc Gic Amplified Probe Assay Anhe,390.0,390.0,,,0 CDM,30787591_LAF,Hc Gic Amplified Probe Assay Anhe-Laf,336.0,336.0,,,0 CDM,30787798,Hc Jc Virus Pcr Qualitative,302.0,302.0,,,0 CDM,30787799,Hc Ebv By Pcr Quantitative,266.0,266.0,,,0 CDM,30800479,Hc Salicylate Presumptv,184.0,184.0,,,0 CDM,30800480,Hc Diazepam & Nordiazepam,139.0,139.0,,,0 CDM,30801_PBB,Pr Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc-Pbb,1552.0,1552.0,,,0 CDM,30802_PBB,Pr Abltj Sof Tiss Inf Turbs Uni/Bi Supfc Intramural-Pbb,2564.0,2564.0,,,0 CDM,30880299,Hc Busulfan Quant,307.0,307.0,,,0 CDM,30881403,Hc Abl Kinase Variants,158.0,158.0,,,0 CDM,30881404,Hc Mol Path Proc Lvl5,1264.0,1264.0,,,0 CDM,30881443,Hc Mesothelioma Panel,5096.0,5096.0,,,0 CDM,30882397,Hc Alpha Sub Of Pit Glyco,162.0,162.0,,,0 CDM,30882657,Hc Alpha-L-Iduronidase,186.0,186.0,,,0 CDM,30882784,"Hc Quantitative M-Protein Study, S",238.0,238.0,,,0 CDM,30883018,"Hc Thallium, Urine",286.0,286.0,,,0 CDM,30883516,Hc Myositis Antibody,139.0,139.0,,,0 CDM,30883519,Hc Ach Receptor Modulating Ab,127.0,127.0,,,0 CDM,30883520,Hc Adiponectin,384.0,384.0,,,0 CDM,30884999,Hc Referred Lab Test Level 5,380.0,380.0,,,0 CDM,30885335,Hc Factor Xii Inhibitor Titer,648.0,648.0,,,0 CDM,30886003,Hc Allergen Specific Ige Each,103.0,103.0,,,0 CDM,30886021,"Hc Ab Id, Bowel Disease Differentiation Panel",253.0,253.0,,,0 CDM,30886022,Hc Neonatal Alloimmune Thrombocytopenia (Nait)-Initial Testing Maternal Only,100.0,100.0,,,0 CDM,30886160,"Hc Complement; Antigen, Each Component",245.0,245.0,,,0 CDM,30886235,Hc Ribosomal P Ab,464.0,464.0,,,0 CDM,30886255,Hc Non-Infect Fa Ab Screen,453.0,453.0,,,0 CDM,30886256,Hc Fluorescent Ab Titer Anna 3,168.0,168.0,,,0 CDM,30886317,Hc Streptococcus Pneu Ab,122.0,122.0,,,0 CDM,30886790,Hc Herpes Virus 6,351.0,351.0,,,0 CDM,30887070,"Hc Culture, Internal Female Genital",385.0,385.0,,,0 CDM,30887081,Hc Culture Screen Genital Beta Strep,255.0,255.0,,,0 CDM,30887798,Hc Infectious Agent Detection Irp Pcr Each Organism,302.0,302.0,,,0 CDM,30887799,Hc Adenovirus Dna Quantitative Pcr,541.0,541.0,,,0 CDM,30887899,Hc Pneumoniae Antigen,339.0,339.0,,,0 CDM,30888271,Hc Cgen-Molecular Dna Probe Each Level 2,478.0,478.0,,,0 CDM,30898_00338050748,Gentamicin Sulfate In Sodium Chloride: 100 Ml In 1 Bag (0338-0507-48),46.61,46.61,,,0 CDM,30900111,Hc Wet Mount,111.0,111.0,,,0 CDM,30900111_PBB,Hc Wet Mount-Pbb,220.5,220.5,,,0 CDM,30900479,Hc Ethanol Serum Presumptv,229.0,229.0,,,0 CDM,30900480,Hc Benzodiazepines Conf,139.0,139.0,,,0 CDM,30901_PBB,Pr Control Nasal Hemorrhage Anterior Simple-Pbb,944.0,944.0,,,0 CDM,30903_PBB,Pr Control Nasal Hemorrhage Anterior Complex-Pbb,1400.0,1400.0,,,0 CDM,30905_PBB,Pr Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery 1St-Pbb,2528.0,2528.0,,,0 CDM,30980299,Hc Cannabinoids Quantitative,320.0,320.0,,,0 CDM,30981403,Hc Ctnnb1 Target Seq Variant,983.0,983.0,,,0 CDM,30981443,Hc Inherited Bone Marrow Failure Panel,5096.0,5096.0,,,0 CDM,30982657,Hc Arylsulfatase,186.0,186.0,,,0 CDM,30983516,Hc Immunoassay Analyte,301.0,301.0,,,0 CDM,30983519,Hc Ach Receptor Blocking Ab,85.0,85.0,,,0 CDM,30983520,Hc Interleukin Rec Assay,493.0,493.0,,,0 CDM,30984999,Hc Referred Lab Test Level 6,570.0,570.0,,,0 CDM,30986003,Hc Allergen Specific Ige Each Pnl1,72.0,72.0,,,0 CDM,30986022,Hc Platelet Transfusion Refractory Panel,100.0,100.0,,,0 CDM,30986235,Hc Cromatin Ab,464.0,464.0,,,0 CDM,30986255,"Hc Fluor Ab Scrn, Mitochondrial",453.0,453.0,,,0 CDM,30986256,Hc Fluorescent Ab Titer Pca 2,168.0,168.0,,,0 CDM,30986790,Hc Htlvi/Htlv2,351.0,351.0,,,0 CDM,30987070,"Hc Culture, Joint (Synovial) Fluid",385.0,385.0,,,0 CDM,30987081,"Hc Culture, Nasal",255.0,255.0,,,0 CDM,30987798,Hc Infect Agent Detection Subtype Pcr Each Organism,302.0,302.0,,,0 CDM,30987799,Hc Ebv Dna Pcr-Csf,558.0,558.0,,,0 CDM,30988184,Hc Flow Cytometry First Marker,401.0,401.0,,,0 CDM,30988185,Hc Flow Cytometry Each Additional Marker,241.0,241.0,,,0 CDM,30988271,Hc Molecular Dna Probe Each Av,478.0,478.0,,,0 CDM,30989051,Hc Body Fluid Cell Ct W/Differential,478.0,478.0,,,0 CDM,30989190,Hc Nasal Smear For Eosinophils,99.0,99.0,,,0 CDM,30995_00245014401,Pacerone: 100 Blister Pack In 1 Carton (0245-0144-01) / 1 Tablet In 1 Blister Pack (0245-0144-89),17.28,17.28,,,0 CDM,30995_00245014430,Pacerone: 30 Tablet In 1 Bottle (0245-0144-30),17.28,17.28,,,0 CDM,30995_00245014489,NDC Description Not Available,17.3,17.3,,,0 CDM,30995_50268009711,NDC Description Not Available,21.82,21.82,,,0 CDM,31000000,Hc Em Technical Client,3086.0,3086.0,,,0 CDM,31000479,Hc Acetaminophen Presumptv,349.0,349.0,,,0 CDM,31000_PBB,Pr Lavage Cannulation Maxillary Sinus-Pbb,566.0,566.0,,,0 CDM,31003780,"Hc Ataxia Repeat Expansion Panel, Rfc1 Gene Analysis",304.0,304.0,,,0 CDM,31005390,Hc Car-T Receipt & Prep Cells For Administration,3466.0,3466.0,,,0 CDM,31034_00002446430,"Cialis: 30 Tablet, Film Coated In 1 Bottle (0002-4464-30)",349.08,349.08,,,0 CDM,31034_13668058130,Tadalafil: 30 Tablet In 1 Bottle (13668-581-30),9.3,9.3,,,0 CDM,31038208,"Hc Trnsplnt Prep Of Hematopoietic Cells; Thawing Of Prev Frozen Harvest, W/O Wshng, Per Donor",4047.0,4047.0,,,0 CDM,31038210,"Hc T-Cell Depletion Of Harvest; Cd34 Selection, Single Reagent Vial",7218.0,7218.0,,,0 CDM,31080299,Hc Ceftizoxime,521.0,521.0,,,0 CDM,31081105,Hc Neonatal Alloimmune Thrombocytopenia (Nait)-Initial Testing Maternal Only,110.0,110.0,,,0 CDM,31081106,Hc Neonatal Alloimmune Thrombocytopenia (Nait)-Initial Testing Maternal Only,110.0,110.0,,,0 CDM,31081107,Hc Neonatal Alloimmune Thrombocytopenia (Nait)-Initial Testing Maternal Only,110.0,110.0,,,0 CDM,31081108,Hc Neonatal Alloimmune Thrombocytopenia (Nait)-Initial Testing Maternal Only,110.0,110.0,,,0 CDM,31081109,Hc Neonatal Alloimmune Thrombocytopenia (Nait)-Initial Testing Maternal Only,110.0,110.0,,,0 CDM,31081110,Hc Neonatal Alloimmune Thrombocytopenia (Nait)-Initial Testing Maternal Only,110.0,110.0,,,0 CDM,31081111,Hc Neonatal Alloimmune Thrombocytopenia (Nait)-Initial Testing Maternal Only,110.0,110.0,,,0 CDM,31081112,Hc Neonatal Alloimmune Thrombocytopenia (Nait)-Initial Testing Maternal Only,110.0,110.0,,,0 CDM,31081121,Hc 2-Hydroxyglutaric Aciduria Panel,922.0,922.0,,,0 CDM,31081162,Hc Hereditary Melanoma Panel Brca1 & Brca2,2750.0,2750.0,,,0 CDM,31081170,Hc Abl 1 Mutation Assay,815.0,815.0,,,0 CDM,31081177,"Hc Ataxia Repeat Expansion Panel, Atn1 Gene Analysis",304.0,304.0,,,0 CDM,31081178,"Hc Ataxia Repeat Expansion Panel, Atxn1 Gene Analysis",304.0,304.0,,,0 CDM,31081179,"Hc Ataxia Repeat Expansion Panel, Atxn2 Gene Analysis",304.0,304.0,,,0 CDM,31081180,"Hc Single Gene Repeat Expansion Analysis, Atxn3",685.0,685.0,,,0 CDM,31081181,"Hc Ataxia Repeat Expansion Panel, Atxn7 Gene Analysi",304.0,304.0,,,0 CDM,31081182,"Hc Ataxia Repeat Expansion Panel, Atxn8Os Gene Analysis",304.0,304.0,,,0 CDM,31081183,"Hc Ataxia Repeat Expansion Panel, Atxn10 Gene Analysis",304.0,304.0,,,0 CDM,31081184,"Hc Ataxia Repeat Expansion Panel, Cacna1A Gene Analysis",304.0,304.0,,,0 CDM,31081201,Hc Hereditary Thyroid Cancer Panel Apc Seq,1045.0,1045.0,,,0 CDM,31081202,"Hc Apc Gene Analysis, Known Familial Variants",158.0,158.0,,,0 CDM,31081203,Hc Hereditary Thyroid Cancer Panel Apc Del/Dupl,440.0,440.0,,,0 CDM,31081210,Hc Braf Gene Analysis V600E Vari,158.0,158.0,,,0 CDM,31081216,Hc Brca2 Full Seq,1264.0,1264.0,,,0 CDM,31081218,Hc Cebpa Full Gene Sequnce,1116.0,1116.0,,,0 CDM,31081222,Hc Cystic Fibrosis (Cf) Mutation Panel Dupl/Del,495.0,495.0,,,0 CDM,31081223,Hc Cftr Gene Analysis; Full Gene Sequence,2090.0,2090.0,,,0 CDM,31081235,Hc Egfr Gene Analaysis Common Variant,1116.0,1116.0,,,0 CDM,31081236,Hc Ezh2 Mutation Analysis,1320.0,1320.0,,,0 CDM,31081243,"Hc Ataxia Repeat Expansion Panel, Fmr1 Gene Analysi",304.0,304.0,,,0 CDM,31081263,Hc Igh Vari Regional Mutation,1496.0,1496.0,,,0 CDM,31081265,Hc Maternal Cell Contamination,1637.0,1637.0,,,0 CDM,31081272,Hc C-Kit Mutation Analys,1339.0,1339.0,,,0 CDM,31081275,Hc Kras Gene Analy Codons 12 13,477.0,477.0,,,0 CDM,31081277,Hc Cytogenomic Neo Microra Alys,2493.0,2493.0,,,0 CDM,31081284,Hc Single Gene Repeat Expansion Analysis - Fxn,685.0,685.0,,,0 CDM,31081286,Hc Fxn Mutation Analysis,1133.0,1133.0,,,0 CDM,31081292,Hc Mlh1 Full Gene Seq,703.0,703.0,,,0 CDM,31081293,Hc Mlh1 Gene Analysis; Known Familial Variants,158.0,158.0,,,0 CDM,31081294,Hc Mlh1 Copy Number,703.0,703.0,,,0 CDM,31081295,Hc Mlh2 Full Gene Seq,703.0,703.0,,,0 CDM,31081297,Hc Mlh2 Copy#,703.0,703.0,,,0 CDM,31081298,Hc Mlh6 Full Gene Seq,703.0,703.0,,,0 CDM,31081300,Hc Mlh6 Copy Number,703.0,703.0,,,0 CDM,31081311,Hc Nras Exns 1 2 Targeted,1116.0,1116.0,,,0 CDM,31081317,Hc Hereditary Prostate Cancer Panel Pms2,825.0,825.0,,,0 CDM,31081321,Hc Hereditary Thyroid Cancer Panel Pten Seq,1045.0,1045.0,,,0 CDM,31081322,Hc Pten Gene Analysis; Known Familial Variant,158.0,158.0,,,0 CDM,31081323,Hc Hereditary Thyroid Cancer Panel Pten Del/Dup,550.0,550.0,,,0 CDM,31081324,Hc Pmp22 Gene Analysis; Duplication/Deletion Analysis,1460.0,1460.0,,,0 CDM,31081325,Hc Pmp22 Gene Analysis; Full Sequence Analysis,1460.0,1460.0,,,0 CDM,31081329,Hc Sma Carrier By Deletion/Duplicate,930.0,930.0,,,0 CDM,31081334,Hc Msk Adult Mds/Aml Panel Runx1,1020.0,1020.0,,,0 CDM,31081340,"Hc Trb, Gene Rearrangemnt Analysis To Detect Abnrml Clonal Populatn(S); Using Amplifictn Methodlgy",1952.0,1952.0,,,0 CDM,31081342,"Hc Trg@ , Gene Rearrangement Analysis, Evaluation To Detect Abnormal Clonal Population(S)",1952.0,1952.0,,,0 CDM,31081343,"Hc Ataxia Repeat Expansion Panel, Ppp2R2B Gene Analysis",304.0,304.0,,,0 CDM,31081344,"Hc Ataxia Repeat Expansion Panel, Tbp Gene Analysis",304.0,304.0,,,0 CDM,31081345,Hc Tert Gene Analysis Targeted Sequence Analysis,1351.0,1351.0,,,0 CDM,31081351,Hc Msk Lymphoma Panel Tp53 Gene,850.0,850.0,,,0 CDM,31081370,"Hc Hla Class I And Ii Typing, Low Resolution; Hla-A, -B, -C, -Drb1/3/4/5, And -Dqb1",6219.9,6219.9,,,0 CDM,31081371,"Hc Hla Class I And Ii Typing, Low Resolution; Hla-A, -B, And -Drb1/3/4/5 (Eg, Verification Typing)",4228.2,4228.2,,,0 CDM,31081372,"Hc Hla Class I Typing, Low Resolution; Complete",4212.0,4212.0,,,0 CDM,31081373,"Hc Hla Class I Typing, Low Resolution ; One Locus , Each",1456.0,1456.0,,,0 CDM,31081374,"Hc Hla Class I Typing, Low Resolution ; One Antigen Equivalent (Eg, B*27), Each",1814.0,1814.0,,,0 CDM,31081375,"Hc Hla Class Ii Typing, Low Resolution ; Hla-Drb1/3/4/5 And -Dqb1",3391.0,3391.0,,,0 CDM,31081376,"Hc Hla Class Ii Typing, Low Resolution; One Locus , Each",1283.0,1283.0,,,0 CDM,31081377,"Hc Hla Class Ii Typing, Low Resolution; One Antigen Equivalent, Each",1283.0,1283.0,,,0 CDM,31081378,"Hc Hla Class I And Ii Typing, High Resolution, Hla-A, -B, -C, And -Drb1",10663.2,10663.2,,,0 CDM,31081379,"Hc Hla Class I Typing, High Resolution; Complete",8192.7,8192.7,,,0 CDM,31081380,"Hc Hla Class I Typing, High Resolution; One Locus, Each",3088.0,3088.0,,,0 CDM,31081381,"Hc Hla Class I Typing, High Resolution; One Allele Or Allele Group, Each",3088.0,3088.0,,,0 CDM,31081382,"Hc Hla Class Ii Typing, High Resolution; One Locus , Each",2718.0,2718.0,,,0 CDM,31081383,"Hc Hla Class Ii Typing, High Resolution; One Allele Or Allele Group, Each",2718.0,2718.0,,,0 CDM,31081400,Hc Il28B Polymorphisms For Hepatitis C,638.0,638.0,,,0 CDM,31081402,Hc Mpl Common Variants,983.0,983.0,,,0 CDM,31081403,Hc Jak2Exon 12 Mutation,815.0,815.0,,,0 CDM,31081404,Hc C-Kit Mutation Analysis,1339.0,1339.0,,,0 CDM,31081405,Hc Tp53 >5 Targeted Sequence,1264.0,1264.0,,,0 CDM,31081406,Hc Cytogenomic Snp Microarray,2389.0,2389.0,,,0 CDM,31081407,"Hc Tier 1 Diazoxide Unresponsive Hyperinsulinism Panel, Abcc8",880.0,880.0,,,0 CDM,31081408,Hc Mol Path Proc Lvl9,1264.0,1264.0,,,0 CDM,31081415,Hc Exome Select,11330.0,11330.0,,,0 CDM,31081416,Hc Exome Sequence Analysis Each Comparator Exome,1700.0,1700.0,,,0 CDM,31081432,Hc Hereditary Breast And Ovarian Cancer Panel Sequence Analysis Hg,1696.0,1696.0,,,0 CDM,31081433,Hc Hereditary Breast And Ovarian Cancer Panel Duplication/Deletion Analysis Hg,1696.0,1696.0,,,0 CDM,31081435,Hc Hereditary Colorectal Cancer Panel Seq Analys G410 Gen,3399.0,3399.0,,,0 CDM,31081437,"Hc Hereditary Pheochromocytoma And Paraganglioma Panel Max, Sdhb, Sdhc, Sdhd, Tmem127, Vhl",660.0,660.0,,,0 CDM,31081439,Hc Dilated Cardiomyopathy And Left Ventricular Noncompaction Panel,3660.0,3660.0,,,0 CDM,31081441,Hc Inherited Bone Marrow Failure,5096.0,5096.0,,,0 CDM,31081442,Hc Noonan Syndrome Panel,4620.0,4620.0,,,0 CDM,31081443,Hc Thrombocytopenia Panel,5096.0,5096.0,,,0 CDM,31081445,Hc Oncoscreen Ngs,4464.0,4464.0,,,0 CDM,31081449,"Hc Rna Fusion Ntrk1, Ntrk2, Ntrk3, Fgfr1, Fgfr2, Fgfr3 Solid Organ",1988.0,1988.0,,,0 CDM,31081451,"Hc Rna Fusion Ntrk1, Ntrk2, Ntrk3, Fgfr1, Fgfr2, Fgfr3 Hematolymphoid Neoplasm",1988.0,1988.0,,,0 CDM,31081459,Hc So Gsap Cll Fr Dna/Dna&Rna Oncoplus Panel,5361.0,5361.0,,,0 CDM,31081470,Hc X-Linked Non-Specific Id Panel,3850.0,3850.0,,,0 CDM,3108147902,Hc Single Gene Repeat Expansion Analysis - Nop56,685.0,685.0,,,0 CDM,3108147904,Hc Non-Alcoholic Fatty Liver Disease Susceptibility (Pnpla3) Genotyping,990.0,990.0,,,0 CDM,31081515,Hc Nfct Ds Bv&Vaginitis Amp Prb,627.0,627.0,,,0 CDM,31082657,Hc Beta-Galactosidaseassay,186.0,186.0,,,0 CDM,31083516,Hc Immunoassy Gliadin Iga Ab,301.0,301.0,,,0 CDM,31083519,Hc Calcium Channel Bind Ab,127.0,127.0,,,0 CDM,31083520,Hc Glomerular Basement Membr,270.0,270.0,,,0 CDM,31084182,Hc Pediatric Autoimmune Encephalopathy Immunoblot,274.0,274.0,,,0 CDM,31084999,Hc Referred Lab Test Level 7,856.0,856.0,,,0 CDM,31084_00456321063,"10 BLISTER PACK in 1 BOX, UNIT-DOSE (0456-3210-63) / 10 TABLET in 1 BLISTER PACK (0456-3210-11)",45.96,45.96,,,0 CDM,31084_00591387560,Memantine Hydrochloride: 60 Tablet In 1 Bottle (0591-3875-60),6.0,6.0,,,0 CDM,31084_00904650661,"Memantine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6506-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.85,5.85,,,0 CDM,31084_29300017216,"Memantine Hydrochloride: 60 Tablet, Film Coated In 1 Bottle, Plastic (29300-172-16)",6.0,6.0,,,0 CDM,31086003,Hc Allergen Specific Ige Each Pnl2,90.0,90.0,,,0 CDM,31086235,Hc Jo - 1 Ab,464.0,464.0,,,0 CDM,31086255,"Hc Fluor Ab Scrn, Smooth Muscle",453.0,453.0,,,0 CDM,31086256,Hc Fluorescent Ab Titer Pca Tr,168.0,168.0,,,0 CDM,31087070,"Hc Culture, Male Intern Genital",385.0,385.0,,,0 CDM,31087798,Hc Infectious Agent Detection Amplified Probe Adenovirus,302.0,302.0,,,0 CDM,31088112,Hc Thin Prep Non Ob-Gyne,767.0,767.0,,,0 CDM,31088120,"Hc Cytopath, In Situ Hybrid, Ut Specimen W/ Morphometric Anlys, 3-5 Molecular Probs, Ea Spec, Manual",653.0,653.0,,,0 CDM,31088142,"Hc Cytopath,Cerv Or Vag,Collctd In Preserv Fluid, Auto Thin Layer Prep,Mnual Scrning Under Md Sprvsn",234.0,234.0,,,0 CDM,31088142_LAF,"Hc Cytopath,Cerv Or Vag,Collctd In Preserv Fluid, Auto Thin Layer Prep,Mnual Scrning Under Md Sprvsn",194.0,194.0,,,0 CDM,31088143,"Hc Cytopath,Cerv/Vag,Colld In Preserv Fluid,Autom Thin Layer Prep,Man Screeng&Rescreeng Under Md Sup",274.0,274.0,,,0 CDM,31088143_LAF,"Hc Cytopath,Cerv/Vag,Colld In Preserv Fluid,Autom Thin Layer Prep,Man Screeng&Rescreeng Under Md Sup",194.0,194.0,,,0 CDM,31088164,"Hc Cytopathology, Slides, Cervical Or Vaginal; Manual Screening Under Md Supervision",190.0,190.0,,,0 CDM,31088182,Hc Telomere Length Testing,556.0,556.0,,,0 CDM,31088184,Hc Flow Immunophen First Marker,401.0,401.0,,,0 CDM,31088185,Hc Flow Immunophen Each Additional Marker,241.0,241.0,,,0 CDM,31088230,Hc Chromosome Deb,645.0,645.0,,,0 CDM,31088237,Hc Chromosome Tissue Culture Bone Marrow,2362.0,2362.0,,,0 CDM,31088240,"Hc Cryopreservation, Freezing And Storage Of Cells; Each Cell Line",416.0,416.0,,,0 CDM,31088241,"Hc Thawing And Expansion Of Frozen Cells, Each Aliquot",394.0,394.0,,,0 CDM,31088249,Hc Chromosme Deb,1066.0,1066.0,,,0 CDM,31088271,Hc Molecular Dna Probe Each,855.0,855.0,,,0 CDM,31088274,"Hc Molecular Cytogenetics; Interphase In Situ Hybridization, Analyze 25-99 Cells",948.0,948.0,,,0 CDM,31088283,"Hc Chromosome Analysis, Additional Specialuzed Banding Technique",1275.0,1275.0,,,0 CDM,31088299,Hc Cytogenetic Study,84.0,84.0,,,0 CDM,31088302,"Hc Level Iii, Surgical Pathology, Gross And Microscopic Exam",708.0,708.0,,,0 CDM,31088305,Hc Levl Iv Derm Path,938.0,938.0,,,0 CDM,31088312,Hc Special Stains Group 1,458.0,458.0,,,0 CDM,31088312_LAF,Hc Special Stains Group 1-Laf,192.0,192.0,,,0 CDM,31088313,"Hc Stains. Special, Group Ii (Iron)",302.0,302.0,,,0 CDM,31088313_LAF,"Hc Stains. Special, Group Ii (Iron)-Laf",152.0,152.0,,,0 CDM,31088319,Hc Myeloperoxidase (Mypx),658.0,658.0,,,0 CDM,31088342,Hc Immunohistochemistry Each Antibody Multilevel,729.0,729.0,,,0 CDM,31088342_LAF,Hc Immunohistochemistry Each Antibody Multilevel-Laf,358.0,358.0,,,0 CDM,31088344,"Hc Immunohisochemistry Or Immunocytochemistry, Per Specimen; Each Multiplex Antibody Stain Procedure",345.0,345.0,,,0 CDM,31088346,Hc Immunofluorescent Study Each Antibody Direct,482.0,482.0,,,0 CDM,31088350,Hc Immunfluors Stdy Add Ab,482.0,482.0,,,0 CDM,31088356,Hc Morphometric Analysis; Nerve,231.0,231.0,,,0 CDM,31088360,Hc Ihc Semi-Quantiative Each Antibody Manual,909.0,909.0,,,0 CDM,31088360_LAF,Hc Ihc Semi-Quantiative Each Antibody Manual-Laf,460.0,460.0,,,0 CDM,31088363,Hc Exam And Selection Of Retrieved Archival Tissue(S) For Molecular Analysis,135.0,135.0,,,0 CDM,31088364,"Hc In Situ Hydbrid (Eg, Fish), Per Specimen, Each Additional Single Probe Stain Procedure",788.0,788.0,,,0 CDM,31088365,Hc Tissue In-Situ Hybridization,788.0,788.0,,,0 CDM,31088368,Hc Morphmetric Ish Each Probe Manual,1027.0,1027.0,,,0 CDM,31088369,"Hc Morphometric Analysis; In Situ Hybrid, Manual, Per Specimen; Each Add Single Probe Stain Proc",696.0,696.0,,,0 CDM,31088377,Hc Morphmetric Analysis Fish,1470.0,1470.0,,,0 CDM,31088380,Hc Microdissection; Laser Capture,701.0,701.0,,,0 CDM,31088381,Hc Microdissection; Manual,866.0,866.0,,,0 CDM,31088399,Hc Referred Lab Test,349.87,349.87,,,0 CDM,31088_00456320563,"10 BLISTER PACK in 1 BOX, UNIT-DOSE (0456-3205-63) / 10 TABLET in 1 BLISTER PACK (0456-3205-11)",45.96,45.96,,,0 CDM,31088_00904650561,"Memantine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6505-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.24,5.24,,,0 CDM,31089051,Hc Spinal Fluid Cell Ct W/ Differential,478.0,478.0,,,0 CDM,31099060,Hc Stat Exome Sequencing (Proband Only),1200.0,1200.0,,,0 CDM,31100123,"Hc Scrn Cytpath, Cerv Or Vag, Clctd In Preserv Fluid, Aut Thn Lyr Prep, Scrn By Cytotech Undr Md Sup",296.0,296.0,,,0 CDM,31100123_LAF,"Hc Scrn Cytpath, Cerv Or Vag, Clctd In Preserv Fluid, Aut Thn Lyr Prep, Scrn By Cytotech Undr Md Sup",223.0,223.0,,,0 CDM,31100143,"Hc Scrning Cytpthlgy, Crvcl/Vag, Cllctd In Prsrvtv Fluid, Thin Lyr Prep, W/Mnl Scrning/Rscrning",346.0,346.0,,,0 CDM,31100143_LAF,"Hc Scrning Cytpthlgy, Crvcl/Vag, Cllctd In Prsrvtv Fluid, Thin Lyr Prep, W/Mnl Scrning/Rscrning-Laf",223.0,223.0,,,0 CDM,31100479,Hc Drug Screen Presumptv 1-6 Panel,364.0,364.0,,,0 CDM,31103000,"Hc Screening Pap Smear, Up To 3 Smears",190.0,190.0,,,0 CDM,31103780,Hc Single Gene Repeat Expansion Analysis - Rfc1 Gene,685.0,685.0,,,0 CDM,31107_00065080050,"Bss Plus: 1 Kit In 1 Package (0065-0800-50) * 480 Ml In 1 Bottle, Glass * 20 Ml In 1 Vial, Single-Dose",607.16,607.16,,,0 CDM,31138210,"Hc T-Cell Depletion Of Harvest; Cd34 Selection, Two Reagent Vials",11914.0,11914.0,,,0 CDM,31145_00037683015,Cortifoam: 1 Canister In 1 Carton (0037-6830-15) / 15 G In 1 Canister,2765.91,2765.91,,,0 CDM,31175_68001024200,Zonisamide: 100 Capsule In 1 Bottle (68001-242-00),6.0,6.0,,,0 CDM,31175_68462012801,Zonisamide: 100 Capsule In 1 Bottle (68462-128-01),2.69,2.69,,,0 CDM,31175_72578004001,Zonisamide: 100 Capsule In 1 Bottle (72578-040-01),6.0,6.0,,,0 CDM,31175_76282022601,Zonisamide: 100 Capsule In 1 Bottle (76282-226-01),6.0,6.0,,,0 CDM,31176_29300042901,Zonisamide: 100 Capsule In 1 Bottle (29300-429-01),1.61,1.61,,,0 CDM,31176_62756025902,Zonisamide: 100 Capsule In 1 Bottle (62756-259-02),2.1,2.1,,,0 CDM,31180299,"Hc Clomipramine, Serum",317.0,317.0,,,0 CDM,31181105,Hc Platelet Transfusion Refractory Panel,110.0,110.0,,,0 CDM,31181106,Hc Platelet Transfusion Refractory Panel,110.0,110.0,,,0 CDM,31181107,Hc Platelet Transfusion Refractory Panel,110.0,110.0,,,0 CDM,31181108,Hc Platelet Transfusion Refractory Panel,110.0,110.0,,,0 CDM,31181109,Hc Platelet Transfusion Refractory Panel,110.0,110.0,,,0 CDM,31181110,Hc Platelet Transfusion Refractory Panel,110.0,110.0,,,0 CDM,31181111,Hc Platelet Transfusion Refractory Panel,110.0,110.0,,,0 CDM,31181112,Hc Platelet Transfusion Refractory Panel,110.0,110.0,,,0 CDM,31181162,Hc Hereditary Prostate Cancer Panel Brca1 & Brca2,2035.0,2035.0,,,0 CDM,31181177,Hc Single Gene Repeat Expansion Analysis - Atn,685.0,685.0,,,0 CDM,31181179,Hc Single Gene Repeat Expansion Analysis - Atxn2,685.0,685.0,,,0 CDM,31181180,"Hc Ataxia Repeat Expansion Panel, Atxn3 Gene Analysis",304.0,304.0,,,0 CDM,31181181,Hc Single Gene Repeat Expansion Analysis Atxn7,685.0,685.0,,,0 CDM,31181182,Hc Single Gene Repeat Expansion Analysis - Atxn8Os,685.0,685.0,,,0 CDM,31181183,Hc Single Gene Repeat Expansion Analysis - Atxn10,685.0,685.0,,,0 CDM,31181218,Hc Msk Adult Mds/Aml Panel Cebpa,906.0,906.0,,,0 CDM,31181222,Hc Cystic Fibrosis Diagnostic Testing Gene Analysis; Duplication/Deletion Variant,1436.0,1436.0,,,0 CDM,31181223,Hc Cystic Fibrosis Diagnostic Testing Gene Analysis; Full Gene Sequence,2266.0,2266.0,,,0 CDM,31181243,Hc Single Gene Repeat Expansion Analysis - Fmr1,685.0,685.0,,,0 CDM,31181284,"Hc Ataxia Repeat Expansion Panel, Fxn Gene Analysis",304.0,304.0,,,0 CDM,31181292,Hc Hereditary Prostate Cancer Panel Mlh1,1100.0,1100.0,,,0 CDM,31181295,Hc Hereditary Prostate Cancer Panel Msh2,550.0,550.0,,,0 CDM,31181298,Hc Hereditary Prostate Cancer Panel Msh6,825.0,825.0,,,0 CDM,31181317,Hc Lynch Syndrome Panel Pms2,825.0,825.0,,,0 CDM,31181329,Hc Sma Carrier Testing Gene Analysis; Dosage/Deletion Analysis,377.0,377.0,,,0 CDM,31181334,Hc Msk Acute Lymphoblastic Leukemia Panel Runx1,1020.0,1020.0,,,0 CDM,31181343,Hc Single Gene Repeat Expansion Analysis - Ppp2R2B,685.0,685.0,,,0 CDM,31181344,Hc Single Gene Repeat Expansion Panel - Tbp,685.0,685.0,,,0 CDM,31181345,Hc Msk Adult Mds/Aml Panel Tert,1351.0,1351.0,,,0 CDM,31181351,Hc Hereditary Melanoma Panel Tp53,850.0,850.0,,,0 CDM,31181400,Hc Mol Path Proc Lvl1,703.0,703.0,,,0 CDM,31181402,Hc 6Q24 Methylation-Specific Mlpa,850.0,850.0,,,0 CDM,31181403,Hc Gnaq Common Variant,983.0,983.0,,,0 CDM,31181404,Hc Ret Type 2B Exons,1124.0,1124.0,,,0 CDM,31181405,Hc Ret Targeted Sequences,158.0,158.0,,,0 CDM,31181406,"Hc Tier 1 Diazoxide Unresponsive Hyperinsulinism Panel, Gck",880.0,880.0,,,0 CDM,31181407,Hc Hydrocephalus Panel,793.0,793.0,,,0 CDM,31181408,Hc Hereditary Pheochromocytoma And Paraganglioma Panelnf1,2200.0,2200.0,,,0 CDM,31181415,Hc Exome Sequencing (Trio),11330.0,11330.0,,,0 CDM,31181416,Hc Exome Sequencing (Trio),1700.0,1700.0,,,0 CDM,31181432,Hc Hereditary Breast & Ovarian Cancer Panel Seq,3399.0,3399.0,,,0 CDM,31181433,Hc Hereditary Breast And Ovarian Cancer Panel Dupl/Del,1700.0,1700.0,,,0 CDM,31181436,Hc Hereditary Colorectal Cancer Panel Dup/Del Analys 5 Gen,1700.0,1700.0,,,0 CDM,31181439,Hc Cardiomyopathy Comprehensive Panel,3660.0,3660.0,,,0 CDM,31181442,Hc Rasopathies And Noonan Spectrum Disorders Panel,3660.0,3660.0,,,0 CDM,31181443,Hc Hyperinsulinism Panel,5096.0,5096.0,,,0 CDM,31181445,Hc Heme Panel Ngs,5661.0,5661.0,,,0 CDM,31181479,Hc Tcell Recept Excision Circl Nb Scrn,47.0,47.0,,,0 CDM,31182657,Hc Beta-Glucuronidase Assay,186.0,186.0,,,0 CDM,31183516,Hc Immunoassy Gliadin Igg Ab,301.0,301.0,,,0 CDM,31183519,Hc Immunoassay Quant Leptin,85.0,85.0,,,0 CDM,31183520,Hc Histone Autoantibodies,270.0,270.0,,,0 CDM,31184182,"Hc Paraneoplas Autoantibody Eval, Immunoblot",274.0,274.0,,,0 CDM,31184999,Hc Referred Lab Test Level 8,1329.0,1329.0,,,0 CDM,31185576,Hc Platelet Ristocetin,184.0,184.0,,,0 CDM,31186235,Hc Scl - 70 Ab,464.0,464.0,,,0 CDM,31186255,Hc Cytoplasmic Neut Ab,235.0,235.0,,,0 CDM,31186256,Hc Fluorescent Ab Titer Amphysin,168.0,168.0,,,0 CDM,31187070,"Hc Culture, Breast Milk",385.0,385.0,,,0 CDM,31187798,Hc Parvovirus Dna Detection,302.0,302.0,,,0 CDM,31188104,Hc Smears With Interpretation,663.0,663.0,,,0 CDM,31188108,"Hc Cytopathology, Concentration Technique, Smears And Interpretation",663.0,663.0,,,0 CDM,31188112,Hc Thin Prep Gi Anal,747.0,747.0,,,0 CDM,3118811201,Hc Anal Thinprep Cytology W/Hpv Cotest,253.0,253.0,,,0 CDM,31188161,"Hc Cytopathology, Smears, Any Other Source; Preparation, Screening And Interpretation",269.0,269.0,,,0 CDM,31188172,Hc Cyto-Evaln Fna; Immed For Adequacy,458.0,458.0,,,0 CDM,31188173,"Hc Cytopathology, Evaluation Of Fine Needle Aspirate, Interpretation And Report",1015.0,1015.0,,,0 CDM,31188175,Hc Cytopath C/V Auto Fluid Redo,186.0,186.0,,,0 CDM,31188177,"Hc Cytopath,Eval Fna;Immed Cytohistologic Stdy Det Adequacy For Diag, Ea Sep Add Eval Ep, Same Site",382.0,382.0,,,0 CDM,31188184,Hc Flow Lymphocyte Surface First Marker,401.0,401.0,,,0 CDM,31188185,Hc Flow Lymphocyte Surface Each Additionalmarker,241.0,241.0,,,0 CDM,31188187,"Hc Flow Cytometry, Interpretation, 2-8 Markers",658.0,658.0,,,0 CDM,31188188,"Hc Flow Cytometry, Interpretation, 9-15 Markers",1022.0,1022.0,,,0 CDM,31188189,"Hc Flow Cytometry, Interpretation, 16 Or More Markers",434.0,434.0,,,0 CDM,31188230,Hc Tissue Culture For Non-Neoplastic Disorder; Lymphocyte,1394.0,1394.0,,,0 CDM,31188233,Hc Tissue Culture For Non-Neoplastic Disorder; Skin Or Other Solid Tissue Biopsy,2153.0,2153.0,,,0 CDM,31188235,Hc Tissue Culture For Non-Neoplastic Disorder; Amniotic Fluid Or Chorionic Villus Cells,2092.0,2092.0,,,0 CDM,31188237,Hc Tissue Culture Bone Marrow Blood Cell,2362.0,2362.0,,,0 CDM,31188239,Hc Tissue Culture For Neoplastic Disorders; Solid Tumor,1731.0,1731.0,,,0 CDM,31188261,"Hc Chromosome Analysis; Count 5 Cells, 1 Karyotype, With Banding",1223.0,1223.0,,,0 CDM,31188262,"Hc Chromosome Analysis; Count 15 To 20 Cells, 2 Karyotypes, With Banding",2646.0,2646.0,,,0 CDM,31188264,"Hc Chromosome Analysis, Analyze 20-25 Cells",2416.0,2416.0,,,0 CDM,31188267,"Hc Chromosome Analysis, Amniotic Fluid Or Chorionic Villus, Count 15 Cells, 1 Karotype, With Banding",2056.0,2056.0,,,0 CDM,31188269,"Hc Chrmsme Analysis, In Situ For Amnio Fld Cells, Cnt Cells From 6-12 Colonies, 1 Karyotype, W/Bndng",1929.0,1929.0,,,0 CDM,31188271,Hc Molecular Dna Probe Each (Fish),855.0,855.0,,,0 CDM,31188272,"Hc Molecular Cytogenetics; Chromosomal In Situ Hybridization, Analyze 3-5 Cells",565.0,565.0,,,0 CDM,31188273,"Hc Molecular Cytogenetics; Chromosomal In Situ Hybridization, Analyze 10-30 Cells",1128.0,1128.0,,,0 CDM,31188275,"Hc Molecular Cytogenetics; Interphase In Situ Hybridization, Analyze 100-300 Cells",1793.0,1793.0,,,0 CDM,31188280,"Hc Chromosome Analysis, Additional Karotypes, Each Study",263.0,263.0,,,0 CDM,31188285,"Hc Chromosome Analysis, Additional Cells Counted, Each Study",212.0,212.0,,,0 CDM,31188299,Hc Lymphoblast Cell Line Culture & Maintenance,3922.0,3922.0,,,0 CDM,31188304,"Hc Level Iii, Oral Path",283.0,283.0,,,0 CDM,31188305,Hc Level Iv Surg Path Nerve In Epon Bx,938.0,938.0,,,0 CDM,31188312,Hc Special Stains Group 1 Moderate,458.0,458.0,,,0 CDM,31188312_LAF,Hc Special Stains Group 1 Moderate-Laf,192.0,192.0,,,0 CDM,31188313,Hc Sp Stains Group Ii /Simple,302.0,302.0,,,0 CDM,31188313_LAF,Hc Sp Stains Group Ii /Simple-Laf,152.0,152.0,,,0 CDM,31188333,"Hc Pathology Consultation During Surgery; Cytologic Examination, Initial Site",471.0,471.0,,,0 CDM,31188334,"Hc Pathology Consultation During Surgery; Cytologic Examination, Each Additional Site",295.0,295.0,,,0 CDM,31188342,Hc Ihc Tech Only,729.0,729.0,,,0 CDM,31188342_LAF,Hc Ihc Tech Only-Laf,358.0,358.0,,,0 CDM,31188346,Hc Immunofluorescent Study Each Antibody Direct Method,482.0,482.0,,,0 CDM,31188348,Hc Electron Miscroscopy Neuropathology,3218.0,3218.0,,,0 CDM,31188350,Hc Anti-Enterocyte Antibodies,320.0,320.0,,,0 CDM,31188365,Hc In Situ Stain,788.0,788.0,,,0 CDM,31188368,Hc Morphmetric Ish Each Probe Lvl2,1027.0,1027.0,,,0 CDM,31188380,Hc Microdissection Laser,1149.0,1149.0,,,0 CDM,31188381,Hc Microdisection Mayo,301.0,301.0,,,0 CDM,31199060,Hc Stat Exome Sequencing (Trio),1200.0,1200.0,,,0 CDM,31200416,"Hc Prostate Biopsy, Any Mthd",938.0,938.0,,,0 CDM,31200479,Hc Drug Screen Presumptv,955.0,955.0,,,0 CDM,3121_00904735006,"Azithromycin: 50 Blister Pack In 1 Carton (0904-7350-06) / 1 Tablet, Film Coated In 1 Blister Pack",7.66,7.66,,,0 CDM,3121_50111078710,"Azithromycin: 30 Tablet, Film Coated In 1 Bottle (50111-787-10)",13.18,13.18,,,0 CDM,3121_50268009815,"Azithromycin: 50 BLISTER PACK in 1 BOX (50268-098-15) / 1 TABLET, FILM COATED in 1 BLISTER PACK (50268-098-11)",9.3,9.3,,,0 CDM,3121_59762219807,"Azithromycin: 30 Tablet, Film Coated In 1 Bottle (59762-2198-7)",5.11,5.11,,,0 CDM,3121_60687074211,NDC Description Not Available,10.77,10.77,,,0 CDM,3121_65862064169,"Azithromycin: 1 Blister Pack In 1 Carton (65862-641-69) / 6 Tablet, Film Coated In 1 Blister Pack",4.93,4.93,,,0 CDM,31231_PBB,Pr Nasal Endoscopy Diagnostic Uni/Bi Spx-Pbb,1030.0,1030.0,,,0 CDM,31235_PBB,Pr Nasal/Sinus Endoscopy Dx Sphenoid Sinusoscopy-Pbb,2194.0,2194.0,,,0 CDM,31237_PBB,Pr Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx-Pbb,1518.0,1518.0,,,0 CDM,31238210,Hc T-Cell Depletion Of Harvest; Tcr Alpha/Beta Depletion,10997.0,10997.0,,,0 CDM,31238_PBB,Pr Nasal/Sinus Ndsc Surg W/Control Nasal Hemorrhage-Pbb,2398.0,2398.0,,,0 CDM,3123_00378087216,NDC Description Not Available,276.61,276.61,,,0 CDM,3123_00597003234,Catapres-TTS: 4 POUCH in 1 CARTON (0597-0032-34) / 1 PATCH in 1 POUCH / 1 d in 1 PATCH,757.51,757.51,,,0 CDM,3123_82089010234,Catapres-Tts-2: 4 Pouch In 1 Carton (82089-102-34) / 1 Patch In 1 Pouch / 1 D In 1 Patch,757.51,757.51,,,0 CDM,31242_PBB,Pr Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv,1089.0,1089.0,,,0 CDM,31243_PBB,Pr Nasal/Sinus Ndsc Dstrj Cryoablation Pst Nsl Nrv-Pbb,1009.0,1009.0,,,0 CDM,31267_PBB,Pr Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinus-Pbb,2534.0,2534.0,,,0 CDM,31280299,Hc Dexamethasone Quant,253.0,253.0,,,0 CDM,31281243,"Hc Fragile X Carrier Testing Gene Analysis; Evaluation To Detect Abnormal (Eg, Expanded) Alleles",662.0,662.0,,,0 CDM,31281292,Hc Lynch Syndrome Panel Mlh1,1100.0,1100.0,,,0 CDM,31281295,Hc Lynch Syndrome Panel Msh2,550.0,550.0,,,0 CDM,31281298,Hc Lynch Syndrome Panel Msh6,825.0,825.0,,,0 CDM,31281351,Hc Tp53 Mutation Analysis,1133.0,1133.0,,,0 CDM,31281402,Hc Upd6 Analysis,850.0,850.0,,,0 CDM,31281403,Hc Idh1 Exon 4 Variants,983.0,983.0,,,0 CDM,31281404,Hc Ret Type 2A Exons,1264.0,1264.0,,,0 CDM,31281405,"Hc Hyperparathyroidism Panel, Cefr",680.0,680.0,,,0 CDM,31281406,"Hc Hyperparathyroidism Panel, Ret",737.0,737.0,,,0 CDM,31281407,Hc Chd7 Mutation Analysis,1320.0,1320.0,,,0 CDM,31281408,Hc Col4A3 Mutation Analysis,1133.0,1133.0,,,0 CDM,31281415,Hc Intellectual Disability Exome (Trio),11330.0,11330.0,,,0 CDM,31281416,Hc Intellectual Disability Exome (Trio),1700.0,1700.0,,,0 CDM,31281443,Hc Non-Specific Id Panel,5096.0,5096.0,,,0 CDM,31281445,Hc Rna Fusion Lung Cancer Panel,3724.0,3724.0,,,0 CDM,31281455,Hc Oncoplus Panel,8340.0,8340.0,,,0 CDM,31281479,Hc Mol Path Proc Unlisted,660.0,660.0,,,0 CDM,31282657,Hc Disaccharidases Lactase,186.0,186.0,,,0 CDM,31283516,Hc Immunoassy Ttg Iga Ab,301.0,301.0,,,0 CDM,31283519,Hc Immunoassay Musk Ab,898.0,898.0,,,0 CDM,31283520,Hc Ribosomal P Protein$Antib,270.0,270.0,,,0 CDM,31284182,"Hc Encephalopathy, Autoimm/Paraneo, Immunoblot",274.0,274.0,,,0 CDM,31284999,Hc Referred Lab Test Level 1,49.3,49.3,,,0 CDM,31286235,Hc Centromere B Ab,464.0,464.0,,,0 CDM,31286256,Hc Fluorescent Ab Titer Crmp5 Igg,168.0,168.0,,,0 CDM,31287070,"Hc Culture, Pleural Fluid",385.0,385.0,,,0 CDM,31287449,Hc Gdh Antigen,282.0,282.0,,,0 CDM,31287798,Hc T Gondii By Pcr,302.0,302.0,,,0 CDM,31288112,Hc Cytp Slctv Cell Enhancement Interpj Xcpt C/V,253.0,253.0,,,0 CDM,31288184,Hc Anti-Ige Receptor Ab Flowcytometry 1 Marker,318.0,318.0,,,0 CDM,31288185,Hc Anti-Ige Receptor Ab Flowcytometry Add Marker,122.0,122.0,,,0 CDM,31288300,"Hc Level 1 Surgical Pathology, Gross Interpretation Only",386.0,386.0,,,0 CDM,31288304,Hc Pathology Level Iii,767.0,767.0,,,0 CDM,31288305,Hc Level Iv Surgical Pathology Gross And Micro,938.0,938.0,,,0 CDM,31288307,"Hc-Level V - Surgical Pathology, Gross And Microscopic Examination",1560.0,1560.0,,,0 CDM,31288309,"Hc Level Vi- Surgical Pathology, Gross And Microscopic Exam",1992.0,1992.0,,,0 CDM,31288311,Hc Decalcification Procedure,138.0,138.0,,,0 CDM,31288312,Hc Special Stains Group 1 Simple,458.0,458.0,,,0 CDM,31288312_LAF,Hc Special Stains Group 1 Simple-Laf,192.0,192.0,,,0 CDM,31288313,"Hc Special Stain, Group Ii",302.0,302.0,,,0 CDM,31288313_LAF,"Hc Special Stain, Group Ii-Laf",152.0,152.0,,,0 CDM,31288314,Hc Special Stain Including Interpretation And Report; Histochemical Stain On Frozen Tissue Block,472.0,472.0,,,0 CDM,31288319,Hc Neurohist Stains,658.0,658.0,,,0 CDM,31288321,Hc Consult Referred Slides,396.0,396.0,,,0 CDM,31288323,Hc Consultation And Report On Referred Material Requiring Preparation Of Slides,680.5,680.5,,,0 CDM,31288325,"Hc Consultation, Comprehensive, W/ Review Of Records And Specimens, W/ Report On Referred Material",938.0,938.0,,,0 CDM,31288329,Hc Pathology Consultation During Surgery,324.0,324.0,,,0 CDM,31288331,"Hc Pathology Consultation During Surgery; First Tissue Block, W/ Frozen Section(S), Single Specimen",441.0,441.0,,,0 CDM,31288332,Hc Pathology Consultation During Surgery; Each Additional Tissue Block With Frozen Section(S),193.0,193.0,,,0 CDM,31288341,"Hc Immunohistochemistry Or Immunocytocehmistry, Per Specimen; Ini Single Antibody Stain Proc",729.0,729.0,,,0 CDM,31288341_LAF,"Hc Immunohistochemistry Or Immunocytocehmistry, Per Specimen; Ini Single Antibody Stain Proc-Laf",358.0,358.0,,,0 CDM,31288342,Hc Immunohistochemistry,729.0,729.0,,,0 CDM,31288342_LAF,Hc Immunohistochemistry-Laf,358.0,358.0,,,0 CDM,31288346,Hc Immunoflurescence Ab,349.0,349.0,,,0 CDM,31288348,Hc Electron Miscroscopy,3218.0,3218.0,,,0 CDM,31288362,Hc Nerve Teasing Preparations,1392.0,1392.0,,,0 CDM,31288366,"Hc In Situ Hydbrid (Eg, Fish), Per Specimen, Each Multiplex Probe Stain Procedure",1847.0,1847.0,,,0 CDM,31305_43547028010,"Escitalopram: 100 Tablet, Film Coated In 1 Bottle (43547-280-10)",5.71,5.71,,,0 CDM,31305_60687086511,NDC Description Not Available,3.93,3.93,,,0 CDM,31305_65862037301,"Escitalopram: 100 Tablet, Film Coated In 1 Bottle (65862-373-01)",6.0,6.0,,,0 CDM,31366_00378001801,"Metoprolol Tartrate: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-0018-01)",5.66,5.66,,,0 CDM,31366_51079025501,NDC Description Not Available,5.56,5.56,,,0 CDM,31366_62584026511,NDC Description Not Available,5.7,5.7,,,0 CDM,3136_00456430001,Monurol: 1 PACKET in 1 CARTON (0456-4300-01) / 1 POWDER in 1 PACKET (0456-4300-08),565.88,565.88,,,0 CDM,3136_70700026894,Fosfomycin Tromethamine: 1 Dose Pack In 1 Carton (70700-268-94) / 1 Powder In 1 Dose Pack,497.99,497.99,,,0 CDM,3136_70700026899,Fosfomycin Tromethamine: 1 Powder In 1 Packet (70700-268-99),497.99,497.99,,,0 CDM,31380299,"Hc Drug Qnant Nos, Urine",450.0,450.0,,,0 CDM,31380307,Hc Drug Presmp Meconium Multicls,70.0,70.0,,,0 CDM,31381243,"Hc Fragile X Diagnostic Testing Gene Analysis; Evaluation To Detect Abnormal (Eg, Expanded) Alleles",662.0,662.0,,,0 CDM,31381402,Hc Upd15 Analysis,850.0,850.0,,,0 CDM,31381403,Hc Hras Exon 2 Sequence,983.0,983.0,,,0 CDM,31381404,Hc Pik3Ca Target Seq,1124.0,1124.0,,,0 CDM,31381405,"Hc Hyperparathyroidism Panel, Mem1",680.0,680.0,,,0 CDM,31381406,Hc Atp7B Mutation Analysis,1320.0,1320.0,,,0 CDM,31381407,Hc Rubenstein-Taybi Syndrome Panel Crebbp Seq,770.0,770.0,,,0 CDM,31381408,Hc Fbn1 Mutation Analysis,1133.0,1133.0,,,0 CDM,31381415,Hc Stat Exome Sequencing (Proband Only),11330.0,11330.0,,,0 CDM,31381416,Hc Stat Exome Sequencing (Trio),1700.0,1700.0,,,0 CDM,31381443,Hc Lipodystrophy Panel,5096.0,5096.0,,,0 CDM,31381445,Hc Hc Ngs Panel St 5-50 Loci,5361.0,5361.0,,,0 CDM,31381455,Hc Ngs Oncoplus Solid Tumor,5361.0,5361.0,,,0 CDM,31381479,Hc Apol1 Gene Seq,715.0,715.0,,,0 CDM,31382657,Hc Disaccharidases Sucrase,186.0,186.0,,,0 CDM,31383516,Hc Immunoassy Ttg Igg Ab,301.0,301.0,,,0 CDM,31383519,Hc Cystic Fibrosis By Irt,37.0,37.0,,,0 CDM,31383520,Hc Tryptase,270.0,270.0,,,0 CDM,31384999,Hc Nephrocheck Akirisk,380.0,380.0,,,0 CDM,31386235,Hc Myomarker Panel 3 Nuclear Antigen Antibody,96.0,96.0,,,0 CDM,31386256,Hc Flourescent Ab Titer Nmo Igg,168.0,168.0,,,0 CDM,31387070,"Hc Culture, Spinal Fluid",385.0,385.0,,,0 CDM,31387449,"Hc Histoplasma/Blastomyces Ag, Eia",339.0,339.0,,,0 CDM,31387798,"Hc Vzv By Pcr, Csf",302.0,302.0,,,0 CDM,31388184,Hc Band 3 Flurescence St,783.0,783.0,,,0 CDM,31388185,Hc Tumor Immunohistchm-Manul,249.0,249.0,,,0 CDM,31388305,Hc Level Iv Oral Path,325.0,325.0,,,0 CDM,31388307,"Hc-Level V - Surgical Pathology, Gross And Microscopic Examination Csf",1560.0,1560.0,,,0 CDM,31388307_LAF,"Hc-Level V - Surgical Pathology, Gross And Microscopic Examination Csf-Laf",580.0,580.0,,,0 CDM,31388313,Hc Sp Stains Group Ii / Moderate,302.0,302.0,,,0 CDM,31388313_LAF,Hc Sp Stains Group Ii / Moderate-Laf,152.0,152.0,,,0 CDM,31388319,Hc Special Stain I&R Group Iii Enzyme Consituents,358.0,358.0,,,0 CDM,31388342,Hc Ihc Stain Group B,729.0,729.0,,,0 CDM,31388342_LAF,Hc Ihc Stain Group B-Laf,358.0,358.0,,,0 CDM,31388346,Hc Immunofl Study Parietal Cell Ab,349.0,349.0,,,0 CDM,3145_05140900722,NDC Description Not Available,33.37,33.37,,,0 CDM,3145_16864068003,Dermoplast Pain Relieving: 85 G In 1 Can (16864-680-03),34.26,34.26,,,0 CDM,31480299,Hc Drug Quant Everolimus,497.0,497.0,,,0 CDM,31480307,Hc Hydrocodone Presumptive,175.0,175.0,,,0 CDM,31481402,Hc Upd14 Analysis,850.0,850.0,,,0 CDM,31481403,Hc Human Erythrocite Anti Gene Anlsys,1637.0,1637.0,,,0 CDM,31481404,Hc Vhl Tumor Suprr Fgs,1124.0,1124.0,,,0 CDM,31481405,Hc Msk Adult Mds/Aml Panel Tp53,680.0,680.0,,,0 CDM,31481406,Hc Hereditary Hemorrhagic Telangectasia Panel - Eng Seq,737.0,737.0,,,0 CDM,31481407,Hc Brugada Syndrome Panel,2750.0,2750.0,,,0 CDM,31481408,Hc Pkhd1 Mutation Analysis,1133.0,1133.0,,,0 CDM,31481415,Hc Stat Exome Sequencing (Trio),11330.0,11330.0,,,0 CDM,31481443,Hc Macrocephaly Panel,5096.0,5096.0,,,0 CDM,31481450,Hc Heme Mrd,3410.0,3410.0,,,0 CDM,31481455,Hc Ngs Oncoplus Bm/B,5361.0,5361.0,,,0 CDM,31481479,Hc Alk Fusion Lung Cancer Pnl,1244.0,1244.0,,,0 CDM,31482657,Hc Disaccharidases Glucoamylase,186.0,186.0,,,0 CDM,31483516,Hc Parietal Cell Ab Igg,139.0,139.0,,,0 CDM,31483519,Hc Vgkc,85.0,85.0,,,0 CDM,31483520,"Hc Ganglioside Ab, Each",127.0,127.0,,,0 CDM,31484999,"Hc Potassium, Fluid",90.0,90.0,,,0 CDM,31486003,Hc Soybean Allergen,61.0,61.0,,,0 CDM,31486235,Hc A-Extract Nuclear Ag,209.0,209.0,,,0 CDM,31486256,Hc Amphiphysin Antibody,168.0,168.0,,,0 CDM,31487070,"Hc Culture, Upper Respiratory",385.0,385.0,,,0 CDM,31487798,Hc Htlv I&Ii By Pcr,302.0,302.0,,,0 CDM,31488305,Hc Level Iv Surgical Pathology Gross And Micro Cfs,938.0,938.0,,,0 CDM,31488305_LAF,Hc Level Iv Surgical Pathology Gross And Micro Cfs-Laf,464.0,464.0,,,0 CDM,31488313,Hc Sp Stains Group Ii / Silver,302.0,302.0,,,0 CDM,31488313_LAF,Hc Sp Stains Group Ii / Silver-Laf,152.0,152.0,,,0 CDM,31488346,Hc Immunofluorescence Per Spec 1St Singl Antb Stain,503.0,503.0,,,0 CDM,31500_GOLD,Pr Intubation Endotracheal Emergency Procedure-Gold,925.0,925.0,,,0 CDM,31500_GOLDOPRM,"Pr Intubation Endotracheal Emergency Procedure-Gold,Oprm",925.0,925.0,,,0 CDM,31500_GOLDPBB,"Pr Intubation Endotracheal Emergency Procedure-Gold,Pbb",925.0,925.0,,,0 CDM,31502_GOLD,Pr Tracheotomy Tube Change Prior To Fistula Tract-Gold,1360.0,1360.0,,,0 CDM,31502_GOLDOPRM,"Pr Tracheotomy Tube Change Prior To Fistula Tract-Gold,Oprm",1360.0,1360.0,,,0 CDM,31502_GOLDPBB,"Pr Tracheotomy Tube Change Prior To Fistula Tract-Gold,Pbb",1360.0,1360.0,,,0 CDM,31502_PBB,Pr Tracheotomy Tube Change Prior To Fistula Tract-Pbb,1360.0,1360.0,,,0 CDM,31505_PBB,Pr Laryngoscopy Indirect Diagnostic Spx-Pbb,821.0,821.0,,,0 CDM,31513_PBB,Pr Laryngoscopy Indirect W/Vocal Cord Injection-Pbb,4084.0,4084.0,,,0 CDM,31535_PBB,Pr Laryngoscopy Direct Operative W/Biopsy-Pbb,3271.0,3271.0,,,0 CDM,31553_00121231615,NDC Description Not Available,28.93,28.93,,,0 CDM,31553_60687041744,NDC Description Not Available,25.39,25.39,,,0 CDM,31553_66689002301,NDC Description Not Available,26.32,26.32,,,0 CDM,31553_66689002350,"Hydrocodone Bitartrate And Acetaminophen: 50 Cup, Unit-Dose In 1 Case (66689-023-50) / 15 Ml In 1 Cup, Unit-Dose (66689-023-01)",26.42,26.42,,,0 CDM,31561_00002762301,Alimta: 1 Vial In 1 Carton (0002-7623-01) / 20 Ml In 1 Vial,541.76,541.76,,,0 CDM,31561_71288016750,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (71288-167-50) / 50 Ml In 1 Vial, Single-Dose",20.0,20.0,,,0 CDM,31570_PBB,Pr Laryngoscope Injection Vocal Cord Therapeutic-Pbb,3576.0,3576.0,,,0 CDM,31571_00081079887,NDC Description Not Available,45.78,45.78,,,0 CDM,31571_49348027472,Sunmark Double Antibiotic: 1 Tube In 1 Carton (49348-274-72) / 28.4 G In 1 Tube,10.04,10.04,,,0 CDM,31571_PBB,Pr Largsc W/Njx Vocal Cord Ther W/Micro/Telescope-Pbb,4294.0,4294.0,,,0 CDM,31572_PBB,Pr Laryngoscopy Flexible Ablatj Destj Lesion(S) Uni-Pbb,1300.0,1300.0,,,0 CDM,31573_PBB,Pr Laryngoscopy Flexible Therapeutic Injection Uni-Pbb,1138.0,1138.0,,,0 CDM,31574_PBB,Pr Laryngoscopy Flexible W/Injection Agmntj Uni-Pbb,1425.0,1425.0,,,0 CDM,31575_PBB,Pr Laryngoscopy Flexible Diagnostic-Pbb,1043.0,1043.0,,,0 CDM,31576_PBB,Pr Laryngoscopy Flexible W/Biopsy(Ies)-Pbb,824.0,824.0,,,0 CDM,31577_PBB,Pr Laryngoscopy Flx Rmvl Foreign Body(S)-Pbb,1205.0,1205.0,,,0 CDM,31579_PBB,Pr Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy-Pbb,2762.0,2762.0,,,0 CDM,31580299,Hc Drug Quant Felbamate,403.0,403.0,,,0 CDM,31580307,Hc Methadone Metabolite Presumptive,175.0,175.0,,,0 CDM,31581402,Hc Upd7 Analysis,850.0,850.0,,,0 CDM,31581403,Hc Mol Path Proc Lvl4,1124.0,1124.0,,,0 CDM,31581404,"Hc Hyperparathyroidism Panel, Men1 Del/Dup",624.0,624.0,,,0 CDM,31581405,Hc Hereditary Hemorrhagic Telangectasia Panel - Eng Del,680.0,680.0,,,0 CDM,31581406,Hc Hereditary Hemorrhagic Telangectasia Panel - Smad4 Seq,737.0,737.0,,,0 CDM,31581407,Hc Aspm Mutation Analysis,1133.0,1133.0,,,0 CDM,31581408,Catecholaminergic Polymorphic Ventricular Tachycardia Panel Ryr2 Sequencing,1133.0,1133.0,,,0 CDM,31581443,Hc Microcephaly Panel,5096.0,5096.0,,,0 CDM,31581479,Hc Ros Fusion Lung Cancer Pnl,1244.0,1244.0,,,0 CDM,31582657,Hc Disaccharidases Palatinase,186.0,186.0,,,0 CDM,31583516,Hc Proteinase Igg Ab,301.0,301.0,,,0 CDM,31583519,Hc Alpha Subunit,356.0,356.0,,,0 CDM,31583520,Hc Mag Ab Each,270.0,270.0,,,0 CDM,31586235,Hc Anti-Jo,209.0,209.0,,,0 CDM,31586256,Hc Fluor Ab Titer Endomysial Iga,168.0,168.0,,,0 CDM,31587070,"Hc Culture, Misc",385.0,385.0,,,0 CDM,31587798,"Hc Jv Virus Pcr, Csf",302.0,302.0,,,0 CDM,31588313,Hc Sp Stains Group Ii / Extensive,302.0,302.0,,,0 CDM,31588313_LAF,Hc Sp Stains Group Ii / Extensive-Laf,152.0,152.0,,,0 CDM,31600_GAST,Pr Tracheostomy Planned Separate Procedure-Gast,4353.0,4353.0,,,0 CDM,31600_GOLD,Pr Tracheostomy Planned Separate Procedure-Gold,4353.0,4353.0,,,0 CDM,31600_GOLDOPRM,"Pr Tracheostomy Planned Separate Procedure-Gold,Oprm",4353.0,4353.0,,,0 CDM,31600_GOLDPBB,"Pr Tracheostomy Planned Separate Procedure-Gold,Pbb",4353.0,4353.0,,,0 CDM,31600_PBB,Pr Tracheostomy Planned Separate Procedure-Pbb,4353.0,4353.0,,,0 CDM,31612_PBB,Pr Tracheal Pnxr Perq W/Transtracheal Aspir&/Njx-Pbb,1362.0,1362.0,,,0 CDM,31613_PBB,Pr Tracheostoma Revj Smpl W/O Flap Rotation-Pbb,4873.0,4873.0,,,0 CDM,31615_CART,Pr Tracheobronchoscopy Thru Est Tracheostomy Inc-Cart,2473.0,2473.0,,,0 CDM,31615_CARTPBB,"Pr Tracheobronchoscopy Thru Est Tracheostomy Inc-Cart,Pbb",2473.0,2473.0,,,0 CDM,31615_PBB,Pr Tracheobronchoscopy Thru Est Tracheostomy Inc-Pbb,2473.0,2473.0,,,0 CDM,31622_CART,Pr Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx-Cart,3124.0,3124.0,,,0 CDM,31622_CARTOPRM,"Pr Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx-Cart,Oprm",3124.0,3124.0,,,0 CDM,31622_CARTPBB,"Pr Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx-Cart,Pbb",3124.0,3124.0,,,0 CDM,31622_GAST,Pr Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx-Gast,3124.0,3124.0,,,0 CDM,31622_GOLD,Pr Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx-Gold,3124.0,3124.0,,,0 CDM,31622_GOLDOPRM,"Pr Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx-Gold,Oprm",3124.0,3124.0,,,0 CDM,31622_GOLDPBB,"Pr Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx-Gold,Pbb",3124.0,3124.0,,,0 CDM,31622_PBB,Pr Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx-Pbb,3124.0,3124.0,,,0 CDM,31623_CART,Pr Brnchsc Brushing/Protected Brushings-Cart,3278.0,3278.0,,,0 CDM,31623_CARTOPRM,"Pr Brnchsc Brushing/Protected Brushings-Cart,Oprm",3278.0,3278.0,,,0 CDM,31623_CARTPBB,"Pr Brnchsc Brushing/Protected Brushings-Cart,Pbb",3278.0,3278.0,,,0 CDM,31623_GOLD,Pr Brnchsc Brushing/Protected Brushings-Gold,3278.0,3278.0,,,0 CDM,31623_GOLDOPRM,"Pr Brnchsc Brushing/Protected Brushings-Gold,Oprm",3278.0,3278.0,,,0 CDM,31623_GOLDPBB,"Pr Brnchsc Brushing/Protected Brushings-Gold,Pbb",3278.0,3278.0,,,0 CDM,31623_PBB,Pr Brnchsc Brushing/Protected Brushings-Pbb,3278.0,3278.0,,,0 CDM,31624_CART,Pr Brnchsc W/Brncl Alveolar Lavage-Cart,3278.0,3278.0,,,0 CDM,31624_CARTOPRM,"Pr Brnchsc W/Brncl Alveolar Lavage-Cart,Oprm",3278.0,3278.0,,,0 CDM,31624_CARTPBB,"Pr Brnchsc W/Brncl Alveolar Lavage-Cart,Pbb",3278.0,3278.0,,,0 CDM,31624_GOLD,Pr Brnchsc W/Brncl Alveolar Lavage-Gold,3278.0,3278.0,,,0 CDM,31624_GOLDOPRM,"Pr Brnchsc W/Brncl Alveolar Lavage-Gold,Oprm",3278.0,3278.0,,,0 CDM,31624_GOLDPBB,"Pr Brnchsc W/Brncl Alveolar Lavage-Gold,Pbb",3278.0,3278.0,,,0 CDM,31624_PBB,Pr Brnchsc W/Brncl Alveolar Lavage-Pbb,3278.0,3278.0,,,0 CDM,31625_CART,Pr Bronchoscopy Bronchial/Endobrncl Bx 1+ Sites-Cart,3339.0,3339.0,,,0 CDM,31625_CARTOPRM,"Pr Bronchoscopy Bronchial/Endobrncl Bx 1+ Sites-Cart,Oprm",3339.0,3339.0,,,0 CDM,31625_CARTPBB,"Pr Bronchoscopy Bronchial/Endobrncl Bx 1+ Sites-Cart,Pbb",3339.0,3339.0,,,0 CDM,31625_GAST,Pr Bronchoscopy Bronchial/Endobrncl Bx 1+ Sites-Gast,3339.0,3339.0,,,0 CDM,31625_GOLD,Pr Bronchoscopy Bronchial/Endobrncl Bx 1+ Sites-Gold,3339.0,3339.0,,,0 CDM,31625_GOLDOPRM,"Pr Bronchoscopy Bronchial/Endobrncl Bx 1+ Sites-Gold,Oprm",3339.0,3339.0,,,0 CDM,31625_GOLDPBB,"Pr Bronchoscopy Bronchial/Endobrncl Bx 1+ Sites-Gold,Pbb",3339.0,3339.0,,,0 CDM,31625_PBB,Pr Bronchoscopy Bronchial/Endobrncl Bx 1+ Sites-Pbb,3339.0,3339.0,,,0 CDM,31626_CART,Pr Bronchoscopy W/Plmt Fiducial Markers Single/Mult-Cart,989.0,989.0,,,0 CDM,31626_CARTOPRM,"Pr Bronchoscopy W/Plmt Fiducial Markers Single/Mult-Cart,Oprm",989.0,989.0,,,0 CDM,31626_CARTPBB,"Pr Bronchoscopy W/Plmt Fiducial Markers Single/Mult-Cart,Pbb",989.0,989.0,,,0 CDM,31626_PBB,Pr Bronchoscopy W/Plmt Fiducial Markers Single/Mult-Pbb,989.0,989.0,,,0 CDM,31627_CART,Pr Bronchoscopy W/Cptr-Asst Image-Guided Navigation-Cart,989.0,989.0,,,0 CDM,31627_CARTOPRM,"Pr Bronchoscopy W/Cptr-Asst Image-Guided Navigation-Cart,Oprm",989.0,989.0,,,0 CDM,31627_CARTPBB,"Pr Bronchoscopy W/Cptr-Asst Image-Guided Navigation-Cart,Pbb",989.0,989.0,,,0 CDM,31627_PBB,Pr Bronchoscopy W/Cptr-Asst Image-Guided Navigation-Pbb,989.0,989.0,,,0 CDM,31628_CART,Pr Bronchoscopy W/Transbronchial Lung Bx 1 Lobe-Cart,3708.0,3708.0,,,0 CDM,31628_CARTOPRM,"Pr Bronchoscopy W/Transbronchial Lung Bx 1 Lobe-Cart,Oprm",3708.0,3708.0,,,0 CDM,31628_CARTPBB,"Pr Bronchoscopy W/Transbronchial Lung Bx 1 Lobe-Cart,Pbb",3708.0,3708.0,,,0 CDM,31628_GOLD,Pr Bronchoscopy W/Transbronchial Lung Bx 1 Lobe-Gold,3708.0,3708.0,,,0 CDM,31628_GOLDOPRM,"Pr Bronchoscopy W/Transbronchial Lung Bx 1 Lobe-Gold,Oprm",3708.0,3708.0,,,0 CDM,31628_GOLDPBB,"Pr Bronchoscopy W/Transbronchial Lung Bx 1 Lobe-Gold,Pbb",3708.0,3708.0,,,0 CDM,31628_PBB,Pr Bronchoscopy W/Transbronchial Lung Bx 1 Lobe-Pbb,3708.0,3708.0,,,0 CDM,31629_CART,Pr Bronchoscopy Needle Bx Trachea Main Stem&/Bron-Cart,4328.0,4328.0,,,0 CDM,31629_CARTOPRM,"Pr Bronchoscopy Needle Bx Trachea Main Stem&/Bron-Cart,Oprm",4328.0,4328.0,,,0 CDM,31629_CARTPBB,"Pr Bronchoscopy Needle Bx Trachea Main Stem&/Bron-Cart,Pbb",4328.0,4328.0,,,0 CDM,31629_GOLD,Pr Bronchoscopy Needle Bx Trachea Main Stem&/Bron-Gold,4328.0,4328.0,,,0 CDM,31629_GOLDOPRM,"Pr Bronchoscopy Needle Bx Trachea Main Stem&/Bron-Gold,Oprm",4328.0,4328.0,,,0 CDM,31629_GOLDPBB,"Pr Bronchoscopy Needle Bx Trachea Main Stem&/Bron-Gold,Pbb",4328.0,4328.0,,,0 CDM,31629_PBB,Pr Bronchoscopy Needle Bx Trachea Main Stem&/Bron-Pbb,4328.0,4328.0,,,0 CDM,31630_CART,Pr Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx-Cart,3956.0,3956.0,,,0 CDM,31630_CARTOPRM,"Pr Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx-Cart,Oprm",3956.0,3956.0,,,0 CDM,31630_CARTPBB,"Pr Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx-Cart,Pbb",3956.0,3956.0,,,0 CDM,31630_GOLD,Pr Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx-Gold,3956.0,3956.0,,,0 CDM,31630_GOLDOPRM,"Pr Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx-Gold,Oprm",3956.0,3956.0,,,0 CDM,31630_GOLDPBB,"Pr Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx-Gold,Pbb",3956.0,3956.0,,,0 CDM,31630_PBB,Pr Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx-Pbb,3956.0,3956.0,,,0 CDM,31631_CART,Pr Bronchoscopy W/Placement Tracheal Stent-Cart,4941.0,4941.0,,,0 CDM,31631_CARTOPRM,"Pr Bronchoscopy W/Placement Tracheal Stent-Cart,Oprm",4941.0,4941.0,,,0 CDM,31631_CARTPBB,"Pr Bronchoscopy W/Placement Tracheal Stent-Cart,Pbb",4941.0,4941.0,,,0 CDM,31631_GOLDOPRM,"Pr Bronchoscopy W/Placement Tracheal Stent-Gold,Oprm",4941.0,4941.0,,,0 CDM,31631_PBB,Pr Bronchoscopy W/Placement Tracheal Stent-Pbb,4941.0,4941.0,,,0 CDM,31632_CART,Pr Bronchoscopy W/Transbronchial Lung Bx Each Lobe-Cart,1852.0,1852.0,,,0 CDM,31632_CARTOPRM,"Pr Bronchoscopy W/Transbronchial Lung Bx Each Lobe-Cart,Oprm",1852.0,1852.0,,,0 CDM,31632_CARTPBB,"Pr Bronchoscopy W/Transbronchial Lung Bx Each Lobe-Cart,Pbb",1852.0,1852.0,,,0 CDM,31632_GAST,Pr Bronchoscopy W/Transbronchial Lung Bx Each Lobe-Gast,1852.0,1852.0,,,0 CDM,31632_GOLD,Pr Bronchoscopy W/Transbronchial Lung Bx Each Lobe-Gold,1852.0,1852.0,,,0 CDM,31632_GOLDOPRM,"Pr Bronchoscopy W/Transbronchial Lung Bx Each Lobe-Gold,Oprm",1852.0,1852.0,,,0 CDM,31632_GOLDPBB,"Pr Bronchoscopy W/Transbronchial Lung Bx Each Lobe-Gold,Pbb",1852.0,1852.0,,,0 CDM,31632_PBB,Pr Bronchoscopy W/Transbronchial Lung Bx Each Lobe-Pbb,1852.0,1852.0,,,0 CDM,31633_CART,Pr Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe-Cart,1852.0,1852.0,,,0 CDM,31633_CARTOPRM,"Pr Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe-Cart,Oprm",1852.0,1852.0,,,0 CDM,31633_CARTPBB,"Pr Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe-Cart,Pbb",1852.0,1852.0,,,0 CDM,31633_GAST,Pr Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe-Gast,1852.0,1852.0,,,0 CDM,31633_GOLD,Pr Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe-Gold,1852.0,1852.0,,,0 CDM,31633_GOLDOPRM,"Pr Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe-Gold,Oprm",1852.0,1852.0,,,0 CDM,31633_GOLDPBB,"Pr Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe-Gold,Pbb",1852.0,1852.0,,,0 CDM,31633_PBB,Pr Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe-Pbb,1852.0,1852.0,,,0 CDM,31634_CART,Pr Bronchoscopy Balloon Occlusion-Cart,1067.0,1067.0,,,0 CDM,31634_CARTOPRM,"Pr Bronchoscopy Balloon Occlusion-Cart,Oprm",1067.0,1067.0,,,0 CDM,31634_CARTPBB,"Pr Bronchoscopy Balloon Occlusion-Cart,Pbb",1067.0,1067.0,,,0 CDM,31634_GOLD,Pr Bronchoscopy Balloon Occlusion-Gold,1067.0,1067.0,,,0 CDM,31634_GOLDOPRM,"Pr Bronchoscopy Balloon Occlusion-Gold,Oprm",1067.0,1067.0,,,0 CDM,31634_GOLDPBB,"Pr Bronchoscopy Balloon Occlusion-Gold,Pbb",1067.0,1067.0,,,0 CDM,31634_PBB,Pr Bronchoscopy Balloon Occlusion-Pbb,1067.0,1067.0,,,0 CDM,31635_CART,Pr Bronchoscopy W/Removal Foreign Body-Cart,6178.0,6178.0,,,0 CDM,31635_CARTOPRM,"Pr Bronchoscopy W/Removal Foreign Body-Cart,Oprm",6178.0,6178.0,,,0 CDM,31635_CARTPBB,"Pr Bronchoscopy W/Removal Foreign Body-Cart,Pbb",6178.0,6178.0,,,0 CDM,31635_GAST,Pr Bronchoscopy W/Removal Foreign Body-Gast,6178.0,6178.0,,,0 CDM,31635_GOLD,Pr Bronchoscopy W/Removal Foreign Body-Gold,5830.0,5830.0,,,0 CDM,31635_GOLDOPRM,"Pr Bronchoscopy W/Removal Foreign Body-Gold,Oprm",6178.0,6178.0,,,0 CDM,31635_GOLDPBB,"Pr Bronchoscopy W/Removal Foreign Body-Gold,Pbb",5830.0,5830.0,,,0 CDM,31635_PBB,Pr Bronchoscopy W/Removal Foreign Body-Pbb,6178.0,6178.0,,,0 CDM,31636_CART,Pr Brnchsc W/Placement Brncl Stent 1St Bronchus-Cart,5564.0,5564.0,,,0 CDM,31636_CARTOPRM,"Pr Brnchsc W/Placement Brncl Stent 1St Bronchus-Cart,Oprm",5564.0,5564.0,,,0 CDM,31636_CARTPBB,"Pr Brnchsc W/Placement Brncl Stent 1St Bronchus-Cart,Pbb",5564.0,5564.0,,,0 CDM,31636_GOLDOPRM,"Pr Brnchsc W/Placement Brncl Stent 1St Bronchus-Gold,Oprm",5564.0,5564.0,,,0 CDM,31636_PBB,Pr Brnchsc W/Placement Brncl Stent 1St Bronchus-Pbb,5564.0,5564.0,,,0 CDM,31637_PBB,Pr Bronchoscopy Each Major Bronchus Stented-Pbb,1976.0,1976.0,,,0 CDM,31638_CART,Pr Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess-Cart,6178.0,6178.0,,,0 CDM,31638_CARTOPRM,"Pr Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess-Cart,Oprm",6178.0,6178.0,,,0 CDM,31638_CARTPBB,"Pr Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess-Cart,Pbb",6178.0,6178.0,,,0 CDM,31638_GOLDOPRM,"Pr Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess-Gold,Oprm",6178.0,6178.0,,,0 CDM,31638_PBB,Pr Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess-Pbb,6178.0,6178.0,,,0 CDM,31640_CART,Pr Bronchoscopy W/Excision Tumor-Cart,6178.0,6178.0,,,0 CDM,31640_CARTOPRM,"Pr Bronchoscopy W/Excision Tumor-Cart,Oprm",6178.0,6178.0,,,0 CDM,31640_CARTPBB,"Pr Bronchoscopy W/Excision Tumor-Cart,Pbb",6178.0,6178.0,,,0 CDM,31640_GOLD,Pr Bronchoscopy W/Excision Tumor-Gold,6178.0,6178.0,,,0 CDM,31640_GOLDOPRM,"Pr Bronchoscopy W/Excision Tumor-Gold,Oprm",6178.0,6178.0,,,0 CDM,31640_GOLDPBB,"Pr Bronchoscopy W/Excision Tumor-Gold,Pbb",6178.0,6178.0,,,0 CDM,31640_PBB,Pr Bronchoscopy W/Excision Tumor-Pbb,6178.0,6178.0,,,0 CDM,31641_CART,Pr Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc-Cart,8037.0,8037.0,,,0 CDM,31641_CARTOPRM,"Pr Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc-Cart,Oprm",8037.0,8037.0,,,0 CDM,31641_CARTPBB,"Pr Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc-Cart,Pbb",8037.0,8037.0,,,0 CDM,31641_GAST,Pr Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc-Gast,8037.0,8037.0,,,0 CDM,31641_GOLD,Pr Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc-Gold,8037.0,8037.0,,,0 CDM,31641_GOLDOPRM,"Pr Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc-Gold,Oprm",8037.0,8037.0,,,0 CDM,31641_GOLDPBB,"Pr Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc-Gold,Pbb",8037.0,8037.0,,,0 CDM,31641_PBB,Pr Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc-Pbb,8037.0,8037.0,,,0 CDM,31643_PBB,Pr Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl-Pbb,3124.0,3124.0,,,0 CDM,31645_CART,Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree 1St-Cart,3339.0,3339.0,,,0 CDM,31645_CARTOPRM,"Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree 1St-Cart,Oprm",3339.0,3339.0,,,0 CDM,31645_CARTPBB,"Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree 1St-Cart,Pbb",3339.0,3339.0,,,0 CDM,31645_GOLD,Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree 1St-Gold,3339.0,3339.0,,,0 CDM,31645_GOLDOPRM,"Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree 1St-Gold,Oprm",3339.0,3339.0,,,0 CDM,31645_GOLDPBB,"Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree 1St-Gold,Pbb",3339.0,3339.0,,,0 CDM,31645_PBB,Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree 1St-Pbb,3339.0,3339.0,,,0 CDM,31646_CART,Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree Sbsq-Cart,3339.0,3339.0,,,0 CDM,31646_CARTOPRM,"Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree Sbsq-Cart,Oprm",3339.0,3339.0,,,0 CDM,31646_CARTPBB,"Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree Sbsq-Cart,Pbb",3339.0,3339.0,,,0 CDM,31646_GOLD,Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree Sbsq-Gold,3339.0,3339.0,,,0 CDM,31646_GOLDOPRM,"Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree Sbsq-Gold,Oprm",3339.0,3339.0,,,0 CDM,31646_GOLDPBB,"Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree Sbsq-Gold,Pbb",3339.0,3339.0,,,0 CDM,31646_PBB,Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree Sbsq-Pbb,3339.0,3339.0,,,0 CDM,31647_PBB,Pr Brnchsc Occlusion&Insert Bronch Valve Init Lobe-Pbb,8760.0,8760.0,,,0 CDM,31648_PBB,Pr Brnchsc Removal Bronchial Valve Initial-Pbb,8760.0,8760.0,,,0 CDM,31649_PBB,Pr Brnchsc Removal Bronchial Valve Ea Addl-Pbb,3261.0,3261.0,,,0 CDM,31651_PBB,Pr Brnchsc Occlusion&Insert Bronch Valve Addl Lobe-Pbb,878.0,878.0,,,0 CDM,31652_CART,Pr Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux-Cart,3521.0,3521.0,,,0 CDM,31652_CARTOPRM,"Pr Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux-Cart,Oprm",3521.0,3521.0,,,0 CDM,31652_CARTPBB,"Pr Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux-Cart,Pbb",3521.0,3521.0,,,0 CDM,31652_GOLD,Pr Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux-Gold,3521.0,3521.0,,,0 CDM,31652_GOLDOPRM,"Pr Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux-Gold,Oprm",3521.0,3521.0,,,0 CDM,31652_GOLDPBB,"Pr Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux-Gold,Pbb",3521.0,3521.0,,,0 CDM,31652_PBB,Pr Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux-Pbb,3521.0,3521.0,,,0 CDM,31653_CART,Pr Brnchsc Ebus Guided Sampl 3/> Node Station/Strux-Cart,3891.0,3891.0,,,0 CDM,31653_CARTOPRM,"Pr Brnchsc Ebus Guided Sampl 3/> Node Station/Strux-Cart,Oprm",3891.0,3891.0,,,0 CDM,31653_CARTPBB,"Pr Brnchsc Ebus Guided Sampl 3/> Node Station/Strux-Cart,Pbb",3891.0,3891.0,,,0 CDM,31653_GOLD,Pr Brnchsc Ebus Guided Sampl 3/> Node Station/Strux-Gold,3891.0,3891.0,,,0 CDM,31653_GOLDOPRM,"Pr Brnchsc Ebus Guided Sampl 3/> Node Station/Strux-Gold,Oprm",3891.0,3891.0,,,0 CDM,31653_GOLDPBB,"Pr Brnchsc Ebus Guided Sampl 3/> Node Station/Strux-Gold,Pbb",3891.0,3891.0,,,0 CDM,31653_PBB,Pr Brnchsc Ebus Guided Sampl 3/> Node Station/Strux-Pbb,3891.0,3891.0,,,0 CDM,31654_CART,Pr Brnschsc Tndsc Ebus Dx/Tx Intervention Perph Les-Cart,1046.0,1046.0,,,0 CDM,31654_CARTOPRM,"Pr Brnschsc Tndsc Ebus Dx/Tx Intervention Perph Les-Cart,Oprm",1046.0,1046.0,,,0 CDM,31654_CARTPBB,"Pr Brnschsc Tndsc Ebus Dx/Tx Intervention Perph Les-Cart,Pbb",1046.0,1046.0,,,0 CDM,31654_GOLD,Pr Brnschsc Tndsc Ebus Dx/Tx Intervention Perph Les-Gold,1046.0,1046.0,,,0 CDM,31654_GOLDOPRM,"Pr Brnschsc Tndsc Ebus Dx/Tx Intervention Perph Les-Gold,Oprm",1046.0,1046.0,,,0 CDM,31654_GOLDPBB,"Pr Brnschsc Tndsc Ebus Dx/Tx Intervention Perph Les-Gold,Pbb",1046.0,1046.0,,,0 CDM,31654_PBB,Pr Brnschsc Tndsc Ebus Dx/Tx Intervention Perph Les-Pbb,1046.0,1046.0,,,0 CDM,31660_PBB,Pr Bronchoscopic Thermoplasty One Lobe-Pbb,5431.0,5431.0,,,0 CDM,31661_PBB,Pr Bronchoscopic Thermoplasty 2/> Lobes-Pbb,6265.0,6265.0,,,0 CDM,3166_17478017324,"Xopenex: 2 POUCH in 1 CARTON (17478-173-24) / 12 VIAL, SINGLE-DOSE in 1 POUCH (17478-173-12) / 3 mL in 1 VIAL, SINGLE-DOSE",16.18,16.18,,,0 CDM,31680299,Hc Drug Quant Inflixmab,234.0,234.0,,,0 CDM,31680307,Hc Oxycodone Presumptive,175.0,175.0,,,0 CDM,31681402,Hc Testing For A Known Familial Mutation By Deletion/Duplication Analysis,1320.0,1320.0,,,0 CDM,31681403,Hc Idh2 Exon 4 Variants,983.0,983.0,,,0 CDM,31681404,Hc Msk Lymphoma Panel Sh2D1A Gene,624.0,624.0,,,0 CDM,31681405,Hc Hereditary Hemorrhagic Telangectasia Panel - Smad4 Del/Dup,680.0,680.0,,,0 CDM,31681406,Hc Premature Ovarian Failure Panel Lmna,737.0,737.0,,,0 CDM,31681407,Hc Col4A4 Mutation Analysis,1133.0,1133.0,,,0 CDM,31681408,Loeys-Dietz Syndrome Panel Fbn1 Sequencing,1133.0,1133.0,,,0 CDM,31681443,Hc Ataxia Exome,4402.0,4402.0,,,0 CDM,31681479,Hc Ret Fusion Lung Cancer Pnl,1244.0,1244.0,,,0 CDM,31682657,Hc Enzyme Activity Nos,186.0,186.0,,,0 CDM,31683516,Hc Myeloperoxidase Igg Ab,301.0,301.0,,,0 CDM,31683520,"Hc Sulfatide Ab Immunoassay, Each",339.0,339.0,,,0 CDM,31686235,Hc Anti-Smith Extract,209.0,209.0,,,0 CDM,31687070,"Hc Culture, Bone Marrow",385.0,385.0,,,0 CDM,31687798,Hc Bordetella Pertussis Pcr,224.0,224.0,,,0 CDM,31688313,Hc Sp Stains Group Ii / Complex,302.0,302.0,,,0 CDM,31688313_LAF,Hc Sp Stains Group Ii / Complex-Laf,152.0,152.0,,,0 CDM,31692_50242006001,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-060-01) / 4 Ml In 1 Vial, Single-Use",533.95,533.95,,,0 CDM,31692_50242006101,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-061-01) / 16 Ml In 1 Vial, Single-Use",532.66,532.66,,,0 CDM,31702_47335071086,"Topiramate: 60 Tablet, Film Coated In 1 Bottle (47335-710-86)",5.91,5.91,,,0 CDM,31702_68084034311,NDC Description Not Available,5.45,5.45,,,0 CDM,31702_69097012303,Topiramate: 60 Tablet In 1 Bottle (69097-123-03),5.62,5.62,,,0 CDM,31714_00904678561,"Mycophenolic Acid: 100 Blister Pack In 1 Carton (0904-6785-61) / 1 Tablet, Delayed Release In 1 Blister Pack",30.47,30.47,,,0 CDM,31714_68084090721,"Mycophenolic Acid: 30 Blister Pack In 1 Box, Unit-Dose (68084-907-21) / 1 Tablet, Delayed Release In 1 Blister Pack (68084-907-11)",23.1,23.1,,,0 CDM,31715_00078038666,"Myfortic: 120 Tablet, Delayed Release In 1 Bottle (0078-0386-66)",43.64,43.64,,,0 CDM,31715_00904678604,"Mycophenolic Acid: 30 Blister Pack In 1 Carton (0904-6786-04) / 1 Tablet, Delayed Release In 1 Blister Pack",30.27,30.27,,,0 CDM,31715_68084091895,NDC Description Not Available,23.59,23.59,,,0 CDM,31725_PBB,Pr Cath Aspir Tracheobrncl Fiberscope Bedside Spx-Pbb,1236.0,1236.0,,,0 CDM,31726_05967636001,NDC Description Not Available,3202.6,3202.6,,,0 CDM,31731_44206030001,"Rhophylac: 1 Syringe, Glass In 1 Carton (44206-300-01) / 2 Ml In 1 Syringe, Glass (44206-300-90)",73.79,73.79,,,0 CDM,31731_44206030090,NDC Description Not Available,74.34,74.34,,,0 CDM,3174_57896090101,Aspirin: 100 Tablet In 1 Bottle (57896-901-01),2.0,2.0,,,0 CDM,3174_66553000101,NDC Description Not Available,1.95,1.95,,,0 CDM,31780299,"Hc Drug Quant Nos, Plasma",178.0,178.0,,,0 CDM,31780307,"Hc Drugs Of Abuse Screen, S",385.0,385.0,,,0 CDM,31781402,Mefv Mutation Analysis Common Variants Sequencing,550.0,550.0,,,0 CDM,31781403,Hc Mpl Exon 10,983.0,983.0,,,0 CDM,31781404,Hc Ugt1A1 Mutation Analysis,1045.0,1045.0,,,0 CDM,31781405,Hc Msk Acute Lymphoblastic Leukemia Panel Tp53,680.0,680.0,,,0 CDM,31781406,Hc Gck Mutation Analysis,990.0,990.0,,,0 CDM,31781407,Hc Pkd1 Mutation Analysis,1133.0,1133.0,,,0 CDM,31781408,Col4A5 Mutation Analysis Sequencing,1133.0,1133.0,,,0 CDM,31781443,Hc Comprehensive Ataxia Testing (Concurrent Testing Option),5088.0,5088.0,,,0 CDM,31781479,Hc Met Gene Analys,815.0,815.0,,,0 CDM,31782657,Hc Thiopurine Methyltransferase,447.0,447.0,,,0 CDM,31783516,Hc Myomarker Panel 3 Immunoassay Nonantibody,49.0,49.0,,,0 CDM,31783520,Hc Caffeine,128.0,128.0,,,0 CDM,31785_PBB,Pr Excision Tracheal Tumor/Carcinoma Cervical-Pbb,8752.0,8752.0,,,0 CDM,31786256,Hc Nmo/Aqp4 Facs Titer S,288.0,288.0,,,0 CDM,31787070,"Hc Culture, Genital",385.0,385.0,,,0 CDM,31787081,Hc Mrsa Screen,178.0,178.0,,,0 CDM,31787798,Hc Infectious Agnt Detection By Amp Probe Ea Orgnsm Csf Prion Disease,302.0,302.0,,,0 CDM,31788313,Hc Sp Stains Group Ii/Highly Cmpx,302.0,302.0,,,0 CDM,31788313_LAF,Hc Sp Stains Group Ii/Highly Cmpx-Laf,152.0,152.0,,,0 CDM,31820_PBB,Pr Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr-Pbb,3085.0,3085.0,,,0 CDM,31830_PBB,Pr Revision Tracheostomy Scar-Pbb,3708.0,3708.0,,,0 CDM,31880299,Hc Flecainide,276.0,276.0,,,0 CDM,31880307,"Hc Csm Hybrid Drug Profile,20,Hrms/Ia,U",182.0,182.0,,,0 CDM,31881403,Hc Jak2 Exon12(13),983.0,983.0,,,0 CDM,31881404,Hc Pancreatic Agenesis Panel,624.0,624.0,,,0 CDM,31881405,Hc Diamond-Blackfan Anemia Panel,680.0,680.0,,,0 CDM,31881406,Hc Lmna Mutation Analysis (Lamin A/C),1320.0,1320.0,,,0 CDM,31881408,Hc Marfan Syndrome,1133.0,1133.0,,,0 CDM,31881443,Hc Comprehensive Ataxia Testing (Reflex Testing Option),5088.0,5088.0,,,0 CDM,31881479,Hc Ngs Locus Specified,1339.0,1339.0,,,0 CDM,31882657,Hc Lysosomal Acid Lipase B,447.0,447.0,,,0 CDM,31883516,Hc Cystic Fibrosis Newborn Scrn,37.0,37.0,,,0 CDM,31883520,Hc 14-3-3 Antigen Level,270.0,270.0,,,0 CDM,31887070,"Hc Culture, Body Fluid",385.0,385.0,,,0 CDM,31887081,Hc Vre Screen,178.0,178.0,,,0 CDM,31887798,Hc Pneumocystosis Pcr,302.0,302.0,,,0 CDM,31888313,Hc Congo Red Stain,243.0,243.0,,,0 CDM,31888313_LAF,Hc Congo Red Stain-Laf,152.0,152.0,,,0 CDM,31899_PBB,Pr Unlisted Procedure Trachea Bronchi-Pbb,2844.0,2844.0,,,0 CDM,31980299,Hc Gabapentin,461.0,461.0,,,0 CDM,31981403,Hc Fgfr3 Exon7,983.0,983.0,,,0 CDM,31981404,Hc Hereditary Melanoma Panel Cdkn2A,624.0,624.0,,,0 CDM,31981405,Hc Holoprosencephaly Panel Fgfr1,825.0,825.0,,,0 CDM,31981406,Hc Hereditary Pheochromocytoma And Paraganglioma Panel Ret,680.0,680.0,,,0 CDM,31981407,Long Qt Syndrome Panel Scn5A Sequencing,793.0,793.0,,,0 CDM,31981443,Hc Comprehensive Neonatal Diabetes Mutation Analysis,5096.0,5096.0,,,0 CDM,31981479,Hc Unlisted Mol Path Proc,421.0,421.0,,,0 CDM,31982657,Hc Acid Alpha-Glucosidase Bs,403.0,403.0,,,0 CDM,31983516,Hc Histone Ab,173.0,173.0,,,0 CDM,31983520,Hc Disopyramide,128.0,128.0,,,0 CDM,31986235,Hc Sjogrens Antibodies,209.0,209.0,,,0 CDM,31987070,"Hc Culture, Lower Respiratory",385.0,385.0,,,0 CDM,31987798,"Hc Acanthamoeba Species Detection, Pcr",271.0,271.0,,,0 CDM,32000584,Hc Percutaneous Islet Cell Transplant,44818.0,44818.0,,,0 CDM,32000600,Hc Ire Abltj 1+Tum Organ Perq,24085.0,24085.0,,,0 CDM,32001000,Hc Cdsm Applied Pathways,0.01,0.01,,,0 CDM,32001001,Hc Cdsm Evicore,0.01,0.01,,,0 CDM,32001002,Hc Cdsm Medcurrent,0.01,0.01,,,0 CDM,32001003,Hc Cdsm Medicalis,0.01,0.01,,,0 CDM,32001004,Hc Cdsm Ndsc,0.01,0.01,,,0 CDM,32001007,Hc Cdsm Aim,0.01,0.01,,,0 CDM,32001008,Hc Cdsm Cranberry Pk,0.01,0.01,,,0 CDM,32001009,Hc Cdsm Sage Health,0.01,0.01,,,0 CDM,32001010,Hc Cdsm Stanson,0.01,0.01,,,0 CDM,32001011,Hc Cdsm Qualified Nos,0.01,0.01,,,0 CDM,32001012,Hc Cdsm Agilemd,0.01,0.01,,,0 CDM,32001013,Hc Cdsm Evidencecare,0.01,0.01,,,0 CDM,32001014,Hc Cdsm Inveniqa,0.01,0.01,,,0 CDM,32001015,Hc Cdsm Reliant,0.01,0.01,,,0 CDM,32001016,Hc Cdsm Speed Of Care,0.01,0.01,,,0 CDM,32001017,Hc Cdsm Healthhelp,0.01,0.01,,,0 CDM,32001018,Hc Cdsm Infinx,0.01,0.01,,,0 CDM,32001019,Hc Cdsm Logicnets,0.01,0.01,,,0 CDM,32001020,Hc Cdsm Curbside,0.01,0.01,,,0 CDM,32001021,Hc Cdsm Ehealthline,0.01,0.01,,,0 CDM,32001022,Hc Cdsm Intermountain,0.01,0.01,,,0 CDM,32001023,Hc Cdsm Persivia,0.01,0.01,,,0 CDM,32009734,"Hc U/S Trtmt, Not Leiomyomata",33075.0,33075.0,,,0 CDM,32027096,"Hc Inj Proc For Sacroiliac Joint, Anes/Steroid, W Image Guid Incl Arthrography When Perf",5414.2,5414.2,,,0 CDM,32032553,Hc Ins Mark Thor For Rt Perq,3321.0,3321.0,,,0 CDM,32036907,Hc Balloon Angioplasty Central Dialysis Segment,18795.0,18795.0,,,0 CDM,32037182,Hc Insertion Of Transvenous Intrahepatic Portosystemic Shunt(S) (Tips),24730.0,24730.0,,,0 CDM,32037183,Hc Revision Of Transvenous Intrahepatic Portosystemic Shunt(S) (Tips),37703.0,37703.0,,,0 CDM,32037191,"Hc Insrtn Intrvsc Vena Cav Fltr,Endvsc Incl Vsc Acs,Vsl Sel,&Rad Sup&Interp,Intraproc Rdmap&Img Guid",13059.0,13059.0,,,0 CDM,32037192,"Hc Repstn Intravasc Vena Cava Fltr,Endovasc Apprch W Vasc Accss,Vssl Slct,S&I,Intraprc Rdmp,Img Gde",27323.0,27323.0,,,0 CDM,32037193,"Hc Retrvl Intrvsc Vena Cava Fltr, Endvsc Apprch Incl Vasc Access, Vssl Select",16173.0,16173.0,,,0 CDM,32037213,"Hc Thrombolytic Art/Vein Ther, S&I, Tx Subseq Day, F/U Cath Contrast Inj, Position Chng/Exchng",16386.0,16386.0,,,0 CDM,32037214,"Hc Transcath, Art/Vein Thrombo, S&I, Tx Sub Day, F/U Cath Contrast Inj, Posit Chng/Exchng, Cessation",16386.0,16386.0,,,0 CDM,32037215,"Hc Transcath Place Intravsc Stent,Cervcl Carotid Art,Open/Percut,Angioplsty,S&I,W Dist Emblc Protect",18700.0,18700.0,,,0 CDM,32037216,"Hc Transcath Place Intravasc Stent, Cervical Carotid Art, Open/Percut, With Distal Embolic Protect",9806.0,9806.0,,,0 CDM,32037241,"Hc Vascular Emboliz /Occlus, S&I, Intraproc Roadmapping, Image Guide; Venous, Other Than Hemorrhage",33626.0,33626.0,,,0 CDM,32037242,"Hc Vasc Emboliz/Occlus, S&I, Intraproc Roadmap, Img Guide; Artrl, Other Than Hemrrhge Or Tumor",37662.0,37662.0,,,0 CDM,32037243,"Hc Vasc Emboliz /Occlus, S&I, Intraproc Roadmap, Img Guide; For Tumors, Organ Ischemia, Or Infarctn",44818.0,44818.0,,,0 CDM,32037244,Hc Vasc Emboliz/Occlu S&I Intraproc Roadmap/Image Guide; Arterial/Venous Hemorrhage/Lymph Extrava,52437.0,52437.0,,,0 CDM,32037252,"Hc Intravasc Ultrasnd Diag Eval/Thera Interv, S&I, 1St Noncoronary Vessel",9741.0,9741.0,,,0 CDM,32037253,"Hc Intravasc Ultrasnd Diag Eval/Thera Interv, S&I, Ea Add Noncoron Vessel",7552.0,7552.0,,,0 CDM,32038794,"Hc Cannulation, Thoracic Duct",8815.0,8815.0,,,0 CDM,32038900,"Hc Intraop Id Of Sentinel Lymph Node, Include Inj Non-Radio Dye",560.0,560.0,,,0 CDM,32047531,"Hc Inject Cholangiography, Perc, Complete With Image, Exist",4804.0,4804.0,,,0 CDM,32047532,"Hc Inject Cholangiography, Perc, Complete With Image, New Access",5663.0,5663.0,,,0 CDM,32047533,"Hc Place Biliary Drain Cath, Perc, Cholangiography, Image, S&I, Ext",20831.0,20831.0,,,0 CDM,32047534,"Hc Place Biliary Drain Cath, Perc, Cholangiography, Internal-External",26581.0,26581.0,,,0 CDM,32047535,"Hc Conv Ext Biliary Drain Cath To Internal-External Cath, Perc",20225.0,20225.0,,,0 CDM,32047536,"Hc Exch Biliary Drainage Cath, Perc, Diag Cholang, Image, S&I",12353.0,12353.0,,,0 CDM,32047537,"Hc Removal Biliary Drain Cath, Perc, Fluoro, Diag Cholangiography",7830.0,7830.0,,,0 CDM,32047538,"Hc Stent Place Bile Duct, Perc, Diagnostic Cholangiography, Existing",42062.0,42062.0,,,0 CDM,32047539,"Hc Stent Place Duct, Perc, Diag Cholangiography, New Access, No Cath",32004.0,32004.0,,,0 CDM,32047540,"Hc Stent Place Duct, Perc, Diag Cholangiograph, With Cath Place",39878.0,39878.0,,,0 CDM,32047541,"Hc Access Place Through Biliary Tree Small Bowel Assist, New",20225.0,20225.0,,,0 CDM,32047542,"Hc Balloon Dilation Biliary Duct/Ampulla, Percutaneous, Each Duct",3872.0,3872.0,,,0 CDM,32047543,"Hc Endoluminal Biopsy Biliary Tree, Perc, Any Method, Single Or Mult",4759.0,4759.0,,,0 CDM,32047544,Hc Removal Of Calculi/Debris Biliary Ducts/Gallbladder Percutaneous,6970.0,6970.0,,,0 CDM,32049185,"Hc Sclerotherapy Fluid Collect, Perc, Contrast, Image Guide, S&I",4399.0,4399.0,,,0 CDM,32049405,"Hc Image-Guided Fluid Collcetion Drainage By Catheter; Visceral, Percutaneous",4650.0,4650.0,,,0 CDM,32050430,"Hc Injection Procedure For Antegrade Nephrostogram, New Access",6238.0,6238.0,,,0 CDM,32050431,"Hc Injection Procedure For Antegrade Nephrostogram, Exisiting",4149.0,4149.0,,,0 CDM,32050432,"Hc Placement Nephrostomy Catheter, Percutaneous, Image Guide, S&I",8472.0,8472.0,,,0 CDM,32050433,"Hc Placement Of Nephroureteral Catheter, Percutaneous, New Access",17832.0,17832.0,,,0 CDM,32050434,"Hc Convert Neph Cath Nephroureteral Cath, Perc, Via Pre-Exist Tract",17832.0,17832.0,,,0 CDM,32050435,"Hc Exchange Neprhstomy Catheter, Percutaneous, Image Guide, S&I",15344.0,15344.0,,,0 CDM,32050693,"Hc Placement Ureteral Stent,Percutaneous, Pre-Existing Neph Tract",23436.0,23436.0,,,0 CDM,32050694,"Hc Place Ureteral Stent,Perc, New Access, W/Out Separate Neph Catheter",23436.0,23436.0,,,0 CDM,32050695,"Hc Placement Ureteral Stent,Perc, New Access, With Separate Neph Cath",39118.0,39118.0,,,0 CDM,32050705,"Hc Ureteral Embolization/Occlusion, Include Image Guide And S&I",6823.0,6823.0,,,0 CDM,32050706,"Hc Balloon Dilation, Ureteral Stricture, Image Guide & S&I",6436.0,6436.0,,,0 CDM,32061645,"Hc Percutaneous Arterial Transluminal Thrombectomy, Any Method",12084.0,12084.0,,,0 CDM,32061650,"Hc Endovasc Intracranial Prolonged Admin Rx Agent, Initial Vasc",8055.0,8055.0,,,0 CDM,32061651,"Hc Endovasc Intracranial Prolonged Admin Rx Agent, Ea Add Vasc",3434.0,3434.0,,,0 CDM,32062302,"Hc Myelography Via Lumbar Injection, Including S&I, Cervical",3070.0,3070.0,,,0 CDM,32062303,"Hc Myelography Via Lumbar Injection, Including S&I, Thoracic",3070.0,3070.0,,,0 CDM,32062304,"Hc Myelography Via Lumbar Injection, Including S&I, Lumbosacral",3070.0,3070.0,,,0 CDM,32062305,"Hc Myelography Via Lumbar Injection, Including S&I, 2 Or More Regions",6139.0,6139.0,,,0 CDM,32062321,Hc Injection(S) Interlaminar Cervical/Thoracic With Imaging Guidance,8842.0,8842.0,,,0 CDM,32062323,Hc Injections Interlaminar Lumbar/Sacral With Imaging Guidance,8188.0,8188.0,,,0 CDM,32062325,Hc Injections Indwelling Catheter Placement Interlaminar Cervical/Thoracic With Imaging Guidance,9990.0,9990.0,,,0 CDM,32062327,Hc Injections Indwelling Catheter Placement Interlaminar Lumbar/Sacral With Imaging Guidance,8387.0,8387.0,,,0 CDM,32062362,Hc Implant Spine Infusion Pump,50815.0,50815.0,,,0 CDM,32064461,"Hc Paravertebral Block, Thoracic, Single Injection Site",2734.0,2734.0,,,0 CDM,32064462,"Hc Paravertebral Block, Thoracic, 2Nd And Each Additional Inj Site",2734.0,2734.0,,,0 CDM,32064463,"Hc Paravertebral Block, Thoracic, Continuous Infusion By Catheter",2734.0,2734.0,,,0 CDM,32064466,Hc Thoracic Fascial Plane Block Uni Injection,3740.0,3740.0,,,0 CDM,32064467,Hc Thoracic Fascial Plane Block Uni Cont Infusion,3740.0,3740.0,,,0 CDM,32064468,Hc Thoracic Fascial Plane Block Bi Injection,3740.0,3740.0,,,0 CDM,32064469,Hc Thoracic Fascial Plane Block Bi Cont Infusion,3740.0,3740.0,,,0 CDM,32064473,Hc Lower Xtr Fascial Plane Block Uni Injection,3740.0,3740.0,,,0 CDM,32064474,Hc Lower Xtr Fascial Plane Block Uni Cont Infusion,3740.0,3740.0,,,0 CDM,32070015,"Hc Cisternography, Positive Contast, S&I",1976.0,1976.0,,,0 CDM,32070100,"Hc Radiologic Exam, Mandible; Partial, Less Than 4 Views",462.0,462.0,,,0 CDM,32070110,"Hc Radiologic Exam, Mandible; Complete, Minimum Of 4 Views",682.0,682.0,,,0 CDM,32070120,"Hc Radiologic Exam, Mastoids; Less Than 3 Views Per Side",261.0,261.0,,,0 CDM,32070140,"Hc Radiologic Exam, Facial Bones; Less Than 3 Views",250.0,250.0,,,0 CDM,32070150,"Hc Radiologic Exam, Facial Bones; Complete, Minimum Of 3 Views",813.0,813.0,,,0 CDM,32070160,"Hc Radiologic Exam, Nasal Bones; Complete, Minimum Of 3 Views",704.0,704.0,,,0 CDM,32070200,"Hc Radiologic Exam; Orbits, Complete, Minimum Of 4 Views",745.0,745.0,,,0 CDM,32070210,"Hc Radiologic Exam, Sinuses, Paranasal, Less Than 3 Views",262.0,262.0,,,0 CDM,32070220,"Hc Radiologic Exam, Sinuses, Paranasal, Complete, Minimum Of 3 Views",741.0,741.0,,,0 CDM,32070250,"Hc Radiologic Exam, Skull; Less Than 4 Views",690.0,690.0,,,0 CDM,32070260,"Hc Radiologic Exam, Skull; Complete, Minimum Of 4 Views",844.0,844.0,,,0 CDM,32070328,"Hc Radiologic Exam, Temporomandibular Joint, Open And Closed Mouth; Unilateral",173.0,173.0,,,0 CDM,32070330,"Hc Radiologic Exam, Temporomandibular Joint, Open And Closed Mouth; Bilateral",438.0,438.0,,,0 CDM,32070355,Hc Orthopantogram,596.0,596.0,,,0 CDM,32070360,Hc Radiologic Exam; Neck; Soft Tissue,573.0,573.0,,,0 CDM,32070370,"Hc Radiologic Exam; Pharync Or Larync, Including Fluoroscopy And/Or Magnification Technique",681.0,681.0,,,0 CDM,32070371,Hc Complex Dynamic Pharyngeal And Speech Evaluation By Cine Or Video Recording,1195.0,1195.0,,,0 CDM,32070390,"Hc Sialography, Radiologic S&I",1027.0,1027.0,,,0 CDM,32071045,Hc X-Ray Exam Chest 1 View,345.0,345.0,,,0 CDM,32071046,Hc X-Ray Exam Chest 2 Views,681.0,681.0,,,0 CDM,32071047,Hc X-Ray Exam Chest 3 Views,765.0,765.0,,,0 CDM,32071048,Hc X-Ray Exam Chest 4+ Views,849.0,849.0,,,0 CDM,32071100,"Hc Radiologic Exam, Ribs, Unilateral; 2 Views",393.0,393.0,,,0 CDM,32071101,"Hc Radiologic Exam, Ribs, Unilateral; Including Posterioranterior Chest, Minimum Of 3 Views",483.0,483.0,,,0 CDM,32071110,"Hc Radiologic Exam, Ribs, Bilateral; 3 Views",827.0,827.0,,,0 CDM,32071111,"Hc Radiologic Exam, Ribs, Bilateral; Including Posteroanterior Chest, Minimum Of 4 Views",987.0,987.0,,,0 CDM,32071120,"Hc Radiologic Exam; Sternum, Minimum Of 2 Views",484.0,484.0,,,0 CDM,32071130,"Hc Radiologic Exam; Sternoclavicular Joint Or Joints, Minimum Of 3 Views",597.0,597.0,,,0 CDM,32072020,Hc X-Ray Single View Cervical Spine,368.0,368.0,,,0 CDM,32072040,"Hc Radiologic Examination, Spine, Cervical; 2 Or 3 Views",718.0,718.0,,,0 CDM,32072050,"Hc Radiologic Examination, Spine, Cervical; 4 Or 5 Views",844.0,844.0,,,0 CDM,32072052,"Hc Radiologic Examination, Spine, Cervical; 6 Or More Views",970.0,970.0,,,0 CDM,32072070,"Hc Radiologic Examination, Spine; Thoracic, 2 Views",352.0,352.0,,,0 CDM,32072072,"Hc Radiologic Examination, Spine; Thoracic, 3 Views",587.0,587.0,,,0 CDM,32072074,"Hc Radiologic Examination, Spine; Thoracic, Minimum Of 4 Views",681.0,681.0,,,0 CDM,32072080,"Hc Radiologic Examination, Spine; Thoracolumbar, 2 Views",603.0,603.0,,,0 CDM,32072081,"Hc Radiologic Exam, Spin, Entire Thoracic & Lumbar, One View",454.0,454.0,,,0 CDM,32072082,"Hc Radiologic Exam, Spin, Entire Thoracic & Lumbar, 2 Or 3 Views",542.0,542.0,,,0 CDM,32072083,"Hc Radiologic Exam, Spin, Entire Thoracic & Lumbar, 4 Or 5 Views",611.0,611.0,,,0 CDM,32072084,"Hc Radiologic Exam, Spin, Entire Thoracic & Lumb, Minimum Of 6 Views",715.0,715.0,,,0 CDM,32072100,"Hc Radiologic Examination, Spine, Lumbosacral; 2 Or 3 Views",524.0,524.0,,,0 CDM,32072110,"Hc Radiologic Examination, Spine, Lumbosacral; Minimum Of 4 Views",721.0,721.0,,,0 CDM,32072114,"Hc Radiologic Examination, Spine, Lumbosacral; Complete, Including Bending Views, Minimum Of 6 Views",1026.0,1026.0,,,0 CDM,32072120,"Hc Radiologic Examination, Spine, Lumbosacral; Bending Views Only, 2 Or 3 Views",547.0,547.0,,,0 CDM,32072170,"Hc Radiologic Examination, Pelvis; 1 Or 2 Views",536.0,536.0,,,0 CDM,32072190,"Hc Radiologic Examination, Pelvis; Complete, Minimum Of 3 Views",753.0,753.0,,,0 CDM,32072200,"Hc Radiologic Examination, Sacroiliac Joints; Less Than 3 Views",329.0,329.0,,,0 CDM,32072202,"Hc Radiologic Examination, Sacroiliac Joints; 3 Or More Views",587.0,587.0,,,0 CDM,32072220,"Hc Radiologic Examination, Sacrum And Coccyx, Minimum Of 2 Views",673.0,673.0,,,0 CDM,32072240,"Hc Myelography, Cervical, Radiological Supervision And Interpretation",2477.0,2477.0,,,0 CDM,32072255,"Hc Myelography, Thoracic, Radiological Supervision And Interpretation",2416.0,2416.0,,,0 CDM,32072265,"Hc Myelography, Lumbosacral, Radiological Supervision And Interpretation",4019.0,4019.0,,,0 CDM,32072270,"Hc Myelography, 2 Or More Regions, Radiological Supervision And Interpretation",5091.0,5091.0,,,0 CDM,32072285,"Hc Discography, Cervical Or Thoracic, Radiological Supervision And Interpretation",4239.0,4239.0,,,0 CDM,32072295,"Hc Discography, Lumbar, Radiological Supervision And Interpretation",7089.0,7089.0,,,0 CDM,32073000,"Hc Radiologic Examination; Clavicle, Complete",466.0,466.0,,,0 CDM,32073010,"Hc Radiologic Examination; Scapula, Complete",488.0,488.0,,,0 CDM,32073020,"Hc Radiologic Examination, Shoulder; 1 View",361.0,361.0,,,0 CDM,32073030,"Hc Radiologic Examination, Shoulder; Complete, Minimum Of 2 Views",521.0,521.0,,,0 CDM,32073050,"Hc Radiologic Examination; Acromioclavicular Joints, Bilateral, With Or Without Weighted Distraction",626.0,626.0,,,0 CDM,32073060,"Hc Radiologic Examination; Humerus, Minimum Of 2 Views",526.0,526.0,,,0 CDM,32073070,"Hc Radiologic Examination, Elbow; 2 Views",398.0,398.0,,,0 CDM,32073080,"Hc Radiologic Examination, Elbow; Complete, Minimum Of 3 Views",492.0,492.0,,,0 CDM,32073090,"Hc Radiologic Examination; Forearm, 2 Views",490.0,490.0,,,0 CDM,32073092,"Hc Radiologic Examination; Upper Extremity, Infant, Minimum Of 2 Views",650.0,650.0,,,0 CDM,32073100,"Hc Radiologic Examination, Wrist; 2 Views",439.0,439.0,,,0 CDM,32073110,"Hc Radiologic Examination, Wrist; Complete, Minimum Of 3 Views",555.0,555.0,,,0 CDM,32073120,"Hc Radiologic Examination, Hand; 2 Views",385.0,385.0,,,0 CDM,32073130,"Hc Radiologic Examination, Hand; Minimum Of 3 Views",552.0,552.0,,,0 CDM,32073140,"Hc Radiologic Examination, Finger(S), Minimum Of 2 Views",386.0,386.0,,,0 CDM,32073501,"Hc Radiologic Exam, Hip, With Pelvis When Performed, 1 View",465.0,465.0,,,0 CDM,32073502,"Hc Radiologic Exam, Hip, With Pelvis When Performed, 2 To 3 Views",568.0,568.0,,,0 CDM,32073503,"Hc Radiologic Exam, Hip, With Pelvis When Performed, Min Of 4 Views",697.0,697.0,,,0 CDM,32073521,"Hc Radiologic Exam, Hips, Bil, With Pelvis When Performed, 2 Views",568.0,568.0,,,0 CDM,32073522,"Hc Radiologic Exam, Hips, Bil, With Pelvis When Performed, 3-4 Views",748.0,748.0,,,0 CDM,32073523,"Hc Radiologic Exam, Hips, Bil, With Pelvis When Performed, Min 5 Views",802.0,802.0,,,0 CDM,32073551,"Hc Radiologic Exam, Femur, 1 View",413.0,413.0,,,0 CDM,32073552,"Hc Radiologic Exam, Femur, 2 Views",465.0,465.0,,,0 CDM,32073560,"Hc Radiologic Examination, Knee; 1 Or 2 Views",439.0,439.0,,,0 CDM,32073562,"Hc Radiologic Examination, Knee; 3 Views",550.0,550.0,,,0 CDM,32073564,"Hc Radiologic Examination, Knee; Complete, 4 Or More Views",858.0,858.0,,,0 CDM,32073565,"Hc Radiologic Examination, Knee; Both Knees, Standing, Anteroposterior",354.0,354.0,,,0 CDM,32073590,"Hc Radiologic Examination; Tibia And Fibula, 2 Views",589.0,589.0,,,0 CDM,32073592,"Hc Radiologic Examination; Lower Extremity, Infant, Minimum Of 2 Views",597.0,597.0,,,0 CDM,32073600,"Hc Radiologic Examination, Ankle; 2 Views",361.0,361.0,,,0 CDM,32073610,"Hc Radiologic Examination, Ankle; Complete, Minimum Of 3 Views",562.0,562.0,,,0 CDM,32073620,"Hc Radiologic Examination, Foot; 2 Views",447.0,447.0,,,0 CDM,32073630,"Hc Radiologic Examination, Foot; Complete, Minimum Of 3 Views",570.0,570.0,,,0 CDM,32073650,"Hc Radiologic Examination; Calcaneus, Minimum Of 2 Views",475.0,475.0,,,0 CDM,32073660,"Hc Radiologic Examination; Toe(S), Minimum Of 2 Views",557.0,557.0,,,0 CDM,32074018,Hc X-Ray Exam Abdomen 1 View,500.0,500.0,,,0 CDM,32074019,Hc X-Ray Exam Abdomen 2 Views,492.0,492.0,,,0 CDM,32074021,Hc X-Ray Exam Abdomen 3+ Views,549.0,549.0,,,0 CDM,32074022,"Hc Rad Exam, Abdomen; Complete Acute Abdomen Series, Supine, Erect, And/Or Decub Vw, Single Vw Chest",895.0,895.0,,,0 CDM,32074210,"Hc Radiologic Exam; Pharync And/Or Cervial Esophagus, Including Scout Neck Radiograph(S) And Delayed",309.0,309.0,,,0 CDM,32074220,Hc Radiologic Exam; Esophagus,1170.0,1170.0,,,0 CDM,32074221,Hc X-Ray Xm Esophagus 2Cntrst,457.0,457.0,,,0 CDM,32074230,"Hc Swallowing Function, With Cineradioraphy/Videoradiography",1293.0,1293.0,,,0 CDM,32074240,"Hc Radiologic Exam, Gastrointestinal Tract, Upper; With Or Without Delayed Films, Without Kub",1624.0,1624.0,,,0 CDM,32074246,"Hc Rady Ex,Gi Tr,Up,Air Cntst,W Sp Hgh Dnty Brim, Efrvst Agt,W Or Wo Gluc;W Or Wo Dlyd Films,Wo Kub",1144.0,1144.0,,,0 CDM,32074248,Hc X-Ray Sm Int F-Thru Std,2842.0,2842.0,,,0 CDM,32074250,"Hc Radiologic Exam, Small Intesting, Includes Multiple Serial Films",1470.0,1470.0,,,0 CDM,32074251,Hc Radiologic Exam Small Int Double Contrast Study,578.0,578.0,,,0 CDM,32074270,"Hc Radiologic Exam, Colon; Contrast Enema, With Or Without Kub",1697.0,1697.0,,,0 CDM,32074280,"Hc Rady Exam, Colon; Air Contrast High Dens Barium, W/Wo Glucagon",2394.0,2394.0,,,0 CDM,32074283,"Hc Thrptc Enema, Contrast Or Air, For Reduction Of Intussusception Or Other Intraluminal Obstruction",1077.0,1077.0,,,0 CDM,32074300,"Hc Cholangiography And/Or Pancreatography; Intraoperative, S&I",1229.0,1229.0,,,0 CDM,32074300_PBB,"Hc Cholangiography And/Or Pancreatography; Intraoperative, S&I-Pbb",1330.5,1330.5,,,0 CDM,32074328,"Hc Endoscopic Catheterization Of The Biliary Ductal System, S&I",2105.0,2105.0,,,0 CDM,32074328_PBB,"Hc Endoscopic Catheterization Of The Biliary Ductal System, S&I-Pbb",2278.0,2278.0,,,0 CDM,32074329,"Hc Endoscopic Catheterization Of The Pancreatuc Ductal System, S&I",1930.0,1930.0,,,0 CDM,32074329_PBB,"Hc Endoscopic Catheterization Of The Pancreatuc Ductal System, S&I-Pbb",2123.0,2123.0,,,0 CDM,32074330,"Hc Combined Endoscopic Catheterization Of The Biliary And Pancreatic Ductal Systems, S&I",2443.0,2443.0,,,0 CDM,32074330_PBB,"Hc Combined Endoscopic Catheterization Of The Biliary And Pancreatic Ductal Systems, S&I-Pbb",2668.5,2668.5,,,0 CDM,32074340,"Hc Introduction Of Long Gastrointestinal Tube, Including Mutiple Fluoroscopies And Films, S&I",668.0,668.0,,,0 CDM,32074360,"Hc Intraluminal Dilation Of Strictures And/Or Obstructions, S&I",708.0,708.0,,,0 CDM,32074360_PBB,"Hc Intraluminal Dilation Of Strictures And/Or Obstructions, S&I-Pbb",842.0,842.0,,,0 CDM,32074363,"Hc Perc Transhepatic Dilation Of Biliary Duct Stricture W/ Or W/Out Placement Of Stent, S&I",6759.0,6759.0,,,0 CDM,32074363_PBB,"Hc Perc Transhepatic Dilation Of Biliary Duct Stricture W/ Or W/Out Placement Of Stent, S&I-Pbb",6972.5,6972.5,,,0 CDM,32074400,"Hc Urography, Intravenous, With Or Without Kum, With Or Without Tomography",842.0,842.0,,,0 CDM,32074420,"Hc Urography, Retrograde, With Or Without Kub",1708.0,1708.0,,,0 CDM,32074425,"Hc Urography, Antegrade, S&I",2217.0,2217.0,,,0 CDM,32074430,"Hc Cystography, Minimum Of 3 Views, S&I",1408.0,1408.0,,,0 CDM,32074430_PBB,"Hc Cystography, Minimum Of 3 Views, S&I-Pbb",1528.5,1528.5,,,0 CDM,32074450,"Hc Urethreocystography, Retrograde, S&I",1126.0,1126.0,,,0 CDM,32074455,"Hc Urethreocystography, Voiding, S&I",2030.0,2030.0,,,0 CDM,32074455_PBB,"Hc Urethreocystography, Voiding, S&I-Pbb",2129.0,2129.0,,,0 CDM,32074470,"Hc Rad Exam, Renal Cyst Study, Translumbar, Contrast Visualization, Radiological S&I",2332.0,2332.0,,,0 CDM,32074485,"Hc Dilation Of Nephrostomy, Ureters, Or Urethra, Radiological Supervision And Interpretation",3879.0,3879.0,,,0 CDM,32074740,"Hc Hysterosalpingography, Radiological Supervision And Interpretation",2216.0,2216.0,,,0 CDM,32074775,"Hc Perineogram (Eg, Vaginogram, For Sex Determination Or Extent Of Anomalies)",860.0,860.0,,,0 CDM,32075600,"Hc Aortography, Thoracic, Without Serialography, S&I",8074.0,8074.0,,,0 CDM,32075605,"Hc Aortography, Thoracic, By Serialography, S&I",8710.0,8710.0,,,0 CDM,32075630,"Hc Aortography, Abdominal Plus Bilat Iliofemoral Lower Extremity, Catheter, By Serialography, S&I",10131.0,10131.0,,,0 CDM,32075710,"Hc Angiography, Extremity, Unilateral, S&I",8710.0,8710.0,,,0 CDM,32075716,"Hc Angography, Extremity, Bilaterial, S&I",9990.0,9990.0,,,0 CDM,32075726,"Hc Angiography, Visceral, Selective Or Supraselective, Radiological S&I",16233.0,16233.0,,,0 CDM,32075801,Hc Lymph Vessel X-Ray Arm/Leg,4272.0,4272.0,,,0 CDM,32075803,Hc Lymphangiography Extremity Only Bilateral Rs&I,4272.0,4272.0,,,0 CDM,32075805,Hc Lymphangiography Pelv/Abd Unilat Rad S&I,3224.0,3224.0,,,0 CDM,32075807,"Hc Lmphngiogrphy,Pelv/Abd Bilt Rad S&I",3177.0,3177.0,,,0 CDM,32075810,Hc Spsp-S&I Splenoportography,8074.0,8074.0,,,0 CDM,32075820,"Hc Venography, Extrmity, Unilateral, S&I",3909.0,3909.0,,,0 CDM,32075822,"Hc Venography, Extremity, Bilateral, S&I",5295.0,5295.0,,,0 CDM,32075825,"Hc Venography, Caval, Inferior, With Serialography, S&I",8710.0,8710.0,,,0 CDM,32075827,"Hc Venography, Caval, Superior, With Serialography, S&I",6183.0,6183.0,,,0 CDM,32075831,"Hc Venography, Renal,. Unilateral, Selective, S&I",8710.0,8710.0,,,0 CDM,32075833,"Hc Venography, Renal, Bilateral, Selective, S&I",8710.0,8710.0,,,0 CDM,32075860,"Hc Venography, Venous Sinus Or Jugular, Catheter, S&I",3864.0,3864.0,,,0 CDM,32075870,"Hc Venography, Superior Sagittal Sinus, S&I",4187.0,4187.0,,,0 CDM,32075872,"Hc Venography, Epidural, S&I",4925.0,4925.0,,,0 CDM,32075885,"Hc Percutaneous Transhepatic Portography With Hemodynamic Evaluation, S&I",8710.0,8710.0,,,0 CDM,32075887,"Hc Percutaneous Transhepatic Portography Without Hemodynamic Evaluation, S&I",7084.0,7084.0,,,0 CDM,32075889,"Hc Hepatic Venography, Wedged Or Free, With Hemodynamic Evaluation, S&I",8710.0,8710.0,,,0 CDM,32075891,"Hc Hepatic Venography, Wedged Or Free, Without Hemodynamic Evaluation, S&I",8710.0,8710.0,,,0 CDM,32075893,"Hc Venous Sampling Through Catheter, With Or Without Angiography, S&I",8710.0,8710.0,,,0 CDM,32075894,"Hc Transcatheter Therapy, Embolization, Any Method, S&I",9721.0,9721.0,,,0 CDM,32075901,"Hc Mechanical Removal Of Pericatheter Obstructive Material From Central Venous Device, S&I",2303.0,2303.0,,,0 CDM,32075902,"Hc Mechanical Removal Of Intraluminal Obstructive Material From Central Venous Device, S&I",1704.0,1704.0,,,0 CDM,32075970,"Hc Transcatheter Biopsy, S&I",5752.0,5752.0,,,0 CDM,32075984,"Hc Change Of Percutaneous Tube Or Drainage Cather With Contrast Monitoring, S&I",3032.0,3032.0,,,0 CDM,32075989,"Hc Radiological Guidance, For Percutaneous Drainage, With Placement Of Catheter, S&I",3515.0,3515.0,,,0 CDM,32075989_GOLD,"Hc Radiological Guidance, For Percutaneous Drainage, With Placement Of Catheter, S&I-Gold",5386.5,5386.5,,,0 CDM,32075989_GOLDPBB,"Hc Radiological Guidance, For Percutaneous Drainage, With Placement Of Catheter, S&I-Gold,Pbb",5386.5,5386.5,,,0 CDM,32075989_PBB,"Hc Radiological Guidance, For Percutaneous Drainage, With Placement Of Catheter, S&I-Pbb",5386.5,5386.5,,,0 CDM,32076000,"Hc Fluoroscopy (Separate Procedure), Up To 1 Hour Physician Or Other Qualified Health Care Professio",1766.0,1766.0,,,0 CDM,32076000_PBB,"Hc Fluoroscopy (Separate Procedure), Up To 1 Hour Physician Or Other Qualified Health Care Professio",1835.5,1835.5,,,0 CDM,32076014,Hc Mri Safety Implt&/Fb Asmt Init,53.0,53.0,,,0 CDM,32076015,Hc Mri Safety Implt&/Fb Asmt Add 30V,26.0,26.0,,,0 CDM,32076016,Hc Mri Safety Deter Phys/Qhp,187.0,187.0,,,0 CDM,32076017,Hc Mri Safety Med Phys Cstm,513.0,513.0,,,0 CDM,32076018,Hc Mri Safety Implant Elec Prep,195.0,195.0,,,0 CDM,32076019,Hc Mri Safety Postion & Immob,127.0,127.0,,,0 CDM,32076080,"Hc Radiologic Examination, Abcess, Fistula Or Sinus Study, S&I",2033.0,2033.0,,,0 CDM,32076098,"Hc Radiologic Examination, Surgical Specimen",913.0,913.0,,,0 CDM,32076100,"Hc Radiologic Exam, Single Plane Body Section",323.0,323.0,,,0 CDM,32076496,Hc Unlisted Fluoroscopic Procedure,796.0,796.0,,,0 CDM,32077001,"Hc Fluoroscopic Guidance For Central Venous Access Revice Placement, Replacement, Or Removal",1242.0,1242.0,,,0 CDM,32077002,Hc Fluoroscopic Guidance For Needle Placement,1086.0,1086.0,,,0 CDM,32077003,Hc Fluoro Guid And Loc Of Needle Or Catheter Tip For Spine Or Paraspinous Diag Or Thrptc Inj Proc,2125.0,2125.0,,,0 CDM,32077053,"Hc Mammary Ductogram Or Galactogram, Single Duct, S&I",1040.0,1040.0,,,0 CDM,32077054,"Hc Mammary Ductogram Or Galactogram, Multiple Ducts, S&I",913.0,913.0,,,0 CDM,32077071,"Hc Manual App Of Strss Perfrmed By Phys Or Othr Qual Hlth Cr Prof For Jnt Radgrphy,Incl Contrlt Jnt",352.0,352.0,,,0 CDM,32077072,Hc Bone Age Studies,352.0,352.0,,,0 CDM,32077073,Hc Bone Length Studies,416.0,416.0,,,0 CDM,32077074,"Hc Radiologic Exam, Osseous Survey, Limited",564.0,564.0,,,0 CDM,32077075,"Hc Radiologic Exam, Osseous Survey, Complete",948.0,948.0,,,0 CDM,32077076,"Hc Radiologic Exam, Osseous Survey, Infant",192.0,192.0,,,0 CDM,32077077,"Hc Joint Survey, Single View, 2 Or More Joints",345.0,345.0,,,0 CDM,32077080,"Hc Dxa, Bone Density Study, 1 Or More Sites; Axial Skeleton",164.0,164.0,,,0 CDM,32077080_PBB,"Hc Dxa, Bone Density Study, 1 Or More Sites; Axial Skeleton-Pbb",1042.0,1042.0,,,0 CDM,32077081_PBB,Hc Dxa Bone Densitity Study 1/> Sites Appendicular Skel-Pbb,207.5,207.5,,,0 CDM,32077085_PBB,Hc Dxa Bone Density Study Axial Skeleton-Pbb,626.5,626.5,,,0 CDM,32077086_PBB,Hc Vertebral Fracture Assessment Via Dxa-Pbb,356.5,356.5,,,0 CDM,32080299,Hcibuprofen,521.0,521.0,,,0 CDM,32081403,"Hc Tier 1 Diazoxide Unresponsive Hyperinsulinism Panel, Kcnj11",880.0,880.0,,,0 CDM,32081404,Hc Hereditary Pheochromocytoma And Paraganglioma Panel Sdhd,624.0,624.0,,,0 CDM,32081405,Hc Slc2A1 Mutation Analysis,1320.0,1320.0,,,0 CDM,32081406,Hc Hypophosphatemic Rickets Panel Phex,737.0,737.0,,,0 CDM,32081407,Col4A5 Mutation Analysis Del/Dup,793.0,793.0,,,0 CDM,32081443,Hc Neonatal Diabetes Mellitus (Ndm) Panel,5096.0,5096.0,,,0 CDM,32081479,Hc Myd88 Gene Analyses,892.0,892.0,,,0 CDM,32082542,Hc Porphyrins Plasma,332.0,332.0,,,0 CDM,32083516,Hc Histone Ab,173.0,173.0,,,0 CDM,32083520,Hc Tsh/T4 Immunoassay Nb Scrn,37.0,37.0,,,0 CDM,32086255,Hc Neutrophil Sp Antibodies,318.0,318.0,,,0 CDM,32087070,"Hc Culture, Wound",385.0,385.0,,,0 CDM,32087081,Hc Helicobacter Pylori Culture,167.0,167.0,,,0 CDM,32087798,Hc Coronavirus (Covid-19) Sars-Cov-2,467.0,467.0,,,0 CDM,32092242,Hc Fluorescein Indocyanine-Green Angiography,818.0,818.0,,,0 CDM,32172020,Hc X-Ray Single View Lumbar Spine,368.0,368.0,,,0 CDM,32176499,Hc Unlisted Diagnostic Radiographic Procedure F B Dexa Research,216.0,216.0,,,0 CDM,32176499_PBB,Hc Unlisted Diagnostic Radiographic Procedure F B Dexa Research-Pbb,329.5,329.5,,,0 CDM,32180299,Hc Inflixamib Level,394.0,394.0,,,0 CDM,32181403,Hc Targeted Mutation Analysis (Known Familial Mutation),850.0,850.0,,,0 CDM,32181404,Hc Hypophosphatemic Rickets Panel Fgf23,624.0,624.0,,,0 CDM,32181405,Hc Nsd1 Mutation Analysis Nsd1 Del/Dupl,850.0,850.0,,,0 CDM,32181406,Hc Neuronal Ceroid-Lipofuscinoses Panel Grn,737.0,737.0,,,0 CDM,32181407,Tsc2 Mutation Analysis Sequencing,793.0,793.0,,,0 CDM,32181443,Hc Monogenic Diabetes Panel,5096.0,5096.0,,,0 CDM,32181479,Hc Stat3 Gene Analyses,892.0,892.0,,,0 CDM,32183516,Hc Rna/Eia/Fia Polymerase Iii Ab Igg S,301.0,301.0,,,0 CDM,32183519,Hc Insulin Growth Fact Bindg,356.0,356.0,,,0 CDM,32183520,Hc Immunoassay Tnf Alpha,493.0,493.0,,,0 CDM,32184999,Hc Amphotericin B,340.0,340.0,,,0 CDM,32186235,Hc Anti-Ds Dna Ab,464.0,464.0,,,0 CDM,32272020,"Hc X-Ray Single View, Thoracic Spine",368.0,368.0,,,0 CDM,32273040,"Hc Radiologic Examination, Shoulder, Arthrography, Radiological Supervision And Interpretation",2458.0,2458.0,,,0 CDM,32273085,"Hc Radiologic Examination, Elbow, Arthrography, Radiological Supervision And Interpretation",2631.0,2631.0,,,0 CDM,32273115,"Hc Radiologic Examination, Wrist, Arthrography, Radiological Supervision And Interpretation",1351.0,1351.0,,,0 CDM,32273525,"Hc Radiologic Examination, Hip, Arthrography, Radiological Supervision And Interpretation",1591.0,1591.0,,,0 CDM,32273580,"Hc Radiologic Examination, Knee, Arthrography, Radiological Supervision And Interpretation",1136.0,1136.0,,,0 CDM,32273615,"Hc Radiologic Examination, Ankle, Arthrography, Radiological Supervision And Interpretation",1158.0,1158.0,,,0 CDM,32280299,Hc Traconazale,514.0,514.0,,,0 CDM,32281403,Hc Parental Targeted Analysis,850.0,850.0,,,0 CDM,32281404,Hc Tier 2: Slc16A2 (Mct8) Mutation Analysis?,850.0,850.0,,,0 CDM,32281405,Hc Tcf4 Mutation Analysis Tcf4 Del/Dupl,850.0,850.0,,,0 CDM,32281406,Hc Non-Syndromic Monogenic Obesity Panel Lepr,737.0,737.0,,,0 CDM,32281443,Hc Mody Panel,5096.0,5096.0,,,0 CDM,32281479,Hc Stat5B Gene Analyses,892.0,892.0,,,0 CDM,32283516,"Hc 21-Hydroxylase Ab, S",139.0,139.0,,,0 CDM,32283519,Hc Lambert Eaton Myostrina,356.0,356.0,,,0 CDM,32283520,Hc Human Chimeric Ab,128.0,128.0,,,0 CDM,32284999,Hc Nitrogen Total Ur,238.0,238.0,,,0 CDM,3229_00179830201,Cetirizine Hydrochloride: 100 TABLET in 1 BOTTLE (0179-8302-01),6.0,6.0,,,0 CDM,3229_00378363501,"Cetirizine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-3635-01)",4.9,4.9,,,0 CDM,3229_16571040110,Cetirizine Hydrochloride: 100 Tablet In 1 Bottle (16571-401-10),4.68,4.68,,,0 CDM,32309537,Hc Tech Tc99M Mebrof Dx Up To 15Mci,535.0,535.0,,,0 CDM,32375625,"Hc Aortography, Abdominal, By Serialography, S&I",10011.0,10011.0,,,0 CDM,32375705,"Hc Angiography, Spinal, Selective, S&I",16233.0,16233.0,,,0 CDM,32375731,"Hc Angiography, Adrenal, Unilateral, Selective, S&I",8710.0,8710.0,,,0 CDM,32375736,"Hc Angiography, Pelvic, Selective Or Supraselective, S&I",8965.0,8965.0,,,0 CDM,32375741,"Hc Angiography, Pulmonary, Unilateral, Selective, S&I",8710.0,8710.0,,,0 CDM,32375743,"Hc Angiography, Pulmonary, Bilateral, Selective, S&I",8710.0,8710.0,,,0 CDM,32375746,"Hc Angiography, Pulmonary, By Nonselective Catheter Or Venous Injection, S&I",4925.0,4925.0,,,0 CDM,32375756,"Hc Angiography, Internal Mammary, S&I",5442.0,5442.0,,,0 CDM,32375774,"Hc Angiography, Selective, Each Additional Vessel Studied After Basic Exam, S&I",6614.0,6614.0,,,0 CDM,32375898,Hc Angiography Through Existing Catheter For Follow-Up Study,3542.0,3542.0,,,0 CDM,32376499,Hc Unlisted Diagnostic Radiographic Procedure,1566.0,1566.0,,,0 CDM,32376499_PBB,Hc Unlisted Diagnostic Radiographic Procedure-Pbb,1705.0,1705.0,,,0 CDM,32380299,Hc Lamotrigine,403.0,403.0,,,0 CDM,32381403,Hc Prenatal Testing For Known Mutation By Sequence Analysis,2200.0,2200.0,,,0 CDM,32381404,Hc Ahus/Tma/C3G Genes,2640.0,2640.0,,,0 CDM,32381405,Hc Tier 2: Slc16A2 (Mct8) Mutation Analysis?,850.0,850.0,,,0 CDM,32381406,Hc Rubenstein-Taybi Syndrome Panel Crebbp Del/Dupl,737.0,737.0,,,0 CDM,32381443,Hc Monogenic Obesity Panel,5096.0,5096.0,,,0 CDM,32383520,Hc Infliximab Level,128.0,128.0,,,0 CDM,32384999,"Hc Rapid Progress Dementia Eval, Csf",408.0,408.0,,,0 CDM,32480299,Hc Mexiletine Assay,178.0,178.0,,,0 CDM,32481403,Hc Non-Syndromic Monogenic Obesity Panel Mec4R,566.0,566.0,,,0 CDM,32481404,Hc Hereditary Transthyretin-Mediated Amyloidosis (Hattr Amyloidosis) Panel,2200.0,2200.0,,,0 CDM,32481405,"Hc 46,Xx Disorders Cyp11B1",850.0,850.0,,,0 CDM,32481406,Hc Severe Congenital Neutropenia Panel Was,737.0,737.0,,,0 CDM,32481443,Hc Hypothyroidism Panel,5096.0,5096.0,,,0 CDM,32481479,"Hc Telomere Biology Disorder/Dyskeratosis Congenita Panel, Other",2266.0,2266.0,,,0 CDM,32482542,"Hc N-Methylhistamine, 24 Hr, U",239.0,239.0,,,0 CDM,32483520,Hc Immunoassay Qt Hyaluronic Acid,270.0,270.0,,,0 CDM,32484999,"Hc Cjd Evaluation, Csf",408.0,408.0,,,0 CDM,32486255,Hc Fluorescent Anti-Glial Ab T1,168.0,168.0,,,0 CDM,32487798,Hc Amplif Na Probe Nos Agent,390.0,390.0,,,0 CDM,32550_GOLD,Pr Insertion Indwelling Tunneled Pleural Catheter-Gold,3371.0,3371.0,,,0 CDM,32550_GOLDOPRM,"Pr Insertion Indwelling Tunneled Pleural Catheter-Gold,Oprm",3371.0,3371.0,,,0 CDM,32550_GOLDPBB,"Pr Insertion Indwelling Tunneled Pleural Catheter-Gold,Pbb",3371.0,3371.0,,,0 CDM,32550_PBB,Pr Insertion Indwelling Tunneled Pleural Catheter-Pbb,3371.0,3371.0,,,0 CDM,32551_GOLD,Pr Tube Thoracostomy Includes Water Seal-Gold,3186.0,3186.0,,,0 CDM,32551_GOLDOPRM,"Pr Tube Thoracostomy Includes Water Seal-Gold,Oprm",3186.0,3186.0,,,0 CDM,32551_GOLDPBB,"Pr Tube Thoracostomy Includes Water Seal-Gold,Pbb",3186.0,3186.0,,,0 CDM,32551_PBB,Pr Tube Thoracostomy Includes Water Seal-Pbb,3186.0,3186.0,,,0 CDM,32552_GOLD,Pr Rmvl Ndwellg Tunneled Pleural Catheter W/Cuff-Gold,2149.0,2149.0,,,0 CDM,32552_GOLDOPRM,"Pr Rmvl Ndwellg Tunneled Pleural Catheter W/Cuff-Gold,Oprm",2149.0,2149.0,,,0 CDM,32552_GOLDPBB,"Pr Rmvl Ndwellg Tunneled Pleural Catheter W/Cuff-Gold,Pbb",2149.0,2149.0,,,0 CDM,32552_PBB,Pr Rmvl Ndwellg Tunneled Pleural Catheter W/Cuff-Pbb,2149.0,2149.0,,,0 CDM,32554_GOLD,Pr Thoracentesis Needle/Cath Pleura W/O Imaging-Gold,937.0,937.0,,,0 CDM,32554_GOLDOPRM,"Pr Thoracentesis Needle/Cath Pleura W/O Imaging-Gold,Oprm",937.0,937.0,,,0 CDM,32554_GOLDPBB,"Pr Thoracentesis Needle/Cath Pleura W/O Imaging-Gold,Pbb",937.0,937.0,,,0 CDM,32554_PBB,Pr Thoracentesis Needle/Cath Pleura W/O Imaging-Pbb,937.0,937.0,,,0 CDM,32555_GOLD,Pr Thoracentesis Needle/Cath Pleura W/Imaging-Gold,1344.0,1344.0,,,0 CDM,32555_GOLDOPRM,"Pr Thoracentesis Needle/Cath Pleura W/Imaging-Gold,Oprm",1344.0,1344.0,,,0 CDM,32555_GOLDPBB,"Pr Thoracentesis Needle/Cath Pleura W/Imaging-Gold,Pbb",1344.0,1344.0,,,0 CDM,32555_PBB,Pr Thoracentesis Needle/Cath Pleura W/Imaging-Pbb,1344.0,1344.0,,,0 CDM,32556_GOLD,Pr Perq Drainage Pleura Insert Cath W/O Imaging-Gold,3505.0,3505.0,,,0 CDM,32556_GOLDOPRM,"Pr Perq Drainage Pleura Insert Cath W/O Imaging-Gold,Oprm",3505.0,3505.0,,,0 CDM,32556_GOLDPBB,"Pr Perq Drainage Pleura Insert Cath W/O Imaging-Gold,Pbb",3505.0,3505.0,,,0 CDM,32556_PBB,Pr Perq Drainage Pleura Insert Cath W/O Imaging-Pbb,3505.0,3505.0,,,0 CDM,32557_PBB,Pr Perq Drainage Pleura Insert Cath W/Imaging-Pbb,6142.0,6142.0,,,0 CDM,32560_GOLD,Pr Instlj Via Chest Tube/Cath Agent For Pleurodesis-Gold,1531.0,1531.0,,,0 CDM,32560_GOLDOPRM,"Pr Instlj Via Chest Tube/Cath Agent For Pleurodesis-Gold,Oprm",1531.0,1531.0,,,0 CDM,32560_GOLDPBB,"Pr Instlj Via Chest Tube/Cath Agent For Pleurodesis-Gold,Pbb",1531.0,1531.0,,,0 CDM,32560_PBB,Pr Instlj Via Chest Tube/Cath Agent For Pleurodesis-Pbb,1531.0,1531.0,,,0 CDM,32561_PBB,Pr Instlj Via Ch Tube/Cath Agent Fbrnlysis 1St Day-Pbb,566.0,566.0,,,0 CDM,32562_PBB,Pr Instlj Ch Tube/Cath Agent Fbrnlysis Sbsq Day-Pbb,517.0,517.0,,,0 CDM,32580299,Hc Mycophenolic Acid,521.0,521.0,,,0 CDM,32581403,Hc Kcnj11 Mutation Analysis,1133.0,1133.0,,,0 CDM,32581404,Hc Hsd3B2 Mutation Analysis,1133.0,1133.0,,,0 CDM,32581405,"Hc 46,Xx Disorders Wt1",850.0,850.0,,,0 CDM,32581406,Hc Tcf4 Mutation Analysis Tcf4 Seq,737.0,737.0,,,0 CDM,32581443,Hc Other Genetic Testing For Severe Inherited Conditions Genomic Sequence Analysis Panel,470.0,470.0,,,0 CDM,32581479,"Hc Tier 1 Diazoxide Unresponsive Hyperinsulinism Panel, Other",2266.0,2266.0,,,0 CDM,32582542,"Hc N-Methylhistamine, Random, U",234.0,234.0,,,0 CDM,32583516,Hc Anti Histone,184.0,184.0,,,0 CDM,32583520,Hc Immunoassay Qt Timn Fibrosp,270.0,270.0,,,0 CDM,32586255,"Hc Amphiphysin Ab, S",168.0,168.0,,,0 CDM,32601_GOLD,Pr Thorsc Dx Lungs/Pericar/Med/Pleural Space W/O Bx-Gold,3503.0,3503.0,,,0 CDM,32601_GOLDOPRM,"Pr Thorsc Dx Lungs/Pericar/Med/Pleural Space W/O Bx-Gold,Oprm",3503.0,3503.0,,,0 CDM,32601_GOLDPBB,"Pr Thorsc Dx Lungs/Pericar/Med/Pleural Space W/O Bx-Gold,Pbb",3503.0,3503.0,,,0 CDM,32601_PBB,Pr Thorsc Dx Lungs/Pericar/Med/Pleural Space W/O Bx-Pbb,3503.0,3503.0,,,0 CDM,32609_GOLDOPRM,"Pr Thoracoscopy With Biopsyies Of Pleura-Gold,Oprm",2491.0,2491.0,,,0 CDM,32650_GOLD,Pr Thoracoscopy W/Pleurodesis-Gold,9562.0,9562.0,,,0 CDM,32650_GOLDOPRM,"Pr Thoracoscopy W/Pleurodesis-Gold,Oprm",9562.0,9562.0,,,0 CDM,32650_GOLDPBB,"Pr Thoracoscopy W/Pleurodesis-Gold,Pbb",9562.0,9562.0,,,0 CDM,32650_PBB,Pr Thoracoscopy W/Pleurodesis-Pbb,9562.0,9562.0,,,0 CDM,32652_GOLDOPRM,"Pr Thrsc Tot Pulm Dcrtctj Intrapleural Pneumonolss-Gold,Oprm",15680.0,15680.0,,,0 CDM,32653_GOLDOPRM,"Pr Thoracoscopy Rmvl Intrapleural Fb/Fibrin Deposit-Gold,Oprm",8874.0,8874.0,,,0 CDM,32676499_CSM,Hc Unlisted Diagnostic Radiographic Procedure F B Dexa Cash-Csm,125.0,125.0,,,0 CDM,32680299,Hc Posaconazole Level,549.0,549.0,,,0 CDM,32681403,Long Qt Syndrome Panel Kcnj2 Sequencing,566.0,566.0,,,0 CDM,32681404,Hnf1B Mutation Analysis Del/Dup,619.0,619.0,,,0 CDM,32681405,Hc Hypercholesterolemia Panel Ldlr Del/Dupl,850.0,850.0,,,0 CDM,32681406,Hc Nsd1 Mutation Analysis Nsd1 Seq,850.0,850.0,,,0 CDM,32681443,Hc Hereditary Hematopoietic Malignancy/Immunodeficiency Predisposition Panel,5096.0,5096.0,,,0 CDM,32681479,Hc Single Gene Repeat Expansion Analysis - Rfc1,880.0,880.0,,,0 CDM,32682542,"Hc Acylglycines, Qn, U",442.0,442.0,,,0 CDM,32683516,Hc Tissue Transglutaminase,184.0,184.0,,,0 CDM,32683520,Hc Inhibin B,270.0,270.0,,,0 CDM,32686255,"Hc Anti-Neuronal Nuclear Ab, Type 1",168.0,168.0,,,0 CDM,32687798,Hc Norovirus,390.0,390.0,,,0 CDM,32780299,Hc Propafenone,340.0,340.0,,,0 CDM,32781403,Catecholaminergic Polymorphic Ventricular Tachycardia Panel Kcnj2 Sequencing,566.0,566.0,,,0 CDM,32781404,Mefv Mutation Analysis Sequencing,619.0,619.0,,,0 CDM,32781405,Hc Casr Mutation Analysis,1133.0,1133.0,,,0 CDM,32781406,Hc Hypercholesterolemia Panel Ldlr Seq,850.0,850.0,,,0 CDM,32781443,Hc Dyslipidemia Panel,5096.0,5096.0,,,0 CDM,32781479,"Hc Hyperparathyroidism Panel, Other",2266.0,2266.0,,,0 CDM,32782542,"Hc Protoporphyrins, Fractionation, Wb",462.0,462.0,,,0 CDM,32783520,Hc Immunoassay Quant Gq1Bs,270.0,270.0,,,0 CDM,32786255,"Hc Anti-Neuronal Nuclear Ab, Type 2",168.0,168.0,,,0 CDM,32786256,Hc Pediatric Autoimmune Encephalopathy Titer Ab,90.0,90.0,,,0 CDM,32787798,Hc Bordetella Pertus By Amp Probe,390.0,390.0,,,0 CDM,3278_00904589361,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5893-61) / 1 Tablet In 1 Blister Pack",5.62,5.62,,,0 CDM,3278_51079078201,NDC Description Not Available,5.78,5.78,,,0 CDM,3278_51079078220,Pravastatin Sodium: 100 Blister Pack In 1 Carton (51079-782-20) / 1 Tablet In 1 Blister Pack (51079-782-01),6.0,6.0,,,0 CDM,3286_51672200102,Miconazole Nitrate: 1 Tube In 1 Carton (51672-2001-2) / 30 G In 1 Tube,26.79,26.79,,,0 CDM,3286_61269073542,Miconazole Nitrate: 1 Tube In 1 Carton (61269-735-42) / 42.5 G In 1 Tube,21.35,21.35,,,0 CDM,3286_61269073556,Miconazole Nitrate: 1 Tube In 1 Carton (61269-735-56) / 28 G In 1 Tube,14.76,14.76,,,0 CDM,32880299,Hc Qt Drug Voriconazole,549.0,549.0,,,0 CDM,32881403,Short Qt Syndrome Panel Kcnj2 Sequencing,566.0,566.0,,,0 CDM,32881405,Hc Ghr Mutation Analysis,1133.0,1133.0,,,0 CDM,32881406,Hc Glud1 Mutation Analysis,1133.0,1133.0,,,0 CDM,32881443,Hc Dystonia Chorea Parkinson Exome,5096.0,5096.0,,,0 CDM,32881479,Hc Gaa Mutation Analysis,2530.0,2530.0,,,0 CDM,32882542,Hc Familial Amyloid Reflex,450.0,450.0,,,0 CDM,32883516,Hc A-Glomer Basement,184.0,184.0,,,0 CDM,32883519,Hc Thyrotropin,356.0,356.0,,,0 CDM,32883520,Hc Vascular Endoth Gf,270.0,270.0,,,0 CDM,32886255,"Hc Anti-Neuronal Nuclear Ab, Type 3",168.0,168.0,,,0 CDM,32886256,"Hc Encephalopathy, Autoimm/Paraneo, Titer Ab",90.0,90.0,,,0 CDM,3288_81643927001,"Floxuridine: 1 Vial In 1 Box, Unit-Dose (81643-9270-1) / 5 Injection, Powder, Lyophilized, For Solution In 1 Vial",6664.92,6664.92,,,0 CDM,3294_49999004221,"IBU: 21 TABLET in 1 BOTTLE, PLASTIC (49999-042-21)",6.0,6.0,,,0 CDM,32980299,Hc Streptomycin Serum Level B,514.0,514.0,,,0 CDM,32981405,Hc Gla Mutation Analysis,1133.0,1133.0,,,0 CDM,32981406,Hc Hnf4A Mutation Analysis,1133.0,1133.0,,,0 CDM,32981443,Hc Craniofacial Pane,5096.0,5096.0,,,0 CDM,32981479,"Hc Ataxia Repeat Expansion Panel, Fgf14",304.0,304.0,,,0 CDM,32983520,Hc Fibroblast Gf 23,270.0,270.0,,,0 CDM,32986255,"Hc Crmp-5-Igg, S",168.0,168.0,,,0 CDM,32994_GOLD,Pr Ablation Ther 1+ Pulm Tumors Perq Cryoablation-Gold,3511.0,3511.0,,,0 CDM,32994_GOLDOPRM,"Pr Ablation Ther 1+ Pulm Tumors Perq Cryoablation-Gold,Oprm",3511.0,3511.0,,,0 CDM,32994_GOLDPBB,"Pr Ablation Ther 1+ Pulm Tumors Perq Cryoablation-Gold,Pbb",3511.0,3511.0,,,0 CDM,32994_PBB,Pr Ablation Ther 1+ Pulm Tumors Perq Cryoablation-Pbb,3511.0,3511.0,,,0 CDM,32998_GOLD,Pr Ablation Ther 1+ Pulm Tumors Perq Radiofrequency-Gold,2224.0,2224.0,,,0 CDM,32998_GOLDOPRM,"Pr Ablation Ther 1+ Pulm Tumors Perq Radiofrequency-Gold,Oprm",2224.0,2224.0,,,0 CDM,32998_GOLDPBB,"Pr Ablation Ther 1+ Pulm Tumors Perq Radiofrequency-Gold,Pbb",2224.0,2224.0,,,0 CDM,32998_PBB,Pr Ablation Ther 1+ Pulm Tumors Perq Radiofrequency-Pbb,2224.0,2224.0,,,0 CDM,3305_00904721861,"Diltiazem Hydrochloride: 100 Blister Pack In 1 Carton (0904-7218-61) / 1 Capsule, Extended Release In 1 Blister Pack",4.43,4.43,,,0 CDM,3305_60687020611,NDC Description Not Available,5.44,5.44,,,0 CDM,33077387,Hc Mr Brain Srs W/ And W/Out Contrast,11302.0,11302.0,,,0 CDM,33080299,"Hc Sulfonylurea, Quant",521.0,521.0,,,0 CDM,33081405,Hc Hnf1A Mutation Analysis,1133.0,1133.0,,,0 CDM,33081406,Hc Pkd2 Mutation Analysis,1133.0,1133.0,,,0 CDM,33081443,Hc Digestive Disease Panel,5096.0,5096.0,,,0 CDM,33081479,Hc Single Gene Mutation Analysis,1133.0,1133.0,,,0 CDM,33083519,Hc Acetylcholine Recep. Ab,356.0,356.0,,,0 CDM,33083520,Hc Immunoassay Qt Ilk6,270.0,270.0,,,0 CDM,33086255,Hc Purkinje Cell Cytoplasmic Ab Type 1,168.0,168.0,,,0 CDM,3310_08065183150,NDC Description Not Available,1681.68,1681.68,,,0 CDM,33180299,Hc Tamoxifen,521.0,521.0,,,0 CDM,33181405,Catecholaminergic Polymorphic Ventricular Tachycardia Panel Casq2 Sequencing,680.0,680.0,,,0 CDM,33181406,Long Qt Syndrome Panel Kcnq1 Sequencing,737.0,737.0,,,0 CDM,33181443,Hc Hypoparathyroidism Panel,5096.0,5096.0,,,0 CDM,33181479,Hc Msk Adult Mds/Aml Panel Other,850.0,850.0,,,0 CDM,33183519,Hc Musk Ab,1541.0,1541.0,,,0 CDM,33183520,Hc Collagen Binding Assay,518.0,518.0,,,0 CDM,33186255,Hc Purkinje Cell Cytoplasmic Ab Type 2,168.0,168.0,,,0 CDM,3318_00781107901,Alprazolam: 100 Tablet In 1 Bottle (0781-1079-01),4.94,4.94,,,0 CDM,3318_59762372101,Alprazolam: 100 Tablet In 1 Bottle (59762-3721-1),4.16,4.16,,,0 CDM,33196401,"Hc Chemotherapy Administration, Subcutaneous Or Intramuscular; Non-Hormonal Anti-Neoplastic",978.0,978.0,,,0 CDM,33196402,"Hc Chemotherapy Administration, Subcutaneous Or Intramuscular; Hormonal Anti-Neoplastic",589.0,589.0,,,0 CDM,33196405,"Hc Chemothrpy Admin; Intralesional, Up To And Including 7 Lesions",962.0,962.0,,,0 CDM,33196405_PBB,"Hc Chemothrpy Admin; Intralesional, Up To And Including 7 Lesions-Pbb",1581.0,1581.0,,,0 CDM,33196406,"Hc Chemotherapy Administration, Intralesional; > 7 Lesions",526.0,526.0,,,0 CDM,33196406_PBB,"Hc Chemotherapy Administration, Intralesional; > 7 Lesions-Pbb",976.5,976.5,,,0 CDM,33196409,"Hc Chemotherapy Administration; Intravenous, Push Technique, Single Or Initial Substance/Drug",1427.0,1427.0,,,0 CDM,33196411,"Hc Chemotherapy Administration; Intravenous, Push Technique, Each Additional Substance/Drug",632.0,632.0,,,0 CDM,33196420,"Hc Chemotherapy Administration, Intra-Arterial; Push Technique",545.0,545.0,,,0 CDM,33196450,"Hc Chemotherapy Administration, Into Cns (Eg, Intrathecal), Requiring And Including Spinal Puncture",1473.0,1473.0,,,0 CDM,33196450_GOLD,"Hc Chemotherapy Administration, Into Cns (Eg, Intrathecal), Requiring And Including Spinal Puncture-",2943.0,2943.0,,,0 CDM,33196450_GOLDPBB,"Hc Chemotherapy Administration, Into Cns (Eg, Intrathecal), Requiring And Including Spinal Puncture-",2943.0,2943.0,,,0 CDM,33196450_PBB,"Hc Chemotherapy Administration, Into Cns (Eg, Intrathecal), Requiring And Including Spinal Puncture-",2943.0,2943.0,,,0 CDM,33196542,"Hc Chemother Inj, Subarachnoid Or Intraventricular Via Subcu Reservoir, Single Or Mult Agents",680.0,680.0,,,0 CDM,33196542_PBB,"Hc Chemother Inj, Subarachnoid Or Intraventricular Via Subcu Reservoir, Single Or Mult Agents-Pbb",1563.0,1563.0,,,0 CDM,33196549,Hc Unlisted Chemotherapy Procedure,262.0,262.0,,,0 CDM,33277387,"Hc Guid For Loc Of Target Volum For Radiation Trtmnt Delivery, Incl Intrafraction Trackin, When Perf",2273.0,2273.0,,,0 CDM,33280299,Hc Trazodone,353.0,353.0,,,0 CDM,33281405,Pulmonary Arterial Hypertension Panel Bmpr2 And Eng Del/Dup,680.0,680.0,,,0 CDM,33281406,Short Qt Syndrome Panel Kcnh2 And Kcnq1 Sequencing,737.0,737.0,,,0 CDM,33281443,Hc Hereditary Tubulopathy & Nephrolithiasis Panel,5096.0,5096.0,,,0 CDM,33281479,Hc Msk Lymphoma Panel Other Genes,2266.0,2266.0,,,0 CDM,33283520,Hc Anti Ige Receptor Antibody,493.0,493.0,,,0 CDM,33286255,Hc Purkinje Cell Cytoplasmic Ab Type Tr,168.0,168.0,,,0 CDM,33289_PBB,Pr Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr-Pbb,2501.0,2501.0,,,0 CDM,3336_50268017611,NDC Description Not Available,5.89,5.89,,,0 CDM,3336_60505252101,Cilostazol: 60 Tablet In 1 Bottle (60505-2521-1),3.22,3.22,,,0 CDM,33377280,Hc Therapeutic Radiology Stimulation-Aided Field Setting; Simple,2886.0,2886.0,,,0 CDM,33377285,Hc Therapeutic Radiology Stimulation-Aided Field Setting; Intermediate,3325.0,3325.0,,,0 CDM,33377290,Hc Therapeutic Radiology Stimulation-Aided Field Setting; Complex,5558.0,5558.0,,,0 CDM,33377293,Hc Respiratory Motion Management Stimulation,6669.0,6669.0,,,0 CDM,33377295,"Hc 3D Radiotherapy Plan, Including Dose-Volume Histograms",12440.0,12440.0,,,0 CDM,33377300,"Hc Basic Radiation Dosimetry Calculation, Only When Prescribed By The Treating Physician",1642.0,1642.0,,,0 CDM,33377301,"Hc Intensity Modltd Radiothr Plan,Incl Dose-Vol Histogrms Targt & Crtcl Strctr Partl Tolrnc Spcftns",18924.0,18924.0,,,0 CDM,33377306,"Hc Teletherapy Isodose Plan; Simple, Includes Basic Dosimetry Calculation(S)",727.0,727.0,,,0 CDM,33377307,"Hc Teletherapy Isodose Plan; Complex, Includes Basic Dosimetry Calculation(S)",3993.0,3993.0,,,0 CDM,33377316,"Hc Brchyth Iso Pln;Smp (Clc[S] Mde Fr 1 To 4 Srcs,Or Rmt Aftr Brchyth,1 Chan, Inc Bsic Dsmry Calc(S)",1273.0,1273.0,,,0 CDM,33377317,"Hc Brachytherapy Isodose Plan; Intermediate , Includes Basic Dosimetry Calculation(S)",1832.0,1832.0,,,0 CDM,33377318,"Hc Brachytherapy Isodose Plan; Complex, Includes Basic Dosimetry Calculation(S)",3160.0,3160.0,,,0 CDM,33377321,"Hc Special Teletherapy Port Plan, Particles, Hemibody, Total Body",3227.0,3227.0,,,0 CDM,33377331,"Hc Special Dosimetry, Only When Prescribed By The Treating Physician",2026.0,2026.0,,,0 CDM,33377332,"Hc Treatment Devices, Design And Construction; Simple",1543.0,1543.0,,,0 CDM,33377333,"Hc Treatment Devices, Design And Construction; Intermediate",2444.0,2444.0,,,0 CDM,33377334,"Hc Treatment Devices, Design And Construction; Complex",3030.0,3030.0,,,0 CDM,33377336,"Hc Continuing Medical Physics Consultation, Including Assessment Of Treatment Parameters, Quality As",1642.0,1642.0,,,0 CDM,33377338,"Hc Multi-Leaf Collimator(Mlc)Dev(S)For Intnsty Modultd Radn Ther(Imrt),Design,Constrctn Per Imrt Pln",12047.0,12047.0,,,0 CDM,33377370,Hc Special Medical Radiation Physics Consultation,2337.0,2337.0,,,0 CDM,33377372,"Hc Rad Tx Delivry,Srs,Cmplt Crse Of Tx Of Cranl Les Conssting Of 1 Session;Linear Acceleratr Based",35522.0,35522.0,,,0 CDM,33377373,"Hc Stereotctic Body Rt,Tx Delvry Per Fract To 1 Or More Les,Incl Img Guid, Not To Exceed 5 Fract",13642.0,13642.0,,,0 CDM,33377385,"Hc Imrt, Includes Guidance And Tracking, When Performed; Simple",7180.0,7180.0,,,0 CDM,33377386,"Hc Imrt, Includes Guidance And Tracking, When Performed; Complex",8813.0,8813.0,,,0 CDM,33377387,Hc Intrafraction Tracking,2313.0,2313.0,,,0 CDM,33377399,Hc Contour,675.0,675.0,,,0 CDM,33377402,"Hc Radiation Treatment Delivery, =>1 Mev; Simple",1115.0,1115.0,,,0 CDM,3337740201,"Hc Rt Delivery, Level 1",5005.0,5005.0,,,0 CDM,33377407,"Hc Radiation Treatment Delivery, =>1 Mev; Intermediate",1515.0,1515.0,,,0 CDM,3337740701,"Hc Rt Delivery, Level 2",7150.0,7150.0,,,0 CDM,33377412,"Hc Radiation Treatment Delivery, =>1 Mev; Complex",2778.0,2778.0,,,0 CDM,3337741201,"Hc Rt Delivery, Level 3",9020.0,9020.0,,,0 CDM,33377417,Hc Therapeutic Radiology Port Film,521.0,521.0,,,0 CDM,33377470,Hc Special Treatment Procedure,5573.0,5573.0,,,0 CDM,33377770,"Hc Remote High Dose Radionucl, Includes Dosimetry, 1 Channel",10767.0,10767.0,,,0 CDM,33377771,"Hc Remote High Dose Radionucl, Includes Dosimetry, 2-12 Channels",12556.0,12556.0,,,0 CDM,33377772,"Hc Remote High Dose Radionucl, Includes Dosimetry, Over 12 Channels",12963.0,12963.0,,,0 CDM,33377789,Hc Surgace Application Of Radiation Source,1073.0,1073.0,,,0 CDM,33380299,Hc Wafarin,285.0,285.0,,,0 CDM,33381405,Loeys-Dietz Syndrome Panel Tgfbr1 And Tgfbr2 Sequencing,680.0,680.0,,,0 CDM,33381406,Pulmonary Arterial Hypertension Panel Bmpr2 And Eng Sequencing,737.0,737.0,,,0 CDM,33381443,Hc Hereditary Hemochromatosis Panel,5096.0,5096.0,,,0 CDM,33381479,Hc Mnx1 Mutation Analysis,1320.0,1320.0,,,0 CDM,33383516,Hc Anti Parietal Ab,184.0,184.0,,,0 CDM,33383519,"Hc Achr Ganglionic Neuronal Ab, S",127.0,127.0,,,0 CDM,33383520,Hc Glomerular Bsmnt Membrne Igg Ab,301.0,301.0,,,0 CDM,33386255,"Hc Enceph, Autoimm/Paraneo, Csf Panel",130.0,130.0,,,0 CDM,33477334,Hc Immobilization Device,3030.0,3030.0,,,0 CDM,33477387,Hc Conebeam Ct,2435.0,2435.0,,,0 CDM,33480299,Hc Zonisamide,514.0,514.0,,,0 CDM,33481405,Hnf1B Mutation Analysis Sequencing,680.0,680.0,,,0 CDM,33481406,Mtm1 Mutation Analysis Sequencing,737.0,737.0,,,0 CDM,33481443,Hc Rett/Angelman Syndrome Panel,5096.0,5096.0,,,0 CDM,33481479,Hc Coffin-Siris Syndrome Panel,2379.0,2379.0,,,0 CDM,33483519,"Hc Neuronal (V-G) K+ Channel Ab, S",127.0,127.0,,,0 CDM,33483520,Hc Vendolizumab Qt Ab,270.0,270.0,,,0 CDM,33486255,Hc Pediatric Autoimmune Encephalopathy Ab,168.0,168.0,,,0 CDM,33500498,Hc Chemo Extended Iv Infusion W/Pump,974.0,974.0,,,0 CDM,3353_00228253010,"Nifedipine: 100 CAPSULE, LIQUID FILLED in 1 BOTTLE (0228-2530-10)",11.43,11.43,,,0 CDM,3353_23155019501,Nifedipine: 100 Capsule In 1 Bottle (23155-195-01),6.0,6.0,,,0 CDM,33580299,Hc Carbamazepine 10 11 Epoxide,130.0,130.0,,,0 CDM,33581405,Mtm1 Mutation Analysis Del/Dup,680.0,680.0,,,0 CDM,33581406,Nphp1 Mutation Analysis Sequencing,737.0,737.0,,,0 CDM,33581443,Hc Albinism Panel,5096.0,5096.0,,,0 CDM,33581479,Hc Hereditary Hemorrhagic Telangectasia Panel - Other,2266.0,2266.0,,,0 CDM,33583516,Hc Anti Ige Ab,301.0,301.0,,,0 CDM,33583519,"Hc Procollagen I Intact N-Terminal, S",420.0,420.0,,,0 CDM,33583520,Hc Certolizumab Qt Ab,270.0,270.0,,,0 CDM,33586255,"Hc Paraneoplas Autoantibody Eval, Ab",168.0,168.0,,,0 CDM,33596413,"Hc Chemother Administration, Intravenous Inf Tchnq; Up To 1 Hr, Single Or Ini Substance/Drug",2241.0,2241.0,,,0 CDM,33596415,"Hc Chemotherapy Administration, Intravenous Infusion Technique; Each Additional Hour",904.0,904.0,,,0 CDM,33596416,"Hc Chemo Adm,Iv Inf Tchnq; Init Of Prolonged Chemo Inf (> 8 Hrs), Req Portable Or Implantable Pump",1721.0,1721.0,,,0 CDM,33596417,"Hc Chemother Administratn, Intraven Inf Tchnq; Ea Add Seq Inf (Different Substance/Drug), Up To 1 Hr",783.0,783.0,,,0 CDM,33596446,"Hc Chemotherapy Administration, Intra-Arterial; Push Technique",996.0,996.0,,,0 CDM,33596522,"Hc Refilling And Maintenance Of Implantable Pump Or Reservoir For Drug Delivery, Systemic",727.0,727.0,,,0 CDM,33596522_PBB,"Hc Refilling And Maintenance Of Implantable Pump Or Reservoir For Drug Delivery, Systemic-Pbb",1197.0,1197.0,,,0 CDM,33680299,Hc 5 Flucytosine,372.0,372.0,,,0 CDM,33681405,Nphp1 Mutation Analysis Del/Dup,680.0,680.0,,,0 CDM,33681406,Tcf4 Mutation Analysis Sequencing,737.0,737.0,,,0 CDM,33681443,Hc Neuromuscular Disorders Panel,5096.0,5096.0,,,0 CDM,33681479,Hc Msk Acute Lymphoblastic Leukemia Panel Other,2266.0,2266.0,,,0 CDM,33683516,"Hc Ganglioside Ab Panel, Ser",102.0,102.0,,,0 CDM,33683520,Hc Myomarker Panel 3 Immunoassay Quant Nos Nonab,52.0,52.0,,,0 CDM,33686255,"Hc Encephalopathy, Autoimm/Paraneo, Ab",168.0,168.0,,,0 CDM,33686256,"Hc Paraneoplas Autoantibody Eval, Titer Ab",90.0,90.0,,,0 CDM,3373_60687057811,NDC Description Not Available,29.49,29.49,,,0 CDM,33780299,Hc Vendolizumab Qt Assay,276.0,276.0,,,0 CDM,33781405,Tcf4 Mutation Analysis Del/Dup,680.0,680.0,,,0 CDM,33781406,Tsc1 Mutation Analysis Sequencing,737.0,737.0,,,0 CDM,33781443,Hc Hereditary Cystic & Glomerular Disorders Panel,5096.0,5096.0,,,0 CDM,33781479,Hc Diamond-Blackfan Anemia Panel Other,2266.0,2266.0,,,0 CDM,33783520,Hc Ustekinumab & Anti-Ustekinumab Ab,270.0,270.0,,,0 CDM,3380_51079014720,"Amitriptyline Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-147-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-147-01)",5.61,5.61,,,0 CDM,3380_69367039101,"Amitriptyline Hydrochloride: 100 Tablet, Coated In 1 Bottle (69367-391-01)",4.25,4.25,,,0 CDM,3380_70710122801,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (70710-1228-1)",4.91,4.91,,,0 CDM,3387_00378086001,"Clozapine: 100 Tablet In 1 Bottle, Plastic (0378-0860-01)",13.53,13.53,,,0 CDM,3387_51079092201,NDC Description Not Available,10.23,10.23,,,0 CDM,3387_60687041511,NDC Description Not Available,10.36,10.36,,,0 CDM,33880299,Hc Certolizumab Qt Assay,276.0,276.0,,,0 CDM,33881405,Tsc1 Mutation Analysis Del/Dup,680.0,680.0,,,0 CDM,33881406,Tsc2 Mutation Analysis Del/Dup,737.0,737.0,,,0 CDM,33881443,Hc Facial Dysotosis Panel,5096.0,5096.0,,,0 CDM,33881479,Hc Premature Ovarian Failure Panel Other,2832.0,2832.0,,,0 CDM,33883520,Hc Csf Alzheimers,388.0,388.0,,,0 CDM,33948,Pr Ecmo/Ecls Daily Management Each Day Veno-Venous,1913.0,1913.0,,,0 CDM,33948_PBB,Pr Ecmo/Ecls Daily Management Each Day Veno-Venous-Pbb,1913.0,1913.0,,,0 CDM,33949,Pr Ecmo/Ecls Daily Management Ea Day Veno-Arterial,1861.0,1861.0,,,0 CDM,33949_PBB,Pr Ecmo/Ecls Daily Management Ea Day Veno-Arterial-Pbb,1861.0,1861.0,,,0 CDM,33968,Noncdm Charge Record,309.0,309.0,,,0 CDM,33980299,Hc Ustekinumab And Anti-Ustekinumab Ab,415.0,415.0,,,0 CDM,33981405,Hc Hemochromatosis Panel,680.0,680.0,,,0 CDM,33981406,"Hc Galactosemia, Full Gene Analysis",3025.0,3025.0,,,0 CDM,33981443,Hc Liver Disease Panel,5096.0,5096.0,,,0 CDM,33981479,Hc Pancreatic Agenesis Panel Other,2266.0,2266.0,,,0 CDM,33983520,Hc 14.3.3 Eta Protein 1433Q,270.0,270.0,,,0 CDM,33987798,"Hc H Pylori Clarithro Resist, Pcr, F",315.0,315.0,,,0 CDM,339_00904627245,Ziprasidone: 80 Blister Pack In 1 Carton (0904-6272-45) / 1 Capsule In 1 Blister Pack,17.1,17.1,,,0 CDM,339_68084010609,"Ziprasidone Hydrochloride: 80 Blister Pack In 1 Box, Unit-Dose (68084-106-09) / 1 Capsule In 1 Blister Pack (68084-106-11)",17.18,17.18,,,0 CDM,339_68084010611,NDC Description Not Available,17.18,17.18,,,0 CDM,3404_51079080219,NDC Description Not Available,6.0,6.0,,,0 CDM,3404_62584026711,NDC Description Not Available,6.0,6.0,,,0 CDM,3404_65862006401,"Metoprolol Tartrate: 100 Tablet, Film Coated In 1 Bottle (65862-064-01)",6.0,6.0,,,0 CDM,34078230,Hc Salivary Gland Imaging,1099.0,1099.0,,,0 CDM,34078231,Hc Salivary Gland Imaging; With Serial Images,776.0,776.0,,,0 CDM,34078232,Hc Salivary Gland Function Study,1085.0,1085.0,,,0 CDM,34078610,"Hc Brain Imaging, Vascular Flow Only",2567.0,2567.0,,,0 CDM,34078800,Hc Radiopharm Loc Of Tumor Or Distribution Of Radiopharm Agent(S); Lmtd Area,1983.0,1983.0,,,0 CDM,34078801,Hc Radiopharm Loc Of Tumor Or Distribution Of Radiopharm Agent(S); Mult Areas,2902.0,2902.0,,,0 CDM,34078802,"Hc Radiopharm Loc Of Tumor Or Distribution Of Radiopharm Agent(S); Whole Body, Single Day Imaging",5456.0,5456.0,,,0 CDM,34078803,Hc Rp Loclzj Tum Spect 1 Area,3648.0,3648.0,,,0 CDM,34079445,"Hc Radiopharmaceutical Therapy, By Intra-Arterial Particulate Administration",1410.0,1410.0,,,0 CDM,3407_00378003001,"Clorazepate Dipotassium: 100 TABLET in 1 BOTTLE, PLASTIC (0378-0030-01)",6.17,6.17,,,0 CDM,3407_51672404201,Clorazepate Dipotassium: 100 Tablet In 1 Bottle (51672-4042-1),6.17,6.17,,,0 CDM,34080299,"Hc Thiopurines And Metabolites, B",507.0,507.0,,,0 CDM,34081443,Hc Msk Bone Marrow Failure Panel,5096.0,5096.0,,,0 CDM,34081479,"Hc Hydrocephalus Panel, Other",2379.0,2379.0,,,0 CDM,34083520,"Hc Rheumatoid Factor Iga, Igg, Igm",128.0,128.0,,,0 CDM,34087798,"Hc Ureaplasma Pcr, B",315.0,315.0,,,0 CDM,34178012,"Hc Thyroid Uptake, Single Or Multiple Quantitative Measurement(S)",1415.0,1415.0,,,0 CDM,34178013,Hc Thyroid Imaging,1605.0,1605.0,,,0 CDM,34178014,Hc Thyroid Imaging; With Single Or Multiple Uptake(S) Quantitative Measurement(S),3466.0,3466.0,,,0 CDM,34178015,Hc Thyroid Carcinoma Metastases Imaging; Limited Area,2091.0,2091.0,,,0 CDM,34178018,Hc Thyroid Carcinoma Metastases Imaging; Whole Body,4495.0,4495.0,,,0 CDM,34178020,Hc Thyroid Carcinoma Metastases Uptake,1106.0,1106.0,,,0 CDM,34178070,Hc Parathyroid Planar Imaging,2183.0,2183.0,,,0 CDM,34178071,Hc Parathyroid Planar Imaging; With Tomographic (Spect),5786.0,5786.0,,,0 CDM,34178072,"Hc Parathyrd Plnr Imgng; W/ Tomographic (Spect), & Concurrently Acquired Ct For Anatomicl Localizatn",6362.0,6362.0,,,0 CDM,34178102,Hc Bone Marrow Imaging; Limited Area,1622.0,1622.0,,,0 CDM,34178104,Hc Bone Marrow Imaging; Whole Body,2327.0,2327.0,,,0 CDM,34178110,"Hc Plasma Volume, Radiopharmaceutical Volume-Dilution Technique, Single Sampling",1559.0,1559.0,,,0 CDM,34178111,"Hc Plasma Volume, Radiopharmaceutical Volume-Dilution Technique, Multiple Samplings",4204.0,4204.0,,,0 CDM,34178120,Hc Red Cell Volume Determination; Single Sampling,2142.0,2142.0,,,0 CDM,34178121,Hc Red Cell Volume Determination; Multiple Samplings,1575.0,1575.0,,,0 CDM,34178185,"Hc Spleen Imaging Only, With Or Without Vascular Flow",1309.0,1309.0,,,0 CDM,34178195,Hc Lymphatics And Lymph Nodes Imaging,3966.0,3966.0,,,0 CDM,34178202,Hc Liver Imaging; With Vascular Flow,1526.0,1526.0,,,0 CDM,34178215,Hc Liver And Spleen Imaging; Static Only,1551.0,1551.0,,,0 CDM,34178216,Hc Liver And Spleen Imaging; With Vascular Flow,837.0,837.0,,,0 CDM,34178226,"Hc Hepatobiliary System Imaging, Including Gallbladder When Present",3888.0,3888.0,,,0 CDM,34178227,"Hc Hepatobiliary Systm Img, Incl Gb Whn Prsnt;Pharm Intrvtn, Incl Quant Measurement(S) When Perf",5324.0,5324.0,,,0 CDM,34178262,Hc Gastroesophageal Reflux Study,1553.0,1553.0,,,0 CDM,34178264,Hc Gastric Emptying Study,3817.0,3817.0,,,0 CDM,34178278,Hc Acute Gastrointestinal Blood Loss Imaging,1552.0,1552.0,,,0 CDM,34178290,Hc Intestine Imaging,2722.0,2722.0,,,0 CDM,34178291,Hc Peritoneal-Venous Shunt Patency Test,1633.0,1633.0,,,0 CDM,34178300,Hc Bone And/Or Joint Imaging; Limited Area,2502.0,2502.0,,,0 CDM,34178305,Hc Bone &/Or Joint Imaging; Multiple Areas,2486.0,2486.0,,,0 CDM,34178306,Hc Bone And/Or Joint Imaging; Whole Body,4906.0,4906.0,,,0 CDM,34178315,Hc Bone And/Or Joint Imaging; 3 Phase Study,5571.0,5571.0,,,0 CDM,34178429,Hc Myocrd Img Pet 1 Std W/Ct,4139.0,4139.0,,,0 CDM,34178430,Hc Myocrd Img Pet Rst/Strs W/Ct,4139.0,4139.0,,,0 CDM,34178431,Hc Myocrd Img Pet Rst&Strs Ct,6456.0,6456.0,,,0 CDM,34178432,Hc Myocrd Img Pet 2Rtracer,7890.0,7890.0,,,0 CDM,34178433,Hc Myocrd Img Pet 2Rtracer Ct,7890.0,7890.0,,,0 CDM,34178445,Hc Non-Cardiac Vascular Flow Imaging,1624.0,1624.0,,,0 CDM,34178451,"Hc Myocardial Perfusion, Tomographic ; Single Study, At Rest Or Stress",5968.0,5968.0,,,0 CDM,34178452,"Hc Myocard Perf Img,Tomograph;Mult Stdy,Rest &/Or Stress (Ex/Rx) &/Or Redistribution &/Or Rest Reinj",9684.0,9684.0,,,0 CDM,34178453,"Hc Myocardial Perfusion Imaging, Planar ; Single Study, At Rest Or Stress",4366.0,4366.0,,,0 CDM,34178454,"Hc Myocardial Perfus Imag, Planar; Mlt Studs, At Rest And/Or Stress And/Or Redistr And/Or Rest Reinj",6297.0,6297.0,,,0 CDM,34178466,"Hc Myocardial Imaging, Infarct Avid, Planar; Qualitative Or Quantitative",1308.0,1308.0,,,0 CDM,34178469,"Hc Myocardial Imaging, Infarct Avid, Planar; Tomographic Spect With Or Without Quantification",1436.0,1436.0,,,0 CDM,34178472,"Hc Card Blood Pool Img,Gated Equil,Sing Stdy,Wall Mot Stdy Pl Eject Fract,Rest&Stress,W/Wo Add Quant",1918.0,1918.0,,,0 CDM,34178481,"Hc Card Blood Pool Img,1St Pass;Sing Stdy,At Rest/W Stress,Wall Mtn Stdy Plus Eject Frac,W/Wo Quant",2264.0,2264.0,,,0 CDM,34178483,"Hc Card Blood Pool Img,1St Pass;Mult Stdy,At Rest&W Stress,Wall Mtn Stdy Plus Eject Frac,W/Wo Quant",4366.0,4366.0,,,0 CDM,34178579,Hc Pulmonary Ventilation Imaging,752.0,752.0,,,0 CDM,34178580,Hc Pulmonary Perfusion Imaging,1952.0,1952.0,,,0 CDM,34178582,Hc Pulmonary Ventilation And Perfusion Imaging,1990.0,1990.0,,,0 CDM,34178597,"Hc Hc Quantitative Differential Pulmonary Perfusion, Including Imaging When Performed",933.0,933.0,,,0 CDM,34178598,"Hc Quantitative Differential Pulmonary Perfusion And Ventilation, Including Imaging When Performed",1994.0,1994.0,,,0 CDM,34178601,"Hc Brain Imaging, Less Than 4 Static Views; With Vascular Flow",2226.0,2226.0,,,0 CDM,34178630,"Hc Cerebrospinal Fluid Flow, Imaging; Cisternography",2086.0,2086.0,,,0 CDM,34178635,"Hc Cerebrospinal Fluid Flow, Imaging; Ventriculography",2226.0,2226.0,,,0 CDM,34178650,Hc Cerebrospinal Fluid Leakage Detection And Localization,2226.0,2226.0,,,0 CDM,34178700,Hc Kidney Imaging Morphol,1022.0,1022.0,,,0 CDM,34178701,Hc Kindey Imaging Morphology; With Vascular Flow,2045.0,2045.0,,,0 CDM,34178707,Hc Kindey Imaging Morphology; W/ Vasc Flow And Func; Single Study W/Out Pharmacological Intrvtn,3472.0,3472.0,,,0 CDM,34178708,Hc Kindey Imaging Morphology; W/ Vasc Flow And Func; Single Study W/ Pharmacological Intrvtn,3859.0,3859.0,,,0 CDM,34178725,"Hc Kidney Function Study, Non-Imaging Radioisotopic Study",974.0,974.0,,,0 CDM,34178740,Hc Ureteral Reflux Study,1579.0,1579.0,,,0 CDM,34178761,Hc Testicular Imaging With Vascular Flow,1515.0,1515.0,,,0 CDM,34178803,Hc Radiopharm Loc Of Tumor Or Distribution Of Radiopharm Agent(S); Tomographic (Spect),2498.0,2498.0,,,0 CDM,34178803_PBB,Hc Radiopharm Loc Of Tumor Or Distribution Of Radiopharm Agent(S); Tomographic (Spect)-Pbb,2474.0,2474.0,,,0 CDM,34178804,"Hc Radphrm Loc Of Tumor Or Distributon Of Radphrm Agent; Whole Bdy, Requiring 2 Or More Days Imaging",4384.0,4384.0,,,0 CDM,34178808,"Hc Injection Procedure For Radiopharmaceutical Localization By Non-Imaging Probe Study, Intravenous",706.0,706.0,,,0 CDM,34178830,Hc Rp Loclzj Tum Spect W/Ct 1,3648.0,3648.0,,,0 CDM,34178831,Hc Rp Loclzj Tum Spect 2 Areas,3648.0,3648.0,,,0 CDM,34178832,Hc Rp Loclzj Tum Spect W/Ct 2,4139.0,4139.0,,,0 CDM,34180299,"Hc Voriconazole, Quant",318.0,318.0,,,0 CDM,34181443,Hc Atypical Hemolytic Uremic Syndromes Panel,5096.0,5096.0,,,0 CDM,34181479,Hc Atp7A Mutation Analysis,1320.0,1320.0,,,0 CDM,34183520,Hc Immunoassay Quant Nos Nonab,85.0,85.0,,,0 CDM,341_16714025001,Tretinoin: 1 Tube In 1 Carton (16714-250-01) / 20 G In 1 Tube,679.28,679.28,,,0 CDM,34277761,Hc Intracavitary Radiation Source Application; Simple,5169.0,5169.0,,,0 CDM,34277762,Hc Intracavitary Radiation Source Application; Intermediate,6848.0,6848.0,,,0 CDM,34277763,Hc Intracavitary Radiation Source Application; Complex,9719.0,9719.0,,,0 CDM,34277778,Hc Interstitial Radiation Source Application; Complex,10142.0,10142.0,,,0 CDM,34277790,"Hc Superivision, Handling, Loading Of Radiation Source",753.0,753.0,,,0 CDM,34278803,Hc Radiophrm Local Tumor;Research Ec20,2156.0,2156.0,,,0 CDM,34279005,"Hc Radiopharmaceutical Therapy, By Oral Administration",1950.0,1950.0,,,0 CDM,34279101,"Hc Radiopharmaceutical Therapy, By Intravenous Administration",2070.0,2070.0,,,0 CDM,34279403,"Hc Radiopharmaceutical Therapy, Radiolabeled Monoclonal Anitbody By Intravenous Infusion",2966.0,2966.0,,,0 CDM,34281443,Hc Autosomal Recessive Non-Specific Id Panel,5096.0,5096.0,,,0 CDM,34281479,Hc Cdkn1C Mutation Analysis,1045.0,1045.0,,,0 CDM,34283021,Hc Sickle Cell Thalassiemias Newborn Screen,37.0,37.0,,,0 CDM,34283520,"Hc Antimullerian Hormone, S",260.0,260.0,,,0 CDM,34300000,NDC Description Not Available,808.78,808.78,,,0 CDM,34300041,Hc Ga68 Dotatate,376.0,376.0,,,0 CDM,34304641,Hc Radiopharmactcl Dx Agnt I-123 Mibg,3492.0,3492.0,,,0 CDM,34309068,"Hc Copper Cu-64, Dotatate, Dx",2415.0,2415.0,,,0 CDM,34309500,Hc Radiopharm Sestamibi Up To 40 Mci,1262.0,1262.0,,,0 CDM,34309502,Hc Tech Tc99M Tetrfsmn Dx Up To 40Mci,1102.0,1102.0,,,0 CDM,34309503,Hc Tech Tc99M Medronate Dx Up To 30Mci,407.0,407.0,,,0 CDM,34309505,Hc Thallous Chloride Tl201 Dx Per Mci,165.0,165.0,,,0 CDM,34309507,Hc Indium In111 Carpmb Pnd Up To 10Mci,10151.0,10151.0,,,0 CDM,34309508,Hc Iodine I-131 Iobengne Sulf Dx .5Mci,7327.0,7327.0,,,0 CDM,34309509,Hc Iodine I-123 Sod Iodide Mil Per 1 Mci,509.0,509.0,,,0 CDM,34309510,Hc Tech Tc99M Disofn Pr Dx Up To 15Mci,175.0,175.0,,,0 CDM,34309512,Hc Radiopharmaceutical (Tc 99M),314.0,314.0,,,0 CDM,34309515,Hc C11 Choline,28277.0,28277.0,,,0 CDM,34309516,Hc I-123 Sod Iod Cap Dx Pr 100 Micrcr,136.0,136.0,,,0 CDM,34309520,Hc Tc99 Tilmanocept Diag 0.5Mci,2125.0,2125.0,,,0 CDM,34309521,Hc Tc99 Exmtzme Pr Stdy Up To 25 Mci,2506.0,2506.0,,,0 CDM,34309528,Hc Iodine I-131 Iodine Capsule Diagnostic Per Mci,514.0,514.0,,,0 CDM,34309529,Hc Iodine 1-131 Sod Iode Sol Dx Pr Mci,69.0,69.0,,,0 CDM,34309537,Hc Tech Tc99M Mebrof Dx Up To 15Mci,505.0,505.0,,,0 CDM,34309538,Hc Tech Tc99M Pyrophos Dx Up To 25Mci,279.0,279.0,,,0 CDM,34309539,Hc Tech Tc99M Pentetate Dx Up To 25Mci,381.0,381.0,,,0 CDM,34309540,Hc Tech Tc99M Mrcoag Albmn Up To 10Mci,320.0,320.0,,,0 CDM,34309541,Hc Tech Tc99M Sulfur Colld Up To 20Mci,644.0,644.0,,,0 CDM,34309542,Hc Indium In-111 Ibritmb Tiux Dsg 5Mci,10297.0,10297.0,,,0 CDM,34309547,Hc Indium In-111 Oxyquin Dx Per 0.5Mci,2911.0,2911.0,,,0 CDM,34309548,Hc Indium In-111 Pentetate Dx 0.5Mci,2119.0,2119.0,,,0 CDM,34309550,Hc Tech Tc99M Sodm Glucpte Up To 25Mci,961.0,961.0,,,0 CDM,34309551,Hc Tech Tc99M Succimer Dx Stdy 10Mci,1754.0,1754.0,,,0 CDM,34309552,Hc F-18 Fdg Per Study Dose To 45Mci Resch,206.0,206.0,,,0 CDM,34309553,Hc Chrom Cr-51 Sodm Chrm Dx 250 Mci,672.0,672.0,,,0 CDM,34309556,Hc Gallium Ga-67 Citrate Dx Per Mci,102.0,102.0,,,0 CDM,34309557,Hc Tech Tc99M Bicisate Dx Up To 25Mci,3421.0,3421.0,,,0 CDM,34309558,Hc Xenon Xe-133 Gas Dx Up To 15Mci,290.0,290.0,,,0 CDM,34309559,Hc Cobalt Co-57 Cyncblmn Dx Up To 1Mcu,682.0,682.0,,,0 CDM,34309560,Hc Tech Tc99M Labled Rbc Dx Upto 30Mci,562.0,562.0,,,0 CDM,34309561,Hc Tech Tc99M Oxidronate Dx Upto 30Mci,447.0,447.0,,,0 CDM,34309562,Hc Tech Tc-99M Mertiatide Dx 15Mci,1170.0,1170.0,,,0 CDM,34309567,Hc Nm Tech Tc 99M Penetrate Diag Aero,87.0,87.0,,,0 CDM,34309568,Hc Tech Tc99M Acritumb Dx Up To 45Mci,8414.0,8414.0,,,0 CDM,34309569,Hc Tc99M Exametazime Dx Per Study Dose,2634.0,2634.0,,,0 CDM,34309570,Hc Indium In 111 Wbc Dx Per Study Dose,5212.0,5212.0,,,0 CDM,34309572,Hc Indium In 111 Pent Dx Up To 6Mci,11333.0,11333.0,,,0 CDM,34309580,Hc Sod Flride F18 Dx Up To 30 Milicuri,648.0,648.0,,,0 CDM,34309582,Hc Iodine I-123 Up To 15 Millic Pr St,8659.0,8659.0,,,0 CDM,34309584,Hc I-123 Iouflupane,8324.0,8324.0,,,0 CDM,34309586,"Hc Florbetapir F18,Dx,Up To 10Mci;Cash",5158.0,5158.0,,,0 CDM,34309588,Hc Aximum F-18 Fluciclovine,2546.0,2546.0,,,0 CDM,34309591,Hc Fluoroestradiol F 18,3865.0,3865.0,,,0 CDM,34309592,Hc Copper Cu 64 Dotatate Diag,4201.0,4201.0,,,0 CDM,34309595,"Hc Piflu F-18, Dia 1 Millicurie",1862.0,1862.0,,,0 CDM,34309597,"Hc Pet, Dx, For Tumor Id, Noc F-18 Pylarify",19547.0,19547.0,,,0 CDM,34309699,Hc Pluvicto 1 Millicurie,1274.0,1274.0,,,0 CDM,34309898,Hc Radiolabeled Product Provided During A Hospital Inpatient Stay,1.0,1.0,,,0 CDM,34309983,Hc Florbetaben,15790.0,15790.0,,,0 CDM,3431_00228262011,Isosorbide Mononitrate: 100 Tablet In 1 Bottle (0228-2620-11),5.55,5.55,,,0 CDM,3431_62175010701,Isosorbide Mononitrate: 100 Tablet In 1 Bottle (62175-107-01),6.0,6.0,,,0 CDM,34381443,Hc Bardet-Biedl Syndrome Panel,5096.0,5096.0,,,0 CDM,34381479,Hc Distal Arthrogryposes Panel,2310.0,2310.0,,,0 CDM,34383520,"Hc Pancreatic Elastase, F",260.0,260.0,,,0 CDM,34400000,NDC Description Not Available,1126.39,1126.39,,,0 CDM,34400000_C2616_278,NDC Description Not Available,43470.0,43470.0,,,0 CDM,34404641,Hc Flt F-18 (Research Drug),6436.0,6436.0,,,0 CDM,34409513,"Hc Lutetium Lu 177, Dotatate, Therapeutic, 1 Mci",1218.0,1218.0,,,0 CDM,34409517,Hc Iodine I-131 Sod Iod Thp Cap Pr Mci,102.0,102.0,,,0 CDM,34409528,Hc Iodine I-131 Iodine Capsule Diagnostic Each Addtl Mci,70.0,70.0,,,0 CDM,34409530,Hc Iodine I-131 Sod Iod Thp Sol Pr Mci,60.0,60.0,,,0 CDM,34409543,Hc Yttrium Y-90 Ibrit Ther Up To 40Mci,173176.0,173176.0,,,0 CDM,34409552,Hc F-18 Fdg Per Study Dose Up To 45Mci,737.0,737.0,,,0 CDM,34409563,Hc Sodium Phos P-32 Therap Per Mci,745.0,745.0,,,0 CDM,34409600,Hc Strontium Sr -89 Chlor Thp Per Mci,2969.0,2969.0,,,0 CDM,34409604,Hc Samarium -153 Lexidrm Thp Pr 50Mci,24505.0,24505.0,,,0 CDM,34409606,Hc Radium 223 Dichloride Per Micrie,732.0,732.0,,,0 CDM,34409699,Hc I-131 Mibg Therapeutic Dose Per Mci,76.0,76.0,,,0 CDM,34481443,Hc Congenital Muscular Dystrophy Panel,5096.0,5096.0,,,0 CDM,34481479,Hc Esco2 Mutation Analysis,1320.0,1320.0,,,0 CDM,34483520,Hc Igf Binding Protein 1,260.0,260.0,,,0 CDM,344_00641617501,NDC Description Not Available,13.02,13.02,,,0 CDM,344_62756034944,OCTREOTIDE ACETATE: 10 AMPULE in 1 PACKAGE (62756-349-44) / 1 mL in 1 AMPULE,20.87,20.87,,,0 CDM,344_63323037600,NDC Description Not Available,17.14,17.14,,,0 CDM,34504641,Hc Radiopharm Dx Agnt I-123 Mibg Initial Dose-Research,1136.0,1136.0,,,0 CDM,34509699,Hc Lutetium Lu 177 Dotate,238388.0,238388.0,,,0 CDM,34527_16729044015,"Cinacalcet: 90 Tablet, Film Coated In 1 Bottle, Plastic (16729-440-15)",2.46,2.46,,,0 CDM,34527_47335037983,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (47335-379-83)",5.52,5.52,,,0 CDM,34527_55513007330,"Sensipar: 30 Tablet, Coated In 1 Bottle, Plastic (55513-073-30)",166.72,166.72,,,0 CDM,34527_60687052511,NDC Description Not Available,60.33,60.33,,,0 CDM,34527_64380088304,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (64380-883-04)",0.41,0.41,,,0 CDM,34527_69097041002,Cinacalcet: 30 Tablet In 1 Bottle (69097-410-02),5.48,5.48,,,0 CDM,34528_16729044110,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle, Plastic (16729-441-10)",5.83,5.83,,,0 CDM,34528_31722010430,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (31722-104-30)",0.54,0.54,,,0 CDM,34528_47335038083,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (47335-380-83)",9.1,9.1,,,0 CDM,34528_55513007430,"Sensipar: 30 Tablet, Coated In 1 Bottle, Plastic (55513-074-30)",16.42,16.42,,,0 CDM,34528_64380088404,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (64380-884-04)",0.1,0.1,,,0 CDM,34528_69097041102,Cinacalcet: 30 Tablet In 1 Bottle (69097-411-02),6.0,6.0,,,0 CDM,34543_00049316044,Vfend: 1 Bottle In 1 Carton (0049-3160-44) / 75 Ml In 1 Bottle,207.75,207.75,,,0 CDM,34543_59762093503,Voriconazole: 1 Bottle In 1 Carton (59762-0935-3) / 75 Ml In 1 Bottle,348.97,348.97,,,0 CDM,34581443,Hc Congenital Myasthenic Syndrome Panel,5096.0,5096.0,,,0 CDM,34581479,Hc Gja1 Mutation Analysis,850.0,850.0,,,0 CDM,34583520,"Hc Immunoglobulin Free Light Chains Kappa, S",260.0,260.0,,,0 CDM,34604641,Hc Radiopharm Dx Agnt I-123 Mibg @Addtl Mci-Research,113.0,113.0,,,0 CDM,3462_00472016615,Nystatin: 1 Tube In 1 Carton (0472-0166-15) / 15 G In 1 Tube,86.77,86.77,,,0 CDM,3462_45802004835,Nystatin: 1 Tube In 1 Carton (45802-048-35) / 15 G In 1 Tube,86.77,86.77,,,0 CDM,34633_00517095501,"Olanzapine: 1 Vial, Glass In 1 Carton (0517-0955-01) / 2 Ml In 1 Vial, Glass",13.27,13.27,,,0 CDM,34633_00781315972,Olanzapine: 1 Vial In 1 Carton (0781-3159-72) / 2 Ml In 1 Vial,9.72,9.72,,,0 CDM,34633_55150030801,"Olanzapine: 1 Vial, Single-Dose In 1 Carton (55150-308-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",11.87,11.87,,,0 CDM,34653_00597007575,Spiriva Handihaler: 1 Blister Pack In 1 Carton (0597-0075-75) / 5 Capsule In 1 Blister Pack,109.26,109.26,,,0 CDM,34681443,Hc Congenital Myopathy Panel,5096.0,5096.0,,,0 CDM,34681479,Hc Insr Mutation Analysis,1320.0,1320.0,,,0 CDM,34683520,"Hc Immunoglobulin Free Light Chains Lambda, S",260.0,260.0,,,0 CDM,3468_00074310832,Gengraf: 3 Blister Pack In 1 Carton (0074-3108-32) / 10 Capsule In 1 Blister Pack,11.01,11.01,,,0 CDM,3468_00078024615,"Neoral: 30 Blister Pack In 1 Carton (0078-0246-15) / 1 Capsule, Liquid Filled In 1 Blister Pack (0078-0246-61)",16.97,16.97,,,0 CDM,3468_00093901819,NDC Description Not Available,6.82,6.82,,,0 CDM,3468_51862045801,NDC Description Not Available,4.78,4.78,,,0 CDM,34704641,Hc Radiopharm Dx Agnt I-123 Mibg @Addtl Mci,624.0,624.0,,,0 CDM,34781443,Hc Cornelia De Lange And Related Disorders Panel,5096.0,5096.0,,,0 CDM,34781479,Hc Kabuki Syndrome Panel,2310.0,2310.0,,,0 CDM,34783520,Hc Anti-Mullerian Hormone,270.0,270.0,,,0 CDM,34804641,Hc Locametz Ga68 Psma-11,4794.0,4794.0,,,0 CDM,34808_00065079515,Bss: 15 Ml In 1 Bottle (0065-0795-15),75.11,75.11,,,0 CDM,34808_00065179504,Bss: 500 Ml In 1 Bag (0065-1795-04),237.85,237.85,,,0 CDM,34824_00132007912,Fleet: 12 SUPPOSITORY in 1 JAR (0132-0079-12),2.0,2.0,,,0 CDM,34881443,Hc Early Infantile Epileptic Encephalopathy Panel,5096.0,5096.0,,,0 CDM,34881479,Hc Kcnh1 Mutation Analysis,1045.0,1045.0,,,0 CDM,34921_00143974601,NDC Description Not Available,59.0,59.0,,,0 CDM,34921_63323066500,NDC Description Not Available,65.86,65.86,,,0 CDM,34921_63323066501,"Terbutaline Sulfate: 25 Vial, Single-Use In 1 Tray (63323-665-01) / 1 Ml In 1 Vial, Single-Use (63323-665-00)",61.96,61.96,,,0 CDM,34957_13107000130,"Mirtazapine: 30 Tablet, Film Coated In 1 Bottle (13107-001-30)",8.43,8.43,,,0 CDM,34957_57664051083,Mirtazapine: 30 Tablet In 1 Bottle (57664-510-83),12.86,12.86,,,0 CDM,34957_60687058411,NDC Description Not Available,17.66,17.66,,,0 CDM,34981443,Hc Epilepsy Exome,5096.0,5096.0,,,0 CDM,34981479,Hc Kiaa1279 Mutation Analysis,1320.0,1320.0,,,0 CDM,35000000,Hc Abbreviated Breast Mri Research,2063.0,2063.0,,,0 CDM,35000001,Hc Res Stress Cct Research,541.0,541.0,,,0 CDM,35000002,Hc Res Cmr Flow Research,541.0,541.0,,,0 CDM,35007220,Hc Quan Ct Tiss Charac I&R W/Cncrnt Ct Exam,1627.0,1627.0,,,0 CDM,35013_00574080530,Acetylcysteine: 4 Vial In 1 Carton (0574-0805-30) / 30 Ml In 1 Vial,12.23,12.23,,,0 CDM,35013_25021081230,Acetylcysteine: 4 Vial In 1 Carton (25021-812-30) / 30 Ml In 1 Vial,11.14,11.14,,,0 CDM,35013_55150025930,"Acetylcysteine: 4 Vial, Single-Dose In 1 Carton (55150-259-30) / 30 Ml In 1 Vial, Single-Dose",5.93,5.93,,,0 CDM,35013_70594011101,NDC Description Not Available,6.7,6.7,,,0 CDM,35049406,"Hc Image-Guided Fluid Collection Drainage By Catheter; Peritoneal Or Retroperitoneal, Percutaneous",8063.0,8063.0,,,0 CDM,3506_00009035301,NDC Description Not Available,5.48,5.48,,,0 CDM,35070472,Hc Ct Cere Prfuj Alys C+ W/Ct/Cta Same Anatomy,468.0,468.0,,,0 CDM,35070473,Hc Ct Cere Prfuj Alys C+ W/O Ct/Cta Same Anatomy,470.0,470.0,,,0 CDM,35070490,"Hc Ct, Soft Tissue Neck; Without Contrast Material",2378.0,2378.0,,,0 CDM,35070491,"Hc Ct, Soft Tissue Neck; With Contrast Material",2523.0,2523.0,,,0 CDM,35070492,"Hc Ct, Soft Tissue Neck; W/Out Contrast Material Followed By Contrast Material And Further Sections",2753.0,2753.0,,,0 CDM,35070496,"Hc Cta, Head, W/ Contrast Material, Incl Noncontrast Images, If Performed, And Image Postprocessing",2822.0,2822.0,,,0 CDM,35070498,"Hc Cta, Neck, W/ Contrast Material, Incl Noncontrast Images, If Performed, And Image Postprocessing",2627.0,2627.0,,,0 CDM,35071271,"Hc Ct Thorax, Low Dose For Lung Cancer Screening, Wo Materials",2682.0,2682.0,,,0 CDM,35071275,"Hc Cta, Chst, W/ Contrast Material(S), Incl Nonconstract Imges, If Performed, And Img Postprocessing",3284.0,3284.0,,,0 CDM,35072131,"Hc Computed Tomography, Lumbar Spine; Without Contrast Material",2344.0,2344.0,,,0 CDM,35072191,"Hc Cta, Pelvis, W/ Cntrst Material(S), Incl Noncntrst Imgs, If Perf, & Img Postprocessing",2713.0,2713.0,,,0 CDM,35074174,"Hc Ct Anggrphy Abd&Pelv,W/Contrst Mat,Incl Noncontrst Images,If Performed,&Imge Postproc",5138.0,5138.0,,,0 CDM,35074175,"Hc Cta,Abd, W/ Cntrst Material(S), Incl Noncntrst Imgs, If Perf, & Img Postprocessng",3190.0,3190.0,,,0 CDM,35074261,"Hc Ct Colonography, Diagnostic, Including Image Postprocessing; Without Contrast Material",1136.0,1136.0,,,0 CDM,35074262,"Hc Ct Colonography, Diag, Incl Image Postprocessing; W/ Contrast Incl Non-Contrast Images, If Perf",1254.0,1254.0,,,0 CDM,35074263,"Hc Ct Colonography, Screening, Including Image Postprocessing",1646.0,1646.0,,,0 CDM,35075580,Hc N-Invas Est C Ffr Sw Aly Cta,4201.0,4201.0,,,0 CDM,35077012,"Hc Ct Guidance For Needle Placement, S&I",2288.0,2288.0,,,0 CDM,35077013,"Hc Ct Guidance For , And Monitoring Of, Parenchymal Tissue Ablation",1190.0,1190.0,,,0 CDM,35081443,Hc Fanconi Anemia Panel,5096.0,5096.0,,,0 CDM,35081479,Hc Kmt2A (Mll) Mutation Analysis,1320.0,1320.0,,,0 CDM,35083520,Hc Celiac Disease Immunoass,270.0,270.0,,,0 CDM,35097_00093026315,Fluocinonide: 1 Tube In 1 Carton (0093-0263-15) / 15 G In 1 Tube,238.92,238.92,,,0 CDM,35097_00713066415,Fluocinonide: 1 Tube In 1 Carton (0713-0664-15) / 15 G In 1 Tube,174.1,174.1,,,0 CDM,35100420,"Hc Cerebral Perfusion, Ct, W/Contrast",933.0,933.0,,,0 CDM,3510_00904641861,Tizanidine: 100 Blister Pack In 1 Carton (0904-6418-61) / 1 Tablet In 1 Blister Pack,5.67,5.67,,,0 CDM,3510_51079099820,"Tizanidine: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (51079-998-20) / 1 TABLET in 1 BLISTER PACK (51079-998-01)",5.44,5.44,,,0 CDM,3510_55111018015,Tizanidine: 150 Tablet In 1 Bottle (55111-180-15),4.99,4.99,,,0 CDM,3510_60505025203,Tizanidine: 150 Tablet In 1 Bottle (60505-0252-3),4.36,4.36,,,0 CDM,3510_68084064511,NDC Description Not Available,5.92,5.92,,,0 CDM,3510_71335101601,Tizanidine: 30 Tablet In 1 Bottle (71335-1016-1),4.41,4.41,,,0 CDM,3512_51672402201,Acetazolamide: 100 Tablet In 1 Bottle (51672-4022-1),6.0,6.0,,,0 CDM,35170450,"Hc Ct, Head Or Brain; Without Contrast Material",2610.0,2610.0,,,0 CDM,35170460,"Hc Ct, Head Or Brain; With Contrast Material",2712.0,2712.0,,,0 CDM,35170470,"Hc Ct, Head Or Brain; W/O Contrast Material, Following By Contrast Material(S) And Further Sections",3021.0,3021.0,,,0 CDM,35170471,Hc Cta Head & Neck C+ W/Noncontrast Img & Post-Pxessing,936.0,936.0,,,0 CDM,35170480,"Hc Ct, Orbit, Sella, Or Posterior Fossa Or Outer, Middle Or Inner Ear; Without Contrast Material",2546.0,2546.0,,,0 CDM,35170481,"Hc Ct, Orbit, Sella, Or Posterior Fossa Or Outer, Middle Or Inner Ear; With Contrast Material",3014.0,3014.0,,,0 CDM,35170482,"Hc Ct,Orbt,Sela,Or Post Fosa Or Outer,Mid,Or In Ear;W/Out Cntrst Mat,Follwed By Cntrst Mat&Frthr Sec",3158.0,3158.0,,,0 CDM,35170486,"Hc Ct, Maxillofacial Area; Without Contrast Material",2728.0,2728.0,,,0 CDM,35170487,"Hc Ct, Maxillofacial Area; With Contrast Material",2740.0,2740.0,,,0 CDM,35170488,"Hc Ct, Maxillofacial Area; W/O Contrst Material, Following By Contrast Material And Further Sections",2924.0,2924.0,,,0 CDM,35177014,Hc Ct Guidance For Placement Of Radiation Therapy Fields,1115.0,1115.0,,,0 CDM,3517_17478038020,"Methadone Hydrochloride: 20 mL in 1 VIAL, MULTI-DOSE (17478-380-20)",60.3,60.3,,,0 CDM,3517_67457021720,"Methadone Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (67457-217-20) / 20 Ml In 1 Vial, Multi-Dose",73.11,73.11,,,0 CDM,35181443,Hc Female Infertility Panel,5096.0,5096.0,,,0 CDM,35181479,Hc Lrp2 Mutation Analysis,1320.0,1320.0,,,0 CDM,35271250,"Hc Ct, Thorax; Without Contrast Material",2682.0,2682.0,,,0 CDM,35271260,"Hc Ct, Thorax; With Contrast Material",2846.0,2846.0,,,0 CDM,35271270,"Hc Ct, Thorax; Without Contrast Material, Followed By With Contrast Material(S) And Further Sections",3264.0,3264.0,,,0 CDM,35272125,"Hc Computed Tomography, Cervical Spine; Without Contrast Material",2632.0,2632.0,,,0 CDM,35272126,"Hc Computed Tomography, Cervical Spine; With Contrast Material",2683.0,2683.0,,,0 CDM,35272127,"Hc Computed Tomo, Cervical Spine; W/Out Contrast, Followed By Contrast And Further Sections",2806.0,2806.0,,,0 CDM,35272128,"Hc Computed Tomography, Thoracic Spine; Without Contrast Material",2135.0,2135.0,,,0 CDM,35272129,"Hc Computed Tomography, Thoracic Spine; With Contrast Material",2670.0,2670.0,,,0 CDM,35272130,"Hc Computed Tomo, Thor Spine; W/O Cntrst Material, Followd By Cntrst Material(S) And Further Section",3208.0,3208.0,,,0 CDM,35272132,"Hc Computed Tomography, Lumbar Spine; With Contrast Material",2710.0,2710.0,,,0 CDM,35272133,"Hc Computed Tomo, Lumbar Spine; W/Out Cntrst Material, Followed By Cntrst Material And Further Sectn",2958.0,2958.0,,,0 CDM,35272192,"Hc Computed Tomography, Pelvis; Without Contrast Material",1973.0,1973.0,,,0 CDM,35272193,"Hc Computed Tomography, Pelvis; With Contrast Material(S)",2903.0,2903.0,,,0 CDM,35272194,"Hc Computed Tomo, Pelvis; W/O Contrst Material, Followed By Contrst Material(S) And Further Sections",2921.0,2921.0,,,0 CDM,35273200,"Hc Computed Tomography, Upper Extremity; Without Contrast Material",3057.0,3057.0,,,0 CDM,35273201,"Hc Computed Tomography, Upper Extremity; With Contrast Material(S)",3425.0,3425.0,,,0 CDM,35273202,"Hc Computed Tomo, Upper Extremity; W/Out Contrast, Followed By Contrast And Further Sections",3598.0,3598.0,,,0 CDM,35273206,"Hc Ct Angiogrph, Upper Ext, W/ Cntrst Mat(S), Incl Noncntrst Images, If Performed, & Image Postproc",3313.0,3313.0,,,0 CDM,35273700,"Hc Computed Tomography, Lower Extremity; Without Contrast Material",2822.0,2822.0,,,0 CDM,35273701,"Hc Computed Tomography, Lower Extremity; With Contrast Material(S)",3580.0,3580.0,,,0 CDM,35273702,"Hc Computed Tomo, Lower Extremity; W/Out Contrast, Followed By Contrast And Further Sections",4717.0,4717.0,,,0 CDM,35273706,"Hc Ct Angiogrph, Lower Ext, W/ Cntrst Mat(S), Incl Noncntrst Images, If Performed, & Image Postproc",2430.0,2430.0,,,0 CDM,35274150,"Hc Computed Tomography, Abdomen; Without Contrast Material",1968.0,1968.0,,,0 CDM,35274160,"Hc Computed Tomography, Abdomen; With Contrast Material(S)",2854.0,2854.0,,,0 CDM,35274170,"Hc Computed Tomogrphy, Abdmn; W/O Cntrst Materl, Fllwed By Cntrst Materl(S) & Further Sectns",3010.0,3010.0,,,0 CDM,35274176,"Hc Computed Tomography, Abdomen And Pelvis; Without Contrast Material",5442.0,5442.0,,,0 CDM,35274177,"Hc Computed Tomography, Abdomen And Pelvis; With Contrast Material(S)",5839.0,5839.0,,,0 CDM,35274178,"Hc Ct Tom, Ab & Pel; Wo Cnt Mat 1 Or Both Bdy Rgns,Fllwd By Cnt Mat(S)&Frthr Sec 1 Or Both Bdy Rgns",6718.0,6718.0,,,0 CDM,35275571,"Hc Ct, Heart, Without Contrast Material, With Quantiative Evaluation Of Coronary Calcium Cash",50.0,50.0,,,0 CDM,35275572,"Hc Ct, Heart, With Contrast Material, For Evaluation Of Cardiac Structure And Morphology",1478.0,1478.0,,,0 CDM,35275573,"Hc Ct,Hrt,W/Cont Materl,For Evl Of Cardiac Strctr And Morpholgy In The Settng Of Congntl Hrt Dis",896.0,896.0,,,0 CDM,35275574,"Hc Ct Angiography, Heart,Coronary Arteries, Bypass Grafts, W Contrast, Incl 3D Image Postprocessing",1717.0,1717.0,,,0 CDM,35275574_PBB,"Hc Ct Angiography, Heart,Coronary Arteries, Bypass Grafts, W Contrast, Incl 3D Image Postprocessing-",1016.0,1016.0,,,0 CDM,35275635,"Hc Cta,Abd Aorta&Bilat Iliofem Lower Ext Runoff,W Contrast,Incl Noncontrst Img,& Img Postprocessg",1390.0,1390.0,,,0 CDM,35276380,Hc Ct - Limited Or Follow-Up Study,2682.0,2682.0,,,0 CDM,35281443,Hc Hereditary Gastric Cancer Panel,5096.0,5096.0,,,0 CDM,35281479,Hc Magel2 Mutation Analysis,1320.0,1320.0,,,0 CDM,3530_00245014789,NDC Description Not Available,4.36,4.36,,,0 CDM,3530_00904699361,Amiodarone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6993-61) / 1 Tablet In 1 Blister Pack,4.37,4.37,,,0 CDM,3530_60687043711,NDC Description Not Available,3.0,3.0,,,0 CDM,3530_63739005110,Amiodarone Hydrochloride: 10 Blister Pack In 1 Box (63739-051-10) / 10 Tablet In 1 Blister Pack,4.44,4.44,,,0 CDM,35381443,Hc Hereditary Spastic Paraplegia Exome,5096.0,5096.0,,,0 CDM,35381479,Hc Neurodegeneration With Brain Iron Accumulation Panel,2310.0,2310.0,,,0 CDM,35383520,Hc Interleukin-6,270.0,270.0,,,0 CDM,35481443,Hc Joubert/Meckel Gruber Syndrome Panel,5096.0,5096.0,,,0 CDM,35481479,Hc Nsdhl Mutation Analysis,1320.0,1320.0,,,0 CDM,35581443,Hc Male Infertility Panel,5096.0,5096.0,,,0 CDM,35581479,Hc Ofd1 Mutation Analysis,1320.0,1320.0,,,0 CDM,3559_39822015101,Liothyronine Sodium: 1 Vial In 1 Carton (39822-0151-1) / 1 Ml In 1 Vial,2834.1,2834.1,,,0 CDM,35606_00143960601,"Azacitidine: 1 Vial In 1 Carton (0143-9606-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",6.7,6.7,,,0 CDM,35606_00781349194,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (0781-3491-94)",3.01,3.01,,,0 CDM,35606_16729030610,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (16729-306-10)",6.7,6.7,,,0 CDM,35606_43598030562,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (43598-305-62)",13.38,13.38,,,0 CDM,35606_55150039301,"Azacitidine: 1 Vial, Single-Dose In 1 Carton (55150-393-01) / 4 Ml In 1 Vial, Single-Dose",6.69,6.69,,,0 CDM,35606_59572010201,"Vidaza: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (59572-102-01)",39.14,39.14,,,0 CDM,35606_71288011530,"Azacitidine: 1 Vial, Single-Dose In 1 Carton (71288-115-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",3.01,3.01,,,0 CDM,35606_72485020101,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (72485-201-01)",3.01,3.01,,,0 CDM,35681443,Hc Meckel Gruber Syndrome Panel,5096.0,5096.0,,,0 CDM,35681479,Hc Hereditary Melanoma Panel Other,2200.0,2200.0,,,0 CDM,35683520,Hc Sulfatide Autoab,270.0,270.0,,,0 CDM,3573_00904632361,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6323-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",6.5,6.5,,,0 CDM,3573_50268054111,NDC Description Not Available,5.44,5.44,,,0 CDM,3573_60687040211,NDC Description Not Available,6.03,6.03,,,0 CDM,35781443,Hc Nephronophthisis Panel,5096.0,5096.0,,,0 CDM,35781479,Hc Hereditary Pheochromocytoma And Paraganglioma Panel Other,1320.0,1320.0,,,0 CDM,35783520,Hc Anti Iga Ab,301.0,301.0,,,0 CDM,35844_00487278401,"Asthmanefrin: 30 Pouch In 1 Carton (0487-2784-01) / 1 Vial, Single-Use In 1 Pouch / .5 Ml In 1 Vial, Single-Use",7.31,7.31,,,0 CDM,35844_00487590199,"S2: 30 Pouch In 1 Carton (0487-5901-99) / 1 Vial, Single-Use In 1 Pouch / .5 Ml In 1 Vial, Single-Use",10.53,10.53,,,0 CDM,3585_50268072811,NDC Description Not Available,5.91,5.91,,,0 CDM,3585_53746027101,Sulfamethoxazole And Trimethoprim: 100 Tablet In 1 Bottle (53746-271-01),5.61,5.61,,,0 CDM,3585_60687060311,NDC Description Not Available,5.96,5.96,,,0 CDM,3585_65862041901,Sulfamethoxazole And Trimethoprim: 100 Tablet In 1 Bottle (65862-419-01),5.97,5.97,,,0 CDM,35881443,Hc Neuromuscular Disorders Exome,5096.0,5096.0,,,0 CDM,35881479,Hc Hereditary Prostate Cancer Panel Other,825.0,825.0,,,0 CDM,35883520,Hc Thyrotropin Receptor Ab,252.0,252.0,,,0 CDM,35981443,Hc Arrhythmia And Cardiomyopathy Comprehensive Panel,5096.0,5096.0,,,0 CDM,35981479,Hc Hereditary Thyroid Cancer Panel Other,1320.0,1320.0,,,0 CDM,35983520,"Hc Prim Membranous Nephropathy Diag, S",493.0,493.0,,,0 CDM,36000000,Hc Percutaneous Sacral Augmentation Unil Inj,11189.0,11189.0,,,0 CDM,36000_PBB,Pr Introduction Needle/Intracatheter Vein-Pbb,84.0,84.0,,,0 CDM,36004830,Hc Tmvi Percutaneous Approach,7626.0,7626.0,,,0 CDM,36006860,Hc Histotripsy Mal Hepatcel Tis,30366.0,30366.0,,,0 CDM,36016036,Hc Escharotomy; Each Additional Incision,352.0,352.0,,,0 CDM,36032560,"Hc Instillation, Via Chest Tube/Catheter, Agent For Pleurodesis",1926.0,1926.0,,,0 CDM,36032560_GOLD,"Hc Instillation, Via Chest Tube/Catheter, Agent For Pleurodesis-Gold",2691.5,2691.5,,,0 CDM,36032560_GOLDPBB,"Hc Instillation, Via Chest Tube/Catheter, Agent For Pleurodesis-Gold,Pbb",2691.5,2691.5,,,0 CDM,36032560_PBB,"Hc Instillation, Via Chest Tube/Catheter, Agent For Pleurodesis-Pbb",2691.5,2691.5,,,0 CDM,36032650,"Hc Thoracoscopy, Surgical; With Pleurodesis",13784.0,13784.0,,,0 CDM,36032650_GOLD,"Hc Thoracoscopy, Surgical; With Pleurodesis-Gold",18566.5,18566.5,,,0 CDM,36032650_GOLDPBB,"Hc Thoracoscopy, Surgical; With Pleurodesis-Gold,Pbb",18566.0,18566.0,,,0 CDM,36032650_PBB,"Hc Thoracoscopy, Surgical; With Pleurodesis-Pbb",18565.5,18565.5,,,0 CDM,36033025,Hc Incision Of Heart Sac,17590.0,17590.0,,,0 CDM,36033361,Hc Tavr/Tavi With Prosthetic Valve; Percutaneous Femoral Artery Approach,20188.0,20188.0,,,0 CDM,36033362,Hc Tavr/Tavi With Prosthetic Valve; Open Femoral Artery Approach,28556.0,28556.0,,,0 CDM,36033363,Hc Tavr/Tavi With Prosthetic Valve; Open Axillary Artery Approach,29568.0,29568.0,,,0 CDM,36033364,Hc Tavr/Tavi With Prosthetic Valve; Open Iliac Rtery Approach,31599.0,31599.0,,,0 CDM,36033366,Hc Tavr/Tavi With Prosthetic Valve; Transapical Exposure,37601.0,37601.0,,,0 CDM,36033418,"Hc Transcath Mitral Valve, Perc Approach, Trans Puncture, 1St Prosthes",7626.0,7626.0,,,0 CDM,36033621,Hc Transthor Insertion Cath Pda Stent,1856.0,1856.0,,,0 CDM,36033741,Hc Tas Congenital Cardiac Anomalies Any Method,10900.0,10900.0,,,0 CDM,36033975,"Hc Insertion Of Ventricular Assist Device; Extracorporeal, Single Ventricle",13169.0,13169.0,,,0 CDM,36034702,Hc Evasc Rpr Dplmnt Aorto-Aortic Ndgft Rpt,37685.0,37685.0,,,0 CDM,36047490,"Hc Chlcyststmy, Perq, Cmplt Prcdr, Imgng Gdnc, Cth Plcmnt, Chlcystgrm Whn Prfrmd, Rdsprvsn & Intrprt",5687.0,5687.0,,,0 CDM,36050360_PBB,"Hc Renal Allotransplantation, Implant Graft W/O Donor-Pbb",22708.5,22708.5,,,0 CDM,36050605,Hc Insert Ureteral Support,22127.0,22127.0,,,0 CDM,3605_00093075301,Atenolol: 100 Tablet In 1 Bottle (0093-0753-01),6.0,6.0,,,0 CDM,3605_51079068501,NDC Description Not Available,6.0,6.0,,,0 CDM,36081443,Hc Arrhythmia Comprehensive Panel,5096.0,5096.0,,,0 CDM,36081479,Hc Hypophosphatemic Rickets Panel Other,2200.0,2200.0,,,0 CDM,36083520,"Hc Rapid Progress Dementia Eval Pnl, Csf",493.0,493.0,,,0 CDM,36099999,Hc Cardio-Thoracic Major 1St 30 Minutes,30996.0,30996.0,,,0 CDM,3612_16714016701,Liothyronine Sodium: 100 Tablet In 1 Bottle (16714-167-01),6.2,6.2,,,0 CDM,3612_59762120701,Liothyronine Sodium: 100 Tablet In 1 Bottle (59762-1207-1),6.0,6.0,,,0 CDM,36132561_PBB,Hc Lyse Chest Fibrin Init Day-Pbb,2906.0,2906.0,,,0 CDM,3613_00781214501,Ampicillin: 100 Capsule In 1 Bottle (0781-2145-01),6.0,6.0,,,0 CDM,36150385,Hc Change Stent Via Transureth,7018.0,7018.0,,,0 CDM,36162287,Hc Dcmprn Perq Nucleus Pulposus 1/Mlt Levels Lumbar,5237.0,5237.0,,,0 CDM,36167_00065047401,Systane: 1 Tube In 1 Carton (0065-0474-01) / 10 G In 1 Tube,41.73,41.73,,,0 CDM,36180_66689020308,"Insta-Char Sorbitol: 240 Ml In 1 Bottle, Plastic (66689-203-08)",200.29,200.29,,,0 CDM,36181443,Hc Hypertrophic Cardiomyopathy Panel,5096.0,5096.0,,,0 CDM,36181479,Hc Lynch Syndrome Panel Other,1320.0,1320.0,,,0 CDM,36182_66689020108,"Insta-Char Aqueous: 240 Ml In 1 Bottle, Plastic (66689-201-08)",186.0,186.0,,,0 CDM,36183520,"Hc Cjd Evaluation, Csf Other",493.0,493.0,,,0 CDM,36183_00574052174,Actidose Aqua: 120 Ml In 1 Tube (0574-0521-74),82.59,82.59,,,0 CDM,36183_66689020204,"Insta-Char Aqueous Cherry: 120 Ml In 1 Bottle, Plastic (66689-202-04)",136.16,136.16,,,0 CDM,36199999,Hc Cardio-Thoracic Minor 1St 30 Minutes,11227.0,11227.0,,,0 CDM,36200341,"Hc Percutaneous Islet Cell Transplant, Includes Portal Vein Catheterization And Infusion",5764.0,5764.0,,,0 CDM,36209_00185012201,Nitrofurantoin (Monohydrate/Macrocrystals): 100 Capsule In 1 Bottle (0185-0122-01),6.0,6.0,,,0 CDM,36209_00904713761,Nitrofurantoin Monohydrate/ Macrocrystalline: 100 Blister Pack In 1 Carton (0904-7137-61) / 1 Capsule In 1 Blister Pack,14.31,14.31,,,0 CDM,36209_50268062511,NDC Description Not Available,16.12,16.12,,,0 CDM,36209_51079034820,Nitrofurantoin Monohydrate/Macrocrystals: 100 BLISTER PACK in 1 CARTON (51079-348-20) / 1 CAPSULE in 1 BLISTER PACK (51079-348-01),23.91,23.91,,,0 CDM,3620_00172208960,Hydrochlorothiazide: 100 Tablet In 1 Bottle (0172-2089-60),6.0,6.0,,,0 CDM,3620_16729018401,Hydrochlorothiazide: 100 Tablet In 1 Bottle (16729-184-01),6.0,6.0,,,0 CDM,36238243,Hc Transplant Hematopoietic Boost,4587.0,4587.0,,,0 CDM,36238243_PBB,Hc Transplant Hematopoietic Boost-Pbb,4223.0,4223.0,,,0 CDM,36247_00054008826,Calcium Acetate: 200 Capsule In 1 Bottle (0054-0088-26),0.5,0.5,,,0 CDM,36247_68084047901,Calcium Acetate: 100 Blister Pack In 1 Carton (68084-479-01) / 1 Capsule In 1 Blister Pack (68084-479-11),0.57,0.57,,,0 CDM,36247_68084047911,NDC Description Not Available,0.91,0.91,,,0 CDM,36256_00085173101,"Cipro: 40 mL in 1 VIAL, GLASS (0085-1731-01)",89.33,89.33,,,0 CDM,36256_00409477886,Ciprofloxacin: 1 VIAL in 1 CARTON (0409-4778-86) / 40 mL in 1 VIAL,59.0,59.0,,,0 CDM,3627_00378561505,"Levetiracetam: 500 Tablet, Film Coated In 1 Bottle, Plastic (0378-5615-05)",4.0,4.0,,,0 CDM,3627_00904712461,"Levetiracetam: 100 Blister Pack In 1 Carton (0904-7124-61) / 1 Tablet, Film Coated In 1 Blister Pack",3.8,3.8,,,0 CDM,3627_16714003501,"Levetiracetam: 120 Tablet, Film Coated In 1 Bottle (16714-035-01)",4.12,4.12,,,0 CDM,3627_51079082101,NDC Description Not Available,4.5,4.5,,,0 CDM,3627_51079082120,"Levetiracetam: 100 Blister Pack In 1 Carton (51079-821-20) / 1 Tablet, Film Coated In 1 Blister Pack (51079-821-01)",4.75,4.75,,,0 CDM,3627_60687065711,NDC Description Not Available,3.87,3.87,,,0 CDM,36281443,Hc Arrhythmogenic Cardiomyopathy Panel,5096.0,5096.0,,,0 CDM,36281479,Hc Holoprosencephaly Panel Other,2200.0,2200.0,,,0 CDM,36283520,"Hc Preeclampsia Sflt-1/Plgf Ratio, S",1506.0,1506.0,,,0 CDM,36299999,Hc Cardio-Thoracic Additional 15 Minutes,2042.5,2042.5,,,0 CDM,3630_00019481604,"Md Gastroview: 25 Bottle, Glass In 1 Box (0019-4816-04) / 30 Ml In 1 Bottle, Glass",143.04,143.04,,,0 CDM,3630_00270044535,Gastrografin: 24 Bottle In 1 Box (0270-0445-35) / 30 Ml In 1 Bottle,143.04,143.04,,,0 CDM,36329_64980052660,"Nitazoxanide: 6 Tablet, Film Coated In 1 Bottle (64980-526-60)",806.58,806.58,,,0 CDM,36329_67546011112,"Alinia: 1 Bottle, Plastic In 1 Carton (67546-111-12) / 30 Tablet In 1 Bottle, Plastic",834.73,834.73,,,0 CDM,3633_00904608461,"Citalopram: 100 Blister Pack In 1 Carton (0904-6084-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.43,5.43,,,0 CDM,36381443,Hc Congenital Heart Disease Panel,5096.0,5096.0,,,0 CDM,36381479,Hc Pax6 Mutation Analysis,1320.0,1320.0,,,0 CDM,36388_00904717207,"Emtricitabine And Tenofovir Disoproxil Fumarate: 30 Blister Pack In 1 Carton (0904-7172-07) / 1 Tablet, Film Coated In 1 Blister Pack",12.07,12.07,,,0 CDM,36388_61958070101,"Truvada: 30 Tablet, Film Coated In 1 Bottle, Plastic (61958-0701-1)",380.74,380.74,,,0 CDM,36395_00378633380,"Acamprosate Calcium: 180 Tablet, Delayed Release In 1 Bottle, Plastic (0378-6333-80)",5.1,5.1,,,0 CDM,36395_60687012195,NDC Description Not Available,14.02,14.02,,,0 CDM,36395_68382056928,"Acamprosate Calcium: 180 Tablet, Delayed Release In 1 Bottle (68382-569-28)",8.72,8.72,,,0 CDM,36395_68462043518,"Acamprosate Calcium: 180 Tablet, Delayed Release In 1 Bottle (68462-435-18)",6.81,6.81,,,0 CDM,36396_00002323560,"Cymbalta: 60 Capsule, Delayed Release In 1 Bottle (0002-3235-60)",51.71,51.71,,,0 CDM,36396_00904704304,"Duloxetine: 30 Blister Pack In 1 Carton (0904-7043-04) / 1 Capsule, Delayed Release In 1 Blister Pack",9.03,9.03,,,0 CDM,36396_00904704361,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7043-61) / 1 Capsule, Delayed Release In 1 Blister Pack",9.95,9.95,,,0 CDM,36396_27241009706,"Duloxetine: 60 Capsule, Delayed Release In 1 Bottle (27241-097-06)",3.1,3.1,,,0 CDM,36396_60687072311,NDC Description Not Available,10.96,10.96,,,0 CDM,36396_68084067511,NDC Description Not Available,10.96,10.96,,,0 CDM,36396_68180029407,"Duloxetine: 60 Capsule, Delayed Release In 1 Bottle (68180-294-07)",3.96,3.96,,,0 CDM,36397_00904704461,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7044-61) / 1 Capsule, Delayed Release In 1 Blister Pack",8.91,8.91,,,0 CDM,36397_60687073411,NDC Description Not Available,9.92,9.92,,,0 CDM,36397_68084068301,"Duloxetine: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-683-01) / 1 CAPSULE, DELAYED RELEASE in 1 BLISTER PACK (68084-683-11)",9.92,9.92,,,0 CDM,36397_68180029509,"Duloxetine: 90 Capsule, Delayed Release In 1 Bottle (68180-295-09)",4.94,4.94,,,0 CDM,36398_00904704561,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7045-61) / 1 Capsule, Delayed Release In 1 Blister Pack",8.91,8.91,,,0 CDM,36398_27241009903,"Duloxetine: 30 Capsule, Delayed Release In 1 Bottle (27241-099-03)",5.2,5.2,,,0 CDM,36398_60687074511,NDC Description Not Available,9.92,9.92,,,0 CDM,36398_68180029609,"Duloxetine: 90 Capsule, Delayed Release In 1 Bottle (68180-296-09)",5.22,5.22,,,0 CDM,36399999,Hc Or Time (Other Than Cardio-Thoracic) Major 1St 30 Minutes,14408.0,14408.0,,,0 CDM,3640_00406114401,Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle (0406-1144-01),5.06,5.06,,,0 CDM,3640_68084082311,NDC Description Not Available,10.2,10.2,,,0 CDM,3643_00904623861,Carbidopa And Levodopa: 100 Blister Pack In 1 Carton (0904-6238-61) / 1 Tablet In 1 Blister Pack,6.0,6.0,,,0 CDM,3643_60687083611,NDC Description Not Available,6.0,6.0,,,0 CDM,3643_68084009411,NDC Description Not Available,6.0,6.0,,,0 CDM,36457_59584013801,"Candin: 1 Ml In 1 Vial, Multi-Dose (59584-138-01)",594.96,594.96,,,0 CDM,36460_PBB,Pr Transfusion Intrauterine Fetal-Pbb,263.0,263.0,,,0 CDM,36468_PBB,Pr Injections Sclerosant For Spider Veins Lim/Trnk-Pbb,397.0,397.0,,,0 CDM,36470_PBB,Pr Injection Sclerosant Single Incmptnt Vein-Pbb,1972.0,1972.0,,,0 CDM,36471_PBB,Pr Injection Sclerosant Multiple Incmptnt Veins-Pbb,2849.0,2849.0,,,0 CDM,36481443,Hc Aortopathy Comprehensive Panel,5096.0,5096.0,,,0 CDM,36481479,Hc Pigl Mutation Analysis,1320.0,1320.0,,,0 CDM,36482_PBB,Pr Endoven Ablti Ther Chem Adhesive 1St Vein-Pbb,1286.0,1286.0,,,0 CDM,36483_PBB,Pr Endoven Ablti Ther Chem Adhesive Sbsq Vein-Pbb,642.0,642.0,,,0 CDM,36499999,Hc Or Time (Other Than Cardio-Thoracic) Minor 1St 30 Minutes,8668.0,8668.0,,,0 CDM,36511_PBB,Pr Therapeutic Apheresis White Blood Cells-Pbb,1055.0,1055.0,,,0 CDM,36522_PBB,Pr Photopheresis Extracorporeal-Pbb,1102.0,1102.0,,,0 CDM,36556_GOLD,Pr Insj Non-Tunneled Central Venous Cath Age 5 Yr/>-Gold,3156.0,3156.0,,,0 CDM,36556_GOLDOPRM,"Pr Insj Non-Tunneled Central Venous Cath Age 5 Yr/>-Gold,Oprm",3156.0,3156.0,,,0 CDM,36556_GOLDPBB,"Pr Insj Non-Tunneled Central Venous Cath Age 5 Yr/>-Gold,Pbb",3156.0,3156.0,,,0 CDM,36556_PBB,Pr Insj Non-Tunneled Central Venous Cath Age 5 Yr/>-Pbb,3156.0,3156.0,,,0 CDM,36568_PBB,Pr Insertion Picc W/O Img Gdn < 5 Yr-Pbb,3636.0,3636.0,,,0 CDM,36569_GOLD,Pr Insertion Picc W/O Img Gdn 5 Yr/>-Gold,3946.0,3946.0,,,0 CDM,36569_GOLDOPRM,"Pr Insertion Picc W/O Img Gdn 5 Yr/>-Gold,Oprm",3946.0,3946.0,,,0 CDM,36569_GOLDPBB,"Pr Insertion Picc W/O Img Gdn 5 Yr/>-Gold,Pbb",3946.0,3946.0,,,0 CDM,36569_PBB,Pr Insertion Picc W/O Img Gdn 5 Yr/>-Pbb,3946.0,3946.0,,,0 CDM,36573_GOLD,Pr Insertion Picc W/Rs&I 5 Yr/>-Gold,4783.0,4783.0,,,0 CDM,36573_GOLDPBB,"Pr Insertion Picc W/Rs&I 5 Yr/>-Gold,Pbb",4783.0,4783.0,,,0 CDM,36573_PBB,Pr Insertion Picc W/Rs&I 5 Yr/>-Pbb,4783.0,4783.0,,,0 CDM,36575_PBB,Pr Rpr Tun/Non-Tun Ctr Vad Cath W/O Subq Port/Pmp-Pbb,466.0,466.0,,,0 CDM,36576_PBB,Pr Rpr Ctr Vad W/Subq Port/Pmp Ctr/Prph Insj Sit-Pbb,2662.0,2662.0,,,0 CDM,36580_GOLD,Pr Rplcmt Compl Non-Tun Cvc W/O Subq Port/Pmp-Gold,2963.0,2963.0,,,0 CDM,36580_GOLDOPRM,"Pr Rplcmt Compl Non-Tun Cvc W/O Subq Port/Pmp-Gold,Oprm",2963.0,2963.0,,,0 CDM,36580_GOLDPBB,"Pr Rplcmt Compl Non-Tun Cvc W/O Subq Port/Pmp-Gold,Pbb",2963.0,2963.0,,,0 CDM,36580_PBB,Pr Rplcmt Compl Non-Tun Cvc W/O Subq Port/Pmp-Pbb,2963.0,2963.0,,,0 CDM,36581443,Hc Ehlers-Danlos Syndrome Panel,5096.0,5096.0,,,0 CDM,36589_GOLD,Pr Rmvl Tun Cvc W/O Subq Port/Pmp-Gold,2963.0,2963.0,,,0 CDM,36589_GOLDOPRM,"Pr Rmvl Tun Cvc W/O Subq Port/Pmp-Gold,Oprm",2963.0,2963.0,,,0 CDM,36589_GOLDPBB,"Pr Rmvl Tun Cvc W/O Subq Port/Pmp-Gold,Pbb",2963.0,2963.0,,,0 CDM,36589_PBB,Pr Rmvl Tun Cvc W/O Subq Port/Pmp-Pbb,2963.0,2963.0,,,0 CDM,36590_PBB,Pr Rmvl Tun Ctr Vad W/Subq Port/Pmp Ctr/Prph Insj-Pbb,4336.0,4336.0,,,0 CDM,36599999,Hc Or Time (Other Than Cardio-Thoracic) Each Additional 15 Minutes,2748.0,2748.0,,,0 CDM,36620_GOLD,Pr Artl Cathj/Cannulj Mntr/Transfusion Spx Prq-Gold,928.0,928.0,,,0 CDM,36620_GOLDOPRM,"Pr Artl Cathj/Cannulj Mntr/Transfusion Spx Prq-Gold,Oprm",928.0,928.0,,,0 CDM,36620_GOLDPBB,"Pr Artl Cathj/Cannulj Mntr/Transfusion Spx Prq-Gold,Pbb",928.0,928.0,,,0 CDM,36620_PBB,Pr Artl Cathj/Cannulj Mntr/Transfusion Spx Prq-Pbb,928.0,928.0,,,0 CDM,36662_67877054898,Cefdinir: 60 Ml In 1 Bottle (67877-548-98),6.0,6.0,,,0 CDM,36662_68180072304,Cefdinir: 60 Ml In 1 Bottle (68180-723-04),9.65,9.65,,,0 CDM,36681443,Hc Cakut (Congenital Anomalies Of The Kidney And Urinary Tract) Panel,5096.0,5096.0,,,0 CDM,36699999,Hc Lithotripsy,22347.0,22347.0,,,0 CDM,3672_23155053201,Ethosuximide: 100 Capsule In 1 Bottle (23155-532-01),7.44,7.44,,,0 CDM,3672_64380087806,Ethosuximide: 100 Capsule In 1 Bottle (64380-878-06),6.0,6.0,,,0 CDM,3672_69452015220,"Ethosuximide: 100 Capsule, Liquid Filled In 1 Bottle, Plastic (69452-152-20)",2.63,2.63,,,0 CDM,36781443,Primary Immunodeficiency Panel,5096.0,5096.0,,,0 CDM,36781479,Hc Pik3R1 Mutation Analysis,1320.0,1320.0,,,0 CDM,36783_25021024202,Fludarabine Phosphate: 1 Vial In 1 Carton (25021-242-02) / 2 Ml In 1 Vial,932.64,932.64,,,0 CDM,3687_00409329461,NDC Description Not Available,47.82,47.82,,,0 CDM,3687_00409818301,"Potassium Acetate: 25 Vial, Single-Dose In 1 Tray (0409-8183-01) / 20 Ml In 1 Vial, Single-Dose (0409-8183-11)",15.18,15.18,,,0 CDM,3687_00409818311,NDC Description Not Available,26.92,26.92,,,0 CDM,3687_51754200104,"Potassium Acetate: 25 Vial, Single-Dose In 1 Carton (51754-2001-4) / 20 Ml In 1 Vial, Single-Dose",25.34,25.34,,,0 CDM,36881443,Hc Transit_Inherited Bone Marrow Failure Panel,5096.0,5096.0,,,0 CDM,36881479,Hc Primordial Dwarfism Panel,3850.0,3850.0,,,0 CDM,36959_00338355248,Vancomycin Hydrochloride: 200 Ml In 1 Bag (0338-3552-48),96.5,96.5,,,0 CDM,36981479,Hc Rhizomelic Chondrodysplasia Punctata Panel,2310.0,2310.0,,,0 CDM,37000000,Hc Anesthesia Ambulatory Class A,1149.0,1149.0,,,0 CDM,37000001,Hc Anesthesia Ambulatory Class B,1366.0,1366.0,,,0 CDM,37000002,Hc Anesthesia Ambulatory Class C,1682.0,1682.0,,,0 CDM,37000003,Hc Anesthesia Labor Room Anesthesia,1928.0,1928.0,,,0 CDM,37000004,Hc Anesthesia 1 Hr Less Than 2 Hrs,8721.0,8721.0,,,0 CDM,37000005,Hc Anesthesia For Delivery,3293.0,3293.0,,,0 CDM,37000006,Hc Anesthesia 1Hr Less Than 2 Hrs Heart And Lung,9284.0,9284.0,,,0 CDM,37000007,Hc Anesthesia 1-29 Minutes,3236.0,3236.0,,,0 CDM,37000008,Hc Anesthesia 30-59 Minutes,7254.0,7254.0,,,0 CDM,37000010,Hc Anesthesia 2 Hrs Less Than 3 Hrs,10187.0,10187.0,,,0 CDM,37000011,Hc Anesthesia 3Hrs Less Than 4 Hrs,11650.0,11650.0,,,0 CDM,37000012,Hc Anesthesia 4Hrs Less Than 5 Hrs,13113.0,13113.0,,,0 CDM,37000013,Hc Anesthesia 5Hrs Less Than 6 Hrs,14580.0,14580.0,,,0 CDM,37000014,Hc Anesthesia 6Hrs Less Than 7 Hrs,16045.0,16045.0,,,0 CDM,37000015,Hc Anesthesia 7Hrs Less Than 8 Hrs,17510.0,17510.0,,,0 CDM,37000016,Hc Anesthesia 8Hrs Less Than 9 Hrs,18974.0,18974.0,,,0 CDM,37000017,Hc Anesthesia 9Hrs Less Than 10 Hrs,20438.0,20438.0,,,0 CDM,37000018,Hc Anesthesia 10 Hrs Less Than 11 Hrs,21904.0,21904.0,,,0 CDM,37000019,Hc Anesthesia 11 Hrs Less Than 12 Hrs,23369.0,23369.0,,,0 CDM,37000020,Hc Anesthesia 12 Hrs Less Than 13 Hrs,24834.0,24834.0,,,0 CDM,37000021,Hc Anesthesia 13 Hrs Less Than 14 Hrs,26297.0,26297.0,,,0 CDM,37000023,Hc Anesthesia 15 Hrs Less Than 16 Hrs,29228.0,29228.0,,,0 CDM,37000024,Hc Anesthesia 16 Hrs Less Than 17 Hrs,30693.0,30693.0,,,0 CDM,37000025,Hc Anesthesia 17 Hrs Less Than 18 Hrs,32158.0,32158.0,,,0 CDM,37000026,Hc Anesthesia 18 Hrs Less Than 19 Hrs,33621.0,33621.0,,,0 CDM,37000027,Hc Anesthesia 19 Hrs Less Than 20 Hrs,35087.0,35087.0,,,0 CDM,37000028,Hc Anesthesia 20 Hrs Less Than 21 Hrs,36552.0,36552.0,,,0 CDM,37000029,Hc Anesthesia 21 Hrs Less Than 22 Hrs,38018.0,38018.0,,,0 CDM,37000030,Hc Anesthesia 22 Hrs Less Than 23 Hrs,39482.0,39482.0,,,0 CDM,37000031,Hc Anesthesia 23 Hrs Less Than 24 Hrs,40947.0,40947.0,,,0 CDM,37000032,Hc Anesthesia 24 Hrs Less Than 25 Hrs,42410.0,42410.0,,,0 CDM,37000033,Hc Anesthesia 25 Hrs Less Than 26 Hrs,43875.0,43875.0,,,0 CDM,37000034,Hc Anesthesia 26 Hrs Less Than 27 Hrs,45340.0,45340.0,,,0 CDM,37000035,Hc Anesthesia 27 Hrs Less Than 28 Hrs,46805.0,46805.0,,,0 CDM,37000036,Hc Anesthesia 28 Hrs Less Than 29 Hrs,48268.0,48268.0,,,0 CDM,37000045,Hc Anesthesia 14 Hrs Less Than 15 Hrs,27763.0,27763.0,,,0 CDM,37000052,Hc Anesthesia 29 Hrs Less Than 30 Hrs,49735.0,49735.0,,,0 CDM,37000053,Hc Anesthesia 30 Hrs Less Than 31 Hrs,51200.0,51200.0,,,0 CDM,37000054,Hc Anesthesia 31 Hrs Less Than 32 Hrs,52663.0,52663.0,,,0 CDM,37000055,Hc Anesthesia 32 Hrs Less Than 33 Hrs,54128.0,54128.0,,,0 CDM,37000056,Hc Anesthesia 33 Hrs Less Than 34 Hrs,55595.0,55595.0,,,0 CDM,37000057,Hc Anesthesia 34 Hrs Less Than 35 Hrs,57059.0,57059.0,,,0 CDM,37000500_PBB,"Hc Moderate Sedation Same Phys/Qhfc Perform Gi 1St 15 Min, >5 Yrs-Pbb",1505.0,1505.0,,,0 CDM,3705_00409329905,Sodium Acetate: 25 Vial In 1 Tray (0409-3299-05) / 50 Ml In 1 Vial (0409-3299-15),2.85,2.85,,,0 CDM,3705_00409329915,NDC Description Not Available,3.0,3.0,,,0 CDM,3705_00409329916,NDC Description Not Available,2.67,2.67,,,0 CDM,3705_00409729973,"Sodium Acetate: 25 Vial, Single-Dose In 1 Tray (0409-7299-73) / 20 Ml In 1 Vial, Single-Dose (0409-7299-83)",2.66,2.66,,,0 CDM,3705_00409729983,NDC Description Not Available,4.02,4.02,,,0 CDM,3705_00517209625,"Sodium Acetate: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-2096-25) / 20 mL in 1 VIAL, SINGLE-DOSE",9.1,9.1,,,0 CDM,3705_63323006620,NDC Description Not Available,0.68,0.68,,,0 CDM,3705_69784023010,"Sodium Acetate: 50 Ml In 1 Vial, Pharmacy Bulk Package (69784-230-10)",3.0,3.0,,,0 CDM,3705_69784023020,"Sodium Acetate: 50 Ml In 1 Vial, Pharmacy Bulk Package (69784-230-20)",3.0,3.0,,,0 CDM,3705_69784023110,"Sodium Acetate: 100 Ml In 1 Vial, Pharmacy Bulk Package (69784-231-10)",2.61,2.61,,,0 CDM,37081479,Hc Robinow Syndrome Panel,2310.0,2310.0,,,0 CDM,37099151,Hc Moderate Sedation Same Physician/Qualified Health Pro <5 Yrs,1108.0,1108.0,,,0 CDM,37099151_PBB,Hc Moderate Sedation Same Physician/Qualified Health Pro <5 Yrs-Pbb,1086.0,1086.0,,,0 CDM,37099152,Hc Moderate Sedation Same Physician/Qualified Health Pro />5 Yrs,1388.0,1388.0,,,0 CDM,37099152_PBB,Hc Moderate Sedation Same Physician/Qualified Health Pro />5 Yrs-Pbb,1505.0,1505.0,,,0 CDM,37099153,Hc Moderate Sedation Same Physician/Qualified Health Pro Each Additional 15 Mins,473.0,473.0,,,0 CDM,37099153_PBB,Hc Moderate Sedation Same Physician/Qualified Health Pro Each Additional 15 Mins-Pbb,513.5,513.5,,,0 CDM,37099155,Hc Moderate Sedation Other Physician/Qualified Health Pro <5 Yrs,532.0,532.0,,,0 CDM,37099155_PBB,Hc Moderate Sedation Other Physician/Qualified Health Pro <5 Yrs-Pbb,842.5,842.5,,,0 CDM,37099156,Hc Moderate Sedation Other Physician/Qualified Health Pro 5/> Yrs,691.0,691.0,,,0 CDM,37099156_PBB,Hc Moderate Sedation Other Physician/Qualified Health Pro 5/> Yrs-Pbb,982.0,982.0,,,0 CDM,37099157,Hc Moderate Sedation Other Physician/Qualified Health Pro Each Additional 15 Mins,235.0,235.0,,,0 CDM,37099157_PBB,Hc Moderate Sedation Other Physician/Qualified Health Pro Each Additional 15 Mins-Pbb,319.0,319.0,,,0 CDM,37107_50383028604,Levofloxacin: 1 BOTTLE in 1 CARTON (50383-286-04) / 100 mL in 1 BOTTLE,78.5,78.5,,,0 CDM,37123_65628005001,"Diphenhydramine Hydrochloride And Lidocaine Hydrochloride And Aluminum Hydroxide And Magnesium Hydro: 1 Kit In 1 Container (65628-050-01) * 236 Ml In 1 Bottle, Plastic * .2 G In 1 Bottle, Glass * ",166.04,166.04,,,0 CDM,3714_00527145106,"Dronabinol: 60 Capsule In 1 Bottle, Plastic (0527-1451-06)",10.9,10.9,,,0 CDM,3714_00904714504,Dronabinol: 30 Blister Pack In 1 Carton (0904-7145-04) / 1 Capsule In 1 Blister Pack,29.89,29.89,,,0 CDM,3714_60687038611,NDC Description Not Available,42.06,42.06,,,0 CDM,3714_67877075460,Dronabinol: 60 Capsule In 1 Bottle (67877-754-60),10.65,10.65,,,0 CDM,37181479,Hc Setbp1 Mutation Analysis,1320.0,1320.0,,,0 CDM,37181_55111067911,NDC Description Not Available,36.4,36.4,,,0 CDM,37181_67457058304,"Fondaparinux Sodium: 10 Syringe, Glass In 1 Carton (67457-583-04) / .4 Ml In 1 Syringe, Glass (67457-583-00)",39.19,39.19,,,0 CDM,37182_67457058500,NDC Description Not Available,19.6,19.6,,,0 CDM,37182_67457058508,"Fondaparinux Sodium: 10 Syringe, Glass In 1 Carton (67457-585-08) / .8 Ml In 1 Syringe, Glass (67457-585-00)",19.6,19.6,,,0 CDM,37188_67457058400,NDC Description Not Available,26.13,26.13,,,0 CDM,37188_67457058406,"Fondaparinux Sodium: 10 Syringe, Glass In 1 Carton (67457-584-06) / .6 Ml In 1 Syringe, Glass (67457-584-00)",26.13,26.13,,,0 CDM,37200000,Hc Deep Sedation Non Treating Md/Qhcp <5Yr 1St 15 Minutes,472.0,472.0,,,0 CDM,37221_00116400508,Lactulose: 237 Ml In 1 Bottle (0116-4005-08),6.0,6.0,,,0 CDM,37221_00116400515,"Lactulose: 15 Ml In 1 Cup, Unit-Dose (0116-4005-15)",9.02,9.02,,,0 CDM,37221_00121457715,NDC Description Not Available,3.63,3.63,,,0 CDM,37226_64406000801,"Tysabri: 1 Vial, Single-Use In 1 Carton (64406-008-01) / 15 Ml In 1 Vial, Single-Use",185.93,185.93,,,0 CDM,37281479,Hc Slc12A6 Mutation Analysis,1320.0,1320.0,,,0 CDM,37300000,Hc Deep Sedation Non Treating Md/Qhcp Greater Than 5 Years 1St 15 Minutes,472.0,472.0,,,0 CDM,3731_16714069701,"30 TABLET, FILM COATED in 1 BOTTLE (16714-697-01)",8.08,8.08,,,0 CDM,3731_50268078911,NDC Description Not Available,12.45,12.45,,,0 CDM,3731_65862044990,"Valacyclovir Hydrochloride: 90 Tablet, Film Coated In 1 Bottle (65862-449-90)",8.04,8.04,,,0 CDM,3731_68084030911,NDC Description Not Available,21.7,21.7,,,0 CDM,3734_00121067716,Tricitrates: 473 Ml In 1 Bottle (0121-0677-16),6.0,6.0,,,0 CDM,3734_06025800216,NDC Description Not Available,15.3,15.3,,,0 CDM,37381479,Hc Smarca2 Mutation Analysis,1320.0,1320.0,,,0 CDM,37400000,Hc Deep Sedation Non Treating Md/Qhcp Each Additional 15 Minutes,209.0,209.0,,,0 CDM,37407_00904670606,"Omega-3-Acid Ethyl Esters: 50 Blister Pack In 1 Carton (0904-6706-06) / 1 Capsule, Liquid Filled In 1 Blister Pack",20.94,20.94,,,0 CDM,37407_42806055212,"Omega-3-Acid Ethyl Esters: 120 Capsule, Liquid Filled In 1 Bottle (42806-552-12)",3.89,3.89,,,0 CDM,37407_60687012711,NDC Description Not Available,18.86,18.86,,,0 CDM,37481479,Hc Smarca4 Mutation Analysis,1320.0,1320.0,,,0 CDM,37538_70004008544,NDC Description Not Available,64.33,64.33,,,0 CDM,37538_70092106807,NDC Description Not Available,63.46,63.46,,,0 CDM,37538_70092155207,NDC Description Not Available,63.51,63.51,,,0 CDM,37538_71266510001,NDC Description Not Available,64.29,64.29,,,0 CDM,37538_71266510301,NDC Description Not Available,64.33,64.33,,,0 CDM,37538_71506002859,NDC Description Not Available,64.33,64.33,,,0 CDM,37538_99999004130,NDC Description Not Available,60.1,60.1,,,0 CDM,37547_70004092059,NDC Description Not Available,98.0,98.0,,,0 CDM,37547_70092105305,NDC Description Not Available,98.0,98.0,,,0 CDM,37547_72196606401,NDC Description Not Available,98.0,98.0,,,0 CDM,37581479,Hc Srcap Mutation Analysis,1320.0,1320.0,,,0 CDM,37609_PBB,Pr Ligation/Biopsy Temporal Artery-Pbb,4928.0,4928.0,,,0 CDM,3760_00023114501,"Botox: 1 Vial In 1 Carton (0023-1145-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",43.21,43.21,,,0 CDM,3760_00023114502,"Botox: 1 Vial In 1 Carton (0023-1145-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",41.67,41.67,,,0 CDM,37627_58914050101,NDC Description Not Available,240.11,240.11,,,0 CDM,37627_58914050156,Canasa: 30 Suppository In 1 Box (58914-501-56),240.11,240.11,,,0 CDM,37642_00517430001,Paclitaxel Protein Bound Particles Albumin Bound: 1 Vial In 1 Carton (0517-4300-01) / 20 Ml In 1 Vial,109.7,109.7,,,0 CDM,37642_00781353191,"Paclitaxel: 1 Vial, Single-Dose In 1 Carton (0781-3531-91) / 20 Ml In 1 Vial, Single-Dose",105.86,105.86,,,0 CDM,37642_68817013450,"Abraxane: 1 Vial, Single-Use In 1 Carton (68817-134-50) / 20 Ml In 1 Vial, Single-Use",105.86,105.86,,,0 CDM,3766_00093867575,Amoxicillin And Clavulanate Potassium: 125 Ml In 1 Bottle (0093-8675-75),13.85,13.85,,,0 CDM,37681479,Hc Warburg Micro Syndrome Panel,2310.0,2310.0,,,0 CDM,37726_00121072208,NDC Description Not Available,6.0,6.0,,,0 CDM,37781479,Hc Wolfram Syndrome Panel,2310.0,2310.0,,,0 CDM,37873_62935045345,Eligard: 1 Kit In 1 Carton (62935-453-45) * .375 Ml In 1 Syringe (62935-454-44) * .375 Ml In 1 Syringe (62935-455-45),3026.31,3026.31,,,0 CDM,37873_62935046150,Eligard: 1 Syringe In 1 Carton (62935-461-50) / .375 Ml In 1 Syringe,3026.31,3026.31,,,0 CDM,37878_00054311763,Calcium Carbonate: 500 mL in 1 BOTTLE (0054-3117-63),2.0,2.0,,,0 CDM,37878_00121076616,Calcium Carbonate: 12 Bottle In 1 Case (0121-0766-16) / 473 Ml In 1 Bottle,2.0,2.0,,,0 CDM,37878_00121476605,"Calcium Carbonate: 4 Tray In 1 Case (0121-4766-05) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose",4.87,4.87,,,0 CDM,37881479,Hc Neuronal Ceroid-Lipofuscinoses Panel Other,2200.0,2200.0,,,0 CDM,3793_00904687204,"Clarithromycin: 30 Blister Pack In 1 Carton (0904-6872-04) / 1 Tablet, Film Coated In 1 Blister Pack",20.14,20.14,,,0 CDM,3793_50268017911,NDC Description Not Available,13.89,13.89,,,0 CDM,3793_65862022660,"Clarithromycin: 60 Tablet, Film Coated In 1 Bottle (65862-226-60)",6.0,6.0,,,0 CDM,37962_70121249605,Lioresal (Baclofen): 5 Ampule In 1 Box (70121-2496-5) / 1 Ml In 1 Ampule,204.5,204.5,,,0 CDM,37962_70257056255,Lioresal (Baclofen): 5 Ampule In 1 Box (70257-562-55) / 1 Ml In 1 Ampule (70257-562-11),220.9,220.9,,,0 CDM,37981479,Hc Non-Syndromic Monogenic Obesity Panel Other,1320.0,1320.0,,,0 CDM,37991_70199002611,"Aquasol A: 1 Vial, Single-Dose In 1 Carton (70199-026-11) / 2 Ml In 1 Vial, Single-Dose",4213.68,4213.68,,,0 CDM,38080299,Hc Mitotane (Lysodren),441.0,441.0,,,0 CDM,38081479,Hc Rubenstein-Taybi Syndrome Panel Ep300,2200.0,2200.0,,,0 CDM,38100_00143936101,"Micafungin: 1 Vial In 1 Carton (0143-9361-01) / 5 Injection, Powder, Lyophilized, For Solution In 1 Vial",8.38,8.38,,,0 CDM,38100_00469325010,"Mycamine: 10 Vial, Single-Dose In 1 Carton (0469-3250-10) / 5 Ml In 1 Vial, Single-Dose",10.47,10.47,,,0 CDM,38100_42023022901,NDC Description Not Available,8.43,8.43,,,0 CDM,38100_63323072801,NDC Description Not Available,4.52,4.52,,,0 CDM,38100_63323072810,"Micafungin: 10 Carton In 1 Carton (63323-728-10) / 1 Vial, Single-Dose In 1 Carton (63323-728-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",4.83,4.83,,,0 CDM,38168_60687021695,NDC Description Not Available,115.18,115.18,,,0 CDM,38168_65862084130,Entecavir: 1 Bottle In 1 Carton (65862-841-30) / 30 Tablet In 1 Bottle,13.23,13.23,,,0 CDM,38180299,"Hc Risankuzumab, S",680.0,680.0,,,0 CDM,38181479,Hc Severe Congenital Neutropenia Panel Other,2200.0,2200.0,,,0 CDM,38205_PBB,Pr Bld-Drv Hematop Progen Cell Hrvg Trnsplj Algnc-Pbb,5434.0,5434.0,,,0 CDM,38206_PBB,Pr Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol-Pbb,5434.0,5434.0,,,0 CDM,38220_APN,Pr Diagnostic Bone Marrow Aspirations-Apn,1996.0,1996.0,,,0 CDM,38220_PBB,Pr Diagnostic Bone Marrow Aspirations-Pbb,1996.0,1996.0,,,0 CDM,38221_APN,Pr Diagnostic Bone Marrow Biopsies-Apn,2156.0,2156.0,,,0 CDM,38221_PBB,Pr Diagnostic Bone Marrow Biopsies-Pbb,2156.0,2156.0,,,0 CDM,38222_APN,Pr Diagnostic Bone Marrow Biopsies & Aspirations-Apn,247.0,247.0,,,0 CDM,38222_PBB,Pr Diagnostic Bone Marrow Biopsies & Aspirations-Pbb,247.0,247.0,,,0 CDM,38225_PBB,Pr Car-T Therapy Hrvg Bld-Drv T Lymphcyt Pr Day-Pbb,4333.0,4333.0,,,0 CDM,38228_PBB,Pr Car-T Therapy Autol Car-T Cell Administration-Pbb,6212.0,6212.0,,,0 CDM,38240_PBB,Pr Trnsplj Allogeneic Hematopoietic Cells Per Donor-Pbb,6259.0,6259.0,,,0 CDM,38241_PBB,Pr Trnsplj Autologous Hematopoietic Cells Per Donor-Pbb,5654.0,5654.0,,,0 CDM,38242_PBB,Pr Allogeneic Lymphocyte Infusions-Pbb,7048.0,7048.0,,,0 CDM,38243_PBB,Pr Trnsplj Hematopoietic Cell Boost-Pbb,1002.0,1002.0,,,0 CDM,38280299,"Hc Eculizumab, S",830.0,830.0,,,0 CDM,38281479,"Hc 46,Xx Disorders Other",1320.0,1320.0,,,0 CDM,38296_00574031216,NDC Description Not Available,6.0,6.0,,,0 CDM,38309044,Hc Liquid Plasma,659.0,659.0,,,0 CDM,3831_43598020451,amoxicillin and clavulanate potassium: 75 mL in 1 BOTTLE (43598-204-51),57.7,57.7,,,0 CDM,3831_60432006547,"Amoxicillin And Clavulanate Potassium: 150 Ml In 1 Bottle, Plastic (60432-065-47)",27.19,27.19,,,0 CDM,3831_81964020407,Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle (81964-204-07),24.23,24.23,,,0 CDM,38381479,Hc Hypercholesterolemia Panel Other,1320.0,1320.0,,,0 CDM,3841_68682001227,ethacrynic sodium: 1 VIAL in 1 CARTON (68682-012-27) / 50 mL in 1 VIAL,25453.3,25453.3,,,0 CDM,38420_49281040010,Adacel Tdap: 10 Vial In 1 Package (49281-400-10) / .5 Ml In 1 Vial (49281-400-58),308.45,308.45,,,0 CDM,38420_58160084201,NDC Description Not Available,304.69,304.69,,,0 CDM,38420_58160084205,NDC Description Not Available,285.09,285.09,,,0 CDM,38420_58160084211,Boostrix: 10 Vial In 1 Carton (58160-842-11) / .5 Ml In 1 Vial (58160-842-01),303.76,303.76,,,0 CDM,38420_58160084243,NDC Description Not Available,305.89,305.89,,,0 CDM,38420_58160084252,Boostrix: 10 Syringe In 1 Carton (58160-842-52) / .5 Ml In 1 Syringe (58160-842-43),306.64,306.64,,,0 CDM,3842_00487990401,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-9904-01) / 1 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",4.12,4.12,,,0 CDM,3842_00487990425,"Albuterol Sulfate: 25 Pouch In 1 Carton (0487-9904-25) / 1 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",4.12,4.12,,,0 CDM,38458_00378911916,NDC Description Not Available,100.71,100.71,,,0 CDM,38458_00378911998,Fentanyl: 5 Pouch In 1 Carton (0378-9119-98) / 1 Patch In 1 Pouch (0378-9119-16) / 72 H In 1 Patch,100.71,100.71,,,0 CDM,38458_47781042311,NDC Description Not Available,100.71,100.71,,,0 CDM,38481479,Hc 2-Hydroxyglutaric Aciduria Panel Other,2200.0,2200.0,,,0 CDM,3848_53276101002,NDC Description Not Available,1178.0,1178.0,,,0 CDM,38500_PBB,Pr Bx/Exc Lymph Node Open Superficial-Pbb,5752.0,5752.0,,,0 CDM,38505_PBB,Pr Bx/Exc Lymph Node Needle Superficial-Pbb,3199.0,3199.0,,,0 CDM,38524_00781331570,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-3315-70) / 10 Ml In 1 Vial, Single-Use",2.01,2.01,,,0 CDM,38524_60505613206,Oxaliplatin: 1 Vial In 1 Carton (60505-6132-6) / 10 Ml In 1 Vial,1.34,1.34,,,0 CDM,38524_61703036318,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (61703-363-18) / 10 Ml In 1 Vial, Single-Dose",3.21,3.21,,,0 CDM,38524_67457046910,Oxaliplatin: 1 Vial In 1 Carton (67457-469-10) / 10 Ml In 1 Vial,3.34,3.34,,,0 CDM,38524_71288010110,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (71288-101-10) / 10 Ml In 1 Vial, Single-Dose",1.0,1.0,,,0 CDM,38525_00781331780,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-3317-80) / 20 Ml In 1 Vial, Single-Use",2.01,2.01,,,0 CDM,38525_25021023320,Oxaliplatin: 1 Vial In 1 Carton (25021-233-20) / 20 Ml In 1 Vial,1.67,1.67,,,0 CDM,38525_60505613207,Oxaliplatin: 1 Vial In 1 Carton (60505-6132-7) / 20 Ml In 1 Vial,1.34,1.34,,,0 CDM,38525_61703036322,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (61703-363-22) / 20 Ml In 1 Vial, Single-Dose",3.21,3.21,,,0 CDM,38525_72603010101,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (72603-101-01) / 20 Ml In 1 Vial, Single-Dose",3.3,3.3,,,0 CDM,38564_00904546052,NDC Description Not Available,5.89,5.89,,,0 CDM,38564_01000670038,NDC Description Not Available,5.88,5.88,,,0 CDM,38564_07733311025,NDC Description Not Available,5.94,5.94,,,0 CDM,38581479,Hc Single Gene Repeat Expansion Analysis - Fgf14,685.0,685.0,,,0 CDM,38624_68135002001,Naglazyme: 1 Vial In 1 Carton (68135-020-01) / 5 Ml In 1 Vial,2111.4,2111.4,,,0 CDM,38632_42023017901,NDC Description Not Available,30.37,30.37,,,0 CDM,38632_42023017905,Buprenorphine Hydrochloride: 5 Vial In 1 Carton (42023-179-05) / 1 Ml In 1 Vial,30.77,30.77,,,0 CDM,38640_00093551798,"Sildenafil: 90 Tablet, Film Coated In 1 Bottle (0093-5517-98)",5.43,5.43,,,0 CDM,38640_00904667104,"Sildenafil: 30 Blister Pack In 1 Carton (0904-6671-04) / 1 Tablet, Film Coated In 1 Blister Pack",7.21,7.21,,,0 CDM,38640_00904667106,"Sildenafil: 50 Blister Pack In 1 Carton (0904-6671-06) / 1 Tablet, Film Coated In 1 Blister Pack",5.74,5.74,,,0 CDM,38640_50268071711,NDC Description Not Available,5.71,5.71,,,0 CDM,38640_60687041611,NDC Description Not Available,6.09,6.09,,,0 CDM,38640_60687078811,NDC Description Not Available,7.22,7.22,,,0 CDM,38640_63739007233,"Sildenafil: 3 Blister Pack In 1 Box, Unit-Dose (63739-072-33) / 10 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 CDM,3864_00143932801,NDC Description Not Available,2.36,2.36,,,0 CDM,3864_00409116001,"Bupivacaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-1160-01) / 50 Ml In 1 Vial, Multi-Dose (0409-1160-18)",4.66,4.66,,,0 CDM,3864_00409116018,NDC Description Not Available,5.85,5.85,,,0 CDM,3864_00409158750,"Marcaine: 1 Vial, Multi-Dose In 1 Carton (0409-1587-50) / 50 Ml In 1 Vial, Multi-Dose",0.48,0.48,,,0 CDM,3864_55150024950,"Bupivacaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-249-50) / 50 Ml In 1 Vial, Multi-Dose",0.6,0.6,,,0 CDM,3864_63323046501,NDC Description Not Available,5.86,5.86,,,0 CDM,3864_63323046557,"Sensorcaine: 25 Vial, Multi-Dose In 1 Tray (63323-465-57) / 50 Ml In 1 Vial, Multi-Dose (63323-465-01)",5.9,5.9,,,0 CDM,38671_63323096010,"Tigecycline: 10 Vial, Single-Dose In 1 Carton (63323-960-10) / 5 Ml In 1 Vial, Single-Dose (63323-960-01)",20.9,20.9,,,0 CDM,3867_00093716456,"Tolterodine Tartrate: 30 Capsule, Extended Release In 1 Bottle (0093-7164-56)",39.86,39.86,,,0 CDM,3867_00904659304,"Tolterodine Tartrate: 30 Blister Pack In 1 Carton (0904-6593-04) / 1 Capsule, Extended Release In 1 Blister Pack",58.9,58.9,,,0 CDM,3867_59762004801,"Tolterodine Tartrate Extended Release: 30 Capsule, Extended Release In 1 Bottle (59762-0048-1)",15.68,15.68,,,0 CDM,3868_00555087202,Medroxyprogesterone Acetate: 100 Tablet In 1 Bottle (0555-0872-02),4.0,4.0,,,0 CDM,3871_55289005715,"Cephalexin: 15 Capsule In 1 Bottle, Plastic (55289-057-15)",3.0,3.0,,,0 CDM,3871_60687015211,NDC Description Not Available,5.18,5.18,,,0 CDM,3871_65862001801,Cephalexin: 100 Capsule In 1 Bottle (65862-018-01),5.6,5.6,,,0 CDM,38741_00944270004,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-04) / 50 Ml In 1 Bottle, Glass (0944-2700-10)",567.89,567.89,,,0 CDM,38741_00944270005,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-05) / 100 Ml In 1 Bottle, Glass (0944-2700-11)",584.94,584.94,,,0 CDM,38741_00944270006,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-06) / 200 Ml In 1 Bottle, Glass (0944-2700-12)",567.89,567.89,,,0 CDM,38741_00944270007,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-07) / 300 Ml In 1 Bottle, Glass (0944-2700-13)",578.12,578.12,,,0 CDM,38741_00944270010,NDC Description Not Available,567.89,567.89,,,0 CDM,38741_00944270011,NDC Description Not Available,573.29,573.29,,,0 CDM,38741_00944270012,NDC Description Not Available,576.42,576.42,,,0 CDM,38742_67066000501,"Chirhostim: 8 Ml In 1 Vial, Single-Use (67066-005-01)",219.84,219.84,,,0 CDM,38760_24338001009,"Bidil: 90 Tablet, Film Coated In 1 Bottle (24338-010-09)",28.4,28.4,,,0 CDM,38760_24338001018,"180 TABLET, FILM COATED in 1 BOTTLE (24338-010-18)",23.78,23.78,,,0 CDM,38760_52536000609,"Isosorbide Dinitrate And Hydralazine Hydrochloride: 90 Tablet, Film Coated In 1 Bottle (52536-006-09)",6.82,6.82,,,0 CDM,38790_PBB,Pr Injection Procedure Lymphangiography-Pbb,727.0,727.0,,,0 CDM,38805_08068113400,NDC Description Not Available,1.39,1.39,,,0 CDM,38881479,Hc Ahus/Tma/C3G Genes Other,2640.0,2640.0,,,0 CDM,38891_50580013444,Imodium A-D: 120 Ml In 1 Bottle (50580-134-44),2.14,2.14,,,0 CDM,38891_68094012959,NDC Description Not Available,5.02,5.02,,,0 CDM,3894_00406012301,Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle (0406-0123-01),4.13,4.13,,,0 CDM,3894_00406012323,Hydrocodone Bitartrate And Acetaminophen: 1 Tablet In 1 Blister Pack (0406-0123-23),4.25,4.25,,,0 CDM,3894_00406012362,Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Blister Pack (0406-0123-62),4.89,4.89,,,0 CDM,3894_53746010901,Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle (53746-109-01),6.0,6.0,,,0 CDM,38981479,Long Qt Syndrome Panel Other,1320.0,1320.0,,,0 CDM,389_00093310905,Amoxicillin: 500 Capsule In 1 Bottle (0093-3109-05),3.96,3.96,,,0 CDM,389_16714029903,Amoxicillin: 100 Capsule In 1 Bottle (16714-299-03),3.68,3.68,,,0 CDM,389_55289002060,"Amoxicillin: 60 Capsule In 1 Bottle, Plastic (55289-020-60)",1.5,1.5,,,0 CDM,39000000,Hc Platelet Washing,539.0,539.0,,,0 CDM,39009010,Hc Reconstituted Blood,1042.0,1042.0,,,0 CDM,39009011,"Hc Red Blood Count 70Cc Or Less, Per Unit",929.0,929.0,,,0 CDM,39009012,"Hc Cryoprecipitate, Each Unit",568.0,568.0,,,0 CDM,39009016,"Hc Red Blood Cells, Leukocytes Reduced, Each Unit",2000.0,2000.0,,,0 CDM,39009017,"Hc Ffp, Peds Unit",465.0,465.0,,,0 CDM,39009022,"Hc Red Blood Cells, Washed, Each Unit",3008.0,3008.0,,,0 CDM,39009026,Hc Cryo Fib Comp Path Redu Each,650.0,650.0,,,0 CDM,39009034,"Hc Platelets, Pheresis, Each Unit",2353.0,2353.0,,,0 CDM,39009035,Hc Platelets Pas Phr(6) L/R,5028.0,5028.0,,,0 CDM,39009037,Hc Platelets Pas Phr(1) L/R Irr Pr Unt,1720.0,1720.0,,,0 CDM,39009039,"Hc Red Blood Cells, Deglycerolized, Each Unit",3980.0,3980.0,,,0 CDM,39009040,"Hc Red Bloods Cells, Leukocytes Reduced, Irradiated, Each Unit",2405.0,2405.0,,,0 CDM,39009044,"Hc Plasma Cryoprecipitate Reduced, Each Unit",599.0,599.0,,,0 CDM,39009050,"Hc Granulocytes, Pheresis, Each Unit",7675.0,7675.0,,,0 CDM,39009052,"Hc Platelets, Pheresis, Leukocutes Reduced, Cmv-Negative, Irradiated, Each Unit",7489.0,7489.0,,,0 CDM,39009059,"Hc Fresh Frozen Plasma Between 8-24 Hours Of Collection, Each Unit",599.0,599.0,,,0 CDM,39009073,Hc Platelets Pher Pathogen Reduced Unit (6),5344.0,5344.0,,,0 CDM,39025_60687047311,NDC Description Not Available,8.36,8.36,,,0 CDM,39025_62332011990,Pregabalin: 90 Capsule In 1 Bottle (62332-119-90),5.52,5.52,,,0 CDM,39026_00904699261,Pregabalin: 100 Blister Pack In 1 Carton (0904-6992-61) / 1 Capsule In 1 Blister Pack,5.67,5.67,,,0 CDM,39026_60687048401,"Pregabalin: 100 Blister Pack In 1 Box, Unit-Dose (60687-484-01) / 1 Capsule In 1 Blister Pack (60687-484-11)",8.36,8.36,,,0 CDM,39026_60687048411,NDC Description Not Available,8.36,8.36,,,0 CDM,39026_64980041109,Pregabalin: 90 Capsule In 1 Bottle (64980-411-09),5.53,5.53,,,0 CDM,39027_00904700061,Pregabalin: 100 Blister Pack In 1 Carton (0904-7000-61) / 1 Capsule In 1 Blister Pack,5.58,5.58,,,0 CDM,39027_60687049501,"Pregabalin: 100 Blister Pack In 1 Box, Unit-Dose (60687-495-01) / 1 Capsule In 1 Blister Pack (60687-495-11)",8.36,8.36,,,0 CDM,39027_60687049511,NDC Description Not Available,8.36,8.36,,,0 CDM,39027_69238131209,Pregabalin: 90 Capsule In 1 Bottle (69238-1312-9),6.0,6.0,,,0 CDM,39028_00904700161,Pregabalin: 100 Blister Pack In 1 Carton (0904-7001-61) / 1 Capsule In 1 Blister Pack,5.5,5.5,,,0 CDM,39028_60687050611,NDC Description Not Available,8.36,8.36,,,0 CDM,39029_00904700261,Pregabalin: 100 Blister Pack In 1 Carton (0904-7002-61) / 1 Capsule In 1 Blister Pack,5.99,5.99,,,0 CDM,39029_60687051701,"Pregabalin: 100 Blister Pack In 1 Box, Unit-Dose (60687-517-01) / 1 Capsule In 1 Blister Pack (60687-517-11)",8.36,8.36,,,0 CDM,39029_60687051711,NDC Description Not Available,8.36,8.36,,,0 CDM,39029_72205001590,Pregabalin: 90 Capsule In 1 Bottle (72205-015-90),5.41,5.41,,,0 CDM,39038_42799021701,"Opium Tincture Deodorized: 118 Ml In 1 Bottle, Plastic (42799-217-01)",32.46,32.46,,,0 CDM,39052_00536120610,"Calcium Carbonate 10 Gr (648 Mg) (Antacid): 1000 Tablet In 1 Bottle, Plastic (0536-1206-10)",1.93,1.93,,,0 CDM,39053_43598074130,Ramelteon: 30 Tablet In 1 Bottle (43598-741-30),60.31,60.31,,,0 CDM,39053_50268070811,NDC Description Not Available,24.26,24.26,,,0 CDM,39053_52817023530,"Ramelteon: 30 Tablet, Film Coated In 1 Bottle, Plastic (52817-235-30)",7.02,7.02,,,0 CDM,39053_64764080510,"Rozerem: 100 Tablet, Film Coated In 1 Bottle (64764-805-10)",80.4,80.4,,,0 CDM,39081479,Catecholaminergic Polymorphic Ventricular Tachycardia Panel Other,1320.0,1320.0,,,0 CDM,39086890,"Hc Autologous Blood Or Component, Collection Processing And Storage; Predeposited",1235.0,1235.0,,,0 CDM,39086965,Hc Pooling Of Platelets Or Other Blood Products,250.0,250.0,,,0 CDM,39086985,"Hc Splitting Of Blood Or Blood Products, Each Unit",312.0,312.0,,,0 CDM,39098_03160401796,NDC Description Not Available,2.0,2.0,,,0 CDM,39100000,Hc Directed Donor Unit Maintenance,396.0,396.0,,,0 CDM,39109010,Hc Whole Blood Per Unit,1412.0,1412.0,,,0 CDM,39109017,"Hc Ffp, Single Donor",744.0,744.0,,,0 CDM,39109035,Hc Platelet Aph/Pher L/R Unit 6 Pr Unt,5008.0,5008.0,,,0 CDM,39109037,Hc Platelets Pas Phr(2) L/R Irr Pr Unt,2251.0,2251.0,,,0 CDM,39109052,"Hc Plate, Hla-Matched Leukocytes Reduce, Aspheresis/Pheresis, Each",6440.0,6440.0,,,0 CDM,39109073,Hc Platelets Pher Pathogen Reduced Unit (1),1549.0,1549.0,,,0 CDM,39118_50289325001,Aer Pre-Moistened Witch Hazel Pad: 40 Applicator In 1 Jar (50289-3250-1) / 2.8 Ml In 1 Applicator,0.11,0.11,,,0 CDM,39136430,Hc Blood Transfusion,4189.0,4189.0,,,0 CDM,3917_00832030300,"Chlorpromazine Hydrochloride: 100 TABLET, SUGAR COATED in 1 BOTTLE (0832-0303-00)",2.39,2.39,,,0 CDM,3917_00904713261,"Chlorpromazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7132-61) / 1 Tablet, Film Coated In 1 Blister Pack",3.87,3.87,,,0 CDM,3917_60687045211,NDC Description Not Available,4.03,4.03,,,0 CDM,39181479,Pulmonary Arterial Hypertension Panel Other,1320.0,1320.0,,,0 CDM,39209035,Hc Platelet Aph/Pher L/R Per Unit 1,818.0,818.0,,,0 CDM,39209037,Hc Platelets Pas Phr(3) L/R Irr Pr Unt,2812.0,2812.0,,,0 CDM,39209073,Hc Platelets Pher Pathogen Reduced Unit (3),2672.0,2672.0,,,0 CDM,39220_PBB,Pr Resection Mediastinal Tumor-Pbb,2439.0,2439.0,,,0 CDM,39236430,Hc Blood Administration Inpatient,4442.0,4442.0,,,0 CDM,39243_32909011500,"Varibar Nectar: 240 mL in 1 BOTTLE, PLASTIC (32909-115-00)",14.6,14.6,,,0 CDM,3924_00093106101,Sotalol Hydrochloride: 100 Tablet In 1 Bottle (0093-1061-01),6.0,6.0,,,0 CDM,3924_68084065411,NDC Description Not Available,7.89,7.89,,,0 CDM,39281479,Loeys-Dietz Syndrome Panel Other,1320.0,1320.0,,,0 CDM,39309035,Hc Platelet Aph/Pher L/R Per Unit 3,2471.0,2471.0,,,0 CDM,39309037,Hc Platelets Pas Phr(4) L/R Irr Pr Unt,3593.0,3593.0,,,0 CDM,39309073,Hc Platelets Pher Pathogen Reduced Unit (5),4275.0,4275.0,,,0 CDM,39381479,Hc Hemochromatosis Panel Other,1320.0,1320.0,,,0 CDM,3939_00378910416,NDC Description Not Available,6.0,6.0,,,0 CDM,3939_47781029703,Nitroglycerin Transdermal Delivery System: 30 PATCH in 1 CARTON (47781-297-03) / 12 h in 1 PATCH,6.0,6.0,,,0 CDM,39409035,Hc Platelet Aph/Pher L/R Per Unit 4,3140.0,3140.0,,,0 CDM,39409037,Hc Platelets Pas Phr(5) L/R Irr Pr Unt,4598.0,4598.0,,,0 CDM,39509035,Hc Platelet Aph/Pher L/R Per Unit 5,4193.0,4193.0,,,0 CDM,39509037,Hc Platelets Pas Phr(6) L/R Irr Pr Unt,5533.0,5533.0,,,0 CDM,39609037,"Hc Platelets, Phr,L/R,Irr Unit(1)",1632.0,1632.0,,,0 CDM,39709037,"Hc Platelets, Phr,L/R,Irr Unit(2)",2136.0,2136.0,,,0 CDM,39759_99999107101,NDC Description Not Available,96.5,96.5,,,0 CDM,39761_00264751010,Dextrose: 24 Container In 1 Case (0264-7510-10) / 500 Ml In 1 Container,193.0,193.0,,,0 CDM,39761_00264751020,Dextrose: 24 Container In 1 Case (0264-7510-20) / 250 Ml In 1 Container,193.0,193.0,,,0 CDM,39761_00338001702,Dextrose: 250 Ml In 1 Bag (0338-0017-02),193.0,193.0,,,0 CDM,39761_00338001703,Dextrose: 500 Ml In 1 Bag (0338-0017-03),193.0,193.0,,,0 CDM,39761_00338001718,Dextrose: 4 Bag In 1 Pouch (0338-0017-18) / 100 Ml In 1 Bag,193.0,193.0,,,0 CDM,39761_00338001731,Dextrose: 16 Bag In 1 Pouch (0338-0017-31) / 50 Ml In 1 Bag,190.24,190.24,,,0 CDM,39761_00338001738,Dextrose: 16 Bag In 1 Pouch (0338-0017-38) / 100 Ml In 1 Bag,192.18,192.18,,,0 CDM,39762_00264780000,Sodium Chloride: 12 Container In 1 Case (0264-7800-00) / 1000 Ml In 1 Container,173.7,173.7,,,0 CDM,39762_00264780010,Sodium Chloride: 24 Container In 1 Case (0264-7800-10) / 500 Ml In 1 Container,193.0,193.0,,,0 CDM,39762_00264780020,Sodium Chloride: 24 Container In 1 Case (0264-7800-20) / 250 Ml In 1 Container,185.72,185.72,,,0 CDM,39762_00338004902,Sodium Chloride: 250 Ml In 1 Bag (0338-0049-02),180.72,180.72,,,0 CDM,39762_00338004903,Sodium Chloride: 500 Ml In 1 Bag (0338-0049-03),172.15,172.15,,,0 CDM,39762_00338004904,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),184.7,184.7,,,0 CDM,39762_00338004931,Sodium Chloride: 16 Bag In 1 Package (0338-0049-31) / 50 Ml In 1 Bag,119.38,119.38,,,0 CDM,39762_00338004938,Sodium Chloride: 16 Bag In 1 Package (0338-0049-38) / 100 Ml In 1 Bag,180.34,180.34,,,0 CDM,39762_00338004948,Sodium Chloride: 1 Bag In 1 Package (0338-0049-48) / 100 Ml In 1 Bag,193.0,193.0,,,0 CDM,39762_00338954302,Sodium Chloride: 250 Ml In 1 Bag (0338-9543-02),191.04,191.04,,,0 CDM,39762_00338954304,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-04),185.17,185.17,,,0 CDM,39762_00338979101,NDC Description Not Available,192.28,192.28,,,0 CDM,39762_76297000132,NDC Description Not Available,193.0,193.0,,,0 CDM,39764_99999107601,NDC Description Not Available,193.0,193.0,,,0 CDM,39768_99999108001,NDC Description Not Available,193.0,193.0,,,0 CDM,397_60687059211,NDC Description Not Available,6.78,6.78,,,0 CDM,397_68462033390,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (68462-333-90),4.08,4.08,,,0 CDM,39809037,"Hc Platelets, Phr,L/R,Irr Unit(3)",2803.0,2803.0,,,0 CDM,3984_00093733401,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (0093-7334-01),4.24,4.24,,,0 CDM,3984_31722087801,Mycophenolate Mofetil: 1 Bottle In 1 Carton (31722-878-01) / 100 Capsule In 1 Bottle,3.99,3.99,,,0 CDM,3984_51079072101,NDC Description Not Available,3.19,3.19,,,0 CDM,3984_60687088511,NDC Description Not Available,4.01,4.01,,,0 CDM,39881_00409131901,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-1319-01) / 100 Ml In 1 Vial, Pharmacy Bulk Package",12.46,12.46,,,0 CDM,39881_00409651001,"Vancomycin Hydrochloride: 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON (0409-6510-01) / 100 mL in 1 VIAL, PHARMACY BULK PACKAGE",23.27,23.27,,,0 CDM,39881_25021015899,Vancomycin: 1 Bottle In 1 Carton (25021-158-99) / 100 Ml In 1 Bottle,11.88,11.88,,,0 CDM,39889_00143992490,Cefazolin: 3 Ml In 1 Vial (0143-9924-90),82.71,82.71,,,0 CDM,39897_60505075304,"Ceftriaxone: 10 VIAL in 1 CARTON (60505-0753-4) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL",24.12,24.12,,,0 CDM,39909037,"Hc Platelets, Phr,L/R,Irr Unit(4)",3793.0,3793.0,,,0 CDM,39929_63323006401,NDC Description Not Available,22.52,22.52,,,0 CDM,39929_63323006403,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Carton (63323-064-03) / 2 Ml In 1 Vial, Single-Dose (63323-064-01)",34.31,34.31,,,0 CDM,39929_63323006404,NDC Description Not Available,22.18,22.18,,,0 CDM,39929_63323006410,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-064-10) / 10 Ml In 1 Vial, Single-Dose",17.42,17.42,,,0 CDM,39929_63323006411,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-064-11) / 10 Ml In 1 Vial, Single-Dose (63323-064-04)",27.48,27.48,,,0 CDM,39929_63323064201,NDC Description Not Available,27.34,27.34,,,0 CDM,39930_99999002846,NDC Description Not Available,9.3,9.3,,,0 CDM,39938_99999100001,NDC Description Not Available,3.14,3.14,,,0 CDM,39939_99999100101,NDC Description Not Available,124.0,124.0,,,0 CDM,39940_99999002511,NDC Description Not Available,124.0,124.0,,,0 CDM,39941_99999100301,NDC Description Not Available,1.12,1.12,,,0 CDM,39942_50242004164,Cathflo Activase: 1 Vial In 1 Carton (50242-041-64) / 2 Ml In 1 Vial,588.33,588.33,,,0 CDM,39945_99999100901,NDC Description Not Available,237.15,237.15,,,0 CDM,39946_99999101001,NDC Description Not Available,0.6,0.6,,,0 CDM,39948_99999101201,NDC Description Not Available,3.94,3.94,,,0 CDM,39949_99999101301,NDC Description Not Available,7.07,7.07,,,0 CDM,39954_99999101801,NDC Description Not Available,6.0,6.0,,,0 CDM,39956_99999102001,NDC Description Not Available,17.5,17.5,,,0 CDM,39957_99999003147,NDC Description Not Available,47.14,47.14,,,0 CDM,39957_99999102101,NDC Description Not Available,2.55,2.55,,,0 CDM,39961_99999102501,NDC Description Not Available,2.0,2.0,,,0 CDM,39966_99999103001,NDC Description Not Available,5.29,5.29,,,0 CDM,39970_99999103701,NDC Description Not Available,4.22,4.22,,,0 CDM,39976_99999104501,NDC Description Not Available,4.86,4.86,,,0 CDM,39993_99999105301,NDC Description Not Available,1.9,1.9,,,0 CDM,39994_99999105401,NDC Description Not Available,1.84,1.84,,,0 CDM,40000_99999105901,NDC Description Not Available,12.0,12.0,,,0 CDM,40005_99999106301,NDC Description Not Available,10.11,10.11,,,0 CDM,40007_99999106501,NDC Description Not Available,12.35,12.35,,,0 CDM,40009037,"Hc Platelets, Phr,L/R,Irr Unit(5)",4627.0,4627.0,,,0 CDM,40009_00409651001,"Vancomycin Hydrochloride: 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON (0409-6510-01) / 100 mL in 1 VIAL, PHARMACY BULK PACKAGE",59.77,59.77,,,0 CDM,4001_00832121900,Jantoven: 100 Tablet In 1 Bottle (0832-1219-00),6.0,6.0,,,0 CDM,4001_00832121901,Jantoven: 100 Blister Pack In 1 Carton (0832-1219-01) / 1 Tablet In 1 Blister Pack (0832-1219-89),6.0,6.0,,,0 CDM,4001_00832121989,NDC Description Not Available,5.68,5.68,,,0 CDM,40078815,Hc Pet Imaging Initial Staging Head&Neck,15173.0,15173.0,,,0 CDM,4008_00143955101,NDC Description Not Available,438.91,438.91,,,0 CDM,4008_00143955110,Daunorubicin Hydrochloride: 10 Vial In 1 Box (0143-9551-10) / 4 Ml In 1 Vial (0143-9551-01),449.37,449.37,,,0 CDM,4008_00703523313,"daunorubicin hydrochloride: 10 VIAL, SINGLE-DOSE in 1 CARTON (0703-5233-13) / 4 mL in 1 VIAL, SINGLE-DOSE (0703-5233-11)",428.66,428.66,,,0 CDM,4008_42658002101,Daunorubicin Hydrochloride: 1 Vial In 1 Box (42658-021-01) / 4 Ml In 1 Vial,415.52,415.52,,,0 CDM,40099_99999005234,NDC Description Not Available,41.45,41.45,,,0 CDM,40100204,"Hc Diagnostic Mammography, Producing Direct 2D Digital Image, Bilateral, All Views",719.0,719.0,,,0 CDM,40100206,"Hc Diagnostic Mammography, Producing Direct 2D Digital Image, Unilateral, All Views",538.0,538.0,,,0 CDM,40100245_00409121501,"Naloxone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0409-1215-01) / 1 Ml In 1 Vial, Single-Dose (0409-1215-21)",100.01,100.01,,,0 CDM,40100245_67457029900,NDC Description Not Available,311.55,311.55,,,0 CDM,40100275_70121156801,Releuko: 1 Syringe In 1 Box (70121-1568-1) / .5 Ml In 1 Syringe,7.1,7.1,,,0 CDM,40100275_70121156807,Releuko: 10 Syringe In 1 Box (70121-1568-7) / .5 Ml In 1 Syringe,7.1,7.1,,,0 CDM,40100277_70121157001,Releuko: 1 Syringe In 1 Box (70121-1570-1) / .8 Ml In 1 Syringe,3.55,3.55,,,0 CDM,40100279_09999006591,NDC Description Not Available,130.2,130.2,,,0 CDM,40100281_00409343501,NDC Description Not Available,61.81,61.81,,,0 CDM,40100281_00409468822,NDC Description Not Available,96.5,96.5,,,0 CDM,40100281_09999006598,NDC Description Not Available,21.7,21.7,,,0 CDM,40100281_25021018482,Fluconazole: 10 Pouch In 1 Carton (25021-184-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,87.45,87.45,,,0 CDM,40100281_25021018487,Fluconazole: 10 Pouch In 1 Carton (25021-184-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,53.61,53.61,,,0 CDM,40100283_00338604537,Fluconazole: 10 Bag In 1 Carton (0338-6045-37) / 200 Ml In 1 Bag,58.24,58.24,,,0 CDM,40100283_00409343501,NDC Description Not Available,50.25,50.25,,,0 CDM,40100283_09999006600,NDC Description Not Available,21.7,21.7,,,0 CDM,40100283_25021018482,Fluconazole: 10 Pouch In 1 Carton (25021-184-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,60.3,60.3,,,0 CDM,40100283_25021018487,Fluconazole: 10 Pouch In 1 Carton (25021-184-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,40.53,40.53,,,0 CDM,40109037,"Hc Platelets, Phr,L/R,Irr Unit(6)",5558.0,5558.0,,,0 CDM,4014_00006351659,"Primaxin Iv: 25 Vial, Single-Dose In 1 Tray (0006-3516-59) / 100 Ml In 1 Vial, Single-Dose",96.5,96.5,,,0 CDM,4014_00409350701,"Imipenem and Cilastatin: 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-3507-01) / 100 mL in 1 VIAL, SINGLE-DOSE (0409-3507-21)",96.5,96.5,,,0 CDM,4014_44567070501,NDC Description Not Available,94.06,94.06,,,0 CDM,4014_63323032201,NDC Description Not Available,98.1,98.1,,,0 CDM,4014_63323032225,"Imipenem And Cilastatin: 25 Vial, Single-Dose In 1 Carton (63323-322-25) / 20 Ml In 1 Vial, Single-Dose (63323-322-01)",96.69,96.69,,,0 CDM,40177061,Hc Digital Breast Tomosynthesis; Unilateral,102.0,102.0,,,0 CDM,40177062,Hc Digital Breast Tomosynthesis; Bilateral,114.0,114.0,,,0 CDM,40177065,Hc Diagnostic Mammography Including Computer-Aided Detection; Unilateral,538.0,538.0,,,0 CDM,40177066,Hc Diagnostic Mammography Including Computer-Aided Detection; Bilateral,719.0,719.0,,,0 CDM,40178815,Hc Pet Imaging Initial Staging Lymphoma,15173.0,15173.0,,,0 CDM,4017_00338604537,Fluconazole: 10 Bag In 1 Carton (0338-6045-37) / 200 Ml In 1 Bag,98.79,98.79,,,0 CDM,4017_00409468816,NDC Description Not Available,96.5,96.5,,,0 CDM,4017_25021018487,Fluconazole: 10 Pouch In 1 Carton (25021-184-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,97.48,97.48,,,0 CDM,4017_69784000306,Fluconazole in Sodium Chloride: 6 BAG in 1 CARTON (69784-003-06) / 200 mL in 1 BAG,96.5,96.5,,,0 CDM,40219_17856004503,"Max Relief Junior: 120 Syringe In 1 Box, Unit-Dose (17856-0045-3) / 2.5 Ml In 1 Syringe (17856-0045-7)",8.98,8.98,,,0 CDM,40219_17856018204,"ACETAMINOPHEN: 72 CUP, UNIT-DOSE in 1 BOX, UNIT-DOSE (17856-0182-4) / 5 mL in 1 CUP, UNIT-DOSE (17856-0182-5)",7.75,7.75,,,0 CDM,4022_45802027603,Hydrocortisone: 1 Tube In 1 Carton (45802-276-03) / 28 G In 1 Tube,13.19,13.19,,,0 CDM,40236583,Hc Replace Compl Tunneled Cent Inserted Cvad W/Pump Thru Same Access,16312.0,16312.0,,,0 CDM,40239_00517671001,NDC Description Not Available,73.79,73.79,,,0 CDM,40271_00641037621,NDC Description Not Available,59.0,59.0,,,0 CDM,40276376,"Hc 3D Rndrg W/Interpret/Rprt Of Ct,Mri,U/S Or Othr Modality;Not Req Img Pstprocess Indpndnt Wrkstn",1305.0,1305.0,,,0 CDM,40276376_PBB,"Hc 3D Rndrg W/Interpret/Rprt Of Ct,Mri,U/S Or Othr Modality;Not Req Img Pstprocess Indpndnt Wrkstn-P",1374.5,1374.5,,,0 CDM,40276506,"Hc Echoencephalogra, Real Time W/Image Document/A-Mode Encephalogra /2Ndary Compo Where Indicated",1186.0,1186.0,,,0 CDM,40276512,"Hc Ophthalmic Ultrasound, Diagnostic, B-Scan",788.0,788.0,,,0 CDM,40276512_PBB,"Hc Ophthalmic Ultrasound, Diagnostic, B-Scan-Pbb",1123.0,1123.0,,,0 CDM,40276513_PBB,"Hc Ophth Ultrasound, Echo, Ant, B-Scan/High Resolution Biomicroscopy-Pbb",638.5,638.5,,,0 CDM,40276514,"Hc Ophthalmic Ultrasound, Diagnostic, Corneal Pachymetry, Unilateral Or Bilateral",395.0,395.0,,,0 CDM,40276514_PBB,"Hc Ophthalmic Ultrasound, Diagnostic, Corneal Pachymetry, Unilateral Or Bilateral-Pbb",481.0,481.0,,,0 CDM,40276516,"Ophthalmic Biometry By Ultrasound Echography, A-Scan",410.0,410.0,,,0 CDM,40276516_PBB,"Ophthalmic Biometry By Ultrasound Echography, A-Scan-Pbb",632.0,632.0,,,0 CDM,40276519,"Hc Ophthalmic Biometry By Ultrasound Echography, A-Scan, With Intraocular Lends Power Calculation",657.0,657.0,,,0 CDM,40276519_PBB,"Hc Ophthalmic Biometry By Ultrasound Echography, A-Scan, With Intraocular Lends Power Calculation-Pb",874.5,874.5,,,0 CDM,40276536,"Hc Ultrasound, Soft Tissue Of Head And Neck, Real Time With Image Document",1708.0,1708.0,,,0 CDM,40276536_PBB,"Hc Ultrasound, Soft Tissue Of Head And Neck, Real Time With Image Document-Pbb",1912.0,1912.0,,,0 CDM,40276604,"Hc Ultrasound, Chest, Real Time With Image Documentation",1281.0,1281.0,,,0 CDM,40276604_GOLD,"Hc Ultrasound, Chest, Real Time With Image Documentation-Gold",1380.5,1380.5,,,0 CDM,40276604_GOLDPBB,"Hc Ultrasound, Chest, Real Time With Image Documentation-Gold,Pbb",1380.5,1380.5,,,0 CDM,40276604_PBB,"Hc Ultrasound, Chest, Real Time With Image Documentation-Pbb",1380.0,1380.0,,,0 CDM,40276641,"Hc U/S, Breast, Unilat, Real Time W/ Image Documentation, Incl Axilla When Perf, Complete",993.6,993.6,,,0 CDM,40276641_PBB,"Hc U/S, Breast, Unilat, Real Time W/ Image Documentation, Incl Axilla When Perf, Complete-Pbb",1112.0,1112.0,,,0 CDM,40276642,"Hc Ultrasound, Breast, Unilateral",929.0,929.0,,,0 CDM,40276642_PBB,"Hc Ultrasound, Breast, Unilateral-Pbb",1039.0,1039.0,,,0 CDM,40276700,"Hc Ultrasound, Abdominal, Real Time With Image Documentation, Complete",2716.0,2716.0,,,0 CDM,40276700_PBB,"Hc Ultrasound, Abdominal, Real Time With Image Documentation, Complete-Pbb",2915.5,2915.5,,,0 CDM,40276705,"Hc Ultrasound, Abdominal, Real Time With Image Documentation, Limited",2075.0,2075.0,,,0 CDM,40276705_GOLD,"Hc Ultrasound, Abdominal, Real Time With Image Documentation, Limited-Gold",2216.5,2216.5,,,0 CDM,40276705_GOLDPBB,"Hc Ultrasound, Abdominal, Real Time With Image Documentation, Limited-Gold,Pbb",2216.5,2216.5,,,0 CDM,40276705_PBB,"Hc Ultrasound, Abdominal, Real Time With Image Documentation, Limited-Pbb",2216.5,2216.5,,,0 CDM,40276706,Hc Ultrasound Abdominal Aorta Screening Abdominal Aortic Aneurysm,323.0,323.0,,,0 CDM,40276770,"Hc Ultrasound, Retroperitoneal, Real Time With Image Documentation, Complete",2138.0,2138.0,,,0 CDM,40276775,"Hc Ultrasound, Retroperitoneal, Real Time With Image Documentation, Limited",1912.0,1912.0,,,0 CDM,40276776,"Hc Ultrasound, Transplanted Kidney, Real Time And Duplex Doppler With Image Documentation",1175.0,1175.0,,,0 CDM,40276800,Hc Ultrasound Spinal Canal And Contents,824.0,824.0,,,0 CDM,40276801,"Hc U/S, Preg Uterus, Real Time W/Img Doc,Fetal And Maternal Evl,1St Trimester,Sngl /First Gestation",702.0,702.0,,,0 CDM,40276801_PBB,"Hc U/S, Preg Uterus, Real Time W/Img Doc,Fetal And Maternal Evl,1St Trimester,Sngl /First Gestation-",1038.5,1038.5,,,0 CDM,40276802,"Hc U/S Pregnant Uterus/Real Time W/Image Document/Fetal & Maternal Eval, First Trimes, Ea Add Gestat",481.0,481.0,,,0 CDM,40276802_PBB,"Hc U/S Pregnant Uterus/Real Time W/Image Document/Fetal & Maternal Eval, First Trimes, Ea Add Gestat",622.5,622.5,,,0 CDM,40276805,"Hc U/S,Preg Utrs,Rl Time W Image Doc,Ftl&Matrnl Eval,After 1St Tri,Transabd Appr,Single Or 1St Gest",1423.0,1423.0,,,0 CDM,40276805_PBB,"Hc U/S,Preg Utrs,Rl Time W Image Doc,Ftl&Matrnl Eval,After 1St Tri,Transabd Appr,Single Or 1St Gest-",1737.0,1737.0,,,0 CDM,40276810,"Hc U/S, Preg Utrs,Rl Time W/Img Doc,Fetal&Mtrnl Eval,After 1St Trim,Trnsabd Aprch,Sngl/First Gestatn",868.0,868.0,,,0 CDM,40276810_PBB,"Hc U/S, Preg Utrs,Rl Time W/Img Doc,Fetal&Mtrnl Eval,After 1St Trim,Trnsabd Aprch,Sngl/First Gestatn",1178.0,1178.0,,,0 CDM,40276811,"Hc Us, Preg Uterus,Real Time W Img Docn,Fet&Mat Eval Det Fet Anatomic Exam; Transabd;Sing/1St Gest",1678.0,1678.0,,,0 CDM,40276811_PBB,"Hc Us, Preg Uterus,Real Time W Img Docn,Fet&Mat Eval Det Fet Anatomic Exam; Transabd;Sing/1St Gest-P",2077.0,2077.0,,,0 CDM,40276812,"Hc Us,Preg Uterus,Rl Tm W Img Doc,Fet&Mat Eval Plus Det Fet Anatomic Exam;Transabd;Ea Add Gest",815.0,815.0,,,0 CDM,40276812_PBB,"Hc Us,Preg Uterus,Rl Tm W Img Doc,Fet&Mat Eval Plus Det Fet Anatomic Exam;Transabd;Ea Add Gest-Pbb",1156.0,1156.0,,,0 CDM,40276813,"Hc Us,Preg Uterus,Rl Tm W Img Doc,1St Tri Fet Nuchal Translucny Meas,Transabd/Transvag;Sing/1St Gest",1176.0,1176.0,,,0 CDM,40276813_PBB,"Hc Us,Preg Uterus,Rl Tm W Img Doc,1St Tri Fet Nuchal Translucny Meas,Transabd/Transvag;Sing/1St Gest",1530.5,1530.5,,,0 CDM,40276814,"Hc Us,Preg Utrs,Rl Time W/Img Doc,1St Tri Ftl Nuchl Trasnlcncy Meas,Trnsab Or Trnsvag Apr;Ea Ad Gest",652.0,652.0,,,0 CDM,40276814_PBB,"Hc Us,Preg Utrs,Rl Time W/Img Doc,1St Tri Ftl Nuchl Trasnlcncy Meas,Trnsab Or Trnsvag Apr;Ea Ad Gest",829.0,829.0,,,0 CDM,40276815,"Hc Ultrasound, Pregnant Uterus, Real With W Image Doc, Limited, 1 Or More Fetuses",960.0,960.0,,,0 CDM,40276815_PBB,"Hc Ultrasound, Pregnant Uterus, Real With W Image Doc, Limited, 1 Or More Fetuses-Pbb",1314.0,1314.0,,,0 CDM,40276816,"Hc U/S, Pregnant Uterus, Real Time W/ Image Documentation, Follow-Up, Transabd Apprach, Per Fetus",824.0,824.0,,,0 CDM,40276816_PBB,"Hc U/S, Pregnant Uterus, Real Time W/ Image Documentation, Follow-Up, Transabd Apprach, Per Fetus-Pb",1102.5,1102.5,,,0 CDM,40276817,"Hc Ultrasound, Pregnant Uterus, Real Time With Image Documentation, Transvaginal",710.0,710.0,,,0 CDM,40276817_PBB,"Hc Ultrasound, Pregnant Uterus, Real Time With Image Documentation, Transvaginal-Pbb",1045.5,1045.5,,,0 CDM,40276818,Hc Fetal Biophysical Profile; With Non-Stress Testing,1358.0,1358.0,,,0 CDM,40276818_PBB,Hc Fetal Biophysical Profile; With Non-Stress Testing-Pbb,2048.0,2048.0,,,0 CDM,40276819,Hc Fetal Biophysical Profile; Without Non-Stress Testing,1250.0,1250.0,,,0 CDM,40276819_PBB,Hc Fetal Biophysical Profile; Without Non-Stress Testing-Pbb,1563.0,1563.0,,,0 CDM,40276820,"Hc Doppler Velocimetry, Fetal; Umbilical Artery",1192.0,1192.0,,,0 CDM,40276820_PBB,"Hc Doppler Velocimetry, Fetal; Umbilical Artery-Pbb",1764.0,1764.0,,,0 CDM,40276821,"Hc Doppler Velocimetry, Fetal; Middle Cerebral Artery",2938.0,2938.0,,,0 CDM,40276821_PBB,"Hc Doppler Velocimetry, Fetal; Middle Cerebral Artery-Pbb",3144.5,3144.5,,,0 CDM,40276825,"Hc Echocardiography, Fetal, Cardiovasc Sys, Real Time W Img Docmntatn (2D0, W/ Or W/O M-Mode Recrdng",1981.0,1981.0,,,0 CDM,40276825_PBB,"Hc Echocardiography, Fetal, Cardiovasc Sys, Real Time W Img Docmntatn (2D0, W/ Or W/O M-Mode Recrdng",2320.0,2320.0,,,0 CDM,40276826,"Hc Echo, Fetal, Cardvasc Sys, Real Time W Img Doc (2D0, W/ Or W/O M-Mode Recording, Follow Up/Repeat",1496.0,1496.0,,,0 CDM,40276827,"Hc Doppler Echocardiography, Fetal, Pulsed Wave And/Or Cont Wave W/ Spectral Display, Complete",1440.0,1440.0,,,0 CDM,40276827_PBB,"Hc Doppler Echocardiography, Fetal, Pulsed Wave And/Or Cont Wave W/ Spectral Display, Complete-Pbb",1573.0,1573.0,,,0 CDM,40276828,"Hc Doppler Echocardiogrphy, Fetal, Pulsed Wave And/Or Cont Wave W/ Spectrl Display; Follow Up/Repeat",1085.0,1085.0,,,0 CDM,40276828_PBB,"Hc Doppler Echocardiogrphy, Fetal, Pulsed Wave And/Or Cont Wave W/ Spectrl Display; Follow Up/Repeat",1157.5,1157.5,,,0 CDM,40276830,"Hc Ultrasound, Transvaginal",1063.0,1063.0,,,0 CDM,40276830_PBB,"Hc Ultrasound, Transvaginal-Pbb",1399.5,1399.5,,,0 CDM,40276831,"Hc Saline Infusion Sonohysterography, Including Color Flow Doppler When Performed",1768.0,1768.0,,,0 CDM,40276831_PBB,"Hc Saline Infusion Sonohysterography, Including Color Flow Doppler When Performed-Pbb",2263.5,2263.5,,,0 CDM,40276856,"Hc Ultrasound, Pelvic (Non-Ob), Real Time With Image Documentation, Complete",1887.0,1887.0,,,0 CDM,40276856_PBB,"Hc Ultrasound, Pelvic (Non-Ob), Real Time With Image Documentation, Complete-Pbb",2116.0,2116.0,,,0 CDM,40276857,"Hc Ultrasound, Pelvic (Non-Ob), Real Time With Image Documentation, Limited/Follow-Up",597.0,597.0,,,0 CDM,40276857_PBB,"Hc Ultrasound, Pelvic (Non-Ob), Real Time With Image Documentation, Limited/Follow-Up-Pbb",702.0,702.0,,,0 CDM,40276870,"Hc Ultrasound, Scrotum And Contents",1688.0,1688.0,,,0 CDM,40276872,"Hc Ultrasound, Transrectal",1034.0,1034.0,,,0 CDM,40276872_PBB,"Hc Ultrasound, Transrectal-Pbb",1186.0,1186.0,,,0 CDM,40276873,"Hc Ultrasound, Transrectal; Prostate Volume Study For Brachytherapy Treatment Planning",2331.0,2331.0,,,0 CDM,40276881,"Hc Ultrasound, Complete Joint (Ie, Joint Space And Peri-Articular Soft Tissue Structures) Real-Time",1199.0,1199.0,,,0 CDM,40276881_PBB,"Hc Ultrasound, Complete Joint (Ie, Joint Space And Peri-Articular Soft Tissue Structures) Real-Time",1301.0,1301.0,,,0 CDM,40276882,"Hc Us, Ltd, Joint Nonvasc Extrmty Structure(S) (Eg, Joint Space, Peri-Articular Tnds) Real-Time W/Im",348.0,348.0,,,0 CDM,40276882_PBB,"Hc Us, Ltd, Joint Nonvasc Extrmty Structure(S) (Eg, Joint Space, Peri-Articular Tnds) Real-Time W/Im",424.5,424.5,,,0 CDM,40276883,Hc Us Nrv&Acc Strux 1 Xtr Compre W/Img Pr Extremity,240.0,240.0,,,0 CDM,40276885,Hc Ults-Ultra Snd Inft Hips W/Img Doc;Dynmc,487.0,487.0,,,0 CDM,40276886,Hc Ults-Ultrsnd Inft Hips W Img Doc; Lmtd,329.0,329.0,,,0 CDM,40276932,"Hc Ultrasonic Guidance For Endomyocardial Biopsy, S&I",544.0,544.0,,,0 CDM,40276936,Hc Ultrasound Guided Compression Repair Of Arterial Pseudoaneurysm Or Arteriovenous Fistulae,2721.0,2721.0,,,0 CDM,40276937,"Hc Us Gd Vasc Accss Requ Us Evl Of Accss Sts,Documnt Vssl Pat,Concurrnt Us Vis Of Vasc Ndl Entry,Rec",1220.0,1220.0,,,0 CDM,40276937_GOLD,"Hc Us Gd Vasc Accss Requ Us Evl Of Accss Sts,Documnt Vssl Pat,Concurrnt Us Vis Of Vasc Ndl Entry,Rec",1118.0,1118.0,,,0 CDM,40276937_GOLDPBB,"Hc Us Gd Vasc Accss Requ Us Evl Of Accss Sts,Documnt Vssl Pat,Concurrnt Us Vis Of Vasc Ndl Entry,Rec",1118.0,1118.0,,,0 CDM,40276937_PBB,"Hc Us Gd Vasc Accss Requ Us Evl Of Accss Sts,Documnt Vssl Pat,Concurrnt Us Vis Of Vasc Ndl Entry,Rec",1118.0,1118.0,,,0 CDM,40276940,"Hc Ultrasound Guidance, For, And Monitoring Of, Panechymal Tissue Ablation",669.0,669.0,,,0 CDM,40276941_PBB,Hc Us For Fetal Transf/Cordocentesis-Pbb,1274.5,1274.5,,,0 CDM,40276942,"Hc Ultrasonic Guidance For Needle Placement, S&I",1408.0,1408.0,,,0 CDM,40276942_GOLD,"Hc Ultrasonic Guidance For Needle Placement, S&I-Gold",1769.5,1769.5,,,0 CDM,40276942_GOLDPBB,"Hc Ultrasonic Guidance For Needle Placement, S&I-Gold,Pbb",1769.5,1769.5,,,0 CDM,40276942_PBB,"Hc Ultrasonic Guidance For Needle Placement, S&I-Pbb",1769.5,1769.5,,,0 CDM,40276945,"Hc Ultrasonic Guidance For Chorionic Villus Sampling, S&I",1034.0,1034.0,,,0 CDM,40276945_PBB,"Hc Ultrasonic Guidance For Chorionic Villus Sampling, S&I-Pbb",1261.0,1261.0,,,0 CDM,40276946,"Hc Ultrasonic Guidance For Amniocentesis, S&I",785.0,785.0,,,0 CDM,40276946_PBB,"Hc Ultrasonic Guidance For Amniocentesis, S&I-Pbb",931.0,931.0,,,0 CDM,40276965,Hc Ultrasonic Guidance For Interstitial Radioelement Application,2238.0,2238.0,,,0 CDM,40276981,Hc Use Parenchyma,264.0,264.0,,,0 CDM,40276981_PBB,Hc Use Parenchyma-Pbb,604.5,604.5,,,0 CDM,40276998,"Hc Ultrasonic Guidance, Intraoperative",1775.0,1775.0,,,0 CDM,40276998_PBB,"Hc Ultrasonic Guidance, Intraoperative-Pbb",1976.5,1976.5,,,0 CDM,40276999,Hc Ultrasound Procedure Unlisted,926.0,926.0,,,0 CDM,40278815,Hc Pet Imaging Initial Staging Lung Ca Non Small Cell,15173.0,15173.0,,,0 CDM,402_00536125494,Sodium Chlorode Hypertonicity Ophthalmic Solution: 1 Bottle In 1 Carton (0536-1254-94) / 15 Ml In 1 Bottle,27.16,27.16,,,0 CDM,402_17478062312,"Sodium Chloride: 1 BOTTLE, DROPPER in 1 CARTON (17478-623-12) / 15 mL in 1 BOTTLE, DROPPER",73.1,73.1,,,0 CDM,40300202,"Hc Screening Mammography, Producing Direct Digital Image, Bilateral, All Views",616.0,616.0,,,0 CDM,40326_00009003928,Solu-Medrol: 25 Vial In 1 Carton (0009-0039-28) / 1 Ml In 1 Vial (0009-0039-30),13.18,13.18,,,0 CDM,40326_00009003930,NDC Description Not Available,13.08,13.08,,,0 CDM,4034_00904561161,ENALAPRIL MALEATE: 100 BLISTER PACK in 1 CARTON (0904-5611-61) / 1 TABLET in 1 BLISTER PACK,5.09,5.09,,,0 CDM,4034_16714044501,Enalapril Maleate: 100 Tablet In 1 Bottle (16714-445-01),5.73,5.73,,,0 CDM,4034_51672404001,Enalapril Maleate: 100 Tablet In 1 Bottle (51672-4040-1),5.1,5.1,,,0 CDM,4034_68682071301,Enalapril Maleate: 100 Tablet In 1 Bottle (68682-713-01),5.88,5.88,,,0 CDM,40373_00536130375,"Infants: 1 Bottle, Dropper In 1 Carton (0536-1303-75) / 30 Ml In 1 Bottle, Dropper",2.18,2.18,,,0 CDM,40377063,"Hc Screening Digital Breast Tomosynthesis, Bilateral",90.0,90.0,,,0 CDM,40377067,"Hc Screening Mammography, Bilateral Include Cad",614.0,614.0,,,0 CDM,40378815,Hc Pet Imaging Restaging Head&Neck,15173.0,15173.0,,,0 CDM,40382_99999004014,NDC Description Not Available,78.12,78.12,,,0 CDM,40389_00143950301,"Acetazolamide: 1 Vial In 1 Box, Unit-Dose (0143-9503-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",294.54,294.54,,,0 CDM,40389_23155031331,"Acetazolamide: 5 Ml In 1 Vial, Glass (23155-313-31)",265.99,265.99,,,0 CDM,40389_99999200001,NDC Description Not Available,18.87,18.87,,,0 CDM,40393_00781340795,"Ampicillin: 10 Vial, Glass In 1 Package (0781-3407-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-3407-78)",29.5,29.5,,,0 CDM,40394_00781340795,"Ampicillin: 10 Vial, Glass In 1 Package (0781-3407-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-3407-78)",59.0,59.0,,,0 CDM,40399_25021060103,Caffeine Citrate: 1 Vial In 1 Carton (25021-601-03) / 3 Ml In 1 Vial,18.82,18.82,,,0 CDM,40399_51754050001,Caffeine Citrate: 1 Vial In 1 Carton (51754-0500-1) / 3 Ml In 1 Vial,26.22,26.22,,,0 CDM,40399_99999201101,NDC Description Not Available,14.35,14.35,,,0 CDM,40400001_00406054034,Methadose Dispersible: 100 Tablet In 1 Bottle (0406-0540-34),2.7,2.7,,,0 CDM,40400006_00310320001,NDC Description Not Available,837.5,837.5,,,0 CDM,40400027_09999005850,NDC Description Not Available,426.69,426.69,,,0 CDM,40400032_09999005889,NDC Description Not Available,193.0,193.0,,,0 CDM,40400034_63323013610,"Bleomycin: 1 Vial In 1 Carton (63323-136-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",221.91,221.91,,,0 CDM,40400036_70092166146,NDC Description Not Available,320.98,320.98,,,0 CDM,40400098_60687067701,Allopurinol: 100 Blister Pack In 1 Carton (60687-677-01) / 1 Tablet In 1 Blister Pack (60687-677-11),6.0,6.0,,,0 CDM,40400122_09999006089,NDC Description Not Available,207.17,207.17,,,0 CDM,40400123_09999006090,NDC Description Not Available,60.3,60.3,,,0 CDM,40400124_09999006091,NDC Description Not Available,126.84,126.84,,,0 CDM,40400134_00409170401,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (0409-1704-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",54.12,54.12,,,0 CDM,40400135_00409170301,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (0409-1703-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",50.89,50.89,,,0 CDM,40400137_00409762059,Heparin Sodium: 12 Pouch In 1 Case (0409-7620-59) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag (0409-7620-49),40.55,40.55,,,0 CDM,40400142_00074501501,"Skyrizi: 1 Vial, Single-Dose In 1 Carton (0074-5015-01) / 10 Ml In 1 Vial, Single-Dose",16.87,16.87,,,0 CDM,40400153_27505000367,"Revonto: 6 VIAL, GLASS in 1 CARTON (27505-003-67) / 60 mL in 1 VIAL, GLASS",469.0,469.0,,,0 CDM,40400153_78670000367,"Revonto: 6 Vial, Glass In 1 Carton (78670-003-67) / 60 Ml In 1 Vial, Glass",469.0,469.0,,,0 CDM,40400156_00013111420,NDC Description Not Available,134.0,134.0,,,0 CDM,40400156_23155016631,NDC Description Not Available,59.0,59.0,,,0 CDM,40400156_39822100001,Tranexamic Acid: 10 Vial In 1 Carton (39822-1000-1) / 10 Ml In 1 Vial,59.0,59.0,,,0 CDM,40400156_55150018810,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (55150-188-10) / 10 Ml In 1 Vial, Single-Dose",59.0,59.0,,,0 CDM,40400156_67457019700,NDC Description Not Available,100.5,100.5,,,0 CDM,40400156_72485051001,NDC Description Not Available,59.0,59.0,,,0 CDM,40400156_72603038701,NDC Description Not Available,59.0,59.0,,,0 CDM,40400156_81284061100,NDC Description Not Available,59.0,59.0,,,0 CDM,40400157_69374054350,NDC Description Not Available,64.33,64.33,,,0 CDM,40400157_70004008544,NDC Description Not Available,53.83,53.83,,,0 CDM,40400157_70092106807,NDC Description Not Available,64.33,64.33,,,0 CDM,40400157_70092155207,NDC Description Not Available,64.33,64.33,,,0 CDM,40400157_71266510001,NDC Description Not Available,64.33,64.33,,,0 CDM,40400157_71266510301,NDC Description Not Available,64.33,64.33,,,0 CDM,40400157_71506002859,NDC Description Not Available,64.33,64.33,,,0 CDM,40400157_99999004130,NDC Description Not Available,64.33,64.33,,,0 CDM,40400162_00006542302,NDC Description Not Available,442.7,442.7,,,0 CDM,40400163_76045010910,"Dexamethasone Sodium Phosphate: 24 Blister Pack In 1 Carton (76045-109-10) / 1 Syringe, Glass In 1 Blister Pack / 1 Ml In 1 Syringe, Glass (76045-109-01)",4.61,4.61,,,0 CDM,40400164_63323013002,NDC Description Not Available,176.42,176.42,,,0 CDM,40400164_63323013011,Doxy 100: 10 Vial In 1 Tray (63323-130-11) / 10 Ml In 1 Vial (63323-130-02),176.42,176.42,,,0 CDM,40400169_00065179504,Bss: 500 Ml In 1 Bag (0065-1795-04),215.97,215.97,,,0 CDM,40400170_00065079515,Bss: 15 Ml In 1 Bottle (0065-0795-15),75.02,75.02,,,0 CDM,40400190_71349007001,Ycanth: 1 Applicator In 1 Package (71349-070-01) / 1 Ampule In 1 Applicator / .45 Ml In 1 Ampule,4247.0,4247.0,,,0 CDM,40400191_63323054033,NDC Description Not Available,2.44,2.44,,,0 CDM,40400193_09999006371,NDC Description Not Available,30.15,30.15,,,0 CDM,40400194_57894046901,"Talvey: 1 Vial, Single-Dose In 1 Carton (57894-469-01) / 1.5 Ml In 1 Vial, Single-Dose",455.48,455.48,,,0 CDM,40400195_57894046901,"Talvey: 1 Vial, Single-Dose In 1 Carton (57894-469-01) / 1.5 Ml In 1 Vial, Single-Dose",457.94,457.94,,,0 CDM,40400196_57894047001,"Talvey: 1 Vial, Single-Dose In 1 Carton (57894-470-01) / 1 Ml In 1 Vial, Single-Dose",455.08,455.08,,,0 CDM,40400197_57894047001,"Talvey: 1 Vial, Single-Dose In 1 Carton (57894-470-01) / 1 Ml In 1 Vial, Single-Dose",459.42,459.42,,,0 CDM,40400201_65628020205,"Metronidazole Benzoate: 1 Kit In 1 Carton (65628-202-05) * 12 G In 1 Bottle, Plastic * 141 Ml In 1 Bottle, Plastic",29.88,29.88,,,0 CDM,40400203_09999006413,NDC Description Not Available,362.14,362.14,,,0 CDM,40400206_66215040201,Veletri: 1 Vial In 1 Carton (66215-402-01) / 10 Ml In 1 Vial,14520.4,14520.4,,,0 CDM,40400212_09999006517,NDC Description Not Available,6.0,6.0,,,0 CDM,40400217_61314031805,NDC Description Not Available,6.13,6.13,,,0 CDM,40400217_61314031810,Zarxio: 2 Blister Pack In 1 Carton (61314-318-10) / 5 Syringe In 1 Blister Pack (61314-318-05) / .5 Ml In 1 Syringe,6.13,6.13,,,0 CDM,40400218_61314032601,Zarxio: 1 Blister Pack In 1 Carton (61314-326-01) / 1 Syringe In 1 Blister Pack / .8 Ml In 1 Syringe,6.13,6.13,,,0 CDM,40400218_61314032605,NDC Description Not Available,6.13,6.13,,,0 CDM,40400218_61314032610,Zarxio: 2 Blister Pack In 1 Carton (61314-326-10) / 5 Syringe In 1 Blister Pack (61314-326-05) / .8 Ml In 1 Syringe,6.13,6.13,,,0 CDM,40400220_09999006637,NDC Description Not Available,696.09,696.09,,,0 CDM,40400220_55513014101,"Kanjinti: 1 Vial, Single-Dose In 1 Carton (55513-141-01) / 7.15 Ml In 1 Vial, Single-Dose",696.09,696.09,,,0 CDM,40400221_00517205101,NDC Description Not Available,160.6,160.6,,,0 CDM,40400221_09999006640,NDC Description Not Available,92.97,92.97,,,0 CDM,40400221_65219005209,NDC Description Not Available,160.67,160.67,,,0 CDM,40400221_80830169101,NDC Description Not Available,287.14,287.14,,,0 CDM,40400225_25208000201,Aggrastat: 1 Bag In 1 Carton (25208-002-01) / 100 Ml In 1 Bag,32.17,32.17,,,0 CDM,40400225_55150042901,Tirofiban: 1 Pouch In 1 Carton (55150-429-01) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,27.1,27.1,,,0 CDM,40400227_00131181067,"Vimpat: 10 Vial, Glass In 1 Carton (0131-1810-67) / 20 Ml In 1 Vial, Glass",73.89,73.89,,,0 CDM,40400227_70710135901,NDC Description Not Available,63.66,63.66,,,0 CDM,40400228_00024592605,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,167.5,167.5,,,0 CDM,40400228_09999006683,NDC Description Not Available,167.5,167.5,,,0 CDM,40400232_67457017750,"Rimso-50: 1 Vial, Glass In 1 Carton (67457-177-50) / 50 Ml In 1 Vial, Glass",3274.84,3274.84,,,0 CDM,40400245_13533031801,Hyperrab: 1 Vial In 1 Carton (13533-318-01) / 1 Ml In 1 Vial (13533-318-10),340.25,340.25,,,0 CDM,40400245_13533031810,NDC Description Not Available,340.25,340.25,,,0 CDM,40400246_13533031801,Hyperrab: 1 Vial In 1 Carton (13533-318-01) / 1 Ml In 1 Vial (13533-318-10),340.25,340.25,,,0 CDM,40400246_13533031805,Hyperrab: 1 Vial In 1 Carton (13533-318-05) / 5 Ml In 1 Vial (13533-318-50),340.25,340.25,,,0 CDM,40400246_13533031850,NDC Description Not Available,340.25,340.25,,,0 CDM,40400254_44206043605,"Privigen: 1 Vial, Glass In 1 Carton (44206-436-05) / 50 Ml In 1 Vial, Glass (44206-436-90)",414.63,414.63,,,0 CDM,40400254_44206043690,NDC Description Not Available,409.64,409.64,,,0 CDM,40400254_44206043710,"Privigen: 1 Vial, Glass In 1 Carton (44206-437-10) / 100 Ml In 1 Vial, Glass (44206-437-91)",416.48,416.48,,,0 CDM,40400254_44206043791,NDC Description Not Available,411.56,411.56,,,0 CDM,40400254_44206043820,"Privigen: 1 Vial, Glass In 1 Carton (44206-438-20) / 200 Ml In 1 Vial, Glass (44206-438-92)",415.13,415.13,,,0 CDM,40400254_44206043892,NDC Description Not Available,413.79,413.79,,,0 CDM,40400254_44206043940,"Privigen: 1 Vial, Glass In 1 Carton (44206-439-40) / 400 Ml In 1 Vial, Glass (44206-439-93)",415.64,415.64,,,0 CDM,40400254_44206043993,NDC Description Not Available,410.17,410.17,,,0 CDM,40400255_44206043710,"Privigen: 1 Vial, Glass In 1 Carton (44206-437-10) / 100 Ml In 1 Vial, Glass (44206-437-91)",415.61,415.61,,,0 CDM,40400255_44206043791,NDC Description Not Available,412.27,412.27,,,0 CDM,40400255_44206043820,"Privigen: 1 Vial, Glass In 1 Carton (44206-438-20) / 200 Ml In 1 Vial, Glass (44206-438-92)",417.27,417.27,,,0 CDM,40400255_44206043892,NDC Description Not Available,420.8,420.8,,,0 CDM,40400255_44206043940,"Privigen: 1 Vial, Glass In 1 Carton (44206-439-40) / 400 Ml In 1 Vial, Glass (44206-439-93)",416.08,416.08,,,0 CDM,40400255_44206043993,NDC Description Not Available,416.68,416.68,,,0 CDM,40400256_44206043605,"Privigen: 1 Vial, Glass In 1 Carton (44206-436-05) / 50 Ml In 1 Vial, Glass (44206-436-90)",407.34,407.34,,,0 CDM,40400256_44206043791,NDC Description Not Available,421.3,421.3,,,0 CDM,40400256_44206043820,"Privigen: 1 Vial, Glass In 1 Carton (44206-438-20) / 200 Ml In 1 Vial, Glass (44206-438-92)",418.08,418.08,,,0 CDM,40400256_44206043892,NDC Description Not Available,408.35,408.35,,,0 CDM,40400256_44206043940,"Privigen: 1 Vial, Glass In 1 Carton (44206-439-40) / 400 Ml In 1 Vial, Glass (44206-439-93)",417.73,417.73,,,0 CDM,40400256_44206043993,NDC Description Not Available,413.86,413.86,,,0 CDM,40400257_44206043791,NDC Description Not Available,420.37,420.37,,,0 CDM,40400257_44206043940,"Privigen: 1 Vial, Glass In 1 Carton (44206-439-40) / 400 Ml In 1 Vial, Glass (44206-439-93)",417.47,417.47,,,0 CDM,40400257_44206043993,NDC Description Not Available,407.92,407.92,,,0 CDM,40400263_00409189003,NDC Description Not Available,6.0,6.0,,,0 CDM,40400267_44206025105,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-05) / 50 Ml In 1 Vial, Glass (44206-251-90)",504.0,504.0,,,0 CDM,40400267_44206025110,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-10) / 100 Ml In 1 Vial, Glass (44206-251-91)",504.0,504.0,,,0 CDM,40400267_44206025190,NDC Description Not Available,504.0,504.0,,,0 CDM,40400267_44206025191,NDC Description Not Available,504.0,504.0,,,0 CDM,40400269_00409128303,NDC Description Not Available,3.48,3.48,,,0 CDM,40400272_00045016604,NDC Description Not Available,2.0,2.0,,,0 CDM,40400272_00045040704,NDC Description Not Available,2.0,2.0,,,0 CDM,40400272_00121065705,NDC Description Not Available,2.44,2.44,,,0 CDM,40400272_00121096694,"Dye Free Childrens Acetaminophen: 3 Tray In 1 Case (0121-0966-94) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0966-05)",2.0,2.0,,,0 CDM,40400272_00121178105,NDC Description Not Available,1.75,1.75,,,0 CDM,40400272_00121197121,NDC Description Not Available,3.86,3.86,,,0 CDM,40400272_11822989540,NDC Description Not Available,2.0,2.0,,,0 CDM,40400272_45802020126,Childrens Acetaminophen: 1 Bottle In 1 Carton (45802-201-26) / 118 Ml In 1 Bottle,2.0,2.0,,,0 CDM,40400272_50580061201,Childrens Tylenol: 1 Bottle In 1 Carton (50580-612-01) / 120 Ml In 1 Bottle,2.0,2.0,,,0 CDM,40400272_60687057156,"Acetaminophen: 10 TRAY in 1 CASE (60687-571-56) / 10 CUP, UNIT-DOSE in 1 TRAY (60687-571-48) / 10.15 mL in 1 CUP, UNIT-DOSE (60687-571-42)",2.03,2.03,,,0 CDM,40400272_60687074037,"Acetaminophen: 10 Tray In 1 Case (60687-740-37) / 10 Cup, Unit-Dose In 1 Tray (60687-740-53) / 20.3 Ml In 1 Cup, Unit-Dose (60687-740-24)",3.9,3.9,,,0 CDM,40400272_63868017526,Pain Relief Childrens: 1 Bottle In 1 Box (63868-175-26) / 118 Ml In 1 Bottle,2.0,2.0,,,0 CDM,40400272_68094023159,NDC Description Not Available,1.46,1.46,,,0 CDM,40400272_70677114301,Foster And Thrive Childrens Pain And Fever: 1 Bottle In 1 Carton (70677-1143-1) / 118 Ml In 1 Bottle,2.0,2.0,,,0 CDM,40400272_81033000205,NDC Description Not Available,1.14,1.14,,,0 CDM,40400272_99999001340,NDC Description Not Available,2.16,2.16,,,0 CDM,40400272_99999001341,NDC Description Not Available,1.1,1.1,,,0 CDM,40400276_00781618667,"Ciprofloxacin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (0781-6186-67) / 7.5 Ml In 1 Bottle, Dropper",1389.94,1389.94,,,0 CDM,40400276_16714062801,"Ciprofloxacin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (16714-628-01) / 7.5 Ml In 1 Bottle, Dropper",1274.8,1274.8,,,0 CDM,40400276_43598032675,"Ciprofloxacin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (43598-326-75) / 7.5 Ml In 1 Bottle, Dropper",920.69,920.69,,,0 CDM,40400276_62756042790,"Ciprofloxacin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (62756-427-90) / 7.5 Ml In 1 Bottle, Dropper",1389.94,1389.94,,,0 CDM,40400279_83047041004,Aucatzyl: 1 Kit In 1 Package (83047-410-04) * 1 Suspension In 1 Bag (83047-100-30) * 1 Suspension In 1 Bag (83047-100-10) * 1 Suspension In 1 Bag (83047-300-30) * 1 Suspension In 1 Bag (83047-,3390000.0,3390000.0,,,0 CDM,40400281_00409909412,NDC Description Not Available,12.8,12.8,,,0 CDM,40400281_00409909441,NDC Description Not Available,6.19,6.19,,,0 CDM,40400281_00409909461,"Fentanyl Citrate: 25 Carton In 1 Tray (0409-9094-61) / 1 Vial, Single-Dose In 1 Carton / 50 Ml In 1 Vial, Single-Dose (0409-9094-41)",5.83,5.83,,,0 CDM,40400281_00641603001,Fentanyl Citrate: 50 Ml In 1 Vial (0641-6030-01),6.7,6.7,,,0 CDM,40400281_09999007065,NDC Description Not Available,7.72,7.72,,,0 CDM,40400281_63323080650,"Fentanyl Citrate: 1 Vial, Single-Dose In 1 Carton (63323-806-50) / 50 Ml In 1 Vial, Single-Dose",6.7,6.7,,,0 CDM,40400283_00469305130,"Ambisome: 12.5 Ml In 1 Vial, Single-Dose (0469-3051-30)",2070.57,2070.57,,,0 CDM,40400314_00409662522,NDC Description Not Available,66.0,66.0,,,0 CDM,40400315_76329331801,Epinephrine: 10 Carton In 1 Package (76329-3318-1) / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,92.06,92.06,,,0 CDM,40400319_00409909412,NDC Description Not Available,59.0,59.0,,,0 CDM,40400377_00143926201,NDC Description Not Available,59.0,59.0,,,0 CDM,40400377_00143992490,Cefazolin: 3 Ml In 1 Vial (0143-9924-90),32.23,32.23,,,0 CDM,40400381_09999007049,NDC Description Not Available,59.0,59.0,,,0 CDM,40400383_00338100702,Dopamine Hydrochloride And Dextrose: 18 Bag In 1 Carton (0338-1007-02) / 250 Ml In 1 Bag,193.0,193.0,,,0 CDM,40400383_09999007056,NDC Description Not Available,193.0,193.0,,,0 CDM,40400384_16729011505,Mitomycin: 1 Vial In 1 Carton (16729-115-05) / 10 Ml In 1 Vial,1629.91,1629.91,,,0 CDM,40400389_00338051141,Gentamicin Sulfate In Sodium Chloride: 50 Ml In 1 Bag (0338-0511-41),193.0,193.0,,,0 CDM,40400390_00143971901,NDC Description Not Available,193.0,193.0,,,0 CDM,40400_25021060103,Caffeine Citrate: 1 Vial In 1 Carton (25021-601-03) / 3 Ml In 1 Vial,59.0,59.0,,,0 CDM,40400_25021060203,Caffeine Citrate: 10 Vial In 1 Carton (25021-602-03) / 3 Ml In 1 Vial,41.34,41.34,,,0 CDM,40400_51754050001,Caffeine Citrate: 1 Vial In 1 Carton (51754-0500-1) / 3 Ml In 1 Vial,56.99,56.99,,,0 CDM,40405_62135005741,Cetirizine Hydrochloride Oral Solution: 120 Ml In 1 Bottle (62135-057-41),21.95,21.95,,,0 CDM,40405_62135005747,Cetirizine Hydrochloride Oral Solution: 473 Ml In 1 Bottle (62135-057-47),10.93,10.93,,,0 CDM,40405_99999003148,NDC Description Not Available,6.42,6.42,,,0 CDM,40405_99999201801,NDC Description Not Available,1.98,1.98,,,0 CDM,40406_00409230001,NDC Description Not Available,96.5,96.5,,,0 CDM,40406_00409330001,NDC Description Not Available,65.92,65.92,,,0 CDM,40406_25021011487,Ciprofloxacin: 24 Pouch In 1 Carton (25021-114-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,193.0,193.0,,,0 CDM,40410_67457042300,NDC Description Not Available,0.92,0.92,,,0 CDM,40411_67457042200,NDC Description Not Available,59.0,59.0,,,0 CDM,40411_67457042300,NDC Description Not Available,43.27,43.27,,,0 CDM,40411_99999202401,NDC Description Not Available,35.4,35.4,,,0 CDM,40412_67457042200,NDC Description Not Available,59.0,59.0,,,0 CDM,40412_67457042300,NDC Description Not Available,59.0,59.0,,,0 CDM,40412_99999202501,NDC Description Not Available,59.0,59.0,,,0 CDM,40414_99999202701,NDC Description Not Available,59.0,59.0,,,0 CDM,40423_99999203701,NDC Description Not Available,47.48,47.48,,,0 CDM,40424_00409610219,NDC Description Not Available,59.0,59.0,,,0 CDM,40424_00409610220,NDC Description Not Available,59.0,59.0,,,0 CDM,40424_99999203801,NDC Description Not Available,59.0,59.0,,,0 CDM,40425_99999203901,NDC Description Not Available,0.62,0.62,,,0 CDM,40426_99999204001,NDC Description Not Available,80.04,80.04,,,0 CDM,40429_00054038663,Hydromorphone Hydrochloride: 473 Ml In 1 Bottle (0054-0386-63),22.69,22.69,,,0 CDM,40429_99999001230,NDC Description Not Available,7.32,7.32,,,0 CDM,40429_99999001231,NDC Description Not Available,14.69,14.69,,,0 CDM,40429_99999204401,NDC Description Not Available,2.87,2.87,,,0 CDM,40431_99999204601,NDC Description Not Available,3543.9,3543.9,,,0 CDM,40434_99999204901,NDC Description Not Available,2.15,2.15,,,0 CDM,40438_99999205401,NDC Description Not Available,5.73,5.73,,,0 CDM,40443_99999205901,NDC Description Not Available,19.67,19.67,,,0 CDM,40445_06961806259,NDC Description Not Available,6.0,6.0,,,0 CDM,40445_99999001187,NDC Description Not Available,1.87,1.87,,,0 CDM,40445_99999206101,NDC Description Not Available,1.99,1.99,,,0 CDM,40446_99999001188,NDC Description Not Available,6.0,6.0,,,0 CDM,40446_99999206201,NDC Description Not Available,1.85,1.85,,,0 CDM,40451_99999206801,NDC Description Not Available,4.14,4.14,,,0 CDM,40455_99999005047,NDC Description Not Available,6.0,6.0,,,0 CDM,40455_99999207301,NDC Description Not Available,6.0,6.0,,,0 CDM,40456_99999207401,NDC Description Not Available,29.22,29.22,,,0 CDM,40457_99999207501,NDC Description Not Available,4.21,4.21,,,0 CDM,40468_99999208901,NDC Description Not Available,2.43,2.43,,,0 CDM,40471_99999209201,NDC Description Not Available,8.43,8.43,,,0 CDM,40473_00469305130,"Ambisome: 12.5 Ml In 1 Vial, Single-Dose (0469-3051-30)",301.7,301.7,,,0 CDM,40474_99999209501,NDC Description Not Available,17.69,17.69,,,0 CDM,40475_99999209601,NDC Description Not Available,1.87,1.87,,,0 CDM,40477_99999209801,NDC Description Not Available,2.99,2.99,,,0 CDM,40478459,"Hc Myocardial Imaging, Pet, Metabolic Review",9617.0,9617.0,,,0 CDM,40478491,"Hc Myocardial Img, Pet, Perfusion; Single Study Rest/Stress",3990.0,3990.0,,,0 CDM,40478492,"Hc Myocardial Perfusion, Pet, Perfusion; Multiple Studies At Rest And/Or Stress",5148.0,5148.0,,,0 CDM,40478608,Hc Pet Metabolic Brain Imaging Evaluation,8932.0,8932.0,,,0 CDM,40478609,"Hc Brain Imaging; Pet, Perfusion Evaluation",9362.0,9362.0,,,0 CDM,40478814,Hc Pet Image W/Ct Lmtd,4100.0,4100.0,,,0 CDM,40478815,Hc Pet Head&Neck Ca Excluding Cns &Thyroid Cancer,15173.0,15173.0,,,0 CDM,40478816,Hc Pet Imaging Whole Body Dx Melanoma,17687.0,17687.0,,,0 CDM,40481_99999210201,NDC Description Not Available,0.53,0.53,,,0 CDM,40484_21586001101,NDC Description Not Available,59.0,59.0,,,0 CDM,40484_34324000073,NDC Description Not Available,59.0,59.0,,,0 CDM,40484_99999210601,NDC Description Not Available,59.0,59.0,,,0 CDM,40487_00409508211,NDC Description Not Available,41.7,41.7,,,0 CDM,40487_99999210901,NDC Description Not Available,32.18,32.18,,,0 CDM,40489_00143985801,NDC Description Not Available,29.79,29.79,,,0 CDM,40489_00409733211,NDC Description Not Available,33.49,33.49,,,0 CDM,40489_00409733711,NDC Description Not Available,19.67,19.67,,,0 CDM,40489_00409733811,NDC Description Not Available,29.5,29.5,,,0 CDM,40489_00781320885,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (0781-3208-85) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",59.0,59.0,,,0 CDM,40489_99999211101,NDC Description Not Available,29.5,29.5,,,0 CDM,4048_00049052083,"Pfizerpen: 10 Vial In 1 Carton (0049-0520-83) / 1 Powder, For Solution In 1 Vial (0049-0520-84)",20.77,20.77,,,0 CDM,4048_00049052084,NDC Description Not Available,18.25,18.25,,,0 CDM,4048_44567031110,"Penicillin G Potassium: 10 Vial In 1 Tray (44567-311-10) / 1 Injection, Powder, For Solution In 1 Vial",25.15,25.15,,,0 CDM,4048_70860012641,NDC Description Not Available,10.41,10.41,,,0 CDM,4048_72603021001,"Penicillin G Potassium: 1 Vial In 1 Carton (72603-210-01) / 1 Injection, Powder, For Solution In 1 Vial",22.05,22.05,,,0 CDM,40490_00409733211,NDC Description Not Available,52.7,52.7,,,0 CDM,40490_00781320885,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (0781-3208-85) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",129.51,129.51,,,0 CDM,40490_60505614800,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (60505-6148-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",146.56,146.56,,,0 CDM,40490_99999211201,NDC Description Not Available,17.14,17.14,,,0 CDM,40490_PBB,Pr Biopsy Of Lip-Pbb,1120.0,1120.0,,,0 CDM,40491_00143997722,"Cefuroxime: 25 Vial In 1 Carton (0143-9977-22) / 1 Injection, Powder, For Solution In 1 Vial (0143-9977-90)",59.0,59.0,,,0 CDM,40492_00517182001,Chlorothiazide Sodium: 1 Vial In 1 Carton (0517-1820-01) / 18 Ml In 1 Vial,291.45,291.45,,,0 CDM,40492_25021030520,Chlorothiazide Sodium: 1 Vial In 1 Carton (25021-305-20) / 18 Ml In 1 Vial,75.67,75.67,,,0 CDM,40492_99999211401,NDC Description Not Available,111.69,111.69,,,0 CDM,40493_00781328991,NDC Description Not Available,32.42,32.42,,,0 CDM,40493_99999211501,NDC Description Not Available,2.42,2.42,,,0 CDM,40494_99999211601,NDC Description Not Available,84.15,84.15,,,0 CDM,40495_99999211701,NDC Description Not Available,0.59,0.59,,,0 CDM,40498_99999212001,NDC Description Not Available,5.08,5.08,,,0 CDM,40499_00338604648,Fluconazole: 10 Bag In 1 Carton (0338-6046-48) / 100 Ml In 1 Bag,59.0,59.0,,,0 CDM,40499_25021018482,Fluconazole: 10 Pouch In 1 Carton (25021-184-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,56.12,56.12,,,0 CDM,40499_99999212201,NDC Description Not Available,0.73,0.73,,,0 CDM,40501_00143968001,NDC Description Not Available,62.68,62.68,,,0 CDM,40501_00143968201,NDC Description Not Available,57.33,57.33,,,0 CDM,40502_00009001103,NDC Description Not Available,86.26,86.26,,,0 CDM,40502_99999212501,NDC Description Not Available,59.0,59.0,,,0 CDM,40506_63323016100,NDC Description Not Available,59.0,59.0,,,0 CDM,40509_66794021963,NDC Description Not Available,193.0,193.0,,,0 CDM,40509_99999213201,NDC Description Not Available,2.56,2.56,,,0 CDM,40510_PBB,Pr Exc Lip Transvrs Wedge Exc W/Prim Clsr-Pbb,3738.0,3738.0,,,0 CDM,40511_63323050801,NDC Description Not Available,48.2,48.2,,,0 CDM,40511_99999213401,NDC Description Not Available,8.55,8.55,,,0 CDM,40512_00264553532,Metronidazole: 6 Carton In 1 Case (0264-5535-32) / 4 Container In 1 Carton / 100 Ml In 1 Container,17.2,17.2,,,0 CDM,40512_00338105548,Metronidazole: 24 Bag In 1 Carton (0338-1055-48) / 100 Ml In 1 Bag,11.0,11.0,,,0 CDM,40512_00409015201,NDC Description Not Available,13.29,13.29,,,0 CDM,40512_00409781124,Metronidazole: 24 POUCH in 1 CASE (0409-7811-24) / 1 BAG in 1 POUCH / 100 mL in 1 BAG (0409-7811-31),7.72,7.72,,,0 CDM,40512_25021013182,Metronidazole: 24 Pouch In 1 Carton (25021-131-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,18.77,18.77,,,0 CDM,40512_47335099301,Metronidazole: 1 Bag In 1 Pouch (47335-993-01) / 100 Ml In 1 Bag,29.13,29.13,,,0 CDM,40512_99999213601,NDC Description Not Available,1.95,1.95,,,0 CDM,40514_99999213801,NDC Description Not Available,12.75,12.75,,,0 CDM,40516_99999214001,NDC Description Not Available,280.3,280.3,,,0 CDM,4051_00056017375,COUMADIN: 10 BLISTER PACK in 1 CARTON (0056-0173-75) / 10 TABLET in 1 BLISTER PACK (0056-0173-01),19.13,19.13,,,0 CDM,4051_00832121801,Jantoven: 100 Blister Pack In 1 Carton (0832-1218-01) / 1 Tablet In 1 Blister Pack (0832-1218-89),5.27,5.27,,,0 CDM,40520_00338070348,Potassium Chloride: 24 Bag In 1 Carton (0338-0703-48) / 100 Ml In 1 Bag,192.87,192.87,,,0 CDM,40520_00990707726,Potassium Chloride: 24 Pouch In 1 Case (0990-7077-26) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,190.46,190.46,,,0 CDM,40520_99999214601,NDC Description Not Available,5.55,5.55,,,0 CDM,40524_63323060400,NDC Description Not Available,76.92,76.92,,,0 CDM,40524_63323060401,"Propranolol: 10 Vial, Single-Dose In 1 Tray (63323-604-01) / 1 Ml In 1 Vial, Single-Dose",76.92,76.92,,,0 CDM,40526_99999215201,NDC Description Not Available,3.41,3.41,,,0 CDM,40527_63323030602,"Tobramycin: 25 Vial, Multi-Dose In 1 Tray (63323-306-02) / 2 Ml In 1 Vial, Multi-Dose (63323-306-01)",21.02,21.02,,,0 CDM,40527_63323030630,"Tobramycin: 10 Vial, Multi-Dose In 1 Tray (63323-306-30) / 30 Ml In 1 Vial, Multi-Dose (63323-306-05)",95.76,95.76,,,0 CDM,40527_67457042800,NDC Description Not Available,83.86,83.86,,,0 CDM,40527_99999215301,NDC Description Not Available,11.7,11.7,,,0 CDM,40529_00409651001,"Vancomycin Hydrochloride: 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON (0409-6510-01) / 100 mL in 1 VIAL, PHARMACY BULK PACKAGE",58.05,58.05,,,0 CDM,40530_99999215601,NDC Description Not Available,59.0,59.0,,,0 CDM,40531_00049319028,"Vfend: 1 Vial, Single-Dose In 1 Carton (0049-3190-28) / 20 Ml In 1 Vial, Single-Dose",49.98,49.98,,,0 CDM,40532_99999215801,NDC Description Not Available,5.37,5.37,,,0 CDM,40535_00517100401,NDC Description Not Available,75.13,75.13,,,0 CDM,40535_16729052563,"Atropine Sulfate: 1 Vial, Single-Dose In 1 Carton (16729-525-63) / 1 Ml In 1 Vial, Single-Dose",80.4,80.4,,,0 CDM,40537_00143918001,NDC Description Not Available,0.67,0.67,,,0 CDM,40537_63323036001,NDC Description Not Available,0.67,0.67,,,0 CDM,40537_63323036003,NDC Description Not Available,0.36,0.36,,,0 CDM,40537_70069072701,NDC Description Not Available,144.46,144.46,,,0 CDM,40538_39822061502,Colistimethate: 12 Carton In 1 Carton (39822-0615-2) / 1 Vial In 1 Carton (39822-0615-1) / 2 Ml In 1 Vial,26040.0,26040.0,,,0 CDM,40538_63323039306,Colistimethate: 1 Vial In 1 Box (63323-393-06) / 2 Ml In 1 Vial,187.54,187.54,,,0 CDM,40539_63323016501,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-165-01) / 1 Ml In 1 Vial (63323-165-02),9.62,9.62,,,0 CDM,40539_63323016502,NDC Description Not Available,4.82,4.82,,,0 CDM,40539_67457042200,NDC Description Not Available,29.5,29.5,,,0 CDM,40539_67457042300,NDC Description Not Available,5.88,5.88,,,0 CDM,40541_00143968001,NDC Description Not Available,67.0,67.0,,,0 CDM,40541_00517460125,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Tray (0517-4601-25) / 1 Ml In 1 Vial, Single-Dose",435.5,435.5,,,0 CDM,40550_00002021301,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-0213-01) / 3 Ml In 1 Vial, Multi-Dose",29.5,29.5,,,0 CDM,40550_00002821501,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-01) / 10 Ml In 1 Vial, Multi-Dose",55.23,55.23,,,0 CDM,40550_00169183311,Novolin R: 1 Vial In 1 Carton (0169-1833-11) / 10 Ml In 1 Vial,59.0,59.0,,,0 CDM,40552_00409427716,NDC Description Not Available,59.0,59.0,,,0 CDM,40552_00409427717,NDC Description Not Available,59.0,59.0,,,0 CDM,40552_63323048601,NDC Description Not Available,59.0,59.0,,,0 CDM,40552_63323048602,NDC Description Not Available,59.0,59.0,,,0 CDM,40552_63323048627,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-27) / 20 Ml In 1 Vial, Multi-Dose (63323-486-02)",59.0,59.0,,,0 CDM,40566_55150036501,"Amphotericin B: 1 Vial, Single-Dose In 1 Carton (55150-365-01) / 12.5 Ml In 1 Vial, Single-Dose",1706.82,1706.82,,,0 CDM,40567_39822105505,Amphotericin B: 10 Ml In 1 Vial (39822-1055-5),66.5,66.5,,,0 CDM,40567_99999312001,NDC Description Not Available,26.97,26.97,,,0 CDM,40574_99999312701,NDC Description Not Available,3.0,3.0,,,0 CDM,40575_99999312801,NDC Description Not Available,394.0,394.0,,,0 CDM,40578459,Hc Pet Asssessment Viability Inconclusive,9617.0,9617.0,,,0 CDM,40578608,Hc Pet Brain Imaging Differential Dx Alzheimers Disease,8932.0,8932.0,,,0 CDM,40578815,Hc Pet Imaging Dx Colorectal,15173.0,15173.0,,,0 CDM,40578816,Hc Pet Imaging Whole Body Initial Staging Melanoma,17687.0,17687.0,,,0 CDM,40578_99999313101,NDC Description Not Available,484.84,484.84,,,0 CDM,40587_00409729501,"Potassium Phosphates: 25 Vial, Single-Dose In 1 Tray (0409-7295-01) / 15 Ml In 1 Vial, Single-Dose (0409-7295-11)",33.19,33.19,,,0 CDM,40587_00409729511,NDC Description Not Available,33.04,33.04,,,0 CDM,40587_00517230525,"potassium phosphates: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-2305-25) / 5 mL in 1 VIAL, SINGLE-DOSE",26.54,26.54,,,0 CDM,40587_63323008615,"Potassium Phosphates: 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-086-15) / 15 mL in 1 VIAL, SINGLE-DOSE",67.64,67.64,,,0 CDM,40587_65219005209,NDC Description Not Available,154.04,154.04,,,0 CDM,40587_65219005409,NDC Description Not Available,107.1,107.1,,,0 CDM,40587_80830169101,NDC Description Not Available,100.09,100.09,,,0 CDM,40589_00409230517,"Midazolam: 25 Vial, Single-Dose In 1 Tray (0409-2305-17) / 2 Ml In 1 Vial, Single-Dose (0409-2305-16)",3.01,3.01,,,0 CDM,4058_60432060816,"PROMETHAZINE HYDROCHLORIDE: 473 mL in 1 BOTTLE, PLASTIC (60432-608-16)",5.3,5.3,,,0 CDM,40594_99999317701,NDC Description Not Available,2.71,2.71,,,0 CDM,40595_09999318001,NDC Description Not Available,9.65,9.65,,,0 CDM,40598_00409610202,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-02) / 2 Ml In 1 Vial, Single-Dose (0409-6102-19)",46.32,46.32,,,0 CDM,40598_00409610218,NDC Description Not Available,35.4,35.4,,,0 CDM,40598_00409610219,NDC Description Not Available,34.01,34.01,,,0 CDM,40598_36000028225,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-282-25) / 2 Ml In 1 Vial, Single-Dose",59.0,59.0,,,0 CDM,40598_71288020302,NDC Description Not Available,25.29,25.29,,,0 CDM,40598_71288020310,NDC Description Not Available,13.4,13.4,,,0 CDM,40603_00259050116,Cuvposa: 1 Bottle In 1 Carton (0259-0501-16) / 473 Ml In 1 Bottle,52.38,52.38,,,0 CDM,40603_99999318801,NDC Description Not Available,1.4,1.4,,,0 CDM,40605_99999319001,NDC Description Not Available,59.0,59.0,,,0 CDM,40607_00409909441,NDC Description Not Available,4.6,4.6,,,0 CDM,40607_09999319201,NDC Description Not Available,4.64,4.64,,,0 CDM,40610_99999371101,NDC Description Not Available,50.6,50.6,,,0 CDM,40613_00143974601,NDC Description Not Available,26.8,26.8,,,0 CDM,40613_63323066500,NDC Description Not Available,131.99,131.99,,,0 CDM,40613_63323066501,"Terbutaline Sulfate: 25 Vial, Single-Use In 1 Tray (63323-665-01) / 1 Ml In 1 Vial, Single-Use (63323-665-00)",131.99,131.99,,,0 CDM,40613_99999320301,NDC Description Not Available,2593.71,2593.71,,,0 CDM,40678608,Hc Pet Metabolic Brain Imaging Presurgical Seizure,8932.0,8932.0,,,0 CDM,40678815,Hc Pet Imaging Dx Esophageal Cancer,15173.0,15173.0,,,0 CDM,40678816,Hc Pet Imaging Whole Body Restaging Melanoma,17687.0,17687.0,,,0 CDM,40778815,Hc Pet Imaging Dx Lung Ca Non Small Cell,15173.0,15173.0,,,0 CDM,40778816,Hc Pet Tumor Imaging With Concurrent Ct Whole Body,17687.0,17687.0,,,0 CDM,40804_PBB,Pr Rmvl Embedded Fb Vestibule Mouth Smpl-Pbb,1068.0,1068.0,,,0 CDM,40805_PBB,Pr Rmvl Embedded Fb Vestibule Mouth Comp-Pbb,2020.0,2020.0,,,0 CDM,40806_PBB,Pr Incision Labial Frenum Frenotomy-Pbb,828.0,828.0,,,0 CDM,40808546_63323028507,NDC Description Not Available,3.13,3.13,,,0 CDM,40808_PBB,Pr Biopsy Vestibule Mouth-Pbb,1626.0,1626.0,,,0 CDM,40810_PBB,Pr Exc Les Mucosa & Sbmcsl Vestibule Mouth W/O Rpr-Pbb,1585.0,1585.0,,,0 CDM,40812_PBB,Pr Exc Lesion Mucosa & Sbmcsl Vestibule Smpl Rpr-Pbb,2832.0,2832.0,,,0 CDM,40814_PBB,Pr Exc Lesion Mucosa & Sbmcsl Vestibule Cplx Rpr-Pbb,6110.0,6110.0,,,0 CDM,40816_PBB,Pr Exc Lesion Mucosa&Sbmcsl Vestibule Cplx Exc Musc-Pbb,3334.0,3334.0,,,0 CDM,40819_PBB,Pr Exc Frenum Labial/Buccal-Pbb,2854.0,2854.0,,,0 CDM,4082935901_27241013421,NDC Description Not Available,6.2,6.2,,,0 CDM,4082935901_49884046565,Cholestyramine: 60 Packet In 1 Carton (49884-465-65) / 9 G In 1 Packet (49884-465-64),12.72,12.72,,,0 CDM,4082935901_51224001120,Cholestyramine: 60 Pouch In 1 Carton (51224-011-20) / 8.3 G In 1 Pouch,11.49,11.49,,,0 CDM,4083_04056512249,NDC Description Not Available,81.24,81.24,,,0 CDM,40878815,Hc Pet Imaging Dx Lymphoma,15173.0,15173.0,,,0 CDM,40900288,"Hc Reconstruction, Computed Tomographic Angiography Of Aorta For Surgical Planning For Vasc Surgery",1171.0,1171.0,,,0 CDM,40978815,Hc Pet Imaging Initial Staging Colorectal,15173.0,15173.0,,,0 CDM,41000000,Hc Ucan-Inhaled Nitric Oxide Resp Neonate,508.0,508.0,,,0 CDM,41000_PBB,Pr Intraoral I&D Tongue/Floor Lingual-Pbb,1626.0,1626.0,,,0 CDM,410010_50242003706,NDC Description Not Available,1061.24,1061.24,,,0 CDM,410010_50242012047,"Tnkase: 1 Kit In 1 Carton (50242-120-47) * 1 Vial, Single-Use In 1 Carton (50242-037-06) / 10 Ml In 1 Vial, Single-Use * 1 Vial, Single-Use In 1 Carton (50242-901-09) / 10 Ml In 1 Vial, Single-Us",1027.92,1027.92,,,0 CDM,41010_PBB,Pr Incision Lingual Frenum Frenotomy-Pbb,1188.0,1188.0,,,0 CDM,41019_PBB,Pr Placement Needle Head/Neck Radioelement Applicat-Pbb,5810.0,5810.0,,,0 CDM,41078815,Hc Pet Imaging Regn Single Pulmonary Nodule,15173.0,15173.0,,,0 CDM,41094002,"Hc Vent Assist&Mgmt,Init Press/Vol Preset Vents Asisstd/Controld Breathg;Hosp Inpt/Obs,Ini Day",2990.0,2990.0,,,0 CDM,41094003,"Hc Vent Assist&Mgmt,Init Press/Vol Preset Vents Assistd/Controld Breathg;Hosp Inpt/Obs,Ea Sub Day",2735.0,2735.0,,,0 CDM,41094640,Hc Inhalation Treatment For Acute Airway Obstruction,439.0,439.0,,,0 CDM,41094642,Hc Aerosol Inhalation Of Pentamidine For Pneumocystitis Carinii Pneumonia Treatment Or Prophylaxis,877.0,877.0,,,0 CDM,41094644,Hc Continous Inhalation Treatment With Aerosol Medication For Acute Airway Obstruction; First Hour,563.0,563.0,,,0 CDM,41094645,Hc Continous Inhalation Treatment W/ Aerosol Med For Acute Airway Obstruction; Each Add Hr,209.0,209.0,,,0 CDM,41094660,Hc Continuous Positive Airway Pressure,858.0,858.0,,,0 CDM,41094660_PBB,Hc Continuous Positive Airway Pressure-Pbb,997.5,997.5,,,0 CDM,41094664,"Hc Demonstra And/Or Eval Pat Utilizat/ Aerosol Generator, Nebulizer, Mtred Dose Inhaler/Ippb Devce",397.0,397.0,,,0 CDM,41094667,Hc Chest Physicial Therapy/Pd Initital,684.0,684.0,,,0 CDM,41094669,"Hc Mechanical Chest Wall Oscillation To Facilitate Lung Function, Per Session",527.0,527.0,,,0 CDM,41094799,Hc Ribavirin Therapy,8823.0,8823.0,,,0 CDM,41100_PBB,Pr Biopsy Tongue Anterior Two-Thirds-Pbb,1410.0,1410.0,,,0 CDM,41105_PBB,Pr Biopsy Tongue Posterior One-Third-Pbb,1764.0,1764.0,,,0 CDM,41108_PBB,Pr Biopsy Floor Mouth-Pbb,1235.0,1235.0,,,0 CDM,41110_PBB,Pr Excision Lesion Tongue W/O Closure-Pbb,1678.0,1678.0,,,0 CDM,41112_PBB,Pr Exc Lesion Tongue W/Clsr Anterior Two-Thirds-Pbb,3581.0,3581.0,,,0 CDM,41116_PBB,Pr Excision Lesion Floor Mouth-Pbb,3347.0,3347.0,,,0 CDM,41130_68803061210,"Visionblue: 10 Pouch In 1 Carton (68803-612-10) / 1 Syringe, Glass In 1 Pouch / .5 Ml In 1 Syringe, Glass",532.93,532.93,,,0 CDM,41134_00641605301,NDC Description Not Available,59.0,59.0,,,0 CDM,41134_00641605325,Meperidine Hydrochloride: 25 Vial In 1 Carton (0641-6053-25) / 1 Ml In 1 Vial (0641-6053-01),59.0,59.0,,,0 CDM,41138_00641605201,NDC Description Not Available,59.0,59.0,,,0 CDM,41138_00641605225,Meperidine Hydrochloride: 25 Vial In 1 Carton (0641-6052-25) / 1 Ml In 1 Vial (0641-6052-01),59.0,59.0,,,0 CDM,41140_00409117803,NDC Description Not Available,59.0,59.0,,,0 CDM,41140_00409117830,Demerol: 10 Cartridge In 1 Carton (0409-1178-30) / 1 Ml In 1 Cartridge (0409-1178-03),59.0,59.0,,,0 CDM,41151_00116200104,Chlorhexidine Gluconate: 118 Ml In 1 Bottle (0116-2001-04),6.0,6.0,,,0 CDM,41151_00116200116,Chlorhexidine Gluconate: 473 Ml In 1 Bottle (0116-2001-16),6.62,6.62,,,0 CDM,41151_00121089315,NDC Description Not Available,10.69,10.69,,,0 CDM,41151_63739005274,"Sky Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (63739-052-74)",10.13,10.13,,,0 CDM,41151_69339013815,"Dash Chlorhexidine Gluconate 0.12% Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (69339-138-15)",10.9,10.9,,,0 CDM,4115_51079063001,NDC Description Not Available,9.37,9.37,,,0 CDM,41178815,Hc Pet Imaging Restage Lung Ca Non Small Cell,15173.0,15173.0,,,0 CDM,41194640,Hc Metered Dose Inhaler Therapy,439.0,439.0,,,0 CDM,41194668,"Hc Manipulation Chest Wall, Subsequent",553.0,553.0,,,0 CDM,4125_00409121201,Naloxone Hydrochloride: 10 AMPULE in 1 TRAY (0409-1212-01) / 1 mL in 1 AMPULE,66.66,66.66,,,0 CDM,4125_00409121501,"Naloxone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0409-1215-01) / 1 Ml In 1 Vial, Single-Dose (0409-1215-21)",121.62,121.62,,,0 CDM,4125_00409121521,NDC Description Not Available,103.36,103.36,,,0 CDM,4125_00409121901,"Naloxone Hydrochloride: 25 Carton In 1 Case (0409-1219-01) / 1 Vial, Multi-Dose In 1 Carton / 10 Ml In 1 Vial, Multi-Dose (0409-1219-41)",198.89,198.89,,,0 CDM,4125_00409121941,NDC Description Not Available,198.89,198.89,,,0 CDM,4125_36000030801,NDC Description Not Available,61.64,61.64,,,0 CDM,4125_36000030810,"Naloxone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (36000-308-10) / 1 Ml In 1 Vial, Single-Dose (36000-308-01)",83.75,83.75,,,0 CDM,4125_36000031001,NDC Description Not Available,117.25,117.25,,,0 CDM,4125_36000031002,"Naloxone Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (36000-310-02) / 10 Ml In 1 Vial, Multi-Dose (36000-310-01)",117.25,117.25,,,0 CDM,4125_67457029200,NDC Description Not Available,69.87,69.87,,,0 CDM,4125_67457029900,NDC Description Not Available,155.68,155.68,,,0 CDM,4125_70069007201,NDC Description Not Available,134.0,134.0,,,0 CDM,41278815,Hc Pet Imaging Restaging Colorectal,15173.0,15173.0,,,0 CDM,41357_00007440106,"ARRANON: 6 VIAL, GLASS in 1 CARTON (0007-4401-06) / 50 mL in 1 VIAL, GLASS (0007-4401-01)",966.89,966.89,,,0 CDM,41357_00078068361,Arranon: 50 Ml In 1 Vial (0078-0683-61),1082.92,1082.92,,,0 CDM,41357_43598014211,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (43598-142-11) / 50 Ml In 1 Vial, Single-Dose",885.74,885.74,,,0 CDM,41357_70710172601,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (70710-1726-1) / 50 Ml In 1 Vial, Single-Dose",873.17,873.17,,,0 CDM,41357_81927011101,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (81927-111-01) / 50 Ml In 1 Vial, Single-Dose",873.6,873.6,,,0 CDM,41378815,Hc Pet Imaging Restaging Lymphoma,15173.0,15173.0,,,0 CDM,41380_00052060201,NDC Description Not Available,22.58,22.58,,,0 CDM,41380_00052060202,Tice Bcg: 1 Vial In 1 Carton (0052-0602-02) / 50 Ml In 1 Vial (0052-0602-01),22.21,22.21,,,0 CDM,41394640,Hc Ez Pap,439.0,439.0,,,0 CDM,41438_10122051001,"Curosurf: 1.5 Ml In 1 Vial, Glass (10122-510-01)",3863.33,3863.33,,,0 CDM,41478815,Hc Ppet Imaging Initial Staging Esophageal Ca,15173.0,15173.0,,,0 CDM,41530_PBB,Pr Submucosal Abltj Tongue Rf 1/> Sites Pr Session-Pbb,4800.0,4800.0,,,0 CDM,41578815,Hc Pet Imaging Restaging Esophageal Ca,15173.0,15173.0,,,0 CDM,4158_60267070550,"Sodium Thiosulfate: 50 Ml In 1 Vial, Single-Dose (60267-705-50)",5.2,5.2,,,0 CDM,4161_00093412573,Penicillin V Potassium: 100 Ml In 1 Bottle (0093-4125-73),6.0,6.0,,,0 CDM,41678815,Hc Pet Imaging Thyroid Ca Restaging Follicular Cell Ca,15173.0,15173.0,,,0 CDM,416_00409175250,"Marcaine With Epinephrine: 1 Vial, Multi-Dose In 1 Carton (0409-1752-50) / 50 Ml In 1 Vial, Multi-Dose",3.61,3.61,,,0 CDM,41739_60687015711,NDC Description Not Available,57.94,57.94,,,0 CDM,41739_60687015721,"Aripiprazole: 30 Blister Pack In 1 Box, Unit-Dose (60687-157-21) / 1 Tablet In 1 Blister Pack (60687-157-11)",57.94,57.94,,,0 CDM,41739_63739006933,"Aripiprazole: 3 Blister Pack In 1 Box, Unit-Dose (63739-069-33) / 10 Tablet In 1 Blister Pack",52.32,52.32,,,0 CDM,41740_00003218713,"Orencia: 1 Vial, Single-Use In 1 Carton (0003-2187-13) / 15 Ml In 1 Vial, Single-Use",396.75,396.75,,,0 CDM,41778815,Hc Pet Tumor Imaging Pet With Concurrent Ct Skull Base To Mid Thigh,15173.0,15173.0,,,0 CDM,41799_64193032501,NDC Description Not Available,18.09,18.09,,,0 CDM,41800_PBB,Pr Drg Absc Cst Hmtma From Dentoalveolar Struxs-Pbb,1626.0,1626.0,,,0 CDM,41850_05483800530,NDC Description Not Available,45.44,45.44,,,0 CDM,41850_PBB,Pr Destruction Lesion Dentoalveolar Structures-Pbb,1354.0,1354.0,,,0 CDM,41878815,Hc Pet Prostate Imaging,15173.0,15173.0,,,0 CDM,418_00054829925,Furosemide: 10 Blister Pack In 1 Carton (0054-8299-25) / 10 Tablet In 1 Blister Pack,5.83,5.83,,,0 CDM,418_00172290710,"Furosemide: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (0172-2907-10) / 1 TABLET in 1 BLISTER PACK (0172-2907-00)",6.0,6.0,,,0 CDM,418_51079007320,Furosemide: 100 Blister Pack In 1 Carton (51079-073-20) / 1 Tablet In 1 Blister Pack (51079-073-01),5.56,5.56,,,0 CDM,41929_63833061602,"Humate-P: 1 Kit In 1 Carton (63833-616-02) * 10 Ml In 1 Vial (63833-626-01) * 10 Ml In 1 Vial, Single-Dose (63833-765-54)",10.71,10.71,,,0 CDM,41933_06425333335,NDC Description Not Available,2.08,2.08,,,0 CDM,41933_08290306424,NDC Description Not Available,5.9,5.9,,,0 CDM,41934_06380750055,NDC Description Not Available,18.31,18.31,,,0 CDM,41934_06425322235,NDC Description Not Available,17.52,17.52,,,0 CDM,41950_25021040102,Heparin Sodium: 25 Vial In 1 Carton (25021-401-02) / 2 Ml In 1 Vial,33.53,33.53,,,0 CDM,41950_63323027601,NDC Description Not Available,18.72,18.72,,,0 CDM,41950_63323027602,Heparin Sodium: 25 Vial In 1 Tray (63323-276-02) / 2 Ml In 1 Vial (63323-276-01),14.34,14.34,,,0 CDM,41950_71288040002,NDC Description Not Available,14.78,14.78,,,0 CDM,41952_00409131611,NDC Description Not Available,5.9,5.9,,,0 CDM,41962_42291077360,"Ranolazine: 60 Tablet, Film Coated, Extended Release In 1 Bottle (42291-773-60)",4.23,4.23,,,0 CDM,41962_50268072211,NDC Description Not Available,9.78,9.78,,,0 CDM,41962_60687054911,NDC Description Not Available,8.68,8.68,,,0 CDM,41962_61958100301,"Ranexa: 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE, PLASTIC (61958-1003-1)",42.49,42.49,,,0 CDM,41962_70756070360,"Ranolazine: 60 Tablet, Film Coated, Extended Release In 1 Bottle (70756-703-60)",4.41,4.41,,,0 CDM,41978815,Hc Pet Neuroendo Tumor Imaging,15173.0,15173.0,,,0 CDM,4198_00009454102,"Detrol: 60 Tablet, Film Coated In 1 Bottle (0009-4541-02)",52.31,52.31,,,0 CDM,4198_59762017006,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (59762-0170-6)",9.24,9.24,,,0 CDM,42000281,"Hc Wound Care Elec Stim, Stage Iii And Iv Ulcers, Not Showing Signs Of Healing Aft 30 Days, Ther Poc",222.0,222.0,,,0 CDM,42000283,"Hc Electrcl Stim(Unatten)To 1 Or Mr Areas For Indctn(S)Othr Thn Wnd Care,As Prt Of A Thr Pln Of Care",294.0,294.0,,,0 CDM,4201_00121097410,NDC Description Not Available,55.8,55.8,,,0 CDM,4201_00904747066,"Sucralfate: 10 Ml In 1 Cup, Unit-Dose (0904-7470-66)",51.28,51.28,,,0 CDM,4201_58914017014,Carafate: 420 Ml In 1 Bottle (58914-170-14),15.78,15.78,,,0 CDM,4201_65162006205,Sucralfate: 420 Ml In 1 Bottle (65162-062-05),28.15,28.15,,,0 CDM,42020560,Hc Ndl Insj W/O Njx 1 Or 2 Musc,131.0,131.0,,,0 CDM,42020561,Hc Ndl Insj W/O Njx 3+ Musc,131.0,131.0,,,0 CDM,42029325,Hc Application Of Hip Spica Cast; 1 And One-Half Spica Or Both Legs,4994.0,4994.0,,,0 CDM,42029325_PBB,Hc Application Of Hip Spica Cast; 1 And One-Half Spica Or Both Legs-Pbb,6020.0,6020.0,,,0 CDM,42029435,Hc Application Of Patellar Tendon Bearing (Ptb) Cast,2156.0,2156.0,,,0 CDM,42029581,"Hc Application Of Multi-Layer Compression System; Leg, Including Ankle And Foot",689.0,689.0,,,0 CDM,42029581_PBB,"Hc Application Of Multi-Layer Compression System; Leg, Including Ankle And Foot-Pbb",750.0,750.0,,,0 CDM,42029584,"Hc Application Of Multi-Layer Compression System; Upper Arm, Forearm, Hand, And Fingers",684.0,684.0,,,0 CDM,42078815,Hc Pet C11 Prostate Imaging,15173.0,15173.0,,,0 CDM,42090901,Hc Biofeedback Training By Any Modality,169.0,169.0,,,0 CDM,42090901_PBB,Hc Biofeedback Training By Any Modality-Pbb,229.0,229.0,,,0 CDM,42091_00409315005,NDC Description Not Available,7.77,7.77,,,0 CDM,42091_00409765113,NDC Description Not Available,9.09,9.09,,,0 CDM,42091_63323051801,NDC Description Not Available,7.72,7.72,,,0 CDM,42095992,"Hc Canalith Repositioning Procedure(S), Per Day",320.0,320.0,,,0 CDM,42095992_PBB,"Hc Canalith Repositioning Procedure(S), Per Day-Pbb",635.0,635.0,,,0 CDM,42097012,Hc Mechanical Traction,157.0,157.0,,,0 CDM,42097014,Hc Pelieve Wrinkle Reduction Full Face Cash,750.0,750.0,,,0 CDM,42097014_CSMPBB,"Hc Pelieve Wrinkle Reduction Full Face Cash-Csm,Pbb",750.0,750.0,,,0 CDM,42097022,Hc Application Of A Modality To 1 Or More Area; Whirlpool,150.0,150.0,,,0 CDM,42097026,Hc Laser Hair Removal Mustache And Beard Package Cash,280.0,280.0,,,0 CDM,42097026_CSMPBB,"Hc Laser Hair Removal Mustache And Beard Package Cash-Csm,Pbb",280.0,280.0,,,0 CDM,42097032,"Hc Application Of A Modality To 1 Or More Areas; Electrical Stimulation (Manual), Each 15 Minutes",180.0,180.0,,,0 CDM,42097033,"Hc Application Of A Modality To 1 Or More Areas; Iontophoresis, Each 15 Minutes",185.0,185.0,,,0 CDM,42097035,"Hc Application Of A Modality To 1 Or More Areas; Ultrasound, Each 15 Minutes",74.0,74.0,,,0 CDM,42097036,"Hc Thrptc Prc,1 Or More Areas, Ea 15 Min;Thrptc Exrcs To Devlp Strngth/Endurnc,Rng Of Mtn And Flxbty",270.0,270.0,,,0 CDM,42097110,Hc Therapuetic Exercise Ea 15M,223.0,223.0,,,0 CDM,42097112,"Hc Thrptc Proc, 1 > Areas, Ea 15 Min; Nromsclr Reedcatn Mvmnt, Blnce, Coord, Knsthtc Snse & Pstre",204.0,204.0,,,0 CDM,42097113,Hc Aquatic Therapy/Exercises Ea 15 Mins,186.0,186.0,,,0 CDM,42097116,"Hc Therapeutic Procedure, 1 Or More Areas, Each 15 Minutes; Gait Training",139.0,139.0,,,0 CDM,42097116_PBB,"Hc Therapeutic Procedure, 1 Or More Areas, Each 15 Minutes; Gait Training-Pbb",133.5,133.5,,,0 CDM,42097124,"Hc Thrptc Proc, 1 Or More Areas, Ea 15 Min; Massage, Incl Effleurage, Petrissage And/Or Tapotement",168.0,168.0,,,0 CDM,42097140,"Hc Manual Therapy Techniques, 1 Or More Regions, Each 15 Minutes",226.0,226.0,,,0 CDM,42097150,"Hc Therapeutic Procedure, Group",175.0,175.0,,,0 CDM,42097530,"Hc Therapeutic Activities, Direct Patient Contact, Each 15 Minutes",196.0,196.0,,,0 CDM,42097533,"Hc Snsry Intgrtiv Tchnqs To Enhnce Snsry Proc&Promo Adptive Respns To Env Dem&S,Drct Pt Cont,Ea 15Mn",185.0,185.0,,,0 CDM,42097542,"Hc Wheelchair Management, Each 15 Minutes",110.0,110.0,,,0 CDM,42097597,"Hc Dbrdmnt, Opn Wnd, Wnd Assmnt, Use A Whrlpl, Tot Wnd(S) Sfc Area; 1St 20 Sq Cm Or Less",746.0,746.0,,,0 CDM,42097597_PBB,"Hc Dbrdmnt, Opn Wnd, Wnd Assmnt, Use A Whrlpl, Tot Wnd(S) Sfc Area; 1St 20 Sq Cm Or Less-Pbb",921.0,921.0,,,0 CDM,42097598,"Hc Dbrdmnt, Opn Wnd, Incl Tpcl App(S), Wnd Assmnt, Whrlpl, Tot Wnd(S) Sfc Area; Ea Add 20 Sq Cm",377.0,377.0,,,0 CDM,42097598_PBB,"Hc Dbrdmnt, Opn Wnd, Incl Tpcl App(S), Wnd Assmnt, Whrlpl, Tot Wnd(S) Sfc Area; Ea Add 20 Sq Cm-Pbb",577.5,577.5,,,0 CDM,42097602,"Hc Rmvl Of Devtlzd Tissue Fr Wnd,Non-Sel Debrdmnt,Wo Anes,Wnd Assmnt,& Instruc Ongoing Care,Per Sess",433.0,433.0,,,0 CDM,42097605,"Hc Neg Pressure Wnd Ther, Wnd Assmnt, & Instrn(S); Tot Wnd(S) < Or Equl To 50 Square Cent",1038.0,1038.0,,,0 CDM,42097605_PBB,"Hc Neg Pressure Wnd Ther, Wnd Assmnt, & Instrn(S); Tot Wnd(S) < Or Equl To 50 Square Cent-Pbb",1136.5,1136.5,,,0 CDM,42097606,"Hc Neg Press Wnd Ther,Util Dme,Incl Top App,Wnd Assmnt,& Instrn Care,Per Sess;Wnd Sfc Area 50 Sq Cm",1092.0,1092.0,,,0 CDM,42097606_PBB,"Hc Neg Press Wnd Ther,Util Dme,Incl Top App,Wnd Assmnt,& Instrn Care,Per Sess;Wnd Sfc Area 50 Sq Cm-",1288.5,1288.5,,,0 CDM,42097750,"Hc Physical Performance Test Or Measurement, With Written Report, Each 15 Minutes",204.0,204.0,,,0 CDM,42097761,"Hc Prosthetic Training, Upper And/Or Lower Extremity, Each 15 Minutes",123.0,123.0,,,0 CDM,42097763,"Hc Orthotic/Prosthetic Managment/Training ,Subseq Encounter/15 Min",190.0,190.0,,,0 CDM,42100_PBB,Pr Biopsy Palate Uvula-Pbb,1764.0,1764.0,,,0 CDM,42104_PBB,Pr Exc Lesion Palate Uvula W/O Closure-Pbb,1463.0,1463.0,,,0 CDM,42106_PBB,Pr Exc Lesion Palate Uvula W/Smpl Prim Closure-Pbb,1884.0,1884.0,,,0 CDM,42140_PBB,Pr Uvulectomy Excision Uvula-Pbb,1495.0,1495.0,,,0 CDM,42145_PBB,Pr Palatopharyngoplasty-Pbb,12120.0,12120.0,,,0 CDM,42160_PBB,Pr Dstrj Lesion Palate/Uvula Thermal Cryo/Chem-Pbb,1055.0,1055.0,,,0 CDM,42197014,Hc Pelieve Wrinkle Reduction Full Face Package Cash,500.0,500.0,,,0 CDM,42197014_CSMPBB,"Hc Pelieve Wrinkle Reduction Full Face Package Cash-Csm,Pbb",500.0,500.0,,,0 CDM,42197026,Hc Laser Hair Removal Mustache Only Package Cash,160.0,160.0,,,0 CDM,42197026_CSMPBB,"Hc Laser Hair Removal Mustache Only Package Cash-Csm,Pbb",160.0,160.0,,,0 CDM,42197110,Hc Research High Intensity Walking Protocol,100.0,100.0,,,0 CDM,42201_07733383525,NDC Description Not Available,3.64,3.64,,,0 CDM,42201_77333084425,NDC Description Not Available,3.43,3.43,,,0 CDM,42212_18657011701,NDC Description Not Available,2.49,2.49,,,0 CDM,42212_18657011702,NDC Description Not Available,2.49,2.49,,,0 CDM,42212_18657011704,Hylenex Recombinant: 4 Box In 1 Carton (18657-117-04) / 1 Vial In 1 Box (18657-117-02) / 1 Ml In 1 Vial (18657-117-01),2.49,2.49,,,0 CDM,4225_55150015410,"Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-154-10) / 10 Ml In 1 Vial, Single-Dose",0.81,0.81,,,0 CDM,4225_55150015520,"Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-155-20) / 20 Ml In 1 Vial, Single-Dose",0.85,0.85,,,0 CDM,4225_63323032503,NDC Description Not Available,1.34,1.34,,,0 CDM,4225_63323032509,NDC Description Not Available,1.25,1.25,,,0 CDM,4225_63323032510,"Acyclovir: 10 Vial, Single-Dose In 1 Tray (63323-325-10) / 10 Ml In 1 Vial, Single-Dose (63323-325-03)",1.26,1.26,,,0 CDM,42297014,Hc Pelieve Wrinkle Reduction Lower Face Cash,375.0,375.0,,,0 CDM,42297014_CSMPBB,"Hc Pelieve Wrinkle Reduction Lower Face Cash-Csm,Pbb",375.0,375.0,,,0 CDM,42297026,Hc Laser Hair Removal Beach Only Package Cash,240.0,240.0,,,0 CDM,42297026_CSMPBB,"Hc Laser Hair Removal Beach Only Package Cash-Csm,Pbb",240.0,240.0,,,0 CDM,42300_PBB,Pr Drainage Abscess Parotid Simple-Pbb,1594.0,1594.0,,,0 CDM,42310_PBB,Pr Drg Absc Submaxillary/Sublingual Intraoral-Pbb,1806.0,1806.0,,,0 CDM,42330_PBB,Pr Sialot Submndblr Sublngl/Prtd Uncomp Intraoral-Pbb,2638.0,2638.0,,,0 CDM,42335_PBB,Pr Sialolithotomy Submndblr Submax Comp Intraoral-Pbb,2515.0,2515.0,,,0 CDM,42340_PBB,Pr Sialolithotomy Prtd Xtroral/Comp Intraoral-Pbb,3509.0,3509.0,,,0 CDM,42397014,Hc Pelieve Wrinkle Reduction Lower Face Package Cash,250.0,250.0,,,0 CDM,42397014_CSMPBB,"Hc Pelieve Wrinkle Reduction Lower Face Package Cash-Csm,Pbb",250.0,250.0,,,0 CDM,42397026,Hc Laser Hair Removal Chest/Back Full Cash,640.0,640.0,,,0 CDM,42397026_CSMPBB,"Hc Laser Hair Removal Chest/Back Full Cash-Csm,Pbb",640.0,640.0,,,0 CDM,42400_PBB,Pr Biopsy Salivary Gland Needle-Pbb,1279.0,1279.0,,,0 CDM,42405_PBB,Pr Biopsy Salivary Gland Incisional-Pbb,2826.0,2826.0,,,0 CDM,42433_49591005211,NDC Description Not Available,655.68,655.68,,,0 CDM,42433_49591005251,"Hepagam B: 1 Vial, Glass In 1 Carton (49591-052-51) / 1 Ml In 1 Vial, Glass (49591-052-11)",681.23,681.23,,,0 CDM,42433_70257005211,NDC Description Not Available,681.22,681.22,,,0 CDM,42433_70257005251,"Hepagam B: 1 Vial, Glass In 1 Carton (70257-052-51) / 1 Ml In 1 Vial, Glass (70257-052-11)",681.22,681.22,,,0 CDM,42434_49591005105,NDC Description Not Available,596.26,596.26,,,0 CDM,42434_49591005151,"Hepagam B: 1 Vial, Glass In 1 Carton (49591-051-51) / 5 Ml In 1 Vial, Glass (49591-051-05)",596.26,596.26,,,0 CDM,42434_70257005105,NDC Description Not Available,596.26,596.26,,,0 CDM,42434_70257005151,"Hepagam B: 1 Vial, Glass In 1 Carton (70257-051-51) / 5 Ml In 1 Vial, Glass (70257-051-05)",596.26,596.26,,,0 CDM,4243_00713052606,NDC Description Not Available,36.85,36.85,,,0 CDM,4243_45802075900,NDC Description Not Available,60.44,60.44,,,0 CDM,42497014,Hc Pelieve Wrinkle Reduction Forehead Cash,195.0,195.0,,,0 CDM,42497014_CSMPBB,"Hc Pelieve Wrinkle Reduction Forehead Cash-Csm,Pbb",195.0,195.0,,,0 CDM,42497026,Hc Laser Hair Removal Chest/Back Limited Cash,320.0,320.0,,,0 CDM,42497026_CSMPBB,"Hc Laser Hair Removal Chest/Back Limited Cash-Csm,Pbb",320.0,320.0,,,0 CDM,42497161,Hc Physical Therapy Evaluation Low Complex 20 Min,304.0,304.0,,,0 CDM,42497162,Hc Physical Therapy Evaluation Moderate Complex 30 Min,434.0,434.0,,,0 CDM,42497163,Hc Physical Therapy High Complex 45 Min,434.0,434.0,,,0 CDM,42497164,Hc Re-Evaluation Established Plan Care,378.0,378.0,,,0 CDM,42500_PBB,Pr Plstc Rpr Salivary Dux Sialodochoplasty Prim-Pbb,3332.0,3332.0,,,0 CDM,42505_PBB,Pr Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp-Pbb,4422.0,4422.0,,,0 CDM,42538_00143959501,NDC Description Not Available,2.65,2.65,,,0 CDM,42538_00409427902,"Lidocaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-4279-02) / 30 Ml In 1 Vial, Single-Dose (0409-4279-16)",0.95,0.95,,,0 CDM,42538_00409427916,NDC Description Not Available,0.53,0.53,,,0 CDM,42538_00409471302,Lidocaine Hydrochloride: 5 Cello Pack In 1 Package (0409-4713-02) / 5 Ampule In 1 Cello Pack (0409-4713-26) / 5 Ml In 1 Ampule (0409-4713-12),3.65,3.65,,,0 CDM,42538_00409471312,NDC Description Not Available,3.49,3.49,,,0 CDM,42538_00409471332,Lidocaine Hydrochloride: 5 Carton In 1 Package (0409-4713-32) / 10 Ampule In 1 Carton (0409-4713-25) / 2 Ml In 1 Ampule (0409-4713-42),1.62,1.62,,,0 CDM,42538_00409471342,NDC Description Not Available,1.97,1.97,,,0 CDM,42538_00409471362,Lidocaine Hydrochloride: 800 Ampule In 1 Case (0409-4713-62) / 2 Ml In 1 Ampule (0409-4713-72),1.97,1.97,,,0 CDM,42538_00409471365,Lidocaine Hydrochloride: 800 Ampule In 1 Case (0409-4713-65) / 5 Ml In 1 Ampule (0409-4713-75),3.02,3.02,,,0 CDM,42538_00409471375,NDC Description Not Available,3.07,3.07,,,0 CDM,42538_31722011705,NDC Description Not Available,1.18,1.18,,,0 CDM,42538_31722011730,NDC Description Not Available,0.31,0.31,,,0 CDM,42538_55150015872,Lidocaine Hydrochloride: 10 Ampule In 1 Carton (55150-158-72) / 2 Ml In 1 Ampule,1.97,1.97,,,0 CDM,42538_55150015974,Lidocaine Hydrochloride: 10 Ampule In 1 Carton (55150-159-74) / 5 Ml In 1 Ampule,5.45,5.45,,,0 CDM,42538_55150016102,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-161-02) / 2 Ml In 1 Vial, Single-Dose",1.65,1.65,,,0 CDM,42538_55150016205,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-162-05) / 5 Ml In 1 Vial, Single-Dose",2.14,2.14,,,0 CDM,42538_55150016330,"Lidocaine Hydrochloride: 1 Vial, Single-Dose In 1 Carton (55150-163-30) / 30 Ml In 1 Vial, Single-Dose",5.66,5.66,,,0 CDM,42538_63323049204,NDC Description Not Available,1.6,1.6,,,0 CDM,42538_63323049207,NDC Description Not Available,1.4,1.4,,,0 CDM,42538_63323049208,NDC Description Not Available,0.82,0.82,,,0 CDM,42538_63323049209,NDC Description Not Available,1.23,1.23,,,0 CDM,42538_63323049216,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-16) / 2 Ml In 1 Vial, Single-Dose (63323-492-41)",1.74,1.74,,,0 CDM,42538_63323049227,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-27) / 2 Ml In 1 Vial, Single-Dose (63323-492-04)",3.45,3.45,,,0 CDM,42538_63323049231,"Xylocaine Mpf: 5 Vial, Single-Dose In 1 Carton (63323-492-31) / 30 Ml In 1 Vial, Single-Dose (63323-492-03)",1.61,1.61,,,0 CDM,42538_63323049236,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-36) / 5 Ml In 1 Vial, Single-Dose (63323-492-43)",1.97,1.97,,,0 CDM,42538_63323049243,NDC Description Not Available,1.18,1.18,,,0 CDM,42538_63323049257,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-57) / 5 Ml In 1 Vial, Single-Dose (63323-492-09)",1.26,1.26,,,0 CDM,42538_63323049289,NDC Description Not Available,3.38,3.38,,,0 CDM,42538_63323049297,Xylocaine Mpf: 5 Ampule In 1 Box (63323-492-97) / 10 Ml In 1 Ampule (63323-492-08),1.14,1.14,,,0 CDM,42538_63739017013,NDC Description Not Available,6.04,6.04,,,0 CDM,42538_65282160501,Lidocaine Hydrochloride: 25 Ampule In 1 Carton (65282-1605-1) / 5 Ml In 1 Ampule,137.87,137.87,,,0 CDM,42538_70756064185,Lidocaine Hydrochloride: 1 Vial In 1 Carton (70756-641-85) / 5 Ml In 1 Vial,1.18,1.18,,,0 CDM,42538_72572037001,NDC Description Not Available,1.06,1.06,,,0 CDM,42538_73293000101,NDC Description Not Available,2.38,2.38,,,0 CDM,42538_76420008005,"Lidocaine Hydrochloride: 5 Ml In 1 Vial, Single-Dose (76420-080-05)",1.97,1.97,,,0 CDM,42538_83090000201,NDC Description Not Available,2.69,2.69,,,0 CDM,42538_83090000301,NDC Description Not Available,0.69,0.69,,,0 CDM,42539_00409206605,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0409-2066-05) / 5 Ml In 1 Vial, Single-Dose (0409-2066-10)",0.68,0.68,,,0 CDM,42539_00409428202,Lidocaine Hydrochloride: 25 Ampule In 1 Carton (0409-4282-02) / 10 Ml In 1 Ampule (0409-4282-12),0.8,0.8,,,0 CDM,42539_00409428212,NDC Description Not Available,0.14,0.14,,,0 CDM,42539_63323049527,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-495-27) / 2 Ml In 1 Vial, Single-Dose (63323-495-09)",0.71,0.71,,,0 CDM,42539_63323049603,NDC Description Not Available,1.76,1.76,,,0 CDM,42541_63323049157,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-491-57) / 50 Ml In 1 Vial, Single-Dose (63323-491-01)",1.38,1.38,,,0 CDM,42542_63323020801,NDC Description Not Available,2.3,2.3,,,0 CDM,42543_00409132315,NDC Description Not Available,0.9,0.9,,,0 CDM,42543_76329339001,Lidocaine Hydrochloride: 10 Syringe In 1 Package (76329-3390-1) / 5 Ml In 1 Syringe,0.87,0.87,,,0 CDM,42549_00264959820,Lidocaine Hydrochloride And Dextrose: 24 Container In 1 Case (0264-9598-20) / 250 Ml In 1 Container,0.19,0.19,,,0 CDM,42549_00338041102,Lidocaine Hydrochloride And Dextrose: 24 Bag In 1 Carton (0338-0411-02) / 250 Ml In 1 Bag,0.14,0.14,,,0 CDM,42597014,Hc Pelieve Wrinkle Reduction Forehead Package Cash,130.0,130.0,,,0 CDM,42597014_CSMPBB,"Hc Pelieve Wrinkle Reduction Forehead Package Cash-Csm,Pbb",130.0,130.0,,,0 CDM,42597026_CSM,Hc Laser Hair Removal Abdomen Cash-Csm,800.0,800.0,,,0 CDM,42597026_CSMPBB,"Hc Laser Hair Removal Abdomen Cash-Csm,Pbb",800.0,800.0,,,0 CDM,42627_00143938501,"Decitabine: 1 Vial, Single-Dose In 1 Carton (0143-9385-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",13.23,13.23,,,0 CDM,42627_55111055610,"Decitabine: 1 Vial, Single-Use In 1 Carton (55111-556-10) / 10 Ml In 1 Vial, Single-Use",80.0,80.0,,,0 CDM,42627_72205003101,"Decitabine: 1 Vial, Single-Use In 1 Carton (72205-031-01) / 20 Ml In 1 Vial, Single-Use",26.45,26.45,,,0 CDM,42640_00069046956,"Chantix: 56 Tablet, Film Coated In 1 Bottle (0069-0469-56)",51.97,51.97,,,0 CDM,42640_60687064811,NDC Description Not Available,80.72,80.72,,,0 CDM,42650_PBB,Pr Dilation Salivary Duct-Pbb,746.0,746.0,,,0 CDM,4267_00517265025,"Magnesium Sulfate: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-2650-25) / 50 mL in 1 VIAL, SINGLE-DOSE",2.57,2.57,,,0 CDM,4267_63323006401,NDC Description Not Available,27.23,27.23,,,0 CDM,4267_63323006402,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-064-02) / 2 Ml In 1 Vial, Single-Dose",14.75,14.75,,,0 CDM,4267_63323006403,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Carton (63323-064-03) / 2 Ml In 1 Vial, Single-Dose (63323-064-01)",25.03,25.03,,,0 CDM,4267_63323006404,NDC Description Not Available,29.5,29.5,,,0 CDM,4267_63323006410,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-064-10) / 10 Ml In 1 Vial, Single-Dose",29.5,29.5,,,0 CDM,4267_63323064201,NDC Description Not Available,29.5,29.5,,,0 CDM,42697014,Hc Pelieve Wrinkle Reduction Eye/Preorbital Cash,375.0,375.0,,,0 CDM,42697014_CSMPBB,"Hc Pelieve Wrinkle Reduction Eye/Preorbital Cash-Csm,Pbb",375.0,375.0,,,0 CDM,42697026,Hc Laser Hair Removal Abdomen Package Cash,320.0,320.0,,,0 CDM,42697026_CSMPBB,"Hc Laser Hair Removal Abdomen Package Cash-Csm,Pbb",320.0,320.0,,,0 CDM,42700_PBB,Pr I&D Abscess Peritonsillar-Pbb,1590.0,1590.0,,,0 CDM,42701_65757030001,"Vivitrol: 1 Kit In 1 Carton (65757-300-01) * 4 Ml In 1 Vial, Glass (65757-302-02) * 4 Ml In 1 Vial, Glass (65757-304-03)",22.86,22.86,,,0 CDM,42717_00006482700,"Varivax: 10 Vial, Single-Dose In 1 Carton (0006-4827-00) / .5 Ml In 1 Vial, Single-Dose (0006-4827-01)",1172.63,1172.63,,,0 CDM,42717_00006482701,NDC Description Not Available,1186.2,1186.2,,,0 CDM,42797014,Hc Pelieve Wrinkle Reduction Eye/Preorbital Package Cash,250.0,250.0,,,0 CDM,42797014_CSMPBB,"Hc Pelieve Wrinkle Reduction Eye/Preorbital Package Cash-Csm,Pbb",250.0,250.0,,,0 CDM,42797026,Hc Laser Hair Removal Arms Bilateral Package Cash,480.0,480.0,,,0 CDM,42797026_CSMPBB,"Hc Laser Hair Removal Arms Bilateral Package Cash-Csm,Pbb",480.0,480.0,,,0 CDM,42800_PBB,Pr Biopsy Oropharynx-Pbb,948.0,948.0,,,0 CDM,42804_PBB,Pr Biopsy Nasopharynx Visible Lesion Simple-Pbb,948.0,948.0,,,0 CDM,42805_00270516412,"Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-12) / 5 Ml In 1 Vial, Single-Dose",45.09,45.09,,,0 CDM,42805_00270516413,"Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-13) / 10 Ml In 1 Vial, Single-Dose",38.53,38.53,,,0 CDM,42805_00270516414,"Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-14) / 15 Ml In 1 Vial, Single-Dose",38.02,38.02,,,0 CDM,42808_PBB,Pr Excision/Destruction Lesion Pharynx Any Method-Pbb,2430.0,2430.0,,,0 CDM,42809_66993049084,NDC Description Not Available,3056.81,3056.81,,,0 CDM,42809_67386012252,NeoProfen: 3 VIAL in 1 CARTON (67386-122-52) / 2 mL in 1 VIAL,3400.25,3400.25,,,0 CDM,42809_PBB,Pr Removal Foreign Body Pharynx-Pbb,1354.0,1354.0,,,0 CDM,4280_50268068411,NDC Description Not Available,6.87,6.87,,,0 CDM,42829_55513003201,Aranesp: 1 Blister Pack In 1 Package (55513-032-01) / 1 Syringe In 1 Blister Pack / 1 Ml In 1 Syringe,51.86,51.86,,,0 CDM,42860_PBB,Pr Excision Tonsil Tags-Pbb,1951.0,1951.0,,,0 CDM,42897014,Hc Pelieve Wrinkle Reduction Body Cash,330.0,330.0,,,0 CDM,42897014_CSMPBB,"Hc Pelieve Wrinkle Reduction Body Cash-Csm,Pbb",330.0,330.0,,,0 CDM,42897026,Hc Laser Hair Removal One Arm Cash,240.0,240.0,,,0 CDM,42897026_CSMPBB,"Hc Laser Hair Removal One Arm Cash-Csm,Pbb",240.0,240.0,,,0 CDM,42950_PBB,Pr Pharyngoplasty Plstc/Rcnstv Opration Pharynx-Pbb,7694.0,7694.0,,,0 CDM,42960_PBB,Pr Control Oropharyngeal Hemorrhage Simple-Pbb,1489.0,1489.0,,,0 CDM,42962_PBB,Pr Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj-Pbb,4122.0,4122.0,,,0 CDM,42975_00003052711,Sprycel: 1 Bottle In 1 Carton (0003-0527-11) / 60 Tablet In 1 Bottle,2587.77,2587.77,,,0 CDM,42975_60505362806,"Dasatinib: 60 Tablet, Film Coated In 1 Bottle (60505-3628-6)",2146.65,2146.65,,,0 CDM,42975_PBB,Pr Dise Dyn Eval Sleep Disordered Breathing Flx Dx-Pbb,729.0,729.0,,,0 CDM,42997014,Hc Pelieve Wrinkle Reduction Body Package Cash,220.0,220.0,,,0 CDM,42997014_CSMPBB,"Hc Pelieve Wrinkle Reduction Body Package Cash-Csm,Pbb",220.0,220.0,,,0 CDM,42997026,Hc Laser Hair Removal Below Knees Package Cash,400.0,400.0,,,0 CDM,42997026_CSMPBB,"Hc Laser Hair Removal Below Knees Package Cash-Csm,Pbb",400.0,400.0,,,0 CDM,43029280,Hc Strapping; Hand Or Finger,1002.0,1002.0,,,0 CDM,4302_59762011901,"Phenelzine Sulfate: 60 Tablet, Film Coated In 1 Bottle (59762-0119-1)",4.39,4.39,,,0 CDM,43097026,Hc Laser Hair Removal Above Knees Package Cash,400.0,400.0,,,0 CDM,43097026_CSMPBB,"Hc Laser Hair Removal Above Knees Package Cash-Csm,Pbb",400.0,400.0,,,0 CDM,43097129,Hc Therapeutic Interventions Cognitive Function 1St 15 Minutes,185.0,185.0,,,0 CDM,43097130,Hc Cognitive Function Therapeutic Interventions;Additional 15 Minutes,464.0,464.0,,,0 CDM,43097535,"Hc Self-Care/Home Management Trainig, Direct One-On-One Contact, Each 15 Minutes",204.0,204.0,,,0 CDM,43097537,"Hc Community/Work Reintegration Training, Direct One-On-One Contact, Each 15 Minutes",117.0,117.0,,,0 CDM,43097760,"Hc Orthotic(S) Mgmt And Training, Upper Extremity, Lower Extremity And/Or Trunk, Each 15 Min",238.0,238.0,,,0 CDM,43111_76329630005,Lidocaine Hydrochloride: 25 Vial In 1 Carton (76329-6300-5) / 4 Ml In 1 Vial,185.89,185.89,,,0 CDM,43116_00074317390,Tricor: 90 Tablet In 1 Bottle (0074-3173-90),5.47,5.47,,,0 CDM,43116_00378306577,"Fenofibrate: 90 Tablet, Film Coated In 1 Bottle, Plastic (0378-3065-77)",5.18,5.18,,,0 CDM,43116_60687061811,NDC Description Not Available,7.72,7.72,,,0 CDM,43117_60687062911,NDC Description Not Available,20.46,20.46,,,0 CDM,4314_00904655261,"Ondansetron: 100 Blister Pack In 1 Carton (0904-6552-61) / 1 Tablet, Film Coated In 1 Blister Pack",0.55,0.55,,,0 CDM,4314_16714016001,"Ondansetron: 30 Tablet, Film Coated In 1 Bottle (16714-160-01)",0.4,0.4,,,0 CDM,4314_50268062211,NDC Description Not Available,0.54,0.54,,,0 CDM,4314_55111015413,"Ondansetron: 3 Dose Pack In 1 Box (55111-154-13) / 1 Tablet, Film Coated In 1 Dose Pack",1.36,1.36,,,0 CDM,4314_55111015430,"Ondansetron: 30 Tablet, Film Coated In 1 Bottle (55111-154-30)",0.51,0.51,,,0 CDM,4314_57237007650,"Ondansetron Hydrochloride: 500 Tablet, Film Coated In 1 Bottle (57237-076-50)",1.71,1.71,,,0 CDM,4314_62135035105,Ondansetron: 500 Tablet In 1 Bottle (62135-351-05),5.9,5.9,,,0 CDM,4314_65862018803,"Ondansetron Hydrochloride: 1 Blister Pack In 1 Carton (65862-188-03) / 3 Tablet, Film Coated In 1 Blister Pack",1.15,1.15,,,0 CDM,4314_65862018830,"Ondansetron Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (65862-188-30)",0.46,0.46,,,0 CDM,4314_68084022101,"Ondansetron Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (68084-221-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-221-11)",0.75,0.75,,,0 CDM,4314_68084022111,NDC Description Not Available,0.75,0.75,,,0 CDM,4314_68462010630,"Ondansetron: 30 Tablet, Film Coated In 1 Bottle (68462-106-30)",0.75,0.75,,,0 CDM,43155_78206014501,Nexplanon: 1 Blister Pack In 1 Carton (78206-145-01) / 1 Implant In 1 Blister Pack,7310.5,7310.5,,,0 CDM,43180_PBB,Pr Esophagoscp Rig Transoral Hypopharynx Crv Esoph-Pbb,3963.0,3963.0,,,0 CDM,43191_GAST,Pr Esophagoscopy Rigid Transoral Diagnostic Brush-Gast,2781.0,2781.0,,,0 CDM,43191_PBB,Pr Esophagoscopy Rigid Transoral Diagnostic Brush-Pbb,2781.0,2781.0,,,0 CDM,43192_GAST,Pr Esophagoscopy Rigid Transoral Inj Submucosal-Gast,3420.0,3420.0,,,0 CDM,43192_PBB,Pr Esophagoscopy Rigid Transoral Inj Submucosal-Pbb,3420.0,3420.0,,,0 CDM,43193_GAST,Pr Esophagoscopy Rigid Transoral With Biopsy-Gast,3795.0,3795.0,,,0 CDM,43193_PBB,Pr Esophagoscopy Rigid Transoral With Biopsy-Pbb,3795.0,3795.0,,,0 CDM,43194_GAST,Pr Esophagoscopy Rig Transoral Removal Foreign Body-Gast,4174.0,4174.0,,,0 CDM,43194_PBB,Pr Esophagoscopy Rig Transoral Removal Foreign Body-Pbb,4174.0,4174.0,,,0 CDM,43195_55513002801,Aranesp: 1 Blister Pack In 1 Package (55513-028-01) / 1 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe,51.89,51.89,,,0 CDM,43195_GAST,Pr Esophagoscopy Rigid Transoral Balloon Dilation-Gast,4174.0,4174.0,,,0 CDM,43195_PBB,Pr Esophagoscopy Rigid Transoral Balloon Dilation-Pbb,4174.0,4174.0,,,0 CDM,43196_55513002101,NDC Description Not Available,51.86,51.86,,,0 CDM,43196_55513002104,Aranesp: 1 Blister Pack In 1 Package (55513-021-04) / 4 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe (55513-021-01),51.86,51.86,,,0 CDM,43196_GAST,Pr Esophagoscopy Rig Transoral Guide Wire Dilation-Gast,4590.0,4590.0,,,0 CDM,43196_PBB,Pr Esophagoscopy Rig Transoral Guide Wire Dilation-Pbb,4590.0,4590.0,,,0 CDM,43197026_CSM,Hc Laser Hair Removal Full Leg Cash-Csm,1100.0,1100.0,,,0 CDM,43197026_CSMPBB,"Hc Laser Hair Removal Full Leg Cash-Csm,Pbb",1100.0,1100.0,,,0 CDM,43197_55513005701,NDC Description Not Available,51.86,51.86,,,0 CDM,43197_55513005704,Aranesp: 1 Blister Pack In 1 Package (55513-057-04) / 4 Syringe In 1 Blister Pack / .42 Ml In 1 Syringe (55513-057-01),51.86,51.86,,,0 CDM,43197_GAST,Pr Esophagoscopy Flexible Transnasal Diagnostic-Gast,2071.0,2071.0,,,0 CDM,43197_PBB,Pr Esophagoscopy Flexible Transnasal Diagnostic-Pbb,2071.0,2071.0,,,0 CDM,43198_55513011101,Aranesp: 1 Blister Pack In 1 Package (55513-111-01) / 1 Syringe In 1 Blister Pack / .6 Ml In 1 Syringe,51.86,51.86,,,0 CDM,43198_GAST,Pr Esophagoscopy Flexible Transnasal With Biopsy-Gast,2480.0,2480.0,,,0 CDM,43198_PBB,Pr Esophagoscopy Flexible Transnasal With Biopsy-Pbb,2480.0,2480.0,,,0 CDM,43200_GAST,Pr Esophagoscopy Flexible Transoral Diagnostic-Gast,2216.0,2216.0,,,0 CDM,43200_PBB,Pr Esophagoscopy Flexible Transoral Diagnostic-Pbb,2216.0,2216.0,,,0 CDM,43201_GAST,Pr Esophagoscopy Flexible Transoral W Submucous Inj-Gast,3326.0,3326.0,,,0 CDM,43201_PBB,Pr Esophagoscopy Flexible Transoral W Submucous Inj-Pbb,3326.0,3326.0,,,0 CDM,43202_GAST,Pr Esophagoscopy Flexible Transoral With Biopsy-Gast,2419.0,2419.0,,,0 CDM,43202_PBB,Pr Esophagoscopy Flexible Transoral With Biopsy-Pbb,2419.0,2419.0,,,0 CDM,43204_55513002301,NDC Description Not Available,51.86,51.86,,,0 CDM,43204_55513002304,Aranesp: 1 Blister Pack In 1 Package (55513-023-04) / 4 Syringe In 1 Blister Pack / .3 Ml In 1 Syringe (55513-023-01),51.86,51.86,,,0 CDM,43204_GAST,Pr Esophagoscopy Flex Transoral Injection Varices-Gast,3326.0,3326.0,,,0 CDM,43204_PBB,Pr Esophagoscopy Flex Transoral Injection Varices-Pbb,3326.0,3326.0,,,0 CDM,43205_55513002501,NDC Description Not Available,52.0,52.0,,,0 CDM,43205_55513002504,Aranesp: 1 Blister Pack In 1 Package (55513-025-04) / 4 Syringe In 1 Blister Pack / .5 Ml In 1 Syringe (55513-025-01),53.2,53.2,,,0 CDM,43205_GAST,Pr Esphgoscopy Flex W/Band Ligation Esophgl Varices-Gast,3326.0,3326.0,,,0 CDM,43205_PBB,Pr Esphgoscopy Flex W/Band Ligation Esophgl Varices-Pbb,3326.0,3326.0,,,0 CDM,43206_GAST,Pr Esophagoscopy Transoral W/Optical Endomicroscopy-Gast,2537.0,2537.0,,,0 CDM,43206_PBB,Pr Esophagoscopy Transoral W/Optical Endomicroscopy-Pbb,2537.0,2537.0,,,0 CDM,4320_00409475901,"Ondansetron: 1 Vial, Multi-Dose In 1 Carton (0409-4759-01) / 20 Ml In 1 Vial, Multi-Dose",14.75,14.75,,,0 CDM,4320_00641607825,Ondansetron: 25 Vial In 1 Carton (0641-6078-25) / 2 Ml In 1 Vial (0641-6078-01),12.88,12.88,,,0 CDM,4320_23155054931,Ondansetron: 1 Vial In 1 Carton (23155-549-31) / 20 Ml In 1 Vial,1.47,1.47,,,0 CDM,4320_55390012101,"Ondansetron: 1 VIAL, MULTI-DOSE in 1 BOX (55390-121-01) / 20 mL in 1 VIAL, MULTI-DOSE",14.75,14.75,,,0 CDM,4320_63323037420,Ondansetron: 1 Vial In 1 Box (63323-374-20) / 20 Ml In 1 Vial,3.39,3.39,,,0 CDM,43211_GAST,Pr Esophagoscopy Flexible Transoral Mucosal Resexn-Gast,3777.0,3777.0,,,0 CDM,43211_PBB,Pr Esophagoscopy Flexible Transoral Mucosal Resexn-Pbb,3777.0,3777.0,,,0 CDM,43212_GAST,Pr Esophagoscopy Transoral Stent Placement-Gast,3020.0,3020.0,,,0 CDM,43212_PBB,Pr Esophagoscopy Transoral Stent Placement-Pbb,3020.0,3020.0,,,0 CDM,43213_GAST,Pr Esophagoscopy Retrograde Dilate Balloon/Other-Gast,5069.0,5069.0,,,0 CDM,43213_PBB,Pr Esophagoscopy Retrograde Dilate Balloon/Other-Pbb,5069.0,5069.0,,,0 CDM,43214_GAST,Pr Esophagoscopy Dilate Esophagus Balloon 30 Mm-Gast,3646.0,3646.0,,,0 CDM,43214_PBB,Pr Esophagoscopy Dilate Esophagus Balloon 30 Mm-Pbb,3646.0,3646.0,,,0 CDM,43215_GAST,Pr Esophagoscopy Flexible Removal Foreign Body-Gast,3225.0,3225.0,,,0 CDM,43215_PBB,Pr Esophagoscopy Flexible Removal Foreign Body-Pbb,3225.0,3225.0,,,0 CDM,43216_GAST,Pr Esphagoscopy Flex Lesion Removal Hot Bx Forceps-Gast,3527.0,3527.0,,,0 CDM,43216_PBB,Pr Esphagoscopy Flex Lesion Removal Hot Bx Forceps-Pbb,3527.0,3527.0,,,0 CDM,43217_GAST,Pr Esophagoscopy Flexib Lesion Removal Tumor Snare-Gast,3527.0,3527.0,,,0 CDM,43217_PBB,Pr Esophagoscopy Flexib Lesion Removal Tumor Snare-Pbb,3527.0,3527.0,,,0 CDM,43220_GAST,Pr Esophagoscopy Flex Balloon Dilat <30 Mm Diam-Gast,2720.0,2720.0,,,0 CDM,43220_PBB,Pr Esophagoscopy Flex Balloon Dilat <30 Mm Diam-Pbb,2720.0,2720.0,,,0 CDM,43226_GAST,Pr Esophagoscopy Flexible Guide Wire Dilation-Gast,2419.0,2419.0,,,0 CDM,43226_PBB,Pr Esophagoscopy Flexible Guide Wire Dilation-Pbb,2419.0,2419.0,,,0 CDM,43227_GAST,Pr Esophagoscopy Flexible W/Bleeding Control-Gast,3326.0,3326.0,,,0 CDM,43227_PBB,Pr Esophagoscopy Flexible W/Bleeding Control-Pbb,3326.0,3326.0,,,0 CDM,43229_GAST,Pr Esophagoscopy Flex Transoral Lesion Ablation-Gast,3020.0,3020.0,,,0 CDM,43229_PBB,Pr Esophagoscopy Flex Transoral Lesion Ablation-Pbb,3020.0,3020.0,,,0 CDM,43231_GAST,Pr Esophagoscopy Flexible Transoral Ultrasound Exam-Gast,2667.0,2667.0,,,0 CDM,43231_PBB,Pr Esophagoscopy Flexible Transoral Ultrasound Exam-Pbb,2667.0,2667.0,,,0 CDM,43232_GAST,Pr Esophagoscopy Intra/Transmural Needle Aspirat/Bx-Gast,3117.0,3117.0,,,0 CDM,43232_PBB,Pr Esophagoscopy Intra/Transmural Needle Aspirat/Bx-Pbb,3117.0,3117.0,,,0 CDM,43233_GAST,Pr Egd Esophagus Balloon Dilation 30 Mm Or Larger-Gast,4338.0,4338.0,,,0 CDM,43233_PBB,Pr Egd Esophagus Balloon Dilation 30 Mm Or Larger-Pbb,4338.0,4338.0,,,0 CDM,43235_GAST,Pr Esophagogastroduodenoscopy Transoral Diagnostic-Gast,2216.0,2216.0,,,0 CDM,43235_PBB,Pr Esophagogastroduodenoscopy Transoral Diagnostic-Pbb,2216.0,2216.0,,,0 CDM,43236_GAST,Pr Esophagogastroduodenoscopy Submucosal Injection-Gast,3625.0,3625.0,,,0 CDM,43236_PBB,Pr Esophagogastroduodenoscopy Submucosal Injection-Pbb,3625.0,3625.0,,,0 CDM,43237_GAST,Pr Esophagogastroduodenoscopy Us Scope W/Adj Strxrs-Gast,2667.0,2667.0,,,0 CDM,43237_PBB,Pr Esophagogastroduodenoscopy Us Scope W/Adj Strxrs-Pbb,2667.0,2667.0,,,0 CDM,43238_GAST,Pr Egd Intrmural Us Needle Aspirate/Biopsy Esophags-Gast,3117.0,3117.0,,,0 CDM,43238_PBB,Pr Egd Intrmural Us Needle Aspirate/Biopsy Esophags-Pbb,3117.0,3117.0,,,0 CDM,43239_GAST,Pr Egd Transoral Biopsy Single/Multiple-Gast,2569.0,2569.0,,,0 CDM,43239_PBB,Pr Egd Transoral Biopsy Single/Multiple-Pbb,2569.0,2569.0,,,0 CDM,43240_GAST,Pr Egd Transoral Transmural Drainage Pseudocyst-Gast,3326.0,3326.0,,,0 CDM,43240_PBB,Pr Egd Transoral Transmural Drainage Pseudocyst-Pbb,3326.0,3326.0,,,0 CDM,43241_GAST,Pr Egd Intraluminal Tube/Catheter Insertion-Gast,2819.0,2819.0,,,0 CDM,43241_PBB,Pr Egd Intraluminal Tube/Catheter Insertion-Pbb,2819.0,2819.0,,,0 CDM,43242_GAST,Pr Egd Intrmural Needle Aspir/Biop Altered Anatomy-Gast,3117.0,3117.0,,,0 CDM,43242_PBB,Pr Egd Intrmural Needle Aspir/Biop Altered Anatomy-Pbb,3117.0,3117.0,,,0 CDM,43243_GAST,Pr Egd Injection Sclerosis Esophgl/Gastric Varices-Gast,3625.0,3625.0,,,0 CDM,43243_PBB,Pr Egd Injection Sclerosis Esophgl/Gastric Varices-Pbb,3625.0,3625.0,,,0 CDM,43244_GAST,Pr Egd Band Ligation Esophgeal/Gastric Varices-Gast,3424.0,3424.0,,,0 CDM,43244_PBB,Pr Egd Band Ligation Esophgeal/Gastric Varices-Pbb,3424.0,3424.0,,,0 CDM,43245_GAST,Pr Egd Dilation Gastric/Duodenal Stricture-Gast,3020.0,3020.0,,,0 CDM,43245_PBB,Pr Egd Dilation Gastric/Duodenal Stricture-Pbb,3020.0,3020.0,,,0 CDM,43246_GAST,Pr Egd Percutaneous Placement Gastrostomy Tube-Gast,4433.0,4433.0,,,0 CDM,43246_PBB,Pr Egd Percutaneous Placement Gastrostomy Tube-Pbb,4433.0,4433.0,,,0 CDM,43247_GAST,Pr Egd Flexible Foreign Body Removal-Gast,3020.0,3020.0,,,0 CDM,43247_PBB,Pr Egd Flexible Foreign Body Removal-Pbb,3020.0,3020.0,,,0 CDM,43248_GAST,Pr Egd Insert Guide Wire Dilator Passage Esophagus-Gast,2667.0,2667.0,,,0 CDM,43248_PBB,Pr Egd Insert Guide Wire Dilator Passage Esophagus-Pbb,2667.0,2667.0,,,0 CDM,43249_GAST,Pr Egd Balloon Dilation Esophagus <30 Mm Diam-Gast,2921.0,2921.0,,,0 CDM,43249_PBB,Pr Egd Balloon Dilation Esophagus <30 Mm Diam-Pbb,2921.0,2921.0,,,0 CDM,43250_GAST,Pr Egd Flex Removal Lesion(S) By Hot Biopsy Forceps-Gast,3326.0,3326.0,,,0 CDM,43250_PBB,Pr Egd Flex Removal Lesion(S) By Hot Biopsy Forceps-Pbb,3326.0,3326.0,,,0 CDM,43251_GAST,Pr Egd Removal Tumor Polyp/Other Lesion Snare Tech-Gast,3326.0,3326.0,,,0 CDM,43251_PBB,Pr Egd Removal Tumor Polyp/Other Lesion Snare Tech-Pbb,3326.0,3326.0,,,0 CDM,43252_GAST,Pr Egd Flex Transoral W/Optical Endomicroscopy-Gast,2855.0,2855.0,,,0 CDM,43252_PBB,Pr Egd Flex Transoral W/Optical Endomicroscopy-Pbb,2855.0,2855.0,,,0 CDM,43253_GAST,Pr Egd Us Guided Transmural Injxn/Fiducial Marker-Gast,3233.0,3233.0,,,0 CDM,43253_PBB,Pr Egd Us Guided Transmural Injxn/Fiducial Marker-Pbb,3233.0,3233.0,,,0 CDM,43254_GAST,Pr Egd Transoral Endoscopic Mucosal Resection-Gast,3361.0,3361.0,,,0 CDM,43254_PBB,Pr Egd Transoral Endoscopic Mucosal Resection-Pbb,3361.0,3361.0,,,0 CDM,43255_GAST,Pr Egd Transoral Control Bleeding Any Method-Gast,3527.0,3527.0,,,0 CDM,43255_PBB,Pr Egd Transoral Control Bleeding Any Method-Pbb,3527.0,3527.0,,,0 CDM,43257_GAST,Pr Egd Deliver Thermal Energy Sphnctr/Cardia Gerd-Gast,4835.0,4835.0,,,0 CDM,43257_PBB,Pr Egd Deliver Thermal Energy Sphnctr/Cardia Gerd-Pbb,4835.0,4835.0,,,0 CDM,43259_GAST,Pr Edg Us Exam Surgical Alter Stom Duodenum/Jejunum-Gast,2667.0,2667.0,,,0 CDM,43259_PBB,Pr Edg Us Exam Surgical Alter Stom Duodenum/Jejunum-Pbb,2667.0,2667.0,,,0 CDM,43260_GAST,Pr Ercp Dx Collection Specimen Brushing/Washing-Gast,3728.0,3728.0,,,0 CDM,43260_PBB,Pr Ercp Dx Collection Specimen Brushing/Washing-Pbb,3728.0,3728.0,,,0 CDM,43261_GAST,Pr Ercp W/Biopsy Single/Multiple-Gast,4180.0,4180.0,,,0 CDM,43261_PBB,Pr Ercp W/Biopsy Single/Multiple-Pbb,4180.0,4180.0,,,0 CDM,43262_GAST,Pr Ercp W/Sphincterotomy/Papillotomy-Gast,5840.0,5840.0,,,0 CDM,43262_PBB,Pr Ercp W/Sphincterotomy/Papillotomy-Pbb,5840.0,5840.0,,,0 CDM,43263_GAST,Pr Ercp W/Pressure Measurement Sphincter Of Oddi-Gast,5036.0,5036.0,,,0 CDM,43263_PBB,Pr Ercp W/Pressure Measurement Sphincter Of Oddi-Pbb,5036.0,5036.0,,,0 CDM,43264_GAST,Pr Ercp Remove Calculi/Debris Biliary/Pancreas Duct-Gast,6346.0,6346.0,,,0 CDM,43264_PBB,Pr Ercp Remove Calculi/Debris Biliary/Pancreas Duct-Pbb,6346.0,6346.0,,,0 CDM,43265_GAST,Pr Ercp Destruction/Lithotripsy Calculi Any Method-Gast,5943.0,5943.0,,,0 CDM,43265_PBB,Pr Ercp Destruction/Lithotripsy Calculi Any Method-Pbb,5943.0,5943.0,,,0 CDM,43266_GAST,Pr Egd Endoscopic Stent Placement W/Wire& Dilation-Gast,3326.0,3326.0,,,0 CDM,43266_PBB,Pr Egd Endoscopic Stent Placement W/Wire& Dilation-Pbb,3326.0,3326.0,,,0 CDM,43270_GAST,Pr Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire-Gast,3675.0,3675.0,,,0 CDM,43270_PBB,Pr Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire-Pbb,3675.0,3675.0,,,0 CDM,43272_00414200040,NDC Description Not Available,2.0,2.0,,,0 CDM,43273_GAST,Pr Endoscopic Papilla Cannulation Bile/Pancreatic-Gast,770.0,770.0,,,0 CDM,43273_PBB,Pr Endoscopic Papilla Cannulation Bile/Pancreatic-Pbb,770.0,770.0,,,0 CDM,43274_GAST,Pr Ercp Stent Placement Biliary/Pancreatic Duct-Gast,5644.0,5644.0,,,0 CDM,43274_PBB,Pr Ercp Stent Placement Biliary/Pancreatic Duct-Pbb,5644.0,5644.0,,,0 CDM,43275_GAST,Pr Ercp Remove Foreign Body/Stent Biliary/Panc Duct-Gast,4933.0,4933.0,,,0 CDM,43275_PBB,Pr Ercp Remove Foreign Body/Stent Biliary/Panc Duct-Pbb,4933.0,4933.0,,,0 CDM,43276_GAST,Pr Ercp Biliary/Panc Duct Stent Exchange W/Dil&Wire-Gast,6267.0,6267.0,,,0 CDM,43276_PBB,Pr Ercp Biliary/Panc Duct Stent Exchange W/Dil&Wire-Pbb,6267.0,6267.0,,,0 CDM,43277_GAST,Pr Ercp Balloon Dilate Biliary/Panc Duct/Ampulla Ea-Gast,5440.0,5440.0,,,0 CDM,43277_PBB,Pr Ercp Balloon Dilate Biliary/Panc Duct/Ampulla Ea-Pbb,5440.0,5440.0,,,0 CDM,43278_GAST,Pr Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire-Gast,4229.0,4229.0,,,0 CDM,43278_PBB,Pr Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire-Pbb,4229.0,4229.0,,,0 CDM,43297026,Hc Laser Hair Removal Full Leg Package Cash,720.0,720.0,,,0 CDM,43297026_CSMPBB,"Hc Laser Hair Removal Full Leg Package Cash-Csm,Pbb",720.0,720.0,,,0 CDM,43297_55513002701,NDC Description Not Available,52.81,52.81,,,0 CDM,43297_55513002704,Aranesp: 1 Blister Pack In 1 Package (55513-027-04) / 4 Syringe In 1 Blister Pack / .3 Ml In 1 Syringe (55513-027-01),51.86,51.86,,,0 CDM,43333_00143957425,"Levetiracetam: 25 Vial, Single-Dose In 1 Carton (0143-9574-25) / 5 Ml In 1 Vial, Single-Dose (0143-9574-01)",0.16,0.16,,,0 CDM,43333_00143967301,NDC Description Not Available,0.6,0.6,,,0 CDM,43333_00143967325,"Levetiracetam: 25 Vial, Glass In 1 Carton (0143-9673-25) / 5 Ml In 1 Vial, Glass (0143-9673-01)",0.7,0.7,,,0 CDM,43333_00409188622,NDC Description Not Available,0.67,0.67,,,0 CDM,43333_55150017705,"Levetiracetam: 10 Vial, Single-Dose In 1 Carton (55150-177-05) / 5 Ml In 1 Vial, Single-Dose",1.24,1.24,,,0 CDM,43333_72485010601,NDC Description Not Available,0.72,0.72,,,0 CDM,43338_05199170390,NDC Description Not Available,1.88,1.88,,,0 CDM,43350_55513000301,NDC Description Not Available,51.86,51.86,,,0 CDM,43365_08068113500,NDC Description Not Available,2.0,2.0,,,0 CDM,43397026_CSM,Hc Laser Hair Removal Full Leg And Bikini Line Cash-Csm,1300.0,1300.0,,,0 CDM,43397026_CSMPBB,"Hc Laser Hair Removal Full Leg And Bikini Line Cash-Csm,Pbb",1300.0,1300.0,,,0 CDM,43450_GAST,Pr Dilation Esoph Unguided Sound/Bougie 1/Mult Pass-Gast,1516.0,1516.0,,,0 CDM,43450_PBB,Pr Dilation Esoph Unguided Sound/Bougie 1/Mult Pass-Pbb,1516.0,1516.0,,,0 CDM,43494_45802014300,NDC Description Not Available,6.0,6.0,,,0 CDM,43494_45802014370,Triple Antibiotic: 144 Packet In 1 Carton (45802-143-70) / .9 G In 1 Packet (45802-143-00),6.0,6.0,,,0 CDM,43497026,Hc Laser Hair Removal Full Leg & Bikini Line Package Cash,880.0,880.0,,,0 CDM,43497026_CSMPBB,"Hc Laser Hair Removal Full Leg & Bikini Line Package Cash-Csm,Pbb",880.0,880.0,,,0 CDM,43497165,Hc Occupational Therapy Evaluation Low Complex 30 Min,302.0,302.0,,,0 CDM,43497166,Hc Occupational Therapy Evaluation Moderate Complex 45 Min,380.0,380.0,,,0 CDM,43497167,Hc Occupational Therapy Evaluation High Complex 60 Min,380.0,380.0,,,0 CDM,43497168,Hc Occupational Therapy Re-Evaluation Established Plan Care,302.0,302.0,,,0 CDM,43497_PBB,Pr Transoral Lower Esophageal Myotomy-Pbb,5165.0,5165.0,,,0 CDM,43503_00436067216,Dakins Quarter: 473 Ml In 1 Bottle (0436-0672-16),84.32,84.32,,,0 CDM,43528_00085132801,"Noxafil: 1 Bottle, Glass In 1 Carton (0085-1328-01) / 105 Ml In 1 Bottle, Glass",370.73,370.73,,,0 CDM,43578_02055503300,NDC Description Not Available,4.38,4.38,,,0 CDM,43578_04843310401,NDC Description Not Available,6.0,6.0,,,0 CDM,43578_08068116900,NDC Description Not Available,4.15,4.15,,,0 CDM,43597026,Hc Laser Hair Removal Bikini Line Package Cash,320.0,320.0,,,0 CDM,43597026_CSMPBB,"Hc Laser Hair Removal Bikini Line Package Cash-Csm,Pbb",320.0,320.0,,,0 CDM,4360_00054071020,Methadone Hydrochloride: 1 Blister Pack In 1 Carton (0054-0710-20) / 100 Tablet In 1 Blister Pack,3.44,3.44,,,0 CDM,4360_00406577123,Methadone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-5771-23),3.35,3.35,,,0 CDM,4360_00904653061,Methadone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6530-61) / 1 Tablet In 1 Blister Pack,2.81,2.81,,,0 CDM,4360_68084073801,"Methadone Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (68084-738-01) / 1 Tablet In 1 Blister Pack (68084-738-11)",2.27,2.27,,,0 CDM,4360_68084073811,NDC Description Not Available,2.58,2.58,,,0 CDM,43697026,Hc Laser Hair Removal Axilla Package Cash,297.0,297.0,,,0 CDM,43697026_CSMPBB,"Hc Laser Hair Removal Axilla Package Cash-Csm,Pbb",280.0,280.0,,,0 CDM,43752_GAST,Pr Naso/Oro-Gastric Tube Plmt Req Phys&Fluor Gdnce-Gast,842.0,842.0,,,0 CDM,43752_PBB,Pr Naso/Oro-Gastric Tube Plmt Req Phys&Fluor Gdnce-Pbb,842.0,842.0,,,0 CDM,43753_GOLD,Pr Gastric Intubatj & Aspiraj W/Phys Skill/Lavage-Gold,242.0,242.0,,,0 CDM,43753_GOLDOPRM,"Pr Gastric Intubatj & Aspiraj W/Phys Skill/Lavage-Gold,Oprm",242.0,242.0,,,0 CDM,43753_GOLDPBB,"Pr Gastric Intubatj & Aspiraj W/Phys Skill/Lavage-Gold,Pbb",242.0,242.0,,,0 CDM,43755_00469321110,"Mycamine: 10 Vial, Single-Dose In 1 Carton (0469-3211-10) / 10 Ml In 1 Vial, Single-Dose",12.49,12.49,,,0 CDM,43755_25021019110,Micafungin: 1 Vial In 1 Carton (25021-191-10) / 5 Ml In 1 Vial,12.11,12.11,,,0 CDM,43755_42023023001,NDC Description Not Available,10.02,10.02,,,0 CDM,43755_42023023010,"Micafungin: 10 Vial, Single-Dose In 1 Carton (42023-230-10) / 10 Ml In 1 Vial, Single-Dose",10.02,10.02,,,0 CDM,43755_63323072901,NDC Description Not Available,4.09,4.09,,,0 CDM,43755_63323072910,"Micafungin: 10 Carton In 1 Carton (63323-729-10) / 1 Vial, Single-Dose In 1 Carton (63323-729-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",3.0,3.0,,,0 CDM,43761_GAST,Pr Repos Naso/Oro Gastric Feeding Tube Thru Duo-Gast,1505.0,1505.0,,,0 CDM,43761_PBB,Pr Repos Naso/Oro Gastric Feeding Tube Thru Duo-Pbb,1505.0,1505.0,,,0 CDM,43762_PBB,Pr Perq Replacement Gtube Not Req Revj Gstrst Trc-Pbb,1022.0,1022.0,,,0 CDM,43763_PBB,Pr Perq Replacement Gtube Req Revj Gstrst Trc-Pbb,1957.0,1957.0,,,0 CDM,43779_00409000902,NDC Description Not Available,14.75,14.75,,,0 CDM,43779_00409475518,NDC Description Not Available,14.75,14.75,,,0 CDM,43779_00641607801,NDC Description Not Available,13.44,13.44,,,0 CDM,43779_00641607825,Ondansetron: 25 Vial In 1 Carton (0641-6078-25) / 2 Ml In 1 Vial (0641-6078-01),11.66,11.66,,,0 CDM,43779_00641608001,NDC Description Not Available,7.48,7.48,,,0 CDM,43779_23155054731,NDC Description Not Available,11.98,11.98,,,0 CDM,43779_23155054742,Ondansetron: 25 Vial In 1 Carton (23155-547-42) / 2 Ml In 1 Vial (23155-547-31),8.85,8.85,,,0 CDM,43779_60505613000,NDC Description Not Available,11.53,11.53,,,0 CDM,43779_63323037302,Ondansetron: 25 Vial In 1 Tray (63323-373-02) / 2 Ml In 1 Vial (63323-373-00),14.75,14.75,,,0 CDM,43779_67457044000,NDC Description Not Available,14.75,14.75,,,0 CDM,43779_70860077641,NDC Description Not Available,15.08,15.08,,,0 CDM,43797026,Hc Laser Hair Removal Hands Bilateral Cash,300.0,300.0,,,0 CDM,43797026_CSMPBB,"Hc Laser Hair Removal Hands Bilateral Cash-Csm,Pbb",300.0,300.0,,,0 CDM,4382_00065027510,"Azopt: 1 BOTTLE, PLASTIC in 1 CARTON (0065-0275-10) / 10 mL in 1 BOTTLE, PLASTIC",2128.03,2128.03,,,0 CDM,4382_00078072210,Azopt: 1 Bottle In 1 Carton (0078-0722-10) / 10 Ml In 1 Bottle,2279.12,2279.12,,,0 CDM,4382_68682046410,"Brinzolamide: 1 Bottle, Plastic In 1 Carton (68682-464-10) / 10 Ml In 1 Bottle, Plastic",1913.14,1913.14,,,0 CDM,4386_00641600101,NDC Description Not Available,55.64,55.64,,,0 CDM,4386_00641604401,NDC Description Not Available,54.01,54.01,,,0 CDM,4386_00641604425,Lorazepam: 25 Vial In 1 Carton (0641-6044-25) / 1 Ml In 1 Vial (0641-6044-01),54.31,54.31,,,0 CDM,4386_76329826100,NDC Description Not Available,53.51,53.51,,,0 CDM,43870_PBB,Pr Closure Gastrostomy Surg-Pbb,6528.0,6528.0,,,0 CDM,4388_00591569550,"Minocycline Hydrochloride: 50 Capsule In 1 Bottle, Plastic (0591-5695-50)",3.96,3.96,,,0 CDM,4388_00904688806,Minocycline Hydrochloride: 50 Blister Pack In 1 Carton (0904-6888-06) / 1 Capsule In 1 Blister Pack,7.12,7.12,,,0 CDM,4388_60687033611,NDC Description Not Available,6.82,6.82,,,0 CDM,43897026,Hc Laser Hair Removal Hands Bilateral Package Cash,240.0,240.0,,,0 CDM,43897026_CSMPBB,"Hc Laser Hair Removal Hands Bilateral Package Cash-Csm,Pbb",240.0,240.0,,,0 CDM,4390_65483011607,"Proleukin: 1 VIAL, SINGLE-USE in 1 CARTON (65483-116-07) / 1 mL in 1 VIAL, SINGLE-USE",27630.94,27630.94,,,0 CDM,4390_73776002201,"Proleukin: 1 Vial, Single-Dose In 1 Carton (73776-022-01) / 1 Ml In 1 Vial, Single-Dose",33639.62,33639.62,,,0 CDM,4390_76310002201,"Proleukin: 1 Vial, Single-Dose In 1 Carton (76310-022-01) / 1 Ml In 1 Vial, Single-Dose",32748.21,32748.21,,,0 CDM,43997026_CSM,Hc Laser Hair Removal Feet And Toes Bilateral Cash-Csm,300.0,300.0,,,0 CDM,43997026_CSMPBB,"Hc Laser Hair Removal Feet And Toes Bilateral Cash-Csm,Pbb",300.0,300.0,,,0 CDM,44000000_00904719106,NDC Description Not Available,1.97,1.97,,,0 CDM,44000000_05026885111,NDC Description Not Available,1.92,1.92,,,0 CDM,44000000_07733393425,NDC Description Not Available,1.98,1.98,,,0 CDM,44000002_06961806359,NDC Description Not Available,6.0,6.0,,,0 CDM,44000003_06961806259,NDC Description Not Available,6.0,6.0,,,0 CDM,44000004_00023024004,1 TUBE in 1 CARTON (0023-0240-04) / 3.5 g in 1 TUBE,51.68,51.68,,,0 CDM,44000004_00023031204,Refresh Lacri-Lube: 1 Tube In 1 Carton (0023-0312-04) / 3.5 G In 1 Tube,22.97,22.97,,,0 CDM,44000004_00023066704,Refresh P.M.: 1 Tube In 1 Carton (0023-0667-04) / 3.5 G In 1 Tube,46.69,46.69,,,0 CDM,44000004_00904648838,Major Lubrifresh Pm: 1 Tube In 1 Carton (0904-6488-38) / 3.5 G In 1 Tube,33.42,33.42,,,0 CDM,44000004_01191714379,NDC Description Not Available,34.42,34.42,,,0 CDM,44000004_06373614308,NDC Description Not Available,35.31,35.31,,,0 CDM,44000005_00409488710,"Sterile Water: 25 Vial, Plastic In 1 Tray (0409-4887-10) / 10 Ml In 1 Vial, Plastic (0409-4887-17)",64.33,64.33,,,0 CDM,44000005_00409488717,NDC Description Not Available,68.12,68.12,,,0 CDM,44000005_00409488723,NDC Description Not Available,96.5,96.5,,,0 CDM,44000005_00409488724,NDC Description Not Available,193.0,193.0,,,0 CDM,44000005_00409488725,NDC Description Not Available,193.0,193.0,,,0 CDM,44000005_00409488750,"Sterile Water: 25 Vial, Plastic In 1 Tray (0409-4887-50) / 50 Ml In 1 Vial, Plastic (0409-4887-24)",193.0,193.0,,,0 CDM,44000005_63323018509,NDC Description Not Available,193.0,193.0,,,0 CDM,440002_99999004989,NDC Description Not Available,17.76,17.76,,,0 CDM,440002_99999005007,NDC Description Not Available,11.48,11.48,,,0 CDM,440012_00904282161,Oxybutynin Chloride: 100 BLISTER PACK in 1 CARTON (0904-2821-61) / 1 TABLET in 1 BLISTER PACK,5.98,5.98,,,0 CDM,440013_00591246401,"Desmopressin Acetate: 100 TABLET in 1 BOTTLE, PLASTIC (0591-2464-01)",23.6,23.6,,,0 CDM,440014_00378300701,"Captopril: 100 TABLET in 1 BOTTLE, PLASTIC (0378-3007-01)",6.29,6.29,,,0 CDM,440015_42292005403,"Colchicine: 30 Blister Pack In 1 Carton (42292-054-03) / 1 Tablet, Film Coated In 1 Blister Pack (42292-054-01)",28.81,28.81,,,0 CDM,440015_64764011901,"Colcrys: 100 Tablet, Film Coated In 1 Bottle, Plastic (64764-119-01)",43.29,43.29,,,0 CDM,440018,Noncdm Charge Record Pharmacy,263.43,263.43,,,0 CDM,440020_00338005403,Sodium Chloride: 24 Bag In 1 Carton (0338-0054-03) / 500 Ml In 1 Bag,1.29,1.29,,,0 CDM,440021_99999005147,NDC Description Not Available,13.07,13.07,,,0 CDM,440024_00024279210,"Ferrlecit: 10 Vial, Single-Use In 1 Carton (0024-2792-10) / 5 Ml In 1 Vial, Single-Use (0024-2792-01)",35.62,35.62,,,0 CDM,440026_00093760141,Temozolomide: 14 CAPSULE in 1 BOTTLE (0093-7601-41),60.09,60.09,,,0 CDM,440042_99999001189,NDC Description Not Available,2.0,2.0,,,0 CDM,440053_99999005580,NDC Description Not Available,191.91,191.91,,,0 CDM,4400_00487900330,NDC Description Not Available,6.0,6.0,,,0 CDM,4400_00487900360,NDC Description Not Available,6.0,6.0,,,0 CDM,4400_05019014263,NDC Description Not Available,6.0,6.0,,,0 CDM,4400_07620402260,NDC Description Not Available,6.0,6.0,,,0 CDM,44021_00517113001,NDC Description Not Available,0.17,0.17,,,0 CDM,44021_00517117101,NDC Description Not Available,10.66,10.66,,,0 CDM,44021_42023015901,NDC Description Not Available,10.02,10.02,,,0 CDM,44021_42023015925,Adrenalin: 25 Vial In 1 Carton (42023-159-25) / 1 Ml In 1 Vial (42023-159-01),10.02,10.02,,,0 CDM,44021_54288010301,NDC Description Not Available,7.37,7.37,,,0 CDM,44021_54288010310,Epinephrine: 10 Ampule In 1 Box (54288-103-10) / 1 Ml In 1 Ampule,8.68,8.68,,,0 CDM,44021_54288012001,Epinephrine: 1 Vial In 1 Carton (54288-120-01) / 10 Ml In 1 Vial,6.03,6.03,,,0 CDM,44022_00338050741,Gentamicin Sulfate In Sodium Chloride: 50 Ml In 1 Bag (0338-0507-41),58.74,58.74,,,0 CDM,44025_00338050348,Gentamicin Sulfate In Sodium Chloride: 100 Ml In 1 Bag (0338-0503-48),193.0,193.0,,,0 CDM,44026_00338051141,Gentamicin Sulfate In Sodium Chloride: 50 Ml In 1 Bag (0338-0511-41),85.78,85.78,,,0 CDM,440320_00409230517,"Midazolam: 25 Vial, Single-Dose In 1 Tray (0409-2305-17) / 2 Ml In 1 Vial, Single-Dose (0409-2305-16)",7.04,7.04,,,0 CDM,4406_50742025090,"Diltiazem Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (50742-250-90)",6.0,6.0,,,0 CDM,4406_60687021711,NDC Description Not Available,5.92,5.92,,,0 CDM,4406_63739001610,"Diltiazem Hydrochloride: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-016-10) / 10 CAPSULE, COATED, EXTENDED RELEASE in 1 BLISTER PACK",4.93,4.93,,,0 CDM,44086_25021005301,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (25021-053-01) / 1 Ml In 1 Vial,5.9,5.9,,,0 CDM,44086_63323050600,NDC Description Not Available,8.79,8.79,,,0 CDM,44086_63323050601,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-506-01) / 1 Ml In 1 Vial (63323-506-00),5.89,5.89,,,0 CDM,44086_70069002101,NDC Description Not Available,6.13,6.13,,,0 CDM,44086_70069002125,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (70069-021-25) / 1 Ml In 1 Vial (70069-021-01),3.99,3.99,,,0 CDM,44086_76045010910,"Dexamethasone Sodium Phosphate: 24 Blister Pack In 1 Carton (76045-109-10) / 1 Syringe, Glass In 1 Blister Pack / 1 Ml In 1 Syringe, Glass (76045-109-01)",4.0,4.0,,,0 CDM,44092507,"Hc Treatment Of Speech, Language, Voice, Communication, And/Or Auditory Processing Disorder; Ind",788.0,788.0,,,0 CDM,44092507_PBB,"Hc Treatment Of Speech, Language, Voice, Communication, And/Or Auditory Processing Disorder; Ind-Pbb",846.5,846.5,,,0 CDM,44092507_PBBSPT,"Hc Treatment Of Speech, Language, Voice, Communication, And/Or Auditory Processing Disorder; Ind-Pbb",788.0,788.0,,,0 CDM,44092507_SPT,"Hc Treatment Of Speech, Language, Voice, Communication, And/Or Auditory Processing Disorder; Ind-Spt",788.0,788.0,,,0 CDM,44092520,Hc Laryngeal Function Studies,708.0,708.0,,,0 CDM,44092520_PBB,Hc Laryngeal Function Studies-Pbb,956.0,956.0,,,0 CDM,44092609,"Hc Thrptc Srvcs For The Use Of Speech-Generating Device, Incl Programming And Modification",279.0,279.0,,,0 CDM,44092610,Hc Evaluation Of Oral And Pharyngeal Swallowing Function,616.0,616.0,,,0 CDM,44092610_PBB,Hc Evaluation Of Oral And Pharyngeal Swallowing Function-Pbb,1065.5,1065.5,,,0 CDM,44092610_PBBSPT,"Hc Evaluation Of Oral And Pharyngeal Swallowing Function-Pbb,Spt",616.0,616.0,,,0 CDM,44092610_SPT,Hc Evaluation Of Oral And Pharyngeal Swallowing Function-Spt,616.0,616.0,,,0 CDM,44092612,Hc Flexible Fiberoptic Endoscopic Evaluation Of Swallowing By Cine Or Video Recording;,993.0,993.0,,,0 CDM,44092612_PBB,Hc Flexible Fiberoptic Endoscopic Evaluation Of Swallowing By Cine Or Video Recording;-Pbb,1572.5,1572.5,,,0 CDM,44092612_PBBSPT,"Hc Flexible Fiberoptic Endoscopic Evaluation Of Swallowing By Cine Or Video Recording;-Pbb,Spt",993.0,993.0,,,0 CDM,44092612_SPT,Hc Flexible Fiberoptic Endoscopic Evaluation Of Swallowing By Cine Or Video Recording;-Spt,993.0,993.0,,,0 CDM,44096125,Hc Cognitive Test By Hc Pro,452.0,452.0,,,0 CDM,44096_00404100003,Styptstix: 100 Stick In 1 Tube (0404-1000-03),6.0,6.0,,,0 CDM,44096_12870000101,Silver Nitrate Applicators: 10 Packet In 1 Box (12870-0001-1) / 10 Applicator In 1 Packet / 100 Mg In 1 Applicator,4.68,4.68,,,0 CDM,44096_12870000102,Silver Nitrate Applicators: 100 Applicator In 1 Vial (12870-0001-2) / 100 Mg In 1 Applicator,4.74,4.74,,,0 CDM,44097026,Hc Laser Hair Removal Feet And Toes Package Bilateral Cash,125.0,125.0,,,0 CDM,44097026_CSMPBB,"Hc Laser Hair Removal Feet And Toes Package Bilateral Cash-Csm,Pbb",120.0,120.0,,,0 CDM,44097129,Hc Ther Ivntj 1St 15 Min,335.0,335.0,,,0 CDM,44097130,Hc Ther Ivntj Ea Addl 15 Min,167.0,167.0,,,0 CDM,44100_GAST,Pr Bx Intestine Capsule Tube Proral 1/> Specimens-Gast,1580.0,1580.0,,,0 CDM,44100_PBB,Pr Bx Intestine Capsule Tube Proral 1/> Specimens-Pbb,1580.0,1580.0,,,0 CDM,4417_00172541360,Fluconazole: 100 TABLET in 1 BOTTLE (0172-5413-60),8.27,8.27,,,0 CDM,4417_00904650106,Fluconazole: 50 Blister Pack In 1 Carton (0904-6501-06) / 1 Tablet In 1 Blister Pack,9.01,9.01,,,0 CDM,4417_00904650161,Fluconazole: 100 Blister Pack In 1 Carton (0904-6501-61) / 1 Tablet In 1 Blister Pack,12.65,12.65,,,0 CDM,4417_16714069302,Fluconazole: 100 Tablet In 1 Bottle (16714-693-02),16.52,16.52,,,0 CDM,4417_50268033911,NDC Description Not Available,15.5,15.5,,,0 CDM,4417_68084073511,NDC Description Not Available,16.71,16.71,,,0 CDM,4417_70710114001,Fluconazole: 100 Tablet In 1 Bottle (70710-1140-1),5.83,5.83,,,0 CDM,44184_58160082543,NDC Description Not Available,277.6,277.6,,,0 CDM,44224_00641607801,NDC Description Not Available,9.39,9.39,,,0 CDM,44224_76045010320,"Ondansetron: 24 Blister Pack In 1 Carton (76045-103-20) / 1 Syringe, Glass In 1 Blister Pack (76045-103-00) / 2 Ml In 1 Syringe, Glass",29.5,29.5,,,0 CDM,44280_00186404001,"Nexium: 30 Granule, Delayed Release In 1 Carton (0186-4040-01)",59.37,59.37,,,0 CDM,44280_68382084993,NDC Description Not Available,48.4,48.4,,,0 CDM,44280_69097052934,Esomeprazole Magnesium: 30 For Suspension In 1 Carton (69097-529-34),48.39,48.39,,,0 CDM,44360_GAST,Pr Endoscopy Upper Small Intestine-Gast,3860.0,3860.0,,,0 CDM,44360_PBB,Pr Endoscopy Upper Small Intestine-Pbb,3860.0,3860.0,,,0 CDM,44361_GAST,Pr Endoscopy Upper Small Intestine W/Biopsy-Gast,4133.0,4133.0,,,0 CDM,44361_PBB,Pr Endoscopy Upper Small Intestine W/Biopsy-Pbb,4133.0,4133.0,,,0 CDM,44363_GAST,Pr Enteroscopy > 2Nd Prtn W/Rmvl Foreign Body-Gast,4133.0,4133.0,,,0 CDM,44363_PBB,Pr Enteroscopy > 2Nd Prtn W/Rmvl Foreign Body-Pbb,4133.0,4133.0,,,0 CDM,44364_GAST,Pr Enteroscopy > 2Nd Prtn W/Rmvl Lesion Snare-Gast,4685.0,4685.0,,,0 CDM,44364_PBB,Pr Enteroscopy > 2Nd Prtn W/Rmvl Lesion Snare-Pbb,4685.0,4685.0,,,0 CDM,44365_GAST,Pr Enteroscopy > 2Nd Prtn W/Rmvl Lesion Cautery-Gast,4685.0,4685.0,,,0 CDM,44365_PBB,Pr Enteroscopy > 2Nd Prtn W/Rmvl Lesion Cautery-Pbb,4685.0,4685.0,,,0 CDM,44366_GAST,Pr Enteroscopy > 2Nd Prtn W/Control Bleeding-Gast,5505.0,5505.0,,,0 CDM,44366_PBB,Pr Enteroscopy > 2Nd Prtn W/Control Bleeding-Pbb,5505.0,5505.0,,,0 CDM,44369_GAST,Pr Enteroscopy > 2Nd Prtn Abltj Lesion-Gast,4685.0,4685.0,,,0 CDM,44369_PBB,Pr Enteroscopy > 2Nd Prtn Abltj Lesion-Pbb,4685.0,4685.0,,,0 CDM,44370_GAST,Pr Enteroscopy > 2Nd Prtn Tndsc Stent Plmt-Gast,5783.0,5783.0,,,0 CDM,44370_PBB,Pr Enteroscopy > 2Nd Prtn Tndsc Stent Plmt-Pbb,5783.0,5783.0,,,0 CDM,44372_GAST,Pr Enteroscopy > 2Nd Prtn W/Plmt Prq Tube-Gast,3860.0,3860.0,,,0 CDM,44372_PBB,Pr Enteroscopy > 2Nd Prtn W/Plmt Prq Tube-Pbb,3860.0,3860.0,,,0 CDM,44373_GAST,Pr Enteroscopy > 2Nd Prtn Conv Gstrst Tube-Gast,3860.0,3860.0,,,0 CDM,44373_PBB,Pr Enteroscopy > 2Nd Prtn Conv Gstrst Tube-Pbb,3860.0,3860.0,,,0 CDM,44376_GAST,Pr Enterosc >2Nd Prtn W/Ileum W/Wo Collj Spec Spx-Gast,4268.0,4268.0,,,0 CDM,44376_PBB,Pr Enterosc >2Nd Prtn W/Ileum W/Wo Collj Spec Spx-Pbb,4268.0,4268.0,,,0 CDM,44377_GAST,Pr Enterosc >2Nd Prtn W/Ileum W/Bx Single/Multiple-Gast,4685.0,4685.0,,,0 CDM,44377_PBB,Pr Enterosc >2Nd Prtn W/Ileum W/Bx Single/Multiple-Pbb,4685.0,4685.0,,,0 CDM,44378_GAST,Pr Enteroscopy > 2Nd Prtn Ileum Control Bleeding-Gast,6474.0,6474.0,,,0 CDM,44378_PBB,Pr Enteroscopy > 2Nd Prtn Ileum Control Bleeding-Pbb,6474.0,6474.0,,,0 CDM,44379_GAST,Pr Enteroscopy > 2Nd Prtn W/Ileum W/Stent Plmt-Gast,6407.0,6407.0,,,0 CDM,44379_PBB,Pr Enteroscopy > 2Nd Prtn W/Ileum W/Stent Plmt-Pbb,6407.0,6407.0,,,0 CDM,44380_GAST,Pr Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd-Gast,3028.0,3028.0,,,0 CDM,44380_PBB,Pr Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd-Pbb,3028.0,3028.0,,,0 CDM,44381_GAST,Pr Ileoscopy Stoma W/Balloon Dilation-Gast,2274.0,2274.0,,,0 CDM,44381_PBB,Pr Ileoscopy Stoma W/Balloon Dilation-Pbb,2274.0,2274.0,,,0 CDM,44382_GAST,Pr Ileoscopy Stoma W/Bx Single/Multiple-Gast,3994.0,3994.0,,,0 CDM,44382_PBB,Pr Ileoscopy Stoma W/Bx Single/Multiple-Pbb,3994.0,3994.0,,,0 CDM,44384_GAST,Pr Ileoscopy Stoma W/Plmt Of Endoscopic Stent-Gast,5457.0,5457.0,,,0 CDM,44384_PBB,Pr Ileoscopy Stoma W/Plmt Of Endoscopic Stent-Pbb,5457.0,5457.0,,,0 CDM,44385_GAST,Pr Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx-Gast,392.0,392.0,,,0 CDM,44385_PBB,Pr Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx-Pbb,3649.0,3649.0,,,0 CDM,44386_GAST,Pr Ndsc Eval Intstinal Pouch W/Bx Single/Multiple-Gast,4268.0,4268.0,,,0 CDM,44386_PBB,Pr Ndsc Eval Intstinal Pouch W/Bx Single/Multiple-Pbb,4268.0,4268.0,,,0 CDM,44388_GAST,Pr Colonoscopy Stoma Dx Including Collj Spec Spx-Gast,3719.0,3719.0,,,0 CDM,44388_PBB,Pr Colonoscopy Stoma Dx Including Collj Spec Spx-Pbb,3719.0,3719.0,,,0 CDM,44389_GAST,Pr Colonoscopy Stoma W/Biopsy Single/Multiple-Gast,4335.0,4335.0,,,0 CDM,44389_PBB,Pr Colonoscopy Stoma W/Biopsy Single/Multiple-Pbb,4335.0,4335.0,,,0 CDM,44390_GAST,Pr Colonoscopy Stoma W/Rmvl Foreign Body-Gast,1564.0,1564.0,,,0 CDM,44390_PBB,Pr Colonoscopy Stoma W/Rmvl Foreign Body-Pbb,1564.0,1564.0,,,0 CDM,44391_GAST,Pr Colonoscopy Stoma Control Bleeding-Gast,5949.0,5949.0,,,0 CDM,44391_PBB,Pr Colonoscopy Stoma Control Bleeding-Pbb,5949.0,5949.0,,,0 CDM,44392_GAST,Pr Colonoscopy Stoma Rmvl Les By Hot Biopsy Forceps-Gast,5081.0,5081.0,,,0 CDM,44392_PBB,Pr Colonoscopy Stoma Rmvl Les By Hot Biopsy Forceps-Pbb,5081.0,5081.0,,,0 CDM,44394_GAST,Pr Colonoscopy Stoma W/Rmvl Tum Polyp/Oth Les Snare-Gast,5081.0,5081.0,,,0 CDM,44394_PBB,Pr Colonoscopy Stoma W/Rmvl Tum Polyp/Oth Les Snare-Pbb,5081.0,5081.0,,,0 CDM,44401_GAST,Pr Colonoscopy Stoma Ablation Lesion-Gast,5902.0,5902.0,,,0 CDM,44401_PBB,Pr Colonoscopy Stoma Ablation Lesion-Pbb,5902.0,5902.0,,,0 CDM,44402_GAST,Pr Colonoscopy Stoma W/Endoscopic Stent Plcmt-Gast,6399.0,6399.0,,,0 CDM,44402_PBB,Pr Colonoscopy Stoma W/Endoscopic Stent Plcmt-Pbb,6399.0,6399.0,,,0 CDM,44403_GAST,Pr Colonoscopy Stoma W/Endoscopic Mucosal Rescj-Gast,6199.0,6199.0,,,0 CDM,44403_PBB,Pr Colonoscopy Stoma W/Endoscopic Mucosal Rescj-Pbb,6199.0,6199.0,,,0 CDM,44404_GAST,Pr Colonoscopy Stoma W/Submucosal Injection-Gast,4249.0,4249.0,,,0 CDM,44404_PBB,Pr Colonoscopy Stoma W/Submucosal Injection-Pbb,4249.0,4249.0,,,0 CDM,44405_GAST,Pr Colonoscopy Stoma W/Balloon Dilation-Gast,4539.0,4539.0,,,0 CDM,44405_PBB,Pr Colonoscopy Stoma W/Balloon Dilation-Pbb,4539.0,4539.0,,,0 CDM,44406_GAST,Pr Colonoscopy Stoma W/Endoscopic Ultrasound Exam-Gast,6011.0,6011.0,,,0 CDM,44406_PBB,Pr Colonoscopy Stoma W/Endoscopic Ultrasound Exam-Pbb,6011.0,6011.0,,,0 CDM,44407_GAST,Pr Colonoscopy Stoma W/Us Gid Ndl Aspir/Bx-Gast,6911.0,6911.0,,,0 CDM,44407_PBB,Pr Colonoscopy Stoma W/Us Gid Ndl Aspir/Bx-Pbb,6911.0,6911.0,,,0 CDM,44408_GAST,Pr Colonoscopy Through Stoma With Decompression-Gast,5768.0,5768.0,,,0 CDM,44408_PBB,Pr Colonoscopy Through Stoma With Decompression-Pbb,5768.0,5768.0,,,0 CDM,44492521,Hc Evaluation Of Speech Fluency,1364.0,1364.0,,,0 CDM,44492521_PBB,Hc Evaluation Of Speech Fluency-Pbb,1508.0,1508.0,,,0 CDM,44492521_PBBSPT,"Hc Evaluation Of Speech Fluency-Pbb,Spt",1364.0,1364.0,,,0 CDM,44492521_SPT,Hc Evaluation Of Speech Fluency-Spt,1364.0,1364.0,,,0 CDM,44492522,Hc Evaluation Of Speech Sound Production,518.0,518.0,,,0 CDM,44492522_PBB,Hc Evaluation Of Speech Sound Production-Pbb,640.5,640.5,,,0 CDM,44492522_PBBSPT,"Hc Evaluation Of Speech Sound Production-Pbb,Spt",518.0,518.0,,,0 CDM,44492522_SPT,Hc Evaluation Of Speech Sound Production-Spt,518.0,518.0,,,0 CDM,44492523,Hc Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression,1037.0,1037.0,,,0 CDM,44492523_PBB,Hc Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression-Pb,1282.0,1282.0,,,0 CDM,44492523_PBBSPT,Hc Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression-Pb,1037.0,1037.0,,,0 CDM,44492523_SPT,Hc Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression-Sp,1037.0,1037.0,,,0 CDM,44492524,Hc Behavioral And Qualititative Analysis Of Voice And Resonance,1167.0,1167.0,,,0 CDM,44492524_PBB,Hc Behavioral And Qualititative Analysis Of Voice And Resonance-Pbb,1289.5,1289.5,,,0 CDM,44492524_PBBSPT,"Hc Behavioral And Qualititative Analysis Of Voice And Resonance-Pbb,Spt",1167.0,1167.0,,,0 CDM,44492524_SPT,Hc Behavioral And Qualititative Analysis Of Voice And Resonance-Spt,1167.0,1167.0,,,0 CDM,44492597,Hc Evaluation For Use And/Or Fitting Of Voice Prosthetic Device To Supplement Oral Speech,1062.0,1062.0,,,0 CDM,44492597_PBB,Hc Evaluation For Use And/Or Fitting Of Voice Prosthetic Device To Supplement Oral Speech-Pbb,1458.5,1458.5,,,0 CDM,44492597_PBBSPT,"Hc Evaluation For Use And/Or Fitting Of Voice Prosthetic Device To Supplement Oral Speech-Pbb,Spt",1062.0,1062.0,,,0 CDM,44492597_SPT,Hc Evaluation For Use And/Or Fitting Of Voice Prosthetic Device To Supplement Oral Speech-Spt,1062.0,1062.0,,,0 CDM,44492607,"Hc Eval For Script For Speech-Generating Augmentative/Alt Comm Dev, Face2Face W/ The Pat; First Hr",1750.0,1750.0,,,0 CDM,44492608,"Hc Eval For Prscptn Speech-Gen Augmentve & Altrntv Communication Dev,Face2Face W/ Pat; Ea Add 30 Min",672.0,672.0,,,0 CDM,44492611,Hc Motion Fluoroscopic Evaluation Of Swallowing Function By Cine Or Video Recording,1209.0,1209.0,,,0 CDM,44492616,Hc Flexible Fiberoptic Endoscopic Eval Of Swallowing & Laryngl Snsry Tstng By Cine Or Video Recrdng,657.0,657.0,,,0 CDM,44492616_PBB,Hc Flexible Fiberoptic Endoscopic Eval Of Swallowing & Laryngl Snsry Tstng By Cine Or Video Recrdng-,1094.0,1094.0,,,0 CDM,44496105,"Hc Assessment Of Aphasia, With Interpretation And Report, Per Hour",475.0,475.0,,,0 CDM,4449_00904647861,"Donepezil Hydrochloride: 100 Blister Pack In 1 Carton (0904-6478-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.99,5.99,,,0 CDM,4449_43547027609,"Donepezil Hydrochloride: 90 Tablet, Film Coated In 1 Bottle, Plastic (43547-276-09)",5.87,5.87,,,0 CDM,44500_GAST,Pr Introduction Long Gi Tube Separate Procedure-Gast,762.0,762.0,,,0 CDM,44500_PBB,Pr Introduction Long Gi Tube Separate Procedure-Pbb,762.0,762.0,,,0 CDM,44551_25682000101,Soliris: 1 Vial In 1 Carton (25682-001-01) / 30 Ml In 1 Vial,580.14,580.14,,,0 CDM,44589_00132020220,"Pedia-Lax: 66 Ml In 1 Bottle, With Applicator (0132-0202-20)",5.0,5.0,,,0 CDM,44608_58160082143,NDC Description Not Available,424.83,424.83,,,0 CDM,44608_58160082152,Engerix-B: 10 Syringe In 1 Carton (58160-821-52) / 1 Ml In 1 Syringe (58160-821-43),428.32,428.32,,,0 CDM,44615_32909016755,"Liquid Polibar Plus: 750 Ml In 1 Bottle, Plastic (32909-167-55)",57.39,57.39,,,0 CDM,44616_32909076401,E-Z-Hd: 24 Bottle In 1 Carton (32909-764-01) / 340 G In 1 Bottle,37.3,37.3,,,0 CDM,4464_29033000301,"Sucralfate: 100 Tablet In 1 Bottle, Plastic (29033-003-01)",5.76,5.76,,,0 CDM,4464_51079075301,NDC Description Not Available,5.83,5.83,,,0 CDM,4464_51079075320,Sucralfate: 100 Blister Pack In 1 Carton (51079-753-20) / 1 Tablet In 1 Blister Pack (51079-753-01),5.8,5.8,,,0 CDM,4464_62135043690,Sucralfate: 90 Tablet In 1 Bottle (62135-436-90),24.8,24.8,,,0 CDM,4466_67871479006,NDC Description Not Available,3376.13,3376.13,,,0 CDM,44705_GAST,Pr Prepare Fecal Microbiota For Instillation-Gast,469.0,469.0,,,0 CDM,44705_PBB,Pr Prepare Fecal Microbiota For Instillation-Pbb,469.0,469.0,,,0 CDM,44787_55111068852,"Zoledronic Acid: 100 Ml In 1 Bottle, Glass (55111-688-52)",336.0,336.0,,,0 CDM,44787_63323096600,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (63323-966-00) / 100 Ml In 1 Vial, Glass",335.96,335.96,,,0 CDM,44787_67457061910,Zoledronic Acid: 1 Vial In 1 Carton (67457-619-10) / 100 Ml In 1 Vial,263.2,263.2,,,0 CDM,44787_71288080651,"Zoledronic Acid: 1 Bottle, Glass In 1 Carton (71288-806-51) / 100 Ml In 1 Bottle, Glass",112.0,112.0,,,0 CDM,44799_GAST,Pr Unlisted Procedure Small Intestine-Gast,1332.0,1332.0,,,0 CDM,44799_PBB,Pr Unlisted Procedure Small Intestine-Pbb,4132.0,4132.0,,,0 CDM,44818_58406001001,NDC Description Not Available,6199.05,6199.05,,,0 CDM,44832_10572010001,Peg-3350 And Electrolytes: 4 L In 1 Jug (10572-100-01),148.8,148.8,,,0 CDM,44832_43386009019,Gavilyte G Tm: 274.31 G In 1 Bottle (43386-090-19),148.8,148.8,,,0 CDM,44832_52268010001,"Golytely: 4 L In 1 Bottle, Plastic (52268-100-01)",148.8,148.8,,,0 CDM,44832_64380076621,Polyethylene Glycol 3350 And Electrolytes With Lemon Flavor: 4 L In 1 Jug (64380-766-21),347.2,347.2,,,0 CDM,4485_00078051005,"Tegretol Xr: 100 Tablet, Extended Release In 1 Bottle (0078-0510-05)",10.09,10.09,,,0 CDM,4485_16714006301,"Carbamazepine: 100 Tablet, Extended Release In 1 Bottle (16714-063-01)",5.9,5.9,,,0 CDM,44875_08068117400,NDC Description Not Available,1.94,1.94,,,0 CDM,4489_00406117003,"Naltrexone Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (0406-1170-03)",10.29,10.29,,,0 CDM,4489_00904703604,"Naltrexone Hydrochloride: 30 Blister Pack In 1 Carton (0904-7036-04) / 1 Tablet, Film Coated In 1 Blister Pack",11.07,11.07,,,0 CDM,4489_68084029111,NDC Description Not Available,17.1,17.1,,,0 CDM,4489_68094085362,"Naltrexone Hydrochloride: 3 Blister Pack In 1 Carton (68094-853-62) / 10 Tablet, Film Coated In 1 Blister Pack (68094-853-59)",14.14,14.14,,,0 CDM,44913_58160082043,NDC Description Not Available,187.28,187.28,,,0 CDM,44913_58160082052,Engerix-B: 10 Syringe In 1 Carton (58160-820-52) / .5 Ml In 1 Syringe (58160-820-43),187.63,187.63,,,0 CDM,44927_24208079062,"Neomycin And Polymyxin B Sulfates And Gramicidin: 1 Bottle, Dropper In 1 Carton (24208-790-62) / 10 Ml In 1 Bottle, Dropper",316.51,316.51,,,0 CDM,44984_50474080403,Neupro: 30 Pouch In 1 Carton (50474-804-03) / 1 Patch In 1 Pouch / 24 H In 1 Patch,178.56,178.56,,,0 CDM,45000168,Hc Wound Closure By Tissue Adhesives,120.0,120.0,,,0 CDM,45010080,"Hc I&D Pilonidal Cyst, Simple",1030.0,1030.0,,,0 CDM,45010080_PBB,"Hc I&D Pilonidal Cyst, Simple-Pbb",1551.0,1551.0,,,0 CDM,45010081,Hc I&D Of Pilonidal Cyst; Complicated,2375.0,2375.0,,,0 CDM,45011719,"Hc Trimming Of Nondystrophic Nails, Any Number",233.0,233.0,,,0 CDM,45011762,Hc Reconstruction Nail Bed With Graft,6220.0,6220.0,,,0 CDM,45015853,Hc Removal Sutr/Stapl Xreq Anes,1295.0,1295.0,,,0 CDM,45015853_PBB,Hc Removal Sutr/Stapl Xreq Anes-Pbb,1334.5,1334.5,,,0 CDM,45016000,"Hc Initital Treatment, 1St Degree Burn, When No More Than Local Treatment Is Required",966.0,966.0,,,0 CDM,45016025,"Hc Dressings And/Or Debridement Of Partial-Thickness Burns, Initial Or Subsequent; Medium",1300.0,1300.0,,,0 CDM,45016030,"Hc Dressings And/Or Debridement Of Partial-Thickness Burns, Initial Or Subsequent; Large",2255.0,2255.0,,,0 CDM,45019020,Hc Mastotomty W Expl Deep,6234.0,6234.0,,,0 CDM,45020102,Hc Exploration Of Penetrating Wound (Separate Procedure); Abdomen/Flank/Back,7327.0,7327.0,,,0 CDM,45020650,"Hc Insertion, Wire/Pin W/ Application, Skeletal Traction, W/ Removal",10138.0,10138.0,,,0 CDM,45020822,"Hc Replantation, Digital, Excluding Thumb",8032.0,8032.0,,,0 CDM,45021451,Hc Closed Treatment Of Mandibular Fracture; With Manipulation,5916.0,5916.0,,,0 CDM,45023505,Hc Clsd Tx Clavicular Fracture W/Manipulation,4907.0,4907.0,,,0 CDM,45023525,Hc Closed Tx Sternoclavicular Dislc W/Manipulation,4907.0,4907.0,,,0 CDM,45023655,"Hc Closed Treatment Of Should Discloation, With Manipulation; Requiring Anesthesia",5844.0,5844.0,,,0 CDM,45023675,Hc Treat Dislocation/Fracture,4907.0,4907.0,,,0 CDM,45024505,Hc Closed Tx Humeral Shaft Fracture W/Manipulation W/W/O Traction,5363.0,5363.0,,,0 CDM,45024565,"Hc Closed Treatment Of Humeral Epicondylar Fracture, Medial Or Lateral; With Manipulation",6058.0,6058.0,,,0 CDM,45024605,Hc Treatment Of Closed Elbow Dislocation; Requiring Anesthesia,5844.0,5844.0,,,0 CDM,45025535,"Hc Closed Treatment Of Ulnar Shaft Fracture, With Manipulation",3229.0,3229.0,,,0 CDM,45025660,"Hc Closed Treatment Of Radiocarpal Or Intercarpal Dislocation, 1 Or More Bones, With Manipulation",1000.0,1000.0,,,0 CDM,45025690,"Hc Closed Treatment Of Lunate Dislocation, With Manipulation",6127.0,6127.0,,,0 CDM,45026010,Hc Drainage Of Finger Abcess; Simple,1720.0,1720.0,,,0 CDM,45026010_PBB,Hc Drainage Of Finger Abcess; Simple-Pbb,2389.0,2389.0,,,0 CDM,45026011,Hc Drainage Of Finger Abcess; Complicated,2425.0,2425.0,,,0 CDM,45026236,Hc Part Exc Bone; Distal Phalanx,5395.0,5395.0,,,0 CDM,45026236_PBB,Hc Part Exc Bone; Distal Phalanx-Pbb,7588.0,7588.0,,,0 CDM,45026410,"Hc Repair, Extensor Tndn, Hnd, Prmry/Scndry; W/O Free Graft, Ea Tndn",5250.0,5250.0,,,0 CDM,45026645,"Hc Closed Tx Of Carpometacarpal Fx Disloc, Thumb W Manipulation",5063.0,5063.0,,,0 CDM,45026742,"Hc Closed Treat, Artic Fx, Mcp/Ip Joint; W/ Manip, Ea",5365.0,5365.0,,,0 CDM,45026775,Hc Ermn-Tx Finger Dislction W/ Anesthsia,4079.0,4079.0,,,0 CDM,45027222,Hc Closed Tx Of Acetabulum Fx(S); W/Manip,1379.0,1379.0,,,0 CDM,45027235,Hc Treat Thigh Fracture,17297.0,17297.0,,,0 CDM,45027240,Hc Cltx Intr/Peri/Sbtrchntc Fem Fx W Mnp,3918.0,3918.0,,,0 CDM,45027252,"Hc Closed Treatment Of Hip Disclocation, Traumatic; Requiring Anesthesia",3854.0,3854.0,,,0 CDM,45027265,Hc Closed Treatment Of Post Hip Arthrolpasty Dislocation; Without Anesthesia,1000.0,1000.0,,,0 CDM,45027266,Hc Closed Treatment Of Post Hip Arthroplasty Discloation; Requiring Regional Or General Anesthesia,5844.0,5844.0,,,0 CDM,45027268,Hc Cltx Thigh Fx W/Mnpj,7654.0,7654.0,,,0 CDM,45027517,"Hc Closed Treatment Of Distal Femoral Epiphyseal Separation; With Manipulation, With Or Without Skin",3841.0,3841.0,,,0 CDM,45027552,"Hc Closed Treatment Of Knee Discloaction, Requiring Anesthesia",4447.0,4447.0,,,0 CDM,45027560,Hc Closed Treatment Of Patellar Disclocation; Without Anesthesia,2419.0,2419.0,,,0 CDM,45027562,Hc Closed Treatment Of Patellar Disclocation; Requiring Anesthesia,5353.0,5353.0,,,0 CDM,45027818,Hc Closed Treatment Of Trimalleolar Ankle Fracture; With Manipulation,3211.0,3211.0,,,0 CDM,45027818_PBB,Hc Closed Treatment Of Trimalleolar Ankle Fracture; With Manipulation-Pbb,5587.5,5587.5,,,0 CDM,45027825,"Hc Closed Treatmnt Of Fracture Of Weight Bearing Articular Portion Of Dstl Tibia, W/ Skeletal Tractn",6127.0,6127.0,,,0 CDM,45028190,"Hc Removal Foreign Body, Foot, Sq",4151.0,4151.0,,,0 CDM,45028190_PBB,"Hc Removal Foreign Body, Foot, Sq-Pbb",4996.5,4996.5,,,0 CDM,45028540,"Hc Closed Treatment Of Tarsal Bone Dislocation, Other Than Talotarsal; Without Anesthesia",974.0,974.0,,,0 CDM,45028545,"Hc Closed Treatment Of Tarsal Bone Dislocation, Other Than Talotarsal; Requiring Anesthesia",9541.0,9541.0,,,0 CDM,45028570,Hc Treat Foot Dislocation,622.0,622.0,,,0 CDM,45028600,"Hc Closed Treatment, Tarsometatarsal Joint Dislocation; W/O Anesthesia",892.0,892.0,,,0 CDM,45028665,"Hc Closed Treatment Of Interphalangeal Joint Disclocation, Requiring Anesthesia",3080.0,3080.0,,,0 CDM,45029130,Hc Application Finger Splint; Static,847.0,847.0,,,0 CDM,45029131,Hc Application Of Finger Splint; Dynamic,984.0,984.0,,,0 CDM,45029240,Hc Strapping; Shoulder,538.0,538.0,,,0 CDM,45029260,Hc Strapping; Elbow Or Wrist,618.0,618.0,,,0 CDM,45029445,Hc Apply Rigid Total Contact Leg Cast,884.0,884.0,,,0 CDM,45029530,Hc Strapping; Knee,677.0,677.0,,,0 CDM,45030999,Hc Unlisted Procedure Nose,433.0,433.0,,,0 CDM,45031515,"Hc Laryngoscopy, Direct; With Or Without Tracheoscopy; For Aspiration",4075.0,4075.0,,,0 CDM,45031525,"Hc Laryngoscopy, Direct; With Or Without Tracheoscopy; Diagnostic, Except Newborn",8792.0,8792.0,,,0 CDM,45031577,Hc Laryngoscopy Flx Rmvl Foreign Body(S),1106.0,1106.0,,,0 CDM,45031577_PBB,Hc Laryngoscopy Flx Rmvl Foreign Body(S)-Pbb,1708.5,1708.5,,,0 CDM,45031605,"Hc Tracheostomy, Emergency Procedure; Cricothyroid Membrane",2088.0,2088.0,,,0 CDM,45031720,Hc Catheter Aspiration; Nasotracheal,770.0,770.0,,,0 CDM,45032100,Hc Thoracotomy With Exploration,2883.0,2883.0,,,0 CDM,45032110,Hc Thoracotomy; With Control Of Traumatic Hemorrhage And/Or Repair Of Lung Teat,27691.0,27691.0,,,0 CDM,45032160,Hc Thoracotomy With Cardiac Massage,2901.0,2901.0,,,0 CDM,45033020,Hc Pericardiotomy For Removal Of Clot/Foreign Body,2837.0,2837.0,,,0 CDM,45033210,Hc Insertion Or Replacement Of Temporary Transven Single Chamber Cardiac Electrode Or Pacemaker Cath,17859.0,17859.0,,,0 CDM,45033300,Hc Repair Of Cardiac Wound; Without Bypass,7945.0,7945.0,,,0 CDM,45035206,Hc Repair Blood Vessel Lesion,7421.0,7421.0,,,0 CDM,45036416,Hc Collection Of Capillary Blood Specimen,47.0,47.0,,,0 CDM,45036420,"Hc Venipuncture, Cutdown; Younger Than Age 1 Year",1565.0,1565.0,,,0 CDM,45036425,"Hc Venipuncture, Cutdown; Age 1 Or Over",2200.0,2200.0,,,0 CDM,45036680,Hc Placement Of Needle For Intraosseous Infusion,1014.0,1014.0,,,0 CDM,45038_00186037220,Symbicort: 1 Pouch In 1 Carton (0186-0372-20) / 1 Canister In 1 Pouch / 120 Aerosol In 1 Canister,1270.81,1270.81,,,0 CDM,45038_00186037228,Symbicort: 1 Pouch In 1 Carton (0186-0372-28) / 1 Canister In 1 Pouch / 60 Aerosol In 1 Canister,858.09,858.09,,,0 CDM,45039_00186037020,Symbicort: 1 Pouch In 1 Carton (0186-0370-20) / 1 Canister In 1 Pouch / 120 Aerosol In 1 Canister,1452.56,1452.56,,,0 CDM,45039_00186037028,Symbicort: 1 Pouch In 1 Carton (0186-0370-28) / 1 Canister In 1 Pouch / 60 Aerosol In 1 Canister,987.03,987.03,,,0 CDM,45040650,"Hc Repair Lip, Full Thickness; Vermilion Only",1841.0,1841.0,,,0 CDM,45040652,"Hc Repair Lip, Full Thickness; Up To Half Vertical Height",1841.0,1841.0,,,0 CDM,45040800,"Hc Drainage Of Abscess, Cyst, Hematoma, Vestibule Of Mouth; Simple",917.0,917.0,,,0 CDM,45040804,"Hc Removal Of Embedded Foreign Body, Vestibule Of Mouth; Simple",1188.0,1188.0,,,0 CDM,45040804_PBB,"Hc Removal Of Embedded Foreign Body, Vestibule Of Mouth; Simple-Pbb",1567.0,1567.0,,,0 CDM,45040830,"Hc Closure Of Laceration, Vestibule Of Mouth; 2.5 Cm Or Less",974.0,974.0,,,0 CDM,45040831,"Hc Closure Of Laceration, Vestibule Of Mouth; Over 2.5 Cm Or Complex",1874.0,1874.0,,,0 CDM,45041250,Hc Repair Laceration 2.5Cm Or Less; Floor Of Mouth,1162.0,1162.0,,,0 CDM,45041252,Hc Rep Lacerat-Tongue Flr-Mouth > 2.6/Cplx,1400.0,1400.0,,,0 CDM,45042000,Hc Drainage Of Abscess Of Palate Uvula,782.0,782.0,,,0 CDM,45042999,"Hc Unlisted Proc, Pharynx/Adenoids/Tonsils",565.0,565.0,,,0 CDM,45046040,Hc I&D Of Ischiorectal And/Or Perirectal Abscess,3868.0,3868.0,,,0 CDM,45051710,Hc Change Of Cystostomy Tube; Complicated,2246.0,2246.0,,,0 CDM,45051710_PBB,Hc Change Of Cystostomy Tube; Complicated-Pbb,2640.0,2640.0,,,0 CDM,45053000,"Hc Urethrotomy Or Urethrostomy, External, Pendulous",7243.0,7243.0,,,0 CDM,45053060,Hc Drain Skene's Gland Abscess Or Cyst,6547.0,6547.0,,,0 CDM,45054001,"Hc Slitting, Prepuce, Dorsal/Lateral (Sep Proc); Except Newborn",6954.0,6954.0,,,0 CDM,45054220,Hc Irrigation Corpora Cavernosa For Priap,912.0,912.0,,,0 CDM,45054220_PBB,Hc Irrigation Corpora Cavernosa For Priap-Pbb,1607.0,1607.0,,,0 CDM,45054420,Hc Corpora Cavernose-Saphenous Vein Shunt,5511.0,5511.0,,,0 CDM,45054430,"Hc Corpora Cavernosa-Corpus Shunt, Unilat Or Bilateral",5511.0,5511.0,,,0 CDM,45054435,Hc Corpora Cavernosa-Glans Penis Fistuliz,8827.0,8827.0,,,0 CDM,45054700,"Hc I&D Of Epididymis, Testis And/Or Scrotal Space",7243.0,7243.0,,,0 CDM,45054700_PBB,"Hc I&D Of Epididymis, Testis And/Or Scrotal Space-Pbb",7270.5,7270.5,,,0 CDM,45055000,"Hc Punct Asp Hydrocele Tunica Vaginalis, W/Wo Inj, Med",2381.0,2381.0,,,0 CDM,45055100,Hc Draining Of Scrotal Wall Abscess,4151.0,4151.0,,,0 CDM,45055100_PBB,Hc Draining Of Scrotal Wall Abscess-Pbb,5005.5,5005.5,,,0 CDM,45057000,Hc Colpotomy; W Exploratn,6239.0,6239.0,,,0 CDM,45057023,Hc I&D Of Vaginal Hematoma; Non-Obstetrical,6594.0,6594.0,,,0 CDM,45057200,"Hc Colporrhaphy, Suture Of Injury Of Vagina (Nonobstetrical)",7181.0,7181.0,,,0 CDM,45057415,Hc Removal Of Impacted Vaginal Foreign Body Under Anesthesia,5292.0,5292.0,,,0 CDM,45058999,Hc Unlisted Procedure Female Genital System,489.0,489.0,,,0 CDM,45059409,Hc Vaginal Delivery Only,4604.0,4604.0,,,0 CDM,45061107,"Hc Twist Drill Hole, Sbdrl/Ventrc Punc; Implnt Ventrc Cth/Prssr Dvce",7430.0,7430.0,,,0 CDM,45061108,Hc Twist Drill Hole Evac&/Drg Subdural Hematoma,7359.0,7359.0,,,0 CDM,45067031,"Hc Severing Of Vitreous Stands, Adhesions, Sheets, Laser 1/> Stages",12002.0,12002.0,,,0 CDM,45067560,Hc Revise Eye Socket Implant,9563.0,9563.0,,,0 CDM,45067935,"Hc Suture Wound Eyelid, Full Thickness",4920.0,4920.0,,,0 CDM,45073_63323085303,NDC Description Not Available,1.34,1.34,,,0 CDM,45088_00487900730,NDC Description Not Available,6.0,6.0,,,0 CDM,45088_00487900760,NDC Description Not Available,6.0,6.0,,,0 CDM,45088_05019014123,NDC Description Not Available,6.0,6.0,,,0 CDM,45088_07620402160,NDC Description Not Available,6.0,6.0,,,0 CDM,45088_08349020760,NDC Description Not Available,6.0,6.0,,,0 CDM,45092953,Hc Temporary Transcutaneous Pacing,1289.0,1289.0,,,0 CDM,45095991,Hc Spin/Brain Pump Refil & Main,735.0,735.0,,,0 CDM,45096373,"Hc Therapeutic, Prophylactic, Or Diagnostic Injection (Specify Substance Or Drug); Intra-Arterial",408.0,408.0,,,0 CDM,45097_50090150200,Havrix: 10 Syringe In 1 Carton (50090-1502-0) / 1 Ml In 1 Syringe (50090-1502-9),508.68,508.68,,,0 CDM,45097_58160082643,NDC Description Not Available,545.34,545.34,,,0 CDM,45097_58160082652,Havrix: 10 Syringe In 1 Carton (58160-826-52) / 1 Ml In 1 Syringe (58160-826-43),79.58,79.58,,,0 CDM,45099199,Hc Fixed-Wing Observation,460.0,460.0,,,0 CDM,45099281,Hc Emergency Room Problem Focused Visit,806.0,806.0,,,0 CDM,45099282,Hc Emergency Department Evaluation And Management Level 2,991.0,991.0,,,0 CDM,45099283,Hc Emergency Department Evaluation And Management Level 3,2477.0,2477.0,,,0 CDM,45099284,Hc Emergency Department Evaluation And Management Level 4,4274.0,4274.0,,,0 CDM,45099285,Hc Emergency Department Evaluation And Management Level 5,5099.0,5099.0,,,0 CDM,45099291,Hc Critical Care E&M First 30-74 Min,10476.0,10476.0,,,0 CDM,45099292,Hc Critical Care E&M Each Additional 30 Min,1824.0,1824.0,,,0 CDM,45099464,Hc Attn At Delivery 1St Stabilization Of Newborn,764.0,764.0,,,0 CDM,45100_PBB,Pr Bx Anorectal Wall Anal Approach-Pbb,2953.0,2953.0,,,0 CDM,4510_00536440601,NDC Description Not Available,1.67,1.67,,,0 CDM,45172_PBB,Pr Exc Rct Tum Incl Muscularis Propria-Pbb,6527.0,6527.0,,,0 CDM,45299281,Hc Emergency Room Elopement- Mse Performed,383.0,383.0,,,0 CDM,45300_GAST,Pr Proctosgmdsc Rgd Dx W/Wo Collj Spec Br/Wa Spx-Gast,510.0,510.0,,,0 CDM,45300_PBB,Pr Proctosgmdsc Rgd Dx W/Wo Collj Spec Br/Wa Spx-Pbb,510.0,510.0,,,0 CDM,45305_GAST,Pr Proctosgmdsc Rigid W/Bx Single/Multiple-Gast,839.0,839.0,,,0 CDM,45305_PBB,Pr Proctosgmdsc Rigid W/Bx Single/Multiple-Pbb,839.0,839.0,,,0 CDM,45307_GAST,Pr Proctosgmdsc Rigid W/Rmvl Foreign Body-Gast,1199.0,1199.0,,,0 CDM,45307_PBB,Pr Proctosgmdsc Rigid W/Rmvl Foreign Body-Pbb,1199.0,1199.0,,,0 CDM,45315_GAST,Pr Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare-Gast,1917.0,1917.0,,,0 CDM,45315_PBB,Pr Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare-Pbb,1917.0,1917.0,,,0 CDM,45317_GAST,Pr Proctosgmdsc Rigid Control Bleeding-Gast,1799.0,1799.0,,,0 CDM,45317_PBB,Pr Proctosgmdsc Rigid Control Bleeding-Pbb,1799.0,1799.0,,,0 CDM,45327_GAST,Pr Proctosgmdsc Rigid Tndsc Stent Plmt-Gast,784.0,784.0,,,0 CDM,45327_PBB,Pr Proctosgmdsc Rigid Tndsc Stent Plmt-Pbb,784.0,784.0,,,0 CDM,45330_GAST,Pr Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa If Pfrmd-Gast,988.0,988.0,,,0 CDM,45330_PBB,Pr Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa If Pfrmd-Pbb,988.0,988.0,,,0 CDM,45331_GAST,Pr Sigmoidoscopy Flx W/Biopsy Single/Multiple-Gast,1442.0,1442.0,,,0 CDM,45331_PBB,Pr Sigmoidoscopy Flx W/Biopsy Single/Multiple-Pbb,1442.0,1442.0,,,0 CDM,45332_GAST,Pr Sigmoidoscopy Flx W/Rmvl Foreign Body-Gast,1799.0,1799.0,,,0 CDM,45332_PBB,Pr Sigmoidoscopy Flx W/Rmvl Foreign Body-Pbb,1799.0,1799.0,,,0 CDM,45333_GAST,Pr Sigmoidoscopy Flx W/Rmvl Tumor By Hot Bx Forceps-Gast,3114.0,3114.0,,,0 CDM,45333_PBB,Pr Sigmoidoscopy Flx W/Rmvl Tumor By Hot Bx Forceps-Pbb,3114.0,3114.0,,,0 CDM,45334_GAST,Pr Sigmoidoscopy Flx Control Bleeding-Gast,2694.0,2694.0,,,0 CDM,45334_PBB,Pr Sigmoidoscopy Flx Control Bleeding-Pbb,2694.0,2694.0,,,0 CDM,45335_GAST,Pr Sgmdsc Flx Dired Sbmcsl Njx Any Sbst-Gast,2694.0,2694.0,,,0 CDM,45335_PBB,Pr Sgmdsc Flx Dired Sbmcsl Njx Any Sbst-Pbb,2694.0,2694.0,,,0 CDM,45337_GAST,Pr Sgmdsc Flx W/Dcmprn W/Plmt Dcmprn Tube-Gast,2517.0,2517.0,,,0 CDM,45337_PBB,Pr Sgmdsc Flx W/Dcmprn W/Plmt Dcmprn Tube-Pbb,2517.0,2517.0,,,0 CDM,45338_GAST,Pr Sgmdsc Flx Rmvl Tum Polyp/Oth Les Snare Tq-Gast,3114.0,3114.0,,,0 CDM,45338_PBB,Pr Sgmdsc Flx Rmvl Tum Polyp/Oth Les Snare Tq-Pbb,3114.0,3114.0,,,0 CDM,45340_GAST,Pr Sigmoidoscopy Flx Tndsc Balo Dilat-Gast,1199.0,1199.0,,,0 CDM,45340_PBB,Pr Sigmoidoscopy Flx Tndsc Balo Dilat-Pbb,1199.0,1199.0,,,0 CDM,45341_GAST,Pr Sigmoidoscopy Flx Ndsc Us Xm-Gast,1199.0,1199.0,,,0 CDM,45341_PBB,Pr Sigmoidoscopy Flx Ndsc Us Xm-Pbb,1199.0,1199.0,,,0 CDM,45342_GAST,Pr Sigmoidoscopy Flx Tndsc Us Gid Ndl Aspir/Bx-Gast,1377.0,1377.0,,,0 CDM,45342_PBB,Pr Sigmoidoscopy Flx Tndsc Us Gid Ndl Aspir/Bx-Pbb,1377.0,1377.0,,,0 CDM,45346_GAST,Pr Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les-Gast,3938.0,3938.0,,,0 CDM,45346_PBB,Pr Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les-Pbb,3938.0,3938.0,,,0 CDM,45347_GAST,Pr Sigmoidoscopy Flx Placement Of Endoscopic Stent-Gast,1494.0,1494.0,,,0 CDM,45347_PBB,Pr Sigmoidoscopy Flx Placement Of Endoscopic Stent-Pbb,1494.0,1494.0,,,0 CDM,45349_GAST,Pr Sgmdsc Flx With Endoscopic Mucosal Resection-Gast,1923.0,1923.0,,,0 CDM,45349_PBB,Pr Sgmdsc Flx With Endoscopic Mucosal Resection-Pbb,1923.0,1923.0,,,0 CDM,45350_GAST,Pr Sigmoidoscopy Flx With With Band Ligation(S)-Gast,894.0,894.0,,,0 CDM,45350_PBB,Pr Sigmoidoscopy Flx With With Band Ligation(S)-Pbb,894.0,894.0,,,0 CDM,45354_47335023683,"Ambrisentan: 30 Tablet, Film Coated In 1 Bottle (47335-236-83)",221.08,221.08,,,0 CDM,45354_61958080101,"Letairis: 30 Tablet, Film Coated In 1 Bottle, Plastic (61958-0801-1)",2548.52,2548.52,,,0 CDM,45378_GAST,Pr Colonoscopy Flx Dx W/Collj Spec When Pfrmd-Gast,2790.0,2790.0,,,0 CDM,45378_PBB,Pr Colonoscopy Flx Dx W/Collj Spec When Pfrmd-Pbb,2790.0,2790.0,,,0 CDM,45379_GAST,Pr Colonoscopy Flx W/Removal Of Foreign Body(S)-Gast,3251.0,3251.0,,,0 CDM,45379_PBB,Pr Colonoscopy Flx W/Removal Of Foreign Body(S)-Pbb,3251.0,3251.0,,,0 CDM,45380_GAST,Pr Colonoscopy W/Biopsy Single/Multiple-Gast,289.0,289.0,,,0 CDM,45380_PBB,Pr Colonoscopy W/Biopsy Single/Multiple-Pbb,3064.0,3064.0,,,0 CDM,45381_GAST,Pr Colsc Flx With Directed Submucosal Njx Any Sbst-Gast,3719.0,3719.0,,,0 CDM,45381_PBB,Pr Colsc Flx With Directed Submucosal Njx Any Sbst-Pbb,3719.0,3719.0,,,0 CDM,45382_GAST,Pr Colsc Flexible W/Control Bleeding Any Method-Gast,3719.0,3719.0,,,0 CDM,45382_PBB,Pr Colsc Flexible W/Control Bleeding Any Method-Pbb,3719.0,3719.0,,,0 CDM,45384_GAST,Pr Colsc Flx W/Removal Lesion By Hot Bx Forceps-Gast,3949.0,3949.0,,,0 CDM,45384_PBB,Pr Colsc Flx W/Removal Lesion By Hot Bx Forceps-Pbb,3949.0,3949.0,,,0 CDM,45385_GAST,Pr Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq-Gast,3949.0,3949.0,,,0 CDM,45385_PBB,Pr Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq-Pbb,3949.0,3949.0,,,0 CDM,45386_GAST,Pr Colsc Flexible W/Transendoscopic Balloon Dilat-Gast,3439.0,3439.0,,,0 CDM,45386_PBB,Pr Colsc Flexible W/Transendoscopic Balloon Dilat-Pbb,3439.0,3439.0,,,0 CDM,45388_GAST,Pr Colonoscopy Flx Ablation Tumor Polyp/Other Les-Gast,4772.0,4772.0,,,0 CDM,45388_PBB,Pr Colonoscopy Flx Ablation Tumor Polyp/Other Les-Pbb,4772.0,4772.0,,,0 CDM,45389_GAST,Pr Colonoscopy Flx With Endoscopic Stent Placement-Gast,5003.0,5003.0,,,0 CDM,45389_PBB,Pr Colonoscopy Flx With Endoscopic Stent Placement-Pbb,5003.0,5003.0,,,0 CDM,45390_GAST,Pr Colonoscopy Flx W/Endoscopic Mucosal Resection-Gast,3186.0,3186.0,,,0 CDM,45390_PBB,Pr Colonoscopy Flx W/Endoscopic Mucosal Resection-Pbb,3186.0,3186.0,,,0 CDM,45391_GAST,Pr Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux-Gast,2138.0,2138.0,,,0 CDM,45391_PBB,Pr Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux-Pbb,2138.0,2138.0,,,0 CDM,45392_GAST,Pr Colsc Flx W/Us Guid Ndl Aspir/Bx W/Us Rctm Et Al-Gast,2692.0,2692.0,,,0 CDM,45392_PBB,Pr Colsc Flx W/Us Guid Ndl Aspir/Bx W/Us Rctm Et Al-Pbb,2692.0,2692.0,,,0 CDM,45393_GAST,Pr Colonoscopy Flexible With Decompression-Gast,2399.0,2399.0,,,0 CDM,45393_PBB,Pr Colonoscopy Flexible With Decompression-Pbb,2399.0,2399.0,,,0 CDM,45398_GAST,Pr Colonoscopy Flexible With Band Ligation(S)-Gast,2157.0,2157.0,,,0 CDM,45398_PBB,Pr Colonoscopy Flexible With Band Ligation(S)-Pbb,2157.0,2157.0,,,0 CDM,45399_PBB,Pr Unlisted Procedure Colon-Pbb,3124.0,3124.0,,,0 CDM,453_00143926201,NDC Description Not Available,13.98,13.98,,,0 CDM,453_00143926225,Cefazolin: 25 Vial In 1 Carton (0143-9262-25) / 3 Ml In 1 Vial (0143-9262-01),13.41,13.41,,,0 CDM,453_00143992490,Cefazolin: 3 Ml In 1 Vial (0143-9924-90),24.55,24.55,,,0 CDM,453_25021010110,Cefazolin: 25 Vial In 1 Carton (25021-101-10) / 3 Ml In 1 Vial,96.5,96.5,,,0 CDM,453_44567070725,"Cefazolin: 25 Vial In 1 Carton (44567-707-25) / 1 Injection, Powder, For Solution In 1 Vial",21.08,21.08,,,0 CDM,453_60505074905,"Cefazolin: 25 VIAL, SINGLE-DOSE in 1 CARTON (60505-0749-5) / 3 mL in 1 VIAL, SINGLE-DOSE",14.75,14.75,,,0 CDM,453_60505614200,NDC Description Not Available,96.5,96.5,,,0 CDM,45500_58160081543,NDC Description Not Available,126.78,126.78,,,0 CDM,45500_58160081552,Twinrix: 10 Syringe In 1 Carton (58160-815-52) / 1 Ml In 1 Syringe (58160-815-43),126.97,126.97,,,0 CDM,4554_00409973510,"Cefepime: 10 Vial In 1 Carton (0409-9735-10) / 1 Injection, Powder, For Solution In 1 Vial (0409-9735-01)",48.25,48.25,,,0 CDM,4554_25021012250,"Cefepime: 10 Vial In 1 Carton (25021-122-50) / 1 Injection, Powder, For Solution In 1 Vial",48.25,48.25,,,0 CDM,4554_44567024110,Cefepime: 10 Vial In 1 Carton (44567-241-10) / 20 Ml In 1 Vial,16.42,16.42,,,0 CDM,4554_60505614700,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6147-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",47.62,47.62,,,0 CDM,4554_60505614704,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6147-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",39.69,39.69,,,0 CDM,4555_57237017201,Venlafaxine: 100 Tablet In 1 Bottle (57237-172-01),2.73,2.73,,,0 CDM,4555_68084089695,NDC Description Not Available,6.51,6.51,,,0 CDM,45572_99999601301,NDC Description Not Available,59.0,59.0,,,0 CDM,45574_99999601401,NDC Description Not Available,59.0,59.0,,,0 CDM,45585_13533080021,NDC Description Not Available,489.1,489.1,,,0 CDM,45585_13533080071,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-71) / 100 Ml In 1 Vial, Glass (13533-800-72)",487.32,487.32,,,0 CDM,45585_13533080072,NDC Description Not Available,484.85,484.85,,,0 CDM,45586_99999601701,NDC Description Not Available,61.68,61.68,,,0 CDM,45589_00169750111,"Novolog: 1 Vial, Glass In 1 Carton (0169-7501-11) / 10 Ml In 1 Vial, Glass",19.67,19.67,,,0 CDM,45592_99999701101,NDC Description Not Available,1.29,1.29,,,0 CDM,45593_99999701201,NDC Description Not Available,54.43,54.43,,,0 CDM,45595_99999701401,NDC Description Not Available,2.73,2.73,,,0 CDM,45596_00469325010,"Mycamine: 10 Vial, Single-Dose In 1 Carton (0469-3250-10) / 5 Ml In 1 Vial, Single-Dose",12.29,12.29,,,0 CDM,45602_00002831501,"Humulin N: 1 Vial, Multi-Dose In 1 Carton (0002-8315-01) / 10 Ml In 1 Vial, Multi-Dose",16.79,16.79,,,0 CDM,45603_00002871517,"1 VIAL, MULTI-DOSE in 1 CARTON (0002-8715-17) / 3 mL in 1 VIAL, MULTI-DOSE",9.12,9.12,,,0 CDM,45603_00169183711,Novolin 70/30: 1 Vial In 1 Carton (0169-1837-11) / 10 Ml In 1 Vial,1.18,1.18,,,0 CDM,45606_99999701701,NDC Description Not Available,37.66,37.66,,,0 CDM,45610_99999701901,NDC Description Not Available,59.0,59.0,,,0 CDM,45698_00409141204,Bumetanide: 10 VIAL in 1 BOX (0409-1412-04) / 4 mL in 1 VIAL (0409-1412-34),3.86,3.86,,,0 CDM,45698_00641600701,NDC Description Not Available,4.37,4.37,,,0 CDM,45698_00641600710,Bumetanide: 10 Vial In 1 Carton (0641-6007-10) / 10 Ml In 1 Vial (0641-6007-01),4.4,4.4,,,0 CDM,45698_00641600801,NDC Description Not Available,10.22,10.22,,,0 CDM,45698_00641616201,NDC Description Not Available,3.31,3.31,,,0 CDM,45698_25021032110,Bumetanide: 10 Vial In 1 Carton (25021-321-10) / 10 Ml In 1 Vial,3.67,3.67,,,0 CDM,45698_65219057201,NDC Description Not Available,5.58,5.58,,,0 CDM,45698_68462046940,NDC Description Not Available,29.5,29.5,,,0 CDM,45698_68462047040,NDC Description Not Available,3.67,3.67,,,0 CDM,45698_68462047054,"Bumetanide: 10 Vial, Multi-Dose In 1 Carton (68462-470-54) / 10 Ml In 1 Vial, Multi-Dose (68462-470-40)",3.67,3.67,,,0 CDM,45698_70748032302,NDC Description Not Available,4.4,4.4,,,0 CDM,45698_70748032311,Bumetanide: 10 Vial In 1 Carton (70748-323-11) / 10 Ml In 1 Vial,4.4,4.4,,,0 CDM,45698_70860040641,NDC Description Not Available,4.45,4.45,,,0 CDM,45698_72205010101,NDC Description Not Available,8.71,8.71,,,0 CDM,45698_72205010201,NDC Description Not Available,4.02,4.02,,,0 CDM,45750_44206025105,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-05) / 50 Ml In 1 Vial, Glass (44206-251-90)",496.6,496.6,,,0 CDM,45750_44206025190,NDC Description Not Available,503.22,503.22,,,0 CDM,45750_44206025191,NDC Description Not Available,504.0,504.0,,,0 CDM,4575_00378563059,"Sumatriptan Succinate: 9 Tablet, Film Coated In 1 Bottle, Plastic (0378-5630-59)",6.45,6.45,,,0 CDM,4575_16714079601,Sumatriptan: 1 Blister Pack In 1 Carton (16714-796-01) / 9 Tablet In 1 Blister Pack,10.99,10.99,,,0 CDM,45760_00574200815,"Nystop: 15 G In 1 Bottle, Plastic (0574-2008-15)",121.64,121.64,,,0 CDM,45760_69315030615,"Nystatin: 15 G In 1 Bottle, Plastic (69315-306-15)",120.25,120.25,,,0 CDM,45905_PBB,Pr Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local-Pbb,1361.0,1361.0,,,0 CDM,45915_PBB,Pr Rmvl Fecal Impaction/Fb Spx Under Anes-Pbb,1925.0,1925.0,,,0 CDM,4601_70069003105,Haloperidol Decanoate: 5 Ampule In 1 Carton (70069-031-05) / 1 Ml In 1 Ampule (70069-031-01),164.15,164.15,,,0 CDM,4601_70069038401,"Haloperidol Decanoate: 1 Vial, Multi-Dose In 1 Carton (70069-384-01) / 5 Ml In 1 Vial, Multi-Dose",142.93,142.93,,,0 CDM,4601_70710146401,"Haloperidol Decanoate: 1 Vial, Multi-Dose In 1 Carton (70710-1464-1) / 5 Ml In 1 Vial, Multi-Dose",138.47,138.47,,,0 CDM,46020_PBB,Pr Placement Seton-Pbb,2610.0,2610.0,,,0 CDM,46030_PBB,Pr Removal Anal Seton Other Marker-Pbb,1003.0,1003.0,,,0 CDM,4603_00781707787,"Metronidazole: 1 Tube, With Applicator In 1 Carton (0781-7077-87) / 70 G In 1 Tube, With Applicator",758.2,758.2,,,0 CDM,4603_16714055701,"Metronidazole: 1 Tube, With Applicator In 1 Carton (16714-557-01) / 70 G In 1 Tube, With Applicator",715.67,715.67,,,0 CDM,46045_PBB,Pr I&D Intramural Im/Absc Transanal Anes-Pbb,4489.0,4489.0,,,0 CDM,46050_PBB,Pr I&D Perianal Abscess Superficial-Pbb,2089.0,2089.0,,,0 CDM,46060_PBB,Pr I&D Ischiorct/Intramural Absc W/Wo Seton-Pbb,5324.0,5324.0,,,0 CDM,46083_GAST,Pr Incision Thrombosed Hemorrhoid External-Gast,1301.0,1301.0,,,0 CDM,46083_PBB,Pr Incision Thrombosed Hemorrhoid External-Pbb,1301.0,1301.0,,,0 CDM,46094010,"Hc Spirmtry, Incl Graphic Rec,Total&Timed Vit Cap, Exp Flow Rt Measurement,W/Or W/Out Max Volnt Vent",883.0,883.0,,,0 CDM,46094010_GOLD,"Hc Spirmtry, Incl Graphic Rec,Total&Timed Vit Cap, Exp Flow Rt Measurement,W/Or W/Out Max Volnt Vent",951.0,951.0,,,0 CDM,46094010_GOLDPBB,"Hc Spirmtry, Incl Graphic Rec,Total&Timed Vit Cap, Exp Flow Rt Measurement,W/Or W/Out Max Volnt Vent",951.0,951.0,,,0 CDM,46094010_PBB,"Hc Spirmtry, Incl Graphic Rec,Total&Timed Vit Cap, Exp Flow Rt Measurement,W/Or W/Out Max Volnt Vent",951.0,951.0,,,0 CDM,46094060,"Hc Bronchodilation Responsiveness, Spirometry As In 94010, Pre- And Post-Bronchodilator Administratn",1612.0,1612.0,,,0 CDM,46094060_PBB,"Hc Bronchodilation Responsiveness, Spirometry As In 94010, Pre- And Post-Bronchodilator Administratn",1975.0,1975.0,,,0 CDM,46094070,"Hc Bronchospasm Provocation Eval, Mult Spirometric Determinations As In 94010,W/Administered Agents",3492.0,3492.0,,,0 CDM,46094150,"Hc Vital Capacity, Total (Separate Procedure)",295.0,295.0,,,0 CDM,46094200,"Hc Maximum Breathing Capacity, Maximal Voluntary Ventilation",345.0,345.0,,,0 CDM,46094375,Hc Respiratory Flow Volume Loop,811.0,811.0,,,0 CDM,46094375_GOLD,Hc Respiratory Flow Volume Loop-Gold,933.0,933.0,,,0 CDM,46094375_GOLDPBB,"Hc Respiratory Flow Volume Loop-Gold,Pbb",933.0,933.0,,,0 CDM,46094375_PBB,Hc Respiratory Flow Volume Loop-Pbb,933.0,933.0,,,0 CDM,46094610,Hc Intrapulmonary Surfactant Administration By A Md Or Qhcp Through Endotracheal Tube,259.0,259.0,,,0 CDM,46094617,Hc Exercise Test For Bronchospasm,402.0,402.0,,,0 CDM,46094617_PBB,Hc Exercise Test For Bronchospasm-Pbb,545.5,545.5,,,0 CDM,46094618,Hc Pulmonary Stress Testing,402.0,402.0,,,0 CDM,46094618_PBB,Hc Pulmonary Stress Testing-Pbb,500.0,500.0,,,0 CDM,46094619,Hc Exercise Tst Brncspsm Wo Ecg,158.0,158.0,,,0 CDM,46094621,Hc Pulmonary Stress Testing; Complex,3844.0,3844.0,,,0 CDM,46094662,"Hc Continuous Negative Pressure Ventilation, Initiation And Management",573.0,573.0,,,0 CDM,46094681,"Hc O2 Uptake, Expired Gas Analysis; Including Co2 Output, Percentage Oxygen Extracted",1131.0,1131.0,,,0 CDM,46094681_PBB,"Hc O2 Uptake, Expired Gas Analysis; Including Co2 Output, Percentage Oxygen Extracted-Pbb",1208.0,1208.0,,,0 CDM,46094690,"Hc Oxygen Uptake, Expired Gas Analysis; Rest, Indirect (Separate Procedure)",580.0,580.0,,,0 CDM,46094726,"Hc Plethysmography For Determination Of Lung Volumes And, When Performed, Airway Resistance",2138.0,2138.0,,,0 CDM,46094727,"Hc Gas Dilution Or Wshout For Detrmntn Of Lung Vol And,Whn Perf,Distrbutn Of Ventilatn And Clsng Vol",415.0,415.0,,,0 CDM,46094728,Hc Pulm Funct Test Oscillometry,948.0,948.0,,,0 CDM,46094729,"Hc Diffusing Capacity (Eg, Carbon Monoxide, Membrane) (List Separately In Add To Code For Prim Proc)",1128.0,1128.0,,,0 CDM,46094760,Hc Noninvasive Ear Or Pulse Oximetry For Oxygen Saturation; Single Determination,267.0,267.0,,,0 CDM,46094761,Hc Noninvasive Ear Or Pulse Oximetry For Oxygen Saturation; Multiple Determinations,602.0,602.0,,,0 CDM,46094799,Hc Respiratory Muscle Strength Measurement,461.0,461.0,,,0 CDM,46095012,Hc Nitric Oxide Expired Gas Determination,360.0,360.0,,,0 CDM,46095012_PBB,Hc Nitric Oxide Expired Gas Determination-Pbb,473.0,473.0,,,0 CDM,46194060,Hc Research Spirom Pre/Post Bronchodil,659.0,659.0,,,0 CDM,46194375,Hc Research Spirometry/Flw Volume Loop,505.0,505.0,,,0 CDM,46194726,Hc Plethys Lng Vol Airwy Res Resrch,2138.0,2138.0,,,0 CDM,46194729,Hc Diffusing Capacity Carbon Monox Res,1128.0,1128.0,,,0 CDM,46220_PBB,Pr Excision Single External Papilla Or Tag Anus-Pbb,1438.0,1438.0,,,0 CDM,46221_GAST,Pr Hemorrhoidectomy Internal Rubber Band Ligations-Gast,1960.0,1960.0,,,0 CDM,46221_PBB,Pr Hemorrhoidectomy Internal Rubber Band Ligations-Pbb,1960.0,1960.0,,,0 CDM,46260_PBB,Pr Hemorrhoidectomy Int & Xtrnl 2/> Column/Gro-Pbb,5356.0,5356.0,,,0 CDM,46320_PBB,Pr Exc Thrombosed Hemorrhoid Xtrnl-Pbb,1169.0,1169.0,,,0 CDM,463_00555077902,Medroxyprogesterone Acetate: 100 Tablet In 1 Bottle (0555-0779-02),3.62,3.62,,,0 CDM,463_60687010511,NDC Description Not Available,8.67,8.67,,,0 CDM,4649_00904679961,Lisinopril: 100 Blister Pack In 1 Carton (0904-6799-61) / 1 Tablet In 1 Blister Pack,4.04,4.04,,,0 CDM,4649_43547035410,Lisinopril: 100 Tablet In 1 Bottle (43547-354-10),4.04,4.04,,,0 CDM,4649_60687033311,NDC Description Not Available,4.07,4.07,,,0 CDM,4649_76282073101,Lisinopril: 100 Tablet In 1 Bottle (76282-731-01),3.97,3.97,,,0 CDM,464_23155068931,NDC Description Not Available,7.17,7.17,,,0 CDM,464_23155068941,"Octreotide Acetate: 10 Vial, Glass In 1 Carton (23155-689-41) / 1 Ml In 1 Vial, Glass (23155-689-31)",7.17,7.17,,,0 CDM,464_63323037700,NDC Description Not Available,16.65,16.65,,,0 CDM,464_63323037701,"Octreotide: 10 Vial, Single-Dose In 1 Tray (63323-377-01) / 1 Ml In 1 Vial, Single-Dose (63323-377-00)",16.65,16.65,,,0 CDM,46500_GAST,Pr Injection Sclerosing Solution Hemorrhoids-Gast,3750.0,3750.0,,,0 CDM,46500_PBB,Pr Injection Sclerosing Solution Hemorrhoids-Pbb,3750.0,3750.0,,,0 CDM,46505_PBB,Pr Chemodenervation Internal Anal Sphincter-Pbb,2152.0,2152.0,,,0 CDM,46600_PBB,Pr Anoscopy Dx W/Collj Spec Br/Wa Spx When Prfrmd-Pbb,442.0,442.0,,,0 CDM,46601_PBB,Pr Anoscopy Dx W/Hra &Chem Agnts Enhancement-Pbb,449.0,449.0,,,0 CDM,46604_PBB,Pr Anoscopy W/Dilation-Pbb,873.0,873.0,,,0 CDM,46606_PBB,Pr Anoscopy W/Bx Single/Multiple-Pbb,873.0,873.0,,,0 CDM,46607_PBB,Pr Anoscopy Dx W/Hra &Chem Agnts Enhancement W/Bx-Pbb,456.0,456.0,,,0 CDM,46614_PBB,Pr Anoscopy Control Bleeding-Pbb,549.0,549.0,,,0 CDM,46615_PBB,Pr Anoscopy Ablation Lesion-Pbb,797.0,797.0,,,0 CDM,4662_00904655161,"Ondansetron: 100 Blister Pack In 1 Carton (0904-6551-61) / 1 Tablet, Film Coated In 1 Blister Pack",1.3,1.3,,,0 CDM,4662_50268062111,NDC Description Not Available,1.43,1.43,,,0 CDM,4662_55111015313,"Ondansetron: 3 Dose Pack In 1 Box (55111-153-13) / 1 Tablet, Film Coated In 1 Dose Pack",1.63,1.63,,,0 CDM,4662_55111015330,"Ondansetron: 30 Tablet, Film Coated In 1 Bottle (55111-153-30)",6.0,6.0,,,0 CDM,4662_65862018730,"Ondansetron Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (65862-187-30)",1.81,1.81,,,0 CDM,4662_68084022011,NDC Description Not Available,1.44,1.44,,,0 CDM,4666_00409317701,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3177-01) / 50 Ml In 1 Vial, Multi-Dose (0409-3177-16)",4.54,4.54,,,0 CDM,4666_63323048157,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-481-57) / 50 Ml In 1 Vial, Multi-Dose (63323-481-01)",1.77,1.77,,,0 CDM,4685_50268030411,NDC Description Not Available,6.0,6.0,,,0 CDM,4685_61442012201,Famotidine: 24 Bottle In 1 Box (61442-122-01) / 100 Tablet In 1 Bottle,6.0,6.0,,,0 CDM,4687_00406324901,Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle (0406-3249-01),5.11,5.11,,,0 CDM,4687_42858030301,"Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-303-01)",5.64,5.64,,,0 CDM,46900_GAST,Pr Dstrj Lesion Anus Simple Chemical-Gast,949.0,949.0,,,0 CDM,46900_PBB,Pr Dstrj Lesion Anus Simple Chemical-Pbb,949.0,949.0,,,0 CDM,46910_PBB,Pr Dstrj Lesion Anus Smpl Eltrdsiccation-Pbb,1583.0,1583.0,,,0 CDM,46916_PBB,Pr Dstrj Lesion Anus Simple Cryosurgery-Pbb,1625.0,1625.0,,,0 CDM,46917_PBB,Pr Dstrj Lesion Anus Simple Laser Surg-Pbb,3614.0,3614.0,,,0 CDM,46922_PBB,Pr Dstrj Lesion Anus Simple Surg Excision-Pbb,2437.0,2437.0,,,0 CDM,46924_GAST,Pr Dstrj Lesion Anus Extensive-Gast,5422.0,5422.0,,,0 CDM,46924_PBB,Pr Dstrj Lesion Anus Extensive-Pbb,5422.0,5422.0,,,0 CDM,46930_GAST,Pr Destruction Internal Hemorrhoid Thermal Energy-Gast,1854.0,1854.0,,,0 CDM,46930_PBB,Pr Destruction Internal Hemorrhoid Thermal Energy-Pbb,1854.0,1854.0,,,0 CDM,46945_GAST,Pr Int Hrhc By Ligation Single Hroid W/O Img Gdn-Gast,1450.0,1450.0,,,0 CDM,46945_PBB,Pr Int Hrhc By Ligation Single Hroid W/O Img Gdn-Pbb,1450.0,1450.0,,,0 CDM,46946_GAST,Pr Int Hrhc By Ligation 2+ Hroid W/O Img Gdn-Gast,2170.0,2170.0,,,0 CDM,46946_PBB,Pr Int Hrhc By Ligation 2+ Hroid W/O Img Gdn-Pbb,2170.0,2170.0,,,0 CDM,4698_00143956501,"Thiotepa: 1 Vial In 1 Box, Unit-Dose (0143-9565-01) / 1.5 Ml In 1 Vial",4977.14,4977.14,,,0 CDM,4698_43598065011,"Thiotepa: 1 Vial In 1 Carton (43598-650-11) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",5019.1,5019.1,,,0 CDM,4698_55390003010,"Thiotepa: 1 VIAL in 1 BOX, UNIT-DOSE (55390-030-10) / 1.5 mL in 1 VIAL",3986.5,3986.5,,,0 CDM,4698_71288015605,"Thiotepa: 1 Vial, Single-Dose In 1 Carton (71288-156-05) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",1340.0,1340.0,,,0 CDM,4698_72205004501,"Thiotepa: 1 Vial, Glass In 1 Box (72205-045-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",4612.4,4612.4,,,0 CDM,4699_68682092005,Tetracaine Hydrochloride: 1 Bottle In 1 Carton (68682-920-05) / 5 Ml In 1 Bottle,186.0,186.0,,,0 CDM,4699_68682092064,Tetracaine Hydrochloride: 1 Bottle In 1 Carton (68682-920-64) / 15 Ml In 1 Bottle,558.0,558.0,,,0 CDM,47000001,Hc Audiology Loss & Damage Deductible,288.0,288.0,,,0 CDM,47000002,Hc Musician Earplugs Each,190.0,190.0,,,0 CDM,47000003,Hc Musician Earplugs Set,380.0,380.0,,,0 CDM,47000004,Hc Wax Guards,6.0,6.0,,,0 CDM,47000005,Hc Receiver Replacement,82.0,82.0,,,0 CDM,47000_GAST,Pr Biopsy Liver Needle Percutaneous-Gast,2491.0,2491.0,,,0 CDM,47000_PBB,Pr Biopsy Liver Needle Percutaneous-Pbb,2419.0,2419.0,,,0 CDM,47005014,Hc Hearing Aid Repair/Modification,250.0,250.0,,,0 CDM,47005020,Hc Conformity Evaluation (Verification/Validation),86.0,86.0,,,0 CDM,47005090,Hc Hearing Aid Dispensing Fee,150.0,150.0,,,0 CDM,47005160,Hc Dispensing Fee Binaural,160.0,160.0,,,0 CDM,47005241,Hc Dispensing Fee Monaural,150.0,150.0,,,0 CDM,47005299,Hc Hearing Service,29.0,29.0,,,0 CDM,47092537,"Hc Caloric Vestibular Test With Recording, Bilateral; Bithermal",809.0,809.0,,,0 CDM,47092537_AUD,"Hc Caloric Vestibular Test With Recording, Bilateral; Bithermal-Aud",809.0,809.0,,,0 CDM,47092537_PBB,"Hc Caloric Vestibular Test With Recording, Bilateral; Bithermal-Pbb",982.0,982.0,,,0 CDM,47092538,"Hc Caloric Vestibular Test With Recording, Bilateral; Monothermal",809.0,809.0,,,0 CDM,47092538_AUD,"Hc Caloric Vestibular Test With Recording, Bilateral; Monothermal-Aud",809.0,809.0,,,0 CDM,47092538_PBB,"Hc Caloric Vestibular Test With Recording, Bilateral; Monothermal-Pbb",897.5,897.5,,,0 CDM,47092583,Hc Select Picture Audiometry,132.0,132.0,,,0 CDM,47092592,Hc Hearing Aid Check; Monaural,95.0,95.0,,,0 CDM,47092633,Hc Hc Aud Rehab Postling Hear Loss,75.0,75.0,,,0 CDM,47092639,Hc Hearing Aid Meas Verif W/Probe Microphone,82.0,82.0,,,0 CDM,47092642,Hc Hearing Assistive Device Suppl Tech Fitting Svc,165.0,165.0,,,0 CDM,47092700,Hc Video Head Impulse Testing (Vhit),54.0,54.0,,,0 CDM,47105011,Hc Hearing Aid Fitting/Checking,150.0,150.0,,,0 CDM,4716_00406114201,Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle (0406-1142-01),4.97,4.97,,,0 CDM,4718_00143932901,NDC Description Not Available,1.18,1.18,,,0 CDM,4718_00143932910,"Bupivacaine Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (0143-9329-10) / 50 Ml In 1 Vial, Multi-Dose (0143-9329-01)",0.24,0.24,,,0 CDM,4718_00409116301,"Bupivacaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-1163-01) / 50 Ml In 1 Vial, Multi-Dose (0409-1163-18)",0.2,0.2,,,0 CDM,4718_00409116318,NDC Description Not Available,0.24,0.24,,,0 CDM,4718_00409161050,"Marcaine: 1 Vial, Multi-Dose In 1 Carton (0409-1610-50) / 50 Ml In 1 Vial, Multi-Dose",0.24,0.24,,,0 CDM,4718_55150025050,"Bupivacaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-250-50) / 50 Ml In 1 Vial, Multi-Dose",0.24,0.24,,,0 CDM,4718_63323046701,NDC Description Not Available,0.24,0.24,,,0 CDM,4718_63323046757,"Sensorcaine: 25 Vial, Multi-Dose In 1 Tray (63323-467-57) / 50 Ml In 1 Vial, Multi-Dose (63323-467-01)",0.24,0.24,,,0 CDM,47192504,Hc Binocular Miscropscopy (Separate Diagnostic Procedure),74.0,74.0,,,0 CDM,47192504_PBB,Hc Binocular Miscropscopy (Separate Diagnostic Procedure)-Pbb,108.0,108.0,,,0 CDM,47192517,Hc Cervical Vemp Testing W/I&R,473.0,473.0,,,0 CDM,47192518,Hc Ocular Vemp Testing W/I&R,473.0,473.0,,,0 CDM,47192519,Hc Cervical & Ocular Vemp Testing W/I&R,895.0,895.0,,,0 CDM,47192540,"Hc Basic Vestibular Evaluation, With Recording And Oscillating Tracking Test, With Recording",2071.0,2071.0,,,0 CDM,47192540_AUD,"Hc Basic Vestibular Evaluation, With Recording And Oscillating Tracking Test, With Recording-Aud",2071.0,2071.0,,,0 CDM,47192540_PBB,"Hc Basic Vestibular Evaluation, With Recording And Oscillating Tracking Test, With Recording-Pbb",2450.5,2450.5,,,0 CDM,47192541,Hc Spontaneous Nystagmus Test W/Gate,339.0,339.0,,,0 CDM,47192542,"Hc Positional Nystagmus Test, Minimum Of 4 Positions, With Recording",275.0,275.0,,,0 CDM,47192544,Hc Optokinetic Nystagmus With Recording,659.0,659.0,,,0 CDM,47192544_AUD,Hc Optokinetic Nystagmus With Recording-Aud,659.0,659.0,,,0 CDM,47192544_PBB,Hc Optokinetic Nystagmus With Recording-Pbb,739.5,739.5,,,0 CDM,47192545,"Hc Oscillating Tracking Test, W/ Recording",659.0,659.0,,,0 CDM,47192545_AUD,"Hc Oscillating Tracking Test, W/ Recording-Aud",659.0,659.0,,,0 CDM,47192545_PBB,"Hc Oscillating Tracking Test, W/ Recording-Pbb",731.5,731.5,,,0 CDM,47192546,Hc Sinusoidal Vertacal Axis Rotational Test,669.0,669.0,,,0 CDM,47192546_PBB,Hc Sinusoidal Vertacal Axis Rotational Test-Pbb,750.5,750.5,,,0 CDM,47192548,Hc Computerized Dynamic Posturography,1012.0,1012.0,,,0 CDM,47192548_AUD,Hc Computerized Dynamic Posturography-Aud,1012.0,1012.0,,,0 CDM,47192548_PBB,Hc Computerized Dynamic Posturography-Pbb,1150.0,1150.0,,,0 CDM,47192550,Hc Tympanometry And Reflex Threshold Measurements,669.0,669.0,,,0 CDM,47192551,"Hc Screening Test, Pure Tone, Air Only",107.0,107.0,,,0 CDM,47192551_AUD,"Hc Screening Test, Pure Tone, Air Only-Aud",107.0,107.0,,,0 CDM,47192551_PBB,"Hc Screening Test, Pure Tone, Air Only-Pbb",162.5,162.5,,,0 CDM,47192552,Hc Pure Tone Audiometry (Threshold); Air Only,334.0,334.0,,,0 CDM,47192553,Hc Pure Tone Audiometry (Threshold); Air And Bone,463.0,463.0,,,0 CDM,47192555,Hc Speech Audiometry Threshold;,307.0,307.0,,,0 CDM,47192556,Hc Speech Audiometry Threshold; With Speech Recognition,488.0,488.0,,,0 CDM,47192557,Hc Comprehensive Audiometry Threshold Evaluation And Speech Recognition,748.0,748.0,,,0 CDM,47192558,"Hc Evoked Otoacoustic Emissions, Screening , Automated Analysis",191.0,191.0,,,0 CDM,47192558_AUD,"Hc Evoked Otoacoustic Emissions, Screening , Automated Analysis-Aud",191.0,191.0,,,0 CDM,47192558_PBB,"Hc Evoked Otoacoustic Emissions, Screening , Automated Analysis-Pbb",237.0,237.0,,,0 CDM,47192565,"Hc Stenger Test, Pure Tone",158.0,158.0,,,0 CDM,47192567,Hc Tympanometry,334.0,334.0,,,0 CDM,47192568,Hc Acoustic Refl Threshold Tst,334.0,334.0,,,0 CDM,47192570,"Hc Acoustc Immittance Test,Incl Tympanomtry,Acoustic Reflex Threshold Test,&Acoustc Reflx Decay Test",1001.0,1001.0,,,0 CDM,47192579,Hc Visual Reinforcement Audiometry (Vra),647.0,647.0,,,0 CDM,47192582,Hc Conditioning Play Audiometry,572.0,572.0,,,0 CDM,47192584,Hc Electrocochleography,808.0,808.0,,,0 CDM,47192587,"Hc Dist Prod Evk Otoacstic Emsn;Lmtd Eval(Pres/Abs Hr Do,3-6 Frq)/Trns Evkd Otoacstic Emsn,W Int&Rep",388.0,388.0,,,0 CDM,47192588,Hc Distortion Product Evoked Otoacoustic Emission; Comprehnsive Diag Eval; W/Interpretation And Rprt,453.0,453.0,,,0 CDM,47192590,Hc Hearing Aid Examination And Selection; Monaural,190.0,190.0,,,0 CDM,47192591,Hc Hearing Aid Examination And Selection; Binaural,190.0,190.0,,,0 CDM,47192593,Hc Hearing Aid Check: Binaural,95.0,95.0,,,0 CDM,47192594,Hc Electroacoustic Evalulation; Monaural,95.0,95.0,,,0 CDM,47192595,Hc Electroacoustic Evalulation; Binaural,95.0,95.0,,,0 CDM,47192601,"Hc Diagnostic Analysis Of Cochlear Implant, Patient Younger Than 7 Years Of Age; With Programming",1040.0,1040.0,,,0 CDM,47192602,"Hc Diag Analysis Of Cochlear Implant, Pat Younger Than 7 Yrs Of Age; Sub Reprogramming",589.0,589.0,,,0 CDM,47192603,"Hc Diagnostic Analysis Of Cochlear Implant, Age 7 Years Or Older; With Programming",644.0,644.0,,,0 CDM,47192604,"Hc Diagnostic Analysis Of Cochlear Implant, Age 7 Years Or Older; Subsequent Reprogramming",581.0,581.0,,,0 CDM,47192620,Hc Central Auditory Fcn Init 60 Min,297.0,297.0,,,0 CDM,47192621,Hc Auditory Function + 15 Min,74.0,74.0,,,0 CDM,47192622,Hc Diagnostic Analysis Program And Verif Of Auditory Osseo Sound Process 1St 60 Min,373.0,373.0,,,0 CDM,47192623,Hc Diagnostic Analysis Program Verif Of Audit Osseo Sound Process Add 15 Min,285.0,285.0,,,0 CDM,47192625,Hc Assessment Of Tinnutis,277.0,277.0,,,0 CDM,47192626,Hc Evaluation Of Auditory Rehabilitation Status; First Hour,431.0,431.0,,,0 CDM,47192627,Hc Evaluation Of Auditory Rehabilitation Status; Each Additional 15 Minutes,114.0,114.0,,,0 CDM,47192628,Hc Eval Hearing Aid Cand 1St 30,190.0,190.0,,,0 CDM,47192629,Hc Eval Hearing Aid Cand Ea Add 15 Min,95.0,95.0,,,0 CDM,47192631,Hc Hearing Aid Slctn Svc 1St 30,190.0,190.0,,,0 CDM,47192632,Hc Hearing Aid Slctn Svc Ea Add 15 Min,95.0,95.0,,,0 CDM,47192634,Hc Hearing Aid Fitting Services 1St 60 Minutes,330.0,330.0,,,0 CDM,47192635,Hc Hearing Aid Fitting Services Ea Addl 15 Minutes,82.0,82.0,,,0 CDM,47192636,Hc Hearing Aid Post Fitg F-Up 1St 30Min,95.0,95.0,,,0 CDM,47192637,Hc Hearing Aid Pst Fitg F-Up Ea 15 Min,47.0,47.0,,,0 CDM,47192638,Hc Behavioral Verification Of Amplification,165.0,165.0,,,0 CDM,47192641,"Hc Hearing Device Verification, Electroacoustic Analysis",82.0,82.0,,,0 CDM,47192650,Hc Aep Scr Auditory Potential W/Stimuli Auto Alys,288.0,288.0,,,0 CDM,47192651,Hc Aep Hearing Status Deter Broadband Stimuli I&R,374.0,374.0,,,0 CDM,47192652,Hc Aep Threshold Estimation Mlt Frequencies I&R,952.0,952.0,,,0 CDM,47192653,Hc Aep Neurodiagnostic Interpretation And Report,952.0,952.0,,,0 CDM,47192700,Hc Vestibular Evoked Myogenic Potentials,1286.0,1286.0,,,0 CDM,47200268,Hc Removal Of Impacted Cerumen By Md On Same Date Of Service As Audiologic Function Testing,323.0,323.0,,,0 CDM,47200268_AUD,Hc Removal Of Impacted Cerumen By Md On Same Date Of Service As Audiologic Function Testing-Aud,323.0,323.0,,,0 CDM,47200268_PBB,Hc Removal Of Impacted Cerumen By Md On Same Date Of Service As Audiologic Function Testing-Pbb,515.5,515.5,,,0 CDM,47205011,Hc Hearing Aid Fitting/Checking Bi,300.0,300.0,,,0 CDM,47292630,Hc Auditory Rehabilitation; Prelingual Hearing Loss,425.0,425.0,,,0 CDM,47292633,Hc Auditory Rehabilitation; Postlingual Hearing Loss,425.0,425.0,,,0 CDM,47292700,Hc Smell Test,204.0,204.0,,,0 CDM,47392700,Hc Water Calorics,75.0,75.0,,,0 CDM,4745_00054001820,Prednisone: 10 Blister Pack In 1 Carton (0054-0018-20) / 10 Tablet In 1 Blister Pack,0.16,0.16,,,0 CDM,4745_00054001825,"Prednisone: 100 Tablet In 1 Bottle, Plastic (0054-0018-25)",0.17,0.17,,,0 CDM,4745_00378064201,"Prednisone: 100 Tablet In 1 Bottle, Plastic (0378-0642-01)",0.16,0.16,,,0 CDM,4745_00904712761,Prednisone: 100 Blister Pack In 1 Carton (0904-7127-61) / 1 Tablet In 1 Blister Pack,0.16,0.16,,,0 CDM,4745_59651048801,Prednisone: 100 Tablet In 1 Bottle (59651-488-01),0.16,0.16,,,0 CDM,4745_59746017506,Prednisone: 100 Tablet In 1 Bottle (59746-175-06),0.16,0.16,,,0 CDM,4745_60687014511,NDC Description Not Available,0.16,0.16,,,0 CDM,4745_60760000221,Prednisone: 21 Tablet In 1 Bottle (60760-002-21),0.27,0.27,,,0 CDM,4745_66267017210,Prednisone: 10 Tablet In 1 Bottle (66267-172-10),0.15,0.15,,,0 CDM,47492700,Hc Saccade Testing,114.0,114.0,,,0 CDM,47541_GAST,Pr Plmt Access Thru Biliary Tree Into Small Bwl New-Gast,2508.0,2508.0,,,0 CDM,47541_PBB,Pr Plmt Access Thru Biliary Tree Into Small Bwl New-Pbb,2508.0,2508.0,,,0 CDM,47552_GAST,Pr Biliary Endo Prq T-Tube Dx W/Collect Spec Brush-Gast,2847.0,2847.0,,,0 CDM,47552_PBB,Pr Biliary Endo Prq T-Tube Dx W/Collect Spec Brush-Pbb,2847.0,2847.0,,,0 CDM,47553_GAST,Pr Biliary Ndsc Prq T-Tube W/Bx Single/Multiple-Gast,3415.0,3415.0,,,0 CDM,47553_PBB,Pr Biliary Ndsc Prq T-Tube W/Bx Single/Multiple-Pbb,3415.0,3415.0,,,0 CDM,47554_GAST,Pr Biliary Endoscopy Prq Via T-Tube W/Rmvl Calculus-Gast,3415.0,3415.0,,,0 CDM,47554_PBB,Pr Biliary Endoscopy Prq Via T-Tube W/Rmvl Calculus-Pbb,3415.0,3415.0,,,0 CDM,47555_GAST,Pr Biliary Ndsc Prq T-Tube W/Dil Duct W/O Stent-Gast,3415.0,3415.0,,,0 CDM,47555_PBB,Pr Biliary Ndsc Prq T-Tube W/Dil Duct W/O Stent-Pbb,3415.0,3415.0,,,0 CDM,4755_00496088207,Lmx4: 5 Tube In 1 Box (0496-0882-07) / 5 G In 1 Tube (0496-0882-05),248.38,248.38,,,0 CDM,4755_24357070107,Anecream: 5 Tube In 1 Carton (24357-701-07) / 5 G In 1 Tube (24357-701-05),124.0,124.0,,,0 CDM,4757_00527076237,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (0527-0762-37)",4.27,4.27,,,0 CDM,4757_00555097202,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (0555-0972-02)",4.99,4.99,,,0 CDM,4757_42806034101,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle, Plastic (42806-341-01)",3.13,3.13,,,0 CDM,4757_57844011001,Adderall: 100 Tablet In 1 Bottle (57844-110-01),66.48,66.48,,,0 CDM,4757_64850050201,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (64850-502-01)",3.0,3.0,,,0 CDM,47592700,Hc Speech In Noise Testing,279.0,279.0,,,0 CDM,47692700,Hc High Frequency Audiometry,476.0,476.0,,,0 CDM,4774_00904644961,"Isosorbide Mononitrate: 100 Blister Pack In 1 Carton (0904-6449-61) / 1 Tablet, Extended Release In 1 Blister Pack",4.38,4.38,,,0 CDM,4774_68084059101,"Isosorbide Mononitrate: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-591-01) / 1 TABLET, EXTENDED RELEASE in 1 BLISTER PACK (68084-591-11)",5.7,5.7,,,0 CDM,4774_68084059111,NDC Description Not Available,6.0,6.0,,,0 CDM,4775_10135071944,Alendronate: 1 Blister Pack In 1 Carton (10135-719-44) / 4 Tablet In 1 Blister Pack,6.22,6.22,,,0 CDM,4775_16714063301,Alendronate Sodium: 1 Blister Pack In 1 Carton (16714-633-01) / 4 Tablet In 1 Blister Pack,6.98,6.98,,,0 CDM,4775_69543013120,Alendronate: 2 BLISTER PACK in 1 CARTON (69543-131-20) / 10 TABLET in 1 BLISTER PACK,17.3,17.3,,,0 CDM,47792700,Hc Auditory Prosthetic Device Evaluation / Selection,250.0,250.0,,,0 CDM,477_00597004724,"Viramune: 1 Bottle, Plastic In 1 Carton (0597-0047-24) / 240 Ml In 1 Bottle, Plastic",28.41,28.41,,,0 CDM,477_65862005724,Nevirapine: 240 Ml In 1 Bottle (65862-057-24),17.87,17.87,,,0 CDM,4788_00270141030,Cystografin Dilute: 10 Bottle In 1 Package (0270-1410-30) / 300 Ml In 1 Bottle,0.82,0.82,,,0 CDM,47892700,Hc Behavioral Observation Audiometry,588.0,588.0,,,0 CDM,4795_00093083201,Clonazepam: 100 Tablet In 1 Bottle (0093-0832-01),5.79,5.79,,,0 CDM,4795_00904722761,Clonazepam: 100 Blister Pack In 1 Carton (0904-7227-61) / 1 Tablet In 1 Blister Pack,6.0,6.0,,,0 CDM,4795_16729013600,"Clonazepam: 100 Tablet In 1 Bottle, Plastic (16729-136-00)",4.98,4.98,,,0 CDM,4795_50268017311,NDC Description Not Available,5.51,5.51,,,0 CDM,4795_59651072201,Clonazepam: 100 Tablet In 1 Bottle (59651-722-01),4.68,4.68,,,0 CDM,4795_60687054411,NDC Description Not Available,5.45,5.45,,,0 CDM,47992700,Hc Communication And Functional Needs Assessment,173.0,173.0,,,0 CDM,47_60432009316,"Amantadine Hydrochloride: 473 mL in 1 BOTTLE, PLASTIC (60432-093-16)",6.0,6.0,,,0 CDM,48000650,Hc Prgrmg Dev Eval Scrms Remote,98.0,98.0,,,0 CDM,48000715,Hc Percutaneous Transluminal Coronary Lithotripsy,53974.0,53974.0,,,0 CDM,48002066,Hc Inter Devc Remote 30D,89.0,89.0,,,0 CDM,48002680,"Hc Implant/Replace Carotid Sinus Baro Activation Device, Pulse Gen",58304.0,58304.0,,,0 CDM,48004240,Hc Insertion Or Replacement Of Neurostimulator System,84240.0,84240.0,,,0 CDM,48005150,Hc Insertion Of Wrieless Cardiac Stimulator,64160.0,64160.0,,,0 CDM,48005160,"Hc Insertion Of Wrieless Cardiac Stimulator , Electrode Only",21596.0,21596.0,,,0 CDM,48005170,"Hc Insertion Of Wrieless Cardiac Stmltr, Pulse Gnrtr Components Only",21596.0,21596.0,,,0 CDM,48005180,Hc Removal Of Only Pulse Generator Component,9131.0,9131.0,,,0 CDM,48005190,"Hc Removal & Replacement Wireless Crdc Stmltr, Plse Gnrtr Components",9131.0,9131.0,,,0 CDM,48005200,"Hc Rmvl/Rplcmnt Wireless Crdc Stmltr, Plse Gnrtr Cmpnts (New Elctrde)",64160.0,64160.0,,,0 CDM,48005710,Hc Insertion Or Replacement Of Implantable Cardioverter-Defibrillator System With Substernal Electro,79376.0,79376.0,,,0 CDM,48008928,Hc Use Of Echo Contrast Agent Stress Echo,4361.0,4361.0,,,0 CDM,48008929,"Hc Tte W Cntrst,Wo Cntrst W Cntrst,Rltm W 2D Img Doc,Inc Mmod Rec,W Spec Dop Echo,&W Clr Flo Dop Ech",5935.0,5935.0,,,0 CDM,48009320,Hc N-Invs Det Hrt Fail Aug Echo,705.0,705.0,,,0 CDM,48009600,Hc Perc Trnscth Plcmnt Of Drg Elut Intracrnry Stnt W/Crnry Angplsty Whn Perf;Sngle Mj Crnryart/Brnch,41577.0,41577.0,,,0 CDM,48009601,"Hc Perc Trnscth Plcmnt Of Drg-Elut Intrcrnry Stnt,W/Crnry Angplsty Whn Perf Ea Ad Br Of Mj Crnryart",28314.0,28314.0,,,0 CDM,48009602,"Hc Perc Trns Cornry Athery,W Drug Eluting Intracornry Stnt,W Cornry Angio;Sing Maj Cornry Art/Branch",43035.0,43035.0,,,0 CDM,48009603,"Hc Perc Trns Cornry Athery,W Drug-Elutg Intracornry Stnt,W Cornry Angio;Ea Add Branch Maj Cornry Art",31503.0,31503.0,,,0 CDM,48009604,"Hc Perc Trnslm Rvsc Thru Crnry Art Bypsgrft,Drg-Elt Stnt,Athrctmy&Angplsty,Incl Dstl Prtct;1 Vssl",41577.0,41577.0,,,0 CDM,48009605,"Hc Per Trslum Revas Cabg,Drg-Elu Stnt,Athrctmy&Angplsty,Inc Dis Ptcn;Ea Add Brnch Subtd By Bypa Grf",34272.0,34272.0,,,0 CDM,48009606,Hc Percutaneous Drug Eluting Coronary Revascularization W Ami; Single Vessel,43035.0,43035.0,,,0 CDM,48009607,Hc Percutaneous Drug Eluting Coronary Revascularization Chronic Total Occlusion; Single Vessel,43035.0,43035.0,,,0 CDM,48009608,"Hc Perc Drug Eluting Coronary Revascization Chronic Occ; Each Add Artery, Branch Or Graft",34272.0,34272.0,,,0 CDM,48009793,Hc Pre 3D Mdl W/Ccta And/Or Mri,2798.0,2798.0,,,0 CDM,48033244,Hc Rmvl Of Single Or Dual Chamber Implantable Defibrillator Electrode(S); By Transvenous Extraction,5940.0,5940.0,,,0 CDM,48033270,"Hc Insrt/Replce Perm Sq Implnt Defib Syst, Dfb Threshld Evl, Indctn Arrhythmia, Eval Arrhythmia Term",121756.0,121756.0,,,0 CDM,48033271,Hc Insertion Of Subcutaneous Implantable Defibrillator Electrode,23862.0,23862.0,,,0 CDM,48033272,Hc Removal Of Subcutaneous Implantable Defibrillator Electrode,8558.0,8558.0,,,0 CDM,48033273,Hc Repositioning Of Previously Implanted Subcutaneous Implantable Defibrillator Electrode,8558.0,8558.0,,,0 CDM,48033276,Hc Insj Phrnc Nrv Stim Sys,106876.0,106876.0,,,0 CDM,48033277,Hc Insj Phrnc Nrv Stim Transvns,16454.0,16454.0,,,0 CDM,48033279,Hc Rmvl Phrnc Nrv Stim Transvns,7707.0,7707.0,,,0 CDM,48033280,Hc Rmvl Phrnc Nrv Stim Pg Only,7707.0,7707.0,,,0 CDM,48033281,Hc Reposg Phrnc Nrv Stim Trnsvn,7707.0,7707.0,,,0 CDM,48033287,Hc Rmv&Rplcmt Phrnc Nrv Stim Pg,70341.0,70341.0,,,0 CDM,48033289,Hc Implantation Of Wireless Pulmonary Artery Pressure Sensor,94875.0,94875.0,,,0 CDM,48033289_PBB,Hc Implantation Of Wireless Pulmonary Artery Pressure Sensor-Pbb,96125.5,96125.5,,,0 CDM,48033365,Hc Tavr/Tavi With Prosthetic Valve; Transaortic Approach,34497.0,34497.0,,,0 CDM,48033894,Hc Evasc St Rpr Thrc/Aa Acrs Br,36956.0,36956.0,,,0 CDM,48033897,Hc Perq Trluml Angp Nt/Recr Coa,39385.0,39385.0,,,0 CDM,48033990,"Hc Insertion Of Ventricular Assist Device, Perc Incl Rady Supervsn And Interp; Artial Access Only",9083.0,9083.0,,,0 CDM,48033991,"Hc Insert Vent Assist Dev,Perc Incl Radiolgcl Sup&Interp;Both Artial&Venous,W Transseptal Punc",13169.0,13169.0,,,0 CDM,48033992,Hc Removal Of Percutaneous Ventricular Assist Device At Separate And Distinct Session From Insertion,6393.0,6393.0,,,0 CDM,48033993,Hc Repositioning Of Perc Vad W/ Imaging Guid At Separate And Distinct Session From Insertion,5626.0,5626.0,,,0 CDM,48033999,Hc Plaa Closure-L Atrial Appnd Closure,50974.0,50974.0,,,0 CDM,48092920,Hc Percutaneous Transluminal Coronary Angioplasty; Single Major Coronary Artery Or Branch,39385.0,39385.0,,,0 CDM,48092921,Hc Percutaneous Transluminal Coronary Angioplasty; Each Additional Branch Of A Major Coronary Arter,14672.0,14672.0,,,0 CDM,48092924,"Hc Ptca, W/ Coronary Angioplasty When Perf; Single Major Coronary Artery Or Branch",41577.0,41577.0,,,0 CDM,48092925,Hc Perc Translum Coronary Atherec W/Coronary Angioplsty; Ea Add Branch/Major Coronary Artery,27972.0,27972.0,,,0 CDM,48092928,"Hc Perc Transcath Plcmnt Intrcrnry Stnt(S),W/ Crnry Angplsty When Perf; Singl Maj Crnry Art Or Brnch",40846.0,40846.0,,,0 CDM,48092929,"Hc Perc Transcath Plcmnt Intrcrnry Stnt(S),W/ Crnry Angplsty Perf;Ea Add Brnch Of A Maj Crnry Art",22286.0,22286.0,,,0 CDM,48092930,Hc Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments,51504.0,51504.0,,,0 CDM,48092933,"Hc Ptca, W/ Intracornry Stent, W/ Cornry Angplsty When Perf; Single Maj Cornry Art Or Branch",42306.0,42306.0,,,0 CDM,48092934,"Hc Perc Transluminl Crnry Athrctmy,W/Intracrnry Stnt,W/Cornry Angplsty;Ea Ad Brnch Of A Mj Crnry Art",30773.0,30773.0,,,0 CDM,48092937,"Hc Percut Trns Revsc Cornry Art Byp Grft,Comb Intracornry Stnt,Athery&Angio,Incl Dist Prot;Sing Vsl",40846.0,40846.0,,,0 CDM,48092938,"Hc Perc Trnslm Revas Cabg, Intracor Stnt, Athrctmy & Angpsty,Dist Ptn;Ea Ad Brnch Sub By Byp Grft",33544.0,33544.0,,,0 CDM,48092941,"Hc Perc Transl Revasc Acute Total/Subtotal Occ Ami, Coronary Artery Or Cabg, Single Vessel",42306.0,42306.0,,,0 CDM,48092943,"Hc Percut Transl Revaschrnc Ttl Occ,Any Cmbntn Of Intracoronary Stnt,Athrectmy,Angioplsty; Sngl Vssl",42306.0,42306.0,,,0 CDM,48092944,"Hc Percut Trns Revsc Chron Tot Occ,Comb Intracorn Stnt,Athery/Angio;Ea Add Cornry Art,Brnch,Byp Grft",33544.0,33544.0,,,0 CDM,48092950,Hc- Cardiopulmonary Resuscitation,2301.0,2301.0,,,0 CDM,48092960,"Hc Cardioversion, Elective, Electrical Conversion Of Arrhythmia; External",5171.0,5171.0,,,0 CDM,48092961,"Hc Cardioversion, Elective, Electrical Conversion Of Arrhythmia; Internal",2309.0,2309.0,,,0 CDM,48092972,Hc Perq Trluml Coronry Lithotrp,42729.0,42729.0,,,0 CDM,48092973,Hc Percutaneous Transluminal Coronary Thrombectomy Mechanical,6790.0,6790.0,,,0 CDM,48092975,"Hc Thrombolysis, Coronary; By Intracoronary Infusion, Including Selective Coronary Angiography",3556.0,3556.0,,,0 CDM,48092978,"Hc Intrvsc U/S(Crnry Vssl/Grft)Durng Dx Eval&/Or Thrptc Intrvtn Inc Imging Sprvsn,Inter&Rprt;In Vssl",6888.0,6888.0,,,0 CDM,48092979,"Hc Intravsc Us(Coronary Vessl/Grft)Diag Eval &Or Thrptc Intrvtn Incl Img Sup,Interp&Rep;Ea Add Vessl",5525.0,5525.0,,,0 CDM,48092986,Hc Percutaneous Balloon Valvuloplasty; Aortic Valve,11981.0,11981.0,,,0 CDM,48092987,Hc Percutaneous Balloon Valvuloplasty; Mitral Valve,14046.0,14046.0,,,0 CDM,48092990,Hc Percutaneous Balloon Valvuloplasty; Pulmonary Valve,14046.0,14046.0,,,0 CDM,48092997,Hc Percutaneous Transluminal Pulmonary Artery Balloon Angioplasty; Single Vessel,14046.0,14046.0,,,0 CDM,48092998,Hc Percutaneous Transluminal Pulmonary Artery Balloon Angioplasty; Each Additional Vessel,6433.0,6433.0,,,0 CDM,48093260,"Hc Prog Dev Eval Iterative Adjust Imp Dev,Test Dev Func&Sel Perm Prog Vals, Imp Sq Lead Defib Syst",203.0,203.0,,,0 CDM,48093260_PBB,"Hc Prog Dev Eval Iterative Adjust Imp Dev,Test Dev Func&Sel Perm Prog Vals, Imp Sq Lead Defib Syst-P",427.5,427.5,,,0 CDM,48093261,"Hc Interro Dev Eval W Anlysis, Incl Connect,Rec&Disconnct Per Pat Enc;Implntable Sq Lead Defib Syst",259.0,259.0,,,0 CDM,48093261_PBB,"Hc Interro Dev Eval W Anlysis, Incl Connect,Rec&Disconnct Per Pat Enc;Implntable Sq Lead Defib Syst-",451.5,451.5,,,0 CDM,48093279,"Hc Prog Dev Eval W Itertv Adjst Implnt Dev To Test Dev Func & Selct Perm Values,Singl Ld Pacemkr Sys",232.0,232.0,,,0 CDM,48093279_PBB,"Hc Prog Dev Eval W Itertv Adjst Implnt Dev To Test Dev Func & Selct Perm Values,Singl Ld Pacemkr Sys",415.0,415.0,,,0 CDM,48093280,Hc Prgrm Dev Eval Iterative Adj Implnt Dev To Tst Dev Func And Select Perm Values; Dual Lead Pm Sys,378.0,378.0,,,0 CDM,48093280_PBB,Hc Prgrm Dev Eval Iterative Adj Implnt Dev To Tst Dev Func And Select Perm Values; Dual Lead Pm Sys-,570.5,570.5,,,0 CDM,48093281,"Hc Prgm Device Eval W/ Adjust Implant Device To Test Dvc Func & Selec Vals, Mult Lead Pacemaker Sys",443.0,443.0,,,0 CDM,48093281_PBB,"Hc Prgm Device Eval W/ Adjust Implant Device To Test Dvc Func & Selec Vals, Mult Lead Pacemaker Sys-",685.5,685.5,,,0 CDM,48093282,Hc Prog Dev Eval W Adjst Implnt Dev To Tst Dev Fnc&Selct Vals;Sngl Lead Trnsvn Implntable Defib Syst,401.0,401.0,,,0 CDM,48093282_PBB,Hc Prog Dev Eval W Adjst Implnt Dev To Tst Dev Fnc&Selct Vals;Sngl Lead Trnsvn Implntable Defib Syst,595.0,595.0,,,0 CDM,48093283,Hc Prog Dev Evl W/Adjstmnt Implnt Dev To Tst Dev Func&Selct Vals;Dual Lead Trnsven Implntble Defb,453.0,453.0,,,0 CDM,48093283_PBB,Hc Prog Dev Evl W/Adjstmnt Implnt Dev To Tst Dev Func&Selct Vals;Dual Lead Trnsven Implntble Defb-Pb,686.5,686.5,,,0 CDM,48093284,Hc Prg Dev Evl W Itrtv Adjst Implnt Dev To Test Dev Func & Selct Vals; Mlt Lead Trnsvn Implnt Defib,518.0,518.0,,,0 CDM,48093284_PBB,Hc Prg Dev Evl W Itrtv Adjst Implnt Dev To Test Dev Func & Selct Vals; Mlt Lead Trnsvn Implnt Defib-,885.0,885.0,,,0 CDM,48093285,Hc Program Device Eval W Adj Implt Device To Test Device Func/Select Values; Implant Loop Record Sys,389.0,389.0,,,0 CDM,48093285_PBB,Hc Program Device Eval W Adj Implt Device To Test Device Func/Select Values; Implant Loop Record Sys,497.0,497.0,,,0 CDM,48093286,"Hc Peri-Proc Dev Eval Prog Dev Sys Parameters Bef/Aft Surg,Proc,Test W Anal;Sing,Dual,Mult Ld Pm Sys",217.0,217.0,,,0 CDM,48093286_PBB,"Hc Peri-Proc Dev Eval Prog Dev Sys Parameters Bef/Aft Surg,Proc,Test W Anal;Sing,Dual,Mult Ld Pm Sys",363.0,363.0,,,0 CDM,48093287,"Hc Peri-Px Dev Eval Prg Dev Sys Param B4/Aft Surg,Proc,Or Tst Anlys;Sin,Dual,Mult Lead Imp Defib Sys",519.0,519.0,,,0 CDM,48093287_PBB,"Hc Peri-Px Dev Eval Prg Dev Sys Param B4/Aft Surg,Proc,Or Tst Anlys;Sin,Dual,Mult Lead Imp Defib Sys",755.5,755.5,,,0 CDM,48093288,"Hc Interro Dev Eval W Anlysis,Incl Cnnct,Recrd,Discnnct Per Pt Enc;Sngle,Dual,Or Mult Lead Pcemkr Sy",294.0,294.0,,,0 CDM,48093288_PBB,"Hc Interro Dev Eval W Anlysis,Incl Cnnct,Recrd,Discnnct Per Pt Enc;Sngle,Dual,Or Mult Lead Pcemkr Sy",450.0,450.0,,,0 CDM,48093289,"Hc Interrogatn Dvce Eval W/Anlys, Rvw & Rprt, Incl Cnnct, Rcrd & Dscnnct; Implntble Defibator Systm",549.0,549.0,,,0 CDM,48093289_PBB,"Hc Interrogatn Dvce Eval W/Anlys, Rvw & Rprt, Incl Cnnct, Rcrd & Dscnnct; Implntble Defibator Systm-",790.5,790.5,,,0 CDM,48093291,"Hc Interro Dev Eval W Anlysis,Incl Connct,Rec&Discnnct Implnt Loop Rec Sy,Hrt Rhyth Derivd D Anlysis",268.0,268.0,,,0 CDM,48093291_PBB,"Hc Interro Dev Eval W Anlysis,Incl Connct,Rec&Discnnct Implnt Loop Rec Sy,Hrt Rhyth Derivd D Anlysis",420.5,420.5,,,0 CDM,48093292,Hc Interrogation Device Eval/Connect/Record & Disconnect Per Pat Encounter; Wearable Defibril Sys,343.0,343.0,,,0 CDM,48093293,"Hc Transteleph Rthm Strp Pm Eval Sing,Dual,Mult Ld Pm,Rec W/Wo Magnet App W Anal,Rev&Rep,Up 90 Days",314.0,314.0,,,0 CDM,48093293_PBB,"Hc Transteleph Rthm Strp Pm Eval Sing,Dual,Mult Ld Pm,Rec W/Wo Magnet App W Anal,Rev&Rep,Up 90 Days-",417.5,417.5,,,0 CDM,48093296,"Hc Pacemacer/Icd Remote Tech Service, Up To 90 Days",526.0,526.0,,,0 CDM,48093297,Hc Rem Interrog Icpms <30 D Phys/Qhp,766.0,766.0,,,0 CDM,48093298,Hc Rem Interrog Scrms <30 D Phys/Qhp,766.0,766.0,,,0 CDM,48093303,Hc Transthoracic Echocardiography For Congenital Cardiac Anomalies; Complete,2812.0,2812.0,,,0 CDM,48093304,Hc Transthoracic Echocardiography For Congenital Cardiac Anomalies; Follow-Up Or Limited Study,1850.0,1850.0,,,0 CDM,48093306,"Hc Echcrd,Trnsthor, Rltm W Img Doc(2D),Incl Mmod Rec,Comp,W Spct Dop Echcrd,&W Clr Flow Dop Echcrd",5935.0,5935.0,,,0 CDM,48093308,"Hc Tte, Real-Time W/Img Doc (2D), Incl M-Mode Recrdng, When Perf, F-Up Or Lmtd Study",1625.0,1625.0,,,0 CDM,48093312,"Hc Tee, Real-Time W/ Image Doc (2D) (W Or W/O M-Mode Rec); Inc Prbe Placemnt, Img Acq, Inter&Rpt",5372.0,5372.0,,,0 CDM,48093313,Hc Echo R-T 2D W/Probe Placement Only,1850.0,1850.0,,,0 CDM,48093315,"Hc Tee For Cong Crdc Anomalies; Incl Probe Plcmnt, Img Acquistn, Intrprtn & Report",3487.0,3487.0,,,0 CDM,48093316,Hc Transesophagl Echocardiogrphy For Congen Cardiac Anomalies; Placemnt Of Transesophagl Probe Only,1258.0,1258.0,,,0 CDM,48093321,"Hc Doppler Echocardiography, Pulsed Wave And/Or Cont Wave W/ Spectral Display; Follow-Up Or Lmtd",583.0,583.0,,,0 CDM,48093350,Hc Stress Echo Exercise,4361.0,4361.0,,,0 CDM,48093355,"Hc Echo Tee Guide Transcath Intracardic/Great Vessel Real Time Image And Doc, Guide",6051.0,6051.0,,,0 CDM,48093356,Hc Myocrd Strain Img Speckle Trck Assmt Myocrd Mech,268.0,268.0,,,0 CDM,48093455,Hc Coronary Artery/Graft Angiography S&I Including Intraprocedural Inj For Bypass Graft,18091.0,18091.0,,,0 CDM,48093463,"Hc Rxacologc Agnt Admin Incl Assess Hemodyn Meas Befor,During, After & Repeat Rxacologc Agnt Admin",988.0,988.0,,,0 CDM,48093464,Hc Physiologic Exercise Study W Assessment,412.0,412.0,,,0 CDM,48093503,"Hc Insertion And Placement Of Flow Directed Catheter (Eg, Swan-Ganz) For Monitoring Purposes",6676.0,6676.0,,,0 CDM,48093503_GOLD,"Hc Insertion And Placement Of Flow Directed Catheter (Eg, Swan-Ganz) For Monitoring Purposes-Gold",8410.0,8410.0,,,0 CDM,48093503_GOLDPBB,"Hc Insertion And Placement Of Flow Directed Catheter (Eg, Swan-Ganz) For Monitoring Purposes-Gold,Pb",8410.0,8410.0,,,0 CDM,48093503_PBB,"Hc Insertion And Placement Of Flow Directed Catheter (Eg, Swan-Ganz) For Monitoring Purposes-Pbb",8410.0,8410.0,,,0 CDM,48093571,Hc Iv Doppler; Initital Vessel,5669.0,5669.0,,,0 CDM,48093572,Hc Iv Doppler; Each Additional Vessel,4430.0,4430.0,,,0 CDM,48093580,"Hc Perc Tcclosure Of Cong Interatrial Comm (Ie,Fontan Fenestration,Atrial Septal Defect)W/Implant",36956.0,36956.0,,,0 CDM,48093600,Hc Bundle Of His Recording,6762.0,6762.0,,,0 CDM,48093602,Hc Intra-Atrial Recording,6762.0,6762.0,,,0 CDM,48093603,Hc Right Ventricular Recording,8868.0,8868.0,,,0 CDM,48093609,Hc Intravntriclr &/Or Intra-Atrl Mppng Tchycrdia Site(S) Rcrd Frm Mult Sites To Id Orign Tachy,8275.0,8275.0,,,0 CDM,48093610,Hc Intra-Atrial Pacing,8127.0,8127.0,,,0 CDM,48093612,Hc Intraventricular Pacing,7996.0,7996.0,,,0 CDM,48093613,Hc Intracardiac Electrophyslgc 3-Dimnsnl Mppng (List Separately In Add To Code For Prmry Procedure),15034.0,15034.0,,,0 CDM,48093615,Hc Esophageal Recording Of Atrial Electrogram With Or Without Ventricular Electrogram(S);,8422.0,8422.0,,,0 CDM,48093616,Hc Esophageal Recording Of Atrial Electrogram With Or Without Ventricular Electrogram; With Pacing,11248.0,11248.0,,,0 CDM,48093618,Hc Induction Of Arrhythmia By Electrical Pacing,6790.0,6790.0,,,0 CDM,48093619,"Hc Comprehensive Ep Evaluation With Atrial Pacing And Recording, Without Induction Of Arrythmia",10387.0,10387.0,,,0 CDM,48093620,Hc Comprehensive Ep Evaluation With Right Atrial/Ventricular Pacing With Induction Of Arrythmia,22042.0,22042.0,,,0 CDM,48093621,Hc Comprehensive Ep Eval W/ Left Atrial Pacing And Recording From Coronary Sinus Or Left Atrium,17915.0,17915.0,,,0 CDM,48093622,Hc Comprehensive Ep Evaluation With Left Ventricular Pacing And Recording,15027.0,15027.0,,,0 CDM,48093623,Hc Programmed Stimulation And Pacing After Intravenous Drug Infusion,21019.0,21019.0,,,0 CDM,48093624,"Hc Elctphys Fllwup Stdy W/Pacng&Rec To Tst Effctvnss Of Ther,Incl Indctn Or Attmptd Indctn Of Arhyth",14639.0,14639.0,,,0 CDM,48093631,Hc Intraop Epicard&Endocard Pac/Map To Localize Site Tachycardia/Zone Slow Cond Surg Correct,9610.0,9610.0,,,0 CDM,48093640,Hc Ep Evaluation Cardioverter-Defib Leads; Initital Implant Or Replacement,3347.0,3347.0,,,0 CDM,48093641,Hc Ep Evaluation Cardioverter-Defib Leads; With Generator Test,6809.0,6809.0,,,0 CDM,48093642,Hc Electrophysiologic Eval Of Single Or Dual Chamber Transvenous Pacing Cardioverter-Defibrillator,7193.0,7193.0,,,0 CDM,48093644,Hc Electrophysiologic Evaluation Of Subcutaneous Implantable Defibrillator,4257.0,4257.0,,,0 CDM,48093644_PBB,Hc Electrophysiologic Evaluation Of Subcutaneous Implantable Defibrillator-Pbb,7304.0,7304.0,,,0 CDM,48093650,"Hc Intrcrd Cath Abltn Atrovent Node Fn, Atrovent Cndctn 4 Cmplte Hrt Blk, W Or Wo Temp Pcemkr Plcm",13149.0,13149.0,,,0 CDM,48093653,Hc Right Atrial Flutter Radiofreqency Ablation,50974.0,50974.0,,,0 CDM,48093660,"Hc Evl Of Crdvasc Fnc W/Tilt Tble Eval,W/Cont Ecg Montring&Intrmitent Bp Montring,W/Or Wo Rx Intrvtn",3962.0,3962.0,,,0 CDM,48093660_PBB,"Hc Evl Of Crdvasc Fnc W/Tilt Tble Eval,W/Cont Ecg Montring&Intrmitent Bp Montring,W/Or Wo Rx Intrvtn",4891.0,4891.0,,,0 CDM,48093662,"Hc Intracardiac Echocardiography During Thrptc/Diag Intrvtn, Incl Imaging Supervisn And Interpretatn",12320.0,12320.0,,,0 CDM,48093668,"Hc Peripheral Arterial Disease Rehab, Per Session",195.0,195.0,,,0 CDM,48093724,Hc Electronic Analysis Of Antitachycardia Pacemaker System,396.0,396.0,,,0 CDM,48093750,"Hc Intergatn Of Vad,In Person,W Phys/Othr Hlth Care Prof Anlys Dvce Params, Rev Dvce Func,W Prog&Rep",514.0,514.0,,,0 CDM,48093750_PBB,"Hc Intergatn Of Vad,In Person,W Phys/Othr Hlth Care Prof Anlys Dvce Params, Rev Dvce Func,W Prog&Rep",802.0,802.0,,,0 CDM,48093799,Hc Implant Of Pah Drug Pump Research,217.0,217.0,,,0 CDM,4809379901,Hc Unlisted Cardiovascular Service Or Procedure,1038.0,1038.0,,,0 CDM,48099465,Hc Consulting Services (Non-Clinical) Md,741.0,741.0,,,0 CDM,48100269,"Hc Placemnt Of Occlus Device Into Either A Ven Or Arterial Access Site, Postsurgor Intrvtnal Proc",1999.0,1999.0,,,0 CDM,48100278,Hc Iliac Artery Angiography Cardiac Cath,3189.0,3189.0,,,0 CDM,48100643,Hc Tcat L Ventr Rstrj Dev Implt,37906.0,37906.0,,,0 CDM,48100644,Hc Tcat Rmvl/Dblk Icar Mas Perq,13126.0,13126.0,,,0 CDM,48100646,Hc Ttvi/Rplcmt W/Prstc Vlv Perq,7194.0,7194.0,,,0 CDM,48100659,Hc Tcat Intra-C Nfs Supersat O2,6790.0,6790.0,,,0 CDM,48102340,"Hc Transluminal Peripheral Atherectomy, Open Or Percutaneous, Including S&I, Renal Artery",31922.0,31922.0,,,0 CDM,48102350,"Hc Transluminal Peripheral Atherectomy, Open Or Perc, Incl S&I, Visceral Artery, Each Vessel",31922.0,31922.0,,,0 CDM,48102360,"Hc Transluminal Peripheral Atherectomy, Open Or Percutaneous, Including S&I, Abdominal Aorta",31922.0,31922.0,,,0 CDM,48102370,"Hc Translumnl Peripherl Atherectmy Open Or Perc, Incl S&I, Brachiocephlc Trunk And Branches,Ea Vessl",32785.0,32785.0,,,0 CDM,48105230,Hc Intraprocedural Coronary Ffp W/3D Funcjl Mapping,7241.0,7241.0,,,0 CDM,48105690,"Hc Transcatheter Tricuspid Valve Repair, Percutaneous Approach; Initial Prosthesis",20188.0,20188.0,,,0 CDM,48105700,Hc Ttvr Percutaneous Approach Each Addl Prosthesis,10095.0,10095.0,,,0 CDM,48106130,Hc Perq Tcat Impltj Intratrl Septal Shunt Device,36956.0,36956.0,,,0 CDM,48106200,Hc Endovascular Venous Arterialization Tibl/Prnl Vn,43320.0,43320.0,,,0 CDM,48109130,Hc Prq Tcat Ther Rx Ntrac Balo1,13541.0,13541.0,,,0 CDM,48109140,Hc Prq Tcat Thr Rx Ntrc Bal Sep,6771.0,6771.0,,,0 CDM,48109601,Hc Perc Drug-El Cor Stent Bran,32784.0,32784.0,,,0 CDM,48109603,Hc Perc D-E Cor Stent Ather Br,36477.0,36477.0,,,0 CDM,48109605,Hc Perc D-E Cor Revasc T Cabg B,39684.0,39684.0,,,0 CDM,48109608,Hc Perc D-E Cor Revasc Chro Add,39684.0,39684.0,,,0 CDM,48109758,Hc Blind Interatrial Shunt Ide,42090.0,42090.0,,,0 CDM,48109764,Hc Revasc Intravasc Lithotripsy,24895.0,24895.0,,,0 CDM,48109765,Hc Revasc Intra Lithotrip-Stent,38956.0,38956.0,,,0 CDM,48109772,Hc Revasc Lithotrip Tibi/Perone,27084.0,27084.0,,,0 CDM,48109773,Hc Revasc Lithotr-Stent Tib/Per,43320.0,43320.0,,,0 CDM,48109774,Hc Revasc Lithotr-Ather Tib/Per,43320.0,43320.0,,,0 CDM,48109775,Hc Revasc Lith-Sten-Ath Tib/Per,43320.0,43320.0,,,0 CDM,48133340,Hc Perq Clsr Tcat L Atr Apndge W/Endocardial Implnt,26200.0,26200.0,,,0 CDM,48133370,Hc Tcat Plmt&Rmvl Cepd Perq,15967.0,15967.0,,,0 CDM,48133477,"Hc Transcath Pulm Valve Implant, Perc Approach, Pre-Stent Valve Deliv",146693.0,146693.0,,,0 CDM,48133946,"Hc Ecmo/Ecls Provded By Physician; Initiation, Veno-Venous",8814.0,8814.0,,,0 CDM,48133967,"Hc Insertion Of Intra-Aortic Balloon Assist Device, Percutaneous",9432.0,9432.0,,,0 CDM,48133968,"Hc Removal Of Intra-Aortic Balloon Assist Device, Percutaneous",275.0,275.0,,,0 CDM,48133999,Hc Insertion Leadless Ii Pacemaker,21904.0,21904.0,,,0 CDM,48136221,"Hc Non-Sel Cath Plc, Thor Aor, Ang Ext Crtd, Ver, &/Or Incrnl Vsl, Uni Or Bila,S&I,Inc Ang Cvcrl Rch",12148.0,12148.0,,,0 CDM,48137217,"Hc Trnscth Plcmnt Intrvsc Stnt, Crvcl Crtd Artry, W/Angplsty, Rad Sprvsn/Intprt W/O Dstl Emblc Prtxn",10157.0,10157.0,,,0 CDM,48137218,"Hc Trnscth Plcmnt Intrvsc Stnt,Crvcl Crtd Artry, Opn/Prq, & Rdsprvsn/Intrprtnl W/O Dstl Emblc Prtctn",7241.0,7241.0,,,0 CDM,4814_00143985925,"Ceftriaxone: 25 Vial In 1 Box (0143-9859-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9859-01)",14.75,14.75,,,0 CDM,4814_00409733711,NDC Description Not Available,28.61,28.61,,,0 CDM,4814_00781320685,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (0781-3206-85) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",59.0,59.0,,,0 CDM,4816_50419077701,"Cipro: 1 Kit In 1 Kit (50419-777-01) * 100 Ml In 1 Bottle, Glass * 100 Ml In 1 Bottle, Plastic",69.02,69.02,,,0 CDM,48192977,"Hc Thrombolysis, Coronary; By Intravenous Infusion",1004.0,1004.0,,,0 CDM,48193350,Hc Stress Echo Pharmacologic,4361.0,4361.0,,,0 CDM,48193451,"Hc Right Heart Catheterizatn Incl Measurement(S) Of Oxygen Saturation And Cardiac Output, When Perf",18057.0,18057.0,,,0 CDM,48193452,"Hc L Hrt Cath Incl Intrprcdrl Inj(S) Ventriculography,Imgng Supervision & Intrprtn, When Perf",15764.0,15764.0,,,0 CDM,48193453,"Hc Combined Rt & Lt Heart Cath Incl Intraprocedural Inj(S) For Lt Ventriculography, Img Sup & Interp",19536.0,19536.0,,,0 CDM,48193454,Hc Catheter Placementcoronary Atery Angiography S&I Including Intraprocedural Inj,18959.0,18959.0,,,0 CDM,48193456,Hc Right Heart Coronary Artery Angiography Catheter Placement With Right Heart Cath,29516.0,29516.0,,,0 CDM,48193457,"Hc Cath Placement In Coronary Artery Rt Heart /Graft Aniography, Incl Intraproc Inj & Rt Heart Cath",21840.0,21840.0,,,0 CDM,48193458,Hc Left Heart Artery/Ventricle Angiography With Left Heart Cath Including Intraproc Inj,25774.0,25774.0,,,0 CDM,48193459,Hc Left Heart Artery/Graft Angiography W Left Heart Catheterization,30155.0,30155.0,,,0 CDM,48193460,Hc Right And Left Heart Artery/Ventricle Angiography W/ Right And Left Heart Cath Incl Intraproc Inj,26884.0,26884.0,,,0 CDM,48193461,Hc Rt And Lt Heart Artery/Grft/Ventricle Angiography W/ Right And Lt Cath W/ Bypass Grft Angiogrphy,31264.0,31264.0,,,0 CDM,48193462,Hc Left Heart Catheterizatn By Transseptal Puncture Through Intact Septum Or By Transapical Puncture,18509.0,18509.0,,,0 CDM,48193505,Hc Endomyocardial Biopsy,9182.0,9182.0,,,0 CDM,48193563,Hc Inj Proc During Cardiac Cath Inclu S&I; For Select Coronary Angio During Congenital Heart Cath,1001.0,1001.0,,,0 CDM,48193564,"Hc Injection Heart Congenital Artery/Graft, Includes S&I",1026.0,1026.0,,,0 CDM,48193565,Hc Injection Left Ventricular Or Left Atrial Angiography,1672.0,1672.0,,,0 CDM,48193566,Hc Inejction Right Ventricular Or Right Atrial Angiography,3192.0,3192.0,,,0 CDM,48193567,Hc Injection Supravalvular Aortography,2974.0,2974.0,,,0 CDM,48193568,Hc Injection Procedure During Cardiac Cath; For Pulmoanry Angiography,2795.0,2795.0,,,0 CDM,48193573,Hc Njx Drg C-Cathj Slctv P-Art Angiography Bi,7913.0,7913.0,,,0 CDM,48193581,Hc Percutaneous Transcatheter Closure Of A Congenital Ventricular Septal Defect With Implant,37906.0,37906.0,,,0 CDM,48193582,Hc Percutaneous Transcatheter Closure Of Patent Ductus Arteriosus,46636.0,46636.0,,,0 CDM,48193583,Hc Perc Transcatheter Septal Reduction Ther) Incl Temporary Pacemaker Insertion When Perf,51907.0,51907.0,,,0 CDM,48193590,Hc Perq Transcath Cls Paravalvr Leak 1 Mitral Valve,47532.0,47532.0,,,0 CDM,48193591,Hc Perq Transcath Cls Paravalvr Leak 1 Aortic Valve,47532.0,47532.0,,,0 CDM,48193592,Hc Perq Transcath Cls Paravalvr Leak Each Occls Dev,8275.0,8275.0,,,0 CDM,48193593,Hc R Hrt Cath Chd Nml Nt Cnj,7456.0,7456.0,,,0 CDM,48193594,Hc R Hrt Cath Chd Abnl Nt Cnj,7456.0,7456.0,,,0 CDM,48193595,Hc L Hrt Cath Chd Nm/Abn Nt Cnj,7456.0,7456.0,,,0 CDM,48193596,Hc R&L Hrt Cath Chd Nml Nt Cnj,7456.0,7456.0,,,0 CDM,48193597,Hc R&L Hrt Cath Chd Abnl Nt Cnj,7456.0,7456.0,,,0 CDM,48193598,Hc Car Outp Meas Drg Car Cath Eval Cgen Hrt Defect,2101.0,2101.0,,,0 CDM,48193653,Hc Left Atrial Flutter Radiofrequency Ablation,50974.0,50974.0,,,0 CDM,48193655,"Hc Intracardiac Cath Abltn A Discrete Mchnsm Arrhythmia, To Treat A Spontans/Induced Arrhyth",25488.0,25488.0,,,0 CDM,48193656,Hc Comprehensive Ep Evaluation Transeptal Atrial Fibrillation Pulmonary Vein Isolation,85340.0,85340.0,,,0 CDM,48193657,Hc Add Lin Or Fcl Intracard Cath Abltn L Or R Atrum 4 Tx Afib Remaining After Complete Pulm Vein Iso,25488.0,25488.0,,,0 CDM,48193799,Hc Overdrive Pacing Through Implant Device,2733.0,2733.0,,,0 CDM,48233999,Hc Closure By Aso Pda,1397.0,1397.0,,,0 CDM,48293017,"Hc Cardiovasc Stress Test Pharmacological Stress; Tracing Only, W/Out Interpretation And Report",2787.0,2787.0,,,0 CDM,48293653,Hc Psvt Radiofrequency Ablation,50974.0,50974.0,,,0 CDM,48293799,Hc Programming Leadless Ii Pacemaker,232.0,232.0,,,0 CDM,482_42023010501,"Brevital Sodium: 1 Vial In 1 Carton (42023-105-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",646.53,646.53,,,0 CDM,48393017,Hc Mset-Bruce Protocol W/Np,2787.0,2787.0,,,0 CDM,48393307,"Hc Echcrdgrphy, Trnsthrcic, Rl-Time W/Img Dcmnt(2D),M-Mde Rcrdng, W/O Spctrl/Clr Dopp Echcrdgrphy",2717.0,2717.0,,,0 CDM,48393318,"Hc Tee For Monitoring, Includes Probe Placement, Real Time 2-D And Intepretation",2035.0,2035.0,,,0 CDM,48393319,Hc 3D Echo Img Cgen Car Anomal,1258.0,1258.0,,,0 CDM,48393320,"Hc Doppler Echocardiography, Pulsed Wave And/Or Continuous Wave With Spectral Display; Complete",1483.0,1483.0,,,0 CDM,48393325,Hc Doppler Echocardiography Color Flow Velocity Mapping,1515.0,1515.0,,,0 CDM,48393325_PBB,Hc Doppler Echocardiography Color Flow Velocity Mapping-Pbb,1527.0,1527.0,,,0 CDM,48393653,Hc Wpw/Ort Radiofrequency Ablation,50974.0,50974.0,,,0 CDM,48393799,Hc Cardioneural Ablation,83334.0,83334.0,,,0 CDM,48493017,Hc Mset-Modified Bruce W/Np,2787.0,2787.0,,,0 CDM,48493653,Hc Avnrt Radiofrequency Ablation,50974.0,50974.0,,,0 CDM,48593017,Hc Mset - Bruce Protocol,2787.0,2787.0,,,0 CDM,48593653,Hc Atach Radiofrequency Ablation,50974.0,50974.0,,,0 CDM,48693017,Hc Dipyridamole Mps,2787.0,2787.0,,,0 CDM,48693654,Hc Vt Normal Heart Radiofrequency Ablation,84756.0,84756.0,,,0 CDM,4870_00054418625,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4186-25)",0.38,0.38,,,0 CDM,4870_00054818325,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8183-25) / 1 Tablet In 1 Blister Pack,0.41,0.41,,,0 CDM,48793017,Hc Mset Modified Bruce,2787.0,2787.0,,,0 CDM,48793654,Hc Vt Abnormal Heart Radiofrequency Ablation,84756.0,84756.0,,,0 CDM,48893017,Hc Mset Modified Naughton,2787.0,2787.0,,,0 CDM,4893_00409508411,"Tazicef: 10 Vial In 1 Carton (0409-5084-11) / 1 Injection, Powder, For Solution In 1 Vial (0409-5084-13)",48.25,48.25,,,0 CDM,4893_00409508413,NDC Description Not Available,38.65,38.65,,,0 CDM,4893_25021012850,"Ceftazidime: 10 Vial In 1 Carton (25021-128-50) / 1 Injection, Powder, For Solution In 1 Vial",48.25,48.25,,,0 CDM,4893_44567023610,"Ceftazidime: 10 Vial In 1 Carton (44567-236-10) / 1 Injection, Powder, For Solution In 1 Vial",43.72,43.72,,,0 CDM,48993017,Hc Stress Test Naughton Balke,2787.0,2787.0,,,0 CDM,48999_GAST,Pr Unlisted Procedure Pancreas-Gast,16581.0,16581.0,,,0 CDM,49000000,Hc Laser Fee Resurfce Blepharoplsty 2El,2400.0,2400.0,,,0 CDM,49000001,Hc Laser Fee Resurfce Blepharoplsty 4El,2668.0,2668.0,,,0 CDM,49000002,Hc Placement Central Line < 2Yrs Equal Percutaneous,3654.0,3654.0,,,0 CDM,49000003,Hc Placement Central Line > 2Yrs Perc,3654.0,3654.0,,,0 CDM,49000004,Hc Gi Unfunded Research Biopsy,130.0,130.0,,,0 CDM,49000005,Hc Research Egd,2619.0,2619.0,,,0 CDM,49000006,Hc Research Illeoscopy,1268.0,1268.0,,,0 CDM,49000025,Noncdm Charge Record,47857.7,47857.7,,,0 CDM,49000429_PBB,Dermal Filler Injection(S) For The Treatment Of Facial Lipodystrophy Syndrome-Pbb,5722.5,5722.5,,,0 CDM,49000_PBB,Pr Exploratory Laparotomy Celiotomy W/Wo Biopsy Spx-Pbb,1356.0,1356.0,,,0 CDM,49002010,Hc Pr Perq Sac Agmntj Bi W/Wo Balo/Mchnl Dev 2/> Ndls,50662.0,50662.0,,,0 CDM,49002320,"Hc Inj, Platelet Rich Plasma, Any Site, Incl Imaging Guide, Harvesting And Prep When Perf",552.0,552.0,,,0 CDM,49002320_PBB,"Hc Inj, Platelet Rich Plasma, Any Site, Incl Imaging Guide, Harvesting And Prep When Perf-Pbb",1140.5,1140.5,,,0 CDM,49002380,"Hc Transluminal Peripheral Atherectomy, Open Or Perc, Incl S&I, Iliac Artery, Each Vessel",31922.0,31922.0,,,0 CDM,49002750,"Hc Perc Laminotomy/Ectomy,Undr Indrct Imge Gd,W Or W/Out Endscp,Sngl Or Mult Lev,Unilt Or Bilat,Lumb",18579.0,18579.0,,,0 CDM,49003380,Hc Research Trnscth Renal Symp Denrv Unl,13615.0,13615.0,,,0 CDM,49003390,Hc Research Trnscth Renal Symp Denrv Bil,13615.0,13615.0,,,0 CDM,49004020,Hc Collagen Cross-Linking Of Cornea,5775.0,5775.0,,,0 CDM,49004080,Hc Insj/Rplc Cardiac Modulj Sys,76180.0,76180.0,,,0 CDM,49005275,"Hc App Skn Sub Grft To Face, Gen, H&S, Ft, &/Or Mult Digits, Tot Wnd Sfc 100 Sq Cm; First 25 Sq Cm<",2639.0,2639.0,,,0 CDM,49005275_PBB,"Hc App Skn Sub Grft To Face, Gen, H&S, Ft, &/Or Mult Digits, Tot Wnd Sfc 100 Sq Cm; First 25 Sq Cm<-",7036.5,7036.5,,,0 CDM,49005276_PBB,"Hc Low Cost Skin Sub App, Tot Wnd Sfc 100 Sq Cm; Ea Add 25 Sq Cm-Pbb",3766.0,3766.0,,,0 CDM,49005277_PBB,Hc Low Cst Skn Sb App;Wnd Sfc >Or=100 Sqcm;1St 100 Sqcm Sfc Or 1% Body-Pbb,7036.5,7036.5,,,0 CDM,49005278_PBB,Hc Lw Cst Skn Sb App;Wnd Sfc>Or=100 Sqcm;Ea Add 100 Sqcm Sfc Or 1% Bdy-Pbb,3766.0,3766.0,,,0 CDM,49005380,Hc Car-T Prep Of Blood-Derived T Lymphcyt Prep Transport,6113.0,6113.0,,,0 CDM,49005400,"Hc Car-T Administration, Autologous",8500.0,8500.0,,,0 CDM,49005400_PBB,"Hc Car-T Administration, Autologous-Pbb",11556.5,11556.5,,,0 CDM,49007950,Hc Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys,44092.0,44092.0,,,0 CDM,49007960,Hc Tcat Insj Perm 2Chmbr Ldls Pm R Atr Pm Compnt,44092.0,44092.0,,,0 CDM,49007970,Hc Tcat Insj Perm 2Chmbr Ldls Pm R Ventr Pm Compnt,44092.0,44092.0,,,0 CDM,49007990,Hc Tcat Rmvl Perm 2Chmbr Ldls Pm R Atr Pm Compnt,7476.0,7476.0,,,0 CDM,49008000,Hc Tcat Rmvl Perm 2Chmbr Ldls Pm R Ventr Pm Compnt,8656.0,8656.0,,,0 CDM,49008230,Hc Tcat Insj Perm 1Chmbr Ldls Pacemaker R Atrial,44092.0,44092.0,,,0 CDM,49009728,"Hc Plcmnt Intrstl Dvce(S) For Rad Ther/Surg Guid: Abdmn, Plvs, Prstate, Retro., Thrx, Sngle/Mult",4957.0,4957.0,,,0 CDM,49009755,Hc Radiofrequency Arteriovenous Fistula Magentic-Guide,38651.0,38651.0,,,0 CDM,49010004,Hc Fna Bx W/O Img Gdn Ea Addl Lesion,163.0,163.0,,,0 CDM,49010004_PBB,Hc Fna Bx W/O Img Gdn Ea Addl Lesion-Pbb,571.5,571.5,,,0 CDM,49010021,Hc Fine Needle Aspiration; Without Imaging Guidance,2118.0,2118.0,,,0 CDM,49010021_PBB,Hc Fine Needle Aspiration; Without Imaging Guidance-Pbb,2643.5,2643.5,,,0 CDM,49010030,"Hc Image-Guided Fluid Collection Drainage By Catheter, Soft Tissue, Percutaneous",1733.0,1733.0,,,0 CDM,49010040,Hc Acne Surgery,678.0,678.0,,,0 CDM,49010040_PBB,Hc Acne Surgery-Pbb,1197.5,1197.5,,,0 CDM,49010060,Hc I&D Of Abcess Simple/Single,1266.0,1266.0,,,0 CDM,49010060_PBB,Hc I&D Of Abcess Simple/Single-Pbb,1665.0,1665.0,,,0 CDM,49010061,Hc Drainage Of Skin Abscess,1649.0,1649.0,,,0 CDM,49010061_PBB,Hc Drainage Of Skin Abscess-Pbb,2439.5,2439.5,,,0 CDM,49010120,"Hc Incision And Removal Of Foreign Body, Subcutaneous Tissues; Simple",1912.0,1912.0,,,0 CDM,49010120_PBB,"Hc Incision And Removal Of Foreign Body, Subcutaneous Tissues; Simple-Pbb",2389.0,2389.0,,,0 CDM,49010121,"Hc Incision And Removal Of Foreign Body, Subcutaneous Tissues; Complicated",6876.0,6876.0,,,0 CDM,49010121_PBB,"Hc Incision And Removal Of Foreign Body, Subcutaneous Tissues; Complicated-Pbb",7964.5,7964.5,,,0 CDM,49010140,"Hc Incision And Drainage Of Hematoma, Seroma Or Fluid Collection",9463.0,9463.0,,,0 CDM,49010140_PBB,"Hc Incision And Drainage Of Hematoma, Seroma Or Fluid Collection-Pbb",10053.5,10053.5,,,0 CDM,49010160,"Hc Puncture Aspiration Of Abscess, Hematoma, Bulla Or Cyst",1152.0,1152.0,,,0 CDM,49010160_PBB,"Hc Puncture Aspiration Of Abscess, Hematoma, Bulla Or Cyst-Pbb",1560.0,1560.0,,,0 CDM,49010180,"Hc Incision And Drainage, Complex, Postoperative Wound Infection",10716.0,10716.0,,,0 CDM,49010180_PBB,"Hc Incision And Drainage, Complex, Postoperative Wound Infection-Pbb",11759.0,11759.0,,,0 CDM,49011000,Hc Debridement Of Extensive Eczematous Or Infected Skin; Up To 10% Of Body Surface,5422.0,5422.0,,,0 CDM,49011000_PBB,Hc Debridement Of Extensive Eczematous Or Infected Skin; Up To 10% Of Body Surface-Pbb,5669.5,5669.5,,,0 CDM,49011001,"Hc Debridement Of Extensive Eczematous Or Infected Skin; Ea Add 10% Of Body Surface, Or Part Thereof",316.0,316.0,,,0 CDM,49011001_PBB,"Hc Debridement Of Extensive Eczematous Or Infected Skin; Ea Add 10% Of Body Surface, Or Part Thereof",455.0,455.0,,,0 CDM,49011042,"Hc Debridement, Subcutaneous Tissue, First 20 Sq Cm Or Less",3446.0,3446.0,,,0 CDM,49011042_PBB,"Hc Debridement, Subcutaneous Tissue, First 20 Sq Cm Or Less-Pbb",3883.0,3883.0,,,0 CDM,49011043,"Hc Debridement, Muscle And/Or Fascia; First 20 Sq Cm Or Less",3781.0,3781.0,,,0 CDM,49011043_PBB,"Hc Debridement, Muscle And/Or Fascia; First 20 Sq Cm Or Less-Pbb",5148.0,5148.0,,,0 CDM,49011045,"Hc Debridement, Subcutaneous Tissue, Each Additional 20 Sq Cm, Or Part Thereof",1410.0,1410.0,,,0 CDM,49011045_PBB,"Hc Debridement, Subcutaneous Tissue, Each Additional 20 Sq Cm, Or Part Thereof-Pbb",1796.0,1796.0,,,0 CDM,49011046,"Hc Debridement, Muscle And/Or Fascia; Ea Addtl 20 Sq Cm",1855.0,1855.0,,,0 CDM,49011046_PBB,"Hc Debridement, Muscle And/Or Fascia; Ea Addtl 20 Sq Cm-Pbb",2154.0,2154.0,,,0 CDM,49011047,Hc Deb Bone Add-On =<20 Sq Cm,2572.0,2572.0,,,0 CDM,49011047_PBB,Hc Deb Bone Add-On =<20 Sq Cm-Pbb,3071.0,3071.0,,,0 CDM,49011055,Hc Paring Or Cutting Of Benign Hyperkeratotic Lesion; Single Lesion,439.0,439.0,,,0 CDM,49011055_PBB,Hc Paring Or Cutting Of Benign Hyperkeratotic Lesion; Single Lesion-Pbb,529.0,529.0,,,0 CDM,49011056,Hc Paring Or Cutting Of Benign Hyperkeratotic Lesion; 2 To 4 Lesions,504.0,504.0,,,0 CDM,49011056_PBB,Hc Paring Or Cutting Of Benign Hyperkeratotic Lesion; 2 To 4 Lesions-Pbb,616.0,616.0,,,0 CDM,49011057,Hc Paring Or Cutting Of Benign Hyperkeratotic Lesion; More Than 4 Lesions,746.0,746.0,,,0 CDM,49011057_PBB,Hc Paring Or Cutting Of Benign Hyperkeratotic Lesion; More Than 4 Lesions-Pbb,904.0,904.0,,,0 CDM,49011102,Hc Tangential Biopsy Of Skin; Single Lesion,1163.0,1163.0,,,0 CDM,49011102_PBB,Hc Tangential Biopsy Of Skin; Single Lesion-Pbb,1371.5,1371.5,,,0 CDM,49011103,Hc Tangential Biopsy Of Skin; Each Separate/Addtl Lesion,670.0,670.0,,,0 CDM,49011103_PBB,Hc Tangential Biopsy Of Skin; Each Separate/Addtl Lesion-Pbb,790.5,790.5,,,0 CDM,49011104,Hc Punch Biopsy Of Skin; Single Lesion,1163.0,1163.0,,,0 CDM,49011104_PBB,Hc Punch Biopsy Of Skin; Single Lesion-Pbb,1425.5,1425.5,,,0 CDM,49011105,Hc Punch Biopsy Of Skin; Each Separate/Addtl Lesion,670.0,670.0,,,0 CDM,49011105_PBB,Hc Punch Biopsy Of Skin; Each Separate/Addtl Lesion-Pbb,812.5,812.5,,,0 CDM,49011106,Hc Incisional Biopsy Of Skin; Single Lesion,1714.0,1714.0,,,0 CDM,49011106_PBB,Hc Incisional Biopsy Of Skin; Single Lesion-Pbb,2035.0,2035.0,,,0 CDM,49011107,"Hc Incisional Biopsy Of Skin, Each Separate/Addtl Lesion",917.0,917.0,,,0 CDM,49011107_PBB,"Hc Incisional Biopsy Of Skin, Each Separate/Addtl Lesion-Pbb",1088.0,1088.0,,,0 CDM,49011200,"Hc Removal Of Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Up To And Including 15 Lesions",650.0,650.0,,,0 CDM,49011200_PBB,"Hc Removal Of Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Up To And Including 15 Lesions-Pbb",1008.5,1008.5,,,0 CDM,49011201,"Hc Rmvl Of Skin Tags, Mult Fibrocutaneous Tags, Any Area; Each Add 10 Less, Or Part Thereof",144.0,144.0,,,0 CDM,49011201_PBB,"Hc Rmvl Of Skin Tags, Mult Fibrocutaneous Tags, Any Area; Each Add 10 Less, Or Part Thereof-Pbb",277.0,277.0,,,0 CDM,49011300,"Hc Shaving Of Epidermal Or Dermal Les, Single Les, Trunk, Arms Or Legs; Les Diameter 0.5Cm Or Less",625.0,625.0,,,0 CDM,49011300_PBB,"Hc Shaving Of Epidermal Or Dermal Les, Single Les, Trunk, Arms Or Legs; Les Diameter 0.5Cm Or Less-P",879.5,879.5,,,0 CDM,49011301,"Hc Shaving Of Epidermal Or Dermal Les, Single Les, Trunk, Arms Or Legs; Les Diameter 0.6 To 1.0 Cm",821.0,821.0,,,0 CDM,49011301_PBB,"Hc Shaving Of Epidermal Or Dermal Les, Single Les, Trunk, Arms Or Legs; Les Diameter 0.6 To 1.0 Cm-P",1133.5,1133.5,,,0 CDM,49011302,"Hc Shaving Of Epidermal Or Dermal Les, Single Les, Trunk, Arms Or Legs; Les Diameter 1.1 To 2.0 Cm",911.0,911.0,,,0 CDM,49011302_PBB,"Hc Shaving Of Epidermal Or Dermal Les, Single Les, Trunk, Arms Or Legs; Les Diameter 1.1 To 2.0 Cm-P",1283.5,1283.5,,,0 CDM,49011303,"Hc Shaving Of Epidermal Or Dermal Les, Single Les, Trunk, Arms Or Legs; Les Diameter Over 2. 0Cm",1030.0,1030.0,,,0 CDM,49011303_PBB,"Hc Shaving Of Epidermal Or Dermal Les, Single Les, Trunk, Arms Or Legs; Les Diameter Over 2. 0Cm-Pbb",1477.0,1477.0,,,0 CDM,49011305,"Hc Shaving Of Epiderm Or Dermal Les, Single Les, Scalp, Neck, Hands, Feet, Genitalia; 0.5Cm Or Less",622.0,622.0,,,0 CDM,49011305_PBB,"Hc Shaving Of Epiderm Or Dermal Les, Single Les, Scalp, Neck, Hands, Feet, Genitalia; 0.5Cm Or Less-",896.0,896.0,,,0 CDM,49011306,"Hc Shaving Of Epiderm Or Dermal Les, Single Les, Scalp, Neck, Hands, Feet, Genitalia; 0.6 To 1.0 Cm",773.0,773.0,,,0 CDM,49011306_PBB,"Hc Shaving Of Epiderm Or Dermal Les, Single Les, Scalp, Neck, Hands, Feet, Genitalia; 0.6 To 1.0 Cm-",1105.5,1105.5,,,0 CDM,49011307,"Hc Shaving Of Epiderm Or Dermal Les, Single Les, Scalp, Neck, Hands, Feet, Genitalia; 1.0 To 2.0 Cm",920.0,920.0,,,0 CDM,49011307_PBB,"Hc Shaving Of Epiderm Or Dermal Les, Single Les, Scalp, Neck, Hands, Feet, Genitalia; 1.0 To 2.0 Cm-",1311.5,1311.5,,,0 CDM,49011308,"Hc Shaving Of Epiderm Or Derm Les, Single Les, Scalp, Neck, Hands, Feet, Genitalia; Les Dia > 2.0 Cm",968.0,968.0,,,0 CDM,49011308_PBB,"Hc Shaving Of Epiderm Or Derm Les, Single Les, Scalp, Neck, Hands, Feet, Genitalia; Les Dia > 2.0 Cm",1419.0,1419.0,,,0 CDM,49011310,"Hc Shvng Of Epiderml Or Drml Les, Sngl Les, Face,Ers,Eye,Nose,Lips,Mucous Membrn;Les Dm 0.5 Cm/Less",730.0,730.0,,,0 CDM,49011310_PBB,"Hc Shvng Of Epiderml Or Drml Les, Sngl Les, Face,Ers,Eye,Nose,Lips,Mucous Membrn;Les Dm 0.5 Cm/Less-",1042.5,1042.5,,,0 CDM,49011311,"Hc Shav Of Epidermal/Dermal Les,Sngl Les,Face,Ears,Eyelids,Nose,Lips,Mucous Membrn;Les Dm 0.6-1.0 Cm",1003.0,1003.0,,,0 CDM,49011311_PBB,"Hc Shav Of Epidermal/Dermal Les,Sngl Les,Face,Ears,Eyelids,Nose,Lips,Mucous Membrn;Les Dm 0.6-1.0 Cm",1372.0,1372.0,,,0 CDM,49011312,"Hc Shav Of Epidermal/Dermal Les,Sngl Les,Face,Ears,Eyelids,Nose,Lips,Mucous Membrn;Les Dm 1.1-2.0 Cm",1667.0,1667.0,,,0 CDM,49011312_PBB,"Hc Shav Of Epidermal/Dermal Les,Sngl Les,Face,Ears,Eyelids,Nose,Lips,Mucous Membrn;Les Dm 1.1-2.0 Cm",2099.5,2099.5,,,0 CDM,49011313,"Hc Shvng Of Epidermal/Dermal Les,Singl Les,Face,Ear,Eyelid,Nose.Lip,Mucous Membrn;Les Dm Ovr 2.0 Cm",3755.0,3755.0,,,0 CDM,49011313_PBB,"Hc Shvng Of Epidermal/Dermal Les,Singl Les,Face,Ear,Eyelid,Nose.Lip,Mucous Membrn;Les Dm Ovr 2.0 Cm-",4296.5,4296.5,,,0 CDM,49011400,"Hc Excsn, Benign Les Incl Mrgns, Excpt Skin Tag, Trnk, Arms Or Legs; Excised Diameter 0.5 Cm Or Less",3701.0,3701.0,,,0 CDM,49011400_PBB,"Hc Excsn, Benign Les Incl Mrgns, Excpt Skin Tag, Trnk, Arms Or Legs; Excised Diameter 0.5 Cm Or Less",4182.5,4182.5,,,0 CDM,49011401,"Hc Excsn, Benign Les Incl Mrgns, Except Skin Tag, Trnk, Arms Or Legs; Excised Diameter 0.6 To 1.0 Cm",4820.0,4820.0,,,0 CDM,49011401_PBB,"Hc Excsn, Benign Les Incl Mrgns, Except Skin Tag, Trnk, Arms Or Legs; Excised Diameter 0.6 To 1.0 Cm",5645.0,5645.0,,,0 CDM,49011402,"Hc Excsn, Benign Les Incl Mrgns, Except Skin Tag, Trnk, Arms Or Legs; Excised Diameter 1.1 To 2.0 Cm",5315.0,5315.0,,,0 CDM,49011402_PBB,"Hc Excsn, Benign Les Incl Mrgns, Except Skin Tag, Trnk, Arms Or Legs; Excised Diameter 1.1 To 2.0 Cm",6140.0,6140.0,,,0 CDM,49011403,"Hc Excsn, Benign Les Incl Mrgns, Except Skin Tag, Trnk, Arms Or Legs; Excised Diameter 2.1 To 3.0 Cm",6844.0,6844.0,,,0 CDM,49011403_PBB,"Hc Excsn, Benign Les Incl Mrgns, Except Skin Tag, Trnk, Arms Or Legs; Excised Diameter 2.1 To 3.0 Cm",7669.0,7669.0,,,0 CDM,49011404,"Hc Excsn, Benign Les Incl Mrgns, Except Skin Tag, Trnk, Arms Or Legs; Excised Diameter 3.1 To 4.0 Cm",7517.0,7517.0,,,0 CDM,49011404_PBB,"Hc Excsn, Benign Les Incl Mrgns, Except Skin Tag, Trnk, Arms Or Legs; Excised Diameter 3.1 To 4.0 Cm",8753.0,8753.0,,,0 CDM,49011406,"Hc Excsn, Benign Les Incl Mrgns, Except Skin Tag, Trunk, Arms Or Legs; Excised Diameter Over 4.0 Cm",11464.0,11464.0,,,0 CDM,49011406_PBB,"Hc Excsn, Benign Les Incl Mrgns, Except Skin Tag, Trunk, Arms Or Legs; Excised Diameter Over 4.0 Cm-",13114.5,13114.5,,,0 CDM,49011420,"Hc Excsn, Benign Les Incl Mrgns, Except Skin Tab/Scalp/Neck/Hnds/Feet/Genit; Excd Diameter =<0.5 Cm",6550.0,6550.0,,,0 CDM,49011420_PBB,"Hc Excsn, Benign Les Incl Mrgns, Except Skin Tab/Scalp/Neck/Hnds/Feet/Genit; Excd Diameter =<0.5 Cm-",7031.5,7031.5,,,0 CDM,49011421,Hc Excsn Benign Les Incl Mrgns/Excpt Skin Tag/Scalp/Neck/Hnd/Ft/Genit; Excsed Diameter 0.6 Cm-1.0 Cm,7997.0,7997.0,,,0 CDM,49011421_PBB,Hc Excsn Benign Les Incl Mrgns/Excpt Skin Tag/Scalp/Neck/Hnd/Ft/Genit; Excsed Diameter 0.6 Cm-1.0 Cm,8687.0,8687.0,,,0 CDM,49011422,"Hc Excsn, Benign Les/Mrgns, Except Skin Tab, Scalp, Neck, Hands, Feet, Genit; Exc Diam 1.1 - 2.0 Cm",10313.0,10313.0,,,0 CDM,49011422_PBB,"Hc Excsn, Benign Les/Mrgns, Except Skin Tab, Scalp, Neck, Hands, Feet, Genit; Exc Diam 1.1 - 2.0 Cm-",11091.5,11091.5,,,0 CDM,49011423,"Hc Excsn, Benign Les/Mrgns, Except Skin Tab, Scalp, Neck, Hands, Feet, Genit; Exc Diam 2.1-3.0 Cm",12622.0,12622.0,,,0 CDM,49011423_PBB,"Hc Excsn, Benign Les/Mrgns, Except Skin Tab, Scalp, Neck, Hands, Feet, Genit; Exc Diam 2.1-3.0 Cm-Pb",13767.0,13767.0,,,0 CDM,49011424,"Hc Excsn, Benign Les/Mrgns, Except Skin Tab, Scalp, Neck, Hands, Feet, Genit; Exc Diam 3.1-4.0 Cm",13076.0,13076.0,,,0 CDM,49011424_PBB,"Hc Excsn, Benign Les/Mrgns, Except Skin Tab, Scalp, Neck, Hands, Feet, Genit; Exc Diam 3.1-4.0 Cm-Pb",14380.5,14380.5,,,0 CDM,49011426,"Hc Excsn, Benign Les Incl Mrgns,Excpt Skin Tag,Scalp,Neck,H&S,Ft,Genital; Excised Diamtr Over 4.0 Cm",22068.0,22068.0,,,0 CDM,49011426_PBB,"Hc Excsn, Benign Les Incl Mrgns,Excpt Skin Tag,Scalp,Neck,H&S,Ft,Genital; Excised Diamtr Over 4.0 Cm",23900.0,23900.0,,,0 CDM,49011440,"Hc Exc, Oth Bgn Les Inc Mgn, Exc Skin Tag,Face,Ears,Eyelds,Nose,Lips,Muc Mem; Exc Diam 0.5 Cm Or <",3610.0,3610.0,,,0 CDM,49011440_PBB,"Hc Exc, Oth Bgn Les Inc Mgn, Exc Skin Tag,Face,Ears,Eyelds,Nose,Lips,Muc Mem; Exc Diam 0.5 Cm Or <-P",4184.0,4184.0,,,0 CDM,49011441,"Hc Excsn, Oth Bngn Les Inc Mgn, Excpt Skn Tag, Face, Ears, Eylds, Nose, Lips, Muc Mem; 0.6 To 1.0 Cm",4584.0,4584.0,,,0 CDM,49011441_PBB,"Hc Excsn, Oth Bngn Les Inc Mgn, Excpt Skn Tag, Face, Ears, Eylds, Nose, Lips, Muc Mem; 0.6 To 1.0 Cm",5429.0,5429.0,,,0 CDM,49011442,"Hc Excsn, Oth Bngn Les Inc Mgn, Excpt Skn Tag, Face, Ears, Eylds, Nose, Lips, Muc Mem; 1.1 To 2.0 Cm",5086.0,5086.0,,,0 CDM,49011442_PBB,"Hc Excsn, Oth Bngn Les Inc Mgn, Excpt Skn Tag, Face, Ears, Eylds, Nose, Lips, Muc Mem; 1.1 To 2.0 Cm",6097.0,6097.0,,,0 CDM,49011443,"Hc Excsn, Oth Bngn Les Inc Mgn, Excpt Skn Tag, Face, Ears, Eylds, Nose, Lips, Muc Mem; 2.1 To 3.0 Cm",6222.0,6222.0,,,0 CDM,49011443_PBB,"Hc Excsn, Oth Bngn Les Inc Mgn, Excpt Skn Tag, Face, Ears, Eylds, Nose, Lips, Muc Mem; 2.1 To 3.0 Cm",7482.5,7482.5,,,0 CDM,49011444,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 2.1 To 3.0 Cm",7958.0,7958.0,,,0 CDM,49011444_PBB,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 2.1 To 3.0 Cm-",9513.5,9513.5,,,0 CDM,49011446,"Hc Excsn,Benign Les Incl Mrgns,Excpt Skin Tag,Face,Ear,Eyelid,Nose,Lip,Muc Memb;Excsd Dm Over 4.0 Cm",11171.0,11171.0,,,0 CDM,49011446_PBB,"Hc Excsn,Benign Les Incl Mrgns,Excpt Skin Tag,Face,Ear,Eyelid,Nose,Lip,Muc Memb;Excsd Dm Over 4.0 Cm",13274.5,13274.5,,,0 CDM,49011451_PBB,"Hc Excision, Skin & Subq Tissue, Hidradenitis, Axillary; W/ Complex Repair-Pbb",10089.5,10089.5,,,0 CDM,49011462_PBB,"Hc Excision, Skin & Subq Tissue, Hidradenitis, Inguinal; Simple/Intermediate Repair-Pbb",9628.5,9628.5,,,0 CDM,49011463_PBB,"Hc Excision, Skin & Subq Tissue, Hidradenitis, Inguinal; W/ Complex Repair-Pbb",10089.5,10089.5,,,0 CDM,49011470_PBB,"Hc Excision, Skin & Subq Tissue, Hidradenitis, Perianal/Perineal/Umbilical; Simple/Intermediate Repa",9847.5,9847.5,,,0 CDM,49011471_PBB,"Hc Excision, Skin & Subq Tissue, Hidradenitis, Perianal/Perineal/Umbilical; W/ Complex Repair-Pbb",10201.5,10201.5,,,0 CDM,49011600,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 0.5 Cm Or Less",3241.0,3241.0,,,0 CDM,49011600_PBB,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 0.5 Cm Or Less-Pbb",4123.0,4123.0,,,0 CDM,49011601,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 0.6 To 1.0 Cm",4026.0,4026.0,,,0 CDM,49011601_PBB,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 0.6 To 1.0 Cm-Pbb",4988.5,4988.5,,,0 CDM,49011602,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 1.1 To 2.0 Cm",4414.0,4414.0,,,0 CDM,49011602_PBB,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 1.1 To 2.0 Cm-Pbb",5575.0,5575.0,,,0 CDM,49011603,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 2.1 To 3.0 Cm",5272.0,5272.0,,,0 CDM,49011603_PBB,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 2.1 To 3.0 Cm-Pbb",6451.0,6451.0,,,0 CDM,49011604,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 3.1 To 4.0 Cm",5834.0,5834.0,,,0 CDM,49011604_PBB,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 3.1 To 4.0 Cm-Pbb",7315.5,7315.5,,,0 CDM,49011606,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter Over 4.0 Cm",8686.0,8686.0,,,0 CDM,49011606_PBB,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter Over 4.0 Cm-Pbb",10607.5,10607.5,,,0 CDM,49011620,"Hc Excsn, Malig Les Incl Mrgns, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter 0.5 Cm Or Less",4201.0,4201.0,,,0 CDM,49011620_PBB,"Hc Excsn, Malig Les Incl Mrgns, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter 0.5 Cm Or Less",5083.0,5083.0,,,0 CDM,49011621,"Hc Excsn, Malig Les Incl Mrgns, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter 0.6 To 1.0 Cm",5162.0,5162.0,,,0 CDM,49011621_PBB,"Hc Excsn, Malig Les Incl Mrgns, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter 0.6 To 1.0 Cm-",6124.5,6124.5,,,0 CDM,49011622,"Hc Excsn, Malig Les Incl Mrgns, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter 1.1 To 2.0 Cm",5915.0,5915.0,,,0 CDM,49011622_PBB,"Hc Excsn, Malig Les Incl Mrgns, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter 1.1 To 2.0 Cm-",7075.5,7075.5,,,0 CDM,49011623,"Hc Excsn, Benign Les/Mrgns, Excpt Skin Tab, Scalp, Neck, H&S, Ft, Genit; Excised Diam 2.1 To 3.0 Cm",7343.0,7343.0,,,0 CDM,49011623_PBB,"Hc Excsn, Benign Les/Mrgns, Excpt Skin Tab, Scalp, Neck, H&S, Ft, Genit; Excised Diam 2.1 To 3.0 Cm-",8784.0,8784.0,,,0 CDM,49011624,"Hc Excsn, Malig Les Incl Mrgns, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter 3.1 To 4.0 Cm",8326.0,8326.0,,,0 CDM,49011624_PBB,"Hc Excsn, Malig Les Incl Mrgns, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter 3.1 To 4.0 Cm-",10006.0,10006.0,,,0 CDM,49011626,"Hc Excsn, Malig Les Incl Mrgns, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter Over 4.0 Cm",10236.0,10236.0,,,0 CDM,49011626_PBB,"Hc Excsn, Malig Les Incl Mrgns, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter Over 4.0 Cm-Pb",12319.0,12319.0,,,0 CDM,49011640,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 0.5 Cm Or Less",3241.0,3241.0,,,0 CDM,49011640_PBB,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 0.5 Cm Or Less",4164.0,4164.0,,,0 CDM,49011641,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 0.6 To 1.0 Cm",4042.0,4042.0,,,0 CDM,49011641_PBB,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 0.6 To 1.0 Cm-",5202.0,5202.0,,,0 CDM,49011642,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 1.1 To 2.0 Cm",4754.0,4754.0,,,0 CDM,49011642_PBB,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 1.1 To 2.0 Cm-",6156.0,6156.0,,,0 CDM,49011643,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 2.1 To 3.0 Cm",5990.0,5990.0,,,0 CDM,49011643_PBB,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 2.1 To 3.0 Cm-",7592.0,7592.0,,,0 CDM,49011644,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 3.1 To 4.0 Cm",7423.0,7423.0,,,0 CDM,49011644_PBB,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 3.1 To 4.0 Cm-",9262.5,9262.5,,,0 CDM,49011646,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter Over 4.0 Cm",10315.0,10315.0,,,0 CDM,49011646_PBB,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter Over 4.0 Cm-Pb",12717.0,12717.0,,,0 CDM,49011720,Hc Debridement Of Nail(S) By Any Method(S); 1 To 5,329.0,329.0,,,0 CDM,49011720_PBB,Hc Debridement Of Nail(S) By Any Method(S); 1 To 5-Pbb,420.0,420.0,,,0 CDM,49011721,Hc Debridement Of Nail(S) By Any Method(S); 6 Or More,408.0,408.0,,,0 CDM,49011721_PBB,Hc Debridement Of Nail(S) By Any Method(S); 6 Or More-Pbb,546.0,546.0,,,0 CDM,49011730,"Hc Avulsion Of Nail Plate, Partial Or Complete, Simple; Single",1183.0,1183.0,,,0 CDM,49011730_PBB,"Hc Avulsion Of Nail Plate, Partial Or Complete, Simple; Single-Pbb",1514.5,1514.5,,,0 CDM,49011732,"Hc Avulsion Of Nail Plate, Partial Or Complete, Simple; Each Additional Nail Plate",469.0,469.0,,,0 CDM,49011732_PBB,"Hc Avulsion Of Nail Plate, Partial Or Complete, Simple; Each Additional Nail Plate-Pbb",635.5,635.5,,,0 CDM,49011740,Hc Evacuation Of Subungual Hematoma,595.0,595.0,,,0 CDM,49011740_PBB,Hc Evacuation Of Subungual Hematoma-Pbb,747.0,747.0,,,0 CDM,49011750,"Hc Excision Of Nail And Nail Matrix, Partial Or Complete, For Permanent Removal",2588.0,2588.0,,,0 CDM,49011750_PBB,"Hc Excision Of Nail And Nail Matrix, Partial Or Complete, For Permanent Removal-Pbb",3275.0,3275.0,,,0 CDM,49011755,Hc Biopsy Of Nail Unit,1740.0,1740.0,,,0 CDM,49011755_PBB,Hc Biopsy Of Nail Unit-Pbb,2212.0,2212.0,,,0 CDM,49011760,Hc Repair Of Nail Bed,1564.0,1564.0,,,0 CDM,49011760_PBB,Hc Repair Of Nail Bed-Pbb,2407.0,2407.0,,,0 CDM,49011765,Hc Wedge Excision Of Skin Of Nail Fold,1048.0,1048.0,,,0 CDM,49011765_PBB,Hc Wedge Excision Of Skin Of Nail Fold-Pbb,1456.0,1456.0,,,0 CDM,49011771,"Hc Excision, Pilonidal Cyst/Sinus; Extensive",8122.0,8122.0,,,0 CDM,49011771_PBB,"Hc Excision, Pilonidal Cyst/Sinus; Extensive-Pbb",10216.5,10216.5,,,0 CDM,49011900,"Hc Injection, Intralesional; Up To And Including 7 Lesions",1378.0,1378.0,,,0 CDM,49011900_PBB,"Hc Injection, Intralesional; Up To And Including 7 Lesions-Pbb",1586.5,1586.5,,,0 CDM,49011901,"Hc Injection, Intralesional; More Than 7 Lesions",2153.0,2153.0,,,0 CDM,49011901_PBB,"Hc Injection, Intralesional; More Than 7 Lesions-Pbb",2432.5,2432.5,,,0 CDM,49011950_PBB,Hc Sq Collagen; <= 1 Cc-Pbb,841.5,841.5,,,0 CDM,49011951,"Hc Subcutaneous Injection Of Filling Material(Eg, Collegen);1.1-5.0Cc",2030.0,2030.0,,,0 CDM,49011951_PBB,"Hc Subcutaneous Injection Of Filling Material(Eg, Collegen);1.1-5.0Cc-Pbb",2409.5,2409.5,,,0 CDM,49011971,Hc Removal Of Tissue Expander(S) Without Insertion Of Prosthesis,6656.0,6656.0,,,0 CDM,49011971_PBB,Hc Removal Of Tissue Expander(S) Without Insertion Of Prosthesis-Pbb,7410.0,7410.0,,,0 CDM,49011976,"Hc Removal, Implantable Contraceptive Capsules",1751.0,1751.0,,,0 CDM,49011976_PBB,"Hc Removal, Implantable Contraceptive Capsules-Pbb",2232.5,2232.5,,,0 CDM,49011981,"Hc Insertion, Non-Biodegradable Drug Delivery Implant",2321.0,2321.0,,,0 CDM,49011981_PBB,"Hc Insertion, Non-Biodegradable Drug Delivery Implant-Pbb",2802.5,2802.5,,,0 CDM,49011982,"Hc Removal, Non-Biodegradable Drug Delivery Implant",550.0,550.0,,,0 CDM,49011982_PBB,"Hc Removal, Non-Biodegradable Drug Delivery Implant-Pbb",1031.5,1031.5,,,0 CDM,49011983,"Hc Removal With Reinsertion, Non-Biodegradable Drug Delivery Implant",1354.0,1354.0,,,0 CDM,49011983_PBB,"Hc Removal With Reinsertion, Non-Biodegradable Drug Delivery Implant-Pbb",1877.5,1877.5,,,0 CDM,49012001,Hc Simple Repair Superficial Wnds Of Scalp/Neck/Axillae/Ext Genit/Trunk And/Or Extremit; =<2.5 Cm,1639.0,1639.0,,,0 CDM,49012001_PBB,Hc Simple Repair Superficial Wnds Of Scalp/Neck/Axillae/Ext Genit/Trunk And/Or Extremit; =<2.5 Cm-Pb,2134.0,2134.0,,,0 CDM,49012002,Hc Simple Repair Of Superficial Wnds Scalp/Neck/Axillae/Ext Genita/Trunk & Or Extrem; 2.6 Cm-7.5 Cm,2159.0,2159.0,,,0 CDM,49012002_PBB,Hc Simple Repair Of Superficial Wnds Scalp/Neck/Axillae/Ext Genita/Trunk & Or Extrem; 2.6 Cm-7.5 Cm-,2754.0,2754.0,,,0 CDM,49012004,"Hc Smpl Rpr Of Suprfcl Wnds Of Sclp,Neck,Axillae,Ext Genitalia,Trnk And/Or Extremits;7.6 Cm-12.5 Cm",2798.0,2798.0,,,0 CDM,49012004_PBB,"Hc Smpl Rpr Of Suprfcl Wnds Of Sclp,Neck,Axillae,Ext Genitalia,Trnk And/Or Extremits;7.6 Cm-12.5 Cm-",3536.0,3536.0,,,0 CDM,49012005,Hc Simple Repair Of Superficial Wnds Scalp/Neck/Axillae/Ext Genita/Trunk & Or Extrem; 12.6 Cm-20 Cm,3791.0,3791.0,,,0 CDM,49012005_PBB,Hc Simple Repair Of Superficial Wnds Scalp/Neck/Axillae/Ext Genita/Trunk & Or Extrem; 12.6 Cm-20 Cm-,4571.5,4571.5,,,0 CDM,49012006,Hc Simple Repair Of Superficial Wnds Scalp/Neck/Axillae/Ext Genita/Trunk & Or Extrem; 20.1 Cm-30 Cm,4596.0,4596.0,,,0 CDM,49012006_PBB,Hc Simple Repair Of Superficial Wnds Scalp/Neck/Axillae/Ext Genita/Trunk & Or Extrem; 20.1 Cm-30 Cm-,5540.0,5540.0,,,0 CDM,49012007,"Hc Smpl Repr Of Sprfcl Wnds Of Sclp, Neck, Axillae, Extrnl Genit, Trnk &/Or Extrmits; Over 30.0 Cm",5702.0,5702.0,,,0 CDM,49012007_PBB,"Hc Smpl Repr Of Sprfcl Wnds Of Sclp, Neck, Axillae, Extrnl Genit, Trnk &/Or Extrmits; Over 30.0 Cm-P",7321.5,7321.5,,,0 CDM,49012011,"Hc Smpl Repr Of Suprfcl Wnds Of Face, Ears, Eyelids, Nose, Lips &/Or Mucous Membranes; 2.5 Cm Or <",1626.0,1626.0,,,0 CDM,49012011_PBB,"Hc Smpl Repr Of Suprfcl Wnds Of Face, Ears, Eyelids, Nose, Lips &/Or Mucous Membranes; 2.5 Cm Or <-P",2221.0,2221.0,,,0 CDM,49012013,"Hc Smpl Repr Of Sprfcl Wnds Of Face, Ears, Eyelds, Nose, Lips &/Or Mcous Membranes; 2.6 Cm To 5.0 Cm",1816.0,1816.0,,,0 CDM,49012013_PBB,"Hc Smpl Repr Of Sprfcl Wnds Of Face, Ears, Eyelds, Nose, Lips &/Or Mcous Membranes; 2.6 Cm To 5.0 Cm",2516.0,2516.0,,,0 CDM,49012014,"Hc Smpl Repr Of Sprfcl Wnds Of Face, Ears, Eyelds, Nose, Lips &/Or Mcous Membranes; 5.1 Cm To 7.5 Cm",2405.0,2405.0,,,0 CDM,49012014_PBB,"Hc Smpl Repr Of Sprfcl Wnds Of Face, Ears, Eyelds, Nose, Lips &/Or Mcous Membranes; 5.1 Cm To 7.5 Cm",3143.0,3143.0,,,0 CDM,49012015,"Hc Simple Repair Of Spfcl Wound Face, Ears, Eyelids, Nose, Lips, Mucous Membranes; 7.6 Cm To 12.5 Cm",2995.0,2995.0,,,0 CDM,49012015_PBB,"Hc Simple Repair Of Spfcl Wound Face, Ears, Eyelids, Nose, Lips, Mucous Membranes; 7.6 Cm To 12.5 Cm",3898.0,3898.0,,,0 CDM,49012016,"Hc Simple Repair Of Spfcl Wounds Face, Ears, Eyelids, Nose, Lips, Mucous Membrns; 12.6 Cm To 20.0 Cm",4067.0,4067.0,,,0 CDM,49012016_PBB,"Hc Simple Repair Of Spfcl Wounds Face, Ears, Eyelids, Nose, Lips, Mucous Membrns; 12.6 Cm To 20.0 Cm",5379.5,5379.5,,,0 CDM,49012017,"Hc Simple Repair Of Spfcl Wounds Face, Ears, Eyelids, Nose, Lips, Mucous Membrns; 20.1 Cm To 30.0 Cm",4652.0,4652.0,,,0 CDM,49012017_PBB,"Hc Simple Repair Of Spfcl Wounds Face, Ears, Eyelids, Nose, Lips, Mucous Membrns; 20.1 Cm To 30.0 Cm",6293.0,6293.0,,,0 CDM,49012018,"Hc Smpl Repair Of Superficial Wnds Of Face,Ears,Eyelids,Nose,Lips And/Or Mucous Membranes; > 30.0 Cm",5263.0,5263.0,,,0 CDM,49012018_PBB,"Hc Smpl Repair Of Superficial Wnds Of Face,Ears,Eyelids,Nose,Lips And/Or Mucous Membranes; > 30.0 Cm",7639.5,7639.5,,,0 CDM,49012020,Hc Treatment Of Superficial Wound Dehiscence; Simple Closure,2077.0,2077.0,,,0 CDM,49012020_PBB,Hc Treatment Of Superficial Wound Dehiscence; Simple Closure-Pbb,2882.5,2882.5,,,0 CDM,49012031,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 2.5 Cm Or Less",3266.0,3266.0,,,0 CDM,49012031_PBB,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 2.5 Cm Or Less-Pbb",3947.0,3947.0,,,0 CDM,49012032,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 2.6 Cm To 7.5 Cm",4147.0,4147.0,,,0 CDM,49012032_PBB,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 2.6 Cm To 7.5 Cm-Pbb",5084.5,5084.5,,,0 CDM,49012034,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 7.6 Cm To 12.5 Cm",4603.0,4603.0,,,0 CDM,49012034_PBB,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 7.6 Cm To 12.5 Cm-Pbb",5589.0,5589.0,,,0 CDM,49012035,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 12.6 Cm To 20.0 Cm",5407.0,5407.0,,,0 CDM,49012035_PBB,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 12.6 Cm To 20.0 Cm-Pbb",6744.0,6744.0,,,0 CDM,49012036,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 20.1 Cm To 30.0 Cm",6278.0,6278.0,,,0 CDM,49012036_PBB,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 20.1 Cm To 30.0 Cm-Pbb",7897.5,7897.5,,,0 CDM,49012037,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; Over 30.0 Cm",7343.0,7343.0,,,0 CDM,49012037_PBB,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; Over 30.0 Cm-Pbb",9615.0,9615.0,,,0 CDM,49012041,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; 2.5 Cm Or Less",1508.0,1508.0,,,0 CDM,49012041_PBB,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; 2.5 Cm Or Less-Pbb",2319.5,2319.5,,,0 CDM,49012042,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; 2.6 Cm To 7.5 Cm",2053.0,2053.0,,,0 CDM,49012042_PBB,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; 2.6 Cm To 7.5 Cm-Pbb",3018.5,3018.5,,,0 CDM,49012044,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; 7.6 Cm To 12.5 Cm",2339.0,2339.0,,,0 CDM,49012044_PBB,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; 7.6 Cm To 12.5 Cm-Pb",3479.0,3479.0,,,0 CDM,49012045,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; 12.6 Cm To 20.0 Cm",2624.0,2624.0,,,0 CDM,49012045_PBB,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; 12.6 Cm To 20.0 Cm-P",4113.0,4113.0,,,0 CDM,49012046,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; 20.1 Cm To 30.0 Cm",4067.0,4067.0,,,0 CDM,49012046_PBB,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; 20.1 Cm To 30.0 Cm-P",5993.5,5993.5,,,0 CDM,49012047,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; Over 30/0 Cm",4460.0,4460.0,,,0 CDM,49012047_PBB,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; Over 30/0 Cm-Pbb",6389.0,6389.0,,,0 CDM,49012051,"Hc Repair, Intermed, Wounds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membrns; 2.5 Cm Or Less",1741.0,1741.0,,,0 CDM,49012051_PBB,"Hc Repair, Intermed, Wounds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membrns; 2.5 Cm Or Less",2706.5,2706.5,,,0 CDM,49012052,"Hc Repair, Intermed, Wnds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membrns; 2.6 Cm To 5.0 Cm",2066.0,2066.0,,,0 CDM,49012052_PBB,"Hc Repair, Intermed, Wnds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membrns; 2.6 Cm To 5.0 Cm",3162.5,3162.5,,,0 CDM,49012053,"Hc Repair, Intermed, Wnds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membrns; 5.1 Cm To 7.5 Cm",2309.0,2309.0,,,0 CDM,49012053_PBB,"Hc Repair, Intermed, Wnds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membrns; 5.1 Cm To 7.5 Cm",3582.0,3582.0,,,0 CDM,49012054,"Hc Repair, Intrmed, Wnds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membrns; 7.6 Cm To 12.5 Cm",2429.0,2429.0,,,0 CDM,49012054_PBB,"Hc Repair, Intrmed, Wnds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membrns; 7.6 Cm To 12.5 Cm",4007.0,4007.0,,,0 CDM,49012055,"Hc Repr, Intermed, Wnds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membrns; 12.6 Cm To 20.0 Cm",3227.0,3227.0,,,0 CDM,49012055_PBB,"Hc Repr, Intermed, Wnds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membrns; 12.6 Cm To 20.0 Cm",5329.5,5329.5,,,0 CDM,49012056,"Hc Repr, Intermed, Wnds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membrns; 20.1 Cm To 30.0 Cm",4004.0,4004.0,,,0 CDM,49012056_PBB,"Hc Repr, Intermed, Wnds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membrns; 20.1 Cm To 30.0 Cm",6459.0,6459.0,,,0 CDM,49012057,"Hc Repair, Intermed, Wounds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membranes; Over 30.0 Cm",4039.0,4039.0,,,0 CDM,49012057_PBB,"Hc Repair, Intermed, Wounds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membranes; Over 30.0 Cm",6948.0,6948.0,,,0 CDM,49013100,"Hc Repair, Complex, Trunk; 1.1 Cm To 2.5 Cm",3082.0,3082.0,,,0 CDM,49013100_PBB,"Hc Repair, Complex, Trunk; 1.1 Cm To 2.5 Cm-Pbb",4195.0,4195.0,,,0 CDM,49013101,"Hc Repair, Complex, Trunk; 2.6 Cm To 7.5 Cm",5707.0,5707.0,,,0 CDM,49013101_PBB,"Hc Repair, Complex, Trunk; 2.6 Cm To 7.5 Cm-Pbb",7777.0,7777.0,,,0 CDM,49013102,"Hc Repair, Complex, Trunk; Each Additional 5Cm Or Less",2207.0,2207.0,,,0 CDM,49013102_PBB,"Hc Repair, Complex, Trunk; Each Additional 5Cm Or Less-Pbb",2998.5,2998.5,,,0 CDM,49013120,"Hc Repair, Complex, Scalp, Arms, And/Or Legs; 1.1 Cm To 2.5 Cm",2272.0,2272.0,,,0 CDM,49013120_PBB,"Hc Repair, Complex, Scalp, Arms, And/Or Legs; 1.1 Cm To 2.5 Cm-Pbb",4030.5,4030.5,,,0 CDM,49013121,"Hc Repair, Complex, Scalp, Arms, And/Or Legs; 2.6 Cm To 7.5 Cm",2770.0,2770.0,,,0 CDM,49013121_PBB,"Hc Repair, Complex, Scalp, Arms, And/Or Legs; 2.6 Cm To 7.5 Cm-Pbb",5467.0,5467.0,,,0 CDM,49013122,"Hc Repair, Complex, Scalp, Arms, And/Or Legs; Each Additional 5 Cm Or Less",1028.0,1028.0,,,0 CDM,49013122_PBB,"Hc Repair, Complex, Scalp, Arms, And/Or Legs; Each Additional 5 Cm Or Less-Pbb",2113.0,2113.0,,,0 CDM,49013131,"Hc Repair, Complx,Forehead,Cheeks,Chin,Mouth,Neck,Axillae,Genitalia,Hands And/Or Feet; 1.1 To 2.5 Cm",3268.0,3268.0,,,0 CDM,49013131_PBB,"Hc Repair, Complx,Forehead,Cheeks,Chin,Mouth,Neck,Axillae,Genitalia,Hands And/Or Feet; 1.1 To 2.5 Cm",5320.5,5320.5,,,0 CDM,49013132,"Hc Repr, Cmplx, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genit, H&S &/Or Feet; 2.6 Cm To 7.5 Cm",4105.0,4105.0,,,0 CDM,49013132_PBB,"Hc Repr, Cmplx, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genit, H&S &/Or Feet; 2.6 Cm To 7.5 Cm",8090.5,8090.5,,,0 CDM,49013133,"Hc Repair, Complex, Forehead, Cheeks, Chin, Mth, Neck, Axil, Gntla, Hands, Feet; Ea Add 5 Cm Or Less",1451.0,1451.0,,,0 CDM,49013133_PBB,"Hc Repair, Complex, Forehead, Cheeks, Chin, Mth, Neck, Axil, Gntla, Hands, Feet; Ea Add 5 Cm Or Less",3034.5,3034.5,,,0 CDM,49013151,"Hc Repair, Complex, Eyelids, Nose, Ears And/Or Lips; 1.1 Cm To 2.5 Cm",3976.0,3976.0,,,0 CDM,49013151_PBB,"Hc Repair, Complex, Eyelids, Nose, Ears And/Or Lips; 1.1 Cm To 2.5 Cm-Pbb",6555.0,6555.0,,,0 CDM,49013152,"Hc Repair, Complex, Eyelids, Nose, Ears And/Or Lips; 2.6 Cm To 7.5 Cm",4211.0,4211.0,,,0 CDM,49013152_PBB,"Hc Repair, Complex, Eyelids, Nose, Ears And/Or Lips; 2.6 Cm To 7.5 Cm-Pbb",9249.5,9249.5,,,0 CDM,49013153,"Hc Repair, Complex, Eyelids, Nose, Ears And/Or Lips; Each Additional 5Cm Or Less",1514.0,1514.0,,,0 CDM,49013153_PBB,"Hc Repair, Complex, Eyelids, Nose, Ears And/Or Lips; Each Additional 5Cm Or Less-Pbb",3536.0,3536.0,,,0 CDM,49013160,Hc Secondary Closure Surg Wound/Dehsn Xtnsv/Comp,6521.0,6521.0,,,0 CDM,49013160_PBB,Hc Secondary Closure Surg Wound/Dehsn Xtnsv/Comp-Pbb,10365.5,10365.5,,,0 CDM,49014000,"Hc Adjacent Tissue Transfer Or Rearrangement, Trunk; Defect 10 Sq Cm Or Les",6944.0,6944.0,,,0 CDM,49014000_PBB,"Hc Adjacent Tissue Transfer Or Rearrangement, Trunk; Defect 10 Sq Cm Or Les-Pbb",10342.0,10342.0,,,0 CDM,49014001,"Hc Adjacent Tissue Transfer Or Rearrangement, Trunk; Defect 10.1 Sq Cm To 30.0 Sq Cm",6868.0,6868.0,,,0 CDM,49014001_PBB,"Hc Adjacent Tissue Transfer Or Rearrangement, Trunk; Defect 10.1 Sq Cm To 30.0 Sq Cm-Pbb",10598.0,10598.0,,,0 CDM,49014020,"Hc Adjacent Tissue Transfer Or Rearrangement, Scalp, Arms And/Or Legs; Defect 10 Sq Cm Or Less",8188.0,8188.0,,,0 CDM,49014020_PBB,"Hc Adjacent Tissue Transfer Or Rearrangement, Scalp, Arms And/Or Legs; Defect 10 Sq Cm Or Less-Pbb",12533.0,12533.0,,,0 CDM,49014021,"Hc Adj Tissue Transfer Or Rearrangement, Scalp, Arms And/Or Legs; Defect 10.1 Sq Cm To 30.0 Sq Cm",7754.0,7754.0,,,0 CDM,49014021_PBB,"Hc Adj Tissue Transfer Or Rearrangement, Scalp, Arms And/Or Legs; Defect 10.1 Sq Cm To 30.0 Sq Cm-Pb",11907.5,11907.5,,,0 CDM,49014040,"Hc Adj Tiss Trnsfr/ Rgmnt,Frhd,Chks,Chin,Mth,Nck,Axillae,Genitalia, H&S &/Or Feet; Defect< 10Sq Cm",6476.0,6476.0,,,0 CDM,49014040_PBB,"Hc Adj Tiss Trnsfr/ Rgmnt,Frhd,Chks,Chin,Mth,Nck,Axillae,Genitalia, H&S &/Or Feet; Defect< 10Sq Cm-P",10629.5,10629.5,,,0 CDM,49014041,"Hc Adj Tssu Trnsf/Rerrngmnt,Forhd,Chks,Chin,Mth,Neck,Axil,Genit,H&S&/Or Ft;Defct 10.1 Sqc-30.0 Sqc",7938.0,7938.0,,,0 CDM,49014041_PBB,"Hc Adj Tssu Trnsf/Rerrngmnt,Forhd,Chks,Chin,Mth,Neck,Axil,Genit,H&S&/Or Ft;Defct 10.1 Sqc-30.0 Sqc-P",13193.0,13193.0,,,0 CDM,49014060,"Hc Adj Tissue Transfer Or Rearrangement, Eyelids, Nose, Ears And/Or Lips; Defect 10 Sq Cm Or Less",9525.0,9525.0,,,0 CDM,49014060_PBB,"Hc Adj Tissue Transfer Or Rearrangement, Eyelids, Nose, Ears And/Or Lips; Defect 10 Sq Cm Or Less-Pb",14780.0,14780.0,,,0 CDM,49014061,"Hc Adj Tissue Trnsfr Or Rearrngmnt, Eyelids, Nose, Ears And/Or Lips; Defect 10.1 Sq Cm To 30.0 Sq Cm",11727.0,11727.0,,,0 CDM,49014061_PBB,"Hc Adj Tissue Trnsfr Or Rearrngmnt, Eyelids, Nose, Ears And/Or Lips; Defect 10.1 Sq Cm To 30.0 Sq Cm",19185.5,19185.5,,,0 CDM,49014301,"Hc Adjacent Tissue Transfer Or Rearrangement, Any Area; Defect 30.1 Sq Cm To 60.0 Sq Cm",8624.0,8624.0,,,0 CDM,49014301_PBB,"Hc Adjacent Tissue Transfer Or Rearrangement, Any Area; Defect 30.1 Sq Cm To 60.0 Sq Cm-Pbb",10422.0,10422.0,,,0 CDM,49014302,"Hc Adjacent Tissue Transfer Or Rearrangement, Any Area; Each Additional 30.0 Sq Cm, Or Part Thereof",1969.0,1969.0,,,0 CDM,49014302_PBB,"Hc Adjacent Tissue Transfer Or Rearrangement, Any Area; Each Additional 30.0 Sq Cm, Or Part Thereof-",3767.0,3767.0,,,0 CDM,49015004,Hc Prep Site F/S/N/H/F/G/M/D Gt 1St 100 Sq Cm/1Pct,1591.0,1591.0,,,0 CDM,49015004_PBB,Hc Prep Site F/S/N/H/F/G/M/D Gt 1St 100 Sq Cm/1Pct-Pbb,2705.0,2705.0,,,0 CDM,49015050,"Hc Pinch Grft,Sngl/Mult,To Cvr Sm Ulcer, Tip Of Digit, /Other Min Opn Area, Up To Defect Sz 2 Cm Dm",3674.0,3674.0,,,0 CDM,49015050_PBB,"Hc Pinch Grft,Sngl/Mult,To Cvr Sm Ulcer, Tip Of Digit, /Other Min Opn Area, Up To Defect Sz 2 Cm Dm-",7647.0,7647.0,,,0 CDM,49015100,"Hc Split-Thick Autograft, Trunk, Arms, Legs; 1St 100 Sq Cm Or Less, Or 1% Body Area Infants Children",11334.0,11334.0,,,0 CDM,49015100_PBB,"Hc Split-Thick Autograft, Trunk, Arms, Legs; 1St 100 Sq Cm Or Less, Or 1% Body Area Infants Children",18529.0,18529.0,,,0 CDM,49015101,"Hc Splt-Thcknss Autogrft,Trnk,Arms,Legs;Ea Add 100 Sq Cm,1% Bdy Area Infnts & Chldrn,Prt Thereof",5542.0,5542.0,,,0 CDM,49015101_PBB,"Hc Splt-Thcknss Autogrft,Trnk,Arms,Legs;Ea Add 100 Sq Cm,1% Bdy Area Infnts & Chldrn,Prt Thereof-Pb",7279.5,7279.5,,,0 CDM,49015120,"Hc Splitthcknss Autgrft, Face, Gen, H&S, Ft, &/Or Mlt Dgts; 1St 100 Sq Cm Or Less",8624.0,8624.0,,,0 CDM,49015120_PBB,"Hc Splitthcknss Autgrft, Face, Gen, H&S, Ft, &/Or Mlt Dgts; 1St 100 Sq Cm Or Less-Pbb",14098.5,14098.5,,,0 CDM,49015121,"Hc Splt-Thck Autgrft,Fce,Sclp,Eylds,Mth,Nck,Au,Orbts,Gen,H&S,Ft,Mlt Dgts;Ea 100 Sq Cm/Ea Add1%Chld",5838.0,5838.0,,,0 CDM,49015121_PBB,"Hc Splt-Thck Autgrft,Fce,Sclp,Eylds,Mth,Nck,Au,Orbts,Gen,H&S,Ft,Mlt Dgts;Ea 100 Sq Cm/Ea Add1%Chld-P",7725.5,7725.5,,,0 CDM,49015200,"Hc Full Thickness Graft, Free, Including Direct Closure Of Donor Site, Trunk; 20 Sq Cm Or Less",8624.0,8624.0,,,0 CDM,49015200_PBB,"Hc Full Thickness Graft, Free, Including Direct Closure Of Donor Site, Trunk; 20 Sq Cm Or Less-Pbb",13343.5,13343.5,,,0 CDM,49015201,"Hc Full Thcknss Grft, Free, Incl Dirct Closure Of Donor Site, Trnk; Ea Add 20 Sq Cm, Or Part Thereof",2138.0,2138.0,,,0 CDM,49015201_PBB,"Hc Full Thcknss Grft, Free, Incl Dirct Closure Of Donor Site, Trnk; Ea Add 20 Sq Cm, Or Part Thereof",3185.0,3185.0,,,0 CDM,49015220,"Hc Full Thcknss Grft, Free, Incl Dirct Clsre Of Dnr Site, Scalp, Arms, And/Or Legs; 20 Sq Cm Or Less",5284.0,5284.0,,,0 CDM,49015220_PBB,"Hc Full Thcknss Grft, Free, Incl Dirct Clsre Of Dnr Site, Scalp, Arms, And/Or Legs; 20 Sq Cm Or Less",9533.0,9533.0,,,0 CDM,49015221,"Hc Fll Thknss Grft,Free,Incl Dir Clsr Of Donor Site,Sclp,Arm,And/Or Leg;Ea Add 20 Sq Cm,Or Prt Throf",1962.0,1962.0,,,0 CDM,49015221_PBB,"Hc Fll Thknss Grft,Free,Incl Dir Clsr Of Donor Site,Sclp,Arm,And/Or Leg;Ea Add 20 Sq Cm,Or Prt Throf",2906.0,2906.0,,,0 CDM,49015240,"Hc Full Thick Grft,Free,Incl Dir Cl Dnr,Forehd,Chk,Chn,Mth,Neck,Axillae,Genit,H&S,&/Or Ft;<=20 Sqcm",5284.0,5284.0,,,0 CDM,49015240_PBB,"Hc Full Thick Grft,Free,Incl Dir Cl Dnr,Forehd,Chk,Chn,Mth,Neck,Axillae,Genit,H&S,&/Or Ft;<=20 Sqcm-",10098.0,10098.0,,,0 CDM,49015241,"Hc Fll Thk Grft,Free,Inc Drct Clsre Dnr St,4Head,Chks,Chn,Mth,Nck,Ax,Gntl,H&S,&/Or Ft;Ea Ad 20 Sq Cm",1717.0,1717.0,,,0 CDM,49015241_PBB,"Hc Fll Thk Grft,Free,Inc Drct Clsre Dnr St,4Head,Chks,Chn,Mth,Nck,Ax,Gntl,H&S,&/Or Ft;Ea Ad 20 Sq Cm",2898.0,2898.0,,,0 CDM,49015260,"Hc Full Thick Graft, Free, Incl Direct Closure Donor Site, Nose, Ears, Eyelids, Lips; 20 Sq Cm Less",9479.0,9479.0,,,0 CDM,49015260_PBB,"Hc Full Thick Graft, Free, Incl Direct Closure Donor Site, Nose, Ears, Eyelids, Lips; 20 Sq Cm Less-",14671.0,14671.0,,,0 CDM,49015261,"Hc Full Thcknss Grft,Free, Incl Dir Closr Donr Site,Nose,Ears,Eyelds,&/Or Lips; Ea Add 20 Sq Cm",3256.0,3256.0,,,0 CDM,49015261_PBB,"Hc Full Thcknss Grft,Free, Incl Dir Closr Donr Site,Nose,Ears,Eyelds,&/Or Lips; Ea Add 20 Sq Cm-Pbb",4578.0,4578.0,,,0 CDM,49015271,"Hc App Of Skin Substitute Grft To Trnk, Arms, Legs, Surface Up To 100 Sq Cm; First 25 Sq Cm Or Less",5284.0,5284.0,,,0 CDM,49015271_PBB,"Hc App Of Skin Substitute Grft To Trnk, Arms, Legs, Surface Up To 100 Sq Cm; First 25 Sq Cm Or Less-",8034.0,8034.0,,,0 CDM,49015272,Hc App Skin Substit Grft/Trunk/Arm/Legs Total Wnd Surfac Up To 100 Sq Cm; Ea Add 25 Sq Cm Wnd Surfac,626.0,626.0,,,0 CDM,49015272_PBB,Hc App Skin Substit Grft/Trunk/Arm/Legs Total Wnd Surfac Up To 100 Sq Cm; Ea Add 25 Sq Cm Wnd Surfac,2569.0,2569.0,,,0 CDM,49015273,"Hc App Of Skin Sub Grft To Trnk,Arms,Legs,Wnd Surf >/=100 Sq Cm;1St 100 Sq Cm,Or 1% Infnts & Chldrn",8624.0,8624.0,,,0 CDM,49015273_PBB,"Hc App Of Skin Sub Grft To Trnk,Arms,Legs,Wnd Surf >/=100 Sq Cm;1St 100 Sq Cm,Or 1% Infnts & Chldrn-",15222.0,15222.0,,,0 CDM,49015274,"Hc Skin Substitute Graft Trunk,Arms,Left Total Surface >\=100Sq Cm, Each Additional 100 Sq Cm",1261.0,1261.0,,,0 CDM,49015274_PBB,"Hc Skin Substitute Graft Trunk,Arms,Left Total Surface >\=100Sq Cm, Each Additional 100 Sq Cm-Pbb",5969.0,5969.0,,,0 CDM,49015275,"Hc App Skn Sub Grft Face,Sclp,Eyld,Mt,Nck,Ear,Orb,Gen,H&S,Ft,Mlt Dgt,Wnd Sfc Ar 100Sqcm;1St<=25Sqcm",5284.0,5284.0,,,0 CDM,49015275_PBB,"Hc App Skn Sub Grft Face,Sclp,Eyld,Mt,Nck,Ear,Orb,Gen,H&S,Ft,Mlt Dgt,Wnd Sfc Ar 100Sqcm;1St<=25Sqcm-",8730.0,8730.0,,,0 CDM,49015276,"Hc App Skn Sub Grft To Face, Gen, H&S, Ft, &/Or Mult Dgts, Tot Wnd Sfc 100 Sq Cm; Ea Add 25 Sq Cm",329.0,329.0,,,0 CDM,49015276_PBB,"Hc App Skn Sub Grft To Face, Gen, H&S, Ft, &/Or Mult Dgts, Tot Wnd Sfc 100 Sq Cm; Ea Add 25 Sq Cm-Pb",3271.5,3271.5,,,0 CDM,49015576,"Hc App Skn Sub Grft Face,Sclp,Eyld,Mt,Nck,Ear,Orb,Gen,H&S,Ft,Mlt Dgt,Wnd Sfc 100 Sqcm;Ea Add 25 Sqcm",5284.0,5284.0,,,0 CDM,49015576_PBB,"Hc App Skn Sub Grft Face,Sclp,Eyld,Mt,Nck,Ear,Orb,Gen,H&S,Ft,Mlt Dgt,Wnd Sfc 100 Sqcm;Ea Add 25 Sqcm",11043.0,11043.0,,,0 CDM,49015630,"Hc Delay Of Flap Or Sectioning Of Flap (Division And Inset); At Eyelids, Nose, Ears, Or Lips",5284.0,5284.0,,,0 CDM,49015630_PBB,"Hc Delay Of Flap Or Sectioning Of Flap (Division And Inset); At Eyelids, Nose, Ears, Or Lips-Pbb",8492.0,8492.0,,,0 CDM,49015740,Hc Flap; Island Pedicle Requiring Identification And Dissection Of An Anatomically Named Axial Vessl,5284.0,5284.0,,,0 CDM,49015740_PBB,Hc Flap; Island Pedicle Requiring Identification And Dissection Of An Anatomically Named Axial Vessl,12837.0,12837.0,,,0 CDM,49015760,"Hc Graft; Composite, Including Primary Closure, Donor Area",5284.0,5284.0,,,0 CDM,49015760_PBB,"Hc Graft; Composite, Including Primary Closure, Donor Area-Pbb",9998.5,9998.5,,,0 CDM,49015780,"Hc Dermabrasion, Total Face",3868.0,3868.0,,,0 CDM,49015780_PBB,"Hc Dermabrasion, Total Face-Pbb",8236.5,8236.5,,,0 CDM,49015781,"Hc Dermabrasion, Segmental Face",1654.0,1654.0,,,0 CDM,49015781_PBB,"Hc Dermabrasion, Segmental Face-Pbb",4331.5,4331.5,,,0 CDM,49015782,"Hc Dermabrasion, Regional, Other Than Face",2242.0,2242.0,,,0 CDM,49015782_PBB,"Hc Dermabrasion, Regional, Other Than Face-Pbb",5396.5,5396.5,,,0 CDM,49015783_CSMPBB,"Hc Dermabrasion, Superficial, Any Site Cash Per 10 Cmsq-Csm,Pbb",300.0,300.0,,,0 CDM,49015786,Hc Abrasion; Single Lesion Cash,150.0,150.0,,,0 CDM,49015786_CSMPBB,"Hc Abrasion; Single Lesion Cash-Csm,Pbb",150.0,150.0,,,0 CDM,49015788_CSMPBB,"Hc Chemical Peel, Facial; Epidermal-Csm,Pbb",53.0,53.0,,,0 CDM,49015788_PBB,"Hc Chemical Peel, Facial; Epidermal-Pbb",2506.0,2506.0,,,0 CDM,49015789,"Hc Chemical Peel, Facial; Dermal Cash",200.0,200.0,,,0 CDM,49015792,"Hc Chemical Peel, Nonfacial; Epidermal Cash",225.0,225.0,,,0 CDM,49015792_CSMPBB,"Hc Chemical Peel, Nonfacial; Epidermal Cash-Csm,Pbb",225.0,225.0,,,0 CDM,49015820,"Hc Blepharoplasty, Lower Eyelid Cash",2500.0,2500.0,,,0 CDM,49015820_CSMPBB,"Hc Blepharoplasty, Lower Eyelid Cash-Csm,Pbb",2500.0,2500.0,,,0 CDM,49015821,"Hc Blepharoplasty, Lower Eyelid; With Extensive Herniated Fat Pad Cash",3520.0,3520.0,,,0 CDM,49015821_CSMPBB,"Hc Blepharoplasty, Lower Eyelid; With Extensive Herniated Fat Pad Cash-Csm,Pbb",3500.0,3500.0,,,0 CDM,49015822,"Hc Blepharoplasty, Upper Eyelid Cash",2500.0,2500.0,,,0 CDM,49015822_CSMPBB,"Hc Blepharoplasty, Upper Eyelid Cash-Csm,Pbb",2500.0,2500.0,,,0 CDM,49015823,"Hc Blepharoplasty, Upper Eyelid; With Excessive Skin Weighting Down Lid Cash",6125.0,6125.0,,,0 CDM,49015823_CSMPBB,"Hc Blepharoplasty, Upper Eyelid; With Excessive Skin Weighting Down Lid Cash-Csm,Pbb",6125.0,6125.0,,,0 CDM,49015850_PBB,Hc Remvl Suture Under Anes Same Surgn-Pbb,1788.0,1788.0,,,0 CDM,49015851,Hc Remvl Suture Under Anes Other Surgn,5248.0,5248.0,,,0 CDM,49015851_PBB,Hc Remvl Suture Under Anes Other Surgn-Pbb,5453.0,5453.0,,,0 CDM,49015852,Hc Dressing Change (For Other Than Burns) Under Anesthesia (Other Than Local),1213.0,1213.0,,,0 CDM,49015852_PBB,Hc Dressing Change (For Other Than Burns) Under Anesthesia (Other Than Local)-Pbb,1437.5,1437.5,,,0 CDM,49015876,Noncdm Charge Record,1000.0,1000.0,,,0 CDM,49016020,"Hc Dressings And/Or Debridement Of Partial-Thickness Burns, Initial Or Subsequent; Small",904.0,904.0,,,0 CDM,49016020_PBB,"Hc Dressings And/Or Debridement Of Partial-Thickness Burns, Initial Or Subsequent; Small-Pbb",1159.5,1159.5,,,0 CDM,49016035,Hc Escharotomy; Initial Incision,1280.0,1280.0,,,0 CDM,49017000,"Hc Destruction, Premalignant Lesions, 1St Lesion",523.0,523.0,,,0 CDM,49017000_PBB,"Hc Destruction, Premalignant Lesions, 1St Lesion-Pbb",792.0,792.0,,,0 CDM,49017003,"Hc Destruction, Premalignant Lesions, 2Nd To 14 Lesions, Each",424.0,424.0,,,0 CDM,49017003_PBB,"Hc Destruction, Premalignant Lesions, 2Nd To 14 Lesions, Each-Pbb",484.5,484.5,,,0 CDM,49017004,"Hc Destruction, Premalignant Lesions, 15 Or More Lesions",1394.0,1394.0,,,0 CDM,49017004_PBB,"Hc Destruction, Premalignant Lesions, 15 Or More Lesions-Pbb",2359.5,2359.5,,,0 CDM,49017106,Hc Destruction Of Cutaneous Vascular Proliferative Lesions; Less Than 10 Sq Cm,2186.0,2186.0,,,0 CDM,49017106_PBB,Hc Destruction Of Cutaneous Vascular Proliferative Lesions; Less Than 10 Sq Cm-Pbb,3351.5,3351.5,,,0 CDM,49017107,Hc Destruction Of Cutaneous Vascular Proliferative Lesions; 10 To 50 Sq Cm,2807.0,2807.0,,,0 CDM,49017107_PBB,Hc Destruction Of Cutaneous Vascular Proliferative Lesions; 10 To 50 Sq Cm-Pbb,5073.0,5073.0,,,0 CDM,49017108,Hc Destruction Of Cutaneous Vascular Proliferative Lesions; Over 50 Sq Cm,4199.0,4199.0,,,0 CDM,49017108_PBB,Hc Destruction Of Cutaneous Vascular Proliferative Lesions; Over 50 Sq Cm-Pbb,7435.5,7435.5,,,0 CDM,49017110,"Hc Destructn, Of Benign Less Other Than Skin Tags Or Cutaneous Vasc Proliferativ Less; Up To 14 Less",689.0,689.0,,,0 CDM,49017110_PBB,"Hc Destructn, Of Benign Less Other Than Skin Tags Or Cutaneous Vasc Proliferativ Less; Up To 14 Less",982.5,982.5,,,0 CDM,49017111,Hc Destruction Of Benign Lesions Other Than Skin Tags; 15 Ore More Lesions,846.0,846.0,,,0 CDM,49017111_PBB,Hc Destruction Of Benign Lesions Other Than Skin Tags; 15 Ore More Lesions-Pbb,1172.5,1172.5,,,0 CDM,49017250,"Hc Chemical Cauterization Of Granulation Tissue (Ie, Proud Flesh)",910.0,910.0,,,0 CDM,49017250_PBB,"Hc Chemical Cauterization Of Granulation Tissue (Ie, Proud Flesh)-Pbb",1162.0,1162.0,,,0 CDM,49017260,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 0.5 Cm Or Less",746.0,746.0,,,0 CDM,49017260_PBB,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 0.5 Cm Or Less-Pbb",1220.0,1220.0,,,0 CDM,49017261,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 0.6 To 1.0 Cm",931.0,931.0,,,0 CDM,49017261_PBB,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 0.6 To 1.0 Cm-Pbb",1444.5,1444.5,,,0 CDM,49017262,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 1.1 To 2.0 Cmc",1129.0,1129.0,,,0 CDM,49017262_PBB,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 1.1 To 2.0 Cmc-Pbb",1752.0,1752.0,,,0 CDM,49017263,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 2.1 To 3.0 Cm",1234.0,1234.0,,,0 CDM,49017263_PBB,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 2.1 To 3.0 Cm-Pbb",1934.5,1934.5,,,0 CDM,49017264,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 3.1 To 4.0 Cm",1327.0,1327.0,,,0 CDM,49017264_PBB,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 3.1 To 4.0 Cm-Pbb",2104.0,2104.0,,,0 CDM,49017266,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter Over 4.0 Cm",1505.0,1505.0,,,0 CDM,49017266_PBB,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter Over 4.0 Cm-Pbb",2471.5,2471.5,,,0 CDM,49017270,"Hc Destruction, Malignant Les, Scalp, Neck, Hands, Feet, Genitalia; Les Diameter 0.5 Cm Or Less",990.0,990.0,,,0 CDM,49017270_PBB,"Hc Destruction, Malignant Les, Scalp, Neck, Hands, Feet, Genitalia; Les Diameter 0.5 Cm Or Less-Pbb",1537.0,1537.0,,,0 CDM,49017271,"Hc Destruction, Malignant Les, Scalp, Neck, Hands, Feet, Genitalia; Les Diameter 0.6 Cm To 1.0 Cm",1063.0,1063.0,,,0 CDM,49017271_PBB,"Hc Destruction, Malignant Les, Scalp, Neck, Hands, Feet, Genitalia; Les Diameter 0.6 Cm To 1.0 Cm-P",1635.5,1635.5,,,0 CDM,49017272,"Hc Destruction, Malignant Les, Scalp, Neck, Hands, Feet, Genitalia; Les Diameter 1.1 Cm To 2.0 Cm",1205.0,1205.0,,,0 CDM,49017272_PBB,"Hc Destruction, Malignant Les, Scalp, Neck, Hands, Feet, Genitalia; Les Diameter 1.1 Cm To 2.0 Cm-P",1886.5,1886.5,,,0 CDM,49017273,"Hc Destruction, Malignant Les, Scalp, Neck, Hands, Feet, Genitalia; Les Diameter 2.1 Cm To 3.0 Cm",1394.0,1394.0,,,0 CDM,49017273_PBB,"Hc Destruction, Malignant Les, Scalp, Neck, Hands, Feet, Genitalia; Les Diameter 2.1 Cm To 3.0 Cm-P",2207.0,2207.0,,,0 CDM,49017274,"Hc Destruction, Malignant Les, Scalp, Neck, Hands, Feet, Genitalia; Les Diameter 3.1 Cm To 4.0 Cm",1589.0,1589.0,,,0 CDM,49017274_PBB,"Hc Destruction, Malignant Les, Scalp, Neck, Hands, Feet, Genitalia; Les Diameter 3.1 Cm To 4.0 Cm-P",2479.5,2479.5,,,0 CDM,49017276,"Hc Destruction, Malignant Lesion, Scalp, Neck, Hands, Feet, Genitalia; Lesion Diameter Over 4.0 Cm",1846.0,1846.0,,,0 CDM,49017276_PBB,"Hc Destruction, Malignant Lesion, Scalp, Neck, Hands, Feet, Genitalia; Lesion Diameter Over 4.0 Cm-P",2849.5,2849.5,,,0 CDM,49017280,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 0.5 Cm Or Less",913.0,913.0,,,0 CDM,49017280_PBB,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 0.5 Cm Or Less-Pbb",1556.5,1556.5,,,0 CDM,49017281,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 1.1 Cm To 2.0 Cm",1394.0,1394.0,,,0 CDM,49017281_PBB,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 1.1 Cm To 2.0 Cm-P",2056.5,2056.5,,,0 CDM,49017282,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 3.1 Cm To 4.0 Cm",1531.0,1531.0,,,0 CDM,49017282_PBB,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 3.1 Cm To 4.0 Cm-",2308.0,2308.0,,,0 CDM,49017283,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 0.6 Cm To 1.0 Cm",1583.0,1583.0,,,0 CDM,49017283_PBB,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 0.6 Cm To 1.0 Cm-P",2473.5,2473.5,,,0 CDM,49017284,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 2.1 Cm To 3.0 Cm",1816.0,1816.0,,,0 CDM,49017284_PBB,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 2.1 Cm To 3.0 Cm-P",2819.5,2819.5,,,0 CDM,49017286,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; Over 4.0 Cm",2346.0,2346.0,,,0 CDM,49017286_PBB,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; Over 4.0 Cm-Pbb",3463.0,3463.0,,,0 CDM,49017311,"Hc Mohs, Head, Neck, Hands, Feet, Geniatlia, First Stage, Up To 5 Tissue Blocks",4201.0,4201.0,,,0 CDM,49017311_PBB,"Hc Mohs, Head, Neck, Hands, Feet, Geniatlia, First Stage, Up To 5 Tissue Blocks-Pbb",8123.5,8123.5,,,0 CDM,49017312,"Hc Mohs, Head, Neck, Hands, Feet, Genitalia Ea Add Stage After The First Stage, Up To 5 Tissue Blcks",2502.0,2502.0,,,0 CDM,49017312_PBB,"Hc Mohs, Head, Neck, Hands, Feet, Genitalia Ea Add Stage After The First Stage, Up To 5 Tissue Blcks",4887.5,4887.5,,,0 CDM,49017313,"Hc Mohs, Trunks, Arms, Or Legs, First Stage, Up To 5 Tissue Block",3833.0,3833.0,,,0 CDM,49017313_PBB,"Hc Mohs, Trunks, Arms, Or Legs, First Stage, Up To 5 Tissue Block-Pbb",7434.0,7434.0,,,0 CDM,49017314,"Hc Mohs, Trunks, Arms, Or Legs, Each Additional Stage After The First Stage, Up To 5 Tissue Blocksc",2321.0,2321.0,,,0 CDM,49017314_PBB,"Hc Mohs, Trunks, Arms, Or Legs, Each Additional Stage After The First Stage, Up To 5 Tissue Blocksc-",4546.5,4546.5,,,0 CDM,49017315,"Hc Mohs; Each Additional Block After The First 5 Tissue Blocks, Any Stage",1178.0,1178.0,,,0 CDM,49017315_PBB,"Hc Mohs; Each Additional Block After The First 5 Tissue Blocks, Any Stage-Pbb",1657.5,1657.5,,,0 CDM,49017360,Hc Chemical Exfoliation For Acne,293.0,293.0,,,0 CDM,49017360_PBB,Hc Chemical Exfoliation For Acne-Pbb,954.5,954.5,,,0 CDM,49019000,Hc Puncture Aspiration Of Cyst Of Breast,2174.0,2174.0,,,0 CDM,49019000_PBB,Hc Puncture Aspiration Of Cyst Of Breast-Pbb,2505.5,2505.5,,,0 CDM,49019001,"Hc Puncture Aspiration Of Cyst Of Breast, Each Additional Cyst",1489.0,1489.0,,,0 CDM,49019001_PBB,"Hc Puncture Aspiration Of Cyst Of Breast, Each Additional Cyst-Pbb",1679.5,1679.5,,,0 CDM,49019030,Hc Injection Procedure Only For Mammary Ductogram Or Galactogram,1008.0,1008.0,,,0 CDM,49019081,"Hc Bx, Brst, W Plcmnt Of Brst Local Device, & Img Of Bx Spec, Perc; 1St Les, Incl Stereotactic Guid",10696.0,10696.0,,,0 CDM,49019082,"Hc Bx, Brst, W Plcmnt Brst Local Device, & Img Of Bx Spec, Perc; Ea Add Les, Incl Stereotactic Guid",6674.0,6674.0,,,0 CDM,49019083,"Hc Bx,Brst,Placmnt Of Brst Locl Dev, Hen Perf,&Imging Of The Bx Spec,Perc;1St Les,Incl U/S Guid",7937.0,7937.0,,,0 CDM,49019083_PBB,"Hc Bx,Brst,Placmnt Of Brst Locl Dev, Hen Perf,&Imging Of The Bx Spec,Perc;1St Les,Incl U/S Guid-Pbb",8709.5,8709.5,,,0 CDM,49019084,"Hc Bx, Brst, W Plcmnt Of Brst Local Device, & Img Of The Bx Spec, Perc; Ea Add Les, Incl Us Guid",6674.0,6674.0,,,0 CDM,49019085,"Hc Bx, Brst, W Plcmnt Brst Loc Dev(S), When Perf, & Img Bx Spec,When Perf,Perc;1St Les, Inc Mri",9281.0,9281.0,,,0 CDM,49019086,"Hc Bx, Brst, W Plmnt Brst Lcl Dev(S), When Perf, & Img Bx Spcmn, When Perf, Perc; Ea Ad Les, Inc Mri",6674.0,6674.0,,,0 CDM,49019100,"Hc Biopsy Of Breast, Percutaneous, Needle Core, Not Using Imaging Guidance",3331.0,3331.0,,,0 CDM,49019100_PBB,"Hc Biopsy Of Breast, Percutaneous, Needle Core, Not Using Imaging Guidance-Pbb",3895.5,3895.5,,,0 CDM,49019120_PBB,Hc Removal Of Breast Lesion 1+-Pbb,13563.0,13563.0,,,0 CDM,49019281,"Hc Placement Of Breast Local Device(S) , Perc; First Les, Incl Mammographic Guid",4686.0,4686.0,,,0 CDM,49019282,"Hc Placement Of Breast Local Device(S) , Perc; Each Add Les, Incl Mammographic Guid",2286.0,2286.0,,,0 CDM,49019283,"Hc Placement Of Breast Local Device(S) , Perc; First Les, Incl Stereotactic Guid",7002.0,7002.0,,,0 CDM,49019284,"Hc Placement Of Breast Local Device(S) , Perc; Each Add Les, Incl Stereotactic Guid",2286.0,2286.0,,,0 CDM,49019285,"Hc Placement Of Breast Local Device(S), Perc; First Les, Incl U/S Guid",4995.0,4995.0,,,0 CDM,49019286,"Hc Placement Of Breast Local Device(S) , Perc; Each Add Les, Incl U/S Guid",2286.0,2286.0,,,0 CDM,49019287,"Hc Placement Of Breast Local Device(S), Perc; First Les, Incl Magnetic Resonance Guid",6339.0,6339.0,,,0 CDM,49019288,"Hc Placement Of Breast Local Device(S), Perc; Each Add Les, Incl Magnetic Resonance",2286.0,2286.0,,,0 CDM,49019350,Hc Nipple/Areola Reconstruction,10490.0,10490.0,,,0 CDM,49019350_PBB,Hc Nipple/Areola Reconstruction-Pbb,17328.0,17328.0,,,0 CDM,49019355_PBB,"Hc Correction, Inverted Nipples-Pbb",14573.0,14573.0,,,0 CDM,49020103,Hc Exploration Of Penetration Wound; Extremity,4254.0,4254.0,,,0 CDM,49020103_PBB,Hc Exploration Of Penetration Wound; Extremity-Pbb,6694.5,6694.5,,,0 CDM,49020200_PBB,Hc Biopsy Muscle - Superficial-Pbb,5911.5,5911.5,,,0 CDM,49020205,Hc Biopsy Muscle Deepc,6520.0,6520.0,,,0 CDM,49020205_PBB,Hc Biopsy Muscle Deepc-Pbb,7946.5,7946.5,,,0 CDM,49020206,"Hc Biopsy, Muscle, Percutaneous Needle",5915.0,5915.0,,,0 CDM,49020206_PBB,"Hc Biopsy, Muscle, Percutaneous Needle-Pbb",6838.5,6838.5,,,0 CDM,49020220,"Hc Biopsy, Bone, Trocar, Or Needle; Superficial",4037.0,4037.0,,,0 CDM,49020220_PBB,"Hc Biopsy, Bone, Trocar, Or Needle; Superficial-Pbb",4960.5,4960.5,,,0 CDM,49020225,"Hc Biopsy, Bone, Trocar, Or Needle; Deep",8376.0,8376.0,,,0 CDM,49020240,"Hc Biopsy, Bone, Open; Superficial",8748.0,8748.0,,,0 CDM,49020240_PBB,"Hc Biopsy, Bone, Open; Superficial-Pbb",9763.0,9763.0,,,0 CDM,49020500,Hc Injection Of Sinus Tract; Therapeutic,2744.0,2744.0,,,0 CDM,49020500_PBB,Hc Injection Of Sinus Tract; Therapeutic-Pbb,3169.0,3169.0,,,0 CDM,49020501,Hc Injection Of Sinus Tract; Diagnostic,1272.0,1272.0,,,0 CDM,49020520,Hc Removal Of Foreign Body In Muscle Or Tendon Sheath; Simple,3241.0,3241.0,,,0 CDM,49020520_PBB,Hc Removal Of Foreign Body In Muscle Or Tendon Sheath; Simple-Pbb,3975.5,3975.5,,,0 CDM,49020525,Hc Removal Of Foreign Body In Mucle Or Tendon Sheath; Deep Or Complicated,8748.0,8748.0,,,0 CDM,49020525_PBB,Hc Removal Of Foreign Body In Mucle Or Tendon Sheath; Deep Or Complicated-Pbb,10632.5,10632.5,,,0 CDM,49020526,"Hc Injection, Therapeutic, Carpal Tunnel",1939.0,1939.0,,,0 CDM,49020526_PBB,"Hc Injection, Therapeutic, Carpal Tunnel-Pbb",2316.0,2316.0,,,0 CDM,49020527,"Hc Injection, Enzyme, Palmar Fascial Cord",1028.0,1028.0,,,0 CDM,49020527_PBB,"Hc Injection, Enzyme, Palmar Fascial Cord-Pbb",1587.5,1587.5,,,0 CDM,49020550,"Hc Injection; Single Tendon Sheath, Or Ligament, Aponeurosis",1664.0,1664.0,,,0 CDM,49020550_PBB,"Hc Injection; Single Tendon Sheath, Or Ligament, Aponeurosis-Pbb",2020.0,2020.0,,,0 CDM,49020551,Hc Injection; Single Tendon Origin/Insertion,1708.0,1708.0,,,0 CDM,49020551_PBB,Hc Injection; Single Tendon Origin/Insertion-Pbb,2063.5,2063.5,,,0 CDM,49020552,"Hc Injection; Single Or Multiple Trigger Point(S), 1 Or 2 Muscles",1939.0,1939.0,,,0 CDM,49020552_PBB,"Hc Injection; Single Or Multiple Trigger Point(S), 1 Or 2 Muscles-Pbb",2316.0,2316.0,,,0 CDM,49020553,"Hc Injection; Single Or Multiple Trigger Point(S), 3 Or More Muscles",2024.0,2024.0,,,0 CDM,49020553_PBB,"Hc Injection; Single Or Multiple Trigger Point(S), 3 Or More Muscles-Pbb",2335.0,2335.0,,,0 CDM,49020600,"Hc Arthrocentesis, Aspiration And/Or Injection, Small Joint Or Bursa; Without Ultrasound Guidance",1124.0,1124.0,,,0 CDM,49020600_PBB,"Hc Arthrocentesis, Aspiration And/Or Injection, Small Joint Or Bursa; Without Ultrasound Guidance-Pb",1417.5,1417.5,,,0 CDM,49020605,"Hc Arthrocentesis, Aspiration And/Or Inj, Intermediate Joint Or Bursa; W/Out U/S Guid",2062.0,2062.0,,,0 CDM,49020605_PBB,"Hc Arthrocentesis, Aspiration And/Or Inj, Intermediate Joint Or Bursa; W/Out U/S Guid-Pbb",2417.5,2417.5,,,0 CDM,49020610,"Hc Arthrocentesis, Aspiration And/Or Injection, Major Joint Or Bursa; Without Ultrasound Guidance",2540.0,2540.0,,,0 CDM,49020610_PBB,"Hc Arthrocentesis, Aspiration And/Or Injection, Major Joint Or Bursa; Without Ultrasound Guidance-Pb",2940.5,2940.5,,,0 CDM,49020612,Hc Aspiration And/Or Injection Of Ganglion Cyst Any Location,4877.0,4877.0,,,0 CDM,49020612_PBB,Hc Aspiration And/Or Injection Of Ganglion Cyst Any Location-Pbb,5845.0,5845.0,,,0 CDM,49020615,Hc Aspiration And/Or Injection Of Ganglion Cyst Any Location,1692.0,1692.0,,,0 CDM,49020680,"Hc Removal Of Implant, Deep",9114.0,9114.0,,,0 CDM,49020680_PBB,"Hc Removal Of Implant, Deep-Pbb",11787.5,11787.5,,,0 CDM,49020690,"Hc Application, Uniplane (Pins/Wires In One Plane), Unilat, Ext Fixation System",19844.0,19844.0,,,0 CDM,49020697_PBB,Hc Comp Ext Fixate Strut Change > 1 Plane-Pbb,11538.5,11538.5,,,0 CDM,49020950,Hc Monitoring Of Interestitial Fluid Pressure In Detection Of Muscle Compartment Syndrome,954.0,954.0,,,0 CDM,49020950_PBB,Hc Monitoring Of Interestitial Fluid Pressure In Detection Of Muscle Compartment Syndrome-Pbb,2094.5,2094.5,,,0 CDM,49020982,"Hc Abltn Tx Red Or Erad 1 Or > Bne Tu> In Adj Sft Tsue Inv Tmr Ext,Per,Ncl Img Guid Whn Perf,Radfreq",28855.0,28855.0,,,0 CDM,49020983,Hc Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd,22782.0,22782.0,,,0 CDM,49021011,"Hc Excision, Tumor, Soft Tissue Of Face Or Scalp, Subcutaneous, Less Than 2 Cm",3810.0,3810.0,,,0 CDM,49021011_PBB,"Hc Excision, Tumor, Soft Tissue Of Face Or Scalp, Subcutaneous, Less Than 2 Cm-Pbb",4508.5,4508.5,,,0 CDM,49021012,"Hc Excision, Tumor, Soft Tissue Of Face Or Scalp, Subcutaneous, 2Cm Or Greater",4986.0,4986.0,,,0 CDM,49021012_PBB,"Hc Excision, Tumor, Soft Tissue Of Face Or Scalp, Subcutaneous, 2Cm Or Greater-Pbb",5946.0,5946.0,,,0 CDM,49021013,"Hc Excsn, Tumor, Soft Tiss Of Face And Sclp, Subfasc (Eg, Subgaleal, Intramuscular); Less Than 2 Cm",5364.0,5364.0,,,0 CDM,49021013_PBB,"Hc Excsn, Tumor, Soft Tiss Of Face And Sclp, Subfasc (Eg, Subgaleal, Intramuscular); Less Than 2 Cm",6491.5,6491.5,,,0 CDM,49021014,"Hc Excsn, Tumor, Soft Tiss Of Face And Sclp, Subfasc (Eg, Subgaleal, Intramuscular); 2 Cm Or Greater",9966.0,9966.0,,,0 CDM,49021014_PBB,"Hc Excsn, Tumor, Soft Tiss Of Face And Sclp, Subfasc (Eg, Subgaleal, Intramuscular); 2 Cm Or Greater",11448.0,11448.0,,,0 CDM,49021025,"Hc Excision Of Bone (Eg, For Osteomyelitis Or Bone Abscess); Mandible",13335.0,13335.0,,,0 CDM,49021025_PBB,"Hc Excision Of Bone (Eg, For Osteomyelitis Or Bone Abscess); Mandible-Pbb",16615.5,16615.5,,,0 CDM,49021086,Hc Impression & Preparation Auricular Prosthesis,9730.0,9730.0,,,0 CDM,49021086_PBB,Hc Impression & Preparation Auricular Prosthesis-Pbb,17487.0,17487.0,,,0 CDM,49021110,"Hc App Of Interdental Fixation Device For Conditions Other Than Fracture Or Dislocatn, Includes Rmvl",2335.0,2335.0,,,0 CDM,49021110_PBB,"Hc App Of Interdental Fixation Device For Conditions Other Than Fracture Or Dislocatn, Includes Rmvl",4699.5,4699.5,,,0 CDM,49021235,"Hc Graft; Ear Cartilage, Autogenous, To Nose Or Ear (Includes Obtaining Graft)",5490.0,5490.0,,,0 CDM,49021235_PBB,"Hc Graft; Ear Cartilage, Autogenous, To Nose Or Ear (Includes Obtaining Graft)-Pbb",9600.5,9600.5,,,0 CDM,49021315,Hc Closed Treatment Of Nasal Bone Fracture; Without Stabilization,4313.0,4313.0,,,0 CDM,49021315_PBB,Hc Closed Treatment Of Nasal Bone Fracture; Without Stabilization-Pbb,5857.5,5857.5,,,0 CDM,49021320,Hc Closed Treatment Of Nasal Bone Fracture; With Stabilization,10794.0,10794.0,,,0 CDM,49021320_PBB,Hc Closed Treatment Of Nasal Bone Fracture; With Stabilization-Pbb,13120.0,13120.0,,,0 CDM,49021337,"Hc Closed Treatment, Nasal Septal Fx, W/Wo Stabilization",9726.0,9726.0,,,0 CDM,49021400_PBB,"Hc Closed Treatment, Fx, Orbit, Except Blowout; W/O Manip-Pbb",2708.5,2708.5,,,0 CDM,49021440,"Hc Closed Treatment, Mandibular/Maxillary Alveolar Ridge Fx (Sep Proc)",7555.0,7555.0,,,0 CDM,49021440_PBB,"Hc Closed Treatment, Mandibular/Maxillary Alveolar Ridge Fx (Sep Proc)-Pbb",8772.0,8772.0,,,0 CDM,49021450_PBB,"Hc Closed Treatment, Mandibular Fx; W/O Manipulation-Pbb",4439.5,4439.5,,,0 CDM,49021480,Hc Closed Treatment Of Temporomandibular Dislocation; Initial Or Subsequent,1170.0,1170.0,,,0 CDM,49021480_PBB,Hc Closed Treatment Of Temporomandibular Dislocation; Initial Or Subsequent-Pbb,2065.0,2065.0,,,0 CDM,49021501,"Hc I&D, Deep Abscess Or Hematoma, Soft Tissues Of Neck Or Thorax",11176.0,11176.0,,,0 CDM,49021501_PBB,"Hc I&D, Deep Abscess Or Hematoma, Soft Tissues Of Neck Or Thorax-Pbb",14070.0,14070.0,,,0 CDM,49021550,"Hc Biopsy, Soft Tissue Of Neck Or Thorax",5795.0,5795.0,,,0 CDM,49021550_PBB,"Hc Biopsy, Soft Tissue Of Neck Or Thorax-Pbb",7100.0,7100.0,,,0 CDM,49021552,"Hc Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subcutaenous, 3 Cm Or Greater",8748.0,8748.0,,,0 CDM,49021552_PBB,"Hc Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subcutaenous, 3 Cm Or Greater-Pbb",10044.0,10044.0,,,0 CDM,49021555,"Hc Excision , Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subcutaneous; Less Than 3 Cm",5795.0,5795.0,,,0 CDM,49021555_PBB,"Hc Excision , Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subcutaneous; Less Than 3 Cm-Pbb",8052.0,8052.0,,,0 CDM,49021556_PBB,Hc Exc Tumor Soft Tiss Neck/Thorax Subfascial <5Cm-Pbb,11278.0,11278.0,,,0 CDM,49021700,"Hc Division Of Scalenus Anticus, Without Resection Of Cervical Rib",6046.0,6046.0,,,0 CDM,49021820,Hc Closed Treatment Of Sternum Fracture,796.0,796.0,,,0 CDM,49021820_PBB,Hc Closed Treatment Of Sternum Fracture-Pbb,1897.0,1897.0,,,0 CDM,49021930,"Hc Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaenous; Less Than 3 Cm",5795.0,5795.0,,,0 CDM,49021930_PBB,"Hc Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaenous; Less Than 3 Cm-Pbb",10193.0,10193.0,,,0 CDM,49021931,"Hc Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaenous; 3 Cm Or Greater",8748.0,8748.0,,,0 CDM,49021931_PBB,"Hc Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaenous; 3 Cm Or Greater-Pbb",10112.5,10112.5,,,0 CDM,49021932,"Hc Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaenous; Less Than 5 Cm",4409.0,4409.0,,,0 CDM,49021932_PBB,"Hc Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaenous; Less Than 5 Cm-Pbb",5902.0,5902.0,,,0 CDM,49021933,"Hc Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaenous; 5 Cm Or Greater",6656.0,6656.0,,,0 CDM,49021933_PBB,"Hc Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaenous; 5 Cm Or Greater-Pbb",8303.5,8303.5,,,0 CDM,49022513,"Hc Perc Vert Aug,Incl Cvty Crtn Usng Mech Dev,1 Vert Bdy,Unilat/Bilat Cnultn, Inclsv Imgng Guid;Thor",38782.0,38782.0,,,0 CDM,49022514,"Hc Perc Vert Aug,Incl Cvty Crtn Usng Mech Dev,1 Vert Bdy,Unilat/Bilat Cnultn,Inclsv Imgng Guid; Lmbr",38547.0,38547.0,,,0 CDM,49022515,"Hc Per Vrt Aug,Inc Cav Crtn Mch Dev,1 Ver Bdy,Uni Or Bil Cnltn, Inc Img Gud;Ea Ad Thr Or Lum Vrt Bdy",24418.0,24418.0,,,0 CDM,49022900_PBB,"Hc Excision, Abdominal Wall Tumor, Subfascial-Pbb",9118.5,9118.5,,,0 CDM,49022902,"Hc Excision, Tumor, Soft Tissue Of Abdominal Wall, Subcutaneous; Less Than 3 Cm",5795.0,5795.0,,,0 CDM,49022902_PBB,"Hc Excision, Tumor, Soft Tissue Of Abdominal Wall, Subcutaneous; Less Than 3 Cm-Pbb",6752.5,6752.5,,,0 CDM,49022903,"Hc Excision, Tumor, Soft Tissue Of Abdominal Wall, Subcutaneous; 3 Cm Or Greater",8748.0,8748.0,,,0 CDM,49022903_PBB,"Hc Excision, Tumor, Soft Tissue Of Abdominal Wall, Subcutaneous; 3 Cm Or Greater-Pbb",10014.0,10014.0,,,0 CDM,49022904,"Hc Radical Resection Of Tumor, Soft Tissue Of Abdominal Wall; Less Than 5 Cm",4801.0,4801.0,,,0 CDM,49022904_PBB,"Hc Radical Resection Of Tumor, Soft Tissue Of Abdominal Wall; Less Than 5 Cm-Pbb",7084.0,7084.0,,,0 CDM,49022905,"Hc Radical Resection Of Tumor, Soft Tissue Of Abdominal Wall; 5 Cm Or Greater",6852.0,6852.0,,,0 CDM,49022905_PBB,"Hc Radical Resection Of Tumor, Soft Tissue Of Abdominal Wall; 5 Cm Or Greater-Pbb",9846.0,9846.0,,,0 CDM,49023065,"Hc Biopsy, Soft Tissue Of Should Area; Superficial",2904.0,2904.0,,,0 CDM,49023071,"Hc Excision Tumor, Soft Tissue Of Shoulder Area, Subcutaneous; 3 Cm Or Greater",8748.0,8748.0,,,0 CDM,49023071_PBB,"Hc Excision Tumor, Soft Tissue Of Shoulder Area, Subcutaneous; 3 Cm Or Greater-Pbb",9956.5,9956.5,,,0 CDM,49023073_PBB,Hc Exc Tumor Soft Tissue Shoulder Subfascial 5 Cm/>-Pbb,9375.5,9375.5,,,0 CDM,49023075,"Hc Excision Tumor, Soft Tissue Of Shoulder Area, Subcutaneous; Less Than 3 Cm",5795.0,5795.0,,,0 CDM,49023075_PBB,"Hc Excision Tumor, Soft Tissue Of Shoulder Area, Subcutaneous; Less Than 3 Cm-Pbb",8174.0,8174.0,,,0 CDM,49023350,Hc Injection Procedure For Should Arthrography Or Enhanced Ct/Mri Shoulder Arthrography,1231.0,1231.0,,,0 CDM,49023405,"Hc Tenotomy, Shoulder Area; Single Tendon",9891.0,9891.0,,,0 CDM,49023405_PBB,"Hc Tenotomy, Shoulder Area; Single Tendon-Pbb",12908.0,12908.0,,,0 CDM,49023500,Hc Closed Treatment Of Clavicular Fracture; Without Manipulation,1465.0,1465.0,,,0 CDM,49023500_PBB,Hc Closed Treatment Of Clavicular Fracture; Without Manipulation-Pbb,2617.0,2617.0,,,0 CDM,49023540,Hc Closed Treatment Of Acromioclavicular Disclocation; Without Manipulation,542.0,542.0,,,0 CDM,49023540_PBB,Hc Closed Treatment Of Acromioclavicular Disclocation; Without Manipulation-Pbb,1859.0,1859.0,,,0 CDM,49023570,Hc Closed Treatment Of Scapular Fracture; Without Manipulationc,541.0,541.0,,,0 CDM,49023570_PBB,Hc Closed Treatment Of Scapular Fracture; Without Manipulationc-Pbb,1911.5,1911.5,,,0 CDM,49023600,Hc Closed Treatment Of Proximal Humeral Fracture; Without Manipulation,2153.0,2153.0,,,0 CDM,49023600_PBB,Hc Closed Treatment Of Proximal Humeral Fracture; Without Manipulation-Pbb,3908.5,3908.5,,,0 CDM,49023605,"Hc Closed Treatment Of Proximal Humeral Fracture; W/ Manipulation, W/ Or W/Out Skeletal Traction",5924.0,5924.0,,,0 CDM,49023605_PBB,"Hc Closed Treatment Of Proximal Humeral Fracture; W/ Manipulation, W/ Or W/Out Skeletal Traction-Pbb",9106.5,9106.5,,,0 CDM,49023620,Hc Closed Treatment Of Greater Humeral Tuberosity Fracture; Without Manipulation,1775.0,1775.0,,,0 CDM,49023620_PBB,Hc Closed Treatment Of Greater Humeral Tuberosity Fracture; Without Manipulation-Pbb,3312.0,3312.0,,,0 CDM,49023650,"Hc Closed Treatment Of Shoulder Discloation, With Manipulation, Without Anesthesia",2197.0,2197.0,,,0 CDM,49023650_PBB,"Hc Closed Treatment Of Shoulder Discloation, With Manipulation, Without Anesthesia-Pbb",3734.5,3734.5,,,0 CDM,49023665,"Hc Closed Treatmnt Of Shoulder Dislocxn, W/ Fracture Of Greater Humeral Tuberosity, W/ Manipulation",3355.0,3355.0,,,0 CDM,49023665_PBB,"Hc Closed Treatmnt Of Shoulder Dislocxn, W/ Fracture Of Greater Humeral Tuberosity, W/ Manipulation-",6426.5,6426.5,,,0 CDM,49024071,"Hc Excision, Tumor, Soft Tissue Of Upper Arm Or Elbow Area, Subcutaneous; 3 Cm Or Greater",9314.0,9314.0,,,0 CDM,49024071_PBB,"Hc Excision, Tumor, Soft Tissue Of Upper Arm Or Elbow Area, Subcutaneous; 3 Cm Or Greater-Pbb",10486.0,10486.0,,,0 CDM,49024073,"Hc Excision, Tumorw, Soft Tissue Of Upper Arm Or Elbow Area, Subfascial, 5 Cm Or Greater",6947.0,6947.0,,,0 CDM,49024073_PBB,"Hc Excision, Tumorw, Soft Tissue Of Upper Arm Or Elbow Area, Subfascial, 5 Cm Or Greater-Pbb",8478.5,8478.5,,,0 CDM,49024075,"Hc Exicision, Tumor, Soft Tissue Of Upper Arm Or Elbow Area, Subcutaneous; Less Than 3 Cm",5795.0,5795.0,,,0 CDM,49024075_PBB,"Hc Exicision, Tumor, Soft Tissue Of Upper Arm Or Elbow Area, Subcutaneous; Less Than 3 Cm-Pbb",8163.5,8163.5,,,0 CDM,49024105_PBB,Hc Excision Olecranon Bursa-Pbb,12298.5,12298.5,,,0 CDM,49024220,Hc Injection Procedure For Elbow Arthography,700.0,700.0,,,0 CDM,49024357,"Hc Tenotomy, Elbow, Lateral Or Medial; Percutaneous",9891.0,9891.0,,,0 CDM,49024357_PBB,"Hc Tenotomy, Elbow, Lateral Or Medial; Percutaneous-Pbb",11980.0,11980.0,,,0 CDM,49024500,Hc Closed Treatment Of Humeral Shaft Fracture; Without Manipulation,743.0,743.0,,,0 CDM,49024500_PBB,Hc Closed Treatment Of Humeral Shaft Fracture; Without Manipulation-Pbb,2632.5,2632.5,,,0 CDM,49024530,"Hc Clsd Trtmnt Of Supracondylar/Trasncondular Femoral Fract W/Or W/Out Intercondylar Ext,W/O Manip",1202.0,1202.0,,,0 CDM,49024530_PBB,"Hc Clsd Trtmnt Of Supracondylar/Trasncondular Femoral Fract W/Or W/Out Intercondylar Ext,W/O Manip-P",3147.5,3147.5,,,0 CDM,49024535,"Hc Cl Tx Spracndylr Or Trnscondylr Hum Fx, W Or Wo Intrcndyla Ex;W Manip,W Or Wo Skn Or Skltl Trtn",2244.0,2244.0,,,0 CDM,49024535_PBB,"Hc Cl Tx Spracndylr Or Trnscondylr Hum Fx, W Or Wo Intrcndyla Ex;W Manip,W Or Wo Skn Or Skltl Trtn-P",6028.0,6028.0,,,0 CDM,49024560,"Hc Closed Treatment Of Humeral Epicondylar Fracture, Medial Or Lateral; Without Manipulation",809.0,809.0,,,0 CDM,49024560_PBB,"Hc Closed Treatment Of Humeral Epicondylar Fracture, Medial Or Lateral; Without Manipulation-Pbb",2702.5,2702.5,,,0 CDM,49024576,"Hc Closed Treatment Of Humeral Condylar Fracture, Medial Or Lateral; Without Manipulation",1046.0,1046.0,,,0 CDM,49024576_PBB,"Hc Closed Treatment Of Humeral Condylar Fracture, Medial Or Lateral; Without Manipulation-Pbb",2614.5,2614.5,,,0 CDM,49024600,Hc Treatment Of Closed Elbow Dislocation; Without Anesthesia,2419.0,2419.0,,,0 CDM,49024600_PBB,Hc Treatment Of Closed Elbow Dislocation; Without Anesthesia-Pbb,4149.5,4149.5,,,0 CDM,49024620,Hc Clsd Tx Monteggia Elb Fx W/Manip,5611.0,5611.0,,,0 CDM,49024620_PBB,Hc Clsd Tx Monteggia Elb Fx W/Manip-Pbb,8467.0,8467.0,,,0 CDM,49024640,"Hc Closed Treatment Of Radial Head Subluxation In Child, Nursemaid Elbow, With Manipulation",834.0,834.0,,,0 CDM,49024640_PBB,"Hc Closed Treatment Of Radial Head Subluxation In Child, Nursemaid Elbow, With Manipulation-Pbb",1537.0,1537.0,,,0 CDM,49024650,Hc Closed Treatment Of Radial Head Or Neck Fracture; Without Manipulation,834.0,834.0,,,0 CDM,49024650_PBB,Hc Closed Treatment Of Radial Head Or Neck Fracture; Without Manipulation-Pbb,2318.5,2318.5,,,0 CDM,49024655,Hc Closed Tx Radial Hd/Neck Fx; W Manip,5063.0,5063.0,,,0 CDM,49024655_PBB,Hc Closed Tx Radial Hd/Neck Fx; W Manip-Pbb,7279.5,7279.5,,,0 CDM,49024670,"Hc Closed Treatment Of Ulnar Fracture, Proximal End",1915.0,1915.0,,,0 CDM,49024670_PBB,"Hc Closed Treatment Of Ulnar Fracture, Proximal End-Pbb",3752.5,3752.5,,,0 CDM,49024675,Hc Closed Tx Ulnar Fracture Proximal End W/Manj,4594.0,4594.0,,,0 CDM,49025071,Hc Exc Tumor Soft Tiss Forearm And/Wrist Subq 3Cm/>,4499.0,4499.0,,,0 CDM,49025071_PBB,Hc Exc Tumor Soft Tiss Forearm And/Wrist Subq 3Cm/>-Pbb,6486.5,6486.5,,,0 CDM,49025073_PBB,Hc Exc Forearm & Wrist Tum Deep 3 Cm/>-Pbb,12304.0,12304.0,,,0 CDM,49025075_PBB,"Hc Excision, Tumor, Forearm &/Or Wrist Area; Subq-Pbb",7050.0,7050.0,,,0 CDM,49025111_PBB,"Hc Excision, Ganglion, Wrist (Dorsal/Volar); Primary-Pbb",6902.0,6902.0,,,0 CDM,49025118_PBB,"Hc Synovectomy, Extensor Tendon Sheath, Wrist, Single Compartment;-Pbb",7030.0,7030.0,,,0 CDM,49025246,Hc Injection Procedure For Wrist Arthography,1111.0,1111.0,,,0 CDM,49025500,"Hc Closed Treatment Of Radial Shaft Fracture, Without Manipulation",1775.0,1775.0,,,0 CDM,49025500_PBB,"Hc Closed Treatment Of Radial Shaft Fracture, Without Manipulation-Pbb",3202.5,3202.5,,,0 CDM,49025505,Hc Closed Treatment Of Radial Shaft Fracure; With Manipulation,2464.0,2464.0,,,0 CDM,49025505_PBB,Hc Closed Treatment Of Radial Shaft Fracure; With Manipulation-Pbb,5236.5,5236.5,,,0 CDM,49025520,Hc Closed Treatmnt Of Radial Shaft Fx And Closed Treatmnt Of Discloation Of Distal Radioulnar Joint,1707.0,1707.0,,,0 CDM,49025520_PBB,Hc Closed Treatmnt Of Radial Shaft Fx And Closed Treatmnt Of Discloation Of Distal Radioulnar Joint-,4143.5,4143.5,,,0 CDM,49025530,Hc Closed Treatment Of Ulnar Shaft Fracture; Without Manipulation,1715.0,1715.0,,,0 CDM,49025530_PBB,Hc Closed Treatment Of Ulnar Shaft Fracture; Without Manipulation-Pbb,3142.5,3142.5,,,0 CDM,49025560,Hc Closed Treatment Of Radial And Ulnar Fractures; Without Manipulation,1832.0,1832.0,,,0 CDM,49025560_PBB,Hc Closed Treatment Of Radial And Ulnar Fractures; Without Manipulation-Pbb,3391.5,3391.5,,,0 CDM,49025565,"Hc Closed Treatment Of Radial And Ulnar Shaft Fractures, With Manipulation",3446.0,3446.0,,,0 CDM,49025565_PBB,"Hc Closed Treatment Of Radial And Ulnar Shaft Fractures, With Manipulation-Pbb",6564.0,6564.0,,,0 CDM,49025600,"Hc Closed Tx Of Dist Rad Fx Or Epiphyseal Sep, Includes Closed Tx Of Fx Of Ulnar Styloid; Wo Manip",2150.0,2150.0,,,0 CDM,49025600_PBB,"Hc Closed Tx Of Dist Rad Fx Or Epiphyseal Sep, Includes Closed Tx Of Fx Of Ulnar Styloid; Wo Manip-P",3794.0,3794.0,,,0 CDM,49025605,"Hc Closed Tx Of Dist Rad Fx Or Epiphyseal Sep, Includes Closed Tx Of Fx Of Ulnar Styloid; W Manip",3625.0,3625.0,,,0 CDM,49025605_PBB,"Hc Closed Tx Of Dist Rad Fx Or Epiphyseal Sep, Includes Closed Tx Of Fx Of Ulnar Styloid; W Manip-Pb",6655.5,6655.5,,,0 CDM,49025622,Hc Closed Treatment Of Carpal Scaphoid Fracture; Without Manipulation,1999.0,1999.0,,,0 CDM,49025622_PBB,Hc Closed Treatment Of Carpal Scaphoid Fracture; Without Manipulation-Pbb,3729.5,3729.5,,,0 CDM,49025630,"Hc Closed Treatment Of Carpal Bone Fracture; Without Manipulation, Each Bone",803.0,803.0,,,0 CDM,49025630_PBB,"Hc Closed Treatment Of Carpal Bone Fracture; Without Manipulation, Each Bone-Pbb",2362.5,2362.5,,,0 CDM,49025635,Hc Closed Treatment Carpal Bone Fracture With Manipulation,2989.0,2989.0,,,0 CDM,49025635_PBB,Hc Closed Treatment Carpal Bone Fracture With Manipulation-Pbb,4999.0,4999.0,,,0 CDM,49025675,Hc Closed Treatment Of Distal Radioulnar Disclocation With Manipulation,2916.0,2916.0,,,0 CDM,49025675_PBB,Hc Closed Treatment Of Distal Radioulnar Disclocation With Manipulation-Pbb,5168.5,5168.5,,,0 CDM,49026075,"Hc Arthrotomy, Exploration/Drainage/Removal, Loose/Fb; Metacarpophalangeal Joint",9252.0,9252.0,,,0 CDM,49026080,"Hc Arthrotomy, Exploration/Drainage/Removal, Loose/Fb; Ip Joint, Each",4801.0,4801.0,,,0 CDM,49026115,"Hc Excsn, Tumor Or Vasc Malformation, Soft Tissue Of Hand Or Finger, Subcu; Less Than 1.5 Cm",5795.0,5795.0,,,0 CDM,49026115_PBB,"Hc Excsn, Tumor Or Vasc Malformation, Soft Tissue Of Hand Or Finger, Subcu; Less Than 1.5 Cm-Pbb",8568.0,8568.0,,,0 CDM,49026116_PBB,"Hc Excision, Tumor/Vascular Mlformtn, Hnd/Fngr; Deep, Subfascl, Im-Pbb",8240.0,8240.0,,,0 CDM,49026170_PBB,"Hc Excision, Tendon, Palm, Flexor, Single (Sep Proc), Each-Pbb",7142.0,7142.0,,,0 CDM,49026235,"Hc Partial Excision, Bone; Proximal/Middle Phalanx, Finger",4303.0,4303.0,,,0 CDM,49026341,"Hc Manipulation, Palmar Fascial Cord, Post Enzyme Injection, Single Cord",1765.0,1765.0,,,0 CDM,49026341_PBB,"Hc Manipulation, Palmar Fascial Cord, Post Enzyme Injection, Single Cord-Pbb",2276.5,2276.5,,,0 CDM,49026356_PBB,"""Hc Flexor Tendon Repair/Advance, In """"""""No Man's Land""""""""; Primary, Each Tendon-Pbb""",11221.5,11221.5,,,0 CDM,49026418,"Hc Repair, Extensor Tendon, Finger, Primary/Secondary; W/O Free Graft, Each Tendon",4950.0,4950.0,,,0 CDM,49026432_PBB,Hc Closed Treatment Of Distal Extensor Tendon Insertion-Pbb,4734.0,4734.0,,,0 CDM,49026437_PBB,"Hc Realignment, Extensor Tendon, Hand, Each Tendon-Pbb",10185.5,10185.5,,,0 CDM,49026445_PBB,"Hc Tenolysis, Extensor Tendon, Hand/Finger; Each Tendon-Pbb",13164.0,13164.0,,,0 CDM,49026587,"Hc Reconstruction, Supernumerary Digit, Soft Tissue & Bone",8097.0,8097.0,,,0 CDM,49026587_PBB,"Hc Reconstruction, Supernumerary Digit, Soft Tissue & Bone-Pbb",11956.5,11956.5,,,0 CDM,49026600,"Hc Closed Treatment Of Metacarpal Fracture, Single; Without Manipulation, Each Bone",1930.0,1930.0,,,0 CDM,49026600_PBB,"Hc Closed Treatment Of Metacarpal Fracture, Single; Without Manipulation, Each Bone-Pbb",3276.0,3276.0,,,0 CDM,49026605,"Hc Closed Treatment Of Metacarpal Fracture, Single; With Manipulation, Each Bone",2114.0,2114.0,,,0 CDM,49026605_PBB,"Hc Closed Treatment Of Metacarpal Fracture, Single; With Manipulation, Each Bone-Pbb",3865.0,3865.0,,,0 CDM,49026641,"Hc Closed Treatment Of Carpometacarpal Disclocation, Thumb, With Manipulation",2414.0,2414.0,,,0 CDM,49026641_PBB,"Hc Closed Treatment Of Carpometacarpal Disclocation, Thumb, With Manipulation-Pbb",4231.5,4231.5,,,0 CDM,49026650,"Hc Percutaneous Skeletal Fixation Of Carpometacarpal Fracture Discloation, Thumb, With Manipulation",7766.0,7766.0,,,0 CDM,49026650_PBB,"Hc Percutaneous Skeletal Fixation Of Carpometacarpal Fracture Discloation, Thumb, With Manipulation-",11536.5,11536.5,,,0 CDM,49026670,"Hc Clsd Tx Of Carpometacarpal Discloation, Other Than Thumb, W/ Manipulation, Ea Joint; Req Anes",775.0,775.0,,,0 CDM,49026670_PBB,"Hc Clsd Tx Of Carpometacarpal Discloation, Other Than Thumb, W/ Manipulation, Ea Joint; Req Anes-Pbb",2256.5,2256.5,,,0 CDM,49026700,"Hc Closed Treatment Of Metacarpophalangeal Dislocation, Single, With Maniulation; Without Anesthesia",2137.0,2137.0,,,0 CDM,49026700_PBB,"Hc Closed Treatment Of Metacarpophalangeal Dislocation, Single, With Maniulation; Without Anesthesia",3483.5,3483.5,,,0 CDM,49026720,"Hc Clsd Tx Of Phalangeal Shaft Fx, Proximal Or Middle Phalanx, Finger Or Thumb; W/Out Manip, Ea",1304.0,1304.0,,,0 CDM,49026720_PBB,"Hc Clsd Tx Of Phalangeal Shaft Fx, Proximal Or Middle Phalanx, Finger Or Thumb; W/Out Manip, Ea-Pbb",2316.0,2316.0,,,0 CDM,49026725,"Hc Clsd Tx Of Phalangeal Shaft Fx, Proximal Or Middle Phalanx, Finger Or Thumb; W/Out Manip",2216.0,2216.0,,,0 CDM,49026725_PBB,"Hc Clsd Tx Of Phalangeal Shaft Fx, Proximal Or Middle Phalanx, Finger Or Thumb; W/Out Manip-Pbb",3967.0,3967.0,,,0 CDM,49026740,"Hc Clsd Tx Of Articular Fx, Involving Metacarpophalangeal/Interphalangeal Joint; W/ Manip",655.0,655.0,,,0 CDM,49026740_PBB,"Hc Clsd Tx Of Articular Fx, Involving Metacarpophalangeal/Interphalangeal Joint; W/ Manip-Pbb",2201.5,2201.5,,,0 CDM,49026750,"Hc Closed Treatment Of Distal Phalanageal Fracture, Finger Or Thumb, Without Manipulation, Each",1216.0,1216.0,,,0 CDM,49026750_PBB,"Hc Closed Treatment Of Distal Phalanageal Fracture, Finger Or Thumb, Without Manipulation, Each-Pbb",2227.5,2227.5,,,0 CDM,49026755,"Hc Closed Treatment Of Distal Phalanageal Fracture, Finger Or Thumb, With Manipulation, Each",2069.0,2069.0,,,0 CDM,49026755_PBB,"Hc Closed Treatment Of Distal Phalanageal Fracture, Finger Or Thumb, With Manipulation, Each-Pbb",3415.5,3415.5,,,0 CDM,49026765,"Hc Open Treatment, Distal Phalangeal Fx, Finger/Thumb",10061.0,10061.0,,,0 CDM,49026770,"Hc Closed Treatment Of Interphalangeal Joint Dislocation, Single, W/ Manipulation; W/Out Anesthesia",1828.0,1828.0,,,0 CDM,49026770_PBB,"Hc Closed Treatment Of Interphalangeal Joint Dislocation, Single, W/ Manipulation; W/Out Anesthesia-",3174.0,3174.0,,,0 CDM,49026951,"Hc Amputation Finger/Thumb, Single; With Direct Closure",10138.0,10138.0,,,0 CDM,49026951_PBB,"Hc Amputation Finger/Thumb, Single; With Direct Closure-Pbb",11704.5,11704.5,,,0 CDM,49026952,"Hc Amputation, Finger/Thumb, W/ Neurectomies; W/ Local Advance Flaps",9977.0,9977.0,,,0 CDM,49027000,Hc Orth-Tenotomy Percu Abdctr Hip Sep Proc,8302.0,8302.0,,,0 CDM,49027000_PBB,Hc Orth-Tenotomy Percu Abdctr Hip Sep Proc-Pbb,10942.5,10942.5,,,0 CDM,49027041,"Hc Bx, Soft Tissue, Pelvis & Hip Area; Deep, Subfascial/Im",4146.0,4146.0,,,0 CDM,49027043,Hc Dmpr-Exc Tmr Sft Tsu Plvs Hp Sb Q 3/>Cm,8748.0,8748.0,,,0 CDM,49027043_PBB,Hc Dmpr-Exc Tmr Sft Tsu Plvs Hp Sb Q 3/>Cm-Pbb,10107.5,10107.5,,,0 CDM,49027047,Hc Dmpr-Excis Tum Pelvis Hip Area Subq Tiss,5795.0,5795.0,,,0 CDM,49027047_PBB,Hc Dmpr-Excis Tum Pelvis Hip Area Subq Tiss-Pbb,7994.0,7994.0,,,0 CDM,49027093,Hc Gdgp-Inj Proc Hip Arthrography; Wo Anes,1257.0,1257.0,,,0 CDM,49027200,Hc Closed Treatment Of Coccygeal Fracture,806.0,806.0,,,0 CDM,49027200_PBB,Hc Closed Treatment Of Coccygeal Fracture-Pbb,1866.0,1866.0,,,0 CDM,49027220,Hc Closed Treatment Of Acetabulum Fracture; Without Manipulation,915.0,915.0,,,0 CDM,49027220_PBB,Hc Closed Treatment Of Acetabulum Fracture; Without Manipulation-Pbb,3661.5,3661.5,,,0 CDM,49027250,"Hc Closed Treatment Of Hip Disclocation, Traumatic; Without Anesthesia",1234.0,1234.0,,,0 CDM,49027250_PBB,"Hc Closed Treatment Of Hip Disclocation, Traumatic; Without Anesthesia-Pbb",3490.0,3490.0,,,0 CDM,49027267,"Hc Closed Treatment Of Femoral Fracture, Proximal End, Head; Without Manipulation",1995.0,1995.0,,,0 CDM,49027267_PBB,"Hc Closed Treatment Of Femoral Fracture, Proximal End, Head; Without Manipulation-Pbb",3546.0,3546.0,,,0 CDM,49027306,"Hc Tenotomy, Percutaneous, Adductor Or Hamstring; Single Tendon",8302.0,8302.0,,,0 CDM,49027306_PBB,"Hc Tenotomy, Percutaneous, Adductor Or Hamstring; Single Tendon-Pbb",10621.5,10621.5,,,0 CDM,49027323,"Hc Biopsy, Soft Tissue Of Thigh Or Knee Area; Superficial",4224.0,4224.0,,,0 CDM,49027327,"Hc Excision, Tumor, Soft Tissue Of Thigh Or Knee Area, Subcutaneous; Less Than 3 Cm",8748.0,8748.0,,,0 CDM,49027327_PBB,"Hc Excision, Tumor, Soft Tissue Of Thigh Or Knee Area, Subcutaneous; Less Than 3 Cm-Pbb",13766.5,13766.5,,,0 CDM,49027337,"Hc Excision, Tumor, Soft Tissue Of Thigh Or Knee Area, Subcutaneous; Greater Than 3 Cm",8748.0,8748.0,,,0 CDM,49027337_PBB,"Hc Excision, Tumor, Soft Tissue Of Thigh Or Knee Area, Subcutaneous; Greater Than 3 Cm-Pbb",9959.0,9959.0,,,0 CDM,49027500,"Hc Closed Treatment Of Femoral Shaft Fracture, Without Manipulation",1895.0,1895.0,,,0 CDM,49027500_PBB,"Hc Closed Treatment Of Femoral Shaft Fracture, Without Manipulation-Pbb",5096.5,5096.5,,,0 CDM,49027501,"Hc Clsd Trtmnt Of Supracondylar Or Transcondylar Humrl Futr,W/Or W/O Intercondylar Ext;W/O Manipultn",872.0,872.0,,,0 CDM,49027501_PBB,"Hc Clsd Trtmnt Of Supracondylar Or Transcondylar Humrl Futr,W/Or W/O Intercondylar Ext;W/O Manipultn",3866.0,3866.0,,,0 CDM,49027502,"Hc Closed Treatment Fem Shaft Fx, W Manip, W/ Or W/O Skn/Skltl Trctn",4106.0,4106.0,,,0 CDM,49027502_PBB,"Hc Closed Treatment Fem Shaft Fx, W Manip, W/ Or W/O Skn/Skltl Trctn-Pbb",7178.0,7178.0,,,0 CDM,49027508,"Hc Closed Treatment Of Femoral Fracture, Distal End, Medial Or Lateral Condyle, Without Manipulation",1438.0,1438.0,,,0 CDM,49027508_PBB,"Hc Closed Treatment Of Femoral Fracture, Distal End, Medial Or Lateral Condyle, Without Manipulation",4181.0,4181.0,,,0 CDM,49027510,"Hc Clsd Tx Fem Fx, Dstl End, Med Or Lat Condyle, W/Manip",4269.0,4269.0,,,0 CDM,49027510_PBB,"Hc Clsd Tx Fem Fx, Dstl End, Med Or Lat Condyle, W/Manip-Pbb",7005.0,7005.0,,,0 CDM,49027516,Hc Closed Treatment Of Distal Femoral Epiph Yseal Separation; Without Manipulation,1086.0,1086.0,,,0 CDM,49027516_PBB,Hc Closed Treatment Of Distal Femoral Epiph Yseal Separation; Without Manipulation-Pbb,4104.5,4104.5,,,0 CDM,49027520,"Hc Closed Treatment Of Patellar Fracture, Without Manipulation",2137.0,2137.0,,,0 CDM,49027520_PBB,"Hc Closed Treatment Of Patellar Fracture, Without Manipulation-Pbb",3762.0,3762.0,,,0 CDM,49027530,"Hc Closed Treatment Of Tibial Fracture, Proximal; Without Manipulation",3488.0,3488.0,,,0 CDM,49027530_PBB,"Hc Closed Treatment Of Tibial Fracture, Proximal; Without Manipulation-Pbb",5591.0,5591.0,,,0 CDM,49027532,"Hc Closed Treatment Of Tibial Fracture, Proximal; W/ Or W/Out Manipulation, W/ Skeletal Traction",9322.0,9322.0,,,0 CDM,49027532_PBB,"Hc Closed Treatment Of Tibial Fracture, Proximal; W/ Or W/Out Manipulation, W/ Skeletal Traction-Pbb",12157.0,12157.0,,,0 CDM,49027538,"Hc Closed Treatmnt Of Intercondylar Spine And/Or Tuberosity Fracture Of Knee, W/ Or W/O Manipulation",1008.0,1008.0,,,0 CDM,49027538_PBB,"Hc Closed Treatmnt Of Intercondylar Spine And/Or Tuberosity Fracture Of Knee, W/ Or W/O Manipulation",3386.5,3386.5,,,0 CDM,49027550,"Hc Closed Treatment Of Knee Disclocation, Without Anesthesia",3295.0,3295.0,,,0 CDM,49027550_PBB,"Hc Closed Treatment Of Knee Disclocation, Without Anesthesia-Pbb",4758.0,4758.0,,,0 CDM,49027605,"Hc Tenotomy, Percutaneous, Achilles Tendon, Local Anesthesia",8713.0,8713.0,,,0 CDM,49027605_PBB,"Hc Tenotomy, Percutaneous, Achilles Tendon, Local Anesthesia-Pbb",9858.0,9858.0,,,0 CDM,49027614,"Hc Biopsy Soft Tissue Leg/Ankle, Deep",9662.0,9662.0,,,0 CDM,49027618,"Hc Excision, Tumor, Soft Tissue Of Leg Or Ankle Area, Subcutaneous; Less Than 3 Cm",5795.0,5795.0,,,0 CDM,49027618_PBB,"Hc Excision, Tumor, Soft Tissue Of Leg Or Ankle Area, Subcutaneous; Less Than 3 Cm-Pbb",7833.0,7833.0,,,0 CDM,49027632,"Hc Excision, Tumor, Soft Tissue Of Leg Or Ankle Area, Subcutaneous; 3 Cm Or Greater",8748.0,8748.0,,,0 CDM,49027632_PBB,"Hc Excision, Tumor, Soft Tissue Of Leg Or Ankle Area, Subcutaneous; 3 Cm Or Greater-Pbb",9939.0,9939.0,,,0 CDM,49027648,Hc Injection Procedure For Ankle Arthrography,837.0,837.0,,,0 CDM,49027750,Hc Closed Treatment Of Tibial Shaft Fracture; Without Manipulation,2281.0,2281.0,,,0 CDM,49027750_PBB,Hc Closed Treatment Of Tibial Shaft Fracture; Without Manipulation-Pbb,4150.0,4150.0,,,0 CDM,49027752,"Hc Closed Treatment Of Tibial Shaft Fracture; With Manipulation, With Or Without Skeletal Traction",3064.0,3064.0,,,0 CDM,49027752_PBB,"Hc Closed Treatment Of Tibial Shaft Fracture; With Manipulation, With Or Without Skeletal Traction-P",6703.0,6703.0,,,0 CDM,49027760,"Hc Closed Treatment Of Medial Malleolus Fracture, Without Manipulation",2206.0,2206.0,,,0 CDM,49027760_PBB,"Hc Closed Treatment Of Medial Malleolus Fracture, Without Manipulation-Pbb",3977.0,3977.0,,,0 CDM,49027762,"Hc Closed Treatmnt Of Medial Malleolus Fractre, W/ Manipulation, W/ Or W/O Skin Or Skeletal Tractn",5924.0,5924.0,,,0 CDM,49027762_PBB,"Hc Closed Treatmnt Of Medial Malleolus Fractre, W/ Manipulation, W/ Or W/O Skin Or Skeletal Tractn-",8877.0,8877.0,,,0 CDM,49027767,Hc Clsoed Treatment Of Posterior Malleolus Fracture; Without Manipulation,692.0,692.0,,,0 CDM,49027767_PBB,Hc Clsoed Treatment Of Posterior Malleolus Fracture; Without Manipulation-Pbb,1925.0,1925.0,,,0 CDM,49027768,Hc Closed Treatment Of Posterior Malleolus Fracture; With Manipulation,2244.0,2244.0,,,0 CDM,49027768_PBB,Hc Closed Treatment Of Posterior Malleolus Fracture; With Manipulation-Pbb,4169.0,4169.0,,,0 CDM,49027780,Hc Closed Treatment Of Proximal Fibular Or Shaft Fracture; Without Manipulation,2026.0,2026.0,,,0 CDM,49027780_PBB,Hc Closed Treatment Of Proximal Fibular Or Shaft Fracture; Without Manipulation-Pbb,3377.5,3377.5,,,0 CDM,49027781,Hc Closed Treatment Of Proximal Fibular Or Shaft Fracture; With Manipulation,5186.0,5186.0,,,0 CDM,49027781_PBB,Hc Closed Treatment Of Proximal Fibular Or Shaft Fracture; With Manipulation-Pbb,7643.0,7643.0,,,0 CDM,49027786,Hc Closed Treatment Of Distal Fibular Fracture; Without Manipulation,2180.0,2180.0,,,0 CDM,49027786_PBB,Hc Closed Treatment Of Distal Fibular Fracture; Without Manipulation-Pbb,3753.0,3753.0,,,0 CDM,49027788,Hc Closed Treatment Of Distal Fibular Fracture; With Manipulation,2785.0,2785.0,,,0 CDM,49027788_PBB,Hc Closed Treatment Of Distal Fibular Fracture; With Manipulation-Pbb,5536.5,5536.5,,,0 CDM,49027808,Hc Closed Treatment Of Bimalleolar Ankle Fracture ; Without Manipulation,2204.0,2204.0,,,0 CDM,49027808_PBB,Hc Closed Treatment Of Bimalleolar Ankle Fracture ; Without Manipulation-Pbb,3975.5,3975.5,,,0 CDM,49027810,Hc Closed Treatment Of Bimalleolar Ankle Fracture ; With Manipulation,3119.0,3119.0,,,0 CDM,49027810_PBB,Hc Closed Treatment Of Bimalleolar Ankle Fracture ; With Manipulation-Pbb,6071.5,6071.5,,,0 CDM,49027816,Hc Closed Treatment Of Trimalleolar Ankle Fracture; Without Manipulation,1046.0,1046.0,,,0 CDM,49027816_PBB,Hc Closed Treatment Of Trimalleolar Ankle Fracture; Without Manipulation-Pbb,2719.5,2719.5,,,0 CDM,49027824,"Hc Clsd Tx Fx Of Weight Bearing Articular Portion Of Tibira, W/Or W/Out Anes; W/Out Manip",2062.0,2062.0,,,0 CDM,49027824_PBB,"Hc Clsd Tx Fx Of Weight Bearing Articular Portion Of Tibira, W/Or W/Out Anes; W/Out Manip-Pbb",3833.0,3833.0,,,0 CDM,49027830,Hc Closed Treatment Of Proximal Tibiofibular Joint Disclocation; Without Anesthesia,806.0,806.0,,,0 CDM,49027830_PBB,Hc Closed Treatment Of Proximal Tibiofibular Joint Disclocation; Without Anesthesia-Pbb,2675.0,2675.0,,,0 CDM,49027840,Hc Closed Treatment Of Ankle Discloation; Without Anesthesia,2476.0,2476.0,,,0 CDM,49027840_PBB,Hc Closed Treatment Of Ankle Discloation; Without Anesthesia-Pbb,4345.0,4345.0,,,0 CDM,49027842,"Hc Closed Treatment Of Ankle Discloation; Requiring Anesthesia, W/ Or W/Out Perc Skeletal Fixation",6053.0,6053.0,,,0 CDM,49027842_PBB,"Hc Closed Treatment Of Ankle Discloation; Requiring Anesthesia, W/ Or W/Out Perc Skeletal Fixation-P",9494.0,9494.0,,,0 CDM,49027899,Hc Unlisted Procedure Leg/Ankle,8567.0,8567.0,,,0 CDM,49028008,"Hc Fasciotomty, Foot And/Or Toe",8713.0,8713.0,,,0 CDM,49028008_PBB,"Hc Fasciotomty, Foot And/Or Toe-Pbb",10498.5,10498.5,,,0 CDM,49028039,"Hc Excision, Tumor, Soft Tissue Of Foot Or Toe, Subcutaneous; 1.5 Cm Or Greater",8748.0,8748.0,,,0 CDM,49028039_PBB,"Hc Excision, Tumor, Soft Tissue Of Foot Or Toe, Subcutaneous; 1.5 Cm Or Greater-Pbb",10080.5,10080.5,,,0 CDM,49028043,"Hc Excision, Tumor, Soft Tissue Of Foot Or Toe, Subcutaneous; Less Than 1.5 Cm",5795.0,5795.0,,,0 CDM,49028043_PBB,"Hc Excision, Tumor, Soft Tissue Of Foot Or Toe, Subcutaneous; Less Than 1.5 Cm-Pbb",7741.5,7741.5,,,0 CDM,49028060,"Hc Fasciectomy, Plantar Fascia; Partial",8713.0,8713.0,,,0 CDM,49028060_PBB,"Hc Fasciectomy, Plantar Fascia; Partial-Pbb",10891.5,10891.5,,,0 CDM,49028208,"Hc Repair, Tendon, Extensor, Foot; Primary/Secondary, Each Tendon",10278.0,10278.0,,,0 CDM,49028400,Hc Closed Ttreatment Of Calcaneal Fracture; Without Manipulation,1648.0,1648.0,,,0 CDM,49028400_PBB,Hc Closed Ttreatment Of Calcaneal Fracture; Without Manipulation-Pbb,3492.0,3492.0,,,0 CDM,49028430,Hc Closed Treatment Of Talus Fracture; Without Manipulation,655.0,655.0,,,0 CDM,49028430_PBB,Hc Closed Treatment Of Talus Fracture; Without Manipulation-Pbb,2383.5,2383.5,,,0 CDM,49028435,Hc Closed Treatment Of Talus Fracture; With Manipulation,2622.0,2622.0,,,0 CDM,49028435_PBB,Hc Closed Treatment Of Talus Fracture; With Manipulation-Pbb,4696.0,4696.0,,,0 CDM,49028450,"Hc Treatment Of Tarsal Bone Fracture; Without Manipulation, Each",1411.0,1411.0,,,0 CDM,49028450_PBB,"Hc Treatment Of Tarsal Bone Fracture; Without Manipulation, Each-Pbb",2910.0,2910.0,,,0 CDM,49028455,"Hc Treatment Of Tarsal Bone Fracture; With Manipulation, Each",2244.0,2244.0,,,0 CDM,49028455_PBB,"Hc Treatment Of Tarsal Bone Fracture; With Manipulation, Each-Pbb",4318.0,4318.0,,,0 CDM,49028470,"Hc Closed Treatment Of Metatarsal Fracture; Without Manipulation, Each",1537.0,1537.0,,,0 CDM,49028470_PBB,"Hc Closed Treatment Of Metatarsal Fracture; Without Manipulation, Each-Pbb",2920.5,2920.5,,,0 CDM,49028475,"Hc Closed Treatment Of Metatarsal Fracture; With Manipulation, Each",1843.0,1843.0,,,0 CDM,49028475_PBB,"Hc Closed Treatment Of Metatarsal Fracture; With Manipulation, Each-Pbb",3742.5,3742.5,,,0 CDM,49028476,"Hc Percutaneous Skeletal Fixation Of Metatarsal Fracture, With Manipulation, Each",9505.0,9505.0,,,0 CDM,49028476_PBB,"Hc Percutaneous Skeletal Fixation Of Metatarsal Fracture, With Manipulation, Each-Pbb",12270.0,12270.0,,,0 CDM,49028490,"Hc Closed Treatment Of Fracture Great Toe, Phalanx Or Phalanges; Without Manipulation",1046.0,1046.0,,,0 CDM,49028490_PBB,"Hc Closed Treatment Of Fracture Great Toe, Phalanx Or Phalanges; Without Manipulation-Pbb",1823.0,1823.0,,,0 CDM,49028495,"Hc Closed Treatment Of Fracture Great Toe, Phalanx Or Phalanges; With Manipulation",1267.0,1267.0,,,0 CDM,49028495_PBB,"Hc Closed Treatment Of Fracture Great Toe, Phalanx Or Phalanges; With Manipulation-Pbb",2305.5,2305.5,,,0 CDM,49028510,"Hc Closed Treatment Of Fracture, Phalanx Or Phalanges, Other Than Great Toe; W/O Manipulation, Each",802.0,802.0,,,0 CDM,49028510_PBB,"Hc Closed Treatment Of Fracture, Phalanx Or Phalanges, Other Than Great Toe; W/O Manipulation, Each-",1553.0,1553.0,,,0 CDM,49028515,"Hc Closed Treatment Of Fracture, Phalanx Or Phalanges, Other Than Great Toe; With Manipulation, Each",1048.0,1048.0,,,0 CDM,49028515_PBB,"Hc Closed Treatment Of Fracture, Phalanx Or Phalanges, Other Than Great Toe; With Manipulation, Each",2000.0,2000.0,,,0 CDM,49028530,Hc Closed Treatment Of Sesamoid Fractyre,806.0,806.0,,,0 CDM,49028530_PBB,Hc Closed Treatment Of Sesamoid Fractyre-Pbb,1729.0,1729.0,,,0 CDM,49028630,"Hc Closed Treatment Of Metatarsophalangeal Joint Disclocation, Without Anesthesia",806.0,806.0,,,0 CDM,49028630_PBB,"Hc Closed Treatment Of Metatarsophalangeal Joint Disclocation, Without Anesthesia-Pbb",1729.0,1729.0,,,0 CDM,49028635,"Hc Closed Treatment Of Metatarsophalangeal Joint Disclocation, Requiring Anesthesia",5924.0,5924.0,,,0 CDM,49028635_PBB,"Hc Closed Treatment Of Metatarsophalangeal Joint Disclocation, Requiring Anesthesia-Pbb",6963.0,6963.0,,,0 CDM,49028660,"Hc Closed Treatment Of Interphalangeal Joint Disclocation, Without Anesthesia",1004.0,1004.0,,,0 CDM,49028660_PBB,"Hc Closed Treatment Of Interphalangeal Joint Disclocation, Without Anesthesia-Pbb",1693.0,1693.0,,,0 CDM,49028825,"Hc Amputation, Toe; Ip Joint",8930.0,8930.0,,,0 CDM,49029105,Hc Application Long Arm Splint,641.0,641.0,,,0 CDM,49029105_CAST,Hc Application Long Arm Splint-Cast,641.0,641.0,,,0 CDM,49029105_CASTPBB,"Hc Application Long Arm Splint-Cast,Pbb",641.0,641.0,,,0 CDM,49029105_PBB,Hc Application Long Arm Splint-Pbb,1154.5,1154.5,,,0 CDM,49029540,Hc Strapping; Ankle And/Or Foot,463.0,463.0,,,0 CDM,49029540_PBB,Hc Strapping; Ankle And/Or Foot-Pbb,649.0,649.0,,,0 CDM,49029550,Hc Foot-Strapping; Toes,349.0,349.0,,,0 CDM,49029550_PBB,Hc Foot-Strapping; Toes-Pbb,465.0,465.0,,,0 CDM,49029580,Hc Strapping; Unna Boot,879.6,879.6,,,0 CDM,49029580_PBB,Hc Strapping; Unna Boot-Pbb,1143.0,1143.0,,,0 CDM,49029848_PBB,"Hc Endoscopy, Wrist, Surgical, W/ Release, Transverse Carpal Ligament-Pbb",5860.5,5860.5,,,0 CDM,49030020,"Hc Drainage Abcess Or Hematoma, Nasal Septum",4279.0,4279.0,,,0 CDM,49030020_PBB,"Hc Drainage Abcess Or Hematoma, Nasal Septum-Pbb",4956.0,4956.0,,,0 CDM,49030100,"Hc Biopsy, Intranasal",2744.0,2744.0,,,0 CDM,49030100_PBB,"Hc Biopsy, Intranasal-Pbb",3236.0,3236.0,,,0 CDM,49030115,Hc Excision Nasal Polyp Extension,9346.0,9346.0,,,0 CDM,49030115_PBB,Hc Excision Nasal Polyp Extension-Pbb,11474.0,11474.0,,,0 CDM,49030117,"Hc Excision Or Destruction, Intranasal Lesion; Internal Approach",6083.0,6083.0,,,0 CDM,49030117_PBB,"Hc Excision Or Destruction, Intranasal Lesion; Internal Approach-Pbb",7721.5,7721.5,,,0 CDM,49030120,Hc Excision Or Surgical Planning Of Skin Of Nose For Rhinophyma,9346.0,9346.0,,,0 CDM,49030120_PBB,Hc Excision Or Surgical Planning Of Skin Of Nose For Rhinophyma-Pbb,14071.0,14071.0,,,0 CDM,49030125_PBB,"Hc Excision Dermoid Cyst, Nose; Complex, Under Bone/Cartilage",18135.5,18135.5,,,0 CDM,49030140,"Hc Submucous Resection Inferior Turbinate, Partial Or Complete, Any Method",9346.0,9346.0,,,0 CDM,49030140_PBB,"Hc Submucous Resection Inferior Turbinate, Partial Or Complete, Any Method-Pbb",12376.0,12376.0,,,0 CDM,49030200,"Hc Injection Into Turbinate, Therapeutic",2729.0,2729.0,,,0 CDM,49030200_PBB,"Hc Injection Into Turbinate, Therapeutic-Pbb",3056.5,3056.5,,,0 CDM,49030220,"Hc Insertion, Nasal Septal Prosthesis",6083.0,6083.0,,,0 CDM,49030220_PBB,"Hc Insertion, Nasal Septal Prosthesis-Pbb",7349.5,7349.5,,,0 CDM,49030300,"Hc Removal Foreign Body, Intranasal; Office Type Procedure",1525.0,1525.0,,,0 CDM,49030300_PBB,"Hc Removal Foreign Body, Intranasal; Office Type Procedure-Pbb",1954.5,1954.5,,,0 CDM,49030560,Hc Lysis Intranasl Synechia,2574.0,2574.0,,,0 CDM,49030560_PBB,Hc Lysis Intranasl Synechia-Pbb,3274.0,3274.0,,,0 CDM,49030580,Hc Repair Fistula; Orimaxillary,17526.0,17526.0,,,0 CDM,49030580_PBB,Hc Repair Fistula; Orimaxillary-Pbb,21299.0,21299.0,,,0 CDM,49030801,"Hc Ablation, Soft Tissue Of Inferior Turbinates, Unilateral Or Bilateral, Any Method; Superficial",2839.0,2839.0,,,0 CDM,49030801_PBB,"Hc Ablation, Soft Tissue Of Inferior Turbinates, Unilateral Or Bilateral, Any Method; Superficial-Pb",3615.0,3615.0,,,0 CDM,49030802,"Hc Ablation, Soft Tissue Of Inferior Turbinates, Unilateral Or Bilateral, Any Method; Intramural",6083.0,6083.0,,,0 CDM,49030802_PBB,"Hc Ablation, Soft Tissue Of Inferior Turbinates, Unilateral Or Bilateral, Any Method; Intramural-Pbb",7365.0,7365.0,,,0 CDM,49030901,"Hc Control Nasal Hemorrhage, Anterior, Simple Any Method",1229.0,1229.0,,,0 CDM,49030901_PBB,"Hc Control Nasal Hemorrhage, Anterior, Simple Any Method-Pbb",1701.0,1701.0,,,0 CDM,49030903,"Hc Control Nasal Hemorrhage, Anterior, Complex Any Method",1361.0,1361.0,,,0 CDM,49030903_PBB,"Hc Control Nasal Hemorrhage, Anterior, Complex Any Method-Pbb",2061.0,2061.0,,,0 CDM,49030905,"Hc Control Nasal Hemorrhage, Posterior, W/ Posterior Nasal Packs And/Or Cautery, Any Meth, Ini",1694.0,1694.0,,,0 CDM,49030905_PBB,"Hc Control Nasal Hemorrhage, Posterior, W/ Posterior Nasal Packs And/Or Cautery, Any Meth, Ini-Pbb",2958.5,2958.5,,,0 CDM,49031000,Hc Lavage By Cannulation; Maxillary Sinus,862.0,862.0,,,0 CDM,49031000_PBB,Hc Lavage By Cannulation; Maxillary Sinus-Pbb,1145.0,1145.0,,,0 CDM,49031231,"Hc Nasal Endoscopy, Diagnostic, Unilateral Or Bilateral",1030.0,1030.0,,,0 CDM,49031231_PBB,"Hc Nasal Endoscopy, Diagnostic, Unilateral Or Bilateral-Pbb",1545.0,1545.0,,,0 CDM,49031235,"Hc Nasal/Sinus Endoscopy, Diagnostic With Sphenoid Sinuscopy",5749.0,5749.0,,,0 CDM,49031235_PBB,"Hc Nasal/Sinus Endoscopy, Diagnostic With Sphenoid Sinuscopy-Pbb",6846.0,6846.0,,,0 CDM,49031237,"Hc Nasal/Sinus Endoscopy, Surgical; With Biopsy, Polypectomy Or Debridement",8223.0,8223.0,,,0 CDM,49031237_PBB,"Hc Nasal/Sinus Endoscopy, Surgical; With Biopsy, Polypectomy Or Debridement-Pbb",8981.7,8981.7,,,0 CDM,49031238,"Hc Nasal/Sinus Endoscopy, Surgical; With Control Of Nasal Hemorrhage",9714.0,9714.0,,,0 CDM,49031238_PBB,"Hc Nasal/Sinus Endoscopy, Surgical; With Control Of Nasal Hemorrhage-Pbb",10913.0,10913.0,,,0 CDM,49031242_PBB,"Hc Nasal/Sinus Endoscopy, Surgical; With Destruction By Radiofrequency Ablation, Posterior Nasal Ner",16813.5,16813.5,,,0 CDM,49031243,Hc Nasal/Sinus Ndsc Dstrj Cryoablation Pst Nsl Nrv,14646.0,14646.0,,,0 CDM,49031243_PBB,Hc Nasal/Sinus Ndsc Dstrj Cryoablation Pst Nsl Nrv-Pbb,15151.0,15151.0,,,0 CDM,49031267_PBB,"Hc Nasal/Sinus Endoscopy, Surgical, W/ Maxillary Antrostomy; W/ Maxillary Tissue Removal-Pbb",17639.5,17639.5,,,0 CDM,49031500,"Hc Intubation, Endotracheal, Emergency Procedure",1213.0,1213.0,,,0 CDM,49031500_GOLD,"Hc Intubation, Endotracheal, Emergency Procedure-Gold",1675.0,1675.0,,,0 CDM,49031500_GOLDPBB,"Hc Intubation, Endotracheal, Emergency Procedure-Gold,Pbb",1675.5,1675.5,,,0 CDM,49031502,Hc Tracheotomy Tube Change Prior To Establishment Of Fistula Tract,689.0,689.0,,,0 CDM,49031502_GOLD,Hc Tracheotomy Tube Change Prior To Establishment Of Fistula Tract-Gold,1368.5,1368.5,,,0 CDM,49031502_GOLDPBB,"Hc Tracheotomy Tube Change Prior To Establishment Of Fistula Tract-Gold,Pbb",1368.5,1368.5,,,0 CDM,49031502_PBB,Hc Tracheotomy Tube Change Prior To Establishment Of Fistula Tract-Pbb,1368.5,1368.5,,,0 CDM,49031505,"Hc Laryngoscopy, Indirect; Diagnostic",582.0,582.0,,,0 CDM,49031505_PBB,"Hc Laryngoscopy, Indirect; Diagnostic-Pbb",992.5,992.5,,,0 CDM,49031513,"Hc Laryngoscopy, Indirect; With Vocal Cord Injection",1423.0,1423.0,,,0 CDM,49031513_PBB,"Hc Laryngoscopy, Indirect; With Vocal Cord Injection-Pbb",3465.0,3465.0,,,0 CDM,49031530,"Hc Laryngoscopy, Direct, Operative, W/ Fb Removal;",8792.0,8792.0,,,0 CDM,49031535,"Hc Laryngoscopy, Direct; Operative, With Biopsy",7103.0,7103.0,,,0 CDM,49031535_PBB,"Hc Laryngoscopy, Direct; Operative, With Biopsy-Pbb",8738.5,8738.5,,,0 CDM,49031570,"Hc Laryngoscopy, Direct, With Injection Into Vocal Cord(S), Therapeutic",4601.0,4601.0,,,0 CDM,49031570_PBB,"Hc Laryngoscopy, Direct, With Injection Into Vocal Cord(S), Therapeutic-Pbb",6389.0,6389.0,,,0 CDM,49031571,"Hc Laryngoscopy, Direct, W/ Inj Into Vocal Cord(S), Thrptc; W/ Operating Microscope Or Telescope",7103.0,7103.0,,,0 CDM,49031571_PBB,"Hc Laryngoscopy, Direct, W/ Inj Into Vocal Cord(S), Thrptc; W/ Operating Microscope Or Telescope-Pbb",9250.5,9250.5,,,0 CDM,49031575,"Hc Laryngoscopy, Flexible Fiberoptic; Diagnostic",1114.0,1114.0,,,0 CDM,49031575_PBB,"Hc Laryngoscopy, Flexible Fiberoptic; Diagnostic-Pbb",1635.5,1635.5,,,0 CDM,49031576,Hc Ohns-Laryngoscopy Flex Fiber W Biopsy,4984.0,4984.0,,,0 CDM,49031576_PBB,Hc Ohns-Laryngoscopy Flex Fiber W Biopsy-Pbb,5396.5,5396.5,,,0 CDM,49031579,"Hc Laryngoscopy, Flexible Or Rigid Fiberoptic, With Stroboscopy",1714.0,1714.0,,,0 CDM,49031579_PBB,"Hc Laryngoscopy, Flexible Or Rigid Fiberoptic, With Stroboscopy-Pbb",3094.5,3094.5,,,0 CDM,49031612,"Hc Tracheal Puncture, Percutaneous With Transtracheal Aspiration And/Or Injection",17526.0,17526.0,,,0 CDM,49031612_PBB,"Hc Tracheal Puncture, Percutaneous With Transtracheal Aspiration And/Or Injection-Pbb",18207.0,18207.0,,,0 CDM,49031613,"Hc Tracheostoma Revision; Simple, Without Flap Rotation",9346.0,9346.0,,,0 CDM,49031613_PBB,"Hc Tracheostoma Revision; Simple, Without Flap Rotation-Pbb",11782.5,11782.5,,,0 CDM,49031615,Hc Tracheobronchoscopy Through Established Tracheostomy Incision,5906.0,5906.0,,,0 CDM,49031615_CART,Hc Tracheobronchoscopy Through Established Tracheostomy Incision-Cart,5906.0,5906.0,,,0 CDM,49031615_CARTPBB,"Hc Tracheobronchoscopy Through Established Tracheostomy Incision-Cart,Pbb",5906.0,5906.0,,,0 CDM,49031615_PBB,Hc Tracheobronchoscopy Through Established Tracheostomy Incision-Pbb,7142.5,7142.5,,,0 CDM,49031622,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; Diag, W/ Cell Washing, When Perf",8388.0,8388.0,,,0 CDM,49031622_CART,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; Diag, W/ Cell Washing, When Perf-Cart",9949.5,9949.5,,,0 CDM,49031622_CARTPBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; Diag, W/ Cell Washing, When Perf-Cart,Pbb",9949.5,9949.5,,,0 CDM,49031622_GOLD,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; Diag, W/ Cell Washing, When Perf-Gold",9949.5,9949.5,,,0 CDM,49031622_GOLDPBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; Diag, W/ Cell Washing, When Perf-Gold,Pbb",9949.5,9949.5,,,0 CDM,49031622_PBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; Diag, W/ Cell Washing, When Perf-Pbb",9950.0,9950.0,,,0 CDM,49031623,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Brushing Or Protected Brushings",7579.0,7579.0,,,0 CDM,49031623_CART,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Brushing Or Protected Brushings-Cart",9217.5,9217.5,,,0 CDM,49031623_CARTPBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Brushing Or Protected Brushings-Cart,Pbb",9218.0,9218.0,,,0 CDM,49031623_GOLD,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Brushing Or Protected Brushings-Gold",9217.5,9217.5,,,0 CDM,49031623_GOLDPBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Brushing Or Protected Brushings-Gold,Pbb",9218.0,9218.0,,,0 CDM,49031623_PBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Brushing Or Protected Brushings-Pbb",9218.0,9218.0,,,0 CDM,49031624,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Bronchial Alveolar Lavage",5193.0,5193.0,,,0 CDM,49031624_CART,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Bronchial Alveolar Lavage-Cart",6832.0,6832.0,,,0 CDM,49031624_CARTPBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Bronchial Alveolar Lavage-Cart,Pbb",6832.0,6832.0,,,0 CDM,49031624_GOLD,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Bronchial Alveolar Lavage-Gold",6832.0,6832.0,,,0 CDM,49031624_GOLDPBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Bronchial Alveolar Lavage-Gold,Pbb",6832.0,6832.0,,,0 CDM,49031624_PBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Bronchial Alveolar Lavage-Pbb",6832.0,6832.0,,,0 CDM,49031625,"Hc Bronch, Rigid/Flex, Incl Fluor Guid, When Perf; W/ Bronch Or Endobronch Bx, Single Or Mult Sites",5340.0,5340.0,,,0 CDM,49031625_CART,"Hc Bronch, Rigid/Flex, Incl Fluor Guid, When Perf; W/ Bronch Or Endobronch Bx, Single Or Mult Sites-",7009.5,7009.5,,,0 CDM,49031625_CARTPBB,"Hc Bronch, Rigid/Flex, Incl Fluor Guid, When Perf; W/ Bronch Or Endobronch Bx, Single Or Mult Sites-",7009.5,7009.5,,,0 CDM,49031625_GOLD,"Hc Bronch, Rigid/Flex, Incl Fluor Guid, When Perf; W/ Bronch Or Endobronch Bx, Single Or Mult Sites-",7009.5,7009.5,,,0 CDM,49031625_GOLDPBB,"Hc Bronch, Rigid/Flex, Incl Fluor Guid, When Perf; W/ Bronch Or Endobronch Bx, Single Or Mult Sites-",7009.5,7009.5,,,0 CDM,49031625_PBB,"Hc Bronch, Rigid/Flex, Incl Fluor Guid, When Perf; W/ Bronch Or Endobronch Bx, Single Or Mult Sites-",7009.5,7009.5,,,0 CDM,49031626,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/Placemnt Of Fiducial Markers, Sngle Or Mult",7459.0,7459.0,,,0 CDM,49031626_CART,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/Placemnt Of Fiducial Markers, Sngle Or Mult",7953.5,7953.5,,,0 CDM,49031626_CARTPBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/Placemnt Of Fiducial Markers, Sngle Or Mult",7953.5,7953.5,,,0 CDM,49031626_PBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/Placemnt Of Fiducial Markers, Sngle Or Mult",7953.5,7953.5,,,0 CDM,49031627,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Comp-Assist, Image-Guided Navigation",6542.0,6542.0,,,0 CDM,49031627_CART,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Comp-Assist, Image-Guided Navigation-Cart",7037.0,7037.0,,,0 CDM,49031627_CARTPBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Comp-Assist, Image-Guided Navigation-Cart,",7037.0,7037.0,,,0 CDM,49031627_PBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Comp-Assist, Image-Guided Navigation-Pbb",7036.5,7036.5,,,0 CDM,49031628,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Transbronchial Lung Biopsy(S), Single Lobe",5685.0,5685.0,,,0 CDM,49031628_CART,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Transbronchial Lung Biopsy(S), Single Lobe",7538.5,7538.5,,,0 CDM,49031628_CARTPBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Transbronchial Lung Biopsy(S), Single Lobe",7538.5,7538.5,,,0 CDM,49031628_GOLD,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Transbronchial Lung Biopsy(S), Single Lobe",7538.5,7538.5,,,0 CDM,49031628_GOLDPBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Transbronchial Lung Biopsy(S), Single Lobe",7538.5,7538.5,,,0 CDM,49031628_PBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Transbronchial Lung Biopsy(S), Single Lobe",7538.5,7538.5,,,0 CDM,49031630,"Hc Bronch, Rigid/Flex, Incl Fluoro Guid, When Perf; W/Tracheal/Bronchial Dilati/Clsd Reduction Of Fx",7459.0,7459.0,,,0 CDM,49031630_CART,"Hc Bronch, Rigid/Flex, Incl Fluoro Guid, When Perf; W/Tracheal/Bronchial Dilati/Clsd Reduction Of Fx",9437.5,9437.5,,,0 CDM,49031630_CARTPBB,"Hc Bronch, Rigid/Flex, Incl Fluoro Guid, When Perf; W/Tracheal/Bronchial Dilati/Clsd Reduction Of Fx",9437.5,9437.5,,,0 CDM,49031630_GOLD,"Hc Bronch, Rigid/Flex, Incl Fluoro Guid, When Perf; W/Tracheal/Bronchial Dilati/Clsd Reduction Of Fx",9437.5,9437.5,,,0 CDM,49031630_GOLDPBB,"Hc Bronch, Rigid/Flex, Incl Fluoro Guid, When Perf; W/Tracheal/Bronchial Dilati/Clsd Reduction Of Fx",9437.5,9437.5,,,0 CDM,49031630_PBB,"Hc Bronch, Rigid/Flex, Incl Fluoro Guid, When Perf; W/Tracheal/Bronchial Dilati/Clsd Reduction Of Fx",9437.5,9437.5,,,0 CDM,49031631,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Placement Of Tracheal Stent(S)",7459.0,7459.0,,,0 CDM,49031631_CART,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Placement Of Tracheal Stent(S)-Cart",9929.5,9929.5,,,0 CDM,49031631_CARTPBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Placement Of Tracheal Stent(S)-Cart,Pbb",9929.5,9929.5,,,0 CDM,49031631_PBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Placement Of Tracheal Stent(S)-Pbb",9929.5,9929.5,,,0 CDM,49031632,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/Transbronchal Lung Biopsy(S), Each Add Lobe",2920.0,2920.0,,,0 CDM,49031632_CART,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/Transbronchal Lung Biopsy(S), Each Add Lobe",3846.0,3846.0,,,0 CDM,49031632_CARTPBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/Transbronchal Lung Biopsy(S), Each Add Lobe",3846.0,3846.0,,,0 CDM,49031632_GOLD,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/Transbronchal Lung Biopsy(S), Each Add Lobe",3846.0,3846.0,,,0 CDM,49031632_GOLDPBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/Transbronchal Lung Biopsy(S), Each Add Lobe",3846.0,3846.0,,,0 CDM,49031632_PBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/Transbronchal Lung Biopsy(S), Each Add Lobe",3846.0,3846.0,,,0 CDM,49031633,"Hc Bronch, Rigid/Flex, Incl Fluor Guid, When Perf; W/ Transbronch Needle Aspiration Bx, Ea Add Lobe",2533.0,2533.0,,,0 CDM,49031633_CART,"Hc Bronch, Rigid/Flex, Incl Fluor Guid, When Perf; W/ Transbronch Needle Aspiration Bx, Ea Add Lobe-",3459.5,3459.5,,,0 CDM,49031633_CARTPBB,"Hc Bronch, Rigid/Flex, Incl Fluor Guid, When Perf; W/ Transbronch Needle Aspiration Bx, Ea Add Lobe-",3459.5,3459.5,,,0 CDM,49031633_GOLD,"Hc Bronch, Rigid/Flex, Incl Fluor Guid, When Perf; W/ Transbronch Needle Aspiration Bx, Ea Add Lobe-",3459.5,3459.5,,,0 CDM,49031633_GOLDPBB,"Hc Bronch, Rigid/Flex, Incl Fluor Guid, When Perf; W/ Transbronch Needle Aspiration Bx, Ea Add Lobe-",3459.5,3459.5,,,0 CDM,49031633_PBB,"Hc Bronch, Rigid/Flex, Incl Fluor Guid, When Perf; W/ Transbronch Needle Aspiration Bx, Ea Add Lobe-",3459.0,3459.0,,,0 CDM,49031634,"Hc Bronch, Rgd Or Flx,Inc Flu Guid,W Blln Occ,W Assnt Air Leak,W Adm Occ Sub(Eg,Fibrin Glue),If Perf",6154.0,6154.0,,,0 CDM,49031634_CART,"Hc Bronch, Rgd Or Flx,Inc Flu Guid,W Blln Occ,W Assnt Air Leak,W Adm Occ Sub(Eg,Fibrin Glue),If Perf",6687.0,6687.0,,,0 CDM,49031634_CARTPBB,"Hc Bronch, Rgd Or Flx,Inc Flu Guid,W Blln Occ,W Assnt Air Leak,W Adm Occ Sub(Eg,Fibrin Glue),If Perf",6687.0,6687.0,,,0 CDM,49031634_GOLD,"Hc Bronch, Rgd Or Flx,Inc Flu Guid,W Blln Occ,W Assnt Air Leak,W Adm Occ Sub(Eg,Fibrin Glue),If Perf",6687.0,6687.0,,,0 CDM,49031634_GOLDPBB,"Hc Bronch, Rgd Or Flx,Inc Flu Guid,W Blln Occ,W Assnt Air Leak,W Adm Occ Sub(Eg,Fibrin Glue),If Perf",6687.0,6687.0,,,0 CDM,49031634_PBB,"Hc Bronch, Rgd Or Flx,Inc Flu Guid,W Blln Occ,W Assnt Air Leak,W Adm Occ Sub(Eg,Fibrin Glue),If Perf",6687.5,6687.5,,,0 CDM,49031635,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Rmvl Of Foreign Body",5200.0,5200.0,,,0 CDM,49031635_CART,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Rmvl Of Foreign Body-Cart",8289.5,8289.5,,,0 CDM,49031635_CARTPBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Rmvl Of Foreign Body-Cart,Pbb",8289.5,8289.5,,,0 CDM,49031635_GOLD,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Rmvl Of Foreign Body-Gold",8289.5,8289.5,,,0 CDM,49031635_GOLDPBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Rmvl Of Foreign Body-Gold,Pbb",8289.5,8289.5,,,0 CDM,49031635_PBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Rmvl Of Foreign Body-Pbb",8289.0,8289.0,,,0 CDM,49031636,"Hc Bronch,Rigid/Flex,Incl Fluoro Guid;W Plcmnt Bronch Stent(Incl Trach/Bronch Dil As Req),Ini Bronch",7459.0,7459.0,,,0 CDM,49031636_CART,"Hc Bronch,Rigid/Flex,Incl Fluoro Guid;W Plcmnt Bronch Stent(Incl Trach/Bronch Dil As Req),Ini Bronch",10241.0,10241.0,,,0 CDM,49031636_CARTPBB,"Hc Bronch,Rigid/Flex,Incl Fluoro Guid;W Plcmnt Bronch Stent(Incl Trach/Bronch Dil As Req),Ini Bronch",10241.0,10241.0,,,0 CDM,49031636_PBB,"Hc Bronch,Rigid/Flex,Incl Fluoro Guid;W Plcmnt Bronch Stent(Incl Trach/Bronch Dil As Req),Ini Bronch",10241.0,10241.0,,,0 CDM,49031641,"Hc Brnch,Rgd/Flx,Incl Fluor Gud,Wn Perf;W/Dstrcn Of Tmr/Relief Of Stensis By Any Meth Othr Thn Excsn",11672.0,11672.0,,,0 CDM,49031641_CART,"Hc Brnch,Rgd/Flx,Incl Fluor Gud,Wn Perf;W/Dstrcn Of Tmr/Relief Of Stensis By Any Meth Othr Thn Excsn",15690.0,15690.0,,,0 CDM,49031641_CARTPBB,"Hc Brnch,Rgd/Flx,Incl Fluor Gud,Wn Perf;W/Dstrcn Of Tmr/Relief Of Stensis By Any Meth Othr Thn Excsn",15690.0,15690.0,,,0 CDM,49031641_GOLD,"Hc Brnch,Rgd/Flx,Incl Fluor Gud,Wn Perf;W/Dstrcn Of Tmr/Relief Of Stensis By Any Meth Othr Thn Excsn",15690.0,15690.0,,,0 CDM,49031641_GOLDPBB,"Hc Brnch,Rgd/Flx,Incl Fluor Gud,Wn Perf;W/Dstrcn Of Tmr/Relief Of Stensis By Any Meth Othr Thn Excsn",15690.0,15690.0,,,0 CDM,49031641_PBB,"Hc Brnch,Rgd/Flx,Incl Fluor Gud,Wn Perf;W/Dstrcn Of Tmr/Relief Of Stensis By Any Meth Othr Thn Excsn",15690.0,15690.0,,,0 CDM,49031645,"Hc Bronch, Rigid Or Flex,Incl Fluoro Guid,When Perf;W/Thrptc Aspiration Of Tracheobronchl Tree, Init",3667.0,3667.0,,,0 CDM,49031645_CART,"Hc Bronch, Rigid Or Flex,Incl Fluoro Guid,When Perf;W/Thrptc Aspiration Of Tracheobronchl Tree, Init",5336.0,5336.0,,,0 CDM,49031645_CARTPBB,"Hc Bronch, Rigid Or Flex,Incl Fluoro Guid,When Perf;W/Thrptc Aspiration Of Tracheobronchl Tree, Init",5336.0,5336.0,,,0 CDM,49031645_GOLD,"Hc Bronch, Rigid Or Flex,Incl Fluoro Guid,When Perf;W/Thrptc Aspiration Of Tracheobronchl Tree, Init",5336.0,5336.0,,,0 CDM,49031645_GOLDPBB,"Hc Bronch, Rigid Or Flex,Incl Fluoro Guid,When Perf;W/Thrptc Aspiration Of Tracheobronchl Tree, Init",5336.0,5336.0,,,0 CDM,49031645_PBB,"Hc Bronch, Rigid Or Flex,Incl Fluoro Guid,When Perf;W/Thrptc Aspiration Of Tracheobronchl Tree, Init",5336.5,5336.5,,,0 CDM,49031646,"Hc Brnchsc W/Ther Aspir Tracheobrncl Tree Sbsq, Same Hospital Stay",6740.0,6740.0,,,0 CDM,49031646_CART,"Hc Brnchsc W/Ther Aspir Tracheobrncl Tree Sbsq, Same Hospital Stay-Cart",8409.0,8409.0,,,0 CDM,49031646_CARTPBB,"Hc Brnchsc W/Ther Aspir Tracheobrncl Tree Sbsq, Same Hospital Stay-Cart,Pbb",8409.5,8409.5,,,0 CDM,49031646_GOLD,"Hc Brnchsc W/Ther Aspir Tracheobrncl Tree Sbsq, Same Hospital Stay-Gold",8409.0,8409.0,,,0 CDM,49031646_GOLDPBB,"Hc Brnchsc W/Ther Aspir Tracheobrncl Tree Sbsq, Same Hospital Stay-Gold,Pbb",8409.5,8409.5,,,0 CDM,49031646_PBB,"Hc Brnchsc W/Ther Aspir Tracheobrncl Tree Sbsq, Same Hospital Stay-Pbb",8409.5,8409.5,,,0 CDM,49031647,"Hc Bronch,Rigid/Flex,Incl Fluoro Guid;W Blln Occ,Asmnt Air Leak,Airway Sz&Insertbronch Valv,Ini Lobe",6154.0,6154.0,,,0 CDM,49031647_PBB,"Hc Bronch,Rigid/Flex,Incl Fluoro Guid;W Blln Occ,Asmnt Air Leak,Airway Sz&Insertbronch Valv,Ini Lobe",10534.0,10534.0,,,0 CDM,49031648,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Rmvl Of Bronchial Valve(S), Ini Lobe",5979.0,5979.0,,,0 CDM,49031648_PBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Rmvl Of Bronchial Valve(S), Ini Lobe-Pbb",10359.0,10359.0,,,0 CDM,49031649,"Hc Brnch, Rigd/Flx,Incl Flur Guid,When Perf;W/Rmvl Of Bronc Vlve(S), Ea Ad Lobe(Code Prim Proc 1St)",2906.0,2906.0,,,0 CDM,49031649_PBB,"Hc Brnch, Rigd/Flx,Incl Flur Guid,When Perf;W/Rmvl Of Bronc Vlve(S), Ea Ad Lobe(Code Prim Proc 1St)-",4537.0,4537.0,,,0 CDM,49031651,"Hc Brnch, Rgd/Flx; W/ Blln Occ, Assmnt Air Leak, Airway Szng, & Insrtn Bronchial Valve(S)",5979.0,5979.0,,,0 CDM,49031651_PBB,"Hc Brnch, Rgd/Flx; W/ Blln Occ, Assmnt Air Leak, Airway Szng, & Insrtn Bronchial Valve(S)-Pbb",6417.5,6417.5,,,0 CDM,49031785_PBB,Hc Exc T Tumor Or Carcinoma; Cervical-Pbb,18679.0,18679.0,,,0 CDM,49031820,Hc Closure Of Windpipe Lesion,9203.0,9203.0,,,0 CDM,49031820_PBB,Hc Closure Of Windpipe Lesion-Pbb,10745.5,10745.5,,,0 CDM,49031830,Hc Revision Of Tracheostomy Scar,7111.0,7111.0,,,0 CDM,49031830_PBB,Hc Revision Of Tracheostomy Scar-Pbb,8964.5,8964.5,,,0 CDM,49032400,"Hc Biopsy, Pleura; Percutaneous Needle",3106.0,3106.0,,,0 CDM,49032408,Hc Core Needle Bx Lung/Mediastinum Perq W/Img,5201.0,5201.0,,,0 CDM,49032550,Hc Insertion Of Indwelling Tunneled Pleural Catheter With Cuff,18444.0,18444.0,,,0 CDM,49032550_GOLD,Hc Insertion Of Indwelling Tunneled Pleural Catheter With Cuff-Gold,20129.5,20129.5,,,0 CDM,49032550_GOLDPBB,"Hc Insertion Of Indwelling Tunneled Pleural Catheter With Cuff-Gold,Pbb",20129.5,20129.5,,,0 CDM,49032550_PBB,Hc Insertion Of Indwelling Tunneled Pleural Catheter With Cuff-Pbb,20129.5,20129.5,,,0 CDM,49032552,Hc Removal Of Indwelling Tunnled Pleural Catheter With Cuff,2382.0,2382.0,,,0 CDM,49032552_GOLD,Hc Removal Of Indwelling Tunnled Pleural Catheter With Cuff-Gold,3456.5,3456.5,,,0 CDM,49032552_GOLDPBB,"Hc Removal Of Indwelling Tunnled Pleural Catheter With Cuff-Gold,Pbb",3456.5,3456.5,,,0 CDM,49032552_PBB,Hc Removal Of Indwelling Tunnled Pleural Catheter With Cuff-Pbb,3456.5,3456.5,,,0 CDM,49032554,"Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; Without Imaging Guidance",2998.0,2998.0,,,0 CDM,49032554_GOLD,"Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; Without Imaging Guidance-Gold",3466.5,3466.5,,,0 CDM,49032554_GOLDPBB,"Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; Without Imaging Guidance-Gold",3466.5,3466.5,,,0 CDM,49032554_PBB,"Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; Without Imaging Guidance-Pbb",3466.5,3466.5,,,0 CDM,49032555,"Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guidance",4278.0,4278.0,,,0 CDM,49032555_GOLD,"Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guidance-Gold",4950.0,4950.0,,,0 CDM,49032555_GOLDPBB,"Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guidance-Gold,Pb",4950.0,4950.0,,,0 CDM,49032555_PBB,"Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guidance-Pbb",4950.0,4950.0,,,0 CDM,49032556,"Hc Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; Without Imaging Guidance",2374.0,2374.0,,,0 CDM,49032556_GOLD,"Hc Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; Without Imaging Guidance-G",4126.5,4126.5,,,0 CDM,49032556_GOLDPBB,"Hc Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; Without Imaging Guidance-G",4126.5,4126.5,,,0 CDM,49032556_PBB,"Hc Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; Without Imaging Guidance-P",4126.5,4126.5,,,0 CDM,49032557,"Hc Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; With Imaging Guidance",4916.0,4916.0,,,0 CDM,49032557_PBB,"Hc Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; With Imaging Guidance-Pbb",7987.0,7987.0,,,0 CDM,49032562_PBB,Hc Instlj Ch Tube/Cath Agent Fbrnlysis Sbsq Day-Pbb,2881.5,2881.5,,,0 CDM,49032994_GOLD,Hc Ablate Pulm Tumor Perq Crybl-Gold,16153.5,16153.5,,,0 CDM,49032994_GOLDPBB,"Hc Ablate Pulm Tumor Perq Crybl-Gold,Pbb",16153.5,16153.5,,,0 CDM,49032994_PBB,Hc Ablate Pulm Tumor Perq Crybl-Pbb,16153.5,16153.5,,,0 CDM,49032998,"Hc Ablt Thrpy 4 Rdx Or Erad Of 1 Or > Pulm Tmr(S) Inc Plra Or Chst Wa When Inv Tmr Ext,Perc,Uni; Rf",19206.0,19206.0,,,0 CDM,49032998_GOLD,"Hc Ablt Thrpy 4 Rdx Or Erad Of 1 Or > Pulm Tmr(S) Inc Plra Or Chst Wa When Inv Tmr Ext,Perc,Uni; Rf-",20317.5,20317.5,,,0 CDM,49032998_GOLDPBB,"Hc Ablt Thrpy 4 Rdx Or Erad Of 1 Or > Pulm Tmr(S) Inc Plra Or Chst Wa When Inv Tmr Ext,Perc,Uni; Rf-",20317.5,20317.5,,,0 CDM,49032998_PBB,"Hc Ablt Thrpy 4 Rdx Or Erad Of 1 Or > Pulm Tmr(S) Inc Plra Or Chst Wa When Inv Tmr Ext,Perc,Uni; Rf-",20317.5,20317.5,,,0 CDM,49033016,Hc Pericardiocentesis W/Imaging,4574.0,4574.0,,,0 CDM,49033017,Hc Prcrd Drg 6Yr+ W/O Cgen Car,2045.0,2045.0,,,0 CDM,49033018,Hc Prcrd Drg 0-5Yr Or W/Anomly,548.0,548.0,,,0 CDM,49033019,Hc Perq Prcrd Drg Insj Cath Ct,1487.0,1487.0,,,0 CDM,49033206,Hc Insertion Of New Or Replacement Of Permanent Pacemaker With Transvenous Electrode(S); Atrial,20647.0,20647.0,,,0 CDM,49033207,Hc Insertion Of New Or Replacement Of Permanent Pacemaker With Transvenous Electrode(S); Ventricular,21904.0,21904.0,,,0 CDM,49033208,Hc Insertn Of New Or Replacemnt Of Prmnent Pacemaker W/ Transven Electrode(S); Atrial And Ventriclr,22834.0,22834.0,,,0 CDM,49033210,Hc Insertion Or Replacement Of Temporary Transven Single Chamber Cardiac Electrode Or Pacemaker Cath,17859.0,17859.0,,,0 CDM,49033211,Hc Insertion Or Replacement Of Temporary Transvenous Dual Chamber Pacing Electrodes,19256.0,19256.0,,,0 CDM,49033212,Hc Elep-Insert Pulse Gen Single Leads,10726.0,10726.0,,,0 CDM,49033213,Hc Elep-Insert Pulse Gen Dual Leads,19813.0,19813.0,,,0 CDM,49033214,Hc Elep-Upgrd Impn Pmk Sys Sgl To Dual Chmb,16920.0,16920.0,,,0 CDM,49033215,Hc Repositioning Of Previously Imp Transvenous Pacemaker Or Implantable Defibrillator Electrode,5454.0,5454.0,,,0 CDM,49033216,"Hc Insertion Of A Single Transvenous Electrode, Permanent Pacemaker Or Implantable Defibrillator",9547.0,9547.0,,,0 CDM,49033217,"Hc Insertion Of 2 Transvenous Electrodes, Permanent Pacemaker Or Implantable Defibrillator",9547.0,9547.0,,,0 CDM,49033218,"Hc Replair Of Single Transvenous Electrode, Permanent Pacemaker Or Implantable Defibrillator",16077.0,16077.0,,,0 CDM,49033220,Hc Repair Of 2 Transvenous Electrodes For Permanent Pacemaker Or Implantable Defibrillator,9380.0,9380.0,,,0 CDM,49033221,Hc Insertion Of Pacemaker Pulse Generator Only; With Exisiting Multiple Leads,33633.0,33633.0,,,0 CDM,49033222,Hc Relocation Of Skin Pocket For Pacemaker,10576.0,10576.0,,,0 CDM,49033223,Hc Relocation Of Skin Pocket For Implantable Defibrillator,5067.0,5067.0,,,0 CDM,49033224,"Hc Insrtn Pcng Electrde, Card Ven Sys,L Vent Pcng,W Attach Prev Plced Pcemkr Or Implnt Defib Pls Gen",24216.0,24216.0,,,0 CDM,49033225,"Hc Insrt Pacing Elec, Card Ven Sys, Lt Vent Pcing, At Time Ins Of Implntble Defib Or Pcemkr Pls Gen",24220.0,24220.0,,,0 CDM,49033226,Hc Repositioning Of Previously Implanted Cardiac Venous Systemelectrode,5454.0,5454.0,,,0 CDM,49033227,Hc Rmvl Of Perm Pcmkr Pulse Genrtr W/ Replcemnt Of Pcmkr Pulse Genrtr; Sngl Lead Sys,32327.0,32327.0,,,0 CDM,49033228,Hc Remvl Of Permnt Pacemaker Pulse Generator W/ Replacmnt Of Pacemaker Pulse Generator;Dual Lead Sys,33679.0,33679.0,,,0 CDM,49033229,Hc Rmvl Of Perm Pcmkr Pulse Genrtr W/ Replcemnt Of Pcmkr Pulse Genrtr; Mltpl Lead Sys,35353.0,35353.0,,,0 CDM,49033230,Hc Insertion Of Implantable Defibrillator Pulse Generator Only; With Exisiting Dual Leads,60379.0,60379.0,,,0 CDM,49033231,Hc Insertion Of Implantable Defibrillator Pulse Generator Only; With Exisiting Multiple Leads,71071.0,71071.0,,,0 CDM,49033233,Hc Removal Of Permanent Pacemaker Pulse Generator Only,9547.0,9547.0,,,0 CDM,49033234,"Hc Removal Of Transvenous Pacemaker Electrode(S); Single Lead System, Atrial Or Ventricular",5940.0,5940.0,,,0 CDM,49033235,Hc Removal Of Transvenous Pacemaker Elextrode(S); Dual Lead System,9217.0,9217.0,,,0 CDM,49033240,Hc Insj Implntbl Defib Pulse Gen W/1 Existing Ld,61068.0,61068.0,,,0 CDM,49033241,Hc Removal Of Implantable Defibrillator Pulse Generator Only,7889.0,7889.0,,,0 CDM,49033249,"Hc Insrtn Or Rplacmnt Of Perment Implntbl Defib System ,W/Transvenous Lead(S),Single Or Dual Chamber",86296.0,86296.0,,,0 CDM,49033262,Hc Rmvl Of Implntble Defib Puls Gen W/ Replcmnt Of Implntable Defib Puls Generator;Single Lead Sys,94066.0,94066.0,,,0 CDM,49033263,Hc Rmvl Of Implnt Defib Puls Gen W Replcmnt Of Implntable Defibrillator Puls Gen; Dual Lead Sys,97774.0,97774.0,,,0 CDM,49033264,Hc Rmvl Implntbl Defib Puls Gen W Replcmnt Implntable Defib Puls Generator; Mult Lead Sys,152611.0,152611.0,,,0 CDM,49033274,Hc Tcat Insj/Rpl Perm Ldls Pacemaker,44785.0,44785.0,,,0 CDM,49033275,Hc Tcat Rmvl Perm Ldls Pacemaker,7705.0,7705.0,,,0 CDM,49033278,Hc Removal Phrenic Nerve Stimulator System,8168.0,8168.0,,,0 CDM,49033285,Hc Insertion Of Subcutaneous Cardiac Rhythm Monitor,21807.0,21807.0,,,0 CDM,49033286,Hc Removal Of Subcutaneous Cardiac Rhythm Monitor,4228.0,4228.0,,,0 CDM,49033419,"Hc Transcath Mitral Valve Repair, Perc Approach, Add Prosthes",1799.0,1799.0,,,0 CDM,49033947,"Hc Ecmo/Ecls Provded By Physician; Initiation, Veno-Arterial",8814.0,8814.0,,,0 CDM,49033948,"Hc Ecmo/Ecls Provided By Physician; Daily Management, Each Day, Veno-Venous",5563.0,5563.0,,,0 CDM,49033949,"Hc Ecmo/Ecls Provided By Physician; Daily Management, Each Day, Veno-Arterial",6775.0,6775.0,,,0 CDM,49033951,"Hc Ecmo/Ecls Prov By Phys; Insertion Of Peripheral Cannula, Perc, Birth Through 5 Yrs Of Age",11913.0,11913.0,,,0 CDM,49033952,"Hc Ecmo/Ecls Provided By Physician; Insertion Of Peripheral Cannula, Percutaneous, 6 Years And Older",11913.0,11913.0,,,0 CDM,49033953,"Hc Ecmo/Ecls Prov By Phys; Insertion Of Peripheral Cannula, Open, Birth Through 5 Yrs Of Age",13369.0,13369.0,,,0 CDM,49033954,"Hc Ecmo/Ecls Provided By Physician; Insertion Of Peripheral Cannula, Open, 5 Years And Older",13369.0,13369.0,,,0 CDM,49033955,"Hc Ecmo/Ecls Prvided By Physcn; Insrtn Of Cntrl Cannula(E) By Strntmy Or Thrctmy, Brth-5 Yrs Of Age",23274.0,23274.0,,,0 CDM,49033956,"Hc Ecmo/Ecls Prov By Phys; Insertn Of Cntrl Cannula(E) By Sternotomy Or Thoracotomy, 6 Yrs And Older",23274.0,23274.0,,,0 CDM,49033957,"Hc Ecmo/Ecls Prov By Phys; Reposit Periphe (Arterial/Venous) Cannula(E), Perc, Birth Thro 5 Yrs/Age",4896.0,4896.0,,,0 CDM,49033958,"Hc Ecmo/Ecls Prov By Phys; Reposit Periphe (Arterial/Venous) Cannula(E), Perc, Brth Thro Yrs/Age",4896.0,4896.0,,,0 CDM,49033959,"Hc Ecmo/Ecls Prov By Phys; Reposit Periphe (Arterial/Venous) Cannula(E), Open, Birth Thro 5 Yrs/Age",6573.0,6573.0,,,0 CDM,49033962,"Hc Ecmo/Ecls Prov By Phys; Repositn Peripherl (Arterl And/Or Ven) Cannula(E), Open, 6 Yrs And Older",6573.0,6573.0,,,0 CDM,49033963,"Hc Ecmo/Ecls Prov By Phys; Repostn Of Centrl Cannula(E) By Sternotomy/Thoracotomy, Birth Thru 5 Yrs",13234.0,13234.0,,,0 CDM,49033964,"Hc Ecmo/Ecls Prov By Phys; Repositn Central Cannula(E) By Sternotomy Or Thoracotomy, 6 Yrs And Older",13924.0,13924.0,,,0 CDM,49033965,"Hc Ecmo/Ecls Prov By Phys; Rmvl Of Peripheral (Arterial/Venous) Cannula(E), Perc, Birth Thru 5 Yrs",4896.0,4896.0,,,0 CDM,49033966,"Hc Ecmo/Ecls Prov By Phys; Rmvl Of Peripherl (Arterial A/O Venous) Cannula(E), Perc, 6 Yrs And Older",6641.0,6641.0,,,0 CDM,49033969,"Hc Ecmo/Ecls Prov By Phys; Rmvl Of Peripheral (Arterial/Venous) Cannula(E), Open, Birth Thru 5 Yrs",7701.0,7701.0,,,0 CDM,49033984,"Hc Ecmo/Ecls Prov By Phys; Rmvl Of Peripherl (Arterial And/Or Ven) Cannula(E), Open, 6 Yrs And Older",8020.0,8020.0,,,0 CDM,49033985,"Hc Ecmo/Ecls Prvided By Physcn; Rmvl Of Cntrl Cannula(E) By Strntmy Or Thrctmy, Brth-5 Yrs Of Age",14497.0,14497.0,,,0 CDM,49033986,"Hc Ecmo/Ecls Prov By Phys; Rmvl Of Central Cannula(E) By Sternotomy Or Thoracotomy, 6 Yrs And Older",14658.0,14658.0,,,0 CDM,49033987,"Hc Arterial Exposure W/Creation Graft Conduit (Eg, Chimney Graft) To Faclt Arterl Perf For Ecmo/Ecls",6047.0,6047.0,,,0 CDM,49033988,"Hc Insertion Of Left Heart Vent By Thoracic Incision (Eg, Sternotomy, Thoracotomy) For Ecmo/Ecls",21878.0,21878.0,,,0 CDM,49033989,"Hc Removal Of Left Heart Vent By Thoracic Incision (Eg, Sternotomy, Thoracotomy) For Ecmo/Ecls",13924.0,13924.0,,,0 CDM,49034812,"Hc Open Remoral Artery Exposure For Delivery Of Endovasc Prosthesis, By Groin Incision, Unilat",618.0,618.0,,,0 CDM,49036002,Hc Injection Procedures For Percutaneous Treatment Of Extremity Pseudoaneurysm,1272.0,1272.0,,,0 CDM,49036005,Hc Injection Procedure For Extremity Venography,1909.0,1909.0,,,0 CDM,49036010,"Hc Introduction Of Catheter, Superior Or Inferior Vena Cava",3307.0,3307.0,,,0 CDM,49036011,"Hc Selective Catheter Placement, Venous System, 1St Order Branch",4963.0,4963.0,,,0 CDM,49036012,"Hc Selective Catheter Placement, Venous System; Second Order, Or More Selective, Brach",5593.0,5593.0,,,0 CDM,49036013,"Hc Introduction Of Catheter, Right Heart Or Main Pulmonary Artery",2308.0,2308.0,,,0 CDM,49036014,"Hc Selective Catheter Placement, Left Or Right Pulmonary Artery",3828.0,3828.0,,,0 CDM,49036015,"Hc Selective Catheter Placement, Segmental Or Subsegmental Pulmonary Artery",4122.0,4122.0,,,0 CDM,49036100,"Hc Introduction Of Needle Or Intracatheter, Carotid Or Vertebral Artery",9092.0,9092.0,,,0 CDM,49036140,Hc Introduction Of Needle Or Intracatheter; Extremity Artery,2691.0,2691.0,,,0 CDM,49036160,"Hc Introduction Of Needle Or Intracatheter, Aortic, Translumbar",2434.0,2434.0,,,0 CDM,49036200,"Hc Introduction Of Needle Or Intracather, Aortic, Translumbar",4338.0,4338.0,,,0 CDM,49036215,"Hc Selec Cath Placement, Arterial Sys; Ea 1St Order Thor Or Brachiocephalic Branch, W/In A Vasc Fam",6884.0,6884.0,,,0 CDM,49036216,"Hc Selec Cath Placmnt, Arterial Sys; Ini 2Nd Order Thor Or Brachiocephalic Branch, W/In A Vasc Fam",7863.0,7863.0,,,0 CDM,49036217,"Hc Sel Cath Plcmnt, Art Sys; Ini 3Rd Ordr Or More Sel Thor Or Brachiocphlc Brnch, W/In A Vasc Fmly",10913.0,10913.0,,,0 CDM,49036218,"Hc Sel Cath Plcmnt, Art Sys; Add 2Nd Ordr, 3Rd Ordr,&Beynd,Thor Or Brachiocphlc Brnch,W/In Vasc Fmly",2112.0,2112.0,,,0 CDM,49036222,"Hc Sel Cath Pl,Com Carot/Innom Art,Unilat,Angio Ipslat Extrcran Carot Circ,S&I,Angio Cervcereb Arch",25309.0,25309.0,,,0 CDM,49036223,"Hc Sel Cath Pla,Com Crtd/Inn Art, Uni,W Angy Ipsilt Incrnl Crtd Crc,S&I,Ang Excrnl Crtd/Cvcrbrl Arch",34414.0,34414.0,,,0 CDM,49036224,"Hc Sel Cath Plc, Int Crtd Art,Uni,Ang Ipsilat Intcrnl Crtd Circ, S&I, Ang Ext Crtd/ & Crvcrbl Arch",35795.1,35795.1,,,0 CDM,49036225,"Hc Slct Cath Place,Subclv Or Innomn Art,Unilt,Anggrph Ipsiltrl Vert Circ,S&I,Anggrph Crv-Cerbrl Arch",26386.0,26386.0,,,0 CDM,49036226,Hc Select Cath Place/Vert Artery/Unilal Angio Ipsilater Vert Circulat S&I Angio Cervicocerebral Arch,27769.5,27769.5,,,0 CDM,49036227,"Hc Select Cath Place, Ext Carotid Artery, Unilat, Angiograph Ipsilateral Ext Carotid Circulatn, S&I",19713.1,19713.1,,,0 CDM,49036228,"Hc Selct Cath Place,Ea Intracran Brnch Int Carotd Or Vert Art,Unilt,Anggraph Of Selctd Vssl Circ S&I",6624.0,6624.0,,,0 CDM,49036245,"Hc Sel Cath Plcmnt,Art Sys; Ea 1St Ordr Abd, Pelvic, Or Lower Extremity Art Brnch, W/In A Vasc Fmly",7065.0,7065.0,,,0 CDM,49036246,"Hc Sel Cath Plcmnt, Art Sys; Ini 2Nd Ordr Abd, Pelvic,Lower Extremity Art Brnch,W/In A Vasc Fmly",8022.0,8022.0,,,0 CDM,49036247,"Hc Sel Cath Plcmnt,Arterial;Ini 3Rd Ord Or More Sel Abd,Pelv,Or Lower Ext Art Branch, W In Vasc Fam",8916.0,8916.0,,,0 CDM,49036248,"Hc Sel Cath Plcmnt,Arterial;Add 2Nd Ord, 3Rd Ord,Abd,Pelvic,Or Lower Ext Art Branch,W In A Vasc Fam",2830.0,2830.0,,,0 CDM,49036251,"Hc Selective Cath Placement, Main Renal Artery, Unilateral",8710.0,8710.0,,,0 CDM,49036252,"Hc Selective Cath Placement, Main Renal Artery, First Order; Bilateral",16843.0,16843.0,,,0 CDM,49036253,Hc Superselective Cath Placement Renal Artery 2Nd Or Higher Branch Unilateral,11470.0,11470.0,,,0 CDM,49036254,Hc Superslctive Cath Placemnt Renal Art One Or More 2Nd Order Or Higher Renal Artery Branch; Bilat,14454.0,14454.0,,,0 CDM,49036410,"Hc Veni/P,>3Yrs, Necssitng Skill Of Phys Or Othr Qualfd Hlth Care Prof,Diag Or Thrptc Purposes",232.0,232.0,,,0 CDM,49036465,"Hc Injection Non-Compounded Foam Sclerosan, Single Vein",7710.0,7710.0,,,0 CDM,49036466,"Hc Injection Non-Compounded Foam Sclerosant, Multiple Vein",7710.0,7710.0,,,0 CDM,49036470,Hc Inj Sclerososant; Single Incompetent Vein (Other Than Telangiectasia),566.0,566.0,,,0 CDM,49036470_PBB,Hc Inj Sclerososant; Single Incompetent Vein (Other Than Telangiectasia)-Pbb,1552.0,1552.0,,,0 CDM,49036471,"Hc Inj Sclerososant; Multiple Incompetent Vein (Other Than Telangiectasia), Same Leg",1514.0,1514.0,,,0 CDM,49036471_PBB,"Hc Inj Sclerososant; Multiple Incompetent Vein (Other Than Telangiectasia), Same Leg-Pbb",2938.5,2938.5,,,0 CDM,49036473,Hc Endovenous Mechanochemical 1St Vein,7911.0,7911.0,,,0 CDM,49036474,Hc Endovenous Mechanochemical Add-On,3956.0,3956.0,,,0 CDM,49036475,"Hc Endovn Abltn Ther Of Incomptnt Vn,Ext,Inclsive Of All Imgng Guid&Montring,Perc,Radfrequ;1St Vn Tx",8604.0,8604.0,,,0 CDM,49036476,"Hc Endvn Abltn Thx Incmptnt Vn Ext,Img Gd&Mntrng,Perc,Rdfrqu;2Nd&Sub Vns Trtd In Sngl Extrmty,Ea Sit",3645.0,3645.0,,,0 CDM,49036478,"Hc Endoven Abltn Ther Incmptnt Vein,Extrmty, Inclsv Imgng Guid & Mntrng,Perc, Laser; 1St Vein Trtd",8185.0,8185.0,,,0 CDM,49036479,"Hc Endovns Abltn Incomp Vn,Ext,Incl All Img Gd&Mon,Perc,Lsr;2Nd&Sub Vns Trted Sing Ext,Ea Sep Acc St",2936.0,2936.0,,,0 CDM,49036481,Hc Percutaneous Portal Vein Catheterization By Any Method,9857.0,9857.0,,,0 CDM,49036500,Hc Venous Catheterziation For Selective Organ Blood Sampling,3546.0,3546.0,,,0 CDM,49036510,"Hc Catheterization Of Umbilical Vein For Diagnosis Or Therapy, Newborn",3441.0,3441.0,,,0 CDM,49036511,Hc Therapeutic Apheresis; For White Blood Cells,7193.0,7193.0,,,0 CDM,49036512,Hc Therapeutic Apheresis; For Red Blood Cells,7075.0,7075.0,,,0 CDM,49036514,Hc Therapeutic Apheresis; For Plasma Pheresis,8389.0,8389.0,,,0 CDM,49036522,Hc Photopheresis; Extracorporeal,12812.0,12812.0,,,0 CDM,49036522_PBB,Hc Photopheresis; Extracorporeal-Pbb,13363.5,13363.5,,,0 CDM,49036555,Hc Insertion Of Non-Tunneled Centrally Inserted Central Venous Catheter; Younger Than 5 Years Of Age,3748.0,3748.0,,,0 CDM,49036556,Hc Insertion Of Non-Tunneled Centrally Inserted Central Venous Catheter; Age 5 Years Or Older,3870.0,3870.0,,,0 CDM,49036556_GOLD,Hc Insertion Of Non-Tunneled Centrally Inserted Central Venous Catheter; Age 5 Years Or Older-Gold,5448.0,5448.0,,,0 CDM,49036556_GOLDPBB,"Hc Insertion Of Non-Tunneled Centrally Inserted Central Venous Catheter; Age 5 Years Or Older-Gold,P",5448.0,5448.0,,,0 CDM,49036556_PBB,Hc Insertion Of Non-Tunneled Centrally Inserted Central Venous Catheter; Age 5 Years Or Older-Pbb,5448.0,5448.0,,,0 CDM,49036557,"Hc Insertion Tunneled Centrally Venous Catheter, W/O Subcu Port/Pump <5 Yrs/Age",6820.0,6820.0,,,0 CDM,49036558,"Hc Insertion Tunneled Centrally Insert Central Ven Cath, W/O Subcutaneous Port/Pump; Age > 5 Yrs",12078.0,12078.0,,,0 CDM,49036560,"Hc Insertion Tunneled Centrally Insert Central Ven Cath, W/ Subcu Port Or Pump; < Than 5 Yrs Of Age",8899.0,8899.0,,,0 CDM,49036561,"Hc Insertion Of Tunneled Centrally Inserted Central Vad, W/ Subcu Port; Age 5 Yrs Or Older",19669.0,19669.0,,,0 CDM,49036565,Hc Insert Tunneled Cv 2X Catheter Without Sq Port,9901.0,9901.0,,,0 CDM,49036568,"Hc Insertion Of Peripher Insert Central Venous Cath (Picc), W/Out Port Or Pump; =< 5 Yrs Of Age",6198.0,6198.0,,,0 CDM,49036568_PBB,"Hc Insertion Of Peripher Insert Central Venous Cath (Picc), W/Out Port Or Pump; =< 5 Yrs Of Age-Pbb",8016.0,8016.0,,,0 CDM,49036569,"Hc Insrtn Of Peripherally Inserted Cntrl Venous Cath (Picc), W/O Subq Port/Pmp; Age 5 Yrs Or Older",6482.0,6482.0,,,0 CDM,49036569_GOLD,"Hc Insrtn Of Peripherally Inserted Cntrl Venous Cath (Picc), W/O Subq Port/Pmp; Age 5 Yrs Or Older-G",8455.0,8455.0,,,0 CDM,49036569_GOLDPBB,"Hc Insrtn Of Peripherally Inserted Cntrl Venous Cath (Picc), W/O Subq Port/Pmp; Age 5 Yrs Or Older-G",8455.0,8455.0,,,0 CDM,49036569_PBB,"Hc Insrtn Of Peripherally Inserted Cntrl Venous Cath (Picc), W/O Subq Port/Pmp; Age 5 Yrs Or Older-P",8455.0,8455.0,,,0 CDM,49036570,"Hc Insertion Of Peripherally Inserted Central Vad, W/ Subcu Port; Younger Than 5 Yrs Of Age",8838.0,8838.0,,,0 CDM,49036571,"Hc Insertion Of Peripherally Inserted Central Vad, W/ Subcu Port; Age 5 Yrs Or Older",9230.0,9230.0,,,0 CDM,49036575,"Hc Repr Of Tunnld Or Non-Tunnld Cntrl Ven Cath,W/O Subcu Port Or Pmp,Centrl Or Periph Insertn Site",3149.0,3149.0,,,0 CDM,49036575_PBB,"Hc Repr Of Tunnld Or Non-Tunnld Cntrl Ven Cath,W/O Subcu Port Or Pmp,Centrl Or Periph Insertn Site-P",3381.5,3381.5,,,0 CDM,49036576,"Hc Repair Of Central Vad, W/ Subcu Port Or Pump, Central Or Peripheral Insertion Site",4349.0,4349.0,,,0 CDM,49036576_PBB,"Hc Repair Of Central Vad, W/ Subcu Port Or Pump, Central Or Peripheral Insertion Site-Pbb",5679.5,5679.5,,,0 CDM,49036578,"Hc Rplcmnt,Cthtr Only,Of Cntrl Venous Access Dev, W/Subcu Port/Pump,Cntrl Or Periphl Insertn Site",6460.0,6460.0,,,0 CDM,49036580,"Hc Replcemnt,Cmplt,Of Non-Tunnld Cent Insertd Cent Vencath,W/Out Subq Prt /Pmp,Thru Same Ven Access",12229.0,12229.0,,,0 CDM,49036580_GOLD,"Hc Replcemnt,Cmplt,Of Non-Tunnld Cent Insertd Cent Vencath,W/Out Subq Prt /Pmp,Thru Same Ven Access-",13710.5,13710.5,,,0 CDM,49036580_GOLDPBB,"Hc Replcemnt,Cmplt,Of Non-Tunnld Cent Insertd Cent Vencath,W/Out Subq Prt /Pmp,Thru Same Ven Access-",13710.5,13710.5,,,0 CDM,49036580_PBB,"Hc Replcemnt,Cmplt,Of Non-Tunnld Cent Insertd Cent Vencath,W/Out Subq Prt /Pmp,Thru Same Ven Access-",13710.5,13710.5,,,0 CDM,49036581,"Hc Replcmnt,Cmplt,Tunnld Cntrlly Insrtd Cntrl Ven Cath,W/O Subcu Port Or Pump,Thru Same Ven Access",6460.0,6460.0,,,0 CDM,49036582,"Hc Repl, Complt, Of A Tunnld Centrlly Insrtd Centrl Ven Access Dev, W/Subcu Port, Thrgh Sm Ven Accss",17287.0,17287.0,,,0 CDM,49036584,"Hc Replcmnt, Cmplt, Of A (Picc), W/O Subcu Port Or Pump, Thru Same Ven Access",3704.0,3704.0,,,0 CDM,49036585,"Hc Rplcmnt,Comp,Of A Peripherally Insrtd Cntrl Venous Access Dev,W/Subcu Port,Thrgh Sm Venous Access",7480.0,7480.0,,,0 CDM,49036589,"Hc Removal Of Tunneled Central Venous Catheter, Without Subcutaneous Port Or Pump",4704.0,4704.0,,,0 CDM,49036589_GOLD,"Hc Removal Of Tunneled Central Venous Catheter, Without Subcutaneous Port Or Pump-Gold",6185.5,6185.5,,,0 CDM,49036589_GOLDPBB,"Hc Removal Of Tunneled Central Venous Catheter, Without Subcutaneous Port Or Pump-Gold,Pbb",6185.5,6185.5,,,0 CDM,49036589_PBB,"Hc Removal Of Tunneled Central Venous Catheter, Without Subcutaneous Port Or Pump-Pbb",6185.5,6185.5,,,0 CDM,49036590,"Hc Removal Of Tunneled Central Venous Access Device, Subq Port/Pump, Central/Peripheral Insert",8273.0,8273.0,,,0 CDM,49036590_PBB,"Hc Removal Of Tunneled Central Venous Access Device, Subq Port/Pump, Central/Peripheral Insert-Pbb",10440.5,10440.5,,,0 CDM,49036593,Hc Declotting By Thrombolytic Agent Of Implanted Vascular Access Device Or Catheter,1769.0,1769.0,,,0 CDM,49036595,Hc Mech Rmvl Of Pericatheter Obs Mat From Central Venous Device Via Separate Venous Access,6460.0,6460.0,,,0 CDM,49036596,Hc Mech Rmvl Of Intraluminal (Intracatheter) Obs Mat From Central Venous Device Through Device Lumen,3704.0,3704.0,,,0 CDM,49036597,Hc Repositioning Of Previously Placed Central Venous Catheter Under Fluoroscopic Guidance,3704.0,3704.0,,,0 CDM,49036598,"Hc Cntrst Inj(S) For Rady Evl Of Exstng Cntrl Ven Access Dev, Incl Flurscpy, Img Documnt And Reprt",2769.0,2769.0,,,0 CDM,49036600,Hc Arterial Puncture Withdrawal Of Blood For Diagnosis,496.0,496.0,,,0 CDM,49036620,"Hc Arterial Catheterization Or Cannulation For Sampling, Monitoring Or Transfusion ; Percutaneous",1342.0,1342.0,,,0 CDM,49036620_GOLD,"Hc Arterial Catheterization Or Cannulation For Sampling, Monitoring Or Transfusion ; Percutaneous-Go",1806.0,1806.0,,,0 CDM,49036620_GOLDPBB,"Hc Arterial Catheterization Or Cannulation For Sampling, Monitoring Or Transfusion ; Percutaneous-Go",1806.0,1806.0,,,0 CDM,49036620_PBB,"Hc Arterial Catheterization Or Cannulation For Sampling, Monitoring Or Transfusion ; Percutaneous-Pb",1806.0,1806.0,,,0 CDM,49036625,"Hc Arterial Catheterization Or Cannulation For Sampling, Monitoring Or Transfusion ; Cutdown",2153.0,2153.0,,,0 CDM,49036810,"Hc Insertion Of Cannula For Hemodialysis, Other Purpose, Arteriovenous, External",8814.0,8814.0,,,0 CDM,49036901,Hc Introduction Catheter Dialysis Circuit,15050.0,15050.0,,,0 CDM,49036902,Hc Introduction Cathether Dialysis Circuit,38998.0,38998.0,,,0 CDM,49036903,Hc Introduction Catheter Dialysis Circuit With Transcatheter Placement,75582.0,75582.0,,,0 CDM,49036904,Hc Thrombectomy/Infusion Dialysis Circuit,23946.0,23946.0,,,0 CDM,49036905,Hc Thrombectomy/Infusion Dialysis Circuit With Transluminal Balloon Angioplasty,45249.0,45249.0,,,0 CDM,49036906,Hc Thrombectomy/Infusion Dialysis Circuit With Transcathetrer Placement,84478.0,84478.0,,,0 CDM,49036908,Hc Stent Placement Central Dialysis Segment,34866.0,34866.0,,,0 CDM,49036909,Hc Dialysis Circuit Embolization,32249.0,32249.0,,,0 CDM,49037184,Hc Primary Arterial Mechanical Thrombectomy,14825.0,14825.0,,,0 CDM,49037185,Hc Primary Artery Mechanical Thrombectomy; Second And All Subsequent Vessels,5839.0,5839.0,,,0 CDM,49037186,Hc Secondary Arterial Mechanical Thrombectomry; Add-On,6985.0,6985.0,,,0 CDM,49037187,"Hc Perc Translum Mech Thrombect, Vein(S)/Intraprocedural Pharmacol Thrombolytic Inj And Fluoro Guid",11417.0,11417.0,,,0 CDM,49037188,"Hc Prc Trnslml Mec Thrmectmy, Vein(S),Inc Intrpx Rx Thrmlytc Inj&Fluguid,Rpt Trtmnt On Sub Day",10927.0,10927.0,,,0 CDM,49037197,"Hc Transcath Retriev, Perc, Intravascaular Foreign Body, Incl Rad S&I, And Imaging Guid, When Perf",16649.0,16649.0,,,0 CDM,49037200,Hc Transcatheter Biopsy,6467.0,6467.0,,,0 CDM,49037211,"Hc Transcath Ther,Art Inf Thrombolysis Oth Than Coronary,Any Meth,Incl Radgcl Sup&Interp,Ini Tx Day",16545.0,16545.0,,,0 CDM,49037212,"Hc Tc Ther, Ven Inf For Thrombolysis, Any Meth, Incl Rady Suprvision And Interpr, Ini Trtmnt Dy",16545.0,16545.0,,,0 CDM,49037220,"Hc Revascization, Endovasc, Open Or Perc, Iliac Artery, Unilat, Ini Vessl; W/Transluminl Angioplasty",15458.0,15458.0,,,0 CDM,49037221,"Hc Revsc,Endovsc,Opn/Perc,Iliac Art,Unilat,Ini Vsl;W Translumnl Stnt Plcmnt,Incl Angiopy Win Sm Vsl",28377.0,28377.0,,,0 CDM,49037222,"Hc Revasc, Endovas, Opn Or Perc, Iliac Art, Ea Add Ipsilateral Iliac Vessel; W/Translum Angioplasty",11981.0,11981.0,,,0 CDM,49037223,"Hc Revas Endvas, Opn Or Perc, Il Art, Ea Ads Il Vssl;W Trnlm Stnt Plcmnt, Inc Angplsty W In Sme Vsl",12545.0,12545.0,,,0 CDM,49037224,"Hc Revascizatn, Endovasc, Open Or Perc, Femoral, Popliteal Artry(S),Unilat;W/Transluminl Angioplasty",18591.0,18591.0,,,0 CDM,49037225,"Hc Revasc,Endovsc,Opn Or Perc,Femoral,Popltl Art,Unilat;W/Athrctmy Incl Angplsty W/In Same Vssl",53020.0,53020.0,,,0 CDM,49037226,"Hc Revas,Endvas,Opn Or Prc, Fem,Pop Art(S),Uni W Trnslm Stnt Plct(S),Inc Anpty W In Sme Vsl,Whn Perf",43453.0,43453.0,,,0 CDM,49037227,"Hc Revas,Endvas, Opn Or Per, Fml,Pop Art(S),Uni;W Trn Snt Plmt(S)&Athtmy,Inc Anplty W In Sm Vsl,Per",71586.0,71586.0,,,0 CDM,49037228,"Hc Revascztion, Endovasc, Open/Perc, Tibial, Peronl Art, Unilat, Ini Vessel; W/ Translmnl Angioplast",26470.0,26470.0,,,0 CDM,49037229,"Hc Revsc,Endovsc,Opn/Perc,Tibial,Peroneal Art,Unilat,Ini Vsl;W Athery,Incl Angio Win Same Vsl",52287.0,52287.0,,,0 CDM,49037230,"Hc Revas Endvas,Open Or Perc,Tib, Per Art,Uni,Ini Vsl;W Trnl Stnt Plcmt(S),Inc Angpsty W/In Sme Vsl",39896.0,39896.0,,,0 CDM,49037231,"Hc Rvscztn, Endvsc, Opn/Perc, Tib, Peronl Artry, Unilt, Ini Vssl W/Trnslum Stnt Plcmnt(S) & Athrctmy",22627.0,22627.0,,,0 CDM,49037232,"Hc Revasc Endovasc, Opn/Perc, Tibial/Peroneal Artery/Unilat/Ea Add Vessel W/ Translum Angioplasty",11981.0,11981.0,,,0 CDM,49037233,"Hc Revsc, Endovsc,Opn/Perc,Tib/Peroneal Art,Unilat,Ea Add Vsl;W Athery,Incl Angio Win Same Vsl",18649.0,18649.0,,,0 CDM,49037234,"Hc Revas Endvas, Opn Or Perc, Tib/Per Art, Uni, Ea Add;W Trnlm Stnt Plcmnt,Inc Angpsty W In Sme Vsl",18877.0,18877.0,,,0 CDM,49037235,"Hc Rvscztn, Endvsc, Opn/Perc, Tib/Prnl Artry, Unilt, Ea Add Vssl; W/Trnslm Stnt Plcmnt(S) & Athrctmy",26783.0,26783.0,,,0 CDM,49037236,"Hc Trnscth Plct Intrvasc Stnt(S),Opn Or Perc,Inc Rady S&I,Int&Inc All Angplsty W In Sme Vsl;Ini Art",33260.0,33260.0,,,0 CDM,49037237,"Hc Trnscth Plcmnt Intravsc Stnt(S), Opn/Perc, Incl Rad Sprvsn & Intrprt & Angplsty; Ea Add Artery",16083.0,16083.0,,,0 CDM,49037238,"Hc Trnscath Plct Intrvas Stet(S),Open Or Per,Inc Rady S&I Inc Angpl W/In Sme Vsl, When Per; Ini Vein",33260.0,33260.0,,,0 CDM,49037239,"Hc Trnscth Plct Intvsc Stnt(S),Opn Or Perc,Inc Rad S&I & Inc Angply W/In Sme Vsl,Whn Per;Ea Ad Vein",16083.0,16083.0,,,0 CDM,49037246,Hc Transluminal Balloon Angioplasty Initial Artery,15509.0,15509.0,,,0 CDM,49037247,Hc Transluminal Balloon Angioplasty Additional Artery,7756.0,7756.0,,,0 CDM,49037248,Hc Transluminal Balloon Angioplasty Initial Vein,15509.0,15509.0,,,0 CDM,49037249,Hc Transluminal Balloon Angioplasty Additional Vein,7756.0,7756.0,,,0 CDM,49037254,Hc Revsc Evasc Ivt Angio Sf 1St Vessel,15264.0,15264.0,,,0 CDM,49037255,Hc Revsc Evasc Ivt Angio Sf Ea Addtl Vessel,2832.0,2832.0,,,0 CDM,49037256,Hc Revsc Evasc Ivt Angio Cplx 1St Vessel,15264.0,15264.0,,,0 CDM,49037257,Hc Revsc Evasc Ivt Angiop Uni Cplx Les Ea Addl Vsl,7632.0,7632.0,,,0 CDM,49037258,Hc Revsc Evasc Ivt Stent Sf 1St Vessel,30960.0,30960.0,,,0 CDM,49037259,Hc Revsc Evasc Ivt St Plmt Uni Sf Les Ea Addl Vsl,15480.0,15480.0,,,0 CDM,49037260,Hc Revsc Evasc Ivt St Cplx 1St Vessel,30960.0,30960.0,,,0 CDM,49037261,Hc Revsc Evasc Ivt St Plmt Uni Cplx Les Ea Addl Vsl,15480.0,15480.0,,,0 CDM,49037263,Hc Revsc Evasc Fpvt Angiop Uni Sf Les 1St Vsl,15264.0,15264.0,,,0 CDM,49037264,Hc Revsc Evasc Fpvt Angiop Uni Sf Les Ea Addl Vsl,7632.0,7632.0,,,0 CDM,49037265,Hc Revsc Evasc Fpvt Angiop Uni Cplx Les 1St Vsl,15264.0,15264.0,,,0 CDM,49037267,Hc Revsc Evasc Fpvt St Plmt Uni Sf Les 1St Vsl,30960.0,30960.0,,,0 CDM,49037269,Hc Revsc Evasc Fpvt St Plmt Uni Cplx Les 1St Vsl,30960.0,30960.0,,,0 CDM,49037271,Hc Revsc Evasc Fpvt Athrc Uni Sf Les 1St Vsl,49163.0,49163.0,,,0 CDM,49037273,Hc Revsc Evasc Fpvt Athrc Uni Cplx Les 1St Vsl,49163.0,49163.0,,,0 CDM,49037275,Hc Revsc Evasc Fpvt St Athrc Uni Sf Les 1St Vsl,49163.0,49163.0,,,0 CDM,49037277,Hc Revsc Evasc Fpvt St Athrc Uni Cplx Les 1St Vsl,49163.0,49163.0,,,0 CDM,49037280,Hc Revsc Evasc Tpvt Angiop Uni Sf Les 1St Vsl,30960.0,30960.0,,,0 CDM,49037281,Hc Revsc Evasc Tpvt Angiop Uni Sf Les Ea Addl Vsl,15480.0,15480.0,,,0 CDM,49037282,Hc Revsc Evasc Tpvt Angiop Uni Cplx Les 1St Vsl,30960.0,30960.0,,,0 CDM,49037283,Hc Revsc Evasc Tpvt Angiop Uni Cplx Les Ea Addl Vsl,15480.0,15480.0,,,0 CDM,49037284,Hc Revsc Evasc Tpvt St Plmt Uni Sf Les 1St Vsl,49163.0,49163.0,,,0 CDM,49037285,Hc Revsc Evasc Tpvt St Plmt Uni Sf Les Ea Addl Vsl,24582.0,24582.0,,,0 CDM,49037286,Hc Revsc Evasc Tpvt St Plmt Uni Cplx Les 1St Vsl,49163.0,49163.0,,,0 CDM,49037287,Hc Revsc Evasc Tpvt St Plmt Uni Cplx Les Ea Add Vsl,24582.0,24582.0,,,0 CDM,49037288,Hc Revsc Evasc Tpvt Athrc Uni Sf Les 1St Vsl,49163.0,49163.0,,,0 CDM,49037289,Hc Revsc Evasc Tpvt Athrc Uni Sf Les Ea Addl Vsl,24582.0,24582.0,,,0 CDM,49037290,Hc Revsc Evasc Tpvt Athrc Uni Cplx Les 1St Vsl,49163.0,49163.0,,,0 CDM,49037291,Hc Revsc Evasc Tpvt Athrc Uni Cplx Les Ea Addl Vsl,24582.0,24582.0,,,0 CDM,49037292,Hc Revsc Evasc Tpvt St Athrc Uni Sf Les 1St Vsl,49163.0,49163.0,,,0 CDM,49037293,Hc Revsc Evasc Tpvt St Athrc Uni Sf Les Ea Addl Vsl,24582.0,24582.0,,,0 CDM,49037294,Hc Revsc Evasc Tpvt St Athrc Uni Cplx Les 1St Vs,49163.0,49163.0,,,0 CDM,49037295,Hc Revsc Evsc Tpvt St Athrc Uni Cplx Les Ea Add Vsl,24582.0,24582.0,,,0 CDM,49037609,"Hc Ligation Or Biopsy, Temporal Artery",6290.0,6290.0,,,0 CDM,49037609_PBB,"Hc Ligation Or Biopsy, Temporal Artery-Pbb",8754.5,8754.5,,,0 CDM,49037799,Hc Unlisted Procedure Vascular Surgery,12208.0,12208.0,,,0 CDM,49038200,Hc Injection Procedure For Splenoportography,3514.0,3514.0,,,0 CDM,49038205,"Hc Blood-Derived Hematopoietic Progenitor Cell Harvesting For Transplant, Per Collection; Allogeneic",7578.0,7578.0,,,0 CDM,49038205_PBB,"Hc Blood-Derived Hematopoietic Progenitor Cell Harvesting For Transplant, Per Collection; Allogeneic",10295.0,10295.0,,,0 CDM,49038206,"Hc Blood-Derived Hematopoietic Progenitor Cell Harvesting For Transplantatn, Per Collxn; Autologous",7714.0,7714.0,,,0 CDM,49038206_PBB,"Hc Blood-Derived Hematopoietic Progenitor Cell Harvesting For Transplantatn, Per Collxn; Autologous-",10430.5,10430.5,,,0 CDM,49038207,Hc Transplant Preparation Of Hematopoietic Cells; Cryopreseervation And Storage,7140.0,7140.0,,,0 CDM,49038209,"Hc Transplnt Preparatn Of Hematopoietic Cells; Thawing Of Prev Frozen Harvest, W/ Washing, Per Donor",2147.0,2147.0,,,0 CDM,49038212,Hc Transplant Preparation Of Hematopoietic Progenitor Cells; Red Blood Cell Removal,2066.0,2066.0,,,0 CDM,49038214,Hc Transplant Preparation Of Hematopoietic Progenitor Cells; Plasma Depletion,1915.0,1915.0,,,0 CDM,49038220,Hc Diagnostic Bone Marrow; Aspiration(S),3241.0,3241.0,,,0 CDM,49038220_PBB,Hc Diagnostic Bone Marrow; Aspiration(S)-Pbb,4239.0,4239.0,,,0 CDM,49038221,Hc Diagnostic Bone Marrow; Biopsy(Ies),4004.0,4004.0,,,0 CDM,49038221_PBB,Hc Diagnostic Bone Marrow; Biopsy(Ies)-Pbb,5082.5,5082.5,,,0 CDM,49038222,Hc Diagnostic Bone Marrow Biopsy/Aspiration,2154.0,2154.0,,,0 CDM,49038222_PBB,Hc Diagnostic Bone Marrow Biopsy/Aspiration-Pbb,2277.5,2277.5,,,0 CDM,49038230,Hc Bone Marrow Harvesting For Transplantation; Allogeneic,8239.0,8239.0,,,0 CDM,49038240,Hc Hematopoietic Progenitor Cell (Hpc); Allogeneic Transplantation Per Donor,5238.0,5238.0,,,0 CDM,49038240_PBB,Hc Hematopoietic Progenitor Cell (Hpc); Allogeneic Transplantation Per Donor-Pbb,8368.0,8368.0,,,0 CDM,49038241,Hc Hematopoietic Progenitor Cell (Hpc); Autologous Transplantation,8239.0,8239.0,,,0 CDM,49038241_PBB,Hc Hematopoietic Progenitor Cell (Hpc); Autologous Transplantation-Pbb,11066.5,11066.5,,,0 CDM,49038242,Hc Allogeneic Lymphocyte Infusions,7095.0,7095.0,,,0 CDM,49038242_PBB,Hc Allogeneic Lymphocyte Infusions-Pbb,10619.0,10619.0,,,0 CDM,49038300,Hc Drainage Of Lymph Node Abcess Or Lymphadenitis; Simple,4482.0,4482.0,,,0 CDM,49038500,"Hc Biopsy Or Excision Of Lymph Node(S); Open, Superficial",13798.0,13798.0,,,0 CDM,49038500_PBB,"Hc Biopsy Or Excision Of Lymph Node(S); Open, Superficial-Pbb",16673.5,16673.5,,,0 CDM,49038505,"Hc Biopsy Or Excision Of Lymph Node(S); By Needle, Superficial",5558.0,5558.0,,,0 CDM,49038505_PBB,"Hc Biopsy Or Excision Of Lymph Node(S); By Needle, Superficial-Pbb",7158.0,7158.0,,,0 CDM,49038790,Hc Injection Procedure; Lymphangiography,1165.0,1165.0,,,0 CDM,49038790_PBB,Hc Injection Procedure; Lymphangiography-Pbb,1528.5,1528.5,,,0 CDM,49038792,Hc Injection Procedure; Radioactive Tracer For Identification Of Sentinel Node,1465.0,1465.0,,,0 CDM,49038999,Hc Us Guided Tumoral Injection-Lymph Node,5324.0,5324.0,,,0 CDM,49040490,Hc Biopsy Of Lip,2720.0,2720.0,,,0 CDM,49040490_PBB,Hc Biopsy Of Lip-Pbb,3280.0,3280.0,,,0 CDM,49040510_PBB,"Hc Excision, Lip; Transverse Wedge Excision W/ Primary Closure-Pbb",11794.0,11794.0,,,0 CDM,49040654,"Hc Repair Lip, Full Thickness; > One-Half Vertical Height/Complex",4164.0,4164.0,,,0 CDM,49040805_PBB,"Hc Removal, Embedded Fb, Vestibule, Mouth; Complicated-Pbb",2602.0,2602.0,,,0 CDM,49040808,"Hc Biopsy, Vestibule Of Mouth",1794.0,1794.0,,,0 CDM,49040808_PBB,"Hc Biopsy, Vestibule Of Mouth-Pbb",2607.0,2607.0,,,0 CDM,49040810,"Hc Excision Of Lesion Of Mucosa And Submucosa, Vestibule Of Mouth; Without Repair",6331.0,6331.0,,,0 CDM,49040810_PBB,"Hc Excision Of Lesion Of Mucosa And Submucosa, Vestibule Of Mouth; Without Repair-Pbb",7123.5,7123.5,,,0 CDM,49040812,"Hc Excision Of Lesion Of Mucosa And Submucosa, Vestibule Of Mouth; With Simple Repair",6083.0,6083.0,,,0 CDM,49040812_PBB,"Hc Excision Of Lesion Of Mucosa And Submucosa, Vestibule Of Mouth; With Simple Repair-Pbb",7499.0,7499.0,,,0 CDM,49040814,"Hc Excision Of Lesion Of Mucosa And Submucosa, Vestibule Of Mouth; With Complex Repair",9346.0,9346.0,,,0 CDM,49040814_PBB,"Hc Excision Of Lesion Of Mucosa And Submucosa, Vestibule Of Mouth; With Complex Repair-Pbb",12401.0,12401.0,,,0 CDM,49040816_PBB,"Hc Excision, Lesion, Mucosa & Submucosa, Vestibule, Mouth; Complex, W/ Excision, Muscle-Pbb",11595.5,11595.5,,,0 CDM,49040819,"Hc Excision Of Frenum, Labial Of Buccal",2995.0,2995.0,,,0 CDM,49040819_PBB,"Hc Excision Of Frenum, Labial Of Buccal-Pbb",4422.0,4422.0,,,0 CDM,49041000,"Hc Intraoral Incision An Drainage Of Abcess, Cyst, Or Hematoma Of Tongue Or Floor Of Mouth; Lingual",5970.0,5970.0,,,0 CDM,49041000_PBB,"Hc Intraoral Incision An Drainage Of Abcess, Cyst, Or Hematoma Of Tongue Or Floor Of Mouth; Lingual-",6783.0,6783.0,,,0 CDM,49041005,"Hc Intraoral Incision & Drainage, Abscess/Cyst/Hematoma, Tongue/Mouth Floor; Sublingual, Superficial",624.0,624.0,,,0 CDM,49041009,"Hc Intraoral Incision & Drainage, Abscess/Cyst/Hematoma, Tongue/Mouth Floor; Masticator",1370.0,1370.0,,,0 CDM,49041019,"Hc Placement Of Needles, Catheters, Or Other Devicies Into The Head And/Or Neck Region",9346.0,9346.0,,,0 CDM,49041019_PBB,"Hc Placement Of Needles, Catheters, Or Other Devicies Into The Head And/Or Neck Region-Pbb",12251.0,12251.0,,,0 CDM,49041100,Hc Biopsy Of Tongue; Anterior Two-Thirds,4367.0,4367.0,,,0 CDM,49041100_PBB,Hc Biopsy Of Tongue; Anterior Two-Thirds-Pbb,5072.0,5072.0,,,0 CDM,49041105,Hc Biopsy Of Tongue; Posterior One-Third,6083.0,6083.0,,,0 CDM,49041105_PBB,Hc Biopsy Of Tongue; Posterior One-Third-Pbb,6965.0,6965.0,,,0 CDM,49041108,Hc Biopsy Of Floor Of Mouth,5371.0,5371.0,,,0 CDM,49041108_PBB,Hc Biopsy Of Floor Of Mouth-Pbb,5988.5,5988.5,,,0 CDM,49041110,Hc Excision Of Lesion Of Tongue Without Closure,11099.0,11099.0,,,0 CDM,49041110_PBB,Hc Excision Of Lesion Of Tongue Without Closure-Pbb,11937.5,11937.5,,,0 CDM,49041112,Hc Exicision Of Lesion Of Tonque With Closure; Anterior Two-Thirds,6334.0,6334.0,,,0 CDM,49041112_PBB,Hc Exicision Of Lesion Of Tonque With Closure; Anterior Two-Thirds-Pbb,8124.0,8124.0,,,0 CDM,49041116,"Hc Excision, Lesion Of Floor Of Mouth",9346.0,9346.0,,,0 CDM,49041116_PBB,"Hc Excision, Lesion Of Floor Of Mouth-Pbb",11019.0,11019.0,,,0 CDM,49041800,"Hc Drainage Of Abcess, Cyst, Hematoma From Dentoalveolar Structures",1828.0,1828.0,,,0 CDM,49041800_PBB,"Hc Drainage Of Abcess, Cyst, Hematoma From Dentoalveolar Structures-Pbb",2641.0,2641.0,,,0 CDM,49041850_PBB,"Hc Destruction, Lesion (Except Excision), Dentoalveolar Structures-Pbb",5225.0,5225.0,,,0 CDM,49042100,"Hc Biopsy Of Palata, Uvula",3006.0,3006.0,,,0 CDM,49042100_PBB,"Hc Biopsy Of Palata, Uvula-Pbb",3888.0,3888.0,,,0 CDM,49042104,"Hc Excision, Lesion, Palate, Uvula; W/O Closure",9726.0,9726.0,,,0 CDM,49042104_PBB,"Hc Excision, Lesion, Palate, Uvula; W/O Closure-Pbb",10457.5,10457.5,,,0 CDM,49042140_PBB,"Hc Uvulectomy, Excision, Uvula-Pbb",10890.0,10890.0,,,0 CDM,49042145,Hc Palatopharyngoplasty,13335.0,13335.0,,,0 CDM,49042145_PBB,Hc Palatopharyngoplasty-Pbb,19395.0,19395.0,,,0 CDM,49042160,"Hc Destruction Of Lesion, Palate Or Uvula",6083.0,6083.0,,,0 CDM,49042160_PBB,"Hc Destruction Of Lesion, Palate Or Uvula-Pbb",6610.5,6610.5,,,0 CDM,49042182,"Hc Repair, Laceration, Palate; > 2 Cm/Complex",16019.0,16019.0,,,0 CDM,49042310,"Hc Drainage Of Abcess; Submaxillary Or Sublingual, Intraoral",1224.0,1224.0,,,0 CDM,49042310_PBB,"Hc Drainage Of Abcess; Submaxillary Or Sublingual, Intraoral-Pbb",2127.0,2127.0,,,0 CDM,49042330,"Hc Sialolithotomy; Submandibular, Sublingual Or Parotid, Uncomplicated, Intraoral",6796.0,6796.0,,,0 CDM,49042330_PBB,"Hc Sialolithotomy; Submandibular, Sublingual Or Parotid, Uncomplicated, Intraoral-Pbb",8114.5,8114.5,,,0 CDM,49042335,"Hc Sialolithotomy; Submandibular (Submaxillary), Complicated, Intraoral",9730.0,9730.0,,,0 CDM,49042335_PBB,"Hc Sialolithotomy; Submandibular (Submaxillary), Complicated, Intraoral-Pbb",10987.5,10987.5,,,0 CDM,49042400,Hc Biopsy Of Salivery Gland; Needle,3407.0,3407.0,,,0 CDM,49042400_PBB,Hc Biopsy Of Salivery Gland; Needle-Pbb,4046.5,4046.5,,,0 CDM,49042405,Hc Biopsy Of Salivary Gland; Incisional,9722.0,9722.0,,,0 CDM,49042405_PBB,Hc Biopsy Of Salivary Gland; Incisional-Pbb,11135.0,11135.0,,,0 CDM,49042500,"Hc Plastic Repair, Salivary Duct, Sialodochoplasty; Primary/Simple",17747.0,17747.0,,,0 CDM,49042500_PBB,"Hc Plastic Repair, Salivary Duct, Sialodochoplasty; Primary/Simple-Pbb",19413.0,19413.0,,,0 CDM,49042505,"Hc Plastic Repair, Salivary Duct, Sialodochoplasty; Secondary/Complicated",17747.0,17747.0,,,0 CDM,49042505_PBB,"Hc Plastic Repair, Salivary Duct, Sialodochoplasty; Secondary/Complicated-Pbb",19958.0,19958.0,,,0 CDM,49042650,Hc Dilation Salivary Duct,11544.0,11544.0,,,0 CDM,49042650_PBB,Hc Dilation Salivary Duct-Pbb,11917.0,11917.0,,,0 CDM,49042700,Hc Incision And Draiange Abcess; Peritonsillar,1585.0,1585.0,,,0 CDM,49042700_PBB,Hc Incision And Draiange Abcess; Peritonsillar-Pbb,2380.0,2380.0,,,0 CDM,49042720,"Hc Incision & Drainage Abscess; Retropharyngeal/Parapharyngeal, Intraoral Approach",8730.0,8730.0,,,0 CDM,49042800,Hc Biopsy; Oropharynx,8437.0,8437.0,,,0 CDM,49042800_PBB,Hc Biopsy; Oropharynx-Pbb,8911.0,8911.0,,,0 CDM,49042804,"Hc Biopsy; Nasopharynx, Visible Lesion, Simple",7847.0,7847.0,,,0 CDM,49042804_PBB,"Hc Biopsy; Nasopharynx, Visible Lesion, Simple-Pbb",8321.0,8321.0,,,0 CDM,49042808,"Hc Excision Or Destruction Of Lesion Of Pharynx, Any Method",9756.0,9756.0,,,0 CDM,49042808_PBB,"Hc Excision Or Destruction Of Lesion Of Pharynx, Any Method-Pbb",10971.0,10971.0,,,0 CDM,49042809,Hc Removal Of Foreign Body From Pharynx,1151.0,1151.0,,,0 CDM,49042809_PBB,Hc Removal Of Foreign Body From Pharynx-Pbb,1827.5,1827.5,,,0 CDM,49042860_PBB,"Hc Excision, Tonsil Tags-Pbb",10117.5,10117.5,,,0 CDM,49042950,Hc Pharyngoplasty (Plastic/Reconstructive Operation On Pharynx),16739.0,16739.0,,,0 CDM,49042950_PBB,Hc Pharyngoplasty (Plastic/Reconstructive Operation On Pharynx)-Pbb,20586.0,20586.0,,,0 CDM,49042960,"Hc Control Oropharyngeal Hemorrhage, Primary Or Seconday; Simple",764.0,764.0,,,0 CDM,49042960_PBB,"Hc Control Oropharyngeal Hemorrhage, Primary Or Seconday; Simple-Pbb",1509.0,1509.0,,,0 CDM,49042962_PBB,Hc Control Oropharyngeal Hemorrhage; W/ Secondary Surgical Intervention-Pbb,9616.0,9616.0,,,0 CDM,49042975_PBB,Hc Dise Dyn Eval Sleep Disordered Breathing Flx Dx-Pbb,805.5,805.5,,,0 CDM,49043197,"Hc Esophagoscpy, Flex, Transnasal; Diag, Incl Collction Of Specimen By Brushing Or Washng, When Perf",3183.0,3183.0,,,0 CDM,49043197_PBB,"Hc Esophagoscpy, Flex, Transnasal; Diag, Incl Collction Of Specimen By Brushing Or Washng, When Perf",4218.0,4218.0,,,0 CDM,49043201,"Hc Esophagoscopy, Flexible, Transoral; With Directed Submucosal Injection, Any Substance",3246.0,3246.0,,,0 CDM,49043201_PBB,"Hc Esophagoscopy, Flexible, Transoral; With Directed Submucosal Injection, Any Substance-Pbb",4909.0,4909.0,,,0 CDM,49043226,"Hc Esophagoscpy, Flexible, Trnsoral; W/ Insrtn Of Guide Wire Fllwed By Pssge Of Dilator Over Gdewre",6014.0,6014.0,,,0 CDM,49043226_PBB,"Hc Esophagoscpy, Flexible, Trnsoral; W/ Insrtn Of Guide Wire Fllwed By Pssge Of Dilator Over Gdewre-",7224.0,7224.0,,,0 CDM,49043285,Hc Removal Esophageal Sphincter Device,14072.0,14072.0,,,0 CDM,49043453,"Hc Dilation Of Esophagus, Over Guide Wirec",5318.0,5318.0,,,0 CDM,49043752,"Hc Naso-Or Oro-Gastric Tube Placement, Requiring Physician's Skill And Flouroscopic Guidance",1304.0,1304.0,,,0 CDM,49043752_PBB,"Hc Naso-Or Oro-Gastric Tube Placement, Requiring Physician's Skill And Flouroscopic Guidance-Pbb",1725.5,1725.5,,,0 CDM,49043753,"Hc Gastric Intubation And Aspiration Thrptc, Necessitating Phys's Skill, Incl Lavage If Performed",666.0,666.0,,,0 CDM,49043753_GOLD,"Hc Gastric Intubation And Aspiration Thrptc, Necessitating Phys's Skill, Incl Lavage If Performed-Go",787.0,787.0,,,0 CDM,49043753_GOLDPBB,"Hc Gastric Intubation And Aspiration Thrptc, Necessitating Phys's Skill, Incl Lavage If Performed-Go",787.0,787.0,,,0 CDM,49044500,Hc Introduction Of Long Gastrointestinal Tube,2833.0,2833.0,,,0 CDM,49044500_PBB,Hc Introduction Of Long Gastrointestinal Tube-Pbb,3214.0,3214.0,,,0 CDM,49045100,"Hc Biopsy Of Anorectal Wall, Anal Approach",11574.0,11574.0,,,0 CDM,49045100_PBB,"Hc Biopsy Of Anorectal Wall, Anal Approach-Pbb",13050.5,13050.5,,,0 CDM,49045172_PBB,Hc Exc Rect Tum Transanal Full Thickness-Pbb,10362.5,10362.5,,,0 CDM,49045300,"Hc Proctosigmoidoscopy, Rigid; Diag, W/ Or W/Out Collection Of Specimen By Brushing Or Washing",1889.0,1889.0,,,0 CDM,49045300_PBB,"Hc Proctosigmoidoscopy, Rigid; Diag, W/ Or W/Out Collection Of Specimen By Brushing Or Washing-Pbb",2144.0,2144.0,,,0 CDM,49045305,"Hc Proctosigmoidoscopy, Rigid, With Biopsy, Single Or Multiple",2731.0,2731.0,,,0 CDM,49045305_PBB,"Hc Proctosigmoidoscopy, Rigid, With Biopsy, Single Or Multiple-Pbb",3150.5,3150.5,,,0 CDM,49045317,"Hc Proctosigmoidoscopy, Rigid; With Control Of Bleeding",5519.0,5519.0,,,0 CDM,49045317_PBB,"Hc Proctosigmoidoscopy, Rigid; With Control Of Bleeding-Pbb",6418.0,6418.0,,,0 CDM,49045380,Hc Research Colonoscopy Complete,5566.0,5566.0,,,0 CDM,49045380_PBB,Hc Research Colonoscopy Complete-Pbb,2767.0,2767.0,,,0 CDM,49045905,Hc Dilation Of Anal Sphincter Under Anesthesia Other Than Local,7190.0,7190.0,,,0 CDM,49045905_PBB,Hc Dilation Of Anal Sphincter Under Anesthesia Other Than Local-Pbb,7870.5,7870.5,,,0 CDM,49045915,Hc Removal Of Fecal Impaction Or Foreign Body Under Anesthesia,7190.0,7190.0,,,0 CDM,49045915_PBB,Hc Removal Of Fecal Impaction Or Foreign Body Under Anesthesia-Pbb,8152.5,8152.5,,,0 CDM,49046045,"Hc I&D Of Intramural, Intramuscular, Or Submucosal Abcess, Transanal, Under Anesthesia",7121.0,7121.0,,,0 CDM,49046045_PBB,"Hc I&D Of Intramural, Intramuscular, Or Submucosal Abcess, Transanal, Under Anesthesia-Pbb",9365.5,9365.5,,,0 CDM,49046050,"Hc I&D, Perianal Abcess, Superficial",4709.0,4709.0,,,0 CDM,49046050_PBB,"Hc I&D, Perianal Abcess, Superficial-Pbb",5753.5,5753.5,,,0 CDM,49046220,"Hc Excision Of Single External Papilla Or Tag, Anus",7190.0,7190.0,,,0 CDM,49046220_PBB,"Hc Excision Of Single External Papilla Or Tag, Anus-Pbb",7909.0,7909.0,,,0 CDM,49046221,"Hc Hemorrhoidectomy, Internal, By Rubber Band Ligation",2952.0,2952.0,,,0 CDM,49046221_PBB,"Hc Hemorrhoidectomy, Internal, By Rubber Band Ligation-Pbb",3932.0,3932.0,,,0 CDM,49046320,Hc Excision Of Thrombosed Hemorrhoid Clot,3649.0,3649.0,,,0 CDM,49046320_PBB,Hc Excision Of Thrombosed Hemorrhoid Clot-Pbb,4233.5,4233.5,,,0 CDM,49046500,"Hc Injection Of Sclerosing Solution, Hemorrhoids",2112.0,2112.0,,,0 CDM,49046500_PBB,"Hc Injection Of Sclerosing Solution, Hemorrhoids-Pbb",3987.0,3987.0,,,0 CDM,49046600,"Hc Anoscopy, Diagnostic, Including Collection Of Specimen By Brushing Or Washing, When Performed",565.0,565.0,,,0 CDM,49046600_PBB,"Hc Anoscopy, Diagnostic, Including Collection Of Specimen By Brushing Or Washing, When Performed-Pbb",786.0,786.0,,,0 CDM,49046606,"Hc Anoscopy; With Biopsy, Single Or Multiple",2943.0,2943.0,,,0 CDM,49046606_PBB,"Hc Anoscopy; With Biopsy, Single Or Multiple-Pbb",3379.5,3379.5,,,0 CDM,49046900,"Hc Destruction Of Lesion, Anus, Simple; Chemical",1589.0,1589.0,,,0 CDM,49046900_PBB,"Hc Destruction Of Lesion, Anus, Simple; Chemical-Pbb",2063.5,2063.5,,,0 CDM,49046910,"Hc Destruction Of Lesion, Anus, Simple; Electrodesiccation",8422.0,8422.0,,,0 CDM,49046910_PBB,"Hc Destruction Of Lesion, Anus, Simple; Electrodesiccation-Pbb",9213.0,9213.0,,,0 CDM,49046916,"Hc Destruction Of Lesion, Anus, Simple; Cryosurgery",1496.0,1496.0,,,0 CDM,49046916_PBB,"Hc Destruction Of Lesion, Anus, Simple; Cryosurgery-Pbb",2308.5,2308.5,,,0 CDM,49046917,"Hc Desctruction Of Lesion, Anus, Simple; Laser Surgery",6174.0,6174.0,,,0 CDM,49046917_PBB,"Hc Desctruction Of Lesion, Anus, Simple; Laser Surgery-Pbb",7981.0,7981.0,,,0 CDM,49046922,"Hc Destruction Of Lesion, Anus, Simple; Surgical Excision",11354.0,11354.0,,,0 CDM,49046922_PBB,"Hc Destruction Of Lesion, Anus, Simple; Surgical Excision-Pbb",12573.0,12573.0,,,0 CDM,49046924,"Hc Destruction Of Lesion, Anus, Extensive",7645.0,7645.0,,,0 CDM,49046924_PBB,"Hc Destruction Of Lesion, Anus, Extensive-Pbb",10356.0,10356.0,,,0 CDM,49047000,"Hc Biopsy Of Liver, Needle; Percutaneous",7279.0,7279.0,,,0 CDM,49047000_PBB,"Hc Biopsy Of Liver, Needle; Percutaneous-Pbb",8488.5,8488.5,,,0 CDM,49047382,"Hc Ablation, 1 Or More Liver Tumors, Percutaneous, Radiofrequency",24252.0,24252.0,,,0 CDM,49047399,Hc Ablation Of Liver Tumors By Injection,5324.0,5324.0,,,0 CDM,49047552,"Hc Biliary Endoscpy,Perc Via T-Tube/Othr Trct; Dx,W/Collctn Of Spcmn By Brshng And/Or Wshng,Whn Perf",5592.0,5592.0,,,0 CDM,49047552_PBB,"Hc Biliary Endoscpy,Perc Via T-Tube/Othr Trct; Dx,W/Collctn Of Spcmn By Brshng And/Or Wshng,Whn Perf",7015.5,7015.5,,,0 CDM,49047555,"Hc Bil Endoscopy, Perq Via T-Tube Or Other Tract; W/ Diltn Of Bil Duct Stricture W/O Stent",5592.0,5592.0,,,0 CDM,49047555_PBB,"Hc Bil Endoscopy, Perq Via T-Tube Or Other Tract; W/ Diltn Of Bil Duct Stricture W/O Stent-Pbb",7299.5,7299.5,,,0 CDM,49047556,"Hc Biliary Endoscopy, Perc Via T-Tube Or Other Tract; W/ Dilation Of Biliary Duct Stricture W/ Stent",11828.0,11828.0,,,0 CDM,49048000,"Hc Placement Of Drains, Peripancreatic, For Acute Pancreatitis",3263.0,3263.0,,,0 CDM,49048102,"Hc Biopsy Of Pancreas, Percutaneous Needle",2914.0,2914.0,,,0 CDM,49049082,Hc Abdominal Paracentesis; Without Imaging Guidance,2953.0,2953.0,,,0 CDM,49049082_GOLD,Hc Abdominal Paracentesis; Without Imaging Guidance-Gold,3980.5,3980.5,,,0 CDM,49049082_GOLDPBB,"Hc Abdominal Paracentesis; Without Imaging Guidance-Gold,Pbb",3980.5,3980.5,,,0 CDM,49049082_PBB,Hc Abdominal Paracentesis; Without Imaging Guidance-Pbb,3980.5,3980.5,,,0 CDM,49049083,Hc Abdominal Paracentesis; With Imaging Guidance,5480.0,5480.0,,,0 CDM,49049083_GOLD,Hc Abdominal Paracentesis; With Imaging Guidance-Gold,6662.0,6662.0,,,0 CDM,49049083_GOLDPBB,"Hc Abdominal Paracentesis; With Imaging Guidance-Gold,Pbb",6662.0,6662.0,,,0 CDM,49049083_GOLDPBBPUL,"Hc Abdominal Paracentesis; With Imaging Guidance-Gold,Pbb,Pul",7844.0,7844.0,,,0 CDM,49049083_PBB,Hc Abdominal Paracentesis; With Imaging Guidance-Pbb,6662.0,6662.0,,,0 CDM,49049084,"Hc Peritoneal Lavage, Including Imaging Guidance, When Performed",2346.0,2346.0,,,0 CDM,49049084_GOLD,"Hc Peritoneal Lavage, Including Imaging Guidance, When Performed-Gold",2828.0,2828.0,,,0 CDM,49049084_GOLDPBB,"Hc Peritoneal Lavage, Including Imaging Guidance, When Performed-Gold,Pbb",2827.5,2827.5,,,0 CDM,49049084_PBB,"Hc Peritoneal Lavage, Including Imaging Guidance, When Performed-Pbb",2827.5,2827.5,,,0 CDM,49049180,"Hc Biopsy, Abdominal Or Retroperitoneal Mass Percutaneous Needle",6074.0,6074.0,,,0 CDM,49049180_PBB,"Hc Biopsy, Abdominal Or Retroperitoneal Mass Percutaneous Needle-Pbb",7556.0,7556.0,,,0 CDM,49049400,Hc Injection Or Air Or Contrast Into Peritoneal Cavity,880.0,880.0,,,0 CDM,49049402,Hc Remove Foreign Body Adbomen,7023.0,7023.0,,,0 CDM,49049407,"Hc Img-Guided Fluid Collcetion Drainage By Cath; Peritoneal Or Retroperitoneal, Trnsvag/Trnsrctl",7757.0,7757.0,,,0 CDM,49049411,"Hc Plcmnt Of Instial Dev Radt Gui,Opn,Intrabd,Intraplv,&/Or Rtroptnum,Inc Img Gui,If Per,Sng Or Mult",4169.0,4169.0,,,0 CDM,49049411_PBB,"Hc Plcmnt Of Instial Dev Radt Gui,Opn,Intrabd,Intraplv,&/Or Rtroptnum,Inc Img Gui,If Per,Sng Or Mult",6609.0,6609.0,,,0 CDM,49049418,"Hc Insrtn Of Tnnld Intraperitcth,Cmplt Prc,Incl Img Guid,Cath Plcmt,Cntrst Inj When Prfmd,& S&I Perc",15017.0,15017.0,,,0 CDM,49049422,Hc Removal Of Tunneled Intraperitoneal Catheter,14634.0,14634.0,,,0 CDM,49049422_PBB,Hc Removal Of Tunneled Intraperitoneal Catheter-Pbb,16752.0,16752.0,,,0 CDM,49049423,Hc Exchange Of Previously Placed Abscess Or Cyst Drainage Catheter Under Radiological Guidance,6347.0,6347.0,,,0 CDM,49049423_PBB,Hc Exchange Of Previously Placed Abscess Or Cyst Drainage Catheter Under Radiological Guidance-Pbb,6646.5,6646.5,,,0 CDM,49049424,Hc Contrast Inj For Assmnt Of Abscess Or Cyst Via Previously Placed Drainage Catheter Or Tube,605.0,605.0,,,0 CDM,49049427,Hc Injection Procedure For Evaluation Of Previously Placed Peritoneal-Venous Shunt,397.0,397.0,,,0 CDM,49049440,"Hc Insertion Of Gastrostomy Tube, Perc, Fluoro Guid Inc Contrast Inj, Image Documentation And Report",6732.0,6732.0,,,0 CDM,49049440_PBB,"Hc Insertion Of Gastrostomy Tube, Perc, Fluoro Guid Inc Contrast Inj, Image Documentation And Report",8094.5,8094.5,,,0 CDM,49049441,"Hc Insertn Of Duodenostomy Or Jejunostomy Tube,Perc,Under Fluoro Guid W/Cont Inj(S),Image Doc/Reprt",7566.0,7566.0,,,0 CDM,49049441_PBB,"Hc Insertn Of Duodenostomy Or Jejunostomy Tube,Perc,Under Fluoro Guid W/Cont Inj(S),Image Doc/Reprt-",8496.5,8496.5,,,0 CDM,49049442,"Hc Insrtn Of Cecostomy Or Othr Colonic Tube,Perc,Under Fluoro Guid W/Cntrst Inj(S), Img Doc And Rprt",5545.0,5545.0,,,0 CDM,49049442_PBB,"Hc Insrtn Of Cecostomy Or Othr Colonic Tube,Perc,Under Fluoro Guid W/Cntrst Inj(S), Img Doc And Rprt",6319.0,6319.0,,,0 CDM,49049446,"Hc Cnvrsn G Tube To Gastro-Jej Tube,Perc,Undr Fluoro Guid Incl Contrst Inj, Img Doc & Report",6365.0,6365.0,,,0 CDM,49049446_PBB,"Hc Cnvrsn G Tube To Gastro-Jej Tube,Perc,Undr Fluoro Guid Incl Contrst Inj, Img Doc & Report-Pbb",6968.0,6968.0,,,0 CDM,49049450,"Hc Rplcmnt Of Gastrostmy Or Cecostmy Tube,Perc,Under Fluoro Guid W/Contr Inj, Img Doc And Rprt",4276.0,4276.0,,,0 CDM,49049450_PBB,"Hc Rplcmnt Of Gastrostmy Or Cecostmy Tube,Perc,Under Fluoro Guid W/Contr Inj, Img Doc And Rprt-Pbb",4523.0,4523.0,,,0 CDM,49049451,"Hc Repl Of Duodenostomy Or Jejunostomy Tube,Perc,Undr Fluoro Guid W/Cntrst Inj,Img Doc And Rprt",4674.0,4674.0,,,0 CDM,49049451_PBB,"Hc Repl Of Duodenostomy Or Jejunostomy Tube,Perc,Undr Fluoro Guid W/Cntrst Inj,Img Doc And Rprt-Pbb",5013.5,5013.5,,,0 CDM,49049452,"Hc Replacement Of G-J Tube, Perc, Under Fluoro Guid Incl Contrast Inj, Image Documentation, Report",5741.0,5741.0,,,0 CDM,49049452_PBB,"Hc Replacement Of G-J Tube, Perc, Under Fluoro Guid Incl Contrast Inj, Image Documentation, Report-P",6275.5,6275.5,,,0 CDM,49049460,"Hc Mech Rmvl Obs Mat Frm Gastrostmy, Duodenstmy, Jejunstmy, Gstro-Jejunstmy, Or Cecostmy Tube",3583.0,3583.0,,,0 CDM,49049460_PBB,"Hc Mech Rmvl Obs Mat Frm Gastrostmy, Duodenstmy, Jejunstmy, Gstro-Jejunstmy, Or Cecostmy Tube-Pbb",3720.0,3720.0,,,0 CDM,49049465,"Hc Cntrst Inj Rad Eval Gstrstmy, Duodnstmy, Jejunstmy, Gstro-Jejnstmy, Cecstmy Tube, Perc Apprch",1501.0,1501.0,,,0 CDM,49049465_PBB,"Hc Cntrst Inj Rad Eval Gstrstmy, Duodnstmy, Jejunstmy, Gstro-Jejnstmy, Cecstmy Tube, Perc Apprch-Pb",1617.0,1617.0,,,0 CDM,49050200,"Hc Renal Biopsy; Percutaneous, By Trocar Or Needle",6912.0,6912.0,,,0 CDM,49050200_PBB,"Hc Renal Biopsy; Percutaneous, By Trocar Or Needle-Pbb",8685.5,8685.5,,,0 CDM,49050382,"Hc Rmvl And Replacement Of Internally Dwelling Ureteral Stent Via Perc Approach, Incl S&I",9700.0,9700.0,,,0 CDM,49050384,"Hc Removal Of Internally Dwelling Uereteral Stent Via Percutaneous Approach, Including S&I",7180.0,7180.0,,,0 CDM,49050386,"Hc Rmvl Of Internally Dwlling Ureteral Stent Via Transurthrl Apprch, W/O Use Of Cystoscopy, Incl S&I",2146.0,2146.0,,,0 CDM,49050386_PBB,"Hc Rmvl Of Internally Dwlling Ureteral Stent Via Transurthrl Apprch, W/O Use Of Cystoscopy, Incl S&I",4195.5,4195.5,,,0 CDM,49050387,"Hc Rmvl And Replacmnt Of Extly Accessibl Transnephric Ureteral Stent Requiring Fluoro Guid, Incl S&I",8021.0,8021.0,,,0 CDM,49050389,"Hc Removal Of Nephrostomy Tube, Requiring Fluoroscopic Guidance",2074.0,2074.0,,,0 CDM,49050390,"Hc Aspiration And/Or Injection Of Renal Cyst By Pelvis By Needle, Percutaneous",4765.0,4765.0,,,0 CDM,49050561,"Hc Renal Endcpy Thru Nephrstmy Or Pylstmy, W Wo Irr, Instil,Or Urtrpyel,Exc Rad Srv W Rmvl Fb Or Clc",7942.0,7942.0,,,0 CDM,49050592,"Hc Ablation, 1 Or More Renal Tumor(S), Percutaneous, Unilateral, Radiofrequency",23423.0,23423.0,,,0 CDM,49050593,"Hc Ablation,Renal Tumor(S), Unilateral, Perc, Cryotherapy",31571.0,31571.0,,,0 CDM,49050684,Hc Inj Proc For Ureterography Or Uretopyelography Through Ureterostomy Or Indwelling Ureteral Cath,2286.0,2286.0,,,0 CDM,49050688,Hc Change Of Ureterostomy Tube Or Externally Accessible Ureteral Stent Via Ileal Conduitc,5112.0,5112.0,,,0 CDM,49050690,"Hc Inj Proc For Visualizatn Of Ileal Conduit And/Or Ureteropylography, Exclusive Of Radiologic Srvc",579.0,579.0,,,0 CDM,49051045,"Hc Cystotomy, W/ Insertion, Ureteral Catheter/Stent (Sep Proc)",4869.0,4869.0,,,0 CDM,49051100,Hc Spsp-Aspiration Of Bladder By Needle,1058.0,1058.0,,,0 CDM,49051102,Hc Aspir Bladdr W Uns Syorapubc Cath,6498.0,6498.0,,,0 CDM,49051600,Hc Injection Procedure For Cystography Or Voiding Urethrocystography,1079.0,1079.0,,,0 CDM,49051610,Hc Injection Procedure For Retograde Urethrocystography,1374.0,1374.0,,,0 CDM,49051610_PBB,Hc Injection Procedure For Retograde Urethrocystography-Pbb,1634.5,1634.5,,,0 CDM,49051700,"Hc Bladder Irrigation, Simple, Lavage And/Or Installation",1484.0,1484.0,,,0 CDM,49051700_PBB,"Hc Bladder Irrigation, Simple, Lavage And/Or Installation-Pbb",2000.0,2000.0,,,0 CDM,49051701,Hc Insertion Of Non-Indwelling Bladder Catheter,744.0,744.0,,,0 CDM,49051701_PBB,Hc Insertion Of Non-Indwelling Bladder Catheter-Pbb,1231.0,1231.0,,,0 CDM,49051702,Hc Insertion Of Temporary Indwelling Bladder Cather; Simple Facility Only,526.0,526.0,,,0 CDM,49051703,Hc Insertion Of Temporary Indwelling Bladder Cather; Complicated,1058.0,1058.0,,,0 CDM,49051703_PBB,Hc Insertion Of Temporary Indwelling Bladder Cather; Complicated-Pbb,1477.0,1477.0,,,0 CDM,49051705,"Hc Change Of Cystostomy Tube, Simple",1536.0,1536.0,,,0 CDM,49051705_PBB,"Hc Change Of Cystostomy Tube, Simple-Pbb",2630.0,2630.0,,,0 CDM,49051715,Hc Endoscopic Inj Of Implant Material Into The Submucosal Tissues Of The Erethra And/Or Bladder Neck,8286.0,8286.0,,,0 CDM,49051715_PBB,Hc Endoscopic Inj Of Implant Material Into The Submucosal Tissues Of The Erethra And/Or Bladder Neck,12979.0,12979.0,,,0 CDM,49051720_PBB,Hc Bladder Instillation Of Anticarginogenic Agent-Pbb,3848.5,3848.5,,,0 CDM,49051720_PBBTCH,"Hc Bladder Instillation Of Anticarginogenic Agent-Pbb,Tch",1206.0,1206.0,,,0 CDM,49051725,Hc Simple Cystometrogram,2596.0,2596.0,,,0 CDM,49051725_PBB,Hc Simple Cystometrogram-Pbb,2236.0,2236.0,,,0 CDM,49051726,Hc Complex Cystometrogram,3199.0,3199.0,,,0 CDM,49051726_PBB,Hc Complex Cystometrogram-Pbb,4482.0,4482.0,,,0 CDM,49051727,"Hc Complex Cystometrogram; With Urethral Pressure Profile Studies, Any Technique",2368.0,2368.0,,,0 CDM,49051727_PBB,"Hc Complex Cystometrogram; With Urethral Pressure Profile Studies, Any Technique-Pbb",3887.5,3887.5,,,0 CDM,49051728,"Hc Complex Cystogrametrogram; With Voiding Pressure Studies, Any Technique",3592.0,3592.0,,,0 CDM,49051728_PBB,"Hc Complex Cystogrametrogram; With Voiding Pressure Studies, Any Technique-Pbb",5125.0,5125.0,,,0 CDM,49051729,"Hc Cmplx Cystometrogrm; W/ Voiding Pressure Studies And Urethral Pressure Profile Studies, Any Tchnq",3413.0,3413.0,,,0 CDM,49051729_PBB,"Hc Cmplx Cystometrogrm; W/ Voiding Pressure Studies And Urethral Pressure Profile Studies, Any Tchnq",5073.0,5073.0,,,0 CDM,49051736,Hc Simply Uroflowmetry,1310.0,1310.0,,,0 CDM,49051736_PBB,Hc Simply Uroflowmetry-Pbb,1059.5,1059.5,,,0 CDM,49051741,Hc Complex Uroflowmetry,1118.0,1118.0,,,0 CDM,49051741_PBB,Hc Complex Uroflowmetry-Pbb,1476.5,1476.5,,,0 CDM,49051784,"Hc Emg Of Anal Or Urethral Sphincter, Other Than Needle, Any Technique",1432.0,1432.0,,,0 CDM,49051784_PBB,"Hc Emg Of Anal Or Urethral Sphincter, Other Than Needle, Any Technique-Pbb",1937.5,1937.5,,,0 CDM,49051785,Hc Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq,1906.0,1906.0,,,0 CDM,49051785_PBB,Hc Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq-Pbb,2420.0,2420.0,,,0 CDM,49051792,Hc Stimulus Evoked Response,1325.0,1325.0,,,0 CDM,49051797,"Hc Voiding Pressue Studies, Intra-Abdominal",1838.0,1838.0,,,0 CDM,49051797_PBB,"Hc Voiding Pressue Studies, Intra-Abdominal-Pbb",2382.5,2382.5,,,0 CDM,49051798,"Hc Measurement Of Post-Voiding Residual Urine And/Or Bladder Capacity By Ultrasound, Non-Imaging",334.0,334.0,,,0 CDM,49051798_PBB,"Hc Measurement Of Post-Voiding Residual Urine And/Or Bladder Capacity By Ultrasound, Non-Imaging-Pbb",429.0,429.0,,,0 CDM,49052000,Hc Cystourethroscopy,4114.0,4114.0,,,0 CDM,49052000_PBB,Hc Cystourethroscopy-Pbb,4901.0,4901.0,,,0 CDM,49052005,"Hc Cystourethroscopy, W/ Ureteral Catheterization;",4869.0,4869.0,,,0 CDM,49052204,Hc Cystourethroscopy; With Biopsy,8691.0,8691.0,,,0 CDM,49052204_PBB,Hc Cystourethroscopy; With Biopsy-Pbb,8291.5,8291.5,,,0 CDM,49052214,"Hc Cystourethroscopy, W/ Fulguration Trigone/Bladder Neck/Prostate/Urethra/Glands",8320.0,8320.0,,,0 CDM,49052214_PBB,"Hc Cystourethroscopy, W/ Fulguration Trigone/Bladder Neck/Prostate/Urethra/Glands-Pbb",9015.0,9015.0,,,0 CDM,49052224_PBB,"Hc Cystourethroscopy, W/ Fulguration/Treatment Lesion(S) < 0.5 Cm, W/Wo Bx-Pbb",9126.5,9126.5,,,0 CDM,49052234,"Hc Cystourethroscopy, With Fulguration And/Or Resection Of; Small Bladder Tumor",12591.0,12591.0,,,0 CDM,49052234_PBB,"Hc Cystourethroscopy, With Fulguration And/Or Resection Of; Small Bladder Tumor-Pbb",10175.0,10175.0,,,0 CDM,49052281,"Hc Cysturescpy, W Clbrtn &/Or Dltn Urthl Strct Or Sten, W Or Wo Metmy, W Or Wo Inj Px 4 Cytgy,M Or F",8049.0,8049.0,,,0 CDM,49052281_PBB,"Hc Cysturescpy, W Clbrtn &/Or Dltn Urthl Strct Or Sten, W Or Wo Metmy, W Or Wo Inj Px 4 Cytgy,M Or F",6182.0,6182.0,,,0 CDM,49052285,"Hc Cystourethroscopy, Treatment, Female Urethral Syndrome",1709.0,1709.0,,,0 CDM,49052285_PBB,"Hc Cystourethroscopy, Treatment, Female Urethral Syndrome-Pbb",2479.5,2479.5,,,0 CDM,49052287,"Hc Cystourethroscopy, With Injection For Chemodenervation Of The Bladder",7165.0,7165.0,,,0 CDM,49052287_PBB,"Hc Cystourethroscopy, With Injection For Chemodenervation Of The Bladder-Pbb",5839.5,5839.5,,,0 CDM,49052310,"Hc Cystourethroscopy, W/ Rmvl Of Foreign Body, Calculus, Or Ureteral Stent From Urethra Or Bladder",9725.0,9725.0,,,0 CDM,49052310_PBB,"Hc Cystourethroscopy, W/ Rmvl Of Foreign Body, Calculus, Or Ureteral Stent From Urethra Or Bladder-P",11589.0,11589.0,,,0 CDM,49052341,Hc Cystourethroscopy; With Treatment Of Ureteral Stricture,7928.0,7928.0,,,0 CDM,49052351,Hc Cysto W/Urtroscopy&/Pyeloscopy Dx,7928.0,7928.0,,,0 CDM,49052630,"Hc Transurethral Resection; Regrowth, Obstructive Tissue Longer Than 1 Year Postoperative",11934.0,11934.0,,,0 CDM,49052630_PBB,"Hc Transurethral Resection; Regrowth, Obstructive Tissue Longer Than 1 Year Postoperative-Pbb",13488.5,13488.5,,,0 CDM,49053020,"Hc Meatotomy, Cutting Of Meatus",9653.0,9653.0,,,0 CDM,49053020_PBB,"Hc Meatotomy, Cutting Of Meatus-Pbb",8832.0,8832.0,,,0 CDM,49053040,Hc Drainage Of Deep Periurethral Abscess,12523.0,12523.0,,,0 CDM,49053040_PBB,Hc Drainage Of Deep Periurethral Abscess-Pbb,10519.5,10519.5,,,0 CDM,49053200_PBB,Hc Biopsy Of Urethra-Pbb,5520.0,5520.0,,,0 CDM,49053600,"Hc Dilation Of Urethral Stricture By Passage Of Sound Or Urethral Dilator, Male; Initial",2003.0,2003.0,,,0 CDM,49053600_PBB,"Hc Dilation Of Urethral Stricture By Passage Of Sound Or Urethral Dilator, Male; Initial-Pbb",1058.0,1058.0,,,0 CDM,49053601,"Hc Dilation Of Urethral Stricture By Passage Of Sound Or Urethral Dilator, Male; Subsequent",1331.0,1331.0,,,0 CDM,49053601_PBB,"Hc Dilation Of Urethral Stricture By Passage Of Sound Or Urethral Dilator, Male; Subsequent-Pbb",980.5,980.5,,,0 CDM,49053620,"Hc Dilation Of Urethral Stricture By Passage Of Filiform And Follower, Male; Initial",6694.0,6694.0,,,0 CDM,49053620_PBB,"Hc Dilation Of Urethral Stricture By Passage Of Filiform And Follower, Male; Initial-Pbb",7306.0,7306.0,,,0 CDM,49053621,"Hc Dilation Of Urethral Stricture By Passage Of Filiform And Follower, Male; Subsequent",1685.0,1685.0,,,0 CDM,49053621_PBB,"Hc Dilation Of Urethral Stricture By Passage Of Filiform And Follower, Male; Subsequent-Pbb",1219.5,1219.5,,,0 CDM,49053660,Hc Dilation Of Female Urethra Including Suppository And/Or Instillation; Initial,1316.0,1316.0,,,0 CDM,49053660_PBB,Hc Dilation Of Female Urethra Including Suppository And/Or Instillation; Initial-Pbb,940.5,940.5,,,0 CDM,49053661,Hc Dilation Of Female Urethra Including Suppository And/Or Instillation; Subsequent,1025.0,1025.0,,,0 CDM,49053661_PBB,Hc Dilation Of Female Urethra Including Suppository And/Or Instillation; Subsequent-Pbb,699.0,699.0,,,0 CDM,49053850,"Hc Transurethral Destruction, Prostate Tissue; Microwave Thermotherapy",8320.0,8320.0,,,0 CDM,49053850_PBB,"Hc Transurethral Destruction, Prostate Tissue; Microwave Thermotherapy-Pbb",10683.0,10683.0,,,0 CDM,49054015,"Hc Incision & Drainage, Penis, Deep",4601.0,4601.0,,,0 CDM,49054050,"Hc Destruction Of Lesion, Penis, Simple; Chemical",1584.0,1584.0,,,0 CDM,49054050_PBB,"Hc Destruction Of Lesion, Penis, Simple; Chemical-Pbb",1078.0,1078.0,,,0 CDM,49054055,"Hc Destruction Of Lesion, Penis, Simple; Electrodesiccation",10780.0,10780.0,,,0 CDM,49054055_PBB,"Hc Destruction Of Lesion, Penis, Simple; Electrodesiccation-Pbb",10376.0,10376.0,,,0 CDM,49054056,"Hc Destruction Of Lesion, Penis, Simple; Cryosurgery",2303.0,2303.0,,,0 CDM,49054056_PBB,"Hc Destruction Of Lesion, Penis, Simple; Cryosurgery-Pbb",1646.0,1646.0,,,0 CDM,49054057,"Hc Destruction Of Lesion, Penis, Simple; Laser Surgery",11926.0,11926.0,,,0 CDM,49054057_PBB,"Hc Destruction Of Lesion, Penis, Simple; Laser Surgery-Pbb",9964.5,9964.5,,,0 CDM,49054060,"Hc Destruction Of Lesion, Penis, Simple; Surgical Excision",10348.0,10348.0,,,0 CDM,49054060_PBB,"Hc Destruction Of Lesion, Penis, Simple; Surgical Excision-Pbb",9150.5,9150.5,,,0 CDM,49054065,"Hc Destruction Of Lesion, Penis, Extensive",13500.0,13500.0,,,0 CDM,49054065_PBB,"Hc Destruction Of Lesion, Penis, Extensive-Pbb",10774.5,10774.5,,,0 CDM,49054100,Hc Biopsy Of Penis,6980.0,6980.0,,,0 CDM,49054100_PBB,Hc Biopsy Of Penis-Pbb,6492.0,6492.0,,,0 CDM,49054110,"Hc Excision, Penile Plaque (Peyronie Disease);",8320.0,8320.0,,,0 CDM,49054110_PBB,"Hc Excision, Penile Plaque (Peyronie Disease);-Pbb",10796.5,10796.5,,,0 CDM,49054115,"Hc Removal Fb, Deep Penile Tissue",8426.0,8426.0,,,0 CDM,49054115_PBB,"Hc Removal Fb, Deep Penile Tissue-Pbb",10601.0,10601.0,,,0 CDM,49054162_PBB,Hc Lysis Penil Circumcis Adhes-Pbb,7567.5,7567.5,,,0 CDM,49054235,Hc Injection Of Corpora Cavernose With Pharmacologic Agent,1058.0,1058.0,,,0 CDM,49054235_PBB,Hc Injection Of Corpora Cavernose With Pharmacologic Agent-Pbb,1526.0,1526.0,,,0 CDM,49054450,Hc Foreskin Manipulation Including Lysis Of Preputial Adhesions And Stretching,1122.0,1122.0,,,0 CDM,49054450_PBB,Hc Foreskin Manipulation Including Lysis Of Preputial Adhesions And Stretching-Pbb,1596.5,1596.5,,,0 CDM,49054505,"Hc Bx, Testis, Incisional (Sep Proc)",10936.0,10936.0,,,0 CDM,49054505_PBB,"Hc Bx, Testis, Incisional (Sep Proc)-Pbb",12011.5,12011.5,,,0 CDM,49054800,"Hc Bx, Epididymis, Needle",5002.0,5002.0,,,0 CDM,49054800_PBB,"Hc Bx, Epididymis, Needle-Pbb",5660.5,5660.5,,,0 CDM,49055040,"Hc Excision, Hydrocele; Unilat",11315.0,11315.0,,,0 CDM,49055040_PBB,"Hc Excision, Hydrocele; Unilat-Pbb",13052.5,13052.5,,,0 CDM,49055041,"Hc Excision, Hydrocele; Bilat",11315.0,11315.0,,,0 CDM,49055041_PBB,"Hc Excision, Hydrocele; Bilat-Pbb",13931.0,13931.0,,,0 CDM,49055060,"Hc Repair, Tunica Vaginalis Hydrocele",10936.0,10936.0,,,0 CDM,49055060_PBB,"Hc Repair, Tunica Vaginalis Hydrocele-Pbb",12890.5,12890.5,,,0 CDM,49055120,"Hc Removal, Fb In Scrotum",6372.0,6372.0,,,0 CDM,49055120_PBB,"Hc Removal, Fb In Scrotum-Pbb",8202.0,8202.0,,,0 CDM,49055250,"Hc Vasectomy, Unilateral Or Bilateral, Postop Semen Examination",8408.0,8408.0,,,0 CDM,49055250_PBB,"Hc Vasectomy, Unilateral Or Bilateral, Postop Semen Examination-Pbb",9392.5,9392.5,,,0 CDM,49055700,"Hc Biopsy, Prostate; Needle Or Punch, Single Or Multiple, Any Approach",6194.0,6194.0,,,0 CDM,49055700_PBB,"Hc Biopsy, Prostate; Needle Or Punch, Single Or Multiple, Any Approach-Pbb",7148.0,7148.0,,,0 CDM,49055705_PBB,Hc Biopsy Prostate Any Approach Nonimaging-Guided,10237.0,10237.0,,,0 CDM,49055707_PBB,Hc Biopsy Prostate Transrectal Ultrasound-Guided,10363.5,10363.5,,,0 CDM,49055708_PBB,Hc Bx Prostate Transrectal Us Gid W/Mri Fus Gdn 1St,10475.5,10475.5,,,0 CDM,49055709_PBB,Hc Bx Prostate Transperineal Ultrasound-Guided,10454.5,10454.5,,,0 CDM,49055710_PBB,Hc Bx Prostate Transperineal Us Gid W/Mri Fus Gdn 1,10539.0,10539.0,,,0 CDM,49055711_PBB,Hc Bx Prostate Transrectal Mri-Us Gid Trgt Les 1St,10361.5,10361.5,,,0 CDM,49055712_PBB,Hc Bx Prostate Tprnl Mri-Us Gid Trgt Les 1St,10437.5,10437.5,,,0 CDM,49055713_PBB,Hc Bx Prostate In-Bore Ct/Mri Bx Addl Trgt Les 1St,10533.5,10533.5,,,0 CDM,49055714_PBB,Hc Bx Prostate In-Bore Ct/Mri Trgt Les Only 1St,15639.0,15639.0,,,0 CDM,49055715_PBB,Hc Bx Prostate Ea Addl Mri-Us Fusion/In-Bore Ct/Mri,15226.0,15226.0,,,0 CDM,49055874,"Hc Transperineal Placement Biodgrdbl Mtrl, Peri-Prostat, Sngl/Mltp Injs",11721.0,11721.0,,,0 CDM,49055874_PBB,"Hc Transperineal Placement Biodgrdbl Mtrl, Peri-Prostat, Sngl/Mltp Injs-Pbb",12323.5,12323.5,,,0 CDM,49055876,Hc Radt-Plcmt Intrstl Dev Rad Thpy Prostate,3973.0,3973.0,,,0 CDM,49055876_PBB,Hc Radt-Plcmt Intrstl Dev Rad Thpy Prostate-Pbb,4364.5,4364.5,,,0 CDM,49055882,Hc Ablt Trurl Prst8 Tis Trnsdcr,35552.0,35552.0,,,0 CDM,49055920,Hc Plcemnt Of Ndles Or Caths Into Plvc Orgns &/Or Genit For Subsequnt Interstitial Radioelemnt Appc,7189.0,7189.0,,,0 CDM,49056405,Hc I&D Of Vulva Or Perineal Abscess,2022.0,2022.0,,,0 CDM,49056405_PBB,Hc I&D Of Vulva Or Perineal Abscess-Pbb,2904.0,2904.0,,,0 CDM,49056420,Hc I&D Of Bartholin's Gland Abcess,1360.0,1360.0,,,0 CDM,49056420_PBB,Hc I&D Of Bartholin's Gland Abcess-Pbb,2329.5,2329.5,,,0 CDM,49056440,Hc Marsupialization Of Bartholin's Gland Cyst,10519.0,10519.0,,,0 CDM,49056440_PBB,Hc Marsupialization Of Bartholin's Gland Cyst-Pbb,8895.5,8895.5,,,0 CDM,49056441,Hc Lysis Of Labial Adhesionsc,8977.0,8977.0,,,0 CDM,49056441_PBB,Hc Lysis Of Labial Adhesionsc-Pbb,8100.5,8100.5,,,0 CDM,49056501,"Hc Destruction Of Lesion, Vulva, Simple",8876.0,8876.0,,,0 CDM,49056501_PBB,"Hc Destruction Of Lesion, Vulva, Simple-Pbb",8393.5,8393.5,,,0 CDM,49056515,"Hc Destruction Of Lesion, Vulva, Extensive",16812.0,16812.0,,,0 CDM,49056515_PBB,"Hc Destruction Of Lesion, Vulva, Extensive-Pbb",14761.0,14761.0,,,0 CDM,49056605,Hc Biopsy Of Vulva Or Perineam; 1 Lesion,5758.0,5758.0,,,0 CDM,49056605_PBB,Hc Biopsy Of Vulva Or Perineam; 1 Lesion-Pbb,5247.0,5247.0,,,0 CDM,49056606,Hc Biopsy Of Vulva Or Perineam; Each Separate Additional Lesion,3588.0,3588.0,,,0 CDM,49056606_PBB,Hc Biopsy Of Vulva Or Perineam; Each Separate Additional Lesion-Pbb,3298.0,3298.0,,,0 CDM,49056620_PBB,Hc Vulvectomy Simple; Partial-Pbb,10070.5,10070.5,,,0 CDM,49056700_PBB,Hc Partial Hymenectomy Or Revision-Pbb,7903.0,7903.0,,,0 CDM,49056740,"Hc Excision, Bartholin's Gland/Cyst",9438.0,9438.0,,,0 CDM,49056740_PBB,"Hc Excision, Bartholin's Gland/Cyst-Pbb",10989.0,10989.0,,,0 CDM,49056800_PBB,Hc Plastic Repair Introitus-Pbb,8365.0,8365.0,,,0 CDM,49056810,"Hc Perineoplasty, Repair Of Perineum, Nonobstetrical",12040.0,12040.0,,,0 CDM,49056810_PBB,"Hc Perineoplasty, Repair Of Perineum, Nonobstetrical-Pbb",10995.5,10995.5,,,0 CDM,49056820,Hc Colposcopy Of The Vulva,2144.0,2144.0,,,0 CDM,49056820_PBB,Hc Colposcopy Of The Vulva-Pbb,1549.5,1549.5,,,0 CDM,49056821,Hc Colposcopy Of The Vulva; With Biopsy,3350.0,3350.0,,,0 CDM,49056821_PBB,Hc Colposcopy Of The Vulva; With Biopsy-Pbb,2463.0,2463.0,,,0 CDM,49057061,Hc Destruction Of Vaginal Lesion; Simple,12344.0,12344.0,,,0 CDM,49057061_PBB,Hc Destruction Of Vaginal Lesion; Simple-Pbb,10675.0,10675.0,,,0 CDM,49057065,Hc Destruction Of Vaginal Lesion; Extensive,19595.0,19595.0,,,0 CDM,49057065_PBB,Hc Destruction Of Vaginal Lesion; Extensive-Pbb,16100.5,16100.5,,,0 CDM,49057100,Hc Biopsy Of Vaginal Mucosa; Simple,7794.0,7794.0,,,0 CDM,49057100_PBB,Hc Biopsy Of Vaginal Mucosa; Simple-Pbb,7041.0,7041.0,,,0 CDM,49057105,Hc Biopsy Of Vaginal Mucosa; Extensive,10645.0,10645.0,,,0 CDM,49057105_PBB,Hc Biopsy Of Vaginal Mucosa; Extensive-Pbb,8959.5,8959.5,,,0 CDM,49057155,Hc Insertion Of Uterine Tandem And/Or Vaginal Ovoids For Clinical Brachytherapyc,5502.0,5502.0,,,0 CDM,49057156,Hc Insertion Of Vaginal Radiation Afterloading Apparatus For Clinical Brachytherapy,1021.0,1021.0,,,0 CDM,49057160,Hc Fitting And Insertion Of Pessary Or Other Intravaginal Support Device,642.0,642.0,,,0 CDM,49057160_PBB,Hc Fitting And Insertion Of Pessary Or Other Intravaginal Support Device-Pbb,981.5,981.5,,,0 CDM,49057170,Hc Diaphragm Or Cervial Cap Fitting With Instructions,968.0,968.0,,,0 CDM,49057170_PBB,Hc Diaphragm Or Cervial Cap Fitting With Instructions-Pbb,710.5,710.5,,,0 CDM,49057287_PBB,Hc Removal Or Revision Of Sling For Stress Incontinence-Pbb,13109.5,13109.5,,,0 CDM,49057295_PBB,Hc Revj/Rmvl Prosthetic Vaginal Graft Vaginal App-Pbb,11062.0,11062.0,,,0 CDM,49057410,Hc Pelvic Examination Under Anesthesia (Other Than Local),9077.0,9077.0,,,0 CDM,49057410_PBB,Hc Pelvic Examination Under Anesthesia (Other Than Local)-Pbb,9630.5,9630.5,,,0 CDM,49057420,"Hc Colposcopy Of The Entire Vagina, With Cervix If Present",3101.0,3101.0,,,0 CDM,49057420_PBB,"Hc Colposcopy Of The Entire Vagina, With Cervix If Present-Pbb",2435.5,2435.5,,,0 CDM,49057421,"Hc Colposcopy Of The Entire Vagina, With Cervix If Present; With Biopsy Of Vagina/Cervix",3934.0,3934.0,,,0 CDM,49057421_PBB,"Hc Colposcopy Of The Entire Vagina, With Cervix If Present; With Biopsy Of Vagina/Cervix-Pbb",2965.0,2965.0,,,0 CDM,49057452,Hc Colposcopy Of The Cervix Including Upper/Adjacent Vagina,3810.0,3810.0,,,0 CDM,49057452_PBB,Hc Colposcopy Of The Cervix Including Upper/Adjacent Vagina-Pbb,3325.0,3325.0,,,0 CDM,49057454,Hc Colposcopy Of The Cervix Incl Upper/Adj Vagina; W/ Biop Of The Cervix And Endocervical Curettage,1478.0,1478.0,,,0 CDM,49057454_PBB,Hc Colposcopy Of The Cervix Incl Upper/Adj Vagina; W/ Biop Of The Cervix And Endocervical Curettage-,2335.0,2335.0,,,0 CDM,49057455,Hc Colposcopy Of The Cervix Including Upper/Adjacent Vagina; With Biopsy Of The Cervix,3931.0,3931.0,,,0 CDM,49057455_PBB,Hc Colposcopy Of The Cervix Including Upper/Adjacent Vagina; With Biopsy Of The Cervix-Pbb,3689.0,3689.0,,,0 CDM,49057456,Hc Colposcopy Of The Cervix Including Upper/Adjacent Vagina; With Endocervical Curettage,5707.0,5707.0,,,0 CDM,49057456_PBB,Hc Colposcopy Of The Cervix Including Upper/Adjacent Vagina; With Endocervical Curettage-Pbb,5466.0,5466.0,,,0 CDM,49057460,Hc Colposcopy Of The Cervix Incl Upper/Adj Vagina; W/ Loop Electrode Biopsy Of The Cervix,11154.0,11154.0,,,0 CDM,49057460_PBB,Hc Colposcopy Of The Cervix Incl Upper/Adj Vagina; W/ Loop Electrode Biopsy Of The Cervix-Pbb,9331.0,9331.0,,,0 CDM,49057461,Hc Colposcopy Of The Cervix Incl Upper/Adj Vagina; W/ Loop Elextrode Conization Of The Cervix,12046.0,12046.0,,,0 CDM,49057461_PBB,Hc Colposcopy Of The Cervix Incl Upper/Adj Vagina; W/ Loop Elextrode Conization Of The Cervix-Pbb,10251.5,10251.5,,,0 CDM,49057500,"Hc Biopsy Of Cervix, Single Or Multiple, Or Local Excision Of Lesion, With Or Without Fulguration",6248.0,6248.0,,,0 CDM,49057500_PBB,"Hc Biopsy Of Cervix, Single Or Multiple, Or Local Excision Of Lesion, With Or Without Fulguration-Pb",4953.5,4953.5,,,0 CDM,49057505,Hc Endocervical Curettage,5944.0,5944.0,,,0 CDM,49057505_PBB,Hc Endocervical Curettage-Pbb,5542.5,5542.5,,,0 CDM,49057522,"Hc Conztn Of The Cervix, W Or Wo Fulguration, W/ Or W/O D&C, W/ Or W/O Repair; Loop Electrode Excsn",16554.0,16554.0,,,0 CDM,49057522_PBB,"Hc Conztn Of The Cervix, W Or Wo Fulguration, W/ Or W/O D&C, W/ Or W/O Repair; Loop Electrode Excsn-",15180.5,15180.5,,,0 CDM,49057800,"Hc Dilation Of Cervical Canal, Instrumental",7874.0,7874.0,,,0 CDM,49058100,"Hc Endometrial Sampling With Or Without Endocervical Sampling, Without Cervical Dilation, Any Method",3432.0,3432.0,,,0 CDM,49058100_PBB,"Hc Endometrial Sampling With Or Without Endocervical Sampling, Without Cervical Dilation, Any Method",4109.0,4109.0,,,0 CDM,49058110,"Hc Endometrial Sampling With Or Without Endocervical Sampling, Without Cervical Dilation, Any Method",2795.0,2795.0,,,0 CDM,49058110_PBB,"Hc Endometrial Sampling With Or Without Endocervical Sampling, Without Cervical Dilation, Any Method",2496.5,2496.5,,,0 CDM,49058120,"Hc Dilation And Curettage , Diagnostic And/Or Therapeutic",12710.0,12710.0,,,0 CDM,49058120_PBB,"Hc Dilation And Curettage , Diagnostic And/Or Therapeutic-Pbb",14615.0,14615.0,,,0 CDM,49058145_PBB,"Hc Myomy,Excsn Fibroid Tumor Uterus, 1-4 Intramural Myoma W Tot Wt<=250 G &/Or Rmvl Surf Myomas;Vag-",9093.5,9093.5,,,0 CDM,49058301,Hc Removal Of Iud,1918.0,1918.0,,,0 CDM,49058301_PBB,Hc Removal Of Iud-Pbb,1420.5,1420.5,,,0 CDM,49058340,Hc Cath & Intr Of Saline/Contrast Material For Saline Inf Sonohysterography/Hysterosalipingography,1622.0,1622.0,,,0 CDM,49058340_PBB,Hc Cath & Intr Of Saline/Contrast Material For Saline Inf Sonohysterography/Hysterosalipingography-P,2429.0,2429.0,,,0 CDM,49058356,Hc Endometrial Cryoablation W/Us & Endometrial Cr,12958.0,12958.0,,,0 CDM,49058555,"Hc Hysteroscopy, Diagnosisc",15965.0,15965.0,,,0 CDM,49058555_PBB,"Hc Hysteroscopy, Diagnosisc-Pbb",13860.0,13860.0,,,0 CDM,49058558,"Hc Hysteroscopy, Surgical; With Sampling Of Endometrium And/Or Polypectomy, With Or Without D&C",20948.0,20948.0,,,0 CDM,49058558_PBB,"Hc Hysteroscopy, Surgical; With Sampling Of Endometrium And/Or Polypectomy, With Or Without D&C-Pbb",17646.5,17646.5,,,0 CDM,49058561,"Hc Hysteroscopy, Surgical; With Removal Or Leiomyomata",27658.0,27658.0,,,0 CDM,49058561_PBB,"Hc Hysteroscopy, Surgical; With Removal Or Leiomyomata-Pbb",21415.0,21415.0,,,0 CDM,49058562,"Hc Hysteroscopy, Surgical; With Removal Of Impacted Foreign Body",17353.0,17353.0,,,0 CDM,49058562_PBB,"Hc Hysteroscopy, Surgical; With Removal Of Impacted Foreign Body-Pbb",13380.5,13380.5,,,0 CDM,49058563,"Hc Hysteroscopy, Surgical; With Endometrial Ablation",44816.0,44816.0,,,0 CDM,49058563_PBB,"Hc Hysteroscopy, Surgical; With Endometrial Ablation-Pbb",31561.5,31561.5,,,0 CDM,49058565,"Hc Hysteroscopy, Surg; W/ Bilat Fallpn Tube Cannulation To Induce Occ By Plcmnt Of Perm Implantsc",42197.0,42197.0,,,0 CDM,49058565_PBB,"Hc Hysteroscopy, Surg; W/ Bilat Fallpn Tube Cannulation To Induce Occ By Plcmnt Of Perm Implantsc-Pb",28864.5,28864.5,,,0 CDM,49059000,Hc Amniocentesis; Diagnostic,2464.0,2464.0,,,0 CDM,49059000_PBB,Hc Amniocentesis; Diagnostic-Pbb,3466.0,3466.0,,,0 CDM,49059001,Hc Amniocentesis; Therapeutic Amniotic Fluid Resection,2874.0,2874.0,,,0 CDM,49059001_PBB,Hc Amniocentesis; Therapeutic Amniotic Fluid Resection-Pbb,4478.0,4478.0,,,0 CDM,49059015,"Hc Chorionic Villus Sampling, Any Method",4470.0,4470.0,,,0 CDM,49059015_PBB,"Hc Chorionic Villus Sampling, Any Method-Pbb",3358.0,3358.0,,,0 CDM,49059020,Hc Fetal Contraction Stress Test,1273.0,1273.0,,,0 CDM,49059020_PBB,Hc Fetal Contraction Stress Test-Pbb,1645.0,1645.0,,,0 CDM,49059025,Hc Fetal Non-Stress Test,1482.0,1482.0,,,0 CDM,49059025_PBB,Hc Fetal Non-Stress Test-Pbb,2046.5,2046.5,,,0 CDM,49059072,"Hc Fetal Umbilical Cord Occlusion, Including Ultrasound Guidancec",7534.0,7534.0,,,0 CDM,49059072_PBB,"Hc Fetal Umbilical Cord Occlusion, Including Ultrasound Guidancec-Pbb",4371.0,4371.0,,,0 CDM,49059074,"Hc Fetal Fluid Drainage, Including Ultrasound Guidancec",947.0,947.0,,,0 CDM,49059076,Hc Fetal Shunt Placement W/Ultrasound Guidance,833.0,833.0,,,0 CDM,49059160,"Hc Curettage, Postpartum",8550.0,8550.0,,,0 CDM,49059160_PBB,"Hc Curettage, Postpartum-Pbb",7913.5,7913.5,,,0 CDM,49059200,Hc Insertion Of Cervical Dilator,1068.0,1068.0,,,0 CDM,49059200_PBB,Hc Insertion Of Cervical Dilator-Pbb,1847.0,1847.0,,,0 CDM,49059320,"Hc Cerclage Of Cervix, During Pregnancy, Vaginal",13415.0,13415.0,,,0 CDM,49059414,Hc Delivery Of Placenta (Separate Procedure),444.0,444.0,,,0 CDM,49059812,"Hc Treatment Of Incomplete Abortion, Any Trimester, Completed Surgically",12367.0,12367.0,,,0 CDM,49059812_PBB,"Hc Treatment Of Incomplete Abortion, Any Trimester, Completed Surgically-Pbb",8630.5,8630.5,,,0 CDM,49059820,"Hc Treatment Of Missed Abortion, Completed Surgically; First Trimester",16175.0,16175.0,,,0 CDM,49059820_PBB,"Hc Treatment Of Missed Abortion, Completed Surgically; First Trimester-Pbb",12289.0,12289.0,,,0 CDM,49059821,"Hc Treatment Of Missed Abortion, Completed Surgically; Second Trimester",17387.0,17387.0,,,0 CDM,49059821_PBB,"Hc Treatment Of Missed Abortion, Completed Surgically; Second Trimester-Pbb",14962.5,14962.5,,,0 CDM,49059840,"Hc Induced Abortion, By Dilation And Curettage",8466.0,8466.0,,,0 CDM,49059840_PBB,"Hc Induced Abortion, By Dilation And Curettage-Pbb",11363.5,11363.5,,,0 CDM,49059841,"Hc Induced Abortion, By Dilation And Evacuation (D&E)",9448.0,9448.0,,,0 CDM,49059841_PBB,"Hc Induced Abortion, By Dilation And Evacuation (D&E)-Pbb",11242.0,11242.0,,,0 CDM,49059871,Hc Removal Of Cerclage Suture Under Anesthesia,16477.0,16477.0,,,0 CDM,49060100,"Hc Biopsy Thyroid, Percutaneous Core Needle",2081.0,2081.0,,,0 CDM,49060100_PBB,"Hc Biopsy Thyroid, Percutaneous Core Needle-Pbb",2982.5,2982.5,,,0 CDM,49060660,Hc Abltj 1/+Thyr Ndul 1Lobe Prq,5592.0,5592.0,,,0 CDM,49060699,Hc Ethanol Ablation Thyroid Bed,6447.0,6447.0,,,0 CDM,49061020,Hc Ventricular Pncture Thro Prev Burr Hole/Fontanelle/Suture/Imp Ventricular Cath/Reservoir: W/O Inj,5357.0,5357.0,,,0 CDM,49061020_PBB,Hc Ventricular Pncture Thro Prev Burr Hole/Fontanelle/Suture/Imp Ventricular Cath/Reservoir: W/O Inj,4065.5,4065.5,,,0 CDM,49061026,"Hc Vent Punc Thru Prev Burr Hole,Fntnle, Sut, Or Imp Vent Cath/Res;W Inj Med Or Oth Sub For Dx Or Tx",6084.0,6084.0,,,0 CDM,49061026_PBB,"Hc Vent Punc Thru Prev Burr Hole,Fntnle, Sut, Or Imp Vent Cath/Res;W Inj Med Or Oth Sub For Dx Or Tx",2926.0,2926.0,,,0 CDM,49061050,Hc Cisternal Or Lateral Cervical Puncture; Without Injection,3088.0,3088.0,,,0 CDM,49061055,Hc Cisternal Or Lateral Cervical Puncture; W/ Inj Of Med Or Other Substance For Diag Or Treatment,3396.0,3396.0,,,0 CDM,49061070,Hc Puncture Of Shunt Tubing Or Reservoir For Aspiration Or Injection Procedure,3692.0,3692.0,,,0 CDM,49061070_PBB,Hc Puncture Of Shunt Tubing Or Reservoir For Aspiration Or Injection Procedure-Pbb,4906.5,4906.5,,,0 CDM,49061624,"Hc Transcatheter Permanent Occ Or Embolization, Perc, Any Meth; Central Nrv Sys",19562.0,19562.0,,,0 CDM,49061630,"Hc Balloon Angioplasty, Intracranialc",8536.0,8536.0,,,0 CDM,49061635,"Hc Transcatheter Placement Of Intravasc Stent, Intracranial, Incl Blln Angioplasty, If Performed",10668.0,10668.0,,,0 CDM,49061640,"Hc Dilation Of Intracranial Vasospasm, Percutaneous; Initial Vessel",10668.0,10668.0,,,0 CDM,49061641,"Hc Blln Dilation Of Intracranial Vasospasm, Perc; Each Add Vessel In Same Vasc Family",3753.0,3753.0,,,0 CDM,49061642,"Hc Blln Dilation Of Intracranial Vasospasm, Perc; Each Add Vessel In Different Vasc Family",7495.0,7495.0,,,0 CDM,49061782_PBB,Hc Strtctc Cptr Asstd Px Extradural Cranial-Pbb,5667.5,5667.5,,,0 CDM,49062267,"Hc Perc Aspiration W/In The Nucleus Pulposus, Intervert Disc, Or Paravert Tissue For Diag Purposes",4109.0,4109.0,,,0 CDM,49062268,Hc Percutaenous Aspiration Spinal Cord Cyst,1962.0,1962.0,,,0 CDM,49062269,"Hc Biopsy Of Spinal Cord, Percutaneous Needle",2914.0,2914.0,,,0 CDM,49062270,Hc Spinal Puncture Lumbar Diagnostic,3007.0,3007.0,,,0 CDM,49062270_GOLD,Hc Spinal Puncture Lumbar Diagnostic-Gold,3759.5,3759.5,,,0 CDM,49062270_GOLDPBB,"Hc Spinal Puncture Lumbar Diagnostic-Gold,Pbb",3759.5,3759.5,,,0 CDM,49062270_PBB,Hc Spinal Puncture Lumbar Diagnostic-Pbb,3759.5,3759.5,,,0 CDM,49062272,"Hc Spinal Puncture, Therapeutic, For Drainage Of Cerebrospinal Fluid",3515.0,3515.0,,,0 CDM,49062272_GOLD,"Hc Spinal Puncture, Therapeutic, For Drainage Of Cerebrospinal Fluid-Gold",4490.0,4490.0,,,0 CDM,49062272_GOLDPBB,"Hc Spinal Puncture, Therapeutic, For Drainage Of Cerebrospinal Fluid-Gold,Pbb",4490.0,4490.0,,,0 CDM,49062272_PBB,"Hc Spinal Puncture, Therapeutic, For Drainage Of Cerebrospinal Fluid-Pbb",4490.0,4490.0,,,0 CDM,49062273,"Hc Injection, Epidural, Of Blood Or Clot Patch",5519.0,5519.0,,,0 CDM,49062284,"Hc Injection Procedure For Myelography And/Or Computer Tomography, Lumbar",2809.0,2809.0,,,0 CDM,49062290,"Hc Injection Procedure For Discography, Each Level; Lumbar",3651.0,3651.0,,,0 CDM,49062291,Hc Injection Procedure For Discography; Each Level; Cervical Or Thoracic,1882.0,1882.0,,,0 CDM,49062320,Hc Injections Interlaminar Cervical/Thoracic,8188.0,8188.0,,,0 CDM,49062322,Hc Injections Interlaminar Lumbar/Sacral,7762.0,7762.0,,,0 CDM,49062367,"Hc Elec Analysis Of Programmable, Imp Pump For Intrathec Or Epidurl Drug Inf; W/Out Reprog Or Refill",1400.0,1400.0,,,0 CDM,49062367_PBB,"Hc Elec Analysis Of Programmable, Imp Pump For Intrathec Or Epidurl Drug Inf; W/Out Reprog Or Refill",1842.0,1842.0,,,0 CDM,49062368,"Hc Electronic Analysis Of Programmable, Imp Pump For Intrathecal Or Epdral Drug Inf; W/ Reprogrmming",1444.0,1444.0,,,0 CDM,49062368_PBB,"Hc Electronic Analysis Of Programmable, Imp Pump For Intrathecal Or Epdral Drug Inf; W/ Reprogrmming",1889.0,1889.0,,,0 CDM,49062370,"Hc Elec Anal Prog,Imp Pump Intrathecal/Epidural Drug Inf;W Reprog&Refill-Req Skill Md Or Other Qhcp",1094.0,1094.0,,,0 CDM,49062370_PBB,"Hc Elec Anal Prog,Imp Pump Intrathecal/Epidural Drug Inf;W Reprog&Refill-Req Skill Md Or Other Qhcp-",2356.0,2356.0,,,0 CDM,49064416,"Hc Injection, Anesthetic Agent; Brachial Plexus, Continus Infusion By Catheter",3396.0,3396.0,,,0 CDM,49064418,"Hc Injection, Anesthetic Agent; Supravascular Nerve",2580.0,2580.0,,,0 CDM,49064418_PBB,"Hc Injection, Anesthetic Agent; Supravascular Nerve-Pbb",3596.5,3596.5,,,0 CDM,49064421,"Hc Injection, Anesthetic Agent; Intercostal Nerves, Multiple, Regional Block",3396.0,3396.0,,,0 CDM,49064421_GOLD,"Hc Injection, Anesthetic Agent; Intercostal Nerves, Multiple, Regional Block-Gold",6159.5,6159.5,,,0 CDM,49064421_GOLDPBB,"Hc Injection, Anesthetic Agent; Intercostal Nerves, Multiple, Regional Block-Gold,Pbb",7857.5,7857.5,,,0 CDM,49064421_PBB,"Hc Injection, Anesthetic Agent; Intercostal Nerves, Multiple, Regional Block-Pbb",6161.0,6161.0,,,0 CDM,49064430,"Hc Injection, Anesthetic Agent; Pudendal Nerve",3396.0,3396.0,,,0 CDM,49064430_PBB,"Hc Injection, Anesthetic Agent; Pudendal Nerve-Pbb",4632.0,4632.0,,,0 CDM,49064447,"Hc Injection, Anesthetic Agent; Femoral Nerve, Single",3263.0,3263.0,,,0 CDM,49064448,"Hc Injection, Anesthetic Agent; Femoral Nerve, Continuous Infusion By Catheter",3088.0,3088.0,,,0 CDM,49064450,"Hc Injection, Anesthetic Agent; Other Peripheral Nerve Or Branch",2220.0,2220.0,,,0 CDM,49064450_PBB,"Hc Injection, Anesthetic Agent; Other Peripheral Nerve Or Branch-Pbb",3101.5,3101.5,,,0 CDM,49064479,"Hc Inj, Anes Agent A/O Steroid, Transforaminal Epidural, W/Image Guid; Cervical Or Thor, Sngle Level",5615.0,5615.0,,,0 CDM,49064480,"Hc Inj, Anes Agnt A/O Steroid, Transforaminl Epidural, W/ Image Guid; Cervical Or Thor, Ea Add Level",1831.0,1831.0,,,0 CDM,49064483,"Hc Inj, Anes Agent A/O Steroid, Transforaminal Epidural,W/Image Guid; Lumbar Or Sacral, Single Level",5519.0,5519.0,,,0 CDM,49064483_PBB,"Hc Inj, Anes Agent A/O Steroid, Transforaminal Epidural,W/Image Guid; Lumbar Or Sacral, Single Level",6124.5,6124.5,,,0 CDM,49064484,"Hc Inj, Anes Agent A/O Steroid, Transforaminl Epidural, W/Image Guid; Lumbar Or Sacral, Ea Add Level",2484.0,2484.0,,,0 CDM,49064484_PBB,"Hc Inj, Anes Agent A/O Steroid, Transforaminl Epidural, W/Image Guid; Lumbar Or Sacral, Ea Add Level",2764.0,2764.0,,,0 CDM,49064490,"Hc Inj, Diag Or Thrptc Agent, Paravert Facet Joint W/ Image Guid, Cervical Or Thor; Single Level",5485.2,5485.2,,,0 CDM,49064491,"Hc Inj, Diag Or Thrptc Agent, Paravert Facet Joint W/ Image Guid, Cervical Or Thor; 2Nd Level",3278.0,3278.0,,,0 CDM,49064492,"Hc Inj, Diag Or Thrptc Agnt, Paravert Facet Joint W/ Imag Guid, Cervicl Or Thor; 3Rd And Addl Levels",2494.0,2494.0,,,0 CDM,49064493,"Hc Inj, Diag Or Thrptc Agent, Paravert Facet Joint W/ Image Guid, Lumbar Or Sacral; Single Level",3608.4,3608.4,,,0 CDM,49064494,"Hc Inj, Diag Or Thrptc Agent, Paravert Facet Joint W/ Image Guid, Lumbar Or Sacral; 2Nd Level",3265.0,3265.0,,,0 CDM,49064495,"Hc Inj, Diag Or Thrptc Agnt, Paravert Facet Joint W/Image Guid, Lumbar Or Sacral; 3Rd Or Addl Levels",2687.0,2687.0,,,0 CDM,49064555,Hc Prq Implt Neurostimulator Eltrd Peripheral Nrv,23884.0,23884.0,,,0 CDM,49064561,Hc Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging,18172.0,18172.0,,,0 CDM,49064561_PBB,Hc Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging-Pbb,19356.675,19356.675,,,0 CDM,49064566,Hc Posterior Tib Neurost Percu Elec Sn,1384.0,1384.0,,,0 CDM,49064566_PBB,Hc Posterior Tib Neurost Percu Elec Sn-Pbb,1239.5,1239.5,,,0 CDM,49064567_PBB,Hc Perq Elec Nrv Field Stimj Cn,4867.5,4867.5,,,0 CDM,49064581_PBB,Hc Inc Impltj Neurostimulator Eltrd Sacral Nerve-Pbb,20775.5,20775.5,,,0 CDM,49064611,"Hc Chemodenervation Of Parotid And Submandibular Salivary Glands, Bilateral",1204.0,1204.0,,,0 CDM,49064611_PBB,"Hc Chemodenervation Of Parotid And Submandibular Salivary Glands, Bilateral-Pbb",914.0,914.0,,,0 CDM,49064612,"Hc Chemodenervation Of Mulscle; Muscler Innervated By Facial Nerve, Unilateral",882.0,882.0,,,0 CDM,49064612_PBB,"Hc Chemodenervation Of Mulscle; Muscler Innervated By Facial Nerve, Unilateral-Pbb",2164.0,2164.0,,,0 CDM,49064615,Hc Chemodenervat Muscle(S); Innervated By Facial/Trigeminal/Cervical Spnal & Accessory Nerves Bilat,4076.0,4076.0,,,0 CDM,49064615_PBB,Hc Chemodenervat Muscle(S); Innervated By Facial/Trigeminal/Cervical Spnal & Accessory Nerves Bilat-,2603.0,2603.0,,,0 CDM,49064616,"Hc Chemodenervation Of Muscle(S); Neck Muscle(S), Excluding Muscles Of The Larynx, Unilateral",3559.0,3559.0,,,0 CDM,49064616_PBB,"Hc Chemodenervation Of Muscle(S); Neck Muscle(S), Excluding Muscles Of The Larynx, Unilateral-Pbb",2336.4,2336.4,,,0 CDM,49064617,"Hc Chemodenervtion Of Muscles; Larynx, Unilat, Perc, Incl Guid By Ndl Electromyography, When Perfmd",4415.0,4415.0,,,0 CDM,49064617_PBB,"Hc Chemodenervtion Of Muscles; Larynx, Unilat, Perc, Incl Guid By Ndl Electromyography, When Perfmd-",2900.0,2900.0,,,0 CDM,49064632,Hc Destrution By Neurolytic Agent; Plantar Common Digital Nerve,990.0,990.0,,,0 CDM,49064633,"Hc Destruct Neurolytic Agnt, Paravert Facet Jnt Nerve W/Imag Guid, Cervic/Thor Single Facet Joint",6187.0,6187.0,,,0 CDM,49064634,"Hc Destruct Neurolytic Agnt, Paravert Facet Jnt Nerve W/ Imag Guid, Cervic/Thor Ea Add Facet Joint",1518.0,1518.0,,,0 CDM,49064635,"Hc Destruct Neurolytic Agnt, Paravert Facet Jnt Nerve W/Imag Guid, Lumbar/Sacal Ea Add Facet Joint",5955.0,5955.0,,,0 CDM,49064636,"Hc Destrn Neurolytic Agent, Paravert Facet Jt Nerve, W/ Img Guid, Lumbar Or Sacal, Single Facet Jt",1497.0,1497.0,,,0 CDM,49064640,Hc Destruction By Neurolytic Agent; Other Peripheral Nerve Or Branch,3396.0,3396.0,,,0 CDM,49064640_PBB,Hc Destruction By Neurolytic Agent; Other Peripheral Nerve Or Branch-Pbb,3963.5,3963.5,,,0 CDM,49064642,Hc Chemodenervation Of One Extremity; 1-4 Muscle(S),2388.0,2388.0,,,0 CDM,49064642_PBB,Hc Chemodenervation Of One Extremity; 1-4 Muscle(S)-Pbb,4272.0,4272.0,,,0 CDM,49064643,"Hc Chemodenervation Of One Extremity; Each Additional Extremity, 1-4 Muscle(S)",1769.0,1769.0,,,0 CDM,49064643_PBB,"Hc Chemodenervation Of One Extremity; Each Additional Extremity, 1-4 Muscle(S)-Pbb",3165.5,3165.5,,,0 CDM,49064644,Hc Chemodenervation Of One Extremity; 5 Or More Muscles,1912.0,1912.0,,,0 CDM,49064644_PBB,Hc Chemodenervation Of One Extremity; 5 Or More Muscles-Pbb,3417.0,3417.0,,,0 CDM,49064645,"Hc Chemodenervation Of One Extremity; Each Additional Extremity, 5 Or More Muscles",1344.0,1344.0,,,0 CDM,49064645_PBB,"Hc Chemodenervation Of One Extremity; Each Additional Extremity, 5 Or More Muscles-Pbb",2927.0,2927.0,,,0 CDM,49064646,Hc Chemodenervation Of Trunk Muscle(S); 1-5 Muscles,2604.0,2604.0,,,0 CDM,49064646_PBB,Hc Chemodenervation Of Trunk Muscle(S); 1-5 Muscles-Pbb,4657.0,4657.0,,,0 CDM,49064647,Hc Chemodenervation Of Trunk Muscle(S); 6 Or More Muscles,3044.0,3044.0,,,0 CDM,49064647_PBB,Hc Chemodenervation Of Trunk Muscle(S); 6 Or More Muscles-Pbb,5334.0,5334.0,,,0 CDM,49064650_PBB,Hc Chemodenervation Of Eccrine Glands; Both Axillae-Pbb,1546.5,1546.5,,,0 CDM,49064653,"Hc Chemodenervation Of Eccrine Glands; Other Area(S), Per Day",2164.0,2164.0,,,0 CDM,49064653_PBB,"Hc Chemodenervation Of Eccrine Glands; Other Area(S), Per Day-Pbb",1696.0,1696.0,,,0 CDM,49064681,"Hc Destruction By Neurolytic Agent, W/ Or W/Out Radiologic Monitoring; Superior Hypogastric Plexus",4772.0,4772.0,,,0 CDM,49064716_PBB,Hc Neuroplasty &/Or Transposition; Cranial Nerve (Specify)-Pbb,8535.0,8535.0,,,0 CDM,49064721,Hc Neuroplasty &/Or Transposition; Median Nerve At Carpal Tunnel,6437.0,6437.0,,,0 CDM,49064721_PBB,Hc Neuroplasty &/Or Transposition; Median Nerve At Carpal Tunnel-Pbb,8660.0,8660.0,,,0 CDM,49064784,"Hc Excision, Neuroma; Major Peripheral Nerve, Except Sciatic",6437.0,6437.0,,,0 CDM,49064784_PBB,"Hc Excision, Neuroma; Major Peripheral Nerve, Except Sciatic-Pbb",9911.0,9911.0,,,0 CDM,49064788,"Hc Excision, Neurofibroma/Neurolemmoma; Cutaneous Nerve",6522.0,6522.0,,,0 CDM,49064788_PBB,"Hc Excision, Neurofibroma/Neurolemmoma; Cutaneous Nerve-Pbb",8639.5,8639.5,,,0 CDM,49065205,"Hc Removal Of Foreign Body, External Eye; Conjuctival Superficial",583.0,583.0,,,0 CDM,49065205_PBB,"Hc Removal Of Foreign Body, External Eye; Conjuctival Superficial-Pbb",816.5,816.5,,,0 CDM,49065210,"Hc Rmvl Of Foreign Body, Ext Eye; Conjuctival Embedded, Subconjuctival, Or Scleral Nonperforating",727.0,727.0,,,0 CDM,49065210_PBB,"Hc Rmvl Of Foreign Body, Ext Eye; Conjuctival Embedded, Subconjuctival, Or Scleral Nonperforating-Pb",996.5,996.5,,,0 CDM,49065220,"Hc Removal Of Foreign Body, External Eye; Corneal, Without Slit Lamp",549.0,549.0,,,0 CDM,49065220_PBB,"Hc Removal Of Foreign Body, External Eye; Corneal, Without Slit Lamp-Pbb",842.0,842.0,,,0 CDM,49065222,"Hc Removal Of Foreign Body, External Eye; Corneal, With Slit Lamp",696.0,696.0,,,0 CDM,49065222_PBB,"Hc Removal Of Foreign Body, External Eye; Corneal, With Slit Lamp-Pbb",1017.5,1017.5,,,0 CDM,49065270,"Hc Repair Of Laceration; Conjuctiva, W/ Or W/Out Nonperforating Laceration Sclera, Direct Closure",6489.0,6489.0,,,0 CDM,49065270_PBB,"Hc Repair Of Laceration; Conjuctiva, W/ Or W/Out Nonperforating Laceration Sclera, Direct Closure-Pb",6249.0,6249.0,,,0 CDM,49065272,"Hc Repair Of Laceration; Conjuctiva, By Mobilization And Rearrangement, Without Hospitalization",8130.0,8130.0,,,0 CDM,49065272_PBB,"Hc Repair Of Laceration; Conjuctiva, By Mobilization And Rearrangement, Without Hospitalization-Pbb",7833.5,7833.5,,,0 CDM,49065275,"Hc Repair Of Laceration; Cornea, Nonperforating, With Or Without Removal Foreign Body",9788.0,9788.0,,,0 CDM,49065275_PBB,"Hc Repair Of Laceration; Cornea, Nonperforating, With Or Without Removal Foreign Body-Pbb",9300.5,9300.5,,,0 CDM,49065286,"Hc Repair Of Laceration; Application Of Tissue Glue, Wounds Of Cornea And/Or Sclera",13610.0,13610.0,,,0 CDM,49065286_PBB,"Hc Repair Of Laceration; Application Of Tissue Glue, Wounds Of Cornea And/Or Sclera-Pbb",12218.0,12218.0,,,0 CDM,49065430,"Hc Scraping Of Cornea, Diagnostic, For Smear And/Or Culture",1171.0,1171.0,,,0 CDM,49065430_PBB,"Hc Scraping Of Cornea, Diagnostic, For Smear And/Or Culture-Pbb",907.5,907.5,,,0 CDM,49065435,Hc Removal Of Corneal Epithelium; With Or Without Chemocauterization,3266.0,3266.0,,,0 CDM,49065435_PBB,Hc Removal Of Corneal Epithelium; With Or Without Chemocauterization-Pbb,2972.0,2972.0,,,0 CDM,49065436,Hc Removal Of Corneal Epithelium; With Application Of Chelating Agent,5804.0,5804.0,,,0 CDM,49065436_PBB,Hc Removal Of Corneal Epithelium; With Application Of Chelating Agent-Pbb,5348.5,5348.5,,,0 CDM,49065450_PBB,"Hc Destruction Lsn Cornea By Cryothrpy, Photocoag Or Thermocauterztn-Pbb",2143.0,2143.0,,,0 CDM,49065600,Hc Multiple Punctures Of Anterior Cornea,8612.0,8612.0,,,0 CDM,49065600_PBB,Hc Multiple Punctures Of Anterior Cornea-Pbb,7178.0,7178.0,,,0 CDM,49065772_PBB,Hc Corneal Relaxing Inc For Surg Astigmat-Pbb,4163.0,4163.0,,,0 CDM,49065778_PBB,Hc Placement Of Amniotic Membrane On The Ocular Surface; W/O Sutures-Pbb,2801.5,2801.5,,,0 CDM,49065780_PBB,Hc Ocular Surface Reconstruction Amniotic Membrane-Pbb,13274.5,13274.5,,,0 CDM,49065800,Hc Paracentesis Of Anterior Chamber Of Eye; With Removal Of Aqueous,5649.0,5649.0,,,0 CDM,49065800_PBB,Hc Paracentesis Of Anterior Chamber Of Eye; With Removal Of Aqueous-Pbb,5236.5,5236.5,,,0 CDM,49065810,"Hc Paracntsis Anter Chambr Eye;W/ Rmvl Of Vitreous &/Or Discussn Anter Hyaloid Memb,W/Or W/O Air Inj",11299.0,11299.0,,,0 CDM,49065810_PBB,"Hc Paracntsis Anter Chambr Eye;W/ Rmvl Of Vitreous &/Or Discussn Anter Hyaloid Memb,W/Or W/O Air Inj",9133.5,9133.5,,,0 CDM,49065815,"Hc Paracentesis Of Anterior Chamber Of Eye; W/ Rmvl Of Blood, W/ Or W/Out Irrigation And/Or Air Inj",11906.0,11906.0,,,0 CDM,49065815_PBB,"Hc Paracentesis Of Anterior Chamber Of Eye; W/ Rmvl Of Blood, W/ Or W/Out Irrigation And/Or Air Inj-",9446.0,9446.0,,,0 CDM,49065855,"Hc Trabeculoplasty By Laser Surgery, 1 Or More Sessions",2721.0,2721.0,,,0 CDM,49065860,"Hc Severing Adhesions Of Anterior Segment Of Eye, Laser Technique",1892.0,1892.0,,,0 CDM,49066030,"Hc Injection, Anterior Chamber Of Eye; Medication",5588.0,5588.0,,,0 CDM,49066030_PBB,"Hc Injection, Anterior Chamber Of Eye; Medication-Pbb",5238.0,5238.0,,,0 CDM,49066710,"Hc Ciliary Body Destruction, Cyclophotocoagulation, Transscleral",4720.0,4720.0,,,0 CDM,49066761,Hc Iridotomy/Ireidectomy By Laser Surgery,3007.0,3007.0,,,0 CDM,49066762,Hc Iridoplasty By Photocoagulation,3086.0,3086.0,,,0 CDM,49066821,Hc Discission Of Secondary Membranous Cataract; Laser Surgery,5356.0,5356.0,,,0 CDM,49067028,Hc Intravitreal Injection Of Pharmacologic Agent,1615.0,1615.0,,,0 CDM,49067028_PBB,Hc Intravitreal Injection Of Pharmacologic Agent-Pbb,3549.0,3549.0,,,0 CDM,49067101,"Hc Repair Of Retinal Dtchmnt, 1 > Sess; Cryother Or Diathermy, W/ Or W/Out Drainage Subretinal Fluid",21339.0,21339.0,,,0 CDM,49067101_PBB,"Hc Repair Of Retinal Dtchmnt, 1 > Sess; Cryother Or Diathermy, W/ Or W/Out Drainage Subretinal Fluid",14345.5,14345.5,,,0 CDM,49067105,"Hc Repr Of Retinal Detachment, 1 Or More Sessions; Photocoag, W/ Or W/O Drainage Or Subretinal Fluid",3781.0,3781.0,,,0 CDM,49067110,Hc Repair Of Retinal Detachment; By Injection Of Air Or Other Gas,22878.0,22878.0,,,0 CDM,49067110_PBB,Hc Repair Of Retinal Detachment; By Injection Of Air Or Other Gas-Pbb,15138.5,15138.5,,,0 CDM,49067141,"Hc Prophylaxis Of Retinal Detachment Without Damange, 1 Or More Session; Cryotherapy, Diathermy",6903.0,6903.0,,,0 CDM,49067141_PBB,"Hc Prophylaxis Of Retinal Detachment Without Damange, 1 Or More Session; Cryotherapy, Diathermy-Pbb",4545.5,4545.5,,,0 CDM,49067145,"Hc Prophylaxis Of Retinal Detachment Without Drainage, 1 Or More Sessions; Photocoagulation",3315.0,3315.0,,,0 CDM,49067208_PBB,"Hc Destruc Loc Lesion Retina, 1 Or More Sessions; Cryotherapy, Diathermy-Pbb",3157.5,3157.5,,,0 CDM,49067210,"Hc Destruction Of Localized Lesion Of Retina, 1 Or More Sessions; Photocoagulation",5885.0,5885.0,,,0 CDM,49067220,"Hc Destruction Of Localized Lesion Of Choroid; Photocoagulation, 1 Or More Sessions",2894.0,2894.0,,,0 CDM,49067221,Hc Destruction Of Localized Lesion Of Choroid; Photodynamic Therapy,1736.0,1736.0,,,0 CDM,49067225,"Hc Destruction Of Localized Lesion Of Choroid; Photodynamic Therapy, Second Eye, At Single Lesion",794.0,794.0,,,0 CDM,49067228,"Hc Treatment Of Extensive Or Progressive Retinopathy, 1 Or More Sessions; Photocoagulation",5986.0,5986.0,,,0 CDM,49067229,"Hc Tx Extensv/Progrsv Retinopathy,>=1 Sess;Preterm Infant,Perf Fr Birth To 1 Yr,Photocoag/Cryother",5172.0,5172.0,,,0 CDM,49067500,Hc Retrobulbar Injection; Medication,1579.0,1579.0,,,0 CDM,49067500_PBB,Hc Retrobulbar Injection; Medication-Pbb,1181.5,1181.5,,,0 CDM,49067515,Hc Injection Of Medication Or Other Substance Into Tenon's Capsule,3892.0,3892.0,,,0 CDM,49067515_PBB,Hc Injection Of Medication Or Other Substance Into Tenon's Capsule-Pbb,3567.5,3567.5,,,0 CDM,49067700,"Hc Blepharotomy, Drainage Of Abcess, Eyelid",3190.0,3190.0,,,0 CDM,49067700_PBB,"Hc Blepharotomy, Drainage Of Abcess, Eyelid-Pbb",3713.0,3713.0,,,0 CDM,49067710,Hc Severing Of Tarsorrhaphy,4352.0,4352.0,,,0 CDM,49067710_PBB,Hc Severing Of Tarsorrhaphy-Pbb,3860.0,3860.0,,,0 CDM,49067715,Hc Canthotomy,6967.0,6967.0,,,0 CDM,49067715_PBB,Hc Canthotomy-Pbb,5816.0,5816.0,,,0 CDM,49067800,Hc Excision Of Chalazion; Single,3400.0,3400.0,,,0 CDM,49067800_PBB,Hc Excision Of Chalazion; Single-Pbb,3027.0,3027.0,,,0 CDM,49067801,"Hc Excision Of Chalazion, Mutliple, Same Lid",4457.0,4457.0,,,0 CDM,49067801_PBB,"Hc Excision Of Chalazion, Mutliple, Same Lid-Pbb",3956.5,3956.5,,,0 CDM,49067805,"Hc Excision Of Chalazion, Mutliple, Different Lids",5356.0,5356.0,,,0 CDM,49067805_PBB,"Hc Excision Of Chalazion, Mutliple, Different Lids-Pbb",4804.0,4804.0,,,0 CDM,49067810,Hc Incisional Biopsy Of Eyelid Skin Including Lid Margin,4636.0,4636.0,,,0 CDM,49067810_PBB,Hc Incisional Biopsy Of Eyelid Skin Including Lid Margin-Pbb,4053.0,4053.0,,,0 CDM,49067820,"Hc Correction Of Trichiasis; Epilation, By Forceps Only",1303.0,1303.0,,,0 CDM,49067820_PBB,"Hc Correction Of Trichiasis; Epilation, By Forceps Only-Pbb",968.5,968.5,,,0 CDM,49067825,Hc Correction Of Trichiasis; Epilation By Other Than Forceps,3282.0,3282.0,,,0 CDM,49067825_PBB,Hc Correction Of Trichiasis; Epilation By Other Than Forceps-Pbb,2656.0,2656.0,,,0 CDM,49067840,Hc Excision Of Lesion Of Eyelid Without Closure Or With Simple Direct Closure,5786.0,5786.0,,,0 CDM,49067840_PBB,Hc Excision Of Lesion Of Eyelid Without Closure Or With Simple Direct Closure-Pbb,4992.5,4992.5,,,0 CDM,49067850,Hc Destruction Of Lesion Of Lid Margin,4836.0,4836.0,,,0 CDM,49067850_PBB,Hc Destruction Of Lesion Of Lid Margin-Pbb,4108.5,4108.5,,,0 CDM,49067875,Hc Temporary Closure Of Eyelids By Suture,7673.0,7673.0,,,0 CDM,49067875_PBB,Hc Temporary Closure Of Eyelids By Suture-Pbb,6906.5,6906.5,,,0 CDM,49067882_PBB,Hc Constr Im Adhes Med Tarso/Canth; W Tr-Pbb,7621.5,7621.5,,,0 CDM,49067911,Hc Correction Of Lid Retraction,11728.0,11728.0,,,0 CDM,49067911_PBB,Hc Correction Of Lid Retraction-Pbb,8949.5,8949.5,,,0 CDM,49067914,Hc Repair Of Ectropion; Suture,11279.0,11279.0,,,0 CDM,49067914_PBB,Hc Repair Of Ectropion; Suture-Pbb,8716.5,8716.5,,,0 CDM,49067921,Hc Repair Of Entropion; Suture,11283.0,11283.0,,,0 CDM,49067921_PBB,Hc Repair Of Entropion; Suture-Pbb,8719.0,8719.0,,,0 CDM,49067930,"Hc Suture, Recent Wound, Eyelid; Partial Thickness",5620.0,5620.0,,,0 CDM,49067938,"Hc Removal Of Embedded Foreign Body, Eyelid",1266.0,1266.0,,,0 CDM,49067938_PBB,"Hc Removal Of Embedded Foreign Body, Eyelid-Pbb",1664.0,1664.0,,,0 CDM,49068020,"Hc Incision Of Conjuctiva, Drainage Of Cyst",4229.0,4229.0,,,0 CDM,49068020_PBB,"Hc Incision Of Conjuctiva, Drainage Of Cyst-Pbb",3996.5,3996.5,,,0 CDM,49068040,Hc Expression Of Conjuctival Follicles,1155.0,1155.0,,,0 CDM,49068040_PBB,Hc Expression Of Conjuctival Follicles-Pbb,831.5,831.5,,,0 CDM,49068100,Hc Biopsy Of Conjuctiva,3836.0,3836.0,,,0 CDM,49068100_PBB,Hc Biopsy Of Conjuctiva-Pbb,3392.5,3392.5,,,0 CDM,49068110,"Hc Excision Of Lesion, Conjuctiva; Up To 1 Cm",6113.0,6113.0,,,0 CDM,49068110_PBB,"Hc Excision Of Lesion, Conjuctiva; Up To 1 Cm-Pbb",5539.0,5539.0,,,0 CDM,49068115,"Hc Excision Of Lesion, Conjuctiva; Over 1 Cm",7959.0,7959.0,,,0 CDM,49068115_PBB,"Hc Excision Of Lesion, Conjuctiva; Over 1 Cm-Pbb",7007.0,7007.0,,,0 CDM,49068135,"Hc Destruction Of Lesion, Conjuctiva",3933.0,3933.0,,,0 CDM,49068135_PBB,"Hc Destruction Of Lesion, Conjuctiva-Pbb",3315.0,3315.0,,,0 CDM,49068200,Hc Subconjunctival Injection,1157.0,1157.0,,,0 CDM,49068200_PBB,Hc Subconjunctival Injection-Pbb,774.0,774.0,,,0 CDM,49068420,"Hc Incision, Drainage, Lacrimal Sac (Dacryocystotomy/Dacryocystostomy)",5676.0,5676.0,,,0 CDM,49068440,Hc Snip Incision Of Lacrimal Punctum,2695.0,2695.0,,,0 CDM,49068440_PBB,Hc Snip Incision Of Lacrimal Punctum-Pbb,2226.5,2226.5,,,0 CDM,49068530,"Hc Removal Of Foreign Body Or Dacryolith, Lacrimal Passages",3801.0,3801.0,,,0 CDM,49068530_PBB,"Hc Removal Of Foreign Body Or Dacryolith, Lacrimal Passages-Pbb",2551.0,2551.0,,,0 CDM,49068700,Hc Plastic Repair Canaliculi,6125.0,6125.0,,,0 CDM,49068705,"Hc Correction Of Everted Punctum, Cautery",2587.0,2587.0,,,0 CDM,49068705_PBB,"Hc Correction Of Everted Punctum, Cautery-Pbb",1978.5,1978.5,,,0 CDM,49068760,"Hc Closure Of The Lacrimal Punctum; By Thermocauterization, Ligator, Or Laser Surgery",2577.0,2577.0,,,0 CDM,49068760_PBB,"Hc Closure Of The Lacrimal Punctum; By Thermocauterization, Ligator, Or Laser Surgery-Pbb",1966.5,1966.5,,,0 CDM,49068761,"Hc Closure Of The Lacrimal Punctum; By Plug, Each",2088.0,2088.0,,,0 CDM,49068761_PBB,"Hc Closure Of The Lacrimal Punctum; By Plug, Each-Pbb",1635.0,1635.0,,,0 CDM,49068801,"Hc Dilation Of Lacrimal Punctum, With Or Without Irrigation",1344.0,1344.0,,,0 CDM,49068801_PBB,"Hc Dilation Of Lacrimal Punctum, With Or Without Irrigation-Pbb",1041.0,1041.0,,,0 CDM,49068810,"Hc Probing Of Nasolacrimal Duct, With Or Without Irrigation",4058.0,4058.0,,,0 CDM,49068810_PBB,"Hc Probing Of Nasolacrimal Duct, With Or Without Irrigation-Pbb",3493.5,3493.5,,,0 CDM,49068840,"Hc Probing Of Lacrimal Canaliculi, With Or Without Irrigation",2416.0,2416.0,,,0 CDM,49068840_PBB,"Hc Probing Of Lacrimal Canaliculi, With Or Without Irrigation-Pbb",3045.5,3045.5,,,0 CDM,49068850,Hc Injection Of Contrast Medium For Dacryocystography,1614.0,1614.0,,,0 CDM,49069000,"Hc Drainage External Ear, Abscess Or Hematoma; Simple",1236.0,1236.0,,,0 CDM,49069000_PBB,"Hc Drainage External Ear, Abscess Or Hematoma; Simple-Pbb",1792.0,1792.0,,,0 CDM,49069005,"Hc Drainage External Ear, Abscess Or Hematoma; Complicated",6992.0,6992.0,,,0 CDM,49069005_PBB,"Hc Drainage External Ear, Abscess Or Hematoma; Complicated-Pbb",5722.0,5722.0,,,0 CDM,49069020,"Hc Drainage External Auditory Canal, Abscess",1536.0,1536.0,,,0 CDM,49069020_PBB,"Hc Drainage External Auditory Canal, Abscess-Pbb",2131.0,2131.0,,,0 CDM,49069100,Hc Biopsy External Ear,4074.0,4074.0,,,0 CDM,49069100_PBB,Hc Biopsy External Ear-Pbb,3576.5,3576.5,,,0 CDM,49069105,Hc Biopsy External Auditory Canal,7105.0,7105.0,,,0 CDM,49069105_PBB,Hc Biopsy External Auditory Canal-Pbb,6700.5,6700.5,,,0 CDM,49069200,Hc Removal Foreign Body From External Auditory Canal; Without General Anesthesia,804.0,804.0,,,0 CDM,49069200_PBB,Hc Removal Foreign Body From External Auditory Canal; Without General Anesthesia-Pbb,1256.0,1256.0,,,0 CDM,49069205_PBB,"Hc Removal Fb, Ext Auditory Canal; W/ General Anesthesia-Pbb",4969.5,4969.5,,,0 CDM,49069209,Hc Remove Impacted Ear Wax Unilateral,246.0,246.0,,,0 CDM,49069210,"Hc Removal Impacted Cerumen Requiring Instrumentation, Unilateral",546.0,546.0,,,0 CDM,49069210_PBB,"Hc Removal Impacted Cerumen Requiring Instrumentation, Unilateral-Pbb",704.0,704.0,,,0 CDM,49069220,"Hc Debridement, Mastoidectomy Cavity, Simple",1361.0,1361.0,,,0 CDM,49069220_PBB,"Hc Debridement, Mastoidectomy Cavity, Simple-Pbb",1156.5,1156.5,,,0 CDM,49069222,"Hc Debridement, Mastoidectomy Cavity, Complex",6790.0,6790.0,,,0 CDM,49069222_PBB,"Hc Debridement, Mastoidectomy Cavity, Complex-Pbb",5883.5,5883.5,,,0 CDM,49069310,"Hc Reconstruction, Ext Auditory Canal (Sep Proc)",14646.0,14646.0,,,0 CDM,49069310_PBB,"Hc Reconstruction, Ext Auditory Canal (Sep Proc)-Pbb",19060.5,19060.5,,,0 CDM,49069420,Hc Myringotomy,3300.0,3300.0,,,0 CDM,49069420_PBB,Hc Myringotomy-Pbb,2490.0,2490.0,,,0 CDM,49069433,"Hc Tympanostomy, Local Or Topical Anesthesia",7942.0,7942.0,,,0 CDM,49069433_PBB,"Hc Tympanostomy, Local Or Topical Anesthesia-Pbb",6970.5,6970.5,,,0 CDM,49069436,"Hc Tympanostomy, General Anesthesia",6083.0,6083.0,,,0 CDM,49069540,Hc Excision Aural Polyp,5897.0,5897.0,,,0 CDM,49069540_PBB,Hc Excision Aural Polyp-Pbb,4542.0,4542.0,,,0 CDM,49069610,"Hc Tympanic Membrane Repair, W/ Or W/O Site Preparation Of Perforation For Closure, W/ Or W/O Patch",7043.0,7043.0,,,0 CDM,49069610_PBB,"Hc Tympanic Membrane Repair, W/ Or W/O Site Preparation Of Perforation For Closure, W/ Or W/O Patch-",6745.5,6745.5,,,0 CDM,49069801,"Hc Labyrinthotomy, With Perfusion Of Vestibuloactive Drug(S); Transcanal",14366.0,14366.0,,,0 CDM,49069801_PBB,"Hc Labyrinthotomy, With Perfusion Of Vestibuloactive Drug(S); Transcanal-Pbb",9712.5,9712.5,,,0 CDM,49082_GAST,Pr Abdom Paracentesis Dx/Ther W/O Imaging Guidance-Gast,2056.0,2056.0,,,0 CDM,49082_GOLD,Pr Abdom Paracentesis Dx/Ther W/O Imaging Guidance-Gold,2056.0,2056.0,,,0 CDM,49082_GOLDOPRM,"Pr Abdom Paracentesis Dx/Ther W/O Imaging Guidance-Gold,Oprm",2056.0,2056.0,,,0 CDM,49082_GOLDPBB,"Pr Abdom Paracentesis Dx/Ther W/O Imaging Guidance-Gold,Pbb",2056.0,2056.0,,,0 CDM,49082_PBB,Pr Abdom Paracentesis Dx/Ther W/O Imaging Guidance-Pbb,2056.0,2056.0,,,0 CDM,49083_GAST,Pr Abdom Paracentesis Dx/Ther W/Imaging Guidance-Gast,2364.0,2364.0,,,0 CDM,49083_GOLD,Pr Abdom Paracentesis Dx/Ther W/Imaging Guidance-Gold,2364.0,2364.0,,,0 CDM,49083_GOLDOPRM,"Pr Abdom Paracentesis Dx/Ther W/Imaging Guidance-Gold,Oprm",2364.0,2364.0,,,0 CDM,49083_GOLDPBB,"Pr Abdom Paracentesis Dx/Ther W/Imaging Guidance-Gold,Pbb",2364.0,2364.0,,,0 CDM,49083_PBB,Pr Abdom Paracentesis Dx/Ther W/Imaging Guidance-Pbb,2364.0,2364.0,,,0 CDM,49084_GOLD,Pr Peritoneal Lavage W/Wo Imaging Guidance-Gold,963.0,963.0,,,0 CDM,49084_GOLDOPRM,"Pr Peritoneal Lavage W/Wo Imaging Guidance-Gold,Oprm",963.0,963.0,,,0 CDM,49084_GOLDPBB,"Pr Peritoneal Lavage W/Wo Imaging Guidance-Gold,Pbb",963.0,963.0,,,0 CDM,49084_PBB,Pr Peritoneal Lavage W/Wo Imaging Guidance-Pbb,963.0,963.0,,,0 CDM,49093017,Hc Mset Chest Pain Center Protocol,2787.0,2787.0,,,0 CDM,49110040,Hc Acne Surgery Acne Scarring Cash,150.0,150.0,,,0 CDM,49110040_CSMPBB,"Hc Acne Surgery Acne Scarring Cash-Csm,Pbb",150.0,150.0,,,0 CDM,49115004,Hc Prep Site F/S/N/H/F/G/M/D Gt 1St 100 Sq Cm/1Pct Cash,250.0,250.0,,,0 CDM,49115780,"Hc Dermabrasion, Total Face Cash",4000.0,4000.0,,,0 CDM,49115780_CSMPBB,"Hc Dermabrasion, Total Face Cash-Csm,Pbb",4000.0,4000.0,,,0 CDM,49115781,"Hc Dermabrasion, Segmental Face Cash",1500.0,1500.0,,,0 CDM,49115781_CSMPBB,"Hc Dermabrasion, Segmental Face Cash-Csm,Pbb",1500.0,1500.0,,,0 CDM,49115783_CSMPBB,"Hc Dermabrasion, Superficial, Tattoo Remove Per 20Cmsq Cash-Csm,Pbb",500.0,500.0,,,0 CDM,49115822_CSMPBB,"Hc Blepharoplasty Upper Eyelid Cash-Csm,Pbb",2700.0,2700.0,,,0 CDM,49125260,"Hc Repair, Tendon Or Muscle, Flexor, Forearm &/Or Wrist; Primary, Single, Each Tendon Or Muscle",10082.0,10082.0,,,0 CDM,49130120,Hc Excision Or Surgical Planning Of Skin Of Nose For Rhinophyma Cash,2000.0,2000.0,,,0 CDM,49130120_CSMPBB,"Hc Excision Or Surgical Planning Of Skin Of Nose For Rhinophyma Cash-Csm,Pbb",2000.0,2000.0,,,0 CDM,49131631,Hc Research Bronchoscopy,2817.0,2817.0,,,0 CDM,49131631_PBB,Hc Research Bronchoscopy-Pbb,2375.0,2375.0,,,0 CDM,49132994,Hc Ablation Pulm Tumor Perq Crybl,13979.0,13979.0,,,0 CDM,49136470,Hc Inj Sclerososant; Single Incompetent Vein (Other Than Telangiectasia) Cash,162.0,162.0,,,0 CDM,49136471,"Hc Hc Inj Sclerososant; Multiple Incompetent Vein (Other Than Telangiectasia), Same Leg Cash",250.0,250.0,,,0 CDM,49136471_CSMPBB,"Hc Hc Inj Sclerososant; Multiple Incompetent Vein (Other Than Telangiectasia), Same Leg Cash-Csm,Pbb",250.0,250.0,,,0 CDM,49138205,Hc Blood-Derived Hematopoietic Prog Cell Harves Facility,7578.0,7578.0,,,0 CDM,49138206,Hc Hematopoietic Progenitor Cell Harvest Transplant; Auto Facility,7714.0,7714.0,,,0 CDM,49147399,Hc Marker Placement Liver,1203.0,1203.0,,,0 CDM,49151701,Hc Insert Non-Indwelling Bladder Catheter Facility Only,744.0,744.0,,,0 CDM,49151702,Hc Insertion Temporary Indwelling Bladder Cather; Simple Md Included,526.0,526.0,,,0 CDM,49151702_PBB,Hc Insertion Temporary Indwelling Bladder Cather; Simple Md Included-Pbb,1013.0,1013.0,,,0 CDM,49164612,Hc Pr Chemodnrvtj Musc Musc Innervated Facial Nrv Unil - Resident,91.0,91.0,,,0 CDM,49164612_PBB,Hc Pr Chemodnrvtj Musc Musc Innervated Facial Nrv Unil - Resident-Pbb,91.0,91.0,,,0 CDM,49180_PBB,Pr Bx Abdl/Retroperitoneal Mass Prq Needle-Pbb,2964.0,2964.0,,,0 CDM,49215822_CSM,Hc Cash Blepharoplasty Upper Eye Cash Resident-Csm,1450.0,1450.0,,,0 CDM,4921_00378204701,"Tacrolimus: 100 Capsule In 1 Bottle, Plastic (0378-2047-01)",5.81,5.81,,,0 CDM,4921_00904662461,Tacrolimus: 100 Blister Pack In 1 Carton (0904-6624-61) / 1 Capsule In 1 Blister Pack,11.16,11.16,,,0 CDM,4921_16729004301,Tacrolimus: 100 Capsule In 1 Bottle (16729-043-01),3.62,3.62,,,0 CDM,4921_68462068701,Tacrolimus: 100 Capsule In 1 Bottle (68462-687-01),1.81,1.81,,,0 CDM,49253899,Hc Ang Intertumoral Embolization/Injection Of Kidney,20495.0,20495.0,,,0 CDM,49411_GAST,Pr Interstitial Dev Plmt Radiation Therapy 1/Mlt-Gast,4879.0,4879.0,,,0 CDM,49411_PBB,Pr Interstitial Dev Plmt Radiation Therapy 1/Mlt-Pbb,4879.0,4879.0,,,0 CDM,49422_PBB,Pr Removal Tunneled Intraperitoneal Catheter-Pbb,4236.0,4236.0,,,0 CDM,49423_PBB,Pr Exchng Absc/Cst Drg Cath Rad Gid Spx-Pbb,598.0,598.0,,,0 CDM,49440_GAST,Pr Insert Gastrostomy Tube Percutaneous-Gast,2725.0,2725.0,,,0 CDM,49440_PBB,Pr Insert Gastrostomy Tube Percutaneous-Pbb,2725.0,2725.0,,,0 CDM,49441_GAST,Pr Insert Duodenostomy/Jejunostomy Tube Perq-Gast,1861.0,1861.0,,,0 CDM,49441_PBB,Pr Insert Duodenostomy/Jejunostomy Tube Perq-Pbb,1861.0,1861.0,,,0 CDM,49442_GAST,Pr Insert Cecostomy/Other Colonic Tube Percutaneous-Gast,1548.0,1548.0,,,0 CDM,49442_PBB,Pr Insert Cecostomy/Other Colonic Tube Percutaneous-Pbb,1548.0,1548.0,,,0 CDM,49446_GAST,Pr Convert Gastrostomy-Gastro-Jejunostomy Tube Perq-Gast,1206.0,1206.0,,,0 CDM,49446_PBB,Pr Convert Gastrostomy-Gastro-Jejunostomy Tube Perq-Pbb,1206.0,1206.0,,,0 CDM,49450_GAST,Pr Replace Gastrostomy/Cecostomy Tube Percutaneous-Gast,494.0,494.0,,,0 CDM,49450_PBB,Pr Replace Gastrostomy/Cecostomy Tube Percutaneous-Pbb,494.0,494.0,,,0 CDM,49451_GAST,Pr Replace Duodenostomy/Jejunostomy Tube Perq-Gast,679.0,679.0,,,0 CDM,49451_PBB,Pr Replace Duodenostomy/Jejunostomy Tube Perq-Pbb,679.0,679.0,,,0 CDM,49452_GAST,Pr Replacement Gastro-Jejunostomy Tube Percutaneous-Gast,1069.0,1069.0,,,0 CDM,49452_PBB,Pr Replacement Gastro-Jejunostomy Tube Percutaneous-Pbb,1069.0,1069.0,,,0 CDM,49460_GAST,Pr Obstructive Material Removal From Gi Tube-Gast,274.0,274.0,,,0 CDM,49460_PBB,Pr Obstructive Material Removal From Gi Tube-Pbb,274.0,274.0,,,0 CDM,49465_GAST,Pr Contrast Injection Perq Radiologic Eval Gi Tube-Gast,232.0,232.0,,,0 CDM,49465_PBB,Pr Contrast Injection Perq Radiologic Eval Gi Tube-Pbb,232.0,232.0,,,0 CDM,4990_00338066904,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0669-04),193.0,193.0,,,0 CDM,4996_10019005561,Brevibloc: 10 Bag In 1 Carton (10019-055-61) / 250 Ml In 1 Bag,3.48,3.48,,,0 CDM,4996_10019067010,Brevibloc: 10 Bag In 1 Carton (10019-670-10) / 250 Ml In 1 Bag,2.9,2.9,,,0 CDM,4996_25021030884,Esmolol Hydrochloride: 10 Bag In 1 Carton (25021-308-84) / 250 Ml In 1 Bag,3.72,3.72,,,0 CDM,4996_67457065725,Esmolol Hydrochloride In Sodium Chloride: 1 Bag In 1 Pouch (67457-657-25) / 250 Ml In 1 Bag,7.47,7.47,,,0 CDM,500200_61958290102,"Veklury: 1 Vial, Single-Dose In 1 Carton (61958-2901-2) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",4016.52,4016.52,,,0 CDM,500202_61958290102,"Veklury: 1 Vial, Single-Dose In 1 Carton (61958-2901-2) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",40.57,40.57,,,0 CDM,5008_00264765200,Potassium Chloride In Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7652-00) / 1000 Ml In 1 Container,59.0,59.0,,,0 CDM,5008_00338080304,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0803-04),193.0,193.0,,,0 CDM,5014_00168026550,Betamethasone Dipropionate: 50 G In 1 Tube (0168-0265-50),294.5,294.5,,,0 CDM,50200_PBB,Pr Renal Biopsy Prq Trocar/Needle-Pbb,3547.0,3547.0,,,0 CDM,5023_50268027711,NDC Description Not Available,9.68,9.68,,,0 CDM,5023_53489011802,"Doxycycline Hyclate: 50 Capsule In 1 Bottle, Plastic (53489-118-02)",6.0,6.0,,,0 CDM,5029_00904560961,ENALAPRIL MALEATE: 100 BLISTER PACK in 1 CARTON (0904-5609-61) / 1 TABLET in 1 BLISTER PACK,4.45,4.45,,,0 CDM,5029_16714044201,Enalapril Maleate: 100 Tablet In 1 Bottle (16714-442-01),3.46,3.46,,,0 CDM,5029_23155070401,Enalapril Maleate: 100 Tablet In 1 Bottle (23155-704-01),3.86,3.86,,,0 CDM,5029_51672403701,Enalapril Maleate: 100 Tablet In 1 Bottle (51672-4037-1),3.0,3.0,,,0 CDM,50360_PBB,Pr Renal Altrnsplj Impltj Grf W/O Rcp Nephrectomy-Pbb,20152.0,20152.0,,,0 CDM,50386_PBB,Pr Remove Int Dwell Ureteral Stent Transurethral-Pbb,4099.0,4099.0,,,0 CDM,504_17478062512,"LATANOPROST: 1 BOTTLE, DROPPER in 1 CARTON (17478-625-12) / 2.5 mL in 1 BOTTLE, DROPPER",96.41,96.41,,,0 CDM,504_24208046325,Latanoprost: 1 Bottle In 1 Carton (24208-463-25) / 2.5 Ml In 1 Bottle,111.6,111.6,,,0 CDM,504_59762033302,"Latanoprost: 1 Bottle, Dropper In 1 Carton (59762-0333-2) / 2.5 Ml In 1 Bottle, Dropper",43.07,43.07,,,0 CDM,504_61314054701,Latanoprost: 1 Bottle In 1 Carton (61314-547-01) / 2.5 Ml In 1 Bottle,66.34,66.34,,,0 CDM,504_70069042101,Latanoprost: 1 Bottle In 1 Carton (70069-421-01) / 2.5 Ml In 1 Bottle,30.69,30.69,,,0 CDM,505_72694095401,"Oncaspar: 1 Vial, Single-Use In 1 Carton (72694-954-01) / 5 Ml In 1 Vial, Single-Use",96226.54,96226.54,,,0 CDM,5069_51079092301,NDC Description Not Available,6.0,6.0,,,0 CDM,5069_51079092320,"Carbidopa And Levodopa: 100 Blister Pack In 1 Carton (51079-923-20) / 1 Tablet, Extended Release In 1 Blister Pack (51079-923-01)",6.0,6.0,,,0 CDM,506_10939074444,NDC Description Not Available,56.51,56.51,,,0 CDM,5075_00409330001,NDC Description Not Available,96.5,96.5,,,0 CDM,5075_00409477702,CIPROFLOXACIN: 24 POUCH in 1 CASE (0409-4777-02) / 1 BAG in 1 POUCH / 200 mL in 1 BAG (0409-4777-21),96.71,96.71,,,0 CDM,5075_25021011487,Ciprofloxacin: 24 Pouch In 1 Carton (25021-114-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,96.5,96.5,,,0 CDM,5075_25021019287,Ciprofloxacin: 24 Pouch In 1 Carton (25021-192-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,96.5,96.5,,,0 CDM,5075_36000000924,Ciprofloxacin: 200 Ml In 1 Bag (36000-009-24),96.5,96.5,,,0 CDM,5081_00054356699,"Midazolam Hydrochloride: 118 Ml In 1 Bottle, Glass (0054-3566-99)",49.35,49.35,,,0 CDM,5081_17856356603,Midazolam Hydrochloride: 5 Ml In 1 Cup (17856-3566-3),42.2,42.2,,,0 CDM,5081_60687057640,NDC Description Not Available,38.23,38.23,,,0 CDM,5081_68094076459,NDC Description Not Available,37.89,37.89,,,0 CDM,5081_99999001229,NDC Description Not Available,9.85,9.85,,,0 CDM,51000001,Hc International Program Brokerage Fee,558.0,558.0,,,0 CDM,51000002_CSM,Hc Sublingual Immunotherapy Starting Vial-Csm,158.0,158.0,,,0 CDM,51000003,Hc Cosmetic Consult Followup,52.0,52.0,,,0 CDM,51000006,Hc Respiratory Fitness Test,64.0,64.0,,,0 CDM,51000007_CSM,Hc Sublingual Immunotherapy Maintenance Vial-Csm,184.0,184.0,,,0 CDM,51000008_CSM,Hc Sublingual Immunotherapy Additional Allergens-Csm,10.0,10.0,,,0 CDM,51000023_PBB,Hc Pin Service 60M Per Month-Pbb,232.0,232.0,,,0 CDM,51000024_PBB,Hc Pin Srv Add 30 Min Pr M-Pbb,116.0,116.0,,,0 CDM,51005890_PBB,Hc Elec Alys Smpl Prgrmg Iins Bldr Dysf Ptn 1-3-Pbb,424.0,424.0,,,0 CDM,51005900_PBB,Hc Elec Alys Cplx Prgrmg Iins Bldr Dysf Ptn 4+-Pbb,514.5,514.5,,,0 CDM,5100_00536124701,"Senexon-S: 100 Tablet, Film Coated In 1 Bottle, Plastic (0536-1247-01)",1.18,1.18,,,0 CDM,5100_00536124710,"Senexon-S: 1000 Tablet, Film Coated In 1 Bottle, Plastic (0536-1247-10)",1.18,1.18,,,0 CDM,5100_00536124810,"Stimulant Laxative Plus Stool Softener: 1000 Tablet, Film Coated In 1 Bottle, Plastic (0536-1248-10)",1.23,1.23,,,0 CDM,5100_00904744061,"Sennosides, Docusate Sodium: 10 Blister Pack In 1 Box, Unit-Dose (0904-7440-61) / 10 Tablet, Film Coated In 1 Blister Pack",1.15,1.15,,,0 CDM,5100_10135066901,Senna S: 1 Bottle In 1 Carton (10135-669-01) / 100 Tablet In 1 Bottle,1.17,1.17,,,0 CDM,5100_57896030301,"Stool Softener with Laxative: 100 TABLET, FILM COATED in 1 BOTTLE (57896-303-01)",1.0,1.0,,,0 CDM,5100_57896030401,"Stool Softener With Laxative: 100 Tablet, Film Coated In 1 Bottle (57896-304-01)",1.0,1.0,,,0 CDM,5100_60687062211,NDC Description Not Available,1.17,1.17,,,0 CDM,5100_63739043201,"Sennosides and Docusate Sodium: 25 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-432-01) / 30 TABLET in 1 BLISTER PACK",1.0,1.0,,,0 CDM,5100_63739043202,Sennosides and Docusate Sodium: 30 BLISTER PACK in 1 BOX (63739-432-02) / 10 TABLET in 1 BLISTER PACK,1.18,1.18,,,0 CDM,51010035,"Hc Place Soft Tissue Local Devize, Percutaneous, Image, 1St Lesion",1789.0,1789.0,,,0 CDM,51010035_PBB,"Hc Place Soft Tissue Local Devize, Percutaneous, Image, 1St Lesion-Pbb",2143.5,2143.5,,,0 CDM,51010036,"Hc Place Soft Tissue Local Devize, Perc, Image Guide, Ea Add Lesion",1789.0,1789.0,,,0 CDM,51011104_CSMPBB,"Hc Punch Biopsy Cash-Csm,Pbb",75.0,75.0,,,0 CDM,51011200,Hc Skin Tag Removal 1 To 15 Cash,150.0,150.0,,,0 CDM,51011200_CSMPBB,"Hc Skin Tag Removal 1 To 15 Cash-Csm,Pbb",150.0,150.0,,,0 CDM,51011201_CSM,Hc Removal Skin Tag Each Additional Cash-Csm,50.0,50.0,,,0 CDM,51011201_CSMPBB,"Hc Removal Skin Tag Each Additional Cash-Csm,Pbb",50.0,50.0,,,0 CDM,51011900,Hc Dmpr-Intralesional Injection Up To 7 Cash,50.0,50.0,,,0 CDM,51011900_CSMPBB,"Hc Dmpr-Intralesional Injection Up To 7 Cash-Csm,Pbb",50.0,50.0,,,0 CDM,51011901,"Hc Injection, Intralesional; More Than 7 Lesions Cash",106.0,106.0,,,0 CDM,51011901_CSMPBB,"Hc Injection, Intralesional; More Than 7 Lesions Cash-Csm,Pbb",100.0,100.0,,,0 CDM,51011901_PBB,"Hc Injection, Intralesional; More Than 7 Lesions Cash-Pbb",30.0,30.0,,,0 CDM,51012021,Hc Treatment Of Superficial Wound Dehiscence; With Packing,1199.0,1199.0,,,0 CDM,51015788_CSM,"Hc Chemical Peel, Facial; Epidermal Cash-Csm",175.0,175.0,,,0 CDM,51015788_CSMPBB,"Hc Chemical Peel, Facial; Epidermal Cash-Csm,Pbb",175.0,175.0,,,0 CDM,51017106,Hc Destruction Of Cutaneous Vascular Proliferative Lesions; Less Than 10 Sq Cm Cash,250.0,250.0,,,0 CDM,51017106_CSMPBB,"Hc Destruction Of Cutaneous Vascular Proliferative Lesions; Less Than 10 Sq Cm Cash-Csm,Pbb",250.0,250.0,,,0 CDM,51017107,Hc Destruction Of Cutaneous Vascular Proliferative Lesions; 10 To 50 Sq Cm Cash,400.0,400.0,,,0 CDM,51017107_CSMPBB,"Hc Destruction Of Cutaneous Vascular Proliferative Lesions; 10 To 50 Sq Cm Cash-Csm,Pbb",400.0,400.0,,,0 CDM,51017108,Hc Destruction Of Cutaneous Vascular Proliferative Lesions; Over 50 Sq Cm Cash,500.0,500.0,,,0 CDM,51017108_CSMPBB,"Hc Destruction Of Cutaneous Vascular Proliferative Lesions; Over 50 Sq Cm Cash-Csm,Pbb",500.0,500.0,,,0 CDM,51017110,Hc Cash Destruct Benign Non Skin Up To 14 Lesions,200.0,200.0,,,0 CDM,51017110_CSMPBB,"Hc Cash Destruct Benign Non Skin Up To 14 Lesions-Csm,Pbb",200.0,200.0,,,0 CDM,51017111,Hc Destruction Of Benign Lesions Other Than Skin Tags; 15 Ore More Lesions Cash,300.0,300.0,,,0 CDM,51017111_CSMPBB,"Hc Destruction Of Benign Lesions Other Than Skin Tags; 15 Ore More Lesions Cash-Csm,Pbb",300.0,300.0,,,0 CDM,51017360,Hc Chemical Exfoliation Cash,125.0,125.0,,,0 CDM,51017360_CSMPBB,"Hc Chemical Exfoliation Cash-Csm,Pbb",125.0,125.0,,,0 CDM,51017999,Hc Laser Hair Removal Mustach Beard Cash,350.0,350.0,,,0 CDM,51017999_CSMPBB,"Hc Laser Hair Removal Mustach Beard Cash-Csm,Pbb",350.0,350.0,,,0 CDM,51020604,"Hc Arthrocentesis, Aspiration And/Or Injection, Small Joint Or Bursa; With Ultrasound Guidance",3287.0,3287.0,,,0 CDM,51020604_PBB,"Hc Arthrocentesis, Aspiration And/Or Injection, Small Joint Or Bursa; With Ultrasound Guidance-Pbb",4133.0,4133.0,,,0 CDM,51020606,"Hc Arthrocentesis, Aspiration And/Or Inj, Intermediate Joint Or Bursa; W/ U/S Guid",4219.0,4219.0,,,0 CDM,51020606_PBB,"Hc Arthrocentesis, Aspiration And/Or Inj, Intermediate Joint Or Bursa; W/ U/S Guid-Pbb",5127.0,5127.0,,,0 CDM,51020611,"Hc Arthrocentesis, Asp And/Or Inj, Major Joint Or Bursa; W U/S Guid, W/ Perm Recording Reporting",4699.0,4699.0,,,0 CDM,51020611_PBB,"Hc Arthrocentesis, Asp And/Or Inj, Major Joint Or Bursa; W U/S Guid, W/ Perm Recording Reporting-Pbb",5652.5,5652.5,,,0 CDM,51029305,Hc Application Of Hip Spica Cast; 1 Leg,3428.0,3428.0,,,0 CDM,51029305_PBB,Hc Application Of Hip Spica Cast; 1 Leg-Pbb,4274.0,4274.0,,,0 CDM,51029425,Hc Application Of Short Leg Cast; Walking Or Ambulatory Type,853.0,853.0,,,0 CDM,51029425_PBB,Hc Application Of Short Leg Cast; Walking Or Ambulatory Type-Pbb,1325.5,1325.5,,,0 CDM,51031652,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide",11790.0,11790.0,,,0 CDM,51031652_CART,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide-Cart",10384.0,10384.0,,,0 CDM,51031652_CARTPBB,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide-Cart,Pbb",10384.0,10384.0,,,0 CDM,51031652_GOLD,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide-Gold",10384.0,10384.0,,,0 CDM,51031652_GOLDPBB,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide-Gold,Pbb",10384.0,10384.0,,,0 CDM,51031652_PBB,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide-Pbb",10384.0,10384.0,,,0 CDM,51031653,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide, 3 Or More Media/Hilar Lymph Nodes",13037.0,13037.0,,,0 CDM,51031653_CART,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide, 3 Or More Media/Hilar Lymph Nodes-Cart",11481.5,11481.5,,,0 CDM,51031653_CARTPBB,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide, 3 Or More Media/Hilar Lymph Nodes-Cart,P",11481.0,11481.0,,,0 CDM,51031653_GOLD,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide, 3 Or More Media/Hilar Lymph Nodes-Gold",11481.5,11481.5,,,0 CDM,51031653_GOLDPBB,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide, 3 Or More Media/Hilar Lymph Nodes-Gold,P",11481.0,11481.0,,,0 CDM,51031653_PBB,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide, 3 Or More Media/Hilar Lymph Nodes-Pbb",11481.5,11481.5,,,0 CDM,51031654,"Hb Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus During Bronch Diag/Thera Interv Periph Lesion",7890.0,7890.0,,,0 CDM,51031654_CART,"Hb Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus During Bronch Diag/Thera Interv Periph Lesion-C",7603.0,7603.0,,,0 CDM,51031654_CARTPBB,"Hb Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus During Bronch Diag/Thera Interv Periph Lesion-C",7603.0,7603.0,,,0 CDM,51031654_GOLD,"Hb Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus During Bronch Diag/Thera Interv Periph Lesion-G",7603.0,7603.0,,,0 CDM,51031654_GOLDPBB,"Hb Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus During Bronch Diag/Thera Interv Periph Lesion-G",7603.0,7603.0,,,0 CDM,51031654_PBB,"Hb Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus During Bronch Diag/Thera Interv Periph Lesion-P",7603.0,7603.0,,,0 CDM,51036299,Hc Vascular Injection Jugualar Vein For Venography,902.0,902.0,,,0 CDM,51036468_CSMPBB,"Hc Sclerotherapy; Single Or Multiple Injection(S) Cash-Csm,Pbb",225.0,225.0,,,0 CDM,51040_PBB,Pr Cystostomy Cystotomy W/Drainage-Pbb,2246.0,2246.0,,,0 CDM,51041530_PBB,Hc Tongue Base Vol Reduction 1+ Sites-Pbb,9953.0,9953.0,,,0 CDM,51046505,Hc Chemodenervation Of Anal Sphincter,7323.0,7323.0,,,0 CDM,51046601,"Hc Anoscpy, Dx, W/High-Resoltn Magn & Chem Agnt Enhncmnt,Incl Col Of Spec By Brush Or Wash,When Perf",937.0,937.0,,,0 CDM,51046601_PBB,"Hc Anoscpy, Dx, W/High-Resoltn Magn & Chem Agnt Enhncmnt,Incl Col Of Spec By Brush Or Wash,When Perf",739.0,739.0,,,0 CDM,51046607,"Hc Anoscopy; W/ High-Resolution Magnification And Chemical Agent Enhancement, W/ Bx, Single Or Mult",2133.0,2133.0,,,0 CDM,51046607_PBB,"Hc Anoscopy; W/ High-Resolution Magnification And Chemical Agent Enhancement, W/ Bx, Single Or Mult-",1970.0,1970.0,,,0 CDM,51053899,Hc Unlisted Procedure Urinary System Botox Injection,2539.0,2539.0,,,0 CDM,51053899_PBB,Hc Unlisted Procedure Urinary System Botox Injection-Pbb,2335.5,2335.5,,,0 CDM,51062252,Hc Reprogramming Of Programmable Cerebrospinal Shunt,788.0,788.0,,,0 CDM,51062252_PBB,Hc Reprogramming Of Programmable Cerebrospinal Shunt-Pbb,1176.0,1176.0,,,0 CDM,51064435,"Hc Injection, Anesthetic Agentl Paracervical (Uterine) Nerve",5749.0,5749.0,,,0 CDM,51064435_PBB,"Hc Injection, Anesthetic Agentl Paracervical (Uterine) Nerve-Pbb",4422.0,4422.0,,,0 CDM,51064455,"Hc Injection(S), Anesthetic Agent And/Or Steroid, Plantar Common Digital Nerve(S)",1028.0,1028.0,,,0 CDM,51064455_PBB,"Hc Injection(S), Anesthetic Agent And/Or Steroid, Plantar Common Digital Nerve(S)-Pbb",1588.5,1588.5,,,0 CDM,51064650,Hc Botox Axillae 100 Units Cash,1248.0,1248.0,,,0 CDM,51064650_CSMPBB,"Hc Botox Axillae 100 Units Cash-Csm,Pbb",850.0,850.0,,,0 CDM,51069090_CSMPBB,"Hc Ear Piercing Cash-Csm,Pbb",123.0,123.0,,,0 CDM,51069399,"Hc Repair Of Ear, External, Single Ear Cash",500.0,500.0,,,0 CDM,51069399_CSMPBB,"Hc Repair Of Ear, External, Single Ear Cash-Csm,Pbb",500.0,500.0,,,0 CDM,51092002_PBB,"Hc Ophthalmological Srvc; Med Exam, Eval W/Initiation, Diag And Tratmnt Program; Intrmediat, New Pat",334.5,334.5,,,0 CDM,51092004_PBB,"Hc Ophth Srvcs; Med Exm & Eval W/ Inititatn Of Diag & Tx Prog; Comprhnsve, New Pt, 1 Or More Visits-",525.5,525.5,,,0 CDM,51092012_PBB,"Hc Ophthsrvcs; Med Exm And Evl W/ Inititation Or Cont Of Dx And Trtmnt Prgrm; Intermediate,Est Pat-P",548.5,548.5,,,0 CDM,51092014,"Hc Opht Srvcs; Med Exm And Eval W/Inititation Or Cont Of Dx And Trtmnt Program; Comprhnsv,Est Pat",926.0,926.0,,,0 CDM,51092014_PBB,"Hc Opht Srvcs; Med Exm And Eval W/Inititation Or Cont Of Dx And Trtmnt Program; Comprhnsv,Est Pat-Pb",792.5,792.5,,,0 CDM,51092071_PBB,Hc Fitting Of Contact Lens For Treatment Of Ocular Surface Disease-Pbb,724.5,724.5,,,0 CDM,51092072_PBB,Hc Fitting Contact Mgmt Keratoc Initial-Pbb,724.5,724.5,,,0 CDM,51095115,Hc Professional Srvcs For Allergen Immunother Not Incl Provision Of Allergenic Extracts; Single Inj,118.0,118.0,,,0 CDM,51095117,Hc Professional Srvcs For Allergen Immunother Not Incl Provision Of Allergnic Extrcts; 2 Or More Inj,229.0,229.0,,,0 CDM,51095117_PBB,Hc Professional Srvcs For Allergen Immunother Not Incl Provision Of Allergnic Extrcts; 2 Or More Inj,138.0,138.0,,,0 CDM,51095165_PBB,Hc Prof Srvcs For Sup Of Prep & Prov Of Antigens For Allergen Immunother; Sing Or Mult Antigens-Pbb,125.5,125.5,,,0 CDM,51095180,"Hc Rapid Desensitization Procedure, Each Hour (Eg, Insulin, Penicillin, Equine Serum)",930.0,930.0,,,0 CDM,51095180_PBB,"Hc Rapid Desensitization Procedure, Each Hour (Eg, Insulin, Penicillin, Equine Serum)-Pbb",793.5,793.5,,,0 CDM,51095990,"Hc Refill And Maintenance Of Implant Pumo For Drug Delivery, Spinal",641.0,641.0,,,0 CDM,51096040,"Hc Med Genetics And Genetic Counseling Srvcs, Each 30 Min Face2Face W/ Pat/Family",452.0,452.0,,,0 CDM,51096041,Hc Genetic Counseling Svc Ea 30,452.0,452.0,,,0 CDM,51096160,"Hc Focused Health Risk Assessment With Scoring, Per Instrument",255.0,255.0,,,0 CDM,51096160_PBB,"Hc Focused Health Risk Assessment With Scoring, Per Instrument-Pbb",172.5,172.5,,,0 CDM,51096161,"Hc Caregiver Health Risk Assessment, Per Instrument",54.0,54.0,,,0 CDM,51096161_PBB,"Hc Caregiver Health Risk Assessment, Per Instrument-Pbb",45.5,45.5,,,0 CDM,51096372,Hc Radiesse Filler Per Syringe Cash,800.0,800.0,,,0 CDM,51096372_CSMPBB,"Hc Radiesse Filler Per Syringe Cash-Csm,Pbb",800.0,800.0,,,0 CDM,51096379,"Hc Unlisted Thrptc, Prphlctc, Or Diag Intravenous Or Intra-Arterial Inj Or Inf",2155.0,2155.0,,,0 CDM,51096521,Hc Refilling And Maintenance Of Portable Pump,958.0,958.0,,,0 CDM,51096523,Hc Irrigation Of Implanted Venous Access Device For Drug Delivery Systems,643.0,643.0,,,0 CDM,51096523_PBB,Hc Irrigation Of Implanted Venous Access Device For Drug Delivery Systems-Pbb,736.5,736.5,,,0 CDM,51096567_CSM,"Hc Photodynamic Therapy, With Blu U Only (No Medication) Cash-Csm",150.0,150.0,,,0 CDM,51096567_CSMPBB,"Hc Photodynamic Therapy, With Blu U Only (No Medication) Cash-Csm,Pbb",150.0,150.0,,,0 CDM,51096573_CSM,"Hc Photodynamic Therapy, With Levulan Kerastick & Blu U (Ala-Pdt) Cash-Csm",700.0,700.0,,,0 CDM,51096573_CSMPBB,"Hc Photodynamic Therapy, With Levulan Kerastick & Blu U (Ala-Pdt) Cash-Csm,Pbb",700.0,700.0,,,0 CDM,51096904_CSM,"Hc Whole Body Photography, Mole Mapping Subsequent Cash-Csm",200.0,200.0,,,0 CDM,51096904_CSMPBB,"Hc Whole Body Photography, Mole Mapping Subsequent Cash-Csm,Pbb",200.0,200.0,,,0 CDM,51096910,Hc Cash Proc Photochemother; Tar And Ultrviolt B (Goeckerman Treatmnt) Or Petrolatum And Ultrviolt B,40.0,40.0,,,0 CDM,51096910_CSMPBB,Hc Cash Proc Photochemother; Tar And Ultrviolt B (Goeckerman Treatmnt) Or Petrolatum And Ultrviolt B,40.0,40.0,,,0 CDM,51096912,Hc Cash Procedure Photochemotherapy; Psoralens And Ultraviolet A (Puva),40.0,40.0,,,0 CDM,51096912_CSMPBB,"Hc Cash Procedure Photochemotherapy; Psoralens And Ultraviolet A (Puva)-Csm,Pbb",40.0,40.0,,,0 CDM,51099056,Hc Nurse Practitioner Consult Non/Clinical,278.0,278.0,,,0 CDM,51099080,Hc Ucom Medical Review Officer Fee,19.0,19.0,,,0 CDM,51099172_PBB,"Hc Vsl Fn Scrn, Aut Or Sem-Aut Bilt Qntve Det Vsl Ac Oclr Agnmt Clr Vzn By Psdschrmtc Plt & Fld Vzn",311.0,311.0,,,0 CDM,51099202,Hc Evaluation And Management New Patient Level 2,345.0,345.0,,,0 CDM,51099202_PBB,Hc Evaluation And Management New Patient Level 2-Pbb,342.5,342.5,,,0 CDM,51099203,Hc Evaluation And Management New Patient Level 3,479.0,479.0,,,0 CDM,51099203_PBB,Hc Evaluation And Management New Patient Level 3-Pbb,476.0,476.0,,,0 CDM,51099204,Hc Evaluation And Management New Patient Level 4,598.0,598.0,,,0 CDM,51099204_PBB,Hc Evaluation And Management New Patient Level 4-Pbb,594.0,594.0,,,0 CDM,51099205,Hc Evaluation And Management New Patient Level 5,759.0,759.0,,,0 CDM,51099205_PBB,Hc Evaluation And Management New Patient Level 5-Pbb,754.0,754.0,,,0 CDM,51099211,Hc Evaluation And Management Return Patient Level 1,289.0,289.0,,,0 CDM,51099211_PBB,Hc Evaluation And Management Return Patient Level 1-Pbb,287.0,287.0,,,0 CDM,51099212,Hc Evaluation And Management Return Patient Level 2,345.0,345.0,,,0 CDM,51099212_PBB,Hc Evaluation And Management Return Patient Level 2-Pbb,342.5,342.5,,,0 CDM,51099213,Hc Evaluation And Management Return Patient Level 3,409.0,409.0,,,0 CDM,51099213_PBB,Hc Evaluation And Management Return Patient Level 3-Pbb,406.5,406.5,,,0 CDM,51099214,Hc Evaluation And Management Return Patient Level 4,479.0,479.0,,,0 CDM,51099214_PBB,Hc Evaluation And Management Return Patient Level 4-Pbb,476.0,476.0,,,0 CDM,51099215,Hc Evaluation And Management Return Patient Level 5,598.0,598.0,,,0 CDM,51099215_PBB,Hc Evaluation And Management Return Patient Level 5-Pbb,594.0,594.0,,,0 CDM,51099241,Hc Office Consultation New/Estab Patient 15 Min - Resident,98.0,98.0,,,0 CDM,51099354,Hc Ucpg Outpatient Prolonged Direct Service First Hour,153.0,153.0,,,0 CDM,51099354_PBB,Hc Ucpg Outpatient Prolonged Direct Service First Hour-Pbb,153.0,153.0,,,0 CDM,51099355,Hc Ucpg Outpatient Prolonged Direct Service First Hour,149.0,149.0,,,0 CDM,51099355_PBB,Hc Ucpg Outpatient Prolonged Direct Service First Hour-Pbb,149.0,149.0,,,0 CDM,51099381_PBB,Hc Preventive Medicine Evaluation New Patient; Infant-Pbb,429.0,429.0,,,0 CDM,51099382_PBB,Hc Preventive Medicine Evaluation New Patient; 1-4 Years-Pbb,454.5,454.5,,,0 CDM,51099383_PBB,Hc Preventive Medicine Evaluation New Patient; 5-11 Years-Pbb,480.5,480.5,,,0 CDM,51099384_PBB,Hc Preventive Medicine Evaluation New Patient; 12-17 Years-Pbb,527.5,527.5,,,0 CDM,51099385_PBB,Hc Preventive Medicine Evaluation New Patient; 18-39 Years-Pbb,594.0,594.0,,,0 CDM,51099386_PBB,Hc Preventive Medicine Evaluation New Patient; 40-64 Years-Pbb,676.0,676.0,,,0 CDM,51099387_PBB,Hc Preventive Medicine Evaluation New Patient; 65 Years And Older-Pbb,751.0,751.0,,,0 CDM,51099391_PBB,Hc Preventive Medicine Evaluation Established Patient; Infant-Pbb,482.5,482.5,,,0 CDM,51099392_PBB,Hc Preventive Medicine Evaluation Established Patient; 1-4 Years-Pbb,511.5,511.5,,,0 CDM,51099393_PBB,Hc Preventive Medicine Evaluation Established Patient; 5-11 Years-Pbb,527.0,527.0,,,0 CDM,51099394_PBB,Hc Preventive Medicine Evaluation Established Patient; 12-17 Years-Pbb,573.0,573.0,,,0 CDM,51099395_PBB,Hc Preventive Medicine Evaluation Established Patient; 18-39 Years-Pbb,653.5,653.5,,,0 CDM,51099396_PBB,Hc Preventive Medicine Evaluation Established Patient; 40-64 Years-Pbb,704.0,704.0,,,0 CDM,51099397_PBB,Hc Preventive Medicine Evaluation Established Patient; 65 Years Or Older-Pbb,776.0,776.0,,,0 CDM,51099401,Hc Preventive Medicine Counseling And/Or Risk Factor Reduction Intrvtn; Approximately 15 Min,356.0,356.0,,,0 CDM,51099401_PBB,Hc Preventive Medicine Counseling And/Or Risk Factor Reduction Intrvtn; Approximately 15 Min-Pbb,195.0,195.0,,,0 CDM,51099402,Hc Preventive Medicine Counseling And/Or Risk Factor Reduction Intrvtn; Approximately 30 Min,794.0,794.0,,,0 CDM,51099402_PBB,Hc Preventive Medicine Counseling And/Or Risk Factor Reduction Intrvtn; Approximately 30 Min-Pbb,488.0,488.0,,,0 CDM,51099403,Hc Preventive Medicine Counseling And/Or Risk Factor Reduction Intrvtn; Approximately 45 Min,1218.0,1218.0,,,0 CDM,51099403_PBB,Hc Preventive Medicine Counseling And/Or Risk Factor Reduction Intrvtn; Approximately 45 Min-Pbb,747.0,747.0,,,0 CDM,51099404,Hc Preventive Medicine Counseling And/Or Risk Factor Reduction Intrvtn; Approximately 60 Min,1595.0,1595.0,,,0 CDM,51099404_PBB,Hc Preventive Medicine Counseling And/Or Risk Factor Reduction Intrvtn; Approximately 60 Min-Pbb,977.0,977.0,,,0 CDM,51099411,Hc Preventive Med Counseling And/Or Risk Factor Reduc Prov To Inds In A Group Setting; Approx 30 Min,264.0,264.0,,,0 CDM,51099411_PBB,Hc Preventive Med Counseling And/Or Risk Factor Reduc Prov To Inds In A Group Setting; Approx 30 Min,92.0,92.0,,,0 CDM,51099412,Hc Preventive Med Counseling And/Or Risk Factor Reduc Prov To Inds In A Group Setting; Approx 60 Min,579.0,579.0,,,0 CDM,51099412_PBB,Hc Preventive Med Counseling And/Or Risk Factor Reduc Prov To Inds In A Group Setting; Approx 60 Min,294.0,294.0,,,0 CDM,51099415,Hc Prolng Clincl Staff Svc During O/P E/M 1St Hr,72.0,72.0,,,0 CDM,51099416,Hc Prolng Clincl Staff Svc During O/P E/M Ea 30 Min,35.0,35.0,,,0 CDM,51099455,Hc Workmens Comp Level 2,244.0,244.0,,,0 CDM,51099456,Hc Work Related/Med Disability Exam,648.0,648.0,,,0 CDM,51099456_PBB,Hc Work Related/Med Disability Exam-Pbb,1310.5,1310.5,,,0 CDM,51099483_PBB,Hcassmt & Care Pln Pt Cog Imp-Pbb,577.0,577.0,,,0 CDM,51099487_PBB,Hc Cmplx Chron Care Mgmt W/O Pt Vst 1St Hr Per Month-Pbb,463.0,463.0,,,0 CDM,51099489_PBB,Hc Cmplx Chron Care Mgmt Ea Addl 30 Min Per Month-Pbb,229.5,229.5,,,0 CDM,51099490,"Hc Chronic Care Mgmt, At Least 20 Minutes Of Clinical Staff Time Directed By Md Or Qchp",257.0,257.0,,,0 CDM,51099490_PBB,"Hc Chronic Care Mgmt, At Least 20 Minutes Of Clinical Staff Time Directed By Md Or Qchp-Pbb",239.0,239.0,,,0 CDM,51099495,"Hc Transitional Care Management, Moderate Complexity, Within 14 Calendar Days Of Discharge",470.0,470.0,,,0 CDM,51099495_PBB,"Hc Transitional Care Management, Moderate Complexity, Within 14 Calendar Days Of Discharge-Pbb",638.5,638.5,,,0 CDM,51099496,"Hc Transitional Care Management, High Complexity, Within 7 Calendar Days Of Discharge",551.0,551.0,,,0 CDM,51099496_PBB,"Hc Transitional Care Management, High Complexity, Within 7 Calendar Days Of Discharge-Pbb",778.5,778.5,,,0 CDM,51099497,Hc Advance Care Planning First 30 Mins,311.0,311.0,,,0 CDM,51099497_PBB,Hc Advance Care Planning First 30 Mins-Pbb,384.5,384.5,,,0 CDM,51099498_PBB,Hc Advance Care Planning Ea Addl 30 Mins-Pbb,384.5,384.5,,,0 CDM,51100260,"Hc Inj Proc For Sacroil Jnt; Provis Of Anes, Steroid Other Thrptc Agent, W/ Or W/Out Arthrography",3396.0,3396.0,,,0 CDM,51117999,Hc Laser Hair Removal Mustache Cash,200.0,200.0,,,0 CDM,51117999_CSMPBB,"Hc Laser Hair Removal Mustache Cash-Csm,Pbb",200.0,200.0,,,0 CDM,51162324,Hc Injections Indwelling Catheter Placement Interlaminar Cervical/Thoracic,8383.0,8383.0,,,0 CDM,51162326,Hc Injections Indwelling Catheter Placement Interlaminar Lumbar/Sacral,6644.0,6644.0,,,0 CDM,51163650,"Hc Percutaneous Implanatation Of Neurostimulator Electrode Array, Epidural",15331.0,15331.0,,,0 CDM,51163661,"Hc Rmvl Of Spinal Neurostimulator Electrode Perc Array(S), Incl Fluoroscopy, When Perf",7081.0,7081.0,,,0 CDM,51163663,"Hc Rvsn Incl Rplcmnt,Whn Perf,Of Spnal Neurstimulatr Electrd Perc Array(S),Incld Fluoroscpy,Whn Perf",8063.0,8063.0,,,0 CDM,51164400,"Hc Injection, Anesthetic Agent; Trigeminal Nerve, Any Division Or Branch",1333.0,1333.0,,,0 CDM,51164405,"Hc Injection, Anesthetic Agent; Greater Occipital Nervice",1796.0,1796.0,,,0 CDM,51164405_PBB,"Hc Injection, Anesthetic Agent; Greater Occipital Nervice-Pbb",2119.5,2119.5,,,0 CDM,51164415,"Hc Injection, Anesthetic Agent; Brachial Plexus, Single",4284.0,4284.0,,,0 CDM,51164415_PBB,"Hc Injection, Anesthetic Agent; Brachial Plexus, Single-Pbb",4635.5,4635.5,,,0 CDM,51164417,"Hc Injection, Anesthetic Agent; Axillary Nerve",3559.0,3559.0,,,0 CDM,51164420,"Hc Injection, Anesthetic Agent; Pudendal Nerve",2089.0,2089.0,,,0 CDM,51164425,Hc Inectionj Anesthesia Agent Ilioinguinal/Hypogastric Nerve,2462.0,2462.0,,,0 CDM,51164425_PBB,Hc Inectionj Anesthesia Agent Ilioinguinal/Hypogastric Nerve-Pbb,2940.5,2940.5,,,0 CDM,51164445,"Hc Injection, Anesthetic Agent; Sciatic Nerve, Single",3396.0,3396.0,,,0 CDM,51164446,"Hc Injection, Anesthetic Agent; Sciatic Nerve, Continous Infusion By Catheter",1627.0,1627.0,,,0 CDM,51164486,"Hc Transversus Abdominus Plane Block Unilateral, By Injection",3524.0,3524.0,,,0 CDM,51164487,"Hc Transvrs Abd Plane (Tap)Blck(Abd Plane Blck, Rects Sheath Blck)Unilt;By Cont Inf(Incl Imgng Guid)",4302.0,4302.0,,,0 CDM,51164488,"Hc Transvrs Abd Plane(Tap)Blck(Abd Plane Blck,Rect Sheath Blck)Bilat;By Cont Inf(Incl Imgng Guid)",4350.0,4350.0,,,0 CDM,51164489,"Hc Trnsvrsus Abdminis Plane (Tap) Blck (Abd Plane Blck, Rcts Shth Blck) Bilat; By Cntns Infusion(S)",6044.0,6044.0,,,0 CDM,51164505,"Hc Injection, Anesthetic Agent; Sphenopalatine Ganglion",2226.0,2226.0,,,0 CDM,51164510,"Hc Injection, Anesthetic Agent; Stellate Ganglion",3396.0,3396.0,,,0 CDM,51164517,"Hc Injection, Anesthetic Agent; Superior Hypogastric Plexus",5063.0,5063.0,,,0 CDM,51164520,"Hc Injection, Anesthetic Agent; Lumbar Or Thoracic",3396.0,3396.0,,,0 CDM,51164530,"Hc Injection, Anesthetic Agent; Celiac Plexus, With Or Without Radiologic Monitoring",5519.0,5519.0,,,0 CDM,51164620,"Hc Destruction Of Neurolytic Agent, Intercostal Nerve",7826.0,7826.0,,,0 CDM,51164630,"Hc Destruction, Neurolytic; Pudendal Nerve",2814.0,2814.0,,,0 CDM,51164680,"Hc Destruction By Neurolytic Agent, With Or Without Radiologic Monitoring; Celiax Plexus",7826.0,7826.0,,,0 CDM,51164999,"Hc Pulsed Radiofrequency Destruction Of Paravertebral Facet Joint, 1 Level",3408.0,3408.0,,,0 CDM,51196372_CSM,Hc Botox Injection Per Unit Cash-Csm,15.0,15.0,,,0 CDM,51196372_CSMPBB,"Hc Botox Injection Per Unit Cash-Csm,Pbb",15.0,15.0,,,0 CDM,51199080,"Hc Ucom Record View Only, Administrative",37.0,37.0,,,0 CDM,51199203,Hc Cosmetic Conslt Rfnd Cncl Cash,52.0,52.0,,,0 CDM,51199385,"Hc Ocmc-Pre-Employment Exam, Intermediate",249.0,249.0,,,0 CDM,51199385_PBB,"Hc Ocmc-Pre-Employment Exam, Intermediate-Pbb",294.0,294.0,,,0 CDM,51199455,Hc Workmens Comp Level 3,372.0,372.0,,,0 CDM,51199456,Hc Employee Fitness For Duty Complex,385.0,385.0,,,0 CDM,51199499,Hc Travel Evaluation,118.0,118.0,,,0 CDM,51217999,Hc Laser Hair Removal Beard Cash,300.0,300.0,,,0 CDM,51217999_CSMPBB,"Hc Laser Hair Removal Beard Cash-Csm,Pbb",300.0,300.0,,,0 CDM,51264999,"Hc Pulsed Radiofrequency Destruction Of Paravertebral Facet Joint, 3 Levels",7377.0,7377.0,,,0 CDM,51296372,Hc Cosmetic Facility Visit Cash,50.0,50.0,,,0 CDM,51296372_CSMPBB,"Hc Cosmetic Facility Visit Cash-Csm,Pbb",50.0,50.0,,,0 CDM,51299080,Hc Ocmc Medical Review Officer Fee,19.0,19.0,,,0 CDM,51299213,Hc Dmpr-Cosmetic Consult Cash,200.0,200.0,,,0 CDM,51299213_CSMPBB,"Hc Dmpr-Cosmetic Consult Cash-Csm,Pbb",200.0,200.0,,,0 CDM,51299213_PBB,Hc Dmpr-Cosmetic Consult Cash-Pbb,58.0,58.0,,,0 CDM,51299455,Hc Workmens Comp Level 4,492.0,492.0,,,0 CDM,51299456,Hc Employee Fitness For Duty Simple,112.0,112.0,,,0 CDM,51299499,Hc Travel Return Visit,68.0,68.0,,,0 CDM,51317999,Hc Laser Hair Removal Chest Cash,800.0,800.0,,,0 CDM,51317999_CSMPBB,"Hc Laser Hair Removal Chest Cash-Csm,Pbb",800.0,800.0,,,0 CDM,5134_00143987801,NDC Description Not Available,108.55,108.55,,,0 CDM,5134_00143987825,"Cefoxitin: 25 Vial In 1 Carton (0143-9878-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9878-01)",193.0,193.0,,,0 CDM,5134_25021010910,"Cefoxitin: 10 Vial In 1 Carton (25021-109-10) / 1 Injection, Powder, For Solution In 1 Vial",104.08,104.08,,,0 CDM,5134_44567024525,"Cefoxitin: 25 Vial In 1 Carton (44567-245-25) / 1 Injection, Powder, For Solution In 1 Vial",193.0,193.0,,,0 CDM,5134_60505075905,"Cefoxitin: 25 VIAL in 1 CARTON (60505-0759-5) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL (60505-0759-1)",118.22,118.22,,,0 CDM,5134_63323034101,NDC Description Not Available,193.0,193.0,,,0 CDM,51364999,"Hc Pulsed Radiofrequency Destruction Of Paravertebral Facet Joint, 4 Levels",9363.0,9363.0,,,0 CDM,51396372,Noncdm Charge Record,700.0,700.0,,,0 CDM,51396372_CSMPBB,"Hc Restylane Injection Per Syringe Cash-Csm,Pbb",700.0,700.0,,,0 CDM,51399080,"Hc Ocmc Record View Only, Administrative",37.0,37.0,,,0 CDM,51399455,Hc Workmens Comp Level 1,126.0,126.0,,,0 CDM,51399456,Hc Employee Fitness For Duty Intermediate,220.0,220.0,,,0 CDM,51399499,Hc Travel Group Visit,68.0,68.0,,,0 CDM,51417999,Hc Laser Hair Removal Chest Lmited Area Cash,400.0,400.0,,,0 CDM,51417999_CSMPBB,"Hc Laser Hair Removal Chest Lmited Area Cash-Csm,Pbb",400.0,400.0,,,0 CDM,51464999,"Hc Pulsed Radiofrequency Destruction Of Paravertebral Facet Joint, 5 Levels",11348.0,11348.0,,,0 CDM,5146_00904632461,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6324-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",7.55,7.55,,,0 CDM,5146_50268054211,NDC Description Not Available,5.3,5.3,,,0 CDM,5146_60687041311,NDC Description Not Available,8.67,8.67,,,0 CDM,51496372,Hc Sculptra Injection Polylactic Acid Per Vial Cash,1000.0,1000.0,,,0 CDM,51496372_CSMPBB,"Hc Sculptra Injection Polylactic Acid Per Vial Cash-Csm,Pbb",1000.0,1000.0,,,0 CDM,51499080,"Hc Ocmc Record View Only, Administrative Simple",19.0,19.0,,,0 CDM,51499499,Hc New Travel Counsel-1 Patient,95.0,95.0,,,0 CDM,51517999,Hc Laser Hair Removal Arms Both Cash,600.0,600.0,,,0 CDM,51517999_CSMPBB,"Hc Laser Hair Removal Arms Both Cash-Csm,Pbb",600.0,600.0,,,0 CDM,5152_00574006915,Glutose: 37.5 g in 1 TUBE (0574-0069-15),19.53,19.53,,,0 CDM,51564999,"Hc Pulsed Radiofrequency Destruction Of Paravertebral Facet Joint, 6 Levels",13334.0,13334.0,,,0 CDM,51596372,Hc Subcutaneous Resident Injection Program,82.0,82.0,,,0 CDM,51599499,Hc New Travel Counsel-2 Patients Or Greater,55.0,55.0,,,0 CDM,515_00004694003,Cytovene: 25 VIAL in 1 CARTON (0004-6940-03) / 10 mL in 1 VIAL,233.54,233.54,,,0 CDM,515_00143929901,NDC Description Not Available,245.25,245.25,,,0 CDM,515_63323031501,NDC Description Not Available,278.13,278.13,,,0 CDM,515_63323031510,Ganciclovir: 25 Vial In 1 Tray (63323-315-10) / 10 Ml In 1 Vial (63323-315-01),329.12,329.12,,,0 CDM,515_70436008955,Ganciclovir: 25 Vial In 1 Carton (70436-089-55) / 10 Ml In 1 Vial,165.05,165.05,,,0 CDM,51610_PBB,Pr Njx Retrograde Urethrocstograpy-Pbb,521.0,521.0,,,0 CDM,51617999,Hc Laser Hair Removal Arm Cash,300.0,300.0,,,0 CDM,51617999_CSMPBB,"Hc Laser Hair Removal Arm Cash-Csm,Pbb",300.0,300.0,,,0 CDM,51664999,Hc Ganglion Impar Block,697.0,697.0,,,0 CDM,51699499,Hc Return Travel Counsel-1 Patient,55.0,55.0,,,0 CDM,51700_PBB,Pr Bldr Irrigation Smpl Lavage &/Instlj-Pbb,1032.0,1032.0,,,0 CDM,51701_PBB,Pr Insj Non-Ndwellg Bladder Catheter-Pbb,974.0,974.0,,,0 CDM,51702_PBB,Pr Insj Temp Ndwellg Bladder Catheter Simple-Pbb,974.0,974.0,,,0 CDM,51703_PBB,Pr Insj Temp Ndwellg Bladder Catheter Complicated-Pbb,838.0,838.0,,,0 CDM,51705_PBB,Pr Change Cystostomy Tube Simple-Pbb,2188.0,2188.0,,,0 CDM,51710_PBB,Pr Change Cystostomy Tube Complicated-Pbb,787.0,787.0,,,0 CDM,51715_PBB,Pr Ndsc Njx Implt Matrl Urt&/Bldr Nck-Pbb,9386.0,9386.0,,,0 CDM,51717999_CSM,Hc Laser Hair Removal Legs Below Knee Cash-Csm,600.0,600.0,,,0 CDM,51717999_CSMPBB,"Hc Laser Hair Removal Legs Below Knee Cash-Csm,Pbb",600.0,600.0,,,0 CDM,51720_PBB,Pr Bladder Instillation Anticarcinogenic Agent-Pbb,5285.0,5285.0,,,0 CDM,51725_PBB,Pr Simple Cystometrogram-Pbb,880.0,880.0,,,0 CDM,51726_PBB,Pr Bladder Pressure Measurement During Filling-Pbb,2566.0,2566.0,,,0 CDM,51727_PBB,Pr Complex Cystometrogram Urethral Press Profile-Pbb,3040.0,3040.0,,,0 CDM,51728_PBB,Pr Complex Cystometrogram Voiding Pressure Studies-Pbb,3066.0,3066.0,,,0 CDM,51729_PBB,Pr Complx Cystometro W/Void Press & Urethral Profil-Pbb,3320.0,3320.0,,,0 CDM,51736_PBB,Pr Simple Uroflometry-Pbb,578.0,578.0,,,0 CDM,51741_PBB,Pr Complex Uroflometry-Pbb,716.0,716.0,,,0 CDM,51764999,"Hc Pulsed Radiofrequency Destruction Of Paravertebral Facet Joint, 2 Levels",5392.0,5392.0,,,0 CDM,51784_PBB,Pr Emg Stds Anal/Urtl Sphnctr Oth/Thn Ndl-Pbb,1012.0,1012.0,,,0 CDM,51785_PBB,Pr Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq-Pbb,1028.0,1028.0,,,0 CDM,51797_PBB,Pr Void Pressure Studies Intraabdominal-Pbb,1088.0,1088.0,,,0 CDM,51798_PBB,Pr Meas Post-Voiding Residual Urine&/Bladder Cap-Pbb,191.0,191.0,,,0 CDM,51799499,Hc Return Travel Counsel 2 Pts Or > Greater,55.0,55.0,,,0 CDM,5179_00143955501,Leucovorin Calcium: 1 Vial In 1 Box (0143-9555-01) / 5 Ml In 1 Vial,67.0,67.0,,,0 CDM,5179_25021081310,Leucovorin Calcium: 10 Vial In 1 Carton (25021-813-10) / 5 Ml In 1 Vial,64.03,64.03,,,0 CDM,5179_55390005110,Leucovorin Calcium: 10 VIAL in 1 BOX (55390-051-10) / 5 mL in 1 VIAL,32.66,32.66,,,0 CDM,5179_71288016010,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-160-10) / 5 Ml In 1 Vial, Single-Dose",62.89,62.89,,,0 CDM,51817999_CSM,Hc Laser Hair Removal Legs Above Knee Cash-Csm,600.0,600.0,,,0 CDM,51817999_CSMPBB,"Hc Laser Hair Removal Legs Above Knee Cash-Csm,Pbb",600.0,600.0,,,0 CDM,51832_00002771559,Basaglar Kwikpen: 5 Syringe In 1 Carton (0002-7715-59) / 3 Ml In 1 Syringe (0002-7715-01),437.32,437.32,,,0 CDM,5188_25010021515,Edecrin: 100 Tablet In 1 Bottle (25010-215-15),151.55,151.55,,,0 CDM,5188_50228033410,Ethacrynic Acid: 100 Tablet In 1 Bottle (50228-334-10),9.3,9.3,,,0 CDM,51917999,Hc Laser Hair Removal Bikini Line Cash,400.0,400.0,,,0 CDM,51917999_CSMPBB,"Hc Laser Hair Removal Bikini Line Cash-Csm,Pbb",400.0,400.0,,,0 CDM,51964999,Hc Qutenza Application,709.0,709.0,,,0 CDM,52000_PBB,Pr Cystourethroscopy-Pbb,1574.0,1574.0,,,0 CDM,52001_PBB,Pr Cysto W/Irrig & Evac Multple Obstructing Clots-Pbb,2395.0,2395.0,,,0 CDM,5200_00904666761,Gabapentin: 100 Blister Pack In 1 Carton (0904-6667-61) / 1 Capsule In 1 Blister Pack,4.29,4.29,,,0 CDM,5200_16714066301,Gabapentin: 100 Capsule In 1 Bottle (16714-663-01),4.4,4.4,,,0 CDM,5200_63739090410,Gabapentin: 10 Blister Pack In 1 Carton (63739-904-10) / 10 Capsule In 1 Blister Pack,3.39,3.39,,,0 CDM,5200_63739098410,"Gabapentin: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-984-10) / 10 CAPSULE in 1 BLISTER PACK",3.56,3.56,,,0 CDM,52017999,Hc Laser Hair Removal Axilla Cash,350.0,350.0,,,0 CDM,52017999_CSMPBB,"Hc Laser Hair Removal Axilla Cash-Csm,Pbb",350.0,350.0,,,0 CDM,52117999,Hc Unlisted Procedure Skin Mucous Membrane Subq,1428.0,1428.0,,,0 CDM,52117999_PBB,Hc Unlisted Procedure Skin Mucous Membrane Subq-Pbb,1998.5,1998.5,,,0 CDM,52167_00409128303,NDC Description Not Available,10.23,10.23,,,0 CDM,52167_00409128310,10 SYRINGE in 1 CARTON (0409-1283-10) / 1 mL in 1 SYRINGE (0409-1283-09),16.86,16.86,,,0 CDM,52167_00409128331,Hydromorphone Hydrochloride: 10 Cartridge In 1 Carton (0409-1283-31) / 1 Ml In 1 Cartridge (0409-1283-03),50.57,50.57,,,0 CDM,52167_76045000901,NDC Description Not Available,24.96,24.96,,,0 CDM,52169_00409263410,NDC Description Not Available,0.56,0.56,,,0 CDM,52169_00409263425,NDC Description Not Available,0.37,0.37,,,0 CDM,52169_00409263450,"Hydromorphone Hydrochloride: 1 Vial, Single-Dose In 1 Box (0409-2634-50) / 50 Ml In 1 Vial, Single-Dose",0.4,0.4,,,0 CDM,52169_00703001801,Hydromorphone Hydrochloride: 1 Vial In 1 Carton (0703-0018-01) / 50 Ml In 1 Vial,0.24,0.24,,,0 CDM,52169_00703011001,NDC Description Not Available,0.6,0.6,,,0 CDM,52169_17478054001,Hydromorphone Hydrochloride: 10 AMPULE in 1 CARTON (17478-540-01) / 1 mL in 1 AMPULE,0.91,0.91,,,0 CDM,52169_63323085103,NDC Description Not Available,1.22,1.22,,,0 CDM,52169_63323085110,"Hydromorphone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (63323-851-10) / 1 Ml In 1 Vial, Single-Dose (63323-851-03)",0.31,0.31,,,0 CDM,521_51079002301,NDC Description Not Available,16.98,16.98,,,0 CDM,521_51079002320,Metolazone: 100 Blister Pack In 1 Carton (51079-023-20) / 1 Tablet In 1 Blister Pack (51079-023-01),16.98,16.98,,,0 CDM,521_81005012401,Metolazone: 100 Tablet In 1 Bottle (81005-124-01),16.98,16.98,,,0 CDM,52204_PBB,Pr Cystourethroscopy With Biopsy-Pbb,1321.0,1321.0,,,0 CDM,52214_PBB,Pr Cysto W/Destruction Of Lesions-Pbb,1390.0,1390.0,,,0 CDM,52217999,Hc Cosmetic Hair Removal Touch Up Cash,50.0,50.0,,,0 CDM,52217999_CSMPBB,"Hc Cosmetic Hair Removal Touch Up Cash-Csm,Pbb",50.0,50.0,,,0 CDM,52224_PBB,Pr Cysto W/Removal Of Lesions Small-Pbb,1768.0,1768.0,,,0 CDM,52234_PBB,Pr Cysto W/Removal Of Tumors Small-Pbb,5589.0,5589.0,,,0 CDM,5224_63739057110,"Simvastatin: 10 Blister Pack In 1 Box, Unit-Dose (63739-571-10) / 10 Tablet, Film Coated In 1 Blister Pack",4.53,4.53,,,0 CDM,5224_68084051111,NDC Description Not Available,5.29,5.29,,,0 CDM,52276_58160082101,NDC Description Not Available,469.78,469.78,,,0 CDM,52276_58160082111,Engerix-B: 10 Vial In 1 Carton (58160-821-11) / 1 Ml In 1 Vial (58160-821-01),472.85,472.85,,,0 CDM,52276_58160082143,NDC Description Not Available,463.19,463.19,,,0 CDM,52277_16714011501,NDC Description Not Available,65.09,65.09,,,0 CDM,52281_PBB,Pr Cysto Calibration Dilat Urtl Strix/Stenosis-Pbb,3352.0,3352.0,,,0 CDM,52285_PBB,Pr Cystourethroscopy Tx Female Urethral Syndrome-Pbb,1540.0,1540.0,,,0 CDM,52287_PBB,Pr Cystourethroscopy Inj Chemodenervation Bladder-Pbb,3078.0,3078.0,,,0 CDM,52310_PBB,Pr Cysto W/Simple Removal Stone & Stent-Pbb,3728.0,3728.0,,,0 CDM,52317999,Hc Laser Hair Removal Touchup Research,25.0,25.0,,,0 CDM,5231_34324000067,NDC Description Not Available,254.18,254.18,,,0 CDM,52435_00363006330,NDC Description Not Available,2.7,2.7,,,0 CDM,52630_PBB,Pr Trurl Rescj Residual/Regrowth Obstr Prstate Tiss-Pbb,3109.0,3109.0,,,0 CDM,52668_63323017302,Gentamicin: 25 Vial In 1 Tray (63323-173-02) / 2 Ml In 1 Vial (63323-173-01),127.55,127.55,,,0 CDM,5271_00054872425,Prednisone: 10 Blister Pack In 1 Carton (0054-8724-25) / 10 Tablet In 1 Blister Pack,1.11,1.11,,,0 CDM,5271_59651048601,Prednisone: 100 Tablet In 1 Bottle (59651-486-01),0.78,0.78,,,0 CDM,5271_59746017206,Prednisone: 100 Tablet In 1 Bottle (59746-172-06),0.8,0.8,,,0 CDM,5271_60687012211,NDC Description Not Available,0.87,0.87,,,0 CDM,5271_64380078306,"Prednisone: 100 Tablet In 1 Bottle, Plastic (64380-783-06)",0.89,0.89,,,0 CDM,5271_66267017330,Prednisone: 30 TABLET in 1 BOTTLE (66267-173-30),0.6,0.6,,,0 CDM,52732_51801001130,"Effer-K 20 Meq Unflavored: 30 Pouch In 1 Carton (51801-011-30) / 1 Tablet, Effervescent In 1 Pouch",3.41,3.41,,,0 CDM,52732_51801001330,"Effer-K 10 Meq Unflavored: 30 Pouch In 1 Carton (51801-013-30) / 1 Tablet, Effervescent In 1 Pouch",3.97,3.97,,,0 CDM,52732_51801001430,"Effer-K 10 Meq Cherry Vanilla: 30 Pouch In 1 Carton (51801-014-30) / 1 Tablet, Effervescent In 1 Pouch",3.45,3.45,,,0 CDM,52733_51801001101,NDC Description Not Available,3.86,3.86,,,0 CDM,52733_51801001130,"Effer-K 20 Meq Unflavored: 30 Pouch In 1 Carton (51801-011-30) / 1 Tablet, Effervescent In 1 Pouch",4.21,4.21,,,0 CDM,52733_51801001201,NDC Description Not Available,3.86,3.86,,,0 CDM,52733_51801001230,"Effer-K 20 Meq Orange Cream: 30 Pouch In 1 Carton (51801-012-30) / 1 Tablet, Effervescent In 1 Pouch",3.41,3.41,,,0 CDM,52847_60793021505,"Thrombin-Jmi: 1 Kit In 1 Carton (60793-215-05) * 5 Ml In 1 Vial, Glass (60793-315-01) * 5 Ml In 1 Vial, Glass (60793-218-09)",451.23,451.23,,,0 CDM,52847_60793031501,NDC Description Not Available,447.21,447.21,,,0 CDM,52926_00944305302,"Advate: 1 Blister Pack In 1 Carton (0944-3053-02) / 1 Container In 1 Blister Pack (0944-3053-04) / 1 Kit In 1 Container (0944-3053-03) * 5 Ml In 1 Vial, Glass (0944-2943-02) * 2 Ml In 1 Vial, Gl",11.88,11.88,,,0 CDM,52926_00944305303,NDC Description Not Available,12.73,12.73,,,0 CDM,53006_15054109004,Somatuline Depot: 1 Pouch In 1 Carton (15054-1090-4) / 1 Syringe In 1 Pouch / .3 Ml In 1 Syringe,603.6,603.6,,,0 CDM,53007_15054112004,Somatuline Depot: 1 Pouch In 1 Carton (15054-1120-4) / 1 Syringe In 1 Pouch / .5 Ml In 1 Syringe,529.39,529.39,,,0 CDM,53007_69097087067,Lanreotide Acetate: 1 Syringe In 1 Carton (69097-870-67) / .5 Ml In 1 Syringe,496.51,496.51,,,0 CDM,53020_PBB,Pr Meatotomy Cutting Meatus Spx Except Infant-Pbb,2222.0,2222.0,,,0 CDM,53036_00004080285,Tamiflu: 1 Blister Pack In 1 Carton (0004-0802-85) / 10 Capsule In 1 Blister Pack,86.4,86.4,,,0 CDM,53036_31722063031,Oseltamivir Phosphate: 10 Capsule In 1 Carton (31722-630-31),16.12,16.12,,,0 CDM,53036_47781046813,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (47781-468-13) / 10 Capsule In 1 Blister Pack,58.03,58.03,,,0 CDM,53036_64380079701,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (64380-797-01),7.44,7.44,,,0 CDM,53036_68180067511,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (68180-675-11) / 10 Capsule In 1 Blister Pack,16.12,16.12,,,0 CDM,53036_76282070245,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (76282-702-45),10.6,10.6,,,0 CDM,53040_PBB,Pr Drainage Deep Periurethral Abscess-Pbb,4763.0,4763.0,,,0 CDM,5308_00781315380,NDC Description Not Available,670.0,670.0,,,0 CDM,5308_00781315395,Cisatracurium Besylate: 10 Box In 1 Carton (0781-3153-95) / 1 Vial In 1 Box (0781-3153-80) / 20 Ml In 1 Vial,782.76,782.76,,,0 CDM,5308_63323041801,NDC Description Not Available,1812.35,1812.35,,,0 CDM,5308_63323041820,Cisatracurium: 10 Vial In 1 Carton (63323-418-20) / 20 Ml In 1 Vial (63323-418-01),1812.35,1812.35,,,0 CDM,53090_00006022761,"Isentress: 60 Tablet, Film Coated In 1 Bottle (0006-0227-61)",208.47,208.47,,,0 CDM,5312_00703951401,NDC Description Not Available,3.31,3.31,,,0 CDM,5312_00703951403,"Sulfamethoxazole And Trimethoprim: 10 Vial, Multi-Dose In 1 Carton (0703-9514-03) / 10 Ml In 1 Vial, Multi-Dose (0703-9514-01)",41.51,41.51,,,0 CDM,5312_00703951491,NDC Description Not Available,7.33,7.33,,,0 CDM,5312_00703952601,"Sulfamethoxazole And Trimethoprim: 1 Vial, Multi-Dose In 1 Carton (0703-9526-01) / 30 Ml In 1 Vial, Multi-Dose",1.96,1.96,,,0 CDM,5312_70069036201,NDC Description Not Available,59.0,59.0,,,0 CDM,5312_70069036301,Sulfamethoxazole And Trimethoprim: 1 Vial In 1 Carton (70069-363-01) / 30 Ml In 1 Vial,6.16,6.16,,,0 CDM,53200_PBB,Pr Biopsy Urethra-Pbb,2069.0,2069.0,,,0 CDM,53279_00904648838,Major Lubrifresh Pm: 1 Tube In 1 Carton (0904-6488-38) / 3.5 G In 1 Tube,33.42,33.42,,,0 CDM,53357_00641602201,NDC Description Not Available,2.87,2.87,,,0 CDM,53357_00641602225,Famotidine: 25 Vial In 1 Carton (0641-6022-25) / 2 Ml In 1 Vial (0641-6022-01),2.93,2.93,,,0 CDM,53357_63323073911,NDC Description Not Available,2.79,2.79,,,0 CDM,53357_63323073912,"Famotidine: 25 Vial, Single-Dose In 1 Tray (63323-739-12) / 2 Ml In 1 Vial, Single-Dose (63323-739-11)",2.32,2.32,,,0 CDM,53357_67457043300,NDC Description Not Available,3.85,3.85,,,0 CDM,53504_60505058903,"Brimonidine Tartrate/Timolol Maleate Ophthalmic Solution: 1 Bottle, Dropper In 1 Carton (60505-0589-3) / 15 Ml In 1 Bottle, Dropper",1581.0,1581.0,,,0 CDM,53546_06025800615,NDC Description Not Available,3.86,3.86,,,0 CDM,53546_08068117200,NDC Description Not Available,3.0,3.0,,,0 CDM,53600_PBB,Pr Dilat Urethral Strix Dilator Male 1St-Pbb,944.0,944.0,,,0 CDM,53601_PBB,Pr Dilat Urethral Strix Dilator Male Sbsq-Pbb,775.0,775.0,,,0 CDM,53614_00264420452,Magnesium Sulfate In Water: 24 Container In 1 Case (0264-4204-52) / 50 Ml In 1 Container,48.31,48.31,,,0 CDM,53614_00409672911,NDC Description Not Available,48.28,48.28,,,0 CDM,53614_00409672924,Magnesium Sulfate In Water: 24 Pouch In 1 Case (0409-6729-24) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag (0409-6729-11),48.07,48.07,,,0 CDM,53614_44567042024,Magnesium Sulfate In Water: 24 Pouch In 1 Carton (44567-420-24) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,48.25,48.25,,,0 CDM,53614_47335099201,Magnesium Sulfate: 24 Pouch In 1 Case (47335-992-01) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,47.93,47.93,,,0 CDM,53614_63323010602,NDC Description Not Available,48.86,48.86,,,0 CDM,53614_63323010605,Magnesium Sulfate: 24 Bag In 1 Case (63323-106-05) / 50 Ml In 1 Bag (63323-106-02),48.25,48.25,,,0 CDM,53614_70121171901,NDC Description Not Available,48.25,48.25,,,0 CDM,53620_PBB,Pr Dilat Urethral Strix Filiform & Follwr Male 1St-Pbb,1224.0,1224.0,,,0 CDM,53621_PBB,Pr Dilat Urethral Strix Filiform & Follwr Male Sbsq-Pbb,1033.0,1033.0,,,0 CDM,53660_PBB,Pr Dilat Female Urethra W/Suppository&/Instlj Ini-Pbb,835.0,835.0,,,0 CDM,53661_PBB,Pr Dilat Female Urt W/Suppository&/Instlj Sbsq-Pbb,716.0,716.0,,,0 CDM,5366_65162099704,NDC Description Not Available,56.32,56.32,,,0 CDM,53738_58160081043,NDC Description Not Available,180.37,180.37,,,0 CDM,53738_58160081052,Infanrix: 10 Syringe In 1 Carton (58160-810-52) / .5 Ml In 1 Syringe (58160-810-43),179.64,179.64,,,0 CDM,53751_00023031204,Refresh Lacri-Lube: 1 Tube In 1 Carton (0023-0312-04) / 3.5 G In 1 Tube,18.57,18.57,,,0 CDM,53794_00904670706,"Sevelamer Carbonate: 50 Blister Pack In 1 Carton (0904-6707-06) / 1 Tablet, Film Coated In 1 Blister Pack",9.82,9.82,,,0 CDM,53794_55111078927,"Sevelamer Carbonate: 270 Tablet, Film Coated In 1 Bottle (55111-789-27)",0.58,0.58,,,0 CDM,53794_55111078948,NDC Description Not Available,46.07,46.07,,,0 CDM,53794_60687032811,NDC Description Not Available,41.51,41.51,,,0 CDM,53794_60687032833,NDC Description Not Available,8.57,8.57,,,0 CDM,53794_68094003459,NDC Description Not Available,0.58,0.58,,,0 CDM,53850_PBB,Pr Trurl Dstrj Prstate Tiss Microwave Thermoth-Pbb,4726.0,4726.0,,,0 CDM,53852_63323056421,NDC Description Not Available,14.75,14.75,,,0 CDM,53852_PBB,Pr Trurl Dstrj Prstate Tiss Rf Thermoth-Pbb,4859.0,4859.0,,,0 CDM,53854_PBB,Pr Trurl Dstrj Prst8 Tiss Rf Wv Thermotherapy-Pbb,2827.0,2827.0,,,0 CDM,53873_99999000058,NDC Description Not Available,47.5,47.5,,,0 CDM,53899_PBB,Pr Unlisted Procedure Urinary System-Pbb,558.0,558.0,,,0 CDM,5394_00496088205,Lmx4: 5 G In 1 Tube (0496-0882-05),43.4,43.4,,,0 CDM,5394_00496088230,Lmx4: 30 G In 1 Tube (0496-0882-30),279.19,279.19,,,0 CDM,5394_24357070105,NDC Description Not Available,21.7,21.7,,,0 CDM,5394_24357070106,Anecream: 5 Tube In 1 Carton (24357-701-06) / 5 G In 1 Tube (24357-701-05),21.7,21.7,,,0 CDM,5394_24357070115,Anecream: 1 Tube In 1 Carton (24357-701-15) / 15 G In 1 Tube,99.24,99.24,,,0 CDM,5394_47781057036,NDC Description Not Available,27.9,27.9,,,0 CDM,539_00641047621,NDC Description Not Available,161.1,161.1,,,0 CDM,539_00641047625,Phenobarbital Sodium: 25 Vial In 1 Carton (0641-0476-25) / 1 Ml In 1 Vial (0641-0476-21),164.42,164.42,,,0 CDM,5401_00904637761,"Olanzapine: 100 Blister Pack In 1 Carton (0904-6377-61) / 1 Tablet, Film Coated In 1 Blister Pack",4.95,4.95,,,0 CDM,5401_33342006807,"Olanzapine: 30 Tablet, Film Coated In 1 Bottle (33342-068-07)",6.0,6.0,,,0 CDM,5401_60505311100,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3111-0) / 10 Tablet, Film Coated In 1 Blister Pack",3.64,3.64,,,0 CDM,5401_68084072301,"Olanzapine: 100 Blister Pack In 1 Box, Unit-Dose (68084-723-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-723-11)",5.84,5.84,,,0 CDM,5401_68084072311,NDC Description Not Available,5.15,5.15,,,0 CDM,54050_PBB,Pr Dstrj Lesion Penis Simple Chemical-Pbb,1108.0,1108.0,,,0 CDM,54055_PBB,Pr Dstrj Lesion Penis Simple Electrodesiccation-Pbb,1452.0,1452.0,,,0 CDM,54056_PBB,Pr Dstrj Lesion Penis Simple Cryosurgery-Pbb,1452.0,1452.0,,,0 CDM,54057_PBB,Pr Dstrj Lesion Penis Simple Laser-Pbb,4639.0,4639.0,,,0 CDM,54060_PBB,Pr Dstrj Lesion Penis Simple Surg Excision-Pbb,3011.0,3011.0,,,0 CDM,54065_PBB,Pr Dstrj Lesion Penis Extensive-Pbb,6259.0,6259.0,,,0 CDM,5409_70720095130,Zoladex: 1 Pouch In 1 Carton (70720-951-30) / 1 Syringe In 1 Pouch / 1 Implant In 1 Syringe,6286.98,6286.98,,,0 CDM,54100_PBB,Pr Biopsy Penis Separate Procedure-Pbb,1394.0,1394.0,,,0 CDM,54110_PBB,Pr Excision Of Penile Plaque-Pbb,4953.0,4953.0,,,0 CDM,54115_PBB,Pr Removal Foreign Body Deep Penile Tissue-Pbb,4350.0,4350.0,,,0 CDM,54162_PBB,Pr Lysis/Excision Penile Postcircumcision Adhesions-Pbb,2041.0,2041.0,,,0 CDM,54200_PBB,Pr Injection Procedure For Peyronie Disease-Pbb,846.0,846.0,,,0 CDM,54220_PBB,Pr Irrigation Corpora Cavernosa Priapism-Pbb,1390.0,1390.0,,,0 CDM,54235_PBB,Pr Injection Corpora Cavernosa Pharmacologic Agent-Pbb,936.0,936.0,,,0 CDM,54240_PBB,Pr Penile Plethysmography-Pbb,952.0,952.0,,,0 CDM,54360_PBB,Pr Plastic Rpr Penis Correct Angulation-Pbb,5628.0,5628.0,,,0 CDM,543_00009072805,NDC Description Not Available,20.32,20.32,,,0 CDM,543_00009087026,Cleocin Phosphate: 25 Vial In 1 Carton (0009-0870-26) / 2 Ml In 1 Vial (0009-0870-21),32.18,32.18,,,0 CDM,54450_PBB,Pr Foreskn Manj W/Lss Preputial Ads&Stretching-Pbb,1076.0,1076.0,,,0 CDM,54500_PBB,Pr Biopsy Testis Needle Separate Procedure-Pbb,763.0,763.0,,,0 CDM,54505_PBB,Pr Biopsy Testis Incisional Separate Procedure-Pbb,2152.0,2152.0,,,0 CDM,5464_00904715661,Metronidazole: 100 Blister Pack In 1 Carton (0904-7156-61) / 1 Tablet In 1 Blister Pack,5.55,5.55,,,0 CDM,5464_50111033301,Metronidazole: 100 Tablet In 1 Bottle (50111-333-01),3.0,3.0,,,0 CDM,5464_60687052611,NDC Description Not Available,6.0,6.0,,,0 CDM,5467_49348087277,Sunmark Miconazole 7: 1 Tube In 1 Carton (49348-872-77) / 45 G In 1 Tube,1919.52,1919.52,,,0 CDM,54700_PBB,Pr I&D Epididymis Tstis&/Scrotal Space-Pbb,1943.0,1943.0,,,0 CDM,5471_00093312701,Disopyramide Phosphate: 100 Capsule In 1 Bottle (0093-3127-01),12.36,12.36,,,0 CDM,5479_23155051200,"Nimodipine: 10 Blister Pack In 1 Carton (23155-512-00) / 10 Capsule, Liquid Filled In 1 Blister Pack",7.44,7.44,,,0 CDM,5479_23155051211,NDC Description Not Available,7.44,7.44,,,0 CDM,54800_PBB,Pr Biopsy Epididymis Needle-Pbb,1318.0,1318.0,,,0 CDM,5491_00338004303,Sodium Chloride: 500 Ml In 1 Bag (0338-0043-03),192.37,192.37,,,0 CDM,5491_00338004304,Sodium Chloride: 1000 Ml In 1 Bag (0338-0043-04),193.0,193.0,,,0 CDM,550001_68084053201,"Quetiapine fumarate: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-532-01) / 1 TABLET, FILM COATED in 1 BLISTER PACK (68084-532-11)",55.05,55.05,,,0 CDM,550192_99999005632,NDC Description Not Available,2.0,2.0,,,0 CDM,55040_PBB,Pr Excision Hydrocele Unilateral-Pbb,3475.0,3475.0,,,0 CDM,55041_PBB,Pr Excision Hydrocele Bilateral-Pbb,5232.0,5232.0,,,0 CDM,55060_PBB,Pr Rpr Tunica Vaginalis Hydrocele Bottle Type-Pbb,3910.0,3910.0,,,0 CDM,55100_PBB,Pr Drainage Scrotal Wall Abscess-Pbb,1709.0,1709.0,,,0 CDM,55120_PBB,Pr Removal Foreign Body Scrotum-Pbb,3660.0,3660.0,,,0 CDM,55200_PBB,Pr Vasotomy Cannulization W/Wo Vas Inc Uni/Bi Spx-Pbb,2167.0,2167.0,,,0 CDM,55212_99999371401,NDC Description Not Available,3492.0,3492.0,,,0 CDM,55213_99999371501,NDC Description Not Available,3492.0,3492.0,,,0 CDM,5524_00093321201,Clonazepam: 100 Tablet In 1 Bottle (0093-3212-01),4.18,4.18,,,0 CDM,5524_00904772861,Clonazepam: 100 Blister Pack In 1 Carton (0904-7728-61) / 1 Tablet In 1 Blister Pack,4.02,4.02,,,0 CDM,5524_16729013700,"Clonazepam: 100 Tablet In 1 Bottle, Plastic (16729-137-00)",5.29,5.29,,,0 CDM,5524_59651072301,Clonazepam: 100 Tablet In 1 Bottle (59651-723-01),4.76,4.76,,,0 CDM,5524_60687055511,NDC Description Not Available,4.67,4.67,,,0 CDM,5524_60687087211,NDC Description Not Available,6.0,6.0,,,0 CDM,5524_61269061010,"Klonopin: 100 Tablet In 1 Bottle, Plastic (61269-610-10)",18.05,18.05,,,0 CDM,5524_72888015301,Clonazepam: 100 Tablet In 1 Bottle (72888-153-01),4.91,4.91,,,0 CDM,55250_PBB,Pr Vasectomy Uni/Bi Spx W/Postop Semen Exams-Pbb,1969.0,1969.0,,,0 CDM,5555_00121057616,Metoclopramide: 473 Ml In 1 Bottle (0121-0576-16),6.0,6.0,,,0 CDM,5555_00121157610,"Metoclopramide: 10 Tray In 1 Case (0121-1576-10) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose",25.11,25.11,,,0 CDM,5555_66689003101,NDC Description Not Available,33.48,33.48,,,0 CDM,5555_66689003150,"Metoclopramide Hydrochloride: 5 Tray In 1 Case (66689-031-50) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (66689-031-01)",33.48,33.48,,,0 CDM,55700_PBB,Pr Prostate Needle Biopsy Any Approach-Pbb,1908.0,1908.0,,,0 CDM,55705_PBB,Pr Biopsy Prostate Any Approach Nonimaging-Guided,668.0,668.0,,,0 CDM,55707_PBB,Pr Biopsy Prostate Transrectal Ultrasound-Guided,921.0,921.0,,,0 CDM,55708_PBB,Pr Bx Prostate Transrectal Us Gid W/Mri Fus Gdn 1St,1145.0,1145.0,,,0 CDM,55709_PBB,Pr Bx Prostate Transperineal Ultrasound-Guided,1102.0,1102.0,,,0 CDM,55710_PBB,Pr Bx Prostate Transperineal Us Gid W/Mri Fus Gdn 1,1272.0,1272.0,,,0 CDM,55711_PBB,Pr Bx Prostate Transrectal Mri-Us Gid Trgt Les 1St,916.0,916.0,,,0 CDM,55712_PBB,Pr Bx Prostate Tprnl Mri-Us Gid Trgt Les 1St,1069.0,1069.0,,,0 CDM,55713_PBB,Pr Bx Prostate In-Bore Ct/Mri Bx Addl Trgt Les 1St,1261.0,1261.0,,,0 CDM,55714_PBB,Pr Bx Prostate In-Bore Ct/Mri Trgt Les Only 1St,1150.0,1150.0,,,0 CDM,55715_PBB,Pr Bx Prostate Ea Addl Mri-Us Fusion/In-Bore Ct/Mri,323.0,323.0,,,0 CDM,55874_PBB,Pr Transperineal Plmt Biodegradable Matrl 1/Mlt Njx-Pbb,1204.0,1204.0,,,0 CDM,55876_PBB,Pr Plmt Interstitial Dev Radiat Tx Prostate 1/Mult-Pbb,783.0,783.0,,,0 CDM,5598_31722050560,Nevirapine: 60 Tablet In 1 Bottle (31722-505-60),6.0,6.0,,,0 CDM,5622_60687050411,NDC Description Not Available,9.35,9.35,,,0 CDM,5622_68462029301,"Verapamil Hydrochloride: 100 Tablet, Film Coated, Extended Release In 1 Bottle (68462-293-01)",3.7,3.7,,,0 CDM,5627_00316022530,Desenex: 85 G In 1 Container (0316-0225-30),34.26,34.26,,,0 CDM,5627_11701003816,Micro-Guard (Af): 85 G In 1 Bottle (11701-038-16),42.16,42.16,,,0 CDM,56405_PBB,Pr I&D Vulva/Perineal Abscess-Pbb,1764.0,1764.0,,,0 CDM,56420_PBB,Pr I&D Of Bartholins Gland Abscess-Pbb,1939.0,1939.0,,,0 CDM,56440_PBB,Pr Marsupialization Bartholins Gland Cyst-Pbb,3881.0,3881.0,,,0 CDM,56441_PBB,Pr Lysis Labial Adhesions-Pbb,2291.0,2291.0,,,0 CDM,56501_PBB,Pr Destruction Lesions Vulva Simple-Pbb,1496.0,1496.0,,,0 CDM,56515_PBB,Pr Destruction Lesions Vulva Extensive-Pbb,5112.0,5112.0,,,0 CDM,5651_00069581043,Tikosyn: 40 Blister Pack In 1 Carton (0069-5810-43) / 1 Capsule In 1 Blister Pack,68.71,68.71,,,0 CDM,5651_00904668208,Dofetilide: 40 Blister Pack In 1 Carton (0904-6682-08) / 1 Capsule In 1 Blister Pack,32.33,32.33,,,0 CDM,5651_42291041260,"Dofetilide: 60 Capsule In 1 Bottle, Plastic (42291-412-60)",6.0,6.0,,,0 CDM,5651_72205004060,Dofetilide: 60 Capsule In 1 Bottle (72205-040-60),4.56,4.56,,,0 CDM,56605_PBB,Pr Biopsy Vulva/Perineum 1 Lesion Spx-Pbb,1369.0,1369.0,,,0 CDM,56606_PBB,Pr Biopsy Vulva/Perineum Each Addl Lesion-Pbb,798.0,798.0,,,0 CDM,56620_PBB,Pr Vulvectomy Simple Partial-Pbb,4305.0,4305.0,,,0 CDM,5666_00781502201,Methylprednisolone: 100 TABLET in 1 BOTTLE (0781-5022-01),7.07,7.07,,,0 CDM,5666_68084014911,NDC Description Not Available,10.36,10.36,,,0 CDM,56700_PBB,Pr Partial Hymenectomy Or Revision Hymenal Ring-Pbb,1430.0,1430.0,,,0 CDM,56740_PBB,Pr Excision Bartholins Gland Or Cyst-Pbb,3102.0,3102.0,,,0 CDM,567_00121054410,"Docusate Sodium: 10 TRAY in 1 CASE (0121-0544-10) / 10 CUP, UNIT-DOSE in 1 TRAY / 10 mL in 1 CUP, UNIT-DOSE",2.11,2.11,,,0 CDM,567_00121093516,Docusate Sodium: 473 Ml In 1 Bottle (0121-0935-16),2.0,2.0,,,0 CDM,567_00904727966,NDC Description Not Available,2.17,2.17,,,0 CDM,567_50383034910,NDC Description Not Available,2.0,2.0,,,0 CDM,567_50383077116,Docu Liquid: 473 mL in 1 BOTTLE (50383-771-16),2.0,2.0,,,0 CDM,56800_PBB,Pr Plastic Repair Introitus-Pbb,1886.0,1886.0,,,0 CDM,56810_PBB,Pr Perineoplasty Rpr Perineum Nonobstetrical Spx-Pbb,2810.0,2810.0,,,0 CDM,56820_PBB,Pr Colposcopy Vulva-Pbb,1319.0,1319.0,,,0 CDM,56821_PBB,Pr Colposcopy Vulva W/Biopsy-Pbb,1984.0,1984.0,,,0 CDM,5686_67457043650,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (67457-436-50) / 25 Ml In 1 Vial,164.11,164.11,,,0 CDM,5689_68180044002,Cephalexin: 200 Ml In 1 Bottle (68180-440-02),7.19,7.19,,,0 CDM,57020,Pr Colpocentesis Separate Procedure,828.0,828.0,,,0 CDM,5705_00245021289,NDC Description Not Available,5.84,5.84,,,0 CDM,5705_00904681861,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6818-61) / 1 Tablet In 1 Blister Pack,5.78,5.78,,,0 CDM,5705_51079045301,NDC Description Not Available,7.07,7.07,,,0 CDM,5705_51079045320,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (51079-453-20) / 1 Tablet In 1 Blister Pack (51079-453-01),7.07,7.07,,,0 CDM,5705_60687039811,NDC Description Not Available,5.7,5.7,,,0 CDM,57061_PBB,Pr Destruction Vaginal Lesions Simple-Pbb,4078.0,4078.0,,,0 CDM,57065_PBB,Pr Destruction Vaginal Lesions Extensive-Pbb,8162.0,8162.0,,,0 CDM,57100_PBB,Pr Biopsy Vaginal Mucosa Simple-Pbb,1972.0,1972.0,,,0 CDM,57105_PBB,Pr Biopsy Vaginal Mucosa Extensive-Pbb,4009.0,4009.0,,,0 CDM,57135_PBB,Pr Excision Vaginal Cyst/Tumor-Pbb,1427.0,1427.0,,,0 CDM,57150_PBB,Pr Irrigation Vagina&/Appl Medicament Tx Disease-Pbb,294.0,294.0,,,0 CDM,57160_PBB,Pr Fit&Insj Pessary/Oth Intravaginal Support Devi-Pbb,679.0,679.0,,,0 CDM,57170_PBB,Pr Diaphragm/Cervical Cap Fitting W/Instructions-Pbb,574.0,574.0,,,0 CDM,57287_PBB,Pr Rmvl/Revj Sling Stress Incontinence-Pbb,7928.0,7928.0,,,0 CDM,57295_PBB,Pr Revj/Rmvl Prosthetic Vaginal Graft Vaginal App-Pbb,3832.0,3832.0,,,0 CDM,5729_60687014311,NDC Description Not Available,6.0,6.0,,,0 CDM,57410_PBB,Pr Pelvic Examination W/Anesthesia Other Than Local-Pbb,1108.0,1108.0,,,0 CDM,57420_PBB,Pr Colposcopy Entire Vagina W/Cervix If Present-Pbb,1516.0,1516.0,,,0 CDM,57421_PBB,Pr Colposcopy Entire Vagina W/Vagina/Cervix Bx-Pbb,2178.0,2178.0,,,0 CDM,57452_PBB,Pr Colposcopy Cervix Upper/Adjacent Vagina-Pbb,1202.0,1202.0,,,0 CDM,57454_PBB,Pr Colposcopy Cervix Bx Cervix & Endocrv Curretage-Pbb,1714.0,1714.0,,,0 CDM,57455_PBB,Pr Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx-Pbb,721.0,721.0,,,0 CDM,57456_PBB,Pr Colposcopy Cervix Endocervical Curettage-Pbb,824.0,824.0,,,0 CDM,57460_PBB,Pr Colposcopy Cervix Vag Loop Eltrd Bx Cervix-Pbb,4314.0,4314.0,,,0 CDM,57461_PBB,Pr Colposcopy Cervix Vag Eltrd Conization Cervix-Pbb,4314.0,4314.0,,,0 CDM,57500_PBB,Pr Biopsy Cervix Single/Mult/Excision Of Lesion Spx-Pbb,1548.0,1548.0,,,0 CDM,57505_PBB,Pr Endocervical Curettage Not Done As Part Of D&C-Pbb,1157.0,1157.0,,,0 CDM,57522_PBB,Pr Conization Cervix W/Wo D&C Rpr Eltrd Exc-Pbb,3736.0,3736.0,,,0 CDM,5760_23155074831,NDC Description Not Available,654.59,654.59,,,0 CDM,5760_63323011301,NDC Description Not Available,872.26,872.26,,,0 CDM,57710_00002021301,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-0213-01) / 3 Ml In 1 Vial, Multi-Dose",1405.0,1405.0,,,0 CDM,57710_00409409101,"Manganese: 25 Vial, Plastic In 1 Tray (0409-4091-01) / 10 Ml In 1 Vial, Plastic (0409-4091-11)",1405.0,1405.0,,,0 CDM,57710_00409409201,"Copper: 25 Vial, Single-Dose In 1 Tray (0409-4092-01) / 10 Ml In 1 Vial, Single-Dose (0409-4092-11)",1405.0,1405.0,,,0 CDM,57710_00517610125,Zinc Sulfate: 25 Vial In 1 Tray (0517-6101-25) / 10 Ml In 1 Vial (0517-6101-01),1405.0,1405.0,,,0 CDM,57710_00517930525,"Tralement: 25 Vial, Single-Dose In 1 Tray (0517-9305-25) / 1 Ml In 1 Vial, Single-Dose (0517-9305-01)",1405.0,1405.0,,,0 CDM,57710_00641602225,Famotidine: 25 Vial In 1 Carton (0641-6022-25) / 2 Ml In 1 Vial (0641-6022-01),1405.0,1405.0,,,0 CDM,57710_54482014701,Carnitor: 5 Vial In 1 Carton (54482-147-01) / 5 Ml In 1 Vial,1405.0,1405.0,,,0 CDM,57710_54643564901,Infuvite Adult: 1 Kit In 1 Carton (54643-5649-1) * 5 Ml In 1 Vial (54643-5657-1) * 5 Ml In 1 Vial (54643-5659-1),1405.0,1405.0,,,0 CDM,57710_62756034944,OCTREOTIDE ACETATE: 10 AMPULE in 1 PACKAGE (62756-349-44) / 1 mL in 1 AMPULE,1405.0,1405.0,,,0 CDM,57710_63323001301,NDC Description Not Available,1405.0,1405.0,,,0 CDM,57710_63323018001,Pyridoxine Hydrochloride: 25 Vial In 1 Tray (63323-180-01) / 1 Ml In 1 Vial (63323-180-00),1405.0,1405.0,,,0 CDM,57710_63323018410,"Folic Acid: 1 Vial, Multi-Dose In 1 Carton (63323-184-10) / 10 Ml In 1 Vial, Multi-Dose",1405.0,1405.0,,,0 CDM,57710_67157010150,"Ascor: 1 Vial, Glass In 1 Carton (67157-101-50) / 50 Ml In 1 Vial, Glass",1405.0,1405.0,,,0 CDM,57710_99999000958,NDC Description Not Available,1405.0,1405.0,,,0 CDM,57710_99999000959,NDC Description Not Available,1405.0,1405.0,,,0 CDM,57710_99999001790,NDC Description Not Available,1405.0,1405.0,,,0 CDM,57710_99999005213,NDC Description Not Available,1405.0,1405.0,,,0 CDM,5772_00065009265,Fluorescite: 12 Vial In 1 Carton (0065-0092-65) / 5 Ml In 1 Vial,363.37,363.37,,,0 CDM,5772_14789012207,NDC Description Not Available,1976.5,1976.5,,,0 CDM,5772_17478025310,"AK-FLUOR: 12 VIAL, SINGLE-DOSE in 1 PACKAGE (17478-253-10) / 5 mL in 1 VIAL, SINGLE-DOSE",482.4,482.4,,,0 CDM,5784_00009043304,NDC Description Not Available,520.18,520.18,,,0 CDM,5786_00187510001,Elidel: 1 Tube In 1 Carton (0187-5100-01) / 30 G In 1 Tube,1854.05,1854.05,,,0 CDM,5797_00338011703,Lactated Ringers: 500 Ml In 1 Bag (0338-0117-03),193.0,193.0,,,0 CDM,5797_00338011704,Lactated Ringers: 1000 Ml In 1 Bag (0338-0117-04),165.26,165.26,,,0 CDM,5809_10370026801,Tretinoin: 100 Capsule In 1 Bottle (10370-268-01),147.15,147.15,,,0 CDM,5809_68084007511,NDC Description Not Available,170.67,170.67,,,0 CDM,5809_68462079201,Tretinoin: 100 Capsule In 1 Bottle (68462-792-01),182.58,182.58,,,0 CDM,58100_PBB,Pr Endometrial Bx W/Wo Endocervix Bx W/O Dilat Spx-Pbb,1354.0,1354.0,,,0 CDM,58110_PBB,Pr Endometrial Bx Conjunct W/Colposcopy-Pbb,764.0,764.0,,,0 CDM,58120_PBB,Pr Dilation & Curettage Dx&/Ther Nonobstetric-Pbb,3810.0,3810.0,,,0 CDM,58145_PBB,Pr Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr-Pbb,4961.0,4961.0,,,0 CDM,5814_00378617301,"Metolazone: 100 Tablet In 1 Bottle, Plastic (0378-6173-01)",12.71,12.71,,,0 CDM,5814_00904713961,METOLAZONE: 100 BLISTER PACK in 1 CARTON (0904-7139-61) / 1 TABLET in 1 BLISTER PACK,22.03,22.03,,,0 CDM,5814_51079002401,NDC Description Not Available,19.29,19.29,,,0 CDM,5814_60687063511,NDC Description Not Available,21.26,21.26,,,0 CDM,5825_65862060330,"Moxifloxacin Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (65862-603-30)",18.24,18.24,,,0 CDM,5825_68084072211,NDC Description Not Available,71.3,71.3,,,0 CDM,58300_PBB,Pr Insertion Intrauterine Device Iud-Pbb,1910.0,1910.0,,,0 CDM,58301_PBB,Pr Removal Intrauterine Device Iud-Pbb,674.0,674.0,,,0 CDM,58340_HSG,Pr Cath & Saline/Contrast Sonohyster/Hysterosalpi-Hsg,1614.0,1614.0,,,0 CDM,58340_PBB,Pr Cath & Saline/Contrast Sonohyster/Hysterosalpi-Pbb,1614.0,1614.0,,,0 CDM,5838_65649031112,Diuril: 1 Bottle In 1 Carton (65649-311-12) / 237 Ml In 1 Bottle,6.02,6.02,,,0 CDM,5841_00904718761,Atenolol: 100 Blister Pack In 1 Carton (0904-7187-61) / 1 Tablet In 1 Blister Pack,3.88,3.88,,,0 CDM,5841_51079075901,NDC Description Not Available,3.53,3.53,,,0 CDM,5841_51079075920,Atenolol: 100 Blister Pack In 1 Carton (51079-759-20) / 1 Tablet In 1 Blister Pack (51079-759-01),5.47,5.47,,,0 CDM,58550_PBB,Pr Laps Vaginal Hysterectomy Uterus 250 Gm/<-Pbb,8968.0,8968.0,,,0 CDM,58555_PBB,Pr Hysteroscopy Diagnostic Separate Procedure-Pbb,5165.0,5165.0,,,0 CDM,58558_PBB,Pr Hysteroscopy Bx Endometrium&/Polypc W/Wo D&C-Pbb,7864.0,7864.0,,,0 CDM,58559_PBB,Pr Hysteroscopy Lysis Intrauterine Adhesions-Pbb,3695.0,3695.0,,,0 CDM,58561_PBB,Pr Hysteroscopy Removal Leiomyomata-Pbb,14148.0,14148.0,,,0 CDM,58562_PBB,Pr Hysteroscopy Removal Impacted Foreign Body-Pbb,8987.0,8987.0,,,0 CDM,58563_PBB,Pr Hysteroscopy Endometrial Ablation-Pbb,29195.0,29195.0,,,0 CDM,58565_PBB,Pr Hysteroscopy Bi Tube Occlusion W/Perm Implnts-Pbb,29195.0,29195.0,,,0 CDM,5865_21922001604,"Clobetasol Propionate Cream Usp, 0.05% Clobetasol Propionate Cream Usp, 0.05%: 15 G In 1 Tube (21922-016-04)",30.97,30.97,,,0 CDM,5865_51672125801,Clobetasol Propionate: 1 Tube In 1 Carton (51672-1258-1) / 15 G In 1 Tube,62.04,62.04,,,0 CDM,5865_69238153205,Clobetasol Propionate: 1 Tube In 1 Carton (69238-1532-5) / 15 G In 1 Tube,27.9,27.9,,,0 CDM,587_70677002101,Stay Awake: 2 Blister Pack In 1 Carton (70677-0021-1) / 8 Tablet In 1 Blister Pack,1.95,1.95,,,0 CDM,587_70677112601,Stay Awake: 2 Blister Pack In 1 Carton (70677-1126-1) / 8 Tablet In 1 Blister Pack,2.0,2.0,,,0 CDM,59000_PBB,Pr Amniocentesis Diagnosic-Pbb,2004.0,2004.0,,,0 CDM,59001_PBB,Pr Amniocentesis Ther Amniotic Fluid Rdctj Us Guid-Pbb,3208.0,3208.0,,,0 CDM,59012_PBB,Pr Cordocentesis Intrauterine-Pbb,1549.0,1549.0,,,0 CDM,59015_PBB,Pr Chorionic Villus Sampling-Pbb,2492.0,2492.0,,,0 CDM,59020_PBB,Pr Fetal Contraction Stress Test-Pbb,744.0,744.0,,,0 CDM,59025_PBB,Pr Fetal Nonstress Test-Pbb,1129.0,1129.0,,,0 CDM,59072_PBB,Pr Fetal Umbilical Cord Occlusion W/Ultrsnd Guidnce-Pbb,6780.0,6780.0,,,0 CDM,59160_PBB,Pr Curettage Postpartum-Pbb,1789.0,1789.0,,,0 CDM,59200_PBB,Pr Insertion Cervical Dilator Separate Procedure-Pbb,1558.0,1558.0,,,0 CDM,5922_50268059411,NDC Description Not Available,4.26,4.26,,,0 CDM,5922_65162018810,Naproxen: 100 Tablet In 1 Bottle (65162-188-10),3.57,3.57,,,0 CDM,59425_PBB,Pr Antepartum Care Only 4-6 Visits-Pbb,2558.0,2558.0,,,0 CDM,59426_PBB,Pr Antepartum Care Only 7/> Visits-Pbb,7621.0,7621.0,,,0 CDM,5949_00008092351,Protonix I.V.: 1 Vial In 1 Carton (0008-0923-51) / 10 Ml In 1 Vial,58.77,58.77,,,0 CDM,5949_00008092355,Protonix I.V.: 10 Carton In 1 Package (0008-0923-55) / 1 Vial In 1 Carton / 10 Ml In 1 Vial,59.0,59.0,,,0 CDM,5949_00008094101,NDC Description Not Available,59.0,59.0,,,0 CDM,5949_00143928401,NDC Description Not Available,58.32,58.32,,,0 CDM,5949_00143928410,"Pantoprazole Sodium: 10 Vial In 1 Carton (0143-9284-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9284-01)",57.85,57.85,,,0 CDM,5949_00781323294,NDC Description Not Available,59.0,59.0,,,0 CDM,5949_25021075110,Pantoprazole Sodium: 10 Vial In 1 Carton (25021-751-10) / 10 Ml In 1 Vial,59.0,59.0,,,0 CDM,5949_55150020200,NDC Description Not Available,57.32,57.32,,,0 CDM,5949_55150020210,"Pantoprazole Sodium: 10 Vial, Single-Dose In 1 Carton (55150-202-10) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (55150-202-00)",56.82,56.82,,,0 CDM,5949_71288060010,NDC Description Not Available,57.5,57.5,,,0 CDM,5949_72603012801,NDC Description Not Available,57.35,57.35,,,0 CDM,5955_00472024260,Permethrin: 1 Tube In 1 Carton (0472-0242-60) / 60 G In 1 Tube,188.1,188.1,,,0 CDM,5955_16714089701,Permethrin: 1 Tube In 1 Container (16714-897-01) / 60 G In 1 Tube,188.1,188.1,,,0 CDM,5970_00904666361,Acetazolamide: 100 Blister Pack In 1 Carton (0904-6663-61) / 1 Tablet In 1 Blister Pack,22.39,22.39,,,0 CDM,5970_60687061911,NDC Description Not Available,21.64,21.64,,,0 CDM,5970_64380083406,Acetazolamide: 100 Tablet In 1 Bottle (64380-834-06),4.74,4.74,,,0 CDM,5970_68084054101,AcetaZOLAMIDE: 10 BLISTER PACK in 1 CARTON (68084-541-01) / 10 TABLET in 1 BLISTER PACK (68084-541-11),21.64,21.64,,,0 CDM,5970_68084054111,NDC Description Not Available,21.64,21.64,,,0 CDM,5973_00093412773,Penicillin V Potassium: 100 Ml In 1 Bottle (0093-4127-73),6.0,6.0,,,0 CDM,5974_59762135001,Rifabutin: 100 Capsule In 1 Bottle (59762-1350-1),86.77,86.77,,,0 CDM,5974_70954004110,Rifabutin: 100 Capsule In 1 Bottle (70954-041-10),78.1,78.1,,,0 CDM,59812_PBB,Pr Tx Incomplete Abortion Any Trimester Surgical-Pbb,5412.0,5412.0,,,0 CDM,59820_PBB,Pr Tx Missed Abortion First Trimester Surgical-Pbb,5076.0,5076.0,,,0 CDM,59821_PBB,Pr Tx Missed Abortion Second Trimester Surgical-Pbb,5887.0,5887.0,,,0 CDM,59840_PBB,Pr Induced Abortion Dilation And Curettage-Pbb,5795.0,5795.0,,,0 CDM,59841_PBB,Pr Induced Abortion Dilation & Evacuation-Pbb,3588.0,3588.0,,,0 CDM,59897_PBB,Pr Unlisted Fetal Invasive Px W/Ultrasound-Pbb,1824.0,1824.0,,,0 CDM,59_60687049311,NDC Description Not Available,8.73,8.73,,,0 CDM,59_68462029201,"Verapamil Hydrochloride: 100 Tablet, Film Coated, Extended Release In 1 Bottle (68462-292-01)",6.0,6.0,,,0 CDM,60100_PBB,Pr Biopsy Thyroid Percutaneous Core Needle-Pbb,1804.0,1804.0,,,0 CDM,6010_00904595961,Clindamycin Hydrochloride: 100 Blister Pack In 1 Carton (0904-5959-61) / 1 Capsule In 1 Blister Pack,2.41,2.41,,,0 CDM,6010_68462014301,Clindamycin Hydrochloride: 100 Capsule In 1 Bottle (68462-143-01),2.45,2.45,,,0 CDM,6034_16714079701,Sumatriptan: 1 Blister Pack In 1 Carton (16714-797-01) / 9 Tablet In 1 Blister Pack,10.99,10.99,,,0 CDM,6034_55111029209,Sumatriptan Succinate: 9 Blister Pack In 1 Carton (55111-292-09) / 9 Tablet In 1 Blister Pack,10.99,10.99,,,0 CDM,6034_69452034560,NDC Description Not Available,4.86,4.86,,,0 CDM,60452_00409662522,NDC Description Not Available,66.0,66.0,,,0 CDM,60453_00338001702,Dextrose: 250 Ml In 1 Bag (0338-0017-02),193.0,193.0,,,0 CDM,60453_00338001738,Dextrose: 16 Bag In 1 Pouch (0338-0017-38) / 100 Ml In 1 Bag,193.0,193.0,,,0 CDM,60454_00338011702,Lactated Ringers: 250 Ml In 1 Bag (0338-0117-02),131.53,131.53,,,0 CDM,60472_00409672941,NDC Description Not Available,110.29,110.29,,,0 CDM,60494_00409205001,NDC Description Not Available,1.48,1.48,,,0 CDM,60494_00409672903,24 POUCH in 1 CASE (0409-6729-03) / 1 BAG in 1 POUCH / 500 mL in 1 BAG (0409-6729-21),1.83,1.83,,,0 CDM,60494_63323010615,Magnesium Sulfate: 24 Bag In 1 Case (63323-106-15) / 500 Ml In 1 Bag,1.48,1.48,,,0 CDM,6050_42291062290,"Montelukast Sodium: 90 Tablet, Chewable In 1 Bottle (42291-622-90)",6.0,6.0,,,0 CDM,6050_50268057311,NDC Description Not Available,6.49,6.49,,,0 CDM,60511_00904646707,"Clopidogrel: 30 Blister Pack In 1 Carton (0904-6467-07) / 1 Tablet, Film Coated In 1 Blister Pack",82.38,82.38,,,0 CDM,60511_55111067106,NDC Description Not Available,128.79,128.79,,,0 CDM,60511_55111067131,"Clopidogrel Bisulfate: 5 Blister Pack In 1 Carton (55111-671-31) / 6 Tablet, Film Coated In 1 Blister Pack (55111-671-06)",128.79,128.79,,,0 CDM,60511_63739017830,"Clopidogrel Bisulfate: 5 Blister Pack In 1 Carton (63739-178-30) / 6 Tablet, Film Coated In 1 Blister Pack",82.38,82.38,,,0 CDM,60520_PBB,Pr Thymectomy Prtl/Tot Transcervical Appr Spx-Pbb,2390.0,2390.0,,,0 CDM,60586_00338032201,Recothrom: 1 Kit In 1 Kit (0338-0322-01) * 5 Ml In 1 Vial (0338-0324-01) * 5 Ml In 1 Syringe,533.2,533.2,,,0 CDM,60592_44206043605,"Privigen: 1 Vial, Glass In 1 Carton (44206-436-05) / 50 Ml In 1 Vial, Glass (44206-436-90)",407.8,407.8,,,0 CDM,60592_44206043690,NDC Description Not Available,367.75,367.75,,,0 CDM,60592_44206043710,"Privigen: 1 Vial, Glass In 1 Carton (44206-437-10) / 100 Ml In 1 Vial, Glass (44206-437-91)",409.56,409.56,,,0 CDM,60592_44206043791,NDC Description Not Available,407.72,407.72,,,0 CDM,60592_44206043820,"Privigen: 1 Vial, Glass In 1 Carton (44206-438-20) / 200 Ml In 1 Vial, Glass (44206-438-92)",413.03,413.03,,,0 CDM,60592_44206043892,NDC Description Not Available,414.32,414.32,,,0 CDM,60592_44206043940,"Privigen: 1 Vial, Glass In 1 Carton (44206-439-40) / 400 Ml In 1 Vial, Glass (44206-439-93)",415.45,415.45,,,0 CDM,60592_44206043993,NDC Description Not Available,410.02,410.02,,,0 CDM,60596_59676057001,"Intelence: 120 Tablet In 1 Bottle, Plastic (59676-570-01)",77.39,77.39,,,0 CDM,60596_60219172107,"Etravirine: 120 Tablet In 1 Bottle, Plastic (60219-1721-7)",66.51,66.51,,,0 CDM,60677_58160081601,NDC Description Not Available,80.76,80.76,,,0 CDM,60677_58160081603,NDC Description Not Available,81.38,81.38,,,0 CDM,6067_00409153503,NDC Description Not Available,156.64,156.64,,,0 CDM,6067_00990793519,Dextrose: 12 Pouch In 1 Case (0990-7935-19) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,182.66,182.66,,,0 CDM,60699PBB01_PBB,Pr Radiofrequency Ablation-Pbb,3134.0,3134.0,,,0 CDM,60707_00009752903,"Camptosar: 1 Vial, Single-Dose In 1 Carton (0009-7529-03) / 5 Ml In 1 Vial, Single-Dose",54.03,54.03,,,0 CDM,60707_00143970101,"Irinotecan Hydrochloride: 5 Ml In 1 Vial, Glass (0143-9701-01)",40.2,40.2,,,0 CDM,60707_25021023005,Irinotecan Hydrochloride: 1 Vial In 1 Carton (25021-230-05) / 5 Ml In 1 Vial,39.94,39.94,,,0 CDM,60707_45963061455,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (45963-614-55) / 5 Ml In 1 Vial, Single-Dose",39.09,39.09,,,0 CDM,60707_60505612801,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6128-1) / 5 Ml In 1 Vial, Single-Use",19.78,19.78,,,0 CDM,60707_61703034909,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (61703-349-09) / 5 Ml In 1 Vial, Single-Dose",29.16,29.16,,,0 CDM,60708_00009752902,NDC Description Not Available,201.6,201.6,,,0 CDM,60708_00009752904,"Camptosar: 1 Vial, Single-Dose In 1 Carton (0009-7529-04) / 2 Ml In 1 Vial, Single-Dose",88.13,88.13,,,0 CDM,60708_00143970201,"Irinotecan Hydrochloride: 2 Ml In 1 Vial, Glass (0143-9702-01)",50.31,50.31,,,0 CDM,60708_16714002701,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (16714-027-01) / 2 Ml In 1 Vial, Single-Dose",45.45,45.45,,,0 CDM,60708_25021023002,Irinotecan Hydrochloride: 1 Vial In 1 Carton (25021-230-02) / 2 Ml In 1 Vial,54.64,54.64,,,0 CDM,60708_55150035201,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (55150-352-01) / 2 Ml In 1 Vial, Single-Dose",47.97,47.97,,,0 CDM,60708_60505612800,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6128-0) / 2 Ml In 1 Vial, Single-Use",21.98,21.98,,,0 CDM,60708_63323019352,Irinotecan Hydrochloride: 1 Vial In 1 Box (63323-193-52) / 2 Ml In 1 Vial,53.11,53.11,,,0 CDM,60708_66758004801,"Irinotecan Hydrochloride: 1 VIAL, SINGLE-DOSE in 1 CARTON (66758-048-01) / 2 mL in 1 VIAL, SINGLE-DOSE",116.93,116.93,,,0 CDM,60708_70700016922,"Irinotecan Hydrochloide: 1 Vial, Single-Dose In 1 Carton (70700-169-22) / 2 Ml In 1 Vial, Single-Dose",46.79,46.79,,,0 CDM,6073_00536136601,NDC Description Not Available,5.73,5.73,,,0 CDM,6073_05026885511,NDC Description Not Available,5.46,5.46,,,0 CDM,6073_07733393825,NDC Description Not Available,5.11,5.11,,,0 CDM,60821_00069600102,NDC Description Not Available,76.81,76.81,,,0 CDM,60821_00069600125,Cerebyx: 25 Vial In 1 Carton (0069-6001-25) / 2 Ml In 1 Vial (0069-6001-02),90.3,90.3,,,0 CDM,60822_00069547401,NDC Description Not Available,36.6,36.6,,,0 CDM,60822_00069600110,NDC Description Not Available,53.35,53.35,,,0 CDM,60822_00069600121,Cerebyx: 10 Vial In 1 Package (0069-6001-21) / 10 Ml In 1 Vial (0069-6001-10),53.85,53.85,,,0 CDM,60822_00641613701,NDC Description Not Available,20.89,20.89,,,0 CDM,60822_68462062210,"Fosphenytoin Sodium: 10 Vial, Single-Dose In 1 Carton (68462-622-10) / 10 Ml In 1 Vial, Single-Dose (68462-622-64)",11.81,11.81,,,0 CDM,60833_00406851023,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-8510-23),5.64,5.64,,,0 CDM,60833_10702005601,Oxycodone Hydrochloride: 100 Tablet In 1 Bottle (10702-056-01),5.36,5.36,,,0 CDM,60833_42858000201,"Oxycodone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-002-01)",5.52,5.52,,,0 CDM,60833_42858000210,Oxycodone Hydrochloride: 10 Blister Pack In 1 Carton (42858-002-10) / 10 Tablet In 1 Blister Pack,5.76,5.76,,,0 CDM,60833_68084096811,NDC Description Not Available,5.72,5.72,,,0 CDM,6088_47335089260,NDC Description Not Available,6.9,6.9,,,0 CDM,6088_65162080314,Temozolomide: 1 Bottle In 1 Carton (65162-803-14) / 14 Capsule In 1 Bottle,7.75,7.75,,,0 CDM,6088_67877053914,Temozolomide: 14 Capsule In 1 Bottle (67877-539-14),10.5,10.5,,,0 CDM,6092_00761055520,NDC Description Not Available,2.0,2.0,,,0 CDM,6092_00904719106,NDC Description Not Available,1.72,1.72,,,0 CDM,6092_05026885111,NDC Description Not Available,1.97,1.97,,,0 CDM,6092_07733393425,NDC Description Not Available,1.88,1.88,,,0 CDM,61002_49281021510,"Tenivac: 10 Vial, Single-Dose In 1 Package (49281-215-10) / .5 Ml In 1 Vial, Single-Dose (49281-215-58)",220.74,220.74,,,0 CDM,61002_49281021515,Tenivac: 10 Syringe In 1 Package (49281-215-15) / .5 Ml In 1 Syringe (49281-215-88),243.91,243.91,,,0 CDM,61002_49281021588,NDC Description Not Available,244.13,244.13,,,0 CDM,61008903,"Hc Mri With Contrast, Breast; Unilateral",2921.0,2921.0,,,0 CDM,61008905,"Hc Mri Without Contrast Following By With Contrast, Breast; Unilateral",5167.0,5167.0,,,0 CDM,61008906,"Hc Mri With Contrast, Breast; Bilateral",4311.0,4311.0,,,0 CDM,61008908,"Hc Mri Without Contrast Followed By With Contrast, Breast; Bilteral",6583.0,6583.0,,,0 CDM,61008909,"Hc Mra With Contrast, Chest (Excluding Myocardium)",3901.0,3901.0,,,0 CDM,61008910,"Hc Mra Without Contrast, Chest (Excluding Myocardium)",3393.0,3393.0,,,0 CDM,61008911,"Hc Mra Without Contrast Followed By With Contrast, Chest (Excluding Myocardium)",4485.0,4485.0,,,0 CDM,61008912,"Hc Mra With Contrast, Lower Extremity",4105.0,4105.0,,,0 CDM,61008913,"Hc Mra Without Contrast, Lower Extremity",3510.0,3510.0,,,0 CDM,61008914,"Hc Mra Without Contrast Followed By With Contrast, Lower Extremity",5308.0,5308.0,,,0 CDM,61008918,"Hc Mra With Contrast, Pelvis",3895.0,3895.0,,,0 CDM,61008919,"Hc Mra Without Contrast, Pelvis",3388.0,3388.0,,,0 CDM,61008920,"Hc Mra Without Contrast Followed By With Contrast, Pelvis",4481.0,4481.0,,,0 CDM,61008931,"Hc Mra With Contrast, Spinal Canal And Contents",3762.0,3762.0,,,0 CDM,61008932,"Hc Mra Without Contrast, Spinal Canal And Contents",3199.0,3199.0,,,0 CDM,61008933,"Hc Mra Without Contrast Followed By With Contrast, Spinal Canal And Contents",4326.0,4326.0,,,0 CDM,61008934,"Hc Mra With Contrast, Upper Extremity",2602.0,2602.0,,,0 CDM,61008935,"Hc Mra Without Contrast, Upper Extremity",1878.0,1878.0,,,0 CDM,61008936,"Hc Mra Without Contrast Followed By With Contrast, Upper Extremity",3978.0,3978.0,,,0 CDM,61008937,Hc Cad Breast Mri,133.0,133.0,,,0 CDM,61010_51991031290,"Desvenlafaxine: 90 Tablet, Extended Release In 1 Bottle (51991-312-90)",6.0,6.0,,,0 CDM,61020_PBB,Pr Ventricular Puncture Previous Burr Hole W/O Njx-Pbb,2906.0,2906.0,,,0 CDM,61026_PBB,Pr Ventricular Puncture Previous Burr Hole W/Inj-Pbb,3158.0,3158.0,,,0 CDM,6104_50458029515,Sporanox: 150 Ml In 1 Bottle (50458-295-15),300.55,300.55,,,0 CDM,61070336,"Hc Mri, Temporomandibular Joint",6083.0,6083.0,,,0 CDM,61070540,"Hc Mri, Soft Tissue Of Neck, Without Contrast Material",3681.0,3681.0,,,0 CDM,61070542,"Hc Mri, Orbit, Face, And/Or Neck; With Contrast Material",3998.0,3998.0,,,0 CDM,61070543,"Hc Mri, Orbit, Face, And/Or Neck; W/O Contrst Material, Fllwed By Contrst Material And Frther Squncs",5548.0,5548.0,,,0 CDM,61070544,"Hc Mra, Head; Without Contrast Material",3650.0,3650.0,,,0 CDM,61070545,"Hc Mra, Head; With Contrast Material",4014.0,4014.0,,,0 CDM,61070547,"Hc Mra, Neck; Without Contrast Material",3640.0,3640.0,,,0 CDM,61070549,"Hc Mra, Neck; Without Contrast Material, Followed By Contrast Material And Further Sequences",4371.0,4371.0,,,0 CDM,61070_PBB,Pr Puncture Shunt Tube/Reservoir Aspiration/Inj Px-Pbb,2429.0,2429.0,,,0 CDM,61071550,"Hc Mri, Chest; Without Contrast Material",6411.0,6411.0,,,0 CDM,61071551,"Hc Mri, Chest; With Contrast Material",6780.0,6780.0,,,0 CDM,61071552,"Hc Mri, Chest, Without Contrast Material, Followed By Contrast Material And Further Sequences",7323.0,7323.0,,,0 CDM,61071555,Hc Mra With Contrast Chest Without Myocardium,4485.0,4485.0,,,0 CDM,61072159,"Hc Magnetic Resonance Angiography, Spinal Canal And Contents, With Or Without Contrast Material(S)",3762.0,3762.0,,,0 CDM,61072195,"Hc Magnetic Resonance Imaging, Pelvis; Without Contrast Material(S)",4662.0,4662.0,,,0 CDM,61072196,"Hc Magnetic Resonance Imaging, Pelvis; With Contrast Material(S)",5168.0,5168.0,,,0 CDM,61072197,Hc Mri Pelvic With And Without Contrast,7689.0,7689.0,,,0 CDM,61072198,Hc Mra Pelvis With Contrast Material,3895.0,3895.0,,,0 CDM,61073218,"Hc Magnetic Resonance Imaging, Upper Extremity, Other Than Joint; Without Contrast Material(S)",3675.0,3675.0,,,0 CDM,61073219,"Hc Magnetic Resonance Imaging, Upper Extremity, Other Than Joint; With Contrast Material(S)",4119.0,4119.0,,,0 CDM,61073220,"Hc Mag Resonance Imging, Up Ext,Other Than Jnt;W/Out Cntrst Mat,Folwed By Cntrst Mat&Further Seq",7980.0,7980.0,,,0 CDM,61073221,"Hc Magnetic Resonance Imaging, Any Joint Of Upper Extremity; Without Contrast Material(S)",5241.0,5241.0,,,0 CDM,61073222,"Hc Magnetic Resonance Imaging, Any Joint Of Upper Extremity; With Contrast Material(S)",6062.0,6062.0,,,0 CDM,61073223,"Hc Mri, Any Joint Of Upper Ext; W/Out Cntrst Mat(S), Followed By Cntrst Mat(S) & Further Sequ",7416.0,7416.0,,,0 CDM,61073225,"Hc Magnetic Resonance Angiography, Upper Extremity, With Or Without Contrast Material(S)",2602.0,2602.0,,,0 CDM,61073718,"Hc Magnetic Resonance Imaging, Lower Extremity Other Than Joint; Without Contrast Material(S)",5045.0,5045.0,,,0 CDM,61073719,"Hc Magnetic Resonance Imaging, Lower Extremity Other Than Joint; With Contrast Material(S)",5679.0,5679.0,,,0 CDM,61073720,"Hc Mri, Lwr Ext Other Than Jnt;W/Out Cntrst Mat Followed By Cntrst Mat&Further Sequ",6529.0,6529.0,,,0 CDM,61073721,"Hc Magnetic Resonance Imaging, Any Joint Of Lower Extremity; Without Contrast Material",4638.0,4638.0,,,0 CDM,61073722,"Hc Magnetic Resonance Imaging, Any Joint Of Lower Extremity; With Contrast Material(S)",5735.0,5735.0,,,0 CDM,61073723,"Hc Mri, Any Joint Of Lower Extremity;Wo Contrast Mat(S),Followed By Contrast Mat(S)&Further Seq",7177.0,7177.0,,,0 CDM,61073725,Hc Mra Lower Extremity Pre Post Contrast,5769.0,5769.0,,,0 CDM,61074181,"Hc Mri, Abdomen; Without Contrast Material(S)",5060.0,5060.0,,,0 CDM,61074182,"Hc Mri, Abdomen; With Contrast Material(S)",5947.0,5947.0,,,0 CDM,61074183,"Hc Mri, Abdomen; W/O Contrast Material(S), Followed By Constrast Material(S) And Further Sequences",7364.0,7364.0,,,0 CDM,61074185,Hc Mra Upper Abdomen With And Without Contrast Material,4963.0,4963.0,,,0 CDM,61074712,"Hc Mri, Fetal, Placental/Maternal Imaging; Single Or 1St Gestation",788.0,788.0,,,0 CDM,61074713,Hc Mri Fetal Ea Addl Gestation,591.0,591.0,,,0 CDM,61074_00067815202,Voltaren Arthritis Pain: 1 Tube In 1 Carton (0067-8152-02) / 50 G In 1 Tube,55.49,55.49,,,0 CDM,61075557,Hc Cardiac Magnetic Resonance Imaging For Morphology And Function Without Contrast Material;,3662.0,3662.0,,,0 CDM,61075559,Hc Cardiac Magnetic Resonance Imaging For Morph And Func W/O Contrast Material; W/ Stress Imaging,5185.0,5185.0,,,0 CDM,61075561,"Hc Cardiac Mri For Morphology & Func W/Out Cntrst Mat, Followed By Cntrst Mat & Further Sequ;",4648.0,4648.0,,,0 CDM,61075563,"Hc Cardiac Mri For Morph & Fn Wo Contrast Mat(S), Fllwd By Contrast Mat(S) & Frther Seq; W Strss Img",5502.0,5502.0,,,0 CDM,61075565,Hc Cardiac Mri For Velocity Flow Mapping,547.0,547.0,,,0 CDM,61076377,"Hc 3D Rendering Interpr/Rprt Ct, Mri, Ultrsnds, Other Modality W Img Postprcss Indpndnt Workstation",2479.0,2479.0,,,0 CDM,61076377_PBB,"Hc 3D Rendering Interpr/Rprt Ct, Mri, Ultrsnds, Other Modality W Img Postprcss Indpndnt Workstation-",2725.5,2725.5,,,0 CDM,61076390,Hc Magnetic Resonance Spectroscopy,4235.0,4235.0,,,0 CDM,61076391,Hc Mri Elastography,5060.0,5060.0,,,0 CDM,61076498,Hc Mri Whole Body,1152.0,1152.0,,,0 CDM,61077021,"Hc Mag Res Guid For Needle Plcmnt(Eg,For Biopsy,Needle Aspiratn, Inj,Or Plcmnt Of Local Dev) S&I",2746.0,2746.0,,,0 CDM,61077022,"Hc Magnetic Resonance Guidance For, And Monitoring Of, Parenchymal Tissue Ablation",1130.0,1130.0,,,0 CDM,61077046,Hc Mri Breast Wo Contrast Unilateral,1970.0,1970.0,,,0 CDM,61077047,Hc Mri Breast Wo Contrast Bilateral,2833.0,2833.0,,,0 CDM,61077048,Hc Mri Breast Wwo Contrast Including Cad When Performed Unilat,5167.0,5167.0,,,0 CDM,61077049,Hc Mri Breast Wwo Contrast Including Cad When Performed: Bilateral,6583.0,6583.0,,,0 CDM,61077084,"Hc Mri, Bone Marrow Blood Supply",358.0,358.0,,,0 CDM,61108906,Hc Mri W Contrast Breast Bilateral-Research Only,1682.0,1682.0,,,0 CDM,61108908,Hc Research Mri Wo & W Contrst Brst Bilat,1682.0,1682.0,,,0 CDM,6112_31722053001,Torsemide: 100 Tablet In 1 Bottle (31722-530-01),4.93,4.93,,,0 CDM,6112_50268075511,NDC Description Not Available,3.76,3.76,,,0 CDM,6113_00069580043,Tikosyn: 40 Blister Pack In 1 Carton (0069-5800-43) / 1 Capsule In 1 Blister Pack,68.71,68.71,,,0 CDM,6113_47335006186,Dofetilide: 60 Capsule In 1 Bottle (47335-061-86),9.92,9.92,,,0 CDM,6113_69452013117,Dofetilide: 60 Capsule In 1 Bottle (69452-131-17),5.82,5.82,,,0 CDM,6114_00407222304,"10 BOTTLE, GLASS in 1 BOX (0407-2223-04) / 200 mL in 1 BOTTLE, GLASS",8.72,8.72,,,0 CDM,6114_00407222316,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-16) / 50 Ml In 1 Bottle, Plastic",16.79,16.79,,,0 CDM,6114_00407222317,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-17) / 100 Ml In 1 Bottle, Plastic",9.68,9.68,,,0 CDM,6114_00407222319,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-19) / 150 Ml In 1 Bottle, Plastic",6.66,6.66,,,0 CDM,6114_00407222321,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-21) / 200 Ml In 1 Bottle, Plastic",9.42,9.42,,,0 CDM,61170540,"Hc Mri Orbit, Without Contrast Material",3681.0,3681.0,,,0 CDM,61170543,Hc Mri Orb/Fc/Nk Pre & Post Cont Res2,5678.0,5678.0,,,0 CDM,61170551,"Hc Mri, Brain; Without Contrast Material",4097.0,4097.0,,,0 CDM,61170552,"Hc Mri, Brain; With Contrast Material",5019.0,5019.0,,,0 CDM,61170553,"Hc Mri, Brain Without Contrast Material, Followed By Contrast Material",7132.0,7132.0,,,0 CDM,61170554,Hc Fmri Brain By Tech,1710.0,1710.0,,,0 CDM,61170555,"Hc Mri, Brain, Funcal Mri; Requiring Phys Or Pyschologist Administratn Of Entire Neurofuncal Testing",2768.0,2768.0,,,0 CDM,61171555,Hc Mra Without Contrast Chest Without Myocardium,4485.0,4485.0,,,0 CDM,61172196,Hc Mri Pelvis W Contrast-Research Q300,2187.0,2187.0,,,0 CDM,61172197,Hc Mri Pelvis W/O &W Contrast Research,2807.0,2807.0,,,0 CDM,61172198,Hc Mra Pelvis With And Without Contrast Material,4481.0,4481.0,,,0 CDM,61172_00409116518,NDC Description Not Available,0.12,0.12,,,0 CDM,61172_00409116519,NDC Description Not Available,0.06,0.06,,,0 CDM,61172_00409158219,NDC Description Not Available,0.12,0.12,,,0 CDM,61172_55150017110,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-171-10) / 10 Ml In 1 Vial, Single-Dose",0.12,0.12,,,0 CDM,61172_55150017230,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-172-30) / 30 Ml In 1 Vial, Single-Dose",0.07,0.07,,,0 CDM,61172_63323047201,NDC Description Not Available,0.11,0.11,,,0 CDM,61172_72603080001,NDC Description Not Available,0.07,0.07,,,0 CDM,61173725,Hc Mra Lower Extremity W Contrast,5769.0,5769.0,,,0 CDM,61174181,Hc Abdomen W/O Contrast Research,598.0,598.0,,,0 CDM,61174185,Hc Mra Upper Abdomen With Contrast Material,4218.0,4218.0,,,0 CDM,61175_60505614604,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6146-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",96.5,96.5,,,0 CDM,61176498,Hc Mr Brain Srs- Unspecified W/Wo Contrast,8799.0,8799.0,,,0 CDM,61178_99999000938,NDC Description Not Available,198.77,198.77,,,0 CDM,61201_99999000939,NDC Description Not Available,193.0,193.0,,,0 CDM,61215_00703066601,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0703-0666-01) / 20 Ml In 1 Vial, Multi-Dose",266.76,266.76,,,0 CDM,61215_43598064911,Treprostinil: 1 Vial In 1 Carton (43598-649-11) / 20 Ml In 1 Vial,191.96,191.96,,,0 CDM,6123_53746073490,Felbamate: 90 Tablet In 1 Bottle (53746-734-90),14.88,14.88,,,0 CDM,6123_65162073409,Felbamate: 90 Tablet In 1 Bottle (65162-734-09),14.88,14.88,,,0 CDM,61260_00338955712,Dexmedetomidine Hydrochloride: 12 Bag In 1 Carton (0338-9557-12) / 100 Ml In 1 Bag,60.48,60.48,,,0 CDM,61260_99999000965,NDC Description Not Available,59.0,59.0,,,0 CDM,61270450,Hc Mri Face And Sinus Without Contrast Material,3681.0,3681.0,,,0 CDM,61270543,Hc Mri Orbt Fc Neck W/O &W Cntrst Resr,2437.0,2437.0,,,0 CDM,61270553,"Hc Mri Pituitary, Without Contrast Material, Follow By Contrast Material",7132.0,7132.0,,,0 CDM,61271555,"Hc Mra Without Contrast, Followed By With Contrast Chest Without Myocardium",4485.0,4485.0,,,0 CDM,61272141,"Hc Magnetic Resonance Imaging, Spinal Canal And Contents, Cervical; Without Contrast Material",4708.0,4708.0,,,0 CDM,61272142,"Hc Magnetic Resonance Imaging, Spinal Canal And Contents, Cervical; With Contrast Material(S)",5708.0,5708.0,,,0 CDM,61272146,"Hc Magnetic Resonance Imaging, Spinal Canal And Contents, Thoracic; Without Contrast Material",6213.0,6213.0,,,0 CDM,61272147,"Hc Magnetic Resonance Imaging, Spinal Canal And Contents, Thoracic; With Contrast Material(S)",8914.0,8914.0,,,0 CDM,61272148,"Hc Magnetic Resonance Imaging, Spinal Canal And Contents, Lumbar; Without Contrast Material",5558.0,5558.0,,,0 CDM,61272149,"Hc Magnetic Resonance Imaging, Spinal Canal And Contents, Lumbar; With Contrast Material(S)",6656.0,6656.0,,,0 CDM,61272156,"Hc Mri,Spnl Canal&Contents,W/Out Cntrst Mat,Followed By Cntrst Mat&Further Sequ;Cerv",7141.0,7141.0,,,0 CDM,61272157,"Hc Mri, Spnl Canal & Cntnts, W/O Cntrst Materl, Fllwed By Cntrst Materl(S) & Frthr Squncs; Thoracic",9338.0,9338.0,,,0 CDM,61272158,"Hc Mri, Spnl Canal & Contents, W/Out Cntrst Mat, Followed By Cntrst Mat(S) & Further Sequ; Lumbar",9654.0,9654.0,,,0 CDM,61272198,Hc Mra Pelvis Without Contrast Material,3388.0,3388.0,,,0 CDM,61273725,Hc Mra Without Contrast Lower Extremity,5769.0,5769.0,,,0 CDM,61274185,Hc Mra Upper Abdomen Without Contrast Material,3586.0,3586.0,,,0 CDM,61276498,Hc Mri Radiosurgery Planning,9326.0,9326.0,,,0 CDM,61280_00409469954,NDC Description Not Available,32.17,32.17,,,0 CDM,61280_63323026922,NDC Description Not Available,28.96,28.96,,,0 CDM,61280_63323026929,Diprivan: 10 Vial In 1 Box (63323-269-29) / 20 Ml In 1 Vial (63323-269-22),8.85,8.85,,,0 CDM,61280_63323026950,Diprivan: 20 Vial In 1 Box (63323-269-50) / 50 Ml In 1 Vial (63323-269-30),12.33,12.33,,,0 CDM,61280_63323026965,Diprivan: 10 Vial In 1 Box (63323-269-65) / 100 Ml In 1 Vial (63323-269-35),59.27,59.27,,,0 CDM,61280_99999002542,NDC Description Not Available,8.43,8.43,,,0 CDM,61281_63323026965,Diprivan: 10 Vial In 1 Box (63323-269-65) / 100 Ml In 1 Vial (63323-269-35),1.93,1.93,,,0 CDM,61282_00264780510,Sodium Chloride: 24 Container In 1 Case (0264-7805-10) / 500 Ml In 1 Container,6.43,6.43,,,0 CDM,61282_00338005403,Sodium Chloride: 24 Bag In 1 Carton (0338-0054-03) / 500 Ml In 1 Bag,0.41,0.41,,,0 CDM,61282_09999006822,NDC Description Not Available,0.08,0.08,,,0 CDM,61282_63323053021,NDC Description Not Available,0.05,0.05,,,0 CDM,61297_99999000977,NDC Description Not Available,31.2,31.2,,,0 CDM,61370450,Hc Mri Internal Auditory Without Contrast Material,3681.0,3681.0,,,0 CDM,61389_49281040089,NDC Description Not Available,45.58,45.58,,,0 CDM,61394_50474070062,"Cimzia: 2 Kit In 1 Carton (50474-700-62) / 1 Kit In 1 Kit * 1 Ml In 1 Vial, Glass * 1 Ml In 1 Vial, Glass",97.36,97.36,,,0 CDM,61394_50474071079,"Cimzia: 2 Syringe, Glass In 1 Carton (50474-710-79) / 1 Ml In 1 Syringe, Glass",97.93,97.93,,,0 CDM,61411_49281025051,"IMOVAX RABIES: 1 KIT in 1 PACKAGE (49281-250-51) * 1 mL in 1 VIAL, SINGLE-USE (49281-248-58) * 1 mL in 1 SYRINGE (49281-249-01)",433.81,433.81,,,0 CDM,6141_23155025831,Adenosine: 1 Vial In 1 Carton (23155-258-31) / 20 Ml In 1 Vial,7.26,7.26,,,0 CDM,61422_00065054301,"Triesence: 1 Blister Pack In 1 Carton (0065-0543-01) / 1 Vial, Glass In 1 Blister Pack / 1 Ml In 1 Vial, Glass",158.12,158.12,,,0 CDM,61422_00078089778,"Triesence: 1 Blister Pack In 1 Carton (0078-0897-78) / 1 Vial, Glass In 1 Blister Pack / 1 Ml In 1 Vial, Glass",158.12,158.12,,,0 CDM,6143_00143955201,"Leucovorin Calcium: 1 Vial In 1 Box, Unit-Dose (0143-9552-01) / 17.5 Ml In 1 Vial",24.74,24.74,,,0 CDM,6143_00703514501,"Leucovorin Calcium: 1 VIAL, SINGLE-USE in 1 CARTON (0703-5145-01) / 17.5 mL in 1 VIAL, SINGLE-USE",19.62,19.62,,,0 CDM,6143_25021081630,Leucovorin Calcium: 1 Vial In 1 Carton (25021-816-30) / 17.5 Ml In 1 Vial,66.15,66.15,,,0 CDM,6143_67457053035,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-530-35) / 17.5 Ml In 1 Vial, Single-Dose",18.64,18.64,,,0 CDM,61461715,Hc Mrgfus Strtctc Ablt Trgt Icr,35343.0,35343.0,,,0 CDM,61466_00006468100,"M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01)",182.84,182.84,,,0 CDM,61466_00006468101,NDC Description Not Available,606.66,606.66,,,0 CDM,61466_58160083103,NDC Description Not Available,609.82,609.82,,,0 CDM,61468_62135005747,Cetirizine Hydrochloride Oral Solution: 473 Ml In 1 Bottle (62135-057-47),15.72,15.72,,,0 CDM,61540_00480773606,"Darunavir: 60 Tablet, Film Coated In 1 Bottle (0480-7736-06)",72.57,72.57,,,0 CDM,61540_59676056201,"Prezista: 60 Tablet, Film Coated In 1 Bottle, Plastic (59676-562-01)",223.01,223.01,,,0 CDM,61569_00009509101,"Ellence: 1 Vial, Single-Dose In 1 Carton (0009-5091-01) / 25 Ml In 1 Vial, Single-Dose",12.71,12.71,,,0 CDM,61569_00009509125,"Ellence: 1 Vial, Single-Dose In 1 Carton (0009-5091-25) / 25 Ml In 1 Vial, Single-Dose",12.41,12.41,,,0 CDM,61570546,"Hc Mra, Head; Without Contrast Material, Followed By Contrast Material And Further Sequences",4224.0,4224.0,,,0 CDM,61570548,"Hc Mra, Neck; With Contrast Material",3853.0,3853.0,,,0 CDM,61576948,Hc Mri Research Wb,1216.0,1216.0,,,0 CDM,61696_00469650189,"Lexiscan: 5 Ml In 1 Syringe, Plastic (0469-6501-89)",431.73,431.73,,,0 CDM,61696_00641625301,"Regadenoson: 1 Syringe, Plastic In 1 Carton (0641-6253-01) / 5 Ml In 1 Syringe, Plastic",50.25,50.25,,,0 CDM,61696_55150044301,Regadenoson: 1 Syringe In 1 Carton (55150-443-01) / 5 Ml In 1 Syringe,251.25,251.25,,,0 CDM,61696_60505611600,"Regadenoson: 1 Syringe, Plastic In 1 Carton (60505-6116-0) / 5 Ml In 1 Syringe, Plastic",41.88,41.88,,,0 CDM,61696_71288020185,"Regadenoson: 1 Syringe, Plastic In 1 Carton (71288-201-85) / 5 Ml In 1 Syringe, Plastic",33.5,33.5,,,0 CDM,61743_49452268001,Levodopa: 5 G In 1 Bottle (49452-2680-1),6.2,6.2,,,0 CDM,61743_99999000988,NDC Description Not Available,6.2,6.2,,,0 CDM,61744_99999000989,NDC Description Not Available,2.41,2.41,,,0 CDM,61744_99999005158,NDC Description Not Available,1.98,1.98,,,0 CDM,61745_99999000993,NDC Description Not Available,193.0,193.0,,,0 CDM,61746_99999000996,NDC Description Not Available,193.0,193.0,,,0 CDM,61759_99999001004,NDC Description Not Available,6.0,6.0,,,0 CDM,61782_PBB,Pr Strtctc Cptr Asstd Px Extradural Cranial-Pbb,1493.0,1493.0,,,0 CDM,61789_13533063402,"Hypertet: 1 Syringe, Glass In 1 Box (13533-634-02) / 1 Ml In 1 Syringe, Glass (13533-634-20)",4349.44,4349.44,,,0 CDM,61789_13533063420,NDC Description Not Available,4349.44,4349.44,,,0 CDM,61794_00409106720,"Carbocaine: 1 VIAL, SINGLE-DOSE in 1 CARTON (0409-1067-20) / 20 mL in 1 VIAL, SINGLE-DOSE",57.26,57.26,,,0 CDM,61794_63323029401,NDC Description Not Available,74.4,74.4,,,0 CDM,61796_63323026001,NDC Description Not Available,74.58,74.58,,,0 CDM,61808900,"Hc Mra With Contrast, Abdomen",4218.0,4218.0,,,0 CDM,61808901,"Hc Mra Without Contrast, Abdomen",3586.0,3586.0,,,0 CDM,61808902,"Hc Mra Without Contrast Followed By With Contrast, Abdomen",4963.0,4963.0,,,0 CDM,61956_58160081252,Kinrix: 10 Syringe In 1 Carton (58160-812-52) / .5 Ml In 1 Syringe (58160-812-43),389.13,389.13,,,0 CDM,619_00904661961,Isosorbide Dinitrate: 100 Blister Pack In 1 Carton (0904-6619-61) / 1 Tablet In 1 Blister Pack,5.2,5.2,,,0 CDM,619_63739056910,"Isosorbide Dinitrate: 10 Blister Pack In 1 Box, Unit-Dose (63739-569-10) / 10 Tablet In 1 Blister Pack",5.75,5.75,,,0 CDM,619_68084008211,NDC Description Not Available,6.0,6.0,,,0 CDM,62044_00003085222,Sprycel: 1 Bottle In 1 Carton (0003-0852-22) / 30 Tablet In 1 Bottle,3770.91,3770.91,,,0 CDM,62044_60505363103,"Dasatinib: 30 Tablet, Film Coated In 1 Bottle (60505-3631-3)",2579.3,2579.3,,,0 CDM,62230_00169720101,"Novoseven Rt: 1 Kit In 1 Kit (0169-7201-01) * 1 Ml In 1 Vial, Glass (0169-7211-11) * 1 Ml In 1 Syringe, Glass (0169-7011-98)",17.98,17.98,,,0 CDM,62230_00169721111,NDC Description Not Available,18.07,18.07,,,0 CDM,62252_PBB,Pr Reprgrmg Programmable Cerebrospinal Shunt-Pbb,777.0,777.0,,,0 CDM,62270_GOLD,Pr Diagnostic Lumbar Spinal Puncture-Gold,1505.0,1505.0,,,0 CDM,62270_GOLDOPRM,"Pr Diagnostic Lumbar Spinal Puncture-Gold,Oprm",1505.0,1505.0,,,0 CDM,62270_GOLDPBB,"Pr Diagnostic Lumbar Spinal Puncture-Gold,Pbb",1505.0,1505.0,,,0 CDM,62270_PBB,Pr Diagnostic Lumbar Spinal Puncture-Pbb,1505.0,1505.0,,,0 CDM,62272_GOLD,Pr Therapeutic Spinal Puncture Drainage Csf-Gold,1950.0,1950.0,,,0 CDM,62272_GOLDOPRM,"Pr Therapeutic Spinal Puncture Drainage Csf-Gold,Oprm",1950.0,1950.0,,,0 CDM,62272_GOLDPBB,"Pr Therapeutic Spinal Puncture Drainage Csf-Gold,Pbb",1950.0,1950.0,,,0 CDM,62272_PBB,Pr Therapeutic Spinal Puncture Drainage Csf-Pbb,1950.0,1950.0,,,0 CDM,62290_00143971901,NDC Description Not Available,48.25,48.25,,,0 CDM,62290_00143971910,Milrinone Lactate In Dextrose: 10 Container In 1 Package (0143-9719-10) / 100 Ml In 1 Container (0143-9719-01),50.22,50.22,,,0 CDM,62290_00338601048,Milrinone Lactate In Dextrose: 10 Bag In 1 Carton (0338-6010-48) / 100 Ml In 1 Bag,48.25,48.25,,,0 CDM,62290_00409204501,NDC Description Not Available,48.25,48.25,,,0 CDM,62290_25021031382,Milrinone Lactate In Dextrose: 10 Bag In 1 Carton (25021-313-82) / 100 Ml In 1 Bag,48.25,48.25,,,0 CDM,62292_63323011700,NDC Description Not Available,28.97,28.97,,,0 CDM,62292_63323011710,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-10) / 10 Ml In 1 Vial, Single-Dose (63323-117-00)",29.64,29.64,,,0 CDM,62292_63323011719,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-19) / 10 Ml In 1 Vial, Single-Dose (63323-117-31)",37.0,37.0,,,0 CDM,62292_63323011731,NDC Description Not Available,37.0,37.0,,,0 CDM,62292_70700018622,NDC Description Not Available,28.41,28.41,,,0 CDM,62293_63323011701,NDC Description Not Available,28.88,28.88,,,0 CDM,62293_63323011720,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-20) / 20 Ml In 1 Vial, Single-Dose (63323-117-01)",40.7,40.7,,,0 CDM,62293_70700018722,NDC Description Not Available,38.65,38.65,,,0 CDM,62294_70700018822,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (70700-188-22) / 50 Ml In 1 Vial, Pharmacy Bulk Package",37.34,37.34,,,0 CDM,62295_62332077931,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (62332-779-31) / 100 Ml In 1 Vial, Pharmacy Bulk Package",33.24,33.24,,,0 CDM,62295_63323011761,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-117-61) / 100 Ml In 1 Vial, Pharmacy Bulk Package",37.0,37.0,,,0 CDM,62300000,Hc Med Surgical Supply- Surgical Dressing,383.25,383.25,,,0 CDM,62303_00409762003,Heparin Sodium: 18 Pouch In 1 Case (0409-7620-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag (0409-7620-13),193.0,193.0,,,0 CDM,62304_00409762059,Heparin Sodium: 12 Pouch In 1 Case (0409-7620-59) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag (0409-7620-49),49.87,49.87,,,0 CDM,62306154,"Hc Wound Pouch, Each",278.25,278.25,,,0 CDM,62306196,Hc Calcium Alginate Dressing,72.45,72.45,,,0 CDM,62306199,"Hc Alginate Or Other Fiber Gelling Dressing, Wound Filler, Sterile, Per 6 Inches",58.8,58.8,,,0 CDM,62306204,"Hc Compost Drss,Strl,Pad Sz More Than 16 Sq. In. But < Or=To 48 Sq. In.,W/Any Sz Adhsv Brdr, Ea Drss",221.55,221.55,,,0 CDM,62306206,Hc Actsorb Silver,122.85,122.85,,,0 CDM,62306207,Hc Plas-Acticoat 4X8,116.55,116.55,,,0 CDM,62306209,"Hc Surgicl Foam Drssng, Wnd Cover, Sterile, Pad Size 16 Sq. In. Or Less, W/O Adhesve Brdr, Ea Drssng",52.5,52.5,,,0 CDM,62306234,"Hc Srgcal Hydrocolloid Drssng, Wnd Cvr, Setrile, Pad Sz 16 Sq. In. Or Lss, W/O Adhsv Brdr, Ea Drssng",86.1,86.1,,,0 CDM,62306242,"Hc Hydrogel Dressing, Wnd Cover, Sterile, Pad Size 16 Sq. In. Or Less, W/O Adhesve Border, Ea Drssng",68.25,68.25,,,0 CDM,62306244,"Hc Hydrogel Drssng, Wound Cover, Sterile, Pad Size More Than 48 Sq. In., W/O Adhesve Brdr, Ea Drssng",199.5,199.5,,,0 CDM,62306257,"Hc Transparent Film, Sterile, 16 Sq. In. Or Less, Each Dressing",88.2,88.2,,,0 CDM,62306448,"Hc Light Compression Bandage, Elastic, Knitted/Woven, Width Less Than Three Inches, Per Yard",103.95,103.95,,,0 CDM,6235_00713028031,Bacitracin: 28.4 G In 1 Tube (0713-0280-31),4.21,4.21,,,0 CDM,62367_PBB,Pr Elect Anlys Implt Ithcl/Edrl Pmp W/O Reprg/Refil-Pbb,883.0,883.0,,,0 CDM,62368_PBB,Pr Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg-Pbb,890.0,890.0,,,0 CDM,62370_PBB,Pr Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp-Pbb,2524.0,2524.0,,,0 CDM,62375_10361075003,NDC Description Not Available,15.57,15.57,,,0 CDM,62406207_7119048,Noncdm Charge Record Medical Supplies,161.54,161.54,,,0 CDM,62422_00078010901,Sandimmune: 10 Ampule In 1 Box (0078-0109-01) / 5 Ml In 1 Ampule (0078-0109-61),280.52,280.52,,,0 CDM,62422_00078010961,NDC Description Not Available,259.45,259.45,,,0 CDM,62558_00591231245,NDC Description Not Available,974.09,974.09,,,0 CDM,62558_67919002010,Entereg: 6 BLISTER PACK in 1 CARTON (67919-020-10) / 5 CAPSULE in 1 BLISTER PACK,1127.41,1127.41,,,0 CDM,62560_25021020405,Vinorelbine: 1 Vial In 1 Carton (25021-204-05) / 5 Ml In 1 Vial,106.84,106.84,,,0 CDM,62562_50419032001,NDC Description Not Available,115.95,115.95,,,0 CDM,62565_55513022201,Nplate: 1 Vial In 1 Carton (55513-222-01) / 1 Ml In 1 Vial,191.14,191.14,,,0 CDM,62566_55513022101,Nplate: 1 Vial In 1 Carton (55513-221-01) / .5 Ml In 1 Vial,137.3,137.3,,,0 CDM,625_63323002401,NDC Description Not Available,46.69,46.69,,,0 CDM,625_63323002425,"Mannitol: 25 Vial, Single-Dose In 1 Tray (63323-024-25) / 50 Ml In 1 Vial, Single-Dose (63323-024-01)",48.76,48.76,,,0 CDM,62605_25021067376,Glydo: 10 Syringe In 1 Carton (25021-673-76) / 6 Ml In 1 Syringe,57.99,57.99,,,0 CDM,62605_25021067377,Glydo: 10 Syringe In 1 Carton (25021-673-77) / 11 Ml In 1 Syringe,37.97,37.97,,,0 CDM,62634_00904775127,NDC Description Not Available,25.34,25.34,,,0 CDM,6263_00832121301,Jantoven: 100 Blister Pack In 1 Carton (0832-1213-01) / 1 Tablet In 1 Blister Pack (0832-1213-89),6.0,6.0,,,0 CDM,6263_00832121389,NDC Description Not Available,5.92,5.92,,,0 CDM,6270_00121482705,NDC Description Not Available,38.41,38.41,,,0 CDM,6270_00904682805,NDC Description Not Available,35.78,35.78,,,0 CDM,6270_64950035405,NDC Description Not Available,36.58,36.58,,,0 CDM,6270_66689040101,NDC Description Not Available,42.78,42.78,,,0 CDM,6270_66689040150,"Oxycodone Hydrochloride: 5 Tray In 1 Case (66689-401-50) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (66689-401-01)",42.78,42.78,,,0 CDM,6272_00338105548,Metronidazole: 24 Bag In 1 Carton (0338-1055-48) / 100 Ml In 1 Bag,3.86,3.86,,,0 CDM,6272_00409015201,NDC Description Not Available,3.86,3.86,,,0 CDM,6272_25021013182,Metronidazole: 24 Pouch In 1 Carton (25021-131-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,3.86,3.86,,,0 CDM,6272_47335099301,Metronidazole: 1 Bag In 1 Pouch (47335-993-01) / 100 Ml In 1 Bag,3.86,3.86,,,0 CDM,6278_69238160508,Methylergonovine Maleate: 28 Tablet In 1 Bottle (69238-1605-8),102.3,102.3,,,0 CDM,6288_00406123601,Diphenoxylate Hydrochloride And Atropine Sulfate: 100 Tablet In 1 Bottle (0406-1236-01),3.98,3.98,,,0 CDM,6288_59762106101,Diphenoxylate Hydrochloride And Atropine Sulfate: 100 Tablet In 1 Bottle (59762-1061-1),3.9,3.9,,,0 CDM,6288_69315091001,Diphenoxylate Hydrochloride And Atropine Sulfate: 100 Tablet In 1 Bottle (69315-910-01),3.83,3.83,,,0 CDM,6288_71205090960,Diphenoxylate Hydrochloride And Atropine Sulfate: 60 Tablet In 1 Bottle (71205-909-60),3.11,3.11,,,0 CDM,62985_00065924007,DUREZOL: 1 BOTTLE in 1 CARTON (0065-9240-07) / 5 mL in 1 BOTTLE,1351.6,1351.6,,,0 CDM,62985_00781600078,Difluprednate Ophthalmic: 1 Bottle In 1 Carton (0781-6000-78) / 5 Ml In 1 Bottle,768.68,768.68,,,0 CDM,62985_43598058811,Difluprednate Ophthalmic Emulsion: 1 Bottle In 1 Carton (43598-588-11) / 5 Ml In 1 Bottle,1084.26,1084.26,,,0 CDM,62985_69238138003,Difluprednate: 1 Bottle In 1 Carton (69238-1380-3) / 5 Ml In 1 Bottle,1084.26,1084.26,,,0 CDM,62986_61703030916,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-16) / 2 Ml In 1 Vial, Single-Dose",46.68,46.68,,,0 CDM,62986_61703030925,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-25) / 2 Ml In 1 Vial, Single-Dose",49.94,49.94,,,0 CDM,62987_55513095401,"Vectibix: 1 Vial, Single-Dose In 1 Carton (55513-954-01) / 5 Ml In 1 Vial, Single-Dose",1173.87,1173.87,,,0 CDM,62989_55513095601,"Vectibix: 1 Vial, Single-Dose In 1 Carton (55513-956-01) / 20 Ml In 1 Vial, Single-Dose",1213.81,1213.81,,,0 CDM,62990_00517073001,Clonidine Hydrochloride: 1 VIAL in 1 CARTON (0517-0730-01) / 10 mL in 1 VIAL,281.4,281.4,,,0 CDM,62990_67457021810,Duraclon: 1 Vial In 1 Carton (67457-218-10) / 10 Ml In 1 Vial,209.98,209.98,,,0 CDM,63000236,Hc Radiesse Inj (Cash),319.0,319.0,,,0 CDM,63003490,Hc Latisse (Cash),130.0,130.0,,,0 CDM,63022_10122061001,NDC Description Not Available,19.33,19.33,,,0 CDM,63022_10122061010,"Cleviprex: 10 Carton In 1 Carton (10122-610-10) / 1 Vial, Single-Use In 1 Carton (10122-610-01) / 50 Ml In 1 Vial, Single-Use",22.91,22.91,,,0 CDM,63027_10122061101,NDC Description Not Available,19.37,19.37,,,0 CDM,63103490,Hc Restylane Inj (Cash),373.0,373.0,,,0 CDM,6314_00078035806,NDC Description Not Available,20.15,20.15,,,0 CDM,6314_33342006310,"Valsartan: 90 Tablet, Film Coated In 1 Bottle (33342-063-10)",3.18,3.18,,,0 CDM,6314_50268074711,NDC Description Not Available,7.28,7.28,,,0 CDM,6314_60687062311,NDC Description Not Available,6.64,6.64,,,0 CDM,63275_23155029032,NDC Description Not Available,9.72,9.72,,,0 CDM,63285_00143919201,Foscarnet Sodium: 10 Carton In 1 Case (0143-9192-01) / 1 Bottle In 1 Carton / 250 Ml In 1 Bottle,59.0,59.0,,,0 CDM,63322_99999001152,NDC Description Not Available,21.86,21.86,,,0 CDM,63323_00409610218,NDC Description Not Available,35.4,35.4,,,0 CDM,63323_00409610219,NDC Description Not Available,28.02,28.02,,,0 CDM,63323_00409610220,NDC Description Not Available,39.14,39.14,,,0 CDM,63323_71288020310,NDC Description Not Available,13.4,13.4,,,0 CDM,63323_99999001153,NDC Description Not Available,193.0,193.0,,,0 CDM,63325_00338002302,Dextrose: 250 Ml In 1 Bag (0338-0023-02),193.0,193.0,,,0 CDM,63326_00944049506,NDC Description Not Available,323.4,323.4,,,0 CDM,63326_44206031025,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-25) / 250 Ml In 1 Vial, Glass (44206-310-90)",501.45,501.45,,,0 CDM,63326_44206031050,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-50) / 500 Ml In 1 Vial, Glass (44206-310-91)",504.0,504.0,,,0 CDM,63326_44206031090,NDC Description Not Available,504.0,504.0,,,0 CDM,63326_44206031091,NDC Description Not Available,504.0,504.0,,,0 CDM,63326_68516521401,Albutein: 1 Vial In 1 Carton (68516-5214-1) / 250 Ml In 1 Vial (68516-5214-3),260.4,260.4,,,0 CDM,63326_68516521402,Albutein: 1 Vial In 1 Carton (68516-5214-2) / 500 Ml In 1 Vial (68516-5214-4),260.4,260.4,,,0 CDM,63326_68516521403,NDC Description Not Available,260.4,260.4,,,0 CDM,63326_68516521404,NDC Description Not Available,260.4,260.4,,,0 CDM,63326_76125079025,Albuked: 1 Vial In 1 Carton (76125-790-25) / 250 Ml In 1 Vial (76125-790-26),268.8,268.8,,,0 CDM,63413_00517671001,NDC Description Not Available,135.47,135.47,,,0 CDM,63414_00781315075,NDC Description Not Available,46.9,46.9,,,0 CDM,63414_00781315095,Cisatracurium Besylate: 10 Box In 1 Carton (0781-3150-95) / 1 Vial In 1 Box (0781-3150-75) / 5 Ml In 1 Vial,86.2,86.2,,,0 CDM,63414_00781315270,NDC Description Not Available,67.0,67.0,,,0 CDM,63414_63323041701,NDC Description Not Available,123.28,123.28,,,0 CDM,63414_70069016101,Cisatracurium Besylate: 1 Vial In 1 Carton (70069-161-01) / 10 Ml In 1 Vial,61.11,61.11,,,0 CDM,63414_71288071205,NDC Description Not Available,46.96,46.96,,,0 CDM,63414_71288071206,"Cisatracurium Besylate: 10 Vial, Single-Dose In 1 Carton (71288-712-06) / 5 Ml In 1 Vial, Single-Dose (71288-712-05)",46.9,46.9,,,0 CDM,63490281,Hc Travel Immunoglobulin .5,170.0,170.0,,,0 CDM,63600000_7072513,Noncdm Charge Record Pharmacy,444.0,444.0,,,0 CDM,63600000_7079081,Noncdm Charge Record Pharmacy,21815.2,21815.2,,,0 CDM,63600000_7079085,Noncdm Charge Record Pharmacy,7163.2,7163.2,,,0 CDM,63600000_7088754,Noncdm Charge Record Pharmacy,1.18,1.18,,,0 CDM,63600000_Q2028_636,Noncdm Charge Record Pharmacy,5.3,5.3,,,0 CDM,63600001,"Hc Therapeutic Infusion, Albumin 250Ml",1182.0,1182.0,,,0 CDM,63600002,Hc Varicella Employee Health,191.0,191.0,,,0 CDM,63600002_90716_636,Hc Varicella Employee Health,191.0,191.0,,,0 CDM,63600003,Hc Tdap Vacc Indiv Age 7 Or > Im Use Employee Health,99.0,99.0,,,0 CDM,63600003_90715_636,Hc Tdap Vacc Indiv Age 7 Or > Im Use Employee Health,99.0,99.0,,,0 CDM,63600004,Hc Mmr Employee Health,113.0,113.0,,,0 CDM,63600006,Hc Hepatitis B Vac Adlt Dosage Im Use Employee Health,153.0,153.0,,,0 CDM,63600006_90746_636,Hc Hepatitis B Vac Adlt Dosage Im Use Employee Health,153.0,153.0,,,0 CDM,63600007,Hc Hepatitis B Vac Adlt Dose Im Use Employee Health,153.0,153.0,,,0 CDM,63600008,Hc Tdap Vacc Indiv Age 7 Or > Im Use Employee Health,99.0,99.0,,,0 CDM,63600009,"Hc Flu Vac Iiv4 3+Yrs, Im Employee Health",33.0,33.0,,,0 CDM,63600009_90686_636,"Hc Flu Vac Iiv4 3+Yrs, Im Employee Health",33.0,33.0,,,0 CDM,63600010,Hc Flu Vaccine .5Ml Inj 3Yr And Older Employee Health,35.0,35.0,,,0 CDM,63600011,Hc Flu Vac Tv(18 Yr+)135 Mcg Im Employee Health,33.0,33.0,,,0 CDM,63600012,"Hc Flu Vac Laiv4; 0.2Ml In Spry,2-49Yr Employee Health",35.0,35.0,,,0 CDM,63600013,Hc Tetanus Diptheria Toxoids > 7 Yrs Employee Health,207.0,207.0,,,0 CDM,63600014,Hc Hbig Vaccine Employee Health,628.0,628.0,,,0 CDM,63600075,Hc Dotarem 376Mg. 1-5Ml,6.0,6.0,,,0 CDM,63600090,Hc Axumin,1641.0,1641.0,,,0 CDM,63600153,Hc Inj Adenosine Dx Per 1Mg,35.0,35.0,,,0 CDM,63600171,Hc Epinephrine 1 Mg/Ml (1Ml) Inj Soln (Aka Adrenaline),69.0,69.0,,,0 CDM,63600270,Hc Alprostadil 500 Mcg/Ml Inj Soln (1 Ml Vial) - Inj,809.0,809.0,,,0 CDM,63600282,Hc Amiodarone 50 Mg/Ml Iv Soln - 3 Ml Vial,69.0,69.0,,,0 CDM,63600330,Hc Succinylcholine Chloride 100 Mg/5 Ml (20 Mg/Ml) Iv Syrg,69.0,69.0,,,0 CDM,63600360,Hc Hydralazine 20 Mg/Ml Inj Soln,97.0,97.0,,,0 CDM,63600461,Hc Atropine 0.1 Mg/Ml Inj Syrg - 10Ml Syringe,77.0,77.0,,,0 CDM,63600585,Hc Botox Half Vial-Cash,624.0,624.0,,,0 CDM,63601145,"Hc Mfn Drug Add-On, Per Dose",399.0,399.0,,,0 CDM,63601245,Hc Dipyridamole Per 10 Mg Inj,128.0,128.0,,,0 CDM,63601250,Hc Inj Dobutamine Hydrchlrde Per 250Mg,354.0,354.0,,,0 CDM,63601265,Hc Dopamine In D5W 400 Mg/250 Ml Iv Soln,231.0,231.0,,,0 CDM,63601610,Hc Inj Glucagon Hcl Per 1 Mg,492.0,492.0,,,0 CDM,63602060,Hc Lorazepam 2 Mg/Ml Inj Syrg,69.0,69.0,,,0 CDM,63602150,Hc Mannitol 25 % Iv Soln,69.0,69.0,,,0 CDM,63602151,Hc Metoprolol Tartrate 5 Mg/5 Ml Iv Soln - 5Ml Vial,69.0,69.0,,,0 CDM,63602250,Hc Midazolam (Pf) 1 Mg/Ml Inj Soln - 2 Ml,69.0,69.0,,,0 CDM,63602270,Hc Morphine 10 Mg/Ml Inj Soln (1 Ml Vial),69.0,69.0,,,0 CDM,63602405,Hc Ondansetron Hcl 2 Mg/Ml Iv Soln,69.0,69.0,,,0 CDM,63602490,Hc Hourly Nitric/Oxide Thpy,637.0,637.0,,,0 CDM,63602490_J3490_636,Hc Hourly Nitric/Oxide Thpy,637.0,637.0,,,0 CDM,63602590,Hc Oxytocin 10 Unit/Ml Inj Soln (1Ml Vial),69.0,69.0,,,0 CDM,63602785,Hc Lexiscan Regadenoson 0.1 Mg,1750.0,1750.0,,,0 CDM,63602790,Hc Rho Immune Globulin,757.0,757.0,,,0 CDM,63602790_J2790_636,Hc Rho Immune Globulin,757.0,757.0,,,0 CDM,63602805,Hc Injection Sincalide 5Mcg (Kinevac),118.0,118.0,,,0 CDM,63602850,Hc Secroflo Tm Secretin,132.0,132.0,,,0 CDM,63603010,Hc Fentanyl Citrate (Pf) 0.05 Mg/Ml- 2 Ml Amp.,69.0,69.0,,,0 CDM,63603475,Hc Magnesium Sulfate 50 % Inj Soln - 10Ml Vial,69.0,69.0,,,0 CDM,63607050_7013872,Noncdm Charge Record Pharmacy,9.47,9.47,,,0 CDM,63609363_7022577,Noncdm Charge Record Pharmacy,33840.94,33840.94,,,0 CDM,63609577,Hc Multihance 529Mg.11-15Ml,5.0,5.0,,,0 CDM,63609579,Hc Omniscan.Vial.287Mg.11-15Ml,5.0,5.0,,,0 CDM,63609581,Hc Eovist.181.43Mg.1-10Ml,60.0,60.0,,,0 CDM,63609585,"Hc Injection, Gadobutrol 0.1Ml",2.0,2.0,,,0 CDM,63609589_7012736,Noncdm Charge Record Pharmacy,9819.54,9819.54,,,0 CDM,63609956,Hc Optison Inj Per Ml,155.0,155.0,,,0 CDM,63609956_7034949,Hc Optison Inj Per Ml,373.16,373.16,,,0 CDM,63609956_Q9956_636,Hc Optison Inj Per Ml,155.0,155.0,,,0 CDM,63609957,Hc Definity Per Ml,200.0,200.0,,,0 CDM,63609957_00270131525,"Isovue 300: 10 Vial, Single-Dose In 1 Box (0270-1315-25) / 30 Ml In 1 Vial, Single-Dose",200.0,200.0,,,0 CDM,63609957_7034947,Hc Definity Per Ml,432.0,432.0,,,0 CDM,63609957_7034948,Hc Definity Per Ml,432.0,432.0,,,0 CDM,63609957_Q9957_636,Hc Definity Per Ml,200.0,200.0,,,0 CDM,63609962,Hc Cystografin-High Osmolar Up To 300-349Mg/Ml Iodine Per Ml,1.0,1.0,,,0 CDM,63609965_7022840,Noncdm Charge Record Pharmacy,213.83,213.83,,,0 CDM,63609966_7028301,Noncdm Charge Record Pharmacy,46.47,46.47,,,0 CDM,63609967_7027815,Noncdm Charge Record Pharmacy,66.94,66.94,,,0 CDM,63609967_7029341,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-89) / 50 Ml In 1 Bottle, Plastic",46.11,46.11,,,0 CDM,63609967_7029572,Noncdm Charge Record Pharmacy,132.72,132.72,,,0 CDM,63609967_7153954,Noncdm Charge Record Pharmacy,47.57,47.57,,,0 CDM,63609967_760053,Noncdm Charge Record Pharmacy,158.06,158.06,,,0 CDM,63609968,Hc Inject Nonrad Methylene Blue,1.0,1.0,,,0 CDM,63690281,Hc Travel Immunoglobulin .1,34.0,34.0,,,0 CDM,63690739,Hc Hepb Vacc 2 Dose Adult Im Employee Health,145.0,145.0,,,0 CDM,63691304,Hc Sarscov2 Vac 5Mcg/0.5Ml Im,0.01,0.01,,,0 CDM,63691321,"Hc Sars-Cov-2 (Covid-19) Vaccine Mrna-Lnp, Preserv Free, 25 Mcg/0.25 Ml, Im Use (6Mos-11Yrs)",220.0,220.0,,,0 CDM,63691321_59267056501,NDC Description Not Available,220.0,220.0,,,0 CDM,63691321_80777011001,NDC Description Not Available,220.0,220.0,,,0 CDM,63691321_80777028707,NDC Description Not Available,220.0,220.0,,,0 CDM,63691321_80777028792,"Moderna COVID-19 Vaccine: 10 VIAL, SINGLE-DOSE in 1 CARTON (80777-287-92) / .25 mL in 1 VIAL, SINGLE-DOSE (80777-287-07)",220.0,220.0,,,0 CDM,63691321_80777029109,NDC Description Not Available,220.0,220.0,,,0 CDM,63691321_80777029180,"Moderna Covid-19 Vaccine: 10 Syringe, Plastic In 1 Carton (80777-291-80) / .25 Ml In 1 Syringe, Plastic (80777-291-09)",220.0,220.0,,,0 CDM,63691321_80777029181,"Moderna Covid-19 Vaccine: 10 Syringe, Plastic In 1 Carton (80777-291-81) / .25 Ml In 1 Syringe, Plastic (80777-291-09)",220.0,220.0,,,0 CDM,63691321_91321_636,"Hc Sars-Cov-2 (Covid-19) Vaccine Mrna-Lnp, Preserv Free, 25 Mcg/0.25 Ml, Im Use (6Mos-11Yrs)",220.0,220.0,,,0 CDM,63691322,"Hc Sars-Cov-2 (Covid-19) Vaccine Mrna-Lnp, Preserv Free, 50 Mcg/0.50 Ml, Im Use (12 Yrs+)",220.0,220.0,,,0 CDM,63691322_19515081041,NDC Description Not Available,220.0,220.0,,,0 CDM,63691322_49281012488,NDC Description Not Available,220.0,220.0,,,0 CDM,63691322_59267030401,NDC Description Not Available,220.0,220.0,,,0 CDM,63691322_80777010011,NDC Description Not Available,220.0,220.0,,,0 CDM,63691322_80777010201,NDC Description Not Available,220.0,220.0,,,0 CDM,63691322_80777010293,"Spikevax: 10 SYRINGE, PLASTIC in 1 CARTON (80777-102-93) / .5 mL in 1 SYRINGE, PLASTIC (80777-102-01)",220.0,220.0,,,0 CDM,63691322_80777010296,"Spikevax: 10 SYRINGE, PLASTIC in 1 CARTON (80777-102-96) / .5 mL in 1 SYRINGE, PLASTIC (80777-102-01)",220.0,220.0,,,0 CDM,63691322_80777011001,NDC Description Not Available,220.0,220.0,,,0 CDM,63691322_80777011093,"Spikevax: 10 Syringe, Plastic In 1 Carton (80777-110-93) / .5 Ml In 1 Syringe, Plastic (80777-110-01)",220.0,220.0,,,0 CDM,63691322_80777011096,"Spikevax: 10 Syringe, Plastic In 1 Carton (80777-110-96) / .5 Ml In 1 Syringe, Plastic (80777-110-01)",220.0,220.0,,,0 CDM,63691322_80777029109,NDC Description Not Available,220.0,220.0,,,0 CDM,63691322_80777029180,"Moderna Covid-19 Vaccine: 10 Syringe, Plastic In 1 Carton (80777-291-80) / .25 Ml In 1 Syringe, Plastic (80777-291-09)",220.0,220.0,,,0 CDM,63700075,Hc Dotarem 376Mg. 11-15Ml,6.0,6.0,,,0 CDM,63700153,Hc Adenosine 3Mg/Ml Iv Soln (2Ml Vial) - Injection,69.0,69.0,,,0 CDM,63700585,Hc Botox Full Cash,1298.0,1298.0,,,0 CDM,63702250,Hc Midazolam (Pf) 5 Mg/Ml Inj Soln - 5 Ml,69.0,69.0,,,0 CDM,63709577,Hc Multihance 529Mg.1-5Ml,5.0,5.0,,,0 CDM,63709579,Hc Omniscan.Vial.287Mg.1-5Ml,5.0,5.0,,,0 CDM,63709958,"Hc Cystografin-Hocm Up To 149Mg/Ml Iodine, Per Ml-100 Ml Via",1.0,1.0,,,0 CDM,63709967,Hc Omnipaque.Bottle.300Mg.1-50Ml,2.0,2.0,,,0 CDM,63790281,Hc Travel Immunoglobulin .2,68.0,68.0,,,0 CDM,63800075,Hc Dotarem 376Mg. 16-20Ml,6.0,6.0,,,0 CDM,63800585_CSM,Hc Botox Plastics Cash-Csm,12.0,12.0,,,0 CDM,63800585_CSMUCM,"Hc Botox Plastics Cash-Csm,Ucm",10.0,10.0,,,0 CDM,63800585_CSM_J0585_636,Noncdm Charge Record Pharmacy,12.0,12.0,,,0 CDM,63809399,Hc Platelet Enriched Plasma Eyedrops Cash,300.0,300.0,,,0 CDM,63809399_C9399_636,Hc Platelet Enriched Plasma Eyedrops Cash,300.0,300.0,,,0 CDM,63809577,Hc Multihance 529Mg.16-20Ml,5.0,5.0,,,0 CDM,63809579,Hc Omniscan.Vial.287Mg.16-20Ml,5.0,5.0,,,0 CDM,63809967,Hc Omnipaque.Pluspak.140Mg.1-50Ml,1.0,1.0,,,0 CDM,6381_16714023501,"Penicillin V Potassium: 100 Tablet, Film Coated In 1 Bottle (16714-235-01)",6.0,6.0,,,0 CDM,63820_70324032601,NDC Description Not Available,196.0,196.0,,,0 CDM,63828_00143985801,NDC Description Not Available,29.5,29.5,,,0 CDM,63834_00025145134,Cytotec: 100 Blister Pack In 1 Carton (0025-1451-34) / 1 Tablet In 1 Blister Pack,1.87,1.87,,,0 CDM,63886_99999001226,NDC Description Not Available,193.0,193.0,,,0 CDM,63890281,Hc Travel Immunoglobulin .3,102.0,102.0,,,0 CDM,63900075,Hc Dotarem 376Mg. 6-10Ml,6.0,6.0,,,0 CDM,63900585_CSM,Hc Botox Plstcs Cash-Csm,10.0,10.0,,,0 CDM,63900585_CSM_J0585_636,Noncdm Charge Record Pharmacy,10.0,10.0,,,0 CDM,63909577,Hc Multihance 529Mg.6-10Ml,5.0,5.0,,,0 CDM,63909579,Hc Omniscan.Vial.287Mg.6-10Ml,5.0,5.0,,,0 CDM,63909967,Hc Omnipaque.Pluspak.240Mg.1-50Ml,1.0,1.0,,,0 CDM,63909967_Q9966_636,Hc Omnipaque.Pluspak.240Mg.1-50Ml,1.0,1.0,,,0 CDM,63990281,Hc Travel Immunoglobulin .4,136.0,136.0,,,0 CDM,64009579,Hc Gad-Base Mr Contrast Nos Per 1 Ml,5.0,5.0,,,0 CDM,64009967,Hc Omnipaque.Pluspak.300Mg.101-150Ml,2.0,2.0,,,0 CDM,64049_00069034302,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-0343-02) / 25 Ml In 1 Vial, Single-Dose",32.93,32.93,,,0 CDM,64049_00069303220,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-3032-20) / 25 Ml In 1 Vial, Single-Dose",31.71,31.71,,,0 CDM,64049_25021020725,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (25021-207-25) / 25 Ml In 1 Vial,31.96,31.96,,,0 CDM,64049_55390023701,Adriamycin: 1 VIAL in 1 BOX (55390-237-01) / 25 mL in 1 VIAL,74.37,74.37,,,0 CDM,64049_63323088330,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (63323-883-30) / 25 Ml In 1 Vial, Single-Dose",42.84,42.84,,,0 CDM,64050_00069303020,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-3030-20) / 5 Ml In 1 Vial, Single-Dose",68.01,68.01,,,0 CDM,64050_63323088305,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (63323-883-05) / 5 Ml In 1 Vial, Single-Dose",61.82,61.82,,,0 CDM,6409_00409230822,NDC Description Not Available,0.91,0.91,,,0 CDM,6409_00409259615,NDC Description Not Available,1.01,1.01,,,0 CDM,6409_00641606001,NDC Description Not Available,0.92,0.92,,,0 CDM,6409_00641606010,Midazolam: 10 Vial In 1 Carton (0641-6060-10) / 10 Ml In 1 Vial (0641-6060-01),1.16,1.16,,,0 CDM,6409_00641606101,NDC Description Not Available,21.69,21.69,,,0 CDM,6409_23155060132,NDC Description Not Available,0.77,0.77,,,0 CDM,6409_63323041203,NDC Description Not Available,13.03,13.03,,,0 CDM,6409_63323041218,NDC Description Not Available,14.8,14.8,,,0 CDM,64109967,Hc Omnipaque.Pluspak.300Mg.1-50Ml,2.0,2.0,,,0 CDM,64165_00143914101,NDC Description Not Available,51.06,51.06,,,0 CDM,64165_00409234401,"Dobutamine: 1 Vial, Single-Dose In 1 Carton (0409-2344-01) / 20 Ml In 1 Vial, Single-Dose",49.31,49.31,,,0 CDM,64165_00409234402,"Dobutamine: 10 Vial, Single-Dose In 1 Tray (0409-2344-02) / 20 Ml In 1 Vial, Single-Dose (0409-2344-62)",46.5,46.5,,,0 CDM,64165_00409234462,NDC Description Not Available,46.5,46.5,,,0 CDM,64165_00409234488,"Dobutamine: 10 Vial, Single-Dose In 1 Tray (0409-2344-88) / 20 Ml In 1 Vial, Single-Dose (0409-2344-68)",45.96,45.96,,,0 CDM,64168_00338107302,Dobutamine Hydrochloride In Dextrose: 18 Bag In 1 Carton (0338-1073-02) / 250 Ml In 1 Bag,193.0,193.0,,,0 CDM,64168_00409234631,NDC Description Not Available,193.0,193.0,,,0 CDM,64168_00409234632,Dobutamine In Dextrose: 12 Pouch In 1 Case (0409-2346-32) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag (0409-2346-31),190.34,190.34,,,0 CDM,64209967,Hc Omnipaque.Pluspak.300Mg.151-500Ml,2.0,2.0,,,0 CDM,64209_00023391950,"Botox Cosmetic: 1 Vial, Glass In 1 Carton (0023-3919-50) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",48.51,48.51,,,0 CDM,64230_00409582011,NDC Description Not Available,26.84,26.84,,,0 CDM,64231_00143925401,NDC Description Not Available,6.0,6.0,,,0 CDM,64231_00409910420,"Dopamine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-9104-20) / 10 Ml In 1 Vial, Single-Dose (0409-9104-21)",3.52,3.52,,,0 CDM,64231_00409910421,NDC Description Not Available,2.68,2.68,,,0 CDM,64237_00338100902,Dopamine Hydrochloride And Dextrose: 18 Bag In 1 Carton (0338-1009-02) / 250 Ml In 1 Bag,192.83,192.83,,,0 CDM,64237_00409781011,NDC Description Not Available,193.0,193.0,,,0 CDM,64238_00338100702,Dopamine Hydrochloride And Dextrose: 18 Bag In 1 Carton (0338-1007-02) / 250 Ml In 1 Bag,193.0,193.0,,,0 CDM,64238_00409780911,NDC Description Not Available,193.0,193.0,,,0 CDM,6427_00078087601,Tobradex: 3.5 G In 1 Tube (0078-0876-01),1749.12,1749.12,,,0 CDM,64295_00143963301,NDC Description Not Available,2.29,2.29,,,0 CDM,64295_69097000845,NDC Description Not Available,1.12,1.12,,,0 CDM,64303_66733094823,"Erbitux: 1 Vial, Single-Dose In 1 Carton (66733-948-23) / 50 Ml In 1 Vial, Single-Dose",536.83,536.83,,,0 CDM,64304_66733095823,"Erbitux: 1 Vial, Single-Dose In 1 Carton (66733-958-23) / 100 Ml In 1 Vial, Single-Dose",540.59,540.59,,,0 CDM,64309967,Hc Omnipaque.Pluspak.300Mg.51-100Ml,2.0,2.0,,,0 CDM,64326_07733395110,NDC Description Not Available,1.9,1.9,,,0 CDM,64326_07733395125,NDC Description Not Available,1.91,1.91,,,0 CDM,64344_01000670013,NDC Description Not Available,3.42,3.42,,,0 CDM,64344_06858500575,NDC Description Not Available,3.59,3.59,,,0 CDM,64350_00078068515,"Promacta: 30 Tablet, Film Coated In 1 Bottle (0078-0685-15)",1429.08,1429.08,,,0 CDM,64351_00078068615,"Promacta: 30 Tablet, Film Coated In 1 Bottle (0078-0686-15)",2764.46,2764.46,,,0 CDM,6436_00904637661,"Olanzapine: 100 Blister Pack In 1 Carton (0904-6376-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.33,5.33,,,0 CDM,6436_60505311300,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3113-0) / 10 Tablet, Film Coated In 1 Blister Pack",5.44,5.44,,,0 CDM,64375_03932855750,NDC Description Not Available,6.0,6.0,,,0 CDM,64375_05483801150,NDC Description Not Available,6.0,6.0,,,0 CDM,6439_23155004303,Leflunomide: 30 Tablet In 1 Bottle (23155-043-03),5.22,5.22,,,0 CDM,6439_50268047711,NDC Description Not Available,15.34,15.34,,,0 CDM,6439_60505250201,Leflunomide: 30 Tablet In 1 Bottle (60505-2502-1),16.54,16.54,,,0 CDM,64405_PBB,Pr Injection Aa&/Strd Greater Occipital Nerve-Pbb,647.0,647.0,,,0 CDM,64408_PBB,Pr Injection Aa&/Strd Vagus Nerve-Pbb,755.0,755.0,,,0 CDM,64409967,Hc Omnipaque.Pluspak.350Mg.101-150Ml,2.0,2.0,,,0 CDM,64415_PBB,Pr Injection Aa&/Strd Brachial Plexus W/Img Gdn-Pbb,703.0,703.0,,,0 CDM,64418_PBB,Pr Injection Aa&/Strd Suprascapular Nerve-Pbb,2033.0,2033.0,,,0 CDM,64421_GOLDOPRM,"Pr Injection Aa&/Strd Intercostal Nrv Ea Addl Lvl-Gold,Oprm",5530.0,5530.0,,,0 CDM,64421_GOLDPBB,"Pr Injection Aa&/Strd Intercostal Nrv Ea Addl Lvl-Gold,Pbb",8923.0,8923.0,,,0 CDM,64421_PBB,Pr Injection Aa&/Strd Intercostal Nrv Ea Addl Lvl-Pbb,5530.0,5530.0,,,0 CDM,64425_PBB,Pr Injection Aa&/Strd Ilioinguinal Ih Nerves-Pbb,956.0,956.0,,,0 CDM,64430_00054042523,"Rufinamide: 120 Tablet, Film Coated In 1 Bottle (0054-0425-23)",18.55,18.55,,,0 CDM,64430_62856058252,"Banzel: 120 Tablet, Film Coated In 1 Bottle (62856-582-52)",57.73,57.73,,,0 CDM,64430_PBB,Pr Injection Aa&/Strd Pudendal Nerve-Pbb,2472.0,2472.0,,,0 CDM,64435_PBB,Pr Injection Aa&/Strd Paracervical Nerve-Pbb,3000.0,3000.0,,,0 CDM,64450_PBB,Pr Injection Aa&/Strd Other Peripheral Nerve/Branch-Pbb,1763.0,1763.0,,,0 CDM,64455_00024586201,"Mozobil: 1 Vial, Single-Use In 1 Carton (0024-5862-01) / 1.2 Ml In 1 Vial, Single-Use",2781.07,2781.07,,,0 CDM,64455_70121169402,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (70121-1694-2) / 1.2 Ml In 1 Vial, Single-Dose",295.08,295.08,,,0 CDM,64455_71288015501,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (71288-155-01) / 1.2 Ml In 1 Vial, Single-Dose",139.58,139.58,,,0 CDM,64455_72205024901,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (72205-249-01) / 1.2 Ml In 1 Vial, Single-Dose",305.81,305.81,,,0 CDM,64455_PBB,Pr Njx Aa&/Strd Plantar Common Digital Nerves-Pbb,1121.0,1121.0,,,0 CDM,6445_16714029501,"Amoxicillin And Clavulanate Potassium: 30 Tablet, Film Coated In 1 Bottle (16714-295-01)",29.43,29.43,,,0 CDM,6445_16714047601,"Amoxicillin And Clavulanate Potassium: 30 Tablet, Film Coated In 1 Bottle (16714-476-01)",29.43,29.43,,,0 CDM,64483_PBB,Pr Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level-Pbb,1211.0,1211.0,,,0 CDM,64484_PBB,Pr Njx Aa&/Strd Tfrml Epi Lumbar/Sacral Ea Addl-Pbb,560.0,560.0,,,0 CDM,64509967,Hc Omnipaque.Pluspak.350Mg.1-100Ml,2.0,2.0,,,0 CDM,64509967_00270131525,"Isovue 300: 10 Vial, Single-Dose In 1 Box (0270-1315-25) / 30 Ml In 1 Vial, Single-Dose",2.0,2.0,,,0 CDM,64509967_00407141362,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-62) / 75 Ml In 1 Bottle, Plastic",2.0,2.0,,,0 CDM,64509967_Q9967_636,Hc Omnipaque.Pluspak.350Mg.1-100Ml,2.0,2.0,,,0 CDM,64561_PBB,Pr Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging-Pbb,2369.0,2369.0,,,0 CDM,64566_PBB,Pr Post Tib Neurostimulation Prq Needle Electrode-Pbb,370.0,370.0,,,0 CDM,64567_PBB,Pr Perq Elec Nrv Field Stimj Cranial Nrv W/O Impltj,4638.0,4638.0,,,0 CDM,64581_PBB,Pr Open Implantation Nea Sacral Nerve-Pbb,5207.0,5207.0,,,0 CDM,64609967,Hc Omnipaque.Pluspak.350Mg.1-50Ml,2.0,2.0,,,0 CDM,64611_PBB,Pr Chemodenerv Parotid&Submandibl Salivary Glnds-Pbb,650.0,650.0,,,0 CDM,64612_CSMPBB,"Pr Chemodnrvtj Musc Musc Innervated Facial Nrv Unil-Csm,Pbb",132.0,132.0,,,0 CDM,64612_PBB,Pr Chemodnrvtj Musc Musc Innervated Facial Nrv Unil-Pbb,2300.0,2300.0,,,0 CDM,64615_PBB,Pr Chemodervate Facial/Trigem/Cerv Musc Migraine-Pbb,3190.0,3190.0,,,0 CDM,64616_PBB,Pr Chemodenervation Muscle Neck Unilat For Dystonia-Pbb,2657.0,2657.0,,,0 CDM,64617_PBB,Pr Chemodenervation Muscle Larynx Unilat W/Emg-Pbb,3294.0,3294.0,,,0 CDM,64640_PBB,Pr Dstrj Neurolytic Agent Other Peripheral Nerve-Pbb,1135.0,1135.0,,,0 CDM,64642_PBB,Pr Chemodenervation One Extremity 1-4 Muscle-Pbb,3768.0,3768.0,,,0 CDM,64643_PBB,Pr Chemodenervation 1 Extremity Ea Addl 1-4 Muscle-Pbb,2794.0,2794.0,,,0 CDM,64644_PBB,Pr Chemodenervation 1 Extremity 5 Or More Muscles-Pbb,3011.0,3011.0,,,0 CDM,64645_PBB,Pr Chemodenervation 1 Extremity Ea Addl 5/> Muscles-Pbb,3166.0,3166.0,,,0 CDM,64646_PBB,Pr Chemodenervation Of Trunk Muscle 1-5 Muscles-Pbb,4106.0,4106.0,,,0 CDM,64647_PBB,Pr Chemodenervation Of Trunk 6 Or More Muscles-Pbb,4579.0,4579.0,,,0 CDM,64650_PBB,Pr Chemodenervation Eccrine Glands Both Axillae-Pbb,769.0,769.0,,,0 CDM,64653_PBB,Pr Chemodenervation Eccrine Glands Oth Area Per Day-Pbb,1068.0,1068.0,,,0 CDM,64709967,Hc Omnipaque.Pluspak.350Mg.151-500Ml,2.0,2.0,,,0 CDM,64716_PBB,Pr Neuroplasty &/Transposition Cranial Nerve-Pbb,5353.0,5353.0,,,0 CDM,64721_PBB,Pr Neuroplasty &/Transpos Median Nrv Carpal Tunne-Pbb,4446.0,4446.0,,,0 CDM,64766_70004043009,NDC Description Not Available,59.0,59.0,,,0 CDM,64784_PBB,Pr Exc Neuroma Major Peripheral Nrv Xcp Sciatic-Pbb,6948.0,6948.0,,,0 CDM,64788_PBB,Pr Exc Neurofibroma/Neurolemmoma Cutan Nrv-Pbb,4235.0,4235.0,,,0 CDM,6479_51672200306,Clotrimazole: 1 Tube In 1 Carton (51672-2003-6) / 45 G In 1 Tube,25.11,25.11,,,0 CDM,6479_61269022041,"Clotrimazole: 1 Tube, With Applicator In 1 Carton (61269-220-41) / 45 G In 1 Tube, With Applicator",24.84,24.84,,,0 CDM,64806_71019001101,NDC Description Not Available,1.51,1.51,,,0 CDM,64809967,Hc Omnipaque.Pluspak.350Mg.1-75Ml,2.0,2.0,,,0 CDM,64862_60687053811,NDC Description Not Available,15.5,15.5,,,0 CDM,64862_62332019030,"Febuxostat: 30 Tablet, Coated In 1 Bottle (62332-190-30)",10.96,10.96,,,0 CDM,64862_64764091830,Uloric: 30 Tablet In 1 Bottle (64764-918-30),68.21,68.21,,,0 CDM,64909967,Hc Omnipaque.Pluspak.350Mg.51-100Ml,2.0,2.0,,,0 CDM,64934_55566830301,"Firmagon: 1 Kit In 1 Carton (55566-8303-1) * 4 Ml In 1 Vial, Glass * 4.2 Ml In 1 Syringe",40.91,40.91,,,0 CDM,64942_55566840200,NDC Description Not Available,42.55,42.55,,,0 CDM,64942_55566840301,"Firmagon: 1 Kit In 1 Carton (55566-8403-1) * 3 Ml In 1 Syringe * 3 Ml In 1 Vial, Glass",42.55,42.55,,,0 CDM,64952_05846800903,NDC Description Not Available,191.18,191.18,,,0 CDM,6497_00071201244,1 BOTTLE in 1 CARTON (0071-2012-44) / 470 mL in 1 BOTTLE,25.85,25.85,,,0 CDM,6497_09999006239,NDC Description Not Available,6.0,6.0,,,0 CDM,6497_42192060816,Gabapentin: 470 Ml In 1 Bottle (42192-608-16),14.74,14.74,,,0 CDM,6497_59762505007,"Gabapentin: 1 Bottle, Plastic In 1 Carton (59762-5050-7) / 470 Ml In 1 Bottle, Plastic",6.0,6.0,,,0 CDM,64985_00131247760,"Vimpat: 6 Blister Pack In 1 Carton (0131-2477-60) / 10 Tablet, Film Coated In 1 Blister Pack",81.14,81.14,,,0 CDM,64985_00904724468,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7244-68) / 1 Tablet, Film Coated In 1 Blister Pack",7.64,7.64,,,0 CDM,64985_60687067611,NDC Description Not Available,12.18,12.18,,,0 CDM,64987_00131247835,"Vimpat: 60 Tablet, Film Coated In 1 Bottle, Plastic (0131-2478-35)",115.78,115.78,,,0 CDM,64987_00131247860,"Vimpat: 6 Blister Pack In 1 Carton (0131-2478-60) / 10 Tablet, Film Coated In 1 Blister Pack",126.64,126.64,,,0 CDM,64987_00904724568,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7245-68) / 1 Tablet, Film Coated In 1 Blister Pack",12.72,12.72,,,0 CDM,64987_51991034906,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle (51991-349-06)",4.74,4.74,,,0 CDM,64987_60687068711,NDC Description Not Available,19.05,19.05,,,0 CDM,64987_69367034960,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle, Plastic (69367-349-60)",5.41,5.41,,,0 CDM,64988_00131247935,"Vimpat: 60 Tablet, Film Coated In 1 Bottle, Plastic (0131-2479-35)",121.62,121.62,,,0 CDM,64988_00904724668,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7246-68) / 1 Tablet, Film Coated In 1 Blister Pack",15.26,15.26,,,0 CDM,64988_62332017360,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle (62332-173-60)",5.9,5.9,,,0 CDM,64989_00131248035,"Vimpat: 60 Tablet, Film Coated In 1 Bottle, Plastic (0131-2480-35)",123.1,123.1,,,0 CDM,64989_00131248060,"Vimpat: 6 Blister Pack In 1 Carton (0131-2480-60) / 10 Tablet, Film Coated In 1 Blister Pack",133.05,133.05,,,0 CDM,64989_00904724768,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7247-68) / 1 Tablet, Film Coated In 1 Blister Pack",15.26,15.26,,,0 CDM,64989_60687069811,NDC Description Not Available,20.18,20.18,,,0 CDM,64989_69367035160,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle, Plastic (69367-351-60)",6.0,6.0,,,0 CDM,64999_PBB,Pr Unlisted Procedure Nervous System-Pbb,1204.0,1204.0,,,0 CDM,65009967,Hc Omnipaque.Vial.140Mgi/Ml-50Ml,1.0,1.0,,,0 CDM,65109967,Hc Omnipaque.Vial.180Mg.1-10Ml,1.0,1.0,,,0 CDM,65160_25208000201,Aggrastat: 1 Bag In 1 Carton (25208-002-01) / 100 Ml In 1 Bag,25.76,25.76,,,0 CDM,65160_55150042901,Tirofiban: 1 Pouch In 1 Carton (55150-429-01) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,24.61,24.61,,,0 CDM,65205_PBB,Pr Removal Fb Eye Conjunctival Superficial-Pbb,467.0,467.0,,,0 CDM,65209967,Hc Omnipaque.Vial.180Mg.11-20Ml,1.0,1.0,,,0 CDM,65210_PBB,Pr Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor-Pbb,540.0,540.0,,,0 CDM,65220_PBB,Pr Rmvl Fb Xtrnl Eye Corneal W/O Slit Lamp-Pbb,586.0,586.0,,,0 CDM,65222_PBB,Pr Rmvl Fb Xtrnl Eye Corneal W/Slit Lamp-Pbb,643.0,643.0,,,0 CDM,65237_00536322301,NDC Description Not Available,5.73,5.73,,,0 CDM,65237_01650053502,NDC Description Not Available,5.74,5.74,,,0 CDM,65270_PBB,Pr Rpr Lac Cjnc W/Wo Nonperfor Lac Sclera Dir Clsr-Pbb,866.0,866.0,,,0 CDM,65272_PBB,Pr Rpr Lac Cjnc Moblj& Reargmt W/O Hospitalization-Pbb,1085.0,1085.0,,,0 CDM,65275_PBB,Pr Rpr Lac Cornea Nonperfor W/Wo Rmvl Foreign Body-Pbb,1561.0,1561.0,,,0 CDM,65286_PBB,Pr Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera-Pbb,3599.0,3599.0,,,0 CDM,65309967,Hc Omnipaque.Vial.240Mg.1-10Ml,1.0,1.0,,,0 CDM,65360_00131181067,"Vimpat: 10 Vial, Glass In 1 Carton (0131-1810-67) / 20 Ml In 1 Vial, Glass",492.58,492.58,,,0 CDM,65360_25021079120,"Lacosamide: 10 Vial, Glass In 1 Carton (25021-791-20) / 20 Ml In 1 Vial, Glass",274.04,274.04,,,0 CDM,65360_70710135901,NDC Description Not Available,328.59,328.59,,,0 CDM,65360_70710135906,Lacosamide: 10 Vial In 1 Carton (70710-1359-6) / 20 Ml In 1 Vial (70710-1359-1),438.99,438.99,,,0 CDM,65360_72266024201,NDC Description Not Available,401.74,401.74,,,0 CDM,65400_PBB,Pr Excision Lesion Cornea Xcp Pterygium-Pbb,5007.0,5007.0,,,0 CDM,65409967,Hc Visipaque.Bottle.320Mg.101-150Ml,2.0,2.0,,,0 CDM,65410_PBB,Pr Biopsy Cornea-Pbb,823.0,823.0,,,0 CDM,65413_00904549261,NDC Description Not Available,2.0,2.0,,,0 CDM,65430_PBB,Pr Cornea Scraping Diagnostic Smear &/Culture-Pbb,595.0,595.0,,,0 CDM,65435_PBB,Pr Rmvl Corneal Epithelium W/Wo Chemocauterization-Pbb,784.0,784.0,,,0 CDM,65436_PBB,Pr Rmvl Corneal Epithelium W/Appl Chelating Agent-Pbb,1257.0,1257.0,,,0 CDM,65450_PBB,Pr Dstrj Lesion Cryother Photo/Thermocautzation-Pbb,2514.0,2514.0,,,0 CDM,65509967,Hc Visipaque.Bottle.320Mg.1-100Ml,2.0,2.0,,,0 CDM,6555_51079073401,NDC Description Not Available,3.14,3.14,,,0 CDM,6555_51079073420,Haloperidol: 100 Blister Pack In 1 Carton (51079-734-20) / 1 Tablet In 1 Blister Pack (51079-734-01),3.01,3.01,,,0 CDM,65600_PBB,Pr Multiple Punctures Anterior Cornea-Pbb,3382.0,3382.0,,,0 CDM,65609967,Hc Visipaque.Pluspak.320Mg.1-50Ml,2.0,2.0,,,0 CDM,65709967,Hc Visipaque.Pluspak.320Mg.151-200Ml,2.0,2.0,,,0 CDM,6575_00904692861,"Topiramate: 100 Blister Pack In 1 Carton (0904-6928-61) / 1 Tablet, Film Coated In 1 Blister Pack",2.9,2.9,,,0 CDM,6575_68084034201,"Topiramate: 100 Blister Pack In 1 Box, Unit-Dose (68084-342-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-342-11)",4.78,4.78,,,0 CDM,6575_68084034211,NDC Description Not Available,3.06,3.06,,,0 CDM,65772_PBB,Pr Crnl Relaxing Inc Corrj Induced Astigmatism-Pbb,3184.0,3184.0,,,0 CDM,65778_PBB,Pr Place Amniotic Membra Ocular Surface W/O Sutures-Pbb,461.0,461.0,,,0 CDM,65780_PBB,Pr Ocular Surface Reconstruction Amniotic Membrane-Pbb,5913.0,5913.0,,,0 CDM,65800_PBB,Pr Paracentsis Ant Chamb Eye Aspir Aqueous Spx-Pbb,1159.0,1159.0,,,0 CDM,65809967,Hc Visipaque.Pluspak.320Mg.51-150Ml,2.0,2.0,,,0 CDM,65810_PBB,Pr Paracentsis Ant Cham Rmvl Vitreous W/Wo Air Injx-Pbb,5010.0,5010.0,,,0 CDM,65815_PBB,Pr Paracen Ant Cham Rmvl Blood W/Wo Irrig&/Air In-Pbb,5634.0,5634.0,,,0 CDM,65909967,Hc Visipaque.Widenckbttle.320Mg.1-50Ml,2.0,2.0,,,0 CDM,66000967,Hc Omnipaque.Pluspak.350Mg.101-200Ml,2.0,2.0,,,0 CDM,66009967,Hc Omnipaque.Vial.300Mg.1-50Ml,2.0,2.0,,,0 CDM,66020_PBB,Pr Injx Anterior Chamber Eye Air/Liquid Spx-Pbb,1053.0,1053.0,,,0 CDM,66030_PBB,Pr Injx Anterior Chamber Eye Medication Spx-Pbb,1036.0,1036.0,,,0 CDM,66100967,Hc Visipaque.Pluspak.320Mg.101-200Ml,2.0,2.0,,,0 CDM,66200967,Hc Visipaque.Pluspak.320Mg.51-100Ml,2.0,2.0,,,0 CDM,6628_00548590000,Cortrosyn: 10 Vial In 1 Carton (0548-5900-00) / 1 Ml In 1 Vial,639.31,639.31,,,0 CDM,6628_00781344071,NDC Description Not Available,501.91,501.91,,,0 CDM,6628_67457022702,Cosyntropin: 10 VIAL in 1 CARTON (67457-227-02) / 1 mL in 1 VIAL (67457-227-00),590.74,590.74,,,0 CDM,6635_00182055489,Hydralazine Hydrochloride: 100 BLISTER PACK in 1 BOX (0182-0554-89) / 1 TABLET in 1 BLISTER PACK (0182-0554-00),4.71,4.71,,,0 CDM,6635_00904644161,"Hydralazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6441-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.12,5.12,,,0 CDM,6635_23155083301,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (23155-833-01),5.12,5.12,,,0 CDM,6635_31722052001,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (31722-520-01),6.0,6.0,,,0 CDM,6635_50111032701,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (50111-327-01),5.59,5.59,,,0 CDM,6635_51079007501,NDC Description Not Available,5.74,5.74,,,0 CDM,6635_60687082211,NDC Description Not Available,5.17,5.17,,,0 CDM,6635_62584073301,"Hydralazine Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (62584-733-01) / 1 Tablet, Film Coated In 1 Blister Pack (62584-733-11)",6.0,6.0,,,0 CDM,6635_62584073311,NDC Description Not Available,5.49,5.49,,,0 CDM,6635_63739032710,Hydralazine Hydrochloride: 10 Blister Pack In 1 Case (63739-327-10) / 10 Tablet In 1 Blister Pack,4.49,4.49,,,0 CDM,6650_00409318905,NDC Description Not Available,28.44,28.44,,,0 CDM,6650_00409955805,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Box (0409-9558-05) / 5 Ml In 1 Vial, Multi-Dose (0409-9558-11)",24.89,24.89,,,0 CDM,6650_00409955811,NDC Description Not Available,24.93,24.93,,,0 CDM,6650_43066000710,Rocuronium Bromide: 10 Vial In 1 Carton (43066-007-10) / 5 Ml In 1 Vial,46.85,46.85,,,0 CDM,6650_63323042602,NDC Description Not Available,50.85,50.85,,,0 CDM,6650_67457022800,NDC Description Not Available,59.0,59.0,,,0 CDM,6651_00904737561,Meclizine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7375-61) / 1 Tablet In 1 Blister Pack,6.0,6.0,,,0 CDM,6651_50268052211,NDC Description Not Available,6.0,6.0,,,0 CDM,6651_51079042320,Meclizine Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-423-20) / 1 TABLET in 1 BLISTER PACK (51079-423-01),6.0,6.0,,,0 CDM,6651_60687077511,NDC Description Not Available,6.0,6.0,,,0 CDM,6651_69618002701,"Meclizine Hcl 12.5 Mg: 100 Tablet In 1 Bottle, Plastic (69618-027-01)",6.0,6.0,,,0 CDM,6656_45802004935,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-049-35) / 15 G In 1 Tube,50.69,50.69,,,0 CDM,6657_06761811128,NDC Description Not Available,1.98,1.98,,,0 CDM,67015_PBB,Pr Aspiration/Release Vitreous Subretinal/Choroidal-Pbb,4640.0,4640.0,,,0 CDM,67025_PBB,Pr Inj Substitute Pars Plana/Limbl W/Wo Aspir Spx-Pbb,4874.0,4874.0,,,0 CDM,67028_PBB,Pr Intravitreal Njx Pharmacologic Agt Spx-Pbb,3868.0,3868.0,,,0 CDM,6704_17478008130,"Ropivacaine Hydrochloride: 1 VIAL, SINGLE-DOSE in 1 CARTON (17478-081-30) / 30 mL in 1 VIAL, SINGLE-DOSE",0.46,0.46,,,0 CDM,6704_63323028605,NDC Description Not Available,1.11,1.11,,,0 CDM,6704_63323028611,NDC Description Not Available,1.01,1.01,,,0 CDM,6704_63323028620,Naropin: 5 Ampule In 1 Box (63323-286-20) / 20 Ml In 1 Ampule (63323-286-01),0.97,0.97,,,0 CDM,67101_PBB,Pr Rpr Retinal Dtchmnt Drg Subretinal Fluid Crtx-Pbb,15267.0,15267.0,,,0 CDM,67110_PBB,Pr Rpr Retinal Dtchmnt Injection Air/Other Gas-Pbb,16854.0,16854.0,,,0 CDM,67121_PBB,Pr Rmvl Implt Matrl Posterior Segment Intraocular-Pbb,7287.0,7287.0,,,0 CDM,6712_00409268715,"Ampicillin and Sulbactam: 100 mL in 1 VIAL, PHARMACY BULK PACKAGE (0409-2687-15)",48.25,48.25,,,0 CDM,6712_00641611801,"Ampicillin And Sulbactam: 100 Ml In 1 Vial, Pharmacy Bulk Package (0641-6118-01)",34.94,34.94,,,0 CDM,6712_25021014499,Ampicillin And Sulbactam: 1 Bottle In 1 Carton (25021-144-99) / 100 Ml In 1 Bottle,32.17,32.17,,,0 CDM,67141_PBB,Pr Proph Retinal Dtchmnt W/O Drg Crtx Diathermy-Pbb,5128.0,5128.0,,,0 CDM,67208_PBB,Pr Dstrj Loclzd Lesion Retina 1/> Sess Crtx Dthrm-Pbb,4537.0,4537.0,,,0 CDM,674_00006027528,NDC Description Not Available,32.48,32.48,,,0 CDM,674_31722072830,"Montelukast Sodium: 30 Tablet, Chewable In 1 Bottle (31722-728-30)",3.27,3.27,,,0 CDM,674_50268057411,NDC Description Not Available,5.98,5.98,,,0 CDM,674_57237021330,"Montelukast Sodium: 30 Tablet, Chewable In 1 Bottle (57237-213-30)",4.34,4.34,,,0 CDM,674_65862056890,"Montelukast Sodium: 90 Tablet, Chewable In 1 Bottle (65862-568-90)",4.98,4.98,,,0 CDM,67500_PBB,Pr Retrobulbar Injection Medication Spx-Pbb,892.0,892.0,,,0 CDM,67515_PBB,Pr Injection Medication/Other Subst Tenon Capsule-Pbb,883.0,883.0,,,0 CDM,67516_PBB,Pr Suprachoroidal Space Njx Pharmacologic Agent-Pbb,923.0,923.0,,,0 CDM,6757_68084027011,NDC Description Not Available,6.0,6.0,,,0 CDM,6757_68382011214,"Risperidone: 60 Tablet, Film Coated In 1 Bottle (68382-112-14)",6.0,6.0,,,0 CDM,6763_00054852625,"Lithium Carbonate: 10 Capsule, Gelatin Coated In 1 Blister Pack (0054-8526-25)",5.57,5.57,,,0 CDM,67700_PBB,Pr Blepharotomy Drainage Abscess Eyelid-Pbb,1046.0,1046.0,,,0 CDM,67710_PBB,Pr Severing Tarsorrhaphy-Pbb,1244.0,1244.0,,,0 CDM,67715_PBB,Pr Canthotomy Separate Procedure-Pbb,1151.0,1151.0,,,0 CDM,67800_PBB,Pr Excision Chalazion Single-Pbb,950.0,950.0,,,0 CDM,67801_PBB,Pr Excision Chalazion Multiple Same Lid-Pbb,1268.0,1268.0,,,0 CDM,67805_PBB,Pr Excision Chalazion Multiple Different Lids-Pbb,1430.0,1430.0,,,0 CDM,67810_PBB,Pr Incisional Biopsy Eyelid Skin W/Lid Margin-Pbb,1444.0,1444.0,,,0 CDM,67820_PBB,Pr Correction Trichiasis Epilation Forceps Only-Pbb,746.0,746.0,,,0 CDM,67825_PBB,Pr Correction Trichiasis Epilation Oth/Than Forceps-Pbb,1444.0,1444.0,,,0 CDM,67840_PBB,Pr Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure-Pbb,1943.0,1943.0,,,0 CDM,67850_PBB,Pr Destruction Lesion Lid Margin < 1 Cm-Pbb,1741.0,1741.0,,,0 CDM,67875_PBB,Pr Temporary Closure Eyelids Suture-Pbb,1993.0,1993.0,,,0 CDM,67880_PBB,Pr Constj Intermargin Adhes/Tarsorrh/Canthorrhapy-Pbb,3063.0,3063.0,,,0 CDM,67882_PBB,Pr Constj Intermargin Adhes/Tarsor/Canthor W/Trpos-Pbb,3703.0,3703.0,,,0 CDM,678_61314035401,"Tropicamide: 1 Bottle, Plastic In 1 Carton (61314-354-01) / 15 Ml In 1 Bottle, Plastic",132.72,132.72,,,0 CDM,67911_PBB,Pr Correction Lid Retraction-Pbb,6267.0,6267.0,,,0 CDM,67914_PBB,Pr Repair Ectropion Suture-Pbb,5801.0,5801.0,,,0 CDM,67921_PBB,Pr Repair Entropion Suture-Pbb,5806.0,5806.0,,,0 CDM,67938_PBB,Pr Removal Embedded Foreign Body Eyelid-Pbb,796.0,796.0,,,0 CDM,67950_PBB,Pr Canthoplasty-Pbb,3868.0,3868.0,,,0 CDM,67999PBB01_PBB,Pr Gold Weight Removal Eye Proc-Pbb,2625.0,2625.0,,,0 CDM,68020_PBB,Pr Incision Conjunctiva Drainage Of Cyst-Pbb,715.0,715.0,,,0 CDM,68040_PBB,Pr Expression Conjunctival Follicles-Pbb,715.0,715.0,,,0 CDM,68100_PBB,Pr Biopsy Conjunctiva-Pbb,1113.0,1113.0,,,0 CDM,68110_PBB,Pr Excision Lesion Conjunctiva <1 Cm-Pbb,1510.0,1510.0,,,0 CDM,68115_PBB,Pr Excision Lesion Conjunctiva > 1 Cm-Pbb,2382.0,2382.0,,,0 CDM,68135_PBB,Pr Destruction Lesion Conjunctiva-Pbb,1470.0,1470.0,,,0 CDM,6813_00904636961,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6369-61) / 1 Tablet In 1 Blister Pack,5.77,5.77,,,0 CDM,6814_00074327813,"K-Tab: 100 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (0074-3278-13)",5.2,5.2,,,0 CDM,6814_00245531689,NDC Description Not Available,3.17,3.17,,,0 CDM,6814_00574027500,NDC Description Not Available,2.36,2.36,,,0 CDM,6814_00574027501,NDC Description Not Available,6.0,6.0,,,0 CDM,6814_60687070811,NDC Description Not Available,2.76,2.76,,,0 CDM,6814_60687081011,NDC Description Not Available,1.88,1.88,,,0 CDM,6814_66758016013,"KLOR-CON: 10 BLISTER PACK in 1 CARTON (66758-160-13) / 10 TABLET, FILM COATED, EXTENDED RELEASE in 1 BLISTER PACK (66758-160-06)",3.7,3.7,,,0 CDM,68200000,Hc Trauma Activation Without Critical Care < 30 Minutes,10813.0,10813.0,,,0 CDM,68200390,Hc Trauma Response Activation With Critical Care,10813.0,10813.0,,,0 CDM,68200_PBB,Pr Subconjunctival Injection-Pbb,834.0,834.0,,,0 CDM,68330_PBB,Pr Rpr Symblepharon Conjunctivoplasty W/O Graft-Pbb,3831.0,3831.0,,,0 CDM,68440_PBB,Pr Snip Incision Lacrimal Punctum-Pbb,1097.0,1097.0,,,0 CDM,6844_00904712661,Metronidazole: 100 Blister Pack In 1 Carton (0904-7126-61) / 1 Tablet In 1 Blister Pack,5.85,5.85,,,0 CDM,6844_42292000101,NDC Description Not Available,6.0,6.0,,,0 CDM,6844_42292000120,Metronidazole: 100 BLISTER PACK in 1 CARTON (42292-001-20) / 1 TABLET in 1 BLISTER PACK (42292-001-01),5.37,5.37,,,0 CDM,6844_49999009530,Metronidazole: 30 TABLET in 1 BOTTLE (49999-095-30),6.0,6.0,,,0 CDM,6844_50268053511,NDC Description Not Available,5.76,5.76,,,0 CDM,6844_60687055001,"Metronidazole: 100 Blister Pack In 1 Box, Unit-Dose (60687-550-01) / 1 Tablet In 1 Blister Pack (60687-550-11)",6.0,6.0,,,0 CDM,6844_60687055011,NDC Description Not Available,5.84,5.84,,,0 CDM,6844_66267014804,Metronidazole: 4 TABLET in 1 BOTTLE (66267-148-04),6.0,6.0,,,0 CDM,684_65862051230,Pioglitazone Hydrochloride: 30 Tablet In 1 Bottle (65862-512-30),6.0,6.0,,,0 CDM,68530_PBB,Pr Rmvl Fb/Dacryolith Lacrimal Passages-Pbb,2727.0,2727.0,,,0 CDM,6854_00904661861,"Hydroxyzine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6618-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.91,5.91,,,0 CDM,6854_60687068611,NDC Description Not Available,6.0,6.0,,,0 CDM,685_00409610202,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-02) / 2 Ml In 1 Vial, Single-Dose (0409-6102-19)",3.66,3.66,,,0 CDM,685_00409610204,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-04) / 4 Ml In 1 Vial, Single-Dose (0409-6102-18)",3.68,3.68,,,0 CDM,685_00409610210,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-10) / 10 Ml In 1 Vial, Single-Dose (0409-6102-20)",2.47,2.47,,,0 CDM,685_00409610218,NDC Description Not Available,3.88,3.88,,,0 CDM,685_00409610219,NDC Description Not Available,24.04,24.04,,,0 CDM,685_00409610220,NDC Description Not Available,3.52,3.52,,,0 CDM,685_00409610235,NDC Description Not Available,59.0,59.0,,,0 CDM,685_23155047331,NDC Description Not Available,59.0,59.0,,,0 CDM,685_25021031102,Furosemide: 25 Vial In 1 Carton (25021-311-02) / 2 Ml In 1 Vial,26.57,26.57,,,0 CDM,685_25021031104,Furosemide: 25 Vial In 1 Carton (25021-311-04) / 4 Ml In 1 Vial,4.12,4.12,,,0 CDM,685_36000028225,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-282-25) / 2 Ml In 1 Vial, Single-Dose",5.15,5.15,,,0 CDM,685_36000028325,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-283-25) / 4 Ml In 1 Vial, Single-Dose",11.8,11.8,,,0 CDM,685_63323028001,NDC Description Not Available,29.38,29.38,,,0 CDM,685_63323028002,Furosemide: 25 Vial In 1 Tray (63323-280-02) / 2 Ml In 1 Vial (63323-280-01),14.75,14.75,,,0 CDM,685_63323028003,NDC Description Not Available,23.6,23.6,,,0 CDM,685_63323028005,NDC Description Not Available,59.0,59.0,,,0 CDM,685_70860030243,NDC Description Not Available,11.8,11.8,,,0 CDM,685_71288020302,NDC Description Not Available,2.83,2.83,,,0 CDM,685_71288020304,NDC Description Not Available,29.5,29.5,,,0 CDM,685_71288020310,NDC Description Not Available,5.03,5.03,,,0 CDM,685_72603025101,NDC Description Not Available,7.01,7.01,,,0 CDM,68705_PBB,Pr Correction Everted Punctum Cautery-Pbb,1373.0,1373.0,,,0 CDM,6871_17478010212,"Tropicamide: 1 BOTTLE, DROPPER in 1 CARTON (17478-102-12) / 15 mL in 1 BOTTLE, DROPPER",52.74,52.74,,,0 CDM,6871_61314035501,"Tropicamide: 1 Bottle, Plastic In 1 Carton (61314-355-01) / 3 Ml In 1 Bottle, Plastic",63.24,63.24,,,0 CDM,6871_61314035502,"Tropicamide: 1 Bottle, Plastic In 1 Carton (61314-355-02) / 15 Ml In 1 Bottle, Plastic",189.72,189.72,,,0 CDM,68760_PBB,Pr Clsr Lacrimal Punctum Thermocaut Lig/Laser-Pbb,1373.0,1373.0,,,0 CDM,68761_PBB,Pr Clsr Lacrimal Punctum Plug Each-Pbb,1032.0,1032.0,,,0 CDM,68801_PBB,Pr Dilation Lacrimal Punctum W/Wo Irrgation-Pbb,690.0,690.0,,,0 CDM,68810_PBB,Pr Probe Nasolacrimal Duct W/Wo Irrigation-Pbb,1373.0,1373.0,,,0 CDM,68840_PBB,Pr Probe Lacrimal Canaliculi W/Wo Irrigation-Pbb,967.0,967.0,,,0 CDM,6892_60219107601,Azathioprine: 100 Tablet In 1 Bottle (60219-1076-1),3.0,3.0,,,0 CDM,6892_68084022901,Azathioprine: 100 Blister Pack In 1 Carton (68084-229-01) / 1 Tablet In 1 Blister Pack (68084-229-11),4.34,4.34,,,0 CDM,6892_68084022911,NDC Description Not Available,4.65,4.65,,,0 CDM,6893_00904726361,"Oxcarbazepine: 100 Blister Pack In 1 Carton (0904-7263-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.48,5.48,,,0 CDM,6893_60687072211,NDC Description Not Available,5.62,5.62,,,0 CDM,6893_68084085301,"Oxcarbazepine: 100 Blister Pack In 1 Box, Unit-Dose (68084-853-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-853-11)",5.7,5.7,,,0 CDM,69000_PBB,Pr Drainage External Ear Abscess/Hematoma Simple-Pbb,1112.0,1112.0,,,0 CDM,69005_PBB,Pr Drainage External Ear Abscess/Hematoma Comp-Pbb,2960.0,2960.0,,,0 CDM,6900_55513053001,NDC Description Not Available,7.03,7.03,,,0 CDM,6900_55513053010,Neupogen: 10 Vial In 1 Package (55513-530-10) / 1 Ml In 1 Vial (55513-530-01),7.03,7.03,,,0 CDM,69020_PBB,Pr Drainage External Auditory Canal Abscess-Pbb,1190.0,1190.0,,,0 CDM,69100_PBB,Pr Biopsy External Ear-Pbb,1235.0,1235.0,,,0 CDM,69105_PBB,Pr Biopsy External Auditory Canal-Pbb,1235.0,1235.0,,,0 CDM,6915_00071036940,Dilantin: 100 Blister Pack In 1 Carton (0071-0369-40) / 1 Capsule In 1 Blister Pack,11.5,11.5,,,0 CDM,6915_00904618761,Extended Phenytoin Sodium: 100 Blister Pack In 1 Carton (0904-6187-61) / 1 Capsule In 1 Blister Pack,4.21,4.21,,,0 CDM,6915_51672411101,"Phenytoin Sodium: 100 Capsule, Extended Release In 1 Bottle (51672-4111-1)",3.13,3.13,,,0 CDM,6915_58151011032,NDC Description Not Available,11.69,11.69,,,0 CDM,6915_60687084111,NDC Description Not Available,9.67,9.67,,,0 CDM,6915_68084037611,NDC Description Not Available,6.0,6.0,,,0 CDM,69200_PBB,Pr Rmvl Fb Xtrnl Auditory Canal W/O Anes-Pbb,904.0,904.0,,,0 CDM,69205_PBB,Pr Rmvl Fb Xtrnl Auditory Canal Anes-Pbb,941.0,941.0,,,0 CDM,69210_PBB,Pr Removal Impacted Cerumen Instrumentation Unilat-Pbb,316.0,316.0,,,0 CDM,69220_PBB,Pr Debridement Mastoidectomy Cavity Simple-Pbb,493.0,493.0,,,0 CDM,69222_PBB,Pr Debridement Mastoidectomy Cavity Cmplx-Pbb,2222.0,2222.0,,,0 CDM,69310_PBB,Pr Reconstruction External Auditory Canal Spx-Pbb,8828.0,8828.0,,,0 CDM,69420_PBB,Pr Myringotomy Aspir&/Eustachian Tube Nfltj-Pbb,1814.0,1814.0,,,0 CDM,69433_PBB,Pr Tympanostomy Local/Topical Anesthesia-Pbb,2417.0,2417.0,,,0 CDM,6949_01657187290,NDC Description Not Available,3.97,3.97,,,0 CDM,6949_02055503600,NDC Description Not Available,3.67,3.67,,,0 CDM,6949_02055503601,NDC Description Not Available,3.87,3.87,,,0 CDM,6949_05026852411,NDC Description Not Available,3.95,3.95,,,0 CDM,6949_05026852415,NDC Description Not Available,4.14,4.14,,,0 CDM,6949_06809411059,NDC Description Not Available,3.83,3.83,,,0 CDM,69540_PBB,Pr Excision Aural Polyp-Pbb,1354.0,1354.0,,,0 CDM,69610_PBB,Pr Tympanic Memb Rpr W/Wo Prepj Perfor Patch-Pbb,1015.0,1015.0,,,0 CDM,6970_00143933801,NDC Description Not Available,10.18,10.18,,,0 CDM,6970_00409662902,"Quelicin: 25 Vial, Multi-Dose In 1 Tray (0409-6629-02) / 10 Ml In 1 Vial, Multi-Dose (0409-6629-12)",13.54,13.54,,,0 CDM,6970_00409662912,NDC Description Not Available,13.5,13.5,,,0 CDM,6970_00781341170,NDC Description Not Available,13.26,13.26,,,0 CDM,6970_70069030101,NDC Description Not Available,11.8,11.8,,,0 CDM,6970_71288071910,NDC Description Not Available,11.52,11.52,,,0 CDM,69801_PBB,Pr Labyrinthotomy Transcanal-Pbb,10168.0,10168.0,,,0 CDM,6993_51672126403,Fluocinonide: 1 Tube In 1 Carton (51672-1264-3) / 60 G In 1 Tube,241.06,241.06,,,0 CDM,6993_70700014617,Fluocinonide: 1 Tube In 1 Carton (70700-146-17) / 60 G In 1 Tube,241.06,241.06,,,0 CDM,6996_00071000740,"Dilantin Infatabs: 100 Blister Pack In 1 Box, Unit-Dose (0071-0007-40) / 1 Tablet, Chewable In 1 Blister Pack",13.62,13.62,,,0 CDM,6996_51672414601,"Phenytoin: 100 Tablet, Chewable In 1 Bottle (51672-4146-1)",3.0,3.0,,,0 CDM,6996_59762521001,"Phenytoin Infatabs: 100 TABLET, CHEWABLE in 1 BOTTLE (59762-5210-1)",3.08,3.08,,,0 CDM,6996_60687015695,NDC Description Not Available,9.3,9.3,,,0 CDM,70029040,"Hc Application Of Body Cast, Should To Hips; Including Head, Minerva Type",2964.0,2964.0,,,0 CDM,70029055,"Hc Application, Cast; Shoulder Spica",1895.0,1895.0,,,0 CDM,70029065,"Hc Application, Cast; Shoulder To Hand (Long Arm)",1049.0,1049.0,,,0 CDM,70029065_CAST,"Hc Application, Cast; Shoulder To Hand (Long Arm)-Cast",1049.0,1049.0,,,0 CDM,70029065_CASTPBB,"Hc Application, Cast; Shoulder To Hand (Long Arm)-Cast,Pbb",1049.0,1049.0,,,0 CDM,70029065_PBB,"Hc Application, Cast; Shoulder To Hand (Long Arm)-Pbb",1562.5,1562.5,,,0 CDM,70029075,"Hc Application, Cast; Elbow To Finger (Short Arm)",1092.0,1092.0,,,0 CDM,70029075_CAST,"Hc Application, Cast; Elbow To Finger (Short Arm)-Cast",1092.0,1092.0,,,0 CDM,70029075_CASTPBB,"Hc Application, Cast; Elbow To Finger (Short Arm)-Cast,Pbb",1092.0,1092.0,,,0 CDM,70029075_PBB,"Hc Application, Cast; Elbow To Finger (Short Arm)-Pbb",1491.0,1491.0,,,0 CDM,70029085,"Hc Application, Cast; Hand And Lower Forearm (Gauntlet)",940.0,940.0,,,0 CDM,70029086,"Hc Application, Cast; Finger (Eg, Contracture)",834.0,834.0,,,0 CDM,70029125,Hc Application Of Short Arm Splint (Forearm To Hand); Static,1094.0,1094.0,,,0 CDM,70029125_CASTPBB,"Hc Application Of Short Arm Splint (Forearm To Hand); Static-Cast,Pbb",1094.0,1094.0,,,0 CDM,70029125_PBB,Hc Application Of Short Arm Splint (Forearm To Hand); Static-Pbb,1389.0,1389.0,,,0 CDM,70029126,Hc Application Of Short Arm Splint; Dynamic,1346.0,1346.0,,,0 CDM,70029345,Hc Application Of Long Leg Cast (Thigh To Toes),2191.0,2191.0,,,0 CDM,70029345_CAST,Hc Application Of Long Leg Cast (Thigh To Toes)-Cast,2191.0,2191.0,,,0 CDM,70029345_CASTPBB,"Hc Application Of Long Leg Cast (Thigh To Toes)-Cast,Pbb",2191.0,2191.0,,,0 CDM,70029345_PBB,Hc Application Of Long Leg Cast (Thigh To Toes)-Pbb,2629.5,2629.5,,,0 CDM,70029365,Hc Application Of Cynlinder Cast,1374.0,1374.0,,,0 CDM,70029405,Hc Application Of Short Leg Cast (Below Knee To Toes),1150.0,1150.0,,,0 CDM,70029405_PBB,Hc Application Of Short Leg Cast (Below Knee To Toes)-Pbb,1622.0,1622.0,,,0 CDM,70029450_CAST,"Hc Application Of Clubfoot Cast With Molding Or Manipulation, Long Or Short Leg-Cast",605.0,605.0,,,0 CDM,70029450_CASTPBB,"Hc Application Of Clubfoot Cast With Molding Or Manipulation, Long Or Short Leg-Cast,Pbb",605.0,605.0,,,0 CDM,70029450_PBB,"Hc Application Of Clubfoot Cast With Molding Or Manipulation, Long Or Short Leg-Pbb",858.0,858.0,,,0 CDM,70029505,Hc Application Ofl Ong Leg Splint,1108.0,1108.0,,,0 CDM,70029515,Hc Application Of Short Leg Splint (Calf To Foot),1024.0,1024.0,,,0 CDM,70029515_CAST,Hc Application Of Short Leg Splint (Calf To Foot)-Cast,1024.0,1024.0,,,0 CDM,70029515_CASTPBB,"Hc Application Of Short Leg Splint (Calf To Foot)-Cast,Pbb",1024.0,1024.0,,,0 CDM,70029515_PBB,Hc Application Of Short Leg Splint (Calf To Foot)-Pbb,1453.5,1453.5,,,0 CDM,70029700,Hc Removal/Bivalving Gauntlet Boot/Body Cast,907.0,907.0,,,0 CDM,70029705,Hc Cast Removal,626.0,626.0,,,0 CDM,70029710,"Hc Removal Or Bivalving; Shoulder Or Hip Spica, Minerva, Or Risser Jacket, Etc.",1183.0,1183.0,,,0 CDM,70029730,Hc Windowing Of Cast,461.0,461.0,,,0 CDM,70029740_CAST,Hc Wedging Of Cast-Cast,738.0,738.0,,,0 CDM,70029740_CASTPBB,"Hc Wedging Of Cast-Cast,Pbb",738.0,738.0,,,0 CDM,70029740_PBB,Hc Wedging Of Cast-Pbb,1397.0,1397.0,,,0 CDM,70029799,Hc Unlisted Procedure Casting/Strapping,1590.0,1590.0,,,0 CDM,7002_00406048423,Acetaminophen And Codeine Phosphate: 1 Tablet In 1 Blister Pack (0406-0484-23),3.99,3.99,,,0 CDM,7002_66267000120,Acetaminophen and Codeine: 20 TABLET in 1 BOTTLE (66267-001-20),3.0,3.0,,,0 CDM,70129705,Hc Cast Bivalving; Full Arm Or Leg Cast,626.0,626.0,,,0 CDM,7019_00904629461,"Clopidogrel: 100 Blister Pack In 1 Carton (0904-6294-61) / 1 Tablet, Film Coated In 1 Blister Pack",4.71,4.71,,,0 CDM,7019_16714005210,Clopidogrel: 10 Tablet In 1 Blister Pack (16714-052-10),5.56,5.56,,,0 CDM,7019_68084053611,NDC Description Not Available,5.67,5.67,,,0 CDM,7043_00904690061,Chlorthalidone: 100 Blister Pack In 1 Carton (0904-6900-61) / 1 Tablet In 1 Blister Pack,13.54,13.54,,,0 CDM,7043_51079005801,NDC Description Not Available,11.87,11.87,,,0 CDM,7043_51079005820,Chlorthalidone: 100 Blister Pack In 1 Carton (51079-058-20) / 1 Tablet In 1 Blister Pack (51079-058-01),11.87,11.87,,,0 CDM,704_55513012601,NDC Description Not Available,21.82,21.82,,,0 CDM,704_59676030200,NDC Description Not Available,37.13,37.13,,,0 CDM,705_00904650061,Fluconazole: 100 Blister Pack In 1 Carton (0904-6500-61) / 1 Tablet In 1 Blister Pack,8.78,8.78,,,0 CDM,705_16714069102,Fluconazole: 100 Tablet In 1 Bottle (16714-691-02),7.55,7.55,,,0 CDM,705_68084072811,NDC Description Not Available,11.61,11.61,,,0 CDM,7071_00591401201,"Valproic: 100 Capsule, Liquid Filled In 1 Bottle (0591-4012-01)",2.75,2.75,,,0 CDM,7071_63739008610,"Valproic Acid: 10 Blister Pack In 1 Box, Unit-Dose (63739-086-10) / 10 Capsule In 1 Blister Pack",3.31,3.31,,,0 CDM,7071_63739025340,Valproic Acid: 100 Capsule In 1 Bottle (63739-253-40),2.52,2.52,,,0 CDM,7071_69452015020,"Valproic Acid: 100 Capsule, Liquid Filled In 1 Bottle, Plastic (69452-150-20)",2.62,2.62,,,0 CDM,7077_62135030801,"Ciprofloxacin: 100 Tablet, Film Coated In 1 Bottle, Plastic (62135-308-01)",18.23,18.23,,,0 CDM,7077_65862007601,"Ciprofloxacin: 100 Tablet, Film Coated In 1 Bottle (65862-076-01)",4.16,4.16,,,0 CDM,708_00904629206,"Atorvastatin Calcium: 50 Blister Pack In 1 Carton (0904-6292-06) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 CDM,708_00904629261,"Atorvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6292-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 CDM,708_50268009511,NDC Description Not Available,6.0,6.0,,,0 CDM,7145_00121127610,NDC Description Not Available,4.39,4.39,,,0 CDM,7145_63739050601,NDC Description Not Available,4.39,4.39,,,0 CDM,7155_00407140152,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1401-52) / 50 Ml In 1 Bottle, Plastic",9.47,9.47,,,0 CDM,72057558,Hc Dilation And Curettage Of Cervical Stump,5439.0,5439.0,,,0 CDM,72058605,"Hc Ligatn Or Trnsctn Fallpn Tubes,Abd Or Vag Apprch,Pstprtm,Unilat/Bilat, During Same Hosp",15044.0,15044.0,,,0 CDM,72059030,Hc Fetal Scalp Blood Sampling,1244.0,1244.0,,,0 CDM,72059070,"Hc Transabdominal Amnioinfusion, Including Ultrasound Guidance",738.0,738.0,,,0 CDM,72059412,"Hc External Cephalic Version, With Or Without Tocolysis",4874.0,4874.0,,,0 CDM,72059514,Hc Cesarean Delivery Only,11123.0,11123.0,,,0 CDM,72059525,Hc Subtotal Or Total Hysterectomy After Cesarean Delivery,5238.0,5238.0,,,0 CDM,72059855,"Hc Ind Abortn,1/More Vag Suppositories W/Wo Cerv Dil, Incl Hosp Adm&Visits,Del Of Fetus & Secundines",12978.0,12978.0,,,0 CDM,72059856,"Hc Indcd Abrtn, <=1 Vag Supps W/Wo Crvcl Dil,Incl Hosp Adm&Vis,Del Fet&Secs;W Dil&Curettag &/Or Evac",15241.0,15241.0,,,0 CDM,7208_00904635161,"Levofloxacin: 100 Blister Pack In 1 Carton (0904-6351-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.98,5.98,,,0 CDM,72100000,Hc Labor Level 1,2411.0,2411.0,,,0 CDM,72300000,Hc Labor Level 2,2853.0,2853.0,,,0 CDM,7233_39328002008,"Senna: 237 Ml In 1 Bottle, Plastic (39328-020-08)",2.0,2.0,,,0 CDM,72354150,"Hc Circumcision, Using Clamp Or Other Device With Regional Dorsal Penile Or Ring Block",8785.0,8785.0,,,0 CDM,72400000,Hc Labor Level 3,3297.0,3297.0,,,0 CDM,72500000,Hc Labor Level 4,3522.0,3522.0,,,0 CDM,72600000,Hc Delivery Level 1 Uncomplicated,6720.0,6720.0,,,0 CDM,72700000,Hc -Delivery Level 2 Complex,8941.0,8941.0,,,0 CDM,7273_68134020116,"Naproxen: 500 mL in 1 BOTTLE, PLASTIC (68134-201-16)",33.48,33.48,,,0 CDM,7278_00904637061,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6370-61) / 1 Tablet In 1 Blister Pack,5.93,5.93,,,0 CDM,7278_68382012205,Amlodipine Besylate: 500 Tablet In 1 Bottle (68382-122-05),6.0,6.0,,,0 CDM,7278_68382012216,Amlodipine Besylate: 90 Tablet In 1 Bottle (68382-122-16),6.0,6.0,,,0 CDM,7281_00536126328,Bacitracin Zinc: 1 Tube In 1 Box (0536-1263-28) / 28 G In 1 Tube,4.74,4.74,,,0 CDM,7281_01093956433,NDC Description Not Available,4.3,4.3,,,0 CDM,7281_49348015472,Antibiotic Bacitracin Zinc: 1 Tube In 1 Carton (49348-154-72) / 28.4 G In 1 Tube,4.3,4.3,,,0 CDM,7281_51672207501,Bacitracin Zinc: 1 Tube In 1 Carton (51672-2075-1) / 15 G In 1 Tube,6.05,6.05,,,0 CDM,7281_58980001110,Bacitracin Zinc: 1 Tube In 1 Box (58980-011-10) / 28.35 G In 1 Tube,7.49,7.49,,,0 CDM,7302_50268068511,NDC Description Not Available,3.71,3.71,,,0 CDM,7302_50268068515,Prochlorperazine Maleate: 50 Blister Pack In 1 Box (50268-685-15) / 1 Tablet In 1 Blister Pack (50268-685-11),3.7,3.7,,,0 CDM,7302_51079054201,NDC Description Not Available,3.0,3.0,,,0 CDM,7302_51079054220,"Prochlorperazine Maleate: 100 BLISTER PACK in 1 CARTON (51079-542-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-542-01)",3.0,3.0,,,0 CDM,7302_59746011506,Prochlorperazine Maleate: 100 Tablet In 1 Bottle (59746-115-06),2.93,2.93,,,0 CDM,7306_16714040301,Cefpodoxime Proxetil: 1 Bottle In 1 Carton (16714-403-01) / 50 Ml In 1 Bottle,76.34,76.34,,,0 CDM,73093005,"Hc Electrocardiogram, Routine Ecg W/ At Least 12 Leads; Tracing Only, W/O Interpretation And Report",551.0,551.0,,,0 CDM,73093041,"Hc Rhythm Ecg, 1-3 Leads; Tracing Only Without Interpretation And Report",319.0,319.0,,,0 CDM,73193225,Hc Ext Electrocardiographic Recording Up To 48 Hrs By Cont Rhythm Recording And Storage; Recording,1479.0,1479.0,,,0 CDM,73193226,Hc Ext Electrocardio Recrdg Up To 48 Hrs By Cont Rhythm Recrdg & Storage; Scanning Anlysis W/ Report,2083.0,2083.0,,,0 CDM,73193242,Hc External Ecg Rec>48Hr<7D Recording,90.0,90.0,,,0 CDM,73193246,Hc External Ecg Rec>7D<15D Recording,148.0,148.0,,,0 CDM,73193270,"Hc Ext Pt&Auto Act Elctrcrd Rthm Der Rec W Symp-Rel Mem Lp W Rem Dl Cap Upto30Dy,24Hr Att Mon; Re",112.0,112.0,,,0 CDM,73193271,"Hc Ext Pat &, Auto Activated Electrocardiographic Rhythm Derived Evnt Rcrdng W/Mem Lp; Trans & Anlys",1399.0,1399.0,,,0 CDM,73193799,Hc Unlisted Cardiovascular Service Or Procedure,240.0,240.0,,,0 CDM,7323_00004110150,"Xeloda: 120 Tablet, Film Coated In 1 Bottle, Plastic (0004-1101-50)",17.38,17.38,,,0 CDM,7323_60687014911,NDC Description Not Available,7.05,7.05,,,0 CDM,7343_00944049505,Flexbumin: 2 Bag In 1 Carton (0944-0495-05) / 250 Ml In 1 Bag (0944-0495-06),386.93,386.93,,,0 CDM,7343_00944049506,NDC Description Not Available,323.4,323.4,,,0 CDM,7343_44206031025,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-25) / 250 Ml In 1 Vial, Glass (44206-310-90)",504.03,504.03,,,0 CDM,7343_44206031050,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-50) / 500 Ml In 1 Vial, Glass (44206-310-91)",504.62,504.62,,,0 CDM,7343_44206031090,NDC Description Not Available,504.0,504.0,,,0 CDM,7343_44206031091,NDC Description Not Available,503.67,503.67,,,0 CDM,7343_68516521400,Albutein: 2 Bag In 1 Carton (68516-5214-0) / 500 Ml In 1 Bag (68516-5214-8),260.4,260.4,,,0 CDM,7343_68516521401,Albutein: 1 Vial In 1 Carton (68516-5214-1) / 250 Ml In 1 Vial (68516-5214-3),260.4,260.4,,,0 CDM,7343_68516521402,Albutein: 1 Vial In 1 Carton (68516-5214-2) / 500 Ml In 1 Vial (68516-5214-4),260.92,260.92,,,0 CDM,7343_68516521403,NDC Description Not Available,260.4,260.4,,,0 CDM,7343_68516521404,NDC Description Not Available,261.66,261.66,,,0 CDM,7343_68516521800,NDC Description Not Available,260.4,260.4,,,0 CDM,7343_76125079025,Albuked: 1 Vial In 1 Carton (76125-790-25) / 250 Ml In 1 Vial (76125-790-26),268.8,268.8,,,0 CDM,7343_76125079026,NDC Description Not Available,268.8,268.8,,,0 CDM,7369_00378021301,Chlorthalidone: 100 Tablet In 1 Bottle (0378-0213-01),7.39,7.39,,,0 CDM,7380_00904579061,"Acyclovir: 100 Blister Pack In 1 Box, Unit-Dose (0904-5790-61) / 1 Tablet In 1 Blister Pack",5.82,5.82,,,0 CDM,7380_00904750761,Acyclovir: 100 Blister Pack In 1 Carton (0904-7507-61) / 1 Tablet In 1 Blister Pack,5.76,5.76,,,0 CDM,7380_31722077701,Acyclovir: 100 Tablet In 1 Bottle (31722-777-01),5.83,5.83,,,0 CDM,7380_50268006111,NDC Description Not Available,5.83,5.83,,,0 CDM,7380_50268006115,"Acyclovir: 50 Blister Pack In 1 Bottle, Unit-Dose (50268-061-15) / 1 Tablet In 1 Blister Pack (50268-061-11)",5.89,5.89,,,0 CDM,7380_68084010811,NDC Description Not Available,5.57,5.57,,,0 CDM,7390_16571076209,Levocarnitine: 9 Blister Pack In 1 Carton (16571-762-09) / 10 Tablet In 1 Blister Pack,5.53,5.53,,,0 CDM,7390_50383017290,Levocarnitine: 9 BLISTER PACK in 1 CARTON (50383-172-90) / 10 TABLET in 1 BLISTER PACK,5.47,5.47,,,0 CDM,7390_54482014407,Carnitor: 10 Blister Pack In 1 Carton (54482-144-07) / 9 Tablet In 1 Blister Pack,7.64,7.64,,,0 CDM,7390_70954049210,Levocarnitine: 90 Blister Pack In 1 Carton (70954-492-10) / 10 Tablet In 1 Blister Pack,5.47,5.47,,,0 CDM,7395_00591554301,"Allopurinol: 100 Tablet In 1 Bottle, Plastic (0591-5543-01)",6.0,6.0,,,0 CDM,7395_00904704161,Allopurinol: 100 Blister Pack In 1 Carton (0904-7041-61) / 1 Tablet In 1 Blister Pack,4.14,4.14,,,0 CDM,7395_16714057602,Allopurinol: 100 Tablet In 1 Bottle (16714-576-02),5.44,5.44,,,0 CDM,7395_51079020501,NDC Description Not Available,4.61,4.61,,,0 CDM,7395_60687067711,NDC Description Not Available,4.87,4.87,,,0 CDM,7395_62584098801,"Allopurinol: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (62584-988-01) / 1 TABLET in 1 BLISTER PACK (62584-988-11)",5.38,5.38,,,0 CDM,7398_55111067811,NDC Description Not Available,30.93,30.93,,,0 CDM,7398_67457058200,NDC Description Not Available,33.31,33.31,,,0 CDM,7398_67457058210,"Fondaparinux Sodium: 10 Syringe, Glass In 1 Carton (67457-582-10) / .5 Ml In 1 Syringe, Glass (67457-582-00)",33.31,33.31,,,0 CDM,74000399,Hc Research Home Sleep Testing (Limited) Tech Only W/ No Interpretation,50.0,50.0,,,0 CDM,7408_00173052700,"Lamictal: 100 Tablet, For Suspension In 1 Bottle (0173-0527-00)",70.79,70.79,,,0 CDM,7408_68462022901,"Lamotrigine: 100 Tablet, Chewable In 1 Bottle (68462-229-01)",2.8,2.8,,,0 CDM,74095700,Hc Eeg Cont Rec W/Vid Eeg Tech,698.0,698.0,,,0 CDM,74095705,Hc Eeg W/O Vid 2-12 Hr Unmntr,698.0,698.0,,,0 CDM,74095706,Hc Eeg Wo Vid 2-12Hr Intmt Mntr,698.0,698.0,,,0 CDM,74095707,Hc Eeg W/O Vid 2-12Hr Cont Mntr,698.0,698.0,,,0 CDM,74095708,Hc Eeg Wo Vid Ea 12-26Hr Unmntr,1341.0,1341.0,,,0 CDM,74095709,Hc Eeg W/O Vid Ea 12-26Hr Intmt,1341.0,1341.0,,,0 CDM,74095710,Hc Eeg W/O Vid Ea 12-26Hr Cont,1341.0,1341.0,,,0 CDM,74095711,Hc Veeg 2-12 Hr Unmonitored,698.0,698.0,,,0 CDM,74095712,Hc Veeg 2-12 Hr Intmt Mntr,698.0,698.0,,,0 CDM,74095713,Hc Veeg 2-12 Hr Cont Mntr,1341.0,1341.0,,,0 CDM,74095714,Hc Veeg Ea 12-26 Hr Unmntr,1341.0,1341.0,,,0 CDM,74095715,Hc Veeg Ea 12-26Hr Intmt Mntr,1341.0,1341.0,,,0 CDM,74095716,Hc Veeg Ea 12-26Hr Cont Mntr,2507.0,2507.0,,,0 CDM,74095782,"Hc Polysomnography; < Than 6 Yrs, Sleep Staging W/ 4 Or More Add Parameters Of Sleep, Att By A Tech",4666.0,4666.0,,,0 CDM,74095805,"Hc Mult Slp Ltcy Or Main Wake Tst,Rec,Anlys&Intrprtn Physio Msmnt Sleep Mult Trials To Assess Sleep",7163.0,7163.0,,,0 CDM,74095810,"Hc Polysomnography; Sleep Staging W/ 4 Or More Add Parameters Of Sleep, Attended By A Technologist",7842.0,7842.0,,,0 CDM,74095811,"Hc Plysongrphy; Slp Stg W 4 Or > Add Par Sleep,W Initiation Of Cpap Ther Or Bilvl Vent, Att By Tech",8291.0,8291.0,,,0 CDM,74095812,Hc Eeg Extended Monitoring; 41-60 Minutes,3100.0,3100.0,,,0 CDM,74095816,Hc Electroencephalogram (Eeg); Including Recording Awake And Drowsy,2105.0,2105.0,,,0 CDM,74095819,Hc Electroencephalogram (Eeg); Including Recording Awake And Asleep,2046.0,2046.0,,,0 CDM,74095822,Hc Electroencephalogram (Eeg); Recording In Coma Or Sleep Only,1649.0,1649.0,,,0 CDM,74095824,Hc Electroencephalogram (Eeg); Cerebral Death Evaluation Only,509.0,509.0,,,0 CDM,74095829,Hc Electrocorticogram At Surgery (Separate Procedure),3479.0,3479.0,,,0 CDM,74095836_PBB,Hc Ecog Impltd Brn Npgt <30 D-Pbb,945.0,945.0,,,0 CDM,74095954,"Hc Pharm Or Phys Actvtn Req Phys Attndnc Durng Eeg Recrdng Of Actvtn Phs(Eg, Thiopental Actvtn Tst)",1272.0,1272.0,,,0 CDM,74095955,"Hc Electroencephalogram (Eeg) During Nonintracranial Surgery (Eg, Carotid Surgery)",2349.0,2349.0,,,0 CDM,74095957,"Hc Digital Analysis Of Electroencephalogram (Eeg) (Eg, For Epileptic Spike Analysis)",783.0,783.0,,,0 CDM,74095958,"Hc Wada Activation Test For Hemispheric Function, Including Electroencephalographic (Eeg) Monitoring",3139.0,3139.0,,,0 CDM,74095958_PBB,"Hc Wada Activation Test For Hemispheric Function, Including Electroencephalographic (Eeg) Monitoring",3527.0,3527.0,,,0 CDM,74095961,Hc Electrode Stimulation Brain; Initital Hour Of Attendance,1715.0,1715.0,,,0 CDM,74095962,Hc Electrode Stimulation Brain; Each Additional Hour Of Attendance By A Physician,1100.0,1100.0,,,0 CDM,74194811,Hc Research Polysomnogram,1216.0,1216.0,,,0 CDM,74195805,Hc Research Mslt Tech & Scoring,450.0,450.0,,,0 CDM,74195810,Hc Research Polysomnography With Physician Interpretation,600.0,600.0,,,0 CDM,74195813,Hc Eeg Extended Monitoring 61-119 Minutes,4483.0,4483.0,,,0 CDM,74295805,Hc Research Mslt With Physician Interpretation,600.0,600.0,,,0 CDM,74295810,Hc Research Polysomnography Tech Only,400.0,400.0,,,0 CDM,74295811,Hc Research Cpap Titration With Physician Interpretation,650.0,650.0,,,0 CDM,74295813,Hc Extended Eeg 2-3 Hours,4483.0,4483.0,,,0 CDM,74300_GAST,Chg Cholangiography&/Pancreatography Ntraop Rs&I-Gast,202.0,202.0,,,0 CDM,74300_PBB,Chg Cholangiography&/Pancreatography Ntraop Rs&I-Pbb,202.0,202.0,,,0 CDM,74328_GAST,Chg Endoscopic Cathj Biliary Ductal System Rs&I-Gast,346.0,346.0,,,0 CDM,74328_PBB,Chg Endoscopic Cathj Biliary Ductal System Rs&I-Pbb,346.0,346.0,,,0 CDM,74329_GAST,Chg Endoscopic Cathj Pancreatic Ductal Sys Rs&I-Gast,385.0,385.0,,,0 CDM,74329_PBB,Chg Endoscopic Cathj Pancreatic Ductal Sys Rs&I-Pbb,385.0,385.0,,,0 CDM,74330_GAST,Chg Cmbn Ndsc Cathj Biliary&Pncrtc Ductal Sys Rs&I-Gast,452.0,452.0,,,0 CDM,74330_PBB,Chg Cmbn Ndsc Cathj Biliary&Pncrtc Ductal Sys Rs&I-Pbb,452.0,452.0,,,0 CDM,74360_GAST,Chg Intraluminal Dilation Strictures&/Obstrcjs Rs&I-Gast,268.0,268.0,,,0 CDM,74360_PBB,Chg Intraluminal Dilation Strictures&/Obstrcjs Rs&I-Pbb,268.0,268.0,,,0 CDM,74363_GAST,Chg Prq Transhepatc Dilat Biliary Duct Strictre Rs&I-Gast,428.0,428.0,,,0 CDM,74363_PBB,Chg Prq Transhepatc Dilat Biliary Duct Strictre Rs&I-Pbb,428.0,428.0,,,0 CDM,74395810,Hc Research Polysomnography Tech & Scoring,450.0,450.0,,,0 CDM,74395811,Hc Research Cpap Titration Tech Only,450.0,450.0,,,0 CDM,74395813,Hc Extended Eeg 4-5 Hours,4483.0,4483.0,,,0 CDM,743_45802009828,Mesalamine: 28 Bottle In 1 Carton (45802-098-28) / 60 Ml In 1 Bottle,81.1,81.1,,,0 CDM,74430_PBB,Chg Cystography Minimum 3 Views Rs&I-Pbb,240.0,240.0,,,0 CDM,74455_PBB,Chg Urethrocystography Voiding Rs&I-Pbb,198.0,198.0,,,0 CDM,7445_00832712489,NDC Description Not Available,4.97,4.97,,,0 CDM,7445_62756079888,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (62756-798-88)",5.4,5.4,,,0 CDM,74495810,"Hc Research Polysom; Sleep Stage W/ 4 Or More Parameters, Tech Attend",388.0,388.0,,,0 CDM,74495811,Hc Research Cpap Treatment Night With Physician Interpretation,650.0,650.0,,,0 CDM,74495813,Hc Extended Eeg 6-8 Hours,4483.0,4483.0,,,0 CDM,74595811,Hc Research Cpap Treatment Night Tech Only,450.0,450.0,,,0 CDM,7460_00378464216,NDC Description Not Available,56.23,56.23,,,0 CDM,7460_65162099304,NDC Description Not Available,56.23,56.23,,,0 CDM,74695811,Hc Research Split Night Study With Physician Interpretation,650.0,650.0,,,0 CDM,7475_00904592261,Digoxin: 100 Blister Pack In 1 Carton (0904-5922-61) / 1 Tablet In 1 Blister Pack,8.36,8.36,,,0 CDM,74795811,Hc Research Split Night Study Tech Only,450.0,450.0,,,0 CDM,7482_00143968901,NDC Description Not Available,0.72,0.72,,,0 CDM,7482_00143968910,Nicardipine Hydrochloride: 10 Vial In 1 Carton (0143-9689-10) / 10 Ml In 1 Vial (0143-9689-01),0.79,0.79,,,0 CDM,7482_55150018301,NDC Description Not Available,0.6,0.6,,,0 CDM,74895811,Hc Research Cpap Titration Tech & Scoring,500.0,500.0,,,0 CDM,74995811,Hc Research Cpap Titration Tech & Scoring,500.0,500.0,,,0 CDM,75000104,Hc Colorectal Cancer Screening; Flexible Sigmoidoscopy,2201.0,2201.0,,,0 CDM,75000104_PBB,Hc Colorectal Cancer Screening; Flexible Sigmoidoscopy-Pbb,1934.0,1934.0,,,0 CDM,75000105,Hc Colorectal Cancer Screening; Colonoscopy On Individual At High Risk,5034.0,5034.0,,,0 CDM,75000105_PBB,Hc Colorectal Cancer Screening; Colonoscopy On Individual At High Risk-Pbb,3715.5,3715.5,,,0 CDM,75000121,Hc Colorectal Cancer Screeningl Colonoscpy On Individual Not Meeting Criteria For High Risk,5441.0,5441.0,,,0 CDM,75000121_PBB,Hc Colorectal Cancer Screeningl Colonoscpy On Individual Not Meeting Criteria For High Risk-Pbb,2502.0,2502.0,,,0 CDM,7502_00143978601,NDC Description Not Available,41.68,41.68,,,0 CDM,75031572,Hc Largsc W/Laser Dstrj Les Unilateral,7689.0,7689.0,,,0 CDM,75031572_PBB,Hc Largsc W/Laser Dstrj Les Unilateral-Pbb,8339.0,8339.0,,,0 CDM,75031600,Hc Planned Tracheostomy,7469.0,7469.0,,,0 CDM,75031600_GOLD,Hc Planned Tracheostomy-Gold,9289.5,9289.5,,,0 CDM,75031600_GOLDPBB,"Hc Planned Tracheostomy-Gold,Pbb",9289.5,9289.5,,,0 CDM,75031600_PBB,Hc Planned Tracheostomy-Pbb,9289.5,9289.5,,,0 CDM,75031637,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; Each Add Major Bronchus Stented",4831.0,4831.0,,,0 CDM,75031637_PBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; Each Add Major Bronchus Stented-Pbb",3989.0,3989.0,,,0 CDM,75031638,"Hc Bronch,Rigid/Flex,Incl Fluoro Guid,Whn Perf; /Revis Of Tracheal/ Bronch Stnt Insrt At Prev Sessn",15501.0,15501.0,,,0 CDM,75031638_CART,"Hc Bronch,Rigid/Flex,Incl Fluoro Guid,Whn Perf; /Revis Of Tracheal/ Bronch Stnt Insrt At Prev Sessn-",12412.5,12412.5,,,0 CDM,75031638_CARTPBB,"Hc Bronch,Rigid/Flex,Incl Fluoro Guid,Whn Perf; /Revis Of Tracheal/ Bronch Stnt Insrt At Prev Sessn-",12413.0,12413.0,,,0 CDM,75031638_GOLD,"Hc Bronch,Rigid/Flex,Incl Fluoro Guid,Whn Perf; /Revis Of Tracheal/ Bronch Stnt Insrt At Prev Sessn-",15501.0,15501.0,,,0 CDM,75031638_GOLDPBB,"Hc Bronch,Rigid/Flex,Incl Fluoro Guid,Whn Perf; /Revis Of Tracheal/ Bronch Stnt Insrt At Prev Sessn-",15502.0,15502.0,,,0 CDM,75031638_PBB,"Hc Bronch,Rigid/Flex,Incl Fluoro Guid,Whn Perf; /Revis Of Tracheal/ Bronch Stnt Insrt At Prev Sessn-",12413.0,12413.0,,,0 CDM,75031640,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Excsn Of Tumor",13240.0,13240.0,,,0 CDM,75031640_CART,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Excsn Of Tumor-Cart",10548.0,10548.0,,,0 CDM,75031640_CARTPBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Excsn Of Tumor-Cart,Pbb",10548.0,10548.0,,,0 CDM,75031640_GOLD,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Excsn Of Tumor-Gold",10548.0,10548.0,,,0 CDM,75031640_GOLDPBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Excsn Of Tumor-Gold,Pbb",10548.0,10548.0,,,0 CDM,75031640_PBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Excsn Of Tumor-Pbb",10548.0,10548.0,,,0 CDM,75031643,"Hc Bronch, Rigid/Flex, Incl Fluor Guid, When Perf; W/ Place Of Cath For Intracavitary Rdioelmnt App",6591.0,6591.0,,,0 CDM,75031643_PBB,"Hc Bronch, Rigid/Flex, Incl Fluor Guid, When Perf; W/ Place Of Cath For Intracavitary Rdioelmnt App-",5228.5,5228.5,,,0 CDM,75031661,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Bronchial Thermoplasty, 2 Or More Lobes",13762.0,13762.0,,,0 CDM,75031661_PBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Bronchial Thermoplasty, 2 Or More Lobes-Pb",11041.5,11041.5,,,0 CDM,75031725,"Hc Catheter Aspiration; Tracheobronchial With Fiberscope, Bedside",5189.0,5189.0,,,0 CDM,75031725_PBB,"Hc Catheter Aspiration; Tracheobronchial With Fiberscope, Bedside-Pbb",4725.5,4725.5,,,0 CDM,75031899,"Hc Unlisted Procedure Trachea, Bronchi",9106.0,9106.0,,,0 CDM,75031899_PBB,"Hc Unlisted Procedure Trachea, Bronchi-Pbb",10528.0,10528.0,,,0 CDM,75032601,"Hc Thoracoscopy, Diagnostic; Lungs, Pericardial Sac, Mediastinal Or Pleural Space, Without Biopsy",13240.0,13240.0,,,0 CDM,75032601_GOLD,"Hc Thoracoscopy, Diagnostic; Lungs, Pericardial Sac, Mediastinal Or Pleural Space, Without Biopsy-Go",11886.0,11886.0,,,0 CDM,75032601_GOLDPBB,"Hc Thoracoscopy, Diagnostic; Lungs, Pericardial Sac, Mediastinal Or Pleural Space, Without Biopsy-Go",11886.0,11886.0,,,0 CDM,75032601_PBB,"Hc Thoracoscopy, Diagnostic; Lungs, Pericardial Sac, Mediastinal Or Pleural Space, Without Biopsy-Pb",11886.0,11886.0,,,0 CDM,7503_00173093310,"Valtrex: 90 Tablet, Film Coated In 1 Bottle (0173-0933-10)",83.25,83.25,,,0 CDM,7503_00904656561,"Valacyclovir Hydrochloride: 100 Blister Pack In 1 Carton (0904-6565-61) / 1 Tablet, Film Coated In 1 Blister Pack",15.11,15.11,,,0 CDM,7503_50268078811,NDC Description Not Available,10.85,10.85,,,0 CDM,7503_63739007710,"Valacyclovir: 10 Blister Pack In 1 Box, Unit-Dose (63739-077-10) / 10 Tablet, Film Coated In 1 Blister Pack",8.46,8.46,,,0 CDM,7503_68084021511,NDC Description Not Available,19.84,19.84,,,0 CDM,75043180,"Hc Esophagoscopy, Rigid, Transoral W/Divertic Hypopharynx/Cervical",15839.0,15839.0,,,0 CDM,75043180_PBB,"Hc Esophagoscopy, Rigid, Transoral W/Divertic Hypopharynx/Cervical-Pbb",14333.5,14333.5,,,0 CDM,75043191,"Hc Esophagoscopy,Rigid,Transoral;Diagnstc,Incld Collctn Of Spcmn(S) By Brushing/Washing When Perf",6856.0,6856.0,,,0 CDM,75043191_PBB,"Hc Esophagoscopy,Rigid,Transoral;Diagnstc,Incld Collctn Of Spcmn(S) By Brushing/Washing When Perf-Pb",5672.5,5672.5,,,0 CDM,75043192,"Esophagoscopy, Rigid, Transoral; With Directed Submucosal Injection(S), Any Substance",8434.0,8434.0,,,0 CDM,75043192_PBB,"Esophagoscopy, Rigid, Transoral; With Directed Submucosal Injection(S), Any Substance-Pbb",6976.0,6976.0,,,0 CDM,75043193,"Esophagoscopy, Rigid, Transoral; With Biopsy, Single Or Multiple",9920.0,9920.0,,,0 CDM,75043193_PBB,"Esophagoscopy, Rigid, Transoral; With Biopsy, Single Or Multiple-Pbb",8322.5,8322.5,,,0 CDM,75043194,"Esophagoscopy, Rigid, Transoral; With Removal Of Foreign Body(S)",10290.0,10290.0,,,0 CDM,75043194_PBB,"Esophagoscopy, Rigid, Transoral; With Removal Of Foreign Body(S)-Pbb",8512.0,8512.0,,,0 CDM,75043195,"Esophagoscopy, Rigid, Transoral; With Balloon Dilation",10290.0,10290.0,,,0 CDM,75043195_PBB,"Esophagoscopy, Rigid, Transoral; With Balloon Dilation-Pbb",8512.0,8512.0,,,0 CDM,75043196,"Esophagoscopy, Rigid, Transoral; With Insertion Of Guide Wire Followed By Dilation Over Guide Wire",11317.0,11317.0,,,0 CDM,75043196_PBB,"Esophagoscopy, Rigid, Transoral; With Insertion Of Guide Wire Followed By Dilation Over Guide Wire-P",9359.0,9359.0,,,0 CDM,75043198,"Hc Esophagoscopy, Flexible, Transnasal; With Biopsy, Single Or Multiple",6116.0,6116.0,,,0 CDM,75043198_PBB,"Hc Esophagoscopy, Flexible, Transnasal; With Biopsy, Single Or Multiple-Pbb",5060.0,5060.0,,,0 CDM,75043200,"Hc Esophagoscpy, Flex, Transorl, Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf",6455.0,6455.0,,,0 CDM,75043200_PBB,"Hc Esophagoscpy, Flex, Transorl, Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf",5541.0,5541.0,,,0 CDM,75043202,"Hc Esophagoscopy, Flexible, Transoral; With Biopsy, Single Or Multiple",4865.0,4865.0,,,0 CDM,75043202_PBB,"Hc Esophagoscopy, Flexible, Transoral; With Biopsy, Single Or Multiple-Pbb",3803.5,3803.5,,,0 CDM,75043204,"Hc Esophagoscopy, Flexible, Transoral; With Injection Sclerosis Of Esophageal Varices",6374.0,6374.0,,,0 CDM,75043204_PBB,"Hc Esophagoscopy, Flexible, Transoral; With Injection Sclerosis Of Esophageal Varices-Pbb",4901.5,4901.5,,,0 CDM,75043205,"Hc Esophagoscopy, Flexible, Transoral; With Band Ligation Of Esophageal Varices",5200.0,5200.0,,,0 CDM,75043205_PBB,"Hc Esophagoscopy, Flexible, Transoral; With Band Ligation Of Esophageal Varices-Pbb",3692.0,3692.0,,,0 CDM,75043206,"Hc Esophagoscopy, Flexible, Transoral; With Optical Endomicroscopy",5544.0,5544.0,,,0 CDM,75043206_PBB,"Hc Esophagoscopy, Flexible, Transoral; With Optical Endomicroscopy-Pbb",4440.5,4440.5,,,0 CDM,75043211,"Hc Esophagoscopy, Flexible, Transoral; With Endoscopic Mucosal Resection",13518.0,13518.0,,,0 CDM,75043211_PBB,"Hc Esophagoscopy, Flexible, Transoral; With Endoscopic Mucosal Resection-Pbb",12033.5,12033.5,,,0 CDM,75043212,"Hc Esophagoscopy, Flexible, Transoral; With Placement Of Endoscopic Stent",10814.0,10814.0,,,0 CDM,75043212_PBB,"Hc Esophagoscopy, Flexible, Transoral; With Placement Of Endoscopic Stent-Pbb",9627.5,9627.5,,,0 CDM,75043213,"Hc Esophagoscopy, Flexible, Transoral; With Dilation Of Esophagus, By Balloon Or Dilator, Retrograde",9601.0,9601.0,,,0 CDM,75043213_PBB,"Hc Esophagoscopy, Flexible, Transoral; With Dilation Of Esophagus, By Balloon Or Dilator, Retrograde",7354.5,7354.5,,,0 CDM,75043214,"Hc Esophagoscopy, Flexible, Transoral; With Dilation Of Esophagus With Balloon",6933.0,6933.0,,,0 CDM,75043214_PBB,"Hc Esophagoscopy, Flexible, Transoral; With Dilation Of Esophagus With Balloon-Pbb",5319.0,5319.0,,,0 CDM,75043215,"Hc Esophagoscopy, Flexible, Transoral; With Removal Of Foreign Body",6281.0,6281.0,,,0 CDM,75043215_PBB,"Hc Esophagoscopy, Flexible, Transoral; With Removal Of Foreign Body-Pbb",4858.0,4858.0,,,0 CDM,75043216,"Hc Esophagoscopy, Flex, Transoral; W/ Rmvl Of Tumor, Polyp, Or Other Les By Hot Biopsy Forceps",7240.0,7240.0,,,0 CDM,75043216_PBB,"Hc Esophagoscopy, Flex, Transoral; W/ Rmvl Of Tumor, Polyp, Or Other Les By Hot Biopsy Forceps-Pbb",5693.5,5693.5,,,0 CDM,75043217,"Hc Esophagoscopy, Flex, Transoral; W/ Rmvl Of Tumor, Polyp, Or Other Les By Snare Tchnq",6574.0,6574.0,,,0 CDM,75043217_PBB,"Hc Esophagoscopy, Flex, Transoral; W/ Rmvl Of Tumor, Polyp, Or Other Les By Snare Tchnq-Pbb",5009.0,5009.0,,,0 CDM,75043220,"Hc Esophagoscopy, Flexible, Transoral; With Transendoscopic Balloon Dilation",6230.0,6230.0,,,0 CDM,75043220_PBB,"Hc Esophagoscopy, Flexible, Transoral; With Transendoscopic Balloon Dilation-Pbb",5054.5,5054.5,,,0 CDM,75043227,"Hc Esophagoscopy, Flexible, Transoral; With Crontol Of Bleeding, Any Method",6420.0,6420.0,,,0 CDM,75043227_PBB,"Hc Esophagoscopy, Flexible, Transoral; With Crontol Of Bleeding, Any Method-Pbb",4948.5,4948.5,,,0 CDM,75043229,"Hc Esophagoscopy, Flexible, Transoral; With Ablation Of Tumor, Polyp, Or Other Lesion",9476.0,9476.0,,,0 CDM,75043229_PBB,"Hc Esophagoscopy, Flexible, Transoral; With Ablation Of Tumor, Polyp, Or Other Lesion-Pbb",8249.0,8249.0,,,0 CDM,75043231,"Hc Esophagoscopy, Flexible, Transoral; With Endoscopic Ultrasound",5912.0,5912.0,,,0 CDM,75043231_PBB,"Hc Esophagoscopy, Flexible, Transoral; With Endoscopic Ultrasound-Pbb",4438.0,4438.0,,,0 CDM,75043232,"Hc Esophagoscopy, Flex, Transoral; W/ Transendoscop U/S-Guided Intramural/Transmural Fna/Biopsy",6177.0,6177.0,,,0 CDM,75043232_PBB,"Hc Esophagoscopy, Flex, Transoral; W/ Transendoscop U/S-Guided Intramural/Transmural Fna/Biopsy-Pbb",4804.5,4804.5,,,0 CDM,75043233,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Dilation Of Esophagus With Balloon",8217.0,8217.0,,,0 CDM,75043233_PBB,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Dilation Of Esophagus With Balloon-Pbb",6295.0,6295.0,,,0 CDM,75043235,"Hc Egd, Flex; Transoral, Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf",6039.0,6039.0,,,0 CDM,75043235_PBB,"Hc Egd, Flex; Transoral, Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf-Pbb",5111.5,5111.5,,,0 CDM,75043236,"Hc Esophagogastroduodenoscopy, Flex, Transoral; W/ Directed Submucosal Inj(S), Any Substance",8274.0,8274.0,,,0 CDM,75043236_PBB,"Hc Esophagogastroduodenoscopy, Flex, Transoral; W/ Directed Submucosal Inj(S), Any Substance-Pbb",6710.5,6710.5,,,0 CDM,75043237_PBB,"Hc Egd, Flex, Transoral;W/ Endoscopic U/S Exam Lmtd To Esoph,Stomch,Duod,& Adj Strctrs-Pbb",5090.5,5090.5,,,0 CDM,75043238_PBB,"Hc Egd,Flex,Transoral;W/ Transendoscopic U/S-Guided Intrmrl Or Trnsmrl Fine Needle Asp/Biopsy(S)-Pbb",7089.0,7089.0,,,0 CDM,75043239_PBB,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Biopsy, Single Or Multiple-Pbb",5918.5,5918.5,,,0 CDM,75043240_PBB,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Transmural Drainage Of Pseudocyst-Pbb",6313.5,6313.5,,,0 CDM,75043241,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Insertion Of Intraluminal Tube Or Catheter",5542.0,5542.0,,,0 CDM,75043241_PBB,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Insertion Of Intraluminal Tube Or Catheter-",6951.5,6951.5,,,0 CDM,75043242_PBB,"Hc Esphgogstrduodnscpy, Flxbl, Trnsorl W/Trnsendscpc Ultrsndgded Intrmrl/Trnsmrl Fine Ndl Asp/Bx(S)-",9865.5,9865.5,,,0 CDM,75043243_PBB,"Hc Esophagogastroduodenoscopy, Flex, Transoral; W/ Inj Sclerosis Of Esophageal/Gastric Varices-Pbb",4812.0,4812.0,,,0 CDM,75043244_PBB,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Band Ligation Of Esophageal/Gastric Varices",7298.0,7298.0,,,0 CDM,75043245_PBB,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Dilation Of Gastric/Duodenal Stricture-Pbb",6093.0,6093.0,,,0 CDM,75043246_PBB,"Hc Esophagogastroduodenoscopy, Flex, Transoral; W/ Directed Placement Of Perc Gastrostomy Tube-Pbb",5462.5,5462.5,,,0 CDM,75043247,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Removal Of Foreign Body(S)",5036.0,5036.0,,,0 CDM,75043247_PBB,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Removal Of Foreign Body(S)-Pbb",6546.0,6546.0,,,0 CDM,75043248_PBB,"Hc Egd, Flex, Transoral; W/ Insrtn Of Guide Wire Followed By Passage Of Dilator Thru Esoph Over Gw-P",5562.5,5562.5,,,0 CDM,75043249_PBB,"Hc Esophagogastroduodenoscopy, Flex, Transoral; W/ Transendoscopic Blln Dilation Of Esophagus-Pbb",5981.5,5981.5,,,0 CDM,75043250_PBB,"Hc Egd, Flex, Transoral; W/ Rmvl Of Tumor(S), Polyp(S), Or Other Les(S) By Hot Biopsy Forceps-Pbb",5529.0,5529.0,,,0 CDM,75043251_PBB,"Hc Esophagogastroduodnoscpy,Flex,Trnsoral W/Rmvl Of Tumor(S), Polyp(S) Or Othr Les(S) By Snare Tchnq",6763.0,6763.0,,,0 CDM,75043252_PBB,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Removal Of Foreign Body(S)-Pbb",6469.5,6469.5,,,0 CDM,75043253,"Hc Egd,Flex,Trnsoral;W/Trnsendoscpc Us-Gded Trnsmural Inj Of Diag Or Thrptc Substnce Or Fiducl Markr",5895.0,5895.0,,,0 CDM,75043253_PBB,"Hc Egd,Flex,Trnsoral;W/Trnsendoscpc Us-Gded Trnsmural Inj Of Diag Or Thrptc Substnce Or Fiducl Markr",4455.5,4455.5,,,0 CDM,75043254,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Endoscopic Mucosal Resection",6129.0,6129.0,,,0 CDM,75043254_PBB,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Endoscopic Mucosal Resection-Pbb",4633.5,4633.5,,,0 CDM,75043255,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Control Of Bleeding, Any Method",6574.0,6574.0,,,0 CDM,75043255_PBB,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Control Of Bleeding, Any Method-Pbb",5009.0,5009.0,,,0 CDM,75043257,Hc Esphgogstroduodnoscpy; Dlvry Thrml Enrgy To Muscle Lwr Esphgl Sphincter &/Or Gstrc Cardia,11000.0,11000.0,,,0 CDM,75043257_PBB,Hc Esphgogstroduodnoscpy; Dlvry Thrml Enrgy To Muscle Lwr Esphgl Sphincter &/Or Gstrc Cardia-Pbb,8913.0,8913.0,,,0 CDM,75043259_PBB,"Hc Egd,Flx,Trnsorl;W/Endo Us,Incl Esph,Stm,&Ddnm Or Sx Altrd Stmch Where Jejnm Is Exm Distl To Anast",9572.5,9572.5,,,0 CDM,75043260,"Hc Endo Rtrogrd Cholangiopancreatogrphy(Ercp);Dx, Incl Collctn Of Spec(S)By Brshng Or Wshng,Whn Perf",9913.0,9913.0,,,0 CDM,75043260_PBB,"Hc Endo Rtrogrd Cholangiopancreatogrphy(Ercp);Dx, Incl Collctn Of Spec(S)By Brshng Or Wshng,Whn Perf",8347.5,8347.5,,,0 CDM,75043261,"Hc Endoscopic Retrograde Cholangiopancreatography (Ercp); With Biopsy, Single Or Multiple",9900.0,9900.0,,,0 CDM,75043261_PBB,"Hc Endoscopic Retrograde Cholangiopancreatography (Ercp); With Biopsy, Single Or Multiple-Pbb",8110.0,8110.0,,,0 CDM,75043262,Hc Endoscopic Retrograde Cholangiopancreatography (Ercp); With Sphincterotomy/Papillotomy,13637.0,13637.0,,,0 CDM,75043262_PBB,Hc Endoscopic Retrograde Cholangiopancreatography (Ercp); With Sphincterotomy/Papillotomy-Pbb,11127.0,11127.0,,,0 CDM,75043263,Hc Endoscopic Retrograde Cholangiopancreatography (Ercp); W/ Prssure Measuremnt Of Sphincter Of Oddi,13458.0,13458.0,,,0 CDM,75043263_PBB,Hc Endoscopic Retrograde Cholangiopancreatography (Ercp); W/ Prssure Measuremnt Of Sphincter Of Oddi,11342.0,11342.0,,,0 CDM,75043264,Hc Ercp; W/ Rmvl Of Calculi/Debris From Biliary/Pancreatic Duct(S),12005.0,12005.0,,,0 CDM,75043264_PBB,Hc Ercp; W/ Rmvl Of Calculi/Debris From Biliary/Pancreatic Duct(S)-Pbb,9193.0,9193.0,,,0 CDM,75043265,"Hc Endoscopic Retrograde Cholangiopancreatography (Ercp); With Destruction Of Calculi, Any Method",11613.0,11613.0,,,0 CDM,75043265_PBB,"Hc Endoscopic Retrograde Cholangiopancreatography (Ercp); With Destruction Of Calculi, Any Method-Pb",8991.5,8991.5,,,0 CDM,75043266,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Placement Of Endoscopic Stent",11257.0,11257.0,,,0 CDM,75043266_PBB,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Placement Of Endoscopic Stent-Pbb",9931.0,9931.0,,,0 CDM,75043270,"Hc Esophagogastroduodenoscopy, Flex, Transoral; W/ Abltn Of Tumor(S), Polyp(S), Or Other Les(S)",8908.0,8908.0,,,0 CDM,75043270_PBB,"Hc Esophagogastroduodenoscopy, Flex, Transoral; W/ Abltn Of Tumor(S), Polyp(S), Or Other Les(S)-Pbb",7337.5,7337.5,,,0 CDM,75043273,Hc Endoscopic Cannulation Of Papilla With Direct Visualization Of Pancreatic/Common Bile Duct(S),5149.0,5149.0,,,0 CDM,75043273_PBB,Hc Endoscopic Cannulation Of Papilla With Direct Visualization Of Pancreatic/Common Bile Duct(S)-Pbb,4917.5,4917.5,,,0 CDM,75043274,"Hc Ercp; W/Plcemnt Endo Stnt Into Bil/Pncrtc Dct, Incl Pre/Post-Dilatn, Incl Sphnctrtmy, Ea Stnt",14266.0,14266.0,,,0 CDM,75043274_PBB,"Hc Ercp; W/Plcemnt Endo Stnt Into Bil/Pncrtc Dct, Incl Pre/Post-Dilatn, Incl Sphnctrtmy, Ea Stnt-Pb",11873.0,11873.0,,,0 CDM,75043275,Hc Endo Retrgrd Cholangiopancreatogrphy(Ercp);W/Rmvl Of Fgn Bdy(S)/Stent(S)Frm Biliary/Panc Duct,14376.0,14376.0,,,0 CDM,75043275_PBB,Hc Endo Retrgrd Cholangiopancreatogrphy(Ercp);W/Rmvl Of Fgn Bdy(S)/Stent(S)Frm Biliary/Panc Duct-Pbb,12338.5,12338.5,,,0 CDM,75043276,Hc Ercp Stent Exchange With Pre And Post Dilation And Guide Wire Passage,18254.0,18254.0,,,0 CDM,75043276_PBB,Hc Ercp Stent Exchange With Pre And Post Dilation And Guide Wire Passage-Pbb,15668.5,15668.5,,,0 CDM,75043277,"Hc Ercp; W/Trnsendo Blln Dltn Bil/Pncrtc Dct(S) Or Amplla (Sphnctrplsty), Incl Sphnctrtmy, Ea Dct",13936.0,13936.0,,,0 CDM,75043277_PBB,"Hc Ercp; W/Trnsendo Blln Dltn Bil/Pncrtc Dct(S) Or Amplla (Sphnctrplsty), Incl Sphnctrtmy, Ea Dct-P",11637.0,11637.0,,,0 CDM,75043278,"Hc Ercp; W/ Abltn Tmr(S), Plyp(S), Or Oth Les(S), Inc Pre- & Pst-Dilat & Guide Wire Pass, When Perf",12783.0,12783.0,,,0 CDM,75043278_PBB,"Hc Ercp; W/ Abltn Tmr(S), Plyp(S), Or Oth Les(S), Inc Pre- & Pst-Dilat & Guide Wire Pass, When Perf-",11052.5,11052.5,,,0 CDM,75043450,"Hc Dilation Of Esophagus, By Unguided Sound Or Bougie, Single Or Multiple Passes",6106.0,6106.0,,,0 CDM,75043450_PBB,"Hc Dilation Of Esophagus, By Unguided Sound Or Bougie, Single Or Multiple Passes-Pbb",5530.0,5530.0,,,0 CDM,75043497_PBB,Hc Transoral Lower Esophageal Myotomy-Pbb,10814.5,10814.5,,,0 CDM,75043761,"Hc Repositioning Of A Naso- Or Oro-Gastric Feeding Tube, Throught He Duodenum For Enteric Nutrition",3392.0,3392.0,,,0 CDM,75043761_PBB,"Hc Repositioning Of A Naso- Or Oro-Gastric Feeding Tube, Throught He Duodenum For Enteric Nutrition-",4144.5,4144.5,,,0 CDM,75043762,"Hc Rplcmnt Gastro Tube, Prctns, Incl Rmvl, W/O Img Or Endo Gdnce",3745.0,3745.0,,,0 CDM,75043762_PBB,"Hc Rplcmnt Gastro Tube, Prctns, Incl Rmvl, W/O Img Or Endo Gdnce-Pbb",2990.0,2990.0,,,0 CDM,75043763_PBB,"Hc Rplcmnt Gastro Tube, Perq, Includes Rmvl, W/O Imagining Of-Pbb",6204.5,6204.5,,,0 CDM,75043870_PBB,"Hc Closure Of Gastrostomy, Surgical-Pbb",13251.5,13251.5,,,0 CDM,75044100,"Hc Biopsy Of Intestine By Capsule, Tube, Peroral",6126.0,6126.0,,,0 CDM,75044100_PBB,"Hc Biopsy Of Intestine By Capsule, Tube, Peroral-Pbb",5519.5,5519.5,,,0 CDM,75044360_PBB,"Hc Sm Intest Endoscpy,Enteroscpy 2Nd Portn Duodenum,Not Incl Ileum;Diag,Incl Colln Spec Brush/Wash-P",5100.0,5100.0,,,0 CDM,75044361_PBB,"Hc Sm Intest Endosc, Enterosc Beyond 2Nd Portion Of Duodenum, Not Incl Ileum; W/ Bx, Single Or Mult-",9057.5,9057.5,,,0 CDM,75044363_PBB,"Hc Small Intest Endo, Enteroscopy Beyond 2Nd Portn Of Duodenum, Not Incl Ileum;W/Rmvl Of Foreign Bdy",5862.5,5862.5,,,0 CDM,75044364_PBB,"Hc Sm Intst Endo, Entscpy Beynd 2Nd Ptn Of Duod, Not Incl Ilm;Rmvl Of Tmor,Plyp,Or Les By Snare Tcnq",6986.5,6986.5,,,0 CDM,75044365_PBB,"Hc Smll Int End, Enscpy Bynd 2Nd Pt Duo,Not Inc Ilm;W Rmv Tmr(S) Plyp(S) Les(S) By Hot Bx Fcp Or Cty",6986.5,6986.5,,,0 CDM,75044366_PBB,"Hc Small Intest Endscpy, Enteroscpy Bynd Second Portn Of Duod, Not Incldng Ileum; W/ Cntrl Of Blding",8022.5,8022.5,,,0 CDM,75044369_PBB,"Hc Smll Intst Endscpy,Entscpy Bynd 2Nd Prtn Of D,Not Incl Ilm;W/Abltn Tumr,Plyp,Biplr Ctry/Snr Tchnq",7838.5,7838.5,,,0 CDM,75044370_PBB,"Hc Small Intest Endoscopy; Beyond 2Nd Portion Duoden, Not Incl Ileum; W/Transendoscopic Stent Place-",11701.5,11701.5,,,0 CDM,75044372_PBB,"Hc Sm Intst Endoscpy,Entroscpy Bynd 2Nd Prtn Of Dudenum,Nt Incl Ilum;W/Plcmnt Of Perc Jejunostmy Tub",6574.0,6574.0,,,0 CDM,75044373_PBB,"Hc Mri,Brain, Funcal Mri;Incl Test Sel&Adm Rep Body Part Mvmnt &Or Vis Stim,Not Req Md/Psych Adm-Pbb",6574.0,6574.0,,,0 CDM,75044376_PBB,"Hc Sm Intest Sm,Entscopy Beynd 2Nd Ptn Of Duod,Incl Ileum;Diag, W/Or W/O Col Of Spec(S)By Brush/Wash",7853.5,7853.5,,,0 CDM,75044377_PBB,"Hc Small Intest Endscpy, Enteroscpy Bynd Second Portn Of Duod, Incldng Ileum; W/ Bx, Sngl Or Mltpl-P",8364.5,8364.5,,,0 CDM,75044378_PBB,"Hc Small Intest Endoscopy, Enteroscopy Beyond 2Nd Portn Of Duodenm, Incl Ileum; W/ Cntrl Of Bleeding",10967.0,10967.0,,,0 CDM,75044379_PBB,"Hc Small Intest Endoscopy, Enteroscopy >2Nd Portion Of Duoden/Ileum/W/ Transendoscop Stent Plcement-",11418.5,11418.5,,,0 CDM,75044380,"Hc Ileoscopy, Through Stoma; Diag, Incl Collection Of Specimen(S) By Brushing Or Washing, When Perf",6764.0,6764.0,,,0 CDM,75044380_PBB,"Hc Ileoscopy, Through Stoma; Diag, Incl Collection Of Specimen(S) By Brushing Or Washing, When Perf-",5455.0,5455.0,,,0 CDM,75044381,"Hc Ileoscopy, Through Stoma; With Transendoscopic Balloon Dilation",5353.0,5353.0,,,0 CDM,75044381_PBB,"Hc Ileoscopy, Through Stoma; With Transendoscopic Balloon Dilation-Pbb",4377.5,4377.5,,,0 CDM,75044382,"Hc Ileoscopy, Through Stoma; With Biopsy, Single Or Multiple",9555.0,9555.0,,,0 CDM,75044382_PBB,"Hc Ileoscopy, Through Stoma; With Biopsy, Single Or Multiple-Pbb",7843.5,7843.5,,,0 CDM,75044384,"Hc Ileoscopy, Through Stoma; With Placement Of Endoscopic Stent",18266.0,18266.0,,,0 CDM,75044384_PBB,"Hc Ileoscopy, Through Stoma; With Placement Of Endoscopic Stent-Pbb",16085.5,16085.5,,,0 CDM,75044385,"Hc Endoscopic Eval Small Intest Pouch; Diag Incl Collectn Of Specimen By Brushing/Washing, When Perf",6300.0,6300.0,,,0 CDM,75044385_PBB,"Hc Endoscopic Eval Small Intest Pouch; Diag Incl Collectn Of Specimen By Brushing/Washing, When Perf",4664.5,4664.5,,,0 CDM,75044386,"Hc Endoscopic Evaluation Of Small Intestinal Pouch; With Biopsy, Single Or Multiple",8659.0,8659.0,,,0 CDM,75044386_PBB,"Hc Endoscopic Evaluation Of Small Intestinal Pouch; With Biopsy, Single Or Multiple-Pbb",6784.5,6784.5,,,0 CDM,75044388,"Hc Colonscpy Thrgh Stoma; Diagnstc, Incldng Cllctn Of Specimen(S) By Brshng Or Wshng, When Perfrmed",8245.0,8245.0,,,0 CDM,75044388_PBB,"Hc Colonscpy Thrgh Stoma; Diagnstc, Incldng Cllctn Of Specimen(S) By Brshng Or Wshng, When Perfrmed-",6631.5,6631.5,,,0 CDM,75044389,"Hc Colonoscopy Through Stoma; With Biopsy, Single Or Multiple",9166.0,9166.0,,,0 CDM,75044389_PBB,"Hc Colonoscopy Through Stoma; With Biopsy, Single Or Multiple-Pbb",7274.0,7274.0,,,0 CDM,75044390_PBB,Hc Colonoscopy Stoma W/Rmvl Foreign Body-Pbb,3345.5,3345.5,,,0 CDM,75044391,"Hc Colonoscopy Through Stoma; With Control Of Bleeding, Any Method",8922.0,8922.0,,,0 CDM,75044391_PBB,"Hc Colonoscopy Through Stoma; With Control Of Bleeding, Any Method-Pbb",6213.0,6213.0,,,0 CDM,75044392,"Hc Colonoscopy Through Stoma; W/ Rmvl Of Tumor(S), Polyp(S), Or Other Les(S) By Hot Biopsy Forceps",7685.0,7685.0,,,0 CDM,75044392_PBB,"Hc Colonoscopy Through Stoma; W/ Rmvl Of Tumor(S), Polyp(S), Or Other Les(S) By Hot Biopsy Forceps-P",5375.5,5375.5,,,0 CDM,75044394,"Hc Colonoscopy Through Stoma; W/ Rmvl Of Tumor(S), Polyp(S), Or Other Les(S) By Snare Techniqu",10925.0,10925.0,,,0 CDM,75044394_PBB,"Hc Colonoscopy Through Stoma; W/ Rmvl Of Tumor(S), Polyp(S), Or Other Les(S) By Snare Techniqu-Pbb",8711.5,8711.5,,,0 CDM,75044401,"Hc Colonoscopy Through Stoma; With Ablation Of Tumor(S), Polyp(S), Or Other Lesion(S)",11540.0,11540.0,,,0 CDM,75044401_PBB,"Hc Colonoscopy Through Stoma; With Ablation Of Tumor(S), Polyp(S), Or Other Lesion(S)-Pbb",8933.0,8933.0,,,0 CDM,75044402,Hc Colonoscopy Through Stoma; With Endoscopic Stent Placement,17460.0,17460.0,,,0 CDM,75044402_PBB,Hc Colonoscopy Through Stoma; With Endoscopic Stent Placement-Pbb,14785.0,14785.0,,,0 CDM,75044403,Hc Colonoscopy Through Stoma; With Endoscopic Mucosal Resection,8642.0,8642.0,,,0 CDM,75044403_PBB,Hc Colonoscopy Through Stoma; With Endoscopic Mucosal Resection-Pbb,5802.5,5802.5,,,0 CDM,75044404,"Hc Colonoscopy Through Stoma; With Directed Submucosal Injection(S), Any Substance",6750.0,6750.0,,,0 CDM,75044404_PBB,"Hc Colonoscopy Through Stoma; With Directed Submucosal Injection(S), Any Substance-Pbb",4827.5,4827.5,,,0 CDM,75044405,Hc Colonoscopy Through Stoma; With Transendoscopic Balloon Dilation,7031.0,7031.0,,,0 CDM,75044405_PBB,Hc Colonoscopy Through Stoma; With Transendoscopic Balloon Dilation-Pbb,4972.5,4972.5,,,0 CDM,75044406,"Hc Clnscpy Thrustma;W/Endscpc U/S Exm,Lmtd To The Sig,Desc,Trans,Or Ascnd Colon&Cecum&Adj Structures",8459.0,8459.0,,,0 CDM,75044406_PBB,"Hc Clnscpy Thrustma;W/Endscpc U/S Exm,Lmtd To The Sig,Desc,Trans,Or Ascnd Colon&Cecum&Adj Structures",5708.5,5708.5,,,0 CDM,75044407,Hc Colonoscopy With Needle Aspiration And Biopsy,9332.0,9332.0,,,0 CDM,75044407_PBB,Hc Colonoscopy With Needle Aspiration And Biopsy-Pbb,6158.5,6158.5,,,0 CDM,75044408,"Hc Clnscpy Thru Stma;W/Decmpsn(For Path Distntn)(Eg,Vlvlus,Megacln)Incl Placmnt Of Decmpsn Tbe",8223.0,8223.0,,,0 CDM,75044408_PBB,"Hc Clnscpy Thru Stma;W/Decmpsn(For Path Distntn)(Eg,Vlvlus,Megacln)Incl Placmnt Of Decmpsn Tbe-Pbb",5586.5,5586.5,,,0 CDM,75044705,"Hc Preparation Of Fecal Microbiota For Instillation, Including Assessment Of Donor Specimen",691.0,691.0,,,0 CDM,75044705_PBB,"Hc Preparation Of Fecal Microbiota For Instillation, Including Assessment Of Donor Specimen-Pbb",479.5,479.5,,,0 CDM,75044799,Hc Unlisted Procedure Intestine,2778.0,2778.0,,,0 CDM,75044799_PBB,Hc Unlisted Procedure Intestine-Pbb,4844.175,4844.175,,,0 CDM,75045307,"Hc Proctosigmoidoscopy, Rigid; With Removal Of Foreign Body",6749.0,6749.0,,,0 CDM,75045307_PBB,"Hc Proctosigmoidoscopy, Rigid; With Removal Of Foreign Body-Pbb",6351.5,6351.5,,,0 CDM,75045315,"Hc Prctsigmdscpy, Rgd; W Rmvl Of Mult Tmrs, Plyps, Otr Les By Hot Bx Frcps, Biplar Caut Or Snre Tec",4348.0,4348.0,,,0 CDM,75045315_PBB,"Hc Prctsigmdscpy, Rgd; W Rmvl Of Mult Tmrs, Plyps, Otr Les By Hot Bx Frcps, Biplar Caut Or Snre Tec-",3519.5,3519.5,,,0 CDM,75045327,"Hc Proctosigmoidoscopy, Rigid; With Transendoscopic Stent Placement",9064.0,9064.0,,,0 CDM,75045327_PBB,"Hc Proctosigmoidoscopy, Rigid; With Transendoscopic Stent Placement-Pbb",8943.5,8943.5,,,0 CDM,75045330,"Hc Sigmoidoscopy, Flex; Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf",3804.0,3804.0,,,0 CDM,75045330_PBB,"Hc Sigmoidoscopy, Flex; Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf-Pbb",3424.0,3424.0,,,0 CDM,75045331,"Hc Sigmoidoscopy, Flexible; With Biopsy, Single Or Multiple",4499.0,4499.0,,,0 CDM,75045331_PBB,"Hc Sigmoidoscopy, Flexible; With Biopsy, Single Or Multiple-Pbb",3913.0,3913.0,,,0 CDM,75045332,"Hc Sigmoidoscopy, Flexible; With Removal Of Foreign Body",4306.0,4306.0,,,0 CDM,75045332_PBB,"Hc Sigmoidoscopy, Flexible; With Removal Of Foreign Body-Pbb",3535.0,3535.0,,,0 CDM,75045333,"Hc Sigmoidoscopy, Flexible; With Removal Of Tumor, Polyp, Or Other Lesion By Hot Biopsy Forceps",5606.0,5606.0,,,0 CDM,75045333_PBB,"Hc Sigmoidoscopy, Flexible; With Removal Of Tumor, Polyp, Or Other Lesion By Hot Biopsy Forceps-Pbb",4218.0,4218.0,,,0 CDM,75045334,"Hc Sigmoidoscopy, Flexible; With Control Of Bleeding, Any Method",6567.0,6567.0,,,0 CDM,75045334_PBB,"Hc Sigmoidoscopy, Flexible; With Control Of Bleeding, Any Method-Pbb",5416.0,5416.0,,,0 CDM,75045335,"Hc Sigmoidoscopy, Flexible; With Directed Submucosal Injection, Any Substance",6674.0,6674.0,,,0 CDM,75045335_PBB,"Hc Sigmoidoscopy, Flexible; With Directed Submucosal Injection, Any Substance-Pbb",5526.0,5526.0,,,0 CDM,75045337,"Hc Sigmoidoscopy, Flex; W/ Decompression, Incl Placement Of Decompression Tube, When Perf",5003.0,5003.0,,,0 CDM,75045337_PBB,"Hc Sigmoidoscopy, Flex; W/ Decompression, Incl Placement Of Decompression Tube, When Perf-Pbb",3894.0,3894.0,,,0 CDM,75045338,"Hc Sigmoidoscopy, Flexible; With Removal Of Tumor, Polyps, Or Other Lesion By Snare Technique",7036.0,7036.0,,,0 CDM,75045338_PBB,"Hc Sigmoidoscopy, Flexible; With Removal Of Tumor, Polyps, Or Other Lesion By Snare Technique-Pbb",5691.0,5691.0,,,0 CDM,75045340,"Hc Sigmoidoscopy, Flexible; With Transendoscopic Balloon Dilation",4480.0,4480.0,,,0 CDM,75045340_PBB,"Hc Sigmoidoscopy, Flexible; With Transendoscopic Balloon Dilation-Pbb",4016.5,4016.5,,,0 CDM,75045341,"Hc Sigmoidoscopy, Flexible; With Endoscopic Ultrasound",7205.0,7205.0,,,0 CDM,75045341_PBB,"Hc Sigmoidoscopy, Flexible; With Endoscopic Ultrasound-Pbb",6821.5,6821.5,,,0 CDM,75045342,"Hc Sigmoidoscopy, Flexible; W/ Transendoscopic Ultrsnd Guided Intrmrl Or Trnsmrl Needle Asprtn/Bx",3899.0,3899.0,,,0 CDM,75045342_PBB,"Hc Sigmoidoscopy, Flexible; W/ Transendoscopic Ultrsnd Guided Intrmrl Or Trnsmrl Needle Asprtn/Bx-Pb",3324.0,3324.0,,,0 CDM,75045346,"Hc Sigmoidoscopy, Flexible, With Ablation Of Tumor, Polyp, Or Other Lesion",11785.0,11785.0,,,0 CDM,75045346_PBB,"Hc Sigmoidoscopy, Flexible, With Ablation Of Tumor, Polyp, Or Other Lesion-Pbb",10171.5,10171.5,,,0 CDM,75045347,"Hc Sigmoidiscopy, Flexible; With Placement Of Endoscopic Stent",6197.0,6197.0,,,0 CDM,75045347_PBB,"Hc Sigmoidiscopy, Flexible; With Placement Of Endoscopic Stent-Pbb",5638.0,5638.0,,,0 CDM,75045349,"Hc Sigmoidoscopy, Flexible; With Endoscopic Mucosal Resection",4616.0,4616.0,,,0 CDM,75045349_PBB,"Hc Sigmoidoscopy, Flexible; With Endoscopic Mucosal Resection-Pbb",3792.0,3792.0,,,0 CDM,75045350,"Hc Sigmoidoscopy, Flexible; With Band Ligation",3616.0,3616.0,,,0 CDM,75045350_PBB,"Hc Sigmoidoscopy, Flexible; With Band Ligation-Pbb",3277.5,3277.5,,,0 CDM,75045378,"Hc Colonoscopy, Flex; Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf",7534.0,7534.0,,,0 CDM,75045378_PBB,"Hc Colonoscopy, Flex; Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf-Pbb",6365.0,6365.0,,,0 CDM,75045379,"Hc Colonoscopy, Flexible, With Removal Of Foreign Body",8238.0,8238.0,,,0 CDM,75045379_PBB,"Hc Colonoscopy, Flexible, With Removal Of Foreign Body-Pbb",6860.5,6860.5,,,0 CDM,75045380,"Hc Colonoscopy, Flexible; With Biopsy, Single Or Multiple",7767.0,7767.0,,,0 CDM,75045380_PBB,"Hc Colonoscopy, Flexible; With Biopsy, Single Or Multiple-Pbb",6235.0,6235.0,,,0 CDM,75045381,"Hc Colonoscopy, Flexible; With Directed Submucosal Injection, Any Substance",8207.0,8207.0,,,0 CDM,75045381_PBB,"Hc Colonoscopy, Flexible; With Directed Submucosal Injection, Any Substance-Pbb",6595.5,6595.5,,,0 CDM,75045382,"Hc Colonoscopy, Flexible; With Control Of Bleeding, Any Method",7178.0,7178.0,,,0 CDM,75045382_PBB,"Hc Colonoscopy, Flexible; With Control Of Bleeding, Any Method-Pbb",5534.5,5534.5,,,0 CDM,75045384,"Hc Colonoscopy, Flexible; With Removal Of Tumor, Polyp, Or Other Lesion By Hot Biopsy Forceps",8430.0,8430.0,,,0 CDM,75045384_PBB,"Hc Colonoscopy, Flexible; With Removal Of Tumor, Polyp, Or Other Lesion By Hot Biopsy Forceps-Pbb",6709.0,6709.0,,,0 CDM,75045385,"Hc Colonoscopy, Flexible; With Removal Of Tumor, Polyp, Or Other Lesion By Snare Technique",8724.0,8724.0,,,0 CDM,75045385_PBB,"Hc Colonoscopy, Flexible; With Removal Of Tumor, Polyp, Or Other Lesion By Snare Technique-Pbb",7011.5,7011.5,,,0 CDM,75045386,"Hc Colonoscopy, Flexible; With Transendoscopic Balloon Dilation",7808.0,7808.0,,,0 CDM,75045386_PBB,"Hc Colonoscopy, Flexible; With Transendoscopic Balloon Dilation-Pbb",6322.5,6322.5,,,0 CDM,75045388,"Hc Colonoscopy, Flexible; With Ablation Of Tumor, Polyp, Or Other Lesions",12876.0,12876.0,,,0 CDM,75045388_PBB,"Hc Colonoscopy, Flexible; With Ablation Of Tumor, Polyp, Or Other Lesions-Pbb",10876.5,10876.5,,,0 CDM,75045389,"Hc Colonoscopy, Flexible; With Endoscopic Stent Placement",13762.0,13762.0,,,0 CDM,75045389_PBB,"Hc Colonoscopy, Flexible; With Endoscopic Stent Placement-Pbb",11672.5,11672.5,,,0 CDM,75045390,"Hc Colonoscopy, Flexible; With Endoscopic Mucosal Resection",5717.0,5717.0,,,0 CDM,75045390_PBB,"Hc Colonoscopy, Flexible; With Endoscopic Mucosal Resection-Pbb",4295.5,4295.5,,,0 CDM,75045391,"Hc Clnscpy,Flex;W/Endoscpc U/S Exm Lmtd To The Rctm,Sigm,Desc,Trans,Or Asc Colon&Cecum,& Adj Strctrs",8015.0,8015.0,,,0 CDM,75045391_PBB,"Hc Clnscpy,Flex;W/Endoscpc U/S Exm Lmtd To The Rctm,Sigm,Desc,Trans,Or Asc Colon&Cecum,& Adj Strctrs",7184.0,7184.0,,,0 CDM,75045392,"Hc Colonoscopy, Flexible; With Endoscopic Fine Needle Aspiration/Biopsy",5097.0,5097.0,,,0 CDM,75045392_PBB,"Hc Colonoscopy, Flexible; With Endoscopic Fine Needle Aspiration/Biopsy-Pbb",3902.0,3902.0,,,0 CDM,75045393,"Hc Colonoscopy, Flex; W/ Decompression, Incl Placement Of Decompression Tube, When Perf",4953.0,4953.0,,,0 CDM,75045393_PBB,"Hc Colonoscopy, Flex; W/ Decompression, Incl Placement Of Decompression Tube, When Perf-Pbb",3902.5,3902.5,,,0 CDM,75045398,"Hc Colonoscopy, Flexible; With Band Ligation",4719.0,4719.0,,,0 CDM,75045398_PBB,"Hc Colonoscopy, Flexible; With Band Ligation-Pbb",3781.0,3781.0,,,0 CDM,75045399_PBB,Hc Unlisted Procedure Colon-Pbb,7060.0,7060.0,,,0 CDM,75046083,"Hc Incision Of Thrombosed Hemorrhoid, External",1158.0,1158.0,,,0 CDM,75046083_PBB,"Hc Incision Of Thrombosed Hemorrhoid, External-Pbb",1808.5,1808.5,,,0 CDM,75046604,Hc Anoscopy; With Dilation,3998.0,3998.0,,,0 CDM,75046604_PBB,Hc Anoscopy; With Dilation-Pbb,3126.0,3126.0,,,0 CDM,75046930,Hc Desctruction Of Interal Hemorrhoids By Thermal Enery,3567.0,3567.0,,,0 CDM,75046930_PBB,Hc Desctruction Of Interal Hemorrhoids By Thermal Enery-Pbb,2745.0,2745.0,,,0 CDM,75046945,"Hc Hemorrhoidectomy, Internal, By Ligation Other Than Rubber Band; Single Hemorrhoid Column/Group",10771.0,10771.0,,,0 CDM,75046945_PBB,"Hc Hemorrhoidectomy, Internal, By Ligation Other Than Rubber Band; Single Hemorrhoid Column/Group-Pb",10369.0,10369.0,,,0 CDM,75046946,"Hc Hemorrhoidectomy, Internal, By Ligation Other Than Rubber Band; 2 Or More Emorrhoid Column/Groups",11471.0,11471.0,,,0 CDM,75046946_PBB,"Hc Hemorrhoidectomy, Internal, By Ligation Other Than Rubber Band; 2 Or More Emorrhoid Column/Groups",10729.0,10729.0,,,0 CDM,75047553,"Hc Biliary Endoscopy, Percutaneous Via T-Tube Or Other Tract; With Biopsy, Single Or Multiple",14799.0,14799.0,,,0 CDM,75047553_PBB,"Hc Biliary Endoscopy, Percutaneous Via T-Tube Or Other Tract; With Biopsy, Single Or Multiple-Pbb",13535.5,13535.5,,,0 CDM,75047554,"Hc Biliary Endoscopy, Percutaneous Via T-Tube Or Other Tract; With Removal Of Calculus/Calculi",8829.0,8829.0,,,0 CDM,75047554_PBB,"Hc Biliary Endoscopy, Percutaneous Via T-Tube Or Other Tract; With Removal Of Calculus/Calculi-Pbb",7387.5,7387.5,,,0 CDM,75047999,Noncdm Charge Record,23296.82,23296.82,,,0 CDM,75048999,"Hc Unlisted Procedure, Pancreas",4048.0,4048.0,,,0 CDM,75048999_PBB,"Hc Unlisted Procedure, Pancreas-Pbb",7833.095,7833.095,,,0 CDM,75076942,Hc Ultrasonic Guidance-Liver Bio Gi Facility,1408.0,1408.0,,,0 CDM,75076942_PBB,Hc Ultrasonic Guidance-Liver Bio Gi Facility-Pbb,723.0,723.0,,,0 CDM,75091010,Hc Esophageal Motility Study With Interpretation And Report,7247.0,7247.0,,,0 CDM,75091010_PBB,Hc Esophageal Motility Study With Interpretation And Report-Pbb,6140.5,6140.5,,,0 CDM,75091034,"Hc Esophagus,Gastro Reflux Test; W/Nasal Cath Ph Electrode Plcmnt,Recrdng,Analysis And Intrprtatn",7048.0,7048.0,,,0 CDM,75091034_PBB,"Hc Esophagus,Gastro Reflux Test; W/Nasal Cath Ph Electrode Plcmnt,Recrdng,Analysis And Intrprtatn-Pb",6015.0,6015.0,,,0 CDM,75091035,"Hc Esoph, Ger Tst; W/ Mucosal Attached Telemetry Ph Electrode Plcmnt, Recording, Anlys & Intrprtn",12769.0,12769.0,,,0 CDM,75091035_PBB,"Hc Esoph, Ger Tst; W/ Mucosal Attached Telemetry Ph Electrode Plcmnt, Recording, Anlys & Intrprtn-Pb",11259.5,11259.5,,,0 CDM,75091037,"Hc Esoph Func Test,Gastroesoph Reflux Test W Nasal Cath Intralumnl Electrode Plcmnt,Rec,Anal,&Interp",4388.0,4388.0,,,0 CDM,75091037_PBB,"Hc Esoph Func Test,Gastroesoph Reflux Test W Nasal Cath Intralumnl Electrode Plcmnt,Rec,Anal,&Interp",3144.5,3144.5,,,0 CDM,75091038,"Hc Esoph Func, Gstroesph Rflx Tst W/Nsl Cth Intrlmnl Impdnce Elctrd Plcmnt; Prlngd (G.T. 1-24 Hrs)",6257.0,6257.0,,,0 CDM,75091038_PBB,"Hc Esoph Func, Gstroesph Rflx Tst W/Nsl Cth Intrlmnl Impdnce Elctrd Plcmnt; Prlngd (G.T. 1-24 Hrs)-P",4698.5,4698.5,,,0 CDM,75091040,Hc Esophageal Balloon Distension Provocation Study,2933.0,2933.0,,,0 CDM,75091040_PBB,Hc Esophageal Balloon Distension Provocation Study-Pbb,1881.0,1881.0,,,0 CDM,75091065,Hc Breath Hydrogen Or Methane Test,2429.0,2429.0,,,0 CDM,75091065_PBB,Hc Breath Hydrogen Or Methane Test-Pbb,2221.5,2221.5,,,0 CDM,75091110,"Hc Gastrointest Tract Imaging, Intraluminal, Esophagus Through Ileum, W/ Interpretation And Report",4759.0,4759.0,,,0 CDM,75091110_PBB,"Hc Gastrointest Tract Imaging, Intraluminal, Esophagus Through Ileum, W/ Interpretation And Report-P",8151.5,8151.5,,,0 CDM,75091111,"Hc Gastrointestinal Tract Imaging, Intraluminal, Esophagus With Interpretation And Report",3772.0,3772.0,,,0 CDM,75091111_PBB,"Hc Gastrointestinal Tract Imaging, Intraluminal, Esophagus With Interpretation And Report-Pbb",4757.0,4757.0,,,0 CDM,75091122,Hc Anorectal Manometry,5920.0,5920.0,,,0 CDM,75091122_PBB,Hc Anorectal Manometry-Pbb,4112.5,4112.5,,,0 CDM,75091124_PBB,Hc Rectal Sensation Tone&Compliance Study,2975.0,2975.0,,,0 CDM,75091125_PBB,Hc Anrct Mano Rct Sensation&Rct Balo Expulsion Test,2128.0,2128.0,,,0 CDM,75091200,"Hc Liver Elastography, Mechnically Induced Shear Wave, W/Out Imaging, Interp & Report",500.0,500.0,,,0 CDM,75091200_PBB,"Hc Liver Elastography, Mechnically Induced Shear Wave, W/Out Imaging, Interp & Report-Pbb",562.5,562.5,,,0 CDM,75091299,Hc Unlisted Diagnostic Patency Test Gi Tract,1861.0,1861.0,,,0 CDM,75091299_PBB,Hc Unlisted Diagnostic Patency Test Gi Tract-Pbb,132.0,132.0,,,0 CDM,75095811,Hc Research Split Night Study Tech & Scoring,500.0,500.0,,,0 CDM,75096570,Hc Photodynamic Therapy Treatment; First 30 Minutes,690.0,690.0,,,0 CDM,75096570_PBB,Hc Photodynamic Therapy Treatment; First 30 Minutes-Pbb,470.0,470.0,,,0 CDM,75096571,Hc Photodynamic Therapy Treatment; Each Additional 15 Minutes,628.0,628.0,,,0 CDM,75096571_PBB,Hc Photodynamic Therapy Treatment; Each Additional 15 Minutes-Pbb,409.5,409.5,,,0 CDM,75143999,Hc Adjust Gastric Band Diameter By Injection,550.0,550.0,,,0 CDM,75144385,Hc Research Pouchoscopy,2920.0,2920.0,,,0 CDM,75145330,Hc Research Flex Sig Diagnostic,1065.0,1065.0,,,0 CDM,7517_61703035037,NDC Description Not Available,43.26,43.26,,,0 CDM,7517_63323012310,Methotrexate: 1 Vial In 1 Carton (63323-123-10) / 10 Ml In 1 Vial,42.68,42.68,,,0 CDM,7534_00185075701,Sulfadiazine: 100 TABLET in 1 BOTTLE (0185-0757-01),25.04,25.04,,,0 CDM,7534_42806075760,Sulfadiazine: 60 Tablet In 1 Bottle (42806-757-60),99.38,99.38,,,0 CDM,7541_00172531210,NDC Description Not Available,6.0,6.0,,,0 CDM,7541_00904708361,"Ciprofloxacin: 100 Blister Pack In 1 Carton (0904-7083-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 CDM,7541_00904724361,"Ciprofloxacin: 100 Blister Pack In 1 Carton (0904-7243-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.87,5.87,,,0 CDM,7541_16252051501,"Ciprofloxacin: 100 Tablet, Film Coated In 1 Bottle, Plastic (16252-515-01)",6.0,6.0,,,0 CDM,7541_63739055910,"Ciprofloxacin: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-559-10) / 10 TABLET, FILM COATED in 1 BLISTER PACK",6.0,6.0,,,0 CDM,7575_00406833023,"Morphine Sulfate: 1 Tablet, Extended Release In 1 Blister Pack (0406-8330-23)",9.86,9.86,,,0 CDM,7575_00406833062,"Morphine Sulfate: 100 Tablet, Extended Release In 1 Blister Pack (0406-8330-62)",9.88,9.88,,,0 CDM,7575_42858080201,"Morphine Sulfate Extended Release: 100 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (42858-802-01)",5.57,5.57,,,0 CDM,7582_00904272561,Sulfamethoxazole And Trimethoprim: 100 Blister Pack In 1 Carton (0904-2725-61) / 1 Tablet In 1 Blister Pack,4.71,4.71,,,0 CDM,7582_13310014601,"Bactrim DS: 100 TABLET in 1 BOTTLE, PLASTIC (13310-146-01)",16.12,16.12,,,0 CDM,7582_53489014601,"Sulfamethoxazole And Trimethoprim: 100 Tablet In 1 Bottle, Plastic (53489-146-01)",6.0,6.0,,,0 CDM,7595_60505311000,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3110-0) / 10 Tablet, Film Coated In 1 Blister Pack",5.11,5.11,,,0 CDM,75989_GAST,Chg Radiological Guidance Prq Drg W/Plmt Cath Rs&I-Gast,3743.0,3743.0,,,0 CDM,75989_GOLD,Chg Radiological Guidance Prq Drg W/Plmt Cath Rs&I-Gold,3743.0,3743.0,,,0 CDM,75989_GOLDPBB,"Chg Radiological Guidance Prq Drg W/Plmt Cath Rs&I-Gold,Pbb",3743.0,3743.0,,,0 CDM,75989_PBB,Chg Radiological Guidance Prq Drg W/Plmt Cath Rs&I-Pbb,3743.0,3743.0,,,0 CDM,76000_GAST,Chg Fluoroscopy Up To 1 Hour Physician/Qhp Time-Gast,140.0,140.0,,,0 CDM,76000_PBB,Chg Fluoroscopy Up To 1 Hour Physician/Qhp Time-Pbb,140.0,140.0,,,0 CDM,76100000,Hc Auto Islet Cell Transplant,239934.0,239934.0,,,0 CDM,76100465_PBB,Hc Supchrdl Njx Rx W/O Supply-Pbb,1207.5,1207.5,,,0 CDM,76100720_PBB,Hc Prq Elc Nrv Stim Cn Wo Implt-Pbb,2178.0,2178.0,,,0 CDM,76102130,"Hc Inj, Diag Or Thrptc Agent, Paravert Facet W/ Ultrsound Guide, Cervical Or Thor, Single Level",5485.0,5485.0,,,0 CDM,76102140,"Hc Inj, Diag Or Thrptc Agent, Paravert Facet W/ Ultrsound Guide, Cervical Or Thor, 2Nd Level",3278.0,3278.0,,,0 CDM,76102150,"Hc Inj, Diag Or Thrptc Agent, Paravert Facet W/ Ultrsound Guide, Cervical Or Thor, Third Level",3277.0,3277.0,,,0 CDM,76102160,"Hc Inj, Diag Or Thrptc Agent, Paravert Facet W/ Ultrsound Guide, Lumbar Or Sacral, Single Level",3608.0,3608.0,,,0 CDM,76102170,"Hc Inj, Diag Or Thrptc Agent, Paravert Facet W/ Ultrsound Guide, Lumbar Or Sacral, 2Nd Level",3265.0,3265.0,,,0 CDM,76102180,"Hc Inj, Diag Or Thrptc Agent, Paravert Facet W/ Ultrsound Guide, Lumbar Or Sacral, Third Level",2687.0,2687.0,,,0 CDM,76104020_CSM,Hc Collagen Cross-Linking Of Cornea Cash-Csm,100.0,100.0,,,0 CDM,76104020_CSMPBB,"Hc Collagen Cross-Linking Of Cornea Cash-Csm,Pbb",100.0,100.0,,,0 CDM,76105210,Hc Interrog Dev Eval Wcs Ip,53.0,53.0,,,0 CDM,76105210_PBB,Hc Interrog Dev Eval Wcs Ip-Pbb,259.5,259.5,,,0 CDM,76105220,Hc Prgrmg Dev Eval Wcs Ip,117.0,117.0,,,0 CDM,76105220_PBB,Hc Prgrmg Dev Eval Wcs Ip-Pbb,317.0,317.0,,,0 CDM,76105370,"Hc Car-T Harvest Blood Derived T Lymphocyt, Per Day",6055.0,6055.0,,,0 CDM,76105370_PBB,"Hc Car-T Harvest Blood Derived T Lymphocyt, Per Day-Pbb",8187.5,8187.5,,,0 CDM,76109738,Hc Blue Light Cysto Imag Agent,8069.0,8069.0,,,0 CDM,76109738_PBB,Hc Blue Light Cysto Imag Agent-Pbb,7843.5,7843.5,,,0 CDM,76110005,"Hc Fine Needle Aspiration Biopsy, Incl Us Guidance First Lesion",5462.0,5462.0,,,0 CDM,76110005_PBB,"Hc Fine Needle Aspiration Biopsy, Incl Us Guidance First Lesion-Pbb",6208.5,6208.5,,,0 CDM,76110006,"Hc Fine Needle Aspiration Biopsy, Incl Us Guidance Each Addtl Lesion",3302.0,3302.0,,,0 CDM,76110006_PBB,"Hc Fine Needle Aspiration Biopsy, Incl Us Guidance Each Addtl Lesion-Pbb",3814.5,3814.5,,,0 CDM,76110007,"Hc Fine Needle Aspiration Biopsy, Incl Fluor Guide First Lesion",4663.0,4663.0,,,0 CDM,76110008,"Hc Fine Needle Aspiration Biopsy, Incl Fluor Guide Each Addtl Lesion",3302.0,3302.0,,,0 CDM,76110009,"Hc Fine Needle Aspiration Biopsy, Incl Ct Guide First Lesion",9619.0,9619.0,,,0 CDM,76110010,"Hc Fine Needle Aspiration Biopsy, Incl Ct Guide Each Addtl Lesion",3302.0,3302.0,,,0 CDM,76110011,"Hc Fine Needle Aspiration Biopsy, Incl Mri Guide First Lesion",20480.0,20480.0,,,0 CDM,76110012,"Hc Fine Needle Aspiration Biopsy, Incl Mri Guide Each Addtl Lesion",3302.0,3302.0,,,0 CDM,76111012,"Hc Debridemen, Including Removal Of Foreign Material At Site Of Open Fracture And/Or Open Dislocatio",9142.0,9142.0,,,0 CDM,76111044,"Hc Debridement; Skin, Subq Tissue, Muscle, & Bone",5143.0,5143.0,,,0 CDM,76111044_PBB,"Hc Debridement; Skin, Subq Tissue, Muscle, & Bone-Pbb",6366.5,6366.5,,,0 CDM,76111400_CSMPBB,"Hc Exc Benign Les Trunk/Arm/Leg 0.5Cm/< Cash-Csm,Pbb",700.0,700.0,,,0 CDM,76111401_CSMPBB,"Hc Exc Benign Les Including Margin 0.6-1.0 Cash-Csm,Pbb",750.0,750.0,,,0 CDM,76111450_PBB,"Hc Excision, Skin & Subq Tissue, Hidradenitis, Axillary; Simple/Intermediate Repair-Pbb",7584.0,7584.0,,,0 CDM,76111770,"Hc Excision, Pilonidal Cyst/Sinus; Simple",9142.0,9142.0,,,0 CDM,76111770_PBB,"Hc Excision, Pilonidal Cyst/Sinus; Simple-Pbb",10127.0,10127.0,,,0 CDM,76111920,"Hc Tattooing, Intrdrml Intr Insol Opq Pgmnts Corrct Color Defcts Skin,Incl Mcrpgmntn;<6.0 Sq Cm",1337.0,1337.0,,,0 CDM,76111920_PBB,"Hc Tattooing, Intrdrml Intr Insol Opq Pgmnts Corrct Color Defcts Skin,Incl Mcrpgmntn;<6.0 Sq Cm-Pbb",2795.0,2795.0,,,0 CDM,76111921,Hc Tattooing To Correct Color Defects; 6.1-2.0 Sq Cm,2032.0,2032.0,,,0 CDM,76111921_PBB,Hc Tattooing To Correct Color Defects; 6.1-2.0 Sq Cm-Pbb,2732.0,2732.0,,,0 CDM,76111922_PBB,Hc Tattooing To Correct Color Defects; Add'l 20.0 Sq Cm-Pbb,1620.5,1620.5,,,0 CDM,76111980,Hc Subcutaneous Hormone Pellet Implantation,964.0,964.0,,,0 CDM,76111980_PBB,Hc Subcutaneous Hormone Pellet Implantation-Pbb,1252.5,1252.5,,,0 CDM,76112051,Noncdm Charge Record,1300.0,1300.0,,,0 CDM,76112051_CSMPBB,"Hc Rep Int Wounds 2.5 Cm/< Cash-Csm,Pbb",400.0,400.0,,,0 CDM,76115839,Hc Excise Excess Skin & Tissue,6357.0,6357.0,,,0 CDM,76115839_PBB,Hc Excise Excess Skin & Tissue-Pbb,9407.0,9407.0,,,0 CDM,76115854,Hc Removal Sutr&Stapl Xreq Anes,2588.0,2588.0,,,0 CDM,76115854_PBB,Hc Removal Sutr&Stapl Xreq Anes-Pbb,2644.5,2644.5,,,0 CDM,76117999_PBB,Hc Miradry Procedure-Pbb,1742.5,1742.5,,,0 CDM,76119380,Hc Revision Of Reconstructed Breast,21271.0,21271.0,,,0 CDM,76119380_PBB,Hc Revision Of Reconstructed Breast-Pbb,12183.0,12183.0,,,0 CDM,76119499,Hc Mammo Clip Placing For Marking No Biopsy,6702.0,6702.0,,,0 CDM,76120670,"Hc Removal Of Implant; Superfcl (Eg, Buried Wire, Pin Or Rod)(Sep Px)",5143.0,5143.0,,,0 CDM,76120670_PBB,"Hc Removal Of Implant; Superfcl (Eg, Buried Wire, Pin Or Rod)(Sep Px)-Pbb",5898.0,5898.0,,,0 CDM,76120999,Hc Angio Sclerotherapy Of Musculoskeletal System,310.0,310.0,,,0 CDM,76121502_PBB,"Hc I&D, Deep Absc/Hema, Soft Tiss, Neck/Thorax; W/ Partrib Ostectomy-Pbb",13789.0,13789.0,,,0 CDM,76121899,Hc Neuro Sclerotherapy Of Next/Thorax,437.0,437.0,,,0 CDM,76122310_PBB,"Hc Closed Treatment, Vertebral Body Fx, W/O Manip W/ Casting/Bracing-Pbb",1881.5,1881.5,,,0 CDM,76122510,"Hc Perc Vertebroplasty, 1 Vert Body, Unilat Or Bilat Inj, Inclusive Of All Imaging Guid, Cervicothor",12431.0,12431.0,,,0 CDM,76122511,"Hc Perc Vertebroplasty, 1 Vert Body, Unilat Or Bilat Inj, Inclusive Of All Imaging Guid, Lumbosacral",12435.0,12435.0,,,0 CDM,76122512,"Hc Perc Vrtrbrplsty,1 Vert Bdy,Unilat/Bilat Inj,Inclsv Imgng Guid,Ea Add Crvcthor,Lumbscrl Vert Bdy",10366.0,10366.0,,,0 CDM,76125000_PBB,"Hc Incision, Extensor Tendon Sheath, Wrist-Pbb",9753.5,9753.5,,,0 CDM,76125020,Hc Decompress Frarm/Wrist; 1 Compartm,5009.0,5009.0,,,0 CDM,76125295_PBB,"Hc Tenolysis, Flexor/Extensor Tendon, Forearm &/Or Wrist, Each Tendon-Pbb",17299.0,17299.0,,,0 CDM,76126040_PBB,"Hc Fasciotomy, Palmar; Percutaneous-Pbb",7057.5,7057.5,,,0 CDM,76126055_PBB,Hc Tendon Sheath Incision-Pbb,7647.0,7647.0,,,0 CDM,76126160_PBB,"Hc Excision, Lesion, Tendon Sheath/Capsule, Hand/Finger-Pbb",7182.0,7182.0,,,0 CDM,76126320_PBB,"Hc Removal, Implant, Finger/Hand-Pbb",6933.0,6933.0,,,0 CDM,76126440_PBB,"Hc Tenolysis, Flexor Tendon; Palm/Finger Each Tendon-Pbb",13169.5,13169.5,,,0 CDM,76126525_PBB,Hc Capsulectomy/Capsulotomy Iphal Joint Each-Pbb,8460.0,8460.0,,,0 CDM,76126989,Hc Unlisted Procedure Hands Or Fingers,604.0,604.0,,,0 CDM,76127197,Hc Closed Treatment Pelvic Ring Fracture Without Manipulation,5784.0,5784.0,,,0 CDM,76127197_PBB,Hc Closed Treatment Pelvic Ring Fracture Without Manipulation-Pbb,3060.5,3060.5,,,0 CDM,76127198_PBB,Hc Closed Treatment Pelvic Ring Fracture With Manipulation-Pbb,10603.5,10603.5,,,0 CDM,76127246_PBB,Hc Closed Treatment Greater Trochanter Fracture-Pbb,3440.0,3440.0,,,0 CDM,76127299,Hc Drainage Fluid Collection Of Hip,8063.0,8063.0,,,0 CDM,76127369,Hc Injection Procedure For Contrast Knee Arthrogram,3214.0,3214.0,,,0 CDM,76127599,Hc Placement Of Intraoperative Localization Device-Bone,4995.0,4995.0,,,0 CDM,76127613,Hc Bx Soft Tissue Leg Area Superficial,4151.0,4151.0,,,0 CDM,76130469,Hc Rpr Nsl Vlv Collapse Lw Nrg Subq/Sbmcsl Rmdlg,16019.0,16019.0,,,0 CDM,76130469_PBB,Hc Rpr Nsl Vlv Collapse Lw Nrg Subq/Sbmcsl Rmdlg-Pbb,16552.5,16552.5,,,0 CDM,76131573_PBB,Hc Laryngoscopy Flexible Therapeutic Injection Uni-Pbb,4826.0,4826.0,,,0 CDM,76131574,"Hc Laryngoscopy, Flexible, Diagnostic W Injection For Augmentation",4256.0,4256.0,,,0 CDM,76131574_PBB,"Hc Laryngoscopy, Flexible, Diagnostic W Injection For Augmentation-Pbb",4968.075,4968.075,,,0 CDM,76131599,"Hc Unlisted Procedure, Larynx",433.0,433.0,,,0 CDM,76131629,"Hc Bronch,Rgd/Flx,Inc Flur Guid,Whn Perf;W/Trnsbrnchl Ndl Asp Bx(S),Trchea,Mn Stm&/Or Lbr Broncs(I)",11444.0,11444.0,,,0 CDM,76131629_CART,"Hc Bronch,Rgd/Flx,Inc Flur Guid,Whn Perf;W/Trnsbrnchl Ndl Asp Bx(S),Trchea,Mn Stm&/Or Lbr Broncs(I)-",9623.0,9623.0,,,0 CDM,76131629_CARTPBB,"Hc Bronch,Rgd/Flx,Inc Flur Guid,Whn Perf;W/Trnsbrnchl Ndl Asp Bx(S),Trchea,Mn Stm&/Or Lbr Broncs(I)-",9623.0,9623.0,,,0 CDM,76131629_GOLD,"Hc Bronch,Rgd/Flx,Inc Flur Guid,Whn Perf;W/Trnsbrnchl Ndl Asp Bx(S),Trchea,Mn Stm&/Or Lbr Broncs(I)-",9623.0,9623.0,,,0 CDM,76131629_GOLDPBB,"Hc Bronch,Rgd/Flx,Inc Flur Guid,Whn Perf;W/Trnsbrnchl Ndl Asp Bx(S),Trchea,Mn Stm&/Or Lbr Broncs(I)-",9623.0,9623.0,,,0 CDM,76131629_PBB,"Hc Bronch,Rgd/Flx,Inc Flur Guid,Whn Perf;W/Trnsbrnchl Ndl Asp Bx(S),Trchea,Mn Stm&/Or Lbr Broncs(I)-",9623.0,9623.0,,,0 CDM,76131660,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Bronchial Thermoplasty, 1 Lobe",12744.0,12744.0,,,0 CDM,76131660_PBB,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Bronchial Thermoplasty, 1 Lobe-Pbb",10410.5,10410.5,,,0 CDM,76132551,"Hc Tube Thoracostomy, Includes Connection To Drainage System, When Performed, Open",3652.0,3652.0,,,0 CDM,76132551_GOLD,"Hc Tube Thoracostomy, Includes Connection To Drainage System, When Performed, Open-Gold",5245.0,5245.0,,,0 CDM,76132551_GOLDPBB,"Hc Tube Thoracostomy, Includes Connection To Drainage System, When Performed, Open-Gold,Pbb",5245.0,5245.0,,,0 CDM,76132551_PBB,"Hc Tube Thoracostomy, Includes Connection To Drainage System, When Performed, Open-Pbb",5245.0,5245.0,,,0 CDM,76132999,Hc Pleurex Catheter Evaluation,877.0,877.0,,,0 CDM,76133881,"Hc Endvsc Rpr Desc Thor Aorta;Not Inv Cvrg Lt Subclvn Art Orgn,Ini Endprsthsis Pl Desc Thor Aort Ext",2799.0,2799.0,,,0 CDM,76133999,"Hc Unlisted Procedure,Cardiac Surgery",1397.0,1397.0,,,0 CDM,76136000,"Hc Introduction Of Needle Or Intracatheter, Vein",854.0,854.0,,,0 CDM,76136000_PBB,"Hc Introduction Of Needle Or Intracatheter, Vein-Pbb",896.0,896.0,,,0 CDM,76136400,"Hc Veni < 3 Yrs, Need Skill Phys Or Oth Qual Hlth Care Pro,Not Used For Rtn Veni; Fem Or Jug Vein",490.0,490.0,,,0 CDM,76136405,Hc Venipnct <3 Yrs Scalp Vein,47.0,47.0,,,0 CDM,76136406,"Hc Veni/P,<3 Yr,Necess Skill Phys/Other Qualified Hlth Care Prof,Not Used For Rout Veni/P;Other Vein",232.0,232.0,,,0 CDM,76136460,Hc Transfusion Intrauterine Fetal,1140.0,1140.0,,,0 CDM,76136460_PBB,Hc Transfusion Intrauterine Fetal-Pbb,1271.5,1271.5,,,0 CDM,76136468,Hc Sclerotherapy; Single Or Multiple Injection(S),346.0,346.0,,,0 CDM,76136468_PBB,Hc Sclerotherapy; Single Or Multiple Injection(S)-Pbb,1318.5,1318.5,,,0 CDM,76136482,Hc Endoven Ablti Ther Chem Adhesive 1St Vein,11512.0,11512.0,,,0 CDM,76136482_PBB,Hc Endoven Ablti Ther Chem Adhesive 1St Vein-Pbb,12155.0,12155.0,,,0 CDM,76136483_PBB,Hc Endoven Ablti Ther Chem Adhesive Sbsq Vein-Pbb,4832.5,4832.5,,,0 CDM,76136511,Hc Therapeutic Apheresis; Wbc,7624.0,7624.0,,,0 CDM,76136511_PBB,Hc Therapeutic Apheresis; Wbc-Pbb,8151.0,8151.0,,,0 CDM,76136572,Hc Insrtn Perph Insrtd Cntrl Vns Cth (Picc)W/O Prt/Pmp Incl Img Gd,9312.0,9312.0,,,0 CDM,76136573,"Hc Insrtn Perph Insrtd Cntrl Vns Cath(Picc),W/O Prt/Pmp,Incl Img Gd",9598.0,9598.0,,,0 CDM,76136573_GOLD,"Hc Insrtn Perph Insrtd Cntrl Vns Cath(Picc),W/O Prt/Pmp,Incl Img Gd-Gold",11989.5,11989.5,,,0 CDM,76136573_GOLDPBB,"Hc Insrtn Perph Insrtd Cntrl Vns Cath(Picc),W/O Prt/Pmp,Incl Img Gd-Gold,Pbb",11989.5,11989.5,,,0 CDM,76136573_PBB,"Hc Insrtn Perph Insrtd Cntrl Vns Cath(Picc),W/O Prt/Pmp,Incl Img Gd-Pbb",11989.5,11989.5,,,0 CDM,76137195,"Hc Thrombolysis, Cerebral, By Intravenous Infusion",572.0,572.0,,,0 CDM,76137799,Hc Aortic Fenestration Of Dissection,11598.0,11598.0,,,0 CDM,7613779902,Hc Mechanical Removal Of Fibrin Sheath Via Angioplasty Balloon,2933.0,2933.0,,,0 CDM,76138999,Hc Unlisted Proc Hem/Lymphatic System,13313.0,13313.0,,,0 CDM,76140806_PBB,"Hc Incision, Labial Frenum (Frenotomy)-Pbb",2255.0,2255.0,,,0 CDM,76141010_PBB,"Hc Incision, Lingual, Frenum (Frenotomy)-Pbb",5170.0,5170.0,,,0 CDM,76142106,"Hc Excision, Lesion Of Palate, Uvula; W/Simple Primary Closure",9035.0,9035.0,,,0 CDM,76142106_PBB,"Hc Excision, Lesion Of Palate, Uvula; W/Simple Primary Closure-Pbb",9977.0,9977.0,,,0 CDM,76142299_PBB,"Hc Unlisted Proc, Palate, Uvula-Pbb",626.0,626.0,,,0 CDM,76142300_PBB,Hc Drainage Abscess Parotid Simple-Pbb,5783.0,5783.0,,,0 CDM,76142340_PBB,"Hc Sialolithotomy; Parotid, Extraoral/Complicated Intraoral-Pbb",10789.5,10789.5,,,0 CDM,76143499_PBB,Hc Esophageal Unlisted Procedure-Pbb,9789.375,9789.375,,,0 CDM,76144799,Hc Plugging Of Colo-Cutaneous Fistula,10816.0,10816.0,,,0 CDM,76146020,Hc Placement Seton,9552.0,9552.0,,,0 CDM,76146020_PBB,Hc Placement Seton-Pbb,10857.0,10857.0,,,0 CDM,76146030,"Hc Removal, Anal Seton, Other Marker",3870.0,3870.0,,,0 CDM,76146030_PBB,"Hc Removal, Anal Seton, Other Marker-Pbb",4371.5,4371.5,,,0 CDM,76146060,"Hc I&D Ischiorectal/Intramural Abscess, W/Wo Seton",9552.0,9552.0,,,0 CDM,76146060_PBB,"Hc I&D Ischiorectal/Intramural Abscess, W/Wo Seton-Pbb",12214.0,12214.0,,,0 CDM,76146260_PBB,"Hc Hemorrhoidectomy, Int & Ext, Complex/Extensive-Pbb",12230.0,12230.0,,,0 CDM,76146614_PBB,Hc Anoscopy With Bleed Control-Pbb,1460.0,1460.0,,,0 CDM,76146615,"Hc Anoscopy; W/ Ablation, Lesion, Not Removed By Hot Forceps",7268.0,7268.0,,,0 CDM,76146615_PBB,"Hc Anoscopy; W/ Ablation, Lesion, Not Removed By Hot Forceps-Pbb",7666.5,7666.5,,,0 CDM,76147383,"Hc Ablation, 1 Or More Liver Tumors, Percutaneous, Cryoablation",15570.0,15570.0,,,0 CDM,76147399,Hc Thermoablation Liver Tumor,5324.0,5324.0,,,0 CDM,76147541,"Hc Access Place Biliary Tree Small Bowel Assist, New Access",42470.0,42470.0,,,0 CDM,76147541_PBB,"Hc Access Place Biliary Tree Small Bowel Assist, New Access-Pbb",20225.0,20225.0,,,0 CDM,76149999,Hc Unlisted Procedure Abdominal Peritineum & Omentum,1579.0,1579.0,,,0 CDM,76150436,"Hc Dltn Exstng Trct,Prc Incld Img Gdnce, Asn All Assc Rad S&I W/Pstprc",11933.0,11933.0,,,0 CDM,76150437,"Hc Dltn Exstng Trct, Prc, Incld Ime Gdnce, All Assc Rad S&I W/Pstprc",20407.0,20407.0,,,0 CDM,76151040,Hc Incise & Drain Bladder,4848.0,4848.0,,,0 CDM,76151040_PBB,Hc Incise & Drain Bladder-Pbb,5971.0,5971.0,,,0 CDM,76152001_PBB,Hc Cysto W Irrigation & Evac Multple Obstructing Clots-Pbb,9717.5,9717.5,,,0 CDM,76153852,Hc Prostatic Rf Thermotx,8320.0,8320.0,,,0 CDM,76153852_PBB,Hc Prostatic Rf Thermotx-Pbb,10750.0,10750.0,,,0 CDM,76153854,Hc Trurl Dstrj Prst8 Tiss Rf Wv,4848.0,4848.0,,,0 CDM,76153854_PBB,Hc Trurl Dstrj Prst8 Tiss Rf Wv-Pbb,6261.0,6261.0,,,0 CDM,76153899,Hc Unlisted Procedure Dilation Of Ureter,443.0,443.0,,,0 CDM,76154200,Hc Treatment Of Penis Lesion,949.0,949.0,,,0 CDM,76154200_PBB,Hc Treatment Of Penis Lesion-Pbb,1372.0,1372.0,,,0 CDM,76154240,Hc Penile Plethysmography,864.0,864.0,,,0 CDM,76154240_PBB,Hc Penile Plethysmography-Pbb,1339.5,1339.5,,,0 CDM,76154360,Hc Plastic Rpr Penis Correct Angulation,8320.0,8320.0,,,0 CDM,76154360_PBB,Hc Plastic Rpr Penis Correct Angulation-Pbb,11134.0,11134.0,,,0 CDM,76154500,Hc Biopsy Of Testis,8426.0,8426.0,,,0 CDM,76154500_PBB,Hc Biopsy Of Testis-Pbb,8808.0,8808.0,,,0 CDM,76155200,Hc Incision Of Sperm Duct,8320.0,8320.0,,,0 CDM,76155200_PBB,Hc Incision Of Sperm Duct-Pbb,9403.5,9403.5,,,0 CDM,76155899,Hc Prostate Injection Research,3013.0,3013.0,,,0 CDM,76157020_PBB,Hc Colpocentesis Separate Procedure-Pbb,9086.0,9086.0,,,0 CDM,76157135_PBB,Hc Excise Vaginal Cyst Or Tumor-Pbb,6952.5,6952.5,,,0 CDM,76157150_PBB,"Hc Irrigation/Treatment, Vaginal Infection-Pbb",562.0,562.0,,,0 CDM,76158300,Hc Insertion Of Iud,3140.0,3140.0,,,0 CDM,76158300_PBB,Hc Insertion Of Iud-Pbb,4095.5,4095.5,,,0 CDM,76158550_PBB,"Hc Laparoscopy, Surgical, W Vaginal Hysterectomy, Uterus 250 G Or Less-Pbb",23142.5,23142.5,,,0 CDM,76158559,Hc Hysteroscopy; W Lysis Intrauterine Adhesions,16792.0,16792.0,,,0 CDM,76158559_PBB,Hc Hysteroscopy; W Lysis Intrauterine Adhesions-Pbb,18639.0,18639.0,,,0 CDM,76159012,Hc Cordocentesis (Intrauterine),1181.0,1181.0,,,0 CDM,76159012_PBB,Hc Cordocentesis (Intrauterine)-Pbb,1955.5,1955.5,,,0 CDM,76159897,Hc Unlisted Fetal Invasive Procedure Including Ultrasound Guidance,2209.0,2209.0,,,0 CDM,76159897_PBB,Hc Unlisted Fetal Invasive Procedure Including Ultrasound Guidance-Pbb,1363.5,1363.5,,,0 CDM,76160699,Noncdm Charge Record,5326.0,5326.0,,,0 CDM,76160699_PBB,Hc Radiofrequency Ablation-Pbb,7159.5,7159.5,,,0 CDM,76161623,Hc Endovascular Temporary Balloon Vessel Occlusion,24945.0,24945.0,,,0 CDM,76161626,"Hc Transcatheter Permanent Occ Or Embolization, Perc, Any Meth; Non-Central Nrv Sys, Head Or Neck",15185.0,15185.0,,,0 CDM,76162328,Hc Dx Lmbr Spi Pnxr W/Fluor/Ct,2401.0,2401.0,,,0 CDM,76162329,"Hc Spinal Puncture, Therapeutic, For Drainage Of Cerebrospinal Fluid (By Needle Or Catheter); With F",2401.0,2401.0,,,0 CDM,76162369,Hc Electronic Analys Pump Intra/Epidural With Reprogram & Refill,856.0,856.0,,,0 CDM,76164408,Hc Injection Aa&/Strd Vagus Nerve,965.0,965.0,,,0 CDM,76164408_PBB,Hc Injection Aa&/Strd Vagus Nerve-Pbb,1342.5,1342.5,,,0 CDM,76164451,"Hc Injection(S), Anesthetic Agent(S) And/Or Steroid; Nerves Innervating The Sacroiliac Joint, With I",2401.0,2401.0,,,0 CDM,76164454,"Hc Injection(S), Anesthetic Agent(S) And/Or Steroid; Genicular Nerve Branches, Including Imaging Gui",2401.0,2401.0,,,0 CDM,76164624,"Hc Destruction By Neurolytic Agent, Genicular Nerve Branches Including Imaging Guidance, When Perfor",6607.0,6607.0,,,0 CDM,76164625,"Hc Radiofrequency Ablation, Nerves Innervating The Sacroiliac Joint, With Image Guidance (Ie, Fluoro",6607.0,6607.0,,,0 CDM,76164999,Hc Urgent Pc Nervous System Unlisted Procedure,1927.0,1927.0,,,0 CDM,76164999_PBB,Hc Urgent Pc Nervous System Unlisted Procedure-Pbb,722.0,722.0,,,0 CDM,76165400_PBB,"Hc Excision, Lesion, Cornea, Except Pterygium-Pbb",5222.0,5222.0,,,0 CDM,76165410_PBB,Hc Cornea Biopsy-Pbb,5141.5,5141.5,,,0 CDM,76166020_PBB,Hc Injx Anterior Chamber Eye Air/Liquid Spx-Pbb,6513.5,6513.5,,,0 CDM,76167015,Hc Aspiration/Release Vitreous Subretinal/Choroid,5987.0,5987.0,,,0 CDM,76167015_PBB,Hc Aspiration/Release Vitreous Subretinal/Choroid-Pbb,8307.0,8307.0,,,0 CDM,76167025_PBB,Hc Inj Substitute Pars Plana/Limbl W/Wo Aspir Spx-Pbb,8424.0,8424.0,,,0 CDM,76167121_PBB,Hc Rmvl Implt Matrl Posterior Segment Intraocular-Pbb,9630.5,9630.5,,,0 CDM,76167516_PBB,Hc Sprchoroidal Spc Njx Rx Agt-Pbb,1335.5,1335.5,,,0 CDM,76167880,Hc Constr Im Adhes Med Tarsorrhaph,5976.0,5976.0,,,0 CDM,76167880_PBB,Hc Constr Im Adhes Med Tarsorrhaph-Pbb,7507.0,7507.0,,,0 CDM,76167935,"Hc Suture, Recent Wound, Eyelid; Full Thickness",5636.0,5636.0,,,0 CDM,76167950_PBB,Hc Canthoplasty-Pbb,7910.0,7910.0,,,0 CDM,76167999_PBB,Hc Gold Weight Removal Eye Proc-Pbb,7261.5,7261.5,,,0 CDM,76168330_PBB,"Hc Repair, Symblepharon; Conjunctivoplasty, W/O Graft-Pbb",8320.5,8320.5,,,0 CDM,76191120_PBB,"Hc Rectal Sensation, Tone, & Compliance Test-Pbb",2571.0,2571.0,,,0 CDM,76192132_PBB,"Hc Scanning Computerized Diagnostic Imaging, Ophthal, Anterior Segment-Pbb",308.5,308.5,,,0 CDM,76192310_CSMPBB,"Hc New Contact Lens Fitting-Spherical Cash-Csm,Pbb",112.5,112.5,,,0 CDM,76192311_PBB,"Hc Contact Lens Fitting For Aphakia, One Eye-Pbb",1030.0,1030.0,,,0 CDM,76192312_PBB,"Hc Contact Lens Fitting For Aphakia, Both Eyes-Pbb",544.5,544.5,,,0 CDM,76192511,Hc Nasopharyngoscopy With Endoscope,656.0,656.0,,,0 CDM,76192511_PBB,Hc Nasopharyngoscopy With Endoscope-Pbb,788.5,788.5,,,0 CDM,76197608,Hc Neg Pressure Wound Therapy Non Dme >50 Sq Cm,1120.0,1120.0,,,0 CDM,76197608_PBB,Hc Neg Pressure Wound Therapy Non Dme >50 Sq Cm-Pbb,1560.0,1560.0,,,0 CDM,76200002,Hc Observation Carve-Out - Radiology,225.0,225.0,,,0 CDM,76200003,Hc Observation Carve-Out - G.I.,225.0,225.0,,,0 CDM,76200004,Hc Observation Carve-Out - Cardiology,225.0,225.0,,,0 CDM,76200005,Hc Observation Carve-Out - Respiratory,225.0,225.0,,,0 CDM,76200006,Hc Observation Carve-Out - Nebulizer Demo And Singular Tx,225.0,225.0,,,0 CDM,76200007,Hc Observation Carve-Out - Continuous Nebulizer,225.0,225.0,,,0 CDM,76200008,Hb Observation Carve-Out - Stress Tests,225.0,225.0,,,0 CDM,76200009,Hb Observation Carve-Out - Dialysis,225.0,225.0,,,0 CDM,76200010,Hb Observation Carve-Out - Spinal Tap Lumbar Puncture,225.0,225.0,,,0 CDM,76200011,Hb Observation Carve-Out - Non-Invasive Vascular Studies,225.0,225.0,,,0 CDM,76200012,Hb Observation Carve-Out - Echocardiography,225.0,225.0,,,0 CDM,76200378,Hc Observation Per Hour,251.63,251.63,,,0 CDM,76200379,Hc Direct Admit Hospital Observation,623.0,623.0,,,0 CDM,76211400_CSM,Hc Exc Benign Les Trunk/Arm/Leg 0.5Cm/< Resident Cash-Csm,600.0,600.0,,,0 CDM,76211401_CSM,Hc Exc Benign Lesion Inc Margin 0.6-1.0 Resident Cash-Csm,600.0,600.0,,,0 CDM,76211950_CSMPBB,"Hc Juvederm W/Inj 1Cc Cosmetic Package Cash-Csm,Pbb",300.0,300.0,,,0 CDM,76211954_CSMPBB,"Hc Subcutaneous Injection Of Filling Material >10.0Cc-Csm,Pbb",810.0,810.0,,,0 CDM,76227299,Hc Osteoplasty Pelvis/Hip,8267.0,8267.0,,,0 CDM,76227369,Hc Injection Procedure For Contrast Mri Knee Arthrogram,5510.0,5510.0,,,0 CDM,76227599,Hc Osteoplasty Of Osseous Lesion,10134.0,10134.0,,,0 CDM,76236511,Hc Therapeutic Apheresis; Wbc Facility Only,7193.0,7193.0,,,0 CDM,76237799,Hc Iliac Filter Placement,7097.0,7097.0,,,0 CDM,76238999,Hc Clip Placement Axillary Lymph Node,4995.0,4995.0,,,0 CDM,76249999,Hc Sclerotherapy Abdomen,437.0,437.0,,,0 CDM,76253899,Hc Kidney Fudicial Marker Placement,1203.0,1203.0,,,0 CDM,76255899,Hc Prostate Injection,4265.0,4265.0,,,0 CDM,76264612_CSM,Hc Resident Injection Clinic Botox/Filler Treatments Cash-Csm,100.0,100.0,,,0 CDM,76264999,Hc Cervical Plexus Block,3273.0,3273.0,,,0 CDM,7628_00409190211,NDC Description Not Available,779.96,779.96,,,0 CDM,7628_14789090107,NDC Description Not Available,4020.0,4020.0,,,0 CDM,7628_14789090110,"Procainamide Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (14789-901-10) / 10 Ml In 1 Vial, Multi-Dose",3216.0,3216.0,,,0 CDM,7628_25021032210,Procainamide Hydrochloride: 10 Vial In 1 Carton (25021-322-10) / 10 Ml In 1 Vial,2010.0,2010.0,,,0 CDM,76292310_CSMPBB,"Hc New Contact Lens Fitting-Extended Cash-Csm,Pbb",150.0,150.0,,,0 CDM,76299242_CSM,Hc Cosmetic Consult Resident Cash-Csm,125.0,125.0,,,0 CDM,76299243_CSMPBB,"Hc Attending Cosmetic Consult Cash-Csm,Pbb",137.5,137.5,,,0 CDM,76311950_CSMPBB,"Hc Juvederm W/Inj 1Cc Friends & Family Cash-Csm,Pbb",300.0,300.0,,,0 CDM,76327299,Hc Acetabular Lesion Ablation,10814.0,10814.0,,,0 CDM,76327369,Hc Injection Procedure For Contrast Knee Ct Arthrography,7370.0,7370.0,,,0 CDM,76337799,Hc Neuro-Sclerotherapy Of Facial Veins,3447.0,3447.0,,,0 CDM,76349999,Hc Ang Declot Peritoneal Cath,816.0,816.0,,,0 CDM,76364999,Hc Quadratus Lumborum Block,2682.0,2682.0,,,0 CDM,76376_GAST,Chg 3D Rendering W/Interp & Postprocess Supervision-Gast,140.0,140.0,,,0 CDM,76376_PBB,Chg 3D Rendering W/Interp & Postprocess Supervision-Pbb,140.0,140.0,,,0 CDM,76377_PBB,Chg 3D Rendering W/Interp&Postproc Diff Work Station-Pbb,493.0,493.0,,,0 CDM,76392310_CSMPBB,"Hc Annual Contact Lens Check Cash-Csm,Pbb",37.5,37.5,,,0 CDM,76411950_CSMPBB,"Hc Voluma W/Inj 1Cc Cosmetic Package Cash-Csm,Pbb",600.0,600.0,,,0 CDM,76492310_CSMPBB,"Hc Contact Lens Refit-Spherical Cash-Csm,Pbb",50.0,50.0,,,0 CDM,76499_GAST,Chg Unlisted Diagnostic Radiographic Procedure-Gast,277.0,277.0,,,0 CDM,76499_PBB,Chg Unlisted Diagnostic Radiographic Procedure-Pbb,277.0,277.0,,,0 CDM,76511950_CSMPBB,"Hc Voluma W/Inj 1Cc Friends & Family Cash-Csm,Pbb",400.0,400.0,,,0 CDM,76512_PBB,Chg Ophthalmic Us Dx B-Scan W/Wo Non-Quan A-Scan-Pbb,670.0,670.0,,,0 CDM,76513_PBB,Chg Dx Ophthalmic Us Ant Segment Immersion Uni/Bi-Pbb,631.0,631.0,,,0 CDM,76514_PBB,Chg Ophthalmic Us Dx Corneal Pachymetry Uni/Bi-Pbb,172.0,172.0,,,0 CDM,76516_PBB,Chg Ophthalmic Biometry Us Echograpy A-Scan-Pbb,445.0,445.0,,,0 CDM,76519_PBB,Chg Oph Bmtry Us Echograpy A-Scan Io Lens Pwr Cal-Pbb,435.0,435.0,,,0 CDM,76536_PBB,Chg Us Soft Tissue Head & Neck Real Time Imge Docm-Pbb,408.0,408.0,,,0 CDM,76537799_CSMPBB,"Hc Telangiectasia Treatment Cash-Csm,Pbb",225.0,225.0,,,0 CDM,7654_00407141359,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-59) / 30 Ml In 1 Bottle, Plastic",10.82,10.82,,,0 CDM,7654_00407141360,"10 BOTTLE, GLASS in 1 BOX (0407-1413-60) / 100 mL in 1 BOTTLE, GLASS",9.38,9.38,,,0 CDM,7654_00407141361,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-61) / 50 Ml In 1 Bottle, Plastic",13.37,13.37,,,0 CDM,7654_00407141363,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-63) / 100 Ml In 1 Bottle, Plastic",30.04,30.04,,,0 CDM,7654_00407141372,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-72) / 500 Ml In 1 Bottle, Plastic",5.67,5.67,,,0 CDM,7654_00407141392,"10 BOTTLE, PLASTIC in 1 BOX (0407-1413-92) / 150 mL in 1 BOTTLE, PLASTIC",5.92,5.92,,,0 CDM,76592310_CSMPBB,"Hc Contact Lens Refit-Extended Cash-Csm,Pbb",100.0,100.0,,,0 CDM,76604_GOLD,Chg Us Chest Real Time W/Image Documentation-Gold,198.0,198.0,,,0 CDM,76604_GOLDOPRM,"Chg Us Chest Real Time W/Image Documentation-Gold,Oprm",198.0,198.0,,,0 CDM,76604_GOLDPBB,"Chg Us Chest Real Time W/Image Documentation-Gold,Pbb",198.0,198.0,,,0 CDM,76604_PBB,Chg Us Chest Real Time W/Image Documentation-Pbb,198.0,198.0,,,0 CDM,76637799,Hc Stab Phleb Veins Xtr 1-9,3738.0,3738.0,,,0 CDM,76641_PBB,Chg Us Breast Uni Real Time With Image Complete-Pbb,237.0,237.0,,,0 CDM,76642_PBB,Chg Us Breast Uni Real Time With Image Limited-Pbb,220.0,220.0,,,0 CDM,76692310_CSMPBB,"Hc Rigid Gas Permeable/Hybrid Fitting Fee Cash-Csm,Pbb",200.0,200.0,,,0 CDM,76700_PBB,Chg Us Abdominal Real Time W/Image Documentation-Pbb,399.0,399.0,,,0 CDM,76705_GOLD,Chg Us Abdominal Real Time W/Image Limited-Gold,283.0,283.0,,,0 CDM,76705_GOLDOPRM,"Chg Us Abdominal Real Time W/Image Limited-Gold,Oprm",283.0,283.0,,,0 CDM,76705_GOLDPBB,"Chg Us Abdominal Real Time W/Image Limited-Gold,Pbb",283.0,283.0,,,0 CDM,76705_PBB,Chg Us Abdominal Real Time W/Image Limited-Pbb,283.0,283.0,,,0 CDM,76737799,Hc Infusion Catheter For Arterial Spasm,15867.0,15867.0,,,0 CDM,76801_PBB,Chg Us Pregnant Uterus 14 Wk Transabdl 1/1St Gestat-Pbb,673.0,673.0,,,0 CDM,76802_PBB,Chg Us Preg Uterus 14 Wk Transabdl Each Gestation-Pbb,284.0,284.0,,,0 CDM,76805_PBB,Chg Us Preg Uterus After 1St Trimest 1/1St Gestation-Pbb,628.0,628.0,,,0 CDM,7680_42794001812,Liothyronine Sodium: 90 Tablet In 1 Bottle (42794-018-12),5.07,5.07,,,0 CDM,7680_51862032001,"Liothyronine Sodium: 100 Tablet In 1 Bottle, Plastic (51862-320-01)",6.41,6.41,,,0 CDM,76810_PBB,Chg Us Preg Uterus > 1St Trimester Abdl Ea Gestatio-Pbb,619.0,619.0,,,0 CDM,76811_PBB,Chg Us Preg Uterus W/Detail Fetal Anat 1St Gestation-Pbb,797.0,797.0,,,0 CDM,76812_PBB,Chg Us Preg Uterus Detail Fetal Anat Exam Ea Gestat-Pbb,681.0,681.0,,,0 CDM,76813_PBB,Chg Us Fetal Nuchal Translucency 1St Gestation-Pbb,708.0,708.0,,,0 CDM,76814_PBB,Chg Us Fetal Nuchal Translucency Ea Addl Gestation-Pbb,354.0,354.0,,,0 CDM,76815_PBB,Chg Us Pregnant Uterus Limited 1/> Fetuses-Pbb,707.0,707.0,,,0 CDM,76816_PBB,Chg Us Preg Uterus Real Time F/U Trnsabdl Per Fetus-Pbb,557.0,557.0,,,0 CDM,76817_PBB,Chg Us Preg Uterus Real Time W/Image Dcmtn Transvag-Pbb,670.0,670.0,,,0 CDM,76818_PBB,Chg Fetal Biophysical Profile Non-Stress Testing-Pbb,1380.0,1380.0,,,0 CDM,76819_PBB,Chg Fetal Biophysical Profile W/O Non-Stress Testing-Pbb,626.0,626.0,,,0 CDM,76820_PBB,Chg Doppler Velocimetry Fetal Umbilical Artery-Pbb,1144.0,1144.0,,,0 CDM,76821_PBB,Chg Doppler Velocimetry Fetal Middle Cerebral Art-Pbb,412.0,412.0,,,0 CDM,76825_PBB,Chg Echo Fetal Cardiovasc W/Wo M-Mode Recording-Pbb,678.0,678.0,,,0 CDM,76827_PBB,Chg Doppler Echo Fetal Spectral Display Complete-Pbb,266.0,266.0,,,0 CDM,76828_PBB,Chg Doppler Echo Fetal Puls Spectral F/U/Repeat-Pbb,145.0,145.0,,,0 CDM,76830_PBB,Chg Us Transvaginal-Pbb,673.0,673.0,,,0 CDM,76831_PBB,Chg Saline Infus Sonohysterography W/Color Doppler-Pbb,991.0,991.0,,,0 CDM,76856_PBB,Chg Us Pelvic Nonobstetric Real-Time Image Complete-Pbb,458.0,458.0,,,0 CDM,76857_PBB,Chg Us Pelvic Nonobstetric Image Dcmtn Limited/F/U-Pbb,211.0,211.0,,,0 CDM,76872_PBB,Chg Us Transrectal-Pbb,304.0,304.0,,,0 CDM,76881_PBB,Chg Us Compl Joint R-T W/Image Documentation-Pbb,204.0,204.0,,,0 CDM,76882_PBB,Chg Us Lmtd Jt/Fcl Eval Nonvasc Xtr Strux R-T W/Img-Pbb,153.0,153.0,,,0 CDM,7692_68084020401,"Minoxidil: 100 Blister Pack In 1 Box, Unit-Dose (68084-204-01) / 1 Tablet In 1 Blister Pack (68084-204-11)",4.66,4.66,,,0 CDM,7692_68084020411,NDC Description Not Available,4.24,4.24,,,0 CDM,76937_GOLD,Chg Us Vasc Access Sits Vsl Patency Ndl Entry-Gold,204.0,204.0,,,0 CDM,76937_GOLDOPRM,"Chg Us Vasc Access Sits Vsl Patency Ndl Entry-Gold,Oprm",204.0,204.0,,,0 CDM,76937_GOLDPBB,"Chg Us Vasc Access Sits Vsl Patency Ndl Entry-Gold,Pbb",204.0,204.0,,,0 CDM,76937_PBB,Chg Us Vasc Access Sits Vsl Patency Ndl Entry-Pbb,204.0,204.0,,,0 CDM,76941_PBB,Chg Us Intrauterine Ftl Tfuj/Cordocnts Img S&I-Pbb,481.0,481.0,,,0 CDM,76942_GAST,Chg Us Guidance Needle Placement Img S&I-Gast,723.0,723.0,,,0 CDM,76942_GOLD,Chg Us Guidance Needle Placement Img S&I-Gold,723.0,723.0,,,0 CDM,76942_GOLDOPRM,"Chg Us Guidance Needle Placement Img S&I-Gold,Oprm",723.0,723.0,,,0 CDM,76942_GOLDPBB,"Chg Us Guidance Needle Placement Img S&I-Gold,Pbb",723.0,723.0,,,0 CDM,76942_PBB,Chg Us Guidance Needle Placement Img S&I-Pbb,723.0,723.0,,,0 CDM,76945_PBB,Chg Us Guidance Chorionic Villus Sampling Img S&I-Pbb,454.0,454.0,,,0 CDM,76946_PBB,Chg Us Guidance Amniocentesis Img S&I-Pbb,292.0,292.0,,,0 CDM,76981_PBB,Chg Ultrasound Elastography Parenchyma-Pbb,681.0,681.0,,,0 CDM,76998_PBB,Chg Ultrasonic Guidance Intraoperative-Pbb,403.0,403.0,,,0 CDM,77000101,Hc Cervical Or Vaginal Cancer Screening; Pelvic And Clinical Breast Examination,474.0,474.0,,,0 CDM,77000101_PBB,Hc Cervical Or Vaginal Cancer Screening; Pelvic And Clinical Breast Examination-Pbb,384.0,384.0,,,0 CDM,77000296,Hc Counseling Visit To Discuss Lung Cancer Screening,254.0,254.0,,,0 CDM,77000296_PBB,Hc Counseling Visit To Discuss Lung Cancer Screening-Pbb,349.5,349.5,,,0 CDM,77000402_PBB,Hc Initital Preventive Care Exam-Pbb,988.5,988.5,,,0 CDM,77000438,"Hc Annual Wellness Visit, Initital Visit",466.0,466.0,,,0 CDM,77000438_PBB,"Hc Annual Wellness Visit, Initital Visit-Pbb",679.0,679.0,,,0 CDM,77000439,"Hc Annual Wellness Visit, Subsequent Visit",398.0,398.0,,,0 CDM,77000439_PBB,"Hc Annual Wellness Visit, Subsequent Visit-Pbb",525.5,525.5,,,0 CDM,7705_00280210012,Bayer Low Dose: 1 Bottle In 1 Carton (0280-2100-12) / 120 Tablet In 1 Bottle,2.0,2.0,,,0 CDM,77080_PBB,Chg Dxa Bone Density Study 1/> Sites Axial Skel-Pbb,136.0,136.0,,,0 CDM,77081_PBB,Chg Dxa Bone Density Study 1/>Sites Appendiclr Skel-Pbb,147.0,147.0,,,0 CDM,77085_PBB,Chg Dxa Bone Density Std 1/> Axl Skel W/Vrt Fx Assmt-Pbb,463.0,463.0,,,0 CDM,77086_PBB,Chg Vertebral Fracture Assessment Via Dxa-Pbb,290.0,290.0,,,0 CDM,77100008,Hc Administration Of Influenza Virus Vaccine,165.0,165.0,,,0 CDM,77100009,Hc Administration Of Pneumococcal Vaccine,164.0,164.0,,,0 CDM,77100010,Hc Administration Of Hep B Vaccine,164.0,164.0,,,0 CDM,77100222,Hc Bebtelovimab Injection,947.0,947.0,,,0 CDM,77190471,Hc Immunization Administration; 1 Vaccine,81.0,81.0,,,0 CDM,77190472,Hc Immunization Administration; Each Additional Vaccine,43.0,43.0,,,0 CDM,77190473,Hc Immunization Administration By Intranasal Or Oral Route; 1 Vaccine,89.0,89.0,,,0 CDM,77190474,Hc Immunization Administration By Intranasal Or Oral Route; Each Additional Vaccine,34.0,34.0,,,0 CDM,77190480,Hc Admn Sarscov2 Vacc 1 Dose,81.0,81.0,,,0 CDM,77196380,Hc Admn Rsv Monoc Antb Im Cnsl,373.0,373.0,,,0 CDM,77200220,Hc Tixagev And Cilgav Inj,406.0,406.0,,,0 CDM,77290471,Hc Travel Clinic Immunization Administration; 1 Vaccine,36.0,36.0,,,0 CDM,7743_00955173730,"Leflunomide: 1 Bottle In 1 Carton (0955-1737-30) / 30 Tablet, Film Coated In 1 Bottle",31.0,31.0,,,0 CDM,7743_50268047811,NDC Description Not Available,12.01,12.01,,,0 CDM,7743_70748013006,"Leflunomide: 30 Tablet, Film Coated In 1 Bottle (70748-130-06)",4.36,4.36,,,0 CDM,7767_00065064515,"NATACYN: 1 BOTTLE, GLASS in 1 CARTON (0065-0645-15) / 15 mL in 1 BOTTLE, GLASS",2936.57,2936.57,,,0 CDM,7767_71776000515,"Natacyn: 1 Bottle, Glass In 1 Carton (71776-005-15) / 15 Ml In 1 Bottle, Glass",5871.37,5871.37,,,0 CDM,7780_00904717961,Tramadol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7179-61) / 1 Tablet In 1 Blister Pack,5.7,5.7,,,0 CDM,7780_00904749661,"Tramadol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7496-61) / 1 Tablet, Coated In 1 Blister Pack",4.7,4.7,,,0 CDM,7780_29300035501,"Tramadol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (29300-355-01)",5.57,5.57,,,0 CDM,7780_51079099120,"Tramadol Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-991-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-991-01)",5.87,5.87,,,0 CDM,7780_60219234801,"Tramadol Hydrochloride: 100 Tablet, Coated In 1 Bottle (60219-2348-1)",5.91,5.91,,,0 CDM,7780_60687079511,NDC Description Not Available,5.57,5.57,,,0 CDM,7780_68084080811,NDC Description Not Available,5.76,5.76,,,0 CDM,7784_00143916201,NDC Description Not Available,96.5,96.5,,,0 CDM,7784_00143935710,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (0143-9357-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9357-01)",96.5,96.5,,,0 CDM,7784_00409653311,NDC Description Not Available,95.13,95.13,,,0 CDM,7784_00409653321,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (0409-6533-21) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-6533-11)",54.54,54.54,,,0 CDM,7784_00409653359,NDC Description Not Available,38.44,38.44,,,0 CDM,7784_63323028401,NDC Description Not Available,95.72,95.72,,,0 CDM,7784_63323028420,Vancomycin Hydrochloride: 10 Vial In 1 Tray (63323-284-20) / 20 Ml In 1 Vial (63323-284-01),96.5,96.5,,,0 CDM,7784_67457034000,NDC Description Not Available,94.81,94.81,,,0 CDM,7784_70436002182,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (70436-021-82) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",93.28,93.28,,,0 CDM,7784_72611076501,NDC Description Not Available,78.85,78.85,,,0 CDM,7798_00781324494,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3244-94) / 50 Ml In 1 Vial, Single-Dose",18.71,18.71,,,0 CDM,7798_10019093901,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-939-01) / 50 Ml In 1 Vial, Single-Dose (10019-939-50)",12.4,12.4,,,0 CDM,7798_10019095601,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-956-01) / 50 Ml In 1 Vial, Single-Dose (10019-956-16)",15.83,15.83,,,0 CDM,7798_10019095616,NDC Description Not Available,16.68,16.68,,,0 CDM,779_00054814622,Clotrimazole: 70 Blister Pack In 1 Carton (0054-8146-22) / 1 Lozenge In 1 Blister Pack,17.04,17.04,,,0 CDM,779_00574010770,"Clotrimazole: 70 Lozenge In 1 Bottle, Plastic (0574-0107-70)",7.98,7.98,,,0 CDM,779_00574010777,Clotrimazole: 70 Packet In 1 Box (0574-0107-77) / 1 Lozenge In 1 Packet,7.09,7.09,,,0 CDM,78003014,Hc Telehealth Facility Fee,277.0,277.0,,,0 CDM,7805_00641141031,NDC Description Not Available,59.0,59.0,,,0 CDM,7805_00641141035,Digoxin: 25 Ampule In 1 Carton (0641-1410-35) / 2 Ml In 1 Ampule (0641-1410-31),59.0,59.0,,,0 CDM,7805_70515026110,Lanoxin: 10 Vial In 1 Box (70515-261-10) / 2 Ml In 1 Vial,949.82,949.82,,,0 CDM,7806_00904664061,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6640-61) / 1 Tablet, Film Coated In 1 Blister Pack",3.83,3.83,,,0 CDM,7806_50268063211,NDC Description Not Available,3.37,3.37,,,0 CDM,7806_60687034911,NDC Description Not Available,4.03,4.03,,,0 CDM,7827_00093106001,Sotalol Hydrochloride: 100 Tablet In 1 Bottle (0093-1060-01),6.0,6.0,,,0 CDM,7827_50268072511,NDC Description Not Available,6.0,6.0,,,0 CDM,7844_00904020261,"Amitriptyline Hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-0202-61) / 1 TABLET, FILM COATED in 1 BLISTER PACK",5.9,5.9,,,0 CDM,7844_00904718561,"Amitriptyline Hydrochloride: 100 Blister Pack In 1 Carton (0904-7185-61) / 10 Tablet, Film Coated In 1 Blister Pack",4.77,4.77,,,0 CDM,7844_00904741161,Amitriptyline Hydrochloride: 100 Blister Pack In 1 Carton (0904-7411-61) / 1 Tablet In 1 Blister Pack,5.01,5.01,,,0 CDM,7844_57664068988,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (57664-689-88)",5.89,5.89,,,0 CDM,7844_60687044411,NDC Description Not Available,4.66,4.66,,,0 CDM,7850_00904704261,Amantadine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7042-61) / 1 Capsule In 1 Blister Pack,8.03,8.03,,,0 CDM,7850_50268006911,NDC Description Not Available,12.38,12.38,,,0 CDM,7850_60687042211,NDC Description Not Available,11.26,11.26,,,0 CDM,7850_62332024631,Amantadine: 100 Capsule In 1 Bottle (62332-246-31),6.0,6.0,,,0 CDM,7861_00536117201,Acetaminophen: 100 Tablet In 1 Bottle (0536-1172-01),1.08,1.08,,,0 CDM,7861_00904673059,Acetaminophen: 1 Bottle In 1 Carton (0904-6730-59) / 100 Tablet In 1 Bottle,1.08,1.08,,,0 CDM,7861_00904673060,Acetaminophen: 100 Tablet In 1 Bottle (0904-6730-60),1.09,1.09,,,0 CDM,7861_00904673061,"Acetaminophen: 10 Blister Pack In 1 Box, Unit-Dose (0904-6730-61) / 10 Tablet In 1 Blister Pack",1.08,1.08,,,0 CDM,7861_00904673080,Acetaminophen: 1000 Tablet In 1 Bottle (0904-6730-80),1.08,1.08,,,0 CDM,7861_03786400103,NDC Description Not Available,2.0,2.0,,,0 CDM,7861_10135014401,NDC Description Not Available,1.5,1.5,,,0 CDM,7861_10135014405,NDC Description Not Available,1.0,1.0,,,0 CDM,7861_10135014410,NDC Description Not Available,1.0,1.0,,,0 CDM,7861_10135014424,NDC Description Not Available,1.0,1.0,,,0 CDM,7861_10135015201,Acetaminophen: 100 TABLET in 1 BOTTLE (10135-152-01),1.33,1.33,,,0 CDM,7861_10135015250,NDC Description Not Available,1.0,1.0,,,0 CDM,7861_51645070610,"PlusPharma Extra Strength: 1000 TABLET in 1 BOTTLE, PLASTIC (51645-706-10)",1.0,1.0,,,0 CDM,7861_57896020101,100 TABLET in 1 BOTTLE (57896-201-01),1.0,1.0,,,0 CDM,7861_57896020401,Extra Strength Acetaminophen: 100 Tablet In 1 Bottle (57896-204-01),1.11,1.11,,,0 CDM,7861_69618001101,"Acetaminophen 500 Mg: 100 Tablet In 1 Bottle, Plastic (69618-011-01)",1.24,1.24,,,0 CDM,7861_70010016101,Acetaminophen: 1 Bottle In 1 Carton (70010-161-01) / 100 Tablet In 1 Bottle,1.33,1.33,,,0 CDM,7866_00781207401,Triamterene And Hydrochlorothiazide: 100 Capsule In 1 Bottle (0781-2074-01),6.0,6.0,,,0 CDM,7866_51079093520,Triamterene and Hydrochlorothiazide: 100 BLISTER PACK in 1 CARTON (51079-935-20) / 1 CAPSULE in 1 BLISTER PACK (51079-935-01),6.0,6.0,,,0 CDM,7866_62135052990,Triamterene And Hydrochlorothiazide: 90 Capsule In 1 Bottle (62135-529-90),21.7,21.7,,,0 CDM,7871_00409381511,NDC Description Not Available,114.19,114.19,,,0 CDM,7871_00409381512,"Morphine Sulfate: 5 Vial, Glass In 1 Carton (0409-3815-12) / 10 Ml In 1 Vial, Glass (0409-3815-11)",96.97,96.97,,,0 CDM,7871_00641601910,Duramorph: 10 Ampule In 1 Carton (0641-6019-10) / 10 Ml In 1 Ampule (0641-6019-01),80.27,80.27,,,0 CDM,7873_50419074701,"Biltricide: 6 Tablet, Film Coated In 1 Bottle (50419-747-01)",514.84,514.84,,,0 CDM,7875_00904636161,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6361-61)",6.0,6.0,,,0 CDM,7875_00904736461,"Risperidone: 100 Blister Pack In 1 Carton (0904-7364-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.8,5.8,,,0 CDM,787_51079098501,NDC Description Not Available,4.24,4.24,,,0 CDM,787_51079098520,Buspirone Hydrochloride: 100 Blister Pack In 1 Carton (51079-985-20) / 1 Tablet In 1 Blister Pack (51079-985-01),4.72,4.72,,,0 CDM,7880_00121148810,NDC Description Not Available,3.06,3.06,,,0 CDM,7880_00121174405,NDC Description Not Available,3.04,3.04,,,0 CDM,7880_00121174410,NDC Description Not Available,1.86,1.86,,,0 CDM,7880_00121174415,NDC Description Not Available,2.0,2.0,,,0 CDM,7880_00121223215,NDC Description Not Available,3.45,3.45,,,0 CDM,793_51672201002,Hydrocortisone: 1 Tube In 1 Carton (51672-2010-2) / 28.4 G In 1 Tube,20.39,20.39,,,0 CDM,7951_00168000415,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0004-15) / 15 G In 1 Tube,18.6,18.6,,,0 CDM,7951_00168000480,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0004-80) / 80 G In 1 Tube,43.65,43.65,,,0 CDM,7951_00603786274,Triamcinolone Acetonide: 15 g in 1 TUBE (0603-7862-74),20.65,20.65,,,0 CDM,7951_00713022515,Triamcinolone Acetonide: 1 Tube In 1 Carton (0713-0225-15) / 15 G In 1 Tube,20.09,20.09,,,0 CDM,7951_45802006405,Triamcinolone Acetonide: 454 G In 1 Jar (45802-064-05),121.04,121.04,,,0 CDM,7951_67877025145,Triamcinolone Acetonide: 454 G In 1 Jar (67877-251-45),137.93,137.93,,,0 CDM,799_00121048905,NDC Description Not Available,12.96,12.96,,,0 CDM,799_00121086505,NDC Description Not Available,23.67,23.67,,,0 CDM,799_00121086530,"Diphenhydramine Hcl: 3 Tray In 1 Case (0121-0865-30) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0865-05)",13.21,13.21,,,0 CDM,799_00121097810,NDC Description Not Available,9.09,9.09,,,0 CDM,799_00121173000,"Diphenhydramine Hcl: 10 Tray In 1 Case (0121-1730-00) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (0121-1730-10)",27.66,27.66,,,0 CDM,799_00904698516,"Diphenhydramine Hcl: 473 Ml In 1 Bottle, Plastic (0904-6985-16)",3.0,3.0,,,0 CDM,799_54859081116,Allergy Relief: 473 Ml In 1 Bottle (54859-811-16),3.03,3.03,,,0 CDM,799_69339015105,NDC Description Not Available,26.84,26.84,,,0 CDM,799_70677101201,Foster And Thrive Childrens Allergy Relief: 1 Bottle In 1 Carton (70677-1012-1) / 118 Ml In 1 Bottle,3.6,3.6,,,0 CDM,79_23155076701,Tetracycline Hydrochloride: 100 Capsule In 1 Bottle (23155-767-01),16.8,16.8,,,0 CDM,80090999,Hc Molecular Adsorbent Recirculating System,2075.0,2075.0,,,0 CDM,80190935,Hc Hemodialysis Procedure With Single Evaluation By A Physician Or Qhcp,2570.0,2570.0,,,0 CDM,8031_00143998303,"Cefazolin: 10 Vial, Pharmacy Bulk Package In 1 Carton (0143-9983-03) / 1 Injection, Powder, For Solution In 1 Vial, Pharmacy Bulk Package (0143-9983-91)",7.61,7.61,,,0 CDM,8031_00143998391,NDC Description Not Available,7.2,7.2,,,0 CDM,8031_63323023861,"Cefazolin: 10 Vial In 1 Carton (63323-238-61) / 1 Powder, For Solution In 1 Vial (63323-238-01)",48.25,48.25,,,0 CDM,8046_16571072348,Sulfamylon: 453.6 G In 1 Jar (16571-723-48),1548.14,1548.14,,,0 CDM,8046_16571072360,Sulfamylon: 1 Tube In 1 Carton (16571-723-60) / 56.7 G In 1 Tube,448.92,448.92,,,0 CDM,8046_51079062381,Sulfamylon: 1 TUBE in 1 CARTON (51079-623-81) / 56.7 g in 1 TUBE,375.1,375.1,,,0 CDM,8050_00270055615,Kinevac: 10 Vial In 1 Package (0270-0556-15) / 5 Ml In 1 Vial,240.6,240.6,,,0 CDM,8068_00904692761,"Spironolactone: 100 Blister Pack In 1 Carton (0904-6927-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.49,5.49,,,0 CDM,8068_51079010301,NDC Description Not Available,3.99,3.99,,,0 CDM,8068_59651042601,Spironolactone: 100 Tablet In 1 Bottle (59651-426-01),6.0,6.0,,,0 CDM,8068_60687046511,NDC Description Not Available,5.26,5.26,,,0 CDM,8068_63629106403,"Spironolactone: 90 Tablet In 1 Bottle, Plastic (63629-1064-3)",6.0,6.0,,,0 CDM,8068_63739054410,"Spironolactone: 10 Blister Pack In 1 Box, Unit-Dose (63739-544-10) / 10 Tablet In 1 Blister Pack",5.46,5.46,,,0 CDM,8083_00338007225,Ketorolac Tromethamine: 25 Vial In 1 Carton (0338-0072-25) / 1 Ml In 1 Vial,59.0,59.0,,,0 CDM,8083_00409379519,NDC Description Not Available,41.3,41.3,,,0 CDM,8083_62332060001,NDC Description Not Available,41.99,41.99,,,0 CDM,8083_63323016200,NDC Description Not Available,44.91,44.91,,,0 CDM,8083_63323016201,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-162-01) / 1 Ml In 1 Vial, Single-Use (63323-162-00)",37.93,37.93,,,0 CDM,8083_72266011801,NDC Description Not Available,37.62,37.62,,,0 CDM,8083_72611072201,NDC Description Not Available,29.5,29.5,,,0 CDM,80990945,"Hc Dialysis Procedure Other Than Hemodialysis, With Single Evaluation By A Physician Or Qhcp",3831.0,3831.0,,,0 CDM,80990947,Hc Hemofiltration Dialysis,11196.0,11196.0,,,0 CDM,80990999,Hc Dial-Ccpd,4498.0,4498.0,,,0 CDM,81000000,Hc Ex-Vivo Organ Perfusion,552622.0,552622.0,,,0 CDM,81000001,Hc Paragonix Heart Perfusion,135469.0,135469.0,,,0 CDM,81000002,Hc Paragonix Lungguard,53347.0,53347.0,,,0 CDM,81000003,Hc Ex-Vivo Organ Perfusion-Heart,729149.0,729149.0,,,0 CDM,81000004,Hc Ex-Vivo Liver Perfusion,212335.0,212335.0,,,0 CDM,81000005,Hc Paragonix Liverguard,53173.0,53173.0,,,0 CDM,81000006,"Hc Keystone, Organ Recovery",81184.0,81184.0,,,0 CDM,81000007,Hc Keystone Nrp Heart,102134.0,102134.0,,,0 CDM,81002785,Noncdm Charge Record Acquisition,29578.24,29578.24,,,0 CDM,81002785_7032622,Noncdm Charge Record Acquisition,31820.0,31820.0,,,0 CDM,81002785_7032626,Noncdm Charge Record Acquisition,33300.0,33300.0,,,0 CDM,81002785_7039024,Noncdm Charge Record Acquisition,23680.0,23680.0,,,0 CDM,81002785_7039025,Noncdm Charge Record Acquisition,29230.0,29230.0,,,0 CDM,81002785_7039029,Noncdm Charge Record Acquisition,23680.0,23680.0,,,0 CDM,81002785_7039030,Noncdm Charge Record Acquisition,23680.0,23680.0,,,0 CDM,81090947,Hc Isolated Ultrafiltration Without Normal Hemodialysis Schedule,11196.0,11196.0,,,0 CDM,81090999,Hc Dial-Capd,4041.0,4041.0,,,0 CDM,81100000,Hc Living Liver Acquisition,80365.0,80365.0,,,0 CDM,8117_55150040001,NDC Description Not Available,59.0,59.0,,,0 CDM,8117_63323061400,NDC Description Not Available,60.29,60.29,,,0 CDM,8117_63323061401,"Hydralazine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (63323-614-01) / 1 Ml In 1 Vial, Single-Dose (63323-614-00)",62.92,62.92,,,0 CDM,8117_63323061421,NDC Description Not Available,59.0,59.0,,,0 CDM,81190947,Hc Crrt Extended Time During Or Cases,11196.0,11196.0,,,0 CDM,811_00409233715,NDC Description Not Available,59.05,59.05,,,0 CDM,8121_00143117401,Captopril: 100 Tablet In 1 Bottle (0143-1174-01),15.34,15.34,,,0 CDM,81244132,"Hc Donor Enterectomy, Open; From Cadaver Donor",204265.0,204265.0,,,0 CDM,8127_00527169501,"Butalbital, Acetaminophen, And Caffeine: 100 Tablet In 1 Bottle, Plastic (0527-1695-01)",3.6,3.6,,,0 CDM,81300000,Hc Living Donor Kidney Acquisition,110878.0,110878.0,,,0 CDM,8138_00185434601,Quinidine Sulfate: 100 Tablet In 1 Bottle (0185-4346-01),4.26,4.26,,,0 CDM,8138_42806051330,Quinidine Sulfate: 30 Tablet In 1 Bottle (42806-513-30),74.84,74.84,,,0 CDM,813_00591081046,Silver Sulfadiazene: 400 g in 1 JAR (0591-0810-46),327.36,327.36,,,0 CDM,813_43598021025,Ssd Cream: 25 G In 1 Tube (43598-210-25),46.5,46.5,,,0 CDM,813_43598021040,Ssd Cream: 400 G In 1 Jar (43598-210-40),327.36,327.36,,,0 CDM,813_43598021050,Ssd Cream: 50 G In 1 Tube (43598-210-50),76.88,76.88,,,0 CDM,813_43598021055,Ssd Cream: 50 G In 1 Jar (43598-210-55),76.88,76.88,,,0 CDM,813_61570013140,Silvadene: 400 G In 1 Jar (61570-131-40),305.04,305.04,,,0 CDM,813_61570013150,Silvadene: 50 G In 1 Jar (61570-131-50),89.28,89.28,,,0 CDM,813_67877012405,Silver Sulfadiazine: 50 G In 1 Tube (67877-124-05),75.95,75.95,,,0 CDM,81400000,Hc Cadaver Kidney Acquisition,180913.0,180913.0,,,0 CDM,8145_42023011925,"Tigan: 25 Vial, Single-Dose In 1 Tray (42023-119-25) / 2 Ml In 1 Vial, Single-Dose",351.03,351.03,,,0 CDM,814_00904716261,Metformin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7162-61) / 1 Tablet In 1 Blister Pack,4.4,4.4,,,0 CDM,814_50228010501,Metformin Hydrochloride: 100 Tablet In 1 Bottle (50228-105-01),4.54,4.54,,,0 CDM,814_60687015511,NDC Description Not Available,4.43,4.43,,,0 CDM,81538204,Hc Nmdp Mngmnt Recipient Hematopoietic Progen Cell Dnr Srch & Cell Acq,92549.0,92549.0,,,0 CDM,81638204,Hc Cell Acquisition Donor Lymphocyte Infusion (Dli),90070.0,90070.0,,,0 CDM,81700000,Hc Lvtr-Cadaver Liver Aquisition,238001.0,238001.0,,,0 CDM,8170_00121086720,Vancomycin Hydrochloride: 2 Blister Pack In 1 Carton (0121-0867-20) / 10 Capsule In 1 Blister Pack,12.4,12.4,,,0 CDM,8170_23155085878,Vancomycin Hydrochloride: 2 Blister Pack In 1 Carton (23155-858-78) / 10 Capsule In 1 Blister Pack,29.45,29.45,,,0 CDM,8170_62559039020,Vancomycin Hydrochloride: 2 Blister Pack In 1 Carton (62559-390-20) / 10 Capsule In 1 Blister Pack,15.5,15.5,,,0 CDM,8170_68180016611,NDC Description Not Available,15.5,15.5,,,0 CDM,8171_00904544861,"Pentoxifylline: 100 Blister Pack In 1 Carton (0904-5448-61) / 1 Tablet, Extended Release In 1 Blister Pack",6.0,6.0,,,0 CDM,8171_60505003306,"Pentoxifylline: 100 Tablet, Extended Release In 1 Bottle (60505-0033-6)",6.0,6.0,,,0 CDM,8175_68094075059,NDC Description Not Available,23.75,23.75,,,0 CDM,8175_99999001184,NDC Description Not Available,6.0,6.0,,,0 CDM,81800000,Hc Cadaver Pancreatic Acquisition,116622.0,116622.0,,,0 CDM,81900000,Hc Activation Matched-Unrelate Donor,7681.0,7681.0,,,0 CDM,81938204,Hc Management Of Recipient Hematopoietic Progenitor Cell Donor Search And Cell Acquisition,139005.0,139005.0,,,0 CDM,82000000,Hc Cadaver Lung Acquisition,170660.0,170660.0,,,0 CDM,8201_00575620030,"Proglycem: 1 Bottle, Dropper In 1 Box (0575-6200-30) / 30 Ml In 1 Bottle, Dropper",128.25,128.25,,,0 CDM,820_00603544821,"Propafenone Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0603-5448-21)",6.0,6.0,,,0 CDM,820_60687070911,NDC Description Not Available,6.0,6.0,,,0 CDM,820_64380016502,"Propafenone Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (64380-165-02)",6.0,6.0,,,0 CDM,82100000,Hc Cadaver Bilateral Lung Acquisition,235092.0,235092.0,,,0 CDM,82200000,Hc Cadaver Heart Lung Acquisition,262666.0,262666.0,,,0 CDM,8221_00132008112,Pedia-Lax: 12 Suppository In 1 Jar (0132-0081-12),2.0,2.0,,,0 CDM,8221_08770142512,NDC Description Not Available,2.0,2.0,,,0 CDM,8221_58980040912,Stratuscare Glycerin Laxative Pediatric: 12 Suppository In 1 Jar (58980-409-12),2.0,2.0,,,0 CDM,8225_60687021011,NDC Description Not Available,5.74,5.74,,,0 CDM,8225_63739057310,"Simvastatin: 10 Blister Pack In 1 Box, Unit-Dose (63739-573-10) / 10 Tablet, Film Coated In 1 Blister Pack",5.84,5.84,,,0 CDM,8226_31722077801,Acyclovir: 100 Tablet In 1 Bottle (31722-778-01),6.0,6.0,,,0 CDM,8226_60505530701,Acyclovir: 100 Tablet In 1 Bottle (60505-5307-1),6.0,6.0,,,0 CDM,8226_68084010911,NDC Description Not Available,6.0,6.0,,,0 CDM,8237_00904630061,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6300-61)",5.7,5.7,,,0 CDM,8237_00904730561,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7305-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.68,5.68,,,0 CDM,8237_65862014201,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (65862-142-01)",6.0,6.0,,,0 CDM,8237_68382009201,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68382-092-01)",5.72,5.72,,,0 CDM,82400000,Hc Cadaver Heart Aquisition,210292.0,210292.0,,,0 CDM,8267_00143987701,NDC Description Not Available,89.72,89.72,,,0 CDM,8267_00143987725,"Cefoxitin: 25 Vial In 1 Carton (0143-9877-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9877-01)",90.47,90.47,,,0 CDM,8267_25021011020,"Cefoxitin: 10 Vial In 1 Carton (25021-110-20) / 1 Injection, Powder, For Solution In 1 Vial",75.5,75.5,,,0 CDM,8267_44567024625,"Cefoxitin: 25 Vial In 1 Carton (44567-246-25) / 1 Injection, Powder, For Solution In 1 Vial",78.8,78.8,,,0 CDM,8267_63323034201,NDC Description Not Available,96.5,96.5,,,0 CDM,826_55513014801,NDC Description Not Available,14.88,14.88,,,0 CDM,826_59676030400,NDC Description Not Available,21.23,21.23,,,0 CDM,82700000,Hc Cadaver Pancreas/Kidney Acquisition,198720.0,198720.0,,,0 CDM,8290_65862039110,"Ondansetron: 3 Blister Pack In 1 Carton (65862-391-10) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",0.79,0.79,,,0 CDM,8290_68462015811,"Ondansetron: 10 Tablet, Orally Disintegrating In 1 Box, Unit-Dose (68462-158-11)",3.0,3.0,,,0 CDM,8290_68462015840,NDC Description Not Available,0.8,0.8,,,0 CDM,82_00832011103,Amantadine Hydrochloride: 100 Blister Pack In 1 Carton (0832-0111-03) / 1 Tablet In 1 Blister Pack (0832-0111-89),10.26,10.26,,,0 CDM,82_00832011189,NDC Description Not Available,11.52,11.52,,,0 CDM,83000000,Hc Hla And Donor Typing,71463.0,71463.0,,,0 CDM,83100000,Hc Hla And Donor Type Pre-Collection Testing Nmdp,2425.0,2425.0,,,0 CDM,8323_00338012503,Lactated Ringers And Dextrose: 500 Ml In 1 Bag (0338-0125-03),193.0,193.0,,,0 CDM,8323_00338012504,Lactated Ringers And Dextrose: 1000 Ml In 1 Bag (0338-0125-04),192.03,192.03,,,0 CDM,8323_00990792903,Lactated Ringers And Dextrose: 24 Pouch In 1 Case (0990-7929-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,68.2,68.2,,,0 CDM,83516,Chg Immunoassay Analyte Qual/Semiquan Multiple Step,37.0,37.0,,,0 CDM,8353_61269041020,"Etopophos: 1 Vial, Single-Dose In 1 Carton (61269-410-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",114.13,114.13,,,0 CDM,8408_66689077508,Phenytoin: 237 Ml In 1 Bottle (66689-775-08),8.12,8.12,,,0 CDM,8413_00904515460,"Guaifenesin: 100 Tablet In 1 Bottle, Plastic (0904-5154-60)",4.11,4.11,,,0 CDM,841_68180065701,Doxycycline: 60 Ml In 1 Bottle (68180-657-01),30.86,30.86,,,0 CDM,8428_17238090011,Bioglo: 100 Packet In 1 Box (17238-900-11) / 1 Mg In 1 Packet (17238-900-99),5.33,5.33,,,0 CDM,8437_00527328046,Levothyroxine Sodium: 90 Tablet In 1 Bottle (0527-3280-46),5.67,5.67,,,0 CDM,8437_00904694961,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6949-61) / 1 Tablet In 1 Blister Pack,6.0,6.0,,,0 CDM,8437_16729044715,Levothyroxine Sodium: 90 Tablet In 1 Bottle (16729-447-15),5.67,5.67,,,0 CDM,8437_51079044401,NDC Description Not Available,5.71,5.71,,,0 CDM,8437_51079044420,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (51079-444-20) / 1 Tablet In 1 Blister Pack (51079-444-01),4.85,4.85,,,0 CDM,8437_60687045311,NDC Description Not Available,5.76,5.76,,,0 CDM,846_00378425001,"Doxepin Hydrochloride: 100 Capsule In 1 Bottle, Plastic (0378-4250-01)",6.0,6.0,,,0 CDM,8476_04009310287,NDC Description Not Available,2.0,2.0,,,0 CDM,8500_00904700761,Lamotrigine: 100 Blister Pack In 1 Carton (0904-7007-61) / 1 Tablet In 1 Blister Pack,3.13,3.13,,,0 CDM,8500_62332003731,Lamotrigine: 100 Tablet In 1 Bottle (62332-037-31),3.12,3.12,,,0 CDM,8500_68084031811,NDC Description Not Available,3.0,3.0,,,0 CDM,851_00378912216,NDC Description Not Available,78.53,78.53,,,0 CDM,851_47781042611,NDC Description Not Available,78.53,78.53,,,0 CDM,851_60505700702,Fentanyl: 5 Pouch In 1 Carton (60505-7007-2) / 1 Patch In 1 Pouch (60505-7007-0) / 72 H In 1 Patch,60.76,60.76,,,0 CDM,8538_58181304105,"Gleostine: 1 Bottle In 1 Carton (58181-3041-5) / 5 Capsule, Gelatin Coated In 1 Bottle",2789.69,2789.69,,,0 CDM,8546_63323028506,NDC Description Not Available,1.79,1.79,,,0 CDM,8546_63323028523,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-285-23) / 20 Ml In 1 Vial, Single-Dose (63323-285-07)",2.49,2.49,,,0 CDM,8546_63323028564,Naropin: 12 Bottle In 1 Case (63323-285-64) / 200 Ml In 1 Bottle (63323-285-57),1.14,1.14,,,0 CDM,856_00574703412,Aspirin: 12 Packet In 1 Carton (0574-7034-12) / 1 Suppository In 1 Packet,2.22,2.22,,,0 CDM,860_65862030612,"Fluoxetine: 120 Ml In 1 Bottle, Glass (65862-306-12)",17.9,17.9,,,0 CDM,8643_00409648201,Erythrocin Lactobionate: 10 Vial In 1 Tray (0409-6482-01) / 10 Ml In 1 Vial (0409-6482-11),304.47,304.47,,,0 CDM,8643_00409648211,NDC Description Not Available,339.64,339.64,,,0 CDM,8643_14789011607,NDC Description Not Available,271.21,271.21,,,0 CDM,8656_16714007204,Baclofen: 100 Tablet In 1 Bottle (16714-072-04),3.0,3.0,,,0 CDM,8656_50268010711,NDC Description Not Available,4.98,4.98,,,0 CDM,8656_60687051411,NDC Description Not Available,5.84,5.84,,,0 CDM,8656_63739048010,"Baclofen: 10 Blister Pack In 1 Box, Unit-Dose (63739-480-10) / 10 Tablet In 1 Blister Pack",5.63,5.63,,,0 CDM,8657_49281086010,"Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10) / 5 Ml In 1 Vial, Multi-Dose (49281-860-78)",38.0,38.0,,,0 CDM,8657_49281086078,NDC Description Not Available,283.46,283.46,,,0 CDM,8667_00713050306,NDC Description Not Available,71.3,71.3,,,0 CDM,8667_00713050312,Anucort-Hc: 12 Suppository In 1 Carton (0713-0503-12),71.3,71.3,,,0 CDM,8676_00603154258,"Potassium Chloride: 473 Ml In 1 Bottle, Plastic (0603-1542-58)",8.89,8.89,,,0 CDM,8676_42571035707,Potassium Chloride: 473 Ml In 1 Bottle (42571-357-07),12.59,12.59,,,0 CDM,8676_66689004850,Potassium Chloride: 5 Tray In 1 Case (66689-048-50) / 10 Cup In 1 Tray / 30 Ml In 1 Cup (66689-048-01),131.32,131.32,,,0 CDM,8693_00904535431,Banophen: 1 Tube In 1 Carton (0904-5354-31) / 28 G In 1 Tube,10.94,10.94,,,0 CDM,8693_01254717167,NDC Description Not Available,22.99,22.99,,,0 CDM,8693_45802035803,Diphenhydramine Hcl And Zinc Acetate: 1 Tube In 1 Carton (45802-358-03) / 28 G In 1 Tube,13.37,13.37,,,0 CDM,8693_49348085472,Sunmark Anti-Itch: 1 Tube In 1 Carton (49348-854-72) / 28.4 G In 1 Tube,13.37,13.37,,,0 CDM,8703_70408023932,"Nitrofurantoin: 240 Ml In 1 Bottle, Plastic (70408-239-32)",411.43,411.43,,,0 CDM,87138225,Hc Car-T Hrv Bld-Drv T Lymphcyt,6153.0,6153.0,,,0 CDM,87138225_PBB,Hc Car-T Hrv Bld-Drv T Lymphcyt-Pbb,8319.5,8319.5,,,0 CDM,87210_PBB,Chg Smr Prim Src Wet Mount Nfct Agt-Pbb,218.0,218.0,,,0 CDM,87238226,Hc Car-T Prep T Lymphcyt F/Trns,6212.0,6212.0,,,0 CDM,87338227,Hc Car-T Receipt&Prepj Admn,3522.0,3522.0,,,0 CDM,8740_10019092501,"Ifosfamide: 1 Vial, Single-Dose In 1 Carton (10019-925-01) / 20 Ml In 1 Vial, Single-Dose (10019-925-82)",147.7,147.7,,,0 CDM,8740_10019092582,NDC Description Not Available,186.14,186.14,,,0 CDM,8740_63323014210,"Ifosfamide: 1 Vial, Single-Dose In 1 Box (63323-142-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",343.56,343.56,,,0 CDM,8741_50242004406,NDC Description Not Available,589.62,589.62,,,0 CDM,8741_50242004413,"Activase: 1 Kit In 1 Carton (50242-044-13) * 50 Ml In 1 Vial, Single-Use * 50 Ml In 1 Vial, Single-Use",589.62,589.62,,,0 CDM,87438228,Hc Car-T Admn Autologous,8638.0,8638.0,,,0 CDM,87438228_PBB,Hc Car-T Admn Autologous-Pbb,11744.0,11744.0,,,0 CDM,8761_24208072002,"Dexamethasone Sodium Phosphate: 1 Bottle, Dropper In 1 Carton (24208-720-02) / 5 Ml In 1 Bottle, Dropper",334.18,334.18,,,0 CDM,8764_50268058511,NDC Description Not Available,5.99,5.99,,,0 CDM,8764_60687058511,NDC Description Not Available,5.78,5.78,,,0 CDM,8764_60687072511,NDC Description Not Available,5.94,5.94,,,0 CDM,8764_68084064301,"Pantoprazole Sodium: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-643-01) / 1 TABLET, DELAYED RELEASE in 1 BLISTER PACK (68084-643-11)",5.91,5.91,,,0 CDM,8764_72865022990,"Pantoprazole Sodium: 90 Tablet, Delayed Release In 1 Bottle (72865-229-90)",6.0,6.0,,,0 CDM,8794_00409349516,"Sodium Bicarbonate: 10 CARTON in 1 CONTAINER (0409-3495-16) / 1 SYRINGE, PLASTIC in 1 CARTON / 50 mL in 1 SYRINGE, PLASTIC",16.42,16.42,,,0 CDM,8794_00409662502,Sodium Bicarbonate: 25 VIAL in 1 TRAY (0409-6625-02) / 50 mL in 1 VIAL,65.33,65.33,,,0 CDM,8794_00409662514,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (0409-6625-14) / 50 Ml In 1 Vial, Single-Dose (0409-6625-22)",66.0,66.0,,,0 CDM,8794_00409662522,NDC Description Not Available,66.0,66.0,,,0 CDM,8794_00409662530,NDC Description Not Available,61.31,61.31,,,0 CDM,8794_00409663724,NDC Description Not Available,128.64,128.64,,,0 CDM,8794_51754500101,NDC Description Not Available,58.74,58.74,,,0 CDM,8794_63323008950,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (63323-089-50) / 50 Ml In 1 Vial, Single-Dose (63323-089-25)",151.8,151.8,,,0 CDM,8794_63739046021,NDC Description Not Available,29.15,29.15,,,0 CDM,8794_70095005001,NDC Description Not Available,146.06,146.06,,,0 CDM,88000257,Hc Unscheduled Hd Esrd Pt Exceptional Case,3227.0,3227.0,,,0 CDM,8804_42571013725,Ketorolac Tromethamine: 5 Ml In 1 Bottle (42571-137-25),186.0,186.0,,,0 CDM,8804_60505100301,"Ketorolac Tromethamine: 1 Bottle, Dropper In 1 Carton (60505-1003-1) / 5 Ml In 1 Bottle, Dropper",198.78,198.78,,,0 CDM,8804_60505100302,"Ketorolac Tromethamine: 1 Bottle, Dropper In 1 Carton (60505-1003-2) / 10 Ml In 1 Bottle, Dropper",397.55,397.55,,,0 CDM,8804_61314012605,Ketorolac Tromethamine: 1 Bottle In 1 Carton (61314-126-05) / 5 Ml In 1 Bottle,173.6,173.6,,,0 CDM,88090947,Hc Hemofiltration,11196.0,11196.0,,,0 CDM,88100000,Hc Ultrafiltration Filter,8458.0,8458.0,,,0 CDM,88100257,Hc Unscheduled Pd Esrd Pt Exceptional Case,3227.0,3227.0,,,0 CDM,88100692,Hc Therapeutic Ultrafiltration,1052.0,1052.0,,,0 CDM,8811_29300012601,"Bisoprolol Fumarate: 100 Tablet In 1 Bottle, Plastic (29300-126-01)",6.0,6.0,,,0 CDM,8811_29300012613,"Bisoprolol Fumarate: 30 Tablet In 1 Bottle, Plastic (29300-126-13)",5.75,5.75,,,0 CDM,8811_50268012711,NDC Description Not Available,7.23,7.23,,,0 CDM,8811_60687067911,NDC Description Not Available,8.06,8.06,,,0 CDM,8820_00054317757,"Dexamethasone: 240 Ml In 1 Bottle, Plastic (0054-3177-57)",3.29,3.29,,,0 CDM,8820_00054317763,"Dexamethasone: 500 Ml In 1 Bottle, Plastic (0054-3177-63)",2.59,2.59,,,0 CDM,882_00338006301,"Doxil: 1 Vial, Single-Use In 1 Carton (0338-0063-01) / 10 Ml In 1 Vial, Single-Use",1103.67,1103.67,,,0 CDM,882_00338006701,"Doxil: 1 Vial, Single-Use In 1 Carton (0338-0067-01) / 25 Ml In 1 Vial, Single-Use",2161.91,2161.91,,,0 CDM,882_47335004940,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (47335-049-40) / 10 Ml In 1 Vial, Single-Dose",1422.82,1422.82,,,0 CDM,882_47335005040,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (47335-050-40) / 25 Ml In 1 Vial, Single-Dose",1639.74,1639.74,,,0 CDM,882_59676096001,"DOXIL: 1 VIAL, SINGLE-USE in 1 CARTON (59676-960-01) / 10 mL in 1 VIAL, SINGLE-USE",3974.82,3974.82,,,0 CDM,882_59676096002,"DOXIL: 1 VIAL, SINGLE-USE in 1 CARTON (59676-960-02) / 25 mL in 1 VIAL, SINGLE-USE",4184.02,4184.02,,,0 CDM,882_70710153001,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (70710-1530-1) / 10 Ml In 1 Vial, Single-Dose",2233.56,2233.56,,,0 CDM,882_70710153101,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (70710-1531-1) / 25 Ml In 1 Vial, Single-Dose",2140.58,2140.58,,,0 CDM,882_70748033901,"Doxorubicin Hydrochloride: 1 Vial, Single-Use In 1 Carton (70748-339-01) / 10 Ml In 1 Vial, Single-Use",1343.05,1343.05,,,0 CDM,882_72603010301,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (72603-103-01) / 10 Ml In 1 Vial, Single-Dose",3024.65,3024.65,,,0 CDM,8835_00832030000,"Chlorpromazine Hydrochloride: 100 TABLET, SUGAR COATED in 1 BOTTLE (0832-0300-00)",8.2,8.2,,,0 CDM,8835_60687041911,NDC Description Not Available,13.29,13.29,,,0 CDM,8843_00832051289,NDC Description Not Available,6.0,6.0,,,0 CDM,8843_68084070401,"Bethanechol Chloride: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-704-01) / 1 TABLET in 1 BLISTER PACK (68084-704-11)",6.0,6.0,,,0 CDM,885_00548950200,Isoproterenol Hydrochloride: 10 Vial In 1 Carton (0548-9502-00) / 5 Ml In 1 Vial,1340.0,1340.0,,,0 CDM,885_14789001505,"Isoproterenol Hydrochloride: 10 Vial, Single-Dose In 1 Carton (14789-015-05) / 5 Ml In 1 Vial, Single-Dose",4020.0,4020.0,,,0 CDM,885_14789001507,NDC Description Not Available,4020.0,4020.0,,,0 CDM,8864_61703031922,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (61703-319-22) / 20 Ml In 1 Vial, Single-Dose",8.74,8.74,,,0 CDM,8864_63323012020,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (63323-120-20) / 20 Ml In 1 Vial, Single-Dose",8.02,8.02,,,0 CDM,88804_00517481001,NDC Description Not Available,10.42,10.42,,,0 CDM,88804_00517481025,"Nitroglycerin: 25 Vial, Single-Dose In 1 Tray (0517-4810-25) / 10 Ml In 1 Vial, Single-Dose (0517-4810-01)",82.78,82.78,,,0 CDM,88817_61703030538,"Cytarabine: 5 Vial, Single-Dose In 1 Carton (61703-305-38) / 5 Ml In 1 Vial, Single-Dose (61703-305-58)",45.37,45.37,,,0 CDM,88817_61703030558,NDC Description Not Available,43.61,43.61,,,0 CDM,8882_00904707861,"Mycophenolate Mofetil: 100 Blister Pack In 1 Capsule (0904-7078-61) / 1 Tablet, Film Coated In 1 Blister Pack",2.95,2.95,,,0 CDM,8882_16729001901,Mycophenolate Mofetil: 100 Tablet In 1 Bottle (16729-019-01),1.88,1.88,,,0 CDM,8882_51079037901,NDC Description Not Available,3.09,3.09,,,0 CDM,8882_51079037920,"Mycophenolate Mofetil: 100 Blister Pack In 1 Carton (51079-379-20) / 1 Tablet, Film Coated In 1 Blister Pack (51079-379-01)",3.07,3.07,,,0 CDM,8882_60687043811,NDC Description Not Available,3.41,3.41,,,0 CDM,8882_64380072506,"Mycophenolate Mofetil: 100 Tablet, Film Coated In 1 Bottle, Plastic (64380-725-06)",1.82,1.82,,,0 CDM,88884_05038391750,NDC Description Not Available,2.04,2.04,,,0 CDM,88884_99999004923,NDC Description Not Available,0.92,0.92,,,0 CDM,8888_21586001101,NDC Description Not Available,59.0,59.0,,,0 CDM,8888_34324000073,NDC Description Not Available,59.0,59.0,,,0 CDM,88975_50474071079,"Cimzia: 2 Syringe, Glass In 1 Carton (50474-710-79) / 1 Ml In 1 Syringe, Glass",96.97,96.97,,,0 CDM,89018_32909012522,Varibar Pudding: 1 Tube In 1 Box (32909-125-22) / 230 Ml In 1 Tube,24.76,24.76,,,0 CDM,89040_59148002050,Samsca: 1 Blister Pack In 1 Carton (59148-020-50) / 10 Tablet In 1 Blister Pack,3225.23,3225.23,,,0 CDM,89041_59148002150,Samsca: 1 Blister Pack In 1 Carton (59148-021-50) / 10 Tablet In 1 Blister Pack,3345.79,3345.79,,,0 CDM,89100000_57894011101,"Carvykti: 1 Injection, Suspension In 1 Bag (57894-111-01)",3525000.0,3525000.0,,,0 CDM,89100000_71287011901,NDC Description Not Available,3105000.0,3105000.0,,,0 CDM,89100000_73153090001,"Breyanzi: 1 Kit In 1 Carton (73153-900-01) * 5 Ml In 1 Vial, Single-Dose (73153-902-04) * 5 Ml In 1 Vial, Single-Dose (73153-901-08)",3275000.0,3275000.0,,,0 CDM,89100000_73776000111,NDC Description Not Available,3475000.0,3475000.0,,,0 CDM,89100000_83047041004,Aucatzyl: 1 Kit In 1 Package (83047-410-04) * 1 Suspension In 1 Bag (83047-100-30) * 1 Suspension In 1 Bag (83047-100-10) * 1 Suspension In 1 Bag (83047-300-30) * 1 Suspension In 1 Bag (83047-,3390000.0,3390000.0,,,0 CDM,89134_00143935510,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (0143-9355-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9355-01)",96.5,96.5,,,0 CDM,89134_00409653102,"Vancomycin Hydrochloride: 10 Vial In 1 Tray (0409-6531-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-6531-12)",85.03,85.03,,,0 CDM,89134_00409653112,NDC Description Not Available,96.38,96.38,,,0 CDM,89134_67457070500,NDC Description Not Available,36.07,36.07,,,0 CDM,89202_00032004670,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-0046-70)",12.97,12.97,,,0 CDM,89202_00032120601,"Creon: 1 Bottle In 1 Carton (0032-1206-01) / 100 Capsule, Delayed Release Pellets In 1 Bottle",12.9,12.9,,,0 CDM,89203_00032004770,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-0047-70)",26.13,26.13,,,0 CDM,89203_00032121201,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-1212-01)",25.91,25.91,,,0 CDM,89204_00032122401,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-1224-01)",51.05,51.05,,,0 CDM,89204_00032122407,"Creon: 250 Capsule, Delayed Release Pellets In 1 Bottle (0032-1224-07)",50.22,50.22,,,0 CDM,89204_00032263601,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-2636-01)",51.5,51.5,,,0 CDM,89214_53276101009,NDC Description Not Available,1178.0,1178.0,,,0 CDM,89254_00781315401,"Ferumoxytol: 1 Vial, Single-Dose In 1 Carton (0781-3154-01) / 17 Ml In 1 Vial, Single-Dose",11.42,11.42,,,0 CDM,89254_59338077501,"Feraheme: 1 Vial, Single-Use In 1 Carton (59338-775-01) / 17 Ml In 1 Vial, Single-Use",15.68,15.68,,,0 CDM,89293_00024414260,"Multaq: 60 Tablet, Film Coated In 1 Bottle (0024-4142-60)",82.74,82.74,,,0 CDM,892_00182090589,Hydralazine Hydrochloride: 100 BLISTER PACK in 1 BOX (0182-0905-89) / 1 TABLET in 1 BLISTER PACK (0182-0905-00),6.0,6.0,,,0 CDM,892_00904644061,"Hydralazine Hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-6440-61) / 1 TABLET, FILM COATED in 1 BLISTER PACK",2.0,2.0,,,0 CDM,892_50111039801,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (50111-398-01),6.0,6.0,,,0 CDM,892_51079007401,NDC Description Not Available,5.95,5.95,,,0 CDM,892_51079007420,Hydralazine Hydrochloride: 100 Blister Pack In 1 Carton (51079-074-20) / 1 Tablet In 1 Blister Pack (51079-074-01),6.0,6.0,,,0 CDM,892_62135057912,"Hydralazine Hydrochloride: 120 Tablet, Film Coated In 1 Bottle (62135-579-12)",15.5,15.5,,,0 CDM,89323_00002512377,"Effient: 90 BLISTER PACK in 1 CARTON (0002-5123-77) / 1 TABLET, FILM COATED in 1 BLISTER PACK (0002-5123-01)",94.86,94.86,,,0 CDM,89323_60505464303,"Prasugrel: 30 Tablet, Film Coated In 1 Bottle (60505-4643-3)",6.0,6.0,,,0 CDM,89323_65162000203,"Prasugrel: 30 Tablet, Film Coated In 1 Bottle (65162-002-03)",4.74,4.74,,,0 CDM,89381_00536114263,Levonorgestrel: 1 Blister Pack In 1 Carton (0536-1142-63) / 1 Tablet In 1 Blister Pack,46.75,46.75,,,0 CDM,89381_68180085211,My Way: 1 Blister Pack In 1 Carton (68180-852-11) / 1 Tablet In 1 Blister Pack,83.7,83.7,,,0 CDM,89386_32909012207,"Varibar Honey: 12 Bottle, Plastic In 1 Case (32909-122-07) / 250 Ml In 1 Bottle, Plastic",14.6,14.6,,,0 CDM,89402_32909010510,"Varibar Thin Liquid: 24 Bottle, Plastic In 1 Case (32909-105-10) / 148 G In 1 Bottle, Plastic",7.54,7.54,,,0 CDM,89477_50458056001,Invega Sustenna: 1 Syringe In 1 Kit (50458-560-01) / .25 Ml In 1 Syringe,100.51,100.51,,,0 CDM,89477_72526010511,"Erzofri Extended-Release: 1 Syringe, Glass In 1 Kit (72526-105-11) / .25 Ml In 1 Syringe, Glass",88.72,88.72,,,0 CDM,89478_50458056101,Invega Sustenna: 1 Syringe In 1 Kit (50458-561-01) / .5 Ml In 1 Syringe,100.12,100.12,,,0 CDM,89480_50458056301,Invega Sustenna: 1 Syringe In 1 Kit (50458-563-01) / 1 Ml In 1 Syringe,83.48,83.48,,,0 CDM,89480_50458056303,Invega Sustenna: 1 Syringe In 1 Kit (50458-563-03) / 1 Ml In 1 Syringe,44.36,44.36,,,0 CDM,89480_72526010811,"Erzofri Extended-Release: 1 Syringe, Glass In 1 Kit (72526-108-11) / 1 Ml In 1 Syringe, Glass",103.23,103.23,,,0 CDM,89481_50458056401,Invega Sustenna: 1 Syringe In 1 Kit (50458-564-01) / 1.5 Ml In 1 Syringe,98.71,98.71,,,0 CDM,89481_72526010911,"Erzofri Extended-Release: 1 Syringe, Glass In 1 Kit (72526-109-11) / 1.5 Ml In 1 Syringe, Glass",88.73,88.73,,,0 CDM,89547_00115136530,NDC Description Not Available,0.57,0.57,,,0 CDM,89547_00955105201,NDC Description Not Available,58.63,58.63,,,0 CDM,89547_00955105290,"Sevelamer Carbonate: 90 Packet In 1 Box (0955-1052-90) / 1 Powder, For Suspension In 1 Packet (0955-1052-01)",4.07,4.07,,,0 CDM,89548_58468013101,NDC Description Not Available,0.92,0.92,,,0 CDM,89548_58468013102,"Renvela: 90 Packet In 1 Carton (58468-0131-2) / 1 Powder, For Suspension In 1 Packet (58468-0131-1)",9.36,9.36,,,0 CDM,89548_65862093108,NDC Description Not Available,0.23,0.23,,,0 CDM,89557_66302020603,Tyvaso: 4 Ampule In 1 Box (66302-206-03) / 2.9 Ml In 1 Ampule,4285.04,4285.04,,,0 CDM,89579_00245055650,Vigadrone: 50 Packet In 1 Carton (0245-0556-50) / 10 Ml In 1 Packet (0245-0556-89),568.63,568.63,,,0 CDM,89579_67386021165,Sabril: 50 Packet In 1 Carton (67386-211-65) / 10 Ml In 1 Packet,1225.96,1225.96,,,0 CDM,89579_69097096453,Vigabatrin: 50 Packet In 1 Carton (69097-964-53) / 10 Ml In 1 Packet,29.17,29.17,,,0 CDM,8959_16714029301,Amoxicillin And Clavulanate Potassium: 50 Ml In 1 Bottle (16714-293-01),11.66,11.66,,,0 CDM,8963_00409488710,"Sterile Water: 25 Vial, Plastic In 1 Tray (0409-4887-10) / 10 Ml In 1 Vial, Plastic (0409-4887-17)",56.16,56.16,,,0 CDM,8963_00409488717,NDC Description Not Available,65.84,65.84,,,0 CDM,8963_00409488723,NDC Description Not Available,60.19,60.19,,,0 CDM,8963_00409488724,NDC Description Not Available,75.34,75.34,,,0 CDM,8963_00409488725,NDC Description Not Available,61.23,61.23,,,0 CDM,8963_63323018509,NDC Description Not Available,77.31,77.31,,,0 CDM,8982_00143145505,Phenobarbital: 500 Tablet In 1 Bottle (0143-1455-05),5.47,5.47,,,0 CDM,8982_16571067450,Phenobarbital: 500 Tablet In 1 Bottle (16571-674-50),4.2,4.2,,,0 CDM,8984_00338067104,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0671-04),193.0,193.0,,,0 CDM,8985_00065039602,"Cyclogyl: 1 Bottle, Plastic In 1 Carton (0065-0396-02) / 2 Ml In 1 Bottle, Plastic",209.19,209.19,,,0 CDM,8985_17478010002,"Cyclopentolate Hydrochloride: 1 BOTTLE, DROPPER in 1 CARTON (17478-100-02) / 2 mL in 1 BOTTLE, DROPPER",73.29,73.29,,,0 CDM,8985_24208073501,"Cyclopentolate Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-735-01) / 2 Ml In 1 Bottle, Dropper",75.02,75.02,,,0 CDM,8985_61314039601,Cyclopentolate Hydrochloride: 2 Ml In 1 Bottle (61314-396-01),74.09,74.09,,,0 CDM,90090791,Hc Psychiatric Diagnostic Evaluation,385.0,385.0,,,0 CDM,90090791_PBB,Hc Psychiatric Diagnostic Evaluation-Pbb,653.5,653.5,,,0 CDM,90090791_PBBPUL,"Hc Psychiatric Diagnostic Evaluation-Pbb,Pul",385.0,385.0,,,0 CDM,90090792,Hc Psychiatric Diagnostic Evaluation With Medical Services,405.0,405.0,,,0 CDM,90090792_PBB,Hc Psychiatric Diagnostic Evaluation With Medical Services-Pbb,689.0,689.0,,,0 CDM,90090792_PBBPUL,"Hc Psychiatric Diagnostic Evaluation With Medical Services-Pbb,Pul",405.0,405.0,,,0 CDM,90090867_PBB,Hc Tcranial Magn Stim Tx Plan-Pbb,1858.0,1858.0,,,0 CDM,90090868_PBB,Hc Tcranial Magn Stim Tx Deli-Pbb,1406.5,1406.5,,,0 CDM,90090869_PBB,Hc Tcran Magn Stim Redetemine-Pbb,1891.0,1891.0,,,0 CDM,90090887_PBB,Hc Intepret/Explanation/Results Psych/Other Med Exam/Proc/Other Data To Family/Responsible Persons-P,764.5,764.5,,,0 CDM,90190870,Hc Electroconvulusive Therapy (Ect) (Includes Necessary Monitoring),1951.0,1951.0,,,0 CDM,90190870_PBB,Hc Electroconvulusive Therapy (Ect) (Includes Necessary Monitoring)-Pbb,2286.5,2286.5,,,0 CDM,9031_00409163201,Vecuronium Bromide: 10 Vial In 1 Carton (0409-1632-01) / 10 Ml In 1 Vial (0409-1632-21),49.17,49.17,,,0 CDM,9031_00703291403,"Vecuronium Bromide: 10 VIAL, SINGLE-USE in 1 CARTON (0703-2914-03) / 10 mL in 1 VIAL, SINGLE-USE (0703-2914-01)",42.21,42.21,,,0 CDM,9031_47335093144,Vecuronium Bromide: 10 Vial In 1 Box (47335-931-44) / 10 Ml In 1 Vial (47335-931-40),42.09,42.09,,,0 CDM,9031_55150023501,NDC Description Not Available,11.96,11.96,,,0 CDM,9031_67457043800,NDC Description Not Available,8.69,8.69,,,0 CDM,9036_60687058111,NDC Description Not Available,6.0,6.0,,,0 CDM,90380,Pr Rsv Monoclonal Antb Seasonal Dose 0.5Ml Im Use,507.0,507.0,,,0 CDM,90380_49281057500,Beyfortus: 1 Syringe In 1 Carton (49281-575-00) / .5 Ml In 1 Syringe,507.0,507.0,,,0 CDM,90380_49281057515,Beyfortus: 5 Syringe In 1 Carton (49281-575-15) / .5 Ml In 1 Syringe,507.0,507.0,,,0 CDM,90381,Pr Rsv Monoclonal Antb Seasonal Dose 1 Ml Im Use,507.0,507.0,,,0 CDM,90381_49281057415,Beyfortus: 5 Syringe In 1 Carton (49281-574-15) / 1 Ml In 1 Syringe,507.0,507.0,,,0 CDM,90381_49281057488,Beyfortus: 1 Syringe In 1 Carton (49281-574-88) / 1 Ml In 1 Syringe,507.0,507.0,,,0 CDM,90381_49281057500,Beyfortus: 1 Syringe In 1 Carton (49281-575-00) / .5 Ml In 1 Syringe,507.0,507.0,,,0 CDM,90430_99999001270,NDC Description Not Available,7.26,7.26,,,0 CDM,90494_00703367501,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3675-01) / 10 Ml In 1 Vial, Single-Dose",5.4,5.4,,,0 CDM,90505_00143959501,NDC Description Not Available,48.44,48.44,,,0 CDM,90505_00409427902,"Lidocaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-4279-02) / 30 Ml In 1 Vial, Single-Dose (0409-4279-16)",59.0,59.0,,,0 CDM,90505_00409427916,NDC Description Not Available,59.0,59.0,,,0 CDM,90505_55150016102,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-161-02) / 2 Ml In 1 Vial, Single-Dose",59.0,59.0,,,0 CDM,90505_55150016205,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-162-05) / 5 Ml In 1 Vial, Single-Dose",55.53,55.53,,,0 CDM,90505_63323049204,NDC Description Not Available,59.0,59.0,,,0 CDM,90505_63323049207,NDC Description Not Available,59.0,59.0,,,0 CDM,90505_63323049209,NDC Description Not Available,50.4,50.4,,,0 CDM,90505_63323049227,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-27) / 2 Ml In 1 Vial, Single-Dose (63323-492-04)",59.0,59.0,,,0 CDM,90505_63323049257,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-57) / 5 Ml In 1 Vial, Single-Dose (63323-492-09)",53.53,53.53,,,0 CDM,90505_63739017013,NDC Description Not Available,49.74,49.74,,,0 CDM,90505_73293000101,NDC Description Not Available,39.33,39.33,,,0 CDM,9050_00078051205,"Tegretol Xr: 100 Tablet, Extended Release In 1 Bottle (0078-0512-05)",40.21,40.21,,,0 CDM,9050_60687059411,NDC Description Not Available,35.99,35.99,,,0 CDM,90589_63323088101,NDC Description Not Available,276.07,276.07,,,0 CDM,90611,Pr Smallpox&Monkeypox Vacc 0.5Ml Dos For Subq Use,0.01,0.01,,,0 CDM,90611_50632000101,NDC Description Not Available,0.01,0.01,,,0 CDM,90611_50632000102,Jynneos: 20 Vial In 1 Carton (50632-001-02) / .5 Ml In 1 Vial (50632-001-01),0.01,0.01,,,0 CDM,90619_99999001316,NDC Description Not Available,747.94,747.94,,,0 CDM,90620,Pr Menb-4C Recombnt Prot & Outer Memb Vesic Vacc Im,760.0,760.0,,,0 CDM,90620_58160097602,NDC Description Not Available,760.0,760.0,,,0 CDM,90620_58160097620,Bexsero: 10 Syringe In 1 Carton (58160-976-20) / .5 Ml In 1 Syringe (58160-976-02),760.0,760.0,,,0 CDM,90632,Pr Hepa Vaccine Adult Dose For Intramuscular Use,269.0,269.0,,,0 CDM,90632_00006409501,NDC Description Not Available,269.0,269.0,,,0 CDM,90632_00006484100,"Vaqta: 1 Vial, Single-Dose In 1 Carton (0006-4841-00) / 1 Ml In 1 Vial, Single-Dose (0006-4841-01)",269.0,269.0,,,0 CDM,90632_58160082543,NDC Description Not Available,269.0,269.0,,,0 CDM,90632_58160082643,NDC Description Not Available,269.0,269.0,,,0 CDM,90632_58160082652,Havrix: 10 Syringe In 1 Carton (58160-826-52) / 1 Ml In 1 Syringe (58160-826-43),269.0,269.0,,,0 CDM,90632_PBBTVL,"Pr Hepa Vaccine Adult Dose For Intramuscular Use-Pbb,Tvl",108.0,108.0,,,0 CDM,90632_PBBTVL_581600826,Havrix: 10 Syringe In 1 Carton (58160-826-52) / 1 Ml In 1 Syringe (58160-826-43),108.0,108.0,,,0 CDM,90632_TVL,Pr Hepa Vaccine Adult Dose For Intramuscular Use-Tvl,108.0,108.0,,,0 CDM,90633,Pr Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use,105.0,105.0,,,0 CDM,90633_00006409501,NDC Description Not Available,105.0,105.0,,,0 CDM,90633_00006409502,Vaqta: 10 Syringe In 1 Carton (0006-4095-02) / .5 Ml In 1 Syringe (0006-4095-01),105.0,105.0,,,0 CDM,90633_00006483141,"Vaqta: 10 Vial, Single-Dose In 1 Carton (0006-4831-41) / .5 Ml In 1 Vial, Single-Dose (0006-4831-01)",105.0,105.0,,,0 CDM,90633_58160082543,NDC Description Not Available,105.0,105.0,,,0 CDM,90633_58160082552,Havrix: 10 Syringe In 1 Carton (58160-825-52) / .5 Ml In 1 Syringe (58160-825-43),105.0,105.0,,,0 CDM,90633_58160082643,NDC Description Not Available,105.0,105.0,,,0 CDM,90633_PBBTVL,"Pr Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use-Pbb,Tvl",238.0,238.0,,,0 CDM,90633_PBBTVL_000064095,Vaqta: 10 Syringe In 1 Carton (0006-4095-02) / .5 Ml In 1 Syringe (0006-4095-01),238.0,238.0,,,0 CDM,90633_TVL,Pr Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use-Tvl,238.0,238.0,,,0 CDM,90636,Pr Hepatitis A & B Vaccine Hepa-Hepb Adult Im,678.0,678.0,,,0 CDM,90636_58160081543,NDC Description Not Available,678.0,678.0,,,0 CDM,90636_58160081552,Twinrix: 10 Syringe In 1 Carton (58160-815-52) / 1 Ml In 1 Syringe (58160-815-43),678.0,678.0,,,0 CDM,90636_PBBTVL,"Pr Hepatitis A & B Vaccine Hepa-Hepb Adult Im-Pbb,Tvl",177.0,177.0,,,0 CDM,90636_PBBTVL_581600815,Twinrix: 10 Syringe In 1 Carton (58160-815-52) / 1 Ml In 1 Syringe (58160-815-43),177.0,177.0,,,0 CDM,90636_TVL,Pr Hepatitis A & B Vaccine Hepa-Hepb Adult Im-Tvl,177.0,177.0,,,0 CDM,90646_42192032901,Np Thyroid 30: 100 Tablet In 1 Bottle (42192-329-01),4.46,4.46,,,0 CDM,90648,Pr Hib Prp-T Vaccine 4 Dose Schedule Im Use,101.0,101.0,,,0 CDM,90648_00006409501,NDC Description Not Available,101.0,101.0,,,0 CDM,90648_49281054503,"Acthib: 1 Kit In 1 Carton (49281-545-03) * .5 Ml In 1 Vial, Single-Dose (49281-547-58) * .6 Ml In 1 Vial, Single-Dose (49281-546-58)",101.0,101.0,,,0 CDM,90648_49281054758,NDC Description Not Available,101.0,101.0,,,0 CDM,90648_58160072615,Hiberix: 1 Kit In 1 Carton (58160-726-15) * .85 Ml In 1 Syringe (58160-817-02) * .5 Ml In 1 Vial (58160-816-03),101.0,101.0,,,0 CDM,90648_58160081043,NDC Description Not Available,101.0,101.0,,,0 CDM,90648_58160081052,Infanrix: 10 Syringe In 1 Carton (58160-810-52) / .5 Ml In 1 Syringe (58160-810-43),101.0,101.0,,,0 CDM,90648_58160081601,NDC Description Not Available,101.0,101.0,,,0 CDM,90648_58160081603,NDC Description Not Available,101.0,101.0,,,0 CDM,90648_58160081605,NDC Description Not Available,101.0,101.0,,,0 CDM,90648_58160081702,NDC Description Not Available,101.0,101.0,,,0 CDM,90648_58160081811,Hiberix: 1 Kit In 1 Carton (58160-818-11) * 10 Vial In 1 Carton (58160-816-05) / .5 Ml In 1 Vial (58160-816-01) * 10 Vial In 1 Package (58160-817-05) / .85 Ml In 1 Vial (58160-817-01),101.0,101.0,,,0 CDM,90648_99999000907,NDC Description Not Available,101.0,101.0,,,0 CDM,90649,Pr 4Vhpv Vaccine 3 Dose Schedule For Im Use,708.0,708.0,,,0 CDM,90650,Pr 2Vhpv Vaccine 3 Dose Schedule For Im Use,1073.0,1073.0,,,0 CDM,90651,Pr 9Vhpv Vacc 2/3 Dose Sched Im Use,574.0,574.0,,,0 CDM,90651_00006404701,NDC Description Not Available,574.0,574.0,,,0 CDM,90651_00006411901,NDC Description Not Available,574.0,574.0,,,0 CDM,90651_00006411903,"Gardasil 9: 10 Vial, Single-Dose In 1 Carton (0006-4119-03) / .5 Ml In 1 Vial, Single-Dose (0006-4119-01)",574.0,574.0,,,0 CDM,90651_00006412101,NDC Description Not Available,574.0,574.0,,,0 CDM,90651_00006412102,"Gardasil 9: 10 Syringe, Glass In 1 Carton (0006-4121-02) / .5 Ml In 1 Syringe, Glass (0006-4121-01)",574.0,574.0,,,0 CDM,90651_00006417100,"Proquad: 10 Vial, Single-Dose In 1 Carton (0006-4171-00) / .5 Ml In 1 Vial, Single-Dose (0006-4171-01)",574.0,574.0,,,0 CDM,90651_19515081041,NDC Description Not Available,574.0,574.0,,,0 CDM,90651_49281012288,NDC Description Not Available,574.0,574.0,,,0 CDM,90651_49281086010,"Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10) / 5 Ml In 1 Vial, Multi-Dose (49281-860-78)",574.0,574.0,,,0 CDM,90651_58160082143,NDC Description Not Available,574.0,574.0,,,0 CDM,90651_58160082703,NDC Description Not Available,574.0,574.0,,,0 CDM,90651_58160082730,Menveo: 10 Vial In 1 Carton (58160-827-30) / .5 Ml In 1 Vial (58160-827-03),574.0,574.0,,,0 CDM,90651_80777011001,NDC Description Not Available,574.0,574.0,,,0 CDM,90655,Pr Iiv3 Vacc Presrv Free 0.25 Ml Dosage Im Use,69.0,69.0,,,0 CDM,90656,Pr Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use,68.0,68.0,,,0 CDM,90656_19515081041,NDC Description Not Available,66.0,66.0,,,0 CDM,90656_19515081052,Flulaval 2024/2025: 10 Syringe In 1 Carton (19515-810-52) / .5 Ml In 1 Syringe (19515-810-41),66.0,66.0,,,0 CDM,90656_49281012488,NDC Description Not Available,66.0,66.0,,,0 CDM,90656_49281042450,"Fluzone Trivalent Northern Hemisphere: 10 Syringe, Glass In 1 Package (49281-424-50) / .5 Ml In 1 Syringe, Glass (49281-424-88)",66.0,66.0,,,0 CDM,90656_49281042488,NDC Description Not Available,66.0,66.0,,,0 CDM,90656_58160088441,NDC Description Not Available,66.0,66.0,,,0 CDM,90656_58160088452,Fluarix 2024/2025: 10 Syringe In 1 Carton (58160-884-52) / .5 Ml In 1 Syringe (58160-884-41),66.0,66.0,,,0 CDM,90656_PBBTVL,"Pr Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use-Pbb,Tvl",45.0,45.0,,,0 CDM,90656_PBBTVL_195150810,NDC Description Not Available,45.0,45.0,,,0 CDM,90656_TVL,Pr Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use-Tvl,45.0,45.0,,,0 CDM,90658_PBBTVL,"Pr Iiv3 Vaccine Split Virus 0.5 Ml Dosage Im Use-Pbb,Tvl",93.0,93.0,,,0 CDM,90658_TVL,Pr Iiv3 Vaccine Split Virus 0.5 Ml Dosage Im Use-Tvl,93.0,93.0,,,0 CDM,90660,Pr Laiv3 Vaccine Live For Intranasal Use,41.0,41.0,,,0 CDM,90660_58160088441,NDC Description Not Available,41.0,41.0,,,0 CDM,90662,Pr Iiv Vaccine Preserv Free Increased Ag Content Im,209.0,209.0,,,0 CDM,90662_19515080841,NDC Description Not Available,209.0,209.0,,,0 CDM,90662_19515081041,NDC Description Not Available,209.0,209.0,,,0 CDM,90662_49281012265,"FLUZONE High-Dose Quadrivalent Northern Hemisphere: 10 SYRINGE, GLASS in 1 PACKAGE (49281-122-65) / .7 mL in 1 SYRINGE, GLASS (49281-122-88)",209.0,209.0,,,0 CDM,90662_49281012288,NDC Description Not Available,209.0,209.0,,,0 CDM,90662_49281012465,"Fluzone High Dose Northern Hemisphere: 5 Syringe, Glass In 1 Package (49281-124-65) / .5 Ml In 1 Syringe, Glass (49281-124-88)",209.0,209.0,,,0 CDM,90662_49281012488,NDC Description Not Available,209.0,209.0,,,0 CDM,90670,Pr Pcv13 Vaccine For Intramuscular Use,156.0,156.0,,,0 CDM,90670_00005197101,NDC Description Not Available,156.0,156.0,,,0 CDM,90672,Pr Laiv4 Vaccine For Intranasal Use,99.0,99.0,,,0 CDM,90673,Pr Riv3 Vaccine Preservative Free For Im Use,39.0,39.0,,,0 CDM,90674_00023334807,Ozurdex: 1 Pouch In 1 Carton (0023-3348-07) / 1 Implant In 1 Pouch,1314.16,1314.16,,,0 CDM,90675,Pr Rabies Vaccine Intramuscular,974.0,974.0,,,0 CDM,90675_50632001001,"Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01)",974.0,974.0,,,0 CDM,90675_50632001301,NDC Description Not Available,974.0,974.0,,,0 CDM,90675_PBBTVL,"Pr Rabies Vaccine Intramuscular-Pbb,Tvl",439.0,439.0,,,0 CDM,90675_PBBTVL_506320010,"Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01)",439.0,439.0,,,0 CDM,90675_PBBTVL_506320013,NDC Description Not Available,439.0,439.0,,,0 CDM,90675_TVL,Pr Rabies Vaccine Intramuscular-Tvl,439.0,439.0,,,0 CDM,90677,Pr Pcv20 Vaccine For Intramuscular Use,565.0,565.0,,,0 CDM,90677_00005200001,NDC Description Not Available,565.0,565.0,,,0 CDM,90677_00005200002,Prevnar 20: 1 Syringe In 1 Carton (0005-2000-02) / .5 Ml In 1 Syringe (0005-2000-01),565.0,565.0,,,0 CDM,90677_00005200010,Prevnar 20: 10 Syringe In 1 Carton (0005-2000-10) / .5 Ml In 1 Syringe (0005-2000-01),565.0,565.0,,,0 CDM,90677_PBBTVL,"Pr Pcv20 Vaccine For Intramuscular Use-Pbb,Tvl",295.0,295.0,,,0 CDM,90677_PBBTVL_000052000,NDC Description Not Available,295.0,295.0,,,0 CDM,90677_TVL,Pr Pcv20 Vaccine For Intramuscular Use-Tvl,295.0,295.0,,,0 CDM,90678,Pr Rsv Vaccine Pref Subunit Bivalent For Im Use,307.0,307.0,,,0 CDM,90678_00069020701,NDC Description Not Available,307.0,307.0,,,0 CDM,90678_00069034401,"Abrysvo: 1 Tray In 1 Carton (0069-0344-01) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01)",307.0,307.0,,,0 CDM,90678_00069034405,"Abrysvo: 5 Tray In 1 Carton (0069-0344-05) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01)",307.0,307.0,,,0 CDM,90678_19515081041,NDC Description Not Available,307.0,307.0,,,0 CDM,90678_58160072303,NDC Description Not Available,307.0,307.0,,,0 CDM,90679,Pr Rsv Vacc Pref Recombinant Adjuvanted For Im Use,292.0,292.0,,,0 CDM,90679_00069020701,NDC Description Not Available,292.0,292.0,,,0 CDM,90679_58160072303,NDC Description Not Available,292.0,292.0,,,0 CDM,90679_58160084811,Arexvy: 1 Kit In 1 Carton (58160-848-11) * .5 Ml In 1 Vial (58160-723-03) * .5 Ml In 1 Vial (58160-744-03),292.0,292.0,,,0 CDM,90680,Pr Rv5 Vaccine 3 Dose Schedule Live For Oral Use,283.0,283.0,,,0 CDM,90680_00006404701,NDC Description Not Available,283.0,283.0,,,0 CDM,90680_00006404702,NDC Description Not Available,283.0,283.0,,,0 CDM,90680_00006404720,Rotateq: 25 Pouch In 1 Carton (0006-4047-20) / 1 Tube In 1 Pouch (0006-4047-02) / 2 Ml In 1 Tube (0006-4047-01),283.0,283.0,,,0 CDM,90680_00006404741,Rotateq: 10 Pouch In 1 Carton (0006-4047-41) / 1 Tube In 1 Pouch (0006-4047-02) / 2 Ml In 1 Tube (0006-4047-01),283.0,283.0,,,0 CDM,90680_58160074002,NDC Description Not Available,283.0,283.0,,,0 CDM,90680_58160074021,Rotarix: 10 Applicator In 1 Carton (58160-740-21) / 1.5 Ml In 1 Applicator (58160-740-02),283.0,283.0,,,0 CDM,90681,Pr Rv1 Vaccine 2 Dose Schedule Live For Oral Use,706.0,706.0,,,0 CDM,90681_00006404701,NDC Description Not Available,706.0,706.0,,,0 CDM,90681_00006404702,NDC Description Not Available,706.0,706.0,,,0 CDM,90681_00006404720,Rotateq: 25 Pouch In 1 Carton (0006-4047-20) / 1 Tube In 1 Pouch (0006-4047-02) / 2 Ml In 1 Tube (0006-4047-01),706.0,706.0,,,0 CDM,90681_00006404741,Rotateq: 10 Pouch In 1 Carton (0006-4047-41) / 1 Tube In 1 Pouch (0006-4047-02) / 2 Ml In 1 Tube (0006-4047-01),706.0,706.0,,,0 CDM,90681_58160074002,NDC Description Not Available,706.0,706.0,,,0 CDM,90681_58160074021,Rotarix: 10 Applicator In 1 Carton (58160-740-21) / 1.5 Ml In 1 Applicator (58160-740-02),706.0,706.0,,,0 CDM,90681_58160085101,NDC Description Not Available,706.0,706.0,,,0 CDM,90681_58160085452,Rotarix: 1 Kit In 1 Carton (58160-854-52) * 10 Vial In 1 Carton (58160-851-10) / 1 Ml In 1 Vial (58160-851-01) * 1 Ml In 1 Applicator (58160-853-02),706.0,706.0,,,0 CDM,90682,Pr Riv4 Vacc Recombinant Dna Prsrv Antibio Free Im,69.0,69.0,,,0 CDM,90685,Pr Iiv4 Vacc Prsrv Free 0.25 Ml Dos For Im Use,66.0,66.0,,,0 CDM,90685_PBBTVL,"Pr Iiv4 Vacc Prsrv Free 0.25 Ml Dos For Im Use-Pbb,Tvl",57.0,57.0,,,0 CDM,90685_TVL,Pr Iiv4 Vacc Prsrv Free 0.25 Ml Dos For Im Use-Tvl,57.0,57.0,,,0 CDM,90686,Pr Iiv4 Vacc Presrv Free 0.5 Ml Dos For Im Use,29.0,29.0,,,0 CDM,90686_00006412101,NDC Description Not Available,29.0,29.0,,,0 CDM,90686_19515080852,Flulaval Quadrivalent: 10 SYRINGE in 1 CARTON (19515-808-52) / .5 mL in 1 SYRINGE (19515-808-41),29.0,29.0,,,0 CDM,90686_19515081041,NDC Description Not Available,29.0,29.0,,,0 CDM,90686_19515081052,Flulaval 2024/2025: 10 Syringe In 1 Carton (19515-810-52) / .5 Ml In 1 Syringe (19515-810-41),29.0,29.0,,,0 CDM,90686_19515081441,NDC Description Not Available,29.0,29.0,,,0 CDM,90686_19515081452,Flulaval Quadrivalent: 10 SYRINGE in 1 CARTON (19515-814-52) / .5 mL in 1 SYRINGE (19515-814-41),29.0,29.0,,,0 CDM,90686_49281012488,NDC Description Not Available,29.0,29.0,,,0 CDM,90686_49281042350,"Fluzone Quadrivalent Northern Hemisphere: 10 SYRINGE, GLASS in 1 PACKAGE (49281-423-50) / .5 mL in 1 SYRINGE, GLASS (49281-423-88)",29.0,29.0,,,0 CDM,90686_49281042388,NDC Description Not Available,29.0,29.0,,,0 CDM,90686_49281042450,"Fluzone Trivalent Northern Hemisphere: 10 Syringe, Glass In 1 Package (49281-424-50) / .5 Ml In 1 Syringe, Glass (49281-424-88)",29.0,29.0,,,0 CDM,90686_49281042488,NDC Description Not Available,29.0,29.0,,,0 CDM,90686_58160088441,NDC Description Not Available,29.0,29.0,,,0 CDM,90686_58160090941,NDC Description Not Available,29.0,29.0,,,0 CDM,90686_58160090952,FLUARIX QUADRIVALENT: 10 SYRINGE in 1 CARTON (58160-909-52) / .5 mL in 1 SYRINGE (58160-909-41),29.0,29.0,,,0 CDM,90686_80777011001,NDC Description Not Available,29.0,29.0,,,0 CDM,90686_PBBTVL,"Pr Iiv4 Vacc Presrv Free 0.5 Ml Dos For Im Use-Pbb,Tvl",57.0,57.0,,,0 CDM,90686_TVL,Pr Iiv4 Vacc Presrv Free 0.5 Ml Dos For Im Use-Tvl,57.0,57.0,,,0 CDM,90691,Pr Typhoid Vaccine Vi Capsular Polysaccharide Im,456.0,456.0,,,0 CDM,90691_49281079051,Typhim Vi: 1 Syringe In 1 Package (49281-790-51) / .5 Ml In 1 Syringe (49281-790-88),456.0,456.0,,,0 CDM,90691_49281079088,NDC Description Not Available,456.0,456.0,,,0 CDM,90691_PBBTVL,"Pr Typhoid Vaccine Vi Capsular Polysaccharide Im-Pbb,Tvl",147.0,147.0,,,0 CDM,90691_PBBTVL_492810790,NDC Description Not Available,147.0,147.0,,,0 CDM,90691_TVL,Pr Typhoid Vaccine Vi Capsular Polysaccharide Im-Tvl,147.0,147.0,,,0 CDM,90694,Pr Aiiv4 Vacc Inactivated Prsrv Fr 0.5Ml Dos Im Use,365.0,365.0,,,0 CDM,90694_49281012488,NDC Description Not Available,365.0,365.0,,,0 CDM,90694_70461012304,NDC Description Not Available,365.0,365.0,,,0 CDM,90696,Pr Dtap-Ipv Vaccine Child 4-6 Yrs For Im Use,139.0,139.0,,,0 CDM,90696_58160081243,NDC Description Not Available,139.0,139.0,,,0 CDM,90696_58160081252,Kinrix: 10 Syringe In 1 Carton (58160-812-52) / .5 Ml In 1 Syringe (58160-812-43),139.0,139.0,,,0 CDM,90697,Pr Dtap-Ipv-Hib-Hepb Vaccine Intramuscular,330.0,330.0,,,0 CDM,90697_58160081243,NDC Description Not Available,330.0,330.0,,,0 CDM,90697_63361024310,"Vaxelis: 10 Vial, Single-Dose In 1 Package (63361-243-10) / .5 Ml In 1 Vial, Single-Dose (63361-243-58)",330.0,330.0,,,0 CDM,90697_63361024315,Vaxelis: 10 Syringe In 1 Package (63361-243-15) / .5 Ml In 1 Syringe (63361-243-88),330.0,330.0,,,0 CDM,90697_63361024358,NDC Description Not Available,330.0,330.0,,,0 CDM,90697_63361024388,NDC Description Not Available,330.0,330.0,,,0 CDM,90697_80777029109,NDC Description Not Available,330.0,330.0,,,0 CDM,90698,Pr Dtap-Ipv/Hib Vaccine For Intramuscular Use,178.0,178.0,,,0 CDM,90698_63361024388,NDC Description Not Available,178.0,178.0,,,0 CDM,90700,Pr Diphth Tetanus Tox Acell Pertussis Vacc<7 Yr Im,106.0,106.0,,,0 CDM,90700_49281028610,Daptacel: 10 Vial In 1 Package (49281-286-10) / .5 Ml In 1 Vial (49281-286-58),106.0,106.0,,,0 CDM,90700_58160081043,NDC Description Not Available,106.0,106.0,,,0 CDM,90700_58160081052,Infanrix: 10 Syringe In 1 Carton (58160-810-52) / .5 Ml In 1 Syringe (58160-810-43),106.0,106.0,,,0 CDM,90700_58160081243,NDC Description Not Available,106.0,106.0,,,0 CDM,90700_99999000941,NDC Description Not Available,106.0,106.0,,,0 CDM,90702,Pr Dt Vaccine Younger Than 7 Yrs For Im Use,43.0,43.0,,,0 CDM,90702_00228285011,"Guanfacine: 100 Tablet, Extended Release In 1 Bottle (0228-2850-11)",4.64,4.64,,,0 CDM,90702_49281021588,NDC Description Not Available,43.0,43.0,,,0 CDM,90702_49281022558,NDC Description Not Available,43.0,43.0,,,0 CDM,90702_60505392701,"Guanfacine Extended-Release: 100 Tablet, Extended Release In 1 Bottle (60505-3927-1)",2.85,2.85,,,0 CDM,90702_90702_636,Pr Dt Vaccine Younger Than 7 Yrs For Im Use,43.0,43.0,,,0 CDM,90707,Pr Measles Mumps Rubella Virus Vaccine Live Subq,224.0,224.0,,,0 CDM,90707_00006417589,NDC Description Not Available,224.0,224.0,,,0 CDM,90707_00006468100,"M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01)",224.0,224.0,,,0 CDM,90707_00006468101,NDC Description Not Available,224.0,224.0,,,0 CDM,90707_58160082415,Priorix: 1 Kit In 1 Carton (58160-824-15) * .5 Ml In 1 Vial (58160-831-03) * .5 Ml In 1 Syringe (58160-833-02),224.0,224.0,,,0 CDM,90707_58160083103,NDC Description Not Available,224.0,224.0,,,0 CDM,90707_58160083302,NDC Description Not Available,224.0,224.0,,,0 CDM,90707_PBBTVL,"Pr Measles Mumps Rubella Virus Vaccine Live Subq-Pbb,Tvl",156.0,156.0,,,0 CDM,90707_PBBTVL_000064681,NDC Description Not Available,156.0,156.0,,,0 CDM,90707_PBBTVL_581600824,Priorix: 1 Kit In 1 Carton (58160-824-15) * .5 Ml In 1 Vial (58160-831-03) * .5 Ml In 1 Syringe (58160-833-02),156.0,156.0,,,0 CDM,90707_TVL,Pr Measles Mumps Rubella Virus Vaccine Live Subq-Tvl,156.0,156.0,,,0 CDM,90710,Pr Measles Mumps Rubella Varicella Vacc Live Subq,72.0,72.0,,,0 CDM,90710_00006409501,NDC Description Not Available,72.0,72.0,,,0 CDM,90710_00006417100,"Proquad: 10 Vial, Single-Dose In 1 Carton (0006-4171-00) / .5 Ml In 1 Vial, Single-Dose (0006-4171-01)",72.0,72.0,,,0 CDM,90710_00006417101,NDC Description Not Available,72.0,72.0,,,0 CDM,90710_00006482701,NDC Description Not Available,72.0,72.0,,,0 CDM,90710_PBBTVL,"Pr Measles Mumps Rubella Varicella Vacc Live Subq-Pbb,Tvl",156.0,156.0,,,0 CDM,90710_TVL,Pr Measles Mumps Rubella Varicella Vacc Live Subq-Tvl,156.0,156.0,,,0 CDM,90713,Pr Poliovirus Vaccine Inactivated Subq/Im,106.0,106.0,,,0 CDM,90713_49281086010,"Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10) / 5 Ml In 1 Vial, Multi-Dose (49281-860-78)",106.0,106.0,,,0 CDM,90713_49281086078,NDC Description Not Available,106.0,106.0,,,0 CDM,90713_PBBTVL,"Pr Poliovirus Vaccine Inactivated Subq/Im-Pbb,Tvl",66.0,66.0,,,0 CDM,90713_PBBTVL_492810860,NDC Description Not Available,66.0,66.0,,,0 CDM,90713_TVL,Pr Poliovirus Vaccine Inactivated Subq/Im-Tvl,66.0,66.0,,,0 CDM,90714,Pr Td Vaccine Prsrv Free 7 Yrs Or Older For Im Use,270.0,270.0,,,0 CDM,90714_49281021510,"Tenivac: 10 Vial, Single-Dose In 1 Package (49281-215-10) / .5 Ml In 1 Vial, Single-Dose (49281-215-58)",270.0,270.0,,,0 CDM,90714_49281021588,NDC Description Not Available,270.0,270.0,,,0 CDM,90715,Pr Tdap Vaccine 7 Yrs/> Im,70.0,70.0,,,0 CDM,90715_19515081041,NDC Description Not Available,70.0,70.0,,,0 CDM,90715_58160084201,NDC Description Not Available,70.0,70.0,,,0 CDM,90715_58160084211,Boostrix: 10 Vial In 1 Carton (58160-842-11) / .5 Ml In 1 Vial (58160-842-01),70.0,70.0,,,0 CDM,90715_58160084234,NDC Description Not Available,70.0,70.0,,,0 CDM,90715_58160084243,NDC Description Not Available,70.0,70.0,,,0 CDM,90715_58160084252,Boostrix: 10 Syringe In 1 Carton (58160-842-52) / .5 Ml In 1 Syringe (58160-842-43),70.0,70.0,,,0 CDM,90715_99999001068,NDC Description Not Available,70.0,70.0,,,0 CDM,90715_PBBTVL,"Pr Tdap Vaccine 7 Yrs/> Im-Pbb,Tvl",86.0,86.0,,,0 CDM,90715_PBBTVL_581600842,NDC Description Not Available,86.0,86.0,,,0 CDM,90715_TVL,Pr Tdap Vaccine 7 Yrs/> Im-Tvl,86.0,86.0,,,0 CDM,90716,Pr Var Vaccine Live For Subcutaneous Use,385.0,385.0,,,0 CDM,90716_00006482700,"Varivax: 10 Vial, Single-Dose In 1 Carton (0006-4827-00) / .5 Ml In 1 Vial, Single-Dose (0006-4827-01)",385.0,385.0,,,0 CDM,90716_00006482701,NDC Description Not Available,385.0,385.0,,,0 CDM,90716_99999000076,NDC Description Not Available,385.0,385.0,,,0 CDM,90716_PBBTVL,"Pr Var Vaccine Live For Subcutaneous Use-Pbb,Tvl",199.0,199.0,,,0 CDM,90716_TVL,Pr Var Vaccine Live For Subcutaneous Use-Tvl,199.0,199.0,,,0 CDM,90717,Pr Yellow Fever Vaccine Live Subq,151.0,151.0,,,0 CDM,90717_49281091501,"Yf-Vax: 5 Vial, Single-Dose In 1 Package (49281-915-01) / .5 Ml In 1 Vial, Single-Dose (49281-915-58)",151.0,151.0,,,0 CDM,90717_PBBTVL,"Pr Yellow Fever Vaccine Live Subq-Pbb,Tvl",221.0,221.0,,,0 CDM,90717_PBBTVL_492810915,NDC Description Not Available,221.0,221.0,,,0 CDM,90717_TVL,Pr Yellow Fever Vaccine Live Subq-Tvl,221.0,221.0,,,0 CDM,90723,Pr Dtap-Hepb-Ipv Vaccine Intramuscular,260.0,260.0,,,0 CDM,90723_58160081143,NDC Description Not Available,260.0,260.0,,,0 CDM,90732,Pr Ppsv23 Vaccine 2 Yrs Or Older For Subq/Im Use,83.0,83.0,,,0 CDM,90732_00006483701,NDC Description Not Available,83.0,83.0,,,0 CDM,90732_00006483703,"Pneumovax 23: 10 Syringe, Glass In 1 Carton (0006-4837-03) / .5 Ml In 1 Syringe, Glass (0006-4837-01)",83.0,83.0,,,0 CDM,90732_00006494301,NDC Description Not Available,83.0,83.0,,,0 CDM,90732_PBBTVL,"Pr Ppsv23 Vaccine 2 Yrs Or Older For Subq/Im Use-Pbb,Tvl",142.0,142.0,,,0 CDM,90732_TVL,Pr Ppsv23 Vaccine 2 Yrs Or Older For Subq/Im Use-Tvl,142.0,142.0,,,0 CDM,90733,Pr Mpsv4 Vaccine Groups Acyw-135 Subq Use,545.0,545.0,,,0 CDM,90733_58160082703,NDC Description Not Available,545.0,545.0,,,0 CDM,90733_58160097602,NDC Description Not Available,545.0,545.0,,,0 CDM,90734,Pr Menacwyd/Menacwy-Crm Conj Vacc Grps Acwy Im Use,200.0,200.0,,,0 CDM,90734_46028020801,"Menveo: 5 KIT in 1 CARTON (46028-208-01) / 1 KIT in 1 KIT (46028-208-02) * .5 mL in 1 VIAL, SINGLE-DOSE (46028-218-11) * .5 mL in 1 VIAL, SINGLE-DOSE (46028-219-11)",200.0,200.0,,,0 CDM,90734_58160082703,NDC Description Not Available,200.0,200.0,,,0 CDM,90734_58160082730,Menveo: 10 Vial In 1 Carton (58160-827-30) / .5 Ml In 1 Vial (58160-827-03),200.0,200.0,,,0 CDM,90734_58160095509,"Menveo: 1 Kit In 1 Carton (58160-955-09) * .5 Ml In 1 Vial, Single-Dose (58160-958-01) * .5 Ml In 1 Vial, Single-Dose (58160-959-01)",200.0,200.0,,,0 CDM,90734_58160097602,NDC Description Not Available,200.0,200.0,,,0 CDM,90734_PBBTVL,"Pr Menacwyd/Menacwy-Crm Conj Vacc Grps Acwy Im Use-Pbb,Tvl",137.0,137.0,,,0 CDM,90734_PBBTVL_581600827,Menveo: 10 Vial In 1 Carton (58160-827-30) / .5 Ml In 1 Vial (58160-827-03),137.0,137.0,,,0 CDM,90734_PBBTVL_581600955,"Menveo: 1 Kit In 1 Carton (58160-955-09) * .5 Ml In 1 Vial, Single-Dose (58160-958-01) * .5 Ml In 1 Vial, Single-Dose (58160-959-01)",137.0,137.0,,,0 CDM,90734_TVL,Pr Menacwyd/Menacwy-Crm Conj Vacc Grps Acwy Im Use-Tvl,137.0,137.0,,,0 CDM,90736,Pr Zoster Vaccine Hzv Live For Subcutaneous Use,460.0,460.0,,,0 CDM,90736_00006412101,NDC Description Not Available,460.0,460.0,,,0 CDM,90736_58160082803,NDC Description Not Available,460.0,460.0,,,0 CDM,90738,Pr Japanese Encephalitis Vaccine Inactivated Im,313.0,313.0,,,0 CDM,90738_PBBTVL,"Pr Japanese Encephalitis Vaccine Inactivated Im-Pbb,Tvl",371.0,371.0,,,0 CDM,90738_PBBTVL_425150002,Ixiaro: .5 Ml In 1 Syringe (42515-002-01),371.0,371.0,,,0 CDM,90738_TVL,Pr Japanese Encephalitis Vaccine Inactivated Im-Tvl,371.0,371.0,,,0 CDM,90739,Pr Hepb Vaccine Adult 2/4 Dose Schedule For Im Use,306.0,306.0,,,0 CDM,90739_43528000301,NDC Description Not Available,306.0,306.0,,,0 CDM,90739_43528000305,Heplisav-B: 5 Syringe In 1 Carton (43528-003-05) / .5 Ml In 1 Syringe (43528-003-01),306.0,306.0,,,0 CDM,90743,Pr Hepb Vaccine Adolescent 2 Dose Schedule Im,277.0,277.0,,,0 CDM,90743_58160082143,NDC Description Not Available,277.0,277.0,,,0 CDM,90744,Pr Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im,91.0,91.0,,,0 CDM,90744_00006409301,NDC Description Not Available,91.0,91.0,,,0 CDM,90744_00006409302,Recombivax Hb: 10 Syringe In 1 Carton (0006-4093-02) / .5 Ml In 1 Syringe (0006-4093-01),91.0,91.0,,,0 CDM,90744_00006498100,"Recombivax Hb: 10 Vial, Single-Dose In 1 Carton (0006-4981-00) / .5 Ml In 1 Vial, Single-Dose (0006-4981-01)",91.0,91.0,,,0 CDM,90744_00006498101,NDC Description Not Available,91.0,91.0,,,0 CDM,90744_58160082043,NDC Description Not Available,91.0,91.0,,,0 CDM,90744_58160082052,Engerix-B: 10 Syringe In 1 Carton (58160-820-52) / .5 Ml In 1 Syringe (58160-820-43),91.0,91.0,,,0 CDM,90744_99999001769,NDC Description Not Available,91.0,91.0,,,0 CDM,90744_PBBTVL,"Pr Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im-Pbb,Tvl",83.0,83.0,,,0 CDM,90744_PBBTVL_581600820,NDC Description Not Available,83.0,83.0,,,0 CDM,90744_TVL,Pr Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im-Tvl,83.0,83.0,,,0 CDM,90746,Pr Hepb Vaccine Adult 3 Dose Schedule For Im Use,192.0,192.0,,,0 CDM,90746_58160082043,NDC Description Not Available,192.0,192.0,,,0 CDM,90746_58160082143,NDC Description Not Available,192.0,192.0,,,0 CDM,90746_58160082152,Engerix-B: 10 Syringe In 1 Carton (58160-821-52) / 1 Ml In 1 Syringe (58160-821-43),192.0,192.0,,,0 CDM,90746_PBBTVL,"Pr Hepb Vaccine Adult 3 Dose Schedule For Im Use-Pbb,Tvl",94.0,94.0,,,0 CDM,90746_PBBTVL_581600821,NDC Description Not Available,94.0,94.0,,,0 CDM,90746_TVL,Pr Hepb Vaccine Adult 3 Dose Schedule For Im Use-Tvl,94.0,94.0,,,0 CDM,90747,Pr Hepb Vaccine Dialysis/Immunsup Pat 4 Dose Im,379.0,379.0,,,0 CDM,90748,Pr Hib-Hepb Vaccine For Intramuscular Use,325.0,325.0,,,0 CDM,90748_58160072615,Hiberix: 1 Kit In 1 Carton (58160-726-15) * .85 Ml In 1 Syringe (58160-817-02) * .5 Ml In 1 Vial (58160-816-03),325.0,325.0,,,0 CDM,90749,Pr Unlisted Vaccine/Toxoid,325.0,325.0,,,0 CDM,90750,Pr Hzv Zoster Vacc Recombinant Adjuvanted Im Use,1103.0,1103.0,,,0 CDM,90750_50090337200,Shingrix: 1 Kit In 1 Kit (50090-3372-0) * .5 Ml In 1 Vial (58160-828-03) * .5 Ml In 1 Vial (58160-829-03),1103.0,1103.0,,,0 CDM,90750_58160081912,Shingrix: 1 Kit In 1 Carton (58160-819-12) * .5 Ml In 1 Vial (58160-828-01) * .5 Ml In 1 Vial (58160-829-01),1103.0,1103.0,,,0 CDM,90750_58160082311,Shingrix: 1 Kit In 1 Carton (58160-823-11) * .5 Ml In 1 Vial (58160-828-03) * .5 Ml In 1 Vial (58160-829-03),1103.0,1103.0,,,0 CDM,90750_58160082801,NDC Description Not Available,1103.0,1103.0,,,0 CDM,90750_58160082803,NDC Description Not Available,1103.0,1103.0,,,0 CDM,90750_90750_636,Pr Hzv Zoster Vacc Recombinant Adjuvanted Im Use,1103.0,1103.0,,,0 CDM,90756,Pr Cciiv4 Vaccine Antibiotic Free 0.5 Ml Dos Im Use,62.0,62.0,,,0 CDM,90785,Pr Psychotherapy Complex Interactive,38.0,38.0,,,0 CDM,90785_PBB,Pr Psychotherapy Complex Interactive-Pbb,38.0,38.0,,,0 CDM,90791_PBB,Pr Psychiatric Diagnostic Evaluation-Pbb,537.0,537.0,,,0 CDM,90791_PBBTELMD,Pr Psychiatric Diagnostic Evaluation,583.0,583.0,,,0 CDM,90792_PBB,Pr Psychiatric Diagnostic Eval W/Medical Services-Pbb,568.0,568.0,,,0 CDM,90792_PBBTELMD,Pr Psychiatric Diagnostic Eval W/Medical Services,616.0,616.0,,,0 CDM,90832_PBB,Pr Psychotherapy W/Patient 30 Minutes-Pbb,170.0,170.0,,,0 CDM,90832_PBBTELMD,Pr Psychotherapy W/Patient 30 Minutes,185.0,185.0,,,0 CDM,90833,Pr Psychotherapy W/Patient W/E&M Srvcs 30 Min,174.0,174.0,,,0 CDM,90833_PBB,Pr Psychotherapy W/Patient W/E&M Srvcs 30 Min-Pbb,174.0,174.0,,,0 CDM,90834_PBB,Pr Psychotherapy W/Patient 45 Minutes-Pbb,225.0,225.0,,,0 CDM,90834_PBBTELMD,"Pr Psychotherapy W/Patient 45 Minutes-Pbb,Telmd",225.0,225.0,,,0 CDM,90836,Pr Psychotherapy W/Patient W/E&M Srvcs 45 Min,283.0,283.0,,,0 CDM,90836_PBB,Pr Psychotherapy W/Patient W/E&M Srvcs 45 Min-Pbb,283.0,283.0,,,0 CDM,90837_PBB,Pr Psychotherapy W/Patient 60 Minutes-Pbb,307.0,307.0,,,0 CDM,90837_PBBTELMD,Pr Psychotherapy W/Patient 60 Minutes,333.0,333.0,,,0 CDM,90838,Pr Psychotherapy W/Patient W/E&M Srvcs 60 Min,452.0,452.0,,,0 CDM,90838_PBB,Pr Psychotherapy W/Patient W/E&M Srvcs 60 Min-Pbb,452.0,452.0,,,0 CDM,90839_PBB,Pr Psychotherapy For Crisis Initial 60 Minutes-Pbb,300.0,300.0,,,0 CDM,90840_69374092405,NDC Description Not Available,147.8,147.8,,,0 CDM,90840_PBB,Pr Psychotherapy For Crisis Each Addl 30 Minutes-Pbb,157.0,157.0,,,0 CDM,90845_PBB,Pr Psychoanalysis-Pbb,177.0,177.0,,,0 CDM,90846_PBB,Pr Family Psychotherapy W/O Patient Present 50 Mins-Pbb,230.0,230.0,,,0 CDM,90846_PBBTELMD,Pr Family Psychotherapy W/O Patient Present 50 Mins,250.0,250.0,,,0 CDM,90847_PBB,Pr Family Psychotherapy W/Patient Present 50 Mins-Pbb,283.0,283.0,,,0 CDM,90847_PBBTELMD,Pr Family Psychotherapy W/Patient Present 50 Mins,307.0,307.0,,,0 CDM,90849_PBB,Pr Multiple Family Group Psychotherapy-Pbb,121.0,121.0,,,0 CDM,9084_00904714461,Dronabinol: 100 Blister Pack In 1 Carton (0904-7144-61) / 1 Capsule In 1 Blister Pack,29.29,29.29,,,0 CDM,9084_60687037511,NDC Description Not Available,42.17,42.17,,,0 CDM,9084_67877075360,Dronabinol: 60 Capsule In 1 Bottle (67877-753-60),11.56,11.56,,,0 CDM,90853_PBB,Pr Group Psychotherapy-Pbb,94.0,94.0,,,0 CDM,90853_PBBTELMD,Pr Group Psychotherapy,102.0,102.0,,,0 CDM,90867_PBB,Pr Repet Tms Tx Initial W/Map/Motr Threshld/Del&M-Pbb,2158.0,2158.0,,,0 CDM,90868_PBB,Pr Therap Repetitive Tms Tx Subseq Delivery & Mng-Pbb,1255.0,1255.0,,,0 CDM,90869_PBB,Pr Repet Tms Tx Subseq Motr Threshld W/Deliv & Mn-Pbb,2224.0,2224.0,,,0 CDM,90870_PBB,Pr Electroconvulsive Therapy-Pbb,671.0,671.0,,,0 CDM,9087_00409434616,NDC Description Not Available,2.44,2.44,,,0 CDM,9087_00409434673,"Aminocaproic Acid: 25 Vial, Single-Dose In 1 Tray (0409-4346-73) / 20 Ml In 1 Vial, Single-Dose (0409-4346-16)",3.11,3.11,,,0 CDM,9087_00517912001,NDC Description Not Available,3.6,3.6,,,0 CDM,90887,Pr Interpj/Explnaj Results Psychiatric Exam Family,809.0,809.0,,,0 CDM,90887_PBB,Pr Interpj/Explnaj Results Psychiatric Exam Family-Pbb,809.0,809.0,,,0 CDM,90891_68094000459,NDC Description Not Available,12.27,12.27,,,0 CDM,90901_PBB,Pr Biofeedback Training Any Modality-Pbb,120.0,120.0,,,0 CDM,90912_PBB,Pr Bfb Traing W/Emg &/Manometry 1St 15 Min Cntct-Pbb,318.0,318.0,,,0 CDM,90913_PBB,Pr Bfb Traing W/Emg&/Manometry Ea Addl 15 Min Cntct-Pbb,177.0,177.0,,,0 CDM,9091_00009347501,"Depo-Medrol: 1 Vial, Single-Dose In 1 Package (0009-3475-01) / 1 Ml In 1 Vial, Single-Dose",1.65,1.65,,,0 CDM,9091_70121157401,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (70121-1574-1) / 1 Ml In 1 Vial, Single-Dose",1.37,1.37,,,0 CDM,91010_GAST,Pr Esophageal Motility Study W/Interp&Rpt-Gast,2647.0,2647.0,,,0 CDM,91010_PBB,Pr Esophageal Motility Study W/Interp&Rpt-Pbb,2647.0,2647.0,,,0 CDM,91012_00121065705,NDC Description Not Available,2.96,2.96,,,0 CDM,91012_00121197121,NDC Description Not Available,3.86,3.86,,,0 CDM,91012_68094023159,NDC Description Not Available,1.53,1.53,,,0 CDM,91016_00121065700,"Acetaminophen: 10 Tray In 1 Case (0121-0657-00) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0657-05)",2.75,2.75,,,0 CDM,91016_00121065705,NDC Description Not Available,2.57,2.57,,,0 CDM,91016_00121178105,NDC Description Not Available,1.7,1.7,,,0 CDM,91016_00121197121,NDC Description Not Available,3.86,3.86,,,0 CDM,91016_00904673870,"Acetaminophen Oral Solution: 10 TRAY in 1 CASE (0904-6738-70) / 10 CUP, UNIT-DOSE in 1 TRAY / 5 mL in 1 CUP, UNIT-DOSE",2.32,2.32,,,0 CDM,91016_68094023159,NDC Description Not Available,1.45,1.45,,,0 CDM,91016_81033000205,NDC Description Not Available,1.67,1.67,,,0 CDM,91018_00121197100,"Acetaminophen: 10 Tray In 1 Case (0121-1971-00) / 10 Cup, Unit-Dose In 1 Tray / 20.3 Ml In 1 Cup, Unit-Dose (0121-1971-21)",3.86,3.86,,,0 CDM,91018_00121197121,NDC Description Not Available,3.86,3.86,,,0 CDM,91018_68094023159,NDC Description Not Available,1.44,1.44,,,0 CDM,91018_81033000220,NDC Description Not Available,4.75,4.75,,,0 CDM,91034_GAST,Pr Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt-Gast,2485.0,2485.0,,,0 CDM,91034_PBB,Pr Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt-Pbb,2485.0,2485.0,,,0 CDM,91035_GAST,Pr Gastroesophag Reflx Test W/Telemtry Ph Eltrd-Gast,3787.0,3787.0,,,0 CDM,91035_PBB,Pr Gastroesophag Reflx Test W/Telemtry Ph Eltrd-Pbb,3787.0,3787.0,,,0 CDM,91037_GAST,Pr Gastroesophag Reflx Test W/Intrluml Imped Eltrd-Gast,2749.0,2749.0,,,0 CDM,91037_PBB,Pr Gastroesophag Reflx Test W/Intrluml Imped Eltrd-Pbb,2749.0,2749.0,,,0 CDM,91038_GAST,Pr Esophgl Funcj G-Esop Rflx Impd Eltrd Prolng-Gast,3496.0,3496.0,,,0 CDM,91038_PBB,Pr Esophgl Funcj G-Esop Rflx Impd Eltrd Prolng-Pbb,3496.0,3496.0,,,0 CDM,91040_GAST,Pr Esophgl Balo Distension Dx Std W/Provocation-Gast,2279.0,2279.0,,,0 CDM,91040_PBB,Pr Esophgl Balo Distension Dx Std W/Provocation-Pbb,2279.0,2279.0,,,0 CDM,91065_GAST,Pr Breath Hydrogen/Methane Test-Gast,560.0,560.0,,,0 CDM,91065_PBB,Pr Breath Hydrogen/Methane Test-Pbb,560.0,560.0,,,0 CDM,9108_00054453825,"Diskets: 100 Tablet In 1 Bottle, Plastic (0054-4538-25)",4.28,4.28,,,0 CDM,9108_00406054034,Methadose Dispersible: 100 Tablet In 1 Bottle (0406-0540-34),3.97,3.97,,,0 CDM,9109_00093081101,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (0093-0811-01),4.14,4.14,,,0 CDM,9109_50268060411,NDC Description Not Available,4.59,4.59,,,0 CDM,9109_50268060415,"Nortriptyline Hydrochloride: 50 Blister Pack In 1 Box, Unit-Dose (50268-604-15) / 1 Capsule In 1 Blister Pack (50268-604-11)",4.35,4.35,,,0 CDM,9109_60687029311,NDC Description Not Available,4.02,4.02,,,0 CDM,91110_GAST,Pr Gi Trc Img Intraluminal Esophagus-Ileum W/I&R-Gast,6785.0,6785.0,,,0 CDM,91110_PBB,Pr Gi Trc Img Intraluminal Esophagus-Ileum W/I&R-Pbb,6785.0,6785.0,,,0 CDM,91111_GAST,Pr Gi Tract Imaging Intraluminal Esophagus Wi&R-Gast,1971.0,1971.0,,,0 CDM,91111_PBB,Pr Gi Tract Imaging Intraluminal Esophagus Wi&R-Pbb,1971.0,1971.0,,,0 CDM,91120_PBB,Pr Rectal Sesation Tone & Compliance Test-Pbb,4086.0,4086.0,,,0 CDM,91122_GAST,Pr Anorectal Manometry-Gast,3969.0,3969.0,,,0 CDM,91122_PBB,Pr Anorectal Manometry-Pbb,3969.0,3969.0,,,0 CDM,91124_PBB,Pr Rectal Sensation Tone&Compliance Study,4736.0,4736.0,,,0 CDM,91125_PBB,Pr Anrct Mano Rct Sensation&Rct Balo Expulsion Test,2159.0,2159.0,,,0 CDM,91200_PBB,Pr Liver Elastography W/O Imag W/I&R-Pbb,124.0,124.0,,,0 CDM,91300,Pr Sarscov2 Vaccine Dil Recon 30 Mcg/0.3 Ml Im Use,0.01,0.01,,,0 CDM,91301,Pr Sarscov2 Vaccine 100 Mcg/0.5 Ml Im Use,0.01,0.01,,,0 CDM,91302,Pr Sarscov2 Vaccine Chadox1 5X1010 Vp/0.5Ml Im Use,0.01,0.01,,,0 CDM,91303,Pr Sarscov2 Vaccine Ad26 5X1010Vp/0.5Ml Im Use,0.01,0.01,,,0 CDM,91304,Pr Sarscov2 Vacc Saponin-Bsd Adjt 5Mcg/0.5Ml Im Use,0.01,0.01,,,0 CDM,91305,Pr Sarscov2 Vaccine 30Mcg/0.3Ml Tris-Sucrose Im Use,0.01,0.01,,,0 CDM,91306,Pr Sarscov2 Vaccine 50 Mcg/0.25 Ml Im Use,0.01,0.01,,,0 CDM,91307,Pr Sarscov2 Vaccine 10Mcg/0.2Ml Tris-Sucrose Im Use,0.01,0.01,,,0 CDM,91308,Pr Sarscov2 Vaccine 3Mcg/0.2Ml Tris-Sucrose Im Use,0.01,0.01,,,0 CDM,91309,Pr Sarscov2 Vaccine 50 Mcg/0.5 Ml Im Use,0.01,0.01,,,0 CDM,91311,Pr Sarscov2 Vaccine 25 Mcg/0.25 Ml Im Use,0.01,0.01,,,0 CDM,91312,Pr Sarscov2 Vaccine Bivalent 30 Mcg/0.3 Ml Im Use,0.01,0.01,,,0 CDM,91313,Pr Sarscov2 Vaccine Bivalent 50 Mcg/0.5 Ml Im Use,0.01,0.01,,,0 CDM,91314,Pr Sarscov2 Vaccine Bivalent 25 Mcg/0.25 Ml Im Use,0.01,0.01,,,0 CDM,91315,Pr Sarscov2 Vaccine Bivalent 10 Mcg/0.2 Ml Im Use,0.01,0.01,,,0 CDM,91316,Pr Sarscov2 Vaccine Bivalent 10 Mcg/0.2 Ml Im Use,0.01,0.01,,,0 CDM,91317,Pr Sarscov2 Vaccine Bivalent 3 Mcg/0.2 Ml Im Use,0.01,0.01,,,0 CDM,9148_60687023001,"Zonisamide: 100 Blister Pack In 1 Box, Unit-Dose (60687-230-01) / 1 Capsule In 1 Blister Pack (60687-230-11)",3.75,3.75,,,0 CDM,9148_60687023011,NDC Description Not Available,3.79,3.79,,,0 CDM,91490832_PBB,"Hc Psychotherapy, 30 Minutes With Patient And/Or Family Member-Pbb",300.0,300.0,,,0 CDM,91490834_PBB,"Hc Psychotherapy, 45 Minutes With Patient And/Or Family Member-Pbb",385.5,385.5,,,0 CDM,91490837_PBB,"Hc Psychotherapy, 60 Minutes With Patient And/Or Family Member-Pbb",554.0,554.0,,,0 CDM,91490839_PBB,Hc Psychotherapy For Crisis; First 60 Minutes-Pbb,643.0,643.0,,,0 CDM,91490845_PBB,Hc Psychoanalysis-Pbb,313.5,313.5,,,0 CDM,9158_00409468822,NDC Description Not Available,59.0,59.0,,,0 CDM,9158_25021018482,Fluconazole: 10 Pouch In 1 Carton (25021-184-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,60.3,60.3,,,0 CDM,91590853,Hc Group Psychotherapy,435.0,435.0,,,0 CDM,91590853_PBB,Hc Group Psychotherapy-Pbb,385.0,385.0,,,0 CDM,9160_50268018911,NDC Description Not Available,4.49,4.49,,,0 CDM,9160_50742019001,"Cyproheptadine Hydrochloride: 100 Tablet In 1 Bottle, Plastic (50742-190-01)",5.65,5.65,,,0 CDM,9160_51991083801,CYPROHEPTADINE HYDROCHLORIDE: 100 TABLET in 1 BOTTLE (51991-838-01),5.71,5.71,,,0 CDM,9160_70710111001,Cyproheptadine Hydrochloride: 100 Tablet In 1 Bottle (70710-1110-1),4.52,4.52,,,0 CDM,91690846,Hc Family Psychotherapy (Without Patient Present),435.0,435.0,,,0 CDM,91690846_PBB,Hc Family Psychotherapy (Without Patient Present)-Pbb,550.0,550.0,,,0 CDM,91690847,Hc Family Psychotherapy (Conjoint Psychotherapy) (With Patient Present),541.0,541.0,,,0 CDM,91690847_PBB,Hc Family Psychotherapy (Conjoint Psychotherapy) (With Patient Present)-Pbb,682.5,682.5,,,0 CDM,91690849,Hc Multiple-Family Group Psychotherapy,405.0,405.0,,,0 CDM,91690849_PBB,Hc Multiple-Family Group Psychotherapy-Pbb,285.0,285.0,,,0 CDM,91790846_CSMPBB,"Hc Family Psychotherapy W/O Patient Present 50 Mins Cash-Csm,Pbb",75.0,75.0,,,0 CDM,91790847_CSMPBB,"Hc Family Psychotherapy W/Patient Present 50 Mins Cash Technical-Csm,Pbb",75.0,75.0,,,0 CDM,91790912,Hc Bfb Training 1St 15 Min,409.0,409.0,,,0 CDM,91790912_PBB,Hc Bfb Training 1St 15 Min-Pbb,568.5,568.5,,,0 CDM,91790912_PBBTCH,"Hc Bfb Training 1St 15 Min-Pbb,Tch",409.0,409.0,,,0 CDM,91790913,Hc Bfb Training Ea Addl 15 Min,409.0,409.0,,,0 CDM,91790913_PBB,Hc Bfb Training Ea Addl 15 Min-Pbb,498.0,498.0,,,0 CDM,9180_23155064731,NDC Description Not Available,3925.72,3925.72,,,0 CDM,9180_23155064941,"Carmustine: 1 Kit In 1 Carton (23155-649-41) * 3 Ml In 1 Vial (23155-648-31) * 30 Ml In 1 Vial, Single-Dose (23155-647-31)",3317.55,3317.55,,,0 CDM,9180_70710152401,NDC Description Not Available,4356.68,4356.68,,,0 CDM,91896110_PBB,"Hc Developmental Screening, With Interpretation And Report, Per Standardized Instrument Form-Pbb",577.5,577.5,,,0 CDM,91896112_PBB,Hc Devel Tst Phys/Qhp 1St Hr-Pbb,678.5,678.5,,,0 CDM,91896113_PBB,Hc Devel Tst Phys/Qhp Ea Addl 30 Mins-Pbb,307.0,307.0,,,0 CDM,91896116,"Hc Neurobehav Stat Exm,Pr Hr Of The Psych Or Phys's Time,Bth Face Time W/The Pat And Time Interprng",948.0,948.0,,,0 CDM,91896116_PBB,"Hc Neurobehav Stat Exm,Pr Hr Of The Psych Or Phys's Time,Bth Face Time W/The Pat And Time Interprng-",1162.0,1162.0,,,0 CDM,91896121_PBB,Hc Nubhvl Xm Phy/Qhp Ea Addl Hr-Pbb,1070.0,1070.0,,,0 CDM,91896127_PBB,"Hc Brf, Emo/Beh Asst (Eg, Dprssn Inv,Adhd Scale), W Scoring & Documentation, Per Std Instrumnt-Pbb",395.5,395.5,,,0 CDM,91896130_PBB,Hc Psycl Tst Eval Phys/Qhp 1St Hour-Pbb,792.5,792.5,,,0 CDM,91896131_PBB,Hc Psycl Tst Eval Phys/Qhp Ea Addtl Hour-Pbb,605.0,605.0,,,0 CDM,91896132_PBB,Hc Nrpsyc Tst Eval Phys/Qhp 1St Hour-Pbb,792.5,792.5,,,0 CDM,91896133_PBB,Hc Nrpsyc Tst Eval Phys/Qhp Ea Addtl Hour-Pbb,605.0,605.0,,,0 CDM,91896136_PBB,Hc Psycl/Nrpsyc Tst Phy/Qhp 1St 30 Mins-Pbb,75.5,75.5,,,0 CDM,91896137_PBB,Hc Psycl/Nrpsyc Tst Phy/Qhp Ea Addtl 30 Mins-Pbb,59.5,59.5,,,0 CDM,91896138,Hc Psycl/Nrpsyc Tech 1St 30 Mins,877.0,877.0,,,0 CDM,91896138_PBB,Hc Psycl/Nrpsyc Tech 1St 30 Mins-Pbb,978.5,978.5,,,0 CDM,91896139,Hc Psycl/Nrpsyc Tst Tech Ea Additional 30 Min,210.0,210.0,,,0 CDM,91896139_PBB,Hc Psycl/Nrpsyc Tst Tech Ea Additional 30 Min-Pbb,355.5,355.5,,,0 CDM,91896146_PBB,Hc Psycl/Nrpsyc Tst Auto Result-Pbb,75.5,75.5,,,0 CDM,92000000,Hc Research Sleeping With No Recording,50.0,50.0,,,0 CDM,92000399,"Hc Home Sleep Test With Type Iii Portable Monitor, Unattented, Min 4 Channels",583.0,583.0,,,0 CDM,92000453,"Hc Continuous Intraoperative Neurophys Monitoring, Outside Or, Per Patient, Each 15 Minutes",345.0,345.0,,,0 CDM,92002_PBB,Pr Oph Svcs Medical Xm&Eval Intermediate New Pt-Pbb,332.0,332.0,,,0 CDM,92004_PBB,Pr Oph Svcs Medical Xm&Eval Compre New Pt 1/> Vst-Pbb,439.0,439.0,,,0 CDM,92005090,"Hc Electroretinography (Erg) W/Interpretation & Report, Pattern (Perg)",427.0,427.0,,,0 CDM,92012_PBB,Pr Oph Svcs Medical Xm&Eval Intermediate Est Pt-Pbb,264.0,264.0,,,0 CDM,92014_PBB,Pr Oph Svcs Medical Xm&Eval Compre Est Pt 1/>Vst-Pbb,324.0,324.0,,,0 CDM,92015_PBB,Pr Determination Refractive State-Pbb,39.0,39.0,,,0 CDM,92020_PBB,Pr Gonioscopy Separate Procedure-Pbb,199.0,199.0,,,0 CDM,92025_PBB,Pr Computerized Corneal Topography Uni/Bi W/I&R-Pbb,92.0,92.0,,,0 CDM,9202_00904636061,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6360-61)",5.62,5.62,,,0 CDM,9202_00904736361,"Risperidone: 100 Blister Pack In 1 Carton (0904-7363-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.36,5.36,,,0 CDM,92031_99999001344,NDC Description Not Available,1.48,1.48,,,0 CDM,92060_PBB,Pr Sensormotor Xm W/Mlt Meas Ocular Devij W/I&R Spx-Pbb,264.0,264.0,,,0 CDM,92071_PBB,Pr Fit Contact Lens Tx Ocular Surface Disease-Pbb,545.0,545.0,,,0 CDM,92072_PBB,Pr Fitting Contact Lens For Mgmt Of Keratoconus 1St-Pbb,545.0,545.0,,,0 CDM,92081_PBB,Pr Limited Visual Field Xm Uni/Bi I&R-Pbb,95.0,95.0,,,0 CDM,92082_PBB,Pr Intermediate Visual Field Xm Uni/Bi I&R-Pbb,117.0,117.0,,,0 CDM,92083_PBB,Pr Extended Visual Field Xm Uni/Bi I&R-Pbb,190.0,190.0,,,0 CDM,92092015_PBB,Hc Determination Of Refractive State-Pbb,46.5,46.5,,,0 CDM,92092018,"Hc Opht Exam&Eval,Gen Anes,W Or W/O Manip Globe For Pssve Rom Or Oth Manip To Fac Dx Exam; Lmtd",8433.0,8433.0,,,0 CDM,92092020,Hc Gonioscopy,440.0,440.0,,,0 CDM,92092020_PBB,Hc Gonioscopy-Pbb,353.5,353.5,,,0 CDM,92092025,"Hc Computerize Corneal Topography, Unilateral Or Bilateral, With Interpretation And Report",318.0,318.0,,,0 CDM,92092025_PBB,"Hc Computerize Corneal Topography, Unilateral Or Bilateral, With Interpretation And Report-Pbb",280.5,280.5,,,0 CDM,92092060,Hc Senorimotor Exam With Multiple Measurements Of Ocular Deviation With Interpretation And Report,620.0,620.0,,,0 CDM,92092060_PBB,Hc Senorimotor Exam With Multiple Measurements Of Ocular Deviation With Interpretation And Report-Pb,508.0,508.0,,,0 CDM,92092081,"Hc Visual Field Exam, Unilateral Or Bilateral, With Intepretation And Report, Limited Exam",295.0,295.0,,,0 CDM,92092081_PBB,"Hc Visual Field Exam, Unilateral Or Bilateral, With Intepretation And Report, Limited Exam-Pbb",256.5,256.5,,,0 CDM,92092082,"Hc Visual Field Exam, Unilateral Or Bilateral, With Intepretation And Report, Intermediate Exam",363.0,363.0,,,0 CDM,92092082_PBB,"Hc Visual Field Exam, Unilateral Or Bilateral, With Intepretation And Report, Intermediate Exam-Pbb",315.5,315.5,,,0 CDM,92092083,"Hc Visual Field Exam, Unilteral Or Bilateral, With Interpretation And Report; Extended Exam",693.0,693.0,,,0 CDM,92092083_PBB,"Hc Visual Field Exam, Unilteral Or Bilateral, With Interpretation And Report; Extended Exam-Pbb",618.0,618.0,,,0 CDM,92092100,Hc Serial Tonometry,426.0,426.0,,,0 CDM,92092100_PBB,Hc Serial Tonometry-Pbb,259.0,259.0,,,0 CDM,92092133,"Hc Scanning Computerized Ophthalmic Diagnstc Imgng, Posterior Segment, W/ Intrprtn & Rprt; Optic Nrv",850.0,850.0,,,0 CDM,92092133_PBB,"Hc Scanning Computerized Ophthalmic Diagnstc Imgng, Posterior Segment, W/ Intrprtn & Rprt; Optic Nrv",618.0,618.0,,,0 CDM,92092134,"Hc Scanning Computerized Ophthalmic Diagimaging, Posterior Segment, W/ Interpretatn And Rprt; Retina",850.0,850.0,,,0 CDM,92092134_PBB,"Hc Scanning Computerized Ophthalmic Diagimaging, Posterior Segment, W/ Interpretatn And Rprt; Retina",618.0,618.0,,,0 CDM,92092136,Hc Ophthalmic Biometry By Partial Coherence Interferometry With Intraocular Lens Power Calculation,374.0,374.0,,,0 CDM,92092136_PBB,Hc Ophthalmic Biometry By Partial Coherence Interferometry With Intraocular Lens Power Calculation-P,326.5,326.5,,,0 CDM,92092201,Hc Opscpy Extnd Rta Draw Uni/Bi,341.0,341.0,,,0 CDM,92092201_PBB,Hc Opscpy Extnd Rta Draw Uni/Bi-Pbb,435.5,435.5,,,0 CDM,92092202,Hc Opscpy Extnd On/Mac Draw,341.0,341.0,,,0 CDM,92092202_PBB,Hc Opscpy Extnd On/Mac Draw-Pbb,402.5,402.5,,,0 CDM,92092235,Hc Fluorescein Angioscopy With Interpretation And Report,1639.0,1639.0,,,0 CDM,92092235_PBB,Hc Fluorescein Angioscopy With Interpretation And Report-Pbb,1423.0,1423.0,,,0 CDM,92092240,Hc Indocyanine-Green Angiography With Interpretation And Report,1182.0,1182.0,,,0 CDM,92092240_PBB,Hc Indocyanine-Green Angiography With Interpretation And Report-Pbb,942.5,942.5,,,0 CDM,92092250,Hc Fundus Photography With Interpretation And Report,597.0,597.0,,,0 CDM,92092250_PBB,Hc Fundus Photography With Interpretation And Report-Pbb,513.0,513.0,,,0 CDM,92092273,"Hc Electroretinography (Erg), W I&R ; Full Field",829.0,829.0,,,0 CDM,92092283,"Hc Color Vision Exam, Extended",588.0,588.0,,,0 CDM,92092283_PBB,"Hc Color Vision Exam, Extended-Pbb",408.0,408.0,,,0 CDM,92092284,Hc Dark Adaptation Exam With Interpretation And Report,1218.0,1218.0,,,0 CDM,92092284_PBB,Hc Dark Adaptation Exam With Interpretation And Report-Pbb,955.0,955.0,,,0 CDM,92092285,Hc External Ocular Photography With Interpretation And Report For Documentation Of Medical Progress,438.0,438.0,,,0 CDM,92092285_PBB,Hc External Ocular Photography With Interpretation And Report For Documentation Of Medical Progress-,385.0,385.0,,,0 CDM,92092286,Hc Anterior Segment Imgng W/ Intrprtn & Rprt; W/ Specular Miscroscopy & Endothelial Cell Analysis,1007.0,1007.0,,,0 CDM,92092286_PBB,Hc Anterior Segment Imgng W/ Intrprtn & Rprt; W/ Specular Miscroscopy & Endothelial Cell Analysis-Pb,821.0,821.0,,,0 CDM,92092512,Hc Nasal Function Studies (Rhonomanometry),597.0,597.0,,,0 CDM,92092512_PBB,Hc Nasal Function Studies (Rhonomanometry)-Pbb,497.5,497.5,,,0 CDM,92092531,Hc Spontaneous Nystagmus Including Gaze,177.0,177.0,,,0 CDM,92092532,Hc Posit Nystagmus,199.0,199.0,,,0 CDM,92093702,"Hc Bioimpedance Spectroscopy (Bis), Extracellular Fluid Analysis For Lymphedema Assessment(S)",517.0,517.0,,,0 CDM,92093786,"Hc Amb Bpmontring, Utilizing A Syst Such As Magnetic Tape &/Or Cd, For 24 Hrs Or Longer; Rec Only",548.0,548.0,,,0 CDM,92093788,"Hc Amb Blood Press Mon,Utilizing Magnetic Tape &/Or Comp Disk,24 Hrs Or Longer;Scanning Anal W Rep",478.0,478.0,,,0 CDM,92093886,Hc Transcranial Doppler Study Of The Intracranial Arteries; Complete Study,1662.0,1662.0,,,0 CDM,92093886_NEUPBB,"Hc Transcranial Doppler Study Of The Intracranial Arteries; Complete Study-Neu,Pbb",2029.5,2029.5,,,0 CDM,92093886_PBB,Hc Transcranial Doppler Study Of The Intracranial Arteries; Complete Study-Pbb,2029.5,2029.5,,,0 CDM,92093888,Hc Transcranial Doppler Study Of The Intracranial Arteries; Limited Study,962.0,962.0,,,0 CDM,92093888_NEUPBB,"Hc Transcranial Doppler Study Of The Intracranial Arteries; Limited Study-Neu,Pbb",1197.5,1197.5,,,0 CDM,92093888_PBB,Hc Transcranial Doppler Study Of The Intracranial Arteries; Limited Study-Pbb,1197.5,1197.5,,,0 CDM,92093890_NEUPBB,Hc Transcranial Doppler Intracranial Artery Vasoreactivity Study,872.0,872.0,,,0 CDM,92093890_PBB,Hc Transcranial Doppler Intracranial Artery Vasoreactivity Study,872.0,872.0,,,0 CDM,92093892,Hc Transcranial Doppler Study Of Intracranial Arteries; Emboli Detctn W/O Intraven Microbubble Inj,1760.0,1760.0,,,0 CDM,92093892_NEUPBB,Hc Transcranial Doppler Study Of Intracranial Arteries; Emboli Detctn W/O Intraven Microbubble Inj-N,2253.0,2253.0,,,0 CDM,92093892_PBB,Hc Transcranial Doppler Study Of Intracranial Arteries; Emboli Detctn W/O Intraven Microbubble Inj-P,2253.0,2253.0,,,0 CDM,92093893,Hc Transcranial Doppler Study Of The Intracranial Arteries; Emboli Dtctn W/ Intraven Microbubble Inj,1893.0,1893.0,,,0 CDM,92093893_NEUPBB,Hc Transcranial Doppler Study Of The Intracranial Arteries; Emboli Dtctn W/ Intraven Microbubble Inj,2378.0,2378.0,,,0 CDM,92093893_PBB,Hc Transcranial Doppler Study Of The Intracranial Arteries; Emboli Dtctn W/ Intraven Microbubble Inj,2378.0,2378.0,,,0 CDM,92093976,"Hc Dplx Scn Artrl Inflw & Venous Outflw Of Abdm,Pelv,Scrotal Cont &/Or Retroperitoneal Orgs;Ltd Stdy",1970.0,1970.0,,,0 CDM,92093985,Hc Dup-Scan Hemo Compl Bi Std,307.0,307.0,,,0 CDM,92093986,Hc Dup-Scan Hemo Compl Uni Std,148.0,148.0,,,0 CDM,92095249,Hc Cont Gluc Mntr Pt Prov Eqp,710.0,710.0,,,0 CDM,92095249_PBB,Hc Cont Gluc Mntr Pt Prov Eqp-Pbb,932.0,932.0,,,0 CDM,92095250,"Hc Ambl Cont Gluc Mntrng Intrstl Tissue Fluid Via A Subq Sensor Min 72 Hrs; Snsr Plcmnt, Hook-Up",1366.0,1366.0,,,0 CDM,92095783,Hc Polysom <6 Yrs Cpap/Bilvl,5466.0,5466.0,,,0 CDM,92095800,"Hc Sleep Study, Unattend, Heart Rate, O2 Sat, Resp, Sleep Time",397.0,397.0,,,0 CDM,92095803,"Hc Actigraphy Tstng,Recrdng,Analysis,Interpretatn,And Rprt(Min Of 72 Hrs-14 Consec Dys Of Recrdng)",2937.0,2937.0,,,0 CDM,92095803_PBB,"Hc Actigraphy Tstng,Recrdng,Analysis,Interpretatn,And Rprt(Min Of 72 Hrs-14 Consec Dys Of Recrdng)-P",1668.5,1668.5,,,0 CDM,92095806,"Hc Sleep Study, Unattended, Simultaneous Recording Of, Heart Rate, O2 Sat, Respairflow, & Respeffort",758.0,758.0,,,0 CDM,92095806_PBB,"Hc Sleep Study, Unattended, Simultaneous Recording Of, Heart Rate, O2 Sat, Respairflow, & Respeffort",994.5,994.5,,,0 CDM,92095807,"Hc Sleep Study, Simult Record Vent, Resp Effort, Ecg Or Heart Rate",497.0,497.0,,,0 CDM,92095808,"Hc Polysomnography; Sleep Staging W/ 1-3 Add Parameters Of Sleep, Attended By A Technologist",6565.0,6565.0,,,0 CDM,92095873_PBB,Hc Electrical Stimulation Guid W/Chemodenervation-Pbb,430.0,430.0,,,0 CDM,92095928,Hc Central Motor Evoked Potential Study (Transcranial Motor Stimulation); Upper Limbs,1685.0,1685.0,,,0 CDM,92095929,Hc Central Motor Evoked Potential Study (Transcranial Motor Stimulation); Lower Limbs,1644.0,1644.0,,,0 CDM,92095940,"Hc Cnt Intop Neuphys Mntr Op Rm, 1On1 Mntr Req Psnl Att,Ea 15 Min(List Sep In Add To Cde For Pri Px)",345.0,345.0,,,0 CDM,92095941,"Hc Cont Intraop Nrphys Mon,Fr Outsd Op Rm/Mon>1 Cse In Op Rm,Per Hr (List Sep In Add Code Prim Proc)",1383.0,1383.0,,,0 CDM,92095970,"Hc Elctrnc Anyls Implnt Neurstm Puls Gen Sys; Smpl Or Cmplx Brain, Spinal Cord, Or Periph, Wo Reprog",2345.0,2345.0,,,0 CDM,92095970_PBB,"Hc Elctrnc Anyls Implnt Neurstm Puls Gen Sys; Smpl Or Cmplx Brain, Spinal Cord, Or Periph, Wo Reprog",2945.5,2945.5,,,0 CDM,92095971,"Hc Elec Anal Implant Nrstm Puls Gen;Simp Spnl Cord,Or Periph Nrstm Puls Gen/Trans,W Intraop/Sub Prog",2940.0,2940.0,,,0 CDM,92095971_PBB,"Hc Elec Anal Implant Nrstm Puls Gen;Simp Spnl Cord,Or Periph Nrstm Puls Gen/Trans,W Intraop/Sub Prog",3716.0,3716.0,,,0 CDM,92095972,"Hc Elect Nalsis Impt Nurstm Plse Gen;Cplx Spnl Crd,Or Prph Nurstmltr Plse Gnr/Trn,W Prgrm Up To 1 Hr",5708.0,5708.0,,,0 CDM,92095972_PBB,"Hc Elect Nalsis Impt Nurstm Plse Gen;Cplx Spnl Crd,Or Prph Nurstmltr Plse Gnr/Trn,W Prgrm Up To 1 Hr",4518.5,4518.5,,,0 CDM,92095976,Hc Alys Smpl Cn Npgt Prgrmg,876.0,876.0,,,0 CDM,92095976_PBB,Hc Alys Smpl Cn Npgt Prgrmg-Pbb,3398.5,3398.5,,,0 CDM,92095977,Hc Alys Cplx Cn Npgt Prgrmg,1154.0,1154.0,,,0 CDM,92095977_PBB,Hc Alys Cplx Cn Npgt Prgrmg-Pbb,3816.0,3816.0,,,0 CDM,92095983,Hc Alys Brn Npgt Prgrmg 15 Min,439.0,439.0,,,0 CDM,92095983_PBB,Hc Alys Brn Npgt Prgrmg 15 Min-Pbb,806.0,806.0,,,0 CDM,92095984,Hc Alys Brn Npgt Prgrmg Addl 15 Mins,425.0,425.0,,,0 CDM,92095984_PBB,Hc Alys Brn Npgt Prgrmg Addl 15 Mins-Pbb,772.5,772.5,,,0 CDM,92096020,"Hc Nrncl Tstng Slct & Admn Durng Nonnvsve Imgng Funcal Brn Mppng, Admnstrd By A Phys/Psychlgist",652.0,652.0,,,0 CDM,92096904_PBB,"Hc Whole Bdy Integ Phtgrphy, For Mntrng High Risk Pts W/Dysplstc Nevus Syn Or Hx Dysplstc Nevi-Pbb",668.0,668.0,,,0 CDM,92099091,Hc Collj & Interpj Physiol Data Min 30 Min Ea 30 D,237.0,237.0,,,0 CDM,92099173,"Hc Screening Test Of Visual Acuity, Quantitative, Bilateral",66.0,66.0,,,0 CDM,92099173_PBB,"Hc Screening Test Of Visual Acuity, Quantitative, Bilateral-Pbb",83.5,83.5,,,0 CDM,92100399,Hc Research Home Sleep Testing (Limited)- Tech Only,150.0,150.0,,,0 CDM,92100_PBB,Pr Serial Tonometry Spx W/Mlt Meas Intraocular Prs-Pbb,327.0,327.0,,,0 CDM,92126_99999001394,NDC Description Not Available,3267.66,3267.66,,,0 CDM,9212_00338070541,Potassium Chloride: 24 Bag In 1 Carton (0338-0705-41) / 50 Ml In 1 Bag,38.6,38.6,,,0 CDM,9212_00990707514,Potassium Chloride: 24 Pouch In 1 Case (0990-7075-14) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,38.6,38.6,,,0 CDM,9212_14789010808,NDC Description Not Available,38.6,38.6,,,0 CDM,92132_PBB,Pr Cptrized Oph Dx Img Anterior Segment Uni/Bi-Pbb,179.0,179.0,,,0 CDM,92133_PBB,Pr Cptrized Oph Dx Img Pst Segment Uni/Bi Optic Nrv-Pbb,516.0,516.0,,,0 CDM,92134_PBB,Pr Cptrized Oph Dx Img Pst Segment Uni/Bi Retina-Pbb,516.0,516.0,,,0 CDM,92136_PBB,Pr Oph Bmtry Prtl Coher Intrfrmtry Io Lens Pwr Cal-Pbb,119.0,119.0,,,0 CDM,92168_00409651001,"Vancomycin Hydrochloride: 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON (0409-6510-01) / 100 mL in 1 VIAL, PHARMACY BULK PACKAGE",551.37,551.37,,,0 CDM,92173_59572096210,NDC Description Not Available,214.31,214.31,,,0 CDM,92193880,Hc Duplex Scan Of Extracranial Arteries; Complete Bilateral Study,2755.0,2755.0,,,0 CDM,92193882,Hc Duplex Scan Of Extracranial Arteries; Unilateral Or Limited Study,1265.0,1265.0,,,0 CDM,92193922,Hc Limited Bilateral Noninvasive Physiology Studies Of Upper Or Lower Extremity Arteries,1504.0,1504.0,,,0 CDM,92193923,Hc Arterial Segmental Pressure,1533.0,1533.0,,,0 CDM,92193924,"Hc Noninv Physio Stdies Lowr Extrmty Art, At Rest & Flwng Treadmill Stress Tstng, Cmplt Bilat Study",3365.0,3365.0,,,0 CDM,92193925,Hc Duplex Scan Of Lower Extremity Arteries Or Arterial Bypass Grafts; Complete Bilateral Study,3109.0,3109.0,,,0 CDM,92193926,Hc Duplex Scan Of Lower Extremity Arteries Or Arterial Bypass Grafts; Unilateral Or Limited Study,1161.0,1161.0,,,0 CDM,92193930,Hc Duplex Scan Of Upper Extremity Arteries Or Arterial Bypass Grafts; Complete Bilateral Study,2882.0,2882.0,,,0 CDM,92193931,Hc Duplex Scan Of Upper Extremity Arteries Or Arterial Bypass Grafts; Unilateral Or Limited Study,1894.0,1894.0,,,0 CDM,92193970,Hc Dplx Scan Of Extremity Veins Incl Responses To Cmpressn And Other Maneuvers; Complete Bilat Study,3736.0,3736.0,,,0 CDM,92193971,Hc Dplx Scan Of Extrmity Veins Incl Responses To Compression And Other Maneuvers; Lmtd Unilat Study,2152.0,2152.0,,,0 CDM,92193975,"Hc Dplx Scan Art Inflw & Ven Outflw Abd,Pelvic, Scrotl Cntnts &/Or Retroprtnl Organs; Cmplt Study",2997.0,2997.0,,,0 CDM,92193975_PBB,"Hc Dplx Scan Art Inflw & Ven Outflw Abd,Pelvic, Scrotl Cntnts &/Or Retroprtnl Organs; Cmplt Study-Pb",3933.5,3933.5,,,0 CDM,92193976,"Hc Dplx Scan Of Art Inflow&Ven Outflow Of Abd,Pelv, Scrot Contnts &/Or Retroperit Orgns; Lmtd Study",1970.0,1970.0,,,0 CDM,92193976_PBB,"Hc Dplx Scan Of Art Inflow&Ven Outflow Of Abd,Pelv, Scrot Contnts &/Or Retroperit Orgns; Lmtd Study-",2525.5,2525.5,,,0 CDM,92193978,"Hc Duplex Scan Of Aorta, Inferior Vena Cava; Complete Study",1594.0,1594.0,,,0 CDM,92193979,"Hc Duplex Scan Of Aorta, Inferior Vena Cava, Iliac Vasculature, Or Bypass Grfts; Unilat Or Lmtd Stdy",1479.0,1479.0,,,0 CDM,92193980,Hc Duplex Scan Of Arterial Inflow And Venous Outflow Of Penile Vessels; Complete Study,1284.0,1284.0,,,0 CDM,92193980_PBB,Hc Duplex Scan Of Arterial Inflow And Venous Outflow Of Penile Vessels; Complete Study-Pbb,1666.0,1666.0,,,0 CDM,92193981,Hc Duplex Scan Of Arterial Inflow And Venous Outflow Of Penile Vessels; Follow-Up Or Limited Study,630.0,630.0,,,0 CDM,92193990,"Hc Duplex Scan Of Hemodialysis Access (Including Arterial Inflow, Body Of Access And Venous Outflow)",1095.0,1095.0,,,0 CDM,92193998,Hc Unlisted Noninvasive Vascular Diagnostic Study,1204.0,1204.0,,,0 CDM,92194_00023024004,1 TUBE in 1 CARTON (0023-0240-04) / 3.5 g in 1 TUBE,53.19,53.19,,,0 CDM,92194_00023066704,Refresh P.M.: 1 Tube In 1 Carton (0023-0667-04) / 3.5 G In 1 Tube,53.19,53.19,,,0 CDM,92196904_CSMPBB,"Hc Cash Proc Whle Bdy Integ Photg,Mntrng Hi Rsk Pt W Dysp Nvs Syn/Hx Dysp Nevi/Pt W Pers/Fam Hx Mel-",400.0,400.0,,,0 CDM,92196904_PBB,"Hc Cash Proc Whle Bdy Integ Photg,Mntrng Hi Rsk Pt W Dysp Nvs Syn/Hx Dysp Nevi/Pt W Pers/Fam Hx Mel-",116.0,116.0,,,0 CDM,92196_00023392102,"Botox: 1 Vial In 1 Carton (0023-3921-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",43.28,43.28,,,0 CDM,92200000,Hc Research Scoring,57.0,57.0,,,0 CDM,92200399,Hc Research Home Sleep Testing (Limited) With Physician Interpretation,350.0,350.0,,,0 CDM,92201_PBB,Pr Opscpy Extnd Rta Drawing & Scl Deprsn I&R Uni/Bi-Pbb,189.0,189.0,,,0 CDM,92202_10361077831,"E-Z-Disk: 100 Tablet In 1 Bottle, Glass (10361-778-31)",16.91,16.91,,,0 CDM,92202_PBB,Pr Opscpy Extnd Optic Nrv/Macula Drawing I&R Uni/Bi-Pbb,123.0,123.0,,,0 CDM,92235_PBB,Pr Fluorescein Angrph W/Multiframe Img I&R Uni/Bi-Pbb,528.0,528.0,,,0 CDM,9223_61314004475,"Trifluridine: 1 Bottle, Plastic In 1 Carton (61314-044-75) / 7.5 Ml In 1 Bottle, Plastic",1215.28,1215.28,,,0 CDM,92240_PBB,Pr Indocyanine-Green Angrph W/Multiframe I&R Uni/Bi-Pbb,555.0,555.0,,,0 CDM,92250_PBB,Pr Fundus Photography W/Interpretation & Report-Pbb,203.0,203.0,,,0 CDM,92265_50242013501,"Actemra: 1 Vial, Single-Use In 1 Box (50242-135-01) / 4 Ml In 1 Vial, Single-Use",43.5,43.5,,,0 CDM,92266_50242013601,"Actemra: 1 Vial, Single-Use In 1 Box (50242-136-01) / 10 Ml In 1 Vial, Single-Use",43.9,43.9,,,0 CDM,92267_50242013701,"Actemra: 1 Vial, Single-Use In 1 Box (50242-137-01) / 20 Ml In 1 Vial, Single-Use",43.95,43.95,,,0 CDM,92279_00009003905,NDC Description Not Available,14.75,14.75,,,0 CDM,92279_00009003928,Solu-Medrol: 25 Vial In 1 Carton (0009-0039-28) / 1 Ml In 1 Vial (0009-0039-30),8.83,8.83,,,0 CDM,92279_00009003930,NDC Description Not Available,9.84,9.84,,,0 CDM,92279_00009003933,NDC Description Not Available,7.38,7.38,,,0 CDM,92279_55154394005,Solu-Medrol: 5 Vial In 1 Bag (55154-3940-5) / 1 Ml In 1 Vial,29.5,29.5,,,0 CDM,92280_00009004722,Solu-Medrol: 25 Vial In 1 Carton (0009-0047-22) / 2 Ml In 1 Vial (0009-0047-25),6.03,6.03,,,0 CDM,92280_00009004725,NDC Description Not Available,5.82,5.82,,,0 CDM,92280_00009004727,NDC Description Not Available,5.58,5.58,,,0 CDM,92282_00009001820,Solu-Medrol: 1 Vial In 1 Carton (0009-0018-20) / 8 Ml In 1 Vial,2.31,2.31,,,0 CDM,92283_PBB,Pr Color Vision Xm Extended Anomaloscope/Equiv-Pbb,398.0,398.0,,,0 CDM,92284_PBB,Pr Dx Dark Adaptation Exam Interpretation & Report-Pbb,602.0,602.0,,,0 CDM,92285_PBB,Pr Xtrnl Ocular Photog W/I&R Docmt Med Progress-Pbb,132.0,132.0,,,0 CDM,92286_PBB,Pr Ant Sgm Imaging I&R Speclr Microscopy&Ndthl Alys-Pbb,430.0,430.0,,,0 CDM,92288_00338604537,Fluconazole: 10 Bag In 1 Carton (0338-6045-37) / 200 Ml In 1 Bag,193.0,193.0,,,0 CDM,92288_00338604648,Fluconazole: 10 Bag In 1 Carton (0338-6046-48) / 100 Ml In 1 Bag,62.65,62.65,,,0 CDM,92288_00409343501,NDC Description Not Available,59.0,59.0,,,0 CDM,92288_25021018466,Fluconazole: 10 Pouch In 1 Carton (25021-184-66) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,59.0,59.0,,,0 CDM,92288_25021018482,Fluconazole: 10 Pouch In 1 Carton (25021-184-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,60.16,60.16,,,0 CDM,92288_25021018487,Fluconazole: 10 Pouch In 1 Carton (25021-184-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,193.0,193.0,,,0 CDM,92293923,Hc T.O.S. - Positions,1533.0,1533.0,,,0 CDM,92293970,Hc Vasc Lab Dplx Scan L/Extrem Veins/Responses To Compression & Other Maneuvers; Complet Bilat Stdy,3736.0,3736.0,,,0 CDM,92293971,Hc Vasc Lab Dplx Scan Lower Extrem Veins Incl Respon To Compressn & Other Mnvers;Lmtd Unilat Study,2152.0,2152.0,,,0 CDM,92295860,Hc Needle Electromyography; 1 Extremity With Or Without Related Paraspinal Areas,996.0,996.0,,,0 CDM,92295861,Hc Needle Electromyography; 2 Extremities With Or Without Related Paraspinal Areas,1222.0,1222.0,,,0 CDM,92295863,Hc Needle Electromyography; 3 Extremities With Or Without Related Paraspinal Areas,1282.0,1282.0,,,0 CDM,92295864,Hc Needle Electromyography; 4 Extremities With Or Without Related Paraspinal Areas,1466.0,1466.0,,,0 CDM,92295865,Hc Needle Electromyography; Larynx,513.0,513.0,,,0 CDM,92295867,"Hc Needle Electromyography; Cranial Nerve Supplied Muscle(S), Unilateral",964.0,964.0,,,0 CDM,92295867_PBB,"Hc Needle Electromyography; Cranial Nerve Supplied Muscle(S), Unilateral-Pbb",1523.0,1523.0,,,0 CDM,92295868,"Hc Needle Electromyography; Cranial Nerve Supplied Muscles, Bilateral",1084.0,1084.0,,,0 CDM,92295868_PBB,"Hc Needle Electromyography; Cranial Nerve Supplied Muscles, Bilateral-Pbb",1916.0,1916.0,,,0 CDM,92295869,Hc Needle Electromyography; Thoracic Paraspinal Muscles (Excluding T1 Or T12),581.0,581.0,,,0 CDM,92295870,"Hc Ndl Emg;Lt Msl In 1 Ex Or No-Lmb (Axl) Msl Uni Or Bil,Oth Tho Prspnl, Cra Nv Sup Msls, Or Spntrs",614.0,614.0,,,0 CDM,92295872,"Hc Ndl Emg Sngl Fbr Electrd, W/ Qntatve Meas Jitter, Blcking &/Or Fbr Den, Sts Of Ea Muscle Studied",1224.0,1224.0,,,0 CDM,92295874,Hc Needle Electromyography For Guid In Conjun W/Chemodenervat(List Sep In Add To Code For Prim Px),1114.0,1114.0,,,0 CDM,92295874_PBB,Hc Needle Electromyography For Guid In Conjun W/Chemodenervat(List Sep In Add To Code For Prim Px)-P,688.5,688.5,,,0 CDM,92295885,"Hc Needle Electromyography,Ea Ext,W Rel Paraspinal Area,W Nerve Cond,Amp&Latency/Velocity Study;Lmtd",650.0,650.0,,,0 CDM,92295886,"Hc Needle Emg,Ea Ext,Rel Paraspnl,W Nrv Cond,Amp&Latency/Velocity Stdy; Complete,5 Or More Muscles",732.0,732.0,,,0 CDM,92295887,"Hc Ndle Electrmygrphy, Non-Extrmty Muscle(S) Done W/ Nerve Cndctn, Amplitude & Latency/Velocity Stdy",446.0,446.0,,,0 CDM,92295907,Hc Nerve Conduction Studies; 1-2 Studies,2358.0,2358.0,,,0 CDM,92295907_PBB,Hc Nerve Conduction Studies; 1-2 Studies-Pbb,3105.0,3105.0,,,0 CDM,92295908,Hc Nerve Conduction Studies; 3-4 Studies,2848.0,2848.0,,,0 CDM,92295909,Hc Nerve Conduction Studies; 5-6 Studies,3423.0,3423.0,,,0 CDM,92295910,Hc Nerve Conduction Studies; 7-8 Studies,4416.0,4416.0,,,0 CDM,92295911,Hc Nerve Conduction Studies; 9-10 Studies,5127.0,5127.0,,,0 CDM,92295912,Hc Nerve Conduction Studies; 11-12 Studies,5796.0,5796.0,,,0 CDM,92295913,Hc Nerve Conduction Studies; 13 Or More Studies,6490.0,6490.0,,,0 CDM,92295921,"Hc Ans Cardiovagal Innervation, 2 Or More Interval/Ratio",556.0,556.0,,,0 CDM,92295922,"Hc Tstng Ans Func; Vasmtr Adrenergic Innervtn, Incl Beat-To-Beat Bld Prssre & R-R Intrvl Chngs",231.0,231.0,,,0 CDM,92295923,"Hc Tstng Ans Func; Sudomtr: Qsart, Silstc Swt Imprnt, Thrmoreg Swt Tst,Chngs Sympthtc Skn Potntl",1444.0,1444.0,,,0 CDM,92295925,"Hc Shrt-Lat Somatosens Evkd Pot Stdy,Stim Any/All Periph Nrv/Skin Site,Rec Cent Nrv Sys;In Low Limbs",1538.0,1538.0,,,0 CDM,92295926,"Hc Shrt-Lat Somatosens Evkd Pot Stdy,Stim Any/All Periph Nrv/Skin Site,Rec Cent Nrv Sys;In Up Limbs",2278.0,2278.0,,,0 CDM,92295927,"Hc Shrt-Latency Somatosens Evokd Sty,Stim Any/All Periph Nervs/Skin, Recg Fr Cent Nrv Sys;Trunk/Head",1358.0,1358.0,,,0 CDM,92295930,"Hc Visual Evoked Potential (Vep) Testing Central Nervous System, Checkerboard Or Flash",1920.0,1920.0,,,0 CDM,92295933,"Hc Orbicularis Oculi (Blink) Reflex, By Electrodiagnostic Testing",507.0,507.0,,,0 CDM,92295937,"Hc Neuromuscular Junction Testing (Repetitive Stimulation, Paired Stimuli), Each Nerve, Any 1 Method",1231.0,1231.0,,,0 CDM,92295938,"Hc Shrt-Lat Smtsnsry Ev Pot Sty, Stm Any/All Prphrl Nrv Or Skn Sts, Rec Cntl Nrv Sys; In Up&Low Lmbs",3768.0,3768.0,,,0 CDM,92295939,"Hc Shrtltncy Smtsnsry Evkd Ptntl Stdy, Stmltn All Prph Nrvs/Skn Sites, Rcrdng Frm Cns;Uppr/Lwr Limbs",4066.0,4066.0,,,0 CDM,92300091,Hc Screen Pap Smear Obtain Prep Convey,284.0,284.0,,,0 CDM,92300091_PBB,Hc Screen Pap Smear Obtain Prep Convey-Pbb,387.5,387.5,,,0 CDM,92300399,Hc Research Home Sleep Testing (Limited)- Tech & Scoring,200.0,200.0,,,0 CDM,9230_00338104902,"Nitroglycerin In Dextrose: 12 Bottle, Glass In 1 Box (0338-1049-02) / 250 Ml In 1 Bottle, Glass",21.36,21.36,,,0 CDM,9230_00409148202,"Nitroglycerin in Dextrose: 250 mL in 1 BOTTLE, GLASS (0409-1482-02)",19.3,19.3,,,0 CDM,92311_PBB,Pr Rx&Fitg Contact Lens Corneal Lens Aphakia 1 Eye-Pbb,409.0,409.0,,,0 CDM,92312_PBB,Pr Rx&Fitg Contact Lens Corneal Lens Aphakia Ou-Pbb,463.0,463.0,,,0 CDM,92315_57894006103,Stelara: 1 Syringe In 1 Carton (57894-061-03) / 1 Ml In 1 Syringe,1202.61,1202.61,,,0 CDM,92323_00004003909,"Valcyte: 1 Bottle, Glass In 1 Carton (0004-0039-09) / 100 Ml In 1 Bottle, Glass",776.64,776.64,,,0 CDM,92393923,Hc Cold Immersion Test,1533.0,1533.0,,,0 CDM,92423_00074333330,"Norvir: 30 Tablet, Film Coated In 1 Bottle (0074-3333-30)",53.15,53.15,,,0 CDM,92423_60687042095,NDC Description Not Available,58.13,58.13,,,0 CDM,92423_65862068730,"Ritonavir: 30 Tablet, Film Coated In 1 Bottle (65862-687-30)",16.54,16.54,,,0 CDM,92465_66887000301,"Xiaflex: 1 Kit In 1 Carton (66887-003-01) * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial * 3 Ml In 1 Vial",499.73,499.73,,,0 CDM,92495004,"Hc Allergen Scratch Test, Immediate Reaction, Specify Number Of Tests",720.0,720.0,,,0 CDM,92495004_PBB,"Hc Allergen Scratch Test, Immediate Reaction, Specify Number Of Tests-Pbb",667.5,667.5,,,0 CDM,92495017,"Hc Allergy Testing, Comb Of Perc And Intracutanous, I&R, Specify Test",166.0,166.0,,,0 CDM,92495017_PBB,"Hc Allergy Testing, Comb Of Perc And Intracutanous, I&R, Specify Test-Pbb",138.0,138.0,,,0 CDM,92495018,"Hc Allrgy Tstng,Any Combntn Of Perc And Intrdrml,Incl Tst Intrprtatn And Rprt,Spcfy Nmbr Of Tsts",217.0,217.0,,,0 CDM,92495018_PBB,"Hc Allrgy Tstng,Any Combntn Of Perc And Intrdrml,Incl Tst Intrprtatn And Rprt,Spcfy Nmbr Of Tsts-Pbb",250.0,250.0,,,0 CDM,92495024,"Hc Intracutaneous Test W Allergenic Extract,Immed Type React,Incl Test Interp/Rep Phys,Spec No Test",163.0,163.0,,,0 CDM,92495028,"Hc Intracutaneous (Intradermal) W/Allerg Extracts, Delayed React, Incl Reading, Spec # Of Tests",183.0,183.0,,,0 CDM,92495044,Hc Patch Or Application Test(S) (Specify Number Of Tests),766.0,766.0,,,0 CDM,92495044_PBB,Hc Patch Or Application Test(S) (Specify Number Of Tests)-Pbb,680.0,680.0,,,0 CDM,92495052,Hc Photo Patch Test(S) (Specify Number Of Tests),505.0,505.0,,,0 CDM,92495052_PBB,Hc Photo Patch Test(S) (Specify Number Of Tests)-Pbb,395.0,395.0,,,0 CDM,92495056,Hc Photo Tests,726.0,726.0,,,0 CDM,92495056_PBB,Hc Photo Tests-Pbb,649.5,649.5,,,0 CDM,92495065,Hc Direct Nasal Mucous Membrane Test,151.0,151.0,,,0 CDM,92495070,"Hc Inhltn Bronchial Challenge Tstng (Not Incl Nec Pulm Func Tests);W/ Hstamn,Methachln,Or Sim Cmpnds",2539.0,2539.0,,,0 CDM,92495076,Hc Ingestion Challenge Tst(Seq & Incremntl Ingestn Of Tst Items);Ini 120 Min Of Test,2065.0,2065.0,,,0 CDM,92495076_PBB,Hc Ingestion Challenge Tst(Seq & Incremntl Ingestn Of Tst Items);Ini 120 Min Of Test-Pbb,1757.5,1757.5,,,0 CDM,92495079,Hc Ingestion Challenge Test; Ea Add 60 Min Of Testing (List Separately In Add To Code For Prim Proc),1273.0,1273.0,,,0 CDM,92495079_PBB,Hc Ingestion Challenge Test; Ea Add 60 Min Of Testing (List Separately In Add To Code For Prim Proc),968.5,968.5,,,0 CDM,92504_PBB,Pr Binocular Microscopy Separate Dx Procedure-Pbb,68.0,68.0,,,0 CDM,92507_58160082703,NDC Description Not Available,1070.21,1070.21,,,0 CDM,92507_58160095509,"Menveo: 1 Kit In 1 Carton (58160-955-09) * .5 Ml In 1 Vial, Single-Dose (58160-958-01) * .5 Ml In 1 Vial, Single-Dose (58160-959-01)",1072.32,1072.32,,,0 CDM,92507_PBB,Pr Tx Speech Lang Voice Commj&/Aud Proc Do Indiv-Pbb,117.0,117.0,,,0 CDM,92509_55150016613,"Sildenafil: 1 Vial, Single-Dose In 1 Carton (55150-166-13) / 12.5 Ml In 1 Vial, Single-Dose",243.44,243.44,,,0 CDM,92511_PBB,Pr Nasopharyngoscopy W/Endoscope Spx-Pbb,265.0,265.0,,,0 CDM,92512_PBB,Pr Nasal Function Studies-Pbb,235.0,235.0,,,0 CDM,92520_PBB,Pr Laryngeal Function Studies-Pbb,496.0,496.0,,,0 CDM,92521_PBB,Pr Evaluation Of Speech Fluency (Stutter Clutter)-Pbb,288.0,288.0,,,0 CDM,92522_PBB,Pr Evaluation Of Speech Sound Production Articulate-Pbb,245.0,245.0,,,0 CDM,92523_PBB,Pr Eval Speech Sound Product Language Comprehension-Pbb,490.0,490.0,,,0 CDM,92524_PBB,Pr Behavioral & Qualit Analysis Voice And Resonance-Pbb,245.0,245.0,,,0 CDM,92526_PBB,Pr Tx Swallowing Dysfunction&/Oral Funcj Feeding-Pbb,238.0,238.0,,,0 CDM,92537_PBB,Pr Caloric Vestibular Test W/Rec Bi Bithermal-Pbb,346.0,346.0,,,0 CDM,92538_PBB,Pr Caloric Vestibular Test W/Rec Bi Monothermal-Pbb,177.0,177.0,,,0 CDM,92540_PBB,Pr Vstblr Funcj Nystag Fovl&Perph Stimj Oscil Trk-Pbb,759.0,759.0,,,0 CDM,92544_PBB,Pr Optkinetic Nystag Bidir/Foveal/Periph Stim W/Rec-Pbb,161.0,161.0,,,0 CDM,92545_PBB,Pr Oscillating Tracking Test W/Recording-Pbb,145.0,145.0,,,0 CDM,92546_PBB,Pr Sinusoidal Vertical Axis Rotational Testing-Pbb,163.0,163.0,,,0 CDM,92548_PBB,Pr Cdp-Sot 6 Conditions W/Interpretation & Report-Pbb,276.0,276.0,,,0 CDM,92551_PBB,Pr Screening Test Pure Tone Air Only-Pbb,111.0,111.0,,,0 CDM,92558_PBB,Pr Evoked Otoacoustic Emissions Screen Auto Analys-Pbb,91.0,91.0,,,0 CDM,92595004,"Hc Allergen Scratch Test, Immediate Reaction, Tests 1-15",861.0,861.0,,,0 CDM,92595004_PBB,"Hc Allergen Scratch Test, Immediate Reaction, Tests 1-15-Pbb",891.0,891.0,,,0 CDM,92595044,"Hc Patch Or Application Test(S), Tests 1-15",861.0,861.0,,,0 CDM,92597_PBB,Pr Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec-Pbb,793.0,793.0,,,0 CDM,92610_PBB,Pr Eval Oral&Pharyngeal Swlng Funcj-Pbb,899.0,899.0,,,0 CDM,92612_PBB,Pr Flexible Endoscopic Eval Swallow C/V Rec-Pbb,1159.0,1159.0,,,0 CDM,92613_PBB,Pr Flexible Endoscopic Eval Swallow C/V Rec I&R-Pbb,296.0,296.0,,,0 CDM,92616_PBB,Pr Flexible Ndsc Eval Swlng&Laryn Sens C/V Rec-Pbb,874.0,874.0,,,0 CDM,9264_00591034501,"Verapamil Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-0345-01)",6.0,6.0,,,0 CDM,92695004,"Hc Allergen Scratch Test, Immediate Reaction, Tests 16-30",1722.0,1722.0,,,0 CDM,92695004_PBB,"Hc Allergen Scratch Test, Immediate Reaction, Tests 16-30-Pbb",1780.9,1780.9,,,0 CDM,92695044,"Hc Patch Or Application Test(S), Tests 16-30",1721.5,1721.5,,,0 CDM,9274_00074662411,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-6624-11) / 10 Tablet In 1 Blister Pack",9.93,9.93,,,0 CDM,9274_51079044201,NDC Description Not Available,5.34,5.34,,,0 CDM,9274_51079044220,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (51079-442-20) / 1 Tablet In 1 Blister Pack (51079-442-01),4.94,4.94,,,0 CDM,92795004,"Hc Allergen Scratch Test, Immediate Reaction, Tests 31-45",2582.8,2582.8,,,0 CDM,92795004_PBB,"Hc Allergen Scratch Test, Immediate Reaction, Tests 31-45-Pbb",2671.9,2671.9,,,0 CDM,92795044,"Hc Patch Or Application Test(S), Tests 31-45",2582.8,2582.8,,,0 CDM,92884_41388000732,NDC Description Not Available,0.15,0.15,,,0 CDM,92895004,"Hc Allergen Scratch Test, Immediate Reaction, Tests 46-60",3443.0,3443.0,,,0 CDM,92895004_PBB,"Hc Allergen Scratch Test, Immediate Reaction, Tests 46-60-Pbb",3561.8,3561.8,,,0 CDM,92895044,"Hc Patch Or Application Test(S), Tests 46-60",3443.0,3443.0,,,0 CDM,92901_00005197101,NDC Description Not Available,1512.07,1512.07,,,0 CDM,92971_00078068715,"Promacta: 30 Tablet, Film Coated In 1 Bottle (0078-0687-15)",2694.58,2694.58,,,0 CDM,92995004,"Hc Allergen Scratch Test, Immediate Reaction, Tests 61 & Up",4304.0,4304.0,,,0 CDM,92995004_PBB,"Hc Allergen Scratch Test, Immediate Reaction, Tests 61 & Up-Pbb",4425.0,4425.0,,,0 CDM,92995044,"Hc Patch Or Application Test(S), Tests 61 & Up",4304.0,4304.0,,,0 CDM,9308_00469301601,Prograf: 10 Ampule In 1 Box (0469-3016-01) / 1 Ml In 1 Ampule,675.58,675.58,,,0 CDM,93112_72512092801,Qutenza: 1 Kit In 1 Carton (72512-928-01) * 1 Pouch In 1 Carton (72512-920-00) / 1 Patch In 1 Pouch / 179 Mg In 1 Patch * 50 G In 1 Tube,19.73,19.73,,,0 CDM,93129_00573051330,NDC Description Not Available,2.0,2.0,,,0 CDM,93216_00008104005,"Rapamune: 100 Tablet, Sugar Coated In 1 Bottle (0008-1040-05)",106.57,106.57,,,0 CDM,93216_00008104010,"Rapamune: 100 Blister Pack In 1 Carton (0008-1040-10) / 1 Tablet, Sugar Coated In 1 Blister Pack",106.57,106.57,,,0 CDM,93216_59762100101,"Sirolimus: 100 Tablet, Sugar Coated In 1 Bottle (59762-1001-1)",27.01,27.01,,,0 CDM,93216_68382052001,"Sirolimus: 100 Tablet, Film Coated In 1 Bottle (68382-520-01)",33.85,33.85,,,0 CDM,93244_00009001305,"Solu-Cortef: 1 Vial, Single-Dose In 1 Carton (0009-0013-05) / 2 Ml In 1 Vial, Single-Dose",73.28,73.28,,,0 CDM,93245_00009001103,NDC Description Not Available,86.25,86.25,,,0 CDM,93245_00009001104,"Solu-Cortef: 25 Vial, Single-Dose In 1 Carton (0009-0011-04) / 2 Ml In 1 Vial, Single-Dose (0009-0011-03)",132.98,132.98,,,0 CDM,93260_PBB,Pr Prgrmg Dev Eval Implantable Subq Lead Dfb System-Pbb,448.0,448.0,,,0 CDM,93261_PBB,Pr Interrogation Eval F2F Implant Subq Lead Defib-Pbb,385.0,385.0,,,0 CDM,93264_PBB,Pr Remote Mntr Wireless P-Art Prs Snr Up To 30 D-Pbb,212.0,212.0,,,0 CDM,93279_PBB,Pr Prgrmg Dev Eval 1 Lead Pm/Ldls Pm 1 Car Chmbr Ip-Pbb,366.0,366.0,,,0 CDM,93280_PBB,Pr Program Eval Implantable In Persn Dual Ld Pacer-Pbb,385.0,385.0,,,0 CDM,93281_PBB,Pr Program Eval Implantable In Prsn Multi Ld Pacer-Pbb,485.0,485.0,,,0 CDM,93282_65649030303,Xifaxan: 6 Blister Pack In 1 Carton (65649-303-03) / 10 Tablet In 1 Blister Pack,345.51,345.51,,,0 CDM,93282_PBB,Pr Prgrmng Dev Eval Implantable In Persn 1 Ld Dfb-Pbb,388.0,388.0,,,0 CDM,93283_PBB,Pr Prgrmg Eval Implantable In Prsn Dual Lead Dfb-Pbb,466.0,466.0,,,0 CDM,93284_PBB,Pr Prgrmg Eval Implantable In Person Multi Lead Dfb-Pbb,735.0,735.0,,,0 CDM,93285_PBB,Pr Prgrmg Dev Eval Scrms Phys/Qhp In Person-Pbb,216.0,216.0,,,0 CDM,93286_PBB,Pr Peri-Px Dev Eval Pm/Ldls Pm Phys/Qhp In Person-Pbb,293.0,293.0,,,0 CDM,93287_PBB,Pr Peri-Px Dev Eval & Prog Sing/Dual/Multi Lead Dfb-Pbb,473.0,473.0,,,0 CDM,93288_PBB,Pr Interrog Dev Eval Pm/Ldls Pm Phys/Qhp In Person-Pbb,312.0,312.0,,,0 CDM,93289_PBB,Pr Interrog Eval F2F 1/Dual/Mlt Leads Impltbl Dfb-Pbb,483.0,483.0,,,0 CDM,93291_PBB,Pr Interrog Dev Eval Scrms Phys/Qhp In Person-Pbb,305.0,305.0,,,0 CDM,93293_PBB,Pr Transtelephonic Rhythm Strip Pacemaker Eval-Pbb,208.0,208.0,,,0 CDM,93294_PBB,Pr Rem Interrog Pm/Ldls Pm <90 D Phys/Qhp-Pbb,505.0,505.0,,,0 CDM,93295,Pr Interrogation Eval Remote Njx-Pbb,133.0,133.0,,,0 CDM,95145_PBB,Pr Prepj& Antigen Allergen Immunotherapy 1 Insect-Pbb,29.0,29.0,,,0 CDM,95146_PBB,Pr Prepj& Antigen Allergen Immunotherapy 2 Insect-Pbb,137.0,137.0,,,0 CDM,95147_PBB,Pr Prepj& Antigen Allergen Immunotherapy 3 Insect-Pbb,138.0,138.0,,,0 CDM,95148_PBB,Pr Prepj& Antigen Allergen Immunotherapy 4 Insect-Pbb,200.0,200.0,,,0 CDM,95149_PBB,Pr Prepj& Antigen Allergen Immunotherapy 5 Insect-Pbb,29.0,29.0,,,0 CDM,9514_00406051223,Oxycodone And Acetaminophen: 1 Tablet In 1 Blister Pack (0406-0512-23),3.78,3.78,,,0 CDM,9514_00406051262,Oxycodone And Acetaminophen: 100 Tablet In 1 Blister Pack (0406-0512-62),4.0,4.0,,,0 CDM,95165_PBB,Pr Prepj& Allergen Immunotherapy 1/Mlt Antigen-Pbb,28.0,28.0,,,0 CDM,95180_PBB,Pr Rapid Desensitization Procedure Each Hour-Pbb,330.0,330.0,,,0 CDM,95249_PBB,Pr Cont Gluc Monitoring Patient Provided Equipment-Pbb,444.0,444.0,,,0 CDM,95251_PBB,Pr Continuous Glucose Monitoring Analysis I&R-Pbb,513.0,513.0,,,0 CDM,9527_01000673027,NDC Description Not Available,1.99,1.99,,,0 CDM,9527_05789686501,NDC Description Not Available,2.0,2.0,,,0 CDM,9543_13668060601,"Erythromycin: 100 Tablet, Coated In 1 Bottle (13668-606-01)",20.87,20.87,,,0 CDM,9543_24338010213,"Erythromycin: 100 Tablet, Film Coated In 1 Bottle (24338-102-13)",71.95,71.95,,,0 CDM,9543_75834024230,"Erythromycin: 30 Tablet, Film Coated In 1 Bottle (75834-242-30)",34.88,34.88,,,0 CDM,9578_00781340278,NDC Description Not Available,59.0,59.0,,,0 CDM,9578_65219001401,NDC Description Not Available,59.0,59.0,,,0 CDM,95803_PBB,Pr Actigraphy Testing Recording Analysis I&R-Pbb,2713.0,2713.0,,,0 CDM,95806_PBB,Pr Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt-Pbb,823.0,823.0,,,0 CDM,95836_PBB,Pr Ecog Implanted Brain Npgt W/Rec I&R <30 Days-Pbb,1012.0,1012.0,,,0 CDM,95867_PBB,Pr Needle Electromyography Cranial Nrv Muscle Uni-Pbb,1118.0,1118.0,,,0 CDM,95868_PBB,Pr Needle Electromyography Cranial Nrv Muscle Bi-Pbb,1664.0,1664.0,,,0 CDM,95873_PBB,Pr Electrical Stimulation Guid W/Chemodenervation-Pbb,604.0,604.0,,,0 CDM,95874_PBB,Pr Needle Emg Guid W/Chemodenervation-Pbb,665.0,665.0,,,0 CDM,95907_PBB,Pr Nerve Conduction Studies 1-2 Studies-Pbb,1494.0,1494.0,,,0 CDM,95958_PBB,Pr Wada Activation Test Hemispheric Function W/Eeg-Pbb,776.0,776.0,,,0 CDM,95970_PBB,Pr Elec Alys Implt Npgt Phys/Qhp W/O Programming-Pbb,1201.0,1201.0,,,0 CDM,95971_PBB,Pr Elec Alys Implt Npgt Smpl Sp/Pn Npgt Prgrmg-Pbb,1552.0,1552.0,,,0 CDM,95972_PBB,Pr Elec Alys Implt Npgt Cplx Sp/Pn Prgrmg-Pbb,2719.0,2719.0,,,0 CDM,95976_PBB,Pr Elec Alys Implt Smpl Cn Npgt Prgrmg-Pbb,5046.0,5046.0,,,0 CDM,95977_PBB,Pr Elec Alys Implt Cplx Cn Npgt Prgrmg-Pbb,5324.0,5324.0,,,0 CDM,95983_PBB,Pr Elec Alys Implt Brn Npgt Prgrmg 1St 15 Min-Pbb,734.0,734.0,,,0 CDM,95984_PBB,Pr Elec Alys Implt Brn Npgt Prgrmg Ea Addl 15 Min-Pbb,695.0,695.0,,,0 CDM,95992_PBB,Pr Canalith Repositioning Procedure-Pbb,629.0,629.0,,,0 CDM,9604_00409000701,NDC Description Not Available,0.28,0.28,,,0 CDM,9604_00409317801,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3178-01) / 20 Ml In 1 Vial, Multi-Dose (0409-3178-16)",0.37,0.37,,,0 CDM,9604_63323048203,NDC Description Not Available,0.35,0.35,,,0 CDM,9604_63323048257,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-482-57) / 50 Ml In 1 Vial, Multi-Dose (63323-482-05)",0.17,0.17,,,0 CDM,9606_00409555502,"Sodium Bicarbonate: 25 Vial, Single-Use In 1 Tray (0409-5555-02) / 5 Ml In 1 Vial, Single-Use (0409-5555-12)",52.64,52.64,,,0 CDM,9606_00409555512,NDC Description Not Available,53.32,53.32,,,0 CDM,9606_63323008305,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (63323-083-05) / 5 Ml In 1 Vial, Single-Dose (63323-083-03)",156.15,156.15,,,0 CDM,9608_00009513601,Zyvox: 150 Ml In 1 Bottle (0009-5136-01),208.38,208.38,,,0 CDM,96099243_CSMPBB,"Pr Attending Cosmetic Consult Cash-Csm,Pbb",75.0,75.0,,,0 CDM,96099441,Hc Telephone Evaulation And Management 5-10 Minutes,133.0,133.0,,,0 CDM,96099442,Hc Telephone Consultation 11-20 Minutes,258.0,258.0,,,0 CDM,96099443,Hc Telephone Consultation 21-30 Minutes,391.0,391.0,,,0 CDM,96110,Pr Developmental Screen W/Scoring & Doc Std Instrm,68.0,68.0,,,0 CDM,96110_PBB,Pr Developmental Screen W/Scoring & Doc Std Instrm-Pbb,217.0,217.0,,,0 CDM,96112_PBB,Pr Developmental Tst Admin Phys/Qhp 1St Hour-Pbb,504.0,504.0,,,0 CDM,96113_PBB,Pr Developmental Tst Admin Phys/Qhp Ea Addl 30 Min-Pbb,228.0,228.0,,,0 CDM,96116_PBB,Pr Neurobehavioral Status Xm Phys/Qhp 1St Hour-Pbb,428.0,428.0,,,0 CDM,96116_PBBTELMD,Pr Neurobehavioral Status Xm Phys/Qhp 1St Hour,428.0,428.0,,,0 CDM,96121_PBB,Pr Neurobehavioral Status Xm Phys/Qhp Ea Addl Hour-Pbb,394.0,394.0,,,0 CDM,96121_PBBTELMD,Pr Neurobehavioral Status Xm Phys/Qhp Ea Addl Hour,394.0,394.0,,,0 CDM,96127_PBB,Pr Behav Assmt W/Score & Docd/Stand Instrument-Pbb,56.0,56.0,,,0 CDM,96127_PBBPRO,"Pr Behav Assmt W/Score & Docd/Stand Instrument-Pbb,Pro",56.0,56.0,,,0 CDM,96130_PBB,Pr Psychological Tst Eval Svc Phys/Qhp First Hour-Pbb,588.0,588.0,,,0 CDM,96130_PBBTELMD,Pr Psychological Tst Eval Svc Phys/Qhp First Hour,588.0,588.0,,,0 CDM,96131_PBB,Pr Psychological Tst Eval Svc Phys/Qhp Ea Addl Hour-Pbb,449.0,449.0,,,0 CDM,96131_PBBTELMD,Pr Psychological Tst Eval Svc Phys/Qhp Ea Addl Hour,449.0,449.0,,,0 CDM,96132_PBB,Pr Neuropsychological Tst Eval Phys/Qhp 1St Hour-Pbb,588.0,588.0,,,0 CDM,96132_PBBTELMD,Pr Neuropsychological Tst Eval Phys/Qhp 1St Hour,588.0,588.0,,,0 CDM,96133_PBB,Pr Neuropsychological Tst Eval Phys/Qhp Ea Addl Hr-Pbb,449.0,449.0,,,0 CDM,96133_PBBTELMD,Pr Neuropsychological Tst Eval Phys/Qhp Ea Addl Hr,449.0,449.0,,,0 CDM,96136_PBB,Pr Psyl/Nrpsycl Tst Phys/Qhp 2+ Tst 1St 30 Min-Pbb,23.0,23.0,,,0 CDM,96137_PBB,Pr Psycl/Nrpsycl Tst Phys/Qhp 2+ Tst Ea Addl 30 Min-Pbb,15.0,15.0,,,0 CDM,96138_PBB,Pr Psycl/Nrpsycl Tst Tech 2+ Tst 1St 30 Min-Pbb,318.0,318.0,,,0 CDM,96139_PBB,Pr Psycl/Nrpsycl Tst Tech 2+ Tst Ea Addl 30 Min-Pbb,318.0,318.0,,,0 CDM,96146_PBB,Pr Psycl/Nrpsycl Tst Elec Platform Auto Result-Pbb,23.0,23.0,,,0 CDM,96156_PBB,Pr Health Behavior Assessment/Re-Assessment-Pbb,628.0,628.0,,,0 CDM,96158_PBB,Pr Health Behavior Ivntj Indiv F2F 1St 30 Min-Pbb,426.0,426.0,,,0 CDM,96159_PBB,Pr Health Behavior Ivntj Indiv F2F Ea Addl 15 Min-Pbb,147.0,147.0,,,0 CDM,96160_PBB,Pr Pt-Focused Hlth Risk Assmt Score Doc Stnd Instrm-Pbb,180.0,180.0,,,0 CDM,96161_PBB,Pr Caregiver Hlth Risk Assmt Score Doc Stnd Instrm-Pbb,13.0,13.0,,,0 CDM,96164_PBB,Pr Health Behavior Ivntj Group F2F 1St 30 Min-Pbb,63.0,63.0,,,0 CDM,96164_PBBTELMD,Pr Health Behavior Ivntj Group F2F 1St 30 Min,68.0,68.0,,,0 CDM,96165_PBB,Pr Health Behavior Ivntj Group F2F Ea Addl 15 Min-Pbb,27.0,27.0,,,0 CDM,96165_PBBTELMD,Pr Health Behavior Ivntj Group F2F Ea Addl 15 Min,30.0,30.0,,,0 CDM,96167_PBB,Pr Health Behavior Ivntj Fam W/Pt F2F 1St 30 Min-Pbb,456.0,456.0,,,0 CDM,96168_PBB,Pr Health Behavior Ivntj Fam W/Pt F2F Ea Add 15 Min-Pbb,161.0,161.0,,,0 CDM,96170_PBB,Pr Health Behavior Ivntj Fam W/O Pt F2F 1St 30 Min-Pbb,555.0,555.0,,,0 CDM,96171_PBB,Pr Health Behavior Ivntj Fam W/O Pt F2F Ea Addl 15-Pbb,206.0,206.0,,,0 CDM,96190846_CSMPBB,"Profee Family Psychotherapy (Without Patient Present), 50 Min Cash-Csm,Pbb",100.0,100.0,,,0 CDM,96190847_CSMPBB,"Profee Family Psychotherapy W/Patient Present 50 Mins Cash-Csm,Pbb",100.0,100.0,,,0 CDM,96196156_PBB,Hc Hlth Bhv Assmt/Reassessment-Pbb,470.5,470.5,,,0 CDM,96196158_PBB,Hc Hlth Bhv Ivntj Indiv 1St 30-Pbb,413.5,413.5,,,0 CDM,96196159_PBB,Hc Hlth Bhv Ivntj Indiv Ea Addl-Pbb,172.5,172.5,,,0 CDM,96196164_PBB,Hc Hlth Bhv Ivntj Grp 1St 30-Pbb,80.0,80.0,,,0 CDM,96196165_PBB,Hc Hlth Bhv Ivntj Grp Ea Addl-Pbb,62.5,62.5,,,0 CDM,96196167_PBB,Hc Hlth Bhv Ivntj Fam 1St 30-Pbb,459.0,459.0,,,0 CDM,96196168_PBB,Hc Hlth Bhv Ivntj Fam Ea Addl-Pbb,196.5,196.5,,,0 CDM,96196170_PBB,Hc Hlth Bhv Ivntj Fam Wo Pt 1St-Pbb,520.0,520.0,,,0 CDM,96196171_PBB,Hc Hlth Bhv Ivntj Fam W/O Pt Ea-Pbb,224.5,224.5,,,0 CDM,9627_00173017855,"WELLBUTRIN: 100 TABLET, FILM COATED in 1 BOTTLE (0173-0178-55)",20.17,20.17,,,0 CDM,9627_00904663661,"Bupropion Hydrochloride: 100 Blister Pack In 1 Carton (0904-6636-61) / 1 Tablet, Film Coated In 1 Blister Pack",10.16,10.16,,,0 CDM,9627_60687035111,NDC Description Not Available,9.23,9.23,,,0 CDM,96292310_CSMPBB,"Profee New Contact Lens Fitting-Spherical Cash-Csm,Pbb",125.0,125.0,,,0 CDM,96372_PBB,Pr Therapeutic Prophylactic/Dx Injection Subq/Im-Pbb,185.0,185.0,,,0 CDM,96392310_CSMPBB,"Profee New Contact Lens Fitting-Extended Cash-Csm,Pbb",200.0,200.0,,,0 CDM,96405_PBB,Pr Chemotherapy Administration Intralesional 7-Pbb,900.0,900.0,,,0 CDM,96450_GOLD,Pr Chemotx Admn Cns Req Spinal Puncture-Gold,2940.0,2940.0,,,0 CDM,96450_GOLDOPRM,"Pr Chemotx Admn Cns Req Spinal Puncture-Gold,Oprm",2940.0,2940.0,,,0 CDM,96450_GOLDPBB,"Pr Chemotx Admn Cns Req Spinal Puncture-Gold,Pbb",2940.0,2940.0,,,0 CDM,96450_PBB,Pr Chemotx Admn Cns Req Spinal Puncture-Pbb,2940.0,2940.0,,,0 CDM,96492310_CSMPBB,"Profee Annual Contact Lens Check Cash-Csm,Pbb",25.0,25.0,,,0 CDM,96522_PBB,Pr Refill&Maintenance Pump Drug Dlvr Systemic-Pbb,939.0,939.0,,,0 CDM,96523_PBB,Pr Irrigaj Implntd Venous Access Drug Delivery Syst-Pbb,187.0,187.0,,,0 CDM,96542_PBB,Pr Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult-Pbb,1766.0,1766.0,,,0 CDM,96567_PBB,Pr Pdt Dstr Prmlg Les Skn Illum/Activj Per Day-Pbb,596.0,596.0,,,0 CDM,96570_PBB,Pr Pdt Ndsc Abl Abnor Tiss Via Activj Rx 30 Min-Pbb,482.0,482.0,,,0 CDM,96571_PBB,Pr Pdt Ndsc Abl Abnor Tiss Via Activj Rx A 15 Min-Pbb,475.0,475.0,,,0 CDM,96573_PBB,Pr Pdt Dstr Prmlg Les Skn Illum/Activj By Phys/Qhp-Pbb,332.0,332.0,,,0 CDM,96574_PBB,Pr Debridement Prmlg Hyperkeratotic Les W/Pdt-Pbb,430.0,430.0,,,0 CDM,9657_00053768032,"Albuminar-25: 1 VIAL, GLASS in 1 CARTON (0053-7680-32) / 50 mL in 1 VIAL, GLASS (0053-7680-91)",504.0,504.0,,,0 CDM,9657_44206025105,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-05) / 50 Ml In 1 Vial, Glass (44206-251-90)",503.9,503.9,,,0 CDM,9657_44206025110,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-10) / 100 Ml In 1 Vial, Glass (44206-251-91)",504.0,504.0,,,0 CDM,9657_44206025190,NDC Description Not Available,499.83,499.83,,,0 CDM,9657_44206025191,NDC Description Not Available,543.6,543.6,,,0 CDM,9657_68516521601,Albutein: 1 Vial In 1 Carton (68516-5216-1) / 50 Ml In 1 Vial (68516-5216-3),260.68,260.68,,,0 CDM,9657_68516521603,NDC Description Not Available,260.68,260.68,,,0 CDM,96592310_CSMPBB,"Profee Contact Lens Refit-Spherical Cash-Csm,Pbb",50.0,50.0,,,0 CDM,9663_00555007102,Isoniazid: 100 Tablet In 1 Bottle (0555-0071-02),6.0,6.0,,,0 CDM,9663_51079008301,NDC Description Not Available,6.39,6.39,,,0 CDM,9663_81665010810,"Isoniazid: 100 Tablet In 1 Bottle, Plastic (81665-108-10)",20.15,20.15,,,0 CDM,9666_24201001020,Pentobarbital Sodium: 1 Vial In 1 Carton (24201-010-20) / 20 Ml In 1 Vial,405.44,405.44,,,0 CDM,9666_25021067620,Pentobarbital Sodium: 1 Vial In 1 Carton (25021-676-20) / 20 Ml In 1 Vial,468.55,468.55,,,0 CDM,9666_67386050152,Nembutal Sodium: 1 VIAL in 1 CARTON (67386-501-52) / 20 mL in 1 VIAL,469.0,469.0,,,0 CDM,96692310_CSMPBB,"Profee Contact Lens Refit-Extended Cash-Csm,Pbb",100.0,100.0,,,0 CDM,9673_00904645061,"Isosorbide Mononitrate: 100 Blister Pack In 1 Carton (0904-6450-61) / 1 Tablet, Extended Release In 1 Blister Pack",5.27,5.27,,,0 CDM,9673_62175011937,"isosorbide mononitrate: 100 TABLET, EXTENDED RELEASE in 1 BOTTLE (62175-119-37)",5.09,5.09,,,0 CDM,9675_16714079501,Terbinafine: 30 Tablet In 1 Bottle (16714-795-01),6.0,6.0,,,0 CDM,96792310_CSMPBB,"Profee Rigid Gas Permeable/Hybrid Fitting Fee Cash-Csm,Pbb",300.0,300.0,,,0 CDM,9679_00781518392,Levothyroxine sodium: 90 TABLET in 1 BOTTLE (0781-5183-92),6.0,6.0,,,0 CDM,9679_00904695261,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6952-61) / 1 Tablet In 1 Blister Pack,6.0,6.0,,,0 CDM,9679_42292003801,NDC Description Not Available,5.98,5.98,,,0 CDM,96904_PBB,Pr Whole Body Integumentary Photography-Pbb,1024.0,1024.0,,,0 CDM,9691_00228202910,Alprazolam: 100 Tablet In 1 Bottle (0228-2029-10),4.8,4.8,,,0 CDM,9691_59762372001,Alprazolam: 100 Tablet In 1 Bottle (59762-3720-1),3.77,3.77,,,0 CDM,9691_60687038811,NDC Description Not Available,3.76,3.76,,,0 CDM,96920_PBB,Pr Excimer Laser Tx Psoriasis Tot Area <250 Sq Cm-Pbb,1045.0,1045.0,,,0 CDM,96921_PBB,Pr Excimer Laser Tx Psoriasis 250-500 Sq Cm-Pbb,1078.0,1078.0,,,0 CDM,96922_PBB,Pr Excimer Laser Tx Psoriasis >500 Sq Cm-Pbb,1639.0,1639.0,,,0 CDM,9700_00574029201,Amiloride Hydrochloride: 100 Tablet In 1 Bottle (0574-0292-01),4.02,4.02,,,0 CDM,9700_49884011701,Amiloride Hydrochloride: 100 Tablet In 1 Bottle (49884-117-01),5.76,5.76,,,0 CDM,9707_00409741903,Lmd In Sodium Chloride: 12 Pouch In 1 Case (0409-7419-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag (0409-7419-14),246.4,246.4,,,0 CDM,9709_60687058611,NDC Description Not Available,11.54,11.54,,,0 CDM,9709_63739041510,"Rifampin: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-415-10) / 10 CAPSULE in 1 BLISTER PACK",10.08,10.08,,,0 CDM,97116_PBB,Pr Ther Px 1/> Areas Ea 15 Min Gait Traing W/Stair-Pbb,168.0,168.0,,,0 CDM,9725_13925052201,Pentamidine Isethionate: 1 Vial In 1 Carton (13925-522-01) / 300 Mg In 1 Vial,882.43,882.43,,,0 CDM,9725_63323087715,"Nebupent: 1 Vial, Single-Dose In 1 Carton (63323-877-15) / 6 Ml In 1 Vial, Single-Dose",982.23,982.23,,,0 CDM,97511400_CSMPBB,"Pr Exc Benign Les Trunk/Arm/Leg 0.5Cm/< Cash-Csm,Pbb",200.0,200.0,,,0 CDM,97511401_CSMPBB,"Pr Exc Benign Les Including Margin 0.6-1.0 Cash-Csm,Pbb",300.0,300.0,,,0 CDM,97511950_CSMPBB,"Pr Subq Inj Fillng Matrl 1.1-5.0Cc Cash-Csm,Pbb",225.0,225.0,,,0 CDM,97511951_CSMPBB,"Pr Subsequent Inj Filling Matrl 1.1-5.0Cc Cash-Csm,Pbb",225.0,225.0,,,0 CDM,97511952_CSMPBB,"Pr Subq Inj Fillng Mtrl 5.1-10.0Cc Cash-Csm,Pbb",225.0,225.0,,,0 CDM,97512051_CSMPBB,"Pr Rep Int Wounds 2.5 Cm/< Cash-Csm,Pbb",400.0,400.0,,,0 CDM,97515822_CSMPBB,"Pr Blepharoplasty Upper Eyelid Cash-Csm,Pbb",2500.0,2500.0,,,0 CDM,9751_00378018201,"Propranolol Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0378-0182-01)",4.97,4.97,,,0 CDM,9751_00904655061,Propranolol Hydrochloride: 100 Blister Pack In 1 Carton (0904-6550-61) / 1 Tablet In 1 Blister Pack,3.6,3.6,,,0 CDM,9751_50268066211,NDC Description Not Available,2.66,2.66,,,0 CDM,9751_60687058711,NDC Description Not Available,3.67,3.67,,,0 CDM,9751_69238207701,Propranolol Hydrochloride: 100 Tablet In 1 Bottle (69238-2077-1),4.91,4.91,,,0 CDM,97597_PBB,Pr Debridement Open Wound First 20 Sq Cm/<-Pbb,407.0,407.0,,,0 CDM,97598_PBB,Pr Debridement Opn Wnd Ea Addl 20 Sq Cm/Prt Thereof-Pbb,431.0,431.0,,,0 CDM,97605_PBB,Pr Negative Pressure Wound Therapy Dme <= 50 Sq Cm-Pbb,278.0,278.0,,,0 CDM,97606_PBB,Pr Negative Pressure Wound Therapy Dme >50 Sq Cm-Pbb,479.0,479.0,,,0 CDM,97608_PBB,Pr Neg Pressure Wound Therapy Non Dme >50 Sq Cm-Pbb,881.0,881.0,,,0 CDM,9774_51079027303,"Entacapone: 30 BLISTER PACK in 1 CARTON (51079-273-03) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-273-01)",35.19,35.19,,,0 CDM,9774_60687018811,NDC Description Not Available,25.54,25.54,,,0 CDM,9777_00338000404,"Sterile Water: 12 Bottle, Plastic In 1 Carton (0338-0004-04) / 1000 Ml In 1 Bottle, Plastic",193.0,193.0,,,0 CDM,97810_PBB,Pr Acupuncture 1/> Ndls W/O Estim 1St 15 Min-Pbb,286.0,286.0,,,0 CDM,97811_PBB,Pr Acupuncture 1/> Ndls W/O Estim Each Addl 15 Min-Pbb,236.0,236.0,,,0 CDM,97813_PBB,Pr Acupuncture 1/> Ndls W/Estim 1St 15 Min-Pbb,310.0,310.0,,,0 CDM,97814_PBB,Pr Acupuncture 1/> Ndls W/Estim Each Addl 15 Min-Pbb,258.0,258.0,,,0 CDM,9792_00143985701,NDC Description Not Available,48.25,48.25,,,0 CDM,9792_00409733201,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7332-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7332-11)",34.54,34.54,,,0 CDM,9792_00409733211,NDC Description Not Available,48.09,48.09,,,0 CDM,9792_00781320885,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (0781-3208-85) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",35.32,35.32,,,0 CDM,9792_00781320895,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0781-3208-95) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",14.75,14.75,,,0 CDM,9792_44567070125,"Ceftriaxone: 25 Vial In 1 Carton (44567-701-25) / 1 Injection, Powder, For Solution In 1 Vial",48.25,48.25,,,0 CDM,9792_60505614800,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (60505-6148-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",45.86,45.86,,,0 CDM,9792_99999211101,NDC Description Not Available,14.75,14.75,,,0 CDM,98000_PBB,Pr Synchronous Audio-Video Visit New Sf Mdm 15 Min-Pbb,139.0,139.0,,,0 CDM,98001_PBB,Pr Synchronous Audio-Video Visit New Low Mdm 30 Min-Pbb,241.0,241.0,,,0 CDM,98002_PBB,Pr Synchronous Audio-Video Visit New Mod Mdm 45 Min-Pbb,392.0,392.0,,,0 CDM,98002_TELMD,Pr Synchronous Audio-Video Visit New Mod Mdm 45 Min,426.0,426.0,,,0 CDM,98003_PBB,Pr Synchronous Audio-Video Vst New High Mdm 60 Min-Pbb,526.0,526.0,,,0 CDM,98004_PBB,Pr Synchronous Audio-Video Visit Est Sf Mdm 10 Min-Pbb,104.0,104.0,,,0 CDM,98005_PBB,Pr Synchronous Audio-Video Visit Est Low Mdm 20 Min-Pbb,194.0,194.0,,,0 CDM,98006_PBB,Pr Synchronous Audio-Video Visit Est Mod Mdm 30 Min-Pbb,292.0,292.0,,,0 CDM,98007_PBB,Pr Synchronous Audio-Video Vst Est High Mdm 40 Min-Pbb,392.0,392.0,,,0 CDM,98007_TELMD,Pr Synchronous Audio-Video Vst Est High Mdm 40 Min,426.0,426.0,,,0 CDM,98008_PBB,Pr Synchronous Audio-Only Visit New Sf Mdm 15 Min-Pbb,213.0,213.0,,,0 CDM,98009_PBB,Pr Synchronous Audio-Only Visit New Low Mdm 30 Min-Pbb,339.0,339.0,,,0 CDM,98010_PBB,Pr Synchronous Audio-Only Visit New Mod Mdm 45 Min-Pbb,508.0,508.0,,,0 CDM,98011_PBB,Pr Synchronous Audio-Only Visit New High Mdm 60 Min-Pbb,677.0,677.0,,,0 CDM,98012_PBB,Pr Synchronous Audio-Only Visit Est Sf Mdm 10 Min-Pbb,142.0,142.0,,,0 CDM,98013_PBB,Pr Synchronous Audio-Only Visit Est Low Mdm 20 Min-Pbb,234.0,234.0,,,0 CDM,98014_PBB,Pr Synchronous Audio-Only Visit Est Mod Mdm 30 Min-Pbb,339.0,339.0,,,0 CDM,98015_PBB,Pr Synchronous Audio-Only Visit Est High Mdm 40 Min-Pbb,468.0,468.0,,,0 CDM,98016_PBB,Pr Brief Communication Tech-Bsd Svc Est Pt 5-10 Min-Pbb,86.0,86.0,,,0 CDM,9817_00024159601,"Primaquine Phosphate: 100 Tablet, Film Coated In 1 Bottle (0024-1596-01)",12.69,12.69,,,0 CDM,98311950_CSMPBB,"Juvederm W/Inj 1Cc Cosmetic Package Cash-Csm,Pbb",300.0,300.0,,,0 CDM,98311954_CSMPBB,"Subcutaneous Injection Of Filling Material >10.0Cc-Csm,Pbb",900.0,900.0,,,0 CDM,98331631_PBB,Hc Research Bronchoscopy Profee-Pbb,442.0,442.0,,,0 CDM,98336468_CSMPBB,"Pr Sclerotherapy; Single Or Multiple Injection(S) Cash-Csm,Pbb",150.0,150.0,,,0 CDM,98336555,Hc Insrt Non-Tunel Cntrl Ven Cath<5Yrs Crna Pro,3156.0,3156.0,,,0 CDM,98336556,Hc Insrt Non-Tunel Cntrl Ven Cath>5Yrs Crna Pro,3156.0,3156.0,,,0 CDM,98336620,Hc Chg Arterial Cannulation Crna Pro,928.0,928.0,,,0 CDM,98337799_CSMPBB,"Telangiectasia Treatment Cash-Csm,Pbb",150.0,150.0,,,0 CDM,98392613,Hc Endoscopy Swallow Test Fees,111.0,111.0,,,0 CDM,98392613_PBB,Hc Endoscopy Swallow Test Fees-Pbb,111.0,111.0,,,0 CDM,98399203,Pr Cosmetic Conslt Rfnd Cncl Cash,52.0,52.0,,,0 CDM,98399213,Hc Derm Executive Health Visit,530.0,530.0,,,0 CDM,98411950_CSMPBB,"Juvederm W/Inj 1Cc Friends & Family Cash-Csm,Pbb",150.0,150.0,,,0 CDM,98411954_CSMPBB,"Pr Subcutaneous Injection Of Filling Material Over 10Cc Cash-Csm,Pbb",225.0,225.0,,,0 CDM,98511950_CSMPBB,"Voluma W/Inj 1Cc Cosmetic Package Cash-Csm,Pbb",400.0,400.0,,,0 CDM,9851_00641622801,NDC Description Not Available,39.35,39.35,,,0 CDM,9851_25021050002,Thiamine Hydrochloride: 25 Vial In 1 Carton (25021-500-02) / 2 Ml In 1 Vial,38.66,38.66,,,0 CDM,9851_43598005011,NDC Description Not Available,32.26,32.26,,,0 CDM,9851_63323001301,NDC Description Not Available,39.86,39.86,,,0 CDM,9851_63323001302,"Thiamine: 25 Vial, Multi-Dose In 1 Tray (63323-013-02) / 2 Ml In 1 Vial, Multi-Dose (63323-013-01)",59.0,59.0,,,0 CDM,9851_63323001321,NDC Description Not Available,59.0,59.0,,,0 CDM,9851_65145012901,NDC Description Not Available,33.8,33.8,,,0 CDM,9851_67457019600,NDC Description Not Available,37.93,37.93,,,0 CDM,9851_72485050701,NDC Description Not Available,30.34,30.34,,,0 CDM,9851_72603013901,NDC Description Not Available,38.98,38.98,,,0 CDM,98611950_CSMPBB,"Voluma W/Inj 1Cc Friends & Family Cash-Csm,Pbb",200.0,200.0,,,0 CDM,9871_51079037401,NDC Description Not Available,6.0,6.0,,,0 CDM,9897_00245036001,"Klor-Con: 100 Packet In 1 Carton (0245-0360-01) / 1 Powder, For Solution In 1 Packet (0245-0360-89)",9.43,9.43,,,0 CDM,9897_00245036089,NDC Description Not Available,9.43,9.43,,,0 CDM,9897_00603155410,NDC Description Not Available,44.71,44.71,,,0 CDM,9902459430,Post Partum Visit 99024 & 59430 For Medicaid,1478.0,1478.0,,,0 CDM,9902459430_PBB,Post Partum Visit 99024 & 59430 For Medicaid-Pbb,1478.0,1478.0,,,0 CDM,9913_71740011230,"Sski: 1 Bottle, With Applicator In 1 Carton (71740-112-30) / 30 Ml In 1 Bottle, With Applicator",45.37,45.37,,,0 CDM,99151_PBB,Pr Mod Sed Same Phys/Qhp Initial 15 Mins <5 Yrs-Pbb,250.0,250.0,,,0 CDM,99152_PBB,Pr Mod Sed Same Phys/Qhp Initial 15 Mins 5/> Yrs-Pbb,234.0,234.0,,,0 CDM,99153_PBB,Pr Mod Sed Same Phys/Qhp Each Addl 15 Mins-Pbb,81.0,81.0,,,0 CDM,99155_PBB,Pr Mod Sed Other Phys/Qhp Initial 15 Mins <5 Yrs-Pbb,620.0,620.0,,,0 CDM,99156_PBB,Pr Mod Sed Other Phys/Qhp Initial 15 Mins 5/> Yrs-Pbb,582.0,582.0,,,0 CDM,99157_PBB,Pr Mod Sed Other Phys/Qhp Each Addl 15 Mins-Pbb,167.0,167.0,,,0 CDM,99172_PBB,Pr Visual Funct Scrng Auto Semi-Auto Bi Quan Determ-Pbb,252.0,252.0,,,0 CDM,99173_PBB,Pr Screening Test Visual Acuity Quantitative Bilat-Pbb,28.0,28.0,,,0 CDM,99174_PBB,Pr Instrument Based Ocular Scr Bi W/Rmt Anal & Rpt-Pbb,65.0,65.0,,,0 CDM,99201,Pr Office Outpatient New 10 Minutes,263.0,263.0,,,0 CDM,99201_PBB,Pr Office Outpatient New 10 Minutes-Pbb,263.0,263.0,,,0 CDM,99202,Pr Office/Outpatient New Sf Mdm 15 Minutes,241.5,241.5,,,0 CDM,992020500F,New Patient Initial Prenatal Visit 99202 & 0500F For Medicaid,326.0,326.0,,,0 CDM,992020500F_PBB,New Patient Initial Prenatal Visit 99202 & 0500F For Medicaid-Pbb,326.0,326.0,,,0 CDM,99202_PBB,Pr Office/Outpatient New Sf Mdm 15 Minutes-Pbb,326.0,326.0,,,0 CDM,99203,Pr Office/Outpatient New Low Mdm 30 Minutes,334.0,334.0,,,0 CDM,992030500F,New Patient Initial Prenatal Visit 99203 & 0500F For Medicaid,425.0,425.0,,,0 CDM,992030500F_PBB,New Patient Initial Prenatal Visit 99203 & 0500F For Medicaid-Pbb,425.0,425.0,,,0 CDM,99203_PBB,Pr Office/Outpatient New Low Mdm 30 Minutes-Pbb,425.0,425.0,,,0 CDM,99204,Pr Office/Outpatient New Moderate Mdm 45 Minutes,483.0,483.0,,,0 CDM,992040500F,New Patient Initial Prenatal Visit 99204 & 0500F For Medicaid,606.0,606.0,,,0 CDM,992040500F_PBB,New Patient Initial Prenatal Visit 99204 & 0500F For Medicaid-Pbb,606.0,606.0,,,0 CDM,99204_PBB,Pr Office/Outpatient New Moderate Mdm 45 Minutes-Pbb,606.0,606.0,,,0 CDM,99205,Pr Office/Outpatient New High Mdm 60 Minutes,646.0,646.0,,,0 CDM,992050500F,New Patient Initial Prenatal Visit 99205 & 0500F For Medicaid,820.0,820.0,,,0 CDM,992050500F_PBB,New Patient Initial Prenatal Visit 99205 & 0500F For Medicaid-Pbb,820.0,820.0,,,0 CDM,99205_PBB,Pr Office/Outpatient New High Mdm 60 Minutes-Pbb,820.0,820.0,,,0 CDM,99211,Pr Office/Outpatient Est Pt May Not Req Phys/Qhp,77.5,77.5,,,0 CDM,99211_PBB,Pr Office/Outpatient Est Pt May Not Req Phys/Qhp-Pbb,126.0,126.0,,,0 CDM,99212,Pr Office/Outpatient Established Sf Mdm 10 Min,141.5,141.5,,,0 CDM,992120500F,Estab Pt Initial Prenatal Visit 99212 & 0500F For Medicaid,200.0,200.0,,,0 CDM,992120500F_PBB,Estab Pt Initial Prenatal Visit 99212 & 0500F For Medicaid-Pbb,200.0,200.0,,,0 CDM,99212SUBOB,Estab Pt Subsequent Prenatal Visit 99212,200.0,200.0,,,0 CDM,99212SUBOB_PBB,Estab Pt Subsequent Prenatal Visit 99212-Pbb,200.0,200.0,,,0 CDM,99212_PBB,Pr Office/Outpatient Established Sf Mdm 10 Min-Pbb,200.0,200.0,,,0 CDM,99213,Pr Office/Outpatient Established Low Mdm 20 Min,187.5,187.5,,,0 CDM,992130500F,Estab Pt Initial Prenatal Visit 99213 & 0500F For Medicaid,254.0,254.0,,,0 CDM,992130500F_PBB,Estab Pt Initial Prenatal Visit 99213 & 0500F For Medicaid-Pbb,254.0,254.0,,,0 CDM,99213SUBOB,Estab Pt Subsequent Prenatal Visit 99213,254.0,254.0,,,0 CDM,99213SUBOB_PBB,Estab Pt Subsequent Prenatal Visit 99213-Pbb,254.0,254.0,,,0 CDM,99213_PBB,Pr Office/Outpatient Established Low Mdm 20 Min-Pbb,254.0,254.0,,,0 CDM,99214,Pr Office/Outpatient Established Mod Mdm 30 Min,283.5,283.5,,,0 CDM,992140500F,Estab Pt Initial Prenatal Visit 99214 & 0500F For Medicaid,370.0,370.0,,,0 CDM,992140500F_PBB,Estab Pt Initial Prenatal Visit 99214 & 0500F For Medicaid-Pbb,370.0,370.0,,,0 CDM,99214SUBOB,Estab Pt Subsequent Prenatal Visit 99214,370.0,370.0,,,0 CDM,99214SUBOB_PBB,Estab Pt Subsequent Prenatal Visit 99214-Pbb,370.0,370.0,,,0 CDM,99214_PBB,Pr Office/Outpatient Established Mod Mdm 30 Min-Pbb,370.0,370.0,,,0 CDM,99215,Pr Office/Outpatient Established High Mdm 40 Min,452.0,452.0,,,0 CDM,992150500F,Estab Pt Initial Prenatal Visit 99215 & 0500F For Medicaid,590.0,590.0,,,0 CDM,992150500F_PBB,Estab Pt Initial Prenatal Visit 99215 & 0500F For Medicaid-Pbb,590.0,590.0,,,0 CDM,99215SUBOB,Estab Pt Subsequent Prenatal Visit 99215,590.0,590.0,,,0 CDM,99215SUBOB_PBB,Estab Pt Subsequent Prenatal Visit 99215-Pbb,590.0,590.0,,,0 CDM,99215_PBB,Pr Office/Outpatient Established High Mdm 40 Min-Pbb,590.0,590.0,,,0 CDM,99217,Pr Observation Care Discharge Management,328.0,328.0,,,0 CDM,99217_PBB,Pr Observation Care Discharge Management-Pbb,328.0,328.0,,,0 CDM,99218,Pr Initial Observation Care/Day 30 Minutes,457.0,457.0,,,0 CDM,99218_PBB,Pr Initial Observation Care/Day 30 Minutes-Pbb,457.0,457.0,,,0 CDM,99219,Pr Initial Observation Care/Day 50 Minutes,612.0,612.0,,,0 CDM,99219_PBB,Pr Initial Observation Care/Day 50 Minutes-Pbb,612.0,612.0,,,0 CDM,99220,Pr Initial Observation Care/Day 70 Minutes,839.0,839.0,,,0 CDM,99220_PBB,Pr Initial Observation Care/Day 70 Minutes-Pbb,839.0,839.0,,,0 CDM,99221,Pr 1St Hospital Ip/Obs Care Sf/Low Mdm 40 Minutes,491.0,491.0,,,0 CDM,99221_PBB,Pr 1St Hospital Ip/Obs Care Sf/Low Mdm 40 Minutes-Pbb,491.0,491.0,,,0 CDM,99222,Pr 1St Hospital Ip/Obs Care Moderate Mdm 55 Minutes,662.0,662.0,,,0 CDM,99222_PBB,Pr 1St Hospital Ip/Obs Care Moderate Mdm 55 Minutes-Pbb,662.0,662.0,,,0 CDM,99223,Pr 1St Hospital Ip/Obs Care High Mdm 75 Minutes,969.0,969.0,,,0 CDM,99223_PBB,Pr 1St Hospital Ip/Obs Care High Mdm 75 Minutes-Pbb,969.0,969.0,,,0 CDM,99224,Pr Sbsq Observation Care/Day 15 Minutes,181.0,181.0,,,0 CDM,99224_PBB,Pr Sbsq Observation Care/Day 15 Minutes-Pbb,181.0,181.0,,,0 CDM,99225,Pr Sbsq Observation Care/Day 25 Minutes,327.0,327.0,,,0 CDM,99225_PBB,Pr Sbsq Observation Care/Day 25 Minutes-Pbb,327.0,327.0,,,0 CDM,99226,Pr Sbsq Observation Care/Day 35 Minutes,475.0,475.0,,,0 CDM,99226_PBB,Pr Sbsq Observation Care/Day 35 Minutes-Pbb,475.0,475.0,,,0 CDM,99231,Pr Sbsq Hospital Ip/Obs Care Sf/Low Mdm 25 Minutes,187.0,187.0,,,0 CDM,99231_PBB,Pr Sbsq Hospital Ip/Obs Care Sf/Low Mdm 25 Minutes-Pbb,187.0,187.0,,,0 CDM,99232,Pr Sbsq Hospital Ip/Obs Care Mod Mdm 35 Minutes,342.0,342.0,,,0 CDM,99233,Pr Sbsq Hospital Ip/Obs Care High Mdm 50 Minutes,493.0,493.0,,,0 CDM,99233_PBB,Pr Sbsq Hospital Ip/Obs Care High Mdm 50 Minutes-Pbb,493.0,493.0,,,0 CDM,99234,Pr Hospital Ip/Obs Care Same Date Sf/Low Mdm 45 Min,649.0,649.0,,,0 CDM,99234_PBB,Pr Hospital Ip/Obs Care Same Date Sf/Low Mdm 45 Min-Pbb,649.0,649.0,,,0 CDM,99235,Pr Hospital Ip/Obs Care Same Date Mod Mdm 70 Min,806.0,806.0,,,0 CDM,99235_PBB,Pr Hospital Ip/Obs Care Same Date Mod Mdm 70 Min-Pbb,806.0,806.0,,,0 CDM,99236,Pr Hospital Ip/Obs Care Same Date High Mdm 85 Min,1037.0,1037.0,,,0 CDM,99236_PBB,Pr Hospital Ip/Obs Care Same Date High Mdm 85 Min-Pbb,1037.0,1037.0,,,0 CDM,99238,Pr Hospital Ip/Obs Discharge Day Mgmt 30 Min/<,346.0,346.0,,,0 CDM,99238_PBB,Pr Hospital Ip/Obs Discharge Day Mgmt 30 Min/<-Pbb,346.0,346.0,,,0 CDM,99239,Pr Hospital Ip/Obs Discharge Day Mgmt > 30 Min,507.0,507.0,,,0 CDM,99239_PBB,Pr Hospital Ip/Obs Discharge Day Mgmt > 30 Min-Pbb,507.0,507.0,,,0 CDM,9923_55150017301,"Sumatriptan: 5 Vial, Single-Dose In 1 Carton (55150-173-01) / .5 Ml In 1 Vial, Single-Dose",73.7,73.7,,,0 CDM,9923_63323027301,"Sumatriptan Succinate: 1 Vial, Single-Dose In 1 Carton (63323-273-01) / .5 Ml In 1 Vial, Single-Dose",328.3,328.3,,,0 CDM,99241,Pr Office Consultation New/Estab Patient 15 Min,252.5,252.5,,,0 CDM,99241E,Pr Office Consultation Established 15 Min,385.0,385.0,,,0 CDM,99241E_PBB,Pr Office Consultation Established 15 Min-Pbb,385.0,385.0,,,0 CDM,99241N,Pr Office Consultation New Patient 15 Min,385.0,385.0,,,0 CDM,99241_PBB,Pr Office Consultation New/Estab Patient 15 Min-Pbb,385.0,385.0,,,0 CDM,99242,Pr Office/Op Consltj New/Est Pt Sf Mdm 20 Minutes,365.5,365.5,,,0 CDM,99242E,Pr Office Consultation Established Patient 20 Min,494.0,494.0,,,0 CDM,99242E_PBB,Pr Office Consultation Established Patient 20 Min-Pbb,494.0,494.0,,,0 CDM,99242N,Pr Office Consultation New Patient 20 Min,494.0,494.0,,,0 CDM,99242_PBB,Pr Office/Op Consltj New/Est Pt Sf Mdm 20 Minutes-Pbb,494.0,494.0,,,0 CDM,99243,Pr Office/Op Consltj New/Est Pt Low Mdm 30 Minutes,474.0,474.0,,,0 CDM,99243E,Pr Office Consultation Established Patient 30 Min,630.0,630.0,,,0 CDM,99243E_PBB,Pr Office Consultation Established Patient 30 Min-Pbb,630.0,630.0,,,0 CDM,99243N,Pr Office Consultation New Patient 30 Min,630.0,630.0,,,0 CDM,99243_PBB,Pr Office/Op Consltj New/Est Pt Low Mdm 30 Minutes-Pbb,630.0,630.0,,,0 CDM,99244,Pr Office/Op Consltj New/Est Pt Mod Mdm 40 Minutes,643.0,643.0,,,0 CDM,99244E,Pr Office Consultation Established Patient 40 Min,823.0,823.0,,,0 CDM,99244E_PBB,Pr Office Consultation Established Patient 40 Min-Pbb,823.0,823.0,,,0 CDM,99244N,Pr Office Consultation New Patient 40 Min,823.0,823.0,,,0 CDM,99244_PBB,Pr Office/Op Consltj New/Est Pt Mod Mdm 40 Minutes-Pbb,823.0,823.0,,,0 CDM,99245,Pr Office/Op Consltj New/Est Pt High Mdm 55 Minutes,830.0,830.0,,,0 CDM,99245E,Pr Office Consultation Established Patient 55 Min,1042.0,1042.0,,,0 CDM,99245E_PBB,Pr Office Consultation Established Patient 55 Min-Pbb,1042.0,1042.0,,,0 CDM,99245N,Pr Office Consultation New Patient 55 Min,1042.0,1042.0,,,0 CDM,99245_PBB,Pr Office/Op Consltj New/Est Pt High Mdm 55 Minutes-Pbb,1042.0,1042.0,,,0 CDM,99251,Pr Initl Inpatient Consult New/Estab Pt 20 Min,301.0,301.0,,,0 CDM,99251_PBB,Pr Initl Inpatient Consult New/Estab Pt 20 Min-Pbb,301.0,301.0,,,0 CDM,99252,Pr Ip/Obs Consltj New/Est Pt Sf Mdm 35 Minutes,462.0,462.0,,,0 CDM,99252_PBB,Pr Ip/Obs Consltj New/Est Pt Sf Mdm 35 Minutes-Pbb,462.0,462.0,,,0 CDM,99253,Pr Ip/Obs Consltj New/Est Pt Low Mdm 45 Minutes,701.0,701.0,,,0 CDM,99253_PBB,Pr Ip/Obs Consltj New/Est Pt Low Mdm 45 Minutes-Pbb,701.0,701.0,,,0 CDM,99254,Pr Ip/Obs Consltj New/Est Pt Mod Mdm 60 Minutes,1007.0,1007.0,,,0 CDM,99254_PBB,Pr Ip/Obs Consltj New/Est Pt Mod Mdm 60 Minutes-Pbb,1007.0,1007.0,,,0 CDM,99255,Pr Ip/Obs Consltj New/Est Pt High Mdm 80 Minutes,1199.0,1199.0,,,0 CDM,99255_PBB,Pr Ip/Obs Consltj New/Est Pt High Mdm 80 Minutes-Pbb,1199.0,1199.0,,,0 CDM,9928_55150030610,"Progesterone: 10 Ml In 1 Vial, Multi-Dose (55150-306-10)",59.0,59.0,,,0 CDM,9928_63323026110,"Progesterone: 1 Vial, Multi-Dose In 1 Carton (63323-261-10) / 10 Ml In 1 Vial, Multi-Dose",59.0,59.0,,,0 CDM,99291,Pr Critical Care Ill/Injured Patient Init 30-74 Min,1056.0,1056.0,,,0 CDM,99291_PBB,Pr Critical Care Ill/Injured Patient Init 30-74 Min-Pbb,1056.0,1056.0,,,0 CDM,99292,Pr Critical Care Ill/Injured Patient Addl 30 Min,524.0,524.0,,,0 CDM,99292_PBB,Pr Critical Care Ill/Injured Patient Addl 30 Min-Pbb,524.0,524.0,,,0 CDM,9931_00228212850,Clonidine Hydrochloride: 500 Tablet In 1 Bottle (0228-2128-50),6.0,6.0,,,0 CDM,9931_60687012401,"Clonidine Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-124-01) / 1 Tablet In 1 Blister Pack (60687-124-11)",6.0,6.0,,,0 CDM,9931_60687012411,NDC Description Not Available,5.82,5.82,,,0 CDM,9932_00378018401,"Propranolol Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0378-0184-01)",5.78,5.78,,,0 CDM,9932_60687060911,NDC Description Not Available,5.22,5.22,,,0 CDM,9933_53489014101,"Quinidine Gluconate: 100 Tablet, Extended Release In 1 Bottle, Plastic (53489-141-01)",44.95,44.95,,,0 CDM,99354_PBB,Pr Prolonged Svc Outpatient Setting 1St Hour,785.0,785.0,,,0 CDM,99355,Pr Prolonged Svc Outpatient Setting Ea Addl 30 Min,365.0,365.0,,,0 CDM,99356,Pr Prolonged Svc I/P Or Obs Setting 1St Hour,411.0,411.0,,,0 CDM,99358_PBB,Pr Prolng E/M Svc Before&/After Dir Pt Care 1St Hr-Pbb,580.0,580.0,,,0 CDM,99359_PBB,Pr Prolng E/M Before&/After Dir Care Ea 30 Minutes-Pbb,276.0,276.0,,,0 CDM,99381_PBB,Pr Initial Preventive Medicine New Patient <1Year-Pbb,398.0,398.0,,,0 CDM,99382_PBB,Pr Initial Preventive Medicine New Pt Age 1-4 Yrs-Pbb,431.0,431.0,,,0 CDM,99383_PBB,Pr Initial Preventive Medicine New Pt Age 5-11 Yrs-Pbb,460.0,460.0,,,0 CDM,99384_PBB,Pr Initial Preventive Medicine New Pt Age 12-17 Yr-Pbb,488.0,488.0,,,0 CDM,99385_PBB,Pr Initial Preventive Medicine New Pt Age 18-39Yrs-Pbb,661.0,661.0,,,0 CDM,99386_PBB,Pr Initial Preventive Medicine New Patient 40-64Yrs-Pbb,722.0,722.0,,,0 CDM,99387_PBB,Pr Initial Preventive Medicine New Patient 65Yrs&>-Pbb,814.0,814.0,,,0 CDM,99391_PBB,Pr Periodic Preventive Med Established Patient <1Y-Pbb,326.0,326.0,,,0 CDM,99392_PBB,Pr Periodic Preventive Med Est Patient 1-4Yrs-Pbb,346.0,346.0,,,0 CDM,99393_PBB,Pr Periodic Preventive Med Est Patient 5-11Yrs-Pbb,376.0,376.0,,,0 CDM,99394_PBB,Pr Periodic Preventive Med Est Patient 12-17Yrs-Pbb,406.0,406.0,,,0 CDM,99395_PBB,Pr Periodic Preventive Med Est Patient 18-39 Yrs-Pbb,551.0,551.0,,,0 CDM,99396_PBB,Pr Periodic Preventive Med Est Patient 40-64Yrs-Pbb,600.0,600.0,,,0 CDM,99397_PBB,Pr Periodic Preventive Med Est Patient 65Yrs& Older-Pbb,682.0,682.0,,,0 CDM,99401_PBB,Pr Prev Med Cnsl&/Rsk Fctr Rdctj Indv Approx 15 Min-Pbb,161.0,161.0,,,0 CDM,99402_PBB,Pr Prev Med Cnsl&/Rsk Fctr Rdctj Indv Approx 30 Min-Pbb,306.0,306.0,,,0 CDM,99403_PBB,Pr Prev Med Cnsl&/Rsk Fctr Rdctj Indv Approx 45 Min-Pbb,471.0,471.0,,,0 CDM,99404_PBB,Pr Prev Med Cnsl&/Rsk Fctr Rdctj Indv Approx 60 Min-Pbb,617.0,617.0,,,0 CDM,99406_PBB,Pr Tobacco Use Cessation Intermediate 3-10 Minutes-Pbb,90.0,90.0,,,0 CDM,99406_PBBTELMD,Pr Tobacco Use Cessation Intermediate 3-10 Minutes,98.0,98.0,,,0 CDM,99407_PBB,Pr Tobacco Use Cessation Intensive >10 Minutes-Pbb,130.0,130.0,,,0 CDM,99407_PBBTELMD,Pr Tobacco Use Cessation Intensive >10 Minutes,141.0,141.0,,,0 CDM,99411_PBB,Pr Prev Med Counsel & Risk Factor Redj Grp Spx 30 M-Pbb,171.0,171.0,,,0 CDM,99412_PBB,Pr Prev Med Counsel & Risk Factor Redj Grp Spx 60 M-Pbb,285.0,285.0,,,0 CDM,99417G2212,Cpt 99417/G2212 Prolonged Service 1 Unit,214.0,214.0,,,0 CDM,99421,Pr Online Digital E/M Svc Est Pt <7 D 5-10 Minutes,69.0,69.0,,,0 CDM,99421_PBB,Pr Online Digital E/M Svc Est Pt <7 D 5-10 Minutes-Pbb,69.0,69.0,,,0 CDM,99422,Pr Online Digital E/M Svc Est Pt <7 D 11-20 Minutes,141.0,141.0,,,0 CDM,99422_PBB,Pr Online Digital E/M Svc Est Pt <7 D 11-20 Minutes-Pbb,141.0,141.0,,,0 CDM,99423,Pr Online Digital E/M Svc Est Pt <7 D 21+ Minutes,227.0,227.0,,,0 CDM,99423_PBB,Pr Online Digital E/M Svc Est Pt <7 D 21+ Minutes-Pbb,227.0,227.0,,,0 CDM,99441,Pr Phys/Qhp Telephone Evaluation 5-10 Min,126.0,126.0,,,0 CDM,99441_PBB,Pr Phys/Qhp Telephone Evaluation 5-10 Min-Pbb,147.0,147.0,,,0 CDM,99442,Pr Phys/Qhp Telephone Evaluation 11-20 Min,210.0,210.0,,,0 CDM,99442_PBB,Pr Phys/Qhp Telephone Evaluation 11-20 Min-Pbb,242.0,242.0,,,0 CDM,99443,Pr Phys/Qhp Telephone Evaluation 21-30 Min,290.5,290.5,,,0 CDM,99443_PBB,Pr Phys/Qhp Telephone Evaluation 21-30 Min-Pbb,351.0,351.0,,,0 CDM,99456_PBB,Pr Work Related/Med Dblt Xm Oth/Thn Treating Phys-Pbb,1243.0,1243.0,,,0 CDM,99483_PBB,Pr Assmt & Care Planning Pt W/Cognitive Impairment-Pbb,676.0,676.0,,,0 CDM,99487_PBB,Pr Complex Chronic Care Mgmt Svc 1St 60 Min Cal Mo-Pbb,440.0,440.0,,,0 CDM,99489_PBB,Pr Cplx Chronic Care Mgmt Svc Ea Addl 30 Min Cal Mo-Pbb,383.0,383.0,,,0 CDM,99490_PBB,Pr Chronic Care Mgmt Svcs Staff 1St 20 Min Cal Mo-Pbb,58.0,58.0,,,0 CDM,99491_PBB,Pr Chronic Care Mgmt Svc Phys 1St 30 Min Cal Month-Pbb,138.0,138.0,,,0 CDM,99495_PBB,Pr Transj Care Mgmt Mod Mdm F2F 14 Cal D Discharge-Pbb,337.0,337.0,,,0 CDM,99495_PBBTELMD,Pr Transj Care Mgmt Mod Mdm F2F 14 Cal D Discharge,365.0,365.0,,,0 CDM,99496_PBB,Pr Transj Care Mgmt High Mdm F2F 7 Cal D Discharge-Pbb,454.0,454.0,,,0 CDM,99496_PBBTELMD,Pr Transj Care Mgmt High Mdm F2F 7 Cal D Discharge,493.0,493.0,,,0 CDM,99497_PBB,Pr Advance Care Planning First 30 Mins-Pbb,148.0,148.0,,,0 CDM,99498_PBB,Pr Advance Care Planning Ea Addl 30 Mins-Pbb,148.0,148.0,,,0 CDM,9955_47781057701,Methenamine Hippurate: 100 Tablet In 1 Bottle (47781-577-01),10.81,10.81,,,0 CDM,9955_60687069411,NDC Description Not Available,15.28,15.28,,,0 CDM,9955_65862078201,Methenamine Hippurate: 100 Tablet In 1 Bottle (65862-782-01),6.0,6.0,,,0 CDM,99900003,Noncdm Charge Record,176.43,176.43,,,0 CDM,99900010,Hc Cosmetic Cash Procedures No Show Fee,100.0,100.0,,,0 CDM,9996_00406324301,Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle (0406-3243-01),4.28,4.28,,,0 CDM,9996_42858030101,"Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-301-01)",4.15,4.15,,,0 CDM,9996_42858030125,Hydromorphone Hydrochloride: 4 Blister Pack In 1 Carton (42858-301-25) / 25 Tablet In 1 Blister Pack,4.88,4.88,,,0 CDM,9996_60687057911,NDC Description Not Available,4.69,4.69,,,0 CDM,C1726,Catheter Balln Dialtn Non Vasclr,384.3,384.3,,,0 CDM,C5275_PBB,Pr Low Cost Skin Substitute App-Pbb,8795.0,8795.0,,,0 CDM,C5276_PBB,Pr Low Cost Skin Substitute App-Pbb,4236.0,4236.0,,,0 CDM,C5277_PBB,Pr Low Cost Skin Substitute App-Pbb,8795.0,8795.0,,,0 CDM,C5278_PBB,Pr Low Cost Skin Substitute App-Pbb,4236.0,4236.0,,,0 CDM,C9738_PBB,Pr Blue Light Cysto Imag Agent-Pbb,1655.0,1655.0,,,0 CDM,G0101_PBB,"Cerv/Vag Canc Scrn,Pelv/Breast Exam-Pbb",174.0,174.0,,,0 CDM,G0104_GAST,Colorectal Screening Flex Sig-Gast,664.0,664.0,,,0 CDM,G0104_PBB,Colorectal Screening Flex Sig-Pbb,664.0,664.0,,,0 CDM,G0105_GAST,Colorectal Ca Screen Colonoscope-Gast,2939.0,2939.0,,,0 CDM,G0105_PBB,Colorectal Ca Screen Colonoscope-Pbb,2939.0,2939.0,,,0 CDM,G0121_GAST,Colorectal Ca Screen Avg-Risk-Gast,2939.0,2939.0,,,0 CDM,G0121_PBB,Colorectal Ca Screen Avg-Risk-Pbb,2939.0,2939.0,,,0 CDM,G0268_PBB,Pr Removal Of Impacted Wax Md-Pbb,385.0,385.0,,,0 CDM,G0296_PBB,Counseling Visit To Discuss Need For Lung Cancer Screening Using Low Dose Ct Scan (Ldct) (Svc For El,191.0,191.0,,,0 CDM,G0296_PBBTELMD,Pr Visit To Determ Ldct Elig,207.0,207.0,,,0 CDM,G0396,Pr Alcohol/Subs Interv 15-30Mn,12.0,12.0,,,0 CDM,G0402_PBB,Pr Initial Preventive Exam-Pbb,425.0,425.0,,,0 CDM,G0420,Pr Ed Svc Ckd Ind Per Session,597.0,597.0,,,0 CDM,G0420_PBB,Pr Ed Svc Ckd Ind Per Session-Pbb,597.0,597.0,,,0 CDM,G0421,Pr Ed Svc Ckd Grp Per Session,146.0,146.0,,,0 CDM,G0421_PBB,Pr Ed Svc Ckd Grp Per Session-Pbb,146.0,146.0,,,0 CDM,G0429_PBB,Pr Dermal Filler Injection(S)-Pbb,469.0,469.0,,,0 CDM,G0438_PBB,"Pr Ppps, Initial Visit-Pbb",426.0,426.0,,,0 CDM,G0439_PBB,"Pr Ppps, Subseq Visit-Pbb",254.0,254.0,,,0 CDM,G0442,Pr Annual Alcohol Screen 15 Min,11.0,11.0,,,0 CDM,G0444,Pr Depression Screen Annual,11.0,11.0,,,0 CDM,G0444_PBB,Pr Depression Screen Annual-Pbb,11.0,11.0,,,0 CDM,G0500_PBB,Pr Mod Sedat Endo Service >5Yrs-Pbb,234.0,234.0,,,0 CDM,G0506_PBB,Pr Comp Asses Care Plan Ccm Svc-Pbb,352.0,352.0,,,0 CDM,G2010,Pr Remot Image Submit By Pt,57.0,57.0,,,0 CDM,G2010_PBB,Pr Remot Image Submit By Pt-Pbb,57.0,57.0,,,0 CDM,G2211,Pr Complex E/M Visit Add On,103.0,103.0,,,0 CDM,G2211_PBB,Pr Complex E/M Visit Add On-Pbb,103.0,103.0,,,0 CDM,G9678,Pr Oncology Care Model Service,166.0,166.0,,,0 CDM,Q0091_PBB,Obtaining Screen Pap Smear-Pbb,206.0,206.0,,,0 CDM,Q0111_PBB,Wet Mounts/ W Preparations-Pbb,218.0,218.0,,,0 CDM,Q0112_PBB,Potassium Hydroxide Preps-Pbb,190.0,190.0,,,0 CDM,Q2035,"Pr Afluria Vacc, 3 Yrs & >, Im",69.0,69.0,,,0 CDM,S0199,Pr Med Abortion Inc All Ex Drug,3947.0,3947.0,,,0 CDM,S0199_PBB,Pr Med Abortion Inc All Ex Drug-Pbb,3947.0,3947.0,,,0 CDM,S0280,"Pr Medical Home, Initial Plan",208.0,208.0,,,0 CDM,S0281,"Pr Medical Home, Maintenance",416.0,416.0,,,0 CDM,S0281_OCMPBB,"Pr Medical Home, Maintenance-Ocm,Pbb",73.0,73.0,,,0 HCPCS,0001U,Rbc dna hea 35 ag 11 bld grp,,,720.0,7252.7,6 HCPCS,0002M,Liver dis 10 assays w/ash,,,503.4,5071.77,5 HCPCS,0002U,Onc clrct 3 ur metab alg plp,,,25.0,252.56,6 HCPCS,0003M,Liver dis 10 assays w/nash,,,503.4,5071.77,5 HCPCS,0003U,Onc ovar 5 prtn ser alg scor,,,950.0,9566.73,6 HCPCS,0004M,Scoliosis dna alys,,,79.0,795.24,5 HCPCS,0005U,Onco prst8 3 gene ur alg,,,760.0,7655.44,6 HCPCS,0006M,Onc hep gene risk classifier,,,150.0,1511.97,5 HCPCS,0007M,Onc gastro 51 gene nomogram,,,375.0,3778.23,5 HCPCS,0007U,Rx test prsmv ur w/def conf,,,114.43,1153.61,6 HCPCS,0008U,Hpylori detcj abx rstnc dna,,,597.91,6020.59,6 HCPCS,0009U,Onc brst ca erbb2 amp/nonamp,,,107.0,1078.52,6 HCPCS,0010U,Nfct ds strn typ whl gen seq,,,427.26,4303.84,6 HCPCS,0011M,Onc prst8 ca mrna 12 gen alg,,,760.0,7655.44,6 HCPCS,0011U,Rx mntr lc-ms/ms oral fluid,,,114.43,1153.61,6 HCPCS,0012M,Onc mrna 5 gen rsk urthl ca,,,760.0,7655.44,6 HCPCS,0013M,Onc mrna 5 gen recr urthl ca,,,760.0,7655.44,6 HCPCS,0015M,Adrnl cortcl tum bchm asy 25,,,1305.37,13147.01,6 HCPCS,0016M,Onc bladder mrna 209 gen alg,,,3489.63,35147.42,6 HCPCS,0016U,Onc hmtlmf neo rna bcr/abl1,,,163.96,1651.91,6 HCPCS,0017M,Onc dlbcl mrna 20 genes alg,,,2510.21,25283.76,6 HCPCS,0017U,Onc hmtlmf neo jak2 mut dna,,,91.66,921.52,6 HCPCS,0018M,Trnsplj rnl meas cd154+cll,,,640.73,6454.05,6 HCPCS,0018U,Onc thyr 10 microrna seq alg,,,3002.09,30236.07,6 HCPCS,0019M,Cv ds plasma alys prtn bmrk,,,712.4,2493.4,4 HCPCS,0019U,Onc rna tiss predict alg,,,3675.0,37014.35,6 HCPCS,0021U,Onc prst8 detcj 8 autoantb,,,760.0,7655.44,6 HCPCS,0022U,Trgt gen seq dna&rna 23 gene,,,373.82,6825.0,6 HCPCS,0023U,Onc aml dna detcj/nondetcj,,,248.51,2501.75,6 HCPCS,0024U,Glyca nuc mr spectrsc quan,,,34.19,344.72,6 HCPCS,0025U,Tenofovir liq chrom ur quan,,,114.43,863.5,6 HCPCS,0026U,Onc thyr dna&mrna 112 genes,,,3600.0,36256.66,6 HCPCS,0027U,"Hc Jak2 Exon 12 Mutation Detection, B",937.0,937.0,,,0 HCPCS,0027U,"Hc Jak2 Exon 12 Mutation Detection, Bm",937.0,937.0,,,0 HCPCS,0027U,Jak2 gene trgt seq alys,,,121.91,1228.69,6 HCPCS,0029U,Rx metab advrs trgt seq alys,,,742.27,7474.54,6 HCPCS,0030U,Rx metab warf trgt seq alys,,,134.13,1351.56,6 HCPCS,0031U,Cyp1a2 gene,,,174.81,1761.13,6 HCPCS,0032U,Comt gene,,,174.81,1761.13,6 HCPCS,0033U,Htr2a htr2c genes,,,802.73,3522.25,3 HCPCS,0034U,Tpmt nudt15 genes,,,466.17,4696.33,6 HCPCS,0035U,Neuro csf prion prtn qual,,,540.99,5447.2,6 HCPCS,0036U,Xome tum & nml spec seq alys,,,4780.0,48144.26,6 HCPCS,0037U,Trgt gen seq dna 324 genes,,,3500.0,35249.82,6 HCPCS,0038U,Vitamin d srm microsamp quan,,,29.6,296.93,6 HCPCS,0039U,Dna antb 2strand hi avidity,,,13.74,139.93,6 HCPCS,0040U,Bcr/abl1 gene major bp quan,,,409.9,4129.77,6 HCPCS,0041U,B brgdrferi antb 5 prtn igm,,,17.21,174.06,6 HCPCS,0042T,"Hc Cerebral Perfusion, Ct, W/Contrast",933.0,933.0,,,0 HCPCS,0042U,B brgdrferi antb 12 prtn igg,,,17.21,174.06,6 HCPCS,0043U,Tbrf b grp antb 4 prtn igm,,,14.86,150.17,6 HCPCS,0044U,Tbrf b grp antb 4 prtn igg,,,14.86,150.17,6 HCPCS,0045U,Onc brst dux carc is 12 gene,,,3873.0,39007.57,6 HCPCS,0046U,Flt3 gene itd variants quan,,,407.43,4102.47,6 HCPCS,0047U,Onc prst8 mrna 17 gene alg,,,3873.0,39007.57,6 HCPCS,0048U,Onc sld org neo dna 468 gene,,,2919.6,29406.7,6 HCPCS,0049U,Npm1 gene analysis quan,,,407.43,4102.47,6 HCPCS,0050U,Trgt gen seq dna 194 genes,,,2916.6,29375.98,6 HCPCS,0051U,Rx mntr lc-ms/ms ur 31 pnl,,,246.92,1952.26,6 HCPCS,0052U,Lpoprtn bld w/5 maj classes,,,33.86,341.3,6 HCPCS,0054T,Bone srgry cmptr fluor image,,,3399.0,3399.0,1 HCPCS,0054U,Rx mntr 14+ drugs & sbsts,,,198.74,1501.73,6 HCPCS,0055T,Bone srgry cmptr ct/mri imag,,,3399.0,3399.0,1 HCPCS,0055U,Card hrt trnspl 96 dna seq,,,3240.0,32632.02,6 HCPCS,0058U,Onc merkel cll carc srm quan,,,322.96,3252.62,6 HCPCS,0059U,Onc merkel cll carc srm +/-,,,322.96,3252.62,6 HCPCS,0060U,Twn zyg gen seq alys chrms2,,,759.05,7645.2,6 HCPCS,0061U,Tc meas 5 bmrk sfdi m-s alys,,,25.1,252.56,6 HCPCS,0062U,Ai sle igg&igm alys 80 bmrk,,,380.72,3832.84,6 HCPCS,0063U,Neuro autism 32 amines alg,,,750.0,7553.04,6 HCPCS,0064U,Antb tp total&rpr ia qual,,,31.33,314.0,6 HCPCS,0065U,Syfls tst nontreponemal antb,,,18.09,180.89,6 HCPCS,0067U,Onc brst imhchem prfl 4 bmrk,,,1897.0,19106.16,6 HCPCS,0068U,Candida species pnl amp prb,,,142.63,1436.89,6 HCPCS,0069U,Onc clrct microrna mir-31-3p,,,380.0,3826.01,6 HCPCS,0070U,Cyp2d6 gen com&slct rar vrnt,,,676.37,6812.42,6 HCPCS,0071T,Us leiomyomata ablate <200,,,3468.96,11000.0,4 HCPCS,0071U,Cyp2d6 full gene sequence,,,600.0,6044.48,6 HCPCS,0072T,Us leiomyomata ablate >200,,,3468.96,11000.0,4 HCPCS,0072U,Cyp2d6 gen cyp2d6-2d7 hybrid,,,450.91,4542.75,6 HCPCS,0073U,Cyp2d6 gen cyp2d7-2d6 hybrid,,,450.91,4542.75,6 HCPCS,0074U,Cyp2d6 nonduplicated gene,,,450.91,4542.75,6 HCPCS,0075T,Perq Stent/Chest Vert Art,,,10008.0,10008.0,1 HCPCS,0075U,Cyp2d6 5' gene dup/mlt,,,450.91,4542.75,6 HCPCS,0076T,S&I Stent/Chest Vert Art,,,10008.0,10008.0,1 HCPCS,0076U,Cyp2d6 3' gene dup/mlt,,,450.91,4542.75,6 HCPCS,0077U,Hc Ig Paraprotein Qual Bld/Ur,312.0,312.0,,,0 HCPCS,0077U,"Hc Quantitative M-Protein Study, S Immunoprecip And Mass Spec",314.0,314.0,,,0 HCPCS,0077U,Ig paraprotein qual bld/ur,,,43.43,436.87,6 HCPCS,0078U,Pain mgt opi use gnotyp pnl,,,4542.75,4542.75,1 HCPCS,0080U,Onc lng 5 clin rsk factr alg,,,3520.0,35451.18,6 HCPCS,0082U,Rx test def 90+ rx/sbsts ur,,,246.92,2488.1,6 HCPCS,0083U,Onc rspse chemo cntrst tomog,,,167.35,1686.04,6 HCPCS,0084U,Rbc dna gnotyp 10 bld groups,,,720.0,7252.7,6 HCPCS,0086U,Nfct ds bact&fng org id 6+,,,200.0,2013.69,6 HCPCS,0087U,Crd hrt trnspl mrna 1283 gen,,,3159.42,31819.72,6 HCPCS,0088U,Trnsplj kdn algrft rej 1494,,,3159.42,31819.72,6 HCPCS,0089U,Onc mlnma prame & linc00518,,,760.0,7655.44,6 HCPCS,0090U,Onc cutan mlnma mrna 23 gene,,,1950.0,17676.1,6 HCPCS,0092U,Onc lng 3 prtn bmrk plsm alg,,,2488.0,25058.5,6 HCPCS,0093U,Rx mntr 65 com drugs urine,,,62.14,624.59,6 HCPCS,0094U,Genome rapid sequence alys,,,7582.2,76366.64,6 HCPCS,0095U,Inflm ee elisa alys alg,,,771.98,7774.89,6 HCPCS,0096U,Hpv hi risk types male urine,,,35.09,354.96,6 HCPCS,0100T,Prosth Retina Receive&Gen,,,78953.0,78953.0,1 HCPCS,0101T,Extracorp shockwv tx hi enrg,,,264.33,14227.0,4 HCPCS,0101U,Hered colon ca do 15 genes,,,1743.95,17563.47,6 HCPCS,0102T,Extracorp shockwv tx anesth,,,3506.34,14227.0,4 HCPCS,0102U,Hered brst ca rltd do 17 gen,,,1303.95,13133.36,6 HCPCS,0103U,Hered ova ca pnl 24 genes,,,1743.95,17563.47,6 HCPCS,0105U,Neph ckd mult eclia tum nec,,,950.0,9566.73,6 HCPCS,0106T,Touch Quant Sensory Test,,,40.03,58.04,3 HCPCS,0106U,Gstr emptg 7 timed brth spec,,,874.49,8809.04,6 HCPCS,0107T,Vibrate Quant Sensory Test,,,40.03,58.04,3 HCPCS,0107U,C diff tox ag detcj ia stool,,,16.0,160.41,6 HCPCS,0108T,Cool Quant Sensory Test,,,63.22,91.66,3 HCPCS,0108U,Gi barrett esoph 9 prtn bmrk,,,4950.0,49854.19,6 HCPCS,0109T,Heat Quant Sensory Test,,,40.03,58.04,3 HCPCS,0109U,Id aspergillus dna 4 species,,,142.63,1436.89,6 HCPCS,0110T,Nos Quant Sensory Test,,,142.58,206.74,3 HCPCS,0110U,Rx mntr 1+oral onc rx&sbsts,,,27.11,273.04,6 HCPCS,0111U,Onc colon ca kras&nras alys,,,682.29,6870.44,6 HCPCS,0112U,Iadi 16s&18s rrna genes,,,356.13,3587.1,6 HCPCS,0113U,Onc prst8 pca3&tmprss2-erg,,,760.0,7655.44,6 HCPCS,0114U,Gi barretts esoph vim&ccna1,,,1938.01,19519.14,6 HCPCS,0115U,Respir iadna 18 viral&2 bact,,,275.35,2774.8,6 HCPCS,0116U,Rx mntr nzm ia 35+oral flu,,,246.92,2488.1,6 HCPCS,0117U,Pain mgmt 11 endogenous anal,,,840.65,8467.74,6 HCPCS,0118U,Trnsplj don-drv cll-fr dna,,,2753.25,27730.9,6 HCPCS,0119U,Crd ceramides liq chrom plsm,,,83.76,843.02,6 HCPCS,0120U,Onc b cll lymphm mrna 58 gen,,,2510.21,25283.76,6 HCPCS,0121U,Sc dis vcam-1 whole blood,,,509.2,5129.79,6 HCPCS,0122U,Sc dis p-selectin whl blood,,,526.23,5300.44,6 HCPCS,0123U,Mchnl fragility rbc prflg,,,357.63,3600.75,6 HCPCS,0129U,Hered brst ca rltd do panel,,,1303.95,13133.36,6 HCPCS,0130U,Hered colon ca do mrna pnl,,,584.9,5890.9,6 HCPCS,0131U,Hered brst ca rltd do pnl 13,,,1630.16,7150.31,3 HCPCS,0132U,Hered ova ca rltd do pnl 17,,,1702.79,7471.13,3 HCPCS,0133U,Hered prst8 ca rltd do 11,,,690.29,6952.35,6 HCPCS,0134U,Hered pan ca mrna pnl 18 gen,,,748.39,7535.98,6 HCPCS,0135U,Hered gyn ca mrna pnl 12 gen,,,1608.49,7054.74,3 HCPCS,0136U,Atm mrna seq alys,,,407.43,4102.47,6 HCPCS,0137U,Palb2 mrna seq alys,,,282.88,2849.88,6 HCPCS,0138U,Brca1 brca2 mrna seq alys,,,468.33,4716.81,6 HCPCS,0140U,Nfct ds fungi dna 15 trgt,,,156.75,1580.23,6 HCPCS,0141U,Nfct ds bact&fng gram pos,,,156.75,1580.23,6 HCPCS,0142U,Nfct ds bact&fng gram neg,,,156.75,1580.23,6 HCPCS,0152U,Nfct bct fng prst dna >1000,,,2126.2,21413.38,6 HCPCS,0153U,Onc breast mrna 101 genes,,,3159.42,31819.72,6 HCPCS,0154U,Fgfr3 gene analysis,,,482.14,4856.75,6 HCPCS,0155U,Pik3ca gene analysis,,,274.83,2767.97,6 HCPCS,0156U,Copy number sequence alys,,,1740.0,17525.93,6 HCPCS,0157U,Apc mrna seq alys,,,282.88,2849.88,6 HCPCS,0158U,Mlh1 mrna seq alys,,,282.88,2849.88,6 HCPCS,0159U,Msh2 mrna seq alys,,,282.88,2849.88,6 HCPCS,0160U,Msh6 mrna seq alys,,,282.88,2849.88,6 HCPCS,0161U,Pms2 mrna seq alys,,,282.88,2849.88,6 HCPCS,0162U,Hered colon ca trgt mrna pnl,,,486.54,4901.12,6 HCPCS,0163U,Onc clrct scr 3 prtn alg,,,897.18,3935.23,3 HCPCS,0164T,Remove Lumb Artif Disc Addl,,,3399.0,3399.0,1 HCPCS,0164U,Gi ibs ia anti-cdtb&vinculin,,,112.02,1129.71,6 HCPCS,0165T,Revise Lumb Artif Disc Addl,,,3399.0,3399.0,1 HCPCS,0165U,Peanut allg spec asmt 64 epi,,,122.29,4672.44,7 HCPCS,0166U,Liver ds 10 biochem asy srm,,,503.4,5071.77,6 HCPCS,0167U,Chornc gonadotropin hcg ia,,,75.09,106.6,2 HCPCS,0169U,Nudt15&tpmt gene com vrnt,,,466.17,4696.33,6 HCPCS,0170U,Neuro asd rna next gen seq,,,1950.0,17676.1,6 HCPCS,0171U,Trgt gen seq alys pnl dna 23,,,1519.06,15300.63,6 HCPCS,0172U,Onc sld tum alys brca1 brca2,,,3030.0,30515.94,6 HCPCS,0173U,Psyc gen alys panel 14 genes,,,466.17,4696.33,6 HCPCS,0174U,Onc solid tumor 30 prtn trgt,,,1305.37,13147.01,6 HCPCS,0175U,Psyc gen alys panel 15 genes,,,1336.09,13457.59,6 HCPCS,0176U,Cdtb&vinculin igg antb ia,,,64.19,645.06,6 HCPCS,0177U,Onc brst ca dna pik3ca 11,,,274.83,2767.97,6 HCPCS,0178U,Peanut allg asmt epi clin rx,,,459.86,4631.49,6 HCPCS,0179U,Onc nonsm cll lng ca alys 23,,,1943.21,19570.34,6 HCPCS,0180U,Abo gnotyp abo 7 exons,,,274.83,2767.97,6 HCPCS,0181U,Co gnotyp aqp1 exon 1,,,185.2,1866.93,6 HCPCS,0182U,Crom gnotyp cd55 exons 1-10,,,301.35,3034.19,6 HCPCS,0183U,Di gnotyp slc4a1 exon 19,,,185.2,1866.93,6 HCPCS,0184T,Exc rectal tumor endoscopic,,,6505.69,14227.0,4 HCPCS,0184U,Do gnotyp art4 exon 2,,,185.2,1866.93,6 HCPCS,0185U,Fut1 gnotyp fut1 exon 4,,,185.2,1866.93,6 HCPCS,0186U,Fut2 gnotyp fut2 exon 2,,,185.2,1866.93,6 HCPCS,0187U,Fy gnotyp ackr1 exons 1-2,,,274.83,2767.97,6 HCPCS,0188U,Ge gnotyp gypc exons 1-4,,,274.83,2767.97,6 HCPCS,0189U,Gypa gnotyp ntrns 1 5 exon 2,,,274.83,2767.97,6 HCPCS,0190U,Gypb gnotyp ntrns 1 5 seux 3,,,274.83,2767.97,6 HCPCS,0191U,In gnotyp cd44 exons 2 3 6,,,274.83,2767.97,6 HCPCS,0192U,Jk gnotyp slc14a1 exon 9,,,274.83,2767.97,6 HCPCS,0193U,Jr gnotyp abcg2 exons 2-26,,,282.88,2849.88,6 HCPCS,0194U,Kel gnotyp kel exon 8,,,185.2,1866.93,6 HCPCS,0195U,Klf1 targeted sequencing,,,375.25,3778.23,6 HCPCS,0196U,Lu gnotyp bcam exon 3,,,185.2,1866.93,6 HCPCS,0197U,Lw gnotyp icam4 exon 1,,,185.2,1866.93,6 HCPCS,0198T,Ocular blood flow measure,,,142.58,206.74,3 HCPCS,0198U,Rhd&rhce gntyp rhd1-10&rhce5,,,282.88,2849.88,6 HCPCS,0199U,Sc gnotyp ermap exons 4 12,,,274.83,2767.97,6 HCPCS,0200T,Hc Percutaneous Sacral Augmentation Unil Inj,11189.0,11189.0,,,0 HCPCS,0200T,Perq sacral augmt unilat inj,,,7775.89,14227.0,4 HCPCS,0200U,Xk gnotyp xk exons 1-3,,,274.83,2767.97,6 HCPCS,0201T,Hc Pr Perq Sac Agmntj Bi W/Wo Balo/Mchnl Dev 2/> Ndls,50662.0,50662.0,,,0 HCPCS,0201T,Perq sacral augmt bilat inj,,,7775.89,14227.0,4 HCPCS,0201U,Yt gnotyp ache exon 2,,,185.2,1866.93,6 HCPCS,0202T,Post vert arthrplst 1 lumbar,,,13758.17,24760.0,4 HCPCS,0202U,Hc Respiratory Panel Dna Or Rna 22 Targets Including Coronavirus 2 (Sars-Cov-2),4099.0,4099.0,,,0 HCPCS,0202U,"Hc Respiratory Panel, Pcr, V",1375.0,1375.0,,,0 HCPCS,0202U,Nfct ds 22 trgt sars-cov-2,,,416.78,1458.73,5 HCPCS,0203U,Ai ibd mrna xprsn prfl 17,,,760.0,7655.44,6 HCPCS,0204U,Onc thyr mrna xprsn alys 593,,,29406.7,29406.7,1 HCPCS,0205U,Oph amd alys 3 gene variants,,,47.0,474.41,6 HCPCS,0206U,Neuro alzheimer cell aggregj,,,2215.4,22314.42,6 HCPCS,0207T,Clear eyelid gland w/heat,,,142.58,3399.0,4 HCPCS,0207U,Neuro alzheimer quan imaging,,,1173.7,5150.27,3 HCPCS,0208T,Audiometry air only,,,40.03,58.04,3 HCPCS,0209T,Audiometry air & bone,,,40.03,58.04,3 HCPCS,0209U,Cytog const alys interrog,,,787.15,7928.48,6 HCPCS,0210T,Speech audiometry threshold,,,40.03,58.04,3 HCPCS,0210U,Syphilis tst antb ia quan,,,18.63,187.72,6 HCPCS,0211T,Speech audiom thresh & recog,,,40.03,58.04,3 HCPCS,0211U,Onc pan-tum dna&rna gnrj seq,,,8455.0,85155.2,6 HCPCS,0212T,Compre audiometry evaluation,,,137.89,199.94,3 HCPCS,0212U,Rare ds gen dna alys proband,,,5475.2,55144.39,6 HCPCS,0213T,"Hc Inj, Diag Or Thrptc Agent, Paravert Facet W/ Ultrsound Guide, Cervical Or Thor, Single Level",5485.0,5485.0,,,0 HCPCS,0213T,Njx paravert w/us cer/thor,,,947.82,5007.0,4 HCPCS,0213U,Rare ds gen dna alys ea comp,,,2709.95,27294.03,6 HCPCS,0214T,"Hc Inj, Diag Or Thrptc Agent, Paravert Facet W/ Ultrsound Guide, Cervical Or Thor, 2Nd Level",3278.0,3278.0,,,0 HCPCS,0214T,Njx paravert w/us cer/thor,,,3399.0,3399.0,1 HCPCS,0214U,Rare ds xom dna alys proband,,,5224.6,52622.16,6 HCPCS,0215T,"Hc Inj, Diag Or Thrptc Agent, Paravert Facet W/ Ultrsound Guide, Cervical Or Thor, Third Level",3277.0,3277.0,,,0 HCPCS,0215T,Njx paravert w/us cer/thor,,,3399.0,3399.0,1 HCPCS,0215U,Rare ds xom dna alys ea comp,,,2574.65,25932.23,6 HCPCS,0216T,"Hc Inj, Diag Or Thrptc Agent, Paravert Facet W/ Ultrsound Guide, Lumbar Or Sacral, Single Level",3608.0,3608.0,,,0 HCPCS,0216T,Njx paravert w/us lumb/sac,,,947.82,5007.0,4 HCPCS,0216U,Neuro inh ataxia dna 12 com,,,1537.02,15481.52,6 HCPCS,0217T,"Hc Inj, Diag Or Thrptc Agent, Paravert Facet W/ Ultrsound Guide, Lumbar Or Sacral, 2Nd Level",3265.0,3265.0,,,0 HCPCS,0217T,Njx paravert w/us lumb/sac,,,3399.0,3399.0,1 HCPCS,0217U,Neuro inh ataxia dna 51 gene,,,2198.35,22140.35,6 HCPCS,0218T,"Hc Inj, Diag Or Thrptc Agent, Paravert Facet W/ Ultrsound Guide, Lumbar Or Sacral, Third Level",2687.0,2687.0,,,0 HCPCS,0218T,Njx paravert w/us lumb/sac,,,3399.0,3399.0,1 HCPCS,0218U,Neuro musc dys dmd seq alys,,,2279.0,22952.65,6 HCPCS,0219T,Plmt post facet implt cerv,,,13758.17,24760.0,4 HCPCS,0219U,"Hc Hiv-1 Genotypic Drug Resistance, P",880.0,880.0,,,0 HCPCS,0219U,Nfct agt hiv gnrj seq alys,,,725.0,7300.48,6 HCPCS,0220T,Plmt post facet implt thor,,,13758.17,24760.0,4 HCPCS,0220U,Onc brst ca ai assmt 12 feat,,,706.25,7112.76,6 HCPCS,0221T,Plmt post facet implt lumb,,,7775.89,14227.0,4 HCPCS,0221U,Abo gnotyp next gnrj seq abo,,,274.83,2767.97,6 HCPCS,0222T,Plmt post facet implt addl,,,3399.0,3399.0,1 HCPCS,0222U,Rhd&rhce gntyp next gnrj seq,,,282.88,2849.88,6 HCPCS,0223U,Nfct ds 22 trgt sars-cov-2,,,416.78,1458.17,5 HCPCS,0224U,Antibody sars-cov-2 titer(s),,,51.43,147.77,5 HCPCS,0225U,Nfct ds dna&rna 21 sarscov2,,,416.78,1458.17,5 HCPCS,0226U,Svnt sarscov2 elisa plsm srm,,,42.28,147.77,5 HCPCS,0227U,Rx asy prsmv 30+rx/metablt,,,62.14,624.59,6 HCPCS,0228U,Onc prst8 ma molec prfl alg,,,173.03,1744.06,6 HCPCS,0229U,Bcat1 promoter mthyltn alys,,,384.0,3866.97,6 HCPCS,0230U,Ar full sequence analysis,,,301.35,3034.19,6 HCPCS,0231U,Cacna1a full gene analysis,,,846.27,8522.35,6 HCPCS,0232T,"Hc Inj, Platelet Rich Plasma, Any Site, Incl Imaging Guide, Harvesting And Prep When Perf",552.0,552.0,,,0 HCPCS,0232T,"Hc Inj, Platelet Rich Plasma, Any Site, Incl Imaging Guide, Harvesting And Prep When Perf-Pbb",1140.5,1140.5,,,0 HCPCS,0232T,Njx platelet plasma,,,478.72,3399.0,4 HCPCS,0232T,Pr Njx Pltlt Plasma W/Img Harvest/Preparation-Pbb,1177.0,1177.0,,,0 HCPCS,0232U,Cstb full gene analysis,,,274.83,2767.97,6 HCPCS,0233U,Fxn gene analysis,,,274.83,2767.97,6 HCPCS,0234T,"Hc Transluminal Peripheral Atherectomy, Open Or Percutaneous, Including S&I, Renal Artery",31922.0,31922.0,,,0 HCPCS,0234T,Trluml perip athrc renal art,,,12370.97,36418.0,4 HCPCS,0234U,Mecp2 full gene analysis,,,527.87,5317.51,6 HCPCS,0235T,"Hc Transluminal Peripheral Atherectomy, Open Or Perc, Incl S&I, Visceral Artery, Each Vessel",31922.0,31922.0,,,0 HCPCS,0235T,Trluml perip athrc visceral,,,10008.0,10008.0,1 HCPCS,0235U,Pten full gene analysis,,,600.0,6044.48,6 HCPCS,0236T,"Hc Transluminal Peripheral Atherectomy, Open Or Percutaneous, Including S&I, Abdominal Aorta",31922.0,31922.0,,,0 HCPCS,0236T,Trluml perip athrc abd aorta,,,12370.97,36418.0,4 HCPCS,0236U,Smn1&smn2 full gene analysis,,,602.7,6071.79,6 HCPCS,0237T,"Hc Translumnl Peripherl Atherectmy Open Or Perc, Incl S&I, Brachiocephlc Trunk And Branches,Ea Vessl",32785.0,32785.0,,,0 HCPCS,0237T,Trluml perip athrc brchiocph,,,12370.97,36418.0,4 HCPCS,0237U,Car ion chnlpthy gen seq pnl,,,584.9,5890.9,6 HCPCS,0238T,"Hc Transluminal Peripheral Atherectomy, Open Or Perc, Incl S&I, Iliac Artery, Each Vessel",31922.0,31922.0,,,0 HCPCS,0238T,Trluml perip athrc iliac art,,,19644.52,36418.0,4 HCPCS,0238U,Onc lnch syn gen dna seq aly,,,584.9,5890.9,6 HCPCS,0239U,Trgt gen seq alys pnl 311+,,,3500.0,35249.82,6 HCPCS,0240U,Nfct ds vir resp rna 3 trgt,,,499.49,499.49,1 HCPCS,0241U,Hc Coronavirus 2 Sars Cov2 Influenza A Influenza B Rsv,968.0,968.0,,,0 HCPCS,0241U,Hc Coronavirus 2 Sars Cov2 Influenza A Influenza B Rsv Poc,471.0,471.0,,,0 HCPCS,0241U,Nfct ds vir resp rna 4 trgt,,,499.49,499.49,1 HCPCS,0242U,Trgt gen seq alys pnl 55-74,,,5000.0,50359.32,6 HCPCS,0243U,Ob pe biochem assay pgf alg,,,64.41,648.48,6 HCPCS,0244U,Onc solid orgn dna 257 genes,,,3500.0,35249.82,6 HCPCS,0245U,Onc thyr mut alys 10 gen&37,,,1266.07,8023.76,6 HCPCS,0246U,Rbc dna gnotyp 16 bld groups,,,720.0,7252.7,6 HCPCS,0247U,Ob prtrm brth ibp4 shbg meas,,,750.0,7553.04,6 HCPCS,0248U,Onc brn sphrd cll 12 rx pnl,,,3033.86,30556.89,6 HCPCS,0249U,Onc brst alys 32 phsprtn alg,,,2219.13,22351.96,6 HCPCS,0250U,Onc sld org neo dna 505 gene,,,2919.6,29406.7,6 HCPCS,0251U,Hepcidin-25 elisa serum/plsm,,,17.27,174.06,6 HCPCS,0252U,Ftl aneuploidy str alys dna,,,759.05,7645.2,6 HCPCS,0253T,Insert aqueous drain device,,,4429.45,22280.0,4 HCPCS,0253U,Rprdtve med rna gen prfl 238,,,3159.42,31819.72,6 HCPCS,0254U,Reprdtve med alys 24 chrmsm,,,759.05,7645.2,6 HCPCS,0255U,Andrology infertility assmt,,,31.6,317.41,6 HCPCS,0256U,Tma/tmao prfl ms/ms ur alg,,,159.95,1610.95,6 HCPCS,0257U,Vlcad leuk nzm actv whl bld,,,712.47,7174.2,6 HCPCS,0258U,Ai psor mrna 50-100 gen alg,,,3675.0,37014.35,6 HCPCS,0259U,Neph ckd nuc mrs meas gfr,,,52.71,532.43,6 HCPCS,0260U,Rare ds id opt genome mapg,,,1263.53,12727.2,6 HCPCS,0261U,Onc clrct ca img alys w/ai,,,2513.25,49854.19,6 HCPCS,0262U,Onc sld tum rt-pcr 7 gen,,,3200.0,32229.28,6 HCPCS,0263T,Im b1 mrw cel ther cmpl,,,4667.44,22280.0,4 HCPCS,0263U,Neuro asd meas 16 c metblt,,,750.0,7553.04,6 HCPCS,0264T,Im b1 mrw cel ther xcl hrvst,,,4667.44,22280.0,4 HCPCS,0264U,Rare ds id opt genome mapg,,,1263.53,12727.2,6 HCPCS,0265T,Im b1 mrw cel ther hrvst onl,,,4667.44,22280.0,4 HCPCS,0265U,Rar do whl gn&mtcdrl dna als,,,5475.8,55151.22,6 HCPCS,0266T,Implt/rpl crtd sns dev total,,,73109.0,73109.0,1 HCPCS,0266U,Unxpl cnst hrtbl do gn xprsn,,,3200.0,32229.28,6 HCPCS,0267T,Implt/rpl crtd sns dev lead,,,14227.0,14227.0,1 HCPCS,0267U,Rare do id opt gen mapg&seq,,,6739.33,67878.42,6 HCPCS,0268T,"Hc Implant/Replace Carotid Sinus Baro Activation Device, Pulse Gen",58304.0,58304.0,,,0 HCPCS,0268T,Implt/rpl crtd sns dev gen,,,73109.0,73109.0,1 HCPCS,0268U,Hem ahus gen seq alys 15 gen,,,608.17,6126.4,6 HCPCS,0269T,Rev/remvl crtd sns dev total,,,24760.0,24760.0,1 HCPCS,0269U,Hem aut dm cgen trmbctpna 14,,,608.17,6126.4,6 HCPCS,0270T,Rev/remvl crtd sns dev lead,,,14227.0,14227.0,1 HCPCS,0270U,Hem cgen coagj do 20 genes,,,608.17,6126.4,6 HCPCS,0271T,Rev/remvl crtd sns dev gen,,,14227.0,14227.0,1 HCPCS,0271U,Hem cgen neutropenia 23 gen,,,608.17,6126.4,6 HCPCS,0272U,Hem genetic bld do 51 genes,,,608.17,6126.4,6 HCPCS,0273U,Hem gen hyprfibrnlysis 8 gen,,,608.17,6126.4,6 HCPCS,0274T,Perq lamot/lam crv/thrc,,,7775.89,24760.0,4 HCPCS,0274U,Hem gen pltlt do 43 genes,,,608.17,6126.4,6 HCPCS,0275T,"Hc Perc Laminotomy/Ectomy,Undr Indrct Imge Gd,W Or W/Out Endscp,Sngl Or Mult Lev,Unilt Or Bilat,Lumb",18579.0,18579.0,,,0 HCPCS,0275T,Perq lamot/lam lumbar,,,24760.0,24760.0,1 HCPCS,0275U,"Hc Hematology (Heparin-Induced Thrombocytopenia), Platelet Antibody Reactivity By Flow Cytometry, Se",944.0,944.0,,,0 HCPCS,0275U,Hem heprn nduc trmbctpna srm,,,18.37,184.3,6 HCPCS,0276U,Hem inh thrombocytopenia 23,,,2448.56,24662.58,6 HCPCS,0277U,Hem gen pltlt funcj do 31,,,608.17,6126.4,6 HCPCS,0278T,Tempr,,,137.89,3399.0,4 HCPCS,0278U,Hem gen thrombosis 12 genes,,,608.17,6126.4,6 HCPCS,0279U,Hem vw factor&clgn iii bndg,,,11.53,116.04,6 HCPCS,0280U,Hem vw factor&clgn iv bndg,,,17.27,174.06,6 HCPCS,0281U,Hem vwd propeptide ag lvl,,,17.27,174.06,6 HCPCS,0282U,Rbc dna gntyp 12 bld grp gen,,,720.0,7252.7,6 HCPCS,0283U,Vw factor type 2b eval plsm,,,18.4,184.3,6 HCPCS,0284U,Vw factor type 2n eval plsm,,,17.27,174.06,6 HCPCS,0285U,Onc rsps radj cll fr dna tox,,,443.31,1551.59,5 HCPCS,0286U,Cep72 nudt15&tpmt gene alys,,,134.13,1351.56,6 HCPCS,0287U,Onc thyr dna&mrna 112 genes,,,3600.0,36256.66,6 HCPCS,0288U,Onc lung mrna quan pcr 11&3,,,3873.0,39007.57,6 HCPCS,0289U,Neuro alzheimer mrna 24 gen,,,760.0,7655.44,6 HCPCS,0290U,Pain mgmt mrna gen xprsn 36,,,760.0,7655.44,6 HCPCS,0291U,Psyc mood do mrna 144 genes,,,1755.0,6142.5,5 HCPCS,0292U,Psyc strs do mrna 72 genes,,,1755.0,6142.5,5 HCPCS,0293U,Psyc suicidal idea mrna 54,,,760.0,7655.44,6 HCPCS,0294U,Lngvty&mrtlty rsk mrna 18gen,,,1744.96,7655.44,3 HCPCS,0295U,Onc brst dux carc 7 proteins,,,5435.0,19106.16,6 HCPCS,0296U,Onc orl&/orop ca 20 mlc feat,,,1950.0,17676.1,6 HCPCS,0297U,Onc pan tum whl gen seq dna,,,2919.6,10218.6,5 HCPCS,0298U,Onc pan tum whl trns seq rna,,,2919.6,29406.7,6 HCPCS,0299U,Onc pan tum whl gen opt mapg,,,1863.22,6521.27,5 HCPCS,0300U,Onc pan tum whl gen seq&opt,,,4183.13,14640.96,5 HCPCS,0301U,Iadna bartonella ddpcr,,,262.72,919.52,5 HCPCS,0302U,Iadna brtnla ddpcr flwg liq,,,361.37,1264.8,5 HCPCS,0303U,Hem rbc ads whl bld hypoxic,,,2201.62,7705.67,5 HCPCS,0304U,Hem rbc ads whl bld normoxic,,,2075.8,7265.3,5 HCPCS,0305U,Hem rbc fnclty&dfrm shr strs,,,662.58,2319.03,5 HCPCS,0306U,Onc mrd nxt-gnrj alys 1st,,,3878.45,13574.58,5 HCPCS,0307U,Onc mrd nxt-gnrj alys sbsq,,,794.49,2780.72,5 HCPCS,0308T,Insj ocular telescope prosth,,,17639.73,73109.0,4 HCPCS,0308U,Crd cad alys 3 prtn plsm alg,,,390.75,3935.23,6 HCPCS,0309U,Crd cv ds aly 4 prtn plm alg,,,390.75,3935.23,6 HCPCS,0310U,Ped vsclts kd alys 3 bmrks,,,390.75,3935.23,6 HCPCS,0311U,Nfct ds bct quan antmcrb sc,,,8.08,81.91,7 HCPCS,0312U,Ai ds sle alys 8 igg autoant,,,840.65,8467.74,6 HCPCS,0313U,Onc pncrs dna&mrna seq 74,,,3600.0,36256.66,6 HCPCS,0314U,Onc cutan mlnma mrna 35 gene,,,1950.0,6825.0,5 HCPCS,0315U,Onc cutan sq cll ca mrna 40,,,8500.0,29750.0,5 HCPCS,0316U,B brgdrferi lyme ds ospa evl,,,18.66,187.72,6 HCPCS,0317U,Onc lung ca 4-prb fish assay,,,2030.0,20444.07,6 HCPCS,0318U,Ped whl gen mthyltn alys 50+,,,1770.48,6196.68,5 HCPCS,0319U,Neph rna pretrnspl perph bld,,,2650.0,9275.0,5 HCPCS,0320U,Neph rna psttrnspl perph bld,,,2650.0,9275.0,5 HCPCS,0321U,Iadna gu pthgn 20bct&fng org,,,634.84,6392.61,6 HCPCS,0322U,Neuro asd meas 14 acyl carn,,,750.0,7553.04,6 HCPCS,0323U,Iadna cns pthgn next gen seq,,,2126.2,21413.38,6 HCPCS,0326U,Trgt gen seq alys pnl 83+,,,5000.0,17500.0,5 HCPCS,0327U,Ftl aneuploidy trsmy dna seq,,,795.0,8006.98,6 HCPCS,0328U,Drug assay 120+ rx&metablt,,,114.43,1153.61,6 HCPCS,0329U,Onc neo xome&trns seq alys,,,3437.98,12032.93,5 HCPCS,0330T,Tear film img uni/bi w/i&r,,,40.03,58.04,3 HCPCS,0330U,Iadna vag pthgn panel 27 org,,,416.78,4198.03,6 HCPCS,0331T,Heart symp image plnr,,,431.58,2011.69,4 HCPCS,0331U,Onc hl neo opt gen mapping,,,1863.22,6521.27,5 HCPCS,0332T,Heart symp image plnr spect,,,854.35,2011.69,4 HCPCS,0332U,Onc pan tum gen prflg 8 dna,,,1142.06,3997.21,4 HCPCS,0333T,Visual ep acuity screen auto,,,137.99,137.99,1 HCPCS,0333U,Onc lvr surveilanc hcc cfdna,,,662.32,2318.12,4 HCPCS,0334U,Onc sld orgn tgsa dna 84/+,,,3500.0,29406.7,5 HCPCS,0335T,Extraosseous joint stblztion,,,7775.89,11275.05,4 HCPCS,0335U,Rare ds whl gen seq fetal,,,5224.6,52622.16,5 HCPCS,0336U,Rare ds whl gen seq bld/slv,,,2574.65,25932.23,5 HCPCS,0337U,Onc plsm cell do&myeloma id,,,2435.0,8522.5,4 HCPCS,0338T,Hc Research Trnscth Renal Symp Denrv Unl,13615.0,13615.0,,,0 HCPCS,0338T,Trnscth renal symp denrv unl,,,6099.19,14227.0,4 HCPCS,0338U,Onc sld tum crcg tum cl slct,,,2435.0,8522.5,4 HCPCS,0339T,Hc Research Trnscth Renal Symp Denrv Bil,13615.0,13615.0,,,0 HCPCS,0339T,Trnscth renal symp denrv bil,,,6099.19,14227.0,4 HCPCS,0339U,Onc prst8 mrna hoxc6 & dlx1,,,760.0,7655.44,5 HCPCS,0340U,Onc pan ca alys mrd plasma,,,3590.0,39481.98,5 HCPCS,0341U,Ftl aneup dna seq cmpr alys,,,1900.2,6650.7,4 HCPCS,0342T,Thxp apheresis w/hdl delip,,,4667.44,22280.0,4 HCPCS,0342U,Onc pncrtc ca mult ia eclia,,,3139.5,9034.3,2 HCPCS,0343U,Onc prst8 xom aly 442 sncrna,,,760.0,7655.44,5 HCPCS,0344U,Hep nafld semiq evl 28 lipid,,,792.17,2772.6,4 HCPCS,0345T,Transcath mtral vlve repair,,,10008.0,10008.0,1 HCPCS,0345U,Psyc genom alys pnl 15 gen,,,1336.09,13457.59,5 HCPCS,0347T,Ins bone device for rsa,,,63.22,3399.0,4 HCPCS,0347U,Rx metab/pcx dna 16 gen alys,,,1336.09,13457.59,5 HCPCS,0348T,RSA spine exam,,,112.03,1065.84,6 HCPCS,0348U,Rx metab/pcx dna 25 gen alys,,,742.27,7474.54,5 HCPCS,0349T,RSA upper extr exam,,,112.03,1065.84,5 HCPCS,0349U,Rx metab/pcx dna 27gen rx ia,,,742.27,7474.54,5 HCPCS,0350T,RSA lower extr exam,,,93.26,866.39,5 HCPCS,0350U,Rx metab/pcx dna 27 gen alys,,,1336.09,13457.59,5 HCPCS,0351U,Nfct ds bct/viral trail ip10,,,260.5,2624.62,5 HCPCS,0352T,Oct brst/node i&r per spec,,,2914.26,2914.26,1 HCPCS,0352U,Hc Nfct Ds Bv&Vaginitis Amp Prb,627.0,627.0,,,0 HCPCS,0352U,Nfct ds bv&vaginitis amp prb,,,1436.89,1436.89,1 HCPCS,0353U,Iadna chlmyd&gonorr amp prb,,,706.5,706.5,1 HCPCS,0354T,Oct breast surg cavity i&r,,,2914.26,2914.26,1 HCPCS,0354U,Hpv hi rsk qual mrna e6/e7,,,354.96,354.96,1 HCPCS,0355U,Apol1 risk variants,,,137.0,479.5,4 HCPCS,0356U,Onc orop 17 dna ddpcr alg,,,1800.0,6300.0,4 HCPCS,0358T,BIA whole body,,,30.99,44.94,3 HCPCS,0358U,Neuro alys b-amyl 1-42&1-40,,,260.5,911.75,4 HCPCS,0359U,Onc prst8 ca alys all psa,,,760.0,2660.0,4 HCPCS,0360U,Onc lung elisa 7 autoant alg,,,840.65,2942.28,4 HCPCS,0361U,Hc Neurflmnt Lt Chn Dig Ia Quan,1320.0,1320.0,,,0 HCPCS,0361U,Neurflmnt lt chn dig ia quan,,,406.81,406.81,1 HCPCS,0362T,Expose behav assessment,,,40.15,58.22,3 HCPCS,0362U,Onc pap thyr ca rna 82&10,,,3600.0,12600.0,4 HCPCS,0363U,Onc urthl mrna 5 gen alg,,,760.0,2660.0,4 HCPCS,0364U,Onc hl neo gen seq alys alg,,,2007.25,7025.38,4 HCPCS,0365U,Onc bldr 10 prb bldr ca,,,897.0,3139.5,4 HCPCS,0366U,Onc bldr 10 prb recr bldr ca,,,897.0,3139.5,4 HCPCS,0367U,Onc bldr 10 flwg trurl rescj,,,902.18,3157.63,4 HCPCS,0368U,Onc clrct ca mut&mthyltn mrk,,,1458.73,1458.73,1 HCPCS,0369U,Iadna gi pthgn 31 org&21 arg,,,1458.73,1458.73,1 HCPCS,0370U,Iadna surg wnd pthgn 34&21,,,1458.73,1458.73,1 HCPCS,0371U,Iadna gu pthgn semiq dna16&1,,,416.78,1458.73,4 HCPCS,0372U,Nfct ds gu pthgn arg detcj,,,416.78,1458.73,4 HCPCS,0373T,Exposure behavior treatment,,,40.15,58.22,3 HCPCS,0373U,Iadna rsp tr nfct 17 8 13&16,,,1458.73,1458.73,1 HCPCS,0374U,Iadna gu pthgn 21 org&21arg,,,1458.73,1458.73,1 HCPCS,0375U,Onc ovrn bchm asy 7 prtn alg,,,897.0,3139.5,4 HCPCS,0376U,Onc prst8 ca img alys 128,,,706.25,2471.88,4 HCPCS,0377U,Cv ds quan advsrm/plsm lprtn,,,47.58,166.53,4 HCPCS,0378U,"Hc Ataxia Repeat Expansion Panel, Rfc1 Gene Analysis",304.0,304.0,,,0 HCPCS,0378U,Hc Single Gene Repeat Expansion Analysis - Rfc1 Gene,685.0,685.0,,,0 HCPCS,0378U,Rfc1 repeat xpnsj vrnt alys,,,137.0,479.5,4 HCPCS,0379T,Vis field assmnt tech suppt,,,40.03,58.04,3 HCPCS,0379U,Tgsap sl or neo dna523&rna55,,,3288.51,11509.79,4 HCPCS,0381U,Maple syrup ur ds mntr quan,,,44.12,154.42,4 HCPCS,0382U,Hyprphenylalninmia mntr quan,,,51.64,180.74,4 HCPCS,0383U,Tyrosinemia typ i mntr quan,,,52.05,182.18,4 HCPCS,0384U,Neph ckd rsk hi stg kdn ds,,,750.0,2625.0,4 HCPCS,0385U,Neph ckd alg rsk dbtc kdn ds,,,390.75,1367.63,4 HCPCS,0387U,Onc mlnma ambra1&amlo,,,948.5,3319.75,4 HCPCS,0388U,Onc nonsm cll lng ca 37 gen,,,3500.0,12250.0,4 HCPCS,0389U,Ped fbrl kd ifi27&mcemp1 rna,,,70.2,245.7,4 HCPCS,0390U,Ob pe kdr eng&rbp4 ia alg,,,64.41,225.44,4 HCPCS,0391U,Onc sld tum dna&rna 437 gen,,,3600.0,12600.0,4 HCPCS,0392U,Rx metab genrx ia 16 genes,,,1336.09,4676.32,4 HCPCS,0393U,Neu prksn msfl ?-syncln prtn,,,540.99,1893.47,4 HCPCS,0394T,Hdr elctrnc skn surf brchytx,,,2622.02,2622.02,1 HCPCS,0394U,Pfas 16 pfas compnd lc ms/ms,,,198.74,695.59,4 HCPCS,0395T,Hdr elctr ntrst/ntrcv brchtx,,,746.36,7197.21,4 HCPCS,0395U,Onc lng multiomics plsm alg,,,797.45,2791.08,4 HCPCS,0397T,Ercp w/optical endomicroscpy,,,3399.0,3399.0,1 HCPCS,0398T,Mrgfus strtctc les abltj,,,36418.0,36418.0,1 HCPCS,0398U,Gi baret esph dna mthyln aly,,,1755.0,6142.5,4 HCPCS,0399U,Neuro cere folate defncy srm,,,300.0,1050.0,4 HCPCS,0400U,Ob xpnd car scr 145 genes,,,5099.08,5099.08,1 HCPCS,0401U,Crd c hrt ds 9 gen 12 vrnts,,,489.68,1713.88,4 HCPCS,0402T,Collagen crosslinking cornea,,,2547.76,11000.0,4 HCPCS,0402T,Hc Collagen Cross-Linking Of Cornea,5775.0,5775.0,,,0 HCPCS,0402T,Hc Collagen Cross-Linking Of Cornea Cash-Csm,100.0,100.0,,,0 HCPCS,0402T,"Hc Collagen Cross-Linking Of Cornea Cash-Csm,Pbb",100.0,100.0,,,0 HCPCS,0402U,Nfct agt sti mult amp prb tq,,,142.63,499.21,4 HCPCS,0403U,Onc prst8 mrna 18 gen dre ur,,,760.0,2660.0,4 HCPCS,0404U,Onc brst semiq meas thym kn,,,322.96,1130.36,4 HCPCS,0405U,Onc pncrtc 59 mthltn blk mrk,,,1770.48,6196.68,4 HCPCS,0406U,Onc lung flow cytmtry 5 mrk,,,760.0,2660.0,4 HCPCS,0407U,Neph dbtc ckd mult eclia alg,,,950.0,3325.0,4 HCPCS,0408T,Hc Insj/Rplc Cardiac Modulj Sys,76180.0,76180.0,,,0 HCPCS,0408T,Insj/rplc cardiac modulj sys,,,33636.89,78953.0,4 HCPCS,0408U,Iaad blk ac wv bsnsr sarscv2,,,14.13,49.46,4 HCPCS,0409T,Insj/rplc car modulj pls gn,,,23836.63,78953.0,4 HCPCS,0409U,Onc sld tum dna 80 & rna 36,,,2919.6,10218.6,4 HCPCS,0410T,Insj/rplc car modulj atr elt,,,8868.06,36418.0,4 HCPCS,0410U,Onc pncrtc dna whl gn seq 5-,,,1160.0,4060.0,4 HCPCS,0411T,Insj/rplc car modulj vnt elt,,,8868.06,36418.0,4 HCPCS,0411U,Psyc genom alys pnl 15 gen,,,1336.09,4676.32,4 HCPCS,0412T,Rmvl cardiac modulj pls gen,,,4004.6,14227.0,4 HCPCS,0412U,Beta amyloid a?42/40 imprcip,,,750.0,2625.0,4 HCPCS,0413T,Rmvl car modulj tranvns elt,,,4004.6,14227.0,4 HCPCS,0413U,Onc hl neo opt gen mapg dna,,,1263.53,4422.36,4 HCPCS,0414T,Rmvl & rpl car modulj pls gn,,,23836.63,78953.0,4 HCPCS,0414U,Onc lng aug alg aly whl sld8,,,706.25,2471.88,4 HCPCS,0415T,Repos car modulj tranvns elt,,,672.23,5007.0,4 HCPCS,0415U,Cv ds acs bld alg 5 yr score,,,390.75,1367.63,4 HCPCS,0416T,Reloc skin pocket pls gen,,,2211.05,7272.0,4 HCPCS,0417T,Prgrmg eval cardiac modulj,,,39.99,57.99,3 HCPCS,0417U,Rare ds alys 335 nuc genes,,,2842.53,9948.86,4 HCPCS,0418T,Interro eval cardiac modulj,,,39.99,57.99,3 HCPCS,0418U,Onc brst aug alg aly whl sl8,,,706.25,2471.88,4 HCPCS,0419T,Dstrj neurofibroma xtnsv,,,792.0,3399.0,4 HCPCS,0419U,Nrpsyc gen seq vrnt aly 13,,,1336.09,4676.32,4 HCPCS,0420T,Dstrj neurofibroma xtnsv,,,792.0,3399.0,4 HCPCS,0420U,Onc urthl mrna xprsn 6 snp,,,1328.32,1926.06,3 HCPCS,0421T,Waterjet prostate abltj cmpl,,,22280.0,22280.0,1 HCPCS,0421U,Onc clrct scr sgl amp 8 rna,,,1781.05,1781.05,1 HCPCS,0422T,Tactile breast img uni/bi,,,93.26,242.7,4 HCPCS,0422U,Onc pan solid tum alys dna,,,1943.21,2817.65,3 HCPCS,0423U,Psyc genomic alys pnl 26 gen,,,416.78,1458.73,4 HCPCS,0424T,Hc Insertion Or Replacement Of Neurostimulator System,84240.0,84240.0,,,0 HCPCS,0424U,Onc prst8 xom alys 53 sncrna,,,760.0,2660.0,4 HCPCS,0425U,Genom rpd seq alys ea cmprtr,,,4094.39,5936.87,3 HCPCS,0426U,Genome ultra-rapid seq alys,,,7582.2,10994.19,3 HCPCS,0427U,Monocyte dstrbj wdth whl bld,,,4.48,15.68,4 HCPCS,0429U,Hpv orop swab 14 hi-risk typ,,,35.09,122.82,4 HCPCS,0430U,Gi malabs aat calpro pncrtc,,,61.54,215.39,4 HCPCS,0431U,Gly rcptr alpha1 igg srm/csf,,,36.57,128.0,4 HCPCS,0432U,Klhl11 antb sr/csf asy qual,,,36.57,128.0,4 HCPCS,0433U,Onc prst8 5 dna reg mrk pcr,,,760.0,2660.0,4 HCPCS,0434U,Rx metab advrs vrnt alys 25,,,416.78,1458.73,4 HCPCS,0435U,Onc chemo rx cytox csc 14 rx,,,3033.86,10618.51,4 HCPCS,0436U,Onc lng plsm alys 388 prtn,,,1504.24,2181.15,3 HCPCS,0437T,Impltj synth rnfcmt abdl wal,,,3399.0,3399.0,1 HCPCS,0437U,Psyc anxiety do mrna 15 bmrk,,,760.0,2660.0,4 HCPCS,0438U,Rx metab advrs vrnt alys 33,,,416.78,1458.73,4 HCPCS,0439U,Crd chd dna alys 5 snp 3 dna,,,854.0,1238.3,3 HCPCS,0440T,Abltj perc uxtr/perph nrv,,,2092.58,22280.0,4 HCPCS,0440U,Crd chd dna alys 10 snp 6dna,,,854.0,1238.3,3 HCPCS,0441T,Abltj perc lxtr/perph nrv,,,2092.58,22280.0,4 HCPCS,0441U,Nfct ds bct fngl/viral semiq,,,444.08,643.92,3 HCPCS,0442T,Abltj perc plex/trncl nrv,,,9404.36,22280.0,4 HCPCS,0442U,Nfct ds respir nfctj mxa&crp,,,41.38,144.83,4 HCPCS,0443T,R-t spctrl alys prst8 tiss,,,3399.0,3399.0,1 HCPCS,0443U,Neurflmnt lt chn ultrsens ia,,,116.23,168.53,3 HCPCS,0444T,1st plmt drug elut oc ins,,,3399.0,3399.0,1 HCPCS,0444U,Onc sld orgn neo tgsap 361,,,2919.6,10218.6,4 HCPCS,0445T,Sbsqt plmt drug elut oc ins,,,3399.0,3399.0,1 HCPCS,0445U,Abeta42 & ptau181 eclia csf,,,260.5,911.75,4 HCPCS,0446T,Insj impltbl glucose sensor,,,3399.0,6464.61,4 HCPCS,0446U,Ai ds sle alys 10 cytokine,,,840.65,2942.28,4 HCPCS,0447T,Rmvl impltbl glucose sensor,,,215.0,3399.0,4 HCPCS,0447U,Ai ds sle alys 11 cytokine,,,840.65,2942.28,4 HCPCS,0448T,Remvl insj impltbl gluc sens,,,3399.0,6464.61,4 HCPCS,0449T,Insj aqueous drain dev 1st,,,5702.41,22280.0,4 HCPCS,0449U,Car scr sev inh cond 5 genes,,,6387.08,6387.08,1 HCPCS,0450T,Insj aqueous drain dev each,,,3399.0,3399.0,1 HCPCS,0450U,Onc mm lc-ms/ms monoc p-prtn,,,152.01,152.01,1 HCPCS,0451U,Onc mm lc-ms/ms pep ion quan,,,152.01,152.01,1 HCPCS,0452U,Onc bldr mthyl penk lte-qmsp,,,192.0,672.0,4 HCPCS,0453U,Onc clrct ca cfdna qpcr asy,,,192.0,672.0,4 HCPCS,0454U,U rare ds id opt genome mapg,,,1263.53,4422.36,4 HCPCS,0455U,Nfct agt sti mult amp prb ur,,,142.63,499.21,4 HCPCS,0457U,Pfas 9 cmpnd lcms/ms pls/sr,,,198.74,695.59,4 HCPCS,0458U,Onc brst ca s100 a8&a9 elisa,,,260.5,911.75,4 HCPCS,0459U,Abeta42 & ttau eclia csf,,,260.5,911.75,4 HCPCS,0460U,Onc whl bld/bucc rtpcr 24gen,,,917.08,1329.77,3 HCPCS,0461U,Onc rxgenom alys rtpcr 24gen,,,917.08,1329.77,3 HCPCS,0462U,Melatonin lvl tst slp std7/9,,,17.27,60.45,4 HCPCS,0463U,Onc crvx mrna genxprsn 14bmk,,,760.0,1102.0,3 HCPCS,0464T,Visual ep test for glaucoma,,,137.89,199.94,3 HCPCS,0464U,Onc clrct scr qrtsa dna mrk,,,591.92,2071.72,4 HCPCS,0465T,Hc Supchrdl Njx Rx W/O Supply-Pbb,1207.5,1207.5,,,0 HCPCS,0465T,Pr Supchrdl Njx Of Rx Agt W/O Supply Of Medication-Pbb,835.0,835.0,,,0 HCPCS,0465U,Onc urthl carc dna qmsp 2gen,,,1938.01,6783.04,4 HCPCS,0466U,Crd cad dna gwas 564856 snp,,,345.43,500.87,3 HCPCS,0467U,Onc bldr dna ngs 60gen&aneup,,,1519.06,5316.71,4 HCPCS,0468U,Hep nash mir34a5p ?2m ykl40,,,251.7,880.95,4 HCPCS,0469U,Rare ds whl gen seq ftl samp,,,1197.94,4192.79,4 HCPCS,0470U,Onc orop detcj mrd 8 dna hpv,,,597.91,866.97,3 HCPCS,0471U,Onc clrc ca 35 vrn kras&nras,,,760.0,2660.0,4 HCPCS,0472T,Prgrmg io rta eltrd ra,,,329.13,477.24,3 HCPCS,0472U,Ca vi psp&sp1 antb sj?gren,,,27.9,40.46,3 HCPCS,0473T,Reprgrmg io rta eltrd ra,,,101.88,147.73,3 HCPCS,0473U,Onc sld tum bld/slv 648 gene,,,4500.0,15750.0,4 HCPCS,0474T,Insj aqueous drg dev io rsvr,,,22280.0,22280.0,1 HCPCS,0474U,Hered pan ca gsap 88gene ngs,,,1303.95,4563.83,4 HCPCS,0475U,Hered prst8 ca gsap 23 genes,,,1303.95,4563.83,4 HCPCS,0476U,Rx metab psyc 14gen&cyp2d6,,,416.78,1458.73,4 HCPCS,0477U,Rx metab psy 14&cyp2d6 gn-rx,,,416.78,1458.73,4 HCPCS,0478U,Onc nsclc dna&rna dpcr 9 gen,,,552.99,801.84,3 HCPCS,0479T,Fxjl abl lsr 1st 100 sq cm,,,792.0,5007.0,4 HCPCS,0479U,Tau phosphorylated ptau217,,,17.27,60.45,4 HCPCS,0480T,Fxjl abl lsr ea addl 100sqcm,,,3399.0,3399.0,1 HCPCS,0480U,Nfct ds csf metag ngs alys,,,2126.2,7441.7,4 HCPCS,0481T,Njx autol wbc concentrate,,,478.72,3399.0,4 HCPCS,0481U,Idh1 idh2&tert promoter ngs,,,674.24,2359.84,4 HCPCS,0482U,Ob pe biochem asy sfit1&pigf,,,128.82,450.87,4 HCPCS,0483T,Hc Tmvi Percutaneous Approach,7626.0,7626.0,,,0 HCPCS,0483T,Tmvi percutaneous approach,,,10008.0,10008.0,1 HCPCS,0483U,Nfct ds ng gyra s91f pt mut,,,35.09,50.88,3 HCPCS,0484T,Tmvi transthoracic exposure,,,10008.0,10008.0,1 HCPCS,0484U,Nfct ds mgen 23s rrna pt mut,,,35.09,50.88,3 HCPCS,0485T,Oct mid ear i&r unilateral,,,40.03,58.04,3 HCPCS,0485U,Onc sol tum cfdna&rna ngs gm,,,3649.48,5291.75,3 HCPCS,0486T,Oct mid ear i&r bilateral,,,40.03,58.04,3 HCPCS,0486U,Onc pan sol tum ngs cfctdna,,,1644.25,2384.16,3 HCPCS,0487U,Onc sol tum cfcdna tgsap 84,,,2919.6,10218.6,4 HCPCS,0488U,Ob fetal ag nipt cfdna alys,,,2656.68,2656.68,1 HCPCS,0489T,Regn cell tx scldr hands,,,10008.0,10008.0,1 HCPCS,0490T,Regn cell tx scldr h mlt inj,,,10008.0,10008.0,1 HCPCS,0490U,Onc cutan/uveal mlnma cd146,,,2435.0,8522.5,4 HCPCS,0491U,Onc sol tum ctc slct er prtn,,,2435.0,8522.5,4 HCPCS,0492U,Onc sol tum ctc slctn pd-l1,,,2435.0,8522.5,4 HCPCS,0493U,Trnspl med quan dd-cfdna ngs,,,2753.25,9636.38,4 HCPCS,0494T,Prep & cannulj cdvr don lung,,,10008.0,10008.0,1 HCPCS,0494U,Rbc ag ftl rhd gene alys ngs,,,759.05,2656.68,4 HCPCS,0495T,Mntr cdvr don lng 1st 2 hrs,,,10008.0,10008.0,1 HCPCS,0495U,Onc prst8 alys crcg plsm prt,,,760.0,2660.0,4 HCPCS,0496T,Mntr cdvr don lng ea addl hr,,,10008.0,10008.0,1 HCPCS,0496U,Onc clrct cfdna 8/7 genes,,,485.86,704.5,3 HCPCS,0497T,Xtrnl pt act ecg in-off conn,,,511.22,511.22,1 HCPCS,0497U,Onc prst8 mrna rt-pcr 6 gene,,,3873.0,13555.5,4 HCPCS,0498T,Xtrnl pt act ecg r&i pr 30 d,,,511.22,511.22,1 HCPCS,0498U,Onc clrct ngs mut detc 43gen,,,1345.31,1950.7,3 HCPCS,0499U,Onc clrct&lng dna ngs 8gene,,,597.91,2092.69,4 HCPCS,0500U,Autoinflam ds vexas synd dna,,,175.4,613.9,4 HCPCS,0502U,Hpv e6/e7 mrk hi-rsk typ crv,,,35.09,122.82,4 HCPCS,0503U,Neuro alz ds ?amyl&tau prtn,,,750.0,2625.0,4 HCPCS,0504U,Nfct ds uti id 17 path orgs,,,416.78,1458.73,4 HCPCS,0505T,Ev fempop artl revsc,,,12370.97,36418.0,4 HCPCS,0505U,Nfct ds vag infctj id 32orgs,,,679.77,2379.2,4 HCPCS,0506T,Mac pgmt opt dns meas hfp,,,63.22,91.66,3 HCPCS,0506U,Gi barretts esophgl cell 89,,,1938.01,6783.04,4 HCPCS,0507T,Near ifr 2img mibmn glnd i&r,,,63.22,91.66,3 HCPCS,0507U,Onc ovr dna whole gen w/5hmc,,,1160.0,4060.0,4 HCPCS,0509T,"Hc Electroretinography (Erg) W/Interpretation & Report, Pattern (Perg)",427.0,427.0,,,0 HCPCS,0509T,Pattern erg w/i&r,,,231.39,335.51,3 HCPCS,0510T,Rmvl sinus tarsi implant,,,3506.34,14227.0,4 HCPCS,0510U,Onc pncrtc ca alg alys 16gen,,,473.91,687.17,3 HCPCS,0511T,Rmvl&rinsj sinus tarsi implt,,,7775.89,11275.05,4 HCPCS,0511U,Onc sol tum 3dmicroenvir 36+,,,3033.86,10618.51,4 HCPCS,0512T,Esw integ wnd hlg 1st wnd,,,215.0,3399.0,4 HCPCS,0512U,Onc prst8 alys dgtz img msi,,,706.25,2471.88,4 HCPCS,0513T,Esw integ wnd hlg ea addl,,,3399.0,3399.0,1 HCPCS,0513U,Onc prst8 alg alys msi&hrd,,,706.25,2471.88,4 HCPCS,0514U,Gi ibd ia quan deter adl lvl,,,38.57,135.0,4 HCPCS,0515T,Hc Insertion Of Wrieless Cardiac Stimulator,64160.0,64160.0,,,0 HCPCS,0515T,Insj wcs lv compl sys,,,23836.63,78953.0,4 HCPCS,0515U,Gi ibd ia quan deter ifx lvl,,,38.57,135.0,4 HCPCS,0516T,"Hc Insertion Of Wrieless Cardiac Stimulator , Electrode Only",21596.0,21596.0,,,0 HCPCS,0516T,Insj wcs lv eltrd only,,,11200.55,36418.0,4 HCPCS,0516U,Rx metab rxgenomic gnotyp 40,,,416.78,1458.73,4 HCPCS,0517T,"Hc Insertion Of Wrieless Cardiac Stmltr, Pulse Gnrtr Components Only",21596.0,21596.0,,,0 HCPCS,0517T,Insj wcs lv pg compnt,,,11200.55,36418.0,4 HCPCS,0517U,Ther rx mntr 80+ psyactiv rx,,,246.92,864.22,4 HCPCS,0518T,Hc Removal Of Only Pulse Generator Component,9131.0,9131.0,,,0 HCPCS,0518T,Rmvl pg compnt wcs,,,4004.6,14227.0,4 HCPCS,0518U,Ther rx mntr 90+ pn&mtl hlth,,,246.92,864.22,4 HCPCS,0519T,"Hc Removal & Replacement Wireless Crdc Stmltr, Plse Gnrtr Components",9131.0,9131.0,,,0 HCPCS,0519T,Rmvl & rplcmt pg compnt wcs,,,11200.55,16240.8,4 HCPCS,0519U,Ther rx mntr meds p/d/a 110+,,,246.92,864.22,4 HCPCS,0520T,"Hc Rmvl/Rplcmnt Wireless Crdc Stmltr, Plse Gnrtr Cmpnts (New Elctrde)",64160.0,64160.0,,,0 HCPCS,0520T,Rmvl&rplcmt pg wcs new eltrd,,,11200.55,78953.0,4 HCPCS,0520U,Ther rx mntr 200+ rx/sbsts,,,246.92,864.22,4 HCPCS,0521T,Hc Interrog Dev Eval Wcs Ip,53.0,53.0,,,0 HCPCS,0521T,Hc Interrog Dev Eval Wcs Ip-Pbb,259.5,259.5,,,0 HCPCS,0521T,Interrog dev eval wcs ip,,,30.99,44.94,3 HCPCS,0521T,Pr Interrog Dev Eval Wrls Car Stimulator In Person-Pbb,414.0,414.0,,,0 HCPCS,0521U,Rf iga&igm ccp antb sr-a ia,,,40.22,75.11,4 HCPCS,0522T,Hc Prgrmg Dev Eval Wcs Ip,117.0,117.0,,,0 HCPCS,0522T,Hc Prgrmg Dev Eval Wcs Ip-Pbb,317.0,317.0,,,0 HCPCS,0522T,Pr Prgrmg Device Eval Wrls Car Stimulator In Person-Pbb,400.0,400.0,,,0 HCPCS,0522T,Prgrmg dev eval wcs ip,,,39.99,57.99,3 HCPCS,0522U,Ca vi psp&sp1 antb cl semiql,,,260.5,377.72,3 HCPCS,0523T,Hc Intraprocedural Coronary Ffp W/3D Funcjl Mapping,7241.0,7241.0,,,0 HCPCS,0523T,Ntrapx c ffr w/3d funcjl map,,,3399.0,3399.0,1 HCPCS,0523U,Onc soltum dna ngs snv 22gen,,,1352.09,1960.53,3 HCPCS,0524T,Ev cath dir chem abltj w/img,,,3383.62,14227.0,4 HCPCS,0524U,Ob pe sflt-1/plgf ia srm/pls,,,128.82,186.79,3 HCPCS,0525T,Insj/rplcmt compl iims,,,20641.19,36418.0,4 HCPCS,0525U,Onc sphrd cell cul 11-rx pnl,,,3033.86,4399.1,3 HCPCS,0526T,Insj/rplcmt iims eltrd only,,,8868.06,36418.0,4 HCPCS,0527T,Insj/rplcmt iims implt mntr,,,8868.06,36418.0,4 HCPCS,0527U,Hsv 1&2 vzv amp prb tq pthgn,,,142.63,206.81,3 HCPCS,0528T,Prgrmg dev eval iims ip,,,39.99,57.99,3 HCPCS,0528U,Lrt iad 18bct/8vir&7arg rna,,,634.84,920.52,3 HCPCS,0529T,Interrog dev eval iims ip,,,39.99,57.99,3 HCPCS,0530T,Removal complete iims,,,4004.6,14227.0,4 HCPCS,0530U,Onc pan-sol tum ctdna 77 gen,,,2919.6,4233.42,3 HCPCS,0531T,Removal iims electrode only,,,4004.6,14227.0,4 HCPCS,0532T,Removal iims implt mntr only,,,4004.6,14227.0,4 HCPCS,0532U,Rare ds whlgen&mitochdrl dna,,,5031.2,7295.24,3 HCPCS,0533U,Rx metab advrs gnotyp 16gens,,,416.78,604.33,3 HCPCS,0535U,Pfas lc-ms/ms plsm/srm quan,,,62.14,90.1,3 HCPCS,0536U,Rbcag ftl rhd pcr alys exon4,,,192.0,278.4,3 HCPCS,0537T,"Hc Car-T Harvest Blood Derived T Lymphocyt, Per Day",6055.0,6055.0,,,0 HCPCS,0537T,"Hc Car-T Harvest Blood Derived T Lymphocyt, Per Day-Pbb",8187.5,8187.5,,,0 HCPCS,0537T,Pr Car-T Therapy Hrvg Bld Drv T Lmphcyt Pr Day-Pbb,4264.0,4264.0,,,0 HCPCS,0537U,Onc clrct ca cfdna >2500 dmr,,,1495.0,2167.75,3 HCPCS,0538T,Hc Car-T Prep Of Blood-Derived T Lymphcyt Prep Transport,6113.0,6113.0,,,0 HCPCS,0538U,Onc sol tum ngts ffpe 600gen,,,2989.55,4334.85,3 HCPCS,0539T,Hc Car-T Receipt & Prep Cells For Administration,3466.0,3466.0,,,0 HCPCS,0539U,Onc sol tumor cfctdna 152gen,,,3288.51,4768.34,3 HCPCS,0540T,"Hc Car-T Administration, Autologous",8500.0,8500.0,,,0 HCPCS,0540T,"Hc Car-T Administration, Autologous-Pbb",11556.5,11556.5,,,0 HCPCS,0540T,Pr Car-T Therapy Autologous Cell Administration-Pbb,6113.0,6113.0,,,0 HCPCS,0540U,Trnsplj med quan dd-cfdna,,,2753.25,3992.21,3 HCPCS,0541T,Myocardial imaging mcg,,,399.88,579.83,3 HCPCS,0543T,Ta mv rpr w/artif chord tend,,,10008.0,10008.0,1 HCPCS,0543U,Onc sol tum ngs dna 517 gens,,,2989.55,4334.85,3 HCPCS,0544T,Tcat mv annulus rcnstj,,,10008.0,10008.0,1 HCPCS,0545T,Tcat tv annulus rcnstj,,,10008.0,10008.0,1 HCPCS,0545U,Achr antb id imfluor livecll,,,37.73,54.71,3 HCPCS,0546U,Ldns lrp4 antb imflr livecll,,,37.73,54.71,3 HCPCS,0547T,B1 matrl qual tst mcrind tib,,,789.27,789.27,1 HCPCS,0547U,Neurflmnt lt chn cleia plsm,,,116.23,168.53,3 HCPCS,0548U,Gfap cleia plasma,,,116.23,168.53,3 HCPCS,0549U,Onc urthl dna mthyltd rt pcr,,,760.0,1102.0,3 HCPCS,0553T,Perq tcat iliac anast implt,,,10008.0,10008.0,1 HCPCS,0553U,Repr med pga embry te strux,,,759.05,1100.62,3 HCPCS,0554T,B1 str & fx rsk analysis,,,114.09,114.09,1 HCPCS,0554U,Repr med pga 24chrm te bx qc,,,759.05,1100.62,3 HCPCS,0555T,B1 str&fx rsk transmis data,,,30.99,251.6,5 HCPCS,0555U,Repr med pga embryonic te qc,,,759.05,1100.62,3 HCPCS,0556T,B1 str & fx rsk assessment,,,255.69,2343.49,5 HCPCS,0556U,Nfct ds p-s dna&rna 12 trgts,,,142.63,206.81,3 HCPCS,0557T,B1 str & fx rsk i&r,,,28.26,28.26,1 HCPCS,0557U,Nfct ds bv dna mrk vag fluid,,,262.99,381.34,3 HCPCS,0558T,Ct scan f/biomchn ct alys,,,93.26,242.7,4 HCPCS,0558U,Onc clrct elisa bf7 ag serum,,,20.81,30.17,3 HCPCS,0559T,Antmc mdl 3d print 1st cmpnt,,,142.58,206.74,4 HCPCS,0559U,Onc brs quan elisa bf9ag srm,,,20.81,30.17,3 HCPCS,0560U,Onc mrd gsa cfdna baseline,,,3878.45,5623.75,3 HCPCS,0561T,Antmc guide 3d print 1st gd,,,142.58,206.74,4 HCPCS,0561U,Onc mrd gsa cfdna subsequent,,,794.49,1152.01,3 HCPCS,0562U,Onc sol tum tgsa 33gens snvs,,,597.91,866.97,3 HCPCS,0563T,Evac meibomian glnd heat bi,,,63.22,3399.0,4 HCPCS,0563U,Nfct ds pthgn-sna 11vir&4bct,,,416.78,604.33,3 HCPCS,0564T,Onc chemo rx cytotox csc 14,,,5.85,5.85,1 HCPCS,0564U,Nfct ds pthgn-sna 10vir&4bct,,,416.78,604.33,3 HCPCS,0565T,Autol cell implt adps hrvg,,,3399.0,3399.0,1 HCPCS,0565U,Onc hcc ngs detc 6626epigalt,,,1160.0,1682.0,3 HCPCS,0566T,Autol cell implt adps njx,,,3399.0,3399.0,1 HCPCS,0566U,Onc lng qpcr-bsd alys 13dmrs,,,416.78,604.33,3 HCPCS,0567T,Perm flp tube occls w/implt,,,10008.0,10008.0,1 HCPCS,0567U,Rare ds whl gen seq srs&lrs,,,5031.2,7295.24,3 HCPCS,0568T,Intro mix saline&air f/ssg,,,10008.0,10008.0,1 HCPCS,0568U,Neurol dementia ?amyl ptau,,,897.0,1300.65,3 HCPCS,0569T,"Hc Transcatheter Tricuspid Valve Repair, Percutaneous Approach; Initial Prosthesis",20188.0,20188.0,,,0 HCPCS,0569T,Ttvr perq appr 1st prosth,,,10008.0,10008.0,1 HCPCS,0570T,Hc Ttvr Percutaneous Approach Each Addl Prosthesis,10095.0,10095.0,,,0 HCPCS,0570T,Ttvr perq ea addl prosth,,,10008.0,10008.0,1 HCPCS,0570U,Neurol tbi alys gfap&uch-l1,,,260.5,377.72,3 HCPCS,0571T,Hc Insertion Or Replacement Of Implantable Cardioverter-Defibrillator System With Substernal Electro,79376.0,79376.0,,,0 HCPCS,0571T,Insj/rplcmt icds ss eltrd,,,33636.89,78953.0,4 HCPCS,0571U,Onc sol tum dna80&rna10g ngs,,,2919.6,4233.42,3 HCPCS,0572T,Insertion ss dfb electrode,,,8868.06,36418.0,4 HCPCS,0573T,Removal ss dfb electrode,,,4004.6,14227.0,4 HCPCS,0574T,Repos prev ss impl dfb eltrd,,,4004.6,14227.0,4 HCPCS,0575T,Prgrmg dev eval icds ss ip,,,39.99,57.99,3 HCPCS,0575U,Trnsplj med lar rtpcr 4genes,,,380.0,551.0,3 HCPCS,0576T,Interrog dev eval icds ss ip,,,39.99,57.99,3 HCPCS,0576U,Trnsplj med lar quan ddcfdna,,,3240.0,4698.0,3 HCPCS,0577U,Onc ovr serum alys 39 gps,,,246.92,358.03,3 HCPCS,0578U,Onc cutan mln rna qpcr 10gen,,,3873.0,5615.85,3 HCPCS,0579T,Rem interrog dev icds tech,,,39.99,57.99,3 HCPCS,0579U,Nfro dbtc ckd elisa apoa4,,,390.75,566.59,3 HCPCS,0580T,Rmvl ss impl dfb pg only,,,4004.6,14227.0,4 HCPCS,0580U,Bbrgdrferi antb detc 24rprtn,,,17.21,24.95,3 HCPCS,0581T,Abltj mal brst tum perq crtx,,,4195.85,11000.0,4 HCPCS,0581U,Trnspl med antb nohla 39trgt,,,325.8,472.41,3 HCPCS,0582T,Trurl abltj mal prst8 tiss,,,10008.0,20500.61,4 HCPCS,0582U,Rare ds rpd whlgen dna vrnts,,,7582.2,10994.19,3 HCPCS,0583T,Tmpst auto tube dlvr sys,,,1662.71,7272.0,4 HCPCS,0583U,Rare ds rpd whlgen cmptr dna,,,3791.1,5497.09,3 HCPCS,0584T,Hc Percutaneous Islet Cell Transplant,44818.0,44818.0,,,0 HCPCS,0584T,Perq islet cell transplant,,,10008.0,10008.0,1 HCPCS,0584U,Neuro csf prion prtn qual,,,540.99,784.44,3 HCPCS,0585T,Laps islet cell transplant,,,10008.0,10008.0,1 HCPCS,0585U,Tgsap so neo cfdna 521 genes,,,2919.6,4233.42,3 HCPCS,0586T,Open islet cell transplant,,,10008.0,10008.0,1 HCPCS,0586U,Onc mrna gen xprsn 216 genes,,,2919.6,4233.42,3 HCPCS,0587T,Perq impltj/rplcmt isdns ptn,,,5007.0,9902.66,4 HCPCS,0587U,Ther rx mntr 60-150rx&metabl,,,114.43,165.92,3 HCPCS,0588T,Revision/removal isdns ptn,,,3746.49,14227.0,4 HCPCS,0588U,Nfct ds bct/vir 32genes mrna,,,760.0,1102.0,3 HCPCS,0589T,Elec alys smpl prgrmg iins,,,101.88,147.73,3 HCPCS,0589T,Hc Elec Alys Smpl Prgrmg Iins Bldr Dysf Ptn 1-3-Pbb,424.0,424.0,,,0 HCPCS,0589T,Pr Elec Alys Smpl Prgrmg Iins Bldr Dysf Ptn 1-3-Pbb,342.0,342.0,,,0 HCPCS,0589U,Pfas24cmpnd hi-perf lc-ms/ms,,,198.74,288.17,3 HCPCS,0590T,Elec alys cplx prgrmg iins,,,101.88,147.73,3 HCPCS,0590T,Hc Elec Alys Cplx Prgrmg Iins Bldr Dysf Ptn 4+-Pbb,514.5,514.5,,,0 HCPCS,0590T,Pr Elec Alys Cplx Prgrmg Iins Bldr Dysf Ptn 4+-Pbb,253.0,253.0,,,0 HCPCS,0591U,Onc prst8 ca 3prtns plsm srm,,,760.0,1102.0,3 HCPCS,0592U,Onc hl neo dna tgs 417 genes,,,2919.6,4233.42,3 HCPCS,0593U,Nfct ds gu pthgn dna 46trgt,,,634.84,920.52,3 HCPCS,0594T,Osteot hum xtrnl lngth dev,,,7775.89,24760.0,4 HCPCS,0595U,Nfct ds tfp vctrbrn&zoonotic,,,262.99,381.34,3 HCPCS,0596T,Temp fml iu vlv-pmp 1st insj,,,747.24,5007.0,4 HCPCS,0597T,Temp fml iu valve-pmp rplcmt,,,747.24,5007.0,4 HCPCS,0598T,Ncntc r-t fluor wnd img 1st,,,231.39,793.35,4 HCPCS,0598U,Gi ibs igg antb 18food items,,,300.0,435.0,3 HCPCS,0599U,Onc pncrtc ca mult ia serum,,,897.0,1300.65,3 HCPCS,0600T,Hc Ire Abltj 1+Tum Organ Perq,24085.0,24085.0,,,0 HCPCS,0600T,Ire abltj 1+tum organ perq,,,11391.13,24760.0,4 HCPCS,0601T,Ire abltj 1+tumors open,,,11391.13,24760.0,4 HCPCS,0602T,Transdermal gfr measurements,,,603.99,603.99,1 HCPCS,0603T,Transdermal gfr monitoring,,,1524.12,1524.12,1 HCPCS,0604T,Rem oct rta dev setup&educaj,,,356.22,356.22,1 HCPCS,0605T,Rem oct rta techl sprt min 8,,,111.45,111.45,1 HCPCS,0606T,Rem oct rta phys/qhp ea 30d,,,86.88,86.88,1 HCPCS,0609T,Mrs disc pain acquisj data,,,255.69,690.39,4 HCPCS,0611T,Mrs disc pain alg alys data,,,255.69,690.39,4 HCPCS,0612T,Mrs discogenic pain i&r,,,84.78,84.78,1 HCPCS,0613T,Hc Perq Tcat Impltj Intratrl Septal Shunt Device,36956.0,36956.0,,,0 HCPCS,0613T,Perq tcat intratrl septl sht,,,10008.0,10008.0,1 HCPCS,0614T,Rmvl&rplcmt ss impl dfb pg,,,23836.63,78953.0,4 HCPCS,0615T,Eye mvmt alys w/o calbrj i&r,,,142.58,206.74,3 HCPCS,0616T,Insertion of iris prosthesis,,,11000.0,11000.0,1 HCPCS,0617T,Insj iris prosth w/rmvl&insj,,,22280.0,22280.0,1 HCPCS,0618T,Insj iris prosth sec io lens,,,22280.0,22280.0,1 HCPCS,0619T,Cysto w/prst8 commissurotomy,,,11000.0,11000.0,1 HCPCS,0620T,Evasc ven artlz tibl/prnl vn,,,36418.0,68441.49,4 HCPCS,0620T,Hc Endovascular Venous Arterialization Tibl/Prnl Vn,43320.0,43320.0,,,0 HCPCS,0621T,Trabeculostomy interno laser,,,4429.45,10008.0,4 HCPCS,0622T,Trabeculostomy int lsr w/scp,,,10008.0,10008.0,1 HCPCS,0627T,Perq njx algc fluor lmbr 1st,,,13758.17,24760.0,4 HCPCS,0628T,Perq njx algc fluor lmbr ea,,,3399.0,3399.0,1 HCPCS,0629T,Perq njx algc ct lmbr 1st,,,13758.17,24760.0,4 HCPCS,0630T,Perq njx algc ct lmbr ea,,,3399.0,3399.0,1 HCPCS,0632T,Perq tcat us abltj nrv p-art,,,19644.52,36418.0,4 HCPCS,0633T,Ct breast w/3d uni c-,,,112.03,326.91,4 HCPCS,0634T,Ct breast w/3d uni c+,,,187.96,535.65,4 HCPCS,0635T,Ct breast w/3d uni c-/c+,,,187.96,535.65,4 HCPCS,0636T,Ct breast w/3d bi c-,,,255.69,690.39,4 HCPCS,0637T,Ct breast w/3d bi c+,,,373.86,1104.36,4 HCPCS,0638T,Ct breast w/3d bi c-/c+,,,373.86,1104.36,4 HCPCS,0639T,Wrls skn snr anisotropy meas,,,252.27,252.27,1 HCPCS,0640T,Ncntc nr ifr spctrsc wnd,,,40.03,58.04,3 HCPCS,0643T,Hc Tcat L Ventr Rstrj Dev Implt,37906.0,37906.0,,,0 HCPCS,0643T,Tcat l ventr rstrj dev implt,,,10008.0,10008.0,1 HCPCS,0644T,Hc Tcat Rmvl/Dblk Icar Mas Perq,13126.0,13126.0,,,0 HCPCS,0644T,Tcat rmvl/dblk icar mas perq,,,6099.19,24760.0,4 HCPCS,0645T,Tcat impltj c sins rdctj dev,,,19644.52,36418.0,4 HCPCS,0646T,Hc Ttvi/Rplcmt W/Prstc Vlv Perq,7194.0,7194.0,,,0 HCPCS,0646T,Ttvi/rplcmt w/prstc vlv perq,,,10008.0,10008.0,1 HCPCS,0647T,Insj gtube perq mag gastrpxy,,,2056.34,7272.0,4 HCPCS,0648T,Quan mr alys tiss w/o mri,,,690.39,1445.62,4 HCPCS,0650T,Hc Prgrmg Dev Eval Scrms Remote,98.0,98.0,,,0 HCPCS,0650T,Prgrmg dev eval scrms remote,,,39.99,57.99,3 HCPCS,0651T,Mag ctrld capsule endoscopy,,,971.94,7272.0,4 HCPCS,0652T,Egd flx transnasal dx br/wa,,,2056.34,7272.0,4 HCPCS,0653T,Egd flx transnasal bx 1/ml,,,2056.34,7272.0,4 HCPCS,0654T,Egd flx transnasal tube/cath,,,4131.6,7272.0,4 HCPCS,0655T,Tprnl focal abltj mal prst8,,,5745.8,11000.0,4 HCPCS,0656T,Vrt bdy tethering ant,,,10008.0,27244.87,4 HCPCS,0657T,Vrt bdy tethering ant 8+ seg,,,10008.0,27244.87,4 HCPCS,0658T,Elec impd spectrsc 1+skn les,,,63.22,166.98,4 HCPCS,0659T,Hc Tcat Intra-C Nfs Supersat O2,6790.0,6790.0,,,0 HCPCS,0659T,Tcat intra-c nfs supersat o2,,,10008.0,10008.0,1 HCPCS,0660T,Implt ant sgm io nbio rx sys,,,4429.45,10008.0,4 HCPCS,0661T,Rmvl&Rimpltj ant sgm implt,,,4429.45,10008.0,4 HCPCS,0664T,Don hysterectomy open cdvr,,,10008.0,10008.0,1 HCPCS,0665T,Don hysterectomy open liv,,,10008.0,10008.0,1 HCPCS,0666T,Don hysterectomy laps liv,,,10008.0,10008.0,1 HCPCS,0667T,Don hysterectomy rcp uter,,,10008.0,10008.0,1 HCPCS,0668T,Bkbench prep don uter algrft,,,10008.0,10008.0,1 HCPCS,0669T,Bkbench rcnstj don uter ven,,,10008.0,10008.0,1 HCPCS,0670T,Bkbench rcnstj don uter artl,,,10008.0,10008.0,1 HCPCS,0671T,Insj ant sgm aq drg dev 1+,,,5702.41,11000.0,4 HCPCS,0672T,Ndovag cryg rf remdl tiss,,,10008.0,10008.0,1 HCPCS,0673T,Abltj b9 thyr ndul perq lasr,,,1769.88,7272.0,4 HCPCS,0674T,Laps insj nw/rpcmt prm isdss,,,10008.0,47948.14,4 HCPCS,0675T,Laps insj nw/rpcmt isdss 1ld,,,10008.0,17314.04,4 HCPCS,0676T,Laps insj nw/rpcmt isdss ea,,,10008.0,10008.0,1 HCPCS,0677T,Laps repos lead isdss 1st ld,,,10008.0,16517.13,4 HCPCS,0678T,Laps repos lead isdss ea add,,,10008.0,10008.0,1 HCPCS,0679T,Laps rmvl lead isdss,,,10008.0,16517.13,4 HCPCS,0680T,Insj/rplcmt pg only isdss,,,10008.0,30144.81,4 HCPCS,0681T,Rlcj pulse gen only isdss,,,3746.49,10008.0,4 HCPCS,0682T,Removal pulse gen only isdss,,,3746.49,10008.0,4 HCPCS,0683T,Prgrmg dev eval isdss ip,,,39.99,57.99,3 HCPCS,0685T,Interrog dev eval isdss ip,,,39.99,57.99,3 HCPCS,0686T,Hc Histotripsy Mal Hepatcel Tis,30366.0,30366.0,,,0 HCPCS,0686T,Histotripsy mal hepatcel tis,,,36712.02,53232.44,4 HCPCS,0689T,Quan us tis charac w/o dx us,,,93.26,866.39,5 HCPCS,0691T,Auto alys xst ct std vrt fx,,,25.41,25.41,1 HCPCS,0692T,Hc Therapeutic Ultrafiltration,1052.0,1052.0,,,0 HCPCS,0692T,Therapeutic ultrafiltration,,,1668.97,2420.0,3 HCPCS,0693T,Compre ful bdy 3d mtn alys,,,367.64,1051.5,4 HCPCS,0696T,Bdy surf mapg pm/cvdfb f/up,,,39.99,57.99,3 HCPCS,0697T,Quan mr tis wo mri mlt orgn,,,705.0,1445.62,4 HCPCS,0699T,Njx pst chmbr eye medication,,,2473.11,11000.0,4 HCPCS,0700T,Molec fluor img sus nev 1st,,,106.74,106.74,1 HCPCS,0701T,Molec fluor img sus nev ea,,,31.53,31.53,1 HCPCS,0707T,Njx b1 sub mtrl sbchdrl dfct,,,3506.34,14227.0,4 HCPCS,0708T,Id ca immntx prep & 1st njx,,,10008.0,10008.0,1 HCPCS,0709T,Id ca immntx each addl njx,,,10008.0,10008.0,1 HCPCS,0712T,N-nvs artl plaq alys quan,,,231.39,335.51,3 HCPCS,0714T,Tprnl lsr ablt b9 prst8 hypr,,,5745.8,11000.0,4 HCPCS,0715T,Hc Percutaneous Transluminal Coronary Lithotripsy,53974.0,53974.0,,,0 HCPCS,0716T,Car acous wavfrm rec cad rsk,,,63.22,3399.0,4 HCPCS,0717T,Adrc ther prtl rc tear,,,3797.52,14227.0,4 HCPCS,0718T,Adrc ther prtl rc tear njx,,,3797.52,14227.0,4 HCPCS,0719T,Pst vrt jt rplcmt lmbr 1 sgm,,,10008.0,10008.0,1 HCPCS,0720T,Hc Prq Elc Nrv Stim Cn Wo Implt-Pbb,2178.0,2178.0,,,0 HCPCS,0720T,Pr Perq Elec Nrv Field Stimj Cranial Nrvs Wo Impltj-Pbb,2734.0,2734.0,,,0 HCPCS,0720T,Prq elc nrv stim cn wo implt,,,7272.0,7272.0,1 HCPCS,0721T,Quan ct tiss charac w/o ct,,,682.31,1951.5,4 HCPCS,0722T,Hc Quan Ct Tiss Charac I&R W/Cncrnt Ct Exam,1627.0,1627.0,,,0 HCPCS,0722T,Quan ct tiss charac w/ct,,,682.31,989.35,3 HCPCS,0723T,Qmrcp w/o dx mri sm anat ses,,,996.98,2851.5,4 HCPCS,0725T,Vestibular dev impltj uni,,,10008.0,10008.0,1 HCPCS,0726T,Rmvl implt vstibular dev uni,,,10008.0,10008.0,1 HCPCS,0727T,Rmvl&rplcmt implt vstblr dev,,,10008.0,10008.0,1 HCPCS,0730T,Trabeculotomy lsr w/oct gdn,,,10008.0,10008.0,1 HCPCS,0731T,Augmnt ai-based fcl phnt a/r,,,63.22,91.66,3 HCPCS,0732T,Immntx admn electroporatn im,,,10008.0,10008.0,1 HCPCS,0735T,Prep tum cav iort prim crnot,,,3399.0,3399.0,1 HCPCS,0736T,Colonic lavage 35+l water,,,137.89,3399.0,4 HCPCS,0737T,Xenograft impltj artclr surf,,,10008.0,19949.35,4 HCPCS,0739T,Abltj mal prst8 mag fld ndct,,,10008.0,10008.0,1 HCPCS,0740T,Rem auton alg nsln cal setup,,,63.22,91.66,3 HCPCS,0741T,Rem auton alg nsln data coll,,,39.99,57.99,3 HCPCS,0743T,B1 str & fx rsk vrt fx assmt,,,255.69,725.16,4 HCPCS,0744T,Insj bioprostc vlv fem vn,,,5963.01,24760.0,4 HCPCS,0745T,Car ablt rad arr n-invas loc,,,10008.0,10008.0,1 HCPCS,0746T,Car ablt rad arr cnv loc map,,,10008.0,10008.0,1 HCPCS,0747T,Car ablt rad arrhyt dlvr rad,,,10008.0,10008.0,1 HCPCS,0748T,Njx stm cl prdct anl sft tis,,,10008.0,10008.0,1 HCPCS,0764T,Asstv alg ecg rsk asmt cncrt,,,105.08,206.74,4 HCPCS,0765T,Asstv alg ecg rsk asmt prev,,,105.08,206.74,4 HCPCS,0766T,Tc mag stimj pn 1st tx 1nrv,,,231.39,335.51,3 HCPCS,0778T,Smmg cncrnt appl imu snr,,,58.72,436.29,5 HCPCS,0779T,Gi myoelectrical actv study,,,399.88,579.83,3 HCPCS,0780T,Instlj fecal microbiota ssp,,,142.58,3399.0,4 HCPCS,0781T,Brnchsc rf dstrj pulm nrv bi,,,10008.0,10008.0,1 HCPCS,0782T,Brnchsc rf dstrj plm nrv uni,,,10008.0,10008.0,1 HCPCS,0783T,Tc auriculr neurostimulation,,,137.89,199.94,3 HCPCS,0784T,Ins/rplmt eltrd ra spi nstim,,,11940.72,36418.0,4 HCPCS,0785T,Revj/rmvl nea spi w/nstim,,,3746.49,14227.0,4 HCPCS,0786T,Insj/rplcmt prq ra sac nstim,,,11940.72,36418.0,4 HCPCS,0787T,Revj/rmvl nea sac w/nstim,,,3746.49,14227.0,4 HCPCS,0788T,Elec aly smp iins sp/sac nrv,,,101.88,147.73,3 HCPCS,0789T,Elec aly cpx iins sp/sac nrv,,,101.88,147.73,3 HCPCS,0790T,Revj rplcmt/rmvl vrt tethrg,,,10008.0,27244.87,4 HCPCS,0793T,Prq tcat thrm ablt nrv p-art,,,19644.52,36418.0,4 HCPCS,0794T,Pt spec alg rx-onc tx option,,,63.22,3399.0,4 HCPCS,0795T,Hc Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys,44092.0,44092.0,,,0 HCPCS,0795T,Tcat ins 2chmbr ldls pm cmpl,,,20641.19,36418.0,4 HCPCS,0796T,Hc Tcat Insj Perm 2Chmbr Ldls Pm R Atr Pm Compnt,44092.0,44092.0,,,0 HCPCS,0796T,Tcat ins 2chmbr ldls pm ra,,,20641.19,36418.0,4 HCPCS,0797T,Hc Tcat Insj Perm 2Chmbr Ldls Pm R Ventr Pm Compnt,44092.0,44092.0,,,0 HCPCS,0797T,Tcat ins 2chmbr ldls pm rv,,,20641.19,36418.0,4 HCPCS,0798T,Tcat rmv 2chmbr ldls pm cmpl,,,3383.62,14227.0,4 HCPCS,0799T,Hc Tcat Rmvl Perm 2Chmbr Ldls Pm R Atr Pm Compnt,7476.0,7476.0,,,0 HCPCS,0799T,Tcat rmvl 2chmbr ldls pm ra,,,3383.62,14227.0,4 HCPCS,0800T,Tcat rmvl 2chmbr ldls pm rv,,,3383.62,14227.0,4 HCPCS,0801T,Tcat rmv&rpl 2chmbr ldls pm,,,20641.19,36418.0,4 HCPCS,0802T,Tcat rmv&rpl2chmb ldls pm ra,,,20641.19,36418.0,4 HCPCS,0803T,Tcat rmv&rpl2chmb ldls pm rv,,,20641.19,36418.0,4 HCPCS,0804T,Prgrmg evl ldls pm 2chmbr ip,,,39.99,57.99,3 HCPCS,0805T,Tcat s&ivc prstc vl impl prq,,,10008.0,10008.0,1 HCPCS,0806T,Tcat s&ivc prstc vl impl opn,,,10008.0,10008.0,1 HCPCS,0807T,Pulm tiss vntj alys prev ct,,,231.39,436.29,4 HCPCS,0808T,Pulm tiss vntj alys w/ct,,,231.39,840.18,4 HCPCS,0810T,Subrta njx rx agt w/vtrc,,,4458.35,22280.0,4 HCPCS,0811T,Rem mlt day uroflow setup,,,142.67,206.87,3 HCPCS,0812T,Rem mlt day uroflow dev sply,,,137.89,199.94,3 HCPCS,0813T,Egd vol adjmt bariatric balo,,,971.94,7272.0,4 HCPCS,0814T,Prq njx biod osteo matrl fem,,,10008.0,10008.0,1 HCPCS,0815T,Us rems b1 dns hips plvs/spi,,,507.91,507.91,1 HCPCS,0816T,Opn insj/rplcmt ins ptn subq,,,20789.52,36418.0,4 HCPCS,0817T,Opn insj/rplcmt ins ptn subf,,,20789.52,36418.0,4 HCPCS,0818T,Revj/rmvl ins ptn subq,,,3746.49,14227.0,4 HCPCS,0819T,Revj/rmvl ins ptn subf,,,3746.49,14227.0,4 HCPCS,0823T,Hc Tcat Insj Perm 1Chmbr Ldls Pacemaker R Atrial,44092.0,44092.0,,,0 HCPCS,0823T,Tcat ins 1chmbr ldls pm ra,,,20641.19,36418.0,4 HCPCS,0824T,Tcat rmv 1chmbr ldls pm ra,,,3383.62,14227.0,4 HCPCS,0825T,Tcat rmv&rpl1chmb ldls pm ra,,,20641.19,36418.0,4 HCPCS,0826T,Prgrmg evl ldls pm 1chmbr ip,,,39.99,57.99,3 HCPCS,0857T,Opto-acoustic img breast uni,,,112.03,314.25,5 HCPCS,0861T,Rmvl pg wcs lv both compnt,,,4004.6,14227.0,4 HCPCS,0862T,Rlcj pg wcs lv battery only,,,2211.05,7272.0,4 HCPCS,0863T,Rlcj pg wcs lv trnsmtr only,,,2211.05,7272.0,4 HCPCS,0864T,Low ntsty eswt corpus cvrnsm,,,267.74,388.23,3 HCPCS,0865T,Quan mri alys brn w/o dx mri,,,255.69,700.41,4 HCPCS,0866T,Quan mri alys brn w/dx mri,,,255.69,700.41,4 HCPCS,0867T,Tpla b9 prst8 hyprplsa>=50ml,,,5745.8,24760.0,4 HCPCS,0868T,Hi-res gastric ep mapping,,,399.88,579.83,3 HCPCS,0869T,Njx b1 sub mtrl hw fixj aug,,,3506.34,14227.0,4 HCPCS,0870T,Imp subq prtl ascts pmp sys,,,10008.0,10008.0,1 HCPCS,0871T,Rplcmt subq prtl ascites pmp,,,10008.0,10008.0,1 HCPCS,0872T,Rplcmt ndwllg bldr&prtl cath,,,10008.0,10008.0,1 HCPCS,0873T,Revj subq prtl asct pmp sys,,,10008.0,10008.0,1 HCPCS,0874T,Rmvl pertl ascites pmp sys,,,10008.0,10008.0,1 HCPCS,0877T,Augmnt alys ch ct ild w/o ct,,,682.31,989.35,3 HCPCS,0878T,Augmnt alys ch ct ild w/ct,,,682.31,989.35,3 HCPCS,0881T,Cryotherapy oral cavity,,,478.72,694.14,3 HCPCS,0882T,Intraop ther estim pn ue 1st,,,3399.0,3399.0,1 HCPCS,0883T,Intraop ther estim pn ue ea,,,3399.0,3399.0,1 HCPCS,0884T,Esphgsc flx 1st tndsc dilat,,,6505.69,14227.0,4 HCPCS,0885T,Colsc flx 1st tndsc dilat,,,6505.69,14227.0,4 HCPCS,0886T,Sgmdsc flx 1st tndsc dilat,,,6505.69,14227.0,4 HCPCS,0888T,Histotripsy mal renal tissue,,,18356.27,52501.5,4 HCPCS,0893T,N-invas assmt bld oxygnation,,,142.58,206.74,3 HCPCS,0894T,Cannulation liver allograft,,,10008.0,10008.0,1 HCPCS,0897T,N-invas augmnt arrhyt alys,,,920.24,1334.35,3 HCPCS,0898T,N-invas prst8 cancer est map,,,920.24,1334.35,3 HCPCS,0902T,Qtc ntrvl augmnt alg aly ecg,,,142.58,206.74,3 HCPCS,0904T,Ecg alg 12 ld rdcd trcg only,,,63.22,91.66,3 HCPCS,0906T,Coms ther 1st appl<=50 sq cm,,,215.0,311.76,3 HCPCS,0908T,Opn imp int nstm sys vgs nrv,,,33067.68,47948.14,3 HCPCS,0909T,Rplcmt int nstim sys vgs nrv,,,33067.68,47948.14,3 HCPCS,0910T,Rmvl int nstim sys vagus nrv,,,3746.49,5432.41,3 HCPCS,0911T,Elec aly nstm sys vgs nrv wo,,,63.22,91.66,3 HCPCS,0912T,Elec alys nstim sys vgs smpl,,,101.88,147.73,3 HCPCS,0913T,Hc Prq Tcat Ther Rx Ntrac Balo1,13541.0,13541.0,,,0 HCPCS,0913T,Prq tcat ther rx ntrac balo1,,,12370.97,17937.9,3 HCPCS,0914T,Hc Prq Tcat Thr Rx Ntrc Bal Sep,6771.0,6771.0,,,0 HCPCS,0915T,Insj perm ccm-d sys pg&eltrd,,,33636.89,48773.49,3 HCPCS,0916T,Insj perm ccm-d sys pg only,,,23836.63,34563.11,3 HCPCS,0917T,Insj perm ccm-d sys 1 lead,,,8868.06,12858.69,3 HCPCS,0918T,Insj perm ccm-d sys dual ld,,,8868.06,12858.69,3 HCPCS,0919T,Rmvl perm ccm-d sys pg only,,,4004.6,5806.66,3 HCPCS,0920T,Rmvl perm ccm-d sys 1 pac ld,,,4004.6,5806.66,3 HCPCS,0921T,Rmvl perm ccm-d sys 1 dfb ld,,,4004.6,5806.66,3 HCPCS,0922T,Rmvl perm ccm-d sys dual ld,,,4004.6,5806.66,3 HCPCS,0923T,Rmvl&rplcmt perm ccm-d pg,,,23836.63,34563.11,3 HCPCS,0924T,Rpos prv ccm-d trnsvns eltrd,,,672.23,974.73,3 HCPCS,0925T,Rlcj skin pocket ccm-d pg,,,2211.05,3206.02,3 HCPCS,0926T,Prgrmg dev eval ccm-d ip,,,39.99,57.99,3 HCPCS,0927T,Interrog dev eval ccm-d ip,,,39.99,57.99,3 HCPCS,0929T,Rem interrog dev ccm-d tech,,,39.99,57.99,3 HCPCS,0932T,Hc N-Invs Det Hrt Fail Aug Echo,705.0,705.0,,,0 HCPCS,0932T,N-invs det hrt fail aug echo,,,329.13,477.24,3 HCPCS,0933T,Tcat impl wrls l atr prs snr,,,3474.11,5037.47,3 HCPCS,0944T,3d cntr simula trgt lvr les,,,255.69,725.16,4 HCPCS,0946T,Ortho impl mvmt alys pair ct,,,112.03,319.02,4 HCPCS,0949T,Rem interrog dev ccm tech,,,39.99,57.99,3 HCPCS,0950T,Abltj b9 prst8 tissue hifu,,,10144.44,14709.43,3 HCPCS,0957T,Rev s-sclp eltr ra rcvr&tlmt,,,1723.15,2498.57,3 HCPCS,0958T,Rmv s-sclp eltr ra rcvr&tlmt,,,3506.34,5084.19,3 HCPCS,0959T,Rmv/rplc magnet coil assem,,,1769.88,2566.33,3 HCPCS,0962T,Asstv alg alys acous&ecg rec,,,142.58,206.74,3 HCPCS,0963T,Anosc sbmcsl njx bulking agt,,,1282.34,1859.4,3 HCPCS,0964T,I&cust prep jaw xpnsj 1arch,,,3552.91,5151.72,3 HCPCS,0965T,I&cst prp jw xpn dl arch non,,,3552.91,5151.72,3 HCPCS,0966T,I&cst prp jw xpn dl arch fxd,,,3552.91,5151.72,3 HCPCS,0967T,Tranal ins tmp clrc anst dev,,,1282.34,1859.4,3 HCPCS,0970T,Ablt b9 brst tum perq lsr ea,,,4195.85,6083.99,3 HCPCS,0971T,Ablt mal brst tum pq lsr uni,,,4195.85,6083.99,3 HCPCS,0973T,Slctv nzmtc dbrdmt t/a/l 1st,,,435.63,631.66,3 HCPCS,0975T,Slctv nzmtc dbrdmt s/n/hf 1,,,435.63,631.66,3 HCPCS,0977T,Upr gi bld detcj snr capsule,,,971.94,1409.32,3 HCPCS,0981T,Tcat impl wrls ivc snr,,,19644.52,28484.56,3 HCPCS,0982T,Rem mntr impl ivc snr set-up,,,142.67,206.87,3 HCPCS,0983T,Rem mntr impl ivc snr phys,,,39.99,57.99,3 HCPCS,0989T,Revj/rmvl ins ptn subq&subf,,,3746.49,5432.41,3 HCPCS,0991T,Cysto lo-nrg lithtrp&mcrsphr,,,10144.44,14709.43,3 HCPCS,0992T,N-invas assmt car rsk w/o ct,,,255.69,370.75,3 HCPCS,0993T,N-invas assmt car rsk w/ct,,,255.69,370.75,3 HCPCS,0996T,Ins&sclr fix caps bag prosth,,,2473.11,3586.01,3 HCPCS,10004,Fna bx w/o img gdn ea addl,,,3399.0,3399.0,1 HCPCS,10004,Hc Fna Bx W/O Img Gdn Ea Addl Lesion,163.0,163.0,,,0 HCPCS,10004,Hc Fna Bx W/O Img Gdn Ea Addl Lesion-Pbb,571.5,571.5,,,0 HCPCS,10004,Pr Fine Needle Aspiration Bx W/O Img Gdn Ea Addl-Pbb,817.0,817.0,,,0 HCPCS,10005,Fna bx w/us gdn 1st les,,,758.85,5007.0,4 HCPCS,10005,"Hc Fine Needle Aspiration Biopsy, Incl Us Guidance First Lesion",5462.0,5462.0,,,0 HCPCS,10005,"Hc Fine Needle Aspiration Biopsy, Incl Us Guidance First Lesion-Pbb",6208.5,6208.5,,,0 HCPCS,10005,Pr Fine Needle Aspiration Bx W/Us Gdn 1St Lesion-Pbb,1493.0,1493.0,,,0 HCPCS,10006,Fna bx w/us gdn ea addl,,,3399.0,3399.0,1 HCPCS,10006,"Hc Fine Needle Aspiration Biopsy, Incl Us Guidance Each Addtl Lesion",3302.0,3302.0,,,0 HCPCS,10006,"Hc Fine Needle Aspiration Biopsy, Incl Us Guidance Each Addtl Lesion-Pbb",3814.5,3814.5,,,0 HCPCS,10006,Pr Fine Needle Aspiration Bx W/Us Gdn Ea Addl-Pbb,1025.0,1025.0,,,0 HCPCS,10007,Fna bx w/fluor gdn 1st les,,,758.85,5007.0,4 HCPCS,10007,"Hc Fine Needle Aspiration Biopsy, Incl Fluor Guide First Lesion",4663.0,4663.0,,,0 HCPCS,10008,Fna bx w/fluor gdn ea addl,,,3399.0,3399.0,1 HCPCS,10008,"Hc Fine Needle Aspiration Biopsy, Incl Fluor Guide Each Addtl Lesion",3302.0,3302.0,,,0 HCPCS,10009,Fna bx w/ct gdn 1st les,,,758.85,5007.0,4 HCPCS,10009,"Hc Fine Needle Aspiration Biopsy, Incl Ct Guide First Lesion",9619.0,9619.0,,,0 HCPCS,10010,Fna bx w/ct gdn ea addl,,,3399.0,3399.0,1 HCPCS,10010,"Hc Fine Needle Aspiration Biopsy, Incl Ct Guide Each Addtl Lesion",3302.0,3302.0,,,0 HCPCS,10011,Fna bx w/mr gdn 1st les,,,758.85,5007.0,4 HCPCS,10011,"Hc Fine Needle Aspiration Biopsy, Incl Mri Guide First Lesion",20480.0,20480.0,,,0 HCPCS,10012,Fna bx w/mr gdn ea addl,,,3399.0,3399.0,1 HCPCS,10012,"Hc Fine Needle Aspiration Biopsy, Incl Mri Guide Each Addtl Lesion",3302.0,3302.0,,,0 HCPCS,10021,Fna w/o image,,,435.63,3399.0,4 HCPCS,10021,Hc Fine Needle Aspiration; Without Imaging Guidance,2118.0,2118.0,,,0 HCPCS,10021,Hc Fine Needle Aspiration; Without Imaging Guidance-Pbb,2643.5,2643.5,,,0 HCPCS,10021,Pr Fine Needle Aspiration Bx W/O Img Gdn 1St Lesion-Pbb,1051.0,1051.0,,,0 HCPCS,1002T,Air displacmnt plethysmograp,,,30.99,44.94,3 HCPCS,10030,Guide cathet fluid drainage,,,758.85,5007.0,4 HCPCS,10030,"Hc Image-Guided Fluid Collection Drainage By Catheter, Soft Tissue, Percutaneous",1733.0,1733.0,,,0 HCPCS,10035,"Hc Place Soft Tissue Local Devize, Percutaneous, Image, 1St Lesion",1789.0,1789.0,,,0 HCPCS,10035,"Hc Place Soft Tissue Local Devize, Percutaneous, Image, 1St Lesion-Pbb",2143.5,2143.5,,,0 HCPCS,10035,Perq dev soft tiss 1st imag,,,758.85,5007.0,4 HCPCS,10035,Pr Plmt Sft Tiss Loclzj Dev Perq 1St Lesion-Pbb,710.0,710.0,,,0 HCPCS,10036,"Hc Place Soft Tissue Local Devize, Perc, Image Guide, Ea Add Lesion",1789.0,1789.0,,,0 HCPCS,10036,Perq dev soft tiss add imag,,,3399.0,3399.0,1 HCPCS,1003T,Arthrp 1st crp/mtcrpl prostc,,,13758.17,19949.35,3 HCPCS,10040,Acne surgery,,,215.0,3399.0,4 HCPCS,10040,Hc Acne Surgery,678.0,678.0,,,0 HCPCS,10040,Hc Acne Surgery Acne Scarring Cash,150.0,150.0,,,0 HCPCS,10040,"Hc Acne Surgery Acne Scarring Cash-Csm,Pbb",150.0,150.0,,,0 HCPCS,10040,Hc Acne Surgery-Pbb,1197.5,1197.5,,,0 HCPCS,10040,Pr Acne Surgery-Pbb,1039.0,1039.0,,,0 HCPCS,1004T,Elec alys s-scl eeg wo prgrm,,,142.58,206.74,3 HCPCS,1005T,Elec alys s-scl eeg prgr 1st,,,101.88,147.73,3 HCPCS,10060,Drainage of skin abscess,,,215.0,3399.0,4 HCPCS,10060,Hc I&D Of Abcess Simple/Single,1266.0,1266.0,,,0 HCPCS,10060,Hc I&D Of Abcess Simple/Single-Pbb,1665.0,1665.0,,,0 HCPCS,10060,Pr Incision & Drainage Abscess Simple/Single-Pbb,798.0,798.0,,,0 HCPCS,10061,Drainage of skin abscess,,,435.63,3399.0,4 HCPCS,10061,Hc Drainage Of Skin Abscess,1649.0,1649.0,,,0 HCPCS,10061,Hc Drainage Of Skin Abscess-Pbb,2439.5,2439.5,,,0 HCPCS,10061,Pr Incision & Drainage Abscess Complicated/Multiple-Pbb,1582.0,1582.0,,,0 HCPCS,10080,Drainage of pilonidal cyst,,,758.85,5007.0,4 HCPCS,10080,"Hc I&D Pilonidal Cyst, Simple",1030.0,1030.0,,,0 HCPCS,10080,"Hc I&D Pilonidal Cyst, Simple-Pbb",1551.0,1551.0,,,0 HCPCS,10080,Pr Incision & Drainage Pilonidal Cyst Simple-Pbb,1043.0,1043.0,,,0 HCPCS,10081,Drainage of pilonidal cyst,,,758.85,5007.0,4 HCPCS,10081,Hc I&D Of Pilonidal Cyst; Complicated,2375.0,2375.0,,,0 HCPCS,1008T,Rem mntr s-scl eeg sys setup,,,142.67,206.87,3 HCPCS,1010T,Cptr oph alys monoc eye mvmt,,,142.58,206.74,3 HCPCS,10120,"Hc Incision And Removal Of Foreign Body, Subcutaneous Tissues; Simple",1912.0,1912.0,,,0 HCPCS,10120,"Hc Incision And Removal Of Foreign Body, Subcutaneous Tissues; Simple-Pbb",2389.0,2389.0,,,0 HCPCS,10120,Pr Incision & Removal Foreign Body Subq Tiss Simple-Pbb,954.0,954.0,,,0 HCPCS,10120,Remove foreign body,,,435.63,3399.0,4 HCPCS,10121,"Hc Incision And Removal Of Foreign Body, Subcutaneous Tissues; Complicated",6876.0,6876.0,,,0 HCPCS,10121,"Hc Incision And Removal Of Foreign Body, Subcutaneous Tissues; Complicated-Pbb",7964.5,7964.5,,,0 HCPCS,10121,Pr Incision & Removal Foreign Body Subq Tiss Comp-Pbb,2177.0,2177.0,,,0 HCPCS,10121,Remove foreign body,,,1769.88,7272.0,4 HCPCS,1012T,Mtrz ab ntrno trph scl/tr mw,,,4429.45,6422.71,3 HCPCS,1013T,Lap srg imp/rpl eso nea&pg/r,,,20789.52,30144.81,3 HCPCS,10140,Drainage of hematoma/fluid,,,1769.88,7272.0,4 HCPCS,10140,"Hc Incision And Drainage Of Hematoma, Seroma Or Fluid Collection",9463.0,9463.0,,,0 HCPCS,10140,"Hc Incision And Drainage Of Hematoma, Seroma Or Fluid Collection-Pbb",10053.5,10053.5,,,0 HCPCS,10140,Pr I&D Hematoma Seroma/Fluid Collection-Pbb,1181.0,1181.0,,,0 HCPCS,1014T,Lap rv/rmv eso sph nstm eltr,,,11940.72,17314.04,3 HCPCS,1015T,Rev/rmv lw esoph sphnc npg/r,,,3746.49,5432.41,3 HCPCS,10160,"Hc Puncture Aspiration Of Abscess, Hematoma, Bulla Or Cyst",1152.0,1152.0,,,0 HCPCS,10160,"Hc Puncture Aspiration Of Abscess, Hematoma, Bulla Or Cyst-Pbb",1560.0,1560.0,,,0 HCPCS,10160,Pr Puncture Aspiration Abscess Hematoma Bulla/Cyst-Pbb,816.0,816.0,,,0 HCPCS,10160,Puncture drainage of lesion,,,435.63,3399.0,4 HCPCS,1017T,Elec aly npgs esoph sbsq w/o,,,63.22,91.66,3 HCPCS,10180,Complex drainage wound,,,3112.75,11000.0,4 HCPCS,10180,"Hc Incision And Drainage, Complex, Postoperative Wound Infection",10716.0,10716.0,,,0 HCPCS,10180,"Hc Incision And Drainage, Complex, Postoperative Wound Infection-Pbb",11759.0,11759.0,,,0 HCPCS,10180,Pr Incision & Drainage Complex Po Wound Infection-Pbb,2086.0,2086.0,,,0 HCPCS,1018T,Elec alys npgs esoph sbsq w/,,,39.99,57.99,3 HCPCS,1019T,Lymphovenous bypass per xtr,,,7115.73,10317.8,3 HCPCS,1020T,Raman spectroscopy 1+skn les,,,63.22,91.66,3 HCPCS,1021T,Active thrc irrigation spx,,,672.23,974.73,3 HCPCS,1025T,Alt elec fld dos&dlv sim mdl,,,144.03,208.85,3 HCPCS,11000,Debride infected skin,,,435.63,3399.0,4 HCPCS,11000,Hc Debridement Of Extensive Eczematous Or Infected Skin; Up To 10% Of Body Surface,5422.0,5422.0,,,0 HCPCS,11000,Hc Debridement Of Extensive Eczematous Or Infected Skin; Up To 10% Of Body Surface-Pbb,5669.5,5669.5,,,0 HCPCS,11000,Pr Dbrdmt Extensv Eczmt/Infct Skin Up 10% Bdy Surf-Pbb,496.0,496.0,,,0 HCPCS,11001,Debride infected skin add-on,,,3399.0,3399.0,1 HCPCS,11001,"Hc Debridement Of Extensive Eczematous Or Infected Skin; Ea Add 10% Of Body Surface, Or Part Thereof",455.0,455.0,,,0 HCPCS,11001,Pr Dbrdmt Extnsve Eczmt/Infct Skn Ea Addl 10%-Pbb,278.0,278.0,,,0 HCPCS,11004,Debride genitalia & perineum,,,10008.0,10008.0,1 HCPCS,11005,Debride abdom wall,,,10008.0,10008.0,1 HCPCS,11006,Debride genit/per/abdom wall,,,10008.0,10008.0,1 HCPCS,11008,Remove mesh from abd wall,,,14227.0,14227.0,1 HCPCS,11010,Debride skin at fx site,,,758.85,5007.0,4 HCPCS,11011,Debride skin musc at fx site,,,758.85,5007.0,4 HCPCS,11012,Deb skin bone at fx site,,,3112.75,5007.0,4 HCPCS,11012,"Hc Debridemen, Including Removal Of Foreign Material At Site Of Open Fracture And/Or Open Dislocatio",9142.0,9142.0,,,0 HCPCS,11042,Deb subq tissue 20 sq cm/<,,,435.63,3399.0,4 HCPCS,11042,"Hc Debridement, Subcutaneous Tissue, First 20 Sq Cm Or Less",3446.0,3446.0,,,0 HCPCS,11042,"Hc Debridement, Subcutaneous Tissue, First 20 Sq Cm Or Less-Pbb",3883.0,3883.0,,,0 HCPCS,11042,Pr Debridement Subcutaneous Tissue 1St 20 Sq Cm/<-Pbb,874.0,874.0,,,0 HCPCS,11043,Deb musc/fascia 20 sq cm/<,,,792.0,3399.0,4 HCPCS,11043,"Hc Debridement, Muscle And/Or Fascia; First 20 Sq Cm Or Less",3781.0,3781.0,,,0 HCPCS,11043,"Hc Debridement, Muscle And/Or Fascia; First 20 Sq Cm Or Less-Pbb",5148.0,5148.0,,,0 HCPCS,11043,Pr Debridement Muscle &/Fascia 1St 20 Sq Cm/<-Pbb,2734.0,2734.0,,,0 HCPCS,11044,Deb bone 20 sq cm/<,,,1769.88,5007.0,4 HCPCS,11044,"Hc Debridement; Skin, Subq Tissue, Muscle, & Bone",5143.0,5143.0,,,0 HCPCS,11044,"Hc Debridement; Skin, Subq Tissue, Muscle, & Bone-Pbb",6366.5,6366.5,,,0 HCPCS,11044,Pr Debridement Bone 1St 20 Sq Cm/<-Pbb,2447.0,2447.0,,,0 HCPCS,11044,aspirin: 12 PACKET in 1 CARTON (0574-7036-12) / 1 SUPPOSITORY in 1 PACKET,2.3,2.3,,,0 HCPCS,11045,Deb subq tissue add-on,,,3399.0,3399.0,1 HCPCS,11045,"Hc Debridement, Subcutaneous Tissue, Each Additional 20 Sq Cm, Or Part Thereof",1410.0,1410.0,,,0 HCPCS,11045,"Hc Debridement, Subcutaneous Tissue, Each Additional 20 Sq Cm, Or Part Thereof-Pbb",1796.0,1796.0,,,0 HCPCS,11045,Pr Debridement Subcutaneous Tissue Ea Addl 20 Sq Cm-Pbb,772.0,772.0,,,0 HCPCS,11046,Deb musc/fascia add-on,,,3399.0,3399.0,1 HCPCS,11046,"Hc Debridement, Muscle And/Or Fascia; Ea Addtl 20 Sq Cm",1855.0,1855.0,,,0 HCPCS,11046,"Hc Debridement, Muscle And/Or Fascia; Ea Addtl 20 Sq Cm-Pbb",2154.0,2154.0,,,0 HCPCS,11046,Pr Debridement Muscle &/Fascia Ea Addl 20 Sq Cm-Pbb,598.0,598.0,,,0 HCPCS,11047,Deb bone add-on,,,3399.0,3399.0,1 HCPCS,11047,Hc Deb Bone Add-On =<20 Sq Cm,2572.0,2572.0,,,0 HCPCS,11047,Hc Deb Bone Add-On =<20 Sq Cm-Pbb,3071.0,3071.0,,,0 HCPCS,11047,Pr Debridement Bone Each Additional 20 Sq Cm-Pbb,998.0,998.0,,,0 HCPCS,11055,Hc Paring Or Cutting Of Benign Hyperkeratotic Lesion; Single Lesion,439.0,439.0,,,0 HCPCS,11055,Hc Paring Or Cutting Of Benign Hyperkeratotic Lesion; Single Lesion-Pbb,529.0,529.0,,,0 HCPCS,11055,Pr Paring/Cutting Benign Hyperkeratotic Lesion 1-Pbb,180.0,180.0,,,0 HCPCS,11055,Trim skin lesion,,,215.0,3399.0,4 HCPCS,11056,Hc Paring Or Cutting Of Benign Hyperkeratotic Lesion; 2 To 4 Lesions,504.0,504.0,,,0 HCPCS,11056,Hc Paring Or Cutting Of Benign Hyperkeratotic Lesion; 2 To 4 Lesions-Pbb,616.0,616.0,,,0 HCPCS,11056,Pr Paring/Cutting Benign Hyperkeratotic Lesion 2-4-Pbb,224.0,224.0,,,0 HCPCS,11056,Trim skin lesions 2 to 4,,,215.0,3399.0,4 HCPCS,11057,Hc Paring Or Cutting Of Benign Hyperkeratotic Lesion; More Than 4 Lesions,746.0,746.0,,,0 HCPCS,11057,Hc Paring Or Cutting Of Benign Hyperkeratotic Lesion; More Than 4 Lesions-Pbb,904.0,904.0,,,0 HCPCS,11057,Pr Paring/Cutting Benign Hyperkeratotic Lesion >4-Pbb,316.0,316.0,,,0 HCPCS,11057,Trim skin lesions over 4,,,215.0,3399.0,4 HCPCS,11102,Hc Tangential Biopsy Of Skin; Single Lesion,1163.0,1163.0,,,0 HCPCS,11102,Hc Tangential Biopsy Of Skin; Single Lesion-Pbb,1371.5,1371.5,,,0 HCPCS,11102,Pr Tangential Biopsy Skin Single Lesion-Pbb,418.0,418.0,,,0 HCPCS,11102,Tangntl bx skin single les,,,435.63,3399.0,4 HCPCS,11103,Hc Tangential Biopsy Of Skin; Each Separate/Addtl Lesion,670.0,670.0,,,0 HCPCS,11103,Hc Tangential Biopsy Of Skin; Each Separate/Addtl Lesion-Pbb,790.5,790.5,,,0 HCPCS,11103,Pr Tangential Biopsy Skin Ea Sep/Additional Lesion-Pbb,241.0,241.0,,,0 HCPCS,11103,Tangntl bx skin ea sep/addl,,,3399.0,3399.0,1 HCPCS,11104,"Hc Punch Biopsy Cash-Csm,Pbb",75.0,75.0,,,0 HCPCS,11104,Hc Punch Biopsy Of Skin; Single Lesion,1163.0,1163.0,,,0 HCPCS,11104,Hc Punch Biopsy Of Skin; Single Lesion-Pbb,1425.5,1425.5,,,0 HCPCS,11104,Pr Punch Biopsy Skin Single Lesion-Pbb,526.0,526.0,,,0 HCPCS,11104,Punch bx skin single lesion,,,435.63,3399.0,4 HCPCS,11105,Hc Punch Biopsy Of Skin; Each Separate/Addtl Lesion,670.0,670.0,,,0 HCPCS,11105,Hc Punch Biopsy Of Skin; Each Separate/Addtl Lesion-Pbb,812.5,812.5,,,0 HCPCS,11105,Pr Punch Biopsy Skin Ea Sep/Additional Lesion-Pbb,286.0,286.0,,,0 HCPCS,11105,Punch bx skin ea sep/addl,,,3399.0,3399.0,1 HCPCS,11106,Hc Incisional Biopsy Of Skin; Single Lesion,1714.0,1714.0,,,0 HCPCS,11106,Hc Incisional Biopsy Of Skin; Single Lesion-Pbb,2035.0,2035.0,,,0 HCPCS,11106,Incal bx skn single les,,,792.0,5007.0,4 HCPCS,11106,Pr Incisional Biopsy Skin Single Lesion-Pbb,642.0,642.0,,,0 HCPCS,11107,"Hc Incisional Biopsy Of Skin, Each Separate/Addtl Lesion",917.0,917.0,,,0 HCPCS,11107,"Hc Incisional Biopsy Of Skin, Each Separate/Addtl Lesion-Pbb",1088.0,1088.0,,,0 HCPCS,11107,Incal bx skn ea sep/addl,,,3399.0,3399.0,1 HCPCS,11107,Pr Incisional Biopsy Skin Ea Sep/Additional Lesion-Pbb,342.0,342.0,,,0 HCPCS,1111F,Pr Dischrg Meds Reconciled W/Current Med List,0.01,0.01,,,0 HCPCS,1111F,Pr Dischrg Meds Reconciled W/Current Med List-Pbb,0.01,0.01,,,0 HCPCS,11200,"Hc Removal Of Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Up To And Including 15 Lesions",650.0,650.0,,,0 HCPCS,11200,"Hc Removal Of Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Up To And Including 15 Lesions-Pbb",1008.5,1008.5,,,0 HCPCS,11200,Hc Skin Tag Removal 1 To 15 Cash,150.0,150.0,,,0 HCPCS,11200,"Hc Skin Tag Removal 1 To 15 Cash-Csm,Pbb",150.0,150.0,,,0 HCPCS,11200,Pr Rmvl Skin Tags Mlt Fibrq Tags Any Up To&Inc 15-Pbb,716.0,716.0,,,0 HCPCS,11200,Removal of skin tags 2.0 Cm-Pbb,894.0,894.0,,,0 HCPCS,11303,Shave skin lesion >2.0 cm,,,435.63,3399.0,4 HCPCS,11305,"Hc Shaving Of Epiderm Or Dermal Les, Single Les, Scalp, Neck, Hands, Feet, Genitalia; 0.5Cm Or Less",622.0,622.0,,,0 HCPCS,11305,"Hc Shaving Of Epiderm Or Dermal Les, Single Les, Scalp, Neck, Hands, Feet, Genitalia; 0.5Cm Or Less-",896.0,896.0,,,0 HCPCS,11305,Pr Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/<-Pbb,548.0,548.0,,,0 HCPCS,11305,Shave skin lesion 0.5 cm/<,,,215.0,3399.0,4 HCPCS,11306,"Hc Shaving Of Epiderm Or Dermal Les, Single Les, Scalp, Neck, Hands, Feet, Genitalia; 0.6 To 1.0 Cm",773.0,773.0,,,0 HCPCS,11306,"Hc Shaving Of Epiderm Or Dermal Les, Single Les, Scalp, Neck, Hands, Feet, Genitalia; 0.6 To 1.0 Cm-",1105.5,1105.5,,,0 HCPCS,11306,Pr Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm-Pbb,665.0,665.0,,,0 HCPCS,11306,Shave skin lesion 0.6-1.0 cm,,,215.0,3399.0,4 HCPCS,11307,"Hc Shaving Of Epiderm Or Dermal Les, Single Les, Scalp, Neck, Hands, Feet, Genitalia; 1.0 To 2.0 Cm",920.0,920.0,,,0 HCPCS,11307,"Hc Shaving Of Epiderm Or Dermal Les, Single Les, Scalp, Neck, Hands, Feet, Genitalia; 1.0 To 2.0 Cm-",1311.5,1311.5,,,0 HCPCS,11307,Pr Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm-Pbb,782.0,782.0,,,0 HCPCS,11307,Shave skin lesion 1.1-2.0 cm,,,215.0,3399.0,4 HCPCS,11308,"Hc Shaving Of Epiderm Or Derm Les, Single Les, Scalp, Neck, Hands, Feet, Genitalia; Les Dia > 2.0 Cm",1419.0,1419.0,,,0 HCPCS,11308,Pr Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm-Pbb,901.0,901.0,,,0 HCPCS,11308,Shave skin lesion >2.0 cm,,,435.63,3399.0,4 HCPCS,11310,"Hc Shvng Of Epiderml Or Drml Les, Sngl Les, Face,Ers,Eye,Nose,Lips,Mucous Membrn;Les Dm 0.5 Cm/Less",730.0,730.0,,,0 HCPCS,11310,"Hc Shvng Of Epiderml Or Drml Les, Sngl Les, Face,Ers,Eye,Nose,Lips,Mucous Membrn;Les Dm 0.5 Cm/Less-",1042.5,1042.5,,,0 HCPCS,11310,Pr Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/<-Pbb,625.0,625.0,,,0 HCPCS,11310,Shave skin lesion 0.5 cm/<,,,215.0,3399.0,4 HCPCS,11311,"Hc Shav Of Epidermal/Dermal Les,Sngl Les,Face,Ears,Eyelids,Nose,Lips,Mucous Membrn;Les Dm 0.6-1.0 Cm",1372.0,1372.0,,,0 HCPCS,11311,Pr Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm-Pbb,738.0,738.0,,,0 HCPCS,11311,Shave skin lesion 0.6-1.0 cm,,,215.0,3399.0,4 HCPCS,11312,"Hc Shav Of Epidermal/Dermal Les,Sngl Les,Face,Ears,Eyelids,Nose,Lips,Mucous Membrn;Les Dm 1.1-2.0 Cm",2099.5,2099.5,,,0 HCPCS,11312,Pr Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm-Pbb,865.0,865.0,,,0 HCPCS,11312,Shave skin lesion 1.1-2.0 cm,,,435.63,3399.0,4 HCPCS,11313,"Hc Shvng Of Epidermal/Dermal Les,Singl Les,Face,Ear,Eyelid,Nose.Lip,Mucous Membrn;Les Dm Ovr 2.0 Cm",3755.0,3755.0,,,0 HCPCS,11313,"Hc Shvng Of Epidermal/Dermal Les,Singl Les,Face,Ear,Eyelid,Nose.Lip,Mucous Membrn;Les Dm Ovr 2.0 Cm-",4296.5,4296.5,,,0 HCPCS,11313,Pr Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm-Pbb,1084.0,1084.0,,,0 HCPCS,11313,Shave skin lesion >2.0 cm,,,435.63,3399.0,4 HCPCS,11400,Exc tr-ext b9+marg 0.5 cm<,,,758.85,5007.0,4 HCPCS,11400,"Hc Exc Benign Les Trunk/Arm/Leg 0.5Cm/< Cash-Csm,Pbb",700.0,700.0,,,0 HCPCS,11400,Hc Exc Benign Les Trunk/Arm/Leg 0.5Cm/< Resident Cash-Csm,600.0,600.0,,,0 HCPCS,11400,"Hc Excsn, Benign Les Incl Mrgns, Excpt Skin Tag, Trnk, Arms Or Legs; Excised Diameter 0.5 Cm Or Less",4182.5,4182.5,,,0 HCPCS,11400,Pr Exc B9 Lesion Mrgn Xcp Sk Tg T/A/L 0.5 Cm/<-Pbb,964.0,964.0,,,0 HCPCS,11400,"Pr Exc Benign Les Trunk/Arm/Leg 0.5Cm/< Cash-Csm,Pbb",200.0,200.0,,,0 HCPCS,11401,Exc tr-ext b9+marg 0.6-1 cm,,,435.63,3399.0,4 HCPCS,11401,"Hc Exc Benign Les Including Margin 0.6-1.0 Cash-Csm,Pbb",750.0,750.0,,,0 HCPCS,11401,Hc Exc Benign Lesion Inc Margin 0.6-1.0 Resident Cash-Csm,600.0,600.0,,,0 HCPCS,11401,"Hc Excsn, Benign Les Incl Mrgns, Except Skin Tag, Trnk, Arms Or Legs; Excised Diameter 0.6 To 1.0 Cm",5645.0,5645.0,,,0 HCPCS,11401,Pr Exc B9 Lesion Mrgn Xcp Sk Tg T/A/L 0.6-1.0 Cm-Pbb,1650.0,1650.0,,,0 HCPCS,11401,"Pr Exc Benign Les Including Margin 0.6-1.0 Cash-Csm,Pbb",300.0,300.0,,,0 HCPCS,11402,Exc tr-ext b9+marg 1.1-2 cm,,,758.85,5007.0,4 HCPCS,11402,"Hc Excsn, Benign Les Incl Mrgns, Except Skin Tag, Trnk, Arms Or Legs; Excised Diameter 1.1 To 2.0 Cm",6140.0,6140.0,,,0 HCPCS,11402,Pr Exc B9 Lesion Mrgn Xcp Sk Tg T/A/L 1.1-2.0 Cm-Pbb,1650.0,1650.0,,,0 HCPCS,11403,Exc tr-ext b9+marg 2.1-3cm/<,,,758.85,5007.0,4 HCPCS,11403,"Hc Excsn, Benign Les Incl Mrgns, Except Skin Tag, Trnk, Arms Or Legs; Excised Diameter 2.1 To 3.0 Cm",7669.0,7669.0,,,0 HCPCS,11403,Pr Exc B9 Lesion Mrgn Xcp Sk Tg T/A/L 2.1-3.0 Cm-Pbb,1650.0,1650.0,,,0 HCPCS,11404,Exc tr-ext b9+marg 3.1-4 cm,,,1769.88,7272.0,4 HCPCS,11404,"Hc Excsn, Benign Les Incl Mrgns, Except Skin Tag, Trnk, Arms Or Legs; Excised Diameter 3.1 To 4.0 Cm",8753.0,8753.0,,,0 HCPCS,11404,Pr Exc B9 Lesion Mrgn Xcp Sk Tg T/A/L 3.1-4.0 Cm-Pbb,2472.0,2472.0,,,0 HCPCS,11406,Exc tr-ext b9+marg >4.0 cm,,,1769.88,7272.0,4 HCPCS,11406,"Hc Excsn, Benign Les Incl Mrgns, Except Skin Tag, Trunk, Arms Or Legs; Excised Diameter Over 4.0 Cm",11464.0,11464.0,,,0 HCPCS,11406,"Hc Excsn, Benign Les Incl Mrgns, Except Skin Tag, Trunk, Arms Or Legs; Excised Diameter Over 4.0 Cm-",13114.5,13114.5,,,0 HCPCS,11406,Pr Exc B9 Lesion Mrgn Xcp Sk Tg T/A/L >4.0 Cm-Pbb,3301.0,3301.0,,,0 HCPCS,11420,Exc h-f-nk-sp b9+marg 0.5/<,,,1769.88,5007.0,4 HCPCS,11420,"Hc Excsn, Benign Les Incl Mrgns, Except Skin Tab/Scalp/Neck/Hnds/Feet/Genit; Excd Diameter =<0.5 Cm",6550.0,6550.0,,,0 HCPCS,11420,"Hc Excsn, Benign Les Incl Mrgns, Except Skin Tab/Scalp/Neck/Hnds/Feet/Genit; Excd Diameter =<0.5 Cm-",7031.5,7031.5,,,0 HCPCS,11420,Pr Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/<-Pbb,964.0,964.0,,,0 HCPCS,11421,Exc h-f-nk-sp b9+marg 0.6-1,,,758.85,5007.0,4 HCPCS,11421,Hc Excsn Benign Les Incl Mrgns/Excpt Skin Tag/Scalp/Neck/Hnd/Ft/Genit; Excsed Diameter 0.6 Cm-1.0 Cm,8687.0,8687.0,,,0 HCPCS,11421,Pr Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.6-1.0Cm-Pbb,1380.0,1380.0,,,0 HCPCS,11422,Exc h-f-nk-sp b9+marg 1.1-2,,,1769.88,5007.0,4 HCPCS,11422,"Hc Excsn, Benign Les/Mrgns, Except Skin Tab, Scalp, Neck, Hands, Feet, Genit; Exc Diam 1.1 - 2.0 Cm",10313.0,10313.0,,,0 HCPCS,11422,"Hc Excsn, Benign Les/Mrgns, Except Skin Tab, Scalp, Neck, Hands, Feet, Genit; Exc Diam 1.1 - 2.0 Cm-",11091.5,11091.5,,,0 HCPCS,11422,Pr Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 1.1-2.0Cm-Pbb,1558.0,1558.0,,,0 HCPCS,11423,Exc h-f-nk-sp b9+marg 2.1-3,,,1769.88,7272.0,4 HCPCS,11423,"Hc Excsn, Benign Les/Mrgns, Except Skin Tab, Scalp, Neck, Hands, Feet, Genit; Exc Diam 2.1-3.0 Cm",12622.0,12622.0,,,0 HCPCS,11423,"Hc Excsn, Benign Les/Mrgns, Except Skin Tab, Scalp, Neck, Hands, Feet, Genit; Exc Diam 2.1-3.0 Cm-Pb",13767.0,13767.0,,,0 HCPCS,11423,Pr Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 2.1-3.0Cm-Pbb,2291.0,2291.0,,,0 HCPCS,11424,Exc h-f-nk-sp b9+marg 3.1-4,,,1769.88,7272.0,4 HCPCS,11424,"Hc Excsn, Benign Les/Mrgns, Except Skin Tab, Scalp, Neck, Hands, Feet, Genit; Exc Diam 3.1-4.0 Cm",13076.0,13076.0,,,0 HCPCS,11424,"Hc Excsn, Benign Les/Mrgns, Except Skin Tab, Scalp, Neck, Hands, Feet, Genit; Exc Diam 3.1-4.0 Cm-Pb",14380.5,14380.5,,,0 HCPCS,11424,Pr Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 3.1-4.0Cm-Pbb,2609.0,2609.0,,,0 HCPCS,11426,Exc h-f-nk-sp b9+marg >4 cm,,,3112.75,11000.0,4 HCPCS,11426,"Hc Excsn, Benign Les Incl Mrgns,Excpt Skin Tag,Scalp,Neck,H&S,Ft,Genital; Excised Diamtr Over 4.0 Cm",23900.0,23900.0,,,0 HCPCS,11426,Pr Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G > 4.0Cm-Pbb,3664.0,3664.0,,,0 HCPCS,11440,Exc face-mm b9+marg 0.5 cm/<,,,758.85,5007.0,4 HCPCS,11440,"Hc Exc, Oth Bgn Les Inc Mgn, Exc Skin Tag,Face,Ears,Eyelds,Nose,Lips,Muc Mem; Exc Diam 0.5 Cm Or <",3610.0,3610.0,,,0 HCPCS,11440,"Hc Exc, Oth Bgn Les Inc Mgn, Exc Skin Tag,Face,Ears,Eyelds,Nose,Lips,Muc Mem; Exc Diam 0.5 Cm Or <-P",4184.0,4184.0,,,0 HCPCS,11440,Pr Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5Cm/<-Pbb,1148.0,1148.0,,,0 HCPCS,11441,Exc face-mm b9+marg 0.6-1 cm,,,758.85,5007.0,4 HCPCS,11441,"Hc Excsn, Oth Bngn Les Inc Mgn, Excpt Skn Tag, Face, Ears, Eylds, Nose, Lips, Muc Mem; 0.6 To 1.0 Cm",5429.0,5429.0,,,0 HCPCS,11441,Pr Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 0.6-1.0Cm-Pbb,1690.0,1690.0,,,0 HCPCS,11442,Exc face-mm b9+marg 1.1-2 cm,,,758.85,5007.0,4 HCPCS,11442,"Hc Excsn, Oth Bngn Les Inc Mgn, Excpt Skn Tag, Face, Ears, Eylds, Nose, Lips, Muc Mem; 1.1 To 2.0 Cm",6097.0,6097.0,,,0 HCPCS,11442,Pr Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 1.1-2.0Cm-Pbb,2022.0,2022.0,,,0 HCPCS,11443,Exc face-mm b9+marg 2.1-3 cm,,,1769.88,5007.0,4 HCPCS,11443,"Hc Excsn, Oth Bngn Les Inc Mgn, Excpt Skn Tag, Face, Ears, Eylds, Nose, Lips, Muc Mem; 2.1 To 3.0 Cm",7482.5,7482.5,,,0 HCPCS,11443,Pr Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 2.1-3.0Cm-Pbb,2521.0,2521.0,,,0 HCPCS,11444,Exc face-mm b9+marg 3.1-4 cm,,,1769.88,5007.0,4 HCPCS,11444,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 2.1 To 3.0 Cm",7958.0,7958.0,,,0 HCPCS,11444,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 2.1 To 3.0 Cm-",9513.5,9513.5,,,0 HCPCS,11444,Pr Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 3.1-4.0Cm-Pbb,3110.0,3110.0,,,0 HCPCS,11446,Exc face-mm b9+marg >4 cm,,,3112.75,11000.0,4 HCPCS,11446,"Hc Excsn,Benign Les Incl Mrgns,Excpt Skin Tag,Face,Ear,Eyelid,Nose,Lip,Muc Memb;Excsd Dm Over 4.0 Cm",13274.5,13274.5,,,0 HCPCS,11446,Pr Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M > 4.0Cm-Pbb,4207.0,4207.0,,,0 HCPCS,11450,"Hc Excision, Skin & Subq Tissue, Hidradenitis, Axillary; Simple/Intermediate Repair-Pbb",7584.0,7584.0,,,0 HCPCS,11450,Pr Excision Hidradenitis Axillary Smpl/Intrm Rpr-Pbb,2657.0,2657.0,,,0 HCPCS,11450,Removal sweat gland lesion,,,3112.75,11000.0,4 HCPCS,11451,"Hc Excision, Skin & Subq Tissue, Hidradenitis, Axillary; W/ Complex Repair-Pbb",10089.5,10089.5,,,0 HCPCS,11451,Pr Excision Hidradenitis Axillary Complex Repair-Pbb,3470.0,3470.0,,,0 HCPCS,11451,Removal sweat gland lesion,,,3112.75,11000.0,4 HCPCS,11462,"Hc Excision, Skin & Subq Tissue, Hidradenitis, Inguinal; Simple/Intermediate Repair-Pbb",9628.5,9628.5,,,0 HCPCS,11462,Pr Excision Hidradenitis Inguinal Smpl/Intrm Rpr-Pbb,2549.0,2549.0,,,0 HCPCS,11462,Removal sweat gland lesion,,,3112.75,11000.0,4 HCPCS,11463,"Hc Excision, Skin & Subq Tissue, Hidradenitis, Inguinal; W/ Complex Repair-Pbb",10089.5,10089.5,,,0 HCPCS,11463,Pr Excision Hidradenitis Inguinal Complex Repair-Pbb,3470.0,3470.0,,,0 HCPCS,11463,Removal sweat gland lesion,,,3112.75,11000.0,4 HCPCS,11470,"Hc Excision, Skin & Subq Tissue, Hidradenitis, Perianal/Perineal/Umbilical; Simple/Intermediate Repa",9847.5,9847.5,,,0 HCPCS,11470,Pr Excision H/P/P/U Simple/Intermediate Repair-Pbb,2987.0,2987.0,,,0 HCPCS,11470,Removal sweat gland lesion,,,3112.75,11000.0,4 HCPCS,11471,"Hc Excision, Skin & Subq Tissue, Hidradenitis, Perianal/Perineal/Umbilical; W/ Complex Repair-Pbb",10201.5,10201.5,,,0 HCPCS,11471,Pr Excision H/P/P/U Complex Repair-Pbb,3695.0,3695.0,,,0 HCPCS,11471,Removal sweat gland lesion,,,3112.75,11000.0,4 HCPCS,11600,Exc tr-ext mal+marg 0.5 cm/<,,,758.85,5007.0,4 HCPCS,11600,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 0.5 Cm Or Less",3241.0,3241.0,,,0 HCPCS,11600,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 0.5 Cm Or Less-Pbb",4123.0,4123.0,,,0 HCPCS,11600,Pr Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/<-Pbb,1764.0,1764.0,,,0 HCPCS,11601,Exc tr-ext mal+marg 0.6-1 cm,,,758.85,5007.0,4 HCPCS,11601,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 0.6 To 1.0 Cm",4026.0,4026.0,,,0 HCPCS,11601,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 0.6 To 1.0 Cm-Pbb",4988.5,4988.5,,,0 HCPCS,11601,Pr Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm-Pbb,1925.0,1925.0,,,0 HCPCS,11602,Exc tr-ext mal+marg 1.1-2 cm,,,435.63,3399.0,4 HCPCS,11602,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 1.1 To 2.0 Cm",4414.0,4414.0,,,0 HCPCS,11602,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 1.1 To 2.0 Cm-Pbb",5575.0,5575.0,,,0 HCPCS,11602,Pr Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm-Pbb,2322.0,2322.0,,,0 HCPCS,11603,Exc tr-ext mal+marg 2.1-3 cm,,,758.85,5007.0,4 HCPCS,11603,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 2.1 To 3.0 Cm",5272.0,5272.0,,,0 HCPCS,11603,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 2.1 To 3.0 Cm-Pbb",6451.0,6451.0,,,0 HCPCS,11603,Pr Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm-Pbb,2358.0,2358.0,,,0 HCPCS,11604,Exc tr-ext mal+marg 3.1-4 cm,,,758.85,5007.0,4 HCPCS,11604,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 3.1 To 4.0 Cm",5834.0,5834.0,,,0 HCPCS,11604,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 3.1 To 4.0 Cm-Pbb",7315.5,7315.5,,,0 HCPCS,11604,Pr Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm-Pbb,2963.0,2963.0,,,0 HCPCS,11606,Exc tr-ext mal+marg >4 cm,,,1769.88,7272.0,4 HCPCS,11606,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter Over 4.0 Cm",8686.0,8686.0,,,0 HCPCS,11606,"Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter Over 4.0 Cm-Pbb",10607.5,10607.5,,,0 HCPCS,11606,Pr Excision Malignant Lesion Trunk/Arm/Leg > 4.0 Cm-Pbb,3844.0,3844.0,,,0 HCPCS,11620,Exc h-f-nk-sp mal+marg 0.5/<,,,1769.88,5007.0,4 HCPCS,11620,"Hc Excsn, Malig Les Incl Mrgns, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter 0.5 Cm Or Less",5083.0,5083.0,,,0 HCPCS,11620,Pr Excision Malignant Lesion S/N/H/F/G 0.5 Cm/<-Pbb,1764.0,1764.0,,,0 HCPCS,11621,Exc s/n/h/f/g mal+mrg 0.6-1,,,758.85,5007.0,4 HCPCS,11621,"Hc Excsn, Malig Les Incl Mrgns, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter 0.6 To 1.0 Cm",5162.0,5162.0,,,0 HCPCS,11621,"Hc Excsn, Malig Les Incl Mrgns, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter 0.6 To 1.0 Cm-",6124.5,6124.5,,,0 HCPCS,11621,Pr Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm-Pbb,1925.0,1925.0,,,0 HCPCS,11622,Exc s/n/h/f/g mal+mrg 1.1-2,,,758.85,5007.0,4 HCPCS,11622,"Hc Excsn, Malig Les Incl Mrgns, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter 1.1 To 2.0 Cm",5915.0,5915.0,,,0 HCPCS,11622,"Hc Excsn, Malig Les Incl Mrgns, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter 1.1 To 2.0 Cm-",7075.5,7075.5,,,0 HCPCS,11622,Pr Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm-Pbb,2321.0,2321.0,,,0 HCPCS,11623,Exc s/n/h/f/g mal+mrg 2.1-3,,,1769.88,5007.0,4 HCPCS,11623,"Hc Excsn, Benign Les/Mrgns, Excpt Skin Tab, Scalp, Neck, H&S, Ft, Genit; Excised Diam 2.1 To 3.0 Cm",7343.0,7343.0,,,0 HCPCS,11623,"Hc Excsn, Benign Les/Mrgns, Excpt Skin Tab, Scalp, Neck, H&S, Ft, Genit; Excised Diam 2.1 To 3.0 Cm-",8784.0,8784.0,,,0 HCPCS,11623,Pr Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm-Pbb,2882.0,2882.0,,,0 HCPCS,11624,Exc s/n/h/f/g mal+mrg 3.1-4,,,1769.88,7272.0,4 HCPCS,11624,"Hc Excsn, Malig Les Incl Mrgns, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter 3.1 To 4.0 Cm",8326.0,8326.0,,,0 HCPCS,11624,"Hc Excsn, Malig Les Incl Mrgns, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter 3.1 To 4.0 Cm-",10006.0,10006.0,,,0 HCPCS,11624,NDC Description Not Available,2.0,2.0,,,0 HCPCS,11624,Pr Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm-Pbb,3360.0,3360.0,,,0 HCPCS,11626,Exc s/n/h/f/g mal+mrg >4 cm,,,3112.75,11000.0,4 HCPCS,11626,"Hc Excsn, Malig Les Incl Mrgns, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter Over 4.0 Cm",10236.0,10236.0,,,0 HCPCS,11626,"Hc Excsn, Malig Les Incl Mrgns, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter Over 4.0 Cm-Pb",12319.0,12319.0,,,0 HCPCS,11626,Pr Excision Malignant Lesion S/N/H/F/G >4.0 Cm-Pbb,4166.0,4166.0,,,0 HCPCS,11640,Exc f/e/e/n/l mal+mrg 0.5cm<,,,758.85,5007.0,4 HCPCS,11640,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 0.5 Cm Or Less",4164.0,4164.0,,,0 HCPCS,11640,Pr Excision Malignant Lesion F/E/E/N/L 0.5 Cm/<-Pbb,1846.0,1846.0,,,0 HCPCS,11641,Exc f/e/e/n/l mal+mrg 0.6-1,,,758.85,5007.0,4 HCPCS,11641,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 0.6 To 1.0 Cm",4042.0,4042.0,,,0 HCPCS,11641,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 0.6 To 1.0 Cm-",5202.0,5202.0,,,0 HCPCS,11641,Pr Excision Malignant Lesion F/E/E/N/L 0.6-1.0 Cm-Pbb,2321.0,2321.0,,,0 HCPCS,11642,Exc f/e/e/n/l mal+mrg 1.1-2,,,758.85,5007.0,4 HCPCS,11642,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 1.1 To 2.0 Cm",4754.0,4754.0,,,0 HCPCS,11642,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 1.1 To 2.0 Cm-",6156.0,6156.0,,,0 HCPCS,11642,Pr Excision Malignant Lesion F/E/E/N/L 1.1-2.0 Cm-Pbb,2803.0,2803.0,,,0 HCPCS,11643,Exc f/e/e/n/l mal+mrg 2.1-3,,,1769.88,5007.0,4 HCPCS,11643,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 2.1 To 3.0 Cm",5990.0,5990.0,,,0 HCPCS,11643,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 2.1 To 3.0 Cm-",7592.0,7592.0,,,0 HCPCS,11643,Pr Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm-Pbb,3204.0,3204.0,,,0 HCPCS,11644,Exc f/e/e/n/l mal+mrg 3.1-4,,,1769.88,7272.0,4 HCPCS,11644,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 3.1 To 4.0 Cm",7423.0,7423.0,,,0 HCPCS,11644,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 3.1 To 4.0 Cm-",9262.5,9262.5,,,0 HCPCS,11644,Pr Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm-Pbb,3679.0,3679.0,,,0 HCPCS,11646,Exc f/e/e/n/l mal+mrg >4 cm,,,3112.75,11000.0,4 HCPCS,11646,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter Over 4.0 Cm",10315.0,10315.0,,,0 HCPCS,11646,"Hc Excsn, Malignant Les Incl Mrgns, Face, Ears, Eyelids, Nose, Lips; Excised Diameter Over 4.0 Cm-Pb",12717.0,12717.0,,,0 HCPCS,11646,Pr Excision Malignant Lesion F/E/E/N/L >4.0 Cm-Pbb,4804.0,4804.0,,,0 HCPCS,11719,"Hc Trimming Of Nondystrophic Nails, Any Number",233.0,233.0,,,0 HCPCS,11719,Trim nail(s) any number,,,63.22,3399.0,4 HCPCS,11720,Debride nail 1-5,,,63.22,3399.0,4 HCPCS,11720,Hc Debridement Of Nail(S) By Any Method(S); 1 To 5,329.0,329.0,,,0 HCPCS,11720,Hc Debridement Of Nail(S) By Any Method(S); 1 To 5-Pbb,420.0,420.0,,,0 HCPCS,11720,Pr Debridement Nail Any Method 1-5-Pbb,182.0,182.0,,,0 HCPCS,11721,Debride nail 6 or more,,,63.22,3399.0,4 HCPCS,11721,Hc Debridement Of Nail(S) By Any Method(S); 6 Or More,408.0,408.0,,,0 HCPCS,11721,Hc Debridement Of Nail(S) By Any Method(S); 6 Or More-Pbb,546.0,546.0,,,0 HCPCS,11721,Pr Debridement Nail Any Method 6/>-Pbb,276.0,276.0,,,0 HCPCS,11730,"Hc Avulsion Of Nail Plate, Partial Or Complete, Simple; Single",1183.0,1183.0,,,0 HCPCS,11730,"Hc Avulsion Of Nail Plate, Partial Or Complete, Simple; Single-Pbb",1514.5,1514.5,,,0 HCPCS,11730,Pr Avulsion Nail Plate Partial/Complete Simple 1-Pbb,662.0,662.0,,,0 HCPCS,11730,Removal of nail plate,,,215.0,3399.0,4 HCPCS,11732,"Hc Avulsion Of Nail Plate, Partial Or Complete, Simple; Each Additional Nail Plate",469.0,469.0,,,0 HCPCS,11732,"Hc Avulsion Of Nail Plate, Partial Or Complete, Simple; Each Additional Nail Plate-Pbb",635.5,635.5,,,0 HCPCS,11732,Pr Avulsion Nail Plate Partial/Comp Simple Ea Addl-Pbb,332.0,332.0,,,0 HCPCS,11732,Remove nail plate add-on,,,3399.0,3399.0,1 HCPCS,11740,Drain blood from under nail,,,142.58,3399.0,4 HCPCS,11740,Hc Evacuation Of Subungual Hematoma,595.0,595.0,,,0 HCPCS,11740,Hc Evacuation Of Subungual Hematoma-Pbb,747.0,747.0,,,0 HCPCS,11740,Pr Evacuation Subungual Hematoma-Pbb,304.0,304.0,,,0 HCPCS,11750,"Hc Excision Of Nail And Nail Matrix, Partial Or Complete, For Permanent Removal",2588.0,2588.0,,,0 HCPCS,11750,"Hc Excision Of Nail And Nail Matrix, Partial Or Complete, For Permanent Removal-Pbb",3275.0,3275.0,,,0 HCPCS,11750,Pr Excision Nail Matrix Permanent Removal-Pbb,1374.0,1374.0,,,0 HCPCS,11750,Removal of nail bed,,,435.63,3399.0,4 HCPCS,11755,Biopsy nail unit,,,758.85,5007.0,4 HCPCS,11755,Hc Biopsy Of Nail Unit,1740.0,1740.0,,,0 HCPCS,11755,Hc Biopsy Of Nail Unit-Pbb,2212.0,2212.0,,,0 HCPCS,11755,Pr Biopsy Nail Unit Separate Procedure-Pbb,944.0,944.0,,,0 HCPCS,11760,Hc Repair Of Nail Bed,1564.0,1564.0,,,0 HCPCS,11760,Hc Repair Of Nail Bed-Pbb,2407.0,2407.0,,,0 HCPCS,11760,Pr Repair Nail Bed-Pbb,1686.0,1686.0,,,0 HCPCS,11760,Repair of nail bed,,,792.0,3399.0,4 HCPCS,11762,Hc Reconstruction Nail Bed With Graft,6220.0,6220.0,,,0 HCPCS,11762,Reconstruction of nail bed,,,2211.05,7272.0,4 HCPCS,11765,Excision of nail fold toe,,,435.63,3399.0,4 HCPCS,11765,Hc Wedge Excision Of Skin Of Nail Fold,1048.0,1048.0,,,0 HCPCS,11765,Hc Wedge Excision Of Skin Of Nail Fold-Pbb,1456.0,1456.0,,,0 HCPCS,11765,Pr Wedge Excision Skin Nail Fold-Pbb,816.0,816.0,,,0 HCPCS,11770,"Hc Excision, Pilonidal Cyst/Sinus; Simple",9142.0,9142.0,,,0 HCPCS,11770,"Hc Excision, Pilonidal Cyst/Sinus; Simple-Pbb",10127.0,10127.0,,,0 HCPCS,11770,Pr Excision Pilonidal Cyst/Sinus Simple-Pbb,1970.0,1970.0,,,0 HCPCS,11770,Remove pilonidal cyst simple,,,3112.75,11000.0,4 HCPCS,11771,"Hc Excision, Pilonidal Cyst/Sinus; Extensive",8122.0,8122.0,,,0 HCPCS,11771,"Hc Excision, Pilonidal Cyst/Sinus; Extensive-Pbb",10216.5,10216.5,,,0 HCPCS,11771,Pr Excision Pilonidal Cyst/Sinus Extensive-Pbb,4189.0,4189.0,,,0 HCPCS,11771,Remove pilonidal cyst exten,,,3112.75,11000.0,4 HCPCS,11772,Remove pilonidal cyst compl,,,3112.75,11000.0,4 HCPCS,11900,Hc Dmpr-Intralesional Injection Up To 7 Cash,50.0,50.0,,,0 HCPCS,11900,"Hc Dmpr-Intralesional Injection Up To 7 Cash-Csm,Pbb",50.0,50.0,,,0 HCPCS,11900,"Hc Injection, Intralesional; Up To And Including 7 Lesions",1378.0,1378.0,,,0 HCPCS,11900,"Hc Injection, Intralesional; Up To And Including 7 Lesions-Pbb",1586.5,1586.5,,,0 HCPCS,11900,Inject skin lesions <=w 7,,,215.0,3399.0,4 HCPCS,11900,Pr Injection Intralesional Up To & Includ 7 Lesions-Pbb,418.0,418.0,,,0 HCPCS,11901,"Hc Injection, Intralesional; More Than 7 Lesions",2153.0,2153.0,,,0 HCPCS,11901,"Hc Injection, Intralesional; More Than 7 Lesions Cash",106.0,106.0,,,0 HCPCS,11901,"Hc Injection, Intralesional; More Than 7 Lesions Cash-Csm,Pbb",100.0,100.0,,,0 HCPCS,11901,"Hc Injection, Intralesional; More Than 7 Lesions Cash-Pbb",30.0,30.0,,,0 HCPCS,11901,"Hc Injection, Intralesional; More Than 7 Lesions-Pbb",2432.5,2432.5,,,0 HCPCS,11901,Inject skin lesions >7,,,215.0,3399.0,4 HCPCS,11901,Pr Injection Intralesional >7 Lesions-Pbb,559.0,559.0,,,0 HCPCS,11920,Correct skin color 6.0 cm/<,,,792.0,3399.0,4 HCPCS,11920,"Hc Tattooing, Intrdrml Intr Insol Opq Pgmnts Corrct Color Defcts Skin,Incl Mcrpgmntn;<6.0 Sq Cm",1337.0,1337.0,,,0 HCPCS,11920,"Hc Tattooing, Intrdrml Intr Insol Opq Pgmnts Corrct Color Defcts Skin,Incl Mcrpgmntn;<6.0 Sq Cm-Pbb",2795.0,2795.0,,,0 HCPCS,11920,Pr Tattooing Incl Micropigmentation 6.0 Cm/<-Pbb,2916.0,2916.0,,,0 HCPCS,11921,Correct skn color 6.1-20.0cm,,,792.0,3399.0,4 HCPCS,11921,Hc Tattooing To Correct Color Defects; 6.1-2.0 Sq Cm,2032.0,2032.0,,,0 HCPCS,11921,Hc Tattooing To Correct Color Defects; 6.1-2.0 Sq Cm-Pbb,2732.0,2732.0,,,0 HCPCS,11921,Pr Tattooing Incl Micropigmentation 6.1-20.0 Cm-Pbb,1400.0,1400.0,,,0 HCPCS,11922,Correct skin color ea 20.0cm,,,3399.0,3399.0,1 HCPCS,11922,Hc Tattooing To Correct Color Defects; Add'l 20.0 Sq Cm-Pbb,1620.5,1620.5,,,0 HCPCS,11922,Pr Tattooing Incl Micropigmentation Ea 20.0 Cm-Pbb,311.0,311.0,,,0 HCPCS,11950,"Hc Juvederm W/Inj 1Cc Cosmetic Package Cash-Csm,Pbb",300.0,300.0,,,0 HCPCS,11950,"Hc Juvederm W/Inj 1Cc Friends & Family Cash-Csm,Pbb",300.0,300.0,,,0 HCPCS,11950,Hc Sq Collagen; <= 1 Cc-Pbb,841.5,841.5,,,0 HCPCS,11950,"Hc Voluma W/Inj 1Cc Cosmetic Package Cash-Csm,Pbb",600.0,600.0,,,0 HCPCS,11950,"Hc Voluma W/Inj 1Cc Friends & Family Cash-Csm,Pbb",400.0,400.0,,,0 HCPCS,11950,"Juvederm W/Inj 1Cc Cosmetic Package Cash-Csm,Pbb",300.0,300.0,,,0 HCPCS,11950,"Juvederm W/Inj 1Cc Friends & Family Cash-Csm,Pbb",150.0,150.0,,,0 HCPCS,11950,"Pr Subcutaneous Injection Filling Material 1 Cc/<-Csm,Pbb",120.0,120.0,,,0 HCPCS,11950,Pr Subcutaneous Injection Filling Material 1 Cc/<-Pbb,491.0,491.0,,,0 HCPCS,11950,Tx contour defects 1 cc/<,,,215.0,3399.0,4 HCPCS,11950,"Voluma W/Inj 1Cc Cosmetic Package Cash-Csm,Pbb",400.0,400.0,,,0 HCPCS,11950,"Voluma W/Inj 1Cc Friends & Family Cash-Csm,Pbb",200.0,200.0,,,0 HCPCS,11951,"Hc Subcutaneous Injection Of Filling Material(Eg, Collegen);1.1-5.0Cc",2030.0,2030.0,,,0 HCPCS,11951,"Hc Subcutaneous Injection Of Filling Material(Eg, Collegen);1.1-5.0Cc-Pbb",2409.5,2409.5,,,0 HCPCS,11951,Pr Subcutaneous Injection Filling Matrl 1.1-5.0 Cc-Pbb,758.0,758.0,,,0 HCPCS,11951,"Pr Subq Inj Fillng Matrl 1.1-5.0Cc Cash-Csm,Pbb",225.0,225.0,,,0 HCPCS,11951,"Pr Subsequent Inj Filling Matrl 1.1-5.0Cc Cash-Csm,Pbb",225.0,225.0,,,0 HCPCS,11951,Tx contour defects 1.1-5.0cc,,,792.0,3399.0,4 HCPCS,11952,"Pr Subq Inj Fillng Mtrl 5.1-10.0Cc Cash-Csm,Pbb",225.0,225.0,,,0 HCPCS,11952,Tx contour defects 5.1-10cc,,,792.0,3399.0,4 HCPCS,11954,"Hc Subcutaneous Injection Of Filling Material >10.0Cc-Csm,Pbb",810.0,810.0,,,0 HCPCS,11954,"Pr Subcutaneous Injection Of Filling Material Over 10Cc Cash-Csm,Pbb",225.0,225.0,,,0 HCPCS,11954,"Subcutaneous Injection Of Filling Material >10.0Cc-Csm,Pbb",900.0,900.0,,,0 HCPCS,11954,Tx contour defects >10.0 cc,,,792.0,5007.0,4 HCPCS,11960,Insert tissue expander(s),,,3797.52,14227.0,4 HCPCS,11970,Replace tissue expander,,,7775.89,22280.0,4 HCPCS,11971,Hc Removal Of Tissue Expander(S) Without Insertion Of Prosthesis,6656.0,6656.0,,,0 HCPCS,11971,Hc Removal Of Tissue Expander(S) Without Insertion Of Prosthesis-Pbb,7410.0,7410.0,,,0 HCPCS,11971,Pr Removal Tissue Expander W/O Insertion Implant-Pbb,1508.0,1508.0,,,0 HCPCS,11971,Remove tissue expander(s),,,3112.75,11000.0,4 HCPCS,11976,"Hc Removal, Implantable Contraceptive Capsules",1751.0,1751.0,,,0 HCPCS,11976,"Hc Removal, Implantable Contraceptive Capsules-Pbb",2232.5,2232.5,,,0 HCPCS,11976,Pr Removal Implantable Contraceptive Capsules-Pbb,964.0,964.0,,,0 HCPCS,11976,Remove contraceptive capsule,,,758.85,5007.0,4 HCPCS,11980,Hc Subcutaneous Hormone Pellet Implantation,964.0,964.0,,,0 HCPCS,11980,Hc Subcutaneous Hormone Pellet Implantation-Pbb,1252.5,1252.5,,,0 HCPCS,11980,Implant hormone pellet(s),,,478.72,3399.0,4 HCPCS,11980,Pr Subcutaneous Hormone Pellet Implantation-Pbb,577.0,577.0,,,0 HCPCS,11981,"Hc Insertion, Non-Biodegradable Drug Delivery Implant",2321.0,2321.0,,,0 HCPCS,11981,"Hc Insertion, Non-Biodegradable Drug Delivery Implant-Pbb",2802.5,2802.5,,,0 HCPCS,11981,Insert drug implant device,,,142.58,3399.0,4 HCPCS,11981,Pr Insertion Drug Delivery Implant-Pbb,964.0,964.0,,,0 HCPCS,11982,"Hc Removal, Non-Biodegradable Drug Delivery Implant",550.0,550.0,,,0 HCPCS,11982,"Hc Removal, Non-Biodegradable Drug Delivery Implant-Pbb",1031.5,1031.5,,,0 HCPCS,11982,Pr Removal Non-Biodegradable Drug Delivery Implant-Pbb,964.0,964.0,,,0 HCPCS,11982,Remove drug implant device,,,478.72,3399.0,4 HCPCS,11983,"Hc Removal With Reinsertion, Non-Biodegradable Drug Delivery Implant",1354.0,1354.0,,,0 HCPCS,11983,"Hc Removal With Reinsertion, Non-Biodegradable Drug Delivery Implant-Pbb",1877.5,1877.5,,,0 HCPCS,11983,Pr Rmvl W/Rinsj Non-Biodegradable Drug Dlvr Implt-Pbb,1048.0,1048.0,,,0 HCPCS,11983,Remove/insert drug implant,,,478.72,3399.0,4 HCPCS,12001,Hc Simple Repair Superficial Wnds Of Scalp/Neck/Axillae/Ext Genit/Trunk And/Or Extremit; =<2.5 Cm,1639.0,1639.0,,,0 HCPCS,12001,Hc Simple Repair Superficial Wnds Of Scalp/Neck/Axillae/Ext Genit/Trunk And/Or Extremit; =<2.5 Cm-Pb,2134.0,2134.0,,,0 HCPCS,12001,Pr Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5Cm/<-Pbb,990.0,990.0,,,0 HCPCS,12001,Rpr s/n/ax/gen/trnk 2.5cm/<,,,215.0,3399.0,4 HCPCS,12002,Hc Simple Repair Of Superficial Wnds Scalp/Neck/Axillae/Ext Genita/Trunk & Or Extrem; 2.6 Cm-7.5 Cm,2159.0,2159.0,,,0 HCPCS,12002,Hc Simple Repair Of Superficial Wnds Scalp/Neck/Axillae/Ext Genita/Trunk & Or Extrem; 2.6 Cm-7.5 Cm-,2754.0,2754.0,,,0 HCPCS,12002,Pr Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5Cm-Pbb,1190.0,1190.0,,,0 HCPCS,12002,Rpr s/n/ax/gen/trnk2.6-7.5cm,,,215.0,3399.0,4 HCPCS,12004,"Hc Smpl Rpr Of Suprfcl Wnds Of Sclp,Neck,Axillae,Ext Genitalia,Trnk And/Or Extremits;7.6 Cm-12.5 Cm",2798.0,2798.0,,,0 HCPCS,12004,"Hc Smpl Rpr Of Suprfcl Wnds Of Sclp,Neck,Axillae,Ext Genitalia,Trnk And/Or Extremits;7.6 Cm-12.5 Cm-",3536.0,3536.0,,,0 HCPCS,12004,Pr Simple Rpr Scalp/Neck/Ax/Genit/Trunk 7.6-12.5Cm-Pbb,1476.0,1476.0,,,0 HCPCS,12004,Rpr s/n/ax/gen/trk7.6-12.5cm,,,215.0,3399.0,4 HCPCS,12005,Hc Simple Repair Of Superficial Wnds Scalp/Neck/Axillae/Ext Genita/Trunk & Or Extrem; 12.6 Cm-20 Cm,3791.0,3791.0,,,0 HCPCS,12005,Hc Simple Repair Of Superficial Wnds Scalp/Neck/Axillae/Ext Genita/Trunk & Or Extrem; 12.6 Cm-20 Cm-,4571.5,4571.5,,,0 HCPCS,12005,Pr Smpl Rpr Scalp/Neck/Ax/Genit/Trunk 12.6-20.0Cm-Pbb,1561.0,1561.0,,,0 HCPCS,12005,Rpr s/n/a/gen/trk12.6-20.0cm,,,435.63,3399.0,4 HCPCS,12006,Hc Simple Repair Of Superficial Wnds Scalp/Neck/Axillae/Ext Genita/Trunk & Or Extrem; 20.1 Cm-30 Cm,4596.0,4596.0,,,0 HCPCS,12006,Hc Simple Repair Of Superficial Wnds Scalp/Neck/Axillae/Ext Genita/Trunk & Or Extrem; 20.1 Cm-30 Cm-,5540.0,5540.0,,,0 HCPCS,12006,Pr Smpl Rpr Scalp/Neck/Ax/Genit/Trunk 20.1-30.0Cm-Pbb,1888.0,1888.0,,,0 HCPCS,12006,Rpr s/n/a/gen/trk20.1-30.0cm,,,435.63,3399.0,4 HCPCS,12007,"Hc Smpl Repr Of Sprfcl Wnds Of Sclp, Neck, Axillae, Extrnl Genit, Trnk &/Or Extrmits; Over 30.0 Cm",5702.0,5702.0,,,0 HCPCS,12007,"Hc Smpl Repr Of Sprfcl Wnds Of Sclp, Neck, Axillae, Extrnl Genit, Trnk &/Or Extrmits; Over 30.0 Cm-P",7321.5,7321.5,,,0 HCPCS,12007,Pr Simple Repair Scalp/Neck/Ax/Genit/Trunk >30.0Cm-Pbb,3239.0,3239.0,,,0 HCPCS,12007,Rpr s/n/ax/gen/trnk >30.0 cm,,,215.0,3399.0,4 HCPCS,12011,"Hc Smpl Repr Of Suprfcl Wnds Of Face, Ears, Eyelids, Nose, Lips &/Or Mucous Membranes; 2.5 Cm Or <",1626.0,1626.0,,,0 HCPCS,12011,"Hc Smpl Repr Of Suprfcl Wnds Of Face, Ears, Eyelids, Nose, Lips &/Or Mucous Membranes; 2.5 Cm Or <-P",2221.0,2221.0,,,0 HCPCS,12011,Pr Simple Repair F/E/E/N/L/M 2.5Cm/<-Pbb,1190.0,1190.0,,,0 HCPCS,12011,Rpr f/e/e/n/l/m 2.5 cm/<,,,215.0,3399.0,4 HCPCS,12013,"Hc Smpl Repr Of Sprfcl Wnds Of Face, Ears, Eyelds, Nose, Lips &/Or Mcous Membranes; 2.6 Cm To 5.0 Cm",2516.0,2516.0,,,0 HCPCS,12013,Pr Simple Repair F/E/E/N/L/M 2.6Cm-5.0 Cm-Pbb,1400.0,1400.0,,,0 HCPCS,12013,Rpr f/e/e/n/l/m 2.6-5.0 cm,,,215.0,3399.0,4 HCPCS,12014,"Hc Smpl Repr Of Sprfcl Wnds Of Face, Ears, Eyelds, Nose, Lips &/Or Mcous Membranes; 5.1 Cm To 7.5 Cm",3143.0,3143.0,,,0 HCPCS,12014,Pr Simple Repair F/E/E/N/L/M 5.1Cm-7.5 Cm-Pbb,1476.0,1476.0,,,0 HCPCS,12014,Rpr f/e/e/n/l/m 5.1-7.5 cm,,,215.0,3399.0,4 HCPCS,12015,"Hc Simple Repair Of Spfcl Wound Face, Ears, Eyelids, Nose, Lips, Mucous Membranes; 7.6 Cm To 12.5 Cm",3898.0,3898.0,,,0 HCPCS,12015,Pr Simple Repair F/E/E/N/L/M 7.6Cm-12.5 Cm-Pbb,1806.0,1806.0,,,0 HCPCS,12015,Rpr f/e/e/n/l/m 7.6-12.5 cm,,,215.0,3399.0,4 HCPCS,12016,"Hc Simple Repair Of Spfcl Wounds Face, Ears, Eyelids, Nose, Lips, Mucous Membrns; 12.6 Cm To 20.0 Cm",5379.5,5379.5,,,0 HCPCS,12016,Pr Simple Repair F/E/E/N/L/M 12.6Cm-20.0 Cm-Pbb,2626.0,2626.0,,,0 HCPCS,12016,Rpr fe/e/en/l/m 12.6-20.0 cm,,,435.63,3399.0,4 HCPCS,12017,"Hc Simple Repair Of Spfcl Wounds Face, Ears, Eyelids, Nose, Lips, Mucous Membrns; 20.1 Cm To 30.0 Cm",6293.0,6293.0,,,0 HCPCS,12017,Pr Simple Repair F/E/E/N/L/M 20.1Cm-30.0 Cm-Pbb,3282.0,3282.0,,,0 HCPCS,12017,Rpr fe/e/en/l/m 20.1-30.0 cm,,,435.63,3399.0,4 HCPCS,12018,"Hc Smpl Repair Of Superficial Wnds Of Face,Ears,Eyelids,Nose,Lips And/Or Mucous Membranes; > 30.0 Cm",7639.5,7639.5,,,0 HCPCS,12018,Pr Simple Repair F/E/E/N/L/M >30.0 Cm-Pbb,4753.0,4753.0,,,0 HCPCS,12018,Rpr f/e/e/n/l/m >30.0 cm,,,215.0,3399.0,4 HCPCS,12020,Closure of split wound,,,792.0,3399.0,4 HCPCS,12020,Hc Treatment Of Superficial Wound Dehiscence; Simple Closure,2077.0,2077.0,,,0 HCPCS,12020,Hc Treatment Of Superficial Wound Dehiscence; Simple Closure-Pbb,2882.5,2882.5,,,0 HCPCS,12020,Pr Tx Superficial Wound Dehiscence Simple Closure-Pbb,1610.0,1610.0,,,0 HCPCS,12021,Closure of split wound,,,435.63,3399.0,4 HCPCS,12021,Hc Treatment Of Superficial Wound Dehiscence; With Packing,1199.0,1199.0,,,0 HCPCS,12031,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 2.5 Cm Or Less",3266.0,3266.0,,,0 HCPCS,12031,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 2.5 Cm Or Less-Pbb",3947.0,3947.0,,,0 HCPCS,12031,Intmd rpr s/a/t/ext 2.5 cm/<,,,435.63,3399.0,4 HCPCS,12031,Pr Repair Intermediate S/A/T/E 2.5 Cm/<-Pbb,1362.0,1362.0,,,0 HCPCS,12032,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 2.6 Cm To 7.5 Cm",4147.0,4147.0,,,0 HCPCS,12032,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 2.6 Cm To 7.5 Cm-Pbb",5084.5,5084.5,,,0 HCPCS,12032,Intmd rpr s/a/t/ext 2.6-7.5,,,435.63,3399.0,4 HCPCS,12032,Pr Repair Intermediate S/A/T/E 2.6-7.5 Cm-Pbb,1874.0,1874.0,,,0 HCPCS,12034,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 7.6 Cm To 12.5 Cm",4603.0,4603.0,,,0 HCPCS,12034,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 7.6 Cm To 12.5 Cm-Pbb",5589.0,5589.0,,,0 HCPCS,12034,Intmd rpr s/tr/ext 7.6-12.5,,,435.63,3399.0,4 HCPCS,12034,Pr Repair Intermediate S/A/T/E 7.6-12.5 Cm-Pbb,1972.0,1972.0,,,0 HCPCS,12035,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 12.6 Cm To 20.0 Cm",5407.0,5407.0,,,0 HCPCS,12035,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 12.6 Cm To 20.0 Cm-Pbb",6744.0,6744.0,,,0 HCPCS,12035,Intmd rpr s/a/t/ext 12.6-20,,,435.63,3399.0,4 HCPCS,12035,Pr Repair Intermediate S/A/T/E 12.6-20.0Cm-Pbb,2674.0,2674.0,,,0 HCPCS,12036,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 20.1 Cm To 30.0 Cm",6278.0,6278.0,,,0 HCPCS,12036,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 20.1 Cm To 30.0 Cm-Pbb",7897.5,7897.5,,,0 HCPCS,12036,Intmd rpr s/a/t/ext 20.1-30,,,792.0,3399.0,4 HCPCS,12036,Pr Repair Intermediate S/A/T/E 20.1-30.0 Cm-Pbb,3239.0,3239.0,,,0 HCPCS,12037,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; Over 30.0 Cm",7343.0,7343.0,,,0 HCPCS,12037,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; Over 30.0 Cm-Pbb",9615.0,9615.0,,,0 HCPCS,12037,Intmd rpr s/tr/ext >30.0 cm,,,2211.05,7272.0,4 HCPCS,12037,Pr Repair Intermediate S/A/T/E >30.0 Cm-Pbb,4544.0,4544.0,,,0 HCPCS,12041,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; 2.5 Cm Or Less",1508.0,1508.0,,,0 HCPCS,12041,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; 2.5 Cm Or Less-Pbb",2319.5,2319.5,,,0 HCPCS,12041,Intmd rpr n-hf/genit 2.5cm/<,,,435.63,3399.0,4 HCPCS,12041,Pr Repair Intermediate N/H/F/Xtrnl Gent 2.5Cm/<-Pbb,1622.0,1622.0,,,0 HCPCS,12042,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; 2.6 Cm To 7.5 Cm",2053.0,2053.0,,,0 HCPCS,12042,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; 2.6 Cm To 7.5 Cm-Pbb",3018.5,3018.5,,,0 HCPCS,12042,Intmd rpr n-hf/genit2.6-7.5,,,435.63,3399.0,4 HCPCS,12042,Pr Repair Intermediate N/H/F/Xtrnl Gent 2.6-7.5 Cm-Pbb,1931.0,1931.0,,,0 HCPCS,12044,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; 7.6 Cm To 12.5 Cm",2339.0,2339.0,,,0 HCPCS,12044,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; 7.6 Cm To 12.5 Cm-Pb",3479.0,3479.0,,,0 HCPCS,12044,Intmd rpr n-hf/genit7.6-12.5,,,792.0,3399.0,4 HCPCS,12044,Pr Repair Intermediate N/H/F/Xtrnl Gent 7.6-12.5Cm-Pbb,2280.0,2280.0,,,0 HCPCS,12045,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; 12.6 Cm To 20.0 Cm",2624.0,2624.0,,,0 HCPCS,12045,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; 12.6 Cm To 20.0 Cm-P",4113.0,4113.0,,,0 HCPCS,12045,Intmd rpr n-hf/genit12.6-20,,,792.0,3399.0,4 HCPCS,12045,Pr Repair Intermediate N/H/F/Xtrnl Gent 12.6-20 Cm-Pbb,2977.0,2977.0,,,0 HCPCS,12046,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; 20.1 Cm To 30.0 Cm",4067.0,4067.0,,,0 HCPCS,12046,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; 20.1 Cm To 30.0 Cm-P",5993.5,5993.5,,,0 HCPCS,12046,Intmd rpr n-hf/genit20.1-30,,,792.0,5007.0,4 HCPCS,12046,Pr Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm-Pbb,3853.0,3853.0,,,0 HCPCS,12047,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; Over 30/0 Cm",4460.0,4460.0,,,0 HCPCS,12047,"Hc Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; Over 30/0 Cm-Pbb",6389.0,6389.0,,,0 HCPCS,12047,Intmd rpr n-hf/genit >30.0cm,,,2211.05,7272.0,4 HCPCS,12047,Pr Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm-Pbb,3858.0,3858.0,,,0 HCPCS,12051,"Hc Rep Int Wounds 2.5 Cm/< Cash-Csm,Pbb",400.0,400.0,,,0 HCPCS,12051,"Hc Repair, Intermed, Wounds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membrns; 2.5 Cm Or Less",2706.5,2706.5,,,0 HCPCS,12051,Intmd rpr face/mm 2.5 cm/<,,,435.63,3399.0,4 HCPCS,12051,Noncdm Charge Record,1300.0,1300.0,,,0 HCPCS,12051,"Pr Rep Int Wounds 2.5 Cm/< Cash-Csm,Pbb",400.0,400.0,,,0 HCPCS,12051,Pr Repair Intermediate F/E/E/N/L&/Muc 2.5 Cm/<-Pbb,1931.0,1931.0,,,0 HCPCS,12052,"Hc Repair, Intermed, Wnds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membrns; 2.6 Cm To 5.0 Cm",3162.5,3162.5,,,0 HCPCS,12052,Intmd rpr face/mm 2.6-5.0 cm,,,435.63,3399.0,4 HCPCS,12052,Pr Repair Intermediate F/E/E/N/L&/Muc 2.6-5.0 Cm-Pbb,2192.0,2192.0,,,0 HCPCS,12053,"Hc Repair, Intermed, Wnds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membrns; 5.1 Cm To 7.5 Cm",3582.0,3582.0,,,0 HCPCS,12053,Intmd rpr face/mm 5.1-7.5 cm,,,435.63,3399.0,4 HCPCS,12053,Pr Repair Intermediate F/E/E/N/L&/Muc 5.1-7.5 Cm-Pbb,2546.0,2546.0,,,0 HCPCS,12054,"Hc Repair, Intrmed, Wnds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membrns; 7.6 Cm To 12.5 Cm",4007.0,4007.0,,,0 HCPCS,12054,Intmd rpr face/mm 7.6-12.5cm,,,435.63,3399.0,4 HCPCS,12054,Pr Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm-Pbb,3156.0,3156.0,,,0 HCPCS,12055,"Hc Repr, Intermed, Wnds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membrns; 12.6 Cm To 20.0 Cm",5329.5,5329.5,,,0 HCPCS,12055,Intmd rpr face/mm 12.6-20 cm,,,435.63,3399.0,4 HCPCS,12055,Pr Repair Intermediate F/E/E/N/L&/Muc 12.6-20.0Cm-Pbb,4205.0,4205.0,,,0 HCPCS,12056,"Hc Repr, Intermed, Wnds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membrns; 20.1 Cm To 30.0 Cm",6459.0,6459.0,,,0 HCPCS,12056,Intmd rpr face/mm 20.1-30.0,,,435.63,3399.0,4 HCPCS,12056,Pr Repair Intermediate F/E/E/N/L&/Muc 20.1-30.0Cm-Pbb,4909.0,4909.0,,,0 HCPCS,12057,"Hc Repair, Intermed, Wounds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membranes; Over 30.0 Cm",6948.0,6948.0,,,0 HCPCS,12057,Intmd rpr face/mm >30.0 cm,,,435.63,3399.0,4 HCPCS,12057,Pr Repair Intermediate F/E/E/N/L&/Muc >30.0 Cm-Pbb,5818.0,5818.0,,,0 HCPCS,13100,Cmplx rpr trunk 1.1-2.5 cm,,,792.0,3399.0,4 HCPCS,13100,"Hc Repair, Complex, Trunk; 1.1 Cm To 2.5 Cm",3082.0,3082.0,,,0 HCPCS,13100,"Hc Repair, Complex, Trunk; 1.1 Cm To 2.5 Cm-Pbb",4195.0,4195.0,,,0 HCPCS,13100,Pr Repair Complex Trunk 1.1-2.5 Cm-Pbb,2226.0,2226.0,,,0 HCPCS,13101,Cmplx rpr trunk 2.6-7.5 cm,,,792.0,3399.0,4 HCPCS,13101,"Hc Repair, Complex, Trunk; 2.6 Cm To 7.5 Cm",5707.0,5707.0,,,0 HCPCS,13101,"Hc Repair, Complex, Trunk; 2.6 Cm To 7.5 Cm-Pbb",7777.0,7777.0,,,0 HCPCS,13101,Pr Repair Complex Trunk 2.6-7.5 Cm-Pbb,4140.0,4140.0,,,0 HCPCS,13102,Cmplx rpr trunk addl 5cm/<,,,3399.0,3399.0,1 HCPCS,13102,"Hc Repair, Complex, Trunk; Each Additional 5Cm Or Less",2207.0,2207.0,,,0 HCPCS,13102,"Hc Repair, Complex, Trunk; Each Additional 5Cm Or Less-Pbb",2998.5,2998.5,,,0 HCPCS,13102,Pr Repair Complex Trunk Each Additional 5 Cm/<-Pbb,1583.0,1583.0,,,0 HCPCS,13120,Cmplx rpr s/a/l 1.1-2.5 cm,,,435.63,3399.0,4 HCPCS,13120,"Hc Repair, Complex, Scalp, Arms, And/Or Legs; 1.1 Cm To 2.5 Cm",2272.0,2272.0,,,0 HCPCS,13120,"Hc Repair, Complex, Scalp, Arms, And/Or Legs; 1.1 Cm To 2.5 Cm-Pbb",4030.5,4030.5,,,0 HCPCS,13120,Pr Repair Complex Scalp/Arm/Leg 1.1-2.5 Cm-Pbb,3517.0,3517.0,,,0 HCPCS,13121,Cmplx rpr s/a/l 2.6-7.5 cm,,,435.63,3399.0,4 HCPCS,13121,"Hc Repair, Complex, Scalp, Arms, And/Or Legs; 2.6 Cm To 7.5 Cm",2770.0,2770.0,,,0 HCPCS,13121,"Hc Repair, Complex, Scalp, Arms, And/Or Legs; 2.6 Cm To 7.5 Cm-Pbb",5467.0,5467.0,,,0 HCPCS,13121,"Infliximab: 1 Vial, Single-Use In 1 Box (57894-160-01) / 10 Ml In 1 Vial, Single-Use",257.34,257.34,,,0 HCPCS,13121,Pr Repair Complex Scalp/Arm/Leg 2.6-7.5 Cm-Pbb,5394.0,5394.0,,,0 HCPCS,13121,"Remicade: 1 Vial, Single-Use In 1 Box (57894-030-01) / 10 Ml In 1 Vial, Single-Use",780.95,780.95,,,0 HCPCS,13122,Cmplx rpr s/a/l addl 5 cm/>,,,3399.0,3399.0,1 HCPCS,13122,"Hc Repair, Complex, Scalp, Arms, And/Or Legs; Each Additional 5 Cm Or Less",1028.0,1028.0,,,0 HCPCS,13122,"Hc Repair, Complex, Scalp, Arms, And/Or Legs; Each Additional 5 Cm Or Less-Pbb",2113.0,2113.0,,,0 HCPCS,13122,Pr Repair Complex Scalp/Arm/Leg Ea Addl 5 Cm/<-Pbb,2170.0,2170.0,,,0 HCPCS,13131,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,435.63,3399.0,4 HCPCS,13131,"Hc Repair, Complx,Forehead,Cheeks,Chin,Mouth,Neck,Axillae,Genitalia,Hands And/Or Feet; 1.1 To 2.5 Cm",5320.5,5320.5,,,0 HCPCS,13131,Pr Repair Complex F/C/C/M/N/Ax/G/H/F 1.1-2.5 Cm-Pbb,4105.0,4105.0,,,0 HCPCS,13132,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,435.63,3399.0,4 HCPCS,13132,"Hc Repr, Cmplx, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genit, H&S &/Or Feet; 2.6 Cm To 7.5 Cm",8090.5,8090.5,,,0 HCPCS,13132,Pr Repair Complex F/C/C/M/N/Ax/G/H/F 2.6-7.5 Cm-Pbb,7970.0,7970.0,,,0 HCPCS,13133,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,3399.0,3399.0,1 HCPCS,13133,"Hc Repair, Complex, Forehead, Cheeks, Chin, Mth, Neck, Axil, Gntla, Hands, Feet; Ea Add 5 Cm Or Less",3034.5,3034.5,,,0 HCPCS,13133,Pr Repair Complex F/C/C/M/N/Ax/G/H/F Ea Addl 5 Cm/<-Pbb,3167.0,3167.0,,,0 HCPCS,13151,Cmplx rpr e/n/e/l 1.1-2.5 cm,,,792.0,3399.0,4 HCPCS,13151,"Hc Repair, Complex, Eyelids, Nose, Ears And/Or Lips; 1.1 Cm To 2.5 Cm",3976.0,3976.0,,,0 HCPCS,13151,"Hc Repair, Complex, Eyelids, Nose, Ears And/Or Lips; 1.1 Cm To 2.5 Cm-Pbb",6555.0,6555.0,,,0 HCPCS,13151,Pr Repair Complex Eyelid/Nose/Ear/Lip 1.1-2.5 Cm-Pbb,5159.0,5159.0,,,0 HCPCS,13152,Cmplx rpr e/n/e/l 2.6-7.5 cm,,,792.0,3399.0,4 HCPCS,13152,"Hc Repair, Complex, Eyelids, Nose, Ears And/Or Lips; 2.6 Cm To 7.5 Cm",4211.0,4211.0,,,0 HCPCS,13152,"Hc Repair, Complex, Eyelids, Nose, Ears And/Or Lips; 2.6 Cm To 7.5 Cm-Pbb",9249.5,9249.5,,,0 HCPCS,13152,Misoprostol: 100 Blister Pack In 1 Carton (60687-746-01) / 1 Tablet In 1 Blister Pack (60687-746-11),14.08,14.08,,,0 HCPCS,13152,Misoprostol: 60 Tablet In 1 Bottle (59762-5008-1),5.99,5.99,,,0 HCPCS,13152,NDC Description Not Available,14.08,14.08,,,0 HCPCS,13152,Pr Repair Complex Eyelid/Nose/Ear/Lip 2.6-7.5 Cm-Pbb,10078.0,10078.0,,,0 HCPCS,13153,Cmplx rpr e/n/e/l addl 5cm/<,,,3399.0,3399.0,1 HCPCS,13153,"Hc Repair, Complex, Eyelids, Nose, Ears And/Or Lips; Each Additional 5Cm Or Less",1514.0,1514.0,,,0 HCPCS,13153,"Hc Repair, Complex, Eyelids, Nose, Ears And/Or Lips; Each Additional 5Cm Or Less-Pbb",3536.0,3536.0,,,0 HCPCS,13153,Pr Repair Complx Eyelid/Nose/Ear/Lip Ea Addl 5 Cm/<-Pbb,4044.0,4044.0,,,0 HCPCS,13160,Hc Secondary Closure Surg Wound/Dehsn Xtnsv/Comp,6521.0,6521.0,,,0 HCPCS,13160,Hc Secondary Closure Surg Wound/Dehsn Xtnsv/Comp-Pbb,10365.5,10365.5,,,0 HCPCS,13160,Late closure of wound,,,3797.52,7272.0,4 HCPCS,13160,Pr Secondary Closure Surg Wound/Dehsn Xtnsv/Comp-Pbb,7690.0,7690.0,,,0 HCPCS,14000,"Hc Adjacent Tissue Transfer Or Rearrangement, Trunk; Defect 10 Sq Cm Or Les",6944.0,6944.0,,,0 HCPCS,14000,"Hc Adjacent Tissue Transfer Or Rearrangement, Trunk; Defect 10 Sq Cm Or Les-Pbb",10342.0,10342.0,,,0 HCPCS,14000,Pr Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/<-Pbb,6796.0,6796.0,,,0 HCPCS,14000,Tis trnfr trunk 10 sq cm/<,,,2211.05,7272.0,4 HCPCS,14001,"Hc Adjacent Tissue Transfer Or Rearrangement, Trunk; Defect 10.1 Sq Cm To 30.0 Sq Cm",6868.0,6868.0,,,0 HCPCS,14001,"Hc Adjacent Tissue Transfer Or Rearrangement, Trunk; Defect 10.1 Sq Cm To 30.0 Sq Cm-Pbb",10598.0,10598.0,,,0 HCPCS,14001,Pr Adjnt Tis Transfr/Rearrange Trunk 10.1-30.0 Sqcm-Pbb,7460.0,7460.0,,,0 HCPCS,14001,Tis trnfr trunk 10.1-30sqcm,,,2211.05,7272.0,4 HCPCS,14020,"Hc Adjacent Tissue Transfer Or Rearrangement, Scalp, Arms And/Or Legs; Defect 10 Sq Cm Or Less",8188.0,8188.0,,,0 HCPCS,14020,"Hc Adjacent Tissue Transfer Or Rearrangement, Scalp, Arms And/Or Legs; Defect 10 Sq Cm Or Less-Pbb",12533.0,12533.0,,,0 HCPCS,14020,Pr Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/<-Pbb,8690.0,8690.0,,,0 HCPCS,14020,Tis trnfr s/a/l 10 sq cm/<,,,2211.05,7272.0,4 HCPCS,14021,"Hc Adj Tissue Transfer Or Rearrangement, Scalp, Arms And/Or Legs; Defect 10.1 Sq Cm To 30.0 Sq Cm",7754.0,7754.0,,,0 HCPCS,14021,"Hc Adj Tissue Transfer Or Rearrangement, Scalp, Arms And/Or Legs; Defect 10.1 Sq Cm To 30.0 Sq Cm-Pb",11907.5,11907.5,,,0 HCPCS,14021,Pr Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm-Pbb,8307.0,8307.0,,,0 HCPCS,14021,Tis trnfr s/a/l 10.1-30 sqcm,,,2211.05,7272.0,4 HCPCS,14040,"Hc Adj Tiss Trnsfr/ Rgmnt,Frhd,Chks,Chin,Mth,Nck,Axillae,Genitalia, H&S &/Or Feet; Defect< 10Sq Cm",6476.0,6476.0,,,0 HCPCS,14040,"Hc Adj Tiss Trnsfr/ Rgmnt,Frhd,Chks,Chin,Mth,Nck,Axillae,Genitalia, H&S &/Or Feet; Defect< 10Sq Cm-P",10629.5,10629.5,,,0 HCPCS,14040,Pr Adjt Tis Trns/Reargmt F/C/C/M/N/A/G/H/F 10Sqcm/<-Pbb,8307.0,8307.0,,,0 HCPCS,14040,Tis trnfr f/c/c/m/n/a/g/h/f,,,2211.05,7272.0,4 HCPCS,14041,"Hc Adj Tssu Trnsf/Rerrngmnt,Forhd,Chks,Chin,Mth,Neck,Axil,Genit,H&S&/Or Ft;Defct 10.1 Sqc-30.0 Sqc",7938.0,7938.0,,,0 HCPCS,14041,"Hc Adj Tssu Trnsf/Rerrngmnt,Forhd,Chks,Chin,Mth,Neck,Axil,Genit,H&S&/Or Ft;Defct 10.1 Sqc-30.0 Sqc-P",13193.0,13193.0,,,0 HCPCS,14041,Pr Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm-Pbb,10510.0,10510.0,,,0 HCPCS,14041,Tis trnfr f/c/c/m/n/a/g/h/f,,,2211.05,7272.0,4 HCPCS,14060,"Hc Adj Tissue Transfer Or Rearrangement, Eyelids, Nose, Ears And/Or Lips; Defect 10 Sq Cm Or Less",9525.0,9525.0,,,0 HCPCS,14060,"Hc Adj Tissue Transfer Or Rearrangement, Eyelids, Nose, Ears And/Or Lips; Defect 10 Sq Cm Or Less-Pb",14780.0,14780.0,,,0 HCPCS,14060,Pr Adjt Tis Trnsfr/Rearrgmt E/N/E/L Dfct 10 Sq Cm/<-Pbb,10510.0,10510.0,,,0 HCPCS,14060,Tis trnfr e/n/e/l 10 sq cm/<,,,2211.05,7272.0,4 HCPCS,14061,"Hc Adj Tissue Trnsfr Or Rearrngmnt, Eyelids, Nose, Ears And/Or Lips; Defect 10.1 Sq Cm To 30.0 Sq Cm",19185.5,19185.5,,,0 HCPCS,14061,Pr Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm-Pbb,14916.0,14916.0,,,0 HCPCS,14061,Tis trnfr e/n/e/l10.1-30sqcm,,,2211.05,7272.0,4 HCPCS,14301,"Hc Adjacent Tissue Transfer Or Rearrangement, Any Area; Defect 30.1 Sq Cm To 60.0 Sq Cm",8624.0,8624.0,,,0 HCPCS,14301,"Hc Adjacent Tissue Transfer Or Rearrangement, Any Area; Defect 30.1 Sq Cm To 60.0 Sq Cm-Pbb",10422.0,10422.0,,,0 HCPCS,14301,Pr Adjnt Tis Trnsfr/Reargmt Any Area 30.1-60 Sq Cm-Pbb,3596.0,3596.0,,,0 HCPCS,14301,Tis trnfr any 30.1-60 sq cm,,,3797.52,14227.0,4 HCPCS,14302,"Hc Adjacent Tissue Transfer Or Rearrangement, Any Area; Each Additional 30.0 Sq Cm, Or Part Thereof",1969.0,1969.0,,,0 HCPCS,14302,"Hc Adjacent Tissue Transfer Or Rearrangement, Any Area; Each Additional 30.0 Sq Cm, Or Part Thereof-",3767.0,3767.0,,,0 HCPCS,14302,Pr Adjt Tis Trnsfr/Reargmt Defec Ea Addl 30 Sqcm-Pbb,3596.0,3596.0,,,0 HCPCS,14302,Tis trnfr addl 30 sq cm/<,,,3399.0,3399.0,1 HCPCS,14350,Filleted finger/toe flap,,,2211.05,7272.0,4 HCPCS,15002,Wound prep trk/arm/leg,,,792.0,7272.0,4 HCPCS,15003,Wound prep addl 100 cm,,,3399.0,3399.0,1 HCPCS,15004,Hc Prep Site F/S/N/H/F/G/M/D Gt 1St 100 Sq Cm/1Pct,1591.0,1591.0,,,0 HCPCS,15004,Hc Prep Site F/S/N/H/F/G/M/D Gt 1St 100 Sq Cm/1Pct Cash,250.0,250.0,,,0 HCPCS,15004,Hc Prep Site F/S/N/H/F/G/M/D Gt 1St 100 Sq Cm/1Pct-Pbb,2705.0,2705.0,,,0 HCPCS,15004,Pr Prep Site F/S/N/H/F/G/M/D Gt 1St 100 Sq Cm/1Pct-Pbb,2228.0,2228.0,,,0 HCPCS,15004,Wound prep f/n/hf/g,,,435.63,3399.0,4 HCPCS,15005,Wnd prep f/n/hf/g addl cm,,,3399.0,3399.0,1 HCPCS,15011,Hrv skn cll ssp agrft 1st 25,,,2211.05,3206.02,3 HCPCS,15015,App skn cl ssp agrft t/a/l 1,,,2211.05,3206.02,3 HCPCS,15017,App skn cll ssp f/n/g/hf 1st,,,2211.05,3206.02,3 HCPCS,15040,Harvest cultured skin graft,,,2211.05,7272.0,4 HCPCS,15050,"Hc Pinch Grft,Sngl/Mult,To Cvr Sm Ulcer, Tip Of Digit, /Other Min Opn Area, Up To Defect Sz 2 Cm Dm",3674.0,3674.0,,,0 HCPCS,15050,"Hc Pinch Grft,Sngl/Mult,To Cvr Sm Ulcer, Tip Of Digit, /Other Min Opn Area, Up To Defect Sz 2 Cm Dm-",7647.0,7647.0,,,0 HCPCS,15050,Pr Pinch Graft 1/Mlt Sm Ulcer Tip/Oth Ar Up To 2 Cm-Pbb,7945.0,7945.0,,,0 HCPCS,15050,Skin pinch graft,,,792.0,3399.0,4 HCPCS,15100,"Hc Split-Thick Autograft, Trunk, Arms, Legs; 1St 100 Sq Cm Or Less, Or 1% Body Area Infants Children",18529.0,18529.0,,,0 HCPCS,15100,Pr Splt Agrft T/A/L 1St 100 Sqcm//=100 Sq Cm;1St 100 Sq Cm,Or 1% Infnts & Chldrn",8624.0,8624.0,,,0 HCPCS,15273,"Hc App Of Skin Sub Grft To Trnk,Arms,Legs,Wnd Surf >/=100 Sq Cm;1St 100 Sq Cm,Or 1% Infnts & Chldrn-",15222.0,15222.0,,,0 HCPCS,15273,Pr App Skn Subgrft T/A/L Area/100Sq Cm 1St 100Sq Cm-Pbb,13196.0,13196.0,,,0 HCPCS,15273,Skin sub grft t/arm/lg child,,,2211.05,14227.0,4 HCPCS,15274,"Hc Skin Substitute Graft Trunk,Arms,Left Total Surface >\=100Sq Cm, Each Additional 100 Sq Cm",1261.0,1261.0,,,0 HCPCS,15274,"Hc Skin Substitute Graft Trunk,Arms,Left Total Surface >\=100Sq Cm, Each Additional 100 Sq Cm-Pbb",5969.0,5969.0,,,0 HCPCS,15274,Pr App Skn Sub Grft T/A/L Area>=100Scm Adl 100Sqcm-Pbb,9416.0,9416.0,,,0 HCPCS,15274,Skn sub grft t/a/l child add,,,3399.0,3399.0,1 HCPCS,15275,"Hc App Skn Sub Grft Face,Sclp,Eyld,Mt,Nck,Ear,Orb,Gen,H&S,Ft,Mlt Dgt,Wnd Sfc Ar 100Sqcm;1St<=25Sqcm",5284.0,5284.0,,,0 HCPCS,15275,"Hc App Skn Sub Grft Face,Sclp,Eyld,Mt,Nck,Ear,Orb,Gen,H&S,Ft,Mlt Dgt,Wnd Sfc Ar 100Sqcm;1St<=25Sqcm-",8730.0,8730.0,,,0 HCPCS,15275,Pr Sub Grft F/S/N/H/F/G/M/D <100Sq Cm 1St 25 Sq Cm-Pbb,6892.0,6892.0,,,0 HCPCS,15275,Skin sub graft face/nk/hf/g,,,792.0,7272.0,4 HCPCS,15276,"Hc App Skn Sub Grft To Face, Gen, H&S, Ft, &/Or Mult Dgts, Tot Wnd Sfc 100 Sq Cm; Ea Add 25 Sq Cm",329.0,329.0,,,0 HCPCS,15276,"Hc App Skn Sub Grft To Face, Gen, H&S, Ft, &/Or Mult Dgts, Tot Wnd Sfc 100 Sq Cm; Ea Add 25 Sq Cm-Pb",3271.5,3271.5,,,0 HCPCS,15276,Pr Sub Grft F/S/N/H/F/G/M/D<100Sq Cm Ea Addl25Sq Cm-Pbb,5885.0,5885.0,,,0 HCPCS,15276,Skin sub graft f/n/hf/g addl,,,3399.0,3399.0,1 HCPCS,15277,Skn sub grft f/n/hf/g child,,,2211.05,7272.0,4 HCPCS,15278,Skn sub grft f/n/hf/g ch add,,,3399.0,3399.0,1 HCPCS,15570,Skin pedicle flap trunk,,,2211.05,7272.0,4 HCPCS,15572,Skin pedicle flap arms/legs,,,3797.52,14227.0,4 HCPCS,15574,Pedcle fh/ch/ch/m/n/ax/g/h/f,,,2211.05,7272.0,4 HCPCS,15576,"Hc App Skn Sub Grft Face,Sclp,Eyld,Mt,Nck,Ear,Orb,Gen,H&S,Ft,Mlt Dgt,Wnd Sfc 100 Sqcm;Ea Add 25 Sqcm",11043.0,11043.0,,,0 HCPCS,15576,Pedicle e/n/e/l/ntroral,,,2211.05,7272.0,4 HCPCS,15576,Pr Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral-Pbb,11518.0,11518.0,,,0 HCPCS,15600,Delay flap trunk,,,3797.52,14227.0,4 HCPCS,15610,Delay flap arms/legs,,,2211.05,11000.0,4 HCPCS,15620,Delay flap f/c/c/n/ax/g/h/f,,,2211.05,7272.0,4 HCPCS,15630,Delay flap eye/nos/ear/lip,,,2211.05,7272.0,4 HCPCS,15630,"Hc Delay Of Flap Or Sectioning Of Flap (Division And Inset); At Eyelids, Nose, Ears, Or Lips",5284.0,5284.0,,,0 HCPCS,15630,"Hc Delay Of Flap Or Sectioning Of Flap (Division And Inset); At Eyelids, Nose, Ears, Or Lips-Pbb",8492.0,8492.0,,,0 HCPCS,15630,Pr Delay Flap/Sctj Flap Eyelids Nose Ears/Lips-Pbb,6417.0,6417.0,,,0 HCPCS,15650,Transfer skin pedicle flap,,,2211.05,7272.0,4 HCPCS,15730,Mdfc flap w/prsrv vasc pedcl,,,3797.52,14227.0,4 HCPCS,15731,Forehead Flap w/Vasc Pedicle,,,3797.52,14227.0,4 HCPCS,15733,Musc myoq/fscq flp h&n pedcl,,,3797.52,14227.0,4 HCPCS,15734,Muscle-skin graft trunk,,,3797.52,14227.0,4 HCPCS,15736,Muscle-skin graft arm,,,2211.05,7272.0,4 HCPCS,15738,Muscle-skin graft leg,,,3797.52,14227.0,4 HCPCS,15740,Hc Flap; Island Pedicle Requiring Identification And Dissection Of An Anatomically Named Axial Vessl,12837.0,12837.0,,,0 HCPCS,15740,Island pedicle flap graft,,,2211.05,7272.0,4 HCPCS,15740,Pr Flap Island Pedicle Anatomic Named Axial Artery-Pbb,15106.0,15106.0,,,0 HCPCS,15750,Neurovascular pedicle flap,,,3797.52,14227.0,4 HCPCS,15756,Free myo/skin flap microvasc,,,11000.0,11000.0,1 HCPCS,15757,Free skin flap microvasc,,,11000.0,11000.0,1 HCPCS,15758,Free fascial flap microvasc,,,11000.0,11000.0,1 HCPCS,15760,Composite skin graft,,,2211.05,7272.0,4 HCPCS,15760,"Hc Graft; Composite, Including Primary Closure, Donor Area",5284.0,5284.0,,,0 HCPCS,15760,"Hc Graft; Composite, Including Primary Closure, Donor Area-Pbb",9998.5,9998.5,,,0 HCPCS,15760,Pr Graft Composite W/Primary Closure Donor Area-Pbb,9429.0,9429.0,,,0 HCPCS,15769,Grfg autol soft tiss dir exc,,,3797.52,14227.0,4 HCPCS,15770,Derma-fat-fascia graft,,,3797.52,14227.0,4 HCPCS,15771,Grfg autol fat lipo 50 cc/<,,,3797.52,14227.0,4 HCPCS,15772,Grfg autol fat lipo ea addl,,,3399.0,3399.0,1 HCPCS,15773,Grfg autol fat lipo 25 cc/<,,,2211.05,7272.0,4 HCPCS,15774,Gfrg autol fat lipo ea addl,,,3399.0,3399.0,1 HCPCS,15775,Hair trnspl 1-15 punch grfts,,,435.63,3399.0,4 HCPCS,15776,Hair trnspl >15 punch grafts,,,435.63,3399.0,4 HCPCS,15777,Acellular derm matrix implt,,,3399.0,3399.0,1 HCPCS,15778,Impl absrb msh/prsth dly cls,,,10008.0,10008.0,1 HCPCS,15780,Dermabrasion total face,,,3112.75,11000.0,4 HCPCS,15780,"Hc Dermabrasion, Total Face",3868.0,3868.0,,,0 HCPCS,15780,"Hc Dermabrasion, Total Face Cash",4000.0,4000.0,,,0 HCPCS,15780,"Hc Dermabrasion, Total Face Cash-Csm,Pbb",4000.0,4000.0,,,0 HCPCS,15780,"Hc Dermabrasion, Total Face-Pbb",8236.5,8236.5,,,0 HCPCS,15780,Pr Dermabrasion Total Face-Pbb,8737.0,8737.0,,,0 HCPCS,15781,Dermabrasion segmental face,,,758.85,5007.0,4 HCPCS,15781,"Hc Dermabrasion, Segmental Face",1654.0,1654.0,,,0 HCPCS,15781,"Hc Dermabrasion, Segmental Face Cash",1500.0,1500.0,,,0 HCPCS,15781,"Hc Dermabrasion, Segmental Face Cash-Csm,Pbb",1500.0,1500.0,,,0 HCPCS,15781,"Hc Dermabrasion, Segmental Face-Pbb",4331.5,4331.5,,,0 HCPCS,15781,NDC Description Not Available,22.18,22.18,,,0 HCPCS,15781,Nadolol: 100 BLISTER PACK in 1 CARTON (51079-813-20) / 1 TABLET in 1 BLISTER PACK (51079-813-01),37.34,37.34,,,0 HCPCS,15781,Nadolol: 100 Tablet In 1 Bottle (76385-134-01),5.4,5.4,,,0 HCPCS,15781,Nadolol: 30 Blister Pack In 1 Carton (0904-7071-07) / 1 Tablet In 1 Blister Pack,22.39,22.39,,,0 HCPCS,15781,Pr Dermabrasion Segmental Face-Pbb,5356.0,5356.0,,,0 HCPCS,15782,Dermabrasion other than face,,,3112.75,5007.0,4 HCPCS,15782,"Hc Dermabrasion, Regional, Other Than Face",2242.0,2242.0,,,0 HCPCS,15782,"Hc Dermabrasion, Regional, Other Than Face-Pbb",5396.5,5396.5,,,0 HCPCS,15782,Pr Dermabrasion Regional Other Than Face-Pbb,6310.0,6310.0,,,0 HCPCS,15783,Dermabrasion suprfl any site,,,435.63,3399.0,4 HCPCS,15783,"Hc Dermabrasion, Superficial, Any Site Cash Per 10 Cmsq-Csm,Pbb",300.0,300.0,,,0 HCPCS,15783,"Hc Dermabrasion, Superficial, Tattoo Remove Per 20Cmsq Cash-Csm,Pbb",500.0,500.0,,,0 HCPCS,15783,Pr Dermabrasion Superficial Any Site-Pbb,235.0,235.0,,,0 HCPCS,15786,Abrasion lesion single,,,215.0,3399.0,4 HCPCS,15786,Hc Abrasion; Single Lesion Cash,150.0,150.0,,,0 HCPCS,15786,"Hc Abrasion; Single Lesion Cash-Csm,Pbb",150.0,150.0,,,0 HCPCS,15787,Abrasion lesions add-on,,,3399.0,3399.0,1 HCPCS,15788,Chemical peel face epiderm,,,435.63,3399.0,4 HCPCS,15788,"Hc Chemical Peel, Facial; Epidermal Cash-Csm",175.0,175.0,,,0 HCPCS,15788,"Hc Chemical Peel, Facial; Epidermal Cash-Csm,Pbb",175.0,175.0,,,0 HCPCS,15788,"Hc Chemical Peel, Facial; Epidermal-Csm,Pbb",53.0,53.0,,,0 HCPCS,15788,"Hc Chemical Peel, Facial; Epidermal-Pbb",2506.0,2506.0,,,0 HCPCS,15788,"Pr Chemical Peel Facial Epidermal-Csm,Pbb",17.0,17.0,,,0 HCPCS,15788,Pr Chemical Peel Facial Epidermal-Pbb,3948.0,3948.0,,,0 HCPCS,15789,Chemical peel face dermal,,,792.0,3399.0,4 HCPCS,15789,"Hc Chemical Peel, Facial; Dermal Cash",200.0,200.0,,,0 HCPCS,15792,Chemical peel nonfacial,,,792.0,5007.0,4 HCPCS,15792,"Hc Chemical Peel, Nonfacial; Epidermal Cash",225.0,225.0,,,0 HCPCS,15792,"Hc Chemical Peel, Nonfacial; Epidermal Cash-Csm,Pbb",225.0,225.0,,,0 HCPCS,15793,Chemical peel nonfacial,,,435.63,3399.0,4 HCPCS,15819,Plastic surgery neck,,,7272.0,7272.0,1 HCPCS,15820,"Hc Blepharoplasty, Lower Eyelid Cash",2500.0,2500.0,,,0 HCPCS,15820,"Hc Blepharoplasty, Lower Eyelid Cash-Csm,Pbb",2500.0,2500.0,,,0 HCPCS,15820,Revision of lower eyelid,,,2211.05,7272.0,4 HCPCS,15821,"Hc Blepharoplasty, Lower Eyelid; With Extensive Herniated Fat Pad Cash",3520.0,3520.0,,,0 HCPCS,15821,"Hc Blepharoplasty, Lower Eyelid; With Extensive Herniated Fat Pad Cash-Csm,Pbb",3500.0,3500.0,,,0 HCPCS,15821,Revision of lower eyelid,,,2211.05,7272.0,4 HCPCS,15822,"Hc Blepharoplasty Upper Eyelid Cash-Csm,Pbb",2700.0,2700.0,,,0 HCPCS,15822,"Hc Blepharoplasty, Upper Eyelid Cash",2500.0,2500.0,,,0 HCPCS,15822,"Hc Blepharoplasty, Upper Eyelid Cash-Csm,Pbb",2500.0,2500.0,,,0 HCPCS,15822,Hc Cash Blepharoplasty Upper Eye Cash Resident-Csm,1450.0,1450.0,,,0 HCPCS,15822,"Pr Blepharoplasty Upper Eyelid Cash-Csm,Pbb",2500.0,2500.0,,,0 HCPCS,15822,Revision of upper eyelid,,,2211.05,7272.0,4 HCPCS,15823,"Hc Blepharoplasty, Upper Eyelid; With Excessive Skin Weighting Down Lid Cash",6125.0,6125.0,,,0 HCPCS,15823,"Hc Blepharoplasty, Upper Eyelid; With Excessive Skin Weighting Down Lid Cash-Csm,Pbb",6125.0,6125.0,,,0 HCPCS,15823,Revision of upper eyelid,,,2211.05,7272.0,4 HCPCS,15824,Removal of forehead wrinkles,,,2211.05,7272.0,4 HCPCS,15825,Removal of neck wrinkles,,,3797.52,14227.0,4 HCPCS,15826,Removal of brow wrinkles,,,3797.52,14227.0,4 HCPCS,15828,Removal of face wrinkles,,,3797.52,14227.0,4 HCPCS,15829,Removal of skin wrinkles,,,3797.52,14227.0,4 HCPCS,15830,Exc Skin Abd,,,7115.73,22280.0,4 HCPCS,15832,Excise excessive skin thigh,,,3112.75,11000.0,4 HCPCS,15833,Excise excessive skin leg,,,3112.75,11000.0,4 HCPCS,15834,Excise excessive skin hip,,,3112.75,11000.0,4 HCPCS,15835,Excise excessive skin buttck,,,3112.75,11000.0,4 HCPCS,15836,Excise excessive skin arm,,,3112.75,7272.0,4 HCPCS,15837,Excise excess skin arm/hand,,,3112.75,7272.0,4 HCPCS,15838,Excise excess skin fat pad,,,3112.75,7272.0,4 HCPCS,15839,Excise excess skin & tissue,,,3112.75,7272.0,4 HCPCS,15839,Hc Excise Excess Skin & Tissue,6357.0,6357.0,,,0 HCPCS,15839,Hc Excise Excess Skin & Tissue-Pbb,9407.0,9407.0,,,0 HCPCS,15839,Pr Excision Excessive Skin & Subq Tissue Other Area-Pbb,6100.0,6100.0,,,0 HCPCS,15840,Nerve palsy fascial graft,,,3797.52,14227.0,4 HCPCS,15841,Nerve palsy muscle graft,,,3797.52,14227.0,4 HCPCS,15842,Nerve palsy microsurg graft,,,2211.05,7272.0,4 HCPCS,15845,Skin and muscle repair face,,,3797.52,14227.0,4 HCPCS,15847,Exc Skin Abd Add-on,,,3399.0,3399.0,1 HCPCS,15850,Hc Remvl Suture Under Anes Same Surgn-Pbb,1788.0,1788.0,,,0 HCPCS,15850,Remvl Suture Under Anes Same Surgn-Pbb,367.0,367.0,,,0 HCPCS,15851,Hc Remvl Suture Under Anes Other Surgn,5248.0,5248.0,,,0 HCPCS,15851,Hc Remvl Suture Under Anes Other Surgn-Pbb,5453.0,5453.0,,,0 HCPCS,15851,Pr Removal Sutures/Staples Requiring Anesthesia-Pbb,410.0,410.0,,,0 HCPCS,15851,Remove sutures diff surgeon,,,2211.05,7272.0,4 HCPCS,15852,Dressing change not for burn,,,792.0,3399.0,4 HCPCS,15852,Hc Dressing Change (For Other Than Burns) Under Anesthesia (Other Than Local),1213.0,1213.0,,,0 HCPCS,15852,Hc Dressing Change (For Other Than Burns) Under Anesthesia (Other Than Local)-Pbb,1437.5,1437.5,,,0 HCPCS,15852,Pr Dressing Change Under Anesthesia-Pbb,449.0,449.0,,,0 HCPCS,15853,Hc Removal Sutr/Stapl Xreq Anes,1295.0,1295.0,,,0 HCPCS,15853,Hc Removal Sutr/Stapl Xreq Anes-Pbb,1334.5,1334.5,,,0 HCPCS,15853,Pr Removal Sutures/Staples Not Requiring Anesthesia-Pbb,79.0,79.0,,,0 HCPCS,15853,Removal sutr/stapl xreq anes,,,3399.0,3399.0,1 HCPCS,15854,Folic Acid: 100 Blister Pack In 1 Carton (0904-7224-61) / 1 Tablet In 1 Blister Pack,5.86,5.86,,,0 HCPCS,15854,Folic Acid: 100 Tablet In 1 Bottle (53746-361-01),5.8,5.8,,,0 HCPCS,15854,Hc Removal Sutr&Stapl Xreq Anes,2588.0,2588.0,,,0 HCPCS,15854,Hc Removal Sutr&Stapl Xreq Anes-Pbb,2644.5,2644.5,,,0 HCPCS,15854,NDC Description Not Available,5.69,5.69,,,0 HCPCS,15854,Pr Removal Sutures&Staples Not Requiring Anesthesia-Pbb,94.0,94.0,,,0 HCPCS,15854,Removal sutr&stapl xreq anes,,,3399.0,3399.0,1 HCPCS,15860,Test for blood flow in graft,,,478.72,3399.0,4 HCPCS,15876,Noncdm Charge Record,1000.0,1000.0,,,0 HCPCS,15876,Suction lipectomy head&neck,,,3797.52,14227.0,4 HCPCS,15877,Suction lipectomy trunk,,,3797.52,14227.0,4 HCPCS,15878,Suction lipectomy upr extrem,,,2211.05,7272.0,4 HCPCS,15879,Suction lipectomy lwr extrem,,,3797.52,14227.0,4 HCPCS,15920,Removal of tail bone ulcer,,,3112.75,7272.0,4 HCPCS,15922,Removal of tail bone ulcer,,,3797.52,14227.0,4 HCPCS,15931,Remove sacrum pressure sore,,,3112.75,11000.0,4 HCPCS,15933,Remove sacrum pressure sore,,,3112.75,11000.0,4 HCPCS,15934,Remove sacrum pressure sore,,,3797.52,14227.0,4 HCPCS,15935,Remove sacrum pressure sore,,,3797.52,14227.0,4 HCPCS,15936,Remove sacrum pressure sore,,,2211.05,7272.0,4 HCPCS,15937,Remove sacrum pressure sore,,,2211.05,7272.0,4 HCPCS,15940,Remove hip pressure sore,,,3112.75,11000.0,4 HCPCS,15941,Remove hip pressure sore,,,3112.75,11000.0,4 HCPCS,15944,Remove hip pressure sore,,,3797.52,14227.0,4 HCPCS,15945,Remove hip pressure sore,,,2211.05,7272.0,4 HCPCS,15946,Remove hip pressure sore,,,2211.05,11000.0,4 HCPCS,15950,Remove thigh pressure sore,,,1769.88,11000.0,4 HCPCS,15951,Remove thigh pressure sore,,,3112.75,11000.0,4 HCPCS,15952,Remove thigh pressure sore,,,2211.05,11000.0,4 HCPCS,15953,Remove thigh pressure sore,,,3797.52,14227.0,4 HCPCS,15956,Remove thigh pressure sore,,,2211.05,7272.0,4 HCPCS,15958,Remove thigh pressure sore,,,3797.52,14227.0,4 HCPCS,15999,Removal of pressure sore,,,758.85,5007.0,4 HCPCS,16000,"Hc Initital Treatment, 1St Degree Burn, When No More Than Local Treatment Is Required",966.0,966.0,,,0 HCPCS,16000,Initial treatment of burn(s),,,215.0,3399.0,4 HCPCS,16020,Dress/debrid p-thick burn s,,,215.0,3399.0,4 HCPCS,16020,"Hc Dressings And/Or Debridement Of Partial-Thickness Burns, Initial Or Subsequent; Small",904.0,904.0,,,0 HCPCS,16020,"Hc Dressings And/Or Debridement Of Partial-Thickness Burns, Initial Or Subsequent; Small-Pbb",1159.5,1159.5,,,0 HCPCS,16020,Pr Drs&/Dbrdmt Prtl-Thkns Burns 1St/Sbsq Small-Pbb,511.0,511.0,,,0 HCPCS,16025,Dress/debrid p-thick burn m,,,215.0,3399.0,4 HCPCS,16025,"Hc Dressings And/Or Debridement Of Partial-Thickness Burns, Initial Or Subsequent; Medium",1300.0,1300.0,,,0 HCPCS,16030,Dress/debrid p-thick burn l,,,435.63,3399.0,4 HCPCS,16030,"Hc Dressings And/Or Debridement Of Partial-Thickness Burns, Initial Or Subsequent; Large",2255.0,2255.0,,,0 HCPCS,16035,Hc Escharotomy; Initial Incision,1280.0,1280.0,,,0 HCPCS,16035,Incision of burn scab initi,,,435.63,3399.0,4 HCPCS,16036,Escharotomy addl incision,,,7272.0,7272.0,1 HCPCS,16036,Hc Escharotomy; Each Additional Incision,352.0,352.0,,,0 HCPCS,17000,Destruct premalg lesion,,,215.0,3399.0,4 HCPCS,17000,"Hc Destruction, Premalignant Lesions, 1St Lesion",523.0,523.0,,,0 HCPCS,17000,"Hc Destruction, Premalignant Lesions, 1St Lesion-Pbb",792.0,792.0,,,0 HCPCS,17000,Pr Destruction Premalignant Lesion 1St-Pbb,538.0,538.0,,,0 HCPCS,17003,Destruct premalg les 2-14,,,3399.0,3399.0,1 HCPCS,17003,"Hc Destruction, Premalignant Lesions, 2Nd To 14 Lesions, Each",424.0,424.0,,,0 HCPCS,17003,"Hc Destruction, Premalignant Lesions, 2Nd To 14 Lesions, Each-Pbb",484.5,484.5,,,0 HCPCS,17003,Pr Destruction Premalignant Lesion 2-14 Ea-Pbb,121.0,121.0,,,0 HCPCS,17004,Destroy premal lesions 15/>,,,435.63,3399.0,4 HCPCS,17004,"Hc Destruction, Premalignant Lesions, 15 Or More Lesions",1394.0,1394.0,,,0 HCPCS,17004,"Hc Destruction, Premalignant Lesions, 15 Or More Lesions-Pbb",2359.5,2359.5,,,0 HCPCS,17004,Pr Destruction Premalignant Lesion 15/>-Pbb,1931.0,1931.0,,,0 HCPCS,17106,Destruction of skin lesions,,,435.63,3399.0,4 HCPCS,17106,Hc Destruction Of Cutaneous Vascular Proliferative Lesions; Less Than 10 Sq Cm,2186.0,2186.0,,,0 HCPCS,17106,Hc Destruction Of Cutaneous Vascular Proliferative Lesions; Less Than 10 Sq Cm Cash,250.0,250.0,,,0 HCPCS,17106,"Hc Destruction Of Cutaneous Vascular Proliferative Lesions; Less Than 10 Sq Cm Cash-Csm,Pbb",250.0,250.0,,,0 HCPCS,17106,Hc Destruction Of Cutaneous Vascular Proliferative Lesions; Less Than 10 Sq Cm-Pbb,3351.5,3351.5,,,0 HCPCS,17106,Pr Destruction Cutaneous Vasc Proliferative <10Cm-Pbb,2330.0,2330.0,,,0 HCPCS,17107,Destruction of skin lesions,,,792.0,3399.0,4 HCPCS,17107,Hc Destruction Of Cutaneous Vascular Proliferative Lesions; 10 To 50 Sq Cm,2807.0,2807.0,,,0 HCPCS,17107,Hc Destruction Of Cutaneous Vascular Proliferative Lesions; 10 To 50 Sq Cm Cash,400.0,400.0,,,0 HCPCS,17107,"Hc Destruction Of Cutaneous Vascular Proliferative Lesions; 10 To 50 Sq Cm Cash-Csm,Pbb",400.0,400.0,,,0 HCPCS,17107,Hc Destruction Of Cutaneous Vascular Proliferative Lesions; 10 To 50 Sq Cm-Pbb,5073.0,5073.0,,,0 HCPCS,17107,Pr Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm-Pbb,4532.0,4532.0,,,0 HCPCS,17108,Destruction of skin lesions,,,2211.05,7272.0,4 HCPCS,17108,Hc Destruction Of Cutaneous Vascular Proliferative Lesions; Over 50 Sq Cm,4199.0,4199.0,,,0 HCPCS,17108,Hc Destruction Of Cutaneous Vascular Proliferative Lesions; Over 50 Sq Cm Cash,500.0,500.0,,,0 HCPCS,17108,"Hc Destruction Of Cutaneous Vascular Proliferative Lesions; Over 50 Sq Cm Cash-Csm,Pbb",500.0,500.0,,,0 HCPCS,17108,Hc Destruction Of Cutaneous Vascular Proliferative Lesions; Over 50 Sq Cm-Pbb,7435.5,7435.5,,,0 HCPCS,17108,Pr Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm-Pbb,6473.0,6473.0,,,0 HCPCS,17110,Destruct b9 lesion 1-14,,,215.0,3399.0,4 HCPCS,17110,Hc Cash Destruct Benign Non Skin Up To 14 Lesions,200.0,200.0,,,0 HCPCS,17110,"Hc Cash Destruct Benign Non Skin Up To 14 Lesions-Csm,Pbb",200.0,200.0,,,0 HCPCS,17110,"Hc Destructn, Of Benign Less Other Than Skin Tags Or Cutaneous Vasc Proliferativ Less; Up To 14 Less",982.5,982.5,,,0 HCPCS,17110,Pr Destruction Benign Lesions Up To 14-Pbb,587.0,587.0,,,0 HCPCS,17111,Destruct lesion 15 or more,,,215.0,3399.0,4 HCPCS,17111,Hc Destruction Of Benign Lesions Other Than Skin Tags; 15 Ore More Lesions,846.0,846.0,,,0 HCPCS,17111,Hc Destruction Of Benign Lesions Other Than Skin Tags; 15 Ore More Lesions Cash,300.0,300.0,,,0 HCPCS,17111,"Hc Destruction Of Benign Lesions Other Than Skin Tags; 15 Ore More Lesions Cash-Csm,Pbb",300.0,300.0,,,0 HCPCS,17111,Hc Destruction Of Benign Lesions Other Than Skin Tags; 15 Ore More Lesions-Pbb,1172.5,1172.5,,,0 HCPCS,17111,Pr Destruction Benign Lesions 15/>-Pbb,653.0,653.0,,,0 HCPCS,17250,Chemical cautery tissue,,,215.0,3399.0,4 HCPCS,17250,"Hc Chemical Cauterization Of Granulation Tissue (Ie, Proud Flesh)",910.0,910.0,,,0 HCPCS,17250,"Hc Chemical Cauterization Of Granulation Tissue (Ie, Proud Flesh)-Pbb",1162.0,1162.0,,,0 HCPCS,17250,Pr Chemical Cauterization Of Granulation Tissue-Pbb,504.0,504.0,,,0 HCPCS,17260,Destruction of skin lesions,,,215.0,3399.0,4 HCPCS,17260,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 0.5 Cm Or Less",746.0,746.0,,,0 HCPCS,17260,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 0.5 Cm Or Less-Pbb",1220.0,1220.0,,,0 HCPCS,17260,Pr Destruction Malignant Lesion T/A/L 0.5 Cm/<-Pbb,948.0,948.0,,,0 HCPCS,17261,Destruction of skin lesions,,,215.0,3399.0,4 HCPCS,17261,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 0.6 To 1.0 Cm",931.0,931.0,,,0 HCPCS,17261,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 0.6 To 1.0 Cm-Pbb",1444.5,1444.5,,,0 HCPCS,17261,Pr Destruction Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm-Pbb,1027.0,1027.0,,,0 HCPCS,17262,Destruction of skin lesions,,,215.0,3399.0,4 HCPCS,17262,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 1.1 To 2.0 Cmc",1129.0,1129.0,,,0 HCPCS,17262,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 1.1 To 2.0 Cmc-Pbb",1752.0,1752.0,,,0 HCPCS,17262,Pr Destruction Mal Lesion Trunk/Arm/Leg 1.1-2.0Cm-Pbb,1246.0,1246.0,,,0 HCPCS,17263,Destruction of skin lesions,,,215.0,3399.0,4 HCPCS,17263,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 2.1 To 3.0 Cm",1234.0,1234.0,,,0 HCPCS,17263,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 2.1 To 3.0 Cm-Pbb",1934.5,1934.5,,,0 HCPCS,17263,Pr Destruction Mal Lesion Trunk/Arm/Leg 2.1-3.0Cm-Pbb,1402.0,1402.0,,,0 HCPCS,17264,Destruction of skin lesions,,,435.63,3399.0,4 HCPCS,17264,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 3.1 To 4.0 Cm",1327.0,1327.0,,,0 HCPCS,17264,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 3.1 To 4.0 Cm-Pbb",2104.0,2104.0,,,0 HCPCS,17264,Pr Destruction Mal Lesion Trunk/Arm/Leg 3.1-4.0Cm-Pbb,1554.0,1554.0,,,0 HCPCS,17266,Destruction of skin lesions,,,435.63,3399.0,4 HCPCS,17266,"Epinephrine: 1 Case In 1 Carton (0115-1694-30) / 1 Syringe, Glass In 1 Case / .3 Ml In 1 Syringe, Glass",335.0,335.0,,,0 HCPCS,17266,"Epinephrine: 2 Case In 1 Carton (0115-1694-49) / 1 Syringe, Glass In 1 Case / .3 Ml In 1 Syringe, Glass",335.0,335.0,,,0 HCPCS,17266,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter Over 4.0 Cm",1505.0,1505.0,,,0 HCPCS,17266,"Hc Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter Over 4.0 Cm-Pbb",2471.5,2471.5,,,0 HCPCS,17266,Pr Destruction Mal Lesion Trunk/Arm/Leg > 4.0 Cm-Pbb,1933.0,1933.0,,,0 HCPCS,17270,Destruction of skin lesions,,,215.0,3399.0,4 HCPCS,17270,"Hc Destruction, Malignant Les, Scalp, Neck, Hands, Feet, Genitalia; Les Diameter 0.5 Cm Or Less",990.0,990.0,,,0 HCPCS,17270,"Hc Destruction, Malignant Les, Scalp, Neck, Hands, Feet, Genitalia; Les Diameter 0.5 Cm Or Less-Pbb",1537.0,1537.0,,,0 HCPCS,17270,Pr Destruction Malignant Lesion S/N/H/F/G 0.5 Cm/<-Pbb,1094.0,1094.0,,,0 HCPCS,17271,Destruction of skin lesions,,,215.0,3399.0,4 HCPCS,17271,"Hc Destruction, Malignant Les, Scalp, Neck, Hands, Feet, Genitalia; Les Diameter 0.6 Cm To 1.0 Cm",1063.0,1063.0,,,0 HCPCS,17271,"Hc Destruction, Malignant Les, Scalp, Neck, Hands, Feet, Genitalia; Les Diameter 0.6 Cm To 1.0 Cm-P",1635.5,1635.5,,,0 HCPCS,17271,Pr Destruction Malignant Lesion S/N/H/F/G 0.6-1.0Cm-Pbb,1145.0,1145.0,,,0 HCPCS,17272,Destruction of skin lesions,,,215.0,3399.0,4 HCPCS,17272,"Hc Destruction, Malignant Les, Scalp, Neck, Hands, Feet, Genitalia; Les Diameter 1.1 Cm To 2.0 Cm",1205.0,1205.0,,,0 HCPCS,17272,"Hc Destruction, Malignant Les, Scalp, Neck, Hands, Feet, Genitalia; Les Diameter 1.1 Cm To 2.0 Cm-P",1886.5,1886.5,,,0 HCPCS,17272,Pr Destruction Malignant Lesion S/N/H/F/G 1.1-2.0Cm-Pbb,1363.0,1363.0,,,0 HCPCS,17273,Destruction of skin lesions,,,435.63,3399.0,4 HCPCS,17273,"Hc Destruction, Malignant Les, Scalp, Neck, Hands, Feet, Genitalia; Les Diameter 2.1 Cm To 3.0 Cm",1394.0,1394.0,,,0 HCPCS,17273,"Hc Destruction, Malignant Les, Scalp, Neck, Hands, Feet, Genitalia; Les Diameter 2.1 Cm To 3.0 Cm-P",2207.0,2207.0,,,0 HCPCS,17273,Pr Destruction Malignant Lesion S/N/H/F/G 2.1-3.0Cm-Pbb,1626.0,1626.0,,,0 HCPCS,17274,Destruction of skin lesions,,,435.63,3399.0,4 HCPCS,17274,"Hc Destruction, Malignant Les, Scalp, Neck, Hands, Feet, Genitalia; Les Diameter 3.1 Cm To 4.0 Cm",1589.0,1589.0,,,0 HCPCS,17274,"Hc Destruction, Malignant Les, Scalp, Neck, Hands, Feet, Genitalia; Les Diameter 3.1 Cm To 4.0 Cm-P",2479.5,2479.5,,,0 HCPCS,17274,Pr Destruction Malignant Lesion S/N/H/F/G 3.1-4.0Cm-Pbb,1781.0,1781.0,,,0 HCPCS,17276,"Bosentan: 60 Tablet, Coated In 1 Bottle (68382-447-14)",120.2,120.2,,,0 HCPCS,17276,"Bosentan: 60 Tablet, Film Coated In 1 Bottle (0591-2512-60)",135.85,135.85,,,0 HCPCS,17276,Destruction of skin lesions,,,435.63,3399.0,4 HCPCS,17276,"Hc Destruction, Malignant Lesion, Scalp, Neck, Hands, Feet, Genitalia; Lesion Diameter Over 4.0 Cm",1846.0,1846.0,,,0 HCPCS,17276,"Hc Destruction, Malignant Lesion, Scalp, Neck, Hands, Feet, Genitalia; Lesion Diameter Over 4.0 Cm-P",2849.5,2849.5,,,0 HCPCS,17276,Pr Dstrj Mal Lesion S/N/H/F/G Lesion Diam > 4.0 Cm-Pbb,2008.0,2008.0,,,0 HCPCS,17276,"Tracleer: 1 Bottle, Plastic In 1 Carton (66215-102-06) / 60 Tablet, Film Coated In 1 Bottle, Plastic",1261.61,1261.61,,,0 HCPCS,17276,"Tracleer: 10 Blister Pack In 1 Carton (66215-102-03) / 3 Tablet, Film Coated In 1 Blister Pack",1260.83,1260.83,,,0 HCPCS,17280,Destruction of skin lesions,,,215.0,3399.0,4 HCPCS,17280,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 0.5 Cm Or Less",913.0,913.0,,,0 HCPCS,17280,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 0.5 Cm Or Less-Pbb",1556.5,1556.5,,,0 HCPCS,17280,Pr Destruction Malignant Lesion F/E/E/N/L/M 0.5Cm/<-Pbb,1286.0,1286.0,,,0 HCPCS,17281,Destruction of skin lesions,,,215.0,3399.0,4 HCPCS,17281,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 1.1 Cm To 2.0 Cm",1394.0,1394.0,,,0 HCPCS,17281,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 1.1 Cm To 2.0 Cm-P",2056.5,2056.5,,,0 HCPCS,17281,Pr Destruction Mal Lesion F/E/E/N/L/M 0.6-1.0Cm-Pbb,1325.0,1325.0,,,0 HCPCS,17282,Destruction of skin lesions,,,215.0,3399.0,4 HCPCS,17282,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 3.1 Cm To 4.0 Cm",1531.0,1531.0,,,0 HCPCS,17282,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 3.1 Cm To 4.0 Cm-",2308.0,2308.0,,,0 HCPCS,17282,Pr Destruction Mal Lesion F/E/E/N/L/M 1.1-2.0Cm-Pbb,1554.0,1554.0,,,0 HCPCS,17283,Destruction of skin lesions,,,435.63,3399.0,4 HCPCS,17283,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 0.6 Cm To 1.0 Cm",1583.0,1583.0,,,0 HCPCS,17283,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 0.6 Cm To 1.0 Cm-P",2473.5,2473.5,,,0 HCPCS,17283,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (17478-201-02) / 2 Ml In 1 Bottle, Dropper",201.5,201.5,,,0 HCPCS,17283,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (17478-201-15) / 15 Ml In 1 Bottle, Dropper",558.0,558.0,,,0 HCPCS,17283,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (42702-102-10) / 10 Ml In 1 Bottle, Dropper",372.0,372.0,,,0 HCPCS,17283,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (70756-629-25) / 2 Ml In 1 Bottle, Dropper",201.5,201.5,,,0 HCPCS,17283,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (70756-649-35) / 15 Ml In 1 Bottle, Dropper",558.0,558.0,,,0 HCPCS,17283,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (72603-520-01) / 2 Ml In 1 Bottle, Dropper",201.5,201.5,,,0 HCPCS,17283,Pr Destruction Mal Lesion F/E/E/N/L/M 2.1-3.0Cm-Pbb,1781.0,1781.0,,,0 HCPCS,17284,Destruction of skin lesions,,,792.0,3399.0,4 HCPCS,17284,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 2.1 Cm To 3.0 Cm",1816.0,1816.0,,,0 HCPCS,17284,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 2.1 Cm To 3.0 Cm-P",2819.5,2819.5,,,0 HCPCS,17284,Pr Destruction Mal Lesion F/E/E/N/L/M 3.1-4.0Cm-Pbb,2008.0,2008.0,,,0 HCPCS,17286,Destruction of skin lesions,,,792.0,3399.0,4 HCPCS,17286,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; Over 4.0 Cm",2346.0,2346.0,,,0 HCPCS,17286,"Hc Destruction, Malignant Les, Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; Over 4.0 Cm-Pbb",3463.0,3463.0,,,0 HCPCS,17286,Pr Destruction Mal Lesion F/E/E/N/L/M >4.0 Cm-Pbb,2234.0,2234.0,,,0 HCPCS,17311,"Hc Mohs, Head, Neck, Hands, Feet, Geniatlia, First Stage, Up To 5 Tissue Blocks",4201.0,4201.0,,,0 HCPCS,17311,"Hc Mohs, Head, Neck, Hands, Feet, Geniatlia, First Stage, Up To 5 Tissue Blocks-Pbb",8123.5,8123.5,,,0 HCPCS,17311,Mohs 1 stage h/n/hf/g,,,792.0,3399.0,4 HCPCS,17311,Pr Mohs Micrographic H/N/H/F/G 1St Stage 5 Blocks-Pbb,7844.0,7844.0,,,0 HCPCS,17312,"Hc Mohs, Head, Neck, Hands, Feet, Genitalia Ea Add Stage After The First Stage, Up To 5 Tissue Blcks",4887.5,4887.5,,,0 HCPCS,17312,Mohs Addl Stage,,,3399.0,3399.0,1 HCPCS,17312,Pr Mohs Micrographic H/N/H/F/G Each Addl Stage-Pbb,4771.0,4771.0,,,0 HCPCS,17313,"Hc Mohs, Trunks, Arms, Or Legs, First Stage, Up To 5 Tissue Block",3833.0,3833.0,,,0 HCPCS,17313,"Hc Mohs, Trunks, Arms, Or Legs, First Stage, Up To 5 Tissue Block-Pbb",7434.0,7434.0,,,0 HCPCS,17313,Mohs 1 stage t/a/l,,,792.0,3399.0,4 HCPCS,17313,Pr Mohs Trunk/Arm/Leg 1St Stage 5 Blocks-Pbb,7202.0,7202.0,,,0 HCPCS,17314,"Hc Mohs, Trunks, Arms, Or Legs, Each Additional Stage After The First Stage, Up To 5 Tissue Blocksc",2321.0,2321.0,,,0 HCPCS,17314,"Hc Mohs, Trunks, Arms, Or Legs, Each Additional Stage After The First Stage, Up To 5 Tissue Blocksc-",4546.5,4546.5,,,0 HCPCS,17314,Mohs addl stage t/a/l,,,3399.0,3399.0,1 HCPCS,17314,Pr Mohs Trunk/Arm/Leg Ea Stage After 1St Stage-Pbb,4451.0,4451.0,,,0 HCPCS,17315,"Hc Mohs; Each Additional Block After The First 5 Tissue Blocks, Any Stage",1178.0,1178.0,,,0 HCPCS,17315,"Hc Mohs; Each Additional Block After The First 5 Tissue Blocks, Any Stage-Pbb",1657.5,1657.5,,,0 HCPCS,17315,Mohs surg addl block,,,3399.0,3399.0,1 HCPCS,17315,Pr Mohs Trunk/Arm/Leg Ea Addl Block Any Stage-Pbb,959.0,959.0,,,0 HCPCS,17340,Cryotherapy of skin,,,63.22,3399.0,4 HCPCS,17360,Fluocinonide: 1 Bottle In 1 Carton (0168-0134-60) / 60 Ml In 1 Bottle,248.13,248.13,,,0 HCPCS,17360,Hc Chemical Exfoliation Cash,125.0,125.0,,,0 HCPCS,17360,"Hc Chemical Exfoliation Cash-Csm,Pbb",125.0,125.0,,,0 HCPCS,17360,Hc Chemical Exfoliation For Acne,293.0,293.0,,,0 HCPCS,17360,Hc Chemical Exfoliation For Acne-Pbb,954.5,954.5,,,0 HCPCS,17360,Pr Chemical Exfoliation Acne-Pbb,1324.0,1324.0,,,0 HCPCS,17360,Skin peel therapy,,,215.0,3399.0,4 HCPCS,17380,Hair removal by electrolysis,,,792.0,3399.0,4 HCPCS,17999,Hc Cosmetic Hair Removal Touch Up Cash,50.0,50.0,,,0 HCPCS,17999,"Hc Cosmetic Hair Removal Touch Up Cash-Csm,Pbb",50.0,50.0,,,0 HCPCS,17999,Hc Laser Hair Removal Arm Cash,300.0,300.0,,,0 HCPCS,17999,"Hc Laser Hair Removal Arm Cash-Csm,Pbb",300.0,300.0,,,0 HCPCS,17999,Hc Laser Hair Removal Arms Both Cash,600.0,600.0,,,0 HCPCS,17999,"Hc Laser Hair Removal Arms Both Cash-Csm,Pbb",600.0,600.0,,,0 HCPCS,17999,Hc Laser Hair Removal Axilla Cash,350.0,350.0,,,0 HCPCS,17999,"Hc Laser Hair Removal Axilla Cash-Csm,Pbb",350.0,350.0,,,0 HCPCS,17999,Hc Laser Hair Removal Beard Cash,300.0,300.0,,,0 HCPCS,17999,"Hc Laser Hair Removal Beard Cash-Csm,Pbb",300.0,300.0,,,0 HCPCS,17999,Hc Laser Hair Removal Bikini Line Cash,400.0,400.0,,,0 HCPCS,17999,"Hc Laser Hair Removal Bikini Line Cash-Csm,Pbb",400.0,400.0,,,0 HCPCS,17999,Hc Laser Hair Removal Chest Cash,800.0,800.0,,,0 HCPCS,17999,"Hc Laser Hair Removal Chest Cash-Csm,Pbb",800.0,800.0,,,0 HCPCS,17999,Hc Laser Hair Removal Chest Lmited Area Cash,400.0,400.0,,,0 HCPCS,17999,"Hc Laser Hair Removal Chest Lmited Area Cash-Csm,Pbb",400.0,400.0,,,0 HCPCS,17999,Hc Laser Hair Removal Legs Above Knee Cash-Csm,600.0,600.0,,,0 HCPCS,17999,"Hc Laser Hair Removal Legs Above Knee Cash-Csm,Pbb",600.0,600.0,,,0 HCPCS,17999,Hc Laser Hair Removal Legs Below Knee Cash-Csm,600.0,600.0,,,0 HCPCS,17999,"Hc Laser Hair Removal Legs Below Knee Cash-Csm,Pbb",600.0,600.0,,,0 HCPCS,17999,Hc Laser Hair Removal Mustach Beard Cash,350.0,350.0,,,0 HCPCS,17999,"Hc Laser Hair Removal Mustach Beard Cash-Csm,Pbb",350.0,350.0,,,0 HCPCS,17999,Hc Laser Hair Removal Mustache Cash,200.0,200.0,,,0 HCPCS,17999,"Hc Laser Hair Removal Mustache Cash-Csm,Pbb",200.0,200.0,,,0 HCPCS,17999,Hc Laser Hair Removal Touchup Research,25.0,25.0,,,0 HCPCS,17999,Hc Unlisted Procedure Skin Mucous Membrane Subq,1428.0,1428.0,,,0 HCPCS,17999,Hc Unlisted Procedure Skin Mucous Membrane Subq-Pbb,1998.5,1998.5,,,0 HCPCS,17999,Pr Unlisted Px Skin Muc Membrane & Subq Tissue-Pbb,1141.0,1141.0,,,0 HCPCS,17999,Skin tissue procedure,,,215.0,3399.0,4 HCPCS,19000,Drainage of breast lesion,,,758.85,5007.0,4 HCPCS,19000,Hc Puncture Aspiration Of Cyst Of Breast,2174.0,2174.0,,,0 HCPCS,19000,Hc Puncture Aspiration Of Cyst Of Breast-Pbb,2505.5,2505.5,,,0 HCPCS,19000,Pr Puncture Aspiration Cyst Of Breast-Pbb,662.0,662.0,,,0 HCPCS,19001,Drain breast lesion add-on,,,3399.0,3399.0,1 HCPCS,19001,"Hc Puncture Aspiration Of Cyst Of Breast, Each Additional Cyst",1489.0,1489.0,,,0 HCPCS,19001,"Hc Puncture Aspiration Of Cyst Of Breast, Each Additional Cyst-Pbb",1679.5,1679.5,,,0 HCPCS,19001,Pr Puncture Aspiration Cyst Breast Each Addl Cyst-Pbb,380.0,380.0,,,0 HCPCS,19020,Hc Mastotomty W Expl Deep,6234.0,6234.0,,,0 HCPCS,19020,Incision of breast lesion,,,1769.88,11000.0,4 HCPCS,19030,Hc Injection Procedure Only For Mammary Ductogram Or Galactogram,1008.0,1008.0,,,0 HCPCS,19030,Injection for breast x-ray,,,3399.0,3399.0,1 HCPCS,19081,Bx breast 1st lesion strtctc,,,1769.88,7272.0,4 HCPCS,19081,"Hc Bx, Brst, W Plcmnt Of Brst Local Device, & Img Of Bx Spec, Perc; 1St Les, Incl Stereotactic Guid",10696.0,10696.0,,,0 HCPCS,19082,Bx breast add lesion strtctc,,,3399.0,3399.0,1 HCPCS,19082,"Hc Bx, Brst, W Plcmnt Brst Local Device, & Img Of Bx Spec, Perc; Ea Add Les, Incl Stereotactic Guid",6674.0,6674.0,,,0 HCPCS,19083,Bx breast 1st lesion us imag,,,1769.88,7272.0,4 HCPCS,19083,"Hc Bx,Brst,Placmnt Of Brst Locl Dev, Hen Perf,&Imging Of The Bx Spec,Perc;1St Les,Incl U/S Guid",7937.0,7937.0,,,0 HCPCS,19083,"Hc Bx,Brst,Placmnt Of Brst Locl Dev, Hen Perf,&Imging Of The Bx Spec,Perc;1St Les,Incl U/S Guid-Pbb",8709.5,8709.5,,,0 HCPCS,19083,Pr Bx Breast W/Device 1St Lesion Ultrasound Guid-Pbb,1545.0,1545.0,,,0 HCPCS,19084,Bx breast add lesion us imag,,,3399.0,3399.0,1 HCPCS,19084,"Hc Bx, Brst, W Plcmnt Of Brst Local Device, & Img Of The Bx Spec, Perc; Ea Add Les, Incl Us Guid",6674.0,6674.0,,,0 HCPCS,19085,Bx breast 1st lesion mr imag,,,1769.88,7272.0,4 HCPCS,19085,"Hc Bx, Brst, W Plcmnt Brst Loc Dev(S), When Perf, & Img Bx Spec,When Perf,Perc;1St Les, Inc Mri",9281.0,9281.0,,,0 HCPCS,19086,Bx breast add lesion mr imag,,,3399.0,3399.0,1 HCPCS,19086,"Hc Bx, Brst, W Plmnt Brst Lcl Dev(S), When Perf, & Img Bx Spcmn, When Perf, Perc; Ea Ad Les, Inc Mri",6674.0,6674.0,,,0 HCPCS,19100,Bx breast percut w/o image,,,1769.88,7272.0,4 HCPCS,19100,"Hc Biopsy Of Breast, Percutaneous, Needle Core, Not Using Imaging Guidance",3331.0,3331.0,,,0 HCPCS,19100,"Hc Biopsy Of Breast, Percutaneous, Needle Core, Not Using Imaging Guidance-Pbb",3895.5,3895.5,,,0 HCPCS,19100,Pr Bx Breast Needle Core W/O Imaging Guidance Spx-Pbb,1129.0,1129.0,,,0 HCPCS,19101,Biopsy of breast open,,,4195.85,11000.0,4 HCPCS,19105,Cryosurg ablate fa each,,,4195.85,14227.0,4 HCPCS,19110,Nipple exploration,,,4195.85,11000.0,4 HCPCS,19112,Excise breast duct fistula,,,4195.85,11000.0,4 HCPCS,19120,Hc Removal Of Breast Lesion 1+-Pbb,13563.0,13563.0,,,0 HCPCS,19120,Pr Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion-Pbb,4446.0,4446.0,,,0 HCPCS,19120,Removal of breast lesion,,,4195.85,11000.0,4 HCPCS,19125,Excision breast lesion,,,4195.85,11000.0,4 HCPCS,19126,Excision addl breast lesion,,,3399.0,3399.0,1 HCPCS,19281,"Hc Placement Of Breast Local Device(S) , Perc; First Les, Incl Mammographic Guid",4686.0,4686.0,,,0 HCPCS,19281,Perq device breast 1st imag,,,1769.88,7272.0,4 HCPCS,19282,"Hc Placement Of Breast Local Device(S) , Perc; Each Add Les, Incl Mammographic Guid",2286.0,2286.0,,,0 HCPCS,19282,Perq device breast ea imag,,,3399.0,3399.0,1 HCPCS,19283,"Hc Placement Of Breast Local Device(S) , Perc; First Les, Incl Stereotactic Guid",7002.0,7002.0,,,0 HCPCS,19283,Perq dev breast 1st strtctc,,,758.85,5007.0,4 HCPCS,19284,"Hc Placement Of Breast Local Device(S) , Perc; Each Add Les, Incl Stereotactic Guid",2286.0,2286.0,,,0 HCPCS,19284,Perq dev breast add strtctc,,,3399.0,3399.0,1 HCPCS,19285,"Hc Placement Of Breast Local Device(S), Perc; First Les, Incl U/S Guid",4995.0,4995.0,,,0 HCPCS,19285,Perq dev breast 1st us imag,,,758.85,5007.0,4 HCPCS,19286,"Hc Placement Of Breast Local Device(S) , Perc; Each Add Les, Incl U/S Guid",2286.0,2286.0,,,0 HCPCS,19286,Perq dev breast add us imag,,,3399.0,3399.0,1 HCPCS,19287,"Hc Placement Of Breast Local Device(S), Perc; First Les, Incl Magnetic Resonance Guid",6339.0,6339.0,,,0 HCPCS,19287,Perq dev breast 1st mr guide,,,758.85,5007.0,4 HCPCS,19288,"Hc Placement Of Breast Local Device(S), Perc; Each Add Les, Incl Magnetic Resonance",2286.0,2286.0,,,0 HCPCS,19288,Perq dev breast add mr guide,,,3399.0,3399.0,1 HCPCS,19294,Prep tum cav iort prtl mast,,,3399.0,3399.0,1 HCPCS,19296,Place po breast cath for rad,,,8758.76,24760.0,4 HCPCS,19297,Place breast cath for rad,,,24760.0,24760.0,1 HCPCS,19298,Place breast rad tube/caths,,,14767.92,24760.0,4 HCPCS,19300,Removal of Breast Tissue,,,4195.85,11000.0,4 HCPCS,19301,Partial Mastectomy,,,4195.85,11000.0,4 HCPCS,19302,P-Mastectomy w/LN Removal,,,7115.73,22280.0,4 HCPCS,19303,Mast simple complete,,,7115.73,14227.0,4 HCPCS,19305,Mast radical,,,10008.0,10008.0,1 HCPCS,19306,Mast rad urban type,,,10008.0,10008.0,1 HCPCS,19307,Mast mod rad,,,7115.73,22280.0,4 HCPCS,19316,Suspension of breast,,,7115.73,14227.0,4 HCPCS,19318,Reduction of large breast,,,7115.73,22280.0,4 HCPCS,19325,Enlarge breast with implant,,,8758.76,24760.0,4 HCPCS,19328,Removal of breast implant,,,4195.85,14227.0,4 HCPCS,19330,Removal of implant material,,,4195.85,14227.0,4 HCPCS,19340,Immediate breast prosthesis,,,8758.76,22280.0,4 HCPCS,19342,Delayed breast prosthesis,,,8758.76,24760.0,4 HCPCS,19350,Breast reconstruction,,,4195.85,11000.0,4 HCPCS,19350,Hc Nipple/Areola Reconstruction,10490.0,10490.0,,,0 HCPCS,19350,Hc Nipple/Areola Reconstruction-Pbb,17328.0,17328.0,,,0 HCPCS,19350,Pr Nipple/Areola Reconstruction-Pbb,13676.0,13676.0,,,0 HCPCS,19355,Correct inverted nipple(s),,,4195.85,14227.0,4 HCPCS,19355,"Hc Correction, Inverted Nipples-Pbb",14573.0,14573.0,,,0 HCPCS,19355,Pr Correction Inverted Nipples-Pbb,6180.0,6180.0,,,0 HCPCS,19357,Breast reconstruction,,,14767.92,24760.0,4 HCPCS,19361,Breast reconstr w/lat flap,,,10008.0,10008.0,1 HCPCS,19364,Breast reconstruction,,,22280.0,22280.0,1 HCPCS,19367,Breast reconstruction,,,22280.0,22280.0,1 HCPCS,19368,Breast reconstruction,,,22280.0,22280.0,1 HCPCS,19369,Breast reconstruction,,,22280.0,22280.0,1 HCPCS,19370,Surgery of breast capsule,,,4195.85,14227.0,4 HCPCS,19371,Removal of breast capsule,,,4195.85,14227.0,4 HCPCS,19380,Hc Revision Of Reconstructed Breast,21271.0,21271.0,,,0 HCPCS,19380,Hc Revision Of Reconstructed Breast-Pbb,12183.0,12183.0,,,0 HCPCS,19380,Pr Revision Of Reconstructed Breast-Pbb,9088.0,9088.0,,,0 HCPCS,19380,Revise breast reconstruction,,,7115.73,22280.0,4 HCPCS,19396,Design custom breast implant,,,4195.85,14227.0,4 HCPCS,19499,Breast surgery procedure,,,4195.85,11000.0,4 HCPCS,19499,Hc Mammo Clip Placing For Marking No Biopsy,6702.0,6702.0,,,0 HCPCS,20100,Explore wound neck,,,577.95,3399.0,4 HCPCS,20101,Explore wound chest,,,2211.05,7272.0,4 HCPCS,20102,Explore wound abdomen,,,2211.05,7272.0,4 HCPCS,20102,Hc Exploration Of Penetrating Wound (Separate Procedure); Abdomen/Flank/Back,7327.0,7327.0,,,0 HCPCS,20103,Explore wound extremity,,,1769.88,5007.0,4 HCPCS,20103,Hc Exploration Of Penetration Wound; Extremity-Pbb,6694.5,6694.5,,,0 HCPCS,20103,Pr Exploration Penetrating Wound Spx Extremity-Pbb,3667.0,3667.0,,,0 HCPCS,20150,Excise epiphyseal bar,,,3506.34,22280.0,4 HCPCS,20200,Hc Biopsy Muscle - Superficial-Pbb,5911.5,5911.5,,,0 HCPCS,20200,Muscle biopsy,,,1769.88,7272.0,4 HCPCS,20200,Pr Biopsy Muscle Superficial-Pbb,1045.0,1045.0,,,0 HCPCS,20205,Deep muscle biopsy,,,3112.75,7272.0,4 HCPCS,20205,Hc Biopsy Muscle Deepc,6520.0,6520.0,,,0 HCPCS,20205,Hc Biopsy Muscle Deepc-Pbb,7946.5,7946.5,,,0 HCPCS,20205,Pr Biopsy Muscle Deep-Pbb,2854.0,2854.0,,,0 HCPCS,20206,"Hc Biopsy, Muscle, Percutaneous Needle",5915.0,5915.0,,,0 HCPCS,20206,"Hc Biopsy, Muscle, Percutaneous Needle-Pbb",6838.5,6838.5,,,0 HCPCS,20206,Needle biopsy muscle,,,1769.88,7272.0,4 HCPCS,20206,Pr Biopsy Muscle Percutaneous Needle-Pbb,1847.0,1847.0,,,0 HCPCS,20220,Bone biopsy trocar/needle,,,1769.88,5007.0,4 HCPCS,20220,"Hc Biopsy, Bone, Trocar, Or Needle; Superficial",4037.0,4037.0,,,0 HCPCS,20220,"Hc Biopsy, Bone, Trocar, Or Needle; Superficial-Pbb",4960.5,4960.5,,,0 HCPCS,20220,Pr Biopsy Bone Trocar/Needle Superficial-Pbb,1847.0,1847.0,,,0 HCPCS,20225,Bone biopsy trocar/needle,,,1769.88,7272.0,4 HCPCS,20225,"Hc Biopsy, Bone, Trocar, Or Needle; Deep",8376.0,8376.0,,,0 HCPCS,20240,Bone biopsy open superficial,,,3112.75,11000.0,4 HCPCS,20240,"Hc Biopsy, Bone, Open; Superficial",8748.0,8748.0,,,0 HCPCS,20240,"Hc Biopsy, Bone, Open; Superficial-Pbb",9763.0,9763.0,,,0 HCPCS,20240,Pr Biopsy Bone Open Superficial-Pbb,2030.0,2030.0,,,0 HCPCS,20245,Bone biopsy open deep,,,3112.75,11000.0,4 HCPCS,20250,Open bone biopsy,,,3506.34,14227.0,4 HCPCS,20251,Open bone biopsy,,,7775.89,14227.0,4 HCPCS,20500,Hc Injection Of Sinus Tract; Therapeutic,2744.0,2744.0,,,0 HCPCS,20500,Hc Injection Of Sinus Tract; Therapeutic-Pbb,3169.0,3169.0,,,0 HCPCS,20500,Injection of sinus tract,,,1662.71,7272.0,4 HCPCS,20500,Pr Injection Sinus Tract Therapeutic Separate Proc-Pbb,850.0,850.0,,,0 HCPCS,20501,Hc Injection Of Sinus Tract; Diagnostic,1272.0,1272.0,,,0 HCPCS,20501,Inject sinus tract for x-ray,,,3399.0,3399.0,1 HCPCS,20520,Hc Removal Of Foreign Body In Muscle Or Tendon Sheath; Simple,3241.0,3241.0,,,0 HCPCS,20520,Hc Removal Of Foreign Body In Muscle Or Tendon Sheath; Simple-Pbb,3975.5,3975.5,,,0 HCPCS,20520,Pr Removal Foreign Body Muscle/Tendon Sheath Simple-Pbb,1469.0,1469.0,,,0 HCPCS,20520,Removal of foreign body,,,1769.88,5007.0,4 HCPCS,20525,Hc Removal Of Foreign Body In Mucle Or Tendon Sheath; Deep Or Complicated,8748.0,8748.0,,,0 HCPCS,20525,Hc Removal Of Foreign Body In Mucle Or Tendon Sheath; Deep Or Complicated-Pbb,10632.5,10632.5,,,0 HCPCS,20525,Pr Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp-Pbb,3769.0,3769.0,,,0 HCPCS,20525,Removal of foreign body,,,3112.75,11000.0,4 HCPCS,20526,"Hc Injection, Therapeutic, Carpal Tunnel",1939.0,1939.0,,,0 HCPCS,20526,"Hc Injection, Therapeutic, Carpal Tunnel-Pbb",2316.0,2316.0,,,0 HCPCS,20526,Pr Injection Therapeutic Carpal Tunnel-Pbb,754.0,754.0,,,0 HCPCS,20526,Ther injection carp tunnel,,,328.94,3399.0,4 HCPCS,20527,"Hc Injection, Enzyme, Palmar Fascial Cord",1028.0,1028.0,,,0 HCPCS,20527,"Hc Injection, Enzyme, Palmar Fascial Cord-Pbb",1587.5,1587.5,,,0 HCPCS,20527,Inj dupuytren cord w/enzyme,,,328.94,3399.0,4 HCPCS,20527,Pr Injection Enzyme Palmar Fascial Cord-Pbb,1118.0,1118.0,,,0 HCPCS,20550,"Hc Injection; Single Tendon Sheath, Or Ligament, Aponeurosis",1664.0,1664.0,,,0 HCPCS,20550,"Hc Injection; Single Tendon Sheath, Or Ligament, Aponeurosis-Pbb",2020.0,2020.0,,,0 HCPCS,20550,Inj tendon sheath/ligament,,,328.94,3399.0,4 HCPCS,20550,NDC Description Not Available,103.73,103.73,,,0 HCPCS,20550,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3275-0) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",11.07,11.07,,,0 HCPCS,20550,"Olanzapine: 10 Tablet, Orally Disintegrating In 1 Blister Pack (55111-262-79)",10.72,10.72,,,0 HCPCS,20550,"Olanzapine: 3 Blister Pack In 1 Carton (55111-262-81) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",10.72,10.72,,,0 HCPCS,20550,Pr Injection 1 Tendon Sheath/Ligament Aponeurosis-Pbb,712.0,712.0,,,0 HCPCS,20551,Hc Injection; Single Tendon Origin/Insertion,1708.0,1708.0,,,0 HCPCS,20551,Hc Injection; Single Tendon Origin/Insertion-Pbb,2063.5,2063.5,,,0 HCPCS,20551,Inj tendon origin/insertion,,,328.94,3399.0,4 HCPCS,20551,Pr Injection Single Tendon Origin/Insertion-Pbb,712.0,712.0,,,0 HCPCS,20552,"Hc Injection; Single Or Multiple Trigger Point(S), 1 Or 2 Muscles",1939.0,1939.0,,,0 HCPCS,20552,"Hc Injection; Single Or Multiple Trigger Point(S), 1 Or 2 Muscles-Pbb",2316.0,2316.0,,,0 HCPCS,20552,Inj trigger point 1/2 muscl,,,328.94,3399.0,4 HCPCS,20552,Pr Injection Single/Mlt Trigger Point 1/2 Muscles-Pbb,754.0,754.0,,,0 HCPCS,20553,"Hc Injection; Single Or Multiple Trigger Point(S), 3 Or More Muscles",2024.0,2024.0,,,0 HCPCS,20553,"Hc Injection; Single Or Multiple Trigger Point(S), 3 Or More Muscles-Pbb",2335.0,2335.0,,,0 HCPCS,20553,Inject trigger points 3/>,,,328.94,3399.0,4 HCPCS,20553,Pr Injection Single/Mlt Trigger Point 3/> Muscles-Pbb,622.0,622.0,,,0 HCPCS,20555,Place ndl musc/tis for rt,,,3506.34,11000.0,4 HCPCS,20560,Hc Ndl Insj W/O Njx 1 Or 2 Musc,131.0,131.0,,,0 HCPCS,20560,Ndl insj w/o njx 1 or 2 musc,,,30.99,3399.0,4 HCPCS,20561,Hc Ndl Insj W/O Njx 3+ Musc,131.0,131.0,,,0 HCPCS,20561,Ndl insj w/o njx 3+ musc,,,30.99,3399.0,4 HCPCS,20600,Drain/inj joint/bursa w/o us,,,328.94,3399.0,4 HCPCS,20600,"Hc Arthrocentesis, Aspiration And/Or Injection, Small Joint Or Bursa; Without Ultrasound Guidance",1124.0,1124.0,,,0 HCPCS,20600,"Hc Arthrocentesis, Aspiration And/Or Injection, Small Joint Or Bursa; Without Ultrasound Guidance-Pb",1417.5,1417.5,,,0 HCPCS,20600,Pr Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O Us-Pbb,587.0,587.0,,,0 HCPCS,20604,Drain/inj joint/bursa w/us,,,328.94,3399.0,4 HCPCS,20604,"Hc Arthrocentesis, Aspiration And/Or Injection, Small Joint Or Bursa; With Ultrasound Guidance",3287.0,3287.0,,,0 HCPCS,20604,"Hc Arthrocentesis, Aspiration And/Or Injection, Small Joint Or Bursa; With Ultrasound Guidance-Pbb",4133.0,4133.0,,,0 HCPCS,20604,Pr Arthrocnt Aspir&/Inj Small Jt/Bursaw/Us Rec Rprt-Pbb,1692.0,1692.0,,,0 HCPCS,20605,Drain/inj joint/bursa w/o us,,,328.94,3399.0,4 HCPCS,20605,"Hc Arthrocentesis, Aspiration And/Or Inj, Intermediate Joint Or Bursa; W/Out U/S Guid",2062.0,2062.0,,,0 HCPCS,20605,"Hc Arthrocentesis, Aspiration And/Or Inj, Intermediate Joint Or Bursa; W/Out U/S Guid-Pbb",2417.5,2417.5,,,0 HCPCS,20605,Pr Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O Us-Pbb,712.0,712.0,,,0 HCPCS,20606,Drain/inj joint/bursa w/us,,,756.44,5007.0,4 HCPCS,20606,"Hc Arthrocentesis, Aspiration And/Or Inj, Intermediate Joint Or Bursa; W/ U/S Guid",4219.0,4219.0,,,0 HCPCS,20606,"Hc Arthrocentesis, Aspiration And/Or Inj, Intermediate Joint Or Bursa; W/ U/S Guid-Pbb",5127.0,5127.0,,,0 HCPCS,20606,Pr Arthrocentesis Aspir&/Inj Interm Jt/Burs W/Us-Pbb,1816.0,1816.0,,,0 HCPCS,20610,Drain/inj joint/bursa w/o us,,,328.94,3399.0,4 HCPCS,20610,"Hc Arthrocentesis, Aspiration And/Or Injection, Major Joint Or Bursa; Without Ultrasound Guidance",2540.0,2540.0,,,0 HCPCS,20610,"Hc Arthrocentesis, Aspiration And/Or Injection, Major Joint Or Bursa; Without Ultrasound Guidance-Pb",2940.5,2940.5,,,0 HCPCS,20610,Pr Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O Us-Pbb,800.0,800.0,,,0 HCPCS,20611,Drain/inj joint/bursa w/us,,,328.94,3399.0,4 HCPCS,20611,"Hc Arthrocentesis, Asp And/Or Inj, Major Joint Or Bursa; W U/S Guid, W/ Perm Recording Reporting",4699.0,4699.0,,,0 HCPCS,20611,"Hc Arthrocentesis, Asp And/Or Inj, Major Joint Or Bursa; W U/S Guid, W/ Perm Recording Reporting-Pbb",5652.5,5652.5,,,0 HCPCS,20611,Pr Arthrocentesis Aspir&/Inj Major Jt/Bursa W/Us-Pbb,1907.0,1907.0,,,0 HCPCS,20612,Aspirate/inj ganglion cyst,,,328.94,3399.0,4 HCPCS,20612,Hc Aspiration And/Or Injection Of Ganglion Cyst Any Location,4877.0,4877.0,,,0 HCPCS,20612,Hc Aspiration And/Or Injection Of Ganglion Cyst Any Location-Pbb,5845.0,5845.0,,,0 HCPCS,20612,Pr Aspiration&/Injection Ganglion Cyst Any Locatj-Pbb,626.0,626.0,,,0 HCPCS,20615,Hc Aspiration And/Or Injection Of Ganglion Cyst Any Location,1692.0,1692.0,,,0 HCPCS,20615,Treatment of bone cyst,,,758.85,5007.0,4 HCPCS,20650,"Hc Insertion, Wire/Pin W/ Application, Skeletal Traction, W/ Removal",10138.0,10138.0,,,0 HCPCS,20650,Insert and remove bone pin,,,3506.34,14227.0,4 HCPCS,20660,Apply rem fixation device,,,1723.15,7272.0,4 HCPCS,20661,Application of head brace,,,1723.15,3399.0,4 HCPCS,20661,Noncdm Charge Record,2854.0,2854.0,,,0 HCPCS,20662,Application of pelvis brace,,,1723.15,11000.0,4 HCPCS,20663,Application of thigh brace,,,3506.34,14227.0,4 HCPCS,20664,Application of halo,,,1723.15,7272.0,4 HCPCS,20665,Removal of fixation device,,,478.72,3399.0,4 HCPCS,20670,"Hc Removal Of Implant; Superfcl (Eg, Buried Wire, Pin Or Rod)(Sep Px)",5143.0,5143.0,,,0 HCPCS,20670,"Hc Removal Of Implant; Superfcl (Eg, Buried Wire, Pin Or Rod)(Sep Px)-Pbb",5898.0,5898.0,,,0 HCPCS,20670,Neomycin And Polymyxin B Sulfates And Dexamethasone: 1 Tube In 1 Carton (24208-795-35) / 3.5 G In 1 Tube,98.52,98.52,,,0 HCPCS,20670,Neomycin And Polymyxin B Sulfates And Dexamethasone: 3.5 G In 1 Tube (61314-631-36),111.61,111.61,,,0 HCPCS,20670,Pr Removal Implant Superficial Separate Procedure-Pbb,1510.0,1510.0,,,0 HCPCS,20670,Removal of support implant,,,1769.88,7272.0,4 HCPCS,20680,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (24201-400-02) / 2 Ml In 1 Vial, Multi-Dose",12143.76,12143.76,,,0 HCPCS,20680,"Hc Removal Of Implant, Deep",9114.0,9114.0,,,0 HCPCS,20680,"Hc Removal Of Implant, Deep-Pbb",11787.5,11787.5,,,0 HCPCS,20680,"Miacalcin: 1 Vial, Multi-Dose In 1 Carton (67457-675-02) / 2 Ml In 1 Vial, Multi-Dose",15325.72,15325.72,,,0 HCPCS,20680,Pr Removal Implant Deep-Pbb,5347.0,5347.0,,,0 HCPCS,20680,Removal of support implant,,,3112.75,11000.0,4 HCPCS,20690,Apply bone fixation device,,,7775.89,14227.0,4 HCPCS,20690,"Hc Application, Uniplane (Pins/Wires In One Plane), Unilat, Ext Fixation System",19844.0,19844.0,,,0 HCPCS,20692,Apply bone fixation device,,,13758.17,19949.35,4 HCPCS,20693,Adjust bone fixation device,,,7775.89,14227.0,4 HCPCS,20694,Remove bone fixation device,,,1723.15,7272.0,4 HCPCS,20696,Comp multiplane ext fixation,,,14227.0,42162.12,4 HCPCS,20697,Comp ext fixate strut change,,,1723.15,5007.0,4 HCPCS,20697,Hc Comp Ext Fixate Strut Change > 1 Plane-Pbb,11538.5,11538.5,,,0 HCPCS,20697,Pr App Mltpln Uni Xtrnl Fix Strtctc Adjmt Exchange-Pbb,14538.0,14538.0,,,0 HCPCS,20700,Mnl prep&insj dp rx dlvr dev,,,3399.0,3399.0,1 HCPCS,20701,Rmvl deep rx delivery device,,,3399.0,3399.0,1 HCPCS,20702,Mnl prep&insj imed rx dev,,,3399.0,3399.0,1 HCPCS,20703,Rmvl imed rx delivery device,,,3399.0,3399.0,1 HCPCS,20704,Mnl prep&insj i-artic rx dev,,,3399.0,3399.0,1 HCPCS,20705,Rmvl i-artic rx delivery dev,,,3399.0,3399.0,1 HCPCS,20802,Replantation arm complete,,,18789.56,36418.0,4 HCPCS,20805,Replant forearm complete,,,18789.56,36418.0,4 HCPCS,20808,Replantation hand complete,,,18789.56,36418.0,4 HCPCS,20816,Replantation digit complete,,,1723.15,24760.0,4 HCPCS,20822,"Hc Replantation, Digital, Excluding Thumb",8032.0,8032.0,,,0 HCPCS,20822,Replantation digit complete,,,1723.15,11000.0,4 HCPCS,20824,Replantation thumb complete,,,1723.15,24760.0,4 HCPCS,20827,Replantation thumb complete,,,1723.15,24760.0,4 HCPCS,20838,Replantation foot complete,,,18789.56,36418.0,4 HCPCS,20900,Removal of bone for graft,,,7775.89,14227.0,4 HCPCS,20902,Removal of bone for graft,,,7775.89,14227.0,4 HCPCS,20910,Remove cartilage for graft,,,792.0,3399.0,4 HCPCS,20912,Remove cartilage for graft,,,3797.52,14227.0,4 HCPCS,20920,Removal of fascia for graft,,,2211.05,7272.0,4 HCPCS,20922,Removal of fascia for graft,,,2211.05,11000.0,4 HCPCS,20924,Removal of tendon for graft,,,7775.89,14227.0,4 HCPCS,20930,Sp bone algrft morsel add-on,,,3399.0,3399.0,1 HCPCS,20931,Sp bone algrft struct add-on,,,3399.0,3399.0,1 HCPCS,20932,Osteoart algrft w/surf & b1,,,3399.0,3399.0,1 HCPCS,20933,Hemicrt intrclry algrft prtl,,,3399.0,3399.0,1 HCPCS,20934,Intercalary algrft compl,,,3399.0,3399.0,1 HCPCS,20936,Sp bone agrft local add-on,,,14227.0,14227.0,1 HCPCS,20937,Sp bone agrft morsel add-on,,,14227.0,14227.0,1 HCPCS,20938,Sp bone agrft struct add-on,,,14227.0,14227.0,1 HCPCS,20939,Bone marrow aspir bone grfg,,,3399.0,3399.0,1 HCPCS,20950,Fluid pressure muscle,,,758.85,5007.0,4 HCPCS,20950,Hc Monitoring Of Interestitial Fluid Pressure In Detection Of Muscle Compartment Syndrome,954.0,954.0,,,0 HCPCS,20950,Hc Monitoring Of Interestitial Fluid Pressure In Detection Of Muscle Compartment Syndrome-Pbb,2094.5,2094.5,,,0 HCPCS,20950,Pr Mntr Interstitial Fluid Pressure Cmprt Syndrome-Pbb,2281.0,2281.0,,,0 HCPCS,20955,Fibula bone graft microvasc,,,7775.89,22280.0,4 HCPCS,20956,Iliac bone graft microvasc,,,7775.89,24760.0,4 HCPCS,20957,Mt bone graft microvasc,,,7775.89,24760.0,4 HCPCS,20962,Other bone graft microvasc,,,7775.89,22280.0,4 HCPCS,20969,Bone/skin graft microvasc,,,7775.89,22280.0,4 HCPCS,20970,Bone/skin graft iliac crest,,,7775.89,22280.0,4 HCPCS,20972,Bone/skin graft metatarsal,,,7775.89,24760.0,4 HCPCS,20973,Bone/skin graft great toe,,,7775.89,24760.0,4 HCPCS,20974,Electrical bone stimulation,,,55.72,3399.0,4 HCPCS,20975,Electrical bone stimulation,,,3399.0,3399.0,1 HCPCS,20979,Us bone stimulation,,,30.99,3399.0,4 HCPCS,20982,Ablate bone tumor(s) perq,,,18789.56,27244.87,4 HCPCS,20982,"Hc Abltn Tx Red Or Erad 1 Or > Bne Tu> In Adj Sft Tsue Inv Tmr Ext,Per,Ncl Img Guid Whn Perf,Radfreq",28855.0,28855.0,,,0 HCPCS,20983,Ablate bone tumor(s) perq,,,7775.89,24760.0,4 HCPCS,20983,Hc Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd,22782.0,22782.0,,,0 HCPCS,20985,Cptr-asst dir ms px,,,3399.0,3399.0,1 HCPCS,20999,Hc Angio Sclerotherapy Of Musculoskeletal System,310.0,310.0,,,0 HCPCS,20999,Musculoskeletal surgery,,,264.33,3399.0,4 HCPCS,21010,Incision of jaw joint,,,3552.91,11000.0,4 HCPCS,21011,Exc face les sc <2 cm,,,1769.88,5007.0,4 HCPCS,21011,"Hc Excision, Tumor, Soft Tissue Of Face Or Scalp, Subcutaneous, Less Than 2 Cm",3810.0,3810.0,,,0 HCPCS,21011,"Hc Excision, Tumor, Soft Tissue Of Face Or Scalp, Subcutaneous, Less Than 2 Cm-Pbb",4508.5,4508.5,,,0 HCPCS,21011,Pr Excision Tumor Soft Tiss Face/Scalp Subq <2Cm-Pbb,1397.0,1397.0,,,0 HCPCS,21012,Exc face les sbq 2 cm/>,,,1769.88,5007.0,4 HCPCS,21012,"Hc Excision, Tumor, Soft Tissue Of Face Or Scalp, Subcutaneous, 2Cm Or Greater",4986.0,4986.0,,,0 HCPCS,21012,"Hc Excision, Tumor, Soft Tissue Of Face Or Scalp, Subcutaneous, 2Cm Or Greater-Pbb",5946.0,5946.0,,,0 HCPCS,21012,Pr Excision Tumor Soft Tiss Face/Scalp Subq 2 Cm/>-Pbb,1920.0,1920.0,,,0 HCPCS,21013,Exc face tum deep < 2 cm,,,1769.88,5007.0,4 HCPCS,21013,"Hc Excsn, Tumor, Soft Tiss Of Face And Sclp, Subfasc (Eg, Subgaleal, Intramuscular); Less Than 2 Cm",6491.5,6491.5,,,0 HCPCS,21013,Pr Exc Tumor Soft Tiss Face&Scalp Subfascial <2Cm-Pbb,2255.0,2255.0,,,0 HCPCS,21014,Exc face tum deep 2 cm/>,,,3112.75,5007.0,4 HCPCS,21014,"Hc Excsn, Tumor, Soft Tiss Of Face And Sclp, Subfasc (Eg, Subgaleal, Intramuscular); 2 Cm Or Greater",11448.0,11448.0,,,0 HCPCS,21014,Pr Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/>-Pbb,2964.0,2964.0,,,0 HCPCS,21015,Resect face/scalp tum < 2 cm,,,3112.75,7272.0,4 HCPCS,21016,Resect face/scalp tum 2 cm/>,,,3112.75,11000.0,4 HCPCS,21025,Excision of bone lower jaw,,,6343.8,22280.0,4 HCPCS,21025,"Hc Excision Of Bone (Eg, For Osteomyelitis Or Bone Abscess); Mandible",13335.0,13335.0,,,0 HCPCS,21025,"Hc Excision Of Bone (Eg, For Osteomyelitis Or Bone Abscess); Mandible-Pbb",16615.5,16615.5,,,0 HCPCS,21025,Pr Excision Bone Mandible-Pbb,6561.0,6561.0,,,0 HCPCS,21026,Excision of facial bone(s),,,6343.8,11000.0,4 HCPCS,21029,Contour of face bone lesion,,,3552.91,11000.0,4 HCPCS,21030,Excise max/zygoma b9 tumor,,,6343.8,11000.0,4 HCPCS,21031,Remove exostosis mandible,,,3552.91,11000.0,4 HCPCS,21032,Remove exostosis maxilla,,,3552.91,11000.0,4 HCPCS,21034,Excise max/zygoma mal tumor,,,6343.8,22280.0,4 HCPCS,21040,Excise mandible lesion,,,3552.91,11000.0,4 HCPCS,21044,Removal of jaw bone lesion,,,6343.8,22280.0,4 HCPCS,21045,Extensive jaw surgery,,,6343.8,22280.0,4 HCPCS,21046,Remove mandible cyst complex,,,6343.8,22280.0,4 HCPCS,21047,Excise lwr jaw cyst w/repair,,,6343.8,22280.0,4 HCPCS,21048,Remove maxilla cyst complex,,,6343.8,22280.0,4 HCPCS,21049,Excis uppr jaw cyst w/repair,,,6343.8,22280.0,4 HCPCS,21050,Removal of jaw joint,,,6343.8,22280.0,4 HCPCS,21060,Remove jaw joint cartilage,,,6343.8,22280.0,4 HCPCS,21070,Remove coronoid process,,,6343.8,22280.0,4 HCPCS,21073,Mnpj of tmj w/anesth,,,1662.71,7272.0,4 HCPCS,21076,Prepare face/oral prosthesis,,,1662.71,7272.0,4 HCPCS,21077,Prepare face/oral prosthesis,,,6343.8,22280.0,4 HCPCS,21079,Prepare face/oral prosthesis,,,3552.91,22280.0,4 HCPCS,21080,Prepare face/oral prosthesis,,,3552.91,22280.0,4 HCPCS,21081,Prepare face/oral prosthesis,,,6343.8,22280.0,4 HCPCS,21082,Prepare face/oral prosthesis,,,3552.91,22280.0,4 HCPCS,21083,Prepare face/oral prosthesis,,,3552.91,22280.0,4 HCPCS,21084,Prepare face/oral prosthesis,,,3552.91,22280.0,4 HCPCS,21085,Prepare face/oral prosthesis,,,253.81,3399.0,4 HCPCS,21086,Hc Impression & Preparation Auricular Prosthesis,9730.0,9730.0,,,0 HCPCS,21086,Hc Impression & Preparation Auricular Prosthesis-Pbb,17487.0,17487.0,,,0 HCPCS,21086,Pr Impression & Preparation Auricular Prosthesis-Pbb,15515.0,15515.0,,,0 HCPCS,21086,Prepare face/oral prosthesis,,,3552.91,22280.0,4 HCPCS,21087,Prepare face/oral prosthesis,,,6343.8,22280.0,4 HCPCS,21088,Prepare face/oral prosthesis,,,3552.91,22280.0,4 HCPCS,21089,Prepare face/oral prosthesis,,,253.81,3399.0,4 HCPCS,21100,Maxillofacial fixation,,,6343.8,22280.0,4 HCPCS,21110,"Hc App Of Interdental Fixation Device For Conditions Other Than Fracture Or Dislocatn, Includes Rmvl",4699.5,4699.5,,,0 HCPCS,21110,Interdental fixation,,,1662.71,7272.0,4 HCPCS,21110,Pr Appl Interdental Fixation Device Non-Fx/Dislc-Pbb,4729.0,4729.0,,,0 HCPCS,21116,Injection jaw joint x-ray,,,3399.0,3399.0,1 HCPCS,21120,Reconstruction of chin,,,6343.8,11000.0,4 HCPCS,21121,Reconstruction of chin,,,3552.91,11000.0,4 HCPCS,21122,Reconstruction of chin,,,6343.8,11000.0,4 HCPCS,21123,Reconstruction of chin,,,3552.91,11000.0,4 HCPCS,21125,Augmentation lower jaw bone,,,6343.8,11000.0,4 HCPCS,21127,Augmentation lower jaw bone,,,6343.8,22280.0,4 HCPCS,21137,Reduction of forehead,,,3552.91,11000.0,4 HCPCS,21138,Reduction of forehead,,,6343.8,22280.0,4 HCPCS,21139,Reduction of forehead,,,6343.8,22280.0,4 HCPCS,21141,Lefort i-1 piece w/o graft,,,6343.8,22280.0,4 HCPCS,21142,Lefort i-2 piece w/o graft,,,6343.8,22280.0,4 HCPCS,21143,Lefort i-3/> piece w/o graft,,,6343.8,22280.0,4 HCPCS,21145,Lefort i-1 piece w/ graft,,,6343.8,22280.0,4 HCPCS,21146,Lefort i-2 piece w/ graft,,,6343.8,22280.0,4 HCPCS,21147,Lefort i-3/> piece w/ graft,,,6343.8,22280.0,4 HCPCS,21150,Lefort ii anterior intrusion,,,6343.8,22280.0,4 HCPCS,21151,Lefort ii w/bone grafts,,,6343.8,22280.0,4 HCPCS,21154,Lefort iii w/o lefort i,,,6343.8,22280.0,4 HCPCS,21155,Lefort iii w/ lefort i,,,6343.8,22280.0,4 HCPCS,21159,Lefort iii w/fhdw/o lefort i,,,6343.8,22280.0,4 HCPCS,21160,Lefort iii w/fhd w/ lefort i,,,6343.8,22280.0,4 HCPCS,21172,Reconstruct orbit/forehead,,,6343.8,22280.0,4 HCPCS,21175,Reconstruct orbit/forehead,,,6343.8,22280.0,4 HCPCS,21179,Reconstruct entire forehead,,,6343.8,22280.0,4 HCPCS,21180,Reconstruct entire forehead,,,6343.8,22280.0,4 HCPCS,21181,Contour cranial bone lesion,,,6343.8,11000.0,4 HCPCS,21182,Reconstruct cranial bone,,,6343.8,22280.0,4 HCPCS,21183,Reconstruct cranial bone,,,6343.8,22280.0,4 HCPCS,21184,Reconstruct cranial bone,,,6343.8,22280.0,4 HCPCS,21188,Reconstruction of midface,,,6343.8,22280.0,4 HCPCS,21193,Reconst lwr jaw w/o graft,,,6343.8,22280.0,4 HCPCS,21194,Reconst lwr jaw w/graft,,,6343.8,22280.0,4 HCPCS,21195,Reconst lwr jaw w/o fixation,,,6343.8,22280.0,4 HCPCS,21196,Reconst lwr jaw w/fixation,,,6343.8,22280.0,4 HCPCS,21198,Reconstr lwr jaw segment,,,6343.8,11000.0,4 HCPCS,21199,Reconstr Lwr Jaw W/Advance,,,6343.8,22280.0,4 HCPCS,21206,Reconstruct upper jaw bone,,,6343.8,22280.0,4 HCPCS,21208,Augmentation of facial bones,,,6343.8,22280.0,4 HCPCS,21209,Reduction of facial bones,,,6343.8,22280.0,4 HCPCS,21210,Face bone graft,,,6343.8,22280.0,4 HCPCS,21215,Lower jaw bone graft,,,6343.8,22280.0,4 HCPCS,21230,Rib cartilage graft,,,6343.8,22280.0,4 HCPCS,21235,Ear cartilage graft,,,6343.8,9198.51,4 HCPCS,21235,"Hc Graft; Ear Cartilage, Autogenous, To Nose Or Ear (Includes Obtaining Graft)",5490.0,5490.0,,,0 HCPCS,21235,"Hc Graft; Ear Cartilage, Autogenous, To Nose Or Ear (Includes Obtaining Graft)-Pbb",9600.5,9600.5,,,0 HCPCS,21235,Pr Graft Ear Crtlg Autogenous Nose/Ear-Pbb,8220.0,8220.0,,,0 HCPCS,21240,Reconstruction of jaw joint,,,6343.8,22280.0,4 HCPCS,21242,Reconstruction of jaw joint,,,6343.8,22280.0,4 HCPCS,21243,Reconstruction of jaw joint,,,22280.0,42162.12,4 HCPCS,21244,Reconstruction of lower jaw,,,6343.8,22280.0,4 HCPCS,21245,Reconstruction of jaw,,,6343.8,22280.0,4 HCPCS,21246,Reconstruction of jaw,,,6343.8,22280.0,4 HCPCS,21247,Reconstruct lower jaw bone,,,6343.8,22280.0,4 HCPCS,21248,Reconstruction of jaw,,,6343.8,22280.0,4 HCPCS,21249,Reconstruction of jaw,,,6343.8,22280.0,4 HCPCS,21255,Reconstruct lower jaw bone,,,6343.8,22280.0,4 HCPCS,21256,Reconstruction of orbit,,,6343.8,22280.0,4 HCPCS,21260,Revise eye sockets,,,6343.8,22280.0,4 HCPCS,21261,Revise eye sockets,,,6343.8,22280.0,4 HCPCS,21263,Revise eye sockets,,,6343.8,22280.0,4 HCPCS,21267,Revise eye sockets,,,6343.8,22280.0,4 HCPCS,21268,Revise eye sockets,,,6343.8,22280.0,4 HCPCS,21270,Augmentation cheek bone,,,6343.8,22280.0,4 HCPCS,21275,Revision orbitofacial bones,,,6343.8,22280.0,4 HCPCS,21280,Revision of eyelid,,,3552.91,22280.0,4 HCPCS,21282,Revision of eyelid,,,3552.91,7272.0,4 HCPCS,21295,Revision of jaw muscle/bone,,,1662.71,7272.0,4 HCPCS,21296,Revision of jaw muscle/bone,,,3552.91,11000.0,4 HCPCS,21299,Cranio/maxillofacial surgery,,,253.81,3399.0,4 HCPCS,21310,"Closed Treatment, Nasal Bone Fx W/O Manipulation-Pbb",1790.0,1790.0,,,0 HCPCS,21315,Closed tx nose fx w/o stablj,,,1662.71,7272.0,4 HCPCS,21315,Hc Closed Treatment Of Nasal Bone Fracture; Without Stabilization,4313.0,4313.0,,,0 HCPCS,21315,Hc Closed Treatment Of Nasal Bone Fracture; Without Stabilization-Pbb,5857.5,5857.5,,,0 HCPCS,21315,Pr Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization-Pbb,3089.0,3089.0,,,0 HCPCS,21320,Closed tx nose fx w/ stablj,,,3552.91,7272.0,4 HCPCS,21320,Hc Closed Treatment Of Nasal Bone Fracture; With Stabilization,10794.0,10794.0,,,0 HCPCS,21320,Hc Closed Treatment Of Nasal Bone Fracture; With Stabilization-Pbb,13120.0,13120.0,,,0 HCPCS,21320,Pr Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization-Pbb,4652.0,4652.0,,,0 HCPCS,21325,Open tx nose fx uncomplicatd,,,3552.91,11000.0,4 HCPCS,21330,Open tx nose fx w/skele fixj,,,6343.8,11000.0,4 HCPCS,21335,Open tx nose & septal fx,,,3552.91,11000.0,4 HCPCS,21336,Open tx septal fx w/wo stabj,,,3506.34,11000.0,4 HCPCS,21337,Closed tx septal&nose fx,,,3552.91,7272.0,4 HCPCS,21337,"Hc Closed Treatment, Nasal Septal Fx, W/Wo Stabilization",9726.0,9726.0,,,0 HCPCS,21338,Open nasoethmoid fx w/o fixj,,,6343.8,11000.0,4 HCPCS,21339,Open nasoethmoid fx w/ fixj,,,6343.8,11000.0,4 HCPCS,21340,Perq tx nasoethmoid fx,,,3552.91,22280.0,4 HCPCS,21343,Open tx dprsd front sinus fx,,,6343.8,22280.0,4 HCPCS,21344,Open tx compl front sinus fx,,,6343.8,22280.0,4 HCPCS,21345,Closed tx nose/jaw fx,,,1662.71,7272.0,4 HCPCS,21346,Opn tx nasomax fx w/fixj,,,6343.8,11000.0,4 HCPCS,21347,Opn tx nasomax fx multple,,,6343.8,22280.0,4 HCPCS,21348,Opn tx nasomax fx w/graft,,,6343.8,22280.0,4 HCPCS,21355,Perq tx malar fracture,,,3552.91,22280.0,4 HCPCS,21356,Opn tx dprsd zygomatic arch,,,6343.8,11000.0,4 HCPCS,21360,Opn tx dprsd malar fracture,,,6343.8,11000.0,4 HCPCS,21365,Opn tx complx malar fx,,,6343.8,22280.0,4 HCPCS,21366,Opn tx complx malar w/grft,,,6343.8,22280.0,4 HCPCS,21385,Opn tx orbit fx transantral,,,6343.8,22280.0,4 HCPCS,21386,Opn tx orbit fx periorbital,,,6343.8,22280.0,4 HCPCS,21387,Opn tx orbit fx combined,,,6343.8,22280.0,4 HCPCS,21390,Opn tx orbit periorbtl implt,,,6343.8,22280.0,4 HCPCS,21395,Opn tx orbit periorbt w/grft,,,6343.8,22280.0,4 HCPCS,21400,Closed tx orbit w/o manipulj,,,577.95,3399.0,4 HCPCS,21400,"Hc Closed Treatment, Fx, Orbit, Except Blowout; W/O Manip-Pbb",2708.5,2708.5,,,0 HCPCS,21400,Pr Clsd Tx Fx Orbit Except Blowout W/O Manipulation-Pbb,1591.0,1591.0,,,0 HCPCS,21401,Closed tx orbit w/manipulj,,,1662.71,7272.0,4 HCPCS,21406,Opn tx orbit fx w/o implant,,,6343.8,22280.0,4 HCPCS,21407,Opn tx orbit fx w/implant,,,6343.8,22280.0,4 HCPCS,21408,Opn tx orbit fx w/bone grft,,,6343.8,22280.0,4 HCPCS,21421,Treat mouth roof fracture,,,3552.91,11000.0,4 HCPCS,21422,Treat mouth roof fracture,,,6343.8,22280.0,4 HCPCS,21423,Treat mouth roof fracture,,,6343.8,22280.0,4 HCPCS,21431,Treat craniofacial fracture,,,6343.8,22280.0,4 HCPCS,21432,Treat craniofacial fracture,,,6343.8,22280.0,4 HCPCS,21433,Treat craniofacial fracture,,,6343.8,22280.0,4 HCPCS,21435,Treat craniofacial fracture,,,6343.8,22280.0,4 HCPCS,21436,Treat craniofacial fracture,,,6343.8,22280.0,4 HCPCS,21440,"Hc Closed Treatment, Mandibular/Maxillary Alveolar Ridge Fx (Sep Proc)",7555.0,7555.0,,,0 HCPCS,21440,"Hc Closed Treatment, Mandibular/Maxillary Alveolar Ridge Fx (Sep Proc)-Pbb",8772.0,8772.0,,,0 HCPCS,21440,Pr Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx-Pbb,3632.0,3632.0,,,0 HCPCS,21440,Treat dental ridge fracture,,,3552.91,11000.0,4 HCPCS,21445,Treat dental ridge fracture,,,6343.8,22280.0,4 HCPCS,21450,"Hc Closed Treatment, Mandibular Fx; W/O Manipulation-Pbb",4439.5,4439.5,,,0 HCPCS,21450,Pr Closed Tx Mandibular Fracture W/O Manipulation-Pbb,5053.0,5053.0,,,0 HCPCS,21450,Treat lower jaw fracture,,,577.95,3399.0,4 HCPCS,21451,Hc Closed Treatment Of Mandibular Fracture; With Manipulation,5916.0,5916.0,,,0 HCPCS,21451,Treat lower jaw fracture,,,1662.71,7272.0,4 HCPCS,21452,Treat lower jaw fracture,,,6343.8,9198.51,4 HCPCS,21453,Treat lower jaw fracture,,,6343.8,22280.0,4 HCPCS,21454,Treat lower jaw fracture,,,6343.8,11000.0,4 HCPCS,21461,Treat lower jaw fracture,,,6343.8,22280.0,4 HCPCS,21462,Treat lower jaw fracture,,,6343.8,22280.0,4 HCPCS,21465,Treat lower jaw fracture,,,6343.8,22280.0,4 HCPCS,21470,Treat lower jaw fracture,,,6343.8,22280.0,4 HCPCS,21480,Hc Closed Treatment Of Temporomandibular Dislocation; Initial Or Subsequent,1170.0,1170.0,,,0 HCPCS,21480,Hc Closed Treatment Of Temporomandibular Dislocation; Initial Or Subsequent-Pbb,2065.0,2065.0,,,0 HCPCS,21480,Pr Closed Tx Temporomandibular Dislocation 1St/Sbsq-Pbb,1790.0,1790.0,,,0 HCPCS,21480,Reset dislocated jaw,,,264.33,3399.0,4 HCPCS,21485,Reset dislocated jaw,,,1662.71,7272.0,4 HCPCS,21490,Repair dislocated jaw,,,3552.91,22280.0,4 HCPCS,21497,Interdental wiring,,,1662.71,7272.0,4 HCPCS,21499,Head surgery procedure,,,253.81,3399.0,4 HCPCS,21501,Drain neck/chest lesion,,,3112.75,11000.0,4 HCPCS,21501,"Hc I&D, Deep Abscess Or Hematoma, Soft Tissues Of Neck Or Thorax",11176.0,11176.0,,,0 HCPCS,21501,"Hc I&D, Deep Abscess Or Hematoma, Soft Tissues Of Neck Or Thorax-Pbb",14070.0,14070.0,,,0 HCPCS,21501,Pr I&D Deep Absc/Hmtma Soft Tissue Neck/Thorax-Pbb,5789.0,5789.0,,,0 HCPCS,21502,Drain chest lesion,,,3506.34,11000.0,4 HCPCS,21502,"Hc I&D, Deep Absc/Hema, Soft Tiss, Neck/Thorax; W/ Partrib Ostectomy-Pbb",13789.0,13789.0,,,0 HCPCS,21502,Pr I&D Dp Absc/Hmtma Sft Tis Nck/Thrx Prtl Rib Ostc-Pbb,6086.0,6086.0,,,0 HCPCS,21510,Drainage of bone lesion,,,3506.34,22280.0,4 HCPCS,21550,Biopsy of neck/chest,,,1769.88,7272.0,4 HCPCS,21550,"Hc Biopsy, Soft Tissue Of Neck Or Thorax",5795.0,5795.0,,,0 HCPCS,21550,"Hc Biopsy, Soft Tissue Of Neck Or Thorax-Pbb",7100.0,7100.0,,,0 HCPCS,21550,Pr Biopsy Soft Tissue Neck/Thorax-Pbb,2610.0,2610.0,,,0 HCPCS,21552,Exc neck les sc 3 cm/>,,,3112.75,11000.0,4 HCPCS,21552,"Hc Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subcutaenous, 3 Cm Or Greater",8748.0,8748.0,,,0 HCPCS,21552,"Hc Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subcutaenous, 3 Cm Or Greater-Pbb",10044.0,10044.0,,,0 HCPCS,21552,Pr Exc Tumor Soft Tis Neck/Ant Thorax Subq 3 Cm/>-Pbb,2592.0,2592.0,,,0 HCPCS,21554,Exc neck tum deep 5 cm/>,,,3112.75,11000.0,4 HCPCS,21555,Exc neck les sc < 3 cm,,,1769.88,7272.0,4 HCPCS,21555,"Hc Excision , Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subcutaneous; Less Than 3 Cm",5795.0,5795.0,,,0 HCPCS,21555,"Hc Excision , Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subcutaneous; Less Than 3 Cm-Pbb",8052.0,8052.0,,,0 HCPCS,21555,Pr Exc Tumor Soft Tissue Neck/Ant Thorax Subq <3Cm-Pbb,4514.0,4514.0,,,0 HCPCS,21556,Exc neck tum deep < 5 cm,,,3112.75,11000.0,4 HCPCS,21556,Hc Exc Tumor Soft Tiss Neck/Thorax Subfascial <5Cm-Pbb,11278.0,11278.0,,,0 HCPCS,21556,Pr Exc Tumor Soft Tiss Neck/Thorax Subfascial <5Cm-Pbb,5384.0,5384.0,,,0 HCPCS,21557,Resect neck thorax tumor<5cm,,,3112.75,7272.0,4 HCPCS,21558,Resect neck tumor 5 cm/>,,,3112.75,11000.0,4 HCPCS,21600,Partial removal of rib,,,7775.89,14227.0,4 HCPCS,21601,Exc chest wall tumor w/ribs,,,3112.75,11000.0,4 HCPCS,21602,Exc ch wal tum w/o lymphadec,,,7775.89,24760.0,4 HCPCS,21603,Exc ch wal tum w/lymphadec,,,7775.89,24760.0,4 HCPCS,21610,Partial removal of rib,,,3506.34,14227.0,4 HCPCS,21615,Removal of rib,,,7775.89,24760.0,4 HCPCS,21616,Removal of rib and nerves,,,7775.89,24760.0,4 HCPCS,21620,Partial removal of sternum,,,3506.34,22280.0,4 HCPCS,21627,Sternal debridement,,,3506.34,24760.0,4 HCPCS,21630,Extensive sternum surgery,,,7775.89,24760.0,4 HCPCS,21632,Extensive sternum surgery,,,24760.0,24760.0,1 HCPCS,21685,Hyoid myotomy & suspension,,,6343.8,11000.0,4 HCPCS,21700,"Hc Division Of Scalenus Anticus, Without Resection Of Cervical Rib",6046.0,6046.0,,,0 HCPCS,21700,Revision of neck muscle,,,7775.89,11275.05,4 HCPCS,21705,Revision of neck muscle/rib,,,7775.89,24760.0,4 HCPCS,21720,Revision of neck muscle,,,3506.34,11000.0,4 HCPCS,21725,Revision of neck muscle,,,758.85,5007.0,4 HCPCS,21740,Reconstruction of sternum,,,7775.89,24760.0,4 HCPCS,21742,Repair stern/nuss w/o scope,,,3506.34,22280.0,4 HCPCS,21743,Repair sternum/nuss w/scope,,,3506.34,22280.0,4 HCPCS,21750,Repair of sternum separation,,,7775.89,24760.0,4 HCPCS,21811,Optx of rib fx w/fixj scope,,,7775.89,11275.05,4 HCPCS,21812,Treatment of rib fracture,,,7775.89,11275.05,4 HCPCS,21813,Treatment of rib fracture,,,1723.15,11000.0,4 HCPCS,21820,Hc Closed Treatment Of Sternum Fracture,796.0,796.0,,,0 HCPCS,21820,Hc Closed Treatment Of Sternum Fracture-Pbb,1897.0,1897.0,,,0 HCPCS,21820,Pr Closed Treatment Sternum Fracture-Pbb,2202.0,2202.0,,,0 HCPCS,21820,Treat sternum fracture,,,264.33,3399.0,4 HCPCS,21825,Treat sternum fracture,,,7775.89,24760.0,4 HCPCS,21899,Hc Neuro Sclerotherapy Of Next/Thorax,437.0,437.0,,,0 HCPCS,21899,Neck/chest surgery procedure,,,253.81,3399.0,4 HCPCS,21920,Biopsy soft tissue of back,,,1769.88,5007.0,4 HCPCS,21925,Biopsy soft tissue of back,,,1769.88,11000.0,4 HCPCS,21930,Exc back les sc < 3 cm,,,1769.88,7272.0,4 HCPCS,21930,"Hc Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaenous; Less Than 3 Cm",5795.0,5795.0,,,0 HCPCS,21930,"Hc Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaenous; Less Than 3 Cm-Pbb",10193.0,10193.0,,,0 HCPCS,21930,Pr Excision Tumor Soft Tissue Back/Flank Subq <3Cm-Pbb,8796.0,8796.0,,,0 HCPCS,21931,Exc back les sc 3 cm/>,,,1769.88,11000.0,4 HCPCS,21931,"Hc Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaenous; 3 Cm Or Greater",8748.0,8748.0,,,0 HCPCS,21931,"Hc Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaenous; 3 Cm Or Greater-Pbb",10112.5,10112.5,,,0 HCPCS,21931,Pr Excision Tumor Soft Tis Back/Flank Subq 3 Cm/>-Pbb,2729.0,2729.0,,,0 HCPCS,21932,Exc back tum deep < 5 cm,,,3112.75,7272.0,4 HCPCS,21932,"Hc Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaenous; Less Than 5 Cm",4409.0,4409.0,,,0 HCPCS,21932,"Hc Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaenous; Less Than 5 Cm-Pbb",5902.0,5902.0,,,0 HCPCS,21932,Pr Exc Tumor Soft Tiss Back/Flank Subfascial <5Cm-Pbb,2986.0,2986.0,,,0 HCPCS,21933,Exc back tum deep 5 cm/>,,,3112.75,11000.0,4 HCPCS,21933,"Hc Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaenous; 5 Cm Or Greater",6656.0,6656.0,,,0 HCPCS,21933,"Hc Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaenous; 5 Cm Or Greater-Pbb",8303.5,8303.5,,,0 HCPCS,21933,Pr Exc Tumor Soft Tiss Back/Flank Subfascial 5 Cm/>-Pbb,3295.0,3295.0,,,0 HCPCS,21935,Resect back tum < 5 cm,,,3112.75,7272.0,4 HCPCS,21936,Resect back tum 5 cm/>,,,3112.75,11000.0,4 HCPCS,22010,I&d p-spine c/t/cerv-thor,,,7775.89,24760.0,4 HCPCS,22015,I&d abscess p-spine l/s/ls,,,7775.89,24760.0,4 HCPCS,22100,Remove part of neck vertebra,,,7775.89,24760.0,4 HCPCS,22101,Remove part thorax vertebra,,,7775.89,24760.0,4 HCPCS,22102,Remove part lumbar vertebra,,,7775.89,24760.0,4 HCPCS,22103,Remove extra spine segment,,,3399.0,3399.0,1 HCPCS,22110,Remove part of neck vertebra,,,7775.89,24760.0,4 HCPCS,22112,Remove part thorax vertebra,,,7775.89,24760.0,4 HCPCS,22114,Remove part lumbar vertebra,,,7775.89,24760.0,4 HCPCS,22116,Remove extra spine segment,,,3399.0,3399.0,1 HCPCS,22206,Incis spine 3 column thorac,,,7775.89,24760.0,4 HCPCS,22207,Incis spine 3 column lumbar,,,7775.89,24760.0,4 HCPCS,22208,Incis spine 3 column adl seg,,,3399.0,3399.0,1 HCPCS,22210,Incis 1 vertebral seg cerv,,,7775.89,24760.0,4 HCPCS,22212,Incis 1 vertebral seg thorac,,,7775.89,24760.0,4 HCPCS,22214,Incis 1 vertebral seg lumbar,,,7775.89,24760.0,4 HCPCS,22216,Incis addl spine segment,,,3399.0,3399.0,1 HCPCS,22220,Incis w/discectomy cervical,,,7775.89,24760.0,4 HCPCS,22222,Incis w/discectomy thoracic,,,7775.89,24760.0,4 HCPCS,22224,Incis w/discectomy lumbar,,,7775.89,24760.0,4 HCPCS,22226,Revise extra spine segment,,,3399.0,3399.0,1 HCPCS,22310,Closed tx vert fx w/o manj,,,264.33,3399.0,4 HCPCS,22310,"Hc Closed Treatment, Vertebral Body Fx, W/O Manip W/ Casting/Bracing-Pbb",1881.5,1881.5,,,0 HCPCS,22310,Pr Cltx Vrt Bdy Fx W/O Manj Req&W/Csting/Bracing-Pbb,2421.0,2421.0,,,0 HCPCS,22315,Closed tx vert fx w/manj,,,3506.34,7272.0,4 HCPCS,22318,Treat odontoid fx w/o graft,,,13758.17,24760.0,4 HCPCS,22319,Treat odontoid fx w/graft,,,13758.17,24760.0,4 HCPCS,22325,Treat spine fracture,,,13758.17,24760.0,4 HCPCS,22326,Treat neck spine fracture,,,13758.17,24760.0,4 HCPCS,22327,Treat thorax spine fracture,,,13758.17,24760.0,4 HCPCS,22328,Treat each add spine fx,,,3399.0,3399.0,1 HCPCS,22505,Manipulation of spine,,,1723.15,7272.0,4 HCPCS,22510,"Hc Perc Vertebroplasty, 1 Vert Body, Unilat Or Bilat Inj, Inclusive Of All Imaging Guid, Cervicothor",12431.0,12431.0,,,0 HCPCS,22510,Perq cervicothoracic inject,,,3506.34,14227.0,4 HCPCS,22511,"Hc Perc Vertebroplasty, 1 Vert Body, Unilat Or Bilat Inj, Inclusive Of All Imaging Guid, Lumbosacral",12435.0,12435.0,,,0 HCPCS,22511,Perq lumbosacral injection,,,3506.34,14227.0,4 HCPCS,22512,"Hc Perc Vrtrbrplsty,1 Vert Bdy,Unilat/Bilat Inj,Inclsv Imgng Guid,Ea Add Crvcthor,Lumbscrl Vert Bdy",10366.0,10366.0,,,0 HCPCS,22512,Vertebroplasty addl inject,,,3399.0,3399.0,1 HCPCS,22513,"Hc Perc Vert Aug,Incl Cvty Crtn Usng Mech Dev,1 Vert Bdy,Unilat/Bilat Cnultn, Inclsv Imgng Guid;Thor",38782.0,38782.0,,,0 HCPCS,22513,Perq vertebral augmentation,,,7775.89,24760.0,4 HCPCS,22514,"Hc Perc Vert Aug,Incl Cvty Crtn Usng Mech Dev,1 Vert Bdy,Unilat/Bilat Cnultn,Inclsv Imgng Guid; Lmbr",38547.0,38547.0,,,0 HCPCS,22514,Perq vertebral augmentation,,,7775.89,24760.0,4 HCPCS,22515,"Hc Per Vrt Aug,Inc Cav Crtn Mch Dev,1 Ver Bdy,Uni Or Bil Cnltn, Inc Img Gud;Ea Ad Thr Or Lum Vrt Bdy",24418.0,24418.0,,,0 HCPCS,22515,Perq vertebral augmentation,,,3399.0,3399.0,1 HCPCS,22526,Idet single level,,,14227.0,14227.0,1 HCPCS,22527,Idet 1 or more levels,,,14227.0,14227.0,1 HCPCS,22532,Lat thorax spine fusion,,,13758.17,36418.0,4 HCPCS,22533,Lat lumbar spine fusion,,,18789.56,36418.0,4 HCPCS,22534,Lat thor/lumb addl seg,,,3399.0,3399.0,1 HCPCS,22548,Neck spine fusion,,,13758.17,36418.0,4 HCPCS,22551,Neck spine fuse&remov bel c2,,,13758.17,24760.0,4 HCPCS,22552,Addl neck spine fusion,,,22280.0,22280.0,1 HCPCS,22554,Neck spine fusion,,,13758.17,24760.0,4 HCPCS,22556,Thorax spine fusion,,,18789.56,36418.0,4 HCPCS,22558,Lumbar spine fusion,,,29077.32,42162.12,4 HCPCS,22585,Additional spinal fusion,,,24760.0,24760.0,1 HCPCS,22586,Prescrl fuse w/ instr l5-s1,,,18789.56,36418.0,4 HCPCS,22590,Spine & skull spinal fusion,,,13758.17,36418.0,4 HCPCS,22595,Neck spinal fusion,,,13758.17,36418.0,4 HCPCS,22600,Neck spine fusion,,,18789.56,36418.0,4 HCPCS,22610,Thorax spine fusion,,,18789.56,36418.0,4 HCPCS,22612,Lumbar spine fusion,,,18789.56,27244.87,4 HCPCS,22614,Spine fusion extra segment,,,3399.0,3399.0,1 HCPCS,22630,Lumbar spine fusion,,,29077.32,42162.12,4 HCPCS,22632,Spine fusion extra segment,,,3399.0,3399.0,1 HCPCS,22633,Lumbar spine fusion combined,,,29077.32,66129.0,4 HCPCS,22634,Spine fusion extra segment,,,3399.0,3399.0,1 HCPCS,22800,Post fusion <=6 vert seg,,,18789.56,36418.0,4 HCPCS,22802,Post fusion 7-12 vert seg,,,18789.56,36418.0,4 HCPCS,22804,Post fusion 13/> vert seg,,,18789.56,36418.0,4 HCPCS,22808,Ant fusion 2-3 vert seg,,,18789.56,36418.0,4 HCPCS,22810,Ant fusion 4-7 vert seg,,,18789.56,36418.0,4 HCPCS,22812,Ant fusion 8/> vert seg,,,18789.56,36418.0,4 HCPCS,22818,Kyphectomy 1-2 segments,,,18789.56,36418.0,4 HCPCS,22819,Kyphectomy 3 or more,,,18789.56,36418.0,4 HCPCS,22830,Exploration of spinal fusion,,,7775.89,24760.0,4 HCPCS,22836,Ant thrc vrt body tethrg <7,,,10008.0,27244.87,4 HCPCS,22837,Ant thrc vrt body tethrg 8+,,,10008.0,27244.87,4 HCPCS,22838,Rev rplc/rmv thrc vrt tethrg,,,10008.0,27244.87,4 HCPCS,22840,Insert spine fixation device,,,3399.0,3399.0,1 HCPCS,22841,Insert spine fixation device,,,3399.0,3399.0,1 HCPCS,22842,Insert spine fixation device,,,3399.0,3399.0,1 HCPCS,22843,Insert spine fixation device,,,3399.0,3399.0,1 HCPCS,22844,Insert spine fixation device,,,3399.0,3399.0,1 HCPCS,22845,Insert spine fixation device,,,24760.0,24760.0,1 HCPCS,22846,Insert spine fixation device,,,24760.0,24760.0,1 HCPCS,22847,Insert spine fixation device,,,24760.0,24760.0,1 HCPCS,22848,Insert pelv fixation device,,,3399.0,3399.0,1 HCPCS,22849,Reinsert spinal fixation,,,13758.17,36418.0,4 HCPCS,22850,Remove spine fixation device,,,7775.89,24760.0,4 HCPCS,22852,Remove spine fixation device,,,7775.89,24760.0,4 HCPCS,22853,Insj biomechanical device,,,3399.0,3399.0,1 HCPCS,22854,Insj biomechanical device,,,3399.0,3399.0,1 HCPCS,22855,Remove spine fixation device,,,7775.89,24760.0,4 HCPCS,22856,Cerv artific diskectomy,,,18789.56,27244.87,4 HCPCS,22857,Lumbar Artif Diskectomy,,,18789.56,36418.0,4 HCPCS,22858,Second level cer diskectomy,,,3399.0,3399.0,1 HCPCS,22859,Insj biomechanical device,,,3399.0,3399.0,1 HCPCS,22860,Tot disc arthrp 2ntrspc lmbr,,,10008.0,10008.0,1 HCPCS,22861,Revise cerv artific disc,,,18789.56,36418.0,4 HCPCS,22862,Revise Lumbar Artif Disc,,,18789.56,36418.0,4 HCPCS,22864,Remove cerv artif disc,,,7775.89,24760.0,4 HCPCS,22865,Remove Lumb Artif Disc,,,7775.89,24760.0,4 HCPCS,22867,Insj stablj dev w/dcmprn,,,18789.56,27244.87,4 HCPCS,22868,Insj stablj dev w/dcmprn,,,3399.0,3399.0,1 HCPCS,22869,Insj stablj dev w/o dcmprn,,,13758.17,24760.0,4 HCPCS,22870,Insj stablj dev w/o dcmprn,,,3399.0,3399.0,1 HCPCS,22899,Spine surgery procedure,,,264.33,3399.0,4 HCPCS,22900,Exc abdl tum deep < 5 cm,,,3112.75,11000.0,4 HCPCS,22900,"Hc Excision, Abdominal Wall Tumor, Subfascial-Pbb",9118.5,9118.5,,,0 HCPCS,22900,Pr Exc Tumor Soft Tissue Abdl Wall Subfascial <5Cm-Pbb,4675.0,4675.0,,,0 HCPCS,22901,Exc abdl tum deep 5 cm/>,,,3112.75,11000.0,4 HCPCS,22902,Exc abd les sc < 3 cm,,,1769.88,7272.0,4 HCPCS,22902,"Hc Excision, Tumor, Soft Tissue Of Abdominal Wall, Subcutaneous; Less Than 3 Cm",5795.0,5795.0,,,0 HCPCS,22902,"Hc Excision, Tumor, Soft Tissue Of Abdominal Wall, Subcutaneous; Less Than 3 Cm-Pbb",6752.5,6752.5,,,0 HCPCS,22902,Pr Exc Tumor Soft Tissue Abdominal Wall Subq <3Cm-Pbb,1915.0,1915.0,,,0 HCPCS,22903,Exc abd les sc 3 cm/>,,,3112.75,11000.0,4 HCPCS,22903,"Hc Excision, Tumor, Soft Tissue Of Abdominal Wall, Subcutaneous; 3 Cm Or Greater",8748.0,8748.0,,,0 HCPCS,22903,"Hc Excision, Tumor, Soft Tissue Of Abdominal Wall, Subcutaneous; 3 Cm Or Greater-Pbb",10014.0,10014.0,,,0 HCPCS,22903,Pr Exc Tumor Soft Tissue Abdominal Wall Subq 3 Cm/>-Pbb,2532.0,2532.0,,,0 HCPCS,22904,"Hc Radical Resection Of Tumor, Soft Tissue Of Abdominal Wall; Less Than 5 Cm",4801.0,4801.0,,,0 HCPCS,22904,"Hc Radical Resection Of Tumor, Soft Tissue Of Abdominal Wall; Less Than 5 Cm-Pbb",7084.0,7084.0,,,0 HCPCS,22904,Pr Rad Resection Tumor Soft Tissue Abdl Wall <5Cm-Pbb,4566.0,4566.0,,,0 HCPCS,22904,Radical resect abd tumor<5cm,,,3112.75,7272.0,4 HCPCS,22905,"Hc Radical Resection Of Tumor, Soft Tissue Of Abdominal Wall; 5 Cm Or Greater",6852.0,6852.0,,,0 HCPCS,22905,"Hc Radical Resection Of Tumor, Soft Tissue Of Abdominal Wall; 5 Cm Or Greater-Pbb",9846.0,9846.0,,,0 HCPCS,22905,Pr Rad Resection Tumor Soft Tissue Abdl Wall 5 Cm/>-Pbb,5988.0,5988.0,,,0 HCPCS,22905,Rad resect abd tumor 5 cm/>,,,3112.75,11000.0,4 HCPCS,22999,Abdomen surgery procedure,,,264.33,3399.0,4 HCPCS,23000,Removal of calcium deposits,,,3112.75,7272.0,4 HCPCS,23020,Release shoulder joint,,,3506.34,14227.0,4 HCPCS,23030,Drain shoulder lesion,,,3112.75,11000.0,4 HCPCS,23031,Drain shoulder bursa,,,3112.75,11000.0,4 HCPCS,23035,Drain shoulder bone lesion,,,1723.15,11000.0,4 HCPCS,23040,Exploratory shoulder surgery,,,3506.34,14227.0,4 HCPCS,23044,Exploratory shoulder surgery,,,3506.34,14227.0,4 HCPCS,23065,Biopsy shoulder tissues,,,1769.88,5007.0,4 HCPCS,23065,"Hc Biopsy, Soft Tissue Of Should Area; Superficial",2904.0,2904.0,,,0 HCPCS,23066,Biopsy shoulder tissues,,,3112.75,11000.0,4 HCPCS,23071,Exc shoulder les sc 3 cm/>,,,1769.88,11000.0,4 HCPCS,23071,"Hc Excision Tumor, Soft Tissue Of Shoulder Area, Subcutaneous; 3 Cm Or Greater",8748.0,8748.0,,,0 HCPCS,23071,"Hc Excision Tumor, Soft Tissue Of Shoulder Area, Subcutaneous; 3 Cm Or Greater-Pbb",9956.5,9956.5,,,0 HCPCS,23071,Pr Excision Tumor Soft Tissue Shoulder Subq 3 Cm/>-Pbb,2417.0,2417.0,,,0 HCPCS,23073,Exc shoulder tum deep 5 cm/>,,,3112.75,11000.0,4 HCPCS,23073,Hc Exc Tumor Soft Tissue Shoulder Subfascial 5 Cm/>-Pbb,9375.5,9375.5,,,0 HCPCS,23073,Pr Exc Tumor Soft Tissue Shoulder Subfascial 5 Cm/>-Pbb,5655.0,5655.0,,,0 HCPCS,23075,Exc shoulder les sc < 3 cm,,,1769.88,7272.0,4 HCPCS,23075,"Hc Excision Tumor, Soft Tissue Of Shoulder Area, Subcutaneous; Less Than 3 Cm",5795.0,5795.0,,,0 HCPCS,23075,"Hc Excision Tumor, Soft Tissue Of Shoulder Area, Subcutaneous; Less Than 3 Cm-Pbb",8174.0,8174.0,,,0 HCPCS,23075,Pr Excision Tumor Soft Tissue Shoulder Subq <3Cm-Pbb,4758.0,4758.0,,,0 HCPCS,23076,Exc shoulder tum deep < 5 cm,,,3112.75,7272.0,4 HCPCS,23077,Resect shoulder tumor < 5 cm,,,3112.75,7272.0,4 HCPCS,23078,Resect shoulder tumor 5 cm/>,,,3112.75,11000.0,4 HCPCS,23100,Biopsy of shoulder joint,,,3506.34,11000.0,4 HCPCS,23101,Shoulder joint surgery,,,3506.34,14227.0,4 HCPCS,23105,Remove shoulder joint lining,,,7775.89,14227.0,4 HCPCS,23106,Incision of collarbone joint,,,3506.34,14227.0,4 HCPCS,23107,Explore treat shoulder joint,,,7775.89,14227.0,4 HCPCS,23120,Partial removal collar bone,,,3506.34,14227.0,4 HCPCS,23125,Removal of collar bone,,,3506.34,14227.0,4 HCPCS,23130,Remove shoulder bone part,,,3506.34,22280.0,4 HCPCS,23140,Removal of bone lesion,,,3506.34,11000.0,4 HCPCS,23145,Removal of bone lesion,,,3506.34,14227.0,4 HCPCS,23146,Removal of bone lesion,,,7775.89,14227.0,4 HCPCS,23150,Removal of humerus lesion,,,3506.34,14227.0,4 HCPCS,23155,Removal of humerus lesion,,,7775.89,14227.0,4 HCPCS,23156,Removal of humerus lesion,,,7775.89,14227.0,4 HCPCS,23170,Remove collar bone lesion,,,3506.34,14227.0,4 HCPCS,23172,Remove shoulder blade lesion,,,3506.34,14227.0,4 HCPCS,23174,Remove humerus lesion,,,7775.89,14227.0,4 HCPCS,23180,Remove collar bone lesion,,,7775.89,14227.0,4 HCPCS,23182,Remove shoulder blade lesion,,,7775.89,14227.0,4 HCPCS,23184,Remove humerus lesion,,,7775.89,14227.0,4 HCPCS,23190,Partial removal of scapula,,,3506.34,14227.0,4 HCPCS,23195,Removal of head of humerus,,,7775.89,14227.0,4 HCPCS,23200,Resect clavicle tumor,,,7775.89,24760.0,4 HCPCS,23210,Resect scapula tumor,,,7775.89,24760.0,4 HCPCS,23220,Resect prox humerus tumor,,,7775.89,24760.0,4 HCPCS,23330,Remove shoulder foreign body,,,1769.88,5007.0,4 HCPCS,23333,Remove shoulder fb deep,,,3112.75,5007.0,4 HCPCS,23334,Shoulder prosthesis removal,,,7775.89,11275.05,4 HCPCS,23335,Shoulder prosthesis removal,,,7775.89,11275.05,4 HCPCS,23350,Hc Injection Procedure For Should Arthrography Or Enhanced Ct/Mri Shoulder Arthrography,1231.0,1231.0,,,0 HCPCS,23350,Injection for shoulder x-ray,,,3399.0,3399.0,1 HCPCS,23395,Muscle transfer shoulder/arm,,,7775.89,22280.0,4 HCPCS,23397,Muscle transfers,,,7775.89,22280.0,4 HCPCS,23400,Fixation of shoulder blade,,,7775.89,14227.0,4 HCPCS,23405,"Hc Tenotomy, Shoulder Area; Single Tendon",9891.0,9891.0,,,0 HCPCS,23405,"Hc Tenotomy, Shoulder Area; Single Tendon-Pbb",12908.0,12908.0,,,0 HCPCS,23405,Incision of tendon & muscle,,,7775.89,14227.0,4 HCPCS,23405,Pr Tenotomy Shoulder Area 1 Tendon-Pbb,6034.0,6034.0,,,0 HCPCS,23406,Incise tendon(s) & muscle(s),,,7775.89,14227.0,4 HCPCS,23410,Repair rotator cuff acute,,,7775.89,22280.0,4 HCPCS,23412,Repair rotator cuff chronic,,,7775.89,22280.0,4 HCPCS,23415,Release of shoulder ligament,,,7775.89,22280.0,4 HCPCS,23420,Repair of shoulder,,,7775.89,22280.0,4 HCPCS,23430,Repair biceps tendon,,,7775.89,22280.0,4 HCPCS,23440,Remove/transplant tendon,,,7775.89,14227.0,4 HCPCS,23450,Repair shoulder capsule,,,7775.89,24760.0,4 HCPCS,23455,Repair shoulder capsule,,,7775.89,24760.0,4 HCPCS,23460,Repair shoulder capsule,,,7775.89,24760.0,4 HCPCS,23462,Repair shoulder capsule,,,7775.89,22280.0,4 HCPCS,23465,Repair shoulder capsule,,,7775.89,22280.0,4 HCPCS,23466,Repair shoulder capsule,,,7775.89,22280.0,4 HCPCS,23470,Reconstruct shoulder joint,,,13758.17,36418.0,4 HCPCS,23472,Reconstruct shoulder joint,,,18789.56,36418.0,4 HCPCS,23473,Revis reconst shoulder joint,,,13758.17,22280.0,4 HCPCS,23474,Revis reconst shoulder joint,,,13758.17,24760.0,4 HCPCS,23480,Revision of collar bone,,,7775.89,22280.0,4 HCPCS,23485,Revision of collar bone,,,13758.17,24760.0,4 HCPCS,23490,Reinforce clavicle,,,7775.89,24760.0,4 HCPCS,23491,Reinforce shoulder bones,,,13758.17,24760.0,4 HCPCS,23500,Hc Closed Treatment Of Clavicular Fracture; Without Manipulation,1465.0,1465.0,,,0 HCPCS,23500,Hc Closed Treatment Of Clavicular Fracture; Without Manipulation-Pbb,2617.0,2617.0,,,0 HCPCS,23500,Pr Clsd Tx Clavicular Fracture W/O Manipulation-Pbb,2304.0,2304.0,,,0 HCPCS,23500,Treat clavicle fracture,,,264.33,3399.0,4 HCPCS,23505,Hc Clsd Tx Clavicular Fracture W/Manipulation,4907.0,4907.0,,,0 HCPCS,23505,Treat clavicle fracture,,,1723.15,5007.0,4 HCPCS,23515,Treat clavicle fracture,,,7775.89,24760.0,4 HCPCS,23520,Treat clavicle dislocation,,,1723.15,7272.0,4 HCPCS,23525,Hc Closed Tx Sternoclavicular Dislc W/Manipulation,4907.0,4907.0,,,0 HCPCS,23525,Treat clavicle dislocation,,,264.33,3399.0,4 HCPCS,23530,Treat clavicle dislocation,,,7775.89,24760.0,4 HCPCS,23532,Treat clavicle dislocation,,,7775.89,11275.05,4 HCPCS,23540,Hc Closed Treatment Of Acromioclavicular Disclocation; Without Manipulation,542.0,542.0,,,0 HCPCS,23540,Hc Closed Treatment Of Acromioclavicular Disclocation; Without Manipulation-Pbb,1859.0,1859.0,,,0 HCPCS,23540,Pr Clsd Tx Acromioclavicular Dislc W/O Manipulation-Pbb,2634.0,2634.0,,,0 HCPCS,23540,Treat clavicle dislocation,,,264.33,3399.0,4 HCPCS,23545,Treat clavicle dislocation,,,264.33,3399.0,4 HCPCS,23550,Treat clavicle dislocation,,,7775.89,24760.0,4 HCPCS,23552,Treat clavicle dislocation,,,7775.89,24760.0,4 HCPCS,23570,Hc Closed Treatment Of Scapular Fracture; Without Manipulationc,541.0,541.0,,,0 HCPCS,23570,Hc Closed Treatment Of Scapular Fracture; Without Manipulationc-Pbb,1911.5,1911.5,,,0 HCPCS,23570,Pr Closed Tx Scapular Fracture W/O Manipulation-Pbb,2741.0,2741.0,,,0 HCPCS,23570,Treat shoulder blade fx,,,264.33,3399.0,4 HCPCS,23575,Treat shoulder blade fx,,,1723.15,3399.0,4 HCPCS,23585,Treat scapula fracture,,,7775.89,24760.0,4 HCPCS,23600,Hc Closed Treatment Of Proximal Humeral Fracture; Without Manipulation,2153.0,2153.0,,,0 HCPCS,23600,Hc Closed Treatment Of Proximal Humeral Fracture; Without Manipulation-Pbb,3908.5,3908.5,,,0 HCPCS,23600,Pr Cltx Proximal Humeral Fracture W/O Manipulation-Pbb,3511.0,3511.0,,,0 HCPCS,23600,Treat humerus fracture,,,264.33,3399.0,4 HCPCS,23605,"Hc Closed Treatment Of Proximal Humeral Fracture; W/ Manipulation, W/ Or W/Out Skeletal Traction",5924.0,5924.0,,,0 HCPCS,23605,"Hc Closed Treatment Of Proximal Humeral Fracture; W/ Manipulation, W/ Or W/Out Skeletal Traction-Pbb",9106.5,9106.5,,,0 HCPCS,23605,Pr Cltx Prox Humrl Fx W/Mnpj W/Wo Skeletal Tracj-Pbb,6365.0,6365.0,,,0 HCPCS,23605,Treat humerus fracture,,,1723.15,11000.0,4 HCPCS,23615,Treat humerus fracture,,,13758.17,24760.0,4 HCPCS,23616,Treat humerus fracture,,,18789.56,27244.87,4 HCPCS,23620,Hc Closed Treatment Of Greater Humeral Tuberosity Fracture; Without Manipulation,1775.0,1775.0,,,0 HCPCS,23620,Hc Closed Treatment Of Greater Humeral Tuberosity Fracture; Without Manipulation-Pbb,3312.0,3312.0,,,0 HCPCS,23620,Pr Cltx Greater Humeral Tuberosity Fx W/O Mnpj-Pbb,3074.0,3074.0,,,0 HCPCS,23620,Treat humerus fracture,,,264.33,3399.0,4 HCPCS,23625,Treat humerus fracture,,,1723.15,7272.0,4 HCPCS,23630,Treat humerus fracture,,,7775.89,24760.0,4 HCPCS,23650,"Hc Closed Treatment Of Shoulder Discloation, With Manipulation, Without Anesthesia",2197.0,2197.0,,,0 HCPCS,23650,"Hc Closed Treatment Of Shoulder Discloation, With Manipulation, Without Anesthesia-Pbb",3734.5,3734.5,,,0 HCPCS,23650,Pr Clsd Tx Shoulder Dislc W/Manipulation W/O Anes-Pbb,3074.0,3074.0,,,0 HCPCS,23650,Treat shoulder dislocation,,,264.33,3399.0,4 HCPCS,23655,"Hc Closed Treatment Of Should Discloation, With Manipulation; Requiring Anesthesia",5844.0,5844.0,,,0 HCPCS,23655,Treat shoulder dislocation,,,1723.15,7272.0,4 HCPCS,23660,Treat shoulder dislocation,,,7775.89,24760.0,4 HCPCS,23665,"Hc Closed Treatmnt Of Shoulder Dislocxn, W/ Fracture Of Greater Humeral Tuberosity, W/ Manipulation",3355.0,3355.0,,,0 HCPCS,23665,"Hc Closed Treatmnt Of Shoulder Dislocxn, W/ Fracture Of Greater Humeral Tuberosity, W/ Manipulation-",6426.5,6426.5,,,0 HCPCS,23665,Pr Cltx Shoulder Dislc W/Fx Humeral Tubrst W/Mnpj-Pbb,6143.0,6143.0,,,0 HCPCS,23665,Treat dislocation/fracture,,,1723.15,5007.0,4 HCPCS,23670,Treat dislocation/fracture,,,7775.89,24760.0,4 HCPCS,23675,Hc Treat Dislocation/Fracture,4907.0,4907.0,,,0 HCPCS,23675,Treat dislocation/fracture,,,1723.15,3399.0,4 HCPCS,23680,Treat dislocation/fracture,,,13758.17,24760.0,4 HCPCS,23700,Fixation of shoulder,,,1723.15,7272.0,4 HCPCS,23800,Fusion of shoulder joint,,,7775.89,24760.0,4 HCPCS,23802,Fusion of shoulder joint,,,13758.17,24760.0,4 HCPCS,23900,Amputation of arm & girdle,,,13758.17,24760.0,4 HCPCS,23920,Amputation at shoulder joint,,,13758.17,24760.0,4 HCPCS,23921,Amputation follow-up surgery,,,2211.05,7272.0,4 HCPCS,23929,Shoulder surgery procedure,,,264.33,3399.0,4 HCPCS,23930,Drainage of arm lesion,,,3112.75,11000.0,4 HCPCS,23931,Drainage of arm bursa,,,1769.88,7272.0,4 HCPCS,23935,Drain arm/elbow bone lesion,,,3506.34,11000.0,4 HCPCS,24000,Exploratory elbow surgery,,,3506.34,14227.0,4 HCPCS,24006,Release elbow joint,,,3506.34,14227.0,4 HCPCS,24065,Biopsy arm/elbow soft tissue,,,1769.88,7272.0,4 HCPCS,24066,Biopsy arm/elbow soft tissue,,,3112.75,7272.0,4 HCPCS,24071,Exc arm/elbow les sc 3 cm/>,,,3112.75,11000.0,4 HCPCS,24071,"Hc Excision, Tumor, Soft Tissue Of Upper Arm Or Elbow Area, Subcutaneous; 3 Cm Or Greater",9314.0,9314.0,,,0 HCPCS,24071,"Hc Excision, Tumor, Soft Tissue Of Upper Arm Or Elbow Area, Subcutaneous; 3 Cm Or Greater-Pbb",10486.0,10486.0,,,0 HCPCS,24071,Pr Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3Cm/>-Pbb,2344.0,2344.0,,,0 HCPCS,24073,Ex arm/elbow tum deep 5 cm/>,,,3112.75,11000.0,4 HCPCS,24073,"Hc Excision, Tumorw, Soft Tissue Of Upper Arm Or Elbow Area, Subfascial, 5 Cm Or Greater",6947.0,6947.0,,,0 HCPCS,24073,"Hc Excision, Tumorw, Soft Tissue Of Upper Arm Or Elbow Area, Subfascial, 5 Cm Or Greater-Pbb",8478.5,8478.5,,,0 HCPCS,24073,Pr Exc Tumor Soft Tiss Upper Arm/Elbw Subfasc 5Cm/>-Pbb,3063.0,3063.0,,,0 HCPCS,24075,Exc arm/elbow les sc < 3 cm,,,1769.88,7272.0,4 HCPCS,24075,"Hc Exicision, Tumor, Soft Tissue Of Upper Arm Or Elbow Area, Subcutaneous; Less Than 3 Cm",5795.0,5795.0,,,0 HCPCS,24075,"Hc Exicision, Tumor, Soft Tissue Of Upper Arm Or Elbow Area, Subcutaneous; Less Than 3 Cm-Pbb",8163.5,8163.5,,,0 HCPCS,24075,Pr Exc Tumor Soft Tiss Upper Arm/Elbow Subq <3Cm-Pbb,4738.0,4738.0,,,0 HCPCS,24076,Ex arm/elbow tum deep < 5 cm,,,3112.75,7272.0,4 HCPCS,24077,Resect arm/elbow tum < 5 cm,,,3112.75,7272.0,4 HCPCS,24079,Resect arm/elbow tum 5 cm/>,,,3112.75,11000.0,4 HCPCS,24100,Biopsy elbow joint lining,,,3506.34,11000.0,4 HCPCS,24101,Explore/treat elbow joint,,,3506.34,14227.0,4 HCPCS,24102,Remove elbow joint lining,,,3506.34,14227.0,4 HCPCS,24105,Hc Excision Olecranon Bursa-Pbb,12298.5,12298.5,,,0 HCPCS,24105,Pr Excision Olecranon Bursa-Pbb,3625.0,3625.0,,,0 HCPCS,24105,Removal of elbow bursa,,,3506.34,11000.0,4 HCPCS,24110,Remove humerus lesion,,,3506.34,11000.0,4 HCPCS,24115,Remove/graft bone lesion,,,7775.89,14227.0,4 HCPCS,24116,Remove/graft bone lesion,,,7775.89,14227.0,4 HCPCS,24120,Remove elbow lesion,,,3506.34,11000.0,4 HCPCS,24125,Remove/graft bone lesion,,,3506.34,14227.0,4 HCPCS,24126,Remove/graft bone lesion,,,7775.89,14227.0,4 HCPCS,24130,Removal of head of radius,,,3506.34,14227.0,4 HCPCS,24134,Removal of arm bone lesion,,,7775.89,14227.0,4 HCPCS,24136,Remove radius bone lesion,,,3506.34,14227.0,4 HCPCS,24138,Remove elbow bone lesion,,,7775.89,14227.0,4 HCPCS,24140,Partial removal of arm bone,,,3506.34,14227.0,4 HCPCS,24145,Partial removal of radius,,,7775.89,14227.0,4 HCPCS,24147,Partial removal of elbow,,,3506.34,14227.0,4 HCPCS,24149,Radical resection of elbow,,,7775.89,14227.0,4 HCPCS,24150,Resect distal humerus tumor,,,7775.89,22280.0,4 HCPCS,24152,Resect radius tumor,,,7775.89,22280.0,4 HCPCS,24155,Removal of elbow joint,,,3506.34,14227.0,4 HCPCS,24160,Remove elbow joint implant,,,3506.34,14227.0,4 HCPCS,24164,Remove radius head implant,,,3506.34,14227.0,4 HCPCS,24200,Removal of arm foreign body,,,1769.88,5007.0,4 HCPCS,24201,Removal of arm foreign body,,,3112.75,7272.0,4 HCPCS,24220,Hc Injection Procedure For Elbow Arthography,700.0,700.0,,,0 HCPCS,24220,Injection for elbow x-ray,,,3399.0,3399.0,1 HCPCS,24300,Manipulate elbow w/anesth,,,1723.15,7272.0,4 HCPCS,24301,Muscle/tendon transfer,,,7775.89,14227.0,4 HCPCS,24305,Arm tendon lengthening,,,3506.34,14227.0,4 HCPCS,24310,Revision of arm tendon,,,3506.34,11000.0,4 HCPCS,24320,Repair of arm tendon,,,7775.89,14227.0,4 HCPCS,24330,Revision of arm muscles,,,7775.89,24760.0,4 HCPCS,24331,Revision of arm muscles,,,7775.89,22280.0,4 HCPCS,24332,Tenolysis triceps,,,3506.34,14227.0,4 HCPCS,24340,Repair of biceps tendon,,,7775.89,22280.0,4 HCPCS,24341,Repair arm tendon/muscle,,,7775.89,22280.0,4 HCPCS,24342,Repair of ruptured tendon,,,7775.89,22280.0,4 HCPCS,24343,Repr elbow lat ligmnt w/tiss,,,3506.34,14227.0,4 HCPCS,24344,Reconstruct elbow lat ligmnt,,,7775.89,22280.0,4 HCPCS,24345,Repr elbw med ligmnt w/tissu,,,7775.89,14227.0,4 HCPCS,24346,Reconstruct elbow med ligmnt,,,13758.17,22280.0,4 HCPCS,24357,"Hc Tenotomy, Elbow, Lateral Or Medial; Percutaneous",9891.0,9891.0,,,0 HCPCS,24357,"Hc Tenotomy, Elbow, Lateral Or Medial; Percutaneous-Pbb",11980.0,11980.0,,,0 HCPCS,24357,Pr Tenotomy Elbow Lateral/Medial Percutaneous-Pbb,4178.0,4178.0,,,0 HCPCS,24357,Repair elbow perc,,,3506.34,11000.0,4 HCPCS,24358,Repair elbow w/deb open,,,3506.34,14227.0,4 HCPCS,24359,Repair elbow deb/attch open,,,3506.34,14227.0,4 HCPCS,24360,Reconstruct elbow joint,,,7775.89,22280.0,4 HCPCS,24361,Reconstruct elbow joint,,,18789.56,36418.0,4 HCPCS,24362,Reconstruct elbow joint,,,13758.17,22280.0,4 HCPCS,24363,Replace elbow joint,,,18789.56,36418.0,4 HCPCS,24365,Reconstruct head of radius,,,13758.17,22280.0,4 HCPCS,24366,Reconstruct head of radius,,,13758.17,36418.0,4 HCPCS,24370,Revise reconst elbow joint,,,13758.17,36418.0,4 HCPCS,24371,Revise reconst elbow joint,,,18789.56,36418.0,4 HCPCS,24400,Revision of humerus,,,7775.89,22280.0,4 HCPCS,24410,Revision of humerus,,,13758.17,22280.0,4 HCPCS,24420,Revision of humerus,,,7775.89,22280.0,4 HCPCS,24430,Repair of humerus,,,13758.17,24760.0,4 HCPCS,24435,Repair humerus with graft,,,13758.17,24760.0,4 HCPCS,24470,Revision of elbow joint,,,3506.34,22280.0,4 HCPCS,24495,Decompression of forearm,,,7775.89,14227.0,4 HCPCS,24498,Reinforce humerus,,,13758.17,24760.0,4 HCPCS,24500,Hc Closed Treatment Of Humeral Shaft Fracture; Without Manipulation,743.0,743.0,,,0 HCPCS,24500,Hc Closed Treatment Of Humeral Shaft Fracture; Without Manipulation-Pbb,2632.5,2632.5,,,0 HCPCS,24500,Pr Clsd Tx Humeral Shaft Fracture W/O Manipulation-Pbb,3779.0,3779.0,,,0 HCPCS,24500,Treat humerus fracture,,,264.33,3399.0,4 HCPCS,24505,Hc Closed Tx Humeral Shaft Fracture W/Manipulation W/W/O Traction,5363.0,5363.0,,,0 HCPCS,24505,Treat humerus fracture,,,1723.15,3399.0,4 HCPCS,24515,Treat humerus fracture,,,13758.17,24760.0,4 HCPCS,24516,Treat humerus fracture,,,13758.17,24760.0,4 HCPCS,24530,"Hc Clsd Trtmnt Of Supracondylar/Trasncondular Femoral Fract W/Or W/Out Intercondylar Ext,W/O Manip",1202.0,1202.0,,,0 HCPCS,24530,"Hc Clsd Trtmnt Of Supracondylar/Trasncondular Femoral Fract W/Or W/Out Intercondylar Ext,W/O Manip-P",3147.5,3147.5,,,0 HCPCS,24530,Pr Cltx Sprcndylr/Transcndylr Humeral Fx W/Wo Manj-Pbb,3890.0,3890.0,,,0 HCPCS,24530,Treat humerus fracture,,,264.33,3399.0,4 HCPCS,24535,"Hc Cl Tx Spracndylr Or Trnscondylr Hum Fx, W Or Wo Intrcndyla Ex;W Manip,W Or Wo Skn Or Skltl Trtn",2244.0,2244.0,,,0 HCPCS,24535,"Hc Cl Tx Spracndylr Or Trnscondylr Hum Fx, W Or Wo Intrcndyla Ex;W Manip,W Or Wo Skn Or Skltl Trtn-P",6028.0,6028.0,,,0 HCPCS,24535,Pr Cltx Sprcndylr/Transcndylr Humeral Fx W/Manj-Pbb,7568.0,7568.0,,,0 HCPCS,24535,Treat humerus fracture,,,1723.15,3399.0,4 HCPCS,24538,Treat humerus fracture,,,7775.89,11275.05,4 HCPCS,24545,Treat humerus fracture,,,13758.17,24760.0,4 HCPCS,24546,Treat humerus fracture,,,13758.17,24760.0,4 HCPCS,24560,"Hc Closed Treatment Of Humeral Epicondylar Fracture, Medial Or Lateral; Without Manipulation",809.0,809.0,,,0 HCPCS,24560,"Hc Closed Treatment Of Humeral Epicondylar Fracture, Medial Or Lateral; Without Manipulation-Pbb",2702.5,2702.5,,,0 HCPCS,24560,Pr Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj-Pbb,3787.0,3787.0,,,0 HCPCS,24560,Treat humerus fracture,,,264.33,3399.0,4 HCPCS,24565,"Hc Closed Treatment Of Humeral Epicondylar Fracture, Medial Or Lateral; With Manipulation",6058.0,6058.0,,,0 HCPCS,24565,Treat humerus fracture,,,1723.15,3399.0,4 HCPCS,24566,Treat humerus fracture,,,1723.15,11000.0,4 HCPCS,24575,Treat humerus fracture,,,13758.17,24760.0,4 HCPCS,24576,"Hc Closed Treatment Of Humeral Condylar Fracture, Medial Or Lateral; Without Manipulation",1046.0,1046.0,,,0 HCPCS,24576,"Hc Closed Treatment Of Humeral Condylar Fracture, Medial Or Lateral; Without Manipulation-Pbb",2614.5,2614.5,,,0 HCPCS,24576,Pr Cltx Humeral Condylar Fx Medial/Lat W/O Manj-Pbb,3137.0,3137.0,,,0 HCPCS,24576,Treat humerus fracture,,,264.33,3399.0,4 HCPCS,24577,Treat humerus fracture,,,1723.15,3399.0,4 HCPCS,24579,Treat humerus fracture,,,13758.17,24760.0,4 HCPCS,24582,Treat humerus fracture,,,7775.89,11275.05,4 HCPCS,24586,Treat elbow fracture,,,13758.17,24760.0,4 HCPCS,24587,Treat elbow fracture,,,13758.17,24760.0,4 HCPCS,24600,Hc Treatment Of Closed Elbow Dislocation; Without Anesthesia,2419.0,2419.0,,,0 HCPCS,24600,Hc Treatment Of Closed Elbow Dislocation; Without Anesthesia-Pbb,4149.5,4149.5,,,0 HCPCS,24600,Pr Treatment Closed Elbow Dislocation W/O Anes-Pbb,3461.0,3461.0,,,0 HCPCS,24600,Treat elbow dislocation,,,264.33,3399.0,4 HCPCS,24605,Hc Treatment Of Closed Elbow Dislocation; Requiring Anesthesia,5844.0,5844.0,,,0 HCPCS,24605,Treat elbow dislocation,,,1723.15,7272.0,4 HCPCS,24615,Treat elbow dislocation,,,7775.89,24760.0,4 HCPCS,24620,Hc Clsd Tx Monteggia Elb Fx W/Manip,5611.0,5611.0,,,0 HCPCS,24620,Hc Clsd Tx Monteggia Elb Fx W/Manip-Pbb,8467.0,8467.0,,,0 HCPCS,24620,Pr Closed Tx Monteggia Fx Dislocation Elbow W/Manj-Pbb,5712.0,5712.0,,,0 HCPCS,24620,Treat elbow fracture,,,1723.15,7272.0,4 HCPCS,24635,Treat elbow fracture,,,7775.89,24760.0,4 HCPCS,24640,"Hc Closed Treatment Of Radial Head Subluxation In Child, Nursemaid Elbow, With Manipulation",834.0,834.0,,,0 HCPCS,24640,"Hc Closed Treatment Of Radial Head Subluxation In Child, Nursemaid Elbow, With Manipulation-Pbb",1537.0,1537.0,,,0 HCPCS,24640,Pr Cltx Rdl Head Sublxtj Chld Nursemaid Elbw W/Manj-Pbb,1406.0,1406.0,,,0 HCPCS,24640,Treat elbow dislocation,,,264.33,3399.0,4 HCPCS,24650,Hc Closed Treatment Of Radial Head Or Neck Fracture; Without Manipulation,834.0,834.0,,,0 HCPCS,24650,Hc Closed Treatment Of Radial Head Or Neck Fracture; Without Manipulation-Pbb,2318.5,2318.5,,,0 HCPCS,24650,Pr Closed Tx Radial Head/Neck Fx W/O Manipulation-Pbb,2969.0,2969.0,,,0 HCPCS,24650,Treat radius fracture,,,264.33,3399.0,4 HCPCS,24655,Hc Closed Tx Radial Hd/Neck Fx; W Manip,5063.0,5063.0,,,0 HCPCS,24655,Hc Closed Tx Radial Hd/Neck Fx; W Manip-Pbb,7279.5,7279.5,,,0 HCPCS,24655,Pr Closed Tx Radial Head/Neck Fx W/Manipulation-Pbb,4433.0,4433.0,,,0 HCPCS,24655,Treat radius fracture,,,1723.15,3399.0,4 HCPCS,24665,Treat radius fracture,,,7775.89,24760.0,4 HCPCS,24666,Treat radius fracture,,,13758.17,24760.0,4 HCPCS,24670,"Hc Closed Treatment Of Ulnar Fracture, Proximal End",1915.0,1915.0,,,0 HCPCS,24670,"Hc Closed Treatment Of Ulnar Fracture, Proximal End-Pbb",3752.5,3752.5,,,0 HCPCS,24670,Pr Closed Tx Ulnar Fracture Proximal End W/O Manj-Pbb,3674.0,3674.0,,,0 HCPCS,24670,Treat ulnar fracture,,,264.33,3399.0,4 HCPCS,24675,Hc Closed Tx Ulnar Fracture Proximal End W/Manj,4594.0,4594.0,,,0 HCPCS,24675,Treat ulnar fracture,,,1723.15,3399.0,4 HCPCS,24685,Treat ulnar fracture,,,7775.89,24760.0,4 HCPCS,24800,Fusion of elbow joint,,,7775.89,22280.0,4 HCPCS,24802,Fusion/graft of elbow joint,,,13758.17,24760.0,4 HCPCS,24900,Amputation of upper arm,,,13758.17,24760.0,4 HCPCS,24920,Amputation of upper arm,,,13758.17,24760.0,4 HCPCS,24925,Amputation follow-up surgery,,,3506.34,11000.0,4 HCPCS,24930,Amputation follow-up surgery,,,7775.89,24760.0,4 HCPCS,24931,Amputate upper arm & implant,,,13758.17,24760.0,4 HCPCS,24935,Revision of amputation,,,7775.89,24760.0,4 HCPCS,24940,Revision of upper arm,,,13758.17,24760.0,4 HCPCS,24999,Upper arm/elbow surgery,,,264.33,3399.0,4 HCPCS,25000,"Hc Incision, Extensor Tendon Sheath, Wrist-Pbb",9753.5,9753.5,,,0 HCPCS,25000,Incision of tendon sheath,,,1723.15,11000.0,4 HCPCS,25000,Pr Incision Extensor Tendon Sheath Wrist-Pbb,3461.0,3461.0,,,0 HCPCS,25001,Incise flexor carpi radialis,,,3506.34,11000.0,4 HCPCS,25020,Decompress forearm 1 space,,,1723.15,14227.0,4 HCPCS,25020,Hc Decompress Frarm/Wrist; 1 Compartm,5009.0,5009.0,,,0 HCPCS,25023,Decompress forearm 1 space,,,3506.34,14227.0,4 HCPCS,25024,Decompress forearm 2 spaces,,,3506.34,14227.0,4 HCPCS,25025,Decompress forearm 2 spaces,,,1723.15,11000.0,4 HCPCS,25028,Drainage of forearm lesion,,,3506.34,11000.0,4 HCPCS,25031,Drainage of forearm bursa,,,1723.15,11000.0,4 HCPCS,25035,Treat forearm bone lesion,,,7775.89,11275.05,4 HCPCS,25040,Explore/treat wrist joint,,,3506.34,14227.0,4 HCPCS,25065,Biopsy forearm soft tissues,,,1769.88,5007.0,4 HCPCS,25066,Biopsy forearm soft tissues,,,3112.75,11000.0,4 HCPCS,25071,Exc forearm les sc 3 cm/>,,,1769.88,11000.0,4 HCPCS,25071,Hc Exc Tumor Soft Tiss Forearm And/Wrist Subq 3Cm/>,4499.0,4499.0,,,0 HCPCS,25071,Hc Exc Tumor Soft Tiss Forearm And/Wrist Subq 3Cm/>-Pbb,6486.5,6486.5,,,0 HCPCS,25071,Pr Exc Tumor Soft Tiss Forearm And/Wrist Subq 3Cm/>-Pbb,3976.0,3976.0,,,0 HCPCS,25073,Exc forearm tum deep 3 cm/>,,,3112.75,11000.0,4 HCPCS,25073,Hc Exc Forearm & Wrist Tum Deep 3 Cm/>-Pbb,12304.0,12304.0,,,0 HCPCS,25073,Pr Exc Tumor Sft Tiss Forearm&/Wrist Subfasc 3Cm/>-Pbb,5596.0,5596.0,,,0 HCPCS,25075,Exc forearm les sc < 3 cm,,,1769.88,7272.0,4 HCPCS,25075,"Hc Excision, Tumor, Forearm &/Or Wrist Area; Subq-Pbb",7050.0,7050.0,,,0 HCPCS,25075,Pr Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm-Pbb,3322.0,3322.0,,,0 HCPCS,25076,Exc forearm tum deep < 3 cm,,,1769.88,7272.0,4 HCPCS,25077,Resect forearm/wrist tum<3cm,,,3112.75,7272.0,4 HCPCS,25078,Resect forarm/wrist tum 3cm>,,,3112.75,11000.0,4 HCPCS,25085,Incision of wrist capsule,,,3506.34,11000.0,4 HCPCS,25100,Biopsy of wrist joint,,,3506.34,11000.0,4 HCPCS,25101,Explore/treat wrist joint,,,3506.34,14227.0,4 HCPCS,25105,Remove wrist joint lining,,,3506.34,14227.0,4 HCPCS,25107,Remove wrist joint cartilage,,,3506.34,14227.0,4 HCPCS,25109,Excise tendon forearm/wrist,,,3506.34,11000.0,4 HCPCS,25110,Remove wrist tendon lesion,,,1723.15,11000.0,4 HCPCS,25111,"Hc Excision, Ganglion, Wrist (Dorsal/Volar); Primary-Pbb",6902.0,6902.0,,,0 HCPCS,25111,Pr Excision Ganglion Wrist Dorsal/Volar Primary-Pbb,3304.0,3304.0,,,0 HCPCS,25111,Remove wrist tendon lesion,,,1723.15,11000.0,4 HCPCS,25112,Reremove wrist tendon lesion,,,1723.15,11000.0,4 HCPCS,25115,Remove wrist/forearm lesion,,,1723.15,11000.0,4 HCPCS,25116,Remove wrist/forearm lesion,,,3506.34,11000.0,4 HCPCS,25118,Excise wrist tendon sheath,,,1723.15,11000.0,4 HCPCS,25118,"Hc Synovectomy, Extensor Tendon Sheath, Wrist, Single Compartment;-Pbb",7030.0,7030.0,,,0 HCPCS,25118,Pr Synovectomy Extensor Tendon Shth Wrist 1 Cmprt-Pbb,3936.0,3936.0,,,0 HCPCS,25119,Partial removal of ulna,,,3506.34,14227.0,4 HCPCS,25120,Removal of forearm lesion,,,3506.34,14227.0,4 HCPCS,25125,Remove/graft forearm lesion,,,1723.15,11000.0,4 HCPCS,25126,Remove/graft forearm lesion,,,3506.34,14227.0,4 HCPCS,25130,Removal of wrist lesion,,,3506.34,14227.0,4 HCPCS,25135,Remove & graft wrist lesion,,,7775.89,14227.0,4 HCPCS,25136,Remove & graft wrist lesion,,,7775.89,14227.0,4 HCPCS,25145,Remove forearm bone lesion,,,3506.34,14227.0,4 HCPCS,25150,Partial removal of ulna,,,3506.34,14227.0,4 HCPCS,25151,Partial removal of radius,,,3506.34,14227.0,4 HCPCS,25170,Resect radius/ulnar tumor,,,7775.89,14227.0,4 HCPCS,25210,Removal of wrist bone,,,3506.34,14227.0,4 HCPCS,25215,Removal of wrist bones,,,3506.34,14227.0,4 HCPCS,25230,Partial removal of radius,,,3506.34,14227.0,4 HCPCS,25240,Partial removal of ulna,,,3506.34,14227.0,4 HCPCS,25246,Hc Injection Procedure For Wrist Arthography,1111.0,1111.0,,,0 HCPCS,25246,Injection for wrist x-ray,,,3399.0,3399.0,1 HCPCS,25248,Remove forearm foreign body,,,1723.15,11000.0,4 HCPCS,25250,Removal of wrist prosthesis,,,1723.15,7272.0,4 HCPCS,25251,Removal of wrist prosthesis,,,3506.34,14227.0,4 HCPCS,25259,Manipulate wrist w/anesthes,,,1723.15,7272.0,4 HCPCS,25260,"Hc Repair, Tendon Or Muscle, Flexor, Forearm &/Or Wrist; Primary, Single, Each Tendon Or Muscle",10082.0,10082.0,,,0 HCPCS,25260,Repair forearm tendon/muscle,,,3506.34,14227.0,4 HCPCS,25263,Repair forearm tendon/muscle,,,7775.89,14227.0,4 HCPCS,25265,Repair forearm tendon/muscle,,,3506.34,14227.0,4 HCPCS,25270,Repair forearm tendon/muscle,,,3506.34,14227.0,4 HCPCS,25272,Repair forearm tendon/muscle,,,3506.34,14227.0,4 HCPCS,25274,Repair forearm tendon/muscle,,,3506.34,14227.0,4 HCPCS,25275,Repair forearm tendon sheath,,,3506.34,14227.0,4 HCPCS,25280,Revise wrist/forearm tendon,,,3506.34,14227.0,4 HCPCS,25290,Incise wrist/forearm tendon,,,3506.34,14227.0,4 HCPCS,25295,"Hc Tenolysis, Flexor/Extensor Tendon, Forearm &/Or Wrist, Each Tendon-Pbb",17299.0,17299.0,,,0 HCPCS,25295,Pr Tnols Flxr/Xtnsr Tendon Forearm&/Wrist 1 Ea-Pbb,5436.0,5436.0,,,0 HCPCS,25295,Release wrist/forearm tendon,,,3506.34,11000.0,4 HCPCS,25300,Fusion of tendons at wrist,,,3506.34,14227.0,4 HCPCS,25301,Fusion of tendons at wrist,,,3506.34,14227.0,4 HCPCS,25310,Transplant forearm tendon,,,3506.34,14227.0,4 HCPCS,25312,Transplant forearm tendon,,,3506.34,22280.0,4 HCPCS,25315,Revise palsy hand tendon(s),,,7775.89,14227.0,4 HCPCS,25316,Revise palsy hand tendon(s),,,7775.89,24760.0,4 HCPCS,25320,Repair/revise wrist joint,,,7775.89,22280.0,4 HCPCS,25332,Revise wrist joint,,,3506.34,22280.0,4 HCPCS,25335,Realignment of hand,,,3506.34,22280.0,4 HCPCS,25337,Reconstruct ulna/radioulnar,,,7775.89,22280.0,4 HCPCS,25350,Revision of radius,,,7775.89,22280.0,4 HCPCS,25355,Revision of radius,,,3506.34,22280.0,4 HCPCS,25360,Revision of ulna,,,7775.89,22280.0,4 HCPCS,25365,Revise radius & ulna,,,13758.17,22280.0,4 HCPCS,25370,Revise radius or ulna,,,3506.34,22280.0,4 HCPCS,25375,Revise radius & ulna,,,3506.34,22280.0,4 HCPCS,25390,Shorten radius or ulna,,,7775.89,22280.0,4 HCPCS,25391,Lengthen radius or ulna,,,13758.17,22280.0,4 HCPCS,25392,Shorten radius & ulna,,,7775.89,14227.0,4 HCPCS,25393,Lengthen radius & ulna,,,7775.89,22280.0,4 HCPCS,25394,Repair carpal bone shorten,,,3506.34,22280.0,4 HCPCS,25400,Repair radius or ulna,,,7775.89,22280.0,4 HCPCS,25405,Repair/graft radius or ulna,,,7775.89,24760.0,4 HCPCS,25415,Repair radius & ulna,,,7775.89,24760.0,4 HCPCS,25420,Repair/graft radius & ulna,,,7775.89,24760.0,4 HCPCS,25425,Repair/graft radius or ulna,,,7775.89,22280.0,4 HCPCS,25426,Repair/graft radius & ulna,,,3506.34,22280.0,4 HCPCS,25430,Vasc graft into carpal bone,,,3506.34,22280.0,4 HCPCS,25431,Repair nonunion carpal bone,,,7775.89,22280.0,4 HCPCS,25440,Repair/graft wrist bone,,,7775.89,22280.0,4 HCPCS,25441,Reconstruct wrist joint,,,13758.17,36418.0,4 HCPCS,25442,Reconstruct wrist joint,,,18789.56,36418.0,4 HCPCS,25443,Reconstruct wrist joint,,,7775.89,22280.0,4 HCPCS,25444,Reconstruct wrist joint,,,13758.17,24760.0,4 HCPCS,25445,Reconstruct wrist joint,,,7775.89,22280.0,4 HCPCS,25446,Wrist replacement,,,18789.56,36418.0,4 HCPCS,25447,Repair wrist joints,,,3506.34,22280.0,4 HCPCS,25448,Arthrp ntrcrpl/crp/mtcrp ssp,,,3506.34,5084.19,3 HCPCS,25449,Remove wrist joint implant,,,7775.89,22280.0,4 HCPCS,25450,Revision of wrist joint,,,3506.34,22280.0,4 HCPCS,25455,Revision of wrist joint,,,3506.34,22280.0,4 HCPCS,25490,Reinforce radius,,,7775.89,22280.0,4 HCPCS,25491,Reinforce ulna,,,13758.17,22280.0,4 HCPCS,25492,Reinforce radius and ulna,,,3506.34,22280.0,4 HCPCS,25500,"Hc Closed Treatment Of Radial Shaft Fracture, Without Manipulation",1775.0,1775.0,,,0 HCPCS,25500,"Hc Closed Treatment Of Radial Shaft Fracture, Without Manipulation-Pbb",3202.5,3202.5,,,0 HCPCS,25500,Pr Closed Tx Radial Shaft Fracture W/O Manipulation-Pbb,2855.0,2855.0,,,0 HCPCS,25500,Treat fracture of radius,,,264.33,3399.0,4 HCPCS,25505,Hc Closed Treatment Of Radial Shaft Fracure; With Manipulation,2464.0,2464.0,,,0 HCPCS,25505,Hc Closed Treatment Of Radial Shaft Fracure; With Manipulation-Pbb,5236.5,5236.5,,,0 HCPCS,25505,Pr Closed Tx Radial Shaft Fracture W/Manipulation-Pbb,5545.0,5545.0,,,0 HCPCS,25505,Treat fracture of radius,,,1723.15,5007.0,4 HCPCS,25515,Treat fracture of radius,,,7775.89,24760.0,4 HCPCS,25520,Hc Closed Treatmnt Of Radial Shaft Fx And Closed Treatmnt Of Discloation Of Distal Radioulnar Joint,1707.0,1707.0,,,0 HCPCS,25520,Hc Closed Treatmnt Of Radial Shaft Fx And Closed Treatmnt Of Discloation Of Distal Radioulnar Joint-,4143.5,4143.5,,,0 HCPCS,25520,Pr Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt-Pbb,4873.0,4873.0,,,0 HCPCS,25520,Treat fracture of radius,,,1723.15,3399.0,4 HCPCS,25525,Treat fracture of radius,,,7775.89,24760.0,4 HCPCS,25526,Treat fracture of radius,,,7775.89,24760.0,4 HCPCS,25530,Hc Closed Treatment Of Ulnar Shaft Fracture; Without Manipulation,1715.0,1715.0,,,0 HCPCS,25530,Hc Closed Treatment Of Ulnar Shaft Fracture; Without Manipulation-Pbb,3142.5,3142.5,,,0 HCPCS,25530,Pr Closed Tx Ulnar Shaft Fracture W/O Manipulation-Pbb,2855.0,2855.0,,,0 HCPCS,25530,Treat fracture of ulna,,,264.33,3399.0,4 HCPCS,25535,"Hc Closed Treatment Of Ulnar Shaft Fracture, With Manipulation",3229.0,3229.0,,,0 HCPCS,25535,Treat fracture of ulna,,,264.33,3399.0,4 HCPCS,25545,Treat fracture of ulna,,,7775.89,24760.0,4 HCPCS,25560,Hc Closed Treatment Of Radial And Ulnar Fractures; Without Manipulation,1832.0,1832.0,,,0 HCPCS,25560,Hc Closed Treatment Of Radial And Ulnar Fractures; Without Manipulation-Pbb,3391.5,3391.5,,,0 HCPCS,25560,NDC Description Not Available,117.985,117.985,,,0 HCPCS,25560,Pr Closed Tx Radial&Ulnar Shaft Fractures W/O Mnpj-Pbb,3119.0,3119.0,,,0 HCPCS,25560,Sodium Bicarbonate: 1 Syringe In 1 Carton (76329-3352-1) / 50 Ml In 1 Syringe,121.77,121.77,,,0 HCPCS,25560,Sodium Bicarbonate: 10 Carton In 1 Package (0409-6637-14) / 1 Syringe In 1 Carton / 50 Ml In 1 Syringe (0409-6637-24),132.88,132.88,,,0 HCPCS,25560,Treat fracture radius & ulna,,,264.33,3399.0,4 HCPCS,25565,"Hc Closed Treatment Of Radial And Ulnar Shaft Fractures, With Manipulation",3446.0,3446.0,,,0 HCPCS,25565,"Hc Closed Treatment Of Radial And Ulnar Shaft Fractures, With Manipulation-Pbb",6564.0,6564.0,,,0 HCPCS,25565,Pr Closed Tx Radial&Ulnar Shaft Fractures W/Mnpj-Pbb,6235.0,6235.0,,,0 HCPCS,25565,Treat fracture radius & ulna,,,1723.15,3399.0,4 HCPCS,25574,Treat fracture radius & ulna,,,7775.89,24760.0,4 HCPCS,25575,Treat fracture radius/ulna,,,7775.89,24760.0,4 HCPCS,25600,"Hc Closed Tx Of Dist Rad Fx Or Epiphyseal Sep, Includes Closed Tx Of Fx Of Ulnar Styloid; Wo Manip",2150.0,2150.0,,,0 HCPCS,25600,"Hc Closed Tx Of Dist Rad Fx Or Epiphyseal Sep, Includes Closed Tx Of Fx Of Ulnar Styloid; Wo Manip-P",3794.0,3794.0,,,0 HCPCS,25600,Pr Cltx Dstl Radial Fx/Epiphysl Sep W/O Mnpj-Pbb,3288.0,3288.0,,,0 HCPCS,25600,Treat fracture radius/ulna,,,264.33,3399.0,4 HCPCS,25605,"Hc Closed Tx Of Dist Rad Fx Or Epiphyseal Sep, Includes Closed Tx Of Fx Of Ulnar Styloid; W Manip",3625.0,3625.0,,,0 HCPCS,25605,"Hc Closed Tx Of Dist Rad Fx Or Epiphyseal Sep, Includes Closed Tx Of Fx Of Ulnar Styloid; W Manip-Pb",6655.5,6655.5,,,0 HCPCS,25605,Pr Cltx Dstl Rdl Fx/Epiphysl Sep W/Mnpj-Pbb,6061.0,6061.0,,,0 HCPCS,25605,Treat fracture radius/ulna,,,1723.15,5007.0,4 HCPCS,25606,Treat Fx Distal Radial,,,3506.34,11000.0,4 HCPCS,25607,Treat Fx Rad Extra-Articul,,,7775.89,24760.0,4 HCPCS,25608,Treat Fx Rad Intra-Articul,,,7775.89,24760.0,4 HCPCS,25609,Treat Fx Radial 3+ Frag,,,7775.89,24760.0,4 HCPCS,25622,Hc Closed Treatment Of Carpal Scaphoid Fracture; Without Manipulation,1999.0,1999.0,,,0 HCPCS,25622,Hc Closed Treatment Of Carpal Scaphoid Fracture; Without Manipulation-Pbb,3729.5,3729.5,,,0 HCPCS,25622,Pr Closed Tx Carpal Scaphoid Fracture W/O Mnpj-Pbb,3461.0,3461.0,,,0 HCPCS,25622,Treat wrist bone fracture,,,264.33,3399.0,4 HCPCS,25624,Treat wrist bone fracture,,,1723.15,5007.0,4 HCPCS,25628,Treat wrist bone fracture,,,7775.89,24760.0,4 HCPCS,25630,"Hc Closed Treatment Of Carpal Bone Fracture; Without Manipulation, Each Bone",803.0,803.0,,,0 HCPCS,25630,"Hc Closed Treatment Of Carpal Bone Fracture; Without Manipulation, Each Bone-Pbb",2362.5,2362.5,,,0 HCPCS,25630,Pr Cltx Carpal Bone Fx W/O Mnpj Each Bone-Pbb,3119.0,3119.0,,,0 HCPCS,25630,Treat wrist bone fracture,,,264.33,3399.0,4 HCPCS,25635,Hc Closed Treatment Carpal Bone Fracture With Manipulation,2989.0,2989.0,,,0 HCPCS,25635,Hc Closed Treatment Carpal Bone Fracture With Manipulation-Pbb,4999.0,4999.0,,,0 HCPCS,25635,Pr Cltx Carpal Bone Fx W/Mnpj Each Bone-Pbb,4020.0,4020.0,,,0 HCPCS,25635,Treat wrist bone fracture,,,1723.15,3399.0,4 HCPCS,25645,Treat wrist bone fracture,,,3506.34,24760.0,4 HCPCS,25650,Treat wrist bone fracture,,,264.33,3399.0,4 HCPCS,25651,Pin ulnar styloid fracture,,,3506.34,11000.0,4 HCPCS,25652,Treat fracture ulnar styloid,,,7775.89,24760.0,4 HCPCS,25660,"Hc Closed Treatment Of Radiocarpal Or Intercarpal Dislocation, 1 Or More Bones, With Manipulation",1000.0,1000.0,,,0 HCPCS,25660,Treat wrist dislocation,,,264.33,3399.0,4 HCPCS,25670,Treat wrist dislocation,,,7775.89,11275.05,4 HCPCS,25671,Pin radioulnar dislocation,,,3506.34,11000.0,4 HCPCS,25675,Hc Closed Treatment Of Distal Radioulnar Disclocation With Manipulation,2916.0,2916.0,,,0 HCPCS,25675,Hc Closed Treatment Of Distal Radioulnar Disclocation With Manipulation-Pbb,5168.5,5168.5,,,0 HCPCS,25675,Pr Closed Tx Distal Radioulnar Dislocation W/Mnpj-Pbb,4505.0,4505.0,,,0 HCPCS,25675,Treat wrist dislocation,,,264.33,3399.0,4 HCPCS,25676,Treat wrist dislocation,,,7775.89,11275.05,4 HCPCS,25680,Treat wrist fracture,,,264.33,3399.0,4 HCPCS,25685,Treat wrist fracture,,,7775.89,11275.05,4 HCPCS,25690,"Hc Closed Treatment Of Lunate Dislocation, With Manipulation",6127.0,6127.0,,,0 HCPCS,25690,Treat wrist dislocation,,,1723.15,7272.0,4 HCPCS,25695,Treat wrist dislocation,,,7775.89,11275.05,4 HCPCS,25800,Fusion of wrist joint,,,7775.89,24760.0,4 HCPCS,25805,Fusion/graft of wrist joint,,,7775.89,24760.0,4 HCPCS,25810,Fusion/graft of wrist joint,,,13758.17,24760.0,4 HCPCS,25820,Fusion of hand bones,,,7775.89,22280.0,4 HCPCS,25825,Fuse hand bones with graft,,,7775.89,24760.0,4 HCPCS,25830,Fusion radioulnar jnt/ulna,,,7775.89,22280.0,4 HCPCS,25900,Amputation of forearm,,,7775.89,24760.0,4 HCPCS,25905,Amputation of forearm,,,7775.89,24760.0,4 HCPCS,25907,Amputation follow-up surgery,,,3506.34,11000.0,4 HCPCS,25909,Amputation follow-up surgery,,,7775.89,11275.05,4 HCPCS,25915,Amputation of forearm,,,7775.89,24760.0,4 HCPCS,25920,Amputate hand at wrist,,,3506.34,24760.0,4 HCPCS,25922,Amputate hand at wrist,,,1723.15,11000.0,4 HCPCS,25924,Amputation follow-up surgery,,,3506.34,24760.0,4 HCPCS,25927,Amputation of hand,,,3506.34,14227.0,4 HCPCS,25929,Amputation follow-up surgery,,,2211.05,7272.0,4 HCPCS,25931,Amputation follow-up surgery,,,3506.34,11000.0,4 HCPCS,25999,Forearm or wrist surgery,,,264.33,3399.0,4 HCPCS,26010,Drainage of finger abscess,,,215.0,3399.0,4 HCPCS,26010,Hc Drainage Of Finger Abcess; Simple,1720.0,1720.0,,,0 HCPCS,26010,Hc Drainage Of Finger Abcess; Simple-Pbb,2389.0,2389.0,,,0 HCPCS,26010,Pr Drainage Finger Abscess Simple-Pbb,1338.0,1338.0,,,0 HCPCS,26011,Drainage of finger abscess,,,1769.88,7272.0,4 HCPCS,26011,Hc Drainage Of Finger Abcess; Complicated,2425.0,2425.0,,,0 HCPCS,26020,Drain hand tendon sheath,,,3506.34,7272.0,4 HCPCS,26025,Drainage of palm bursa,,,3506.34,7272.0,4 HCPCS,26030,Drainage of palm bursas,,,3506.34,7272.0,4 HCPCS,26034,Treat hand bone lesion,,,1723.15,7272.0,4 HCPCS,26035,Decompress fingers/hand,,,3506.34,7272.0,4 HCPCS,26037,Decompress fingers/hand,,,3506.34,7272.0,4 HCPCS,26040,"Hc Fasciotomy, Palmar; Percutaneous-Pbb",7057.5,7057.5,,,0 HCPCS,26040,Pr Fasciotomy Palmar Percutaneous-Pbb,3385.0,3385.0,,,0 HCPCS,26040,Release palm contracture,,,1723.15,7272.0,4 HCPCS,26045,Release palm contracture,,,3506.34,14227.0,4 HCPCS,26055,Hc Tendon Sheath Incision-Pbb,7647.0,7647.0,,,0 HCPCS,26055,Incise finger tendon sheath,,,1723.15,7272.0,4 HCPCS,26055,Pr Tendon Sheath Incision-Pbb,3174.0,3174.0,,,0 HCPCS,26060,Incision of finger tendon,,,1723.15,7272.0,4 HCPCS,26070,Explore/treat hand joint,,,1723.15,7272.0,4 HCPCS,26075,Explore/treat finger joint,,,3506.34,7272.0,4 HCPCS,26075,"Hc Arthrotomy, Exploration/Drainage/Removal, Loose/Fb; Metacarpophalangeal Joint",9252.0,9252.0,,,0 HCPCS,26080,Explore/treat finger joint,,,1723.15,7272.0,4 HCPCS,26080,"Hc Arthrotomy, Exploration/Drainage/Removal, Loose/Fb; Ip Joint, Each",4801.0,4801.0,,,0 HCPCS,26100,Biopsy hand joint lining,,,3506.34,7272.0,4 HCPCS,26105,Biopsy finger joint lining,,,3506.34,7272.0,4 HCPCS,26110,Biopsy finger joint lining,,,1723.15,7272.0,4 HCPCS,26111,Exc hand les sc 1.5 cm/>,,,1769.88,11000.0,4 HCPCS,26113,Exc hand tum deep 1.5 cm/>,,,1769.88,11000.0,4 HCPCS,26115,Exc hand les sc < 1.5 cm,,,1769.88,7272.0,4 HCPCS,26115,"Hc Excsn, Tumor Or Vasc Malformation, Soft Tissue Of Hand Or Finger, Subcu; Less Than 1.5 Cm",5795.0,5795.0,,,0 HCPCS,26115,"Hc Excsn, Tumor Or Vasc Malformation, Soft Tissue Of Hand Or Finger, Subcu; Less Than 1.5 Cm-Pbb",8568.0,8568.0,,,0 HCPCS,26115,Pr Exc Tum/Vasc Mal Sft Tiss Hand/Fngr Subq <1.5Cm-Pbb,5546.0,5546.0,,,0 HCPCS,26116,Exc hand tum deep < 1.5 cm,,,1769.88,7272.0,4 HCPCS,26116,"Hc Excision, Tumor/Vascular Mlformtn, Hnd/Fngr; Deep, Subfascl, Im-Pbb",8240.0,8240.0,,,0 HCPCS,26116,Pr Exc Tum/Vas Mal Sft Tis Hand/Fngr Subfasc<1.5Cm-Pbb,5480.0,5480.0,,,0 HCPCS,26117,Rad resect hand tumor < 3 cm,,,3112.75,7272.0,4 HCPCS,26118,Rad resect hand tumor 3 cm/>,,,3112.75,11000.0,4 HCPCS,26121,Release palm contracture,,,3506.34,14227.0,4 HCPCS,26123,Release palm contracture,,,3506.34,14227.0,4 HCPCS,26125,Release palm contracture,,,3399.0,3399.0,1 HCPCS,26130,Remove wrist joint lining,,,3506.34,7272.0,4 HCPCS,26135,Revise finger joint each,,,3506.34,14227.0,4 HCPCS,26140,Revise finger joint each,,,1723.15,7272.0,4 HCPCS,26145,Tendon excision palm/finger,,,1723.15,7272.0,4 HCPCS,26160,"Hc Excision, Lesion, Tendon Sheath/Capsule, Hand/Finger-Pbb",7182.0,7182.0,,,0 HCPCS,26160,Pr Exc Lesion Tdn Shth/Jt Capsl Hand/Fngr-Pbb,3634.0,3634.0,,,0 HCPCS,26160,Remove tendon sheath lesion,,,1723.15,7272.0,4 HCPCS,26170,"Hc Excision, Tendon, Palm, Flexor, Single (Sep Proc), Each-Pbb",7142.0,7142.0,,,0 HCPCS,26170,Pr Excision Tendon Palm Flexor/Extensor Single Each-Pbb,4160.0,4160.0,,,0 HCPCS,26170,Removal of palm tendon each,,,1723.15,7272.0,4 HCPCS,26180,Removal of finger tendon,,,1723.15,7272.0,4 HCPCS,26185,Remove finger bone,,,1723.15,7272.0,4 HCPCS,26200,Remove hand bone lesion,,,1723.15,7272.0,4 HCPCS,26205,Remove/graft bone lesion,,,7775.89,14227.0,4 HCPCS,26210,Removal of finger lesion,,,1723.15,7272.0,4 HCPCS,26215,Remove/graft finger lesion,,,3506.34,7272.0,4 HCPCS,26230,Partial removal of hand bone,,,3506.34,7272.0,4 HCPCS,26235,"Hc Partial Excision, Bone; Proximal/Middle Phalanx, Finger",4303.0,4303.0,,,0 HCPCS,26235,Partial removal finger bone,,,1723.15,7272.0,4 HCPCS,26236,Hc Part Exc Bone; Distal Phalanx,5395.0,5395.0,,,0 HCPCS,26236,Hc Part Exc Bone; Distal Phalanx-Pbb,7588.0,7588.0,,,0 HCPCS,26236,Partial removal finger bone,,,1723.15,7272.0,4 HCPCS,26236,Pr Partial Excision Distal Phalanx Finger-Pbb,4386.0,4386.0,,,0 HCPCS,26250,Extensive hand surgery,,,3506.34,7272.0,4 HCPCS,26260,Resect prox finger tumor,,,3506.34,7272.0,4 HCPCS,26262,Resect distal finger tumor,,,1723.15,7272.0,4 HCPCS,26320,"Hc Removal, Implant, Finger/Hand-Pbb",6933.0,6933.0,,,0 HCPCS,26320,Pr Removal Implant From Finger/Hand-Pbb,3580.0,3580.0,,,0 HCPCS,26320,Removal of implant from hand,,,1769.88,7272.0,4 HCPCS,26340,Manipulate finger w/anesth,,,1723.15,3399.0,4 HCPCS,26341,"Hc Manipulation, Palmar Fascial Cord, Post Enzyme Injection, Single Cord",1765.0,1765.0,,,0 HCPCS,26341,"Hc Manipulation, Palmar Fascial Cord, Post Enzyme Injection, Single Cord-Pbb",2276.5,2276.5,,,0 HCPCS,26341,Manipulat palm cord post inj,,,264.33,3399.0,4 HCPCS,26341,Pr Maniplatn Palar Fascial Crd Post Inj Single Cord-Pbb,1022.0,1022.0,,,0 HCPCS,26350,Repair finger/hand tendon,,,3506.34,14227.0,4 HCPCS,26352,Repair/graft hand tendon,,,7775.89,14227.0,4 HCPCS,26356,"""Hc Flexor Tendon Repair/Advance, In """"""""No Man's Land""""""""; Primary, Each Tendon-Pbb""",11221.5,11221.5,,,0 HCPCS,26356,Pr Rpr/Advmnt Flxr Tdn Zone 2 W/O Fr Grft Ea Tendon-Pbb,6878.0,6878.0,,,0 HCPCS,26356,Repair finger/hand tendon,,,3506.34,14227.0,4 HCPCS,26357,Repair finger/hand tendon,,,3506.34,14227.0,4 HCPCS,26358,Repair/graft hand tendon,,,7775.89,14227.0,4 HCPCS,26370,Repair finger/hand tendon,,,3506.34,14227.0,4 HCPCS,26372,Repair/graft hand tendon,,,7775.89,14227.0,4 HCPCS,26373,Repair finger/hand tendon,,,3506.34,14227.0,4 HCPCS,26390,Revise hand/finger tendon,,,7775.89,14227.0,4 HCPCS,26392,Repair/graft hand tendon,,,7775.89,14227.0,4 HCPCS,26410,"Hc Repair, Extensor Tndn, Hnd, Prmry/Scndry; W/O Free Graft, Ea Tndn",5250.0,5250.0,,,0 HCPCS,26410,Repair hand tendon,,,1723.15,7272.0,4 HCPCS,26412,Repair/graft hand tendon,,,3506.34,14227.0,4 HCPCS,26415,Excision hand/finger tendon,,,3506.34,14227.0,4 HCPCS,26416,Graft hand or finger tendon,,,3506.34,14227.0,4 HCPCS,26418,"Hc Repair, Extensor Tendon, Finger, Primary/Secondary; W/O Free Graft, Each Tendon",4950.0,4950.0,,,0 HCPCS,26418,Repair finger tendon,,,1723.15,7272.0,4 HCPCS,26420,Repair/graft finger tendon,,,3506.34,14227.0,4 HCPCS,26426,Repair finger/hand tendon,,,3506.34,14227.0,4 HCPCS,26428,Repair/graft finger tendon,,,3506.34,14227.0,4 HCPCS,26432,Hc Closed Treatment Of Distal Extensor Tendon Insertion-Pbb,4734.0,4734.0,,,0 HCPCS,26432,Pr Cltx Dstl Xtnsr Tdn Insj W/Wo Percutan Pinning-Pbb,4982.0,4982.0,,,0 HCPCS,26432,Repair finger tendon,,,1723.15,7272.0,4 HCPCS,26433,Repair finger tendon,,,3506.34,7272.0,4 HCPCS,26434,Repair/graft finger tendon,,,3506.34,14227.0,4 HCPCS,26437,"Hc Realignment, Extensor Tendon, Hand, Each Tendon-Pbb",10185.5,10185.5,,,0 HCPCS,26437,Pr Realignment Extensor Tendon Hand Each Tendon-Pbb,4806.0,4806.0,,,0 HCPCS,26437,Realignment of tendons,,,3506.34,7272.0,4 HCPCS,26440,"Hc Tenolysis, Flexor Tendon; Palm/Finger Each Tendon-Pbb",13169.5,13169.5,,,0 HCPCS,26440,Pr Tenolysis Flexor Tendon Palm/Finger Each Tendon-Pbb,6167.0,6167.0,,,0 HCPCS,26440,Release palm/finger tendon,,,1723.15,7272.0,4 HCPCS,26442,Release palm & finger tendon,,,3506.34,14227.0,4 HCPCS,26445,"Hc Tenolysis, Extensor Tendon, Hand/Finger; Each Tendon-Pbb",13164.0,13164.0,,,0 HCPCS,26445,Pr Tenolysis Extensor Tendon Hand/Finger Each-Pbb,5688.0,5688.0,,,0 HCPCS,26445,Release hand/finger tendon,,,3506.34,7272.0,4 HCPCS,26449,Release forearm/hand tendon,,,3506.34,14227.0,4 HCPCS,26450,Incision of palm tendon,,,3506.34,7272.0,4 HCPCS,26455,Incision of finger tendon,,,1723.15,7272.0,4 HCPCS,26460,Incise hand/finger tendon,,,1723.15,7272.0,4 HCPCS,26471,Fusion of finger tendons,,,3506.34,7272.0,4 HCPCS,26474,Fusion of finger tendons,,,1723.15,7272.0,4 HCPCS,26476,Tendon lengthening,,,3506.34,7272.0,4 HCPCS,26477,Tendon shortening,,,3506.34,7272.0,4 HCPCS,26478,Lengthening of hand tendon,,,3506.34,7272.0,4 HCPCS,26479,Shortening of hand tendon,,,3506.34,7272.0,4 HCPCS,26480,Transplant hand tendon,,,3506.34,14227.0,4 HCPCS,26483,Transplant/graft hand tendon,,,3506.34,14227.0,4 HCPCS,26485,Transplant palm tendon,,,3506.34,14227.0,4 HCPCS,26489,Transplant/graft palm tendon,,,3506.34,14227.0,4 HCPCS,26490,Revise thumb tendon,,,3506.34,14227.0,4 HCPCS,26492,Tendon transfer with graft,,,3506.34,14227.0,4 HCPCS,26494,Hand tendon/muscle transfer,,,3506.34,14227.0,4 HCPCS,26496,Revise thumb tendon,,,3506.34,14227.0,4 HCPCS,26497,Finger tendon transfer,,,3506.34,14227.0,4 HCPCS,26498,Finger tendon transfer,,,3506.34,14227.0,4 HCPCS,26499,Revision of finger,,,3506.34,11000.0,4 HCPCS,26500,Hand tendon reconstruction,,,7272.0,11275.05,4 HCPCS,26502,Hand tendon reconstruction,,,3506.34,14227.0,4 HCPCS,26508,Release thumb contracture,,,3506.34,7272.0,4 HCPCS,26510,Thumb tendon transfer,,,3506.34,14227.0,4 HCPCS,26516,Fusion of knuckle joint,,,3506.34,14227.0,4 HCPCS,26517,Fusion of knuckle joints,,,3506.34,14227.0,4 HCPCS,26518,Fusion of knuckle joints,,,7775.89,14227.0,4 HCPCS,26520,Release knuckle contracture,,,3506.34,7272.0,4 HCPCS,26525,Hc Capsulectomy/Capsulotomy Iphal Joint Each-Pbb,8460.0,8460.0,,,0 HCPCS,26525,Pr Capsulectomy/Capsulotomy Iphal Joint Each-Pbb,6502.0,6502.0,,,0 HCPCS,26525,Release finger contracture,,,1723.15,7272.0,4 HCPCS,26530,Revise knuckle joint,,,7775.89,22280.0,4 HCPCS,26531,Revise knuckle with implant,,,7775.89,22280.0,4 HCPCS,26535,Revise finger joint,,,3506.34,22280.0,4 HCPCS,26536,Revise/implant finger joint,,,7775.89,22280.0,4 HCPCS,26540,Repair hand joint,,,3506.34,7272.0,4 HCPCS,26541,Repair hand joint with graft,,,3506.34,14227.0,4 HCPCS,26542,Repair hand joint with graft,,,3506.34,7272.0,4 HCPCS,26545,Reconstruct finger joint,,,3506.34,14227.0,4 HCPCS,26546,Repair nonunion hand,,,7775.89,14227.0,4 HCPCS,26548,Reconstruct finger joint,,,3506.34,14227.0,4 HCPCS,26550,Construct thumb replacement,,,3506.34,14227.0,4 HCPCS,26551,Great toe-hand transfer,,,7775.89,22280.0,4 HCPCS,26553,Single transfer toe-hand,,,7775.89,22280.0,4 HCPCS,26554,Double transfer toe-hand,,,7775.89,22280.0,4 HCPCS,26555,Positional change of finger,,,7775.89,14227.0,4 HCPCS,26556,Toe joint transfer,,,7775.89,24760.0,4 HCPCS,26560,Repair of web finger,,,1723.15,7272.0,4 HCPCS,26561,Repair of web finger,,,3506.34,14227.0,4 HCPCS,26562,Repair of web finger,,,3506.34,14227.0,4 HCPCS,26565,Correct metacarpal flaw,,,3506.34,14227.0,4 HCPCS,26567,Correct finger deformity,,,3506.34,14227.0,4 HCPCS,26568,Lengthen metacarpal/finger,,,7775.89,14227.0,4 HCPCS,26580,Repair hand deformity,,,3506.34,7272.0,4 HCPCS,26587,"Hc Reconstruction, Supernumerary Digit, Soft Tissue & Bone",8097.0,8097.0,,,0 HCPCS,26587,"Hc Reconstruction, Supernumerary Digit, Soft Tissue & Bone-Pbb",11956.5,11956.5,,,0 HCPCS,26587,Pr Rcnstj Polydactylous Digit Soft Tissue & Bone-Pbb,7720.0,7720.0,,,0 HCPCS,26587,Reconstruct extra finger,,,3506.34,7272.0,4 HCPCS,26590,Repair finger deformity,,,1723.15,7272.0,4 HCPCS,26591,Repair muscles of hand,,,3506.34,11000.0,4 HCPCS,26593,Release muscles of hand,,,3506.34,7272.0,4 HCPCS,26596,Excision constricting tissue,,,3506.34,7272.0,4 HCPCS,26600,"Hc Closed Treatment Of Metacarpal Fracture, Single; Without Manipulation, Each Bone",1930.0,1930.0,,,0 HCPCS,26600,"Hc Closed Treatment Of Metacarpal Fracture, Single; Without Manipulation, Each Bone-Pbb",3276.0,3276.0,,,0 HCPCS,26600,Pr Cltx Metacarpal Fx W/O Manipulation Each Bone-Pbb,2693.0,2693.0,,,0 HCPCS,26600,Treat metacarpal fracture,,,264.33,3399.0,4 HCPCS,26605,"Hc Closed Treatment Of Metacarpal Fracture, Single; With Manipulation, Each Bone",2114.0,2114.0,,,0 HCPCS,26605,"Hc Closed Treatment Of Metacarpal Fracture, Single; With Manipulation, Each Bone-Pbb",3865.0,3865.0,,,0 HCPCS,26605,Pr Cltx Metacarpal Fx W/Manipulation Each Bone-Pbb,3502.0,3502.0,,,0 HCPCS,26605,Treat metacarpal fracture,,,264.33,3399.0,4 HCPCS,26607,Treat metacarpal fracture,,,3506.34,7272.0,4 HCPCS,26608,Treat metacarpal fracture,,,3506.34,11000.0,4 HCPCS,26615,Treat metacarpal fracture,,,3506.34,24760.0,4 HCPCS,26641,"Hc Closed Treatment Of Carpometacarpal Disclocation, Thumb, With Manipulation",2414.0,2414.0,,,0 HCPCS,26641,"Hc Closed Treatment Of Carpometacarpal Disclocation, Thumb, With Manipulation-Pbb",4231.5,4231.5,,,0 HCPCS,26641,Pr Cltx Carpo/Metacarpal Dislocation Thumb W/Manj-Pbb,3635.0,3635.0,,,0 HCPCS,26641,Treat thumb dislocation,,,264.33,3399.0,4 HCPCS,26645,"Hc Closed Tx Of Carpometacarpal Fx Disloc, Thumb W Manipulation",5063.0,5063.0,,,0 HCPCS,26645,Treat thumb fracture,,,1723.15,3399.0,4 HCPCS,26650,"Hc Percutaneous Skeletal Fixation Of Carpometacarpal Fracture Discloation, Thumb, With Manipulation",7766.0,7766.0,,,0 HCPCS,26650,"Hc Percutaneous Skeletal Fixation Of Carpometacarpal Fracture Discloation, Thumb, With Manipulation-",11536.5,11536.5,,,0 HCPCS,26650,Pr Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb-Pbb,7541.0,7541.0,,,0 HCPCS,26650,Treat thumb fracture,,,3506.34,11000.0,4 HCPCS,26665,Treat thumb fracture,,,3506.34,24760.0,4 HCPCS,26670,"Hc Clsd Tx Of Carpometacarpal Discloation, Other Than Thumb, W/ Manipulation, Ea Joint; Req Anes",775.0,775.0,,,0 HCPCS,26670,"Hc Clsd Tx Of Carpometacarpal Discloation, Other Than Thumb, W/ Manipulation, Ea Joint; Req Anes-Pbb",2256.5,2256.5,,,0 HCPCS,26670,Pr Cltx Carpo/Metacarpl Dislc Thmb Manj Ea W/O Anes-Pbb,2963.0,2963.0,,,0 HCPCS,26670,Treat hand dislocation,,,264.33,3399.0,4 HCPCS,26675,Treat hand dislocation,,,1723.15,3399.0,4 HCPCS,26676,Pin hand dislocation,,,3506.34,11000.0,4 HCPCS,26685,Treat hand dislocation,,,3506.34,11000.0,4 HCPCS,26686,Treat hand dislocation,,,3506.34,24760.0,4 HCPCS,26700,"Hc Closed Treatment Of Metacarpophalangeal Dislocation, Single, With Maniulation; Without Anesthesia",3483.5,3483.5,,,0 HCPCS,26700,Pr Cltx Metacarpophalangeal Dislc W/Manj W/O Anes-Pbb,2693.0,2693.0,,,0 HCPCS,26700,Treat knuckle dislocation,,,264.33,3399.0,4 HCPCS,26705,Treat knuckle dislocation,,,1723.15,3399.0,4 HCPCS,26706,Pin knuckle dislocation,,,3506.34,7272.0,4 HCPCS,26715,Treat knuckle dislocation,,,3506.34,11000.0,4 HCPCS,26720,"Hc Clsd Tx Of Phalangeal Shaft Fx, Proximal Or Middle Phalanx, Finger Or Thumb; W/Out Manip, Ea",1304.0,1304.0,,,0 HCPCS,26720,"Hc Clsd Tx Of Phalangeal Shaft Fx, Proximal Or Middle Phalanx, Finger Or Thumb; W/Out Manip, Ea-Pbb",2316.0,2316.0,,,0 HCPCS,26720,Pr Cltx Phlngl Fx Prox/Middle Px/F/T W/O Manj Ea-Pbb,2023.0,2023.0,,,0 HCPCS,26720,Treat finger fracture each,,,264.33,3399.0,4 HCPCS,26725,"Hc Clsd Tx Of Phalangeal Shaft Fx, Proximal Or Middle Phalanx, Finger Or Thumb; W/Out Manip",2216.0,2216.0,,,0 HCPCS,26725,"Hc Clsd Tx Of Phalangeal Shaft Fx, Proximal Or Middle Phalanx, Finger Or Thumb; W/Out Manip-Pbb",3967.0,3967.0,,,0 HCPCS,26725,Pr Cltx Phlngl Fx Prox/Middle Px/F/T W/Manj Ea-Pbb,3502.0,3502.0,,,0 HCPCS,26725,Treat finger fracture each,,,264.33,3399.0,4 HCPCS,26727,Treat finger fracture each,,,3506.34,11000.0,4 HCPCS,26735,Treat finger fracture each,,,3506.34,11000.0,4 HCPCS,26740,"Hc Clsd Tx Of Articular Fx, Involving Metacarpophalangeal/Interphalangeal Joint; W/ Manip",655.0,655.0,,,0 HCPCS,26740,"Hc Clsd Tx Of Articular Fx, Involving Metacarpophalangeal/Interphalangeal Joint; W/ Manip-Pbb",2201.5,2201.5,,,0 HCPCS,26740,Pr Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj-Pbb,3092.0,3092.0,,,0 HCPCS,26740,Treat finger fracture each,,,264.33,3399.0,4 HCPCS,26742,"Hc Closed Treat, Artic Fx, Mcp/Ip Joint; W/ Manip, Ea",5365.0,5365.0,,,0 HCPCS,26742,Treat finger fracture each,,,1723.15,3399.0,4 HCPCS,26746,Treat finger fracture each,,,3506.34,11000.0,4 HCPCS,26750,"Hc Closed Treatment Of Distal Phalanageal Fracture, Finger Or Thumb, Without Manipulation, Each",1216.0,1216.0,,,0 HCPCS,26750,"Hc Closed Treatment Of Distal Phalanageal Fracture, Finger Or Thumb, Without Manipulation, Each-Pbb",2227.5,2227.5,,,0 HCPCS,26750,Pr Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea-Pbb,2023.0,2023.0,,,0 HCPCS,26750,Treat finger fracture each,,,264.33,3399.0,4 HCPCS,26755,"Hc Closed Treatment Of Distal Phalanageal Fracture, Finger Or Thumb, With Manipulation, Each",2069.0,2069.0,,,0 HCPCS,26755,"Hc Closed Treatment Of Distal Phalanageal Fracture, Finger Or Thumb, With Manipulation, Each-Pbb",3415.5,3415.5,,,0 HCPCS,26755,Pr Cltx Dstl Phlngl Fx Fngr/Thmb W/Manj Ea-Pbb,2693.0,2693.0,,,0 HCPCS,26755,Treat finger fracture each,,,264.33,3399.0,4 HCPCS,26756,Pin finger fracture each,,,3506.34,11000.0,4 HCPCS,26765,"Hc Open Treatment, Distal Phalangeal Fx, Finger/Thumb",10061.0,10061.0,,,0 HCPCS,26765,Treat finger fracture each,,,3506.34,11000.0,4 HCPCS,26770,"Hc Closed Treatment Of Interphalangeal Joint Dislocation, Single, W/ Manipulation; W/Out Anesthesia",1828.0,1828.0,,,0 HCPCS,26770,"Hc Closed Treatment Of Interphalangeal Joint Dislocation, Single, W/ Manipulation; W/Out Anesthesia-",3174.0,3174.0,,,0 HCPCS,26770,Pr Cltx Iphal Jt Dislc W/Manj W/O Anes-Pbb,2693.0,2693.0,,,0 HCPCS,26770,Treat finger dislocation,,,264.33,3399.0,4 HCPCS,26775,Hc Ermn-Tx Finger Dislction W/ Anesthsia,4079.0,4079.0,,,0 HCPCS,26775,Treat finger dislocation,,,299.72,3399.0,4 HCPCS,26776,Pin finger dislocation,,,3506.34,11000.0,4 HCPCS,26785,Treat finger dislocation,,,3506.34,11000.0,4 HCPCS,26820,Thumb fusion with graft,,,7775.89,14227.0,4 HCPCS,26841,Fusion of thumb,,,7775.89,14227.0,4 HCPCS,26842,Thumb fusion with graft,,,7775.89,14227.0,4 HCPCS,26843,Fusion of hand joint,,,7775.89,14227.0,4 HCPCS,26844,Fusion/graft of hand joint,,,7775.89,14227.0,4 HCPCS,26850,Fusion of knuckle,,,7775.89,14227.0,4 HCPCS,26852,Fusion of knuckle with graft,,,7775.89,14227.0,4 HCPCS,26860,Fusion of finger joint,,,3506.34,14227.0,4 HCPCS,26861,Fusion of finger jnt add-on,,,3399.0,3399.0,1 HCPCS,26862,Fusion/graft of finger joint,,,3506.34,14227.0,4 HCPCS,26863,Fuse/graft added joint,,,3399.0,3399.0,1 HCPCS,26910,Amputate metacarpal bone,,,3506.34,14227.0,4 HCPCS,26951,Amputation of finger/thumb,,,3506.34,7272.0,4 HCPCS,26951,"Hc Amputation Finger/Thumb, Single; With Direct Closure",10138.0,10138.0,,,0 HCPCS,26951,"Hc Amputation Finger/Thumb, Single; With Direct Closure-Pbb",11704.5,11704.5,,,0 HCPCS,26951,Pr Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr-Pbb,5779.0,5779.0,,,0 HCPCS,26952,Amputation of finger/thumb,,,3506.34,7272.0,4 HCPCS,26952,"Hc Amputation, Finger/Thumb, W/ Neurectomies; W/ Local Advance Flaps",9977.0,9977.0,,,0 HCPCS,26989,Hand/finger surgery,,,264.33,3399.0,4 HCPCS,26989,Hc Unlisted Procedure Hands Or Fingers,604.0,604.0,,,0 HCPCS,26990,Drainage of pelvis lesion,,,3506.34,11000.0,4 HCPCS,26991,Drainage of pelvis bursa,,,1723.15,11000.0,4 HCPCS,26992,Drainage of bone lesion,,,3506.34,22280.0,4 HCPCS,27000,Hc Orth-Tenotomy Percu Abdctr Hip Sep Proc,8302.0,8302.0,,,0 HCPCS,27000,Hc Orth-Tenotomy Percu Abdctr Hip Sep Proc-Pbb,10942.5,10942.5,,,0 HCPCS,27000,Incision of hip tendon,,,1723.15,11000.0,4 HCPCS,27000,Pr Tenotomy Adductor Hip Percutaneous Spx-Pbb,5281.0,5281.0,,,0 HCPCS,27001,Incision of hip tendon,,,3506.34,14227.0,4 HCPCS,27003,Incision of hip tendon,,,7775.89,14227.0,4 HCPCS,27005,Incision of hip tendon,,,3506.34,24760.0,4 HCPCS,27006,Incision of hip tendons,,,3506.34,14227.0,4 HCPCS,27025,Incision of hip/thigh fascia,,,3506.34,24760.0,4 HCPCS,27027,Buttock fasciotomy,,,7775.89,14227.0,4 HCPCS,27030,Drainage of hip joint,,,7775.89,22280.0,4 HCPCS,27033,Exploration of hip joint,,,7775.89,22280.0,4 HCPCS,27035,Denervation of hip joint,,,3506.34,14227.0,4 HCPCS,27036,Excision of hip joint/muscle,,,7775.89,22280.0,4 HCPCS,27040,Biopsy of soft tissues,,,1769.88,5007.0,4 HCPCS,27041,Biopsy of soft tissues,,,1769.88,5007.0,4 HCPCS,27041,"Hc Bx, Soft Tissue, Pelvis & Hip Area; Deep, Subfascial/Im",4146.0,4146.0,,,0 HCPCS,27043,Exc hip pelvis les sc 3 cm/>,,,3112.75,11000.0,4 HCPCS,27043,Hc Dmpr-Exc Tmr Sft Tsu Plvs Hp Sb Q 3/>Cm,8748.0,8748.0,,,0 HCPCS,27043,Hc Dmpr-Exc Tmr Sft Tsu Plvs Hp Sb Q 3/>Cm-Pbb,10107.5,10107.5,,,0 HCPCS,27043,Pr Excision Tumor Soft Tissue Pelvis&Hip Subq 3Cm/>-Pbb,2719.0,2719.0,,,0 HCPCS,27045,Exc hip/pelv tum deep 5 cm/>,,,3112.75,11000.0,4 HCPCS,27047,Exc hip/pelvis les sc < 3 cm,,,3112.75,7272.0,4 HCPCS,27047,Hc Dmpr-Excis Tum Pelvis Hip Area Subq Tiss,5795.0,5795.0,,,0 HCPCS,27047,Hc Dmpr-Excis Tum Pelvis Hip Area Subq Tiss-Pbb,7994.0,7994.0,,,0 HCPCS,27047,Pr Exc Tumor Soft Tissue Pelvis & Hip Subq <3Cm-Pbb,4398.0,4398.0,,,0 HCPCS,27048,Exc hip/pelv tum deep < 5 cm,,,3112.75,7272.0,4 HCPCS,27049,Resect hip/pelv tum < 5 cm,,,3112.75,7272.0,4 HCPCS,27050,Biopsy of sacroiliac joint,,,1723.15,11000.0,4 HCPCS,27052,Biopsy of hip joint,,,1723.15,11000.0,4 HCPCS,27054,Removal of hip joint lining,,,3506.34,14227.0,4 HCPCS,27057,Buttock fasciotomy w/dbrdmt,,,1723.15,11000.0,4 HCPCS,27059,Resect hip/pelv tum 5 cm/>,,,3112.75,11000.0,4 HCPCS,27060,Removal of ischial bursa,,,7775.89,11275.05,4 HCPCS,27062,Remove femur lesion/bursa,,,3506.34,11000.0,4 HCPCS,27065,Remove hip bone les super,,,7775.89,11275.05,4 HCPCS,27066,Remove hip bone les deep,,,3506.34,14227.0,4 HCPCS,27067,Remove/graft hip bone lesion,,,7775.89,14227.0,4 HCPCS,27070,Part remove hip bone super,,,3506.34,24760.0,4 HCPCS,27071,Part removal hip bone deep,,,3506.34,24760.0,4 HCPCS,27075,Resect hip tumor,,,7775.89,24760.0,4 HCPCS,27076,Resect hip tum incl acetabul,,,7775.89,24760.0,4 HCPCS,27077,Resect hip tum w/innom bone,,,7775.89,24760.0,4 HCPCS,27078,Rsect hip tum incl femur,,,7775.89,24760.0,4 HCPCS,27080,Removal of tail bone,,,3506.34,14227.0,4 HCPCS,27086,Remove hip foreign body,,,3112.75,7272.0,4 HCPCS,27087,Remove hip foreign body,,,3506.34,11000.0,4 HCPCS,27090,Removal of hip prosthesis,,,7775.89,11275.05,4 HCPCS,27091,Removal of hip prosthesis,,,11000.0,19949.35,4 HCPCS,27093,Hc Gdgp-Inj Proc Hip Arthrography; Wo Anes,1257.0,1257.0,,,0 HCPCS,27093,Injection for hip x-ray,,,3399.0,3399.0,1 HCPCS,27095,Injection for hip x-ray,,,3399.0,3399.0,1 HCPCS,27096,"Hc Inj Proc For Sacroiliac Joint, Anes/Steroid, W Image Guid Incl Arthrography When Perf",5414.2,5414.2,,,0 HCPCS,27096,Inject sacroiliac joint,,,3399.0,3399.0,1 HCPCS,27097,Revision of hip tendon,,,3506.34,14227.0,4 HCPCS,27098,Transfer tendon to pelvis,,,3506.34,11000.0,4 HCPCS,27100,Transfer of abdominal muscle,,,7775.89,22280.0,4 HCPCS,27105,Transfer of spinal muscle,,,3506.34,22280.0,4 HCPCS,27110,Transfer of iliopsoas muscle,,,7775.89,22280.0,4 HCPCS,27111,Transfer of iliopsoas muscle,,,3506.34,22280.0,4 HCPCS,27120,Reconstruction of hip socket,,,13758.17,24760.0,4 HCPCS,27122,Reconstruction of hip socket,,,7775.89,24760.0,4 HCPCS,27125,Partial hip replacement,,,13758.17,24760.0,4 HCPCS,27130,Total hip arthroplasty,,,13758.17,36418.0,4 HCPCS,27132,Total hip arthroplasty,,,13758.17,36418.0,4 HCPCS,27134,Revise hip joint replacement,,,13758.17,36418.0,4 HCPCS,27137,Revise hip joint replacement,,,13758.17,36418.0,4 HCPCS,27138,Revise hip joint replacement,,,13758.17,36418.0,4 HCPCS,27140,Transplant femur ridge,,,7775.89,24760.0,4 HCPCS,27146,Incision of hip bone,,,7775.89,24760.0,4 HCPCS,27147,Revision of hip bone,,,7775.89,24760.0,4 HCPCS,27151,Incision of hip bones,,,7775.89,24760.0,4 HCPCS,27156,Revision of hip bones,,,7775.89,24760.0,4 HCPCS,27158,Revision of pelvis,,,7775.89,24760.0,4 HCPCS,27161,Incision of neck of femur,,,7775.89,24760.0,4 HCPCS,27165,Incision/fixation of femur,,,7775.89,24760.0,4 HCPCS,27170,Repair/graft femur head/neck,,,7775.89,24760.0,4 HCPCS,27175,Treat slipped epiphysis,,,3506.34,24760.0,4 HCPCS,27176,Treat slipped epiphysis,,,3506.34,24760.0,4 HCPCS,27177,Treat slipped epiphysis,,,3506.34,24760.0,4 HCPCS,27178,Treat slipped epiphysis,,,3506.34,24760.0,4 HCPCS,27179,Revise head/neck of femur,,,7775.89,24760.0,4 HCPCS,27181,Treat slipped epiphysis,,,7775.89,24760.0,4 HCPCS,27185,Revision of femur epiphysis,,,3506.34,24760.0,4 HCPCS,27187,Reinforce hip bones,,,7775.89,24760.0,4 HCPCS,27197,Clsd tx pelvic ring fx,,,264.33,3399.0,4 HCPCS,27197,Hc Closed Treatment Pelvic Ring Fracture Without Manipulation,5784.0,5784.0,,,0 HCPCS,27197,Hc Closed Treatment Pelvic Ring Fracture Without Manipulation-Pbb,3060.5,3060.5,,,0 HCPCS,27197,Pr Clsd Tx Pelvic Ring Fx W/O Manipulation-Pbb,4692.0,4692.0,,,0 HCPCS,27198,Clsd tx pelvic ring fx,,,264.33,3399.0,4 HCPCS,27198,Hc Closed Treatment Pelvic Ring Fracture With Manipulation-Pbb,10603.5,10603.5,,,0 HCPCS,27198,Pr Clsd Tx Pelvic Ring Fx W/Manipulation W/Anes-Pbb,14545.0,14545.0,,,0 HCPCS,27200,Hc Closed Treatment Of Coccygeal Fracture,806.0,806.0,,,0 HCPCS,27200,Hc Closed Treatment Of Coccygeal Fracture-Pbb,1866.0,1866.0,,,0 HCPCS,27200,Pr Closed Treatment Coccygeal Fracture-Pbb,2119.0,2119.0,,,0 HCPCS,27200,Treat tail bone fracture,,,264.33,3399.0,4 HCPCS,27202,Treat tail bone fracture,,,3506.34,24760.0,4 HCPCS,27215,Treat pelvic fracture(s),,,5007.0,5007.0,1 HCPCS,27216,Treat pelvic ring fracture,,,14227.0,14227.0,1 HCPCS,27217,Treat pelvic ring fracture,,,7272.0,7272.0,1 HCPCS,27218,Treat pelvic ring fracture,,,7272.0,7272.0,1 HCPCS,27220,Hc Closed Treatment Of Acetabulum Fracture; Without Manipulation,915.0,915.0,,,0 HCPCS,27220,Hc Closed Treatment Of Acetabulum Fracture; Without Manipulation-Pbb,3661.5,3661.5,,,0 HCPCS,27220,Pr Cltx Acetabulum Hip/Sockt Fx W/O Manj-Pbb,5494.0,5494.0,,,0 HCPCS,27220,Treat hip socket fracture,,,264.33,3399.0,4 HCPCS,27222,Hc Closed Tx Of Acetabulum Fx(S); W/Manip,1379.0,1379.0,,,0 HCPCS,27222,Treat hip socket fracture,,,264.33,3399.0,4 HCPCS,27226,Treat hip wall fracture,,,7775.89,22280.0,4 HCPCS,27227,Treat hip fracture(s),,,7775.89,22280.0,4 HCPCS,27228,Treat hip fracture(s),,,7775.89,22280.0,4 HCPCS,27230,Treat thigh fracture,,,264.33,3399.0,4 HCPCS,27232,Treat thigh fracture,,,1723.15,7272.0,4 HCPCS,27235,Hc Treat Thigh Fracture,17297.0,17297.0,,,0 HCPCS,27235,Treat thigh fracture,,,7775.89,14227.0,4 HCPCS,27236,Treat thigh fracture,,,7775.89,24760.0,4 HCPCS,27238,Treat thigh fracture,,,1723.15,3399.0,4 HCPCS,27240,Hc Cltx Intr/Peri/Sbtrchntc Fem Fx W Mnp,3918.0,3918.0,,,0 HCPCS,27240,Treat thigh fracture,,,1723.15,7272.0,4 HCPCS,27244,Treat thigh fracture,,,7775.89,24760.0,4 HCPCS,27245,Treat thigh fracture,,,7775.89,22280.0,4 HCPCS,27246,Hc Closed Treatment Greater Trochanter Fracture-Pbb,3440.0,3440.0,,,0 HCPCS,27246,Pr Cltx Greater Trochanteric Fx W/O Manj-Pbb,4542.0,4542.0,,,0 HCPCS,27246,Treat thigh fracture,,,264.33,3399.0,4 HCPCS,27248,Treat thigh fracture,,,7775.89,24760.0,4 HCPCS,27250,"Hc Closed Treatment Of Hip Disclocation, Traumatic; Without Anesthesia",1234.0,1234.0,,,0 HCPCS,27250,"Hc Closed Treatment Of Hip Disclocation, Traumatic; Without Anesthesia-Pbb",3490.0,3490.0,,,0 HCPCS,27250,Pr Cltx Hip Dislocation Traumatic W/O Anesthesia-Pbb,4512.0,4512.0,,,0 HCPCS,27250,Treat hip dislocation,,,264.33,3399.0,4 HCPCS,27252,"Hc Closed Treatment Of Hip Disclocation, Traumatic; Requiring Anesthesia",3854.0,3854.0,,,0 HCPCS,27252,Treat hip dislocation,,,1723.15,5007.0,4 HCPCS,27253,Treat hip dislocation,,,3506.34,14227.0,4 HCPCS,27254,Treat hip dislocation,,,7775.89,14227.0,4 HCPCS,27256,Treat hip dislocation,,,264.33,3399.0,4 HCPCS,27257,Treat hip dislocation,,,1723.15,5007.0,4 HCPCS,27258,Treat hip dislocation,,,3506.34,14227.0,4 HCPCS,27259,Treat hip dislocation,,,3506.34,14227.0,4 HCPCS,27265,Hc Closed Treatment Of Post Hip Arthrolpasty Dislocation; Without Anesthesia,1000.0,1000.0,,,0 HCPCS,27265,Treat hip dislocation,,,264.33,3399.0,4 HCPCS,27266,Hc Closed Treatment Of Post Hip Arthroplasty Discloation; Requiring Regional Or General Anesthesia,5844.0,5844.0,,,0 HCPCS,27266,Treat hip dislocation,,,1723.15,7272.0,4 HCPCS,27267,Cltx thigh fx,,,3506.34,7272.0,4 HCPCS,27267,"Hc Closed Treatment Of Femoral Fracture, Proximal End, Head; Without Manipulation",1995.0,1995.0,,,0 HCPCS,27267,"Hc Closed Treatment Of Femoral Fracture, Proximal End, Head; Without Manipulation-Pbb",3546.0,3546.0,,,0 HCPCS,27267,Pr Closed Tx Femoral Fracture Prox Head W/O Manj-Pbb,3102.0,3102.0,,,0 HCPCS,27268,Cltx thigh fx w/mnpj,,,1723.15,14227.0,4 HCPCS,27268,Hc Cltx Thigh Fx W/Mnpj,7654.0,7654.0,,,0 HCPCS,27269,Optx thigh fx,,,7272.0,11275.05,4 HCPCS,27275,Manipulation of hip joint,,,1723.15,7272.0,4 HCPCS,27278,Arthrd si jt prq wo tfxj dev,,,18789.56,36418.0,4 HCPCS,27279,Arthrodesis sacroiliac joint,,,18789.56,36418.0,4 HCPCS,27280,Fusion of sacroiliac joint,,,18789.56,36418.0,4 HCPCS,27282,Fusion of pubic bones,,,3506.34,24760.0,4 HCPCS,27284,Fusion of hip joint,,,13758.17,36418.0,4 HCPCS,27286,Fusion of hip joint,,,13758.17,36418.0,4 HCPCS,27290,Amputation of leg at hip,,,18789.56,36418.0,4 HCPCS,27295,Amputation of leg at hip,,,18789.56,36418.0,4 HCPCS,27299,Hc Acetabular Lesion Ablation,10814.0,10814.0,,,0 HCPCS,27299,Hc Drainage Fluid Collection Of Hip,8063.0,8063.0,,,0 HCPCS,27299,Hc Osteoplasty Pelvis/Hip,8267.0,8267.0,,,0 HCPCS,27299,Pelvis/hip joint surgery,,,264.33,3399.0,4 HCPCS,27301,Drain thigh/knee lesion,,,3112.75,11000.0,4 HCPCS,27303,Drainage of bone lesion,,,3506.34,22280.0,4 HCPCS,27305,Incise thigh tendon & fascia,,,3506.34,11000.0,4 HCPCS,27306,"Hc Tenotomy, Percutaneous, Adductor Or Hamstring; Single Tendon",8302.0,8302.0,,,0 HCPCS,27306,"Hc Tenotomy, Percutaneous, Adductor Or Hamstring; Single Tendon-Pbb",10621.5,10621.5,,,0 HCPCS,27306,Incision of thigh tendon,,,3506.34,11000.0,4 HCPCS,27306,Pr Tenotomy Prq Adductor/Hamstring 1 Tendon Spx-Pbb,4639.0,4639.0,,,0 HCPCS,27307,Incision of thigh tendons,,,3506.34,14227.0,4 HCPCS,27310,Exploration of knee joint,,,3506.34,14227.0,4 HCPCS,27323,Biopsy thigh soft tissues,,,1769.88,5007.0,4 HCPCS,27323,"Hc Biopsy, Soft Tissue Of Thigh Or Knee Area; Superficial",4224.0,4224.0,,,0 HCPCS,27324,Biopsy thigh soft tissues,,,3112.75,11000.0,4 HCPCS,27325,Neurectomy hamstring,,,2092.58,7272.0,4 HCPCS,27326,Neurectomy popliteal,,,2092.58,7272.0,4 HCPCS,27327,Exc thigh/knee les sc < 3 cm,,,1769.88,11000.0,4 HCPCS,27327,"Hc Excision, Tumor, Soft Tissue Of Thigh Or Knee Area, Subcutaneous; Less Than 3 Cm",8748.0,8748.0,,,0 HCPCS,27327,"Hc Excision, Tumor, Soft Tissue Of Thigh Or Knee Area, Subcutaneous; Less Than 3 Cm-Pbb",13766.5,13766.5,,,0 HCPCS,27327,Pr Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm-Pbb,10037.0,10037.0,,,0 HCPCS,27328,Exc thigh/knee tum deep <5cm,,,3112.75,7272.0,4 HCPCS,27329,Resect thigh/knee tum < 5 cm,,,3112.75,7272.0,4 HCPCS,27330,Biopsy knee joint lining,,,3506.34,14227.0,4 HCPCS,27331,Explore/treat knee joint,,,3506.34,14227.0,4 HCPCS,27332,Removal of knee cartilage,,,3506.34,14227.0,4 HCPCS,27333,Removal of knee cartilage,,,3506.34,14227.0,4 HCPCS,27334,Remove knee joint lining,,,3506.34,14227.0,4 HCPCS,27335,Remove knee joint lining,,,7775.89,14227.0,4 HCPCS,27337,Exc thigh/knee les sc 3 cm/>,,,3112.75,11000.0,4 HCPCS,27337,"Hc Excision, Tumor, Soft Tissue Of Thigh Or Knee Area, Subcutaneous; Greater Than 3 Cm",8748.0,8748.0,,,0 HCPCS,27337,"Hc Excision, Tumor, Soft Tissue Of Thigh Or Knee Area, Subcutaneous; Greater Than 3 Cm-Pbb",9959.0,9959.0,,,0 HCPCS,27337,Pr Excison Tumor Soft Tissue Thigh/Knee Subq 3 Cm/>-Pbb,2422.0,2422.0,,,0 HCPCS,27339,Exc thigh/knee tum dep 5cm/>,,,3112.75,11000.0,4 HCPCS,27340,Removal of kneecap bursa,,,3506.34,11000.0,4 HCPCS,27345,Removal of knee cyst,,,3506.34,11000.0,4 HCPCS,27347,Remove knee cyst,,,3506.34,11000.0,4 HCPCS,27350,Removal of kneecap,,,7775.89,14227.0,4 HCPCS,27355,Remove femur lesion,,,3506.34,14227.0,4 HCPCS,27356,Remove femur lesion/graft,,,13758.17,19949.35,4 HCPCS,27357,Remove femur lesion/graft,,,7775.89,14227.0,4 HCPCS,27358,Remove femur lesion/fixation,,,3399.0,3399.0,1 HCPCS,27360,Partial removal leg bone(s),,,3506.34,14227.0,4 HCPCS,27364,Resect thigh/knee tum 5 cm/>,,,3112.75,11000.0,4 HCPCS,27365,Resect femur/knee tumor,,,3506.34,24760.0,4 HCPCS,27369,Hc Injection Procedure For Contrast Knee Ct Arthrography,7370.0,7370.0,,,0 HCPCS,27369,Hc Injection Procedure For Contrast Knee Arthrogram,3214.0,3214.0,,,0 HCPCS,27369,Hc Injection Procedure For Contrast Mri Knee Arthrogram,5510.0,5510.0,,,0 HCPCS,27369,Njx cntrst kne arthg/ct/mri,,,3399.0,3399.0,1 HCPCS,27372,Removal of foreign body,,,3112.75,11000.0,4 HCPCS,27380,Repair of kneecap tendon,,,7775.89,14227.0,4 HCPCS,27381,Repair/graft kneecap tendon,,,7775.89,14227.0,4 HCPCS,27385,Repair of thigh muscle,,,7775.89,14227.0,4 HCPCS,27386,Repair/graft of thigh muscle,,,7775.89,14227.0,4 HCPCS,27390,Incision of thigh tendon,,,3506.34,11000.0,4 HCPCS,27391,Incision of thigh tendons,,,3506.34,11000.0,4 HCPCS,27392,Incision of thigh tendons,,,3506.34,14227.0,4 HCPCS,27393,Lengthening of thigh tendon,,,7775.89,14227.0,4 HCPCS,27394,Lengthening of thigh tendons,,,7775.89,14227.0,4 HCPCS,27395,Lengthening of thigh tendons,,,3506.34,22280.0,4 HCPCS,27396,Transplant of thigh tendon,,,7775.89,14227.0,4 HCPCS,27397,Transplants of thigh tendons,,,7775.89,22280.0,4 HCPCS,27400,Revise thigh muscles/tendons,,,7775.89,22280.0,4 HCPCS,27403,Repair of knee cartilage,,,7775.89,14227.0,4 HCPCS,27405,Repair of knee ligament,,,7775.89,22280.0,4 HCPCS,27407,Repair of knee ligament,,,7775.89,24760.0,4 HCPCS,27409,Repair of knee ligaments,,,7775.89,22280.0,4 HCPCS,27412,Autochondrocyte implant knee,,,7775.89,24760.0,4 HCPCS,27415,Osteochondral knee allograft,,,13758.17,24760.0,4 HCPCS,27416,Osteochondral knee autograft,,,7775.89,22280.0,4 HCPCS,27418,Repair degenerated kneecap,,,7775.89,22280.0,4 HCPCS,27420,Revision of unstable kneecap,,,7775.89,22280.0,4 HCPCS,27422,Revision of unstable kneecap,,,7775.89,22280.0,4 HCPCS,27424,Revision/removal of kneecap,,,7775.89,22280.0,4 HCPCS,27425,Lat retinacular release open,,,3506.34,14227.0,4 HCPCS,27427,Reconstruction knee,,,7775.89,24760.0,4 HCPCS,27428,Reconstruction knee,,,13758.17,24760.0,4 HCPCS,27429,Reconstruction knee,,,13758.17,24760.0,4 HCPCS,27430,Revision of thigh muscles,,,7775.89,22280.0,4 HCPCS,27435,Incision of knee joint,,,3506.34,14227.0,4 HCPCS,27437,Revise kneecap,,,7775.89,22280.0,4 HCPCS,27438,Revise kneecap with implant,,,13758.17,24760.0,4 HCPCS,27440,Revision of knee joint,,,13758.17,22280.0,4 HCPCS,27441,Revision of knee joint,,,13758.17,22280.0,4 HCPCS,27442,Revision of knee joint,,,13758.17,22280.0,4 HCPCS,27443,Revision of knee joint,,,13758.17,22280.0,4 HCPCS,27445,Revision of knee joint,,,24760.0,24760.0,1 HCPCS,27446,Revision of knee joint,,,13758.17,36418.0,4 HCPCS,27447,Total knee arthroplasty,,,13758.17,36418.0,4 HCPCS,27448,Incision of thigh,,,7775.89,24760.0,4 HCPCS,27450,Incision of thigh,,,7775.89,24760.0,4 HCPCS,27454,Realignment of thigh bone,,,7775.89,24760.0,4 HCPCS,27455,Realignment of knee,,,7775.89,24760.0,4 HCPCS,27457,Realignment of knee,,,7775.89,22280.0,4 HCPCS,27458,Osteot femur imed lngth dev,,,7775.89,11275.05,3 HCPCS,27465,Shortening of thigh bone,,,7775.89,24760.0,4 HCPCS,27466,Lengthening of thigh bone,,,7775.89,24760.0,4 HCPCS,27468,Shorten/lengthen thighs,,,24760.0,24760.0,1 HCPCS,27470,Repair of thigh,,,7775.89,24760.0,4 HCPCS,27472,Repair/graft of thigh,,,7775.89,24760.0,4 HCPCS,27475,Surgery to stop leg growth,,,7775.89,14227.0,4 HCPCS,27477,Surgery to stop leg growth,,,7775.89,14227.0,4 HCPCS,27479,Surgery to stop leg growth,,,7775.89,14227.0,4 HCPCS,27485,Surgery to stop leg growth,,,7775.89,14227.0,4 HCPCS,27486,Revise/replace knee joint,,,13758.17,36418.0,4 HCPCS,27487,Revise/replace knee joint,,,18789.56,36418.0,4 HCPCS,27488,Removal of knee prosthesis,,,13758.17,24760.0,4 HCPCS,27495,Reinforce thigh,,,7775.89,24760.0,4 HCPCS,27496,Decompression of thigh/knee,,,3506.34,14227.0,4 HCPCS,27497,Decompression of thigh/knee,,,3506.34,11000.0,4 HCPCS,27498,Decompression of thigh/knee,,,1723.15,14227.0,4 HCPCS,27499,Decompression of thigh/knee,,,7775.89,14227.0,4 HCPCS,27500,"Hc Closed Treatment Of Femoral Shaft Fracture, Without Manipulation",1895.0,1895.0,,,0 HCPCS,27500,"Hc Closed Treatment Of Femoral Shaft Fracture, Without Manipulation-Pbb",5096.5,5096.5,,,0 HCPCS,27500,Pr Closed Tx Femoral Shaft Fx W/O Manipulation-Pbb,6403.0,6403.0,,,0 HCPCS,27500,Treatment of thigh fracture,,,264.33,3399.0,4 HCPCS,27501,"Hc Clsd Trtmnt Of Supracondylar Or Transcondylar Humrl Futr,W/Or W/O Intercondylar Ext;W/O Manipultn",3866.0,3866.0,,,0 HCPCS,27501,Pr Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj-Pbb,5988.0,5988.0,,,0 HCPCS,27501,Treatment of thigh fracture,,,264.33,3399.0,4 HCPCS,27502,"Hc Closed Treatment Fem Shaft Fx, W Manip, W/ Or W/O Skn/Skltl Trctn",4106.0,4106.0,,,0 HCPCS,27502,"Hc Closed Treatment Fem Shaft Fx, W Manip, W/ Or W/O Skn/Skltl Trctn-Pbb",7178.0,7178.0,,,0 HCPCS,27502,Pr Cltx Fem Shft Fx W/Manj W/Wo Skin/Skeletal Tracj-Pbb,6145.0,6145.0,,,0 HCPCS,27502,Treatment of thigh fracture,,,1723.15,7272.0,4 HCPCS,27503,Treatment of thigh fracture,,,1723.15,3399.0,4 HCPCS,27506,Treatment of thigh fracture,,,7775.89,22280.0,4 HCPCS,27507,Treatment of thigh fracture,,,7775.89,22280.0,4 HCPCS,27508,"Hc Closed Treatment Of Femoral Fracture, Distal End, Medial Or Lateral Condyle, Without Manipulation",4181.0,4181.0,,,0 HCPCS,27508,Pr Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj-Pbb,5486.0,5486.0,,,0 HCPCS,27508,Treatment of thigh fracture,,,264.33,3399.0,4 HCPCS,27509,Treatment of thigh fracture,,,7775.89,11275.05,4 HCPCS,27510,"Hc Clsd Tx Fem Fx, Dstl End, Med Or Lat Condyle, W/Manip",4269.0,4269.0,,,0 HCPCS,27510,"Hc Clsd Tx Fem Fx, Dstl End, Med Or Lat Condyle, W/Manip-Pbb",7005.0,7005.0,,,0 HCPCS,27510,Pr Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj-Pbb,5472.0,5472.0,,,0 HCPCS,27510,Treatment of thigh fracture,,,1723.15,3399.0,4 HCPCS,27511,Treatment of thigh fracture,,,13758.17,22280.0,4 HCPCS,27513,Treatment of thigh fracture,,,13758.17,22280.0,4 HCPCS,27514,Treatment of thigh fracture,,,13758.17,22280.0,4 HCPCS,27516,Hc Closed Treatment Of Distal Femoral Epiph Yseal Separation; Without Manipulation,1086.0,1086.0,,,0 HCPCS,27516,Hc Closed Treatment Of Distal Femoral Epiph Yseal Separation; Without Manipulation-Pbb,4104.5,4104.5,,,0 HCPCS,27516,Pr Cltx Distal Femoral Epiphysl Separation W/O Manj-Pbb,6037.0,6037.0,,,0 HCPCS,27516,Treat thigh fx growth plate,,,264.33,3399.0,4 HCPCS,27517,"Hc Closed Treatment Of Distal Femoral Epiphyseal Separation; With Manipulation, With Or Without Skin",3841.0,3841.0,,,0 HCPCS,27517,Treat thigh fx growth plate,,,1723.15,3399.0,4 HCPCS,27519,Treat thigh fx growth plate,,,7775.89,22280.0,4 HCPCS,27520,"Hc Closed Treatment Of Patellar Fracture, Without Manipulation",2137.0,2137.0,,,0 HCPCS,27520,"Hc Closed Treatment Of Patellar Fracture, Without Manipulation-Pbb",3762.0,3762.0,,,0 HCPCS,27520,Pr Closed Tx Patellar Fracture W/O Manipulation-Pbb,3250.0,3250.0,,,0 HCPCS,27520,Treat kneecap fracture,,,264.33,3399.0,4 HCPCS,27524,Treat kneecap fracture,,,7775.89,24760.0,4 HCPCS,27530,"Hc Closed Treatment Of Tibial Fracture, Proximal; Without Manipulation",3488.0,3488.0,,,0 HCPCS,27530,"Hc Closed Treatment Of Tibial Fracture, Proximal; Without Manipulation-Pbb",5591.0,5591.0,,,0 HCPCS,27530,Pr Cltx Tibial Fx Proximal W/O Manipulation-Pbb,4206.0,4206.0,,,0 HCPCS,27530,Treat knee fracture,,,264.33,3399.0,4 HCPCS,27532,"Hc Closed Treatment Of Tibial Fracture, Proximal; W/ Or W/Out Manipulation, W/ Skeletal Traction",9322.0,9322.0,,,0 HCPCS,27532,"Hc Closed Treatment Of Tibial Fracture, Proximal; W/ Or W/Out Manipulation, W/ Skeletal Traction-Pbb",12157.0,12157.0,,,0 HCPCS,27532,Pr Cltx Tibial Fx Proximal W/Wo Manj W/Skel Tracj-Pbb,5670.0,5670.0,,,0 HCPCS,27532,Treat knee fracture,,,3506.34,7272.0,4 HCPCS,27535,Treat knee fracture,,,7775.89,22280.0,4 HCPCS,27536,Treat knee fracture,,,7775.89,22280.0,4 HCPCS,27538,"Hc Closed Treatmnt Of Intercondylar Spine And/Or Tuberosity Fracture Of Knee, W/ Or W/O Manipulation",3386.5,3386.5,,,0 HCPCS,27538,Pr Cltx Intercondylar Spi&/Tubrst Fx Kne W/Wo Man-Pbb,4757.0,4757.0,,,0 HCPCS,27538,Treat knee fracture(s),,,264.33,3399.0,4 HCPCS,27540,Treat knee fracture,,,7775.89,22280.0,4 HCPCS,27550,"Hc Closed Treatment Of Knee Disclocation, Without Anesthesia",3295.0,3295.0,,,0 HCPCS,27550,"Hc Closed Treatment Of Knee Disclocation, Without Anesthesia-Pbb",4758.0,4758.0,,,0 HCPCS,27550,Pr Closed Tx Knee Dislocation W/O Anesthesia-Pbb,2926.0,2926.0,,,0 HCPCS,27550,Treat knee dislocation,,,264.33,3399.0,4 HCPCS,27552,"Hc Closed Treatment Of Knee Discloaction, Requiring Anesthesia",4447.0,4447.0,,,0 HCPCS,27552,Treat knee dislocation,,,1723.15,7272.0,4 HCPCS,27556,Treat knee dislocation,,,7775.89,22280.0,4 HCPCS,27557,Treat knee dislocation,,,7775.89,22280.0,4 HCPCS,27558,Treat knee dislocation,,,7775.89,22280.0,4 HCPCS,27560,Hc Closed Treatment Of Patellar Disclocation; Without Anesthesia,2419.0,2419.0,,,0 HCPCS,27560,Treat kneecap dislocation,,,264.33,3399.0,4 HCPCS,27562,Hc Closed Treatment Of Patellar Disclocation; Requiring Anesthesia,5353.0,5353.0,,,0 HCPCS,27562,Treat kneecap dislocation,,,264.33,3399.0,4 HCPCS,27566,Treat kneecap dislocation,,,7775.89,24760.0,4 HCPCS,27570,Fixation of knee joint,,,1723.15,7272.0,4 HCPCS,27580,Fusion of knee,,,13758.17,24760.0,4 HCPCS,27590,Amputate leg at thigh,,,3506.34,36418.0,4 HCPCS,27591,Amputate leg at thigh,,,3506.34,36418.0,4 HCPCS,27592,Amputate leg at thigh,,,3506.34,36418.0,4 HCPCS,27594,Amputation follow-up surgery,,,3506.34,11000.0,4 HCPCS,27596,Amputation follow-up surgery,,,3506.34,24760.0,4 HCPCS,27598,Amputate lower leg at knee,,,3506.34,24760.0,4 HCPCS,27599,Hc Osteoplasty Of Osseous Lesion,10134.0,10134.0,,,0 HCPCS,27599,Hc Placement Of Intraoperative Localization Device-Bone,4995.0,4995.0,,,0 HCPCS,27599,Leg surgery procedure,,,264.33,3399.0,4 HCPCS,27600,Decompression of lower leg,,,3506.34,11000.0,4 HCPCS,27601,Decompression of lower leg,,,3506.34,11000.0,4 HCPCS,27602,Decompression of lower leg,,,3506.34,14227.0,4 HCPCS,27603,Drain lower leg lesion,,,3112.75,11000.0,4 HCPCS,27604,Drain lower leg bursa,,,3506.34,11000.0,4 HCPCS,27605,"Hc Tenotomy, Percutaneous, Achilles Tendon, Local Anesthesia",8713.0,8713.0,,,0 HCPCS,27605,"Hc Tenotomy, Percutaneous, Achilles Tendon, Local Anesthesia-Pbb",9858.0,9858.0,,,0 HCPCS,27605,Incision of achilles tendon,,,1723.15,11000.0,4 HCPCS,27605,Pr Tenotomy Prq Achilles Tendon Spx Local Anes-Pbb,2290.0,2290.0,,,0 HCPCS,27606,Incision of achilles tendon,,,3506.34,11000.0,4 HCPCS,27607,Treat lower leg bone lesion,,,3506.34,11000.0,4 HCPCS,27610,Explore/treat ankle joint,,,3506.34,14227.0,4 HCPCS,27612,Exploration of ankle joint,,,3506.34,14227.0,4 HCPCS,27613,Biopsy lower leg soft tissue,,,1769.88,5007.0,4 HCPCS,27613,Hc Bx Soft Tissue Leg Area Superficial,4151.0,4151.0,,,0 HCPCS,27614,Biopsy lower leg soft tissue,,,3112.75,11000.0,4 HCPCS,27614,"Hc Biopsy Soft Tissue Leg/Ankle, Deep",9662.0,9662.0,,,0 HCPCS,27615,Resect leg/ankle tum < 5 cm,,,3112.75,7272.0,4 HCPCS,27616,Resect leg/ankle tum 5 cm/>,,,3112.75,11000.0,4 HCPCS,27618,Exc leg/ankle tum < 3 cm,,,1769.88,7272.0,4 HCPCS,27618,"Hc Excision, Tumor, Soft Tissue Of Leg Or Ankle Area, Subcutaneous; Less Than 3 Cm",5795.0,5795.0,,,0 HCPCS,27618,"Hc Excision, Tumor, Soft Tissue Of Leg Or Ankle Area, Subcutaneous; Less Than 3 Cm-Pbb",7833.0,7833.0,,,0 HCPCS,27618,Pr Exc Tumor Soft Tissue Leg/Ankle Subq <3Cm-Pbb,4076.0,4076.0,,,0 HCPCS,27619,Exc leg/ankle tum deep <5 cm,,,3112.75,7272.0,4 HCPCS,27620,Explore/treat ankle joint,,,3506.34,14227.0,4 HCPCS,27625,Remove ankle joint lining,,,3506.34,14227.0,4 HCPCS,27626,Remove ankle joint lining,,,3506.34,14227.0,4 HCPCS,27630,Removal of tendon lesion,,,3506.34,11000.0,4 HCPCS,27632,Exc leg/ankle les sc 3 cm/>,,,3112.75,11000.0,4 HCPCS,27632,"Hc Excision, Tumor, Soft Tissue Of Leg Or Ankle Area, Subcutaneous; 3 Cm Or Greater",8748.0,8748.0,,,0 HCPCS,27632,"Hc Excision, Tumor, Soft Tissue Of Leg Or Ankle Area, Subcutaneous; 3 Cm Or Greater-Pbb",9939.0,9939.0,,,0 HCPCS,27632,Pr Excision Tumor Soft Tissue Leg/Ankle Subq 3 Cm/>-Pbb,2382.0,2382.0,,,0 HCPCS,27634,Exc leg/ankle tum dep 5 cm/>,,,3112.75,11000.0,4 HCPCS,27635,Remove lower leg bone lesion,,,3506.34,14227.0,4 HCPCS,27637,Remove/graft leg bone lesion,,,7775.89,14227.0,4 HCPCS,27638,Remove/graft leg bone lesion,,,7775.89,14227.0,4 HCPCS,27640,Partial removal of tibia,,,3506.34,14227.0,4 HCPCS,27641,Partial removal of fibula,,,3506.34,14227.0,4 HCPCS,27645,Resect tibia tumor,,,3506.34,24760.0,4 HCPCS,27646,Resect fibula tumor,,,3506.34,24760.0,4 HCPCS,27647,Resect talus/calcaneus tum,,,3506.34,14227.0,4 HCPCS,27648,Hc Injection Procedure For Ankle Arthrography,837.0,837.0,,,0 HCPCS,27648,Injection for ankle x-ray,,,3399.0,3399.0,1 HCPCS,27650,Repair achilles tendon,,,7775.89,22280.0,4 HCPCS,27652,Repair/graft achilles tendon,,,7775.89,22280.0,4 HCPCS,27654,Repair of achilles tendon,,,7775.89,22280.0,4 HCPCS,27656,Repair leg fascia defect,,,3506.34,11000.0,4 HCPCS,27658,Repair of leg tendon each,,,3506.34,11000.0,4 HCPCS,27659,Repair of leg tendon each,,,7775.89,11275.05,4 HCPCS,27664,Repair of leg tendon each,,,7775.89,14227.0,4 HCPCS,27665,Repair of leg tendon each,,,7775.89,14227.0,4 HCPCS,27675,Repair lower leg tendons,,,3506.34,11000.0,4 HCPCS,27676,Repair lower leg tendons,,,7775.89,14227.0,4 HCPCS,27680,Release of lower leg tendon,,,3506.34,14227.0,4 HCPCS,27681,Release of lower leg tendons,,,3506.34,14227.0,4 HCPCS,27685,Revision of lower leg tendon,,,3506.34,14227.0,4 HCPCS,27686,Revise lower leg tendons,,,3506.34,14227.0,4 HCPCS,27687,Revision of calf tendon,,,3506.34,14227.0,4 HCPCS,27690,Revise lower leg tendon,,,7775.89,22280.0,4 HCPCS,27691,Revise lower leg tendon,,,7775.89,22280.0,4 HCPCS,27692,Revise additional leg tendon,,,3399.0,3399.0,1 HCPCS,27695,Repair of ankle ligament,,,7775.89,14227.0,4 HCPCS,27696,Repair of ankle ligaments,,,7775.89,14227.0,4 HCPCS,27698,Repair of ankle ligament,,,7775.89,14227.0,4 HCPCS,27700,Revision of ankle joint,,,7775.89,22280.0,4 HCPCS,27702,Reconstruct ankle joint,,,24760.0,42162.12,4 HCPCS,27703,Reconstruction ankle joint,,,18789.56,27244.87,4 HCPCS,27704,Removal of ankle implant,,,3506.34,14227.0,4 HCPCS,27705,Incision of tibia,,,7775.89,22280.0,4 HCPCS,27707,Incision of fibula,,,3506.34,14227.0,4 HCPCS,27709,Incision of tibia & fibula,,,13758.17,19949.35,4 HCPCS,27712,Realignment of lower leg,,,13758.17,24760.0,4 HCPCS,27713,Osteot tibia imed lngth dev,,,7775.89,11275.05,3 HCPCS,27715,Revision of lower leg,,,13758.17,24760.0,4 HCPCS,27720,Repair of tibia,,,7775.89,24760.0,4 HCPCS,27722,Repair/graft of tibia,,,7775.89,24760.0,4 HCPCS,27724,Repair/graft of tibia,,,7775.89,24760.0,4 HCPCS,27725,Repair of lower leg,,,7775.89,24760.0,4 HCPCS,27726,Repair fibula nonunion,,,7775.89,24760.0,4 HCPCS,27727,Repair of lower leg,,,3506.34,24760.0,4 HCPCS,27730,Repair of tibia epiphysis,,,3506.34,14227.0,4 HCPCS,27732,Repair of fibula epiphysis,,,3506.34,14227.0,4 HCPCS,27734,Repair lower leg epiphyses,,,3506.34,14227.0,4 HCPCS,27740,Repair of leg epiphyses,,,3506.34,14227.0,4 HCPCS,27742,Repair of leg epiphyses,,,3506.34,22280.0,4 HCPCS,27745,Reinforce tibia,,,7775.89,24760.0,4 HCPCS,27750,Hc Closed Treatment Of Tibial Shaft Fracture; Without Manipulation,2281.0,2281.0,,,0 HCPCS,27750,Hc Closed Treatment Of Tibial Shaft Fracture; Without Manipulation-Pbb,4150.0,4150.0,,,0 HCPCS,27750,Pr Cltx Tibial Shaft Fx W/O Manipulation-Pbb,3738.0,3738.0,,,0 HCPCS,27750,Treatment of tibia fracture,,,264.33,3399.0,4 HCPCS,27752,"Hc Closed Treatment Of Tibial Shaft Fracture; With Manipulation, With Or Without Skeletal Traction",3064.0,3064.0,,,0 HCPCS,27752,"Hc Closed Treatment Of Tibial Shaft Fracture; With Manipulation, With Or Without Skeletal Traction-P",6703.0,6703.0,,,0 HCPCS,27752,Pr Cltx Tibial Shaft Fx W/Manj W/Wo Skel Tracj-Pbb,7278.0,7278.0,,,0 HCPCS,27752,Treatment of tibia fracture,,,1723.15,7272.0,4 HCPCS,27756,Treatment of tibia fracture,,,7775.89,11275.05,4 HCPCS,27758,Treatment of tibia fracture,,,13758.17,24760.0,4 HCPCS,27759,Treatment of tibia fracture,,,13758.17,24760.0,4 HCPCS,27760,Cltx medial ankle fx,,,264.33,3399.0,4 HCPCS,27760,"Hc Closed Treatment Of Medial Malleolus Fracture, Without Manipulation",2206.0,2206.0,,,0 HCPCS,27760,"Hc Closed Treatment Of Medial Malleolus Fracture, Without Manipulation-Pbb",3977.0,3977.0,,,0 HCPCS,27760,Pr Cltx Medial Malleolus Fx W/O Manipulation-Pbb,3542.0,3542.0,,,0 HCPCS,27762,Cltx med ankle fx w/mnpj,,,1723.15,7272.0,4 HCPCS,27762,"Hc Closed Treatmnt Of Medial Malleolus Fractre, W/ Manipulation, W/ Or W/O Skin Or Skeletal Tractn",5924.0,5924.0,,,0 HCPCS,27762,"Hc Closed Treatmnt Of Medial Malleolus Fractre, W/ Manipulation, W/ Or W/O Skin Or Skeletal Tractn-",8877.0,8877.0,,,0 HCPCS,27762,Pr Cltx Medial Malls Fx W/Manj W/Wo Skn/Skel Tracj-Pbb,5905.0,5905.0,,,0 HCPCS,27766,Optx medial ankle fx,,,7775.89,24760.0,4 HCPCS,27767,Cltx post ankle fx,,,264.33,3399.0,4 HCPCS,27767,Hc Clsoed Treatment Of Posterior Malleolus Fracture; Without Manipulation,692.0,692.0,,,0 HCPCS,27767,Hc Clsoed Treatment Of Posterior Malleolus Fracture; Without Manipulation-Pbb,1925.0,1925.0,,,0 HCPCS,27767,Pr Closed Treatment Pst Malleolus Fracture W/O Manj-Pbb,2466.0,2466.0,,,0 HCPCS,27768,Cltx post ankle fx w/mnpj,,,1723.15,3399.0,4 HCPCS,27768,Hc Closed Treatment Of Posterior Malleolus Fracture; With Manipulation,2244.0,2244.0,,,0 HCPCS,27768,Hc Closed Treatment Of Posterior Malleolus Fracture; With Manipulation-Pbb,4169.0,4169.0,,,0 HCPCS,27768,Pr Closed Treatment Pst Malleolus Fracture W/Manj-Pbb,3850.0,3850.0,,,0 HCPCS,27769,Optx post ankle fx,,,7775.89,24760.0,4 HCPCS,27780,Hc Closed Treatment Of Proximal Fibular Or Shaft Fracture; Without Manipulation,2026.0,2026.0,,,0 HCPCS,27780,Hc Closed Treatment Of Proximal Fibular Or Shaft Fracture; Without Manipulation-Pbb,3377.5,3377.5,,,0 HCPCS,27780,Pr Cltx Prox Fibula/Shft Fx W/O Manj-Pbb,2704.0,2704.0,,,0 HCPCS,27780,Treatment of fibula fracture,,,264.33,3399.0,4 HCPCS,27781,Hc Closed Treatment Of Proximal Fibular Or Shaft Fracture; With Manipulation,5186.0,5186.0,,,0 HCPCS,27781,Hc Closed Treatment Of Proximal Fibular Or Shaft Fracture; With Manipulation-Pbb,7643.0,7643.0,,,0 HCPCS,27781,Pr Cltx Prox Fibula/Shft Fx W/Manj-Pbb,4914.0,4914.0,,,0 HCPCS,27781,Treatment of fibula fracture,,,1723.15,5007.0,4 HCPCS,27784,Treatment of fibula fracture,,,7775.89,24760.0,4 HCPCS,27786,Hc Closed Treatment Of Distal Fibular Fracture; Without Manipulation,2180.0,2180.0,,,0 HCPCS,27786,Hc Closed Treatment Of Distal Fibular Fracture; Without Manipulation-Pbb,3753.0,3753.0,,,0 HCPCS,27786,Pr Cltx Dstl Fibular Fx Lat Malls W/O Manj-Pbb,3145.0,3145.0,,,0 HCPCS,27786,Treatment of ankle fracture,,,264.33,3399.0,4 HCPCS,27788,Hc Closed Treatment Of Distal Fibular Fracture; With Manipulation,2785.0,2785.0,,,0 HCPCS,27788,Hc Closed Treatment Of Distal Fibular Fracture; With Manipulation-Pbb,5536.5,5536.5,,,0 HCPCS,27788,Pr Cltx Dstl Fibular Fx Lat Malls W/Manj-Pbb,5503.0,5503.0,,,0 HCPCS,27788,Treatment of ankle fracture,,,264.33,3399.0,4 HCPCS,27792,Treatment of ankle fracture,,,7775.89,24760.0,4 HCPCS,27808,Hc Closed Treatment Of Bimalleolar Ankle Fracture ; Without Manipulation,2204.0,2204.0,,,0 HCPCS,27808,Hc Closed Treatment Of Bimalleolar Ankle Fracture ; Without Manipulation-Pbb,3975.5,3975.5,,,0 HCPCS,27808,Pr Closed Tx Bimalleolar Ankle Fracture W/O Manj-Pbb,3542.0,3542.0,,,0 HCPCS,27808,Treatment of ankle fracture,,,264.33,3399.0,4 HCPCS,27810,Hc Closed Treatment Of Bimalleolar Ankle Fracture ; With Manipulation,3119.0,3119.0,,,0 HCPCS,27810,Hc Closed Treatment Of Bimalleolar Ankle Fracture ; With Manipulation-Pbb,6071.5,6071.5,,,0 HCPCS,27810,Pr Closed Tx Bimalleolar Ankle Fracture W/Manj-Pbb,5905.0,5905.0,,,0 HCPCS,27810,Treatment of ankle fracture,,,1723.15,5007.0,4 HCPCS,27814,Treatment of ankle fracture,,,7775.89,24760.0,4 HCPCS,27816,Hc Closed Treatment Of Trimalleolar Ankle Fracture; Without Manipulation,1046.0,1046.0,,,0 HCPCS,27816,Hc Closed Treatment Of Trimalleolar Ankle Fracture; Without Manipulation-Pbb,2719.5,2719.5,,,0 HCPCS,27816,Pr Cltx Trimalleolar Ankle Fx W/O Manipulation-Pbb,3347.0,3347.0,,,0 HCPCS,27816,Treatment of ankle fracture,,,264.33,3399.0,4 HCPCS,27818,Hc Closed Treatment Of Trimalleolar Ankle Fracture; With Manipulation,3211.0,3211.0,,,0 HCPCS,27818,Hc Closed Treatment Of Trimalleolar Ankle Fracture; With Manipulation-Pbb,5587.5,5587.5,,,0 HCPCS,27818,Pr Cltx Trimalleolar Ankle Fx W/Manipulation-Pbb,4753.0,4753.0,,,0 HCPCS,27818,Treatment of ankle fracture,,,1723.15,5007.0,4 HCPCS,27822,Treatment of ankle fracture,,,7775.89,24760.0,4 HCPCS,27823,Treatment of ankle fracture,,,7775.89,24760.0,4 HCPCS,27824,"Hc Clsd Tx Fx Of Weight Bearing Articular Portion Of Tibira, W/Or W/Out Anes; W/Out Manip",2062.0,2062.0,,,0 HCPCS,27824,"Hc Clsd Tx Fx Of Weight Bearing Articular Portion Of Tibira, W/Or W/Out Anes; W/Out Manip-Pbb",3833.0,3833.0,,,0 HCPCS,27824,Pr Cltx Fx W8 Brg Artclr Prtn Dstl Tibia W/O Manj-Pbb,3542.0,3542.0,,,0 HCPCS,27824,Treat lower leg fracture,,,264.33,3399.0,4 HCPCS,27825,"Hc Closed Treatmnt Of Fracture Of Weight Bearing Articular Portion Of Dstl Tibia, W/ Skeletal Tractn",6127.0,6127.0,,,0 HCPCS,27825,Treat lower leg fracture,,,1723.15,7272.0,4 HCPCS,27826,Treat lower leg fracture,,,7775.89,24760.0,4 HCPCS,27827,Treat lower leg fracture,,,13758.17,24760.0,4 HCPCS,27828,Treat lower leg fracture,,,13758.17,24760.0,4 HCPCS,27829,Treat lower leg joint,,,7775.89,24760.0,4 HCPCS,27830,Hc Closed Treatment Of Proximal Tibiofibular Joint Disclocation; Without Anesthesia,806.0,806.0,,,0 HCPCS,27830,Hc Closed Treatment Of Proximal Tibiofibular Joint Disclocation; Without Anesthesia-Pbb,2675.0,2675.0,,,0 HCPCS,27830,Pr Cltx Prox Tibfib Jt Dislc W/O Anes-Pbb,3738.0,3738.0,,,0 HCPCS,27830,Treat lower leg dislocation,,,264.33,3399.0,4 HCPCS,27831,Treat lower leg dislocation,,,3506.34,5084.19,4 HCPCS,27832,Treat lower leg dislocation,,,7775.89,24760.0,4 HCPCS,27840,Hc Closed Treatment Of Ankle Discloation; Without Anesthesia,2476.0,2476.0,,,0 HCPCS,27840,Hc Closed Treatment Of Ankle Discloation; Without Anesthesia-Pbb,4345.0,4345.0,,,0 HCPCS,27840,NDC Description Not Available,63.17,63.17,,,0 HCPCS,27840,Pr Closed Tx Ankle Dislocation W/O Anesthesia-Pbb,3738.0,3738.0,,,0 HCPCS,27840,Treat ankle dislocation,,,264.33,3399.0,4 HCPCS,27842,"Hc Closed Treatment Of Ankle Discloation; Requiring Anesthesia, W/ Or W/Out Perc Skeletal Fixation",6053.0,6053.0,,,0 HCPCS,27842,"Hc Closed Treatment Of Ankle Discloation; Requiring Anesthesia, W/ Or W/Out Perc Skeletal Fixation-P",9494.0,9494.0,,,0 HCPCS,27842,Pr Cltx Ankle Dislc Req Anes W/Wo Prq Skel Fixj-Pbb,6882.0,6882.0,,,0 HCPCS,27842,Treat ankle dislocation,,,1723.15,7272.0,4 HCPCS,27846,Treat ankle dislocation,,,7775.89,24760.0,4 HCPCS,27848,Treat ankle dislocation,,,7775.89,24760.0,4 HCPCS,27860,Fixation of ankle joint,,,3506.34,7272.0,4 HCPCS,27870,Fusion of ankle joint open,,,13758.17,24760.0,4 HCPCS,27871,Fusion of tibiofibular joint,,,13758.17,24760.0,4 HCPCS,27880,Amputation of lower leg,,,7775.89,36418.0,4 HCPCS,27881,Amputation of lower leg,,,3506.34,24760.0,4 HCPCS,27882,Amputation of lower leg,,,3506.34,24760.0,4 HCPCS,27884,Amputation follow-up surgery,,,3506.34,11000.0,4 HCPCS,27886,Amputation follow-up surgery,,,3506.34,24760.0,4 HCPCS,27888,Amputation of foot at ankle,,,3506.34,24760.0,4 HCPCS,27889,Amputation of foot at ankle,,,7775.89,14227.0,4 HCPCS,27892,Decompression of leg,,,3506.34,14227.0,4 HCPCS,27893,Decompression of leg,,,7775.89,14227.0,4 HCPCS,27894,Decompression of leg,,,3506.34,14227.0,4 HCPCS,27899,Hc Unlisted Procedure Leg/Ankle,8567.0,8567.0,,,0 HCPCS,27899,Leg/ankle surgery procedure,,,264.33,3399.0,4 HCPCS,28001,Drainage of bursa of foot,,,1769.88,7272.0,4 HCPCS,28002,Treatment of foot infection,,,1723.15,11000.0,4 HCPCS,28003,Treatment of foot infection,,,3506.34,11000.0,4 HCPCS,28005,Treat foot bone lesion,,,3506.34,11000.0,4 HCPCS,28008,"Hc Fasciotomty, Foot And/Or Toe",8713.0,8713.0,,,0 HCPCS,28008,"Hc Fasciotomty, Foot And/Or Toe-Pbb",10498.5,10498.5,,,0 HCPCS,28008,Incision of foot fascia,,,3506.34,11000.0,4 HCPCS,28008,Pr Fasciotomy Foot&/Toe-Pbb,3571.0,3571.0,,,0 HCPCS,28010,Incision of toe tendon,,,1723.15,11000.0,4 HCPCS,28011,Incision of toe tendons,,,1723.15,11000.0,4 HCPCS,28020,Exploration of foot joint,,,3506.34,11000.0,4 HCPCS,28022,Exploration of foot joint,,,3506.34,11000.0,4 HCPCS,28024,Exploration of toe joint,,,1723.15,11000.0,4 HCPCS,28035,Decompression of tibia nerve,,,2092.58,11000.0,4 HCPCS,28039,Exc foot/toe tum sc 1.5 cm/>,,,3112.75,11000.0,4 HCPCS,28039,"Hc Excision, Tumor, Soft Tissue Of Foot Or Toe, Subcutaneous; 1.5 Cm Or Greater",8748.0,8748.0,,,0 HCPCS,28039,"Hc Excision, Tumor, Soft Tissue Of Foot Or Toe, Subcutaneous; 1.5 Cm Or Greater-Pbb",10080.5,10080.5,,,0 HCPCS,28039,Pr Excision Tumor Soft Tis Foot/Toe Subq 1.5 Cm/>-Pbb,2665.0,2665.0,,,0 HCPCS,28041,Exc foot/toe tum dep 1.5cm/>,,,3112.75,11000.0,4 HCPCS,28043,Exc foot/toe tum sc < 1.5 cm,,,1769.88,7272.0,4 HCPCS,28043,"Hc Excision, Tumor, Soft Tissue Of Foot Or Toe, Subcutaneous; Less Than 1.5 Cm",5795.0,5795.0,,,0 HCPCS,28043,"Hc Excision, Tumor, Soft Tissue Of Foot Or Toe, Subcutaneous; Less Than 1.5 Cm-Pbb",7741.5,7741.5,,,0 HCPCS,28043,Pr Excision Tumor Soft Tissue Foot/Toe Subq <1.5Cm-Pbb,3893.0,3893.0,,,0 HCPCS,28045,Exc foot/toe tum deep <1.5cm,,,3112.75,7272.0,4 HCPCS,28046,Resect foot/toe tumor < 3 cm,,,3112.75,7272.0,4 HCPCS,28047,Resect foot/toe tumor 3 cm/>,,,3112.75,11000.0,4 HCPCS,28050,Biopsy of foot joint lining,,,3506.34,11000.0,4 HCPCS,28052,Biopsy of foot joint lining,,,3506.34,11000.0,4 HCPCS,28054,Biopsy of toe joint lining,,,3506.34,11000.0,4 HCPCS,28055,Neurectomy foot,,,2092.58,11000.0,4 HCPCS,28060,"Hc Fasciectomy, Plantar Fascia; Partial",8713.0,8713.0,,,0 HCPCS,28060,"Hc Fasciectomy, Plantar Fascia; Partial-Pbb",10891.5,10891.5,,,0 HCPCS,28060,Partial removal foot fascia,,,3506.34,11000.0,4 HCPCS,28060,Pr Fasciectomy Plantar Fascia Partial Spx-Pbb,4357.0,4357.0,,,0 HCPCS,28062,Removal of foot fascia,,,3506.34,11000.0,4 HCPCS,28070,Removal of foot joint lining,,,7775.89,11275.05,4 HCPCS,28072,Removal of foot joint lining,,,3506.34,11000.0,4 HCPCS,28080,Removal of foot lesion,,,1723.15,11000.0,4 HCPCS,28086,Excise foot tendon sheath,,,3506.34,11000.0,4 HCPCS,28088,Excise foot tendon sheath,,,3506.34,11000.0,4 HCPCS,28090,Removal of foot lesion,,,1723.15,11000.0,4 HCPCS,28092,Removal of toe lesions,,,1723.15,11000.0,4 HCPCS,28100,Removal of ankle/heel lesion,,,3506.34,11000.0,4 HCPCS,28102,Remove/graft foot lesion,,,7775.89,24760.0,4 HCPCS,28103,Remove/graft foot lesion,,,7775.89,24760.0,4 HCPCS,28104,Removal of foot lesion,,,3506.34,11000.0,4 HCPCS,28106,Remove/graft foot lesion,,,7775.89,24760.0,4 HCPCS,28107,Remove/graft foot lesion,,,7775.89,24760.0,4 HCPCS,28108,Removal of toe lesions,,,1723.15,11000.0,4 HCPCS,28110,Part removal of metatarsal,,,3506.34,11000.0,4 HCPCS,28111,Part removal of metatarsal,,,3506.34,11000.0,4 HCPCS,28112,Part removal of metatarsal,,,3506.34,11000.0,4 HCPCS,28113,Part removal of metatarsal,,,3506.34,11000.0,4 HCPCS,28114,Removal of metatarsal heads,,,3506.34,11000.0,4 HCPCS,28116,Revision of foot,,,3506.34,11000.0,4 HCPCS,28118,Removal of heel bone,,,3506.34,11000.0,4 HCPCS,28119,Removal of heel spur,,,3506.34,11000.0,4 HCPCS,28120,Part removal of ankle/heel,,,3506.34,11000.0,4 HCPCS,28122,Partial removal of foot bone,,,3506.34,11000.0,4 HCPCS,28124,Partial removal of toe,,,3506.34,11000.0,4 HCPCS,28126,Partial removal of toe,,,3506.34,11000.0,4 HCPCS,28130,Removal of ankle bone,,,7775.89,11275.05,4 HCPCS,28140,Removal of metatarsal,,,3506.34,11000.0,4 HCPCS,28150,Removal of toe,,,3506.34,11000.0,4 HCPCS,28153,Partial removal of toe,,,3506.34,11000.0,4 HCPCS,28160,Partial removal of toe,,,3506.34,11000.0,4 HCPCS,28171,Resect tarsal tumor,,,3506.34,11000.0,4 HCPCS,28173,Resect metatarsal tumor,,,3506.34,11000.0,4 HCPCS,28175,Resect phalanx of toe tumor,,,1723.15,11000.0,4 HCPCS,28190,"Hc Removal Foreign Body, Foot, Sq",4151.0,4151.0,,,0 HCPCS,28190,"Hc Removal Foreign Body, Foot, Sq-Pbb",4996.5,4996.5,,,0 HCPCS,28190,Pr Removal Foreign Body Foot Subcutaneous-Pbb,1691.0,1691.0,,,0 HCPCS,28190,Removal of foot foreign body,,,758.85,5007.0,4 HCPCS,28192,Removal of foot foreign body,,,1769.88,7272.0,4 HCPCS,28193,Removal of foot foreign body,,,1769.88,5007.0,4 HCPCS,28200,Repair of foot tendon,,,3506.34,11000.0,4 HCPCS,28202,Repair/graft of foot tendon,,,7775.89,11275.05,4 HCPCS,28208,"Hc Repair, Tendon, Extensor, Foot; Primary/Secondary, Each Tendon",10278.0,10278.0,,,0 HCPCS,28208,Repair of foot tendon,,,3506.34,11000.0,4 HCPCS,28210,Repair/graft of foot tendon,,,7775.89,24760.0,4 HCPCS,28220,Release of foot tendon,,,1723.15,11000.0,4 HCPCS,28222,Release of foot tendons,,,3506.34,11000.0,4 HCPCS,28225,Release of foot tendon,,,3506.34,11000.0,4 HCPCS,28226,Release of foot tendons,,,3506.34,11000.0,4 HCPCS,28230,Incision of foot tendon(s),,,1723.15,11000.0,4 HCPCS,28232,Incision of toe tendon,,,1723.15,11000.0,4 HCPCS,28234,Incision of foot tendon,,,1723.15,11000.0,4 HCPCS,28238,Revision of foot tendon,,,7775.89,24760.0,4 HCPCS,28240,Release of big toe,,,3506.34,11000.0,4 HCPCS,28250,Revision of foot fascia,,,3506.34,11000.0,4 HCPCS,28260,Release of midfoot joint,,,3506.34,11000.0,4 HCPCS,28261,Revision of foot tendon,,,1723.15,11000.0,4 HCPCS,28262,Revision of foot and ankle,,,7775.89,11275.05,4 HCPCS,28264,Release of midfoot joint,,,1723.15,22280.0,4 HCPCS,28270,Release of foot contracture,,,3506.34,11000.0,4 HCPCS,28272,Release of toe joint each,,,1723.15,11000.0,4 HCPCS,28280,Fusion of toes,,,3506.34,11000.0,4 HCPCS,28285,Repair of hammertoe,,,3506.34,11000.0,4 HCPCS,28286,Repair of hammertoe,,,3506.34,11000.0,4 HCPCS,28288,Partial removal of foot bone,,,3506.34,11000.0,4 HCPCS,28289,Corrj halux rigdus w/o implt,,,3506.34,11000.0,4 HCPCS,28291,Corrj halux rigdus w/implt,,,7775.89,24760.0,4 HCPCS,28292,Correction hallux valgus,,,3506.34,14227.0,4 HCPCS,28295,Correction hallux valgus,,,3506.34,14227.0,4 HCPCS,28296,Correction hallux valgus,,,3506.34,14227.0,4 HCPCS,28297,Correction hallux valgus,,,13758.17,19949.35,4 HCPCS,28298,Correction hallux valgus,,,7775.89,14227.0,4 HCPCS,28299,Correction hallux valgus,,,7775.89,14227.0,4 HCPCS,28300,Incision of heel bone,,,7775.89,24760.0,4 HCPCS,28302,Incision of ankle bone,,,7775.89,11275.05,4 HCPCS,28304,Incision of midfoot bones,,,7775.89,24760.0,4 HCPCS,28305,Incise/graft midfoot bones,,,7775.89,24760.0,4 HCPCS,28306,Incision of metatarsal,,,7775.89,11275.05,4 HCPCS,28307,Incision of metatarsal,,,7775.89,11275.05,4 HCPCS,28308,Incision of metatarsal,,,3506.34,11000.0,4 HCPCS,28309,Incision of metatarsals,,,7775.89,24760.0,4 HCPCS,28310,Revision of big toe,,,7775.89,11275.05,4 HCPCS,28312,Revision of toe,,,3506.34,11000.0,4 HCPCS,28313,Repair deformity of toe,,,3506.34,11000.0,4 HCPCS,28315,Removal of sesamoid bone,,,3506.34,11000.0,4 HCPCS,28320,Repair of foot bones,,,13758.17,24760.0,4 HCPCS,28322,Repair of metatarsals,,,7775.89,11275.05,4 HCPCS,28340,Resect enlarged toe tissue,,,3506.34,11000.0,4 HCPCS,28341,Resect enlarged toe,,,3506.34,11000.0,4 HCPCS,28344,Repair extra toe(s),,,3506.34,11000.0,4 HCPCS,28345,Repair webbed toe(s),,,1723.15,11000.0,4 HCPCS,28360,Reconstruct cleft foot,,,7775.89,24760.0,4 HCPCS,28400,Hc Closed Ttreatment Of Calcaneal Fracture; Without Manipulation,1648.0,1648.0,,,0 HCPCS,28400,Hc Closed Ttreatment Of Calcaneal Fracture; Without Manipulation-Pbb,3492.0,3492.0,,,0 HCPCS,28400,Pr Closed Tx Calcaneal Fracture W/O Manipulation-Pbb,3689.0,3689.0,,,0 HCPCS,28400,Treatment of heel fracture,,,264.33,3399.0,4 HCPCS,28405,Treatment of heel fracture,,,264.33,3399.0,4 HCPCS,28406,Treatment of heel fracture,,,7775.89,11275.05,4 HCPCS,28415,Treat heel fracture,,,7775.89,24760.0,4 HCPCS,28420,Treat/graft heel fracture,,,13758.17,24760.0,4 HCPCS,28430,Hc Closed Treatment Of Talus Fracture; Without Manipulation,655.0,655.0,,,0 HCPCS,28430,Hc Closed Treatment Of Talus Fracture; Without Manipulation-Pbb,2383.5,2383.5,,,0 HCPCS,28430,Pr Closed Tx Talus Fracture W/O Manipulation-Pbb,3457.0,3457.0,,,0 HCPCS,28430,Treatment of ankle fracture,,,264.33,3399.0,4 HCPCS,28435,Hc Closed Treatment Of Talus Fracture; With Manipulation,2622.0,2622.0,,,0 HCPCS,28435,Hc Closed Treatment Of Talus Fracture; With Manipulation-Pbb,4696.0,4696.0,,,0 HCPCS,28435,Pr Closed Tx Talus Fracture W/Manipulation-Pbb,4148.0,4148.0,,,0 HCPCS,28435,Treatment of ankle fracture,,,1723.15,7272.0,4 HCPCS,28436,Treatment of ankle fracture,,,7775.89,11275.05,4 HCPCS,28445,Treat ankle fracture,,,7775.89,24760.0,4 HCPCS,28446,Osteochondral talus autogrft,,,7775.89,24760.0,4 HCPCS,28450,"Hc Treatment Of Tarsal Bone Fracture; Without Manipulation, Each",1411.0,1411.0,,,0 HCPCS,28450,"Hc Treatment Of Tarsal Bone Fracture; Without Manipulation, Each-Pbb",2910.0,2910.0,,,0 HCPCS,28450,Pr Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj-Pbb,2998.0,2998.0,,,0 HCPCS,28450,Treat midfoot fracture each,,,264.33,3399.0,4 HCPCS,28455,"Hc Treatment Of Tarsal Bone Fracture; With Manipulation, Each",2244.0,2244.0,,,0 HCPCS,28455,"Hc Treatment Of Tarsal Bone Fracture; With Manipulation, Each-Pbb",4318.0,4318.0,,,0 HCPCS,28455,Pr Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj-Pbb,4148.0,4148.0,,,0 HCPCS,28455,Treat midfoot fracture each,,,1723.15,3399.0,4 HCPCS,28456,Treat midfoot fracture,,,7775.89,11275.05,4 HCPCS,28465,Treat midfoot fracture each,,,7775.89,24760.0,4 HCPCS,28470,"Hc Closed Treatment Of Metatarsal Fracture; Without Manipulation, Each",1537.0,1537.0,,,0 HCPCS,28470,"Hc Closed Treatment Of Metatarsal Fracture; Without Manipulation, Each-Pbb",2920.5,2920.5,,,0 HCPCS,28470,Pr Closed Tx Metatarsal Fracture W/O Manipulation-Pbb,2767.0,2767.0,,,0 HCPCS,28470,Treat metatarsal fracture,,,264.33,3399.0,4 HCPCS,28475,"Hc Closed Treatment Of Metatarsal Fracture; With Manipulation, Each",1843.0,1843.0,,,0 HCPCS,28475,"Hc Closed Treatment Of Metatarsal Fracture; With Manipulation, Each-Pbb",3742.5,3742.5,,,0 HCPCS,28475,Pr Cltx Metar Fx W/Manj-Pbb,3799.0,3799.0,,,0 HCPCS,28475,Treat metatarsal fracture,,,264.33,3399.0,4 HCPCS,28476,"Hc Percutaneous Skeletal Fixation Of Metatarsal Fracture, With Manipulation, Each",9505.0,9505.0,,,0 HCPCS,28476,"Hc Percutaneous Skeletal Fixation Of Metatarsal Fracture, With Manipulation, Each-Pbb",12270.0,12270.0,,,0 HCPCS,28476,Pr Prq Skel Fixj Metar Fx W/Manj-Pbb,5530.0,5530.0,,,0 HCPCS,28476,Treat metatarsal fracture,,,3506.34,11000.0,4 HCPCS,28485,Treat metatarsal fracture,,,7775.89,24760.0,4 HCPCS,28490,"Hc Closed Treatment Of Fracture Great Toe, Phalanx Or Phalanges; Without Manipulation",1046.0,1046.0,,,0 HCPCS,28490,"Hc Closed Treatment Of Fracture Great Toe, Phalanx Or Phalanges; Without Manipulation-Pbb",1823.0,1823.0,,,0 HCPCS,28490,"Neo-Synephrine Mild: 15 Ml In 1 Bottle, Spray (0225-0800-47)",6.49,6.49,,,0 HCPCS,28490,Pr Cltx Fx Grt Toe Phlx/Phlg W/O Manj-Pbb,1554.0,1554.0,,,0 HCPCS,28490,Treat big toe fracture,,,264.33,3399.0,4 HCPCS,28495,"Hc Closed Treatment Of Fracture Great Toe, Phalanx Or Phalanges; With Manipulation",1267.0,1267.0,,,0 HCPCS,28495,"Hc Closed Treatment Of Fracture Great Toe, Phalanx Or Phalanges; With Manipulation-Pbb",2305.5,2305.5,,,0 HCPCS,28495,"Neo-Synephrine Regular: 15 Ml In 1 Bottle, Spray (0225-0805-47)",6.59,6.59,,,0 HCPCS,28495,Pr Cltx Fx Grt Toe Phlx/Phlg W/Manj-Pbb,2077.0,2077.0,,,0 HCPCS,28495,Treat big toe fracture,,,264.33,3399.0,4 HCPCS,28496,Treat big toe fracture,,,3506.34,11000.0,4 HCPCS,28505,Treat big toe fracture,,,3506.34,11000.0,4 HCPCS,28510,"Hc Closed Treatment Of Fracture, Phalanx Or Phalanges, Other Than Great Toe; W/O Manipulation, Each",802.0,802.0,,,0 HCPCS,28510,"Hc Closed Treatment Of Fracture, Phalanx Or Phalanges, Other Than Great Toe; W/O Manipulation, Each-",1553.0,1553.0,,,0 HCPCS,28510,Pr Cltx Fx Phlx/Phlg Oth/Thn Grt Toe W/O Manj-Pbb,1502.0,1502.0,,,0 HCPCS,28510,Treatment of toe fracture,,,264.33,3399.0,4 HCPCS,28515,"Hc Closed Treatment Of Fracture, Phalanx Or Phalanges, Other Than Great Toe; With Manipulation, Each",2000.0,2000.0,,,0 HCPCS,28515,Pr Cltx Fx Phlx/Phlg Oth/Thn Grt Toe W/Manj-Pbb,1904.0,1904.0,,,0 HCPCS,28515,Treatment of toe fracture,,,264.33,3399.0,4 HCPCS,28525,Treat toe fracture,,,3506.34,11000.0,4 HCPCS,28530,Hc Closed Treatment Of Sesamoid Fractyre,806.0,806.0,,,0 HCPCS,28530,Hc Closed Treatment Of Sesamoid Fractyre-Pbb,1729.0,1729.0,,,0 HCPCS,28530,Pr Closed Treatment Sesamoid Fracture-Pbb,1846.0,1846.0,,,0 HCPCS,28530,Treat sesamoid bone fracture,,,264.33,3399.0,4 HCPCS,28531,Treat sesamoid bone fracture,,,7775.89,11275.05,4 HCPCS,28540,"Hc Closed Treatment Of Tarsal Bone Dislocation, Other Than Talotarsal; Without Anesthesia",974.0,974.0,,,0 HCPCS,28540,Treat foot dislocation,,,264.33,3399.0,4 HCPCS,28545,"Hc Closed Treatment Of Tarsal Bone Dislocation, Other Than Talotarsal; Requiring Anesthesia",9541.0,9541.0,,,0 HCPCS,28545,Treat foot dislocation,,,3506.34,11000.0,4 HCPCS,28546,Treat foot dislocation,,,1723.15,11000.0,4 HCPCS,28555,Repair foot dislocation,,,7775.89,24760.0,4 HCPCS,28570,Hc Treat Foot Dislocation,622.0,622.0,,,0 HCPCS,28570,Treat foot dislocation,,,264.33,3399.0,4 HCPCS,28575,Treat foot dislocation,,,3506.34,7272.0,4 HCPCS,28576,Treat foot dislocation,,,7775.89,11275.05,4 HCPCS,28585,Repair foot dislocation,,,7775.89,11275.05,4 HCPCS,28600,"Hc Closed Treatment, Tarsometatarsal Joint Dislocation; W/O Anesthesia",892.0,892.0,,,0 HCPCS,28600,Treat foot dislocation,,,264.33,3399.0,4 HCPCS,28605,Treat foot dislocation,,,264.33,3399.0,4 HCPCS,28606,Treat foot dislocation,,,3506.34,11000.0,4 HCPCS,28615,Repair foot dislocation,,,7775.89,24760.0,4 HCPCS,28630,"Hc Closed Treatment Of Metatarsophalangeal Joint Disclocation, Without Anesthesia",806.0,806.0,,,0 HCPCS,28630,"Hc Closed Treatment Of Metatarsophalangeal Joint Disclocation, Without Anesthesia-Pbb",1729.0,1729.0,,,0 HCPCS,28630,Pr Cltx Metatarsophlngl Jt Dislc W/O Anes-Pbb,1846.0,1846.0,,,0 HCPCS,28630,Treat toe dislocation,,,264.33,3399.0,4 HCPCS,28635,"Hc Closed Treatment Of Metatarsophalangeal Joint Disclocation, Requiring Anesthesia",5924.0,5924.0,,,0 HCPCS,28635,"Hc Closed Treatment Of Metatarsophalangeal Joint Disclocation, Requiring Anesthesia-Pbb",6963.0,6963.0,,,0 HCPCS,28635,Pr Cltx Metatarsophlngl Jt Dislc Req Anes-Pbb,2077.0,2077.0,,,0 HCPCS,28635,Treat toe dislocation,,,1723.15,7272.0,4 HCPCS,28636,Treat toe dislocation,,,3506.34,11000.0,4 HCPCS,28645,Repair toe dislocation,,,3506.34,11000.0,4 HCPCS,28660,"Hc Closed Treatment Of Interphalangeal Joint Disclocation, Without Anesthesia",1004.0,1004.0,,,0 HCPCS,28660,"Hc Closed Treatment Of Interphalangeal Joint Disclocation, Without Anesthesia-Pbb",1693.0,1693.0,,,0 HCPCS,28660,Pr Cltx Interphalangeal Joint Dislocation W/O Anes-Pbb,1378.0,1378.0,,,0 HCPCS,28660,Treat toe dislocation,,,264.33,3399.0,4 HCPCS,28665,"Hc Closed Treatment Of Interphalangeal Joint Disclocation, Requiring Anesthesia",3080.0,3080.0,,,0 HCPCS,28665,Treat toe dislocation,,,299.72,3399.0,4 HCPCS,28666,Treat toe dislocation,,,3506.34,11000.0,4 HCPCS,28675,Repair of toe dislocation,,,3506.34,11000.0,4 HCPCS,28705,Fusion of foot bones,,,18789.56,27244.87,4 HCPCS,28715,Fusion of foot bones,,,13758.17,24760.0,4 HCPCS,28725,Fusion of foot bones,,,13758.17,24760.0,4 HCPCS,28730,Fusion of foot bones,,,13758.17,24760.0,4 HCPCS,28735,Fusion of foot bones,,,13758.17,24760.0,4 HCPCS,28737,Revision of foot bones,,,13758.17,24760.0,4 HCPCS,28740,Fusion of foot bones,,,7775.89,24760.0,4 HCPCS,28750,Fusion of big toe joint,,,7775.89,24760.0,4 HCPCS,28755,Fusion of big toe joint,,,7775.89,11275.05,4 HCPCS,28760,Fusion of big toe joint,,,7775.89,24760.0,4 HCPCS,28800,Amputation of midfoot,,,3506.34,14227.0,4 HCPCS,28805,Amputation thru metatarsal,,,3506.34,11000.0,4 HCPCS,28810,Amputation toe & metatarsal,,,3506.34,11000.0,4 HCPCS,28820,Amputation of toe,,,3506.34,11000.0,4 HCPCS,28825,"Hc Amputation, Toe; Ip Joint",8930.0,8930.0,,,0 HCPCS,28825,Partial amputation of toe,,,3506.34,11000.0,4 HCPCS,28890,Hi enrgy eswt plantar fascia,,,1723.15,14227.0,4 HCPCS,28899,Foot/toes surgery procedure,,,264.33,3399.0,4 HCPCS,29000,Application of body cast,,,299.72,3399.0,5 HCPCS,29010,Application of body cast,,,299.72,3399.0,5 HCPCS,29015,Application of body cast,,,299.72,3399.0,5 HCPCS,29020,Application of body cast,,,654.71,654.71,1 HCPCS,29025,Application of body cast,,,510.85,510.85,1 HCPCS,29035,Application of body cast,,,299.72,3399.0,5 HCPCS,29040,Application of body cast,,,299.72,3399.0,5 HCPCS,29040,"Hc Application Of Body Cast, Should To Hips; Including Head, Minerva Type",2964.0,2964.0,,,0 HCPCS,29044,Application of body cast,,,174.14,3399.0,5 HCPCS,29046,Application of body cast,,,299.72,3399.0,5 HCPCS,29049,Application of figure eight,,,179.09,3399.0,5 HCPCS,29055,Application of shoulder cast,,,299.72,3399.0,5 HCPCS,29055,"Hc Application, Cast; Shoulder Spica",1895.0,1895.0,,,0 HCPCS,29058,Application of shoulder cast,,,299.72,3399.0,5 HCPCS,29065,Application of long arm cast,,,220.19,3399.0,5 HCPCS,29065,"Hc Application, Cast; Shoulder To Hand (Long Arm)",1049.0,1049.0,,,0 HCPCS,29065,"Hc Application, Cast; Shoulder To Hand (Long Arm)-Cast",1049.0,1049.0,,,0 HCPCS,29065,"Hc Application, Cast; Shoulder To Hand (Long Arm)-Cast,Pbb",1049.0,1049.0,,,0 HCPCS,29065,"Hc Application, Cast; Shoulder To Hand (Long Arm)-Pbb",1562.5,1562.5,,,0 HCPCS,29065,Pr Application Cast Shoulder Hand Long Arm-Pbb,1027.0,1027.0,,,0 HCPCS,29075,Application of forearm cast,,,184.96,3399.0,5 HCPCS,29075,"Hc Application, Cast; Elbow To Finger (Short Arm)",1092.0,1092.0,,,0 HCPCS,29075,"Hc Application, Cast; Elbow To Finger (Short Arm)-Cast",1092.0,1092.0,,,0 HCPCS,29075,"Hc Application, Cast; Elbow To Finger (Short Arm)-Cast,Pbb",1092.0,1092.0,,,0 HCPCS,29075,"Hc Application, Cast; Elbow To Finger (Short Arm)-Pbb",1491.0,1491.0,,,0 HCPCS,29075,Pr Application Cast Elbow Finger Short Arm-Pbb,798.0,798.0,,,0 HCPCS,29085,Apply hand/wrist cast,,,174.14,3399.0,5 HCPCS,29085,"Hc Application, Cast; Hand And Lower Forearm (Gauntlet)",940.0,940.0,,,0 HCPCS,29086,Apply finger cast,,,174.14,3399.0,4 HCPCS,29086,"Hc Application, Cast; Finger (Eg, Contracture)",834.0,834.0,,,0 HCPCS,29105,Apply long arm splint,,,174.14,3399.0,5 HCPCS,29105,Hc Application Long Arm Splint,641.0,641.0,,,0 HCPCS,29105,Hc Application Long Arm Splint-Cast,641.0,641.0,,,0 HCPCS,29105,"Hc Application Long Arm Splint-Cast,Pbb",641.0,641.0,,,0 HCPCS,29105,Hc Application Long Arm Splint-Pbb,1154.5,1154.5,,,0 HCPCS,29105,Pr Application Long Arm Splint Shoulder Hand-Pbb,1027.0,1027.0,,,0 HCPCS,29125,Apply forearm splint,,,129.18,3399.0,5 HCPCS,29125,Hc Application Of Short Arm Splint (Forearm To Hand); Static,1094.0,1094.0,,,0 HCPCS,29125,"Hc Application Of Short Arm Splint (Forearm To Hand); Static-Cast,Pbb",1094.0,1094.0,,,0 HCPCS,29125,Hc Application Of Short Arm Splint (Forearm To Hand); Static-Pbb,1389.0,1389.0,,,0 HCPCS,29125,Pr Application Short Arm Splint Forearm-Hand Static-Pbb,589.0,589.0,,,0 HCPCS,29126,Apply forearm splint,,,142.58,3399.0,5 HCPCS,29126,Hc Application Of Short Arm Splint; Dynamic,1346.0,1346.0,,,0 HCPCS,29130,Application of finger splint,,,93.95,3399.0,5 HCPCS,29130,Hc Application Finger Splint; Static,847.0,847.0,,,0 HCPCS,29131,Application of finger splint,,,63.22,3399.0,5 HCPCS,29131,Hc Application Of Finger Splint; Dynamic,984.0,984.0,,,0 HCPCS,29200,Strapping of chest,,,126.24,3399.0,5 HCPCS,29220,Strapping of low back,,,137.99,137.99,1 HCPCS,29240,Hc Strapping; Shoulder,538.0,538.0,,,0 HCPCS,29240,Strapping of shoulder,,,142.58,3399.0,5 HCPCS,29260,Hc Strapping; Elbow Or Wrist,618.0,618.0,,,0 HCPCS,29260,Strapping of elbow or wrist,,,63.22,3399.0,4 HCPCS,29280,Hc Strapping; Hand Or Finger,1002.0,1002.0,,,0 HCPCS,29280,Strapping of hand or finger,,,63.22,3399.0,5 HCPCS,29305,Application of hip cast,,,299.72,3399.0,5 HCPCS,29305,Hc Application Of Hip Spica Cast; 1 Leg,3428.0,3428.0,,,0 HCPCS,29305,Hc Application Of Hip Spica Cast; 1 Leg-Pbb,4274.0,4274.0,,,0 HCPCS,29305,Pr Application Hip Spica Cast 1 Leg-Pbb,1692.0,1692.0,,,0 HCPCS,29325,Application of hip casts,,,299.72,3399.0,5 HCPCS,29325,Hc Application Of Hip Spica Cast; 1 And One-Half Spica Or Both Legs,4994.0,4994.0,,,0 HCPCS,29325,Hc Application Of Hip Spica Cast; 1 And One-Half Spica Or Both Legs-Pbb,6020.0,6020.0,,,0 HCPCS,29325,Pr Appl Hip Spica Cast One&One-Half Spica/Both Legs-Pbb,2052.0,2052.0,,,0 HCPCS,29345,Application of long leg cast,,,299.72,3399.0,5 HCPCS,29345,Hc Application Of Long Leg Cast (Thigh To Toes),2191.0,2191.0,,,0 HCPCS,29345,Hc Application Of Long Leg Cast (Thigh To Toes)-Cast,2191.0,2191.0,,,0 HCPCS,29345,"Hc Application Of Long Leg Cast (Thigh To Toes)-Cast,Pbb",2191.0,2191.0,,,0 HCPCS,29345,Hc Application Of Long Leg Cast (Thigh To Toes)-Pbb,2629.5,2629.5,,,0 HCPCS,29345,Pr Application Long Leg Cast Thigh-Toe-Pbb,877.0,877.0,,,0 HCPCS,29355,Application of long leg cast,,,299.72,3399.0,5 HCPCS,29358,Apply long leg cast brace,,,299.72,3399.0,5 HCPCS,29365,Application of long leg cast,,,275.97,3399.0,5 HCPCS,29365,Hc Application Of Cynlinder Cast,1374.0,1374.0,,,0 HCPCS,29405,Apply short leg cast,,,217.26,3399.0,5 HCPCS,29405,Hc Application Of Short Leg Cast (Below Knee To Toes),1150.0,1150.0,,,0 HCPCS,29405,Hc Application Of Short Leg Cast (Below Knee To Toes)-Pbb,1622.0,1622.0,,,0 HCPCS,29405,Pr Application Short Leg Cast Below Knee-Toe-Pbb,944.0,944.0,,,0 HCPCS,29425,Apply short leg cast,,,258.36,3399.0,5 HCPCS,29425,Hc Application Of Short Leg Cast; Walking Or Ambulatory Type,853.0,853.0,,,0 HCPCS,29425,Hc Application Of Short Leg Cast; Walking Or Ambulatory Type-Pbb,1325.5,1325.5,,,0 HCPCS,29425,Pr Application Short Leg Cast Walking/Ambulatory-Pbb,944.0,944.0,,,0 HCPCS,29435,Apply short leg cast,,,299.72,3399.0,5 HCPCS,29435,Hc Application Of Patellar Tendon Bearing (Ptb) Cast,2156.0,2156.0,,,0 HCPCS,29440,Addition of walker to cast,,,129.18,3399.0,5 HCPCS,29445,Apply rigid leg cast,,,299.72,3399.0,5 HCPCS,29445,Hc Apply Rigid Total Contact Leg Cast,884.0,884.0,,,0 HCPCS,29450,Application of leg cast,,,174.14,3399.0,5 HCPCS,29450,"Hc Application Of Clubfoot Cast With Molding Or Manipulation, Long Or Short Leg-Cast",605.0,605.0,,,0 HCPCS,29450,"Hc Application Of Clubfoot Cast With Molding Or Manipulation, Long Or Short Leg-Cast,Pbb",605.0,605.0,,,0 HCPCS,29450,"Hc Application Of Clubfoot Cast With Molding Or Manipulation, Long Or Short Leg-Pbb",858.0,858.0,,,0 HCPCS,29450,Pr Appl Clubfoot Cast Molding/Manj Long/Short Leg-Pbb,506.0,506.0,,,0 HCPCS,29505,Application long leg splint,,,174.14,3399.0,5 HCPCS,29505,Hc Application Ofl Ong Leg Splint,1108.0,1108.0,,,0 HCPCS,29515,Application lower leg splint,,,158.54,3399.0,5 HCPCS,29515,Hc Application Of Short Leg Splint (Calf To Foot),1024.0,1024.0,,,0 HCPCS,29515,Hc Application Of Short Leg Splint (Calf To Foot)-Cast,1024.0,1024.0,,,0 HCPCS,29515,"Hc Application Of Short Leg Splint (Calf To Foot)-Cast,Pbb",1024.0,1024.0,,,0 HCPCS,29515,Hc Application Of Short Leg Splint (Calf To Foot)-Pbb,1453.5,1453.5,,,0 HCPCS,29515,Pr Application Short Leg Splint Calf Foot-Pbb,859.0,859.0,,,0 HCPCS,29520,Strapping of hip,,,117.44,3399.0,5 HCPCS,29530,Hc Strapping; Knee,677.0,677.0,,,0 HCPCS,29530,Strapping of knee,,,123.31,3399.0,5 HCPCS,29540,Hc Strapping; Ankle And/Or Foot,463.0,463.0,,,0 HCPCS,29540,Hc Strapping; Ankle And/Or Foot-Pbb,649.0,649.0,,,0 HCPCS,29540,Pr Strapping Ankle &/Foot-Pbb,372.0,372.0,,,0 HCPCS,29540,Strapping of ankle and/or ft,,,105.69,3399.0,5 HCPCS,29550,Hc Foot-Strapping; Toes,349.0,349.0,,,0 HCPCS,29550,Hc Foot-Strapping; Toes-Pbb,465.0,465.0,,,0 HCPCS,29550,Pr Strapping Toes-Pbb,232.0,232.0,,,0 HCPCS,29550,Strapping of toes,,,63.22,3399.0,5 HCPCS,29580,Application of paste boot,,,174.14,3399.0,5 HCPCS,29580,Hc Strapping; Unna Boot,879.6,879.6,,,0 HCPCS,29580,Hc Strapping; Unna Boot-Pbb,1143.0,1143.0,,,0 HCPCS,29580,Pr Strapping Unna Boot-Pbb,527.0,527.0,,,0 HCPCS,29581,Apply multlay comprs lwr leg,,,174.14,3399.0,4 HCPCS,29581,"Hc Application Of Multi-Layer Compression System; Leg, Including Ankle And Foot",689.0,689.0,,,0 HCPCS,29581,"Hc Application Of Multi-Layer Compression System; Leg, Including Ankle And Foot-Pbb",750.0,750.0,,,0 HCPCS,29581,Pr Appl Mltlayr Compres Leg Below Knee W/Ankle Foot-Pbb,122.0,122.0,,,0 HCPCS,29584,Appl multlay comprs arm/hand,,,174.14,3399.0,4 HCPCS,29584,"Hc Application Of Multi-Layer Compression System; Upper Arm, Forearm, Hand, And Fingers",684.0,684.0,,,0 HCPCS,29590,Application of foot splint,,,143.86,143.86,1 HCPCS,29700,Hc Removal/Bivalving Gauntlet Boot/Body Cast,907.0,907.0,,,0 HCPCS,29700,Removal/revision of cast,,,120.37,3399.0,5 HCPCS,29705,Hc Cast Bivalving; Full Arm Or Leg Cast,626.0,626.0,,,0 HCPCS,29705,Hc Cast Removal,626.0,626.0,,,0 HCPCS,29705,Removal/revision of cast,,,152.67,3399.0,5 HCPCS,29710,"Hc Removal Or Bivalving; Shoulder Or Hip Spica, Minerva, Or Risser Jacket, Etc.",1183.0,1183.0,,,0 HCPCS,29710,Removal/revision of cast,,,252.49,3399.0,5 HCPCS,29715,Removal/revision of cast,,,234.87,234.87,1 HCPCS,29720,Repair of body cast,,,146.8,3399.0,5 HCPCS,29730,Hc Windowing Of Cast,461.0,461.0,,,0 HCPCS,29730,Windowing of cast,,,174.14,3399.0,4 HCPCS,29740,Hc Wedging Of Cast-Cast,738.0,738.0,,,0 HCPCS,29740,"Hc Wedging Of Cast-Cast,Pbb",738.0,738.0,,,0 HCPCS,29740,Hc Wedging Of Cast-Pbb,1397.0,1397.0,,,0 HCPCS,29740,Pr Wedging Cast Except Clubfoot Casts-Pbb,1318.0,1318.0,,,0 HCPCS,29740,Wedging of cast,,,211.38,3399.0,5 HCPCS,29750,Wedging of clubfoot cast,,,243.68,3399.0,5 HCPCS,29799,Casting/strapping procedure,,,174.14,3399.0,4 HCPCS,29799,Hc Unlisted Procedure Casting/Strapping,1590.0,1590.0,,,0 HCPCS,29800,Jaw arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29804,Jaw arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29805,Shoulder arthroscopy dx,,,3506.34,14227.0,4 HCPCS,29806,Shoulder arthroscopy/surgery,,,7775.89,24760.0,4 HCPCS,29807,Shoulder arthroscopy/surgery,,,7775.89,24760.0,4 HCPCS,29819,Shoulder arthroscopy/surgery,,,3506.34,24760.0,4 HCPCS,29820,Shoulder arthroscopy/surgery,,,7775.89,24760.0,4 HCPCS,29821,Shoulder arthroscopy/surgery,,,3506.34,24760.0,4 HCPCS,29822,Shoulder arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29823,Shoulder arthroscopy/surgery,,,3506.34,24760.0,4 HCPCS,29824,Shoulder arthroscopy/surgery,,,3506.34,24760.0,4 HCPCS,29825,Shoulder arthroscopy/surgery,,,3506.34,24760.0,4 HCPCS,29826,Shoulder arthroscopy/surgery,,,3399.0,3399.0,1 HCPCS,29827,Arthroscop rotator cuff repr,,,7775.89,24760.0,4 HCPCS,29828,Arthroscopy biceps tenodesis,,,7775.89,24760.0,4 HCPCS,29830,Elbow arthroscopy,,,3506.34,24760.0,4 HCPCS,29834,Elbow arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29835,Elbow arthroscopy/surgery,,,3506.34,24760.0,4 HCPCS,29836,Elbow arthroscopy/surgery,,,7775.89,24760.0,4 HCPCS,29837,Elbow arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29838,Elbow arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29840,Wrist arthroscopy,,,3506.34,14227.0,4 HCPCS,29843,Wrist arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29844,Wrist arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29845,Wrist arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29846,Wrist arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29847,Wrist arthroscopy/surgery,,,7775.89,24760.0,4 HCPCS,29848,"Hc Endoscopy, Wrist, Surgical, W/ Release, Transverse Carpal Ligament-Pbb",5860.5,5860.5,,,0 HCPCS,29848,Pr Ndsc Wrst Surg W/Rls Transvrs Carpl Ligm-Pbb,4069.0,4069.0,,,0 HCPCS,29848,Wrist endoscopy/surgery,,,1723.15,14227.0,4 HCPCS,29850,Knee arthroscopy/surgery,,,1723.15,14227.0,4 HCPCS,29851,Knee arthroscopy/surgery,,,1723.15,22280.0,4 HCPCS,29855,Tibial arthroscopy/surgery,,,7775.89,24760.0,4 HCPCS,29856,Tibial arthroscopy/surgery,,,13758.17,24760.0,4 HCPCS,29860,Hip arthroscopy dx,,,7775.89,24760.0,4 HCPCS,29861,Hip arthro w/fb removal,,,7775.89,24760.0,4 HCPCS,29862,Hip arthr0 w/debridement,,,7775.89,24760.0,4 HCPCS,29863,Hip arthr0 w/synovectomy,,,3506.34,24760.0,4 HCPCS,29866,Autgrft implnt knee w/scope,,,7775.89,24760.0,4 HCPCS,29867,Allgrft implnt knee w/scope,,,13758.17,24760.0,4 HCPCS,29868,Meniscal trnspl knee w/scpe,,,7775.89,24760.0,4 HCPCS,29870,Knee arthroscopy dx,,,3506.34,14227.0,4 HCPCS,29871,Knee arthroscopy/drainage,,,3506.34,14227.0,4 HCPCS,29873,Knee arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29874,Knee arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29875,Knee arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29876,Knee arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29877,Knee arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29879,Knee arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29880,Knee arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29881,Knee arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29882,Knee arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29883,Knee arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29884,Knee arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29885,Knee arthroscopy/surgery,,,7775.89,24760.0,4 HCPCS,29886,Knee arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29887,Knee arthroscopy/surgery,,,7775.89,14227.0,4 HCPCS,29888,Knee arthroscopy/surgery,,,7775.89,24760.0,4 HCPCS,29889,Knee arthroscopy/surgery,,,13758.17,24760.0,4 HCPCS,29891,Ankle arthroscopy/surgery,,,3506.34,24760.0,4 HCPCS,29892,Ankle arthroscopy/surgery,,,7775.89,22280.0,4 HCPCS,29893,Scope plantar fasciotomy,,,3506.34,11000.0,4 HCPCS,29894,Ankle arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29895,Ankle arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29897,Ankle arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29898,Ankle arthroscopy/surgery,,,3506.34,14227.0,4 HCPCS,29899,Ankle arthroscopy/surgery,,,7775.89,24760.0,4 HCPCS,29900,Mcp joint arthroscopy dx,,,3506.34,14227.0,4 HCPCS,29901,Mcp joint arthroscopy surg,,,3506.34,24760.0,4 HCPCS,29902,Mcp joint arthroscopy surg,,,1723.15,14227.0,4 HCPCS,29904,Subtalar arthro w/fb rmvl,,,3506.34,14227.0,4 HCPCS,29905,Subtalar arthro w/exc,,,7775.89,14227.0,4 HCPCS,29906,Subtalar arthro w/deb,,,3506.34,14227.0,4 HCPCS,29907,Subtalar arthro w/fusion,,,13758.17,24760.0,4 HCPCS,29914,Hip arthro w/femoroplasty,,,7775.89,24760.0,4 HCPCS,29915,Hip arthro acetabuloplasty,,,7775.89,24760.0,4 HCPCS,29916,Hip arthro w/labral repair,,,7775.89,24760.0,4 HCPCS,29999,Arthroscopy of joint,,,264.33,3399.0,4 HCPCS,30000,Drainage of nose lesion,,,253.81,3399.0,4 HCPCS,30020,Drainage of nose lesion,,,577.95,3399.0,4 HCPCS,30020,"Hc Drainage Abcess Or Hematoma, Nasal Septum",4279.0,4279.0,,,0 HCPCS,30020,"Hc Drainage Abcess Or Hematoma, Nasal Septum-Pbb",4956.0,4956.0,,,0 HCPCS,30020,Pr Drainage Abscess/Hematoma Nasal Septum-Pbb,1354.0,1354.0,,,0 HCPCS,30100,"Hc Biopsy, Intranasal",2744.0,2744.0,,,0 HCPCS,30100,"Hc Biopsy, Intranasal-Pbb",3236.0,3236.0,,,0 HCPCS,30100,Intranasal biopsy,,,1662.71,7272.0,4 HCPCS,30100,Pr Biopsy Intranasal-Pbb,984.0,984.0,,,0 HCPCS,30110,Removal of nose polyp(s),,,1662.71,7272.0,4 HCPCS,30115,Hc Excision Nasal Polyp Extension,9346.0,9346.0,,,0 HCPCS,30115,Hc Excision Nasal Polyp Extension-Pbb,11474.0,11474.0,,,0 HCPCS,30115,Pr Excision Nasal Polyp Extensive-Pbb,4256.0,4256.0,,,0 HCPCS,30115,Removal of nose polyp(s),,,3552.91,11000.0,4 HCPCS,30117,"Hc Excision Or Destruction, Intranasal Lesion; Internal Approach",6083.0,6083.0,,,0 HCPCS,30117,"Hc Excision Or Destruction, Intranasal Lesion; Internal Approach-Pbb",7721.5,7721.5,,,0 HCPCS,30117,Pr Excision/Destruction Intranasal Lesion Int Appr-Pbb,3277.0,3277.0,,,0 HCPCS,30117,Removal of intranasal lesion,,,3552.91,7272.0,4 HCPCS,30118,Removal of intranasal lesion,,,3552.91,11000.0,4 HCPCS,30120,Hc Excision Or Surgical Planning Of Skin Of Nose For Rhinophyma,9346.0,9346.0,,,0 HCPCS,30120,Hc Excision Or Surgical Planning Of Skin Of Nose For Rhinophyma Cash,2000.0,2000.0,,,0 HCPCS,30120,"Hc Excision Or Surgical Planning Of Skin Of Nose For Rhinophyma Cash-Csm,Pbb",2000.0,2000.0,,,0 HCPCS,30120,Hc Excision Or Surgical Planning Of Skin Of Nose For Rhinophyma-Pbb,14071.0,14071.0,,,0 HCPCS,30120,Pr Excision/Surgical Planing Skin Nose Rhinophyma-Pbb,9450.0,9450.0,,,0 HCPCS,30120,Revision of nose,,,3552.91,11000.0,4 HCPCS,30124,Removal of nose lesion,,,1662.71,7272.0,4 HCPCS,30125,Removal of nose lesion,,,6343.8,22280.0,4 HCPCS,30130,Excise inferior turbinate,,,3552.91,11000.0,4 HCPCS,30140,"Hc Submucous Resection Inferior Turbinate, Partial Or Complete, Any Method",9346.0,9346.0,,,0 HCPCS,30140,"Hc Submucous Resection Inferior Turbinate, Partial Or Complete, Any Method-Pbb",12376.0,12376.0,,,0 HCPCS,30140,Pr Submucous Rescj Inferior Turbinate Prtl/Compl-Pbb,6060.0,6060.0,,,0 HCPCS,30140,Resect inferior turbinate,,,3552.91,11000.0,4 HCPCS,30150,Partial removal of nose,,,6343.8,22280.0,4 HCPCS,30160,Removal of nose,,,6343.8,22280.0,4 HCPCS,30200,"Hc Injection Into Turbinate, Therapeutic",2729.0,2729.0,,,0 HCPCS,30200,"Hc Injection Into Turbinate, Therapeutic-Pbb",3056.5,3056.5,,,0 HCPCS,30200,Injection treatment of nose,,,577.95,3399.0,4 HCPCS,30200,Pr Injection Turbinate Therapeutic-Pbb,655.0,655.0,,,0 HCPCS,30210,Nasal sinus therapy,,,1662.71,7272.0,4 HCPCS,30220,"Hc Insertion, Nasal Septal Prosthesis",6083.0,6083.0,,,0 HCPCS,30220,"Hc Insertion, Nasal Septal Prosthesis-Pbb",7349.5,7349.5,,,0 HCPCS,30220,Insert nasal septal button,,,1662.71,7272.0,4 HCPCS,30220,Pr Insertion Nasal Septal Prosthesis Button-Pbb,2533.0,2533.0,,,0 HCPCS,30300,"Hc Removal Foreign Body, Intranasal; Office Type Procedure",1525.0,1525.0,,,0 HCPCS,30300,"Hc Removal Foreign Body, Intranasal; Office Type Procedure-Pbb",1954.5,1954.5,,,0 HCPCS,30300,Pr Removal Foreign Body Intranasal Office Procedure-Pbb,859.0,859.0,,,0 HCPCS,30300,Remove nasal foreign body,,,142.58,3399.0,4 HCPCS,30310,Remove nasal foreign body,,,3552.91,7272.0,4 HCPCS,30320,Remove nasal foreign body,,,1662.71,7272.0,4 HCPCS,30400,Reconstruction of nose,,,6343.8,11000.0,4 HCPCS,30410,Reconstruction of nose,,,6343.8,22280.0,4 HCPCS,30420,Reconstruction of nose,,,6343.8,22280.0,4 HCPCS,30430,Revision of nose,,,6343.8,11000.0,4 HCPCS,30435,Revision of nose,,,6343.8,22280.0,4 HCPCS,30450,Revision of nose,,,6343.8,22280.0,4 HCPCS,30460,Revision of nose,,,6343.8,22280.0,4 HCPCS,30462,Revision of nose,,,6343.8,22280.0,4 HCPCS,30465,Repair Nasal Stenosis,,,6343.8,22280.0,4 HCPCS,30468,Rpr nsl vlv collapse w/implt,,,6343.8,22280.0,4 HCPCS,30469,Hc Rpr Nsl Vlv Collapse Lw Nrg Subq/Sbmcsl Rmdlg,16019.0,16019.0,,,0 HCPCS,30469,Hc Rpr Nsl Vlv Collapse Lw Nrg Subq/Sbmcsl Rmdlg-Pbb,16552.5,16552.5,,,0 HCPCS,30469,Pr Rpr Nsl Vlv Collapse Lw Nrg Subq/Sbmcsl Rmdlg-Pbb,1067.0,1067.0,,,0 HCPCS,30469,Rpr nsl vlv collapse w/rmdlg,,,6343.8,22280.0,4 HCPCS,30520,Repair of nasal septum,,,3552.91,11000.0,4 HCPCS,30540,Repair nasal defect,,,6343.8,22280.0,4 HCPCS,30545,Repair nasal defect,,,6343.8,22280.0,4 HCPCS,30560,Hc Lysis Intranasl Synechia,2574.0,2574.0,,,0 HCPCS,30560,Hc Lysis Intranasl Synechia-Pbb,3274.0,3274.0,,,0 HCPCS,30560,Pr Lysis Intranasal Synechia-Pbb,1400.0,1400.0,,,0 HCPCS,30560,Release of nasal adhesions,,,577.95,3399.0,4 HCPCS,30580,Hc Repair Fistula; Orimaxillary,17526.0,17526.0,,,0 HCPCS,30580,Hc Repair Fistula; Orimaxillary-Pbb,21299.0,21299.0,,,0 HCPCS,30580,Pr Repair Fistula Oromaxillary-Pbb,7546.0,7546.0,,,0 HCPCS,30580,Repair upper jaw fistula,,,6343.8,22280.0,4 HCPCS,30600,Repair mouth/nose fistula,,,6343.8,22280.0,4 HCPCS,30620,Intranasal reconstruction,,,6343.8,22280.0,4 HCPCS,30630,Repair nasal septum defect,,,3552.91,11000.0,4 HCPCS,30801,Ablate inf turbinate superf,,,1662.71,7272.0,4 HCPCS,30801,"Hc Ablation, Soft Tissue Of Inferior Turbinates, Unilateral Or Bilateral, Any Method; Superficial",2839.0,2839.0,,,0 HCPCS,30801,"Hc Ablation, Soft Tissue Of Inferior Turbinates, Unilateral Or Bilateral, Any Method; Superficial-Pb",3615.0,3615.0,,,0 HCPCS,30801,Pr Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc-Pbb,1552.0,1552.0,,,0 HCPCS,30802,Ablate inf turbinate submuc,,,1662.71,7272.0,4 HCPCS,30802,"Hc Ablation, Soft Tissue Of Inferior Turbinates, Unilateral Or Bilateral, Any Method; Intramural",6083.0,6083.0,,,0 HCPCS,30802,"Hc Ablation, Soft Tissue Of Inferior Turbinates, Unilateral Or Bilateral, Any Method; Intramural-Pbb",7365.0,7365.0,,,0 HCPCS,30802,Pr Abltj Sof Tiss Inf Turbs Uni/Bi Supfc Intramural-Pbb,2564.0,2564.0,,,0 HCPCS,30901,Control of nosebleed,,,142.58,3399.0,4 HCPCS,30901,"Hc Control Nasal Hemorrhage, Anterior, Simple Any Method",1229.0,1229.0,,,0 HCPCS,30901,"Hc Control Nasal Hemorrhage, Anterior, Simple Any Method-Pbb",1701.0,1701.0,,,0 HCPCS,30901,Pr Control Nasal Hemorrhage Anterior Simple-Pbb,944.0,944.0,,,0 HCPCS,30903,Control of nosebleed,,,142.58,3399.0,4 HCPCS,30903,"Hc Control Nasal Hemorrhage, Anterior, Complex Any Method",1361.0,1361.0,,,0 HCPCS,30903,"Hc Control Nasal Hemorrhage, Anterior, Complex Any Method-Pbb",2061.0,2061.0,,,0 HCPCS,30903,Pr Control Nasal Hemorrhage Anterior Complex-Pbb,1400.0,1400.0,,,0 HCPCS,30905,Control of nosebleed,,,142.58,3399.0,4 HCPCS,30905,"Hc Control Nasal Hemorrhage, Posterior, W/ Posterior Nasal Packs And/Or Cautery, Any Meth, Ini",1694.0,1694.0,,,0 HCPCS,30905,"Hc Control Nasal Hemorrhage, Posterior, W/ Posterior Nasal Packs And/Or Cautery, Any Meth, Ini-Pbb",2958.5,2958.5,,,0 HCPCS,30905,Pr Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery 1St-Pbb,2528.0,2528.0,,,0 HCPCS,30906,Repeat control of nosebleed,,,253.81,3399.0,4 HCPCS,30915,Ligation nasal sinus artery,,,3383.62,14227.0,4 HCPCS,30920,Ligation upper jaw artery,,,3383.62,14227.0,4 HCPCS,30930,Ther fx nasal inf turbinate,,,3552.91,11000.0,4 HCPCS,30999,Hc Unlisted Procedure Nose,433.0,433.0,,,0 HCPCS,30999,Nasal surgery procedure,,,253.81,3399.0,4 HCPCS,31000,Hc Lavage By Cannulation; Maxillary Sinus,862.0,862.0,,,0 HCPCS,31000,Hc Lavage By Cannulation; Maxillary Sinus-Pbb,1145.0,1145.0,,,0 HCPCS,31000,Irrigation maxillary sinus,,,253.81,3399.0,4 HCPCS,31000,Pr Lavage Cannulation Maxillary Sinus-Pbb,566.0,566.0,,,0 HCPCS,31002,Irrigation sphenoid sinus,,,1662.71,7272.0,4 HCPCS,31020,Exploration maxillary sinus,,,3552.91,11000.0,4 HCPCS,31030,Exploration maxillary sinus,,,6343.8,22280.0,4 HCPCS,31032,Explore sinus remove polyps,,,6343.8,22280.0,4 HCPCS,31040,Exploration behind upper jaw,,,6343.8,11000.0,4 HCPCS,31050,Exploration sphenoid sinus,,,6343.8,22280.0,4 HCPCS,31051,Sphenoid sinus surgery,,,6343.8,22280.0,4 HCPCS,31070,Exploration of frontal sinus,,,6343.8,11000.0,4 HCPCS,31075,Exploration of frontal sinus,,,6343.8,22280.0,4 HCPCS,31080,Removal of frontal sinus,,,6343.8,22280.0,4 HCPCS,31081,Removal of frontal sinus,,,6343.8,22280.0,4 HCPCS,31084,Removal of frontal sinus,,,6343.8,22280.0,4 HCPCS,31085,Removal of frontal sinus,,,6343.8,22280.0,4 HCPCS,31086,Removal of frontal sinus,,,6343.8,22280.0,4 HCPCS,31087,Removal of frontal sinus,,,6343.8,22280.0,4 HCPCS,31090,Exploration of sinuses,,,6343.8,22280.0,4 HCPCS,31200,Removal of ethmoid sinus,,,6343.8,22280.0,4 HCPCS,31201,Removal of ethmoid sinus,,,1662.71,7272.0,4 HCPCS,31205,Removal of ethmoid sinus,,,3552.91,11000.0,4 HCPCS,31225,Removal of upper jaw,,,10008.0,10008.0,1 HCPCS,31230,Removal of upper jaw,,,10008.0,10008.0,1 HCPCS,31231,"Hc Nasal Endoscopy, Diagnostic, Unilateral Or Bilateral",1030.0,1030.0,,,0 HCPCS,31231,"Hc Nasal Endoscopy, Diagnostic, Unilateral Or Bilateral-Pbb",1545.0,1545.0,,,0 HCPCS,31231,Nasal endoscopy dx,,,213.9,3399.0,4 HCPCS,31231,Pr Nasal Endoscopy Diagnostic Uni/Bi Spx-Pbb,1030.0,1030.0,,,0 HCPCS,31233,Nasal/sinus endoscopy dx,,,419.13,3399.0,4 HCPCS,31235,"Hc Nasal/Sinus Endoscopy, Diagnostic With Sphenoid Sinuscopy",5749.0,5749.0,,,0 HCPCS,31235,"Hc Nasal/Sinus Endoscopy, Diagnostic With Sphenoid Sinuscopy-Pbb",6846.0,6846.0,,,0 HCPCS,31235,Nasal/sinus endoscopy dx,,,1907.37,7272.0,4 HCPCS,31235,Pr Nasal/Sinus Endoscopy Dx Sphenoid Sinusoscopy-Pbb,2194.0,2194.0,,,0 HCPCS,31237,"Hc Nasal/Sinus Endoscopy, Surgical; With Biopsy, Polypectomy Or Debridement",8223.0,8223.0,,,0 HCPCS,31237,"Hc Nasal/Sinus Endoscopy, Surgical; With Biopsy, Polypectomy Or Debridement-Pbb",8981.7,8981.7,,,0 HCPCS,31237,Nasal/sinus endoscopy surg,,,1907.37,7272.0,4 HCPCS,31237,Pr Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx-Pbb,1518.0,1518.0,,,0 HCPCS,31238,"Hc Nasal/Sinus Endoscopy, Surgical; With Control Of Nasal Hemorrhage",9714.0,9714.0,,,0 HCPCS,31238,"Hc Nasal/Sinus Endoscopy, Surgical; With Control Of Nasal Hemorrhage-Pbb",10913.0,10913.0,,,0 HCPCS,31238,Nasal/sinus endoscopy surg,,,1907.37,7272.0,4 HCPCS,31238,Pr Nasal/Sinus Ndsc Surg W/Control Nasal Hemorrhage-Pbb,2398.0,2398.0,,,0 HCPCS,31239,Nasal/sinus endoscopy surg,,,3995.36,11000.0,4 HCPCS,31240,Nasal/sinus endoscopy surg,,,1907.37,11000.0,4 HCPCS,31241,Nsl/sins ndsc w/artery lig,,,1907.37,11000.0,4 HCPCS,31242,Nsl/sinus ndsc rf abltj pnn,,,6343.8,22280.0,4 HCPCS,31243,Hc Nasal/Sinus Ndsc Dstrj Cryoablation Pst Nsl Nrv,14646.0,14646.0,,,0 HCPCS,31243,Hc Nasal/Sinus Ndsc Dstrj Cryoablation Pst Nsl Nrv-Pbb,15151.0,15151.0,,,0 HCPCS,31243,Nsl/sinus ndsc cryoabltj pnn,,,6343.8,22280.0,4 HCPCS,31243,Pr Nasal/Sinus Ndsc Dstrj Cryoablation Pst Nsl Nrv-Pbb,1009.0,1009.0,,,0 HCPCS,31253,Nsl/sins ndsc total,,,7562.9,14227.0,4 HCPCS,31254,Revision of ethmoid sinus,,,7562.9,11000.0,4 HCPCS,31255,Removal of ethmoid sinus,,,7562.9,14227.0,4 HCPCS,31256,Exploration maxillary sinus,,,3995.36,11000.0,4 HCPCS,31257,Nsl/sins ndsc tot w/sphendt,,,7562.9,14227.0,4 HCPCS,31259,Nsl/sins ndsc sphn tiss rmvl,,,7562.9,14227.0,4 HCPCS,31267,Endoscopy maxillary sinus,,,7562.9,11000.0,4 HCPCS,31267,"Hc Nasal/Sinus Endoscopy, Surgical, W/ Maxillary Antrostomy; W/ Maxillary Tissue Removal-Pbb",17639.5,17639.5,,,0 HCPCS,31267,Pr Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinus-Pbb,2534.0,2534.0,,,0 HCPCS,31276,Sinus endoscopy surgical,,,7562.9,14227.0,4 HCPCS,31287,Nasal/sinus endoscopy surg,,,7562.9,14227.0,4 HCPCS,31288,Nasal/sinus endoscopy surg,,,7562.9,14227.0,4 HCPCS,31290,Nasal/sinus endoscopy surg,,,10008.0,10008.0,1 HCPCS,31291,Nasal/sinus endoscopy surg,,,10008.0,10008.0,1 HCPCS,31292,Nasal/sinus endoscopy surg,,,7562.9,14227.0,4 HCPCS,31293,Nasal/sinus endoscopy surg,,,7562.9,14227.0,4 HCPCS,31294,Nasal/sinus endoscopy surg,,,7562.9,14227.0,4 HCPCS,31295,Sinus endo w/balloon dil,,,7562.9,14227.0,4 HCPCS,31296,Sinus endo w/balloon dil,,,7562.9,14227.0,4 HCPCS,31297,Sinus endo w/balloon dil,,,7562.9,11000.0,4 HCPCS,31298,Nsl/sins ndsc w/sins dilat,,,7562.9,14227.0,4 HCPCS,31299,Sinus surgery procedure,,,253.81,3399.0,4 HCPCS,31300,Removal of larynx lesion,,,3552.91,11000.0,4 HCPCS,31360,Removal of larynx,,,10008.0,10008.0,1 HCPCS,31365,Removal of larynx,,,10008.0,10008.0,1 HCPCS,31367,Partial removal of larynx,,,10008.0,10008.0,1 HCPCS,31368,Partial removal of larynx,,,10008.0,10008.0,1 HCPCS,31370,Partial removal of larynx,,,10008.0,10008.0,1 HCPCS,31375,Partial removal of larynx,,,10008.0,10008.0,1 HCPCS,31380,Partial removal of larynx,,,10008.0,10008.0,1 HCPCS,31382,Partial removal of larynx,,,10008.0,10008.0,1 HCPCS,31390,Removal of larynx & pharynx,,,10008.0,10008.0,1 HCPCS,31395,Reconstruct larynx & pharynx,,,10008.0,10008.0,1 HCPCS,31400,Revision of larynx,,,6343.8,22280.0,4 HCPCS,31420,Removal of epiglottis,,,6343.8,22280.0,4 HCPCS,31500,"Hc Intubation, Endotracheal, Emergency Procedure",1213.0,1213.0,,,0 HCPCS,31500,"Hc Intubation, Endotracheal, Emergency Procedure-Gold",1675.0,1675.0,,,0 HCPCS,31500,"Hc Intubation, Endotracheal, Emergency Procedure-Gold,Pbb",1675.5,1675.5,,,0 HCPCS,31500,Insert emergency airway,,,253.81,3399.0,4 HCPCS,31500,Pr Intubation Endotracheal Emergency Procedure-Gold,925.0,925.0,,,0 HCPCS,31500,"Pr Intubation Endotracheal Emergency Procedure-Gold,Oprm",925.0,925.0,,,0 HCPCS,31500,"Pr Intubation Endotracheal Emergency Procedure-Gold,Pbb",925.0,925.0,,,0 HCPCS,31502,Change of windpipe airway,,,253.81,3399.0,4 HCPCS,31502,Hc Tracheotomy Tube Change Prior To Establishment Of Fistula Tract,689.0,689.0,,,0 HCPCS,31502,Hc Tracheotomy Tube Change Prior To Establishment Of Fistula Tract-Gold,1368.5,1368.5,,,0 HCPCS,31502,"Hc Tracheotomy Tube Change Prior To Establishment Of Fistula Tract-Gold,Pbb",1368.5,1368.5,,,0 HCPCS,31502,Hc Tracheotomy Tube Change Prior To Establishment Of Fistula Tract-Pbb,1368.5,1368.5,,,0 HCPCS,31502,Pr Tracheotomy Tube Change Prior To Fistula Tract-Gold,1360.0,1360.0,,,0 HCPCS,31502,"Pr Tracheotomy Tube Change Prior To Fistula Tract-Gold,Oprm",1360.0,1360.0,,,0 HCPCS,31502,"Pr Tracheotomy Tube Change Prior To Fistula Tract-Gold,Pbb",1360.0,1360.0,,,0 HCPCS,31502,Pr Tracheotomy Tube Change Prior To Fistula Tract-Pbb,1360.0,1360.0,,,0 HCPCS,31505,Diagnostic laryngoscopy,,,213.9,3399.0,4 HCPCS,31505,"Hc Laryngoscopy, Indirect; Diagnostic",582.0,582.0,,,0 HCPCS,31505,"Hc Laryngoscopy, Indirect; Diagnostic-Pbb",992.5,992.5,,,0 HCPCS,31505,Pr Laryngoscopy Indirect Diagnostic Spx-Pbb,821.0,821.0,,,0 HCPCS,31510,Laryngoscopy with biopsy,,,3995.36,7272.0,4 HCPCS,31511,Remove foreign body larynx,,,213.9,3399.0,4 HCPCS,31512,Removal of larynx lesion,,,3995.36,11000.0,4 HCPCS,31513,"Hc Laryngoscopy, Indirect; With Vocal Cord Injection",1423.0,1423.0,,,0 HCPCS,31513,"Hc Laryngoscopy, Indirect; With Vocal Cord Injection-Pbb",3465.0,3465.0,,,0 HCPCS,31513,Injection into vocal cord,,,419.13,3399.0,4 HCPCS,31513,Pr Laryngoscopy Indirect W/Vocal Cord Injection-Pbb,4084.0,4084.0,,,0 HCPCS,31515,"Hc Laryngoscopy, Direct; With Or Without Tracheoscopy; For Aspiration",4075.0,4075.0,,,0 HCPCS,31515,Laryngoscopy for aspiration,,,419.13,3399.0,4 HCPCS,31520,Dx laryngoscopy newborn,,,419.13,3399.0,4 HCPCS,31525,Dx laryngoscopy excl nb,,,1907.37,7272.0,4 HCPCS,31525,"Hc Laryngoscopy, Direct; With Or Without Tracheoscopy; Diagnostic, Except Newborn",8792.0,8792.0,,,0 HCPCS,31526,Dx laryngoscopy w/oper scope,,,1907.37,7272.0,4 HCPCS,31527,Laryngoscopy for treatment,,,3995.36,11000.0,4 HCPCS,31528,Laryngoscopy and dilation,,,3995.36,11000.0,4 HCPCS,31529,Laryngoscopy and dilation,,,3995.36,11000.0,4 HCPCS,31530,"Hc Laryngoscopy, Direct, Operative, W/ Fb Removal;",8792.0,8792.0,,,0 HCPCS,31530,Laryngoscopy w/fb removal,,,1907.37,7272.0,4 HCPCS,31531,Laryngoscopy w/fb & op scope,,,3995.36,7272.0,4 HCPCS,31535,"Hc Laryngoscopy, Direct; Operative, With Biopsy",7103.0,7103.0,,,0 HCPCS,31535,"Hc Laryngoscopy, Direct; Operative, With Biopsy-Pbb",8738.5,8738.5,,,0 HCPCS,31535,Laryngoscopy w/biopsy,,,3995.36,11000.0,4 HCPCS,31535,Pr Laryngoscopy Direct Operative W/Biopsy-Pbb,3271.0,3271.0,,,0 HCPCS,31536,Laryngoscopy w/bx & op scope,,,3995.36,11000.0,4 HCPCS,31540,Laryngoscopy w/exc of tumor,,,3995.36,11000.0,4 HCPCS,31541,Larynscop w/tumr exc + scope,,,3995.36,11000.0,4 HCPCS,31545,Remove vc lesion w/scope,,,3995.36,11000.0,4 HCPCS,31546,Remove vc lesion scope/graft,,,7562.9,14227.0,4 HCPCS,31551,Laryngoplasty laryngeal sten,,,6343.8,22280.0,4 HCPCS,31552,Laryngoplasty laryngeal sten,,,6343.8,22280.0,4 HCPCS,31553,Laryngoplasty laryngeal sten,,,6343.8,22280.0,4 HCPCS,31554,Laryngoplasty laryngeal sten,,,6343.8,22280.0,4 HCPCS,31560,Laryngoscop w/arytenoidectom,,,7562.9,14227.0,4 HCPCS,31561,Larynscop remve cart + scop,,,7562.9,11000.0,4 HCPCS,31570,"Hc Laryngoscopy, Direct, With Injection Into Vocal Cord(S), Therapeutic",4601.0,4601.0,,,0 HCPCS,31570,"Hc Laryngoscopy, Direct, With Injection Into Vocal Cord(S), Therapeutic-Pbb",6389.0,6389.0,,,0 HCPCS,31570,Laryngoscope w/vc inj,,,3995.36,7272.0,4 HCPCS,31570,Pr Laryngoscope Injection Vocal Cord Therapeutic-Pbb,3576.0,3576.0,,,0 HCPCS,31571,"Hc Laryngoscopy, Direct, W/ Inj Into Vocal Cord(S), Thrptc; W/ Operating Microscope Or Telescope",7103.0,7103.0,,,0 HCPCS,31571,"Hc Laryngoscopy, Direct, W/ Inj Into Vocal Cord(S), Thrptc; W/ Operating Microscope Or Telescope-Pbb",9250.5,9250.5,,,0 HCPCS,31571,Laryngoscop w/vc inj + scope,,,3995.36,11000.0,4 HCPCS,31571,NDC Description Not Available,45.78,45.78,,,0 HCPCS,31571,Pr Largsc W/Njx Vocal Cord Ther W/Micro/Telescope-Pbb,4294.0,4294.0,,,0 HCPCS,31571,Sunmark Double Antibiotic: 1 Tube In 1 Carton (49348-274-72) / 28.4 G In 1 Tube,10.04,10.04,,,0 HCPCS,31572,Hc Largsc W/Laser Dstrj Les Unilateral,7689.0,7689.0,,,0 HCPCS,31572,Hc Largsc W/Laser Dstrj Les Unilateral-Pbb,8339.0,8339.0,,,0 HCPCS,31572,Largsc w/laser dstrj les,,,3995.36,11000.0,4 HCPCS,31572,Pr Laryngoscopy Flexible Ablatj Destj Lesion(S) Uni-Pbb,1300.0,1300.0,,,0 HCPCS,31573,Hc Laryngoscopy Flexible Therapeutic Injection Uni-Pbb,4826.0,4826.0,,,0 HCPCS,31573,Largsc w/ther injection,,,1907.37,7272.0,4 HCPCS,31573,Pr Laryngoscopy Flexible Therapeutic Injection Uni-Pbb,1138.0,1138.0,,,0 HCPCS,31574,"Hc Laryngoscopy, Flexible, Diagnostic W Injection For Augmentation",4256.0,4256.0,,,0 HCPCS,31574,"Hc Laryngoscopy, Flexible, Diagnostic W Injection For Augmentation-Pbb",4968.075,4968.075,,,0 HCPCS,31574,Largsc w/njx augmentation,,,1907.37,7272.0,4 HCPCS,31574,Pr Laryngoscopy Flexible W/Injection Agmntj Uni-Pbb,1425.0,1425.0,,,0 HCPCS,31575,Diagnostic laryngoscopy,,,213.9,3399.0,4 HCPCS,31575,"Hc Laryngoscopy, Flexible Fiberoptic; Diagnostic",1114.0,1114.0,,,0 HCPCS,31575,"Hc Laryngoscopy, Flexible Fiberoptic; Diagnostic-Pbb",1635.5,1635.5,,,0 HCPCS,31575,Pr Laryngoscopy Flexible Diagnostic-Pbb,1043.0,1043.0,,,0 HCPCS,31576,Hc Ohns-Laryngoscopy Flex Fiber W Biopsy,4984.0,4984.0,,,0 HCPCS,31576,Hc Ohns-Laryngoscopy Flex Fiber W Biopsy-Pbb,5396.5,5396.5,,,0 HCPCS,31576,Laryngoscopy with biopsy,,,1907.37,7272.0,4 HCPCS,31576,Pr Laryngoscopy Flexible W/Biopsy(Ies)-Pbb,824.0,824.0,,,0 HCPCS,31577,Hc Laryngoscopy Flx Rmvl Foreign Body(S),1106.0,1106.0,,,0 HCPCS,31577,Hc Laryngoscopy Flx Rmvl Foreign Body(S)-Pbb,1708.5,1708.5,,,0 HCPCS,31577,Largsc w/rmvl foreign bdy(s),,,419.13,3399.0,4 HCPCS,31577,Pr Laryngoscopy Flx Rmvl Foreign Body(S)-Pbb,1205.0,1205.0,,,0 HCPCS,31578,Largsc w/removal lesion,,,3995.36,7272.0,4 HCPCS,31579,"Hc Laryngoscopy, Flexible Or Rigid Fiberoptic, With Stroboscopy",1714.0,1714.0,,,0 HCPCS,31579,"Hc Laryngoscopy, Flexible Or Rigid Fiberoptic, With Stroboscopy-Pbb",3094.5,3094.5,,,0 HCPCS,31579,Laryngoscopy telescopic,,,419.13,3399.0,4 HCPCS,31579,Pr Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy-Pbb,2762.0,2762.0,,,0 HCPCS,31580,Laryngoplasty laryngeal web,,,6343.8,22280.0,4 HCPCS,31584,Laryngoplasty fx rdctj fixj,,,6343.8,14227.0,4 HCPCS,31587,Laryngoplasty cricoid split,,,6343.8,22280.0,4 HCPCS,31590,Reinnervate larynx,,,6343.8,22280.0,4 HCPCS,31591,Laryngoplasty medialization,,,6343.8,22280.0,4 HCPCS,31592,Cricotracheal resection,,,6343.8,22280.0,4 HCPCS,31599,"Hc Unlisted Procedure, Larynx",433.0,433.0,,,0 HCPCS,31599,Larynx surgery procedure,,,253.81,3399.0,4 HCPCS,31600,Hc Planned Tracheostomy,7469.0,7469.0,,,0 HCPCS,31600,Hc Planned Tracheostomy-Gold,9289.5,9289.5,,,0 HCPCS,31600,"Hc Planned Tracheostomy-Gold,Pbb",9289.5,9289.5,,,0 HCPCS,31600,Hc Planned Tracheostomy-Pbb,9289.5,9289.5,,,0 HCPCS,31600,Incision of windpipe,,,3552.91,11000.0,4 HCPCS,31600,Pr Tracheostomy Planned Separate Procedure-Gast,4353.0,4353.0,,,0 HCPCS,31600,Pr Tracheostomy Planned Separate Procedure-Gold,4353.0,4353.0,,,0 HCPCS,31600,"Pr Tracheostomy Planned Separate Procedure-Gold,Oprm",4353.0,4353.0,,,0 HCPCS,31600,"Pr Tracheostomy Planned Separate Procedure-Gold,Pbb",4353.0,4353.0,,,0 HCPCS,31600,Pr Tracheostomy Planned Separate Procedure-Pbb,4353.0,4353.0,,,0 HCPCS,31601,Incision of windpipe,,,6343.8,11000.0,4 HCPCS,31603,Incision of windpipe,,,1662.71,7272.0,4 HCPCS,31605,"Hc Tracheostomy, Emergency Procedure; Cricothyroid Membrane",2088.0,2088.0,,,0 HCPCS,31605,Incision of windpipe,,,253.81,3399.0,4 HCPCS,31610,Incision of windpipe,,,6343.8,11000.0,4 HCPCS,31611,Surgery/speech prosthesis,,,3552.91,11000.0,4 HCPCS,31612,"Hc Tracheal Puncture, Percutaneous With Transtracheal Aspiration And/Or Injection",17526.0,17526.0,,,0 HCPCS,31612,"Hc Tracheal Puncture, Percutaneous With Transtracheal Aspiration And/Or Injection-Pbb",18207.0,18207.0,,,0 HCPCS,31612,Pr Tracheal Pnxr Perq W/Transtracheal Aspir&/Njx-Pbb,1362.0,1362.0,,,0 HCPCS,31612,Puncture/clear windpipe,,,3552.91,11000.0,4 HCPCS,31613,"Hc Tracheostoma Revision; Simple, Without Flap Rotation",9346.0,9346.0,,,0 HCPCS,31613,"Hc Tracheostoma Revision; Simple, Without Flap Rotation-Pbb",11782.5,11782.5,,,0 HCPCS,31613,Pr Tracheostoma Revj Smpl W/O Flap Rotation-Pbb,4873.0,4873.0,,,0 HCPCS,31613,Repair windpipe opening,,,3552.91,11000.0,4 HCPCS,31614,Repair windpipe opening,,,6343.8,22280.0,4 HCPCS,31615,Hc Tracheobronchoscopy Through Established Tracheostomy Incision,5906.0,5906.0,,,0 HCPCS,31615,Hc Tracheobronchoscopy Through Established Tracheostomy Incision-Cart,5906.0,5906.0,,,0 HCPCS,31615,"Hc Tracheobronchoscopy Through Established Tracheostomy Incision-Cart,Pbb",5906.0,5906.0,,,0 HCPCS,31615,Hc Tracheobronchoscopy Through Established Tracheostomy Incision-Pbb,7142.5,7142.5,,,0 HCPCS,31615,Pr Tracheobronchoscopy Thru Est Tracheostomy Inc-Cart,2473.0,2473.0,,,0 HCPCS,31615,"Pr Tracheobronchoscopy Thru Est Tracheostomy Inc-Cart,Pbb",2473.0,2473.0,,,0 HCPCS,31615,Pr Tracheobronchoscopy Thru Est Tracheostomy Inc-Pbb,2473.0,2473.0,,,0 HCPCS,31615,Visualization of windpipe,,,577.95,3399.0,4 HCPCS,31622,Dx bronchoscope/wash,,,1907.37,7272.0,4 HCPCS,31622,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; Diag, W/ Cell Washing, When Perf",8388.0,8388.0,,,0 HCPCS,31622,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; Diag, W/ Cell Washing, When Perf-Cart",9949.5,9949.5,,,0 HCPCS,31622,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; Diag, W/ Cell Washing, When Perf-Cart,Pbb",9949.5,9949.5,,,0 HCPCS,31622,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; Diag, W/ Cell Washing, When Perf-Gold",9949.5,9949.5,,,0 HCPCS,31622,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; Diag, W/ Cell Washing, When Perf-Gold,Pbb",9949.5,9949.5,,,0 HCPCS,31622,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; Diag, W/ Cell Washing, When Perf-Pbb",9950.0,9950.0,,,0 HCPCS,31622,Pr Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx-Cart,3124.0,3124.0,,,0 HCPCS,31622,"Pr Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx-Cart,Oprm",3124.0,3124.0,,,0 HCPCS,31622,"Pr Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx-Cart,Pbb",3124.0,3124.0,,,0 HCPCS,31622,Pr Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx-Gast,3124.0,3124.0,,,0 HCPCS,31622,Pr Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx-Gold,3124.0,3124.0,,,0 HCPCS,31622,"Pr Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx-Gold,Oprm",3124.0,3124.0,,,0 HCPCS,31622,"Pr Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx-Gold,Pbb",3124.0,3124.0,,,0 HCPCS,31622,Pr Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx-Pbb,3124.0,3124.0,,,0 HCPCS,31623,Dx bronchoscope/brush,,,1907.37,7272.0,4 HCPCS,31623,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Brushing Or Protected Brushings",7579.0,7579.0,,,0 HCPCS,31623,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Brushing Or Protected Brushings-Cart",9217.5,9217.5,,,0 HCPCS,31623,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Brushing Or Protected Brushings-Cart,Pbb",9218.0,9218.0,,,0 HCPCS,31623,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Brushing Or Protected Brushings-Gold",9217.5,9217.5,,,0 HCPCS,31623,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Brushing Or Protected Brushings-Gold,Pbb",9218.0,9218.0,,,0 HCPCS,31623,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Brushing Or Protected Brushings-Pbb",9218.0,9218.0,,,0 HCPCS,31623,Pr Brnchsc Brushing/Protected Brushings-Cart,3278.0,3278.0,,,0 HCPCS,31623,"Pr Brnchsc Brushing/Protected Brushings-Cart,Oprm",3278.0,3278.0,,,0 HCPCS,31623,"Pr Brnchsc Brushing/Protected Brushings-Cart,Pbb",3278.0,3278.0,,,0 HCPCS,31623,Pr Brnchsc Brushing/Protected Brushings-Gold,3278.0,3278.0,,,0 HCPCS,31623,"Pr Brnchsc Brushing/Protected Brushings-Gold,Oprm",3278.0,3278.0,,,0 HCPCS,31623,"Pr Brnchsc Brushing/Protected Brushings-Gold,Pbb",3278.0,3278.0,,,0 HCPCS,31623,Pr Brnchsc Brushing/Protected Brushings-Pbb,3278.0,3278.0,,,0 HCPCS,31624,Dx bronchoscope/lavage,,,1907.37,7272.0,4 HCPCS,31624,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Bronchial Alveolar Lavage",5193.0,5193.0,,,0 HCPCS,31624,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Bronchial Alveolar Lavage-Cart",6832.0,6832.0,,,0 HCPCS,31624,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Bronchial Alveolar Lavage-Cart,Pbb",6832.0,6832.0,,,0 HCPCS,31624,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Bronchial Alveolar Lavage-Gold",6832.0,6832.0,,,0 HCPCS,31624,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Bronchial Alveolar Lavage-Gold,Pbb",6832.0,6832.0,,,0 HCPCS,31624,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Bronchial Alveolar Lavage-Pbb",6832.0,6832.0,,,0 HCPCS,31624,Pr Brnchsc W/Brncl Alveolar Lavage-Cart,3278.0,3278.0,,,0 HCPCS,31624,"Pr Brnchsc W/Brncl Alveolar Lavage-Cart,Oprm",3278.0,3278.0,,,0 HCPCS,31624,"Pr Brnchsc W/Brncl Alveolar Lavage-Cart,Pbb",3278.0,3278.0,,,0 HCPCS,31624,Pr Brnchsc W/Brncl Alveolar Lavage-Gold,3278.0,3278.0,,,0 HCPCS,31624,"Pr Brnchsc W/Brncl Alveolar Lavage-Gold,Oprm",3278.0,3278.0,,,0 HCPCS,31624,"Pr Brnchsc W/Brncl Alveolar Lavage-Gold,Pbb",3278.0,3278.0,,,0 HCPCS,31624,Pr Brnchsc W/Brncl Alveolar Lavage-Pbb,3278.0,3278.0,,,0 HCPCS,31625,Bronchoscopy w/biopsy(s),,,1907.37,7272.0,4 HCPCS,31625,"Hc Bronch, Rigid/Flex, Incl Fluor Guid, When Perf; W/ Bronch Or Endobronch Bx, Single Or Mult Sites",5340.0,5340.0,,,0 HCPCS,31625,"Hc Bronch, Rigid/Flex, Incl Fluor Guid, When Perf; W/ Bronch Or Endobronch Bx, Single Or Mult Sites-",7009.5,7009.5,,,0 HCPCS,31625,Pr Bronchoscopy Bronchial/Endobrncl Bx 1+ Sites-Cart,3339.0,3339.0,,,0 HCPCS,31625,"Pr Bronchoscopy Bronchial/Endobrncl Bx 1+ Sites-Cart,Oprm",3339.0,3339.0,,,0 HCPCS,31625,"Pr Bronchoscopy Bronchial/Endobrncl Bx 1+ Sites-Cart,Pbb",3339.0,3339.0,,,0 HCPCS,31625,Pr Bronchoscopy Bronchial/Endobrncl Bx 1+ Sites-Gast,3339.0,3339.0,,,0 HCPCS,31625,Pr Bronchoscopy Bronchial/Endobrncl Bx 1+ Sites-Gold,3339.0,3339.0,,,0 HCPCS,31625,"Pr Bronchoscopy Bronchial/Endobrncl Bx 1+ Sites-Gold,Oprm",3339.0,3339.0,,,0 HCPCS,31625,"Pr Bronchoscopy Bronchial/Endobrncl Bx 1+ Sites-Gold,Pbb",3339.0,3339.0,,,0 HCPCS,31625,Pr Bronchoscopy Bronchial/Endobrncl Bx 1+ Sites-Pbb,3339.0,3339.0,,,0 HCPCS,31626,Bronchoscopy w/markers,,,7562.9,14227.0,4 HCPCS,31626,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/Placemnt Of Fiducial Markers, Sngle Or Mult",7953.5,7953.5,,,0 HCPCS,31626,Pr Bronchoscopy W/Plmt Fiducial Markers Single/Mult-Cart,989.0,989.0,,,0 HCPCS,31626,"Pr Bronchoscopy W/Plmt Fiducial Markers Single/Mult-Cart,Oprm",989.0,989.0,,,0 HCPCS,31626,"Pr Bronchoscopy W/Plmt Fiducial Markers Single/Mult-Cart,Pbb",989.0,989.0,,,0 HCPCS,31626,Pr Bronchoscopy W/Plmt Fiducial Markers Single/Mult-Pbb,989.0,989.0,,,0 HCPCS,31627,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Comp-Assist, Image-Guided Navigation",6542.0,6542.0,,,0 HCPCS,31627,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Comp-Assist, Image-Guided Navigation-Cart",7037.0,7037.0,,,0 HCPCS,31627,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Comp-Assist, Image-Guided Navigation-Cart,",7037.0,7037.0,,,0 HCPCS,31627,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Comp-Assist, Image-Guided Navigation-Pbb",7036.5,7036.5,,,0 HCPCS,31627,Navigational bronchoscopy,,,3399.0,3399.0,1 HCPCS,31627,Pr Bronchoscopy W/Cptr-Asst Image-Guided Navigation-Cart,989.0,989.0,,,0 HCPCS,31627,"Pr Bronchoscopy W/Cptr-Asst Image-Guided Navigation-Cart,Oprm",989.0,989.0,,,0 HCPCS,31627,"Pr Bronchoscopy W/Cptr-Asst Image-Guided Navigation-Cart,Pbb",989.0,989.0,,,0 HCPCS,31627,Pr Bronchoscopy W/Cptr-Asst Image-Guided Navigation-Pbb,989.0,989.0,,,0 HCPCS,31628,Bronchoscopy/lung bx each,,,3995.36,7272.0,4 HCPCS,31628,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Transbronchial Lung Biopsy(S), Single Lobe",7538.5,7538.5,,,0 HCPCS,31628,Pr Bronchoscopy W/Transbronchial Lung Bx 1 Lobe-Cart,3708.0,3708.0,,,0 HCPCS,31628,"Pr Bronchoscopy W/Transbronchial Lung Bx 1 Lobe-Cart,Oprm",3708.0,3708.0,,,0 HCPCS,31628,"Pr Bronchoscopy W/Transbronchial Lung Bx 1 Lobe-Cart,Pbb",3708.0,3708.0,,,0 HCPCS,31628,Pr Bronchoscopy W/Transbronchial Lung Bx 1 Lobe-Gold,3708.0,3708.0,,,0 HCPCS,31628,"Pr Bronchoscopy W/Transbronchial Lung Bx 1 Lobe-Gold,Oprm",3708.0,3708.0,,,0 HCPCS,31628,"Pr Bronchoscopy W/Transbronchial Lung Bx 1 Lobe-Gold,Pbb",3708.0,3708.0,,,0 HCPCS,31628,Pr Bronchoscopy W/Transbronchial Lung Bx 1 Lobe-Pbb,3708.0,3708.0,,,0 HCPCS,31629,Bronchoscopy/needle bx each,,,3995.36,14227.0,4 HCPCS,31629,"Hc Bronch,Rgd/Flx,Inc Flur Guid,Whn Perf;W/Trnsbrnchl Ndl Asp Bx(S),Trchea,Mn Stm&/Or Lbr Broncs(I)",11444.0,11444.0,,,0 HCPCS,31629,"Hc Bronch,Rgd/Flx,Inc Flur Guid,Whn Perf;W/Trnsbrnchl Ndl Asp Bx(S),Trchea,Mn Stm&/Or Lbr Broncs(I)-",9623.0,9623.0,,,0 HCPCS,31629,Pr Bronchoscopy Needle Bx Trachea Main Stem&/Bron-Cart,4328.0,4328.0,,,0 HCPCS,31629,"Pr Bronchoscopy Needle Bx Trachea Main Stem&/Bron-Cart,Oprm",4328.0,4328.0,,,0 HCPCS,31629,"Pr Bronchoscopy Needle Bx Trachea Main Stem&/Bron-Cart,Pbb",4328.0,4328.0,,,0 HCPCS,31629,Pr Bronchoscopy Needle Bx Trachea Main Stem&/Bron-Gold,4328.0,4328.0,,,0 HCPCS,31629,"Pr Bronchoscopy Needle Bx Trachea Main Stem&/Bron-Gold,Oprm",4328.0,4328.0,,,0 HCPCS,31629,"Pr Bronchoscopy Needle Bx Trachea Main Stem&/Bron-Gold,Pbb",4328.0,4328.0,,,0 HCPCS,31629,Pr Bronchoscopy Needle Bx Trachea Main Stem&/Bron-Pbb,4328.0,4328.0,,,0 HCPCS,31630,Bronchoscopy dilate/fx repr,,,3995.36,14227.0,4 HCPCS,31630,"Hc Bronch, Rigid/Flex, Incl Fluoro Guid, When Perf; W/Tracheal/Bronchial Dilati/Clsd Reduction Of Fx",9437.5,9437.5,,,0 HCPCS,31630,Pr Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx-Cart,3956.0,3956.0,,,0 HCPCS,31630,"Pr Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx-Cart,Oprm",3956.0,3956.0,,,0 HCPCS,31630,"Pr Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx-Cart,Pbb",3956.0,3956.0,,,0 HCPCS,31630,Pr Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx-Gold,3956.0,3956.0,,,0 HCPCS,31630,"Pr Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx-Gold,Oprm",3956.0,3956.0,,,0 HCPCS,31630,"Pr Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx-Gold,Pbb",3956.0,3956.0,,,0 HCPCS,31630,Pr Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx-Pbb,3956.0,3956.0,,,0 HCPCS,31631,Bronchoscopy dilate w/stent,,,7562.9,14227.0,4 HCPCS,31631,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Placement Of Tracheal Stent(S)",7459.0,7459.0,,,0 HCPCS,31631,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Placement Of Tracheal Stent(S)-Cart",9929.5,9929.5,,,0 HCPCS,31631,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Placement Of Tracheal Stent(S)-Cart,Pbb",9929.5,9929.5,,,0 HCPCS,31631,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Placement Of Tracheal Stent(S)-Pbb",9929.5,9929.5,,,0 HCPCS,31631,Hc Research Bronchoscopy,2817.0,2817.0,,,0 HCPCS,31631,Hc Research Bronchoscopy Profee-Pbb,442.0,442.0,,,0 HCPCS,31631,Hc Research Bronchoscopy-Pbb,2375.0,2375.0,,,0 HCPCS,31631,Pr Bronchoscopy W/Placement Tracheal Stent-Cart,4941.0,4941.0,,,0 HCPCS,31631,"Pr Bronchoscopy W/Placement Tracheal Stent-Cart,Oprm",4941.0,4941.0,,,0 HCPCS,31631,"Pr Bronchoscopy W/Placement Tracheal Stent-Cart,Pbb",4941.0,4941.0,,,0 HCPCS,31631,"Pr Bronchoscopy W/Placement Tracheal Stent-Gold,Oprm",4941.0,4941.0,,,0 HCPCS,31631,Pr Bronchoscopy W/Placement Tracheal Stent-Pbb,4941.0,4941.0,,,0 HCPCS,31632,Bronchoscopy/lung bx addl,,,3399.0,3399.0,1 HCPCS,31632,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/Transbronchal Lung Biopsy(S), Each Add Lobe",3846.0,3846.0,,,0 HCPCS,31632,Pr Bronchoscopy W/Transbronchial Lung Bx Each Lobe-Cart,1852.0,1852.0,,,0 HCPCS,31632,"Pr Bronchoscopy W/Transbronchial Lung Bx Each Lobe-Cart,Oprm",1852.0,1852.0,,,0 HCPCS,31632,"Pr Bronchoscopy W/Transbronchial Lung Bx Each Lobe-Cart,Pbb",1852.0,1852.0,,,0 HCPCS,31632,Pr Bronchoscopy W/Transbronchial Lung Bx Each Lobe-Gast,1852.0,1852.0,,,0 HCPCS,31632,Pr Bronchoscopy W/Transbronchial Lung Bx Each Lobe-Gold,1852.0,1852.0,,,0 HCPCS,31632,"Pr Bronchoscopy W/Transbronchial Lung Bx Each Lobe-Gold,Oprm",1852.0,1852.0,,,0 HCPCS,31632,"Pr Bronchoscopy W/Transbronchial Lung Bx Each Lobe-Gold,Pbb",1852.0,1852.0,,,0 HCPCS,31632,Pr Bronchoscopy W/Transbronchial Lung Bx Each Lobe-Pbb,1852.0,1852.0,,,0 HCPCS,31633,Bronchoscopy/needle bx addl,,,3399.0,3399.0,1 HCPCS,31633,"Hc Bronch, Rigid/Flex, Incl Fluor Guid, When Perf; W/ Transbronch Needle Aspiration Bx, Ea Add Lobe",2533.0,2533.0,,,0 HCPCS,31633,"Hc Bronch, Rigid/Flex, Incl Fluor Guid, When Perf; W/ Transbronch Needle Aspiration Bx, Ea Add Lobe-",4385.0,4385.0,,,0 HCPCS,31633,Pr Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe-Cart,1852.0,1852.0,,,0 HCPCS,31633,"Pr Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe-Cart,Oprm",1852.0,1852.0,,,0 HCPCS,31633,"Pr Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe-Cart,Pbb",1852.0,1852.0,,,0 HCPCS,31633,Pr Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe-Gast,1852.0,1852.0,,,0 HCPCS,31633,Pr Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe-Gold,1852.0,1852.0,,,0 HCPCS,31633,"Pr Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe-Gold,Oprm",1852.0,1852.0,,,0 HCPCS,31633,"Pr Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe-Gold,Pbb",1852.0,1852.0,,,0 HCPCS,31633,Pr Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe-Pbb,1852.0,1852.0,,,0 HCPCS,31634,Bronch w/balloon occlusion,,,7562.9,14227.0,4 HCPCS,31634,"Hc Bronch, Rgd Or Flx,Inc Flu Guid,W Blln Occ,W Assnt Air Leak,W Adm Occ Sub(Eg,Fibrin Glue),If Perf",7220.0,7220.0,,,0 HCPCS,31634,Pr Bronchoscopy Balloon Occlusion-Cart,1067.0,1067.0,,,0 HCPCS,31634,"Pr Bronchoscopy Balloon Occlusion-Cart,Oprm",1067.0,1067.0,,,0 HCPCS,31634,"Pr Bronchoscopy Balloon Occlusion-Cart,Pbb",1067.0,1067.0,,,0 HCPCS,31634,Pr Bronchoscopy Balloon Occlusion-Gold,1067.0,1067.0,,,0 HCPCS,31634,"Pr Bronchoscopy Balloon Occlusion-Gold,Oprm",1067.0,1067.0,,,0 HCPCS,31634,"Pr Bronchoscopy Balloon Occlusion-Gold,Pbb",1067.0,1067.0,,,0 HCPCS,31634,Pr Bronchoscopy Balloon Occlusion-Pbb,1067.0,1067.0,,,0 HCPCS,31635,Bronchoscopy w/fb removal,,,1907.37,7272.0,4 HCPCS,31635,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Rmvl Of Foreign Body",5200.0,5200.0,,,0 HCPCS,31635,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Rmvl Of Foreign Body-Cart",8289.5,8289.5,,,0 HCPCS,31635,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Rmvl Of Foreign Body-Cart,Pbb",8289.5,8289.5,,,0 HCPCS,31635,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Rmvl Of Foreign Body-Gold",8289.5,8289.5,,,0 HCPCS,31635,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Rmvl Of Foreign Body-Gold,Pbb",8289.5,8289.5,,,0 HCPCS,31635,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Rmvl Of Foreign Body-Pbb",8289.0,8289.0,,,0 HCPCS,31635,Pr Bronchoscopy W/Removal Foreign Body-Cart,6178.0,6178.0,,,0 HCPCS,31635,"Pr Bronchoscopy W/Removal Foreign Body-Cart,Oprm",6178.0,6178.0,,,0 HCPCS,31635,"Pr Bronchoscopy W/Removal Foreign Body-Cart,Pbb",6178.0,6178.0,,,0 HCPCS,31635,Pr Bronchoscopy W/Removal Foreign Body-Gast,6178.0,6178.0,,,0 HCPCS,31635,Pr Bronchoscopy W/Removal Foreign Body-Gold,5830.0,5830.0,,,0 HCPCS,31635,"Pr Bronchoscopy W/Removal Foreign Body-Gold,Oprm",6178.0,6178.0,,,0 HCPCS,31635,"Pr Bronchoscopy W/Removal Foreign Body-Gold,Pbb",5830.0,5830.0,,,0 HCPCS,31635,Pr Bronchoscopy W/Removal Foreign Body-Pbb,6178.0,6178.0,,,0 HCPCS,31636,Bronchoscopy bronch stents,,,7562.9,14227.0,4 HCPCS,31636,"Hc Bronch,Rigid/Flex,Incl Fluoro Guid;W Plcmnt Bronch Stent(Incl Trach/Bronch Dil As Req),Ini Bronch",10241.0,10241.0,,,0 HCPCS,31636,Pr Brnchsc W/Placement Brncl Stent 1St Bronchus-Cart,5564.0,5564.0,,,0 HCPCS,31636,"Pr Brnchsc W/Placement Brncl Stent 1St Bronchus-Cart,Oprm",5564.0,5564.0,,,0 HCPCS,31636,"Pr Brnchsc W/Placement Brncl Stent 1St Bronchus-Cart,Pbb",5564.0,5564.0,,,0 HCPCS,31636,"Pr Brnchsc W/Placement Brncl Stent 1St Bronchus-Gold,Oprm",5564.0,5564.0,,,0 HCPCS,31636,Pr Brnchsc W/Placement Brncl Stent 1St Bronchus-Pbb,5564.0,5564.0,,,0 HCPCS,31637,Bronchoscopy stent add-on,,,3399.0,3399.0,1 HCPCS,31637,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; Each Add Major Bronchus Stented",4831.0,4831.0,,,0 HCPCS,31637,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; Each Add Major Bronchus Stented-Pbb",3989.0,3989.0,,,0 HCPCS,31637,Pr Bronchoscopy Each Major Bronchus Stented-Pbb,1976.0,1976.0,,,0 HCPCS,31638,Bronchoscopy revise stent,,,7562.9,14227.0,4 HCPCS,31638,"Hc Bronch,Rigid/Flex,Incl Fluoro Guid,Whn Perf; /Revis Of Tracheal/ Bronch Stnt Insrt At Prev Sessn",15501.0,15501.0,,,0 HCPCS,31638,"Hc Bronch,Rigid/Flex,Incl Fluoro Guid,Whn Perf; /Revis Of Tracheal/ Bronch Stnt Insrt At Prev Sessn-",15501.0,15501.0,,,0 HCPCS,31638,Pr Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess-Cart,6178.0,6178.0,,,0 HCPCS,31638,"Pr Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess-Cart,Oprm",6178.0,6178.0,,,0 HCPCS,31638,"Pr Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess-Cart,Pbb",6178.0,6178.0,,,0 HCPCS,31638,"Pr Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess-Gold,Oprm",6178.0,6178.0,,,0 HCPCS,31638,Pr Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess-Pbb,6178.0,6178.0,,,0 HCPCS,31640,Bronchoscopy w/tumor excise,,,3995.36,14227.0,4 HCPCS,31640,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Excsn Of Tumor",13240.0,13240.0,,,0 HCPCS,31640,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Excsn Of Tumor-Cart",10548.0,10548.0,,,0 HCPCS,31640,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Excsn Of Tumor-Cart,Pbb",10548.0,10548.0,,,0 HCPCS,31640,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Excsn Of Tumor-Gold",10548.0,10548.0,,,0 HCPCS,31640,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Excsn Of Tumor-Gold,Pbb",10548.0,10548.0,,,0 HCPCS,31640,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Excsn Of Tumor-Pbb",10548.0,10548.0,,,0 HCPCS,31640,Pr Bronchoscopy W/Excision Tumor-Cart,6178.0,6178.0,,,0 HCPCS,31640,"Pr Bronchoscopy W/Excision Tumor-Cart,Oprm",6178.0,6178.0,,,0 HCPCS,31640,"Pr Bronchoscopy W/Excision Tumor-Cart,Pbb",6178.0,6178.0,,,0 HCPCS,31640,Pr Bronchoscopy W/Excision Tumor-Gold,6178.0,6178.0,,,0 HCPCS,31640,"Pr Bronchoscopy W/Excision Tumor-Gold,Oprm",6178.0,6178.0,,,0 HCPCS,31640,"Pr Bronchoscopy W/Excision Tumor-Gold,Pbb",6178.0,6178.0,,,0 HCPCS,31640,Pr Bronchoscopy W/Excision Tumor-Pbb,6178.0,6178.0,,,0 HCPCS,31641,Bronchoscopy treat blockage,,,3995.36,14227.0,4 HCPCS,31641,"Hc Brnch,Rgd/Flx,Incl Fluor Gud,Wn Perf;W/Dstrcn Of Tmr/Relief Of Stensis By Any Meth Othr Thn Excsn",15690.0,15690.0,,,0 HCPCS,31641,Pr Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc-Cart,8037.0,8037.0,,,0 HCPCS,31641,"Pr Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc-Cart,Oprm",8037.0,8037.0,,,0 HCPCS,31641,"Pr Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc-Cart,Pbb",8037.0,8037.0,,,0 HCPCS,31641,Pr Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc-Gast,8037.0,8037.0,,,0 HCPCS,31641,Pr Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc-Gold,8037.0,8037.0,,,0 HCPCS,31641,"Pr Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc-Gold,Oprm",8037.0,8037.0,,,0 HCPCS,31641,"Pr Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc-Gold,Pbb",8037.0,8037.0,,,0 HCPCS,31641,Pr Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc-Pbb,8037.0,8037.0,,,0 HCPCS,31643,Diag bronchoscope/catheter,,,1907.37,7272.0,4 HCPCS,31643,"Hc Bronch, Rigid/Flex, Incl Fluor Guid, When Perf; W/ Place Of Cath For Intracavitary Rdioelmnt App",6591.0,6591.0,,,0 HCPCS,31643,"Hc Bronch, Rigid/Flex, Incl Fluor Guid, When Perf; W/ Place Of Cath For Intracavitary Rdioelmnt App-",5228.5,5228.5,,,0 HCPCS,31643,Pr Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl-Pbb,3124.0,3124.0,,,0 HCPCS,31645,Bronchoscopy clear airways,,,1907.37,7272.0,4 HCPCS,31645,"Hc Bronch, Rigid Or Flex,Incl Fluoro Guid,When Perf;W/Thrptc Aspiration Of Tracheobronchl Tree, Init",7005.0,7005.0,,,0 HCPCS,31645,Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree 1St-Cart,3339.0,3339.0,,,0 HCPCS,31645,"Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree 1St-Cart,Oprm",3339.0,3339.0,,,0 HCPCS,31645,"Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree 1St-Cart,Pbb",3339.0,3339.0,,,0 HCPCS,31645,Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree 1St-Gold,3339.0,3339.0,,,0 HCPCS,31645,"Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree 1St-Gold,Oprm",3339.0,3339.0,,,0 HCPCS,31645,"Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree 1St-Gold,Pbb",3339.0,3339.0,,,0 HCPCS,31645,Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree 1St-Pbb,3339.0,3339.0,,,0 HCPCS,31646,Bronchoscopy reclear airway,,,419.13,3399.0,4 HCPCS,31646,"Hc Brnchsc W/Ther Aspir Tracheobrncl Tree Sbsq, Same Hospital Stay",6740.0,6740.0,,,0 HCPCS,31646,"Hc Brnchsc W/Ther Aspir Tracheobrncl Tree Sbsq, Same Hospital Stay-Cart",8409.0,8409.0,,,0 HCPCS,31646,"Hc Brnchsc W/Ther Aspir Tracheobrncl Tree Sbsq, Same Hospital Stay-Cart,Pbb",8409.5,8409.5,,,0 HCPCS,31646,"Hc Brnchsc W/Ther Aspir Tracheobrncl Tree Sbsq, Same Hospital Stay-Gold",8409.0,8409.0,,,0 HCPCS,31646,"Hc Brnchsc W/Ther Aspir Tracheobrncl Tree Sbsq, Same Hospital Stay-Gold,Pbb",8409.5,8409.5,,,0 HCPCS,31646,"Hc Brnchsc W/Ther Aspir Tracheobrncl Tree Sbsq, Same Hospital Stay-Pbb",8409.5,8409.5,,,0 HCPCS,31646,Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree Sbsq-Cart,3339.0,3339.0,,,0 HCPCS,31646,"Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree Sbsq-Cart,Oprm",3339.0,3339.0,,,0 HCPCS,31646,"Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree Sbsq-Cart,Pbb",3339.0,3339.0,,,0 HCPCS,31646,Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree Sbsq-Gold,3339.0,3339.0,,,0 HCPCS,31646,"Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree Sbsq-Gold,Oprm",3339.0,3339.0,,,0 HCPCS,31646,"Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree Sbsq-Gold,Pbb",3339.0,3339.0,,,0 HCPCS,31646,Pr Bronchoscopy W/Ther Aspir Trachbrncl Tree Sbsq-Pbb,3339.0,3339.0,,,0 HCPCS,31647,Bronchial valve init insert,,,7562.9,14227.0,4 HCPCS,31647,"Hc Bronch,Rigid/Flex,Incl Fluoro Guid;W Blln Occ,Asmnt Air Leak,Airway Sz&Insertbronch Valv,Ini Lobe",10534.0,10534.0,,,0 HCPCS,31647,Pr Brnchsc Occlusion&Insert Bronch Valve Init Lobe-Pbb,8760.0,8760.0,,,0 HCPCS,31648,Bronchial valve remov init,,,3995.36,14227.0,4 HCPCS,31648,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Rmvl Of Bronchial Valve(S), Ini Lobe",5979.0,5979.0,,,0 HCPCS,31648,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Rmvl Of Bronchial Valve(S), Ini Lobe-Pbb",10359.0,10359.0,,,0 HCPCS,31648,Pr Brnchsc Removal Bronchial Valve Initial-Pbb,8760.0,8760.0,,,0 HCPCS,31649,Bronchial valve remov addl,,,1907.37,7272.0,4 HCPCS,31649,"Hc Brnch, Rigd/Flx,Incl Flur Guid,When Perf;W/Rmvl Of Bronc Vlve(S), Ea Ad Lobe(Code Prim Proc 1St)",2906.0,2906.0,,,0 HCPCS,31649,"Hc Brnch, Rigd/Flx,Incl Flur Guid,When Perf;W/Rmvl Of Bronc Vlve(S), Ea Ad Lobe(Code Prim Proc 1St)-",4537.0,4537.0,,,0 HCPCS,31649,Pr Brnchsc Removal Bronchial Valve Ea Addl-Pbb,3261.0,3261.0,,,0 HCPCS,31651,Bronchial valve addl insert,,,3399.0,3399.0,1 HCPCS,31651,"Hc Brnch, Rgd/Flx; W/ Blln Occ, Assmnt Air Leak, Airway Szng, & Insrtn Bronchial Valve(S)",5979.0,5979.0,,,0 HCPCS,31651,"Hc Brnch, Rgd/Flx; W/ Blln Occ, Assmnt Air Leak, Airway Szng, & Insrtn Bronchial Valve(S)-Pbb",6417.5,6417.5,,,0 HCPCS,31651,Pr Brnchsc Occlusion&Insert Bronch Valve Addl Lobe-Pbb,878.0,878.0,,,0 HCPCS,31652,Bronch ebus samplng 1/2 node,,,3995.36,11000.0,4 HCPCS,31652,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide",11790.0,11790.0,,,0 HCPCS,31652,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide-Cart",10384.0,10384.0,,,0 HCPCS,31652,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide-Cart,Pbb",10384.0,10384.0,,,0 HCPCS,31652,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide-Gold",10384.0,10384.0,,,0 HCPCS,31652,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide-Gold,Pbb",10384.0,10384.0,,,0 HCPCS,31652,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide-Pbb",10384.0,10384.0,,,0 HCPCS,31652,Pr Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux-Cart,3521.0,3521.0,,,0 HCPCS,31652,"Pr Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux-Cart,Oprm",3521.0,3521.0,,,0 HCPCS,31652,"Pr Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux-Cart,Pbb",3521.0,3521.0,,,0 HCPCS,31652,Pr Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux-Gold,3521.0,3521.0,,,0 HCPCS,31652,"Pr Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux-Gold,Oprm",3521.0,3521.0,,,0 HCPCS,31652,"Pr Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux-Gold,Pbb",3521.0,3521.0,,,0 HCPCS,31652,Pr Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux-Pbb,3521.0,3521.0,,,0 HCPCS,31653,Bronch ebus samplng 3/> node,,,3995.36,11000.0,4 HCPCS,31653,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide, 3 Or More Media/Hilar Lymph Nodes",13037.0,13037.0,,,0 HCPCS,31653,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide, 3 Or More Media/Hilar Lymph Nodes-Cart",11481.5,11481.5,,,0 HCPCS,31653,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide, 3 Or More Media/Hilar Lymph Nodes-Cart,P",11481.0,11481.0,,,0 HCPCS,31653,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide, 3 Or More Media/Hilar Lymph Nodes-Gold",11481.5,11481.5,,,0 HCPCS,31653,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide, 3 Or More Media/Hilar Lymph Nodes-Gold,P",11481.0,11481.0,,,0 HCPCS,31653,"Hc Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus Guide, 3 Or More Media/Hilar Lymph Nodes-Pbb",11481.5,11481.5,,,0 HCPCS,31653,Pr Brnchsc Ebus Guided Sampl 3/> Node Station/Strux-Cart,3891.0,3891.0,,,0 HCPCS,31653,"Pr Brnchsc Ebus Guided Sampl 3/> Node Station/Strux-Cart,Oprm",3891.0,3891.0,,,0 HCPCS,31653,"Pr Brnchsc Ebus Guided Sampl 3/> Node Station/Strux-Cart,Pbb",3891.0,3891.0,,,0 HCPCS,31653,Pr Brnchsc Ebus Guided Sampl 3/> Node Station/Strux-Gold,3891.0,3891.0,,,0 HCPCS,31653,"Pr Brnchsc Ebus Guided Sampl 3/> Node Station/Strux-Gold,Oprm",3891.0,3891.0,,,0 HCPCS,31653,"Pr Brnchsc Ebus Guided Sampl 3/> Node Station/Strux-Gold,Pbb",3891.0,3891.0,,,0 HCPCS,31653,Pr Brnchsc Ebus Guided Sampl 3/> Node Station/Strux-Pbb,3891.0,3891.0,,,0 HCPCS,31654,Bronch ebus ivntj perph les,,,3399.0,3399.0,1 HCPCS,31654,"Hb Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus During Bronch Diag/Thera Interv Periph Lesion",7890.0,7890.0,,,0 HCPCS,31654,"Hb Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus During Bronch Diag/Thera Interv Periph Lesion-C",7603.0,7603.0,,,0 HCPCS,31654,"Hb Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus During Bronch Diag/Thera Interv Periph Lesion-G",7603.0,7603.0,,,0 HCPCS,31654,"Hb Bronchoscopy, Rigid Or Flex, Incl Fluoro, W/ Ebus During Bronch Diag/Thera Interv Periph Lesion-P",7603.0,7603.0,,,0 HCPCS,31654,Pr Brnschsc Tndsc Ebus Dx/Tx Intervention Perph Les-Cart,1046.0,1046.0,,,0 HCPCS,31654,"Pr Brnschsc Tndsc Ebus Dx/Tx Intervention Perph Les-Cart,Oprm",1046.0,1046.0,,,0 HCPCS,31654,"Pr Brnschsc Tndsc Ebus Dx/Tx Intervention Perph Les-Cart,Pbb",1046.0,1046.0,,,0 HCPCS,31654,Pr Brnschsc Tndsc Ebus Dx/Tx Intervention Perph Les-Gold,1046.0,1046.0,,,0 HCPCS,31654,"Pr Brnschsc Tndsc Ebus Dx/Tx Intervention Perph Les-Gold,Oprm",1046.0,1046.0,,,0 HCPCS,31654,"Pr Brnschsc Tndsc Ebus Dx/Tx Intervention Perph Les-Gold,Pbb",1046.0,1046.0,,,0 HCPCS,31654,Pr Brnschsc Tndsc Ebus Dx/Tx Intervention Perph Les-Pbb,1046.0,1046.0,,,0 HCPCS,31660,Bronch thermoplsty 1 lobe,,,7562.9,14227.0,4 HCPCS,31660,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Bronchial Thermoplasty, 1 Lobe",12744.0,12744.0,,,0 HCPCS,31660,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Bronchial Thermoplasty, 1 Lobe-Pbb",10410.5,10410.5,,,0 HCPCS,31660,Pr Bronchoscopic Thermoplasty One Lobe-Pbb,5431.0,5431.0,,,0 HCPCS,31661,Bronch thermoplsty 2/> lobes,,,7562.9,14227.0,4 HCPCS,31661,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Bronchial Thermoplasty, 2 Or More Lobes",13762.0,13762.0,,,0 HCPCS,31661,"Hc Bronch, Rigid Or Flex, Incl Fluoro Guid, When Perf; W/ Bronchial Thermoplasty, 2 Or More Lobes-Pb",11041.5,11041.5,,,0 HCPCS,31661,Pr Bronchoscopic Thermoplasty 2/> Lobes-Pbb,6265.0,6265.0,,,0 HCPCS,31717,Bronchial brush biopsy,,,419.13,3399.0,4 HCPCS,31720,Clearance of airways,,,234.66,3399.0,4 HCPCS,31720,Hc Catheter Aspiration; Nasotracheal,770.0,770.0,,,0 HCPCS,31725,Clearance of airways,,,10008.0,10008.0,1 HCPCS,31725,"Hc Catheter Aspiration; Tracheobronchial With Fiberscope, Bedside",5189.0,5189.0,,,0 HCPCS,31725,"Hc Catheter Aspiration; Tracheobronchial With Fiberscope, Bedside-Pbb",4725.5,4725.5,,,0 HCPCS,31725,Pr Cath Aspir Tracheobrncl Fiberscope Bedside Spx-Pbb,1236.0,1236.0,,,0 HCPCS,31730,Intro windpipe wire/tube,,,1907.37,7272.0,4 HCPCS,31750,Repair of windpipe,,,6343.8,22280.0,4 HCPCS,31755,Repair of windpipe,,,6343.8,22280.0,4 HCPCS,31760,Repair of windpipe,,,10008.0,10008.0,1 HCPCS,31766,Reconstruction of windpipe,,,10008.0,10008.0,1 HCPCS,31770,Repair/graft of bronchus,,,10008.0,10008.0,1 HCPCS,31775,Reconstruct bronchus,,,10008.0,10008.0,1 HCPCS,31780,Reconstruct windpipe,,,10008.0,10008.0,1 HCPCS,31781,Reconstruct windpipe,,,10008.0,10008.0,1 HCPCS,31785,Hc Exc T Tumor Or Carcinoma; Cervical-Pbb,18679.0,18679.0,,,0 HCPCS,31785,Pr Excision Tracheal Tumor/Carcinoma Cervical-Pbb,8752.0,8752.0,,,0 HCPCS,31785,Remove windpipe lesion,,,6343.8,11000.0,4 HCPCS,31786,Remove windpipe lesion,,,10008.0,10008.0,1 HCPCS,31800,Repair of windpipe injury,,,7272.0,7272.0,1 HCPCS,31805,Repair of windpipe injury,,,10008.0,10008.0,1 HCPCS,31820,Closure of windpipe lesion,,,3552.91,11000.0,4 HCPCS,31820,Hc Closure Of Windpipe Lesion,9203.0,9203.0,,,0 HCPCS,31820,Hc Closure Of Windpipe Lesion-Pbb,10745.5,10745.5,,,0 HCPCS,31820,Pr Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr-Pbb,3085.0,3085.0,,,0 HCPCS,31825,Repair of windpipe defect,,,3552.91,11000.0,4 HCPCS,31830,Hc Revision Of Tracheostomy Scar,7111.0,7111.0,,,0 HCPCS,31830,Hc Revision Of Tracheostomy Scar-Pbb,8964.5,8964.5,,,0 HCPCS,31830,Pr Revision Tracheostomy Scar-Pbb,3708.0,3708.0,,,0 HCPCS,31830,Revise windpipe scar,,,3552.91,11000.0,4 HCPCS,31899,Airways surgical procedure,,,213.9,3399.0,4 HCPCS,31899,"Hc Unlisted Procedure Trachea, Bronchi",9106.0,9106.0,,,0 HCPCS,31899,"Hc Unlisted Procedure Trachea, Bronchi-Pbb",10528.0,10528.0,,,0 HCPCS,31899,Pr Unlisted Procedure Trachea Bronchi-Pbb,2844.0,2844.0,,,0 HCPCS,32035,Thoracostomy w/rib resection,,,10008.0,10008.0,1 HCPCS,32036,Thoracostomy w/flap drainage,,,10008.0,10008.0,1 HCPCS,32096,Open wedge/bx lung infiltr,,,10008.0,10008.0,1 HCPCS,32097,Open wedge/bx lung nodule,,,10008.0,10008.0,1 HCPCS,32098,Open biopsy of lung pleura,,,10008.0,10008.0,1 HCPCS,32100,Exploration of chest,,,10008.0,10008.0,1 HCPCS,32100,Hc Thoracotomy With Exploration,2883.0,2883.0,,,0 HCPCS,32110,Explore/repair chest,,,10008.0,10008.0,1 HCPCS,32110,Hc Thoracotomy; With Control Of Traumatic Hemorrhage And/Or Repair Of Lung Teat,27691.0,27691.0,,,0 HCPCS,32120,Re-exploration of chest,,,10008.0,10008.0,1 HCPCS,32124,Explore chest free adhesions,,,10008.0,10008.0,1 HCPCS,32140,Removal of lung lesion(s),,,10008.0,10008.0,1 HCPCS,32141,Remove/treat lung lesions,,,10008.0,10008.0,1 HCPCS,32150,Removal of lung lesion(s),,,10008.0,10008.0,1 HCPCS,32151,Remove lung foreign body,,,10008.0,10008.0,1 HCPCS,32160,Hc Thoracotomy With Cardiac Massage,2901.0,2901.0,,,0 HCPCS,32160,Open chest heart massage,,,10008.0,10008.0,1 HCPCS,32200,Drain open lung lesion,,,10008.0,10008.0,1 HCPCS,32215,Treat chest lining,,,10008.0,10008.0,1 HCPCS,32220,Release of lung,,,10008.0,10008.0,1 HCPCS,32225,Partial release of lung,,,10008.0,10008.0,1 HCPCS,32310,Removal of chest lining,,,10008.0,10008.0,1 HCPCS,32320,Free/remove chest lining,,,10008.0,10008.0,1 HCPCS,32400,"Hc Biopsy, Pleura; Percutaneous Needle",3106.0,3106.0,,,0 HCPCS,32400,Needle biopsy chest lining,,,1769.88,7272.0,4 HCPCS,32408,Core ndl bx lng/med perq,,,1769.88,7272.0,4 HCPCS,32408,Hc Core Needle Bx Lung/Mediastinum Perq W/Img,5201.0,5201.0,,,0 HCPCS,32440,Remove lung pneumonectomy,,,10008.0,10008.0,1 HCPCS,32442,Sleeve pneumonectomy,,,10008.0,10008.0,1 HCPCS,32445,Removal of lung extrapleural,,,10008.0,10008.0,1 HCPCS,32480,Partial removal of lung,,,10008.0,10008.0,1 HCPCS,32482,Bilobectomy,,,10008.0,10008.0,1 HCPCS,32484,Segmentectomy,,,10008.0,10008.0,1 HCPCS,32486,Sleeve lobectomy,,,10008.0,10008.0,1 HCPCS,32488,Completion pneumonectomy,,,10008.0,10008.0,1 HCPCS,32491,Lung volume reduction,,,10008.0,10008.0,1 HCPCS,32501,Repair bronchus add-on,,,10008.0,10008.0,1 HCPCS,32503,Resect apical lung tumor,,,10008.0,10008.0,1 HCPCS,32504,Resect apical lung tum/chest,,,10008.0,10008.0,1 HCPCS,32505,Wedge resect of lung initial,,,10008.0,10008.0,1 HCPCS,32506,Wedge resect of lung add-on,,,10008.0,10008.0,1 HCPCS,32507,Wedge resect of lung diag,,,10008.0,10008.0,1 HCPCS,32540,Removal of lung lesion,,,10008.0,10008.0,1 HCPCS,32550,Hc Insertion Of Indwelling Tunneled Pleural Catheter With Cuff,18444.0,18444.0,,,0 HCPCS,32550,Hc Insertion Of Indwelling Tunneled Pleural Catheter With Cuff-Gold,20129.5,20129.5,,,0 HCPCS,32550,"Hc Insertion Of Indwelling Tunneled Pleural Catheter With Cuff-Gold,Pbb",20129.5,20129.5,,,0 HCPCS,32550,Hc Insertion Of Indwelling Tunneled Pleural Catheter With Cuff-Pbb,20129.5,20129.5,,,0 HCPCS,32550,Insert pleural cath,,,3836.82,14227.0,4 HCPCS,32550,Pr Insertion Indwelling Tunneled Pleural Catheter-Gold,3371.0,3371.0,,,0 HCPCS,32550,"Pr Insertion Indwelling Tunneled Pleural Catheter-Gold,Oprm",3371.0,3371.0,,,0 HCPCS,32550,"Pr Insertion Indwelling Tunneled Pleural Catheter-Gold,Pbb",3371.0,3371.0,,,0 HCPCS,32550,Pr Insertion Indwelling Tunneled Pleural Catheter-Pbb,3371.0,3371.0,,,0 HCPCS,32551,"Hc Tube Thoracostomy, Includes Connection To Drainage System, When Performed, Open",3652.0,3652.0,,,0 HCPCS,32551,"Hc Tube Thoracostomy, Includes Connection To Drainage System, When Performed, Open-Gold",5245.0,5245.0,,,0 HCPCS,32551,"Hc Tube Thoracostomy, Includes Connection To Drainage System, When Performed, Open-Gold,Pbb",5245.0,5245.0,,,0 HCPCS,32551,"Hc Tube Thoracostomy, Includes Connection To Drainage System, When Performed, Open-Pbb",5245.0,5245.0,,,0 HCPCS,32551,Insertion of chest tube,,,1686.89,5007.0,4 HCPCS,32551,Pr Tube Thoracostomy Includes Water Seal-Gold,3186.0,3186.0,,,0 HCPCS,32551,"Pr Tube Thoracostomy Includes Water Seal-Gold,Oprm",3186.0,3186.0,,,0 HCPCS,32551,"Pr Tube Thoracostomy Includes Water Seal-Gold,Pbb",3186.0,3186.0,,,0 HCPCS,32551,Pr Tube Thoracostomy Includes Water Seal-Pbb,3186.0,3186.0,,,0 HCPCS,32552,Hc Removal Of Indwelling Tunnled Pleural Catheter With Cuff,2382.0,2382.0,,,0 HCPCS,32552,Hc Removal Of Indwelling Tunnled Pleural Catheter With Cuff-Gold,3456.5,3456.5,,,0 HCPCS,32552,"Hc Removal Of Indwelling Tunnled Pleural Catheter With Cuff-Gold,Pbb",3456.5,3456.5,,,0 HCPCS,32552,Hc Removal Of Indwelling Tunnled Pleural Catheter With Cuff-Pbb,3456.5,3456.5,,,0 HCPCS,32552,Pr Rmvl Ndwellg Tunneled Pleural Catheter W/Cuff-Gold,2149.0,2149.0,,,0 HCPCS,32552,"Pr Rmvl Ndwellg Tunneled Pleural Catheter W/Cuff-Gold,Oprm",2149.0,2149.0,,,0 HCPCS,32552,"Pr Rmvl Ndwellg Tunneled Pleural Catheter W/Cuff-Gold,Pbb",2149.0,2149.0,,,0 HCPCS,32552,Pr Rmvl Ndwellg Tunneled Pleural Catheter W/Cuff-Pbb,2149.0,2149.0,,,0 HCPCS,32552,Remove lung catheter,,,672.23,5007.0,4 HCPCS,32553,Hc Ins Mark Thor For Rt Perq,3321.0,3321.0,,,0 HCPCS,32553,Ins mark thor for rt perq,,,1483.26,7272.0,4 HCPCS,32554,Aspirate pleura w/o imaging,,,672.23,5007.0,4 HCPCS,32554,"Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; Without Imaging Guidance",2998.0,2998.0,,,0 HCPCS,32554,"Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; Without Imaging Guidance-Gold",3466.5,3466.5,,,0 HCPCS,32554,"Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; Without Imaging Guidance-Pbb",3466.5,3466.5,,,0 HCPCS,32554,Pr Thoracentesis Needle/Cath Pleura W/O Imaging-Gold,937.0,937.0,,,0 HCPCS,32554,"Pr Thoracentesis Needle/Cath Pleura W/O Imaging-Gold,Oprm",937.0,937.0,,,0 HCPCS,32554,"Pr Thoracentesis Needle/Cath Pleura W/O Imaging-Gold,Pbb",937.0,937.0,,,0 HCPCS,32554,Pr Thoracentesis Needle/Cath Pleura W/O Imaging-Pbb,937.0,937.0,,,0 HCPCS,32555,Aspirate pleura w/ imaging,,,672.23,5007.0,4 HCPCS,32555,"Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guidance",4278.0,4278.0,,,0 HCPCS,32555,"Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guidance-Gold",4950.0,4950.0,,,0 HCPCS,32555,"Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guidance-Gold,Pb",4950.0,4950.0,,,0 HCPCS,32555,"Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guidance-Pbb",4950.0,4950.0,,,0 HCPCS,32555,Pr Thoracentesis Needle/Cath Pleura W/Imaging-Gold,1344.0,1344.0,,,0 HCPCS,32555,"Pr Thoracentesis Needle/Cath Pleura W/Imaging-Gold,Oprm",1344.0,1344.0,,,0 HCPCS,32555,"Pr Thoracentesis Needle/Cath Pleura W/Imaging-Gold,Pbb",1344.0,1344.0,,,0 HCPCS,32555,Pr Thoracentesis Needle/Cath Pleura W/Imaging-Pbb,1344.0,1344.0,,,0 HCPCS,32556,"Hc Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; Without Imaging Guidance",2374.0,2374.0,,,0 HCPCS,32556,"Hc Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; Without Imaging Guidance-G",4126.5,4126.5,,,0 HCPCS,32556,"Hc Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; Without Imaging Guidance-P",4126.5,4126.5,,,0 HCPCS,32556,Insert cath pleura w/o image,,,2056.34,7272.0,4 HCPCS,32556,Pr Perq Drainage Pleura Insert Cath W/O Imaging-Gold,3505.0,3505.0,,,0 HCPCS,32556,"Pr Perq Drainage Pleura Insert Cath W/O Imaging-Gold,Oprm",3505.0,3505.0,,,0 HCPCS,32556,"Pr Perq Drainage Pleura Insert Cath W/O Imaging-Gold,Pbb",3505.0,3505.0,,,0 HCPCS,32556,Pr Perq Drainage Pleura Insert Cath W/O Imaging-Pbb,3505.0,3505.0,,,0 HCPCS,32557,"Hc Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; With Imaging Guidance",4916.0,4916.0,,,0 HCPCS,32557,"Hc Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; With Imaging Guidance-Pbb",7987.0,7987.0,,,0 HCPCS,32557,Insert cath pleura w/ image,,,1686.89,5007.0,4 HCPCS,32557,Pr Perq Drainage Pleura Insert Cath W/Imaging-Pbb,6142.0,6142.0,,,0 HCPCS,32560,"Hc Instillation, Via Chest Tube/Catheter, Agent For Pleurodesis",1926.0,1926.0,,,0 HCPCS,32560,"Hc Instillation, Via Chest Tube/Catheter, Agent For Pleurodesis-Gold",2691.5,2691.5,,,0 HCPCS,32560,"Hc Instillation, Via Chest Tube/Catheter, Agent For Pleurodesis-Gold,Pbb",2691.5,2691.5,,,0 HCPCS,32560,"Hc Instillation, Via Chest Tube/Catheter, Agent For Pleurodesis-Pbb",2691.5,2691.5,,,0 HCPCS,32560,Pr Instlj Via Chest Tube/Cath Agent For Pleurodesis-Gold,1531.0,1531.0,,,0 HCPCS,32560,"Pr Instlj Via Chest Tube/Cath Agent For Pleurodesis-Gold,Oprm",1531.0,1531.0,,,0 HCPCS,32560,"Pr Instlj Via Chest Tube/Cath Agent For Pleurodesis-Gold,Pbb",1531.0,1531.0,,,0 HCPCS,32560,Pr Instlj Via Chest Tube/Cath Agent For Pleurodesis-Pbb,1531.0,1531.0,,,0 HCPCS,32560,Treat pleurodesis w/agent,,,672.23,5007.0,4 HCPCS,32561,Hc Lyse Chest Fibrin Init Day-Pbb,2906.0,2906.0,,,0 HCPCS,32561,Lyse chest fibrin init day,,,672.23,5007.0,4 HCPCS,32561,Pr Instlj Via Ch Tube/Cath Agent Fbrnlysis 1St Day-Pbb,566.0,566.0,,,0 HCPCS,32562,Hc Instlj Ch Tube/Cath Agent Fbrnlysis Sbsq Day-Pbb,2881.5,2881.5,,,0 HCPCS,32562,Lyse chest fibrin subq day,,,672.23,5007.0,4 HCPCS,32562,Pr Instlj Ch Tube/Cath Agent Fbrnlysis Sbsq Day-Pbb,517.0,517.0,,,0 HCPCS,32601,"Hc Thoracoscopy, Diagnostic; Lungs, Pericardial Sac, Mediastinal Or Pleural Space, Without Biopsy",13240.0,13240.0,,,0 HCPCS,32601,"Hc Thoracoscopy, Diagnostic; Lungs, Pericardial Sac, Mediastinal Or Pleural Space, Without Biopsy-Go",11886.0,11886.0,,,0 HCPCS,32601,"Hc Thoracoscopy, Diagnostic; Lungs, Pericardial Sac, Mediastinal Or Pleural Space, Without Biopsy-Pb",11886.0,11886.0,,,0 HCPCS,32601,Pr Thorsc Dx Lungs/Pericar/Med/Pleural Space W/O Bx-Gold,3503.0,3503.0,,,0 HCPCS,32601,"Pr Thorsc Dx Lungs/Pericar/Med/Pleural Space W/O Bx-Gold,Oprm",3503.0,3503.0,,,0 HCPCS,32601,"Pr Thorsc Dx Lungs/Pericar/Med/Pleural Space W/O Bx-Gold,Pbb",3503.0,3503.0,,,0 HCPCS,32601,Pr Thorsc Dx Lungs/Pericar/Med/Pleural Space W/O Bx-Pbb,3503.0,3503.0,,,0 HCPCS,32601,Thoracoscopy diagnostic,,,6478.5,22280.0,4 HCPCS,32604,Thoracoscopy wbx sac,,,11391.13,22280.0,4 HCPCS,32606,Thoracoscopy w/bx med space,,,6478.5,22280.0,4 HCPCS,32607,Thoracoscopy w/bx infiltrate,,,11391.13,22280.0,4 HCPCS,32608,Thoracoscopy w/bx nodule,,,11391.13,22280.0,4 HCPCS,32609,"Pr Thoracoscopy With Biopsyies Of Pleura-Gold,Oprm",2491.0,2491.0,,,0 HCPCS,32609,Thoracoscopy w/bx pleura,,,6478.5,22280.0,4 HCPCS,32650,"Hc Thoracoscopy, Surgical; With Pleurodesis",13784.0,13784.0,,,0 HCPCS,32650,"Hc Thoracoscopy, Surgical; With Pleurodesis-Gold",18566.5,18566.5,,,0 HCPCS,32650,"Hc Thoracoscopy, Surgical; With Pleurodesis-Gold,Pbb",18566.0,18566.0,,,0 HCPCS,32650,"Hc Thoracoscopy, Surgical; With Pleurodesis-Pbb",18565.5,18565.5,,,0 HCPCS,32650,Pr Thoracoscopy W/Pleurodesis-Gold,9562.0,9562.0,,,0 HCPCS,32650,"Pr Thoracoscopy W/Pleurodesis-Gold,Oprm",9562.0,9562.0,,,0 HCPCS,32650,"Pr Thoracoscopy W/Pleurodesis-Gold,Pbb",9562.0,9562.0,,,0 HCPCS,32650,Pr Thoracoscopy W/Pleurodesis-Pbb,9562.0,9562.0,,,0 HCPCS,32650,Thoracoscopy w/pleurodesis,,,36418.0,36418.0,1 HCPCS,32651,Thoracoscopy remove cortex,,,36418.0,36418.0,1 HCPCS,32652,"Pr Thrsc Tot Pulm Dcrtctj Intrapleural Pneumonolss-Gold,Oprm",15680.0,15680.0,,,0 HCPCS,32652,Thoracoscopy rem totl cortex,,,36418.0,36418.0,1 HCPCS,32653,"Pr Thoracoscopy Rmvl Intrapleural Fb/Fibrin Deposit-Gold,Oprm",8874.0,8874.0,,,0 HCPCS,32653,Thoracoscopy remov fb/fibrin,,,24760.0,24760.0,1 HCPCS,32654,Thoracoscopy contrl bleeding,,,10008.0,10008.0,1 HCPCS,32655,Thoracoscopy resect bullae,,,36418.0,36418.0,1 HCPCS,32656,Thoracoscopy w/pleurectomy,,,36418.0,36418.0,1 HCPCS,32658,Thoracoscopy w/sac fb remove,,,10008.0,10008.0,1 HCPCS,32659,Thoracoscopy w/sac drainage,,,10008.0,10008.0,1 HCPCS,32661,Thoracoscopy w/pericard exc,,,10008.0,10008.0,1 HCPCS,32662,Thoracoscopy w/mediast exc,,,10008.0,10008.0,1 HCPCS,32663,Thoracoscopy w/lobectomy,,,10008.0,10008.0,1 HCPCS,32664,Thoracoscopy w/ th nrv exc,,,14227.0,14227.0,1 HCPCS,32665,Thoracoscop w/esoph musc exc,,,10008.0,10008.0,1 HCPCS,32666,Thoracoscopy w/wedge resect,,,10008.0,10008.0,1 HCPCS,32667,Thoracoscopy w/w resect addl,,,10008.0,10008.0,1 HCPCS,32668,Thoracoscopy w/w resect diag,,,10008.0,10008.0,1 HCPCS,32669,Thoracoscopy remove segment,,,10008.0,10008.0,1 HCPCS,32670,Thoracoscopy bilobectomy,,,10008.0,10008.0,1 HCPCS,32671,Thoracoscopy pneumonectomy,,,10008.0,10008.0,1 HCPCS,32672,Thoracoscopy for lvrs,,,10008.0,10008.0,1 HCPCS,32673,Thoracoscopy w/thymus resect,,,10008.0,10008.0,1 HCPCS,32674,Thoracoscopy lymph node exc,,,10008.0,10008.0,1 HCPCS,32800,Repair lung hernia,,,10008.0,10008.0,1 HCPCS,32810,Close chest after drainage,,,10008.0,10008.0,1 HCPCS,32815,Close bronchial fistula,,,10008.0,10008.0,1 HCPCS,32820,Reconstruct injured chest,,,10008.0,10008.0,1 HCPCS,32850,Donor pneumonectomy,,,10008.0,10008.0,1 HCPCS,32851,Lung transplant single,,,10008.0,10008.0,1 HCPCS,32852,Lung transplant with bypass,,,10008.0,10008.0,1 HCPCS,32853,Lung transplant double,,,10008.0,10008.0,1 HCPCS,32854,Lung transplant with bypass,,,10008.0,10008.0,1 HCPCS,32855,Prepare donor lung single,,,10008.0,10008.0,1 HCPCS,32856,Prepare donor lung double,,,10008.0,10008.0,1 HCPCS,32900,Removal of rib(s),,,10008.0,10008.0,1 HCPCS,32905,Revise & repair chest wall,,,10008.0,10008.0,1 HCPCS,32906,Revise & repair chest wall,,,10008.0,10008.0,1 HCPCS,32940,Revision of lung,,,10008.0,10008.0,1 HCPCS,32960,Therapeutic pneumothorax,,,672.23,5007.0,4 HCPCS,32994,Ablate pulm tumor perq crybl,,,11391.13,24760.0,4 HCPCS,32994,Hc Ablate Pulm Tumor Perq Crybl-Gold,16153.5,16153.5,,,0 HCPCS,32994,"Hc Ablate Pulm Tumor Perq Crybl-Gold,Pbb",16153.5,16153.5,,,0 HCPCS,32994,Hc Ablate Pulm Tumor Perq Crybl-Pbb,16153.5,16153.5,,,0 HCPCS,32994,Hc Ablation Pulm Tumor Perq Crybl,13979.0,13979.0,,,0 HCPCS,32994,Pr Ablation Ther 1+ Pulm Tumors Perq Cryoablation-Gold,3511.0,3511.0,,,0 HCPCS,32994,"Pr Ablation Ther 1+ Pulm Tumors Perq Cryoablation-Gold,Oprm",3511.0,3511.0,,,0 HCPCS,32994,"Pr Ablation Ther 1+ Pulm Tumors Perq Cryoablation-Gold,Pbb",3511.0,3511.0,,,0 HCPCS,32994,Pr Ablation Ther 1+ Pulm Tumors Perq Cryoablation-Pbb,3511.0,3511.0,,,0 HCPCS,32997,Total lung lavage,,,7272.0,7272.0,1 HCPCS,32998,"Hc Ablt Thrpy 4 Rdx Or Erad Of 1 Or > Pulm Tmr(S) Inc Plra Or Chst Wa When Inv Tmr Ext,Perc,Uni; Rf",19206.0,19206.0,,,0 HCPCS,32998,"Hc Ablt Thrpy 4 Rdx Or Erad Of 1 Or > Pulm Tmr(S) Inc Plra Or Chst Wa When Inv Tmr Ext,Perc,Uni; Rf-",20317.5,20317.5,,,0 HCPCS,32998,Perq rf ablate tx pul tumor,,,6478.5,24760.0,4 HCPCS,32998,Pr Ablation Ther 1+ Pulm Tumors Perq Radiofrequency-Gold,2224.0,2224.0,,,0 HCPCS,32998,"Pr Ablation Ther 1+ Pulm Tumors Perq Radiofrequency-Gold,Oprm",2224.0,2224.0,,,0 HCPCS,32998,"Pr Ablation Ther 1+ Pulm Tumors Perq Radiofrequency-Gold,Pbb",2224.0,2224.0,,,0 HCPCS,32998,Pr Ablation Ther 1+ Pulm Tumors Perq Radiofrequency-Pbb,2224.0,2224.0,,,0 HCPCS,32999,Chest surgery procedure,,,672.23,5007.0,4 HCPCS,32999,Hc Pleurex Catheter Evaluation,877.0,877.0,,,0 HCPCS,33016,Hc Pericardiocentesis W/Imaging,4574.0,4574.0,,,0 HCPCS,33016,Pericardiocentesis w/imaging,,,1686.89,5007.0,4 HCPCS,33017,Hc Prcrd Drg 6Yr+ W/O Cgen Car,2045.0,2045.0,,,0 HCPCS,33017,Prcrd drg 6yr+ w/o cgen car,,,10008.0,10008.0,1 HCPCS,33018,Hc Prcrd Drg 0-5Yr Or W/Anomly,548.0,548.0,,,0 HCPCS,33018,Prcrd drg 0-5yr or w/anomly,,,10008.0,10008.0,1 HCPCS,33019,Hc Perq Prcrd Drg Insj Cath Ct,1487.0,1487.0,,,0 HCPCS,33019,Perq prcrd drg insj cath ct,,,10008.0,10008.0,1 HCPCS,33020,Hc Pericardiotomy For Removal Of Clot/Foreign Body,2837.0,2837.0,,,0 HCPCS,33020,Incision of heart sac,,,10008.0,10008.0,1 HCPCS,33025,Hc Incision Of Heart Sac,17590.0,17590.0,,,0 HCPCS,33025,Incision of heart sac,,,10008.0,10008.0,1 HCPCS,33030,Partial removal of heart sac,,,10008.0,10008.0,1 HCPCS,33031,Partial removal of heart sac,,,10008.0,10008.0,1 HCPCS,33050,Resect heart sac lesion,,,10008.0,10008.0,1 HCPCS,33120,Removal of heart lesion,,,10008.0,10008.0,1 HCPCS,33130,Removal of heart lesion,,,10008.0,10008.0,1 HCPCS,33140,Heart revascularize (tmr),,,10008.0,10008.0,1 HCPCS,33141,Heart Tmr W/Other Procedure,,,10008.0,10008.0,1 HCPCS,33202,Insert epicard eltrd open,,,10008.0,10008.0,1 HCPCS,33203,Insert epicard eltrd endo,,,10008.0,10008.0,1 HCPCS,33206,Hc Insertion Of New Or Replacement Of Permanent Pacemaker With Transvenous Electrode(S); Atrial,20647.0,20647.0,,,0 HCPCS,33206,Insert heart pm atrial,,,11200.55,36418.0,4 HCPCS,33207,Hc Insertion Of New Or Replacement Of Permanent Pacemaker With Transvenous Electrode(S); Ventricular,21904.0,21904.0,,,0 HCPCS,33207,Insert heart pm ventricular,,,11200.55,36418.0,4 HCPCS,33208,Hc Insertn Of New Or Replacemnt Of Prmnent Pacemaker W/ Transven Electrode(S); Atrial And Ventriclr,22834.0,22834.0,,,0 HCPCS,33208,Insrt heart pm atrial & vent,,,11200.55,66129.0,4 HCPCS,33210,Hc Insertion Or Replacement Of Temporary Transven Single Chamber Cardiac Electrode Or Pacemaker Cath,17859.0,17859.0,,,0 HCPCS,33210,Insert electrd/pm cath sngl,,,8868.06,24760.0,4 HCPCS,33211,Hc Insertion Or Replacement Of Temporary Transvenous Dual Chamber Pacing Electrodes,19256.0,19256.0,,,0 HCPCS,33211,Insert card electrodes dual,,,8868.06,24760.0,4 HCPCS,33212,Hc Elep-Insert Pulse Gen Single Leads,10726.0,10726.0,,,0 HCPCS,33212,Insert pulse gen sngl lead,,,8868.06,36418.0,4 HCPCS,33213,Hc Elep-Insert Pulse Gen Dual Leads,19813.0,19813.0,,,0 HCPCS,33213,Insert pulse gen dual leads,,,11200.55,36418.0,4 HCPCS,33214,Hc Elep-Upgrd Impn Pmk Sys Sgl To Dual Chmb,16920.0,16920.0,,,0 HCPCS,33214,Upgrade of pacemaker system,,,11200.55,66129.0,4 HCPCS,33215,Hc Repositioning Of Previously Imp Transvenous Pacemaker Or Implantable Defibrillator Electrode,5454.0,5454.0,,,0 HCPCS,33215,Reposition pacing-defib lead,,,3383.62,14227.0,4 HCPCS,33216,"Hc Insertion Of A Single Transvenous Electrode, Permanent Pacemaker Or Implantable Defibrillator",9547.0,9547.0,,,0 HCPCS,33216,Insert 1 electrode pm-defib,,,8868.06,24760.0,4 HCPCS,33217,"Hc Insertion Of 2 Transvenous Electrodes, Permanent Pacemaker Or Implantable Defibrillator",9547.0,9547.0,,,0 HCPCS,33217,Insert 2 electrode pm-defib,,,8868.06,24760.0,4 HCPCS,33218,"Hc Replair Of Single Transvenous Electrode, Permanent Pacemaker Or Implantable Defibrillator",16077.0,16077.0,,,0 HCPCS,33218,Repair lead pace-defib one,,,4004.6,14227.0,4 HCPCS,33220,Hc Repair Of 2 Transvenous Electrodes For Permanent Pacemaker Or Implantable Defibrillator,9380.0,9380.0,,,0 HCPCS,33220,Repair lead pace-defib dual,,,4004.6,14227.0,4 HCPCS,33221,Hc Insertion Of Pacemaker Pulse Generator Only; With Exisiting Multiple Leads,33633.0,33633.0,,,0 HCPCS,33221,Insert pulse gen mult leads,,,20641.19,36418.0,4 HCPCS,33222,Hc Relocation Of Skin Pocket For Pacemaker,10576.0,10576.0,,,0 HCPCS,33222,Relocation pocket pacemaker,,,2211.05,7272.0,4 HCPCS,33223,Hc Relocation Of Skin Pocket For Implantable Defibrillator,5067.0,5067.0,,,0 HCPCS,33223,Relocate pocket for defib,,,2211.05,7272.0,4 HCPCS,33224,"Hc Insrtn Pcng Electrde, Card Ven Sys,L Vent Pcng,W Attach Prev Plced Pcemkr Or Implnt Defib Pls Gen",24216.0,24216.0,,,0 HCPCS,33224,Insert pacing lead & connect,,,11200.55,66129.0,4 HCPCS,33225,"Hc Insrt Pacing Elec, Card Ven Sys, Lt Vent Pcing, At Time Ins Of Implntble Defib Or Pcemkr Pls Gen",24220.0,24220.0,,,0 HCPCS,33225,L ventric pacing lead add-on,,,66129.0,66129.0,1 HCPCS,33226,Hc Repositioning Of Previously Implanted Cardiac Venous Systemelectrode,5454.0,5454.0,,,0 HCPCS,33226,Reposition l ventric lead,,,3383.62,14227.0,4 HCPCS,33227,Hc Rmvl Of Perm Pcmkr Pulse Genrtr W/ Replcemnt Of Pcmkr Pulse Genrtr; Sngl Lead Sys,32327.0,32327.0,,,0 HCPCS,33227,Remove&replace pm gen singl,,,8868.06,36418.0,4 HCPCS,33228,Hc Remvl Of Permnt Pacemaker Pulse Generator W/ Replacmnt Of Pacemaker Pulse Generator;Dual Lead Sys,33679.0,33679.0,,,0 HCPCS,33228,Remv&replc pm gen dual lead,,,11200.55,36418.0,4 HCPCS,33229,Hc Rmvl Of Perm Pcmkr Pulse Genrtr W/ Replcemnt Of Pcmkr Pulse Genrtr; Mltpl Lead Sys,35353.0,35353.0,,,0 HCPCS,33229,Remv&replc pm gen mult leads,,,20641.19,36418.0,4 HCPCS,33230,Hc Insertion Of Implantable Defibrillator Pulse Generator Only; With Exisiting Dual Leads,60379.0,60379.0,,,0 HCPCS,33230,Insrt pulse gen w/dual leads,,,23836.63,78953.0,4 HCPCS,33231,Hc Insertion Of Implantable Defibrillator Pulse Generator Only; With Exisiting Multiple Leads,71071.0,71071.0,,,0 HCPCS,33231,Insrt pulse gen w/mult leads,,,33636.89,78953.0,4 HCPCS,33233,Hc Removal Of Permanent Pacemaker Pulse Generator Only,9547.0,9547.0,,,0 HCPCS,33233,Removal of pm generator,,,8868.06,14227.0,4 HCPCS,33234,"Hc Removal Of Transvenous Pacemaker Electrode(S); Single Lead System, Atrial Or Ventricular",5940.0,5940.0,,,0 HCPCS,33234,Removal of pacemaker system,,,4004.6,14227.0,4 HCPCS,33235,Hc Removal Of Transvenous Pacemaker Elextrode(S); Dual Lead System,9217.0,9217.0,,,0 HCPCS,33235,Removal pacemaker electrode,,,4004.6,14227.0,4 HCPCS,33236,Remove electrode/thoracotomy,,,10008.0,10008.0,1 HCPCS,33237,Remove electrode/thoracotomy,,,10008.0,10008.0,1 HCPCS,33238,Remove electrode/thoracotomy,,,10008.0,10008.0,1 HCPCS,33240,Hc Insj Implntbl Defib Pulse Gen W/1 Existing Ld,61068.0,61068.0,,,0 HCPCS,33240,Insrt pulse gen w/singl lead,,,23836.63,78953.0,4 HCPCS,33241,Hc Removal Of Implantable Defibrillator Pulse Generator Only,7889.0,7889.0,,,0 HCPCS,33241,Remove pulse generator,,,4004.6,14227.0,4 HCPCS,33243,Remove eltrd/thoracotomy,,,22280.0,22280.0,1 HCPCS,33244,Hc Rmvl Of Single Or Dual Chamber Implantable Defibrillator Electrode(S); By Transvenous Extraction,5940.0,5940.0,,,0 HCPCS,33244,Remove elctrd transvenously,,,4004.6,14227.0,4 HCPCS,33249,"Hc Insrtn Or Rplacmnt Of Perment Implntbl Defib System ,W/Transvenous Lead(S),Single Or Dual Chamber",86296.0,86296.0,,,0 HCPCS,33249,Insj/rplcmt defib w/lead(s),,,33636.89,78953.0,4 HCPCS,33250,Ablate heart dysrhythm focus,,,10008.0,10008.0,1 HCPCS,33251,Ablate heart dysrhythm focus,,,10008.0,10008.0,1 HCPCS,33254,Ablate atria lmtd,,,10008.0,10008.0,1 HCPCS,33255,Ablate atria w/o bypass ext,,,10008.0,10008.0,1 HCPCS,33256,Ablate atria w/bypass exten,,,10008.0,10008.0,1 HCPCS,33257,Ablate atria lmtd add-on,,,10008.0,10008.0,1 HCPCS,33258,Ablate atria x10sv add-on,,,10008.0,10008.0,1 HCPCS,33259,Ablate atria w/bypass add-on,,,10008.0,10008.0,1 HCPCS,33261,Ablate heart dysrhythm focus,,,10008.0,10008.0,1 HCPCS,33262,Hc Rmvl Of Implntble Defib Puls Gen W/ Replcmnt Of Implntable Defib Puls Generator;Single Lead Sys,94066.0,94066.0,,,0 HCPCS,33262,Rmvl& replc pulse gen 1 lead,,,23836.63,78953.0,4 HCPCS,33263,Hc Rmvl Of Implnt Defib Puls Gen W Replcmnt Of Implntable Defibrillator Puls Gen; Dual Lead Sys,97774.0,97774.0,,,0 HCPCS,33263,Rmvl & rplcmt dfb gen 2 lead,,,23836.63,78953.0,4 HCPCS,33264,Hc Rmvl Implntbl Defib Puls Gen W Replcmnt Implntable Defib Puls Generator; Mult Lead Sys,152611.0,152611.0,,,0 HCPCS,33264,Rmvl & rplcmt dfb gen mlt ld,,,33636.89,78953.0,4 HCPCS,33265,Ablate atria lmtd endo,,,10008.0,10008.0,1 HCPCS,33266,Ablate atria x10sv endo,,,10008.0,10008.0,1 HCPCS,33267,Excl laa open any method,,,10008.0,10008.0,1 HCPCS,33268,Excl laa opn oth px any meth,,,10008.0,10008.0,1 HCPCS,33269,Excl laa thrscp any method,,,10008.0,10008.0,1 HCPCS,33270,"Hc Insrt/Replce Perm Sq Implnt Defib Syst, Dfb Threshld Evl, Indctn Arrhythmia, Eval Arrhythmia Term",121756.0,121756.0,,,0 HCPCS,33270,Ins/rep subq defibrillator,,,33636.89,78953.0,4 HCPCS,33271,Hc Insertion Of Subcutaneous Implantable Defibrillator Electrode,23862.0,23862.0,,,0 HCPCS,33271,Insj subq impltbl dfb elctrd,,,8868.06,36418.0,4 HCPCS,33272,Hc Removal Of Subcutaneous Implantable Defibrillator Electrode,8558.0,8558.0,,,0 HCPCS,33272,Rmvl of subq defibrillator,,,4004.6,14227.0,4 HCPCS,33273,Hc Repositioning Of Previously Implanted Subcutaneous Implantable Defibrillator Electrode,8558.0,8558.0,,,0 HCPCS,33273,Repos prev impltbl subq dfb,,,4004.6,14227.0,4 HCPCS,33274,Hc Tcat Insj/Rpl Perm Ldls Pacemaker,44785.0,44785.0,,,0 HCPCS,33274,Tcat insj/rpl perm ldls pm,,,20641.19,73109.0,4 HCPCS,33275,Hc Tcat Rmvl Perm Ldls Pacemaker,7705.0,7705.0,,,0 HCPCS,33275,Tcat rmvl perm ldls pm,,,3383.62,14227.0,4 HCPCS,33276,Hc Insj Phrnc Nrv Stim Sys,106876.0,106876.0,,,0 HCPCS,33276,Insj phrnc nrv stim sys,,,47201.02,78953.0,4 HCPCS,33277,Hc Insj Phrnc Nrv Stim Transvns,16454.0,16454.0,,,0 HCPCS,33277,Insj phrnc nrv stim transvns,,,3399.0,3399.0,1 HCPCS,33278,Hc Removal Phrenic Nerve Stimulator System,8168.0,8168.0,,,0 HCPCS,33278,Rmvl phrnc nrv stim sys,,,3746.49,14227.0,4 HCPCS,33279,Hc Rmvl Phrnc Nrv Stim Transvns,7707.0,7707.0,,,0 HCPCS,33279,Rmvl phrnc nrv stim transvns,,,3746.49,14227.0,4 HCPCS,33280,Hc Rmvl Phrnc Nrv Stim Pg Only,7707.0,7707.0,,,0 HCPCS,33280,Rmvl phrnc nrv stim pg only,,,3746.49,14227.0,4 HCPCS,33281,Hc Reposg Phrnc Nrv Stim Trnsvn,7707.0,7707.0,,,0 HCPCS,33281,Reposg phrnc nrv stim trnsvn,,,3746.49,14227.0,4 HCPCS,33285,Hc Insertion Of Subcutaneous Cardiac Rhythm Monitor,21807.0,21807.0,,,0 HCPCS,33285,Insj subq car rhythm mntr,,,8868.06,36418.0,4 HCPCS,33286,Hc Removal Of Subcutaneous Cardiac Rhythm Monitor,4228.0,4228.0,,,0 HCPCS,33286,Rmvl subq car rhythm mntr,,,758.85,5007.0,4 HCPCS,33287,Hc Rmv&Rplcmt Phrnc Nrv Stim Pg,70341.0,70341.0,,,0 HCPCS,33287,Rmv&rplcmt phrnc nrv stim pg,,,33067.68,73109.0,4 HCPCS,33288,Rmv&rplcmt phrnc nrv stim ld,,,11940.72,36418.0,4 HCPCS,33289,Hc Implantation Of Wireless Pulmonary Artery Pressure Sensor,94875.0,94875.0,,,0 HCPCS,33289,Hc Implantation Of Wireless Pulmonary Artery Pressure Sensor-Pbb,96125.5,96125.5,,,0 HCPCS,33289,Pr Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr-Pbb,2501.0,2501.0,,,0 HCPCS,33289,Tcat impl wrls p-art prs snr,,,30737.62,78953.0,4 HCPCS,33300,Hc Repair Of Cardiac Wound; Without Bypass,7945.0,7945.0,,,0 HCPCS,33300,Repair of heart wound,,,10008.0,10008.0,1 HCPCS,33305,Repair of heart wound,,,10008.0,10008.0,1 HCPCS,33310,Exploratory heart surgery,,,10008.0,10008.0,1 HCPCS,33315,Exploratory heart surgery,,,10008.0,10008.0,1 HCPCS,33320,Repair major blood vessel(s),,,10008.0,10008.0,1 HCPCS,33321,Repair major vessel,,,10008.0,10008.0,1 HCPCS,33322,Repair major blood vessel(s),,,10008.0,10008.0,1 HCPCS,33330,Insert major vessel graft,,,10008.0,10008.0,1 HCPCS,33335,Insert major vessel graft,,,10008.0,10008.0,1 HCPCS,33340,Hc Perq Clsr Tcat L Atr Apndge W/Endocardial Implnt,26200.0,26200.0,,,0 HCPCS,33340,Perq clsr tcat l atr apndge,,,10008.0,10008.0,1 HCPCS,33361,Hc Tavr/Tavi With Prosthetic Valve; Percutaneous Femoral Artery Approach,20188.0,20188.0,,,0 HCPCS,33361,Replace aortic valve perq,,,10008.0,10008.0,1 HCPCS,33362,Hc Tavr/Tavi With Prosthetic Valve; Open Femoral Artery Approach,28556.0,28556.0,,,0 HCPCS,33362,Replace aortic valve open,,,10008.0,10008.0,1 HCPCS,33363,Hc Tavr/Tavi With Prosthetic Valve; Open Axillary Artery Approach,29568.0,29568.0,,,0 HCPCS,33363,Replace aortic valve open,,,10008.0,10008.0,1 HCPCS,33364,Hc Tavr/Tavi With Prosthetic Valve; Open Iliac Rtery Approach,31599.0,31599.0,,,0 HCPCS,33364,Replace aortic valve open,,,10008.0,10008.0,1 HCPCS,33365,Hc Tavr/Tavi With Prosthetic Valve; Transaortic Approach,34497.0,34497.0,,,0 HCPCS,33365,Replace aortic valve open,,,10008.0,10008.0,1 HCPCS,33366,Hc Tavr/Tavi With Prosthetic Valve; Transapical Exposure,37601.0,37601.0,,,0 HCPCS,33366,Trcath replace aortic valve,,,10008.0,10008.0,1 HCPCS,33367,Replace aortic valve w/byp,,,10008.0,10008.0,1 HCPCS,33368,Replace aortic valve w/byp,,,10008.0,10008.0,1 HCPCS,33369,Replace aortic valve w/byp,,,10008.0,10008.0,1 HCPCS,33370,Hc Tcat Plmt&Rmvl Cepd Perq,15967.0,15967.0,,,0 HCPCS,33370,Tcat plmt&rmvl cepd perq,,,3399.0,3399.0,1 HCPCS,33390,Valvuloplasty aortic valve,,,10008.0,10008.0,1 HCPCS,33391,Valvuloplasty aortic valve,,,10008.0,10008.0,1 HCPCS,33404,Prepare heart-aorta conduit,,,10008.0,10008.0,1 HCPCS,33405,Replacement aortic valve opn,,,10008.0,10008.0,1 HCPCS,33406,Replacement aortic valve opn,,,10008.0,10008.0,1 HCPCS,33410,Replacement aortic valve opn,,,10008.0,10008.0,1 HCPCS,33411,Replacement of aortic valve,,,10008.0,10008.0,1 HCPCS,33412,Replacement of aortic valve,,,10008.0,10008.0,1 HCPCS,33413,Replacement of aortic valve,,,10008.0,10008.0,1 HCPCS,33414,Repair of aortic valve,,,10008.0,10008.0,1 HCPCS,33415,Revision subvalvular tissue,,,10008.0,10008.0,1 HCPCS,33416,Revise ventricle muscle,,,10008.0,10008.0,1 HCPCS,33417,Repair of aortic valve,,,10008.0,10008.0,1 HCPCS,33418,"Hc Transcath Mitral Valve, Perc Approach, Trans Puncture, 1St Prosthes",7626.0,7626.0,,,0 HCPCS,33418,Repair tcat mitral valve,,,10008.0,10008.0,1 HCPCS,33419,"Hc Transcath Mitral Valve Repair, Perc Approach, Add Prosthes",1799.0,1799.0,,,0 HCPCS,33419,Repair tcat mitral valve,,,3399.0,3399.0,1 HCPCS,33420,Revision of mitral valve,,,10008.0,10008.0,1 HCPCS,33422,Revision of mitral valve,,,10008.0,10008.0,1 HCPCS,33425,Repair of mitral valve,,,10008.0,10008.0,1 HCPCS,33426,Repair of mitral valve,,,10008.0,10008.0,1 HCPCS,33427,Repair of mitral valve,,,10008.0,10008.0,1 HCPCS,33430,Replacement of mitral valve,,,10008.0,10008.0,1 HCPCS,33440,Rplcmt a-valve tlcj autol pv,,,10008.0,10008.0,1 HCPCS,33460,Revision of tricuspid valve,,,10008.0,10008.0,1 HCPCS,33463,Valvuloplasty tricuspid,,,10008.0,10008.0,1 HCPCS,33464,Valvuloplasty tricuspid,,,10008.0,10008.0,1 HCPCS,33465,Replace tricuspid valve,,,10008.0,10008.0,1 HCPCS,33468,Revision of tricuspid valve,,,10008.0,10008.0,1 HCPCS,33471,Valvotomy pulmonary valve,,,10008.0,10008.0,1 HCPCS,33474,Revision of pulmonary valve,,,10008.0,10008.0,1 HCPCS,33475,Replacement pulmonary valve,,,10008.0,10008.0,1 HCPCS,33476,Revision of heart chamber,,,10008.0,10008.0,1 HCPCS,33477,"Hc Transcath Pulm Valve Implant, Perc Approach, Pre-Stent Valve Deliv",146693.0,146693.0,,,0 HCPCS,33477,Implant tcat pulm vlv perq,,,10008.0,10008.0,1 HCPCS,33478,Revision of heart chamber,,,10008.0,10008.0,1 HCPCS,33496,Repair prosth valve clot,,,10008.0,10008.0,1 HCPCS,33500,Repair heart vessel fistula,,,10008.0,10008.0,1 HCPCS,33501,Repair heart vessel fistula,,,10008.0,10008.0,1 HCPCS,33502,Coronary artery correction,,,10008.0,10008.0,1 HCPCS,33503,Coronary artery graft,,,10008.0,10008.0,1 HCPCS,33504,Coronary artery graft,,,10008.0,10008.0,1 HCPCS,33505,Repair artery w/tunnel,,,10008.0,10008.0,1 HCPCS,33506,Repair artery translocation,,,10008.0,10008.0,1 HCPCS,33507,Repair art intramural,,,10008.0,10008.0,1 HCPCS,33508,Endoscopic vein harvest,,,3399.0,3399.0,1 HCPCS,33509,Ndsc hrv uxtr art 1 sgm cab,,,10008.0,10008.0,1 HCPCS,33510,Cabg vein single,,,10008.0,10008.0,1 HCPCS,33511,Cabg vein two,,,10008.0,10008.0,1 HCPCS,33512,Cabg vein three,,,10008.0,10008.0,1 HCPCS,33513,Cabg vein four,,,10008.0,10008.0,1 HCPCS,33514,Cabg vein five,,,10008.0,10008.0,1 HCPCS,33516,Cabg vein six or more,,,10008.0,10008.0,1 HCPCS,33517,Cabg artery-vein single,,,10008.0,10008.0,1 HCPCS,33518,Cabg artery-vein two,,,10008.0,10008.0,1 HCPCS,33519,Cabg artery-vein three,,,10008.0,10008.0,1 HCPCS,33521,Cabg artery-vein four,,,10008.0,10008.0,1 HCPCS,33522,Cabg artery-vein five,,,10008.0,10008.0,1 HCPCS,33523,Cabg art-vein six or more,,,10008.0,10008.0,1 HCPCS,33530,Coronary artery bypass/reop,,,10008.0,10008.0,1 HCPCS,33533,Cabg arterial single,,,10008.0,10008.0,1 HCPCS,33534,Cabg arterial two,,,10008.0,10008.0,1 HCPCS,33535,Cabg arterial three,,,10008.0,10008.0,1 HCPCS,33536,Cabg arterial four or more,,,10008.0,10008.0,1 HCPCS,33542,Removal of heart lesion,,,10008.0,10008.0,1 HCPCS,33545,Repair of heart damage,,,10008.0,10008.0,1 HCPCS,33548,Restore/remodel ventricle,,,10008.0,10008.0,1 HCPCS,33572,Open coronary endarterectomy,,,10008.0,10008.0,1 HCPCS,33600,Closure of valve,,,10008.0,10008.0,1 HCPCS,33602,Closure of valve,,,10008.0,10008.0,1 HCPCS,33606,Anastomosis/artery-aorta,,,10008.0,10008.0,1 HCPCS,33608,Repair anomaly w/conduit,,,10008.0,10008.0,1 HCPCS,33610,Repair by enlargement,,,10008.0,10008.0,1 HCPCS,33611,Repair double ventricle,,,10008.0,10008.0,1 HCPCS,33612,Repair double ventricle,,,10008.0,10008.0,1 HCPCS,33615,Repair modified fontan,,,10008.0,10008.0,1 HCPCS,33617,Repair single ventricle,,,10008.0,10008.0,1 HCPCS,33619,Repair single ventricle,,,10008.0,10008.0,1 HCPCS,33620,Apply r&l pulm art bands,,,10008.0,10008.0,1 HCPCS,33621,Hc Transthor Insertion Cath Pda Stent,1856.0,1856.0,,,0 HCPCS,33621,Transthor cath for stent,,,10008.0,10008.0,1 HCPCS,33622,Redo compl cardiac anomaly,,,10008.0,10008.0,1 HCPCS,33641,Repair heart septum defect,,,10008.0,10008.0,1 HCPCS,33645,Revision of heart veins,,,10008.0,10008.0,1 HCPCS,33647,Repair heart septum defects,,,10008.0,10008.0,1 HCPCS,33660,Repair of heart defects,,,10008.0,10008.0,1 HCPCS,33665,Repair of heart defects,,,10008.0,10008.0,1 HCPCS,33670,Repair of heart chambers,,,10008.0,10008.0,1 HCPCS,33675,Close Mult Vsd,,,10008.0,10008.0,1 HCPCS,33676,Close mult vsd w/resection,,,10008.0,10008.0,1 HCPCS,33677,Cl mult vsd w/rem pul band,,,10008.0,10008.0,1 HCPCS,33681,Repair heart septum defect,,,10008.0,10008.0,1 HCPCS,33684,Repair heart septum defect,,,10008.0,10008.0,1 HCPCS,33688,Repair heart septum defect,,,10008.0,10008.0,1 HCPCS,33690,Reinforce pulmonary artery,,,10008.0,10008.0,1 HCPCS,33692,Repair of heart defects,,,10008.0,10008.0,1 HCPCS,33694,Repair of heart defects,,,10008.0,10008.0,1 HCPCS,33697,Repair of heart defects,,,10008.0,10008.0,1 HCPCS,33702,Repair of heart defects,,,10008.0,10008.0,1 HCPCS,33710,Repair of heart defects,,,10008.0,10008.0,1 HCPCS,33720,Repair of heart defect,,,10008.0,10008.0,1 HCPCS,33724,Repair Venous Anomaly,,,10008.0,10008.0,1 HCPCS,33726,Repair Pul Venous Stenosis,,,10008.0,10008.0,1 HCPCS,33730,Repair heart-vein defect(s),,,10008.0,10008.0,1 HCPCS,33732,Repair heart-vein defect,,,10008.0,10008.0,1 HCPCS,33735,Revision of heart chamber,,,10008.0,10008.0,1 HCPCS,33736,Revision of heart chamber,,,10008.0,10008.0,1 HCPCS,33737,Revision of heart chamber,,,10008.0,10008.0,1 HCPCS,33741,Hc Tas Congenital Cardiac Anomalies Any Method,10900.0,10900.0,,,0 HCPCS,33741,Tas congenital car anomal,,,10008.0,10008.0,1 HCPCS,33745,Tis cgen car anomal 1st shnt,,,10008.0,10008.0,1 HCPCS,33746,Tis cgen car anomal ea addl,,,10008.0,10008.0,1 HCPCS,33750,Major vessel shunt,,,10008.0,10008.0,1 HCPCS,33755,Major vessel shunt,,,10008.0,10008.0,1 HCPCS,33762,Major vessel shunt,,,10008.0,10008.0,1 HCPCS,33764,Major vessel shunt & graft,,,10008.0,10008.0,1 HCPCS,33766,Major vessel shunt,,,10008.0,10008.0,1 HCPCS,33767,Major vessel shunt,,,10008.0,10008.0,1 HCPCS,33768,Cavopulmonary shunting,,,10008.0,10008.0,1 HCPCS,33770,Repair great vessels defect,,,10008.0,10008.0,1 HCPCS,33771,Repair great vessels defect,,,10008.0,10008.0,1 HCPCS,33774,Repair great vessels defect,,,10008.0,10008.0,1 HCPCS,33775,Repair great vessels defect,,,10008.0,10008.0,1 HCPCS,33776,Repair great vessels defect,,,10008.0,10008.0,1 HCPCS,33777,Repair great vessels defect,,,10008.0,10008.0,1 HCPCS,33778,Repair great vessels defect,,,10008.0,10008.0,1 HCPCS,33779,Repair great vessels defect,,,10008.0,10008.0,1 HCPCS,33780,Repair great vessels defect,,,10008.0,10008.0,1 HCPCS,33781,Repair great vessels defect,,,10008.0,10008.0,1 HCPCS,33782,Nikaidoh proc,,,10008.0,10008.0,1 HCPCS,33783,Nikaidoh proc w/ostia implt,,,10008.0,10008.0,1 HCPCS,33786,Repair arterial trunk,,,10008.0,10008.0,1 HCPCS,33788,Revision of pulmonary artery,,,10008.0,10008.0,1 HCPCS,33800,Aortic suspension,,,10008.0,10008.0,1 HCPCS,33802,Repair vessel defect,,,10008.0,10008.0,1 HCPCS,33803,Repair vessel defect,,,10008.0,10008.0,1 HCPCS,33813,Repair septal defect,,,10008.0,10008.0,1 HCPCS,33814,Repair septal defect,,,10008.0,10008.0,1 HCPCS,33820,Revise major vessel,,,66129.0,66129.0,1 HCPCS,33822,Revise major vessel,,,36418.0,36418.0,1 HCPCS,33824,Revise major vessel,,,66129.0,66129.0,1 HCPCS,33840,Remove aorta constriction,,,10008.0,10008.0,1 HCPCS,33845,Remove aorta constriction,,,10008.0,10008.0,1 HCPCS,33851,Remove aorta constriction,,,10008.0,10008.0,1 HCPCS,33852,Repair septal defect,,,10008.0,10008.0,1 HCPCS,33853,Repair septal defect,,,10008.0,10008.0,1 HCPCS,33858,As-aort grf f/aortic dsj,,,10008.0,10008.0,1 HCPCS,33859,As-aort grf f/ds oth/thn dsj,,,10008.0,10008.0,1 HCPCS,33863,Ascending aortic graft,,,10008.0,10008.0,1 HCPCS,33864,Ascending aortic graft,,,10008.0,10008.0,1 HCPCS,33866,Aortic hemiarch graft,,,3399.0,3399.0,1 HCPCS,33871,Transvrs a-arch grf hypthrm,,,10008.0,10008.0,1 HCPCS,33875,Thoracic aortic graft,,,10008.0,10008.0,1 HCPCS,33877,Thoracoabdominal graft,,,10008.0,10008.0,1 HCPCS,33880,Endovasc taa repr incl subcl,,,10008.0,10008.0,1 HCPCS,33881,Endovasc taa repr w/o subcl,,,10008.0,10008.0,1 HCPCS,33881,"Hc Endvsc Rpr Desc Thor Aorta;Not Inv Cvrg Lt Subclvn Art Orgn,Ini Endprsthsis Pl Desc Thor Aort Ext",2799.0,2799.0,,,0 HCPCS,33883,Insert endovasc prosth taa,,,10008.0,10008.0,1 HCPCS,33884,Endovasc prosth taa add-on,,,10008.0,10008.0,1 HCPCS,33886,Endovasc prosth delayed,,,10008.0,10008.0,1 HCPCS,33889,Artery transpose/endovas taa,,,10008.0,10008.0,1 HCPCS,33891,Car-car bp grft/endovas taa,,,10008.0,10008.0,1 HCPCS,33894,Evasc st rpr thrc/aa acrs br,,,10008.0,10008.0,1 HCPCS,33894,Hc Evasc St Rpr Thrc/Aa Acrs Br,36956.0,36956.0,,,0 HCPCS,33895,Evasc st rpr thrc/aa x crsg,,,10008.0,10008.0,1 HCPCS,33897,Hc Perq Trluml Angp Nt/Recr Coa,39385.0,39385.0,,,0 HCPCS,33897,Perq trluml angp nt/recr coa,,,10008.0,10008.0,1 HCPCS,33900,Perq p-art revsc 1 nm nt uni,,,12370.97,36418.0,4 HCPCS,33901,Perq p-art revsc 1 nm nt bi,,,12370.97,36418.0,4 HCPCS,33902,Perq p-art revsc 1 abnor uni,,,19644.52,36418.0,4 HCPCS,33903,Perq p-art revsc 1 abnor bi,,,12370.97,36418.0,4 HCPCS,33904,Perq p-art revsc each addl,,,3399.0,3399.0,1 HCPCS,33910,Remove lung artery emboli,,,10008.0,10008.0,1 HCPCS,33915,Remove lung artery emboli,,,10008.0,10008.0,1 HCPCS,33916,Surgery of great vessel,,,10008.0,10008.0,1 HCPCS,33917,Repair pulmonary artery,,,10008.0,10008.0,1 HCPCS,33920,Repair pulmonary atresia,,,10008.0,10008.0,1 HCPCS,33922,Transect pulmonary artery,,,10008.0,10008.0,1 HCPCS,33924,Remove pulmonary shunt,,,10008.0,10008.0,1 HCPCS,33925,Rpr pul art unifocal w/o cpb,,,10008.0,10008.0,1 HCPCS,33926,Repr pul art unifocal w/cpb,,,10008.0,10008.0,1 HCPCS,33927,Impltj tot rplcmt hrt sys,,,10008.0,10008.0,1 HCPCS,33928,Rmvl & rplcmt tot hrt sys,,,10008.0,10008.0,1 HCPCS,33929,Rmvl rplcmt hrt sys f/trnspl,,,10008.0,10008.0,1 HCPCS,33930,Removal of donor heart/lung,,,10008.0,10008.0,1 HCPCS,33933,Prepare donor heart/lung,,,10008.0,10008.0,1 HCPCS,33935,Transplantation heart/lung,,,10008.0,10008.0,1 HCPCS,33940,Removal of donor heart,,,10008.0,10008.0,1 HCPCS,33944,Prepare donor heart,,,10008.0,10008.0,1 HCPCS,33945,Transplantation of heart,,,10008.0,10008.0,1 HCPCS,33946,Ecmo/ecls initiation venous,,,10008.0,10008.0,1 HCPCS,33946,"Hc Ecmo/Ecls Provded By Physician; Initiation, Veno-Venous",8814.0,8814.0,,,0 HCPCS,33947,Ecmo/ecls initiation artery,,,10008.0,10008.0,1 HCPCS,33947,"Hc Ecmo/Ecls Provded By Physician; Initiation, Veno-Arterial",8814.0,8814.0,,,0 HCPCS,33948,Ecmo/ecls daily mgmt-venous,,,10008.0,10008.0,1 HCPCS,33948,"Hc Ecmo/Ecls Provided By Physician; Daily Management, Each Day, Veno-Venous",5563.0,5563.0,,,0 HCPCS,33948,Pr Ecmo/Ecls Daily Management Each Day Veno-Venous,1913.0,1913.0,,,0 HCPCS,33948,Pr Ecmo/Ecls Daily Management Each Day Veno-Venous-Pbb,1913.0,1913.0,,,0 HCPCS,33949,Ecmo/ecls daily mgmt artery,,,10008.0,10008.0,1 HCPCS,33949,"Hc Ecmo/Ecls Provided By Physician; Daily Management, Each Day, Veno-Arterial",6775.0,6775.0,,,0 HCPCS,33949,Pr Ecmo/Ecls Daily Management Ea Day Veno-Arterial,1861.0,1861.0,,,0 HCPCS,33949,Pr Ecmo/Ecls Daily Management Ea Day Veno-Arterial-Pbb,1861.0,1861.0,,,0 HCPCS,33951,Ecmo/ecls insj prph cannula,,,10008.0,10008.0,1 HCPCS,33951,"Hc Ecmo/Ecls Prov By Phys; Insertion Of Peripheral Cannula, Perc, Birth Through 5 Yrs Of Age",11913.0,11913.0,,,0 HCPCS,33952,Ecmo/ecls insj prph cannula,,,10008.0,10008.0,1 HCPCS,33952,"Hc Ecmo/Ecls Provided By Physician; Insertion Of Peripheral Cannula, Percutaneous, 6 Years And Older",11913.0,11913.0,,,0 HCPCS,33953,Ecmo/ecls insj prph cannula,,,10008.0,10008.0,1 HCPCS,33953,"Hc Ecmo/Ecls Prov By Phys; Insertion Of Peripheral Cannula, Open, Birth Through 5 Yrs Of Age",13369.0,13369.0,,,0 HCPCS,33954,Ecmo/ecls insj prph cannula,,,10008.0,10008.0,1 HCPCS,33954,"Hc Ecmo/Ecls Provided By Physician; Insertion Of Peripheral Cannula, Open, 5 Years And Older",13369.0,13369.0,,,0 HCPCS,33955,Ecmo/ecls insj ctr cannula,,,10008.0,10008.0,1 HCPCS,33955,"Hc Ecmo/Ecls Prvided By Physcn; Insrtn Of Cntrl Cannula(E) By Strntmy Or Thrctmy, Brth-5 Yrs Of Age",23274.0,23274.0,,,0 HCPCS,33956,Ecmo/ecls insj ctr cannula,,,10008.0,10008.0,1 HCPCS,33956,"Hc Ecmo/Ecls Prov By Phys; Insertn Of Cntrl Cannula(E) By Sternotomy Or Thoracotomy, 6 Yrs And Older",23274.0,23274.0,,,0 HCPCS,33957,Ecmo/ecls repos perph cnula,,,10008.0,10008.0,1 HCPCS,33957,"Hc Ecmo/Ecls Prov By Phys; Reposit Periphe (Arterial/Venous) Cannula(E), Perc, Birth Thro 5 Yrs/Age",4896.0,4896.0,,,0 HCPCS,33958,Ecmo/ecls repos perph cnula,,,10008.0,10008.0,1 HCPCS,33958,"Hc Ecmo/Ecls Prov By Phys; Reposit Periphe (Arterial/Venous) Cannula(E), Perc, Brth Thro Yrs/Age",4896.0,4896.0,,,0 HCPCS,33959,Ecmo/ecls repos perph cnula,,,10008.0,10008.0,1 HCPCS,33959,"Hc Ecmo/Ecls Prov By Phys; Reposit Periphe (Arterial/Venous) Cannula(E), Open, Birth Thro 5 Yrs/Age",6573.0,6573.0,,,0 HCPCS,33962,Ecmo/ecls repos perph cnula,,,10008.0,10008.0,1 HCPCS,33962,"Hc Ecmo/Ecls Prov By Phys; Repositn Peripherl (Arterl And/Or Ven) Cannula(E), Open, 6 Yrs And Older",6573.0,6573.0,,,0 HCPCS,33963,Ecmo/ecls repos perph cnula,,,10008.0,10008.0,1 HCPCS,33963,"Hc Ecmo/Ecls Prov By Phys; Repostn Of Centrl Cannula(E) By Sternotomy/Thoracotomy, Birth Thru 5 Yrs",13234.0,13234.0,,,0 HCPCS,33964,Ecmo/ecls repos perph cnula,,,10008.0,10008.0,1 HCPCS,33964,"Hc Ecmo/Ecls Prov By Phys; Repositn Central Cannula(E) By Sternotomy Or Thoracotomy, 6 Yrs And Older",13924.0,13924.0,,,0 HCPCS,33965,Ecmo/ecls rmvl perph cannula,,,10008.0,10008.0,1 HCPCS,33965,"Hc Ecmo/Ecls Prov By Phys; Rmvl Of Peripheral (Arterial/Venous) Cannula(E), Perc, Birth Thru 5 Yrs",4896.0,4896.0,,,0 HCPCS,33966,Ecmo/ecls rmvl prph cannula,,,10008.0,10008.0,1 HCPCS,33966,"Hc Ecmo/Ecls Prov By Phys; Rmvl Of Peripherl (Arterial A/O Venous) Cannula(E), Perc, 6 Yrs And Older",6641.0,6641.0,,,0 HCPCS,33967,"Hc Insertion Of Intra-Aortic Balloon Assist Device, Percutaneous",9432.0,9432.0,,,0 HCPCS,33967,Insert i-aort percut device,,,73109.0,73109.0,1 HCPCS,33968,"Hc Removal Of Intra-Aortic Balloon Assist Device, Percutaneous",275.0,275.0,,,0 HCPCS,33968,Noncdm Charge Record,309.0,309.0,,,0 HCPCS,33968,Remove aortic assist device,,,73109.0,73109.0,1 HCPCS,33969,Ecmo/ecls rmvl perph cannula,,,10008.0,10008.0,1 HCPCS,33969,"Hc Ecmo/Ecls Prov By Phys; Rmvl Of Peripheral (Arterial/Venous) Cannula(E), Open, Birth Thru 5 Yrs",7701.0,7701.0,,,0 HCPCS,33970,Aortic circulation assist,,,10008.0,10008.0,1 HCPCS,33971,Aortic circulation assist,,,10008.0,10008.0,1 HCPCS,33973,Insert balloon device,,,10008.0,10008.0,1 HCPCS,33974,Remove intra-aortic balloon,,,10008.0,10008.0,1 HCPCS,33975,"Hc Insertion Of Ventricular Assist Device; Extracorporeal, Single Ventricle",13169.0,13169.0,,,0 HCPCS,33975,Implant ventricular device,,,10008.0,10008.0,1 HCPCS,33976,Implant ventricular device,,,10008.0,10008.0,1 HCPCS,33977,Remove ventricular device,,,10008.0,10008.0,1 HCPCS,33978,Remove ventricular device,,,10008.0,10008.0,1 HCPCS,33979,Insert intracorporeal device,,,10008.0,10008.0,1 HCPCS,33980,Remove intracorporeal device,,,10008.0,10008.0,1 HCPCS,33981,Replace vad pump ext,,,10008.0,10008.0,1 HCPCS,33982,Replace vad intra w/o bp,,,10008.0,10008.0,1 HCPCS,33983,Replace vad intra w/bp,,,10008.0,10008.0,1 HCPCS,33984,Ecmo/ecls rmvl prph cannula,,,10008.0,10008.0,1 HCPCS,33984,"Hc Ecmo/Ecls Prov By Phys; Rmvl Of Peripherl (Arterial And/Or Ven) Cannula(E), Open, 6 Yrs And Older",8020.0,8020.0,,,0 HCPCS,33985,Ecmo/ecls rmvl ctr cannula,,,10008.0,10008.0,1 HCPCS,33985,"Hc Ecmo/Ecls Prvided By Physcn; Rmvl Of Cntrl Cannula(E) By Strntmy Or Thrctmy, Brth-5 Yrs Of Age",14497.0,14497.0,,,0 HCPCS,33986,Ecmo/ecls rmvl ctr cannula,,,10008.0,10008.0,1 HCPCS,33986,"Hc Ecmo/Ecls Prov By Phys; Rmvl Of Central Cannula(E) By Sternotomy Or Thoracotomy, 6 Yrs And Older",14658.0,14658.0,,,0 HCPCS,33987,Artery expos/graft artery,,,10008.0,10008.0,1 HCPCS,33987,"Hc Arterial Exposure W/Creation Graft Conduit (Eg, Chimney Graft) To Faclt Arterl Perf For Ecmo/Ecls",6047.0,6047.0,,,0 HCPCS,33988,"Hc Insertion Of Left Heart Vent By Thoracic Incision (Eg, Sternotomy, Thoracotomy) For Ecmo/Ecls",21878.0,21878.0,,,0 HCPCS,33988,Insertion of left heart vent,,,10008.0,10008.0,1 HCPCS,33989,"Hc Removal Of Left Heart Vent By Thoracic Incision (Eg, Sternotomy, Thoracotomy) For Ecmo/Ecls",13924.0,13924.0,,,0 HCPCS,33989,Removal of left heart vent,,,10008.0,10008.0,1 HCPCS,33990,"Hc Insertion Of Ventricular Assist Device, Perc Incl Rady Supervsn And Interp; Artial Access Only",9083.0,9083.0,,,0 HCPCS,33990,Insert vad artery access,,,10008.0,10008.0,1 HCPCS,33991,"Hc Insert Vent Assist Dev,Perc Incl Radiolgcl Sup&Interp;Both Artial&Venous,W Transseptal Punc",13169.0,13169.0,,,0 HCPCS,33991,Insert vad art&vein access,,,10008.0,10008.0,1 HCPCS,33992,Hc Removal Of Percutaneous Ventricular Assist Device At Separate And Distinct Session From Insertion,6393.0,6393.0,,,0 HCPCS,33992,Remove vad different session,,,10008.0,10008.0,1 HCPCS,33993,Hc Repositioning Of Perc Vad W/ Imaging Guid At Separate And Distinct Session From Insertion,5626.0,5626.0,,,0 HCPCS,33993,Reposition vad diff session,,,10008.0,10008.0,1 HCPCS,33995,Insj perq vad r hrt venous,,,10008.0,10008.0,1 HCPCS,33997,Noncdm Charge Record,2827.5,2827.5,,,0 HCPCS,33997,Rmvl perq right heart vad,,,10008.0,10008.0,1 HCPCS,33999,Cardiac surgery procedure,,,672.23,5007.0,4 HCPCS,33999,Hc Closure By Aso Pda,1397.0,1397.0,,,0 HCPCS,33999,Hc Insertion Leadless Ii Pacemaker,21904.0,21904.0,,,0 HCPCS,33999,Hc Plaa Closure-L Atrial Appnd Closure,50974.0,50974.0,,,0 HCPCS,33999,"Hc Unlisted Procedure,Cardiac Surgery",1397.0,1397.0,,,0 HCPCS,34001,Removal of artery clot,,,10008.0,10008.0,1 HCPCS,34051,Removal of artery clot,,,10008.0,10008.0,1 HCPCS,34101,Removal of artery clot,,,5963.01,24760.0,4 HCPCS,34111,Removal of arm artery clot,,,5963.01,24760.0,4 HCPCS,34151,Removal of artery clot,,,10008.0,10008.0,1 HCPCS,34201,Removal of artery clot,,,5963.01,24760.0,4 HCPCS,34203,Removal of leg artery clot,,,5963.01,24760.0,4 HCPCS,34401,Removal of vein clot,,,10008.0,10008.0,1 HCPCS,34421,Removal of vein clot,,,3383.62,14227.0,4 HCPCS,34451,Removal of vein clot,,,10008.0,10008.0,1 HCPCS,34471,Removal of vein clot,,,672.23,5007.0,4 HCPCS,34490,Removal of vein clot,,,3383.62,14227.0,4 HCPCS,34501,Repair valve femoral vein,,,5963.01,24760.0,4 HCPCS,34502,Reconstruct vena cava,,,10008.0,10008.0,1 HCPCS,34510,Transposition of vein valve,,,5963.01,24760.0,4 HCPCS,34520,Cross-over vein graft,,,5963.01,24760.0,4 HCPCS,34530,Leg vein fusion,,,3383.62,14227.0,4 HCPCS,34701,Evasc rpr a-ao ndgft,,,10008.0,10008.0,1 HCPCS,34702,Evasc rpr a-ao ndgft rpt,,,10008.0,10008.0,1 HCPCS,34702,Hc Evasc Rpr Dplmnt Aorto-Aortic Ndgft Rpt,37685.0,37685.0,,,0 HCPCS,34703,Evasc rpr a-unilac ndgft,,,10008.0,10008.0,1 HCPCS,34704,Evasc rpr a-unilac ndgft rpt,,,10008.0,10008.0,1 HCPCS,34705,Evac rpr a-biiliac ndgft,,,10008.0,10008.0,1 HCPCS,34706,Evasc rpr a-biiliac rpt,,,10008.0,10008.0,1 HCPCS,34707,Evasc rpr ilio-iliac ndgft,,,10008.0,10008.0,1 HCPCS,34708,Evasc rpr ilio-iliac rpt,,,10008.0,10008.0,1 HCPCS,34709,Plmt xtn prosth evasc rpr,,,10008.0,10008.0,1 HCPCS,34710,Dlyd plmt xtn prosth 1st vsl,,,10008.0,10008.0,1 HCPCS,34711,Dlyd plmt xtn prosth ea addl,,,10008.0,10008.0,1 HCPCS,34712,Tcat dlvr enhncd fixj dev,,,10008.0,10008.0,1 HCPCS,34713,Perq access & clsr fem art,,,3399.0,3399.0,1 HCPCS,34714,Opn fem art expos cndt crtj,,,3399.0,3399.0,1 HCPCS,34715,Opn ax/subcla art expos,,,3399.0,3399.0,1 HCPCS,34716,Opn ax/subcla art expos cndt,,,3399.0,3399.0,1 HCPCS,34717,Evasc rpr a-iliac ndgft,,,10008.0,10008.0,1 HCPCS,34718,Evasc rpr n/a a-iliac ndgft,,,10008.0,10008.0,1 HCPCS,34808,Endovas iliac a device addon,,,10008.0,10008.0,1 HCPCS,34812,"Hc Open Remoral Artery Exposure For Delivery Of Endovasc Prosthesis, By Groin Incision, Unilat",618.0,618.0,,,0 HCPCS,34812,Xpose for endoprosth femorl,,,10008.0,10008.0,1 HCPCS,34813,Femoral endovas graft add-on,,,10008.0,10008.0,1 HCPCS,34820,Xpose for endoprosth iliac,,,10008.0,10008.0,1 HCPCS,34830,Open Aortic Tube Prosth Repr,,,10008.0,10008.0,1 HCPCS,34831,Open Aortoiliac Prosth Repr,,,10008.0,10008.0,1 HCPCS,34832,Open Aortofemor Prosth Repr,,,10008.0,10008.0,1 HCPCS,34833,Xpose for endoprosth iliac,,,10008.0,10008.0,1 HCPCS,34834,Xpose endoprosth brachial,,,10008.0,10008.0,1 HCPCS,34841,Endovasc visc aorta 1 graft,,,10008.0,10008.0,1 HCPCS,34842,Endovasc visc aorta 2 graft,,,10008.0,10008.0,1 HCPCS,34843,Endovasc visc aorta 3 graft,,,10008.0,10008.0,1 HCPCS,34844,Endovasc visc aorta 4 graft,,,10008.0,10008.0,1 HCPCS,34845,Visc & infraren abd 1 prosth,,,10008.0,10008.0,1 HCPCS,34846,Visc & infraren abd 2 prosth,,,10008.0,10008.0,1 HCPCS,34847,Visc & infraren abd 3 prosth,,,10008.0,10008.0,1 HCPCS,34848,Visc & infraren abd 4+ prost,,,10008.0,10008.0,1 HCPCS,35001,Repair defect of artery,,,10008.0,10008.0,1 HCPCS,35002,Repair artery rupture neck,,,10008.0,10008.0,1 HCPCS,35005,Repair defect of artery,,,10008.0,10008.0,1 HCPCS,35011,Repair defect of artery,,,5963.01,24760.0,4 HCPCS,35013,Repair artery rupture arm,,,10008.0,10008.0,1 HCPCS,35021,Repair defect of artery,,,10008.0,10008.0,1 HCPCS,35022,Repair artery rupture chest,,,10008.0,10008.0,1 HCPCS,35045,Repair defect of arm artery,,,5963.01,24760.0,4 HCPCS,35081,Repair defect of artery,,,10008.0,10008.0,1 HCPCS,35082,Repair artery rupture aorta,,,10008.0,10008.0,1 HCPCS,35091,Repair defect of artery,,,10008.0,10008.0,1 HCPCS,35092,Repair artery rupture aorta,,,10008.0,10008.0,1 HCPCS,35102,Repair defect of artery,,,10008.0,10008.0,1 HCPCS,35103,Repair artery rupture aorta,,,10008.0,10008.0,1 HCPCS,35111,Repair defect of artery,,,10008.0,10008.0,1 HCPCS,35112,Repair artery rupture spleen,,,10008.0,10008.0,1 HCPCS,35121,Repair defect of artery,,,10008.0,10008.0,1 HCPCS,35122,Repair artery rupture belly,,,10008.0,10008.0,1 HCPCS,35131,Repair defect of artery,,,10008.0,10008.0,1 HCPCS,35132,Repair artery rupture groin,,,10008.0,10008.0,1 HCPCS,35141,Repair defect of artery,,,10008.0,10008.0,1 HCPCS,35142,Repair artery rupture thigh,,,10008.0,10008.0,1 HCPCS,35151,Repair defect of artery,,,10008.0,10008.0,1 HCPCS,35152,Repair ruptd popliteal art,,,10008.0,10008.0,1 HCPCS,35180,Repair blood vessel lesion,,,1686.89,5007.0,4 HCPCS,35182,Repair blood vessel lesion,,,10008.0,10008.0,1 HCPCS,35184,Repair blood vessel lesion,,,3383.62,14227.0,4 HCPCS,35188,Repair blood vessel lesion,,,5963.01,24760.0,4 HCPCS,35189,Repair blood vessel lesion,,,10008.0,10008.0,1 HCPCS,35190,Repair blood vessel lesion,,,5963.01,24760.0,4 HCPCS,35201,Repair blood vessel lesion,,,5963.01,24760.0,4 HCPCS,35206,Hc Repair Blood Vessel Lesion,7421.0,7421.0,,,0 HCPCS,35206,Repair blood vessel lesion,,,3383.62,14227.0,4 HCPCS,35207,Repair blood vessel lesion,,,3383.62,14227.0,4 HCPCS,35211,Repair blood vessel lesion,,,10008.0,10008.0,1 HCPCS,35216,Repair blood vessel lesion,,,10008.0,10008.0,1 HCPCS,35221,Repair blood vessel lesion,,,10008.0,10008.0,1 HCPCS,35226,Repair blood vessel lesion,,,758.85,5007.0,4 HCPCS,35231,Repair blood vessel lesion,,,3383.62,14227.0,4 HCPCS,35236,Repair blood vessel lesion,,,5963.01,24760.0,4 HCPCS,35241,Repair blood vessel lesion,,,10008.0,10008.0,1 HCPCS,35246,Repair blood vessel lesion,,,10008.0,10008.0,1 HCPCS,35251,Repair blood vessel lesion,,,10008.0,10008.0,1 HCPCS,35256,Repair blood vessel lesion,,,5963.01,24760.0,4 HCPCS,35261,Repair blood vessel lesion,,,3383.62,14227.0,4 HCPCS,35266,Repair blood vessel lesion,,,5963.01,24760.0,4 HCPCS,35271,Repair blood vessel lesion,,,10008.0,10008.0,1 HCPCS,35276,Repair blood vessel lesion,,,10008.0,10008.0,1 HCPCS,35281,Repair blood vessel lesion,,,10008.0,10008.0,1 HCPCS,35286,Repair blood vessel lesion,,,5963.01,24760.0,4 HCPCS,35301,Rechanneling of artery,,,10008.0,10008.0,1 HCPCS,35302,Rechanneling of Artery,,,10008.0,10008.0,1 HCPCS,35303,Rechanneling of Artery,,,10008.0,10008.0,1 HCPCS,35304,Rechanneling of Artery,,,10008.0,10008.0,1 HCPCS,35305,Rechanneling of Artery,,,10008.0,10008.0,1 HCPCS,35306,Rechanneling of Artery,,,10008.0,10008.0,1 HCPCS,35311,Rechanneling of artery,,,10008.0,10008.0,1 HCPCS,35321,Rechanneling of artery,,,5963.01,24760.0,4 HCPCS,35331,Rechanneling of artery,,,10008.0,10008.0,1 HCPCS,35341,Rechanneling of artery,,,10008.0,10008.0,1 HCPCS,35351,Rechanneling of artery,,,10008.0,10008.0,1 HCPCS,35355,Rechanneling of artery,,,10008.0,10008.0,1 HCPCS,35361,Rechanneling of artery,,,10008.0,10008.0,1 HCPCS,35363,Rechanneling of artery,,,10008.0,10008.0,1 HCPCS,35371,Rechanneling of artery,,,10008.0,10008.0,1 HCPCS,35372,Rechanneling of artery,,,5963.01,24760.0,4 HCPCS,35390,Reoperation carotid add-on,,,10008.0,10008.0,1 HCPCS,35400,Angioscopy,,,10008.0,10008.0,1 HCPCS,35500,Harvest vein for bypass,,,3399.0,3399.0,1 HCPCS,35501,Art byp grft ipsilat carotid,,,10008.0,10008.0,1 HCPCS,35506,Art byp grft subclav-carotid,,,10008.0,10008.0,1 HCPCS,35508,Art byp grft carotid-vertbrl,,,10008.0,10008.0,1 HCPCS,35509,Art byp grft contral carotid,,,10008.0,10008.0,1 HCPCS,35510,Art byp grft carotid-brchial,,,10008.0,10008.0,1 HCPCS,35511,Art byp grft subclav-subclav,,,10008.0,10008.0,1 HCPCS,35512,Art byp grft subclav-brchial,,,10008.0,10008.0,1 HCPCS,35515,Art byp grft subclav-vertbrl,,,10008.0,10008.0,1 HCPCS,35516,Art byp grft subclav-axilary,,,10008.0,10008.0,1 HCPCS,35518,Art byp grft axillary-axilry,,,10008.0,10008.0,1 HCPCS,35521,Art byp grft axill-femoral,,,10008.0,10008.0,1 HCPCS,35522,Art byp grft axill-brachial,,,10008.0,10008.0,1 HCPCS,35523,Art byp grft brchl-ulnr-rdl,,,10008.0,10008.0,1 HCPCS,35525,Art byp grft brachial-brchl,,,10008.0,10008.0,1 HCPCS,35526,Art byp grft aor/carot/innom,,,10008.0,10008.0,1 HCPCS,35531,Art byp grft aorcel/aormesen,,,10008.0,10008.0,1 HCPCS,35533,Art byp grft axill/fem/fem,,,10008.0,10008.0,1 HCPCS,35535,Art byp grft hepatorenal,,,10008.0,10008.0,1 HCPCS,35536,Art byp grft splenorenal,,,10008.0,10008.0,1 HCPCS,35537,Art byp grft aortoiliac,,,10008.0,10008.0,1 HCPCS,35538,Art byp grft aortobi-iliac,,,10008.0,10008.0,1 HCPCS,35539,Art byp grft aortofemoral,,,10008.0,10008.0,1 HCPCS,35540,Art byp grft aortbifemoral,,,10008.0,10008.0,1 HCPCS,35556,Art byp grft fem-popliteal,,,10008.0,10008.0,1 HCPCS,35558,Art byp grft fem-femoral,,,10008.0,10008.0,1 HCPCS,35560,Art byp grft aortorenal,,,10008.0,10008.0,1 HCPCS,35563,Art byp grft ilioiliac,,,10008.0,10008.0,1 HCPCS,35565,Art byp grft iliofemoral,,,10008.0,10008.0,1 HCPCS,35566,Art byp fem-ant-post tib/prl,,,10008.0,10008.0,1 HCPCS,35570,Art byp tibial-tib/peroneal,,,10008.0,10008.0,1 HCPCS,35571,Art byp pop-tibl-prl-other,,,10008.0,10008.0,1 HCPCS,35572,Harvest femoropopliteal vein,,,3399.0,3399.0,1 HCPCS,35583,Vein byp grft fem-popliteal,,,10008.0,10008.0,1 HCPCS,35585,Vein byp fem-tibial peroneal,,,10008.0,10008.0,1 HCPCS,35587,Vein byp pop-tibl peroneal,,,10008.0,10008.0,1 HCPCS,35600,Harvest art for cabg add-on,,,10008.0,10008.0,1 HCPCS,35601,Art byp common ipsi carotid,,,10008.0,10008.0,1 HCPCS,35606,Art byp carotid-subclavian,,,10008.0,10008.0,1 HCPCS,35612,Art byp subclav-subclavian,,,10008.0,10008.0,1 HCPCS,35616,Art byp subclav-axillary,,,10008.0,10008.0,1 HCPCS,35621,Art byp axillary-femoral,,,10008.0,10008.0,1 HCPCS,35623,Art byp axillary-pop-tibial,,,10008.0,10008.0,1 HCPCS,35626,Art byp aorsubcl/carot/innom,,,10008.0,10008.0,1 HCPCS,35631,Art byp aor-celiac-msn-renal,,,10008.0,10008.0,1 HCPCS,35632,Art byp ilio-celiac,,,10008.0,10008.0,1 HCPCS,35633,Art byp ilio-mesenteric,,,10008.0,10008.0,1 HCPCS,35634,Art byp iliorenal,,,10008.0,10008.0,1 HCPCS,35636,Art byp spenorenal,,,10008.0,10008.0,1 HCPCS,35637,Art byp aortoiliac,,,10008.0,10008.0,1 HCPCS,35638,Art byp aortobi-iliac,,,10008.0,10008.0,1 HCPCS,35642,Art byp carotid-vertebral,,,10008.0,10008.0,1 HCPCS,35645,Art byp subclav-vertebrl,,,10008.0,10008.0,1 HCPCS,35646,Art byp aortobifemoral,,,10008.0,10008.0,1 HCPCS,35647,Art byp aortofemoral,,,10008.0,10008.0,1 HCPCS,35650,Art byp axillary-axillary,,,10008.0,10008.0,1 HCPCS,35654,Art byp axill-fem-femoral,,,10008.0,10008.0,1 HCPCS,35656,Art byp femoral-popliteal,,,10008.0,10008.0,1 HCPCS,35661,Art byp femoral-femoral,,,10008.0,10008.0,1 HCPCS,35663,Art byp ilioiliac,,,10008.0,10008.0,1 HCPCS,35665,Art byp iliofemoral,,,10008.0,10008.0,1 HCPCS,35666,Art byp fem-ant-post tib/prl,,,10008.0,10008.0,1 HCPCS,35671,Art byp pop-tibl-prl-other,,,10008.0,10008.0,1 HCPCS,35681,Composite byp grft pros&vein,,,10008.0,10008.0,1 HCPCS,35682,Composite byp grft 2 veins,,,10008.0,10008.0,1 HCPCS,35683,Composite byp grft 3/> segmt,,,10008.0,10008.0,1 HCPCS,35685,Bypass graft patency/patch,,,3399.0,3399.0,1 HCPCS,35686,Bypass graft/av fist patency,,,3399.0,3399.0,1 HCPCS,35691,Art trnsposj vertbrl carotid,,,10008.0,10008.0,1 HCPCS,35693,Art trnsposj subclavian,,,10008.0,10008.0,1 HCPCS,35694,Art trnsposj subclav carotid,,,10008.0,10008.0,1 HCPCS,35695,Art trnsposj carotid subclav,,,10008.0,10008.0,1 HCPCS,35697,Reimplant artery each,,,10008.0,10008.0,1 HCPCS,35700,Reoperation bypass graft,,,10008.0,10008.0,1 HCPCS,35701,Exploration carotid artery,,,10008.0,10008.0,1 HCPCS,35702,Expl n/flwd surg uxtr art,,,10008.0,10008.0,1 HCPCS,35703,Expl n/flwd surg lxtr art,,,10008.0,10008.0,1 HCPCS,35800,Explore neck vessels,,,5963.01,24760.0,4 HCPCS,35820,Explore chest vessels,,,10008.0,10008.0,1 HCPCS,35840,Explore abdominal vessels,,,10008.0,10008.0,1 HCPCS,35860,Explore limb vessels,,,3383.62,14227.0,4 HCPCS,35870,Repair vessel graft defect,,,10008.0,10008.0,1 HCPCS,35875,Removal of clot in graft,,,5963.01,24760.0,4 HCPCS,35876,Removal of clot in graft,,,5963.01,24760.0,4 HCPCS,35879,Revise graft w/vein,,,5963.01,24760.0,4 HCPCS,35881,Revise graft w/vein,,,5963.01,24760.0,4 HCPCS,35883,Revise Graft w/Nonauto Graft,,,5963.01,24760.0,4 HCPCS,35884,Revise graft w/vein,,,5963.01,24760.0,4 HCPCS,35901,Excision graft neck,,,10008.0,10008.0,1 HCPCS,35903,Excision graft extremity,,,3383.62,14227.0,4 HCPCS,35905,Excision graft thorax,,,10008.0,10008.0,1 HCPCS,35907,Excision graft abdomen,,,10008.0,10008.0,1 HCPCS,36000,"Hc Introduction Of Needle Or Intracatheter, Vein",854.0,854.0,,,0 HCPCS,36000,"Hc Introduction Of Needle Or Intracatheter, Vein-Pbb",896.0,896.0,,,0 HCPCS,36000,Place needle in vein,,,3399.0,3399.0,1 HCPCS,36000,Pr Introduction Needle/Intracatheter Vein-Pbb,84.0,84.0,,,0 HCPCS,36002,Hc Injection Procedures For Percutaneous Treatment Of Extremity Pseudoaneurysm,1272.0,1272.0,,,0 HCPCS,36002,Pseudoaneurysm injection trt,,,672.23,5007.0,4 HCPCS,36005,Hc Injection Procedure For Extremity Venography,1909.0,1909.0,,,0 HCPCS,36005,Injection ext venography,,,3399.0,3399.0,1 HCPCS,36010,"Hc Introduction Of Catheter, Superior Or Inferior Vena Cava",3307.0,3307.0,,,0 HCPCS,36010,Place catheter in vein,,,3399.0,3399.0,1 HCPCS,36011,"Hc Selective Catheter Placement, Venous System, 1St Order Branch",4963.0,4963.0,,,0 HCPCS,36011,Place catheter in vein,,,3399.0,3399.0,1 HCPCS,36012,"Hc Selective Catheter Placement, Venous System; Second Order, Or More Selective, Brach",5593.0,5593.0,,,0 HCPCS,36012,Place catheter in vein,,,3399.0,3399.0,1 HCPCS,36013,"Hc Introduction Of Catheter, Right Heart Or Main Pulmonary Artery",2308.0,2308.0,,,0 HCPCS,36013,Place catheter in artery,,,3399.0,3399.0,1 HCPCS,36014,"Hc Selective Catheter Placement, Left Or Right Pulmonary Artery",3828.0,3828.0,,,0 HCPCS,36014,Place catheter in artery,,,3399.0,3399.0,1 HCPCS,36015,"Hc Selective Catheter Placement, Segmental Or Subsegmental Pulmonary Artery",4122.0,4122.0,,,0 HCPCS,36015,Place catheter in artery,,,3399.0,3399.0,1 HCPCS,36100,Establish access to artery,,,3399.0,3399.0,1 HCPCS,36100,"Hc Introduction Of Needle Or Intracatheter, Carotid Or Vertebral Artery",9092.0,9092.0,,,0 HCPCS,36140,Establish access to artery,,,3399.0,3399.0,1 HCPCS,36140,Hc Introduction Of Needle Or Intracatheter; Extremity Artery,2691.0,2691.0,,,0 HCPCS,36160,Establish access to aorta,,,3399.0,3399.0,1 HCPCS,36160,"Hc Introduction Of Needle Or Intracatheter, Aortic, Translumbar",2434.0,2434.0,,,0 HCPCS,36200,"Hc Introduction Of Needle Or Intracather, Aortic, Translumbar",4338.0,4338.0,,,0 HCPCS,36200,Place catheter in aorta,,,3399.0,3399.0,1 HCPCS,36215,"Hc Selec Cath Placement, Arterial Sys; Ea 1St Order Thor Or Brachiocephalic Branch, W/In A Vasc Fam",6884.0,6884.0,,,0 HCPCS,36215,Place catheter in artery,,,3399.0,3399.0,1 HCPCS,36216,"Hc Selec Cath Placmnt, Arterial Sys; Ini 2Nd Order Thor Or Brachiocephalic Branch, W/In A Vasc Fam",7863.0,7863.0,,,0 HCPCS,36216,Place catheter in artery,,,3399.0,3399.0,1 HCPCS,36217,"Hc Sel Cath Plcmnt, Art Sys; Ini 3Rd Ordr Or More Sel Thor Or Brachiocphlc Brnch, W/In A Vasc Fmly",10913.0,10913.0,,,0 HCPCS,36217,Place catheter in artery,,,3399.0,3399.0,1 HCPCS,36218,"Hc Sel Cath Plcmnt, Art Sys; Add 2Nd Ordr, 3Rd Ordr,&Beynd,Thor Or Brachiocphlc Brnch,W/In Vasc Fmly",2112.0,2112.0,,,0 HCPCS,36218,Place catheter in artery,,,3399.0,3399.0,1 HCPCS,36221,"Hc Non-Sel Cath Plc, Thor Aor, Ang Ext Crtd, Ver, &/Or Incrnl Vsl, Uni Or Bila,S&I,Inc Ang Cvcrl Rch",12148.0,12148.0,,,0 HCPCS,36221,Place cath thoracic aorta,,,3383.62,14227.0,4 HCPCS,36222,"Hc Sel Cath Pl,Com Carot/Innom Art,Unilat,Angio Ipslat Extrcran Carot Circ,S&I,Angio Cervcereb Arch",25309.0,25309.0,,,0 HCPCS,36222,Place cath carotid/inom art,,,3383.62,14227.0,4 HCPCS,36223,"Hc Sel Cath Pla,Com Crtd/Inn Art, Uni,W Angy Ipsilt Incrnl Crtd Crc,S&I,Ang Excrnl Crtd/Cvcrbrl Arch",34414.0,34414.0,,,0 HCPCS,36223,Place cath carotid/inom art,,,5963.01,24760.0,4 HCPCS,36224,"Hc Sel Cath Plc, Int Crtd Art,Uni,Ang Ipsilat Intcrnl Crtd Circ, S&I, Ang Ext Crtd/ & Crvcrbl Arch",35795.1,35795.1,,,0 HCPCS,36224,Place cath carotd art,,,5963.01,24760.0,4 HCPCS,36225,"Hc Slct Cath Place,Subclv Or Innomn Art,Unilt,Anggrph Ipsiltrl Vert Circ,S&I,Anggrph Crv-Cerbrl Arch",26386.0,26386.0,,,0 HCPCS,36225,Place cath subclavian art,,,3383.62,14227.0,4 HCPCS,36226,Hc Select Cath Place/Vert Artery/Unilal Angio Ipsilater Vert Circulat S&I Angio Cervicocerebral Arch,27769.5,27769.5,,,0 HCPCS,36226,Place cath vertebral art,,,5963.01,24760.0,4 HCPCS,36227,"Hc Select Cath Place, Ext Carotid Artery, Unilat, Angiograph Ipsilateral Ext Carotid Circulatn, S&I",19713.1,19713.1,,,0 HCPCS,36227,Place cath xtrnl carotid,,,3399.0,3399.0,1 HCPCS,36228,"Hc Selct Cath Place,Ea Intracran Brnch Int Carotd Or Vert Art,Unilt,Anggraph Of Selctd Vssl Circ S&I",6624.0,6624.0,,,0 HCPCS,36228,Place cath intracranial art,,,3399.0,3399.0,1 HCPCS,36245,"Hc Sel Cath Plcmnt,Art Sys; Ea 1St Ordr Abd, Pelvic, Or Lower Extremity Art Brnch, W/In A Vasc Fmly",7065.0,7065.0,,,0 HCPCS,36245,Ins cath abd/l-ext art 1st,,,3399.0,3399.0,1 HCPCS,36246,"Hc Sel Cath Plcmnt, Art Sys; Ini 2Nd Ordr Abd, Pelvic,Lower Extremity Art Brnch,W/In A Vasc Fmly",8022.0,8022.0,,,0 HCPCS,36246,Ins cath abd/l-ext art 2nd,,,3399.0,3399.0,1 HCPCS,36247,"Hc Sel Cath Plcmnt,Arterial;Ini 3Rd Ord Or More Sel Abd,Pelv,Or Lower Ext Art Branch, W In Vasc Fam",8916.0,8916.0,,,0 HCPCS,36247,Ins cath abd/l-ext art 3rd,,,3399.0,3399.0,1 HCPCS,36248,"Hc Sel Cath Plcmnt,Arterial;Add 2Nd Ord, 3Rd Ord,Abd,Pelvic,Or Lower Ext Art Branch,W In A Vasc Fam",2830.0,2830.0,,,0 HCPCS,36248,Ins cath abd/l-ext art addl,,,3399.0,3399.0,1 HCPCS,36251,"Hc Selective Cath Placement, Main Renal Artery, Unilateral",8710.0,8710.0,,,0 HCPCS,36251,Ins cath ren art 1st unilat,,,3383.62,14227.0,4 HCPCS,36252,"Hc Selective Cath Placement, Main Renal Artery, First Order; Bilateral",16843.0,16843.0,,,0 HCPCS,36252,Ins cath ren art 1st bilat,,,3383.62,14227.0,4 HCPCS,36253,Hc Superselective Cath Placement Renal Artery 2Nd Or Higher Branch Unilateral,11470.0,11470.0,,,0 HCPCS,36253,Ins cath ren art 2nd+ unilat,,,5963.01,24760.0,4 HCPCS,36254,Hc Superslctive Cath Placemnt Renal Art One Or More 2Nd Order Or Higher Renal Artery Branch; Bilat,14454.0,14454.0,,,0 HCPCS,36254,Ins cath ren art 2nd+ bilat,,,3383.62,14227.0,4 HCPCS,36260,Insertion of infusion pump,,,5963.01,24760.0,4 HCPCS,36261,Revision of infusion pump,,,4004.6,14227.0,4 HCPCS,36262,Removal of infusion pump,,,4004.6,14227.0,4 HCPCS,36299,Hc Vascular Injection Jugualar Vein For Venography,902.0,902.0,,,0 HCPCS,36299,Vessel injection procedure,,,3399.0,3399.0,1 HCPCS,36400,"Hc Veni < 3 Yrs, Need Skill Phys Or Oth Qual Hlth Care Pro,Not Used For Rtn Veni; Fem Or Jug Vein",490.0,490.0,,,0 HCPCS,36405,Hc Venipnct <3 Yrs Scalp Vein,47.0,47.0,,,0 HCPCS,36406,"Hc Veni/P,<3 Yr,Necess Skill Phys/Other Qualified Hlth Care Prof,Not Used For Rout Veni/P;Other Vein",232.0,232.0,,,0 HCPCS,36410,"Hc Veni/P,>3Yrs, Necssitng Skill Of Phys Or Othr Qualfd Hlth Care Prof,Diag Or Thrptc Purposes",232.0,232.0,,,0 HCPCS,36410,Non-routine bl draw 3/> yrs,,,9.42,58.01,2 HCPCS,36415,Hc Collection Of Venous Blood By Venipuncture,65.0,65.0,,,0 HCPCS,36415,Hc Collection Of Venous Blood By Venipuncture-Laf,22.0,22.0,,,0 HCPCS,36415,Routine venipuncture,,,2.93,54.31,6 HCPCS,36416,Capillary blood draw,,,0.59,10.99,3 HCPCS,36416,Hc Collection Of Capillary Blood Specimen,47.0,47.0,,,0 HCPCS,36420,"Hc Venipuncture, Cutdown; Younger Than Age 1 Year",1565.0,1565.0,,,0 HCPCS,36420,Vein access cutdown < 1 yr,,,142.58,3399.0,4 HCPCS,36425,"Hc Venipuncture, Cutdown; Age 1 Or Over",2200.0,2200.0,,,0 HCPCS,36425,Vein access cutdown > 1 yr,,,478.72,3399.0,4 HCPCS,36430,Blood transfusion service,,,472.77,3399.0,4 HCPCS,36430,Hc Blood Administration Inpatient,4442.0,4442.0,,,0 HCPCS,36430,Hc Blood Transfusion,4189.0,4189.0,,,0 HCPCS,36440,Bl push transfuse 2 yr/<,,,472.77,3399.0,4 HCPCS,36450,Bl exchange/transfuse nb,,,472.77,3399.0,4 HCPCS,36455,Bl exchange/transfuse non-nb,,,472.77,3399.0,4 HCPCS,36456,Prtl exchange transfuse nb,,,472.77,3399.0,4 HCPCS,36460,Hc Transfusion Intrauterine Fetal,1140.0,1140.0,,,0 HCPCS,36460,Hc Transfusion Intrauterine Fetal-Pbb,1271.5,1271.5,,,0 HCPCS,36460,Pr Transfusion Intrauterine Fetal-Pbb,263.0,263.0,,,0 HCPCS,36460,Transfusion service fetal,,,472.77,3399.0,4 HCPCS,36465,"Hc Injection Non-Compounded Foam Sclerosan, Single Vein",7710.0,7710.0,,,0 HCPCS,36465,Njx noncmpnd sclrsnt 1 vein,,,2211.05,7272.0,4 HCPCS,36466,"Hc Injection Non-Compounded Foam Sclerosant, Multiple Vein",7710.0,7710.0,,,0 HCPCS,36466,Njx noncmpnd sclrsnt mlt vn,,,2211.05,7272.0,4 HCPCS,36468,Hc Sclerotherapy; Single Or Multiple Injection(S),346.0,346.0,,,0 HCPCS,36468,"Hc Sclerotherapy; Single Or Multiple Injection(S) Cash-Csm,Pbb",225.0,225.0,,,0 HCPCS,36468,Hc Sclerotherapy; Single Or Multiple Injection(S)-Pbb,1318.5,1318.5,,,0 HCPCS,36468,Injection(s) spider veins,,,435.63,3399.0,4 HCPCS,36468,Pr Injections Sclerosant For Spider Veins Lim/Trnk-Pbb,397.0,397.0,,,0 HCPCS,36468,"Pr Sclerotherapy; Single Or Multiple Injection(S) Cash-Csm,Pbb",150.0,150.0,,,0 HCPCS,36470,Hc Inj Sclerososant; Single Incompetent Vein (Other Than Telangiectasia),566.0,566.0,,,0 HCPCS,36470,Hc Inj Sclerososant; Single Incompetent Vein (Other Than Telangiectasia) Cash,162.0,162.0,,,0 HCPCS,36470,Hc Inj Sclerososant; Single Incompetent Vein (Other Than Telangiectasia)-Pbb,1552.0,1552.0,,,0 HCPCS,36470,Injection therapy of vein,,,435.63,3399.0,4 HCPCS,36470,Pr Injection Sclerosant Single Incmptnt Vein-Pbb,1972.0,1972.0,,,0 HCPCS,36471,"Hc Hc Inj Sclerososant; Multiple Incompetent Vein (Other Than Telangiectasia), Same Leg Cash",250.0,250.0,,,0 HCPCS,36471,"Hc Hc Inj Sclerososant; Multiple Incompetent Vein (Other Than Telangiectasia), Same Leg Cash-Csm,Pbb",250.0,250.0,,,0 HCPCS,36471,"Hc Inj Sclerososant; Multiple Incompetent Vein (Other Than Telangiectasia), Same Leg",1514.0,1514.0,,,0 HCPCS,36471,"Hc Inj Sclerososant; Multiple Incompetent Vein (Other Than Telangiectasia), Same Leg-Pbb",2938.5,2938.5,,,0 HCPCS,36471,Injection therapy of veins,,,435.63,3399.0,4 HCPCS,36471,Pr Injection Sclerosant Multiple Incmptnt Veins-Pbb,2849.0,2849.0,,,0 HCPCS,36473,Endovenous mchnchem 1st vein,,,3383.62,14227.0,4 HCPCS,36473,Hc Endovenous Mechanochemical 1St Vein,7911.0,7911.0,,,0 HCPCS,36474,Endovenous mchnchem add-on,,,3399.0,3399.0,1 HCPCS,36474,Hc Endovenous Mechanochemical Add-On,3956.0,3956.0,,,0 HCPCS,36475,Endovenous rf 1st vein,,,3383.62,14227.0,4 HCPCS,36475,"Hc Endovn Abltn Ther Of Incomptnt Vn,Ext,Inclsive Of All Imgng Guid&Montring,Perc,Radfrequ;1St Vn Tx",8604.0,8604.0,,,0 HCPCS,36476,Endovenous rf vein add-on,,,3399.0,3399.0,1 HCPCS,36476,"Hc Endvn Abltn Thx Incmptnt Vn Ext,Img Gd&Mntrng,Perc,Rdfrqu;2Nd&Sub Vns Trtd In Sngl Extrmty,Ea Sit",3645.0,3645.0,,,0 HCPCS,36478,Endovenous laser 1st vein,,,3383.62,14227.0,4 HCPCS,36478,"Hc Endoven Abltn Ther Incmptnt Vein,Extrmty, Inclsv Imgng Guid & Mntrng,Perc, Laser; 1St Vein Trtd",8185.0,8185.0,,,0 HCPCS,36479,Endovenous laser vein addon,,,3399.0,3399.0,1 HCPCS,36479,"Hc Endovns Abltn Incomp Vn,Ext,Incl All Img Gd&Mon,Perc,Lsr;2Nd&Sub Vns Trted Sing Ext,Ea Sep Acc St",2936.0,2936.0,,,0 HCPCS,36481,Hc Percutaneous Portal Vein Catheterization By Any Method,9857.0,9857.0,,,0 HCPCS,36481,Insertion of catheter vein,,,3399.0,3399.0,1 HCPCS,36482,Endoven ther chem adhes 1st,,,5963.01,24760.0,4 HCPCS,36482,Hc Endoven Ablti Ther Chem Adhesive 1St Vein,11512.0,11512.0,,,0 HCPCS,36482,Hc Endoven Ablti Ther Chem Adhesive 1St Vein-Pbb,12155.0,12155.0,,,0 HCPCS,36482,Pr Endoven Ablti Ther Chem Adhesive 1St Vein-Pbb,1286.0,1286.0,,,0 HCPCS,36483,Endoven ther chem adhes sbsq,,,3399.0,3399.0,1 HCPCS,36483,Hc Endoven Ablti Ther Chem Adhesive Sbsq Vein-Pbb,4832.5,4832.5,,,0 HCPCS,36483,Pr Endoven Ablti Ther Chem Adhesive Sbsq Vein-Pbb,642.0,642.0,,,0 HCPCS,36500,Hc Venous Catheterziation For Selective Organ Blood Sampling,3546.0,3546.0,,,0 HCPCS,36500,Insertion of catheter vein,,,3399.0,3399.0,1 HCPCS,36510,"Hc Catheterization Of Umbilical Vein For Diagnosis Or Therapy, Newborn",3441.0,3441.0,,,0 HCPCS,36510,Insertion of catheter vein,,,3399.0,3399.0,1 HCPCS,36511,Apheresis wbc,,,1668.97,7272.0,4 HCPCS,36511,Hc Therapeutic Apheresis; For White Blood Cells,7193.0,7193.0,,,0 HCPCS,36511,Hc Therapeutic Apheresis; Wbc,7624.0,7624.0,,,0 HCPCS,36511,Hc Therapeutic Apheresis; Wbc Facility Only,7193.0,7193.0,,,0 HCPCS,36511,Hc Therapeutic Apheresis; Wbc-Pbb,8151.0,8151.0,,,0 HCPCS,36511,Pr Therapeutic Apheresis White Blood Cells-Pbb,1055.0,1055.0,,,0 HCPCS,36512,Apheresis rbc,,,1668.97,7272.0,4 HCPCS,36512,Hc Therapeutic Apheresis; For Red Blood Cells,7075.0,7075.0,,,0 HCPCS,36513,Apheresis platelets,,,472.77,3399.0,4 HCPCS,36514,Apheresis plasma,,,1668.97,7272.0,4 HCPCS,36514,Hc Therapeutic Apheresis; For Plasma Pheresis,8389.0,8389.0,,,0 HCPCS,36516,Apheresis selective,,,4667.44,22280.0,4 HCPCS,36522,Hc Photopheresis; Extracorporeal,12812.0,12812.0,,,0 HCPCS,36522,Hc Photopheresis; Extracorporeal-Pbb,13363.5,13363.5,,,0 HCPCS,36522,Photopheresis,,,4667.44,22280.0,4 HCPCS,36522,Pr Photopheresis Extracorporeal-Pbb,1102.0,1102.0,,,0 HCPCS,36555,Hc Insertion Of Non-Tunneled Centrally Inserted Central Venous Catheter; Younger Than 5 Years Of Age,3748.0,3748.0,,,0 HCPCS,36555,Hc Insrt Non-Tunel Cntrl Ven Cath<5Yrs Crna Pro,3156.0,3156.0,,,0 HCPCS,36555,Insert non-tunnel cv cath,,,3383.62,5007.0,4 HCPCS,36556,Hc Insertion Of Non-Tunneled Centrally Inserted Central Venous Catheter; Age 5 Years Or Older,3870.0,3870.0,,,0 HCPCS,36556,Hc Insertion Of Non-Tunneled Centrally Inserted Central Venous Catheter; Age 5 Years Or Older-Gold,5448.0,5448.0,,,0 HCPCS,36556,"Hc Insertion Of Non-Tunneled Centrally Inserted Central Venous Catheter; Age 5 Years Or Older-Gold,P",5448.0,5448.0,,,0 HCPCS,36556,Hc Insertion Of Non-Tunneled Centrally Inserted Central Venous Catheter; Age 5 Years Or Older-Pbb,5448.0,5448.0,,,0 HCPCS,36556,Hc Insrt Non-Tunel Cntrl Ven Cath>5Yrs Crna Pro,3156.0,3156.0,,,0 HCPCS,36556,Insert non-tunnel cv cath,,,3383.62,5007.0,4 HCPCS,36556,Pr Insj Non-Tunneled Central Venous Cath Age 5 Yr/>-Gold,3156.0,3156.0,,,0 HCPCS,36556,"Pr Insj Non-Tunneled Central Venous Cath Age 5 Yr/>-Gold,Oprm",3156.0,3156.0,,,0 HCPCS,36556,"Pr Insj Non-Tunneled Central Venous Cath Age 5 Yr/>-Gold,Pbb",3156.0,3156.0,,,0 HCPCS,36556,Pr Insj Non-Tunneled Central Venous Cath Age 5 Yr/>-Pbb,3156.0,3156.0,,,0 HCPCS,36557,"Hc Insertion Tunneled Centrally Venous Catheter, W/O Subcu Port/Pump <5 Yrs/Age",6820.0,6820.0,,,0 HCPCS,36557,Insert tunneled cv cath,,,5963.01,24760.0,4 HCPCS,36558,"Hc Insertion Tunneled Centrally Insert Central Ven Cath, W/O Subcutaneous Port/Pump; Age > 5 Yrs",12078.0,12078.0,,,0 HCPCS,36558,Insert tunneled cv cath,,,3383.62,14227.0,4 HCPCS,36560,"Hc Insertion Tunneled Centrally Insert Central Ven Cath, W/ Subcu Port Or Pump; < Than 5 Yrs Of Age",8899.0,8899.0,,,0 HCPCS,36560,Insert tunneled cv cath,,,3383.62,14227.0,4 HCPCS,36561,"Hc Insertion Of Tunneled Centrally Inserted Central Vad, W/ Subcu Port; Age 5 Yrs Or Older",19669.0,19669.0,,,0 HCPCS,36561,Insert tunneled cv cath,,,3383.62,14227.0,4 HCPCS,36563,Insert tunneled cv cath,,,5963.01,24760.0,4 HCPCS,36565,Hc Insert Tunneled Cv 2X Catheter Without Sq Port,9901.0,9901.0,,,0 HCPCS,36565,Insert tunneled cv cath,,,3383.62,14227.0,4 HCPCS,36566,Insert tunneled cv cath,,,5963.01,24760.0,4 HCPCS,36568,"Hc Insertion Of Peripher Insert Central Venous Cath (Picc), W/Out Port Or Pump; =< 5 Yrs Of Age",6198.0,6198.0,,,0 HCPCS,36568,"Hc Insertion Of Peripher Insert Central Venous Cath (Picc), W/Out Port Or Pump; =< 5 Yrs Of Age-Pbb",8016.0,8016.0,,,0 HCPCS,36568,Insert picc cath,,,1686.89,5007.0,4 HCPCS,36568,Pr Insertion Picc W/O Img Gdn < 5 Yr-Pbb,3636.0,3636.0,,,0 HCPCS,36569,"Hc Insrtn Of Peripherally Inserted Cntrl Venous Cath (Picc), W/O Subq Port/Pmp; Age 5 Yrs Or Older",6482.0,6482.0,,,0 HCPCS,36569,"Hc Insrtn Of Peripherally Inserted Cntrl Venous Cath (Picc), W/O Subq Port/Pmp; Age 5 Yrs Or Older-G",8455.0,8455.0,,,0 HCPCS,36569,"Hc Insrtn Of Peripherally Inserted Cntrl Venous Cath (Picc), W/O Subq Port/Pmp; Age 5 Yrs Or Older-P",8455.0,8455.0,,,0 HCPCS,36569,Insert picc cath,,,1686.89,5007.0,4 HCPCS,36569,Pr Insertion Picc W/O Img Gdn 5 Yr/>-Gold,3946.0,3946.0,,,0 HCPCS,36569,"Pr Insertion Picc W/O Img Gdn 5 Yr/>-Gold,Oprm",3946.0,3946.0,,,0 HCPCS,36569,"Pr Insertion Picc W/O Img Gdn 5 Yr/>-Gold,Pbb",3946.0,3946.0,,,0 HCPCS,36569,Pr Insertion Picc W/O Img Gdn 5 Yr/>-Pbb,3946.0,3946.0,,,0 HCPCS,36570,"Hc Insertion Of Peripherally Inserted Central Vad, W/ Subcu Port; Younger Than 5 Yrs Of Age",8838.0,8838.0,,,0 HCPCS,36570,Insert picvad cath,,,3383.62,14227.0,4 HCPCS,36571,"Hc Insertion Of Peripherally Inserted Central Vad, W/ Subcu Port; Age 5 Yrs Or Older",9230.0,9230.0,,,0 HCPCS,36571,Insert picvad cath,,,3383.62,14227.0,4 HCPCS,36572,Hc Insrtn Perph Insrtd Cntrl Vns Cth (Picc)W/O Prt/Pmp Incl Img Gd,9312.0,9312.0,,,0 HCPCS,36572,Insj picc rs&i <5 yr,,,672.23,5007.0,4 HCPCS,36573,"Hc Insrtn Perph Insrtd Cntrl Vns Cath(Picc),W/O Prt/Pmp,Incl Img Gd",9598.0,9598.0,,,0 HCPCS,36573,"Hc Insrtn Perph Insrtd Cntrl Vns Cath(Picc),W/O Prt/Pmp,Incl Img Gd-Gold",11989.5,11989.5,,,0 HCPCS,36573,"Hc Insrtn Perph Insrtd Cntrl Vns Cath(Picc),W/O Prt/Pmp,Incl Img Gd-Gold,Pbb",11989.5,11989.5,,,0 HCPCS,36573,"Hc Insrtn Perph Insrtd Cntrl Vns Cath(Picc),W/O Prt/Pmp,Incl Img Gd-Pbb",11989.5,11989.5,,,0 HCPCS,36573,Insj picc rs&i 5 yr+,,,1686.89,7272.0,4 HCPCS,36573,Pr Insertion Picc W/Rs&I 5 Yr/>-Gold,4783.0,4783.0,,,0 HCPCS,36573,"Pr Insertion Picc W/Rs&I 5 Yr/>-Gold,Pbb",4783.0,4783.0,,,0 HCPCS,36573,Pr Insertion Picc W/Rs&I 5 Yr/>-Pbb,4783.0,4783.0,,,0 HCPCS,36575,"Hc Repr Of Tunnld Or Non-Tunnld Cntrl Ven Cath,W/O Subcu Port Or Pmp,Centrl Or Periph Insertn Site",3149.0,3149.0,,,0 HCPCS,36575,"Hc Repr Of Tunnld Or Non-Tunnld Cntrl Ven Cath,W/O Subcu Port Or Pmp,Centrl Or Periph Insertn Site-P",3381.5,3381.5,,,0 HCPCS,36575,Pr Rpr Tun/Non-Tun Ctr Vad Cath W/O Subq Port/Pmp-Pbb,466.0,466.0,,,0 HCPCS,36575,Repair tunneled cv cath,,,672.23,5007.0,4 HCPCS,36576,"Hc Repair Of Central Vad, W/ Subcu Port Or Pump, Central Or Peripheral Insertion Site",4349.0,4349.0,,,0 HCPCS,36576,"Hc Repair Of Central Vad, W/ Subcu Port Or Pump, Central Or Peripheral Insertion Site-Pbb",5679.5,5679.5,,,0 HCPCS,36576,Pr Rpr Ctr Vad W/Subq Port/Pmp Ctr/Prph Insj Sit-Pbb,2662.0,2662.0,,,0 HCPCS,36576,Repair tunneled cv cath,,,1686.89,5007.0,4 HCPCS,36578,"Hc Rplcmnt,Cthtr Only,Of Cntrl Venous Access Dev, W/Subcu Port/Pump,Cntrl Or Periphl Insertn Site",6460.0,6460.0,,,0 HCPCS,36578,Replace tunneled cv cath,,,3383.62,14227.0,4 HCPCS,36580,"Hc Replcemnt,Cmplt,Of Non-Tunnld Cent Insertd Cent Vencath,W/Out Subq Prt /Pmp,Thru Same Ven Access",12229.0,12229.0,,,0 HCPCS,36580,"Hc Replcemnt,Cmplt,Of Non-Tunnld Cent Insertd Cent Vencath,W/Out Subq Prt /Pmp,Thru Same Ven Access-",13710.5,13710.5,,,0 HCPCS,36580,Pr Rplcmt Compl Non-Tun Cvc W/O Subq Port/Pmp-Gold,2963.0,2963.0,,,0 HCPCS,36580,"Pr Rplcmt Compl Non-Tun Cvc W/O Subq Port/Pmp-Gold,Oprm",2963.0,2963.0,,,0 HCPCS,36580,"Pr Rplcmt Compl Non-Tun Cvc W/O Subq Port/Pmp-Gold,Pbb",2963.0,2963.0,,,0 HCPCS,36580,Pr Rplcmt Compl Non-Tun Cvc W/O Subq Port/Pmp-Pbb,2963.0,2963.0,,,0 HCPCS,36580,Replace cvad cath,,,1686.89,5007.0,4 HCPCS,36581,"Hc Replcmnt,Cmplt,Tunnld Cntrlly Insrtd Cntrl Ven Cath,W/O Subcu Port Or Pump,Thru Same Ven Access",6460.0,6460.0,,,0 HCPCS,36581,Replace tunneled cv cath,,,3383.62,14227.0,4 HCPCS,36582,"Hc Repl, Complt, Of A Tunnld Centrlly Insrtd Centrl Ven Access Dev, W/Subcu Port, Thrgh Sm Ven Accss",17287.0,17287.0,,,0 HCPCS,36582,Replace tunneled cv cath,,,3383.62,14227.0,4 HCPCS,36583,Hc Replace Compl Tunneled Cent Inserted Cvad W/Pump Thru Same Access,16312.0,16312.0,,,0 HCPCS,36583,Replace tunneled cv cath,,,5963.01,24760.0,4 HCPCS,36584,"Hc Replcmnt, Cmplt, Of A (Picc), W/O Subcu Port Or Pump, Thru Same Ven Access",3704.0,3704.0,,,0 HCPCS,36584,Replace picc cath,,,1686.89,5007.0,4 HCPCS,36585,"Hc Rplcmnt,Comp,Of A Peripherally Insrtd Cntrl Venous Access Dev,W/Subcu Port,Thrgh Sm Venous Access",7480.0,7480.0,,,0 HCPCS,36585,Replace picvad cath,,,3383.62,14227.0,4 HCPCS,36589,"Hc Removal Of Tunneled Central Venous Catheter, Without Subcutaneous Port Or Pump",4704.0,4704.0,,,0 HCPCS,36589,"Hc Removal Of Tunneled Central Venous Catheter, Without Subcutaneous Port Or Pump-Gold",6185.5,6185.5,,,0 HCPCS,36589,"Hc Removal Of Tunneled Central Venous Catheter, Without Subcutaneous Port Or Pump-Gold,Pbb",6185.5,6185.5,,,0 HCPCS,36589,"Hc Removal Of Tunneled Central Venous Catheter, Without Subcutaneous Port Or Pump-Pbb",6185.5,6185.5,,,0 HCPCS,36589,Pr Rmvl Tun Cvc W/O Subq Port/Pmp-Gold,2963.0,2963.0,,,0 HCPCS,36589,"Pr Rmvl Tun Cvc W/O Subq Port/Pmp-Gold,Oprm",2963.0,2963.0,,,0 HCPCS,36589,"Pr Rmvl Tun Cvc W/O Subq Port/Pmp-Gold,Pbb",2963.0,2963.0,,,0 HCPCS,36589,Pr Rmvl Tun Cvc W/O Subq Port/Pmp-Pbb,2963.0,2963.0,,,0 HCPCS,36589,Removal tunneled cv cath,,,672.23,5007.0,4 HCPCS,36590,"Hc Removal Of Tunneled Central Venous Access Device, Subq Port/Pump, Central/Peripheral Insert",8273.0,8273.0,,,0 HCPCS,36590,"Hc Removal Of Tunneled Central Venous Access Device, Subq Port/Pump, Central/Peripheral Insert-Pbb",10440.5,10440.5,,,0 HCPCS,36590,Pr Rmvl Tun Ctr Vad W/Subq Port/Pmp Ctr/Prph Insj-Pbb,4336.0,4336.0,,,0 HCPCS,36590,Removal tunneled cv cath,,,1686.89,7272.0,4 HCPCS,36591,Draw blood off venous device,,,142.58,3399.0,4 HCPCS,36591,Hc Collection Of Blood Specimen From A Completely Implantable Venous Access Device,461.0,461.0,,,0 HCPCS,36592,Collect blood from picc,,,142.58,3399.0,4 HCPCS,36592,"Hc Collection Of Blood Specimen Using Est Cntrl Or Peripherl Cath, Venous, Not Otherwise Specified",467.0,467.0,,,0 HCPCS,36593,Declot vascular device,,,353.96,3399.0,4 HCPCS,36593,Hc Declotting By Thrombolytic Agent Of Implanted Vascular Access Device Or Catheter,1769.0,1769.0,,,0 HCPCS,36595,Hc Mech Rmvl Of Pericatheter Obs Mat From Central Venous Device Via Separate Venous Access,6460.0,6460.0,,,0 HCPCS,36595,Mech remov tunneled cv cath,,,3383.62,14227.0,4 HCPCS,36596,Hc Mech Rmvl Of Intraluminal (Intracatheter) Obs Mat From Central Venous Device Through Device Lumen,3704.0,3704.0,,,0 HCPCS,36596,Mech remov tunneled cv cath,,,1686.89,5007.0,4 HCPCS,36597,Hc Repositioning Of Previously Placed Central Venous Catheter Under Fluoroscopic Guidance,3704.0,3704.0,,,0 HCPCS,36597,Reposition venous catheter,,,1686.89,5007.0,4 HCPCS,36598,"Hc Cntrst Inj(S) For Rady Evl Of Exstng Cntrl Ven Access Dev, Incl Flurscpy, Img Documnt And Reprt",2769.0,2769.0,,,0 HCPCS,36598,Inj w/fluor eval cv device,,,227.94,3399.0,4 HCPCS,36600,Hc Arterial Puncture Withdrawal Of Blood For Diagnosis,496.0,496.0,,,0 HCPCS,36600,Withdrawal of arterial blood,,,142.58,3399.0,4 HCPCS,36620,"Hc Arterial Catheterization Or Cannulation For Sampling, Monitoring Or Transfusion ; Percutaneous",1342.0,1342.0,,,0 HCPCS,36620,"Hc Arterial Catheterization Or Cannulation For Sampling, Monitoring Or Transfusion ; Percutaneous-Go",1806.0,1806.0,,,0 HCPCS,36620,"Hc Arterial Catheterization Or Cannulation For Sampling, Monitoring Or Transfusion ; Percutaneous-Pb",1806.0,1806.0,,,0 HCPCS,36620,Hc Chg Arterial Cannulation Crna Pro,928.0,928.0,,,0 HCPCS,36620,Insertion catheter artery,,,3399.0,3399.0,1 HCPCS,36620,Pr Artl Cathj/Cannulj Mntr/Transfusion Spx Prq-Gold,928.0,928.0,,,0 HCPCS,36620,"Pr Artl Cathj/Cannulj Mntr/Transfusion Spx Prq-Gold,Oprm",928.0,928.0,,,0 HCPCS,36620,"Pr Artl Cathj/Cannulj Mntr/Transfusion Spx Prq-Gold,Pbb",928.0,928.0,,,0 HCPCS,36620,Pr Artl Cathj/Cannulj Mntr/Transfusion Spx Prq-Pbb,928.0,928.0,,,0 HCPCS,36625,"Hc Arterial Catheterization Or Cannulation For Sampling, Monitoring Or Transfusion ; Cutdown",2153.0,2153.0,,,0 HCPCS,36625,Insertion catheter artery,,,3399.0,3399.0,1 HCPCS,36640,Insertion catheter artery,,,3383.62,14227.0,4 HCPCS,36660,Insertion catheter artery,,,10008.0,10008.0,1 HCPCS,36680,Hc Placement Of Needle For Intraosseous Infusion,1014.0,1014.0,,,0 HCPCS,36680,Insert needle bone cavity,,,478.72,3399.0,4 HCPCS,36800,Insertion of cannula,,,5963.01,24760.0,4 HCPCS,36810,"Hc Insertion Of Cannula For Hemodialysis, Other Purpose, Arteriovenous, External",8814.0,8814.0,,,0 HCPCS,36810,Insertion of cannula,,,3383.62,14227.0,4 HCPCS,36815,Insertion of cannula,,,5963.01,24760.0,4 HCPCS,36818,Av fuse uppr arm cephalic,,,5963.01,24760.0,4 HCPCS,36819,Av fuse uppr arm basilic,,,5963.01,24760.0,4 HCPCS,36820,Av fusion/forearm vein,,,5963.01,24760.0,4 HCPCS,36821,Av fusion direct any site,,,3383.62,14227.0,4 HCPCS,36823,Insertion of cannula(s),,,11000.0,11000.0,1 HCPCS,36825,Artery-vein autograft,,,5963.01,24760.0,4 HCPCS,36830,Artery-vein nonautograft,,,5963.01,24760.0,4 HCPCS,36831,Open thrombect av fistula,,,5963.01,24760.0,4 HCPCS,36832,Av fistula revision open,,,5963.01,24760.0,4 HCPCS,36833,Av fistula revision,,,5963.01,24760.0,4 HCPCS,36835,Artery to vein shunt,,,3383.62,14227.0,4 HCPCS,36836,Prq av fstl crtj uxtr 1 acs,,,19644.52,36418.0,4 HCPCS,36837,Prq av fstl crt uxtr sep acs,,,19644.52,36418.0,4 HCPCS,36838,Dist revas ligation hemo,,,5963.01,24760.0,4 HCPCS,36860,External cannula declotting,,,1686.89,5007.0,4 HCPCS,36861,Cannula declotting,,,5963.01,24760.0,4 HCPCS,36901,Hc Introduction Catheter Dialysis Circuit,15050.0,15050.0,,,0 HCPCS,36901,Intro cath dialysis circuit,,,1686.89,7272.0,4 HCPCS,36902,Hc Introduction Cathether Dialysis Circuit,38998.0,38998.0,,,0 HCPCS,36902,Intro cath dialysis circuit,,,6099.19,24760.0,4 HCPCS,36903,Hc Introduction Catheter Dialysis Circuit With Transcatheter Placement,75582.0,75582.0,,,0 HCPCS,36903,Intro cath dialysis circuit,,,12370.97,36418.0,4 HCPCS,36904,Hc Thrombectomy/Infusion Dialysis Circuit,23946.0,23946.0,,,0 HCPCS,36904,Thrmbc/nfs dialysis circuit,,,6099.19,24760.0,4 HCPCS,36905,Hc Thrombectomy/Infusion Dialysis Circuit With Transluminal Balloon Angioplasty,45249.0,45249.0,,,0 HCPCS,36905,Thrmbc/nfs dialysis circuit,,,12370.97,36418.0,4 HCPCS,36906,Hc Thrombectomy/Infusion Dialysis Circuit With Transcathetrer Placement,84478.0,84478.0,,,0 HCPCS,36906,Thrmbc/nfs dialysis circuit,,,19644.52,73109.0,4 HCPCS,36907,Balo angiop ctr dialysis seg,,,3399.0,3399.0,1 HCPCS,36907,Hc Balloon Angioplasty Central Dialysis Segment,18795.0,18795.0,,,0 HCPCS,36908,Hc Stent Placement Central Dialysis Segment,34866.0,34866.0,,,0 HCPCS,36908,Stent plmt ctr dialysis seg,,,3399.0,3399.0,1 HCPCS,36909,Dialysis circuit embolj,,,3399.0,3399.0,1 HCPCS,36909,Hc Dialysis Circuit Embolization,32249.0,32249.0,,,0 HCPCS,37140,Revision of circulation,,,10008.0,10008.0,1 HCPCS,37145,Revision of circulation,,,10008.0,10008.0,1 HCPCS,37160,Revision of circulation,,,10008.0,10008.0,1 HCPCS,37180,Revision of circulation,,,10008.0,10008.0,1 HCPCS,37181,Splice spleen/kidney veins,,,10008.0,10008.0,1 HCPCS,37182,Hc Insertion Of Transvenous Intrahepatic Portosystemic Shunt(S) (Tips),24730.0,24730.0,,,0 HCPCS,37182,Insert hepatic shunt (tips),,,19644.52,36418.0,4 HCPCS,37183,Hc Revision Of Transvenous Intrahepatic Portosystemic Shunt(S) (Tips),37703.0,37703.0,,,0 HCPCS,37183,Remove hepatic shunt (tips),,,6099.19,36418.0,4 HCPCS,37184,Hc Primary Arterial Mechanical Thrombectomy,14825.0,14825.0,,,0 HCPCS,37184,Prim art m-thrmbc 1st vsl,,,19644.52,28484.56,4 HCPCS,37185,Hc Primary Artery Mechanical Thrombectomy; Second And All Subsequent Vessels,5839.0,5839.0,,,0 HCPCS,37185,Prim art m-thrmbc sbsq vsl,,,3399.0,3399.0,1 HCPCS,37186,Hc Secondary Arterial Mechanical Thrombectomry; Add-On,6985.0,6985.0,,,0 HCPCS,37186,Sec art thrombectomy add-on,,,3399.0,3399.0,1 HCPCS,37187,"Hc Perc Translum Mech Thrombect, Vein(S)/Intraprocedural Pharmacol Thrombolytic Inj And Fluoro Guid",11417.0,11417.0,,,0 HCPCS,37187,Venous mech thrombectomy,,,12370.97,24760.0,4 HCPCS,37188,"Hc Prc Trnslml Mec Thrmectmy, Vein(S),Inc Intrpx Rx Thrmlytc Inj&Fluguid,Rpt Trtmnt On Sub Day",10927.0,10927.0,,,0 HCPCS,37188,Venous m-thrombectomy add-on,,,3383.62,14227.0,4 HCPCS,37191,"Hc Insrtn Intrvsc Vena Cav Fltr,Endvsc Incl Vsc Acs,Vsl Sel,&Rad Sup&Interp,Intraproc Rdmap&Img Guid",13059.0,13059.0,,,0 HCPCS,37191,Ins endovas vena cava filtr,,,5963.01,24760.0,4 HCPCS,37192,"Hc Repstn Intravasc Vena Cava Fltr,Endovasc Apprch W Vasc Accss,Vssl Slct,S&I,Intraprc Rdmp,Img Gde",27323.0,27323.0,,,0 HCPCS,37192,Redo endovas vena cava filtr,,,3383.62,14227.0,4 HCPCS,37193,"Hc Retrvl Intrvsc Vena Cava Fltr, Endvsc Apprch Incl Vasc Access, Vssl Select",16173.0,16173.0,,,0 HCPCS,37193,Rem endovas vena cava filter,,,3383.62,14227.0,4 HCPCS,37195,"Hc Thrombolysis, Cerebral, By Intravenous Infusion",572.0,572.0,,,0 HCPCS,37195,Thrombolytic therapy stroke,,,353.96,3399.0,4 HCPCS,37197,"Hc Transcath Retriev, Perc, Intravascaular Foreign Body, Incl Rad S&I, And Imaging Guid, When Perf",16649.0,16649.0,,,0 HCPCS,37197,Remove intrvas foreign body,,,3383.62,14227.0,4 HCPCS,37200,Hc Transcatheter Biopsy,6467.0,6467.0,,,0 HCPCS,37200,Transcatheter biopsy,,,5963.01,24760.0,4 HCPCS,37211,"Hc Transcath Ther,Art Inf Thrombolysis Oth Than Coronary,Any Meth,Incl Radgcl Sup&Interp,Ini Tx Day",16545.0,16545.0,,,0 HCPCS,37211,Thrombolytic art therapy,,,5963.01,24760.0,4 HCPCS,37212,"Hc Tc Ther, Ven Inf For Thrombolysis, Any Meth, Incl Rady Suprvision And Interpr, Ini Trtmnt Dy",16545.0,16545.0,,,0 HCPCS,37212,Thrombolytic venous therapy,,,3383.62,14227.0,4 HCPCS,37213,"Hc Thrombolytic Art/Vein Ther, S&I, Tx Subseq Day, F/U Cath Contrast Inj, Position Chng/Exchng",16386.0,16386.0,,,0 HCPCS,37213,Thromblytic art/ven therapy,,,3383.62,5007.0,4 HCPCS,37214,Cessj therapy cath removal,,,3383.62,5007.0,4 HCPCS,37214,"Hc Transcath, Art/Vein Thrombo, S&I, Tx Sub Day, F/U Cath Contrast Inj, Posit Chng/Exchng, Cessation",16386.0,16386.0,,,0 HCPCS,37215,"Hc Transcath Place Intravsc Stent,Cervcl Carotid Art,Open/Percut,Angioplsty,S&I,W Dist Emblc Protect",18700.0,18700.0,,,0 HCPCS,37215,Transcath stent cca w/eps,,,10008.0,10008.0,1 HCPCS,37216,"Hc Transcath Place Intravasc Stent, Cervical Carotid Art, Open/Percut, With Distal Embolic Protect",9806.0,9806.0,,,0 HCPCS,37216,Transcath stent cca w/o eps,,,10008.0,10008.0,1 HCPCS,37217,"Hc Trnscth Plcmnt Intrvsc Stnt, Crvcl Crtd Artry, W/Angplsty, Rad Sprvsn/Intprt W/O Dstl Emblc Prtxn",10157.0,10157.0,,,0 HCPCS,37217,Stent placemt retro carotid,,,10008.0,10008.0,1 HCPCS,37218,"Hc Trnscth Plcmnt Intrvsc Stnt,Crvcl Crtd Artry, Opn/Prq, & Rdsprvsn/Intrprtnl W/O Dstl Emblc Prtctn",7241.0,7241.0,,,0 HCPCS,37218,Stent placemt ante carotid,,,10008.0,10008.0,1 HCPCS,37220,"Hc Revascization, Endovasc, Open Or Perc, Iliac Artery, Unilat, Ini Vessl; W/Transluminl Angioplasty",15458.0,15458.0,,,0 HCPCS,37220,Iliac revasc,,,24760.0,24760.0,1 HCPCS,37221,"Hc Revsc,Endovsc,Opn/Perc,Iliac Art,Unilat,Ini Vsl;W Translumnl Stnt Plcmnt,Incl Angiopy Win Sm Vsl",28377.0,28377.0,,,0 HCPCS,37221,Iliac revasc w/stent,,,36418.0,36418.0,1 HCPCS,37222,"Hc Revasc, Endovas, Opn Or Perc, Iliac Art, Ea Add Ipsilateral Iliac Vessel; W/Translum Angioplasty",11981.0,11981.0,,,0 HCPCS,37222,Iliac revasc add-on,,,24760.0,24760.0,1 HCPCS,37223,"Hc Revas Endvas, Opn Or Perc, Il Art, Ea Ads Il Vssl;W Trnlm Stnt Plcmnt, Inc Angplsty W In Sme Vsl",12545.0,12545.0,,,0 HCPCS,37223,Iliac revasc w/stent add-on,,,24760.0,24760.0,1 HCPCS,37224,Fem/popl revas w/tla,,,24760.0,24760.0,1 HCPCS,37224,"Hc Revascizatn, Endovasc, Open Or Perc, Femoral, Popliteal Artry(S),Unilat;W/Transluminl Angioplasty",18591.0,18591.0,,,0 HCPCS,37225,Fem/popl revas w/ather,,,36418.0,36418.0,1 HCPCS,37225,"Hc Revasc,Endovsc,Opn Or Perc,Femoral,Popltl Art,Unilat;W/Athrctmy Incl Angplsty W/In Same Vssl",53020.0,53020.0,,,0 HCPCS,37226,Fem/popl revasc w/stent,,,36418.0,36418.0,1 HCPCS,37226,"Hc Revas,Endvas,Opn Or Prc, Fem,Pop Art(S),Uni W Trnslm Stnt Plct(S),Inc Anpty W In Sme Vsl,Whn Perf",43453.0,43453.0,,,0 HCPCS,37227,Fem/popl revasc stnt & ather,,,73109.0,73109.0,1 HCPCS,37227,"Hc Revas,Endvas, Opn Or Per, Fml,Pop Art(S),Uni;W Trn Snt Plmt(S)&Athtmy,Inc Anplty W In Sm Vsl,Per",71586.0,71586.0,,,0 HCPCS,37228,"Hc Revascztion, Endovasc, Open/Perc, Tibial, Peronl Art, Unilat, Ini Vessel; W/ Translmnl Angioplast",26470.0,26470.0,,,0 HCPCS,37228,Tib/per revasc w/tla,,,24760.0,24760.0,1 HCPCS,37229,"Hc Revsc,Endovsc,Opn/Perc,Tibial,Peroneal Art,Unilat,Ini Vsl;W Athery,Incl Angio Win Same Vsl",52287.0,52287.0,,,0 HCPCS,37229,Tib/per revasc w/ather,,,36418.0,36418.0,1 HCPCS,37230,"Hc Revas Endvas,Open Or Perc,Tib, Per Art,Uni,Ini Vsl;W Trnl Stnt Plcmt(S),Inc Angpsty W/In Sme Vsl",39896.0,39896.0,,,0 HCPCS,37230,Tib/per revasc w/stent,,,36418.0,36418.0,1 HCPCS,37231,"Hc Rvscztn, Endvsc, Opn/Perc, Tib, Peronl Artry, Unilt, Ini Vssl W/Trnslum Stnt Plcmnt(S) & Athrctmy",22627.0,22627.0,,,0 HCPCS,37231,Tib/per revasc stent & ather,,,73109.0,73109.0,1 HCPCS,37232,"Hc Revasc Endovasc, Opn/Perc, Tibial/Peroneal Artery/Unilat/Ea Add Vessel W/ Translum Angioplasty",11981.0,11981.0,,,0 HCPCS,37232,Tib/per revasc add-on,,,24760.0,24760.0,1 HCPCS,37233,"Hc Revsc, Endovsc,Opn/Perc,Tib/Peroneal Art,Unilat,Ea Add Vsl;W Athery,Incl Angio Win Same Vsl",18649.0,18649.0,,,0 HCPCS,37233,Tibper revasc w/ather add-on,,,36418.0,36418.0,1 HCPCS,37234,"Hc Revas Endvas, Opn Or Perc, Tib/Per Art, Uni, Ea Add;W Trnlm Stnt Plcmnt,Inc Angpsty W In Sme Vsl",18877.0,18877.0,,,0 HCPCS,37234,Revsc opn/prq tib/pero stent,,,24760.0,24760.0,1 HCPCS,37235,"Hc Rvscztn, Endvsc, Opn/Perc, Tib/Prnl Artry, Unilt, Ea Add Vssl; W/Trnslm Stnt Plcmnt(S) & Athrctmy",26783.0,26783.0,,,0 HCPCS,37235,Tib/per revasc stnt & ather,,,24760.0,24760.0,1 HCPCS,37236,"Hc Trnscth Plct Intrvasc Stnt(S),Opn Or Perc,Inc Rady S&I,Int&Inc All Angplsty W In Sme Vsl;Ini Art",33260.0,33260.0,,,0 HCPCS,37236,Open/perq place stent 1st,,,12370.97,36418.0,4 HCPCS,37237,"Hc Trnscth Plcmnt Intravsc Stnt(S), Opn/Perc, Incl Rad Sprvsn & Intrprt & Angplsty; Ea Add Artery",16083.0,16083.0,,,0 HCPCS,37237,Open/perq place stent ea add,,,24760.0,24760.0,1 HCPCS,37238,"Hc Trnscath Plct Intrvas Stet(S),Open Or Per,Inc Rady S&I Inc Angpl W/In Sme Vsl, When Per; Ini Vein",33260.0,33260.0,,,0 HCPCS,37238,Open/perq place stent same,,,12370.97,36418.0,4 HCPCS,37239,"Hc Trnscth Plct Intvsc Stnt(S),Opn Or Perc,Inc Rad S&I & Inc Angply W/In Sme Vsl,Whn Per;Ea Ad Vein",16083.0,16083.0,,,0 HCPCS,37239,Open/perq place stent ea add,,,24760.0,24760.0,1 HCPCS,37241,"Hc Vascular Emboliz /Occlus, S&I, Intraproc Roadmapping, Image Guide; Venous, Other Than Hemorrhage",33626.0,33626.0,,,0 HCPCS,37241,Vasc embolize/occlude venous,,,12370.97,36418.0,4 HCPCS,37242,"Hc Vasc Emboliz/Occlus, S&I, Intraproc Roadmap, Img Guide; Artrl, Other Than Hemrrhge Or Tumor",37662.0,37662.0,,,0 HCPCS,37242,Vasc embolize/occlude artery,,,19644.52,36418.0,4 HCPCS,37243,"Hc Vasc Emboliz /Occlus, S&I, Intraproc Roadmap, Img Guide; For Tumors, Organ Ischemia, Or Infarctn",44818.0,44818.0,,,0 HCPCS,37243,Vasc embolize/occlude organ,,,12370.97,36418.0,4 HCPCS,37244,Hc Vasc Emboliz/Occlu S&I Intraproc Roadmap/Image Guide; Arterial/Venous Hemorrhage/Lymph Extrava,52437.0,52437.0,,,0 HCPCS,37244,Vasc embolize/occlude bleed,,,12370.97,36418.0,4 HCPCS,37246,Hc Transluminal Balloon Angioplasty Initial Artery,15509.0,15509.0,,,0 HCPCS,37246,Trluml balo angiop 1st art,,,6099.19,24760.0,4 HCPCS,37247,Hc Transluminal Balloon Angioplasty Additional Artery,7756.0,7756.0,,,0 HCPCS,37247,Trluml balo angiop addl art,,,3399.0,3399.0,1 HCPCS,37248,Hc Transluminal Balloon Angioplasty Initial Vein,15509.0,15509.0,,,0 HCPCS,37248,Trluml balo angiop 1st vein,,,6099.19,24760.0,4 HCPCS,37249,Hc Transluminal Balloon Angioplasty Additional Vein,7756.0,7756.0,,,0 HCPCS,37249,Trluml balo angiop addl vein,,,3399.0,3399.0,1 HCPCS,37252,"Hc Intravasc Ultrasnd Diag Eval/Thera Interv, S&I, 1St Noncoronary Vessel",9741.0,9741.0,,,0 HCPCS,37252,Intrvasc us noncoronary 1st,,,3399.0,3399.0,1 HCPCS,37253,"Hc Intravasc Ultrasnd Diag Eval/Thera Interv, S&I, Ea Add Noncoron Vessel",7552.0,7552.0,,,0 HCPCS,37253,Intrvasc us noncoronary addl,,,3399.0,3399.0,1 HCPCS,37254,Revsc evasc ivt angio sf 1st,,,6099.19,8843.82,3 HCPCS,37256,Revsc evasc ivt angio cplx 1,,,6099.19,8843.82,3 HCPCS,37258,Revsc evasc ivt stent sf 1st,,,12370.97,17937.9,3 HCPCS,37260,Revsc evasc ivt st cplx 1st,,,12370.97,17937.9,3 HCPCS,37263,Revsc evasc fpvt angio sf 1,,,6099.19,8843.82,3 HCPCS,37265,Revsc evsc fpvt angio cplx 1,,,6099.19,8843.82,3 HCPCS,37267,Revsc evsc fpvt stent sf 1st,,,12370.97,17937.9,3 HCPCS,37269,Revsc evasc fpvt st cplx 1st,,,12370.97,17937.9,3 HCPCS,37271,Revsc evsc fpvt athrc sf 1st,,,19644.52,28484.56,3 HCPCS,37273,Revsc evsc fpvt athrc cplx 1,,,19644.52,28484.56,3 HCPCS,37275,Rvsc evsc fpvt st athrc sf 1,,,19644.52,28484.56,3 HCPCS,37277,Rvsc evsc fpvt st athr cpx 1,,,19644.52,28484.56,3 HCPCS,37280,Revsc evsc tpvt angio sf 1st,,,12370.97,17937.9,3 HCPCS,37282,Rvsc evsc tpvt angio cplx 1,,,12370.97,17937.9,3 HCPCS,37284,Revsc evasc tpvt st sf 1st,,,19644.52,28484.56,3 HCPCS,37286,Revsc evasc tpvt st cplx 1st,,,19644.52,28484.56,3 HCPCS,37288,Revsc evsc tpvt athrc sf 1st,,,19644.52,28484.56,3 HCPCS,37290,Revsc evsc tpvt athrc cplx 1,,,19644.52,28484.56,3 HCPCS,37292,Rvsc evsc tpvt st athrc sf 1,,,19644.52,28484.56,3 HCPCS,37294,Rvsc evsc tpvt st athr cpx 1,,,19644.52,28484.56,3 HCPCS,37296,Revsc evasc imvt angio sf 1,,,12370.97,17937.9,3 HCPCS,37298,Revsc evsc imvt angio cplx 1,,,12370.97,17937.9,3 HCPCS,37500,Endoscopy ligate perf veins,,,24760.0,24760.0,1 HCPCS,37501,Vascular endoscopy procedure,,,672.23,5007.0,4 HCPCS,37565,Ligation of neck vein,,,3383.62,5007.0,4 HCPCS,37600,Ligation of neck artery,,,3383.62,14227.0,4 HCPCS,37605,Ligation of neck artery,,,3383.62,14227.0,4 HCPCS,37606,Ligation of neck artery,,,3383.62,14227.0,4 HCPCS,37607,Ligation of a-v fistula,,,3383.62,14227.0,4 HCPCS,37609,"Hc Ligation Or Biopsy, Temporal Artery",6290.0,6290.0,,,0 HCPCS,37609,"Hc Ligation Or Biopsy, Temporal Artery-Pbb",8754.5,8754.5,,,0 HCPCS,37609,Pr Ligation/Biopsy Temporal Artery-Pbb,4928.0,4928.0,,,0 HCPCS,37609,Temporal artery procedure,,,1769.88,7272.0,4 HCPCS,37615,Ligation of neck artery,,,3383.62,5007.0,4 HCPCS,37616,Ligation of chest artery,,,10008.0,10008.0,1 HCPCS,37617,Ligation of abdomen artery,,,5963.01,14227.0,4 HCPCS,37618,Ligation of extremity artery,,,10008.0,10008.0,1 HCPCS,37619,Ligation of inf vena cava,,,5963.01,24760.0,4 HCPCS,37650,Revision of major vein,,,3383.62,14227.0,4 HCPCS,37660,Revision of major vein,,,10008.0,10008.0,1 HCPCS,37700,Revise leg vein,,,3383.62,14227.0,4 HCPCS,37718,Ligate/strip short leg vein,,,3383.62,14227.0,4 HCPCS,37722,Ligate/strip long leg vein,,,3383.62,14227.0,4 HCPCS,37735,Removal of leg veins/lesion,,,3383.62,14227.0,4 HCPCS,37760,Ligate leg veins radical,,,3383.62,14227.0,4 HCPCS,37761,Ligate leg veins open,,,3383.62,5007.0,4 HCPCS,37765,Stab phleb veins xtr 10-20,,,3383.62,14227.0,4 HCPCS,37766,Phleb veins - extrem 20+,,,3383.62,14227.0,4 HCPCS,37780,Revision of leg vein,,,3383.62,5007.0,4 HCPCS,37785,Ligate/divide/excise vein,,,3383.62,14227.0,4 HCPCS,37788,Revascularization penis,,,10008.0,10008.0,1 HCPCS,37790,Penile venous occlusion,,,3777.44,14227.0,4 HCPCS,37799,Hc Aortic Fenestration Of Dissection,11598.0,11598.0,,,0 HCPCS,37799,Hc Iliac Filter Placement,7097.0,7097.0,,,0 HCPCS,37799,Hc Infusion Catheter For Arterial Spasm,15867.0,15867.0,,,0 HCPCS,37799,Hc Mechanical Removal Of Fibrin Sheath Via Angioplasty Balloon,2933.0,2933.0,,,0 HCPCS,37799,Hc Neuro-Sclerotherapy Of Facial Veins,3447.0,3447.0,,,0 HCPCS,37799,Hc Stab Phleb Veins Xtr 1-9,3738.0,3738.0,,,0 HCPCS,37799,"Hc Telangiectasia Treatment Cash-Csm,Pbb",225.0,225.0,,,0 HCPCS,37799,Hc Unlisted Procedure Vascular Surgery,12208.0,12208.0,,,0 HCPCS,37799,"Telangiectasia Treatment Cash-Csm,Pbb",150.0,150.0,,,0 HCPCS,37799,Vascular surgery procedure,,,672.23,5007.0,4 HCPCS,38100,Removal of spleen total,,,10008.0,10008.0,1 HCPCS,38101,Removal of spleen partial,,,10008.0,10008.0,1 HCPCS,38102,Removal of spleen total,,,10008.0,10008.0,1 HCPCS,38115,Repair of ruptured spleen,,,10008.0,10008.0,1 HCPCS,38120,Laparoscopy splenectomy,,,11391.13,24760.0,4 HCPCS,38129,Laparoscope proc spleen,,,6478.5,22280.0,4 HCPCS,38200,Hc Injection Procedure For Splenoportography,3514.0,3514.0,,,0 HCPCS,38200,Injection for spleen x-ray,,,3399.0,3399.0,1 HCPCS,38204,Hc Cell Acquisition Donor Lymphocyte Infusion (Dli),90070.0,90070.0,,,0 HCPCS,38204,Hc Management Of Recipient Hematopoietic Progenitor Cell Donor Search And Cell Acquisition,139005.0,139005.0,,,0 HCPCS,38204,Hc Nmdp Mngmnt Recipient Hematopoietic Progen Cell Dnr Srch & Cell Acq,92549.0,92549.0,,,0 HCPCS,38205,Harvest allogeneic stem cell,,,3399.0,3399.0,1 HCPCS,38205,Hc Blood-Derived Hematopoietic Prog Cell Harves Facility,7578.0,7578.0,,,0 HCPCS,38205,"Hc Blood-Derived Hematopoietic Progenitor Cell Harvesting For Transplant, Per Collection; Allogeneic",10295.0,10295.0,,,0 HCPCS,38205,Pr Bld-Drv Hematop Progen Cell Hrvg Trnsplj Algnc-Pbb,5434.0,5434.0,,,0 HCPCS,38206,Harvest auto stem cells,,,1668.97,7272.0,4 HCPCS,38206,"Hc Blood-Derived Hematopoietic Progenitor Cell Harvesting For Transplantatn, Per Collxn; Autologous",7714.0,7714.0,,,0 HCPCS,38206,"Hc Blood-Derived Hematopoietic Progenitor Cell Harvesting For Transplantatn, Per Collxn; Autologous-",10430.5,10430.5,,,0 HCPCS,38206,Hc Hematopoietic Progenitor Cell Harvest Transplant; Auto Facility,7714.0,7714.0,,,0 HCPCS,38206,Pr Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol-Pbb,5434.0,5434.0,,,0 HCPCS,38207,Cryopreserve stem cells,,,472.77,3399.0,4 HCPCS,38207,Hc Transplant Preparation Of Hematopoietic Cells; Cryopreseervation And Storage,7140.0,7140.0,,,0 HCPCS,38208,"Hc Trnsplnt Prep Of Hematopoietic Cells; Thawing Of Prev Frozen Harvest, W/O Wshng, Per Donor",4047.0,4047.0,,,0 HCPCS,38208,Thaw preserved stem cells,,,472.77,3399.0,4 HCPCS,38209,"Hc Transplnt Preparatn Of Hematopoietic Cells; Thawing Of Prev Frozen Harvest, W/ Washing, Per Donor",2147.0,2147.0,,,0 HCPCS,38209,Wash harvest stem cells,,,472.77,3399.0,4 HCPCS,38210,"Hc T-Cell Depletion Of Harvest; Cd34 Selection, Single Reagent Vial",7218.0,7218.0,,,0 HCPCS,38210,"Hc T-Cell Depletion Of Harvest; Cd34 Selection, Two Reagent Vials",11914.0,11914.0,,,0 HCPCS,38210,Hc T-Cell Depletion Of Harvest; Tcr Alpha/Beta Depletion,10997.0,10997.0,,,0 HCPCS,38210,T-cell depletion of harvest,,,472.77,3399.0,4 HCPCS,38211,Tumor cell deplete of harvst,,,472.77,3399.0,4 HCPCS,38212,Hc Transplant Preparation Of Hematopoietic Progenitor Cells; Red Blood Cell Removal,2066.0,2066.0,,,0 HCPCS,38212,Rbc depletion of harvest,,,472.77,3399.0,4 HCPCS,38213,Platelet deplete of harvest,,,472.77,3399.0,4 HCPCS,38214,Hc Transplant Preparation Of Hematopoietic Progenitor Cells; Plasma Depletion,1915.0,1915.0,,,0 HCPCS,38214,Volume deplete of harvest,,,472.77,3399.0,4 HCPCS,38215,Harvest stem cell concentrte,,,472.77,3399.0,4 HCPCS,38220,Bone marrow aspiration,,,1769.88,5007.0,4 HCPCS,38220,Hc Diagnostic Bone Marrow; Aspiration(S),3241.0,3241.0,,,0 HCPCS,38220,Hc Diagnostic Bone Marrow; Aspiration(S)-Pbb,4239.0,4239.0,,,0 HCPCS,38220,Pr Diagnostic Bone Marrow Aspirations-Apn,1996.0,1996.0,,,0 HCPCS,38220,Pr Diagnostic Bone Marrow Aspirations-Pbb,1996.0,1996.0,,,0 HCPCS,38221,Bone marrow biopsy,,,1769.88,5007.0,4 HCPCS,38221,Hc Diagnostic Bone Marrow; Biopsy(Ies),4004.0,4004.0,,,0 HCPCS,38221,Hc Diagnostic Bone Marrow; Biopsy(Ies)-Pbb,5082.5,5082.5,,,0 HCPCS,38221,Pr Diagnostic Bone Marrow Biopsies-Apn,2156.0,2156.0,,,0 HCPCS,38221,Pr Diagnostic Bone Marrow Biopsies-Pbb,2156.0,2156.0,,,0 HCPCS,38222,Dx bone marrow bx & aspir,,,3112.75,7272.0,4 HCPCS,38222,Hc Diagnostic Bone Marrow Biopsy/Aspiration,2154.0,2154.0,,,0 HCPCS,38222,Hc Diagnostic Bone Marrow Biopsy/Aspiration-Pbb,2277.5,2277.5,,,0 HCPCS,38222,Pr Diagnostic Bone Marrow Biopsies & Aspirations-Apn,247.0,247.0,,,0 HCPCS,38222,Pr Diagnostic Bone Marrow Biopsies & Aspirations-Pbb,247.0,247.0,,,0 HCPCS,38225,Hc Car-T Hrv Bld-Drv T Lymphcyt,6153.0,6153.0,,,0 HCPCS,38225,Hc Car-T Hrv Bld-Drv T Lymphcyt-Pbb,8319.5,8319.5,,,0 HCPCS,38225,Pr Car-T Therapy Hrvg Bld-Drv T Lymphcyt Pr Day-Pbb,4333.0,4333.0,,,0 HCPCS,38226,Hc Car-T Prep T Lymphcyt F/Trns,6212.0,6212.0,,,0 HCPCS,38227,Hc Car-T Receipt&Prepj Admn,3522.0,3522.0,,,0 HCPCS,38228,Car-t admn autologous,,,353.96,513.24,3 HCPCS,38228,Hc Car-T Admn Autologous,8638.0,8638.0,,,0 HCPCS,38228,Hc Car-T Admn Autologous-Pbb,11744.0,11744.0,,,0 HCPCS,38228,Pr Car-T Therapy Autol Car-T Cell Administration-Pbb,6212.0,6212.0,,,0 HCPCS,38230,Bone marrow harvest allogen,,,1668.97,7272.0,4 HCPCS,38230,Hc Bone Marrow Harvesting For Transplantation; Allogeneic,8239.0,8239.0,,,0 HCPCS,38231,Stem cell collection,,,1044.38,1044.38,1 HCPCS,38232,Bone marrow harvest autolog,,,4667.44,22280.0,4 HCPCS,38240,Hc Hematopoietic Progenitor Cell (Hpc); Allogeneic Transplantation Per Donor,5238.0,5238.0,,,0 HCPCS,38240,Hc Hematopoietic Progenitor Cell (Hpc); Allogeneic Transplantation Per Donor-Pbb,8368.0,8368.0,,,0 HCPCS,38240,Pr Trnsplj Allogeneic Hematopoietic Cells Per Donor-Pbb,6259.0,6259.0,,,0 HCPCS,38240,Transplt allo hct/donor,,,22280.0,97738.71,4 HCPCS,38241,Hc Hematopoietic Progenitor Cell (Hpc); Autologous Transplantation,8239.0,8239.0,,,0 HCPCS,38241,Hc Hematopoietic Progenitor Cell (Hpc); Autologous Transplantation-Pbb,11066.5,11066.5,,,0 HCPCS,38241,Pr Trnsplj Autologous Hematopoietic Cells Per Donor-Pbb,5654.0,5654.0,,,0 HCPCS,38241,Transplt autol hct/donor,,,1668.97,7272.0,4 HCPCS,38242,Hc Allogeneic Lymphocyte Infusions,7095.0,7095.0,,,0 HCPCS,38242,Hc Allogeneic Lymphocyte Infusions-Pbb,10619.0,10619.0,,,0 HCPCS,38242,Pr Allogeneic Lymphocyte Infusions-Pbb,7048.0,7048.0,,,0 HCPCS,38242,Transplt allo lymphocytes,,,1668.97,7272.0,4 HCPCS,38243,Hc Transplant Hematopoietic Boost,4587.0,4587.0,,,0 HCPCS,38243,Hc Transplant Hematopoietic Boost-Pbb,4223.0,4223.0,,,0 HCPCS,38243,Pr Trnsplj Hematopoietic Cell Boost-Pbb,1002.0,1002.0,,,0 HCPCS,38243,Transplj hematopoietic boost,,,1668.97,7272.0,4 HCPCS,38300,Drainage lymph node lesion,,,3112.75,7272.0,4 HCPCS,38300,Hc Drainage Of Lymph Node Abcess Or Lymphadenitis; Simple,4482.0,4482.0,,,0 HCPCS,38305,Drainage lymph node lesion,,,3112.75,11000.0,4 HCPCS,38308,Incision of lymph channels,,,4195.85,11000.0,4 HCPCS,38380,Thoracic duct procedure,,,10008.0,10008.0,1 HCPCS,38381,Thoracic duct procedure,,,10008.0,10008.0,1 HCPCS,38382,Thoracic duct procedure,,,10008.0,10008.0,1 HCPCS,38500,Biopsy/removal lymph nodes,,,4195.85,11000.0,4 HCPCS,38500,"Hc Biopsy Or Excision Of Lymph Node(S); Open, Superficial",13798.0,13798.0,,,0 HCPCS,38500,"Hc Biopsy Or Excision Of Lymph Node(S); Open, Superficial-Pbb",16673.5,16673.5,,,0 HCPCS,38500,Pr Bx/Exc Lymph Node Open Superficial-Pbb,5752.0,5752.0,,,0 HCPCS,38505,"Hc Biopsy Or Excision Of Lymph Node(S); By Needle, Superficial",5558.0,5558.0,,,0 HCPCS,38505,"Hc Biopsy Or Excision Of Lymph Node(S); By Needle, Superficial-Pbb",7158.0,7158.0,,,0 HCPCS,38505,Needle biopsy lymph nodes,,,1769.88,7272.0,4 HCPCS,38505,Pr Bx/Exc Lymph Node Needle Superficial-Pbb,3199.0,3199.0,,,0 HCPCS,38510,Biopsy/removal lymph nodes,,,4195.85,11000.0,4 HCPCS,38520,Biopsy/removal lymph nodes,,,4195.85,11000.0,4 HCPCS,38525,Biopsy/removal lymph nodes,,,4195.85,11000.0,4 HCPCS,38530,Biopsy/removal lymph nodes,,,4195.85,11000.0,4 HCPCS,38531,Open bx/exc inguinofem nodes,,,4195.85,14227.0,4 HCPCS,38542,Explore deep node(s) neck,,,6478.5,24760.0,4 HCPCS,38550,Removal neck/armpit lesion,,,4195.85,11000.0,4 HCPCS,38555,Removal neck/armpit lesion,,,7115.73,11000.0,4 HCPCS,38562,Removal pelvic lymph nodes,,,8758.76,24760.0,4 HCPCS,38564,Removal abdomen lymph nodes,,,10008.0,10008.0,1 HCPCS,38570,Laparoscopy lymph node biop,,,6478.5,24760.0,4 HCPCS,38571,Laparoscopy lymphadenectomy,,,11391.13,24760.0,4 HCPCS,38572,Laparoscopy lymphadenectomy,,,11391.13,24760.0,4 HCPCS,38573,Laps pelvic lymphadec,,,11391.13,24760.0,4 HCPCS,38589,Laparoscope proc lymphatic,,,6478.5,22280.0,4 HCPCS,38700,Removal of lymph nodes neck,,,7115.73,11000.0,4 HCPCS,38720,Removal of lymph nodes neck,,,7115.73,11000.0,4 HCPCS,38724,Removal of lymph nodes neck,,,11000.0,11000.0,1 HCPCS,38740,Remove armpit lymph nodes,,,6478.5,24760.0,4 HCPCS,38745,Remove armpit lymph nodes,,,6478.5,24760.0,4 HCPCS,38746,Remove thoracic lymph nodes,,,10008.0,10008.0,1 HCPCS,38747,Remove abdominal lymph nodes,,,10008.0,10008.0,1 HCPCS,38760,Remove groin lymph nodes,,,7115.73,11000.0,4 HCPCS,38765,Remove groin lymph nodes,,,10008.0,10008.0,1 HCPCS,38770,Remove pelvis lymph nodes,,,10008.0,10008.0,1 HCPCS,38780,Remove abdomen lymph nodes,,,10008.0,10008.0,1 HCPCS,38790,Hc Injection Procedure; Lymphangiography,1165.0,1165.0,,,0 HCPCS,38790,Hc Injection Procedure; Lymphangiography-Pbb,1528.5,1528.5,,,0 HCPCS,38790,Inject for lymphatic x-ray,,,3399.0,3399.0,1 HCPCS,38790,Pr Injection Procedure Lymphangiography-Pbb,727.0,727.0,,,0 HCPCS,38792,Hc Injection Procedure; Radioactive Tracer For Identification Of Sentinel Node,1465.0,1465.0,,,0 HCPCS,38792,Ra tracer id of sentinl node,,,428.4,3399.0,4 HCPCS,38794,Access thoracic lymph duct,,,3399.0,3399.0,1 HCPCS,38794,"Hc Cannulation, Thoracic Duct",8815.0,8815.0,,,0 HCPCS,38900,"Hc Intraop Id Of Sentinel Lymph Node, Include Inj Non-Radio Dye",560.0,560.0,,,0 HCPCS,38900,Io map of sent lymph node,,,3399.0,3399.0,1 HCPCS,38999,Blood/lymph system procedure,,,472.77,3399.0,4 HCPCS,38999,Hc Clip Placement Axillary Lymph Node,4995.0,4995.0,,,0 HCPCS,38999,Hc Unlisted Proc Hem/Lymphatic System,13313.0,13313.0,,,0 HCPCS,38999,Hc Us Guided Tumoral Injection-Lymph Node,5324.0,5324.0,,,0 HCPCS,39000,Exploration of chest,,,10008.0,10008.0,1 HCPCS,39010,Exploration of chest,,,10008.0,10008.0,1 HCPCS,39200,Resect mediastinal cyst,,,10008.0,10008.0,1 HCPCS,39220,Pr Resection Mediastinal Tumor-Pbb,2439.0,2439.0,,,0 HCPCS,39220,Resect mediastinal tumor,,,10008.0,10008.0,1 HCPCS,39401,Mediastinoscpy w/medstnl bx,,,6478.5,22280.0,4 HCPCS,39402,Mediastinoscpy w/lmph nod bx,,,6478.5,22280.0,4 HCPCS,39499,Chest procedure,,,10008.0,10008.0,1 HCPCS,39501,Repair diaphragm laceration,,,10008.0,10008.0,1 HCPCS,39503,Repair of diaphragm hernia,,,10008.0,10008.0,1 HCPCS,39540,Repair of diaphragm hernia,,,10008.0,10008.0,1 HCPCS,39541,Repair of diaphragm hernia,,,10008.0,10008.0,1 HCPCS,39545,Revision of diaphragm,,,10008.0,10008.0,1 HCPCS,39560,Resect diaphragm simple,,,10008.0,10008.0,1 HCPCS,39561,Resect diaphragm complex,,,10008.0,10008.0,1 HCPCS,39599,Diaphragm surgery procedure,,,10008.0,10008.0,1 HCPCS,40490,Biopsy of lip,,,253.81,3399.0,4 HCPCS,40490,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (0781-3208-85) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",129.51,129.51,,,0 HCPCS,40490,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (60505-6148-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",146.56,146.56,,,0 HCPCS,40490,Hc Biopsy Of Lip,2720.0,2720.0,,,0 HCPCS,40490,Hc Biopsy Of Lip-Pbb,3280.0,3280.0,,,0 HCPCS,40490,NDC Description Not Available,34.92,34.92,,,0 HCPCS,40490,Pr Biopsy Of Lip-Pbb,1120.0,1120.0,,,0 HCPCS,40500,Partial excision of lip,,,3552.91,7272.0,4 HCPCS,40510,"Hc Excision, Lip; Transverse Wedge Excision W/ Primary Closure-Pbb",11794.0,11794.0,,,0 HCPCS,40510,Partial excision of lip,,,3552.91,11000.0,4 HCPCS,40510,Pr Exc Lip Transvrs Wedge Exc W/Prim Clsr-Pbb,3738.0,3738.0,,,0 HCPCS,40520,Partial excision of lip,,,3552.91,7272.0,4 HCPCS,40525,Reconstruct lip with flap,,,3552.91,11000.0,4 HCPCS,40527,Reconstruct lip with flap,,,6343.8,11000.0,4 HCPCS,40530,Partial removal of lip,,,3552.91,11000.0,4 HCPCS,40650,"Hc Repair Lip, Full Thickness; Vermilion Only",1841.0,1841.0,,,0 HCPCS,40650,Repair lip,,,577.95,3399.0,4 HCPCS,40652,"Hc Repair Lip, Full Thickness; Up To Half Vertical Height",1841.0,1841.0,,,0 HCPCS,40652,Repair lip,,,577.95,3399.0,4 HCPCS,40654,"Hc Repair Lip, Full Thickness; > One-Half Vertical Height/Complex",4164.0,4164.0,,,0 HCPCS,40654,Repair lip,,,1662.71,7272.0,4 HCPCS,40700,Repair cleft lip/nasal,,,6343.8,22280.0,4 HCPCS,40701,Repair cleft lip/nasal,,,6343.8,22280.0,4 HCPCS,40702,Repair cleft lip/nasal,,,6343.8,22280.0,4 HCPCS,40720,Repair cleft lip/nasal,,,3552.91,22280.0,4 HCPCS,40761,Repair cleft lip/nasal,,,6343.8,22280.0,4 HCPCS,40799,Lip surgery procedure,,,253.81,3399.0,4 HCPCS,40800,Drainage of mouth lesion,,,758.85,5007.0,4 HCPCS,40800,"Hc Drainage Of Abscess, Cyst, Hematoma, Vestibule Of Mouth; Simple",917.0,917.0,,,0 HCPCS,40801,Drainage of mouth lesion,,,577.95,3399.0,4 HCPCS,40804,"Hc Removal Of Embedded Foreign Body, Vestibule Of Mouth; Simple",1188.0,1188.0,,,0 HCPCS,40804,"Hc Removal Of Embedded Foreign Body, Vestibule Of Mouth; Simple-Pbb",1567.0,1567.0,,,0 HCPCS,40804,Pr Rmvl Embedded Fb Vestibule Mouth Smpl-Pbb,1068.0,1068.0,,,0 HCPCS,40804,Removal foreign body mouth,,,971.94,7272.0,4 HCPCS,40805,"Hc Removal, Embedded Fb, Vestibule, Mouth; Complicated-Pbb",2602.0,2602.0,,,0 HCPCS,40805,Pr Rmvl Embedded Fb Vestibule Mouth Comp-Pbb,2020.0,2020.0,,,0 HCPCS,40805,Removal foreign body mouth,,,577.95,3399.0,4 HCPCS,40806,"Hc Incision, Labial Frenum (Frenotomy)-Pbb",2255.0,2255.0,,,0 HCPCS,40806,Incision of lip fold,,,577.95,3399.0,4 HCPCS,40806,Pr Incision Labial Frenum Frenotomy-Pbb,828.0,828.0,,,0 HCPCS,40808,Biopsy of mouth lesion,,,577.95,3399.0,4 HCPCS,40808,"Hc Biopsy, Vestibule Of Mouth",1794.0,1794.0,,,0 HCPCS,40808,"Hc Biopsy, Vestibule Of Mouth-Pbb",2607.0,2607.0,,,0 HCPCS,40808,Pr Biopsy Vestibule Mouth-Pbb,1626.0,1626.0,,,0 HCPCS,40810,Excision of mouth lesion,,,3552.91,7272.0,4 HCPCS,40810,"Hc Excision Of Lesion Of Mucosa And Submucosa, Vestibule Of Mouth; Without Repair",6331.0,6331.0,,,0 HCPCS,40810,"Hc Excision Of Lesion Of Mucosa And Submucosa, Vestibule Of Mouth; Without Repair-Pbb",7123.5,7123.5,,,0 HCPCS,40810,Pr Exc Les Mucosa & Sbmcsl Vestibule Mouth W/O Rpr-Pbb,1585.0,1585.0,,,0 HCPCS,40812,Excise/repair mouth lesion,,,1662.71,7272.0,4 HCPCS,40812,"Hc Excision Of Lesion Of Mucosa And Submucosa, Vestibule Of Mouth; With Simple Repair",6083.0,6083.0,,,0 HCPCS,40812,"Hc Excision Of Lesion Of Mucosa And Submucosa, Vestibule Of Mouth; With Simple Repair-Pbb",7499.0,7499.0,,,0 HCPCS,40812,Pr Exc Lesion Mucosa & Sbmcsl Vestibule Smpl Rpr-Pbb,2832.0,2832.0,,,0 HCPCS,40814,Excise/repair mouth lesion,,,3552.91,11000.0,4 HCPCS,40814,"Hc Excision Of Lesion Of Mucosa And Submucosa, Vestibule Of Mouth; With Complex Repair",9346.0,9346.0,,,0 HCPCS,40814,"Hc Excision Of Lesion Of Mucosa And Submucosa, Vestibule Of Mouth; With Complex Repair-Pbb",12401.0,12401.0,,,0 HCPCS,40814,Pr Exc Lesion Mucosa & Sbmcsl Vestibule Cplx Rpr-Pbb,6110.0,6110.0,,,0 HCPCS,40816,Excision of mouth lesion,,,3552.91,11000.0,4 HCPCS,40816,"Hc Excision, Lesion, Mucosa & Submucosa, Vestibule, Mouth; Complex, W/ Excision, Muscle-Pbb",11595.5,11595.5,,,0 HCPCS,40816,Pr Exc Lesion Mucosa&Sbmcsl Vestibule Cplx Exc Musc-Pbb,3334.0,3334.0,,,0 HCPCS,40818,Excise oral mucosa for graft,,,577.95,3399.0,4 HCPCS,40819,Excise lip or cheek fold,,,1662.71,7272.0,4 HCPCS,40819,"Hc Excision Of Frenum, Labial Of Buccal",2995.0,2995.0,,,0 HCPCS,40819,"Hc Excision Of Frenum, Labial Of Buccal-Pbb",4422.0,4422.0,,,0 HCPCS,40819,Pr Exc Frenum Labial/Buccal-Pbb,2854.0,2854.0,,,0 HCPCS,40820,Treatment of mouth lesion,,,3552.91,7272.0,4 HCPCS,40830,"Hc Closure Of Laceration, Vestibule Of Mouth; 2.5 Cm Or Less",974.0,974.0,,,0 HCPCS,40830,Repair mouth laceration,,,253.81,3399.0,4 HCPCS,40831,"Hc Closure Of Laceration, Vestibule Of Mouth; Over 2.5 Cm Or Complex",1874.0,1874.0,,,0 HCPCS,40831,Repair mouth laceration,,,577.95,3399.0,4 HCPCS,40840,Reconstruction of mouth,,,6343.8,11000.0,4 HCPCS,40842,Reconstruction of mouth,,,6343.8,11000.0,4 HCPCS,40843,Reconstruction of mouth,,,6343.8,11000.0,4 HCPCS,40844,Reconstruction of mouth,,,6343.8,22280.0,4 HCPCS,40845,Reconstruction of mouth,,,6343.8,22280.0,4 HCPCS,40899,Mouth surgery procedure,,,253.81,3399.0,4 HCPCS,41000,Drainage of mouth lesion,,,577.95,3399.0,4 HCPCS,41000,"Hc Intraoral Incision An Drainage Of Abcess, Cyst, Or Hematoma Of Tongue Or Floor Of Mouth; Lingual",5970.0,5970.0,,,0 HCPCS,41000,"Hc Intraoral Incision An Drainage Of Abcess, Cyst, Or Hematoma Of Tongue Or Floor Of Mouth; Lingual-",6783.0,6783.0,,,0 HCPCS,41000,Pr Intraoral I&D Tongue/Floor Lingual-Pbb,1626.0,1626.0,,,0 HCPCS,41005,Drainage of mouth lesion,,,253.81,3399.0,4 HCPCS,41005,"Hc Intraoral Incision & Drainage, Abscess/Cyst/Hematoma, Tongue/Mouth Floor; Sublingual, Superficial",624.0,624.0,,,0 HCPCS,41006,Drainage of mouth lesion,,,1662.71,7272.0,4 HCPCS,41007,Drainage of mouth lesion,,,1662.71,7272.0,4 HCPCS,41008,Drainage of mouth lesion,,,3552.91,7272.0,4 HCPCS,41009,Drainage of mouth lesion,,,577.95,3399.0,4 HCPCS,41009,"Hc Intraoral Incision & Drainage, Abscess/Cyst/Hematoma, Tongue/Mouth Floor; Masticator",1370.0,1370.0,,,0 HCPCS,41010,"Hc Incision, Lingual, Frenum (Frenotomy)-Pbb",5170.0,5170.0,,,0 HCPCS,41010,Incision of tongue fold,,,1662.71,7272.0,4 HCPCS,41010,Pr Incision Lingual Frenum Frenotomy-Pbb,1188.0,1188.0,,,0 HCPCS,41015,Drainage of mouth lesion,,,577.95,3399.0,4 HCPCS,41016,Drainage of mouth lesion,,,6343.8,11000.0,4 HCPCS,41017,Drainage of mouth lesion,,,3552.91,7272.0,4 HCPCS,41018,Drainage of mouth lesion,,,1662.71,7272.0,4 HCPCS,41019,"Hc Placement Of Needles, Catheters, Or Other Devicies Into The Head And/Or Neck Region",9346.0,9346.0,,,0 HCPCS,41019,"Hc Placement Of Needles, Catheters, Or Other Devicies Into The Head And/Or Neck Region-Pbb",12251.0,12251.0,,,0 HCPCS,41019,Place needles h&n for rt,,,6343.8,11000.0,4 HCPCS,41019,Pr Placement Needle Head/Neck Radioelement Applicat-Pbb,5810.0,5810.0,,,0 HCPCS,41100,Biopsy of tongue,,,577.95,3399.0,4 HCPCS,41100,Hc Biopsy Of Tongue; Anterior Two-Thirds,4367.0,4367.0,,,0 HCPCS,41100,Hc Biopsy Of Tongue; Anterior Two-Thirds-Pbb,5072.0,5072.0,,,0 HCPCS,41100,Pr Biopsy Tongue Anterior Two-Thirds-Pbb,1410.0,1410.0,,,0 HCPCS,41105,Biopsy of tongue,,,3552.91,7272.0,4 HCPCS,41105,Hc Biopsy Of Tongue; Posterior One-Third,6083.0,6083.0,,,0 HCPCS,41105,Hc Biopsy Of Tongue; Posterior One-Third-Pbb,6965.0,6965.0,,,0 HCPCS,41105,Pr Biopsy Tongue Posterior One-Third-Pbb,1764.0,1764.0,,,0 HCPCS,41108,Biopsy of floor of mouth,,,1769.88,5007.0,4 HCPCS,41108,Hc Biopsy Of Floor Of Mouth,5371.0,5371.0,,,0 HCPCS,41108,Hc Biopsy Of Floor Of Mouth-Pbb,5988.5,5988.5,,,0 HCPCS,41108,Pr Biopsy Floor Mouth-Pbb,1235.0,1235.0,,,0 HCPCS,41110,Excision of tongue lesion,,,3552.91,7272.0,4 HCPCS,41110,Hc Excision Of Lesion Of Tongue Without Closure,11099.0,11099.0,,,0 HCPCS,41110,Hc Excision Of Lesion Of Tongue Without Closure-Pbb,11937.5,11937.5,,,0 HCPCS,41110,Pr Excision Lesion Tongue W/O Closure-Pbb,1678.0,1678.0,,,0 HCPCS,41112,Excision of tongue lesion,,,3552.91,7272.0,4 HCPCS,41112,Hc Exicision Of Lesion Of Tonque With Closure; Anterior Two-Thirds,6334.0,6334.0,,,0 HCPCS,41112,Hc Exicision Of Lesion Of Tonque With Closure; Anterior Two-Thirds-Pbb,8124.0,8124.0,,,0 HCPCS,41112,Pr Exc Lesion Tongue W/Clsr Anterior Two-Thirds-Pbb,3581.0,3581.0,,,0 HCPCS,41113,Excision of tongue lesion,,,3552.91,7272.0,4 HCPCS,41114,Excision of tongue lesion,,,3552.91,11000.0,4 HCPCS,41115,Excision of tongue fold,,,1662.71,7272.0,4 HCPCS,41116,Excision of mouth lesion,,,3552.91,11000.0,4 HCPCS,41116,"Hc Excision, Lesion Of Floor Of Mouth",9346.0,9346.0,,,0 HCPCS,41116,"Hc Excision, Lesion Of Floor Of Mouth-Pbb",11019.0,11019.0,,,0 HCPCS,41116,Pr Excision Lesion Floor Mouth-Pbb,3347.0,3347.0,,,0 HCPCS,41120,Partial removal of tongue,,,6343.8,22280.0,4 HCPCS,41130,Partial removal of tongue,,,10008.0,10008.0,1 HCPCS,41135,Tongue and neck surgery,,,11000.0,11000.0,1 HCPCS,41140,Removal of tongue,,,10008.0,10008.0,1 HCPCS,41145,Tongue removal neck surgery,,,10008.0,10008.0,1 HCPCS,41150,Tongue mouth jaw surgery,,,10008.0,10008.0,1 HCPCS,41153,Tongue mouth neck surgery,,,10008.0,10008.0,1 HCPCS,41155,Tongue jaw & neck surgery,,,10008.0,10008.0,1 HCPCS,41250,Hc Repair Laceration 2.5Cm Or Less; Floor Of Mouth,1162.0,1162.0,,,0 HCPCS,41250,Repair tongue laceration,,,478.72,3399.0,4 HCPCS,41251,Repair tongue laceration,,,253.81,3399.0,4 HCPCS,41252,Hc Rep Lacerat-Tongue Flr-Mouth > 2.6/Cplx,1400.0,1400.0,,,0 HCPCS,41252,Repair tongue laceration,,,253.81,3399.0,4 HCPCS,41510,Tongue to lip surgery,,,3552.91,7272.0,4 HCPCS,41512,Tongue suspension,,,6343.8,22280.0,4 HCPCS,41520,Reconstruction tongue fold,,,3552.91,22280.0,4 HCPCS,41530,Hc Tongue Base Vol Reduction 1+ Sites-Pbb,9953.0,9953.0,,,0 HCPCS,41530,Pr Submucosal Abltj Tongue Rf 1/> Sites Pr Session-Pbb,4800.0,4800.0,,,0 HCPCS,41530,Tongue base vol reduction,,,3552.91,11000.0,4 HCPCS,41599,Tongue and mouth surgery,,,253.81,3399.0,4 HCPCS,41800,Drainage of gum lesion,,,142.58,3399.0,4 HCPCS,41800,"Hc Drainage Of Abcess, Cyst, Hematoma From Dentoalveolar Structures",1828.0,1828.0,,,0 HCPCS,41800,"Hc Drainage Of Abcess, Cyst, Hematoma From Dentoalveolar Structures-Pbb",2641.0,2641.0,,,0 HCPCS,41800,Pr Drg Absc Cst Hmtma From Dentoalveolar Struxs-Pbb,1626.0,1626.0,,,0 HCPCS,41805,Removal foreign body gum,,,1662.71,7272.0,4 HCPCS,41806,Removal foreign body jawbone,,,1662.71,7272.0,4 HCPCS,41820,Excision gum each quadrant,,,3552.91,11000.0,4 HCPCS,41821,Excision of gum flap,,,1662.71,7272.0,4 HCPCS,41822,Excision of gum lesion,,,1662.71,7272.0,4 HCPCS,41823,Excision of gum lesion,,,6343.8,11000.0,4 HCPCS,41825,Excision of gum lesion,,,3552.91,7272.0,4 HCPCS,41826,Excision of gum lesion,,,3552.91,11000.0,4 HCPCS,41827,Excision of gum lesion,,,6343.8,22280.0,4 HCPCS,41828,Excision of gum lesion,,,1662.71,7272.0,4 HCPCS,41830,Removal of gum tissue,,,3552.91,11000.0,4 HCPCS,41850,"Hc Destruction, Lesion (Except Excision), Dentoalveolar Structures-Pbb",5225.0,5225.0,,,0 HCPCS,41850,NDC Description Not Available,45.44,45.44,,,0 HCPCS,41850,Pr Destruction Lesion Dentoalveolar Structures-Pbb,1354.0,1354.0,,,0 HCPCS,41850,Treatment of gum lesion,,,1662.71,7272.0,4 HCPCS,41870,Gum graft,,,1662.71,7272.0,4 HCPCS,41872,Repair gum,,,3552.91,22280.0,4 HCPCS,41874,Repair tooth socket,,,3552.91,7272.0,4 HCPCS,41899,Dental surgery procedure,,,253.81,3399.0,4 HCPCS,42000,Drainage mouth roof lesion,,,253.81,3399.0,4 HCPCS,42000,Hc Drainage Of Abscess Of Palate Uvula,782.0,782.0,,,0 HCPCS,42100,Biopsy roof of mouth,,,1662.71,7272.0,4 HCPCS,42100,"Hc Biopsy Of Palata, Uvula",3006.0,3006.0,,,0 HCPCS,42100,"Hc Biopsy Of Palata, Uvula-Pbb",3888.0,3888.0,,,0 HCPCS,42100,Pr Biopsy Palate Uvula-Pbb,1764.0,1764.0,,,0 HCPCS,42104,Excision lesion mouth roof,,,3552.91,7272.0,4 HCPCS,42104,"Hc Excision, Lesion, Palate, Uvula; W/O Closure",9726.0,9726.0,,,0 HCPCS,42104,"Hc Excision, Lesion, Palate, Uvula; W/O Closure-Pbb",10457.5,10457.5,,,0 HCPCS,42104,Pr Exc Lesion Palate Uvula W/O Closure-Pbb,1463.0,1463.0,,,0 HCPCS,42106,Excision lesion mouth roof,,,3552.91,7272.0,4 HCPCS,42106,"Hc Excision, Lesion Of Palate, Uvula; W/Simple Primary Closure",9035.0,9035.0,,,0 HCPCS,42106,"Hc Excision, Lesion Of Palate, Uvula; W/Simple Primary Closure-Pbb",9977.0,9977.0,,,0 HCPCS,42106,Pr Exc Lesion Palate Uvula W/Smpl Prim Closure-Pbb,1884.0,1884.0,,,0 HCPCS,42107,Excision lesion mouth roof,,,6343.8,11000.0,4 HCPCS,42120,Remove palate/lesion,,,6343.8,11000.0,4 HCPCS,42140,Excision of uvula,,,3552.91,7272.0,4 HCPCS,42140,"Hc Uvulectomy, Excision, Uvula-Pbb",10890.0,10890.0,,,0 HCPCS,42140,Pr Uvulectomy Excision Uvula-Pbb,1495.0,1495.0,,,0 HCPCS,42145,Hc Palatopharyngoplasty,13335.0,13335.0,,,0 HCPCS,42145,Hc Palatopharyngoplasty-Pbb,19395.0,19395.0,,,0 HCPCS,42145,Pr Palatopharyngoplasty-Pbb,12120.0,12120.0,,,0 HCPCS,42145,Repair palate pharynx/uvula,,,6343.8,11000.0,4 HCPCS,42160,"Hc Destruction Of Lesion, Palate Or Uvula",6083.0,6083.0,,,0 HCPCS,42160,"Hc Destruction Of Lesion, Palate Or Uvula-Pbb",6610.5,6610.5,,,0 HCPCS,42160,Pr Dstrj Lesion Palate/Uvula Thermal Cryo/Chem-Pbb,1055.0,1055.0,,,0 HCPCS,42160,Treatment mouth roof lesion,,,3552.91,7272.0,4 HCPCS,42180,Repair palate,,,577.95,3399.0,4 HCPCS,42182,"Hc Repair, Laceration, Palate; > 2 Cm/Complex",16019.0,16019.0,,,0 HCPCS,42182,Repair palate,,,6343.8,11000.0,4 HCPCS,42200,Reconstruct cleft palate,,,6343.8,22280.0,4 HCPCS,42205,Reconstruct cleft palate,,,3552.91,22280.0,4 HCPCS,42210,Reconstruct cleft palate,,,6343.8,22280.0,4 HCPCS,42215,Reconstruct cleft palate,,,6343.8,22280.0,4 HCPCS,42220,Reconstruct cleft palate,,,6343.8,22280.0,4 HCPCS,42225,Reconstruct cleft palate,,,6343.8,22280.0,4 HCPCS,42226,Lengthening of palate,,,6343.8,22280.0,4 HCPCS,42227,Lengthening of palate,,,6343.8,22280.0,4 HCPCS,42235,Repair palate,,,6343.8,22280.0,4 HCPCS,42260,Repair nose to lip fistula,,,6343.8,11000.0,4 HCPCS,42280,Preparation palate mold,,,577.95,3399.0,4 HCPCS,42281,Insertion palate prosthesis,,,6343.8,9198.51,4 HCPCS,42299,"Hc Unlisted Proc, Palate, Uvula-Pbb",626.0,626.0,,,0 HCPCS,42299,Palate/uvula surgery,,,253.81,3399.0,4 HCPCS,42300,Drainage of salivary gland,,,1662.71,7272.0,4 HCPCS,42300,Hc Drainage Abscess Parotid Simple-Pbb,5783.0,5783.0,,,0 HCPCS,42300,Pr Drainage Abscess Parotid Simple-Pbb,1594.0,1594.0,,,0 HCPCS,42305,Drainage of salivary gland,,,3552.91,11000.0,4 HCPCS,42310,Drainage of salivary gland,,,577.95,3399.0,4 HCPCS,42310,"Hc Drainage Of Abcess; Submaxillary Or Sublingual, Intraoral",1224.0,1224.0,,,0 HCPCS,42310,"Hc Drainage Of Abcess; Submaxillary Or Sublingual, Intraoral-Pbb",2127.0,2127.0,,,0 HCPCS,42310,Pr Drg Absc Submaxillary/Sublingual Intraoral-Pbb,1806.0,1806.0,,,0 HCPCS,42320,Drainage of salivary gland,,,577.95,3399.0,4 HCPCS,42330,"Hc Sialolithotomy; Submandibular, Sublingual Or Parotid, Uncomplicated, Intraoral",6796.0,6796.0,,,0 HCPCS,42330,"Hc Sialolithotomy; Submandibular, Sublingual Or Parotid, Uncomplicated, Intraoral-Pbb",8114.5,8114.5,,,0 HCPCS,42330,Pr Sialot Submndblr Sublngl/Prtd Uncomp Intraoral-Pbb,2638.0,2638.0,,,0 HCPCS,42330,Removal of salivary stone,,,3552.91,7272.0,4 HCPCS,42335,"Hc Sialolithotomy; Submandibular (Submaxillary), Complicated, Intraoral",9730.0,9730.0,,,0 HCPCS,42335,"Hc Sialolithotomy; Submandibular (Submaxillary), Complicated, Intraoral-Pbb",10987.5,10987.5,,,0 HCPCS,42335,Pr Sialolithotomy Submndblr Submax Comp Intraoral-Pbb,2515.0,2515.0,,,0 HCPCS,42335,Removal of salivary stone,,,3552.91,11000.0,4 HCPCS,42340,"Hc Sialolithotomy; Parotid, Extraoral/Complicated Intraoral-Pbb",10789.5,10789.5,,,0 HCPCS,42340,Pr Sialolithotomy Prtd Xtroral/Comp Intraoral-Pbb,3509.0,3509.0,,,0 HCPCS,42340,Removal of salivary stone,,,3552.91,7272.0,4 HCPCS,42400,Biopsy of salivary gland,,,758.85,5007.0,4 HCPCS,42400,Hc Biopsy Of Salivery Gland; Needle,3407.0,3407.0,,,0 HCPCS,42400,Hc Biopsy Of Salivery Gland; Needle-Pbb,4046.5,4046.5,,,0 HCPCS,42400,Pr Biopsy Salivary Gland Needle-Pbb,1279.0,1279.0,,,0 HCPCS,42405,Biopsy of salivary gland,,,1662.71,7272.0,4 HCPCS,42405,Hc Biopsy Of Salivary Gland; Incisional,9722.0,9722.0,,,0 HCPCS,42405,Hc Biopsy Of Salivary Gland; Incisional-Pbb,11135.0,11135.0,,,0 HCPCS,42405,Pr Biopsy Salivary Gland Incisional-Pbb,2826.0,2826.0,,,0 HCPCS,42408,Excision of salivary cyst,,,3552.91,11000.0,4 HCPCS,42409,Drainage of salivary cyst,,,3552.91,11000.0,4 HCPCS,42410,Excise parotid gland/lesion,,,6343.8,22280.0,4 HCPCS,42415,Excise parotid gland/lesion,,,6343.8,22280.0,4 HCPCS,42420,Excise parotid gland/lesion,,,6343.8,22280.0,4 HCPCS,42425,Excise parotid gland/lesion,,,6343.8,22280.0,4 HCPCS,42426,Excise parotid gland/lesion,,,11000.0,11000.0,1 HCPCS,42440,Excise submaxillary gland,,,6343.8,22280.0,4 HCPCS,42450,Excise sublingual gland,,,6343.8,11000.0,4 HCPCS,42500,"Hc Plastic Repair, Salivary Duct, Sialodochoplasty; Primary/Simple",17747.0,17747.0,,,0 HCPCS,42500,"Hc Plastic Repair, Salivary Duct, Sialodochoplasty; Primary/Simple-Pbb",19413.0,19413.0,,,0 HCPCS,42500,Pr Plstc Rpr Salivary Dux Sialodochoplasty Prim-Pbb,3332.0,3332.0,,,0 HCPCS,42500,Repair salivary duct,,,6343.8,11000.0,4 HCPCS,42505,"Hc Plastic Repair, Salivary Duct, Sialodochoplasty; Secondary/Complicated",17747.0,17747.0,,,0 HCPCS,42505,"Hc Plastic Repair, Salivary Duct, Sialodochoplasty; Secondary/Complicated-Pbb",19958.0,19958.0,,,0 HCPCS,42505,Pr Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp-Pbb,4422.0,4422.0,,,0 HCPCS,42505,Repair salivary duct,,,6343.8,22280.0,4 HCPCS,42507,Parotid duct diversion,,,6343.8,22280.0,4 HCPCS,42509,Parotid duct diversion,,,6343.8,22280.0,4 HCPCS,42510,Parotid duct diversion,,,3552.91,22280.0,4 HCPCS,42550,Injection for salivary x-ray,,,3399.0,3399.0,1 HCPCS,42600,Closure of salivary fistula,,,3552.91,7272.0,4 HCPCS,42650,Dilation of salivary duct,,,1662.71,7272.0,4 HCPCS,42650,Hc Dilation Salivary Duct,11544.0,11544.0,,,0 HCPCS,42650,Hc Dilation Salivary Duct-Pbb,11917.0,11917.0,,,0 HCPCS,42650,Pr Dilation Salivary Duct-Pbb,746.0,746.0,,,0 HCPCS,42660,Dilation of salivary duct,,,577.95,3399.0,4 HCPCS,42665,Ligation of salivary duct,,,3552.91,11000.0,4 HCPCS,42699,Salivary surgery procedure,,,253.81,3399.0,4 HCPCS,42700,Drainage of tonsil abscess,,,253.81,3399.0,4 HCPCS,42700,Hc Incision And Draiange Abcess; Peritonsillar,1585.0,1585.0,,,0 HCPCS,42700,Hc Incision And Draiange Abcess; Peritonsillar-Pbb,2380.0,2380.0,,,0 HCPCS,42700,Pr I&D Abscess Peritonsillar-Pbb,1590.0,1590.0,,,0 HCPCS,42720,Drainage of throat abscess,,,3552.91,7272.0,4 HCPCS,42720,"Hc Incision & Drainage Abscess; Retropharyngeal/Parapharyngeal, Intraoral Approach",8730.0,8730.0,,,0 HCPCS,42725,Drainage of throat abscess,,,6343.8,22280.0,4 HCPCS,42800,Biopsy of throat,,,1662.71,5007.0,4 HCPCS,42800,Hc Biopsy; Oropharynx,8437.0,8437.0,,,0 HCPCS,42800,Hc Biopsy; Oropharynx-Pbb,8911.0,8911.0,,,0 HCPCS,42800,Pr Biopsy Oropharynx-Pbb,948.0,948.0,,,0 HCPCS,42804,Biopsy of upper nose/throat,,,3552.91,7272.0,4 HCPCS,42804,"Hc Biopsy; Nasopharynx, Visible Lesion, Simple",7847.0,7847.0,,,0 HCPCS,42804,"Hc Biopsy; Nasopharynx, Visible Lesion, Simple-Pbb",8321.0,8321.0,,,0 HCPCS,42804,Pr Biopsy Nasopharynx Visible Lesion Simple-Pbb,948.0,948.0,,,0 HCPCS,42806,Biopsy of upper nose/throat,,,3552.91,11000.0,4 HCPCS,42808,Excise pharynx lesion,,,3552.91,11000.0,4 HCPCS,42808,"Hc Excision Or Destruction Of Lesion Of Pharynx, Any Method",9756.0,9756.0,,,0 HCPCS,42808,"Hc Excision Or Destruction Of Lesion Of Pharynx, Any Method-Pbb",10971.0,10971.0,,,0 HCPCS,42808,Pr Excision/Destruction Lesion Pharynx Any Method-Pbb,2430.0,2430.0,,,0 HCPCS,42809,Hc Removal Of Foreign Body From Pharynx,1151.0,1151.0,,,0 HCPCS,42809,Hc Removal Of Foreign Body From Pharynx-Pbb,1827.5,1827.5,,,0 HCPCS,42809,NDC Description Not Available,3056.81,3056.81,,,0 HCPCS,42809,NeoProfen: 3 VIAL in 1 CARTON (67386-122-52) / 2 mL in 1 VIAL,3400.25,3400.25,,,0 HCPCS,42809,Pr Removal Foreign Body Pharynx-Pbb,1354.0,1354.0,,,0 HCPCS,42809,Remove pharynx foreign body,,,478.72,3399.0,4 HCPCS,42810,Excision of neck cyst,,,3552.91,11000.0,4 HCPCS,42815,Excision of neck cyst,,,6343.8,22280.0,4 HCPCS,42820,Remove tonsils and adenoids,,,6343.8,11000.0,4 HCPCS,42821,Remove tonsils and adenoids,,,3552.91,11000.0,4 HCPCS,42825,Removal of tonsils,,,6343.8,11000.0,4 HCPCS,42826,Removal of tonsils,,,3552.91,11000.0,4 HCPCS,42830,Removal of adenoids,,,3552.91,11000.0,4 HCPCS,42831,Removal of adenoids,,,3552.91,11000.0,4 HCPCS,42835,Removal of adenoids,,,3552.91,11000.0,4 HCPCS,42836,Removal of adenoids,,,3552.91,11000.0,4 HCPCS,42842,Extensive surgery of throat,,,6343.8,11000.0,4 HCPCS,42844,Extensive surgery of throat,,,6343.8,22280.0,4 HCPCS,42845,Extensive surgery of throat,,,10008.0,10008.0,1 HCPCS,42860,Excision of tonsil tags,,,3552.91,11000.0,4 HCPCS,42860,"Hc Excision, Tonsil Tags-Pbb",10117.5,10117.5,,,0 HCPCS,42860,Pr Excision Tonsil Tags-Pbb,1951.0,1951.0,,,0 HCPCS,42870,Excision of lingual tonsil,,,6343.8,11000.0,4 HCPCS,42890,Partial removal of pharynx,,,6343.8,22280.0,4 HCPCS,42892,Revision of pharyngeal walls,,,6343.8,22280.0,4 HCPCS,42894,Revision of pharyngeal walls,,,10008.0,10008.0,1 HCPCS,42900,Repair throat wound,,,1662.71,7272.0,4 HCPCS,42950,Hc Pharyngoplasty (Plastic/Reconstructive Operation On Pharynx),16739.0,16739.0,,,0 HCPCS,42950,Hc Pharyngoplasty (Plastic/Reconstructive Operation On Pharynx)-Pbb,20586.0,20586.0,,,0 HCPCS,42950,Pr Pharyngoplasty Plstc/Rcnstv Opration Pharynx-Pbb,7694.0,7694.0,,,0 HCPCS,42950,Reconstruction of throat,,,6343.8,11000.0,4 HCPCS,42953,Repair throat esophagus,,,10008.0,10008.0,1 HCPCS,42955,Surgical opening of throat,,,1662.71,7272.0,4 HCPCS,42960,Control throat bleeding,,,577.95,3399.0,4 HCPCS,42960,"Hc Control Oropharyngeal Hemorrhage, Primary Or Seconday; Simple",764.0,764.0,,,0 HCPCS,42960,"Hc Control Oropharyngeal Hemorrhage, Primary Or Seconday; Simple-Pbb",1509.0,1509.0,,,0 HCPCS,42960,Pr Control Oropharyngeal Hemorrhage Simple-Pbb,1489.0,1489.0,,,0 HCPCS,42961,Control throat bleeding,,,11000.0,11000.0,1 HCPCS,42962,Control throat bleeding,,,3552.91,11000.0,4 HCPCS,42962,Hc Control Oropharyngeal Hemorrhage; W/ Secondary Surgical Intervention-Pbb,9616.0,9616.0,,,0 HCPCS,42962,Pr Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj-Pbb,4122.0,4122.0,,,0 HCPCS,42970,Control nose/throat bleeding,,,253.81,3399.0,4 HCPCS,42971,Control nose/throat bleeding,,,10008.0,10008.0,1 HCPCS,42972,Control nose/throat bleeding,,,3552.91,7272.0,4 HCPCS,42975,"Dasatinib: 60 Tablet, Film Coated In 1 Bottle (60505-3628-6)",2146.65,2146.65,,,0 HCPCS,42975,Dise eval slp do brth flx dx,,,1907.37,3399.0,4 HCPCS,42975,Hc Dise Dyn Eval Sleep Disordered Breathing Flx Dx-Pbb,805.5,805.5,,,0 HCPCS,42975,Pr Dise Dyn Eval Sleep Disordered Breathing Flx Dx-Pbb,729.0,729.0,,,0 HCPCS,42975,Sprycel: 1 Bottle In 1 Carton (0003-0527-11) / 60 Tablet In 1 Bottle,2587.77,2587.77,,,0 HCPCS,42999,"Hc Unlisted Proc, Pharynx/Adenoids/Tonsils",565.0,565.0,,,0 HCPCS,42999,Throat surgery procedure,,,253.81,3399.0,4 HCPCS,43020,Incision of esophagus,,,1662.71,7272.0,4 HCPCS,43030,Throat muscle surgery,,,6343.8,22280.0,4 HCPCS,43045,Incision of esophagus,,,10008.0,10008.0,1 HCPCS,43100,Excision of esophagus lesion,,,10008.0,10008.0,1 HCPCS,43101,Excision of esophagus lesion,,,10008.0,10008.0,1 HCPCS,43107,Removal of esophagus,,,10008.0,10008.0,1 HCPCS,43108,Removal of esophagus,,,10008.0,10008.0,1 HCPCS,43112,Removal of esophagus,,,10008.0,10008.0,1 HCPCS,43113,Removal of esophagus,,,10008.0,10008.0,1 HCPCS,43116,Partial removal of esophagus,,,10008.0,10008.0,1 HCPCS,43117,Partial removal of esophagus,,,10008.0,10008.0,1 HCPCS,43118,Partial removal of esophagus,,,10008.0,10008.0,1 HCPCS,43121,Partial removal of esophagus,,,10008.0,10008.0,1 HCPCS,43122,Partial removal of esophagus,,,10008.0,10008.0,1 HCPCS,43123,Partial removal of esophagus,,,10008.0,10008.0,1 HCPCS,43124,Removal of esophagus,,,10008.0,10008.0,1 HCPCS,43130,Removal of esophagus pouch,,,6343.8,22280.0,4 HCPCS,43135,Removal of esophagus pouch,,,10008.0,10008.0,1 HCPCS,43180,Esophagoscopy rigid trnso,,,6343.8,11000.0,4 HCPCS,43180,"Hc Esophagoscopy, Rigid, Transoral W/Divertic Hypopharynx/Cervical",15839.0,15839.0,,,0 HCPCS,43180,"Hc Esophagoscopy, Rigid, Transoral W/Divertic Hypopharynx/Cervical-Pbb",14333.5,14333.5,,,0 HCPCS,43180,Pr Esophagoscp Rig Transoral Hypopharynx Crv Esoph-Pbb,3963.0,3963.0,,,0 HCPCS,43191,Esophagoscopy rigid trnso dx,,,2056.34,7272.0,4 HCPCS,43191,"Hc Esophagoscopy,Rigid,Transoral;Diagnstc,Incld Collctn Of Spcmn(S) By Brushing/Washing When Perf",6856.0,6856.0,,,0 HCPCS,43191,"Hc Esophagoscopy,Rigid,Transoral;Diagnstc,Incld Collctn Of Spcmn(S) By Brushing/Washing When Perf-Pb",5672.5,5672.5,,,0 HCPCS,43191,Pr Esophagoscopy Rigid Transoral Diagnostic Brush-Gast,2781.0,2781.0,,,0 HCPCS,43191,Pr Esophagoscopy Rigid Transoral Diagnostic Brush-Pbb,2781.0,2781.0,,,0 HCPCS,43192,"Esophagoscopy, Rigid, Transoral; With Directed Submucosal Injection(S), Any Substance",8434.0,8434.0,,,0 HCPCS,43192,"Esophagoscopy, Rigid, Transoral; With Directed Submucosal Injection(S), Any Substance-Pbb",6976.0,6976.0,,,0 HCPCS,43192,Esophagoscp rig trnso inject,,,2056.34,7272.0,4 HCPCS,43192,Pr Esophagoscopy Rigid Transoral Inj Submucosal-Gast,3420.0,3420.0,,,0 HCPCS,43192,Pr Esophagoscopy Rigid Transoral Inj Submucosal-Pbb,3420.0,3420.0,,,0 HCPCS,43193,"Esophagoscopy, Rigid, Transoral; With Biopsy, Single Or Multiple",9920.0,9920.0,,,0 HCPCS,43193,"Esophagoscopy, Rigid, Transoral; With Biopsy, Single Or Multiple-Pbb",8322.5,8322.5,,,0 HCPCS,43193,Esophagoscp rig trnso biopsy,,,2056.34,7272.0,4 HCPCS,43193,Pr Esophagoscopy Rigid Transoral With Biopsy-Gast,3795.0,3795.0,,,0 HCPCS,43193,Pr Esophagoscopy Rigid Transoral With Biopsy-Pbb,3795.0,3795.0,,,0 HCPCS,43194,"Esophagoscopy, Rigid, Transoral; With Removal Of Foreign Body(S)",10290.0,10290.0,,,0 HCPCS,43194,"Esophagoscopy, Rigid, Transoral; With Removal Of Foreign Body(S)-Pbb",8512.0,8512.0,,,0 HCPCS,43194,Esophagoscp rig trnso rem fb,,,2056.34,7272.0,4 HCPCS,43194,Pr Esophagoscopy Rig Transoral Removal Foreign Body-Gast,4174.0,4174.0,,,0 HCPCS,43194,Pr Esophagoscopy Rig Transoral Removal Foreign Body-Pbb,4174.0,4174.0,,,0 HCPCS,43195,Aranesp: 1 Blister Pack In 1 Package (55513-028-01) / 1 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe,51.89,51.89,,,0 HCPCS,43195,Esophagoscopy rigid balloon,,,4131.6,7272.0,4 HCPCS,43195,"Esophagoscopy, Rigid, Transoral; With Balloon Dilation",10290.0,10290.0,,,0 HCPCS,43195,"Esophagoscopy, Rigid, Transoral; With Balloon Dilation-Pbb",8512.0,8512.0,,,0 HCPCS,43195,Pr Esophagoscopy Rigid Transoral Balloon Dilation-Gast,4174.0,4174.0,,,0 HCPCS,43195,Pr Esophagoscopy Rigid Transoral Balloon Dilation-Pbb,4174.0,4174.0,,,0 HCPCS,43196,Aranesp: 1 Blister Pack In 1 Package (55513-021-04) / 4 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe (55513-021-01),51.86,51.86,,,0 HCPCS,43196,"Esophagoscopy, Rigid, Transoral; With Insertion Of Guide Wire Followed By Dilation Over Guide Wire",11317.0,11317.0,,,0 HCPCS,43196,"Esophagoscopy, Rigid, Transoral; With Insertion Of Guide Wire Followed By Dilation Over Guide Wire-P",9359.0,9359.0,,,0 HCPCS,43196,Esophagoscp guide wire dilat,,,2056.34,7272.0,4 HCPCS,43196,NDC Description Not Available,51.86,51.86,,,0 HCPCS,43196,Pr Esophagoscopy Rig Transoral Guide Wire Dilation-Gast,4590.0,4590.0,,,0 HCPCS,43196,Pr Esophagoscopy Rig Transoral Guide Wire Dilation-Pbb,4590.0,4590.0,,,0 HCPCS,43197,Aranesp: 1 Blister Pack In 1 Package (55513-057-04) / 4 Syringe In 1 Blister Pack / .42 Ml In 1 Syringe (55513-057-01),51.86,51.86,,,0 HCPCS,43197,Esophagoscopy flex dx brush,,,971.94,7272.0,4 HCPCS,43197,"Hc Esophagoscpy, Flex, Transnasal; Diag, Incl Collction Of Specimen By Brushing Or Washng, When Perf",4218.0,4218.0,,,0 HCPCS,43197,NDC Description Not Available,51.86,51.86,,,0 HCPCS,43197,Pr Esophagoscopy Flexible Transnasal Diagnostic-Gast,2071.0,2071.0,,,0 HCPCS,43197,Pr Esophagoscopy Flexible Transnasal Diagnostic-Pbb,2071.0,2071.0,,,0 HCPCS,43198,Aranesp: 1 Blister Pack In 1 Package (55513-111-01) / 1 Syringe In 1 Blister Pack / .6 Ml In 1 Syringe,51.86,51.86,,,0 HCPCS,43198,Esophagosc flex trnsn biopsy,,,971.94,7272.0,4 HCPCS,43198,"Hc Esophagoscopy, Flexible, Transnasal; With Biopsy, Single Or Multiple",6116.0,6116.0,,,0 HCPCS,43198,"Hc Esophagoscopy, Flexible, Transnasal; With Biopsy, Single Or Multiple-Pbb",5060.0,5060.0,,,0 HCPCS,43198,Pr Esophagoscopy Flexible Transnasal With Biopsy-Gast,2480.0,2480.0,,,0 HCPCS,43198,Pr Esophagoscopy Flexible Transnasal With Biopsy-Pbb,2480.0,2480.0,,,0 HCPCS,43200,Esophagoscopy flexible brush,,,971.94,7272.0,4 HCPCS,43200,"Hc Esophagoscpy, Flex, Transorl, Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf",6455.0,6455.0,,,0 HCPCS,43200,Pr Esophagoscopy Flexible Transoral Diagnostic-Gast,2216.0,2216.0,,,0 HCPCS,43200,Pr Esophagoscopy Flexible Transoral Diagnostic-Pbb,2216.0,2216.0,,,0 HCPCS,43201,Esoph scope w/submucous inj,,,2056.34,7272.0,4 HCPCS,43201,"Hc Esophagoscopy, Flexible, Transoral; With Directed Submucosal Injection, Any Substance",3246.0,3246.0,,,0 HCPCS,43201,"Hc Esophagoscopy, Flexible, Transoral; With Directed Submucosal Injection, Any Substance-Pbb",4909.0,4909.0,,,0 HCPCS,43201,Pr Esophagoscopy Flexible Transoral W Submucous Inj-Gast,3326.0,3326.0,,,0 HCPCS,43201,Pr Esophagoscopy Flexible Transoral W Submucous Inj-Pbb,3326.0,3326.0,,,0 HCPCS,43202,Esophagoscopy flex biopsy,,,2056.34,7272.0,4 HCPCS,43202,"Hc Esophagoscopy, Flexible, Transoral; With Biopsy, Single Or Multiple",4865.0,4865.0,,,0 HCPCS,43202,"Hc Esophagoscopy, Flexible, Transoral; With Biopsy, Single Or Multiple-Pbb",3803.5,3803.5,,,0 HCPCS,43202,Pr Esophagoscopy Flexible Transoral With Biopsy-Gast,2419.0,2419.0,,,0 HCPCS,43202,Pr Esophagoscopy Flexible Transoral With Biopsy-Pbb,2419.0,2419.0,,,0 HCPCS,43204,Aranesp: 1 Blister Pack In 1 Package (55513-023-04) / 4 Syringe In 1 Blister Pack / .3 Ml In 1 Syringe (55513-023-01),51.86,51.86,,,0 HCPCS,43204,Esoph scope w/sclerosis inj,,,2056.34,7272.0,4 HCPCS,43204,"Hc Esophagoscopy, Flexible, Transoral; With Injection Sclerosis Of Esophageal Varices",6374.0,6374.0,,,0 HCPCS,43204,"Hc Esophagoscopy, Flexible, Transoral; With Injection Sclerosis Of Esophageal Varices-Pbb",4901.5,4901.5,,,0 HCPCS,43204,NDC Description Not Available,51.86,51.86,,,0 HCPCS,43204,Pr Esophagoscopy Flex Transoral Injection Varices-Gast,3326.0,3326.0,,,0 HCPCS,43204,Pr Esophagoscopy Flex Transoral Injection Varices-Pbb,3326.0,3326.0,,,0 HCPCS,43205,Aranesp: 1 Blister Pack In 1 Package (55513-025-04) / 4 Syringe In 1 Blister Pack / .5 Ml In 1 Syringe (55513-025-01),53.2,53.2,,,0 HCPCS,43205,Esophagus endoscopy/ligation,,,2056.34,7272.0,4 HCPCS,43205,"Hc Esophagoscopy, Flexible, Transoral; With Band Ligation Of Esophageal Varices",5200.0,5200.0,,,0 HCPCS,43205,"Hc Esophagoscopy, Flexible, Transoral; With Band Ligation Of Esophageal Varices-Pbb",3692.0,3692.0,,,0 HCPCS,43205,NDC Description Not Available,52.0,52.0,,,0 HCPCS,43205,Pr Esphgoscopy Flex W/Band Ligation Esophgl Varices-Gast,3326.0,3326.0,,,0 HCPCS,43205,Pr Esphgoscopy Flex W/Band Ligation Esophgl Varices-Pbb,3326.0,3326.0,,,0 HCPCS,43206,Esoph optical endomicroscopy,,,2056.34,7272.0,4 HCPCS,43206,"Hc Esophagoscopy, Flexible, Transoral; With Optical Endomicroscopy",5544.0,5544.0,,,0 HCPCS,43206,"Hc Esophagoscopy, Flexible, Transoral; With Optical Endomicroscopy-Pbb",4440.5,4440.5,,,0 HCPCS,43206,Pr Esophagoscopy Transoral W/Optical Endomicroscopy-Gast,2537.0,2537.0,,,0 HCPCS,43206,Pr Esophagoscopy Transoral W/Optical Endomicroscopy-Pbb,2537.0,2537.0,,,0 HCPCS,43210,Egd esophagogastrc fndoplsty,,,11391.13,16517.13,4 HCPCS,43211,Esophagoscop mucosal resect,,,2056.34,7272.0,4 HCPCS,43211,"Hc Esophagoscopy, Flexible, Transoral; With Endoscopic Mucosal Resection",13518.0,13518.0,,,0 HCPCS,43211,"Hc Esophagoscopy, Flexible, Transoral; With Endoscopic Mucosal Resection-Pbb",12033.5,12033.5,,,0 HCPCS,43211,Pr Esophagoscopy Flexible Transoral Mucosal Resexn-Gast,3777.0,3777.0,,,0 HCPCS,43211,Pr Esophagoscopy Flexible Transoral Mucosal Resexn-Pbb,3777.0,3777.0,,,0 HCPCS,43212,Esophagoscop stent placement,,,6505.69,14227.0,4 HCPCS,43212,"Hc Esophagoscopy, Flexible, Transoral; With Placement Of Endoscopic Stent",10814.0,10814.0,,,0 HCPCS,43212,"Hc Esophagoscopy, Flexible, Transoral; With Placement Of Endoscopic Stent-Pbb",9627.5,9627.5,,,0 HCPCS,43212,Pr Esophagoscopy Transoral Stent Placement-Gast,3020.0,3020.0,,,0 HCPCS,43212,Pr Esophagoscopy Transoral Stent Placement-Pbb,3020.0,3020.0,,,0 HCPCS,43213,Esophagoscopy retro balloon,,,2056.34,7272.0,4 HCPCS,43213,"Hc Esophagoscopy, Flexible, Transoral; With Dilation Of Esophagus, By Balloon Or Dilator, Retrograde",9601.0,9601.0,,,0 HCPCS,43213,Pr Esophagoscopy Retrograde Dilate Balloon/Other-Gast,5069.0,5069.0,,,0 HCPCS,43213,Pr Esophagoscopy Retrograde Dilate Balloon/Other-Pbb,5069.0,5069.0,,,0 HCPCS,43214,Esophagosc dilate balloon 30,,,2056.34,7272.0,4 HCPCS,43214,"Hc Esophagoscopy, Flexible, Transoral; With Dilation Of Esophagus With Balloon",6933.0,6933.0,,,0 HCPCS,43214,"Hc Esophagoscopy, Flexible, Transoral; With Dilation Of Esophagus With Balloon-Pbb",5319.0,5319.0,,,0 HCPCS,43214,Pr Esophagoscopy Dilate Esophagus Balloon 30 Mm-Gast,3646.0,3646.0,,,0 HCPCS,43214,Pr Esophagoscopy Dilate Esophagus Balloon 30 Mm-Pbb,3646.0,3646.0,,,0 HCPCS,43215,Esophagoscopy flex remove fb,,,2056.34,7272.0,4 HCPCS,43215,"Hc Esophagoscopy, Flexible, Transoral; With Removal Of Foreign Body",6281.0,6281.0,,,0 HCPCS,43215,"Hc Esophagoscopy, Flexible, Transoral; With Removal Of Foreign Body-Pbb",4858.0,4858.0,,,0 HCPCS,43215,Pr Esophagoscopy Flexible Removal Foreign Body-Gast,3225.0,3225.0,,,0 HCPCS,43215,Pr Esophagoscopy Flexible Removal Foreign Body-Pbb,3225.0,3225.0,,,0 HCPCS,43216,Esophagoscopy lesion removal,,,2056.34,11000.0,4 HCPCS,43216,"Hc Esophagoscopy, Flex, Transoral; W/ Rmvl Of Tumor, Polyp, Or Other Les By Hot Biopsy Forceps",7240.0,7240.0,,,0 HCPCS,43216,"Hc Esophagoscopy, Flex, Transoral; W/ Rmvl Of Tumor, Polyp, Or Other Les By Hot Biopsy Forceps-Pbb",5693.5,5693.5,,,0 HCPCS,43216,Pr Esphagoscopy Flex Lesion Removal Hot Bx Forceps-Gast,3527.0,3527.0,,,0 HCPCS,43216,Pr Esphagoscopy Flex Lesion Removal Hot Bx Forceps-Pbb,3527.0,3527.0,,,0 HCPCS,43217,Esophagoscopy snare les remv,,,2056.34,7272.0,4 HCPCS,43217,"Hc Esophagoscopy, Flex, Transoral; W/ Rmvl Of Tumor, Polyp, Or Other Les By Snare Tchnq",6574.0,6574.0,,,0 HCPCS,43217,"Hc Esophagoscopy, Flex, Transoral; W/ Rmvl Of Tumor, Polyp, Or Other Les By Snare Tchnq-Pbb",5009.0,5009.0,,,0 HCPCS,43217,Pr Esophagoscopy Flexib Lesion Removal Tumor Snare-Gast,3527.0,3527.0,,,0 HCPCS,43217,Pr Esophagoscopy Flexib Lesion Removal Tumor Snare-Pbb,3527.0,3527.0,,,0 HCPCS,43220,Esophagoscopy balloon <30mm,,,2056.34,7272.0,4 HCPCS,43220,"Hc Esophagoscopy, Flexible, Transoral; With Transendoscopic Balloon Dilation",6230.0,6230.0,,,0 HCPCS,43220,"Hc Esophagoscopy, Flexible, Transoral; With Transendoscopic Balloon Dilation-Pbb",5054.5,5054.5,,,0 HCPCS,43220,Pr Esophagoscopy Flex Balloon Dilat <30 Mm Diam-Gast,2720.0,2720.0,,,0 HCPCS,43220,Pr Esophagoscopy Flex Balloon Dilat <30 Mm Diam-Pbb,2720.0,2720.0,,,0 HCPCS,43226,Esoph endoscopy dilation,,,2056.34,7272.0,4 HCPCS,43226,"Hc Esophagoscpy, Flexible, Trnsoral; W/ Insrtn Of Guide Wire Fllwed By Pssge Of Dilator Over Gdewre",6014.0,6014.0,,,0 HCPCS,43226,"Hc Esophagoscpy, Flexible, Trnsoral; W/ Insrtn Of Guide Wire Fllwed By Pssge Of Dilator Over Gdewre-",7224.0,7224.0,,,0 HCPCS,43226,Pr Esophagoscopy Flexible Guide Wire Dilation-Gast,2419.0,2419.0,,,0 HCPCS,43226,Pr Esophagoscopy Flexible Guide Wire Dilation-Pbb,2419.0,2419.0,,,0 HCPCS,43227,Esophagoscopy control bleed,,,2056.34,7272.0,4 HCPCS,43227,"Hc Esophagoscopy, Flexible, Transoral; With Crontol Of Bleeding, Any Method",6420.0,6420.0,,,0 HCPCS,43227,"Hc Esophagoscopy, Flexible, Transoral; With Crontol Of Bleeding, Any Method-Pbb",4948.5,4948.5,,,0 HCPCS,43227,Pr Esophagoscopy Flexible W/Bleeding Control-Gast,3326.0,3326.0,,,0 HCPCS,43227,Pr Esophagoscopy Flexible W/Bleeding Control-Pbb,3326.0,3326.0,,,0 HCPCS,43229,Esophagoscopy lesion ablate,,,4131.6,11000.0,4 HCPCS,43229,"Hc Esophagoscopy, Flexible, Transoral; With Ablation Of Tumor, Polyp, Or Other Lesion",9476.0,9476.0,,,0 HCPCS,43229,"Hc Esophagoscopy, Flexible, Transoral; With Ablation Of Tumor, Polyp, Or Other Lesion-Pbb",8249.0,8249.0,,,0 HCPCS,43229,Pr Esophagoscopy Flex Transoral Lesion Ablation-Gast,3020.0,3020.0,,,0 HCPCS,43229,Pr Esophagoscopy Flex Transoral Lesion Ablation-Pbb,3020.0,3020.0,,,0 HCPCS,43231,Esophagoscop ultrasound exam,,,2056.34,7272.0,4 HCPCS,43231,"Hc Esophagoscopy, Flexible, Transoral; With Endoscopic Ultrasound",5912.0,5912.0,,,0 HCPCS,43231,"Hc Esophagoscopy, Flexible, Transoral; With Endoscopic Ultrasound-Pbb",4438.0,4438.0,,,0 HCPCS,43231,Pr Esophagoscopy Flexible Transoral Ultrasound Exam-Gast,2667.0,2667.0,,,0 HCPCS,43231,Pr Esophagoscopy Flexible Transoral Ultrasound Exam-Pbb,2667.0,2667.0,,,0 HCPCS,43232,Esophagoscopy w/us needle bx,,,2056.34,7272.0,4 HCPCS,43232,"Hc Esophagoscopy, Flex, Transoral; W/ Transendoscop U/S-Guided Intramural/Transmural Fna/Biopsy",6177.0,6177.0,,,0 HCPCS,43232,"Hc Esophagoscopy, Flex, Transoral; W/ Transendoscop U/S-Guided Intramural/Transmural Fna/Biopsy-Pbb",4804.5,4804.5,,,0 HCPCS,43232,Pr Esophagoscopy Intra/Transmural Needle Aspirat/Bx-Gast,3117.0,3117.0,,,0 HCPCS,43232,Pr Esophagoscopy Intra/Transmural Needle Aspirat/Bx-Pbb,3117.0,3117.0,,,0 HCPCS,43233,Egd balloon dil esoph30 mm/>,,,2056.34,7272.0,4 HCPCS,43233,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Dilation Of Esophagus With Balloon",8217.0,8217.0,,,0 HCPCS,43233,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Dilation Of Esophagus With Balloon-Pbb",6295.0,6295.0,,,0 HCPCS,43233,Pr Egd Esophagus Balloon Dilation 30 Mm Or Larger-Gast,4338.0,4338.0,,,0 HCPCS,43233,Pr Egd Esophagus Balloon Dilation 30 Mm Or Larger-Pbb,4338.0,4338.0,,,0 HCPCS,43235,Egd diagnostic brush wash,,,971.94,7272.0,4 HCPCS,43235,"Hc Egd, Flex; Transoral, Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf",6039.0,6039.0,,,0 HCPCS,43235,"Hc Egd, Flex; Transoral, Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf-Pbb",5111.5,5111.5,,,0 HCPCS,43235,Pr Esophagogastroduodenoscopy Transoral Diagnostic-Gast,2216.0,2216.0,,,0 HCPCS,43235,Pr Esophagogastroduodenoscopy Transoral Diagnostic-Pbb,2216.0,2216.0,,,0 HCPCS,43236,"Hc Esophagogastroduodenoscopy, Flex, Transoral; W/ Directed Submucosal Inj(S), Any Substance",8274.0,8274.0,,,0 HCPCS,43236,"Hc Esophagogastroduodenoscopy, Flex, Transoral; W/ Directed Submucosal Inj(S), Any Substance-Pbb",6710.5,6710.5,,,0 HCPCS,43236,Pr Esophagogastroduodenoscopy Submucosal Injection-Gast,3625.0,3625.0,,,0 HCPCS,43236,Pr Esophagogastroduodenoscopy Submucosal Injection-Pbb,3625.0,3625.0,,,0 HCPCS,43236,Uppr gi scope w/submuc inj,,,971.94,7272.0,4 HCPCS,43237,Endoscopic us exam esoph,,,2056.34,7272.0,4 HCPCS,43237,"Hc Egd, Flex, Transoral;W/ Endoscopic U/S Exam Lmtd To Esoph,Stomch,Duod,& Adj Strctrs-Pbb",5090.5,5090.5,,,0 HCPCS,43237,Pr Esophagogastroduodenoscopy Us Scope W/Adj Strxrs-Gast,2667.0,2667.0,,,0 HCPCS,43237,Pr Esophagogastroduodenoscopy Us Scope W/Adj Strxrs-Pbb,2667.0,2667.0,,,0 HCPCS,43238,Egd us fine needle bx/aspir,,,2056.34,7272.0,4 HCPCS,43238,"Hc Egd,Flex,Transoral;W/ Transendoscopic U/S-Guided Intrmrl Or Trnsmrl Fine Needle Asp/Biopsy(S)-Pbb",7089.0,7089.0,,,0 HCPCS,43238,Pr Egd Intrmural Us Needle Aspirate/Biopsy Esophags-Gast,3117.0,3117.0,,,0 HCPCS,43238,Pr Egd Intrmural Us Needle Aspirate/Biopsy Esophags-Pbb,3117.0,3117.0,,,0 HCPCS,43239,Egd biopsy single/multiple,,,971.94,7272.0,4 HCPCS,43239,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Biopsy, Single Or Multiple-Pbb",5918.5,5918.5,,,0 HCPCS,43239,Pr Egd Transoral Biopsy Single/Multiple-Gast,2569.0,2569.0,,,0 HCPCS,43239,Pr Egd Transoral Biopsy Single/Multiple-Pbb,2569.0,2569.0,,,0 HCPCS,43240,Egd w/transmural drain cyst,,,6505.69,11000.0,4 HCPCS,43240,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Transmural Drainage Of Pseudocyst-Pbb",6313.5,6313.5,,,0 HCPCS,43240,Pr Egd Transoral Transmural Drainage Pseudocyst-Gast,3326.0,3326.0,,,0 HCPCS,43240,Pr Egd Transoral Transmural Drainage Pseudocyst-Pbb,3326.0,3326.0,,,0 HCPCS,43241,Egd tube/cath insertion,,,2056.34,7272.0,4 HCPCS,43241,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Insertion Of Intraluminal Tube Or Catheter",5542.0,5542.0,,,0 HCPCS,43241,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Insertion Of Intraluminal Tube Or Catheter-",6951.5,6951.5,,,0 HCPCS,43241,Pr Egd Intraluminal Tube/Catheter Insertion-Gast,2819.0,2819.0,,,0 HCPCS,43241,Pr Egd Intraluminal Tube/Catheter Insertion-Pbb,2819.0,2819.0,,,0 HCPCS,43242,Egd us fine needle bx/aspir,,,2056.34,7272.0,4 HCPCS,43242,"Hc Esphgogstrduodnscpy, Flxbl, Trnsorl W/Trnsendscpc Ultrsndgded Intrmrl/Trnsmrl Fine Ndl Asp/Bx(S)-",9865.5,9865.5,,,0 HCPCS,43242,Pr Egd Intrmural Needle Aspir/Biop Altered Anatomy-Gast,3117.0,3117.0,,,0 HCPCS,43242,Pr Egd Intrmural Needle Aspir/Biop Altered Anatomy-Pbb,3117.0,3117.0,,,0 HCPCS,43243,Egd injection varices,,,2056.34,7272.0,4 HCPCS,43243,"Hc Esophagogastroduodenoscopy, Flex, Transoral; W/ Inj Sclerosis Of Esophageal/Gastric Varices-Pbb",4812.0,4812.0,,,0 HCPCS,43243,Pr Egd Injection Sclerosis Esophgl/Gastric Varices-Gast,3625.0,3625.0,,,0 HCPCS,43243,Pr Egd Injection Sclerosis Esophgl/Gastric Varices-Pbb,3625.0,3625.0,,,0 HCPCS,43244,Egd varices ligation,,,2056.34,7272.0,4 HCPCS,43244,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Band Ligation Of Esophageal/Gastric Varices",7298.0,7298.0,,,0 HCPCS,43244,Pr Egd Band Ligation Esophgeal/Gastric Varices-Gast,3424.0,3424.0,,,0 HCPCS,43244,Pr Egd Band Ligation Esophgeal/Gastric Varices-Pbb,3424.0,3424.0,,,0 HCPCS,43245,Egd dilate stricture,,,2056.34,7272.0,4 HCPCS,43245,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Dilation Of Gastric/Duodenal Stricture-Pbb",6093.0,6093.0,,,0 HCPCS,43245,Pr Egd Dilation Gastric/Duodenal Stricture-Gast,3020.0,3020.0,,,0 HCPCS,43245,Pr Egd Dilation Gastric/Duodenal Stricture-Pbb,3020.0,3020.0,,,0 HCPCS,43246,Egd place gastrostomy tube,,,2056.34,7272.0,4 HCPCS,43246,"Hc Esophagogastroduodenoscopy, Flex, Transoral; W/ Directed Placement Of Perc Gastrostomy Tube-Pbb",5462.5,5462.5,,,0 HCPCS,43246,Pr Egd Percutaneous Placement Gastrostomy Tube-Gast,4433.0,4433.0,,,0 HCPCS,43246,Pr Egd Percutaneous Placement Gastrostomy Tube-Pbb,4433.0,4433.0,,,0 HCPCS,43247,Egd remove foreign body,,,971.94,7272.0,4 HCPCS,43247,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Removal Of Foreign Body(S)",5036.0,5036.0,,,0 HCPCS,43247,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Removal Of Foreign Body(S)-Pbb",6546.0,6546.0,,,0 HCPCS,43247,Pr Egd Flexible Foreign Body Removal-Gast,3020.0,3020.0,,,0 HCPCS,43247,Pr Egd Flexible Foreign Body Removal-Pbb,3020.0,3020.0,,,0 HCPCS,43248,Egd guide wire insertion,,,971.94,7272.0,4 HCPCS,43248,"Hc Egd, Flex, Transoral; W/ Insrtn Of Guide Wire Followed By Passage Of Dilator Thru Esoph Over Gw-P",5562.5,5562.5,,,0 HCPCS,43248,Pr Egd Insert Guide Wire Dilator Passage Esophagus-Gast,2667.0,2667.0,,,0 HCPCS,43248,Pr Egd Insert Guide Wire Dilator Passage Esophagus-Pbb,2667.0,2667.0,,,0 HCPCS,43249,Esoph egd dilation <30 mm,,,2056.34,7272.0,4 HCPCS,43249,"Hc Esophagogastroduodenoscopy, Flex, Transoral; W/ Transendoscopic Blln Dilation Of Esophagus-Pbb",5981.5,5981.5,,,0 HCPCS,43249,Pr Egd Balloon Dilation Esophagus <30 Mm Diam-Gast,2921.0,2921.0,,,0 HCPCS,43249,Pr Egd Balloon Dilation Esophagus <30 Mm Diam-Pbb,2921.0,2921.0,,,0 HCPCS,43250,Egd cautery tumor polyp,,,2056.34,7272.0,4 HCPCS,43250,"Hc Egd, Flex, Transoral; W/ Rmvl Of Tumor(S), Polyp(S), Or Other Les(S) By Hot Biopsy Forceps-Pbb",5529.0,5529.0,,,0 HCPCS,43250,Pr Egd Flex Removal Lesion(S) By Hot Biopsy Forceps-Gast,3326.0,3326.0,,,0 HCPCS,43250,Pr Egd Flex Removal Lesion(S) By Hot Biopsy Forceps-Pbb,3326.0,3326.0,,,0 HCPCS,43251,Egd remove lesion snare,,,2056.34,7272.0,4 HCPCS,43251,"Hc Esophagogastroduodnoscpy,Flex,Trnsoral W/Rmvl Of Tumor(S), Polyp(S) Or Othr Les(S) By Snare Tchnq",6763.0,6763.0,,,0 HCPCS,43251,Pr Egd Removal Tumor Polyp/Other Lesion Snare Tech-Gast,3326.0,3326.0,,,0 HCPCS,43251,Pr Egd Removal Tumor Polyp/Other Lesion Snare Tech-Pbb,3326.0,3326.0,,,0 HCPCS,43252,Egd optical endomicroscopy,,,2056.34,7272.0,4 HCPCS,43252,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Removal Of Foreign Body(S)-Pbb",6469.5,6469.5,,,0 HCPCS,43252,Pr Egd Flex Transoral W/Optical Endomicroscopy-Gast,2855.0,2855.0,,,0 HCPCS,43252,Pr Egd Flex Transoral W/Optical Endomicroscopy-Pbb,2855.0,2855.0,,,0 HCPCS,43253,Egd us transmural injxn/mark,,,2056.34,7272.0,4 HCPCS,43253,"Hc Egd,Flex,Trnsoral;W/Trnsendoscpc Us-Gded Trnsmural Inj Of Diag Or Thrptc Substnce Or Fiducl Markr",5895.0,5895.0,,,0 HCPCS,43253,Pr Egd Us Guided Transmural Injxn/Fiducial Marker-Gast,3233.0,3233.0,,,0 HCPCS,43253,Pr Egd Us Guided Transmural Injxn/Fiducial Marker-Pbb,3233.0,3233.0,,,0 HCPCS,43254,Egd endo mucosal resection,,,2056.34,7272.0,4 HCPCS,43254,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Endoscopic Mucosal Resection",6129.0,6129.0,,,0 HCPCS,43254,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Endoscopic Mucosal Resection-Pbb",4633.5,4633.5,,,0 HCPCS,43254,Pr Egd Transoral Endoscopic Mucosal Resection-Gast,3361.0,3361.0,,,0 HCPCS,43254,Pr Egd Transoral Endoscopic Mucosal Resection-Pbb,3361.0,3361.0,,,0 HCPCS,43255,Egd control bleeding any,,,2056.34,7272.0,4 HCPCS,43255,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Control Of Bleeding, Any Method",6574.0,6574.0,,,0 HCPCS,43255,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Control Of Bleeding, Any Method-Pbb",5009.0,5009.0,,,0 HCPCS,43255,Pr Egd Transoral Control Bleeding Any Method-Gast,3527.0,3527.0,,,0 HCPCS,43255,Pr Egd Transoral Control Bleeding Any Method-Pbb,3527.0,3527.0,,,0 HCPCS,43257,Egd w/thrml txmnt gerd,,,4131.6,11000.0,4 HCPCS,43257,Hc Esphgogstroduodnoscpy; Dlvry Thrml Enrgy To Muscle Lwr Esphgl Sphincter &/Or Gstrc Cardia,11000.0,11000.0,,,0 HCPCS,43257,Hc Esphgogstroduodnoscpy; Dlvry Thrml Enrgy To Muscle Lwr Esphgl Sphincter &/Or Gstrc Cardia-Pbb,8913.0,8913.0,,,0 HCPCS,43257,Pr Egd Deliver Thermal Energy Sphnctr/Cardia Gerd-Gast,4835.0,4835.0,,,0 HCPCS,43257,Pr Egd Deliver Thermal Energy Sphnctr/Cardia Gerd-Pbb,4835.0,4835.0,,,0 HCPCS,43259,Egd us exam duodenum/jejunum,,,2056.34,7272.0,4 HCPCS,43259,"Hc Egd,Flx,Trnsorl;W/Endo Us,Incl Esph,Stm,&Ddnm Or Sx Altrd Stmch Where Jejnm Is Exm Distl To Anast",9572.5,9572.5,,,0 HCPCS,43259,Pr Edg Us Exam Surgical Alter Stom Duodenum/Jejunum-Gast,2667.0,2667.0,,,0 HCPCS,43259,Pr Edg Us Exam Surgical Alter Stom Duodenum/Jejunum-Pbb,2667.0,2667.0,,,0 HCPCS,43260,Ercp w/specimen collection,,,4131.6,11000.0,4 HCPCS,43260,"Hc Endo Rtrogrd Cholangiopancreatogrphy(Ercp);Dx, Incl Collctn Of Spec(S)By Brshng Or Wshng,Whn Perf",9913.0,9913.0,,,0 HCPCS,43260,Pr Ercp Dx Collection Specimen Brushing/Washing-Gast,3728.0,3728.0,,,0 HCPCS,43260,Pr Ercp Dx Collection Specimen Brushing/Washing-Pbb,3728.0,3728.0,,,0 HCPCS,43261,Endo cholangiopancreatograph,,,4131.6,11000.0,4 HCPCS,43261,"Hc Endoscopic Retrograde Cholangiopancreatography (Ercp); With Biopsy, Single Or Multiple",9900.0,9900.0,,,0 HCPCS,43261,"Hc Endoscopic Retrograde Cholangiopancreatography (Ercp); With Biopsy, Single Or Multiple-Pbb",8110.0,8110.0,,,0 HCPCS,43261,Pr Ercp W/Biopsy Single/Multiple-Gast,4180.0,4180.0,,,0 HCPCS,43261,Pr Ercp W/Biopsy Single/Multiple-Pbb,4180.0,4180.0,,,0 HCPCS,43262,Endo cholangiopancreatograph,,,4131.6,11000.0,4 HCPCS,43262,Hc Endoscopic Retrograde Cholangiopancreatography (Ercp); With Sphincterotomy/Papillotomy,13637.0,13637.0,,,0 HCPCS,43262,Hc Endoscopic Retrograde Cholangiopancreatography (Ercp); With Sphincterotomy/Papillotomy-Pbb,11127.0,11127.0,,,0 HCPCS,43262,Pr Ercp W/Sphincterotomy/Papillotomy-Gast,5840.0,5840.0,,,0 HCPCS,43262,Pr Ercp W/Sphincterotomy/Papillotomy-Pbb,5840.0,5840.0,,,0 HCPCS,43263,Ercp sphincter pressure meas,,,2056.34,11000.0,4 HCPCS,43263,Hc Endoscopic Retrograde Cholangiopancreatography (Ercp); W/ Prssure Measuremnt Of Sphincter Of Oddi,13458.0,13458.0,,,0 HCPCS,43263,Pr Ercp W/Pressure Measurement Sphincter Of Oddi-Gast,5036.0,5036.0,,,0 HCPCS,43263,Pr Ercp W/Pressure Measurement Sphincter Of Oddi-Pbb,5036.0,5036.0,,,0 HCPCS,43264,Ercp remove duct calculi,,,4131.6,11000.0,4 HCPCS,43264,Hc Ercp; W/ Rmvl Of Calculi/Debris From Biliary/Pancreatic Duct(S),12005.0,12005.0,,,0 HCPCS,43264,Hc Ercp; W/ Rmvl Of Calculi/Debris From Biliary/Pancreatic Duct(S)-Pbb,9193.0,9193.0,,,0 HCPCS,43264,Pr Ercp Remove Calculi/Debris Biliary/Pancreas Duct-Gast,6346.0,6346.0,,,0 HCPCS,43264,Pr Ercp Remove Calculi/Debris Biliary/Pancreas Duct-Pbb,6346.0,6346.0,,,0 HCPCS,43265,Ercp lithotripsy calculi,,,6505.69,11000.0,4 HCPCS,43265,"Hc Endoscopic Retrograde Cholangiopancreatography (Ercp); With Destruction Of Calculi, Any Method",11613.0,11613.0,,,0 HCPCS,43265,"Hc Endoscopic Retrograde Cholangiopancreatography (Ercp); With Destruction Of Calculi, Any Method-Pb",8991.5,8991.5,,,0 HCPCS,43265,Pr Ercp Destruction/Lithotripsy Calculi Any Method-Gast,5943.0,5943.0,,,0 HCPCS,43265,Pr Ercp Destruction/Lithotripsy Calculi Any Method-Pbb,5943.0,5943.0,,,0 HCPCS,43266,Egd endoscopic stent place,,,6505.69,14227.0,4 HCPCS,43266,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Placement Of Endoscopic Stent",11257.0,11257.0,,,0 HCPCS,43266,"Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Placement Of Endoscopic Stent-Pbb",9931.0,9931.0,,,0 HCPCS,43266,Pr Egd Endoscopic Stent Placement W/Wire& Dilation-Gast,3326.0,3326.0,,,0 HCPCS,43266,Pr Egd Endoscopic Stent Placement W/Wire& Dilation-Pbb,3326.0,3326.0,,,0 HCPCS,43270,Egd lesion ablation,,,2056.34,7272.0,4 HCPCS,43270,"Hc Esophagogastroduodenoscopy, Flex, Transoral; W/ Abltn Of Tumor(S), Polyp(S), Or Other Les(S)",8908.0,8908.0,,,0 HCPCS,43270,"Hc Esophagogastroduodenoscopy, Flex, Transoral; W/ Abltn Of Tumor(S), Polyp(S), Or Other Les(S)-Pbb",7337.5,7337.5,,,0 HCPCS,43270,Pr Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire-Gast,3675.0,3675.0,,,0 HCPCS,43270,Pr Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire-Pbb,3675.0,3675.0,,,0 HCPCS,43273,Endoscopic pancreatoscopy,,,3399.0,3399.0,1 HCPCS,43273,Hc Endoscopic Cannulation Of Papilla With Direct Visualization Of Pancreatic/Common Bile Duct(S),5149.0,5149.0,,,0 HCPCS,43273,Hc Endoscopic Cannulation Of Papilla With Direct Visualization Of Pancreatic/Common Bile Duct(S)-Pbb,4917.5,4917.5,,,0 HCPCS,43273,Pr Endoscopic Papilla Cannulation Bile/Pancreatic-Gast,770.0,770.0,,,0 HCPCS,43273,Pr Endoscopic Papilla Cannulation Bile/Pancreatic-Pbb,770.0,770.0,,,0 HCPCS,43274,Ercp duct stent placement,,,6505.69,11000.0,4 HCPCS,43274,"Hc Ercp; W/Plcemnt Endo Stnt Into Bil/Pncrtc Dct, Incl Pre/Post-Dilatn, Incl Sphnctrtmy, Ea Stnt",14266.0,14266.0,,,0 HCPCS,43274,"Hc Ercp; W/Plcemnt Endo Stnt Into Bil/Pncrtc Dct, Incl Pre/Post-Dilatn, Incl Sphnctrtmy, Ea Stnt-Pb",11873.0,11873.0,,,0 HCPCS,43274,Pr Ercp Stent Placement Biliary/Pancreatic Duct-Gast,5644.0,5644.0,,,0 HCPCS,43274,Pr Ercp Stent Placement Biliary/Pancreatic Duct-Pbb,5644.0,5644.0,,,0 HCPCS,43275,Ercp remove forgn body duct,,,2056.34,7272.0,4 HCPCS,43275,Hc Endo Retrgrd Cholangiopancreatogrphy(Ercp);W/Rmvl Of Fgn Bdy(S)/Stent(S)Frm Biliary/Panc Duct,14376.0,14376.0,,,0 HCPCS,43275,Hc Endo Retrgrd Cholangiopancreatogrphy(Ercp);W/Rmvl Of Fgn Bdy(S)/Stent(S)Frm Biliary/Panc Duct-Pbb,12338.5,12338.5,,,0 HCPCS,43275,Pr Ercp Remove Foreign Body/Stent Biliary/Panc Duct-Gast,4933.0,4933.0,,,0 HCPCS,43275,Pr Ercp Remove Foreign Body/Stent Biliary/Panc Duct-Pbb,4933.0,4933.0,,,0 HCPCS,43276,Ercp stent exchange w/dilate,,,6505.69,11000.0,4 HCPCS,43276,Hc Ercp Stent Exchange With Pre And Post Dilation And Guide Wire Passage,18254.0,18254.0,,,0 HCPCS,43276,Hc Ercp Stent Exchange With Pre And Post Dilation And Guide Wire Passage-Pbb,15668.5,15668.5,,,0 HCPCS,43276,Pr Ercp Biliary/Panc Duct Stent Exchange W/Dil&Wire-Gast,6267.0,6267.0,,,0 HCPCS,43276,Pr Ercp Biliary/Panc Duct Stent Exchange W/Dil&Wire-Pbb,6267.0,6267.0,,,0 HCPCS,43277,Ercp ea duct/ampulla dilate,,,4131.6,11000.0,4 HCPCS,43277,"Hc Ercp; W/Trnsendo Blln Dltn Bil/Pncrtc Dct(S) Or Amplla (Sphnctrplsty), Incl Sphnctrtmy, Ea Dct",13936.0,13936.0,,,0 HCPCS,43277,"Hc Ercp; W/Trnsendo Blln Dltn Bil/Pncrtc Dct(S) Or Amplla (Sphnctrplsty), Incl Sphnctrtmy, Ea Dct-P",11637.0,11637.0,,,0 HCPCS,43277,Pr Ercp Balloon Dilate Biliary/Panc Duct/Ampulla Ea-Gast,5440.0,5440.0,,,0 HCPCS,43277,Pr Ercp Balloon Dilate Biliary/Panc Duct/Ampulla Ea-Pbb,5440.0,5440.0,,,0 HCPCS,43278,Ercp lesion ablate w/dilate,,,4131.6,11000.0,4 HCPCS,43278,"Hc Ercp; W/ Abltn Tmr(S), Plyp(S), Or Oth Les(S), Inc Pre- & Pst-Dilat & Guide Wire Pass, When Perf",12783.0,12783.0,,,0 HCPCS,43278,"Hc Ercp; W/ Abltn Tmr(S), Plyp(S), Or Oth Les(S), Inc Pre- & Pst-Dilat & Guide Wire Pass, When Perf-",11052.5,11052.5,,,0 HCPCS,43278,Pr Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire-Gast,4229.0,4229.0,,,0 HCPCS,43278,Pr Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire-Pbb,4229.0,4229.0,,,0 HCPCS,43279,Lap myotomy heller,,,24760.0,24760.0,1 HCPCS,43280,Laparoscopy fundoplasty,,,11391.13,24760.0,4 HCPCS,43281,Lap paraesophag hern repair,,,11391.13,24760.0,4 HCPCS,43282,Lap paraesoph her rpr w/mesh,,,11391.13,24760.0,4 HCPCS,43283,Lap esoph lengthening,,,10008.0,10008.0,1 HCPCS,43284,Laps esophgl sphnctr agmntj,,,11391.13,24760.0,4 HCPCS,43285,Hc Removal Esophageal Sphincter Device,14072.0,14072.0,,,0 HCPCS,43285,Rmvl esophgl sphnctr dev,,,6478.5,24760.0,4 HCPCS,43286,Esphg tot w/laps moblj,,,10008.0,10008.0,1 HCPCS,43287,Esphg dstl 2/3 w/laps moblj,,,10008.0,10008.0,1 HCPCS,43288,Esphg thrsc moblj,,,10008.0,10008.0,1 HCPCS,43289,Laparoscope proc esoph,,,6478.5,22280.0,4 HCPCS,43290,Egd flx trnsorl dplmnt balo,,,2056.34,7272.0,4 HCPCS,43291,Egd flx trnsorl rmvl balo,,,971.94,7272.0,4 HCPCS,43300,Repair of esophagus,,,10008.0,10008.0,1 HCPCS,43305,Repair esophagus and fistula,,,10008.0,10008.0,1 HCPCS,43310,Repair of esophagus,,,10008.0,10008.0,1 HCPCS,43312,Repair esophagus and fistula,,,10008.0,10008.0,1 HCPCS,43313,Esophagoplasty congenital,,,10008.0,10008.0,1 HCPCS,43314,Tracheo-esophagoplasty cong,,,10008.0,10008.0,1 HCPCS,43320,Fuse esophagus & stomach,,,10008.0,10008.0,1 HCPCS,43325,Revise esophagus & stomach,,,10008.0,10008.0,1 HCPCS,43327,Esoph fundoplasty lap,,,10008.0,10008.0,1 HCPCS,43328,Esoph fundoplasty thor,,,10008.0,10008.0,1 HCPCS,43330,Esophagomyotomy abdominal,,,10008.0,10008.0,1 HCPCS,43331,Esophagomyotomy thoracic,,,10008.0,10008.0,1 HCPCS,43332,Transab esoph hiat hern rpr,,,10008.0,10008.0,1 HCPCS,43333,Transab esoph hiat hern rpr,,,10008.0,10008.0,1 HCPCS,43334,Transthor diaphrag hern rpr,,,10008.0,10008.0,1 HCPCS,43335,Transthor diaphrag hern rpr,,,10008.0,10008.0,1 HCPCS,43336,Thorabd diaphr hern repair,,,10008.0,10008.0,1 HCPCS,43337,Thorabd diaphr hern repair,,,10008.0,10008.0,1 HCPCS,43338,Esoph lengthening,,,10008.0,10008.0,1 HCPCS,43340,Fuse esophagus & intestine,,,10008.0,10008.0,1 HCPCS,43341,Fuse esophagus & intestine,,,10008.0,10008.0,1 HCPCS,43351,Surgical opening esophagus,,,10008.0,10008.0,1 HCPCS,43352,Surgical opening esophagus,,,10008.0,10008.0,1 HCPCS,43360,Gastrointestinal repair,,,10008.0,10008.0,1 HCPCS,43361,Gastrointestinal repair,,,10008.0,10008.0,1 HCPCS,43400,Ligate esophagus veins,,,24760.0,24760.0,1 HCPCS,43405,Ligate/staple esophagus,,,10008.0,10008.0,1 HCPCS,43410,Repair esophagus wound,,,10008.0,10008.0,1 HCPCS,43415,Repair esophagus wound,,,10008.0,10008.0,1 HCPCS,43420,Repair esophagus opening,,,3552.91,11000.0,4 HCPCS,43425,Repair esophagus opening,,,10008.0,10008.0,1 HCPCS,43450,Dilate esophagus 1/mult pass,,,971.94,7272.0,4 HCPCS,43450,"Hc Dilation Of Esophagus, By Unguided Sound Or Bougie, Single Or Multiple Passes",6106.0,6106.0,,,0 HCPCS,43450,"Hc Dilation Of Esophagus, By Unguided Sound Or Bougie, Single Or Multiple Passes-Pbb",5530.0,5530.0,,,0 HCPCS,43450,Pr Dilation Esoph Unguided Sound/Bougie 1/Mult Pass-Gast,1516.0,1516.0,,,0 HCPCS,43450,Pr Dilation Esoph Unguided Sound/Bougie 1/Mult Pass-Pbb,1516.0,1516.0,,,0 HCPCS,43453,Dilate esophagus,,,2056.34,7272.0,4 HCPCS,43453,"Hc Dilation Of Esophagus, Over Guide Wirec",5318.0,5318.0,,,0 HCPCS,43460,Pressure treatment esophagus,,,10008.0,10008.0,1 HCPCS,43496,Free jejunum flap microvasc,,,10008.0,10008.0,1 HCPCS,43497,Hc Transoral Lower Esophageal Myotomy-Pbb,10814.5,10814.5,,,0 HCPCS,43497,Pr Transoral Lower Esophageal Myotomy-Pbb,5165.0,5165.0,,,0 HCPCS,43497,Transorl lwr esophgl myotomy,,,6505.69,11000.0,4 HCPCS,43499,Esophagus surgery procedure,,,971.94,7272.0,4 HCPCS,43499,Hc Esophageal Unlisted Procedure-Pbb,9789.375,9789.375,,,0 HCPCS,43500,Surgical opening of stomach,,,10008.0,10008.0,1 HCPCS,43501,Surgical repair of stomach,,,10008.0,10008.0,1 HCPCS,43502,Surgical repair of stomach,,,10008.0,10008.0,1 HCPCS,43510,Surgical opening of stomach,,,971.94,7272.0,4 HCPCS,43520,Incision of pyloric muscle,,,10008.0,10008.0,1 HCPCS,43605,Biopsy of stomach,,,11000.0,11000.0,1 HCPCS,43610,Excision of stomach lesion,,,10008.0,10008.0,1 HCPCS,43611,Excision of stomach lesion,,,10008.0,10008.0,1 HCPCS,43620,Removal of stomach,,,10008.0,10008.0,1 HCPCS,43621,Removal of stomach,,,10008.0,10008.0,1 HCPCS,43622,Removal of stomach,,,10008.0,10008.0,1 HCPCS,43631,Removal of stomach partial,,,10008.0,10008.0,1 HCPCS,43632,Removal of stomach partial,,,10008.0,10008.0,1 HCPCS,43633,Removal of stomach partial,,,10008.0,10008.0,1 HCPCS,43634,Removal of stomach partial,,,10008.0,10008.0,1 HCPCS,43635,Removal of stomach partial,,,10008.0,10008.0,1 HCPCS,43640,Vagotomy & pylorus repair,,,10008.0,10008.0,1 HCPCS,43641,Vagotomy & pylorus repair,,,10008.0,10008.0,1 HCPCS,43644,Lap gastric bypass/roux-en-y,,,24760.0,24760.0,1 HCPCS,43645,Lap gastr bypass incl smll i,,,24760.0,24760.0,1 HCPCS,43647,Lap impl electrode antrum,,,11940.72,36418.0,4 HCPCS,43648,Lap revise/remv eltrd antrum,,,11391.13,22280.0,4 HCPCS,43651,Laparoscopy vagus nerve,,,6478.5,24760.0,4 HCPCS,43652,Laparoscopy vagus nerve,,,6478.5,24760.0,4 HCPCS,43653,Laparoscopy gastrostomy,,,6478.5,24760.0,4 HCPCS,43659,Laparoscope proc stom,,,6478.5,22280.0,4 HCPCS,43752,"Hc Naso-Or Oro-Gastric Tube Placement, Requiring Physician's Skill And Flouroscopic Guidance",1304.0,1304.0,,,0 HCPCS,43752,"Hc Naso-Or Oro-Gastric Tube Placement, Requiring Physician's Skill And Flouroscopic Guidance-Pbb",1725.5,1725.5,,,0 HCPCS,43752,Nasal/orogastric w/tube plmt,,,478.72,3399.0,4 HCPCS,43752,Pr Naso/Oro-Gastric Tube Plmt Req Phys&Fluor Gdnce-Gast,842.0,842.0,,,0 HCPCS,43752,Pr Naso/Oro-Gastric Tube Plmt Req Phys&Fluor Gdnce-Pbb,842.0,842.0,,,0 HCPCS,43753,"Hc Gastric Intubation And Aspiration Thrptc, Necessitating Phys's Skill, Incl Lavage If Performed",666.0,666.0,,,0 HCPCS,43753,"Hc Gastric Intubation And Aspiration Thrptc, Necessitating Phys's Skill, Incl Lavage If Performed-Go",787.0,787.0,,,0 HCPCS,43753,Pr Gastric Intubatj & Aspiraj W/Phys Skill/Lavage-Gold,242.0,242.0,,,0 HCPCS,43753,"Pr Gastric Intubatj & Aspiraj W/Phys Skill/Lavage-Gold,Oprm",242.0,242.0,,,0 HCPCS,43753,"Pr Gastric Intubatj & Aspiraj W/Phys Skill/Lavage-Gold,Pbb",242.0,242.0,,,0 HCPCS,43753,Tx gastro intub w/asp,,,231.39,3399.0,4 HCPCS,43754,Dx gastr intub w/asp spec,,,231.39,3399.0,4 HCPCS,43755,Dx gastr intub w/asp specs,,,137.89,3399.0,4 HCPCS,43756,Dx duod intub w/asp spec,,,971.94,7272.0,4 HCPCS,43757,Dx duod intub w/asp specs,,,971.94,7272.0,4 HCPCS,43761,"Hc Repositioning Of A Naso- Or Oro-Gastric Feeding Tube, Throught He Duodenum For Enteric Nutrition",3392.0,3392.0,,,0 HCPCS,43761,"Hc Repositioning Of A Naso- Or Oro-Gastric Feeding Tube, Throught He Duodenum For Enteric Nutrition-",4144.5,4144.5,,,0 HCPCS,43761,Pr Repos Naso/Oro Gastric Feeding Tube Thru Duo-Gast,1505.0,1505.0,,,0 HCPCS,43761,Pr Repos Naso/Oro Gastric Feeding Tube Thru Duo-Pbb,1505.0,1505.0,,,0 HCPCS,43761,Reposition gastrostomy tube,,,267.74,3399.0,4 HCPCS,43762,"Hc Rplcmnt Gastro Tube, Prctns, Incl Rmvl, W/O Img Or Endo Gdnce",3745.0,3745.0,,,0 HCPCS,43762,"Hc Rplcmnt Gastro Tube, Prctns, Incl Rmvl, W/O Img Or Endo Gdnce-Pbb",2990.0,2990.0,,,0 HCPCS,43762,Pr Perq Replacement Gtube Not Req Revj Gstrst Trc-Pbb,1022.0,1022.0,,,0 HCPCS,43762,Rplc gtube no revj trc,,,267.74,3399.0,4 HCPCS,43763,"Hc Rplcmnt Gastro Tube, Perq, Includes Rmvl, W/O Imagining Of-Pbb",6204.5,6204.5,,,0 HCPCS,43763,Pr Perq Replacement Gtube Req Revj Gstrst Trc-Pbb,1957.0,1957.0,,,0 HCPCS,43763,Rplc gtube revj gstrst trc,,,267.74,3399.0,4 HCPCS,43770,Lap place gastr adj device,,,11391.13,24760.0,4 HCPCS,43771,Lap revise gastr adj device,,,14227.0,14227.0,1 HCPCS,43772,Lap rmvl gastr adj device,,,4131.6,14227.0,4 HCPCS,43773,Lap replace gastr adj device,,,6478.5,22280.0,4 HCPCS,43774,Lap rmvl gastr adj all parts,,,4131.6,36418.0,4 HCPCS,43775,Lap sleeve gastrectomy,,,24760.0,24760.0,1 HCPCS,43800,Reconstruction of pylorus,,,10008.0,10008.0,1 HCPCS,43810,Fusion of stomach and bowel,,,10008.0,10008.0,1 HCPCS,43820,Fusion of stomach and bowel,,,10008.0,10008.0,1 HCPCS,43825,Fusion of stomach and bowel,,,10008.0,10008.0,1 HCPCS,43830,Place gastrostomy tube,,,2056.34,11000.0,4 HCPCS,43831,Place gastrostomy tube,,,971.94,7272.0,4 HCPCS,43832,Place gastrostomy tube,,,10008.0,10008.0,1 HCPCS,43840,Repair of stomach lesion,,,4131.6,14227.0,4 HCPCS,43842,V-band gastroplasty,,,10008.0,10008.0,1 HCPCS,43843,Gastroplasty w/o v-band,,,22280.0,22280.0,1 HCPCS,43845,Gastroplasty duodenal switch,,,10008.0,10008.0,1 HCPCS,43846,Gastric bypass for obesity,,,10008.0,10008.0,1 HCPCS,43847,Gastric bypass incl small i,,,10008.0,10008.0,1 HCPCS,43848,Revision gastroplasty,,,10008.0,10008.0,1 HCPCS,43860,Revise stomach-bowel fusion,,,10008.0,10008.0,1 HCPCS,43865,Revise stomach-bowel fusion,,,10008.0,10008.0,1 HCPCS,43870,"Hc Closure Of Gastrostomy, Surgical-Pbb",13251.5,13251.5,,,0 HCPCS,43870,Pr Closure Gastrostomy Surg-Pbb,6528.0,6528.0,,,0 HCPCS,43870,Repair stomach opening,,,4131.6,11000.0,4 HCPCS,43880,Repair stomach-bowel fistula,,,10008.0,10008.0,1 HCPCS,43881,Impl/redo electrd antrum,,,10008.0,10008.0,1 HCPCS,43882,Revise/remove electrd antrum,,,10008.0,10008.0,1 HCPCS,43886,Revise gastric port open,,,3797.52,14227.0,4 HCPCS,43887,Remove gastric port open,,,2211.05,7272.0,4 HCPCS,43888,Change gastric port open,,,3797.52,14227.0,4 HCPCS,43889,Gstr rstcv px trnsorl esg,,,11391.13,16517.13,3 HCPCS,43999,Hc Adjust Gastric Band Diameter By Injection,550.0,550.0,,,0 HCPCS,43999,Stomach surgery procedure,,,971.94,7272.0,4 HCPCS,44005,Freeing of bowel adhesion,,,10008.0,10008.0,1 HCPCS,44010,Incision of small bowel,,,10008.0,10008.0,1 HCPCS,44015,Insert needle cath bowel,,,10008.0,10008.0,1 HCPCS,44020,Explore small intestine,,,10008.0,10008.0,1 HCPCS,44021,Decompress small bowel,,,10008.0,10008.0,1 HCPCS,44025,Incision of large bowel,,,10008.0,10008.0,1 HCPCS,44050,Reduce bowel obstruction,,,10008.0,10008.0,1 HCPCS,44055,Correct malrotation of bowel,,,10008.0,10008.0,1 HCPCS,44100,Biopsy of bowel,,,971.94,7272.0,4 HCPCS,44100,"Hc Biopsy Of Intestine By Capsule, Tube, Peroral",6126.0,6126.0,,,0 HCPCS,44100,"Hc Biopsy Of Intestine By Capsule, Tube, Peroral-Pbb",5519.5,5519.5,,,0 HCPCS,44100,Pr Bx Intestine Capsule Tube Proral 1/> Specimens-Gast,1580.0,1580.0,,,0 HCPCS,44100,Pr Bx Intestine Capsule Tube Proral 1/> Specimens-Pbb,1580.0,1580.0,,,0 HCPCS,44110,Excise intestine lesion(s),,,10008.0,10008.0,1 HCPCS,44111,Excision of bowel lesion(s),,,10008.0,10008.0,1 HCPCS,44120,Removal of small intestine,,,10008.0,10008.0,1 HCPCS,44121,Removal of small intestine,,,10008.0,10008.0,1 HCPCS,44125,Removal of small intestine,,,10008.0,10008.0,1 HCPCS,44126,Enterectomy w/o taper cong,,,10008.0,10008.0,1 HCPCS,44127,Enterectomy w/taper cong,,,10008.0,10008.0,1 HCPCS,44128,Enterectomy cong add-on,,,10008.0,10008.0,1 HCPCS,44130,Bowel to bowel fusion,,,10008.0,10008.0,1 HCPCS,44132,Enterectomy cadaver donor,,,10008.0,10008.0,1 HCPCS,44132,"Hc Donor Enterectomy, Open; From Cadaver Donor",204265.0,204265.0,,,0 HCPCS,44133,Enterectomy live donor,,,10008.0,10008.0,1 HCPCS,44135,Intestine transplnt cadaver,,,10008.0,10008.0,1 HCPCS,44136,Intestine transplant live,,,10008.0,10008.0,1 HCPCS,44137,Remove intestinal allograft,,,10008.0,10008.0,1 HCPCS,44139,Mobilization of colon,,,10008.0,10008.0,1 HCPCS,44140,Partial removal of colon,,,10008.0,10008.0,1 HCPCS,44141,Partial removal of colon,,,10008.0,10008.0,1 HCPCS,44143,Partial removal of colon,,,10008.0,10008.0,1 HCPCS,44144,Partial removal of colon,,,10008.0,10008.0,1 HCPCS,44145,Partial removal of colon,,,10008.0,10008.0,1 HCPCS,44146,Partial removal of colon,,,10008.0,10008.0,1 HCPCS,44147,Partial removal of colon,,,10008.0,10008.0,1 HCPCS,44150,Removal of colon,,,10008.0,10008.0,1 HCPCS,44151,Removal of colon/ileostomy,,,10008.0,10008.0,1 HCPCS,44155,Removal of colon/ileostomy,,,10008.0,10008.0,1 HCPCS,44156,Removal of colon/ileostomy,,,10008.0,10008.0,1 HCPCS,44157,Colectomy w/Ileoanal Anast,,,10008.0,10008.0,1 HCPCS,44158,Colectomy w/Neo-Rectum Pouch,,,10008.0,10008.0,1 HCPCS,44160,Removal of colon,,,10008.0,10008.0,1 HCPCS,44180,Lap enterolysis,,,6478.5,24760.0,4 HCPCS,44186,Lap jejunostomy,,,6478.5,24760.0,4 HCPCS,44187,Lap ileo/jejuno-stomy,,,10008.0,10008.0,1 HCPCS,44188,Lap colostomy,,,10008.0,10008.0,1 HCPCS,44202,Lap enterectomy,,,22280.0,22280.0,1 HCPCS,44203,Lap resect s/intestine addl,,,22280.0,22280.0,1 HCPCS,44204,Laparo partial colectomy,,,22280.0,22280.0,1 HCPCS,44205,Lap colectomy part w/ileum,,,10008.0,10008.0,1 HCPCS,44206,Lap part colectomy w/stoma,,,10008.0,10008.0,1 HCPCS,44207,L colectomy/coloproctostomy,,,10008.0,10008.0,1 HCPCS,44208,L colectomy/coloproctostomy,,,10008.0,10008.0,1 HCPCS,44210,Laparo total proctocolectomy,,,10008.0,10008.0,1 HCPCS,44211,Lap colectomy w/proctectomy,,,10008.0,10008.0,1 HCPCS,44212,Laparo total proctocolectomy,,,10008.0,10008.0,1 HCPCS,44213,Lap mobil splenic fl add-on,,,10008.0,10008.0,1 HCPCS,44227,Lap close enterostomy,,,10008.0,10008.0,1 HCPCS,44238,Laparoscope proc intestine,,,6478.5,22280.0,4 HCPCS,44300,Open bowel to skin,,,2056.34,7272.0,4 HCPCS,44310,Ileostomy/jejunostomy,,,10008.0,10008.0,1 HCPCS,44312,Revision of ileostomy,,,3797.52,14227.0,4 HCPCS,44314,Revision of ileostomy,,,3797.52,14227.0,4 HCPCS,44316,Devise bowel pouch,,,10008.0,10008.0,1 HCPCS,44320,Colostomy,,,10008.0,10008.0,1 HCPCS,44322,Colostomy with biopsies,,,10008.0,10008.0,1 HCPCS,44340,Revision of colostomy,,,3797.52,14227.0,4 HCPCS,44345,Revision of colostomy,,,3797.52,14227.0,4 HCPCS,44346,Revision of colostomy,,,3797.52,14227.0,4 HCPCS,44360,"Hc Sm Intest Endoscpy,Enteroscpy 2Nd Portn Duodenum,Not Incl Ileum;Diag,Incl Colln Spec Brush/Wash-P",5100.0,5100.0,,,0 HCPCS,44360,Pr Endoscopy Upper Small Intestine-Gast,3860.0,3860.0,,,0 HCPCS,44360,Pr Endoscopy Upper Small Intestine-Pbb,3860.0,3860.0,,,0 HCPCS,44360,Small bowel endoscopy,,,2056.34,7272.0,4 HCPCS,44361,"Hc Sm Intest Endosc, Enterosc Beyond 2Nd Portion Of Duodenum, Not Incl Ileum; W/ Bx, Single Or Mult-",9057.5,9057.5,,,0 HCPCS,44361,Pr Endoscopy Upper Small Intestine W/Biopsy-Gast,4133.0,4133.0,,,0 HCPCS,44361,Pr Endoscopy Upper Small Intestine W/Biopsy-Pbb,4133.0,4133.0,,,0 HCPCS,44361,Small bowel endoscopy/biopsy,,,2056.34,7272.0,4 HCPCS,44363,"Hc Small Intest Endo, Enteroscopy Beyond 2Nd Portn Of Duodenum, Not Incl Ileum;W/Rmvl Of Foreign Bdy",5862.5,5862.5,,,0 HCPCS,44363,Pr Enteroscopy > 2Nd Prtn W/Rmvl Foreign Body-Gast,4133.0,4133.0,,,0 HCPCS,44363,Pr Enteroscopy > 2Nd Prtn W/Rmvl Foreign Body-Pbb,4133.0,4133.0,,,0 HCPCS,44363,Small bowel endoscopy,,,2056.34,7272.0,4 HCPCS,44364,"Hc Sm Intst Endo, Entscpy Beynd 2Nd Ptn Of Duod, Not Incl Ilm;Rmvl Of Tmor,Plyp,Or Les By Snare Tcnq",6986.5,6986.5,,,0 HCPCS,44364,Pr Enteroscopy > 2Nd Prtn W/Rmvl Lesion Snare-Gast,4685.0,4685.0,,,0 HCPCS,44364,Pr Enteroscopy > 2Nd Prtn W/Rmvl Lesion Snare-Pbb,4685.0,4685.0,,,0 HCPCS,44364,Small bowel endoscopy,,,2056.34,7272.0,4 HCPCS,44365,"Hc Smll Int End, Enscpy Bynd 2Nd Pt Duo,Not Inc Ilm;W Rmv Tmr(S) Plyp(S) Les(S) By Hot Bx Fcp Or Cty",6986.5,6986.5,,,0 HCPCS,44365,Pr Enteroscopy > 2Nd Prtn W/Rmvl Lesion Cautery-Gast,4685.0,4685.0,,,0 HCPCS,44365,Pr Enteroscopy > 2Nd Prtn W/Rmvl Lesion Cautery-Pbb,4685.0,4685.0,,,0 HCPCS,44365,Small bowel endoscopy,,,2056.34,7272.0,4 HCPCS,44366,"Hc Small Intest Endscpy, Enteroscpy Bynd Second Portn Of Duod, Not Incldng Ileum; W/ Cntrl Of Blding",8022.5,8022.5,,,0 HCPCS,44366,Pr Enteroscopy > 2Nd Prtn W/Control Bleeding-Gast,5505.0,5505.0,,,0 HCPCS,44366,Pr Enteroscopy > 2Nd Prtn W/Control Bleeding-Pbb,5505.0,5505.0,,,0 HCPCS,44366,Small bowel endoscopy,,,2056.34,7272.0,4 HCPCS,44369,"Hc Smll Intst Endscpy,Entscpy Bynd 2Nd Prtn Of D,Not Incl Ilm;W/Abltn Tumr,Plyp,Biplr Ctry/Snr Tchnq",7838.5,7838.5,,,0 HCPCS,44369,Pr Enteroscopy > 2Nd Prtn Abltj Lesion-Gast,4685.0,4685.0,,,0 HCPCS,44369,Pr Enteroscopy > 2Nd Prtn Abltj Lesion-Pbb,4685.0,4685.0,,,0 HCPCS,44369,Small bowel endoscopy,,,2056.34,7272.0,4 HCPCS,44370,"Hc Small Intest Endoscopy; Beyond 2Nd Portion Duoden, Not Incl Ileum; W/Transendoscopic Stent Place-",11701.5,11701.5,,,0 HCPCS,44370,Pr Enteroscopy > 2Nd Prtn Tndsc Stent Plmt-Gast,5783.0,5783.0,,,0 HCPCS,44370,Pr Enteroscopy > 2Nd Prtn Tndsc Stent Plmt-Pbb,5783.0,5783.0,,,0 HCPCS,44370,Small Bowel Endoscopy/Stent,,,6505.69,14227.0,4 HCPCS,44372,"Hc Sm Intst Endoscpy,Entroscpy Bynd 2Nd Prtn Of Dudenum,Nt Incl Ilum;W/Plcmnt Of Perc Jejunostmy Tub",6574.0,6574.0,,,0 HCPCS,44372,Pr Enteroscopy > 2Nd Prtn W/Plmt Prq Tube-Gast,3860.0,3860.0,,,0 HCPCS,44372,Pr Enteroscopy > 2Nd Prtn W/Plmt Prq Tube-Pbb,3860.0,3860.0,,,0 HCPCS,44372,Small bowel endoscopy,,,2056.34,7272.0,4 HCPCS,44373,"Hc Mri,Brain, Funcal Mri;Incl Test Sel&Adm Rep Body Part Mvmnt &Or Vis Stim,Not Req Md/Psych Adm-Pbb",6574.0,6574.0,,,0 HCPCS,44373,Pr Enteroscopy > 2Nd Prtn Conv Gstrst Tube-Gast,3860.0,3860.0,,,0 HCPCS,44373,Pr Enteroscopy > 2Nd Prtn Conv Gstrst Tube-Pbb,3860.0,3860.0,,,0 HCPCS,44373,Small bowel endoscopy,,,2056.34,7272.0,4 HCPCS,44376,"Hc Sm Intest Sm,Entscopy Beynd 2Nd Ptn Of Duod,Incl Ileum;Diag, W/Or W/O Col Of Spec(S)By Brush/Wash",7853.5,7853.5,,,0 HCPCS,44376,Pr Enterosc >2Nd Prtn W/Ileum W/Wo Collj Spec Spx-Gast,4268.0,4268.0,,,0 HCPCS,44376,Pr Enterosc >2Nd Prtn W/Ileum W/Wo Collj Spec Spx-Pbb,4268.0,4268.0,,,0 HCPCS,44376,Small bowel endoscopy,,,2056.34,7272.0,4 HCPCS,44377,"Hc Small Intest Endscpy, Enteroscpy Bynd Second Portn Of Duod, Incldng Ileum; W/ Bx, Sngl Or Mltpl-P",8364.5,8364.5,,,0 HCPCS,44377,Pr Enterosc >2Nd Prtn W/Ileum W/Bx Single/Multiple-Gast,4685.0,4685.0,,,0 HCPCS,44377,Pr Enterosc >2Nd Prtn W/Ileum W/Bx Single/Multiple-Pbb,4685.0,4685.0,,,0 HCPCS,44377,Small bowel endoscopy/biopsy,,,2056.34,7272.0,4 HCPCS,44378,"Hc Small Intest Endoscopy, Enteroscopy Beyond 2Nd Portn Of Duodenm, Incl Ileum; W/ Cntrl Of Bleeding",10967.0,10967.0,,,0 HCPCS,44378,Pr Enteroscopy > 2Nd Prtn Ileum Control Bleeding-Gast,6474.0,6474.0,,,0 HCPCS,44378,Pr Enteroscopy > 2Nd Prtn Ileum Control Bleeding-Pbb,6474.0,6474.0,,,0 HCPCS,44378,Small bowel endoscopy,,,2056.34,7272.0,4 HCPCS,44379,"Hc Small Intest Endoscopy, Enteroscopy >2Nd Portion Of Duoden/Ileum/W/ Transendoscop Stent Plcement-",11418.5,11418.5,,,0 HCPCS,44379,Pr Enteroscopy > 2Nd Prtn W/Ileum W/Stent Plmt-Gast,6407.0,6407.0,,,0 HCPCS,44379,Pr Enteroscopy > 2Nd Prtn W/Ileum W/Stent Plmt-Pbb,6407.0,6407.0,,,0 HCPCS,44379,S Bowel Endoscope W/Stent,,,6505.69,14227.0,4 HCPCS,44380,"Hc Ileoscopy, Through Stoma; Diag, Incl Collection Of Specimen(S) By Brushing Or Washing, When Perf",6764.0,6764.0,,,0 HCPCS,44380,"Hc Ileoscopy, Through Stoma; Diag, Incl Collection Of Specimen(S) By Brushing Or Washing, When Perf-",5455.0,5455.0,,,0 HCPCS,44380,Pr Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd-Gast,3028.0,3028.0,,,0 HCPCS,44380,Pr Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd-Pbb,3028.0,3028.0,,,0 HCPCS,44380,Small bowel endoscopy br/wa,,,971.94,7272.0,4 HCPCS,44381,"Hc Ileoscopy, Through Stoma; With Transendoscopic Balloon Dilation",5353.0,5353.0,,,0 HCPCS,44381,"Hc Ileoscopy, Through Stoma; With Transendoscopic Balloon Dilation-Pbb",4377.5,4377.5,,,0 HCPCS,44381,Pr Ileoscopy Stoma W/Balloon Dilation-Gast,2274.0,2274.0,,,0 HCPCS,44381,Pr Ileoscopy Stoma W/Balloon Dilation-Pbb,2274.0,2274.0,,,0 HCPCS,44381,Small bowel endoscopy br/wa,,,2056.34,7272.0,4 HCPCS,44382,"Hc Ileoscopy, Through Stoma; With Biopsy, Single Or Multiple",9555.0,9555.0,,,0 HCPCS,44382,"Hc Ileoscopy, Through Stoma; With Biopsy, Single Or Multiple-Pbb",7843.5,7843.5,,,0 HCPCS,44382,Pr Ileoscopy Stoma W/Bx Single/Multiple-Gast,3994.0,3994.0,,,0 HCPCS,44382,Pr Ileoscopy Stoma W/Bx Single/Multiple-Pbb,3994.0,3994.0,,,0 HCPCS,44382,Small bowel endoscopy,,,971.94,7272.0,4 HCPCS,44384,"Hc Ileoscopy, Through Stoma; With Placement Of Endoscopic Stent",18266.0,18266.0,,,0 HCPCS,44384,"Hc Ileoscopy, Through Stoma; With Placement Of Endoscopic Stent-Pbb",16085.5,16085.5,,,0 HCPCS,44384,Pr Ileoscopy Stoma W/Plmt Of Endoscopic Stent-Gast,5457.0,5457.0,,,0 HCPCS,44384,Pr Ileoscopy Stoma W/Plmt Of Endoscopic Stent-Pbb,5457.0,5457.0,,,0 HCPCS,44384,Small bowel endoscopy,,,2056.34,7272.0,4 HCPCS,44385,Endoscopy of bowel pouch,,,996.56,7272.0,4 HCPCS,44385,"Hc Endoscopic Eval Small Intest Pouch; Diag Incl Collectn Of Specimen By Brushing/Washing, When Perf",6300.0,6300.0,,,0 HCPCS,44385,Hc Research Pouchoscopy,2920.0,2920.0,,,0 HCPCS,44385,Pr Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx-Gast,392.0,392.0,,,0 HCPCS,44385,Pr Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx-Pbb,3649.0,3649.0,,,0 HCPCS,44386,Endoscopy bowel pouch/biop,,,996.56,7272.0,4 HCPCS,44386,"Hc Endoscopic Evaluation Of Small Intestinal Pouch; With Biopsy, Single Or Multiple",8659.0,8659.0,,,0 HCPCS,44386,"Hc Endoscopic Evaluation Of Small Intestinal Pouch; With Biopsy, Single Or Multiple-Pbb",6784.5,6784.5,,,0 HCPCS,44386,Pr Ndsc Eval Intstinal Pouch W/Bx Single/Multiple-Gast,4268.0,4268.0,,,0 HCPCS,44386,Pr Ndsc Eval Intstinal Pouch W/Bx Single/Multiple-Pbb,4268.0,4268.0,,,0 HCPCS,44388,Colonoscopy thru stoma spx,,,996.56,7272.0,4 HCPCS,44388,"Hc Colonscpy Thrgh Stoma; Diagnstc, Incldng Cllctn Of Specimen(S) By Brshng Or Wshng, When Perfrmed",8245.0,8245.0,,,0 HCPCS,44388,"Hc Colonscpy Thrgh Stoma; Diagnstc, Incldng Cllctn Of Specimen(S) By Brshng Or Wshng, When Perfrmed-",6631.5,6631.5,,,0 HCPCS,44388,Pr Colonoscopy Stoma Dx Including Collj Spec Spx-Gast,3719.0,3719.0,,,0 HCPCS,44388,Pr Colonoscopy Stoma Dx Including Collj Spec Spx-Pbb,3719.0,3719.0,,,0 HCPCS,44389,Colonoscopy with biopsy,,,1282.34,7272.0,4 HCPCS,44389,"Hc Colonoscopy Through Stoma; With Biopsy, Single Or Multiple",9166.0,9166.0,,,0 HCPCS,44389,"Hc Colonoscopy Through Stoma; With Biopsy, Single Or Multiple-Pbb",7274.0,7274.0,,,0 HCPCS,44389,Pr Colonoscopy Stoma W/Biopsy Single/Multiple-Gast,4335.0,4335.0,,,0 HCPCS,44389,Pr Colonoscopy Stoma W/Biopsy Single/Multiple-Pbb,4335.0,4335.0,,,0 HCPCS,44390,Colonoscopy for foreign body,,,996.56,7272.0,4 HCPCS,44390,Hc Colonoscopy Stoma W/Rmvl Foreign Body-Pbb,3345.5,3345.5,,,0 HCPCS,44390,Pr Colonoscopy Stoma W/Rmvl Foreign Body-Gast,1564.0,1564.0,,,0 HCPCS,44390,Pr Colonoscopy Stoma W/Rmvl Foreign Body-Pbb,1564.0,1564.0,,,0 HCPCS,44391,Colonoscopy for bleeding,,,1282.34,7272.0,4 HCPCS,44391,"Hc Colonoscopy Through Stoma; With Control Of Bleeding, Any Method",8922.0,8922.0,,,0 HCPCS,44391,"Hc Colonoscopy Through Stoma; With Control Of Bleeding, Any Method-Pbb",6213.0,6213.0,,,0 HCPCS,44391,Pr Colonoscopy Stoma Control Bleeding-Gast,5949.0,5949.0,,,0 HCPCS,44391,Pr Colonoscopy Stoma Control Bleeding-Pbb,5949.0,5949.0,,,0 HCPCS,44392,Colonoscopy & polypectomy,,,1282.34,7272.0,4 HCPCS,44392,"Hc Colonoscopy Through Stoma; W/ Rmvl Of Tumor(S), Polyp(S), Or Other Les(S) By Hot Biopsy Forceps",7685.0,7685.0,,,0 HCPCS,44392,"Hc Colonoscopy Through Stoma; W/ Rmvl Of Tumor(S), Polyp(S), Or Other Les(S) By Hot Biopsy Forceps-P",5375.5,5375.5,,,0 HCPCS,44392,Pr Colonoscopy Stoma Rmvl Les By Hot Biopsy Forceps-Gast,5081.0,5081.0,,,0 HCPCS,44392,Pr Colonoscopy Stoma Rmvl Les By Hot Biopsy Forceps-Pbb,5081.0,5081.0,,,0 HCPCS,44394,Colonoscopy w/snare,,,1282.34,7272.0,4 HCPCS,44394,"Hc Colonoscopy Through Stoma; W/ Rmvl Of Tumor(S), Polyp(S), Or Other Les(S) By Snare Techniqu",10925.0,10925.0,,,0 HCPCS,44394,"Hc Colonoscopy Through Stoma; W/ Rmvl Of Tumor(S), Polyp(S), Or Other Les(S) By Snare Techniqu-Pbb",8711.5,8711.5,,,0 HCPCS,44394,Pr Colonoscopy Stoma W/Rmvl Tum Polyp/Oth Les Snare-Gast,5081.0,5081.0,,,0 HCPCS,44394,Pr Colonoscopy Stoma W/Rmvl Tum Polyp/Oth Les Snare-Pbb,5081.0,5081.0,,,0 HCPCS,44401,Colonoscopy with ablation,,,1282.34,7272.0,4 HCPCS,44401,"Hc Colonoscopy Through Stoma; With Ablation Of Tumor(S), Polyp(S), Or Other Lesion(S)",11540.0,11540.0,,,0 HCPCS,44401,"Hc Colonoscopy Through Stoma; With Ablation Of Tumor(S), Polyp(S), Or Other Lesion(S)-Pbb",8933.0,8933.0,,,0 HCPCS,44401,Pr Colonoscopy Stoma Ablation Lesion-Gast,5902.0,5902.0,,,0 HCPCS,44401,Pr Colonoscopy Stoma Ablation Lesion-Pbb,5902.0,5902.0,,,0 HCPCS,44402,Colonoscopy w/stent plcmt,,,6505.69,9433.25,4 HCPCS,44402,Hc Colonoscopy Through Stoma; With Endoscopic Stent Placement,17460.0,17460.0,,,0 HCPCS,44402,Hc Colonoscopy Through Stoma; With Endoscopic Stent Placement-Pbb,14785.0,14785.0,,,0 HCPCS,44402,Pr Colonoscopy Stoma W/Endoscopic Stent Plcmt-Gast,6399.0,6399.0,,,0 HCPCS,44402,Pr Colonoscopy Stoma W/Endoscopic Stent Plcmt-Pbb,6399.0,6399.0,,,0 HCPCS,44403,Colonoscopy w/resection,,,1282.34,7272.0,4 HCPCS,44403,Hc Colonoscopy Through Stoma; With Endoscopic Mucosal Resection,8642.0,8642.0,,,0 HCPCS,44403,Hc Colonoscopy Through Stoma; With Endoscopic Mucosal Resection-Pbb,5802.5,5802.5,,,0 HCPCS,44403,Pr Colonoscopy Stoma W/Endoscopic Mucosal Rescj-Gast,6199.0,6199.0,,,0 HCPCS,44403,Pr Colonoscopy Stoma W/Endoscopic Mucosal Rescj-Pbb,6199.0,6199.0,,,0 HCPCS,44404,Colonoscopy w/injection,,,1282.34,7272.0,4 HCPCS,44404,"Hc Colonoscopy Through Stoma; With Directed Submucosal Injection(S), Any Substance",6750.0,6750.0,,,0 HCPCS,44404,"Hc Colonoscopy Through Stoma; With Directed Submucosal Injection(S), Any Substance-Pbb",4827.5,4827.5,,,0 HCPCS,44404,Pr Colonoscopy Stoma W/Submucosal Injection-Gast,4249.0,4249.0,,,0 HCPCS,44404,Pr Colonoscopy Stoma W/Submucosal Injection-Pbb,4249.0,4249.0,,,0 HCPCS,44405,Colonoscopy w/dilation,,,1282.34,7272.0,4 HCPCS,44405,Hc Colonoscopy Through Stoma; With Transendoscopic Balloon Dilation,7031.0,7031.0,,,0 HCPCS,44405,Hc Colonoscopy Through Stoma; With Transendoscopic Balloon Dilation-Pbb,4972.5,4972.5,,,0 HCPCS,44405,Pr Colonoscopy Stoma W/Balloon Dilation-Gast,4539.0,4539.0,,,0 HCPCS,44405,Pr Colonoscopy Stoma W/Balloon Dilation-Pbb,4539.0,4539.0,,,0 HCPCS,44406,Colonoscopy w/ultrasound,,,1282.34,7272.0,4 HCPCS,44406,"Hc Clnscpy Thrustma;W/Endscpc U/S Exm,Lmtd To The Sig,Desc,Trans,Or Ascnd Colon&Cecum&Adj Structures",8459.0,8459.0,,,0 HCPCS,44406,Pr Colonoscopy Stoma W/Endoscopic Ultrasound Exam-Gast,6011.0,6011.0,,,0 HCPCS,44406,Pr Colonoscopy Stoma W/Endoscopic Ultrasound Exam-Pbb,6011.0,6011.0,,,0 HCPCS,44407,Colonoscopy w/ndl aspir/bx,,,1282.34,7272.0,4 HCPCS,44407,Hc Colonoscopy With Needle Aspiration And Biopsy,9332.0,9332.0,,,0 HCPCS,44407,Hc Colonoscopy With Needle Aspiration And Biopsy-Pbb,6158.5,6158.5,,,0 HCPCS,44407,Pr Colonoscopy Stoma W/Us Gid Ndl Aspir/Bx-Gast,6911.0,6911.0,,,0 HCPCS,44407,Pr Colonoscopy Stoma W/Us Gid Ndl Aspir/Bx-Pbb,6911.0,6911.0,,,0 HCPCS,44408,Colonoscopy w/decompression,,,996.56,7272.0,4 HCPCS,44408,"Hc Clnscpy Thru Stma;W/Decmpsn(For Path Distntn)(Eg,Vlvlus,Megacln)Incl Placmnt Of Decmpsn Tbe",8223.0,8223.0,,,0 HCPCS,44408,"Hc Clnscpy Thru Stma;W/Decmpsn(For Path Distntn)(Eg,Vlvlus,Megacln)Incl Placmnt Of Decmpsn Tbe-Pbb",5586.5,5586.5,,,0 HCPCS,44408,Pr Colonoscopy Through Stoma With Decompression-Gast,5768.0,5768.0,,,0 HCPCS,44408,Pr Colonoscopy Through Stoma With Decompression-Pbb,5768.0,5768.0,,,0 HCPCS,44500,Hc Introduction Of Long Gastrointestinal Tube,2833.0,2833.0,,,0 HCPCS,44500,Hc Introduction Of Long Gastrointestinal Tube-Pbb,3214.0,3214.0,,,0 HCPCS,44500,Intro gastrointestinal tube,,,971.94,7272.0,4 HCPCS,44500,Pr Introduction Long Gi Tube Separate Procedure-Gast,762.0,762.0,,,0 HCPCS,44500,Pr Introduction Long Gi Tube Separate Procedure-Pbb,762.0,762.0,,,0 HCPCS,44602,Suture small intestine,,,4131.6,11000.0,4 HCPCS,44603,Suture small intestine,,,10008.0,10008.0,1 HCPCS,44604,Suture large intestine,,,10008.0,10008.0,1 HCPCS,44605,Repair of bowel lesion,,,10008.0,10008.0,1 HCPCS,44615,Intestinal stricturoplasty,,,10008.0,10008.0,1 HCPCS,44620,Repair bowel opening,,,10008.0,10008.0,1 HCPCS,44625,Repair bowel opening,,,10008.0,10008.0,1 HCPCS,44626,Repair bowel opening,,,10008.0,10008.0,1 HCPCS,44640,Repair bowel-skin fistula,,,10008.0,10008.0,1 HCPCS,44650,Repair bowel fistula,,,10008.0,10008.0,1 HCPCS,44660,Repair bowel-bladder fistula,,,10008.0,10008.0,1 HCPCS,44661,Repair bowel-bladder fistula,,,10008.0,10008.0,1 HCPCS,44680,Surgical revision intestine,,,10008.0,10008.0,1 HCPCS,44700,Suspend bowel w/prosthesis,,,10008.0,10008.0,1 HCPCS,44701,Intraop colon lavage add-on,,,3399.0,3399.0,1 HCPCS,44705,"Hc Preparation Of Fecal Microbiota For Instillation, Including Assessment Of Donor Specimen",691.0,691.0,,,0 HCPCS,44705,"Hc Preparation Of Fecal Microbiota For Instillation, Including Assessment Of Donor Specimen-Pbb",479.5,479.5,,,0 HCPCS,44705,Pr Prepare Fecal Microbiota For Instillation-Gast,469.0,469.0,,,0 HCPCS,44705,Pr Prepare Fecal Microbiota For Instillation-Pbb,469.0,469.0,,,0 HCPCS,44715,Prepare donor intestine,,,10008.0,10008.0,1 HCPCS,44720,Prep donor intestine/venous,,,10008.0,10008.0,1 HCPCS,44721,Prep donor intestine/artery,,,10008.0,10008.0,1 HCPCS,44799,Hc Plugging Of Colo-Cutaneous Fistula,10816.0,10816.0,,,0 HCPCS,44799,Hc Unlisted Procedure Intestine,2778.0,2778.0,,,0 HCPCS,44799,Hc Unlisted Procedure Intestine-Pbb,4844.175,4844.175,,,0 HCPCS,44799,Pr Unlisted Procedure Small Intestine-Gast,1332.0,1332.0,,,0 HCPCS,44799,Pr Unlisted Procedure Small Intestine-Pbb,4132.0,4132.0,,,0 HCPCS,44799,Unlisted px small intestine,,,971.94,7272.0,4 HCPCS,44800,Excision of bowel pouch,,,10008.0,10008.0,1 HCPCS,44820,Excision of mesentery lesion,,,10008.0,10008.0,1 HCPCS,44850,Repair of mesentery,,,10008.0,10008.0,1 HCPCS,44899,Bowel surgery procedure,,,10008.0,10008.0,1 HCPCS,44900,Drain appendix abscess open,,,10008.0,10008.0,1 HCPCS,44950,Appendectomy,,,6937.47,14227.0,4 HCPCS,44955,Appendectomy add-on,,,3399.0,3399.0,1 HCPCS,44960,Appendectomy,,,10008.0,10008.0,1 HCPCS,44970,Laparoscopy appendectomy,,,6478.5,24760.0,4 HCPCS,44979,Laparoscope proc app,,,6478.5,22280.0,4 HCPCS,45000,Drainage of pelvic abscess,,,1282.34,7272.0,4 HCPCS,45005,Drainage of rectal abscess,,,1282.34,7272.0,4 HCPCS,45020,Drainage of rectal abscess,,,2974.45,7272.0,4 HCPCS,45100,Biopsy of rectum,,,2974.45,7272.0,4 HCPCS,45100,"Hc Biopsy Of Anorectal Wall, Anal Approach",11574.0,11574.0,,,0 HCPCS,45100,"Hc Biopsy Of Anorectal Wall, Anal Approach-Pbb",13050.5,13050.5,,,0 HCPCS,45100,Pr Bx Anorectal Wall Anal Approach-Pbb,2953.0,2953.0,,,0 HCPCS,45108,Removal of anorectal lesion,,,2974.45,11000.0,4 HCPCS,45110,Removal of rectum,,,10008.0,10008.0,1 HCPCS,45111,Partial removal of rectum,,,10008.0,10008.0,1 HCPCS,45112,Removal of rectum,,,10008.0,10008.0,1 HCPCS,45113,Partial proctectomy,,,10008.0,10008.0,1 HCPCS,45114,Partial removal of rectum,,,10008.0,10008.0,1 HCPCS,45116,Partial removal of rectum,,,10008.0,10008.0,1 HCPCS,45119,Remove rectum w/reservoir,,,10008.0,10008.0,1 HCPCS,45120,Removal of rectum,,,10008.0,10008.0,1 HCPCS,45121,Removal of rectum and colon,,,10008.0,10008.0,1 HCPCS,45123,Partial proctectomy,,,24760.0,24760.0,1 HCPCS,45126,Pelvic exenteration,,,10008.0,10008.0,1 HCPCS,45130,Excision of rectal prolapse,,,10008.0,10008.0,1 HCPCS,45135,Excision of rectal prolapse,,,10008.0,10008.0,1 HCPCS,45136,Excise ileoanal reservior,,,10008.0,10008.0,1 HCPCS,45150,Excision of rectal stricture,,,1282.34,7272.0,4 HCPCS,45160,Excision of rectal lesion,,,2974.45,11000.0,4 HCPCS,45171,Exc rect tum transanal part,,,2974.45,11000.0,4 HCPCS,45172,Exc rect tum transanal full,,,2974.45,14227.0,4 HCPCS,45172,Hc Exc Rect Tum Transanal Full Thickness-Pbb,10362.5,10362.5,,,0 HCPCS,45172,Pr Exc Rct Tum Incl Muscularis Propria-Pbb,6527.0,6527.0,,,0 HCPCS,45190,Destruction rectal tumor,,,2974.45,11000.0,4 HCPCS,45300,"Hc Proctosigmoidoscopy, Rigid; Diag, W/ Or W/Out Collection Of Specimen By Brushing Or Washing",1889.0,1889.0,,,0 HCPCS,45300,"Hc Proctosigmoidoscopy, Rigid; Diag, W/ Or W/Out Collection Of Specimen By Brushing Or Washing-Pbb",2144.0,2144.0,,,0 HCPCS,45300,Pr Proctosgmdsc Rgd Dx W/Wo Collj Spec Br/Wa Spx-Gast,510.0,510.0,,,0 HCPCS,45300,Pr Proctosgmdsc Rgd Dx W/Wo Collj Spec Br/Wa Spx-Pbb,510.0,510.0,,,0 HCPCS,45300,Proctosigmoidoscopy dx,,,996.56,5007.0,4 HCPCS,45303,Proctosigmoidoscopy dilate,,,1282.34,7272.0,4 HCPCS,45305,"Hc Proctosigmoidoscopy, Rigid, With Biopsy, Single Or Multiple",2731.0,2731.0,,,0 HCPCS,45305,"Hc Proctosigmoidoscopy, Rigid, With Biopsy, Single Or Multiple-Pbb",3150.5,3150.5,,,0 HCPCS,45305,Pr Proctosgmdsc Rigid W/Bx Single/Multiple-Gast,839.0,839.0,,,0 HCPCS,45305,Pr Proctosgmdsc Rigid W/Bx Single/Multiple-Pbb,839.0,839.0,,,0 HCPCS,45305,Proctosigmoidoscopy w/bx,,,1282.34,7272.0,4 HCPCS,45307,"Hc Proctosigmoidoscopy, Rigid; With Removal Of Foreign Body",6749.0,6749.0,,,0 HCPCS,45307,"Hc Proctosigmoidoscopy, Rigid; With Removal Of Foreign Body-Pbb",6351.5,6351.5,,,0 HCPCS,45307,Pr Proctosgmdsc Rigid W/Rmvl Foreign Body-Gast,1199.0,1199.0,,,0 HCPCS,45307,Pr Proctosgmdsc Rigid W/Rmvl Foreign Body-Pbb,1199.0,1199.0,,,0 HCPCS,45307,Proctosigmoidoscopy fb,,,2974.45,11000.0,4 HCPCS,45308,Proctosigmoidoscopy removal,,,2974.45,7272.0,4 HCPCS,45309,Proctosigmoidoscopy removal,,,1282.34,7272.0,4 HCPCS,45315,"Hc Prctsigmdscpy, Rgd; W Rmvl Of Mult Tmrs, Plyps, Otr Les By Hot Bx Frcps, Biplar Caut Or Snre Tec",4348.0,4348.0,,,0 HCPCS,45315,"Hc Prctsigmdscpy, Rgd; W Rmvl Of Mult Tmrs, Plyps, Otr Les By Hot Bx Frcps, Biplar Caut Or Snre Tec-",3519.5,3519.5,,,0 HCPCS,45315,Pr Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare-Gast,1917.0,1917.0,,,0 HCPCS,45315,Pr Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare-Pbb,1917.0,1917.0,,,0 HCPCS,45315,Proctosigmoidoscopy removal,,,1282.34,7272.0,4 HCPCS,45317,"Hc Proctosigmoidoscopy, Rigid; With Control Of Bleeding",5519.0,5519.0,,,0 HCPCS,45317,"Hc Proctosigmoidoscopy, Rigid; With Control Of Bleeding-Pbb",6418.0,6418.0,,,0 HCPCS,45317,Pr Proctosgmdsc Rigid Control Bleeding-Gast,1799.0,1799.0,,,0 HCPCS,45317,Pr Proctosgmdsc Rigid Control Bleeding-Pbb,1799.0,1799.0,,,0 HCPCS,45317,Proctosigmoidoscopy bleed,,,1282.34,7272.0,4 HCPCS,45320,Proctosigmoidoscopy ablate,,,2974.45,11000.0,4 HCPCS,45321,Proctosigmoidoscopy volvul,,,2974.45,11000.0,4 HCPCS,45327,"Hc Proctosigmoidoscopy, Rigid; With Transendoscopic Stent Placement",9064.0,9064.0,,,0 HCPCS,45327,"Hc Proctosigmoidoscopy, Rigid; With Transendoscopic Stent Placement-Pbb",8943.5,8943.5,,,0 HCPCS,45327,Pr Proctosgmdsc Rigid Tndsc Stent Plmt-Gast,784.0,784.0,,,0 HCPCS,45327,Pr Proctosgmdsc Rigid Tndsc Stent Plmt-Pbb,784.0,784.0,,,0 HCPCS,45327,Proctosigmoidoscopy W/Stent,,,6505.69,14227.0,4 HCPCS,45330,Diagnostic sigmoidoscopy,,,996.56,5007.0,4 HCPCS,45330,Hc Research Flex Sig Diagnostic,1065.0,1065.0,,,0 HCPCS,45330,"Hc Sigmoidoscopy, Flex; Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf",3804.0,3804.0,,,0 HCPCS,45330,"Hc Sigmoidoscopy, Flex; Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf-Pbb",3424.0,3424.0,,,0 HCPCS,45330,Pr Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa If Pfrmd-Gast,988.0,988.0,,,0 HCPCS,45330,Pr Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa If Pfrmd-Pbb,988.0,988.0,,,0 HCPCS,45331,"Hc Sigmoidoscopy, Flexible; With Biopsy, Single Or Multiple",4499.0,4499.0,,,0 HCPCS,45331,"Hc Sigmoidoscopy, Flexible; With Biopsy, Single Or Multiple-Pbb",3913.0,3913.0,,,0 HCPCS,45331,Pr Sigmoidoscopy Flx W/Biopsy Single/Multiple-Gast,1442.0,1442.0,,,0 HCPCS,45331,Pr Sigmoidoscopy Flx W/Biopsy Single/Multiple-Pbb,1442.0,1442.0,,,0 HCPCS,45331,Sigmoidoscopy and biopsy,,,996.56,5007.0,4 HCPCS,45332,"Hc Sigmoidoscopy, Flexible; With Removal Of Foreign Body",4306.0,4306.0,,,0 HCPCS,45332,"Hc Sigmoidoscopy, Flexible; With Removal Of Foreign Body-Pbb",3535.0,3535.0,,,0 HCPCS,45332,Pr Sigmoidoscopy Flx W/Rmvl Foreign Body-Gast,1799.0,1799.0,,,0 HCPCS,45332,Pr Sigmoidoscopy Flx W/Rmvl Foreign Body-Pbb,1799.0,1799.0,,,0 HCPCS,45332,Sigmoidoscopy w/fb removal,,,1282.34,7272.0,4 HCPCS,45333,"Hc Sigmoidoscopy, Flexible; With Removal Of Tumor, Polyp, Or Other Lesion By Hot Biopsy Forceps",5606.0,5606.0,,,0 HCPCS,45333,"Hc Sigmoidoscopy, Flexible; With Removal Of Tumor, Polyp, Or Other Lesion By Hot Biopsy Forceps-Pbb",4218.0,4218.0,,,0 HCPCS,45333,Pr Sigmoidoscopy Flx W/Rmvl Tumor By Hot Bx Forceps-Gast,3114.0,3114.0,,,0 HCPCS,45333,Pr Sigmoidoscopy Flx W/Rmvl Tumor By Hot Bx Forceps-Pbb,3114.0,3114.0,,,0 HCPCS,45333,Sigmoidoscopy & polypectomy,,,996.56,5007.0,4 HCPCS,45334,"Hc Sigmoidoscopy, Flexible; With Control Of Bleeding, Any Method",6567.0,6567.0,,,0 HCPCS,45334,"Hc Sigmoidoscopy, Flexible; With Control Of Bleeding, Any Method-Pbb",5416.0,5416.0,,,0 HCPCS,45334,Pr Sigmoidoscopy Flx Control Bleeding-Gast,2694.0,2694.0,,,0 HCPCS,45334,Pr Sigmoidoscopy Flx Control Bleeding-Pbb,2694.0,2694.0,,,0 HCPCS,45334,Sigmoidoscopy for bleeding,,,1282.34,7272.0,4 HCPCS,45335,"Hc Sigmoidoscopy, Flexible; With Directed Submucosal Injection, Any Substance",6674.0,6674.0,,,0 HCPCS,45335,"Hc Sigmoidoscopy, Flexible; With Directed Submucosal Injection, Any Substance-Pbb",5526.0,5526.0,,,0 HCPCS,45335,Pr Sgmdsc Flx Dired Sbmcsl Njx Any Sbst-Gast,2694.0,2694.0,,,0 HCPCS,45335,Pr Sgmdsc Flx Dired Sbmcsl Njx Any Sbst-Pbb,2694.0,2694.0,,,0 HCPCS,45335,Sigmoidoscopy w/submuc inj,,,996.56,5007.0,4 HCPCS,45337,"Hc Sigmoidoscopy, Flex; W/ Decompression, Incl Placement Of Decompression Tube, When Perf",5003.0,5003.0,,,0 HCPCS,45337,"Hc Sigmoidoscopy, Flex; W/ Decompression, Incl Placement Of Decompression Tube, When Perf-Pbb",3894.0,3894.0,,,0 HCPCS,45337,Pr Sgmdsc Flx W/Dcmprn W/Plmt Dcmprn Tube-Gast,2517.0,2517.0,,,0 HCPCS,45337,Pr Sgmdsc Flx W/Dcmprn W/Plmt Dcmprn Tube-Pbb,2517.0,2517.0,,,0 HCPCS,45337,Sigmoidoscopy & decompress,,,996.56,7272.0,4 HCPCS,45338,"Hc Sigmoidoscopy, Flexible; With Removal Of Tumor, Polyps, Or Other Lesion By Snare Technique",7036.0,7036.0,,,0 HCPCS,45338,"Hc Sigmoidoscopy, Flexible; With Removal Of Tumor, Polyps, Or Other Lesion By Snare Technique-Pbb",5691.0,5691.0,,,0 HCPCS,45338,Pr Sgmdsc Flx Rmvl Tum Polyp/Oth Les Snare Tq-Gast,3114.0,3114.0,,,0 HCPCS,45338,Pr Sgmdsc Flx Rmvl Tum Polyp/Oth Les Snare Tq-Pbb,3114.0,3114.0,,,0 HCPCS,45338,Sigmoidoscopy w/tumr remove,,,1282.34,7272.0,4 HCPCS,45340,"Hc Sigmoidoscopy, Flexible; With Transendoscopic Balloon Dilation",4480.0,4480.0,,,0 HCPCS,45340,"Hc Sigmoidoscopy, Flexible; With Transendoscopic Balloon Dilation-Pbb",4016.5,4016.5,,,0 HCPCS,45340,Pr Sigmoidoscopy Flx Tndsc Balo Dilat-Gast,1199.0,1199.0,,,0 HCPCS,45340,Pr Sigmoidoscopy Flx Tndsc Balo Dilat-Pbb,1199.0,1199.0,,,0 HCPCS,45340,Sig w/tndsc balloon dilation,,,1282.34,7272.0,4 HCPCS,45341,"Hc Sigmoidoscopy, Flexible; With Endoscopic Ultrasound",7205.0,7205.0,,,0 HCPCS,45341,"Hc Sigmoidoscopy, Flexible; With Endoscopic Ultrasound-Pbb",6821.5,6821.5,,,0 HCPCS,45341,Pr Sigmoidoscopy Flx Ndsc Us Xm-Gast,1199.0,1199.0,,,0 HCPCS,45341,Pr Sigmoidoscopy Flx Ndsc Us Xm-Pbb,1199.0,1199.0,,,0 HCPCS,45341,Sigmoidoscopy W/Ultrasound,,,996.56,7272.0,4 HCPCS,45342,"Hc Sigmoidoscopy, Flexible; W/ Transendoscopic Ultrsnd Guided Intrmrl Or Trnsmrl Needle Asprtn/Bx",3899.0,3899.0,,,0 HCPCS,45342,"Hc Sigmoidoscopy, Flexible; W/ Transendoscopic Ultrsnd Guided Intrmrl Or Trnsmrl Needle Asprtn/Bx-Pb",3324.0,3324.0,,,0 HCPCS,45342,Pr Sigmoidoscopy Flx Tndsc Us Gid Ndl Aspir/Bx-Gast,1377.0,1377.0,,,0 HCPCS,45342,Pr Sigmoidoscopy Flx Tndsc Us Gid Ndl Aspir/Bx-Pbb,1377.0,1377.0,,,0 HCPCS,45342,Sigmoidoscopy W/Us Guide Bx,,,1282.34,7272.0,4 HCPCS,45346,"Hc Sigmoidoscopy, Flexible, With Ablation Of Tumor, Polyp, Or Other Lesion",11785.0,11785.0,,,0 HCPCS,45346,"Hc Sigmoidoscopy, Flexible, With Ablation Of Tumor, Polyp, Or Other Lesion-Pbb",10171.5,10171.5,,,0 HCPCS,45346,Pr Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les-Gast,3938.0,3938.0,,,0 HCPCS,45346,Pr Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les-Pbb,3938.0,3938.0,,,0 HCPCS,45346,Sigmoidoscopy w/ablation,,,1282.34,7272.0,4 HCPCS,45347,"Hc Sigmoidiscopy, Flexible; With Placement Of Endoscopic Stent",6197.0,6197.0,,,0 HCPCS,45347,"Hc Sigmoidiscopy, Flexible; With Placement Of Endoscopic Stent-Pbb",5638.0,5638.0,,,0 HCPCS,45347,Pr Sigmoidoscopy Flx Placement Of Endoscopic Stent-Gast,1494.0,1494.0,,,0 HCPCS,45347,Pr Sigmoidoscopy Flx Placement Of Endoscopic Stent-Pbb,1494.0,1494.0,,,0 HCPCS,45347,Sigmoidoscopy w/plcmt stent,,,6505.69,9433.25,4 HCPCS,45349,"Hc Sigmoidoscopy, Flexible; With Endoscopic Mucosal Resection",4616.0,4616.0,,,0 HCPCS,45349,"Hc Sigmoidoscopy, Flexible; With Endoscopic Mucosal Resection-Pbb",3792.0,3792.0,,,0 HCPCS,45349,Pr Sgmdsc Flx With Endoscopic Mucosal Resection-Gast,1923.0,1923.0,,,0 HCPCS,45349,Pr Sgmdsc Flx With Endoscopic Mucosal Resection-Pbb,1923.0,1923.0,,,0 HCPCS,45349,Sigmoidoscopy w/resection,,,2974.45,7272.0,4 HCPCS,45350,"Hc Sigmoidoscopy, Flexible; With Band Ligation",3616.0,3616.0,,,0 HCPCS,45350,"Hc Sigmoidoscopy, Flexible; With Band Ligation-Pbb",3277.5,3277.5,,,0 HCPCS,45350,Pr Sigmoidoscopy Flx With With Band Ligation(S)-Gast,894.0,894.0,,,0 HCPCS,45350,Pr Sigmoidoscopy Flx With With Band Ligation(S)-Pbb,894.0,894.0,,,0 HCPCS,45350,Sgmdsc w/band ligation,,,1282.34,7272.0,4 HCPCS,45378,Diagnostic colonoscopy,,,996.56,3970.0,4 HCPCS,45378,"Hc Colonoscopy, Flex; Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf",7534.0,7534.0,,,0 HCPCS,45378,"Hc Colonoscopy, Flex; Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf-Pbb",6365.0,6365.0,,,0 HCPCS,45378,Pr Colonoscopy Flx Dx W/Collj Spec When Pfrmd-Gast,2790.0,2790.0,,,0 HCPCS,45378,Pr Colonoscopy Flx Dx W/Collj Spec When Pfrmd-Pbb,2790.0,2790.0,,,0 HCPCS,45379,Colonoscopy w/fb removal,,,1282.34,7272.0,4 HCPCS,45379,"Hc Colonoscopy, Flexible, With Removal Of Foreign Body",8238.0,8238.0,,,0 HCPCS,45379,"Hc Colonoscopy, Flexible, With Removal Of Foreign Body-Pbb",6860.5,6860.5,,,0 HCPCS,45379,Pr Colonoscopy Flx W/Removal Of Foreign Body(S)-Gast,3251.0,3251.0,,,0 HCPCS,45379,Pr Colonoscopy Flx W/Removal Of Foreign Body(S)-Pbb,3251.0,3251.0,,,0 HCPCS,45380,Colonoscopy and biopsy,,,1282.34,3970.0,4 HCPCS,45380,"Hc Colonoscopy, Flexible; With Biopsy, Single Or Multiple",7767.0,7767.0,,,0 HCPCS,45380,"Hc Colonoscopy, Flexible; With Biopsy, Single Or Multiple-Pbb",6235.0,6235.0,,,0 HCPCS,45380,Hc Research Colonoscopy Complete,5566.0,5566.0,,,0 HCPCS,45380,Hc Research Colonoscopy Complete-Pbb,2767.0,2767.0,,,0 HCPCS,45380,Pr Colonoscopy W/Biopsy Single/Multiple-Gast,289.0,289.0,,,0 HCPCS,45380,Pr Colonoscopy W/Biopsy Single/Multiple-Pbb,3064.0,3064.0,,,0 HCPCS,45381,Colonoscopy submucous njx,,,1282.34,3970.0,4 HCPCS,45381,"Hc Colonoscopy, Flexible; With Directed Submucosal Injection, Any Substance",8207.0,8207.0,,,0 HCPCS,45381,"Hc Colonoscopy, Flexible; With Directed Submucosal Injection, Any Substance-Pbb",6595.5,6595.5,,,0 HCPCS,45381,Pr Colsc Flx With Directed Submucosal Njx Any Sbst-Gast,3719.0,3719.0,,,0 HCPCS,45381,Pr Colsc Flx With Directed Submucosal Njx Any Sbst-Pbb,3719.0,3719.0,,,0 HCPCS,45382,Colonoscopy w/control bleed,,,1282.34,7272.0,4 HCPCS,45382,"Hc Colonoscopy, Flexible; With Control Of Bleeding, Any Method",7178.0,7178.0,,,0 HCPCS,45382,"Hc Colonoscopy, Flexible; With Control Of Bleeding, Any Method-Pbb",5534.5,5534.5,,,0 HCPCS,45382,Pr Colsc Flexible W/Control Bleeding Any Method-Gast,3719.0,3719.0,,,0 HCPCS,45382,Pr Colsc Flexible W/Control Bleeding Any Method-Pbb,3719.0,3719.0,,,0 HCPCS,45384,Colonoscopy w/lesion removal,,,1282.34,3970.0,4 HCPCS,45384,"Hc Colonoscopy, Flexible; With Removal Of Tumor, Polyp, Or Other Lesion By Hot Biopsy Forceps",8430.0,8430.0,,,0 HCPCS,45384,"Hc Colonoscopy, Flexible; With Removal Of Tumor, Polyp, Or Other Lesion By Hot Biopsy Forceps-Pbb",6709.0,6709.0,,,0 HCPCS,45384,Pr Colsc Flx W/Removal Lesion By Hot Bx Forceps-Gast,3949.0,3949.0,,,0 HCPCS,45384,Pr Colsc Flx W/Removal Lesion By Hot Bx Forceps-Pbb,3949.0,3949.0,,,0 HCPCS,45385,Colonoscopy w/lesion removal,,,1282.34,3970.0,4 HCPCS,45385,"Hc Colonoscopy, Flexible; With Removal Of Tumor, Polyp, Or Other Lesion By Snare Technique",8724.0,8724.0,,,0 HCPCS,45385,"Hc Colonoscopy, Flexible; With Removal Of Tumor, Polyp, Or Other Lesion By Snare Technique-Pbb",7011.5,7011.5,,,0 HCPCS,45385,Pr Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq-Gast,3949.0,3949.0,,,0 HCPCS,45385,Pr Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq-Pbb,3949.0,3949.0,,,0 HCPCS,45386,Colonoscopy w/balloon dilat,,,1282.34,7272.0,4 HCPCS,45386,"Hc Colonoscopy, Flexible; With Transendoscopic Balloon Dilation",7808.0,7808.0,,,0 HCPCS,45386,"Hc Colonoscopy, Flexible; With Transendoscopic Balloon Dilation-Pbb",6322.5,6322.5,,,0 HCPCS,45386,Pr Colsc Flexible W/Transendoscopic Balloon Dilat-Gast,3439.0,3439.0,,,0 HCPCS,45386,Pr Colsc Flexible W/Transendoscopic Balloon Dilat-Pbb,3439.0,3439.0,,,0 HCPCS,45388,Colonoscopy w/ablation,,,1282.34,7272.0,4 HCPCS,45388,"Hc Colonoscopy, Flexible; With Ablation Of Tumor, Polyp, Or Other Lesions",12876.0,12876.0,,,0 HCPCS,45388,"Hc Colonoscopy, Flexible; With Ablation Of Tumor, Polyp, Or Other Lesions-Pbb",10876.5,10876.5,,,0 HCPCS,45388,Pr Colonoscopy Flx Ablation Tumor Polyp/Other Les-Gast,4772.0,4772.0,,,0 HCPCS,45388,Pr Colonoscopy Flx Ablation Tumor Polyp/Other Les-Pbb,4772.0,4772.0,,,0 HCPCS,45389,Colonoscopy w/stent plcmt,,,6505.69,9433.25,4 HCPCS,45389,"Hc Colonoscopy, Flexible; With Endoscopic Stent Placement",13762.0,13762.0,,,0 HCPCS,45389,"Hc Colonoscopy, Flexible; With Endoscopic Stent Placement-Pbb",11672.5,11672.5,,,0 HCPCS,45389,Pr Colonoscopy Flx With Endoscopic Stent Placement-Gast,5003.0,5003.0,,,0 HCPCS,45389,Pr Colonoscopy Flx With Endoscopic Stent Placement-Pbb,5003.0,5003.0,,,0 HCPCS,45390,Colonoscopy w/resection,,,2974.45,7272.0,4 HCPCS,45390,"Hc Colonoscopy, Flexible; With Endoscopic Mucosal Resection",5717.0,5717.0,,,0 HCPCS,45390,"Hc Colonoscopy, Flexible; With Endoscopic Mucosal Resection-Pbb",4295.5,4295.5,,,0 HCPCS,45390,Pr Colonoscopy Flx W/Endoscopic Mucosal Resection-Gast,3186.0,3186.0,,,0 HCPCS,45390,Pr Colonoscopy Flx W/Endoscopic Mucosal Resection-Pbb,3186.0,3186.0,,,0 HCPCS,45391,Colonoscopy w/endoscope us,,,1282.34,7272.0,4 HCPCS,45391,"Hc Clnscpy,Flex;W/Endoscpc U/S Exm Lmtd To The Rctm,Sigm,Desc,Trans,Or Asc Colon&Cecum,& Adj Strctrs",8015.0,8015.0,,,0 HCPCS,45391,Pr Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux-Gast,2138.0,2138.0,,,0 HCPCS,45391,Pr Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux-Pbb,2138.0,2138.0,,,0 HCPCS,45392,Colonoscopy w/endoscopic fnb,,,1282.34,7272.0,4 HCPCS,45392,"Hc Colonoscopy, Flexible; With Endoscopic Fine Needle Aspiration/Biopsy",5097.0,5097.0,,,0 HCPCS,45392,"Hc Colonoscopy, Flexible; With Endoscopic Fine Needle Aspiration/Biopsy-Pbb",3902.0,3902.0,,,0 HCPCS,45392,Pr Colsc Flx W/Us Guid Ndl Aspir/Bx W/Us Rctm Et Al-Gast,2692.0,2692.0,,,0 HCPCS,45392,Pr Colsc Flx W/Us Guid Ndl Aspir/Bx W/Us Rctm Et Al-Pbb,2692.0,2692.0,,,0 HCPCS,45393,Colonoscopy w/decompression,,,1282.34,7272.0,4 HCPCS,45393,"Hc Colonoscopy, Flex; W/ Decompression, Incl Placement Of Decompression Tube, When Perf",4953.0,4953.0,,,0 HCPCS,45393,"Hc Colonoscopy, Flex; W/ Decompression, Incl Placement Of Decompression Tube, When Perf-Pbb",3902.5,3902.5,,,0 HCPCS,45393,Pr Colonoscopy Flexible With Decompression-Gast,2399.0,2399.0,,,0 HCPCS,45393,Pr Colonoscopy Flexible With Decompression-Pbb,2399.0,2399.0,,,0 HCPCS,45395,Lap removal of rectum,,,10008.0,10008.0,1 HCPCS,45397,Lap remove rectum w/pouch,,,10008.0,10008.0,1 HCPCS,45398,Colonoscopy w/band ligation,,,1282.34,7272.0,4 HCPCS,45398,"Hc Colonoscopy, Flexible; With Band Ligation",4719.0,4719.0,,,0 HCPCS,45398,"Hc Colonoscopy, Flexible; With Band Ligation-Pbb",3781.0,3781.0,,,0 HCPCS,45398,Pr Colonoscopy Flexible With Band Ligation(S)-Gast,2157.0,2157.0,,,0 HCPCS,45398,Pr Colonoscopy Flexible With Band Ligation(S)-Pbb,2157.0,2157.0,,,0 HCPCS,45399,Hc Unlisted Procedure Colon-Pbb,7060.0,7060.0,,,0 HCPCS,45399,Pr Unlisted Procedure Colon-Pbb,3124.0,3124.0,,,0 HCPCS,45399,Unlisted procedure colon,,,996.56,7272.0,4 HCPCS,45400,Laparoscopic proc,,,10008.0,10008.0,1 HCPCS,45402,Lap proctopexy w/sig resect,,,10008.0,10008.0,1 HCPCS,45499,Laparoscope proc rectum,,,6478.5,22280.0,4 HCPCS,45500,Repair of rectum,,,2974.45,11000.0,4 HCPCS,45505,Repair of rectum,,,2974.45,14227.0,4 HCPCS,45520,Treatment of rectal prolapse,,,996.56,5007.0,4 HCPCS,45540,Correct rectal prolapse,,,10008.0,10008.0,1 HCPCS,45541,Correct rectal prolapse,,,2974.45,14227.0,4 HCPCS,45550,Repair rectum/remove sigmoid,,,10008.0,10008.0,1 HCPCS,45560,Repair of rectocele,,,2974.45,14227.0,4 HCPCS,45562,Exploration/repair of rectum,,,10008.0,10008.0,1 HCPCS,45563,Exploration/repair of rectum,,,10008.0,10008.0,1 HCPCS,45800,Repair rect/bladder fistula,,,10008.0,10008.0,1 HCPCS,45805,Repair fistula w/colostomy,,,10008.0,10008.0,1 HCPCS,45820,Repair rectourethral fistula,,,10008.0,10008.0,1 HCPCS,45825,Repair fistula w/colostomy,,,10008.0,10008.0,1 HCPCS,45900,Reduction of rectal prolapse,,,996.56,5007.0,4 HCPCS,45905,Dilation of anal sphincter,,,1282.34,7272.0,4 HCPCS,45905,Hc Dilation Of Anal Sphincter Under Anesthesia Other Than Local,7190.0,7190.0,,,0 HCPCS,45905,Hc Dilation Of Anal Sphincter Under Anesthesia Other Than Local-Pbb,7870.5,7870.5,,,0 HCPCS,45905,Pr Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local-Pbb,1361.0,1361.0,,,0 HCPCS,45910,Dilation of rectal narrowing,,,1282.34,7272.0,4 HCPCS,45915,Hc Removal Of Fecal Impaction Or Foreign Body Under Anesthesia,7190.0,7190.0,,,0 HCPCS,45915,Hc Removal Of Fecal Impaction Or Foreign Body Under Anesthesia-Pbb,8152.5,8152.5,,,0 HCPCS,45915,Pr Rmvl Fecal Impaction/Fb Spx Under Anes-Pbb,1925.0,1925.0,,,0 HCPCS,45915,Remove rectal obstruction,,,1282.34,7272.0,4 HCPCS,45990,Surg dx exam anorectal,,,2974.45,7272.0,4 HCPCS,45999,Rectum surgery procedure,,,996.56,5007.0,4 HCPCS,46020,Hc Placement Seton,9552.0,9552.0,,,0 HCPCS,46020,Hc Placement Seton-Pbb,10857.0,10857.0,,,0 HCPCS,46020,Placement of seton,,,2974.45,11000.0,4 HCPCS,46020,Pr Placement Seton-Pbb,2610.0,2610.0,,,0 HCPCS,46030,"Hc Removal, Anal Seton, Other Marker",3870.0,3870.0,,,0 HCPCS,46030,"Hc Removal, Anal Seton, Other Marker-Pbb",4371.5,4371.5,,,0 HCPCS,46030,Pr Removal Anal Seton Other Marker-Pbb,1003.0,1003.0,,,0 HCPCS,46030,Removal of rectal marker,,,1282.34,7272.0,4 HCPCS,46040,Hc I&D Of Ischiorectal And/Or Perirectal Abscess,3868.0,3868.0,,,0 HCPCS,46040,Incision of rectal abscess,,,1282.34,7272.0,4 HCPCS,46045,"Hc I&D Of Intramural, Intramuscular, Or Submucosal Abcess, Transanal, Under Anesthesia",7121.0,7121.0,,,0 HCPCS,46045,"Hc I&D Of Intramural, Intramuscular, Or Submucosal Abcess, Transanal, Under Anesthesia-Pbb",9365.5,9365.5,,,0 HCPCS,46045,Incision of rectal abscess,,,2974.45,11000.0,4 HCPCS,46045,Pr I&D Intramural Im/Absc Transanal Anes-Pbb,4489.0,4489.0,,,0 HCPCS,46050,"Hc I&D, Perianal Abcess, Superficial",4709.0,4709.0,,,0 HCPCS,46050,"Hc I&D, Perianal Abcess, Superficial-Pbb",5753.5,5753.5,,,0 HCPCS,46050,Incision of anal abscess,,,996.56,5007.0,4 HCPCS,46050,Pr I&D Perianal Abscess Superficial-Pbb,2089.0,2089.0,,,0 HCPCS,46060,"Hc I&D Ischiorectal/Intramural Abscess, W/Wo Seton",9552.0,9552.0,,,0 HCPCS,46060,"Hc I&D Ischiorectal/Intramural Abscess, W/Wo Seton-Pbb",12214.0,12214.0,,,0 HCPCS,46060,Incision of rectal abscess,,,2974.45,7272.0,4 HCPCS,46060,Pr I&D Ischiorct/Intramural Absc W/Wo Seton-Pbb,5324.0,5324.0,,,0 HCPCS,46070,Incision of anal septum,,,2974.45,7272.0,4 HCPCS,46080,Incision of anal sphincter,,,2974.45,7272.0,4 HCPCS,46083,"Hc Incision Of Thrombosed Hemorrhoid, External",1158.0,1158.0,,,0 HCPCS,46083,"Hc Incision Of Thrombosed Hemorrhoid, External-Pbb",1808.5,1808.5,,,0 HCPCS,46083,Incise external hemorrhoid,,,267.74,3399.0,4 HCPCS,46083,Pr Incision Thrombosed Hemorrhoid External-Gast,1301.0,1301.0,,,0 HCPCS,46083,Pr Incision Thrombosed Hemorrhoid External-Pbb,1301.0,1301.0,,,0 HCPCS,46200,Removal of anal fissure,,,2974.45,11000.0,4 HCPCS,46220,Excise anal ext tag/papilla,,,1282.34,7272.0,4 HCPCS,46220,"Hc Excision Of Single External Papilla Or Tag, Anus",7190.0,7190.0,,,0 HCPCS,46220,"Hc Excision Of Single External Papilla Or Tag, Anus-Pbb",7909.0,7909.0,,,0 HCPCS,46220,Pr Excision Single External Papilla Or Tag Anus-Pbb,1438.0,1438.0,,,0 HCPCS,46221,"Hc Hemorrhoidectomy, Internal, By Rubber Band Ligation",2952.0,2952.0,,,0 HCPCS,46221,"Hc Hemorrhoidectomy, Internal, By Rubber Band Ligation-Pbb",3932.0,3932.0,,,0 HCPCS,46221,Ligation of hemorrhoid(s),,,996.56,5007.0,4 HCPCS,46221,Pr Hemorrhoidectomy Internal Rubber Band Ligations-Gast,1960.0,1960.0,,,0 HCPCS,46221,Pr Hemorrhoidectomy Internal Rubber Band Ligations-Pbb,1960.0,1960.0,,,0 HCPCS,46230,Removal of anal tags,,,2974.45,7272.0,4 HCPCS,46250,Remove ext hem groups 2+,,,2974.45,11000.0,4 HCPCS,46255,Remove int/ext hem 1 group,,,2974.45,11000.0,4 HCPCS,46257,Remove in/ex hem grp & fiss,,,2974.45,11000.0,4 HCPCS,46258,Remove in/ex hem grp w/fistu,,,2974.45,11000.0,4 HCPCS,46260,"Hc Hemorrhoidectomy, Int & Ext, Complex/Extensive-Pbb",12230.0,12230.0,,,0 HCPCS,46260,Pr Hemorrhoidectomy Int & Xtrnl 2/> Column/Gro-Pbb,5356.0,5356.0,,,0 HCPCS,46260,Remove in/ex hem groups 2+,,,2974.45,11000.0,4 HCPCS,46261,Remove in/ex hem grps & fiss,,,2974.45,11000.0,4 HCPCS,46262,Remove in/ex hem grps w/fist,,,2974.45,11000.0,4 HCPCS,46270,Remove anal fist subq,,,2974.45,11000.0,4 HCPCS,46275,Remove anal fist inter,,,2974.45,11000.0,4 HCPCS,46280,Remove anal fist complex,,,2974.45,11000.0,4 HCPCS,46285,Remove anal fist 2 stage,,,2974.45,11000.0,4 HCPCS,46288,Repair anal fistula,,,2974.45,14227.0,4 HCPCS,46320,Hc Excision Of Thrombosed Hemorrhoid Clot,3649.0,3649.0,,,0 HCPCS,46320,Hc Excision Of Thrombosed Hemorrhoid Clot-Pbb,4233.5,4233.5,,,0 HCPCS,46320,Pr Exc Thrombosed Hemorrhoid Xtrnl-Pbb,1169.0,1169.0,,,0 HCPCS,46320,Removal of hemorrhoid clot,,,1282.34,7272.0,4 HCPCS,46500,"Hc Injection Of Sclerosing Solution, Hemorrhoids",2112.0,2112.0,,,0 HCPCS,46500,"Hc Injection Of Sclerosing Solution, Hemorrhoids-Pbb",3987.0,3987.0,,,0 HCPCS,46500,Injection into hemorrhoid(s),,,996.56,5007.0,4 HCPCS,46500,Pr Injection Sclerosing Solution Hemorrhoids-Gast,3750.0,3750.0,,,0 HCPCS,46500,Pr Injection Sclerosing Solution Hemorrhoids-Pbb,3750.0,3750.0,,,0 HCPCS,46505,Chemodenervation anal musc,,,1282.34,7272.0,4 HCPCS,46505,Hc Chemodenervation Of Anal Sphincter,7323.0,7323.0,,,0 HCPCS,46505,Pr Chemodenervation Internal Anal Sphincter-Pbb,2152.0,2152.0,,,0 HCPCS,46600,Diagnostic anoscopy spx,,,142.58,3399.0,4 HCPCS,46600,"Hc Anoscopy, Diagnostic, Including Collection Of Specimen By Brushing Or Washing, When Performed",565.0,565.0,,,0 HCPCS,46600,"Hc Anoscopy, Diagnostic, Including Collection Of Specimen By Brushing Or Washing, When Performed-Pbb",786.0,786.0,,,0 HCPCS,46600,Pr Anoscopy Dx W/Collj Spec Br/Wa Spx When Prfrmd-Pbb,442.0,442.0,,,0 HCPCS,46601,Diagnostic anoscopy,,,478.72,3399.0,4 HCPCS,46601,"Hc Anoscpy, Dx, W/High-Resoltn Magn & Chem Agnt Enhncmnt,Incl Col Of Spec By Brush Or Wash,When Perf",937.0,937.0,,,0 HCPCS,46601,Pr Anoscopy Dx W/Hra &Chem Agnts Enhancement-Pbb,449.0,449.0,,,0 HCPCS,46604,Anoscopy and dilation,,,1282.34,7272.0,4 HCPCS,46604,Hc Anoscopy; With Dilation,3998.0,3998.0,,,0 HCPCS,46604,Hc Anoscopy; With Dilation-Pbb,3126.0,3126.0,,,0 HCPCS,46604,Pr Anoscopy W/Dilation-Pbb,873.0,873.0,,,0 HCPCS,46606,Anoscopy and biopsy,,,1282.34,7272.0,4 HCPCS,46606,"Hc Anoscopy; With Biopsy, Single Or Multiple",2943.0,2943.0,,,0 HCPCS,46606,"Hc Anoscopy; With Biopsy, Single Or Multiple-Pbb",3379.5,3379.5,,,0 HCPCS,46606,Pr Anoscopy W/Bx Single/Multiple-Pbb,873.0,873.0,,,0 HCPCS,46607,Diagnostic anoscopy & biopsy,,,1282.34,7272.0,4 HCPCS,46607,"Hc Anoscopy; W/ High-Resolution Magnification And Chemical Agent Enhancement, W/ Bx, Single Or Mult",2133.0,2133.0,,,0 HCPCS,46607,"Hc Anoscopy; W/ High-Resolution Magnification And Chemical Agent Enhancement, W/ Bx, Single Or Mult-",1970.0,1970.0,,,0 HCPCS,46607,Pr Anoscopy Dx W/Hra &Chem Agnts Enhancement W/Bx-Pbb,456.0,456.0,,,0 HCPCS,46608,Anoscopy remove for body,,,996.56,7272.0,4 HCPCS,46610,Anoscopy remove lesion,,,2974.45,11000.0,4 HCPCS,46611,Anoscopy,,,996.56,7272.0,4 HCPCS,46612,Anoscopy remove lesions,,,2974.45,11000.0,4 HCPCS,46614,Anoscopy control bleeding,,,1282.34,7272.0,4 HCPCS,46614,Hc Anoscopy With Bleed Control-Pbb,1460.0,1460.0,,,0 HCPCS,46614,Pr Anoscopy Control Bleeding-Pbb,549.0,549.0,,,0 HCPCS,46615,Anoscopy,,,2974.45,11000.0,4 HCPCS,46615,"Hc Anoscopy; W/ Ablation, Lesion, Not Removed By Hot Forceps",7268.0,7268.0,,,0 HCPCS,46615,"Hc Anoscopy; W/ Ablation, Lesion, Not Removed By Hot Forceps-Pbb",7666.5,7666.5,,,0 HCPCS,46615,Pr Anoscopy Ablation Lesion-Pbb,797.0,797.0,,,0 HCPCS,46700,Repair of anal stricture,,,2974.45,11000.0,4 HCPCS,46705,Repair of anal stricture,,,10008.0,10008.0,1 HCPCS,46706,Repr of anal fistula w/glue,,,2974.45,11000.0,4 HCPCS,46707,Repair anorectal fist w/plug,,,2974.45,14227.0,4 HCPCS,46710,Repr per/vag pouch sngl proc,,,10008.0,10008.0,1 HCPCS,46712,Repr per/vag pouch dbl proc,,,10008.0,10008.0,1 HCPCS,46715,Rep perf anoper fistu,,,10008.0,10008.0,1 HCPCS,46716,Rep perf anoper/vestib fistu,,,10008.0,10008.0,1 HCPCS,46730,Construction of absent anus,,,10008.0,10008.0,1 HCPCS,46735,Construction of absent anus,,,10008.0,10008.0,1 HCPCS,46740,Construction of absent anus,,,10008.0,10008.0,1 HCPCS,46742,Repair of imperforated anus,,,10008.0,10008.0,1 HCPCS,46744,Repair of cloacal anomaly,,,10008.0,10008.0,1 HCPCS,46746,Repair of cloacal anomaly,,,10008.0,10008.0,1 HCPCS,46748,Repair of cloacal anomaly,,,10008.0,10008.0,1 HCPCS,46750,Repair of anal sphincter,,,2974.45,14227.0,4 HCPCS,46751,Repair of anal sphincter,,,10008.0,10008.0,1 HCPCS,46753,Reconstruction of anus,,,2974.45,11000.0,4 HCPCS,46754,Removal of suture from anus,,,2974.45,7272.0,4 HCPCS,46760,Repair of anal sphincter,,,2974.45,14227.0,4 HCPCS,46761,Repair of anal sphincter,,,2974.45,14227.0,4 HCPCS,46900,Destruction anal lesion(s),,,435.63,3399.0,4 HCPCS,46900,"Hc Destruction Of Lesion, Anus, Simple; Chemical",1589.0,1589.0,,,0 HCPCS,46900,"Hc Destruction Of Lesion, Anus, Simple; Chemical-Pbb",2063.5,2063.5,,,0 HCPCS,46900,Pr Dstrj Lesion Anus Simple Chemical-Gast,949.0,949.0,,,0 HCPCS,46900,Pr Dstrj Lesion Anus Simple Chemical-Pbb,949.0,949.0,,,0 HCPCS,46910,Destruction anal lesion(s),,,2211.05,7272.0,4 HCPCS,46910,"Hc Destruction Of Lesion, Anus, Simple; Electrodesiccation",8422.0,8422.0,,,0 HCPCS,46910,"Hc Destruction Of Lesion, Anus, Simple; Electrodesiccation-Pbb",9213.0,9213.0,,,0 HCPCS,46910,Pr Dstrj Lesion Anus Smpl Eltrdsiccation-Pbb,1583.0,1583.0,,,0 HCPCS,46916,Cryosurgery anal lesion(s),,,215.0,3399.0,4 HCPCS,46916,"Hc Destruction Of Lesion, Anus, Simple; Cryosurgery",1496.0,1496.0,,,0 HCPCS,46916,"Hc Destruction Of Lesion, Anus, Simple; Cryosurgery-Pbb",2308.5,2308.5,,,0 HCPCS,46916,Pr Dstrj Lesion Anus Simple Cryosurgery-Pbb,1625.0,1625.0,,,0 HCPCS,46917,"Hc Desctruction Of Lesion, Anus, Simple; Laser Surgery",6174.0,6174.0,,,0 HCPCS,46917,"Hc Desctruction Of Lesion, Anus, Simple; Laser Surgery-Pbb",7981.0,7981.0,,,0 HCPCS,46917,Laser surgery anal lesions,,,2974.45,11000.0,4 HCPCS,46917,Pr Dstrj Lesion Anus Simple Laser Surg-Pbb,3614.0,3614.0,,,0 HCPCS,46922,Excision of anal lesion(s),,,2974.45,11000.0,4 HCPCS,46922,"Hc Destruction Of Lesion, Anus, Simple; Surgical Excision",11354.0,11354.0,,,0 HCPCS,46922,"Hc Destruction Of Lesion, Anus, Simple; Surgical Excision-Pbb",12573.0,12573.0,,,0 HCPCS,46922,Pr Dstrj Lesion Anus Simple Surg Excision-Pbb,2437.0,2437.0,,,0 HCPCS,46924,Destruction anal lesion(s),,,2974.45,11000.0,4 HCPCS,46924,"Hc Destruction Of Lesion, Anus, Extensive",7645.0,7645.0,,,0 HCPCS,46924,"Hc Destruction Of Lesion, Anus, Extensive-Pbb",10356.0,10356.0,,,0 HCPCS,46924,Pr Dstrj Lesion Anus Extensive-Gast,5422.0,5422.0,,,0 HCPCS,46924,Pr Dstrj Lesion Anus Extensive-Pbb,5422.0,5422.0,,,0 HCPCS,46930,Destroy internal hemorrhoids,,,1282.34,5007.0,4 HCPCS,46930,Hc Desctruction Of Interal Hemorrhoids By Thermal Enery,3567.0,3567.0,,,0 HCPCS,46930,Hc Desctruction Of Interal Hemorrhoids By Thermal Enery-Pbb,2745.0,2745.0,,,0 HCPCS,46930,Pr Destruction Internal Hemorrhoid Thermal Energy-Gast,1854.0,1854.0,,,0 HCPCS,46930,Pr Destruction Internal Hemorrhoid Thermal Energy-Pbb,1854.0,1854.0,,,0 HCPCS,46940,Treatment of anal fissure,,,2974.45,7272.0,4 HCPCS,46942,Treatment of anal fissure,,,996.56,5007.0,4 HCPCS,46945,"Hc Hemorrhoidectomy, Internal, By Ligation Other Than Rubber Band; Single Hemorrhoid Column/Group",10771.0,10771.0,,,0 HCPCS,46945,"Hc Hemorrhoidectomy, Internal, By Ligation Other Than Rubber Band; Single Hemorrhoid Column/Group-Pb",10369.0,10369.0,,,0 HCPCS,46945,Pr Int Hrhc By Ligation Single Hroid W/O Img Gdn-Gast,1450.0,1450.0,,,0 HCPCS,46945,Pr Int Hrhc By Ligation Single Hroid W/O Img Gdn-Pbb,1450.0,1450.0,,,0 HCPCS,46945,Remove by ligat int hem grp,,,2974.45,11000.0,4 HCPCS,46946,"Hc Hemorrhoidectomy, Internal, By Ligation Other Than Rubber Band; 2 Or More Emorrhoid Column/Groups",11471.0,11471.0,,,0 HCPCS,46946,Pr Int Hrhc By Ligation 2+ Hroid W/O Img Gdn-Gast,2170.0,2170.0,,,0 HCPCS,46946,Pr Int Hrhc By Ligation 2+ Hroid W/O Img Gdn-Pbb,2170.0,2170.0,,,0 HCPCS,46946,Remove by ligat int hem grps,,,2974.45,11000.0,4 HCPCS,46947,Hemorrhoidopexy by stapling,,,2974.45,14227.0,4 HCPCS,46948,Int hrhc tranal dartlzj 2+,,,2974.45,11000.0,4 HCPCS,46999,Anus surgery procedure,,,996.56,5007.0,4 HCPCS,47000,"Hc Biopsy Of Liver, Needle; Percutaneous",7279.0,7279.0,,,0 HCPCS,47000,"Hc Biopsy Of Liver, Needle; Percutaneous-Pbb",8488.5,8488.5,,,0 HCPCS,47000,Needle biopsy of liver,,,1769.88,7272.0,4 HCPCS,47000,Pr Biopsy Liver Needle Percutaneous-Gast,2491.0,2491.0,,,0 HCPCS,47000,Pr Biopsy Liver Needle Percutaneous-Pbb,2419.0,2419.0,,,0 HCPCS,47001,Needle biopsy liver add-on,,,3399.0,3399.0,1 HCPCS,47010,Open drainage liver lesion,,,10008.0,10008.0,1 HCPCS,47015,Inject/aspirate liver cyst,,,7272.0,7272.0,1 HCPCS,47100,Wedge biopsy of liver,,,11000.0,11000.0,1 HCPCS,47120,Partial removal of liver,,,10008.0,10008.0,1 HCPCS,47122,Extensive removal of liver,,,10008.0,10008.0,1 HCPCS,47125,Partial removal of liver,,,10008.0,10008.0,1 HCPCS,47130,Partial removal of liver,,,10008.0,10008.0,1 HCPCS,47133,Removal of donor liver,,,10008.0,10008.0,1 HCPCS,47135,Transplantation of liver,,,10008.0,10008.0,1 HCPCS,47140,Partial removal donor liver,,,10008.0,10008.0,1 HCPCS,47141,Partial removal donor liver,,,10008.0,10008.0,1 HCPCS,47142,Partial removal donor liver,,,10008.0,10008.0,1 HCPCS,47143,Prep donor liver whole,,,10008.0,10008.0,1 HCPCS,47144,Prep donor liver 3-segment,,,10008.0,10008.0,1 HCPCS,47145,Prep donor liver lobe split,,,10008.0,10008.0,1 HCPCS,47146,Prep donor liver/venous,,,10008.0,10008.0,1 HCPCS,47147,Prep donor liver/arterial,,,10008.0,10008.0,1 HCPCS,47300,Surgery for liver lesion,,,10008.0,10008.0,1 HCPCS,47350,Repair liver wound,,,10008.0,10008.0,1 HCPCS,47360,Repair liver wound,,,10008.0,10008.0,1 HCPCS,47361,Repair liver wound,,,10008.0,10008.0,1 HCPCS,47362,Repair liver wound,,,10008.0,10008.0,1 HCPCS,47370,Laparo ablate liver tumor rf,,,11391.13,36418.0,4 HCPCS,47371,Laparo ablate liver cryosurg,,,11391.13,36418.0,4 HCPCS,47379,Laparoscope procedure liver,,,6478.5,22280.0,4 HCPCS,47380,Open ablate liver tumor rf,,,10008.0,10008.0,1 HCPCS,47381,Open ablate liver tumor cryo,,,10008.0,10008.0,1 HCPCS,47382,"Hc Ablation, 1 Or More Liver Tumors, Percutaneous, Radiofrequency",24252.0,24252.0,,,0 HCPCS,47382,Percut ablate liver rf,,,6478.5,24760.0,4 HCPCS,47383,"Hc Ablation, 1 Or More Liver Tumors, Percutaneous, Cryoablation",15570.0,15570.0,,,0 HCPCS,47383,Perq abltj lvr cryoablation,,,11391.13,24760.0,4 HCPCS,47384,Abltj ire liver 1+ tum perq,,,11391.13,16517.13,3 HCPCS,47399,Hc Ablation Of Liver Tumors By Injection,5324.0,5324.0,,,0 HCPCS,47399,Hc Marker Placement Liver,1203.0,1203.0,,,0 HCPCS,47399,Hc Thermoablation Liver Tumor,5324.0,5324.0,,,0 HCPCS,47399,Liver surgery procedure,,,758.85,5007.0,4 HCPCS,47400,Incision of liver duct,,,10008.0,10008.0,1 HCPCS,47420,Incision of bile duct,,,10008.0,10008.0,1 HCPCS,47425,Incision of bile duct,,,10008.0,10008.0,1 HCPCS,47460,Incise bile duct sphincter,,,10008.0,10008.0,1 HCPCS,47480,Incision of gallbladder,,,10008.0,10008.0,1 HCPCS,47490,"Hc Chlcyststmy, Perq, Cmplt Prcdr, Imgng Gdnc, Cth Plcmnt, Chlcystgrm Whn Prfrmd, Rdsprvsn & Intrprt",5687.0,5687.0,,,0 HCPCS,47490,Incision of gallbladder,,,3836.82,14227.0,4 HCPCS,47531,"Hc Inject Cholangiography, Perc, Complete With Image, Exist",4804.0,4804.0,,,0 HCPCS,47531,Injection for cholangiogram,,,3836.82,14227.0,4 HCPCS,47532,"Hc Inject Cholangiography, Perc, Complete With Image, New Access",5663.0,5663.0,,,0 HCPCS,47532,Injection for cholangiogram,,,3836.82,14227.0,4 HCPCS,47533,"Hc Place Biliary Drain Cath, Perc, Cholangiography, Image, S&I, Ext",20831.0,20831.0,,,0 HCPCS,47533,Plmt biliary drainage cath,,,3836.82,14227.0,4 HCPCS,47534,"Hc Place Biliary Drain Cath, Perc, Cholangiography, Internal-External",26581.0,26581.0,,,0 HCPCS,47534,Plmt biliary drainage cath,,,3836.82,14227.0,4 HCPCS,47535,Conversion ext bil drg cath,,,3836.82,14227.0,4 HCPCS,47535,"Hc Conv Ext Biliary Drain Cath To Internal-External Cath, Perc",20225.0,20225.0,,,0 HCPCS,47536,Exchange biliary drg cath,,,3836.82,14227.0,4 HCPCS,47536,"Hc Exch Biliary Drainage Cath, Perc, Diag Cholang, Image, S&I",12353.0,12353.0,,,0 HCPCS,47537,"Hc Removal Biliary Drain Cath, Perc, Fluoro, Diag Cholangiography",7830.0,7830.0,,,0 HCPCS,47537,Removal biliary drg cath,,,971.94,7272.0,4 HCPCS,47538,"Hc Stent Place Bile Duct, Perc, Diagnostic Cholangiography, Existing",42062.0,42062.0,,,0 HCPCS,47538,Perq plmt bile duct stent,,,6478.5,24760.0,4 HCPCS,47539,"Hc Stent Place Duct, Perc, Diag Cholangiography, New Access, No Cath",32004.0,32004.0,,,0 HCPCS,47539,Perq plmt bile duct stent,,,6478.5,24760.0,4 HCPCS,47540,"Hc Stent Place Duct, Perc, Diag Cholangiograph, With Cath Place",39878.0,39878.0,,,0 HCPCS,47540,Perq plmt bile duct stent,,,6478.5,24760.0,4 HCPCS,47541,"Hc Access Place Biliary Tree Small Bowel Assist, New Access",42470.0,42470.0,,,0 HCPCS,47541,"Hc Access Place Biliary Tree Small Bowel Assist, New Access-Pbb",20225.0,20225.0,,,0 HCPCS,47541,"Hc Access Place Through Biliary Tree Small Bowel Assist, New",20225.0,20225.0,,,0 HCPCS,47541,Plmt access bil tree sm bwl,,,6937.47,14227.0,4 HCPCS,47541,Pr Plmt Access Thru Biliary Tree Into Small Bwl New-Gast,2508.0,2508.0,,,0 HCPCS,47541,Pr Plmt Access Thru Biliary Tree Into Small Bwl New-Pbb,2508.0,2508.0,,,0 HCPCS,47542,Dilate biliary duct/ampulla,,,3399.0,3399.0,1 HCPCS,47542,"Hc Balloon Dilation Biliary Duct/Ampulla, Percutaneous, Each Duct",3872.0,3872.0,,,0 HCPCS,47543,Endoluminal bx biliary tree,,,3399.0,3399.0,1 HCPCS,47543,"Hc Endoluminal Biopsy Biliary Tree, Perc, Any Method, Single Or Mult",4759.0,4759.0,,,0 HCPCS,47544,Hc Removal Of Calculi/Debris Biliary Ducts/Gallbladder Percutaneous,6970.0,6970.0,,,0 HCPCS,47544,Removal duct glbldr calculi,,,3399.0,3399.0,1 HCPCS,47550,Bile duct endoscopy add-on,,,3399.0,3399.0,1 HCPCS,47552,Biliary endo perq dx w/speci,,,6937.47,14227.0,4 HCPCS,47552,"Hc Biliary Endoscpy,Perc Via T-Tube/Othr Trct; Dx,W/Collctn Of Spcmn By Brshng And/Or Wshng,Whn Perf",7015.5,7015.5,,,0 HCPCS,47552,Pr Biliary Endo Prq T-Tube Dx W/Collect Spec Brush-Gast,2847.0,2847.0,,,0 HCPCS,47552,Pr Biliary Endo Prq T-Tube Dx W/Collect Spec Brush-Pbb,2847.0,2847.0,,,0 HCPCS,47553,Biliary endoscopy thru skin,,,6937.47,24760.0,4 HCPCS,47553,"Hc Biliary Endoscopy, Percutaneous Via T-Tube Or Other Tract; With Biopsy, Single Or Multiple",14799.0,14799.0,,,0 HCPCS,47553,"Hc Biliary Endoscopy, Percutaneous Via T-Tube Or Other Tract; With Biopsy, Single Or Multiple-Pbb",13535.5,13535.5,,,0 HCPCS,47553,Pr Biliary Ndsc Prq T-Tube W/Bx Single/Multiple-Gast,3415.0,3415.0,,,0 HCPCS,47553,Pr Biliary Ndsc Prq T-Tube W/Bx Single/Multiple-Pbb,3415.0,3415.0,,,0 HCPCS,47554,Biliary endoscopy thru skin,,,11391.13,24760.0,4 HCPCS,47554,"Hc Biliary Endoscopy, Percutaneous Via T-Tube Or Other Tract; With Removal Of Calculus/Calculi",8829.0,8829.0,,,0 HCPCS,47554,"Hc Biliary Endoscopy, Percutaneous Via T-Tube Or Other Tract; With Removal Of Calculus/Calculi-Pbb",7387.5,7387.5,,,0 HCPCS,47554,Pr Biliary Endoscopy Prq Via T-Tube W/Rmvl Calculus-Gast,3415.0,3415.0,,,0 HCPCS,47554,Pr Biliary Endoscopy Prq Via T-Tube W/Rmvl Calculus-Pbb,3415.0,3415.0,,,0 HCPCS,47555,Biliary endoscopy thru skin,,,6937.47,14227.0,4 HCPCS,47555,"Hc Bil Endoscopy, Perq Via T-Tube Or Other Tract; W/ Diltn Of Bil Duct Stricture W/O Stent",5592.0,5592.0,,,0 HCPCS,47555,"Hc Bil Endoscopy, Perq Via T-Tube Or Other Tract; W/ Diltn Of Bil Duct Stricture W/O Stent-Pbb",7299.5,7299.5,,,0 HCPCS,47555,Pr Biliary Ndsc Prq T-Tube W/Dil Duct W/O Stent-Gast,3415.0,3415.0,,,0 HCPCS,47555,Pr Biliary Ndsc Prq T-Tube W/Dil Duct W/O Stent-Pbb,3415.0,3415.0,,,0 HCPCS,47556,Biliary endoscopy thru skin,,,11391.13,24760.0,4 HCPCS,47556,"Hc Biliary Endoscopy, Perc Via T-Tube Or Other Tract; W/ Dilation Of Biliary Duct Stricture W/ Stent",11828.0,11828.0,,,0 HCPCS,47562,Laparoscopic cholecystectomy,,,6478.5,24760.0,4 HCPCS,47563,Laparo cholecystectomy/graph,,,6478.5,24760.0,4 HCPCS,47564,Laparo cholecystectomy/explr,,,11391.13,24760.0,4 HCPCS,47570,Laparo cholecystoenterostomy,,,10008.0,10008.0,1 HCPCS,47579,Laparoscope proc biliary,,,6478.5,22280.0,4 HCPCS,47600,Removal of gallbladder,,,10008.0,10008.0,1 HCPCS,47605,Removal of gallbladder,,,10008.0,10008.0,1 HCPCS,47610,Removal of gallbladder,,,10008.0,10008.0,1 HCPCS,47612,Removal of gallbladder,,,10008.0,10008.0,1 HCPCS,47620,Removal of gallbladder,,,10008.0,10008.0,1 HCPCS,47700,Exploration of bile ducts,,,10008.0,10008.0,1 HCPCS,47701,Bile duct revision,,,10008.0,10008.0,1 HCPCS,47711,Excision of bile duct tumor,,,10008.0,10008.0,1 HCPCS,47712,Excision of bile duct tumor,,,10008.0,10008.0,1 HCPCS,47715,Excision of bile duct cyst,,,10008.0,10008.0,1 HCPCS,47720,Fuse gallbladder & bowel,,,10008.0,10008.0,1 HCPCS,47721,Fuse upper gi structures,,,10008.0,10008.0,1 HCPCS,47740,Fuse gallbladder & bowel,,,10008.0,10008.0,1 HCPCS,47741,Fuse gallbladder & bowel,,,10008.0,10008.0,1 HCPCS,47760,Fuse bile ducts and bowel,,,10008.0,10008.0,1 HCPCS,47765,Fuse liver ducts & bowel,,,10008.0,10008.0,1 HCPCS,47780,Fuse bile ducts and bowel,,,10008.0,10008.0,1 HCPCS,47785,Fuse bile ducts and bowel,,,10008.0,10008.0,1 HCPCS,47800,Reconstruction of bile ducts,,,10008.0,10008.0,1 HCPCS,47801,Placement bile duct support,,,10008.0,10008.0,1 HCPCS,47802,Fuse liver duct & intestine,,,10008.0,10008.0,1 HCPCS,47900,Suture bile duct injury,,,10008.0,10008.0,1 HCPCS,47999,Bile tract surgery procedure,,,971.94,7272.0,4 HCPCS,47999,Noncdm Charge Record,23296.82,23296.82,,,0 HCPCS,48000,Drainage of abdomen,,,10008.0,10008.0,1 HCPCS,48000,"Hc Placement Of Drains, Peripancreatic, For Acute Pancreatitis",3263.0,3263.0,,,0 HCPCS,48001,Placement of drain pancreas,,,10008.0,10008.0,1 HCPCS,48020,Removal of pancreatic stone,,,10008.0,10008.0,1 HCPCS,48100,Biopsy of pancreas open,,,10008.0,10008.0,1 HCPCS,48102,"Hc Biopsy Of Pancreas, Percutaneous Needle",2914.0,2914.0,,,0 HCPCS,48102,Needle biopsy pancreas,,,1769.88,7272.0,4 HCPCS,48105,Resect/Debride Pancreas,,,10008.0,10008.0,1 HCPCS,48120,Removal of pancreas lesion,,,10008.0,10008.0,1 HCPCS,48140,Partial removal of pancreas,,,10008.0,10008.0,1 HCPCS,48145,Partial removal of pancreas,,,10008.0,10008.0,1 HCPCS,48146,Pancreatectomy,,,10008.0,10008.0,1 HCPCS,48148,Removal of pancreatic duct,,,10008.0,10008.0,1 HCPCS,48150,Partial removal of pancreas,,,10008.0,10008.0,1 HCPCS,48152,Pancreatectomy,,,10008.0,10008.0,1 HCPCS,48153,Pancreatectomy,,,10008.0,10008.0,1 HCPCS,48154,Pancreatectomy,,,10008.0,10008.0,1 HCPCS,48155,Removal of pancreas,,,10008.0,10008.0,1 HCPCS,48160,Pancreas removal/transplant,,,10008.0,10008.0,1 HCPCS,48400,Injection intraop add-on,,,10008.0,10008.0,1 HCPCS,48500,Surgery of pancreatic cyst,,,10008.0,10008.0,1 HCPCS,48510,Drain pancreatic pseudocyst,,,10008.0,10008.0,1 HCPCS,48520,Fuse pancreas cyst and bowel,,,10008.0,10008.0,1 HCPCS,48540,Fuse pancreas cyst and bowel,,,10008.0,10008.0,1 HCPCS,48545,Pancreatorrhaphy,,,10008.0,10008.0,1 HCPCS,48547,Duodenal exclusion,,,10008.0,10008.0,1 HCPCS,48548,Fuse Pancreas and Bowel,,,10008.0,10008.0,1 HCPCS,48999,"Hc Unlisted Procedure, Pancreas",4048.0,4048.0,,,0 HCPCS,48999,"Hc Unlisted Procedure, Pancreas-Pbb",7833.095,7833.095,,,0 HCPCS,48999,Pancreas surgery procedure,,,758.85,5007.0,4 HCPCS,48999,Pr Unlisted Procedure Pancreas-Gast,16581.0,16581.0,,,0 HCPCS,49000,Exploration of abdomen,,,14227.0,14227.0,1 HCPCS,49000,Pr Exploratory Laparotomy Celiotomy W/Wo Biopsy Spx-Pbb,1356.0,1356.0,,,0 HCPCS,49002,Reopening of abdomen,,,10008.0,10008.0,1 HCPCS,49010,Exploration behind abdomen,,,6937.47,14227.0,4 HCPCS,49013,Prpertl pel pack hemrrg trma,,,10008.0,10008.0,1 HCPCS,49014,Reexploration pelvic wound,,,10008.0,10008.0,1 HCPCS,49020,Drainage abdom abscess open,,,10008.0,10008.0,1 HCPCS,49040,Drain open abdom abscess,,,10008.0,10008.0,1 HCPCS,49060,Drain open retroperi abscess,,,10008.0,10008.0,1 HCPCS,49062,Drain to peritoneal cavity,,,10008.0,10008.0,1 HCPCS,49082,Abd paracentesis,,,971.94,7272.0,4 HCPCS,49082,Hc Abdominal Paracentesis; Without Imaging Guidance,2953.0,2953.0,,,0 HCPCS,49082,Hc Abdominal Paracentesis; Without Imaging Guidance-Gold,3980.5,3980.5,,,0 HCPCS,49082,"Hc Abdominal Paracentesis; Without Imaging Guidance-Gold,Pbb",3980.5,3980.5,,,0 HCPCS,49082,Hc Abdominal Paracentesis; Without Imaging Guidance-Pbb,3980.5,3980.5,,,0 HCPCS,49082,Pr Abdom Paracentesis Dx/Ther W/O Imaging Guidance-Gast,2056.0,2056.0,,,0 HCPCS,49082,Pr Abdom Paracentesis Dx/Ther W/O Imaging Guidance-Gold,2056.0,2056.0,,,0 HCPCS,49082,"Pr Abdom Paracentesis Dx/Ther W/O Imaging Guidance-Gold,Oprm",2056.0,2056.0,,,0 HCPCS,49082,"Pr Abdom Paracentesis Dx/Ther W/O Imaging Guidance-Gold,Pbb",2056.0,2056.0,,,0 HCPCS,49082,Pr Abdom Paracentesis Dx/Ther W/O Imaging Guidance-Pbb,2056.0,2056.0,,,0 HCPCS,49083,Abd paracentesis w/imaging,,,971.94,7272.0,4 HCPCS,49083,Hc Abdominal Paracentesis; With Imaging Guidance,5480.0,5480.0,,,0 HCPCS,49083,Hc Abdominal Paracentesis; With Imaging Guidance-Gold,6662.0,6662.0,,,0 HCPCS,49083,"Hc Abdominal Paracentesis; With Imaging Guidance-Gold,Pbb",6662.0,6662.0,,,0 HCPCS,49083,"Hc Abdominal Paracentesis; With Imaging Guidance-Gold,Pbb,Pul",7844.0,7844.0,,,0 HCPCS,49083,Hc Abdominal Paracentesis; With Imaging Guidance-Pbb,6662.0,6662.0,,,0 HCPCS,49083,Pr Abdom Paracentesis Dx/Ther W/Imaging Guidance-Gast,2364.0,2364.0,,,0 HCPCS,49083,Pr Abdom Paracentesis Dx/Ther W/Imaging Guidance-Gold,2364.0,2364.0,,,0 HCPCS,49083,"Pr Abdom Paracentesis Dx/Ther W/Imaging Guidance-Gold,Oprm",2364.0,2364.0,,,0 HCPCS,49083,"Pr Abdom Paracentesis Dx/Ther W/Imaging Guidance-Gold,Pbb",2364.0,2364.0,,,0 HCPCS,49083,Pr Abdom Paracentesis Dx/Ther W/Imaging Guidance-Pbb,2364.0,2364.0,,,0 HCPCS,49084,"Hc Peritoneal Lavage, Including Imaging Guidance, When Performed",2346.0,2346.0,,,0 HCPCS,49084,"Hc Peritoneal Lavage, Including Imaging Guidance, When Performed-Gold",2828.0,2828.0,,,0 HCPCS,49084,"Hc Peritoneal Lavage, Including Imaging Guidance, When Performed-Gold,Pbb",2827.5,2827.5,,,0 HCPCS,49084,"Hc Peritoneal Lavage, Including Imaging Guidance, When Performed-Pbb",2827.5,2827.5,,,0 HCPCS,49084,Peritoneal lavage,,,971.94,7272.0,4 HCPCS,49084,Pr Peritoneal Lavage W/Wo Imaging Guidance-Gold,963.0,963.0,,,0 HCPCS,49084,"Pr Peritoneal Lavage W/Wo Imaging Guidance-Gold,Oprm",963.0,963.0,,,0 HCPCS,49084,"Pr Peritoneal Lavage W/Wo Imaging Guidance-Gold,Pbb",963.0,963.0,,,0 HCPCS,49084,Pr Peritoneal Lavage W/Wo Imaging Guidance-Pbb,963.0,963.0,,,0 HCPCS,49180,Biopsy abdominal mass,,,1769.88,7272.0,4 HCPCS,49180,"Hc Biopsy, Abdominal Or Retroperitoneal Mass Percutaneous Needle",6074.0,6074.0,,,0 HCPCS,49180,"Hc Biopsy, Abdominal Or Retroperitoneal Mass Percutaneous Needle-Pbb",7556.0,7556.0,,,0 HCPCS,49180,Pr Bx Abdl/Retroperitoneal Mass Prq Needle-Pbb,2964.0,2964.0,,,0 HCPCS,49185,"Hc Sclerotherapy Fluid Collect, Perc, Contrast, Image Guide, S&I",4399.0,4399.0,,,0 HCPCS,49185,Sclerotx fluid collection,,,1769.88,5007.0,4 HCPCS,49203,Exc abd tum 5 cm or less,,,11000.0,11000.0,1 HCPCS,49204,Exc abd tum over 5 cm,,,24760.0,24760.0,1 HCPCS,49205,Exc abd tum over 10 cm,,,24760.0,24760.0,1 HCPCS,49215,Excise sacral spine tumor,,,10008.0,10008.0,1 HCPCS,49250,Excision of umbilicus,,,3836.82,14227.0,4 HCPCS,49255,Removal of omentum,,,6937.47,11000.0,4 HCPCS,49320,Diag laparo separate proc,,,6478.5,22280.0,4 HCPCS,49321,Laparoscopy biopsy,,,6478.5,22280.0,4 HCPCS,49322,Laparoscopy aspiration,,,6478.5,22280.0,4 HCPCS,49323,Laparo drain lymphocele,,,6478.5,22280.0,4 HCPCS,49324,Lap insert tunnel ip cath,,,6478.5,22280.0,4 HCPCS,49325,Lap Revision Perm IP Cath,,,6478.5,22280.0,4 HCPCS,49326,Lap w/Omentopexy Add-on,,,3399.0,3399.0,1 HCPCS,49327,Lap ins device for rt,,,3399.0,3399.0,1 HCPCS,49329,Laparo proc abdm/per/oment,,,6478.5,22280.0,4 HCPCS,49400,Air injection into abdomen,,,3399.0,3399.0,1 HCPCS,49400,Hc Injection Or Air Or Contrast Into Peritoneal Cavity,880.0,880.0,,,0 HCPCS,49402,Hc Remove Foreign Body Adbomen,7023.0,7023.0,,,0 HCPCS,49402,Remove foreign body adbomen,,,3836.82,14227.0,4 HCPCS,49405,"Hc Image-Guided Fluid Collcetion Drainage By Catheter; Visceral, Percutaneous",4650.0,4650.0,,,0 HCPCS,49405,Image cath fluid colxn visc,,,1769.88,7272.0,4 HCPCS,49406,"Hc Image-Guided Fluid Collection Drainage By Catheter; Peritoneal Or Retroperitoneal, Percutaneous",8063.0,8063.0,,,0 HCPCS,49406,Image cath fluid peri/retro,,,1769.88,7272.0,4 HCPCS,49407,"Hc Img-Guided Fluid Collcetion Drainage By Cath; Peritoneal Or Retroperitoneal, Trnsvag/Trnsrctl",7757.0,7757.0,,,0 HCPCS,49407,Image cath fluid trns/vgnl,,,1769.88,7272.0,4 HCPCS,49411,"Hc Plcmnt Of Instial Dev Radt Gui,Opn,Intrabd,Intraplv,&/Or Rtroptnum,Inc Img Gui,If Per,Sng Or Mult",6609.0,6609.0,,,0 HCPCS,49411,Ins mark abd/pel for rt perq,,,1483.26,7272.0,4 HCPCS,49411,Pr Interstitial Dev Plmt Radiation Therapy 1/Mlt-Gast,4879.0,4879.0,,,0 HCPCS,49411,Pr Interstitial Dev Plmt Radiation Therapy 1/Mlt-Pbb,4879.0,4879.0,,,0 HCPCS,49412,Ins device for rt guide open,,,10008.0,10008.0,1 HCPCS,49418,"Hc Insrtn Of Tnnld Intraperitcth,Cmplt Prc,Incl Img Guid,Cath Plcmt,Cntrst Inj When Prfmd,& S&I Perc",15017.0,15017.0,,,0 HCPCS,49418,Insert tun ip cath perc,,,3836.82,14227.0,4 HCPCS,49419,Insert tun ip cath w/port,,,5963.01,24760.0,4 HCPCS,49421,Ins tun ip cath for dial opn,,,3836.82,14227.0,4 HCPCS,49422,Hc Removal Of Tunneled Intraperitoneal Catheter,14634.0,14634.0,,,0 HCPCS,49422,Hc Removal Of Tunneled Intraperitoneal Catheter-Pbb,16752.0,16752.0,,,0 HCPCS,49422,Pr Removal Tunneled Intraperitoneal Catheter-Pbb,4236.0,4236.0,,,0 HCPCS,49422,Remove tunneled ip cath,,,3383.62,14227.0,4 HCPCS,49423,Exchange drainage catheter,,,2056.34,7272.0,4 HCPCS,49423,Hc Exchange Of Previously Placed Abscess Or Cyst Drainage Catheter Under Radiological Guidance,6347.0,6347.0,,,0 HCPCS,49423,Hc Exchange Of Previously Placed Abscess Or Cyst Drainage Catheter Under Radiological Guidance-Pbb,6646.5,6646.5,,,0 HCPCS,49423,Pr Exchng Absc/Cst Drg Cath Rad Gid Spx-Pbb,598.0,598.0,,,0 HCPCS,49424,Assess cyst contrast inject,,,3399.0,3399.0,1 HCPCS,49424,Hc Contrast Inj For Assmnt Of Abscess Or Cyst Via Previously Placed Drainage Catheter Or Tube,605.0,605.0,,,0 HCPCS,49425,Insert abdomen-venous drain,,,7272.0,7272.0,1 HCPCS,49426,Revise abdomen-venous shunt,,,3836.82,14227.0,4 HCPCS,49427,Hc Injection Procedure For Evaluation Of Previously Placed Peritoneal-Venous Shunt,397.0,397.0,,,0 HCPCS,49427,Injection abdominal shunt,,,3399.0,3399.0,1 HCPCS,49428,Ligation of shunt,,,7272.0,7272.0,1 HCPCS,49429,Removal of shunt,,,3383.62,14227.0,4 HCPCS,49435,Insert Subq Exten to IP Cath,,,7272.0,7272.0,1 HCPCS,49436,Embedded IP Cath Exit-Site,,,2056.34,7272.0,4 HCPCS,49440,"Hc Insertion Of Gastrostomy Tube, Perc, Fluoro Guid Inc Contrast Inj, Image Documentation And Report",8094.5,8094.5,,,0 HCPCS,49440,Place gastrostomy tube perc,,,2056.34,7272.0,4 HCPCS,49440,Pr Insert Gastrostomy Tube Percutaneous-Gast,2725.0,2725.0,,,0 HCPCS,49440,Pr Insert Gastrostomy Tube Percutaneous-Pbb,2725.0,2725.0,,,0 HCPCS,49441,"Hc Insertn Of Duodenostomy Or Jejunostomy Tube,Perc,Under Fluoro Guid W/Cont Inj(S),Image Doc/Reprt",7566.0,7566.0,,,0 HCPCS,49441,"Hc Insertn Of Duodenostomy Or Jejunostomy Tube,Perc,Under Fluoro Guid W/Cont Inj(S),Image Doc/Reprt-",8496.5,8496.5,,,0 HCPCS,49441,Place duod/jej tube perc,,,2056.34,7272.0,4 HCPCS,49441,Pr Insert Duodenostomy/Jejunostomy Tube Perq-Gast,1861.0,1861.0,,,0 HCPCS,49441,Pr Insert Duodenostomy/Jejunostomy Tube Perq-Pbb,1861.0,1861.0,,,0 HCPCS,49442,"Hc Insrtn Of Cecostomy Or Othr Colonic Tube,Perc,Under Fluoro Guid W/Cntrst Inj(S), Img Doc And Rprt",6319.0,6319.0,,,0 HCPCS,49442,Place cecostomy tube perc,,,1282.34,7272.0,4 HCPCS,49442,Pr Insert Cecostomy/Other Colonic Tube Percutaneous-Gast,1548.0,1548.0,,,0 HCPCS,49442,Pr Insert Cecostomy/Other Colonic Tube Percutaneous-Pbb,1548.0,1548.0,,,0 HCPCS,49446,Change g-tube to g-j perc,,,2056.34,7272.0,4 HCPCS,49446,"Hc Cnvrsn G Tube To Gastro-Jej Tube,Perc,Undr Fluoro Guid Incl Contrst Inj, Img Doc & Report",6365.0,6365.0,,,0 HCPCS,49446,"Hc Cnvrsn G Tube To Gastro-Jej Tube,Perc,Undr Fluoro Guid Incl Contrst Inj, Img Doc & Report-Pbb",6968.0,6968.0,,,0 HCPCS,49446,Pr Convert Gastrostomy-Gastro-Jejunostomy Tube Perq-Gast,1206.0,1206.0,,,0 HCPCS,49446,Pr Convert Gastrostomy-Gastro-Jejunostomy Tube Perq-Pbb,1206.0,1206.0,,,0 HCPCS,49450,"Hc Rplcmnt Of Gastrostmy Or Cecostmy Tube,Perc,Under Fluoro Guid W/Contr Inj, Img Doc And Rprt",4276.0,4276.0,,,0 HCPCS,49450,"Hc Rplcmnt Of Gastrostmy Or Cecostmy Tube,Perc,Under Fluoro Guid W/Contr Inj, Img Doc And Rprt-Pbb",4523.0,4523.0,,,0 HCPCS,49450,Pr Replace Gastrostomy/Cecostomy Tube Percutaneous-Gast,494.0,494.0,,,0 HCPCS,49450,Pr Replace Gastrostomy/Cecostomy Tube Percutaneous-Pbb,494.0,494.0,,,0 HCPCS,49450,Replace g/c tube perc,,,971.94,7272.0,4 HCPCS,49451,"Hc Repl Of Duodenostomy Or Jejunostomy Tube,Perc,Undr Fluoro Guid W/Cntrst Inj,Img Doc And Rprt",4674.0,4674.0,,,0 HCPCS,49451,"Hc Repl Of Duodenostomy Or Jejunostomy Tube,Perc,Undr Fluoro Guid W/Cntrst Inj,Img Doc And Rprt-Pbb",5013.5,5013.5,,,0 HCPCS,49451,Pr Replace Duodenostomy/Jejunostomy Tube Perq-Gast,679.0,679.0,,,0 HCPCS,49451,Pr Replace Duodenostomy/Jejunostomy Tube Perq-Pbb,679.0,679.0,,,0 HCPCS,49451,Replace duod/jej tube perc,,,971.94,7272.0,4 HCPCS,49452,"Hc Replacement Of G-J Tube, Perc, Under Fluoro Guid Incl Contrast Inj, Image Documentation, Report",5741.0,5741.0,,,0 HCPCS,49452,"Hc Replacement Of G-J Tube, Perc, Under Fluoro Guid Incl Contrast Inj, Image Documentation, Report-P",6275.5,6275.5,,,0 HCPCS,49452,Pr Replacement Gastro-Jejunostomy Tube Percutaneous-Gast,1069.0,1069.0,,,0 HCPCS,49452,Pr Replacement Gastro-Jejunostomy Tube Percutaneous-Pbb,1069.0,1069.0,,,0 HCPCS,49452,Replace g-j tube perc,,,971.94,7272.0,4 HCPCS,49460,Fix g/colon tube w/device,,,971.94,7272.0,4 HCPCS,49460,"Hc Mech Rmvl Obs Mat Frm Gastrostmy, Duodenstmy, Jejunstmy, Gstro-Jejunstmy, Or Cecostmy Tube",3583.0,3583.0,,,0 HCPCS,49460,"Hc Mech Rmvl Obs Mat Frm Gastrostmy, Duodenstmy, Jejunstmy, Gstro-Jejunstmy, Or Cecostmy Tube-Pbb",3720.0,3720.0,,,0 HCPCS,49460,Pr Obstructive Material Removal From Gi Tube-Gast,274.0,274.0,,,0 HCPCS,49460,Pr Obstructive Material Removal From Gi Tube-Pbb,274.0,274.0,,,0 HCPCS,49465,Fluoro exam of g/colon tube,,,255.69,3399.0,4 HCPCS,49465,"Hc Cntrst Inj Rad Eval Gstrstmy, Duodnstmy, Jejunstmy, Gstro-Jejnstmy, Cecstmy Tube, Perc Apprch",1501.0,1501.0,,,0 HCPCS,49465,"Hc Cntrst Inj Rad Eval Gstrstmy, Duodnstmy, Jejunstmy, Gstro-Jejnstmy, Cecstmy Tube, Perc Apprch-Pb",1617.0,1617.0,,,0 HCPCS,49465,Pr Contrast Injection Perq Radiologic Eval Gi Tube-Gast,232.0,232.0,,,0 HCPCS,49465,Pr Contrast Injection Perq Radiologic Eval Gi Tube-Pbb,232.0,232.0,,,0 HCPCS,49491,Rpr hern preemie reduc,,,6478.5,14227.0,4 HCPCS,49492,Rpr ing hern premie blocked,,,3836.82,14227.0,4 HCPCS,49495,Rpr ing hernia baby reduc,,,3836.82,14227.0,4 HCPCS,49496,Rpr ing hernia baby blocked,,,3836.82,14227.0,4 HCPCS,49500,Rpr ing hernia init reduce,,,6937.47,14227.0,4 HCPCS,49501,Rpr ing hernia init blocked,,,3836.82,14227.0,4 HCPCS,49505,Prp i/hern init reduc >5 yr,,,3836.82,14227.0,4 HCPCS,49507,Prp i/hern init block >5 yr,,,3836.82,14227.0,4 HCPCS,49520,Rerepair ing hernia reduce,,,3836.82,14227.0,4 HCPCS,49521,Rerepair ing hernia blocked,,,6937.47,14227.0,4 HCPCS,49525,Repair ing hernia sliding,,,3836.82,14227.0,4 HCPCS,49540,Repair lumbar hernia,,,6478.5,14227.0,4 HCPCS,49550,Rpr rem hernia init reduce,,,3836.82,14227.0,4 HCPCS,49553,Rpr fem hernia init blocked,,,3836.82,14227.0,4 HCPCS,49555,Rerepair fem hernia reduce,,,3836.82,14227.0,4 HCPCS,49557,Rerepair fem hernia blocked,,,3836.82,14227.0,4 HCPCS,49591,Rpr aa hrn 1st < 3 cm rdc,,,3836.82,14227.0,4 HCPCS,49592,Rpr aa hrn 1st < 3 ncr/strn,,,6478.5,24760.0,4 HCPCS,49593,Rpr aa hrn 1st 3-10 rdc,,,6937.47,14227.0,4 HCPCS,49594,Rpr aa hrn 1st 3-10 ncr/strn,,,6478.5,24760.0,4 HCPCS,49595,Rpr aa hrn 1st > 10 rdc,,,6937.47,14227.0,4 HCPCS,49596,Rpr aa hrn 1st > 10 ncr/strn,,,24760.0,24760.0,1 HCPCS,49600,Repair umbilical lesion,,,3836.82,14227.0,4 HCPCS,49605,Repair umbilical lesion,,,10008.0,10008.0,1 HCPCS,49606,Repair umbilical lesion,,,10008.0,10008.0,1 HCPCS,49610,Repair umbilical lesion,,,10008.0,10008.0,1 HCPCS,49611,Repair umbilical lesion,,,10008.0,10008.0,1 HCPCS,49613,Rpr aa hrn rcr < 3 rdc,,,3836.82,14227.0,4 HCPCS,49614,Rpr aa hrn rcr < 3 ncr/strn,,,6478.5,24760.0,4 HCPCS,49615,Rpr aa hrn rcr 3-10 rdc,,,6937.47,14227.0,4 HCPCS,49616,Rpr aa hrn rcr 3-10 ncr/strn,,,24760.0,24760.0,1 HCPCS,49617,Rpr aa hrn rcr > 10 rdc,,,24760.0,24760.0,1 HCPCS,49618,Rpr aa hrn rcr > 10 ncr/strn,,,24760.0,24760.0,1 HCPCS,49621,Rpr parastomal hernia rdc,,,24760.0,24760.0,1 HCPCS,49622,Rpr parastomal hrna ncr/strn,,,24760.0,24760.0,1 HCPCS,49623,Rmvl ninfct mesh hernia rpr,,,3399.0,3399.0,1 HCPCS,49650,Lap ing hernia repair init,,,6478.5,24760.0,4 HCPCS,49651,Lap ing hernia repair recur,,,6478.5,24760.0,4 HCPCS,49659,Laparo proc hernia repair,,,6478.5,22280.0,4 HCPCS,49900,Repair of abdominal wall,,,10008.0,10008.0,1 HCPCS,49904,Omental flap extra-abdom,,,10008.0,10008.0,1 HCPCS,49905,Omental flap intra-abdom,,,10008.0,10008.0,1 HCPCS,49906,Free omental flap microvasc,,,10008.0,10008.0,1 HCPCS,49999,Abdomen surgery procedure,,,971.94,7272.0,4 HCPCS,49999,Hc Ang Declot Peritoneal Cath,816.0,816.0,,,0 HCPCS,49999,Hc Sclerotherapy Abdomen,437.0,437.0,,,0 HCPCS,49999,Hc Unlisted Procedure Abdominal Peritineum & Omentum,1579.0,1579.0,,,0 HCPCS,50010,Exploration of kidney,,,10008.0,10008.0,1 HCPCS,50020,Renal abscess open drain,,,2240.09,11000.0,4 HCPCS,50040,Drainage of kidney,,,11000.0,11000.0,1 HCPCS,50045,Exploration of kidney,,,10008.0,10008.0,1 HCPCS,50060,Removal of kidney stone,,,10008.0,10008.0,1 HCPCS,50065,Incision of kidney,,,10008.0,10008.0,1 HCPCS,50070,Incision of kidney,,,10008.0,10008.0,1 HCPCS,50075,Removal of kidney stone,,,10008.0,10008.0,1 HCPCS,50080,Removal of kidney stone,,,10144.44,22280.0,4 HCPCS,50081,Removal of kidney stone,,,10144.44,22280.0,4 HCPCS,50100,Revise kidney blood vessels,,,10008.0,10008.0,1 HCPCS,50120,Exploration of kidney,,,10008.0,10008.0,1 HCPCS,50125,Explore and drain kidney,,,10008.0,10008.0,1 HCPCS,50130,Removal of kidney stone,,,10008.0,10008.0,1 HCPCS,50135,Exploration of kidney,,,10008.0,10008.0,1 HCPCS,50200,"Hc Renal Biopsy; Percutaneous, By Trocar Or Needle",6912.0,6912.0,,,0 HCPCS,50200,"Hc Renal Biopsy; Percutaneous, By Trocar Or Needle-Pbb",8685.5,8685.5,,,0 HCPCS,50200,Pr Renal Biopsy Prq Trocar/Needle-Pbb,3547.0,3547.0,,,0 HCPCS,50200,Renal biopsy perq,,,1769.88,7272.0,4 HCPCS,50205,Renal biopsy open,,,10008.0,10008.0,1 HCPCS,50220,Remove kidney open,,,10008.0,10008.0,1 HCPCS,50225,Removal kidney open complex,,,10008.0,10008.0,1 HCPCS,50230,Removal kidney open radical,,,10008.0,10008.0,1 HCPCS,50234,Removal of kidney & ureter,,,10008.0,10008.0,1 HCPCS,50236,Removal of kidney & ureter,,,10008.0,10008.0,1 HCPCS,50240,Partial removal of kidney,,,10008.0,10008.0,1 HCPCS,50250,Cryoablate renal mass open,,,10008.0,10008.0,1 HCPCS,50280,Removal of kidney lesion,,,10008.0,10008.0,1 HCPCS,50290,Removal of kidney lesion,,,10008.0,10008.0,1 HCPCS,50300,Remove cadaver donor kidney,,,10008.0,10008.0,1 HCPCS,50320,Remove kidney living donor,,,10008.0,10008.0,1 HCPCS,50323,Prep cadaver renal allograft,,,10008.0,10008.0,1 HCPCS,50325,Prep donor renal graft,,,10008.0,10008.0,1 HCPCS,50327,Prep renal graft/venous,,,10008.0,10008.0,1 HCPCS,50328,Prep renal graft/arterial,,,10008.0,10008.0,1 HCPCS,50329,Prep renal graft/ureteral,,,10008.0,10008.0,1 HCPCS,50340,Removal of kidney,,,10008.0,10008.0,1 HCPCS,50360,"Hc Renal Allotransplantation, Implant Graft W/O Donor-Pbb",22708.5,22708.5,,,0 HCPCS,50360,Pr Renal Altrnsplj Impltj Grf W/O Rcp Nephrectomy-Pbb,20152.0,20152.0,,,0 HCPCS,50360,Transplantation of kidney,,,10008.0,10008.0,1 HCPCS,50365,Transplantation of kidney,,,10008.0,10008.0,1 HCPCS,50370,Remove transplanted kidney,,,10008.0,10008.0,1 HCPCS,50380,Reimplantation of kidney,,,10008.0,10008.0,1 HCPCS,50382,Change ureter stent percut,,,2240.09,11000.0,4 HCPCS,50382,"Hc Rmvl And Replacement Of Internally Dwelling Ureteral Stent Via Perc Approach, Incl S&I",9700.0,9700.0,,,0 HCPCS,50384,"Hc Removal Of Internally Dwelling Uereteral Stent Via Percutaneous Approach, Including S&I",7180.0,7180.0,,,0 HCPCS,50384,Remove ureter stent percut,,,2240.09,11000.0,4 HCPCS,50385,Change stent via transureth,,,2240.09,11000.0,4 HCPCS,50385,Hc Change Stent Via Transureth,7018.0,7018.0,,,0 HCPCS,50386,"Hc Rmvl Of Internally Dwlling Ureteral Stent Via Transurthrl Apprch, W/O Use Of Cystoscopy, Incl S&I",4195.5,4195.5,,,0 HCPCS,50386,Pr Remove Int Dwell Ureteral Stent Transurethral-Pbb,4099.0,4099.0,,,0 HCPCS,50386,Remove stent via transureth,,,2240.09,11000.0,4 HCPCS,50387,Change nephroureteral cath,,,2240.09,7272.0,4 HCPCS,50387,"Hc Rmvl And Replacmnt Of Extly Accessibl Transnephric Ureteral Stent Requiring Fluoro Guid, Incl S&I",8021.0,8021.0,,,0 HCPCS,50389,"Hc Removal Of Nephrostomy Tube, Requiring Fluoroscopic Guidance",2074.0,2074.0,,,0 HCPCS,50389,Remove renal tube w/fluoro,,,747.24,5007.0,4 HCPCS,50390,Drainage of kidney lesion,,,758.85,5007.0,4 HCPCS,50390,"Hc Aspiration And/Or Injection Of Renal Cyst By Pelvis By Needle, Percutaneous",4765.0,4765.0,,,0 HCPCS,50391,Instll rx agnt into rnal tub,,,267.74,3399.0,4 HCPCS,50396,Measure kidney pressure,,,747.24,5007.0,4 HCPCS,50400,Revision of kidney/ureter,,,14227.0,14227.0,1 HCPCS,50405,Revision of kidney/ureter,,,14227.0,14227.0,1 HCPCS,50430,"Hc Injection Procedure For Antegrade Nephrostogram, New Access",6238.0,6238.0,,,0 HCPCS,50430,Njx px nfrosgrm &/urtrgrm,,,747.24,5007.0,4 HCPCS,50431,"Hc Injection Procedure For Antegrade Nephrostogram, Exisiting",4149.0,4149.0,,,0 HCPCS,50431,Njx px nfrosgrm &/urtrgrm,,,747.24,5007.0,4 HCPCS,50432,"Hc Placement Nephrostomy Catheter, Percutaneous, Image Guide, S&I",8472.0,8472.0,,,0 HCPCS,50432,Plmt nephrostomy catheter,,,2240.09,11000.0,4 HCPCS,50433,"Hc Placement Of Nephroureteral Catheter, Percutaneous, New Access",17832.0,17832.0,,,0 HCPCS,50433,Plmt nephroureteral catheter,,,3777.44,11000.0,4 HCPCS,50434,Convert nephrostomy catheter,,,2240.09,5007.0,4 HCPCS,50434,"Hc Convert Neph Cath Nephroureteral Cath, Perc, Via Pre-Exist Tract",17832.0,17832.0,,,0 HCPCS,50435,Exchange nephrostomy cath,,,2240.09,5007.0,4 HCPCS,50435,"Hc Exchange Neprhstomy Catheter, Percutaneous, Image Guide, S&I",15344.0,15344.0,,,0 HCPCS,50436,Dilat xst trc ndurlgc px,,,3777.44,11000.0,4 HCPCS,50436,"Hc Dltn Exstng Trct,Prc Incld Img Gdnce, Asn All Assc Rad S&I W/Pstprc",11933.0,11933.0,,,0 HCPCS,50437,Dilat xst trc new access rcs,,,3777.44,14227.0,4 HCPCS,50437,"Hc Dltn Exstng Trct, Prc, Incld Ime Gdnce, All Assc Rad S&I W/Pstprc",20407.0,20407.0,,,0 HCPCS,50500,Repair of kidney wound,,,10008.0,10008.0,1 HCPCS,50520,Close kidney-skin fistula,,,5007.0,5007.0,1 HCPCS,50525,Close nephrovisceral fistula,,,10008.0,10008.0,1 HCPCS,50526,Close nephrovisceral fistula,,,10008.0,10008.0,1 HCPCS,50540,Revision of horseshoe kidney,,,10008.0,10008.0,1 HCPCS,50541,Laparo ablate renal cyst,,,11391.13,22280.0,4 HCPCS,50542,Laparo ablate renal mass,,,11391.13,36418.0,4 HCPCS,50543,Laparo partial nephrectomy,,,11391.13,24760.0,4 HCPCS,50544,Laparoscopy pyeloplasty,,,11391.13,24760.0,4 HCPCS,50545,Laparo Radical Nephrectomy,,,10008.0,10008.0,1 HCPCS,50546,Laparoscopic nephrectomy,,,10008.0,10008.0,1 HCPCS,50547,Laparo removal donor kidney,,,10008.0,10008.0,1 HCPCS,50548,Laparo remove w/ureter,,,10008.0,10008.0,1 HCPCS,50549,Laparoscope proc renal,,,6478.5,22280.0,4 HCPCS,50551,Kidney endoscopy,,,5745.8,8331.41,4 HCPCS,50553,Kidney endoscopy,,,5745.8,11000.0,4 HCPCS,50555,Kidney endoscopy & biopsy,,,7272.0,14709.43,4 HCPCS,50557,Kidney endoscopy & treatment,,,10144.44,14709.43,4 HCPCS,50561,"Hc Renal Endcpy Thru Nephrstmy Or Pylstmy, W Wo Irr, Instil,Or Urtrpyel,Exc Rad Srv W Rmvl Fb Or Clc",7942.0,7942.0,,,0 HCPCS,50561,Kidney endoscopy & treatment,,,5745.8,11000.0,4 HCPCS,50562,Renal scope w/tumor resect,,,5007.0,14709.43,4 HCPCS,50570,Kidney endoscopy,,,3777.44,5477.28,4 HCPCS,50572,Kidney endoscopy,,,747.24,5007.0,4 HCPCS,50574,Kidney endoscopy & biopsy,,,3777.44,5477.28,4 HCPCS,50575,Kidney endoscopy,,,5745.8,22280.0,4 HCPCS,50576,Kidney endoscopy & treatment,,,7272.0,14709.43,4 HCPCS,50580,Kidney endoscopy & treatment,,,5745.8,8331.41,4 HCPCS,50590,Fragmenting of kidney stone,,,3777.44,24760.0,4 HCPCS,50592,"Hc Ablation, 1 Or More Renal Tumor(S), Percutaneous, Unilateral, Radiofrequency",23423.0,23423.0,,,0 HCPCS,50592,Perc rf ablate renal tumor,,,6478.5,24760.0,4 HCPCS,50593,"Hc Ablation,Renal Tumor(S), Unilateral, Perc, Cryotherapy",31571.0,31571.0,,,0 HCPCS,50593,Perc cryo ablate renal tum,,,11391.13,24760.0,4 HCPCS,50600,Exploration of ureter,,,10008.0,10008.0,1 HCPCS,50605,Hc Insert Ureteral Support,22127.0,22127.0,,,0 HCPCS,50605,Insert ureteral support,,,10008.0,10008.0,1 HCPCS,50606,Endoluminal bx urtr rnl plvs,,,3399.0,3399.0,1 HCPCS,50610,Removal of ureter stone,,,10008.0,10008.0,1 HCPCS,50620,Removal of ureter stone,,,10008.0,10008.0,1 HCPCS,50630,Removal of ureter stone,,,10008.0,10008.0,1 HCPCS,50650,Removal of ureter,,,10008.0,10008.0,1 HCPCS,50660,Removal of ureter,,,10008.0,10008.0,1 HCPCS,50684,Hc Inj Proc For Ureterography Or Uretopyelography Through Ureterostomy Or Indwelling Ureteral Cath,2286.0,2286.0,,,0 HCPCS,50684,Injection for ureter x-ray,,,3399.0,3399.0,1 HCPCS,50686,Measure ureter pressure,,,137.89,3399.0,4 HCPCS,50688,Change of ureter tube/stent,,,2240.09,7272.0,4 HCPCS,50688,Hc Change Of Ureterostomy Tube Or Externally Accessible Ureteral Stent Via Ileal Conduitc,5112.0,5112.0,,,0 HCPCS,50690,"Hc Inj Proc For Visualizatn Of Ileal Conduit And/Or Ureteropylography, Exclusive Of Radiologic Srvc",579.0,579.0,,,0 HCPCS,50690,Injection for ureter x-ray,,,3399.0,3399.0,1 HCPCS,50693,"Hc Placement Ureteral Stent,Percutaneous, Pre-Existing Neph Tract",23436.0,23436.0,,,0 HCPCS,50693,Plmt ureteral stent prq,,,3777.44,14227.0,4 HCPCS,50694,"Hc Place Ureteral Stent,Perc, New Access, W/Out Separate Neph Catheter",23436.0,23436.0,,,0 HCPCS,50694,Plmt ureteral stent prq,,,3777.44,14227.0,4 HCPCS,50695,"Hc Placement Ureteral Stent,Perc, New Access, With Separate Neph Cath",39118.0,39118.0,,,0 HCPCS,50695,Plmt ureteral stent prq,,,3777.44,14227.0,4 HCPCS,50700,Revision of ureter,,,10008.0,10008.0,1 HCPCS,50705,"Hc Ureteral Embolization/Occlusion, Include Image Guide And S&I",6823.0,6823.0,,,0 HCPCS,50705,Ureteral embolization/occl,,,3399.0,3399.0,1 HCPCS,50706,Balloon dilate urtrl strix,,,3399.0,3399.0,1 HCPCS,50706,"Hc Balloon Dilation, Ureteral Stricture, Image Guide & S&I",6436.0,6436.0,,,0 HCPCS,50715,Release of ureter,,,10008.0,10008.0,1 HCPCS,50722,Release of ureter,,,10008.0,10008.0,1 HCPCS,50725,Release/revise ureter,,,10008.0,10008.0,1 HCPCS,50727,Revise ureter,,,3777.44,11000.0,4 HCPCS,50728,Revise ureter,,,10008.0,10008.0,1 HCPCS,50740,Fusion of ureter & kidney,,,10008.0,10008.0,1 HCPCS,50750,Fusion of ureter & kidney,,,10008.0,10008.0,1 HCPCS,50760,Fusion of ureters,,,10008.0,10008.0,1 HCPCS,50770,Splicing of ureters,,,10008.0,10008.0,1 HCPCS,50780,Reimplant ureter in bladder,,,11000.0,11000.0,1 HCPCS,50782,Reimplant ureter in bladder,,,10008.0,10008.0,1 HCPCS,50783,Reimplant ureter in bladder,,,10008.0,10008.0,1 HCPCS,50785,Reimplant ureter in bladder,,,10008.0,10008.0,1 HCPCS,50800,Implant ureter in bowel,,,10008.0,10008.0,1 HCPCS,50810,Fusion of ureter & bowel,,,10008.0,10008.0,1 HCPCS,50815,Urine shunt to intestine,,,10008.0,10008.0,1 HCPCS,50820,Construct bowel bladder,,,10008.0,10008.0,1 HCPCS,50825,Construct bowel bladder,,,10008.0,10008.0,1 HCPCS,50830,Revise urine flow,,,10008.0,10008.0,1 HCPCS,50840,Replace ureter by bowel,,,10008.0,10008.0,1 HCPCS,50845,Appendico-vesicostomy,,,10008.0,10008.0,1 HCPCS,50860,Transplant ureter to skin,,,10008.0,10008.0,1 HCPCS,50900,Repair of ureter,,,10008.0,10008.0,1 HCPCS,50920,Closure ureter/skin fistula,,,10008.0,10008.0,1 HCPCS,50930,Closure ureter/bowel fistula,,,10008.0,10008.0,1 HCPCS,50940,Release of ureter,,,10008.0,10008.0,1 HCPCS,50945,Laparoscopy ureterolithotomy,,,6478.5,24760.0,4 HCPCS,50947,Laparo New Ureter/Bladder,,,11391.13,24760.0,4 HCPCS,50948,Laparo New Ureter/Bladder,,,11391.13,24760.0,4 HCPCS,50949,Laparoscope proc ureter,,,6478.5,22280.0,4 HCPCS,50951,Endoscopy of ureter,,,3777.44,5477.28,4 HCPCS,50953,Endoscopy of ureter,,,3777.44,7272.0,4 HCPCS,50955,Ureter endoscopy & biopsy,,,5745.8,11000.0,4 HCPCS,50957,Ureter endoscopy & treatment,,,5745.8,11000.0,4 HCPCS,50961,Ureter endoscopy & treatment,,,5745.8,11000.0,4 HCPCS,50970,Ureter endoscopy,,,3777.44,5477.28,4 HCPCS,50972,Ureter endoscopy & catheter,,,3777.44,5477.28,4 HCPCS,50974,Ureter endoscopy & biopsy,,,5745.8,8331.41,4 HCPCS,50976,Ureter endoscopy & treatment,,,5745.8,8331.41,4 HCPCS,50980,Ureter endoscopy & treatment,,,5745.8,11000.0,4 HCPCS,51020,Incise & treat bladder,,,3777.44,11000.0,4 HCPCS,51030,Incise & treat bladder,,,11000.0,11000.0,1 HCPCS,51040,Hc Incise & Drain Bladder,4848.0,4848.0,,,0 HCPCS,51040,Hc Incise & Drain Bladder-Pbb,5971.0,5971.0,,,0 HCPCS,51040,Incise & drain bladder,,,2240.09,11000.0,4 HCPCS,51040,Pr Cystostomy Cystotomy W/Drainage-Pbb,2246.0,2246.0,,,0 HCPCS,51045,"Hc Cystotomy, W/ Insertion, Ureteral Catheter/Stent (Sep Proc)",4869.0,4869.0,,,0 HCPCS,51045,Incise bladder/drain ureter,,,2240.09,5007.0,4 HCPCS,51050,Removal of bladder stone,,,5745.8,11000.0,4 HCPCS,51060,Removal of ureter stone,,,2240.09,22280.0,4 HCPCS,51065,Remove ureter calculus,,,3777.44,11000.0,4 HCPCS,51080,Drainage of bladder abscess,,,3112.75,7272.0,4 HCPCS,51100,Drain bladder by needle,,,267.74,3399.0,4 HCPCS,51100,Hc Spsp-Aspiration Of Bladder By Needle,1058.0,1058.0,,,0 HCPCS,51101,Drain bladder by trocar/cath,,,920.24,7272.0,4 HCPCS,51102,Drain bl w/cath insertion,,,2240.09,11000.0,4 HCPCS,51102,Hc Aspir Bladdr W Uns Syorapubc Cath,6498.0,6498.0,,,0 HCPCS,51500,Removal of bladder cyst,,,6478.5,14227.0,4 HCPCS,51520,Removal of bladder lesion,,,3777.44,11000.0,4 HCPCS,51525,Removal of bladder lesion,,,14227.0,14227.0,1 HCPCS,51530,Removal of bladder lesion,,,14227.0,14227.0,1 HCPCS,51535,Repair of ureter lesion,,,3777.44,11000.0,4 HCPCS,51550,Partial removal of bladder,,,10008.0,10008.0,1 HCPCS,51555,Partial removal of bladder,,,10008.0,10008.0,1 HCPCS,51565,Revise bladder & ureter(s),,,10008.0,10008.0,1 HCPCS,51570,Removal of bladder,,,10008.0,10008.0,1 HCPCS,51575,Removal of bladder & nodes,,,10008.0,10008.0,1 HCPCS,51580,Remove bladder/revise tract,,,10008.0,10008.0,1 HCPCS,51585,Removal of bladder & nodes,,,10008.0,10008.0,1 HCPCS,51590,Remove bladder/revise tract,,,10008.0,10008.0,1 HCPCS,51595,Remove bladder/revise tract,,,10008.0,10008.0,1 HCPCS,51596,Remove bladder/create pouch,,,10008.0,10008.0,1 HCPCS,51597,Removal of pelvic structures,,,10008.0,10008.0,1 HCPCS,51600,Hc Injection Procedure For Cystography Or Voiding Urethrocystography,1079.0,1079.0,,,0 HCPCS,51600,Injection for bladder x-ray,,,3399.0,3399.0,1 HCPCS,51605,Preparation for bladder xray,,,3399.0,3399.0,1 HCPCS,51610,Hc Injection Procedure For Retograde Urethrocystography,1374.0,1374.0,,,0 HCPCS,51610,Hc Injection Procedure For Retograde Urethrocystography-Pbb,1634.5,1634.5,,,0 HCPCS,51610,Injection for bladder x-ray,,,3399.0,3399.0,1 HCPCS,51610,Pr Njx Retrograde Urethrocstograpy-Pbb,521.0,521.0,,,0 HCPCS,51700,"Hc Bladder Irrigation, Simple, Lavage And/Or Installation",1484.0,1484.0,,,0 HCPCS,51700,"Hc Bladder Irrigation, Simple, Lavage And/Or Installation-Pbb",2000.0,2000.0,,,0 HCPCS,51700,Irrigation of bladder,,,267.74,3399.0,4 HCPCS,51700,Pr Bldr Irrigation Smpl Lavage &/Instlj-Pbb,1032.0,1032.0,,,0 HCPCS,51701,Hc Insert Non-Indwelling Bladder Catheter Facility Only,744.0,744.0,,,0 HCPCS,51701,Hc Insertion Of Non-Indwelling Bladder Catheter,744.0,744.0,,,0 HCPCS,51701,Hc Insertion Of Non-Indwelling Bladder Catheter-Pbb,1231.0,1231.0,,,0 HCPCS,51701,Insert bladder catheter,,,142.58,3399.0,4 HCPCS,51701,Pr Insj Non-Ndwellg Bladder Catheter-Pbb,974.0,974.0,,,0 HCPCS,51702,Hc Insertion Of Temporary Indwelling Bladder Cather; Simple Facility Only,526.0,526.0,,,0 HCPCS,51702,Hc Insertion Temporary Indwelling Bladder Cather; Simple Md Included,526.0,526.0,,,0 HCPCS,51702,Hc Insertion Temporary Indwelling Bladder Cather; Simple Md Included-Pbb,1013.0,1013.0,,,0 HCPCS,51702,Insert temp bladder cath,,,142.58,3399.0,4 HCPCS,51702,Pr Insj Temp Ndwellg Bladder Catheter Simple-Pbb,974.0,974.0,,,0 HCPCS,51703,Hc Insertion Of Temporary Indwelling Bladder Cather; Complicated,1058.0,1058.0,,,0 HCPCS,51703,Hc Insertion Of Temporary Indwelling Bladder Cather; Complicated-Pbb,1477.0,1477.0,,,0 HCPCS,51703,Insert bladder cath complex,,,137.89,3399.0,4 HCPCS,51703,Pr Insj Temp Ndwellg Bladder Catheter Complicated-Pbb,838.0,838.0,,,0 HCPCS,51705,Change of bladder tube,,,267.74,3399.0,4 HCPCS,51705,"Hc Change Of Cystostomy Tube, Simple",1536.0,1536.0,,,0 HCPCS,51705,"Hc Change Of Cystostomy Tube, Simple-Pbb",2630.0,2630.0,,,0 HCPCS,51705,Pr Change Cystostomy Tube Simple-Pbb,2188.0,2188.0,,,0 HCPCS,51710,Change of bladder tube,,,747.24,5007.0,4 HCPCS,51710,Hc Change Of Cystostomy Tube; Complicated,2246.0,2246.0,,,0 HCPCS,51710,Hc Change Of Cystostomy Tube; Complicated-Pbb,2640.0,2640.0,,,0 HCPCS,51710,Pr Change Cystostomy Tube Complicated-Pbb,787.0,787.0,,,0 HCPCS,51715,Endoscopic injection/implant,,,3777.44,14227.0,4 HCPCS,51715,Hc Endoscopic Inj Of Implant Material Into The Submucosal Tissues Of The Erethra And/Or Bladder Neck,12979.0,12979.0,,,0 HCPCS,51715,Pr Ndsc Njx Implt Matrl Urt&/Bldr Nck-Pbb,9386.0,9386.0,,,0 HCPCS,51720,Hc Bladder Instillation Of Anticarginogenic Agent-Pbb,3848.5,3848.5,,,0 HCPCS,51720,"Hc Bladder Instillation Of Anticarginogenic Agent-Pbb,Tch",1206.0,1206.0,,,0 HCPCS,51720,Pr Bladder Instillation Anticarcinogenic Agent-Pbb,5285.0,5285.0,,,0 HCPCS,51720,Treatment of bladder lesion,,,747.24,3399.0,4 HCPCS,51725,Hc Simple Cystometrogram,2596.0,2596.0,,,0 HCPCS,51725,Hc Simple Cystometrogram-Pbb,2236.0,2236.0,,,0 HCPCS,51725,Pr Simple Cystometrogram-Pbb,880.0,880.0,,,0 HCPCS,51725,Simple cystometrogram,,,267.74,3399.0,4 HCPCS,51726,Complex cystometrogram,,,267.74,3399.0,4 HCPCS,51726,Hc Complex Cystometrogram,3199.0,3199.0,,,0 HCPCS,51726,Hc Complex Cystometrogram-Pbb,4482.0,4482.0,,,0 HCPCS,51726,Pr Bladder Pressure Measurement During Filling-Pbb,2566.0,2566.0,,,0 HCPCS,51727,Cystometrogram w/up,,,747.24,5007.0,4 HCPCS,51727,"Hc Complex Cystometrogram; With Urethral Pressure Profile Studies, Any Technique",2368.0,2368.0,,,0 HCPCS,51727,"Hc Complex Cystometrogram; With Urethral Pressure Profile Studies, Any Technique-Pbb",3887.5,3887.5,,,0 HCPCS,51727,Pr Complex Cystometrogram Urethral Press Profile-Pbb,3040.0,3040.0,,,0 HCPCS,51728,Cystometrogram w/vp,,,747.24,5007.0,4 HCPCS,51728,"Hc Complex Cystogrametrogram; With Voiding Pressure Studies, Any Technique",3592.0,3592.0,,,0 HCPCS,51728,"Hc Complex Cystogrametrogram; With Voiding Pressure Studies, Any Technique-Pbb",5125.0,5125.0,,,0 HCPCS,51728,Pr Complex Cystometrogram Voiding Pressure Studies-Pbb,3066.0,3066.0,,,0 HCPCS,51729,Cystometrogram w/vp&up,,,747.24,5007.0,4 HCPCS,51729,"Hc Cmplx Cystometrogrm; W/ Voiding Pressure Studies And Urethral Pressure Profile Studies, Any Tchnq",5073.0,5073.0,,,0 HCPCS,51729,Pr Complx Cystometro W/Void Press & Urethral Profil-Pbb,3320.0,3320.0,,,0 HCPCS,51736,Hc Simply Uroflowmetry,1310.0,1310.0,,,0 HCPCS,51736,Hc Simply Uroflowmetry-Pbb,1059.5,1059.5,,,0 HCPCS,51736,Pr Simple Uroflometry-Pbb,578.0,578.0,,,0 HCPCS,51736,Urine flow measurement,,,142.58,3399.0,4 HCPCS,51741,Electro-uroflowmetry first,,,231.39,3399.0,4 HCPCS,51741,Hc Complex Uroflowmetry,1118.0,1118.0,,,0 HCPCS,51741,Hc Complex Uroflowmetry-Pbb,1476.5,1476.5,,,0 HCPCS,51741,Pr Complex Uroflometry-Pbb,716.0,716.0,,,0 HCPCS,51784,Anal/urinary muscle study,,,137.89,3399.0,4 HCPCS,51784,"Hc Emg Of Anal Or Urethral Sphincter, Other Than Needle, Any Technique",1432.0,1432.0,,,0 HCPCS,51784,"Hc Emg Of Anal Or Urethral Sphincter, Other Than Needle, Any Technique-Pbb",1937.5,1937.5,,,0 HCPCS,51784,Pr Emg Stds Anal/Urtl Sphnctr Oth/Thn Ndl-Pbb,1012.0,1012.0,,,0 HCPCS,51785,Anal/urinary muscle study,,,267.74,3399.0,4 HCPCS,51785,Hc Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq,1906.0,1906.0,,,0 HCPCS,51785,Hc Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq-Pbb,2420.0,2420.0,,,0 HCPCS,51785,Pr Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq-Pbb,1028.0,1028.0,,,0 HCPCS,51792,Hc Stimulus Evoked Response,1325.0,1325.0,,,0 HCPCS,51792,Urinary reflex study,,,63.22,3399.0,4 HCPCS,51797,"Hc Voiding Pressue Studies, Intra-Abdominal",1838.0,1838.0,,,0 HCPCS,51797,"Hc Voiding Pressue Studies, Intra-Abdominal-Pbb",2382.5,2382.5,,,0 HCPCS,51797,Intraabdominal pressure test,,,3399.0,3399.0,1 HCPCS,51797,Pr Void Pressure Studies Intraabdominal-Pbb,1088.0,1088.0,,,0 HCPCS,51798,"Hc Measurement Of Post-Voiding Residual Urine And/Or Bladder Capacity By Ultrasound, Non-Imaging",334.0,334.0,,,0 HCPCS,51798,"Hc Measurement Of Post-Voiding Residual Urine And/Or Bladder Capacity By Ultrasound, Non-Imaging-Pbb",429.0,429.0,,,0 HCPCS,51798,Pr Meas Post-Voiding Residual Urine&/Bladder Cap-Pbb,191.0,191.0,,,0 HCPCS,51798,Us urine capacity measure,,,63.22,3399.0,4 HCPCS,51800,Revision of bladder/urethra,,,10008.0,10008.0,1 HCPCS,51820,Revision of urinary tract,,,10008.0,10008.0,1 HCPCS,51840,Attach bladder/urethra,,,5360.72,11000.0,4 HCPCS,51841,Attach bladder/urethra,,,11000.0,11000.0,1 HCPCS,51845,Repair bladder neck,,,5360.72,22280.0,4 HCPCS,51860,Repair of bladder wound,,,10144.44,14709.43,4 HCPCS,51865,Repair of bladder wound,,,14227.0,14227.0,1 HCPCS,51880,Repair of bladder opening,,,3777.44,11000.0,4 HCPCS,51900,Repair bladder/vagina lesion,,,14227.0,14227.0,1 HCPCS,51920,Close bladder-uterus fistula,,,11000.0,11000.0,1 HCPCS,51925,Hysterectomy/bladder repair,,,10008.0,10008.0,1 HCPCS,51940,Correction of bladder defect,,,10008.0,10008.0,1 HCPCS,51960,Revision of bladder & bowel,,,10008.0,10008.0,1 HCPCS,51980,Construct bladder opening,,,11000.0,11000.0,1 HCPCS,51990,Laparo urethral suspension,,,6478.5,24760.0,4 HCPCS,51992,Laparo sling operation,,,6478.5,24760.0,4 HCPCS,51999,Laparoscope proc bla,,,6478.5,22280.0,4 HCPCS,52000,Cystoscopy,,,747.24,5007.0,4 HCPCS,52000,Hc Cystourethroscopy,4114.0,4114.0,,,0 HCPCS,52000,Hc Cystourethroscopy-Pbb,4901.0,4901.0,,,0 HCPCS,52000,Pr Cystourethroscopy-Pbb,1574.0,1574.0,,,0 HCPCS,52001,Cystoscopy removal of clots,,,3777.44,7272.0,4 HCPCS,52001,Hc Cysto W Irrigation & Evac Multple Obstructing Clots-Pbb,9717.5,9717.5,,,0 HCPCS,52001,Pr Cysto W/Irrig & Evac Multple Obstructing Clots-Pbb,2395.0,2395.0,,,0 HCPCS,52005,Cystoscopy & ureter catheter,,,2240.09,11000.0,4 HCPCS,52005,"Hc Cystourethroscopy, W/ Ureteral Catheterization;",4869.0,4869.0,,,0 HCPCS,52007,Cystoscopy and biopsy,,,3777.44,11000.0,4 HCPCS,52010,Cystoscopy & duct catheter,,,747.24,5007.0,4 HCPCS,52204,Cystoscopy w/biopsy(s),,,2240.09,11000.0,4 HCPCS,52204,Hc Cystourethroscopy; With Biopsy,8691.0,8691.0,,,0 HCPCS,52204,Hc Cystourethroscopy; With Biopsy-Pbb,8291.5,8291.5,,,0 HCPCS,52204,Pr Cystourethroscopy With Biopsy-Pbb,1321.0,1321.0,,,0 HCPCS,52214,Cystoscopy and treatment,,,3777.44,11000.0,4 HCPCS,52214,"Hc Cystourethroscopy, W/ Fulguration Trigone/Bladder Neck/Prostate/Urethra/Glands",8320.0,8320.0,,,0 HCPCS,52214,"Hc Cystourethroscopy, W/ Fulguration Trigone/Bladder Neck/Prostate/Urethra/Glands-Pbb",9015.0,9015.0,,,0 HCPCS,52214,Pr Cysto W/Destruction Of Lesions-Pbb,1390.0,1390.0,,,0 HCPCS,52224,Cystoscopy and treatment,,,3777.44,11000.0,4 HCPCS,52224,"Hc Cystourethroscopy, W/ Fulguration/Treatment Lesion(S) < 0.5 Cm, W/Wo Bx-Pbb",9126.5,9126.5,,,0 HCPCS,52224,Pr Cysto W/Removal Of Lesions Small-Pbb,1768.0,1768.0,,,0 HCPCS,52234,Cystoscopy and treatment,,,3777.44,11000.0,4 HCPCS,52234,"Hc Cystourethroscopy, With Fulguration And/Or Resection Of; Small Bladder Tumor",12591.0,12591.0,,,0 HCPCS,52234,"Hc Cystourethroscopy, With Fulguration And/Or Resection Of; Small Bladder Tumor-Pbb",10175.0,10175.0,,,0 HCPCS,52234,Pr Cysto W/Removal Of Tumors Small-Pbb,5589.0,5589.0,,,0 HCPCS,52235,Cystoscopy and treatment,,,3777.44,11000.0,4 HCPCS,52240,Cystoscopy and treatment,,,5745.8,11000.0,4 HCPCS,52250,Cystoscopy and radiotracer,,,3777.44,11000.0,4 HCPCS,52260,Cystoscopy and treatment,,,2240.09,7272.0,4 HCPCS,52265,Cystoscopy and treatment,,,2240.09,5007.0,4 HCPCS,52270,Cystoscopy & revise urethra,,,2240.09,7272.0,4 HCPCS,52275,Cystoscopy & revise urethra,,,2240.09,11000.0,4 HCPCS,52276,Cystoscopy and treatment,,,2240.09,11000.0,4 HCPCS,52277,Cystoscopy and treatment,,,3777.44,11000.0,4 HCPCS,52281,Cystoscopy and treatment,,,2240.09,7272.0,4 HCPCS,52281,"Hc Cysturescpy, W Clbrtn &/Or Dltn Urthl Strct Or Sten, W Or Wo Metmy, W Or Wo Inj Px 4 Cytgy,M Or F",7666.0,7666.0,,,0 HCPCS,52281,Pr Cysto Calibration Dilat Urtl Strix/Stenosis-Pbb,3352.0,3352.0,,,0 HCPCS,52282,Cystoscopy implant stent,,,3777.44,11000.0,4 HCPCS,52283,Cystoscopy and treatment,,,2240.09,11000.0,4 HCPCS,52284,Cysto rx balo cath urtl strx,,,5745.8,11000.0,4 HCPCS,52285,Cystoscopy and treatment,,,747.24,7272.0,4 HCPCS,52285,"Hc Cystourethroscopy, Treatment, Female Urethral Syndrome",1709.0,1709.0,,,0 HCPCS,52285,"Hc Cystourethroscopy, Treatment, Female Urethral Syndrome-Pbb",2479.5,2479.5,,,0 HCPCS,52285,Pr Cystourethroscopy Tx Female Urethral Syndrome-Pbb,1540.0,1540.0,,,0 HCPCS,52287,Cystoscopy chemodenervation,,,2240.09,7272.0,4 HCPCS,52287,"Hc Cystourethroscopy, With Injection For Chemodenervation Of The Bladder",7165.0,7165.0,,,0 HCPCS,52287,"Hc Cystourethroscopy, With Injection For Chemodenervation Of The Bladder-Pbb",5839.5,5839.5,,,0 HCPCS,52287,Pr Cystourethroscopy Inj Chemodenervation Bladder-Pbb,3078.0,3078.0,,,0 HCPCS,52290,Cystoscopy and treatment,,,2240.09,11000.0,4 HCPCS,52300,Cystoscopy and treatment,,,3777.44,11000.0,4 HCPCS,52301,Cystoscopy and treatment,,,3777.44,11000.0,4 HCPCS,52305,Cystoscopy and treatment,,,5745.8,11000.0,4 HCPCS,52310,Cystoscopy and treatment,,,2240.09,7272.0,4 HCPCS,52310,"Hc Cystourethroscopy, W/ Rmvl Of Foreign Body, Calculus, Or Ureteral Stent From Urethra Or Bladder",9725.0,9725.0,,,0 HCPCS,52310,"Hc Cystourethroscopy, W/ Rmvl Of Foreign Body, Calculus, Or Ureteral Stent From Urethra Or Bladder-P",11589.0,11589.0,,,0 HCPCS,52310,Pr Cysto W/Simple Removal Stone & Stent-Pbb,3728.0,3728.0,,,0 HCPCS,52315,Cystoscopy and treatment,,,2240.09,11000.0,4 HCPCS,52317,Remove bladder stone,,,3777.44,11000.0,4 HCPCS,52318,Remove bladder stone,,,3777.44,11000.0,4 HCPCS,52320,Cystoscopy and treatment,,,3777.44,11000.0,4 HCPCS,52325,Cystoscopy stone removal,,,5745.8,11000.0,4 HCPCS,52327,Cystoscopy inject material,,,5745.8,22280.0,4 HCPCS,52330,Cystoscopy and treatment,,,3777.44,11000.0,4 HCPCS,52332,Cystoscopy and treatment,,,3777.44,11000.0,4 HCPCS,52334,Create passage to kidney,,,3777.44,11000.0,4 HCPCS,52341,Cysto W/Ureter Stricture Tx,,,3777.44,11000.0,4 HCPCS,52341,Hc Cystourethroscopy; With Treatment Of Ureteral Stricture,7928.0,7928.0,,,0 HCPCS,52342,Cysto W/Up Stricture Tx,,,3777.44,11000.0,4 HCPCS,52343,Cysto W/Renal Stricture Tx,,,3777.44,11000.0,4 HCPCS,52344,Cysto/uretero stricture tx,,,3777.44,11000.0,4 HCPCS,52345,Cysto/Uretero W/Up Stricture,,,3777.44,11000.0,4 HCPCS,52346,Cystouretero W/Renal Strict,,,5745.8,11000.0,4 HCPCS,52351,Cystouretero & or pyeloscope,,,3777.44,11000.0,4 HCPCS,52351,Hc Cysto W/Urtroscopy&/Pyeloscopy Dx,7928.0,7928.0,,,0 HCPCS,52352,Cystouretero w/stone remove,,,3777.44,11000.0,4 HCPCS,52353,Cystouretero W/Lithotripsy,,,5745.8,22280.0,4 HCPCS,52354,Cystouretero W/Biopsy,,,5745.8,11000.0,4 HCPCS,52355,Cystouretero W/Excise Tumor,,,5745.8,11000.0,4 HCPCS,52356,Cysto/uretero w/lithotripsy,,,5745.8,22280.0,4 HCPCS,52400,Cystouretero W/Congen Repr,,,3777.44,11000.0,4 HCPCS,52402,Cystourethro cut ejacul duct,,,3777.44,11000.0,4 HCPCS,52441,Cystourethro w/implant,,,3399.0,3399.0,1 HCPCS,52442,Cystourethro w/addl implant,,,3399.0,3399.0,1 HCPCS,52443,Cysto 1st trurl prst8 comis,,,10144.44,14709.43,3 HCPCS,52450,Incision of prostate,,,3777.44,11000.0,4 HCPCS,52500,Revision of bladder neck,,,3777.44,11000.0,4 HCPCS,52597,Trurl rbtc wtrjt rescj prst8,,,10144.44,14709.43,3 HCPCS,52601,Prostatectomy (TURP),,,5745.8,22280.0,4 HCPCS,52630,"Hc Transurethral Resection; Regrowth, Obstructive Tissue Longer Than 1 Year Postoperative",11934.0,11934.0,,,0 HCPCS,52630,"Hc Transurethral Resection; Regrowth, Obstructive Tissue Longer Than 1 Year Postoperative-Pbb",13488.5,13488.5,,,0 HCPCS,52630,Pr Trurl Rescj Residual/Regrowth Obstr Prstate Tiss-Pbb,3109.0,3109.0,,,0 HCPCS,52630,Remove prostate regrowth,,,5745.8,22280.0,4 HCPCS,52640,Relieve bladder contracture,,,3777.44,11000.0,4 HCPCS,52647,Laser surgery of prostate,,,22280.0,22280.0,1 HCPCS,52648,Laser surgery of prostate,,,5745.8,22280.0,4 HCPCS,52649,Prostate laser enucleation,,,5745.8,22280.0,4 HCPCS,52700,Drainage of prostate abscess,,,3777.44,11000.0,4 HCPCS,53000,"Hc Urethrotomy Or Urethrostomy, External, Pendulous",7243.0,7243.0,,,0 HCPCS,53000,Incision of urethra,,,2240.09,11000.0,4 HCPCS,53010,Incision of urethra,,,5745.8,11000.0,4 HCPCS,53020,"Hc Meatotomy, Cutting Of Meatus",9653.0,9653.0,,,0 HCPCS,53020,"Hc Meatotomy, Cutting Of Meatus-Pbb",8832.0,8832.0,,,0 HCPCS,53020,Incision of urethra,,,2240.09,11000.0,4 HCPCS,53020,Pr Meatotomy Cutting Meatus Spx Except Infant-Pbb,2222.0,2222.0,,,0 HCPCS,53025,Incision of urethra,,,2240.09,11000.0,4 HCPCS,53040,Drainage of urethra abscess,,,3777.44,11000.0,4 HCPCS,53040,Hc Drainage Of Deep Periurethral Abscess,12523.0,12523.0,,,0 HCPCS,53040,Hc Drainage Of Deep Periurethral Abscess-Pbb,10519.5,10519.5,,,0 HCPCS,53040,Pr Drainage Deep Periurethral Abscess-Pbb,4763.0,4763.0,,,0 HCPCS,53060,Drainage of urethra abscess,,,2240.09,11000.0,4 HCPCS,53060,Hc Drain Skene's Gland Abscess Or Cyst,6547.0,6547.0,,,0 HCPCS,53080,Drainage of urinary leakage,,,747.24,11000.0,4 HCPCS,53085,Drainage of urinary leakage,,,2240.09,11000.0,4 HCPCS,53200,Biopsy of urethra,,,2240.09,11000.0,4 HCPCS,53200,Hc Biopsy Of Urethra-Pbb,5520.0,5520.0,,,0 HCPCS,53200,Pr Biopsy Urethra-Pbb,2069.0,2069.0,,,0 HCPCS,53210,Removal of urethra,,,3777.44,14227.0,4 HCPCS,53215,Removal of urethra,,,5745.8,11000.0,4 HCPCS,53220,Treatment of urethra lesion,,,3777.44,14227.0,4 HCPCS,53230,Removal of urethra lesion,,,5745.8,14227.0,4 HCPCS,53235,Removal of urethra lesion,,,5745.8,11000.0,4 HCPCS,53240,Surgery for urethra pouch,,,3777.44,14227.0,4 HCPCS,53250,Removal of urethra gland,,,3777.44,11000.0,4 HCPCS,53260,Treatment of urethra lesion,,,3777.44,11000.0,4 HCPCS,53265,Treatment of urethra lesion,,,2240.09,11000.0,4 HCPCS,53270,Removal of urethra gland,,,3777.44,11000.0,4 HCPCS,53275,Repair of urethra defect,,,3777.44,11000.0,4 HCPCS,53400,Revise urethra stage 1,,,5745.8,14227.0,4 HCPCS,53405,Revise urethra stage 2,,,5745.8,14227.0,4 HCPCS,53410,Reconstruction of urethra,,,5745.8,14227.0,4 HCPCS,53415,Reconstruction of urethra,,,22280.0,22280.0,1 HCPCS,53420,Reconstruct urethra stage 1,,,5745.8,14227.0,4 HCPCS,53425,Reconstruct urethra stage 2,,,5745.8,14227.0,4 HCPCS,53430,Reconstruction of urethra,,,5745.8,14227.0,4 HCPCS,53431,Reconstruct urethra/bladder,,,5745.8,14227.0,4 HCPCS,53440,Male sling procedure,,,14138.35,36418.0,4 HCPCS,53442,Remove/revise male sling,,,5745.8,14227.0,4 HCPCS,53444,Insert tandem cuff,,,22210.5,36418.0,4 HCPCS,53445,Insert uro/ves nck sphincter,,,22210.5,66129.0,4 HCPCS,53446,Remove uro sphincter,,,5745.8,24760.0,4 HCPCS,53447,Remove/replace ur sphincter,,,22210.5,66129.0,4 HCPCS,53448,Remov/replc ur sphinctr comp,,,5007.0,5007.0,1 HCPCS,53449,Repair uro sphincter,,,10144.44,14709.43,4 HCPCS,53450,Revision of urethra,,,3777.44,14227.0,4 HCPCS,53451,Tprnl balo cntnc dev bi,,,14138.35,36418.0,4 HCPCS,53452,Tprnl balo cntnc dev uni,,,10144.44,14709.43,4 HCPCS,53453,Tprnl balo cntnc dev rmvl ea,,,3777.44,11000.0,4 HCPCS,53454,Tprnl balo cntnc dev adjmt,,,267.74,3399.0,4 HCPCS,53460,Revision of urethra,,,3777.44,11000.0,4 HCPCS,53500,Urethrlys transvag w/ scope,,,3777.44,14227.0,4 HCPCS,53502,Repair of urethra injury,,,3777.44,11000.0,4 HCPCS,53505,Repair of urethra injury,,,5745.8,14227.0,4 HCPCS,53510,Repair of urethra injury,,,5745.8,11000.0,4 HCPCS,53515,Repair of urethra injury,,,5745.8,14227.0,4 HCPCS,53520,Repair of urethra defect,,,5745.8,14227.0,4 HCPCS,53600,Dilate urethra stricture,,,267.74,3399.0,4 HCPCS,53600,"Hc Dilation Of Urethral Stricture By Passage Of Sound Or Urethral Dilator, Male; Initial",2003.0,2003.0,,,0 HCPCS,53600,"Hc Dilation Of Urethral Stricture By Passage Of Sound Or Urethral Dilator, Male; Initial-Pbb",1058.0,1058.0,,,0 HCPCS,53600,Pr Dilat Urethral Strix Dilator Male 1St-Pbb,944.0,944.0,,,0 HCPCS,53601,Dilate urethra stricture,,,142.58,3399.0,4 HCPCS,53601,"Hc Dilation Of Urethral Stricture By Passage Of Sound Or Urethral Dilator, Male; Subsequent",1331.0,1331.0,,,0 HCPCS,53601,"Hc Dilation Of Urethral Stricture By Passage Of Sound Or Urethral Dilator, Male; Subsequent-Pbb",980.5,980.5,,,0 HCPCS,53601,Pr Dilat Urethral Strix Dilator Male Sbsq-Pbb,775.0,775.0,,,0 HCPCS,53605,Dilate urethra stricture,,,3777.44,7272.0,4 HCPCS,53620,Dilate urethra stricture,,,747.24,5007.0,4 HCPCS,53620,"Hc Dilation Of Urethral Stricture By Passage Of Filiform And Follower, Male; Initial",6694.0,6694.0,,,0 HCPCS,53620,"Hc Dilation Of Urethral Stricture By Passage Of Filiform And Follower, Male; Initial-Pbb",7306.0,7306.0,,,0 HCPCS,53620,Pr Dilat Urethral Strix Filiform & Follwr Male 1St-Pbb,1224.0,1224.0,,,0 HCPCS,53621,Dilate urethra stricture,,,267.74,3399.0,4 HCPCS,53621,"Hc Dilation Of Urethral Stricture By Passage Of Filiform And Follower, Male; Subsequent",1685.0,1685.0,,,0 HCPCS,53621,"Hc Dilation Of Urethral Stricture By Passage Of Filiform And Follower, Male; Subsequent-Pbb",1219.5,1219.5,,,0 HCPCS,53621,Pr Dilat Urethral Strix Filiform & Follwr Male Sbsq-Pbb,1033.0,1033.0,,,0 HCPCS,53660,Dilation of urethra,,,137.89,3399.0,4 HCPCS,53660,Hc Dilation Of Female Urethra Including Suppository And/Or Instillation; Initial,1316.0,1316.0,,,0 HCPCS,53660,Hc Dilation Of Female Urethra Including Suppository And/Or Instillation; Initial-Pbb,940.5,940.5,,,0 HCPCS,53660,Pr Dilat Female Urethra W/Suppository&/Instlj Ini-Pbb,835.0,835.0,,,0 HCPCS,53661,Dilation of urethra,,,142.58,3399.0,4 HCPCS,53661,Hc Dilation Of Female Urethra Including Suppository And/Or Instillation; Subsequent,1025.0,1025.0,,,0 HCPCS,53661,Hc Dilation Of Female Urethra Including Suppository And/Or Instillation; Subsequent-Pbb,699.0,699.0,,,0 HCPCS,53661,Pr Dilat Female Urt W/Suppository&/Instlj Sbsq-Pbb,716.0,716.0,,,0 HCPCS,53665,Dilation of urethra,,,2240.09,11000.0,4 HCPCS,53850,"Hc Transurethral Destruction, Prostate Tissue; Microwave Thermotherapy",8320.0,8320.0,,,0 HCPCS,53850,"Hc Transurethral Destruction, Prostate Tissue; Microwave Thermotherapy-Pbb",10683.0,10683.0,,,0 HCPCS,53850,Pr Trurl Dstrj Prstate Tiss Microwave Thermoth-Pbb,4726.0,4726.0,,,0 HCPCS,53850,Prostatic microwave thermotx,,,3777.44,7272.0,4 HCPCS,53852,Hc Prostatic Rf Thermotx,8320.0,8320.0,,,0 HCPCS,53852,Hc Prostatic Rf Thermotx-Pbb,10750.0,10750.0,,,0 HCPCS,53852,NDC Description Not Available,14.75,14.75,,,0 HCPCS,53852,Pr Trurl Dstrj Prstate Tiss Rf Thermoth-Pbb,4859.0,4859.0,,,0 HCPCS,53852,Prostatic rf thermotx,,,3777.44,22280.0,4 HCPCS,53854,Hc Trurl Dstrj Prst8 Tiss Rf Wv,4848.0,4848.0,,,0 HCPCS,53854,Hc Trurl Dstrj Prst8 Tiss Rf Wv-Pbb,6261.0,6261.0,,,0 HCPCS,53854,Pr Trurl Dstrj Prst8 Tiss Rf Wv Thermotherapy-Pbb,2827.0,2827.0,,,0 HCPCS,53854,Trurl dstrj prst8 tiss rf wv,,,3777.44,11000.0,4 HCPCS,53855,Insert prost urethral stent,,,2240.09,5007.0,4 HCPCS,53860,Transurethral rf treatment,,,2240.09,7272.0,4 HCPCS,53865,Cysto insj dev ischmc rmdlg,,,10144.44,14709.43,3 HCPCS,53866,Cathj rmvl dev ischmc rmdlg,,,267.74,388.23,3 HCPCS,53899,Hc Ang Intertumoral Embolization/Injection Of Kidney,20495.0,20495.0,,,0 HCPCS,53899,Hc Kidney Fudicial Marker Placement,1203.0,1203.0,,,0 HCPCS,53899,Hc Unlisted Procedure Dilation Of Ureter,443.0,443.0,,,0 HCPCS,53899,Hc Unlisted Procedure Urinary System Botox Injection,2539.0,2539.0,,,0 HCPCS,53899,Hc Unlisted Procedure Urinary System Botox Injection-Pbb,2335.5,2335.5,,,0 HCPCS,53899,Pr Unlisted Procedure Urinary System-Pbb,558.0,558.0,,,0 HCPCS,53899,Urology surgery procedure,,,267.74,3399.0,4 HCPCS,54000,Slitting of prepuce,,,3777.44,11000.0,4 HCPCS,54001,"Hc Slitting, Prepuce, Dorsal/Lateral (Sep Proc); Except Newborn",6954.0,6954.0,,,0 HCPCS,54001,Slitting of prepuce,,,2240.09,11000.0,4 HCPCS,54015,Drain penis lesion,,,1769.88,7272.0,4 HCPCS,54015,"Hc Incision & Drainage, Penis, Deep",4601.0,4601.0,,,0 HCPCS,54050,Destruction penis lesion(s),,,435.63,3399.0,4 HCPCS,54050,"Hc Destruction Of Lesion, Penis, Simple; Chemical",1584.0,1584.0,,,0 HCPCS,54050,"Hc Destruction Of Lesion, Penis, Simple; Chemical-Pbb",1078.0,1078.0,,,0 HCPCS,54050,Pr Dstrj Lesion Penis Simple Chemical-Pbb,1108.0,1108.0,,,0 HCPCS,54055,Destruction penis lesion(s),,,2211.05,7272.0,4 HCPCS,54055,"Hc Destruction Of Lesion, Penis, Simple; Electrodesiccation",10780.0,10780.0,,,0 HCPCS,54055,"Hc Destruction Of Lesion, Penis, Simple; Electrodesiccation-Pbb",10376.0,10376.0,,,0 HCPCS,54055,Pr Dstrj Lesion Penis Simple Electrodesiccation-Pbb,1452.0,1452.0,,,0 HCPCS,54056,Cryosurgery penis lesion(s),,,215.0,3399.0,4 HCPCS,54056,"Hc Destruction Of Lesion, Penis, Simple; Cryosurgery",2303.0,2303.0,,,0 HCPCS,54056,"Hc Destruction Of Lesion, Penis, Simple; Cryosurgery-Pbb",1646.0,1646.0,,,0 HCPCS,54056,Pr Dstrj Lesion Penis Simple Cryosurgery-Pbb,1452.0,1452.0,,,0 HCPCS,54057,"Hc Destruction Of Lesion, Penis, Simple; Laser Surgery",11926.0,11926.0,,,0 HCPCS,54057,"Hc Destruction Of Lesion, Penis, Simple; Laser Surgery-Pbb",9964.5,9964.5,,,0 HCPCS,54057,Laser surg penis lesion(s),,,2211.05,7272.0,4 HCPCS,54057,Pr Dstrj Lesion Penis Simple Laser-Pbb,4639.0,4639.0,,,0 HCPCS,54060,Excision of penis lesion(s),,,2211.05,7272.0,4 HCPCS,54060,"Hc Destruction Of Lesion, Penis, Simple; Surgical Excision",10348.0,10348.0,,,0 HCPCS,54060,"Hc Destruction Of Lesion, Penis, Simple; Surgical Excision-Pbb",9150.5,9150.5,,,0 HCPCS,54060,Pr Dstrj Lesion Penis Simple Surg Excision-Pbb,3011.0,3011.0,,,0 HCPCS,54065,Destruction penis lesion(s),,,2211.05,7272.0,4 HCPCS,54065,"Hc Destruction Of Lesion, Penis, Extensive",13500.0,13500.0,,,0 HCPCS,54065,"Hc Destruction Of Lesion, Penis, Extensive-Pbb",10774.5,10774.5,,,0 HCPCS,54065,Pr Dstrj Lesion Penis Extensive-Pbb,6259.0,6259.0,,,0 HCPCS,54100,Biopsy of penis,,,1769.88,7272.0,4 HCPCS,54100,Hc Biopsy Of Penis,6980.0,6980.0,,,0 HCPCS,54100,Hc Biopsy Of Penis-Pbb,6492.0,6492.0,,,0 HCPCS,54100,Pr Biopsy Penis Separate Procedure-Pbb,1394.0,1394.0,,,0 HCPCS,54105,Biopsy of penis,,,3112.75,11000.0,4 HCPCS,54110,"Hc Excision, Penile Plaque (Peyronie Disease);",8320.0,8320.0,,,0 HCPCS,54110,"Hc Excision, Penile Plaque (Peyronie Disease);-Pbb",10796.5,10796.5,,,0 HCPCS,54110,Pr Excision Of Penile Plaque-Pbb,4953.0,4953.0,,,0 HCPCS,54110,Treatment of penis lesion,,,3777.44,22280.0,4 HCPCS,54111,Treat penis lesion graft,,,5745.8,22280.0,4 HCPCS,54112,Treat penis lesion graft,,,10144.44,22280.0,4 HCPCS,54115,"Hc Removal Fb, Deep Penile Tissue",8426.0,8426.0,,,0 HCPCS,54115,"Hc Removal Fb, Deep Penile Tissue-Pbb",10601.0,10601.0,,,0 HCPCS,54115,Pr Removal Foreign Body Deep Penile Tissue-Pbb,4350.0,4350.0,,,0 HCPCS,54115,Treatment of penis lesion,,,3112.75,11000.0,4 HCPCS,54120,Partial removal of penis,,,3777.44,14227.0,4 HCPCS,54125,Removal of penis,,,7272.0,7272.0,1 HCPCS,54130,Remove penis & nodes,,,10008.0,10008.0,1 HCPCS,54135,Remove penis & nodes,,,10008.0,10008.0,1 HCPCS,54150,Circumcision w/regionl block,,,2240.09,11000.0,4 HCPCS,54150,"Hc Circumcision, Using Clamp Or Other Device With Regional Dorsal Penile Or Ring Block",8785.0,8785.0,,,0 HCPCS,54160,Circumcision neonate,,,747.24,11000.0,4 HCPCS,54161,Circum 28 days or older,,,2240.09,11000.0,4 HCPCS,54162,Hc Lysis Penil Circumcis Adhes-Pbb,7567.5,7567.5,,,0 HCPCS,54162,Lysis penil circumic lesion,,,2240.09,11000.0,4 HCPCS,54162,Pr Lysis/Excision Penile Postcircumcision Adhesions-Pbb,2041.0,2041.0,,,0 HCPCS,54163,Repair of circumcision,,,2240.09,11000.0,4 HCPCS,54164,Frenulotomy of penis,,,2240.09,11000.0,4 HCPCS,54200,Hc Treatment Of Penis Lesion,949.0,949.0,,,0 HCPCS,54200,Hc Treatment Of Penis Lesion-Pbb,1372.0,1372.0,,,0 HCPCS,54200,Pr Injection Procedure For Peyronie Disease-Pbb,846.0,846.0,,,0 HCPCS,54200,Treatment of penis lesion,,,267.74,3399.0,4 HCPCS,54205,Treatment of penis lesion,,,5745.8,14227.0,4 HCPCS,54220,Hc Irrigation Corpora Cavernosa For Priap,912.0,912.0,,,0 HCPCS,54220,Hc Irrigation Corpora Cavernosa For Priap-Pbb,1607.0,1607.0,,,0 HCPCS,54220,Pr Irrigation Corpora Cavernosa Priapism-Pbb,1390.0,1390.0,,,0 HCPCS,54220,Treatment of penis lesion,,,267.74,3399.0,4 HCPCS,54230,Prepare penis study,,,3399.0,3399.0,1 HCPCS,54231,Dynamic cavernosometry,,,267.74,7272.0,4 HCPCS,54235,Hc Injection Of Corpora Cavernose With Pharmacologic Agent,1058.0,1058.0,,,0 HCPCS,54235,Hc Injection Of Corpora Cavernose With Pharmacologic Agent-Pbb,1526.0,1526.0,,,0 HCPCS,54235,Penile injection,,,267.74,3399.0,4 HCPCS,54235,Pr Injection Corpora Cavernosa Pharmacologic Agent-Pbb,936.0,936.0,,,0 HCPCS,54240,Hc Penile Plethysmography,864.0,864.0,,,0 HCPCS,54240,Hc Penile Plethysmography-Pbb,1339.5,1339.5,,,0 HCPCS,54240,Penis study,,,231.39,3399.0,4 HCPCS,54240,Pr Penile Plethysmography-Pbb,952.0,952.0,,,0 HCPCS,54250,Penis study,,,267.74,3399.0,4 HCPCS,54300,Revision of penis,,,3777.44,22280.0,4 HCPCS,54304,Revision of penis,,,3777.44,22280.0,4 HCPCS,54308,Reconstruction of urethra,,,5745.8,22280.0,4 HCPCS,54312,Reconstruction of urethra,,,3777.44,14227.0,4 HCPCS,54316,Reconstruction of urethra,,,10144.44,14709.43,4 HCPCS,54318,Reconstruction of urethra,,,3777.44,14227.0,4 HCPCS,54322,Reconstruction of urethra,,,3777.44,14227.0,4 HCPCS,54324,Reconstruction of urethra,,,3777.44,22280.0,4 HCPCS,54326,Reconstruction of urethra,,,3777.44,14227.0,4 HCPCS,54328,Revise penis/urethra,,,3777.44,22280.0,4 HCPCS,54332,Revise penis/urethra,,,3777.44,14227.0,4 HCPCS,54336,Revise penis/urethra,,,3777.44,14227.0,4 HCPCS,54340,Secondary urethral surgery,,,3777.44,14227.0,4 HCPCS,54344,Secondary urethral surgery,,,10144.44,14709.43,4 HCPCS,54348,Secondary urethral surgery,,,5745.8,14227.0,4 HCPCS,54352,Reconstruct urethra/penis,,,5745.8,22280.0,4 HCPCS,54360,Hc Plastic Rpr Penis Correct Angulation,8320.0,8320.0,,,0 HCPCS,54360,Hc Plastic Rpr Penis Correct Angulation-Pbb,11134.0,11134.0,,,0 HCPCS,54360,Penis plastic surgery,,,3777.44,22280.0,4 HCPCS,54360,Pr Plastic Rpr Penis Correct Angulation-Pbb,5628.0,5628.0,,,0 HCPCS,54380,Repair penis,,,2240.09,14227.0,4 HCPCS,54385,Repair penis,,,2240.09,14227.0,4 HCPCS,54390,Repair penis and bladder,,,22280.0,22280.0,1 HCPCS,54400,Insert semi-rigid prosthesis,,,14138.35,36418.0,4 HCPCS,54401,Insert self-contd prosthesis,,,22210.5,66129.0,4 HCPCS,54405,Insert multi-comp penis pros,,,22210.5,66129.0,4 HCPCS,54406,Remove muti-comp penis pros,,,3777.44,14227.0,4 HCPCS,54408,Repair multi-comp penis pros,,,5745.8,22280.0,4 HCPCS,54410,Remove/replace penis prosth,,,22210.5,66129.0,4 HCPCS,54411,Remov/replc penis pros comp,,,3399.0,32205.22,4 HCPCS,54415,Remove self-contd penis pros,,,3777.44,14227.0,4 HCPCS,54416,Remv/repl penis contain pros,,,22210.5,66129.0,4 HCPCS,54417,Remv/replc penis pros compl,,,5007.0,32205.22,4 HCPCS,54420,Hc Corpora Cavernose-Saphenous Vein Shunt,5511.0,5511.0,,,0 HCPCS,54420,Revision of penis,,,3777.44,14227.0,4 HCPCS,54430,"Hc Corpora Cavernosa-Corpus Shunt, Unilat Or Bilateral",5511.0,5511.0,,,0 HCPCS,54430,Revision of penis,,,10008.0,10008.0,1 HCPCS,54435,Hc Corpora Cavernosa-Glans Penis Fistuliz,8827.0,8827.0,,,0 HCPCS,54435,Revision of penis,,,3777.44,14227.0,4 HCPCS,54437,Repair corporeal tear,,,3777.44,11000.0,4 HCPCS,54438,Replantation of penis,,,10008.0,10008.0,1 HCPCS,54440,Repair of penis,,,3777.44,14227.0,4 HCPCS,54450,Hc Foreskin Manipulation Including Lysis Of Preputial Adhesions And Stretching,1122.0,1122.0,,,0 HCPCS,54450,Hc Foreskin Manipulation Including Lysis Of Preputial Adhesions And Stretching-Pbb,1596.5,1596.5,,,0 HCPCS,54450,Pr Foreskn Manj W/Lss Preputial Ads&Stretching-Pbb,1076.0,1076.0,,,0 HCPCS,54450,Preputial stretching,,,267.74,3399.0,4 HCPCS,54500,Biopsy of testis,,,3112.75,7272.0,4 HCPCS,54500,Hc Biopsy Of Testis,8426.0,8426.0,,,0 HCPCS,54500,Hc Biopsy Of Testis-Pbb,8808.0,8808.0,,,0 HCPCS,54500,Pr Biopsy Testis Needle Separate Procedure-Pbb,763.0,763.0,,,0 HCPCS,54505,Biopsy of testis,,,3777.44,11000.0,4 HCPCS,54505,"Hc Bx, Testis, Incisional (Sep Proc)",10936.0,10936.0,,,0 HCPCS,54505,"Hc Bx, Testis, Incisional (Sep Proc)-Pbb",12011.5,12011.5,,,0 HCPCS,54505,Pr Biopsy Testis Incisional Separate Procedure-Pbb,2152.0,2152.0,,,0 HCPCS,54512,Excise Lesion Testis,,,3777.44,11000.0,4 HCPCS,54520,Removal of testis,,,3777.44,14227.0,4 HCPCS,54522,Orchiectomy partial,,,3777.44,11000.0,4 HCPCS,54530,Removal of testis,,,3836.82,14227.0,4 HCPCS,54535,Extensive testis surgery,,,3777.44,14227.0,4 HCPCS,54550,Exploration for testis,,,3836.82,14227.0,4 HCPCS,54560,Exploration for testis,,,2240.09,11000.0,4 HCPCS,54600,Reduce testis torsion,,,3777.44,11000.0,4 HCPCS,54620,Suspension of testis,,,3777.44,11000.0,4 HCPCS,54640,Suspension of testis,,,3836.82,14227.0,4 HCPCS,54650,Orchiopexy (Fowler-Stephens),,,3836.82,14227.0,4 HCPCS,54660,Revision of testis,,,5745.8,11000.0,4 HCPCS,54670,Repair testis injury,,,3777.44,11000.0,4 HCPCS,54680,Relocation of testis(es),,,3777.44,11000.0,4 HCPCS,54690,Laparoscopy orchiectomy,,,6478.5,24760.0,4 HCPCS,54692,Laparoscopy orchiopexy,,,6478.5,24760.0,4 HCPCS,54699,Laparoscope proc testis,,,6478.5,22280.0,4 HCPCS,54700,Drainage of scrotum,,,2240.09,11000.0,4 HCPCS,54700,"Hc I&D Of Epididymis, Testis And/Or Scrotal Space",7243.0,7243.0,,,0 HCPCS,54700,"Hc I&D Of Epididymis, Testis And/Or Scrotal Space-Pbb",7270.5,7270.5,,,0 HCPCS,54700,Pr I&D Epididymis Tstis&/Scrotal Space-Pbb,1943.0,1943.0,,,0 HCPCS,54800,Biopsy of epididymis,,,1769.88,5007.0,4 HCPCS,54800,"Hc Bx, Epididymis, Needle",5002.0,5002.0,,,0 HCPCS,54800,"Hc Bx, Epididymis, Needle-Pbb",5660.5,5660.5,,,0 HCPCS,54800,Pr Biopsy Epididymis Needle-Pbb,1318.0,1318.0,,,0 HCPCS,54830,Remove epididymis lesion,,,3777.44,11000.0,4 HCPCS,54840,Remove epididymis lesion,,,2240.09,11000.0,4 HCPCS,54860,Removal of epididymis,,,3777.44,11000.0,4 HCPCS,54861,Removal of epididymis,,,3777.44,11000.0,4 HCPCS,54865,Explore Epididymis,,,3777.44,11000.0,4 HCPCS,54900,Fusion of spermatic ducts,,,2240.09,11000.0,4 HCPCS,54901,Fusion of spermatic ducts,,,3777.44,11000.0,4 HCPCS,55000,Drainage of hydrocele,,,758.85,5007.0,4 HCPCS,55000,"Hc Punct Asp Hydrocele Tunica Vaginalis, W/Wo Inj, Med",2381.0,2381.0,,,0 HCPCS,55040,"Hc Excision, Hydrocele; Unilat",11315.0,11315.0,,,0 HCPCS,55040,"Hc Excision, Hydrocele; Unilat-Pbb",13052.5,13052.5,,,0 HCPCS,55040,Pr Excision Hydrocele Unilateral-Pbb,3475.0,3475.0,,,0 HCPCS,55040,Removal of hydrocele,,,3836.82,14227.0,4 HCPCS,55041,"Hc Excision, Hydrocele; Bilat",11315.0,11315.0,,,0 HCPCS,55041,"Hc Excision, Hydrocele; Bilat-Pbb",13931.0,13931.0,,,0 HCPCS,55041,Pr Excision Hydrocele Bilateral-Pbb,5232.0,5232.0,,,0 HCPCS,55041,Removal of hydroceles,,,3836.82,14227.0,4 HCPCS,55060,"Hc Repair, Tunica Vaginalis Hydrocele",10936.0,10936.0,,,0 HCPCS,55060,"Hc Repair, Tunica Vaginalis Hydrocele-Pbb",12890.5,12890.5,,,0 HCPCS,55060,Pr Rpr Tunica Vaginalis Hydrocele Bottle Type-Pbb,3910.0,3910.0,,,0 HCPCS,55060,Repair of hydrocele,,,3777.44,11000.0,4 HCPCS,55100,Drainage of scrotum abscess,,,1769.88,7272.0,4 HCPCS,55100,Hc Draining Of Scrotal Wall Abscess,4151.0,4151.0,,,0 HCPCS,55100,Hc Draining Of Scrotal Wall Abscess-Pbb,5005.5,5005.5,,,0 HCPCS,55100,Pr Drainage Scrotal Wall Abscess-Pbb,1709.0,1709.0,,,0 HCPCS,55110,Explore scrotum,,,3777.44,11000.0,4 HCPCS,55120,"Hc Removal, Fb In Scrotum",6372.0,6372.0,,,0 HCPCS,55120,"Hc Removal, Fb In Scrotum-Pbb",8202.0,8202.0,,,0 HCPCS,55120,Pr Removal Foreign Body Scrotum-Pbb,3660.0,3660.0,,,0 HCPCS,55120,Removal of scrotum lesion,,,2240.09,11000.0,4 HCPCS,55150,Removal of scrotum,,,3777.44,11000.0,4 HCPCS,55175,Revision of scrotum,,,3777.44,22280.0,4 HCPCS,55180,Revision of scrotum,,,5745.8,11000.0,4 HCPCS,55200,Hc Incision Of Sperm Duct,8320.0,8320.0,,,0 HCPCS,55200,Hc Incision Of Sperm Duct-Pbb,9403.5,9403.5,,,0 HCPCS,55200,Incision of sperm duct,,,3777.44,11000.0,4 HCPCS,55200,Pr Vasotomy Cannulization W/Wo Vas Inc Uni/Bi Spx-Pbb,2167.0,2167.0,,,0 HCPCS,55250,"Hc Vasectomy, Unilateral Or Bilateral, Postop Semen Examination",8408.0,8408.0,,,0 HCPCS,55250,"Hc Vasectomy, Unilateral Or Bilateral, Postop Semen Examination-Pbb",9392.5,9392.5,,,0 HCPCS,55250,Pr Vasectomy Uni/Bi Spx W/Postop Semen Exams-Pbb,1969.0,1969.0,,,0 HCPCS,55250,Removal of sperm duct(s),,,2240.09,11000.0,4 HCPCS,55300,Prepare sperm duct x-ray,,,3399.0,3399.0,1 HCPCS,55400,Repair of sperm duct,,,3777.44,11000.0,4 HCPCS,55500,Removal of hydrocele,,,3777.44,14227.0,4 HCPCS,55520,Removal of sperm cord lesion,,,3777.44,11000.0,4 HCPCS,55530,Revise spermatic cord veins,,,3777.44,11000.0,4 HCPCS,55535,Revise spermatic cord veins,,,6937.47,14227.0,4 HCPCS,55540,Revise hernia & sperm veins,,,3836.82,14227.0,4 HCPCS,55550,Laparo ligate spermatic vein,,,6478.5,24760.0,4 HCPCS,55559,Laparo proc spermatic cord,,,6478.5,22280.0,4 HCPCS,55600,Incise sperm duct pouch,,,2240.09,11000.0,4 HCPCS,55605,Incise sperm duct pouch,,,5007.0,5007.0,1 HCPCS,55650,Remove sperm duct pouch,,,5007.0,5007.0,1 HCPCS,55680,Remove sperm pouch lesion,,,3777.44,11000.0,4 HCPCS,55700,Biopsy of prostate,,,7272.0,7272.0,1 HCPCS,55700,"Hc Biopsy, Prostate; Needle Or Punch, Single Or Multiple, Any Approach",6194.0,6194.0,,,0 HCPCS,55700,"Hc Biopsy, Prostate; Needle Or Punch, Single Or Multiple, Any Approach-Pbb",7148.0,7148.0,,,0 HCPCS,55700,Pr Prostate Needle Biopsy Any Approach-Pbb,1908.0,1908.0,,,0 HCPCS,55705,Biopsy of prostate,,,3777.44,7272.0,4 HCPCS,55706,Prostate saturation sampling,,,3777.44,7272.0,4 HCPCS,55707,Bx prst8 trct us guided,,,3777.44,5477.28,3 HCPCS,55708,Bx prst8 trct us w/mri fus 1,,,3777.44,5477.28,3 HCPCS,55709,Bx prst8 tprnl us guided,,,3777.44,5477.28,3 HCPCS,55710,Bx prst8 tprn us w/mri fus 1,,,3777.44,5477.28,3 HCPCS,55711,Bx prst8 trct mri-us 1st,,,3777.44,5477.28,3 HCPCS,55712,Bx prst8 tprnl mri-us 1st,,,3777.44,5477.28,3 HCPCS,55713,Bx prst8 in-bore ct/mri bx 1,,,5745.8,8331.41,3 HCPCS,55714,Bx prst8 in-bore ct/mri 1,,,5745.8,8331.41,3 HCPCS,55720,Drainage of prostate abscess,,,3777.44,11000.0,4 HCPCS,55725,Drainage of prostate abscess,,,3777.44,11000.0,4 HCPCS,55801,Removal of prostate,,,10008.0,10008.0,1 HCPCS,55810,Extensive prostate surgery,,,10008.0,10008.0,1 HCPCS,55812,Extensive prostate surgery,,,10008.0,10008.0,1 HCPCS,55815,Extensive prostate surgery,,,10008.0,10008.0,1 HCPCS,55821,Removal of prostate,,,10008.0,10008.0,1 HCPCS,55831,Removal of prostate,,,10008.0,10008.0,1 HCPCS,55840,Extensive prostate surgery,,,10008.0,10008.0,1 HCPCS,55842,Extensive prostate surgery,,,10008.0,10008.0,1 HCPCS,55845,Extensive prostate surgery,,,10008.0,10008.0,1 HCPCS,55860,Surgical exposure prostate,,,5745.8,11000.0,4 HCPCS,55862,Extensive prostate surgery,,,10008.0,10008.0,1 HCPCS,55865,Extensive prostate surgery,,,10008.0,10008.0,1 HCPCS,55866,Laparo radical prostatectomy,,,11391.13,36418.0,4 HCPCS,55867,Laps surg prst8ect smpl stot,,,11391.13,24760.0,4 HCPCS,55868,Lap srg prst8ct lymph nod bx,,,11391.13,16517.13,3 HCPCS,55869,Lap srg prst8ct bi pl lmphad,,,11391.13,16517.13,3 HCPCS,55870,Electroejaculation,,,987.01,5007.0,4 HCPCS,55873,Cryoablate Prostate,,,10144.44,36418.0,4 HCPCS,55874,"Hc Transperineal Placement Biodgrdbl Mtrl, Peri-Prostat, Sngl/Mltp Injs",11721.0,11721.0,,,0 HCPCS,55874,"Hc Transperineal Placement Biodgrdbl Mtrl, Peri-Prostat, Sngl/Mltp Injs-Pbb",12323.5,12323.5,,,0 HCPCS,55874,Pr Transperineal Plmt Biodegradable Matrl 1/Mlt Njx-Pbb,1204.0,1204.0,,,0 HCPCS,55874,Tprnl plmt biodegrdabl matrl,,,5745.8,24760.0,4 HCPCS,55875,Transperi needle place pros,,,5745.8,22280.0,4 HCPCS,55876,Hc Radt-Plcmt Intrstl Dev Rad Thpy Prostate,3973.0,3973.0,,,0 HCPCS,55876,Hc Radt-Plcmt Intrstl Dev Rad Thpy Prostate-Pbb,4364.5,4364.5,,,0 HCPCS,55876,Place rt device/marker pros,,,1483.26,7272.0,4 HCPCS,55876,Pr Plmt Interstitial Dev Radiat Tx Prostate 1/Mult-Pbb,783.0,783.0,,,0 HCPCS,55877,Abltj ire prst8 1+ tum perq,,,11391.13,16517.13,3 HCPCS,55880,Abltj mal prst8 tiss hifu,,,10144.44,14709.43,4 HCPCS,55882,Ablt trurl prst8 tis trnsdcr,,,14138.35,20500.61,3 HCPCS,55882,Hc Ablt Trurl Prst8 Tis Trnsdcr,35552.0,35552.0,,,0 HCPCS,55899,Genital surgery procedure,,,267.74,3399.0,4 HCPCS,55899,Hc Prostate Injection,4265.0,4265.0,,,0 HCPCS,55899,Hc Prostate Injection Research,3013.0,3013.0,,,0 HCPCS,55920,Hc Plcemnt Of Ndles Or Caths Into Plvc Orgns &/Or Genit For Subsequnt Interstitial Radioelemnt Appc,7189.0,7189.0,,,0 HCPCS,55920,Place needles pelvic for rt,,,5360.72,14227.0,4 HCPCS,55970,Sex transformation m to f,,,5360.72,7773.04,3 HCPCS,55980,Sex transformation f to m,,,3777.44,5477.28,3 HCPCS,56405,Hc I&D Of Vulva Or Perineal Abscess,2022.0,2022.0,,,0 HCPCS,56405,Hc I&D Of Vulva Or Perineal Abscess-Pbb,2904.0,2904.0,,,0 HCPCS,56405,I & D of vulva/perineum,,,326.55,3399.0,4 HCPCS,56405,Pr I&D Vulva/Perineal Abscess-Pbb,1764.0,1764.0,,,0 HCPCS,56420,Drainage of gland abscess,,,216.65,3399.0,4 HCPCS,56420,Hc I&D Of Bartholin's Gland Abcess,1360.0,1360.0,,,0 HCPCS,56420,Hc I&D Of Bartholin's Gland Abcess-Pbb,2329.5,2329.5,,,0 HCPCS,56420,Pr I&D Of Bartholins Gland Abscess-Pbb,1939.0,1939.0,,,0 HCPCS,56440,Hc Marsupialization Of Bartholin's Gland Cyst,10519.0,10519.0,,,0 HCPCS,56440,Hc Marsupialization Of Bartholin's Gland Cyst-Pbb,8895.5,8895.5,,,0 HCPCS,56440,Pr Marsupialization Bartholins Gland Cyst-Pbb,3881.0,3881.0,,,0 HCPCS,56440,Surgery for vulva lesion,,,3468.96,11000.0,4 HCPCS,56441,Hc Lysis Of Labial Adhesionsc,8977.0,8977.0,,,0 HCPCS,56441,Hc Lysis Of Labial Adhesionsc-Pbb,8100.5,8100.5,,,0 HCPCS,56441,Lysis of labial lesion(s),,,3468.96,11000.0,4 HCPCS,56441,Pr Lysis Labial Adhesions-Pbb,2291.0,2291.0,,,0 HCPCS,56442,Hymenotomy,,,3468.96,11000.0,4 HCPCS,56501,Destroy vulva lesions sim,,,2211.05,7272.0,4 HCPCS,56501,"Hc Destruction Of Lesion, Vulva, Simple",8876.0,8876.0,,,0 HCPCS,56501,"Hc Destruction Of Lesion, Vulva, Simple-Pbb",8393.5,8393.5,,,0 HCPCS,56501,Pr Destruction Lesions Vulva Simple-Pbb,1496.0,1496.0,,,0 HCPCS,56515,Destroy vulva lesion/s compl,,,2211.05,7272.0,4 HCPCS,56515,"Hc Destruction Of Lesion, Vulva, Extensive",16812.0,16812.0,,,0 HCPCS,56515,"Hc Destruction Of Lesion, Vulva, Extensive-Pbb",14761.0,14761.0,,,0 HCPCS,56515,Pr Destruction Lesions Vulva Extensive-Pbb,5112.0,5112.0,,,0 HCPCS,56605,Biopsy of vulva/perineum,,,987.01,5007.0,4 HCPCS,56605,Hc Biopsy Of Vulva Or Perineam; 1 Lesion,5758.0,5758.0,,,0 HCPCS,56605,Hc Biopsy Of Vulva Or Perineam; 1 Lesion-Pbb,5247.0,5247.0,,,0 HCPCS,56605,Pr Biopsy Vulva/Perineum 1 Lesion Spx-Pbb,1369.0,1369.0,,,0 HCPCS,56606,Biopsy of vulva/perineum,,,3399.0,3399.0,1 HCPCS,56606,Hc Biopsy Of Vulva Or Perineam; Each Separate Additional Lesion,3588.0,3588.0,,,0 HCPCS,56606,Hc Biopsy Of Vulva Or Perineam; Each Separate Additional Lesion-Pbb,3298.0,3298.0,,,0 HCPCS,56606,Pr Biopsy Vulva/Perineum Each Addl Lesion-Pbb,798.0,798.0,,,0 HCPCS,56620,Hc Vulvectomy Simple; Partial-Pbb,10070.5,10070.5,,,0 HCPCS,56620,Partial removal of vulva,,,3468.96,11000.0,4 HCPCS,56620,Pr Vulvectomy Simple Partial-Pbb,4305.0,4305.0,,,0 HCPCS,56625,Complete removal of vulva,,,3468.96,11000.0,4 HCPCS,56630,Extensive vulva surgery,,,5360.72,14227.0,4 HCPCS,56631,Extensive vulva surgery,,,36418.0,36418.0,1 HCPCS,56632,Extensive vulva surgery,,,36418.0,36418.0,1 HCPCS,56633,Extensive vulva surgery,,,36418.0,36418.0,1 HCPCS,56634,Extensive vulva surgery,,,36418.0,36418.0,1 HCPCS,56637,Extensive vulva surgery,,,36418.0,36418.0,1 HCPCS,56640,Extensive vulva surgery,,,10008.0,10008.0,1 HCPCS,56700,Hc Partial Hymenectomy Or Revision-Pbb,7903.0,7903.0,,,0 HCPCS,56700,Partial removal of hymen,,,3468.96,11000.0,4 HCPCS,56700,Pr Partial Hymenectomy Or Revision Hymenal Ring-Pbb,1430.0,1430.0,,,0 HCPCS,56740,"Hc Excision, Bartholin's Gland/Cyst",9438.0,9438.0,,,0 HCPCS,56740,"Hc Excision, Bartholin's Gland/Cyst-Pbb",10989.0,10989.0,,,0 HCPCS,56740,Pr Excision Bartholins Gland Or Cyst-Pbb,3102.0,3102.0,,,0 HCPCS,56740,Remove vagina gland lesion,,,3468.96,11000.0,4 HCPCS,56800,Hc Plastic Repair Introitus-Pbb,8365.0,8365.0,,,0 HCPCS,56800,Pr Plastic Repair Introitus-Pbb,1886.0,1886.0,,,0 HCPCS,56800,Repair of vagina,,,3468.96,11000.0,4 HCPCS,56805,Repair clitoris,,,3468.96,11000.0,4 HCPCS,56810,"Hc Perineoplasty, Repair Of Perineum, Nonobstetrical",12040.0,12040.0,,,0 HCPCS,56810,"Hc Perineoplasty, Repair Of Perineum, Nonobstetrical-Pbb",10995.5,10995.5,,,0 HCPCS,56810,Pr Perineoplasty Rpr Perineum Nonobstetrical Spx-Pbb,2810.0,2810.0,,,0 HCPCS,56810,Repair of perineum,,,3468.96,11000.0,4 HCPCS,56820,Exam of vulva w/scope,,,216.65,3399.0,4 HCPCS,56820,Hc Colposcopy Of The Vulva,2144.0,2144.0,,,0 HCPCS,56820,Hc Colposcopy Of The Vulva-Pbb,1549.5,1549.5,,,0 HCPCS,56820,Pr Colposcopy Vulva-Pbb,1319.0,1319.0,,,0 HCPCS,56821,Exam/biopsy of vulva w/scope,,,326.55,3399.0,4 HCPCS,56821,Hc Colposcopy Of The Vulva; With Biopsy,3350.0,3350.0,,,0 HCPCS,56821,Hc Colposcopy Of The Vulva; With Biopsy-Pbb,2463.0,2463.0,,,0 HCPCS,56821,Pr Colposcopy Vulva W/Biopsy-Pbb,1984.0,1984.0,,,0 HCPCS,57000,Exploration of vagina,,,3468.96,11000.0,4 HCPCS,57000,Hc Colpotomy; W Exploratn,6239.0,6239.0,,,0 HCPCS,57010,Drainage of pelvic abscess,,,3468.96,11000.0,4 HCPCS,57020,Drainage of pelvic fluid,,,5360.72,11000.0,4 HCPCS,57020,Hc Colpocentesis Separate Procedure-Pbb,9086.0,9086.0,,,0 HCPCS,57020,Pr Colpocentesis Separate Procedure,828.0,828.0,,,0 HCPCS,57022,I & d vaginal hematoma pp,,,3112.75,7272.0,4 HCPCS,57023,Hc I&D Of Vaginal Hematoma; Non-Obstetrical,6594.0,6594.0,,,0 HCPCS,57023,I & d vag hematoma non-ob,,,3112.75,11000.0,4 HCPCS,57061,Destroy vag lesions simple,,,3468.96,11000.0,4 HCPCS,57061,Hc Destruction Of Vaginal Lesion; Simple,12344.0,12344.0,,,0 HCPCS,57061,Hc Destruction Of Vaginal Lesion; Simple-Pbb,10675.0,10675.0,,,0 HCPCS,57061,Pr Destruction Vaginal Lesions Simple-Pbb,4078.0,4078.0,,,0 HCPCS,57065,Destroy vag lesions complex,,,3468.96,11000.0,4 HCPCS,57065,Hc Destruction Of Vaginal Lesion; Extensive,19595.0,19595.0,,,0 HCPCS,57065,Hc Destruction Of Vaginal Lesion; Extensive-Pbb,16100.5,16100.5,,,0 HCPCS,57065,Pr Destruction Vaginal Lesions Extensive-Pbb,8162.0,8162.0,,,0 HCPCS,57100,Biopsy of vagina,,,987.01,5007.0,4 HCPCS,57100,Hc Biopsy Of Vaginal Mucosa; Simple,7794.0,7794.0,,,0 HCPCS,57100,Hc Biopsy Of Vaginal Mucosa; Simple-Pbb,7041.0,7041.0,,,0 HCPCS,57100,Pr Biopsy Vaginal Mucosa Simple-Pbb,1972.0,1972.0,,,0 HCPCS,57105,Biopsy of vagina,,,3468.96,11000.0,4 HCPCS,57105,Hc Biopsy Of Vaginal Mucosa; Extensive,10645.0,10645.0,,,0 HCPCS,57105,Hc Biopsy Of Vaginal Mucosa; Extensive-Pbb,8959.5,8959.5,,,0 HCPCS,57105,Pr Biopsy Vaginal Mucosa Extensive-Pbb,4009.0,4009.0,,,0 HCPCS,57106,Remove vagina wall partial,,,3468.96,11000.0,4 HCPCS,57107,Remove vagina tissue part,,,3468.96,11000.0,4 HCPCS,57109,Vaginectomy partial w/nodes,,,3468.96,11000.0,4 HCPCS,57110,Remove vagina wall complete,,,10008.0,10008.0,1 HCPCS,57111,Remove vagina tissue compl,,,14227.0,14227.0,1 HCPCS,57120,Closure of vagina,,,5360.72,14227.0,4 HCPCS,57130,Remove vagina lesion,,,3468.96,11000.0,4 HCPCS,57135,Hc Excise Vaginal Cyst Or Tumor-Pbb,6952.5,6952.5,,,0 HCPCS,57135,Pr Excision Vaginal Cyst/Tumor-Pbb,1427.0,1427.0,,,0 HCPCS,57135,Remove vagina lesion,,,3468.96,11000.0,4 HCPCS,57150,"Hc Irrigation/Treatment, Vaginal Infection-Pbb",562.0,562.0,,,0 HCPCS,57150,Pr Irrigation Vagina&/Appl Medicament Tx Disease-Pbb,294.0,294.0,,,0 HCPCS,57150,Treat vagina infection,,,63.22,3399.0,4 HCPCS,57155,Hc Insertion Of Uterine Tandem And/Or Vaginal Ovoids For Clinical Brachytherapyc,5502.0,5502.0,,,0 HCPCS,57155,Insert uteri tandem/ovoids,,,5007.0,7773.04,4 HCPCS,57156,Hc Insertion Of Vaginal Radiation Afterloading Apparatus For Clinical Brachytherapy,1021.0,1021.0,,,0 HCPCS,57156,Ins vag brachytx device,,,326.55,3399.0,4 HCPCS,57160,Hc Fitting And Insertion Of Pessary Or Other Intravaginal Support Device,642.0,642.0,,,0 HCPCS,57160,Hc Fitting And Insertion Of Pessary Or Other Intravaginal Support Device-Pbb,981.5,981.5,,,0 HCPCS,57160,Insert pessary/other device,,,216.65,3399.0,4 HCPCS,57160,Pr Fit&Insj Pessary/Oth Intravaginal Support Devi-Pbb,679.0,679.0,,,0 HCPCS,57170,Fitting of diaphragm/cap,,,216.65,3399.0,4 HCPCS,57170,Hc Diaphragm Or Cervial Cap Fitting With Instructions,968.0,968.0,,,0 HCPCS,57170,Hc Diaphragm Or Cervial Cap Fitting With Instructions-Pbb,710.5,710.5,,,0 HCPCS,57170,Pr Diaphragm/Cervical Cap Fitting W/Instructions-Pbb,574.0,574.0,,,0 HCPCS,57180,Treat vaginal bleeding,,,216.65,3399.0,4 HCPCS,57200,"Hc Colporrhaphy, Suture Of Injury Of Vagina (Nonobstetrical)",7181.0,7181.0,,,0 HCPCS,57200,Repair of vagina,,,3468.96,11000.0,4 HCPCS,57210,Repair vagina/perineum,,,3468.96,11000.0,4 HCPCS,57220,Revision of urethra,,,5360.72,22280.0,4 HCPCS,57230,Repair of urethral lesion,,,3468.96,11000.0,4 HCPCS,57240,Repair bladder & vagina,,,5360.72,14227.0,4 HCPCS,57250,Repair rectum & vagina,,,5360.72,14227.0,4 HCPCS,57260,Repair of vagina,,,5360.72,14227.0,4 HCPCS,57265,Extensive repair of vagina,,,5360.72,22280.0,4 HCPCS,57267,Insert mesh/pelvic flr addon,,,3399.0,3399.0,1 HCPCS,57268,Repair of bowel bulge,,,5360.72,11000.0,4 HCPCS,57270,Repair of bowel pouch,,,11000.0,11000.0,1 HCPCS,57280,Suspension of vagina,,,11000.0,11000.0,1 HCPCS,57282,Colpopexy extraperitoneal,,,7946.52,22280.0,4 HCPCS,57283,Colpopexy intraperitoneal,,,7946.52,22280.0,4 HCPCS,57284,Repair paravag defect open,,,5360.72,22280.0,4 HCPCS,57285,Repair paravag defect vag,,,7946.52,22280.0,4 HCPCS,57287,Hc Removal Or Revision Of Sling For Stress Incontinence-Pbb,13109.5,13109.5,,,0 HCPCS,57287,Pr Rmvl/Revj Sling Stress Incontinence-Pbb,7928.0,7928.0,,,0 HCPCS,57287,Revise/Remove Sling Repair,,,3468.96,14227.0,4 HCPCS,57288,Repair bladder defect,,,5360.72,22280.0,4 HCPCS,57289,Repair bladder & vagina,,,7946.52,14227.0,4 HCPCS,57291,Construction of vagina,,,5360.72,11000.0,4 HCPCS,57292,Construct vagina with graft,,,5360.72,14227.0,4 HCPCS,57295,Hc Revj/Rmvl Prosthetic Vaginal Graft Vaginal App-Pbb,11062.0,11062.0,,,0 HCPCS,57295,Pr Revj/Rmvl Prosthetic Vaginal Graft Vaginal App-Pbb,3832.0,3832.0,,,0 HCPCS,57295,Revise vag graft via vagina,,,3468.96,11000.0,4 HCPCS,57296,Revise vag graft open abd,,,10008.0,10008.0,1 HCPCS,57300,Repair rectum-vagina fistula,,,3468.96,11000.0,4 HCPCS,57305,Repair rectum-vagina fistula,,,10008.0,10008.0,1 HCPCS,57307,Fistula repair & colostomy,,,10008.0,10008.0,1 HCPCS,57308,Fistula repair transperine,,,11000.0,11000.0,1 HCPCS,57310,Repair urethrovaginal lesion,,,7946.52,22280.0,4 HCPCS,57311,Repair urethrovaginal lesion,,,14227.0,14227.0,1 HCPCS,57320,Repair bladder-vagina lesion,,,5360.72,14227.0,4 HCPCS,57330,Repair bladder-vagina lesion,,,7946.52,14227.0,4 HCPCS,57335,Repair vagina,,,5360.72,11000.0,4 HCPCS,57400,Dilation of vagina,,,3468.96,11000.0,4 HCPCS,57410,Hc Pelvic Examination Under Anesthesia (Other Than Local),9077.0,9077.0,,,0 HCPCS,57410,Hc Pelvic Examination Under Anesthesia (Other Than Local)-Pbb,9630.5,9630.5,,,0 HCPCS,57410,Pelvic examination,,,3468.96,11000.0,4 HCPCS,57410,Pr Pelvic Examination W/Anesthesia Other Than Local-Pbb,1108.0,1108.0,,,0 HCPCS,57415,Hc Removal Of Impacted Vaginal Foreign Body Under Anesthesia,5292.0,5292.0,,,0 HCPCS,57415,Remove vaginal foreign body,,,3468.96,11000.0,4 HCPCS,57420,Exam of vagina w/scope,,,326.55,3399.0,4 HCPCS,57420,"Hc Colposcopy Of The Entire Vagina, With Cervix If Present",3101.0,3101.0,,,0 HCPCS,57420,"Hc Colposcopy Of The Entire Vagina, With Cervix If Present-Pbb",2435.5,2435.5,,,0 HCPCS,57420,Pr Colposcopy Entire Vagina W/Cervix If Present-Pbb,1516.0,1516.0,,,0 HCPCS,57421,Exam/biopsy of vag w/scope,,,987.01,5007.0,4 HCPCS,57421,"Hc Colposcopy Of The Entire Vagina, With Cervix If Present; With Biopsy Of Vagina/Cervix",3934.0,3934.0,,,0 HCPCS,57421,"Hc Colposcopy Of The Entire Vagina, With Cervix If Present; With Biopsy Of Vagina/Cervix-Pbb",2965.0,2965.0,,,0 HCPCS,57421,Pr Colposcopy Entire Vagina W/Vagina/Cervix Bx-Pbb,2178.0,2178.0,,,0 HCPCS,57423,Repair paravag defect lap,,,11391.13,24760.0,4 HCPCS,57425,Laparoscopy surg colpopexy,,,11391.13,24760.0,4 HCPCS,57426,Revise prosth vag graft lap,,,7946.52,14227.0,4 HCPCS,57452,Exam of cervix w/scope,,,216.65,3399.0,4 HCPCS,57452,Hc Colposcopy Of The Cervix Including Upper/Adjacent Vagina,3810.0,3810.0,,,0 HCPCS,57452,Hc Colposcopy Of The Cervix Including Upper/Adjacent Vagina-Pbb,3325.0,3325.0,,,0 HCPCS,57452,Pr Colposcopy Cervix Upper/Adjacent Vagina-Pbb,1202.0,1202.0,,,0 HCPCS,57454,Bx/curett of cervix w/scope,,,326.55,3399.0,4 HCPCS,57454,Hc Colposcopy Of The Cervix Incl Upper/Adj Vagina; W/ Biop Of The Cervix And Endocervical Curettage,1478.0,1478.0,,,0 HCPCS,57454,Hc Colposcopy Of The Cervix Incl Upper/Adj Vagina; W/ Biop Of The Cervix And Endocervical Curettage-,2335.0,2335.0,,,0 HCPCS,57454,Pr Colposcopy Cervix Bx Cervix & Endocrv Curretage-Pbb,1714.0,1714.0,,,0 HCPCS,57455,Biopsy of cervix w/scope,,,326.55,3399.0,4 HCPCS,57455,Hc Colposcopy Of The Cervix Including Upper/Adjacent Vagina; With Biopsy Of The Cervix,3931.0,3931.0,,,0 HCPCS,57455,Hc Colposcopy Of The Cervix Including Upper/Adjacent Vagina; With Biopsy Of The Cervix-Pbb,3689.0,3689.0,,,0 HCPCS,57455,Pr Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx-Pbb,721.0,721.0,,,0 HCPCS,57456,Endocerv curettage w/scope,,,326.55,3399.0,4 HCPCS,57456,Hc Colposcopy Of The Cervix Including Upper/Adjacent Vagina; With Endocervical Curettage,5707.0,5707.0,,,0 HCPCS,57456,Hc Colposcopy Of The Cervix Including Upper/Adjacent Vagina; With Endocervical Curettage-Pbb,5466.0,5466.0,,,0 HCPCS,57456,Pr Colposcopy Cervix Endocervical Curettage-Pbb,824.0,824.0,,,0 HCPCS,57460,Bx of cervix w/scope leep,,,3468.96,11000.0,4 HCPCS,57460,Hc Colposcopy Of The Cervix Incl Upper/Adj Vagina; W/ Loop Electrode Biopsy Of The Cervix,11154.0,11154.0,,,0 HCPCS,57460,Hc Colposcopy Of The Cervix Incl Upper/Adj Vagina; W/ Loop Electrode Biopsy Of The Cervix-Pbb,9331.0,9331.0,,,0 HCPCS,57460,Pr Colposcopy Cervix Vag Loop Eltrd Bx Cervix-Pbb,4314.0,4314.0,,,0 HCPCS,57461,Conz of cervix w/scope leep,,,3468.96,11000.0,4 HCPCS,57461,Hc Colposcopy Of The Cervix Incl Upper/Adj Vagina; W/ Loop Elextrode Conization Of The Cervix,12046.0,12046.0,,,0 HCPCS,57461,Hc Colposcopy Of The Cervix Incl Upper/Adj Vagina; W/ Loop Elextrode Conization Of The Cervix-Pbb,10251.5,10251.5,,,0 HCPCS,57461,Pr Colposcopy Cervix Vag Eltrd Conization Cervix-Pbb,4314.0,4314.0,,,0 HCPCS,57465,Cam cervix uteri drg colp,,,3399.0,3399.0,1 HCPCS,57500,Biopsy of cervix,,,987.01,5007.0,4 HCPCS,57500,"Hc Biopsy Of Cervix, Single Or Multiple, Or Local Excision Of Lesion, With Or Without Fulguration",6248.0,6248.0,,,0 HCPCS,57500,"Hc Biopsy Of Cervix, Single Or Multiple, Or Local Excision Of Lesion, With Or Without Fulguration-Pb",4953.5,4953.5,,,0 HCPCS,57500,Pr Biopsy Cervix Single/Mult/Excision Of Lesion Spx-Pbb,1548.0,1548.0,,,0 HCPCS,57505,Endocervical curettage,,,987.01,5007.0,4 HCPCS,57505,Hc Endocervical Curettage,5944.0,5944.0,,,0 HCPCS,57505,Hc Endocervical Curettage-Pbb,5542.5,5542.5,,,0 HCPCS,57505,Pr Endocervical Curettage Not Done As Part Of D&C-Pbb,1157.0,1157.0,,,0 HCPCS,57510,Cauterization of cervix,,,3468.96,11000.0,4 HCPCS,57511,Cryocautery of cervix,,,326.55,3399.0,4 HCPCS,57513,Laser surgery of cervix,,,3468.96,11000.0,4 HCPCS,57520,Conization of cervix,,,3468.96,11000.0,4 HCPCS,57522,Conization of cervix,,,3468.96,11000.0,4 HCPCS,57522,"Hc Conztn Of The Cervix, W Or Wo Fulguration, W/ Or W/O D&C, W/ Or W/O Repair; Loop Electrode Excsn",16554.0,16554.0,,,0 HCPCS,57522,"Hc Conztn Of The Cervix, W Or Wo Fulguration, W/ Or W/O D&C, W/ Or W/O Repair; Loop Electrode Excsn-",15180.5,15180.5,,,0 HCPCS,57522,Pr Conization Cervix W/Wo D&C Rpr Eltrd Exc-Pbb,3736.0,3736.0,,,0 HCPCS,57530,Removal of cervix,,,5360.72,11000.0,4 HCPCS,57531,Removal of cervix radical,,,10008.0,10008.0,1 HCPCS,57540,Removal of residual cervix,,,10008.0,10008.0,1 HCPCS,57545,Remove cervix/repair pelvis,,,10008.0,10008.0,1 HCPCS,57550,Removal of residual cervix,,,5360.72,11000.0,4 HCPCS,57555,Remove cervix/repair vagina,,,5360.72,14227.0,4 HCPCS,57556,Remove cervix repair bowel,,,5360.72,22280.0,4 HCPCS,57558,D&C oF Cervical Stump,,,3468.96,11000.0,4 HCPCS,57558,Hc Dilation And Curettage Of Cervical Stump,5439.0,5439.0,,,0 HCPCS,57700,Revision of cervix,,,3468.96,11000.0,4 HCPCS,57720,Revision of cervix,,,3468.96,11000.0,4 HCPCS,57800,Dilation of cervical canal,,,3468.96,11000.0,4 HCPCS,57800,"Hc Dilation Of Cervical Canal, Instrumental",7874.0,7874.0,,,0 HCPCS,58100,Biopsy of uterus lining,,,216.65,3399.0,4 HCPCS,58100,"Hc Endometrial Sampling With Or Without Endocervical Sampling, Without Cervical Dilation, Any Method",4109.0,4109.0,,,0 HCPCS,58100,Pr Endometrial Bx W/Wo Endocervix Bx W/O Dilat Spx-Pbb,1354.0,1354.0,,,0 HCPCS,58110,Bx done w/colposcopy add-on,,,3399.0,3399.0,1 HCPCS,58110,"Hc Endometrial Sampling With Or Without Endocervical Sampling, Without Cervical Dilation, Any Method",2795.0,2795.0,,,0 HCPCS,58110,Pr Endometrial Bx Conjunct W/Colposcopy-Pbb,764.0,764.0,,,0 HCPCS,58120,Dilation and curettage,,,3468.96,11000.0,4 HCPCS,58120,"Hc Dilation And Curettage , Diagnostic And/Or Therapeutic",12710.0,12710.0,,,0 HCPCS,58120,"Hc Dilation And Curettage , Diagnostic And/Or Therapeutic-Pbb",14615.0,14615.0,,,0 HCPCS,58120,Pr Dilation & Curettage Dx&/Ther Nonobstetric-Pbb,3810.0,3810.0,,,0 HCPCS,58140,Myomectomy abdom method,,,14227.0,14227.0,1 HCPCS,58145,"Hc Myomy,Excsn Fibroid Tumor Uterus, 1-4 Intramural Myoma W Tot Wt<=250 G &/Or Rmvl Surf Myomas;Vag-",9093.5,9093.5,,,0 HCPCS,58145,Myomectomy vag method,,,3468.96,11000.0,4 HCPCS,58145,Pr Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr-Pbb,4961.0,4961.0,,,0 HCPCS,58146,Myomectomy abdom complex,,,14227.0,14227.0,1 HCPCS,58150,Total hysterectomy,,,14227.0,14227.0,1 HCPCS,58152,Total hysterectomy,,,10008.0,10008.0,1 HCPCS,58180,Partial hysterectomy,,,14227.0,14227.0,1 HCPCS,58200,Extensive hysterectomy,,,10008.0,10008.0,1 HCPCS,58210,Extensive hysterectomy,,,10008.0,10008.0,1 HCPCS,58240,Removal of pelvis contents,,,10008.0,10008.0,1 HCPCS,58260,Vaginal hysterectomy,,,5360.72,14227.0,4 HCPCS,58262,Vag hyst including t/o,,,5360.72,14227.0,4 HCPCS,58263,Vag hyst w/t/o & vag repair,,,5360.72,14227.0,4 HCPCS,58267,Vag hyst w/urinary repair,,,14227.0,14227.0,1 HCPCS,58270,Vag hyst w/enterocele repair,,,5360.72,14227.0,4 HCPCS,58275,Hysterectomy/revise vagina,,,14227.0,14227.0,1 HCPCS,58280,Hysterectomy/revise vagina,,,14227.0,14227.0,1 HCPCS,58285,Extensive hysterectomy,,,10008.0,10008.0,1 HCPCS,58290,Vag hyst complex,,,7946.52,22280.0,4 HCPCS,58291,Vag hyst incl t/o complex,,,5360.72,22280.0,4 HCPCS,58292,Vag hyst t/o & repair compl,,,7946.52,22280.0,4 HCPCS,58294,Vag hyst w/enterocele compl,,,5360.72,22280.0,4 HCPCS,58300,Hc Insertion Of Iud,3140.0,3140.0,,,0 HCPCS,58300,Hc Insertion Of Iud-Pbb,4095.5,4095.5,,,0 HCPCS,58300,Insert intrauterine device,,,3399.0,3399.0,1 HCPCS,58300,Pr Insertion Intrauterine Device Iud-Pbb,1910.0,1910.0,,,0 HCPCS,58301,Hc Removal Of Iud,1918.0,1918.0,,,0 HCPCS,58301,Hc Removal Of Iud-Pbb,1420.5,1420.5,,,0 HCPCS,58301,Pr Removal Intrauterine Device Iud-Pbb,674.0,674.0,,,0 HCPCS,58301,Remove intrauterine device,,,326.55,3399.0,4 HCPCS,58321,Artificial insemination,,,326.55,3399.0,4 HCPCS,58322,Artificial insemination,,,216.65,3399.0,4 HCPCS,58323,Sperm washing,,,34.02,3399.0,5 HCPCS,58340,Catheter for hysterography,,,3399.0,3399.0,1 HCPCS,58340,Hc Cath & Intr Of Saline/Contrast Material For Saline Inf Sonohysterography/Hysterosalipingography,1622.0,1622.0,,,0 HCPCS,58340,Hc Cath & Intr Of Saline/Contrast Material For Saline Inf Sonohysterography/Hysterosalipingography-P,2429.0,2429.0,,,0 HCPCS,58340,Pr Cath & Saline/Contrast Sonohyster/Hysterosalpi-Hsg,1614.0,1614.0,,,0 HCPCS,58340,Pr Cath & Saline/Contrast Sonohyster/Hysterosalpi-Pbb,1614.0,1614.0,,,0 HCPCS,58345,Reopen fallopian tube,,,3468.96,11000.0,4 HCPCS,58346,Insert heyman uteri capsule,,,5360.72,11000.0,4 HCPCS,58350,Reopen fallopian tube,,,5360.72,14227.0,4 HCPCS,58353,Endometr ablate thermal,,,5360.72,14227.0,4 HCPCS,58356,Endometrial cryoablation,,,5360.72,22280.0,4 HCPCS,58356,Hc Endometrial Cryoablation W/Us & Endometrial Cr,12958.0,12958.0,,,0 HCPCS,58400,Suspension of uterus,,,14227.0,14227.0,1 HCPCS,58410,Suspension of uterus,,,10008.0,10008.0,1 HCPCS,58520,Repair of ruptured uterus,,,10008.0,10008.0,1 HCPCS,58540,Revision of uterus,,,10008.0,10008.0,1 HCPCS,58541,Lsh uterus 250 g or less,,,11391.13,24760.0,4 HCPCS,58542,Lsh w/t/o ut 250 g or less,,,11391.13,24760.0,4 HCPCS,58543,LSH Uterus Above 250 g,,,11391.13,24760.0,4 HCPCS,58544,LSH w/t/o Uterus Above 250 g,,,11391.13,24760.0,4 HCPCS,58545,Laparoscopic myomectomy,,,6478.5,22280.0,4 HCPCS,58546,Laparo-myomectomy complex,,,11391.13,24760.0,4 HCPCS,58548,Lap Radical Hyst,,,22280.0,22280.0,1 HCPCS,58550,"Hc Laparoscopy, Surgical, W Vaginal Hysterectomy, Uterus 250 G Or Less-Pbb",23142.5,23142.5,,,0 HCPCS,58550,Laparo-asst vag hysterectomy,,,6478.5,24760.0,4 HCPCS,58550,Pr Laps Vaginal Hysterectomy Uterus 250 Gm/<-Pbb,8968.0,8968.0,,,0 HCPCS,58552,Laparo-vag hyst incl t/o,,,11391.13,24760.0,4 HCPCS,58553,Laparo-vag hyst complex,,,11391.13,24760.0,4 HCPCS,58554,Laparo-vag hyst w/t/o compl,,,11391.13,24760.0,4 HCPCS,58555,"Hc Hysteroscopy, Diagnosisc",15965.0,15965.0,,,0 HCPCS,58555,"Hc Hysteroscopy, Diagnosisc-Pbb",13860.0,13860.0,,,0 HCPCS,58555,Hysteroscopy dx sep proc,,,3468.96,11000.0,4 HCPCS,58555,Pr Hysteroscopy Diagnostic Separate Procedure-Pbb,5165.0,5165.0,,,0 HCPCS,58558,"Hc Hysteroscopy, Surgical; With Sampling Of Endometrium And/Or Polypectomy, With Or Without D&C",20948.0,20948.0,,,0 HCPCS,58558,"Hc Hysteroscopy, Surgical; With Sampling Of Endometrium And/Or Polypectomy, With Or Without D&C-Pbb",17646.5,17646.5,,,0 HCPCS,58558,Hysteroscopy biopsy,,,3468.96,11000.0,4 HCPCS,58558,Pr Hysteroscopy Bx Endometrium&/Polypc W/Wo D&C-Pbb,7864.0,7864.0,,,0 HCPCS,58559,Hc Hysteroscopy; W Lysis Intrauterine Adhesions,16792.0,16792.0,,,0 HCPCS,58559,Hc Hysteroscopy; W Lysis Intrauterine Adhesions-Pbb,18639.0,18639.0,,,0 HCPCS,58559,Hysteroscopy lysis,,,5360.72,11000.0,4 HCPCS,58559,Pr Hysteroscopy Lysis Intrauterine Adhesions-Pbb,3695.0,3695.0,,,0 HCPCS,58560,Hysteroscopy resect septum,,,5360.72,14227.0,4 HCPCS,58561,"Hc Hysteroscopy, Surgical; With Removal Or Leiomyomata",27658.0,27658.0,,,0 HCPCS,58561,"Hc Hysteroscopy, Surgical; With Removal Or Leiomyomata-Pbb",21415.0,21415.0,,,0 HCPCS,58561,Hysteroscopy remove myoma,,,5360.72,14227.0,4 HCPCS,58561,Pr Hysteroscopy Removal Leiomyomata-Pbb,14148.0,14148.0,,,0 HCPCS,58562,"Hc Hysteroscopy, Surgical; With Removal Of Impacted Foreign Body",17353.0,17353.0,,,0 HCPCS,58562,"Hc Hysteroscopy, Surgical; With Removal Of Impacted Foreign Body-Pbb",13380.5,13380.5,,,0 HCPCS,58562,Hysteroscopy remove fb,,,3468.96,11000.0,4 HCPCS,58562,Pr Hysteroscopy Removal Impacted Foreign Body-Pbb,8987.0,8987.0,,,0 HCPCS,58563,"Hc Hysteroscopy, Surgical; With Endometrial Ablation",44816.0,44816.0,,,0 HCPCS,58563,"Hc Hysteroscopy, Surgical; With Endometrial Ablation-Pbb",31561.5,31561.5,,,0 HCPCS,58563,Hysteroscopy ablation,,,5360.72,14227.0,4 HCPCS,58563,Pr Hysteroscopy Endometrial Ablation-Pbb,29195.0,29195.0,,,0 HCPCS,58565,"Hc Hysteroscopy, Surg; W/ Bilat Fallpn Tube Cannulation To Induce Occ By Plcmnt Of Perm Implantsc",42197.0,42197.0,,,0 HCPCS,58565,"Hc Hysteroscopy, Surg; W/ Bilat Fallpn Tube Cannulation To Induce Occ By Plcmnt Of Perm Implantsc-Pb",28864.5,28864.5,,,0 HCPCS,58565,Hysteroscopy sterilization,,,5360.72,22280.0,4 HCPCS,58565,Pr Hysteroscopy Bi Tube Occlusion W/Perm Implnts-Pbb,29195.0,29195.0,,,0 HCPCS,58570,Tlh uterus 250 g or less,,,11391.13,24760.0,4 HCPCS,58571,Tlh w/t/o 250 g or less,,,11391.13,24760.0,4 HCPCS,58572,Tlh uterus over 250 g,,,11391.13,24760.0,4 HCPCS,58573,Tlh w/t/o uterus over 250 g,,,11391.13,24760.0,4 HCPCS,58575,Laps tot hyst resj mal,,,14227.0,14227.0,1 HCPCS,58578,Laparo proc uterus,,,6478.5,22280.0,4 HCPCS,58579,Hysteroscope procedure,,,216.65,3399.0,4 HCPCS,58580,Transcrv abltj utrn fibrd rf,,,7946.52,22280.0,4 HCPCS,58600,Division of fallopian tube,,,3468.96,11000.0,4 HCPCS,58605,Division of fallopian tube,,,7272.0,7272.0,1 HCPCS,58605,"Hc Ligatn Or Trnsctn Fallpn Tubes,Abd Or Vag Apprch,Pstprtm,Unilat/Bilat, During Same Hosp",15044.0,15044.0,,,0 HCPCS,58611,Ligate oviduct(s) add-on,,,10008.0,10008.0,1 HCPCS,58615,Occlude fallopian tube(s),,,3468.96,11000.0,4 HCPCS,58660,Laparoscopy lysis,,,6478.5,24760.0,4 HCPCS,58661,Laparoscopy remove adnexa,,,6478.5,24760.0,4 HCPCS,58662,Laparoscopy excise lesions,,,6478.5,24760.0,4 HCPCS,58670,Laparoscopy tubal cautery,,,6478.5,24760.0,4 HCPCS,58671,Laparoscopy tubal block,,,6478.5,24760.0,4 HCPCS,58672,Laparoscopy fimbrioplasty,,,6478.5,24760.0,4 HCPCS,58673,Laparoscopy salpingostomy,,,11391.13,24760.0,4 HCPCS,58674,Laps abltj uterine fibroids,,,11391.13,24760.0,4 HCPCS,58679,Laparo proc oviduct-ovary,,,6478.5,22280.0,4 HCPCS,58700,Removal of fallopian tube,,,14227.0,14227.0,1 HCPCS,58720,Removal of ovary/tube(s),,,22280.0,22280.0,1 HCPCS,58740,Adhesiolysis tube ovary,,,11000.0,11000.0,1 HCPCS,58750,Repair oviduct,,,14227.0,14227.0,1 HCPCS,58752,Revise ovarian tube(s),,,14227.0,14227.0,1 HCPCS,58760,Fimbrioplasty,,,14227.0,14227.0,1 HCPCS,58770,Create new tubal opening,,,3468.96,11000.0,4 HCPCS,58800,Drainage of ovarian cyst(s),,,3468.96,11000.0,4 HCPCS,58805,Drainage of ovarian cyst(s),,,3468.96,11000.0,4 HCPCS,58820,Drain ovary abscess open,,,3468.96,11000.0,4 HCPCS,58822,Drain ovary abscess percut,,,14227.0,14227.0,1 HCPCS,58825,Transposition ovary(s),,,14227.0,14227.0,1 HCPCS,58900,Biopsy of ovary(s),,,3468.96,11000.0,4 HCPCS,58920,Partial removal of ovary(s),,,7946.52,14227.0,4 HCPCS,58925,Removal of ovarian cyst(s),,,5360.72,14227.0,4 HCPCS,58940,Removal of ovary(s),,,14227.0,14227.0,1 HCPCS,58943,Removal of ovary(s),,,14227.0,14227.0,1 HCPCS,58950,Resect ovarian malignancy,,,14227.0,14227.0,1 HCPCS,58951,Resect ovarian malignancy,,,10008.0,10008.0,1 HCPCS,58952,Resect ovarian malignancy,,,10008.0,10008.0,1 HCPCS,58953,Tah rad dissect for debulk,,,10008.0,10008.0,1 HCPCS,58954,Tah rad debulk/lymph remove,,,10008.0,10008.0,1 HCPCS,58956,Bso omentectomy w/tah,,,10008.0,10008.0,1 HCPCS,58957,Resect Recurrent Gyn Mal,,,10008.0,10008.0,1 HCPCS,58958,Resect Recur Gyn Mal w/Lym,,,10008.0,10008.0,1 HCPCS,58960,Exploration of abdomen,,,24760.0,24760.0,1 HCPCS,58970,Retrieval of oocyte,,,987.01,5007.0,4 HCPCS,58974,Transfer of embryo,,,987.01,5007.0,4 HCPCS,58976,Transfer of embryo,,,326.55,3399.0,4 HCPCS,58999,Genital surgery procedure,,,216.65,3399.0,4 HCPCS,58999,Hc Unlisted Procedure Female Genital System,489.0,489.0,,,0 HCPCS,59000,Amniocentesis diagnostic,,,987.01,5007.0,4 HCPCS,59000,Hc Amniocentesis; Diagnostic,2464.0,2464.0,,,0 HCPCS,59000,Hc Amniocentesis; Diagnostic-Pbb,3466.0,3466.0,,,0 HCPCS,59000,Pr Amniocentesis Diagnosic-Pbb,2004.0,2004.0,,,0 HCPCS,59001,Amniocentesis therapeutic,,,326.55,3399.0,4 HCPCS,59001,Hc Amniocentesis; Therapeutic Amniotic Fluid Resection,2874.0,2874.0,,,0 HCPCS,59001,Hc Amniocentesis; Therapeutic Amniotic Fluid Resection-Pbb,4478.0,4478.0,,,0 HCPCS,59001,Pr Amniocentesis Ther Amniotic Fluid Rdctj Us Guid-Pbb,3208.0,3208.0,,,0 HCPCS,59012,Fetal cord puncture prenatal,,,326.55,3399.0,4 HCPCS,59012,Hc Cordocentesis (Intrauterine),1181.0,1181.0,,,0 HCPCS,59012,Hc Cordocentesis (Intrauterine)-Pbb,1955.5,1955.5,,,0 HCPCS,59012,Pr Cordocentesis Intrauterine-Pbb,1549.0,1549.0,,,0 HCPCS,59015,Chorion biopsy,,,987.01,5007.0,4 HCPCS,59015,"Hc Chorionic Villus Sampling, Any Method",4470.0,4470.0,,,0 HCPCS,59015,"Hc Chorionic Villus Sampling, Any Method-Pbb",3358.0,3358.0,,,0 HCPCS,59015,Pr Chorionic Villus Sampling-Pbb,2492.0,2492.0,,,0 HCPCS,59020,Fetal contract stress test,,,216.65,3399.0,4 HCPCS,59020,Hc Fetal Contraction Stress Test,1273.0,1273.0,,,0 HCPCS,59020,Hc Fetal Contraction Stress Test-Pbb,1645.0,1645.0,,,0 HCPCS,59020,Pr Fetal Contraction Stress Test-Pbb,744.0,744.0,,,0 HCPCS,59025,Fetal non-stress test,,,216.65,3399.0,4 HCPCS,59025,Hc Fetal Non-Stress Test,1482.0,1482.0,,,0 HCPCS,59025,Hc Fetal Non-Stress Test-Pbb,2046.5,2046.5,,,0 HCPCS,59025,Pr Fetal Nonstress Test-Pbb,1129.0,1129.0,,,0 HCPCS,59030,Fetal scalp blood sample,,,326.55,3399.0,4 HCPCS,59030,Hc Fetal Scalp Blood Sampling,1244.0,1244.0,,,0 HCPCS,59050,Fetal monitor w/report,,,3399.0,3399.0,1 HCPCS,59051,Fetal monitor/interpret only,,,10008.0,10008.0,1 HCPCS,59070,"Hc Transabdominal Amnioinfusion, Including Ultrasound Guidance",738.0,738.0,,,0 HCPCS,59070,Transabdom amnioinfus w/us,,,326.55,3399.0,4 HCPCS,59072,"Hc Fetal Umbilical Cord Occlusion, Including Ultrasound Guidancec",7534.0,7534.0,,,0 HCPCS,59072,"Hc Fetal Umbilical Cord Occlusion, Including Ultrasound Guidancec-Pbb",4371.0,4371.0,,,0 HCPCS,59072,Pr Fetal Umbilical Cord Occlusion W/Ultrsnd Guidnce-Pbb,6780.0,6780.0,,,0 HCPCS,59072,Umbilical cord occlud w/us,,,326.55,3399.0,4 HCPCS,59074,Fetal fluid drainage w/us,,,326.55,3399.0,4 HCPCS,59074,"Hc Fetal Fluid Drainage, Including Ultrasound Guidancec",947.0,947.0,,,0 HCPCS,59076,Fetal shunt placement w/us,,,326.55,3399.0,4 HCPCS,59076,Hc Fetal Shunt Placement W/Ultrasound Guidance,833.0,833.0,,,0 HCPCS,59100,Remove uterus lesion,,,5360.72,11000.0,4 HCPCS,59120,Treat ectopic pregnancy,,,14227.0,14227.0,1 HCPCS,59121,Treat ectopic pregnancy,,,14227.0,14227.0,1 HCPCS,59130,Treat ectopic pregnancy,,,10008.0,10008.0,1 HCPCS,59136,Treat ectopic pregnancy,,,10008.0,10008.0,1 HCPCS,59140,Treat ectopic pregnancy,,,10008.0,10008.0,1 HCPCS,59150,Treat ectopic pregnancy,,,6478.5,24760.0,4 HCPCS,59151,Treat ectopic pregnancy,,,6478.5,24760.0,4 HCPCS,59160,D & c after delivery,,,3468.96,11000.0,4 HCPCS,59160,"Hc Curettage, Postpartum",8550.0,8550.0,,,0 HCPCS,59160,"Hc Curettage, Postpartum-Pbb",7913.5,7913.5,,,0 HCPCS,59160,Pr Curettage Postpartum-Pbb,1789.0,1789.0,,,0 HCPCS,59200,Hc Insertion Of Cervical Dilator,1068.0,1068.0,,,0 HCPCS,59200,Hc Insertion Of Cervical Dilator-Pbb,1847.0,1847.0,,,0 HCPCS,59200,Insert cervical dilator,,,326.55,3399.0,4 HCPCS,59200,Pr Insertion Cervical Dilator Separate Procedure-Pbb,1558.0,1558.0,,,0 HCPCS,59300,Episiotomy or vaginal repair,,,3468.96,11000.0,4 HCPCS,59320,"Hc Cerclage Of Cervix, During Pregnancy, Vaginal",13415.0,13415.0,,,0 HCPCS,59320,Revision of cervix,,,3468.96,11000.0,4 HCPCS,59325,Revision of cervix,,,10008.0,10008.0,1 HCPCS,59409,Hc Vaginal Delivery Only,4604.0,4604.0,,,0 HCPCS,59409,Obstetrical care,,,3468.96,11000.0,4 HCPCS,59412,Antepartum manipulation,,,3468.96,11000.0,4 HCPCS,59412,"Hc External Cephalic Version, With Or Without Tocolysis",4874.0,4874.0,,,0 HCPCS,59414,Deliver placenta,,,3468.96,11000.0,4 HCPCS,59414,Hc Delivery Of Placenta (Separate Procedure),444.0,444.0,,,0 HCPCS,59425,Pr Antepartum Care Only 4-6 Visits-Pbb,2558.0,2558.0,,,0 HCPCS,59426,Pr Antepartum Care Only 7/> Visits-Pbb,7621.0,7621.0,,,0 HCPCS,59514,Hc Cesarean Delivery Only,11123.0,11123.0,,,0 HCPCS,59525,Hc Subtotal Or Total Hysterectomy After Cesarean Delivery,5238.0,5238.0,,,0 HCPCS,59612,Vbac delivery only,,,3468.96,11000.0,4 HCPCS,59812,"Hc Treatment Of Incomplete Abortion, Any Trimester, Completed Surgically",12367.0,12367.0,,,0 HCPCS,59812,"Hc Treatment Of Incomplete Abortion, Any Trimester, Completed Surgically-Pbb",8630.5,8630.5,,,0 HCPCS,59812,Pr Tx Incomplete Abortion Any Trimester Surgical-Pbb,5412.0,5412.0,,,0 HCPCS,59812,Treatment of miscarriage,,,3468.96,11000.0,4 HCPCS,59820,Care of miscarriage,,,3468.96,11000.0,4 HCPCS,59820,"Hc Treatment Of Missed Abortion, Completed Surgically; First Trimester",16175.0,16175.0,,,0 HCPCS,59820,"Hc Treatment Of Missed Abortion, Completed Surgically; First Trimester-Pbb",12289.0,12289.0,,,0 HCPCS,59820,Pr Tx Missed Abortion First Trimester Surgical-Pbb,5076.0,5076.0,,,0 HCPCS,59821,"Hc Treatment Of Missed Abortion, Completed Surgically; Second Trimester",17387.0,17387.0,,,0 HCPCS,59821,"Hc Treatment Of Missed Abortion, Completed Surgically; Second Trimester-Pbb",14962.5,14962.5,,,0 HCPCS,59821,Pr Tx Missed Abortion Second Trimester Surgical-Pbb,5887.0,5887.0,,,0 HCPCS,59821,Treatment of miscarriage,,,3468.96,11000.0,4 HCPCS,59830,Treat uterus infection,,,10008.0,10008.0,1 HCPCS,59840,Abortion,,,3468.96,11000.0,4 HCPCS,59840,"Hc Induced Abortion, By Dilation And Curettage",8466.0,8466.0,,,0 HCPCS,59840,"Hc Induced Abortion, By Dilation And Curettage-Pbb",11363.5,11363.5,,,0 HCPCS,59840,Pr Induced Abortion Dilation And Curettage-Pbb,5795.0,5795.0,,,0 HCPCS,59841,Abortion,,,3468.96,11000.0,4 HCPCS,59841,"Hc Induced Abortion, By Dilation And Evacuation (D&E)",9448.0,9448.0,,,0 HCPCS,59841,"Hc Induced Abortion, By Dilation And Evacuation (D&E)-Pbb",11242.0,11242.0,,,0 HCPCS,59841,Pr Induced Abortion Dilation & Evacuation-Pbb,3588.0,3588.0,,,0 HCPCS,59850,Abortion,,,10008.0,10008.0,1 HCPCS,59851,Abortion,,,10008.0,10008.0,1 HCPCS,59852,Abortion,,,10008.0,10008.0,1 HCPCS,59855,Abortion,,,10008.0,10008.0,1 HCPCS,59855,"Hc Ind Abortn,1/More Vag Suppositories W/Wo Cerv Dil, Incl Hosp Adm&Visits,Del Of Fetus & Secundines",12978.0,12978.0,,,0 HCPCS,59856,Abortion,,,7272.0,7272.0,1 HCPCS,59856,"Hc Indcd Abrtn, <=1 Vag Supps W/Wo Crvcl Dil,Incl Hosp Adm&Vis,Del Fet&Secs;W Dil&Curettag &/Or Evac",15241.0,15241.0,,,0 HCPCS,59857,Abortion,,,10008.0,10008.0,1 HCPCS,59866,Abortion (mpr),,,326.55,3399.0,4 HCPCS,59870,Evacuate mole of uterus,,,3468.96,11000.0,4 HCPCS,59871,Hc Removal Of Cerclage Suture Under Anesthesia,16477.0,16477.0,,,0 HCPCS,59871,Remove cerclage suture,,,3468.96,14227.0,4 HCPCS,59897,Fetal invas px w/us,,,216.65,3399.0,4 HCPCS,59897,Hc Unlisted Fetal Invasive Procedure Including Ultrasound Guidance,2209.0,2209.0,,,0 HCPCS,59897,Hc Unlisted Fetal Invasive Procedure Including Ultrasound Guidance-Pbb,1363.5,1363.5,,,0 HCPCS,59897,Pr Unlisted Fetal Invasive Px W/Ultrasound-Pbb,1824.0,1824.0,,,0 HCPCS,59898,Laparo proc ob care/deliver,,,6478.5,22280.0,4 HCPCS,59899,Maternity care procedure,,,216.65,3399.0,4 HCPCS,60000,Drain thyroid/tongue cyst,,,1662.71,7272.0,4 HCPCS,60100,Biopsy of thyroid,,,758.85,5007.0,4 HCPCS,60100,"Hc Biopsy Thyroid, Percutaneous Core Needle",2081.0,2081.0,,,0 HCPCS,60100,"Hc Biopsy Thyroid, Percutaneous Core Needle-Pbb",2982.5,2982.5,,,0 HCPCS,60100,Pr Biopsy Thyroid Percutaneous Core Needle-Pbb,1804.0,1804.0,,,0 HCPCS,60200,Remove thyroid lesion,,,6478.5,24760.0,4 HCPCS,60210,Partial thyroid excision,,,6478.5,24760.0,4 HCPCS,60212,Partial thyroid excision,,,6478.5,24760.0,4 HCPCS,60220,Partial removal of thyroid,,,6478.5,24760.0,4 HCPCS,60225,Partial removal of thyroid,,,6478.5,24760.0,4 HCPCS,60240,Removal of thyroid,,,6478.5,24760.0,4 HCPCS,60252,Removal of thyroid,,,6343.8,22280.0,4 HCPCS,60254,Extensive thyroid surgery,,,11000.0,11000.0,1 HCPCS,60260,Repeat thyroid surgery,,,6343.8,22280.0,4 HCPCS,60270,Removal of thyroid,,,7272.0,7272.0,1 HCPCS,60271,Removal of thyroid,,,6343.8,22280.0,4 HCPCS,60280,Remove thyroid duct lesion,,,6478.5,24760.0,4 HCPCS,60281,Remove thyroid duct lesion,,,6478.5,24760.0,4 HCPCS,60300,Aspir/inj thyroid cyst,,,758.85,5007.0,4 HCPCS,60500,Explore parathyroid glands,,,6343.8,22280.0,4 HCPCS,60502,Re-explore parathyroids,,,6343.8,22280.0,4 HCPCS,60505,Explore parathyroid glands,,,10008.0,10008.0,1 HCPCS,60512,Autotransplant parathyroid,,,3399.0,3399.0,1 HCPCS,60520,Pr Thymectomy Prtl/Tot Transcervical Appr Spx-Pbb,2390.0,2390.0,,,0 HCPCS,60520,Removal of thymus gland,,,6343.8,22280.0,4 HCPCS,60521,Removal of thymus gland,,,10008.0,10008.0,1 HCPCS,60522,Removal of thymus gland,,,10008.0,10008.0,1 HCPCS,60540,Explore adrenal gland,,,10008.0,10008.0,1 HCPCS,60545,Explore adrenal gland,,,10008.0,10008.0,1 HCPCS,60600,Remove carotid body lesion,,,10008.0,10008.0,1 HCPCS,60605,Remove carotid body lesion,,,10008.0,10008.0,1 HCPCS,60650,Laparoscopy adrenalectomy,,,22280.0,22280.0,1 HCPCS,60659,Laparo proc endocrine,,,6478.5,22280.0,4 HCPCS,60660,Abltj 1/+thyr ndul 1lobe prq,,,1769.88,2566.33,3 HCPCS,60660,Hc Abltj 1/+Thyr Ndul 1Lobe Prq,5592.0,5592.0,,,0 HCPCS,60660,Noncdm Charge Record,5326.0,5326.0,,,0 HCPCS,60699,Endocrine surgery procedure,,,6478.5,24760.0,4 HCPCS,60699,Hc Ethanol Ablation Thyroid Bed,6447.0,6447.0,,,0 HCPCS,60699,Hc Radiofrequency Ablation-Pbb,7159.5,7159.5,,,0 HCPCS,60699,Pr Radiofrequency Ablation-Pbb,3134.0,3134.0,,,0 HCPCS,61000,Remove cranial cavity fluid,,,756.44,5007.0,4 HCPCS,61001,Remove cranial cavity fluid,,,756.44,5007.0,4 HCPCS,61020,Hc Ventricular Pncture Thro Prev Burr Hole/Fontanelle/Suture/Imp Ventricular Cath/Reservoir: W/O Inj,5357.0,5357.0,,,0 HCPCS,61020,Pr Ventricular Puncture Previous Burr Hole W/O Njx-Pbb,2906.0,2906.0,,,0 HCPCS,61020,Remove brain cavity fluid,,,947.82,5007.0,4 HCPCS,61026,"Hc Vent Punc Thru Prev Burr Hole,Fntnle, Sut, Or Imp Vent Cath/Res;W Inj Med Or Oth Sub For Dx Or Tx",4505.0,4505.0,,,0 HCPCS,61026,Injection into brain canal,,,756.44,5007.0,4 HCPCS,61026,Pr Ventricular Puncture Previous Burr Hole W/Inj-Pbb,3158.0,3158.0,,,0 HCPCS,61050,Hc Cisternal Or Lateral Cervical Puncture; Without Injection,3088.0,3088.0,,,0 HCPCS,61050,Remove brain canal fluid,,,328.94,3399.0,4 HCPCS,61055,Hc Cisternal Or Lateral Cervical Puncture; W/ Inj Of Med Or Other Substance For Diag Or Treatment,3396.0,3396.0,,,0 HCPCS,61055,Injection into brain canal,,,328.94,3399.0,4 HCPCS,61070,Brain canal shunt procedure,,,756.44,5007.0,4 HCPCS,61070,Hc Puncture Of Shunt Tubing Or Reservoir For Aspiration Or Injection Procedure,3692.0,3692.0,,,0 HCPCS,61070,Hc Puncture Of Shunt Tubing Or Reservoir For Aspiration Or Injection Procedure-Pbb,4906.5,4906.5,,,0 HCPCS,61070,Pr Puncture Shunt Tube/Reservoir Aspiration/Inj Px-Pbb,2429.0,2429.0,,,0 HCPCS,61105,Twist drill hole,,,10008.0,10008.0,1 HCPCS,61107,Drill skull for implantation,,,10008.0,10008.0,1 HCPCS,61107,"Hc Twist Drill Hole, Sbdrl/Ventrc Punc; Implnt Ventrc Cth/Prssr Dvce",7430.0,7430.0,,,0 HCPCS,61108,Drill skull for drainage,,,10008.0,10008.0,1 HCPCS,61108,Hc Twist Drill Hole Evac&/Drg Subdural Hematoma,7359.0,7359.0,,,0 HCPCS,61120,Burr hole for puncture,,,10008.0,10008.0,1 HCPCS,61140,Pierce skull for biopsy,,,10008.0,10008.0,1 HCPCS,61150,Pierce skull for drainage,,,10008.0,10008.0,1 HCPCS,61151,Pierce skull for drainage,,,10008.0,10008.0,1 HCPCS,61154,Pierce skull & remove clot,,,10008.0,10008.0,1 HCPCS,61156,Pierce skull for drainage,,,10008.0,10008.0,1 HCPCS,61210,Pierce skull implant device,,,10008.0,10008.0,1 HCPCS,61215,Insert brain-fluid device,,,9404.36,22280.0,4 HCPCS,61250,Pierce skull & explore,,,10008.0,10008.0,1 HCPCS,61253,Pierce skull & explore,,,10008.0,10008.0,1 HCPCS,61304,Open skull for exploration,,,10008.0,10008.0,1 HCPCS,61305,Open skull for exploration,,,10008.0,10008.0,1 HCPCS,61312,Open skull for drainage,,,10008.0,10008.0,1 HCPCS,61313,Open skull for drainage,,,10008.0,10008.0,1 HCPCS,61314,Open skull for drainage,,,10008.0,10008.0,1 HCPCS,61315,Open skull for drainage,,,10008.0,10008.0,1 HCPCS,61316,Implt cran bone flap to abdo,,,10008.0,10008.0,1 HCPCS,61320,Open skull for drainage,,,10008.0,10008.0,1 HCPCS,61321,Open skull for drainage,,,10008.0,10008.0,1 HCPCS,61322,Decompressive craniotomy,,,10008.0,10008.0,1 HCPCS,61323,Decompressive lobectomy,,,10008.0,10008.0,1 HCPCS,61330,Decompress eye socket,,,3552.91,22280.0,4 HCPCS,61333,Explore orbit/remove lesion,,,10008.0,10008.0,1 HCPCS,61340,Subtemporal decompression,,,10008.0,10008.0,1 HCPCS,61343,Incise skull (press relief),,,10008.0,10008.0,1 HCPCS,61345,Relieve cranial pressure,,,10008.0,10008.0,1 HCPCS,61450,Incise skull for surgery,,,10008.0,10008.0,1 HCPCS,61458,Incise skull for brain wound,,,10008.0,10008.0,1 HCPCS,61460,Incise skull for surgery,,,10008.0,10008.0,1 HCPCS,61500,Removal of skull lesion,,,24760.0,24760.0,1 HCPCS,61501,Remove infected skull bone,,,10008.0,10008.0,1 HCPCS,61510,Removal of brain lesion,,,10008.0,10008.0,1 HCPCS,61512,Remove brain lining lesion,,,10008.0,10008.0,1 HCPCS,61514,Removal of brain abscess,,,10008.0,10008.0,1 HCPCS,61516,Removal of brain lesion,,,10008.0,10008.0,1 HCPCS,61517,Implt brain chemotx add-on,,,10008.0,10008.0,1 HCPCS,61518,Removal of brain lesion,,,10008.0,10008.0,1 HCPCS,61519,Remove brain lining lesion,,,10008.0,10008.0,1 HCPCS,61520,Removal of brain lesion,,,10008.0,10008.0,1 HCPCS,61521,Removal of brain lesion,,,10008.0,10008.0,1 HCPCS,61522,Removal of brain abscess,,,10008.0,10008.0,1 HCPCS,61524,Removal of brain lesion,,,10008.0,10008.0,1 HCPCS,61526,Removal of brain lesion,,,10008.0,10008.0,1 HCPCS,61530,Removal of brain lesion,,,10008.0,10008.0,1 HCPCS,61531,Implant brain electrodes,,,7272.0,7272.0,1 HCPCS,61533,Implant brain electrodes,,,10008.0,10008.0,1 HCPCS,61534,Removal of brain lesion,,,10008.0,10008.0,1 HCPCS,61535,Remove brain electrodes,,,10008.0,10008.0,1 HCPCS,61536,Removal of brain lesion,,,10008.0,10008.0,1 HCPCS,61537,Removal of brain tissue,,,10008.0,10008.0,1 HCPCS,61538,Removal of brain tissue,,,10008.0,10008.0,1 HCPCS,61539,Removal of brain tissue,,,10008.0,10008.0,1 HCPCS,61540,Removal of brain tissue,,,10008.0,10008.0,1 HCPCS,61541,Incision of brain tissue,,,10008.0,10008.0,1 HCPCS,61543,Removal of brain tissue,,,10008.0,10008.0,1 HCPCS,61544,Remove & treat brain lesion,,,10008.0,10008.0,1 HCPCS,61545,Excision of brain tumor,,,10008.0,10008.0,1 HCPCS,61546,Removal of pituitary gland,,,10008.0,10008.0,1 HCPCS,61548,Removal of pituitary gland,,,10008.0,10008.0,1 HCPCS,61550,Release of skull seams,,,10008.0,10008.0,1 HCPCS,61552,Release of skull seams,,,10008.0,10008.0,1 HCPCS,61556,Incise skull/sutures,,,10008.0,10008.0,1 HCPCS,61557,Incise skull/sutures,,,10008.0,10008.0,1 HCPCS,61558,Excision of skull/sutures,,,10008.0,10008.0,1 HCPCS,61559,Excision of skull/sutures,,,10008.0,10008.0,1 HCPCS,61563,Excision of skull tumor,,,10008.0,10008.0,1 HCPCS,61564,Excision of skull tumor,,,10008.0,10008.0,1 HCPCS,61566,Removal of brain tissue,,,10008.0,10008.0,1 HCPCS,61567,Incision of brain tissue,,,10008.0,10008.0,1 HCPCS,61570,Remove foreign body brain,,,10008.0,10008.0,1 HCPCS,61571,Incise skull for brain wound,,,10008.0,10008.0,1 HCPCS,61575,Skull base/brainstem surgery,,,10008.0,10008.0,1 HCPCS,61576,Skull base/brainstem surgery,,,10008.0,10008.0,1 HCPCS,61580,Craniofacial approach skull,,,10008.0,10008.0,1 HCPCS,61581,Craniofacial approach skull,,,10008.0,10008.0,1 HCPCS,61582,Craniofacial approach skull,,,10008.0,10008.0,1 HCPCS,61583,Craniofacial approach skull,,,10008.0,10008.0,1 HCPCS,61584,Orbitocranial approach/skull,,,10008.0,10008.0,1 HCPCS,61585,Orbitocranial approach/skull,,,10008.0,10008.0,1 HCPCS,61586,Resect nasopharynx skull,,,10008.0,10008.0,1 HCPCS,61590,Infratemporal approach/skull,,,10008.0,10008.0,1 HCPCS,61591,Infratemporal approach/skull,,,10008.0,10008.0,1 HCPCS,61592,Orbitocranial approach/skull,,,10008.0,10008.0,1 HCPCS,61595,Transtemporal approach/skull,,,10008.0,10008.0,1 HCPCS,61596,Transcochlear approach/skull,,,10008.0,10008.0,1 HCPCS,61597,Transcondylar approach/skull,,,10008.0,10008.0,1 HCPCS,61598,Transpetrosal approach/skull,,,10008.0,10008.0,1 HCPCS,61600,Resect/excise cranial lesion,,,10008.0,10008.0,1 HCPCS,61601,Resect/excise cranial lesion,,,10008.0,10008.0,1 HCPCS,61605,Resect/excise cranial lesion,,,10008.0,10008.0,1 HCPCS,61606,Resect/excise cranial lesion,,,10008.0,10008.0,1 HCPCS,61607,Resect/excise cranial lesion,,,10008.0,10008.0,1 HCPCS,61608,Resect/excise cranial lesion,,,10008.0,10008.0,1 HCPCS,61611,Transect artery sinus,,,10008.0,10008.0,1 HCPCS,61613,Remove aneurysm sinus,,,10008.0,10008.0,1 HCPCS,61615,Resect/excise lesion skull,,,10008.0,10008.0,1 HCPCS,61616,Resect/excise lesion skull,,,10008.0,10008.0,1 HCPCS,61618,Repair dura,,,10008.0,10008.0,1 HCPCS,61619,Repair dura,,,10008.0,10008.0,1 HCPCS,61623,Endovasc tempory vessel occl,,,12370.97,36418.0,4 HCPCS,61623,Hc Endovascular Temporary Balloon Vessel Occlusion,24945.0,24945.0,,,0 HCPCS,61624,"Hc Transcatheter Permanent Occ Or Embolization, Perc, Any Meth; Central Nrv Sys",19562.0,19562.0,,,0 HCPCS,61624,Transcath occlusion cns,,,19644.52,36418.0,4 HCPCS,61626,"Hc Transcatheter Permanent Occ Or Embolization, Perc, Any Meth; Non-Central Nrv Sys, Head Or Neck",15185.0,15185.0,,,0 HCPCS,61626,Transcath occlusion non-cns,,,12370.97,36418.0,4 HCPCS,61630,"Hc Balloon Angioplasty, Intracranialc",8536.0,8536.0,,,0 HCPCS,61630,Intracranial angioplasty,,,10008.0,10008.0,1 HCPCS,61635,"Hc Transcatheter Placement Of Intravasc Stent, Intracranial, Incl Blln Angioplasty, If Performed",10668.0,10668.0,,,0 HCPCS,61635,Intracran angioplsty w/stent,,,10008.0,10008.0,1 HCPCS,61640,Dilate ic vasospasm init,,,10008.0,10008.0,1 HCPCS,61640,"Hc Dilation Of Intracranial Vasospasm, Percutaneous; Initial Vessel",10668.0,10668.0,,,0 HCPCS,61641,Dilate ic vasospasm add-on,,,10008.0,10008.0,1 HCPCS,61641,"Hc Blln Dilation Of Intracranial Vasospasm, Perc; Each Add Vessel In Same Vasc Family",3753.0,3753.0,,,0 HCPCS,61642,Dilate ic vasospasm add-on,,,10008.0,10008.0,1 HCPCS,61642,"Hc Blln Dilation Of Intracranial Vasospasm, Perc; Each Add Vessel In Different Vasc Family",7495.0,7495.0,,,0 HCPCS,61645,"Hc Percutaneous Arterial Transluminal Thrombectomy, Any Method",12084.0,12084.0,,,0 HCPCS,61645,Perq art m-thrombect &/nfs,,,10008.0,10008.0,1 HCPCS,61650,Evasc prlng admn rx agnt 1st,,,10008.0,10008.0,1 HCPCS,61650,"Hc Endovasc Intracranial Prolonged Admin Rx Agent, Initial Vasc",8055.0,8055.0,,,0 HCPCS,61651,Evasc prlng admn rx agnt add,,,10008.0,10008.0,1 HCPCS,61651,"Hc Endovasc Intracranial Prolonged Admin Rx Agent, Ea Add Vasc",3434.0,3434.0,,,0 HCPCS,61680,Intracranial vessel surgery,,,10008.0,10008.0,1 HCPCS,61682,Intracranial vessel surgery,,,10008.0,10008.0,1 HCPCS,61684,Intracranial vessel surgery,,,10008.0,10008.0,1 HCPCS,61686,Intracranial vessel surgery,,,10008.0,10008.0,1 HCPCS,61690,Intracranial vessel surgery,,,10008.0,10008.0,1 HCPCS,61692,Intracranial vessel surgery,,,10008.0,10008.0,1 HCPCS,61697,Brain aneurysm repr complx,,,10008.0,10008.0,1 HCPCS,61698,Brain aneurysm repr complx,,,10008.0,10008.0,1 HCPCS,61700,Brain aneurysm repr simple,,,10008.0,10008.0,1 HCPCS,61702,Inner skull vessel surgery,,,10008.0,10008.0,1 HCPCS,61703,Clamp neck artery,,,10008.0,10008.0,1 HCPCS,61705,Revise circulation to head,,,10008.0,10008.0,1 HCPCS,61708,Revise circulation to head,,,10008.0,10008.0,1 HCPCS,61710,Revise circulation to head,,,10008.0,10008.0,1 HCPCS,61711,Fusion of skull arteries,,,10008.0,10008.0,1 HCPCS,61715,Hc Mrgfus Strtctc Ablt Trgt Icr,35343.0,35343.0,,,0 HCPCS,61715,Mrgfus strtctc ablt trgt icr,,,11940.72,17314.04,3 HCPCS,61720,Incise skull/brain surgery,,,9404.36,22280.0,4 HCPCS,61735,Incise skull/brain surgery,,,10008.0,10008.0,1 HCPCS,61736,Litt icr 1 traj 1 smpl les,,,10008.0,10008.0,1 HCPCS,61737,Litt icr mlt trj mlt/cplx ls,,,10008.0,10008.0,1 HCPCS,61750,Incise skull/brain biopsy,,,10008.0,10008.0,1 HCPCS,61751,Brain biopsy w/ct/mr guide,,,10008.0,10008.0,1 HCPCS,61760,Implant brain electrodes,,,7272.0,7272.0,1 HCPCS,61770,Incise skull for treatment,,,3660.81,22280.0,4 HCPCS,61781,Scan proc cranial intra,,,3399.0,3399.0,1 HCPCS,61782,Hc Strtctc Cptr Asstd Px Extradural Cranial-Pbb,5667.5,5667.5,,,0 HCPCS,61782,Pr Strtctc Cptr Asstd Px Extradural Cranial-Pbb,1493.0,1493.0,,,0 HCPCS,61782,Scan proc cranial extra,,,3399.0,3399.0,1 HCPCS,61783,Scan proc spinal,,,3399.0,3399.0,1 HCPCS,61790,Treat trigeminal nerve,,,2092.58,11000.0,4 HCPCS,61791,Treat trigeminal tract,,,2092.58,11000.0,4 HCPCS,61796,Srs cranial lesion simple,,,24760.0,24760.0,1 HCPCS,61797,Srs cran les simple addl,,,7272.0,7272.0,1 HCPCS,61798,Srs cranial lesion complex,,,24760.0,24760.0,1 HCPCS,61799,Srs cran les complex addl,,,7272.0,7272.0,1 HCPCS,61800,Apply srs headframe add-on,,,3399.0,3399.0,1 HCPCS,61850,Implant neuroelectrodes,,,10008.0,10008.0,1 HCPCS,61860,Implant neuroelectrodes,,,10008.0,10008.0,1 HCPCS,61863,Implant neuroelectrode,,,10008.0,10008.0,1 HCPCS,61864,Implant neuroelectrde addl,,,10008.0,10008.0,1 HCPCS,61867,Implant neuroelectrode,,,10008.0,10008.0,1 HCPCS,61868,Implant neuroelectrde addl,,,10008.0,10008.0,1 HCPCS,61880,Revise/remove neuroelectrode,,,3746.49,14227.0,4 HCPCS,61885,Insrt/redo neurostim 1 array,,,33067.68,73109.0,4 HCPCS,61886,Implant neurostim arrays,,,33067.68,78953.0,4 HCPCS,61888,Revise/remove neuroreceiver,,,11940.72,17314.04,4 HCPCS,61889,Ins sk-mnt crnl nstm pg/rcvr,,,10008.0,10008.0,1 HCPCS,61891,Rev/rplcmt sk-mnt crnl nstm,,,33067.68,47948.14,4 HCPCS,61892,Rmv sk-mnt crnl nstm pg/rcvr,,,3506.34,14227.0,4 HCPCS,62000,Treat skull fracture,,,3552.91,22280.0,4 HCPCS,62005,Treat skull fracture,,,10008.0,10008.0,1 HCPCS,62010,Treatment of head injury,,,10008.0,10008.0,1 HCPCS,62100,Repair brain fluid leakage,,,10008.0,10008.0,1 HCPCS,62115,Reduction of skull defect,,,10008.0,10008.0,1 HCPCS,62117,Reduction of skull defect,,,10008.0,10008.0,1 HCPCS,62120,Repair skull cavity lesion,,,10008.0,10008.0,1 HCPCS,62121,Incise skull repair,,,10008.0,10008.0,1 HCPCS,62140,Repair of skull defect,,,10008.0,10008.0,1 HCPCS,62141,Repair of skull defect,,,10008.0,10008.0,1 HCPCS,62142,Remove skull plate/flap,,,10008.0,10008.0,1 HCPCS,62143,Replace skull plate/flap,,,10008.0,10008.0,1 HCPCS,62145,Repair of skull & brain,,,10008.0,10008.0,1 HCPCS,62146,Repair of skull with graft,,,10008.0,10008.0,1 HCPCS,62147,Repair of skull with graft,,,10008.0,10008.0,1 HCPCS,62148,Retr bone flap to fix skull,,,10008.0,10008.0,1 HCPCS,62160,Neuroendoscopy add-on,,,3399.0,3399.0,1 HCPCS,62161,Dissect brain w/scope,,,10008.0,10008.0,1 HCPCS,62162,Remove colloid cyst w/scope,,,10008.0,10008.0,1 HCPCS,62164,Remove brain tumor w/scope,,,10008.0,10008.0,1 HCPCS,62165,Remove pituit tumor w/scope,,,10008.0,10008.0,1 HCPCS,62180,Establish brain cavity shunt,,,10008.0,10008.0,1 HCPCS,62190,Establish brain cavity shunt,,,10008.0,10008.0,1 HCPCS,62192,Establish brain cavity shunt,,,10008.0,10008.0,1 HCPCS,62194,Replace/irrigate catheter,,,2092.58,11000.0,4 HCPCS,62200,Establish brain cavity shunt,,,10008.0,10008.0,1 HCPCS,62201,Brain cavity shunt w/scope,,,10008.0,10008.0,1 HCPCS,62220,Establish brain cavity shunt,,,10008.0,10008.0,1 HCPCS,62223,Establish brain cavity shunt,,,10008.0,10008.0,1 HCPCS,62225,Replace/irrigate catheter,,,3660.81,7272.0,4 HCPCS,62230,Replace/revise brain shunt,,,9404.36,22280.0,4 HCPCS,62252,Csf Shunt Reprogram,,,329.13,3399.0,4 HCPCS,62252,Hc Reprogramming Of Programmable Cerebrospinal Shunt,788.0,788.0,,,0 HCPCS,62252,Hc Reprogramming Of Programmable Cerebrospinal Shunt-Pbb,1176.0,1176.0,,,0 HCPCS,62252,Pr Reprgrmg Programmable Cerebrospinal Shunt-Pbb,777.0,777.0,,,0 HCPCS,62256,Remove brain cavity shunt,,,7272.0,7272.0,1 HCPCS,62258,Replace brain cavity shunt,,,10008.0,10008.0,1 HCPCS,62263,Epidural lysis mult sessions,,,947.82,5007.0,4 HCPCS,62264,Epidural lysis on single day,,,947.82,5007.0,4 HCPCS,62267,"Hc Perc Aspiration W/In The Nucleus Pulposus, Intervert Disc, Or Paravert Tissue For Diag Purposes",4109.0,4109.0,,,0 HCPCS,62267,Interdiscal perq aspir dx,,,758.85,5007.0,4 HCPCS,62268,Drain spinal cord cyst,,,947.82,5007.0,4 HCPCS,62268,Hc Percutaenous Aspiration Spinal Cord Cyst,1962.0,1962.0,,,0 HCPCS,62269,"Hc Biopsy Of Spinal Cord, Percutaneous Needle",2914.0,2914.0,,,0 HCPCS,62269,Needle biopsy spinal cord,,,1769.88,7272.0,4 HCPCS,62270,Hc Spinal Puncture Lumbar Diagnostic,3007.0,3007.0,,,0 HCPCS,62270,Hc Spinal Puncture Lumbar Diagnostic-Gold,3759.5,3759.5,,,0 HCPCS,62270,"Hc Spinal Puncture Lumbar Diagnostic-Gold,Pbb",3759.5,3759.5,,,0 HCPCS,62270,Hc Spinal Puncture Lumbar Diagnostic-Pbb,3759.5,3759.5,,,0 HCPCS,62270,Pr Diagnostic Lumbar Spinal Puncture-Gold,1505.0,1505.0,,,0 HCPCS,62270,"Pr Diagnostic Lumbar Spinal Puncture-Gold,Oprm",1505.0,1505.0,,,0 HCPCS,62270,"Pr Diagnostic Lumbar Spinal Puncture-Gold,Pbb",1505.0,1505.0,,,0 HCPCS,62270,Pr Diagnostic Lumbar Spinal Puncture-Pbb,1505.0,1505.0,,,0 HCPCS,62270,Spinal fluid tap diagnostic,,,756.44,5007.0,4 HCPCS,62272,Drain cerebro spinal fluid,,,756.44,5007.0,4 HCPCS,62272,"Hc Spinal Puncture, Therapeutic, For Drainage Of Cerebrospinal Fluid",3515.0,3515.0,,,0 HCPCS,62272,"Hc Spinal Puncture, Therapeutic, For Drainage Of Cerebrospinal Fluid-Gold",4490.0,4490.0,,,0 HCPCS,62272,"Hc Spinal Puncture, Therapeutic, For Drainage Of Cerebrospinal Fluid-Gold,Pbb",4490.0,4490.0,,,0 HCPCS,62272,"Hc Spinal Puncture, Therapeutic, For Drainage Of Cerebrospinal Fluid-Pbb",4490.0,4490.0,,,0 HCPCS,62272,Pr Therapeutic Spinal Puncture Drainage Csf-Gold,1950.0,1950.0,,,0 HCPCS,62272,"Pr Therapeutic Spinal Puncture Drainage Csf-Gold,Oprm",1950.0,1950.0,,,0 HCPCS,62272,"Pr Therapeutic Spinal Puncture Drainage Csf-Gold,Pbb",1950.0,1950.0,,,0 HCPCS,62272,Pr Therapeutic Spinal Puncture Drainage Csf-Pbb,1950.0,1950.0,,,0 HCPCS,62273,"Hc Injection, Epidural, Of Blood Or Clot Patch",5519.0,5519.0,,,0 HCPCS,62273,Inject epidural patch,,,756.44,5007.0,4 HCPCS,62280,Treat spinal cord lesion,,,947.82,5007.0,4 HCPCS,62281,Treat spinal cord lesion,,,947.82,5007.0,4 HCPCS,62282,Treat spinal canal lesion,,,947.82,5007.0,4 HCPCS,62284,"Hc Injection Procedure For Myelography And/Or Computer Tomography, Lumbar",2809.0,2809.0,,,0 HCPCS,62284,Injection for myelogram,,,3399.0,3399.0,1 HCPCS,62287,Percutaneous diskectomy,,,2092.58,14227.0,4 HCPCS,62290,"Hc Injection Procedure For Discography, Each Level; Lumbar",3651.0,3651.0,,,0 HCPCS,62290,Inject for spine disk x-ray,,,3399.0,3399.0,1 HCPCS,62291,Hc Injection Procedure For Discography; Each Level; Cervical Or Thoracic,1882.0,1882.0,,,0 HCPCS,62291,Inject for spine disk x-ray,,,3399.0,3399.0,1 HCPCS,62292,Injection into disk lesion,,,2092.58,11000.0,4 HCPCS,62294,Injection into spinal artery,,,947.82,5007.0,4 HCPCS,62302,"Hc Myelography Via Lumbar Injection, Including S&I, Cervical",3070.0,3070.0,,,0 HCPCS,62302,Myelography lumbar injection,,,775.08,5007.0,5 HCPCS,62303,"Hc Myelography Via Lumbar Injection, Including S&I, Thoracic",3070.0,3070.0,,,0 HCPCS,62303,Myelography lumbar injection,,,707.55,5007.0,5 HCPCS,62304,"Hc Myelography Via Lumbar Injection, Including S&I, Lumbosacral",3070.0,3070.0,,,0 HCPCS,62304,Myelography lumbar injection,,,666.45,5007.0,5 HCPCS,62305,"Hc Myelography Via Lumbar Injection, Including S&I, 2 Or More Regions",6139.0,6139.0,,,0 HCPCS,62305,Myelography lumbar injection,,,840.06,5007.0,5 HCPCS,62320,Hc Injections Interlaminar Cervical/Thoracic,8188.0,8188.0,,,0 HCPCS,62320,Njx interlaminar crv/thrc,,,756.44,5007.0,4 HCPCS,62321,Hc Injection(S) Interlaminar Cervical/Thoracic With Imaging Guidance,8842.0,8842.0,,,0 HCPCS,62321,Njx interlaminar crv/thrc,,,756.44,5007.0,4 HCPCS,62322,Hc Injections Interlaminar Lumbar/Sacral,7762.0,7762.0,,,0 HCPCS,62322,Njx interlaminar lmbr/sac,,,947.82,5007.0,4 HCPCS,62323,Hc Injections Interlaminar Lumbar/Sacral With Imaging Guidance,8188.0,8188.0,,,0 HCPCS,62323,Njx interlaminar lmbr/sac,,,756.44,5007.0,4 HCPCS,62324,Hc Injections Indwelling Catheter Placement Interlaminar Cervical/Thoracic,8383.0,8383.0,,,0 HCPCS,62324,Njx interlaminar crv/thrc,,,947.82,5007.0,4 HCPCS,62325,Hc Injections Indwelling Catheter Placement Interlaminar Cervical/Thoracic With Imaging Guidance,9990.0,9990.0,,,0 HCPCS,62325,Njx interlaminar crv/thrc,,,947.82,5007.0,4 HCPCS,62326,Hc Injections Indwelling Catheter Placement Interlaminar Lumbar/Sacral,6644.0,6644.0,,,0 HCPCS,62326,Njx interlaminar lmbr/sac,,,947.82,5007.0,4 HCPCS,62327,Hc Injections Indwelling Catheter Placement Interlaminar Lumbar/Sacral With Imaging Guidance,8387.0,8387.0,,,0 HCPCS,62327,Njx interlaminar lmbr/sac,,,947.82,5007.0,4 HCPCS,62328,Dx lmbr spi pnxr w/fluor/ct,,,756.44,5007.0,4 HCPCS,62328,Hc Dx Lmbr Spi Pnxr W/Fluor/Ct,2401.0,2401.0,,,0 HCPCS,62329,"Hc Spinal Puncture, Therapeutic, For Drainage Of Cerebrospinal Fluid (By Needle Or Catheter); With F",2401.0,2401.0,,,0 HCPCS,62329,Ther spi pnxr csf fluor/ct,,,756.44,5007.0,4 HCPCS,62330,Dcmprn prq rmv lig flv 1lmbr,,,7775.89,11275.05,3 HCPCS,62350,Implant spinal canal cath,,,9404.36,22280.0,4 HCPCS,62351,Implant spinal canal cath,,,7775.89,24760.0,4 HCPCS,62355,Remove spinal canal catheter,,,2092.58,11000.0,4 HCPCS,62360,Insert spine infusion device,,,19314.7,28006.31,4 HCPCS,62361,Implant spine infusion pump,,,19314.7,73109.0,4 HCPCS,62362,Hc Implant Spine Infusion Pump,50815.0,50815.0,,,0 HCPCS,62362,Implant spine infusion pump,,,19314.7,73109.0,4 HCPCS,62365,Remove spine infusion device,,,3660.81,24760.0,4 HCPCS,62367,Analyze spine infus pump,,,329.13,3399.0,4 HCPCS,62367,"Hc Elec Analysis Of Programmable, Imp Pump For Intrathec Or Epidurl Drug Inf; W/Out Reprog Or Refill",1842.0,1842.0,,,0 HCPCS,62367,Pr Elect Anlys Implt Ithcl/Edrl Pmp W/O Reprg/Refil-Pbb,883.0,883.0,,,0 HCPCS,62368,Analyze sp inf pump w/reprog,,,329.13,3399.0,4 HCPCS,62368,"Hc Electronic Analysis Of Programmable, Imp Pump For Intrathecal Or Epdral Drug Inf; W/ Reprogrmming",1889.0,1889.0,,,0 HCPCS,62368,Pr Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg-Pbb,890.0,890.0,,,0 HCPCS,62369,Anal sp inf pmp w/reprg&fill,,,329.13,3399.0,4 HCPCS,62369,Hc Electronic Analys Pump Intra/Epidural With Reprogram & Refill,856.0,856.0,,,0 HCPCS,62370,Anl sp inf pmp w/mdreprg&fil,,,329.13,3399.0,4 HCPCS,62370,"Hc Elec Anal Prog,Imp Pump Intrathecal/Epidural Drug Inf;W Reprog&Refill-Req Skill Md Or Other Qhcp",1094.0,1094.0,,,0 HCPCS,62370,"Hc Elec Anal Prog,Imp Pump Intrathecal/Epidural Drug Inf;W Reprog&Refill-Req Skill Md Or Other Qhcp-",2356.0,2356.0,,,0 HCPCS,62370,Pr Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp-Pbb,2524.0,2524.0,,,0 HCPCS,62380,Ndsc dcmprn 1 ntrspc lumbar,,,7775.89,24760.0,4 HCPCS,63001,Remove spine lamina 1/2 crvl,,,7775.89,24760.0,4 HCPCS,63003,Remove spine lamina 1/2 thrc,,,7775.89,24760.0,4 HCPCS,63005,Remove spine lamina 1/2 lmbr,,,7775.89,24760.0,4 HCPCS,63011,Remove spine lamina 1/2 scrl,,,7775.89,24760.0,4 HCPCS,63012,Remove lamina/facets lumbar,,,7775.89,24760.0,4 HCPCS,63015,Remove spine lamina >2 crvcl,,,7775.89,24760.0,4 HCPCS,63016,Remove spine lamina >2 thrc,,,7775.89,24760.0,4 HCPCS,63017,Remove spine lamina >2 lmbr,,,7775.89,24760.0,4 HCPCS,63020,Neck spine disk surgery,,,7775.89,24760.0,4 HCPCS,63030,Low back disk surgery,,,7775.89,24760.0,4 HCPCS,63035,Spinal disk surgery add-on,,,3399.0,3399.0,1 HCPCS,63040,Laminotomy single cervical,,,7775.89,24760.0,4 HCPCS,63042,Laminotomy single lumbar,,,7775.89,24760.0,4 HCPCS,63043,Laminotomy addl cervical,,,14227.0,14227.0,1 HCPCS,63044,Laminotomy addl lumbar,,,14227.0,14227.0,1 HCPCS,63045,Remove spine lamina 1 crvl,,,7775.89,24760.0,4 HCPCS,63046,Remove spine lamina 1 thrc,,,7775.89,24760.0,4 HCPCS,63047,Remove spine lamina 1 lmbr,,,7775.89,24760.0,4 HCPCS,63048,Remove spinal lamina add-on,,,3399.0,3399.0,1 HCPCS,63050,Cervical laminoplsty 2/> seg,,,10008.0,10008.0,1 HCPCS,63051,C-laminoplasty w/graft/plate,,,10008.0,10008.0,1 HCPCS,63052,Lam facetc/frmt arthrd lum 1,,,3399.0,3399.0,1 HCPCS,63053,Lam factc/frmt arthrd lum ea,,,3399.0,3399.0,1 HCPCS,63055,Decompress spinal cord thrc,,,7775.89,24760.0,4 HCPCS,63056,Decompress spinal cord lmbr,,,7775.89,24760.0,4 HCPCS,63057,Decompress spine cord add-on,,,3399.0,3399.0,1 HCPCS,63064,Decompress spinal cord thrc,,,7775.89,24760.0,4 HCPCS,63066,Decompress spine cord add-on,,,3399.0,3399.0,1 HCPCS,63075,Neck spine disk surgery,,,7775.89,24760.0,4 HCPCS,63076,Neck spine disk surgery,,,3399.0,3399.0,1 HCPCS,63077,Spine disk surgery thorax,,,10008.0,10008.0,1 HCPCS,63078,Spine disk surgery thorax,,,10008.0,10008.0,1 HCPCS,63081,Remove vert body dcmprn crvl,,,24760.0,24760.0,1 HCPCS,63082,Remove vertebral body add-on,,,10008.0,10008.0,1 HCPCS,63085,Remove vert body dcmprn thrc,,,10008.0,10008.0,1 HCPCS,63086,Remove vertebral body add-on,,,10008.0,10008.0,1 HCPCS,63087,Remov vertbr dcmprn thrclmbr,,,10008.0,10008.0,1 HCPCS,63088,Remove vertebral body add-on,,,10008.0,10008.0,1 HCPCS,63090,Remove vert body dcmprn lmbr,,,10008.0,10008.0,1 HCPCS,63091,Remove vertebral body add-on,,,10008.0,10008.0,1 HCPCS,63101,Remove vert body dcmprn thrc,,,10008.0,10008.0,1 HCPCS,63102,Remove vert body dcmprn lmbr,,,10008.0,10008.0,1 HCPCS,63103,Remove vertebral body add-on,,,10008.0,10008.0,1 HCPCS,63170,Incise spinal cord tract(s),,,10008.0,10008.0,1 HCPCS,63172,Drainage of spinal cyst,,,10008.0,10008.0,1 HCPCS,63173,Drainage of spinal cyst,,,10008.0,10008.0,1 HCPCS,63185,Incise spine nrv half segmnt,,,36418.0,36418.0,1 HCPCS,63190,Incise spine nrv >2 segmnts,,,36418.0,36418.0,1 HCPCS,63191,Incise spine accessory nerve,,,36418.0,36418.0,1 HCPCS,63197,Incise spine&cord 2 trx thrc,,,10008.0,10008.0,1 HCPCS,63200,Release spinal cord lumbar,,,36418.0,36418.0,1 HCPCS,63250,Revise spinal cord vsls crvl,,,10008.0,10008.0,1 HCPCS,63251,Revise spinal cord vsls thrc,,,10008.0,10008.0,1 HCPCS,63252,Revise spine cord vsl thrlmb,,,36418.0,36418.0,1 HCPCS,63265,Excise intraspinl lesion crv,,,7775.89,24760.0,4 HCPCS,63266,Excise intrspinl lesion thrc,,,7775.89,24760.0,4 HCPCS,63267,Excise intrspinl lesion lmbr,,,7775.89,11275.05,4 HCPCS,63268,Excise intrspinl lesion scrl,,,7775.89,24760.0,4 HCPCS,63270,Excise intrspinl lesion crvl,,,10008.0,10008.0,1 HCPCS,63271,Excise intrspinl lesion thrc,,,10008.0,10008.0,1 HCPCS,63272,Excise intrspinl lesion lmbr,,,36418.0,36418.0,1 HCPCS,63273,Excise intrspinl lesion scrl,,,10008.0,10008.0,1 HCPCS,63275,Bx/exc xdrl spine lesn crvl,,,10008.0,10008.0,1 HCPCS,63276,Bx/exc xdrl spine lesn thrc,,,10008.0,10008.0,1 HCPCS,63277,Bx/exc xdrl spine lesn lmbr,,,36418.0,36418.0,1 HCPCS,63278,Bx/exc xdrl spine lesn scrl,,,10008.0,10008.0,1 HCPCS,63280,Bx/exc idrl spine lesn crvl,,,10008.0,10008.0,1 HCPCS,63281,Bx/exc idrl spine lesn thrc,,,10008.0,10008.0,1 HCPCS,63282,Bx/exc idrl spine lesn lmbr,,,36418.0,36418.0,1 HCPCS,63283,Bx/exc idrl spine lesn scrl,,,10008.0,10008.0,1 HCPCS,63285,Bx/exc idrl imed lesn cervl,,,10008.0,10008.0,1 HCPCS,63286,Bx/exc idrl imed lesn thrc,,,10008.0,10008.0,1 HCPCS,63287,Bx/exc idrl imed lesn thrlmb,,,36418.0,36418.0,1 HCPCS,63290,Bx/exc xdrl/idrl lsn any lvl,,,36418.0,36418.0,1 HCPCS,63295,Repair laminectomy defect,,,10008.0,10008.0,1 HCPCS,63300,Remove vert xdrl body crvcl,,,10008.0,10008.0,1 HCPCS,63301,Remove vert xdrl body thrc,,,10008.0,10008.0,1 HCPCS,63302,Remove vert xdrl body thrlmb,,,10008.0,10008.0,1 HCPCS,63303,Remov vert xdrl bdy lmbr/sac,,,10008.0,10008.0,1 HCPCS,63304,Remove vert idrl body crvcl,,,10008.0,10008.0,1 HCPCS,63305,Remove vert idrl body thrc,,,10008.0,10008.0,1 HCPCS,63306,Remov vert idrl bdy thrclmbr,,,10008.0,10008.0,1 HCPCS,63307,Remov vert idrl bdy lmbr/sac,,,10008.0,10008.0,1 HCPCS,63308,Remove vertebral body add-on,,,10008.0,10008.0,1 HCPCS,63600,Remove spinal cord lesion,,,2092.58,11000.0,4 HCPCS,63610,Stimulation of spinal cord,,,2092.58,7272.0,4 HCPCS,63620,Srs spinal lesion,,,24760.0,24760.0,1 HCPCS,63621,Srs spinal lesion addl,,,7272.0,7272.0,1 HCPCS,63650,"Hc Percutaneous Implanatation Of Neurostimulator Electrode Array, Epidural",15331.0,15331.0,,,0 HCPCS,63650,Implant neuroelectrodes,,,6829.42,24760.0,4 HCPCS,63655,Implant neuroelectrodes,,,20789.52,36418.0,4 HCPCS,63661,"Hc Rmvl Of Spinal Neurostimulator Electrode Perc Array(S), Incl Fluoroscopy, When Perf",7081.0,7081.0,,,0 HCPCS,63661,Remove spine eltrd perq aray,,,2092.58,11000.0,4 HCPCS,63662,Remove spine eltrd plate,,,3746.49,14227.0,4 HCPCS,63663,"Hc Rvsn Incl Rplcmnt,Whn Perf,Of Spnal Neurstimulatr Electrd Perc Array(S),Incld Fluoroscpy,Whn Perf",8063.0,8063.0,,,0 HCPCS,63663,Revise spine eltrd perq aray,,,6829.42,24760.0,4 HCPCS,63664,Revise spine eltrd plate,,,11940.72,24760.0,4 HCPCS,63685,Insrt/redo spine n generator,,,33067.68,73109.0,4 HCPCS,63688,Revise/remove neuroreceiver,,,3746.49,14227.0,4 HCPCS,63700,Repair of spinal herniation,,,10008.0,10008.0,1 HCPCS,63702,Repair of spinal herniation,,,10008.0,10008.0,1 HCPCS,63704,Repair of spinal herniation,,,10008.0,10008.0,1 HCPCS,63706,Repair of spinal herniation,,,10008.0,10008.0,1 HCPCS,63707,Repair spinal fluid leakage,,,10008.0,10008.0,1 HCPCS,63709,Repair spinal fluid leakage,,,10008.0,10008.0,1 HCPCS,63710,Graft repair of spine defect,,,10008.0,10008.0,1 HCPCS,63740,Install spinal shunt,,,10008.0,10008.0,1 HCPCS,63741,Install spinal shunt,,,9404.36,22280.0,4 HCPCS,63744,Revision of spinal shunt,,,3660.81,22280.0,4 HCPCS,63746,Removal of spinal shunt,,,2092.58,11000.0,4 HCPCS,64400,"Hc Injection, Anesthetic Agent; Trigeminal Nerve, Any Division Or Branch",1333.0,1333.0,,,0 HCPCS,64400,N block inj trigeminal,,,328.94,3399.0,4 HCPCS,64405,"Hc Injection, Anesthetic Agent; Greater Occipital Nervice",1796.0,1796.0,,,0 HCPCS,64405,"Hc Injection, Anesthetic Agent; Greater Occipital Nervice-Pbb",2119.5,2119.5,,,0 HCPCS,64405,N block inj occipital,,,328.94,3399.0,4 HCPCS,64405,Pr Injection Aa&/Strd Greater Occipital Nerve-Pbb,647.0,647.0,,,0 HCPCS,64408,Hc Injection Aa&/Strd Vagus Nerve,965.0,965.0,,,0 HCPCS,64408,Hc Injection Aa&/Strd Vagus Nerve-Pbb,1342.5,1342.5,,,0 HCPCS,64408,N block inj vagus,,,328.94,3399.0,4 HCPCS,64408,Pr Injection Aa&/Strd Vagus Nerve-Pbb,755.0,755.0,,,0 HCPCS,64415,"Hc Injection, Anesthetic Agent; Brachial Plexus, Single",4284.0,4284.0,,,0 HCPCS,64415,"Hc Injection, Anesthetic Agent; Brachial Plexus, Single-Pbb",4635.5,4635.5,,,0 HCPCS,64415,N block inj brachial plexus,,,947.82,5007.0,4 HCPCS,64415,Pr Injection Aa&/Strd Brachial Plexus W/Img Gdn-Pbb,703.0,703.0,,,0 HCPCS,64416,"Hc Injection, Anesthetic Agent; Brachial Plexus, Continus Infusion By Catheter",3396.0,3396.0,,,0 HCPCS,64416,N block cont infuse b plex,,,947.82,5007.0,4 HCPCS,64417,"Hc Injection, Anesthetic Agent; Axillary Nerve",3559.0,3559.0,,,0 HCPCS,64417,N block inj axillary,,,947.82,5007.0,4 HCPCS,64418,"Hc Injection, Anesthetic Agent; Supravascular Nerve",2580.0,2580.0,,,0 HCPCS,64418,"Hc Injection, Anesthetic Agent; Supravascular Nerve-Pbb",3596.5,3596.5,,,0 HCPCS,64418,N block inj suprascapular,,,756.44,5007.0,4 HCPCS,64418,Pr Injection Aa&/Strd Suprascapular Nerve-Pbb,2033.0,2033.0,,,0 HCPCS,64420,"Hc Injection, Anesthetic Agent; Pudendal Nerve",2089.0,2089.0,,,0 HCPCS,64420,N block inj intercost sng,,,756.44,5007.0,4 HCPCS,64421,"Hc Injection, Anesthetic Agent; Intercostal Nerves, Multiple, Regional Block",3396.0,3396.0,,,0 HCPCS,64421,"Hc Injection, Anesthetic Agent; Intercostal Nerves, Multiple, Regional Block-Gold",6159.5,6159.5,,,0 HCPCS,64421,"Hc Injection, Anesthetic Agent; Intercostal Nerves, Multiple, Regional Block-Gold,Pbb",7857.5,7857.5,,,0 HCPCS,64421,"Hc Injection, Anesthetic Agent; Intercostal Nerves, Multiple, Regional Block-Pbb",6161.0,6161.0,,,0 HCPCS,64421,N block inj intercost mlt,,,947.82,5007.0,4 HCPCS,64421,"Pr Injection Aa&/Strd Intercostal Nrv Ea Addl Lvl-Gold,Oprm",5530.0,5530.0,,,0 HCPCS,64421,"Pr Injection Aa&/Strd Intercostal Nrv Ea Addl Lvl-Gold,Pbb",8923.0,8923.0,,,0 HCPCS,64421,Pr Injection Aa&/Strd Intercostal Nrv Ea Addl Lvl-Pbb,5530.0,5530.0,,,0 HCPCS,64425,Hc Inectionj Anesthesia Agent Ilioinguinal/Hypogastric Nerve,2462.0,2462.0,,,0 HCPCS,64425,Hc Inectionj Anesthesia Agent Ilioinguinal/Hypogastric Nerve-Pbb,2940.5,2940.5,,,0 HCPCS,64425,N block inj ilio-ing/hypogi,,,756.44,5007.0,4 HCPCS,64425,Pr Injection Aa&/Strd Ilioinguinal Ih Nerves-Pbb,956.0,956.0,,,0 HCPCS,64430,"Banzel: 120 Tablet, Film Coated In 1 Bottle (62856-582-52)",57.73,57.73,,,0 HCPCS,64430,"Hc Injection, Anesthetic Agent; Pudendal Nerve",3396.0,3396.0,,,0 HCPCS,64430,"Hc Injection, Anesthetic Agent; Pudendal Nerve-Pbb",4632.0,4632.0,,,0 HCPCS,64430,N block inj pudendal,,,947.82,5007.0,4 HCPCS,64430,Pr Injection Aa&/Strd Pudendal Nerve-Pbb,2472.0,2472.0,,,0 HCPCS,64430,"Rufinamide: 120 Tablet, Film Coated In 1 Bottle (0054-0425-23)",18.55,18.55,,,0 HCPCS,64435,"Hc Injection, Anesthetic Agentl Paracervical (Uterine) Nerve",5749.0,5749.0,,,0 HCPCS,64435,"Hc Injection, Anesthetic Agentl Paracervical (Uterine) Nerve-Pbb",4422.0,4422.0,,,0 HCPCS,64435,N block inj paracervical,,,756.44,5007.0,4 HCPCS,64435,Pr Injection Aa&/Strd Paracervical Nerve-Pbb,3000.0,3000.0,,,0 HCPCS,64445,"Hc Injection, Anesthetic Agent; Sciatic Nerve, Single",3396.0,3396.0,,,0 HCPCS,64445,N block inj sciatic sng,,,756.44,5007.0,4 HCPCS,64446,"Hc Injection, Anesthetic Agent; Sciatic Nerve, Continous Infusion By Catheter",1627.0,1627.0,,,0 HCPCS,64446,N blk inj sciatic cont inf,,,947.82,5007.0,4 HCPCS,64447,"Hc Injection, Anesthetic Agent; Femoral Nerve, Single",3263.0,3263.0,,,0 HCPCS,64447,N block inj fem single,,,756.44,5007.0,4 HCPCS,64448,"Hc Injection, Anesthetic Agent; Femoral Nerve, Continuous Infusion By Catheter",3088.0,3088.0,,,0 HCPCS,64448,N block inj fem cont inf,,,947.82,5007.0,4 HCPCS,64449,N block inj lumbar plexus,,,947.82,5007.0,4 HCPCS,64450,"Hc Injection, Anesthetic Agent; Other Peripheral Nerve Or Branch",2220.0,2220.0,,,0 HCPCS,64450,"Hc Injection, Anesthetic Agent; Other Peripheral Nerve Or Branch-Pbb",3101.5,3101.5,,,0 HCPCS,64450,N block other peripheral,,,756.44,5007.0,4 HCPCS,64450,Pr Injection Aa&/Strd Other Peripheral Nerve/Branch-Pbb,1763.0,1763.0,,,0 HCPCS,64451,"Hc Injection(S), Anesthetic Agent(S) And/Or Steroid; Nerves Innervating The Sacroiliac Joint, With I",2401.0,2401.0,,,0 HCPCS,64451,Njx aa&/strd nrv nrvtg si jt,,,756.44,5007.0,4 HCPCS,64454,"Hc Injection(S), Anesthetic Agent(S) And/Or Steroid; Genicular Nerve Branches, Including Imaging Gui",2401.0,2401.0,,,0 HCPCS,64454,Njx aa&/strd gnclr nrv brnch,,,756.44,5007.0,4 HCPCS,64455,"Hc Injection(S), Anesthetic Agent And/Or Steroid, Plantar Common Digital Nerve(S)",1028.0,1028.0,,,0 HCPCS,64455,"Hc Injection(S), Anesthetic Agent And/Or Steroid, Plantar Common Digital Nerve(S)-Pbb",1588.5,1588.5,,,0 HCPCS,64455,"Mozobil: 1 Vial, Single-Use In 1 Carton (0024-5862-01) / 1.2 Ml In 1 Vial, Single-Use",2781.07,2781.07,,,0 HCPCS,64455,N block inj plantar digit,,,328.94,3399.0,4 HCPCS,64455,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (70121-1694-2) / 1.2 Ml In 1 Vial, Single-Dose",295.08,295.08,,,0 HCPCS,64455,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (71288-155-01) / 1.2 Ml In 1 Vial, Single-Dose",139.58,139.58,,,0 HCPCS,64455,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (72205-249-01) / 1.2 Ml In 1 Vial, Single-Dose",305.81,305.81,,,0 HCPCS,64455,Pr Njx Aa&/Strd Plantar Common Digital Nerves-Pbb,1121.0,1121.0,,,0 HCPCS,64461,"Hc Paravertebral Block, Thoracic, Single Injection Site",2734.0,2734.0,,,0 HCPCS,64461,Pvb thoracic single inj site,,,756.44,5007.0,4 HCPCS,64462,"Hc Paravertebral Block, Thoracic, 2Nd And Each Additional Inj Site",2734.0,2734.0,,,0 HCPCS,64462,Pvb thoracic 2nd+ inj site,,,3399.0,3399.0,1 HCPCS,64463,"Hc Paravertebral Block, Thoracic, Continuous Infusion By Catheter",2734.0,2734.0,,,0 HCPCS,64463,Pvb thoracic cont infusion,,,756.44,5007.0,4 HCPCS,64466,Hc Thoracic Fascial Plane Block Uni Injection,3740.0,3740.0,,,0 HCPCS,64467,Hc Thoracic Fascial Plane Block Uni Cont Infusion,3740.0,3740.0,,,0 HCPCS,64468,Hc Thoracic Fascial Plane Block Bi Injection,3740.0,3740.0,,,0 HCPCS,64469,Hc Thoracic Fascial Plane Block Bi Cont Infusion,3740.0,3740.0,,,0 HCPCS,64473,Hc Lower Xtr Fascial Plane Block Uni Injection,3740.0,3740.0,,,0 HCPCS,64474,Hc Lower Xtr Fascial Plane Block Uni Cont Infusion,3740.0,3740.0,,,0 HCPCS,64479,"Hc Inj, Anes Agent A/O Steroid, Transforaminal Epidural, W/Image Guid; Cervical Or Thor, Sngle Level",5615.0,5615.0,,,0 HCPCS,64479,Inj foramen epidural c/t,,,947.82,5007.0,4 HCPCS,64480,"Hc Inj, Anes Agnt A/O Steroid, Transforaminl Epidural, W/ Image Guid; Cervical Or Thor, Ea Add Level",1831.0,1831.0,,,0 HCPCS,64480,Inj foramen epidural add-on,,,3399.0,3399.0,1 HCPCS,64483,"Hc Inj, Anes Agent A/O Steroid, Transforaminal Epidural,W/Image Guid; Lumbar Or Sacral, Single Level",6124.5,6124.5,,,0 HCPCS,64483,Inj foramen epidural l/s,,,947.82,5007.0,4 HCPCS,64483,Pr Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level-Pbb,1211.0,1211.0,,,0 HCPCS,64484,"Hc Inj, Anes Agent A/O Steroid, Transforaminl Epidural, W/Image Guid; Lumbar Or Sacral, Ea Add Level",2764.0,2764.0,,,0 HCPCS,64484,Inj foramen epidural add-on,,,3399.0,3399.0,1 HCPCS,64484,Pr Njx Aa&/Strd Tfrml Epi Lumbar/Sacral Ea Addl-Pbb,560.0,560.0,,,0 HCPCS,64486,"Hc Transversus Abdominus Plane Block Unilateral, By Injection",3524.0,3524.0,,,0 HCPCS,64486,Tap block unil by injection,,,3399.0,3399.0,1 HCPCS,64487,"Hc Transvrs Abd Plane (Tap)Blck(Abd Plane Blck, Rects Sheath Blck)Unilt;By Cont Inf(Incl Imgng Guid)",4302.0,4302.0,,,0 HCPCS,64487,Tap block uni by infusion,,,3399.0,3399.0,1 HCPCS,64488,"Hc Transvrs Abd Plane(Tap)Blck(Abd Plane Blck,Rect Sheath Blck)Bilat;By Cont Inf(Incl Imgng Guid)",4350.0,4350.0,,,0 HCPCS,64488,Tap block bi injection,,,3399.0,3399.0,1 HCPCS,64489,"Hc Trnsvrsus Abdminis Plane (Tap) Blck (Abd Plane Blck, Rcts Shth Blck) Bilat; By Cntns Infusion(S)",6044.0,6044.0,,,0 HCPCS,64489,Tap block bi by infusion,,,3399.0,3399.0,1 HCPCS,64490,"Hc Inj, Diag Or Thrptc Agent, Paravert Facet Joint W/ Image Guid, Cervical Or Thor; Single Level",5485.2,5485.2,,,0 HCPCS,64490,Inj paravert f jnt c/t 1 lev,,,947.82,5007.0,4 HCPCS,64491,"Hc Inj, Diag Or Thrptc Agent, Paravert Facet Joint W/ Image Guid, Cervical Or Thor; 2Nd Level",3278.0,3278.0,,,0 HCPCS,64491,Inj paravert f jnt c/t 2 lev,,,3399.0,3399.0,1 HCPCS,64492,"Hc Inj, Diag Or Thrptc Agnt, Paravert Facet Joint W/ Imag Guid, Cervicl Or Thor; 3Rd And Addl Levels",2494.0,2494.0,,,0 HCPCS,64492,Inj paravert f jnt c/t 3 lev,,,3399.0,3399.0,1 HCPCS,64493,"Hc Inj, Diag Or Thrptc Agent, Paravert Facet Joint W/ Image Guid, Lumbar Or Sacral; Single Level",3608.4,3608.4,,,0 HCPCS,64493,Inj paravert f jnt l/s 1 lev,,,947.82,5007.0,4 HCPCS,64494,"Hc Inj, Diag Or Thrptc Agent, Paravert Facet Joint W/ Image Guid, Lumbar Or Sacral; 2Nd Level",3265.0,3265.0,,,0 HCPCS,64494,Inj paravert f jnt l/s 2 lev,,,3399.0,3399.0,1 HCPCS,64495,"Hc Inj, Diag Or Thrptc Agnt, Paravert Facet Joint W/Image Guid, Lumbar Or Sacral; 3Rd Or Addl Levels",2687.0,2687.0,,,0 HCPCS,64495,Inj paravert f jnt l/s 3 lev,,,3399.0,3399.0,1 HCPCS,64505,"Hc Injection, Anesthetic Agent; Sphenopalatine Ganglion",2226.0,2226.0,,,0 HCPCS,64505,N block spenopalatine gangl,,,328.94,3399.0,4 HCPCS,64510,"Hc Injection, Anesthetic Agent; Stellate Ganglion",3396.0,3396.0,,,0 HCPCS,64510,N block stellate ganglion,,,947.82,5007.0,4 HCPCS,64517,"Hc Injection, Anesthetic Agent; Superior Hypogastric Plexus",5063.0,5063.0,,,0 HCPCS,64517,N block inj hypogas plxs,,,947.82,5007.0,4 HCPCS,64520,"Hc Injection, Anesthetic Agent; Lumbar Or Thoracic",3396.0,3396.0,,,0 HCPCS,64520,N block lumbar/thoracic,,,947.82,5007.0,4 HCPCS,64530,"Hc Injection, Anesthetic Agent; Celiac Plexus, With Or Without Radiologic Monitoring",5519.0,5519.0,,,0 HCPCS,64530,N block inj celiac pelus,,,947.82,5007.0,4 HCPCS,64553,Implant neuroelectrodes,,,11940.72,24760.0,4 HCPCS,64555,Hc Prq Implt Neurostimulator Eltrd Peripheral Nrv,23884.0,23884.0,,,0 HCPCS,64555,Implant neuroelectrodes,,,6829.42,24760.0,4 HCPCS,64561,Hc Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging,18172.0,18172.0,,,0 HCPCS,64561,Hc Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging-Pbb,19356.675,19356.675,,,0 HCPCS,64561,Implant neuroelectrodes,,,6829.42,24760.0,4 HCPCS,64561,Pr Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging-Pbb,2369.0,2369.0,,,0 HCPCS,64566,Hc Posterior Tib Neurost Percu Elec Sn,1384.0,1384.0,,,0 HCPCS,64566,Hc Posterior Tib Neurost Percu Elec Sn-Pbb,1239.5,1239.5,,,0 HCPCS,64566,Neuroeltrd stim post tibial,,,328.94,3399.0,4 HCPCS,64566,Pr Post Tib Neurostimulation Prq Needle Electrode-Pbb,370.0,370.0,,,0 HCPCS,64567,Perq elec nrv field stimj cn,,,971.94,1409.32,3 HCPCS,64568,Inc for vagus n elect impl,,,47201.02,78953.0,4 HCPCS,64569,Revise/repl vagus n eltrd,,,11940.72,24760.0,4 HCPCS,64570,Remove vagus n eltrd,,,3660.81,24760.0,4 HCPCS,64575,Implant neuroelectrodes,,,11940.72,36418.0,4 HCPCS,64580,Implant neuroelectrodes,,,20789.52,36418.0,4 HCPCS,64581,Hc Inc Impltj Neurostimulator Eltrd Sacral Nerve-Pbb,20775.5,20775.5,,,0 HCPCS,64581,Implant neuroelectrodes,,,6829.42,36418.0,4 HCPCS,64581,Pr Open Implantation Nea Sacral Nerve-Pbb,5207.0,5207.0,,,0 HCPCS,64582,Opn mpltj hpglsl nstm ary pg,,,33067.68,73109.0,4 HCPCS,64583,Rev/rplct hpglsl nstm ary pg,,,11940.72,36418.0,4 HCPCS,64584,Rmvl hpglsl nstim ary pg,,,3660.81,24760.0,4 HCPCS,64585,Revise/remove neuroelectrode,,,3746.49,14227.0,4 HCPCS,64590,Insrt/redo pn/gastr stimul,,,20789.52,73109.0,4 HCPCS,64595,Revise/rmv pn/gastr stimul,,,3746.49,14227.0,4 HCPCS,64596,Ins/rplcmt prq eltrd ra pn 1,,,11940.72,36418.0,4 HCPCS,64597,Ins/rplcm prq eltrd ra pn ea,,,3399.0,3399.0,1 HCPCS,64598,Revj/rmvl nea pn w/int nstim,,,3746.49,14227.0,4 HCPCS,64600,Injection treatment of nerve,,,947.82,5007.0,4 HCPCS,64605,Injection treatment of nerve,,,2092.58,11000.0,4 HCPCS,64610,Injection treatment of nerve,,,2092.58,11000.0,4 HCPCS,64611,Chemodenerv saliv glands,,,328.94,3399.0,4 HCPCS,64611,"Hc Chemodenervation Of Parotid And Submandibular Salivary Glands, Bilateral",1204.0,1204.0,,,0 HCPCS,64611,"Hc Chemodenervation Of Parotid And Submandibular Salivary Glands, Bilateral-Pbb",914.0,914.0,,,0 HCPCS,64611,Pr Chemodenerv Parotid&Submandibl Salivary Glnds-Pbb,650.0,650.0,,,0 HCPCS,64612,Destroy nerve face muscle,,,328.94,3399.0,4 HCPCS,64612,"Hc Chemodenervation Of Mulscle; Muscler Innervated By Facial Nerve, Unilateral",882.0,882.0,,,0 HCPCS,64612,"Hc Chemodenervation Of Mulscle; Muscler Innervated By Facial Nerve, Unilateral-Pbb",2164.0,2164.0,,,0 HCPCS,64612,Hc Pr Chemodnrvtj Musc Musc Innervated Facial Nrv Unil - Resident,91.0,91.0,,,0 HCPCS,64612,Hc Pr Chemodnrvtj Musc Musc Innervated Facial Nrv Unil - Resident-Pbb,91.0,91.0,,,0 HCPCS,64612,Hc Resident Injection Clinic Botox/Filler Treatments Cash-Csm,100.0,100.0,,,0 HCPCS,64612,"Pr Chemodnrvtj Musc Musc Innervated Facial Nrv Unil-Csm,Pbb",132.0,132.0,,,0 HCPCS,64612,Pr Chemodnrvtj Musc Musc Innervated Facial Nrv Unil-Pbb,2300.0,2300.0,,,0 HCPCS,64615,Chemodenerv musc migraine,,,328.94,3399.0,4 HCPCS,64615,Hc Chemodenervat Muscle(S); Innervated By Facial/Trigeminal/Cervical Spnal & Accessory Nerves Bilat,4076.0,4076.0,,,0 HCPCS,64615,Hc Chemodenervat Muscle(S); Innervated By Facial/Trigeminal/Cervical Spnal & Accessory Nerves Bilat-,2603.0,2603.0,,,0 HCPCS,64615,Pr Chemodervate Facial/Trigem/Cerv Musc Migraine-Pbb,3190.0,3190.0,,,0 HCPCS,64616,Chemodenerv musc neck dyston,,,328.94,3399.0,4 HCPCS,64616,"Hc Chemodenervation Of Muscle(S); Neck Muscle(S), Excluding Muscles Of The Larynx, Unilateral",3559.0,3559.0,,,0 HCPCS,64616,"Hc Chemodenervation Of Muscle(S); Neck Muscle(S), Excluding Muscles Of The Larynx, Unilateral-Pbb",2336.4,2336.4,,,0 HCPCS,64616,Pr Chemodenervation Muscle Neck Unilat For Dystonia-Pbb,2657.0,2657.0,,,0 HCPCS,64617,Chemodener muscle larynx emg,,,756.44,5007.0,4 HCPCS,64617,"Hc Chemodenervtion Of Muscles; Larynx, Unilat, Perc, Incl Guid By Ndl Electromyography, When Perfmd",4415.0,4415.0,,,0 HCPCS,64617,"Hc Chemodenervtion Of Muscles; Larynx, Unilat, Perc, Incl Guid By Ndl Electromyography, When Perfmd-",2900.0,2900.0,,,0 HCPCS,64617,Pr Chemodenervation Muscle Larynx Unilat W/Emg-Pbb,3294.0,3294.0,,,0 HCPCS,64620,"Hc Destruction Of Neurolytic Agent, Intercostal Nerve",7826.0,7826.0,,,0 HCPCS,64620,Injection treatment of nerve,,,947.82,5007.0,4 HCPCS,64624,Dstrj nulyt agt gnclr nrv,,,2092.58,11000.0,4 HCPCS,64624,"Hc Destruction By Neurolytic Agent, Genicular Nerve Branches Including Imaging Guidance, When Perfor",6607.0,6607.0,,,0 HCPCS,64625,"Hc Radiofrequency Ablation, Nerves Innervating The Sacroiliac Joint, With Image Guidance (Ie, Fluoro",6607.0,6607.0,,,0 HCPCS,64625,Rf abltj nrv nrvtg si jt,,,2092.58,11000.0,4 HCPCS,64628,Trml dstrj ios bvn 1st 2 l/s,,,13758.17,24760.0,4 HCPCS,64629,Trml dstrj ios bvn ea addl,,,3399.0,3399.0,1 HCPCS,64630,"Hc Destruction, Neurolytic; Pudendal Nerve",2814.0,2814.0,,,0 HCPCS,64630,Injection treatment of nerve,,,947.82,5007.0,4 HCPCS,64632,Hc Destrution By Neurolytic Agent; Plantar Common Digital Nerve,990.0,990.0,,,0 HCPCS,64632,N block inj common digit,,,328.94,3399.0,4 HCPCS,64633,Destroy cerv/thor facet jnt,,,2092.58,11000.0,4 HCPCS,64633,"Hc Destruct Neurolytic Agnt, Paravert Facet Jnt Nerve W/Imag Guid, Cervic/Thor Single Facet Joint",6187.0,6187.0,,,0 HCPCS,64634,Destroy c/th facet jnt addl,,,3399.0,3399.0,1 HCPCS,64634,"Hc Destruct Neurolytic Agnt, Paravert Facet Jnt Nerve W/ Imag Guid, Cervic/Thor Ea Add Facet Joint",1518.0,1518.0,,,0 HCPCS,64635,Destroy lumb/sac facet jnt,,,2092.58,11000.0,4 HCPCS,64635,"Hc Destruct Neurolytic Agnt, Paravert Facet Jnt Nerve W/Imag Guid, Lumbar/Sacal Ea Add Facet Joint",5955.0,5955.0,,,0 HCPCS,64636,Destroy l/s facet jnt addl,,,3399.0,3399.0,1 HCPCS,64636,"Hc Destrn Neurolytic Agent, Paravert Facet Jt Nerve, W/ Img Guid, Lumbar Or Sacal, Single Facet Jt",1497.0,1497.0,,,0 HCPCS,64640,Hc Destruction By Neurolytic Agent; Other Peripheral Nerve Or Branch,3396.0,3396.0,,,0 HCPCS,64640,Hc Destruction By Neurolytic Agent; Other Peripheral Nerve Or Branch-Pbb,3963.5,3963.5,,,0 HCPCS,64640,Injection treatment of nerve,,,947.82,5007.0,4 HCPCS,64640,Pr Dstrj Neurolytic Agent Other Peripheral Nerve-Pbb,1135.0,1135.0,,,0 HCPCS,64642,Chemodenerv 1 extremity 1-4,,,756.44,5007.0,4 HCPCS,64642,Hc Chemodenervation Of One Extremity; 1-4 Muscle(S),2388.0,2388.0,,,0 HCPCS,64642,Hc Chemodenervation Of One Extremity; 1-4 Muscle(S)-Pbb,4272.0,4272.0,,,0 HCPCS,64642,Pr Chemodenervation One Extremity 1-4 Muscle-Pbb,3768.0,3768.0,,,0 HCPCS,64643,Chemodenerv 1 extrem 1-4 ea,,,3399.0,3399.0,1 HCPCS,64643,"Hc Chemodenervation Of One Extremity; Each Additional Extremity, 1-4 Muscle(S)",1769.0,1769.0,,,0 HCPCS,64643,"Hc Chemodenervation Of One Extremity; Each Additional Extremity, 1-4 Muscle(S)-Pbb",3165.5,3165.5,,,0 HCPCS,64643,Pr Chemodenervation 1 Extremity Ea Addl 1-4 Muscle-Pbb,2794.0,2794.0,,,0 HCPCS,64644,Chemodenerv 1 extrem 5/> mus,,,756.44,5007.0,4 HCPCS,64644,Hc Chemodenervation Of One Extremity; 5 Or More Muscles,1912.0,1912.0,,,0 HCPCS,64644,Hc Chemodenervation Of One Extremity; 5 Or More Muscles-Pbb,3417.0,3417.0,,,0 HCPCS,64644,Pr Chemodenervation 1 Extremity 5 Or More Muscles-Pbb,3011.0,3011.0,,,0 HCPCS,64645,Chemodenerv 1 extrem 5/> ea,,,3399.0,3399.0,1 HCPCS,64645,"Hc Chemodenervation Of One Extremity; Each Additional Extremity, 5 Or More Muscles",1344.0,1344.0,,,0 HCPCS,64645,"Hc Chemodenervation Of One Extremity; Each Additional Extremity, 5 Or More Muscles-Pbb",2927.0,2927.0,,,0 HCPCS,64645,Pr Chemodenervation 1 Extremity Ea Addl 5/> Muscles-Pbb,3166.0,3166.0,,,0 HCPCS,64646,Chemodenerv trunk musc 1-5,,,756.44,5007.0,4 HCPCS,64646,Hc Chemodenervation Of Trunk Muscle(S); 1-5 Muscles,2604.0,2604.0,,,0 HCPCS,64646,Hc Chemodenervation Of Trunk Muscle(S); 1-5 Muscles-Pbb,4657.0,4657.0,,,0 HCPCS,64646,Pr Chemodenervation Of Trunk Muscle 1-5 Muscles-Pbb,4106.0,4106.0,,,0 HCPCS,64647,Chemodenerv trunk musc 6/>,,,756.44,5007.0,4 HCPCS,64647,Hc Chemodenervation Of Trunk Muscle(S); 6 Or More Muscles,3044.0,3044.0,,,0 HCPCS,64647,Hc Chemodenervation Of Trunk Muscle(S); 6 Or More Muscles-Pbb,5334.0,5334.0,,,0 HCPCS,64647,Pr Chemodenervation Of Trunk 6 Or More Muscles-Pbb,4579.0,4579.0,,,0 HCPCS,64650,Chemodenerv eccrine glands,,,328.94,3399.0,4 HCPCS,64650,Hc Botox Axillae 100 Units Cash,1248.0,1248.0,,,0 HCPCS,64650,"Hc Botox Axillae 100 Units Cash-Csm,Pbb",850.0,850.0,,,0 HCPCS,64650,Hc Chemodenervation Of Eccrine Glands; Both Axillae-Pbb,1546.5,1546.5,,,0 HCPCS,64650,Pr Chemodenervation Eccrine Glands Both Axillae-Pbb,769.0,769.0,,,0 HCPCS,64653,Chemodenerv eccrine glands,,,328.94,3399.0,4 HCPCS,64653,"Hc Chemodenervation Of Eccrine Glands; Other Area(S), Per Day",2164.0,2164.0,,,0 HCPCS,64653,"Hc Chemodenervation Of Eccrine Glands; Other Area(S), Per Day-Pbb",1696.0,1696.0,,,0 HCPCS,64653,Pr Chemodenervation Eccrine Glands Oth Area Per Day-Pbb,1068.0,1068.0,,,0 HCPCS,64654,1st opn implt bat modulj sys,,,47201.02,68441.49,3 HCPCS,64655,Revj/rplcmt bat mod sys lead,,,3746.49,5432.41,3 HCPCS,64656,Revj/rplcmt bat mod sys pg,,,33067.68,47948.14,3 HCPCS,64657,Rmvl bat modulj sys tot sys,,,3660.81,5308.17,3 HCPCS,64658,Rmvl bat modul sys lead only,,,3746.49,5432.41,3 HCPCS,64659,Rmvl bat modulj sys pg only,,,3746.49,5432.41,3 HCPCS,64680,"Hc Destruction By Neurolytic Agent, With Or Without Radiologic Monitoring; Celiax Plexus",7826.0,7826.0,,,0 HCPCS,64680,Injection treatment of nerve,,,947.82,5007.0,4 HCPCS,64681,"Hc Destruction By Neurolytic Agent, W/ Or W/Out Radiologic Monitoring; Superior Hypogastric Plexus",4772.0,4772.0,,,0 HCPCS,64681,Injection treatment of nerve,,,947.82,5007.0,4 HCPCS,64702,Revise finger/toe nerve,,,2092.58,11000.0,4 HCPCS,64704,Revise hand/foot nerve,,,2092.58,11000.0,4 HCPCS,64708,Revise arm/leg nerve,,,2092.58,11000.0,4 HCPCS,64712,Revision of sciatic nerve,,,2092.58,11000.0,4 HCPCS,64713,Revision of arm nerve(s),,,2092.58,11000.0,4 HCPCS,64714,Revise low back nerve(s),,,2092.58,11000.0,4 HCPCS,64716,Hc Neuroplasty &/Or Transposition; Cranial Nerve (Specify)-Pbb,8535.0,8535.0,,,0 HCPCS,64716,Pr Neuroplasty &/Transposition Cranial Nerve-Pbb,5353.0,5353.0,,,0 HCPCS,64716,Revision of cranial nerve,,,2092.58,11000.0,4 HCPCS,64718,Revise ulnar nerve at elbow,,,2092.58,11000.0,4 HCPCS,64719,Revise ulnar nerve at wrist,,,2092.58,11000.0,4 HCPCS,64721,Carpal tunnel surgery,,,2092.58,11000.0,4 HCPCS,64721,Hc Neuroplasty &/Or Transposition; Median Nerve At Carpal Tunnel,6437.0,6437.0,,,0 HCPCS,64721,Hc Neuroplasty &/Or Transposition; Median Nerve At Carpal Tunnel-Pbb,8660.0,8660.0,,,0 HCPCS,64721,Pr Neuroplasty &/Transpos Median Nrv Carpal Tunne-Pbb,4446.0,4446.0,,,0 HCPCS,64722,Relieve pressure on nerve(s),,,2092.58,11000.0,4 HCPCS,64726,Release foot/toe nerve,,,2092.58,11000.0,4 HCPCS,64727,Internal nerve revision,,,3399.0,3399.0,1 HCPCS,64728,Dcmprn median nrv carpl tunl,,,2092.58,3034.24,3 HCPCS,64732,Incision of brow nerve,,,2092.58,7272.0,4 HCPCS,64734,Incision of cheek nerve,,,2092.58,7272.0,4 HCPCS,64736,Incision of chin nerve,,,2092.58,7272.0,4 HCPCS,64738,Incision of jaw nerve,,,2092.58,7272.0,4 HCPCS,64740,Incision of tongue nerve,,,2092.58,11000.0,4 HCPCS,64742,Incision of facial nerve,,,2092.58,11000.0,4 HCPCS,64744,Incise nerve back of head,,,2092.58,11000.0,4 HCPCS,64746,Incise diaphragm nerve,,,2092.58,7272.0,4 HCPCS,64755,Incision of stomach nerves,,,10008.0,10008.0,1 HCPCS,64760,Incision of vagus nerve,,,10008.0,10008.0,1 HCPCS,64763,Incise hip/thigh nerve,,,2092.58,7272.0,4 HCPCS,64766,Incise hip/thigh nerve,,,2092.58,14227.0,4 HCPCS,64771,Sever cranial nerve,,,2092.58,11000.0,4 HCPCS,64772,Incision of spinal nerve,,,2092.58,11000.0,4 HCPCS,64774,Remove skin nerve lesion,,,2092.58,11000.0,4 HCPCS,64776,Remove digit nerve lesion,,,2092.58,11000.0,4 HCPCS,64778,Digit nerve surgery add-on,,,3399.0,3399.0,1 HCPCS,64782,Remove limb nerve lesion,,,2092.58,11000.0,4 HCPCS,64783,Limb nerve surgery add-on,,,3399.0,3399.0,1 HCPCS,64784,"Hc Excision, Neuroma; Major Peripheral Nerve, Except Sciatic",6437.0,6437.0,,,0 HCPCS,64784,"Hc Excision, Neuroma; Major Peripheral Nerve, Except Sciatic-Pbb",9911.0,9911.0,,,0 HCPCS,64784,Pr Exc Neuroma Major Peripheral Nrv Xcp Sciatic-Pbb,6948.0,6948.0,,,0 HCPCS,64784,Remove nerve lesion,,,2092.58,11000.0,4 HCPCS,64786,Remove sciatic nerve lesion,,,3660.81,22280.0,4 HCPCS,64787,Implant nerve end,,,3399.0,3399.0,1 HCPCS,64788,"Hc Excision, Neurofibroma/Neurolemmoma; Cutaneous Nerve",6522.0,6522.0,,,0 HCPCS,64788,"Hc Excision, Neurofibroma/Neurolemmoma; Cutaneous Nerve-Pbb",8639.5,8639.5,,,0 HCPCS,64788,Pr Exc Neurofibroma/Neurolemmoma Cutan Nrv-Pbb,4235.0,4235.0,,,0 HCPCS,64788,Remove skin nerve lesion,,,2092.58,11000.0,4 HCPCS,64790,Removal of nerve lesion,,,2092.58,11000.0,4 HCPCS,64792,Removal of nerve lesion,,,3660.81,22280.0,4 HCPCS,64795,Biopsy of nerve,,,2092.58,11000.0,4 HCPCS,64802,Sympathectomy cervical,,,2092.58,7272.0,4 HCPCS,64804,Remove sympathetic nerves,,,2092.58,7272.0,4 HCPCS,64809,Remove sympathetic nerves,,,10008.0,10008.0,1 HCPCS,64818,Remove sympathetic nerves,,,10008.0,10008.0,1 HCPCS,64820,Sympathectomy digital artery,,,2092.58,11000.0,4 HCPCS,64821,Remove sympathetic nerves,,,3506.34,14227.0,4 HCPCS,64822,Remove sympathetic nerves,,,3506.34,14227.0,4 HCPCS,64823,Sympathectomy supfc palmar,,,3506.34,14227.0,4 HCPCS,64831,Repair of digit nerve,,,2092.58,14227.0,4 HCPCS,64832,Repair nerve add-on,,,3399.0,3399.0,1 HCPCS,64834,Repair of hand or foot nerve,,,3660.81,22280.0,4 HCPCS,64835,Repair of hand or foot nerve,,,3660.81,22280.0,4 HCPCS,64836,Repair of hand or foot nerve,,,3660.81,22280.0,4 HCPCS,64837,Repair nerve add-on,,,3399.0,3399.0,1 HCPCS,64840,Repair of leg nerve,,,9404.36,22280.0,4 HCPCS,64856,Repair/transpose nerve,,,9404.36,22280.0,4 HCPCS,64857,Repair arm/leg nerve,,,3660.81,22280.0,4 HCPCS,64858,Repair sciatic nerve,,,2092.58,14227.0,4 HCPCS,64859,Nerve surgery,,,3399.0,3399.0,1 HCPCS,64861,Repair of arm nerves,,,2092.58,14227.0,4 HCPCS,64862,Repair of low back nerves,,,3660.81,22280.0,4 HCPCS,64864,Repair of facial nerve,,,9404.36,22280.0,4 HCPCS,64865,Repair of facial nerve,,,3660.81,22280.0,4 HCPCS,64866,Fusion of facial/other nerve,,,10008.0,10008.0,1 HCPCS,64868,Fusion of facial/other nerve,,,10008.0,10008.0,1 HCPCS,64872,Subsequent repair of nerve,,,3399.0,3399.0,1 HCPCS,64874,Repair & revise nerve add-on,,,3399.0,3399.0,1 HCPCS,64876,Repair nerve/shorten bone,,,3399.0,3399.0,1 HCPCS,64885,Nerve graft head/neck <=4 cm,,,9404.36,22280.0,4 HCPCS,64886,Nerve graft head/neck >4 cm,,,9404.36,22280.0,4 HCPCS,64890,Nerve graft hand/foot <=4 cm,,,9404.36,22280.0,4 HCPCS,64891,Nerve graft hand/foot >4 cm,,,9404.36,22280.0,4 HCPCS,64892,Nerve graft arm/leg <4 cm,,,9404.36,22280.0,4 HCPCS,64893,Nerve graft arm/leg >4 cm,,,3660.81,22280.0,4 HCPCS,64895,Nerve graft hand/foot <=4 cm,,,9404.36,22280.0,4 HCPCS,64896,Nerve graft hand/foot >4 cm,,,9404.36,22280.0,4 HCPCS,64897,Nerve graft arm/leg <=4 cm,,,9404.36,22280.0,4 HCPCS,64898,Nerve graft arm/leg >4 cm,,,9404.36,22280.0,4 HCPCS,64901,Nerve graft add-on,,,3399.0,3399.0,1 HCPCS,64902,Nerve graft add-on,,,3399.0,3399.0,1 HCPCS,64905,Nerve pedicle transfer,,,9404.36,22280.0,4 HCPCS,64907,Nerve pedicle transfer,,,9404.36,22280.0,4 HCPCS,64910,Nerve repair w/allograft,,,9404.36,22280.0,4 HCPCS,64911,Neurorraphy w/vein autograft,,,9404.36,22280.0,4 HCPCS,64912,Nrv rpr w/nrv algrft 1st,,,9404.36,22280.0,4 HCPCS,64913,Nrv rpr w/nrv algrft ea addl,,,3399.0,3399.0,1 HCPCS,64999,Hc Cervical Plexus Block,3273.0,3273.0,,,0 HCPCS,64999,Hc Ganglion Impar Block,697.0,697.0,,,0 HCPCS,64999,"Hc Pulsed Radiofrequency Destruction Of Paravertebral Facet Joint, 1 Level",3408.0,3408.0,,,0 HCPCS,64999,"Hc Pulsed Radiofrequency Destruction Of Paravertebral Facet Joint, 2 Levels",5392.0,5392.0,,,0 HCPCS,64999,"Hc Pulsed Radiofrequency Destruction Of Paravertebral Facet Joint, 3 Levels",7377.0,7377.0,,,0 HCPCS,64999,"Hc Pulsed Radiofrequency Destruction Of Paravertebral Facet Joint, 4 Levels",9363.0,9363.0,,,0 HCPCS,64999,"Hc Pulsed Radiofrequency Destruction Of Paravertebral Facet Joint, 5 Levels",11348.0,11348.0,,,0 HCPCS,64999,"Hc Pulsed Radiofrequency Destruction Of Paravertebral Facet Joint, 6 Levels",13334.0,13334.0,,,0 HCPCS,64999,Hc Quadratus Lumborum Block,2682.0,2682.0,,,0 HCPCS,64999,Hc Qutenza Application,709.0,709.0,,,0 HCPCS,64999,Hc Urgent Pc Nervous System Unlisted Procedure,1927.0,1927.0,,,0 HCPCS,64999,Hc Urgent Pc Nervous System Unlisted Procedure-Pbb,722.0,722.0,,,0 HCPCS,64999,Nervous system surgery,,,328.94,3399.0,4 HCPCS,64999,Pr Unlisted Procedure Nervous System-Pbb,1204.0,1204.0,,,0 HCPCS,65091,Revise eye,,,4212.96,14227.0,4 HCPCS,65093,Revise eye with implant,,,4212.96,14227.0,4 HCPCS,65101,Removal of eye,,,4212.96,14227.0,4 HCPCS,65103,Remove eye/insert implant,,,4212.96,14227.0,4 HCPCS,65105,Remove eye/attach implant,,,4212.96,14227.0,4 HCPCS,65110,Removal of eye,,,4212.96,14227.0,4 HCPCS,65112,Remove eye/revise socket,,,4212.96,14227.0,4 HCPCS,65114,Remove eye/revise socket,,,4212.96,14227.0,4 HCPCS,65125,Revise ocular implant,,,2547.76,11000.0,4 HCPCS,65130,Insert ocular implant,,,4212.96,14227.0,4 HCPCS,65135,Insert ocular implant,,,4212.96,14227.0,4 HCPCS,65140,Attach ocular implant,,,4212.96,14227.0,4 HCPCS,65150,Revise ocular implant,,,4212.96,14227.0,4 HCPCS,65155,Reinsert ocular implant,,,4212.96,14227.0,4 HCPCS,65175,Removal of ocular implant,,,4212.96,14227.0,4 HCPCS,65205,"Hc Removal Of Foreign Body, External Eye; Conjuctival Superficial",583.0,583.0,,,0 HCPCS,65205,"Hc Removal Of Foreign Body, External Eye; Conjuctival Superficial-Pbb",816.5,816.5,,,0 HCPCS,65205,Pr Removal Fb Eye Conjunctival Superficial-Pbb,467.0,467.0,,,0 HCPCS,65205,Remove foreign body from eye,,,142.58,3399.0,4 HCPCS,65210,"Hc Rmvl Of Foreign Body, Ext Eye; Conjuctival Embedded, Subconjuctival, Or Scleral Nonperforating",727.0,727.0,,,0 HCPCS,65210,"Hc Rmvl Of Foreign Body, Ext Eye; Conjuctival Embedded, Subconjuctival, Or Scleral Nonperforating-Pb",996.5,996.5,,,0 HCPCS,65210,Pr Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor-Pbb,540.0,540.0,,,0 HCPCS,65210,Remove foreign body from eye,,,478.72,3399.0,4 HCPCS,65220,"Hc Removal Of Foreign Body, External Eye; Corneal, Without Slit Lamp",549.0,549.0,,,0 HCPCS,65220,"Hc Removal Of Foreign Body, External Eye; Corneal, Without Slit Lamp-Pbb",842.0,842.0,,,0 HCPCS,65220,Pr Rmvl Fb Xtrnl Eye Corneal W/O Slit Lamp-Pbb,586.0,586.0,,,0 HCPCS,65220,Remove foreign body from eye,,,478.72,3399.0,4 HCPCS,65222,"Hc Removal Of Foreign Body, External Eye; Corneal, With Slit Lamp",696.0,696.0,,,0 HCPCS,65222,"Hc Removal Of Foreign Body, External Eye; Corneal, With Slit Lamp-Pbb",1017.5,1017.5,,,0 HCPCS,65222,Pr Rmvl Fb Xtrnl Eye Corneal W/Slit Lamp-Pbb,643.0,643.0,,,0 HCPCS,65222,Remove foreign body from eye,,,142.58,3399.0,4 HCPCS,65235,Remove foreign body from eye,,,2473.11,11000.0,4 HCPCS,65260,Remove foreign body from eye,,,2473.11,3586.01,4 HCPCS,65265,Remove foreign body from eye,,,2473.11,11000.0,4 HCPCS,65270,"Hc Repair Of Laceration; Conjuctiva, W/ Or W/Out Nonperforating Laceration Sclera, Direct Closure",6489.0,6489.0,,,0 HCPCS,65270,"Hc Repair Of Laceration; Conjuctiva, W/ Or W/Out Nonperforating Laceration Sclera, Direct Closure-Pb",6249.0,6249.0,,,0 HCPCS,65270,Pr Rpr Lac Cjnc W/Wo Nonperfor Lac Sclera Dir Clsr-Pbb,866.0,866.0,,,0 HCPCS,65270,Repair of eye wound,,,2547.76,11000.0,4 HCPCS,65272,"Hc Repair Of Laceration; Conjuctiva, By Mobilization And Rearrangement, Without Hospitalization",8130.0,8130.0,,,0 HCPCS,65272,"Hc Repair Of Laceration; Conjuctiva, By Mobilization And Rearrangement, Without Hospitalization-Pbb",7833.5,7833.5,,,0 HCPCS,65272,Pr Rpr Lac Cjnc Moblj& Reargmt W/O Hospitalization-Pbb,1085.0,1085.0,,,0 HCPCS,65272,Repair of eye wound,,,2547.76,11000.0,4 HCPCS,65273,Repair of eye wound,,,10008.0,10008.0,1 HCPCS,65275,"Hc Repair Of Laceration; Cornea, Nonperforating, With Or Without Removal Foreign Body",9788.0,9788.0,,,0 HCPCS,65275,"Hc Repair Of Laceration; Cornea, Nonperforating, With Or Without Removal Foreign Body-Pbb",9300.5,9300.5,,,0 HCPCS,65275,Pr Rpr Lac Cornea Nonperfor W/Wo Rmvl Foreign Body-Pbb,1561.0,1561.0,,,0 HCPCS,65275,Repair of eye wound,,,4212.96,14227.0,4 HCPCS,65280,Repair of eye wound,,,5702.41,11000.0,4 HCPCS,65285,Repair of eye wound,,,5702.41,11000.0,4 HCPCS,65286,"Hc Repair Of Laceration; Application Of Tissue Glue, Wounds Of Cornea And/Or Sclera",13610.0,13610.0,,,0 HCPCS,65286,"Hc Repair Of Laceration; Application Of Tissue Glue, Wounds Of Cornea And/Or Sclera-Pbb",12218.0,12218.0,,,0 HCPCS,65286,Pr Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera-Pbb,3599.0,3599.0,,,0 HCPCS,65286,Repair of eye wound,,,2473.11,7272.0,4 HCPCS,65290,Repair of eye socket wound,,,4212.96,14227.0,4 HCPCS,65400,"Hc Excision, Lesion, Cornea, Except Pterygium-Pbb",5222.0,5222.0,,,0 HCPCS,65400,Pr Excision Lesion Cornea Xcp Pterygium-Pbb,5007.0,5007.0,,,0 HCPCS,65400,Removal of eye lesion,,,1068.27,7272.0,4 HCPCS,65410,Biopsy of cornea,,,2547.76,5007.0,4 HCPCS,65410,Hc Cornea Biopsy-Pbb,5141.5,5141.5,,,0 HCPCS,65410,Pr Biopsy Cornea-Pbb,823.0,823.0,,,0 HCPCS,65420,Removal of eye lesion,,,2547.76,11000.0,4 HCPCS,65426,Removal of eye lesion,,,2547.76,11000.0,4 HCPCS,65430,Corneal smear,,,478.72,3399.0,4 HCPCS,65430,"Hc Scraping Of Cornea, Diagnostic, For Smear And/Or Culture",1171.0,1171.0,,,0 HCPCS,65430,"Hc Scraping Of Cornea, Diagnostic, For Smear And/Or Culture-Pbb",907.5,907.5,,,0 HCPCS,65430,Pr Cornea Scraping Diagnostic Smear &/Culture-Pbb,595.0,595.0,,,0 HCPCS,65435,Curette/treat cornea,,,1068.27,7272.0,4 HCPCS,65435,Hc Removal Of Corneal Epithelium; With Or Without Chemocauterization,3266.0,3266.0,,,0 HCPCS,65435,Hc Removal Of Corneal Epithelium; With Or Without Chemocauterization-Pbb,2972.0,2972.0,,,0 HCPCS,65435,Pr Rmvl Corneal Epithelium W/Wo Chemocauterization-Pbb,784.0,784.0,,,0 HCPCS,65436,Curette/treat cornea,,,2547.76,11000.0,4 HCPCS,65436,Hc Removal Of Corneal Epithelium; With Application Of Chelating Agent,5804.0,5804.0,,,0 HCPCS,65436,Hc Removal Of Corneal Epithelium; With Application Of Chelating Agent-Pbb,5348.5,5348.5,,,0 HCPCS,65436,Pr Rmvl Corneal Epithelium W/Appl Chelating Agent-Pbb,1257.0,1257.0,,,0 HCPCS,65450,"Hc Destruction Lsn Cornea By Cryothrpy, Photocoag Or Thermocauterztn-Pbb",2143.0,2143.0,,,0 HCPCS,65450,Pr Dstrj Lesion Cryother Photo/Thermocautzation-Pbb,2514.0,2514.0,,,0 HCPCS,65450,Treatment of corneal lesion,,,340.14,3399.0,4 HCPCS,65600,Hc Multiple Punctures Of Anterior Cornea,8612.0,8612.0,,,0 HCPCS,65600,Hc Multiple Punctures Of Anterior Cornea-Pbb,7178.0,7178.0,,,0 HCPCS,65600,Pr Multiple Punctures Anterior Cornea-Pbb,3382.0,3382.0,,,0 HCPCS,65600,Revision of cornea,,,2547.76,11000.0,4 HCPCS,65710,Corneal transplant,,,5702.41,22280.0,4 HCPCS,65730,Corneal transplant,,,4429.45,22280.0,4 HCPCS,65750,Corneal transplant,,,5702.41,22280.0,4 HCPCS,65755,Corneal transplant,,,4429.45,22280.0,4 HCPCS,65756,Corneal trnspl endothelial,,,4429.45,22280.0,4 HCPCS,65757,Prep corneal endo allograft,,,3399.0,3399.0,1 HCPCS,65760,Revision of cornea,,,11000.0,11000.0,1 HCPCS,65765,Revision of cornea,,,11000.0,11000.0,1 HCPCS,65767,Corneal tissue transplant,,,11000.0,11000.0,1 HCPCS,65770,Revise cornea with implant,,,15545.01,24760.0,4 HCPCS,65771,Radial keratotomy,,,11000.0,11000.0,1 HCPCS,65772,Correction of astigmatism,,,1068.27,7272.0,4 HCPCS,65772,Hc Corneal Relaxing Inc For Surg Astigmat-Pbb,4163.0,4163.0,,,0 HCPCS,65772,Pr Crnl Relaxing Inc Corrj Induced Astigmatism-Pbb,3184.0,3184.0,,,0 HCPCS,65775,Correction of astigmatism,,,2547.76,11000.0,4 HCPCS,65778,Cover eye w/membrane,,,1068.27,7272.0,4 HCPCS,65778,Hc Placement Of Amniotic Membrane On The Ocular Surface; W/O Sutures-Pbb,2801.5,2801.5,,,0 HCPCS,65778,Pr Place Amniotic Membra Ocular Surface W/O Sutures-Pbb,461.0,461.0,,,0 HCPCS,65779,Cover eye w/membrane suture,,,4212.96,14227.0,4 HCPCS,65780,Hc Ocular Surface Reconstruction Amniotic Membrane-Pbb,13274.5,13274.5,,,0 HCPCS,65780,Ocular reconst transplant,,,4212.96,14227.0,4 HCPCS,65780,Pr Ocular Surface Reconstruction Amniotic Membrane-Pbb,5913.0,5913.0,,,0 HCPCS,65781,Ocular reconst transplant,,,5702.41,22280.0,4 HCPCS,65782,Ocular reconst transplant,,,4212.96,14227.0,4 HCPCS,65785,Impltj ntrstrml crnl rng seg,,,4429.45,22280.0,4 HCPCS,65800,Drainage of eye,,,2473.11,3586.01,4 HCPCS,65800,Hc Paracentesis Of Anterior Chamber Of Eye; With Removal Of Aqueous,5649.0,5649.0,,,0 HCPCS,65800,Hc Paracentesis Of Anterior Chamber Of Eye; With Removal Of Aqueous-Pbb,5236.5,5236.5,,,0 HCPCS,65800,Pr Paracentsis Ant Chamb Eye Aspir Aqueous Spx-Pbb,1159.0,1159.0,,,0 HCPCS,65810,Drainage of eye,,,2473.11,11000.0,4 HCPCS,65810,"Hc Paracntsis Anter Chambr Eye;W/ Rmvl Of Vitreous &/Or Discussn Anter Hyaloid Memb,W/Or W/O Air Inj",11299.0,11299.0,,,0 HCPCS,65810,Pr Paracentsis Ant Cham Rmvl Vitreous W/Wo Air Injx-Pbb,5010.0,5010.0,,,0 HCPCS,65815,Drainage of eye,,,2473.11,11000.0,4 HCPCS,65815,"Hc Paracentesis Of Anterior Chamber Of Eye; W/ Rmvl Of Blood, W/ Or W/Out Irrigation And/Or Air Inj",11906.0,11906.0,,,0 HCPCS,65815,"Hc Paracentesis Of Anterior Chamber Of Eye; W/ Rmvl Of Blood, W/ Or W/Out Irrigation And/Or Air Inj-",9446.0,9446.0,,,0 HCPCS,65815,Pr Paracen Ant Cham Rmvl Blood W/Wo Irrig&/Air In-Pbb,5634.0,5634.0,,,0 HCPCS,65820,Relieve inner eye pressure,,,4429.45,11000.0,4 HCPCS,65850,Incision of eye,,,2473.11,11000.0,4 HCPCS,65855,"Hc Trabeculoplasty By Laser Surgery, 1 Or More Sessions",2721.0,2721.0,,,0 HCPCS,65855,Trabeculoplasty laser surg,,,589.39,5007.0,4 HCPCS,65860,"Hc Severing Adhesions Of Anterior Segment Of Eye, Laser Technique",1892.0,1892.0,,,0 HCPCS,65860,Incise inner eye adhesions,,,589.39,5007.0,4 HCPCS,65865,Incise inner eye adhesions,,,2473.11,11000.0,4 HCPCS,65870,Incise inner eye adhesions,,,2473.11,11000.0,4 HCPCS,65875,Incise inner eye adhesions,,,2473.11,11000.0,4 HCPCS,65880,Incise inner eye adhesions,,,4429.45,11000.0,4 HCPCS,65900,Remove eye lesion,,,2473.11,11000.0,4 HCPCS,65920,Remove implant of eye,,,2473.11,11000.0,4 HCPCS,65930,Remove blood clot from eye,,,2473.11,11000.0,4 HCPCS,66020,Hc Injx Anterior Chamber Eye Air/Liquid Spx-Pbb,6513.5,6513.5,,,0 HCPCS,66020,Injection treatment of eye,,,2473.11,7272.0,4 HCPCS,66020,Pr Injx Anterior Chamber Eye Air/Liquid Spx-Pbb,1053.0,1053.0,,,0 HCPCS,66030,"Hc Injection, Anterior Chamber Of Eye; Medication",5588.0,5588.0,,,0 HCPCS,66030,"Hc Injection, Anterior Chamber Of Eye; Medication-Pbb",5238.0,5238.0,,,0 HCPCS,66030,Injection treatment of eye,,,2473.11,7272.0,4 HCPCS,66030,Pr Injx Anterior Chamber Eye Medication Spx-Pbb,1036.0,1036.0,,,0 HCPCS,66130,Remove eye lesion,,,2547.76,11000.0,4 HCPCS,66150,Glaucoma surgery,,,4429.45,11000.0,4 HCPCS,66155,Glaucoma surgery,,,4429.45,11000.0,4 HCPCS,66160,Glaucoma surgery,,,2473.11,11000.0,4 HCPCS,66170,Glaucoma surgery,,,2473.11,11000.0,4 HCPCS,66172,Incision of eye,,,2473.11,11000.0,4 HCPCS,66174,Translum dil eye canal,,,4429.45,22280.0,4 HCPCS,66175,Trnslum dil eye canal w/stnt,,,5702.41,22280.0,4 HCPCS,66179,Aqueous shunt eye w/o graft,,,5702.41,22280.0,4 HCPCS,66180,Aqueous shunt eye w/graft,,,5702.41,22280.0,4 HCPCS,66183,Insert ant drainage device,,,4429.45,22280.0,4 HCPCS,66184,Revision of aqueous shunt,,,2473.11,11000.0,4 HCPCS,66185,Revise aqueous shunt eye,,,2473.11,11000.0,4 HCPCS,66225,Repair/graft eye lesion,,,5702.41,11000.0,4 HCPCS,66250,Follow-up surgery of eye,,,2547.76,11000.0,4 HCPCS,66500,Incision of iris,,,2473.11,3586.01,4 HCPCS,66505,Incision of iris,,,2473.11,7272.0,4 HCPCS,66600,Remove iris and lesion,,,4429.45,11000.0,4 HCPCS,66605,Removal of iris,,,2473.11,22280.0,4 HCPCS,66625,Removal of iris,,,2473.11,7272.0,4 HCPCS,66630,Removal of iris,,,2473.11,7272.0,4 HCPCS,66635,Removal of iris,,,2473.11,11000.0,4 HCPCS,66680,Repair iris & ciliary body,,,2473.11,11000.0,4 HCPCS,66682,Repair iris & ciliary body,,,2473.11,11000.0,4 HCPCS,66700,Destruction ciliary body,,,2473.11,7272.0,4 HCPCS,66710,Ciliary transsleral therapy,,,2547.76,11000.0,4 HCPCS,66710,"Hc Ciliary Body Destruction, Cyclophotocoagulation, Transscleral",4720.0,4720.0,,,0 HCPCS,66711,Ciliary endoscopic ablation,,,2473.11,11000.0,4 HCPCS,66720,Destruction ciliary body,,,2547.76,11000.0,4 HCPCS,66740,Destruction ciliary body,,,2547.76,11000.0,4 HCPCS,66761,Hc Iridotomy/Ireidectomy By Laser Surgery,3007.0,3007.0,,,0 HCPCS,66761,Revision of iris,,,589.39,5007.0,4 HCPCS,66762,Hc Iridoplasty By Photocoagulation,3086.0,3086.0,,,0 HCPCS,66762,Revision of iris,,,589.39,5007.0,4 HCPCS,66770,Removal of inner eye lesion,,,589.39,5007.0,4 HCPCS,66820,Incision secondary cataract,,,2473.11,3586.01,4 HCPCS,66821,After cataract laser surgery,,,589.39,5007.0,4 HCPCS,66821,Hc Discission Of Secondary Membranous Cataract; Laser Surgery,5356.0,5356.0,,,0 HCPCS,66825,Reposition intraocular lens,,,2473.11,11000.0,4 HCPCS,66830,Removal of lens lesion,,,2473.11,11000.0,4 HCPCS,66840,Removal of lens material,,,2473.11,11000.0,4 HCPCS,66850,Removal of lens material,,,2473.11,11000.0,4 HCPCS,66852,Removal of lens material,,,4429.45,22280.0,4 HCPCS,66920,Extraction of lens,,,2473.11,11000.0,4 HCPCS,66930,Extraction of lens,,,4429.45,11000.0,4 HCPCS,66940,Extraction of lens,,,2473.11,7272.0,4 HCPCS,66982,Cataract surgery complex,,,2473.11,11000.0,4 HCPCS,66983,Cataract surg w/iol 1 stage,,,2473.11,11000.0,4 HCPCS,66984,Cataract surg w/iol 1 stage,,,2473.11,11000.0,4 HCPCS,66985,Insert lens prosthesis,,,2473.11,11000.0,4 HCPCS,66986,Exchange lens prosthesis,,,2473.11,11000.0,4 HCPCS,66987,Xcapsl ctrc rmvl cplx w/ecp,,,4429.45,22280.0,4 HCPCS,66988,Xcapsl ctrc rmvl w/ecp,,,4429.45,22280.0,4 HCPCS,66989,Xcpsl ctrc rmvl cplx insj 1+,,,5702.41,22280.0,4 HCPCS,66990,Ophthalmic endoscope add-on,,,3399.0,3399.0,1 HCPCS,66991,Xcapsl ctrc rmvl insj 1+,,,5702.41,22280.0,4 HCPCS,66999,Eye surgery procedure,,,2473.11,7272.0,4 HCPCS,67005,Partial removal of eye fluid,,,2473.11,11000.0,4 HCPCS,67010,Partial removal of eye fluid,,,2473.11,11000.0,4 HCPCS,67015,Hc Aspiration/Release Vitreous Subretinal/Choroid,5987.0,5987.0,,,0 HCPCS,67015,Hc Aspiration/Release Vitreous Subretinal/Choroid-Pbb,8307.0,8307.0,,,0 HCPCS,67015,Pr Aspiration/Release Vitreous Subretinal/Choroidal-Pbb,4640.0,4640.0,,,0 HCPCS,67015,Release of eye fluid,,,2473.11,11000.0,4 HCPCS,67025,Hc Inj Substitute Pars Plana/Limbl W/Wo Aspir Spx-Pbb,8424.0,8424.0,,,0 HCPCS,67025,Pr Inj Substitute Pars Plana/Limbl W/Wo Aspir Spx-Pbb,4874.0,4874.0,,,0 HCPCS,67025,Replace eye fluid,,,2473.11,11000.0,4 HCPCS,67027,Implant eye drug system,,,14952.25,22280.0,4 HCPCS,67028,Hc Intravitreal Injection Of Pharmacologic Agent,1615.0,1615.0,,,0 HCPCS,67028,Hc Intravitreal Injection Of Pharmacologic Agent-Pbb,3549.0,3549.0,,,0 HCPCS,67028,Injection eye drug,,,353.96,3399.0,4 HCPCS,67028,Pr Intravitreal Njx Pharmacologic Agt Spx-Pbb,3868.0,3868.0,,,0 HCPCS,67030,Incise inner eye strands,,,2473.11,11000.0,4 HCPCS,67031,"Hc Severing Of Vitreous Stands, Adhesions, Sheets, Laser 1/> Stages",12002.0,12002.0,,,0 HCPCS,67031,Laser surgery eye strands,,,589.39,5007.0,4 HCPCS,67036,Removal of inner eye fluid,,,4429.45,22280.0,4 HCPCS,67039,Laser treatment of retina,,,4429.45,22280.0,4 HCPCS,67040,Laser treatment of retina,,,4429.45,22280.0,4 HCPCS,67041,Vit for macular pucker,,,4429.45,22280.0,4 HCPCS,67042,Vit for macular hole,,,4429.45,22280.0,4 HCPCS,67043,Vit for membrane dissect,,,4429.45,22280.0,4 HCPCS,67101,"Hc Repair Of Retinal Dtchmnt, 1 > Sess; Cryother Or Diathermy, W/ Or W/Out Drainage Subretinal Fluid",21339.0,21339.0,,,0 HCPCS,67101,Pr Rpr Retinal Dtchmnt Drg Subretinal Fluid Crtx-Pbb,15267.0,15267.0,,,0 HCPCS,67101,Repair detached retina crtx,,,2473.11,11000.0,4 HCPCS,67105,"Hc Repr Of Retinal Detachment, 1 Or More Sessions; Photocoag, W/ Or W/O Drainage Or Subretinal Fluid",3781.0,3781.0,,,0 HCPCS,67105,Repair detached retina pc,,,589.39,5007.0,4 HCPCS,67107,Repair detached retina,,,4429.45,22280.0,4 HCPCS,67108,Repair detached retina,,,4429.45,22280.0,4 HCPCS,67110,Hc Repair Of Retinal Detachment; By Injection Of Air Or Other Gas,22878.0,22878.0,,,0 HCPCS,67110,Hc Repair Of Retinal Detachment; By Injection Of Air Or Other Gas-Pbb,15138.5,15138.5,,,0 HCPCS,67110,Pr Rpr Retinal Dtchmnt Injection Air/Other Gas-Pbb,16854.0,16854.0,,,0 HCPCS,67110,Repair detached retina,,,2473.11,11000.0,4 HCPCS,67113,Repair retinal detach cplx,,,5702.41,22280.0,4 HCPCS,67115,Release encircling material,,,4429.45,11000.0,4 HCPCS,67120,Remove eye implant material,,,2473.11,11000.0,4 HCPCS,67121,Hc Rmvl Implt Matrl Posterior Segment Intraocular-Pbb,9630.5,9630.5,,,0 HCPCS,67121,Pr Rmvl Implt Matrl Posterior Segment Intraocular-Pbb,7287.0,7287.0,,,0 HCPCS,67121,Remove eye implant material,,,2473.11,14227.0,4 HCPCS,67141,"Hc Prophylaxis Of Retinal Detachment Without Damange, 1 Or More Session; Cryotherapy, Diathermy",6903.0,6903.0,,,0 HCPCS,67141,"Hc Prophylaxis Of Retinal Detachment Without Damange, 1 Or More Session; Cryotherapy, Diathermy-Pbb",4545.5,4545.5,,,0 HCPCS,67141,Pr Proph Retinal Dtchmnt W/O Drg Crtx Diathermy-Pbb,5128.0,5128.0,,,0 HCPCS,67141,Treatment of retina,,,340.14,3399.0,4 HCPCS,67145,"Hc Prophylaxis Of Retinal Detachment Without Drainage, 1 Or More Sessions; Photocoagulation",3315.0,3315.0,,,0 HCPCS,67145,Treatment of retina,,,589.39,5007.0,4 HCPCS,67208,"Hc Destruc Loc Lesion Retina, 1 Or More Sessions; Cryotherapy, Diathermy-Pbb",3157.5,3157.5,,,0 HCPCS,67208,Pr Dstrj Loclzd Lesion Retina 1/> Sess Crtx Dthrm-Pbb,4537.0,4537.0,,,0 HCPCS,67208,Treatment of retinal lesion,,,340.14,3399.0,4 HCPCS,67210,"Hc Destruction Of Localized Lesion Of Retina, 1 Or More Sessions; Photocoagulation",5885.0,5885.0,,,0 HCPCS,67210,Treatment of retinal lesion,,,589.39,5007.0,4 HCPCS,67218,Treatment of retinal lesion,,,4212.96,14227.0,4 HCPCS,67220,"Hc Destruction Of Localized Lesion Of Choroid; Photocoagulation, 1 Or More Sessions",2894.0,2894.0,,,0 HCPCS,67220,Treatment of choroid lesion,,,589.39,5007.0,4 HCPCS,67221,Hc Destruction Of Localized Lesion Of Choroid; Photodynamic Therapy,1736.0,1736.0,,,0 HCPCS,67221,Ocular Photodynamic Ther,,,589.39,5007.0,4 HCPCS,67225,Eye photodynamic ther add-on,,,3399.0,3399.0,1 HCPCS,67225,"Hc Destruction Of Localized Lesion Of Choroid; Photodynamic Therapy, Second Eye, At Single Lesion",794.0,794.0,,,0 HCPCS,67227,Dstrj extensive retinopathy,,,4212.96,14227.0,4 HCPCS,67228,"Hc Treatment Of Extensive Or Progressive Retinopathy, 1 Or More Sessions; Photocoagulation",5986.0,5986.0,,,0 HCPCS,67228,Treatment x10sv retinopathy,,,589.39,5007.0,4 HCPCS,67229,"Hc Tx Extensv/Progrsv Retinopathy,>=1 Sess;Preterm Infant,Perf Fr Birth To 1 Yr,Photocoag/Cryother",5172.0,5172.0,,,0 HCPCS,67229,Tr retinal les preterm inf,,,589.39,5007.0,4 HCPCS,67250,Reinforce eye wall,,,2547.76,11000.0,4 HCPCS,67255,Reinforce/graft eye wall,,,4429.45,11000.0,4 HCPCS,67299,Eye surgery procedure,,,2473.11,7272.0,4 HCPCS,67311,Revise eye muscle,,,2547.76,11000.0,4 HCPCS,67312,Revise two eye muscles,,,4212.96,14227.0,4 HCPCS,67314,Revise eye muscle,,,2547.76,11000.0,4 HCPCS,67316,Revise two eye muscles,,,2547.76,11000.0,4 HCPCS,67318,Revise eye muscle(s),,,2547.76,11000.0,4 HCPCS,67320,Revise eye muscle(s) add-on,,,3399.0,3399.0,1 HCPCS,67331,Eye surgery follow-up add-on,,,3399.0,3399.0,1 HCPCS,67332,Rerevise eye muscles add-on,,,3399.0,3399.0,1 HCPCS,67334,Revise eye muscle w/suture,,,3399.0,3399.0,1 HCPCS,67335,Eye suture during surgery,,,3399.0,3399.0,1 HCPCS,67340,Revise eye muscle add-on,,,3399.0,3399.0,1 HCPCS,67343,Release eye tissue,,,2547.76,11000.0,4 HCPCS,67345,Destroy nerve of eye muscle,,,340.14,3399.0,4 HCPCS,67346,Biopsy eye muscle,,,4212.96,14227.0,4 HCPCS,67399,Unlisted px extraocular musc,,,340.14,3399.0,4 HCPCS,67400,Explore/biopsy eye socket,,,4212.96,14227.0,4 HCPCS,67405,Explore/drain eye socket,,,2547.76,11000.0,4 HCPCS,67412,Explore/treat eye socket,,,2547.76,11000.0,4 HCPCS,67413,Explore/treat eye socket,,,2547.76,11000.0,4 HCPCS,67414,Explr/decompress eye socket,,,4212.96,14227.0,4 HCPCS,67415,Aspiration orbital contents,,,2547.76,11000.0,4 HCPCS,67420,Explore/treat eye socket,,,4212.96,14227.0,4 HCPCS,67430,Explore/treat eye socket,,,4212.96,14227.0,4 HCPCS,67440,Explore/drain eye socket,,,4212.96,14227.0,4 HCPCS,67445,Explr/decompress eye socket,,,4212.96,14227.0,4 HCPCS,67450,Explore/biopsy eye socket,,,4212.96,14227.0,4 HCPCS,67500,Hc Retrobulbar Injection; Medication,1579.0,1579.0,,,0 HCPCS,67500,Hc Retrobulbar Injection; Medication-Pbb,1181.5,1181.5,,,0 HCPCS,67500,Inject/treat eye socket,,,340.14,3399.0,4 HCPCS,67500,Pr Retrobulbar Injection Medication Spx-Pbb,892.0,892.0,,,0 HCPCS,67505,Inject/treat eye socket,,,340.14,3399.0,4 HCPCS,67515,Hc Injection Of Medication Or Other Substance Into Tenon's Capsule,3892.0,3892.0,,,0 HCPCS,67515,Hc Injection Of Medication Or Other Substance Into Tenon's Capsule-Pbb,3567.5,3567.5,,,0 HCPCS,67515,Inject/treat eye socket,,,340.14,3399.0,4 HCPCS,67515,Pr Injection Medication/Other Subst Tenon Capsule-Pbb,883.0,883.0,,,0 HCPCS,67516,Hc Sprchoroidal Spc Njx Rx Agt-Pbb,1335.5,1335.5,,,0 HCPCS,67516,Pr Suprachoroidal Space Njx Pharmacologic Agent-Pbb,923.0,923.0,,,0 HCPCS,67516,Sprchoroidal spc njx rx agt,,,353.96,3399.0,4 HCPCS,67550,Insert eye socket implant,,,4212.96,14227.0,4 HCPCS,67560,Hc Revise Eye Socket Implant,9563.0,9563.0,,,0 HCPCS,67560,Revise eye socket implant,,,4212.96,14227.0,4 HCPCS,67570,Decompress optic nerve,,,4212.96,14227.0,4 HCPCS,67599,Orbit surgery procedure,,,340.14,3399.0,4 HCPCS,67700,Drainage of eyelid abscess,,,340.14,3399.0,4 HCPCS,67700,"Hc Blepharotomy, Drainage Of Abcess, Eyelid",3190.0,3190.0,,,0 HCPCS,67700,"Hc Blepharotomy, Drainage Of Abcess, Eyelid-Pbb",3713.0,3713.0,,,0 HCPCS,67700,Pr Blepharotomy Drainage Abscess Eyelid-Pbb,1046.0,1046.0,,,0 HCPCS,67710,Hc Severing Of Tarsorrhaphy,4352.0,4352.0,,,0 HCPCS,67710,Hc Severing Of Tarsorrhaphy-Pbb,3860.0,3860.0,,,0 HCPCS,67710,Incision of eyelid,,,1068.27,7272.0,4 HCPCS,67710,Pr Severing Tarsorrhaphy-Pbb,1244.0,1244.0,,,0 HCPCS,67715,Hc Canthotomy,6967.0,6967.0,,,0 HCPCS,67715,Hc Canthotomy-Pbb,5816.0,5816.0,,,0 HCPCS,67715,Incision of eyelid fold,,,2547.76,11000.0,4 HCPCS,67715,Pr Canthotomy Separate Procedure-Pbb,1151.0,1151.0,,,0 HCPCS,67800,Hc Excision Of Chalazion; Single,3400.0,3400.0,,,0 HCPCS,67800,Hc Excision Of Chalazion; Single-Pbb,3027.0,3027.0,,,0 HCPCS,67800,Pr Excision Chalazion Single-Pbb,950.0,950.0,,,0 HCPCS,67800,Remove eyelid lesion,,,340.14,3399.0,4 HCPCS,67801,"Hc Excision Of Chalazion, Mutliple, Same Lid",4457.0,4457.0,,,0 HCPCS,67801,"Hc Excision Of Chalazion, Mutliple, Same Lid-Pbb",3956.5,3956.5,,,0 HCPCS,67801,Pr Excision Chalazion Multiple Same Lid-Pbb,1268.0,1268.0,,,0 HCPCS,67801,Remove eyelid lesions,,,1068.27,7272.0,4 HCPCS,67805,"Hc Excision Of Chalazion, Mutliple, Different Lids",5356.0,5356.0,,,0 HCPCS,67805,"Hc Excision Of Chalazion, Mutliple, Different Lids-Pbb",4804.0,4804.0,,,0 HCPCS,67805,Pr Excision Chalazion Multiple Different Lids-Pbb,1430.0,1430.0,,,0 HCPCS,67805,Remove eyelid lesions,,,340.14,3399.0,4 HCPCS,67808,Remove eyelid lesion(s),,,2547.76,11000.0,4 HCPCS,67810,Biopsy eyelid & lid margin,,,340.14,3399.0,4 HCPCS,67810,Hc Incisional Biopsy Of Eyelid Skin Including Lid Margin,4636.0,4636.0,,,0 HCPCS,67810,Hc Incisional Biopsy Of Eyelid Skin Including Lid Margin-Pbb,4053.0,4053.0,,,0 HCPCS,67810,Pr Incisional Biopsy Eyelid Skin W/Lid Margin-Pbb,1444.0,1444.0,,,0 HCPCS,67820,"Hc Correction Of Trichiasis; Epilation, By Forceps Only",1303.0,1303.0,,,0 HCPCS,67820,"Hc Correction Of Trichiasis; Epilation, By Forceps Only-Pbb",968.5,968.5,,,0 HCPCS,67820,Pr Correction Trichiasis Epilation Forceps Only-Pbb,746.0,746.0,,,0 HCPCS,67820,Revise eyelashes,,,142.58,3399.0,4 HCPCS,67825,Hc Correction Of Trichiasis; Epilation By Other Than Forceps,3282.0,3282.0,,,0 HCPCS,67825,Hc Correction Of Trichiasis; Epilation By Other Than Forceps-Pbb,2656.0,2656.0,,,0 HCPCS,67825,Pr Correction Trichiasis Epilation Oth/Than Forceps-Pbb,1444.0,1444.0,,,0 HCPCS,67825,Revise eyelashes,,,340.14,3399.0,4 HCPCS,67830,Revise eyelashes,,,1068.27,7272.0,4 HCPCS,67835,Revise eyelashes,,,2547.76,11000.0,4 HCPCS,67840,Hc Excision Of Lesion Of Eyelid Without Closure Or With Simple Direct Closure,5786.0,5786.0,,,0 HCPCS,67840,Hc Excision Of Lesion Of Eyelid Without Closure Or With Simple Direct Closure-Pbb,4992.5,4992.5,,,0 HCPCS,67840,Pr Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure-Pbb,1943.0,1943.0,,,0 HCPCS,67840,Remove eyelid lesion,,,1068.27,7272.0,4 HCPCS,67850,Hc Destruction Of Lesion Of Lid Margin,4836.0,4836.0,,,0 HCPCS,67850,Hc Destruction Of Lesion Of Lid Margin-Pbb,4108.5,4108.5,,,0 HCPCS,67850,Pr Destruction Lesion Lid Margin < 1 Cm-Pbb,1741.0,1741.0,,,0 HCPCS,67850,Treat eyelid lesion,,,1068.27,7272.0,4 HCPCS,67875,Closure of eyelid by suture,,,1068.27,7272.0,4 HCPCS,67875,Hc Temporary Closure Of Eyelids By Suture,7673.0,7673.0,,,0 HCPCS,67875,Hc Temporary Closure Of Eyelids By Suture-Pbb,6906.5,6906.5,,,0 HCPCS,67875,Pr Temporary Closure Eyelids Suture-Pbb,1993.0,1993.0,,,0 HCPCS,67880,Hc Constr Im Adhes Med Tarsorrhaph,5976.0,5976.0,,,0 HCPCS,67880,Hc Constr Im Adhes Med Tarsorrhaph-Pbb,7507.0,7507.0,,,0 HCPCS,67880,Pr Constj Intermargin Adhes/Tarsorrh/Canthorrhapy-Pbb,3063.0,3063.0,,,0 HCPCS,67880,Revision of eyelid,,,2547.76,11000.0,4 HCPCS,67882,Hc Constr Im Adhes Med Tarso/Canth; W Tr-Pbb,7621.5,7621.5,,,0 HCPCS,67882,Pr Constj Intermargin Adhes/Tarsor/Canthor W/Trpos-Pbb,3703.0,3703.0,,,0 HCPCS,67882,Revision of eyelid,,,2547.76,11000.0,4 HCPCS,67900,Repair brow defect,,,2547.76,11000.0,4 HCPCS,67901,Repair eyelid defect,,,2547.76,11000.0,4 HCPCS,67902,Repair eyelid defect,,,4212.96,14227.0,4 HCPCS,67903,Repair eyelid defect,,,2547.76,11000.0,4 HCPCS,67904,Repair eyelid defect,,,2547.76,11000.0,4 HCPCS,67906,Repair eyelid defect,,,4212.96,14227.0,4 HCPCS,67908,Repair eyelid defect,,,2547.76,11000.0,4 HCPCS,67909,Revise eyelid defect,,,2547.76,11000.0,4 HCPCS,67911,Hc Correction Of Lid Retraction,11728.0,11728.0,,,0 HCPCS,67911,Hc Correction Of Lid Retraction-Pbb,8949.5,8949.5,,,0 HCPCS,67911,Pr Correction Lid Retraction-Pbb,6267.0,6267.0,,,0 HCPCS,67911,Revise eyelid defect,,,2547.76,11000.0,4 HCPCS,67912,Correction eyelid w/implant,,,2547.76,11000.0,4 HCPCS,67914,Hc Repair Of Ectropion; Suture,11279.0,11279.0,,,0 HCPCS,67914,Hc Repair Of Ectropion; Suture-Pbb,8716.5,8716.5,,,0 HCPCS,67914,Pr Repair Ectropion Suture-Pbb,5801.0,5801.0,,,0 HCPCS,67914,Repair eyelid defect,,,2547.76,11000.0,4 HCPCS,67915,Repair eyelid defect,,,2547.76,11000.0,4 HCPCS,67916,Repair eyelid defect,,,2547.76,11000.0,4 HCPCS,67917,Repair eyelid defect,,,2547.76,11000.0,4 HCPCS,67921,Hc Repair Of Entropion; Suture,11283.0,11283.0,,,0 HCPCS,67921,Hc Repair Of Entropion; Suture-Pbb,8719.0,8719.0,,,0 HCPCS,67921,Pr Repair Entropion Suture-Pbb,5806.0,5806.0,,,0 HCPCS,67921,Repair eyelid defect,,,2547.76,11000.0,4 HCPCS,67922,Repair eyelid defect,,,2547.76,11000.0,4 HCPCS,67923,Repair eyelid defect,,,2547.76,11000.0,4 HCPCS,67924,Repair eyelid defect,,,2547.76,11000.0,4 HCPCS,67930,"Hc Suture, Recent Wound, Eyelid; Partial Thickness",5620.0,5620.0,,,0 HCPCS,67930,Repair eyelid wound,,,2547.76,11000.0,4 HCPCS,67935,"Hc Suture Wound Eyelid, Full Thickness",4920.0,4920.0,,,0 HCPCS,67935,"Hc Suture, Recent Wound, Eyelid; Full Thickness",5636.0,5636.0,,,0 HCPCS,67935,Repair eyelid wound,,,2547.76,11000.0,4 HCPCS,67938,"Hc Removal Of Embedded Foreign Body, Eyelid",1266.0,1266.0,,,0 HCPCS,67938,"Hc Removal Of Embedded Foreign Body, Eyelid-Pbb",1664.0,1664.0,,,0 HCPCS,67938,Pr Removal Embedded Foreign Body Eyelid-Pbb,796.0,796.0,,,0 HCPCS,67938,Remove eyelid foreign body,,,340.14,3399.0,4 HCPCS,67950,Hc Canthoplasty-Pbb,7910.0,7910.0,,,0 HCPCS,67950,Pr Canthoplasty-Pbb,3868.0,3868.0,,,0 HCPCS,67950,Revision of eyelid,,,2547.76,11000.0,4 HCPCS,67961,Revision of eyelid,,,2547.76,11000.0,4 HCPCS,67966,Revision of eyelid,,,2547.76,11000.0,4 HCPCS,67971,Reconstruction of eyelid,,,2547.76,11000.0,4 HCPCS,67973,Reconstruction of eyelid,,,2547.76,11000.0,4 HCPCS,67974,Reconstruction of eyelid,,,4212.96,14227.0,4 HCPCS,67975,Reconstruction of eyelid,,,2547.76,11000.0,4 HCPCS,67999,Hc Gold Weight Removal Eye Proc-Pbb,7261.5,7261.5,,,0 HCPCS,67999,Pr Gold Weight Removal Eye Proc-Pbb,2625.0,2625.0,,,0 HCPCS,67999,Revision of eyelid,,,340.14,3399.0,4 HCPCS,68020,"Hc Incision Of Conjuctiva, Drainage Of Cyst",4229.0,4229.0,,,0 HCPCS,68020,"Hc Incision Of Conjuctiva, Drainage Of Cyst-Pbb",3996.5,3996.5,,,0 HCPCS,68020,Incise/drain eyelid lining,,,1068.27,7272.0,4 HCPCS,68020,Pr Incision Conjunctiva Drainage Of Cyst-Pbb,715.0,715.0,,,0 HCPCS,68040,Hc Expression Of Conjuctival Follicles,1155.0,1155.0,,,0 HCPCS,68040,Hc Expression Of Conjuctival Follicles-Pbb,831.5,831.5,,,0 HCPCS,68040,Pr Expression Conjunctival Follicles-Pbb,715.0,715.0,,,0 HCPCS,68040,Treatment of eyelid lesions,,,340.14,3399.0,4 HCPCS,68100,Biopsy of eyelid lining,,,2547.76,5007.0,4 HCPCS,68100,Hc Biopsy Of Conjuctiva,3836.0,3836.0,,,0 HCPCS,68100,Hc Biopsy Of Conjuctiva-Pbb,3392.5,3392.5,,,0 HCPCS,68100,Pr Biopsy Conjunctiva-Pbb,1113.0,1113.0,,,0 HCPCS,68110,"Hc Excision Of Lesion, Conjuctiva; Up To 1 Cm",6113.0,6113.0,,,0 HCPCS,68110,"Hc Excision Of Lesion, Conjuctiva; Up To 1 Cm-Pbb",5539.0,5539.0,,,0 HCPCS,68110,Pr Excision Lesion Conjunctiva <1 Cm-Pbb,1510.0,1510.0,,,0 HCPCS,68110,Remove eyelid lining lesion,,,2547.76,11000.0,4 HCPCS,68115,"Hc Excision Of Lesion, Conjuctiva; Over 1 Cm",7959.0,7959.0,,,0 HCPCS,68115,"Hc Excision Of Lesion, Conjuctiva; Over 1 Cm-Pbb",7007.0,7007.0,,,0 HCPCS,68115,Pr Excision Lesion Conjunctiva > 1 Cm-Pbb,2382.0,2382.0,,,0 HCPCS,68115,Remove eyelid lining lesion,,,2547.76,11000.0,4 HCPCS,68130,Remove eyelid lining lesion,,,2547.76,11000.0,4 HCPCS,68135,"Hc Destruction Of Lesion, Conjuctiva",3933.0,3933.0,,,0 HCPCS,68135,"Hc Destruction Of Lesion, Conjuctiva-Pbb",3315.0,3315.0,,,0 HCPCS,68135,Pr Destruction Lesion Conjunctiva-Pbb,1470.0,1470.0,,,0 HCPCS,68135,Remove eyelid lining lesion,,,2547.76,11000.0,4 HCPCS,68200,Hc Subconjunctival Injection,1157.0,1157.0,,,0 HCPCS,68200,Hc Subconjunctival Injection-Pbb,774.0,774.0,,,0 HCPCS,68200,Pr Subconjunctival Injection-Pbb,834.0,834.0,,,0 HCPCS,68200,Treat eyelid by injection,,,478.72,3399.0,4 HCPCS,68320,Revise/graft eyelid lining,,,2547.76,11000.0,4 HCPCS,68325,Revise/graft eyelid lining,,,4212.96,14227.0,4 HCPCS,68326,Revise/graft eyelid lining,,,4212.96,14227.0,4 HCPCS,68328,Revise/graft eyelid lining,,,2547.76,11000.0,4 HCPCS,68330,"Hc Repair, Symblepharon; Conjunctivoplasty, W/O Graft-Pbb",8320.5,8320.5,,,0 HCPCS,68330,Pr Rpr Symblepharon Conjunctivoplasty W/O Graft-Pbb,3831.0,3831.0,,,0 HCPCS,68330,Revise eyelid lining,,,2473.11,11000.0,4 HCPCS,68335,Revise/graft eyelid lining,,,4212.96,14227.0,4 HCPCS,68340,Separate eyelid adhesions,,,2547.76,11000.0,4 HCPCS,68360,Revise eyelid lining,,,4212.96,14227.0,4 HCPCS,68362,Revise eyelid lining,,,2547.76,11000.0,4 HCPCS,68371,Harvest eye tissue alograft,,,2547.76,11000.0,4 HCPCS,68399,Eyelid lining surgery,,,340.14,3399.0,4 HCPCS,68400,Incise/drain tear gland,,,1068.27,7272.0,4 HCPCS,68420,"Hc Incision, Drainage, Lacrimal Sac (Dacryocystotomy/Dacryocystostomy)",5676.0,5676.0,,,0 HCPCS,68420,Incise/drain tear sac,,,2547.76,5007.0,4 HCPCS,68440,Hc Snip Incision Of Lacrimal Punctum,2695.0,2695.0,,,0 HCPCS,68440,Hc Snip Incision Of Lacrimal Punctum-Pbb,2226.5,2226.5,,,0 HCPCS,68440,Incise tear duct opening,,,340.14,3399.0,4 HCPCS,68440,Pr Snip Incision Lacrimal Punctum-Pbb,1097.0,1097.0,,,0 HCPCS,68500,Removal of tear gland,,,4212.96,14227.0,4 HCPCS,68505,Partial removal tear gland,,,4212.96,14227.0,4 HCPCS,68510,Biopsy of tear gland,,,2547.76,11000.0,4 HCPCS,68520,Removal of tear sac,,,4212.96,14227.0,4 HCPCS,68525,Biopsy of tear sac,,,2547.76,11000.0,4 HCPCS,68530,Clearance of tear duct,,,340.14,3399.0,4 HCPCS,68530,"Hc Removal Of Foreign Body Or Dacryolith, Lacrimal Passages",3801.0,3801.0,,,0 HCPCS,68530,"Hc Removal Of Foreign Body Or Dacryolith, Lacrimal Passages-Pbb",2551.0,2551.0,,,0 HCPCS,68530,Pr Rmvl Fb/Dacryolith Lacrimal Passages-Pbb,2727.0,2727.0,,,0 HCPCS,68540,Remove tear gland lesion,,,2547.76,11000.0,4 HCPCS,68550,Remove tear gland lesion,,,4212.96,14227.0,4 HCPCS,68700,Hc Plastic Repair Canaliculi,6125.0,6125.0,,,0 HCPCS,68700,Repair tear ducts,,,2547.76,11000.0,4 HCPCS,68705,"Hc Correction Of Everted Punctum, Cautery",2587.0,2587.0,,,0 HCPCS,68705,"Hc Correction Of Everted Punctum, Cautery-Pbb",1978.5,1978.5,,,0 HCPCS,68705,Pr Correction Everted Punctum Cautery-Pbb,1373.0,1373.0,,,0 HCPCS,68705,Revise tear duct opening,,,340.14,3399.0,4 HCPCS,68720,Create tear sac drain,,,4212.96,14227.0,4 HCPCS,68745,Create tear duct drain,,,4212.96,14227.0,4 HCPCS,68750,Create tear duct drain,,,4212.96,14227.0,4 HCPCS,68760,Close tear duct opening,,,340.14,3399.0,4 HCPCS,68760,"Hc Closure Of The Lacrimal Punctum; By Thermocauterization, Ligator, Or Laser Surgery",2577.0,2577.0,,,0 HCPCS,68760,"Hc Closure Of The Lacrimal Punctum; By Thermocauterization, Ligator, Or Laser Surgery-Pbb",1966.5,1966.5,,,0 HCPCS,68760,Pr Clsr Lacrimal Punctum Thermocaut Lig/Laser-Pbb,1373.0,1373.0,,,0 HCPCS,68761,Close tear duct opening,,,340.14,3399.0,4 HCPCS,68761,"Hc Closure Of The Lacrimal Punctum; By Plug, Each",2088.0,2088.0,,,0 HCPCS,68761,"Hc Closure Of The Lacrimal Punctum; By Plug, Each-Pbb",1635.0,1635.0,,,0 HCPCS,68761,Pr Clsr Lacrimal Punctum Plug Each-Pbb,1032.0,1032.0,,,0 HCPCS,68770,Close tear system fistula,,,2547.76,5007.0,4 HCPCS,68801,Dilate tear duct opening,,,478.72,3399.0,4 HCPCS,68801,"Hc Dilation Of Lacrimal Punctum, With Or Without Irrigation",1344.0,1344.0,,,0 HCPCS,68801,"Hc Dilation Of Lacrimal Punctum, With Or Without Irrigation-Pbb",1041.0,1041.0,,,0 HCPCS,68801,Pr Dilation Lacrimal Punctum W/Wo Irrgation-Pbb,690.0,690.0,,,0 HCPCS,68810,"Hc Probing Of Nasolacrimal Duct, With Or Without Irrigation",4058.0,4058.0,,,0 HCPCS,68810,"Hc Probing Of Nasolacrimal Duct, With Or Without Irrigation-Pbb",3493.5,3493.5,,,0 HCPCS,68810,Pr Probe Nasolacrimal Duct W/Wo Irrigation-Pbb,1373.0,1373.0,,,0 HCPCS,68810,Probe nasolacrimal duct,,,340.14,3399.0,4 HCPCS,68811,Probe nasolacrimal duct,,,2547.76,11000.0,4 HCPCS,68815,Probe nasolacrimal duct,,,2547.76,11000.0,4 HCPCS,68816,Probe nl duct w/balloon,,,2547.76,11000.0,4 HCPCS,68840,Explore/irrigate tear ducts,,,340.14,3399.0,4 HCPCS,68840,"Hc Probing Of Lacrimal Canaliculi, With Or Without Irrigation",2416.0,2416.0,,,0 HCPCS,68840,"Hc Probing Of Lacrimal Canaliculi, With Or Without Irrigation-Pbb",3045.5,3045.5,,,0 HCPCS,68840,Pr Probe Lacrimal Canaliculi W/Wo Irrigation-Pbb,967.0,967.0,,,0 HCPCS,68841,Insj rx elut implt lac canal,,,2547.76,11000.0,4 HCPCS,68850,Hc Injection Of Contrast Medium For Dacryocystography,1614.0,1614.0,,,0 HCPCS,68850,Injection for tear sac x-ray,,,3399.0,3399.0,1 HCPCS,68899,Tear duct system surgery,,,340.14,3399.0,4 HCPCS,69000,Drain external ear lesion,,,758.85,5007.0,4 HCPCS,69000,"Hc Drainage External Ear, Abscess Or Hematoma; Simple",1236.0,1236.0,,,0 HCPCS,69000,"Hc Drainage External Ear, Abscess Or Hematoma; Simple-Pbb",1792.0,1792.0,,,0 HCPCS,69000,Pr Drainage External Ear Abscess/Hematoma Simple-Pbb,1112.0,1112.0,,,0 HCPCS,69005,Drain external ear lesion,,,1769.88,7272.0,4 HCPCS,69005,"Hc Drainage External Ear, Abscess Or Hematoma; Complicated",6992.0,6992.0,,,0 HCPCS,69005,"Hc Drainage External Ear, Abscess Or Hematoma; Complicated-Pbb",5722.0,5722.0,,,0 HCPCS,69005,Pr Drainage External Ear Abscess/Hematoma Comp-Pbb,2960.0,2960.0,,,0 HCPCS,69020,Drain outer ear canal lesion,,,758.85,5007.0,4 HCPCS,69020,"Hc Drainage External Auditory Canal, Abscess",1536.0,1536.0,,,0 HCPCS,69020,"Hc Drainage External Auditory Canal, Abscess-Pbb",2131.0,2131.0,,,0 HCPCS,69020,Pr Drainage External Auditory Canal Abscess-Pbb,1190.0,1190.0,,,0 HCPCS,69090,"Hc Ear Piercing Cash-Csm,Pbb",123.0,123.0,,,0 HCPCS,69090,Pierce earlobes,,,10008.0,10008.0,1 HCPCS,69100,Biopsy of external ear,,,253.81,3399.0,4 HCPCS,69100,Hc Biopsy External Ear,4074.0,4074.0,,,0 HCPCS,69100,Hc Biopsy External Ear-Pbb,3576.5,3576.5,,,0 HCPCS,69100,Pr Biopsy External Ear-Pbb,1235.0,1235.0,,,0 HCPCS,69105,Biopsy of external ear canal,,,1662.71,7272.0,4 HCPCS,69105,Hc Biopsy External Auditory Canal,7105.0,7105.0,,,0 HCPCS,69105,Hc Biopsy External Auditory Canal-Pbb,6700.5,6700.5,,,0 HCPCS,69105,Pr Biopsy External Auditory Canal-Pbb,1235.0,1235.0,,,0 HCPCS,69110,Remove external ear partial,,,3112.75,7272.0,4 HCPCS,69120,Removal of external ear,,,6343.8,11000.0,4 HCPCS,69140,Remove ear canal lesion(s),,,6343.8,11000.0,4 HCPCS,69145,Remove ear canal lesion(s),,,3112.75,7272.0,4 HCPCS,69150,Extensive ear canal surgery,,,6343.8,11000.0,4 HCPCS,69155,Extensive ear/neck surgery,,,10008.0,10008.0,1 HCPCS,69200,Clear outer ear canal,,,142.58,3399.0,4 HCPCS,69200,Hc Removal Foreign Body From External Auditory Canal; Without General Anesthesia,804.0,804.0,,,0 HCPCS,69200,Hc Removal Foreign Body From External Auditory Canal; Without General Anesthesia-Pbb,1256.0,1256.0,,,0 HCPCS,69200,Pr Rmvl Fb Xtrnl Auditory Canal W/O Anes-Pbb,904.0,904.0,,,0 HCPCS,69205,Clear outer ear canal,,,1769.88,7272.0,4 HCPCS,69205,"Hc Removal Fb, Ext Auditory Canal; W/ General Anesthesia-Pbb",4969.5,4969.5,,,0 HCPCS,69205,Pr Rmvl Fb Xtrnl Auditory Canal Anes-Pbb,941.0,941.0,,,0 HCPCS,69209,Hc Remove Impacted Ear Wax Unilateral,246.0,246.0,,,0 HCPCS,69209,Remove impacted ear wax uni,,,63.22,3399.0,4 HCPCS,69210,"Hc Removal Impacted Cerumen Requiring Instrumentation, Unilateral",546.0,546.0,,,0 HCPCS,69210,"Hc Removal Impacted Cerumen Requiring Instrumentation, Unilateral-Pbb",704.0,704.0,,,0 HCPCS,69210,Pr Removal Impacted Cerumen Instrumentation Unilat-Pbb,316.0,316.0,,,0 HCPCS,69210,Remove impacted ear wax uni,,,63.22,3399.0,4 HCPCS,69220,Clean out mastoid cavity,,,215.0,3399.0,4 HCPCS,69220,"Hc Debridement, Mastoidectomy Cavity, Simple",1361.0,1361.0,,,0 HCPCS,69220,"Hc Debridement, Mastoidectomy Cavity, Simple-Pbb",1156.5,1156.5,,,0 HCPCS,69220,Pr Debridement Mastoidectomy Cavity Simple-Pbb,493.0,493.0,,,0 HCPCS,69222,Clean out mastoid cavity,,,577.95,3399.0,4 HCPCS,69222,"Hc Debridement, Mastoidectomy Cavity, Complex",6790.0,6790.0,,,0 HCPCS,69222,"Hc Debridement, Mastoidectomy Cavity, Complex-Pbb",5883.5,5883.5,,,0 HCPCS,69222,Pr Debridement Mastoidectomy Cavity Cmplx-Pbb,2222.0,2222.0,,,0 HCPCS,69300,Revise external ear,,,3552.91,11000.0,4 HCPCS,69310,"Hc Reconstruction, Ext Auditory Canal (Sep Proc)",14646.0,14646.0,,,0 HCPCS,69310,"Hc Reconstruction, Ext Auditory Canal (Sep Proc)-Pbb",19060.5,19060.5,,,0 HCPCS,69310,Pr Reconstruction External Auditory Canal Spx-Pbb,8828.0,8828.0,,,0 HCPCS,69310,Rebuild outer ear canal,,,6343.8,22280.0,4 HCPCS,69320,Rebuild outer ear canal,,,6343.8,22280.0,4 HCPCS,69399,"Hc Repair Of Ear, External, Single Ear Cash",500.0,500.0,,,0 HCPCS,69399,"Hc Repair Of Ear, External, Single Ear Cash-Csm,Pbb",500.0,500.0,,,0 HCPCS,69399,Outer ear surgery procedure,,,253.81,3399.0,4 HCPCS,69420,Hc Myringotomy,3300.0,3300.0,,,0 HCPCS,69420,Hc Myringotomy-Pbb,2490.0,2490.0,,,0 HCPCS,69420,Incision of eardrum,,,253.81,3399.0,4 HCPCS,69420,Pr Myringotomy Aspir&/Eustachian Tube Nfltj-Pbb,1814.0,1814.0,,,0 HCPCS,69421,Incision of eardrum,,,3552.91,7272.0,4 HCPCS,69424,Remove ventilating tube,,,3552.91,14227.0,4 HCPCS,69433,Create eardrum opening,,,577.95,3399.0,4 HCPCS,69433,"Hc Tympanostomy, Local Or Topical Anesthesia",7942.0,7942.0,,,0 HCPCS,69433,"Hc Tympanostomy, Local Or Topical Anesthesia-Pbb",6970.5,6970.5,,,0 HCPCS,69433,Pr Tympanostomy Local/Topical Anesthesia-Pbb,2417.0,2417.0,,,0 HCPCS,69436,Create eardrum opening,,,1662.71,7272.0,4 HCPCS,69436,"Hc Tympanostomy, General Anesthesia",6083.0,6083.0,,,0 HCPCS,69440,Exploration of middle ear,,,3552.91,11000.0,4 HCPCS,69450,Eardrum revision,,,3552.91,22280.0,4 HCPCS,69501,Mastoidectomy,,,6343.8,22280.0,4 HCPCS,69502,Mastoidectomy,,,6343.8,11000.0,4 HCPCS,69505,Remove mastoid structures,,,6343.8,22280.0,4 HCPCS,69511,Extensive mastoid surgery,,,6343.8,22280.0,4 HCPCS,69530,Extensive mastoid surgery,,,6343.8,22280.0,4 HCPCS,69535,Remove part of temporal bone,,,10008.0,10008.0,1 HCPCS,69540,Hc Excision Aural Polyp,5897.0,5897.0,,,0 HCPCS,69540,Hc Excision Aural Polyp-Pbb,4542.0,4542.0,,,0 HCPCS,69540,Pr Excision Aural Polyp-Pbb,1354.0,1354.0,,,0 HCPCS,69540,Remove ear lesion,,,1662.71,7272.0,4 HCPCS,69550,Remove ear lesion,,,6343.8,22280.0,4 HCPCS,69552,Remove ear lesion,,,6343.8,22280.0,4 HCPCS,69554,Remove ear lesion,,,10008.0,10008.0,1 HCPCS,69601,Mastoid surgery revision,,,6343.8,22280.0,4 HCPCS,69602,Mastoid surgery revision,,,6343.8,22280.0,4 HCPCS,69603,Mastoid surgery revision,,,6343.8,22280.0,4 HCPCS,69604,Mastoid surgery revision,,,6343.8,22280.0,4 HCPCS,69610,"Hc Tympanic Membrane Repair, W/ Or W/O Site Preparation Of Perforation For Closure, W/ Or W/O Patch",7043.0,7043.0,,,0 HCPCS,69610,"Hc Tympanic Membrane Repair, W/ Or W/O Site Preparation Of Perforation For Closure, W/ Or W/O Patch-",6745.5,6745.5,,,0 HCPCS,69610,Pr Tympanic Memb Rpr W/Wo Prepj Perfor Patch-Pbb,1015.0,1015.0,,,0 HCPCS,69610,Repair of eardrum,,,1662.71,11000.0,4 HCPCS,69620,Repair of eardrum,,,3552.91,11000.0,4 HCPCS,69631,Repair eardrum structures,,,6343.8,22280.0,4 HCPCS,69632,Rebuild eardrum structures,,,6343.8,22280.0,4 HCPCS,69633,Rebuild eardrum structures,,,6343.8,22280.0,4 HCPCS,69635,Repair eardrum structures,,,6343.8,22280.0,4 HCPCS,69636,Rebuild eardrum structures,,,6343.8,22280.0,4 HCPCS,69637,Rebuild eardrum structures,,,6343.8,22280.0,4 HCPCS,69641,Revise middle ear & mastoid,,,6343.8,22280.0,4 HCPCS,69642,Revise middle ear & mastoid,,,6343.8,22280.0,4 HCPCS,69643,Revise middle ear & mastoid,,,6343.8,22280.0,4 HCPCS,69644,Revise middle ear & mastoid,,,6343.8,22280.0,4 HCPCS,69645,Revise middle ear & mastoid,,,6343.8,22280.0,4 HCPCS,69646,Revise middle ear & mastoid,,,6343.8,22280.0,4 HCPCS,69650,Release middle ear bone,,,3552.91,11000.0,4 HCPCS,69660,Revise middle ear bone,,,6343.8,22280.0,4 HCPCS,69661,Revise middle ear bone,,,6343.8,22280.0,4 HCPCS,69662,Revise middle ear bone,,,6343.8,22280.0,4 HCPCS,69666,Repair middle ear structures,,,3552.91,11000.0,4 HCPCS,69667,Repair middle ear structures,,,3552.91,11000.0,4 HCPCS,69670,Remove mastoid air cells,,,6343.8,22280.0,4 HCPCS,69676,Remove middle ear nerve,,,3552.91,11000.0,4 HCPCS,69700,Close mastoid fistula,,,1662.71,7272.0,4 HCPCS,69705,Nps surg dilat eust tube uni,,,6343.8,22280.0,4 HCPCS,69706,Nps surg dilat eust tube bi,,,6343.8,22280.0,4 HCPCS,69710,Implant/replace hearing aid,,,22280.0,22280.0,1 HCPCS,69711,Remove/repair hearing aid,,,3552.91,22280.0,4 HCPCS,69714,Implant Temple Bone W/Stimul,,,13758.17,36418.0,4 HCPCS,69716,Impltj oi implt skl tc esp,,,13758.17,24760.0,4 HCPCS,69717,Temple Bone Implant Revision,,,7775.89,22280.0,4 HCPCS,69719,Revj/rplcmt oi implt tc esp,,,13758.17,24760.0,4 HCPCS,69720,Release facial nerve,,,6343.8,22280.0,4 HCPCS,69725,Release facial nerve,,,6343.8,22280.0,4 HCPCS,69726,Rmvl oi implt skl perq esp,,,3506.34,14227.0,4 HCPCS,69727,Rmvl oi implt skl tc esp,,,3506.34,14227.0,4 HCPCS,69728,Rmv ntr oi imp sktc esp>=100,,,3506.34,14227.0,4 HCPCS,69729,Impl oi implt sk tc esp>=100,,,13758.17,24760.0,4 HCPCS,69730,Rplc oi implt sk tc esp>=100,,,13758.17,24760.0,4 HCPCS,69740,Repair facial nerve,,,6343.8,22280.0,4 HCPCS,69745,Repair facial nerve,,,6343.8,22280.0,4 HCPCS,69799,Middle ear surgery procedure,,,253.81,3399.0,4 HCPCS,69801,"Hc Labyrinthotomy, With Perfusion Of Vestibuloactive Drug(S); Transcanal",14366.0,14366.0,,,0 HCPCS,69801,"Hc Labyrinthotomy, With Perfusion Of Vestibuloactive Drug(S); Transcanal-Pbb",9712.5,9712.5,,,0 HCPCS,69801,Incise inner ear,,,1662.71,7272.0,4 HCPCS,69801,Pr Labyrinthotomy Transcanal-Pbb,10168.0,10168.0,,,0 HCPCS,69805,Explore inner ear,,,6343.8,22280.0,4 HCPCS,69806,Explore inner ear,,,6343.8,22280.0,4 HCPCS,69905,Remove inner ear,,,6343.8,22280.0,4 HCPCS,69910,Remove inner ear & mastoid,,,6343.8,22280.0,4 HCPCS,69915,Incise inner ear nerve,,,3552.91,22280.0,4 HCPCS,69930,Implant cochlear device,,,35333.54,78953.0,4 HCPCS,69949,Inner ear surgery procedure,,,253.81,3399.0,4 HCPCS,69950,Incise inner ear nerve,,,10008.0,10008.0,1 HCPCS,69955,Release facial nerve,,,6343.8,22280.0,4 HCPCS,69960,Release inner ear canal,,,6343.8,22280.0,4 HCPCS,69970,Remove inner ear lesion,,,6343.8,22280.0,4 HCPCS,69979,Temporal bone surgery,,,253.81,3399.0,4 HCPCS,69990,Microsurgery add-on,,,3399.0,3399.0,1 HCPCS,70010,Contrast x-ray of brain,,,74.54,1104.36,8 HCPCS,70015,Contrast x-ray of brain,,,142.53,2145.54,8 HCPCS,70015,"Hc Cisternography, Positive Contast, S&I",1976.0,1976.0,,,0 HCPCS,70030,X-ray eye for foreign body,,,30.6,248.75,8 HCPCS,70100,"Hc Radiologic Exam, Mandible; Partial, Less Than 4 Views",462.0,462.0,,,0 HCPCS,70100,X-ray exam of jaw <4views,,,37.28,310.19,8 HCPCS,70110,"Hc Radiologic Exam, Mandible; Complete, Minimum Of 4 Views",682.0,682.0,,,0 HCPCS,70110,X-ray exam of jaw 4/> views,,,39.51,327.25,8 HCPCS,70120,"Hc Radiologic Exam, Mastoids; Less Than 3 Views Per Side",261.0,261.0,,,0 HCPCS,70120,X-ray exam of mastoids,,,38.96,326.91,8 HCPCS,70130,X-ray exam of mastoids,,,58.44,477.42,8 HCPCS,70134,X-ray exam of middle ear,,,52.88,1448.67,8 HCPCS,70140,"Hc Radiologic Exam, Facial Bones; Less Than 3 Views",250.0,250.0,,,0 HCPCS,70140,X-ray exam of facial bones,,,30.05,242.7,8 HCPCS,70150,"Hc Radiologic Exam, Facial Bones; Complete, Minimum Of 3 Views",813.0,813.0,,,0 HCPCS,70150,X-ray exam of facial bones,,,43.97,357.97,8 HCPCS,70160,"Hc Radiologic Exam, Nasal Bones; Complete, Minimum Of 3 Views",704.0,704.0,,,0 HCPCS,70160,X-ray exam of nasal bones,,,37.28,310.19,8 HCPCS,70170,X-ray exam of tear duct,,,61.11,2151.77,8 HCPCS,70190,X-ray exam of eye sockets,,,38.4,279.47,8 HCPCS,70200,"Hc Radiologic Exam; Orbits, Complete, Minimum Of 4 Views",745.0,745.0,,,0 HCPCS,70200,X-ray exam of eye sockets,,,43.97,357.97,8 HCPCS,70210,"Hc Radiologic Exam, Sinuses, Paranasal, Less Than 3 Views",262.0,262.0,,,0 HCPCS,70210,X-ray exam of sinuses,,,32.82,248.75,8 HCPCS,70220,"Hc Radiologic Exam, Sinuses, Paranasal, Complete, Minimum Of 3 Views",741.0,741.0,,,0 HCPCS,70220,X-ray exam of sinuses,,,38.96,282.88,8 HCPCS,70240,X-ray exam pituitary saddle,,,31.71,248.75,8 HCPCS,70250,"Hc Radiologic Exam, Skull; Less Than 4 Views",690.0,690.0,,,0 HCPCS,70250,X-ray exam of skull,,,36.72,326.91,8 HCPCS,70260,"Hc Radiologic Exam, Skull; Complete, Minimum Of 4 Views",844.0,844.0,,,0 HCPCS,70260,X-ray exam of skull,,,43.97,326.91,8 HCPCS,70300,X-ray exam of teeth,,,14.45,242.7,8 HCPCS,70310,X-ray exam of teeth,,,45.08,690.39,8 HCPCS,70320,Full mouth x-ray of teeth,,,63.45,690.39,8 HCPCS,70328,"Hc Radiologic Exam, Temporomandibular Joint, Open And Closed Mouth; Unilateral",173.0,173.0,,,0 HCPCS,70328,X-ray exam of jaw joint,,,33.95,269.23,8 HCPCS,70330,"Hc Radiologic Exam, Temporomandibular Joint, Open And Closed Mouth; Bilateral",438.0,438.0,,,0 HCPCS,70330,X-ray exam of jaw joints,,,53.99,429.64,8 HCPCS,70332,X-ray exam of jaw joint,,,77.93,690.39,8 HCPCS,70336,"Hc Mri, Temporomandibular Joint",6083.0,6083.0,,,0 HCPCS,70336,Magnetic image jaw joint,,,255.69,2165.13,6 HCPCS,70350,X-ray head for orthodontia,,,15.57,242.7,8 HCPCS,70355,Hc Orthopantogram,596.0,596.0,,,0 HCPCS,70355,Panoramic x-ray of jaws,,,15.0,242.7,8 HCPCS,70360,Hc Radiologic Exam; Neck; Soft Tissue,573.0,573.0,,,0 HCPCS,70360,X-ray exam of neck,,,31.16,242.7,8 HCPCS,70370,"Hc Radiologic Exam; Pharync Or Larync, Including Fluoroscopy And/Or Magnification Technique",681.0,681.0,,,0 HCPCS,70370,Throat x-ray & fluoroscopy,,,93.26,897.23,8 HCPCS,70371,Hc Complex Dynamic Pharyngeal And Speech Evaluation By Cine Or Video Recording,1195.0,1195.0,,,0 HCPCS,70371,Speech evaluation complex,,,75.71,695.86,8 HCPCS,70373,Contrast x-ray of larynx,,,290.65,290.65,1 HCPCS,70380,X-ray exam of salivary gland,,,42.3,306.77,8 HCPCS,70390,"Hc Sialography, Radiologic S&I",1027.0,1027.0,,,0 HCPCS,70390,X-ray exam of salivary duct,,,117.47,1030.34,8 HCPCS,70450,Ct head/brain w/o dye,,,112.03,772.14,6 HCPCS,70450,"Hc Ct, Head Or Brain; Without Contrast Material",2610.0,2610.0,,,0 HCPCS,70460,Ct head/brain w/dye,,,187.96,1039.3,6 HCPCS,70460,"Hc Ct, Head Or Brain; With Contrast Material",2712.0,2712.0,,,0 HCPCS,70470,Ct head/brain w/o & w/dye,,,187.96,1253.74,6 HCPCS,70470,"Hc Ct, Head Or Brain; W/O Contrast Material, Following By Contrast Material(S) And Further Sections",3021.0,3021.0,,,0 HCPCS,70471,Cta h&n c+ w/noncontrast img,,,373.86,542.1,3 HCPCS,70473,Ct cere prfu aly c+wo ct/cta,,,187.96,272.55,3 HCPCS,70480,Ct orbit/ear/fossa w/o dye,,,112.03,1077.42,6 HCPCS,70480,"Hc Ct, Orbit, Sella, Or Posterior Fossa Or Outer, Middle Or Inner Ear; Without Contrast Material",2546.0,2546.0,,,0 HCPCS,70481,Ct orbit/ear/fossa w/dye,,,187.96,1399.27,6 HCPCS,70481,"Hc Ct, Orbit, Sella, Or Posterior Fossa Or Outer, Middle Or Inner Ear; With Contrast Material",3014.0,3014.0,,,0 HCPCS,70482,Ct orbit/ear/fossa w/o&w/dye,,,187.96,1659.14,6 HCPCS,70482,"Hc Ct,Orbt,Sela,Or Post Fosa Or Outer,Mid,Or In Ear;W/Out Cntrst Mat,Follwed By Cntrst Mat&Frthr Sec",3158.0,3158.0,,,0 HCPCS,70486,Ct maxillofacial w/o dye,,,112.03,962.97,6 HCPCS,70486,"Hc Ct, Maxillofacial Area; Without Contrast Material",2728.0,2728.0,,,0 HCPCS,70487,Ct maxillofacial w/dye,,,187.96,1084.35,6 HCPCS,70487,"Hc Ct, Maxillofacial Area; With Contrast Material",2740.0,2740.0,,,0 HCPCS,70488,Ct maxillofacial w/o & w/dye,,,187.96,1375.01,6 HCPCS,70488,"Hc Ct, Maxillofacial Area; W/O Contrst Material, Following By Contrast Material And Further Sections",2924.0,2924.0,,,0 HCPCS,70490,Ct soft tissue neck w/o dye,,,112.03,987.23,6 HCPCS,70490,"Hc Ct, Soft Tissue Neck; Without Contrast Material",2378.0,2378.0,,,0 HCPCS,70491,Ct soft tissue neck w/dye,,,187.96,1316.11,6 HCPCS,70491,"Hc Ct, Soft Tissue Neck; With Contrast Material",2523.0,2523.0,,,0 HCPCS,70492,Ct sft tsue nck w/o & w/dye,,,187.96,1607.17,6 HCPCS,70492,"Hc Ct, Soft Tissue Neck; W/Out Contrast Material Followed By Contrast Material And Further Sections",2753.0,2753.0,,,0 HCPCS,70496,Ct angiography head,,,187.96,1852.88,5 HCPCS,70496,"Hc Cta, Head, W/ Contrast Material, Incl Noncontrast Images, If Performed, And Image Postprocessing",2822.0,2822.0,,,0 HCPCS,70498,Ct angiography neck,,,187.96,1852.88,5 HCPCS,70498,"Hc Cta, Neck, W/ Contrast Material, Incl Noncontrast Images, If Performed, And Image Postprocessing",2627.0,2627.0,,,0 HCPCS,70540,Hc Mri Face And Sinus Without Contrast Material,3681.0,3681.0,,,0 HCPCS,70540,Hc Mri Internal Auditory Without Contrast Material,3681.0,3681.0,,,0 HCPCS,70540,"Hc Mri Orbit, Without Contrast Material",3681.0,3681.0,,,0 HCPCS,70540,"Hc Mri, Soft Tissue Of Neck, Without Contrast Material",3681.0,3681.0,,,0 HCPCS,70540,Mri orbit/face/neck w/o dye,,,255.69,1829.07,6 HCPCS,70541,Description Not Available,,,1829.07,1829.07,1 HCPCS,70542,"Hc Mri, Orbit, Face, And/Or Neck; With Contrast Material",3998.0,3998.0,,,0 HCPCS,70542,Mri Orbit/Face/Neck W/Dye,,,373.86,2127.02,5 HCPCS,70543,Hc Mri Orb/Fc/Nk Pre & Post Cont Res2,5678.0,5678.0,,,0 HCPCS,70543,Hc Mri Orbt Fc Neck W/O &W Cntrst Resr,2437.0,2437.0,,,0 HCPCS,70543,"Hc Mri, Orbit, Face, And/Or Neck; W/O Contrst Material, Fllwed By Contrst Material And Frther Squncs",5548.0,5548.0,,,0 HCPCS,70543,Mri orbt/fac/nck w/o &w/dye,,,373.86,2642.61,5 HCPCS,70544,"Hc Mra, Head; Without Contrast Material",3650.0,3650.0,,,0 HCPCS,70544,Mr Angiography Head W/O Dye,,,255.69,1745.87,6 HCPCS,70545,"Hc Mra, Head; With Contrast Material",4014.0,4014.0,,,0 HCPCS,70545,Mr Angiography Head W/Dye,,,373.86,1887.14,5 HCPCS,70546,"Hc Mra, Head; Without Contrast Material, Followed By Contrast Material And Further Sequences",4224.0,4224.0,,,0 HCPCS,70546,Mr angiograph head w/o&w/dye,,,373.86,2853.97,5 HCPCS,70547,"Hc Mra, Neck; Without Contrast Material",3640.0,3640.0,,,0 HCPCS,70547,Mr Angiography Neck W/O Dye,,,255.69,1749.33,5 HCPCS,70548,"Hc Mra, Neck; With Contrast Material",3853.0,3853.0,,,0 HCPCS,70548,Mr Angiography Neck W/Dye,,,373.86,1939.11,5 HCPCS,70549,"Hc Mra, Neck; Without Contrast Material, Followed By Contrast Material And Further Sequences",4371.0,4371.0,,,0 HCPCS,70549,Mr angiograph neck w/o&w/dye,,,373.86,2867.83,5 HCPCS,70551,"Hc Mri, Brain; Without Contrast Material",4097.0,4097.0,,,0 HCPCS,70551,Mri brain stem w/o dye,,,255.69,1829.07,6 HCPCS,70552,"Hc Mri, Brain; With Contrast Material",5019.0,5019.0,,,0 HCPCS,70552,Mri brain stem w/dye,,,373.86,2193.12,6 HCPCS,70553,"Hc Mri Pituitary, Without Contrast Material, Follow By Contrast Material",7132.0,7132.0,,,0 HCPCS,70553,"Hc Mri, Brain Without Contrast Material, Followed By Contrast Material",7132.0,7132.0,,,0 HCPCS,70553,Mri brain stem w/o & w/dye,,,373.86,4063.29,6 HCPCS,70554,Fmri brain by tech,,,255.69,3086.13,5 HCPCS,70554,Hc Fmri Brain By Tech,1710.0,1710.0,,,0 HCPCS,70555,Fmri brain by phys/psych,,,255.69,6251.55,5 HCPCS,70555,"Hc Mri, Brain, Funcal Mri; Requiring Phys Or Pyschologist Administratn Of Entire Neurofuncal Testing",2768.0,2768.0,,,0 HCPCS,70557,Mri brain w/o dye,,,585.55,5149.39,5 HCPCS,70558,Mri brain w/dye,,,187.96,1846.75,5 HCPCS,70559,Mri brain w/o & w/dye,,,187.96,1846.75,5 HCPCS,71010,Chest x-ray 1 view frontal,,,21.14,79.27,2 HCPCS,71015,Chest x-ray stereo frontal,,,26.7,88.08,2 HCPCS,71020,Chest x-ray 2vw frontal&latl,,,26.7,102.76,2 HCPCS,71021,Chest x-ray frnt lat lordotc,,,31.71,120.37,2 HCPCS,71022,Chest x-ray frnt lat oblique,,,39.51,120.37,2 HCPCS,71023,Chest x-ray and fluoroscopy,,,69.59,129.18,2 HCPCS,71030,Chest x-ray 4/> views,,,40.62,129.18,2 HCPCS,71034,Chest x-ray&fluoro 4/> views,,,93.53,234.87,2 HCPCS,71035,Chest x-ray special views,,,37.28,85.14,2 HCPCS,71036,Description Not Available,,,255.42,255.42,1 HCPCS,71038,Description Not Available,,,275.97,275.97,1 HCPCS,71040,Contrast x-ray of bronchi,,,237.81,237.81,1 HCPCS,71045,Hc X-Ray Exam Chest 1 View,345.0,345.0,,,0 HCPCS,71045,X-ray exam chest 1 view,,,88.08,242.7,7 HCPCS,71046,Hc X-Ray Exam Chest 2 Views,681.0,681.0,,,0 HCPCS,71046,X-ray exam chest 2 views,,,93.26,242.7,7 HCPCS,71047,Hc X-Ray Exam Chest 3 Views,765.0,765.0,,,0 HCPCS,71047,X-ray exam chest 3 views,,,93.26,303.36,7 HCPCS,71048,Hc X-Ray Exam Chest 4+ Views,849.0,849.0,,,0 HCPCS,71048,X-ray exam chest 4+ views,,,112.03,327.25,7 HCPCS,71060,Contrast x-ray of bronchi,,,358.18,358.18,1 HCPCS,71090,X-ray & pacemaker insertion,,,275.97,275.97,1 HCPCS,71100,"Hc Radiologic Exam, Ribs, Unilateral; 2 Views",393.0,393.0,,,0 HCPCS,71100,X-ray exam ribs uni 2 views,,,33.95,272.64,8 HCPCS,71101,"Hc Radiologic Exam, Ribs, Unilateral; Including Posterioranterior Chest, Minimum Of 3 Views",483.0,483.0,,,0 HCPCS,71101,X-ray exam unilat ribs/chest,,,35.61,326.91,8 HCPCS,71110,"Hc Radiologic Exam, Ribs, Bilateral; 3 Views",827.0,827.0,,,0 HCPCS,71110,X-ray exam ribs bil 3 views,,,37.28,326.91,8 HCPCS,71111,"Hc Radiologic Exam, Ribs, Bilateral; Including Posteroanterior Chest, Minimum Of 4 Views",987.0,987.0,,,0 HCPCS,71111,X-ray exam ribs/chest4/> vws,,,48.98,385.27,8 HCPCS,71120,"Hc Radiologic Exam; Sternum, Minimum Of 2 Views",484.0,484.0,,,0 HCPCS,71120,X-ray exam breastbone 2/>vws,,,30.6,252.16,8 HCPCS,71130,"Hc Radiologic Exam; Sternoclavicular Joint Or Joints, Minimum Of 3 Views",597.0,597.0,,,0 HCPCS,71130,X-ray strenoclavic jt 3/>vws,,,38.96,320.43,8 HCPCS,71250,Ct thorax w/o dye,,,112.03,965.91,6 HCPCS,71250,"Hc Ct, Thorax; Without Contrast Material",2682.0,2682.0,,,0 HCPCS,71260,Ct thorax w/dye,,,187.96,1229.48,6 HCPCS,71260,"Hc Ct, Thorax; With Contrast Material",2846.0,2846.0,,,0 HCPCS,71270,Ct thorax w/o & w/dye,,,187.96,1513.61,6 HCPCS,71270,"Hc Ct, Thorax; Without Contrast Material, Followed By With Contrast Material(S) And Further Sections",3264.0,3264.0,,,0 HCPCS,71271,Ct thorax lung cancer scr c-,,,112.03,965.91,6 HCPCS,71271,"Hc Ct Thorax, Low Dose For Lung Cancer Screening, Wo Materials",2682.0,2682.0,,,0 HCPCS,71275,Ct angiography chest,,,187.96,1852.88,6 HCPCS,71275,"Hc Cta, Chst, W/ Contrast Material(S), Incl Nonconstract Imges, If Performed, And Img Postprocessing",3284.0,3284.0,,,0 HCPCS,71550,"Hc Mri, Chest; Without Contrast Material",6411.0,6411.0,,,0 HCPCS,71550,Mri chest w/o dye,,,255.69,2396.89,6 HCPCS,71551,"Hc Mri, Chest; With Contrast Material",6780.0,6780.0,,,0 HCPCS,71551,Mri Chest W/Dye,,,840.06,3235.22,5 HCPCS,71552,"Hc Mri, Chest, Without Contrast Material, Followed By Contrast Material And Further Sequences",7323.0,7323.0,,,0 HCPCS,71552,Mri chest w/o & w/dye,,,373.86,3782.79,5 HCPCS,71555,Hc Mra With Contrast Chest Without Myocardium,4485.0,4485.0,,,0 HCPCS,71555,Hc Mra Without Contrast Chest Without Myocardium,4485.0,4485.0,,,0 HCPCS,71555,"Hc Mra Without Contrast, Followed By With Contrast Chest Without Myocardium",4485.0,4485.0,,,0 HCPCS,71555,Mri angio chest w or w/o dye,,,887.67,2750.02,3 HCPCS,72010,X-ray exam of spine,,,167.35,167.35,1 HCPCS,72020,Hc X-Ray Single View Cervical Spine,368.0,368.0,,,0 HCPCS,72020,Hc X-Ray Single View Lumbar Spine,368.0,368.0,,,0 HCPCS,72020,"Hc X-Ray Single View, Thoracic Spine",368.0,368.0,,,0 HCPCS,72020,X-ray exam of spine 1 view,,,22.8,242.7,8 HCPCS,72040,"Hc Radiologic Examination, Spine, Cervical; 2 Or 3 Views",718.0,718.0,,,0 HCPCS,72040,X-ray exam neck spine 2-3 vw,,,34.5,299.95,8 HCPCS,72050,"Hc Radiologic Examination, Spine, Cervical; 4 Or 5 Views",844.0,844.0,,,0 HCPCS,72050,X-ray exam neck spine 4/5vws,,,45.63,415.99,8 HCPCS,72052,"Hc Radiologic Examination, Spine, Cervical; 6 Or More Views",970.0,970.0,,,0 HCPCS,72052,X-ray exam neck spine 6/>vws,,,59.55,494.49,8 HCPCS,72069,X-ray exam of trunk spine,,,82.21,82.21,1 HCPCS,72070,"Hc Radiologic Examination, Spine; Thoracic, 2 Views",352.0,352.0,,,0 HCPCS,72070,X-ray exam thorac spine 2vws,,,35.61,326.91,8 HCPCS,72072,"Hc Radiologic Examination, Spine; Thoracic, 3 Views",587.0,587.0,,,0 HCPCS,72072,X-ray exam thorac spine 3vws,,,37.28,326.91,8 HCPCS,72074,"Hc Radiologic Examination, Spine; Thoracic, Minimum Of 4 Views",681.0,681.0,,,0 HCPCS,72074,X-ray exam thorac spine4/>vw,,,44.52,337.49,8 HCPCS,72080,"Hc Radiologic Examination, Spine; Thoracolumbar, 2 Views",603.0,603.0,,,0 HCPCS,72080,X-ray exam thoracolmb 2/> vw,,,31.16,255.58,8 HCPCS,72081,"Hc Radiologic Exam, Spin, Entire Thoracic & Lumbar, One View",454.0,454.0,,,0 HCPCS,72081,X-ray exam entire spi 1 vw,,,40.07,313.6,8 HCPCS,72082,"Hc Radiologic Exam, Spin, Entire Thoracic & Lumbar, 2 Or 3 Views",542.0,542.0,,,0 HCPCS,72082,X-ray exam entire spi 2/3 vw,,,72.36,569.58,8 HCPCS,72083,"Hc Radiologic Exam, Spin, Entire Thoracic & Lumbar, 4 Or 5 Views",611.0,611.0,,,0 HCPCS,72083,X-ray exam entire spi 4/5 vw,,,78.5,637.84,8 HCPCS,72084,"Hc Radiologic Exam, Spin, Entire Thoracic & Lumb, Minimum Of 6 Views",715.0,715.0,,,0 HCPCS,72084,X-ray exam entire spi 6/> vw,,,94.64,818.33,8 HCPCS,72090,X-ray exam of trunk spine,,,108.63,108.63,1 HCPCS,72100,"Hc Radiologic Examination, Spine, Lumbosacral; 2 Or 3 Views",524.0,524.0,,,0 HCPCS,72100,X-ray exam l-s spine 2/3 vws,,,37.28,326.91,8 HCPCS,72110,"Hc Radiologic Examination, Spine, Lumbosacral; Minimum Of 4 Views",721.0,721.0,,,0 HCPCS,72110,X-ray exam l-2 spine 4/>vws,,,51.77,402.34,8 HCPCS,72114,"Hc Radiologic Examination, Spine, Lumbosacral; Complete, Including Bending Views, Minimum Of 6 Views",1026.0,1026.0,,,0 HCPCS,72114,X-ray exam l-s spine bending,,,71.81,487.66,8 HCPCS,72120,"Hc Radiologic Examination, Spine, Lumbosacral; Bending Views Only, 2 Or 3 Views",547.0,547.0,,,0 HCPCS,72120,X-ray bend only l-s spine,,,45.63,326.91,8 HCPCS,72125,Ct neck spine w/o dye,,,112.03,965.91,6 HCPCS,72125,"Hc Computed Tomography, Cervical Spine; Without Contrast Material",2632.0,2632.0,,,0 HCPCS,72126,Ct neck spine w/dye,,,373.86,1226.02,6 HCPCS,72126,"Hc Computed Tomography, Cervical Spine; With Contrast Material",2683.0,2683.0,,,0 HCPCS,72127,Ct neck spine w/o & w/dye,,,187.96,1513.61,6 HCPCS,72127,"Hc Computed Tomo, Cervical Spine; W/Out Contrast, Followed By Contrast And Further Sections",2806.0,2806.0,,,0 HCPCS,72128,Ct chest spine w/o dye,,,112.03,965.91,6 HCPCS,72128,"Hc Computed Tomography, Thoracic Spine; Without Contrast Material",2135.0,2135.0,,,0 HCPCS,72129,Ct chest spine w/dye,,,187.96,1236.41,6 HCPCS,72129,"Hc Computed Tomography, Thoracic Spine; With Contrast Material",2670.0,2670.0,,,0 HCPCS,72130,Ct chest spine w/o & w/dye,,,187.96,1530.94,6 HCPCS,72130,"Hc Computed Tomo, Thor Spine; W/O Cntrst Material, Followd By Cntrst Material(S) And Further Section",3208.0,3208.0,,,0 HCPCS,72131,Ct lumbar spine w/o dye,,,112.03,965.91,6 HCPCS,72131,"Hc Computed Tomography, Lumbar Spine; Without Contrast Material",2344.0,2344.0,,,0 HCPCS,72132,Ct lumbar spine w/dye,,,373.86,1229.48,6 HCPCS,72132,"Hc Computed Tomography, Lumbar Spine; With Contrast Material",2710.0,2710.0,,,0 HCPCS,72133,Ct lumbar spine w/o & w/dye,,,187.96,1517.08,6 HCPCS,72133,"Hc Computed Tomo, Lumbar Spine; W/Out Cntrst Material, Followed By Cntrst Material And Further Sectn",2958.0,2958.0,,,0 HCPCS,72141,"Hc Magnetic Resonance Imaging, Spinal Canal And Contents, Cervical; Without Contrast Material",4708.0,4708.0,,,0 HCPCS,72141,Mri neck spine w/o dye,,,255.69,1829.07,6 HCPCS,72142,"Hc Magnetic Resonance Imaging, Spinal Canal And Contents, Cervical; With Contrast Material(S)",5708.0,5708.0,,,0 HCPCS,72142,Mri neck spine w/dye,,,373.86,2196.05,6 HCPCS,72146,"Hc Magnetic Resonance Imaging, Spinal Canal And Contents, Thoracic; Without Contrast Material",6213.0,6213.0,,,0 HCPCS,72146,Mri chest spine w/o dye,,,255.69,2028.71,6 HCPCS,72147,"Hc Magnetic Resonance Imaging, Spinal Canal And Contents, Thoracic; With Contrast Material(S)",8914.0,8914.0,,,0 HCPCS,72147,Mri chest spine w/dye,,,373.86,2196.05,6 HCPCS,72148,"Hc Magnetic Resonance Imaging, Spinal Canal And Contents, Lumbar; Without Contrast Material",5558.0,5558.0,,,0 HCPCS,72148,Mri lumbar spine w/o dye,,,255.69,2028.71,6 HCPCS,72149,"Hc Magnetic Resonance Imaging, Spinal Canal And Contents, Lumbar; With Contrast Material(S)",6656.0,6656.0,,,0 HCPCS,72149,Mri lumbar spine w/dye,,,373.86,2193.12,6 HCPCS,72156,"Hc Mri,Spnl Canal&Contents,W/Out Cntrst Mat,Followed By Cntrst Mat&Further Sequ;Cerv",7141.0,7141.0,,,0 HCPCS,72156,Mri neck spine w/o & w/dye,,,373.86,4066.22,6 HCPCS,72157,"Hc Mri, Spnl Canal & Cntnts, W/O Cntrst Materl, Fllwed By Cntrst Materl(S) & Frthr Squncs; Thoracic",9338.0,9338.0,,,0 HCPCS,72157,Mri chest spine w/o & w/dye,,,373.86,4066.22,6 HCPCS,72158,"Hc Mri, Spnl Canal & Contents, W/Out Cntrst Mat, Followed By Cntrst Mat(S) & Further Sequ; Lumbar",9654.0,9654.0,,,0 HCPCS,72158,Mri lumbar spine w/o & w/dye,,,373.86,4063.29,6 HCPCS,72159,"Hc Magnetic Resonance Angiography, Spinal Canal And Contents, With Or Without Contrast Material(S)",3762.0,3762.0,,,0 HCPCS,72159,"Hc Mra With Contrast, Spinal Canal And Contents",3762.0,3762.0,,,0 HCPCS,72159,"Hc Mra Without Contrast Followed By With Contrast, Spinal Canal And Contents",4326.0,4326.0,,,0 HCPCS,72159,"Hc Mra Without Contrast, Spinal Canal And Contents",3199.0,3199.0,,,0 HCPCS,72159,Mr angio spine w/o&w/dye,,,924.33,2878.23,3 HCPCS,72170,"Hc Radiologic Examination, Pelvis; 1 Or 2 Views",536.0,536.0,,,0 HCPCS,72170,X-ray exam of pelvis,,,36.17,326.91,8 HCPCS,72190,"Hc Radiologic Examination, Pelvis; Complete, Minimum Of 3 Views",753.0,753.0,,,0 HCPCS,72190,X-ray exam of pelvis,,,42.86,326.91,8 HCPCS,72191,Ct angiograph pelv w/o&w/dye,,,187.96,1852.88,5 HCPCS,72191,"Hc Cta, Pelvis, W/ Cntrst Material(S), Incl Noncntrst Imgs, If Perf, & Img Postprocessing",2713.0,2713.0,,,0 HCPCS,72192,Ct pelvis w/o dye,,,112.03,965.91,6 HCPCS,72192,"Hc Computed Tomography, Pelvis; Without Contrast Material",1973.0,1973.0,,,0 HCPCS,72193,Ct pelvis w/dye,,,187.96,1849.82,6 HCPCS,72193,"Hc Computed Tomography, Pelvis; With Contrast Material(S)",2903.0,2903.0,,,0 HCPCS,72194,Ct pelvis w/o & w/dye,,,187.96,1853.28,6 HCPCS,72194,"Hc Computed Tomo, Pelvis; W/O Contrst Material, Followed By Contrst Material(S) And Further Sections",2921.0,2921.0,,,0 HCPCS,72195,"Hc Magnetic Resonance Imaging, Pelvis; Without Contrast Material(S)",4662.0,4662.0,,,0 HCPCS,72195,Mri Pelvis W/O Dye,,,255.69,1773.59,5 HCPCS,72196,"Hc Magnetic Resonance Imaging, Pelvis; With Contrast Material(S)",5168.0,5168.0,,,0 HCPCS,72196,Hc Mri Pelvis W Contrast-Research Q300,2187.0,2187.0,,,0 HCPCS,72196,Mri pelvis w/dye,,,373.86,2071.58,6 HCPCS,72197,Hc Mri Pelvic With And Without Contrast,7689.0,7689.0,,,0 HCPCS,72197,Hc Mri Pelvis W/O &W Contrast Research,2807.0,2807.0,,,0 HCPCS,72197,Mri pelvis w/o & w/dye,,,373.86,2601.03,5 HCPCS,72198,Hc Mra Pelvis With And Without Contrast Material,4481.0,4481.0,,,0 HCPCS,72198,Hc Mra Pelvis With Contrast Material,3895.0,3895.0,,,0 HCPCS,72198,Hc Mra Pelvis Without Contrast Material,3388.0,3388.0,,,0 HCPCS,72198,"Hc Mra With Contrast, Pelvis",3895.0,3895.0,,,0 HCPCS,72198,"Hc Mra Without Contrast Followed By With Contrast, Pelvis",4481.0,4481.0,,,0 HCPCS,72198,"Hc Mra Without Contrast, Pelvis",3388.0,3388.0,,,0 HCPCS,72198,Mr angio pelvis w/o & w/dye,,,896.04,2798.53,3 HCPCS,72200,"Hc Radiologic Examination, Sacroiliac Joints; Less Than 3 Views",329.0,329.0,,,0 HCPCS,72200,X-ray exam si joints,,,31.16,326.91,8 HCPCS,72202,"Hc Radiologic Examination, Sacroiliac Joints; 3 Or More Views",587.0,587.0,,,0 HCPCS,72202,X-ray exam si joints 3/> vws,,,36.72,326.91,8 HCPCS,72220,"Hc Radiologic Examination, Sacrum And Coccyx, Minimum Of 2 Views",673.0,673.0,,,0 HCPCS,72220,X-ray exam sacrum tailbone,,,30.6,252.16,8 HCPCS,72240,"Hc Myelography, Cervical, Radiological Supervision And Interpretation",2477.0,2477.0,,,0 HCPCS,72240,Myelography neck spine,,,81.27,2145.54,8 HCPCS,72255,"Hc Myelography, Thoracic, Radiological Supervision And Interpretation",2416.0,2416.0,,,0 HCPCS,72255,Myelography thoracic spine,,,79.61,2145.54,8 HCPCS,72265,"Hc Myelography, Lumbosacral, Radiological Supervision And Interpretation",4019.0,4019.0,,,0 HCPCS,72265,Myelography l-s spine,,,78.5,2145.54,8 HCPCS,72270,"Hc Myelography, 2 Or More Regions, Radiological Supervision And Interpretation",5091.0,5091.0,,,0 HCPCS,72270,Myelogphy 2/> spine regions,,,93.53,2145.54,8 HCPCS,72285,Discography cerv/thor spine,,,82.95,5263.17,8 HCPCS,72285,"Hc Discography, Cervical Or Thoracic, Radiological Supervision And Interpretation",4239.0,4239.0,,,0 HCPCS,72295,"Hc Discography, Lumbar, Radiological Supervision And Interpretation",7089.0,7089.0,,,0 HCPCS,72295,X-ray of lower spine disk,,,86.28,5263.17,8 HCPCS,73000,"Hc Radiologic Examination; Clavicle, Complete",466.0,466.0,,,0 HCPCS,73000,X-ray exam of collar bone,,,30.05,252.16,8 HCPCS,73010,"Hc Radiologic Examination; Scapula, Complete",488.0,488.0,,,0 HCPCS,73010,X-ray exam of shoulder blade,,,32.82,326.91,8 HCPCS,73020,"Hc Radiologic Examination, Shoulder; 1 View",361.0,361.0,,,0 HCPCS,73020,X-ray exam of shoulder,,,23.91,242.7,8 HCPCS,73030,"Hc Radiologic Examination, Shoulder; Complete, Minimum Of 2 Views",521.0,521.0,,,0 HCPCS,73030,X-ray exam of shoulder,,,30.6,265.82,8 HCPCS,73040,Contrast x-ray of shoulder,,,113.57,1104.36,8 HCPCS,73040,"Hc Radiologic Examination, Shoulder, Arthrography, Radiological Supervision And Interpretation",2458.0,2458.0,,,0 HCPCS,73050,"Hc Radiologic Examination; Acromioclavicular Joints, Bilateral, With Or Without Weighted Distraction",626.0,626.0,,,0 HCPCS,73050,X-ray exam of shoulders,,,38.96,242.7,8 HCPCS,73060,"Hc Radiologic Examination; Humerus, Minimum Of 2 Views",526.0,526.0,,,0 HCPCS,73060,X-ray exam of humerus,,,32.27,252.16,8 HCPCS,73070,"Hc Radiologic Examination, Elbow; 2 Views",398.0,398.0,,,0 HCPCS,73070,X-ray exam of elbow,,,30.05,242.7,8 HCPCS,73080,"Hc Radiologic Examination, Elbow; Complete, Minimum Of 3 Views",492.0,492.0,,,0 HCPCS,73080,X-ray exam of elbow,,,35.06,252.16,8 HCPCS,73085,Contrast x-ray of elbow,,,106.89,1104.36,8 HCPCS,73085,"Hc Radiologic Examination, Elbow, Arthrography, Radiological Supervision And Interpretation",2631.0,2631.0,,,0 HCPCS,73090,"Hc Radiologic Examination; Forearm, 2 Views",490.0,490.0,,,0 HCPCS,73090,X-ray exam of forearm,,,27.26,242.7,8 HCPCS,73092,"Hc Radiologic Examination; Upper Extremity, Infant, Minimum Of 2 Views",650.0,650.0,,,0 HCPCS,73092,X-ray exam of arm infant,,,30.05,326.91,8 HCPCS,73100,"Hc Radiologic Examination, Wrist; 2 Views",439.0,439.0,,,0 HCPCS,73100,X-ray exam of wrist,,,32.27,269.23,8 HCPCS,73110,"Hc Radiologic Examination, Wrist; Complete, Minimum Of 3 Views",555.0,555.0,,,0 HCPCS,73110,X-ray exam of wrist,,,41.73,337.49,8 HCPCS,73115,Contrast x-ray of wrist,,,122.48,1119.08,8 HCPCS,73115,"Hc Radiologic Examination, Wrist, Arthrography, Radiological Supervision And Interpretation",1351.0,1351.0,,,0 HCPCS,73120,"Hc Radiologic Examination, Hand; 2 Views",385.0,385.0,,,0 HCPCS,73120,X-ray exam of hand,,,27.81,326.91,8 HCPCS,73130,"Hc Radiologic Examination, Hand; Minimum Of 3 Views",552.0,552.0,,,0 HCPCS,73130,X-ray exam of hand,,,34.5,296.53,8 HCPCS,73140,"Hc Radiologic Examination, Finger(S), Minimum Of 2 Views",386.0,386.0,,,0 HCPCS,73140,X-ray exam of finger(s),,,38.4,323.84,8 HCPCS,73200,Ct upper extremity w/o dye,,,112.03,1098.21,6 HCPCS,73200,"Hc Computed Tomography, Upper Extremity; Without Contrast Material",3057.0,3057.0,,,0 HCPCS,73201,Ct upper extremity w/dye,,,373.86,1614.1,6 HCPCS,73201,"Hc Computed Tomography, Upper Extremity; With Contrast Material(S)",3425.0,3425.0,,,0 HCPCS,73202,Ct uppr extremity w/o&w/dye,,,187.96,1849.82,6 HCPCS,73202,"Hc Computed Tomo, Upper Extremity; W/Out Contrast, Followed By Contrast And Further Sections",3598.0,3598.0,,,0 HCPCS,73206,Ct angio upr extrm w/o&w/dye,,,187.96,1852.88,5 HCPCS,73206,"Hc Ct Angiogrph, Upper Ext, W/ Cntrst Mat(S), Incl Noncntrst Images, If Performed, & Image Postproc",3313.0,3313.0,,,0 HCPCS,73218,"Hc Magnetic Resonance Imaging, Upper Extremity, Other Than Joint; Without Contrast Material(S)",3675.0,3675.0,,,0 HCPCS,73218,Mri Upper Extremity W/O Dye,,,255.69,2403.42,5 HCPCS,73219,"Hc Magnetic Resonance Imaging, Upper Extremity, Other Than Joint; With Contrast Material(S)",4119.0,4119.0,,,0 HCPCS,73219,Mri Upper Extremity W/Dye,,,373.86,2833.18,5 HCPCS,73220,"Hc Mag Resonance Imging, Up Ext,Other Than Jnt;W/Out Cntrst Mat,Folwed By Cntrst Mat&Further Seq",7980.0,7980.0,,,0 HCPCS,73220,Mri uppr extremity w/o&w/dye,,,373.86,3425.8,6 HCPCS,73221,"Hc Magnetic Resonance Imaging, Any Joint Of Upper Extremity; Without Contrast Material(S)",5241.0,5241.0,,,0 HCPCS,73221,Mri joint upr extrem w/o dye,,,255.69,1829.07,6 HCPCS,73222,"Hc Magnetic Resonance Imaging, Any Joint Of Upper Extremity; With Contrast Material(S)",6062.0,6062.0,,,0 HCPCS,73222,Mri joint upr extrem w/dye,,,840.06,2615.68,5 HCPCS,73223,"Hc Mri, Any Joint Of Upper Ext; W/Out Cntrst Mat(S), Followed By Cntrst Mat(S) & Further Sequ",7416.0,7416.0,,,0 HCPCS,73223,Mri joint upr extr w/o&w/dye,,,373.86,3172.85,5 HCPCS,73225,"Hc Magnetic Resonance Angiography, Upper Extremity, With Or Without Contrast Material(S)",2602.0,2602.0,,,0 HCPCS,73225,"Hc Mra With Contrast, Upper Extremity",2602.0,2602.0,,,0 HCPCS,73225,"Hc Mra Without Contrast Followed By With Contrast, Upper Extremity",3978.0,3978.0,,,0 HCPCS,73225,"Hc Mra Without Contrast, Upper Extremity",1878.0,1878.0,,,0 HCPCS,73225,Mr angio upr extr w/o&w/dye,,,924.33,2878.23,3 HCPCS,73500,X-ray exam of hip,,,76.33,76.33,1 HCPCS,73501,"Hc Radiologic Exam, Hip, With Pelvis When Performed, 1 View",465.0,465.0,,,0 HCPCS,73501,X-ray exam hip uni 1 view,,,31.71,248.75,8 HCPCS,73502,"Hc Radiologic Exam, Hip, With Pelvis When Performed, 2 To 3 Views",568.0,568.0,,,0 HCPCS,73502,X-ray exam hip uni 2-3 views,,,47.31,375.03,8 HCPCS,73503,"Hc Radiologic Exam, Hip, With Pelvis When Performed, Min Of 4 Views",697.0,697.0,,,0 HCPCS,73503,X-ray exam hip uni 4/> views,,,58.44,477.42,8 HCPCS,73510,X-ray exam of hip,,,96.88,96.88,1 HCPCS,73520,X-ray exam of hips,,,108.63,108.63,1 HCPCS,73521,"Hc Radiologic Exam, Hips, Bil, With Pelvis When Performed, 2 Views",568.0,568.0,,,0 HCPCS,73521,X-ray exam hips bi 2 views,,,43.97,326.91,8 HCPCS,73522,"Hc Radiologic Exam, Hips, Bil, With Pelvis When Performed, 3-4 Views",748.0,748.0,,,0 HCPCS,73522,X-ray exam hips bi 3-4 views,,,52.88,409.16,8 HCPCS,73523,"Hc Radiologic Exam, Hips, Bil, With Pelvis When Performed, Min 5 Views",802.0,802.0,,,0 HCPCS,73523,X-ray exam hips bi 5/> views,,,63.45,484.25,8 HCPCS,73525,Contrast x-ray of hip,,,113.57,1104.36,8 HCPCS,73525,"Hc Radiologic Examination, Hip, Arthrography, Radiological Supervision And Interpretation",1591.0,1591.0,,,0 HCPCS,73530,X-ray exam of hip,,,85.14,85.14,1 HCPCS,73540,X-ray exam of pelvis & hips,,,93.95,93.95,1 HCPCS,73550,X-ray exam of thigh,,,93.95,93.95,1 HCPCS,73551,"Hc Radiologic Exam, Femur, 1 View",413.0,413.0,,,0 HCPCS,73551,X-ray exam of femur 1,,,30.6,242.7,8 HCPCS,73552,"Hc Radiologic Exam, Femur, 2 Views",465.0,465.0,,,0 HCPCS,73552,X-ray exam of femur 2/>,,,36.17,279.47,8 HCPCS,73560,"Hc Radiologic Examination, Knee; 1 Or 2 Views",439.0,439.0,,,0 HCPCS,73560,X-ray exam of knee 1 or 2,,,35.61,272.64,8 HCPCS,73562,"Hc Radiologic Examination, Knee; 3 Views",550.0,550.0,,,0 HCPCS,73562,X-ray exam of knee 3,,,41.18,327.25,8 HCPCS,73564,"Hc Radiologic Examination, Knee; Complete, 4 Or More Views",858.0,858.0,,,0 HCPCS,73564,X-ray exam knee 4 or more,,,43.97,368.21,8 HCPCS,73565,"Hc Radiologic Examination, Knee; Both Knees, Standing, Anteroposterior",354.0,354.0,,,0 HCPCS,73565,X-ray exam of knees,,,42.3,327.25,8 HCPCS,73580,Contrast x-ray of knee joint,,,135.84,1104.36,8 HCPCS,73580,"Hc Radiologic Examination, Knee, Arthrography, Radiological Supervision And Interpretation",1136.0,1136.0,,,0 HCPCS,73590,"Hc Radiologic Examination; Tibia And Fibula, 2 Views",589.0,589.0,,,0 HCPCS,73590,X-ray exam of lower leg,,,31.71,248.75,8 HCPCS,73592,"Hc Radiologic Examination; Lower Extremity, Infant, Minimum Of 2 Views",597.0,597.0,,,0 HCPCS,73592,X-ray exam of leg infant,,,31.16,248.75,8 HCPCS,73600,"Hc Radiologic Examination, Ankle; 2 Views",361.0,361.0,,,0 HCPCS,73600,X-ray exam of ankle,,,33.95,255.58,8 HCPCS,73610,"Hc Radiologic Examination, Ankle; Complete, Minimum Of 3 Views",562.0,562.0,,,0 HCPCS,73610,X-ray exam of ankle,,,35.06,296.53,8 HCPCS,73615,Contrast x-ray of ankle,,,118.59,1104.36,8 HCPCS,73615,"Hc Radiologic Examination, Ankle, Arthrography, Radiological Supervision And Interpretation",1158.0,1158.0,,,0 HCPCS,73620,"Hc Radiologic Examination, Foot; 2 Views",447.0,447.0,,,0 HCPCS,73620,X-ray exam of foot,,,28.94,242.7,8 HCPCS,73630,"Hc Radiologic Examination, Foot; Complete, Minimum Of 3 Views",570.0,570.0,,,0 HCPCS,73630,X-ray exam of foot,,,32.27,272.64,8 HCPCS,73650,"Hc Radiologic Examination; Calcaneus, Minimum Of 2 Views",475.0,475.0,,,0 HCPCS,73650,X-ray exam of heel,,,30.05,242.7,8 HCPCS,73660,"Hc Radiologic Examination; Toe(S), Minimum Of 2 Views",557.0,557.0,,,0 HCPCS,73660,X-ray exam of toe(s),,,33.95,242.7,8 HCPCS,73700,Ct lower extremity w/o dye,,,112.03,907.53,6 HCPCS,73700,"Hc Computed Tomography, Lower Extremity; Without Contrast Material",2822.0,2822.0,,,0 HCPCS,73701,Ct lower extremity w/dye,,,187.96,1232.95,6 HCPCS,73701,"Hc Computed Tomography, Lower Extremity; With Contrast Material(S)",3580.0,3580.0,,,0 HCPCS,73702,Ct lwr extremity w/o&w/dye,,,187.96,1517.08,6 HCPCS,73702,"Hc Computed Tomo, Lower Extremity; W/Out Contrast, Followed By Contrast And Further Sections",4717.0,4717.0,,,0 HCPCS,73706,Ct angio lwr extr w/o&w/dye,,,187.96,1852.88,5 HCPCS,73706,"Hc Ct Angiogrph, Lower Ext, W/ Cntrst Mat(S), Incl Noncntrst Images, If Performed, & Image Postproc",2430.0,2430.0,,,0 HCPCS,73718,"Hc Magnetic Resonance Imaging, Lower Extremity Other Than Joint; Without Contrast Material(S)",5045.0,5045.0,,,0 HCPCS,73718,Mri Lower Extremity W/O Dye,,,255.69,1770.12,5 HCPCS,73719,"Hc Magnetic Resonance Imaging, Lower Extremity Other Than Joint; With Contrast Material(S)",5679.0,5679.0,,,0 HCPCS,73719,Mri Lower Extremity W/Dye,,,373.86,2061.18,5 HCPCS,73720,"Hc Mri, Lwr Ext Other Than Jnt;W/Out Cntrst Mat Followed By Cntrst Mat&Further Sequ",6529.0,6529.0,,,0 HCPCS,73720,Mri lwr extremity w/o&w/dye,,,373.86,2625.28,6 HCPCS,73721,"Hc Magnetic Resonance Imaging, Any Joint Of Lower Extremity; Without Contrast Material",4638.0,4638.0,,,0 HCPCS,73721,Mri jnt of lwr extre w/o dye,,,255.69,1829.07,6 HCPCS,73722,"Hc Magnetic Resonance Imaging, Any Joint Of Lower Extremity; With Contrast Material(S)",5735.0,5735.0,,,0 HCPCS,73722,Mri Joint Of Lwr Extr W/Dye,,,840.06,2619.14,5 HCPCS,73723,"Hc Mri, Any Joint Of Lower Extremity;Wo Contrast Mat(S),Followed By Contrast Mat(S)&Further Seq",7177.0,7177.0,,,0 HCPCS,73723,Mri joint lwr extr w/o&w/dye,,,373.86,3162.46,5 HCPCS,73725,Hc Mra Lower Extremity Pre Post Contrast,5769.0,5769.0,,,0 HCPCS,73725,Hc Mra Lower Extremity W Contrast,5769.0,5769.0,,,0 HCPCS,73725,"Hc Mra With Contrast, Lower Extremity",4105.0,4105.0,,,0 HCPCS,73725,"Hc Mra Without Contrast Followed By With Contrast, Lower Extremity",5308.0,5308.0,,,0 HCPCS,73725,Hc Mra Without Contrast Lower Extremity,5769.0,5769.0,,,0 HCPCS,73725,"Hc Mra Without Contrast, Lower Extremity",3510.0,3510.0,,,0 HCPCS,73725,Mr ang lwr ext w or w/o dye,,,890.82,2767.35,3 HCPCS,74000,X-ray exam of abdomen,,,22.8,85.14,2 HCPCS,74010,X-ray exam of abdomen,,,37.28,93.95,2 HCPCS,74018,Hc X-Ray Exam Abdomen 1 View,500.0,500.0,,,0 HCPCS,74018,X-ray exam abdomen 1 view,,,85.14,242.7,7 HCPCS,74019,Hc X-Ray Exam Abdomen 2 Views,492.0,492.0,,,0 HCPCS,74019,X-ray exam abdomen 2 views,,,93.95,326.91,7 HCPCS,74020,X-ray exam of abdomen,,,37.28,102.76,2 HCPCS,74021,Hc X-Ray Exam Abdomen 3+ Views,549.0,549.0,,,0 HCPCS,74021,X-ray exam abdomen 3+ views,,,102.76,326.91,7 HCPCS,74022,"Hc Rad Exam, Abdomen; Complete Acute Abdomen Series, Supine, Erect, And/Or Decub Vw, Single Vw Chest",895.0,895.0,,,0 HCPCS,74022,X-ray exam series abdomen,,,44.52,357.97,8 HCPCS,74150,Ct abdomen w/o dye,,,112.03,924.81,6 HCPCS,74150,"Hc Computed Tomography, Abdomen; Without Contrast Material",1968.0,1968.0,,,0 HCPCS,74160,Ct abdomen w/dye,,,187.96,1849.82,6 HCPCS,74160,"Hc Computed Tomography, Abdomen; With Contrast Material(S)",2854.0,2854.0,,,0 HCPCS,74170,Ct abdomen w/o & w/dye,,,187.96,1853.28,6 HCPCS,74170,"Hc Computed Tomogrphy, Abdmn; W/O Cntrst Materl, Fllwed By Cntrst Materl(S) & Further Sectns",3010.0,3010.0,,,0 HCPCS,74174,Ct angio abd&pelv w/o&w/dye,,,373.86,3051.48,5 HCPCS,74174,"Hc Ct Anggrphy Abd&Pelv,W/Contrst Mat,Incl Noncontrst Images,If Performed,&Imge Postproc",5138.0,5138.0,,,0 HCPCS,74175,Ct angio abdom w/o & w/dye,,,187.96,1852.88,5 HCPCS,74175,"Hc Cta,Abd, W/ Cntrst Material(S), Incl Noncntrst Imgs, If Perf, & Img Postprocessng",3190.0,3190.0,,,0 HCPCS,74176,Ct abd & pelvis w/o contrast,,,255.69,1890.72,6 HCPCS,74176,"Hc Computed Tomography, Abdomen And Pelvis; Without Contrast Material",5442.0,5442.0,,,0 HCPCS,74177,Ct abd & pelv w/contrast,,,373.86,2411.24,6 HCPCS,74177,"Hc Computed Tomography, Abdomen And Pelvis; With Contrast Material(S)",5839.0,5839.0,,,0 HCPCS,74178,Ct abd & pelv 1/> regns,,,373.86,2765.62,6 HCPCS,74178,"Hc Ct Tom, Ab & Pel; Wo Cnt Mat 1 Or Both Bdy Rgns,Fllwd By Cnt Mat(S)&Frthr Sec 1 Or Both Bdy Rgns",6718.0,6718.0,,,0 HCPCS,74181,Hc Abdomen W/O Contrast Research,598.0,598.0,,,0 HCPCS,74181,"Hc Mri, Abdomen; Without Contrast Material(S)",5060.0,5060.0,,,0 HCPCS,74181,Mri abdomen w/o dye,,,255.69,1829.07,6 HCPCS,74182,"Hc Mri, Abdomen; With Contrast Material(S)",5947.0,5947.0,,,0 HCPCS,74182,Mri Abdomen W/Dye,,,373.86,2455.4,5 HCPCS,74183,"Hc Mri, Abdomen; W/O Contrast Material(S), Followed By Constrast Material(S) And Further Sequences",7364.0,7364.0,,,0 HCPCS,74183,Mri abdomen w/o & w/dye,,,373.86,2614.89,5 HCPCS,74185,Hc Mra Upper Abdomen With And Without Contrast Material,4963.0,4963.0,,,0 HCPCS,74185,Hc Mra Upper Abdomen With Contrast Material,4218.0,4218.0,,,0 HCPCS,74185,Hc Mra Upper Abdomen Without Contrast Material,3586.0,3586.0,,,0 HCPCS,74185,"Hc Mra Without Contrast Followed By With Contrast, Abdomen",4963.0,4963.0,,,0 HCPCS,74185,Mri angio abdom w orw/o dye,,,897.09,2791.6,3 HCPCS,74190,X-ray exam of peritoneum,,,58.88,4634.49,8 HCPCS,74210,Contrst x-ray exam of throat,,,93.53,712.92,8 HCPCS,74210,"Hc Radiologic Exam; Pharync And/Or Cervial Esophagus, Including Scout Neck Radiograph(S) And Delayed",309.0,309.0,,,0 HCPCS,74220,Contrast x-ray esophagus,,,102.44,729.99,8 HCPCS,74220,Hc Radiologic Exam; Esophagus,1170.0,1170.0,,,0 HCPCS,74221,Hc X-Ray Xm Esophagus 2Cntrst,457.0,457.0,,,0 HCPCS,74221,X-ray xm esophagus 2cntrst,,,187.96,811.9,7 HCPCS,74230,Cine/vid x-ray throat/esoph,,,158.69,1047.4,8 HCPCS,74230,"Hc Swallowing Function, With Cineradioraphy/Videoradiography",1293.0,1293.0,,,0 HCPCS,74235,Remove esophagus obstruction,,,431.58,1023.46,2 HCPCS,74240,"Hc Radiologic Exam, Gastrointestinal Tract, Upper; With Or Without Delayed Films, Without Kub",1624.0,1624.0,,,0 HCPCS,74240,X-ray upper gi delay w/o kub,,,122.48,890.4,8 HCPCS,74241,X-ray upper gi delay w/kub,,,129.72,243.68,2 HCPCS,74245,X-ray upper gi&small intest,,,196.55,390.47,2 HCPCS,74246,Contrst x-ray uppr gi tract,,,144.75,1020.1,8 HCPCS,74246,"Hc Rady Ex,Gi Tr,Up,Air Cntst,W Sp Hgh Dnty Brim, Efrvst Agt,W Or Wo Gluc;W Or Wo Dlyd Films,Wo Kub",1144.0,1144.0,,,0 HCPCS,74247,Contrst x-ray uppr gi tract,,,165.92,275.97,2 HCPCS,74248,Hc X-Ray Sm Int F-Thru Std,2842.0,2842.0,,,0 HCPCS,74248,X-ray sm int f-thru std,,,137.11,476.88,2 HCPCS,74249,Contrst x-ray uppr gi tract,,,216.03,419.83,2 HCPCS,74250,"Hc Radiologic Exam, Small Intesting, Includes Multiple Serial Films",1470.0,1470.0,,,0 HCPCS,74250,X-ray exam of small bowel,,,125.82,883.58,8 HCPCS,74251,Hc Radiologic Exam Small Int Double Contrast Study,578.0,578.0,,,0 HCPCS,74251,X-ray exam of small bowel,,,187.96,3269.29,8 HCPCS,74260,X-ray exam of small bowel,,,243.68,512.85,2 HCPCS,74261,Ct colonography dx,,,112.03,1094.74,5 HCPCS,74261,"Hc Ct Colonography, Diagnostic, Including Image Postprocessing; Without Contrast Material",1136.0,1136.0,,,0 HCPCS,74262,Ct colonography dx w/dye,,,187.96,1849.82,5 HCPCS,74262,"Hc Ct Colonography, Diag, Incl Image Postprocessing; W/ Contrast Incl Non-Contrast Images, If Perf",1254.0,1254.0,,,0 HCPCS,74263,Ct colonography screening,,,255.69,6028.41,5 HCPCS,74263,"Hc Ct Colonography, Screening, Including Image Postprocessing",1646.0,1646.0,,,0 HCPCS,74270,Contrast x-ray exam of colon,,,180.96,1098.6,8 HCPCS,74270,"Hc Radiologic Exam, Colon; Contrast Enema, With Or Without Kub",1697.0,1697.0,,,0 HCPCS,74280,Contrast x-ray exam of colon,,,187.96,1695.48,8 HCPCS,74280,"Hc Rady Exam, Colon; Air Contrast High Dens Barium, W/Wo Glucagon",2394.0,2394.0,,,0 HCPCS,74283,Contrast x-ray exam of colon,,,160.35,1620.79,8 HCPCS,74283,"Hc Thrptc Enema, Contrast Or Air, For Reduction Of Intussusception Or Other Intraluminal Obstruction",1077.0,1077.0,,,0 HCPCS,74290,Contrast x-ray gallbladder,,,84.62,740.23,8 HCPCS,74291,"Contrast x-rays, gallbladder",,,70.46,70.46,1 HCPCS,74300,Chg Cholangiography&/Pancreatography Ntraop Rs&I-Gast,202.0,202.0,,,0 HCPCS,74300,Chg Cholangiography&/Pancreatography Ntraop Rs&I-Pbb,202.0,202.0,,,0 HCPCS,74300,"Hc Cholangiography And/Or Pancreatography; Intraoperative, S&I",1229.0,1229.0,,,0 HCPCS,74300,"Hc Cholangiography And/Or Pancreatography; Intraoperative, S&I-Pbb",1330.5,1330.5,,,0 HCPCS,74300,X-ray bile ducts/pancreas,,,58.72,235.62,2 HCPCS,74301,X-rays at surgery add-on,,,23.49,182.95,2 HCPCS,74305,X-ray bile ducts/pancreas,,,129.18,129.18,1 HCPCS,74320,Contrast x-ray of bile ducts,,,513.78,513.78,1 HCPCS,74327,X-ray bile stone removal,,,290.65,290.65,1 HCPCS,74328,Chg Endoscopic Cathj Biliary Ductal System Rs&I-Gast,346.0,346.0,,,0 HCPCS,74328,Chg Endoscopic Cathj Biliary Ductal System Rs&I-Pbb,346.0,346.0,,,0 HCPCS,74328,"Hc Endoscopic Catheterization Of The Biliary Ductal System, S&I",2105.0,2105.0,,,0 HCPCS,74328,"Hc Endoscopic Catheterization Of The Biliary Ductal System, S&I-Pbb",2278.0,2278.0,,,0 HCPCS,74328,X-ray bile duct endoscopy,,,516.72,517.97,2 HCPCS,74329,Chg Endoscopic Cathj Pancreatic Ductal Sys Rs&I-Gast,385.0,385.0,,,0 HCPCS,74329,Chg Endoscopic Cathj Pancreatic Ductal Sys Rs&I-Pbb,385.0,385.0,,,0 HCPCS,74329,"Hc Endoscopic Catheterization Of The Pancreatuc Ductal System, S&I",1930.0,1930.0,,,0 HCPCS,74329,"Hc Endoscopic Catheterization Of The Pancreatuc Ductal System, S&I-Pbb",2123.0,2123.0,,,0 HCPCS,74329,X-ray for pancreas endoscopy,,,415.8,516.72,2 HCPCS,74330,Chg Cmbn Ndsc Cathj Biliary&Pncrtc Ductal Sys Rs&I-Gast,452.0,452.0,,,0 HCPCS,74330,Chg Cmbn Ndsc Cathj Biliary&Pncrtc Ductal Sys Rs&I-Pbb,452.0,452.0,,,0 HCPCS,74330,"Hc Combined Endoscopic Catheterization Of The Biliary And Pancreatic Ductal Systems, S&I",2443.0,2443.0,,,0 HCPCS,74330,"Hc Combined Endoscopic Catheterization Of The Biliary And Pancreatic Ductal Systems, S&I-Pbb",2668.5,2668.5,,,0 HCPCS,74330,X-ray bile/panc endoscopy,,,516.72,722.7,2 HCPCS,74340,"Hc Introduction Of Long Gastrointestinal Tube, Including Mutiple Fluoroscopies And Films, S&I",668.0,668.0,,,0 HCPCS,74340,X-ray guide for GI tube,,,431.58,753.49,2 HCPCS,74350,"X-ray guide, stomach tube",,,516.72,516.72,1 HCPCS,74355,X-ray guide intestinal tube,,,431.58,952.08,2 HCPCS,74360,Chg Intraluminal Dilation Strictures&/Obstrcjs Rs&I-Gast,268.0,268.0,,,0 HCPCS,74360,Chg Intraluminal Dilation Strictures&/Obstrcjs Rs&I-Pbb,268.0,268.0,,,0 HCPCS,74360,"Hc Intraluminal Dilation Of Strictures And/Or Obstructions, S&I",708.0,708.0,,,0 HCPCS,74360,"Hc Intraluminal Dilation Of Strictures And/Or Obstructions, S&I-Pbb",842.0,842.0,,,0 HCPCS,74360,X-ray guide gi dilation,,,513.78,818.63,2 HCPCS,74363,Chg Prq Transhepatc Dilat Biliary Duct Strictre Rs&I-Gast,428.0,428.0,,,0 HCPCS,74363,Chg Prq Transhepatc Dilat Biliary Duct Strictre Rs&I-Pbb,428.0,428.0,,,0 HCPCS,74363,"Hc Perc Transhepatic Dilation Of Biliary Duct Stricture W/ Or W/Out Placement Of Stent, S&I",6759.0,6759.0,,,0 HCPCS,74363,"Hc Perc Transhepatic Dilation Of Biliary Duct Stricture W/ Or W/Out Placement Of Stent, S&I-Pbb",6972.5,6972.5,,,0 HCPCS,74363,X-ray bile duct dilation,,,741.41,995.27,2 HCPCS,74400,Contrst x-ray urinary tract,,,133.62,1166.46,8 HCPCS,74400,"Hc Urography, Intravenous, With Or Without Kum, With Or Without Tomography",842.0,842.0,,,0 HCPCS,74405,Description Not Available,,,325.88,325.88,1 HCPCS,74410,Contrst x-ray urinary tract,,,131.39,1224.48,8 HCPCS,74415,Contrst x-ray urinary tract,,,175.38,1364.41,8 HCPCS,74420,Contrst x-ray urinary tract,,,164.97,1104.36,8 HCPCS,74420,"Hc Urography, Retrograde, With Or Without Kub",1708.0,1708.0,,,0 HCPCS,74425,Contrst x-ray urinary tract,,,78.87,1166.86,8 HCPCS,74425,"Hc Urography, Antegrade, S&I",2217.0,2217.0,,,0 HCPCS,74430,Chg Cystography Minimum 3 Views Rs&I-Pbb,240.0,240.0,,,0 HCPCS,74430,Contrast x-ray bladder,,,33.95,1104.36,8 HCPCS,74430,"Hc Cystography, Minimum Of 3 Views, S&I",1408.0,1408.0,,,0 HCPCS,74430,"Hc Cystography, Minimum Of 3 Views, S&I-Pbb",1528.5,1528.5,,,0 HCPCS,74440,X-ray male genital tract,,,98.54,822.14,8 HCPCS,74445,X-ray exam of penis,,,67.76,985.25,8 HCPCS,74450,"Hc Urethreocystography, Retrograde, S&I",1126.0,1126.0,,,0 HCPCS,74450,X-ray urethra/bladder,,,91.65,2151.77,8 HCPCS,74455,Chg Urethrocystography Voiding Rs&I-Pbb,198.0,198.0,,,0 HCPCS,74455,"Hc Urethreocystography, Voiding, S&I",2030.0,2030.0,,,0 HCPCS,74455,"Hc Urethreocystography, Voiding, S&I-Pbb",2129.0,2129.0,,,0 HCPCS,74455,X-ray urethra/bladder,,,101.88,921.12,8 HCPCS,74470,"Hc Rad Exam, Renal Cyst Study, Translumbar, Contrast Visualization, Radiological S&I",2332.0,2332.0,,,0 HCPCS,74470,X-ray exam of kidney lesion,,,77.76,4634.49,8 HCPCS,74475,"X-ray control, cath insert",,,663.51,663.51,1 HCPCS,74480,"X-ray control, cath insert",,,663.51,663.51,1 HCPCS,74485,"Hc Dilation Of Nephrostomy, Ureters, Or Urethra, Radiological Supervision And Interpretation",3879.0,3879.0,,,0 HCPCS,74485,X-ray guide gu dilation,,,103.55,5378.97,8 HCPCS,74710,X-ray measurement of pelvis,,,30.6,173.22,2 HCPCS,74712,"Hc Mri, Fetal, Placental/Maternal Imaging; Single Or 1St Gestation",788.0,788.0,,,0 HCPCS,74712,Mri fetal sngl/1st gestation,,,255.69,2396.89,5 HCPCS,74713,Hc Mri Fetal Ea Addl Gestation,591.0,591.0,,,0 HCPCS,74713,Mri fetal ea addl gestation,,,1247.2,1247.2,1 HCPCS,74740,"Hc Hysterosalpingography, Radiological Supervision And Interpretation",2216.0,2216.0,,,0 HCPCS,74740,X-ray female genital tract,,,87.41,801.66,8 HCPCS,74742,X-ray fallopian tube,,,513.78,527.27,2 HCPCS,74775,"Hc Perineogram (Eg, Vaginogram, For Sex Determination Or Extent Of Anomalies)",860.0,860.0,,,0 HCPCS,74775,X-ray exam of perineum,,,92.21,2151.77,8 HCPCS,75552,"Magnetic image, myocardium",,,1829.07,1829.07,1 HCPCS,75553,"Magnetic image, myocardium",,,1829.07,1829.07,1 HCPCS,75554,Cardiac MRI/function,,,1826.13,1826.13,1 HCPCS,75555,Cardiac MRI/limited study,,,1829.07,1829.07,1 HCPCS,75557,Cardiac mri for morph,,,255.69,1881.0,5 HCPCS,75557,Hc Cardiac Magnetic Resonance Imaging For Morphology And Function Without Contrast Material;,3662.0,3662.0,,,0 HCPCS,75559,Cardiac mri w/stress img,,,585.55,2639.93,5 HCPCS,75559,Hc Cardiac Magnetic Resonance Imaging For Morph And Func W/O Contrast Material; W/ Stress Imaging,5185.0,5185.0,,,0 HCPCS,75561,Cardiac mri for morph w/dye,,,373.86,2691.91,5 HCPCS,75561,"Hc Cardiac Mri For Morphology & Func W/Out Cntrst Mat, Followed By Cntrst Mat & Further Sequ;",4648.0,4648.0,,,0 HCPCS,75563,Card mri w/stress img & dye,,,840.06,3169.39,5 HCPCS,75563,"Hc Cardiac Mri For Morph & Fn Wo Contrast Mat(S), Fllwd By Contrast Mat(S) & Frther Seq; W Strss Img",5502.0,5502.0,,,0 HCPCS,75565,Card mri veloc flow mapping,,,370.85,370.85,1 HCPCS,75565,Hc Cardiac Mri For Velocity Flow Mapping,547.0,547.0,,,0 HCPCS,75571,Ct hrt w/o dye w/ca test,,,93.26,786.26,5 HCPCS,75571,"Hc Ct, Heart, Without Contrast Material, With Quantiative Evaluation Of Coronary Calcium Cash",50.0,50.0,,,0 HCPCS,75572,Ct hrt w/3d image,,,373.86,1599.44,5 HCPCS,75572,"Hc Ct, Heart, With Contrast Material, For Evaluation Of Cardiac Structure And Morphology",1478.0,1478.0,,,0 HCPCS,75573,Ct hrt w/3d image congen,,,373.86,1859.42,5 HCPCS,75573,"Hc Ct,Hrt,W/Cont Materl,For Evl Of Cardiac Strctr And Morpholgy In The Settng Of Congntl Hrt Dis",896.0,896.0,,,0 HCPCS,75574,Ct angio hrt w/3d image,,,373.86,1852.88,5 HCPCS,75574,"Hc Ct Angiography, Heart,Coronary Arteries, Bypass Grafts, W Contrast, Incl 3D Image Postprocessing",1717.0,1717.0,,,0 HCPCS,75574,"Hc Ct Angiography, Heart,Coronary Arteries, Bypass Grafts, W Contrast, Incl 3D Image Postprocessing-",1016.0,1016.0,,,0 HCPCS,75580,Hc N-Invas Est C Ffr Sw Aly Cta,4201.0,4201.0,,,0 HCPCS,75580,N-invas est c ffr sw aly cta,,,920.24,7930.69,5 HCPCS,75600,Contrast exam thoracic aorta,,,272.28,8584.98,8 HCPCS,75600,"Hc Aortography, Thoracic, Without Serialography, S&I",8074.0,8074.0,,,0 HCPCS,75605,Contrast exam thoracic aorta,,,130.28,14311.11,8 HCPCS,75605,"Hc Aortography, Thoracic, By Serialography, S&I",8710.0,8710.0,,,0 HCPCS,75625,Contrast exam abdominl aorta,,,129.72,8584.98,8 HCPCS,75625,"Hc Aortography, Abdominal, By Serialography, S&I",10011.0,10011.0,,,0 HCPCS,75630,"Hc Aortography, Abdominal Plus Bilat Iliofemoral Lower Extremity, Catheter, By Serialography, S&I",10131.0,10131.0,,,0 HCPCS,75630,X-ray aorta leg arteries,,,129.72,8584.98,8 HCPCS,75635,Ct Angio Abdominal Arteries,,,187.96,1849.82,5 HCPCS,75635,"Hc Cta,Abd Aorta&Bilat Iliofem Lower Ext Runoff,W Contrast,Incl Noncontrst Img,& Img Postprocessg",1390.0,1390.0,,,0 HCPCS,75650,"Artery x-rays, head & neck",,,2058.07,2058.07,1 HCPCS,75658,Artery x-rays arm,,,163.11,2055.13,2 HCPCS,75660,"Artery x-rays, head & neck",,,2055.13,2055.13,1 HCPCS,75662,"Artery x-rays, head & neck",,,2058.07,2058.07,1 HCPCS,75665,"Artery x-rays, head & neck",,,2055.13,2055.13,1 HCPCS,75671,"Artery x-rays, head & neck",,,2058.07,2058.07,1 HCPCS,75676,"Artery x-rays, neck",,,2055.13,2055.13,1 HCPCS,75680,"Artery x-rays, neck",,,2058.07,2058.07,1 HCPCS,75685,"Artery x-rays, spine",,,2055.13,2055.13,1 HCPCS,75705,Artery x-rays spine,,,203.76,14311.11,8 HCPCS,75705,"Hc Angiography, Spinal, Selective, S&I",16233.0,16233.0,,,0 HCPCS,75710,Artery x-rays arm/leg,,,169.23,8584.98,8 HCPCS,75710,"Hc Angiography, Extremity, Unilateral, S&I",8710.0,8710.0,,,0 HCPCS,75716,Artery x-rays arms/legs,,,194.82,8584.98,8 HCPCS,75716,"Hc Angography, Extremity, Bilaterial, S&I",9990.0,9990.0,,,0 HCPCS,75722,"Artery x-rays, kidney",,,2055.13,2055.13,1 HCPCS,75724,"Artery x-rays, kidneys",,,2058.07,2058.07,1 HCPCS,75726,Artery x-rays abdomen,,,148.1,14311.11,8 HCPCS,75726,"Hc Angiography, Visceral, Selective Or Supraselective, Radiological S&I",16233.0,16233.0,,,0 HCPCS,75731,Artery x-rays adrenal gland,,,181.49,8584.98,8 HCPCS,75731,"Hc Angiography, Adrenal, Unilateral, Selective, S&I",8710.0,8710.0,,,0 HCPCS,75733,Artery x-rays adrenals,,,190.37,8584.98,8 HCPCS,75736,Artery x-rays pelvis,,,166.44,14311.11,8 HCPCS,75736,"Hc Angiography, Pelvic, Selective Or Supraselective, S&I",8965.0,8965.0,,,0 HCPCS,75741,Artery x-rays lung,,,138.08,8584.98,8 HCPCS,75741,"Hc Angiography, Pulmonary, Unilateral, Selective, S&I",8710.0,8710.0,,,0 HCPCS,75743,Artery x-rays lungs,,,139.74,8584.98,8 HCPCS,75743,"Hc Angiography, Pulmonary, Bilateral, Selective, S&I",8710.0,8710.0,,,0 HCPCS,75746,Artery x-rays lung,,,151.41,8584.98,8 HCPCS,75746,"Hc Angiography, Pulmonary, By Nonselective Catheter Or Venous Injection, S&I",4925.0,4925.0,,,0 HCPCS,75756,Artery x-rays chest,,,175.35,8584.98,8 HCPCS,75756,"Hc Angiography, Internal Mammary, S&I",5442.0,5442.0,,,0 HCPCS,75774,Artery x-ray each vessel,,,483.12,2055.13,2 HCPCS,75774,"Hc Angiography, Selective, Each Additional Vessel Studied After Basic Exam, S&I",6614.0,6614.0,,,0 HCPCS,75790,Visualize A-V shunt,,,223.13,223.13,1 HCPCS,75791,"Angiography, arteriovenous shunt",,,223.13,374.75,2 HCPCS,75801,Hc Lymph Vessel X-Ray Arm/Leg,4272.0,4272.0,,,0 HCPCS,75801,Lymph vessel x-ray arm/leg,,,361.61,5326.89,8 HCPCS,75803,Hc Lymphangiography Extremity Only Bilateral Rs&I,4272.0,4272.0,,,0 HCPCS,75803,Lymph vessel x-ray arms/legs,,,345.48,13698.23,8 HCPCS,75805,Hc Lymphangiography Pelv/Abd Unilat Rad S&I,3224.0,3224.0,,,0 HCPCS,75805,Lymph vessel x-ray trunk,,,383.27,27421.81,8 HCPCS,75807,"Hc Lmphngiogrphy,Pelv/Abd Bilt Rad S&I",3177.0,3177.0,,,0 HCPCS,75807,Lymph vessel x-ray trunk,,,392.15,27421.81,8 HCPCS,75809,Nonvascular shunt x-ray,,,112.03,610.53,8 HCPCS,75810,Hc Spsp-S&I Splenoportography,8074.0,8074.0,,,0 HCPCS,75810,Vein x-ray spleen/liver,,,773.78,27421.81,8 HCPCS,75820,"Hc Venography, Extrmity, Unilateral, S&I",3909.0,3909.0,,,0 HCPCS,75820,Vein x-ray arm/leg,,,126.93,4218.42,8 HCPCS,75822,"Hc Venography, Extremity, Bilateral, S&I",5295.0,5295.0,,,0 HCPCS,75822,Vein x-ray arms/legs,,,134.18,4218.42,8 HCPCS,75825,"Hc Venography, Caval, Inferior, With Serialography, S&I",8710.0,8710.0,,,0 HCPCS,75825,Vein x-ray trunk,,,125.82,8584.98,8 HCPCS,75827,"Hc Venography, Caval, Superior, With Serialography, S&I",6183.0,6183.0,,,0 HCPCS,75827,Vein x-ray chest,,,129.72,4218.42,8 HCPCS,75831,"Hc Venography, Renal,. Unilateral, Selective, S&I",8710.0,8710.0,,,0 HCPCS,75831,Vein x-ray kidney,,,134.73,8584.98,8 HCPCS,75833,"Hc Venography, Renal, Bilateral, Selective, S&I",8710.0,8710.0,,,0 HCPCS,75833,Vein x-ray kidneys,,,145.85,8584.98,8 HCPCS,75840,Vein x-ray adrenal gland,,,143.64,8584.98,8 HCPCS,75842,Vein x-ray adrenal glands,,,167.0,14311.11,5 HCPCS,75860,"Hc Venography, Venous Sinus Or Jugular, Catheter, S&I",3864.0,3864.0,,,0 HCPCS,75860,Vein x-ray neck,,,137.52,8584.98,8 HCPCS,75870,"Hc Venography, Superior Sagittal Sinus, S&I",4187.0,4187.0,,,0 HCPCS,75870,Vein x-ray skull,,,142.53,8584.98,8 HCPCS,75872,"Hc Venography, Epidural, S&I",4925.0,4925.0,,,0 HCPCS,75872,Vein x-ray skull epidural,,,136.97,2055.13,8 HCPCS,75880,Vein x-ray eye socket,,,155.6,1624.86,8 HCPCS,75885,"Hc Percutaneous Transhepatic Portography With Hemodynamic Evaluation, S&I",8710.0,8710.0,,,0 HCPCS,75885,Vein x-ray liver w/hemodynam,,,139.74,8584.98,8 HCPCS,75887,"Hc Percutaneous Transhepatic Portography Without Hemodynamic Evaluation, S&I",7084.0,7084.0,,,0 HCPCS,75887,Vein x-ray liver w/o hemodyn,,,140.87,8584.98,8 HCPCS,75889,"Hc Hepatic Venography, Wedged Or Free, With Hemodynamic Evaluation, S&I",8710.0,8710.0,,,0 HCPCS,75889,Vein x-ray liver w/hemodynam,,,140.3,8584.98,8 HCPCS,75891,"Hc Hepatic Venography, Wedged Or Free, Without Hemodynamic Evaluation, S&I",8710.0,8710.0,,,0 HCPCS,75891,Vein x-ray liver,,,140.87,8584.98,8 HCPCS,75893,"Hc Venous Sampling Through Catheter, With Or Without Angiography, S&I",8710.0,8710.0,,,0 HCPCS,75893,Venous sampling by catheter,,,144.2,14311.11,8 HCPCS,75894,"Hc Transcatheter Therapy, Embolization, Any Method, S&I",9721.0,9721.0,,,0 HCPCS,75894,X-rays transcath therapy,,,3937.04,9090.58,2 HCPCS,75896,"X-rays, transcath therapy",,,3423.26,3423.26,1 HCPCS,75898,Follow-up angiography,,,68.88,27421.81,8 HCPCS,75898,Hc Angiography Through Existing Catheter For Follow-Up Study,3542.0,3542.0,,,0 HCPCS,75900,Arterial catheter exchange,,,3423.26,3423.26,1 HCPCS,75901,"Hc Mechanical Removal Of Pericatheter Obstructive Material From Central Venous Device, S&I",2303.0,2303.0,,,0 HCPCS,75901,Remove cva device obstruct,,,1961.09,1961.09,1 HCPCS,75902,"Hc Mechanical Removal Of Intraluminal Obstructive Material From Central Venous Device, S&I",1704.0,1704.0,,,0 HCPCS,75902,Remove cva lumen obstruct,,,679.54,679.54,1 HCPCS,75940,"X-ray placement, vein filter",,,2055.13,2055.13,1 HCPCS,75945,Intravascular us,,,745.72,745.72,1 HCPCS,75946,Intravascular us add-on,,,372.86,372.86,1 HCPCS,75956,Xray endovasc thor ao repr,,,3360.36,3360.36,1 HCPCS,75957,Xray endovasc thor ao repr,,,2881.4,2881.4,1 HCPCS,75958,Xray place prox ext thor ao,,,1911.69,1911.69,1 HCPCS,75959,Xray place dist ext thor ao,,,1672.61,1672.61,1 HCPCS,75960,"Transcatheter intro, stent",,,2430.93,2430.93,1 HCPCS,75961,"Retrieval, broken catheter",,,1711.63,1711.63,1 HCPCS,75962,Repair arterial blockage,,,179.81,2568.91,2 HCPCS,75964,"Repair artery blockage, each",,,1368.13,1368.13,1 HCPCS,75966,Repair arterial blockage,,,168.68,2568.91,2 HCPCS,75968,"Repair artery blockage, each",,,1368.13,1368.13,1 HCPCS,75970,"Hc Transcatheter Biopsy, S&I",5752.0,5752.0,,,0 HCPCS,75970,Vascular biopsy,,,1884.85,3687.65,2 HCPCS,75978,Repair venous blockage,,,177.03,2568.91,2 HCPCS,75980,Contrast xray exam bile duct,,,886.64,886.64,1 HCPCS,75982,Contrast xray exam bile duct,,,998.21,998.21,1 HCPCS,75984,"Hc Change Of Percutaneous Tube Or Drainage Cather With Contrast Monitoring, S&I",3032.0,3032.0,,,0 HCPCS,75984,Xray control catheter change,,,320.01,554.8,2 HCPCS,75989,Abscess drainage under x-ray,,,513.78,606.08,2 HCPCS,75989,Chg Radiological Guidance Prq Drg W/Plmt Cath Rs&I-Gast,3743.0,3743.0,,,0 HCPCS,75989,Chg Radiological Guidance Prq Drg W/Plmt Cath Rs&I-Gold,3743.0,3743.0,,,0 HCPCS,75989,"Chg Radiological Guidance Prq Drg W/Plmt Cath Rs&I-Gold,Pbb",3743.0,3743.0,,,0 HCPCS,75989,Chg Radiological Guidance Prq Drg W/Plmt Cath Rs&I-Pbb,3743.0,3743.0,,,0 HCPCS,75989,"Hc Radiological Guidance, For Percutaneous Drainage, With Placement Of Catheter, S&I",3515.0,3515.0,,,0 HCPCS,75989,"Hc Radiological Guidance, For Percutaneous Drainage, With Placement Of Catheter, S&I-Gold",5386.5,5386.5,,,0 HCPCS,75989,"Hc Radiological Guidance, For Percutaneous Drainage, With Placement Of Catheter, S&I-Gold,Pbb",5386.5,5386.5,,,0 HCPCS,75989,"Hc Radiological Guidance, For Percutaneous Drainage, With Placement Of Catheter, S&I-Pbb",5386.5,5386.5,,,0 HCPCS,75992,"Atherectomy, x-ray exam",,,2568.91,2568.91,1 HCPCS,75993,"Atherectomy, x-ray exam",,,1368.13,1368.13,1 HCPCS,75994,"Atherectomy, x-ray exam",,,2568.91,2568.91,1 HCPCS,75995,"Atherectomy, x-ray exam",,,2568.91,2568.91,1 HCPCS,75996,"Atherectomy, x-ray exam",,,1368.13,1368.13,1 HCPCS,76000,Chg Fluoroscopy Up To 1 Hour Physician/Qhp Time-Gast,140.0,140.0,,,0 HCPCS,76000,Chg Fluoroscopy Up To 1 Hour Physician/Qhp Time-Pbb,140.0,140.0,,,0 HCPCS,76000,Fluoroscope examination,,,60.68,690.39,8 HCPCS,76000,"Hc Fluoroscopy (Separate Procedure), Up To 1 Hour Physician Or Other Qualified Health Care Professio",1835.5,1835.5,,,0 HCPCS,76001,Fluoroscope exam extensive,,,428.64,428.64,1 HCPCS,76003,Needle localization by x-ray,,,214.32,214.32,1 HCPCS,76010,X-ray nose to rectum,,,26.7,242.7,8 HCPCS,76014,Hc Mri Safety Implt&/Fb Asmt Init,53.0,53.0,,,0 HCPCS,76014,Mr sfty implt&/fb asmt stf 1,,,30.99,100.19,5 HCPCS,76015,Hc Mri Safety Implt&/Fb Asmt Add 30V,26.0,26.0,,,0 HCPCS,76015,Mr sfty mplt&/fb asmt stf ea,,,483.12,483.12,1 HCPCS,76016,Hc Mri Safety Deter Phys/Qhp,187.0,187.0,,,0 HCPCS,76016,Mr safety deter phys/qhp,,,93.26,406.69,5 HCPCS,76017,Hc Mri Safety Med Phys Cstm,513.0,513.0,,,0 HCPCS,76017,Mr sfty med physics xm cstmz,,,255.69,1706.56,5 HCPCS,76018,Hc Mri Safety Implant Elec Prep,195.0,195.0,,,0 HCPCS,76018,Mr safety implant elec prepj,,,101.88,710.52,5 HCPCS,76019,Hc Mri Safety Postion & Immob,127.0,127.0,,,0 HCPCS,76019,Mr safety implt pos&/immoblj,,,63.22,1084.94,5 HCPCS,76020,X-rays for bone age,,,85.14,85.14,1 HCPCS,76040,"X-rays, bone evaluation",,,129.18,129.18,1 HCPCS,76061,"X-rays, bone survey",,,161.47,161.47,1 HCPCS,76062,"X-rays, bone survey",,,234.87,234.87,1 HCPCS,76065,"X-rays, bone evaluation",,,120.37,120.37,1 HCPCS,76066,"Joint(s) survey, single film",,,182.03,182.03,1 HCPCS,76070,"CT scan, bone density study",,,478.55,478.55,1 HCPCS,76075,Dual energy x-ray study,,,507.91,507.91,1 HCPCS,76080,"Hc Radiologic Examination, Abcess, Fistula Or Sinus Study, S&I",2033.0,2033.0,,,0 HCPCS,76080,X-ray exam of fistula,,,45.63,1448.67,8 HCPCS,76086,X-ray of mammary duct,,,431.58,431.58,1 HCPCS,76088,X-ray of mammary ducts,,,595.99,595.99,1 HCPCS,76090,"Mammogram, one breast",,,173.22,173.22,1 HCPCS,76091,"Mammogram, both breasts",,,214.32,214.32,1 HCPCS,76092,"Mammogram, screening",,,214.32,214.32,1 HCPCS,76093,"Magnetic image, breast",,,2877.18,2877.18,1 HCPCS,76094,"Magnetic image, both breasts",,,3901.81,3901.81,1 HCPCS,76095,Stereotactic breast biopsy,,,1168.49,1168.49,1 HCPCS,76096,"X-ray of needle wire, breast",,,211.38,211.38,1 HCPCS,76098,"Hc Radiologic Examination, Surgical Specimen",913.0,913.0,,,0 HCPCS,76098,X-ray exam breast specimen,,,13.89,1448.67,8 HCPCS,76100,"Hc Radiologic Exam, Single Plane Body Section",323.0,323.0,,,0 HCPCS,76100,X-ray exam of body section,,,95.19,637.84,8 HCPCS,76101,Complex body section x-ray,,,153.11,231.94,2 HCPCS,76102,Complex body section x-rays,,,219.9,284.78,2 HCPCS,76120,Cine/video x-rays,,,100.77,1009.86,8 HCPCS,76125,Cine/video x-rays add-on,,,129.18,276.11,2 HCPCS,76140,X-ray consultation,,,20.55,628.45,2 HCPCS,76145,Med physic dos eval rad exps,,,299.46,8655.27,7 HCPCS,76355,CAT scan for localization,,,1347.58,1347.58,1 HCPCS,76360,CAT scan for needle biopsy,,,1347.58,1347.58,1 HCPCS,76365,Description Not Available,,,1347.58,1347.58,1 HCPCS,76370,CAT scan for therapy guide,,,484.42,484.42,1 HCPCS,76375,3d/holograph reconstr add-on,,,578.37,578.37,1 HCPCS,76376,3d render w/intrp postproces,,,155.53,578.37,2 HCPCS,76376,Chg 3D Rendering W/Interp & Postprocess Supervision-Gast,140.0,140.0,,,0 HCPCS,76376,Chg 3D Rendering W/Interp & Postprocess Supervision-Pbb,140.0,140.0,,,0 HCPCS,76376,"Hc 3D Rndrg W/Interpret/Rprt Of Ct,Mri,U/S Or Othr Modality;Not Req Img Pstprocess Indpndnt Wrkstn",1305.0,1305.0,,,0 HCPCS,76376,"Hc 3D Rndrg W/Interpret/Rprt Of Ct,Mri,U/S Or Othr Modality;Not Req Img Pstprocess Indpndnt Wrkstn-P",1374.5,1374.5,,,0 HCPCS,76377,3d render w/intrp postproces,,,401.64,578.37,2 HCPCS,76377,Chg 3D Rendering W/Interp&Postproc Diff Work Station-Pbb,493.0,493.0,,,0 HCPCS,76377,"Hc 3D Rendering Interpr/Rprt Ct, Mri, Ultrsnds, Other Modality W Img Postprcss Indpndnt Workstation",2479.0,2479.0,,,0 HCPCS,76377,"Hc 3D Rendering Interpr/Rprt Ct, Mri, Ultrsnds, Other Modality W Img Postprcss Indpndnt Workstation-",2725.5,2725.5,,,0 HCPCS,76380,CAT scan follow-up study,,,93.26,890.21,6 HCPCS,76380,Hc Ct - Limited Or Follow-Up Study,2682.0,2682.0,,,0 HCPCS,76390,Hc Magnetic Resonance Spectroscopy,4235.0,4235.0,,,0 HCPCS,76390,Mr spectroscopy,,,93.26,3246.9,5 HCPCS,76391,Hc Mri Elastography,5060.0,5060.0,,,0 HCPCS,76391,Mr elastography,,,255.69,1493.22,5 HCPCS,76400,"Magnetic image, bone marrow",,,1829.07,1829.07,1 HCPCS,76496,Fluoroscopic procedure,,,92.75,801.21,7 HCPCS,76496,Hc Unlisted Fluoroscopic Procedure,796.0,796.0,,,0 HCPCS,76497,Ct procedure,,,93.26,890.21,5 HCPCS,76497,Hc Res Stress Cct Research,541.0,541.0,,,0 HCPCS,76498,Hc Mr Brain Srs- Unspecified W/Wo Contrast,8799.0,8799.0,,,0 HCPCS,76498,Hc Mri Radiosurgery Planning,9326.0,9326.0,,,0 HCPCS,76498,Hc Mri Research Wb,1216.0,1216.0,,,0 HCPCS,76498,Hc Mri Whole Body,1152.0,1152.0,,,0 HCPCS,76498,Hc Res Cmr Flow Research,541.0,541.0,,,0 HCPCS,76498,Mri procedure,,,93.26,890.21,5 HCPCS,76499,Chg Unlisted Diagnostic Radiographic Procedure-Gast,277.0,277.0,,,0 HCPCS,76499,Chg Unlisted Diagnostic Radiographic Procedure-Pbb,277.0,277.0,,,0 HCPCS,76499,Hc Unlisted Diagnostic Radiographic Procedure,1566.0,1566.0,,,0 HCPCS,76499,Hc Unlisted Diagnostic Radiographic Procedure F B Dexa Cash-Csm,125.0,125.0,,,0 HCPCS,76499,Hc Unlisted Diagnostic Radiographic Procedure F B Dexa Research,216.0,216.0,,,0 HCPCS,76499,Hc Unlisted Diagnostic Radiographic Procedure F B Dexa Research-Pbb,329.5,329.5,,,0 HCPCS,76499,Hc Unlisted Diagnostic Radiographic Procedure-Pbb,1705.0,1705.0,,,0 HCPCS,76499,Radiographic procedure,,,92.75,866.39,7 HCPCS,76506,Echo exam of head,,,112.03,859.68,8 HCPCS,76506,"Hc Echoencephalogra, Real Time W/Image Document/A-Mode Encephalogra /2Ndary Compo Where Indicated",1186.0,1186.0,,,0 HCPCS,76510,Ophth us b & quant a,,,128.06,335.85,7 HCPCS,76511,Ophth us quant a only,,,76.26,326.91,8 HCPCS,76512,Chg Ophthalmic Us Dx B-Scan W/Wo Non-Quan A-Scan-Pbb,670.0,670.0,,,0 HCPCS,76512,"Hc Ophthalmic Ultrasound, Diagnostic, B-Scan",788.0,788.0,,,0 HCPCS,76512,"Hc Ophthalmic Ultrasound, Diagnostic, B-Scan-Pbb",1123.0,1123.0,,,0 HCPCS,76512,Ophth us b w/non-quant a,,,62.9,326.91,8 HCPCS,76513,Chg Dx Ophthalmic Us Ant Segment Immersion Uni/Bi-Pbb,631.0,631.0,,,0 HCPCS,76513,Echo exam of eye water bath,,,94.08,443.29,8 HCPCS,76513,"Hc Ophth Ultrasound, Echo, Ant, B-Scan/High Resolution Biomicroscopy-Pbb",638.5,638.5,,,0 HCPCS,76514,Chg Ophthalmic Us Dx Corneal Pachymetry Uni/Bi-Pbb,172.0,172.0,,,0 HCPCS,76514,Echo exam of eye thickness,,,8.88,74.01,7 HCPCS,76514,"Hc Ophthalmic Ultrasound, Diagnostic, Corneal Pachymetry, Unilateral Or Bilateral",395.0,395.0,,,0 HCPCS,76514,"Hc Ophthalmic Ultrasound, Diagnostic, Corneal Pachymetry, Unilateral Or Bilateral-Pbb",481.0,481.0,,,0 HCPCS,76516,Chg Ophthalmic Biometry Us Echograpy A-Scan-Pbb,445.0,445.0,,,0 HCPCS,76516,Echo exam of eye,,,75.15,326.91,8 HCPCS,76516,"Ophthalmic Biometry By Ultrasound Echography, A-Scan",410.0,410.0,,,0 HCPCS,76516,"Ophthalmic Biometry By Ultrasound Echography, A-Scan-Pbb",632.0,632.0,,,0 HCPCS,76519,Chg Oph Bmtry Us Echograpy A-Scan Io Lens Pwr Cal-Pbb,435.0,435.0,,,0 HCPCS,76519,Echo exam of eye,,,83.51,385.27,8 HCPCS,76519,"Hc Ophthalmic Biometry By Ultrasound Echography, A-Scan, With Intraocular Lends Power Calculation",657.0,657.0,,,0 HCPCS,76519,"Hc Ophthalmic Biometry By Ultrasound Echography, A-Scan, With Intraocular Lends Power Calculation-Pb",874.5,874.5,,,0 HCPCS,76529,Echo exam of eye,,,74.04,555.92,8 HCPCS,76536,Chg Us Soft Tissue Head & Neck Real Time Imge Docm-Pbb,408.0,408.0,,,0 HCPCS,76536,"Hc Ultrasound, Soft Tissue Of Head And Neck, Real Time With Image Document",1708.0,1708.0,,,0 HCPCS,76536,"Hc Ultrasound, Soft Tissue Of Head And Neck, Real Time With Image Document-Pbb",1912.0,1912.0,,,0 HCPCS,76536,Us exam of head and neck,,,112.03,869.92,8 HCPCS,76604,Chg Us Chest Real Time W/Image Documentation-Gold,198.0,198.0,,,0 HCPCS,76604,"Chg Us Chest Real Time W/Image Documentation-Gold,Oprm",198.0,198.0,,,0 HCPCS,76604,"Chg Us Chest Real Time W/Image Documentation-Gold,Pbb",198.0,198.0,,,0 HCPCS,76604,Chg Us Chest Real Time W/Image Documentation-Pbb,198.0,198.0,,,0 HCPCS,76604,"Hc Ultrasound, Chest, Real Time With Image Documentation",1281.0,1281.0,,,0 HCPCS,76604,"Hc Ultrasound, Chest, Real Time With Image Documentation-Gold",1380.5,1380.5,,,0 HCPCS,76604,"Hc Ultrasound, Chest, Real Time With Image Documentation-Gold,Pbb",1380.5,1380.5,,,0 HCPCS,76604,"Hc Ultrasound, Chest, Real Time With Image Documentation-Pbb",1380.0,1380.0,,,0 HCPCS,76604,Us exam chest,,,96.32,326.91,8 HCPCS,76641,Chg Us Breast Uni Real Time With Image Complete-Pbb,237.0,237.0,,,0 HCPCS,76641,"Hc U/S, Breast, Unilat, Real Time W/ Image Documentation, Incl Axilla When Perf, Complete",993.6,993.6,,,0 HCPCS,76641,"Hc U/S, Breast, Unilat, Real Time W/ Image Documentation, Incl Axilla When Perf, Complete-Pbb",1112.0,1112.0,,,0 HCPCS,76641,Ultrasound breast complete,,,111.9,709.51,8 HCPCS,76642,Chg Us Breast Uni Real Time With Image Limited-Pbb,220.0,220.0,,,0 HCPCS,76642,"Hc Ultrasound, Breast, Unilateral",929.0,929.0,,,0 HCPCS,76642,"Hc Ultrasound, Breast, Unilateral-Pbb",1039.0,1039.0,,,0 HCPCS,76642,Ultrasound breast limited,,,85.73,545.69,8 HCPCS,76645,Echo exam of breast(s),,,173.22,173.22,1 HCPCS,76700,Chg Us Abdominal Real Time W/Image Documentation-Pbb,399.0,399.0,,,0 HCPCS,76700,"Hc Ultrasound, Abdominal, Real Time With Image Documentation, Complete",2716.0,2716.0,,,0 HCPCS,76700,"Hc Ultrasound, Abdominal, Real Time With Image Documentation, Complete-Pbb",2915.5,2915.5,,,0 HCPCS,76700,Us exam abdom complete,,,112.03,811.9,8 HCPCS,76705,Chg Us Abdominal Real Time W/Image Limited-Gold,283.0,283.0,,,0 HCPCS,76705,"Chg Us Abdominal Real Time W/Image Limited-Gold,Oprm",283.0,283.0,,,0 HCPCS,76705,"Chg Us Abdominal Real Time W/Image Limited-Gold,Pbb",283.0,283.0,,,0 HCPCS,76705,Chg Us Abdominal Real Time W/Image Limited-Pbb,283.0,283.0,,,0 HCPCS,76705,Echo exam of abdomen,,,97.98,620.77,8 HCPCS,76705,"Hc Ultrasound, Abdominal, Real Time With Image Documentation, Limited",2075.0,2075.0,,,0 HCPCS,76705,"Hc Ultrasound, Abdominal, Real Time With Image Documentation, Limited-Gold",2216.5,2216.5,,,0 HCPCS,76705,"Hc Ultrasound, Abdominal, Real Time With Image Documentation, Limited-Gold,Pbb",2216.5,2216.5,,,0 HCPCS,76705,"Hc Ultrasound, Abdominal, Real Time With Image Documentation, Limited-Pbb",2216.5,2216.5,,,0 HCPCS,76706,Hc Ultrasound Abdominal Aorta Screening Abdominal Aortic Aneurysm,323.0,323.0,,,0 HCPCS,76706,Us abdl aorta screen aaa,,,112.03,832.38,6 HCPCS,76770,"Hc Ultrasound, Retroperitoneal, Real Time With Image Documentation, Complete",2138.0,2138.0,,,0 HCPCS,76770,Us exam abdo back wall comp,,,112.03,764.12,8 HCPCS,76775,"Hc Ultrasound, Retroperitoneal, Real Time With Image Documentation, Limited",1912.0,1912.0,,,0 HCPCS,76775,Us exam abdo back wall lim,,,46.19,327.25,8 HCPCS,76776,"Hc Ultrasound, Transplanted Kidney, Real Time And Duplex Doppler With Image Documentation",1175.0,1175.0,,,0 HCPCS,76776,Us exam k transpl w/doppler,,,112.03,1163.05,7 HCPCS,76778,Echo exam kidney transplant,,,322.95,322.95,1 HCPCS,76800,Hc Ultrasound Spinal Canal And Contents,824.0,824.0,,,0 HCPCS,76800,Us exam spinal canal,,,112.03,992.79,8 HCPCS,76801,Chg Us Pregnant Uterus 14 Wk Transabdl 1/1St Gestat-Pbb,673.0,673.0,,,0 HCPCS,76801,"Hc U/S, Preg Uterus, Real Time W/Img Doc,Fetal And Maternal Evl,1St Trimester,Sngl /First Gestation",702.0,702.0,,,0 HCPCS,76801,"Hc U/S, Preg Uterus, Real Time W/Img Doc,Fetal And Maternal Evl,1St Trimester,Sngl /First Gestation-",1038.5,1038.5,,,0 HCPCS,76801,Ob us < 14 wks single fetus,,,112.03,733.4,7 HCPCS,76802,Chg Us Preg Uterus 14 Wk Transabdl Each Gestation-Pbb,284.0,284.0,,,0 HCPCS,76802,"Hc U/S Pregnant Uterus/Real Time W/Image Document/Fetal & Maternal Eval, First Trimes, Ea Add Gestat",622.5,622.5,,,0 HCPCS,76802,Ob us < 14 wks addl fetus,,,199.58,199.58,1 HCPCS,76805,Chg Us Preg Uterus After 1St Trimest 1/1St Gestation-Pbb,628.0,628.0,,,0 HCPCS,76805,"Hc U/S,Preg Utrs,Rl Time W Image Doc,Ftl&Matrnl Eval,After 1St Tri,Transabd Appr,Single Or 1St Gest",1423.0,1423.0,,,0 HCPCS,76805,"Hc U/S,Preg Utrs,Rl Time W Image Doc,Ftl&Matrnl Eval,After 1St Tri,Transabd Appr,Single Or 1St Gest-",1737.0,1737.0,,,0 HCPCS,76805,Ob us >/= 14 wks sngl fetus,,,112.03,917.31,8 HCPCS,76810,Chg Us Preg Uterus > 1St Trimester Abdl Ea Gestatio-Pbb,619.0,619.0,,,0 HCPCS,76810,"Hc U/S, Preg Utrs,Rl Time W/Img Doc,Fetal&Mtrnl Eval,After 1St Trim,Trnsabd Aprch,Sngl/First Gestatn",1178.0,1178.0,,,0 HCPCS,76810,Ob us >/= 14 wks addl fetus,,,392.63,684.06,2 HCPCS,76811,Chg Us Preg Uterus W/Detail Fetal Anat 1St Gestation-Pbb,797.0,797.0,,,0 HCPCS,76811,"Hc Us, Preg Uterus,Real Time W Img Docn,Fet&Mat Eval Det Fet Anatomic Exam; Transabd;Sing/1St Gest",1678.0,1678.0,,,0 HCPCS,76811,"Hc Us, Preg Uterus,Real Time W Img Docn,Fet&Mat Eval Det Fet Anatomic Exam; Transabd;Sing/1St Gest-P",2077.0,2077.0,,,0 HCPCS,76811,Ob us detailed sngl fetus,,,133.04,896.03,7 HCPCS,76812,Chg Us Preg Uterus Detail Fetal Anat Exam Ea Gestat-Pbb,681.0,681.0,,,0 HCPCS,76812,"Hc Us,Preg Uterus,Rl Tm W Img Doc,Fet&Mat Eval Plus Det Fet Anatomic Exam;Transabd;Ea Add Gest",815.0,815.0,,,0 HCPCS,76812,"Hc Us,Preg Uterus,Rl Tm W Img Doc,Fet&Mat Eval Plus Det Fet Anatomic Exam;Transabd;Ea Add Gest-Pbb",1156.0,1156.0,,,0 HCPCS,76812,Ob us detailed addl fetus,,,1016.04,1016.04,1 HCPCS,76813,Chg Us Fetal Nuchal Translucency 1St Gestation-Pbb,708.0,708.0,,,0 HCPCS,76813,"Hc Us,Preg Uterus,Rl Tm W Img Doc,1St Tri Fet Nuchal Translucny Meas,Transabd/Transvag;Sing/1St Gest",1530.5,1530.5,,,0 HCPCS,76813,Ob us nuchal meas 1 gest,,,95.19,631.01,7 HCPCS,76814,Chg Us Fetal Nuchal Translucency Ea Addl Gestation-Pbb,354.0,354.0,,,0 HCPCS,76814,"Hc Us,Preg Utrs,Rl Time W/Img Doc,1St Tri Ftl Nuchl Trasnlcncy Meas,Trnsab Or Trnsvag Apr;Ea Ad Gest",829.0,829.0,,,0 HCPCS,76814,Ob us nuchal meas add-on,,,267.89,267.89,1 HCPCS,76815,Chg Us Pregnant Uterus Limited 1/> Fetuses-Pbb,707.0,707.0,,,0 HCPCS,76815,"Hc Ultrasound, Pregnant Uterus, Real With W Image Doc, Limited, 1 Or More Fetuses",960.0,960.0,,,0 HCPCS,76815,"Hc Ultrasound, Pregnant Uterus, Real With W Image Doc, Limited, 1 Or More Fetuses-Pbb",1314.0,1314.0,,,0 HCPCS,76815,Ob us limited fetus(s),,,81.83,521.79,8 HCPCS,76816,Chg Us Preg Uterus Real Time F/U Trnsabdl Per Fetus-Pbb,557.0,557.0,,,0 HCPCS,76816,"Hc U/S, Pregnant Uterus, Real Time W/ Image Documentation, Follow-Up, Transabd Apprach, Per Fetus",824.0,824.0,,,0 HCPCS,76816,"Hc U/S, Pregnant Uterus, Real Time W/ Image Documentation, Follow-Up, Transabd Apprach, Per Fetus-Pb",1102.5,1102.5,,,0 HCPCS,76816,Ob us follow-up per fetus,,,112.03,716.34,8 HCPCS,76817,Chg Us Preg Uterus Real Time W/Image Dcmtn Transvag-Pbb,670.0,670.0,,,0 HCPCS,76817,"Hc Ultrasound, Pregnant Uterus, Real Time With Image Documentation, Transvaginal",710.0,710.0,,,0 HCPCS,76817,"Hc Ultrasound, Pregnant Uterus, Real Time With Image Documentation, Transvaginal-Pbb",1045.5,1045.5,,,0 HCPCS,76817,Transvaginal us obstetric,,,93.53,590.06,7 HCPCS,76818,Chg Fetal Biophysical Profile Non-Stress Testing-Pbb,1380.0,1380.0,,,0 HCPCS,76818,Fetal biophys profile w/nst,,,107.42,688.63,8 HCPCS,76818,Hc Fetal Biophysical Profile; With Non-Stress Testing,1358.0,1358.0,,,0 HCPCS,76818,Hc Fetal Biophysical Profile; With Non-Stress Testing-Pbb,2048.0,2048.0,,,0 HCPCS,76819,Chg Fetal Biophysical Profile W/O Non-Stress Testing-Pbb,626.0,626.0,,,0 HCPCS,76819,Fetal biophys profil w/o nst,,,77.93,494.49,7 HCPCS,76819,Hc Fetal Biophysical Profile; Without Non-Stress Testing,1250.0,1250.0,,,0 HCPCS,76819,Hc Fetal Biophysical Profile; Without Non-Stress Testing-Pbb,1563.0,1563.0,,,0 HCPCS,76820,Chg Doppler Velocimetry Fetal Umbilical Artery-Pbb,1144.0,1144.0,,,0 HCPCS,76820,"Hc Doppler Velocimetry, Fetal; Umbilical Artery",1192.0,1192.0,,,0 HCPCS,76820,"Hc Doppler Velocimetry, Fetal; Umbilical Artery-Pbb",1764.0,1764.0,,,0 HCPCS,76820,Umbilical artery echo,,,34.5,326.91,7 HCPCS,76821,Chg Doppler Velocimetry Fetal Middle Cerebral Art-Pbb,412.0,412.0,,,0 HCPCS,76821,"Hc Doppler Velocimetry, Fetal; Middle Cerebral Artery",2938.0,2938.0,,,0 HCPCS,76821,"Hc Doppler Velocimetry, Fetal; Middle Cerebral Artery-Pbb",3144.5,3144.5,,,0 HCPCS,76821,Middle cerebral artery echo,,,90.18,572.99,7 HCPCS,76825,Chg Echo Fetal Cardiovasc W/Wo M-Mode Recording-Pbb,678.0,678.0,,,0 HCPCS,76825,Echo exam of fetal heart,,,304.55,1899.46,8 HCPCS,76825,"Hc Echocardiography, Fetal, Cardiovasc Sys, Real Time W Img Docmntatn (2D0, W/ Or W/O M-Mode Recrdng",2320.0,2320.0,,,0 HCPCS,76826,Echo exam of fetal heart,,,114.5,1217.65,8 HCPCS,76826,"Hc Echo, Fetal, Cardvasc Sys, Real Time W Img Doc (2D0, W/ Or W/O M-Mode Recording, Follow Up/Repeat",1496.0,1496.0,,,0 HCPCS,76827,Chg Doppler Echo Fetal Spectral Display Complete-Pbb,266.0,266.0,,,0 HCPCS,76827,Echo exam of fetal heart,,,74.6,436.47,8 HCPCS,76827,"Hc Doppler Echocardiography, Fetal, Pulsed Wave And/Or Cont Wave W/ Spectral Display, Complete",1440.0,1440.0,,,0 HCPCS,76827,"Hc Doppler Echocardiography, Fetal, Pulsed Wave And/Or Cont Wave W/ Spectral Display, Complete-Pbb",1573.0,1573.0,,,0 HCPCS,76828,Chg Doppler Echo Fetal Puls Spectral F/U/Repeat-Pbb,145.0,145.0,,,0 HCPCS,76828,Echo exam of fetal heart,,,40.07,326.91,8 HCPCS,76828,"Hc Doppler Echocardiogrphy, Fetal, Pulsed Wave And/Or Cont Wave W/ Spectrl Display; Follow Up/Repeat",1157.5,1157.5,,,0 HCPCS,76830,Chg Us Transvaginal-Pbb,673.0,673.0,,,0 HCPCS,76830,"Hc Ultrasound, Transvaginal",1063.0,1063.0,,,0 HCPCS,76830,"Hc Ultrasound, Transvaginal-Pbb",1399.5,1399.5,,,0 HCPCS,76830,Transvaginal us non-ob,,,112.03,897.23,8 HCPCS,76831,Chg Saline Infus Sonohysterography W/Color Doppler-Pbb,991.0,991.0,,,0 HCPCS,76831,Echo exam uterus,,,129.17,849.45,7 HCPCS,76831,"Hc Saline Infusion Sonohysterography, Including Color Flow Doppler When Performed",1768.0,1768.0,,,0 HCPCS,76831,"Hc Saline Infusion Sonohysterography, Including Color Flow Doppler When Performed-Pbb",2263.5,2263.5,,,0 HCPCS,76856,Chg Us Pelvic Nonobstetric Real-Time Image Complete-Pbb,458.0,458.0,,,0 HCPCS,76856,"Hc Ultrasound, Pelvic (Non-Ob), Real Time With Image Documentation, Complete",1887.0,1887.0,,,0 HCPCS,76856,"Hc Ultrasound, Pelvic (Non-Ob), Real Time With Image Documentation, Complete-Pbb",2116.0,2116.0,,,0 HCPCS,76856,Us exam pelvic complete,,,112.03,753.88,8 HCPCS,76857,Chg Us Pelvic Nonobstetric Image Dcmtn Limited/F/U-Pbb,211.0,211.0,,,0 HCPCS,76857,"Hc Ultrasound, Pelvic (Non-Ob), Real Time With Image Documentation, Limited/Follow-Up",597.0,597.0,,,0 HCPCS,76857,"Hc Ultrasound, Pelvic (Non-Ob), Real Time With Image Documentation, Limited/Follow-Up-Pbb",702.0,702.0,,,0 HCPCS,76857,Us exam pelvic limited,,,36.17,326.91,8 HCPCS,76870,"Hc Ultrasound, Scrotum And Contents",1688.0,1688.0,,,0 HCPCS,76870,Us exam scrotum,,,56.22,729.99,8 HCPCS,76872,Chg Us Transrectal-Pbb,304.0,304.0,,,0 HCPCS,76872,"Hc Ultrasound, Transrectal",1034.0,1034.0,,,0 HCPCS,76872,"Hc Ultrasound, Transrectal-Pbb",1186.0,1186.0,,,0 HCPCS,76872,Us transrectal,,,95.75,1739.85,8 HCPCS,76873,Echograp trans r pros study,,,112.03,1019.7,7 HCPCS,76873,"Hc Ultrasound, Transrectal; Prostate Volume Study For Brachytherapy Treatment Planning",2331.0,2331.0,,,0 HCPCS,76880,Echo exam of extremity,,,234.87,234.87,1 HCPCS,76881,Chg Us Compl Joint R-T W/Image Documentation-Pbb,204.0,204.0,,,0 HCPCS,76881,"Hc Ultrasound, Complete Joint (Ie, Joint Space And Peri-Articular Soft Tissue Structures) Real-Time",1301.0,1301.0,,,0 HCPCS,76881,Us xtr non-vasc complete,,,105.63,326.91,8 HCPCS,76882,Chg Us Lmtd Jt/Fcl Eval Nonvasc Xtr Strux R-T W/Img-Pbb,153.0,153.0,,,0 HCPCS,76882,"Hc Us, Ltd, Joint Nonvasc Extrmty Structure(S) (Eg, Joint Space, Peri-Articular Tnds) Real-Time W/Im",424.5,424.5,,,0 HCPCS,76882,Us xtr non-vasc lmtd,,,18.35,326.91,8 HCPCS,76883,Hc Us Nrv&Acc Strux 1 Xtr Compre W/Img Pr Extremity,240.0,240.0,,,0 HCPCS,76883,Us nrv&acc strux 1xtr compre,,,112.03,320.64,6 HCPCS,76885,Hc Ults-Ultra Snd Inft Hips W/Img Doc;Dynmc,487.0,487.0,,,0 HCPCS,76885,Us exam infant hips dynamic,,,93.26,1053.83,7 HCPCS,76886,Hc Ults-Ultrsnd Inft Hips W Img Doc; Lmtd,329.0,329.0,,,0 HCPCS,76886,Us exam infant hips static,,,93.26,736.82,7 HCPCS,76930,Echo guide cardiocentesis,,,249.55,249.55,1 HCPCS,76932,Echo guide for heart biopsy,,,249.55,586.18,2 HCPCS,76932,"Hc Ultrasonic Guidance For Endomyocardial Biopsy, S&I",544.0,544.0,,,0 HCPCS,76934,Description Not Available,,,249.55,249.55,1 HCPCS,76936,Echo guide for artery repair,,,231.39,1718.57,8 HCPCS,76936,Hc Ultrasound Guided Compression Repair Of Arterial Pseudoaneurysm Or Arteriovenous Fistulae,2721.0,2721.0,,,0 HCPCS,76937,Chg Us Vasc Access Sits Vsl Patency Ndl Entry-Gold,204.0,204.0,,,0 HCPCS,76937,"Chg Us Vasc Access Sits Vsl Patency Ndl Entry-Gold,Oprm",204.0,204.0,,,0 HCPCS,76937,"Chg Us Vasc Access Sits Vsl Patency Ndl Entry-Gold,Pbb",204.0,204.0,,,0 HCPCS,76937,Chg Us Vasc Access Sits Vsl Patency Ndl Entry-Pbb,204.0,204.0,,,0 HCPCS,76937,"Hc Us Gd Vasc Accss Requ Us Evl Of Accss Sts,Documnt Vssl Pat,Concurrnt Us Vis Of Vasc Ndl Entry,Rec",1118.0,1118.0,,,0 HCPCS,76937,Us guide vascular access,,,237.01,237.01,1 HCPCS,76938,Description Not Available,,,249.55,249.55,1 HCPCS,76940,"Hc Ultrasound Guidance, For, And Monitoring Of, Panechymal Tissue Ablation",669.0,669.0,,,0 HCPCS,76940,Us guide tissue ablation,,,589.35,589.35,1 HCPCS,76941,Chg Us Intrauterine Ftl Tfuj/Cordocnts Img S&I-Pbb,481.0,481.0,,,0 HCPCS,76941,Echo guide for transfusion,,,246.62,527.27,2 HCPCS,76941,Hc Us For Fetal Transf/Cordocentesis-Pbb,1274.5,1274.5,,,0 HCPCS,76942,Chg Us Guidance Needle Placement Img S&I-Gast,723.0,723.0,,,0 HCPCS,76942,Chg Us Guidance Needle Placement Img S&I-Gold,723.0,723.0,,,0 HCPCS,76942,"Chg Us Guidance Needle Placement Img S&I-Gold,Oprm",723.0,723.0,,,0 HCPCS,76942,"Chg Us Guidance Needle Placement Img S&I-Gold,Pbb",723.0,723.0,,,0 HCPCS,76942,Chg Us Guidance Needle Placement Img S&I-Pbb,723.0,723.0,,,0 HCPCS,76942,Echo guide for biopsy,,,249.55,264.73,2 HCPCS,76942,"Hc Ultrasonic Guidance For Needle Placement, S&I",1408.0,1408.0,,,0 HCPCS,76942,"Hc Ultrasonic Guidance For Needle Placement, S&I-Gold",1769.5,1769.5,,,0 HCPCS,76942,"Hc Ultrasonic Guidance For Needle Placement, S&I-Gold,Pbb",1769.5,1769.5,,,0 HCPCS,76942,"Hc Ultrasonic Guidance For Needle Placement, S&I-Pbb",1769.5,1769.5,,,0 HCPCS,76942,Hc Ultrasonic Guidance-Liver Bio Gi Facility,1408.0,1408.0,,,0 HCPCS,76942,Hc Ultrasonic Guidance-Liver Bio Gi Facility-Pbb,723.0,723.0,,,0 HCPCS,76945,Chg Us Guidance Chorionic Villus Sampling Img S&I-Pbb,454.0,454.0,,,0 HCPCS,76945,Echo guide villus sampling,,,249.55,542.92,2 HCPCS,76945,"Hc Ultrasonic Guidance For Chorionic Villus Sampling, S&I",1034.0,1034.0,,,0 HCPCS,76945,"Hc Ultrasonic Guidance For Chorionic Villus Sampling, S&I-Pbb",1261.0,1261.0,,,0 HCPCS,76946,Chg Us Guidance Amniocentesis Img S&I-Pbb,292.0,292.0,,,0 HCPCS,76946,Echo guide for amniocentesis,,,139.99,249.55,2 HCPCS,76946,"Hc Ultrasonic Guidance For Amniocentesis, S&I",785.0,785.0,,,0 HCPCS,76946,"Hc Ultrasonic Guidance For Amniocentesis, S&I-Pbb",931.0,931.0,,,0 HCPCS,76948,Echo guide ova aspiration,,,249.55,461.24,2 HCPCS,76950,Echo guidance radiotherapy,,,214.32,214.32,1 HCPCS,76960,Description Not Available,,,214.32,214.32,1 HCPCS,76965,Echo guidance radiotherapy,,,255.42,910.13,2 HCPCS,76965,Hc Ultrasonic Guidance For Interstitial Radioelement Application,2238.0,2238.0,,,0 HCPCS,76970,Ultrasound exam follow-up,,,116.36,173.22,2 HCPCS,76975,GI endoscopic ultrasound,,,101.64,2151.77,8 HCPCS,76977,Us bone density measure,,,7.22,326.91,7 HCPCS,76978,Us trgt dyn mbubb 1st les,,,373.86,1845.65,6 HCPCS,76979,Us trgt dyn mbubb ea addl,,,1194.24,1194.24,1 HCPCS,76981,Chg Ultrasound Elastography Parenchyma-Pbb,681.0,681.0,,,0 HCPCS,76981,Hc Use Parenchyma,264.0,264.0,,,0 HCPCS,76981,Hc Use Parenchyma-Pbb,604.5,604.5,,,0 HCPCS,76981,Use parenchyma,,,112.03,781.19,6 HCPCS,76982,Use 1st target lesion,,,112.03,671.97,6 HCPCS,76983,Use ea addl target lesion,,,342.74,342.74,1 HCPCS,76984,Dx intraop thoracic aorta us,,,308.78,428.64,2 HCPCS,76986,Echo exam at surgery,,,428.64,428.64,1 HCPCS,76987,Dx intraop epicar car us chd,,,920.3,920.3,1 HCPCS,76988,Dx ntrop epcr us chd img acq,,,590.54,590.54,1 HCPCS,76989,Dx intraop epcar us chd i&r,,,347.69,347.69,1 HCPCS,76998,Chg Ultrasonic Guidance Intraoperative-Pbb,403.0,403.0,,,0 HCPCS,76998,"Hc Ultrasonic Guidance, Intraoperative",1775.0,1775.0,,,0 HCPCS,76998,"Hc Ultrasonic Guidance, Intraoperative-Pbb",1976.5,1976.5,,,0 HCPCS,76998,Us guide intraop,,,428.64,610.93,2 HCPCS,76999,Echo examination procedure,,,93.26,866.39,7 HCPCS,76999,Hc Ultrasound Procedure Unlisted,926.0,926.0,,,0 HCPCS,77001,Fluoroguide for Vein Device,,,779.43,779.43,1 HCPCS,77001,"Hc Fluoroscopic Guidance For Central Venous Access Revice Placement, Replacement, Or Removal",1242.0,1242.0,,,0 HCPCS,77002,Hc Fluoroscopic Guidance For Needle Placement,1086.0,1086.0,,,0 HCPCS,77002,Needle localization by xray,,,214.32,844.87,2 HCPCS,77003,Fluoroguide for Spine Inject,,,729.43,729.43,1 HCPCS,77003,Hc Fluoro Guid And Loc Of Needle Or Catheter Tip For Spine Or Paraspinous Diag Or Thrptc Inj Proc,2125.0,2125.0,,,0 HCPCS,77011,CT Scan for Localization,,,1347.58,1697.75,2 HCPCS,77012,Ct scan for needle biopsy,,,751.61,1347.58,2 HCPCS,77012,"Hc Ct Guidance For Needle Placement, S&I",2288.0,2288.0,,,0 HCPCS,77013,CT Guide for Tissue Ablation,,,3473.81,3473.81,1 HCPCS,77013,"Hc Ct Guidance For , And Monitoring Of, Parenchymal Tissue Ablation",1190.0,1190.0,,,0 HCPCS,77014,CT Scan for Therapy Guide,,,484.42,793.19,2 HCPCS,77014,Hc Ct Guidance For Placement Of Radiation Therapy Fields,1115.0,1115.0,,,0 HCPCS,77021,"Hc Mag Res Guid For Needle Plcmnt(Eg,For Biopsy,Needle Aspiratn, Inj,Or Plcmnt Of Local Dev) S&I",2746.0,2746.0,,,0 HCPCS,77021,MR Guidance for Needle Place,,,3738.54,3738.54,1 HCPCS,77022,"Hc Magnetic Resonance Guidance For, And Monitoring Of, Parenchymal Tissue Ablation",1130.0,1130.0,,,0 HCPCS,77022,MRI for Tissue Ablation,,,4824.57,4824.57,1 HCPCS,77031,Stereotact Guide for Breast Biospy,,,1168.49,1168.49,1 HCPCS,77032,"Guidance for Needle, Breast",,,211.38,211.38,1 HCPCS,77046,Hc Mri Breast Wo Contrast Unilateral,1970.0,1970.0,,,0 HCPCS,77046,Mri breast c- unilateral,,,255.69,1746.73,6 HCPCS,77047,Hc Mri Breast Wo Contrast Bilateral,2833.0,2833.0,,,0 HCPCS,77047,Mri breast c- bilateral,,,255.69,2366.04,6 HCPCS,77048,Hc Mri Breast Wwo Contrast Including Cad When Performed Unilat,5167.0,5167.0,,,0 HCPCS,77048,"Hc Mri With Contrast, Breast; Unilateral",2921.0,2921.0,,,0 HCPCS,77048,"Hc Mri Without Contrast Following By With Contrast, Breast; Unilateral",5167.0,5167.0,,,0 HCPCS,77048,Mri breast c-+ w/cad uni,,,852.09,2877.18,3 HCPCS,77049,Hc Mri Breast Wwo Contrast Including Cad When Performed: Bilateral,6583.0,6583.0,,,0 HCPCS,77049,"Hc Mri With Contrast, Breast; Bilateral",4311.0,4311.0,,,0 HCPCS,77049,"Hc Mri Without Contrast Followed By With Contrast, Breast; Bilteral",6583.0,6583.0,,,0 HCPCS,77049,Mri breast c-+ w/cad bi,,,847.89,3901.81,3 HCPCS,77051,Computer Dx Mammogram Add-on,,,8.36,8.36,1 HCPCS,77052,Computer Screening Mammogram Add-on,,,8.36,8.36,1 HCPCS,77053,"Hc Mammary Ductogram Or Galactogram, Single Duct, S&I",1040.0,1040.0,,,0 HCPCS,77053,X-Ray of Mammary Duct,,,63.45,690.39,8 HCPCS,77054,"Hc Mammary Ductogram Or Galactogram, Multiple Ducts, S&I",913.0,913.0,,,0 HCPCS,77054,X-ray of mammary ducts,,,84.62,690.39,8 HCPCS,77055,"Mammogram, One Breast",,,85.17,173.22,2 HCPCS,77056,"Mammogram, Both Breasts",,,111.9,214.32,2 HCPCS,77057,"Mammogram, Screening",,,73.47,214.32,2 HCPCS,77058,Mri one breast,,,2877.18,2877.18,1 HCPCS,77059,Mri both breasts,,,3901.81,3901.81,1 HCPCS,77061,Breast tomosynthesis uni,,,146.99,897.23,4 HCPCS,77061,Hc Digital Breast Tomosynthesis; Unilateral,102.0,102.0,,,0 HCPCS,77062,Breast tomosynthesis bi,,,188.19,1142.97,4 HCPCS,77062,Hc Digital Breast Tomosynthesis; Bilateral,114.0,114.0,,,0 HCPCS,77063,Breast tomosynthesis bi,,,21.51,245.74,7 HCPCS,77063,"Hc Screening Digital Breast Tomosynthesis, Bilateral",90.0,90.0,,,0 HCPCS,77065,Dx mammo incl cad uni,,,88.75,897.23,6 HCPCS,77065,Hc Diagnostic Mammography Including Computer-Aided Detection; Unilateral,538.0,538.0,,,0 HCPCS,77065,"Hc Diagnostic Mammography, Producing Direct 2D Digital Image, Unilateral, All Views",538.0,538.0,,,0 HCPCS,77066,Dx mammo incl cad bi,,,111.97,1142.97,6 HCPCS,77066,Hc Diagnostic Mammography Including Computer-Aided Detection; Bilateral,719.0,719.0,,,0 HCPCS,77066,"Hc Diagnostic Mammography, Producing Direct 2D Digital Image, Bilateral, All Views",719.0,719.0,,,0 HCPCS,77067,"Hc Screening Mammography, Bilateral Include Cad",614.0,614.0,,,0 HCPCS,77067,"Hc Screening Mammography, Producing Direct Digital Image, Bilateral, All Views",616.0,616.0,,,0 HCPCS,77067,Scr mammo bi incl cad,,,92.07,948.42,6 HCPCS,77071,"Hc Manual App Of Strss Perfrmed By Phys Or Othr Qual Hlth Cr Prof For Jnt Radgrphy,Incl Contrlt Jnt",352.0,352.0,,,0 HCPCS,77071,X-Ray Stress View,,,92.75,866.39,7 HCPCS,77072,Hc Bone Age Studies,352.0,352.0,,,0 HCPCS,77072,X-Rays for Bone Age,,,21.69,326.91,8 HCPCS,77073,Hc Bone Length Studies,416.0,416.0,,,0 HCPCS,77073,X-rays bone length studies,,,33.95,330.66,8 HCPCS,77074,"Hc Radiologic Exam, Osseous Survey, Limited",564.0,564.0,,,0 HCPCS,77074,X-rays bone survey limited,,,65.13,456.95,8 HCPCS,77075,"Hc Radiologic Exam, Osseous Survey, Complete",948.0,948.0,,,0 HCPCS,77075,X-rays bone survey complete,,,94.64,760.31,8 HCPCS,77076,"Hc Radiologic Exam, Osseous Survey, Infant",192.0,192.0,,,0 HCPCS,77076,X-rays bone survey infant,,,95.19,767.13,8 HCPCS,77077,"Hc Joint Survey, Single View, 2 Or More Joints",345.0,345.0,,,0 HCPCS,77077,Joint survey single view,,,33.39,326.91,8 HCPCS,77078,Ct bone density axial,,,93.26,890.21,6 HCPCS,77080,Chg Dxa Bone Density Study 1/> Sites Axial Skel-Pbb,136.0,136.0,,,0 HCPCS,77080,Dxa bone density axial,,,48.98,507.91,8 HCPCS,77080,"Hc Dxa, Bone Density Study, 1 Or More Sites; Axial Skeleton",164.0,164.0,,,0 HCPCS,77080,"Hc Dxa, Bone Density Study, 1 Or More Sites; Axial Skeleton-Pbb",1042.0,1042.0,,,0 HCPCS,77081,Chg Dxa Bone Density Study 1/>Sites Appendiclr Skel-Pbb,147.0,147.0,,,0 HCPCS,77081,Dxa bone density/peripheral,,,27.26,242.7,7 HCPCS,77081,Hc Dxa Bone Densitity Study 1/> Sites Appendicular Skel-Pbb,207.5,207.5,,,0 HCPCS,77084,"Hc Mri, Bone Marrow Blood Supply",358.0,358.0,,,0 HCPCS,77084,Magnetic image bone marrow,,,255.69,2403.42,6 HCPCS,77085,Chg Dxa Bone Density Std 1/> Axl Skel W/Vrt Fx Assmt-Pbb,463.0,463.0,,,0 HCPCS,77085,Dxa bone density study,,,64.56,385.27,7 HCPCS,77085,Hc Dxa Bone Density Study Axial Skeleton-Pbb,626.5,626.5,,,0 HCPCS,77086,Chg Vertebral Fracture Assessment Via Dxa-Pbb,290.0,290.0,,,0 HCPCS,77086,Fracture assessment via dxa,,,42.3,258.99,7 HCPCS,77086,Hc Vertebral Fracture Assessment Via Dxa-Pbb,356.5,356.5,,,0 HCPCS,77089,Tbs dxa cal w/i&r fx risk,,,124.59,384.22,2 HCPCS,77090,Tbs techl prep&transmis data,,,27.72,866.39,6 HCPCS,77091,Tbs techl calculation only,,,93.26,866.39,6 HCPCS,77092,Tbs i&r fx rsk qhp,,,31.14,91.77,2 HCPCS,77261,Radiation therapy planning,,,660.13,660.13,1 HCPCS,77262,Radiation therapy planning,,,1013.86,1013.86,1 HCPCS,77263,Radiation therapy planning,,,1593.9,1593.9,1 HCPCS,77280,Hc Therapeutic Radiology Stimulation-Aided Field Setting; Simple,2886.0,2886.0,,,0 HCPCS,77280,Set radiation therapy field,,,144.03,2371.66,7 HCPCS,77285,Hc Therapeutic Radiology Stimulation-Aided Field Setting; Intermediate,3325.0,3325.0,,,0 HCPCS,77285,Set radiation therapy field,,,401.25,3937.84,7 HCPCS,77290,Hc Therapeutic Radiology Stimulation-Aided Field Setting; Complex,5558.0,5558.0,,,0 HCPCS,77290,Set radiation therapy field,,,401.25,3791.08,7 HCPCS,77293,Hc Respiratory Motion Management Stimulation,6669.0,6669.0,,,0 HCPCS,77293,Respirator motion mgmt simul,,,570.74,3165.7,3 HCPCS,77295,3-d radiotherapy plan,,,425.3,4565.32,7 HCPCS,77295,"Hc 3D Radiotherapy Plan, Including Dose-Volume Histograms",12440.0,12440.0,,,0 HCPCS,77299,Radiation therapy planning,,,144.03,1330.11,5 HCPCS,77300,"Hc Basic Radiation Dosimetry Calculation, Only When Prescribed By The Treating Physician",1642.0,1642.0,,,0 HCPCS,77300,Radiation therapy dose plan,,,54.54,340.9,7 HCPCS,77301,"Hc Intensity Modltd Radiothr Plan,Incl Dose-Vol Histogrms Targt & Crtcl Strctr Partl Tolrnc Spcftns",18924.0,18924.0,,,0 HCPCS,77301,Radiotherapy dose plan imrt,,,1483.26,14581.74,6 HCPCS,77305,Radiation therapy dose plan,,,308.27,308.27,1 HCPCS,77306,"Hc Teletherapy Isodose Plan; Simple, Includes Basic Dosimetry Calculation(S)",727.0,727.0,,,0 HCPCS,77306,Telethx isodose plan simple,,,121.89,763.72,7 HCPCS,77307,"Hc Teletherapy Isodose Plan; Complex, Includes Basic Dosimetry Calculation(S)",3993.0,3993.0,,,0 HCPCS,77307,Telethx isodose plan cplx,,,219.87,1380.68,7 HCPCS,77310,Radiation therapy dose plan,,,381.67,381.67,1 HCPCS,77315,Radiation therapy dose plan,,,437.45,437.45,1 HCPCS,77316,Brachytx isodose plan simple,,,184.23,1756.11,7 HCPCS,77316,"Hc Brchyth Iso Pln;Smp (Clc[S] Mde Fr 1 To 4 Srcs,Or Rmt Aftr Brchyth,1 Chan, Inc Bsic Dsmry Calc(S)",1273.0,1273.0,,,0 HCPCS,77317,Brachytx isodose intermed,,,239.34,2318.46,7 HCPCS,77317,"Hc Brachytherapy Isodose Plan; Intermediate , Includes Basic Dosimetry Calculation(S)",1832.0,1832.0,,,0 HCPCS,77318,Brachytx isodose complex,,,325.04,3133.38,7 HCPCS,77318,"Hc Brachytherapy Isodose Plan; Complex, Includes Basic Dosimetry Calculation(S)",3160.0,3160.0,,,0 HCPCS,77321,"Hc Special Teletherapy Port Plan, Particles, Hemibody, Total Body",3227.0,3227.0,,,0 HCPCS,77321,Special teletx port plan,,,69.02,657.64,7 HCPCS,77326,Radiation therapy dose plan,,,384.6,384.6,1 HCPCS,77327,Radiation therapy dose plan,,,566.63,566.63,1 HCPCS,77328,Radiation therapy dose plan,,,810.31,810.31,1 HCPCS,77331,"Hc Special Dosimetry, Only When Prescribed By The Treating Physician",2026.0,2026.0,,,0 HCPCS,77331,Special radiation dosimetry,,,30.05,208.85,7 HCPCS,77332,"Hc Treatment Devices, Design And Construction; Simple",1543.0,1543.0,,,0 HCPCS,77332,Radiation treatment aid(s),,,86.28,220.19,7 HCPCS,77333,"Hc Treatment Devices, Design And Construction; Intermediate",2444.0,2444.0,,,0 HCPCS,77333,Radiation treatment aid(s),,,15.57,1006.45,7 HCPCS,77334,Hc Immobilization Device,3030.0,3030.0,,,0 HCPCS,77334,"Hc Treatment Devices, Design And Construction; Complex",3030.0,3030.0,,,0 HCPCS,77334,Radiation treatment aid(s),,,139.74,665.14,7 HCPCS,77336,"Hc Continuing Medical Physics Consultation, Including Assessment Of Treatment Parameters, Quality As",1642.0,1642.0,,,0 HCPCS,77336,Radiation physics consult,,,144.03,1330.11,7 HCPCS,77338,Design mlc device for imrt,,,401.25,2467.84,6 HCPCS,77338,"Hc Multi-Leaf Collimator(Mlc)Dev(S)For Intnsty Modultd Radn Ther(Imrt),Design,Constrctn Per Imrt Pln",12047.0,12047.0,,,0 HCPCS,77370,Hc Special Medical Radiation Physics Consultation,2337.0,2337.0,,,0 HCPCS,77370,Radiation physics consult,,,144.03,1330.11,7 HCPCS,77371,Srs multisource,,,1937.78,11468.25,6 HCPCS,77372,"Hc Rad Tx Delivry,Srs,Cmplt Crse Of Tx Of Cranl Les Conssting Of 1 Session;Linear Acceleratr Based",35522.0,35522.0,,,0 HCPCS,77372,Srs linear based,,,1694.09,11444.54,6 HCPCS,77373,"Hc Stereotctic Body Rt,Tx Delvry Per Fract To 1 Or More Les,Incl Img Guid, Not To Exceed 5 Fract",13642.0,13642.0,,,0 HCPCS,77373,SBRT Delivery,,,1916.11,10332.3,6 HCPCS,77385,"Hc Imrt, Includes Guidance And Tracking, When Performed; Simple",7180.0,7180.0,,,0 HCPCS,77385,Ntsty modul rad tx dlvr smpl,,,3315.31,5708.84,2 HCPCS,77386,"Hc Imrt, Includes Guidance And Tracking, When Performed; Complex",8813.0,8813.0,,,0 HCPCS,77386,Ntsty modul rad tx dlvr cplx,,,3332.74,5708.84,2 HCPCS,77387,Guidance for radiaj tx dlvr,,,61.23,1040.58,4 HCPCS,77387,Hc Conebeam Ct,2435.0,2435.0,,,0 HCPCS,77387,"Hc Guid For Loc Of Target Volum For Radiation Trtmnt Delivery, Incl Intrafraction Trackin, When Perf",2273.0,2273.0,,,0 HCPCS,77387,Hc Intrafraction Tracking,2313.0,2313.0,,,0 HCPCS,77387,Hc Mr Brain Srs W/ And W/Out Contrast,11302.0,11302.0,,,0 HCPCS,77399,External radiation dosimetry,,,144.03,1330.11,5 HCPCS,77399,Hc Contour,675.0,675.0,,,0 HCPCS,77401,Radiation treatment delivery,,,38.4,422.82,3 HCPCS,77402,"Hc Radiation Treatment Delivery, =>1 Mev; Simple",1115.0,1115.0,,,0 HCPCS,77402,Radiation treatment delivery,,,109.34,1220.51,7 HCPCS,77403,Radiation treatment delivery,,,179.12,179.12,1 HCPCS,77404,Radiation treatment delivery,,,221.5,221.5,1 HCPCS,77407,"Hc Radiation Treatment Delivery, =>1 Mev; Intermediate",1515.0,1515.0,,,0 HCPCS,77407,Radiation treatment delivery,,,168.32,2622.02,7 HCPCS,77408,Radiation treatment delivery,,,245.15,245.15,1 HCPCS,77409,Radiation treatment delivery,,,212.69,212.69,1 HCPCS,77411,Radiation treatment delivery,,,207.03,207.03,1 HCPCS,77412,"Hc Radiation Treatment Delivery, =>1 Mev; Complex",2778.0,2778.0,,,0 HCPCS,77412,Radiation treatment delivery,,,296.46,2622.02,7 HCPCS,77413,Radiation treatment delivery,,,293.08,293.08,1 HCPCS,77414,Radiation treatment delivery,,,282.14,282.14,1 HCPCS,77416,Radiation treatment delivery,,,200.39,200.39,1 HCPCS,77417,Hc Therapeutic Radiology Port Film,521.0,521.0,,,0 HCPCS,77417,Radiology port images(s),,,66.83,129.2,2 HCPCS,77422,Neutron beam tx simple,,,101.99,101.99,1 HCPCS,77423,Neutron beam tx complex,,,152.99,906.67,6 HCPCS,77424,Io rad tx delivery by x-ray,,,2918.22,76692.67,6 HCPCS,77425,Io rad tx deliver by elctrns,,,2059.3,76692.67,6 HCPCS,77427,Radiation tx management x5,,,1801.6,1801.6,1 HCPCS,77431,Radiation therapy management,,,1009.01,1009.01,1 HCPCS,77432,Stereotactic radiation trmt,,,4005.24,4005.24,1 HCPCS,77435,SBRT Management,,,6050.68,6050.68,1 HCPCS,77436,Surf radj ther tx planning,,,40.03,58.04,3 HCPCS,77469,Io radiation tx management,,,3005.64,3005.64,1 HCPCS,7746A,Description Not Available,,,111.56,111.56,1 HCPCS,77470,Hc Special Treatment Procedure,5573.0,5573.0,,,0 HCPCS,77470,Special radiation treatment,,,76.79,1817.32,7 HCPCS,77520,Proton trmt simple w/o comp,,,592.11,9030.73,6 HCPCS,77522,Proton trmt simple w/comp,,,1339.25,9051.21,6 HCPCS,77523,Proton trmt intermediate,,,1339.25,10516.82,6 HCPCS,77525,Proton treatment complex,,,1339.25,11635.09,6 HCPCS,77600,Hyperthermia treatment,,,413.32,4704.18,7 HCPCS,77605,Hyperthermia treatment,,,663.51,8837.36,7 HCPCS,77610,Hyperthermia treatment,,,499.1,6373.15,7 HCPCS,77615,Hyperthermia treatment,,,592.11,10090.96,7 HCPCS,77620,Hyperthermia treatment,,,478.79,5717.85,7 HCPCS,77750,Infuse radioactive materials,,,180.3,1336.31,7 HCPCS,77761,Apply intrcav radiat simple,,,305.58,2225.91,7 HCPCS,77761,Hc Intracavitary Radiation Source Application; Simple,5169.0,5169.0,,,0 HCPCS,77762,Apply intrcav radiat interm,,,350.66,2559.19,7 HCPCS,77762,Hc Intracavitary Radiation Source Application; Intermediate,6848.0,6848.0,,,0 HCPCS,77763,Apply intrcav radiat compl,,,454.7,3312.67,7 HCPCS,77763,Hc Intracavitary Radiation Source Application; Complex,9719.0,9719.0,,,0 HCPCS,77767,Hdr rdncl skn surf brachytx,,,269.43,1991.61,6 HCPCS,77768,Hdr rdncl skn surf brachytx,,,413.32,2983.61,6 HCPCS,77770,"Hc Remote High Dose Radionucl, Includes Dosimetry, 1 Channel",10767.0,10767.0,,,0 HCPCS,77770,Hdr rdncl ntrstl/icav brchtx,,,347.93,3311.7,7 HCPCS,77771,"Hc Remote High Dose Radionucl, Includes Dosimetry, 2-12 Channels",12556.0,12556.0,,,0 HCPCS,77771,Hdr rdncl ntrstl/icav brchtx,,,633.51,4132.6,7 HCPCS,77772,"Hc Remote High Dose Radionucl, Includes Dosimetry, Over 12 Channels",12963.0,12963.0,,,0 HCPCS,77772,Hdr rdncl ntrstl/icav brchtx,,,746.36,6324.38,7 HCPCS,77776,Radioelement application,,,358.18,358.18,1 HCPCS,77777,Radioelement application,,,695.81,695.81,1 HCPCS,77778,Apply interstit radiat compl,,,584.91,4682.71,7 HCPCS,77778,Hc Interstitial Radiation Source Application; Complex,10142.0,10142.0,,,0 HCPCS,77781,High intensity brachytherapy,,,3311.7,3311.7,1 HCPCS,77782,High intensity brachytherapy,,,3311.7,3311.7,1 HCPCS,77783,High intensity brachytherapy,,,3311.7,3311.7,1 HCPCS,77784,High intensity brachytherapy,,,3311.7,3311.7,1 HCPCS,77785,"Hdr brachytx, 1 channel",,,3311.7,3311.7,1 HCPCS,77786,"Hdr brachytx, 2-12 channel",,,3311.7,3311.7,1 HCPCS,77787,Hdr brachytx over 12 chan,,,3311.7,3311.7,1 HCPCS,77789,Apply surf ldr radionuclide,,,70.46,739.83,7 HCPCS,77789,Hc Surgace Application Of Radiation Source,1073.0,1073.0,,,0 HCPCS,77790,"Hc Superivision, Handling, Loading Of Radiation Source",753.0,753.0,,,0 HCPCS,77790,Radiation handling,,,67.52,79.27,2 HCPCS,77799,Radium/radioisotope therapy,,,109.34,1220.51,6 HCPCS,78000,"Thyroid, single uptake",,,158.54,158.54,1 HCPCS,78001,"Thyroid, multiple uptakes",,,214.32,214.32,1 HCPCS,78003,Thyroid suppress/stimul,,,158.54,158.54,1 HCPCS,78006,Thyroid imaging with uptake,,,390.47,390.47,1 HCPCS,78007,"Thyroid image, mult uptakes",,,422.77,422.77,1 HCPCS,78010,Thyroid imaging,,,296.53,296.53,1 HCPCS,78011,Thyroid imaging with flow,,,393.41,393.41,1 HCPCS,78012,"Hc Thyroid Uptake, Single Or Multiple Quantitative Measurement(S)",1415.0,1415.0,,,0 HCPCS,78012,Thyroid uptake measurement,,,114.11,1131.36,8 HCPCS,78013,Hc Thyroid Imaging,1605.0,1605.0,,,0 HCPCS,78013,Thyroid imaging w/blood flow,,,282.24,1657.14,8 HCPCS,78014,Hc Thyroid Imaging; With Single Or Multiple Uptake(S) Quantitative Measurement(S),3466.0,3466.0,,,0 HCPCS,78014,Thyroid imaging w/blood flow,,,354.63,2049.63,8 HCPCS,78015,Hc Thyroid Carcinoma Metastases Imaging; Limited Area,2091.0,2091.0,,,0 HCPCS,78015,Thyroid met imaging,,,306.75,1892.63,8 HCPCS,78016,Thyroid met imaging/studies,,,400.83,2325.29,8 HCPCS,78017,Description Not Available,,,607.73,607.73,1 HCPCS,78018,Hc Thyroid Carcinoma Metastases Imaging; Whole Body,4495.0,4495.0,,,0 HCPCS,78018,Thyroid met imaging body,,,443.7,2585.48,8 HCPCS,78020,Hc Thyroid Carcinoma Metastases Uptake,1106.0,1106.0,,,0 HCPCS,78020,Thyroid met uptake,,,495.2,495.2,1 HCPCS,78070,Hc Parathyroid Planar Imaging,2183.0,2183.0,,,0 HCPCS,78070,Parathyroid planar imaging,,,296.53,2428.48,8 HCPCS,78071,Hc Parathyroid Planar Imaging; With Tomographic (Spect),5786.0,5786.0,,,0 HCPCS,78071,Parathyrd planar w/wo subtrj,,,296.53,2783.44,8 HCPCS,78072,"Hc Parathyrd Plnr Imgng; W/ Tomographic (Spect), & Concurrently Acquired Ct For Anatomicl Localizatn",6362.0,6362.0,,,0 HCPCS,78072,Parathyrd planar w/spect&ct,,,296.53,3484.7,8 HCPCS,78075,Adrenal cortex & medulla img,,,640.82,3917.82,8 HCPCS,78099,Endocrine nuclear procedure,,,428.4,3876.03,6 HCPCS,78102,Bone marrow imaging ltd,,,234.36,1418.22,8 HCPCS,78102,Hc Bone Marrow Imaging; Limited Area,1622.0,1622.0,,,0 HCPCS,78103,Bone marrow imaging mult,,,305.07,1493.31,8 HCPCS,78104,Bone marrow imaging body,,,338.49,2032.57,8 HCPCS,78104,Hc Bone Marrow Imaging; Whole Body,2327.0,2327.0,,,0 HCPCS,78110,"Hc Plasma Volume, Radiopharmaceutical Volume-Dilution Technique, Single Sampling",1559.0,1559.0,,,0 HCPCS,78110,Plasma volume single,,,138.57,3917.82,8 HCPCS,78111,"Hc Plasma Volume, Radiopharmaceutical Volume-Dilution Technique, Multiple Samplings",4204.0,4204.0,,,0 HCPCS,78111,Plasma volume multiple,,,140.24,3917.82,8 HCPCS,78120,Hc Red Cell Volume Determination; Single Sampling,2142.0,2142.0,,,0 HCPCS,78120,Red cell mass single,,,135.23,1131.36,8 HCPCS,78121,Hc Red Cell Volume Determination; Multiple Samplings,1575.0,1575.0,,,0 HCPCS,78121,Red cell mass multiple,,,141.36,1468.2,8 HCPCS,78122,Blood volume,,,125.76,1468.2,8 HCPCS,78130,Red cell survival study,,,226.53,1131.36,8 HCPCS,78135,Red cell survival kinetics,,,522.78,795.63,2 HCPCS,78140,Red cell sequestration,,,174.21,1131.36,8 HCPCS,78160,Plasma iron turnover,,,598.92,598.92,1 HCPCS,78162,Iron absorption exam,,,522.59,522.59,1 HCPCS,78170,Red cell iron utilization,,,866.09,866.09,1 HCPCS,78172,Total body iron estimation,,,176.15,176.15,1 HCPCS,78185,"Hc Spleen Imaging Only, With Or Without Vascular Flow",1309.0,1309.0,,,0 HCPCS,78185,Spleen imaging,,,313.43,1466.01,8 HCPCS,78190,Platelet survival kinetics,,,552.86,933.62,2 HCPCS,78191,Platelet survival,,,226.53,1197.85,8 HCPCS,78195,Hc Lymphatics And Lymph Nodes Imaging,3966.0,3966.0,,,0 HCPCS,78195,Lymph system imaging,,,486.03,2817.57,8 HCPCS,78199,Blood/lymph nuclear exam,,,428.4,3876.03,6 HCPCS,78201,Liver imaging,,,272.78,1636.66,8 HCPCS,78202,Hc Liver Imaging; With Vascular Flow,1526.0,1526.0,,,0 HCPCS,78202,Liver imaging with flow,,,291.15,1773.18,8 HCPCS,78205,Liver imaging (3D),,,291.15,962.98,2 HCPCS,78206,Liver image (3d) with flow,,,483.8,483.8,1 HCPCS,78215,Hc Liver And Spleen Imaging; Static Only,1551.0,1551.0,,,0 HCPCS,78215,Liver and spleen imaging,,,278.91,1663.96,8 HCPCS,78216,Hc Liver And Spleen Imaging; With Vascular Flow,837.0,837.0,,,0 HCPCS,78216,Liver & spleen image/flow,,,161.96,1131.36,8 HCPCS,78220,Liver function study,,,607.73,607.73,1 HCPCS,78223,Hepatobiliary imaging,,,598.92,598.92,1 HCPCS,78226,"Hc Hepatobiliary System Imaging, Including Gallbladder When Present",3888.0,3888.0,,,0 HCPCS,78226,Hepatobiliary system imaging,,,428.4,2756.13,8 HCPCS,78227,"Hc Hepatobiliary Systm Img, Incl Gb Whn Prsnt;Pharm Intrvtn, Incl Quant Measurement(S) When Perf",5324.0,5324.0,,,0 HCPCS,78227,Hepatobil syst image w/drug,,,581.86,3754.95,8 HCPCS,78230,Hc Salivary Gland Imaging,1099.0,1099.0,,,0 HCPCS,78230,Salivary gland imaging,,,200.39,1496.72,8 HCPCS,78231,Hc Salivary Gland Imaging; With Serial Images,776.0,776.0,,,0 HCPCS,78231,Serial salivary imaging,,,170.87,1131.36,8 HCPCS,78232,Hc Salivary Gland Function Study,1085.0,1085.0,,,0 HCPCS,78232,Salivary gland function exam,,,130.22,1131.36,8 HCPCS,78258,Esophageal motility study,,,303.41,1721.98,8 HCPCS,78261,Gastric mucosa imaging,,,350.75,1657.14,8 HCPCS,78262,Gastroesophageal reflux exam,,,345.72,2035.98,8 HCPCS,78262,Hc Gastroesophageal Reflux Study,1553.0,1553.0,,,0 HCPCS,78264,Gastric emptying imag study,,,428.4,2783.44,8 HCPCS,78264,Hc Gastric Emptying Study,3817.0,3817.0,,,0 HCPCS,78265,Gastric emptying imag study,,,428.4,3280.94,8 HCPCS,78266,Gastric emptying imag study,,,581.86,3761.78,8 HCPCS,78267,Breath tst attain/anal c-14,,,11.06,112.63,7 HCPCS,78268,Breath test analysis c-14,,,94.41,952.24,7 HCPCS,78270,Vit B-12 absorption exam,,,148.59,255.42,2 HCPCS,78271,Vit b-12 absrp exam int fac,,,131.33,270.1,2 HCPCS,78272,Vit b-12 absorp combined,,,136.91,378.73,2 HCPCS,78278,Acute GI blood loss imaging,,,428.4,2861.94,8 HCPCS,78278,Hc Acute Gastrointestinal Blood Loss Imaging,1552.0,1552.0,,,0 HCPCS,78282,GI protein loss exam,,,94.43,3580.24,8 HCPCS,78290,Hc Intestine Imaging,2722.0,2722.0,,,0 HCPCS,78290,Meckels divert exam,,,428.4,2831.22,8 HCPCS,78291,Hc Peritoneal-Venous Shunt Patency Test,1633.0,1633.0,,,0 HCPCS,78291,Leveen/shunt patency exam,,,343.5,2100.83,8 HCPCS,78299,GI nuclear procedure,,,428.4,3876.03,6 HCPCS,78300,Bone imaging limited area,,,245.49,1878.98,8 HCPCS,78300,Hc Bone And/Or Joint Imaging; Limited Area,2502.0,2502.0,,,0 HCPCS,78305,Bone imaging multiple areas,,,311.21,2251.0,8 HCPCS,78305,Hc Bone &/Or Joint Imaging; Multiple Areas,2486.0,2486.0,,,0 HCPCS,78306,Bone imaging whole body,,,343.5,2421.66,8 HCPCS,78306,Hc Bone And/Or Joint Imaging; Whole Body,4906.0,4906.0,,,0 HCPCS,78315,Bone imaging 3 phase,,,428.4,2827.81,8 HCPCS,78315,Hc Bone And/Or Joint Imaging; 3 Phase Study,5571.0,5571.0,,,0 HCPCS,78320,Bone imaging (3D),,,291.71,965.91,2 HCPCS,78350,Bone mineral single photon,,,35.06,218.03,5 HCPCS,78351,Bone mineral dual photon,,,17.0,103.74,4 HCPCS,78399,Musculoskeletal nuclear exam,,,428.4,3876.03,6 HCPCS,78414,Non-imaging heart function,,,85.55,1468.2,8 HCPCS,78428,Cardiac shunt imaging,,,234.36,1442.11,8 HCPCS,78429,Hc Myocrd Img Pet 1 Std W/Ct,4139.0,4139.0,,,0 HCPCS,78429,Myocrd img pet 1 std w/ct,,,1532.36,11880.0,5 HCPCS,78430,Hc Myocrd Img Pet Rst/Strs W/Ct,4139.0,4139.0,,,0 HCPCS,78430,Myocrd img pet rst/strs w/ct,,,1532.36,11880.0,5 HCPCS,78431,Hc Myocrd Img Pet Rst&Strs Ct,6456.0,6456.0,,,0 HCPCS,78431,Myocrd img pet rst&strs ct,,,2360.55,11880.0,5 HCPCS,78432,Hc Myocrd Img Pet 2Rtracer,7890.0,7890.0,,,0 HCPCS,78432,Myocrd img pet 2rtracer,,,1626.32,11880.0,5 HCPCS,78433,Hc Myocrd Img Pet 2Rtracer Ct,7890.0,7890.0,,,0 HCPCS,78433,Myocrd img pet 2rtracer ct,,,2360.55,11880.0,5 HCPCS,78434,Aqmbf pet rest & rx stress,,,11880.0,11880.0,1 HCPCS,78445,Hc Non-Cardiac Vascular Flow Imaging,1624.0,1624.0,,,0 HCPCS,78445,Vascular flow imaging,,,248.84,1776.59,8 HCPCS,78451,"Hc Myocardial Perfusion, Tomographic ; Single Study, At Rest Or Stress",5968.0,5968.0,,,0 HCPCS,78451,Ht muscle image spect sing,,,449.28,3917.82,8 HCPCS,78452,"Hc Myocard Perf Img,Tomograph;Mult Stdy,Rest &/Or Stress (Ex/Rx) &/Or Redistribution &/Or Rest Reinj",9684.0,9684.0,,,0 HCPCS,78452,Ht muscle image spect mult,,,645.24,3917.82,8 HCPCS,78453,"Hc Myocardial Perfusion Imaging, Planar ; Single Study, At Rest Or Stress",4366.0,4366.0,,,0 HCPCS,78453,Ht muscle image planar sing,,,417.54,3917.82,8 HCPCS,78454,"Hc Myocardial Perfus Imag, Planar; Mlt Studs, At Rest And/Or Stress And/Or Redistr And/Or Rest Reinj",6297.0,6297.0,,,0 HCPCS,78454,Ht musc image planar mult,,,606.29,3917.82,8 HCPCS,78455,Venous thrombosis study,,,651.77,651.77,1 HCPCS,78456,Acute venous thrombus image,,,437.58,3917.82,7 HCPCS,78457,Venous thrombosis imaging,,,246.05,1468.2,8 HCPCS,78458,Ven thrombosis images bilat,,,212.64,1575.22,8 HCPCS,78459,"Hc Myocardial Imaging, Pet, Metabolic Review",9617.0,9617.0,,,0 HCPCS,78459,Hc Pet Asssessment Viability Inconclusive,9617.0,9617.0,,,0 HCPCS,78459,Heart muscle imaging (PET),,,1387.37,11880.0,5 HCPCS,78460,"Heart muscle blood, single",,,387.54,387.54,1 HCPCS,78461,"Heart muscle blood, multiple",,,775.08,775.08,1 HCPCS,78464,"Heart image (3d), single",,,1153.81,1153.81,1 HCPCS,78465,"Heart image (3d), multiple",,,1923.01,1923.01,1 HCPCS,78466,"Hc Myocardial Imaging, Infarct Avid, Planar; Qualitative Or Quantitative",1308.0,1308.0,,,0 HCPCS,78466,Heart infarct image,,,255.51,1455.77,8 HCPCS,78468,Heart infarct image (ef),,,260.52,1510.37,8 HCPCS,78469,"Hc Myocardial Imaging, Infarct Avid, Planar; Tomographic Spect With Or Without Quantification",1436.0,1436.0,,,0 HCPCS,78469,Heart infarct image (3D),,,296.73,1704.92,8 HCPCS,78472,Gated heart planar single,,,297.84,1725.4,8 HCPCS,78472,"Hc Card Blood Pool Img,Gated Equil,Sing Stdy,Wall Mot Stdy Pl Eject Fract,Rest&Stress,W/Wo Add Quant",1918.0,1918.0,,,0 HCPCS,78473,Gated heart multiple,,,357.95,2083.76,8 HCPCS,78478,Heart wall motion add-on,,,255.42,255.42,1 HCPCS,78480,Heart function add-on,,,255.42,255.42,1 HCPCS,78481,"Hc Card Blood Pool Img,1St Pass;Sing Stdy,At Rest/W Stress,Wall Mtn Stdy Plus Eject Frac,W/Wo Quant",2264.0,2264.0,,,0 HCPCS,78481,Heart first pass single,,,208.22,1468.2,8 HCPCS,78483,"Hc Card Blood Pool Img,1St Pass;Mult Stdy,At Rest&W Stress,Wall Mtn Stdy Plus Eject Frac,W/Wo Quant",4366.0,4366.0,,,0 HCPCS,78483,Heart first pass multiple,,,280.02,1616.18,8 HCPCS,78491,"Hc Myocardial Img, Pet, Perfusion; Single Study Rest/Stress",3990.0,3990.0,,,0 HCPCS,78491,Heart image (pet) single,,,1532.36,11880.0,5 HCPCS,78492,"Hc Myocardial Perfusion, Pet, Perfusion; Multiple Studies At Rest And/Or Stress",5148.0,5148.0,,,0 HCPCS,78492,Heart image (pet) multiple,,,1532.36,11880.0,5 HCPCS,78494,Heart image spect,,,273.89,1640.07,7 HCPCS,78496,Heart first pass add-on,,,177.41,177.41,1 HCPCS,78499,Cardiovascular nuclear exam,,,428.4,3876.03,6 HCPCS,78579,Hc Pulmonary Ventilation Imaging,752.0,752.0,,,0 HCPCS,78579,Lung ventilation imaging,,,267.21,1582.05,8 HCPCS,78580,Hc Pulmonary Perfusion Imaging,1952.0,1952.0,,,0 HCPCS,78580,Lung perfusion imaging,,,332.36,1919.94,8 HCPCS,78582,Hc Pulmonary Ventilation And Perfusion Imaging,1990.0,1990.0,,,0 HCPCS,78582,Lung ventilat&perfus imaging,,,462.65,2670.81,8 HCPCS,78584,Lung V/Q image single breath,,,522.59,522.59,1 HCPCS,78585,Lung V/Q imaging,,,918.94,918.94,1 HCPCS,78586,"Aerosol lung image, single",,,425.71,425.71,1 HCPCS,78587,"Aerosol lung image, multiple",,,458.0,458.0,1 HCPCS,78591,"Vent image, 1 breath, 1 proj",,,463.87,463.87,1 HCPCS,78593,"Vent image, 1 proj, gas",,,563.69,563.69,1 HCPCS,78594,"Vent image, mult proj, gas",,,813.24,813.24,1 HCPCS,78596,Lung differential function,,,1153.81,1153.81,1 HCPCS,78597,"Hc Hc Quantitative Differential Pulmonary Perfusion, Including Imaging When Performed",933.0,933.0,,,0 HCPCS,78597,Lung perfusion differential,,,273.33,1588.87,8 HCPCS,78598,"Hc Quantitative Differential Pulmonary Perfusion And Ventilation, Including Imaging When Performed",1994.0,1994.0,,,0 HCPCS,78598,Lung perf&ventilat diferentl,,,434.79,2496.74,8 HCPCS,78599,Respiratory nuclear exam,,,428.4,3876.03,6 HCPCS,78600,Brain image < 4 views,,,266.66,1544.51,8 HCPCS,78601,Brain image w/flow < 4 views,,,308.97,1844.85,8 HCPCS,78601,"Hc Brain Imaging, Less Than 4 Static Views; With Vascular Flow",2226.0,2226.0,,,0 HCPCS,78605,Brain image 4+ views,,,282.24,1684.44,8 HCPCS,78606,Brain image w/flow 4 + views,,,489.93,2820.98,8 HCPCS,78607,Brain imaging (3D),,,477.68,1071.6,2 HCPCS,78608,Brain imaging (PET),,,578.37,11880.0,6 HCPCS,78608,Hc Pet Brain Imaging Differential Dx Alzheimers Disease,8932.0,8932.0,,,0 HCPCS,78608,Hc Pet Metabolic Brain Imaging Evaluation,8932.0,8932.0,,,0 HCPCS,78608,Hc Pet Metabolic Brain Imaging Presurgical Seizure,8932.0,8932.0,,,0 HCPCS,78609,Brain imaging (PET),,,578.37,11880.0,2 HCPCS,78609,"Hc Brain Imaging; Pet, Perfusion Evaluation",9362.0,9362.0,,,0 HCPCS,78610,Brain flow imaging only,,,258.36,1554.74,8 HCPCS,78610,"Hc Brain Imaging, Vascular Flow Only",2567.0,2567.0,,,0 HCPCS,78615,Cerebral blood flow imaging,,,628.28,628.28,1 HCPCS,78630,Cerebrospinal fluid scan,,,498.29,2896.07,8 HCPCS,78630,"Hc Cerebrospinal Fluid Flow, Imaging; Cisternography",2086.0,2086.0,,,0 HCPCS,78635,CSF ventriculography,,,416.9,2930.2,8 HCPCS,78635,"Hc Cerebrospinal Fluid Flow, Imaging; Ventriculography",2226.0,2226.0,,,0 HCPCS,78645,CSF shunt evaluation,,,482.13,2817.57,8 HCPCS,78647,Cerebrospinal fluid scan,,,498.84,962.98,2 HCPCS,78650,CSF leakage imaging,,,489.38,3917.82,8 HCPCS,78650,Hc Cerebrospinal Fluid Leakage Detection And Localization,2226.0,2226.0,,,0 HCPCS,78660,Nuclear exam of tear flow,,,251.61,1268.05,8 HCPCS,78699,Nervous system nuclear exam,,,428.4,3876.03,6 HCPCS,78700,Hc Kidney Imaging Morphol,1022.0,1022.0,,,0 HCPCS,78700,Kidney imaging morphol,,,245.49,1442.11,8 HCPCS,78701,Hc Kindey Imaging Morphology; With Vascular Flow,2045.0,2045.0,,,0 HCPCS,78701,Kidney imaging with flow,,,306.2,1933.59,8 HCPCS,78704,Imaging renogram,,,645.9,645.9,1 HCPCS,78707,Hc Kindey Imaging Morphology; W/ Vasc Flow And Func; Single Study W/Out Pharmacological Intrvtn,3472.0,3472.0,,,0 HCPCS,78707,K flow/funct image w/o drug,,,304.52,1797.07,8 HCPCS,78708,Hc Kindey Imaging Morphology; W/ Vasc Flow And Func; Single Study W/ Pharmacological Intrvtn,3859.0,3859.0,,,0 HCPCS,78708,K flow/funct image w/drug,,,190.34,1468.2,7 HCPCS,78709,K flow/funct image multiple,,,483.24,2885.03,7 HCPCS,78710,Kidney imaging (3D),,,277.79,962.98,2 HCPCS,78715,Renal vascular flow exam,,,258.36,258.36,1 HCPCS,78725,"Hc Kidney Function Study, Non-Imaging Radioisotopic Study",974.0,974.0,,,0 HCPCS,78725,Kidney function study,,,148.59,1131.36,8 HCPCS,78726,Description Not Available,,,484.42,484.42,1 HCPCS,78727,Description Not Available,,,651.77,651.77,1 HCPCS,78730,Urinary bladder retention,,,111.9,627.6,4 HCPCS,78740,Hc Ureteral Reflux Study,1579.0,1579.0,,,0 HCPCS,78740,Ureteral reflux study,,,311.76,1831.2,8 HCPCS,78760,Testicular imaging,,,437.45,437.45,1 HCPCS,78761,Hc Testicular Imaging With Vascular Flow,1515.0,1515.0,,,0 HCPCS,78761,Testicular imaging w/flow,,,283.37,1711.74,8 HCPCS,78799,Genitourinary nuclear exam,,,428.4,3876.03,6 HCPCS,78800,Hc Radiopharm Loc Of Tumor Or Distribution Of Radiopharm Agent(S); Lmtd Area,1983.0,1983.0,,,0 HCPCS,78800,Tumor imaging limited area,,,258.3,2111.07,8 HCPCS,78801,Hc Radiopharm Loc Of Tumor Or Distribution Of Radiopharm Agent(S); Mult Areas,2902.0,2902.0,,,0 HCPCS,78801,Tumor imaging mult areas,,,361.32,2278.31,8 HCPCS,78802,"Hc Radiopharm Loc Of Tumor Or Distribution Of Radiopharm Agent(S); Whole Body, Single Day Imaging",5456.0,5456.0,,,0 HCPCS,78802,Tumor imaging whole body,,,463.2,3917.82,8 HCPCS,78803,Hc Rp Loclzj Tum Spect 1 Area,3648.0,3648.0,,,0 HCPCS,78803,Hc Radiopharm Loc Of Tumor Or Distribution Of Radiopharm Agent(S); Tomographic (Spect),2498.0,2498.0,,,0 HCPCS,78803,Hc Radiopharm Loc Of Tumor Or Distribution Of Radiopharm Agent(S); Tomographic (Spect)-Pbb,2474.0,2474.0,,,0 HCPCS,78803,Hc Radiophrm Local Tumor;Research Ec20,2156.0,2156.0,,,0 HCPCS,78803,Tumor imaging (3D),,,471.56,3917.82,8 HCPCS,78804,"Hc Radphrm Loc Of Tumor Or Distributon Of Radphrm Agent; Whole Bdy, Requiring 2 Or More Days Imaging",4384.0,4384.0,,,0 HCPCS,78804,Tumor imaging whole body,,,581.86,5706.81,7 HCPCS,78805,Abscess imaging ltd area,,,240.48,554.89,2 HCPCS,78806,Abscess imaging whole body,,,476.57,1053.99,2 HCPCS,78807,Nuclear localization/abscess,,,472.11,1068.67,2 HCPCS,78808,"Hc Injection Procedure For Radiopharmaceutical Localization By Non-Imaging Probe Study, Intravenous",706.0,706.0,,,0 HCPCS,78808,Iv inj ra drug dx study,,,372.24,3876.03,7 HCPCS,78810,Tumor imaging (PET),,,1292.6,1292.6,1 HCPCS,78811,Pet image ltd area,,,1387.37,11880.0,5 HCPCS,78812,Pet image skull-thigh,,,1532.36,11880.0,5 HCPCS,78813,Pet image full body,,,1532.36,11880.0,5 HCPCS,78814,Hc Pet Image W/Ct Lmtd,4100.0,4100.0,,,0 HCPCS,78814,Pet image w/ct lmtd,,,1532.36,11880.0,5 HCPCS,78815,Hc Pet C11 Prostate Imaging,15173.0,15173.0,,,0 HCPCS,78815,Hc Pet Head&Neck Ca Excluding Cns &Thyroid Cancer,15173.0,15173.0,,,0 HCPCS,78815,Hc Pet Imaging Dx Colorectal,15173.0,15173.0,,,0 HCPCS,78815,Hc Pet Imaging Dx Esophageal Cancer,15173.0,15173.0,,,0 HCPCS,78815,Hc Pet Imaging Dx Lung Ca Non Small Cell,15173.0,15173.0,,,0 HCPCS,78815,Hc Pet Imaging Dx Lymphoma,15173.0,15173.0,,,0 HCPCS,78815,Hc Pet Imaging Initial Staging Colorectal,15173.0,15173.0,,,0 HCPCS,78815,Hc Pet Imaging Initial Staging Head&Neck,15173.0,15173.0,,,0 HCPCS,78815,Hc Pet Imaging Initial Staging Lung Ca Non Small Cell,15173.0,15173.0,,,0 HCPCS,78815,Hc Pet Imaging Initial Staging Lymphoma,15173.0,15173.0,,,0 HCPCS,78815,Hc Pet Imaging Regn Single Pulmonary Nodule,15173.0,15173.0,,,0 HCPCS,78815,Hc Pet Imaging Restage Lung Ca Non Small Cell,15173.0,15173.0,,,0 HCPCS,78815,Hc Pet Imaging Restaging Colorectal,15173.0,15173.0,,,0 HCPCS,78815,Hc Pet Imaging Restaging Esophageal Ca,15173.0,15173.0,,,0 HCPCS,78815,Hc Pet Imaging Restaging Head&Neck,15173.0,15173.0,,,0 HCPCS,78815,Hc Pet Imaging Restaging Lymphoma,15173.0,15173.0,,,0 HCPCS,78815,Hc Pet Imaging Thyroid Ca Restaging Follicular Cell Ca,15173.0,15173.0,,,0 HCPCS,78815,Hc Pet Neuroendo Tumor Imaging,15173.0,15173.0,,,0 HCPCS,78815,Hc Pet Prostate Imaging,15173.0,15173.0,,,0 HCPCS,78815,Hc Pet Tumor Imaging Pet With Concurrent Ct Skull Base To Mid Thigh,15173.0,15173.0,,,0 HCPCS,78815,Hc Ppet Imaging Initial Staging Esophageal Ca,15173.0,15173.0,,,0 HCPCS,78815,Pet image w/ct skull-thigh,,,1532.36,11880.0,5 HCPCS,78816,Hc Pet Imaging Whole Body Dx Melanoma,17687.0,17687.0,,,0 HCPCS,78816,Hc Pet Imaging Whole Body Initial Staging Melanoma,17687.0,17687.0,,,0 HCPCS,78816,Hc Pet Imaging Whole Body Restaging Melanoma,17687.0,17687.0,,,0 HCPCS,78816,Hc Pet Tumor Imaging With Concurrent Ct Whole Body,17687.0,17687.0,,,0 HCPCS,78816,Pet image w/ct full body,,,1532.36,11880.0,5 HCPCS,78830,Hc Rp Loclzj Tum Spect W/Ct 1,3648.0,3648.0,,,0 HCPCS,78830,Rp loclzj tum spect w/ct 1,,,1387.37,3917.82,7 HCPCS,78831,Hc Rp Loclzj Tum Spect 2 Areas,3648.0,3648.0,,,0 HCPCS,78831,Rp loclzj tum spect 2 areas,,,1387.37,5931.27,7 HCPCS,78832,Hc Rp Loclzj Tum Spect W/Ct 2,4139.0,4139.0,,,0 HCPCS,78832,Rp loclzj tum spect w/ct 2,,,1532.36,7695.81,7 HCPCS,78835,Rp quan meas single area,,,670.23,670.23,1 HCPCS,78890,Nuclear medicine data proc,,,214.32,214.32,1 HCPCS,78891,Nuclear med data proc,,,428.64,428.64,1 HCPCS,78990,Provide diag radionuclide(s),,,118.18,118.18,1 HCPCS,78999,Nuclear diagnostic exam,,,428.4,3876.03,6 HCPCS,79000,Init hyperthyroid therapy,,,428.64,428.64,1 HCPCS,79001,Repeat hyperthyroid therapy,,,211.38,211.38,1 HCPCS,79005,"Hc Radiopharmaceutical Therapy, By Oral Administration",1950.0,1950.0,,,0 HCPCS,79005,Nuclear rx oral admin,,,78.47,748.86,7 HCPCS,79020,Thyroid ablation,,,431.58,431.58,1 HCPCS,79030,"Thyroid ablation, carcinoma",,,431.58,431.58,1 HCPCS,79035,Thyroid metastatic therapy,,,431.58,431.58,1 HCPCS,79100,Hematopoetic nuclear therapy,,,431.58,431.58,1 HCPCS,79101,"Hc Radiopharmaceutical Therapy, By Intravenous Administration",2070.0,2070.0,,,0 HCPCS,79101,Nuclear rx iv admin,,,75.71,748.86,7 HCPCS,79200,Nuclear rx intracav admin,,,92.94,748.86,8 HCPCS,79300,Nuclr rx interstit colloid,,,88.31,827.92,8 HCPCS,79400,Nonhemato nuclear therapy,,,428.64,428.64,1 HCPCS,79403,"Hc Radiopharmaceutical Therapy, Radiolabeled Monoclonal Anitbody By Intravenous Infusion",2966.0,2966.0,,,0 HCPCS,79403,Hematopoietic nuclear tx,,,131.33,967.7,7 HCPCS,79420,Intravascular nuclear ther,,,437.45,437.45,1 HCPCS,79440,Nuclear rx intra-articular,,,79.61,748.86,8 HCPCS,79445,"Hc Radiopharmaceutical Therapy, By Intra-Arterial Particulate Administration",1410.0,1410.0,,,0 HCPCS,79445,Nuclear rx intra-arterial,,,156.09,943.63,7 HCPCS,79900,Provide ther radiopharm(s),,,1052.52,1052.52,1 HCPCS,79999,Nuclear medicine therapy,,,250.05,2490.38,6 HCPCS,80002,Description Not Available,,,36.89,36.89,1 HCPCS,80003,Description Not Available,,,47.05,47.05,1 HCPCS,80004,Description Not Available,,,49.7,49.7,1 HCPCS,80005,Description Not Available,,,55.41,55.41,1 HCPCS,80006,Description Not Available,,,55.54,55.54,1 HCPCS,80007,Description Not Available,,,57.89,57.89,1 HCPCS,80008,Description Not Available,,,59.97,59.97,1 HCPCS,80009,Description Not Available,,,61.47,61.47,1 HCPCS,8000T,Hc Tcat Rmvl Perm 2Chmbr Ldls Pm R Ventr Pm Compnt,8656.0,8656.0,,,0 HCPCS,80010,Description Not Available,,,61.47,61.47,1 HCPCS,80011,Description Not Available,,,62.59,62.59,1 HCPCS,80012,Description Not Available,,,58.72,58.72,1 HCPCS,80016,Description Not Available,,,74.87,74.87,1 HCPCS,80018,Description Not Available,,,75.43,75.43,1 HCPCS,80019,Description Not Available,,,78.31,78.31,1 HCPCS,80047,Metabolic panel ionized ca,,,13.73,139.93,7 HCPCS,80048,Hc Basic Metabolic Panel,379.0,379.0,,,0 HCPCS,80048,Hc Basic Metabolic Panel-Laf,81.0,81.0,,,0 HCPCS,80048,Metabolic panel total ca,,,8.46,85.33,8 HCPCS,80049,Description Not Available,,,72.92,72.92,1 HCPCS,80050,General health panel,,,70.73,409.56,5 HCPCS,80050,Hc General Health Panel,1297.0,1297.0,,,0 HCPCS,80051,Electrolyte panel,,,7.01,71.67,8 HCPCS,80051,Hc Electrolyte Panel,192.0,192.0,,,0 HCPCS,80051,Hc Electrolyte Panel-Laf,171.0,171.0,,,0 HCPCS,80053,Comprehen metabolic panel,,,10.56,105.8,8 HCPCS,80053,Hc Comprehensive Metabolic Panel,496.0,496.0,,,0 HCPCS,80053,Hc Comprehensive Metabolic Panel-Laf,101.0,101.0,,,0 HCPCS,80054,Description Not Available,,,81.67,81.67,1 HCPCS,80055,Obstetric panel,,,47.81,481.24,8 HCPCS,80058,Description Not Available,,,50.71,50.71,1 HCPCS,80059,Description Not Available,,,384.34,384.34,1 HCPCS,80061,Hc Lipid Panel,465.0,465.0,,,0 HCPCS,80061,Hc Lipid Panel-Laf,128.0,128.0,,,0 HCPCS,80061,Lipid panel,,,13.39,136.52,8 HCPCS,80069,Hc Renal Function Panel,432.0,432.0,,,0 HCPCS,80069,Renal function panel,,,8.68,88.74,7 HCPCS,80072,Description Not Available,,,165.48,165.48,1 HCPCS,80074,Acute hepatitis panel,,,47.63,481.24,8 HCPCS,80074,Hc Hepatitis Panel Acute,1118.0,1118.0,,,0 HCPCS,80076,Hc Hepatic Function Panel,330.0,330.0,,,0 HCPCS,80076,Hepatic function panel,,,8.17,81.91,8 HCPCS,80081,Obstetric panel,,,74.86,754.28,7 HCPCS,80091,Description Not Available,,,94.59,94.59,1 HCPCS,80092,Description Not Available,,,213.55,213.55,1 HCPCS,80100,Drug screen,,,103.02,103.02,1 HCPCS,80101,Drug screen,,,88.08,88.08,1 HCPCS,80102,Drug confirmation,,,93.84,93.84,1 HCPCS,80143,Drug assay acetaminophen,,,18.64,187.72,6 HCPCS,80143,Hc Acetaminophen,208.0,208.0,,,0 HCPCS,80145,Drug assay adalimumab,,,38.57,389.09,6 HCPCS,80145,"Hc Adalimumab Qt Reflx Ab,S",212.0,212.0,,,0 HCPCS,80150,Assay of amikacin,,,15.08,153.59,7 HCPCS,80150,Hc Amikacin,310.0,310.0,,,0 HCPCS,80151,Drug assay amiodarone,,,18.64,187.72,6 HCPCS,80151,"Hc Amiodarone, S",183.0,183.0,,,0 HCPCS,80155,Drug assay caffeine,,,30.08,389.09,7 HCPCS,80155,Hc Caffeine Drug Quadrant,133.0,133.0,,,0 HCPCS,80156,Assay carbamazepine total,,,14.57,146.76,8 HCPCS,80156,Hc Carbamazepine; Total,806.0,806.0,,,0 HCPCS,80157,Assay carbamazepine free,,,13.25,133.11,7 HCPCS,80157,Hc Carbamazepine; Free,107.0,107.0,,,0 HCPCS,80158,Drug assay cyclosporine,,,18.05,180.89,8 HCPCS,80158,Hc Cyclosporine,458.0,458.0,,,0 HCPCS,80159,Drug assay clozapine,,,20.15,201.37,7 HCPCS,80159,Hc Clozapine,169.0,169.0,,,0 HCPCS,80161,"Asy carbamazepin 10,11-epxid",,,18.64,187.72,6 HCPCS,80161,"Hc Asy Carbamazepin 10,11-Epxid",159.0,159.0,,,0 HCPCS,80162,Assay of digoxin total,,,13.28,133.11,8 HCPCS,80162,Hc Digoxin; Total,327.0,327.0,,,0 HCPCS,80163,Assay of digoxin free,,,13.28,133.11,8 HCPCS,80164,Assay dipropylacetic acd tot,,,13.54,136.52,8 HCPCS,80164,Hc Valproic Acid; Total,776.0,776.0,,,0 HCPCS,80165,Dipropylacetic acid free,,,13.54,136.52,8 HCPCS,80167,Drug assay felbamate,,,18.64,187.72,6 HCPCS,80167,"Hc Felbamate, Serum",175.0,175.0,,,0 HCPCS,80168,Assay of ethosuximide,,,16.34,163.83,7 HCPCS,80168,Hc Ethosuximide,403.0,403.0,,,0 HCPCS,80169,Drug assay everolimus,,,13.73,139.93,7 HCPCS,80169,Hc Everolimus,196.0,196.0,,,0 HCPCS,80170,Assay of gentamicin,,,16.38,163.83,7 HCPCS,80170,Hc Gentamicin,528.0,528.0,,,0 HCPCS,80171,Drug screen quant gabapentin,,,21.67,218.43,7 HCPCS,80171,"Hc Gabapentin, Whole Blood, Serum, Or Plasma",145.0,145.0,,,0 HCPCS,80173,Assay Of Haloperidol,,,15.78,160.41,7 HCPCS,80173,Hc Halpoperidol,155.0,155.0,,,0 HCPCS,80175,Drug screen quan lamotrigine,,,13.25,133.11,7 HCPCS,80175,Hc Lamotrigine,123.0,123.0,,,0 HCPCS,80176,Assay of lidocaine,,,14.69,146.76,7 HCPCS,80176,Hc Lidocaine,367.0,367.0,,,0 HCPCS,80177,Drug scrn quan levetiracetam,,,13.25,133.11,7 HCPCS,80177,Hc Levetiracetam,120.0,120.0,,,0 HCPCS,80178,Assay of lithium,,,6.61,68.26,8 HCPCS,80178,Hc Lithium,382.0,382.0,,,0 HCPCS,80179,Drug assay salicylate,,,18.64,187.72,6 HCPCS,80179,Hc Salicylate,208.0,208.0,,,0 HCPCS,80180,Drug scrn quan mycophenolate,,,18.05,180.89,7 HCPCS,80180,Hc Mycophenolate,227.0,227.0,,,0 HCPCS,80181,Drug assay flecainide,,,18.64,187.72,6 HCPCS,80181,"Hc Flecainide,S",120.0,120.0,,,0 HCPCS,80183,Drug scrn quant oxcarbazepin,,,13.25,133.11,7 HCPCS,80183,Hc Oxcarbazepine,151.0,151.0,,,0 HCPCS,80184,Assay of phenobarbital,,,15.3,153.59,8 HCPCS,80184,Hc Phenobarbital,416.0,416.0,,,0 HCPCS,80185,Assay of phenytoin total,,,13.25,133.11,8 HCPCS,80185,Hc Phenytoin; Total,505.0,505.0,,,0 HCPCS,80186,Assay of phenytoin free,,,13.76,139.93,7 HCPCS,80186,Hc Phenytoin; Free,428.0,428.0,,,0 HCPCS,80187,Drug assay posaconazole,,,27.11,273.04,6 HCPCS,80187,"Hc Posaconalole, S",105.0,105.0,,,0 HCPCS,80188,Assay of primidone,,,16.59,167.24,7 HCPCS,80188,Hc Primidone,138.0,138.0,,,0 HCPCS,80189,Drug assay itraconzaole,,,27.11,273.04,6 HCPCS,80189,"Hc Itraconazole,S",223.0,223.0,,,0 HCPCS,80190,Assay of procainamide,,,35.64,604.11,7 HCPCS,80190,"Hc Procainamide, Serum",429.0,429.0,,,0 HCPCS,80192,Assay of procainamide,,,16.75,167.24,7 HCPCS,80192,"Hc Procainamide, S",256.0,256.0,,,0 HCPCS,80193,Drug assay leflunomide,,,38.57,389.09,6 HCPCS,80193,"Hc Leflunomide Metabolite,S",223.0,223.0,,,0 HCPCS,80194,Assay of quinidine,,,14.6,146.76,7 HCPCS,80194,Hc Quinidine,189.0,189.0,,,0 HCPCS,80195,Assay of sirolimus,,,13.73,139.93,7 HCPCS,80195,Hc Sirolimus,563.0,563.0,,,0 HCPCS,80197,Assay of tacrolimus,,,13.73,139.93,8 HCPCS,80197,Hc Tacrolimus,870.0,870.0,,,0 HCPCS,80198,Assay of theophylline,,,14.14,143.35,7 HCPCS,80198,Hc Theophylline,425.0,425.0,,,0 HCPCS,80199,Drug screen quant tiagabine,,,27.11,273.04,7 HCPCS,80200,Assay of tobramycin,,,16.13,163.83,7 HCPCS,80200,Hc Tobramycin,386.0,386.0,,,0 HCPCS,80201,Assay of topiramate,,,11.92,119.46,7 HCPCS,80201,Hc Topiramate,461.0,461.0,,,0 HCPCS,80202,Assay of vancomycin,,,13.54,136.52,8 HCPCS,80202,Hc Vancomycin,560.0,560.0,,,0 HCPCS,80203,Drug screen quant zonisamide,,,13.25,133.11,7 HCPCS,80203,Hc Zonisamide,154.0,154.0,,,0 HCPCS,80204,Drug assay methotrexate,,,38.57,389.09,6 HCPCS,80204,Hc Methotrexate,208.0,208.0,,,0 HCPCS,80210,Drug assay rufinamide,,,27.11,273.04,6 HCPCS,80220,Drug asy hydroxychloroquine,,,18.64,187.72,6 HCPCS,80230,Drug assay infliximab,,,38.57,389.09,6 HCPCS,80230,"Hc Infliximab Qnt, Serum",127.0,127.0,,,0 HCPCS,80235,Drug assay lacosamide,,,27.11,273.04,6 HCPCS,80235,"Hc Lacosamide,S",105.0,105.0,,,0 HCPCS,80280,Drug assay vedolizumab,,,38.57,389.09,6 HCPCS,80280,"Hc Vedolizumab Qnt Ab, S",212.0,212.0,,,0 HCPCS,80285,Drug assay voriconazole,,,27.11,273.04,6 HCPCS,80285,"Hc Voriconazole, S",105.0,105.0,,,0 HCPCS,80299,Hc 5 Flucytosine,372.0,372.0,,,0 HCPCS,80299,Hc Acetoacetate,521.0,521.0,,,0 HCPCS,80299,Hc Adalimumab Concentration,487.0,487.0,,,0 HCPCS,80299,Hc Amiodarone,420.0,420.0,,,0 HCPCS,80299,Hc Amphotericin B,439.0,439.0,,,0 HCPCS,80299,Hc Busalfan Pharmacokinetics,528.0,528.0,,,0 HCPCS,80299,Hc Busulfan Quant,307.0,307.0,,,0 HCPCS,80299,Hc Cannabinoids Quantitative,320.0,320.0,,,0 HCPCS,80299,Hc Carbamazepine 10 11 Epoxide,130.0,130.0,,,0 HCPCS,80299,Hc Ceftizoxime,521.0,521.0,,,0 HCPCS,80299,Hc Certolizumab Qt Assay,276.0,276.0,,,0 HCPCS,80299,"Hc Clomipramine, Serum",317.0,317.0,,,0 HCPCS,80299,Hc Dexamethasone Quant,253.0,253.0,,,0 HCPCS,80299,"Hc Drug Qnant Nos, Urine",450.0,450.0,,,0 HCPCS,80299,Hc Drug Quant Everolimus,497.0,497.0,,,0 HCPCS,80299,Hc Drug Quant Felbamate,403.0,403.0,,,0 HCPCS,80299,Hc Drug Quant Inflixmab,234.0,234.0,,,0 HCPCS,80299,"Hc Drug Quant Nos, Plasma",178.0,178.0,,,0 HCPCS,80299,Hc Drug Quantitative Everolimus,450.0,450.0,,,0 HCPCS,80299,"Hc Eculizumab, S",830.0,830.0,,,0 HCPCS,80299,Hc Flecainide,276.0,276.0,,,0 HCPCS,80299,Hc Gabapentin,461.0,461.0,,,0 HCPCS,80299,Hc Ganciclovir S,415.0,415.0,,,0 HCPCS,80299,Hc Inflixamib Level,394.0,394.0,,,0 HCPCS,80299,Hc Lamotrigine,403.0,403.0,,,0 HCPCS,80299,Hc Methotextrate Quantitative,490.0,490.0,,,0 HCPCS,80299,Hc Mexiletine Assay,178.0,178.0,,,0 HCPCS,80299,Hc Mitotane (Lysodren),441.0,441.0,,,0 HCPCS,80299,Hc Mycophenolic Acid,521.0,521.0,,,0 HCPCS,80299,Hc Posaconazole Level,549.0,549.0,,,0 HCPCS,80299,Hc Propafenone,340.0,340.0,,,0 HCPCS,80299,Hc Qt Drug Voriconazole,549.0,549.0,,,0 HCPCS,80299,"Hc Risankuzumab, S",680.0,680.0,,,0 HCPCS,80299,Hc Rivaroxaban,601.0,601.0,,,0 HCPCS,80299,Hc Streptomycin Serum Level B,514.0,514.0,,,0 HCPCS,80299,"Hc Sulfonylurea, Quant",521.0,521.0,,,0 HCPCS,80299,Hc Tamoxifen,521.0,521.0,,,0 HCPCS,80299,"Hc Thiopurines And Metabolites, B",507.0,507.0,,,0 HCPCS,80299,Hc Traconazale,514.0,514.0,,,0 HCPCS,80299,Hc Trazodone,353.0,353.0,,,0 HCPCS,80299,Hc Ustekinumab And Anti-Ustekinumab Ab,415.0,415.0,,,0 HCPCS,80299,Hc Vendolizumab Qt Assay,276.0,276.0,,,0 HCPCS,80299,"Hc Voriconazole, Quant",318.0,318.0,,,0 HCPCS,80299,Hc Wafarin,285.0,285.0,,,0 HCPCS,80299,Hc Zonisamide,514.0,514.0,,,0 HCPCS,80299,Hcibuprofen,521.0,521.0,,,0 HCPCS,80299,Quantitative assay drug,,,18.64,187.72,8 HCPCS,80300,Drug screen non tlc devices,,,103.02,103.02,1 HCPCS,80301,Drug screen class list a,,,88.08,88.08,1 HCPCS,80305,Drug test prsmv dir opt obs,,,12.6,126.28,7 HCPCS,80306,Drug test prsmv instrmnt,,,17.14,174.06,7 HCPCS,80307,Drug test prsmv chem anlyzr,,,62.14,624.59,6 HCPCS,80307,Hc Acetaminophen Presumptv,349.0,349.0,,,0 HCPCS,80307,Hc Alcohol Urn Presumptive,182.0,182.0,,,0 HCPCS,80307,Hc Amphetamines Presumptv,182.0,182.0,,,0 HCPCS,80307,Hc Barbiturates Presumptv,182.0,182.0,,,0 HCPCS,80307,Hc Benzodiazepines Presumptv,182.0,182.0,,,0 HCPCS,80307,Hc Cannabinoid Presumptv,182.0,182.0,,,0 HCPCS,80307,Hc Cocaine Presumptv,182.0,182.0,,,0 HCPCS,80307,"Hc Csm Hybrid Drug Profile,20,Hrms/Ia,U",182.0,182.0,,,0 HCPCS,80307,Hc Drug Presmp Meconium Multicls,70.0,70.0,,,0 HCPCS,80307,Hc Drug Screen Presumptv,955.0,955.0,,,0 HCPCS,80307,Hc Drug Screen Presumptv 1-6 Panel,364.0,364.0,,,0 HCPCS,80307,Hc Drug Test Presumptive Chemistry Analyzers,70.0,70.0,,,0 HCPCS,80307,"Hc Drugs Of Abuse Screen, S",385.0,385.0,,,0 HCPCS,80307,Hc Ethanol Serum Presumptv,229.0,229.0,,,0 HCPCS,80307,Hc Ethyl Glucuronide Screen U,209.0,209.0,,,0 HCPCS,80307,Hc Hydrocodone Presumptive,175.0,175.0,,,0 HCPCS,80307,Hc Hypoglycemic Agent Screen,227.0,227.0,,,0 HCPCS,80307,Hc Methadone Metabolite Presumptive,175.0,175.0,,,0 HCPCS,80307,Hc Opiates Presumptv,182.0,182.0,,,0 HCPCS,80307,Hc Oxycodone Presumptive,175.0,175.0,,,0 HCPCS,80307,Hc Phencyclidiness Presumptv,182.0,182.0,,,0 HCPCS,80307,Hc Salicylate Presumptv,184.0,184.0,,,0 HCPCS,80307,Hc Urine Drug Screen 5 Panel Nida,42.0,42.0,,,0 HCPCS,80307,Hc Urine Drug Screen 5 Panel Non Nida,42.0,42.0,,,0 HCPCS,80307,Hc Urine Drug Screen 9 Panel Non Nida,42.0,42.0,,,0 HCPCS,80307,Hc Urine Medical Panel Drug Screen,75.0,75.0,,,0 HCPCS,80320,Drug screen quantalcohols,,,0.03,242.33,3 HCPCS,80320,Hc Drug Screen Quantalcohols,195.0,195.0,,,0 HCPCS,80321,Alcohols biomarkers 1or 2,,,0.03,0.03,1 HCPCS,80321,"Hc Ethyl Glucuronide Conf, U",185.0,185.0,,,0 HCPCS,80321,Hc Phosphatidylethanol,145.0,145.0,,,0 HCPCS,80322,Alcohols biomarkers 3/more,,,0.03,0.03,1 HCPCS,80323,Alkaloids nos,,,0.03,242.33,2 HCPCS,80323,Hc Nicotine Serum,136.0,136.0,,,0 HCPCS,80323,Hc Nicotine Urine,136.0,136.0,,,0 HCPCS,80324,Drug screen amphetamines 1/2,,,0.03,242.33,2 HCPCS,80324,Hc Drug Screen Amphetamines 1/2,162.0,162.0,,,0 HCPCS,80325,Amphetamines 3or 4,,,0.03,0.03,1 HCPCS,80326,Amphetamines 5 or more,,,0.03,0.03,1 HCPCS,80326,Hc Amphetamines 5 Or More,139.0,139.0,,,0 HCPCS,80326,"Hc Csm Hybrid Drug Profile, Amphetamines",138.0,138.0,,,0 HCPCS,80327,Anabolic steroid 1 or 2,,,0.03,242.33,2 HCPCS,80327,Hc Dihydrotestosterone,204.0,204.0,,,0 HCPCS,80328,Anabolic steroid 3 or more,,,0.03,0.03,1 HCPCS,80329,Analgesics non-opioid 1 or 2,,,0.03,242.33,2 HCPCS,80329,Hc Analgesics Non-Opioid 1 Or 2,159.0,159.0,,,0 HCPCS,80330,Analgesics non-opioid 3-5,,,0.03,0.03,1 HCPCS,80331,Analgesics non-opioid 6/more,,,0.03,0.03,1 HCPCS,80332,Antidepressants class 1 or 2,,,0.03,242.33,2 HCPCS,80332,Hc Fluoxetin,162.0,162.0,,,0 HCPCS,80333,Antidepressants class 3-5,,,0.03,0.03,1 HCPCS,80334,Antidepressants class 6/more,,,0.03,0.03,1 HCPCS,80335,Antidepressant tricyclic 1/2,,,0.03,242.33,2 HCPCS,80335,Hc Amitr Nortriptyline Assay,170.0,170.0,,,0 HCPCS,80335,"Hc Clomipramne, Serum",138.0,138.0,,,0 HCPCS,80335,Hc Desipramine,135.0,135.0,,,0 HCPCS,80335,Hc Desiprmine,78.0,78.0,,,0 HCPCS,80335,Hc Doxepine,86.0,86.0,,,0 HCPCS,80335,Hc Imipramine/Desipramine,114.0,114.0,,,0 HCPCS,80335,Hc Nortriptyline,86.0,86.0,,,0 HCPCS,80336,Antidepressant tricyclic 3-5,,,0.03,0.03,1 HCPCS,80337,Tricyclic & cyclicals 6/more,,,0.03,0.03,1 HCPCS,80338,Antidepressant not specified,,,0.03,0.03,1 HCPCS,80338,Hc Trazodone,77.0,77.0,,,0 HCPCS,80339,Antiepileptics nos 1-3,,,0.03,242.33,2 HCPCS,80339,Hc Antiepileptics Nos 1-3,181.0,181.0,,,0 HCPCS,80340,Antiepileptics nos 4-6,,,0.03,0.03,1 HCPCS,80341,Antiepileptics nos 7/more,,,0.03,0.03,1 HCPCS,80342,Antipsychotics nos 1-3,,,0.03,242.33,2 HCPCS,80343,Antipsychotics nos 4-6,,,0.03,0.03,1 HCPCS,80344,Antipsychotics nos 7/more,,,0.03,0.03,1 HCPCS,80345,Drug screening barbiturates,,,0.03,242.33,2 HCPCS,80345,Hc Drug Screening Barbiturates,139.0,139.0,,,0 HCPCS,80345,Hc Pentobarbital,74.0,74.0,,,0 HCPCS,80346,Benzodiazepines1-12,,,0.03,242.33,2 HCPCS,80346,Hc Benzodiazepines Conf,135.0,135.0,,,0 HCPCS,80346,Hc Clonazepam,139.0,139.0,,,0 HCPCS,80346,Hc Diazepam & Nordiazepam,139.0,139.0,,,0 HCPCS,80347,Benzodiazepines 13 or more,,,0.03,0.03,1 HCPCS,80347,Hc Benzodiazepines 13 Or More,138.0,138.0,,,0 HCPCS,80347,"Hc Csm Hybrid Drug Profile, Benzodiazepines",138.0,138.0,,,0 HCPCS,80348,Drug screening buprenorphine,,,0.03,0.03,1 HCPCS,80348,Hc Drug Screening Buprenorphine,139.0,139.0,,,0 HCPCS,80349,Cannabinoids natural,,,0.03,242.33,2 HCPCS,80349,Hc Cannabinoids Quntitative,139.0,139.0,,,0 HCPCS,80350,Cannabinoids synthetic 1-3,,,0.03,242.33,2 HCPCS,80351,Cannabinoids synthetic 4-6,,,0.03,0.03,1 HCPCS,80352,Cannabinoid synthetic 7/more,,,0.03,0.03,1 HCPCS,80353,Drug screening cocaine,,,0.03,242.33,2 HCPCS,80353,Hc Cocaine And Met Confirmation,142.0,142.0,,,0 HCPCS,80353,Hc Drug Screening Cocaine,158.0,158.0,,,0 HCPCS,80354,Drug screening fentanyl,,,0.03,242.33,2 HCPCS,80354,Hc Drug Screening Fentanyl,139.0,139.0,,,0 HCPCS,80355,Gabapentin non-blood,,,0.03,242.33,2 HCPCS,80356,Hc Heroin Metabolite,139.0,139.0,,,0 HCPCS,80356,Heroin metabolite,,,0.03,242.33,2 HCPCS,80357,Ketamine and norketamine,,,0.03,242.33,2 HCPCS,80358,Drug screening methadone,,,0.03,242.33,2 HCPCS,80358,Hc Methadone,139.0,139.0,,,0 HCPCS,80359,Hc Drug Screening Methylenedioxyamphetamines,139.0,139.0,,,0 HCPCS,80359,Methylenedioxyamphetamines,,,0.03,242.33,2 HCPCS,80360,Methylphenidate,,,0.03,242.33,2 HCPCS,80361,Hc Opiates 1 Or More,139.0,139.0,,,0 HCPCS,80361,Opiates 1 or more,,,0.03,242.33,2 HCPCS,80362,Opioids & opiate analogs 1/2,,,0.03,242.33,2 HCPCS,80363,Opioids & opiate analogs 3/4,,,0.03,0.03,1 HCPCS,80364,"Hc Csm Hybrid Drug Profile, Opioids",138.0,138.0,,,0 HCPCS,80364,Opioid &opiate analog 5/more,,,0.03,0.03,1 HCPCS,80365,Drug screening oxycodone,,,0.03,242.33,2 HCPCS,80365,Hc Drug Screening Oxycodone,139.0,139.0,,,0 HCPCS,80366,Drug screening pregabalin,,,0.03,242.33,2 HCPCS,80367,Drug screening propoxyphene,,,0.03,242.33,2 HCPCS,80368,"Hc Benzodiazepines Confirmation, U",66.0,66.0,,,0 HCPCS,80368,Sedative hypnotics,,,0.03,242.33,2 HCPCS,80369,Skeletal muscle relaxant 1/2,,,0.03,242.33,2 HCPCS,80370,Skel musc relaxant 3 or more,,,0.03,0.03,1 HCPCS,80371,Stimulants synthetic,,,0.03,242.33,2 HCPCS,80372,Drug screening tapentadol,,,0.03,242.33,2 HCPCS,80373,Drug screening tramadol,,,0.03,242.33,2 HCPCS,80374,Stereoisomer analysis,,,0.03,242.33,2 HCPCS,80375,Drug/substance nos 1-3,,,0.03,242.33,2 HCPCS,80375,Hc Mitotane,162.0,162.0,,,0 HCPCS,80376,Drug/substance nos 4-6,,,0.03,242.33,2 HCPCS,80377,Drug/substance nos 7/more,,,0.03,242.33,2 HCPCS,80377,Hc Drug/Substance Nos 7/More,139.0,139.0,,,0 HCPCS,80400,Acth stimulation panel,,,32.62,327.65,7 HCPCS,80400,Hc Acth Stimulation Panel; For Adrenal Insufficiency,334.0,334.0,,,0 HCPCS,80402,Acth stimulation panel,,,86.96,877.15,7 HCPCS,80402,Hc Acth Stimulation Panel; 21 Hydroxylase Deficiency,383.0,383.0,,,0 HCPCS,80406,Acth stimulation panel,,,78.26,788.41,7 HCPCS,80406,Hc Acth Stimulation Panel; 3 Beta-Hydroxydehydrogenase Deficiency,343.0,343.0,,,0 HCPCS,80408,Aldosterone suppression eval,,,125.5,1262.82,7 HCPCS,80408,Hc Aldosterone Suppression Evaluation Panel,648.0,648.0,,,0 HCPCS,80410,Calcitonin stimul panel,,,80.37,808.89,7 HCPCS,80410,Hc Calcitonin Stimulation Pane,419.0,419.0,,,0 HCPCS,80412,CRH stimulation panel,,,576.36,8075.24,7 HCPCS,80412,Hc Corticotropic Releasing Hormone (Crh) Stimulation Panel,3089.0,3089.0,,,0 HCPCS,80414,Hc Chorionic Gonadotropin Stimulation Panel; Testosterone Response,541.0,541.0,,,0 HCPCS,80414,Testosterone response,,,51.64,518.78,7 HCPCS,80415,Estradiol response panel,,,55.89,563.15,7 HCPCS,80415,Hc Chornc Gonad Stimj Pnl Total Estradiol Response,541.0,541.0,,,0 HCPCS,80416,Hc Renal Vein Renin Stimulation Panel,681.0,681.0,,,0 HCPCS,80416,Renin stimulation panel,,,209.32,2109.26,7 HCPCS,80417,Hc Peripheral Vein Renin Stimulation Panel,227.0,227.0,,,0 HCPCS,80417,Renin stimulation panel,,,43.99,443.69,7 HCPCS,80418,Hc Combined Rapid Anterior Pituitary Eval Panel,2548.0,2548.0,,,0 HCPCS,80418,Pituitary evaluation panel,,,579.48,5836.29,7 HCPCS,80420,Dexamethasone panel,,,160.38,1631.43,7 HCPCS,80420,"Hc Dexamethasone Suppression Panel, 48 Hour",574.0,574.0,,,0 HCPCS,80422,Glucagon tolerance panel,,,46.07,464.17,7 HCPCS,80422,Hc Glucagon Tolerance Panel; For Insulinoma,1517.0,1517.0,,,0 HCPCS,80424,Glucagon tolerance panel,,,50.5,508.54,7 HCPCS,80424,Hc Glucagon Tolerance Panel; For Pheochromocytoma,306.0,306.0,,,0 HCPCS,80426,Gonadotropin hormone panel,,,148.41,1494.91,7 HCPCS,80426,Hc Gonadotropin Releasing Hormone Stimulation Panel,2252.0,2252.0,,,0 HCPCS,80428,Growth hormone panel,,,66.7,672.37,7 HCPCS,80428,Hc Growth Hormone Stimulation Panel,1291.0,1291.0,,,0 HCPCS,80430,Growth hormone panel,,,129.33,1303.78,7 HCPCS,80430,Hc Growth Hormone Suppression Panel,2025.0,2025.0,,,0 HCPCS,80432,Hc Insulin-Induced C-Peptide Suppression Panel,2748.0,2748.0,,,0 HCPCS,80432,Insulin suppression panel,,,165.61,1668.97,7 HCPCS,80434,Hc Insulin Tolerance Panel; For Acth Insufficiency,1466.0,1466.0,,,0 HCPCS,80434,Insulin tolerance panel,,,204.93,2870.36,7 HCPCS,80435,Hc Insulin Tolerance Panel; For Growth Hormone Deficiency,2658.0,2658.0,,,0 HCPCS,80435,Insulin tolerance panel,,,103.0,1037.56,7 HCPCS,80436,Hc Metyrapone Panel,1053.0,1053.0,,,0 HCPCS,80436,Metyrapone panel,,,91.16,918.11,7 HCPCS,80438,Hc Thyrotropin Releasing Hormone (Trh) Stimulation Panel; 1 Hour,464.0,464.0,,,0 HCPCS,80438,TRH stimulation panel,,,50.41,508.54,7 HCPCS,80439,Hc Thyrotropin Releasing Hormone (Trh) Stimulation Panel; 2 Hour,937.0,937.0,,,0 HCPCS,80439,TRH stimulation panel,,,67.21,675.78,7 HCPCS,80500,Lab pathology consultation,,,19.2,19.2,1 HCPCS,80502,Lab pathology consultation,,,68.07,68.07,1 HCPCS,80503,Path clin consltj sf 5-20,,,52.86,177.63,6 HCPCS,80504,Path clin consltj mod 21-40,,,113.65,533.12,6 HCPCS,80505,Path clin consltj high 41-60,,,182.57,571.25,6 HCPCS,80506,Path clin consltj prolng svc,,,103.4,272.71,3 HCPCS,81000,"Hc Urinalysis, By Dip Stick Or Tablet Reagent ; Non-Automated, With Microscopy",105.0,105.0,,,0 HCPCS,81000,Urinalysis nonauto w/scope,,,4.02,40.96,8 HCPCS,81001,"Hc Ua,By Dip Stck/Tblt Rgnt For Blrbn,Gluc,Hgb,Ket,Lukcytes,Nit,Ph, Prot,Spec Grav,Urobil;Aut,W/Micr",85.0,85.0,,,0 HCPCS,81001,Urinalysis auto w/scope,,,3.17,30.72,8 HCPCS,81002,"Hc Urinalysis, By Dip Stick Or Tab Reagent; Non-Auto, W/Out Microscopy",116.0,116.0,,,0 HCPCS,81002,Urinalysis nonauto w/o scope,,,3.48,34.13,8 HCPCS,81003,Hc Protein/Qual/Ur,92.0,92.0,,,0 HCPCS,81003,"Hc Urinalysis, Auto, Without Microscopy",112.0,112.0,,,0 HCPCS,81003,"Hc Urinalysis, Auto, Without Microscopy-Laf",22.0,22.0,,,0 HCPCS,81003,"Hc Urinalysis, Ph Only",112.0,112.0,,,0 HCPCS,81003,"Hc Urinalysis, Ph Only-Laf",22.0,22.0,,,0 HCPCS,81003,"Hc Urinalysis, Specific Gravity Only",112.0,112.0,,,0 HCPCS,81003,"Hc Urinalysis, Specific Gravity Only-Laf",22.0,22.0,,,0 HCPCS,81003,Urinalysis auto w/o scope,,,2.25,23.89,8 HCPCS,81005,Urinalysis,,,2.17,20.48,7 HCPCS,81007,Urine screen for bacteria,,,5.57,300.35,7 HCPCS,81015,"Hc Urinalysis; Bacteriuria Screen, Except By Culture Of Dipstick",74.0,74.0,,,0 HCPCS,81015,"Hc Urinalysis; Bacteriuria Screen, Except By Culture Of Dipstick-Laf",29.0,29.0,,,0 HCPCS,81015,Microscopic exam of urine,,,3.05,30.72,8 HCPCS,81020,Urinalysis glass test,,,4.7,47.78,7 HCPCS,81025,"Hc Urine Pregnancy Test, By Visual Color Comparison Methods",301.0,301.0,,,0 HCPCS,81025,Urine pregnancy test,,,8.61,85.33,8 HCPCS,81050,"Hc Volume Measurement For Timed Collection, Each",61.0,61.0,,,0 HCPCS,81050,Urinalysis volume measure,,,3.64,37.54,7 HCPCS,81099,Urinalysis test procedure,,,19.05,224.15,2 HCPCS,81105,Hc Neonatal Alloimmune Thrombocytopenia (Nait)-Initial Testing Maternal Only,110.0,110.0,,,0 HCPCS,81105,Hc Platelet Transfusion Refractory Panel,110.0,110.0,,,0 HCPCS,81105,Hpa-1 genotyping,,,122.22,1232.11,6 HCPCS,81106,Hc Neonatal Alloimmune Thrombocytopenia (Nait)-Initial Testing Maternal Only,110.0,110.0,,,0 HCPCS,81106,Hc Platelet Transfusion Refractory Panel,110.0,110.0,,,0 HCPCS,81106,Hpa-2 genotyping,,,122.22,1232.11,6 HCPCS,81107,Hc Neonatal Alloimmune Thrombocytopenia (Nait)-Initial Testing Maternal Only,110.0,110.0,,,0 HCPCS,81107,Hc Platelet Transfusion Refractory Panel,110.0,110.0,,,0 HCPCS,81107,Hpa-3 genotyping,,,122.22,1232.11,6 HCPCS,81108,Hc Neonatal Alloimmune Thrombocytopenia (Nait)-Initial Testing Maternal Only,110.0,110.0,,,0 HCPCS,81108,Hc Platelet Transfusion Refractory Panel,110.0,110.0,,,0 HCPCS,81108,Hpa-4 genotyping,,,122.22,1232.11,6 HCPCS,81109,Hc Neonatal Alloimmune Thrombocytopenia (Nait)-Initial Testing Maternal Only,110.0,110.0,,,0 HCPCS,81109,Hc Platelet Transfusion Refractory Panel,110.0,110.0,,,0 HCPCS,81109,Hpa-5 genotyping,,,122.22,1232.11,6 HCPCS,81110,Hc Neonatal Alloimmune Thrombocytopenia (Nait)-Initial Testing Maternal Only,110.0,110.0,,,0 HCPCS,81110,Hc Platelet Transfusion Refractory Panel,110.0,110.0,,,0 HCPCS,81110,Hpa-6 genotyping,,,122.22,1232.11,6 HCPCS,81111,Hc Neonatal Alloimmune Thrombocytopenia (Nait)-Initial Testing Maternal Only,110.0,110.0,,,0 HCPCS,81111,Hc Platelet Transfusion Refractory Panel,110.0,110.0,,,0 HCPCS,81111,Hpa-9 genotyping,,,122.22,1232.11,6 HCPCS,81112,Hc Neonatal Alloimmune Thrombocytopenia (Nait)-Initial Testing Maternal Only,110.0,110.0,,,0 HCPCS,81112,Hc Platelet Transfusion Refractory Panel,110.0,110.0,,,0 HCPCS,81112,Hpa-15 genotyping,,,122.22,1232.11,6 HCPCS,81120,Hc Idh1 Exon 4 Variants,922.0,922.0,,,0 HCPCS,81120,Idh1 common variants,,,193.25,1945.43,6 HCPCS,81121,Hc 2-Hydroxyglutaric Aciduria Panel,922.0,922.0,,,0 HCPCS,81121,Hc Idh2 Exon 4 Variants,922.0,922.0,,,0 HCPCS,81121,Idh2 common variants,,,295.79,2979.58,6 HCPCS,81161,DMD dup/delet analysis,,,217.74,2808.93,7 HCPCS,81162,Brca1&2 seq & full dup/del,,,1824.88,18379.19,7 HCPCS,81162,Hc Hereditary Melanoma Panel Brca1 & Brca2,2750.0,2750.0,,,0 HCPCS,81162,Hc Hereditary Prostate Cancer Panel Brca1 & Brca2,2035.0,2035.0,,,0 HCPCS,81163,Brca1&2 gene full seq alys,,,468.0,4713.4,6 HCPCS,81164,Brca1&2 gen ful dup/del alys,,,584.23,5884.07,6 HCPCS,81165,Brca1 gene full seq alys,,,282.88,2849.88,6 HCPCS,81166,Brca1 gene full dup/del alys,,,301.35,3034.19,6 HCPCS,81167,Brca2 gene full dup/del alys,,,282.88,2849.88,6 HCPCS,81168,Ccnd1/igh translocation alys,,,207.31,2088.78,6 HCPCS,81170,Abl1 gene,,,300.0,3020.54,7 HCPCS,81170,Hc Abl 1 Mutation Assay,815.0,815.0,,,0 HCPCS,81170,Hc Abl1 Kinase Variants,815.0,815.0,,,0 HCPCS,81171,Aff2 gene detc abnor alleles,,,137.0,1378.87,6 HCPCS,81172,Aff2 gene charac alleles,,,274.83,2767.97,6 HCPCS,81173,Ar gene full gene sequence,,,301.35,3034.19,6 HCPCS,81174,Ar gene known famil variant,,,185.2,1866.93,6 HCPCS,81175,Asxl1 full gene sequence,,,676.5,6812.42,6 HCPCS,81175,Hc Asxl1 Full Gene Analysis,94.0,94.0,,,0 HCPCS,81176,Asxl1 gene target seq alys,,,241.9,2436.91,6 HCPCS,81177,Atn1 gene detc abnor alleles,,,137.0,1378.87,6 HCPCS,81177,"Hc Ataxia Repeat Expansion Panel, Atn1 Gene Analysis",304.0,304.0,,,0 HCPCS,81177,Hc Single Gene Repeat Expansion Analysis - Atn,685.0,685.0,,,0 HCPCS,81178,Atxn1 gene detc abnor allele,,,137.0,1378.87,6 HCPCS,81178,"Hc Ataxia Repeat Expansion Panel, Atxn1 Gene Analysis",304.0,304.0,,,0 HCPCS,81178,Hc Single Gene Repeat Expansion Analysis - Atxn1,685.0,685.0,,,0 HCPCS,81179,Atxn2 gene detc abnor allele,,,137.0,1378.87,6 HCPCS,81179,"Hc Ataxia Repeat Expansion Panel, Atxn2 Gene Analysis",304.0,304.0,,,0 HCPCS,81179,Hc Single Gene Repeat Expansion Analysis - Atxn2,685.0,685.0,,,0 HCPCS,81180,Atxn3 gene detc abnor allele,,,137.0,1378.87,6 HCPCS,81180,"Hc Ataxia Repeat Expansion Panel, Atxn3 Gene Analysis",304.0,304.0,,,0 HCPCS,81180,"Hc Single Gene Repeat Expansion Analysis, Atxn3",685.0,685.0,,,0 HCPCS,81181,Atxn7 gene detc abnor allele,,,137.0,1378.87,6 HCPCS,81181,"Hc Ataxia Repeat Expansion Panel, Atxn7 Gene Analysi",304.0,304.0,,,0 HCPCS,81181,Hc Single Gene Repeat Expansion Analysis Atxn7,685.0,685.0,,,0 HCPCS,81182,Atxn8os gen detc abnor allel,,,137.0,1378.87,6 HCPCS,81182,"Hc Ataxia Repeat Expansion Panel, Atxn8Os Gene Analysis",304.0,304.0,,,0 HCPCS,81182,Hc Single Gene Repeat Expansion Analysis - Atxn8Os,685.0,685.0,,,0 HCPCS,81183,Atxn10 gene detc abnor allel,,,137.0,1378.87,6 HCPCS,81183,"Hc Ataxia Repeat Expansion Panel, Atxn10 Gene Analysis",304.0,304.0,,,0 HCPCS,81183,Hc Single Gene Repeat Expansion Analysis - Atxn10,685.0,685.0,,,0 HCPCS,81184,Cacna1a gen detc abnor allel,,,137.0,1378.87,6 HCPCS,81184,"Hc Ataxia Repeat Expansion Panel, Cacna1A Gene Analysis",304.0,304.0,,,0 HCPCS,81184,Hc Single Gene Repeat Expansion Analysis - Cacna1A,685.0,685.0,,,0 HCPCS,81185,Cacna1a gene full gene seq,,,846.27,8522.35,6 HCPCS,81186,Cacna1a gen known famil vrnt,,,185.2,1866.93,6 HCPCS,81187,Cnbp gene detc abnor allele,,,137.0,1378.87,6 HCPCS,81188,Cstb gene detc abnor allele,,,137.0,1378.87,6 HCPCS,81189,Cstb gene full gene sequence,,,274.83,2767.97,6 HCPCS,81190,Cstb gene known famil vrnt,,,185.2,1866.93,6 HCPCS,81191,Ntrk1 translocation analysis,,,207.31,2088.78,6 HCPCS,81192,Ntrk2 translocation analysis,,,207.31,2088.78,6 HCPCS,81193,Ntrk3 translocation analysis,,,207.31,2088.78,6 HCPCS,81194,Ntrk translocation analysis,,,518.28,5218.53,6 HCPCS,81195,Cytog genom-wid alys hem mal,,,1863.22,4422.36,5 HCPCS,81200,Aspa gene,,,47.25,474.41,7 HCPCS,81200,"Hc Aspa Canavan Disease Gene Analysis, Common Variants",158.0,158.0,,,0 HCPCS,81201,Apc gene full sequence,,,376.64,7856.8,7 HCPCS,81201,Hc Hereditary Thyroid Cancer Panel Apc Seq,1045.0,1045.0,,,0 HCPCS,81202,Apc gene known fam variants,,,128.73,2819.17,7 HCPCS,81202,"Hc Apc Gene Analysis, Known Familial Variants",158.0,158.0,,,0 HCPCS,81203,Apc gene dup/delet variants,,,200.0,2013.69,7 HCPCS,81203,Hc Hereditary Thyroid Cancer Panel Apc Del/Dupl,440.0,440.0,,,0 HCPCS,81204,Ar gene charac alleles,,,137.0,1378.87,6 HCPCS,81205,Bckdhb gene,,,52.65,955.65,7 HCPCS,81206,Bcr/abl1 gene major bp,,,163.96,1651.91,7 HCPCS,81206,Hc Bcr Abl1 T(9:22) Major Qualitative,1192.0,1192.0,,,0 HCPCS,81206,Hc Bcr Abl1 T(9:22) Major Quantitative,1192.0,1192.0,,,0 HCPCS,81207,Bcr/abl1 gene minor bp,,,144.84,1457.37,7 HCPCS,81207,Hc Bcr Abl1 T(9:22) Minor Qualitative,1192.0,1192.0,,,0 HCPCS,81207,Hc Bcr Abl1 T(9:22) Minor Quantitative,1192.0,1192.0,,,0 HCPCS,81208,Bcr/abl1 gene other bp,,,214.62,2160.45,7 HCPCS,81209,Blm gene,,,35.97,395.91,7 HCPCS,81209,"Hc Blm, Bloom Syndrom, Gene Analysis",126.0,126.0,,,0 HCPCS,81210,Braf gene,,,175.4,1767.95,7 HCPCS,81210,Hc Braf Gene Analysis V600E Vari,158.0,158.0,,,0 HCPCS,81210,Hc Braf Gene Analysis V600E Variant,1438.0,1438.0,,,0 HCPCS,81211,Brca1&2 seq & com dup/del,,,3390.78,3390.78,1 HCPCS,81212,Brca1&2 185&5385&6174 var,,,274.53,4430.12,7 HCPCS,81213,Brca1&2 uncom dup/del var,,,904.91,904.91,1 HCPCS,81214,Brca1 full seq & com dup/del,,,2233.61,2233.61,1 HCPCS,81215,Brca1 gene known fam variant,,,144.78,3778.23,7 HCPCS,81216,Brca2 gene full sequence,,,185.12,1863.52,7 HCPCS,81216,Hc Brca2 Full Seq,1264.0,1264.0,,,0 HCPCS,81217,Brca2 gene known fam variant,,,144.78,3778.23,7 HCPCS,81218,Cebpa gene full sequence,,,241.9,2436.91,7 HCPCS,81218,Hc Cebpa Full Gene Sequnce,1116.0,1116.0,,,0 HCPCS,81218,Hc Msk Adult Mds/Aml Panel Cebpa,906.0,906.0,,,0 HCPCS,81219,Calr gene com variants,,,121.63,1225.28,7 HCPCS,81219,Hc Calr Mutation Analysis,1133.0,1133.0,,,0 HCPCS,81219,Hc Calreticulin Exon 9 Variants,1339.0,1339.0,,,0 HCPCS,81220,Cftr gene com variants,,,292.83,5607.61,7 HCPCS,81220,Hc Ashks Cystic Fibrosis,341.0,341.0,,,0 HCPCS,81220,Hc Cystic Fibrosis Carrier Testing Gene Analysis; Common Variants,1925.0,1925.0,,,0 HCPCS,81220,Hc Cystic Fibrosis Common Variant,616.0,616.0,,,0 HCPCS,81221,Cftr gene known fam variants,,,97.22,979.54,7 HCPCS,81222,Cftr gene dup/delet variants,,,157.04,4382.34,7 HCPCS,81222,Hc Cystic Fibrosis (Cf) Mutation Panel Dupl/Del,495.0,495.0,,,0 HCPCS,81222,Hc Cystic Fibrosis Diagnostic Testing Gene Analysis; Duplication/Deletion Variant,1436.0,1436.0,,,0 HCPCS,81223,Cftr gene full sequence,,,446.24,5027.4,7 HCPCS,81223,Hc Cftr Gene Analysis; Full Gene Sequence,2090.0,2090.0,,,0 HCPCS,81223,Hc Cystic Fibrosis Diagnostic Testing Gene Analysis; Full Gene Sequence,2266.0,2266.0,,,0 HCPCS,81224,Cftr gene intron poly t,,,124.95,1699.69,7 HCPCS,81225,Cyp2c19 gene com variants,,,291.36,2935.21,7 HCPCS,81226,Cyp2d6 gene com variants,,,450.91,4542.75,7 HCPCS,81227,Cyp2c9 gene com variants,,,174.81,1761.13,7 HCPCS,81228,Cytogen micrarray copy nmbr,,,602.87,9065.02,7 HCPCS,81228,Hc Cytogenomic Constitutionl Microarray Analysi; Interrogatn Of Genomic Regions For Copy Num Variant,1993.0,1993.0,,,0 HCPCS,81229,Cytogen m array copy no&snp,,,727.29,11682.82,7 HCPCS,81229,Hc Cytgenmc Cnstutnal Mcrary Anlys; Intrgtn Gnmc Rgns 4 Cpy Nbr&Sng Ncltde Plymrph Vrnts Chrmsm Abn,2556.0,2556.0,,,0 HCPCS,81230,Cyp3a4 gene common variants,,,174.81,1761.13,6 HCPCS,81231,Cyp3a5 gene common variants,,,174.81,1761.13,6 HCPCS,81232,Dpyd gene common variants,,,174.81,1761.13,6 HCPCS,81233,Btk gene common variants,,,175.4,1767.95,6 HCPCS,81234,Dmpk gene detc abnor allele,,,137.0,1378.87,6 HCPCS,81235,Egfr gene com variants,,,324.58,3269.69,7 HCPCS,81235,Hc Egfr Gene Analaysis Common Variant,1116.0,1116.0,,,0 HCPCS,81236,Ezh2 gene full gene sequence,,,282.88,2849.88,6 HCPCS,81236,Hc Ezh2 Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81237,Ezh2 gene common variants,,,175.4,1767.95,6 HCPCS,81238,F9 full gene sequence,,,600.0,6044.48,6 HCPCS,81239,Dmpk gene charac alleles,,,274.83,2767.97,6 HCPCS,81240,F2 gene,,,65.69,662.13,7 HCPCS,81240,"Hc F2 Prothombin Gene Analysis, 20210G>A Variant",676.0,676.0,,,0 HCPCS,81241,F5 gene,,,73.37,740.63,7 HCPCS,81241,"Hc F5 Coagulation Factor 5 Gene Analysis, Leiden Variant",676.0,676.0,,,0 HCPCS,81242,Fancc gene,,,36.62,368.61,7 HCPCS,81242,Hc Ashks Fanconi Anemia,1565.0,1565.0,,,0 HCPCS,81242,Hc Fanconi Anemia Gene Common Variant,1565.0,1565.0,,,0 HCPCS,81243,Fmr1 gene detection,,,57.04,573.39,7 HCPCS,81243,"Hc Ataxia Repeat Expansion Panel, Fmr1 Gene Analysi",304.0,304.0,,,0 HCPCS,81243,Hc Fmr1 Fragile X Gene Analysis; Evaluation To Detect Abnormal Alleles,1683.0,1683.0,,,0 HCPCS,81243,"Hc Fragile X Carrier Testing Gene Analysis; Evaluation To Detect Abnormal (Eg, Expanded) Alleles",662.0,662.0,,,0 HCPCS,81243,"Hc Fragile X Diagnostic Testing Gene Analysis; Evaluation To Detect Abnormal (Eg, Expanded) Alleles",662.0,662.0,,,0 HCPCS,81243,Hc Single Gene Repeat Expansion Analysis - Fmr1,685.0,685.0,,,0 HCPCS,81244,Fmr1 gene characterization,,,44.89,450.52,7 HCPCS,81244,Hc Fragile X Diagnostic Testing Gene Analysis; Characterization Of Alleles,662.0,662.0,,,0 HCPCS,81245,Flt3 gene,,,165.51,1665.56,7 HCPCS,81245,Hc Flt3 Gene,1264.0,1264.0,,,0 HCPCS,81246,Flt3 gene analysis,,,83.0,836.19,7 HCPCS,81246,Hc Flt3 Gene Analys,365.0,365.0,,,0 HCPCS,81247,G6pd gene alys cmn variant,,,174.81,1761.13,6 HCPCS,81248,G6pd known familial variant,,,375.25,3778.23,6 HCPCS,81249,G6pd full gene sequence,,,600.0,6044.48,6 HCPCS,81250,G6pc gene,,,51.93,590.45,7 HCPCS,81251,Gba gene,,,47.25,474.41,7 HCPCS,81251,"Hc Gba Gaucher Disease Gene Analysis, Common Variants",158.0,158.0,,,0 HCPCS,81252,Gjb2 gene full sequence,,,101.12,1017.08,7 HCPCS,81253,Gjb2 gene known fam variants,,,61.52,621.17,7 HCPCS,81254,Gjb6 gene com variants,,,35.0,351.54,7 HCPCS,81255,"Hc Hexa Tay-Sachs Disease Gene Analysis, Common Variants",158.0,158.0,,,0 HCPCS,81255,Hexa gene,,,51.45,518.78,7 HCPCS,81256,"Hc Hfe Hemochromatosis Gene Analysis, Common Variants",458.0,458.0,,,0 HCPCS,81256,Hfe gene,,,65.36,658.72,7 HCPCS,81257,Hba1/hba2 gene,,,102.26,1030.74,7 HCPCS,81257,"Hc Hba1/Hba1 Alpha Globin 1 And Alpha Globin 2 Gene Analysis, For Common Deletions Or Variant",833.0,833.0,,,0 HCPCS,81258,Hba1/hba2 gene fam vrnt,,,375.25,3778.23,6 HCPCS,81259,Hba1/hba2 full gene sequence,,,600.0,6044.48,6 HCPCS,81260,"Hc Ikbkap Familiar Dysautonomia Gene Analysis, Common Variants",158.0,158.0,,,0 HCPCS,81260,Ikbkap gene,,,39.31,395.91,7 HCPCS,81261,Hc Ich Gene Arrangement Analysis To Detect Abnormal Clonal Population; Amplified Methodology,3905.0,3905.0,,,0 HCPCS,81261,Igh gene rearrange amp meth,,,197.99,1993.21,7 HCPCS,81262,Igh gene rearrang dir probe,,,68.55,689.43,7 HCPCS,81263,Hc Igh Vari Regional Mutation,1496.0,1496.0,,,0 HCPCS,81263,Igh vari regional mutation,,,294.52,2965.93,7 HCPCS,81264,"Hc Igk, Gene Arrangement Analysis, Evaluation And Abnormal Clonal Population(S)",1778.0,1778.0,,,0 HCPCS,81264,Igk rearrangeabn clonal pop,,,172.73,1740.65,7 HCPCS,81265,Hc Comarative Analysis Using Str Markers; Patient And Comparative Specimen,3208.0,3208.0,,,0 HCPCS,81265,Hc Maternal Cell Contamination,1637.0,1637.0,,,0 HCPCS,81265,Hc Molar Pregnacy,1637.0,1637.0,,,0 HCPCS,81265,Str markers specimen anal,,,233.07,2348.17,7 HCPCS,81266,Hc Hc Comarative Analysis Using Str Markers; Each Additional Specifmen,1890.0,1890.0,,,0 HCPCS,81266,Str markers spec anal addl,,,304.81,3068.32,7 HCPCS,81267,Chimerism anal no cell selec,,,207.46,2088.78,7 HCPCS,81267,"Hc Chimrsm Engrftmnt Anlysis,Post Transplnt Spec,Inc Comp To Prev Perfrmd Bl Anlyss;W/Out Cell Selct",800.0,800.0,,,0 HCPCS,81268,Chimerism anal w/cell select,,,260.79,2628.04,7 HCPCS,81268,"Hc Chimrsm Engrft Anlysis Post Transplnt Spec,Incl Comprsn To Prev Perf Baselne Anlysis;W/Cell Selct",800.0,800.0,,,0 HCPCS,81269,Hba1/hba2 gene dup/del vrnts,,,202.4,2037.58,6 HCPCS,81269,Hc Hba1/Hba1 Alpha Glob 1 & Alpha Glob 2 Gene Analysis Dltns/Vrnt,833.0,833.0,,,0 HCPCS,81270,Hc Jak2 V617F Variant,1439.0,1439.0,,,0 HCPCS,81270,Jak2 gene,,,91.66,921.52,7 HCPCS,81271,Htt gene detc abnor alleles,,,137.0,1378.87,6 HCPCS,81272,Hc C-Kit Mutation Analys,1339.0,1339.0,,,0 HCPCS,81272,Kit gene targeted seq analys,,,329.51,3317.47,7 HCPCS,81273,Hc Kit D816 Variants,1339.0,1339.0,,,0 HCPCS,81273,Kit gene analys d816 variant,,,124.87,1256.0,7 HCPCS,81274,Htt gene charac alleles,,,274.83,2767.97,6 HCPCS,81275,Hc Kras Gene Analy Codons 12 13,477.0,477.0,,,0 HCPCS,81275,Hc Kras Gene Analysis Codons 12 13,1678.0,1678.0,,,0 HCPCS,81275,Kras gene variants exon 2,,,193.25,1945.43,7 HCPCS,81276,Hc Kras Gene Analys Codon 61 146,815.0,815.0,,,0 HCPCS,81276,Kras gene addl variants,,,193.25,1945.43,7 HCPCS,81277,Cytogenomic neo microra alys,,,1160.0,11682.82,6 HCPCS,81277,Hc Cytogenomic Neo Microra Alys,2493.0,2493.0,,,0 HCPCS,81278,Igh@/bcl2 translocation alys,,,207.31,2088.78,6 HCPCS,81279,Jak2 gene trgt sequence alys,,,185.2,1866.93,6 HCPCS,81280,Long qt synd gene full seq,,,917.22,917.22,1 HCPCS,81281,Long qt synd known fam var,,,87.48,87.48,1 HCPCS,81282,Long qt syn gene dup/dlt var,,,909.8,909.8,1 HCPCS,81283,Hc Il28B Polymorphisms For Hepatitis C,638.0,638.0,,,0 HCPCS,81283,Ifnl3 gene,,,73.37,740.63,6 HCPCS,81284,Fxn gene detc abnor alleles,,,137.0,1378.87,6 HCPCS,81284,"Hc Ataxia Repeat Expansion Panel, Fxn Gene Analysis",304.0,304.0,,,0 HCPCS,81284,Hc Single Gene Repeat Expansion Analysis - Fxn,685.0,685.0,,,0 HCPCS,81285,Fxn gene charac alleles,,,274.83,2767.97,6 HCPCS,81286,Fxn gene full gene sequence,,,274.83,2767.97,6 HCPCS,81286,Hc Fxn Mutation Analysis,1133.0,1133.0,,,0 HCPCS,81287,Hc Mgmt Promoter Methylation,944.0,944.0,,,0 HCPCS,81287,Mgmt gene methylation anal,,,124.64,1256.0,6 HCPCS,81288,Hc Mlh1 Gene Analysis Promoter Methylation Analysis,858.0,858.0,,,0 HCPCS,81288,Mlh1 gene,,,192.32,1938.6,7 HCPCS,81289,Fxn gene known famil variant,,,185.2,1866.93,6 HCPCS,81290,"Hc Mcoln1 Mucolipidois Gene Analysis, Common Variants",158.0,158.0,,,0 HCPCS,81290,Mcoln1 gene,,,39.31,395.91,7 HCPCS,81291,"Hc Mthfr Gene Analysis, Common Variants",451.0,451.0,,,0 HCPCS,81291,Mthfr gene,,,65.34,658.72,7 HCPCS,81292,Hc Hereditary Prostate Cancer Panel Mlh1,1100.0,1100.0,,,0 HCPCS,81292,Hc Lynch Syndrome Panel Mlh1,1100.0,1100.0,,,0 HCPCS,81292,Hc Mlh1 Full Gene Seq,703.0,703.0,,,0 HCPCS,81292,Mlh1 gene full seq,,,675.4,6802.18,7 HCPCS,81293,Hc Mlh1 Gene Analysis; Known Familial Variants,158.0,158.0,,,0 HCPCS,81293,Mlh1 gene known variants,,,331.0,3334.53,7 HCPCS,81294,Hc Mlh1 Copy Number,703.0,703.0,,,0 HCPCS,81294,Mlh1 gene dup/delete variant,,,202.4,2037.58,7 HCPCS,81295,Hc Hereditary Prostate Cancer Panel Msh2,550.0,550.0,,,0 HCPCS,81295,Hc Lynch Syndrome Panel Msh2,550.0,550.0,,,0 HCPCS,81295,Hc Mlh2 Full Gene Seq,703.0,703.0,,,0 HCPCS,81295,Msh2 gene full seq,,,235.56,3843.08,7 HCPCS,81296,Msh2 gene known variants,,,201.03,3402.79,7 HCPCS,81297,Hc Mlh2 Copy#,703.0,703.0,,,0 HCPCS,81297,Msh2 gene dup/delete variant,,,213.3,2146.8,7 HCPCS,81298,Hc Hereditary Prostate Cancer Panel Msh6,825.0,825.0,,,0 HCPCS,81298,Hc Lynch Syndrome Panel Msh6,825.0,825.0,,,0 HCPCS,81298,Hc Mlh6 Full Gene Seq,703.0,703.0,,,0 HCPCS,81298,Msh6 gene full seq,,,447.17,6464.29,7 HCPCS,81299,Msh6 gene known variants,,,250.59,3102.45,7 HCPCS,81300,Hc Mlh6 Copy Number,703.0,703.0,,,0 HCPCS,81300,Msh6 gene dup/delete variant,,,238.0,2395.95,7 HCPCS,81301,"Hc Msi Gene Analy Of Mrkrs For Msmtch Rpr Defcncy, Incl Comprsn Of Neoplstc And Nrml Tissue, If Perf",4011.0,4011.0,,,0 HCPCS,81301,Hc Msi Tumor Microsat Instab,1053.0,1053.0,,,0 HCPCS,81301,Microsatellite instability,,,348.56,3512.01,7 HCPCS,81302,Mecp2 gene full seq,,,327.95,5317.51,7 HCPCS,81303,Mecp2 gene known variant,,,87.9,1208.21,7 HCPCS,81304,Mecp2 gene dup/delet variant,,,150.0,1511.97,7 HCPCS,81305,Myd88 gene p.leu265pro vrnt,,,175.4,1767.95,6 HCPCS,81306,Nudt15 gene common variants,,,291.36,2935.21,6 HCPCS,81307,Palb2 gene full gene seq,,,676.5,6812.42,6 HCPCS,81308,Palb2 gene known famil vrnt,,,301.35,3034.19,6 HCPCS,81309,Pik3ca gene trgt seq alys,,,274.83,2767.97,6 HCPCS,81310,Hc Npm1 Gene Exon 12 Var,440.0,440.0,,,0 HCPCS,81310,Hc Npm1 Gene Exon 12 Var-Laf,139.0,139.0,,,0 HCPCS,81310,Npm1 gene,,,246.52,2481.28,7 HCPCS,81311,Hc Nras Exns 1 2 Targeted,1116.0,1116.0,,,0 HCPCS,81311,Nras gene variants exon 2&3,,,295.79,2979.58,7 HCPCS,81312,Pabpn1 gene detc abnor allel,,,137.0,1378.87,6 HCPCS,81313,Pca3/klk3 antigen,,,255.05,2570.01,7 HCPCS,81314,Hc Pdgfra Targt Analys,1339.0,1339.0,,,0 HCPCS,81314,Pdgfra gene,,,329.51,3317.47,7 HCPCS,81315,Hc Modl-Pml/Raralpha T(15:17) Qual,1859.0,1859.0,,,0 HCPCS,81315,Pml/raralpha com breakpoints,,,207.31,2088.78,7 HCPCS,81316,Pml/raralpha 1 breakpoint,,,207.31,2088.78,7 HCPCS,81317,Hc Hereditary Prostate Cancer Panel Pms2,825.0,825.0,,,0 HCPCS,81317,Hc Lynch Syndrome Panel Pms2,825.0,825.0,,,0 HCPCS,81317,Pms2 gene full seq analysis,,,676.5,6812.42,7 HCPCS,81318,Pms2 known familial variants,,,286.79,3334.53,7 HCPCS,81319,Pms2 gene dup/delet variants,,,203.5,2051.23,7 HCPCS,81320,Plcg2 gene common variants,,,291.36,2935.21,6 HCPCS,81321,Hc Hereditary Thyroid Cancer Panel Pten Seq,1045.0,1045.0,,,0 HCPCS,81321,Pten gene full sequence,,,600.0,6044.48,7 HCPCS,81322,Hc Pten Gene Analysis; Known Familial Variant,158.0,158.0,,,0 HCPCS,81322,Pten gene known fam variant,,,46.6,471.0,7 HCPCS,81323,Hc Hereditary Thyroid Cancer Panel Pten Del/Dup,550.0,550.0,,,0 HCPCS,81323,Pten gene dup/delet variant,,,135.87,3020.54,7 HCPCS,81324,Hc Pmp22 Gene Analysis; Duplication/Deletion Analysis,1460.0,1460.0,,,0 HCPCS,81324,Pmp22 gene dup/delet,,,395.22,7638.37,7 HCPCS,81325,Hc Pmp22 Gene Analysis; Full Sequence Analysis,1460.0,1460.0,,,0 HCPCS,81325,Pmp22 gene full sequence,,,489.47,7751.0,7 HCPCS,81326,Pmp22 gene known fam variant,,,46.6,471.0,7 HCPCS,81327,Sept9 methylation analysis,,,192.0,1935.19,6 HCPCS,81328,Slco1b1 gene com variants,,,174.81,1761.13,6 HCPCS,81329,Hc Sma Carrier By Deletion/Duplicate,930.0,930.0,,,0 HCPCS,81329,Hc Sma Carrier Testing Gene Analysis; Dosage/Deletion Analysis,377.0,377.0,,,0 HCPCS,81329,Smn1 gene dos/deletion alys,,,137.0,1378.87,6 HCPCS,81330,"Hc Smpd1(Sphingomyelin Phosphodiesterase 1,Acid Lysosoml)(Eg,Nieman-Pck Dis,Typa)Gne Als,Cmmn Vrints",158.0,158.0,,,0 HCPCS,81330,Smpd1 gene common variants,,,47.0,474.41,7 HCPCS,81331,Hc Imprinting Center Deletion Analysis,793.0,793.0,,,0 HCPCS,81331,Hc Methylation Specific Mlpa For Pws And As,793.0,793.0,,,0 HCPCS,81331,Hc Ms-Mlpa (Detects Methylation And Deletions In 15Q11- 13),793.0,793.0,,,0 HCPCS,81331,Snrpn/ube3a gene,,,51.07,515.37,7 HCPCS,81332,Serpina1 gene,,,43.65,440.28,7 HCPCS,81333,Tgfbi gene common variants,,,137.0,1378.87,6 HCPCS,81334,Hc Msk Acute Lymphoblastic Leukemia Panel Runx1,1020.0,1020.0,,,0 HCPCS,81334,Hc Msk Adult Mds/Aml Panel Runx1,1020.0,1020.0,,,0 HCPCS,81334,Hc Runx1 Targeted Gene Analysis,1317.0,1317.0,,,0 HCPCS,81334,Runx1 gene targeted seq alys,,,329.51,3317.47,6 HCPCS,81335,Tpmt gene com variants,,,174.81,1761.13,6 HCPCS,81336,Smn1 gene full gene sequence,,,301.35,3034.19,6 HCPCS,81337,Smn1 gen nown famil seq vrnt,,,185.2,1866.93,6 HCPCS,81338,Mpl gene common variants,,,150.33,1515.39,6 HCPCS,81339,Mpl gene seq alys exon 10,,,185.2,1866.93,6 HCPCS,81340,"Hc Trb, Gene Rearrangemnt Analysis To Detect Abnrml Clonal Populatn(S); Using Amplifictn Methodlgy",1952.0,1952.0,,,0 HCPCS,81340,Trb@ gene rearrange amplify,,,208.92,2105.84,7 HCPCS,81341,Trb@ gene rearrange dirprobe,,,49.59,498.3,7 HCPCS,81342,"Hc Trg@ , Gene Rearrangement Analysis, Evaluation To Detect Abnormal Clonal Population(S)",1952.0,1952.0,,,0 HCPCS,81342,Trg gene rearrangement anal,,,201.5,2030.76,7 HCPCS,81343,"Hc Ataxia Repeat Expansion Panel, Ppp2R2B Gene Analysis",304.0,304.0,,,0 HCPCS,81343,Hc Single Gene Repeat Expansion Analysis - Ppp2R2B,685.0,685.0,,,0 HCPCS,81343,Ppp2r2b gen detc abnor allel,,,137.0,1378.87,6 HCPCS,81344,"Hc Ataxia Repeat Expansion Panel, Tbp Gene Analysis",304.0,304.0,,,0 HCPCS,81344,Hc Single Gene Repeat Expansion Panel - Tbp,685.0,685.0,,,0 HCPCS,81344,Tbp gene detc abnor alleles,,,137.0,1378.87,6 HCPCS,81345,Hc Msk Adult Mds/Aml Panel Tert,1351.0,1351.0,,,0 HCPCS,81345,Hc Tert Gene Analysis Targeted Sequence Analysis,1351.0,1351.0,,,0 HCPCS,81345,Tert gene targeted seq alys,,,185.2,1866.93,6 HCPCS,81346,Tyms gene com variants,,,174.81,1761.13,6 HCPCS,81347,Sf3b1 gene common variants,,,193.25,1945.43,6 HCPCS,81348,Srsf2 gene common variants,,,175.4,1767.95,6 HCPCS,81349,Cytog alys chrml abnr lw-ps,,,1197.94,11682.82,6 HCPCS,81350,Hc Ugt1A1 Genotyping For Gilbert Syndrome,850.0,850.0,,,0 HCPCS,81350,Hc Ugt1A1 Genotyping For Irinotecan Dosing,850.0,850.0,,,0 HCPCS,81350,Ugt1a1 gene,,,193.65,2358.41,7 HCPCS,81351,Hc Hereditary Melanoma Panel Tp53,850.0,850.0,,,0 HCPCS,81351,Hc Msk Lymphoma Panel Tp53 Gene,850.0,850.0,,,0 HCPCS,81351,Hc Tp53 Mutation Analysis,1133.0,1133.0,,,0 HCPCS,81351,Tp53 gene full gene sequence,,,641.85,6464.29,6 HCPCS,81352,Tp53 gene trgt sequence alys,,,329.51,3317.47,6 HCPCS,81353,Tp53 gene known famil vrnt,,,308.0,3102.45,6 HCPCS,81354,Cytog alys chrml abnor ogm,,,1263.53,1832.12,3 HCPCS,81355,Vkorc1 gene,,,64.52,887.39,7 HCPCS,81357,U2af1 gene common variants,,,193.25,1945.43,6 HCPCS,81360,Zrsr2 gene common variants,,,193.25,1945.43,6 HCPCS,81361,Hbb gene com variants,,,174.81,1761.13,6 HCPCS,81362,Hbb gene known fam variant,,,375.25,3778.23,6 HCPCS,81363,Hbb gene dup/del variants,,,202.4,2037.58,6 HCPCS,81364,Hbb full gene sequence,,,324.58,3269.69,6 HCPCS,81370,"Hc Hla Class I And Ii Typing, Low Resolution; Hla-A, -B, -C, -Drb1/3/4/5, And -Dqb1",6219.9,6219.9,,,0 HCPCS,81370,Hla i & ii typing lr,,,402.12,4051.27,7 HCPCS,81371,"Hc Hla Class I And Ii Typing, Low Resolution; Hla-A, -B, And -Drb1/3/4/5 (Eg, Verification Typing)",4228.2,4228.2,,,0 HCPCS,81371,Hla i & ii type verify lr,,,404.52,4075.16,7 HCPCS,81372,"Hc Hla Class I Typing, Low Resolution; Complete",4212.0,4212.0,,,0 HCPCS,81372,Hla i typing complete lr,,,403.59,4064.92,7 HCPCS,81373,"Hc Hla Class I Typing, Low Resolution ; One Locus , Each",1456.0,1456.0,,,0 HCPCS,81373,Hla i typing 1 locus lr,,,127.43,1283.3,7 HCPCS,81374,"Hc Hla Class I Typing, Low Resolution ; One Antigen Equivalent (Eg, B*27), Each",1814.0,1814.0,,,0 HCPCS,81374,Hla i typing 1 antigen lr,,,74.33,747.45,7 HCPCS,81375,"Hc Hla Class Ii Typing, Low Resolution ; Hla-Drb1/3/4/5 And -Dqb1",3391.0,3391.0,,,0 HCPCS,81375,Hla ii typing ag equiv lr,,,220.74,2221.89,7 HCPCS,81376,"Hc Hla Class Ii Typing, Low Resolution; One Locus , Each",1283.0,1283.0,,,0 HCPCS,81376,Hla ii typing 1 locus lr,,,122.22,1232.11,7 HCPCS,81377,"Hc Hla Class Ii Typing, Low Resolution; One Antigen Equivalent, Each",1283.0,1283.0,,,0 HCPCS,81377,Hla ii type 1 ag equiv lr,,,94.74,955.65,7 HCPCS,81378,"Hc Hla Class I And Ii Typing, High Resolution, Hla-A, -B, -C, And -Drb1",10663.2,10663.2,,,0 HCPCS,81378,Hla i & ii typing hr,,,345.57,3481.29,7 HCPCS,81379,"Hc Hla Class I Typing, High Resolution; Complete",8192.7,8192.7,,,0 HCPCS,81379,Hla i typing complete hr,,,335.38,3378.9,7 HCPCS,81380,"Hc Hla Class I Typing, High Resolution; One Locus, Each",3088.0,3088.0,,,0 HCPCS,81380,Hc Mica Genotype,930.0,930.0,,,0 HCPCS,81380,Hla i typing 1 locus hr,,,177.25,1785.02,7 HCPCS,81381,"Hc Hla Class I Typing, High Resolution; One Allele Or Allele Group, Each",3088.0,3088.0,,,0 HCPCS,81381,Hla i typing 1 allele hr,,,169.9,1709.93,7 HCPCS,81382,"Hc Hla Class Ii Typing, High Resolution; One Locus , Each",2718.0,2718.0,,,0 HCPCS,81382,Hla ii typing 1 loc hr,,,123.68,1245.76,7 HCPCS,81383,"Hc Hla Class Ii Typing, High Resolution; One Allele Or Allele Group, Each",2718.0,2718.0,,,0 HCPCS,81383,Hla ii typing 1 allele hr,,,109.13,1099.0,7 HCPCS,81400,Hc Il28B Polymorphisms For Hepatitis C,638.0,638.0,,,0 HCPCS,81400,Hc Lct 13910 C/T Variant,1974.0,1974.0,,,0 HCPCS,81400,Hc Mol Path Proc Lvl1,703.0,703.0,,,0 HCPCS,81400,Hc Molecular Pathology Procedure Level 1,638.0,638.0,,,0 HCPCS,81400,Hc Platelet Transfusion Refractory Panel,86.0,86.0,,,0 HCPCS,81400,Mopath procedure level 1,,,63.96,645.06,7 HCPCS,81401,Hc Galactosiemia Gene Analysis,1162.0,1162.0,,,0 HCPCS,81401,Hc Hypercholesterolemia Panel Apob,440.0,440.0,,,0 HCPCS,81401,Hc Mol Path Proc Lvl2,842.0,842.0,,,0 HCPCS,81401,"Hc Molecular Pathology Procedure, Level 2",796.0,796.0,,,0 HCPCS,81401,Mopath procedure level 2,,,136.82,1378.87,7 HCPCS,81402,Hc 6Q24 Methylation-Specific Mlpa,850.0,850.0,,,0 HCPCS,81402,Hc Igh Vdj Gene Rearrangement,3905.0,3905.0,,,0 HCPCS,81402,Hc Mol Path Proc Lvl3,983.0,983.0,,,0 HCPCS,81402,Hc Molecular Pathology Procedure Level 3,3905.0,3905.0,,,0 HCPCS,81402,Hc Mpl Common Variants,983.0,983.0,,,0 HCPCS,81402,Hc Mpl Oncogene,1339.0,1339.0,,,0 HCPCS,81402,Hc Testing For A Known Familial Mutation By Deletion/Duplication Analysis,1320.0,1320.0,,,0 HCPCS,81402,Hc Upd14 Analysis,850.0,850.0,,,0 HCPCS,81402,Hc Upd15 Analysis,850.0,850.0,,,0 HCPCS,81402,Hc Upd6 Analysis,850.0,850.0,,,0 HCPCS,81402,Hc Upd7 Analysis,850.0,850.0,,,0 HCPCS,81402,Mefv Mutation Analysis Common Variants Sequencing,550.0,550.0,,,0 HCPCS,81402,Mopath procedure level 3,,,150.33,1515.39,7 HCPCS,81403,Catecholaminergic Polymorphic Ventricular Tachycardia Panel Kcnj2 Sequencing,566.0,566.0,,,0 HCPCS,81403,Hc Abl Kinase Variants,158.0,158.0,,,0 HCPCS,81403,Hc C-Abl Mutation Assay,815.0,815.0,,,0 HCPCS,81403,Hc Cebpa Full Sequence Gene,5213.0,5213.0,,,0 HCPCS,81403,Hc Ctnnb1 Target Seq Variant,983.0,983.0,,,0 HCPCS,81403,Hc Exon 12 Mutation Detection Bm,815.0,815.0,,,0 HCPCS,81403,Hc Fgfr3 Exon7,983.0,983.0,,,0 HCPCS,81403,Hc Gnaq Common Variant,983.0,983.0,,,0 HCPCS,81403,Hc Hla Mica Type,815.0,815.0,,,0 HCPCS,81403,Hc Hras Exon 2 Sequence,983.0,983.0,,,0 HCPCS,81403,Hc Human Erythrocite Anti Gene Anlsys,1637.0,1637.0,,,0 HCPCS,81403,Hc Idh1 Exon 4 Variants,983.0,983.0,,,0 HCPCS,81403,Hc Idh2 Exon 4 Variants,983.0,983.0,,,0 HCPCS,81403,Hc Jak2 Exon12(13),983.0,983.0,,,0 HCPCS,81403,Hc Jak2Exon 12 Mutation,815.0,815.0,,,0 HCPCS,81403,Hc Kcnj11 Mutation Analysis,1133.0,1133.0,,,0 HCPCS,81403,Hc Killer Cell Ig-Like Rept (Kir),815.0,815.0,,,0 HCPCS,81403,Hc Kras Gene Analy Codon 61,815.0,815.0,,,0 HCPCS,81403,Hc Mol Path Proc Lvl4,1124.0,1124.0,,,0 HCPCS,81403,Hc Molecular Path Proc Lev 4,815.0,815.0,,,0 HCPCS,81403,Hc Mpl Exon 10,983.0,983.0,,,0 HCPCS,81403,Hc Non-Syndromic Monogenic Obesity Panel Mec4R,566.0,566.0,,,0 HCPCS,81403,Hc Parental Targeted Analysis,850.0,850.0,,,0 HCPCS,81403,Hc Prenatal Testing For Known Mutation By Sequence Analysis,2200.0,2200.0,,,0 HCPCS,81403,Hc Targeted Mutation Analysis (Known Familial Mutation),850.0,850.0,,,0 HCPCS,81403,"Hc Tier 1 Diazoxide Unresponsive Hyperinsulinism Panel, Kcnj11",880.0,880.0,,,0 HCPCS,81403,Long Qt Syndrome Panel Kcnj2 Sequencing,566.0,566.0,,,0 HCPCS,81403,Mopath procedure level 4,,,178.25,1866.93,7 HCPCS,81403,Short Qt Syndrome Panel Kcnj2 Sequencing,566.0,566.0,,,0 HCPCS,81404,Hc Ahus/Tma/C3G Genes,2640.0,2640.0,,,0 HCPCS,81404,Hc C-Kit Mutation Analysis,1339.0,1339.0,,,0 HCPCS,81404,Hc Familial Amyloid Dna Sequence,798.0,798.0,,,0 HCPCS,81404,Hc Fgfr2 Targeted Sequence,1124.0,1124.0,,,0 HCPCS,81404,Hc Fgfr3 Targeted Sequence,1124.0,1124.0,,,0 HCPCS,81404,Hc Hereditary Melanoma Panel Cdkn2A,624.0,624.0,,,0 HCPCS,81404,Hc Hereditary Pheochromocytoma And Paraganglioma Panel Sdhd,624.0,624.0,,,0 HCPCS,81404,Hc Hereditary Transthyretin-Mediated Amyloidosis (Hattr Amyloidosis) Panel,2200.0,2200.0,,,0 HCPCS,81404,Hc Hsd3B2 Mutation Analysis,1133.0,1133.0,,,0 HCPCS,81404,"Hc Hyperparathyroidism Panel, Men1 Del/Dup",624.0,624.0,,,0 HCPCS,81404,Hc Hypophosphatemic Rickets Panel Fgf23,624.0,624.0,,,0 HCPCS,81404,Hc Kit Targeted Gene Analysis,158.0,158.0,,,0 HCPCS,81404,Hc Mol Path Proc Lvl5,1264.0,1264.0,,,0 HCPCS,81404,Hc Molecular Pathology Procedure Level 5,5874.0,5874.0,,,0 HCPCS,81404,Hc Msk Lymphoma Panel Sh2D1A Gene,624.0,624.0,,,0 HCPCS,81404,Hc Nras Exon 1&2 Sequence,5874.0,5874.0,,,0 HCPCS,81404,Hc Nras Exons 1 2 Targeted,440.0,440.0,,,0 HCPCS,81404,Hc Pancreatic Agenesis Panel,624.0,624.0,,,0 HCPCS,81404,Hc Pdgfra Targeted Sequence,158.0,158.0,,,0 HCPCS,81404,Hc Pik3Ca Target Seq,1124.0,1124.0,,,0 HCPCS,81404,Hc Ret Type 2A Exons,1264.0,1264.0,,,0 HCPCS,81404,Hc Ret Type 2B Exons,1124.0,1124.0,,,0 HCPCS,81404,Hc Tier 2: Slc16A2 (Mct8) Mutation Analysis?,850.0,850.0,,,0 HCPCS,81404,Hc Ugt1A1 Mutation Analysis,1045.0,1045.0,,,0 HCPCS,81404,Hc Vhl Tumor Suprr Fgs,1124.0,1124.0,,,0 HCPCS,81404,Hnf1B Mutation Analysis Del/Dup,619.0,619.0,,,0 HCPCS,81404,Mefv Mutation Analysis Sequencing,619.0,619.0,,,0 HCPCS,81404,Mopath procedure level 5,,,274.83,2767.97,7 HCPCS,81405,Catecholaminergic Polymorphic Ventricular Tachycardia Panel Casq2 Sequencing,680.0,680.0,,,0 HCPCS,81405,"Hc 46,Xx Disorders Cyp11B1",850.0,850.0,,,0 HCPCS,81405,"Hc 46,Xx Disorders Wt1",850.0,850.0,,,0 HCPCS,81405,Hc Casr Mutation Analysis,1133.0,1133.0,,,0 HCPCS,81405,Hc Diamond-Blackfan Anemia Panel,680.0,680.0,,,0 HCPCS,81405,Hc Ghr Mutation Analysis,1133.0,1133.0,,,0 HCPCS,81405,Hc Gla Mutation Analysis,1133.0,1133.0,,,0 HCPCS,81405,Hc Hemochromatosis Panel,680.0,680.0,,,0 HCPCS,81405,Hc Hereditary Hemorrhagic Telangectasia Panel - Eng Del,680.0,680.0,,,0 HCPCS,81405,Hc Hereditary Hemorrhagic Telangectasia Panel - Smad4 Del/Dup,680.0,680.0,,,0 HCPCS,81405,Hc Hnf1A Mutation Analysis,1133.0,1133.0,,,0 HCPCS,81405,Hc Holoprosencephaly Panel Fgfr1,825.0,825.0,,,0 HCPCS,81405,Hc Hypercholesterolemia Panel Ldlr Del/Dupl,850.0,850.0,,,0 HCPCS,81405,"Hc Hyperparathyroidism Panel, Cefr",680.0,680.0,,,0 HCPCS,81405,"Hc Hyperparathyroidism Panel, Mem1",680.0,680.0,,,0 HCPCS,81405,Hc Lrsv- Molecular Pathology Procedure Level 6,1753.0,1753.0,,,0 HCPCS,81405,Hc Mol Path Proc Lvl6,1264.0,1264.0,,,0 HCPCS,81405,Hc Msk Acute Lymphoblastic Leukemia Panel Tp53,680.0,680.0,,,0 HCPCS,81405,Hc Msk Adult Mds/Aml Panel Tp53,680.0,680.0,,,0 HCPCS,81405,Hc Nsd1 Mutation Analysis Nsd1 Del/Dupl,850.0,850.0,,,0 HCPCS,81405,Hc Ret Targeted Sequences,158.0,158.0,,,0 HCPCS,81405,Hc Slc2A1 Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81405,Hc Tcf4 Mutation Analysis Tcf4 Del/Dupl,850.0,850.0,,,0 HCPCS,81405,Hc Tier 2: Slc16A2 (Mct8) Mutation Analysis?,850.0,850.0,,,0 HCPCS,81405,Hc Tp53 >5 Targeted Sequence,1264.0,1264.0,,,0 HCPCS,81405,Hnf1B Mutation Analysis Sequencing,680.0,680.0,,,0 HCPCS,81405,Loeys-Dietz Syndrome Panel Tgfbr1 And Tgfbr2 Sequencing,680.0,680.0,,,0 HCPCS,81405,Mopath procedure level 6,,,301.35,3034.19,7 HCPCS,81405,Mtm1 Mutation Analysis Del/Dup,680.0,680.0,,,0 HCPCS,81405,Nphp1 Mutation Analysis Del/Dup,680.0,680.0,,,0 HCPCS,81405,Pulmonary Arterial Hypertension Panel Bmpr2 And Eng Del/Dup,680.0,680.0,,,0 HCPCS,81405,Tcf4 Mutation Analysis Del/Dup,680.0,680.0,,,0 HCPCS,81405,Tsc1 Mutation Analysis Del/Dup,680.0,680.0,,,0 HCPCS,81406,Hc Atp7B Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81406,Hc Cytogenomic Snp Microarray,2389.0,2389.0,,,0 HCPCS,81406,"Hc Galactosemia, Full Gene Analysis",3025.0,3025.0,,,0 HCPCS,81406,Hc Gck Mutation Analysis,990.0,990.0,,,0 HCPCS,81406,Hc Glud1 Mutation Analysis,1133.0,1133.0,,,0 HCPCS,81406,Hc Hereditary Hemorrhagic Telangectasia Panel - Eng Seq,737.0,737.0,,,0 HCPCS,81406,Hc Hereditary Hemorrhagic Telangectasia Panel - Smad4 Seq,737.0,737.0,,,0 HCPCS,81406,Hc Hereditary Pheochromocytoma And Paraganglioma Panel Ret,680.0,680.0,,,0 HCPCS,81406,Hc Hnf4A Mutation Analysis,1133.0,1133.0,,,0 HCPCS,81406,Hc Hypercholesterolemia Panel Ldlr Seq,850.0,850.0,,,0 HCPCS,81406,"Hc Hyperparathyroidism Panel, Ret",737.0,737.0,,,0 HCPCS,81406,Hc Hypophosphatemic Rickets Panel Phex,737.0,737.0,,,0 HCPCS,81406,Hc Lmna Mutation Analysis (Lamin A/C),1320.0,1320.0,,,0 HCPCS,81406,Hc Mol Path Proc Lvl7,1264.0,1264.0,,,0 HCPCS,81406,Hc Molecular Pathology Procedure Level 7,2389.0,2389.0,,,0 HCPCS,81406,Hc Neuronal Ceroid-Lipofuscinoses Panel Grn,737.0,737.0,,,0 HCPCS,81406,Hc Non-Syndromic Monogenic Obesity Panel Lepr,737.0,737.0,,,0 HCPCS,81406,Hc Nsd1 Mutation Analysis Nsd1 Seq,850.0,850.0,,,0 HCPCS,81406,Hc Pkd2 Mutation Analysis,1133.0,1133.0,,,0 HCPCS,81406,Hc Premature Ovarian Failure Panel Lmna,737.0,737.0,,,0 HCPCS,81406,Hc Rubenstein-Taybi Syndrome Panel Crebbp Del/Dupl,737.0,737.0,,,0 HCPCS,81406,Hc Severe Congenital Neutropenia Panel Was,737.0,737.0,,,0 HCPCS,81406,Hc Tcf4 Mutation Analysis Tcf4 Seq,737.0,737.0,,,0 HCPCS,81406,"Hc Tier 1 Diazoxide Unresponsive Hyperinsulinism Panel, Gck",880.0,880.0,,,0 HCPCS,81406,Long Qt Syndrome Panel Kcnq1 Sequencing,737.0,737.0,,,0 HCPCS,81406,Mopath procedure level 7,,,282.88,2849.88,7 HCPCS,81406,Mtm1 Mutation Analysis Sequencing,737.0,737.0,,,0 HCPCS,81406,Nphp1 Mutation Analysis Sequencing,737.0,737.0,,,0 HCPCS,81406,Pulmonary Arterial Hypertension Panel Bmpr2 And Eng Sequencing,737.0,737.0,,,0 HCPCS,81406,Short Qt Syndrome Panel Kcnh2 And Kcnq1 Sequencing,737.0,737.0,,,0 HCPCS,81406,Tcf4 Mutation Analysis Sequencing,737.0,737.0,,,0 HCPCS,81406,Tsc1 Mutation Analysis Sequencing,737.0,737.0,,,0 HCPCS,81406,Tsc2 Mutation Analysis Del/Dup,737.0,737.0,,,0 HCPCS,81407,Col4A5 Mutation Analysis Del/Dup,793.0,793.0,,,0 HCPCS,81407,Hc Aspm Mutation Analysis,1133.0,1133.0,,,0 HCPCS,81407,Hc Brugada Syndrome Panel,2750.0,2750.0,,,0 HCPCS,81407,Hc Chd7 Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81407,Hc Col4A4 Mutation Analysis,1133.0,1133.0,,,0 HCPCS,81407,Hc Hydrocephalus Panel,793.0,793.0,,,0 HCPCS,81407,Hc Mol Path Proc Lvl8,3186.0,3186.0,,,0 HCPCS,81407,Hc Pkd1 Mutation Analysis,1133.0,1133.0,,,0 HCPCS,81407,Hc Rubenstein-Taybi Syndrome Panel Crebbp Seq,770.0,770.0,,,0 HCPCS,81407,"Hc Tier 1 Diazoxide Unresponsive Hyperinsulinism Panel, Abcc8",880.0,880.0,,,0 HCPCS,81407,Long Qt Syndrome Panel Scn5A Sequencing,793.0,793.0,,,0 HCPCS,81407,Mopath procedure level 8,,,615.05,8522.35,7 HCPCS,81407,Tsc2 Mutation Analysis Sequencing,793.0,793.0,,,0 HCPCS,81408,Catecholaminergic Polymorphic Ventricular Tachycardia Panel Ryr2 Sequencing,1133.0,1133.0,,,0 HCPCS,81408,Col4A5 Mutation Analysis Sequencing,1133.0,1133.0,,,0 HCPCS,81408,Hc Col4A3 Mutation Analysis,1133.0,1133.0,,,0 HCPCS,81408,Hc Fbn1 Mutation Analysis,1133.0,1133.0,,,0 HCPCS,81408,Hc Hereditary Pheochromocytoma And Paraganglioma Panelnf1,2200.0,2200.0,,,0 HCPCS,81408,Hc Lrsv- Molecular Path Proc Lev 9,4781.0,4781.0,,,0 HCPCS,81408,Hc Marfan Syndrome,1133.0,1133.0,,,0 HCPCS,81408,Hc Mol Path Proc Lvl9,1264.0,1264.0,,,0 HCPCS,81408,Hc Pkhd1 Mutation Analysis,1133.0,1133.0,,,0 HCPCS,81408,Loeys-Dietz Syndrome Panel Fbn1 Sequencing,1133.0,1133.0,,,0 HCPCS,81408,Mopath procedure level 9,,,704.52,20143.73,7 HCPCS,81410,Aortic dysfunction/dilation,,,504.0,5075.18,6 HCPCS,81410,Hc Marfan Related Genetic Panel,4095.0,4095.0,,,0 HCPCS,81411,Aortic dysfunction/dilation,,,1350.19,13597.53,6 HCPCS,81412,Ashkenazi jewish assoc dis,,,2448.56,24662.58,6 HCPCS,81413,Car ion chnnlpath inc 10 gns,,,584.9,5890.9,6 HCPCS,81414,Car ion chnnlpath inc 2 gns,,,584.9,5890.9,6 HCPCS,81415,Exome sequence analysis,,,4780.0,48144.26,6 HCPCS,81415,Hc Exome Select,11330.0,11330.0,,,0 HCPCS,81415,Hc Exome Sequencing (Proband Only),11330.0,11330.0,,,0 HCPCS,81415,Hc Exome Sequencing (Trio),11330.0,11330.0,,,0 HCPCS,81415,Hc Intellectual Disability Exome (Trio),11330.0,11330.0,,,0 HCPCS,81415,Hc Stat Exome Sequencing (Proband Only),11330.0,11330.0,,,0 HCPCS,81415,Hc Stat Exome Sequencing (Trio),11330.0,11330.0,,,0 HCPCS,81416,Exome sequence analysis,,,12000.0,120862.36,6 HCPCS,81416,Hc Exome Sequence Analysis Each Comparator Exome,1700.0,1700.0,,,0 HCPCS,81416,Hc Exome Sequencing (Trio),1700.0,1700.0,,,0 HCPCS,81416,Hc Intellectual Disability Exome (Trio),1700.0,1700.0,,,0 HCPCS,81416,Hc Stat Exome Sequencing (Trio),1700.0,1700.0,,,0 HCPCS,81417,Exome re-evaluation,,,320.0,3221.9,6 HCPCS,81418,Rx metab gen seq alys pnl 6,,,917.08,3209.78,5 HCPCS,81419,Epilepsy gen seq alys panel,,,2448.56,24662.58,6 HCPCS,81420,Fetal chrmoml aneuploidy,,,759.05,7645.2,6 HCPCS,81422,Fetal chrmoml microdeltj,,,759.05,7645.2,6 HCPCS,81425,Genome sequence analysis,,,0.03,50673.32,6 HCPCS,81426,Genome sequence analysis,,,0.03,27294.03,6 HCPCS,81427,Genome re-evaluation,,,0.03,23543.11,6 HCPCS,81430,Hearing loss sequence analys,,,1625.0,16365.5,6 HCPCS,81431,Hearing loss dup/del analys,,,679.57,6843.13,6 HCPCS,81432,Hc Hereditary Breast & Ovarian Cancer Panel Seq,3399.0,3399.0,,,0 HCPCS,81432,Hc Hereditary Breast And Ovarian Cancer Panel Sequence Analysis Hg,1696.0,1696.0,,,0 HCPCS,81432,Hc Hereditary Breast Cancer-Related Disorders Genomic Sequence Analysis Panel,470.0,470.0,,,0 HCPCS,81432,Hrdtry brst ca-rlatd dsordrs,,,1303.95,6839.72,6 HCPCS,81433,Hc Hereditary Breast And Ovarian Cancer Panel Dupl/Del,1700.0,1700.0,,,0 HCPCS,81433,Hc Hereditary Breast And Ovarian Cancer Panel Duplication/Deletion Analysis Hg,1696.0,1696.0,,,0 HCPCS,81433,Hc Hereditary Breast Cancer-Related Disorders Duplication/Deletion Analysis Panel,160.0,160.0,,,0 HCPCS,81433,Hrdtry brst ca-rlatd dsordrs,,,4419.88,4419.88,1 HCPCS,81434,Hereditary retinal disorders,,,597.91,6020.59,6 HCPCS,81435,Hc Hereditary Colon Cancer Disorders Genomic Sequence Analysis Panel,470.0,470.0,,,0 HCPCS,81435,Hc Hereditary Colorectal Cancer Panel Seq Analys G410 Gen,3399.0,3399.0,,,0 HCPCS,81435,Hereditary colon ca dsordrs,,,1239.03,5890.9,7 HCPCS,81436,Hc Hereditary Colon Cancer Disorders Duplication/Deletion Analysis Panel,160.0,160.0,,,0 HCPCS,81436,Hc Hereditary Colorectal Cancer Panel Dup/Del Analys 5 Gen,1700.0,1700.0,,,0 HCPCS,81436,Hereditary colon ca dsordrs,,,1239.03,5890.9,2 HCPCS,81437,"Hc Hereditary Pheochromocytoma And Paraganglioma Panel Max, Sdhb, Sdhc, Sdhd, Tmem127, Vhl",660.0,660.0,,,0 HCPCS,81437,Heredtry nurondcrn tum dsrdr,,,1007.78,4419.88,6 HCPCS,81438,Heredtry nurondcrn tum dsrdr,,,4419.88,4419.88,1 HCPCS,81439,Hc Cardiomyopathy Comprehensive Panel,3660.0,3660.0,,,0 HCPCS,81439,Hc Dilated Cardiomyopathy And Left Ventricular Noncompaction Panel,3660.0,3660.0,,,0 HCPCS,81439,Inherited cardmypthy 5 gns,,,584.9,5890.9,6 HCPCS,81440,Mitochondrial gene,,,3324.0,33478.45,6 HCPCS,81441,Hc Inherited Bone Marrow Failure,5096.0,5096.0,,,0 HCPCS,81441,Ibmfs seq alys pnl 30 genes,,,2448.56,24662.58,6 HCPCS,81442,Hc Noonan Syndrome Panel,4620.0,4620.0,,,0 HCPCS,81442,Hc Rasopathies And Noonan Spectrum Disorders Panel,3660.0,3660.0,,,0 HCPCS,81442,Noonan spectrum disorders,,,2143.6,21590.85,6 HCPCS,81443,Genetic tstg severe inh cond,,,2448.56,24662.58,6 HCPCS,81443,"Hc 46,Xy Disorders Of Sex Development/Complete Gonadal Dysgenesis Panel",5096.0,5096.0,,,0 HCPCS,81443,Hc Abnormal Ambiguous Genitalia Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Albinism Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Aortopathy Comprehensive Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Arrhythmia And Cardiomyopathy Comprehensive Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Arrhythmia Comprehensive Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Arrhythmogenic Cardiomyopathy Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Ataxia Exome,4402.0,4402.0,,,0 HCPCS,81443,Hc Atypical Hemolytic Uremic Syndromes Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Autosomal Recessive Non-Specific Id Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Bardet-Biedl Syndrome Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Cakut (Congenital Anomalies Of The Kidney And Urinary Tract) Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Comprehensive Ataxia Testing (Concurrent Testing Option),5088.0,5088.0,,,0 HCPCS,81443,Hc Comprehensive Ataxia Testing (Reflex Testing Option),5088.0,5088.0,,,0 HCPCS,81443,Hc Comprehensive Brain Malformation Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Comprehensive Hereditary Cancer Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Comprehensive Neonatal Diabetes Mutation Analysis,5096.0,5096.0,,,0 HCPCS,81443,Hc Congenital Heart Disease Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Congenital Muscular Dystrophy Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Congenital Myasthenic Syndrome Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Congenital Myopathy Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Cornelia De Lange And Related Disorders Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Craniofacial Pane,5096.0,5096.0,,,0 HCPCS,81443,Hc Digestive Disease Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Dyslipidemia Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Dystonia Chorea Parkinson Exome,5096.0,5096.0,,,0 HCPCS,81443,Hc Early Infantile Epileptic Encephalopathy Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Ehlers-Danlos Syndrome Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Epilepsy Exome,5096.0,5096.0,,,0 HCPCS,81443,Hc Facial Dysotosis Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Fanconi Anemia Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Female Infertility Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Hereditary Cystic & Glomerular Disorders Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Hereditary Gastric Cancer Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Hereditary Hematopoietic Malignancy/Immunodeficiency Predisposition Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Hereditary Hemochromatosis Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Hereditary Leukemia And Breast Cancer Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Hereditary Lymphoid Malignancy/Immunodeficiency Predisposition Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Hereditary Myeloid Malignancy Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Hereditary Spastic Paraplegia Exome,5096.0,5096.0,,,0 HCPCS,81443,Hc Hereditary Tubulopathy & Nephrolithiasis Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Hyperinsulinism Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Hypertrophic Cardiomyopathy Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Hypogonadotropic Hypogonadism/Kallmann Syndrome Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Hypoparathyroidism Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Hypothyroidism Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Inherited Bone Marrow Failure Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Joubert/Meckel Gruber Syndrome Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Lipodystrophy Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Liver Disease Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Macrocephaly Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Male Infertility Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Meckel Gruber Syndrome Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Mesothelioma Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Microcephaly Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Mody Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Monogenic Diabetes Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Monogenic Obesity Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Msk Bone Marrow Failure Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Neonatal Diabetes Mellitus (Ndm) Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Nephronophthisis Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Neuromuscular Disorders Exome,5096.0,5096.0,,,0 HCPCS,81443,Hc Neuromuscular Disorders Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Non-Specific Id Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Other Genetic Testing For Severe Inherited Conditions Genomic Sequence Analysis Panel,470.0,470.0,,,0 HCPCS,81443,Hc Rett/Angelman Syndrome Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Thrombocytopenia Panel,5096.0,5096.0,,,0 HCPCS,81443,Hc Transit_Inherited Bone Marrow Failure Panel,5096.0,5096.0,,,0 HCPCS,81443,Primary Immunodeficiency Panel,5096.0,5096.0,,,0 HCPCS,81445,Hc Hc Ngs Panel St 5-50 Loci,5361.0,5361.0,,,0 HCPCS,81445,Hc Lung Nsclc Panel Ngs,7297.0,7297.0,,,0 HCPCS,81445,Hc Ngs Panel Nsclc 5-50 Loci,5361.0,5361.0,,,0 HCPCS,81445,Hc Oncoscreen Ngs,4464.0,4464.0,,,0 HCPCS,81445,Hc Rna Fusion Lung Cancer Panel,3724.0,3724.0,,,0 HCPCS,81445,Targeted genomic seq analys,,,597.91,6020.59,7 HCPCS,81448,Hrdtry perph neurphy panel,,,584.9,5890.9,6 HCPCS,81449,"Hc Rna Fusion Ntrk1, Ntrk2, Ntrk3, Fgfr1, Fgfr2, Fgfr3 Solid Organ",1988.0,1988.0,,,0 HCPCS,81449,Tgsap so neo 5-50 rna alys,,,597.91,6020.59,6 HCPCS,81450,Hc Heme Mrd,3410.0,3410.0,,,0 HCPCS,81450,Hc Ngs Panel Hl 5-50 Loci,5361.0,5361.0,,,0 HCPCS,81450,Hc Oncoscreen Ngs Bm/B,4464.0,4464.0,,,0 HCPCS,81450,Targeted genomic seq analys,,,759.53,7648.61,7 HCPCS,81451,"Hc Rna Fusion Ntrk1, Ntrk2, Ntrk3, Fgfr1, Fgfr2, Fgfr3 Hematolymphoid Neoplasm",1988.0,1988.0,,,0 HCPCS,81451,Tgsap hl neo 5-50 rna alys,,,759.53,7648.61,6 HCPCS,81455,Hc Heme Panel Ngs,5661.0,5661.0,,,0 HCPCS,81455,Hc Ngs Oncoplus Bm/B,5361.0,5361.0,,,0 HCPCS,81455,Hc Ngs Oncoplus Solid Tumor,5361.0,5361.0,,,0 HCPCS,81455,Hc Oncoplus Panel,8340.0,8340.0,,,0 HCPCS,81455,Targeted genomic seq analys,,,2919.6,29406.7,6 HCPCS,81456,Tgsap so/hl 51/< rna alys,,,2919.6,29406.7,6 HCPCS,81457,So neo gsap dna mcrstl ins,,,896.87,3139.05,5 HCPCS,81458,So gsap dna cpy nmbr&mcrstl,,,1046.35,3662.23,5 HCPCS,81459,Hc So Gsap Cll Fr Dna/Dna&Rna Oncoplus Panel,5361.0,5361.0,,,0 HCPCS,81459,So neo gsap dna/dna&rna,,,2989.55,10463.43,5 HCPCS,81460,Whole mitochondrial genome,,,1287.0,12962.7,6 HCPCS,81462,So gsap cll fr dna/dna&rna,,,1195.83,4185.41,5 HCPCS,81463,So gsap cl fr cpy nmbr&mcrst,,,1345.31,4708.59,5 HCPCS,81464,So gsap cll fr mcrstl ins,,,3288.51,11509.79,5 HCPCS,81465,Whole mitochondrial genome,,,936.0,9426.8,6 HCPCS,81470,Hc X-Linked Non-Specific Id Panel,3850.0,3850.0,,,0 HCPCS,81470,X-linked intellectual dblt,,,914.0,9204.95,6 HCPCS,81471,X-linked intellectual dblt,,,0.03,9204.95,6 HCPCS,81479,Catecholaminergic Polymorphic Ventricular Tachycardia Panel Other,1320.0,1320.0,,,0 HCPCS,81479,Hc 2-Hydroxyglutaric Aciduria Panel Other,2200.0,2200.0,,,0 HCPCS,81479,"Hc 46,Xx Disorders Other",1320.0,1320.0,,,0 HCPCS,81479,Hc Ahus/Tma/C3G Genes Other,2640.0,2640.0,,,0 HCPCS,81479,Hc Alk Fusion Lung Cancer Pnl,1244.0,1244.0,,,0 HCPCS,81479,Hc Apol1 Gene Seq,715.0,715.0,,,0 HCPCS,81479,"Hc Ataxia Repeat Expansion Panel, Fgf14",304.0,304.0,,,0 HCPCS,81479,Hc Atp7A Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81479,Hc Cdkn1C Mutation Analysis,1045.0,1045.0,,,0 HCPCS,81479,Hc Coffin-Siris Syndrome Panel,2379.0,2379.0,,,0 HCPCS,81479,Hc Diamond-Blackfan Anemia Panel Other,2266.0,2266.0,,,0 HCPCS,81479,Hc Distal Arthrogryposes Panel,2310.0,2310.0,,,0 HCPCS,81479,Hc Esco2 Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81479,Hc Gaa Mutation Analysis,2530.0,2530.0,,,0 HCPCS,81479,Hc Gja1 Mutation Analysis,850.0,850.0,,,0 HCPCS,81479,Hc Hemochromatosis Panel Other,1320.0,1320.0,,,0 HCPCS,81479,Hc Hereditary Hemorrhagic Telangectasia Panel - Other,2266.0,2266.0,,,0 HCPCS,81479,Hc Hereditary Melanoma Panel Other,2200.0,2200.0,,,0 HCPCS,81479,Hc Hereditary Pheochromocytoma And Paraganglioma Panel Other,1320.0,1320.0,,,0 HCPCS,81479,Hc Hereditary Prostate Cancer Panel Other,825.0,825.0,,,0 HCPCS,81479,Hc Hereditary Thyroid Cancer Panel Other,1320.0,1320.0,,,0 HCPCS,81479,Hc Holoprosencephaly Panel Other,2200.0,2200.0,,,0 HCPCS,81479,"Hc Hydrocephalus Panel, Other",2379.0,2379.0,,,0 HCPCS,81479,Hc Hypercholesterolemia Panel Other,1320.0,1320.0,,,0 HCPCS,81479,"Hc Hyperparathyroidism Panel, Other",2266.0,2266.0,,,0 HCPCS,81479,Hc Hypolactasia Variant,1974.0,1974.0,,,0 HCPCS,81479,Hc Hypophosphatemic Rickets Panel Other,2200.0,2200.0,,,0 HCPCS,81479,Hc Insr Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81479,Hc Interleukin 28 Gene Analy,796.0,796.0,,,0 HCPCS,81479,Hc Kabuki Syndrome Panel,2310.0,2310.0,,,0 HCPCS,81479,Hc Kcnh1 Mutation Analysis,1045.0,1045.0,,,0 HCPCS,81479,Hc Kiaa1279 Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81479,Hc Kmt2A (Mll) Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81479,Hc Lrp2 Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81479,Hc Lynch Syndrome Panel Other,1320.0,1320.0,,,0 HCPCS,81479,Hc Magel2 Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81479,Hc Met Gene Analys,815.0,815.0,,,0 HCPCS,81479,Hc Mnx1 Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81479,Hc Mol Path Proc Unlisted,660.0,660.0,,,0 HCPCS,81479,Hc Molecular Diagnostics Nos,796.0,796.0,,,0 HCPCS,81479,Hc Msk Acute Lymphoblastic Leukemia Panel Other,2266.0,2266.0,,,0 HCPCS,81479,Hc Msk Adult Mds/Aml Panel Other,850.0,850.0,,,0 HCPCS,81479,Hc Msk Lymphoma Panel Other Genes,2266.0,2266.0,,,0 HCPCS,81479,Hc Myd88 Gene Analyses,892.0,892.0,,,0 HCPCS,81479,Hc Neurodegeneration With Brain Iron Accumulation Panel,2310.0,2310.0,,,0 HCPCS,81479,Hc Neuronal Ceroid-Lipofuscinoses Panel Other,2200.0,2200.0,,,0 HCPCS,81479,Hc Ngs Locus Specified,1339.0,1339.0,,,0 HCPCS,81479,Hc Non-Alcoholic Fatty Liver Disease Susceptibility (Pnpla3) Genotyping,990.0,990.0,,,0 HCPCS,81479,Hc Non-Syndromic Monogenic Obesity Panel Other,1320.0,1320.0,,,0 HCPCS,81479,Hc Nsdhl Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81479,Hc Ofd1 Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81479,Hc Oncoscreen 46 Ngs,4464.0,4464.0,,,0 HCPCS,81479,Hc Pancreatic Agenesis Panel Other,2266.0,2266.0,,,0 HCPCS,81479,Hc Pax6 Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81479,Hc Pigl Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81479,Hc Pik3R1 Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81479,Hc Premature Ovarian Failure Panel Other,2832.0,2832.0,,,0 HCPCS,81479,Hc Primordial Dwarfism Panel,3850.0,3850.0,,,0 HCPCS,81479,Hc Ret Fusion Lung Cancer Pnl,1244.0,1244.0,,,0 HCPCS,81479,Hc Rhizomelic Chondrodysplasia Punctata Panel,2310.0,2310.0,,,0 HCPCS,81479,"Hc Rna Fusion Ntrk1, Ntrk2, Ntrk3, Fgfr1, Fgfr2, Fgfr3",1988.0,1988.0,,,0 HCPCS,81479,Hc Robinow Syndrome Panel,2310.0,2310.0,,,0 HCPCS,81479,Hc Ros Fusion Lung Cancer Pnl,1244.0,1244.0,,,0 HCPCS,81479,Hc Rubenstein-Taybi Syndrome Panel Ep300,2200.0,2200.0,,,0 HCPCS,81479,Hc Setbp1 Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81479,Hc Severe Congenital Neutropenia Panel Other,2200.0,2200.0,,,0 HCPCS,81479,Hc Single Gene Mutation Analysis,1133.0,1133.0,,,0 HCPCS,81479,Hc Single Gene Repeat Expansion Analysis - Fgf14,685.0,685.0,,,0 HCPCS,81479,Hc Single Gene Repeat Expansion Analysis - Nop56,685.0,685.0,,,0 HCPCS,81479,Hc Single Gene Repeat Expansion Analysis - Rfc1,880.0,880.0,,,0 HCPCS,81479,Hc Slc12A6 Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81479,Hc Smarca2 Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81479,Hc Smarca4 Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81479,Hc Srcap Mutation Analysis,1320.0,1320.0,,,0 HCPCS,81479,Hc Stat3 Gene Analyses,892.0,892.0,,,0 HCPCS,81479,Hc Stat5B Gene Analyses,892.0,892.0,,,0 HCPCS,81479,Hc Tcell Recept Excision Circl Nb Scrn,47.0,47.0,,,0 HCPCS,81479,"Hc Telomere Biology Disorder/Dyskeratosis Congenita Panel, Other",2266.0,2266.0,,,0 HCPCS,81479,"Hc Tier 1 Diazoxide Unresponsive Hyperinsulinism Panel, Other",2266.0,2266.0,,,0 HCPCS,81479,Hc Unlisted Mol Path Proc,421.0,421.0,,,0 HCPCS,81479,Hc Warburg Micro Syndrome Panel,2310.0,2310.0,,,0 HCPCS,81479,Hc Wolfram Syndrome Panel,2310.0,2310.0,,,0 HCPCS,81479,Loeys-Dietz Syndrome Panel Other,1320.0,1320.0,,,0 HCPCS,81479,Long Qt Syndrome Panel Other,1320.0,1320.0,,,0 HCPCS,81479,Pulmonary Arterial Hypertension Panel Other,1320.0,1320.0,,,0 HCPCS,81479,Unlisted molecular pathology,,,163.85,1064.99,2 HCPCS,81490,Autoimmune rheumatoid arthr,,,840.65,8467.74,6 HCPCS,81493,Cor artery disease mrna,,,1050.0,10576.99,6 HCPCS,81500,Onco (ovar) two proteins,,,260.5,2624.62,6 HCPCS,81503,Onco (ovar) five proteins,,,253.52,9034.3,7 HCPCS,81504,Oncology tissue of origin,,,520.0,5239.01,6 HCPCS,81506,Endo assay seven anal,,,68.92,692.85,7 HCPCS,81507,Fetal aneuploidy trisom risk,,,795.0,8006.98,6 HCPCS,81508,Ftl cgen abnor two proteins,,,54.3,546.09,7 HCPCS,81508,"Hc Fetal Cong Abn, Biochem Assays Of 2 Proteins, Util Maternal Serum, Algorith Rptd As A Risk Score",368.0,368.0,,,0 HCPCS,81509,Ftl cgen abnor 3 proteins,,,64.56,14979.81,7 HCPCS,81510,Ftl cgen abnor three anal,,,55.54,559.74,7 HCPCS,81510,"Hc Fetal Cong Abnrm,Biochem Assays Of 3 Anlytes,Utilizng Maternl Serum,Alg Reported As A Risk Score",636.0,636.0,,,0 HCPCS,81511,Ftl cgen abnor four anal,,,69.05,1546.1,7 HCPCS,81511,"Hc Fetal Cong Abn, Biocheml Assays Of 4 Analytes, Util Maternal Serum, Algorith Rptd As A Risk Scre",549.0,549.0,,,0 HCPCS,81512,Ftl cgen abnor five anal,,,69.52,699.67,7 HCPCS,81513,Nfct ds bv rna vag flu alg,,,142.63,1436.89,6 HCPCS,81514,Nfct ds bv&vaginitis dna alg,,,262.99,2648.51,6 HCPCS,81515,Hc Nfct Ds Bv&Vaginitis Amp Prb,627.0,627.0,,,0 HCPCS,81515,Nfct ds bv&vaginitis dna alg,,,262.99,920.47,5 HCPCS,81517,Hc Liver Ds Alys 3 Bmrk Srm Alg,880.0,880.0,,,0 HCPCS,81517,Liver ds alys 3 bmrk srm alg,,,176.19,616.67,5 HCPCS,81518,Onc brst mrna 11 genes,,,3873.0,39007.57,6 HCPCS,81519,Oncology breast mrna,,,3873.0,39007.57,7 HCPCS,81520,Onc breast mrna 58 genes,,,2510.21,25283.76,6 HCPCS,81521,Onc breast mrna 70 genes,,,3873.0,39007.57,6 HCPCS,81522,Onc breast mrna 12 genes,,,3873.0,39007.57,6 HCPCS,81523,Onc brst mrna 70 cnt 31 gene,,,3873.0,39007.57,6 HCPCS,81525,Oncology colon mrna,,,3116.0,31382.85,6 HCPCS,81528,Oncology colorectal scr,,,508.87,5126.38,7 HCPCS,81529,Onc cutan mlnma mrna 31 gene,,,7193.0,72445.06,6 HCPCS,81535,Oncology gynecologic,,,579.46,5836.29,7 HCPCS,81536,Oncology gynecologic,,,177.56,1788.43,7 HCPCS,81538,Oncology lung,,,2871.0,28915.22,6 HCPCS,81539,Oncology prostate prob score,,,760.0,7655.44,6 HCPCS,81540,Oncology tum unknown origin,,,3750.0,37768.63,6 HCPCS,81541,Onc prostate mrna 46 genes,,,3873.0,39007.57,6 HCPCS,81542,Onc prostate mrna 22 cnt gen,,,3873.0,39007.57,6 HCPCS,81546,"Onc thyr mrna 10,196 gen alg",,,3600.0,36256.66,6 HCPCS,81551,Onc prostate 3 genes,,,2030.0,20444.07,6 HCPCS,81552,Onc uveal mlnma mrna 15 gene,,,7776.0,78318.89,6 HCPCS,81554,Pulm ds ipf mrna 190 gen alg,,,5409.6,55594.91,6 HCPCS,81558,Trnspl rej kdn mrna qpcr 139,,,3240.0,11340.0,5 HCPCS,81560,Trnsplj pd lvr&bwl cd154+cll,,,640.73,6454.05,6 HCPCS,81595,Cardiology hrt trnspl mrna,,,3240.0,32632.02,6 HCPCS,81596,Hc Nfct Ds Chrnc Hcv 6 Assays,425.0,425.0,,,0 HCPCS,81596,Nfct ds chrnc hcv 6 assays,,,72.19,726.98,6 HCPCS,81599,Hc Preeclampsia Sflt-1/Pigf Ratio,902.0,902.0,,,0 HCPCS,81599,Unlisted maaa,,,350.04,2275.26,2 HCPCS,82003,Assay of acetaminophen,,,125.44,125.44,1 HCPCS,82009,Hc Ketone Body(S); Qualitative,58.0,58.0,,,0 HCPCS,82009,Test for acetone/ketones,,,4.52,44.37,7 HCPCS,82010,Acetone assay,,,8.17,81.91,7 HCPCS,82010,Hc Ketone Body(S); Quantitative,157.0,157.0,,,0 HCPCS,82013,Acetylcholinesterase assay,,,12.29,122.87,7 HCPCS,82013,Hc Acetylcholinesterase,363.0,363.0,,,0 HCPCS,82016,Acylcarnitines qual,,,16.49,167.24,7 HCPCS,82016,Hc Acylcarnitine Newborn Screen,37.0,37.0,,,0 HCPCS,82017,Acylcarnitines quant,,,16.87,170.65,7 HCPCS,82017,"Hc Acykcarbutubes; Quantitative, Each Specimen",398.0,398.0,,,0 HCPCS,82024,Assay of acth,,,38.62,389.09,7 HCPCS,82024,Hc Adrenocorticotropic Hormone,619.0,619.0,,,0 HCPCS,82030,Assay of adp & amp,,,25.8,259.39,7 HCPCS,82040,Assay of serum albumin,,,4.95,51.2,7 HCPCS,82040,"Hc Albumin; Serum, Plasma Or Whole Blood",147.0,147.0,,,0 HCPCS,82040,"Hc Albumin; Serum, Plasma Or Whole Blood-Laf",43.0,43.0,,,0 HCPCS,82042,Assay of urine albumin,,,7.78,78.5,7 HCPCS,82042,"Hc Albumin; Other Source, Quantitative, Each Specimen",146.0,146.0,,,0 HCPCS,82043,"Hc Albumin; Urine (Eg, Microalbumin), Quantitative",224.0,224.0,,,0 HCPCS,82043,"Hc Albumin; Urine (Eg, Microalbumin), Quantitative-Laf",56.0,56.0,,,0 HCPCS,82043,Microalbumin quantitative,,,5.78,58.02,8 HCPCS,82044,Microalbumin semiquant,,,6.23,61.43,7 HCPCS,82045,Albumin ischemia modified,,,33.94,341.3,7 HCPCS,82055,Assay of ethanol,,,61.39,61.39,1 HCPCS,82075,Assay of breath ethanol,,,0.03,303.76,7 HCPCS,82075,"Hc Alcohol, Breath",48.0,48.0,,,0 HCPCS,82077,Assay spec xcp ur&breath ia,,,17.27,174.06,6 HCPCS,82077,Hc Alcohol Immunoassay,231.0,231.0,,,0 HCPCS,82085,Assay of aldolase,,,9.71,98.98,7 HCPCS,82085,Hc Aldolase,326.0,326.0,,,0 HCPCS,82088,Assay of aldosterone,,,40.75,409.56,7 HCPCS,82088,"Hc Aldosterone, Serum",342.0,342.0,,,0 HCPCS,82088,"Hc Aldosterone, Urine",342.0,342.0,,,0 HCPCS,82103,Alpha-1-antitrypsin total,,,13.44,136.52,7 HCPCS,82103,Hc Alpha-1-Antitrypsin; Total,337.0,337.0,,,0 HCPCS,82104,Alpha-1-antitrypsin pheno,,,14.46,146.76,7 HCPCS,82104,Hc Alpha-1-Antitrypsin; Phenotype,366.0,366.0,,,0 HCPCS,82105,Alpha-fetoprotein serum,,,16.77,167.24,8 HCPCS,82105,"Hc Alpha-Fetoprotein, Serum",454.0,454.0,,,0 HCPCS,82105,"Hc Aplha-Fetoprotein, Maternal",454.0,454.0,,,0 HCPCS,82106,Alpha-fetoprotein amniotic,,,17.0,170.65,7 HCPCS,82106,Hc Alpha-Fetoprotein (Afp); Amniotic Fluid,331.0,331.0,,,0 HCPCS,82107,Alpha-Fetoprotein L3,,,64.41,648.48,7 HCPCS,82107,Hc Alpha-Fetoprotein (Afp); Afp-L3 Fraction Isoform And Total Afp,211.0,211.0,,,0 HCPCS,82108,Assay of aluminum,,,25.48,255.98,7 HCPCS,82108,Hc Aluminum,149.0,149.0,,,0 HCPCS,82120,Amines vaginal fluid qual,,,5.99,61.43,7 HCPCS,82127,Amino acid single qual,,,14.18,143.35,7 HCPCS,82127,Hc Cystine Qualitative Urine,415.0,415.0,,,0 HCPCS,82128,Amino acids mult qual,,,13.87,139.93,7 HCPCS,82128,Hc Amino Acids Newborn Screening,37.0,37.0,,,0 HCPCS,82130,Description Not Available,,,152.03,152.03,1 HCPCS,82131,Amino acids single quant,,,22.98,232.09,7 HCPCS,82131,Hc Cystine Quantitative Urine,261.0,261.0,,,0 HCPCS,82135,Assay aminolevulinic acid,,,16.45,167.24,7 HCPCS,82135,"Hc Aminolevulinic Acid, Delta",276.0,276.0,,,0 HCPCS,82136,Amino acids quant 2-5,,,19.61,197.96,7 HCPCS,82139,Amino acids quan 6 or more,,,16.87,170.65,7 HCPCS,82139,Hc Amino Acid Chromium Quantitative,1156.0,1156.0,,,0 HCPCS,82139,"Hc Amino Acid Quantitative, Plasma",1156.0,1156.0,,,0 HCPCS,82139,Hc Amino Acids 6/> Amino Acids Quantitative Ea Spe,853.0,853.0,,,0 HCPCS,82140,Assay of ammonia,,,14.57,146.76,7 HCPCS,82140,Hc Ammonia,385.0,385.0,,,0 HCPCS,82140,"Hc Ammonia, Urine",92.0,92.0,,,0 HCPCS,82143,Amniotic fluid scan,,,9.35,95.56,7 HCPCS,82143,Hc Amniotic Fluid Scan,41.0,41.0,,,0 HCPCS,82150,Assay of amylase,,,6.48,64.85,8 HCPCS,82150,"Hc Amaylase, Urine",196.0,196.0,,,0 HCPCS,82150,Hc Amylase,196.0,196.0,,,0 HCPCS,82150,"Hc Amylase, Fluid",196.0,196.0,,,0 HCPCS,82154,Androstanediol glucuronide,,,28.83,290.11,7 HCPCS,82157,Assay of androstenedione,,,29.28,293.52,7 HCPCS,82157,Hc Androstenedione,468.0,468.0,,,0 HCPCS,82160,Assay of androsterone,,,25.55,255.98,7 HCPCS,82163,Assay of angiotensin II,,,20.52,208.2,7 HCPCS,82164,Angiotensin I enzyme test,,,14.6,146.76,7 HCPCS,82164,Hc Angiotensin 1- Converting Enzyme (Ace),366.0,366.0,,,0 HCPCS,82166,Assay anti-mullerian horm,,,38.62,135.17,5 HCPCS,82166,Hc Assay Anti-Mullerian Horm,260.0,260.0,,,0 HCPCS,82172,Assay of apolipoprotein,,,21.09,211.61,7 HCPCS,82172,Hc Apolipoprotein A-1,261.0,261.0,,,0 HCPCS,82172,Hc Apolipoprotein B,261.0,261.0,,,0 HCPCS,82172,Hc Apolipoprotein Each,74.0,74.0,,,0 HCPCS,82172,Hc Lipoprotein A,261.0,261.0,,,0 HCPCS,82175,Assay of arsenic,,,18.97,191.13,7 HCPCS,82175,Hc Arsenic,178.0,178.0,,,0 HCPCS,82175,"Hc Heavy Metal Arsenic/Creatinine Ratio, U",178.0,178.0,,,0 HCPCS,82180,Assay of ascorbic acid,,,9.89,98.98,7 HCPCS,82180,Hc Ascorbic Acid,246.0,246.0,,,0 HCPCS,82190,Atomic absorption,,,15.9,160.41,7 HCPCS,82190,Hc Calcium By Aa,96.0,96.0,,,0 HCPCS,82190,"Hc Electrolytes, Fecal By Aa",408.0,408.0,,,0 HCPCS,82190,"Hc Potassium, Quantitative, Fecal",408.0,408.0,,,0 HCPCS,82190,"Hc Silver, Serum",408.0,408.0,,,0 HCPCS,82190,"Hc Sodium, Quantitative, Fecal",408.0,408.0,,,0 HCPCS,82190,Hc Thallium,408.0,408.0,,,0 HCPCS,82190,"Hc Thallium, Urine",408.0,408.0,,,0 HCPCS,82232,Assay of beta-2 protein,,,16.18,163.83,7 HCPCS,82232,Hc Beta-2 Microglobulin,234.0,234.0,,,0 HCPCS,82232,Hc Beta-2 Microglobulin-Serum,411.0,411.0,,,0 HCPCS,82232,Hc Beta-2 Microglobulin-Urine,411.0,411.0,,,0 HCPCS,82233,Beta-amyloid 1-40 (abeta 40),,,128.92,186.93,3 HCPCS,82234,Beta-amyloid 1-42 (abeta 42),,,128.92,186.93,3 HCPCS,82234,"Hc Alzheimer's Disease Evaluation, Abeta 42, Csf",503.0,503.0,,,0 HCPCS,82239,Bile acids total,,,17.12,174.06,7 HCPCS,82239,Hc Bile Acids; Total,187.0,187.0,,,0 HCPCS,82240,Bile acids cholylglycine,,,26.58,266.22,7 HCPCS,82247,Bilirubin total,,,5.02,51.2,8 HCPCS,82247,Hc Bilirubin; Total,159.0,159.0,,,0 HCPCS,82248,Bilirubin direct,,,5.02,51.2,7 HCPCS,82248,Hc Bilirubin; Direct,158.0,158.0,,,0 HCPCS,82248,Hc Bilirubin; Direct-Laf,43.0,43.0,,,0 HCPCS,82250,Description Not Available,,,32.03,32.03,1 HCPCS,82251,Description Not Available,,,34.7,34.7,1 HCPCS,82252,Fecal bilirubin test,,,4.56,44.37,7 HCPCS,82261,Assay of biotinidase,,,16.87,170.65,7 HCPCS,82261,Hc Biotinidase,204.0,204.0,,,0 HCPCS,82261,Hc Biotinidase Newborn Screening,37.0,37.0,,,0 HCPCS,82270,"Hc Blood Occult, Peroxidase , Qual, Feces, Consec Spec, Single ,Colorectal Neoplasm Screen",72.0,72.0,,,0 HCPCS,82270,Occult blood feces,,,4.38,44.37,8 HCPCS,82271,"Hc Blood Occult, By Peroxidase Activity, Qualitative, Other Sources",59.0,59.0,,,0 HCPCS,82271,Occult blood other sources,,,5.32,54.61,7 HCPCS,82272,"Hc Blood Occult, By Perodidase, Qual, Feces, 1-3 Simult, Other Than Colorectal Neoplasm Screen",110.0,110.0,,,0 HCPCS,82272,Occult bld feces 1-3 tests,,,4.23,40.96,7 HCPCS,82274,Assay test for blood fecal,,,15.92,160.41,7 HCPCS,82274,"Hc Blood, Occult, By Fecal Hemoglobin Determination By Immunoassay, Qual, Feces, 1-3 Simultaneous",165.0,165.0,,,0 HCPCS,82286,Assay of bradykinin,,,5.16,51.2,7 HCPCS,82300,Assay of cadmium,,,23.64,238.91,7 HCPCS,82300,Hc Cadmium,197.0,197.0,,,0 HCPCS,82300,"Hc Heavy Metal Cadmium/Creatinine Ratio, U",197.0,197.0,,,0 HCPCS,82306,"Hc Vitamin D; 25 Hydroxy, Includes Fraction(S), If Performed",469.0,469.0,,,0 HCPCS,82306,"Hc Vitamin D; 25 Hydroxy, Includes Fraction(S), If Performed-Laf",283.0,283.0,,,0 HCPCS,82306,Vitamin d 25 hydroxy,,,29.6,296.93,7 HCPCS,82308,Assay of calcitonin,,,26.79,269.63,7 HCPCS,82308,Hc Calcitonin,392.0,392.0,,,0 HCPCS,82310,Assay of calcium,,,5.16,51.2,8 HCPCS,82310,Hc Calcium; Total,162.0,162.0,,,0 HCPCS,82310,Hc Calcium; Total-Laf,43.0,43.0,,,0 HCPCS,82330,Assay of calcium,,,13.68,136.52,8 HCPCS,82330,Hc Calcium; Ionized,312.0,312.0,,,0 HCPCS,82331,Calcium infusion test,,,11.13,133.11,7 HCPCS,82340,Assay of calcium in urine,,,6.03,61.43,7 HCPCS,82340,Hc Calcium (Not Aa),196.0,196.0,,,0 HCPCS,82340,Hc Calcium Urine,196.0,196.0,,,0 HCPCS,82355,Calculus analysis qual,,,11.58,116.04,7 HCPCS,82355,Hc Calculus; Qualitative Analysis,41.0,41.0,,,0 HCPCS,82360,Calculus assay quant,,,12.87,129.7,7 HCPCS,82365,Calculus spectroscopy,,,12.9,129.7,7 HCPCS,82365,Hc Calculus; Infrared Spectroscopy,197.0,197.0,,,0 HCPCS,82370,X-ray assay calculus,,,12.52,126.28,7 HCPCS,82373,Assay c-d transfer measure,,,18.06,180.89,7 HCPCS,82373,Hc Carbohydrate Deficient Transferrin,284.0,284.0,,,0 HCPCS,82374,Assay blood carbon dioxide,,,4.88,47.78,8 HCPCS,82374,Hc Carbon Diozide (Bicarbonate),82.0,82.0,,,0 HCPCS,82374,Hc Carbon Diozide (Bicarbonate)-Laf,43.0,43.0,,,0 HCPCS,82375,Assay carboxyhb quant,,,12.32,122.87,7 HCPCS,82375,Hc Carboxyhemoglobin; Quantitative,206.0,206.0,,,0 HCPCS,82376,Assay carboxyhb qual,,,12.81,143.35,7 HCPCS,82378,Carcinoembryonic antigen,,,18.96,191.13,8 HCPCS,82378,Hc Carcinoembryonic Antigen (Cea),531.0,531.0,,,0 HCPCS,82378,Hc Carcinoembryonic Antigen (Cea)-Laf,180.0,180.0,,,0 HCPCS,82379,Assay of carnitine,,,16.87,170.65,7 HCPCS,82379,Hc Carnitine,348.0,348.0,,,0 HCPCS,82380,Assay of carotene,,,9.22,92.15,7 HCPCS,82380,Hc Carotene,204.0,204.0,,,0 HCPCS,82382,Assay urine catecholamines,,,27.3,276.46,7 HCPCS,82383,Assay blood catecholamines,,,29.08,293.52,7 HCPCS,82383,Hc Catecholamines; Blood,404.0,404.0,,,0 HCPCS,82384,Assay three catecholamines,,,25.25,255.98,7 HCPCS,82384,Hc Catecholamines; Fractionated,400.0,400.0,,,0 HCPCS,82387,Assay of cathepsin-d,,,18.06,180.89,7 HCPCS,82390,Assay of ceruloplasmin,,,10.74,109.22,7 HCPCS,82390,Hc Ceruloplasmin,337.0,337.0,,,0 HCPCS,82397,Chemiluminescent assay,,,14.12,143.35,7 HCPCS,82397,Hc Adalimumab Antibody,631.0,631.0,,,0 HCPCS,82397,Hc Afp Chemiluminescent Assay,631.0,631.0,,,0 HCPCS,82397,Hc Alpha Sub Of Pit Glyco,162.0,162.0,,,0 HCPCS,82397,Hc Chemiluminescent Assay,427.0,427.0,,,0 HCPCS,82397,Hc Chemiluminescent Assay Inflixmab,196.0,196.0,,,0 HCPCS,82397,Hc Fibrospect Hcv,255.0,255.0,,,0 HCPCS,82397,"Hc Hmg-Coa Reductase Ab, S",449.0,449.0,,,0 HCPCS,82397,"Hc Nitrogen, Total, Ur",631.0,631.0,,,0 HCPCS,82397,"Hc Platelet Function By Atp Release, Chemiluminescent Assay",369.0,369.0,,,0 HCPCS,82397,Hc Pth-Related Protein,631.0,631.0,,,0 HCPCS,82397,"Hc Vedolizumab Ab, S",241.0,241.0,,,0 HCPCS,82415,Assay of chloramphenicol,,,12.67,126.28,7 HCPCS,82415,Hc Chloramphenicol,176.0,176.0,,,0 HCPCS,82435,Assay of blood chloride,,,4.6,47.78,7 HCPCS,82435,Hc Chloride Bld,122.0,122.0,,,0 HCPCS,82435,Hc Chloride; Blood,30.0,30.0,,,0 HCPCS,82435,Hc Chloride; Blood-Laf,43.0,43.0,,,0 HCPCS,82436,Assay of urine chloride,,,5.75,58.02,7 HCPCS,82436,Hc Chloride; Urine,35.0,35.0,,,0 HCPCS,82438,Assay other fluid chlorides,,,5.0,51.2,7 HCPCS,82438,Hc Chloride Other Source,83.0,83.0,,,0 HCPCS,82438,Hc Chloride Sweat,211.0,211.0,,,0 HCPCS,82438,"Hc Chloride, Fecal",211.0,211.0,,,0 HCPCS,82438,"Hc Chloride, Fluid",211.0,211.0,,,0 HCPCS,82441,Test for chlorohydrocarbons,,,6.01,61.43,7 HCPCS,82465,Assay bld/serum cholesterol,,,4.35,44.37,8 HCPCS,82465,Hc Cholesterol,162.0,162.0,,,0 HCPCS,82465,Hc Cholesterol-Laf,43.0,43.0,,,0 HCPCS,82480,Assay serum cholinesterase,,,7.87,78.5,7 HCPCS,82480,Hc Cholinesterase; Serum,122.0,122.0,,,0 HCPCS,82482,Assay rbc cholinesterase,,,9.81,98.98,7 HCPCS,82482,Hc Cholinesterase; Rbc,91.0,91.0,,,0 HCPCS,82485,Assay chondroitin sulfate,,,20.65,208.2,7 HCPCS,82495,Assay of chromium,,,20.28,204.78,7 HCPCS,82495,Hc Chromium,300.0,300.0,,,0 HCPCS,82507,Assay of citrate,,,27.8,279.87,7 HCPCS,82507,Hc Citrate,42.0,42.0,,,0 HCPCS,82523,Collagen crosslinks,,,18.68,187.72,7 HCPCS,82523,Hc Collagen Cross Links-Any Method,547.0,547.0,,,0 HCPCS,82523,Hc Collagen Xlinks C-Telopeptide,547.0,547.0,,,0 HCPCS,82525,Assay of copper,,,12.41,126.28,7 HCPCS,82525,Hc Copper,232.0,232.0,,,0 HCPCS,82525,"Hc Copper, Urine",232.0,232.0,,,0 HCPCS,82528,Assay of corticosterone,,,22.52,225.26,7 HCPCS,82528,Hc Coricosterone,502.0,502.0,,,0 HCPCS,82530,Cortisol free,,,16.71,167.24,7 HCPCS,82530,Hc Cortisol Free Saliva,348.0,348.0,,,0 HCPCS,82530,Hc Cortisol Free Urinary,348.0,348.0,,,0 HCPCS,82533,Hc Cortisol; Total,456.0,456.0,,,0 HCPCS,82533,Total cortisol,,,16.3,163.83,8 HCPCS,82540,Assay of creatine,,,4.64,47.78,7 HCPCS,82542,Col chromotography qual/quan,,,24.09,242.33,7 HCPCS,82542,"Hc 18-Hydroxycorticosterone, S",400.0,400.0,,,0 HCPCS,82542,"Hc Acylglycines, Qn, U",442.0,442.0,,,0 HCPCS,82542,Hc Col Chromotography Qual/Quan,312.0,312.0,,,0 HCPCS,82542,Hc Dexamethasone Serum,475.0,475.0,,,0 HCPCS,82542,Hc Familial Amyloid Reflex,450.0,450.0,,,0 HCPCS,82542,Hc Fatty Acids Essentials,441.0,441.0,,,0 HCPCS,82542,Hc Gc/Ms Arvas Quantitative,475.0,475.0,,,0 HCPCS,82542,"Hc Globotriaosylsphingosine, Bs",277.0,277.0,,,0 HCPCS,82542,"Hc Glucopsychosine, Bs",277.0,277.0,,,0 HCPCS,82542,Hc Lacosamide (Vimpat),475.0,475.0,,,0 HCPCS,82542,"Hc Lysopc By Lc Ms/Ms (Reflex), Bs",277.0,277.0,,,0 HCPCS,82542,"Hc N-Methylhistamine, 24 Hr, U",239.0,239.0,,,0 HCPCS,82542,"Hc N-Methylhistamine, Random, U",234.0,234.0,,,0 HCPCS,82542,"Hc Oxysterols, Bs",277.0,277.0,,,0 HCPCS,82542,Hc Porphyrins Plasma,332.0,332.0,,,0 HCPCS,82542,Hc Prometh Tiopurine Metab,595.0,595.0,,,0 HCPCS,82542,"Hc Protoporphyrins, Fractionation, Wb",462.0,462.0,,,0 HCPCS,82542,"Hc Psychosine, Bs",277.0,277.0,,,0 HCPCS,82544,Hc Acylglycines Ur Collection Chromosome Quantiative,1140.0,1140.0,,,0 HCPCS,82550,Assay of ck (cpk),,,6.51,64.85,8 HCPCS,82550,Hc Creatine Phosphokinase-Serum,133.0,133.0,,,0 HCPCS,82550,Hc Creatine Phosphokinase-Serum-Laf,43.0,43.0,,,0 HCPCS,82550,Hc Emergency Total Ck Assay,133.0,133.0,,,0 HCPCS,82550,Hc Total Ck Assay,133.0,133.0,,,0 HCPCS,82550,Hc Total Ck Assay Repeat,133.0,133.0,,,0 HCPCS,82550,Hc Total Ck Assay-Laf,43.0,43.0,,,0 HCPCS,82552,Assay of cpk in blood,,,13.39,136.52,8 HCPCS,82553,Creatine mb fraction,,,11.55,116.04,8 HCPCS,82553,"Hc Creatine Kinase, Mb Fraction",246.0,246.0,,,0 HCPCS,82553,"Hc Creatine Kinase, Mb Fraction Repeat",246.0,246.0,,,0 HCPCS,82553,"Hc Emergency Creatine Kinase, Mb Fraction",246.0,246.0,,,0 HCPCS,82554,Creatine isoforms,,,11.87,119.46,7 HCPCS,82565,Assay of creatinine,,,5.12,51.2,8 HCPCS,82565,Hc Creatinine; Blood,151.0,151.0,,,0 HCPCS,82565,Hc Creatinine; Blood-Laf,43.0,43.0,,,0 HCPCS,82570,Assay of urine creatinine,,,5.18,51.2,8 HCPCS,82570,"Hc Chem-Creatinine, Fluid",187.0,187.0,,,0 HCPCS,82570,"Hc Chem-Creatinine, Fluid-Laf",50.0,50.0,,,0 HCPCS,82570,"Hc Creatine, Conc",114.0,114.0,,,0 HCPCS,82570,"Hc Creatinine, Urine",187.0,187.0,,,0 HCPCS,82570,"Hc Creatinine, Urine-Laf",50.0,50.0,,,0 HCPCS,82570,"Hc Heavy Metal Creatinine Ratio, Random, U",114.0,114.0,,,0 HCPCS,82570,"Hc Mucopolysaccharides Quant, U",115.0,115.0,,,0 HCPCS,82570,"Hc N-Methylhistamine, Cr Random, U",114.0,114.0,,,0 HCPCS,82570,"Hc Ntx-Telopeptide, U",114.0,114.0,,,0 HCPCS,82575,Creatinine clearance test,,,9.46,95.56,8 HCPCS,82575,Hc Creatinine; Clearance,411.0,411.0,,,0 HCPCS,82585,Assay of cryofibrinogen,,,14.14,143.35,7 HCPCS,82585,Hc Cryofibrinogen,91.0,91.0,,,0 HCPCS,82595,Assay of cryoglobulin,,,6.47,64.85,7 HCPCS,82595,"Hc Cryoglobulin, Qualitative Or Semi-Quantitative",197.0,197.0,,,0 HCPCS,82600,Assay of cyanide,,,19.4,194.54,7 HCPCS,82600,Hc Cyanide,151.0,151.0,,,0 HCPCS,82607,Hc Cyanocobalamin Vitamin B-12,428.0,428.0,,,0 HCPCS,82607,Hc Cyanocobalamin Vitamin B-12-Laf,143.0,143.0,,,0 HCPCS,82607,Vitamin B-12,,,15.08,153.59,8 HCPCS,82608,B-12 binding capacity,,,14.32,143.35,7 HCPCS,82610,Cystatin c,,,18.52,187.72,7 HCPCS,82610,Hc Cystatin C,311.0,311.0,,,0 HCPCS,82615,"Hc Cystine And Homocystine, Urine, Qualitative",23.0,23.0,,,0 HCPCS,82615,Test for urine cystines,,,9.55,95.56,7 HCPCS,82626,Dehydroepiandrosterone,,,25.27,255.98,7 HCPCS,82626,Hc Dehydroepiandrostereone,168.0,168.0,,,0 HCPCS,82627,Dehydroepiandrosterone,,,22.23,225.26,8 HCPCS,82627,Hc Dehydroepiandrostereone-Sulfate,567.0,567.0,,,0 HCPCS,82633,Desoxycorticosterone,,,30.98,310.59,7 HCPCS,82633,"Hc 11-Deoxycorticosterone, S",279.0,279.0,,,0 HCPCS,82634,Deoxycortisol,,,29.28,293.52,7 HCPCS,82634,"Hc Deoxycortisol, 11",196.0,196.0,,,0 HCPCS,82638,Assay of dibucaine number,,,12.25,122.87,7 HCPCS,82642,Dihydrotestosterone,,,29.28,293.52,6 HCPCS,82642,Noncdm Charge Record,313.67,313.67,,,0 HCPCS,82652,"Hc Vitamin D; 1, 25 Hydroxy, Includes Fraction(S), If Performed",442.0,442.0,,,0 HCPCS,82652,Vit d 1 25-dihydroxy,,,38.5,389.09,7 HCPCS,82653,El-1 fecal quantitative,,,22.97,232.09,6 HCPCS,82653,Hc El-1 Fecal Quantitative,260.0,260.0,,,0 HCPCS,82656,"Hc Elastase, Pancreatic, Fecal, Qualitative Or Semi-Quantitative",326.0,326.0,,,0 HCPCS,82656,Pancreatic elastase fecal,,,11.53,116.04,7 HCPCS,82657,Enzyme cell activity,,,22.17,221.85,7 HCPCS,82657,Hc Thiopurine Methyltransferase,447.0,447.0,,,0 HCPCS,82657,Hc Acid Alpha-Glucosidase Bs,403.0,403.0,,,0 HCPCS,82657,"Hc Acid Alpha-Glucosidase, Bld",309.0,309.0,,,0 HCPCS,82657,"Hc Adenosine Deaminase, Blood",186.0,186.0,,,0 HCPCS,82657,Hc Aia Dehydratase,186.0,186.0,,,0 HCPCS,82657,Hc Alpha Galactosidase Blood,453.0,453.0,,,0 HCPCS,82657,Hc Alpha-L-Iduronidase,186.0,186.0,,,0 HCPCS,82657,Hc Arylsulfatase,186.0,186.0,,,0 HCPCS,82657,Hc Asparginase Serum,270.0,270.0,,,0 HCPCS,82657,Hc Beta-Galactosidaseassay,186.0,186.0,,,0 HCPCS,82657,Hc Beta-Glucosidase Assay,186.0,186.0,,,0 HCPCS,82657,Hc Beta-Glucuronidase Assay,186.0,186.0,,,0 HCPCS,82657,Hc Disaccharidases Glucoamylase,186.0,186.0,,,0 HCPCS,82657,Hc Disaccharidases Lactase,186.0,186.0,,,0 HCPCS,82657,Hc Disaccharidases Palatinase,186.0,186.0,,,0 HCPCS,82657,Hc Disaccharidases Sucrase,186.0,186.0,,,0 HCPCS,82657,Hc Enzyme Activity Nos,186.0,186.0,,,0 HCPCS,82657,Hc Gluc Phos Isomerase,186.0,186.0,,,0 HCPCS,82657,Hc Lysosomal Acid Lipase B,447.0,447.0,,,0 HCPCS,82657,Hc Neutrophil Oxidative Burst,186.0,186.0,,,0 HCPCS,82658,Enzyme cell activity ra,,,38.43,443.69,7 HCPCS,82658,Hc Galactosylcer B-Galactosidase,547.0,547.0,,,0 HCPCS,82664,Electrophoretic test,,,61.5,617.76,7 HCPCS,82664,Hc Electrophoresis (Tbg),256.0,256.0,,,0 HCPCS,82668,Assay of erythropoietin,,,18.79,187.72,7 HCPCS,82668,Hc Erythropoietin,441.0,441.0,,,0 HCPCS,82670,Assay of estradiol,,,27.94,279.87,8 HCPCS,82670,Hc Estradiol,450.0,450.0,,,0 HCPCS,82670,Hc Estradiol 17 Beta,450.0,450.0,,,0 HCPCS,82670,Hc Estradiol 17 Beta-Laf,108.0,108.0,,,0 HCPCS,82670,Hc Estradiol-Laf,108.0,108.0,,,0 HCPCS,82671,Assay of estrogens,,,32.3,324.24,7 HCPCS,82671,Hc Estrogens; Fractionated,350.0,350.0,,,0 HCPCS,82672,Assay of estrogen,,,21.7,218.43,7 HCPCS,82677,Assay of estriol,,,24.18,242.33,7 HCPCS,82677,Hc Estriol,252.0,252.0,,,0 HCPCS,82679,Assay of estrone,,,24.95,252.56,7 HCPCS,82679,Hc Estrone,331.0,331.0,,,0 HCPCS,82681,Assay dir meas fr estradiol,,,27.94,279.87,7 HCPCS,82693,Assay of ethylene glycol,,,14.9,150.17,7 HCPCS,82693,Hc Ethylene Glycol,133.0,133.0,,,0 HCPCS,82696,Assay of etiocholanolone,,,26.24,262.8,7 HCPCS,82705,Fats/lipids feces qual,,,5.1,51.2,7 HCPCS,82710,Fats/lipids feces quant,,,16.8,170.65,7 HCPCS,82710,"Hc Fat Stain, Sudan",338.0,338.0,,,0 HCPCS,82710,Hc Fecal Fat,338.0,338.0,,,0 HCPCS,82715,Assay of fecal fat,,,22.97,232.09,7 HCPCS,82725,Assay of blood fatty acids,,,18.77,187.72,7 HCPCS,82725,Hc Fatty Acids Nonesterified,152.0,152.0,,,0 HCPCS,82726,Hc Peroxisomal Panel,518.0,518.0,,,0 HCPCS,82726,Long chain fatty acids,,,19.75,197.96,7 HCPCS,82728,Assay of ferritin,,,13.63,136.52,8 HCPCS,82728,Hc Ferritin,437.0,437.0,,,0 HCPCS,82728,Hc Ferritin-Laf,130.0,130.0,,,0 HCPCS,82731,Assay of fetal fibronectin,,,64.41,648.48,7 HCPCS,82731,Hc Fetal Fibronetin Assay,779.0,779.0,,,0 HCPCS,82735,Assay of fluoride,,,18.54,187.72,7 HCPCS,82746,Assay of folic acid serum,,,14.7,146.76,8 HCPCS,82746,Hc Folic Acid; Serum,439.0,439.0,,,0 HCPCS,82747,Assay of folic acid rbc,,,17.65,177.48,7 HCPCS,82747,Hc Folic Acid; Rbc,369.0,369.0,,,0 HCPCS,82757,Assay of semen fructose,,,17.34,174.06,7 HCPCS,82759,Assay of rbc galactokinase,,,21.48,215.02,7 HCPCS,82759,"Hc Galactokinase, Rbc",464.0,464.0,,,0 HCPCS,82760,Assay of galactose,,,11.2,112.63,7 HCPCS,82760,"Hc Galactose, Newborn Screening",37.0,37.0,,,0 HCPCS,82760,"Hc Galactose, Quantitative, Ur",31.0,31.0,,,0 HCPCS,82775,Assay galactose transferase,,,21.07,211.61,7 HCPCS,82775,Hc Gal-1-P Uridyltransferase,342.0,342.0,,,0 HCPCS,82775,Hc Gal-1-Phos Uridyltrns Geno,342.0,342.0,,,0 HCPCS,82776,Galactose transferase test,,,11.74,119.46,7 HCPCS,82776,Hc Galactosemia Newborn Screening,37.0,37.0,,,0 HCPCS,82777,Galectin-3,,,44.25,447.11,7 HCPCS,82777,Hc Galectin-3,309.0,309.0,,,0 HCPCS,82784,Assay iga/igd/igg/igm each,,,9.3,92.15,8 HCPCS,82784,"Hc Gammaglobulin, Neonate Igm",266.0,266.0,,,0 HCPCS,82784,Hc Igg Serum,266.0,266.0,,,0 HCPCS,82784,Hc Igg Spinal Fluid,266.0,266.0,,,0 HCPCS,82784,Hc Immunoglobulin D,266.0,266.0,,,0 HCPCS,82784,"Hc Immunoglobulin Iga, Quantitative",266.0,266.0,,,0 HCPCS,82784,"Hc Immunoglobulin Igg, Quantitative",266.0,266.0,,,0 HCPCS,82784,"Hc Immunoglobulin Igm, Quantitative",266.0,266.0,,,0 HCPCS,82784,"Hc Quantitative M-Protein Study, S",238.0,238.0,,,0 HCPCS,82785,Assay of ige,,,16.46,167.24,8 HCPCS,82785,Hc Gammaglobulin; Ige,61.0,61.0,,,0 HCPCS,82785,Hc Total Ige,84.0,84.0,,,0 HCPCS,82787,"Hc Gammaglobulin; Immunoglobulin Subclasses, Each",127.0,127.0,,,0 HCPCS,82787,Igg 1 2 3 or 4 each,,,8.02,81.91,7 HCPCS,82800,Blood pH,,,11.0,109.22,7 HCPCS,82800,"Hc Gases, Blood, Ph Only",200.0,200.0,,,0 HCPCS,82803,Blood gases any combination,,,26.07,262.8,8 HCPCS,82803,"Hc Gases, Blood, Any Combination Of Ph, Pco2, Po2, Co2, Hco3",361.0,361.0,,,0 HCPCS,82805,Blood gases w/o2 saturation,,,60.14,791.82,8 HCPCS,82805,"Hc Gases, Blood, Any Combo Of Ph, Pco2, Po2, Co2, Hco3;W/ O2 Satrn By Direct Measure, Excpt Pulse Ox",428.0,428.0,,,0 HCPCS,82810,Blood gases o2 sat only,,,9.77,98.98,7 HCPCS,82810,Hc Blood Gases O2 Sat Only,193.0,193.0,,,0 HCPCS,82820,Hemoglobin-oxygen affinity,,,13.34,133.11,7 HCPCS,82930,Gastric analy w/ph ea spec,,,6.71,68.26,7 HCPCS,82938,Gastrin test,,,17.69,177.48,7 HCPCS,82941,Assay of gastrin,,,17.63,177.48,7 HCPCS,82941,Hc Gastrin,257.0,257.0,,,0 HCPCS,82943,Assay of glucagon,,,14.29,143.35,7 HCPCS,82943,Hc Glucagon,350.0,350.0,,,0 HCPCS,82945,Glucose Other Fluid,,,3.93,40.96,7 HCPCS,82945,"Hc Glucose, Fluid",188.0,188.0,,,0 HCPCS,82945,"Hc Glucose, Spinal Fluid",188.0,188.0,,,0 HCPCS,82945,"Hc Glucose,Urine",188.0,188.0,,,0 HCPCS,82946,Glucagon tolerance test,,,17.77,177.48,7 HCPCS,82947,Assay glucose blood quant,,,3.93,40.96,8 HCPCS,82947,Hc Glucose Fasting Fbs,75.0,75.0,,,0 HCPCS,82947,Hc Glucose Fasting Fbs-Laf,43.0,43.0,,,0 HCPCS,82947,Hc Glucose Tolerance Sample,75.0,75.0,,,0 HCPCS,82947,Hc Glucose Tolerance Sample-Laf,43.0,43.0,,,0 HCPCS,82947,"Hc Glucose, 2 Hr Post Prandial",75.0,75.0,,,0 HCPCS,82947,"Hc Glucose, 2 Hr Post Prandial-Laf",43.0,43.0,,,0 HCPCS,82947,Hc Glucose; Quantitative Blood,75.0,75.0,,,0 HCPCS,82947,Hc Glucose; Quantitative Blood-Laf,43.0,43.0,,,0 HCPCS,82948,"Hc Glucose; Blood, Reagent Strip",54.0,54.0,,,0 HCPCS,82948,Reagent strip/blood glucose,,,5.04,51.2,8 HCPCS,82950,Glucose test,,,4.75,47.78,8 HCPCS,82950,Hc Glucose; Post Glucose Dose,190.0,190.0,,,0 HCPCS,82951,Glucose tolerance test (GTT),,,12.87,129.7,8 HCPCS,82951,Hc Gestational Glucose Tolerance; 3 Specimens,403.0,403.0,,,0 HCPCS,82951,"Hc Glucose; Tolerance Test, 3 Specimens",403.0,403.0,,,0 HCPCS,82952,GTT-added samples,,,3.92,40.96,8 HCPCS,82952,"Hc Glucose Test Gtt, Each Additional Beyond 3 Specimens",122.0,122.0,,,0 HCPCS,82955,Assay of g6pd enzyme,,,9.7,98.98,7 HCPCS,82955,Hc Glucose -6-Phosphate Dehydrogenase; Quantitative,207.0,207.0,,,0 HCPCS,82960,Test for G6PD enzyme,,,6.05,61.43,7 HCPCS,82962,Glucose blood test,,,3.28,34.13,7 HCPCS,82962,Hc Glucose Blood By Glucose Monitor,85.0,85.0,,,0 HCPCS,82963,Assay of glucosidase,,,21.48,215.02,7 HCPCS,82963,"Hc Beta-Glucosidase, Leukocytes",416.0,416.0,,,0 HCPCS,82965,Assay of gdh enzyme,,,13.15,133.11,7 HCPCS,82977,Assay of GGT,,,7.2,71.67,8 HCPCS,82977,"Hc Glutamyltransferase, Gamma",158.0,158.0,,,0 HCPCS,82978,Assay of glutathione,,,15.45,157.0,7 HCPCS,82979,Assay rbc glutathione,,,9.44,95.56,7 HCPCS,82985,Assay of glycated protein,,,16.76,167.24,7 HCPCS,82985,Hc Fructosamine,150.0,150.0,,,0 HCPCS,82985,Hc Glycated Albumin,150.0,150.0,,,0 HCPCS,83001,Assay of gonadotropin (fsh),,,18.58,187.72,8 HCPCS,83001,Hc Follicle Stimulating Hormone,469.0,469.0,,,0 HCPCS,83001,Hc Follicle Stimulating Hormone-Laf,124.0,124.0,,,0 HCPCS,83001,Hc Gonadotropin; Follicle Stimulating Hormone,469.0,469.0,,,0 HCPCS,83001,Hc Gonadotropin; Follicle Stimulating Hormone-Laf,124.0,124.0,,,0 HCPCS,83002,Assay of gonadotropin (lh),,,18.52,187.72,8 HCPCS,83002,Hc Gonadtropin; Luteinizing Hormone,411.0,411.0,,,0 HCPCS,83002,Hc Gonadtropin; Luteinizing Hormone-Laf,176.0,176.0,,,0 HCPCS,83002,Hc Luteinizing Hormone,411.0,411.0,,,0 HCPCS,83002,Hc Luteinizing Hormone-Laf,176.0,176.0,,,0 HCPCS,83003,Assay growth hormone (hgh),,,16.67,167.24,7 HCPCS,83003,"Hc Growth Hormone, Hgh Somatotropin",289.0,289.0,,,0 HCPCS,83006,Growth stimulation gene 2,,,46.77,761.11,7 HCPCS,83009,H pylori (c-13) blood,,,67.36,679.19,7 HCPCS,83010,Assay of haptoglobin quant,,,12.58,126.28,7 HCPCS,83010,Hc Assay Of Haptoglobin Quantitative,387.0,387.0,,,0 HCPCS,83012,Assay of haptoglobins,,,26.89,269.63,7 HCPCS,83013,H pylori (c-13) breath,,,67.36,679.19,7 HCPCS,83013,"Hc Helicobacter Pylori; Breath Test Analysis For Urease Activity, Non-Radioactive Isotope",1213.0,1213.0,,,0 HCPCS,83014,H pylori drug admin,,,7.86,78.5,7 HCPCS,83014,Hc Helicobacter Pylori; Drug Administration,405.0,405.0,,,0 HCPCS,83015,Heavy metal qual any anal,,,20.94,211.61,7 HCPCS,83018,"Hc Iodine, Urine",309.0,309.0,,,0 HCPCS,83018,Hc Heavy Metal Blood,299.0,299.0,,,0 HCPCS,83018,Hc Heavy Metal Gadolinium,204.0,204.0,,,0 HCPCS,83018,Hc Heavy Metal Qt Arsenic,134.0,134.0,,,0 HCPCS,83018,Hc Heavy Metal Qt Cadmium,134.0,134.0,,,0 HCPCS,83018,Hc Heavy Metal Qt Lead,134.0,134.0,,,0 HCPCS,83018,Hc Heavy Metal Qt Mercury,134.0,134.0,,,0 HCPCS,83018,"Hc Thallium, Urine",286.0,286.0,,,0 HCPCS,83018,Heavy metal quant each nes,,,21.96,221.85,7 HCPCS,83020,"Hc Hemoglobin Fractionation And Quantiation, Electrophoresis",37.0,37.0,,,0 HCPCS,83020,Hemoglobin electrophoresis,,,12.87,129.7,7 HCPCS,83021,Chem-Hemoglobin Chromatography Eval'n,386.0,386.0,,,0 HCPCS,83021,Hc Hemoglobin Fractj/Quantj Chromotography,210.0,210.0,,,0 HCPCS,83021,Hc Sickle Cell Thalassiemias Newborn Screen,37.0,37.0,,,0 HCPCS,83021,Hemoglobin chromotography,,,18.06,180.89,7 HCPCS,83026,Hemoglobin copper sulfate,,,4.01,40.96,7 HCPCS,83030,Fetal hemoglobin chemical,,,10.74,109.22,7 HCPCS,83033,Fetal hemoglobin assay qual,,,8.0,81.91,7 HCPCS,83033,"Hc Hemoglobin, F Fetal, Qualitative",49.0,49.0,,,0 HCPCS,83036,Glycosylated hemoglobin test,,,9.71,98.98,8 HCPCS,83036,Hc Hemoglobin; Glycosylated A1C,344.0,344.0,,,0 HCPCS,83036,Hc Hemoglobin; Glycosylated A1C-Laf,92.0,92.0,,,0 HCPCS,83037,Glycosylated hb home device,,,9.71,98.98,7 HCPCS,83037,"Hc Hemoglobin, Glycosylated A1C By Device Cleared By Fda",246.0,246.0,,,0 HCPCS,83045,Blood methemoglobin test,,,6.49,64.85,7 HCPCS,83050,Blood methemoglobin assay,,,8.2,81.91,7 HCPCS,83050,"Hc Hemoglobin; Methemoblobin, Quantitative",82.0,82.0,,,0 HCPCS,83051,Assay of plasma hemoglobin,,,7.31,75.09,7 HCPCS,83051,"Hc Hemoglobin, Plasma",98.0,98.0,,,0 HCPCS,83060,Blood sulfhemoglobin assay,,,8.8,88.74,7 HCPCS,83065,Assay of hemoglobin heat,,,9.0,92.15,7 HCPCS,83068,Hemoglobin stability screen,,,9.47,95.56,7 HCPCS,83069,Assay of urine hemoglobin,,,3.95,40.96,7 HCPCS,83070,Assay of hemosiderin qual,,,4.75,47.78,7 HCPCS,83070,"Hc Hemosiderin, Qualitative",134.0,134.0,,,0 HCPCS,83080,Assay of b hexosaminidase,,,16.87,170.65,7 HCPCS,83080,Hc Assay Of B-Hexosaminidase Each Assay,346.0,346.0,,,0 HCPCS,83080,"Hc Hexosaminidase A&Ttl, Serum",442.0,442.0,,,0 HCPCS,83080,Hc Hexosaminidase Wbc,442.0,442.0,,,0 HCPCS,83088,Assay of histamine,,,29.53,296.93,7 HCPCS,83088,Hc Assay Of Histamine,156.0,156.0,,,0 HCPCS,83088,Hc Histamine,156.0,156.0,,,0 HCPCS,83088,Hc Histamine Urine,156.0,156.0,,,0 HCPCS,83090,Assay Of Homocystine,,,17.92,180.89,8 HCPCS,83090,Hc Homocysteine,490.0,490.0,,,0 HCPCS,83090,"Hc Lrsv-Urine, Homocysteine",490.0,490.0,,,0 HCPCS,83150,Assay of homovanillic acid,,,22.41,225.26,7 HCPCS,83150,Hc Homovanillic Acid Hva,287.0,287.0,,,0 HCPCS,83491,Assay of corticosteroids 17,,,17.9,180.89,7 HCPCS,83491,"Hc Hydroxycorticosteroids, 17-",228.0,228.0,,,0 HCPCS,83497,Assay of 5-hiaa,,,12.9,129.7,7 HCPCS,83497,"Hc Hydroxyindolacetic Acid, 5-",246.0,246.0,,,0 HCPCS,83498,Assay of progesterone 17-d,,,27.17,273.04,7 HCPCS,83498,Hc 17-Hydroxyprogesterone,116.0,116.0,,,0 HCPCS,83498,Hc 17Ohprogesterone Newborn Screen,37.0,37.0,,,0 HCPCS,83499,Assay of progesterone 20-,,,53.46,53.46,1 HCPCS,83500,Assay free hydroxyproline,,,22.65,228.67,7 HCPCS,83505,Assay total hydroxyproline,,,24.3,245.74,7 HCPCS,83505,Hc Hydroxyproline; Total,180.0,180.0,,,0 HCPCS,83516,Chg Immunoassay Analyte Qual/Semiquan Multiple Step,37.0,37.0,,,0 HCPCS,83516,"Hc 21-Hydroxylase Ab, S",139.0,139.0,,,0 HCPCS,83516,Hc A-Glomer Basement,184.0,184.0,,,0 HCPCS,83516,Hc Adamt13 Ab By Elisa,301.0,301.0,,,0 HCPCS,83516,Hc Anti Histone,184.0,184.0,,,0 HCPCS,83516,Hc Anti Ige Ab,301.0,301.0,,,0 HCPCS,83516,Hc Anti Parietal Ab,184.0,184.0,,,0 HCPCS,83516,Hc Anti-Iga Antibody Igg,301.0,301.0,,,0 HCPCS,83516,Hc Centromere Abs,301.0,301.0,,,0 HCPCS,83516,Hc Cystic Fibrosis Newborn Scrn,37.0,37.0,,,0 HCPCS,83516,"Hc Ganglioside Ab Panel, Ser",102.0,102.0,,,0 HCPCS,83516,"Hc Ganglioside Gq1B Antibody, Igg, S",510.0,510.0,,,0 HCPCS,83516,"Hc Gliadin Antibody, Each",301.0,301.0,,,0 HCPCS,83516,Hc Histone Ab,173.0,173.0,,,0 HCPCS,83516,Hc Immunoassay Analyte,301.0,301.0,,,0 HCPCS,83516,Hc Immunoassay For Ccp Ab,301.0,301.0,,,0 HCPCS,83516,Hc Immunoassy Gliadin Iga Ab,301.0,301.0,,,0 HCPCS,83516,Hc Immunoassy Gliadin Igg Ab,301.0,301.0,,,0 HCPCS,83516,Hc Immunoassy Ttg Iga Ab,301.0,301.0,,,0 HCPCS,83516,Hc Immunoassy Ttg Igg Ab,301.0,301.0,,,0 HCPCS,83516,Hc M2 Pbc Antibody Immunoassay,301.0,301.0,,,0 HCPCS,83516,Hc Myeloperoxidase Igg Ab,301.0,301.0,,,0 HCPCS,83516,Hc Myomarker Panel 3 Immunoassay Nonantibody,49.0,49.0,,,0 HCPCS,83516,Hc Myositis Antibody,139.0,139.0,,,0 HCPCS,83516,Hc Parietal Cell Ab Igg,139.0,139.0,,,0 HCPCS,83516,Hc Proteinase Igg Ab,301.0,301.0,,,0 HCPCS,83516,Hc Rna/Eia/Fia Polymerase Iii Ab Igg S,301.0,301.0,,,0 HCPCS,83516,Hc Tissue Transglutaminase,184.0,184.0,,,0 HCPCS,83516,Hc Transglutaminase Ig Each Class,301.0,301.0,,,0 HCPCS,83516,Hc Tysabri Ab Immunoassay,301.0,301.0,,,0 HCPCS,83516,Immunoassay nonantibody,,,11.53,116.04,7 HCPCS,83518,Immunoassay dipstick,,,9.64,95.56,7 HCPCS,83519,Hc 18-Hydroxycorticosterone,85.0,85.0,,,0 HCPCS,83519,Hc Acetylcholine Recep. Ab,356.0,356.0,,,0 HCPCS,83519,Hc Ach Receptor Binding Ab,127.0,127.0,,,0 HCPCS,83519,Hc Ach Receptor Blocking Ab,85.0,85.0,,,0 HCPCS,83519,Hc Ach Receptor Modulating Ab,127.0,127.0,,,0 HCPCS,83519,"Hc Achr Ganglionic Neuronal Ab, S",127.0,127.0,,,0 HCPCS,83519,Hc Alpha Subunit,356.0,356.0,,,0 HCPCS,83519,Hc Calcium Channel Bind Ab,127.0,127.0,,,0 HCPCS,83519,Hc Cystic Fibrosis By Irt,37.0,37.0,,,0 HCPCS,83519,Hc Igf Binding Protein,85.0,85.0,,,0 HCPCS,83519,Hc Igf Ii,85.0,85.0,,,0 HCPCS,83519,Hc Immunoassay Igf Binding Prot 1,85.0,85.0,,,0 HCPCS,83519,Hc Immunoassay Musk Ab,898.0,898.0,,,0 HCPCS,83519,Hc Immunoassay Quant Leptin,85.0,85.0,,,0 HCPCS,83519,Hc Insulin Growth Fact Bindg,356.0,356.0,,,0 HCPCS,83519,Hc Lambert Eaton Myostrina,356.0,356.0,,,0 HCPCS,83519,Hc Musk Ab,1541.0,1541.0,,,0 HCPCS,83519,Hc Neopterin,85.0,85.0,,,0 HCPCS,83519,"Hc Neuronal (V-G) K+ Channel Ab, S",127.0,127.0,,,0 HCPCS,83519,"Hc Procollagen I Intact N-Terminal, S",420.0,420.0,,,0 HCPCS,83519,Hc Striational Ab,127.0,127.0,,,0 HCPCS,83519,Hc Thyrotropin,356.0,356.0,,,0 HCPCS,83519,Hc Trypsinogen,85.0,85.0,,,0 HCPCS,83519,Hc Vgkc,85.0,85.0,,,0 HCPCS,83519,Ria nonantibody,,,18.4,184.3,7 HCPCS,83520,Hc Rna Polymerase Iii Ab Igg S,270.0,270.0,,,0 HCPCS,83520,Hc 14-3-3 Antigen Level,270.0,270.0,,,0 HCPCS,83520,Hc 14.3.3 Eta Protein 1433Q,270.0,270.0,,,0 HCPCS,83520,Hc Adiponectin,384.0,384.0,,,0 HCPCS,83520,Hc Anti Iga Ab,301.0,301.0,,,0 HCPCS,83520,Hc Anti Ige Receptor Antibody,493.0,493.0,,,0 HCPCS,83520,Hc Anti-Mullerian Hormone,270.0,270.0,,,0 HCPCS,83520,"Hc Antimullerian Hormone, S",260.0,260.0,,,0 HCPCS,83520,Hc Caffeine,128.0,128.0,,,0 HCPCS,83520,Hc Celiac Disease Immunoass,270.0,270.0,,,0 HCPCS,83520,Hc Certolizumab Qt Ab,270.0,270.0,,,0 HCPCS,83520,"Hc Cjd Evaluation, Csf Other",493.0,493.0,,,0 HCPCS,83520,Hc Collagen Binding Assay,518.0,518.0,,,0 HCPCS,83520,Hc Csf Alzheimers,388.0,388.0,,,0 HCPCS,83520,Hc Cystatin Quant,128.0,128.0,,,0 HCPCS,83520,Hc Cytokines,493.0,493.0,,,0 HCPCS,83520,Hc Disopyramide,128.0,128.0,,,0 HCPCS,83520,Hc Fibroblast Gf 23,270.0,270.0,,,0 HCPCS,83520,"Hc Ganglioside Ab, Each",127.0,127.0,,,0 HCPCS,83520,Hc Glomerular Basement Membr,270.0,270.0,,,0 HCPCS,83520,Hc Glomerular Bsmnt Membrne Igg Ab,301.0,301.0,,,0 HCPCS,83520,Hc Histone Autoantibodies,270.0,270.0,,,0 HCPCS,83520,Hc Human Chimeric Ab,128.0,128.0,,,0 HCPCS,83520,Hc Igf Binding Protein 1,260.0,260.0,,,0 HCPCS,83520,Hc Igf-2,214.0,214.0,,,0 HCPCS,83520,Hc Immunoassay Qt Hyaluronic Acid,270.0,270.0,,,0 HCPCS,83520,Hc Immunoassay Qt Ilk6,270.0,270.0,,,0 HCPCS,83520,Hc Immunoassay Qt Timn Fibrosp,270.0,270.0,,,0 HCPCS,83520,Hc Immunoassay Quan Asca Igg,128.0,128.0,,,0 HCPCS,83520,Hc Immunoassay Quan; Alphhaompc Iga,128.0,128.0,,,0 HCPCS,83520,Hc Immunoassay Quan; Asca Iga,270.0,270.0,,,0 HCPCS,83520,Hc Immunoassay Quan; Panca Igg,270.0,270.0,,,0 HCPCS,83520,Hc Immunoassay Quant Anti Cbir1,128.0,128.0,,,0 HCPCS,83520,Hc Immunoassay Quant Gq1Bs,270.0,270.0,,,0 HCPCS,83520,Hc Immunoassay Quant Nos Nonab,85.0,85.0,,,0 HCPCS,83520,Hc Immunoassay Tnf Alpha,493.0,493.0,,,0 HCPCS,83520,"Hc Immunoglobulin Free Light Chains Kappa, S",260.0,260.0,,,0 HCPCS,83520,"Hc Immunoglobulin Free Light Chains Lambda, S",260.0,260.0,,,0 HCPCS,83520,Hc Infliximab Level,128.0,128.0,,,0 HCPCS,83520,Hc Inhibin B,270.0,270.0,,,0 HCPCS,83520,Hc Interleukin Rec Assay,493.0,493.0,,,0 HCPCS,83520,Hc Interleukin-18 (Il-18),493.0,493.0,,,0 HCPCS,83520,Hc Interleukin-6,270.0,270.0,,,0 HCPCS,83520,Hc Mag Ab Each,270.0,270.0,,,0 HCPCS,83520,Hc Myomarker Panel 3 Immunoassay Quant Nos Nonab,52.0,52.0,,,0 HCPCS,83520,Hc Neuron Specific Enolase,270.0,270.0,,,0 HCPCS,83520,"Hc Pancreatic Elastase, F",260.0,260.0,,,0 HCPCS,83520,"Hc Preeclampsia Sflt-1/Plgf Ratio, S",1506.0,1506.0,,,0 HCPCS,83520,"Hc Prim Membranous Nephropathy Diag, S",493.0,493.0,,,0 HCPCS,83520,"Hc Rapid Progress Dementia Eval Pnl, Csf",493.0,493.0,,,0 HCPCS,83520,"Hc Rheumatoid Factor Iga, Igg, Igm",128.0,128.0,,,0 HCPCS,83520,Hc Ribosomal P Protein$Antib,270.0,270.0,,,0 HCPCS,83520,"Hc Sulfatide Ab Immunoassay, Each",339.0,339.0,,,0 HCPCS,83520,Hc Sulfatide Autoab,270.0,270.0,,,0 HCPCS,83520,Hc Thyrotropin Receptor Ab,252.0,252.0,,,0 HCPCS,83520,Hc Tryptase,270.0,270.0,,,0 HCPCS,83520,Hc Tsh/T4 Immunoassay Nb Scrn,37.0,37.0,,,0 HCPCS,83520,Hc Ustekinumab & Anti-Ustekinumab Ab,270.0,270.0,,,0 HCPCS,83520,Hc Vascular Endoth Gf,270.0,270.0,,,0 HCPCS,83520,Hc Vendolizumab Qt Ab,270.0,270.0,,,0 HCPCS,83520,Immunoassay quant nos nonab,,,17.27,174.06,8 HCPCS,83521,"Hc Ig Light Chains Free, S",260.0,260.0,,,0 HCPCS,83521,Hc Multiple Sclerosis Profile,230.0,230.0,,,0 HCPCS,83521,Ig light chains free each,,,17.27,174.06,6 HCPCS,83525,Assay of insulin,,,11.43,116.04,7 HCPCS,83525,Hc Insulin Total,338.0,338.0,,,0 HCPCS,83527,Assay of insulin,,,12.95,129.7,7 HCPCS,83528,Assay of intrinsic factor,,,19.82,197.96,7 HCPCS,83529,Asay of interleukin-6 (il-6),,,17.27,174.06,6 HCPCS,83529,Hc Asay Of Interleukin-6 (Il-6),270.0,270.0,,,0 HCPCS,83540,Assay of iron,,,6.47,64.85,8 HCPCS,83540,Hc Iron,213.0,213.0,,,0 HCPCS,83540,Hc Iron-Laf,61.0,61.0,,,0 HCPCS,83542,Hc Mass Spectrometry Qual,647.0,647.0,,,0 HCPCS,83550,Hc Iron Binding Capacity,269.0,269.0,,,0 HCPCS,83550,Hc Iron Binding Capacity-Laf,83.0,83.0,,,0 HCPCS,83550,Iron binding test,,,8.74,88.74,8 HCPCS,83570,Assay of idh enzyme,,,8.85,88.74,7 HCPCS,83582,Assay of ketogenic steroids,,,15.47,157.0,7 HCPCS,83582,"Hc Ketogenic Steroids, Fractionation",91.0,91.0,,,0 HCPCS,83586,Assay 17- ketosteroids,,,12.8,129.7,7 HCPCS,83586,"Hc Ketosteroids, 17-; Total",133.0,133.0,,,0 HCPCS,83593,Fractionation ketosteroids,,,28.5,286.69,7 HCPCS,83605,Assay of lactic acid,,,11.57,116.04,7 HCPCS,83605,"Hc D-Lacate, Urine",247.0,247.0,,,0 HCPCS,83605,Hc Lactate (Lactic Acid),247.0,247.0,,,0 HCPCS,83605,Hc Lactate Assay,247.0,247.0,,,0 HCPCS,83615,Hc Lactate Dehydrogenase,159.0,159.0,,,0 HCPCS,83615,"Hc Ldh, Fluid",159.0,159.0,,,0 HCPCS,83615,Lactate (LD) (LDH) enzyme,,,6.04,61.43,8 HCPCS,83625,Assay of ldh enzymes,,,12.79,129.7,7 HCPCS,83625,"Hc Lactate Dehydrogenase; Isoenzymes, Separation And Quantitation",164.0,164.0,,,0 HCPCS,83630,"Hc Lactoferrin, Fecal; Qualitative",123.0,123.0,,,0 HCPCS,83630,Lactoferrin fecal (qual),,,19.7,197.96,7 HCPCS,83631,Lactoferrin fecal (quant),,,19.63,197.96,7 HCPCS,83632,Placental lactogen,,,20.22,204.78,7 HCPCS,83633,Test urine for lactose,,,11.25,112.63,7 HCPCS,83655,Assay of lead,,,12.11,122.87,8 HCPCS,83655,"Hc Heavy Metal Lead/Creatinine Ratio, U",129.0,129.0,,,0 HCPCS,83655,Hc Lead,222.0,222.0,,,0 HCPCS,83661,Hc Fetal Lung Maturity Assessment; Lecithin Sphingomyelin Ratio,174.0,174.0,,,0 HCPCS,83661,L/s ratio fetal lung,,,21.99,221.85,7 HCPCS,83662,Foam stability fetal lung,,,18.91,191.13,7 HCPCS,83663,Fluoro polarize fetal lung,,,18.91,191.13,7 HCPCS,83663,Hc Fetal Lung Maturity Assessment; Fluorescence Polarization,522.0,522.0,,,0 HCPCS,83664,Hc Fetal Lung Maturity Assessment; Lamellar Body Density,105.0,105.0,,,0 HCPCS,83664,Lamellar bdy fetal lung,,,19.32,194.54,7 HCPCS,83670,Assay of lap enzyme,,,9.81,98.98,7 HCPCS,83690,Assay of lipase,,,6.89,68.26,8 HCPCS,83690,Hc Lipase,293.0,293.0,,,0 HCPCS,83695,Assay of lipoprotein(a),,,14.32,143.35,7 HCPCS,83695,Hc Lipoprotein A,146.0,146.0,,,0 HCPCS,83698,Assay Lipoprotein Pla2,,,46.31,467.59,7 HCPCS,83700,Lipopro bld electrophoretic,,,11.26,112.63,8 HCPCS,83701,Lipoprotein bld hr fraction,,,33.86,341.3,7 HCPCS,83704,Hc Ldl Particle Concentration Nmr,284.0,284.0,,,0 HCPCS,83704,Hc Lipoprotein Quantiative Particles & Subparticles,284.0,284.0,,,0 HCPCS,83704,Lipoprotein bld quan part,,,34.19,344.72,7 HCPCS,83715,Assay of blood lipoproteins,,,72.06,72.06,1 HCPCS,83718,Assay of lipoprotein,,,8.19,81.91,8 HCPCS,83718,"Hc Lipoprotein, Direct Measurement; High Density Cholesterol",179.0,179.0,,,0 HCPCS,83718,"Hc Lipoprotein, Direct Measurement; High Density Cholesterol-Laf",30.0,30.0,,,0 HCPCS,83719,Assay of blood lipoprotein,,,12.75,129.7,7 HCPCS,83721,Assay of blood lipoprotein,,,10.5,105.8,7 HCPCS,83721,"Hc Lipoprotein, Direct Measurement; Ldl Cholesterol",112.0,112.0,,,0 HCPCS,83722,Lipoprtn dir meas sd ldl chl,,,34.19,344.72,6 HCPCS,83727,Assay of lrh hormone,,,17.19,174.06,7 HCPCS,83735,Assay of magnesium,,,6.7,68.26,8 HCPCS,83735,Hc Magnesium,123.0,123.0,,,0 HCPCS,83735,"Hc Magnesium, Urine",29.0,29.0,,,0 HCPCS,83735,Hc Magnesium-Laf,64.0,64.0,,,0 HCPCS,83775,Assay malate dehydrogenase,,,7.37,75.09,7 HCPCS,83785,Assay of manganese,,,26.65,269.63,7 HCPCS,83785,Hc Manganese,232.0,232.0,,,0 HCPCS,83789,Hc Familial Amyloid Reflex,450.0,450.0,,,0 HCPCS,83789,Hc Iodine,309.0,309.0,,,0 HCPCS,83789,Hc Lysosomal Newborn Scrn,37.0,37.0,,,0 HCPCS,83789,"Hc Lysosomal/Peroxisomal D/O Scrn, Bs",309.0,309.0,,,0 HCPCS,83789,Hc Mass Spectr Cobalt S,309.0,309.0,,,0 HCPCS,83789,Hc Mass Spectrom Qt Bile Acids,309.0,309.0,,,0 HCPCS,83789,"Hc N-Methyl Histamine, Ur",309.0,309.0,,,0 HCPCS,83789,"Hc Pompe Disease, Bs",352.0,352.0,,,0 HCPCS,83789,Mass spectrometry qual/quan,,,24.11,242.33,7 HCPCS,83825,Assay of mercury,,,16.26,163.83,7 HCPCS,83825,"Hc Heavy Metal Mercury/Creatinine Ratio, U",116.0,116.0,,,0 HCPCS,83825,Hc Mercury,116.0,116.0,,,0 HCPCS,83825,"Hc Mercury, Urine",112.0,112.0,,,0 HCPCS,83835,Assay of metanephrines,,,16.94,170.65,7 HCPCS,83835,Hc Metanephrines,460.0,460.0,,,0 HCPCS,83835,"Hc Metanephrines, Urine",460.0,460.0,,,0 HCPCS,83857,Assay of methemalbumin,,,10.74,109.22,7 HCPCS,83861,Microfluid analy tears,,,22.48,225.26,7 HCPCS,83864,"Hc Mucopolysaccharides, Acid, Quantitative",100.0,100.0,,,0 HCPCS,83864,"Hc Mucopolysaccharidosis, Bs",366.0,366.0,,,0 HCPCS,83864,Mucopolysaccharides,,,28.5,286.69,7 HCPCS,83872,Assay synovial fluid mucin,,,5.86,58.02,7 HCPCS,83873,Assay of csf protein,,,17.2,174.06,7 HCPCS,83873,"Hc Myelin Basic Protein, Cerebrospinal Fluid",180.0,180.0,,,0 HCPCS,83874,Assay of myoglobin,,,12.92,129.7,8 HCPCS,83874,Hc Myoglobin,199.0,199.0,,,0 HCPCS,83876,Assay myeloperoxidase,,,50.86,511.96,7 HCPCS,83880,Assay of natriuretic peptide,,,39.26,395.91,7 HCPCS,83880,Hc Natriuretic Peptide,500.0,500.0,,,0 HCPCS,83883,Assay nephelometry not spec,,,13.6,136.52,7 HCPCS,83883,"Hc C1 Esterase Inhibitor, Ql",309.0,309.0,,,0 HCPCS,83883,Hc Nephelometry Ea Analyte Nes,280.0,280.0,,,0 HCPCS,83883,Hc Nephelometry Ig Free Light Chains,309.0,309.0,,,0 HCPCS,83883,Hc Nephelometry Quantitative Alpha 2 Fibrosp,309.0,309.0,,,0 HCPCS,83884,Assay neurflmnt light chain,,,116.23,168.53,3 HCPCS,83884,Hc Assay Neurflmnt Light Chain,765.0,765.0,,,0 HCPCS,83885,Assay of nickel,,,24.51,245.74,7 HCPCS,83890,Molecule isolate,,,26.69,26.69,1 HCPCS,83898,Molecule nucleic ampli,,,170.82,170.82,1 HCPCS,83912,Genetic examination,,,82.74,82.74,1 HCPCS,83915,Assay of nucleotidase,,,11.15,112.63,7 HCPCS,83915,Hc Nucleotidase 5,122.0,122.0,,,0 HCPCS,83916,Hc Oligoclonal Immune,250.0,250.0,,,0 HCPCS,83916,Oligoclonal bands,,,27.39,276.46,7 HCPCS,83918,"Hc Organic Acids; Total, Quantitative",199.0,199.0,,,0 HCPCS,83918,Organic acids total quant,,,23.6,238.91,7 HCPCS,83919,"Hc Organic Acids, Qualitative, Each Specimen",402.0,402.0,,,0 HCPCS,83919,Organic acids qual each,,,16.45,167.24,7 HCPCS,83921,"Hc Methylmalonic Acid, Quantitative",459.0,459.0,,,0 HCPCS,83921,"Hc Orotic Acid, Urine",290.0,290.0,,,0 HCPCS,83921,Organic acid single quant,,,21.21,215.02,7 HCPCS,83930,Assay of blood osmolality,,,6.61,68.26,7 HCPCS,83930,Hc Osmolality; Blood,128.0,128.0,,,0 HCPCS,83935,Assay of urine osmolality,,,6.82,68.26,7 HCPCS,83935,"Hc Osmolality, Fecal",198.0,198.0,,,0 HCPCS,83935,"Hc Osmolality, Fluid",198.0,198.0,,,0 HCPCS,83935,"Hc Osmolality,Urine",198.0,198.0,,,0 HCPCS,83937,Assay of osteocalcin,,,29.85,300.35,7 HCPCS,83937,Hc Osteocalcin,260.0,260.0,,,0 HCPCS,83945,Assay of oxalate,,,14.45,146.76,7 HCPCS,83945,Hc Oxalate,48.0,48.0,,,0 HCPCS,83950,Oncoprotein her-2/neu,,,64.41,648.48,7 HCPCS,83951,"Hc Des-Gamma-Carboxy Prothrombin, S",263.0,263.0,,,0 HCPCS,83951,Oncoprotein dcp,,,64.41,648.48,7 HCPCS,83970,Assay of parathormone,,,41.28,416.39,8 HCPCS,83970,Hc Parathryoid Hormone Test,594.0,594.0,,,0 HCPCS,83986,Assay ph body fluid nos,,,3.58,37.54,7 HCPCS,83986,"Hc Ph, Body Fluid",27.0,27.0,,,0 HCPCS,83986,"Hc Ph, Fecal",117.0,117.0,,,0 HCPCS,83987,Exhaled breath condensate,,,3.58,37.54,7 HCPCS,83992,Assay for phencyclidine,,,0.03,372.02,4 HCPCS,83992,Hc Pcp Quan Assay,215.0,215.0,,,0 HCPCS,83993,Assay for calprotectin fecal,,,19.63,197.96,7 HCPCS,83993,"Hc Calprotectin, Fecal",358.0,358.0,,,0 HCPCS,84030,Assay of blood pku,,,5.5,54.61,7 HCPCS,84030,Hc Phenylalanine Blood,118.0,118.0,,,0 HCPCS,84035,Assay of phenylketones,,,3.98,40.96,7 HCPCS,84060,Assay acid phosphatase,,,7.64,78.5,7 HCPCS,84060,"Hc Phosphatase, Acid; Forensic Exam",180.0,180.0,,,0 HCPCS,84061,Phosphatase forensic exam,,,16.71,16.71,1 HCPCS,84066,Assay prostate phosphatase,,,9.66,98.98,8 HCPCS,84066,"Hc Phosphatase, Acid; Prostatic",99.0,99.0,,,0 HCPCS,84075,Assay alkaline phosphatase,,,5.18,51.2,8 HCPCS,84075,"Hc Phosphatase, Alkaline",104.0,104.0,,,0 HCPCS,84075,"Hc Phosphatase, Alkaline-Laf",43.0,43.0,,,0 HCPCS,84078,Assay alkaline phosphatase,,,8.26,81.91,7 HCPCS,84080,Assay alkaline phosphatases,,,14.78,150.17,7 HCPCS,84080,Hc Alkaline Phosphatase; Isoenzymes,214.0,214.0,,,0 HCPCS,84080,"Hc Alkaline Phosphatase; Isoenzymes, Bones",223.0,223.0,,,0 HCPCS,84081,Assay phosphatidylglycerol,,,16.52,167.24,7 HCPCS,84081,Hc Lrsv- Phosphatidylglycerol Lvl,410.0,410.0,,,0 HCPCS,84085,Assay of rbc pg6d enzyme,,,9.44,95.56,7 HCPCS,84087,Assay phosphohexose enzymes,,,10.73,109.22,7 HCPCS,84087,"Hc Glucose Phosphate Isomerase, B",372.0,372.0,,,0 HCPCS,84100,Assay of phosphorus,,,4.74,47.78,8 HCPCS,84100,Hc Phosphorus Inorganic Phosphate,117.0,117.0,,,0 HCPCS,84105,Assay of urine phosphorus,,,5.78,58.02,7 HCPCS,84105,Hc Phosphorus Inorganic Phosphate; Urine,144.0,144.0,,,0 HCPCS,84106,Hc Porphobilinogen Urine; Qual,99.0,99.0,,,0 HCPCS,84106,Test for porphobilinogen,,,5.82,58.02,7 HCPCS,84110,Assay of porphobilinogen,,,8.44,85.33,7 HCPCS,84110,"Hc Prophobilinogen, Urine; Quantitative",235.0,235.0,,,0 HCPCS,84112,Eval amniotic fluid protein,,,98.11,989.78,7 HCPCS,84112,"Hc Membrane Rupture Cervicovaginal Fluid For Specific Amniotic Fluid Pretiens, Qualitative, Each",615.0,615.0,,,0 HCPCS,84119,Test urine for porphyrins,,,13.36,133.11,7 HCPCS,84120,Assay of urine porphyrins,,,14.71,146.76,7 HCPCS,84120,"Hc Porphyrins Fractioned Quantitative, Urine",302.0,302.0,,,0 HCPCS,84120,"Hc Porphyrins, Fractioned",302.0,302.0,,,0 HCPCS,84120,"Hc Porphyrins, Quantitative, Urine",302.0,302.0,,,0 HCPCS,84126,Assay of feces porphyrins,,,39.11,392.5,7 HCPCS,84126,"Hc Porphyrins, Feces; Quantitative",329.0,329.0,,,0 HCPCS,84132,Assay of serum potassium,,,4.76,47.78,8 HCPCS,84132,"Hc Potassium; Serum, Plasma Or Whole Blood",50.0,50.0,,,0 HCPCS,84132,"Hc Potassium; Serum, Plasma Or Whole Blood-Laf",43.0,43.0,,,0 HCPCS,84133,Assay of urine potassium,,,4.73,47.78,7 HCPCS,84133,"Hc Potassium, Fluid",149.0,149.0,,,0 HCPCS,84133,"Hc Potassium, Urine",81.0,81.0,,,0 HCPCS,84134,Assay of prealbumin,,,14.59,146.76,7 HCPCS,84134,Hc Prealbumin,259.0,259.0,,,0 HCPCS,84135,Assay of pregnanediol,,,21.27,215.02,7 HCPCS,84138,Assay of pregnanetriol,,,21.05,211.61,7 HCPCS,84140,Assay of pregnenolone,,,20.67,208.2,7 HCPCS,84143,Assay of 17-hydroxypregneno,,,22.81,228.67,7 HCPCS,84143,Hc 17-Hydroxypregnenolone,190.0,190.0,,,0 HCPCS,84144,Assay of progesterone,,,20.86,211.61,8 HCPCS,84144,Hc Progesterone,349.0,349.0,,,0 HCPCS,84144,Hc Progesterone Lvl,349.0,349.0,,,0 HCPCS,84144,Hc Progesterone Lvl-Laf,199.0,199.0,,,0 HCPCS,84144,Hc Progesterone-Laf,199.0,199.0,,,0 HCPCS,84145,Procalcitonin (PCT),,,27.22,273.04,7 HCPCS,84146,Assay of prolactin,,,19.38,194.54,8 HCPCS,84146,Hc Prolactin,459.0,459.0,,,0 HCPCS,84146,Hc Prolactin-Laf,155.0,155.0,,,0 HCPCS,84150,Assay of prostaglandin,,,41.77,419.8,7 HCPCS,84152,Assay of psa complexed,,,18.39,184.3,7 HCPCS,84153,Assay of psa total,,,18.39,184.3,8 HCPCS,84153,Hc Prostate Specific Antigen (Psa); Total,433.0,433.0,,,0 HCPCS,84153,Hc Prostate Specific Antigen (Psa); Total-Laf,175.0,175.0,,,0 HCPCS,84154,Assay of psa free,,,18.39,184.3,7 HCPCS,84154,Hc Prostate Specific Antigen (Psa); Free,356.0,356.0,,,0 HCPCS,84155,Assay of protein serum,,,3.67,37.54,8 HCPCS,84155,"Hc Protein, Total, Except By Refractometry; Serum, Plasma Or Whole Blood",147.0,147.0,,,0 HCPCS,84155,"Hc Protein, Total, Except By Refractometry; Serum, Plasma Or Whole Blood-Laf",43.0,43.0,,,0 HCPCS,84156,Assay of protein urine,,,3.67,37.54,7 HCPCS,84156,"Hc Protein, Urine, Quantitative",185.0,185.0,,,0 HCPCS,84156,"Hc Protein, Urine, Quantitative-Laf",92.0,92.0,,,0 HCPCS,84157,Assay of protein other,,,4.0,40.96,7 HCPCS,84157,Hc Protein Total Xcpt Refractometry Oth Src,151.0,151.0,,,0 HCPCS,84157,"Hc Protein, Total, Body Fluid",185.0,185.0,,,0 HCPCS,84157,"Hc Total Protein, Spinal Fluid",185.0,185.0,,,0 HCPCS,84160,Assay of protein any source,,,5.61,58.02,7 HCPCS,84163,Hc Pregnancy Related Plasma Proten A,235.0,235.0,,,0 HCPCS,84163,Pappa serum,,,15.05,150.17,7 HCPCS,84165,Hc Protein; Electrophoretic Fractionation And Quantitation; Serum,405.0,405.0,,,0 HCPCS,84165,Protein e-phoresis serum,,,10.74,109.22,8 HCPCS,84166,"Hc Protein Electrophoresis, Csf",451.0,451.0,,,0 HCPCS,84166,"Hc Protein Electrophoresis, Urine",451.0,451.0,,,0 HCPCS,84166,Protein e-phoresis/urine/csf,,,17.83,180.89,7 HCPCS,84181,"Hc Protein; Western Blot, With Interpretation And Report, Blood Or Other Body Fluid",474.0,474.0,,,0 HCPCS,84181,Western blot test,,,17.03,170.65,7 HCPCS,84182,Hc Amphiphysin Western Blot,274.0,274.0,,,0 HCPCS,84182,"Hc Encephalopathy, Autoimm/Paraneo, Immunoblot",274.0,274.0,,,0 HCPCS,84182,"Hc Paraneoplas Autoantibody Eval, Immunoblot",274.0,274.0,,,0 HCPCS,84182,Hc Pediatric Autoimmune Encephalopathy Immunoblot,274.0,274.0,,,0 HCPCS,84182,Hc Western Blot Crmp5,274.0,274.0,,,0 HCPCS,84182,Hc Western Blot Csf Prion Disease,274.0,274.0,,,0 HCPCS,84182,Hc Western Blot Paraneoplastic,274.0,274.0,,,0 HCPCS,84182,Protein western blot test,,,29.21,293.52,7 HCPCS,84202,Assay RBC protoporphyrin,,,14.35,143.35,7 HCPCS,84202,"Hc Protoporphyrin, Rbc; Quantitative",200.0,200.0,,,0 HCPCS,84203,Test RBC protoporphyrin,,,9.74,98.98,7 HCPCS,84206,Assay of proinsulin,,,26.69,269.63,7 HCPCS,84206,Hc Proinsulin,366.0,366.0,,,0 HCPCS,84207,Assay of vitamin b-6,,,28.1,283.28,7 HCPCS,84207,Hc Pyridocal Phosphate,370.0,370.0,,,0 HCPCS,84210,Assay of pyruvate,,,14.48,146.76,7 HCPCS,84210,Hc Pyruvate,256.0,256.0,,,0 HCPCS,84220,Assay of pyruvate kinase,,,9.44,95.56,7 HCPCS,84220,Hc Pyruvate Kinase,128.0,128.0,,,0 HCPCS,84228,Assay of quinine,,,11.63,116.04,7 HCPCS,84233,Assay of estrogen,,,87.88,883.98,7 HCPCS,84234,Assay of progesterone,,,64.88,651.89,7 HCPCS,84235,Assay of endocrine hormone,,,71.23,716.74,7 HCPCS,84235,"Hc Thyroid Receptor Assay; Endocrine, Other Than Estrogen Or Progesterone",418.0,418.0,,,0 HCPCS,84238,Assay nonendocrine receptor,,,36.57,368.61,7 HCPCS,84238,Hc Interleukin Receptor Assay; Non-Endocrine,204.0,204.0,,,0 HCPCS,84244,Assay of renin,,,21.99,221.85,7 HCPCS,84244,Hc Renin,321.0,321.0,,,0 HCPCS,84252,Assay of vitamin b-2,,,20.24,204.78,7 HCPCS,84252,Hc Riboflavin,388.0,388.0,,,0 HCPCS,84255,Assay of selenium,,,25.53,255.98,7 HCPCS,84255,Hc Selenium,342.0,342.0,,,0 HCPCS,84260,Assay of serotonin,,,30.98,310.59,7 HCPCS,84260,Hc Serotonin,224.0,224.0,,,0 HCPCS,84270,Assay of sex hormone globul,,,21.73,218.43,7 HCPCS,84270,Hc Sex Hormone Binding Globulin,229.0,229.0,,,0 HCPCS,84275,Assay of sialic acid,,,13.44,136.52,7 HCPCS,84285,Assay of silica,,,25.21,252.56,7 HCPCS,84295,Assay of serum sodium,,,4.81,47.78,7 HCPCS,84295,"Hc Sodium; Serum, Plasma Or Whole Blood",50.0,50.0,,,0 HCPCS,84295,"Hc Sodium; Serum, Plasma Or Whole Blood-Laf",43.0,43.0,,,0 HCPCS,84300,Assay of urine sodium,,,5.06,51.2,7 HCPCS,84300,"Hc Sodium, Fluid",42.0,42.0,,,0 HCPCS,84300,"Hc Sodium, Urine",175.0,175.0,,,0 HCPCS,84302,Assay of sweat sodium,,,4.86,47.78,7 HCPCS,84302,Hc Sodium; Other Source,77.0,77.0,,,0 HCPCS,84305,Assay of somatomedin,,,21.26,215.02,8 HCPCS,84305,Hc Beta-Hydroxybutyrate Assay,323.0,323.0,,,0 HCPCS,84305,Hc Somatomedin,509.0,509.0,,,0 HCPCS,84307,Assay of somatostatin,,,18.28,184.3,7 HCPCS,84311,Hc Adenosine Deaminase,369.0,369.0,,,0 HCPCS,84311,Hc Beta-Hydroxybutyrate Assay,196.0,196.0,,,0 HCPCS,84311,Hc Bromide,196.0,196.0,,,0 HCPCS,84311,Hc Fluid Cholesterol Spectro,196.0,196.0,,,0 HCPCS,84311,"Hc Porphyrins, Total",196.0,196.0,,,0 HCPCS,84311,Hc Uroporphrynogen Synthetase,196.0,196.0,,,0 HCPCS,84311,Spectrophotometry,,,8.1,81.91,7 HCPCS,84315,Body fluid specific gravity,,,3.28,34.13,7 HCPCS,84315,Hc Specific Gravity Fluid,38.0,38.0,,,0 HCPCS,84375,Chromatogram assay sugars,,,39.0,392.5,7 HCPCS,84376,Sugars single qual,,,5.5,54.61,7 HCPCS,84377,"Hc Carbohydrate Ur Sugars, Multiple Qualitative, Each Specimen",132.0,132.0,,,0 HCPCS,84377,Sugars multiple qual,,,5.5,54.61,7 HCPCS,84378,Hc Galactose-1-Phosphate$(G-1,175.0,175.0,,,0 HCPCS,84378,Sugars single quant,,,11.53,116.04,7 HCPCS,84379,Sugars multiple quant,,,11.53,116.04,7 HCPCS,84392,Assay of urine sulfate,,,5.49,54.61,7 HCPCS,84392,"Hc Sulfate, Urine",28.0,28.0,,,0 HCPCS,84393,"Hc Alzheimer's Disease Evaluation, Tau Phosphorylated, Csf",503.0,503.0,,,0 HCPCS,84393,"Hc Phospho-Tau 217, Plasma",908.0,908.0,,,0 HCPCS,84393,Tau phosphorylated ea,,,128.92,186.93,3 HCPCS,84394,"Hc Alzheimer's Disease Evaluation, Total Tau, Csf",503.0,503.0,,,0 HCPCS,84394,Total tau,,,128.92,186.93,3 HCPCS,84402,Assay of free testosterone,,,25.47,255.98,8 HCPCS,84402,"Hc Testosterone, Free",196.0,196.0,,,0 HCPCS,84403,Assay of total testosterone,,,25.81,259.39,8 HCPCS,84403,Hc Te Tesosterone,270.0,270.0,,,0 HCPCS,84403,"Hc Testosterone, Total",270.0,270.0,,,0 HCPCS,84410,Testosterone bioavailable,,,51.28,515.37,6 HCPCS,84425,Assay of vitamin b-1,,,21.23,215.02,7 HCPCS,84425,Hc Thiamine B-1 (Niacin) Level,284.0,284.0,,,0 HCPCS,84425,"Hc Vitamin B1, Plasma",309.0,309.0,,,0 HCPCS,84430,Assay of thiocyanate,,,11.63,116.04,7 HCPCS,84430,Hc Thiocyanate,100.0,100.0,,,0 HCPCS,84431,Thromboxane urine,,,35.11,354.96,7 HCPCS,84432,Assay of thyroglobulin,,,16.06,160.41,7 HCPCS,84432,Hc Thyroglobulin,483.0,483.0,,,0 HCPCS,84433,Asy thiopurin s-mthyltrnsfrs,,,22.17,221.85,6 HCPCS,84433,"Hc Tpmt Activity Profile, Rbc",447.0,447.0,,,0 HCPCS,84436,Assay of total thyroxine,,,6.87,68.26,8 HCPCS,84436,Hc Thyroxine; Total,265.0,265.0,,,0 HCPCS,84437,Assay of neonatal thyroxine,,,6.47,64.85,7 HCPCS,84437,Hc Tsh Newborn Screen,37.0,37.0,,,0 HCPCS,84439,Assay of free thyroxine,,,9.02,92.15,8 HCPCS,84439,Hc Final Free Thyroxine,347.0,347.0,,,0 HCPCS,84439,Hc Final Free Thyroxine-Laf,85.0,85.0,,,0 HCPCS,84439,"Hc Thyroxine, Free",347.0,347.0,,,0 HCPCS,84439,"Hc Thyroxine, Free Index Additional",347.0,347.0,,,0 HCPCS,84439,"Hc Thyroxine, Free Index Additional-Laf",85.0,85.0,,,0 HCPCS,84439,"Hc Thyroxine, Free-Laf",85.0,85.0,,,0 HCPCS,84439,"Hc Thyroxine, Fti",347.0,347.0,,,0 HCPCS,84439,"Hc Thyroxine, Fti-Laf",85.0,85.0,,,0 HCPCS,84442,Assay of thyroid activity,,,14.78,150.17,7 HCPCS,84442,Hc Thyroxine Binding Globulin Tbg,143.0,143.0,,,0 HCPCS,84443,Assay thyroid stim hormone,,,16.8,170.65,8 HCPCS,84443,Hc T4 Newborn Screen,37.0,37.0,,,0 HCPCS,84443,Hc Thyroid Stimulating Hormone (Tsh),512.0,512.0,,,0 HCPCS,84443,Hc Thyroid Stimulating Hormone (Tsh)-Laf,161.0,161.0,,,0 HCPCS,84445,Assay of tsi globulin,,,50.86,511.96,7 HCPCS,84445,Hc Thyroid Stimulating Immune Globulins (Tsi),785.0,785.0,,,0 HCPCS,84446,Assay of vitamin e,,,14.18,143.35,7 HCPCS,84446,Hc Tocopherol Alpha,214.0,214.0,,,0 HCPCS,84449,Assay of transcortin,,,18.0,180.89,7 HCPCS,84450,Hc Transferase; Aspartate Amino,152.0,152.0,,,0 HCPCS,84450,Hc Transferase; Aspartate Amino-Laf,43.0,43.0,,,0 HCPCS,84450,Transferase (AST) (SGOT),,,5.18,51.2,8 HCPCS,84460,Alanine amino (ALT) (SGPT),,,5.3,54.61,8 HCPCS,84460,Hc Transferase; Alanine Amino,152.0,152.0,,,0 HCPCS,84460,Hc Transferase; Alanine Amino-Laf,43.0,43.0,,,0 HCPCS,84466,Assay of transferrin,,,12.76,129.7,7 HCPCS,84466,Hc Transferrin,237.0,237.0,,,0 HCPCS,84478,Assay of triglycerides,,,5.74,58.02,8 HCPCS,84478,"Hc Triglycerides, Fluid",151.0,151.0,,,0 HCPCS,84478,"Hc Triglycerides, Fluid-Laf",43.0,43.0,,,0 HCPCS,84478,Hc Triglycerides-Serum,151.0,151.0,,,0 HCPCS,84478,Hc Triglycerides-Serum-Laf,43.0,43.0,,,0 HCPCS,84479,Assay of thyroid (t3 or t4),,,6.47,64.85,8 HCPCS,84479,Hc Thyroid Hormone Uptake,128.0,128.0,,,0 HCPCS,84480,Assay triiodothyronine (t3),,,14.18,143.35,8 HCPCS,84480,Hc Triiodothyronine T3; Total,322.0,322.0,,,0 HCPCS,84481,Free assay (FT-3),,,16.94,170.65,8 HCPCS,84481,Hc Triiodothyronine T3; Free,473.0,473.0,,,0 HCPCS,84482,"Hc T3, Reverse Serum",226.0,226.0,,,0 HCPCS,84482,Hc Triiodothyronine T3; Reverse,425.0,425.0,,,0 HCPCS,84482,T3 reverse,,,15.76,160.41,7 HCPCS,84484,Assay of troponin quant,,,12.47,126.28,8 HCPCS,84484,Hc Cardiac Troponin T,366.0,366.0,,,0 HCPCS,84484,Hc Cardiac Troponin T Repeat,366.0,366.0,,,0 HCPCS,84485,Assay duodenal fluid trypsin,,,7.2,71.67,7 HCPCS,84488,"Hc Trypsin; Feces, Qualitative",100.0,100.0,,,0 HCPCS,84488,Test feces for trypsin,,,7.3,75.09,7 HCPCS,84490,Assay of feces for trypsin,,,9.93,98.98,7 HCPCS,84510,Assay of tyrosine,,,10.63,105.8,7 HCPCS,84512,Assay of troponin qual,,,10.09,102.39,7 HCPCS,84520,Assay of urea nitrogen,,,3.95,40.96,8 HCPCS,84520,"Hc Urea Niitrogen, Quantitative",158.0,158.0,,,0 HCPCS,84520,"Hc Urea Niitrogen, Quantitative-Laf",43.0,43.0,,,0 HCPCS,84520,"Hc Urea Nitrogen Quantiative, Urine",158.0,158.0,,,0 HCPCS,84525,Urea nitrogen semi-quant,,,5.13,51.2,7 HCPCS,84540,Assay of urine/urea-n,,,5.56,54.61,7 HCPCS,84540,Hc Urea Nitrogen,94.0,94.0,,,0 HCPCS,84545,Hc Urea Nitrogen Clearance,152.0,152.0,,,0 HCPCS,84545,Urea-N clearance test,,,7.2,71.67,7 HCPCS,84550,Assay of blood/uric acid,,,4.52,44.37,8 HCPCS,84550,Hc Uric Acid; Blood,150.0,150.0,,,0 HCPCS,84550,Hc Uric Acid; Blood-Laf,43.0,43.0,,,0 HCPCS,84560,Assay of urine/uric acid,,,5.08,51.2,7 HCPCS,84560,Hc Uric Acid; Other Source,168.0,168.0,,,0 HCPCS,84577,Assay of feces/urobilinogen,,,16.8,170.65,7 HCPCS,84578,Test urine urobilinogen,,,4.47,44.37,7 HCPCS,84580,Assay of urine urobilinogen,,,9.55,95.56,7 HCPCS,84583,Assay of urine urobilinogen,,,6.05,61.43,7 HCPCS,84585,Assay of urine vma,,,15.5,157.0,7 HCPCS,84585,"Hc Vanillylmandelic Acid, Urine",282.0,282.0,,,0 HCPCS,84586,Assay of vip,,,35.33,354.96,7 HCPCS,84586,Hc Vasoactive Intestinal Peptide,596.0,596.0,,,0 HCPCS,84588,Assay of vasopressin,,,33.94,341.3,7 HCPCS,84588,Hc Vasopressin Adh,245.0,245.0,,,0 HCPCS,84590,Assay of vitamin a,,,11.61,116.04,7 HCPCS,84590,Hc Vitamin A,197.0,197.0,,,0 HCPCS,84591,Assay Of Nos Vitamin,,,17.06,170.65,7 HCPCS,84591,Hc Vitamin B3 And Metabolites,243.0,243.0,,,0 HCPCS,84597,Assay of vitamin k,,,13.72,136.52,7 HCPCS,84597,Hc Vitamin K,178.0,178.0,,,0 HCPCS,84600,Assay of volatiles,,,17.11,170.65,7 HCPCS,84600,Hc Volatiles Screenings,133.0,133.0,,,0 HCPCS,84620,"Hc Xylose Absorption Test, Blood And/Or Urine",140.0,140.0,,,0 HCPCS,84620,Xylose tolerance test,,,12.91,129.7,7 HCPCS,84630,Assay of zinc,,,11.39,116.04,7 HCPCS,84630,Hc Zinc,197.0,197.0,,,0 HCPCS,84681,Assay of c-peptide,,,20.81,208.2,7 HCPCS,84681,Hc C-Peptide,404.0,404.0,,,0 HCPCS,84702,Chorionic gonadotropin test,,,15.05,150.17,8 HCPCS,84702,Hc Beta Hcg Quantitative,484.0,484.0,,,0 HCPCS,84702,Hc Beta Hcg Quantitative-Laf,143.0,143.0,,,0 HCPCS,84702,"Hc Bhcg Quantitative, Serum",484.0,484.0,,,0 HCPCS,84702,"Hc Bhcg Quantitative, Serum-Laf",143.0,143.0,,,0 HCPCS,84702,"Hc Hcg, Alpha-Subunit, Quantitative",484.0,484.0,,,0 HCPCS,84702,"Hc Hcg, Alpha-Subunit, Quantitative-Laf",143.0,143.0,,,0 HCPCS,84703,Chorionic gonadotropin assay,,,7.52,75.09,8 HCPCS,84703,"Hc Gonadotropin, Chorionic; Qualitative",110.0,110.0,,,0 HCPCS,84703,Hc Hcg Qualitative,63.0,63.0,,,0 HCPCS,84704,"Hc Gonadotropin, Chorionic; Free Beta Chain",185.0,185.0,,,0 HCPCS,84704,Hcg free betachain test,,,15.29,153.59,7 HCPCS,84830,Ovulation tests,,,12.7,126.28,7 HCPCS,84999,Clinical chemistry test,,,19.05,224.15,3 HCPCS,84999,Hc Amphotericin B,340.0,340.0,,,0 HCPCS,84999,"Hc Cjd Evaluation, Csf",408.0,408.0,,,0 HCPCS,84999,Hc Nephrocheck Akirisk,380.0,380.0,,,0 HCPCS,84999,Hc Nitrogen Total Ur,238.0,238.0,,,0 HCPCS,84999,Hc Osmalality Fecal,66.0,66.0,,,0 HCPCS,84999,Hc Phenolphthalein,303.0,303.0,,,0 HCPCS,84999,"Hc Phenolphthalein,Ur",145.0,145.0,,,0 HCPCS,84999,Hc Polyglutamate Medhotrexate,293.0,293.0,,,0 HCPCS,84999,Hc Potassium Fecal,66.0,66.0,,,0 HCPCS,84999,"Hc Potassium, Fluid",90.0,90.0,,,0 HCPCS,84999,"Hc Rapid Progress Dementia Eval, Csf",408.0,408.0,,,0 HCPCS,84999,Hc Referred Lab Test Level 1,49.3,49.3,,,0 HCPCS,84999,Hc Referred Lab Test Level 2,133.0,133.0,,,0 HCPCS,84999,Hc Referred Lab Test Level 3,237.0,237.0,,,0 HCPCS,84999,Hc Referred Lab Test Level 4,286.0,286.0,,,0 HCPCS,84999,Hc Referred Lab Test Level 5,380.0,380.0,,,0 HCPCS,84999,Hc Referred Lab Test Level 6,570.0,570.0,,,0 HCPCS,84999,Hc Referred Lab Test Level 7,856.0,856.0,,,0 HCPCS,84999,Hc Referred Lab Test Level 8,1329.0,1329.0,,,0 HCPCS,85002,Bleeding time test,,,4.82,47.78,8 HCPCS,85002,Hc Bleeding Time,106.0,106.0,,,0 HCPCS,85004,Automated diff wbc count,,,6.47,64.85,7 HCPCS,85004,Hc Blood Count; Automated Differential Wbc Count,75.0,75.0,,,0 HCPCS,85007,Bl smear w/diff wbc count,,,3.8,37.54,8 HCPCS,85007,"Hc Blood Count; Blood Smear, Microscopic Exam With Manual Differential Wbc Count",78.0,78.0,,,0 HCPCS,85008,Bl smear w/o diff wbc count,,,3.43,34.13,7 HCPCS,85008,Hc Bl Smear W/O Diff Wbc Count,40.0,40.0,,,0 HCPCS,85009,Manual diff wbc count b-coat,,,5.07,51.2,7 HCPCS,85013,Spun microhematocrit,,,5.01,71.67,7 HCPCS,85014,Hc Blood Count; Hematocrit,58.0,58.0,,,0 HCPCS,85014,Hc Blood Count; Hematocrit-Laf,39.0,39.0,,,0 HCPCS,85014,Hematocrit,,,2.37,23.89,7 HCPCS,85018,Hc Blood Count; Hemoglobin,98.0,98.0,,,0 HCPCS,85018,Hc Blood Count; Hemoglobin-Laf,39.0,39.0,,,0 HCPCS,85018,Hemoglobin,,,2.37,23.89,8 HCPCS,85021,Automated hemogram,,,39.58,39.58,1 HCPCS,85022,Automated hemogram,,,38.94,38.94,1 HCPCS,85023,Automated hemogram,,,60.05,60.05,1 HCPCS,85024,Automated hemogram,,,53.38,53.38,1 HCPCS,85025,Complete cbc w/auto diff wbc,,,7.77,78.5,8 HCPCS,85025,"Hc Complete Blood Count Platelet, Differential",281.0,281.0,,,0 HCPCS,85025,"Hc Complete Blood Count Platelet, Differential-Laf",75.0,75.0,,,0 HCPCS,85027,Complete cbc automated,,,6.47,64.85,8 HCPCS,85027,"Hc Blood Count; Complete (Cbc), Automated",230.0,230.0,,,0 HCPCS,85027,"Hc Blood Count; Complete (Cbc), Automated-Laf",61.0,61.0,,,0 HCPCS,85029,Description Not Available,,,29.36,29.36,1 HCPCS,85032,Hc Blood Count; Manual Cell Count Each,103.0,103.0,,,0 HCPCS,85032,Manual cell count each,,,4.31,44.37,7 HCPCS,85041,Automated rbc count,,,3.02,30.72,7 HCPCS,85044,Manual reticulocyte count,,,4.31,44.37,8 HCPCS,85045,Automated reticulocyte count,,,3.99,40.96,7 HCPCS,85046,"Hc Blood Count; Reticulocytes, Automated, Including 1 Or More Cellular Parameters, Direct",148.0,148.0,,,0 HCPCS,85046,Reticyte/hgb concentrate,,,5.57,54.61,7 HCPCS,85048,Automated leukocyte count,,,2.54,23.89,7 HCPCS,85048,Hc Total Eos Count,129.0,129.0,,,0 HCPCS,85048,Hc Wbc Count Automated,129.0,129.0,,,0 HCPCS,85049,Automated platelet count,,,4.48,44.37,7 HCPCS,85049,Hc Platelet Count Automated,122.0,122.0,,,0 HCPCS,85049,Hc Platelet Count Automated-Laf,39.0,39.0,,,0 HCPCS,85055,Hc Reticulated Plateley Assay,128.0,128.0,,,0 HCPCS,85055,Reticulated platelet assay,,,35.74,358.37,7 HCPCS,85060,Blood smear interpretation,,,24.78,152.49,4 HCPCS,85060,Hc Peripheral Bld Smear,154.0,154.0,,,0 HCPCS,85095,Description Not Available,,,330.96,330.96,1 HCPCS,85097,Bone marrow interpretation,,,49.58,2296.53,7 HCPCS,85097,"Hc Bone Marrow, Smear Aspiration",383.0,383.0,,,0 HCPCS,85102,Description Not Available,,,405.69,405.69,1 HCPCS,85130,Chromogenic substrate assay,,,11.89,119.46,7 HCPCS,85130,Hc Apixaban,301.0,301.0,,,0 HCPCS,85130,Hc Arixtra Level,283.0,283.0,,,0 HCPCS,85130,Hc Chromogenic Substrate Assay,301.0,301.0,,,0 HCPCS,85170,Blood clot retraction,,,7.8,163.83,7 HCPCS,85175,Blood clot lysis time,,,9.47,204.78,7 HCPCS,85210,Clot factor ii prothrom spec,,,12.98,129.7,7 HCPCS,85210,"Hc Clotting; Factor Ii , Prothombin, Specific",483.0,483.0,,,0 HCPCS,85220,Blooc clot factor v test,,,17.65,177.48,7 HCPCS,85220,"Hc Clotting; Factor V, Labile Factor",618.0,618.0,,,0 HCPCS,85230,Clot factor vii proconvertin,,,17.9,180.89,7 HCPCS,85230,Hc Factor Vii,643.0,643.0,,,0 HCPCS,85230,Hc Factor Vii Padua,643.0,643.0,,,0 HCPCS,85240,Clot factor viii ahg 1 stage,,,17.9,180.89,7 HCPCS,85240,"Hc Clotting; Factor Viii, 1-Stage",813.0,813.0,,,0 HCPCS,85244,Clot factor viii reltd antgn,,,20.42,204.78,7 HCPCS,85245,Clot factor viii vw ristoctn,,,22.94,232.09,7 HCPCS,85245,"Hc Clotting; Factor Viii, Vw Factor, Ristocetin Cofactor",778.0,778.0,,,0 HCPCS,85246,Clot factor viii vw antigen,,,22.94,232.09,7 HCPCS,85246,"Hc Clotting; Factor Viii, Vw Factor Antigen",516.0,516.0,,,0 HCPCS,85247,Clot factor viii multimetric,,,22.94,232.09,7 HCPCS,85247,"Hc Clotting; Factor Viii, Von Willebrand Factor, Multimetric Analysis",540.0,540.0,,,0 HCPCS,85250,Clot factor ix ptc/chrstmas,,,19.04,191.13,7 HCPCS,85250,Hc Clotting; Factor Ix,802.0,802.0,,,0 HCPCS,85260,Clot factor x stuart-power,,,17.9,180.89,7 HCPCS,85260,Hc Clotting; Factor X,739.0,739.0,,,0 HCPCS,85270,Clot factor xi pta,,,17.9,180.89,7 HCPCS,85270,Hc Clotting; Factor Xi,600.0,600.0,,,0 HCPCS,85280,Clot factor xii hageman,,,19.35,194.54,7 HCPCS,85280,Hc Clotting; Factor Xii,793.0,793.0,,,0 HCPCS,85290,Clot factor xiii fibrin stab,,,16.34,163.83,7 HCPCS,85291,Clot factor xiii fibrin scrn,,,9.11,92.15,7 HCPCS,85291,"Hc Clotting; Factor Xiii, Screen Solubility",445.0,445.0,,,0 HCPCS,85292,Clot factor fletcher fact,,,18.93,191.13,7 HCPCS,85293,Clot factor wght kininogen,,,18.93,191.13,7 HCPCS,85300,Antithrombin iii activity,,,11.85,119.46,8 HCPCS,85300,"Hc Clotting Ibhibitors Or Anticoagulations; Antithrombin Iii, Activity",645.0,645.0,,,0 HCPCS,85301,Antithrombin iii antigen,,,10.81,109.22,7 HCPCS,85301,"Hc Clotting Ibhibitors Or Anticoagulations; Antithrombin Iii, Antigen Assay",302.0,302.0,,,0 HCPCS,85302,Clot inhibit prot c antigen,,,12.01,119.46,7 HCPCS,85302,Hc Protein C Antigen,660.0,660.0,,,0 HCPCS,85303,Clot inhibit prot c activity,,,13.84,139.93,7 HCPCS,85303,Hc Clotting Inhibitors Or Anticoagulants; Protein C; Activity,759.0,759.0,,,0 HCPCS,85305,Clot inhibit prot s total,,,11.61,116.04,7 HCPCS,85305,Hc Protein S Free Antigen,839.0,839.0,,,0 HCPCS,85305,Hc Protein S Total,634.0,634.0,,,0 HCPCS,85305,Hc Protein S Total Antigen,634.0,634.0,,,0 HCPCS,85306,Clot inhibit prot s free,,,15.32,153.59,7 HCPCS,85306,Hc Clotting Inhibitors Protein S Free,380.0,380.0,,,0 HCPCS,85306,Hc Protein S Antigenic Assay,839.0,839.0,,,0 HCPCS,85306,"Hc Protein S, Functional",839.0,839.0,,,0 HCPCS,85307,Assay Activated Protein C,,,15.32,153.59,7 HCPCS,85307,Hc Activated Protein C (Apc) Resistance Assay,596.0,596.0,,,0 HCPCS,85335,Factor inhibitor test,,,12.87,129.7,7 HCPCS,85335,Hc Adamt13 Factor Inhibitor Assay,648.0,648.0,,,0 HCPCS,85335,Hc Factor Inhibitor Titer,648.0,648.0,,,0 HCPCS,85335,Hc Factor Ix Inhibitor Titer,648.0,648.0,,,0 HCPCS,85335,Hc Factor V Inhibitor Titer,648.0,648.0,,,0 HCPCS,85335,Hc Factor Vii Inhibitor Titer,648.0,648.0,,,0 HCPCS,85335,Hc Factor Viii Inhibitor Titer,648.0,648.0,,,0 HCPCS,85335,Hc Factor X Inhibitor Titer,648.0,648.0,,,0 HCPCS,85335,Hc Factor Xi Inhibitor Titer,648.0,648.0,,,0 HCPCS,85335,Hc Factor Xii Inhibitor Titer,648.0,648.0,,,0 HCPCS,85337,Thrombomodulin,,,17.27,174.06,7 HCPCS,85345,Coagulation time lee & white,,,4.69,47.78,7 HCPCS,85347,Coagulation time activated,,,4.28,44.37,7 HCPCS,85347,Hc Teg Activated Coagn Time,287.0,287.0,,,0 HCPCS,85347,Hc Coagulation Time; Activated,148.0,148.0,,,0 HCPCS,85348,Coagulation time otr method,,,4.49,44.37,7 HCPCS,85360,Euglobulin lysis,,,8.41,85.33,7 HCPCS,85360,Hc Euglobulin Lysis,168.0,168.0,,,0 HCPCS,85362,Fibrin degradation products,,,6.89,68.26,7 HCPCS,85366,Fibrinogen test,,,18.38,808.89,7 HCPCS,85366,Hc Fibrin Degradation Products; Quantitative,148.0,148.0,,,0 HCPCS,85370,Fibrinogen test,,,12.43,126.28,7 HCPCS,85370,Hc Fibrin Degradation Split Products; D Dimer; Quantitative,280.0,280.0,,,0 HCPCS,85378,Fibrin degrade semiquant,,,9.72,98.98,7 HCPCS,85379,Fibrin degradation quant,,,10.18,102.39,7 HCPCS,85379,Hc Fibrin Degradation Products; D Dimer; Quantitative,418.0,418.0,,,0 HCPCS,85380,Fibrin degradj d-dimer,,,10.18,102.39,7 HCPCS,85384,Fibrinogen activity,,,9.72,98.98,7 HCPCS,85384,Hc Fibrinogen; Activity,286.0,286.0,,,0 HCPCS,85384,Hc Hems-Fibrinogen; Activity,286.0,286.0,,,0 HCPCS,85385,Fibrinogen antigen,,,14.46,146.76,7 HCPCS,85390,Fibrinolysins screen i&r,,,11.13,157.0,7 HCPCS,85396,Clotting assay whole blood,,,20.6,122.46,4 HCPCS,85397,Clotting funct activity,,,30.86,310.59,7 HCPCS,85397,"Hc Coagulation And Fibrinolysis, Functional Activity, Nos Adamts-13, Each Analyte",622.0,622.0,,,0 HCPCS,85400,Fibrinolytic plasmin,,,7.71,78.5,7 HCPCS,85410,Fibrinolytic antiplasmin,,,7.71,78.5,7 HCPCS,85410,Hc Fibrinolytic Factors And Inhibitors; Alpha-2 Antiplasmin,272.0,272.0,,,0 HCPCS,85415,Fibrinolytic plasminogen,,,17.19,174.06,7 HCPCS,85415,Hc Fibrinolytic Factors And Inhibitors; Plasminogen Activator,394.0,394.0,,,0 HCPCS,85420,Fibrinolytic plasminogen,,,6.53,64.85,7 HCPCS,85420,"Hc Fibrinolytic Factors And Inhibitors; Plasminogen, Except Antigenic Assay",280.0,280.0,,,0 HCPCS,85421,Fibrinolytic plasminogen,,,10.18,102.39,7 HCPCS,85441,Hc Heinz Bodies; Direct,115.0,115.0,,,0 HCPCS,85441,Heinz bodies direct,,,4.2,40.96,7 HCPCS,85445,Hc Heinz Bodies; Induxed; Acetul Phenylhydrazine,159.0,159.0,,,0 HCPCS,85445,Heinz bodies induced,,,6.82,68.26,7 HCPCS,85460,"Hc Hemoglobin Or Rbcs, Fetal, For Fetomaternal Hemorrhage, Kleihauer-Betke",164.0,164.0,,,0 HCPCS,85460,Hemoglobin fetal,,,7.73,78.5,7 HCPCS,85461,"Hc Hemoglobin Or Rbcs, Fetal, For Fetomaternal Hemorrhage,Rosette",127.0,127.0,,,0 HCPCS,85461,Hemoglobin fetal,,,9.36,95.56,7 HCPCS,85475,Hemolysin acid,,,8.87,88.74,7 HCPCS,85520,Hc Heparin Assay,721.0,721.0,,,0 HCPCS,85520,Hc Heparin Assay - Low Molecular Wt,721.0,721.0,,,0 HCPCS,85520,Hc Heparin Assay Coagulation,721.0,721.0,,,0 HCPCS,85520,Hc Heparinoid Assay,721.0,721.0,,,0 HCPCS,85520,Heparin assay,,,13.09,133.11,7 HCPCS,85525,Hc Heparin Neutralization,115.0,115.0,,,0 HCPCS,85525,Heparin neutralization,,,11.84,119.46,7 HCPCS,85530,Heparin-protamine tolerance,,,13.09,133.11,7 HCPCS,85536,Iron Stain Peripheral Blood,,,6.88,68.26,7 HCPCS,85540,Hc Leukocyte Alkaline Phosphatase With Count,312.0,312.0,,,0 HCPCS,85540,Wbc alkaline phosphatase,,,8.6,85.33,7 HCPCS,85547,RBC mechanical fragility,,,8.6,85.33,7 HCPCS,85549,Hc Myramidase,206.0,206.0,,,0 HCPCS,85549,Muramidase,,,18.75,187.72,7 HCPCS,85555,"Hc Osmotic Fragility, Rbc, Unincubated",166.0,166.0,,,0 HCPCS,85555,RBC osmotic fragility,,,7.47,75.09,7 HCPCS,85557,Hc Osmotic Fragility,380.0,380.0,,,0 HCPCS,85557,"Hc Osmotic Fragility, Rbc, Incubated",158.0,158.0,,,0 HCPCS,85557,RBC osmotic fragility,,,13.36,133.11,7 HCPCS,85576,Blood platelet aggregation,,,24.91,252.56,7 HCPCS,85576,Hc P2Y12 Inhibitor Each Agent,391.0,391.0,,,0 HCPCS,85576,Hc Pfa Adp Aggregation,391.0,391.0,,,0 HCPCS,85576,Hc Pfa Epinephrine Aggregation,391.0,391.0,,,0 HCPCS,85576,Hc Platelet Aggregration Interpretation Each Agent,391.0,391.0,,,0 HCPCS,85576,Hc Platelet Aspirin Resistance,391.0,391.0,,,0 HCPCS,85576,Hc Platelet Ristocetin,184.0,184.0,,,0 HCPCS,85595,"Platelet count, automated",,,29.36,29.36,1 HCPCS,85597,Hc Phospholipid Neutralization; Platelet,199.0,199.0,,,0 HCPCS,85597,Phospholipid pltlt neutraliz,,,17.98,180.89,7 HCPCS,85598,Hexagnal phosph pltlt neutrl,,,17.98,180.89,7 HCPCS,85610,Hc Hepcheck Pt,180.0,180.0,,,0 HCPCS,85610,Hc Hepcheck Pt-Laf,36.0,36.0,,,0 HCPCS,85610,Hc Prothrombin Time,180.0,180.0,,,0 HCPCS,85610,Hc Prothrombin Time-Laf,36.0,36.0,,,0 HCPCS,85610,Hc Protime Padua,180.0,180.0,,,0 HCPCS,85610,Hc Protime Padua-Laf,36.0,36.0,,,0 HCPCS,85610,Prothrombin time,,,4.29,44.37,8 HCPCS,85611,Prothrombin test,,,3.94,40.96,7 HCPCS,85612,Viper venom prothrombin time,,,17.49,177.48,7 HCPCS,85613,Hc Russell Viper Venom Con,388.0,388.0,,,0 HCPCS,85613,Hc Russell Viper Venom Time; Diluted,388.0,388.0,,,0 HCPCS,85613,"Hc Russell Viper Venom Time; Diluted, Defv",388.0,388.0,,,0 HCPCS,85613,"Hc Russell Viper Venom Time; Diluted, Mix",388.0,388.0,,,0 HCPCS,85613,Russell viper venom diluted,,,9.58,95.56,7 HCPCS,85635,Hc Reptilase Test,158.0,158.0,,,0 HCPCS,85635,Reptilase test,,,9.85,98.98,7 HCPCS,85651,"Hc Sedimentation Rate, Zeta",141.0,141.0,,,0 HCPCS,85651,Rbc sed rate nonautomated,,,4.27,44.37,8 HCPCS,85652,Hc Sedimentation Rate Auto,141.0,141.0,,,0 HCPCS,85652,Hc Sedimentation Rate Auto-Laf,26.0,26.0,,,0 HCPCS,85652,Rbc sed rate automated,,,2.7,27.3,8 HCPCS,85660,"Hc Sickling Of Rbc, Reduction",104.0,104.0,,,0 HCPCS,85660,RBC sickle cell test,,,5.51,54.61,7 HCPCS,85670,Hc Thrombin Time; Plasma,265.0,265.0,,,0 HCPCS,85670,Thrombin time plasma,,,5.77,58.02,7 HCPCS,85675,Hc Thrombin Tme; Titer,174.0,174.0,,,0 HCPCS,85675,Thrombin time titer,,,6.85,68.26,7 HCPCS,85705,Hc Thromboplastin Inhibition Tissue Con,249.0,249.0,,,0 HCPCS,85705,Hc Thromboplastin Inhibition Tissue Mix,244.0,244.0,,,0 HCPCS,85705,"Hc Thromboplastin Inhibition Tissue, Scr",244.0,244.0,,,0 HCPCS,85705,Thromboplastin inhibition,,,9.63,95.56,8 HCPCS,85730,Hc Partial Thromboplastin Time (Ptt),216.0,216.0,,,0 HCPCS,85730,Hc Partial Thromboplastin Time (Ptt) Hepcheck,216.0,216.0,,,0 HCPCS,85730,Thromboplastin time partial,,,6.01,61.43,8 HCPCS,85732,Hc Ptt Substitution,295.0,295.0,,,0 HCPCS,85732,Hc Ptt Substitution Lupus Reagent,295.0,295.0,,,0 HCPCS,85732,Hc Ptt Substitution Plasma Fraction Each,295.0,295.0,,,0 HCPCS,85732,Thromboplastin time partial,,,6.47,64.85,7 HCPCS,85810,Blood viscosity examination,,,11.67,116.04,7 HCPCS,85810,Hc Viscocity,248.0,248.0,,,0 HCPCS,85999,Hc Manual Diff 500 Cell Count,432.0,432.0,,,0 HCPCS,85999,Hematology procedure,,,19.05,224.15,2 HCPCS,86000,Agglutinins febrile antigen,,,6.98,71.67,7 HCPCS,86000,"Hc Agglutinins, Febrile Francisella, Each Antigen",122.0,122.0,,,0 HCPCS,86001,Allergen Specific Igg,,,7.82,78.5,7 HCPCS,86001,Hc Hypersensitivity Pneumonitis Panel,78.0,78.0,,,0 HCPCS,86003,Allergen specific IgE,,,5.22,51.2,8 HCPCS,86003,Hc Allergen Level 1,37.0,37.0,,,0 HCPCS,86003,Hc Allergen Level 2,96.0,96.0,,,0 HCPCS,86003,Hc Allergen Peanut Component,133.0,133.0,,,0 HCPCS,86003,Hc Allergen Specific Ige,142.0,142.0,,,0 HCPCS,86003,Hc Allergen Specific Ige Each,103.0,103.0,,,0 HCPCS,86003,Hc Allergen Specific Ige Each Pnl1,72.0,72.0,,,0 HCPCS,86003,Hc Allergen Specific Ige Each Pnl2,90.0,90.0,,,0 HCPCS,86003,Hc Ige Specific Quantitative Multiallergen Panel,142.0,142.0,,,0 HCPCS,86003,Hc Midwest Repiratory Panel,21.0,21.0,,,0 HCPCS,86003,Hc Misc Fish Allergen,142.0,142.0,,,0 HCPCS,86003,Hc Misc Nut Allergen,142.0,142.0,,,0 HCPCS,86003,Hc Soybean Allergen,61.0,61.0,,,0 HCPCS,86005,Allergen specific IgE,,,7.97,81.91,7 HCPCS,86008,Allg spec ige recomb ea,,,17.93,180.89,7 HCPCS,86008,Hc Allegen Componenet Ige Each,99.0,99.0,,,0 HCPCS,86008,Hc Allergen Peanut Component,85.0,85.0,,,0 HCPCS,86015,Actin antibody each,,,12.05,122.87,6 HCPCS,86015,"Hc Actin Smooth Muscle Antibody, S",453.0,453.0,,,0 HCPCS,86021,"Hc Ab Id, Bowel Disease Differentiation Panel",253.0,253.0,,,0 HCPCS,86021,Hc Ancatest-C Quant/Confirm,477.0,477.0,,,0 HCPCS,86021,Hc Ancatest-P Quant/Confirm,477.0,477.0,,,0 HCPCS,86021,Hc Antibody Id Neutrophil Ab Drug Dep,477.0,477.0,,,0 HCPCS,86021,Hc Antibody Id Neutrophil Screen,477.0,477.0,,,0 HCPCS,86021,Hc Granulocyte Ab,477.0,477.0,,,0 HCPCS,86021,Hc Hla Mica Ab,477.0,477.0,,,0 HCPCS,86021,Hc Hlat-Antibody Id Neutrophil Direct,477.0,477.0,,,0 HCPCS,86021,WBC antibody identification,,,15.05,150.17,7 HCPCS,86022,Hc Antibody Id Platelet Ab Auto,505.0,505.0,,,0 HCPCS,86022,Hc Antibody Id Platelet Ab Drug Dep,505.0,505.0,,,0 HCPCS,86022,Hc Antibody Id Platelet Ab Screen,505.0,505.0,,,0 HCPCS,86022,Hc Neonatal Alloimmune Thrombocytopenia (Nait)-Initial Testing Maternal Only,100.0,100.0,,,0 HCPCS,86022,Hc Platelet Ab Id For Sra,505.0,505.0,,,0 HCPCS,86022,Hc Platelet Crossmatching,505.0,505.0,,,0 HCPCS,86022,Hc Platelet Factor 4 Ab By Elisa,505.0,505.0,,,0 HCPCS,86022,Hc Platelet Transfusion Refractory Panel,100.0,100.0,,,0 HCPCS,86022,Platelet antibodies,,,18.37,184.3,7 HCPCS,86023,Hc Antibody Identification; Platelet Associated Immunoglobulin Assay,234.0,234.0,,,0 HCPCS,86023,Immunoglobulin assay,,,12.46,126.28,7 HCPCS,86036,Anca screen each antibody,,,12.05,122.87,6 HCPCS,86036,Hc Anca Screen Each Antibody,195.0,195.0,,,0 HCPCS,86037,Anca titer each antibody,,,12.05,122.87,6 HCPCS,86037,Hc Anca Titer Each Antibody,214.0,214.0,,,0 HCPCS,86038,Antinuclear antibodies,,,12.09,122.87,8 HCPCS,86038,Hc Ana Screen,279.0,279.0,,,0 HCPCS,86038,"Hc Antinuclear Abs, Igg W/ Reflex",279.0,279.0,,,0 HCPCS,86038,"Hc Connective Tissue Disease Cascade Antinuclear Ab, S",279.0,279.0,,,0 HCPCS,86039,Antinuclear antibodies (ANA),,,11.16,112.63,8 HCPCS,86039,"Hc Antinuclear Ab, Hep-2 Substrate, S",171.0,171.0,,,0 HCPCS,86039,Hc Antinuclear Antibodies; Titer,261.0,261.0,,,0 HCPCS,86041,Acetylcholn rcptr bndng antb,,,18.4,64.4,5 HCPCS,86041,Hc Acetylcholn Rcptr Bndng Antb,149.0,149.0,,,0 HCPCS,86042,Acetylcholn rcptr blckg antb,,,18.4,64.4,5 HCPCS,86043,Acetylcholn rcptr modlg antb,,,12.05,42.18,5 HCPCS,86043,Hc Acetylcholn Rcptr Modlg Antb,149.0,149.0,,,0 HCPCS,86051,Aquaporin-4 antb elisa,,,11.53,116.04,6 HCPCS,86052,Aquaporin-4 antb cba each,,,12.05,122.87,6 HCPCS,86053,Aqaprn-4 antb flo cytmtry ea,,,37.73,378.85,6 HCPCS,86053,"Hc Nmo/Aqp4 Facs, S",453.0,453.0,,,0 HCPCS,86053,Hc Pediatric Autoimmune Encephalopathy Flowcyt,453.0,453.0,,,0 HCPCS,86060,Antistreptolysin o titer,,,7.3,75.09,7 HCPCS,86060,Hc Antistreptolysis 0; Titer,290.0,290.0,,,0 HCPCS,86063,Antistreptolysin o screen,,,5.77,58.02,7 HCPCS,86077,Hc Bld Bank Md Services; Difficult Cross Match &/Or Eval Of Irrglr Antibdy; Intrprtn & Rprt,171.0,171.0,,,0 HCPCS,86077,Phys blood bank serv xmatch,,,30.99,309.27,7 HCPCS,86078,"Hc Blood Bank Md Services; Investigate Transfucion React, Suspicion Transmiss Dx; Interp & Report",268.0,268.0,,,0 HCPCS,86078,Phys blood bank serv reactj,,,51.66,522.06,7 HCPCS,86079,Phys blood bank serv authrj,,,50.97,311.42,7 HCPCS,86140,C-reactive protein,,,5.18,51.2,8 HCPCS,86140,Hc C-Reactive Protein,276.0,276.0,,,0 HCPCS,86140,Hc C-Reactive Protein-Laf,50.0,50.0,,,0 HCPCS,86141,C-reactive protein hs,,,12.95,129.7,7 HCPCS,86141,Hc C-Reactive Protein; High Sensitivity,375.0,375.0,,,0 HCPCS,86146,Beta-2 glycoprotein antibody,,,25.45,255.98,7 HCPCS,86146,Hc Beta-2 Glycoprotein Iga,405.0,405.0,,,0 HCPCS,86146,Hc Beta-2 Glycoprotein Igg,405.0,405.0,,,0 HCPCS,86146,Hc Beta-2 Glycoprotein Igm,405.0,405.0,,,0 HCPCS,86146,"Hc Beta-2 Glycoprotein, Ea Ab",405.0,405.0,,,0 HCPCS,86147,Cardiolipin antibody ea ig,,,25.45,255.98,8 HCPCS,86147,"Hc Cardiolipin Antibody, Iga",544.0,544.0,,,0 HCPCS,86147,"Hc Cardiolipin Antibody, Igg",544.0,544.0,,,0 HCPCS,86147,"Hc Cardiolipin Antibody, Igm",544.0,544.0,,,0 HCPCS,86148,Anti-phospholipid antibody,,,16.07,160.41,7 HCPCS,86148,Hc Anti Phos Serine Igg,384.0,384.0,,,0 HCPCS,86148,Hc Anti Phos Serine Igm,384.0,384.0,,,0 HCPCS,86148,Hc Anti-Phosphotidyl Serine Ab Iga,384.0,384.0,,,0 HCPCS,86148,Hc Anti-Phosphotidyl Serine Ab Igg,384.0,384.0,,,0 HCPCS,86148,Hc Anti-Phosphotidyl Serine Ab Igm,384.0,384.0,,,0 HCPCS,86152,Cell enumeration & id,,,250.78,2525.65,7 HCPCS,86153,Cell enumeration phys interp,,,19.05,78.9,2 HCPCS,86155,Chemotaxis assay,,,15.99,160.41,7 HCPCS,86156,Cold agglutinin screen,,,8.07,81.91,7 HCPCS,86156,Hc Cold Agglutinin Screen,91.0,91.0,,,0 HCPCS,86157,Cold agglutinin titer,,,8.06,81.91,7 HCPCS,86157,Hc Cold Agglutinin; Titer,186.0,186.0,,,0 HCPCS,86160,Complement antigen,,,12.0,119.46,8 HCPCS,86160,Hc C1 Q Complement Component,483.0,483.0,,,0 HCPCS,86160,Hc Complement C-3,483.0,483.0,,,0 HCPCS,86160,Hc Complement C-3-Laf,96.0,96.0,,,0 HCPCS,86160,Hc Complement C-4,483.0,483.0,,,0 HCPCS,86160,Hc Complement C-4-Laf,96.0,96.0,,,0 HCPCS,86160,"Hc Complement; Antigen, Each Component",245.0,245.0,,,0 HCPCS,86161,Complement/function activity,,,12.0,119.46,7 HCPCS,86161,Hc C1 Esterase Inhib Activity,299.0,299.0,,,0 HCPCS,86161,Hc C2 Function,299.0,299.0,,,0 HCPCS,86161,"Hc Complement; Functional Activity, Each Component",303.0,303.0,,,0 HCPCS,86162,Complement total (ch50),,,20.32,204.78,8 HCPCS,86162,Hc Complement; Total Hemolytic,401.0,401.0,,,0 HCPCS,86162,Hc Hc Complement; Total Hemolytic (Ch50),265.0,265.0,,,0 HCPCS,86171,Complement fixation each,,,10.01,102.39,7 HCPCS,86185,Counterimmunoelectrophoresis,,,18.93,18.93,1 HCPCS,86200,Ccp antibody,,,12.95,129.7,7 HCPCS,86200,"Hc Connective Tissue Disease Cascade Peptide Ab, S",311.0,311.0,,,0 HCPCS,86200,"Hc Cyclic Citrullinated Peptide, Antibody",416.0,416.0,,,0 HCPCS,86200,"Hc Cyclic Citrullinated Peptide, Antibody-Laf",116.0,116.0,,,0 HCPCS,86215,Deoxyribonuclease antibody,,,13.25,133.11,7 HCPCS,86215,"Hc Deoxyribonuclease, Antibody",195.0,195.0,,,0 HCPCS,86225,Dna antibody native,,,13.74,139.93,8 HCPCS,86225,"Hc Deoxyribonuclease Acid Antibody, Native Or Double Stranded",477.0,477.0,,,0 HCPCS,86225,"Hc Deoxyribonuclease Acid Antibody, Native Or Double Stranded-Laf",143.0,143.0,,,0 HCPCS,86225,"Hc Dsdna Ab With Reflex, Igg, S",213.0,213.0,,,0 HCPCS,86226,Dna antibody single strand,,,12.11,122.87,7 HCPCS,86231,Ema each ig class,,,12.09,122.87,6 HCPCS,86231,Hc Endomysial Antibody Ig,453.0,453.0,,,0 HCPCS,86235,Hc A-Extract Nuclear Ag,209.0,209.0,,,0 HCPCS,86235,Hc Anti-Ds Dna Ab,464.0,464.0,,,0 HCPCS,86235,Hc Anti-Jo,209.0,209.0,,,0 HCPCS,86235,Hc Anti-Smith Extract,209.0,209.0,,,0 HCPCS,86235,Hc Autoantibodies To Jo1,464.0,464.0,,,0 HCPCS,86235,Hc Centromere B Ab,464.0,464.0,,,0 HCPCS,86235,Hc Cromatin Ab,464.0,464.0,,,0 HCPCS,86235,Hc Ena Ss-A Antibody Id,464.0,464.0,,,0 HCPCS,86235,Hc Ena Ss-A Antibody Id-Laf,143.0,143.0,,,0 HCPCS,86235,Hc Ena Ss-B Antibody Id,464.0,464.0,,,0 HCPCS,86235,Hc Ena Ss-B Antibody Id-Laf,143.0,143.0,,,0 HCPCS,86235,Hc Ena-Ribonucleoprotein Antibody,464.0,464.0,,,0 HCPCS,86235,Hc Ena-Ribonucleoprotein Antibody-Laf,143.0,143.0,,,0 HCPCS,86235,Hc Ena-Sm Antibody,464.0,464.0,,,0 HCPCS,86235,Hc Ena-Sm Antibody-Laf,143.0,143.0,,,0 HCPCS,86235,Hc Jo - 1 Ab,464.0,464.0,,,0 HCPCS,86235,Hc Myomarker Panel 3 Nuclear Antigen Antibody,96.0,96.0,,,0 HCPCS,86235,Hc Myositis Ab3 Panel,464.0,464.0,,,0 HCPCS,86235,Hc Ribosomal P Ab,464.0,464.0,,,0 HCPCS,86235,Hc Scl - 70 Ab,464.0,464.0,,,0 HCPCS,86235,Hc Scl 70,464.0,464.0,,,0 HCPCS,86235,Hc Scl 70-Laf,287.0,287.0,,,0 HCPCS,86235,Hc Sjogrens Antibodies,209.0,209.0,,,0 HCPCS,86235,Hc Ss Antibody Id,464.0,464.0,,,0 HCPCS,86235,Nuclear antigen antibody,,,17.93,180.89,8 HCPCS,86243,Fc receptor,,,43.44,43.44,1 HCPCS,86255,Fluorescent antibody screen,,,12.05,122.87,8 HCPCS,86255,"Hc Amphiphysin Ab, S",168.0,168.0,,,0 HCPCS,86255,Hc Ana Fluorsct Ab Screen,453.0,453.0,,,0 HCPCS,86255,Hc Ana Fluorsct Ab Screen-Laf,100.0,100.0,,,0 HCPCS,86255,Hc Ancatest Screen,453.0,453.0,,,0 HCPCS,86255,Hc Anti Neuronal Ab Each,453.0,453.0,,,0 HCPCS,86255,"Hc Anti-Neuronal Nuclear Ab, Type 1",168.0,168.0,,,0 HCPCS,86255,"Hc Anti-Neuronal Nuclear Ab, Type 2",168.0,168.0,,,0 HCPCS,86255,"Hc Anti-Neuronal Nuclear Ab, Type 3",168.0,168.0,,,0 HCPCS,86255,"Hc Crmp-5-Igg, S",168.0,168.0,,,0 HCPCS,86255,Hc Cytoplasmic Neut Ab,235.0,235.0,,,0 HCPCS,86255,"Hc Enceph, Autoimm/Paraneo, Csf Panel",130.0,130.0,,,0 HCPCS,86255,"Hc Encephalopathy, Autoimm/Paraneo, Ab",168.0,168.0,,,0 HCPCS,86255,Hc Flour Ab Screen Endomysial Iga,453.0,453.0,,,0 HCPCS,86255,Hc Fluor Ab Scrn Nmo Igg,453.0,453.0,,,0 HCPCS,86255,"Hc Fluor Ab Scrn, Mitochondrial",453.0,453.0,,,0 HCPCS,86255,"Hc Fluor Ab Scrn, Smooth Muscle",453.0,453.0,,,0 HCPCS,86255,Hc Fluorescent Anti-Glial Ab T1,168.0,168.0,,,0 HCPCS,86255,Hc Myoglobin Ab Screen,453.0,453.0,,,0 HCPCS,86255,Hc Neutrophil Sp Antibodies,318.0,318.0,,,0 HCPCS,86255,Hc Nmda Receptor Ab,453.0,453.0,,,0 HCPCS,86255,Hc Non-Infect Fa Ab Screen,453.0,453.0,,,0 HCPCS,86255,"Hc Paraneoplas Autoantibody Eval, Ab",168.0,168.0,,,0 HCPCS,86255,Hc Pediatric Autoimmune Encephalopathy Ab,168.0,168.0,,,0 HCPCS,86255,Hc Purkinje Cell Cytoplasmic Ab Type 1,168.0,168.0,,,0 HCPCS,86255,Hc Purkinje Cell Cytoplasmic Ab Type 2,168.0,168.0,,,0 HCPCS,86255,Hc Purkinje Cell Cytoplasmic Ab Type Tr,168.0,168.0,,,0 HCPCS,86255,Hc Reticulin Ab Screen,453.0,453.0,,,0 HCPCS,86256,Fluorescent antibody titer,,,12.05,122.87,8 HCPCS,86256,"Hc Adrenal Ab, Ifa",168.0,168.0,,,0 HCPCS,86256,Hc Amphiphysin Antibody,168.0,168.0,,,0 HCPCS,86256,"Hc Encephalopathy, Autoimm/Paraneo, Titer Ab",90.0,90.0,,,0 HCPCS,86256,Hc Flourescent Ab Titer Nmo Igg,168.0,168.0,,,0 HCPCS,86256,Hc Fluor Ab Titer Endomysial Iga,168.0,168.0,,,0 HCPCS,86256,Hc Fluorescent Ab Titer Amphysin,168.0,168.0,,,0 HCPCS,86256,Hc Fluorescent Ab Titer Anna 1,168.0,168.0,,,0 HCPCS,86256,Hc Fluorescent Ab Titer Anna 2,168.0,168.0,,,0 HCPCS,86256,Hc Fluorescent Ab Titer Anna 3,168.0,168.0,,,0 HCPCS,86256,Hc Fluorescent Ab Titer Crmp5 Igg,168.0,168.0,,,0 HCPCS,86256,Hc Fluorescent Ab Titer Pca 1,168.0,168.0,,,0 HCPCS,86256,Hc Fluorescent Ab Titer Pca 2,168.0,168.0,,,0 HCPCS,86256,Hc Fluorescent Ab Titer Pca Tr,168.0,168.0,,,0 HCPCS,86256,Hc Fluorescent Antib; Titer Ea Antib,168.0,168.0,,,0 HCPCS,86256,Hc Fluorescent Hu Ab Titer,168.0,168.0,,,0 HCPCS,86256,Hc Myoglobin Ab Titer,168.0,168.0,,,0 HCPCS,86256,Hc Nmo/Aqp4 Facs Titer S,288.0,288.0,,,0 HCPCS,86256,"Hc Paraneoplas Autoantibody Eval, Titer Ab",90.0,90.0,,,0 HCPCS,86256,Hc Pediatric Autoimmune Encephalopathy Titer Ab,90.0,90.0,,,0 HCPCS,86256,Hc Reticulin Ab Titer,168.0,168.0,,,0 HCPCS,86258,Dgp antibody each ig class,,,12.05,122.87,6 HCPCS,86258,"Hc Gliadin Deamidated Ab, Iga",354.0,354.0,,,0 HCPCS,86258,"Hc Gliadin Deamidated Ab, Igg",354.0,354.0,,,0 HCPCS,86277,Growth hormone antibody,,,15.74,157.0,7 HCPCS,86280,Hemagglutination inhibition,,,8.19,81.91,7 HCPCS,86287,Description Not Available,,,66.73,66.73,1 HCPCS,86291,Description Not Available,,,69.39,69.39,1 HCPCS,86294,Immunoassay tumor qual,,,25.57,255.98,7 HCPCS,86300,"Hc Immunoassay For Tumor Antigen, Quantitative; Ca 15-3 (27.29)",461.0,461.0,,,0 HCPCS,86300,Immunoassay tumor ca 15-3,,,20.81,208.2,7 HCPCS,86301,"Hc Immunoassay For Tumor Antigen, Quantitative; Ca 19-9",409.0,409.0,,,0 HCPCS,86301,Immunoassay tumor ca 19-9,,,20.81,208.2,7 HCPCS,86302,Description Not Available,,,101.1,101.1,1 HCPCS,86304,"Hc Immunoassay For Tumor Antigen, Quantitative; Ca 125",520.0,520.0,,,0 HCPCS,86304,Immunoassay tumor ca 125,,,20.81,208.2,7 HCPCS,86305,Human epididymis protein 4,,,20.81,208.2,7 HCPCS,86308,"Hc Heterophile Antibodies, Screening",199.0,199.0,,,0 HCPCS,86308,Heterophile antibody screen,,,5.18,51.2,8 HCPCS,86309,Heterophile antibody titer,,,6.47,64.85,7 HCPCS,86310,Heterophile antibody absrbj,,,7.37,75.09,7 HCPCS,86313,Description Not Available,,,77.4,77.4,1 HCPCS,86316,Hc Atni-Angiotensin Type 1 Receptor,367.0,367.0,,,0 HCPCS,86316,Hc Chromogranin A,367.0,367.0,,,0 HCPCS,86316,Hc Mesothalein Peptide Immunoassy,367.0,367.0,,,0 HCPCS,86316,Hc Tumor Antigen Scc,367.0,367.0,,,0 HCPCS,86316,Immunoassay tumor other,,,20.81,208.2,8 HCPCS,86317,Hc Diphtheria Toxoid Igg Ab,178.0,178.0,,,0 HCPCS,86317,Hc Immunoassay For Infectious Angent Antibody Csf Prion Disease,178.0,178.0,,,0 HCPCS,86317,Hc Rubella Igg Ab Qt,178.0,178.0,,,0 HCPCS,86317,Hc Streptococcus Pneu Ab,122.0,122.0,,,0 HCPCS,86317,Hc Tetanus Titer,122.0,122.0,,,0 HCPCS,86317,Hc Tetanus Toxoid Igg Ab,178.0,178.0,,,0 HCPCS,86317,Hc Toxoplasma Gondi Igg Ab Qt,178.0,178.0,,,0 HCPCS,86317,Immunoassay infectious agent,,,14.99,150.17,8 HCPCS,86317,Strep Pneumoniae Serotype Each,52.0,52.0,,,0 HCPCS,86318,Immunoassay infectious agent,,,18.09,180.89,7 HCPCS,86320,Serum immunoelectrophoresis,,,29.92,300.35,8 HCPCS,86325,Hc Immunoelectrophoresis; Other Fluirds With Concentration,496.0,496.0,,,0 HCPCS,86325,Other immunoelectrophoresis,,,23.13,232.09,7 HCPCS,86327,Immunoelectrophoresis assay,,,47.9,300.35,2 HCPCS,86328,Ia nfct ab sarscov2 covid19,,,45.28,158.48,5 HCPCS,86329,Hc Histo Ab Immunodiffusion,128.0,128.0,,,0 HCPCS,86329,"Hc Igg/Albumin Ratio,",128.0,128.0,,,0 HCPCS,86329,Immunodiffusion nes,,,14.05,139.93,7 HCPCS,86331,"Hc Immunodiffusion; Gel Diffusion, Qualitative, Each Antigen Or Antibody",104.0,104.0,,,0 HCPCS,86331,Immunodiffusion ouchterlony,,,11.98,119.46,7 HCPCS,86332,Hc Immune Complex Assay,204.0,204.0,,,0 HCPCS,86332,Immune complex assay,,,24.37,245.74,7 HCPCS,86334,Hc Daratumumab Ife,289.0,289.0,,,0 HCPCS,86334,Hc Immunofication Electrophoresis; Serum,771.0,771.0,,,0 HCPCS,86334,Hc Immunofication Electrophoresis; Serum-Laf,314.0,314.0,,,0 HCPCS,86334,Immunofix e-phoresis serum,,,22.34,225.26,7 HCPCS,86335,"Hc Beta-2 Transferrin, Bf",400.0,400.0,,,0 HCPCS,86335,Hc Immuno Electrophoresis Csf,974.0,974.0,,,0 HCPCS,86335,Immunfix e-phorsis/urine/csf,,,29.35,296.93,7 HCPCS,86336,Hc Inhibin A,220.0,220.0,,,0 HCPCS,86336,Inhibin A,,,15.59,157.0,7 HCPCS,86337,Hc Insulin Antibodies,438.0,438.0,,,0 HCPCS,86337,Insulin antibodies,,,21.41,215.02,7 HCPCS,86340,Hc Intrinsic Factor Antibodies,245.0,245.0,,,0 HCPCS,86340,Intrinsic factor antibody,,,15.08,153.59,7 HCPCS,86341,"Hc Enceph, Autoimm/Paraneo, Csf Islet Ab",266.0,266.0,,,0 HCPCS,86341,"Hc Encephalopathy, Autoimm/Paraneo, Islet Ab",126.0,126.0,,,0 HCPCS,86341,Hc Gad65 Ab Assay,413.0,413.0,,,0 HCPCS,86341,Hc Ia-2 Antibody,265.0,265.0,,,0 HCPCS,86341,Hc Islet Cell Antibody Serum,413.0,413.0,,,0 HCPCS,86341,Hc Pediatric Autoimmune Encephalopathy Islet Ab,126.0,126.0,,,0 HCPCS,86341,"Hc Zinc Transporter 8 (Znt8) Antibody, Serum",413.0,413.0,,,0 HCPCS,86341,Islet cell antibody,,,23.57,238.91,7 HCPCS,86343,Leukocyte histamine release,,,12.46,126.28,7 HCPCS,86344,Leukocyte phagocytosis,,,10.39,105.8,7 HCPCS,86352,Cell function assay w/stim,,,135.86,1368.63,7 HCPCS,86352,Hc Cellular Function Assay Involving Stimulation And Detection Of Biomarker,1007.0,1007.0,,,0 HCPCS,86352,"Hc Dhr Flow Pma, B",702.0,702.0,,,0 HCPCS,86353,"Hc Lymphocyte Transformation, Mitogen Or Antigen Induced Blastogenesis",443.0,443.0,,,0 HCPCS,86353,Lymphocyte transformation,,,49.03,494.89,7 HCPCS,86355,B cells total count,,,37.73,378.85,7 HCPCS,86355,Hc B Cells Cd20 Total Count,389.0,389.0,,,0 HCPCS,86355,Hc B Cells Total Cnt,389.0,389.0,,,0 HCPCS,86356,Hc -Mononuclear Cell Ag Fetal Hgb,399.0,399.0,,,0 HCPCS,86356,Hc Mononuclear Cell Ag Qt Flow Ea,399.0,399.0,,,0 HCPCS,86356,"Hc Mononuclear Cell Antigen, Quantitative, Ige Receptor",399.0,399.0,,,0 HCPCS,86356,Mononuclear cell antigen,,,26.78,269.63,7 HCPCS,86357,Hc Natural Killer (Nk) Cells Total Count,301.0,301.0,,,0 HCPCS,86357,Nk cells total count,,,37.73,378.85,7 HCPCS,86359,Hc T Cell; Total Count,389.0,389.0,,,0 HCPCS,86359,T cells total count,,,37.73,378.85,7 HCPCS,86360,"Hc T Cells; Absolute Cd4 And Cd8 Count, Including Ratio",825.0,825.0,,,0 HCPCS,86360,T cell absolute count/ratio,,,46.98,474.41,8 HCPCS,86361,T cell absolute count,,,26.78,269.63,7 HCPCS,86362,Mog-igg1 antb cba each,,,12.05,122.87,6 HCPCS,86363,"Hc Mog-Igg1 Antb Flo Cytmtry, S",930.0,930.0,,,0 HCPCS,86363,Hc Pediatric Autoimmune Encephalopathy Mog-Igg1,492.0,492.0,,,0 HCPCS,86363,Mog-igg1 antb flo cytmtry ea,,,37.73,378.85,6 HCPCS,86364,"Hc Transglutaminase Ab,Iga",354.0,354.0,,,0 HCPCS,86364,"Hc Transglutaminase Ab,Iga/Igg",354.0,354.0,,,0 HCPCS,86364,"Hc Transglutaminase Ab,Igg",354.0,354.0,,,0 HCPCS,86364,Tiss trnsgltmnase ea ig clas,,,11.53,116.04,6 HCPCS,86366,Hc Muscle-Specific Kinase Antb,1056.0,1056.0,,,0 HCPCS,86366,Muscle-specific kinase antb,,,18.4,64.4,5 HCPCS,86367,"Hc Stem Cells, Total Count",600.0,600.0,,,0 HCPCS,86367,Stem cells total count,,,77.78,785.0,7 HCPCS,86376,Hc Liver/Kidney Microsomal Ab,412.0,412.0,,,0 HCPCS,86376,Hc Throperoxidase Ab,412.0,412.0,,,0 HCPCS,86376,Hc Thyroperoxidase Ab-Serum,200.0,200.0,,,0 HCPCS,86376,Microsomal antibody each,,,14.55,146.76,8 HCPCS,86378,Migration inhibitory factor,,,41.76,41.76,1 HCPCS,86381,"Hc Mitochondrial Antibody M2, S",354.0,354.0,,,0 HCPCS,86381,Mitochondrial antibody each,,,25.45,255.98,6 HCPCS,86382,"Hc Neutralization Test, Polio Virus",441.0,441.0,,,0 HCPCS,86382,Neutralization test viral,,,16.91,170.65,7 HCPCS,86384,Hc Nitroblue Tetrazolium Dye Test,514.0,514.0,,,0 HCPCS,86384,Nitroblue tetrazolium dye,,,13.61,136.52,7 HCPCS,86386,Nuclear matrix protein 22,,,21.78,218.43,7 HCPCS,86403,Hc Bacterial Antigen Test,433.0,433.0,,,0 HCPCS,86403,Hc Streptococcus Screen Direct,433.0,433.0,,,0 HCPCS,86403,Hc Typing Cryptococcal,433.0,433.0,,,0 HCPCS,86403,Particle agglut antbdy scrn,,,11.54,116.04,8 HCPCS,86406,Hc Particle Agglutination; Crytococcal Titer,345.0,345.0,,,0 HCPCS,86406,Particle agglut antbdy titr,,,10.64,105.8,7 HCPCS,86408,Neutrlzg antb sarscov2 scr,,,42.13,147.77,5 HCPCS,86409,Neutrlzg antb sarscov2 titer,,,79.61,368.83,5 HCPCS,86413,Sars-cov-2 antb quantitative,,,51.43,147.77,5 HCPCS,86430,Rheumatoid factor test qual,,,6.14,61.43,8 HCPCS,86431,Hc Rheumatoid Factor; Iga,159.0,159.0,,,0 HCPCS,86431,Hc Rheumatoid Factor; Igg,159.0,159.0,,,0 HCPCS,86431,Hc Rheumatoid Factor; Igm,159.0,159.0,,,0 HCPCS,86431,Hc Rheumatoid Factor; Quantitative,288.0,288.0,,,0 HCPCS,86431,Hc Rheumatoid Factor; Quantitative-Laf,54.0,54.0,,,0 HCPCS,86431,Rheumatoid factor quant,,,5.67,58.02,8 HCPCS,86480,Hc Quantiferon Tb Test Gold,159.0,159.0,,,0 HCPCS,86480,Hc Quantiferon Tb Test Gold-Laf,263.0,263.0,,,0 HCPCS,86480,Hc Tb Cell Mediated Immunity Measurement,453.0,453.0,,,0 HCPCS,86480,Hc Tb Cell Mediated Immunity Measurement-Laf,263.0,263.0,,,0 HCPCS,86480,Tb test cell immun measure,,,61.98,624.59,7 HCPCS,86481,Tb ag response t-cell susp,,,100.0,1006.85,7 HCPCS,86485,Skin test candida,,,30.08,194.54,7 HCPCS,86486,Hc Skin Test Unlisted Antigen; Each,74.0,74.0,,,0 HCPCS,86486,Skin test nos antigen,,,8.33,86.35,7 HCPCS,86490,Coccidioidomycosis skin test,,,110.24,798.25,2 HCPCS,86510,Histoplasmosis skin test,,,9.99,194.81,7 HCPCS,86580,"Hc Skin Test; Tuberculosis, Intradermal",33.0,33.0,,,0 HCPCS,86580,TB intradermal test,,,12.78,105.4,7 HCPCS,86581,"Hc S. Pneumoniae Igg Ab,23 Serotypes, S",1196.0,1196.0,,,0 HCPCS,86581,Strptcs pneum antb serot ia,,,92.03,133.44,3 HCPCS,86588,Description Not Available,,,61.39,61.39,1 HCPCS,86590,Streptokinase antibody,,,12.66,126.28,7 HCPCS,86592,Hc Rpr Screen,168.0,168.0,,,0 HCPCS,86592,Hc Vdrl Screen -Csf,168.0,168.0,,,0 HCPCS,86592,Syphilis test non-trep qual,,,4.27,44.37,8 HCPCS,86593,Hc Rpr Quantitative,213.0,213.0,,,0 HCPCS,86593,Hc Vdrl-Csf Quantitative,213.0,213.0,,,0 HCPCS,86593,Syphilis test non-trep quant,,,4.4,44.37,7 HCPCS,86596,Hc P/Q-Type Calcium Channel Ab,149.0,149.0,,,0 HCPCS,86596,Voltage-gtd ca chnl antb ea,,,12.05,122.87,6 HCPCS,86602,Antinomyces antibody,,,10.18,102.39,7 HCPCS,86603,Adenovirus antibody,,,12.87,129.7,7 HCPCS,86603,Hc Antibody; Adenovirus,220.0,220.0,,,0 HCPCS,86606,Aspergillus antibody,,,15.05,150.17,7 HCPCS,86606,Hc Antibody; Aspergillus,220.0,220.0,,,0 HCPCS,86609,Bacterium antibody,,,12.88,129.7,7 HCPCS,86609,"Hc S Pneumoniae Igg Ab, Each",107.0,107.0,,,0 HCPCS,86611,Bartonella Antibody,,,10.18,102.39,7 HCPCS,86611,Hc Antibody;Bartonella,88.0,88.0,,,0 HCPCS,86612,Blastomyces antibody,,,12.9,129.7,7 HCPCS,86612,Hc Antibody; Blastomyces,331.0,331.0,,,0 HCPCS,86615,Bordetella antibody,,,13.19,133.11,7 HCPCS,86615,Hc Bordetella Ab (Pertus),224.0,224.0,,,0 HCPCS,86615,Hc Bordetella Ab (Pertus) Rflx,224.0,224.0,,,0 HCPCS,86615,Hc Bordetella Pertussis Igg,224.0,224.0,,,0 HCPCS,86617,Hc Antibody; Borrelia Burgdorferi Confirmatory Test; Western Blot,413.0,413.0,,,0 HCPCS,86617,Lyme disease antibody,,,15.49,157.0,7 HCPCS,86618,Hc B. Burg Ab Serum(Lyme)/Confirmatory,438.0,438.0,,,0 HCPCS,86618,"Hc B. Burgdoferi Ab, Csf",438.0,438.0,,,0 HCPCS,86618,Hc Lyme Disease,280.0,280.0,,,0 HCPCS,86618,Lyme disease antibody,,,17.03,170.65,7 HCPCS,86619,Borrelia antibody,,,13.38,133.11,7 HCPCS,86622,Brucella antibody,,,8.93,88.74,7 HCPCS,86622,Hc Antibody; Brucella,205.0,205.0,,,0 HCPCS,86625,Campylobacter antibody,,,13.12,133.11,7 HCPCS,86628,Candida antibody,,,12.01,119.46,7 HCPCS,86628,Hc Antibody; Candida,143.0,143.0,,,0 HCPCS,86631,Chlamydia antibody,,,11.82,119.46,7 HCPCS,86631,Hc Antibody; Chlamydia,212.0,212.0,,,0 HCPCS,86632,Chlamydia igm antibody,,,12.68,126.28,7 HCPCS,86632,Hc Antibody; Chlamydia Igm,210.0,210.0,,,0 HCPCS,86635,Coccidioides antibody,,,11.47,116.04,7 HCPCS,86635,Hc Antibody; Coxiella Burneti (Q Fever),199.0,199.0,,,0 HCPCS,86638,Hc Antibody; Coxiella Burnetii Q Fever Igg Igm,200.0,200.0,,,0 HCPCS,86638,Q fever antibody,,,12.12,122.87,7 HCPCS,86641,Cryptococcus antibody,,,14.41,146.76,7 HCPCS,86644,CMV antibody,,,14.39,143.35,8 HCPCS,86644,"Hc Antibody Cytomegalovirus, Igg",453.0,453.0,,,0 HCPCS,86645,Cmv antibody igm,,,16.85,170.65,7 HCPCS,86645,"Hc Antibody; Cytomegalovirus, Igm",518.0,518.0,,,0 HCPCS,86648,Diphtheria antibody,,,15.21,153.59,7 HCPCS,86648,Hc Antibody; Diphtheria,168.0,168.0,,,0 HCPCS,86651,Encephalitis californ antbdy,,,13.19,133.11,7 HCPCS,86651,Hc Arbovirus Ab Igg,68.0,68.0,,,0 HCPCS,86651,Hc Arbovirus Ab Igm,68.0,68.0,,,0 HCPCS,86652,Encephaltis east eqne anbdy,,,13.19,133.11,7 HCPCS,86652,Hc Antibody Encephalitis Eastern Equine,244.0,244.0,,,0 HCPCS,86652,Hc Arbov Eastern Equine Igg,83.0,83.0,,,0 HCPCS,86652,Hc Arbov Eastern Equine Igm,83.0,83.0,,,0 HCPCS,86653,Encephaltis st louis antbody,,,13.19,133.11,7 HCPCS,86653,Hc Antibody Encephalitis St. Louis,244.0,244.0,,,0 HCPCS,86653,Hc Arbov St. Louis Igg,83.0,83.0,,,0 HCPCS,86653,Hc Arbov St. Louis Igm,83.0,83.0,,,0 HCPCS,86654,Encephaltis west eqne antbdy,,,13.19,133.11,7 HCPCS,86654,Hc Antibody Encephalitis Westrn Equine,244.0,244.0,,,0 HCPCS,86654,Hc Arbov Western Equine Igg,83.0,83.0,,,0 HCPCS,86654,Hc Arbov Western Equine Igm,83.0,83.0,,,0 HCPCS,86658,Enterovirus antibody,,,13.03,129.7,7 HCPCS,86658,Hc Coxsackie A Ab Panel,157.0,157.0,,,0 HCPCS,86658,Hc Coxsackie B Ab Panel,157.0,157.0,,,0 HCPCS,86658,Hc Echovirus Ab Panel,157.0,157.0,,,0 HCPCS,86658,Hc Polio (Enterovirus) Ab,102.0,102.0,,,0 HCPCS,86658,"Hc Poliovirus Types 1,2,3",157.0,157.0,,,0 HCPCS,86663,Epstein-barr antibody,,,13.12,133.11,7 HCPCS,86663,"Hc Antibody; Epstein-Barr (Eb) Virus, Early Antigen",298.0,298.0,,,0 HCPCS,86664,Epstein-barr nuclear antigen,,,15.29,153.59,7 HCPCS,86664,"Hc Antibody; Epstein-Barr (Eb) Virus, Nuclear Antigen",319.0,319.0,,,0 HCPCS,86665,Epstein-barr capsid vca,,,18.14,184.3,8 HCPCS,86665,Hc Antibody Epstein-Barr Eb Virus Viral Capsid Vca,231.0,231.0,,,0 HCPCS,86665,"Hc Antibody, Ebv Capsid Igg",484.0,484.0,,,0 HCPCS,86665,"Hc Antibody, Ebv Capsid Igm",484.0,484.0,,,0 HCPCS,86666,Ehrlichia Antibody,,,10.18,102.39,7 HCPCS,86666,Hc Antibody Ehrlichia,143.0,143.0,,,0 HCPCS,86668,Francisella tularensis,,,14.16,143.35,7 HCPCS,86668,"Hc F. Tularensis Ab, Igm/Igg Elisa, S",275.0,275.0,,,0 HCPCS,86671,Fungus nes antibody,,,12.25,122.87,7 HCPCS,86671,"Hc Ab Fungus Id, Bowel Disease Differentiation Panel",261.0,261.0,,,0 HCPCS,86671,"Hc Sacc Cerev, Igg Or Igm",204.0,204.0,,,0 HCPCS,86671,Hc Saccharomyces Cer Ab Iga,243.0,243.0,,,0 HCPCS,86671,Hc Saccharomyces Cer Ab Igg,243.0,243.0,,,0 HCPCS,86674,Giardia lamblia antibody,,,14.72,146.76,7 HCPCS,86677,Hc Antibody Helicobacter Pylori Igg,456.0,456.0,,,0 HCPCS,86677,Helicobacter pylori antibody,,,16.85,170.65,8 HCPCS,86682,Hc Cysticercosis,186.0,186.0,,,0 HCPCS,86682,"Hc Cysticerus Ab, E/A",186.0,186.0,,,0 HCPCS,86682,Hc Echinococcus Ab,186.0,186.0,,,0 HCPCS,86682,Hc Echinococcus Ab Igg Wb Refx,186.0,186.0,,,0 HCPCS,86682,Hc Schistosoma,186.0,186.0,,,0 HCPCS,86682,Hc Strongyloides Igg Ab,186.0,186.0,,,0 HCPCS,86682,Hc Toxocara Canis Ab,186.0,186.0,,,0 HCPCS,86682,Helminth antibody,,,13.01,129.7,7 HCPCS,86684,Hc Antibody Haemophilus Influenza,263.0,263.0,,,0 HCPCS,86684,Hemophilus influenza antibdy,,,15.84,160.41,7 HCPCS,86687,Hc Antibody; Htlv-I,263.0,263.0,,,0 HCPCS,86687,Htlv-i antibody,,,9.09,92.15,7 HCPCS,86688,Htlv-ii antibody,,,14.0,139.93,7 HCPCS,86689,Hc Antibody Id-Electrophoresis,273.0,273.0,,,0 HCPCS,86689,Hc Hiv 1 By If A,273.0,273.0,,,0 HCPCS,86689,Hc Hiv 2Ab Immunoblot,273.0,273.0,,,0 HCPCS,86689,Hc Hiv-1 Western Blot,273.0,273.0,,,0 HCPCS,86689,Hc Hiv2 Ab Confirmation,241.0,241.0,,,0 HCPCS,86689,Hc Htlv Western Blot,273.0,273.0,,,0 HCPCS,86689,Htlv/hiv confirmj antibody,,,19.35,194.54,7 HCPCS,86692,Hc Hepatitis D Igm,210.0,210.0,,,0 HCPCS,86692,Hc Hepatitis Delta Ab,210.0,210.0,,,0 HCPCS,86692,Hepatitis delta agent antbdy,,,17.16,174.06,7 HCPCS,86694,"Hc Antibody, Herpes Simplex Igg",470.0,470.0,,,0 HCPCS,86694,"Hc Antibody, Herpes Simplex Igm",470.0,470.0,,,0 HCPCS,86694,Hc Herpes B Virus Primate Exp,470.0,470.0,,,0 HCPCS,86694,Herpes simplex nes antbdy,,,14.39,143.35,7 HCPCS,86695,"Hc Antibody; Herpes Simplex, Type 1",263.0,263.0,,,0 HCPCS,86695,"Hc Antibody; Herpes Simplex, Type 1-Laf",127.0,127.0,,,0 HCPCS,86695,Herpes simplex type 1 test,,,13.19,133.11,7 HCPCS,86696,"Hc Antibody; Herpes Simplex, Type 2",289.0,289.0,,,0 HCPCS,86696,"Hc Antibody; Herpes Simplex, Type 2-Laf",127.0,127.0,,,0 HCPCS,86696,Herpes simplex type 2 test,,,19.35,194.54,7 HCPCS,86698,Hc Histoplasma Antibody,163.0,163.0,,,0 HCPCS,86698,Histoplasma antibody,,,13.79,139.93,7 HCPCS,86701,Hc Antibody; Hiv-1,78.0,78.0,,,0 HCPCS,86701,Hc Antibody; Hiv-1 Conf,78.0,78.0,,,0 HCPCS,86701,Hc Antibody; Hiv-1 Conf-Laf,84.0,84.0,,,0 HCPCS,86701,Hc Antibody; Hiv-1-Laf,84.0,84.0,,,0 HCPCS,86701,Hiv-1antibody,,,8.89,88.74,8 HCPCS,86702,Hc Hiv Ab Type 2,185.0,185.0,,,0 HCPCS,86702,Hc Hiv Ab Type 2-Laf,129.0,129.0,,,0 HCPCS,86702,Hc Hiv2 Ab Conf,78.0,78.0,,,0 HCPCS,86702,Hc Hiv2 Ab Differentiation,78.0,78.0,,,0 HCPCS,86702,Hiv-2 antibody,,,13.52,136.52,7 HCPCS,86703,Hc Antibody; Hiv-1 And Hiv-2; Single Result,108.0,108.0,,,0 HCPCS,86703,Hiv-1/hiv-2 1 result antbdy,,,13.71,136.52,8 HCPCS,86704,Hc Hepatitis B Core Antibody; Total,390.0,390.0,,,0 HCPCS,86704,Hep b core antibody total,,,12.05,122.87,7 HCPCS,86705,Hc Hepatitis B Core Antibody; Igm Antibody,561.0,561.0,,,0 HCPCS,86705,Hep b core antibody igm,,,11.77,119.46,7 HCPCS,86706,Hc Hepatitis B Surgact Antibody,255.0,255.0,,,0 HCPCS,86706,Hep b surface antibody,,,10.74,109.22,7 HCPCS,86707,Hc Hepatitis Be Antibody,200.0,200.0,,,0 HCPCS,86707,Hepatitis be antibody,,,11.57,116.04,7 HCPCS,86708,Hc Hepatitis A Antibody; Total,289.0,289.0,,,0 HCPCS,86708,Hepatitis a antibody,,,12.39,126.28,7 HCPCS,86709,Hc Hepatitis A Antibody; Igm Antibody,533.0,533.0,,,0 HCPCS,86709,Hepatitis a igm antibody,,,11.26,112.63,7 HCPCS,86710,Hc Influenza Virus A Antibody,100.0,100.0,,,0 HCPCS,86710,Hc Influenza Virus B Antibody,100.0,100.0,,,0 HCPCS,86710,Influenza virus antibody,,,13.55,136.52,7 HCPCS,86711,John cunningham antibody,,,16.89,170.65,7 HCPCS,86713,Hc Legionella,108.0,108.0,,,0 HCPCS,86713,Legionella antibody,,,15.3,153.59,7 HCPCS,86717,Leishmania antibody,,,12.25,122.87,7 HCPCS,86720,Hc Antibody; Leptospira,255.0,255.0,,,0 HCPCS,86720,Leptospira antibody,,,16.2,163.83,7 HCPCS,86723,Listeria monocytogenes,,,13.19,133.11,7 HCPCS,86727,Hc Antibody; Lymphocytic Choriomeningitis,107.0,107.0,,,0 HCPCS,86727,Lymph choriomeningitis ab,,,12.87,129.7,7 HCPCS,86729,Lympho venereum antibody,,,25.07,25.07,1 HCPCS,86732,Mucormycosis antibody,,,15.0,150.17,7 HCPCS,86735,Hc Antibody Mumps Igg,218.0,218.0,,,0 HCPCS,86735,Hc Mumps Antibody Igm,218.0,218.0,,,0 HCPCS,86735,Hc Mumps Titer,58.0,58.0,,,0 HCPCS,86735,"Hc Mumps Virus Ab, Igg/Igm",218.0,218.0,,,0 HCPCS,86735,Mumps antibody,,,13.05,133.11,7 HCPCS,86738,"Hc Antibody, Mycoplasma Pneumoniae Igg",191.0,191.0,,,0 HCPCS,86738,"Hc Antibody, Mycoplasma Pneumoniae, Igm",191.0,191.0,,,0 HCPCS,86738,Hc Mycoplasma Igm Reflex By Ifa,191.0,191.0,,,0 HCPCS,86738,Hc Mycoplasma Pneu Antibody,232.0,232.0,,,0 HCPCS,86738,Hc Mycoplasma Pneumoniae Ab,191.0,191.0,,,0 HCPCS,86738,Mycoplasma antibody,,,13.24,133.11,7 HCPCS,86741,Neisseria meningitidis,,,13.19,133.11,7 HCPCS,86744,Nocardia antibody,,,15.99,160.41,7 HCPCS,86747,Hc Antibody; Parvovirus,340.0,340.0,,,0 HCPCS,86747,Parvovirus antibody,,,15.03,150.17,7 HCPCS,86750,Malaria antibody,,,13.19,133.11,7 HCPCS,86753,Hc E. Histolytica Ab,291.0,291.0,,,0 HCPCS,86753,Hc T. Cruzi Ab Panel,291.0,291.0,,,0 HCPCS,86753,"Hc Tryponsoma, Cruzi Pcr",291.0,291.0,,,0 HCPCS,86753,Protozoa antibody nos,,,12.39,126.28,7 HCPCS,86756,Hc Antibodyl Respiratory Syncytial Virus,208.0,208.0,,,0 HCPCS,86756,Respiratory virus antibody,,,15.89,160.41,7 HCPCS,86757,Hc Rickettsial Disease Ab,334.0,334.0,,,0 HCPCS,86757,Hc Rocky Mtn Spotted Fever Ab,334.0,334.0,,,0 HCPCS,86757,Rickettsia Antibody,,,19.35,194.54,7 HCPCS,86759,Rotavirus antibody,,,18.23,184.3,7 HCPCS,86762,Hc Antibody; Rubella,350.0,350.0,,,0 HCPCS,86762,Hc Antibody; Rubella-Laf,81.0,81.0,,,0 HCPCS,86762,Rubella antibody,,,14.39,143.35,8 HCPCS,86765,"Hc Antibody, Rubeola",377.0,377.0,,,0 HCPCS,86765,Hc Measles Igm,392.0,392.0,,,0 HCPCS,86765,Hc Widal Agglutinins,392.0,392.0,,,0 HCPCS,86765,Rubeola antibody,,,12.88,129.7,7 HCPCS,86768,Salmonella antibody,,,13.19,133.11,7 HCPCS,86769,Hc Covda (Sars-Cov-2 Iga Ab),200.0,200.0,,,0 HCPCS,86769,Hc Covdg (Sars-Cov-2 Igg Ab),200.0,200.0,,,0 HCPCS,86769,Hc Sars-Cov-2 Covid-19 Ab,193.0,193.0,,,0 HCPCS,86769,Hc Sars-Cov-2 Covid-19 Igm Ab,193.0,193.0,,,0 HCPCS,86769,Sars-cov-2 covid-19 antibody,,,42.13,147.46,5 HCPCS,86771,Hc Antibody; Shigella,298.0,298.0,,,0 HCPCS,86771,Shigella antibody,,,24.48,245.74,7 HCPCS,86774,Hc Antibody; Teatnus,255.0,255.0,,,0 HCPCS,86774,Tetanus antibody,,,14.8,150.17,7 HCPCS,86777,Hc Antibody; Toxoplasma,409.0,409.0,,,0 HCPCS,86777,Toxoplasma antibody,,,14.39,143.35,7 HCPCS,86778,"Hc Antibody; Toxoplasma, Igm",372.0,372.0,,,0 HCPCS,86778,Hc Toxoplasma Igm Ab,213.0,213.0,,,0 HCPCS,86778,Toxoplasma antibody igm,,,14.41,146.76,7 HCPCS,86780,Hc Antibody; Treponema Pallidum,250.0,250.0,,,0 HCPCS,86780,Hc Antibody; Treponema Pallidum-Laf,127.0,127.0,,,0 HCPCS,86780,Hc Syphilis Ab Tp-Pa,250.0,250.0,,,0 HCPCS,86780,Hc Syphilis Ab Tp-Pa-Laf,127.0,127.0,,,0 HCPCS,86780,Hc Syphilis Igg Antibody,250.0,250.0,,,0 HCPCS,86780,Hc Syphilis Igg Antibody-Laf,127.0,127.0,,,0 HCPCS,86780,Treponema pallidum,,,13.24,133.11,7 HCPCS,86784,Hc Antibody; Trichinella,297.0,297.0,,,0 HCPCS,86784,Trichinella antibody,,,12.56,126.28,7 HCPCS,86787,"Hc Antibody, Varicella-Zoster Igg",374.0,374.0,,,0 HCPCS,86787,"Hc Antibody, Varicella-Zoster Igm",374.0,374.0,,,0 HCPCS,86787,Hc Varicella Titer,55.0,55.0,,,0 HCPCS,86787,"Hc Varicella Zoster Ab Igm, S",242.0,242.0,,,0 HCPCS,86787,Varicella-zoster antibody,,,12.88,129.7,7 HCPCS,86788,"Hc Antibody; West Nile Virus, Igm",210.0,210.0,,,0 HCPCS,86788,West nile virus ab igm,,,16.85,170.65,7 HCPCS,86789,Hc Antibody; West Nile Virus; Igg,210.0,210.0,,,0 HCPCS,86789,West Nile Virus Antibody,,,14.39,143.35,7 HCPCS,86790,Hc Coronavirus (Covid-19) Sars-Cov-2 Antibody Igm And Igg Panel,162.0,162.0,,,0 HCPCS,86790,Hc Dengue Fever Virus Antibody,156.0,156.0,,,0 HCPCS,86790,Hc Hep E Igg,351.0,351.0,,,0 HCPCS,86790,Hc Hepatitis E Igm,351.0,351.0,,,0 HCPCS,86790,Hc Herpes Virus 6,351.0,351.0,,,0 HCPCS,86790,Hc Htlvi/Htlv2,351.0,351.0,,,0 HCPCS,86790,Hc Lrsv-Hepatitis E Igg Ab,168.0,168.0,,,0 HCPCS,86790,Hc Lrsv-Hepatitis E Igm Ab,168.0,168.0,,,0 HCPCS,86790,Hc Lrsv-Hepatitis E Virus Igm Ab Conf,168.0,168.0,,,0 HCPCS,86790,Virus antibody nos,,,12.88,129.7,7 HCPCS,86793,Hc Antibody; Yersina Enterocolitica,163.0,163.0,,,0 HCPCS,86793,Yersinia antibody,,,13.19,133.11,7 HCPCS,86794,Zika virus igm antibody,,,16.85,170.65,6 HCPCS,86800,Hc Chromosome Deb,645.0,645.0,,,0 HCPCS,86800,Hc Thyroglobulin Ab Screen,263.0,263.0,,,0 HCPCS,86800,Hc Thyroglobulin Antibody,412.0,412.0,,,0 HCPCS,86800,"Hc Thyroglobulin Antibody, S",317.0,317.0,,,0 HCPCS,86800,Hc Thyroglobulin Reflx Ms,263.0,263.0,,,0 HCPCS,86800,Thyroglobulin antibody,,,15.91,160.41,7 HCPCS,86803,Hc Hepatitis C Antibody,513.0,513.0,,,0 HCPCS,86803,Hc Hepatitis C Antibody-Laf,136.0,136.0,,,0 HCPCS,86803,Hepatitis c ab test,,,14.27,143.35,8 HCPCS,86804,Hc Hepatitis C Antibody; Confirmatory Test,412.0,412.0,,,0 HCPCS,86804,Hep c ab test confirm,,,15.49,157.0,7 HCPCS,86805,Lymphocytotoxicity assay,,,110.82,1907.89,8 HCPCS,86806,Lymphocytotoxicity assay,,,47.59,477.82,7 HCPCS,86807,Cytotoxic antibody screening,,,78.65,791.82,7 HCPCS,86807,Hc Pra Class I,378.0,378.0,,,0 HCPCS,86807,Hc Pra Class Ii,378.0,378.0,,,0 HCPCS,86808,Cytotoxic antibody screening,,,29.68,300.35,7 HCPCS,86812,Hc Hla Type; A B C Sgl Ag,370.0,370.0,,,0 HCPCS,86812,Hla typing a b or c,,,25.81,259.39,7 HCPCS,86813,Hla typing a b or c,,,58.0,583.63,8 HCPCS,86816,"Hc Hla Typing; Dr/Dq, Single Antigen",400.0,400.0,,,0 HCPCS,86816,Hla typing dr/dq,,,30.17,303.76,7 HCPCS,86817,"Hc Hla Typing; Dr/Dq, Multiple Antigens",1217.0,1217.0,,,0 HCPCS,86817,Hla typing dr/dq,,,106.14,1068.28,8 HCPCS,86821,"Hc Hla Typing; Lymphocute Culture, Mixed",4242.0,4242.0,,,0 HCPCS,86821,Lymphocyte culture mixed,,,36.56,368.61,7 HCPCS,86822,Lymphocyte culture primed,,,77.4,77.4,1 HCPCS,86825,Hc Endothelial Cell Crossmatch,496.0,496.0,,,0 HCPCS,86825,"Hc Hla Crossmatch, Non-Cytotocix; First Serum Sample Or Dilution",580.0,580.0,,,0 HCPCS,86825,Hla x-math non-cytotoxic,,,109.49,1102.41,7 HCPCS,86826,"Hc Hla Crossmatch, Non-Cytotocix; Each Additional Serum Sample Or Sample Dilution",290.0,290.0,,,0 HCPCS,86826,Hla x-match noncytotoxc addl,,,36.53,368.61,7 HCPCS,86828,"Hc Antibody Hla, Solid Phase Assay; Qual Assess Presence/Absence Antibody Hla Class I & Class Ii",898.0,898.0,,,0 HCPCS,86828,Hla class i&ii antibody qual,,,64.19,645.06,7 HCPCS,86829,Hc Antibody Hla Solid Phase Assay; Qual Assess Presence/Absence Antibody Hla Class I & Class Ii,898.0,898.0,,,0 HCPCS,86829,Hla class i/ii antibody qual,,,62.93,645.06,7 HCPCS,86830,"Hc Antibody To Hla, Solid Phase Assay; Antibody Id Qual Panel Complete Hla Phenotypes, Hla Class I",492.0,492.0,,,0 HCPCS,86830,Hla class i phenotype qual,,,95.52,962.48,7 HCPCS,86831,"Hc Antibody To Hla, Solid Phase Assay, Antibody Id Qual Panel Complete Hla Phenotypes, Hla Class Ii",492.0,492.0,,,0 HCPCS,86831,"Hc Mica Antibody, Serum",474.0,474.0,,,0 HCPCS,86831,Hla class ii phenotype qual,,,81.88,825.95,7 HCPCS,86832,Hc Hla Class I C1Q,550.0,550.0,,,0 HCPCS,86832,Hc Hla Class I Spec Ag Ab Id,550.0,550.0,,,0 HCPCS,86832,Hc Hla Class Ii C1Q,550.0,550.0,,,0 HCPCS,86832,Hla class i high defin qual,,,268.97,3259.45,7 HCPCS,86833,"Hc Antibody To Hla, Solid Phase Assays; High Def Qual Panel Id Antibody Specificities, Hla Class Ii",550.0,550.0,,,0 HCPCS,86833,Hla class ii high defin qual,,,244.47,3279.93,7 HCPCS,86834,"Hc Antibody To Hla, Solid Phase Assays, Semi-Quantitative Panel, Hla Class I",1410.0,1410.0,,,0 HCPCS,86834,Hla class i semiquant panel,,,357.56,3600.75,7 HCPCS,86835,"Hc Antibody To Hla, Solid Phase Assays, Semi-Quantitative Panel, Hla Class Ii",1410.0,1410.0,,,0 HCPCS,86835,Hla class ii semiquant panel,,,322.96,3252.62,7 HCPCS,86849,Hc Allomap,534.0,534.0,,,0 HCPCS,86849,Hc Immunology Proc Znt8,534.0,534.0,,,0 HCPCS,86849,Immunology procedure,,,19.05,224.15,3 HCPCS,86850,"Hc Antibody Screen, Rbc, Each Serum Technique",324.0,324.0,,,0 HCPCS,86850,"Hc Antibody Screen, Rbc, Each Serum Technique-Laf",52.0,52.0,,,0 HCPCS,86850,RBC antibody screen,,,8.36,98.98,8 HCPCS,86860,"Hc Antibody Elution, Each Elution",378.0,378.0,,,0 HCPCS,86860,RBC antibody elution,,,47.34,522.06,7 HCPCS,86870,"Hc Antibody Identification, Rbc Antibodies, Each Panel For Each Serum Technique",630.0,630.0,,,0 HCPCS,86870,RBC antibody identification,,,65.16,1019.41,7 HCPCS,86880,Coombs test direct,,,11.13,91.66,7 HCPCS,86880,"Hc Antihuman Globulin Test; Direct, Each Antiserum",182.0,182.0,,,0 HCPCS,86885,Coombs test indirect qual,,,12.26,264.73,7 HCPCS,86886,Coombs test indirect titer,,,11.13,264.73,7 HCPCS,86886,Hc Indirect Ab Titer,869.0,869.0,,,0 HCPCS,86890,Autologous blood process,,,149.81,976.13,8 HCPCS,86890,"Hc Autologous Blood Or Component, Collection Processing And Storage; Predeposited",1235.0,1235.0,,,0 HCPCS,86891,Autologous blood op salvage,,,211.05,2296.53,7 HCPCS,86891,"Hc Autologous Blood Or Component, Collection Process & Store; Intra- Or Postop Salave",4089.0,4089.0,,,0 HCPCS,86900,Blood typing serologic abo,,,6.12,206.74,8 HCPCS,86900,"Hc Blood Typing, Serologic, Abo",163.0,163.0,,,0 HCPCS,86900,"Hc Blood Typing, Serologic, Abo-Laf",50.0,50.0,,,0 HCPCS,86901,Blood typing serologic rh(d),,,6.12,58.04,8 HCPCS,86901,"Hc Blood Typing, Serologic, Rh (D)",141.0,141.0,,,0 HCPCS,86901,"Hc Blood Typing, Serologic, Rh (D)-Laf",52.0,52.0,,,0 HCPCS,86902,Blood type antigen donor ea,,,8.36,556.97,7 HCPCS,86902,"Hc Blood Typing, Serologic; Antigen Testing Of Donor Blood Using Reagent Serum, Each Antigen Test",186.0,186.0,,,0 HCPCS,86904,Blood typing patient serum,,,20.04,163.83,7 HCPCS,86905,Blood typing rbc antigens,,,8.36,556.97,7 HCPCS,86905,"Hc Blood Typing, Serologic, Rbc Antigens, Other Than Abo Or Rh (D), Each",238.0,238.0,,,0 HCPCS,86906,Bld typing serologic rh phnt,,,16.16,78.5,7 HCPCS,86910,Blood typing paternity test,,,38.99,252.56,4 HCPCS,86911,Blood typing antigen system,,,33.41,218.43,4 HCPCS,86920,Compatibility test spin,,,50.71,522.06,8 HCPCS,86920,Hc Compatibility Test Spin,170.0,170.0,,,0 HCPCS,86921,Compatibility test incubate,,,47.34,522.06,7 HCPCS,86922,Compatibility test antiglob,,,56.25,522.06,8 HCPCS,86922,Hc Compatibility Test Each Unit; Antiglobulin Technique,357.0,357.0,,,0 HCPCS,86923,Compatibility test electric,,,42.32,522.06,7 HCPCS,86923,Hc Compatibility Test Each Unit; Electronic,262.0,262.0,,,0 HCPCS,86927,"Hc Fresh Frozen Plasma, Thawing, Each Unit",389.0,389.0,,,0 HCPCS,86927,Plasma fresh frozen,,,30.08,522.06,7 HCPCS,86930,Frozen blood prep,,,175.97,1150.19,7 HCPCS,86931,Frozen blood thaw,,,131.99,1019.41,7 HCPCS,86932,Frozen blood freeze/thaw,,,40.03,976.13,7 HCPCS,86940,Hemolysins/agglutinins auto,,,8.77,88.74,7 HCPCS,86941,Hemolysins/agglutinins,,,12.11,122.87,7 HCPCS,86945,Blood product/irradiation,,,40.03,286.69,7 HCPCS,86945,"Hc Irradiation Of Blood Product, Each Unit",305.0,305.0,,,0 HCPCS,86950,Leukacyte transfusion,,,114.17,747.45,7 HCPCS,86960,"Hc Volume Reduction Of Blood Or Blood Products, Each Unit",298.0,298.0,,,0 HCPCS,86960,Vol reduction of blood/prod,,,49.01,522.06,7 HCPCS,86965,Hc Pooling Of Platelets Or Other Blood Products,250.0,250.0,,,0 HCPCS,86965,Pooling blood platelets,,,49.01,522.06,7 HCPCS,86970,Rbc pretx incubatj w/chemicl,,,44.0,286.69,7 HCPCS,86971,Rbc pretx incubatj w/enzymes,,,35.09,1019.41,7 HCPCS,86972,Rbc pretx incubatj w/density,,,61.82,522.06,7 HCPCS,86975,"Hc Pretreatment Of Serum For Us In Rbc Antibody Identification, Incubation With Drugs, Each",399.0,399.0,,,0 HCPCS,86975,Rbc serum pretx incubj drugs,,,47.34,945.77,7 HCPCS,86976,Hc Serum Dilution,869.0,869.0,,,0 HCPCS,86976,Rbc serum pretx id dilution,,,30.99,344.72,7 HCPCS,86977,Rbc serum pretx incubj/inhib,,,52.91,522.06,7 HCPCS,86978,Rbc pretreatment serum,,,52.91,344.72,7 HCPCS,86985,"Hc Splitting Of Blood Or Blood Products, Each Unit",312.0,312.0,,,0 HCPCS,86985,Split blood or products,,,38.99,522.06,7 HCPCS,86999,Hc Psc Serology Pannel,758.0,758.0,,,0 HCPCS,86999,Transfusion procedure,,,19.05,158.15,7 HCPCS,87003,Small animal inoculation,,,16.84,170.65,7 HCPCS,87015,"Hc Concentration , For Infection Agents",119.0,119.0,,,0 HCPCS,87015,Hc Cyclospora Stain Concentration,99.0,99.0,,,0 HCPCS,87015,Specimen infect agnt concntj,,,6.68,68.26,7 HCPCS,87040,Blood culture for bacteria,,,10.32,102.39,8 HCPCS,87040,Hc Culture Bacterial Blood Additional,574.0,574.0,,,0 HCPCS,87040,Hc Culture Bacterial Blood Aerobic W/Id Isolates,298.0,298.0,,,0 HCPCS,87040,Hc Culture Bacterial Definitive; Blood,574.0,574.0,,,0 HCPCS,87045,Feces culture aerobic bact,,,9.44,95.56,8 HCPCS,87045,"Hc Culture, Bacterial; Stool, Aerobic, Isolation & Prelim Exam, Salmonella And Shigella Species",537.0,537.0,,,0 HCPCS,87046,"Hc Culture, Bacterial; Stool, Aerobic, Add Pathogens, Isolation & Presumptive Id Isolates, Each",117.0,117.0,,,0 HCPCS,87046,Stool cultr aerobic bact ea,,,9.44,95.56,7 HCPCS,87060,Description Not Available,,,50.71,50.71,1 HCPCS,87070,Culture othr specimn aerobic,,,8.62,85.33,8 HCPCS,87070,Hc Culture Respiratory,385.0,385.0,,,0 HCPCS,87070,"Hc Culture, Aerobic",385.0,385.0,,,0 HCPCS,87070,"Hc Culture, Biopsy",385.0,385.0,,,0 HCPCS,87070,"Hc Culture, Body Fluid",385.0,385.0,,,0 HCPCS,87070,"Hc Culture, Bone Marrow",385.0,385.0,,,0 HCPCS,87070,"Hc Culture, Breast Milk",385.0,385.0,,,0 HCPCS,87070,"Hc Culture, Dialysis Fluid",385.0,385.0,,,0 HCPCS,87070,"Hc Culture, Ear",385.0,385.0,,,0 HCPCS,87070,"Hc Culture, External Female Genital",385.0,385.0,,,0 HCPCS,87070,"Hc Culture, Eye",385.0,385.0,,,0 HCPCS,87070,"Hc Culture, Gall Bladder",385.0,385.0,,,0 HCPCS,87070,"Hc Culture, Genital",385.0,385.0,,,0 HCPCS,87070,"Hc Culture, Internal Female Genital",385.0,385.0,,,0 HCPCS,87070,"Hc Culture, Joint (Synovial) Fluid",385.0,385.0,,,0 HCPCS,87070,"Hc Culture, Lower Respiratory",385.0,385.0,,,0 HCPCS,87070,"Hc Culture, Male Intern Genital",385.0,385.0,,,0 HCPCS,87070,"Hc Culture, Misc",385.0,385.0,,,0 HCPCS,87070,"Hc Culture, Pleural Fluid",385.0,385.0,,,0 HCPCS,87070,"Hc Culture, Spinal Fluid",385.0,385.0,,,0 HCPCS,87070,"Hc Culture, Upper Respiratory",385.0,385.0,,,0 HCPCS,87070,"Hc Culture, Wound",385.0,385.0,,,0 HCPCS,87071,Culture aerobic quant other,,,9.89,98.98,7 HCPCS,87071,Hc Aerobic Quant Tissue Culture,465.0,465.0,,,0 HCPCS,87071,"Hc Culture, Catheter Tip",465.0,465.0,,,0 HCPCS,87071,Hc Quant Respiratory Culture,465.0,465.0,,,0 HCPCS,87072,Description Not Available,,,26.69,26.69,1 HCPCS,87073,Culture Bacteria Anaerobic,,,9.66,98.98,7 HCPCS,87073,"Hc Culture, Bacterial; Quant, Anaer Isolat & Presumpt Id Isolate, Source Except Urine, Blood/Stool",249.0,249.0,,,0 HCPCS,87075,Cultr bacteria except blood,,,9.47,95.56,8 HCPCS,87075,"Hc Culture, Bacterial; Any Source, Except Blood, Anaerobic Isolation & Presumptive Id Of Isolates",447.0,447.0,,,0 HCPCS,87076,Culture anaerobe ident each,,,8.08,81.91,7 HCPCS,87076,"Hc Cult, Bacterial; Anaerobic Isolate, Add Meth Required For Definitive Identification, Each Isolate",190.0,190.0,,,0 HCPCS,87077,Culture Aerobic Identify,,,8.08,81.91,7 HCPCS,87077,Hc Clo Method For Definitive Id,186.0,186.0,,,0 HCPCS,87077,Hc Clo Method For Definitive Id-Laf,39.0,39.0,,,0 HCPCS,87077,"Hc Cult, Bacterial; Aerobic Isolate, Add Meth Required For Definitive Identification, Each Isolate",186.0,186.0,,,0 HCPCS,87077,"Hc Cult, Bacterial; Aerobic Isolate, Add Meth Required For Definitive Identification, Each Isolate-L",39.0,39.0,,,0 HCPCS,87081,Culture screen only,,,6.63,68.26,8 HCPCS,87081,Hc Biopsy Culture Yersinia Scrn,255.0,255.0,,,0 HCPCS,87081,Hc Culture Acanthamoeba,255.0,255.0,,,0 HCPCS,87081,Hc Culture Screen Genital Beta Strep,255.0,255.0,,,0 HCPCS,87081,"Hc Culture, Beta Strep Bacteria",255.0,255.0,,,0 HCPCS,87081,"Hc Culture, Enterococcus Screen",255.0,255.0,,,0 HCPCS,87081,"Hc Culture, N. Gonorrhoeae Bacteria",255.0,255.0,,,0 HCPCS,87081,"Hc Culture, Nasal",255.0,255.0,,,0 HCPCS,87081,"Hc Culture, Pertussis Screen",255.0,255.0,,,0 HCPCS,87081,"Hc Culture,Single Agent Screen",255.0,255.0,,,0 HCPCS,87081,Hc Helicobacter Pylori Culture,167.0,167.0,,,0 HCPCS,87081,Hc Methicillin Resistance Screen,255.0,255.0,,,0 HCPCS,87081,Hc Mrsa Screen,178.0,178.0,,,0 HCPCS,87081,Hc Vre Screen,178.0,178.0,,,0 HCPCS,87082,Description Not Available,,,26.69,26.69,1 HCPCS,87084,Culture of specimen by kit,,,18.38,273.04,7 HCPCS,87086,"Hc Culture, Bacterial, Quantitative Colony Count, Urne",311.0,311.0,,,0 HCPCS,87086,"Hc Culture, Bacterial, Quantitative Colony Count, Urne-Laf",77.0,77.0,,,0 HCPCS,87086,Urine culture/colony count,,,8.07,81.91,8 HCPCS,87088,"Hc Culture, Bacterial; With Isolation And Presumptive Identification Of Isolates; Skin, Hair Or Nail",208.0,208.0,,,0 HCPCS,87088,Urine bacteria culture,,,8.09,81.91,8 HCPCS,87101,"Hc Culture, Fungi Isolation, With Presumptive Identification Of Isolates; Skin, Hair Or Nail",439.0,439.0,,,0 HCPCS,87101,Skin fungi culture,,,7.71,78.5,7 HCPCS,87102,Fungus isolation culture,,,8.41,85.33,7 HCPCS,87102,"Hc Culture, Fungi, W/ Id Isolates; Other",438.0,438.0,,,0 HCPCS,87103,Blood fungus culture,,,18.93,204.78,7 HCPCS,87103,Hc Fungus Culture Blood,207.0,207.0,,,0 HCPCS,87106,Fungi identification yeast,,,10.32,102.39,7 HCPCS,87106,"Hc Culture, Fungi, Definitive Identification, Each Organism, Yeast",297.0,297.0,,,0 HCPCS,87107,Fungi identification mold,,,10.32,102.39,7 HCPCS,87107,"Hc Culture, Fungi, Definitive Identification, Each Organism, Mold",232.0,232.0,,,0 HCPCS,87109,Mycoplasma,,,15.39,153.59,7 HCPCS,87110,Chlamydia culture,,,19.6,197.96,8 HCPCS,87110,"Hc Culture, Chlamydia, Any Source",433.0,433.0,,,0 HCPCS,87116,"Hc Culture, Tubercle/ Other Acid-Fasti Bacilli, Afb, Any Source, Isolat & Presumptive Id Isolates",471.0,471.0,,,0 HCPCS,87116,Mycobacteria culture,,,10.8,109.22,7 HCPCS,87118,"Hc Culture, Mycobacterial, Definitive Identification, Each Isolate",243.0,243.0,,,0 HCPCS,87118,Mycobacteric identification,,,14.61,146.76,7 HCPCS,87140,Culture type immunofluoresc,,,5.57,54.61,7 HCPCS,87140,"Hc Culture, Typing; Immunofluorescent Method, Each Antiserum",190.0,190.0,,,0 HCPCS,87143,Culture typing glc/hplc,,,12.52,126.28,7 HCPCS,87147,Culture type immunologic,,,5.18,51.2,7 HCPCS,87147,"Hc Culture, Typing; Immunologic Method, Other Than Immunofluorescence, Per Antiserum",82.0,82.0,,,0 HCPCS,87149,Dna/rna direct probe,,,20.05,201.37,7 HCPCS,87149,Hc Afb Identtionific By Nucleic Acid Probe,367.0,367.0,,,0 HCPCS,87149,Hc Culture Type Id Na Probe Kpc Per Culture,367.0,367.0,,,0 HCPCS,87150,Dna/rna amplified probe,,,35.09,354.96,7 HCPCS,87150,Hc Carba-R,243.0,243.0,,,0 HCPCS,87150,"Hc Culture, Typing; Id Nucleic Acid Probe, Amplified Probe Tech, Per Culture Or Isolate, Each",619.0,619.0,,,0 HCPCS,87152,Culture Type Pulse Field Gel,,,7.74,78.5,7 HCPCS,87153,Dna/rna sequencing,,,115.36,1160.43,7 HCPCS,87153,"Hc Culture, Typing; Identification By Nucleic Acid Sequencing Method, Each Isolate",1208.0,1208.0,,,0 HCPCS,87154,Cul typ id bld pthgn 6+ trgt,,,218.06,2194.58,6 HCPCS,87154,Hc Culture Typing Id Blood Patgen&Resist Multl Ampl Probe 6 Or More Targets,1160.0,1160.0,,,0 HCPCS,87158,Culture typing added method,,,7.74,78.5,7 HCPCS,87158,Hc Myobacterium Identification By Sequencing,343.0,343.0,,,0 HCPCS,87164,Dark field examination,,,10.74,109.22,7 HCPCS,87166,Dark field examination,,,11.3,112.63,7 HCPCS,87168,Hc Macroscopic Examination; Arthropod,179.0,179.0,,,0 HCPCS,87168,Macroscopic Exam Arthropod,,,4.27,44.37,7 HCPCS,87169,Hc Macroscopic Examination; Parasite,138.0,138.0,,,0 HCPCS,87169,Macroscopic exam parasite,,,4.31,44.37,7 HCPCS,87172,Hc Pinworm Exam,163.0,163.0,,,0 HCPCS,87172,Pinworm Exam,,,4.27,44.37,7 HCPCS,87176,"Hc Homogenization, Tissue, For Culture",118.0,118.0,,,0 HCPCS,87176,Tissue homogenization cultr,,,5.88,58.02,7 HCPCS,87177,Hc Ova & Parasites Dir Smr W Id,103.0,103.0,,,0 HCPCS,87177,"Hc Ova And Parasites, Direct Smears, Concentration And Identification",408.0,408.0,,,0 HCPCS,87177,Ova and parasites smears,,,8.9,88.74,8 HCPCS,87178,Description Not Available,,,106.76,106.76,1 HCPCS,87179,Description Not Available,,,106.76,106.76,1 HCPCS,87181,"Hc Susceptibility Studies, Antimicrobial Agent; Agar Dilution Method, Per Agent",152.0,152.0,,,0 HCPCS,87181,Microbe susceptible diffuse,,,4.75,47.78,7 HCPCS,87183,Sc std carbapenem resist gen,,,35.09,50.88,3 HCPCS,87184,Hc Susceptibility,227.0,227.0,,,0 HCPCS,87184,Hc Susceptibility-Single Agent,227.0,227.0,,,0 HCPCS,87184,Microbe susceptible disk,,,7.48,75.09,8 HCPCS,87185,"Hc Susceptibility Studies, Antimicrobial Agent; Enzyme Detection, Per Enzyme",68.0,68.0,,,0 HCPCS,87185,Microbe susceptible enzyme,,,4.75,47.78,7 HCPCS,87186,"Hc Lantimicrobial Susceptibility, Nocardia",431.0,431.0,,,0 HCPCS,87186,Hc Min Inhibitory Conc'n,431.0,431.0,,,0 HCPCS,87186,"Hc Sensitivity-Viral, Ea Antibiotic",431.0,431.0,,,0 HCPCS,87186,Hc Susceptibility Micro,431.0,431.0,,,0 HCPCS,87186,Hc Susceptibility Of Yeast,431.0,431.0,,,0 HCPCS,87186,Hc Susceptiblty Stdy Antimicrbial Micro/Agar Dilutj,431.0,431.0,,,0 HCPCS,87186,Hc Suseptibility Afb Slow Grower,431.0,431.0,,,0 HCPCS,87186,Microbe susceptible mic,,,8.65,88.74,8 HCPCS,87187,"Hc Susceptib Studies, Antimicrobialt; Microdil/Agar, Minimum Lethal Concentration, Each",97.0,97.0,,,0 HCPCS,87187,Microbe susceptible mlc,,,21.72,406.15,7 HCPCS,87188,"Hc Susceptibility Studies, Antimicrobial Agent; Macrobroth Dilution, Each Agent",115.0,115.0,,,0 HCPCS,87188,Microbe suscept macrobroth,,,6.64,68.26,7 HCPCS,87190,"Hc Susceptibility Studies, Antimicrobial Agent; Mycobactera, Proportion Method, Each Agent",140.0,140.0,,,0 HCPCS,87190,Microbe suscept mycobacteri,,,7.31,75.09,7 HCPCS,87197,Bactericidal level serum,,,15.02,150.17,7 HCPCS,87205,Hc Quantitative Rapid Smear,190.0,190.0,,,0 HCPCS,87205,"Hc Smear, Gram Stain",190.0,190.0,,,0 HCPCS,87205,Smear gram stain,,,4.27,44.37,8 HCPCS,87206,Hc Acanthamoeba Stain,227.0,227.0,,,0 HCPCS,87206,Hc Smear Acid Fast Stain For Parasites,227.0,227.0,,,0 HCPCS,87206,Hc Smear Modified Acid Fast Bac,227.0,227.0,,,0 HCPCS,87206,"Hc Smear, Acid Fast Stain",227.0,227.0,,,0 HCPCS,87206,"Hc Smear, Fungal",227.0,227.0,,,0 HCPCS,87206,Smear fluorescent/acid stai,,,5.39,54.61,8 HCPCS,87207,Hc Cyclospora Stain,164.0,164.0,,,0 HCPCS,87207,"Hc Smear Parasites, Giemsa Stain",314.0,314.0,,,0 HCPCS,87207,"Hc Smear, Primary Source Interp; Fluoresc Acid Fast Stain For Bact, Fungi, Parasites, Viruses",314.0,314.0,,,0 HCPCS,87207,Smear special stain,,,5.99,61.43,7 HCPCS,87209,Hc Smear Complex Stain,127.0,127.0,,,0 HCPCS,87209,"Hc Smear, Primary Source With Interpretation; Complex Special Stain (Trichome) For Ova And Parasites",233.0,233.0,,,0 HCPCS,87209,Smear complex stain,,,17.98,180.89,7 HCPCS,87210,Chg Smr Prim Src Wet Mount Nfct Agt-Pbb,218.0,218.0,,,0 HCPCS,87210,Hc Fungi Tissue Exam,104.0,104.0,,,0 HCPCS,87210,Hc Fungi Tissue Exam-Pbb,216.0,216.0,,,0 HCPCS,87210,"Hc Smear, Primary Source With Interpretation; Wet Mount For Infectious Agents",167.0,167.0,,,0 HCPCS,87210,"Hc Smear, Primary Source With Interpretation; Wet Mount For Infectious Agents-Pbb",276.0,276.0,,,0 HCPCS,87210,Hc Wet Mount,111.0,111.0,,,0 HCPCS,87210,Hc Wet Mount-Pbb,220.5,220.5,,,0 HCPCS,87210,Smear wet mount saline/ink,,,5.82,58.02,7 HCPCS,87210,Wet Mounts/ W Preparations-Pbb,218.0,218.0,,,0 HCPCS,87220,Hc Tissue Exam Fungi,104.0,104.0,,,0 HCPCS,87220,Tissue exam for fungi,,,4.27,44.37,7 HCPCS,87230,Assay toxin or antitoxin,,,19.74,197.96,8 HCPCS,87250,Virus inoculate eggs/animal,,,19.56,197.96,7 HCPCS,87252,"Hc Culture, Cytomegalovirus",374.0,374.0,,,0 HCPCS,87252,"Hc Culture, Herpes Simplex",374.0,374.0,,,0 HCPCS,87252,Hc Viral Culture,359.0,359.0,,,0 HCPCS,87252,Virus inoculation tissue,,,26.07,262.8,8 HCPCS,87253,"Hc Virus Isolation; Tissue Culture, Additional Studies Or Definitive Identification, Each Isolate",386.0,386.0,,,0 HCPCS,87253,Virus inoculate tissue addl,,,20.2,204.78,7 HCPCS,87254,"Hc Virus Isolation; Centrifuge Enhanced Tech, Id With Immunofluorescence Stain, Each Virus",319.0,319.0,,,0 HCPCS,87254,Virus inoculation shell via,,,19.56,197.96,7 HCPCS,87255,Genet virus isolate hsv,,,33.86,341.3,7 HCPCS,87260,Adenovirus ag if,,,14.43,146.76,7 HCPCS,87260,"Hc Infectious Agent Antigen Detection By Immunofluorescent Technique, Adenovirus",230.0,230.0,,,0 HCPCS,87265,Pertussis ag if,,,11.98,119.46,7 HCPCS,87267,Enterovirus antibody dfa,,,13.42,136.52,7 HCPCS,87269,Giardia ag if,,,13.61,136.52,7 HCPCS,87269,"Hc Infectious Agent Antigen Detection By Immunofluorescent Technique, Giardia",213.0,213.0,,,0 HCPCS,87270,Chlamydia trachomatis ag if,,,11.98,119.46,7 HCPCS,87271,Cytomegalovirus dfa,,,13.42,136.52,7 HCPCS,87272,Cryptosporidium ag if,,,11.98,119.46,7 HCPCS,87272,Hc Ag Detect By If Crytosporidium,213.0,213.0,,,0 HCPCS,87272,"Hc Antigen By Dfa, Crypto/Giardia",213.0,213.0,,,0 HCPCS,87273,Hc Infectious Agent Antigen Detection By Immunofluorescent Technique; Herpes Simplex Virus Type 2,135.0,135.0,,,0 HCPCS,87273,Herpes simplex 2 ag if,,,11.98,119.46,7 HCPCS,87274,Hc Infectious Agent Antigen Detection By Immunofluorescent Technique; Herpes Simplex Virus Type 1,135.0,135.0,,,0 HCPCS,87274,Herpes simplex 1 ag if,,,11.98,119.46,7 HCPCS,87275,Hc Infectious Agent Antigen Detection By Immunofluorescent Technique; Influenza B Virus,148.0,148.0,,,0 HCPCS,87275,Influenza b ag if,,,12.25,122.87,7 HCPCS,87276,Hc Infectious Agent Antigen Detection By Immunofluorescent Technique; Influenza A Virus,148.0,148.0,,,0 HCPCS,87276,Influenza a ag if,,,16.07,160.41,7 HCPCS,87277,Legionella micdadei ag if,,,25.62,25.62,1 HCPCS,87278,Legion pneumophilia ag if,,,15.6,157.0,7 HCPCS,87279,"Hc Infectious Agent Antigen Detection By Immunofluorescent Technique; Parainfluenza Virus, Each",93.0,93.0,,,0 HCPCS,87279,Parainfluenza ag if,,,16.43,163.83,7 HCPCS,87280,Hc Infectious Agent Antigen Detection By Immunofluorescent Technique; Respiratory Syncytial Virus,230.0,230.0,,,0 HCPCS,87280,Respiratory syncytial ag if,,,13.42,136.52,7 HCPCS,87281,Hc Infectious Agent Antigen Detection By Immunofluorescent Technique; Pneumocystis Carinii,448.0,448.0,,,0 HCPCS,87281,Pneumocystis carinii ag if,,,11.98,119.46,7 HCPCS,87283,Rubeola ag if,,,25.62,610.93,7 HCPCS,87285,Treponema pallidum ag if,,,12.18,122.87,7 HCPCS,87290,Hc Infectious Agent Antigen Detection By Immunofluorescent Technique; Varicella Zoster Virus,164.0,164.0,,,0 HCPCS,87290,Varicella zoster ag if,,,13.42,136.52,7 HCPCS,87299,Antibody detection nos if,,,16.1,163.83,7 HCPCS,87300,Ag detection polyval if,,,11.98,119.46,7 HCPCS,87301,Adenovirus ag ia,,,11.98,119.46,7 HCPCS,87301,"Hc Infec Agent Antig Detect Enzyme Immuno, Qual/Semiquant, Mult-Step; Adenovir Enteric Types 40/41",352.0,352.0,,,0 HCPCS,87305,Aspergillus ag ia,,,11.98,119.46,7 HCPCS,87305,"Hc Infec Agent Antig Detect Enzyme Immuno, Qual/Semiquant, Mult-Step; Aspergillus",242.0,242.0,,,0 HCPCS,87320,Chylmd trach ag ia,,,15.0,150.17,7 HCPCS,87324,Clostridium ag ia,,,11.98,119.46,8 HCPCS,87324,"Hc C. Difficile Toxin Antigen, Feces",280.0,280.0,,,0 HCPCS,87324,"Hc Infec Agent Antig Detect Enzyme Immuno, Qual/Semiquant, Mult-Step; C Diff",280.0,280.0,,,0 HCPCS,87327,Cryptococcus neoform ag ia,,,13.42,136.52,7 HCPCS,87328,Cryptosporidium ag ia,,,13.82,139.93,7 HCPCS,87328,Hc Cryptosporidium Ag,313.0,313.0,,,0 HCPCS,87329,Giardia ag ia,,,11.98,119.46,7 HCPCS,87329,Hc Giardia Ag,161.0,161.0,,,0 HCPCS,87332,Cytomegalovirus ag ia,,,11.98,119.46,7 HCPCS,87335,E coli 0157 ag ia,,,12.66,126.28,7 HCPCS,87336,Entamoeb hist dispr ag ia,,,16.0,160.41,7 HCPCS,87337,Entamoeb hist group ag ia,,,11.98,119.46,7 HCPCS,87338,"Hc Infectious Agent Antigen Detect Enzyme Immunoassay Tech, Qual/Semiquant, Multiple-Step; Stool",443.0,443.0,,,0 HCPCS,87338,Hpylori stool ia,,,14.38,143.35,7 HCPCS,87339,H pylori ag ia,,,16.0,160.41,7 HCPCS,87340,"Hc Infec Agent Antig Detect Enzyme Immuno, Qual/Semiquant, Mult-Step; Hepatitis B Surface",456.0,456.0,,,0 HCPCS,87340,"Hc Infec Agent Antig Detect Enzyme Immuno, Qual/Semiquant, Mult-Step; Hepatitis B Surface-Laf",99.0,99.0,,,0 HCPCS,87340,Hepatitis b surface ag ia,,,10.33,102.39,8 HCPCS,87341,Hc Hepatitis B Surface Ag Ia,281.0,281.0,,,0 HCPCS,87341,Hepatitis b surface ag ia,,,10.33,102.39,7 HCPCS,87350,"Hc Infect Agent Antigen Detect Enzyme Immunoassay Tech, Qual/Semiquant, Multiple-Step; Hepatitis B",200.0,200.0,,,0 HCPCS,87350,Hepatitis be ag ia,,,11.53,116.04,7 HCPCS,87380,Hepatitis delta ag ia,,,18.36,184.3,7 HCPCS,87385,Hc Blastomyces Ag Urine,347.0,347.0,,,0 HCPCS,87385,Hc Histoplasma Ag,347.0,347.0,,,0 HCPCS,87385,Histoplasma capsul ag ia,,,13.25,133.11,7 HCPCS,87389,"Hc Infect Agent Antigen Detec Enzyme Immunoassay Tech, Qual/Semiquant, Multi; Hiv-1 & 2, Single",241.0,241.0,,,0 HCPCS,87389,"Hc Infect Agent Antigen Detec Enzyme Immunoassay Tech, Qual/Semiquant, Multi; Hiv-1 & 2, Single-Laf",157.0,157.0,,,0 HCPCS,87389,Hiv-1 ag w/hiv-1 & hiv-2 ab,,,24.08,242.33,7 HCPCS,87390,Hc Hiv - 1 P24 Ag,78.0,78.0,,,0 HCPCS,87390,Hc Hiv - 1 P24 Ag-Laf,168.0,168.0,,,0 HCPCS,87390,"Hc Infectious Agent Antigen Detect Enzyme Immunoassay Technique, Qual/Semiquant, Multiple; Hiv-1",187.0,187.0,,,0 HCPCS,87390,Hiv-1 ag ia,,,24.06,242.33,7 HCPCS,87391,Hiv-2 ag ia,,,21.9,221.85,7 HCPCS,87400,Hc Influenza A Rapid,127.0,127.0,,,0 HCPCS,87400,Hc Influenza B Rapid,127.0,127.0,,,0 HCPCS,87400,Influenza a/b ag ia,,,14.13,143.35,7 HCPCS,87420,"Hc Infec Agent Antig Detect Enzyme Immuno, Qual/Semiquant, Mult-Stepd; Respiratory Syncytial Virus",194.0,194.0,,,0 HCPCS,87420,Resp syncytial ag ia,,,13.91,139.93,7 HCPCS,87425,"Hc Infec Agent Antig Detect Enzyme Immuno, Qual/Semiquant, Mult-Step; Rotavirus",277.0,277.0,,,0 HCPCS,87425,Rotavirus ag ia,,,11.98,119.46,7 HCPCS,87426,Coronavirus ag ia,,,35.33,158.76,5 HCPCS,87427,Hc Infect Ag Shiga-Like Toxin 1,118.0,118.0,,,0 HCPCS,87427,Hc Infect Ag Shiga-Like Toxin 2,118.0,118.0,,,0 HCPCS,87427,Shiga-like toxin ag ia,,,11.98,119.46,7 HCPCS,87428,Sarscov & inf vir a&b ag ia,,,70.29,257.67,5 HCPCS,87430,"Hc Infct Agnt Antigen Dtctn By Enzyme Immassy Tchnq, Qual Or Semiquan, Mult-Step Meth; Strep,Grp A",179.0,179.0,,,0 HCPCS,87430,Strep a ag ia,,,16.81,170.65,7 HCPCS,87449,Ag detect nos ia mult,,,11.98,119.46,7 HCPCS,87449,Hc Ag Detect Nos Ia Mult,282.0,282.0,,,0 HCPCS,87449,Hc Antigen By Eia S Pneumoniae,339.0,339.0,,,0 HCPCS,87449,"Hc Antigen By Eia, Multistep (Legionel)",339.0,339.0,,,0 HCPCS,87449,Hc Gdh Antigen,282.0,282.0,,,0 HCPCS,87449,"Hc Histoplasma/Blastomyces Ag, Eia",339.0,339.0,,,0 HCPCS,87449,Hc Immunoassay Fungitell,339.0,339.0,,,0 HCPCS,87449,Hc Inf Antigen By Eia Aspergillus,339.0,339.0,,,0 HCPCS,87449,Hc Norovirus Antigen Stool,339.0,339.0,,,0 HCPCS,87450,Ag detect nos ia single,,,20.61,20.61,1 HCPCS,87451,Ag detect polyval ia mult,,,10.51,105.8,7 HCPCS,87467,Hepatitis b surface ag quan,,,25.32,150.17,7 HCPCS,87468,Anaplsma phgcytophlm amp prb,,,35.09,354.96,6 HCPCS,87469,Babesia microti amp prb,,,35.09,354.96,6 HCPCS,87470,Bartonella dna dir probe,,,42.32,42.32,1 HCPCS,87471,Bartonella dna amp probe,,,35.09,354.96,7 HCPCS,87472,Bartonella dna quant,,,42.84,430.04,7 HCPCS,87475,Lyme dis dna dir probe,,,20.05,201.37,7 HCPCS,87476,"Hc Infectious Agent Detection By Dna Or Rna; Borrelia Burdorferi, Amplified Probe Technique",687.0,687.0,,,0 HCPCS,87476,Lyme dis dna amp probe,,,35.09,354.96,7 HCPCS,87477,Lyme dis dna quant,,,90.77,90.77,1 HCPCS,87478,Borrelia miyamotoi amp prb,,,35.09,354.96,6 HCPCS,87480,Candida dna dir probe,,,20.05,201.37,7 HCPCS,87480,Hc Candida Species,103.0,103.0,,,0 HCPCS,87481,Candida dna amp probe,,,35.09,354.96,7 HCPCS,87481,Noncdm Charge Record,155.0,155.0,,,0 HCPCS,87482,Candida dna quant,,,55.74,559.74,7 HCPCS,87483,Cns dna amp probe type 12-25,,,416.78,4198.03,6 HCPCS,87483,Hc Meningitis Encephilitis Panel Pcr Csf,2044.0,2044.0,,,0 HCPCS,87484,Ehrlicha chaffeensis amp prb,,,35.09,354.96,6 HCPCS,87485,Chylmd pneum dna dir probe,,,20.05,201.37,7 HCPCS,87486,Chylmd pneum dna amp probe,,,35.09,354.96,7 HCPCS,87487,Chylmd pneum dna quant,,,42.84,430.04,7 HCPCS,87490,Chylmd trach dna dir probe,,,22.75,228.67,7 HCPCS,87490,"Hc Infectious Agent Detection By Dna Or Rna; Chlamydia Trachomatis, Direct Probe Technique",211.0,211.0,,,0 HCPCS,87491,Chylmd trach dna amp probe,,,35.09,354.96,7 HCPCS,87491,Hc Chlamydia Amplified Probe Assay Anhe,411.0,411.0,,,0 HCPCS,87491,Hc Chlamydia Amplified Probe Assay Anhe-Laf,113.0,113.0,,,0 HCPCS,87491,"Hc Infectious Agent Detection By Dna Or Rna; Chlamydia Trachomatis, Amplified Probe Technique",411.0,411.0,,,0 HCPCS,87491,"Hc Infectious Agent Detection By Dna Or Rna; Chlamydia Trachomatis, Amplified Probe Technique-Laf",113.0,113.0,,,0 HCPCS,87492,Chylmd trach dna quant,,,53.47,539.26,7 HCPCS,87493,C diff amplified probe,,,37.27,375.43,7 HCPCS,87493,Hc Infectious Agent Detection By Dna Or Rna; C-Diff Toxin Gene,421.0,421.0,,,0 HCPCS,87494,Chlmy trch&neisra gonor mult,,,70.18,101.76,3 HCPCS,87495,Cytomeg dna dir probe,,,30.03,303.76,7 HCPCS,87496,Cytomeg dna amp probe,,,35.09,354.96,7 HCPCS,87496,Hc Cmv By Pcr,570.0,570.0,,,0 HCPCS,87496,"Hc Cytomegalovirus, Pcr, Lower Resp",424.0,424.0,,,0 HCPCS,87496,Hc Infectious Agentt-Dna/Rna; Cytomegalovirus,1043.0,1043.0,,,0 HCPCS,87497,Cytomeg dna quant,,,42.84,430.04,7 HCPCS,87497,Hc Cmv Pcr Quantitative,991.0,991.0,,,0 HCPCS,87497,Hc Viracor Cmv Pcr,991.0,991.0,,,0 HCPCS,87498,Enterovirus probe&revrs trns,,,35.09,354.96,7 HCPCS,87498,"Hc Infct Agent Dtctn Dna Or Rna; Entervirus, Amplified Probe Tchnq, Incl Reverse Transcrip When Perf",546.0,546.0,,,0 HCPCS,87500,Vanomycin dna amp probe,,,35.09,354.96,7 HCPCS,87501,Hc Flu A Rev Tr Amp Probe Ea Typ,249.0,249.0,,,0 HCPCS,87501,Hc Flu B Rev Tr Amp Probe Ea Typ,249.0,249.0,,,0 HCPCS,87501,Influenza dna amp prob 1+,,,51.31,515.37,7 HCPCS,87502,"Hc Infect Agent Detect Dna/Rna; Flu Virus, Multiple, Multi Reverse & Amp Probe, 1St 2 Types",427.0,427.0,,,0 HCPCS,87502,Influenza dna amp probe,,,95.8,965.89,7 HCPCS,87503,"Hc Infect Agent Detect Dna/Rna; Flu Virus, Multiple, Multi Reverse & Amp Probe, Ea Beyond 2",105.0,105.0,,,0 HCPCS,87503,Influenza dna amp prob addl,,,29.22,293.52,7 HCPCS,87505,Nfct agent detection gi,,,128.29,1293.54,7 HCPCS,87506,Iadna-dna/rna probe tq 6-11,,,262.99,2648.51,7 HCPCS,87507,"Hc Infect Agent Detect Dna/Rna;Gast Path, Multi Reverse Trans , Amp Probe, Types/Sub, 12-25 Targets",1917.0,1917.0,,,0 HCPCS,87507,Iadna-dna/rna probe tq 12-25,,,416.78,4198.03,7 HCPCS,87510,Gardner vag dna dir probe,,,20.05,201.37,7 HCPCS,87510,Hc Gardnerellis Vaginalis,103.0,103.0,,,0 HCPCS,87511,Gardner vag dna amp probe,,,35.09,354.96,7 HCPCS,87512,Gardner vag dna quant,,,41.76,419.8,7 HCPCS,87513,H pylri clrthmcn rst amp prb,,,35.09,122.82,5 HCPCS,87513,"Hc H Pylori + Clarithro Resist, Pcr, F",315.0,315.0,,,0 HCPCS,87515,Hepatitis b dna dir probe,,,42.32,42.32,1 HCPCS,87516,Hc Hepatitis B Amplified Probe Technique,193.0,193.0,,,0 HCPCS,87516,Hepatitis b dna amp probe,,,35.09,354.96,7 HCPCS,87517,"Hc Infectious Agent Detection By Dna Or Rna; Hepatitis B Virus, Quantification",1084.0,1084.0,,,0 HCPCS,87517,Hepatitis b dna quant,,,42.84,430.04,7 HCPCS,87520,Hepatitis c rna dir probe,,,31.22,314.0,7 HCPCS,87521,Hc Hepatitis C Amplified Probe Technique,193.0,193.0,,,0 HCPCS,87521,"Hc Infectious Agent Detection By Dna Or Rna; Hepatitis C Virus, Quantification",503.0,503.0,,,0 HCPCS,87521,Hepatitis c probe&rvrs trnsc,,,35.09,354.96,7 HCPCS,87522,"Hc Inf Agent Detection By Dna Or Rna; Hep C, Quantification, Inclds Reverse Transcription When Perf",1042.0,1042.0,,,0 HCPCS,87522,"Hc Inf Agent Detection By Dna Or Rna; Hep C, Quantification, Inclds Reverse Transcription When Perf-",409.0,409.0,,,0 HCPCS,87522,Hepatitis c revrs trnscrpj,,,42.84,430.04,8 HCPCS,87523,Hepatitis d quantification,,,42.84,149.94,5 HCPCS,87525,Hepatitis g dna dir probe,,,29.8,300.35,7 HCPCS,87526,Hepatitis g dna amp probe,,,39.26,395.91,7 HCPCS,87527,Hepatitis g dna quant,,,41.76,419.8,7 HCPCS,87528,Hsv dna dir probe,,,20.05,201.37,7 HCPCS,87529,Hc Hsv By Pcrb,319.0,319.0,,,0 HCPCS,87529,"Hc Infectious Agent Detection By Dna Or Rna; Herpes Simplex Virus, Direct Probe Technique",839.0,839.0,,,0 HCPCS,87529,Hsv dna amp probe,,,35.09,354.96,7 HCPCS,87530,Hsv dna quant,,,42.84,430.04,7 HCPCS,87531,Hhv-6 dna dir probe,,,42.32,583.63,7 HCPCS,87532,"Hc Infectious Agent Detection By Dna Or Rna; Herpes Virus-6, Direct Probe Technique",565.0,565.0,,,0 HCPCS,87532,Hhv-6 dna amp probe,,,35.09,354.96,7 HCPCS,87533,"Hc Hhv-6 A And B Dna Quant Pcr, P",728.0,728.0,,,0 HCPCS,87533,Hhv-6 dna quant,,,41.76,419.8,7 HCPCS,87534,Hiv-1 dna dir probe,,,21.92,221.85,7 HCPCS,87535,Hc Hiv Pcr Qualitative,720.0,720.0,,,0 HCPCS,87535,Hc Hiv-1 Amplified Probe Technique,193.0,193.0,,,0 HCPCS,87535,Hc Hiv-1 Qual,233.0,233.0,,,0 HCPCS,87535,Hc Hiv-1 Qual Anhe,233.0,233.0,,,0 HCPCS,87535,Hc Rna Hiv Qualitative Assay,650.0,650.0,,,0 HCPCS,87535,Hiv-1 probe&reverse trnscrpj,,,35.09,354.96,7 HCPCS,87536,Hc Hiv-1 Quantitative,954.0,954.0,,,0 HCPCS,87536,Hc Hiv-1 Rna Qual Anhe,954.0,954.0,,,0 HCPCS,87536,Hiv-1 quant&revrse trnscrpj,,,85.1,856.67,7 HCPCS,87537,Hiv-2 dna dir probe,,,21.92,221.85,7 HCPCS,87538,Hc Hiv-2 Dna Rna Qualitative,615.0,615.0,,,0 HCPCS,87538,Hiv-2 probe&revrse trnscripj,,,35.09,354.96,7 HCPCS,87539,Hiv-2 quant&revrse trnscripj,,,58.62,590.45,7 HCPCS,87540,Legion pneumo dna dir prob,,,20.05,201.37,7 HCPCS,87541,Legion pneumo dna amp prob,,,35.09,354.96,7 HCPCS,87542,Legion pneumo dna quant,,,41.76,419.8,7 HCPCS,87550,Mycobacteria dna dir probe,,,20.05,201.37,7 HCPCS,87551,Mycobacteria dna amp probe,,,48.24,484.65,7 HCPCS,87552,Mycobacteria dna quant,,,42.84,430.04,7 HCPCS,87555,Hc Mycobacteria T Dir Na Probe,288.0,288.0,,,0 HCPCS,87555,M.tuberculo dna dir probe,,,26.88,269.63,7 HCPCS,87556,"Hc Infect Agent Detec By Nucleic Acid Rna Or Dna; Mycobacteria Tuberculosis, Amplified Probe Tech",382.0,382.0,,,0 HCPCS,87556,M.tuberculo dna amp probe,,,41.68,419.8,7 HCPCS,87557,M.tuberculo dna quant,,,42.84,430.04,7 HCPCS,87560,M.avium-intra dna dir prob,,,27.29,276.46,7 HCPCS,87561,"Hc Infect Agent Detect Nucleic Acid Rna/Dna; Mycobacteria Avium-Intracellulare, Direct Probe Tech",117.0,117.0,,,0 HCPCS,87561,M.avium-intra dna amp prob,,,35.09,354.96,7 HCPCS,87562,M.avium-intra dna quant,,,42.84,430.04,7 HCPCS,87563,Hc Mycoplasma Genitalium Tma,372.0,372.0,,,0 HCPCS,87563,M. genitalium amp probe,,,35.09,354.96,6 HCPCS,87564,Mtb rifampin rst amp prb tq,,,76.77,268.7,5 HCPCS,87580,M.pneumon dna dir probe,,,20.05,201.37,7 HCPCS,87581,Hc Mycoplasma Amplif Na Probe,337.0,337.0,,,0 HCPCS,87581,M.pneumon dna amp probe,,,35.09,354.96,7 HCPCS,87582,M.pneumon dna quant,,,88.55,3047.84,7 HCPCS,87590,"Hc Infectious Agent Detection By Nucleic Acid Rna Or Dna; Neisseria Gonorrhoeae, Direct Probe Tech",249.0,249.0,,,0 HCPCS,87590,N.gonorrhoeae dna dir prob,,,26.88,269.63,7 HCPCS,87591,Hc Gic Amplified Probe Assay Anhe,390.0,390.0,,,0 HCPCS,87591,Hc Gic Amplified Probe Assay Anhe-Laf,336.0,336.0,,,0 HCPCS,87591,"Hc Infct Agent Dtctn By Nucleic Acid Rna Or Dna; Neisseria Gonorrhoeae, Amplified Probe Tchnq",390.0,390.0,,,0 HCPCS,87591,"Hc Infct Agent Dtctn By Nucleic Acid Rna Or Dna; Neisseria Gonorrhoeae, Amplified Probe Tchnq-Laf",149.0,149.0,,,0 HCPCS,87591,N.gonorrhoeae dna amp prob,,,35.09,354.96,7 HCPCS,87592,N.gonorrhoeae dna quant,,,42.84,430.04,7 HCPCS,87593,Hc Orthopoxvirus Amp Prb Each,180.0,180.0,,,0 HCPCS,87593,Orthopoxvirus amp prb each,,,51.31,515.37,6 HCPCS,87594,Pneumcysts jirovecii amp prb,,,35.09,122.82,5 HCPCS,87623,Hpv low-risk types,,,35.09,354.96,7 HCPCS,87624,"Hc Infectious Agent Detection By Nucleic Acid Rna Or Dna; Hpv, High-Risk Types",390.0,390.0,,,0 HCPCS,87624,"Hc Infectious Agent Detection By Nucleic Acid Rna Or Dna; Hpv, High-Risk Types-Laf",336.0,336.0,,,0 HCPCS,87624,Hpv high-risk types,,,35.09,354.96,7 HCPCS,87625,Hpv types 16 & 18 only,,,40.55,409.56,7 HCPCS,87626,Hc Hpv Anal Detect / Genotyping Pcr,390.0,390.0,,,0 HCPCS,87626,"Hc Infectious Agent Detection By Nucleic Acid Rna Or Dna; Hpv, High-Risk Types",390.0,390.0,,,0 HCPCS,87626,"Hc Infectious Agent Detection By Nucleic Acid Rna Or Dna; Hpv, High-Risk Types-Laf",336.0,336.0,,,0 HCPCS,87626,Hpv sep hi-rsk typ&pool rslt,,,70.2,245.7,5 HCPCS,87627,Jt spc pthgn&rx rsist gen26+,,,679.77,985.67,3 HCPCS,87631,"Hc Inf Agt Dtn Rna/Dna; Resp Vrs,Inc Mltx Rvs Trnscr,Wen Prf,&Mltx Amp Pbe Tch,Mult Typ,3-5 Tgts",796.0,796.0,,,0 HCPCS,87631,Resp virus 3-5 targets,,,142.63,1436.89,7 HCPCS,87632,Hc Respiratory Viral Panel Tem-Pcr,856.0,856.0,,,0 HCPCS,87632,Resp virus 6-11 targets,,,218.06,2194.58,7 HCPCS,87633,"Hc Infect Agent Det Rna Or Dna; Resp, Include Multi Reverse Trans, Amp, Types/Sub, 6-11 Targets",3234.0,3234.0,,,0 HCPCS,87633,Resp virus 12-25 targets,,,416.78,4198.03,7 HCPCS,87634,Rsv dna/rna amp probe,,,70.2,706.5,6 HCPCS,87635,Hc Sars-Cov-2 Covid-19 Amp Prb,180.0,180.0,,,0 HCPCS,87635,Sars-cov-2 covid-19 amp prb,,,51.31,179.59,5 HCPCS,87636,Hc Coronavirus 2 (Sars-Cov-2) Influenza A And B,785.0,785.0,,,0 HCPCS,87636,Sarscov2 & inf a&b amp prb,,,142.63,499.49,5 HCPCS,87637,Hc Iadna Sarscov2 & Inf A&B & Rsv Mult Amp Probe Tq,880.0,880.0,,,0 HCPCS,87637,Hc Poct Coronavirus 2 Sars Cov2 Influenza A Influenza B Rsv,428.0,428.0,,,0 HCPCS,87637,Sarscov2&inf a&b&rsv amp prb,,,142.63,499.49,5 HCPCS,87640,Staph a dna amp probe,,,35.09,354.96,7 HCPCS,87641,"Hc Infct Agent Dtctn By Nucl Acid Rna/Dna; Staphy Auerus, Methicillin Resist, Amplified Prob Tchnq",374.0,374.0,,,0 HCPCS,87641,Mr-staph dna amp probe,,,35.09,354.96,7 HCPCS,87650,Strep a dna dir probe,,,20.05,201.37,7 HCPCS,87651,Hc Streptococcus Group A,160.0,160.0,,,0 HCPCS,87651,Strep a dna amp probe,,,35.09,354.96,7 HCPCS,87652,Strep a dna quant,,,41.76,419.8,7 HCPCS,87653,Strep b dna amp probe,,,35.09,354.96,7 HCPCS,87660,Hc Trichomonas Vaginalis,103.0,103.0,,,0 HCPCS,87660,Trichomonas vagin dir probe,,,20.05,201.37,7 HCPCS,87661,"Hc Infct Agent Dtctn By Nucleic Acid Rna Or Dna; Trichomonas Vaginalis, Amplified Probe Tchnq",364.0,364.0,,,0 HCPCS,87661,Trichomonas vaginalis amplif,,,35.09,354.96,7 HCPCS,87662,Zika virus dna/rna amp probe,,,51.31,515.37,6 HCPCS,87797,Detect agent nos dna dir,,,30.03,303.76,7 HCPCS,87798,Detect agent nos dna amp,,,35.09,354.96,7 HCPCS,87798,"Hc Jv Virus Pcr, Csf",302.0,302.0,,,0 HCPCS,87798,"Hc Acanthamoeba Species Detection, Pcr",271.0,271.0,,,0 HCPCS,87798,Hc Amplif Na Probe Nos Agent,390.0,390.0,,,0 HCPCS,87798,Hc Bordetella Pertus By Amp Probe,390.0,390.0,,,0 HCPCS,87798,Hc Bordetella Pertussis Pcr,224.0,224.0,,,0 HCPCS,87798,Hc Bordetella Pertussis Pcr,596.0,596.0,,,0 HCPCS,87798,Hc Coronavirus (Covid-19) Sars-Cov-2,467.0,467.0,,,0 HCPCS,87798,"Hc Ebv By Pcr, Csf",302.0,302.0,,,0 HCPCS,87798,Hc Enterovirus By Dna Amplified Probe,302.0,302.0,,,0 HCPCS,87798,Hc Enterovirus Pcr,302.0,302.0,,,0 HCPCS,87798,"Hc H Pylori Clarithro Resist, Pcr, F",315.0,315.0,,,0 HCPCS,87798,Hc Htlv I&Ii By Pcr,302.0,302.0,,,0 HCPCS,87798,Hc Infect Agent Detection Subtype Pcr Each Organism,302.0,302.0,,,0 HCPCS,87798,Hc Infectious Agent Detection Amplified Probe Adenovirus,302.0,302.0,,,0 HCPCS,87798,Hc Infectious Agent Detection By Amplified Probe Each Organism,264.0,264.0,,,0 HCPCS,87798,Hc Infectious Agent Detection Irp Pcr Each Organism,302.0,302.0,,,0 HCPCS,87798,Hc Infectious Agnt Detection By Amp Probe Ea Orgnsm Csf Prion Disease,302.0,302.0,,,0 HCPCS,87798,Hc Jc Virus Pcr Qualitative,302.0,302.0,,,0 HCPCS,87798,Hc Methicillin Res Strep By Pcr,302.0,302.0,,,0 HCPCS,87798,Hc Mycoplasma Hominis Pcr,224.0,224.0,,,0 HCPCS,87798,Hc Norovirus,390.0,390.0,,,0 HCPCS,87798,Hc Parvovirus Dna Detection,302.0,302.0,,,0 HCPCS,87798,Hc Pneumocystosis Pcr,302.0,302.0,,,0 HCPCS,87798,Hc T Gondii By Pcr,302.0,302.0,,,0 HCPCS,87798,Hc Ureaplasma Pcr,224.0,224.0,,,0 HCPCS,87798,"Hc Ureaplasma Pcr, B",315.0,315.0,,,0 HCPCS,87798,Hc Varicella Zoster Pcr,596.0,596.0,,,0 HCPCS,87798,"Hc Vzv By Pcr, Csf",302.0,302.0,,,0 HCPCS,87799,Detect agent nos dna quant,,,42.84,430.04,7 HCPCS,87799,Hc Adenovirus Dna Quantitative Pcr,541.0,541.0,,,0 HCPCS,87799,Hc Bk Virus Quantiative Pcr,661.0,661.0,,,0 HCPCS,87799,Hc Bk Virus Quantitative Blood,661.0,661.0,,,0 HCPCS,87799,Hc Bk Virus Quantitative Urine,661.0,661.0,,,0 HCPCS,87799,Hc Ebv By Pcr Quantitative,266.0,266.0,,,0 HCPCS,87799,Hc Ebv Dna Pcr-Csf,558.0,558.0,,,0 HCPCS,87799,Hc Ebv Nucleic Acid Quant Blood,661.0,661.0,,,0 HCPCS,87799,Hc Infect Agent Detect By Pcr Quantitative Jcv,661.0,661.0,,,0 HCPCS,87799,Hc Infectious Agent Detection Nos Quantitative Adenovirus,661.0,661.0,,,0 HCPCS,87800,Detect agnt mult dna direc,,,43.67,440.28,7 HCPCS,87801,Detect agnt mult dna ampli,,,70.2,706.5,7 HCPCS,87801,Hc Infectious Agent Amp Probe Perpcr,476.0,476.0,,,0 HCPCS,87801,Hc Living Organ Donor Nat Testing,205.0,205.0,,,0 HCPCS,87802,Strep b assay w/optic,,,12.73,129.7,7 HCPCS,87803,Clostridium toxin a w/optic,,,16.0,160.41,7 HCPCS,87804,Hc Influenza A & B Immunoassay,252.0,252.0,,,0 HCPCS,87804,Influenza assay w/optic,,,16.55,167.24,7 HCPCS,87806,Hc Hiv-1 Antigen Hiv 1/2 Ab,332.0,332.0,,,0 HCPCS,87806,Hiv antigen w/hiv antibodies,,,32.77,331.06,8 HCPCS,87807,Rsv assay w/optic,,,13.1,133.11,7 HCPCS,87808,Trichomonas assay w/optic,,,15.29,153.59,7 HCPCS,87809,Adenovirus assay w/optic,,,21.76,218.43,7 HCPCS,87810,Chylmd trach assay w/optic,,,25.62,354.96,7 HCPCS,87811,Hc Sars-Cov-2 Covid-19 Poc,132.0,132.0,,,0 HCPCS,87811,Sars-cov-2 covid19 w/optic,,,41.38,145.32,5 HCPCS,87812,Sarscov2&inf typ a&b w/optic,,,74.48,108.0,3 HCPCS,87850,N. gonorrhoeae assay w/optic,,,24.56,245.74,7 HCPCS,87880,Strep a assay w/optic,,,16.53,167.24,7 HCPCS,87899,Agent nos assay w/optic,,,16.07,160.41,8 HCPCS,87899,Hc C Albicans Ag Detection,274.0,274.0,,,0 HCPCS,87899,"Hc Cryptococcal Ag, Blood",193.0,193.0,,,0 HCPCS,87899,"Hc Cryptococcal Ag, Csf",193.0,193.0,,,0 HCPCS,87899,"Hc Cryptococcal, Titer",193.0,193.0,,,0 HCPCS,87899,Hc Cryptococcus Ag Titer Lfa S,300.0,300.0,,,0 HCPCS,87899,Hc Pneumoniae Antigen,339.0,339.0,,,0 HCPCS,87900,"Hc Hcv Genotypic Drug Resistance, S",909.0,909.0,,,0 HCPCS,87900,Hc Infectious Agent Drug Susc Pheno Predct,909.0,909.0,,,0 HCPCS,87900,Phenotype infect agent drug,,,130.35,1314.02,7 HCPCS,87901,Genotype dna hiv reverse t,,,257.45,2593.91,7 HCPCS,87901,Hc Infectious Agent Genotype,2140.0,2140.0,,,0 HCPCS,87902,Genotype dna/rna hep c,,,257.45,2593.91,7 HCPCS,87902,Hc Genotype Dna/Rna Hep C,874.0,874.0,,,0 HCPCS,87902,Hc Hcv Genotype,831.0,831.0,,,0 HCPCS,87902,"Hc Hcv Genotypic Drug Resistance, S",831.0,831.0,,,0 HCPCS,87902,Hc Infectious Agent Genotype Analysis By Nucleic Acid Dna Or Rna; Hepatitis C Virus,1985.0,1985.0,,,0 HCPCS,87903,Hc Hiv Phenosense Fuzeon Entry,3641.0,3641.0,,,0 HCPCS,87903,Hc Phenotype Drug Res Hiv 10 Drugs,3641.0,3641.0,,,0 HCPCS,87903,Phenotype dna hiv w/culture,,,488.66,4921.6,7 HCPCS,87904,Hc Phenotype Drug Res Hiv Ea Addl Drug,117.0,117.0,,,0 HCPCS,87904,Phenotype dna hiv w/clt add,,,26.07,262.8,7 HCPCS,87905,Sialidase enzyme assay,,,12.22,122.87,7 HCPCS,87906,Genotype dna/rna hiv,,,128.73,1296.95,7 HCPCS,87906,Hc Hiv Genotype Resist,886.0,886.0,,,0 HCPCS,87910,Genotype cytomegalovirus,,,257.45,2593.91,7 HCPCS,87910,Hc Cmv Genotyping,1388.0,1388.0,,,0 HCPCS,87912,Genotype dna hepatitis b,,,257.45,2593.91,7 HCPCS,87912,Hc Hepatitis B Genotype,823.0,823.0,,,0 HCPCS,87913,Nfct agt gntyp alys sarscov2,,,0.03,901.08,5 HCPCS,87999,Hc Infect Ag Dect Hiv Trophile,2746.0,2746.0,,,0 HCPCS,87999,Microbiology procedure,,,19.05,224.15,2 HCPCS,88000,Autopsy (necropsy) gross,,,39.49,736.44,4 HCPCS,88005,Autopsy (necropsy) gross,,,46.12,859.78,4 HCPCS,88007,Autopsy (necropsy) gross,,,48.26,900.06,4 HCPCS,88012,Autopsy (necropsy) gross,,,39.49,736.44,4 HCPCS,88014,Autopsy (necropsy) gross,,,36.17,675.36,4 HCPCS,88016,Autopsy (necropsy) gross,,,50.41,941.61,4 HCPCS,88020,Autopsy (necropsy) complete,,,67.96,1268.89,4 HCPCS,88025,Autopsy (necropsy) complete,,,65.81,1227.38,4 HCPCS,88027,Autopsy (necropsy) complete,,,70.2,1309.18,4 HCPCS,88028,Autopsy (necropsy) complete,,,39.49,736.44,4 HCPCS,88029,Autopsy (necropsy) complete,,,39.49,736.44,4 HCPCS,88036,Limited autopsy,,,19.7,368.83,4 HCPCS,88037,Limited autopsy,,,17.55,327.29,4 HCPCS,88040,Forensic autopsy (necropsy),,,109.69,2045.61,4 HCPCS,88045,Coroners autopsy (necropsy),,,10.92,205.17,4 HCPCS,88099,Necropsy (autopsy) procedure,,,19.05,224.15,2 HCPCS,88104,Cytopath fl nongyn smears,,,40.03,439.48,8 HCPCS,88104,Hc Smears With Interpretation,663.0,663.0,,,0 HCPCS,88106,Cytopath fl nongyn filter,,,30.99,521.79,7 HCPCS,88108,Cytopath concentrate tech,,,40.03,453.53,8 HCPCS,88108,"Hc Cytopathology, Concentration Technique, Smears And Interpretation",663.0,663.0,,,0 HCPCS,88112,Cytopath cell enhance tech,,,55.84,409.16,7 HCPCS,88112,Hc Anal Thinprep Cytology W/Hpv Cotest,253.0,253.0,,,0 HCPCS,88112,Hc Cytp Slctv Cell Enhancement Interpj Xcpt C/V,253.0,253.0,,,0 HCPCS,88112,Hc Thin Prep Gi Anal,747.0,747.0,,,0 HCPCS,88112,Hc Thin Prep Non Ob-Gyne,767.0,767.0,,,0 HCPCS,88120,Cytp urne 3-5 probes ea spec,,,182.57,5517.28,7 HCPCS,88120,"Hc Cytopath, In Situ Hybrid, Ut Specimen W/ Morphometric Anlys, 3-5 Molecular Probs, Ea Spec, Manual",653.0,653.0,,,0 HCPCS,88121,Cytp urine 3-5 probes cmptr,,,182.57,3798.31,7 HCPCS,88125,Forensic cytopathology,,,15.57,174.16,7 HCPCS,88130,Sex chromatin identification,,,17.98,180.89,7 HCPCS,88140,Sex chromatin identification,,,7.99,81.91,7 HCPCS,88141,Cytopath c/v interpret,,,32.12,146.06,4 HCPCS,88142,Cytopath c/v thin layer,,,14.81,204.78,8 HCPCS,88142,"Hc Cytopath,Cerv Or Vag,Collctd In Preserv Fluid, Auto Thin Layer Prep,Mnual Scrning Under Md Sprvsn",214.0,214.0,,,0 HCPCS,88143,Cytopath c/v thin layer redo,,,23.04,232.09,7 HCPCS,88143,"Hc Cytopath,Cerv/Vag,Colld In Preserv Fluid,Autom Thin Layer Prep,Man Screeng&Rescreeng Under Md Sup",234.0,234.0,,,0 HCPCS,88147,Cytopath c/v automated,,,23.94,508.54,7 HCPCS,88148,Cytopath c/v auto rescreen,,,18.54,174.06,7 HCPCS,88150,Cytopath c/v manual,,,18.54,174.06,8 HCPCS,88152,Cytopath c/v auto redo,,,22.28,279.87,7 HCPCS,88153,Cytopath c/v redo,,,22.28,242.33,7 HCPCS,88154,Cytopath c/v select,,,22.28,22.28,1 HCPCS,88155,Cytopath c/v index add-on,,,12.81,146.76,7 HCPCS,88156,Description Not Available,,,32.03,32.03,1 HCPCS,88160,Cytopath smear other source,,,30.99,514.57,7 HCPCS,88161,Cytopath smear other source,,,30.99,535.05,7 HCPCS,88161,"Hc Cytopathology, Smears, Any Other Source; Preparation, Screening And Interpretation",269.0,269.0,,,0 HCPCS,88162,Cytopath smear other source,,,55.84,825.15,7 HCPCS,88164,Cytopath tbs c/v manual,,,18.54,174.06,7 HCPCS,88164,"Hc Cytopathology, Slides, Cervical Or Vaginal; Manual Screening Under Md Supervision",190.0,190.0,,,0 HCPCS,88164,"Hc Screening Pap Smear, Up To 3 Smears",190.0,190.0,,,0 HCPCS,88165,Cytopath tbs c/v redo,,,22.28,426.63,7 HCPCS,88166,Cytopath tbs c/v auto redo,,,18.54,174.06,7 HCPCS,88167,Cytopath tbs c/v select,,,18.54,174.06,7 HCPCS,88170,Description Not Available,,,432.38,432.38,1 HCPCS,88172,Cytp dx eval fna 1st ea site,,,31.71,522.06,8 HCPCS,88172,Hc Cyto-Evaln Fna; Immed For Adequacy,458.0,458.0,,,0 HCPCS,88173,Cytopath eval fna report,,,55.84,960.88,8 HCPCS,88173,"Hc Cytopathology, Evaluation Of Fine Needle Aspirate, Interpretation And Report",1015.0,1015.0,,,0 HCPCS,88174,Cytopath c/v auto in fluid,,,25.37,255.98,7 HCPCS,88175,Cytopath c/v auto fluid redo,,,26.61,269.63,7 HCPCS,88175,Hc Cytopath C/V Auto Fluid Redo,186.0,186.0,,,0 HCPCS,88177,Cytp fna eval ea addl,,,11.7,81.91,4 HCPCS,88177,"Hc Cytopath,Eval Fna;Immed Cytohistologic Stdy Det Adequacy For Diag, Ea Sep Add Eval Ep, Same Site",382.0,382.0,,,0 HCPCS,88180,Cell marker study,,,101.42,101.42,1 HCPCS,88182,Cell marker study,,,55.84,1257.81,7 HCPCS,88182,Hc Telomere Length Testing,556.0,556.0,,,0 HCPCS,88184,Flowcytometry/ tc 1 marker,,,119.15,1019.41,7 HCPCS,88184,Hc Anti-Ige Receptor Ab Flowcytometry 1 Marker,318.0,318.0,,,0 HCPCS,88184,Hc Band 3 Flurescence St,783.0,783.0,,,0 HCPCS,88184,Hc Flow Cytometry First Marker,401.0,401.0,,,0 HCPCS,88184,Hc Flow Immunophen First Marker,401.0,401.0,,,0 HCPCS,88184,Hc Flow Lymphocyte Surface First Marker,401.0,401.0,,,0 HCPCS,88185,Flowcytometry/tc add-on,,,57.06,242.33,4 HCPCS,88185,Hc Anti-Ige Receptor Ab Flowcytometry Add Marker,122.0,122.0,,,0 HCPCS,88185,Hc Flow Cytometry Each Additional Marker,241.0,241.0,,,0 HCPCS,88185,Hc Flow Immunophen Each Additional Marker,241.0,241.0,,,0 HCPCS,88185,Hc Flow Lymphocyte Surface Each Additionalmarker,241.0,241.0,,,0 HCPCS,88185,Hc Tumor Immunohistchm-Manul,249.0,249.0,,,0 HCPCS,88187,Flowcytometry/read 2-8,,,71.22,223.37,4 HCPCS,88187,"Hc Flow Cytometry, Interpretation, 2-8 Markers",658.0,658.0,,,0 HCPCS,88188,Flowcytometry/read 9-15,,,90.77,390.88,4 HCPCS,88188,"Hc Flow Cytometry, Interpretation, 9-15 Markers",1022.0,1022.0,,,0 HCPCS,88189,Flowcytometry/read 16 & >,,,111.36,528.35,4 HCPCS,88189,"Hc Flow Cytometry, Interpretation, 16 Or More Markers",434.0,434.0,,,0 HCPCS,88199,Cytopathology procedure,,,55.84,317.75,6 HCPCS,88230,Hc Tissue Culture For Non-Neoplastic Disorder; Lymphocyte,1394.0,1394.0,,,0 HCPCS,88230,Tissue culture lymphocyte,,,116.49,1174.08,8 HCPCS,88233,Hc Tissue Culture For Non-Neoplastic Disorder; Skin Or Other Solid Tissue Biopsy,2153.0,2153.0,,,0 HCPCS,88233,Tissue culture skin/biopsy,,,140.73,1416.41,7 HCPCS,88235,Hc Tissue Culture For Non-Neoplastic Disorder; Amniotic Fluid Or Chorionic Villus Cells,2092.0,2092.0,,,0 HCPCS,88235,Tissue culture placenta,,,150.3,1515.39,8 HCPCS,88237,Hc Chromosome Tissue Culture Bone Marrow,2362.0,2362.0,,,0 HCPCS,88237,Hc Tissue Culture Bone Marrow Blood Cell,2362.0,2362.0,,,0 HCPCS,88237,Tissue culture bone marrow,,,143.75,1447.13,8 HCPCS,88239,Hc Tissue Culture For Neoplastic Disorders; Solid Tumor,1731.0,1731.0,,,0 HCPCS,88239,Tissue culture tumor,,,147.52,1484.67,7 HCPCS,88240,Cell cryopreserve/storage,,,13.07,133.11,7 HCPCS,88240,"Hc Cryopreservation, Freezing And Storage Of Cells; Each Cell Line",416.0,416.0,,,0 HCPCS,88241,Frozen cell preparation,,,12.09,122.87,7 HCPCS,88241,"Hc Thawing And Expansion Of Frozen Cells, Each Aliquot",394.0,394.0,,,0 HCPCS,88245,Chromosome analysis 20-25,,,173.17,1744.06,7 HCPCS,88248,Chromosome analysis 50-100,,,173.17,1744.06,7 HCPCS,88249,Chromosome analysis 100,,,173.17,1744.06,7 HCPCS,88249,Hc Chromosme Deb,1066.0,1066.0,,,0 HCPCS,88261,Chromosome analysis 5,,,264.34,2662.17,7 HCPCS,88261,"Hc Chromosome Analysis; Count 5 Cells, 1 Karyotype, With Banding",1223.0,1223.0,,,0 HCPCS,88262,Chromosome analysis 15-20,,,125.49,1262.82,8 HCPCS,88262,"Hc Chromosome Analysis; Count 15 To 20 Cells, 2 Karyotypes, With Banding",2646.0,2646.0,,,0 HCPCS,88263,Chromosome analysis 45,,,150.29,1515.39,7 HCPCS,88264,Chromosome analysis 20-25,,,144.61,1457.37,7 HCPCS,88264,"Hc Chromosome Analysis, Analyze 20-25 Cells",2416.0,2416.0,,,0 HCPCS,88267,Chromosome analys placenta,,,188.57,1897.65,8 HCPCS,88267,"Hc Chromosome Analysis, Amniotic Fluid Or Chorionic Villus, Count 15 Cells, 1 Karotype, With Banding",2056.0,2056.0,,,0 HCPCS,88269,Chromosome analys amniotic,,,173.66,1747.47,8 HCPCS,88269,"Hc Chrmsme Analysis, In Situ For Amnio Fld Cells, Cnt Cells From 6-12 Colonies, 1 Karyotype, W/Bndng",1929.0,1929.0,,,0 HCPCS,88271,Cytogenetics dna probe,,,21.42,215.02,7 HCPCS,88271,Hc Cgen-Molecular Dna Probe Each Level 2,478.0,478.0,,,0 HCPCS,88271,Hc Molecular Dna Probe Each (Fish),855.0,855.0,,,0 HCPCS,88271,Hc Molecular Dna Probe Each,855.0,855.0,,,0 HCPCS,88271,Hc Molecular Dna Probe Each Av,478.0,478.0,,,0 HCPCS,88272,Cytogenetics 3-5,,,40.7,409.56,7 HCPCS,88272,"Hc Molecular Cytogenetics; Chromosomal In Situ Hybridization, Analyze 3-5 Cells",565.0,565.0,,,0 HCPCS,88273,Cytogenetics 10-30,,,34.81,351.54,7 HCPCS,88273,"Hc Molecular Cytogenetics; Chromosomal In Situ Hybridization, Analyze 10-30 Cells",1128.0,1128.0,,,0 HCPCS,88274,Cytogenetics 25-99,,,42.38,426.63,7 HCPCS,88274,"Hc Molecular Cytogenetics; Interphase In Situ Hybridization, Analyze 25-99 Cells",948.0,948.0,,,0 HCPCS,88275,Cytogenetics 100-300,,,51.19,515.37,7 HCPCS,88275,"Hc Molecular Cytogenetics; Interphase In Situ Hybridization, Analyze 100-300 Cells",1793.0,1793.0,,,0 HCPCS,88280,Chromosome karyotype study,,,33.47,337.89,7 HCPCS,88280,"Hc Chromosome Analysis, Additional Karotypes, Each Study",263.0,263.0,,,0 HCPCS,88283,Chromosome banding study,,,68.6,689.43,7 HCPCS,88283,"Hc Chromosome Analysis, Additional Specialuzed Banding Technique",1275.0,1275.0,,,0 HCPCS,88285,Chromosome count additional,,,26.91,269.63,7 HCPCS,88285,"Hc Chromosome Analysis, Additional Cells Counted, Each Study",212.0,212.0,,,0 HCPCS,88289,Chromosome study additional,,,34.43,348.13,7 HCPCS,88291,Cyto/molecular report,,,31.43,206.21,4 HCPCS,88299,Cytogenetic study,,,55.84,317.75,6 HCPCS,88299,Hc Cytogenetic Study,84.0,84.0,,,0 HCPCS,88299,Hc Lymphoblast Cell Line Culture & Maintenance,3922.0,3922.0,,,0 HCPCS,88300,"Hc Level 1 Surgical Pathology, Gross Interpretation Only",386.0,386.0,,,0 HCPCS,88300,Surgical path gross,,,17.24,122.47,7 HCPCS,88302,"Hc Level Iii, Surgical Pathology, Gross And Microscopic Exam",708.0,708.0,,,0 HCPCS,88302,Tissue exam by pathologist,,,40.03,269.23,8 HCPCS,88304,"Hc Level Iii, Oral Path",283.0,283.0,,,0 HCPCS,88304,Hc Pathology Level Iii,767.0,767.0,,,0 HCPCS,88304,Tissue exam by pathologist,,,53.99,323.84,8 HCPCS,88305,Hc Level Iv Oral Path,325.0,325.0,,,0 HCPCS,88305,Hc Level Iv Renal Interpretation,938.0,938.0,,,0 HCPCS,88305,Hc Level Iv Surg Path Cell Block,938.0,938.0,,,0 HCPCS,88305,Hc Level Iv Surg Path Nerve In Epon Bx,938.0,938.0,,,0 HCPCS,88305,Hc Level Iv Surgical Pathology Gross And Micro,938.0,938.0,,,0 HCPCS,88305,Hc Level Iv Surgical Pathology Gross And Micro Cfs,938.0,938.0,,,0 HCPCS,88305,Hc Level Iv Surgical Pathology Gross And Micro Cfs-Laf,464.0,464.0,,,0 HCPCS,88305,Hc Levl Iv Derm Path,938.0,938.0,,,0 HCPCS,88305,Hc Muscle Biopsy Level Iv,938.0,938.0,,,0 HCPCS,88305,"Hc Prostate Biopsy, Any Mthd",938.0,938.0,,,0 HCPCS,88305,Tissue exam by pathologist,,,53.99,357.97,8 HCPCS,88307,"Hc-Level V - Surgical Pathology, Gross And Microscopic Examination",1560.0,1560.0,,,0 HCPCS,88307,"Hc-Level V - Surgical Pathology, Gross And Microscopic Examination Csf",1560.0,1560.0,,,0 HCPCS,88307,"Hc-Level V - Surgical Pathology, Gross And Microscopic Examination Csf-Laf",580.0,580.0,,,0 HCPCS,88307,Tissue exam by pathologist,,,350.78,2145.2,8 HCPCS,88309,"Hc Level Vi- Surgical Pathology, Gross And Microscopic Exam",1992.0,1992.0,,,0 HCPCS,88309,Tissue exam by pathologist,,,498.32,3025.76,8 HCPCS,88311,Decalcify tissue,,,13.89,88.34,4 HCPCS,88311,Hc Decalcification Procedure,138.0,138.0,,,0 HCPCS,88312,Hc Special Stains Group 1,458.0,458.0,,,0 HCPCS,88312,Hc Special Stains Group 1 Moderate,458.0,458.0,,,0 HCPCS,88312,Hc Special Stains Group 1 Moderate-Laf,192.0,192.0,,,0 HCPCS,88312,Hc Special Stains Group 1 Simple,458.0,458.0,,,0 HCPCS,88312,Hc Special Stains Group 1 Simple-Laf,192.0,192.0,,,0 HCPCS,88312,Hc Special Stains Group 1-Laf,192.0,192.0,,,0 HCPCS,88312,Special stains group 1,,,55.84,883.58,8 HCPCS,88313,Hc A-Napthyl Butyrate (Anb),302.0,302.0,,,0 HCPCS,88313,Hc A-Napthyl Butyrate (Anb)-Laf,152.0,152.0,,,0 HCPCS,88313,Hc Congo Red Stain,243.0,243.0,,,0 HCPCS,88313,Hc Congo Red Stain-Laf,152.0,152.0,,,0 HCPCS,88313,Hc Oil Red O (Oro),302.0,302.0,,,0 HCPCS,88313,Hc Oil Red O (Oro)-Laf,152.0,152.0,,,0 HCPCS,88313,Hc Periodic Acid Schiff (Pas),302.0,302.0,,,0 HCPCS,88313,Hc Periodic Acid Schiff (Pas)-Laf,152.0,152.0,,,0 HCPCS,88313,Hc Sp Stains Group Ii / Complex,302.0,302.0,,,0 HCPCS,88313,Hc Sp Stains Group Ii / Complex-Laf,152.0,152.0,,,0 HCPCS,88313,Hc Sp Stains Group Ii / Extensive,302.0,302.0,,,0 HCPCS,88313,Hc Sp Stains Group Ii / Extensive-Laf,152.0,152.0,,,0 HCPCS,88313,Hc Sp Stains Group Ii / Moderate,302.0,302.0,,,0 HCPCS,88313,Hc Sp Stains Group Ii / Moderate-Laf,152.0,152.0,,,0 HCPCS,88313,Hc Sp Stains Group Ii / Silver,302.0,302.0,,,0 HCPCS,88313,Hc Sp Stains Group Ii / Silver-Laf,152.0,152.0,,,0 HCPCS,88313,Hc Sp Stains Group Ii /Simple,302.0,302.0,,,0 HCPCS,88313,Hc Sp Stains Group Ii /Simple-Laf,152.0,152.0,,,0 HCPCS,88313,Hc Sp Stains Group Ii/Highly Cmpx,302.0,302.0,,,0 HCPCS,88313,Hc Sp Stains Group Ii/Highly Cmpx-Laf,152.0,152.0,,,0 HCPCS,88313,"Hc Special Stain, Group Ii",302.0,302.0,,,0 HCPCS,88313,"Hc Special Stain, Group Ii-Laf",152.0,152.0,,,0 HCPCS,88313,"Hc Stains. Special, Group Ii (Iron)",302.0,302.0,,,0 HCPCS,88313,"Hc Stains. Special, Group Ii (Iron)-Laf",152.0,152.0,,,0 HCPCS,88313,Hc Sudan Black B (Sbb),302.0,302.0,,,0 HCPCS,88313,Hc Sudan Black B (Sbb)-Laf,152.0,152.0,,,0 HCPCS,88313,Special stains group 2,,,64.06,716.34,8 HCPCS,88314,Hc Special Stain Including Interpretation And Report; Histochemical Stain On Frozen Tissue Block,472.0,472.0,,,0 HCPCS,88314,Histochemical stains add-on,,,85.17,719.75,5 HCPCS,88319,Enzyme histochemistry,,,96.32,2296.53,7 HCPCS,88319,Hc Acid Phos+&Tart Inh Histostain,658.0,658.0,,,0 HCPCS,88319,Hc Acid Phosphatase Histostain,658.0,658.0,,,0 HCPCS,88319,Hc Combined Esterase (Co Est),658.0,658.0,,,0 HCPCS,88319,Hc Histochemical Enzyme I.D.,658.0,658.0,,,0 HCPCS,88319,Hc Myeloperoxidase (Mypx),658.0,658.0,,,0 HCPCS,88319,Hc Napht-As-D-Chloroa Est(Nasdca),658.0,658.0,,,0 HCPCS,88319,Hc Neurohist Stains,658.0,658.0,,,0 HCPCS,88319,Hc Special Stain I&R Group Iii Enzyme Consituents,358.0,358.0,,,0 HCPCS,88321,Hc Consult Referred Slides,396.0,396.0,,,0 HCPCS,88321,Microslide consultation,,,40.03,526.21,7 HCPCS,88323,Hc Consultation And Report On Referred Material Requiring Preparation Of Slides,680.5,680.5,,,0 HCPCS,88323,Microslide consultation,,,55.84,289.71,7 HCPCS,88325,Comprehensive review of data,,,134.75,841.82,7 HCPCS,88325,"Hc Consultation, Comprehensive, W/ Review Of Records And Specimens, W/ Report On Referred Material",938.0,938.0,,,0 HCPCS,88329,Hc Pathology Consultation During Surgery,324.0,324.0,,,0 HCPCS,88329,Path consult introp,,,37.01,223.37,7 HCPCS,88331,"Hc Pathology Consultation During Surgery; First Tissue Block, W/ Frozen Section(S), Single Specimen",441.0,441.0,,,0 HCPCS,88331,Path consult intraop 1 bloc,,,49.53,522.06,7 HCPCS,88332,Hc Pathology Consultation During Surgery; Each Additional Tissue Block With Frozen Section(S),193.0,193.0,,,0 HCPCS,88332,Path consult intraop addl,,,30.05,255.58,4 HCPCS,88333,"Hc Pathology Consultation During Surgery; Cytologic Examination, Initial Site",471.0,471.0,,,0 HCPCS,88333,Intraop cyto path consult 1,,,56.22,2296.53,7 HCPCS,88334,"Hc Pathology Consultation During Surgery; Cytologic Examination, Each Additional Site",295.0,295.0,,,0 HCPCS,88334,Intraop cyto path consult 2,,,35.06,197.96,4 HCPCS,88341,"Hc Immunohistochemistry Or Immunocytocehmistry, Per Specimen; Ini Single Antibody Stain Proc",729.0,729.0,,,0 HCPCS,88341,"Hc Immunohistochemistry Or Immunocytocehmistry, Per Specimen; Ini Single Antibody Stain Proc-Laf",358.0,358.0,,,0 HCPCS,88341,Immunohisto antb addl slide,,,96.9,597.28,5 HCPCS,88342,Hc Ihc Stain Group B,729.0,729.0,,,0 HCPCS,88342,Hc Ihc Stain Group B-Laf,358.0,358.0,,,0 HCPCS,88342,Hc Ihc Tech Only,729.0,729.0,,,0 HCPCS,88342,Hc Ihc Tech Only-Laf,358.0,358.0,,,0 HCPCS,88342,Hc Immunohistochemistry,729.0,729.0,,,0 HCPCS,88342,Hc Immunohistochemistry Each Antibody Multilevel,729.0,729.0,,,0 HCPCS,88342,Hc Immunohistochemistry Each Antibody Multilevel-Laf,358.0,358.0,,,0 HCPCS,88342,Hc Immunohistochemistry-Laf,358.0,358.0,,,0 HCPCS,88342,Immunohisto antb 1st stain,,,109.68,675.38,8 HCPCS,88343,Immunohisto antibod add slid,,,237.83,237.83,1 HCPCS,88344,"Hc Immunohisochemistry Or Immunocytochemistry, Per Specimen; Each Multiplex Antibody Stain Procedure",345.0,345.0,,,0 HCPCS,88344,Immunohisto antibody slide,,,207.69,1334.1,8 HCPCS,88346,Hc Immunofl Study Parietal Cell Ab,349.0,349.0,,,0 HCPCS,88346,Hc Immunofluorescence Per Spec 1St Singl Antb Stain,503.0,503.0,,,0 HCPCS,88346,Hc Immunofluorescent Study Each Antibody Direct,482.0,482.0,,,0 HCPCS,88346,Hc Immunofluorescent Study Each Antibody Direct Method,482.0,482.0,,,0 HCPCS,88346,Hc Immunoflurescence Ab,349.0,349.0,,,0 HCPCS,88346,Immunofluor antb 1st stain,,,86.84,1194.16,7 HCPCS,88348,Electron microscopy,,,421.97,4071.96,7 HCPCS,88348,Hc Electron Miscroscopy,3218.0,3218.0,,,0 HCPCS,88348,Hc Electron Miscroscopy Neuropathology,3218.0,3218.0,,,0 HCPCS,88350,Hc Anti-Enterocyte Antibodies,320.0,320.0,,,0 HCPCS,88350,Hc Immunfluors Stdy Add Ab,482.0,482.0,,,0 HCPCS,88350,Immunofluor antb addl stain,,,67.94,900.64,4 HCPCS,88355,Analysis skeletal muscle,,,115.8,623.79,7 HCPCS,88356,Analysis nerve,,,55.84,1155.42,7 HCPCS,88356,Hc Morphometric Analysis; Nerve,231.0,231.0,,,0 HCPCS,88358,Analysis tumor,,,62.34,927.95,7 HCPCS,88360,Hc Ihc Semi-Quantiative Each Antibody Manual,909.0,909.0,,,0 HCPCS,88360,Hc Ihc Semi-Quantiative Each Antibody Manual-Laf,460.0,460.0,,,0 HCPCS,88360,Tumor immunohistochem/manual,,,101.88,791.42,7 HCPCS,88361,Tumor immunohistochem/comput,,,138.63,1019.41,7 HCPCS,88362,Hc Nerve Teasing Preparations,1392.0,1392.0,,,0 HCPCS,88362,Nerve teasing preparations,,,232.16,2296.53,7 HCPCS,88363,Hc Exam And Selection Of Retrieved Archival Tissue(S) For Molecular Analysis,135.0,135.0,,,0 HCPCS,88363,Xm archive tissue molec anal,,,19.55,122.46,7 HCPCS,88364,"Hc In Situ Hydbrid (Eg, Fish), Per Specimen, Each Additional Single Probe Stain Procedure",788.0,788.0,,,0 HCPCS,88364,Insitu hybridization (fish),,,156.45,1054.23,4 HCPCS,88365,Hc In Situ Stain,788.0,788.0,,,0 HCPCS,88365,Hc Tissue In-Situ Hybridization,788.0,788.0,,,0 HCPCS,88365,Insitu hybridization (fish),,,182.57,1415.61,7 HCPCS,88366,"Hc In Situ Hydbrid (Eg, Fish), Per Specimen, Each Multiplex Probe Stain Procedure",1847.0,1847.0,,,0 HCPCS,88366,Insitu hybridization (fish),,,182.57,2227.91,7 HCPCS,88367,Insitu hybridization auto,,,111.35,1019.41,7 HCPCS,88368,Hc Morphmetric Ish Each Probe Lvl2,1027.0,1027.0,,,0 HCPCS,88368,Hc Morphmetric Ish Each Probe Manual,1027.0,1027.0,,,0 HCPCS,88368,Insitu hybridization manual,,,114.69,1040.18,7 HCPCS,88369,"Hc Morphometric Analysis; In Situ Hybrid, Manual, Per Specimen; Each Add Single Probe Stain Proc",696.0,696.0,,,0 HCPCS,88369,M/phmtrc alysishquant/semiq,,,119.7,917.71,4 HCPCS,88371,Protein western blot tissue,,,47.34,225.26,4 HCPCS,88372,Protein analysis w/probe,,,48.45,262.8,4 HCPCS,88373,M/phmtrc alys ishquant/semiq,,,83.54,447.11,4 HCPCS,88374,M/phmtrc alys ishquant/semiq,,,182.57,2665.18,7 HCPCS,88375,Optical endomicroscpy interp,,,48.87,300.69,4 HCPCS,88377,Hc Morphmetric Analysis Fish,1470.0,1470.0,,,0 HCPCS,88377,M/phmtrc alys ishquant/semiq,,,182.57,3405.41,7 HCPCS,88380,Hc Microdissection Laser,1149.0,1149.0,,,0 HCPCS,88380,Hc Microdissection; Laser Capture,701.0,701.0,,,0 HCPCS,88380,Microdissection laser,,,136.38,729.59,4 HCPCS,88381,Hc Microdisection Mayo,301.0,301.0,,,0 HCPCS,88381,Hc Microdissection; Manual,866.0,866.0,,,0 HCPCS,88381,Microdissection manual,,,144.72,1831.2,4 HCPCS,88387,Tiss exam molecular study,,,15.0,81.51,4 HCPCS,88388,Tiss ex molecul study add-on,,,16.13,142.95,2 HCPCS,88399,Hc Referred Lab Test,349.87,349.87,,,0 HCPCS,88399,Surgical pathology procedure,,,55.84,317.75,6 HCPCS,88720,Bilirubin total transcut,,,5.02,51.2,7 HCPCS,88720,Hc Bilirubin Total Transcut,93.0,93.0,,,0 HCPCS,88738,"Hc Hemoglobin, Quantitative, Transcutaneous",21.0,21.0,,,0 HCPCS,88738,Hgb quant transcutaneous,,,5.02,51.2,7 HCPCS,88740,Transcutaneous carboxyhb,,,9.37,95.56,7 HCPCS,88741,Transcutaneous methb,,,9.37,95.56,7 HCPCS,88749,In vivo lab service,,,19.05,224.15,2 HCPCS,89049,Chct for mal hyperthermia,,,64.94,522.06,7 HCPCS,89050,Body fluid cell count,,,4.72,47.78,7 HCPCS,89050,"Hc Cell Count, Miscellaneous Body Fluids, Except Blood",199.0,199.0,,,0 HCPCS,89051,Body fluid cell count,,,5.6,58.02,8 HCPCS,89051,Hc Body Fluid Cell Ct W/Differential,478.0,478.0,,,0 HCPCS,89051,Hc Spinal Fluid Cell Ct W/ Differential,478.0,478.0,,,0 HCPCS,89051,Hc Synovial Fluid Cell Ct W/Differential,478.0,478.0,,,0 HCPCS,89055,"Hc Leukocyte Assessment, Fecal, Qualitative Or Semiquantitative",156.0,156.0,,,0 HCPCS,89055,Leukocyte assessment fecal,,,4.27,44.37,7 HCPCS,89060,Exam synovial fluid crystals,,,7.33,75.09,7 HCPCS,89060,"Hc Crystal Identification By Light Micrscopy With/Without Polar Lens Analysis, Tissue/Body Fluid",226.0,226.0,,,0 HCPCS,89125,Specimen fat stain,,,5.88,58.02,7 HCPCS,89160,Exam feces for meat fibers,,,4.85,47.78,7 HCPCS,89190,Hc Nasal Smear For Eosinophils,99.0,99.0,,,0 HCPCS,89190,Nasal smear for eosinophils,,,5.79,58.02,7 HCPCS,89220,Sputum specimen collection,,,26.15,522.06,7 HCPCS,89230,Collect sweat for test,,,7.14,174.16,7 HCPCS,89230,Hc Sweat Collection By Iontophoresis,376.0,376.0,,,0 HCPCS,89240,Pathology lab procedure,,,55.84,317.75,6 HCPCS,89250,Cultr oocyte/embryo <4 days,,,182.57,10955.84,8 HCPCS,89251,Cultr oocyte/embryo <4 days,,,182.57,11396.12,7 HCPCS,89253,Embryo hatching,,,153.3,996.55,7 HCPCS,89254,Oocyte identification,,,153.3,996.55,7 HCPCS,89255,Prepare embryo for transfer,,,55.84,636.75,7 HCPCS,89257,Sperm identification,,,55.84,566.05,7 HCPCS,89258,Cryopreservation embryo(s),,,660.8,4921.12,7 HCPCS,89259,Cryopreservation sperm,,,153.3,996.55,7 HCPCS,89260,Sperm isolation simple,,,55.84,317.75,7 HCPCS,89261,Sperm isolation complex,,,55.84,317.75,7 HCPCS,89264,Identify sperm tissue,,,55.84,671.64,7 HCPCS,89268,Insemination of oocytes,,,153.3,996.55,7 HCPCS,89272,Extended culture of oocytes,,,660.8,4921.12,7 HCPCS,89280,Assist oocyte fertilization,,,660.8,4921.12,7 HCPCS,89281,Assist oocyte fertilization,,,153.3,1749.36,7 HCPCS,89290,Biopsy oocyte polar body,,,153.3,1759.86,7 HCPCS,89291,Biopsy oocyte polar body,,,153.3,2213.71,7 HCPCS,89300,Semen analysis w/huhner,,,9.84,98.98,7 HCPCS,89310,Semen analysis w/count,,,8.61,85.33,7 HCPCS,89320,Semen anal vol/count/mot,,,12.31,122.87,8 HCPCS,89321,Semen anal sperm detection,,,12.05,122.87,7 HCPCS,89322,Semen anal strict criteria,,,15.5,157.0,7 HCPCS,89325,Sperm antibody test,,,10.67,105.8,7 HCPCS,89329,Sperm evaluation test,,,19.59,197.96,7 HCPCS,89330,Evaluation cervical mucus,,,10.38,105.8,7 HCPCS,89331,Retrograde ejaculation anal,,,19.59,197.96,7 HCPCS,89335,Cryopreserve testicular tiss,,,55.84,317.75,7 HCPCS,89337,Cryopreservation oocyte(s),,,153.3,1158.75,7 HCPCS,89342,Storage/year embryo(s),,,153.3,996.55,7 HCPCS,89343,Storage/year sperm/semen,,,153.3,996.55,7 HCPCS,89344,Storage/year reprod tissue,,,153.3,996.55,7 HCPCS,89346,Storage/year oocyte(s),,,182.57,2054.03,7 HCPCS,89352,Thawing cryopresrved embryo,,,23.69,996.55,7 HCPCS,89353,Thawing cryopresrved sperm,,,23.69,317.75,7 HCPCS,89354,Thaw cryoprsvrd reprod tiss,,,23.69,996.55,7 HCPCS,89356,Thawing cryopresrved oocyte,,,16.88,996.55,7 HCPCS,89360,Collect sweat for test,,,66.73,66.73,1 HCPCS,89398,Unlisted reprod med lab proc,,,55.84,317.75,5 HCPCS,89399,Pathology lab procedure,,,119.54,119.54,1 HCPCS,90281,Hc Travel Immunoglobulin .1,34.0,34.0,,,0 HCPCS,90281,Hc Travel Immunoglobulin .2,68.0,68.0,,,0 HCPCS,90281,Hc Travel Immunoglobulin .3,102.0,102.0,,,0 HCPCS,90281,Hc Travel Immunoglobulin .4,136.0,136.0,,,0 HCPCS,90281,Hc Travel Immunoglobulin .5,170.0,170.0,,,0 HCPCS,90281,Human ig im,,,143.76,143.76,1 HCPCS,90283,Human ig iv,,,112.44,112.44,1 HCPCS,90284,Human ig sc,,,22.48,22.48,1 HCPCS,90288,Botulism ig iv,,,65751.75,65751.75,1 HCPCS,90291,Cmv ig iv,,,2656.35,2656.35,1 HCPCS,90371,Hc Hbig Vaccine Employee Health,628.0,628.0,,,0 HCPCS,90371,Hep b ig im,,,134.19,239.0,6 HCPCS,90375,Hyperrab: 1 Vial In 1 Carton (13533-318-01) / 1 Ml In 1 Vial (13533-318-10),327.91499999999996,327.91499999999996,,,0 HCPCS,90375,Hyperrab: 1 Vial In 1 Carton (13533-318-05) / 5 Ml In 1 Vial (13533-318-50),338.595,338.595,,,0 HCPCS,90375,NDC Description Not Available,330.03999999999996,330.03999999999996,,,0 HCPCS,90375,Rabies ig im/sc,,,279.85,506.86,6 HCPCS,90376,Rabies ig heat treated,,,352.44,684.29,4 HCPCS,90377,Rabies ig ht&sol human im/sc,,,222.25,539.14,6 HCPCS,90378,Rsv mab im 50mg,,,436.75,2752.84,5 HCPCS,90380,Beyfortus: 1 Syringe In 1 Carton (49281-574-88) / 1 Ml In 1 Syringe,253.5,253.5,,,0 HCPCS,90380,Beyfortus: 1 Syringe In 1 Carton (49281-575-00) / .5 Ml In 1 Syringe,507.0,507.0,,,0 HCPCS,90380,Beyfortus: 5 Syringe In 1 Carton (49281-575-15) / .5 Ml In 1 Syringe,507.0,507.0,,,0 HCPCS,90380,Pr Rsv Monoclonal Antb Seasonal Dose 0.5Ml Im Use,507.0,507.0,,,0 HCPCS,90380,Rsv monoc antb seasn .5ml im,,,840.87,840.87,1 HCPCS,90381,Beyfortus: 1 Syringe In 1 Carton (49281-574-88) / 1 Ml In 1 Syringe,507.0,507.0,,,0 HCPCS,90381,Beyfortus: 1 Syringe In 1 Carton (49281-575-00) / .5 Ml In 1 Syringe,507.0,507.0,,,0 HCPCS,90381,Beyfortus: 5 Syringe In 1 Carton (49281-574-15) / 1 Ml In 1 Syringe,507.0,507.0,,,0 HCPCS,90381,Pr Rsv Monoclonal Antb Seasonal Dose 1 Ml Im Use,507.0,507.0,,,0 HCPCS,90381,Rsv monoc antb seasnl 1ml im,,,840.87,840.87,1 HCPCS,90382,Rsv monoc antb seasn .7ml im,,,840.67,840.67,1 HCPCS,90384,Rh ig full-dose im,,,125.24,125.24,1 HCPCS,90385,Rh ig minidose im,,,45.12,116.0,4 HCPCS,90386,Rh ig iv,,,15.59,15.59,1 HCPCS,90389,Tetanus ig im,,,981.54,981.54,1 HCPCS,90396,NDC Description Not Available,13428.14,13428.14,,,0 HCPCS,90396,Varicella-zoster ig im,,,2361.82,3448.51,4 HCPCS,90396,"Varizig: 1 Vial, Glass In 1 Carton (70257-126-51) / 1.2 Ml In 1 Vial, Glass (70257-126-11)",14623.22,14623.22,,,0 HCPCS,90471,Hc Immunization Administration; 1 Vaccine,81.0,81.0,,,0 HCPCS,90471,Hc Travel Clinic Immunization Administration; 1 Vaccine,36.0,36.0,,,0 HCPCS,90471,Immunization admin,,,77.16,111.88,3 HCPCS,90472,Hc Immunization Administration; Each Additional Vaccine,43.0,43.0,,,0 HCPCS,90473,Hc Immunization Administration By Intranasal Or Oral Route; 1 Vaccine,89.0,89.0,,,0 HCPCS,90473,Immune admin oral/nasal,,,77.16,111.88,3 HCPCS,90474,Hc Immunization Administration By Intranasal Or Oral Route; Each Additional Vaccine,34.0,34.0,,,0 HCPCS,90480,Admn sarscov2 vacc 1 dose,,,43.55,63.15,3 HCPCS,90480,Hc Admn Sarscov2 Vacc 1 Dose,81.0,81.0,,,0 HCPCS,90581,Anthrax vaccine sc or im,,,149.69,149.69,1 HCPCS,90585,Bcg vaccine percut,,,267.12,267.12,1 HCPCS,90586,Bcg vaccine intravesical,,,244.47,267.12,2 HCPCS,90587,Dengue vacc quad 3 dose subq,,,99.79,99.79,1 HCPCS,90589,Chikungunya vaccine live im,,,415.8,415.8,1 HCPCS,90593,Chikungunya vacc recomb im,,,415.8,415.8,1 HCPCS,90611,Jynneos: 20 Vial In 1 Carton (50632-001-02) / .5 Ml In 1 Vial (50632-001-01),0.01,0.01,,,0 HCPCS,90611,NDC Description Not Available,0.01,0.01,,,0 HCPCS,90611,Pr Smallpox&Monkeypox Vacc 0.5Ml Dos For Subq Use,0.01,0.01,,,0 HCPCS,90611,Smallpox&monkeypox vac 0.5ml,,,0.01,408.24,4 HCPCS,90619,Menacwy-tt vaccine im,,,260.02,260.02,1 HCPCS,90620,Bexsero: 10 Syringe In 1 Carton (58160-976-20) / .5 Ml In 1 Syringe (58160-976-02),1127.04,1127.04,,,0 HCPCS,90620,Menb rp w/omv vaccine im,,,358.55,358.55,1 HCPCS,90620,NDC Description Not Available,493.205,493.205,,,0 HCPCS,90620,Pr Menb-4C Recombnt Prot & Outer Memb Vesic Vacc Im,760.0,760.0,,,0 HCPCS,90621,Menb rlp vaccine im,,,313.47,313.47,1 HCPCS,90622,Vaccinia vrs vac 0.3 ml perq,,,0.01,0.01,4 HCPCS,90623,Menacwy-tt menb-fhbp vacc im,,,358.2,358.2,1 HCPCS,90625,Cholera vaccine live oral,,,440.75,440.75,1 HCPCS,90626,Tic-brn enceph vac 0.25ml im,,,459.5,459.5,1 HCPCS,90627,Tic-brn enceph vac 0.5ml im,,,459.5,459.5,1 HCPCS,90632,Havrix: 10 Syringe In 1 Carton (58160-826-52) / 1 Ml In 1 Syringe (58160-826-43),188.5,188.5,,,0 HCPCS,90632,Hepa vaccine adult im,,,110.69,122.96,2 HCPCS,90632,NDC Description Not Available,269.0,269.0,,,0 HCPCS,90632,Pr Hepa Vaccine Adult Dose For Intramuscular Use,269.0,269.0,,,0 HCPCS,90632,"Pr Hepa Vaccine Adult Dose For Intramuscular Use-Pbb,Tvl",108.0,108.0,,,0 HCPCS,90632,Pr Hepa Vaccine Adult Dose For Intramuscular Use-Tvl,108.0,108.0,,,0 HCPCS,90632,"Vaqta: 1 Vial, Single-Dose In 1 Carton (0006-4841-00) / 1 Ml In 1 Vial, Single-Dose (0006-4841-01)",269.0,269.0,,,0 HCPCS,90633,Havrix: 10 Syringe In 1 Carton (50090-1502-0) / 1 Ml In 1 Syringe (50090-1502-9),508.68,508.68,,,0 HCPCS,90633,Havrix: 10 Syringe In 1 Carton (58160-825-52) / .5 Ml In 1 Syringe (58160-825-43),105.0,105.0,,,0 HCPCS,90633,Havrix: 10 Syringe In 1 Carton (58160-826-52) / 1 Ml In 1 Syringe (58160-826-43),79.58,79.58,,,0 HCPCS,90633,Hepa vacc ped/adol 2 dose im,,,58.74,58.74,1 HCPCS,90633,NDC Description Not Available,264.93,264.93,,,0 HCPCS,90633,Pr Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use,105.0,105.0,,,0 HCPCS,90633,"Pr Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use-Pbb,Tvl",238.0,238.0,,,0 HCPCS,90633,Pr Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use-Tvl,238.0,238.0,,,0 HCPCS,90633,Vaqta: 10 Syringe In 1 Carton (0006-4095-02) / .5 Ml In 1 Syringe (0006-4095-01),238.0,238.0,,,0 HCPCS,90633,"Vaqta: 10 Vial, Single-Dose In 1 Carton (0006-4831-41) / .5 Ml In 1 Vial, Single-Dose (0006-4831-01)",105.0,105.0,,,0 HCPCS,90636,Hep a/hep b vacc adult im,,,200.23,200.23,1 HCPCS,90636,NDC Description Not Available,402.39,402.39,,,0 HCPCS,90636,Pr Hepatitis A & B Vaccine Hepa-Hepb Adult Im,678.0,678.0,,,0 HCPCS,90636,"Pr Hepatitis A & B Vaccine Hepa-Hepb Adult Im-Pbb,Tvl",177.0,177.0,,,0 HCPCS,90636,Pr Hepatitis A & B Vaccine Hepa-Hepb Adult Im-Tvl,177.0,177.0,,,0 HCPCS,90636,Twinrix: 10 Syringe In 1 Carton (58160-815-52) / 1 Ml In 1 Syringe (58160-815-43),177.0,177.0,,,0 HCPCS,90644,Hib-mency vacc 6wk-18m0 im,,,37.37,37.37,1 HCPCS,90647,Hib prp-omp vacc 3 dose im,,,46.24,46.24,1 HCPCS,90648,"Acthib: 1 Kit In 1 Carton (49281-545-03) * .5 Ml In 1 Vial, Single-Dose (49281-547-58) * .6 Ml In 1 Vial, Single-Dose (49281-546-58)",101.0,101.0,,,0 HCPCS,90648,Hib prp-t vaccine 4 dose im,,,19.91,19.91,1 HCPCS,90648,Hiberix: 1 Kit In 1 Carton (58160-726-15) * .85 Ml In 1 Syringe (58160-817-02) * .5 Ml In 1 Vial (58160-816-03),101.0,101.0,,,0 HCPCS,90648,Hiberix: 1 Kit In 1 Carton (58160-818-11) * 10 Vial In 1 Carton (58160-816-05) / .5 Ml In 1 Vial (58160-816-01) * 10 Vial In 1 Package (58160-817-05) / .85 Ml In 1 Vial (58160-817-01),101.0,101.0,,,0 HCPCS,90648,Infanrix: 10 Syringe In 1 Carton (58160-810-52) / .5 Ml In 1 Syringe (58160-810-43),101.0,101.0,,,0 HCPCS,90648,NDC Description Not Available,81.38,81.38,,,0 HCPCS,90648,Pr Hib Prp-T Vaccine 4 Dose Schedule Im Use,101.0,101.0,,,0 HCPCS,90649,4vhpv vaccine 3 dose im,,,242.18,242.18,1 HCPCS,90649,Pr 4Vhpv Vaccine 3 Dose Schedule For Im Use,708.0,708.0,,,0 HCPCS,90650,2vhpv vaccine 3 dose im,,,200.48,200.48,1 HCPCS,90650,Pr 2Vhpv Vaccine 3 Dose Schedule For Im Use,1073.0,1073.0,,,0 HCPCS,90651,9vhpv vaccine 3 dose im,,,465.1,465.1,1 HCPCS,90651,"Gardasil 9: 10 Syringe, Glass In 1 Carton (0006-4121-02) / .5 Ml In 1 Syringe, Glass (0006-4121-01)",1284.28,1284.28,,,0 HCPCS,90651,"Gardasil 9: 10 Vial, Single-Dose In 1 Carton (0006-4119-03) / .5 Ml In 1 Vial, Single-Dose (0006-4119-01)",1247.73,1247.73,,,0 HCPCS,90651,"Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10) / 5 Ml In 1 Vial, Multi-Dose (49281-860-78)",574.0,574.0,,,0 HCPCS,90651,Menveo: 10 Vial In 1 Carton (58160-827-30) / .5 Ml In 1 Vial (58160-827-03),574.0,574.0,,,0 HCPCS,90651,NDC Description Not Available,1931.07,1931.07,,,0 HCPCS,90651,Pr 9Vhpv Vacc 2/3 Dose Sched Im Use,574.0,574.0,,,0 HCPCS,90651,"Proquad: 10 Vial, Single-Dose In 1 Carton (0006-4171-00) / .5 Ml In 1 Vial, Single-Dose (0006-4171-01)",574.0,574.0,,,0 HCPCS,90653,Iiv adjuvant vaccine im,,,110.92,147.24,2 HCPCS,90655,Iiv3 vacc no prsv 0.25 ml im,,,18.89,18.89,1 HCPCS,90655,Pr Iiv3 Vacc Presrv Free 0.25 Ml Dosage Im Use,69.0,69.0,,,0 HCPCS,90656,Fluarix 2024/2025: 10 Syringe In 1 Carton (58160-884-52) / .5 Ml In 1 Syringe (58160-884-41),66.0,66.0,,,0 HCPCS,90656,Flulaval 2024/2025: 10 Syringe In 1 Carton (19515-810-52) / .5 Ml In 1 Syringe (19515-810-41),44.175,44.175,,,0 HCPCS,90656,"Fluzone Trivalent Northern Hemisphere: 10 Syringe, Glass In 1 Package (49281-424-50) / .5 Ml In 1 Syringe, Glass (49281-424-88)",42.965,42.965,,,0 HCPCS,90656,Hc Flu Vaccine .5Ml Inj 3Yr And Older Employee Health,35.0,35.0,,,0 HCPCS,90656,Iiv3 vacc no prsv 0.5 ml im,,,29.84,34.82,2 HCPCS,90656,NDC Description Not Available,33.675,33.675,,,0 HCPCS,90656,Pr Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use,68.0,68.0,,,0 HCPCS,90656,"Pr Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use-Pbb,Tvl",45.0,45.0,,,0 HCPCS,90656,Pr Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use-Tvl,45.0,45.0,,,0 HCPCS,90657,Iiv3 vaccine splt 0.25 ml im,,,14.59,16.55,2 HCPCS,90658,Iiv3 vaccine splt 0.5 ml im,,,29.19,33.1,2 HCPCS,90658,"Pr Iiv3 Vaccine Split Virus 0.5 Ml Dosage Im Use-Pbb,Tvl",93.0,93.0,,,0 HCPCS,90658,Pr Iiv3 Vaccine Split Virus 0.5 Ml Dosage Im Use-Tvl,93.0,93.0,,,0 HCPCS,90660,Laiv3 vaccine intranasal,,,38.48,44.57,2 HCPCS,90660,NDC Description Not Available,41.0,41.0,,,0 HCPCS,90660,Pr Laiv3 Vaccine Live For Intranasal Use,41.0,41.0,,,0 HCPCS,90661,Cciiv3 vac no prsv 0.5 ml im,,,49.06,74.24,2 HCPCS,90662,"FLUZONE High-Dose Quadrivalent Northern Hemisphere: 10 SYRINGE, GLASS in 1 PACKAGE (49281-122-65) / .7 mL in 1 SYRINGE, GLASS (49281-122-88)",209.0,209.0,,,0 HCPCS,90662,"Fluzone High Dose Northern Hemisphere: 5 Syringe, Glass In 1 Package (49281-124-65) / .5 Ml In 1 Syringe, Glass (49281-124-88)",141.20499999999998,141.20499999999998,,,0 HCPCS,90662,Iiv no prsv increased ag im,,,110.92,147.24,2 HCPCS,90662,NDC Description Not Available,58.394999999999996,58.394999999999996,,,0 HCPCS,90662,Pr Iiv Vaccine Preserv Free Increased Ag Content Im,209.0,209.0,,,0 HCPCS,90670,NDC Description Not Available,834.035,834.035,,,0 HCPCS,90670,Pcv13 vaccine im,,,342.36,386.98,2 HCPCS,90670,Pr Pcv13 Vaccine For Intramuscular Use,156.0,156.0,,,0 HCPCS,90671,Pcv15 vaccine im,,,346.55,391.72,2 HCPCS,90672,"Hc Flu Vac Laiv4; 0.2Ml In Spry,2-49Yr Employee Health",35.0,35.0,,,0 HCPCS,90672,Laiv4 vaccine intranasal,,,37.04,37.04,1 HCPCS,90672,Pr Laiv4 Vaccine For Intranasal Use,99.0,99.0,,,0 HCPCS,90673,Hc Flu Vac Tv(18 Yr+)135 Mcg Im Employee Health,33.0,33.0,,,0 HCPCS,90673,Pr Riv3 Vaccine Preservative Free For Im Use,39.0,39.0,,,0 HCPCS,90673,Riv3 vaccine no preserv im,,,110.92,147.24,3 HCPCS,90674,Cciiv4 vac no prsv 0.5 ml im,,,45.51,45.51,1 HCPCS,90675,"IMOVAX RABIES: 1 KIT in 1 PACKAGE (49281-250-51) * 1 mL in 1 VIAL, SINGLE-USE (49281-248-58) * 1 mL in 1 SYRINGE (49281-249-01)",433.81,433.81,,,0 HCPCS,90675,"Imovax Rabies: 1 Kit In 1 Package (49281-252-51) * 1 Ml In 1 Vial, Single-Use (49281-246-58) * 1 Ml In 1 Syringe (49281-263-58)",451.16,451.16,,,0 HCPCS,90675,NDC Description Not Available,712.58,712.58,,,0 HCPCS,90675,Pr Rabies Vaccine Intramuscular,974.0,974.0,,,0 HCPCS,90675,"Pr Rabies Vaccine Intramuscular-Pbb,Tvl",439.0,439.0,,,0 HCPCS,90675,Pr Rabies Vaccine Intramuscular-Tvl,439.0,439.0,,,0 HCPCS,90675,"Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01)",974.0,974.0,,,0 HCPCS,90675,Rabies vaccine im,,,313.68,657.13,6 HCPCS,90677,NDC Description Not Available,565.0,565.0,,,0 HCPCS,90677,Pcv20 vaccine im,,,415.19,469.35,2 HCPCS,90677,Pr Pcv20 Vaccine For Intramuscular Use,565.0,565.0,,,0 HCPCS,90677,"Pr Pcv20 Vaccine For Intramuscular Use-Pbb,Tvl",295.0,295.0,,,0 HCPCS,90677,Pr Pcv20 Vaccine For Intramuscular Use-Tvl,295.0,295.0,,,0 HCPCS,90677,Prevnar 20: 1 Syringe In 1 Carton (0005-2000-02) / .5 Ml In 1 Syringe (0005-2000-01),1199.6799999999998,1199.6799999999998,,,0 HCPCS,90677,Prevnar 20: 10 Syringe In 1 Carton (0005-2000-10) / .5 Ml In 1 Syringe (0005-2000-01),565.0,565.0,,,0 HCPCS,90678,"Abrysvo: 1 Tray In 1 Carton (0069-0344-01) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01)",307.0,307.0,,,0 HCPCS,90678,"Abrysvo: 5 Tray In 1 Carton (0069-0344-05) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01)",307.0,307.0,,,0 HCPCS,90678,NDC Description Not Available,299.5,299.5,,,0 HCPCS,90678,Pr Rsv Vaccine Pref Subunit Bivalent For Im Use,307.0,307.0,,,0 HCPCS,90678,Rsv vacc pref bivalent im,,,463.89,463.89,1 HCPCS,90679,Arexvy: 1 Kit In 1 Carton (58160-848-11) * .5 Ml In 1 Vial (58160-723-03) * .5 Ml In 1 Vial (58160-744-03),292.0,292.0,,,0 HCPCS,90679,NDC Description Not Available,292.0,292.0,,,0 HCPCS,90679,Pr Rsv Vacc Pref Recombinant Adjuvanted For Im Use,292.0,292.0,,,0 HCPCS,90679,Rsv vacc pref recomb adjt im,,,463.2,463.2,1 HCPCS,90680,NDC Description Not Available,283.0,283.0,,,0 HCPCS,90680,Pr Rv5 Vaccine 3 Dose Schedule Live For Oral Use,283.0,283.0,,,0 HCPCS,90680,Rotarix: 10 Applicator In 1 Carton (58160-740-21) / 1.5 Ml In 1 Applicator (58160-740-02),283.0,283.0,,,0 HCPCS,90680,Rotateq: 10 Pouch In 1 Carton (0006-4047-41) / 1 Tube In 1 Pouch (0006-4047-02) / 2 Ml In 1 Tube (0006-4047-01),283.0,283.0,,,0 HCPCS,90680,Rotateq: 25 Pouch In 1 Carton (0006-4047-20) / 1 Tube In 1 Pouch (0006-4047-02) / 2 Ml In 1 Tube (0006-4047-01),283.0,283.0,,,0 HCPCS,90680,Rv5 vacc 3 dose live oral,,,149.42,149.42,1 HCPCS,90681,NDC Description Not Available,706.0,706.0,,,0 HCPCS,90681,Pr Rv1 Vaccine 2 Dose Schedule Live For Oral Use,706.0,706.0,,,0 HCPCS,90681,Rotarix: 1 Kit In 1 Carton (58160-854-52) * 10 Vial In 1 Carton (58160-851-10) / 1 Ml In 1 Vial (58160-851-01) * 1 Ml In 1 Applicator (58160-853-02),706.0,706.0,,,0 HCPCS,90681,Rotarix: 10 Applicator In 1 Carton (58160-740-21) / 1.5 Ml In 1 Applicator (58160-740-02),706.0,706.0,,,0 HCPCS,90681,Rotateq: 10 Pouch In 1 Carton (0006-4047-41) / 1 Tube In 1 Pouch (0006-4047-02) / 2 Ml In 1 Tube (0006-4047-01),706.0,706.0,,,0 HCPCS,90681,Rotateq: 25 Pouch In 1 Carton (0006-4047-20) / 1 Tube In 1 Pouch (0006-4047-02) / 2 Ml In 1 Tube (0006-4047-01),706.0,706.0,,,0 HCPCS,90681,Rv1 vacc 2 dose live oral,,,222.29,222.29,1 HCPCS,90682,Pr Riv4 Vacc Recombinant Dna Prsrv Antibio Free Im,69.0,69.0,,,0 HCPCS,90682,Riv4 vacc recombinant dna im,,,97.54,97.54,1 HCPCS,90683,Rsv vacc mrna lipid nano im,,,438.48,438.48,1 HCPCS,90684,Pcv21 vaccine im,,,435.08,491.84,2 HCPCS,90685,Iiv4 vacc no prsv 0.25 ml im,,,28.89,28.89,1 HCPCS,90685,Pr Iiv4 Vacc Prsrv Free 0.25 Ml Dos For Im Use,66.0,66.0,,,0 HCPCS,90685,"Pr Iiv4 Vacc Prsrv Free 0.25 Ml Dos For Im Use-Pbb,Tvl",57.0,57.0,,,0 HCPCS,90685,Pr Iiv4 Vacc Prsrv Free 0.25 Ml Dos For Im Use-Tvl,57.0,57.0,,,0 HCPCS,90686,FLUARIX QUADRIVALENT: 10 SYRINGE in 1 CARTON (58160-909-52) / .5 mL in 1 SYRINGE (58160-909-41),29.0,29.0,,,0 HCPCS,90686,Flulaval 2024/2025: 10 Syringe In 1 Carton (19515-810-52) / .5 Ml In 1 Syringe (19515-810-41),29.0,29.0,,,0 HCPCS,90686,Flulaval Quadrivalent: 10 SYRINGE in 1 CARTON (19515-808-52) / .5 mL in 1 SYRINGE (19515-808-41),29.0,29.0,,,0 HCPCS,90686,Flulaval Quadrivalent: 10 SYRINGE in 1 CARTON (19515-814-52) / .5 mL in 1 SYRINGE (19515-814-41),29.0,29.0,,,0 HCPCS,90686,"Fluzone Quadrivalent Northern Hemisphere: 10 SYRINGE, GLASS in 1 PACKAGE (49281-423-50) / .5 mL in 1 SYRINGE, GLASS (49281-423-88)",29.0,29.0,,,0 HCPCS,90686,"Fluzone Trivalent Northern Hemisphere: 10 Syringe, Glass In 1 Package (49281-424-50) / .5 Ml In 1 Syringe, Glass (49281-424-88)",29.0,29.0,,,0 HCPCS,90686,"Hc Flu Vac Iiv4 3+Yrs, Im Employee Health",33.0,33.0,,,0 HCPCS,90686,Iiv4 vacc no prsv 0.5 ml im,,,29.84,29.84,1 HCPCS,90686,NDC Description Not Available,20.68,20.68,,,0 HCPCS,90686,Pr Iiv4 Vacc Presrv Free 0.5 Ml Dos For Im Use,29.0,29.0,,,0 HCPCS,90686,"Pr Iiv4 Vacc Presrv Free 0.5 Ml Dos For Im Use-Pbb,Tvl",57.0,57.0,,,0 HCPCS,90686,Pr Iiv4 Vacc Presrv Free 0.5 Ml Dos For Im Use-Tvl,57.0,57.0,,,0 HCPCS,90687,Iiv4 vaccine splt 0.25 ml im,,,13.95,13.95,1 HCPCS,90688,Iiv4 vaccine splt 0.5 ml im,,,27.88,27.88,1 HCPCS,90690,Typhoid vaccine oral,,,177.32,177.32,1 HCPCS,90691,NDC Description Not Available,301.5,301.5,,,0 HCPCS,90691,Pr Typhoid Vaccine Vi Capsular Polysaccharide Im,456.0,456.0,,,0 HCPCS,90691,"Pr Typhoid Vaccine Vi Capsular Polysaccharide Im-Pbb,Tvl",147.0,147.0,,,0 HCPCS,90691,Pr Typhoid Vaccine Vi Capsular Polysaccharide Im-Tvl,147.0,147.0,,,0 HCPCS,90691,Typhim Vi: 1 Syringe In 1 Package (49281-790-51) / .5 Ml In 1 Syringe (49281-790-88),580.925,580.925,,,0 HCPCS,90691,Typhoid vaccine im,,,232.7,232.7,1 HCPCS,90694,"FLUAD QUADRIVALENT: 10 SYRINGE, GLASS in 1 CARTON (70461-122-03) / .5 mL in 1 SYRINGE, GLASS (70461-122-04)",62.26,62.26,,,0 HCPCS,90694,NDC Description Not Available,213.63,213.63,,,0 HCPCS,90694,Pr Aiiv4 Vacc Inactivated Prsrv Fr 0.5Ml Dos Im Use,365.0,365.0,,,0 HCPCS,90694,Vacc aiiv4 no prsrv 0.5ml im,,,102.79,102.79,1 HCPCS,90696,Dtap-ipv vaccine 4-6 yrs im,,,94.99,94.99,1 HCPCS,90696,Kinrix: 10 Syringe In 1 Carton (58160-812-52) / .5 Ml In 1 Syringe (58160-812-43),264.065,264.065,,,0 HCPCS,90696,NDC Description Not Available,139.0,139.0,,,0 HCPCS,90696,Pr Dtap-Ipv Vaccine Child 4-6 Yrs For Im Use,139.0,139.0,,,0 HCPCS,90697,Dtap-ipv-hib-hepb vaccine im,,,236.8,236.8,1 HCPCS,90697,NDC Description Not Available,980.55,980.55,,,0 HCPCS,90697,Pr Dtap-Ipv-Hib-Hepb Vaccine Intramuscular,330.0,330.0,,,0 HCPCS,90697,Vaxelis: 10 Syringe In 1 Package (63361-243-15) / .5 Ml In 1 Syringe (63361-243-88),655.28,655.28,,,0 HCPCS,90697,"Vaxelis: 10 Vial, Single-Dose In 1 Package (63361-243-10) / .5 Ml In 1 Vial, Single-Dose (63361-243-58)",658.0799999999999,658.0799999999999,,,0 HCPCS,90698,Dtap-ipv/hib vaccine im,,,181.53,181.53,1 HCPCS,90698,NDC Description Not Available,178.0,178.0,,,0 HCPCS,90698,Pr Dtap-Ipv/Hib Vaccine For Intramuscular Use,178.0,178.0,,,0 HCPCS,90700,Daptacel: 10 Vial In 1 Package (49281-286-10) / .5 Ml In 1 Vial (49281-286-58),106.0,106.0,,,0 HCPCS,90700,Dtap vaccine < 7 yrs im,,,44.74,44.74,1 HCPCS,90700,Infanrix: 10 Syringe In 1 Carton (58160-810-52) / .5 Ml In 1 Syringe (58160-810-43),142.82,142.82,,,0 HCPCS,90700,NDC Description Not Available,143.185,143.185,,,0 HCPCS,90700,Pr Diphth Tetanus Tox Acell Pertussis Vacc<7 Yr Im,106.0,106.0,,,0 HCPCS,90702,Dt vaccine under 7 yrs im,,,99.93,99.93,1 HCPCS,90702,"Guanfacine Extended-Release: 100 Tablet, Extended Release In 1 Bottle (60505-3927-1)",2.85,2.85,,,0 HCPCS,90702,"Guanfacine: 100 Tablet, Extended Release In 1 Bottle (0228-2850-11)",4.64,4.64,,,0 HCPCS,90702,NDC Description Not Available,43.0,43.0,,,0 HCPCS,90702,Pr Dt Vaccine Younger Than 7 Yrs For Im Use,43.0,43.0,,,0 HCPCS,90707,Hc Mmr Employee Health,113.0,113.0,,,0 HCPCS,90707,"M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01)",224.0,224.0,,,0 HCPCS,90707,Mmr vaccine sc,,,143.94,143.94,1 HCPCS,90707,NDC Description Not Available,606.66,606.66,,,0 HCPCS,90707,Pr Measles Mumps Rubella Virus Vaccine Live Subq,224.0,224.0,,,0 HCPCS,90707,"Pr Measles Mumps Rubella Virus Vaccine Live Subq-Pbb,Tvl",156.0,156.0,,,0 HCPCS,90707,Pr Measles Mumps Rubella Virus Vaccine Live Subq-Tvl,156.0,156.0,,,0 HCPCS,90707,Priorix: 1 Kit In 1 Carton (58160-824-15) * .5 Ml In 1 Vial (58160-831-03) * .5 Ml In 1 Syringe (58160-833-02),190.0,190.0,,,0 HCPCS,90710,Mmrv vaccine sc,,,420.58,420.58,1 HCPCS,90710,NDC Description Not Available,72.0,72.0,,,0 HCPCS,90710,Pr Measles Mumps Rubella Varicella Vacc Live Subq,72.0,72.0,,,0 HCPCS,90710,"Pr Measles Mumps Rubella Varicella Vacc Live Subq-Pbb,Tvl",156.0,156.0,,,0 HCPCS,90710,Pr Measles Mumps Rubella Varicella Vacc Live Subq-Tvl,156.0,156.0,,,0 HCPCS,90710,"Proquad: 10 Vial, Single-Dose In 1 Carton (0006-4171-00) / .5 Ml In 1 Vial, Single-Dose (0006-4171-01)",72.0,72.0,,,0 HCPCS,90713,"Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10) / 5 Ml In 1 Vial, Multi-Dose (49281-860-78)",72.0,72.0,,,0 HCPCS,90713,NDC Description Not Available,106.0,106.0,,,0 HCPCS,90713,Poliovirus ipv sc/im,,,67.64,67.64,1 HCPCS,90713,Pr Poliovirus Vaccine Inactivated Subq/Im,106.0,106.0,,,0 HCPCS,90713,"Pr Poliovirus Vaccine Inactivated Subq/Im-Pbb,Tvl",66.0,66.0,,,0 HCPCS,90713,Pr Poliovirus Vaccine Inactivated Subq/Im-Tvl,66.0,66.0,,,0 HCPCS,90714,Hc Tetanus Diptheria Toxoids > 7 Yrs Employee Health,207.0,207.0,,,0 HCPCS,90714,NDC Description Not Available,257.065,257.065,,,0 HCPCS,90714,Pr Td Vaccine Prsrv Free 7 Yrs Or Older For Im Use,270.0,270.0,,,0 HCPCS,90714,Td vacc no presv 7 yrs+ im,,,56.06,63.88,2 HCPCS,90714,Tenivac: 10 Syringe In 1 Package (49281-215-15) / .5 Ml In 1 Syringe (49281-215-88),243.91,243.91,,,0 HCPCS,90714,"Tenivac: 10 Vial, Single-Dose In 1 Package (49281-215-10) / .5 Ml In 1 Vial, Single-Dose (49281-215-58)",245.37,245.37,,,0 HCPCS,90715,Adacel Tdap: 10 Vial In 1 Package (49281-400-10) / .5 Ml In 1 Vial (49281-400-58),308.45,308.45,,,0 HCPCS,90715,Boostrix: 10 Syringe In 1 Carton (58160-842-52) / .5 Ml In 1 Syringe (58160-842-43),188.32,188.32,,,0 HCPCS,90715,Boostrix: 10 Vial In 1 Carton (58160-842-11) / .5 Ml In 1 Vial (58160-842-01),186.88,186.88,,,0 HCPCS,90715,Hc Tdap Vacc Indiv Age 7 Or > Im Use Employee Health,99.0,99.0,,,0 HCPCS,90715,Hc Tdap Vacc Indiv Age 7 Or > Im Use Employee Health,99.0,99.0,,,0 HCPCS,90715,NDC Description Not Available,185.545,185.545,,,0 HCPCS,90715,Pr Tdap Vaccine 7 Yrs/> Im,70.0,70.0,,,0 HCPCS,90715,"Pr Tdap Vaccine 7 Yrs/> Im-Pbb,Tvl",86.0,86.0,,,0 HCPCS,90715,Pr Tdap Vaccine 7 Yrs/> Im-Tvl,86.0,86.0,,,0 HCPCS,90715,Tdap vaccine 7 yrs/> im,,,59.72,73.71,2 HCPCS,90716,Hc Varicella Employee Health,191.0,191.0,,,0 HCPCS,90716,NDC Description Not Available,785.6,785.6,,,0 HCPCS,90716,Pr Var Vaccine Live For Subcutaneous Use,385.0,385.0,,,0 HCPCS,90716,"Pr Var Vaccine Live For Subcutaneous Use-Pbb,Tvl",199.0,199.0,,,0 HCPCS,90716,Pr Var Vaccine Live For Subcutaneous Use-Tvl,199.0,199.0,,,0 HCPCS,90716,Var vaccine live subq,,,276.7,276.7,1 HCPCS,90716,"Varivax: 10 Vial, Single-Dose In 1 Carton (0006-4827-00) / .5 Ml In 1 Vial, Single-Dose (0006-4827-01)",778.815,778.815,,,0 HCPCS,90717,NDC Description Not Available,221.0,221.0,,,0 HCPCS,90717,Pr Yellow Fever Vaccine Live Subq,151.0,151.0,,,0 HCPCS,90717,"Pr Yellow Fever Vaccine Live Subq-Pbb,Tvl",221.0,221.0,,,0 HCPCS,90717,Pr Yellow Fever Vaccine Live Subq-Tvl,221.0,221.0,,,0 HCPCS,90717,Yellow fever vaccine subq,,,355.56,355.56,1 HCPCS,90717,"Yf-Vax: 5 Vial, Single-Dose In 1 Package (49281-915-01) / .5 Ml In 1 Vial, Single-Dose (49281-915-58)",151.0,151.0,,,0 HCPCS,90723,Dtap-hep b-ipv vaccine im,,,156.67,156.67,1 HCPCS,90723,NDC Description Not Available,260.0,260.0,,,0 HCPCS,90723,Pr Dtap-Hepb-Ipv Vaccine Intramuscular,260.0,260.0,,,0 HCPCS,90732,NDC Description Not Available,117.09,117.09,,,0 HCPCS,90732,"PNEUMOVAX 23: 1 VIAL, MULTI-DOSE in 1 CARTON (0006-4739-00) / .5 mL in 1 VIAL, MULTI-DOSE (0006-4739-01)",96.5,96.5,,,0 HCPCS,90732,"Pneumovax 23: 10 Syringe, Glass In 1 Carton (0006-4837-03) / .5 Ml In 1 Syringe, Glass (0006-4837-01)",100.045,100.045,,,0 HCPCS,90732,"Pneumovax 23: 10 Vial, Single-Dose In 1 Carton (0006-4943-00) / .5 Ml In 1 Vial, Single-Dose (0006-4943-01)",117.08,117.08,,,0 HCPCS,90732,Ppsv23 vacc 2 yrs+ subq/im,,,177.03,200.21,2 HCPCS,90732,Pr Ppsv23 Vaccine 2 Yrs Or Older For Subq/Im Use,83.0,83.0,,,0 HCPCS,90732,"Pr Ppsv23 Vaccine 2 Yrs Or Older For Subq/Im Use-Pbb,Tvl",142.0,142.0,,,0 HCPCS,90732,Pr Ppsv23 Vaccine 2 Yrs Or Older For Subq/Im Use-Tvl,142.0,142.0,,,0 HCPCS,90733,Mpsv4 vaccine subq,,,186.23,186.23,1 HCPCS,90733,NDC Description Not Available,545.0,545.0,,,0 HCPCS,90733,Pr Mpsv4 Vaccine Groups Acyw-135 Subq Use,545.0,545.0,,,0 HCPCS,90734,Mcv4 menacwy vaccine im,,,252.13,252.13,1 HCPCS,90734,"Menveo: 1 Kit In 1 Carton (58160-955-09) * .5 Ml In 1 Vial, Single-Dose (58160-958-01) * .5 Ml In 1 Vial, Single-Dose (58160-959-01)",168.5,168.5,,,0 HCPCS,90734,Menveo: 10 Vial In 1 Carton (58160-827-30) / .5 Ml In 1 Vial (58160-827-03),200.0,200.0,,,0 HCPCS,90734,"Menveo: 5 KIT in 1 CARTON (46028-208-01) / 1 KIT in 1 KIT (46028-208-02) * .5 mL in 1 VIAL, SINGLE-DOSE (46028-218-11) * .5 mL in 1 VIAL, SINGLE-DOSE (46028-219-11)",200.0,200.0,,,0 HCPCS,90734,NDC Description Not Available,632.09,632.09,,,0 HCPCS,90734,Pr Menacwyd/Menacwy-Crm Conj Vacc Grps Acwy Im Use,200.0,200.0,,,0 HCPCS,90734,"Pr Menacwyd/Menacwy-Crm Conj Vacc Grps Acwy Im Use-Pbb,Tvl",137.0,137.0,,,0 HCPCS,90734,Pr Menacwyd/Menacwy-Crm Conj Vacc Grps Acwy Im Use-Tvl,137.0,137.0,,,0 HCPCS,90736,Hzv vaccine live subq,,,321.56,321.56,1 HCPCS,90736,NDC Description Not Available,460.0,460.0,,,0 HCPCS,90736,Pr Zoster Vaccine Hzv Live For Subcutaneous Use,460.0,460.0,,,0 HCPCS,90738,Inactivated je vacc im,,,446.16,446.16,1 HCPCS,90738,Ixiaro: .5 Ml In 1 Syringe (42515-002-01),371.0,371.0,,,0 HCPCS,90738,Pr Japanese Encephalitis Vaccine Inactivated Im,313.0,313.0,,,0 HCPCS,90738,"Pr Japanese Encephalitis Vaccine Inactivated Im-Pbb,Tvl",371.0,371.0,,,0 HCPCS,90738,Pr Japanese Encephalitis Vaccine Inactivated Im-Tvl,371.0,371.0,,,0 HCPCS,90739,Hc Hepb Vacc 2 Dose Adult Im Employee Health,145.0,145.0,,,0 HCPCS,90739,Hepb vacc 2 dose adult im,,,235.49,266.33,2 HCPCS,90739,Heplisav-B: 5 Syringe In 1 Carton (43528-003-05) / .5 Ml In 1 Syringe (43528-003-01),306.0,306.0,,,0 HCPCS,90739,NDC Description Not Available,653.81,653.81,,,0 HCPCS,90739,Pr Hepb Vaccine Adult 2/4 Dose Schedule For Im Use,306.0,306.0,,,0 HCPCS,90740,Hepb vacc 3 dose immunsup im,,,246.63,282.42,2 HCPCS,90743,Hepb vacc 2 dose adolesc im,,,104.04,112.72,2 HCPCS,90743,NDC Description Not Available,277.0,277.0,,,0 HCPCS,90743,Pr Hepb Vaccine Adolescent 2 Dose Schedule Im,277.0,277.0,,,0 HCPCS,90744,Engerix-B: 10 Syringe In 1 Carton (58160-820-52) / .5 Ml In 1 Syringe (58160-820-43),139.315,139.315,,,0 HCPCS,90744,Hepb vacc 3 dose ped/adol im,,,42.2,47.51,2 HCPCS,90744,NDC Description Not Available,91.0,91.0,,,0 HCPCS,90744,Pr Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im,91.0,91.0,,,0 HCPCS,90744,"Pr Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im-Pbb,Tvl",83.0,83.0,,,0 HCPCS,90744,Pr Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im-Tvl,83.0,83.0,,,0 HCPCS,90744,Recombivax Hb: 10 Syringe In 1 Carton (0006-4093-02) / .5 Ml In 1 Syringe (0006-4093-01),91.0,91.0,,,0 HCPCS,90744,"Recombivax Hb: 10 Vial, Single-Dose In 1 Carton (0006-4981-00) / .5 Ml In 1 Vial, Single-Dose (0006-4981-01)",91.0,91.0,,,0 HCPCS,90746,Engerix-B: 10 Syringe In 1 Carton (58160-821-52) / 1 Ml In 1 Syringe (58160-821-43),310.15999999999997,310.15999999999997,,,0 HCPCS,90746,Engerix-B: 10 Vial In 1 Carton (58160-821-11) / 1 Ml In 1 Vial (58160-821-01),472.85,472.85,,,0 HCPCS,90746,Hc Hepatitis B Vac Adlt Dose Im Use Employee Health,153.0,153.0,,,0 HCPCS,90746,Hc Hepatitis B Vac Adlt Dosage Im Use Employee Health,153.0,153.0,,,0 HCPCS,90746,Hepb vaccine 3 dose adult im,,,104.04,105.56,2 HCPCS,90746,NDC Description Not Available,424.83,424.83,,,0 HCPCS,90746,Pr Hepb Vaccine Adult 3 Dose Schedule For Im Use,192.0,192.0,,,0 HCPCS,90746,"Pr Hepb Vaccine Adult 3 Dose Schedule For Im Use-Pbb,Tvl",94.0,94.0,,,0 HCPCS,90746,Pr Hepb Vaccine Adult 3 Dose Schedule For Im Use-Tvl,94.0,94.0,,,0 HCPCS,90747,Hepb vacc 4 dose immunsup im,,,211.13,218.46,2 HCPCS,90747,Pr Hepb Vaccine Dialysis/Immunsup Pat 4 Dose Im,379.0,379.0,,,0 HCPCS,90748,Hib-hepb vaccine im,,,63.6,63.6,1 HCPCS,90748,Hiberix: 1 Kit In 1 Carton (58160-726-15) * .85 Ml In 1 Syringe (58160-817-02) * .5 Ml In 1 Vial (58160-816-03),325.0,325.0,,,0 HCPCS,90748,Pr Hib-Hepb Vaccine For Intramuscular Use,325.0,325.0,,,0 HCPCS,90749,Pr Unlisted Vaccine/Toxoid,325.0,325.0,,,0 HCPCS,90750,Hzv vacc recombinant im njx,,,325.85,325.85,1 HCPCS,90750,NDC Description Not Available,1325.93,1325.93,,,0 HCPCS,90750,Pr Hzv Zoster Vacc Recombinant Adjuvanted Im Use,1103.0,1103.0,,,0 HCPCS,90750,Shingrix: 1 Kit In 1 Carton (58160-819-12) * .5 Ml In 1 Vial (58160-828-01) * .5 Ml In 1 Vial (58160-829-01),1214.4650000000001,1214.4650000000001,,,0 HCPCS,90750,Shingrix: 1 Kit In 1 Carton (58160-823-11) * .5 Ml In 1 Vial (58160-828-03) * .5 Ml In 1 Vial (58160-829-03),1230.875,1230.875,,,0 HCPCS,90750,Shingrix: 1 Kit In 1 Kit (50090-3372-0) * .5 Ml In 1 Vial (58160-828-03) * .5 Ml In 1 Vial (58160-829-03),1103.0,1103.0,,,0 HCPCS,90756,Cciiv4 vacc abx free im,,,43.12,43.12,1 HCPCS,90756,Pr Cciiv4 Vaccine Antibiotic Free 0.5 Ml Dos Im Use,62.0,62.0,,,0 HCPCS,90759,Hep b vac 3ag 10mcg 3 dos im,,,97.9,110.72,2 HCPCS,90760,"Hydration iv infusion, in",,,158.54,158.54,1 HCPCS,90765,"Ther/proph/diag iv inf, i",,,158.54,158.54,1 HCPCS,90772,"Ther/proph/diag inj, sc/i",,,14.68,14.68,1 HCPCS,90774,"Ther/proph/diag inj, iv p",,,67.53,67.53,1 HCPCS,90780,"IV infusion therapy, 1 hour",,,158.54,158.54,1 HCPCS,90782,"Injection, sc/im",,,14.68,14.68,1 HCPCS,90784,"Injection, iv",,,67.53,67.53,1 HCPCS,90785,Pr Psychotherapy Complex Interactive,38.0,38.0,,,0 HCPCS,90785,Pr Psychotherapy Complex Interactive-Pbb,38.0,38.0,,,0 HCPCS,90791,Hc Psychiatric Diagnostic Evaluation,385.0,385.0,,,0 HCPCS,90791,Hc Psychiatric Diagnostic Evaluation-Pbb,653.5,653.5,,,0 HCPCS,90791,"Hc Psychiatric Diagnostic Evaluation-Pbb,Pul",385.0,385.0,,,0 HCPCS,90791,Pr Psychiatric Diagnostic Evaluation-Pbb,537.0,537.0,,,0 HCPCS,90791,Psych diagnostic evaluation,,,190.21,275.8,3 HCPCS,90792,Hc Psychiatric Diagnostic Evaluation With Medical Services,405.0,405.0,,,0 HCPCS,90792,Hc Psychiatric Diagnostic Evaluation With Medical Services-Pbb,689.0,689.0,,,0 HCPCS,90792,"Hc Psychiatric Diagnostic Evaluation With Medical Services-Pbb,Pul",405.0,405.0,,,0 HCPCS,90792,Pr Psychiatric Diagnostic Eval W/Medical Services-Pbb,568.0,568.0,,,0 HCPCS,90792,Psych diag eval w/med srvcs,,,190.21,275.8,3 HCPCS,90832,"Hc Psychotherapy, 30 Minutes With Patient And/Or Family Member-Pbb",300.0,300.0,,,0 HCPCS,90832,Pr Psychotherapy W/Patient 30 Minutes-Pbb,170.0,170.0,,,0 HCPCS,90832,Psytx w pt 30 minutes,,,190.21,275.8,3 HCPCS,90833,Pr Psychotherapy W/Patient W/E&M Srvcs 30 Min,174.0,174.0,,,0 HCPCS,90833,Pr Psychotherapy W/Patient W/E&M Srvcs 30 Min-Pbb,174.0,174.0,,,0 HCPCS,90834,"Hc Psychotherapy, 45 Minutes With Patient And/Or Family Member-Pbb",385.5,385.5,,,0 HCPCS,90834,Pr Psychotherapy W/Patient 45 Minutes-Pbb,225.0,225.0,,,0 HCPCS,90834,"Pr Psychotherapy W/Patient 45 Minutes-Pbb,Telmd",225.0,225.0,,,0 HCPCS,90834,Psytx w pt 45 minutes,,,190.21,275.8,3 HCPCS,90836,Pr Psychotherapy W/Patient W/E&M Srvcs 45 Min,283.0,283.0,,,0 HCPCS,90836,Pr Psychotherapy W/Patient W/E&M Srvcs 45 Min-Pbb,283.0,283.0,,,0 HCPCS,90837,"Hc Psychotherapy, 60 Minutes With Patient And/Or Family Member-Pbb",554.0,554.0,,,0 HCPCS,90837,Pr Psychotherapy W/Patient 60 Minutes-Pbb,307.0,307.0,,,0 HCPCS,90837,Psytx w pt 60 minutes,,,190.21,275.8,3 HCPCS,90838,Pr Psychotherapy W/Patient W/E&M Srvcs 60 Min,452.0,452.0,,,0 HCPCS,90838,Pr Psychotherapy W/Patient W/E&M Srvcs 60 Min-Pbb,452.0,452.0,,,0 HCPCS,90839,Hc Psychotherapy For Crisis; First 60 Minutes-Pbb,643.0,643.0,,,0 HCPCS,90839,Pr Psychotherapy For Crisis Initial 60 Minutes-Pbb,300.0,300.0,,,0 HCPCS,90839,Psytx crisis initial 60 min,,,190.21,275.8,3 HCPCS,90840,NDC Description Not Available,147.8,147.8,,,0 HCPCS,90840,Pr Psychotherapy For Crisis Each Addl 30 Minutes-Pbb,157.0,157.0,,,0 HCPCS,90845,Hc Psychoanalysis-Pbb,313.5,313.5,,,0 HCPCS,90845,Pr Psychoanalysis-Pbb,177.0,177.0,,,0 HCPCS,90845,Psychoanalysis,,,190.21,275.8,3 HCPCS,90846,Family psytx w/o pt 50 min,,,190.21,275.8,3 HCPCS,90846,Hc Family Psychotherapy (Without Patient Present),435.0,435.0,,,0 HCPCS,90846,Hc Family Psychotherapy (Without Patient Present)-Pbb,550.0,550.0,,,0 HCPCS,90846,"Hc Family Psychotherapy W/O Patient Present 50 Mins Cash-Csm,Pbb",75.0,75.0,,,0 HCPCS,90846,Pr Family Psychotherapy W/O Patient Present 50 Mins-Pbb,230.0,230.0,,,0 HCPCS,90846,"Profee Family Psychotherapy (Without Patient Present), 50 Min Cash-Csm,Pbb",100.0,100.0,,,0 HCPCS,90847,Family psytx w/pt 50 min,,,190.21,275.8,3 HCPCS,90847,Hc Family Psychotherapy (Conjoint Psychotherapy) (With Patient Present),541.0,541.0,,,0 HCPCS,90847,Hc Family Psychotherapy (Conjoint Psychotherapy) (With Patient Present)-Pbb,682.5,682.5,,,0 HCPCS,90847,"Hc Family Psychotherapy W/Patient Present 50 Mins Cash Technical-Csm,Pbb",75.0,75.0,,,0 HCPCS,90847,Pr Family Psychotherapy W/Patient Present 50 Mins-Pbb,283.0,283.0,,,0 HCPCS,90847,"Profee Family Psychotherapy W/Patient Present 50 Mins Cash-Csm,Pbb",100.0,100.0,,,0 HCPCS,90849,Hc Multiple-Family Group Psychotherapy,405.0,405.0,,,0 HCPCS,90849,Hc Multiple-Family Group Psychotherapy-Pbb,285.0,285.0,,,0 HCPCS,90849,Multiple family group psytx,,,190.21,275.8,3 HCPCS,90849,Pr Multiple Family Group Psychotherapy-Pbb,121.0,121.0,,,0 HCPCS,90853,Group psychotherapy,,,108.87,157.85,4 HCPCS,90853,Hc Group Psychotherapy,435.0,435.0,,,0 HCPCS,90853,Hc Group Psychotherapy-Pbb,385.0,385.0,,,0 HCPCS,90853,Pr Group Psychotherapy-Pbb,94.0,94.0,,,0 HCPCS,90857,Intac group psytx,,,137.99,137.99,1 HCPCS,90865,Narcosynthesis,,,190.21,275.8,3 HCPCS,90867,Hc Tcranial Magn Stim Tx Plan-Pbb,1858.0,1858.0,,,0 HCPCS,90867,Pr Repet Tms Tx Initial W/Map/Motr Threshld/Del&M-Pbb,2158.0,2158.0,,,0 HCPCS,90867,Tcranial magn stim tx plan,,,231.39,335.51,3 HCPCS,90868,Hc Tcranial Magn Stim Tx Deli-Pbb,1406.5,1406.5,,,0 HCPCS,90868,Pr Therap Repetitive Tms Tx Subseq Delivery & Mng-Pbb,1255.0,1255.0,,,0 HCPCS,90868,Tcranial magn stim tx deli,,,231.39,335.51,3 HCPCS,90869,Hc Tcran Magn Stim Redetemine-Pbb,1891.0,1891.0,,,0 HCPCS,90869,Pr Repet Tms Tx Subseq Motr Threshld W/Deliv & Mn-Pbb,2224.0,2224.0,,,0 HCPCS,90869,Tcran magn stim redetemine,,,231.39,335.51,3 HCPCS,90870,Electroconvulsive therapy,,,920.24,1334.35,3 HCPCS,90870,Hc Electroconvulusive Therapy (Ect) (Includes Necessary Monitoring),1951.0,1951.0,,,0 HCPCS,90870,Hc Electroconvulusive Therapy (Ect) (Includes Necessary Monitoring)-Pbb,2286.5,2286.5,,,0 HCPCS,90870,Pr Electroconvulsive Therapy-Pbb,671.0,671.0,,,0 HCPCS,90880,Hypnotherapy,,,108.87,157.85,3 HCPCS,90887,Hc Intepret/Explanation/Results Psych/Other Med Exam/Proc/Other Data To Family/Responsible Persons-P,764.5,764.5,,,0 HCPCS,90887,Pr Interpj/Explnaj Results Psychiatric Exam Family,809.0,809.0,,,0 HCPCS,90887,Pr Interpj/Explnaj Results Psychiatric Exam Family-Pbb,809.0,809.0,,,0 HCPCS,90899,Psychiatric service/therapy,,,40.15,58.22,3 HCPCS,90901,Biofeedback train any meth,,,16.78,24.33,3 HCPCS,90901,Hc Biofeedback Training By Any Modality,169.0,169.0,,,0 HCPCS,90901,Hc Biofeedback Training By Any Modality-Pbb,229.0,229.0,,,0 HCPCS,90901,Pr Biofeedback Training Any Modality-Pbb,120.0,120.0,,,0 HCPCS,90912,Bfb training 1st 15 min,,,37.86,54.9,3 HCPCS,90912,Hc Bfb Training 1St 15 Min,409.0,409.0,,,0 HCPCS,90912,Hc Bfb Training 1St 15 Min-Pbb,568.5,568.5,,,0 HCPCS,90912,"Hc Bfb Training 1St 15 Min-Pbb,Tch",409.0,409.0,,,0 HCPCS,90912,Pr Bfb Traing W/Emg &/Manometry 1St 15 Min Cntct-Pbb,318.0,318.0,,,0 HCPCS,90913,Bfb training ea addl 15 min,,,22.02,31.93,3 HCPCS,90913,Hc Bfb Training Ea Addl 15 Min,409.0,409.0,,,0 HCPCS,90913,Hc Bfb Training Ea Addl 15 Min-Pbb,498.0,498.0,,,0 HCPCS,90913,Pr Bfb Traing W/Emg&/Manometry Ea Addl 15 Min Cntct-Pbb,177.0,177.0,,,0 HCPCS,90935,Hc Hemodialysis Procedure With Single Evaluation By A Physician Or Qhcp,2570.0,2570.0,,,0 HCPCS,90935,Hemodialysis one evaluation,,,735.47,1066.43,3 HCPCS,90945,Dialysis one evaluation,,,447.15,648.36,3 HCPCS,90945,"Hc Dialysis Procedure Other Than Hemodialysis, With Single Evaluation By A Physician Or Qhcp",3831.0,3831.0,,,0 HCPCS,90947,Hc Crrt Extended Time During Or Cases,11196.0,11196.0,,,0 HCPCS,90947,Hc Hemofiltration,11196.0,11196.0,,,0 HCPCS,90947,Hc Hemofiltration Dialysis,11196.0,11196.0,,,0 HCPCS,90947,Hc Isolated Ultrafiltration Without Normal Hemodialysis Schedule,11196.0,11196.0,,,0 HCPCS,90999,Hc Dial-Capd,4041.0,4041.0,,,0 HCPCS,90999,Hc Dial-Ccpd,4498.0,4498.0,,,0 HCPCS,90999,Hc Molecular Adsorbent Recirculating System,2075.0,2075.0,,,0 HCPCS,91010,Esophagus motility study,,,399.88,3399.0,4 HCPCS,91010,Hc Esophageal Motility Study With Interpretation And Report,7247.0,7247.0,,,0 HCPCS,91010,Hc Esophageal Motility Study With Interpretation And Report-Pbb,6140.5,6140.5,,,0 HCPCS,91010,Pr Esophageal Motility Study W/Interp&Rpt-Gast,2647.0,2647.0,,,0 HCPCS,91010,Pr Esophageal Motility Study W/Interp&Rpt-Pbb,2647.0,2647.0,,,0 HCPCS,91013,Esophgl motil w/stim/perfus,,,3399.0,3399.0,1 HCPCS,91020,Gastric motility studies,,,399.88,3399.0,4 HCPCS,91022,Duodenal motility study,,,399.88,3399.0,4 HCPCS,91030,Acid perfusion of esophagus,,,399.88,3399.0,4 HCPCS,91034,Gastroesophageal reflux test,,,399.88,3399.0,4 HCPCS,91034,"Hc Esophagus,Gastro Reflux Test; W/Nasal Cath Ph Electrode Plcmnt,Recrdng,Analysis And Intrprtatn",7048.0,7048.0,,,0 HCPCS,91034,"Hc Esophagus,Gastro Reflux Test; W/Nasal Cath Ph Electrode Plcmnt,Recrdng,Analysis And Intrprtatn-Pb",6015.0,6015.0,,,0 HCPCS,91034,Pr Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt-Gast,2485.0,2485.0,,,0 HCPCS,91034,Pr Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt-Pbb,2485.0,2485.0,,,0 HCPCS,91035,G-esoph reflx tst w/electrod,,,920.24,3399.0,4 HCPCS,91035,"Hc Esoph, Ger Tst; W/ Mucosal Attached Telemetry Ph Electrode Plcmnt, Recording, Anlys & Intrprtn",12769.0,12769.0,,,0 HCPCS,91035,"Hc Esoph, Ger Tst; W/ Mucosal Attached Telemetry Ph Electrode Plcmnt, Recording, Anlys & Intrprtn-Pb",11259.5,11259.5,,,0 HCPCS,91035,Pr Gastroesophag Reflx Test W/Telemtry Ph Eltrd-Gast,3787.0,3787.0,,,0 HCPCS,91035,Pr Gastroesophag Reflx Test W/Telemtry Ph Eltrd-Pbb,3787.0,3787.0,,,0 HCPCS,91037,Esoph imped function test,,,231.39,3399.0,4 HCPCS,91037,"Hc Esoph Func Test,Gastroesoph Reflux Test W Nasal Cath Intralumnl Electrode Plcmnt,Rec,Anal,&Interp",4388.0,4388.0,,,0 HCPCS,91037,Pr Gastroesophag Reflx Test W/Intrluml Imped Eltrd-Gast,2749.0,2749.0,,,0 HCPCS,91037,Pr Gastroesophag Reflx Test W/Intrluml Imped Eltrd-Pbb,2749.0,2749.0,,,0 HCPCS,91038,Esoph imped funct test > 1hr,,,399.88,3399.0,4 HCPCS,91038,"Hc Esoph Func, Gstroesph Rflx Tst W/Nsl Cth Intrlmnl Impdnce Elctrd Plcmnt; Prlngd (G.T. 1-24 Hrs)",6257.0,6257.0,,,0 HCPCS,91038,"Hc Esoph Func, Gstroesph Rflx Tst W/Nsl Cth Intrlmnl Impdnce Elctrd Plcmnt; Prlngd (G.T. 1-24 Hrs)-P",4698.5,4698.5,,,0 HCPCS,91038,Pr Esophgl Funcj G-Esop Rflx Impd Eltrd Prolng-Gast,3496.0,3496.0,,,0 HCPCS,91038,Pr Esophgl Funcj G-Esop Rflx Impd Eltrd Prolng-Pbb,3496.0,3496.0,,,0 HCPCS,91040,Esoph balloon distension tst,,,399.88,3399.0,4 HCPCS,91040,Hc Esophageal Balloon Distension Provocation Study,2933.0,2933.0,,,0 HCPCS,91040,Hc Esophageal Balloon Distension Provocation Study-Pbb,1881.0,1881.0,,,0 HCPCS,91040,Pr Esophgl Balo Distension Dx Std W/Provocation-Gast,2279.0,2279.0,,,0 HCPCS,91040,Pr Esophgl Balo Distension Dx Std W/Provocation-Pbb,2279.0,2279.0,,,0 HCPCS,91065,Breath hydrogen/methane test,,,231.39,3399.0,4 HCPCS,91065,Hc Breath Hydrogen Or Methane Test,2429.0,2429.0,,,0 HCPCS,91065,Hc Breath Hydrogen Or Methane Test-Pbb,2221.5,2221.5,,,0 HCPCS,91065,Pr Breath Hydrogen/Methane Test-Gast,560.0,560.0,,,0 HCPCS,91065,Pr Breath Hydrogen/Methane Test-Pbb,560.0,560.0,,,0 HCPCS,91110,Gi tract capsule endoscopy,,,971.94,7272.0,4 HCPCS,91110,"Hc Gastrointest Tract Imaging, Intraluminal, Esophagus Through Ileum, W/ Interpretation And Report",4759.0,4759.0,,,0 HCPCS,91110,"Hc Gastrointest Tract Imaging, Intraluminal, Esophagus Through Ileum, W/ Interpretation And Report-P",8151.5,8151.5,,,0 HCPCS,91110,Pr Gi Trc Img Intraluminal Esophagus-Ileum W/I&R-Gast,6785.0,6785.0,,,0 HCPCS,91110,Pr Gi Trc Img Intraluminal Esophagus-Ileum W/I&R-Pbb,6785.0,6785.0,,,0 HCPCS,91111,Esophageal Capsule Endoscopy,,,971.94,7272.0,4 HCPCS,91111,"Hc Gastrointestinal Tract Imaging, Intraluminal, Esophagus With Interpretation And Report",3772.0,3772.0,,,0 HCPCS,91111,"Hc Gastrointestinal Tract Imaging, Intraluminal, Esophagus With Interpretation And Report-Pbb",4757.0,4757.0,,,0 HCPCS,91111,Pr Gi Tract Imaging Intraluminal Esophagus Wi&R-Gast,1971.0,1971.0,,,0 HCPCS,91111,Pr Gi Tract Imaging Intraluminal Esophagus Wi&R-Pbb,1971.0,1971.0,,,0 HCPCS,91112,Gi wireless capsule measure,,,971.94,7272.0,4 HCPCS,91113,Gi trc img intral colon i&r,,,996.56,1445.01,3 HCPCS,91117,Colon motility 6 hr study,,,231.39,3399.0,4 HCPCS,91120,"Hc Rectal Sensation, Tone, & Compliance Test-Pbb",2571.0,2571.0,,,0 HCPCS,91120,Pr Rectal Sesation Tone & Compliance Test-Pbb,4086.0,4086.0,,,0 HCPCS,91120,Rectal sensation test,,,3399.0,3399.0,1 HCPCS,91122,Anal pressure record,,,3399.0,3399.0,1 HCPCS,91122,Hc Anorectal Manometry,5920.0,5920.0,,,0 HCPCS,91122,Hc Anorectal Manometry-Pbb,4112.5,4112.5,,,0 HCPCS,91122,Pr Anorectal Manometry-Gast,3969.0,3969.0,,,0 HCPCS,91122,Pr Anorectal Manometry-Pbb,3969.0,3969.0,,,0 HCPCS,91124,Rct snsatn tone&cmplianc std,,,231.39,335.51,3 HCPCS,91125,Anrct mano rct snsatn&balo,,,399.88,579.83,3 HCPCS,91132,Electrogastrography,,,231.39,3399.0,4 HCPCS,91133,Electrogastrography W/Test,,,142.58,3399.0,4 HCPCS,91200,"Hc Liver Elastography, Mechnically Induced Shear Wave, W/Out Imaging, Interp & Report",500.0,500.0,,,0 HCPCS,91200,"Hc Liver Elastography, Mechnically Induced Shear Wave, W/Out Imaging, Interp & Report-Pbb",562.5,562.5,,,0 HCPCS,91200,Liver elastography,,,137.89,418.65,4 HCPCS,91200,Pr Liver Elastography W/O Imag W/I&R-Pbb,124.0,124.0,,,0 HCPCS,91299,Gastroenterology procedure,,,137.89,3399.0,4 HCPCS,91299,Hc Unlisted Diagnostic Patency Test Gi Tract,1861.0,1861.0,,,0 HCPCS,91299,Hc Unlisted Diagnostic Patency Test Gi Tract-Pbb,132.0,132.0,,,0 HCPCS,91300,Pr Sarscov2 Vaccine Dil Recon 30 Mcg/0.3 Ml Im Use,0.01,0.01,,,0 HCPCS,91301,Pr Sarscov2 Vaccine 100 Mcg/0.5 Ml Im Use,0.01,0.01,,,0 HCPCS,91302,Pr Sarscov2 Vaccine Chadox1 5X1010 Vp/0.5Ml Im Use,0.01,0.01,,,0 HCPCS,91303,Pr Sarscov2 Vaccine Ad26 5X1010Vp/0.5Ml Im Use,0.01,0.01,,,0 HCPCS,91304,Coronavirus vaccine 5,,,214.25,287.88,2 HCPCS,91304,Hc Sarscov2 Vac 5Mcg/0.5Ml Im,0.01,0.01,,,0 HCPCS,91304,Pr Sarscov2 Vacc Saponin-Bsd Adjt 5Mcg/0.5Ml Im Use,0.01,0.01,,,0 HCPCS,91305,Pr Sarscov2 Vaccine 30Mcg/0.3Ml Tris-Sucrose Im Use,0.01,0.01,,,0 HCPCS,91306,Pr Sarscov2 Vaccine 50 Mcg/0.25 Ml Im Use,0.01,0.01,,,0 HCPCS,91307,Pr Sarscov2 Vaccine 10Mcg/0.2Ml Tris-Sucrose Im Use,0.01,0.01,,,0 HCPCS,91308,Pr Sarscov2 Vaccine 3Mcg/0.2Ml Tris-Sucrose Im Use,0.01,0.01,,,0 HCPCS,91309,Pr Sarscov2 Vaccine 50 Mcg/0.5 Ml Im Use,0.01,0.01,,,0 HCPCS,91311,Pr Sarscov2 Vaccine 25 Mcg/0.25 Ml Im Use,0.01,0.01,,,0 HCPCS,91312,Pr Sarscov2 Vaccine Bivalent 30 Mcg/0.3 Ml Im Use,0.01,0.01,,,0 HCPCS,91313,Pr Sarscov2 Vaccine Bivalent 50 Mcg/0.5 Ml Im Use,0.01,0.01,,,0 HCPCS,91314,Pr Sarscov2 Vaccine Bivalent 25 Mcg/0.25 Ml Im Use,0.01,0.01,,,0 HCPCS,91315,Pr Sarscov2 Vaccine Bivalent 10 Mcg/0.2 Ml Im Use,0.01,0.01,,,0 HCPCS,91316,Pr Sarscov2 Vaccine Bivalent 10 Mcg/0.2 Ml Im Use,0.01,0.01,,,0 HCPCS,91317,Pr Sarscov2 Vaccine Bivalent 3 Mcg/0.2 Ml Im Use,0.01,0.01,,,0 HCPCS,91318,Sarscov2 vac 3mcg trs-suc im,,,86.94,86.94,1 HCPCS,91319,Sarscv2 vac 10mcg trs-suc im,,,116.42,142.2,2 HCPCS,91320,Sarscv2 vac 30mcg trs-suc im,,,206.77,252.55,2 HCPCS,91321,"Hc Sars-Cov-2 (Covid-19) Vaccine Mrna-Lnp, Preserv Free, 25 Mcg/0.25 Ml, Im Use (6Mos-11Yrs)",220.0,220.0,,,0 HCPCS,91321,"Moderna COVID-19 Vaccine: 10 VIAL, SINGLE-DOSE in 1 CARTON (80777-287-92) / .25 mL in 1 VIAL, SINGLE-DOSE (80777-287-07)",220.0,220.0,,,0 HCPCS,91321,"Moderna Covid-19 Vaccine: 10 Syringe, Plastic In 1 Carton (80777-291-80) / .25 Ml In 1 Syringe, Plastic (80777-291-09)",220.0,220.0,,,0 HCPCS,91321,"Moderna Covid-19 Vaccine: 10 Syringe, Plastic In 1 Carton (80777-291-81) / .25 Ml In 1 Syringe, Plastic (80777-291-09)",220.0,220.0,,,0 HCPCS,91321,NDC Description Not Available,174.5,174.5,,,0 HCPCS,91321,Sarscov2 vac 25 mcg/.25ml im,,,195.05,220.59,2 HCPCS,91322,"Hc Sars-Cov-2 (Covid-19) Vaccine Mrna-Lnp, Preserv Free, 50 Mcg/0.50 Ml, Im Use (12 Yrs+)",220.0,220.0,,,0 HCPCS,91322,"Moderna Covid-19 Vaccine: 10 Syringe, Plastic In 1 Carton (80777-291-80) / .25 Ml In 1 Syringe, Plastic (80777-291-09)",220.0,220.0,,,0 HCPCS,91322,NDC Description Not Available,141.55,141.55,,,0 HCPCS,91322,Sarscov2 vac 50 mcg/0.5ml im,,,214.41,242.48,2 HCPCS,91322,"Spikevax: 10 SYRINGE, PLASTIC in 1 CARTON (80777-102-93) / .5 mL in 1 SYRINGE, PLASTIC (80777-102-01)",220.0,220.0,,,0 HCPCS,91322,"Spikevax: 10 SYRINGE, PLASTIC in 1 CARTON (80777-102-96) / .5 mL in 1 SYRINGE, PLASTIC (80777-102-01)",220.0,220.0,,,0 HCPCS,91322,"Spikevax: 10 Syringe, Plastic In 1 Carton (80777-110-93) / .5 Ml In 1 Syringe, Plastic (80777-110-01)",180.9,180.9,,,0 HCPCS,91322,"Spikevax: 10 Syringe, Plastic In 1 Carton (80777-110-96) / .5 Ml In 1 Syringe, Plastic (80777-110-01)",180.9,180.9,,,0 HCPCS,91323,Sarscov2 vac 10 mcg/0.2ml im,,,302.87,302.87,1 HCPCS,92002,Eye exam new patient,,,142.67,206.87,3 HCPCS,92002,"Hc Ophthalmological Srvc; Med Exam, Eval W/Initiation, Diag And Tratmnt Program; Intrmediat, New Pat",334.5,334.5,,,0 HCPCS,92002,Pr Oph Svcs Medical Xm&Eval Intermediate New Pt-Pbb,332.0,332.0,,,0 HCPCS,92004,Eye exam new patient,,,142.67,206.87,3 HCPCS,92004,"Hc Ophth Srvcs; Med Exm & Eval W/ Inititatn Of Diag & Tx Prog; Comprhnsve, New Pt, 1 Or More Visits-",525.5,525.5,,,0 HCPCS,92004,Pr Oph Svcs Medical Xm&Eval Compre New Pt 1/> Vst-Pbb,439.0,439.0,,,0 HCPCS,92012,Eye exam establish patient,,,142.67,206.87,3 HCPCS,92012,"Hc Ophthsrvcs; Med Exm And Evl W/ Inititation Or Cont Of Dx And Trtmnt Prgrm; Intermediate,Est Pat-P",548.5,548.5,,,0 HCPCS,92012,Pr Oph Svcs Medical Xm&Eval Intermediate Est Pt-Pbb,264.0,264.0,,,0 HCPCS,92014,Eye exam&tx estab pt 1/>vst,,,142.67,206.87,3 HCPCS,92014,"Hc Opht Srvcs; Med Exm And Eval W/Inititation Or Cont Of Dx And Trtmnt Program; Comprhnsv,Est Pat",926.0,926.0,,,0 HCPCS,92014,"Hc Opht Srvcs; Med Exm And Eval W/Inititation Or Cont Of Dx And Trtmnt Program; Comprhnsv,Est Pat-Pb",792.5,792.5,,,0 HCPCS,92014,Pr Oph Svcs Medical Xm&Eval Compre Est Pt 1/>Vst-Pbb,324.0,324.0,,,0 HCPCS,92015,Hc Determination Of Refractive State-Pbb,46.5,46.5,,,0 HCPCS,92015,Pr Determination Refractive State-Pbb,39.0,39.0,,,0 HCPCS,92018,"Hc Opht Exam&Eval,Gen Anes,W Or W/O Manip Globe For Pssve Rom Or Oth Manip To Fac Dx Exam; Lmtd",8433.0,8433.0,,,0 HCPCS,92018,New eye exam & treatment,,,2547.76,11000.0,4 HCPCS,92019,Eye exam & treatment,,,2547.76,11000.0,4 HCPCS,92020,Hc Gonioscopy,440.0,440.0,,,0 HCPCS,92020,Hc Gonioscopy-Pbb,353.5,353.5,,,0 HCPCS,92020,Pr Gonioscopy Separate Procedure-Pbb,199.0,199.0,,,0 HCPCS,92020,Special eye evaluation,,,142.58,206.74,3 HCPCS,92025,Corneal Topography,,,63.22,91.66,3 HCPCS,92025,"Hc Computerize Corneal Topography, Unilateral Or Bilateral, With Interpretation And Report",318.0,318.0,,,0 HCPCS,92025,"Hc Computerize Corneal Topography, Unilateral Or Bilateral, With Interpretation And Report-Pbb",280.5,280.5,,,0 HCPCS,92025,Pr Computerized Corneal Topography Uni/Bi W/I&R-Pbb,92.0,92.0,,,0 HCPCS,92060,Hc Senorimotor Exam With Multiple Measurements Of Ocular Deviation With Interpretation And Report,620.0,620.0,,,0 HCPCS,92060,Hc Senorimotor Exam With Multiple Measurements Of Ocular Deviation With Interpretation And Report-Pb,508.0,508.0,,,0 HCPCS,92060,Pr Sensormotor Xm W/Mlt Meas Ocular Devij W/I&R Spx-Pbb,264.0,264.0,,,0 HCPCS,92060,Special eye evaluation,,,63.22,91.66,3 HCPCS,92066,Orthop traing supvj phys/qhp,,,63.22,91.66,3 HCPCS,92071,Hc Fitting Of Contact Lens For Treatment Of Ocular Surface Disease-Pbb,724.5,724.5,,,0 HCPCS,92071,Pr Fit Contact Lens Tx Ocular Surface Disease-Pbb,545.0,545.0,,,0 HCPCS,92072,Hc Fitting Contact Mgmt Keratoc Initial-Pbb,724.5,724.5,,,0 HCPCS,92072,Pr Fitting Contact Lens For Mgmt Of Keratoconus 1St-Pbb,545.0,545.0,,,0 HCPCS,92081,"Hc Visual Field Exam, Unilateral Or Bilateral, With Intepretation And Report, Limited Exam",295.0,295.0,,,0 HCPCS,92081,"Hc Visual Field Exam, Unilateral Or Bilateral, With Intepretation And Report, Limited Exam-Pbb",256.5,256.5,,,0 HCPCS,92081,Pr Limited Visual Field Xm Uni/Bi I&R-Pbb,95.0,95.0,,,0 HCPCS,92081,Visual field examination(s),,,63.22,91.66,3 HCPCS,92082,"Hc Visual Field Exam, Unilateral Or Bilateral, With Intepretation And Report, Intermediate Exam",363.0,363.0,,,0 HCPCS,92082,"Hc Visual Field Exam, Unilateral Or Bilateral, With Intepretation And Report, Intermediate Exam-Pbb",315.5,315.5,,,0 HCPCS,92082,Pr Intermediate Visual Field Xm Uni/Bi I&R-Pbb,117.0,117.0,,,0 HCPCS,92082,Visual field examination(s),,,63.22,91.66,3 HCPCS,92083,"Hc Visual Field Exam, Unilteral Or Bilateral, With Interpretation And Report; Extended Exam",693.0,693.0,,,0 HCPCS,92083,"Hc Visual Field Exam, Unilteral Or Bilateral, With Interpretation And Report; Extended Exam-Pbb",618.0,618.0,,,0 HCPCS,92083,Pr Extended Visual Field Xm Uni/Bi I&R-Pbb,190.0,190.0,,,0 HCPCS,92083,Visual field examination(s),,,142.58,206.74,3 HCPCS,92100,Hc Serial Tonometry,426.0,426.0,,,0 HCPCS,92100,Hc Serial Tonometry-Pbb,259.0,259.0,,,0 HCPCS,92100,Pr Serial Tonometry Spx W/Mlt Meas Intraocular Prs-Pbb,327.0,327.0,,,0 HCPCS,92132,Cmptr ophth dx img ant segmt,,,63.22,91.66,3 HCPCS,92132,"Hc Scanning Computerized Diagnostic Imaging, Ophthal, Anterior Segment-Pbb",308.5,308.5,,,0 HCPCS,92132,Pr Cptrized Oph Dx Img Anterior Segment Uni/Bi-Pbb,179.0,179.0,,,0 HCPCS,92133,Cmptr ophth img optic nerve,,,63.22,91.66,3 HCPCS,92133,"Hc Scanning Computerized Ophthalmic Diagnstc Imgng, Posterior Segment, W/ Intrprtn & Rprt; Optic Nrv",850.0,850.0,,,0 HCPCS,92133,Pr Cptrized Oph Dx Img Pst Segment Uni/Bi Optic Nrv-Pbb,516.0,516.0,,,0 HCPCS,92134,Cptr ophth dx img post segmt,,,63.22,91.66,3 HCPCS,92134,"Hc Scanning Computerized Ophthalmic Diagimaging, Posterior Segment, W/ Interpretatn And Rprt; Retina",850.0,850.0,,,0 HCPCS,92134,Pr Cptrized Oph Dx Img Pst Segment Uni/Bi Retina-Pbb,516.0,516.0,,,0 HCPCS,92136,Hc Ophthalmic Biometry By Partial Coherence Interferometry With Intraocular Lens Power Calculation,374.0,374.0,,,0 HCPCS,92136,Hc Ophthalmic Biometry By Partial Coherence Interferometry With Intraocular Lens Power Calculation-P,326.5,326.5,,,0 HCPCS,92136,Ophthalmic biometry,,,142.58,206.74,3 HCPCS,92136,Pr Oph Bmtry Prtl Coher Intrfrmtry Io Lens Pwr Cal-Pbb,119.0,119.0,,,0 HCPCS,92137,Cptrz oph img pst sg rta oct,,,231.39,934.2,4 HCPCS,92145,Corneal hysteresis deter,,,63.22,91.66,3 HCPCS,92201,Hc Opscpy Extnd Rta Draw Uni/Bi,341.0,341.0,,,0 HCPCS,92201,Hc Opscpy Extnd Rta Draw Uni/Bi-Pbb,435.5,435.5,,,0 HCPCS,92201,Opscpy extnd rta draw uni/bi,,,63.22,91.66,3 HCPCS,92201,Pr Opscpy Extnd Rta Drawing & Scl Deprsn I&R Uni/Bi-Pbb,189.0,189.0,,,0 HCPCS,92202,Hc Opscpy Extnd On/Mac Draw,341.0,341.0,,,0 HCPCS,92202,Hc Opscpy Extnd On/Mac Draw-Pbb,402.5,402.5,,,0 HCPCS,92202,Opscpy extnd on/mac draw,,,63.22,91.66,3 HCPCS,92202,Pr Opscpy Extnd Optic Nrv/Macula Drawing I&R Uni/Bi-Pbb,123.0,123.0,,,0 HCPCS,92227,Remote dx retinal imaging,,,63.22,91.66,3 HCPCS,92228,Remote retinal imaging mgmt,,,40.03,58.04,3 HCPCS,92229,Img rta detc/mntr ds poc aly,,,63.22,573.21,4 HCPCS,92230,Eye exam with photos,,,399.88,579.83,3 HCPCS,92235,Fluorescein angrph uni/bi,,,231.39,335.51,3 HCPCS,92235,Hc Fluorescein Angioscopy With Interpretation And Report,1639.0,1639.0,,,0 HCPCS,92235,Hc Fluorescein Angioscopy With Interpretation And Report-Pbb,1423.0,1423.0,,,0 HCPCS,92235,Pr Fluorescein Angrph W/Multiframe Img I&R Uni/Bi-Pbb,528.0,528.0,,,0 HCPCS,92240,Hc Indocyanine-Green Angiography With Interpretation And Report,1182.0,1182.0,,,0 HCPCS,92240,Hc Indocyanine-Green Angiography With Interpretation And Report-Pbb,942.5,942.5,,,0 HCPCS,92240,Icg angiography uni/bi,,,231.39,335.51,3 HCPCS,92240,Pr Indocyanine-Green Angrph W/Multiframe I&R Uni/Bi-Pbb,555.0,555.0,,,0 HCPCS,92242,Fluorescein icg angiography,,,231.39,335.51,3 HCPCS,92242,Hc Fluorescein Indocyanine-Green Angiography,818.0,818.0,,,0 HCPCS,92250,Eye exam with photos,,,142.58,206.74,3 HCPCS,92250,Hc Fundus Photography With Interpretation And Report,597.0,597.0,,,0 HCPCS,92250,Hc Fundus Photography With Interpretation And Report-Pbb,513.0,513.0,,,0 HCPCS,92250,Pr Fundus Photography W/Interpretation & Report-Pbb,203.0,203.0,,,0 HCPCS,92260,Ophthalmoscopy/dynamometry,,,40.03,58.04,3 HCPCS,92265,Eye muscle evaluation,,,63.22,91.66,3 HCPCS,92270,Electro-oculography,,,142.58,206.74,3 HCPCS,92273,Full field erg w/i&r,,,231.39,335.51,3 HCPCS,92273,"Hc Electroretinography (Erg), W I&R ; Full Field",829.0,829.0,,,0 HCPCS,92274,Multifocal erg w/i&r,,,137.89,199.94,3 HCPCS,92283,Color vision examination,,,63.22,91.66,3 HCPCS,92283,"Hc Color Vision Exam, Extended",588.0,588.0,,,0 HCPCS,92283,"Hc Color Vision Exam, Extended-Pbb",408.0,408.0,,,0 HCPCS,92283,Pr Color Vision Xm Extended Anomaloscope/Equiv-Pbb,398.0,398.0,,,0 HCPCS,92284,Dark adaptation eye exam,,,478.72,694.14,3 HCPCS,92284,Hc Dark Adaptation Exam With Interpretation And Report,1218.0,1218.0,,,0 HCPCS,92284,Hc Dark Adaptation Exam With Interpretation And Report-Pbb,955.0,955.0,,,0 HCPCS,92284,Pr Dx Dark Adaptation Exam Interpretation & Report-Pbb,602.0,602.0,,,0 HCPCS,92285,Eye photography,,,40.03,58.04,3 HCPCS,92285,Hc External Ocular Photography With Interpretation And Report For Documentation Of Medical Progress,438.0,438.0,,,0 HCPCS,92285,Hc External Ocular Photography With Interpretation And Report For Documentation Of Medical Progress-,385.0,385.0,,,0 HCPCS,92285,Pr Xtrnl Ocular Photog W/I&R Docmt Med Progress-Pbb,132.0,132.0,,,0 HCPCS,92286,Hc Anterior Segment Imgng W/ Intrprtn & Rprt; W/ Specular Miscroscopy & Endothelial Cell Analysis,1007.0,1007.0,,,0 HCPCS,92286,Hc Anterior Segment Imgng W/ Intrprtn & Rprt; W/ Specular Miscroscopy & Endothelial Cell Analysis-Pb,821.0,821.0,,,0 HCPCS,92286,Internal eye photography,,,142.58,206.74,3 HCPCS,92286,Pr Ant Sgm Imaging I&R Speclr Microscopy&Ndthl Alys-Pbb,430.0,430.0,,,0 HCPCS,92287,Internal eye photography,,,142.58,206.74,3 HCPCS,92310,"Hc Annual Contact Lens Check Cash-Csm,Pbb",37.5,37.5,,,0 HCPCS,92310,"Hc Contact Lens Refit-Extended Cash-Csm,Pbb",100.0,100.0,,,0 HCPCS,92310,"Hc Contact Lens Refit-Spherical Cash-Csm,Pbb",50.0,50.0,,,0 HCPCS,92310,"Hc New Contact Lens Fitting-Extended Cash-Csm,Pbb",150.0,150.0,,,0 HCPCS,92310,"Hc New Contact Lens Fitting-Spherical Cash-Csm,Pbb",112.5,112.5,,,0 HCPCS,92310,"Hc Rigid Gas Permeable/Hybrid Fitting Fee Cash-Csm,Pbb",200.0,200.0,,,0 HCPCS,92310,"Profee Annual Contact Lens Check Cash-Csm,Pbb",25.0,25.0,,,0 HCPCS,92310,"Profee Contact Lens Refit-Extended Cash-Csm,Pbb",100.0,100.0,,,0 HCPCS,92310,"Profee Contact Lens Refit-Spherical Cash-Csm,Pbb",50.0,50.0,,,0 HCPCS,92310,"Profee New Contact Lens Fitting-Extended Cash-Csm,Pbb",200.0,200.0,,,0 HCPCS,92310,"Profee New Contact Lens Fitting-Spherical Cash-Csm,Pbb",125.0,125.0,,,0 HCPCS,92310,"Profee Rigid Gas Permeable/Hybrid Fitting Fee Cash-Csm,Pbb",300.0,300.0,,,0 HCPCS,92311,Contact lens fitting,,,478.72,694.14,3 HCPCS,92311,"Hc Contact Lens Fitting For Aphakia, One Eye-Pbb",1030.0,1030.0,,,0 HCPCS,92311,Pr Rx&Fitg Contact Lens Corneal Lens Aphakia 1 Eye-Pbb,409.0,409.0,,,0 HCPCS,92312,Contact lens fitting,,,142.58,206.74,3 HCPCS,92312,"Hc Contact Lens Fitting For Aphakia, Both Eyes-Pbb",544.5,544.5,,,0 HCPCS,92312,Pr Rx&Fitg Contact Lens Corneal Lens Aphakia Ou-Pbb,463.0,463.0,,,0 HCPCS,92313,Contact lens fitting,,,142.58,206.74,3 HCPCS,92315,Rx cntact lens aphakia 1 eye,,,142.58,206.74,3 HCPCS,92316,Rx cntact lens aphakia 2 eye,,,142.58,206.74,3 HCPCS,92317,Rx corneoscleral cntact lens,,,40.03,58.04,3 HCPCS,92325,Modification of contact lens,,,142.58,206.74,3 HCPCS,92326,Replacement of contact lens,,,63.22,91.66,3 HCPCS,92352,Fit aphakia spectcl monofocl,,,63.22,91.66,3 HCPCS,92353,Fit aphakia spectcl multifoc,,,63.22,91.66,3 HCPCS,92354,Fit spectacles single system,,,40.03,58.04,3 HCPCS,92355,Fit spectacles compound lens,,,40.03,58.04,3 HCPCS,92358,Aphakia prosth service temp,,,63.22,91.66,3 HCPCS,92371,Repair & adjust spectacles,,,63.22,91.66,3 HCPCS,92499,Eye service or procedure,,,30.99,44.94,3 HCPCS,92502,Ear and throat examination,,,577.95,3399.0,4 HCPCS,92504,Hc Binocular Miscropscopy (Separate Diagnostic Procedure),74.0,74.0,,,0 HCPCS,92504,Hc Binocular Miscropscopy (Separate Diagnostic Procedure)-Pbb,108.0,108.0,,,0 HCPCS,92504,Pr Binocular Microscopy Separate Dx Procedure-Pbb,68.0,68.0,,,0 HCPCS,92506,Speech/hearing evaluation,,,199.64,199.64,1 HCPCS,92507,"Hc Treatment Of Speech, Language, Voice, Communication, And/Or Auditory Processing Disorder; Ind",788.0,788.0,,,0 HCPCS,92507,"Hc Treatment Of Speech, Language, Voice, Communication, And/Or Auditory Processing Disorder; Ind-Pbb",846.5,846.5,,,0 HCPCS,92507,"Hc Treatment Of Speech, Language, Voice, Communication, And/Or Auditory Processing Disorder; Ind-Spt",788.0,788.0,,,0 HCPCS,92507,"Menveo: 1 Kit In 1 Carton (58160-955-09) * .5 Ml In 1 Vial, Single-Dose (58160-958-01) * .5 Ml In 1 Vial, Single-Dose (58160-959-01)",1072.32,1072.32,,,0 HCPCS,92507,NDC Description Not Available,1070.21,1070.21,,,0 HCPCS,92507,Pr Tx Speech Lang Voice Commj&/Aud Proc Do Indiv-Pbb,117.0,117.0,,,0 HCPCS,92507,Speech/hearing therapy,,,73.52,123.31,4 HCPCS,92508,Speech/hearing therapy,,,24.62,64.59,4 HCPCS,92511,Hc Nasopharyngoscopy With Endoscope,656.0,656.0,,,0 HCPCS,92511,Hc Nasopharyngoscopy With Endoscope-Pbb,788.5,788.5,,,0 HCPCS,92511,Nasopharyngoscopy,,,213.9,310.16,3 HCPCS,92511,Pr Nasopharyngoscopy W/Endoscope Spx-Pbb,265.0,265.0,,,0 HCPCS,92512,Hc Nasal Function Studies (Rhonomanometry),597.0,597.0,,,0 HCPCS,92512,Hc Nasal Function Studies (Rhonomanometry)-Pbb,497.5,497.5,,,0 HCPCS,92512,Nasal function studies,,,231.39,335.51,3 HCPCS,92512,Pr Nasal Function Studies-Pbb,235.0,235.0,,,0 HCPCS,92516,Facial nerve function test,,,231.39,335.51,3 HCPCS,92517,Hc Cervical Vemp Testing W/I&R,473.0,473.0,,,0 HCPCS,92517,Vemp test i&r cervical,,,137.89,199.94,3 HCPCS,92518,Hc Ocular Vemp Testing W/I&R,473.0,473.0,,,0 HCPCS,92518,Vemp test i&r ocular,,,137.89,199.94,3 HCPCS,92519,Hc Cervical & Ocular Vemp Testing W/I&R,895.0,895.0,,,0 HCPCS,92519,Vemp tst i&r cervical&ocular,,,231.39,335.51,3 HCPCS,92520,Hc Laryngeal Function Studies,708.0,708.0,,,0 HCPCS,92520,Hc Laryngeal Function Studies-Pbb,956.0,956.0,,,0 HCPCS,92520,Laryngeal function studies,,,142.58,206.74,3 HCPCS,92520,Pr Laryngeal Function Studies-Pbb,496.0,496.0,,,0 HCPCS,92521,Evaluation of speech fluency,,,134.52,199.64,4 HCPCS,92521,Hc Evaluation Of Speech Fluency,1364.0,1364.0,,,0 HCPCS,92521,Hc Evaluation Of Speech Fluency-Pbb,1508.0,1508.0,,,0 HCPCS,92521,"Hc Evaluation Of Speech Fluency-Pbb,Spt",1364.0,1364.0,,,0 HCPCS,92521,Hc Evaluation Of Speech Fluency-Spt,1364.0,1364.0,,,0 HCPCS,92521,Pr Evaluation Of Speech Fluency (Stutter Clutter)-Pbb,288.0,288.0,,,0 HCPCS,92522,Evaluate speech production,,,114.3,199.64,4 HCPCS,92522,Hc Evaluation Of Speech Sound Production,518.0,518.0,,,0 HCPCS,92522,Hc Evaluation Of Speech Sound Production-Pbb,640.5,640.5,,,0 HCPCS,92522,"Hc Evaluation Of Speech Sound Production-Pbb,Spt",518.0,518.0,,,0 HCPCS,92522,Hc Evaluation Of Speech Sound Production-Spt,518.0,518.0,,,0 HCPCS,92522,Pr Evaluation Of Speech Sound Production Articulate-Pbb,245.0,245.0,,,0 HCPCS,92523,Hc Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression,1037.0,1037.0,,,0 HCPCS,92523,Hc Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression-Pb,1282.0,1282.0,,,0 HCPCS,92523,Hc Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression-Sp,1037.0,1037.0,,,0 HCPCS,92523,Pr Eval Speech Sound Product Language Comprehension-Pbb,490.0,490.0,,,0 HCPCS,92523,Speech sound lang comprehen,,,199.64,316.29,4 HCPCS,92524,Behavral qualit analys voice,,,111.98,199.64,4 HCPCS,92524,Hc Behavioral And Qualititative Analysis Of Voice And Resonance,1167.0,1167.0,,,0 HCPCS,92524,Hc Behavioral And Qualititative Analysis Of Voice And Resonance-Pbb,1289.5,1289.5,,,0 HCPCS,92524,"Hc Behavioral And Qualititative Analysis Of Voice And Resonance-Pbb,Spt",1167.0,1167.0,,,0 HCPCS,92524,Hc Behavioral And Qualititative Analysis Of Voice And Resonance-Spt,1167.0,1167.0,,,0 HCPCS,92524,Pr Behavioral & Qualit Analysis Voice And Resonance-Pbb,245.0,245.0,,,0 HCPCS,92526,Hc Treatment Of Swallowing Dysfunction And/Or Oral Function For Feeding,610.0,610.0,,,0 HCPCS,92526,Hc Treatment Of Swallowing Dysfunction And/Or Oral Function For Feeding-Pbb,729.0,729.0,,,0 HCPCS,92526,"Hc Treatment Of Swallowing Dysfunction And/Or Oral Function For Feeding-Pbb,Spt",610.0,610.0,,,0 HCPCS,92526,Hc Treatment Of Swallowing Dysfunction And/Or Oral Function For Feeding-Spt,610.0,610.0,,,0 HCPCS,92526,Oral function therapy,,,80.96,117.39,3 HCPCS,92526,Pr Tx Swallowing Dysfunction&/Oral Funcj Feeding-Pbb,238.0,238.0,,,0 HCPCS,92531,Hc Spontaneous Nystagmus Including Gaze,177.0,177.0,,,0 HCPCS,92532,Hc Posit Nystagmus,199.0,199.0,,,0 HCPCS,92537,Caloric vstblr test w/rec,,,137.89,199.94,3 HCPCS,92537,"Hc Caloric Vestibular Test With Recording, Bilateral; Bithermal",809.0,809.0,,,0 HCPCS,92537,"Hc Caloric Vestibular Test With Recording, Bilateral; Bithermal-Aud",809.0,809.0,,,0 HCPCS,92537,"Hc Caloric Vestibular Test With Recording, Bilateral; Bithermal-Pbb",982.0,982.0,,,0 HCPCS,92537,Pr Caloric Vestibular Test W/Rec Bi Bithermal-Pbb,346.0,346.0,,,0 HCPCS,92538,Caloric vstblr test w/rec,,,231.39,335.51,3 HCPCS,92538,"Hc Caloric Vestibular Test With Recording, Bilateral; Monothermal",809.0,809.0,,,0 HCPCS,92538,"Hc Caloric Vestibular Test With Recording, Bilateral; Monothermal-Aud",809.0,809.0,,,0 HCPCS,92538,"Hc Caloric Vestibular Test With Recording, Bilateral; Monothermal-Pbb",897.5,897.5,,,0 HCPCS,92538,Pr Caloric Vestibular Test W/Rec Bi Monothermal-Pbb,177.0,177.0,,,0 HCPCS,92540,Basic vestibular evaluation,,,231.39,335.51,3 HCPCS,92540,"Hc Basic Vestibular Evaluation, With Recording And Oscillating Tracking Test, With Recording",2071.0,2071.0,,,0 HCPCS,92540,"Hc Basic Vestibular Evaluation, With Recording And Oscillating Tracking Test, With Recording-Aud",2071.0,2071.0,,,0 HCPCS,92540,"Hc Basic Vestibular Evaluation, With Recording And Oscillating Tracking Test, With Recording-Pbb",2450.5,2450.5,,,0 HCPCS,92540,Pr Vstblr Funcj Nystag Fovl&Perph Stimj Oscil Trk-Pbb,759.0,759.0,,,0 HCPCS,92541,Hc Spontaneous Nystagmus Test W/Gate,339.0,339.0,,,0 HCPCS,92541,Spontaneous nystagmus test,,,142.58,206.74,3 HCPCS,92542,"Hc Positional Nystagmus Test, Minimum Of 4 Positions, With Recording",275.0,275.0,,,0 HCPCS,92542,Positional nystagmus test,,,142.58,206.74,3 HCPCS,92544,Hc Optokinetic Nystagmus With Recording,659.0,659.0,,,0 HCPCS,92544,Hc Optokinetic Nystagmus With Recording-Aud,659.0,659.0,,,0 HCPCS,92544,Hc Optokinetic Nystagmus With Recording-Pbb,739.5,739.5,,,0 HCPCS,92544,Optokinetic nystagmus test,,,137.89,199.94,3 HCPCS,92544,Pr Optkinetic Nystag Bidir/Foveal/Periph Stim W/Rec-Pbb,161.0,161.0,,,0 HCPCS,92545,"Hc Oscillating Tracking Test, W/ Recording",659.0,659.0,,,0 HCPCS,92545,"Hc Oscillating Tracking Test, W/ Recording-Aud",659.0,659.0,,,0 HCPCS,92545,"Hc Oscillating Tracking Test, W/ Recording-Pbb",731.5,731.5,,,0 HCPCS,92545,Oscillating tracking test,,,231.39,335.51,3 HCPCS,92545,Pr Oscillating Tracking Test W/Recording-Pbb,145.0,145.0,,,0 HCPCS,92546,Hc Sinusoidal Vertacal Axis Rotational Test,669.0,669.0,,,0 HCPCS,92546,Hc Sinusoidal Vertacal Axis Rotational Test-Pbb,750.5,750.5,,,0 HCPCS,92546,Pr Sinusoidal Vertical Axis Rotational Testing-Pbb,163.0,163.0,,,0 HCPCS,92546,Sinusoidal rotational test,,,137.89,199.94,3 HCPCS,92548,Hc Computerized Dynamic Posturography,1012.0,1012.0,,,0 HCPCS,92548,Hc Computerized Dynamic Posturography-Aud,1012.0,1012.0,,,0 HCPCS,92548,Hc Computerized Dynamic Posturography-Pbb,1150.0,1150.0,,,0 HCPCS,92548,Posturography,,,142.58,206.74,3 HCPCS,92548,Pr Cdp-Sot 6 Conditions W/Interpretation & Report-Pbb,276.0,276.0,,,0 HCPCS,92549,Cdp-sot 6 cond w/i&r mct&adt,,,142.58,206.74,3 HCPCS,92550,Hc Tympanometry And Reflex Threshold Measurements,669.0,669.0,,,0 HCPCS,92550,Tympanometry & reflex thresh,,,231.39,335.51,3 HCPCS,92551,"Hc Screening Test, Pure Tone, Air Only",107.0,107.0,,,0 HCPCS,92551,"Hc Screening Test, Pure Tone, Air Only-Aud",107.0,107.0,,,0 HCPCS,92551,"Hc Screening Test, Pure Tone, Air Only-Pbb",162.5,162.5,,,0 HCPCS,92551,Pr Screening Test Pure Tone Air Only-Pbb,111.0,111.0,,,0 HCPCS,92552,Hc Pure Tone Audiometry (Threshold); Air Only,334.0,334.0,,,0 HCPCS,92552,Pure tone audiometry air,,,142.58,206.74,3 HCPCS,92553,Audiometry air & bone,,,137.89,199.94,3 HCPCS,92553,Hc Pure Tone Audiometry (Threshold); Air And Bone,463.0,463.0,,,0 HCPCS,92555,Hc Speech Audiometry Threshold;,307.0,307.0,,,0 HCPCS,92555,Speech threshold audiometry,,,63.22,91.66,3 HCPCS,92556,Hc Speech Audiometry Threshold; With Speech Recognition,488.0,488.0,,,0 HCPCS,92556,Speech audiometry complete,,,63.22,91.66,3 HCPCS,92557,Comprehensive hearing test,,,137.89,199.94,3 HCPCS,92557,Hc Comprehensive Audiometry Threshold Evaluation And Speech Recognition,748.0,748.0,,,0 HCPCS,92558,"Hc Evoked Otoacoustic Emissions, Screening , Automated Analysis",191.0,191.0,,,0 HCPCS,92558,"Hc Evoked Otoacoustic Emissions, Screening , Automated Analysis-Aud",191.0,191.0,,,0 HCPCS,92558,"Hc Evoked Otoacoustic Emissions, Screening , Automated Analysis-Pbb",237.0,237.0,,,0 HCPCS,92558,Pr Evoked Otoacoustic Emissions Screen Auto Analys-Pbb,91.0,91.0,,,0 HCPCS,92562,Loudness balance test,,,231.39,335.51,3 HCPCS,92563,Tone decay hearing test,,,40.03,58.04,3 HCPCS,92565,"Hc Stenger Test, Pure Tone",158.0,158.0,,,0 HCPCS,92565,Stenger test pure tone,,,63.22,91.66,3 HCPCS,92567,Hc Tympanometry,334.0,334.0,,,0 HCPCS,92567,Tympanometry,,,40.03,58.04,3 HCPCS,92568,Acoustic refl threshold tst,,,40.03,58.04,3 HCPCS,92568,Hc Acoustic Refl Threshold Tst,334.0,334.0,,,0 HCPCS,92570,Acoustic immitance testing,,,137.89,199.94,3 HCPCS,92570,"Hc Acoustc Immittance Test,Incl Tympanomtry,Acoustic Reflex Threshold Test,&Acoustc Reflx Decay Test",1001.0,1001.0,,,0 HCPCS,92571,Filtered speech hearing test,,,40.03,58.04,3 HCPCS,92572,Staggered spondaic word test,,,137.89,199.94,3 HCPCS,92575,Sensorineural acuity test,,,40.03,58.04,3 HCPCS,92576,Synthetic sentence test,,,40.03,58.04,3 HCPCS,92577,Stenger test speech,,,399.88,579.83,3 HCPCS,92579,Hc Visual Reinforcement Audiometry (Vra),647.0,647.0,,,0 HCPCS,92579,Visual audiometry (vra),,,231.39,335.51,3 HCPCS,92582,Conditioning play audiometry,,,137.89,199.94,3 HCPCS,92582,Hc Conditioning Play Audiometry,572.0,572.0,,,0 HCPCS,92583,Hc Select Picture Audiometry,132.0,132.0,,,0 HCPCS,92583,Select picture audiometry,,,63.22,91.66,3 HCPCS,92584,Electrocochleography,,,137.89,199.94,3 HCPCS,92584,Hc Electrocochleography,808.0,808.0,,,0 HCPCS,92587,Evoked auditory test limited,,,231.39,335.51,3 HCPCS,92587,"Hc Dist Prod Evk Otoacstic Emsn;Lmtd Eval(Pres/Abs Hr Do,3-6 Frq)/Trns Evkd Otoacstic Emsn,W Int&Rep",388.0,388.0,,,0 HCPCS,92588,Evoked auditory tst complete,,,399.88,579.83,3 HCPCS,92588,Hc Distortion Product Evoked Otoacoustic Emission; Comprehnsive Diag Eval; W/Interpretation And Rprt,453.0,453.0,,,0 HCPCS,92590,Hc Hearing Aid Examination And Selection; Monaural,190.0,190.0,,,0 HCPCS,92591,Hc Hearing Aid Examination And Selection; Binaural,190.0,190.0,,,0 HCPCS,92592,Hc Hearing Aid Check; Monaural,95.0,95.0,,,0 HCPCS,92593,Hc Hearing Aid Check: Binaural,95.0,95.0,,,0 HCPCS,92594,Hc Electroacoustic Evalulation; Monaural,95.0,95.0,,,0 HCPCS,92595,Hc Electroacoustic Evalulation; Binaural,95.0,95.0,,,0 HCPCS,92596,Ear protector evaluation,,,40.03,58.04,3 HCPCS,92597,Hc Evaluation For Use And/Or Fitting Of Voice Prosthetic Device To Supplement Oral Speech,1062.0,1062.0,,,0 HCPCS,92597,Hc Evaluation For Use And/Or Fitting Of Voice Prosthetic Device To Supplement Oral Speech-Pbb,1458.5,1458.5,,,0 HCPCS,92597,"Hc Evaluation For Use And/Or Fitting Of Voice Prosthetic Device To Supplement Oral Speech-Pbb,Spt",1062.0,1062.0,,,0 HCPCS,92597,Hc Evaluation For Use And/Or Fitting Of Voice Prosthetic Device To Supplement Oral Speech-Spt,1062.0,1062.0,,,0 HCPCS,92597,Oral speech device eval,,,72.74,346.44,4 HCPCS,92597,Pr Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec-Pbb,793.0,793.0,,,0 HCPCS,92598,Modify oral speech device,,,240.74,240.74,1 HCPCS,92601,Cochlear implt f/up exam <7,,,137.89,199.94,3 HCPCS,92601,"Hc Diagnostic Analysis Of Cochlear Implant, Patient Younger Than 7 Years Of Age; With Programming",1040.0,1040.0,,,0 HCPCS,92602,"Hc Diag Analysis Of Cochlear Implant, Pat Younger Than 7 Yrs Of Age; Sub Reprogramming",589.0,589.0,,,0 HCPCS,92602,Reprogram cochlear implt 7/>,,,137.89,199.94,3 HCPCS,92603,Cochlear implt f/up exam 7/>,,,137.89,199.94,3 HCPCS,92603,"Hc Diagnostic Analysis Of Cochlear Implant, Age 7 Years Or Older; With Programming",644.0,644.0,,,0 HCPCS,92604,"Hc Diagnostic Analysis Of Cochlear Implant, Age 7 Years Or Older; Subsequent Reprogramming",581.0,581.0,,,0 HCPCS,92604,Reprogram cochlear implt 7/>,,,137.89,199.94,3 HCPCS,92607,Ex for speech device rx 1hr,,,117.78,170.78,3 HCPCS,92607,"Hc Eval For Script For Speech-Generating Augmentative/Alt Comm Dev, Face2Face W/ The Pat; First Hr",1750.0,1750.0,,,0 HCPCS,92608,Ex for speech device rx addl,,,48.59,70.46,3 HCPCS,92608,"Hc Eval For Prscptn Speech-Gen Augmentve & Altrntv Communication Dev,Face2Face W/ Pat; Ea Add 30 Min",672.0,672.0,,,0 HCPCS,92609,"Hc Thrptc Srvcs For The Use Of Speech-Generating Device, Incl Programming And Modification",279.0,279.0,,,0 HCPCS,92609,Use of speech device service,,,104.56,151.61,3 HCPCS,92610,Evaluate swallowing function,,,56.75,82.29,3 HCPCS,92610,Hc Evaluation Of Oral And Pharyngeal Swallowing Function,616.0,616.0,,,0 HCPCS,92610,Hc Evaluation Of Oral And Pharyngeal Swallowing Function-Pbb,1065.5,1065.5,,,0 HCPCS,92610,"Hc Evaluation Of Oral And Pharyngeal Swallowing Function-Pbb,Spt",616.0,616.0,,,0 HCPCS,92610,Hc Evaluation Of Oral And Pharyngeal Swallowing Function-Spt,616.0,616.0,,,0 HCPCS,92610,Pr Eval Oral&Pharyngeal Swlng Funcj-Pbb,899.0,899.0,,,0 HCPCS,92611,Hc Motion Fluoroscopic Evaluation Of Swallowing Function By Cine Or Video Recording,1209.0,1209.0,,,0 HCPCS,92611,Motion fluoroscopy/swallow,,,94.22,136.62,3 HCPCS,92612,Endoscopy swallow (fees) vid,,,54.09,78.43,3 HCPCS,92612,Hc Flexible Fiberoptic Endoscopic Evaluation Of Swallowing By Cine Or Video Recording;,993.0,993.0,,,0 HCPCS,92612,Hc Flexible Fiberoptic Endoscopic Evaluation Of Swallowing By Cine Or Video Recording;-Pbb,1572.5,1572.5,,,0 HCPCS,92612,"Hc Flexible Fiberoptic Endoscopic Evaluation Of Swallowing By Cine Or Video Recording;-Pbb,Spt",993.0,993.0,,,0 HCPCS,92612,Hc Flexible Fiberoptic Endoscopic Evaluation Of Swallowing By Cine Or Video Recording;-Spt,993.0,993.0,,,0 HCPCS,92612,Pr Flexible Endoscopic Eval Swallow C/V Rec-Pbb,1159.0,1159.0,,,0 HCPCS,92613,Hc Endoscopy Swallow Test Fees,111.0,111.0,,,0 HCPCS,92613,Hc Endoscopy Swallow Test Fees-Pbb,111.0,111.0,,,0 HCPCS,92613,Pr Flexible Endoscopic Eval Swallow C/V Rec I&R-Pbb,296.0,296.0,,,0 HCPCS,92614,Laryngoscopic sensory vid,,,57.05,82.72,3 HCPCS,92616,Fees w/laryngeal sense test,,,79.72,115.59,3 HCPCS,92616,Hc Flexible Fiberoptic Endoscopic Eval Of Swallowing & Laryngl Snsry Tstng By Cine Or Video Recrdng,657.0,657.0,,,0 HCPCS,92616,Hc Flexible Fiberoptic Endoscopic Eval Of Swallowing & Laryngl Snsry Tstng By Cine Or Video Recrdng-,1094.0,1094.0,,,0 HCPCS,92616,Pr Flexible Ndsc Eval Swlng&Laryn Sens C/V Rec-Pbb,874.0,874.0,,,0 HCPCS,92620,Auditory function 60 min,,,137.89,199.94,3 HCPCS,92620,Hc Central Auditory Fcn Init 60 Min,297.0,297.0,,,0 HCPCS,92621,Hc Auditory Function + 15 Min,74.0,74.0,,,0 HCPCS,92622,Dx aly aud oi snd prcsr 1st,,,137.89,199.94,3 HCPCS,92622,Hc Diagnostic Analysis Program And Verif Of Auditory Osseo Sound Process 1St 60 Min,373.0,373.0,,,0 HCPCS,92623,Hc Diagnostic Analysis Program Verif Of Audit Osseo Sound Process Add 15 Min,285.0,285.0,,,0 HCPCS,92625,Hc Assessment Of Tinnutis,277.0,277.0,,,0 HCPCS,92625,Tinnitus assessment,,,137.89,199.94,3 HCPCS,92626,Eval aud rehab status,,,137.89,199.94,3 HCPCS,92626,Hc Evaluation Of Auditory Rehabilitation Status; First Hour,431.0,431.0,,,0 HCPCS,92627,Hc Evaluation Of Auditory Rehabilitation Status; Each Additional 15 Minutes,114.0,114.0,,,0 HCPCS,92630,Hc Auditory Rehabilitation; Prelingual Hearing Loss,425.0,425.0,,,0 HCPCS,92633,Hc Auditory Rehabilitation; Postlingual Hearing Loss,425.0,425.0,,,0 HCPCS,92633,Hc Hc Aud Rehab Postling Hear Loss,75.0,75.0,,,0 HCPCS,92640,Aud brainstem implt programg,,,137.89,199.94,3 HCPCS,92650,Hc Aep Scr Auditory Potential W/Stimuli Auto Alys,288.0,288.0,,,0 HCPCS,92651,Aep hearing status deter i&r,,,231.39,335.51,3 HCPCS,92651,Hc Aep Hearing Status Deter Broadband Stimuli I&R,374.0,374.0,,,0 HCPCS,92652,Aep thrshld est mlt freq i&r,,,231.39,335.51,3 HCPCS,92652,Hc Aep Threshold Estimation Mlt Frequencies I&R,952.0,952.0,,,0 HCPCS,92653,Aep neurodiagnostic i&r,,,231.39,335.51,3 HCPCS,92653,Hc Aep Neurodiagnostic Interpretation And Report,952.0,952.0,,,0 HCPCS,92700,Ent procedure/service,,,30.99,44.94,3 HCPCS,92700,Hc Auditory Prosthetic Device Evaluation / Selection,250.0,250.0,,,0 HCPCS,92700,Hc Behavioral Observation Audiometry,588.0,588.0,,,0 HCPCS,92700,Hc Communication And Functional Needs Assessment,173.0,173.0,,,0 HCPCS,92700,Hc High Frequency Audiometry,476.0,476.0,,,0 HCPCS,92700,Hc Saccade Testing,114.0,114.0,,,0 HCPCS,92700,Hc Smell Test,204.0,204.0,,,0 HCPCS,92700,Hc Speech In Noise Testing,279.0,279.0,,,0 HCPCS,92700,Hc Vestibular Evoked Myogenic Potentials,1286.0,1286.0,,,0 HCPCS,92700,Hc Video Head Impulse Testing (Vhit),54.0,54.0,,,0 HCPCS,92700,Hc Water Calorics,75.0,75.0,,,0 HCPCS,92920,Hc Percutaneous Transluminal Coronary Angioplasty; Single Major Coronary Artery Or Branch,39385.0,39385.0,,,0 HCPCS,92920,Prq cardiac angioplast 1 art,,,6099.19,24760.0,4 HCPCS,92921,Hc Percutaneous Transluminal Coronary Angioplasty; Each Additional Branch Of A Major Coronary Arter,14672.0,14672.0,,,0 HCPCS,92921,Prq cardiac angio addl art,,,24760.0,24760.0,1 HCPCS,92924,"Hc Ptca, W/ Coronary Angioplasty When Perf; Single Major Coronary Artery Or Branch",41577.0,41577.0,,,0 HCPCS,92924,Prq card angio/athrect 1 art,,,12370.97,36418.0,4 HCPCS,92925,Hc Perc Translum Coronary Atherec W/Coronary Angioplsty; Ea Add Branch/Major Coronary Artery,27972.0,27972.0,,,0 HCPCS,92925,Prq card angio/athrect addl,,,36418.0,36418.0,1 HCPCS,92928,"Hc Perc Transcath Plcmnt Intrcrnry Stnt(S),W/ Crnry Angplsty When Perf; Singl Maj Crnry Art Or Brnch",40846.0,40846.0,,,0 HCPCS,92928,Hc Perc Trnscth Plcmnt Of Drg Elut Intracrnry Stnt W/Crnry Angplsty Whn Perf;Sngle Mj Crnryart/Brnch,41577.0,41577.0,,,0 HCPCS,92928,Prq card stent w/angio 1 vsl,,,12370.97,24760.0,4 HCPCS,92929,"Hc Perc Transcath Plcmnt Intrcrnry Stnt(S),W/ Crnry Angplsty Perf;Ea Add Brnch Of A Maj Crnry Art",22286.0,22286.0,,,0 HCPCS,92929,"Hc Perc Trnscth Plcmnt Of Drg-Elut Intrcrnry Stnt,W/Crnry Angplsty Whn Perf Ea Ad Br Of Mj Crnryart",28314.0,28314.0,,,0 HCPCS,92929,Prq card stent w/angio addl,,,24760.0,24760.0,1 HCPCS,92930,Prq tcat plmt ntrac st 2+les,,,19644.52,28484.56,3 HCPCS,92933,"Hc Perc Trns Cornry Athery,W Drug Eluting Intracornry Stnt,W Cornry Angio;Sing Maj Cornry Art/Branch",43035.0,43035.0,,,0 HCPCS,92933,"Hc Ptca, W/ Intracornry Stent, W/ Cornry Angplsty When Perf; Single Maj Cornry Art Or Branch",42306.0,42306.0,,,0 HCPCS,92933,Prq card stent/ath/angio,,,19644.52,28484.56,4 HCPCS,92934,"Hc Perc Transluminl Crnry Athrctmy,W/Intracrnry Stnt,W/Cornry Angplsty;Ea Ad Brnch Of A Mj Crnry Art",30773.0,30773.0,,,0 HCPCS,92934,"Hc Perc Trns Cornry Athery,W Drug-Elutg Intracornry Stnt,W Cornry Angio;Ea Add Branch Maj Cornry Art",31503.0,31503.0,,,0 HCPCS,92934,Prq card stent/ath/angio,,,24760.0,24760.0,1 HCPCS,92937,"Hc Perc Trnslm Rvsc Thru Crnry Art Bypsgrft,Drg-Elt Stnt,Athrctmy&Angplsty,Incl Dstl Prtct;1 Vssl",41577.0,41577.0,,,0 HCPCS,92937,"Hc Percut Trns Revsc Cornry Art Byp Grft,Comb Intracornry Stnt,Athery&Angio,Incl Dist Prot;Sing Vsl",40846.0,40846.0,,,0 HCPCS,92937,Prq revasc byp graft 1 vsl,,,12370.97,24760.0,4 HCPCS,92938,"Hc Per Trslum Revas Cabg,Drg-Elu Stnt,Athrctmy&Angplsty,Inc Dis Ptcn;Ea Add Brnch Subtd By Bypa Grf",34272.0,34272.0,,,0 HCPCS,92938,"Hc Perc Trnslm Revas Cabg, Intracor Stnt, Athrctmy & Angpsty,Dist Ptn;Ea Ad Brnch Sub By Byp Grft",33544.0,33544.0,,,0 HCPCS,92938,Prq revasc byp graft addl,,,24760.0,24760.0,1 HCPCS,92941,"Hc Perc Transl Revasc Acute Total/Subtotal Occ Ami, Coronary Artery Or Cabg, Single Vessel",42306.0,42306.0,,,0 HCPCS,92941,Hc Percutaneous Drug Eluting Coronary Revascularization W Ami; Single Vessel,43035.0,43035.0,,,0 HCPCS,92941,Prq card revasc mi 1 vsl,,,24760.0,24760.0,1 HCPCS,92943,"Hc Percut Transl Revaschrnc Ttl Occ,Any Cmbntn Of Intracoronary Stnt,Athrectmy,Angioplsty; Sngl Vssl",42306.0,42306.0,,,0 HCPCS,92943,Hc Percutaneous Drug Eluting Coronary Revascularization Chronic Total Occlusion; Single Vessel,43035.0,43035.0,,,0 HCPCS,92943,Prq card revasc chronic 1vsl,,,12370.97,24760.0,4 HCPCS,92944,"Hc Perc Drug Eluting Coronary Revascization Chronic Occ; Each Add Artery, Branch Or Graft",34272.0,34272.0,,,0 HCPCS,92944,"Hc Percut Trns Revsc Chron Tot Occ,Comb Intracorn Stnt,Athery/Angio;Ea Add Cornry Art,Brnch,Byp Grft",33544.0,33544.0,,,0 HCPCS,92944,Prq card revasc chronic addl,,,24760.0,24760.0,1 HCPCS,92945,Prq trl rvs ch occ ant&rtrgr,,,12370.97,17937.9,3 HCPCS,92950,Hc- Cardiopulmonary Resuscitation,2301.0,2301.0,,,0 HCPCS,92950,Heart/lung resuscitation cpr,,,231.39,3399.0,4 HCPCS,92953,Hc Temporary Transcutaneous Pacing,1289.0,1289.0,,,0 HCPCS,92953,Temporary external pacing,,,708.28,5007.0,4 HCPCS,92960,Cardioversion electric ext,,,708.28,5007.0,4 HCPCS,92960,"Hc Cardioversion, Elective, Electrical Conversion Of Arrhythmia; External",5171.0,5171.0,,,0 HCPCS,92961,Cardioversion electric int,,,708.28,5007.0,4 HCPCS,92961,"Hc Cardioversion, Elective, Electrical Conversion Of Arrhythmia; Internal",2309.0,2309.0,,,0 HCPCS,92970,Cardioassist internal,,,10008.0,10008.0,1 HCPCS,92971,Cardioassist external,,,10008.0,10008.0,1 HCPCS,92972,Hc Perq Trluml Coronry Lithotrp,42729.0,42729.0,,,0 HCPCS,92973,Hc Percutaneous Transluminal Coronary Thrombectomy Mechanical,6790.0,6790.0,,,0 HCPCS,92973,Prq coronary mech thrombect,,,3399.0,3399.0,1 HCPCS,92974,Cath place cardio brachytx,,,3399.0,3399.0,1 HCPCS,92975,Dissolve clot heart vessel,,,10008.0,10008.0,1 HCPCS,92975,"Hc Thrombolysis, Coronary; By Intracoronary Infusion, Including Selective Coronary Angiography",3556.0,3556.0,,,0 HCPCS,92977,Dissolve clot heart vessel,,,3399.0,3399.0,1 HCPCS,92977,"Hc Thrombolysis, Coronary; By Intravenous Infusion",1004.0,1004.0,,,0 HCPCS,92978,Endoluminl ivus oct c 1st,,,3399.0,3399.0,1 HCPCS,92978,"Hc Intrvsc U/S(Crnry Vssl/Grft)Durng Dx Eval&/Or Thrptc Intrvtn Inc Imging Sprvsn,Inter&Rprt;In Vssl",6888.0,6888.0,,,0 HCPCS,92979,Endoluminl ivus oct c ea,,,3399.0,3399.0,1 HCPCS,92979,"Hc Intravsc Us(Coronary Vessl/Grft)Diag Eval &Or Thrptc Intrvtn Incl Img Sup,Interp&Rep;Ea Add Vessl",5525.0,5525.0,,,0 HCPCS,92986,Hc Percutaneous Balloon Valvuloplasty; Aortic Valve,11981.0,11981.0,,,0 HCPCS,92986,Revision of aortic valve,,,6099.19,24760.0,4 HCPCS,92987,Hc Percutaneous Balloon Valvuloplasty; Mitral Valve,14046.0,14046.0,,,0 HCPCS,92987,Revision of mitral valve,,,12370.97,24760.0,4 HCPCS,92990,Hc Percutaneous Balloon Valvuloplasty; Pulmonary Valve,14046.0,14046.0,,,0 HCPCS,92990,Revision of pulmonary valve,,,12370.97,24760.0,4 HCPCS,92997,Hc Percutaneous Transluminal Pulmonary Artery Balloon Angioplasty; Single Vessel,14046.0,14046.0,,,0 HCPCS,92997,Pul art balloon repr percut,,,12370.97,24760.0,4 HCPCS,92998,Hc Percutaneous Transluminal Pulmonary Artery Balloon Angioplasty; Each Additional Vessel,6433.0,6433.0,,,0 HCPCS,92998,Pul art balloon repr percut,,,24760.0,24760.0,1 HCPCS,93005,Electrocardiogram tracing,,,63.22,91.66,4 HCPCS,93005,"Hc Electrocardiogram, Routine Ecg W/ At Least 12 Leads; Tracing Only, W/O Interpretation And Report",551.0,551.0,,,0 HCPCS,93010,Electrocardiogram report,,,105.08,105.08,1 HCPCS,93012,Transmission of ecg,,,129.26,129.26,1 HCPCS,93015,Cardiovascular stress test,,,376.46,376.46,1 HCPCS,93017,Cardiovascular stress test,,,231.39,366.13,4 HCPCS,93017,"Hc Cardiovasc Stress Test Pharmacological Stress; Tracing Only, W/Out Interpretation And Report",2787.0,2787.0,,,0 HCPCS,93017,Hc Dipyridamole Mps,2787.0,2787.0,,,0 HCPCS,93017,Hc Mset - Bruce Protocol,2787.0,2787.0,,,0 HCPCS,93017,Hc Mset Chest Pain Center Protocol,2787.0,2787.0,,,0 HCPCS,93017,Hc Mset Modified Bruce,2787.0,2787.0,,,0 HCPCS,93017,Hc Mset Modified Naughton,2787.0,2787.0,,,0 HCPCS,93017,Hc Mset-Bruce Protocol W/Np,2787.0,2787.0,,,0 HCPCS,93017,Hc Mset-Modified Bruce W/Np,2787.0,2787.0,,,0 HCPCS,93017,Hc Stress Test Naughton Balke,2787.0,2787.0,,,0 HCPCS,93018,Cardiovascular stress test,,,245.52,245.52,1 HCPCS,93024,Cardiac drug stress test,,,478.72,694.14,3 HCPCS,93025,Microvolt t-wave assess,,,137.89,199.94,3 HCPCS,93041,"Hc Rhythm Ecg, 1-3 Leads; Tracing Only Without Interpretation And Report",319.0,319.0,,,0 HCPCS,93041,Rhythm ecg tracing,,,63.22,91.66,4 HCPCS,93050,Art pressure waveform analys,,,30.99,44.94,3 HCPCS,93145,Interrog crtd sins bat ip wo,,,137.89,199.94,3 HCPCS,93146,Interrog crtd sins bat ip w/,,,137.89,199.94,3 HCPCS,93150,Therapy activation ipnss,,,101.88,147.73,3 HCPCS,93151,Interrog&prgrmg ipnss,,,101.88,147.73,3 HCPCS,93152,Interrog&prgrmg ipnss polysm,,,329.13,477.24,3 HCPCS,93153,Interrog w/o prgrmg ipnss,,,101.88,147.73,3 HCPCS,93225,Ecg monit/reprt up to 48 hrs,,,142.58,323.96,4 HCPCS,93225,Hc Ext Electrocardiographic Recording Up To 48 Hrs By Cont Rhythm Recording And Storage; Recording,1479.0,1479.0,,,0 HCPCS,93226,Ecg monit/reprt up to 48 hrs,,,63.22,456.45,4 HCPCS,93226,Hc Ext Electrocardio Recrdg Up To 48 Hrs By Cont Rhythm Recrdg & Storage; Scanning Anlysis W/ Report,2083.0,2083.0,,,0 HCPCS,93229,Remote 30 day ecg tech supp,,,399.88,579.83,3 HCPCS,93230,"ECG monitor/report, 24 hrs",,,606.26,606.26,1 HCPCS,93231,"Ecg monitor/record, 24 hrs",,,269.62,269.62,1 HCPCS,93232,"ECG monitor/report, 24 hrs",,,432.11,432.11,1 HCPCS,93236,"ECG monitor/report, 24 hrs",,,456.45,456.45,1 HCPCS,93242,Ext ecg>48hr<7d recording,,,40.03,58.04,3 HCPCS,93242,Hc External Ecg Rec>48Hr<7D Recording,90.0,90.0,,,0 HCPCS,93243,Ext ecg>48hr<7d scan a/r,,,142.58,206.74,3 HCPCS,93246,Ext ecg>7d<15d recording,,,40.03,58.04,3 HCPCS,93246,Hc External Ecg Rec>7D<15D Recording,148.0,148.0,,,0 HCPCS,93247,Ext ecg>7d<15d scan a/r,,,142.58,206.74,3 HCPCS,93260,"Hc Prog Dev Eval Iterative Adjust Imp Dev,Test Dev Func&Sel Perm Prog Vals, Imp Sq Lead Defib Syst",203.0,203.0,,,0 HCPCS,93260,"Hc Prog Dev Eval Iterative Adjust Imp Dev,Test Dev Func&Sel Perm Prog Vals, Imp Sq Lead Defib Syst-P",427.5,427.5,,,0 HCPCS,93260,Pr Prgrmg Dev Eval Implantable Subq Lead Dfb System-Pbb,448.0,448.0,,,0 HCPCS,93260,Prgrmg dev eval impltbl sys,,,39.99,57.99,3 HCPCS,93261,"Hc Interro Dev Eval W Anlysis, Incl Connect,Rec&Disconnct Per Pat Enc;Implntable Sq Lead Defib Syst",259.0,259.0,,,0 HCPCS,93261,"Hc Interro Dev Eval W Anlysis, Incl Connect,Rec&Disconnct Per Pat Enc;Implntable Sq Lead Defib Syst-",451.5,451.5,,,0 HCPCS,93261,Interrogate subq defib,,,39.99,57.99,3 HCPCS,93261,Pr Interrogation Eval F2F Implant Subq Lead Defib-Pbb,385.0,385.0,,,0 HCPCS,93264,Pr Remote Mntr Wireless P-Art Prs Snr Up To 30 D-Pbb,212.0,212.0,,,0 HCPCS,93264,Rem mntr wrls p-art prs snr,,,39.99,57.99,3 HCPCS,93268,ECG record/review,,,511.22,511.22,1 HCPCS,93270,"Hc Ext Pt&Auto Act Elctrcrd Rthm Der Rec W Symp-Rel Mem Lp W Rem Dl Cap Upto30Dy,24Hr Att Mon; Re",112.0,112.0,,,0 HCPCS,93270,Remote 30 day ecg rev/report,,,39.99,57.99,3 HCPCS,93271,Ecg/monitoring and analysis,,,101.88,147.73,3 HCPCS,93271,"Hc Ext Pat &, Auto Activated Electrocardiographic Rhythm Derived Evnt Rcrdng W/Mem Lp; Trans & Anlys",1399.0,1399.0,,,0 HCPCS,93278,ECG/signal-averaged,,,63.22,91.66,3 HCPCS,93279,"Hc Prog Dev Eval W Itertv Adjst Implnt Dev To Test Dev Func & Selct Perm Values,Singl Ld Pacemkr Sys",415.0,415.0,,,0 HCPCS,93279,Pm device progr eval sngl,,,39.99,57.99,3 HCPCS,93279,Pr Prgrmg Dev Eval 1 Lead Pm/Ldls Pm 1 Car Chmbr Ip-Pbb,366.0,366.0,,,0 HCPCS,93280,Hc Prgrm Dev Eval Iterative Adj Implnt Dev To Tst Dev Func And Select Perm Values; Dual Lead Pm Sys,378.0,378.0,,,0 HCPCS,93280,Hc Prgrm Dev Eval Iterative Adj Implnt Dev To Tst Dev Func And Select Perm Values; Dual Lead Pm Sys-,570.5,570.5,,,0 HCPCS,93280,Pm device progr eval dual,,,39.99,57.99,3 HCPCS,93280,Pr Program Eval Implantable In Persn Dual Ld Pacer-Pbb,385.0,385.0,,,0 HCPCS,93281,"Hc Prgm Device Eval W/ Adjust Implant Device To Test Dvc Func & Selec Vals, Mult Lead Pacemaker Sys",443.0,443.0,,,0 HCPCS,93281,"Hc Prgm Device Eval W/ Adjust Implant Device To Test Dvc Func & Selec Vals, Mult Lead Pacemaker Sys-",685.5,685.5,,,0 HCPCS,93281,Pm device progr eval multi,,,39.99,57.99,3 HCPCS,93281,Pr Program Eval Implantable In Prsn Multi Ld Pacer-Pbb,485.0,485.0,,,0 HCPCS,93282,Hc Prog Dev Eval W Adjst Implnt Dev To Tst Dev Fnc&Selct Vals;Sngl Lead Trnsvn Implntable Defib Syst,595.0,595.0,,,0 HCPCS,93282,Pr Prgrmng Dev Eval Implantable In Persn 1 Ld Dfb-Pbb,388.0,388.0,,,0 HCPCS,93282,Prgrmg eval implantable dfb,,,39.99,57.99,3 HCPCS,93282,Xifaxan: 6 Blister Pack In 1 Carton (65649-303-03) / 10 Tablet In 1 Blister Pack,345.51,345.51,,,0 HCPCS,93283,Hc Prog Dev Evl W/Adjstmnt Implnt Dev To Tst Dev Func&Selct Vals;Dual Lead Trnsven Implntble Defb,453.0,453.0,,,0 HCPCS,93283,Hc Prog Dev Evl W/Adjstmnt Implnt Dev To Tst Dev Func&Selct Vals;Dual Lead Trnsven Implntble Defb-Pb,686.5,686.5,,,0 HCPCS,93283,Pr Prgrmg Eval Implantable In Prsn Dual Lead Dfb-Pbb,466.0,466.0,,,0 HCPCS,93283,Prgrmg eval implantable dfb,,,39.99,57.99,3 HCPCS,93284,Hc Prg Dev Evl W Itrtv Adjst Implnt Dev To Test Dev Func & Selct Vals; Mlt Lead Trnsvn Implnt Defib,518.0,518.0,,,0 HCPCS,93284,Hc Prg Dev Evl W Itrtv Adjst Implnt Dev To Test Dev Func & Selct Vals; Mlt Lead Trnsvn Implnt Defib-,885.0,885.0,,,0 HCPCS,93284,Pr Prgrmg Eval Implantable In Person Multi Lead Dfb-Pbb,735.0,735.0,,,0 HCPCS,93284,Prgrmg eval implantable dfb,,,39.99,57.99,3 HCPCS,93285,Hc Program Device Eval W Adj Implt Device To Test Device Func/Select Values; Implant Loop Record Sys,497.0,497.0,,,0 HCPCS,93285,Ilr device eval progr,,,39.99,57.99,3 HCPCS,93285,Pr Prgrmg Dev Eval Scrms Phys/Qhp In Person-Pbb,216.0,216.0,,,0 HCPCS,93286,"Hc Peri-Proc Dev Eval Prog Dev Sys Parameters Bef/Aft Surg,Proc,Test W Anal;Sing,Dual,Mult Ld Pm Sys",363.0,363.0,,,0 HCPCS,93286,Pr Peri-Px Dev Eval Pm/Ldls Pm Phys/Qhp In Person-Pbb,293.0,293.0,,,0 HCPCS,93287,"Hc Peri-Px Dev Eval Prg Dev Sys Param B4/Aft Surg,Proc,Or Tst Anlys;Sin,Dual,Mult Lead Imp Defib Sys",755.5,755.5,,,0 HCPCS,93287,Pr Peri-Px Dev Eval & Prog Sing/Dual/Multi Lead Dfb-Pbb,473.0,473.0,,,0 HCPCS,93288,"Hc Interro Dev Eval W Anlysis,Incl Cnnct,Recrd,Discnnct Per Pt Enc;Sngle,Dual,Or Mult Lead Pcemkr Sy",450.0,450.0,,,0 HCPCS,93288,Pm device eval in person,,,39.99,57.99,3 HCPCS,93288,Pr Interrog Dev Eval Pm/Ldls Pm Phys/Qhp In Person-Pbb,312.0,312.0,,,0 HCPCS,93289,"Hc Interrogatn Dvce Eval W/Anlys, Rvw & Rprt, Incl Cnnct, Rcrd & Dscnnct; Implntble Defibator Systm",549.0,549.0,,,0 HCPCS,93289,"Hc Interrogatn Dvce Eval W/Anlys, Rvw & Rprt, Incl Cnnct, Rcrd & Dscnnct; Implntble Defibator Systm-",790.5,790.5,,,0 HCPCS,93289,Interrog device eval heart,,,39.99,57.99,3 HCPCS,93289,Pr Interrog Eval F2F 1/Dual/Mlt Leads Impltbl Dfb-Pbb,483.0,483.0,,,0 HCPCS,93290,Icm device eval,,,39.99,57.99,3 HCPCS,93291,"Hc Interro Dev Eval W Anlysis,Incl Connct,Rec&Discnnct Implnt Loop Rec Sy,Hrt Rhyth Derivd D Anlysis",420.5,420.5,,,0 HCPCS,93291,Ilr device interrogate,,,30.99,44.94,3 HCPCS,93291,Pr Interrog Dev Eval Scrms Phys/Qhp In Person-Pbb,305.0,305.0,,,0 HCPCS,93292,Hc Interrogation Device Eval/Connect/Record & Disconnect Per Pat Encounter; Wearable Defibril Sys,343.0,343.0,,,0 HCPCS,93292,Wcd device interrogate,,,39.99,57.99,3 HCPCS,93293,"Hc Transteleph Rthm Strp Pm Eval Sing,Dual,Mult Ld Pm,Rec W/Wo Magnet App W Anal,Rev&Rep,Up 90 Days",314.0,314.0,,,0 HCPCS,93293,"Hc Transteleph Rthm Strp Pm Eval Sing,Dual,Mult Ld Pm,Rec W/Wo Magnet App W Anal,Rev&Rep,Up 90 Days-",417.5,417.5,,,0 HCPCS,93293,Pm phone r-strip device eval,,,39.99,57.99,3 HCPCS,93293,Pr Transtelephonic Rhythm Strip Pacemaker Eval-Pbb,208.0,208.0,,,0 HCPCS,93294,Pr Rem Interrog Pm/Ldls Pm <90 D Phys/Qhp-Pbb,505.0,505.0,,,0 HCPCS,93295,Pr Interrogation Eval Remote Njx-Pbb,133.0,133.0,,,0 HCPCS,95144,Antigen therapy services,,,50.18,72.76,3 HCPCS,95145,Antigen therapy services,,,50.18,72.76,3 HCPCS,95145,Pr Prepj& Antigen Allergen Immunotherapy 1 Insect-Pbb,29.0,29.0,,,0 HCPCS,95146,Antigen therapy services,,,50.18,72.76,3 HCPCS,95146,Pr Prepj& Antigen Allergen Immunotherapy 2 Insect-Pbb,137.0,137.0,,,0 HCPCS,95147,Antigen therapy services,,,77.16,111.88,3 HCPCS,95147,Pr Prepj& Antigen Allergen Immunotherapy 3 Insect-Pbb,138.0,138.0,,,0 HCPCS,95148,Antigen therapy services,,,77.16,111.88,3 HCPCS,95148,Pr Prepj& Antigen Allergen Immunotherapy 4 Insect-Pbb,200.0,200.0,,,0 HCPCS,95149,Antigen therapy services,,,77.16,111.88,3 HCPCS,95149,Pr Prepj& Antigen Allergen Immunotherapy 5 Insect-Pbb,29.0,29.0,,,0 HCPCS,95165,Antigen therapy services,,,50.18,72.76,3 HCPCS,95165,Hc Prof Srvcs For Sup Of Prep & Prov Of Antigens For Allergen Immunother; Sing Or Mult Antigens-Pbb,125.5,125.5,,,0 HCPCS,95165,Pr Prepj& Allergen Immunotherapy 1/Mlt Antigen-Pbb,28.0,28.0,,,0 HCPCS,95170,Antigen therapy services,,,50.18,72.76,3 HCPCS,95180,"Hc Rapid Desensitization Procedure, Each Hour (Eg, Insulin, Penicillin, Equine Serum)",930.0,930.0,,,0 HCPCS,95180,"Hc Rapid Desensitization Procedure, Each Hour (Eg, Insulin, Penicillin, Equine Serum)-Pbb",793.5,793.5,,,0 HCPCS,95180,Pr Rapid Desensitization Procedure Each Hour-Pbb,330.0,330.0,,,0 HCPCS,95180,Rapid desensitization,,,478.72,694.14,3 HCPCS,95199,Allergy immunology services,,,30.99,44.94,3 HCPCS,95249,Cont gluc mntr pt prov eqp,,,63.22,91.66,3 HCPCS,95249,Hc Cont Gluc Mntr Pt Prov Eqp,710.0,710.0,,,0 HCPCS,95249,Hc Cont Gluc Mntr Pt Prov Eqp-Pbb,932.0,932.0,,,0 HCPCS,95249,Pr Cont Gluc Monitoring Patient Provided Equipment-Pbb,444.0,444.0,,,0 HCPCS,95250,Glucose monitoring cont,,,142.67,206.87,3 HCPCS,95250,"Hc Ambl Cont Gluc Mntrng Intrstl Tissue Fluid Via A Subq Sensor Min 72 Hrs; Snsr Plcmnt, Hook-Up",1366.0,1366.0,,,0 HCPCS,95251,Pr Continuous Glucose Monitoring Analysis I&R-Pbb,513.0,513.0,,,0 HCPCS,95700,Eeg cont rec w/vid eeg tech,,,231.39,335.51,3 HCPCS,95700,Hc Eeg Cont Rec W/Vid Eeg Tech,698.0,698.0,,,0 HCPCS,95705,Eeg w/o vid 2-12 hr unmntr,,,231.39,335.51,3 HCPCS,95705,Hc Eeg W/O Vid 2-12 Hr Unmntr,698.0,698.0,,,0 HCPCS,95706,Eeg wo vid 2-12hr intmt mntr,,,231.39,335.51,3 HCPCS,95706,Hc Eeg Wo Vid 2-12Hr Intmt Mntr,698.0,698.0,,,0 HCPCS,95707,Eeg w/o vid 2-12hr cont mntr,,,231.39,335.51,3 HCPCS,95707,Hc Eeg W/O Vid 2-12Hr Cont Mntr,698.0,698.0,,,0 HCPCS,95708,Eeg wo vid ea 12-26hr unmntr,,,399.88,579.83,3 HCPCS,95708,Hc Eeg Wo Vid Ea 12-26Hr Unmntr,1341.0,1341.0,,,0 HCPCS,95709,Eeg w/o vid ea 12-26hr intmt,,,399.88,579.83,3 HCPCS,95709,Hc Eeg W/O Vid Ea 12-26Hr Intmt,1341.0,1341.0,,,0 HCPCS,95710,Eeg w/o vid ea 12-26hr cont,,,399.88,579.83,3 HCPCS,95710,Hc Eeg W/O Vid Ea 12-26Hr Cont,1341.0,1341.0,,,0 HCPCS,95711,Hc Veeg 2-12 Hr Unmonitored,698.0,698.0,,,0 HCPCS,95711,Veeg 2-12 hr unmonitored,,,231.39,335.51,3 HCPCS,95712,Hc Veeg 2-12 Hr Intmt Mntr,698.0,698.0,,,0 HCPCS,95712,Veeg 2-12 hr intmt mntr,,,399.88,579.83,3 HCPCS,95713,Hc Veeg 2-12 Hr Cont Mntr,1341.0,1341.0,,,0 HCPCS,95713,Veeg 2-12 hr cont mntr,,,399.88,579.83,3 HCPCS,95714,Hc Veeg Ea 12-26 Hr Unmntr,1341.0,1341.0,,,0 HCPCS,95714,Veeg ea 12-26 hr unmntr,,,399.88,579.83,3 HCPCS,95715,Hc Veeg Ea 12-26Hr Intmt Mntr,1341.0,1341.0,,,0 HCPCS,95715,Veeg ea 12-26hr intmt mntr,,,399.88,579.83,3 HCPCS,95716,Hc Veeg Ea 12-26Hr Cont Mntr,2507.0,2507.0,,,0 HCPCS,95716,Veeg ea 12-26hr cont mntr,,,920.24,1334.35,3 HCPCS,95782,"Hc Polysomnography; < Than 6 Yrs, Sleep Staging W/ 4 Or More Add Parameters Of Sleep, Att By A Tech",4666.0,4666.0,,,0 HCPCS,95782,Polysom <6 yrs 4/> paramtrs,,,920.24,1334.35,4 HCPCS,95783,Hc Polysom <6 Yrs Cpap/Bilvl,5466.0,5466.0,,,0 HCPCS,95783,Polysom <6 yrs cpap/bilvl,,,920.24,1334.35,4 HCPCS,95800,"Hc Sleep Study, Unattend, Heart Rate, O2 Sat, Resp, Sleep Time",397.0,397.0,,,0 HCPCS,95800,Slp stdy unattended,,,231.39,335.51,3 HCPCS,95801,Slp stdy unatnd w/anal,,,63.22,91.66,3 HCPCS,95803,Actigraphy testing,,,63.22,91.66,3 HCPCS,95803,"Hc Actigraphy Tstng,Recrdng,Analysis,Interpretatn,And Rprt(Min Of 72 Hrs-14 Consec Dys Of Recrdng)",2937.0,2937.0,,,0 HCPCS,95803,"Hc Actigraphy Tstng,Recrdng,Analysis,Interpretatn,And Rprt(Min Of 72 Hrs-14 Consec Dys Of Recrdng)-P",1668.5,1668.5,,,0 HCPCS,95803,Pr Actigraphy Testing Recording Analysis I&R-Pbb,2713.0,2713.0,,,0 HCPCS,95805,"Hc Mult Slp Ltcy Or Main Wake Tst,Rec,Anlys&Intrprtn Physio Msmnt Sleep Mult Trials To Assess Sleep",7163.0,7163.0,,,0 HCPCS,95805,Hc Research Mslt Tech & Scoring,450.0,450.0,,,0 HCPCS,95805,Hc Research Mslt With Physician Interpretation,600.0,600.0,,,0 HCPCS,95805,Multiple sleep latency test,,,760.0,1334.35,4 HCPCS,95806,"Hc Home Sleep Test With Type Iii Portable Monitor, Unattented, Min 4 Channels",583.0,583.0,,,0 HCPCS,95806,"Hc Sleep Study, Unattended, Simultaneous Recording Of, Heart Rate, O2 Sat, Respairflow, & Respeffort",758.0,758.0,,,0 HCPCS,95806,Pr Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt-Pbb,823.0,823.0,,,0 HCPCS,95806,Sleep study unatt&resp efft,,,231.39,335.51,3 HCPCS,95807,"Hc Sleep Study, Simult Record Vent, Resp Effort, Ecg Or Heart Rate",497.0,497.0,,,0 HCPCS,95807,Sleep study attended,,,399.88,1055.08,4 HCPCS,95808,"Hc Polysomnography; Sleep Staging W/ 1-3 Add Parameters Of Sleep, Attended By A Technologist",6565.0,6565.0,,,0 HCPCS,95808,Polysom any age 1-3> param,,,920.24,1334.35,3 HCPCS,95810,"Hc Polysomnography; Sleep Staging W/ 4 Or More Add Parameters Of Sleep, Attended By A Technologist",7842.0,7842.0,,,0 HCPCS,95810,"Hc Research Polysom; Sleep Stage W/ 4 Or More Parameters, Tech Attend",388.0,388.0,,,0 HCPCS,95810,Hc Research Polysomnography Tech & Scoring,450.0,450.0,,,0 HCPCS,95810,Hc Research Polysomnography Tech Only,400.0,400.0,,,0 HCPCS,95810,Hc Research Polysomnography With Physician Interpretation,600.0,600.0,,,0 HCPCS,95810,Polysom 6/> yrs 4/> param,,,920.24,1334.35,4 HCPCS,95811,"Hc Plysongrphy; Slp Stg W 4 Or > Add Par Sleep,W Initiation Of Cpap Ther Or Bilvl Vent, Att By Tech",8291.0,8291.0,,,0 HCPCS,95811,Hc Research Cpap Titration Tech & Scoring,500.0,500.0,,,0 HCPCS,95811,Hc Research Cpap Titration Tech Only,450.0,450.0,,,0 HCPCS,95811,Hc Research Cpap Titration With Physician Interpretation,650.0,650.0,,,0 HCPCS,95811,Hc Research Cpap Treatment Night Tech Only,450.0,450.0,,,0 HCPCS,95811,Hc Research Cpap Treatment Night With Physician Interpretation,650.0,650.0,,,0 HCPCS,95811,Hc Research Polysomnogram,1216.0,1216.0,,,0 HCPCS,95811,Hc Research Split Night Study Tech & Scoring,500.0,500.0,,,0 HCPCS,95811,Hc Research Split Night Study Tech Only,450.0,450.0,,,0 HCPCS,95811,Hc Research Split Night Study With Physician Interpretation,650.0,650.0,,,0 HCPCS,95811,Polysom 6/>yrs cpap 4/> parm,,,920.24,1334.35,4 HCPCS,95812,Eeg 41-60 minutes,,,231.39,337.66,4 HCPCS,95812,Hc Eeg Extended Monitoring; 41-60 Minutes,3100.0,3100.0,,,0 HCPCS,95813,Eeg over 1 hour,,,231.39,335.51,3 HCPCS,95813,Hc Eeg Extended Monitoring 61-119 Minutes,4483.0,4483.0,,,0 HCPCS,95813,Hc Extended Eeg 2-3 Hours,4483.0,4483.0,,,0 HCPCS,95813,Hc Extended Eeg 4-5 Hours,4483.0,4483.0,,,0 HCPCS,95813,Hc Extended Eeg 6-8 Hours,4483.0,4483.0,,,0 HCPCS,95816,Eeg awake and drowsy,,,231.39,335.51,4 HCPCS,95816,Hc Electroencephalogram (Eeg); Including Recording Awake And Drowsy,2105.0,2105.0,,,0 HCPCS,95819,Eeg awake and asleep,,,231.39,335.51,4 HCPCS,95819,Hc Electroencephalogram (Eeg); Including Recording Awake And Asleep,2046.0,2046.0,,,0 HCPCS,95822,Eeg coma or sleep only,,,231.39,335.51,3 HCPCS,95822,Hc Electroencephalogram (Eeg); Recording In Coma Or Sleep Only,1649.0,1649.0,,,0 HCPCS,95824,Eeg cerebral death only,,,399.88,579.83,3 HCPCS,95824,Hc Electroencephalogram (Eeg); Cerebral Death Evaluation Only,509.0,509.0,,,0 HCPCS,95829,Hc Electrocorticogram At Surgery (Separate Procedure),3479.0,3479.0,,,0 HCPCS,95831,Limb muscle testing manual,,,85.14,85.14,1 HCPCS,95832,Hand muscle testing manual,,,79.27,79.27,1 HCPCS,95833,Body muscle testing manual,,,126.24,126.24,1 HCPCS,95834,Body muscle testing manual,,,179.09,179.09,1 HCPCS,95836,Ecog impltd brn npgt <=30 d,,,39.99,57.99,3 HCPCS,95836,Hc Ecog Impltd Brn Npgt <30 D-Pbb,945.0,945.0,,,0 HCPCS,95836,Pr Ecog Implanted Brain Npgt W/Rec I&R <30 Days-Pbb,1012.0,1012.0,,,0 HCPCS,95851,Range of motion measurements,,,7.16,58.72,4 HCPCS,95852,Range of motion measurements,,,5.27,41.1,4 HCPCS,95857,Cholinesterase challenge,,,149.73,335.51,4 HCPCS,95858,Tensilon test & myogram,,,372.86,372.86,1 HCPCS,95860,Hc Needle Electromyography; 1 Extremity With Or Without Related Paraspinal Areas,996.0,996.0,,,0 HCPCS,95860,Muscle test one limb,,,142.58,206.74,4 HCPCS,95861,Hc Needle Electromyography; 2 Extremities With Or Without Related Paraspinal Areas,1222.0,1222.0,,,0 HCPCS,95861,Muscle test 2 limbs,,,142.58,240.96,4 HCPCS,95863,Hc Needle Electromyography; 3 Extremities With Or Without Related Paraspinal Areas,1282.0,1282.0,,,0 HCPCS,95863,Muscle test 3 limbs,,,137.89,199.94,3 HCPCS,95864,Hc Needle Electromyography; 4 Extremities With Or Without Related Paraspinal Areas,1466.0,1466.0,,,0 HCPCS,95864,Muscle test 4 limbs,,,137.89,323.59,4 HCPCS,95865,Hc Needle Electromyography; Larynx,513.0,513.0,,,0 HCPCS,95865,Muscle test larynx,,,142.58,206.74,3 HCPCS,95866,Muscle test hemidiaphragm,,,137.89,199.94,3 HCPCS,95867,"Hc Needle Electromyography; Cranial Nerve Supplied Muscle(S), Unilateral",964.0,964.0,,,0 HCPCS,95867,"Hc Needle Electromyography; Cranial Nerve Supplied Muscle(S), Unilateral-Pbb",1523.0,1523.0,,,0 HCPCS,95867,Muscle test cran nerv unilat,,,231.39,335.51,3 HCPCS,95867,Pr Needle Electromyography Cranial Nrv Muscle Uni-Pbb,1118.0,1118.0,,,0 HCPCS,95868,"Hc Needle Electromyography; Cranial Nerve Supplied Muscles, Bilateral",1084.0,1084.0,,,0 HCPCS,95868,"Hc Needle Electromyography; Cranial Nerve Supplied Muscles, Bilateral-Pbb",1916.0,1916.0,,,0 HCPCS,95868,Muscle test cran nerve bilat,,,231.39,335.51,3 HCPCS,95868,Pr Needle Electromyography Cranial Nrv Muscle Bi-Pbb,1664.0,1664.0,,,0 HCPCS,95869,Hc Needle Electromyography; Thoracic Paraspinal Muscles (Excluding T1 Or T12),581.0,581.0,,,0 HCPCS,95869,Muscle test thor paraspinal,,,156.78,335.51,4 HCPCS,95870,"Hc Ndl Emg;Lt Msl In 1 Ex Or No-Lmb (Axl) Msl Uni Or Bil,Oth Tho Prspnl, Cra Nv Sup Msls, Or Spntrs",614.0,614.0,,,0 HCPCS,95870,Muscle test nonparaspinal,,,142.58,206.74,3 HCPCS,95872,"Hc Ndl Emg Sngl Fbr Electrd, W/ Qntatve Meas Jitter, Blcking &/Or Fbr Den, Sts Of Ea Muscle Studied",1224.0,1224.0,,,0 HCPCS,95872,Muscle test one fiber,,,231.39,335.51,3 HCPCS,95873,Hc Electrical Stimulation Guid W/Chemodenervation-Pbb,430.0,430.0,,,0 HCPCS,95873,Pr Electrical Stimulation Guid W/Chemodenervation-Pbb,604.0,604.0,,,0 HCPCS,95874,Hc Needle Electromyography For Guid In Conjun W/Chemodenervat(List Sep In Add To Code For Prim Px),1114.0,1114.0,,,0 HCPCS,95874,Hc Needle Electromyography For Guid In Conjun W/Chemodenervat(List Sep In Add To Code For Prim Px)-P,688.5,688.5,,,0 HCPCS,95874,Pr Needle Emg Guid W/Chemodenervation-Pbb,665.0,665.0,,,0 HCPCS,95875,Limb exercise test,,,137.89,199.94,3 HCPCS,95885,"Hc Needle Electromyography,Ea Ext,W Rel Paraspinal Area,W Nerve Cond,Amp&Latency/Velocity Study;Lmtd",650.0,650.0,,,0 HCPCS,95886,"Hc Needle Emg,Ea Ext,Rel Paraspnl,W Nrv Cond,Amp&Latency/Velocity Stdy; Complete,5 Or More Muscles",732.0,732.0,,,0 HCPCS,95887,"Hc Ndle Electrmygrphy, Non-Extrmty Muscle(S) Done W/ Nerve Cndctn, Amplitude & Latency/Velocity Stdy",446.0,446.0,,,0 HCPCS,95900,Motor nerve conduction test,,,155.6,155.6,1 HCPCS,95903,Motor nerve conduction test,,,176.15,176.15,1 HCPCS,95904,Sense/mixed n conduction tst,,,135.05,135.05,1 HCPCS,95905,Motor &/ sens nrve cndj test,,,478.72,694.14,3 HCPCS,95907,Hc Nerve Conduction Studies; 1-2 Studies,2358.0,2358.0,,,0 HCPCS,95907,Hc Nerve Conduction Studies; 1-2 Studies-Pbb,3105.0,3105.0,,,0 HCPCS,95907,Nvr cndj tst 1-2 studies,,,231.39,335.51,3 HCPCS,95907,Pr Nerve Conduction Studies 1-2 Studies-Pbb,1494.0,1494.0,,,0 HCPCS,95908,Hc Nerve Conduction Studies; 3-4 Studies,2848.0,2848.0,,,0 HCPCS,95908,Nrv cndj tst 3-4 studies,,,231.39,335.51,3 HCPCS,95909,Hc Nerve Conduction Studies; 5-6 Studies,3423.0,3423.0,,,0 HCPCS,95909,Nrv cndj tst 5-6 studies,,,231.39,335.51,3 HCPCS,95910,Hc Nerve Conduction Studies; 7-8 Studies,4416.0,4416.0,,,0 HCPCS,95910,Nrv cndj test 7-8 studies,,,399.88,579.83,3 HCPCS,95911,Hc Nerve Conduction Studies; 9-10 Studies,5127.0,5127.0,,,0 HCPCS,95911,Nrv cndj test 9-10 studies,,,399.88,579.83,3 HCPCS,95912,Hc Nerve Conduction Studies; 11-12 Studies,5796.0,5796.0,,,0 HCPCS,95912,Nrv cndj test 11-12 studies,,,399.88,579.83,3 HCPCS,95913,Hc Nerve Conduction Studies; 13 Or More Studies,6490.0,6490.0,,,0 HCPCS,95913,Nrv cndj test 13/> studies,,,399.88,579.83,3 HCPCS,95919,Quan puplmtry phy/qhp uni/bi,,,142.58,206.74,3 HCPCS,95921,Autonomic nrv parasym inervj,,,137.89,199.94,3 HCPCS,95921,"Hc Ans Cardiovagal Innervation, 2 Or More Interval/Ratio",556.0,556.0,,,0 HCPCS,95922,Autonomic nrv adrenrg inervj,,,142.58,206.74,3 HCPCS,95922,"Hc Tstng Ans Func; Vasmtr Adrenergic Innervtn, Incl Beat-To-Beat Bld Prssre & R-R Intrvl Chngs",231.0,231.0,,,0 HCPCS,95923,Autonomic nrv syst funj test,,,142.58,206.74,3 HCPCS,95923,"Hc Tstng Ans Func; Sudomtr: Qsart, Silstc Swt Imprnt, Thrmoreg Swt Tst,Chngs Sympthtc Skn Potntl",1444.0,1444.0,,,0 HCPCS,95924,Ans parasymp & symp w/tilt,,,231.39,335.51,3 HCPCS,95925,"Hc Shrt-Lat Somatosens Evkd Pot Stdy,Stim Any/All Periph Nrv/Skin Site,Rec Cent Nrv Sys;In Low Limbs",1538.0,1538.0,,,0 HCPCS,95925,Somatosensory testing,,,173.22,335.51,4 HCPCS,95926,"Hc Shrt-Lat Somatosens Evkd Pot Stdy,Stim Any/All Periph Nrv/Skin Site,Rec Cent Nrv Sys;In Up Limbs",2278.0,2278.0,,,0 HCPCS,95926,Somatosensory testing,,,231.39,335.51,4 HCPCS,95927,"Hc Shrt-Latency Somatosens Evokd Sty,Stim Any/All Periph Nervs/Skin, Recg Fr Cent Nrv Sys;Trunk/Head",1358.0,1358.0,,,0 HCPCS,95927,Somatosensory testing,,,231.39,335.51,4 HCPCS,95928,C motor evoked uppr limbs,,,920.24,1334.35,3 HCPCS,95928,Hc Central Motor Evoked Potential Study (Transcranial Motor Stimulation); Upper Limbs,1685.0,1685.0,,,0 HCPCS,95929,C motor evoked lwr limbs,,,399.88,579.83,3 HCPCS,95929,Hc Central Motor Evoked Potential Study (Transcranial Motor Stimulation); Lower Limbs,1644.0,1644.0,,,0 HCPCS,95930,"Hc Visual Evoked Potential (Vep) Testing Central Nervous System, Checkerboard Or Flash",1920.0,1920.0,,,0 HCPCS,95930,Visual evoked potential test,,,137.99,335.51,4 HCPCS,95933,Blink reflex test,,,63.22,91.66,3 HCPCS,95933,"Hc Orbicularis Oculi (Blink) Reflex, By Electrodiagnostic Testing",507.0,507.0,,,0 HCPCS,95934,H-reflex test,,,155.6,155.6,1 HCPCS,95936,H-reflex test,,,161.47,161.47,1 HCPCS,95937,"Hc Neuromuscular Junction Testing (Repetitive Stimulation, Paired Stimuli), Each Nerve, Any 1 Method",1231.0,1231.0,,,0 HCPCS,95937,Neuromuscular junction test,,,137.89,211.38,4 HCPCS,95938,"Hc Shrt-Lat Smtsnsry Ev Pot Sty, Stm Any/All Prphrl Nrv Or Skn Sts, Rec Cntl Nrv Sys; In Up&Low Lmbs",3768.0,3768.0,,,0 HCPCS,95938,Somatosensory testing,,,920.24,1334.35,3 HCPCS,95939,C motor evoked upr&lwr limbs,,,920.24,1334.35,3 HCPCS,95939,"Hc Shrtltncy Smtsnsry Evkd Ptntl Stdy, Stmltn All Prph Nrvs/Skn Sites, Rcrdng Frm Cns;Uppr/Lwr Limbs",4066.0,4066.0,,,0 HCPCS,95940,"Hc Cnt Intop Neuphys Mntr Op Rm, 1On1 Mntr Req Psnl Att,Ea 15 Min(List Sep In Add To Cde For Pri Px)",345.0,345.0,,,0 HCPCS,95941,"Hc Cont Intraop Nrphys Mon,Fr Outsd Op Rm/Mon>1 Cse In Op Rm,Per Hr (List Sep In Add Code Prim Proc)",1383.0,1383.0,,,0 HCPCS,95950,Ambulatory eeg monitoring,,,551.98,551.98,1 HCPCS,95954,EEG monitoring/giving drugs,,,399.88,579.83,3 HCPCS,95954,"Hc Pharm Or Phys Actvtn Req Phys Attndnc Durng Eeg Recrdng Of Actvtn Phs(Eg, Thiopental Actvtn Tst)",1272.0,1272.0,,,0 HCPCS,95955,"Hc Electroencephalogram (Eeg) During Nonintracranial Surgery (Eg, Carotid Surgery)",2349.0,2349.0,,,0 HCPCS,95957,"Hc Digital Analysis Of Electroencephalogram (Eeg) (Eg, For Epileptic Spike Analysis)",783.0,783.0,,,0 HCPCS,95958,EEG monitoring/function test,,,920.24,1334.35,3 HCPCS,95958,"Hc Wada Activation Test For Hemispheric Function, Including Electroencephalographic (Eeg) Monitoring",3527.0,3527.0,,,0 HCPCS,95958,Pr Wada Activation Test Hemispheric Function W/Eeg-Pbb,776.0,776.0,,,0 HCPCS,95961,Electrode stimulation brain,,,920.24,1334.35,3 HCPCS,95961,Hc Electrode Stimulation Brain; Initital Hour Of Attendance,1715.0,1715.0,,,0 HCPCS,95962,Hc Electrode Stimulation Brain; Each Additional Hour Of Attendance By A Physician,1100.0,1100.0,,,0 HCPCS,95965,Meg spontaneous,,,920.24,1334.35,3 HCPCS,95966,Meg evoked single,,,920.24,1334.35,3 HCPCS,95970,Analyze neurostim no prog,,,142.58,206.74,3 HCPCS,95970,"Hc Elctrnc Anyls Implnt Neurstm Puls Gen Sys; Smpl Or Cmplx Brain, Spinal Cord, Or Periph, Wo Reprog",2945.5,2945.5,,,0 HCPCS,95970,Pr Elec Alys Implt Npgt Phys/Qhp W/O Programming-Pbb,1201.0,1201.0,,,0 HCPCS,95971,Analyze neurostim simple,,,101.88,147.73,3 HCPCS,95971,"Hc Elec Anal Implant Nrstm Puls Gen;Simp Spnl Cord,Or Periph Nrstm Puls Gen/Trans,W Intraop/Sub Prog",3716.0,3716.0,,,0 HCPCS,95971,Pr Elec Alys Implt Npgt Smpl Sp/Pn Npgt Prgrmg-Pbb,1552.0,1552.0,,,0 HCPCS,95972,Analyze neurostim complex,,,101.88,147.73,3 HCPCS,95972,"Hc Elect Nalsis Impt Nurstm Plse Gen;Cplx Spnl Crd,Or Prph Nurstmltr Plse Gnr/Trn,W Prgrm Up To 1 Hr",5708.0,5708.0,,,0 HCPCS,95972,Pr Elec Alys Implt Npgt Cplx Sp/Pn Prgrmg-Pbb,2719.0,2719.0,,,0 HCPCS,95976,Alys smpl cn npgt prgrmg,,,39.99,57.99,3 HCPCS,95976,Hc Alys Smpl Cn Npgt Prgrmg,876.0,876.0,,,0 HCPCS,95976,Hc Alys Smpl Cn Npgt Prgrmg-Pbb,3398.5,3398.5,,,0 HCPCS,95976,Pr Elec Alys Implt Smpl Cn Npgt Prgrmg-Pbb,5046.0,5046.0,,,0 HCPCS,95977,Alys cplx cn npgt prgrmg,,,101.88,147.73,3 HCPCS,95977,Hc Alys Cplx Cn Npgt Prgrmg,1154.0,1154.0,,,0 HCPCS,95977,Hc Alys Cplx Cn Npgt Prgrmg-Pbb,3816.0,3816.0,,,0 HCPCS,95977,Pr Elec Alys Implt Cplx Cn Npgt Prgrmg-Pbb,5324.0,5324.0,,,0 HCPCS,95981,Io anal gast n-stim subsq,,,63.22,91.66,3 HCPCS,95982,Io ga n-stim subsq w/reprog,,,39.99,57.99,3 HCPCS,95983,Alys brn npgt prgrmg 15 min,,,101.88,147.73,3 HCPCS,95983,Hc Alys Brn Npgt Prgrmg 15 Min,439.0,439.0,,,0 HCPCS,95983,Hc Alys Brn Npgt Prgrmg 15 Min-Pbb,806.0,806.0,,,0 HCPCS,95983,Pr Elec Alys Implt Brn Npgt Prgrmg 1St 15 Min-Pbb,734.0,734.0,,,0 HCPCS,95984,Hc Alys Brn Npgt Prgrmg Addl 15 Mins,425.0,425.0,,,0 HCPCS,95984,Hc Alys Brn Npgt Prgrmg Addl 15 Mins-Pbb,772.5,772.5,,,0 HCPCS,95984,Pr Elec Alys Implt Brn Npgt Prgrmg Ea Addl 15 Min-Pbb,695.0,695.0,,,0 HCPCS,95990,"Hc Refill And Maintenance Of Implant Pumo For Drug Delivery, Spinal",641.0,641.0,,,0 HCPCS,95990,Spin/brain pump refil & main,,,353.96,3399.0,4 HCPCS,95991,Hc Spin/Brain Pump Refil & Main,735.0,735.0,,,0 HCPCS,95991,Spin/brain pump refil & main,,,328.94,3399.0,4 HCPCS,95992,Canalith repositioning proc,,,30.03,43.54,3 HCPCS,95992,"Hc Canalith Repositioning Procedure(S), Per Day",320.0,320.0,,,0 HCPCS,95992,"Hc Canalith Repositioning Procedure(S), Per Day-Pbb",635.0,635.0,,,0 HCPCS,95992,Pr Canalith Repositioning Procedure-Pbb,629.0,629.0,,,0 HCPCS,95999,Neurological procedure,,,137.89,199.94,3 HCPCS,96000,Motion analysis video/3d,,,399.88,579.83,3 HCPCS,96001,Motion test w/ft press meas,,,920.24,1334.35,3 HCPCS,96002,Dynamic surface emg,,,231.39,335.51,3 HCPCS,96020,"Hc Nrncl Tstng Slct & Admn Durng Nonnvsve Imgng Funcal Brn Mppng, Admnstrd By A Phys/Psychlgist",652.0,652.0,,,0 HCPCS,96040,"Hc Med Genetics And Genetic Counseling Srvcs, Each 30 Min Face2Face W/ Pat/Family",452.0,452.0,,,0 HCPCS,96041,Hc Genetic Counseling Svc Ea 30,452.0,452.0,,,0 HCPCS,96105,Assessment of aphasia,,,94.91,137.62,3 HCPCS,96105,"Hc Assessment Of Aphasia, With Interpretation And Report, Per Hour",475.0,475.0,,,0 HCPCS,96110,"Hc Developmental Screening, With Interpretation And Report, Per Standardized Instrument Form-Pbb",577.5,577.5,,,0 HCPCS,96110,Pr Developmental Screen W/Scoring & Doc Std Instrm,68.0,68.0,,,0 HCPCS,96110,Pr Developmental Screen W/Scoring & Doc Std Instrm-Pbb,217.0,217.0,,,0 HCPCS,96112,Devel tst phys/qhp 1st hr,,,137.89,199.94,3 HCPCS,96112,Hc Devel Tst Phys/Qhp 1St Hr-Pbb,678.5,678.5,,,0 HCPCS,96112,Pr Developmental Tst Admin Phys/Qhp 1St Hour-Pbb,504.0,504.0,,,0 HCPCS,96113,Hc Devel Tst Phys/Qhp Ea Addl 30 Mins-Pbb,307.0,307.0,,,0 HCPCS,96113,Pr Developmental Tst Admin Phys/Qhp Ea Addl 30 Min-Pbb,228.0,228.0,,,0 HCPCS,96116,"Hc Neurobehav Stat Exm,Pr Hr Of The Psych Or Phys's Time,Bth Face Time W/The Pat And Time Interprng",948.0,948.0,,,0 HCPCS,96116,"Hc Neurobehav Stat Exm,Pr Hr Of The Psych Or Phys's Time,Bth Face Time W/The Pat And Time Interprng-",1162.0,1162.0,,,0 HCPCS,96116,Neurobehavioral status exam,,,231.39,335.51,3 HCPCS,96116,Pr Neurobehavioral Status Xm Phys/Qhp 1St Hour-Pbb,428.0,428.0,,,0 HCPCS,96121,Hc Nubhvl Xm Phy/Qhp Ea Addl Hr-Pbb,1070.0,1070.0,,,0 HCPCS,96121,Pr Neurobehavioral Status Xm Phys/Qhp Ea Addl Hour-Pbb,394.0,394.0,,,0 HCPCS,96125,Cognitive test by hc pro,,,100.65,145.94,3 HCPCS,96125,Hc Cognitive Test By Hc Pro,452.0,452.0,,,0 HCPCS,96127,Brief emotional/behav assmt,,,40.03,58.04,3 HCPCS,96127,"Hc Brf, Emo/Beh Asst (Eg, Dprssn Inv,Adhd Scale), W Scoring & Documentation, Per Std Instrumnt-Pbb",395.5,395.5,,,0 HCPCS,96127,Pr Behav Assmt W/Score & Docd/Stand Instrument-Pbb,56.0,56.0,,,0 HCPCS,96127,"Pr Behav Assmt W/Score & Docd/Stand Instrument-Pbb,Pro",56.0,56.0,,,0 HCPCS,96130,Hc Psycl Tst Eval Phys/Qhp 1St Hour-Pbb,792.5,792.5,,,0 HCPCS,96130,Pr Psychological Tst Eval Svc Phys/Qhp First Hour-Pbb,588.0,588.0,,,0 HCPCS,96130,Psycl tst eval phys/qhp 1st,,,231.39,335.51,3 HCPCS,96131,Hc Psycl Tst Eval Phys/Qhp Ea Addtl Hour-Pbb,605.0,605.0,,,0 HCPCS,96131,Pr Psychological Tst Eval Svc Phys/Qhp Ea Addl Hour-Pbb,449.0,449.0,,,0 HCPCS,96132,Hc Nrpsyc Tst Eval Phys/Qhp 1St Hour-Pbb,792.5,792.5,,,0 HCPCS,96132,Nrpsyc tst eval phys/qhp 1st,,,399.88,579.83,3 HCPCS,96132,Pr Neuropsychological Tst Eval Phys/Qhp 1St Hour-Pbb,588.0,588.0,,,0 HCPCS,96133,Hc Nrpsyc Tst Eval Phys/Qhp Ea Addtl Hour-Pbb,605.0,605.0,,,0 HCPCS,96133,Pr Neuropsychological Tst Eval Phys/Qhp Ea Addl Hr-Pbb,449.0,449.0,,,0 HCPCS,96136,Hc Psycl/Nrpsyc Tst Phy/Qhp 1St 30 Mins-Pbb,75.5,75.5,,,0 HCPCS,96136,Pr Psyl/Nrpsycl Tst Phys/Qhp 2+ Tst 1St 30 Min-Pbb,23.0,23.0,,,0 HCPCS,96136,Psycl/nrpsyc tst phy/qhp 1st,,,142.58,206.74,3 HCPCS,96137,Hc Psycl/Nrpsyc Tst Phy/Qhp Ea Addtl 30 Mins-Pbb,59.5,59.5,,,0 HCPCS,96137,Pr Psycl/Nrpsycl Tst Phys/Qhp 2+ Tst Ea Addl 30 Min-Pbb,15.0,15.0,,,0 HCPCS,96138,Hc Psycl/Nrpsyc Tech 1St 30 Mins,877.0,877.0,,,0 HCPCS,96138,Hc Psycl/Nrpsyc Tech 1St 30 Mins-Pbb,978.5,978.5,,,0 HCPCS,96138,Pr Psycl/Nrpsycl Tst Tech 2+ Tst 1St 30 Min-Pbb,318.0,318.0,,,0 HCPCS,96138,Psycl/nrpsyc tech 1st,,,478.72,694.14,3 HCPCS,96139,Hc Psycl/Nrpsyc Tst Tech Ea Additional 30 Min,210.0,210.0,,,0 HCPCS,96139,Hc Psycl/Nrpsyc Tst Tech Ea Additional 30 Min-Pbb,355.5,355.5,,,0 HCPCS,96139,Pr Psycl/Nrpsycl Tst Tech 2+ Tst Ea Addl 30 Min-Pbb,318.0,318.0,,,0 HCPCS,96146,Hc Psycl/Nrpsyc Tst Auto Result-Pbb,75.5,75.5,,,0 HCPCS,96146,Pr Psycl/Nrpsycl Tst Elec Platform Auto Result-Pbb,23.0,23.0,,,0 HCPCS,96146,Psycl/nrpsyc tst auto result,,,30.99,44.94,3 HCPCS,96156,Hc Hlth Bhv Assmt/Reassessment-Pbb,470.5,470.5,,,0 HCPCS,96156,Hlth bhv assmt/reassessment,,,108.87,157.85,3 HCPCS,96156,Pr Health Behavior Assessment/Re-Assessment-Pbb,628.0,628.0,,,0 HCPCS,96158,Hc Hlth Bhv Ivntj Indiv 1St 30-Pbb,413.5,413.5,,,0 HCPCS,96158,Hlth bhv ivntj indiv 1st 30,,,190.21,275.8,3 HCPCS,96158,Pr Health Behavior Ivntj Indiv F2F 1St 30 Min-Pbb,426.0,426.0,,,0 HCPCS,96159,Hc Hlth Bhv Ivntj Indiv Ea Addl-Pbb,172.5,172.5,,,0 HCPCS,96159,Pr Health Behavior Ivntj Indiv F2F Ea Addl 15 Min-Pbb,147.0,147.0,,,0 HCPCS,96160,"Hc Focused Health Risk Assessment With Scoring, Per Instrument",255.0,255.0,,,0 HCPCS,96160,"Hc Focused Health Risk Assessment With Scoring, Per Instrument-Pbb",172.5,172.5,,,0 HCPCS,96160,Pr Pt-Focused Hlth Risk Assmt Score Doc Stnd Instrm-Pbb,180.0,180.0,,,0 HCPCS,96160,Pt-focused hlth risk assmt,,,40.15,58.22,3 HCPCS,96161,Caregiver health risk assmt,,,40.15,58.22,3 HCPCS,96161,"Hc Caregiver Health Risk Assessment, Per Instrument",54.0,54.0,,,0 HCPCS,96161,"Hc Caregiver Health Risk Assessment, Per Instrument-Pbb",45.5,45.5,,,0 HCPCS,96161,Pr Caregiver Hlth Risk Assmt Score Doc Stnd Instrm-Pbb,13.0,13.0,,,0 HCPCS,96164,Hc Hlth Bhv Ivntj Grp 1St 30-Pbb,80.0,80.0,,,0 HCPCS,96164,Hlth bhv ivntj grp 1st 30,,,40.15,58.22,3 HCPCS,96164,Pr Health Behavior Ivntj Group F2F 1St 30 Min-Pbb,63.0,63.0,,,0 HCPCS,96165,Hc Hlth Bhv Ivntj Grp Ea Addl-Pbb,62.5,62.5,,,0 HCPCS,96165,Pr Health Behavior Ivntj Group F2F Ea Addl 15 Min-Pbb,27.0,27.0,,,0 HCPCS,96167,Hc Hlth Bhv Ivntj Fam 1St 30-Pbb,459.0,459.0,,,0 HCPCS,96167,Hlth bhv ivntj fam 1st 30,,,40.15,58.22,3 HCPCS,96167,Pr Health Behavior Ivntj Fam W/Pt F2F 1St 30 Min-Pbb,456.0,456.0,,,0 HCPCS,96168,Hc Hlth Bhv Ivntj Fam Ea Addl-Pbb,196.5,196.5,,,0 HCPCS,96168,Pr Health Behavior Ivntj Fam W/Pt F2F Ea Add 15 Min-Pbb,161.0,161.0,,,0 HCPCS,96170,Hc Hlth Bhv Ivntj Fam Wo Pt 1St-Pbb,520.0,520.0,,,0 HCPCS,96170,Pr Health Behavior Ivntj Fam W/O Pt F2F 1St 30 Min-Pbb,555.0,555.0,,,0 HCPCS,96171,Hc Hlth Bhv Ivntj Fam W/O Pt Ea-Pbb,224.5,224.5,,,0 HCPCS,96171,Pr Health Behavior Ivntj Fam W/O Pt F2F Ea Addl 15-Pbb,206.0,206.0,,,0 HCPCS,96202,Mlt fam grp bhv train 1st 60,,,17.8,25.81,3 HCPCS,96203,Mlt fam grp bhv train ea add,,,5.31,7.7,3 HCPCS,96360,"Hc Intravenous Infusion, Hydration; Initial, 31 Minutes To 1 Hour",1055.0,1055.0,,,0 HCPCS,96360,Hydration iv infusion init,,,158.54,330.51,4 HCPCS,96361,"Hc Intravenous Infusion, Hydration; Each Additional Hour",497.0,497.0,,,0 HCPCS,96361,Hydrate iv infusion add-on,,,50.18,72.76,3 HCPCS,96365,"Hc Iv Infusion,Therapy, Prophylaxis, Or Dx; Initial, Up To 1 Hour",1579.0,1579.0,,,0 HCPCS,96365,Ther/proph/diag iv inf init,,,158.54,330.51,4 HCPCS,96366,"Hc Iv Infusion, Therapy, Prophylaxis, Or Diagnosis; Each Additional Hour",665.0,665.0,,,0 HCPCS,96366,Ther/proph/diag iv inf addon,,,50.18,72.76,3 HCPCS,96367,"Hc Iv Inf,Ther, Prophylaxis, Or Dx; Add Seq Inf Of A New Drug/Substance, Up To 1 Hr",693.0,693.0,,,0 HCPCS,96367,Tx/proph/dg addl seq iv inf,,,77.16,111.88,3 HCPCS,96368,"Hc Ivinfusion, Therapy, Prophylaxis, Or Dx (Specify Substance Or Drug); Concurrent Infusion",387.0,387.0,,,0 HCPCS,96369,"Hc Sq Inf Ther Or Prophylaxis; Ini, Up To 1 Hr, Incl Pump Set-Up And Establish Of Sq Inf Site(S)",536.0,536.0,,,0 HCPCS,96369,Sc ther infusion up to 1 hr,,,227.94,330.51,3 HCPCS,96370,Hc Subcu Inf For Ther Or Prophylaxis (Specify Substance Or Drug); Each Add Hr,140.0,140.0,,,0 HCPCS,96370,Sc ther infusion addl hr,,,50.18,72.76,3 HCPCS,96371,Sc ther infusion reset pump,,,77.16,111.88,3 HCPCS,96372,Hc Botox Injection Per Unit Cash-Csm,15.0,15.0,,,0 HCPCS,96372,"Hc Botox Injection Per Unit Cash-Csm,Pbb",15.0,15.0,,,0 HCPCS,96372,Hc Cosmetic Facility Visit Cash,50.0,50.0,,,0 HCPCS,96372,"Hc Cosmetic Facility Visit Cash-Csm,Pbb",50.0,50.0,,,0 HCPCS,96372,Hc Radiesse Filler Per Syringe Cash,800.0,800.0,,,0 HCPCS,96372,"Hc Radiesse Filler Per Syringe Cash-Csm,Pbb",800.0,800.0,,,0 HCPCS,96372,"Hc Restylane Injection Per Syringe Cash-Csm,Pbb",700.0,700.0,,,0 HCPCS,96372,Hc Sculptra Injection Polylactic Acid Per Vial Cash,1000.0,1000.0,,,0 HCPCS,96372,"Hc Sculptra Injection Polylactic Acid Per Vial Cash-Csm,Pbb",1000.0,1000.0,,,0 HCPCS,96372,Hc Subcutaneous Resident Injection Program,82.0,82.0,,,0 HCPCS,96372,"Hc Therapeutic, Prophylactic, Or Dx Inj; Sq Or Im",373.0,373.0,,,0 HCPCS,96372,"Hc Therapeutic, Prophylactic, Or Dx Inj; Sq Or Im-Pbb",364.0,364.0,,,0 HCPCS,96372,Hc Travel Immunoglobulin Adminstration,32.0,32.0,,,0 HCPCS,96372,Noncdm Charge Record,700.0,700.0,,,0 HCPCS,96372,Pr Therapeutic Prophylactic/Dx Injection Subq/Im-Pbb,185.0,185.0,,,0 HCPCS,96372,Ther/proph/diag inj sc/im,,,14.68,111.88,4 HCPCS,96373,"Hc Therapeutic, Prophylactic, Or Diagnostic Injection (Specify Substance Or Drug); Intra-Arterial",408.0,408.0,,,0 HCPCS,96373,Ther/proph/diag inj ia,,,227.94,330.51,3 HCPCS,96374,"Hc Therapeutic, Prophylactic, Or Dx Inj; Iv Push, Single Or Initial Substance/Drug",536.0,536.0,,,0 HCPCS,96374,Ther/proph/diag inj iv push,,,67.53,330.51,4 HCPCS,96375,"Hc Therapeutic, Prophylactic, Or Dx Inj; Each Additional Sequential Iv Push Of A New Substance/Drug",413.0,413.0,,,0 HCPCS,96375,Tx/pro/dx inj new drug addon,,,50.18,72.76,3 HCPCS,96376,"Hc Thrptc, Prphlctc, Or Dx Inj; Each Add Seq Iv Push Of The Same Substance/Drug Prov In A Facility",387.0,387.0,,,0 HCPCS,96377,Applicaton on-body injector,,,50.18,72.76,3 HCPCS,96377,Hc Applicaton On-Body Injector,117.0,117.0,,,0 HCPCS,96379,"Hc Unlisted Thrptc, Prphlctc, Or Diag Intravenous Or Intra-Arterial Inj Or Inf",2155.0,2155.0,,,0 HCPCS,96379,Ther/prop/diag inj/inf proc,,,50.18,72.76,3 HCPCS,96380,Hc Admn Rsv Monoc Antb Im Cnsl,373.0,373.0,,,0 HCPCS,96401,Chemo anti-neopl sq/im,,,77.16,111.88,3 HCPCS,96401,"Hc Chemotherapy Administration, Subcutaneous Or Intramuscular; Non-Hormonal Anti-Neoplastic",978.0,978.0,,,0 HCPCS,96402,Chemo hormon antineopl sq/im,,,77.16,111.88,3 HCPCS,96402,"Hc Chemotherapy Administration, Subcutaneous Or Intramuscular; Hormonal Anti-Neoplastic",589.0,589.0,,,0 HCPCS,96405,Chemo intralesional up to 7,,,77.16,111.88,3 HCPCS,96405,"Hc Chemothrpy Admin; Intralesional, Up To And Including 7 Lesions",962.0,962.0,,,0 HCPCS,96405,"Hc Chemothrpy Admin; Intralesional, Up To And Including 7 Lesions-Pbb",1581.0,1581.0,,,0 HCPCS,96405,Pr Chemotherapy Administration Intralesional 7 Lesions",526.0,526.0,,,0 HCPCS,96406,"Hc Chemotherapy Administration, Intralesional; > 7 Lesions-Pbb",976.5,976.5,,,0 HCPCS,96406,Pr Chemotherapy Administration Intralesional >7-Pbb,900.0,900.0,,,0 HCPCS,96409,Chemo iv push sngl drug,,,353.96,513.24,3 HCPCS,96409,"Hc Chemotherapy Administration; Intravenous, Push Technique, Single Or Initial Substance/Drug",1427.0,1427.0,,,0 HCPCS,96410,"Chemotherapy,infusion method",,,110.55,110.55,1 HCPCS,96411,Chemo iv push addl drug,,,77.16,111.88,3 HCPCS,96411,"Hc Chemotherapy Administration; Intravenous, Push Technique, Each Additional Substance/Drug",632.0,632.0,,,0 HCPCS,96413,Chemo iv infusion 1 hr,,,110.55,513.24,4 HCPCS,96413,"Hc Chemother Administration, Intravenous Inf Tchnq; Up To 1 Hr, Single Or Ini Substance/Drug",2241.0,2241.0,,,0 HCPCS,96415,Chemo iv infusion addl hr,,,77.16,111.88,3 HCPCS,96415,"Hc Chemotherapy Administration, Intravenous Infusion Technique; Each Additional Hour",904.0,904.0,,,0 HCPCS,96416,Chemo prolong infuse w/pump,,,353.96,513.24,3 HCPCS,96416,"Hc Chemo Adm,Iv Inf Tchnq; Init Of Prolonged Chemo Inf (> 8 Hrs), Req Portable Or Implantable Pump",1721.0,1721.0,,,0 HCPCS,96417,Chemo iv infus each addl seq,,,77.16,111.88,3 HCPCS,96417,"Hc Chemother Administratn, Intraven Inf Tchnq; Ea Add Seq Inf (Different Substance/Drug), Up To 1 Hr",783.0,783.0,,,0 HCPCS,96420,Chemo ia push tecnique,,,353.96,513.24,3 HCPCS,96420,"Hc Chemotherapy Administration, Intra-Arterial; Push Technique",545.0,545.0,,,0 HCPCS,96422,Chemo ia infusion up to 1 hr,,,353.96,513.24,3 HCPCS,96423,Chemo ia infuse each addl hr,,,50.18,72.76,3 HCPCS,96425,Chemotherapy infusion method,,,353.96,513.24,3 HCPCS,96440,Chemotherapy intracavitary,,,353.96,513.24,3 HCPCS,96446,Chemotx admn prtl cavity,,,353.96,513.24,3 HCPCS,96446,"Hc Chemotherapy Administration, Intra-Arterial; Push Technique",996.0,996.0,,,0 HCPCS,96450,Chemotherapy into cns,,,353.96,513.24,3 HCPCS,96450,"Hc Chemotherapy Administration, Into Cns (Eg, Intrathecal), Requiring And Including Spinal Puncture",1473.0,1473.0,,,0 HCPCS,96450,"Hc Chemotherapy Administration, Into Cns (Eg, Intrathecal), Requiring And Including Spinal Puncture-",2943.0,2943.0,,,0 HCPCS,96450,Pr Chemotx Admn Cns Req Spinal Puncture-Gold,2940.0,2940.0,,,0 HCPCS,96450,"Pr Chemotx Admn Cns Req Spinal Puncture-Gold,Oprm",2940.0,2940.0,,,0 HCPCS,96450,"Pr Chemotx Admn Cns Req Spinal Puncture-Gold,Pbb",2940.0,2940.0,,,0 HCPCS,96450,Pr Chemotx Admn Cns Req Spinal Puncture-Pbb,2940.0,2940.0,,,0 HCPCS,96521,Hc Refilling And Maintenance Of Portable Pump,958.0,958.0,,,0 HCPCS,96521,Refill/maint portable pump,,,227.94,330.51,3 HCPCS,96522,"Hc Refilling And Maintenance Of Implantable Pump Or Reservoir For Drug Delivery, Systemic",727.0,727.0,,,0 HCPCS,96522,"Hc Refilling And Maintenance Of Implantable Pump Or Reservoir For Drug Delivery, Systemic-Pbb",1197.0,1197.0,,,0 HCPCS,96522,Pr Refill&Maintenance Pump Drug Dlvr Systemic-Pbb,939.0,939.0,,,0 HCPCS,96522,Refill/maint pump/resvr syst,,,227.94,330.51,3 HCPCS,96523,Hc Irrigation Of Implanted Venous Access Device For Drug Delivery Systems,643.0,643.0,,,0 HCPCS,96523,Hc Irrigation Of Implanted Venous Access Device For Drug Delivery Systems-Pbb,736.5,736.5,,,0 HCPCS,96523,Irrig drug delivery device,,,63.22,91.66,3 HCPCS,96523,Pr Irrigaj Implntd Venous Access Drug Delivery Syst-Pbb,187.0,187.0,,,0 HCPCS,96542,Chemotherapy injection,,,353.96,513.24,3 HCPCS,96542,"Hc Chemother Inj, Subarachnoid Or Intraventricular Via Subcu Reservoir, Single Or Mult Agents",680.0,680.0,,,0 HCPCS,96542,"Hc Chemother Inj, Subarachnoid Or Intraventricular Via Subcu Reservoir, Single Or Mult Agents-Pbb",1563.0,1563.0,,,0 HCPCS,96542,Pr Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult-Pbb,1766.0,1766.0,,,0 HCPCS,96545,Provide chemotherapy agent,,,22.87,22.87,1 HCPCS,96547,Intraop hipec px 1st 60 min,,,3399.0,3399.0,1 HCPCS,96548,Ntraop hipec px ea add 30min,,,3399.0,3399.0,1 HCPCS,96549,Chemotherapy unspecified,,,50.18,72.76,3 HCPCS,96549,Hc Unlisted Chemotherapy Procedure,262.0,262.0,,,0 HCPCS,96567,"Hc Photodynamic Therapy, With Blu U Only (No Medication) Cash-Csm",150.0,150.0,,,0 HCPCS,96567,"Hc Photodynamic Therapy, With Blu U Only (No Medication) Cash-Csm,Pbb",150.0,150.0,,,0 HCPCS,96567,Hc Phtdynmc Thrpy By Extrnl App Of Light To Dstry Lsns Of Skn & Adjac Mcsa W/App By Illm/Actvtn Phts,969.0,969.0,,,0 HCPCS,96567,Photodynamic tx skin,,,215.0,3399.0,4 HCPCS,96567,Pr Pdt Dstr Prmlg Les Skn Illum/Activj Per Day-Pbb,596.0,596.0,,,0 HCPCS,96570,Hc Photodynamic Therapy Treatment; First 30 Minutes,690.0,690.0,,,0 HCPCS,96570,Hc Photodynamic Therapy Treatment; First 30 Minutes-Pbb,470.0,470.0,,,0 HCPCS,96570,Photodynmc tx 30 min add-on,,,3399.0,3399.0,1 HCPCS,96570,Pr Pdt Ndsc Abl Abnor Tiss Via Activj Rx 30 Min-Pbb,482.0,482.0,,,0 HCPCS,96571,Hc Photodynamic Therapy Treatment; Each Additional 15 Minutes,628.0,628.0,,,0 HCPCS,96571,Hc Photodynamic Therapy Treatment; Each Additional 15 Minutes-Pbb,409.5,409.5,,,0 HCPCS,96571,Photodynamic tx addl 15 min,,,3399.0,3399.0,1 HCPCS,96571,Pr Pdt Ndsc Abl Abnor Tiss Via Activj Rx A 15 Min-Pbb,475.0,475.0,,,0 HCPCS,96573,Hc Photodynamic Therapy Dstr Prmlg Les Phys/Qhp-Pbb,868.0,868.0,,,0 HCPCS,96573,"Hc Photodynamic Therapy, With Levulan Kerastick & Blu U (Ala-Pdt) Cash-Csm",700.0,700.0,,,0 HCPCS,96573,"Hc Photodynamic Therapy, With Levulan Kerastick & Blu U (Ala-Pdt) Cash-Csm,Pbb",700.0,700.0,,,0 HCPCS,96573,Pdt dstr prmlg les phys/qhp,,,215.0,3399.0,4 HCPCS,96573,Pr Pdt Dstr Prmlg Les Skn Illum/Activj By Phys/Qhp-Pbb,332.0,332.0,,,0 HCPCS,96574,Dbrdmt prmlg les w/pdt,,,215.0,3399.0,4 HCPCS,96574,Hc Debridement Premalignant Lesions W/Pdt-Pbb,917.0,917.0,,,0 HCPCS,96574,Pr Debridement Prmlg Hyperkeratotic Les W/Pdt-Pbb,430.0,430.0,,,0 HCPCS,96900,Hc Actinotherapy (Ultraviolet Light),122.0,122.0,,,0 HCPCS,96900,Hc Actinotherapy (Ultraviolet Light) Cash,40.0,40.0,,,0 HCPCS,96900,"Hc Actinotherapy (Ultraviolet Light) Cash-Csm,Pbb",40.0,40.0,,,0 HCPCS,96900,Ultraviolet light therapy,,,40.03,58.04,3 HCPCS,96902,Trichogram,,,57.46,57.46,1 HCPCS,96904,"Hc Cash Proc Whle Bdy Integ Photg,Mntrng Hi Rsk Pt W Dysp Nvs Syn/Hx Dysp Nevi/Pt W Pers/Fam Hx Mel-",258.0,258.0,,,0 HCPCS,96904,"Hc Whole Bdy Integ Phtgrphy, For Mntrng High Risk Pts W/Dysplstc Nevus Syn Or Hx Dysplstc Nevi-Pbb",668.0,668.0,,,0 HCPCS,96904,"Hc Whole Body Photography, Mole Mapping Subsequent Cash-Csm",200.0,200.0,,,0 HCPCS,96904,"Hc Whole Body Photography, Mole Mapping Subsequent Cash-Csm,Pbb",200.0,200.0,,,0 HCPCS,96904,Pr Whole Body Integumentary Photography-Pbb,1024.0,1024.0,,,0 HCPCS,96910,Hc Cash Proc Photochemother; Tar And Ultrviolt B (Goeckerman Treatmnt) Or Petrolatum And Ultrviolt B,40.0,40.0,,,0 HCPCS,96910,Hc Photochemotherapy; Tar And Ultraviolet B (Goeckerman Treatment) Or Petrolatum And Ultraviolet B,458.0,458.0,,,0 HCPCS,96910,Photochemotherapy with UV-B,,,63.22,91.66,3 HCPCS,96912,Hc Cash Procedure Photochemotherapy; Psoralens And Ultraviolet A (Puva),40.0,40.0,,,0 HCPCS,96912,"Hc Cash Procedure Photochemotherapy; Psoralens And Ultraviolet A (Puva)-Csm,Pbb",40.0,40.0,,,0 HCPCS,96912,Hc Photochemotherapy; Psoralens And Ultraviolet A (Puva),587.0,587.0,,,0 HCPCS,96912,Photochemotherapy with UV-A,,,63.22,91.66,3 HCPCS,96913,Photochemotherapy uv-a or b,,,435.63,631.66,3 HCPCS,96920,Hc Laser Treatment For Inflammatory Skin Disease (Psoriasis); Total Area Less Than 250 Sq Cm,1517.0,1517.0,,,0 HCPCS,96920,Hc Laser Treatment For Inflammatory Skin Disease (Psoriasis); Total Area Less Than 250 Sq Cm-Pbb,1038.5,1038.5,,,0 HCPCS,96920,Laser tx skin < 250 sq cm,,,215.0,311.76,3 HCPCS,96920,Pr Excimer Laser Tx Psoriasis Tot Area <250 Sq Cm-Pbb,1045.0,1045.0,,,0 HCPCS,96921,Hc Laser Treatment For Inflammatory Skin Disease (Psoriasis); 250 Sq Cm To 500 Sq Cm,1644.0,1644.0,,,0 HCPCS,96921,Hc Laser Treatment For Inflammatory Skin Disease (Psoriasis); 250 Sq Cm To 500 Sq Cm-Pbb,566.0,566.0,,,0 HCPCS,96921,Laser tx skin 250-500 sq cm,,,215.0,311.76,3 HCPCS,96921,Pr Excimer Laser Tx Psoriasis 250-500 Sq Cm-Pbb,1078.0,1078.0,,,0 HCPCS,96922,Hc Laser Treatment For Inflammatory Skin Disease (Psoriasis); Over 500 Sq Cm,2356.0,2356.0,,,0 HCPCS,96922,Hc Laser Treatment For Inflammatory Skin Disease (Psoriasis); Over 500 Sq Cm-Pbb,1606.5,1606.5,,,0 HCPCS,96922,Laser tx skin >500 sq cm,,,435.63,631.66,3 HCPCS,96922,Pr Excimer Laser Tx Psoriasis >500 Sq Cm-Pbb,1639.0,1639.0,,,0 HCPCS,96999,Dermatological procedure,,,215.0,311.76,3 HCPCS,97001,Pt evaluation,,,255.42,255.42,1 HCPCS,97003,Ot evaluation,,,255.42,255.42,1 HCPCS,97010,Hot or cold packs therapy,,,41.1,41.1,1 HCPCS,97012,Hc Mechanical Traction,157.0,157.0,,,0 HCPCS,97012,Mechanical traction therapy,,,14.22,64.59,4 HCPCS,97014,Electric stimulation therapy,,,55.78,55.78,1 HCPCS,97014,Hc Pelieve Wrinkle Reduction Body Cash,330.0,330.0,,,0 HCPCS,97014,"Hc Pelieve Wrinkle Reduction Body Cash-Csm,Pbb",330.0,330.0,,,0 HCPCS,97014,Hc Pelieve Wrinkle Reduction Body Package Cash,220.0,220.0,,,0 HCPCS,97014,"Hc Pelieve Wrinkle Reduction Body Package Cash-Csm,Pbb",220.0,220.0,,,0 HCPCS,97014,Hc Pelieve Wrinkle Reduction Eye/Preorbital Cash,375.0,375.0,,,0 HCPCS,97014,"Hc Pelieve Wrinkle Reduction Eye/Preorbital Cash-Csm,Pbb",375.0,375.0,,,0 HCPCS,97014,Hc Pelieve Wrinkle Reduction Eye/Preorbital Package Cash,250.0,250.0,,,0 HCPCS,97014,"Hc Pelieve Wrinkle Reduction Eye/Preorbital Package Cash-Csm,Pbb",250.0,250.0,,,0 HCPCS,97014,Hc Pelieve Wrinkle Reduction Forehead Cash,195.0,195.0,,,0 HCPCS,97014,"Hc Pelieve Wrinkle Reduction Forehead Cash-Csm,Pbb",195.0,195.0,,,0 HCPCS,97014,Hc Pelieve Wrinkle Reduction Forehead Package Cash,130.0,130.0,,,0 HCPCS,97014,"Hc Pelieve Wrinkle Reduction Forehead Package Cash-Csm,Pbb",130.0,130.0,,,0 HCPCS,97014,Hc Pelieve Wrinkle Reduction Full Face Cash,750.0,750.0,,,0 HCPCS,97014,"Hc Pelieve Wrinkle Reduction Full Face Cash-Csm,Pbb",750.0,750.0,,,0 HCPCS,97014,Hc Pelieve Wrinkle Reduction Full Face Package Cash,500.0,500.0,,,0 HCPCS,97014,"Hc Pelieve Wrinkle Reduction Full Face Package Cash-Csm,Pbb",500.0,500.0,,,0 HCPCS,97014,Hc Pelieve Wrinkle Reduction Lower Face Cash,375.0,375.0,,,0 HCPCS,97014,"Hc Pelieve Wrinkle Reduction Lower Face Cash-Csm,Pbb",375.0,375.0,,,0 HCPCS,97014,Hc Pelieve Wrinkle Reduction Lower Face Package Cash,250.0,250.0,,,0 HCPCS,97014,"Hc Pelieve Wrinkle Reduction Lower Face Package Cash-Csm,Pbb",250.0,250.0,,,0 HCPCS,97016,Vasopneumatic device therapy,,,11.72,64.59,4 HCPCS,97018,Paraffin bath therapy,,,6.06,46.97,4 HCPCS,97020,Microwave therapy,,,41.1,41.1,1 HCPCS,97022,Hc Application Of A Modality To 1 Or More Area; Whirlpool,150.0,150.0,,,0 HCPCS,97022,Whirlpool therapy,,,16.22,52.85,4 HCPCS,97024,Diathermy eg microwave,,,7.82,41.1,4 HCPCS,97024,Hc Miradry Procedure-Pbb,1742.5,1742.5,,,0 HCPCS,97024,Miradry Procedure-Pbb,255.0,255.0,,,0 HCPCS,97026,Hc Laser Hair Removal Abdomen Cash-Csm,800.0,800.0,,,0 HCPCS,97026,"Hc Laser Hair Removal Abdomen Cash-Csm,Pbb",800.0,800.0,,,0 HCPCS,97026,Hc Laser Hair Removal Abdomen Package Cash,320.0,320.0,,,0 HCPCS,97026,"Hc Laser Hair Removal Abdomen Package Cash-Csm,Pbb",320.0,320.0,,,0 HCPCS,97026,Hc Laser Hair Removal Above Knees Package Cash,400.0,400.0,,,0 HCPCS,97026,"Hc Laser Hair Removal Above Knees Package Cash-Csm,Pbb",400.0,400.0,,,0 HCPCS,97026,Hc Laser Hair Removal Arms Bilateral Package Cash,480.0,480.0,,,0 HCPCS,97026,"Hc Laser Hair Removal Arms Bilateral Package Cash-Csm,Pbb",480.0,480.0,,,0 HCPCS,97026,Hc Laser Hair Removal Axilla Package Cash,297.0,297.0,,,0 HCPCS,97026,"Hc Laser Hair Removal Axilla Package Cash-Csm,Pbb",280.0,280.0,,,0 HCPCS,97026,Hc Laser Hair Removal Beach Only Package Cash,240.0,240.0,,,0 HCPCS,97026,"Hc Laser Hair Removal Beach Only Package Cash-Csm,Pbb",240.0,240.0,,,0 HCPCS,97026,Hc Laser Hair Removal Below Knees Package Cash,400.0,400.0,,,0 HCPCS,97026,"Hc Laser Hair Removal Below Knees Package Cash-Csm,Pbb",400.0,400.0,,,0 HCPCS,97026,Hc Laser Hair Removal Bikini Line Package Cash,320.0,320.0,,,0 HCPCS,97026,"Hc Laser Hair Removal Bikini Line Package Cash-Csm,Pbb",320.0,320.0,,,0 HCPCS,97026,Hc Laser Hair Removal Chest/Back Full Cash,640.0,640.0,,,0 HCPCS,97026,"Hc Laser Hair Removal Chest/Back Full Cash-Csm,Pbb",640.0,640.0,,,0 HCPCS,97026,Hc Laser Hair Removal Chest/Back Limited Cash,320.0,320.0,,,0 HCPCS,97026,"Hc Laser Hair Removal Chest/Back Limited Cash-Csm,Pbb",320.0,320.0,,,0 HCPCS,97026,Hc Laser Hair Removal Feet And Toes Bilateral Cash-Csm,300.0,300.0,,,0 HCPCS,97026,"Hc Laser Hair Removal Feet And Toes Bilateral Cash-Csm,Pbb",300.0,300.0,,,0 HCPCS,97026,Hc Laser Hair Removal Feet And Toes Package Bilateral Cash,125.0,125.0,,,0 HCPCS,97026,"Hc Laser Hair Removal Feet And Toes Package Bilateral Cash-Csm,Pbb",120.0,120.0,,,0 HCPCS,97026,Hc Laser Hair Removal Full Leg & Bikini Line Package Cash,880.0,880.0,,,0 HCPCS,97026,"Hc Laser Hair Removal Full Leg & Bikini Line Package Cash-Csm,Pbb",880.0,880.0,,,0 HCPCS,97026,Hc Laser Hair Removal Full Leg And Bikini Line Cash-Csm,1300.0,1300.0,,,0 HCPCS,97026,"Hc Laser Hair Removal Full Leg And Bikini Line Cash-Csm,Pbb",1300.0,1300.0,,,0 HCPCS,97026,Hc Laser Hair Removal Full Leg Cash-Csm,1100.0,1100.0,,,0 HCPCS,97026,"Hc Laser Hair Removal Full Leg Cash-Csm,Pbb",1100.0,1100.0,,,0 HCPCS,97026,Hc Laser Hair Removal Full Leg Package Cash,720.0,720.0,,,0 HCPCS,97026,"Hc Laser Hair Removal Full Leg Package Cash-Csm,Pbb",720.0,720.0,,,0 HCPCS,97026,Hc Laser Hair Removal Hands Bilateral Cash,300.0,300.0,,,0 HCPCS,97026,"Hc Laser Hair Removal Hands Bilateral Cash-Csm,Pbb",300.0,300.0,,,0 HCPCS,97026,Hc Laser Hair Removal Hands Bilateral Package Cash,240.0,240.0,,,0 HCPCS,97026,"Hc Laser Hair Removal Hands Bilateral Package Cash-Csm,Pbb",240.0,240.0,,,0 HCPCS,97026,Hc Laser Hair Removal Mustache And Beard Package Cash,280.0,280.0,,,0 HCPCS,97026,"Hc Laser Hair Removal Mustache And Beard Package Cash-Csm,Pbb",280.0,280.0,,,0 HCPCS,97026,Hc Laser Hair Removal Mustache Only Package Cash,160.0,160.0,,,0 HCPCS,97026,"Hc Laser Hair Removal Mustache Only Package Cash-Csm,Pbb",160.0,160.0,,,0 HCPCS,97026,Hc Laser Hair Removal One Arm Cash,240.0,240.0,,,0 HCPCS,97026,"Hc Laser Hair Removal One Arm Cash-Csm,Pbb",240.0,240.0,,,0 HCPCS,97026,Infrared therapy,,,6.49,38.17,4 HCPCS,97028,Ultraviolet therapy,,,8.07,41.1,4 HCPCS,97032,Electrical stimulation,,,15.18,55.78,4 HCPCS,97032,"Hc Application Of A Modality To 1 Or More Areas; Electrical Stimulation (Manual), Each 15 Minutes",180.0,180.0,,,0 HCPCS,97033,Electric current therapy,,,18.35,58.72,4 HCPCS,97033,"Hc Application Of A Modality To 1 Or More Areas; Iontophoresis, Each 15 Minutes",185.0,185.0,,,0 HCPCS,97034,Contrast bath therapy,,,14.54,44.04,4 HCPCS,97035,"Hc Application Of A Modality To 1 Or More Areas; Ultrasound, Each 15 Minutes",74.0,74.0,,,0 HCPCS,97035,Ultrasound therapy,,,13.94,46.97,4 HCPCS,97036,"Hc Thrptc Prc,1 Or More Areas, Ea 15 Min;Thrptc Exrcs To Devlp Strngth/Endurnc,Rng Of Mtn And Flxbty",270.0,270.0,,,0 HCPCS,97036,Hydrotherapy,,,35.74,70.46,4 HCPCS,97037,Appl modality 1+lllt po pain,,,40.03,58.04,3 HCPCS,97039,Physical therapy treatment,,,67.53,67.53,1 HCPCS,97110,Hc Research High Intensity Walking Protocol,100.0,100.0,,,0 HCPCS,97110,Hc Therapuetic Exercise Ea 15M,223.0,223.0,,,0 HCPCS,97110,Therapeutic exercises,,,29.67,82.21,4 HCPCS,97112,"Hc Thrptc Proc, 1 > Areas, Ea 15 Min; Nromsclr Reedcatn Mvmnt, Blnce, Coord, Knsthtc Snse & Pstre",204.0,204.0,,,0 HCPCS,97112,Neuromuscular reeducation,,,31.82,82.21,4 HCPCS,97113,Aquatic therapy/exercises,,,37.72,91.01,4 HCPCS,97113,Hc Aquatic Therapy/Exercises Ea 15 Mins,186.0,186.0,,,0 HCPCS,97116,Gait training therapy,,,28.06,70.46,4 HCPCS,97116,"Hc Therapeutic Procedure, 1 Or More Areas, Each 15 Minutes; Gait Training",139.0,139.0,,,0 HCPCS,97116,"Hc Therapeutic Procedure, 1 Or More Areas, Each 15 Minutes; Gait Training-Pbb",133.5,133.5,,,0 HCPCS,97116,Pr Ther Px 1/> Areas Ea 15 Min Gait Traing W/Stair-Pbb,168.0,168.0,,,0 HCPCS,97122,Description Not Available,,,73.4,73.4,1 HCPCS,97124,"Hc Thrptc Proc, 1 Or More Areas, Ea 15 Min; Massage, Incl Effleurage, Petrissage And/Or Tapotement",168.0,168.0,,,0 HCPCS,97124,Massage therapy,,,30.54,64.59,4 HCPCS,97129,Hc Ther Ivntj 1St 15 Min,335.0,335.0,,,0 HCPCS,97129,Hc Therapeutic Interventions Cognitive Function 1St 15 Minutes,185.0,185.0,,,0 HCPCS,97129,Ther ivntj 1st 15 min,,,19.66,28.51,3 HCPCS,97130,Hc Cognitive Function Therapeutic Interventions;Additional 15 Minutes,464.0,464.0,,,0 HCPCS,97130,Hc Ther Ivntj Ea Addl 15 Min,167.0,167.0,,,0 HCPCS,97130,Ther ivntj ea addl 15 min,,,18.55,26.9,3 HCPCS,97139,Physical medicine procedure,,,55.78,55.78,1 HCPCS,97140,"Hc Manual Therapy Techniques, 1 Or More Regions, Each 15 Minutes",226.0,226.0,,,0 HCPCS,97140,Manual therapy 1/> regions,,,28.43,41.22,3 HCPCS,97150,Group therapeutic procedures,,,17.73,67.53,4 HCPCS,97150,"Hc Therapeutic Procedure, Group",175.0,175.0,,,0 HCPCS,97151,Bhv id assmt by phys/qhp,,,108.87,157.85,3 HCPCS,97152,Bhv id suprt assmt by 1 tech,,,108.87,157.85,3 HCPCS,97153,Adaptive behavior tx by tech,,,108.87,157.85,3 HCPCS,97154,Grp adapt bhv tx by tech,,,40.15,58.22,3 HCPCS,97155,Adapt behavior tx phys/qhp,,,190.21,275.8,3 HCPCS,97156,Fam adapt bhv tx gdn phy/qhp,,,40.15,58.22,3 HCPCS,97157,Mult fam adapt bhv tx gdn,,,40.15,58.22,3 HCPCS,97158,Grp adapt bhv tx by phy/qhp,,,40.15,58.22,3 HCPCS,97161,Hc Physical Therapy Evaluation Low Complex 20 Min,304.0,304.0,,,0 HCPCS,97161,Pt eval low complex 20 min,,,98.89,255.42,4 HCPCS,97162,Hc Physical Therapy Evaluation Moderate Complex 30 Min,434.0,434.0,,,0 HCPCS,97162,Pt eval mod complex 30 min,,,99.73,255.42,4 HCPCS,97163,Hc Physical Therapy High Complex 45 Min,434.0,434.0,,,0 HCPCS,97163,Pt eval high complex 45 min,,,94.04,255.42,4 HCPCS,97164,Hc Re-Evaluation Established Plan Care,378.0,378.0,,,0 HCPCS,97164,Pt re-eval est plan care,,,68.9,99.9,3 HCPCS,97165,Hc Occupational Therapy Evaluation Low Complex 30 Min,302.0,302.0,,,0 HCPCS,97165,Ot eval low complex 30 min,,,101.57,255.42,4 HCPCS,97166,Hc Occupational Therapy Evaluation Moderate Complex 45 Min,380.0,380.0,,,0 HCPCS,97166,Ot eval mod complex 45 min,,,96.48,255.42,4 HCPCS,97167,Hc Occupational Therapy Evaluation High Complex 60 Min,380.0,380.0,,,0 HCPCS,97167,Ot eval high complex 60 min,,,102.47,255.42,4 HCPCS,97168,Hc Occupational Therapy Re-Evaluation Established Plan Care,302.0,302.0,,,0 HCPCS,97168,Ot re-eval est plan care,,,69.31,100.5,3 HCPCS,97250,Description Not Available,,,117.44,117.44,1 HCPCS,97260,Description Not Available,,,58.72,58.72,1 HCPCS,97261,Description Not Available,,,35.23,35.23,1 HCPCS,97265,Description Not Available,,,117.44,117.44,1 HCPCS,97504,Orthotic training,,,85.14,85.14,1 HCPCS,97520,Prosthetic training,,,85.14,85.14,1 HCPCS,97530,"Hc Therapeutic Activities, Direct Patient Contact, Each 15 Minutes",196.0,196.0,,,0 HCPCS,97530,Therapeutic activities,,,33.81,88.08,4 HCPCS,97533,"Hc Snsry Intgrtiv Tchnqs To Enhnce Snsry Proc&Promo Adptive Respns To Env Dem&S,Drct Pt Cont,Ea 15Mn",185.0,185.0,,,0 HCPCS,97533,Sensory Integration,,,62.36,90.42,3 HCPCS,97535,"Hc Self-Care/Home Management Trainig, Direct One-On-One Contact, Each 15 Minutes",204.0,204.0,,,0 HCPCS,97535,Self care mngment training,,,31.1,88.08,4 HCPCS,97537,Community/work reintegration,,,32.69,88.08,4 HCPCS,97537,"Hc Community/Work Reintegration Training, Direct One-On-One Contact, Each 15 Minutes",117.0,117.0,,,0 HCPCS,97542,"Hc Wheelchair Management, Each 15 Minutes",110.0,110.0,,,0 HCPCS,97542,Wheelchair mngment training,,,31.68,61.65,4 HCPCS,97545,Work hardening,,,366.99,366.99,1 HCPCS,97546,Work hardening add-on,,,184.96,184.96,1 HCPCS,97550,Caregiver traing 1st 30 min,,,39.41,57.14,3 HCPCS,97551,Caregiver traing ea addl 15,,,21.25,30.81,3 HCPCS,97552,Group caregiver training,,,9.58,13.89,3 HCPCS,97597,"Hc Dbrdmnt, Opn Wnd, Wnd Assmnt, Use A Whrlpl, Tot Wnd(S) Sfc Area; 1St 20 Sq Cm Or Less",746.0,746.0,,,0 HCPCS,97597,"Hc Dbrdmnt, Opn Wnd, Wnd Assmnt, Use A Whrlpl, Tot Wnd(S) Sfc Area; 1St 20 Sq Cm Or Less-Pbb",921.0,921.0,,,0 HCPCS,97597,Pr Debridement Open Wound First 20 Sq Cm/<-Pbb,407.0,407.0,,,0 HCPCS,97597,Rmvl devital tis 20 cm/<,,,215.0,3399.0,4 HCPCS,97598,"Hc Dbrdmnt, Opn Wnd, Incl Tpcl App(S), Wnd Assmnt, Whrlpl, Tot Wnd(S) Sfc Area; Ea Add 20 Sq Cm",377.0,377.0,,,0 HCPCS,97598,"Hc Dbrdmnt, Opn Wnd, Incl Tpcl App(S), Wnd Assmnt, Whrlpl, Tot Wnd(S) Sfc Area; Ea Add 20 Sq Cm-Pbb",577.5,577.5,,,0 HCPCS,97598,Pr Debridement Opn Wnd Ea Addl 20 Sq Cm/Prt Thereof-Pbb,431.0,431.0,,,0 HCPCS,97598,Rmvl devital tis addl 20cm/<,,,3399.0,3399.0,1 HCPCS,97602,"Hc Rmvl Of Devtlzd Tissue Fr Wnd,Non-Sel Debrdmnt,Wo Anes,Wnd Assmnt,& Instruc Ongoing Care,Per Sess",433.0,433.0,,,0 HCPCS,97602,Wound(s) care non-selective,,,215.0,311.76,3 HCPCS,97605,"Hc Neg Pressure Wnd Ther, Wnd Assmnt, & Instrn(S); Tot Wnd(S) < Or Equl To 50 Square Cent",1038.0,1038.0,,,0 HCPCS,97605,"Hc Neg Pressure Wnd Ther, Wnd Assmnt, & Instrn(S); Tot Wnd(S) < Or Equl To 50 Square Cent-Pbb",1136.5,1136.5,,,0 HCPCS,97605,Neg press wound tx <=50 cm,,,215.0,311.76,3 HCPCS,97605,Pr Negative Pressure Wound Therapy Dme <= 50 Sq Cm-Pbb,278.0,278.0,,,0 HCPCS,97606,"Hc Neg Press Wnd Ther,Util Dme,Incl Top App,Wnd Assmnt,& Instrn Care,Per Sess;Wnd Sfc Area 50 Sq Cm",1092.0,1092.0,,,0 HCPCS,97606,"Hc Neg Press Wnd Ther,Util Dme,Incl Top App,Wnd Assmnt,& Instrn Care,Per Sess;Wnd Sfc Area 50 Sq Cm-",1288.5,1288.5,,,0 HCPCS,97606,Neg press wound tx >50 cm,,,435.63,631.66,3 HCPCS,97606,Pr Negative Pressure Wound Therapy Dme >50 Sq Cm-Pbb,479.0,479.0,,,0 HCPCS,97607,Neg press wnd tx <=50 sq cm,,,435.63,631.66,3 HCPCS,97608,Hc Neg Pressure Wound Therapy Non Dme >50 Sq Cm,1120.0,1120.0,,,0 HCPCS,97608,Hc Neg Pressure Wound Therapy Non Dme >50 Sq Cm-Pbb,1560.0,1560.0,,,0 HCPCS,97608,Neg press wound tx >50 cm,,,435.63,631.66,3 HCPCS,97608,Pr Neg Pressure Wound Therapy Non Dme >50 Sq Cm-Pbb,881.0,881.0,,,0 HCPCS,97610,Low frequency non-thermal us,,,215.0,311.76,3 HCPCS,97703,Prosthetic checkout,,,64.59,64.59,1 HCPCS,97750,"Hc Physical Performance Test Or Measurement, With Written Report, Each 15 Minutes",204.0,204.0,,,0 HCPCS,97750,Physical performance test,,,34.36,99.82,4 HCPCS,97755,Assistive technology assess,,,36.48,52.9,3 HCPCS,97760,"Hc Orthotic(S) Mgmt And Training, Upper Extremity, Lower Extremity And/Or Trunk, Each 15 Min",238.0,238.0,,,0 HCPCS,97760,Orthotic mgmt and training,,,47.25,85.14,4 HCPCS,97761,"Hc Prosthetic Training, Upper And/Or Lower Extremity, Each 15 Minutes",123.0,123.0,,,0 HCPCS,97761,Prosthetic training,,,41.42,60.06,3 HCPCS,97762,C/o for orthotic/prosth use,,,64.59,64.59,1 HCPCS,97763,"Hc Orthotic/Prosthetic Managment/Training ,Subseq Encounter/15 Min",190.0,190.0,,,0 HCPCS,97763,Orthc/prostc mgmt sbsq enc,,,50.81,73.67,4 HCPCS,97770,Description Not Available,,,105.69,105.69,1 HCPCS,97802,"Hc Med Nutr Ther; Ini Assmnt And Intrvtn, Ind, Face2Face W/ The Pat, Each 15 Min",217.0,217.0,,,0 HCPCS,97802,Medical nutrition indiv in,,,25.85,37.48,3 HCPCS,97803,"Hc Med Nutr Ther; Re-Assmnt And Intrvtn, Ind, Face2Face W/ The Pat, Each 15 Min",190.0,190.0,,,0 HCPCS,97803,Med nutrition indiv subseq,,,22.59,32.76,3 HCPCS,97804,"Hc Medical Nutrition Therapy; Group (2 Or More Individual(S)), Each 30 Minute",120.0,120.0,,,0 HCPCS,97804,Medical nutrition group,,,12.87,18.66,3 HCPCS,97810,Acupunct w/o stimul 15 min,,,30.99,44.94,3 HCPCS,97810,Hc Acupunct W/O Stimul 15 Min,86.0,86.0,,,0 HCPCS,97810,Hc Acupunct W/O Stimul 15 Min-Pbb,229.0,229.0,,,0 HCPCS,97810,Pr Acupuncture 1/> Ndls W/O Estim 1St 15 Min-Pbb,286.0,286.0,,,0 HCPCS,97811,Hc Acupunct W/O Stimul Addl 15M,100.0,100.0,,,0 HCPCS,97811,Hc Acupunct W/O Stimul Addl 15M-Pbb,218.0,218.0,,,0 HCPCS,97811,Pr Acupuncture 1/> Ndls W/O Estim Each Addl 15 Min-Pbb,236.0,236.0,,,0 HCPCS,97813,Acupunct w/stimul 15 min,,,30.99,44.94,3 HCPCS,97813,Hc Acupunct W/Stimul 15 Min,86.0,86.0,,,0 HCPCS,97813,Hc Acupunct W/Stimul 15 Min-Pbb,241.0,241.0,,,0 HCPCS,97813,Pr Acupuncture 1/> Ndls W/Estim 1St 15 Min-Pbb,310.0,310.0,,,0 HCPCS,97814,Hc Acupunct W/Stimul Addl 15M,100.0,100.0,,,0 HCPCS,97814,Hc Acupunct W/Stimul Addl 15M-Pbb,229.0,229.0,,,0 HCPCS,97814,Pr Acupuncture 1/> Ndls W/Estim Each Addl 15 Min-Pbb,258.0,258.0,,,0 HCPCS,98000,Pr Synchronous Audio-Video Visit New Sf Mdm 15 Min-Pbb,139.0,139.0,,,0 HCPCS,98001,Pr Synchronous Audio-Video Visit New Low Mdm 30 Min-Pbb,241.0,241.0,,,0 HCPCS,98002,Pr Synchronous Audio-Video Visit New Mod Mdm 45 Min-Pbb,392.0,392.0,,,0 HCPCS,98003,Pr Synchronous Audio-Video Vst New High Mdm 60 Min-Pbb,526.0,526.0,,,0 HCPCS,98004,Pr Synchronous Audio-Video Visit Est Sf Mdm 10 Min-Pbb,104.0,104.0,,,0 HCPCS,98005,Pr Synchronous Audio-Video Visit Est Low Mdm 20 Min-Pbb,194.0,194.0,,,0 HCPCS,98006,Pr Synchronous Audio-Video Visit Est Mod Mdm 30 Min-Pbb,292.0,292.0,,,0 HCPCS,98007,Pr Synchronous Audio-Video Vst Est High Mdm 40 Min-Pbb,392.0,392.0,,,0 HCPCS,98008,Pr Synchronous Audio-Only Visit New Sf Mdm 15 Min-Pbb,213.0,213.0,,,0 HCPCS,98009,Pr Synchronous Audio-Only Visit New Low Mdm 30 Min-Pbb,339.0,339.0,,,0 HCPCS,98010,Pr Synchronous Audio-Only Visit New Mod Mdm 45 Min-Pbb,508.0,508.0,,,0 HCPCS,98011,Pr Synchronous Audio-Only Visit New High Mdm 60 Min-Pbb,677.0,677.0,,,0 HCPCS,98012,Pr Synchronous Audio-Only Visit Est Sf Mdm 10 Min-Pbb,142.0,142.0,,,0 HCPCS,98013,Pr Synchronous Audio-Only Visit Est Low Mdm 20 Min-Pbb,234.0,234.0,,,0 HCPCS,98014,Pr Synchronous Audio-Only Visit Est Mod Mdm 30 Min-Pbb,339.0,339.0,,,0 HCPCS,98015,Pr Synchronous Audio-Only Visit Est High Mdm 40 Min-Pbb,468.0,468.0,,,0 HCPCS,98016,Pr Brief Communication Tech-Bsd Svc Est Pt 5-10 Min-Pbb,86.0,86.0,,,0 HCPCS,98960,Hc Asthma Education,674.0,674.0,,,0 HCPCS,98960,Hc Education&Training Self-Mgmt Nonphys 1 Pt,674.0,674.0,,,0 HCPCS,98960,Hc Flexibility/Body Composition,674.0,674.0,,,0 HCPCS,98966,Hc pro phone call 5-10 min,,,10.56,15.31,3 HCPCS,98967,Hc pro phone call 11-20 min,,,21.04,30.51,3 HCPCS,98968,Hc pro phone call 21-30 min,,,29.14,42.25,3 HCPCS,98970,Qnhp ol dig e/m svc 5-10min,,,10.85,15.73,3 HCPCS,98971,Qnhp ol dig em svc 11-20min,,,20.02,29.03,3 HCPCS,98972,Qnhp ol dig e/m svc 21+ min,,,29.67,43.02,3 HCPCS,98975,Rem ther mntr 1st setup&edu,,,142.67,206.87,3 HCPCS,98976,Rem ther mntr dev sply resp,,,39.99,57.99,3 HCPCS,98977,Rem ther mntr dv sply mscskl,,,39.99,57.99,3 HCPCS,98978,Rem ther mntr dev sply cbt,,,39.99,57.99,3 HCPCS,98979,Rtm tx mgmt 1st 10 min,,,11.86,17.2,3 HCPCS,98980,Rem ther mntr 1st 20 min,,,25.93,37.6,3 HCPCS,98981,Rem ther mntr ea addl 20 min,,,26.41,38.29,3 HCPCS,98984,Rtm dev sply resp sys 2-15 d,,,39.99,57.99,3 HCPCS,98985,Rtm dev sply mscsk sys 2-15d,,,39.99,57.99,3 HCPCS,98986,Rtm dev sply cbt 2-15 d,,,39.99,57.99,3 HCPCS,99000,Hc Urine Specimen Collection Only,67.0,67.0,,,0 HCPCS,99000,Specimen handling office-lab,,,19.53,19.53,1 HCPCS,99001,Hc Special Prep Handle Transport,155.0,155.0,,,0 HCPCS,99001,Specimen handling pt-lab,,,23.21,23.21,1 HCPCS,99024,Post Partum Visit 99024 & 59430 For Medicaid,1478.0,1478.0,,,0 HCPCS,99024,Post Partum Visit 99024 & 59430 For Medicaid-Pbb,1478.0,1478.0,,,0 HCPCS,99056,Hc Nurse Practitioner Consult Non/Clinical,278.0,278.0,,,0 HCPCS,99060,Hc Stat Exome Sequencing (Proband Only),1200.0,1200.0,,,0 HCPCS,99060,Hc Stat Exome Sequencing (Trio),1200.0,1200.0,,,0 HCPCS,99070,Hc Bactroban Cream 15 Gm Employee Health,71.0,71.0,,,0 HCPCS,99070,Hc Cane,109.2,109.2,,,0 HCPCS,99070,Hc Cipro 500Mg Employee Health,5.0,5.0,,,0 HCPCS,99070,Hc Ciprofloxan Hcl Opth Sol 0.3% 2.5Ml Employee Health,25.0,25.0,,,0 HCPCS,99070,Hc Crutches,147.0,147.0,,,0 HCPCS,99070,Hc Dermabond Topical Skin Adhesive,96.6,96.6,,,0 HCPCS,99070,Hc Dermabond Topical Skin Adhesive Employee Health,88.2,88.2,,,0 HCPCS,99070,"Hc Finger Splint, Plain",85.05,85.05,,,0 HCPCS,99070,Hc Ibuprofen 600 Mg Employee Health,1.0,1.0,,,0 HCPCS,99070,Hc Ibuprofn 600 Mg Employee Health,1.0,1.0,,,0 HCPCS,99070,Hc Knee Pullover Sleeve,85.05,85.05,,,0 HCPCS,99070,Hc Lodine 500Mg Oral Employee Health,2.0,2.0,,,0 HCPCS,99070,Hc Naproxyn 250 Mg Ucm Employee Health,1.0,1.0,,,0 HCPCS,99070,Hc Sulfctmide Sodm Opthlmc Sol Usp 10% Employee Health,5.0,5.0,,,0 HCPCS,99070,Hc Tamiflu 75 Mg Employee Health,79.0,79.0,,,0 HCPCS,99070,Hc Tennis Elbow Support,91.35,91.35,,,0 HCPCS,99070,Hc Tetracaine Employee Health,2.0,2.0,,,0 HCPCS,99070,Hc Tetrcaine Employee Health,2.0,2.0,,,0 HCPCS,99070,Hc Thermazine Slvr Sulfadiazine 1.25Oz Employee Health,7.0,7.0,,,0 HCPCS,99070,Hc Triamcinolone 0.1% Cream Employee Health,1.0,1.0,,,0 HCPCS,99070,Hc Truvada Oral Tblt Employee Health,41.0,41.0,,,0 HCPCS,99070,Hc Valtrex 1Gm Caps Employee Health,21.0,21.0,,,0 HCPCS,99070,Hc Zithromax 250 Mg Employee Health,23.0,23.0,,,0 HCPCS,99070,Hc Zithromax 250Mg Employee Health,23.0,23.0,,,0 HCPCS,99070,Hc Zyrtec 10Mg Oral Employee Health,2.0,2.0,,,0 HCPCS,99080,Hc Ocmc Medical Review Officer Fee,19.0,19.0,,,0 HCPCS,99080,"Hc Ocmc Record View Only, Administrative",37.0,37.0,,,0 HCPCS,99080,"Hc Ocmc Record View Only, Administrative Simple",19.0,19.0,,,0 HCPCS,99080,Hc Ucom Medical Review Officer Fee,19.0,19.0,,,0 HCPCS,99080,"Hc Ucom Record View Only, Administrative",37.0,37.0,,,0 HCPCS,99091,Hc Collj & Interpj Physiol Data Min 30 Min Ea 30 D,237.0,237.0,,,0 HCPCS,99141,"Sedation, iv/im or inhalant",,,237.81,237.81,1 HCPCS,99143,"Mod cs by same phys, < 5",,,237.81,237.81,1 HCPCS,99144,"Mod cs by same phys, 5 yr",,,237.81,237.81,1 HCPCS,99145,Mod cs by same phys add-o,,,237.81,237.81,1 HCPCS,99151,Hc Moderate Sedation Same Physician/Qualified Health Pro <5 Yrs,1108.0,1108.0,,,0 HCPCS,99151,Hc Moderate Sedation Same Physician/Qualified Health Pro <5 Yrs-Pbb,1086.0,1086.0,,,0 HCPCS,99151,Pr Mod Sed Same Phys/Qhp Initial 15 Mins <5 Yrs-Pbb,250.0,250.0,,,0 HCPCS,99152,Hc Moderate Sedation Same Physician/Qualified Health Pro />5 Yrs,1388.0,1388.0,,,0 HCPCS,99152,Hc Moderate Sedation Same Physician/Qualified Health Pro />5 Yrs-Pbb,1505.0,1505.0,,,0 HCPCS,99152,Pr Mod Sed Same Phys/Qhp Initial 15 Mins 5/> Yrs-Pbb,234.0,234.0,,,0 HCPCS,99153,Hc Moderate Sedation Same Physician/Qualified Health Pro Each Additional 15 Mins,473.0,473.0,,,0 HCPCS,99153,Hc Moderate Sedation Same Physician/Qualified Health Pro Each Additional 15 Mins-Pbb,513.5,513.5,,,0 HCPCS,99153,Pr Mod Sed Same Phys/Qhp Each Addl 15 Mins-Pbb,81.0,81.0,,,0 HCPCS,99155,Hc Moderate Sedation Other Physician/Qualified Health Pro <5 Yrs,532.0,532.0,,,0 HCPCS,99155,Hc Moderate Sedation Other Physician/Qualified Health Pro <5 Yrs-Pbb,842.5,842.5,,,0 HCPCS,99155,Pr Mod Sed Other Phys/Qhp Initial 15 Mins <5 Yrs-Pbb,620.0,620.0,,,0 HCPCS,99156,Hc Moderate Sedation Other Physician/Qualified Health Pro 5/> Yrs,691.0,691.0,,,0 HCPCS,99156,Hc Moderate Sedation Other Physician/Qualified Health Pro 5/> Yrs-Pbb,982.0,982.0,,,0 HCPCS,99156,Pr Mod Sed Other Phys/Qhp Initial 15 Mins 5/> Yrs-Pbb,582.0,582.0,,,0 HCPCS,99157,Hc Moderate Sedation Other Physician/Qualified Health Pro Each Additional 15 Mins,235.0,235.0,,,0 HCPCS,99157,Hc Moderate Sedation Other Physician/Qualified Health Pro Each Additional 15 Mins-Pbb,319.0,319.0,,,0 HCPCS,99157,Pr Mod Sed Other Phys/Qhp Each Addl 15 Mins-Pbb,167.0,167.0,,,0 HCPCS,99170,Anogenital exam child w imag,,,216.65,314.14,3 HCPCS,99172,"Hc Vsl Fn Scrn, Aut Or Sem-Aut Bilt Qntve Det Vsl Ac Oclr Agnmt Clr Vzn By Psdschrmtc Plt & Fld Vzn",311.0,311.0,,,0 HCPCS,99172,Pr Visual Funct Scrng Auto Semi-Auto Bi Quan Determ-Pbb,252.0,252.0,,,0 HCPCS,99173,"Hc Screening Test Of Visual Acuity, Quantitative, Bilateral",66.0,66.0,,,0 HCPCS,99173,"Hc Screening Test Of Visual Acuity, Quantitative, Bilateral-Pbb",83.5,83.5,,,0 HCPCS,99173,Pr Screening Test Visual Acuity Quantitative Bilat-Pbb,28.0,28.0,,,0 HCPCS,99174,Pr Instrument Based Ocular Scr Bi W/Rmt Anal & Rpt-Pbb,65.0,65.0,,,0 HCPCS,99195,Hc Phlebotomy Therapeutic,623.0,623.0,,,0 HCPCS,99195,Phlebotomy,,,142.58,206.74,3 HCPCS,99199,Hc Bioanologics Assessment,375.0,375.0,,,0 HCPCS,99199,Hc Fixed-Wing Observation,460.0,460.0,,,0 HCPCS,99199,Hc Resident Cosmetic Visit,50.0,50.0,,,0 HCPCS,99201,Pr Office Outpatient New 10 Minutes,263.0,263.0,,,0 HCPCS,99201,Pr Office Outpatient New 10 Minutes-Pbb,263.0,263.0,,,0 HCPCS,99202,Hc Evaluation And Management New Patient Level 2,345.0,345.0,,,0 HCPCS,99202,Hc Evaluation And Management New Patient Level 2-Pbb,342.5,342.5,,,0 HCPCS,99202,New Patient Initial Prenatal Visit 99202 & 0500F For Medicaid,326.0,326.0,,,0 HCPCS,99202,New Patient Initial Prenatal Visit 99202 & 0500F For Medicaid-Pbb,326.0,326.0,,,0 HCPCS,99202,Pr Office/Outpatient New Sf Mdm 15 Minutes,241.5,241.5,,,0 HCPCS,99202,Pr Office/Outpatient New Sf Mdm 15 Minutes-Pbb,326.0,326.0,,,0 HCPCS,99203,Hc Cosmetic Conslt Rfnd Cncl Cash,52.0,52.0,,,0 HCPCS,99203,Hc Evaluation And Management New Patient Level 3,479.0,479.0,,,0 HCPCS,99203,Hc Evaluation And Management New Patient Level 3-Pbb,476.0,476.0,,,0 HCPCS,99203,New Patient Initial Prenatal Visit 99203 & 0500F For Medicaid,425.0,425.0,,,0 HCPCS,99203,New Patient Initial Prenatal Visit 99203 & 0500F For Medicaid-Pbb,425.0,425.0,,,0 HCPCS,99203,Office/outpatient visit new,,,85.14,85.14,1 HCPCS,99203,Pr Cosmetic Conslt Rfnd Cncl Cash,52.0,52.0,,,0 HCPCS,99203,Pr Office/Outpatient New Low Mdm 30 Minutes,334.0,334.0,,,0 HCPCS,99203,Pr Office/Outpatient New Low Mdm 30 Minutes-Pbb,425.0,425.0,,,0 HCPCS,99204,Hc Evaluation And Management New Patient Level 4,598.0,598.0,,,0 HCPCS,99204,Hc Evaluation And Management New Patient Level 4-Pbb,594.0,594.0,,,0 HCPCS,99204,New Patient Initial Prenatal Visit 99204 & 0500F For Medicaid,606.0,606.0,,,0 HCPCS,99204,New Patient Initial Prenatal Visit 99204 & 0500F For Medicaid-Pbb,606.0,606.0,,,0 HCPCS,99204,Office/outpatient visit new,,,105.69,105.69,1 HCPCS,99204,Pr Office/Outpatient New Moderate Mdm 45 Minutes,483.0,483.0,,,0 HCPCS,99204,Pr Office/Outpatient New Moderate Mdm 45 Minutes-Pbb,606.0,606.0,,,0 HCPCS,99205,Hc Evaluation And Management New Patient Level 5,759.0,759.0,,,0 HCPCS,99205,Hc Evaluation And Management New Patient Level 5-Pbb,754.0,754.0,,,0 HCPCS,99205,New Patient Initial Prenatal Visit 99205 & 0500F For Medicaid,820.0,820.0,,,0 HCPCS,99205,New Patient Initial Prenatal Visit 99205 & 0500F For Medicaid-Pbb,820.0,820.0,,,0 HCPCS,99205,Pr Office/Outpatient New High Mdm 60 Minutes,646.0,646.0,,,0 HCPCS,99205,Pr Office/Outpatient New High Mdm 60 Minutes-Pbb,820.0,820.0,,,0 HCPCS,99211,Hc Evaluation And Management Return Patient Level 1,289.0,289.0,,,0 HCPCS,99211,Hc Evaluation And Management Return Patient Level 1-Pbb,287.0,287.0,,,0 HCPCS,99211,Office/outpatient visit est,,,44.04,44.04,1 HCPCS,99211,Pr Office/Outpatient Est Pt May Not Req Phys/Qhp,77.5,77.5,,,0 HCPCS,99211,Pr Office/Outpatient Est Pt May Not Req Phys/Qhp-Pbb,126.0,126.0,,,0 HCPCS,99212,Estab Pt Initial Prenatal Visit 99212 & 0500F For Medicaid,200.0,200.0,,,0 HCPCS,99212,Estab Pt Initial Prenatal Visit 99212 & 0500F For Medicaid-Pbb,200.0,200.0,,,0 HCPCS,99212,Estab Pt Subsequent Prenatal Visit 99212,200.0,200.0,,,0 HCPCS,99212,Estab Pt Subsequent Prenatal Visit 99212-Pbb,200.0,200.0,,,0 HCPCS,99212,Hc Evaluation And Management Return Patient Level 2,345.0,345.0,,,0 HCPCS,99212,Hc Evaluation And Management Return Patient Level 2-Pbb,342.5,342.5,,,0 HCPCS,99212,Office/outpatient visit est,,,49.91,49.91,1 HCPCS,99212,Pr Office/Outpatient Established Sf Mdm 10 Min,141.5,141.5,,,0 HCPCS,99212,Pr Office/Outpatient Established Sf Mdm 10 Min-Pbb,200.0,200.0,,,0 HCPCS,99213,Estab Pt Initial Prenatal Visit 99213 & 0500F For Medicaid,254.0,254.0,,,0 HCPCS,99213,Estab Pt Initial Prenatal Visit 99213 & 0500F For Medicaid-Pbb,254.0,254.0,,,0 HCPCS,99213,Estab Pt Subsequent Prenatal Visit 99213,254.0,254.0,,,0 HCPCS,99213,Estab Pt Subsequent Prenatal Visit 99213-Pbb,254.0,254.0,,,0 HCPCS,99213,Hc Derm Executive Health Visit,530.0,530.0,,,0 HCPCS,99213,Hc Dmpr-Cosmetic Consult Cash,200.0,200.0,,,0 HCPCS,99213,"Hc Dmpr-Cosmetic Consult Cash-Csm,Pbb",200.0,200.0,,,0 HCPCS,99213,Hc Dmpr-Cosmetic Consult Cash-Pbb,58.0,58.0,,,0 HCPCS,99213,Hc Evaluation And Management Return Patient Level 3,409.0,409.0,,,0 HCPCS,99213,Hc Evaluation And Management Return Patient Level 3-Pbb,406.5,406.5,,,0 HCPCS,99213,Office/outpatient visit est,,,61.65,61.65,1 HCPCS,99213,Pr Office/Outpatient Established Low Mdm 20 Min,187.5,187.5,,,0 HCPCS,99213,Pr Office/Outpatient Established Low Mdm 20 Min-Pbb,254.0,254.0,,,0 HCPCS,99214,Estab Pt Initial Prenatal Visit 99214 & 0500F For Medicaid,370.0,370.0,,,0 HCPCS,99214,Estab Pt Initial Prenatal Visit 99214 & 0500F For Medicaid-Pbb,370.0,370.0,,,0 HCPCS,99214,Estab Pt Subsequent Prenatal Visit 99214,370.0,370.0,,,0 HCPCS,99214,Estab Pt Subsequent Prenatal Visit 99214-Pbb,370.0,370.0,,,0 HCPCS,99214,Hc Evaluation And Management Return Patient Level 4,479.0,479.0,,,0 HCPCS,99214,Hc Evaluation And Management Return Patient Level 4-Pbb,476.0,476.0,,,0 HCPCS,99214,Office/outpatient visit est,,,85.14,85.14,1 HCPCS,99214,Pr Office/Outpatient Established Mod Mdm 30 Min,283.5,283.5,,,0 HCPCS,99214,Pr Office/Outpatient Established Mod Mdm 30 Min-Pbb,370.0,370.0,,,0 HCPCS,99215,Estab Pt Initial Prenatal Visit 99215 & 0500F For Medicaid,590.0,590.0,,,0 HCPCS,99215,Estab Pt Initial Prenatal Visit 99215 & 0500F For Medicaid-Pbb,590.0,590.0,,,0 HCPCS,99215,Estab Pt Subsequent Prenatal Visit 99215,590.0,590.0,,,0 HCPCS,99215,Estab Pt Subsequent Prenatal Visit 99215-Pbb,590.0,590.0,,,0 HCPCS,99215,Hc Evaluation And Management Return Patient Level 5,598.0,598.0,,,0 HCPCS,99215,Hc Evaluation And Management Return Patient Level 5-Pbb,594.0,594.0,,,0 HCPCS,99215,Office/outpatient visit est,,,96.88,96.88,1 HCPCS,99215,Pr Office/Outpatient Established High Mdm 40 Min,452.0,452.0,,,0 HCPCS,99215,Pr Office/Outpatient Established High Mdm 40 Min-Pbb,590.0,590.0,,,0 HCPCS,99217,Pr Observation Care Discharge Management,328.0,328.0,,,0 HCPCS,99217,Pr Observation Care Discharge Management-Pbb,328.0,328.0,,,0 HCPCS,99218,Pr Initial Observation Care/Day 30 Minutes,457.0,457.0,,,0 HCPCS,99218,Pr Initial Observation Care/Day 30 Minutes-Pbb,457.0,457.0,,,0 HCPCS,99219,Pr Initial Observation Care/Day 50 Minutes,612.0,612.0,,,0 HCPCS,99219,Pr Initial Observation Care/Day 50 Minutes-Pbb,612.0,612.0,,,0 HCPCS,99220,Pr Initial Observation Care/Day 70 Minutes,839.0,839.0,,,0 HCPCS,99220,Pr Initial Observation Care/Day 70 Minutes-Pbb,839.0,839.0,,,0 HCPCS,99221,Pr 1St Hospital Ip/Obs Care Sf/Low Mdm 40 Minutes,491.0,491.0,,,0 HCPCS,99221,Pr 1St Hospital Ip/Obs Care Sf/Low Mdm 40 Minutes-Pbb,491.0,491.0,,,0 HCPCS,99222,Pr 1St Hospital Ip/Obs Care Moderate Mdm 55 Minutes,662.0,662.0,,,0 HCPCS,99222,Pr 1St Hospital Ip/Obs Care Moderate Mdm 55 Minutes-Pbb,662.0,662.0,,,0 HCPCS,99223,Pr 1St Hospital Ip/Obs Care High Mdm 75 Minutes,969.0,969.0,,,0 HCPCS,99223,Pr 1St Hospital Ip/Obs Care High Mdm 75 Minutes-Pbb,969.0,969.0,,,0 HCPCS,99224,Pr Sbsq Observation Care/Day 15 Minutes,181.0,181.0,,,0 HCPCS,99224,Pr Sbsq Observation Care/Day 15 Minutes-Pbb,181.0,181.0,,,0 HCPCS,99225,Pr Sbsq Observation Care/Day 25 Minutes,327.0,327.0,,,0 HCPCS,99225,Pr Sbsq Observation Care/Day 25 Minutes-Pbb,327.0,327.0,,,0 HCPCS,99226,Pr Sbsq Observation Care/Day 35 Minutes,475.0,475.0,,,0 HCPCS,99226,Pr Sbsq Observation Care/Day 35 Minutes-Pbb,475.0,475.0,,,0 HCPCS,99231,Pr Sbsq Hospital Ip/Obs Care Sf/Low Mdm 25 Minutes,187.0,187.0,,,0 HCPCS,99231,Pr Sbsq Hospital Ip/Obs Care Sf/Low Mdm 25 Minutes-Pbb,187.0,187.0,,,0 HCPCS,99232,Pr Sbsq Hospital Ip/Obs Care Mod Mdm 35 Minutes,342.0,342.0,,,0 HCPCS,99233,Pr Sbsq Hospital Ip/Obs Care High Mdm 50 Minutes,493.0,493.0,,,0 HCPCS,99233,Pr Sbsq Hospital Ip/Obs Care High Mdm 50 Minutes-Pbb,493.0,493.0,,,0 HCPCS,99234,Pr Hospital Ip/Obs Care Same Date Sf/Low Mdm 45 Min,649.0,649.0,,,0 HCPCS,99234,Pr Hospital Ip/Obs Care Same Date Sf/Low Mdm 45 Min-Pbb,649.0,649.0,,,0 HCPCS,99235,Pr Hospital Ip/Obs Care Same Date Mod Mdm 70 Min,806.0,806.0,,,0 HCPCS,99235,Pr Hospital Ip/Obs Care Same Date Mod Mdm 70 Min-Pbb,806.0,806.0,,,0 HCPCS,99236,Pr Hospital Ip/Obs Care Same Date High Mdm 85 Min,1037.0,1037.0,,,0 HCPCS,99236,Pr Hospital Ip/Obs Care Same Date High Mdm 85 Min-Pbb,1037.0,1037.0,,,0 HCPCS,99238,Pr Hospital Ip/Obs Discharge Day Mgmt 30 Min/<,346.0,346.0,,,0 HCPCS,99238,Pr Hospital Ip/Obs Discharge Day Mgmt 30 Min/<-Pbb,346.0,346.0,,,0 HCPCS,99239,Pr Hospital Ip/Obs Discharge Day Mgmt > 30 Min,507.0,507.0,,,0 HCPCS,99239,Pr Hospital Ip/Obs Discharge Day Mgmt > 30 Min-Pbb,507.0,507.0,,,0 HCPCS,99241,Pr Office Consultation Established 15 Min,385.0,385.0,,,0 HCPCS,99241,Pr Office Consultation Established 15 Min-Pbb,385.0,385.0,,,0 HCPCS,99241,Pr Office Consultation New Patient 15 Min,385.0,385.0,,,0 HCPCS,99241,Pr Office Consultation New/Estab Patient 15 Min,252.5,252.5,,,0 HCPCS,99241,Pr Office Consultation New/Estab Patient 15 Min-Pbb,385.0,385.0,,,0 HCPCS,99242,Hc Cosmetic Consult Resident Cash-Csm,125.0,125.0,,,0 HCPCS,99242,Pr Office Consultation Established Patient 20 Min,494.0,494.0,,,0 HCPCS,99242,Pr Office Consultation Established Patient 20 Min-Pbb,494.0,494.0,,,0 HCPCS,99242,Pr Office Consultation New Patient 20 Min,494.0,494.0,,,0 HCPCS,99242,Pr Office/Op Consltj New/Est Pt Sf Mdm 20 Minutes,365.5,365.5,,,0 HCPCS,99242,Pr Office/Op Consltj New/Est Pt Sf Mdm 20 Minutes-Pbb,494.0,494.0,,,0 HCPCS,99243,"Hc Attending Cosmetic Consult Cash-Csm,Pbb",137.5,137.5,,,0 HCPCS,99243,"Pr Attending Cosmetic Consult Cash-Csm,Pbb",75.0,75.0,,,0 HCPCS,99243,Pr Office Consultation Established Patient 30 Min,630.0,630.0,,,0 HCPCS,99243,Pr Office Consultation Established Patient 30 Min-Pbb,630.0,630.0,,,0 HCPCS,99243,Pr Office Consultation New Patient 30 Min,630.0,630.0,,,0 HCPCS,99243,Pr Office/Op Consltj New/Est Pt Low Mdm 30 Minutes,474.0,474.0,,,0 HCPCS,99243,Pr Office/Op Consltj New/Est Pt Low Mdm 30 Minutes-Pbb,630.0,630.0,,,0 HCPCS,99244,Pr Office Consultation Established Patient 40 Min,823.0,823.0,,,0 HCPCS,99244,Pr Office Consultation Established Patient 40 Min-Pbb,823.0,823.0,,,0 HCPCS,99244,Pr Office Consultation New Patient 40 Min,823.0,823.0,,,0 HCPCS,99244,Pr Office/Op Consltj New/Est Pt Mod Mdm 40 Minutes,643.0,643.0,,,0 HCPCS,99244,Pr Office/Op Consltj New/Est Pt Mod Mdm 40 Minutes-Pbb,823.0,823.0,,,0 HCPCS,99245,Pr Office Consultation Established Patient 55 Min,1042.0,1042.0,,,0 HCPCS,99245,Pr Office Consultation Established Patient 55 Min-Pbb,1042.0,1042.0,,,0 HCPCS,99245,Pr Office Consultation New Patient 55 Min,1042.0,1042.0,,,0 HCPCS,99245,Pr Office/Op Consltj New/Est Pt High Mdm 55 Minutes,830.0,830.0,,,0 HCPCS,99245,Pr Office/Op Consltj New/Est Pt High Mdm 55 Minutes-Pbb,1042.0,1042.0,,,0 HCPCS,99251,Pr Initl Inpatient Consult New/Estab Pt 20 Min,301.0,301.0,,,0 HCPCS,99251,Pr Initl Inpatient Consult New/Estab Pt 20 Min-Pbb,301.0,301.0,,,0 HCPCS,99252,Pr Ip/Obs Consltj New/Est Pt Sf Mdm 35 Minutes,462.0,462.0,,,0 HCPCS,99252,Pr Ip/Obs Consltj New/Est Pt Sf Mdm 35 Minutes-Pbb,462.0,462.0,,,0 HCPCS,99253,Pr Ip/Obs Consltj New/Est Pt Low Mdm 45 Minutes,701.0,701.0,,,0 HCPCS,99253,Pr Ip/Obs Consltj New/Est Pt Low Mdm 45 Minutes-Pbb,701.0,701.0,,,0 HCPCS,99254,Pr Ip/Obs Consltj New/Est Pt Mod Mdm 60 Minutes,1007.0,1007.0,,,0 HCPCS,99254,Pr Ip/Obs Consltj New/Est Pt Mod Mdm 60 Minutes-Pbb,1007.0,1007.0,,,0 HCPCS,99255,Pr Ip/Obs Consltj New/Est Pt High Mdm 80 Minutes,1199.0,1199.0,,,0 HCPCS,99255,Pr Ip/Obs Consltj New/Est Pt High Mdm 80 Minutes-Pbb,1199.0,1199.0,,,0 HCPCS,99281,Emergency dept visit,,,58.72,131.03,4 HCPCS,99281,Hc Emergency Room Elopement- Mse Performed,383.0,383.0,,,0 HCPCS,99281,Hc Emergency Room Problem Focused Visit,806.0,806.0,,,0 HCPCS,99282,Emergency dept visit,,,99.82,238.58,4 HCPCS,99282,Hc Emergency Department Evaluation And Management Level 2,991.0,991.0,,,0 HCPCS,99283,Emergency dept visit,,,223.13,424.17,4 HCPCS,99283,Hc Emergency Department Evaluation And Management Level 3,2477.0,2477.0,,,0 HCPCS,99284,Emergency dept visit,,,346.44,648.36,4 HCPCS,99284,Hc Emergency Department Evaluation And Management Level 4,4274.0,4274.0,,,0 HCPCS,99285,Emergency dept visit,,,543.14,925.36,4 HCPCS,99285,Hc Emergency Department Evaluation And Management Level 5,5099.0,5099.0,,,0 HCPCS,99291,Critical care first hour,,,885.19,1283.52,3 HCPCS,99291,Hc Critical Care E&M First 30-74 Min,10476.0,10476.0,,,0 HCPCS,99291,Pr Critical Care Ill/Injured Patient Init 30-74 Min,1056.0,1056.0,,,0 HCPCS,99291,Pr Critical Care Ill/Injured Patient Init 30-74 Min-Pbb,1056.0,1056.0,,,0 HCPCS,99292,Hc Critical Care E&M Each Additional 30 Min,1824.0,1824.0,,,0 HCPCS,99292,Pr Critical Care Ill/Injured Patient Addl 30 Min,524.0,524.0,,,0 HCPCS,99292,Pr Critical Care Ill/Injured Patient Addl 30 Min-Pbb,524.0,524.0,,,0 HCPCS,99354,Hc Ucpg Outpatient Prolonged Direct Service First Hour,153.0,153.0,,,0 HCPCS,99354,Hc Ucpg Outpatient Prolonged Direct Service First Hour-Pbb,153.0,153.0,,,0 HCPCS,99355,Hc Ucpg Outpatient Prolonged Direct Service First Hour,149.0,149.0,,,0 HCPCS,99355,Hc Ucpg Outpatient Prolonged Direct Service First Hour-Pbb,149.0,149.0,,,0 HCPCS,99355,Pr Prolonged Svc Outpatient Setting Ea Addl 30 Min,365.0,365.0,,,0 HCPCS,99356,Pr Prolonged Svc I/P Or Obs Setting 1St Hour,411.0,411.0,,,0 HCPCS,99358,Pr Prolng E/M Svc Before&/After Dir Pt Care 1St Hr-Pbb,580.0,580.0,,,0 HCPCS,99359,Pr Prolng E/M Before&/After Dir Care Ea 30 Minutes-Pbb,276.0,276.0,,,0 HCPCS,99381,Hc Preventive Medicine Evaluation New Patient; Infant-Pbb,429.0,429.0,,,0 HCPCS,99381,Pr Initial Preventive Medicine New Patient <1Year-Pbb,398.0,398.0,,,0 HCPCS,99382,Hc Preventive Medicine Evaluation New Patient; 1-4 Years-Pbb,454.5,454.5,,,0 HCPCS,99382,Pr Initial Preventive Medicine New Pt Age 1-4 Yrs-Pbb,431.0,431.0,,,0 HCPCS,99383,Hc Preventive Medicine Evaluation New Patient; 5-11 Years-Pbb,480.5,480.5,,,0 HCPCS,99383,Pr Initial Preventive Medicine New Pt Age 5-11 Yrs-Pbb,460.0,460.0,,,0 HCPCS,99384,Hc Preventive Medicine Evaluation New Patient; 12-17 Years-Pbb,527.5,527.5,,,0 HCPCS,99384,Pr Initial Preventive Medicine New Pt Age 12-17 Yr-Pbb,488.0,488.0,,,0 HCPCS,99385,"Hc Ocmc-Pre-Employment Exam, Intermediate",249.0,249.0,,,0 HCPCS,99385,"Hc Ocmc-Pre-Employment Exam, Intermediate-Pbb",294.0,294.0,,,0 HCPCS,99385,Hc Preventive Medicine Evaluation New Patient; 18-39 Years-Pbb,594.0,594.0,,,0 HCPCS,99385,Pr Initial Preventive Medicine New Pt Age 18-39Yrs-Pbb,661.0,661.0,,,0 HCPCS,99386,Hc Preventive Medicine Evaluation New Patient; 40-64 Years-Pbb,676.0,676.0,,,0 HCPCS,99386,Pr Initial Preventive Medicine New Patient 40-64Yrs-Pbb,722.0,722.0,,,0 HCPCS,99387,Hc Preventive Medicine Evaluation New Patient; 65 Years And Older-Pbb,751.0,751.0,,,0 HCPCS,99387,Pr Initial Preventive Medicine New Patient 65Yrs&>-Pbb,814.0,814.0,,,0 HCPCS,99391,Hc Preventive Medicine Evaluation Established Patient; Infant-Pbb,482.5,482.5,,,0 HCPCS,99391,Pr Periodic Preventive Med Established Patient <1Y-Pbb,326.0,326.0,,,0 HCPCS,99392,Hc Preventive Medicine Evaluation Established Patient; 1-4 Years-Pbb,511.5,511.5,,,0 HCPCS,99392,Pr Periodic Preventive Med Est Patient 1-4Yrs-Pbb,346.0,346.0,,,0 HCPCS,99393,Hc Preventive Medicine Evaluation Established Patient; 5-11 Years-Pbb,527.0,527.0,,,0 HCPCS,99393,Pr Periodic Preventive Med Est Patient 5-11Yrs-Pbb,376.0,376.0,,,0 HCPCS,99394,Hc Preventive Medicine Evaluation Established Patient; 12-17 Years-Pbb,573.0,573.0,,,0 HCPCS,99394,Pr Periodic Preventive Med Est Patient 12-17Yrs-Pbb,406.0,406.0,,,0 HCPCS,99395,Hc Preventive Medicine Evaluation Established Patient; 18-39 Years-Pbb,653.5,653.5,,,0 HCPCS,99395,Pr Periodic Preventive Med Est Patient 18-39 Yrs-Pbb,551.0,551.0,,,0 HCPCS,99396,Hc Preventive Medicine Evaluation Established Patient; 40-64 Years-Pbb,704.0,704.0,,,0 HCPCS,99396,Pr Periodic Preventive Med Est Patient 40-64Yrs-Pbb,600.0,600.0,,,0 HCPCS,99397,Hc Preventive Medicine Evaluation Established Patient; 65 Years Or Older-Pbb,776.0,776.0,,,0 HCPCS,99397,Pr Periodic Preventive Med Est Patient 65Yrs& Older-Pbb,682.0,682.0,,,0 HCPCS,99401,Hc Preventive Medicine Counseling And/Or Risk Factor Reduction Intrvtn; Approximately 15 Min,356.0,356.0,,,0 HCPCS,99401,Hc Preventive Medicine Counseling And/Or Risk Factor Reduction Intrvtn; Approximately 15 Min-Pbb,195.0,195.0,,,0 HCPCS,99401,Pr Prev Med Cnsl&/Rsk Fctr Rdctj Indv Approx 15 Min-Pbb,161.0,161.0,,,0 HCPCS,99402,Hc Preventive Medicine Counseling And/Or Risk Factor Reduction Intrvtn; Approximately 30 Min,794.0,794.0,,,0 HCPCS,99402,Hc Preventive Medicine Counseling And/Or Risk Factor Reduction Intrvtn; Approximately 30 Min-Pbb,488.0,488.0,,,0 HCPCS,99402,Pr Prev Med Cnsl&/Rsk Fctr Rdctj Indv Approx 30 Min-Pbb,306.0,306.0,,,0 HCPCS,99403,Hc Preventive Medicine Counseling And/Or Risk Factor Reduction Intrvtn; Approximately 45 Min,1218.0,1218.0,,,0 HCPCS,99403,Hc Preventive Medicine Counseling And/Or Risk Factor Reduction Intrvtn; Approximately 45 Min-Pbb,747.0,747.0,,,0 HCPCS,99403,Pr Prev Med Cnsl&/Rsk Fctr Rdctj Indv Approx 45 Min-Pbb,471.0,471.0,,,0 HCPCS,99404,Hc Preventive Medicine Counseling And/Or Risk Factor Reduction Intrvtn; Approximately 60 Min,1595.0,1595.0,,,0 HCPCS,99404,Hc Preventive Medicine Counseling And/Or Risk Factor Reduction Intrvtn; Approximately 60 Min-Pbb,977.0,977.0,,,0 HCPCS,99404,Pr Prev Med Cnsl&/Rsk Fctr Rdctj Indv Approx 60 Min-Pbb,617.0,617.0,,,0 HCPCS,99406,Behav chng smoking 3-10 min,,,40.15,58.22,3 HCPCS,99406,Hc Smoking And Tobacco Use Cessation Counseling Visit; Intensive; G.T. 3 Min Up To 10 Min,219.0,219.0,,,0 HCPCS,99406,Hc Smoking And Tobacco Use Cessation Counseling Visit; Intensive; G.T. 3 Min Up To 10 Min-Pbb,172.5,172.5,,,0 HCPCS,99406,Pr Tobacco Use Cessation Intermediate 3-10 Minutes-Pbb,90.0,90.0,,,0 HCPCS,99407,Behav chng smoking > 10 min,,,40.15,58.22,3 HCPCS,99407,Hc Smoking And Tobacco Use Cessation Counseling Visit; Intensive; Greater Than 10 Minutes,311.0,311.0,,,0 HCPCS,99407,Hc Smoking And Tobacco Use Cessation Counseling Visit; Intensive; Greater Than 10 Minutes-Pbb,244.0,244.0,,,0 HCPCS,99407,Pr Tobacco Use Cessation Intensive >10 Minutes-Pbb,130.0,130.0,,,0 HCPCS,99411,Hc Preventive Med Counseling And/Or Risk Factor Reduc Prov To Inds In A Group Setting; Approx 30 Min,178.0,178.0,,,0 HCPCS,99411,Pr Prev Med Counsel & Risk Factor Redj Grp Spx 30 M-Pbb,171.0,171.0,,,0 HCPCS,99412,Hc Preventive Med Counseling And/Or Risk Factor Reduc Prov To Inds In A Group Setting; Approx 60 Min,436.5,436.5,,,0 HCPCS,99412,Pr Prev Med Counsel & Risk Factor Redj Grp Spx 60 M-Pbb,285.0,285.0,,,0 HCPCS,99415,Hc Prolng Clincl Staff Svc During O/P E/M 1St Hr,72.0,72.0,,,0 HCPCS,99416,Hc Prolng Clincl Staff Svc During O/P E/M Ea 30 Min,35.0,35.0,,,0 HCPCS,99417,Cpt 99417/G2212 Prolonged Service 1 Unit,214.0,214.0,,,0 HCPCS,99421,Pr Online Digital E/M Svc Est Pt <7 D 5-10 Minutes,69.0,69.0,,,0 HCPCS,99421,Pr Online Digital E/M Svc Est Pt <7 D 5-10 Minutes-Pbb,69.0,69.0,,,0 HCPCS,99422,Pr Online Digital E/M Svc Est Pt <7 D 11-20 Minutes,141.0,141.0,,,0 HCPCS,99422,Pr Online Digital E/M Svc Est Pt <7 D 11-20 Minutes-Pbb,141.0,141.0,,,0 HCPCS,99423,Pr Online Digital E/M Svc Est Pt <7 D 21+ Minutes,227.0,227.0,,,0 HCPCS,99423,Pr Online Digital E/M Svc Est Pt <7 D 21+ Minutes-Pbb,227.0,227.0,,,0 HCPCS,99426,Prin care mgmt staff 1st 30,,,108.87,157.85,3 HCPCS,99441,Hc Telephone Evaulation And Management 5-10 Minutes,133.0,133.0,,,0 HCPCS,99441,Pr Phys/Qhp Telephone Evaluation 5-10 Min,126.0,126.0,,,0 HCPCS,99441,Pr Phys/Qhp Telephone Evaluation 5-10 Min-Pbb,147.0,147.0,,,0 HCPCS,99442,Hc Telephone Consultation 11-20 Minutes,258.0,258.0,,,0 HCPCS,99442,Pr Phys/Qhp Telephone Evaluation 11-20 Min,210.0,210.0,,,0 HCPCS,99442,Pr Phys/Qhp Telephone Evaluation 11-20 Min-Pbb,242.0,242.0,,,0 HCPCS,99443,Hc Telephone Consultation 21-30 Minutes,391.0,391.0,,,0 HCPCS,99443,Pr Phys/Qhp Telephone Evaluation 21-30 Min,290.5,290.5,,,0 HCPCS,99443,Pr Phys/Qhp Telephone Evaluation 21-30 Min-Pbb,351.0,351.0,,,0 HCPCS,99445,Rem mntr physiol param 2-15,,,39.99,57.99,3 HCPCS,99453,Rem mntr physiol param setup,,,142.67,206.87,3 HCPCS,99454,Rem mntr physiol param dev,,,39.99,57.99,3 HCPCS,99455,Hc Workmens Comp Level 1,126.0,126.0,,,0 HCPCS,99455,Hc Workmens Comp Level 2,244.0,244.0,,,0 HCPCS,99455,Hc Workmens Comp Level 3,372.0,372.0,,,0 HCPCS,99455,Hc Workmens Comp Level 4,492.0,492.0,,,0 HCPCS,99456,Hc Employee Fitness For Duty Complex,385.0,385.0,,,0 HCPCS,99456,Hc Employee Fitness For Duty Intermediate,220.0,220.0,,,0 HCPCS,99456,Hc Employee Fitness For Duty Simple,112.0,112.0,,,0 HCPCS,99456,Hc Work Related/Med Disability Exam,648.0,648.0,,,0 HCPCS,99456,Hc Work Related/Med Disability Exam-Pbb,1310.5,1310.5,,,0 HCPCS,99456,Pr Work Related/Med Dblt Xm Oth/Thn Treating Phys-Pbb,1243.0,1243.0,,,0 HCPCS,99460,Init nb em per day hosp,,,142.67,206.87,3 HCPCS,99463,Same day nb discharge,,,142.67,206.87,3 HCPCS,99464,Hc Attn At Delivery 1St Stabilization Of Newborn,764.0,764.0,,,0 HCPCS,99465,Hc Consulting Services (Non-Clinical) Md,741.0,741.0,,,0 HCPCS,99465,Nb resuscitation,,,708.28,1027.01,3 HCPCS,99473,Self-meas bp pt educaj/train,,,30.99,44.94,3 HCPCS,99483,Assmt & care pln pt cog imp,,,108.87,157.85,3 HCPCS,99483,Hcassmt & Care Pln Pt Cog Imp-Pbb,577.0,577.0,,,0 HCPCS,99483,Pr Assmt & Care Planning Pt W/Cognitive Impairment-Pbb,676.0,676.0,,,0 HCPCS,99484,Care mgmt svc bhvl hlth cond,,,40.15,58.22,3 HCPCS,99487,Cmplx chron care w/o pt vsit,,,190.21,275.8,3 HCPCS,99487,Hc Cmplx Chron Care Mgmt W/O Pt Vst 1St Hr Per Month-Pbb,463.0,463.0,,,0 HCPCS,99487,Pr Complex Chronic Care Mgmt Svc 1St 60 Min Cal Mo-Pbb,440.0,440.0,,,0 HCPCS,99489,Hc Cmplx Chron Care Mgmt Ea Addl 30 Min Per Month-Pbb,229.5,229.5,,,0 HCPCS,99489,Pr Cplx Chronic Care Mgmt Svc Ea Addl 30 Min Cal Mo-Pbb,383.0,383.0,,,0 HCPCS,99490,Chron care mgmt srvc 20 min,,,108.87,157.85,3 HCPCS,99490,"Hc Chronic Care Mgmt, At Least 20 Minutes Of Clinical Staff Time Directed By Md Or Qchp",257.0,257.0,,,0 HCPCS,99490,"Hc Chronic Care Mgmt, At Least 20 Minutes Of Clinical Staff Time Directed By Md Or Qchp-Pbb",239.0,239.0,,,0 HCPCS,99490,Pr Chronic Care Mgmt Svcs Staff 1St 20 Min Cal Mo-Pbb,58.0,58.0,,,0 HCPCS,99491,Pr Chronic Care Mgmt Svc Phys 1St 30 Min Cal Month-Pbb,138.0,138.0,,,0 HCPCS,99492,1st psyc collab care mgmt,,,108.87,157.85,3 HCPCS,99493,Sbsq psyc collab care mgmt,,,108.87,157.85,3 HCPCS,99495,"Hc Transitional Care Management, Moderate Complexity, Within 14 Calendar Days Of Discharge",470.0,470.0,,,0 HCPCS,99495,"Hc Transitional Care Management, Moderate Complexity, Within 14 Calendar Days Of Discharge-Pbb",638.5,638.5,,,0 HCPCS,99495,Pr Transj Care Mgmt Mod Mdm F2F 14 Cal D Discharge-Pbb,337.0,337.0,,,0 HCPCS,99495,Trans care mgmt 14 day disch,,,142.67,206.87,3 HCPCS,99496,"Hc Transitional Care Management, High Complexity, Within 7 Calendar Days Of Discharge",551.0,551.0,,,0 HCPCS,99496,"Hc Transitional Care Management, High Complexity, Within 7 Calendar Days Of Discharge-Pbb",778.5,778.5,,,0 HCPCS,99496,Pr Transj Care Mgmt High Mdm F2F 7 Cal D Discharge-Pbb,454.0,454.0,,,0 HCPCS,99496,Trans care mgmt 7 day disch,,,142.67,206.87,3 HCPCS,99497,Advncd care plan 30 min,,,108.87,157.85,3 HCPCS,99497,Hc Advance Care Planning First 30 Mins,311.0,311.0,,,0 HCPCS,99497,Hc Advance Care Planning First 30 Mins-Pbb,384.5,384.5,,,0 HCPCS,99497,Pr Advance Care Planning First 30 Mins-Pbb,148.0,148.0,,,0 HCPCS,99498,Hc Advance Care Planning Ea Addl 30 Mins-Pbb,384.5,384.5,,,0 HCPCS,99498,Pr Advance Care Planning Ea Addl 30 Mins-Pbb,148.0,148.0,,,0 HCPCS,99499,Hc New Travel Counsel-1 Patient,95.0,95.0,,,0 HCPCS,99499,Hc New Travel Counsel-2 Patients Or Greater,55.0,55.0,,,0 HCPCS,99499,Hc Return Travel Counsel 2 Pts Or > Greater,55.0,55.0,,,0 HCPCS,99499,Hc Return Travel Counsel-1 Patient,55.0,55.0,,,0 HCPCS,99499,Hc Travel Evaluation,118.0,118.0,,,0 HCPCS,99499,Hc Travel Group Visit,68.0,68.0,,,0 HCPCS,99499,Hc Travel Return Visit,68.0,68.0,,,0 HCPCS,99605,"Hc Med Ther Mgmt Srvc Prov By Pharm, Ind, Face2Face, W/ Assmnt And Intrvtn, Ini 15 Min, New Pat",157.0,157.0,,,0 HCPCS,99606,"Hc Med Ther Mgmt Srvc Prov By Pharm, Ind, Face2Face, W/ Assmnt And Intrvtn, Ini 15 Min, Est Pat",157.0,157.0,,,0 HCPCS,99607,"Hc Med Ther Mgmt Srvc Prov By Pharm, Ind, Face2Face, W/ Assmnt And Intrvtn, Each Add 15 Min",157.0,157.0,,,0 HCPCS,A2001,Miscellaneous M >=66.50,,,133.36,1817.31,5 HCPCS,A2002,Miscellaneous M >=55.50 and M <66.50,,,133.36,287.13,4 HCPCS,A2004,Miscellaneous M <46.50 and A >=77.50,,,17.9,25.74,2 HCPCS,A2005,Miscellaneous M <46.50 and A <77.50,,,133.36,420.04,4 HCPCS,A2007,Noncdm Charge Record Medical Supplies,17671.98,17671.98,,,0 HCPCS,A2007,"Restrata, per sq cm",,,132.89,277.7,5 HCPCS,A2008,"Theragenesis, per sq cm",,,133.36,204.21,5 HCPCS,A2009,"Symphony, per sq cm",,,125.73,206.53,5 HCPCS,A2013,"Innovamatrix fs, per sq cm",,,133.36,2027.06,5 HCPCS,A2014,Omeza collag per 100 mg,,,117.56,176.43,2 HCPCS,A2015,"Phoenix wnd mtrx, per sq cm",,,133.36,2373.79,4 HCPCS,A2019,Kerecis marigen shld sq cm,,,133.36,1127.41,5 HCPCS,A2021,Neomatrix per sq cm,,,133.36,2374.26,5 HCPCS,A2022,Innovabrn/innovamatx xl sqcm,,,133.36,2134.87,5 HCPCS,A2023,"Innovamatrix pd, 1 mg",,,22.38,24.55,2 HCPCS,A2024,Resolve matrix per sq cm,,,133.36,3202.3,4 HCPCS,A2025,Miro3d per cubic cm,,,286.88,410.42,2 HCPCS,A2028,Micromatrix flex per mg,,,3.88,1077.37,2 HCPCS,A2029,Mirotract matrix sheet,,,573.75,573.75,1 HCPCS,A2030,"Miro3d fibers, per mg",,,6.32,6.32,1 HCPCS,A2031,"Mirodry, per sq cm",,,688.5,688.5,1 HCPCS,A2032,"Myriad matrix, per sq cm",,,23.76,23.76,1 HCPCS,A2033,"Myriad morcells, 4 mg",,,15.15,15.15,1 HCPCS,A4215,Noncdm Charge Record Medical Supplies,237.76,237.76,,,0 HCPCS,A4216,Noncdm Charge Record Medical Supplies,13.61,13.61,,,0 HCPCS,A4216,"Sterile water/saline, 10 ml",,,1.56,1.56,1 HCPCS,A4217,"Sterile water/saline, 500 ml",,,3.77,3.77,1 HCPCS,A4220,Hc Refill Kit For Implant Infusion Pump,135.45,135.45,,,0 HCPCS,A4221,Hc Biopatch,26.25,26.25,,,0 HCPCS,A4221,Hc Supply Use Mainta Of Drug Inf Cath,26.25,26.25,,,0 HCPCS,A4221,Noncdm Charge Record Medical Supplies,630.0,630.0,,,0 HCPCS,A4231,Infusion insulin pump needle,,,52.71,52.71,1 HCPCS,A4248,Chlorhexidine antisept,,,0.04,0.69,2 HCPCS,A4262,Noncdm Charge Record Medical Supplies,1496.65,1496.65,,,0 HCPCS,A4263,Noncdm Charge Record Medical Supplies,161.28,161.28,,,0 HCPCS,A4264,Hc Implant Contraception Intratubal Occlusion Device,10314.15,10314.15,,,0 HCPCS,A4300,Noncdm Charge Record Medical Supplies,49.644999999999996,49.644999999999996,,,0 HCPCS,A4301,Noncdm Charge Record Medical Supplies,3145.875,3145.875,,,0 HCPCS,A4305,Noncdm Charge Record Medical Supplies,27694.8,27694.8,,,0 HCPCS,A4312,Hc Foley Catheter Urinary 6F,108.15,108.15,,,0 HCPCS,A4333,Hc Securement Device,206.85,206.85,,,0 HCPCS,A4333,Hc Uninary Catheter Anchor Device Adhesive Skin Attachment,35.7,35.7,,,0 HCPCS,A4333,Noncdm Charge Record Medical Supplies,47.18,47.18,,,0 HCPCS,A4334,Noncdm Charge Record Medical Supplies,47.58,47.58,,,0 HCPCS,A4336,Noncdm Charge Record Medical Supplies,27.25,27.25,,,0 HCPCS,A4346,Noncdm Charge Record Medical Supplies,547.4,547.4,,,0 HCPCS,A4354,Noncdm Charge Record Medical Supplies,85.32,85.32,,,0 HCPCS,A4358,Hc Drainage Supplies,158.55,158.55,,,0 HCPCS,A4358,Hc Urinary Drainage Bag,39.9,39.9,,,0 HCPCS,A4369,Noncdm Charge Record Medical Supplies,103.65,103.65,,,0 HCPCS,A4373,Noncdm Charge Record Medical Supplies,4.74,4.74,,,0 HCPCS,A4398,Noncdm Charge Record Medical Supplies,7.93,7.93,,,0 HCPCS,A4550,Noncdm Charge Record Medical Supplies,211.89,211.89,,,0 HCPCS,A4561,Noncdm Charge Record Medical Supplies,372.68,372.68,,,0 HCPCS,A4562,Hc Pessary Non Rubber Any Time,623.7,623.7,,,0 HCPCS,A4563,Vag inser rectal control sys,,,1680.58,2436.84,3 HCPCS,A4565,Hc Slings Employee Health,58.8,58.8,,,0 HCPCS,A4570,Noncdm Charge Record Medical Supplies,1164.49,1164.49,,,0 HCPCS,A4593,Neuromod sti sys adj rehab,,,49.11,71.21,3 HCPCS,A4596,Ces system monthly supp,,,79.66,79.66,1 HCPCS,A4627,Noncdm Charge Record Medical Supplies,28.08,28.08,,,0 HCPCS,A4641,Hc Flt F-18 (Research Drug),6436.0,6436.0,,,0 HCPCS,A4641,Hc Locametz Ga68 Psma-11,4794.0,4794.0,,,0 HCPCS,A4641,Hc Radiopharm Dx Agnt I-123 Mibg @Addtl Mci,624.0,624.0,,,0 HCPCS,A4641,Hc Radiopharm Dx Agnt I-123 Mibg @Addtl Mci-Research,113.0,113.0,,,0 HCPCS,A4641,Hc Radiopharm Dx Agnt I-123 Mibg Initial Dose-Research,1136.0,1136.0,,,0 HCPCS,A4641,Hc Radiopharmactcl Dx Agnt I-123 Mibg,3492.0,3492.0,,,0 HCPCS,A4641,Radiopharm dx agent noc,,,308.27,308.27,1 HCPCS,A4642,In111 satumomab,,,1863.14,2678.73,2 HCPCS,A4646,Contrast 300-399 MGs iodine,,,804.44,804.44,1 HCPCS,A4647,Supp- paramagnetic contr mat,,,546.08,546.08,1 HCPCS,A4648,Hc Alec Trimark Tissue Mark Suros,1508.85,1508.85,,,0 HCPCS,A4648,Hc Suros Biopsy Site Identifier,1984.5,1984.5,,,0 HCPCS,A4648,Hc Tissue Marker Interv Bx Site Mrkr,1991.85,1991.85,,,0 HCPCS,A4648,Hc Advantage I-125 Tiss Impl Mrkr Seed,416.85,416.85,,,0 HCPCS,A4648,Hc Bard Senomark Ultracor (Ribbon),389.55,389.55,,,0 HCPCS,A4648,Hc Bard Ultraclip (Wing),367.5,367.5,,,0 HCPCS,A4648,Hc Bard Ultracor (Twirl),358.05,358.05,,,0 HCPCS,A4648,Hc Bard Ultracor Twirl Marker Clip,93.45,93.45,,,0 HCPCS,A4648,Hc Fiducial Markers,766.5,766.5,,,0 HCPCS,A4648,Hc Fudicial Markers,749.7,749.7,,,0 HCPCS,A4648,Hc Ghiatas Beaded Breast Loc Wire,29.4,29.4,,,0 HCPCS,A4648,Hc Gold Anchor Marker Clip,174.3,174.3,,,0 HCPCS,A4648,Hc Hydromark Breast Biopsy Tissue Marker,283.5,283.5,,,0 HCPCS,A4648,Hc Kopans Needle Wire,157.5,157.5,,,0 HCPCS,A4648,Hc Reflector Loc Saviscout 10Cm Brchthrpy Brst Preld Ndl,2451.0,2451.0,,,0 HCPCS,A4648,Hc Reflector Loc Saviscout 5Cm Brchthrpy Brst Preld Ndl,2451.0,2451.0,,,0 HCPCS,A4648,Hc Reflector Loc Saviscout 7.5Cm Brchthrpy Brst Preld Ndl,2451.0,2451.0,,,0 HCPCS,A4648,Hc Reflector Loc Saviscout 7.5Cm Brchthrpy Brst Sngl Hnd Ndl,2451.0,2451.0,,,0 HCPCS,A4648,Hc Tiss Markr Senorx Site Marker Clip,1991.85,1991.85,,,0 HCPCS,A4648,Hc Tissue Marker Inrad Ultraclip,1949.85,1949.85,,,0 HCPCS,A4648,"Hc Tissue Marker, Implantable, Any Type, Each",1508.5149999999999,1508.5149999999999,,,0 HCPCS,A4648,Noncdm Charge Record Medical Supplies,380.97,380.97,,,0 HCPCS,A4649,Noncdm Charge Record Medical Supplies,1390.83,1390.83,,,0 HCPCS,A4657,Noncdm Charge Record Medical Supplies,53.565,53.565,,,0 HCPCS,A4740,Noncdm Charge Record Medical Supplies,168.15,168.15,,,0 HCPCS,A4802,Protamine sulfate per 50 mg,,,8.1,29.56,3 HCPCS,A5057,Noncdm Charge Record Medical Supplies,16.78,16.78,,,0 HCPCS,A5102,Noncdm Charge Record Medical Supplies,326.34,326.34,,,0 HCPCS,A6021,"Hc Collagen Dressing, Sterile, Size 16 Sq. In. Or Less, Each",3042.335,3042.335,,,0 HCPCS,A6154,"Hc Wound Pouch, Each",278.25,278.25,,,0 HCPCS,A6196,Hc Calcium Alginate Dressing,72.45,72.45,,,0 HCPCS,A6199,"Hc Alginate Or Other Fiber Gelling Dressing, Wound Filler, Sterile, Per 6 Inches",58.8,58.8,,,0 HCPCS,A6204,"Hc Compost Drss,Strl,Pad Sz More Than 16 Sq. In. But < Or=To 48 Sq. In.,W/Any Sz Adhsv Brdr, Ea Drss",221.55,221.55,,,0 HCPCS,A6206,Hc Actsorb Silver,122.85,122.85,,,0 HCPCS,A6207,Hc Plas-Acticoat 4X8,116.55,116.55,,,0 HCPCS,A6207,Noncdm Charge Record Medical Supplies,161.54,161.54,,,0 HCPCS,A6209,"Hc Surgicl Foam Drssng, Wnd Cover, Sterile, Pad Size 16 Sq. In. Or Less, W/O Adhesve Brdr, Ea Drssng",52.5,52.5,,,0 HCPCS,A6209,Noncdm Charge Record Medical Supplies,38.46,38.46,,,0 HCPCS,A6213,Noncdm Charge Record Medical Supplies,116.47999999999999,116.47999999999999,,,0 HCPCS,A6234,"Hc Srgcal Hydrocolloid Drssng, Wnd Cvr, Setrile, Pad Sz 16 Sq. In. Or Lss, W/O Adhsv Brdr, Ea Drssng",86.1,86.1,,,0 HCPCS,A6234,Noncdm Charge Record Medical Supplies,9.76,9.76,,,0 HCPCS,A6237,Noncdm Charge Record Medical Supplies,44.879999999999995,44.879999999999995,,,0 HCPCS,A6242,"Hc Hydrogel Dressing, Wnd Cover, Sterile, Pad Size 16 Sq. In. Or Less, W/O Adhesve Border, Ea Drssng",68.25,68.25,,,0 HCPCS,A6244,"Hc Hydrogel Drssng, Wound Cover, Sterile, Pad Size More Than 48 Sq. In., W/O Adhesve Brdr, Ea Drssng",199.5,199.5,,,0 HCPCS,A6250,Noncdm Charge Record Medical Supplies,2267.06,2267.06,,,0 HCPCS,A6250,Skin seal protect moisturizr,,,0.07,0.07,1 HCPCS,A6257,"Hc Transparent Film, Sterile, 16 Sq. In. Or Less, Each Dressing",88.2,88.2,,,0 HCPCS,A6261,NDC Description Not Available,83.275,83.275,,,0 HCPCS,A6402,Noncdm Charge Record Medical Supplies,0.46,0.46,,,0 HCPCS,A6441,Noncdm Charge Record Medical Supplies,25.96,25.96,,,0 HCPCS,A6442,Noncdm Charge Record Medical Supplies,26.86,26.86,,,0 HCPCS,A6443,Noncdm Charge Record Medical Supplies,37.85,37.85,,,0 HCPCS,A6448,"Hc Light Compression Bandage, Elastic, Knitted/Woven, Width Less Than Three Inches, Per Yard",103.95,103.95,,,0 HCPCS,A6452,"Hc High Compression Bandage, Width Greater Than 3 Inches And Less Than 5 Inches, Per Yard",89.15,89.15,,,0 HCPCS,A6512,Noncdm Charge Record Medical Supplies,42.74,42.74,,,0 HCPCS,A6520,G com garmnt glove nghttime,,,126.45,183.35,3 HCPCS,A6521,G com garmnt glove nght cust,,,501.75,727.54,3 HCPCS,A6522,G com garment arm nighttime,,,307.26,445.53,3 HCPCS,A6523,G com garment arm nght custm,,,729.02,1057.08,3 HCPCS,A6524,G com garmnt lwr leg/ft nght,,,383.34,555.84,3 HCPCS,A6525,G com garm lwrleg/ft ngt cus,,,773.9,1122.16,3 HCPCS,A6526,G com garmt full leg/ft nght,,,693.06,1004.94,3 HCPCS,A6527,G garmt full leg/ft nght cus,,,1274.45,1847.95,3 HCPCS,A6528,G com garment bra nighttime,,,666.42,966.31,3 HCPCS,A6529,G com garmt bra night custm,,,1053.04,1526.91,3 HCPCS,A6530,Compression stocking bk18-30,,,39.07,56.65,3 HCPCS,A6531,Compression stocking bk30-40,,,61.66,89.41,3 HCPCS,A6532,Compression stocking bk40-50,,,86.88,125.98,3 HCPCS,A6533,Gc stocking thighlngth 18-30,,,54.86,79.55,3 HCPCS,A6534,Gc stocking thighlngth 30-40,,,62.65,90.84,3 HCPCS,A6535,Gc stocking thighlngth 40-50,,,72.13,104.59,3 HCPCS,A6536,Gc stocking full lngth 18-30,,,73.95,107.23,3 HCPCS,A6537,Gc stocking full lngth 30-40,,,87.67,127.12,3 HCPCS,A6538,Gc stocking full lngth 40-50,,,102.65,148.84,3 HCPCS,A6539,Gc stocking waistlngth 18-30,,,97.86,141.9,3 HCPCS,A6540,Gc stocking waistlngth 30-40,,,116.68,169.19,3 HCPCS,A6541,Gc stocking waistlngth 40-50,,,138.21,200.4,3 HCPCS,A6545,Grad comp non-elastic BK,,,121.41,176.04,3 HCPCS,A6550,Noncdm Charge Record Medical Supplies,2615.67,2615.67,,,0 HCPCS,A6552,Grad com stocking bk 30-40,,,57.97,84.06,3 HCPCS,A6553,G com stcking bk 30-40 custm,,,226.38,328.25,3 HCPCS,A6554,Grad com stocking bk 40+,,,79.72,115.59,3 HCPCS,A6555,G com stcking bk 40+ custm,,,226.38,328.25,3 HCPCS,A6556,G com stcking thgh18-30 cust,,,310.25,449.86,3 HCPCS,A6557,G com stcking thgh30-40 cust,,,310.25,449.86,3 HCPCS,A6558,G com stcking thgh 40+ cust,,,320.17,464.25,3 HCPCS,A6562,G com stckng waist18-30 cust,,,1015.37,1472.29,3 HCPCS,A6563,G com stckng waist30-40 cust,,,1015.37,1472.29,3 HCPCS,A6564,G com stckng waist 40+ cust,,,1093.78,1585.98,3 HCPCS,A6565,Grad comp gauntlet custom,,,175.45,254.4,3 HCPCS,A6566,Grad com garment neck/head,,,254.75,369.39,3 HCPCS,A6567,G com garment neck/head cust,,,800.42,1160.61,3 HCPCS,A6568,G com garment torso/shldr,,,166.26,241.08,3 HCPCS,A6569,G com garmnt torso/shdr cust,,,946.74,1372.77,3 HCPCS,A6570,Grad com garment genital,,,113.28,164.26,3 HCPCS,A6571,G com garment genital custm,,,680.84,987.22,3 HCPCS,A6572,Grad com garment toe caps,,,105.11,152.41,3 HCPCS,A6573,Grad com garmnt toe cap cust,,,249.43,361.67,3 HCPCS,A6574,Custom gradient sleev/glov,,,317.99,461.09,3 HCPCS,A6575,Gradient comp sleev/glov,,,103.05,149.42,3 HCPCS,A6576,Custom grad com sleeve med,,,195.16,282.98,3 HCPCS,A6577,Custom grad cm sleeve heavy,,,161.53,234.22,3 HCPCS,A6578,Gradient comp sleeve,,,79.55,115.35,3 HCPCS,A6579,Custom grad com glove med,,,313.26,454.23,3 HCPCS,A6580,Custom grad com glove heavy,,,310.96,450.89,3 HCPCS,A6581,Gradient comp glove,,,72.99,105.84,3 HCPCS,A6582,Gradient comp gauntlet,,,48.68,70.59,3 HCPCS,A6583,Grad com wrap w straps bk,,,160.13,232.19,3 HCPCS,A6585,Grad com wrap w straps ak,,,189.6,274.92,3 HCPCS,A6586,Grad com wrap w straps leg,,,558.59,809.96,3 HCPCS,A6587,Grad com wrap w straps foot,,,73.17,106.1,3 HCPCS,A6588,Grad com wrap w straps arm,,,243.87,353.61,3 HCPCS,A6589,Grad com wrap w straps bra,,,96.27,139.59,3 HCPCS,A6594,G comp bandge liner lwr extr,,,35.05,50.82,3 HCPCS,A6595,G comp bandge liner upr extr,,,34.48,50.0,3 HCPCS,A6596,G comp bandge conform gauze,,,0.18,0.26,3 HCPCS,A6597,G comp bandage long stretch,,,1.55,2.25,3 HCPCS,A6598,G comp bandage med stretch,,,0.75,1.09,3 HCPCS,A6599,G comp bandage short stretch,,,1.7,2.46,3 HCPCS,A6600,G com bandge hgh dn foam sht,,,3.07,4.45,3 HCPCS,A6601,G com bandge hgh dn foam pad,,,3.45,5.0,3 HCPCS,A6602,G com bandge hgh dn foamroll,,,5.03,7.29,3 HCPCS,A6603,G com bandge low dn foamchnl,,,2.36,3.42,3 HCPCS,A6604,G com bandge low dn foam flt,,,1.38,2.0,3 HCPCS,A6605,G com bandage padded foam,,,1.57,2.28,3 HCPCS,A6606,G com bandage padded textile,,,4.67,6.77,3 HCPCS,A6607,G com bandage tub protct lyr,,,1.25,1.81,3 HCPCS,A6608,G com bandage tub protct pad,,,5.21,7.55,3 HCPCS,A6610,G com stcking bk 18-30 custm,,,226.38,328.25,3 HCPCS,A7002,Noncdm Charge Record Medical Supplies,2207.52,2207.52,,,0 HCPCS,A7030,Noncdm Charge Record Medical Supplies,203.875,203.875,,,0 HCPCS,A7048,Hc Pleurx Drainage Supplies Kit (Home),1417.5,1417.5,,,0 HCPCS,A7520,Noncdm Charge Record Medical Supplies,333.37,333.37,,,0 HCPCS,A7521,Noncdm Charge Record Medical Supplies,496.19,496.19,,,0 HCPCS,A9154,"Artificial saliva, 1 ml",,,0.5,0.5,1 HCPCS,A9155,Artificial saliva,,,0.69,0.69,1 HCPCS,A9156,Oral mucoadhesive per 1 ml,,,3.33,3.33,1 HCPCS,A9180,"Lice treatment, topical",,,0.69,1.98,3 HCPCS,A9272,Noncdm Charge Record Medical Supplies,1835.04,1835.04,,,0 HCPCS,A9500,Hc Radiopharm Sestamibi Up To 40 Mci,1262.0,1262.0,,,0 HCPCS,A9500,Tc99m sestamibi,,,134.01,743.46,2 HCPCS,A9502,Hc Tech Tc99M Tetrfsmn Dx Up To 40Mci,1102.0,1102.0,,,0 HCPCS,A9502,Tc99m tetrofosmin,,,117.42,260.45,2 HCPCS,A9503,Hc Tech Tc99M Medronate Dx Up To 30Mci,407.0,407.0,,,0 HCPCS,A9503,Tc99m medronate,,,17.9,97.66,2 HCPCS,A9504,Tc99m apcitide,,,555.34,840.06,2 HCPCS,A9505,Hc Thallous Chloride Tl201 Dx Per Mci,165.0,165.0,,,0 HCPCS,A9505,Tl201 thallium,,,44.97,70.98,2 HCPCS,A9506,Tc-99m graphite crucible,,,328.6,542.19,4 HCPCS,A9507,Hc Indium In111 Carpmb Pnd Up To 10Mci,10151.0,10151.0,,,0 HCPCS,A9507,In111 capromab,,,1730.29,6053.31,5 HCPCS,A9508,Hc Iodine I-131 Iobengne Sulf Dx .5Mci,7327.0,7327.0,,,0 HCPCS,A9508,"I131 iodobenguate, dx",,,953.01,1700.42,5 HCPCS,A9509,Hc Iodine I-123 Sod Iodide Mil Per 1 Mci,509.0,509.0,,,0 HCPCS,A9509,Iodine I-123 sod iodide mil,,,193.78,254.05,2 HCPCS,A9510,Hc Tech Tc99M Disofn Pr Dx Up To 15Mci,175.0,175.0,,,0 HCPCS,A9510,Tc99m disofenin,,,96.39,98.74,2 HCPCS,A9512,Hc Radiopharmaceutical (Tc 99M),314.0,314.0,,,0 HCPCS,A9512,Tc99m pertechnetate,,,2.34,20.28,2 HCPCS,A9513,"Hc Lutetium Lu 177, Dotatate, Therapeutic, 1 Mci",1218.0,1218.0,,,0 HCPCS,A9513,Lutetium lu 177 dotatat ther,,,316.99,663.87,6 HCPCS,A9515,Choline c-11,,,2516.43,6885.0,5 HCPCS,A9515,Hc C11 Choline,28277.0,28277.0,,,0 HCPCS,A9516,Hc I-123 Sod Iod Cap Dx Pr 100 Micrcr,136.0,136.0,,,0 HCPCS,A9516,Iodine I-123 sod iodide mic,,,146.29,184.14,2 HCPCS,A9517,Hc Iodine I-131 Sod Iod Thp Cap Pr Mci,102.0,102.0,,,0 HCPCS,A9517,"I131 iodide cap, rx",,,24.07,109.88,6 HCPCS,A9520,Hc Tc99 Tilmanocept Diag 0.5Mci,2125.0,2125.0,,,0 HCPCS,A9520,Tc99 tilmanocept diag 0.5mci,,,910.99,910.99,1 HCPCS,A9521,Hc Tc99 Exmtzme Pr Stdy Up To 25 Mci,2506.0,2506.0,,,0 HCPCS,A9521,Tc99m exametazime,,,927.71,2360.14,5 HCPCS,A9524,"I131 serum albumin, dx",,,514.66,594.56,2 HCPCS,A9526,Nitrogen n-13 ammonia,,,907.44,1213.67,2 HCPCS,A9527,Iodine I-125 sodium iodide,,,236.09,574.66,5 HCPCS,A9528,Hc Iodine I-131 Iodine Capsule Diagnostic Each Addtl Mci,70.0,70.0,,,0 HCPCS,A9528,Hc Iodine I-131 Iodine Capsule Diagnostic Per Mci,514.0,514.0,,,0 HCPCS,A9528,"Iodine i-131 iodide cap, dx",,,108.39,155.84,2 HCPCS,A9529,Hc Iodine 1-131 Sod Iode Sol Dx Pr Mci,69.0,69.0,,,0 HCPCS,A9530,Hc Iodine I-131 Sod Iod Thp Sol Pr Mci,60.0,60.0,,,0 HCPCS,A9530,"I131 iodide sol, rx",,,12.62,34.45,5 HCPCS,A9531,I131 max 100uci,,,4.82,6.95,2 HCPCS,A9532,"I125 serum albumin, dx",,,235.35,680.14,5 HCPCS,A9536,Tc99m depreotide,,,889.81,1279.33,2 HCPCS,A9537,Hc Tech Tc99M Mebrof Dx Up To 15Mci,520.0,520.0,,,0 HCPCS,A9537,Tc99m mebrofenin,,,76.17,187.21,2 HCPCS,A9538,Hc Tech Tc99M Pyrophos Dx Up To 25Mci,279.0,279.0,,,0 HCPCS,A9538,Tc99m pyrophosphate,,,63.51,88.2,2 HCPCS,A9539,Hc Tech Tc99M Pentetate Dx Up To 25Mci,381.0,381.0,,,0 HCPCS,A9539,Tc99m pentetate,,,41.63,43.15,2 HCPCS,A9540,Hc Tech Tc99M Mrcoag Albmn Up To 10Mci,320.0,320.0,,,0 HCPCS,A9540,Tc99m maa,,,41.31,48.58,2 HCPCS,A9541,Hc Tech Tc99M Sulfur Colld Up To 20Mci,644.0,644.0,,,0 HCPCS,A9541,Tc99m sulfur colloid,,,368.16,1239.81,2 HCPCS,A9542,Hc Indium In-111 Ibritmb Tiux Dsg 5Mci,10297.0,10297.0,,,0 HCPCS,A9542,"In111 ibritumomab, dx",,,1316.73,4568.56,2 HCPCS,A9543,Hc Yttrium Y-90 Ibrit Ther Up To 40Mci,173176.0,173176.0,,,0 HCPCS,A9543,"Y90 ibritumomab, rx",,,56824.55,93760.51,5 HCPCS,A9546,Co57/58,,,1.49,2.13,2 HCPCS,A9547,Hc Indium In-111 Oxyquin Dx Per 0.5Mci,2911.0,2911.0,,,0 HCPCS,A9547,In111 oxyquinoline,,,831.46,2898.56,5 HCPCS,A9548,Hc Indium In-111 Pentetate Dx 0.5Mci,2119.0,2119.0,,,0 HCPCS,A9548,In111 pentetate,,,745.62,1219.33,5 HCPCS,A9550,Hc Tech Tc99M Sodm Glucpte Up To 25Mci,961.0,961.0,,,0 HCPCS,A9551,Hc Tech Tc99M Succimer Dx Stdy 10Mci,1754.0,1754.0,,,0 HCPCS,A9551,Tc99m succimer,,,659.93,970.83,5 HCPCS,A9552,F18 fdg,,,689.02,689.02,1 HCPCS,A9552,Hc F-18 Fdg Per Study Dose To 45Mci Resch,206.0,206.0,,,0 HCPCS,A9552,Hc F-18 Fdg Per Study Dose Up To 45Mci,737.0,737.0,,,0 HCPCS,A9553,Cr51 chromate,,,479.24,2781.04,5 HCPCS,A9553,Hc Chrom Cr-51 Sodm Chrm Dx 250 Mci,672.0,672.0,,,0 HCPCS,A9554,"I125 iothalamate, dx",,,51.64,941.98,5 HCPCS,A9555,Rb82 rubidium,,,518.97,746.13,2 HCPCS,A9556,Ga67 gallium,,,36.3,185.92,2 HCPCS,A9556,Hc Gallium Ga-67 Citrate Dx Per Mci,102.0,102.0,,,0 HCPCS,A9557,Hc Tech Tc99M Bicisate Dx Up To 25Mci,3421.0,3421.0,,,0 HCPCS,A9557,Tc99m bicisate,,,775.52,5048.53,5 HCPCS,A9558,Hc Xenon Xe-133 Gas Dx Up To 15Mci,290.0,290.0,,,0 HCPCS,A9558,Xe133 xenon 10mci,,,351.27,428.04,2 HCPCS,A9559,Co57 cyano,,,232.75,415.77,2 HCPCS,A9559,Hc Cobalt Co-57 Cyncblmn Dx Up To 1Mcu,682.0,682.0,,,0 HCPCS,A9560,Hc Tech Tc99M Labled Rbc Dx Upto 30Mci,562.0,562.0,,,0 HCPCS,A9560,Tc99m labeled rbc,,,128.61,173.99,2 HCPCS,A9561,Hc Tech Tc99M Oxidronate Dx Upto 30Mci,447.0,447.0,,,0 HCPCS,A9561,Tc99m oxidronate,,,60.59,83.26,2 HCPCS,A9562,Hc Tech Tc-99M Mertiatide Dx 15Mci,1170.0,1170.0,,,0 HCPCS,A9562,Tc99m mertiatide,,,1267.58,1267.58,1 HCPCS,A9563,Hc Sodium Phos P-32 Therap Per Mci,745.0,745.0,,,0 HCPCS,A9563,P32 na phosphate,,,278.24,676.82,6 HCPCS,A9564,P32 chromic phosphate,,,173.73,644.84,3 HCPCS,A9567,Hc Nm Tech Tc 99M Penetrate Diag Aero,87.0,87.0,,,0 HCPCS,A9567,Technetium tc-99m aerosol,,,23.38,33.63,2 HCPCS,A9568,Hc Tech Tc99M Acritumb Dx Up To 45Mci,8414.0,8414.0,,,0 HCPCS,A9568,Technetium tc99m arcitumomab,,,1334.15,1335.69,2 HCPCS,A9569,Hc Tc99M Exametazime Dx Per Study Dose,2634.0,2634.0,,,0 HCPCS,A9569,Technetium TC-99m auto WBC,,,934.13,2360.14,5 HCPCS,A9570,Hc Indium In 111 Wbc Dx Per Study Dose,5212.0,5212.0,,,0 HCPCS,A9570,Indium In-111 auto WBC,,,1103.19,5797.12,5 HCPCS,A9571,Indium IN-111 auto platelet,,,5797.12,7049.87,2 HCPCS,A9572,Hc Indium In 111 Pent Dx Up To 6Mci,11333.0,11333.0,,,0 HCPCS,A9572,Indium In-111 pentetreotide,,,2000.94,5328.99,5 HCPCS,A9573,Elucirem: 1 Vial In 1 Carton (67684-4230-1) / 3 Ml In 1 Vial,73.22,73.22,,,0 HCPCS,A9573,Elucirem: 1 Vial In 1 Carton (67684-4231-1) / 7.5 Ml In 1 Vial,72.23,72.23,,,0 HCPCS,A9573,Elucirem: 1 Vial In 1 Carton (67684-4232-1) / 10 Ml In 1 Vial,73.99,73.99,,,0 HCPCS,A9573,"Inj, gadopiclenol, 1 ml",,,4.6,5.91,3 HCPCS,A9575,Dotarem: 10 Vial In 1 Package (67684-2000-3) / 20 Ml In 1 Vial,3.37,3.37,,,0 HCPCS,A9575,Hc Dotarem 376Mg. 1-5Ml,6.0,6.0,,,0 HCPCS,A9575,Hc Dotarem 376Mg. 11-15Ml,6.0,6.0,,,0 HCPCS,A9575,Hc Dotarem 376Mg. 16-20Ml,6.0,6.0,,,0 HCPCS,A9575,Hc Dotarem 376Mg. 6-10Ml,6.0,6.0,,,0 HCPCS,A9575,Inj gadoterate meglumi 0.1ml,,,0.16,0.2,3 HCPCS,A9576,Inj prohance multipack,,,1.92,2.41,3 HCPCS,A9577,Hc Multihance 529Mg.1-5Ml,5.0,5.0,,,0 HCPCS,A9577,Hc Multihance 529Mg.11-15Ml,5.0,5.0,,,0 HCPCS,A9577,Hc Multihance 529Mg.16-20Ml,5.0,5.0,,,0 HCPCS,A9577,Hc Multihance 529Mg.6-10Ml,5.0,5.0,,,0 HCPCS,A9577,Inj multihance,,,2.35,3.0,3 HCPCS,A9577,"Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-12) / 5 Ml In 1 Vial, Single-Dose",45.09,45.09,,,0 HCPCS,A9577,"Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-13) / 10 Ml In 1 Vial, Single-Dose",38.53,38.53,,,0 HCPCS,A9577,"Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-14) / 15 Ml In 1 Vial, Single-Dose",38.02,38.02,,,0 HCPCS,A9578,Inj multihance multipack,,,2.31,2.95,3 HCPCS,A9579,"Gad-base MR contrast NOS,1ml",,,1.98,2.44,3 HCPCS,A9579,Hc Gad-Base Mr Contrast Nos Per 1 Ml,5.0,5.0,,,0 HCPCS,A9579,Hc Omniscan.Vial.287Mg.1-5Ml,5.0,5.0,,,0 HCPCS,A9579,Hc Omniscan.Vial.287Mg.11-15Ml,5.0,5.0,,,0 HCPCS,A9579,Hc Omniscan.Vial.287Mg.16-20Ml,5.0,5.0,,,0 HCPCS,A9579,Hc Omniscan.Vial.287Mg.6-10Ml,5.0,5.0,,,0 HCPCS,A9580,Hc Sod Flride F18 Dx Up To 30 Milicuri,648.0,648.0,,,0 HCPCS,A9580,Sodium fluoride F-18,,,300.69,432.32,2 HCPCS,A9581,Gadoxetate disodium inj,,,19.85,24.26,3 HCPCS,A9581,Hc Eovist.181.43Mg.1-10Ml,60.0,60.0,,,0 HCPCS,A9581,NDC Description Not Available,115.95,115.95,,,0 HCPCS,A9582,Hc Iodine I-123 Up To 15 Millic Pr St,8659.0,8659.0,,,0 HCPCS,A9582,Iodine I-123 iobenguane,,,2317.5,7034.28,5 HCPCS,A9584,Hc I-123 Iouflupane,8324.0,8324.0,,,0 HCPCS,A9584,Iodine i-123 ioflupane,,,1387.74,3569.18,5 HCPCS,A9585,Gadobutrol injection,,,0.35,0.46,3 HCPCS,A9585,"Hc Injection, Gadobutrol 0.1Ml",2.0,2.0,,,0 HCPCS,A9585,NDC Description Not Available,5.56,5.56,,,0 HCPCS,A9586,Florbetapir F18,,,1825.64,3934.64,5 HCPCS,A9586,"Hc Florbetapir F18,Dx,Up To 10Mci;Cash",5158.0,5158.0,,,0 HCPCS,A9587,Gallium ga-68,,,49.63,84.3,5 HCPCS,A9587,Hc Ga68 Dotatate,376.0,376.0,,,0 HCPCS,A9588,Fluciclovine f-18,,,322.27,711.42,5 HCPCS,A9588,Hc Aximum F-18 Fluciclovine,2546.0,2546.0,,,0 HCPCS,A9589,"Cysview: 1 Kit In 1 Carton (10511-3001-2) * 50 Ml In 1 Syringe, Plastic * 50 Ml In 1 Vial, Glass",6532.5,6532.5,,,0 HCPCS,A9589,Insti hexaminolevulinate hcl,,,1922.85,2274.87,3 HCPCS,A9589,Noncdm Charge Record Pharmacy,9819.54,9819.54,,,0 HCPCS,A9590,Iodine i-131 iobenguane 1mci,,,588.24,711.27,2 HCPCS,A9591,Fluoroestradiol f 18,,,460.42,1059.14,5 HCPCS,A9591,Hc Fluoroestradiol F 18,3865.0,3865.0,,,0 HCPCS,A9592,Copper cu 64 dotatate diag,,,594.28,1325.36,5 HCPCS,A9592,Hc Copper Cu 64 Dotatate Diag,4201.0,4201.0,,,0 HCPCS,A9593,Gallium ga-68 psma-11 ucsf,,,550.13,1071.12,5 HCPCS,A9594,"Gallium ga-68 psma-11, ucla",,,363.5,1048.73,5 HCPCS,A9595,"Hc Piflu F-18, Dia 1 Millicurie",1862.0,1862.0,,,0 HCPCS,A9595,"Piflu f-18, dia 1 millicurie",,,346.49,846.94,5 HCPCS,A9596,Gallium illuccix 1 millicure,,,478.52,1711.73,5 HCPCS,A9597,"Hc Pet, Dx, For Tumor Id, Noc F-18 Pylarify",19547.0,19547.0,,,0 HCPCS,A9600,Hc Strontium Sr -89 Chlor Thp Per Mci,2969.0,2969.0,,,0 HCPCS,A9600,Sr89 strontium,,,4146.34,8325.0,6 HCPCS,A9601,Flortaucipir inj 1 millicuri,,,481.95,6121.5,5 HCPCS,A9602,Fluorodopa f-18 diag per mci,,,686.93,1240.55,5 HCPCS,A9603,"Inj, pafolacianine, 0.1 mg",,,182.88,182.88,1 HCPCS,A9604,Hc Samarium -153 Lexidrm Thp Pr 50Mci,24505.0,24505.0,,,0 HCPCS,A9604,Sm 153 lexidronam,,,3159.8,22421.53,5 HCPCS,A9606,Hc Radium 223 Dichloride Per Micrie,732.0,732.0,,,0 HCPCS,A9606,Radium ra223 dichloride ther,,,172.22,278.37,6 HCPCS,A9607,Lutetium lu 177 vipivotide,,,255.84,456.05,5 HCPCS,A9608,Flotufolastat f18 diag 1 mci,,,671.22,1075.26,5 HCPCS,A9611,"Flurpiridaz f18, diag, 1 mci",,,72.48,768.5,4 HCPCS,A9615,"Inj, pegulicianine, 1 mg",,,37.51,61.89,5 HCPCS,A9697,"Inj, magtrace per study dose",,,1254.0,1877.63,4 HCPCS,A9699,Hc I-131 Mibg Therapeutic Dose Per Mci,76.0,76.0,,,0 HCPCS,A9699,Hc Lutetium Lu 177 Dotate,238388.0,238388.0,,,0 HCPCS,A9699,Hc Pluvicto 1 Millicurie,1274.0,1274.0,,,0 HCPCS,A9699,Radiopharm rx agent noc,,,74614.73,74614.73,1 HCPCS,A9800,Gallium locametz 1 millicuri,,,362.5,1441.18,5 HCPCS,B4081,Noncdm Charge Record Medical Supplies,178.25,178.25,,,0 HCPCS,B4087,Noncdm Charge Record Medical Supplies,714.23,714.23,,,0 HCPCS,B4088,Hc Gi Tube Low Profile,2218.65,2218.65,,,0 HCPCS,B4088,Hc Gi Tube Standard,1029.0,1029.0,,,0 HCPCS,B4088,Noncdm Charge Record Medical Supplies,1781.03,1781.03,,,0 HCPCS,B4187,NDC Description Not Available,533.12,533.12,,,0 HCPCS,B4187,"Omegaven: 10 Vial, Single-Dose In 1 Carton (63323-205-00) / 100 Ml In 1 Vial, Single-Dose (63323-205-31)",500.66,500.66,,,0 HCPCS,C1052,Noncdm Charge Record Medical Supplies,3477.075,3477.075,,,0 HCPCS,C1601,Noncdm Charge Record Medical Supplies,7578.27,7578.27,,,0 HCPCS,C1605,Noncdm Charge Record Medical Supplies,58968.0,58968.0,,,0 HCPCS,C1713,Noncdm Charge Record Medical Supplies,1927.7350000000001,1927.7350000000001,,,0 HCPCS,C1714,Hc Cath Transl Atherectomy Directional,18086.25,18086.25,,,0 HCPCS,C1714,"Hc Catheter Atherectomy, Directional 6Fr X 5.9Cm",17654.7,17654.7,,,0 HCPCS,C1714,"Hc Catheter Atherectomy, Directional 7Frx9.6Cm X 75Mm",17654.7,17654.7,,,0 HCPCS,C1714,Hc Crosser Cto Catheter,13227.9,13227.9,,,0 HCPCS,C1714,Hc Fox Hollow Device,18086.25,18086.25,,,0 HCPCS,C1714,Hc Shockwave Catheter,13965.0,13965.0,,,0 HCPCS,C1715,Hc Brachytherapy Needle,263.14,263.14,,,0 HCPCS,C1717,"Hc Brachytherapy Source, Nonstranded, High Dose Rate Iridium-192, Per Source",1047.9,1047.9,,,0 HCPCS,C1719,"Hc Brachytherapy Source, Nonstranded, Nonhigh Dose Rate Iridium-192, Per Source",453.6,453.6,,,0 HCPCS,C1721,Hc Dual Chamber Icd,112447.65,112447.65,,,0 HCPCS,C1721,Hc Icd Mdtrnc Entrst Mdl 154,203.7,203.7,,,0 HCPCS,C1721,Hc Icd Mdtrnc Virtuso Mdl D154Awg,154877.1,154877.1,,,0 HCPCS,C1721,Noncdm Charge Record Medical Supplies,60298.44,60298.44,,,0 HCPCS,C1722,Hc Single Chamber Icd,106663.63,106663.63,,,0 HCPCS,C1722,Noncdm Charge Record Medical Supplies,58665.6,58665.6,,,0 HCPCS,C1724,Hc 014 Thrombectomy; Rotational Cath,7575.75,7575.75,,,0 HCPCS,C1724,Hc 035 Thrombectomy; Rotational Cath,6188.7,6188.7,,,0 HCPCS,C1724,Hc Diamondback Catheter,9311.4,9311.4,,,0 HCPCS,C1724,Hc Minihawk Plaque Excision,10024.35,10024.35,,,0 HCPCS,C1724,Hc Rotablator Burr,12474.0,12474.0,,,0 HCPCS,C1724,Hc Slvrhwk Plq Exsn Arthrectmy Device,9311.4,9311.4,,,0 HCPCS,C1724,Noncdm Charge Record Medical Supplies,13330.65,13330.65,,,0 HCPCS,C1725,Hc Catheter Ptca Cutting Balloon,10286.85,10286.85,,,0 HCPCS,C1725,Hc Angioplasty Balloon,4676.7,4676.7,,,0 HCPCS,C1725,Hc Aortic Balloon,4830.0,4830.0,,,0 HCPCS,C1725,Hc Balloon Catheter Zmedii,2533.65,2533.65,,,0 HCPCS,C1725,Hc Balloon Dilation Catheter,2564.1,2564.1,,,0 HCPCS,C1725,Hc Balloon Level 1,830.55,830.55,,,0 HCPCS,C1725,Hc Balloon Level 2,1344.0,1344.0,,,0 HCPCS,C1725,Hc Balloon Level 3,2063.25,2063.25,,,0 HCPCS,C1725,Hc Balloon Level 4,5176.5,5176.5,,,0 HCPCS,C1725,Hc Balloon Level 5,7951.65,7951.65,,,0 HCPCS,C1725,Hc Boston Cto Cross Boss,10999.8,10999.8,,,0 HCPCS,C1725,Hc Cath Bal Dil Cordis Peripheral,4643.1,4643.1,,,0 HCPCS,C1725,Hc Cath Cutting Balloon,4020.9750000000004,4020.9750000000004,,,0 HCPCS,C1725,Hc Cath Equalizer Occlusion Balloon,4670.4,4670.4,,,0 HCPCS,C1725,Hc Cath Polar Balloon Cath,4670.4,4670.4,,,0 HCPCS,C1725,Hc Cath Std Occlusion Baloon,5028.45,5028.45,,,0 HCPCS,C1725,Hc Catheter Angiosculpt Coronary,4923.45,4923.45,,,0 HCPCS,C1725,Hc Catheter Angiosculpt Peripheral,4160.1,4160.1,,,0 HCPCS,C1725,Hc Catheter Balloon Cutting,1649.55,1649.55,,,0 HCPCS,C1725,Hc Catheter Balloon Dil Armada Peripheral,865.2,865.2,,,0 HCPCS,C1725,Hc Catheter Balloon Dilatation .035In 16Mm 120Cm 2Cm,2239.65,2239.65,,,0 HCPCS,C1725,Hc Catheter Balloon Dilatation .035In 22Mm 120Cm 4Cm,4347.0,4347.0,,,0 HCPCS,C1725,Hc Catheter Balloon Dilatation .035In 9Fr 20Mm 120Cm 4Cm,4135.95,4135.95,,,0 HCPCS,C1725,Hc Catheter Balloon Dilation 20Mm 4Cm Nucleus-X,4922.4,4922.4,,,0 HCPCS,C1725,Hc Catheter Bib Pta,2259.6,2259.6,,,0 HCPCS,C1725,Hc Catheter Maxi Pta,1245.3,1245.3,,,0 HCPCS,C1725,Hc Catheter Mullins Balloon Pta,3617.25,3617.25,,,0 HCPCS,C1725,Hc Catheter Opta Pro Pta,570.15,570.15,,,0 HCPCS,C1725,Hc Catheter Savvy Pta,570.15,570.15,,,0 HCPCS,C1725,Hc Catheter Tyshak Pta,2223.9,2223.9,,,0 HCPCS,C1725,Hc Catheter Zmedii Pta,1877.4,1877.4,,,0 HCPCS,C1725,"Hc Catheter, Ballon Atlas Gold, 16Mm X 20Mm",3952.2,3952.2,,,0 HCPCS,C1725,Hc Cutting Balloon,4158.0,4158.0,,,0 HCPCS,C1725,Hc Dorado 6X40Mm Pta Balloon,3868.2,3868.2,,,0 HCPCS,C1725,Hc Dxterity Diagnostic Cath #Dxt5Jr35,696.15,696.15,,,0 HCPCS,C1725,Hc Dxterity Diagnostic Cath #Dxt6Pig45A,19.95,19.95,,,0 HCPCS,C1725,Hc High Profile Balloon,5028.45,5028.45,,,0 HCPCS,C1725,Hc Iabp Cathether,4881.45,4881.45,,,0 HCPCS,C1725,Hc Intra-Aortic Balloon Pump Linear,3108.0,3108.0,,,0 HCPCS,C1725,Hc Intra-Aortic Balloon Pump Mega,3288.6,3288.6,,,0 HCPCS,C1725,Hc Lg Vessel Dilation Balloon Cat,4668.3,4668.3,,,0 HCPCS,C1725,Hc Medium Profile Balloon,4697.7,4697.7,,,0 HCPCS,C1725,"Hc Medtronic Dx, Terity",141.75,141.75,,,0 HCPCS,C1725,Hc Mitral Baloon,3868.2,3868.2,,,0 HCPCS,C1725,"Hc Penta Ray High Density Mapping Catheter: #D128202, #D128205",17593.8,17593.8,,,0 HCPCS,C1725,Hc Slalom Pta Ballon,2533.65,2533.65,,,0 HCPCS,C1725,Hc Stealth Balloon Cath Syst,5028.45,5028.45,,,0 HCPCS,C1725,Noncdm Charge Record Medical Supplies,1135.535,1135.535,,,0 HCPCS,C1726,Catheter Balln Dialtn Non Vasclr,384.3,384.3,,,0 HCPCS,C1726,Hc Cath Baln Ampltzr Szng Balloon,1924.65,1924.65,,,0 HCPCS,C1726,Hc Cre Rx Biliary 8-10 Mm 3.0Cm #M00558920-Pbb,1382.85,1382.85,,,0 HCPCS,C1726,Noncdm Charge Record Medical Supplies,2052.52,2052.52,,,0 HCPCS,C1727,Hc Cath Balloon Tsu Dsctr 10Mmx4Cm,1446.9,1446.9,,,0 HCPCS,C1727,Hc Cath Balloon Tsu Dsctr 12Mmx4Cm,1446.9,1446.9,,,0 HCPCS,C1727,Hc Cath Balloon Tsu Dsctr 14Mmx4Cm,1446.9,1446.9,,,0 HCPCS,C1727,Hc Cath Balloon Tsu Dsctr 16Mmx4Cm,1446.9,1446.9,,,0 HCPCS,C1727,Hc Cath Balloon Tsu Dsctr 8Mmx4Cm,1446.9,1446.9,,,0 HCPCS,C1728,"Hc Implanted Catheter, Brachytherapy Seed Administration",27.3,27.3,,,0 HCPCS,C1729,Hc Drain Level 1,100.8,100.8,,,0 HCPCS,C1729,Hc Drain Level 2,515.55,515.55,,,0 HCPCS,C1729,Hc Drain Level 3,824.25,824.25,,,0 HCPCS,C1729,Hc Drainage Catheters,1092.0,1092.0,,,0 HCPCS,C1729,Hc Pleurx Drainage Kit (Complete),5513.55,5513.55,,,0 HCPCS,C1729,Noncdm Charge Record Medical Supplies,523.69,523.69,,,0 HCPCS,C1730,Hc Achive Advance,7142.1,7142.1,,,0 HCPCS,C1730,Hc Cath Biosens/Webstr Defl Curve Quad,1877.4,1877.4,,,0 HCPCS,C1730,Hc Cath Biosens/Webstr Fxed Curve Quad,4328.1,4328.1,,,0 HCPCS,C1730,Hc Cath Biosns/Web Deflc Curve Octaplr,4328.1,4328.1,,,0 HCPCS,C1730,Hc Cath Biosns/Web Fixed Curve Octaplr,4328.1,4328.1,,,0 HCPCS,C1730,Hc Cath Deflc Curve Decapolar D6-10Dr,4328.1,4328.1,,,0 HCPCS,C1730,Hc Cath Ep Dx Less Than 20,4328.1,4328.1,,,0 HCPCS,C1730,Hc Cath Hc Dx Other Thn 3D Mapping,4927.65,4927.65,,,0 HCPCS,C1730,Hc Catheter 4Fr Quadripolar Jsn Curve,4328.1,4328.1,,,0 HCPCS,C1730,Hc Catheter 5Fr Quadripolar Crd2 Curve,4328.1,4328.1,,,0 HCPCS,C1730,Hc Catheter 5Fr Quadripolar Jsn Curve,4328.1,4328.1,,,0 HCPCS,C1730,Hc Catheter Ept 4Fr Steerable Deca,4328.1,4328.1,,,0 HCPCS,C1730,Hc Catheter Ept 4Fr Steerable Quad,4328.1,4328.1,,,0 HCPCS,C1730,Hc Catheter Ept 5Fr Steerable Deca,4328.1,4328.1,,,0 HCPCS,C1730,Hc Catheter Ept 5Fr Steerable Quad,4328.1,4328.1,,,0 HCPCS,C1730,Hc Catheter Fixed Quad,4328.1,4328.1,,,0 HCPCS,C1730,Hc Diagnostic Halo Livewire M#401904,5074.65,5074.65,,,0 HCPCS,C1730,Hc Epstar Catheter #Dcf-2-8-55-130,13949.25,13949.25,,,0 HCPCS,C1730,Hc Medtronic Achieve Mapping Catheter,7534.8,7534.8,,,0 HCPCS,C1730,"Hc Webster Quadrapolar Catheter #D6-Dr-252-Rt, Electrophysiology, Diagnostic, Other Than 3D Mapping",1209.6,1209.6,,,0 HCPCS,C1730,Noncdm Charge Record Medical Supplies,1725.255,1725.255,,,0 HCPCS,C1731,Hc Boston Sci Blazer Sx-20 Cath Diose,7907.55,7907.55,,,0 HCPCS,C1731,Hc Cath Ep Dx Otr Thn 3D Mpng 20/>Elec,10194.45,10194.45,,,0 HCPCS,C1731,Hc Hc Map-It 4/3.3F Duo-Decapolar Fixed Curve #903273,10743.6,10743.6,,,0 HCPCS,C1731,Hc Map-It Duo Deca #903269,11049.15,11049.15,,,0 HCPCS,C1731,Hc Response #401132,3481.8,3481.8,,,0 HCPCS,C1731,Hc St Jude Radius Cath Reflex Spiral,14210.7,14210.7,,,0 HCPCS,C1731,Noncdm Charge Record Medical Supplies,4448.505,4448.505,,,0 HCPCS,C1732,Hc Acqmap Catheter #900003-Us,10862.25,10862.25,,,0 HCPCS,C1732,Hc Advisor Hd Grid Mapping Catheter D-Avhd-Df16,17175.9,17175.9,,,0 HCPCS,C1732,Hc Cath Ep Dx Ablatn 3D/Vec Mapping,23584.05,23584.05,,,0 HCPCS,C1732,Hc Catheter Cordis Cobra,4328.1,4328.1,,,0 HCPCS,C1732,Hc Catheter Cordis Pigtail,39.9,39.9,,,0 HCPCS,C1732,Hc Catheter Navistar 4Mm,42.0,42.0,,,0 HCPCS,C1732,Hc Catheter Navistar Ds 8Mm,12757.5,12757.5,,,0 HCPCS,C1732,Hc Halo Xp Non-Nav Catheter #D7T20282Rt,2702.7,2702.7,,,0 HCPCS,C1732,Hc Intella Map Orion High Res Cath,25898.25,25898.25,,,0 HCPCS,C1732,Hc Intella Open-Irrigated Ablation Catheter # Pmr96200,25995.9,25995.9,,,0 HCPCS,C1732,Hc Intellanav Mifi - Ablation Cath,25995.9,25995.9,,,0 HCPCS,C1732,Hc Pacel Endocardial Pacing Catheter #401763,836.85,836.85,,,0 HCPCS,C1732,Hc Pacel Flow Directed Pacing Catheter,836.85,836.85,,,0 HCPCS,C1732,Hc Thermocool Bidirectional Nav St Cth,26875.8,26875.8,,,0 HCPCS,C1732,Noncdm Charge Record Medical Supplies,12880.41,12880.41,,,0 HCPCS,C1733,Hc Blazer Ii Catheter #M0045031Tl0,7723.8,7723.8,,,0 HCPCS,C1733,"Hc Blazer Ii Xp, Catheter",13112.4,13112.4,,,0 HCPCS,C1733,Hc Boston Sci Intella Tip Mifi Xp Cath,18641.7,18641.7,,,0 HCPCS,C1733,Hc Cath Celsius 4Mm D6T-Bl-252-Rt,12757.5,12757.5,,,0 HCPCS,C1733,Hc Cath Hc Dx Abltn Otr Thn Cool Tip,7992.6,7992.6,,,0 HCPCS,C1733,Hc Catheter Celsius Ds 8Mm,6819.75,6819.75,,,0 HCPCS,C1733,Hc Catheter Ept Blazer Ii Bost Scien,6819.75,6819.75,,,0 HCPCS,C1733,Hc Celsius Tc Rmt,11551.05,11551.05,,,0 HCPCS,C1733,Hc Device Lead Locking 65Cm Stainless Steel #518-062,14183.4,14183.4,,,0 HCPCS,C1733,Hc Frnt Advnce Cryoablation Catheter,42382.2,42382.2,,,0 HCPCS,C1733,Noncdm Charge Record Medical Supplies,11876.445,11876.445,,,0 HCPCS,C1747,Noncdm Charge Record Medical Supplies,10081.575,10081.575,,,0 HCPCS,C1748,Noncdm Charge Record Medical Supplies,12101.775,12101.775,,,0 HCPCS,C1750,Hc Cath Hemodialys Pertnl Long Term,1775.55,1775.55,,,0 HCPCS,C1750,Hc Hemodialysis/Central Ven Cat,2277.45,2277.45,,,0 HCPCS,C1750,Hc Permacath,1770.3,1770.3,,,0 HCPCS,C1750,Hc Permacath (Tunneled),1861.65,1861.65,,,0 HCPCS,C1750,Noncdm Charge Record Medical Supplies,1408.17,1408.17,,,0 HCPCS,C1751,Hc Cath Infusion Periph Centrl Midline,870.45,870.45,,,0 HCPCS,C1751,Hc Cath Transit Infsn Catheter,787.5,787.5,,,0 HCPCS,C1751,Hc Catheter Arrow Trpl Lumen Cath,1008.0,1008.0,,,0 HCPCS,C1751,Hc Catheter Central Line Double Lumen,189.0,189.0,,,0 HCPCS,C1751,Hc Catheter Swan Ganz,605.85,605.85,,,0 HCPCS,C1751,"Hc Catheter, Infusion, Inserted Peripherally, Centrally Or Midline",2274.3,2274.3,,,0 HCPCS,C1751,Hc High Profile Sheath,937.65,937.65,,,0 HCPCS,C1751,Hc Infusion Catheter,1009.05,1009.05,,,0 HCPCS,C1751,Hc Low Profile Sheath,975.45,975.45,,,0 HCPCS,C1751,Hc Neostar Catheter,1174.95,1174.95,,,0 HCPCS,C1751,Hc Picc Line,1337.7,1337.7,,,0 HCPCS,C1751,Noncdm Charge Record Medical Supplies,4968.92,4968.92,,,0 HCPCS,C1752,Hc Temp Cath (Non-Tunneled),1030.05,1030.05,,,0 HCPCS,C1752,Hc Temporary Access Catheter,1118.25,1118.25,,,0 HCPCS,C1752,Noncdm Charge Record Medical Supplies,888.54,888.54,,,0 HCPCS,C1753,Hc Eagle Eye Platinum Ivus Catheter,4977.0,4977.0,,,0 HCPCS,C1753,Hc Bw Ultrasound Catheter 90Cm,4940.25,4940.25,,,0 HCPCS,C1753,Hc Cath Atlnts Pv Ivus Imgng Cth 15Mhz,189.0,189.0,,,0 HCPCS,C1753,Hc Cath Atlnts Sr Pro Crnry Ivus 40Mhz,4800.6,4800.6,,,0 HCPCS,C1753,Hc Catheter Ivus,4800.6,4800.6,,,0 HCPCS,C1753,Hc Catheter Volcano Pv Visions,4800.6,4800.6,,,0 HCPCS,C1753,Hc Eagle Eye Pltnm Ivus Cath; Research,1237.0,1237.0,,,0 HCPCS,C1753,Hc Intra Vascular Ultrasound Catheter,6251.7,6251.7,,,0 HCPCS,C1753,Hc Ivus Catheter (Research),1016.0,1016.0,,,0 HCPCS,C1753,Hc Visions Pv Ivus Catheter # 86700,6277.95,6277.95,,,0 HCPCS,C1753,Hc Volcano Cath Visions Pv Ultrsnd,9925.65,9925.65,,,0 HCPCS,C1753,Noncdm Charge Record Medical Supplies,6558.3,6558.3,,,0 HCPCS,C1755,Noncdm Charge Record Medical Supplies,1.05,1.05,,,0 HCPCS,C1756,Hc Cath 10Fr Esophageal Pacing Cath,4800.6,4800.6,,,0 HCPCS,C1757,Hc Penumbra 3D Separator; Research,5071.0,5071.0,,,0 HCPCS,C1757,Hc Solataire/Trevor Stroke Device,26046.3,26046.3,,,0 HCPCS,C1757,Hc Solitare Brain Device,28326.9,28326.9,,,0 HCPCS,C1757,Hc Angiojet - Peripheral,11152.05,11152.05,,,0 HCPCS,C1757,Hc Cath Quickcath Extractn Catheter,6730.5,6730.5,,,0 HCPCS,C1757,Hc Catheter Pronto Excision Cath,6449.1,6449.1,,,0 HCPCS,C1757,Hc Catheter Thrombectomy/Embolectomy,6936.3,6936.3,,,0 HCPCS,C1757,Hc Flow Treiver Device For Thrombectomy,61797.75,61797.75,,,0 HCPCS,C1757,Hc Penumbra Reperfusion Cath,6699.0,6699.0,,,0 HCPCS,C1757,Hc Proxis Embolization Catheter,7031.85,7031.85,,,0 HCPCS,C1757,Hc Thrombectomy Catheter Level 1,5688.9,5688.9,,,0 HCPCS,C1757,Hc Thrombectomy Catheter Level 2,15465.45,15465.45,,,0 HCPCS,C1757,Hc Thrombectomy Catheter Level 3,34825.35,34825.35,,,0 HCPCS,C1757,Hc Thrombectomy Catheter System,6168.75,6168.75,,,0 HCPCS,C1757,Hc Thrombectomy Kit,3953.25,3953.25,,,0 HCPCS,C1757,Noncdm Charge Record Medical Supplies,9777.6,9777.6,,,0 HCPCS,C1758,Hc Cath Ureteral,960.75,960.75,,,0 HCPCS,C1758,Noncdm Charge Record Medical Supplies,186.87,186.87,,,0 HCPCS,C1759,Hc Boston Scientific Ultra Ice Cath,12092.85,12092.85,,,0 HCPCS,C1759,Hc Catheter Acu Nav Ice,679.35,679.35,,,0 HCPCS,C1759,Hc Catheter Intracard Echocardiography,25739.7,25739.7,,,0 HCPCS,C1759,Hc Intra Cardiac Echo Catheter,28934.85,28934.85,,,0 HCPCS,C1759,Hc Reprocess Acunav 8F-90 Sms,6034.35,6034.35,,,0 HCPCS,C1759,Hc Soundstar Eco- Ice Us Catheter #10438577,23916.9,23916.9,,,0 HCPCS,C1759,Hc Viewflex Ice Catheter #D087031,17641.05,17641.05,,,0 HCPCS,C1759,Noncdm Charge Record Medical Supplies,13113.525000000001,13113.525000000001,,,0 HCPCS,C1760,Hc 6Fr Angio-Seal Closure Device.035In Vascular Collagen Valuelink Guidewire Insertion,1054.2,1054.2,,,0 HCPCS,C1760,Hc 8 Fr Angio-Seal Closure Device.035In Vascular Collagen Valuelink Guidewire Insertion,1253.7,1253.7,,,0 HCPCS,C1760,Hc Angio Seal Sts Plus,2275.35,2275.35,,,0 HCPCS,C1760,Hc Boomerang Vascular Closure Device,1850.1,1850.1,,,0 HCPCS,C1760,Hc Closure Device,1612.8000000000002,1612.8000000000002,,,0 HCPCS,C1760,Hc Closure Device Level 1,514.5,514.5,,,0 HCPCS,C1760,Hc Closure Device Level 2,1151.85,1151.85,,,0 HCPCS,C1760,Hc Device 5Fr Vascade Vascular Closure Bx/5Ea-Manufacturing Item# 700-5000Dx-05U,1107.75,1107.75,,,0 HCPCS,C1760,Hc Device 6/7Fr Vascade Vascular Closure Bx/5Ea-Manufacturer Item 700-5801Dx-05U,1107.75,1107.75,,,0 HCPCS,C1760,Hc Perclose,2829.75,2829.75,,,0 HCPCS,C1760,Hc Perclose Proglide,1786.05,1786.05,,,0 HCPCS,C1760,Hc Starclose Artl Closr System,1926.75,1926.75,,,0 HCPCS,C1760,Hc Terumo Angioseal Sts Plus,2187.15,2187.15,,,0 HCPCS,C1760,Hc Vascular Plug,2461.2,2461.2,,,0 HCPCS,C1760,Noncdm Charge Record Medical Supplies,1204.14,1204.14,,,0 HCPCS,C1761,Noncdm Charge Record Medical Supplies,21126.655,21126.655,,,0 HCPCS,C1762,Noncdm Charge Record Medical Supplies,12820.5,12820.5,,,0 HCPCS,C1763,Noncdm Charge Record Medical Supplies,11495.095000000001,11495.095000000001,,,0 HCPCS,C1764,Hc Loop Recorder,39666.9,39666.9,,,0 HCPCS,C1764,Noncdm Charge Record Medical Supplies,23410.8,23410.8,,,0 HCPCS,C1765,Noncdm Charge Record Medical Supplies,2564.8,2564.8,,,0 HCPCS,C1766,Hc Acqguide Steerable Sheath # 900002-Us,7426.65,7426.65,,,0 HCPCS,C1766,Hc Direx Steerable Sheath #M004Ds200,6508.95,6508.95,,,0 HCPCS,C1766,Hc Int Sheath Guid Ep Strbl Other Plwy,1145.55,1145.55,,,0 HCPCS,C1766,Hc Medtronic Flexcath Advance,11302.2,11302.2,,,0 HCPCS,C1766,Hc Pinnacle 8Fr Sheath,78.75,78.75,,,0 HCPCS,C1766,Hc Safe Sheath 7Fr 13 Cm #Ss7,469.35,469.35,,,0 HCPCS,C1766,Hc Sheath Introducer Flexcath #4Fc12,11142.6,11142.6,,,0 HCPCS,C1766,Hc Tightrail 11Fr Sheath #545-511,18916.8,18916.8,,,0 HCPCS,C1766,Hc Tightrail 13Fr Sheath #545-513,20413.05,20413.05,,,0 HCPCS,C1766,Noncdm Charge Record Medical Supplies,2043.51,2043.51,,,0 HCPCS,C1767,Noncdm Charge Record Medical Supplies,130924.5,130924.5,,,0 HCPCS,C1768,Noncdm Charge Record Medical Supplies,10553.605,10553.605,,,0 HCPCS,C1769,Hc Asahi Wire,2822.4,2822.4,,,0 HCPCS,C1769,Hc Findrwirz Guidewire System,5087.25,5087.25,,,0 HCPCS,C1769,Hc Addtnl Wire Stndard (Straight/J),78.75,78.75,,,0 HCPCS,C1769,Hc Amplatzer Guidewires,605.85,605.85,,,0 HCPCS,C1769,Hc Coil Pusher,571.2,571.2,,,0 HCPCS,C1769,Hc Control Wire-Venture Guiding Wire,605.85,605.85,,,0 HCPCS,C1769,Hc Dasher Wire,569.1,569.1,,,0 HCPCS,C1769,Hc Db Firm Guide Wire,430.5,430.5,,,0 HCPCS,C1769,Hc Diagnostic Wire,554.4,554.4,,,0 HCPCS,C1769,Hc Eviva Needle Guide,37.8,37.8,,,0 HCPCS,C1769,Hc Glidewire #Gs3508,1531.95,1531.95,,,0 HCPCS,C1769,Hc Grand Slam Wire,270.9,270.9,,,0 HCPCS,C1769,Hc Guide Wire,478.8,478.8,,,0 HCPCS,C1769,Hc Guide Wire 15J,560.7,560.7,,,0 HCPCS,C1769,Hc Guide Wire For Impella (Plat Supp),430.5,430.5,,,0 HCPCS,C1769,Hc Guide Wire V18 Gd Wre,430.5,430.5,,,0 HCPCS,C1769,Hc Guidewire,571.2,571.2,,,0 HCPCS,C1769,Hc Guidewire Amplatzer,325.5,325.5,,,0 HCPCS,C1769,Hc Guidewire Angled Guidewire,567.0,567.0,,,0 HCPCS,C1769,Hc Guidewire Asahi Miracle Bros Wire,526.05,526.05,,,0 HCPCS,C1769,Hc Guidewire Exchange,196.35,196.35,,,0 HCPCS,C1769,Hc Guidewire Extra Stiff Wire,253.05,253.05,,,0 HCPCS,C1769,Hc Guidewire Glide,345.45,345.45,,,0 HCPCS,C1769,Hc Guidewire Gore,466.2,466.2,,,0 HCPCS,C1769,Hc Guidewire J,156.45,156.45,,,0 HCPCS,C1769,Hc Guidewire Platinum Plus # M001466010,664.65,664.65,,,0 HCPCS,C1769,Hc Guidewire Ptca,570.15,570.15,,,0 HCPCS,C1769,Hc Guidewire Radi,294.0,294.0,,,0 HCPCS,C1769,Hc Guidewire Speciality,570.15,570.15,,,0 HCPCS,C1769,Hc Guidewire Stereotaxis Pegasus,560.7,560.7,,,0 HCPCS,C1769,Hc Guidewire Straight,466.2,466.2,,,0 HCPCS,C1769,Hc Guidewire Vascular 0.014Inx185Cm Straight-Tip,3557.4,3557.4,,,0 HCPCS,C1769,Hc Guidewire Wholey Wire 150Cm,572.25,572.25,,,0 HCPCS,C1769,Hc Guidewire Wholey Wire 300Cm,571.2,571.2,,,0 HCPCS,C1769,Hc Guidwire Spectranetics Quick Cross,550.2,550.2,,,0 HCPCS,C1769,Hc Lead Medtronic Delivery System,430.5,430.5,,,0 HCPCS,C1769,Hc Magic Torque Modfd J Mlkdt Vsl Wre,560.7,560.7,,,0 HCPCS,C1769,Hc Platinum Plus Guidewire,512.4,512.4,,,0 HCPCS,C1769,Hc Pressure Wire,568.05,568.05,,,0 HCPCS,C1769,Hc Straight Exchange Wire,196.35,196.35,,,0 HCPCS,C1769,Hc Straight Guidewire,183.75,183.75,,,0 HCPCS,C1769,Hc Termo Radiofocus Gldwr Gr3506,1460.55,1460.55,,,0 HCPCS,C1769,Hc Toray Guide #Trg-25175,1439.55,1439.55,,,0 HCPCS,C1769,Hc Viperwire Coronary Guidewire,1102.5,1102.5,,,0 HCPCS,C1769,Hc Visionwire #352023,1114.05,1114.05,,,0 HCPCS,C1769,Hc Volcano Wire,2931.6,2931.6,,,0 HCPCS,C1769,Hc Wholey Guidewire,648.9,648.9,,,0 HCPCS,C1769,Hc Wire Level 1,100.8,100.8,,,0 HCPCS,C1769,Hc Wire Level 2,206.85,206.85,,,0 HCPCS,C1769,Hc Wire Level 3,514.5,514.5,,,0 HCPCS,C1769,Hc Wire Level 4,1072.05,1072.05,,,0 HCPCS,C1769,Hc Wire Level 5,1972.95,1972.95,,,0 HCPCS,C1769,Hc Wire Level 6,2457.0,2457.0,,,0 HCPCS,C1769,Noncdm Charge Record Medical Supplies,492.11,492.11,,,0 HCPCS,C1770,Hc Imaging Coil Mag Res Endrctl,1194.9,1194.9,,,0 HCPCS,C1771,Noncdm Charge Record Medical Supplies,11828.01,11828.01,,,0 HCPCS,C1772,Noncdm Charge Record Medical Supplies,1942.5,1942.5,,,0 HCPCS,C1773,Hc Alligator Retrieval Snare,14313.6,14313.6,,,0 HCPCS,C1773,Hc Bard Recovery Cone,3123.75,3123.75,,,0 HCPCS,C1773,Hc Catheter Snare,3242.925,3242.925,,,0 HCPCS,C1773,Hc Device Lead Locking .43-.66Mm Sls #518-019,12694.5,12694.5,,,0 HCPCS,C1773,Hc In Time Strand Basket,20408.85,20408.85,,,0 HCPCS,C1773,Hc Retrieval Dev Ins Amplatzer Exch Systm,3123.75,3123.75,,,0 HCPCS,C1773,Hc Snare Level 1,1751.4,1751.4,,,0 HCPCS,C1773,Hc Snare Level 2,3102.75,3102.75,,,0 HCPCS,C1773,Hc Snare Level 3,5152.35,5152.35,,,0 HCPCS,C1773,Hc Snare Level 4,12928.65,12928.65,,,0 HCPCS,C1773,Hc Snare Vascular En Snare #En2006020,3253.95,3253.95,,,0 HCPCS,C1773,Hc Spectranetics Accessory Kit #518-027,978.6,978.6,,,0 HCPCS,C1773,Hc Tighrail Sub-C #560-013,15304.8,15304.8,,,0 HCPCS,C1773,Noncdm Charge Record Medical Supplies,1593.0500000000002,1593.0500000000002,,,0 HCPCS,C1776,Noncdm Charge Record Medical Supplies,12062.92,12062.92,,,0 HCPCS,C1777,Hc Defb Ld Gdnt Endotk Rlnc Sg #0181,466.2,466.2,,,0 HCPCS,C1777,Hc Lead Guidnt Reliance Sg M#180/181,32023.95,32023.95,,,0 HCPCS,C1777,Hc Plexa Promri Df-1 S 65/17 #414006,27043.8,27043.8,,,0 HCPCS,C1777,Noncdm Charge Record Medical Supplies,13137.189999999999,13137.189999999999,,,0 HCPCS,C1778,Hc Boston Sci Lead Cap Kit # 6623,161.7,161.7,,,0 HCPCS,C1778,Hc Guidant Lead Repair Kit #6946,768.6,768.6,,,0 HCPCS,C1778,Hc Medtronic-Lead Repair Kit #5867-5,576.45,576.45,,,0 HCPCS,C1778,Noncdm Charge Record Medical Supplies,24802.58,24802.58,,,0 HCPCS,C1779,Hc Solia S 45 #377176,3713.85,3713.85,,,0 HCPCS,C1779,Noncdm Charge Record Medical Supplies,1512.0,1512.0,,,0 HCPCS,C1780,Noncdm Charge Record Medical Supplies,1838.9,1838.9,,,0 HCPCS,C1781,Noncdm Charge Record Medical Supplies,4425.87,4425.87,,,0 HCPCS,C1782,Noncdm Charge Record Medical Supplies,7498.05,7498.05,,,0 HCPCS,C1783,Noncdm Charge Record Medical Supplies,8411.025,8411.025,,,0 HCPCS,C1784,Hc Gore Stent Viabahn #Vbh070502 5Cm,10060.05,10060.05,,,0 HCPCS,C1784,Hc Gore Stent Viabahn #Vbj051002 10Cm,13511.4,13511.4,,,0 HCPCS,C1784,Hc Gore Stent Viabahn #Vbj061502 15Cm,15575.7,15575.7,,,0 HCPCS,C1785,Hc Dual Chamber Pacemaker,30235.8,30235.8,,,0 HCPCS,C1785,Hc Ob Catheter Ureteral,997.5,997.5,,,0 HCPCS,C1785,Noncdm Charge Record Medical Supplies,16632.0,16632.0,,,0 HCPCS,C1786,Hc Micra Model Mc1Vr01 Rate Resp Pacemaker,96186.3,96186.3,,,0 HCPCS,C1786,Hc Single Chamber Pacemaker,23213.4,23213.4,,,0 HCPCS,C1786,Noncdm Charge Record Medical Supplies,66024.0,66024.0,,,0 HCPCS,C1787,Noncdm Charge Record Medical Supplies,10691.52,10691.52,,,0 HCPCS,C1788,Hc Port Indwelling,3606.75,3606.75,,,0 HCPCS,C1788,Hc Portacath,2303.7,2303.7,,,0 HCPCS,C1788,Noncdm Charge Record Medical Supplies,2369.63,2369.63,,,0 HCPCS,C1789,Noncdm Charge Record Medical Supplies,6755.24,6755.24,,,0 HCPCS,C1813,Noncdm Charge Record Medical Supplies,78327.815,78327.815,,,0 HCPCS,C1814,Noncdm Charge Record Medical Supplies,2961.15,2961.15,,,0 HCPCS,C1815,Noncdm Charge Record Medical Supplies,52625.43,52625.43,,,0 HCPCS,C1817,Hc Amplatz Pda/Duct Occluder,7232.4,7232.4,,,0 HCPCS,C1817,Hc Amplatzer Pfo Occluder,49688.1,49688.1,,,0 HCPCS,C1817,Hc Asd Septal Occluder,24410.4,24410.4,,,0 HCPCS,C1817,Hc Duct Occluder Pda,10785.6,10785.6,,,0 HCPCS,C1817,Hc Gore Cardiofrm Sptl Occldr 15-35Mm,9947.7,9947.7,,,0 HCPCS,C1817,Hc Helex Septal Occluder,31178.7,31178.7,,,0 HCPCS,C1817,Hc Sept Amplatzer Septal Occluder,33961.2,33961.2,,,0 HCPCS,C1817,Hc Septal Imp System Cribiform Ocldr Asd,29355.9,29355.9,,,0 HCPCS,C1817,Hc Sptl Impl Sys+R[3]C Amp Septl Occl Asd,22713.6,22713.6,,,0 HCPCS,C1817,Hc Sptl Impl System Musclr Vsd Occluder,45495.45,45495.45,,,0 HCPCS,C1817,Noncdm Charge Record Medical Supplies,27025.07,27025.07,,,0 HCPCS,C1820,Noncdm Charge Record Medical Supplies,168119.49,168119.49,,,0 HCPCS,C1821,Noncdm Charge Record Medical Supplies,3205.125,3205.125,,,0 HCPCS,C1823,Hc Remede? Implantable Pulse Generator,236758.2,236758.2,,,0 HCPCS,C1823,Hc Respistim? Lqs (Left) Stimulation Lead ? 65Cm,83563.2,83563.2,,,0 HCPCS,C1825,Noncdm Charge Record Medical Supplies,117895.26,117895.26,,,0 HCPCS,C1827,Noncdm Charge Record Medical Supplies,139860.0,139860.0,,,0 HCPCS,C1830,Noncdm Charge Record Medical Supplies,225.855,225.855,,,0 HCPCS,C1874,Hc Stent Viabann,16744.35,16744.35,,,0 HCPCS,C1874,Hc Cordis Coronary Stent,11450.25,11450.25,,,0 HCPCS,C1874,Hc Covered Stent-Icast Stent,24941.7,24941.7,,,0 HCPCS,C1874,Hc Des,23127.3,23127.3,,,0 HCPCS,C1874,Hc Drug Eluding Stent,7254.45,7254.45,,,0 HCPCS,C1874,Hc Endopros Viabahn Cvrd Stent W/Del System,20111.7,20111.7,,,0 HCPCS,C1874,Hc Numed Cp Mounted Covered Stent,35240.1,35240.1,,,0 HCPCS,C1874,Hc Numed Cp Unmounted Covered Stent,29980.65,29980.65,,,0 HCPCS,C1874,Hc Orsiro Stent,4105.5,4105.5,,,0 HCPCS,C1874,Hc Stent Atrium Covered,20111.7,20111.7,,,0 HCPCS,C1874,Hc Stent Driver Medtronic,24136.35,24136.35,,,0 HCPCS,C1874,Hc Stent Drug Eluting,20111.7,20111.7,,,0 HCPCS,C1874,Hc Stent Level 1,13980.75,13980.75,,,0 HCPCS,C1874,Hc Stent Level 2,20580.0,20580.0,,,0 HCPCS,C1874,Hc Stent Level 3,31645.95,31645.95,,,0 HCPCS,C1874,Hc Stent Promus Everolimus Eluting Ste,24261.3,24261.3,,,0 HCPCS,C1874,Hc Stent Viabann,12958.05,12958.05,,,0 HCPCS,C1874,Hc Stent Vision Guidant,24418.8,24418.8,,,0 HCPCS,C1874,"Hc Stent, Coated & Covered, With Delivery System",31424.4,31424.4,,,0 HCPCS,C1874,Hc Xience Drug Eluting Stent,26142.9,26142.9,,,0 HCPCS,C1874,Hc Zilver Ptx Drug Eluting Periph Stent,8117.55,8117.55,,,0 HCPCS,C1874,Noncdm Charge Record Medical Supplies,14957.25,14957.25,,,0 HCPCS,C1875,Hc Covered Stent- Jomed Stent,22686.3,22686.3,,,0 HCPCS,C1876,"Hc Wall Stent (20,30)",13953.45,13953.45,,,0 HCPCS,C1876,Hc Abbott Absolute Pro Self Expanding Stent,3924.9,3924.9,,,0 HCPCS,C1876,Hc Abbott Acculink Stent,11449.2,11449.2,,,0 HCPCS,C1876,Hc Abbott Coronary Stent,16047.15,16047.15,,,0 HCPCS,C1876,Hc Abbott Herulink Stent,6158.25,6158.25,,,0 HCPCS,C1876,Hc Acs Biliary Stent,16744.35,16744.35,,,0 HCPCS,C1876,Hc Cordis Endo Vascular Stent,16843.05,16843.05,,,0 HCPCS,C1876,Hc Coronary Stent Scimed,14998.2,14998.2,,,0 HCPCS,C1876,Hc Integrity Bms Stent,2711.1,2711.1,,,0 HCPCS,C1876,Hc Lifestent,17613.75,17613.75,,,0 HCPCS,C1876,Hc Lifestent 100Mm,16843.05,16843.05,,,0 HCPCS,C1876,Hc Lifestent 120Mm,16843.05,16843.05,,,0 HCPCS,C1876,Hc Lifestent 150Mm,16843.05,16843.05,,,0 HCPCS,C1876,Hc Lifestent 170Mm,12958.05,12958.05,,,0 HCPCS,C1876,"Hc Lifestent 20,30,40Mm",16843.05,16843.05,,,0 HCPCS,C1876,Hc Neuroform Stent 2.5 X 15Mm,8287.65,8287.65,,,0 HCPCS,C1876,Hc Neuroform Stent 2.5 X 20Mm,8287.65,8287.65,,,0 HCPCS,C1876,Hc Neuroform Stent 4.5 X 10Mm,8046.15,8046.15,,,0 HCPCS,C1876,Hc Neuroform Stent 4.5 X 20Mm,8287.65,8287.65,,,0 HCPCS,C1876,Hc Pipeline Embolization Device,73362.45,73362.45,,,0 HCPCS,C1876,Hc Pipeline Flow Diversion System,72007.95,72007.95,,,0 HCPCS,C1876,Hc Stent Balloon Mounted,3390.45,3390.45,,,0 HCPCS,C1876,Hc Stent Bilary Palmaz Transpart,17037.3,17037.3,,,0 HCPCS,C1876,Hc Stent Coronary Ave,16994.25,16994.25,,,0 HCPCS,C1876,Hc Stent Genesis Premounted,3617.25,3617.25,,,0 HCPCS,C1876,Hc Stent Guidant Coronary,12958.05,12958.05,,,0 HCPCS,C1876,Hc Stent Level 4,6178.2,6178.2,,,0 HCPCS,C1876,Hc Stent Level 5,29725.5,29725.5,,,0 HCPCS,C1876,Hc Stent Protege,14466.9,14466.9,,,0 HCPCS,C1876,Hc Stent Racer Medtronic,18141.9,18141.9,,,0 HCPCS,C1876,Hc Stent Trac Wallgraft (70Mm),17301.9,17301.9,,,0 HCPCS,C1876,Hc Stent Viatorr,17208.45,17208.45,,,0 HCPCS,C1876,"Hc Stent, Bil, Smt Cordis Nitil Stent",12958.05,12958.05,,,0 HCPCS,C1876,"Hc Stent, Biliary, Cordis",18141.9,18141.9,,,0 HCPCS,C1876,"Hc Tracho Bronchial Wall Stent(20,30)",13953.45,13953.45,,,0 HCPCS,C1876,Hc Wingspan Stent,9032.1,9032.1,,,0 HCPCS,C1876,Noncdm Charge Record Medical Supplies,10485.44,10485.44,,,0 HCPCS,C1877,Hc Wall Stent- 42Mm Or 68Mm,5696.25,5696.25,,,0 HCPCS,C1877,Hc Stent Genesis Bare,3617.25,3617.25,,,0 HCPCS,C1877,Hc Stent Level 6,13391.7,13391.7,,,0 HCPCS,C1877,Hc Stent Palmaz Xl,5696.25,5696.25,,,0 HCPCS,C1877,Hc Wall Stent-42Mm Or 68Mm,7030.8,7030.8,,,0 HCPCS,C1877,Noncdm Charge Record Medical Supplies,6048.0,6048.0,,,0 HCPCS,C1878,Noncdm Charge Record Medical Supplies,5555.55,5555.55,,,0 HCPCS,C1880,Hc Filter Catheter,8621.55,8621.55,,,0 HCPCS,C1880,Hc Vena Cava Filter,5155.5,5155.5,,,0 HCPCS,C1880,Noncdm Charge Record Medical Supplies,5825.13,5825.13,,,0 HCPCS,C1882,Hc Bi-V Icd,155691.9,155691.9,,,0 HCPCS,C1882,Noncdm Charge Record Medical Supplies,82270.63,82270.63,,,0 HCPCS,C1883,Hc Brady Adapter Connector Model #6162,3356.85,3356.85,,,0 HCPCS,C1883,Hc Tachy Adapter Connector Model #6931,3356.85,3356.85,,,0 HCPCS,C1883,Noncdm Charge Record Medical Supplies,5184.04,5184.04,,,0 HCPCS,C1884,Hc Embolization Protection System,7120.05,7120.05,,,0 HCPCS,C1884,Hc Embolization Protective System,19438.125,19438.125,,,0 HCPCS,C1884,Noncdm Charge Record Medical Supplies,5745.6,5745.6,,,0 HCPCS,C1885,Hc Coronary Laser Catheter Spectronic,11599.35,11599.35,,,0 HCPCS,C1886,Hc Ez Steer Bidirectional Cath,4643.1,4643.1,,,0 HCPCS,C1886,Hc Rfa Needle,9257.85,9257.85,,,0 HCPCS,C1886,Hc Spine Ablation/Augmentation System,32501.7,32501.7,,,0 HCPCS,C1886,Hc Tacticath Sensor Ablation #A-Tcse-Df,25068.75,25068.75,,,0 HCPCS,C1886,Noncdm Charge Record Medical Supplies,11768.4,11768.4,,,0 HCPCS,C1887,"""Hc Indigo8 Torq85 """"Clinical Trial""""""",3875.55,3875.55,,,0 HCPCS,C1887,"""Hc Indigo8 Xtorq115 """"Clinical Trial""""""",3875.55,3875.55,,,0 HCPCS,C1887,Hc Volcano Platinum Cath,3148.95,3148.95,,,0 HCPCS,C1887,Hc 6Fr Langston Dual Lumen Catheter,5758.2,5758.2,,,0 HCPCS,C1887,Hc Acuity Pro Guiding Cathtr (Cs-Eh R),4129.65,4129.65,,,0 HCPCS,C1887,Hc Additional Catheter,71.4,71.4,,,0 HCPCS,C1887,Hc Additional Right Heart Cathete,938.7,938.7,,,0 HCPCS,C1887,Hc Addl Target Catheter-Supersel,906.15,906.15,,,0 HCPCS,C1887,Hc Attain Command + Surevalve 6250V-Am Guidecath,2338.35,2338.35,,,0 HCPCS,C1887,Hc Attain Command 6250V,3394.65,3394.65,,,0 HCPCS,C1887,Hc Attain Surevalve 90 Degree #6248V-90,300.3,300.3,,,0 HCPCS,C1887,Hc Boston Sci Acuity Extend Hook 7008,3715.95,3715.95,,,0 HCPCS,C1887,Hc Bs Acuity Pro Inner Catheter Cs-Ic,2347.8,2347.8,,,0 HCPCS,C1887,Hc Bs Acuity Pro Outer Catheter,4737.6,4737.6,,,0 HCPCS,C1887,Hc Cath 7.5Fr Swanz Ganz Catheter,889.35,889.35,,,0 HCPCS,C1887,Hc Cath Asahi Tornus Device,991.2,991.2,,,0 HCPCS,C1887,Hc Cath Envoy Guiding Catheter,933.45,933.45,,,0 HCPCS,C1887,Hc Cath Guiding Optitorque Cath Radial,925.05,925.05,,,0 HCPCS,C1887,Hc Cath Infusion Catheter,991.2,991.2,,,0 HCPCS,C1887,Hc Cath Superfusion Catheter,921.9,921.9,,,0 HCPCS,C1887,Hc Catheter Angiographic Glidecath 5Fr 100Cm #Cg508,451.5,451.5,,,0 HCPCS,C1887,Hc Catheter Angiographic Jr4 #7701-20,92.4,92.4,,,0 HCPCS,C1887,Hc Catheter Cobra,1539.3,1539.3,,,0 HCPCS,C1887,Hc Catheter Glide Caths,940.8,940.8,,,0 HCPCS,C1887,Hc Catheter Guiding,524.475,524.475,,,0 HCPCS,C1887,Hc Catheter Guiding Latex Free # C304L6906,5571.3,5571.3,,,0 HCPCS,C1887,Hc Catheter Launcher 6F Al 2.0 #La6Al20,420.0,420.0,,,0 HCPCS,C1887,Hc Catheter Straight/Angled Glde,217.35,217.35,,,0 HCPCS,C1887,Hc Catheter Terumo Glide,921.9,921.9,,,0 HCPCS,C1887,Hc Cps Aim Sl Sub90 59Cm Introduc/Shth,3276.0,3276.0,,,0 HCPCS,C1887,Hc Dexterity Diagnostic Catheter,4445.7,4445.7,,,0 HCPCS,C1887,Hc Diagnostic Catheter,947.94,947.94,,,0 HCPCS,C1887,Hc Fox Hollow Periphrl Rinsprtn Sys,921.9,921.9,,,0 HCPCS,C1887,Hc Gdc Tracker/Catheter,836.85,836.85,,,0 HCPCS,C1887,Hc Guide Micro,957.6,957.6,,,0 HCPCS,C1887,Hc Guide Renal Artery,991.2,991.2,,,0 HCPCS,C1887,Hc Guiding Catheter,915.6,915.6,,,0 HCPCS,C1887,Hc Guiding/Infusion Catheter Level 1,514.5,514.5,,,0 HCPCS,C1887,Hc Guiding/Infusion Catheter Level 2,1428.0,1428.0,,,0 HCPCS,C1887,Hc Guiding/Infusion Catheter Level 3,1820.7,1820.7,,,0 HCPCS,C1887,Hc Guiding/Infusion Catheter Level 4,2061.15,2061.15,,,0 HCPCS,C1887,Hc Guiding/Infusion Catheter Level 5,2692.2,2692.2,,,0 HCPCS,C1887,Hc Guiding/Infusion Catheter Level 6,4134.9,4134.9,,,0 HCPCS,C1887,Hc Guiding/Infusion Catheter Level 7,6644.4,6644.4,,,0 HCPCS,C1887,Hc Guiding/Infusion Catheter Level 8,10347.75,10347.75,,,0 HCPCS,C1887,Hc Haskal Tranjug Intrhep Port Acc Set,949.2,949.2,,,0 HCPCS,C1887,Hc His Delivery Cath #C315His02,2152.5,2152.5,,,0 HCPCS,C1887,Hc His Delivery Catheter,2152.5,2152.5,,,0 HCPCS,C1887,Hc Indigo 8 Straight Tip 85Cm,16670.85,16670.85,,,0 HCPCS,C1887,Hc Indo 8 Straight Tip 115 Cm,16670.85,16670.85,,,0 HCPCS,C1887,Hc Needle Transseptal Brk-1 #407201,1055.25,1055.25,,,0 HCPCS,C1887,Hc Ptca Guide Cath,943.95,943.95,,,0 HCPCS,C1887,Hc Pvc Cd Leymon Catheter #Ca-41103-Pn,14414.4,14414.4,,,0 HCPCS,C1887,Hc Radiofocus Glidewire #Cg508,451.5,451.5,,,0 HCPCS,C1887,Hc Superselect Catheter & Wire,932.4,932.4,,,0 HCPCS,C1887,Hc Tracker/Catheter,708.75,708.75,,,0 HCPCS,C1887,Hc Transit Infusion Catheter,1083.6,1083.6,,,0 HCPCS,C1887,Hc Vasc Solution Guideliners Catheter,1361.85,1361.85,,,0 HCPCS,C1887,Noncdm Charge Record Medical Supplies,814.765,814.765,,,0 HCPCS,C1888,Hc Cath Abltn Non Card Endovasc,10874.85,10874.85,,,0 HCPCS,C1888,Hc Catheter Ablation Rf Dondcutr,10435.95,10435.95,,,0 HCPCS,C1888,Noncdm Charge Record Medical Supplies,2056.79,2056.79,,,0 HCPCS,C1889,Hc Embolization Coils,667.05,667.05,,,0 HCPCS,C1889,Hc Barrigel Procedural Kit Gel Catalog 10263069,16884.0,16884.0,,,0 HCPCS,C1889,Hc Spaceoar Classic Sv-2101,17766.0,17766.0,,,0 HCPCS,C1889,Hc Wavelinq Endo Avf,37010.4,37010.4,,,0 HCPCS,C1889,Noncdm Charge Record Medical Supplies,6993.0,6993.0,,,0 HCPCS,C1891,Noncdm Charge Record Medical Supplies,112004.55,112004.55,,,0 HCPCS,C1892,Hc Biotronik Hls Safesheath,261.45,261.45,,,0 HCPCS,C1892,Hc Inth Shth Gdng Intcard Ep Peel Away,446.25,446.25,,,0 HCPCS,C1892,Hc Mm Classic Sheath Splitable Short,197.4,197.4,,,0 HCPCS,C1892,Noncdm Charge Record Medical Supplies,334.66499999999996,334.66499999999996,,,0 HCPCS,C1893,Hc Biotronik Lead Delivery System,4012.05,4012.05,,,0 HCPCS,C1893,Hc Biotronik-Extended Hook-45,1527.75,1527.75,,,0 HCPCS,C1893,Hc Cps Direct Sl Ii 7F 47Cm 135 Cath,5859.0,5859.0,,,0 HCPCS,C1893,Hc Int Sheath Guidng Intcard Ep Fx Cr,477.75,477.75,,,0 HCPCS,C1893,Hc Intrdcr- Medtrnc Guidwre Thndr 190S,415.8,415.8,,,0 HCPCS,C1893,Hc Introducer Transseptal Guiding,327.6,327.6,,,0 HCPCS,C1893,Hc Selectra Accessory Kit,1169.7,1169.7,,,0 HCPCS,C1893,Hc Selectra Straight45 Stylet,1754.55,1754.55,,,0 HCPCS,C1893,Hc Sheath,365.4,365.4,,,0 HCPCS,C1893,Hc Sheath /23Cm,552.3,552.3,,,0 HCPCS,C1893,Hc Sheath 14Fr/11Cm,581.7,581.7,,,0 HCPCS,C1893,Hc Sheath 6Fr/45Cm,542.85,542.85,,,0 HCPCS,C1893,Hc Sheath 6Fr/90Cm,569.1,569.1,,,0 HCPCS,C1893,Hc Sheath 7Fr/85Cm Curved,538.65,538.65,,,0 HCPCS,C1893,Hc Sheath Mp 89Cm,556.5,556.5,,,0 HCPCS,C1893,Hc Situs Lead Deliv System,4012.05,4012.05,,,0 HCPCS,C1893,Hc Super Arrow Flex Psi Sheath,868.35,868.35,,,0 HCPCS,C1893,Hc Visisheath #501-114,2373.0,2373.0,,,0 HCPCS,C1893,Hc Visisheath #501-116,2373.0,2373.0,,,0 HCPCS,C1893,Noncdm Charge Record Medical Supplies,899.6400000000001,899.6400000000001,,,0 HCPCS,C1894,Hc Amplatz Delivery System,2621.85,2621.85,,,0 HCPCS,C1894,Hc Ampltz Trqvue Exchg Sys 45 Deg Ang,350.7,350.7,,,0 HCPCS,C1894,Hc Avanti Sheath,189.0,189.0,,,0 HCPCS,C1894,Hc Avantis #504-610X,76.65,76.65,,,0 HCPCS,C1894,Hc Avantis #504-658,388.5,388.5,,,0 HCPCS,C1894,Hc Brite Tip Sheath #401-611M,326.55,326.55,,,0 HCPCS,C1894,Hc Fast Cath Sheath,158.55,158.55,,,0 HCPCS,C1894,Hc Fast-Cath Short Sheath (13Cm Or Less),119.7,119.7,,,0 HCPCS,C1894,Hc Int Glide Sheath Terumo 6Fr/10Cm,374.85,374.85,,,0 HCPCS,C1894,Hc Int Sht Amplatzer Delivery System 45 Deg Cv,4539.15,4539.15,,,0 HCPCS,C1894,Hc Int Sht Ampltz Trqvue Del Sys 45Deg,375.9,375.9,,,0 HCPCS,C1894,Hc Int Shth Otr Thn Gdng Incard Ep N L,332.85,332.85,,,0 HCPCS,C1894,"Hc Ntroducer/Sheath #Mi2355A, Other Than Guiding, Other Than Intracardiac Electrophysiological, Nonl",5416.95,5416.95,,,0 HCPCS,C1894,Hc Pediavascular Introd Sheath,360.15,360.15,,,0 HCPCS,C1894,Hc Sheath Arrow Super Flex,481.95,481.95,,,0 HCPCS,C1894,Hc Sheath Introducer Cordis Brite Tip,158.55,158.55,,,0 HCPCS,C1894,Hc Sheath Level 1,199.5,199.5,,,0 HCPCS,C1894,Hc Sheath Level 2,435.75,435.75,,,0 HCPCS,C1894,Hc Sheath Level 3,1104.6,1104.6,,,0 HCPCS,C1894,Hc Sheath Level 4,2058.0,2058.0,,,0 HCPCS,C1894,Hc Sheath Terumo,203.7,203.7,,,0 HCPCS,C1894,Noncdm Charge Record Medical Supplies,331.885,331.885,,,0 HCPCS,C1895,Noncdm Charge Record Medical Supplies,15120.0,15120.0,,,0 HCPCS,C1896,Hc Sq-Icd Lead,25943.19,25943.19,,,0 HCPCS,C1896,Hc Lead Defib Sub #6996Sq - 58Cm,23248.05,23248.05,,,0 HCPCS,C1896,Hc S-Icd Lead #3501 45Cm,37138.5,37138.5,,,0 HCPCS,C1896,Hc Transvene? Lead Cs/Svc #6937A,10833.9,10833.9,,,0 HCPCS,C1896,Noncdm Charge Record Medical Supplies,10683.75,10683.75,,,0 HCPCS,C1897,"Hc Lead, Neurostimulator Test Kit",11361.315,11361.315,,,0 HCPCS,C1897,Noncdm Charge Record Medical Supplies,955.5,955.5,,,0 HCPCS,C1898,Hc Biotronik Setroxs Leads,15937.95,15937.95,,,0 HCPCS,C1898,Hc Bipolar Endocardial Pacing Lead #4471,3720.15,3720.15,,,0 HCPCS,C1898,Hc Ingevity Mri Lead,3605.7,3605.7,,,0 HCPCS,C1898,Hc Lead Cap Kit,185.85,185.85,,,0 HCPCS,C1898,Hc Lead Medtronic Slcscr Biplr Pcng #3830,203.7,203.7,,,0 HCPCS,C1898,Hc Medtronic Mri Surescan Lead,9069.9,9069.9,,,0 HCPCS,C1898,Hc Optisure #Lda210Q-58,4122.3,4122.3,,,0 HCPCS,C1898,Hc Solia S 53,3720.15,3720.15,,,0 HCPCS,C1898,Hc Solia S 60,3720.15,3720.15,,,0 HCPCS,C1898,Hc Sorin Tilda Lead,4244.1,4244.1,,,0 HCPCS,C1898,Hc Sorin Tip Atrial Lead,9069.9,9069.9,,,0 HCPCS,C1898,Noncdm Charge Record Medical Supplies,2098.375,2098.375,,,0 HCPCS,C1900,Hc - Lead Attain Performa,22132.95,22132.95,,,0 HCPCS,C1900,Noncdm Charge Record Medical Supplies,8400.02,8400.02,,,0 HCPCS,C2613,Hc Lung Biopsy Plug,1369.2,1369.2,,,0 HCPCS,C2615,Noncdm Charge Record Medical Supplies,3847.59,3847.59,,,0 HCPCS,C2616,"Brachytx, non-str,Yttrium-90",,,17771.01,25767.96,3 HCPCS,C2616,Hc Sirs Spheres Microspheres,60465.3,60465.3,,,0 HCPCS,C2616,Hc Therasphere Yttrium-90,20657.7,20657.7,,,0 HCPCS,C2616,NDC Description Not Available,22298.195,22298.195,,,0 HCPCS,C2617,Noncdm Charge Record Medical Supplies,916.24,916.24,,,0 HCPCS,C2618,Hc Probe Cyroablation,9727.2,9727.2,,,0 HCPCS,C2618,Noncdm Charge Record Medical Supplies,8568.0,8568.0,,,0 HCPCS,C2621,Hc Bi-V Pacemaker,52288.95,52288.95,,,0 HCPCS,C2621,Noncdm Charge Record Medical Supplies,29809.08,29809.08,,,0 HCPCS,C2623,Hc Impact Admiral Drug Coat Bal <120,16529.1,16529.1,,,0 HCPCS,C2623,Hc Impact Admiral Drug Coat Bal >120,15017.1,15017.1,,,0 HCPCS,C2623,Hc Long Drug Coated Ballon Catheter,9256.8,9256.8,,,0 HCPCS,C2623,Hc Short Drug Coated Ballon Catheter,8163.75,8163.75,,,0 HCPCS,C2623,Noncdm Charge Record Medical Supplies,16217.88,16217.88,,,0 HCPCS,C2624,Hc Cardiomems Hf System,111545.7,111545.7,,,0 HCPCS,C2624,Noncdm Charge Record Medical Supplies,109220.52,109220.52,,,0 HCPCS,C2625,Hc Stent Level 7,791.7,791.7,,,0 HCPCS,C2625,Noncdm Charge Record Medical Supplies,841.915,841.915,,,0 HCPCS,C2627,Noncdm Charge Record Medical Supplies,345.025,345.025,,,0 HCPCS,C2628,Hc Endocath Occlusion Balloon,3006.15,3006.15,,,0 HCPCS,C2628,Hc Boston Sci Balloon Catheter,231.0,231.0,,,0 HCPCS,C2628,Hc Bridge Oclusion Ballon Catheter,7589.4,7589.4,,,0 HCPCS,C2628,Hc Detachable Balloons,4643.1,4643.1,,,0 HCPCS,C2628,Hc Guidant Catheter Balloon #6714-105,446.25,446.25,,,0 HCPCS,C2628,Hc Occlusion Balloon Level 1,1339.8,1339.8,,,0 HCPCS,C2628,Hc Occlusion Balloon Level 2,5799.15,5799.15,,,0 HCPCS,C2628,Hc Occlusion Bridge Balloon,8487.15,8487.15,,,0 HCPCS,C2628,Noncdm Charge Record Medical Supplies,4487.2,4487.2,,,0 HCPCS,C2629,Hc Lead Extraction Laser Spectra 12-15,17059.35,17059.35,,,0 HCPCS,C2629,Hc Spectranetic Glidelght Laser Sheath,19432.35,19432.35,,,0 HCPCS,C2629,Noncdm Charge Record Medical Supplies,15699.6,15699.6,,,0 HCPCS,C2630,Hc 8F Flexability Catheter,17131.8,17131.8,,,0 HCPCS,C2630,Hc Cath Ep Dx/Abltn Otr 3D Vc Mp Cl Tp,10904.25,10904.25,,,0 HCPCS,C2630,Hc Celsius Rmt Thermocool Catheter,20507.55,20507.55,,,0 HCPCS,C2630,Hc Chilli Ii Cool-Tip Ablation Cath,6684.3,6684.3,,,0 HCPCS,C2630,Hc St Jude Tacti Catheter Quartz,25191.6,25191.6,,,0 HCPCS,C2630,"Hc Thermocool 3.5 Mm Catheter, Electrophysiology, Diagnostic/Ablation, Other Than 3D Or Vector Mappi",27591.9,27591.9,,,0 HCPCS,C2630,"Hc Thermocool 4 Mm Catheter, Electrophysiology, Diagnostic/Ablation, Other Than 3D Or Vector Mapping",27591.9,27591.9,,,0 HCPCS,C2630,Noncdm Charge Record Medical Supplies,14719.09,14719.09,,,0 HCPCS,C2634,"Hc Brachytherapy Source, Nonstranded, High Activity, Iodine-125, Greater Than 1.01Mci, Per Source",394.8,394.8,,,0 HCPCS,C2638,"Brachytx, stranded, I-125",,,35.26,51.13,3 HCPCS,C2638,"Hc Brachytherapy Source, Stranded, Iodine-125, Per Source",223.65,223.65,,,0 HCPCS,C2639,"Hc Brachytherapy Source, Nonstranded, Iodine-125, Per Source",199.5,199.5,,,0 HCPCS,C5271,Low cost skin substitute app,,,3399.0,3399.0,1 HCPCS,C5272,Low cost skin substitute app,,,3399.0,3399.0,1 HCPCS,C5273,Low cost skin substitute app,,,7272.0,7272.0,1 HCPCS,C5274,Low cost skin substitute app,,,3399.0,3399.0,1 HCPCS,C5275,"Hc App Skn Sub Grft To Face, Gen, H&S, Ft, &/Or Mult Digits, Tot Wnd Sfc 100 Sq Cm; First 25 Sq Cm<",2639.0,2639.0,,,0 HCPCS,C5275,"Hc App Skn Sub Grft To Face, Gen, H&S, Ft, &/Or Mult Digits, Tot Wnd Sfc 100 Sq Cm; First 25 Sq Cm<-",7036.5,7036.5,,,0 HCPCS,C5275,Low cost skin substitute app,,,3399.0,3399.0,1 HCPCS,C5275,Pr Low Cost Skin Substitute App-Pbb,8795.0,8795.0,,,0 HCPCS,C5276,"Hc Low Cost Skin Sub App, Tot Wnd Sfc 100 Sq Cm; Ea Add 25 Sq Cm-Pbb",3766.0,3766.0,,,0 HCPCS,C5276,Low cost skin substitute app,,,3399.0,3399.0,1 HCPCS,C5276,Pr Low Cost Skin Substitute App-Pbb,4236.0,4236.0,,,0 HCPCS,C5277,Hc Low Cst Skn Sb App;Wnd Sfc >Or=100 Sqcm;1St 100 Sqcm Sfc Or 1% Body-Pbb,7036.5,7036.5,,,0 HCPCS,C5277,Low cost skin substitute app,,,3399.0,3399.0,1 HCPCS,C5277,Pr Low Cost Skin Substitute App-Pbb,8795.0,8795.0,,,0 HCPCS,C5278,Hc Lw Cst Skn Sb App;Wnd Sfc>Or=100 Sqcm;Ea Add 100 Sqcm Sfc Or 1% Bdy-Pbb,3766.0,3766.0,,,0 HCPCS,C5278,Low cost skin substitute app,,,3399.0,3399.0,1 HCPCS,C5278,Pr Low Cost Skin Substitute App-Pbb,4236.0,4236.0,,,0 HCPCS,C7500,Deb bone 20 cm2 w/drug dev,,,10008.0,10008.0,1 HCPCS,C7501,Perc bx breast lesions stero,,,10008.0,10008.0,1 HCPCS,C7502,Perc bx breast lesions mr,,,10008.0,10008.0,1 HCPCS,C7503,Open exc cerv node(s) w/ id,,,10008.0,10008.0,1 HCPCS,C7504,Perq cvt&ls inj vert bodies,,,10008.0,10008.0,1 HCPCS,C7505,Perq ls&cvt inj vert bodies,,,10008.0,10008.0,1 HCPCS,C7506,Fusion of finger joints,,,10008.0,10008.0,1 HCPCS,C7507,Perq thor&lumb vert aug,,,10008.0,10008.0,1 HCPCS,C7508,Perq lumb&thor vert aug,,,10008.0,10008.0,1 HCPCS,C7509,Dx bronch w/ navigation,,,10008.0,10008.0,1 HCPCS,C7510,Bronch/lavag w/ navigation,,,10008.0,10008.0,1 HCPCS,C7511,Bronch/bpsy(s) w/ navigation,,,10008.0,10008.0,1 HCPCS,C7512,Bronch/bpsy(s) w/ ebus,,,10008.0,10008.0,1 HCPCS,C7513,Cath/angio dialcir w/aplasty,,,10008.0,10008.0,1 HCPCS,C7514,Cath/angio dial cir w/stents,,,10008.0,10008.0,1 HCPCS,C7515,Cath/angio dial cir w/embol,,,10008.0,10008.0,1 HCPCS,C7516,Cor angio w/ ivus or oct,,,10008.0,10008.0,1 HCPCS,C7517,Cor angio w/ilic/fem angio,,,10008.0,10008.0,1 HCPCS,C7518,Cor/gft angio w/ ivus or oct,,,10008.0,10008.0,1 HCPCS,C7519,Cor/gft angio w/ flow resrv,,,10008.0,10008.0,1 HCPCS,C7520,Cor/gft angio w/ilic/fem ang,,,10008.0,10008.0,1 HCPCS,C7521,R hrt angio w/ ivus or oct,,,10008.0,10008.0,1 HCPCS,C7522,R hrt angio w/flow resrv,,,10008.0,10008.0,1 HCPCS,C7523,L hrt angio w/ ivus or oct,,,10008.0,10008.0,1 HCPCS,C7524,L hrt angio w/flow resrv,,,10008.0,10008.0,1 HCPCS,C7525,L hrt gft ang w/ ivus or oct,,,10008.0,10008.0,1 HCPCS,C7526,L hrt gft ang w/flow resrv,,,10008.0,10008.0,1 HCPCS,C7527,R&l hrt angio w/ ivus or oct,,,10008.0,10008.0,1 HCPCS,C7528,R&l hrt angio w/flow resrv,,,10008.0,10008.0,1 HCPCS,C7529,R&l hrt gft ang w/flow resrv,,,10008.0,10008.0,1 HCPCS,C7530,Cath/aplasty dial cir w/stnt,,,10008.0,10008.0,1 HCPCS,C7531,Angio fem/pop w/ us,,,10008.0,10008.0,1 HCPCS,C7532,Angio w/ us non-coronary,,,10008.0,10008.0,1 HCPCS,C7533,Ptca w/ plcmt brachytx dev,,,10008.0,10008.0,1 HCPCS,C7534,Fem/pop revasc w/arthr & us,,,10008.0,10008.0,1 HCPCS,C7535,Fem/pop revasc w/stent & us,,,10008.0,10008.0,1 HCPCS,C7537,Insrt atril pm w/l vent lead,,,10008.0,10008.0,1 HCPCS,C7538,Insrt vent pm w/l vent lead,,,10008.0,10008.0,1 HCPCS,C7539,Insrt a & v pm w/l vent lead,,,10008.0,10008.0,1 HCPCS,C7540,Rmv&rplc pm dul w/l vnt lead,,,10008.0,10008.0,1 HCPCS,C7541,Ercp w/ pancreatoscopy,,,10008.0,10008.0,1 HCPCS,C7542,Ercp w/bx & pancreatoscopy,,,10008.0,10008.0,1 HCPCS,C7543,"Ercp w/otomy, pancreatoscopy",,,10008.0,10008.0,1 HCPCS,C7544,Ercp rmv calc pancreatoscopy,,,10008.0,10008.0,1 HCPCS,C7545,Exch bil cath w/ rmv calculi,,,10008.0,10008.0,1 HCPCS,C7546,Rep nph/urt cath w/dil stric,,,10008.0,10008.0,1 HCPCS,C7547,Cnvrt neph cath w/ dil stric,,,10008.0,10008.0,1 HCPCS,C7548,Exch neph cath w/ dil stric,,,10008.0,10008.0,1 HCPCS,C7549,Chge urtr stent w/ dil stric,,,10008.0,10008.0,1 HCPCS,C7550,Cysto w/ bx(s) w/ blue light,,,10008.0,10008.0,1 HCPCS,C7551,Exc neuroma w/ implnt nv end,,,10008.0,10008.0,1 HCPCS,C7552,R hrt art/grft ang hrt flow,,,10008.0,10008.0,1 HCPCS,C7553,R&l hrt art/vent ang drg ad,,,10008.0,10008.0,1 HCPCS,C7554,Cystureth blu li cyst fl img,,,10008.0,10008.0,1 HCPCS,C7555,Rmvl thyrd w/autotran parath,,,10008.0,10008.0,1 HCPCS,C7557,Cor angio/vent w/ffr,,,10008.0,10008.0,1 HCPCS,C7558,Cor angio/vent w/drug admin,,,10008.0,10008.0,1 HCPCS,C7560,Ercp remove forgn body&endo,,,10008.0,10008.0,1 HCPCS,C7900,"Hopd mntl hlt, 15-29 min",,,40.15,58.22,3 HCPCS,C7901,"Hopd mntl hlt, 30-60 min",,,108.87,157.85,3 HCPCS,C7903,"Hopd mntl hlt, grp",,,40.15,58.22,3 HCPCS,C8001,3d anat seg imaging preop,,,137.89,264.15,4 HCPCS,C8003,Imp extar knee shck absrb,,,18789.56,27244.87,3 HCPCS,C8004,Sim ang w/prs cath rad emb,,,12370.97,17937.9,3 HCPCS,C8005,Pef bronch ablt 3d nav ebus,,,18356.27,26616.6,3 HCPCS,C8006,Inst pleu-perit shnt w pump,,,6937.47,10059.33,3 HCPCS,C8900,"Hc Mra With Contrast, Abdomen",4218.0,4218.0,,,0 HCPCS,C8900,"Mra w/cont, abd",,,373.86,1104.36,4 HCPCS,C8901,"Hc Mra Without Contrast, Abdomen",3586.0,3586.0,,,0 HCPCS,C8901,"Mra w/o cont, abd",,,255.69,690.39,4 HCPCS,C8902,"Mra w/o fol w/cont, abd",,,373.86,1104.36,4 HCPCS,C8903,"Mri w/cont, breast, uni",,,187.96,535.65,4 HCPCS,C8905,"Mri w/o fol w/cont, brst, un",,,373.86,1104.36,4 HCPCS,C8906,Hc Mri W Contrast Breast Bilateral-Research Only,1682.0,1682.0,,,0 HCPCS,C8906,"Mri w/cont, breast, bi",,,373.86,1104.36,4 HCPCS,C8908,Hc Research Mri Wo & W Contrst Brst Bilat,1682.0,1682.0,,,0 HCPCS,C8908,"Mri w/o fol w/cont, breast,",,,373.86,1104.36,4 HCPCS,C8909,"Hc Mra With Contrast, Chest (Excluding Myocardium)",3901.0,3901.0,,,0 HCPCS,C8909,"MRA w/cont, chest",,,373.86,1104.36,4 HCPCS,C8910,"Hc Mra Without Contrast, Chest (Excluding Myocardium)",3393.0,3393.0,,,0 HCPCS,C8910,"MRA w/o cont, chest",,,255.69,690.39,4 HCPCS,C8911,"Hc Mra Without Contrast Followed By With Contrast, Chest (Excluding Myocardium)",4485.0,4485.0,,,0 HCPCS,C8911,"MRA w/o fol w/cont, chest",,,373.86,1104.36,4 HCPCS,C8912,"Mra w/cont, lwr ext",,,373.86,1104.36,4 HCPCS,C8913,"Mra w/o cont, lwr ext",,,255.69,690.39,4 HCPCS,C8914,"Mra w/o fol w/cont, lwr ext",,,373.86,1104.36,4 HCPCS,C8918,"MRA w/cont, pelvis",,,373.86,1104.36,4 HCPCS,C8919,"MRA w/o cont, pelvis",,,255.69,690.39,4 HCPCS,C8920,"Mra w/o fol w/cont, pelvis",,,373.86,1104.36,4 HCPCS,C8921,"Tte w or w/o fol w/cont, com",,,840.06,1218.09,3 HCPCS,C8922,"Tte w or w/o fol w/cont, f/u",,,840.06,1218.09,3 HCPCS,C8923,"2d tte w or w/o fol w/con,co",,,840.06,1218.09,3 HCPCS,C8924,"2d tte w or w/o fol w/con,fu",,,373.86,542.1,3 HCPCS,C8925,"2d tee w or w/o fol w/con,in",,,840.06,1218.09,3 HCPCS,C8926,"Tee w or w/o fol w/cont,cong",,,840.06,1218.09,3 HCPCS,C8927,"TEE w or w/o fol w/cont, mon",,,840.06,1218.09,3 HCPCS,C8928,Hc Use Of Echo Contrast Agent Stress Echo,4361.0,4361.0,,,0 HCPCS,C8928,"Tte w or w/o fol w/con,stres",,,840.06,1218.09,3 HCPCS,C8929,"TTE w or wo fol wcon,Doppler",,,840.06,1218.09,3 HCPCS,C8930,"TTE w or w/o contr, cont ECG",,,840.06,1218.09,3 HCPCS,C8931,"MRA, w/dye, spinal canal",,,373.86,1104.36,4 HCPCS,C8932,"MRA, w/o dye, spinal canal",,,255.69,690.39,4 HCPCS,C8933,"MRA, w/o&w/dye, spinal canal",,,373.86,1104.36,4 HCPCS,C8934,"MRA, w/dye, upper extremity",,,373.86,1104.36,4 HCPCS,C8935,"MRA, w/o dye, upper extr",,,255.69,690.39,4 HCPCS,C8936,"MRA, w/o&w/dye, upper extr",,,373.86,1104.36,4 HCPCS,C8937,Hc Cad Breast Mri,133.0,133.0,,,0 HCPCS,C8957,"Prolonged iv inf, req pump",,,227.94,330.51,3 HCPCS,C9046,"Cocaine Hydrochloride: 1 Bottle, Glass In 1 Carton (64950-362-04) / 4 Ml In 1 Bottle, Glass",9.49,9.49,,,0 HCPCS,C9046,Cocaine hcl nasal solution,,,2.32,3.74,2 HCPCS,C9047,"Cablivi: 1 Kit In 1 Carton (58468-0225-1) * 1 Ml In 1 Vial, Glass (58468-0227-1) * 1 Ml In 1 Syringe, Glass (58468-0229-1)",4645.49,4645.49,,,0 HCPCS,C9047,"Injection, caplacizumab-yhdp",,,802.49,1729.92,5 HCPCS,C9067,Gallium ga-68 dotatoc,,,3.61,10.44,5 HCPCS,C9068,"Hc Copper Cu-64, Dotatate, Dx",2415.0,2415.0,,,0 HCPCS,C9088,"Instill, bupivac and meloxic",,,1.04,1.27,2 HCPCS,C9089,"Bupivacaine implant, 1 mg",,,1.15,1.15,1 HCPCS,C9101,"Inj, oliceridine 0.1 mg",,,1.78,2.18,2 HCPCS,C9113,"Inj pantoprazole sodium, via",,,10.1,10.1,1 HCPCS,C9113,"Pantoprazole Sodium: 10 Vial, Single-Dose In 1 Carton (55150-202-10) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (55150-202-00)",193.0,193.0,,,0 HCPCS,C9143,Cocaine hcl nasal (numbrino),,,3.09,3.09,1 HCPCS,C9144,"Inj, bupivacaine (posimir)",,,0.66,0.83,2 HCPCS,C9145,"Inj, aponvie, 1 mg",,,1.91,3.07,5 HCPCS,C9170,Imdelltra (Amg757): 1 Kit In 1 Package (55513-059-01) * 1 Mg In 1 Vial (55513-103-01) * 7 Ml In 1 Vial (55513-068-01),6738.85,6738.85,,,0 HCPCS,C9170,Imdelltra (Amg757): 1 Kit In 1 Package (55513-077-01) * 10 Mg In 1 Vial (55513-069-01) * 7 Ml In 1 Vial (55513-068-01),7553.41,7553.41,,,0 HCPCS,C9170,"Inj, tarlatamab-dlle, 1 mg",,,17.75,17.75,1 HCPCS,C9170,NDC Description Not Available,6750.0,6750.0,,,0 HCPCS,C9173,"Inj, nypozi, 1 mcg",,,0.89,1.0,2 HCPCS,C9174,"Datopotamab deruxtecan, 1 mg",,,89.8,89.8,1 HCPCS,C9175,"Inj, treosulfan, 50 mg",,,56.0,56.0,1 HCPCS,C9248,"Cleviprex: 10 Carton In 1 Carton (10122-610-10) / 1 Vial, Single-Use In 1 Carton (10122-610-01) / 50 Ml In 1 Vial, Single-Use",22.91,22.91,,,0 HCPCS,C9248,"Inj, clevidipine butyrate",,,4.62,4.86,2 HCPCS,C9248,NDC Description Not Available,19.35,19.35,,,0 HCPCS,C9250,Artiss fibrin sealant,,,141.89,253.22,5 HCPCS,C9250,Noncdm Charge Record Pharmacy,1255.78,1255.78,,,0 HCPCS,C9254,"Injection, lacosamide",,,0.27,0.27,1 HCPCS,C9257,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-061-01) / 16 Ml In 1 Vial, Single-Use",14.39,14.39,,,0 HCPCS,C9257,Bevacizumab injection,,,1.83,3.02,5 HCPCS,C9285,"Patch, lidocaine/tetracaine",,,23.34,23.34,1 HCPCS,C9293,"Injection, glucarpidase",,,427.72,620.19,4 HCPCS,C9293,"Voraxaze: 1 Vial In 1 Carton (50633-210-11) / 1 Injection, Powder, For Solution In 1 Vial",1852.83,1852.83,,,0 HCPCS,C9339,Rezurock: 1 Bottle In 1 Carton (79802-200-30) / 30 Tablet In 1 Bottle,3730.26,3730.26,,,0 HCPCS,C9352,"Neuragen nerve guide, per cm",,,1429.33,1429.33,1 HCPCS,C9352,Noncdm Charge Record Medical Supplies,48309.98,48309.98,,,0 HCPCS,C9353,"Neurawrap nerve protector,cm",,,1524.51,1524.51,1 HCPCS,C9353,Noncdm Charge Record Medical Supplies,13751.97,13751.97,,,0 HCPCS,C9354,"Veritas collagen matrix, cm2",,,26.16,26.16,1 HCPCS,C9355,"Neuromatrix nerve cuff, cm",,,246.02,246.02,1 HCPCS,C9356,"TenoGlide tendon prot, cm2",,,151.27,151.27,1 HCPCS,C9358,Noncdm Charge Record Medical Supplies,3671.32,3671.32,,,0 HCPCS,C9359,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 HCPCS,C9361,NeuroMend nerve wrap,,,239.3,239.3,1 HCPCS,C9361,Noncdm Charge Record Medical Supplies,22952.58,22952.58,,,0 HCPCS,C9362,Noncdm Charge Record Medical Supplies,12743.655,12743.655,,,0 HCPCS,C9363,Integra Meshed Bil Wound Mat,,,92.89,193.37,4 HCPCS,C9363,Noncdm Charge Record Pharmacy,33840.94,33840.94,,,0 HCPCS,C9364,Noncdm Charge Record Medical Supplies,11421.9,11421.9,,,0 HCPCS,C9364,"Porcine implant, Permacol",,,24.83,24.83,1 HCPCS,C9399,Aucatzyl: 1 Kit In 1 Package (83047-410-04) * 1 Suspension In 1 Bag (83047-100-30) * 1 Suspension In 1 Bag (83047-100-10) * 1 Suspension In 1 Bag (83047-300-30) * 1 Suspension In 1 Bag (83047-,3390000.0,3390000.0,,,0 HCPCS,C9399,"Datroway: 1 Vial, Single-Dose In 1 Carton (65597-801-01) / 5 Ml In 1 Vial, Single-Dose",29493.15,29493.15,,,0 HCPCS,C9399,Defitelio: 2.5 Ml In 1 Vial (68727-800-01),4722.25,4722.25,,,0 HCPCS,C9399,"Dupixent: 2 Syringe, Glass In 1 Carton (0024-5914-01) / 2 Ml In 1 Syringe, Glass (0024-5914-00)",4910.49,4910.49,,,0 HCPCS,C9399,"Gattex: 1 Kit In 1 Carton (68875-0103-1) * .5 Ml In 1 Syringe, Plastic * .7 Ml In 1 Packet * .5 Ml In 1 Vial (68875-0101-1)",12046.14,12046.14,,,0 HCPCS,C9399,"Giapreza: 1 Vial, Single-Dose In 1 Carton (68547-501-02) / 1 Ml In 1 Vial, Single-Dose",11053.32,11053.32,,,0 HCPCS,C9399,Hc Platelet Enriched Plasma Eyedrops Cash,300.0,300.0,,,0 HCPCS,C9399,NDC Description Not Available,12740.72,12740.72,,,0 HCPCS,C9399,"Noxafil: 1 Vial, Glass In 1 Carton (0085-4331-01) / 16.7 Ml In 1 Vial, Glass",3553.97,3553.97,,,0 HCPCS,C9399,Posaconazole: 1 Vial In 1 Carton (68462-904-01) / 16.7 Ml In 1 Vial,1809.04,1809.04,,,0 HCPCS,C9399,"Prevymis: 14 Blister Pack In 1 Carton (0006-3076-04) / 1 Tablet, Film Coated In 1 Blister Pack (0006-3076-03)",1654.23,1654.23,,,0 HCPCS,C9399,"Prevymis: 4 Dose Pack In 1 Carton (0006-3075-02) / 7 Tablet, Film Coated In 1 Dose Pack (0006-3075-01)",953.57,953.57,,,0 HCPCS,C9399,"Terlivaz: 1 Vial, Single-Dose In 1 Carton (43825-200-01) / 5 Ml In 1 Vial, Single-Dose",6613.68,6613.68,,,0 HCPCS,C9399,Vyloy: 1 Vial In 1 Box (0469-3425-10) / 5 Ml In 1 Vial,168.08,168.08,,,0 HCPCS,C9399,"Xacduro: 1 Kit In 1 Carton (68547-111-10) * 5 Ml In 1 Vial, Single-Dose (68547-211-20) * 2.5 Ml In 1 Vial, Single-Dose (68547-311-30)",3245.67,3245.67,,,0 HCPCS,C9457,Noncdm Charge Record Pharmacy,15391.76,15391.76,,,0 HCPCS,C9460,"Injection, cangrelor",,,19.98,44.46,6 HCPCS,C9460,"Kengreal: 10 Vial, Single-Use In 1 Carton (10122-620-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (10122-620-01)",108.78,108.78,,,0 HCPCS,C9460,NDC Description Not Available,108.38,108.38,,,0 HCPCS,C9462,"Injection, delafloxacin",,,0.65,0.65,1 HCPCS,C9482,Sotalol hydrochloride IV,,,25.05,53.61,6 HCPCS,C9488,Conivaptan HCL,,,61.37,98.94,2 HCPCS,C9600,Perc drug-el cor stent sing,,,12370.97,36418.0,4 HCPCS,C9601,Perc drug-el cor stent bran,,,3399.0,3399.0,1 HCPCS,C9602,Perc d-e cor stent ather s,,,19644.52,36418.0,4 HCPCS,C9603,Perc d-e cor stent ather br,,,3399.0,3399.0,1 HCPCS,C9604,Perc d-e cor revasc t cabg s,,,12370.97,36418.0,4 HCPCS,C9605,Perc d-e cor revasc t cabg b,,,3399.0,3399.0,1 HCPCS,C9606,Perc d-e cor revasc w AMI s,,,10008.0,10008.0,1 HCPCS,C9607,Perc d-e cor revasc chro sin,,,19644.52,36418.0,4 HCPCS,C9608,Perc d-e cor revasc chro add,,,3399.0,3399.0,1 HCPCS,C9725,Place endorectal app,,,996.56,5007.0,4 HCPCS,C9726,Rxt breast appl place/remov,,,3399.0,3399.0,1 HCPCS,C9727,Insert palate implants,,,1662.71,7272.0,4 HCPCS,C9728,"Hc Plcmnt Intrstl Dvce(S) For Rad Ther/Surg Guid: Abdmn, Plvs, Prstate, Retro., Thrx, Sngle/Mult",4957.0,4957.0,,,0 HCPCS,C9728,"Place device/marker, non pro",,,1483.26,2150.73,3 HCPCS,C9733,Non-ophthalmic FVA,,,373.86,1104.36,4 HCPCS,C9733,Noncdm Charge Record Medical Supplies,427.35,427.35,,,0 HCPCS,C9734,"Hc U/S Trtmt, Not Leiomyomata",33075.0,33075.0,,,0 HCPCS,C9734,"U/s trtmt, not leiomyomata",,,11000.0,19949.35,4 HCPCS,C9738,Blue light cysto imag agent,,,3399.0,3399.0,1 HCPCS,C9738,Hc Blue Light Cysto Imag Agent,8069.0,8069.0,,,0 HCPCS,C9738,Hc Blue Light Cysto Imag Agent-Pbb,7843.5,7843.5,,,0 HCPCS,C9738,Pr Blue Light Cysto Imag Agent-Pbb,1655.0,1655.0,,,0 HCPCS,C9739,Cystoscopy prostatic imp 1-3,,,5745.8,11000.0,4 HCPCS,C9740,Cysto impl 4 or more,,,10144.44,24760.0,4 HCPCS,C9751,"Microwave bronch, 3d, ebus",,,22280.0,22280.0,1 HCPCS,C9755,Hc Radiofrequency Arteriovenous Fistula Magentic-Guide,38651.0,38651.0,,,0 HCPCS,C9756,Fluorescence lymph map w/ICG,,,3399.0,3399.0,1 HCPCS,C9757,Spine/lumbar disk surgery,,,13758.17,24760.0,4 HCPCS,C9758,Hc Blind Interatrial Shunt Ide,42090.0,42090.0,,,0 HCPCS,C9758,Interatrial shunt IDE,,,18356.27,73109.0,4 HCPCS,C9759,Transcath intraop microinf,,,3399.0,3399.0,1 HCPCS,C9760,Non-blind interatrial shunt,,,28845.27,78953.0,4 HCPCS,C9761,"Cysto, litho, vacuum kidney",,,10144.44,14709.43,4 HCPCS,C9762,Cardiac MRI seg dys strain,,,585.55,1448.67,4 HCPCS,C9763,Cardiac MRI seg dys stress,,,585.55,1448.67,4 HCPCS,C9764,Hc Revasc Intravasc Lithotripsy,24895.0,24895.0,,,0 HCPCS,C9764,Revasc intravasc lithotripsy,,,12370.97,24760.0,4 HCPCS,C9765,Hc Revasc Intra Lithotrip-Stent,38956.0,38956.0,,,0 HCPCS,C9765,Revasc intra lithotrip-stent,,,19644.52,36418.0,4 HCPCS,C9766,Revasc intra lithotrip-ather,,,19644.52,36418.0,4 HCPCS,C9767,Revasc lithotrip-stent-ather,,,19644.52,36418.0,4 HCPCS,C9769,Cysto w/temp pros implant,,,11000.0,11000.0,1 HCPCS,C9772,Hc Revasc Lithotrip Tibi/Perone,27084.0,27084.0,,,0 HCPCS,C9772,Revasc lithotrip tibi/perone,,,12370.97,36418.0,4 HCPCS,C9773,Hc Revasc Lithotr-Stent Tib/Per,43320.0,43320.0,,,0 HCPCS,C9773,Revasc lithotr-stent tib/per,,,19644.52,36418.0,4 HCPCS,C9774,Hc Revasc Lithotr-Ather Tib/Per,43320.0,43320.0,,,0 HCPCS,C9774,Revasc lithotr-ather tib/per,,,19644.52,36418.0,4 HCPCS,C9775,Hc Revasc Lith-Sten-Ath Tib/Per,43320.0,43320.0,,,0 HCPCS,C9775,Revasc lith-sten-ath tib/per,,,19644.52,36418.0,4 HCPCS,C9777,Esophag mucosal integ add-on,,,4131.6,11000.0,4 HCPCS,C9778,"Colpopexy, min/inv, ex-perit",,,5360.72,11000.0,4 HCPCS,C9779,ESD endoscopy or colonoscopy,,,4131.6,11000.0,4 HCPCS,C9780,Insert cv cath inf & sup app,,,8653.95,36418.0,4 HCPCS,C9781,Arthro/shoul surg; w/spacer,,,13758.17,24760.0,4 HCPCS,C9782,Blind myocar trpl bon marrow,,,18356.27,73109.0,4 HCPCS,C9783,Blind cor sinus reducer impl,,,12370.97,36418.0,4 HCPCS,C9784,Endo sleeve gastro w/tube,,,24760.0,24760.0,1 HCPCS,C9785,Endo outlet restrict w/tube,,,11391.13,24760.0,4 HCPCS,C9789,Instill pharm renal pelvis,,,1311.65,11000.0,4 HCPCS,C9791,Mri hyperpolarized xenon129,,,1311.65,3751.5,4 HCPCS,C9792,Blind/nonblind trans atrial,,,10227.3,36418.0,4 HCPCS,C9793,Pre-plan 3d model w/ccta,,,920.24,1334.35,3 HCPCS,C9794,Complex simulation w/pet-ct,,,1062.8,1062.8,1 HCPCS,C9796,Rpr intst excl anrect fist,,,2974.45,11000.0,4 HCPCS,C9797,Vasc emb/occ w/prs cath,,,19644.52,36418.0,4 HCPCS,C9898,Hc Radiolabeled Product Provided During A Hospital Inpatient Stay,1.0,1.0,,,0 HCPCS,C9901,Endo defect closure GI tract,,,11391.13,36418.0,4 HCPCS,D0120,Periodic oral evaluation,,,142.67,206.87,3 HCPCS,D0140,Limit oral eval problm focus,,,142.67,206.87,3 HCPCS,D0150,Comprehensve oral evaluation,,,142.67,206.87,3 HCPCS,D0160,Extensv oral eval prob focus,,,142.67,206.87,3 HCPCS,D0170,"Re-eval,est pt,problem focus",,,142.67,206.87,3 HCPCS,D0171,Re-eval post-op visit,,,142.67,206.87,3 HCPCS,D0180,Comp periodontal evaluation,,,142.67,206.87,3 HCPCS,D0191,Assessment of a patient,,,142.67,206.87,3 HCPCS,D0210,Intraor complete film series,,,255.69,370.75,3 HCPCS,D0220,Intraoral periapical first,,,93.26,135.22,3 HCPCS,D0240,Intraoral occlusal film,,,93.26,135.22,3 HCPCS,D0250,Extraoral 2d project image,,,93.26,135.22,3 HCPCS,D0251,Extraoral posterior image,,,93.26,135.22,3 HCPCS,D0270,Dental bitewing single image,,,93.26,135.22,3 HCPCS,D0272,Dental bitewings two images,,,93.26,135.22,3 HCPCS,D0273,Bitewings - three images,,,255.69,370.75,3 HCPCS,D0274,Bitewings four images,,,255.69,370.75,3 HCPCS,D0277,Vert bitewings 7 to 8 images,,,255.69,370.75,3 HCPCS,D0310,Dental saliography,,,255.69,370.75,3 HCPCS,D0320,Dental tmj arthrogram incl i,,,255.69,370.75,3 HCPCS,D0321,Other tmj images by report,,,93.26,135.22,3 HCPCS,D0322,Dental tomographic survey,,,112.03,162.45,3 HCPCS,D0330,Panoramic image,,,255.69,370.75,3 HCPCS,D0340,2d cephalometric image,,,93.26,135.22,3 HCPCS,D0350,Oral/facial photo images,,,93.26,135.22,3 HCPCS,D0364,Cone beam ct capt & interp,,,112.03,162.45,3 HCPCS,D0365,Cone beam ct interprete man,,,112.03,162.45,3 HCPCS,D0366,Cone beam ct interprete max,,,112.03,162.45,3 HCPCS,D0367,Cone beam ct interp both jaw,,,112.03,162.45,3 HCPCS,D0368,Cone beam ct interprete TMJ,,,112.03,162.45,3 HCPCS,D0369,Max MRI capture & interprete,,,112.03,162.45,3 HCPCS,D0370,Max ultrasound capt & interp,,,112.03,162.45,3 HCPCS,D0371,Sialoendoscopy capt & interp,,,93.26,135.22,3 HCPCS,D0380,Cone beam ct capture limited,,,112.03,162.45,3 HCPCS,D0381,Cone beam ct capt mandible,,,112.03,162.45,3 HCPCS,D0382,Cone beam ct capt maxilla,,,112.03,162.45,3 HCPCS,D0383,Cone beam ct both jaws,,,112.03,162.45,3 HCPCS,D0384,Cone beam ct capture TMJ,,,112.03,162.45,3 HCPCS,D0385,Max MRI image capture,,,112.03,162.45,3 HCPCS,D0386,Max ultrasound image capture,,,112.03,162.45,3 HCPCS,D0393,Trtmnt simulation 3d image,,,93.26,135.22,3 HCPCS,D0394,Digital sub 2 or more images,,,93.26,135.22,3 HCPCS,D0395,Fusion 2 or more 3d images,,,93.26,135.22,3 HCPCS,D0416,Viral culture,,,112.03,112.03,1 HCPCS,D0701,Fracture of lower extremity M >=61.50,,,93.26,135.22,3 HCPCS,D0702,Fracture of lower extremity M >=52.50 and M <61.50,,,93.26,135.22,3 HCPCS,D0703,Fracture of lower extremity M >=41.50 and M <52.50,,,93.26,135.22,3 HCPCS,D0705,Extra oral post radio image,,,93.26,135.22,3 HCPCS,D0706,Intraoral occlus radio image,,,93.26,135.22,3 HCPCS,D0707,Intraoral periap radio image,,,93.26,135.22,3 HCPCS,D0708,Intraoral bite radio image,,,93.26,135.22,3 HCPCS,D0709,Intraoral cmplt radio images,,,93.26,135.22,3 HCPCS,D1110,Dental prophylaxis adult,,,142.67,206.87,3 HCPCS,D2989,Excavate tooth non-restorabl,,,10008.0,10008.0,1 HCPCS,D3471,Surg rep root res anterior,,,692.79,10008.0,4 HCPCS,D3472,Surg rep root res premolar,,,692.79,10008.0,4 HCPCS,D3473,Surg rep root res molar,,,692.79,10008.0,4 HCPCS,D3501,Surg exp root surf anterior,,,692.79,10008.0,4 HCPCS,D3502,Surg exp root surf premolar,,,692.79,10008.0,4 HCPCS,D3503,Surg exp root surf molar,,,692.79,10008.0,4 HCPCS,D3921,D?cor or submerg erupt tooth,,,692.79,10008.0,4 HCPCS,D4210,Gingivectomy/plasty 4 or mor,,,3552.91,5151.72,3 HCPCS,D4211,Gingivectomy/plasty 1 to 3,,,3552.91,5151.72,3 HCPCS,D4212,Gingivectomy/plasty rest,,,3552.91,5151.72,3 HCPCS,D4230,Ana crown exp 4 or> per quad,,,3552.91,5151.72,3 HCPCS,D4231,Ana crown exp 1-3 per quad,,,1662.71,2410.92,3 HCPCS,D4240,Gingival flap proc w/ planin,,,3552.91,5151.72,3 HCPCS,D4241,Gngvl flap w rootplan 1-3 th,,,1662.71,2410.92,3 HCPCS,D4245,Apically positioned flap,,,1662.71,2410.92,3 HCPCS,D4260,Osseous surgery 4 or more,,,6343.8,9198.51,3 HCPCS,D4261,Osseous surg 1 to 3 teeth,,,3552.91,5151.72,3 HCPCS,D4266,Guided tiss regen resorble,,,1662.71,2410.92,3 HCPCS,D4267,Guided tiss regen nonresorb,,,1662.71,2410.92,3 HCPCS,D4270,Pedicle soft tissue graft pr,,,1662.71,2410.92,3 HCPCS,D4273,Auto tissue graft 1st tooth,,,1662.71,2410.92,3 HCPCS,D4275,Non-auto graft 1st tooth,,,1662.71,2410.92,3 HCPCS,D4276,Con tissue w dble ped graft,,,1662.71,2410.92,3 HCPCS,D4277,Soft tissue graft firsttooth,,,1662.71,2410.92,3 HCPCS,D4286,Remove non-resorb barrier,,,10008.0,10008.0,1 HCPCS,D4921,Gingival irrigation per quad,,,142.67,206.87,3 HCPCS,D4999,Unspecified periodontal proc,,,253.81,368.03,3 HCPCS,D5995,"Peri medicament w/seal, max",,,10008.0,10008.0,1 HCPCS,D5996,"Peri medicament w/seal, mand",,,10008.0,10008.0,1 HCPCS,D6089,Access/retorq implant screw,,,10008.0,10008.0,1 HCPCS,D6105,Remove implant body,,,10008.0,10008.0,1 HCPCS,D6106,Tissue regen resorbable,,,10008.0,10008.0,1 HCPCS,D6107,Tissue regen non-resorbable,,,10008.0,10008.0,1 HCPCS,D6191,Semi precision abutment,,,10008.0,10008.0,1 HCPCS,D6192,Semi precision attachment,,,10008.0,10008.0,1 HCPCS,D6197,Replace material prosthesis,,,10008.0,10008.0,1 HCPCS,D6198,Remove interim implant,,,10008.0,10008.0,1 HCPCS,D7210,Rem imp tooth w mucoper flp,,,1662.71,2410.92,3 HCPCS,D7251,Coronectomy,,,1662.71,2410.92,3 HCPCS,D7284,Exc biopsy of saliv glands,,,10008.0,10008.0,1 HCPCS,D7298,Remove screw retained plate,,,10008.0,10008.0,1 HCPCS,D7299,Rem anchorage device w/flap,,,10008.0,10008.0,1 HCPCS,D7300,Rem anchorage dev w/o flap,,,10008.0,10008.0,1 HCPCS,D7310,Alveoplasty w/ extraction,,,1662.71,2410.92,3 HCPCS,D7311,Alveoloplasty w/extract 1-3,,,1662.71,2410.92,3 HCPCS,D7320,Alveoplasty w/o extraction,,,1662.71,2410.92,3 HCPCS,D7321,Alveoloplasty not w/extracts,,,1662.71,2410.92,3 HCPCS,D7340,Vestibuloplasty ridge extens,,,6343.8,9198.51,3 HCPCS,D7350,Vestibuloplasty exten graft,,,6343.8,9198.51,3 HCPCS,D7410,Rad exc lesion up to 1.25 cm,,,1662.71,2410.92,3 HCPCS,D7411,Excision benign lesion>1.25c,,,1662.71,2410.92,3 HCPCS,D7412,Excision benign lesion compl,,,1662.71,2410.92,3 HCPCS,D7413,Excision malig lesion<=1.25c,,,1662.71,2410.92,3 HCPCS,D7414,Excision malig lesion>1.25cm,,,1662.71,2410.92,3 HCPCS,D7415,Excision malig les complicat,,,1662.71,2410.92,3 HCPCS,D7440,Malig tumor exc to 1.25 cm,,,3552.91,5151.72,3 HCPCS,D7441,Malig tumor > 1.25 cm,,,3552.91,5151.72,3 HCPCS,D7450,Rem odontogen cyst to 1.25cm,,,3552.91,5151.72,3 HCPCS,D7451,Rem odontogen cyst > 1.25 cm,,,3552.91,5151.72,3 HCPCS,D7471,Rem exostosis any site,,,3552.91,5151.72,3 HCPCS,D7485,Surg reduct osseoustuberosit,,,6343.8,9198.51,3 HCPCS,D7509,Marsupialization odon cyst,,,10008.0,10008.0,1 HCPCS,D7510,I&d absc intraoral soft tiss,,,758.85,1100.33,3 HCPCS,D7511,Incision/drain abscess intra,,,758.85,1100.33,3 HCPCS,D7520,I&d abscess extraoral,,,758.85,1100.33,3 HCPCS,D7521,Incision/drain abscess extra,,,758.85,1100.33,3 HCPCS,D7670,Closd rductn splint alveolus,,,3552.91,5151.72,3 HCPCS,D7671,Alveolus open reduction,,,6343.8,9198.51,3 HCPCS,D7770,Open reduc compd alveolus fx,,,6343.8,9198.51,3 HCPCS,D7771,Alveolus clsd reduc stblz te,,,3552.91,5151.72,3 HCPCS,D7874,Tmj arthroscopy disc reposit,,,3506.34,5084.19,3 HCPCS,D7939,Indexing for osteotomy,,,10008.0,10008.0,1 HCPCS,D7950,Mandible graft,,,6343.8,9198.51,3 HCPCS,D7956,Tiss regen edent resorb,,,10008.0,10008.0,1 HCPCS,D7957,Tiss regen edent nonresorb,,,10008.0,10008.0,1 HCPCS,D7961,Buccal/labial frenectomy,,,10008.0,10008.0,1 HCPCS,D7962,Lingual frenectomy,,,10008.0,10008.0,1 HCPCS,D7993,Surg place craniofacial impl,,,10008.0,10008.0,1 HCPCS,D7994,Surg place zygomatic impl,,,10008.0,10008.0,1 HCPCS,D9949,Repair sleep apnea appliance,,,10008.0,10008.0,1 HCPCS,E0201,Penile contractur devic manu,,,146.52,212.45,3 HCPCS,E0736,Transcut tibial nerv stimula,,,51.25,74.31,3 HCPCS,E0738,Upper extremity rehab,,,2039.64,2957.48,3 HCPCS,E0739,Rehab sys active assist rt,,,1597.66,2316.61,3 HCPCS,E1905,Vr cbt therapy,,,674.77,978.42,3 HCPCS,E2104,Glucose monitor w cartridge,,,54.52,79.05,3 HCPCS,G0008,Admin influenza virus vac,,,50.18,72.76,3 HCPCS,G0008,Hc Administration Of Influenza Virus Vaccine,165.0,165.0,,,0 HCPCS,G0009,Admin pneumococcal vaccine,,,50.18,72.76,3 HCPCS,G0009,Hc Administration Of Pneumococcal Vaccine,164.0,164.0,,,0 HCPCS,G0010,Admin hepatitis b vaccine,,,50.18,72.76,3 HCPCS,G0010,Hc Administration Of Hep B Vaccine,164.0,164.0,,,0 HCPCS,G0012,Injection of hiv prep drug,,,77.16,111.88,3 HCPCS,G0013,"Hiv prep counsel, clin staff",,,40.15,58.22,3 HCPCS,G0019,Comm hlth intg svs sdoh 60mn,,,108.87,157.85,3 HCPCS,G0023,Hc Pin Service 60M Per Month-Pbb,232.0,232.0,,,0 HCPCS,G0023,Pin service 60m per month,,,108.87,157.85,3 HCPCS,G0024,Hc Pin Srv Add 30 Min Pr M-Pbb,116.0,116.0,,,0 HCPCS,G0027,Semen analysis,,,6.5,64.85,6 HCPCS,G0101,CA screen;pelvic/breast exam,,,108.87,157.85,3 HCPCS,G0101,"Cerv/Vag Canc Scrn,Pelv/Breast Exam-Pbb",174.0,174.0,,,0 HCPCS,G0101,Hc Cervical Or Vaginal Cancer Screening; Pelvic And Clinical Breast Examination,474.0,474.0,,,0 HCPCS,G0101,Hc Cervical Or Vaginal Cancer Screening; Pelvic And Clinical Breast Examination-Pbb,384.0,384.0,,,0 HCPCS,G0103,Hc Prostate Cancer Screeningl; Psa,482.0,482.0,,,0 HCPCS,G0103,PSA Screening,,,19.31,194.54,7 HCPCS,G0104,CA screen;flexi sigmoidscope,,,996.56,5007.0,4 HCPCS,G0104,Colorectal Screening Flex Sig-Gast,664.0,664.0,,,0 HCPCS,G0104,Colorectal Screening Flex Sig-Pbb,664.0,664.0,,,0 HCPCS,G0104,Hc Colorectal Cancer Screening; Flexible Sigmoidoscopy,2201.0,2201.0,,,0 HCPCS,G0104,Hc Colorectal Cancer Screening; Flexible Sigmoidoscopy-Pbb,1934.0,1934.0,,,0 HCPCS,G0105,Colorectal Ca Screen Colonoscope-Gast,2939.0,2939.0,,,0 HCPCS,G0105,Colorectal Ca Screen Colonoscope-Pbb,2939.0,2939.0,,,0 HCPCS,G0105,Colorectal scrn; hi risk ind,,,996.56,3970.0,4 HCPCS,G0105,Hc Colorectal Cancer Screening; Colonoscopy On Individual At High Risk,5034.0,5034.0,,,0 HCPCS,G0105,Hc Colorectal Cancer Screening; Colonoscopy On Individual At High Risk-Pbb,3715.5,3715.5,,,0 HCPCS,G0108,Diab manage trn per indiv,,,57.84,83.87,3 HCPCS,G0108,"Hc Diabetes Outpatient Self-Management Training Services, Individual, Per 30 Minutes",230.0,230.0,,,0 HCPCS,G0109,Diab manage trn ind/group,,,15.78,22.88,3 HCPCS,G0109,"Hc Diabetes Outpatient Self-Management Training Services, Group Session, Per 30 Minutes",179.0,179.0,,,0 HCPCS,G0117,Glaucoma scrn hgh risk direc,,,30.99,44.94,3 HCPCS,G0118,Glaucoma scrn hgh risk direc,,,40.03,58.04,3 HCPCS,G0121,Colon ca scrn not hi rsk ind,,,996.56,3970.0,4 HCPCS,G0121,Colorectal Ca Screen Avg-Risk-Gast,2939.0,2939.0,,,0 HCPCS,G0121,Colorectal Ca Screen Avg-Risk-Pbb,2939.0,2939.0,,,0 HCPCS,G0121,Hc Colorectal Cancer Screeningl Colonoscpy On Individual Not Meeting Criteria For High Risk,5441.0,5441.0,,,0 HCPCS,G0121,Hc Colorectal Cancer Screeningl Colonoscpy On Individual Not Meeting Criteria For High Risk-Pbb,2502.0,2502.0,,,0 HCPCS,G0123,"Hc Scrn Cytpath, Cerv Or Vag, Clctd In Preserv Fluid, Aut Thn Lyr Prep, Scrn By Cytotech Undr Md Sup",259.5,259.5,,,0 HCPCS,G0123,Screen cerv/vag thin layer,,,20.26,204.78,6 HCPCS,G0124,Screen c/v thin layer by MD,,,76.93,76.93,1 HCPCS,G0127,Trim nail(s),,,63.22,3399.0,4 HCPCS,G0130,Single energy x-ray study,,,112.03,326.91,4 HCPCS,G0136,Adm of soc dtr assess 5-15 m,,,40.15,58.22,3 HCPCS,G0138,Iv cipaglucosidase alfa-atga,,,682.31,989.35,3 HCPCS,G0140,Nav srv peer sup 60 min pr m,,,108.87,157.85,3 HCPCS,G0141,"Scr c/v cyto,autosys and md",,,76.93,76.93,1 HCPCS,G0143,"Hc Scrning Cytpthlgy, Crvcl/Vag, Cllctd In Prsrvtv Fluid, Thin Lyr Prep, W/Mnl Scrning/Rscrning",346.0,346.0,,,0 HCPCS,G0143,"Hc Scrning Cytpthlgy, Crvcl/Vag, Cllctd In Prsrvtv Fluid, Thin Lyr Prep, W/Mnl Scrning/Rscrning-Laf",223.0,223.0,,,0 HCPCS,G0143,"Scr c/v cyto,thinlayer,rescr",,,27.05,273.04,6 HCPCS,G0144,"Scr c/v cyto,thinlayer,rescr",,,43.97,443.69,6 HCPCS,G0145,"Scr c/v cyto,thinlayer,rescr",,,26.49,266.22,6 HCPCS,G0147,"Scr c/v cyto, automated sys",,,18.54,174.06,6 HCPCS,G0148,"Scr c/v cyto, autosys, rescr",,,31.94,320.83,6 HCPCS,G0166,"Extrnl counterpulse, per tx",,,142.58,206.74,3 HCPCS,G0168,Hc Wound Closure By Tissue Adhesives,120.0,120.0,,,0 HCPCS,G0168,Wound closure by adhesive,,,3399.0,3399.0,1 HCPCS,G0175,"Opps service,sched team conf",,,447.15,648.36,3 HCPCS,G0183,Software meas of cardiac vol,,,93.26,135.22,3 HCPCS,G0186,"Dstry eye lesn,fdr vssl tech",,,589.39,5007.0,4 HCPCS,G0202,Scr mammo bi incl cad,,,155.34,155.34,1 HCPCS,G0204,Dx mammo incl cad bi,,,188.19,188.19,1 HCPCS,G0206,Dx mammo incl cad uni,,,146.99,146.99,1 HCPCS,G0235,PET not otherwise specified,,,428.4,1131.36,4 HCPCS,G0237,Hc Therapeutic Procd Strg Endur Each 15 Min 1:1,85.0,85.0,,,0 HCPCS,G0237,Therapeutic procd strg endur,,,30.99,44.94,3 HCPCS,G0238,"Hc Other Resp Proc, Indiv",85.0,85.0,,,0 HCPCS,G0238,"Oth resp proc, indiv",,,30.99,44.94,3 HCPCS,G0239,"Hc Other Resp Proc, Group",115.0,115.0,,,0 HCPCS,G0239,"Oth resp proc, group",,,40.03,58.04,3 HCPCS,G0245,Initial foot exam pt lops,,,142.67,206.87,3 HCPCS,G0246,Followup eval of foot pt lop,,,142.67,206.87,3 HCPCS,G0247,Routine footcare pt w lops,,,215.0,311.76,3 HCPCS,G0248,Demonstrate use home inr mon,,,142.67,206.87,3 HCPCS,G0249,Provide INR test mater/equip,,,142.67,206.87,3 HCPCS,G0257,Hc Unscheduled Hd Esrd Pt Exceptional Case,3227.0,3227.0,,,0 HCPCS,G0257,Hc Unscheduled Pd Esrd Pt Exceptional Case,3227.0,3227.0,,,0 HCPCS,G0257,Unsched dialysis ESRD pt hos,,,735.47,1066.43,3 HCPCS,G0259,Inject for sacroiliac joint,,,3399.0,3399.0,1 HCPCS,G0260,"Hc Inj Proc For Sacroil Jnt; Provis Of Anes, Steroid Other Thrptc Agent, W/ Or W/Out Arthrography",3396.0,3396.0,,,0 HCPCS,G0260,Inj for sacroiliac jt anesth,,,756.44,5007.0,4 HCPCS,G0268,Hc Removal Of Impacted Cerumen By Md On Same Date Of Service As Audiologic Function Testing,323.0,323.0,,,0 HCPCS,G0268,Hc Removal Of Impacted Cerumen By Md On Same Date Of Service As Audiologic Function Testing-Aud,323.0,323.0,,,0 HCPCS,G0268,Hc Removal Of Impacted Cerumen By Md On Same Date Of Service As Audiologic Function Testing-Pbb,515.5,515.5,,,0 HCPCS,G0268,Pr Removal Of Impacted Wax Md-Pbb,385.0,385.0,,,0 HCPCS,G0268,Removal of impacted wax md,,,3399.0,3399.0,1 HCPCS,G0269,"Hc Placemnt Of Occlus Device Into Either A Ven Or Arterial Access Site, Postsurgor Intrvtnal Proc",1999.0,1999.0,,,0 HCPCS,G0269,Occlusive device in vein art,,,3399.0,3399.0,1 HCPCS,G0270,"Hc Med Nutr Ther; Reassmnt And Sub Intrvtn Fllwing 2Nd Ref In Same Yr For Chng In Dx, Ind, Ea 15 Min",148.0,148.0,,,0 HCPCS,G0270,MNT subs tx for change dx,,,21.65,31.39,3 HCPCS,G0271,Group MNT 2 or more 30 mins,,,12.23,17.73,3 HCPCS,G0271,"Hc Med Nutr Ther; Reassmnt And Sub Intrvtn Fllwing 2Nd Ref In Same Yr For Chng In Dx, Grp, Ea 30 Min",45.0,45.0,,,0 HCPCS,G0276,Pild/placebo control clin tr,,,7775.89,24760.0,4 HCPCS,G0278,Hc Iliac Artery Angiography Cardiac Cath,3189.0,3189.0,,,0 HCPCS,G0279,"Tomosynthesis, mammo",,,13.04,245.74,6 HCPCS,G0281,Elec stim unattend for press,,,11.41,16.54,3 HCPCS,G0281,"Hc Wound Care Elec Stim, Stage Iii And Iv Ulcers, Not Showing Signs Of Healing Aft 30 Days, Ther Poc",222.0,222.0,,,0 HCPCS,G0283,Elec stim other than wound,,,12.33,17.88,3 HCPCS,G0283,"Hc Electrcl Stim(Unatten)To 1 Or Mr Areas For Indctn(S)Othr Thn Wnd Care,As Prt Of A Thr Pln Of Care",294.0,294.0,,,0 HCPCS,G0288,"Hc Reconstruction, Computed Tomographic Angiography Of Aorta For Surgical Planning For Vasc Surgery",1171.0,1171.0,,,0 HCPCS,G0289,"Arthro, loose body + chondro",,,3399.0,3399.0,1 HCPCS,G0293,"Non-cov surg proc,clin trial",,,40.03,58.04,3 HCPCS,G0294,"Non-cov proc, clinical trial",,,40.03,58.04,3 HCPCS,G0296,Counseling Visit To Discuss Need For Lung Cancer Screening Using Low Dose Ct Scan (Ldct) (Svc For El,191.0,191.0,,,0 HCPCS,G0296,Hc Counseling Visit To Discuss Lung Cancer Screening,254.0,254.0,,,0 HCPCS,G0296,Hc Counseling Visit To Discuss Lung Cancer Screening-Pbb,349.5,349.5,,,0 HCPCS,G0296,Visit to determ ldct elig,,,108.87,157.85,3 HCPCS,G0302,Pre-op service LVRS complete,,,399.88,579.83,3 HCPCS,G0303,Pre-op service LVRS 10-15dos,,,231.39,335.51,3 HCPCS,G0304,Pre-op service LVRS 1-9 dos,,,399.88,579.83,3 HCPCS,G0305,Post op service LVRS min 6,,,399.88,579.83,3 HCPCS,G0306,CBC/diffwbc w/o platelet,,,7.77,78.5,6 HCPCS,G0307,CBC without platelet,,,6.47,64.85,6 HCPCS,G0323,Care manage beh svs 20mins,,,40.15,58.22,3 HCPCS,G0328,Fecal blood scrn immunoassay,,,18.05,180.89,7 HCPCS,G0329,Electromagntic tx for ulcers,,,10.15,14.72,3 HCPCS,G0330,Facility svs dental rehab,,,3552.91,10008.0,4 HCPCS,G0339,"Robot lin-radsurg com, first",,,22280.0,22280.0,1 HCPCS,G0340,Robt lin-radsurg fractx 2-5,,,14227.0,14227.0,1 HCPCS,G0341,"Hc Percutaneous Islet Cell Transplant, Includes Portal Vein Catheterization And Infusion",5764.0,5764.0,,,0 HCPCS,G0378,Hc Observation Per Hour,251.63,251.63,,,0 HCPCS,G0379,Direct refer hospital observ,,,638.18,925.36,3 HCPCS,G0379,Hc Direct Admit Hospital Observation,623.0,623.0,,,0 HCPCS,G0389,Ultrasound exam AAA screen,,,136.41,136.41,1 HCPCS,G0390,Hc Trauma Response Activation With Critical Care,10813.0,10813.0,,,0 HCPCS,G0390,Trauma Respons w/hosp criti,,,1428.37,2071.14,3 HCPCS,G0396,Alcohol/subs interv 15-30mn,,,40.15,58.22,3 HCPCS,G0396,Pr Alcohol/Subs Interv 15-30Mn,12.0,12.0,,,0 HCPCS,G0397,Alcohol/subs interv >30 min,,,190.21,275.8,3 HCPCS,G0398,Home sleep test/type 2 porta,,,231.39,335.51,3 HCPCS,G0399,Hc Research Home Sleep Testing (Limited) Tech Only W/ No Interpretation,50.0,50.0,,,0 HCPCS,G0399,Hc Research Home Sleep Testing (Limited) With Physician Interpretation,350.0,350.0,,,0 HCPCS,G0399,Hc Research Home Sleep Testing (Limited)- Tech & Scoring,200.0,200.0,,,0 HCPCS,G0399,Hc Research Home Sleep Testing (Limited)- Tech Only,150.0,150.0,,,0 HCPCS,G0399,Home sleep test/type 3 porta,,,231.39,335.51,3 HCPCS,G0400,Home sleep test/type 4 porta,,,231.39,335.51,3 HCPCS,G0402,Hc Initital Preventive Care Exam-Pbb,988.5,988.5,,,0 HCPCS,G0402,Initial preventive exam,,,142.67,206.87,3 HCPCS,G0402,Pr Initial Preventive Exam-Pbb,425.0,425.0,,,0 HCPCS,G0404,EKG tracing for initial prev,,,30.99,44.94,3 HCPCS,G0412,Open tx iliac spine uni/bil,,,7775.89,24760.0,4 HCPCS,G0413,Pelvic ring fracture uni/bil,,,7775.89,14227.0,4 HCPCS,G0414,Pelvic ring fx treat int fix,,,7775.89,24760.0,4 HCPCS,G0415,Open tx post pelvic fxcture,,,3506.34,24760.0,4 HCPCS,G0416,"Prostate biopsy, any mthd",,,384.12,1909.7,6 HCPCS,G0420,Ed svc CKD ind per session,,,119.87,173.81,3 HCPCS,G0420,Pr Ed Svc Ckd Ind Per Session,597.0,597.0,,,0 HCPCS,G0420,Pr Ed Svc Ckd Ind Per Session-Pbb,597.0,597.0,,,0 HCPCS,G0421,Ed svc CKD grp per session,,,28.54,41.38,3 HCPCS,G0421,Pr Ed Svc Ckd Grp Per Session,146.0,146.0,,,0 HCPCS,G0421,Pr Ed Svc Ckd Grp Per Session-Pbb,146.0,146.0,,,0 HCPCS,G0422,Intens cardiac rehab w/exerc,,,138.14,200.3,3 HCPCS,G0423,Intens cardiac rehab no exer,,,138.14,200.3,3 HCPCS,G0428,Collagen Meniscus Implant,,,10008.0,10008.0,1 HCPCS,G0429,Dermal Filler Injection(S) For The Treatment Of Facial Lipodystrophy Syndrome-Pbb,5722.5,5722.5,,,0 HCPCS,G0429,Dermal filler injection(s),,,2211.05,3206.02,3 HCPCS,G0429,Pr Dermal Filler Injection(S)-Pbb,469.0,469.0,,,0 HCPCS,G0432,EIA HIV-1/HIV-2 screen,,,19.57,197.96,6 HCPCS,G0433,ELISA HIV-1/HIV-2 screen,,,18.29,184.3,6 HCPCS,G0433,"Hc Infect Agent Antibody Detect Enzyme-Linked Immunosorbent Assay Tech, Hiv-1 And/Or Hiv-2, Screen",332.0,332.0,,,0 HCPCS,G0435,"Hc Infectious Agent Antigen Ddetection Rapid Antibody Of Oral Mucosa, Hiv-1 Or Hiv-2, Screening",374.0,374.0,,,0 HCPCS,G0435,Oral hiv-1/hiv-2 screen,,,11.98,119.46,6 HCPCS,G0438,"Hc Annual Wellness Visit, Initital Visit",466.0,466.0,,,0 HCPCS,G0438,"Hc Annual Wellness Visit, Initital Visit-Pbb",679.0,679.0,,,0 HCPCS,G0438,"PPPS, initial visit",,,181.55,263.25,3 HCPCS,G0438,"Pr Ppps, Initial Visit-Pbb",426.0,426.0,,,0 HCPCS,G0439,"Hc Annual Wellness Visit, Subsequent Visit",398.0,398.0,,,0 HCPCS,G0439,"Hc Annual Wellness Visit, Subsequent Visit-Pbb",525.5,525.5,,,0 HCPCS,G0439,"PPPS, subseq visit",,,136.48,197.9,3 HCPCS,G0439,"Pr Ppps, Subseq Visit-Pbb",254.0,254.0,,,0 HCPCS,G0442,Annual alcohol screen 15 min,,,40.15,58.22,3 HCPCS,G0442,Pr Annual Alcohol Screen 15 Min,11.0,11.0,,,0 HCPCS,G0443,Brief alcohol misuse counsel,,,108.87,157.85,3 HCPCS,G0444,Depression Screen annual,,,40.15,58.22,3 HCPCS,G0444,Pr Depression Screen Annual,11.0,11.0,,,0 HCPCS,G0444,Pr Depression Screen Annual-Pbb,11.0,11.0,,,0 HCPCS,G0445,High inten beh couns STD 30m,,,108.87,157.85,3 HCPCS,G0446,Intens behave ther cardio dx,,,40.15,58.22,3 HCPCS,G0447,Behavior counsel obesity 15m,,,108.87,157.85,3 HCPCS,G0448,Place perm pacing cardiovert,,,10008.0,10008.0,1 HCPCS,G0451,Devlopment test interpt&rep,,,108.87,157.85,3 HCPCS,G0452,Molecular pathology interpr,,,10.99,33.73,3 HCPCS,G0453,Cont intraop neuro monitor,,,3399.0,3399.0,1 HCPCS,G0453,"Hc Continuous Intraoperative Neurophys Monitoring, Outside Or, Per Patient, Each 15 Minutes",345.0,345.0,,,0 HCPCS,G0455,Fecal microbiota prep instil,,,996.56,1445.01,3 HCPCS,G0460,Autologous PRP for ulcers,,,2211.05,3206.02,3 HCPCS,G0461,Immunohisto/cyto chem 1st st,,,237.83,237.83,1 HCPCS,G0462,Immunohisto/cyto chem add,,,237.83,237.83,1 HCPCS,G0463,Hospital outpt clinic visit,,,44.04,206.87,4 HCPCS,G0464,"Colorec CA scr, sto bas DNA",,,19.05,19.05,1 HCPCS,G0471,Ven blood coll snf/hha,,,4.88,105.8,5 HCPCS,G0472,Hep c screen high risk/other,,,30.08,467.59,6 HCPCS,G0473,Group behave couns 2-10,,,40.15,58.22,3 HCPCS,G0475,Hiv Combination Assay,241.0,241.0,,,0 HCPCS,G0475,Hiv Combination Assay-Laf,157.0,157.0,,,0 HCPCS,G0475,Hiv combination assay,,,19.05,242.33,6 HCPCS,G0476,Hc Hpv High-Risk Types Screen,390.0,390.0,,,0 HCPCS,G0476,Hpv combo assay ca screen,,,19.05,354.96,6 HCPCS,G0477,Drug test presumptive; capable of being read by direct optical observation only,,,23.39,23.39,1 HCPCS,G0478,Drug test presumptive; read by instrument-assisted direct optical observation,,,30.63,30.63,1 HCPCS,G0479,Drug test presumptive; instrumented chemistry analyzers,,,123.08,123.08,1 HCPCS,G0480,Drug test def 1-7 classes,,,114.43,1153.61,6 HCPCS,G0480,Hc Drug Testing Definitive 1-7C,0.55,0.55,,,0 HCPCS,G0481,Drug test def 8-14 classes,,,156.59,1576.82,6 HCPCS,G0482,Drug test def 15-21 classes,,,198.74,2000.04,6 HCPCS,G0483,Drug test def 22+ classes,,,246.92,2488.1,6 HCPCS,G0498,Chemo extend iv infus w/pump,,,353.96,513.24,3 HCPCS,G0498,Hc Chemo Extended Iv Infusion W/Pump,974.0,974.0,,,0 HCPCS,G0499,Hepb screen high risk indiv,,,28.27,283.28,5 HCPCS,G0500,"Hc Moderate Sedation Same Phys/Qhfc Perform Gi 1St 15 Min, >5 Yrs-Pbb",1505.0,1505.0,,,0 HCPCS,G0500,Pr Mod Sedat Endo Service >5Yrs-Pbb,234.0,234.0,,,0 HCPCS,G0506,Pr Comp Asses Care Plan Ccm Svc-Pbb,352.0,352.0,,,0 HCPCS,G0516,"Insert drug del implant, >4",,,478.72,3399.0,4 HCPCS,G0517,Remove drug implant,,,478.72,3399.0,4 HCPCS,G0518,Remove w insert drug implant,,,478.72,3399.0,4 HCPCS,G0537,Risk ascvd tst once pr 12 mo,,,40.15,58.22,3 HCPCS,G0538,Ascvd rsk mng clin stf pr mo,,,108.87,157.85,3 HCPCS,G0539,Initial care training 30 m,,,39.41,57.14,3 HCPCS,G0540,Train for caregiver add 15,,,21.25,30.81,3 HCPCS,G0541,No pt prsnt train initial 30,,,30.99,44.94,3 HCPCS,G0543,Group train w/o patient,,,30.99,44.94,3 HCPCS,G0544,Post d/c phone follow up,,,108.87,157.85,3 HCPCS,G0552,Supply of digital device,,,142.67,206.87,3 HCPCS,G0553,Monthly tx for dmht 20mins,,,142.67,206.87,3 HCPCS,G0555,Replacment pt electronic sys,,,920.24,1334.35,3 HCPCS,G0556,Adv prim care mgmt lvl 1,,,40.15,58.22,3 HCPCS,G0557,Adv prim care mgmt lvl 2,,,40.15,58.22,3 HCPCS,G0558,Adv prim care mgmt lvl 3,,,108.87,157.85,3 HCPCS,G0560,Safety plan interven,,,39.54,57.33,3 HCPCS,G0562,Complex simulation w/pet-ct,,,1062.8,2966.53,4 HCPCS,G0566,3d bn img algor drvd fr mri,,,137.89,199.94,3 HCPCS,G0567,Screening Hep C detect,,,35.09,50.88,3 HCPCS,G0568,"Int psych care mng, 1 cal mo",,,108.87,157.85,3 HCPCS,G0569,"Subs psych care mng, subs mo",,,108.87,157.85,3 HCPCS,G0570,"Care manage serv, pr cal mo",,,40.15,58.22,3 HCPCS,G0659,Drug test def simple all cl,,,62.14,624.59,5 HCPCS,G1000,Hc Cdsm Applied Pathways,0.01,0.01,,,0 HCPCS,G1001,Hc Cdsm Evicore,0.01,0.01,,,0 HCPCS,G1002,Hc Cdsm Medcurrent,0.01,0.01,,,0 HCPCS,G1003,Hc Cdsm Medicalis,0.01,0.01,,,0 HCPCS,G1004,Hc Cdsm Ndsc,0.01,0.01,,,0 HCPCS,G1007,Hc Cdsm Aim,0.01,0.01,,,0 HCPCS,G1008,Hc Cdsm Cranberry Pk,0.01,0.01,,,0 HCPCS,G1009,Hc Cdsm Sage Health,0.01,0.01,,,0 HCPCS,G1010,Hc Cdsm Stanson,0.01,0.01,,,0 HCPCS,G1011,Hc Cdsm Qualified Nos,0.01,0.01,,,0 HCPCS,G1012,Hc Cdsm Agilemd,0.01,0.01,,,0 HCPCS,G1013,Hc Cdsm Evidencecare,0.01,0.01,,,0 HCPCS,G1014,Hc Cdsm Inveniqa,0.01,0.01,,,0 HCPCS,G1015,Hc Cdsm Reliant,0.01,0.01,,,0 HCPCS,G1016,Hc Cdsm Speed Of Care,0.01,0.01,,,0 HCPCS,G1017,Hc Cdsm Healthhelp,0.01,0.01,,,0 HCPCS,G1018,Hc Cdsm Infinx,0.01,0.01,,,0 HCPCS,G1019,Hc Cdsm Logicnets,0.01,0.01,,,0 HCPCS,G1020,Hc Cdsm Curbside,0.01,0.01,,,0 HCPCS,G1021,Hc Cdsm Ehealthline,0.01,0.01,,,0 HCPCS,G1022,Hc Cdsm Intermountain,0.01,0.01,,,0 HCPCS,G1023,Hc Cdsm Persivia,0.01,0.01,,,0 HCPCS,G2000,Blinded conv. Tx MDD clin tr,,,399.88,579.83,3 HCPCS,G2010,Pr Remot Image Submit By Pt,57.0,57.0,,,0 HCPCS,G2010,Pr Remot Image Submit By Pt-Pbb,57.0,57.0,,,0 HCPCS,G2011,Alcohol/sub abuse assess,,,30.99,44.94,3 HCPCS,G2066,Hc Inter Devc Remote 30D,89.0,89.0,,,0 HCPCS,G2086,Off base opioid tx 70min,,,190.21,275.8,3 HCPCS,G2087,"Off base opioid tx, 60 m",,,190.21,275.8,3 HCPCS,G2211,Pr Complex E/M Visit Add On,103.0,103.0,,,0 HCPCS,G2211,Pr Complex E/M Visit Add On-Pbb,103.0,103.0,,,0 HCPCS,G2214,Init/sub psych care m 1st 30,,,108.87,157.85,3 HCPCS,G2250,"Remot img sub by pt, non e/m",,,8.06,11.69,3 HCPCS,G2251,"Brief chkin, 5-10, non-e/m",,,10.87,15.76,3 HCPCS,G2252,"Brief chkin by md/qhp, 11-20",,,23.39,33.92,3 HCPCS,G6001,Echo guidance radiotherapy,,,35.06,1521.81,2 HCPCS,G6002,Stereoscopic x-ray guidance,,,86.84,555.92,2 HCPCS,G9143,Warfarin respon genetic test,,,255.6,1215.04,3 HCPCS,G9678,Pr Oncology Care Model Service,166.0,166.0,,,0 HCPCS,H5300,Description Not Available,,,82.21,82.21,1 HCPCS,J0120,Tetracyclin injection,,,30.78,30.78,1 HCPCS,J0121,"Inj., omadacycline, 1 mg",,,4.02,7.42,9 HCPCS,J0122,"Inj., eravacycline, 1 mg",,,1.3,2.39,9 HCPCS,J0129,Abatacept injection,,,44.11,82.31,9 HCPCS,J0129,"Orencia: 1 Vial, Single-Use In 1 Carton (0003-2187-13) / 15 Ml In 1 Vial, Single-Use",396.75,396.75,,,0 HCPCS,J0130,Abciximab injection,,,921.72,2992.97,4 HCPCS,J0131,Acetaminophen injection,,,0.07,0.69,5 HCPCS,J0131,"Acetaminophen: 10 Vial, Glass In 1 Carton (0781-3156-95) / 100 Ml In 1 Vial, Glass (0781-3156-06)",1.79,1.79,,,0 HCPCS,J0131,NDC Description Not Available,0.75,0.75,,,0 HCPCS,J0131,"Ofirmev: 24 VIAL, GLASS in 1 CARTON (43825-102-01) / 100 mL in 1 VIAL, GLASS",3.18,3.18,,,0 HCPCS,J0132,Acetylcysteine injection,,,0.5,1.18,5 HCPCS,J0132,Acetylcysteine: 4 Vial In 1 Carton (0574-0805-30) / 30 Ml In 1 Vial,12.23,12.23,,,0 HCPCS,J0132,Acetylcysteine: 4 Vial In 1 Carton (25021-812-30) / 30 Ml In 1 Vial,11.14,11.14,,,0 HCPCS,J0132,"Acetylcysteine: 4 Vial, Single-Dose In 1 Carton (55150-259-30) / 30 Ml In 1 Vial, Single-Dose",5.93,5.93,,,0 HCPCS,J0132,NDC Description Not Available,6.7,6.7,,,0 HCPCS,J0133,"Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-154-10) / 10 Ml In 1 Vial, Single-Dose",0.81,0.81,,,0 HCPCS,J0133,"Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-155-20) / 20 Ml In 1 Vial, Single-Dose",0.85,0.85,,,0 HCPCS,J0133,Acyclovir injection,,,0.04,0.69,5 HCPCS,J0133,"Acyclovir: 10 Vial, Single-Dose In 1 Tray (63323-325-10) / 10 Ml In 1 Vial, Single-Dose (63323-325-03)",1.26,1.26,,,0 HCPCS,J0133,NDC Description Not Available,1.34,1.34,,,0 HCPCS,J0134,Inj acetaminophen -fresenius,,,0.07,0.69,5 HCPCS,J0135,Adalimumab injection,,,2402.18,2703.98,2 HCPCS,J0136,"Inj, acetaminophen (b braun)",,,0.07,0.69,5 HCPCS,J0137,"Inj, acetaminophen (hikma)",,,0.07,0.09,4 HCPCS,J0137,NDC Description Not Available,0.93,0.93,,,0 HCPCS,J0138,"Injection, acetaminoph 10 mg",,,0.04,0.81,9 HCPCS,J0139,Humira: 2 Kit In 1 Carton (0074-3799-02) / 1 Kit In 1 Kit * 1 Syringe In 1 Tray / .8 Ml In 1 Syringe * 1 Ml In 1 Packet,620.33,620.33,,,0 HCPCS,J0139,"Inj, adalimumab, 1 mg",,,120.11,151.35,2 HCPCS,J0153,Adenosine inj 1mg,,,0.53,0.85,5 HCPCS,J0153,Adenosine: 1 Vial In 1 Carton (23155-258-31) / 20 Ml In 1 Vial,7.26,7.26,,,0 HCPCS,J0153,Adenosine: 10 Vial In 1 Carton (25021-318-02) / 2 Ml In 1 Vial,8.35,8.35,,,0 HCPCS,J0153,"Adenosine: 10 Vial, Single-Use In 1 Tray (63323-651-02) / 2 Ml In 1 Vial, Single-Use (63323-651-00)",11.39,11.39,,,0 HCPCS,J0153,Hc Adenosine 3Mg/Ml Iv Soln (2Ml Vial) - Injection,69.0,69.0,,,0 HCPCS,J0153,Hc Inj Adenosine Dx Per 1Mg,35.0,35.0,,,0 HCPCS,J0153,NDC Description Not Available,6.25,6.25,,,0 HCPCS,J0163,Epinephrine in nacl (endo),,,1.46,1.46,1 HCPCS,J0165,Inj epinephrine nos 0.1 mg,,,0.72,1.33,3 HCPCS,J0166,Inj epinephrine (bpi),,,1.59,4.22,3 HCPCS,J0167,Inj epinephrine (hospira),,,1.0,2.13,3 HCPCS,J0168,Epinephrine (intl med sys),,,2.94,4.03,3 HCPCS,J0169,Inj epinephrine (adrenalin),,,1.78,4.18,3 HCPCS,J0171,Adrenalin epinephrine inject,,,1.16,1.25,2 HCPCS,J0171,Adrenalin: 1 Vial In 1 Carton (42023-168-01) / 30 Ml In 1 Vial,5.6,5.6,,,0 HCPCS,J0171,Adrenalin: 25 Vial In 1 Carton (42023-159-25) / 1 Ml In 1 Vial (42023-159-01),19.759999999999998,19.759999999999998,,,0 HCPCS,J0171,EPINEPHRINE: 25 AMPULE in 1 CARTON (0409-7241-01) / 1 mL in 1 AMPULE (0409-7241-10),4.0,4.0,,,0 HCPCS,J0171,Epinephrine: 1 Vial In 1 Carton (76329-9060-0) / 30 Ml In 1 Vial,5.02,5.02,,,0 HCPCS,J0171,"Epinephrine: 1 Vial, Multi-Dose In 1 Carton (68462-760-10) / 10 Ml In 1 Vial, Multi-Dose",6.03,6.03,,,0 HCPCS,J0171,Epinephrine: 10 Ampule In 1 Box (54288-103-10) / 1 Ml In 1 Ampule,8.68,8.68,,,0 HCPCS,J0171,Epinephrine: 10 Carton In 1 Package (76329-3318-1) / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,13.62,13.62,,,0 HCPCS,J0171,Epinephrine: 10 VIAL in 1 PACKAGE (76329-3316-1) / 10 mL in 1 VIAL,12.01,12.01,,,0 HCPCS,J0171,Hc Epinephrine 1 Mg/Ml (1Ml) Inj Soln (Aka Adrenaline),69.0,69.0,,,0 HCPCS,J0171,NDC Description Not Available,10.26,10.26,,,0 HCPCS,J0172,"Inj, aducanumab-avwa, 2 mg",,,8.07,11.06,5 HCPCS,J0173,Epinephrine: 1 Vial In 1 Carton (54288-120-01) / 10 Ml In 1 Vial,6.04,6.04,,,0 HCPCS,J0173,"Inj, epinephrine (belcher)",,,1.53,3.93,2 HCPCS,J0174,"Inj, lecanemab-irmb",,,1.32,2.46,8 HCPCS,J0174,"Leqembi: 1 Vial, Single-Dose In 1 Carton (62856-212-01) / 2 Ml In 1 Vial, Single-Dose",8.55,8.55,,,0 HCPCS,J0174,"Leqembi: 1 Vial, Single-Dose In 1 Carton (62856-215-01) / 5 Ml In 1 Vial, Single-Dose",8.55,8.55,,,0 HCPCS,J0175,"Inj, donanemab-azbt, 2 mg",,,4.13,7.66,8 HCPCS,J0175,"Kisunla: 1 Vial, Single-Dose In 1 Carton (0002-9401-01) / 20 Ml In 1 Vial, Single-Dose",26.63,26.63,,,0 HCPCS,J0177,"Eylea Hd: 1 Vial, Single-Dose In 1 Carton (61755-050-01) / .07 Ml In 1 Vial, Single-Dose (61755-050-00)",2210.43,2210.43,,,0 HCPCS,J0177,"Inj, aflibercept hd, 1 mg",,,311.38,591.52,8 HCPCS,J0177,NDC Description Not Available,2257.18,2257.18,,,0 HCPCS,J0178,Aflibercept injection,,,771.56,1461.57,9 HCPCS,J0178,"Eylea: 1 Syringe, Glass In 1 Carton (61755-005-01) / .05 Ml In 1 Syringe, Glass",6260.81,6260.81,,,0 HCPCS,J0178,"Eylea: 1 Vial, Single-Use In 1 Carton (61755-005-02) / .05 Ml In 1 Vial, Single-Use",6256.38,6256.38,,,0 HCPCS,J0179,"1 VIAL, SINGLE-DOSE in 1 CARTON (0078-0827-61) / .05 mL in 1 VIAL, SINGLE-DOSE",2065.83,2065.83,,,0 HCPCS,J0179,"Inj, brolucizumab-dbll, 1 mg",,,346.11,640.45,9 HCPCS,J0180,Agalsidase beta injection,,,230.15,425.98,9 HCPCS,J0184,"Inj, amisulpride, 1 mg",,,9.61,21.18,6 HCPCS,J0185,"Cinvanti: 1 Vial, Glass In 1 Carton (47426-201-01) / 18 Ml In 1 Vial, Glass",22.68,22.68,,,0 HCPCS,J0185,"Inj., aprepitant, 1 mg",,,1.64,3.27,9 HCPCS,J0190,Inj biperiden lactate/5 mg,,,5.99,5.99,1 HCPCS,J0200,Alatrofloxacin mesylate,,,22.94,37.07,3 HCPCS,J0202,"Injection, alemtuzumab",,,2429.89,4515.3,9 HCPCS,J0205,Alglucerase injection,,,49.63,88.02,4 HCPCS,J0206,Inj allopurinol sodium 1 mg,,,4.72,8.4,8 HCPCS,J0207,Amifostine,,,1343.28,2378.53,4 HCPCS,J0208,Inj sodium thiosulfate 100mg,,,95.11,202.76,7 HCPCS,J0209,"Inj, sod thiosulfate (hope)",,,0.88,126.77,7 HCPCS,J0209,"Sodium Thiosulfate: 50 Ml In 1 Vial, Single-Dose (60267-705-50)",5.2,5.2,,,0 HCPCS,J0210,Methyldopate hcl injection,,,55.52,88.8,4 HCPCS,J0211,"Inj, nithiodote, 3mg / 125mg",,,2.23,4.35,6 HCPCS,J0215,Alefacept,,,41.63,87.21,4 HCPCS,J0216,"Inj, alfentanil hcl, 500mcg",,,3.47,7.46,3 HCPCS,J0217,Inj velmanase alfa-tycv 1 mg,,,465.23,860.34,8 HCPCS,J0218,Inj olipudase alfa-rpcp 1mg,,,393.66,728.57,9 HCPCS,J0219,Inj aval alfa-nqpt 4mg,,,80.91,149.39,9 HCPCS,J0219,"Nexviazyme: 1 Vial, Single-Dose In 1 Carton (58468-0426-1) / 10 Ml In 1 Vial, Single-Dose",339.02,339.02,,,0 HCPCS,J0220,Alglucosidase alfa injection,,,279.05,432.9,3 HCPCS,J0221,Lumizyme injection,,,206.59,382.25,9 HCPCS,J0222,"Inj., patisiran, 0.1 mg",,,99.97,184.67,9 HCPCS,J0223,Inj givosiran 0.5 mg,,,117.36,216.8,9 HCPCS,J0224,"Inj. lumasiran, 0.5 mg",,,329.05,608.84,9 HCPCS,J0225,"Amvuttra: 1 Syringe, Glass In 1 Carton (71336-1003-1) / .5 Ml In 1 Syringe, Glass",21483.18,21483.18,,,0 HCPCS,J0225,"Inj, vutrisiran, 1 mg",,,5003.64,9220.14,9 HCPCS,J0248,"Inj, remdesivir, 1 mg?",,,6.73,12.45,9 HCPCS,J0248,"Veklury: 1 Vial, Single-Dose In 1 Carton (61958-2901-2) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",40.57,40.57,,,0 HCPCS,J0256,Alpha 1 proteinase inhibitor,,,0.96,8.4,9 HCPCS,J0257,Glassia injection,,,1.05,9.09,9 HCPCS,J0270,Alprostadil for injection,,,0.78,22.81,4 HCPCS,J0270,"Caverject: 6 Vial, Single-Dose In 1 Package (0009-3701-05) / 1 Ml In 1 Vial, Single-Dose (0009-3701-08)",77.11,77.11,,,0 HCPCS,J0270,Hc Alprostadil 500 Mcg/Ml Inj Soln (1 Ml Vial) - Inj,809.0,809.0,,,0 HCPCS,J0270,NDC Description Not Available,2.58,2.58,,,0 HCPCS,J0270,Prostin Vr Pediatric: 5 Ampule In 1 Package (0009-3169-06) / 1 Ml In 1 Ampule (0009-3169-01),2.61,2.61,,,0 HCPCS,J0275,Alprostadil urethral suppos,,,34.72,91.04,2 HCPCS,J0278,Amikacin sulfate injection,,,0.84,1.49,5 HCPCS,J0278,NDC Description Not Available,9.850000000000001,9.850000000000001,,,0 HCPCS,J0280,Aminophyllin 250 MG inj,,,8.53,15.51,5 HCPCS,J0280,"Aminophylline: 25 Vial, Single-Dose In 1 Tray (0409-5921-01) / 10 Ml In 1 Vial, Single-Dose (0409-5921-16)",61.57,61.57,,,0 HCPCS,J0280,NDC Description Not Available,66.555,66.555,,,0 HCPCS,J0281,Inj aminocaproic acid 1 gram,,,2.03,2.78,3 HCPCS,J0282,Amiodarone HCl,,,0.64,0.94,5 HCPCS,J0282,Hc Amiodarone 50 Mg/Ml Iv Soln - 3 Ml Vial,69.0,69.0,,,0 HCPCS,J0282,NDC Description Not Available,7.91,7.91,,,0 HCPCS,J0283,"Inj, amiodarone (nexterone)",,,3.52,5.33,5 HCPCS,J0283,Nexterone: 100 Ml In 1 Bag (43066-150-10),46.48,46.48,,,0 HCPCS,J0283,Nexterone: 200 Ml In 1 Bag (43066-360-20),21.59,21.59,,,0 HCPCS,J0285,Amphotericin B,,,46.06,82.62,5 HCPCS,J0285,Amphotericin B: 10 Ml In 1 Vial (39822-1055-5),65.16,65.16,,,0 HCPCS,J0287,Amphotericin b lipid complex,,,10.3,19.06,8 HCPCS,J0288,Ampho b cholesteryl sulfate,,,18.9,116.89,4 HCPCS,J0289,"Ambisome: 12.5 Ml In 1 Vial, Single-Dose (0469-3051-30)",416.81,416.81,,,0 HCPCS,J0289,"Amphotericin B: 1 Vial, Single-Dose In 1 Carton (55150-365-01) / 12.5 Ml In 1 Vial, Single-Dose",341.18,341.18,,,0 HCPCS,J0289,Amphotericin b liposome inj,,,21.48,41.86,9 HCPCS,J0290,Ampicillin 500 MG inj,,,0.66,1.43,5 HCPCS,J0290,"Ampicillin: 10 VIAL, GLASS in 1 PACKAGE (0409-3720-01) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, GLASS (0409-3720-10)",48.25,48.25,,,0 HCPCS,J0290,"Ampicillin: 10 VIAL, GLASS in 1 PACKAGE (0409-3726-01) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, GLASS (0409-3726-10)",96.5,96.5,,,0 HCPCS,J0290,"Ampicillin: 10 Vial In 1 Box (55150-113-10) / 1 Injection, Powder, For Solution In 1 Vial",54.91,54.91,,,0 HCPCS,J0290,"Ampicillin: 10 Vial In 1 Box (55150-114-20) / 1 Injection, Powder, For Solution In 1 Vial",48.71,48.71,,,0 HCPCS,J0290,"Ampicillin: 10 Vial In 1 Tray (44567-102-10) / 1 Injection, Powder, For Solution In 1 Vial",96.5,96.5,,,0 HCPCS,J0290,"Ampicillin: 10 Vial In 1 Tray (44567-103-10) / 1 Injection, Powder, For Solution In 1 Vial",48.25,48.25,,,0 HCPCS,J0290,"Ampicillin: 10 Vial, Glass In 1 Package (0409-3718-01) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0409-3718-10)",193.0,193.0,,,0 HCPCS,J0290,"Ampicillin: 10 Vial, Glass In 1 Package (0781-3407-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-3407-78)",56.77,56.77,,,0 HCPCS,J0290,"Ampicillin: 10 Vial, Glass In 1 Package (0781-3408-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-3408-80)",56.05,56.05,,,0 HCPCS,J0290,NDC Description Not Available,49.01,49.01,,,0 HCPCS,J0291,"Inj., plazomicin, 5 mg",,,3.5,6.6,9 HCPCS,J0295,Ampicillin And Sulbactam: 1 Bottle In 1 Carton (25021-144-99) / 100 Ml In 1 Bottle,32.17,32.17,,,0 HCPCS,J0295,Ampicillin And Sulbactam: 10 Vial In 1 Carton (0641-6116-10) / 1.5 G In 1 Vial (0641-6116-01),52.86,52.86,,,0 HCPCS,J0295,Ampicillin And Sulbactam: 10 Vial In 1 Carton (0641-6117-10) / 3 G In 1 Vial (0641-6117-01),71.16,71.16,,,0 HCPCS,J0295,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (25021-142-20) / 1 Injection, Powder, For Solution In 1 Vial",108.67,108.67,,,0 HCPCS,J0295,Ampicillin And Sulbactam: 10 Vial In 1 Carton (44567-210-10) / 10 Ml In 1 Vial,193.0,193.0,,,0 HCPCS,J0295,Ampicillin And Sulbactam: 10 Vial In 1 Carton (44567-211-10) / 20 Ml In 1 Vial,55.06,55.06,,,0 HCPCS,J0295,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (55150-116-20) / 1 Injection, Powder, For Solution In 1 Vial",34.85,34.85,,,0 HCPCS,J0295,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (55150-117-20) / 1 Injection, Powder, For Solution In 1 Vial",75.22,75.22,,,0 HCPCS,J0295,"Ampicillin And Sulbactam: 10 Vial, Single-Dose In 1 Carton (71288-032-21) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (71288-032-20)",96.5,96.5,,,0 HCPCS,J0295,"Ampicillin And Sulbactam: 100 Ml In 1 Vial, Pharmacy Bulk Package (0641-6118-01)",34.94,34.94,,,0 HCPCS,J0295,"Ampicillin and Sulbactam: 10 VIAL in 1 CARTON (0409-2998-03) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL",96.5,96.5,,,0 HCPCS,J0295,"Ampicillin and Sulbactam: 10 VIAL in 1 CARTON (63323-369-20) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL",32.17,32.17,,,0 HCPCS,J0295,"Ampicillin and Sulbactam: 100 mL in 1 VIAL, PHARMACY BULK PACKAGE (0409-2687-15)",48.25,48.25,,,0 HCPCS,J0295,Ampicillin sodium per 1.5 gm,,,2.01,3.37,5 HCPCS,J0295,NDC Description Not Available,86.97,86.97,,,0 HCPCS,J0300,Amobarbital 125 MG inj,,,18.68,406.85,4 HCPCS,J0330,Hc Succinylcholine Chloride 100 Mg/5 Ml (20 Mg/Ml) Iv Syrg,69.0,69.0,,,0 HCPCS,J0330,NDC Description Not Available,11.8,11.8,,,0 HCPCS,J0330,"Quelicin: 25 Vial, Multi-Dose In 1 Tray (0409-6629-02) / 10 Ml In 1 Vial, Multi-Dose (0409-6629-12)",13.54,13.54,,,0 HCPCS,J0330,Succinycholine chloride inj,,,1.13,2.61,4 HCPCS,J0348,Anidulafungin injection,,,0.65,0.89,5 HCPCS,J0349,"Inj, rezafungin, 1 mg",,,10.62,19.65,8 HCPCS,J0350,Injection anistreplase 30 u,,,3978.15,5245.82,2 HCPCS,J0360,"Hydralazine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (63323-614-01) / 1 Ml In 1 Vial, Single-Dose (63323-614-00)",62.92,62.92,,,0 HCPCS,J0360,Hydralazine hcl injection,,,6.73,9.6,5 HCPCS,J0360,NDC Description Not Available,59.644999999999996,59.644999999999996,,,0 HCPCS,J0364,Apomorphine hydrochloride,,,47.8,87.5,3 HCPCS,J0365,"Aprotonin, 10,000 kiu",,,3.58,4.9,4 HCPCS,J0380,Inj metaraminol bitartrate,,,1.38,2.48,4 HCPCS,J0390,Chloroquine injection,,,30.29,38.33,2 HCPCS,J0391,"Inj, artesunate, 1mg",,,51.83,108.54,6 HCPCS,J0395,Arbutamine HCl injection,,,216.0,355.2,3 HCPCS,J0400,Aripiprazole injection,,,0.53,1.59,4 HCPCS,J0401,"Abilify Maintena: 1 Kit In 1 Carton (59148-018-71) * 1.5 Ml In 1 Vial, Single-Use * 5 Ml In 1 Vial, Single-Use",47.87,47.87,,,0 HCPCS,J0401,"Abilify Maintena: 1 Kit In 1 Carton (59148-019-71) * 1.9 Ml In 1 Vial, Single-Use * 5 Ml In 1 Vial, Single-Use",47.77,47.77,,,0 HCPCS,J0401,"Abilify Maintena: 1 Kit In 1 Carton (59148-232-12) * 1.5 Ml In 1 Vial, Single-Use (59148-235-70) * 2.5 Ml In 1 Vial, Single-Use (59148-100-12)",45.12,45.12,,,0 HCPCS,J0401,"Abilify Maintena: 1 Kit In 1 Carton (59148-245-12) * 1.9 Ml In 1 Vial, Single-Use (59148-238-90) * 2.5 Ml In 1 Vial, Single-Use (59148-100-12)",48.65,48.65,,,0 HCPCS,J0401,Inj aripiprazole ext rel 1mg,,,7.28,13.39,9 HCPCS,J0401,NDC Description Not Available,47.94,47.94,,,0 HCPCS,J0402,"Inj, abilify asimtufii, 1 mg",,,6.03,11.16,8 HCPCS,J0456,Azithromycin,,,3.05,4.83,5 HCPCS,J0456,Azithromycin: 10 Vial In 1 Tray (63323-398-10) / 5 Ml In 1 Vial (63323-398-01),191.29,191.29,,,0 HCPCS,J0456,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (55150-174-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",118.98,118.98,,,0 HCPCS,J0456,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (70860-100-10) / 5 Ml In 1 Vial, Single-Dose (70860-100-41)",16.75,16.75,,,0 HCPCS,J0456,"Azithromycin: 10 Vial, Single-Dose In 1 Tray (0409-0144-11) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0409-0144-21)",193.0,193.0,,,0 HCPCS,J0456,NDC Description Not Available,171.255,171.255,,,0 HCPCS,J0457,"AZACTAM: 10 VIAL, SINGLE-DOSE in 1 CARTON (51479-042-15) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, SINGLE-DOSE",75.74,75.74,,,0 HCPCS,J0457,"Azactam: 10 Vial, Single-Dose In 1 Carton (0003-2570-16) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",18.285,18.285,,,0 HCPCS,J0457,"Aztreonam: 10 Vial In 1 Tray (63323-401-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-401-01)",20.2,20.2,,,0 HCPCS,J0457,"Aztreonam: 10 Vial, Single-Dose In 1 Carton (0409-0829-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0409-0829-11)",19.3,19.3,,,0 HCPCS,J0457,"Aztreonam: 10 Vial, Single-Dose In 1 Carton (0409-0830-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0409-0830-11)",18.28,18.28,,,0 HCPCS,J0457,"Injection, aztreonam, 100 mg",,,3.42,4.94,4 HCPCS,J0457,NDC Description Not Available,21.755,21.755,,,0 HCPCS,J0461,"Atropine Sulfate: 1 Vial, Single-Dose In 1 Carton (16729-525-63) / 1 Ml In 1 Vial, Single-Dose",3.175,3.175,,,0 HCPCS,J0461,"Atropine Sulfate: 10 Carton In 1 Package (0409-1630-10) / 1 Syringe, Plastic In 1 Carton / 10 Ml In 1 Syringe, Plastic (0409-1630-15)",22.94,22.94,,,0 HCPCS,J0461,Atropine Sulfate: 10 Carton In 1 Package (76329-3340-1) / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,1.36,1.36,,,0 HCPCS,J0461,"Atropine Sulfate: 10 Ml In 1 Syringe, Glass (16729-484-03)",0.97,0.97,,,0 HCPCS,J0461,"Atropine Sulfate: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-0401-25) / 1 mL in 1 VIAL, SINGLE-DOSE",1.3599999999999999,1.3599999999999999,,,0 HCPCS,J0461,Atropine sulfate injection,,,0.09,0.69,5 HCPCS,J0461,Hc Atropine 0.1 Mg/Ml Inj Syrg - 10Ml Syringe,77.0,77.0,,,0 HCPCS,J0461,NDC Description Not Available,1.345,1.345,,,0 HCPCS,J0462,"Atropine sulf, nte, 0.01 mg",,,0.2,0.2,1 HCPCS,J0470,Dimecaprol injection,,,73.64,118.73,4 HCPCS,J0475,Baclofen 10 mg injection,,,181.22,325.27,9 HCPCS,J0475,"Gablofen: 20 Ml In 1 Syringe, Glass (66794-157-01)",1702.77,1702.77,,,0 HCPCS,J0475,Lioresal (Baclofen): 1 Ampule In 1 Box (70257-563-01) / 20 Ml In 1 Ampule (70257-563-20),1583.11,1583.11,,,0 HCPCS,J0476,Baclofen intrathecal trial,,,67.2,124.32,5 HCPCS,J0476,Lioresal (Baclofen): 5 Ampule In 1 Box (70121-2496-5) / 1 Ml In 1 Ampule,204.5,204.5,,,0 HCPCS,J0476,Lioresal (Baclofen): 5 Ampule In 1 Box (70257-562-55) / 1 Ml In 1 Ampule (70257-562-11),220.9,220.9,,,0 HCPCS,J0480,Basiliximab,,,4686.85,8644.07,9 HCPCS,J0480,"Simulect: 1 Vial, Single-Use In 1 Carton (0078-0331-84) / 5 Ml In 1 Vial, Single-Use",29716.345,29716.345,,,0 HCPCS,J0485,Belatacept injection,,,3.89,7.2,9 HCPCS,J0485,"Nulojix: 1 Vial, Single-Use In 1 Carton (0003-0371-13) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",25.94,25.94,,,0 HCPCS,J0490,Belimumab injection,,,56.07,103.62,9 HCPCS,J0490,Benlysta: 1 Vial In 1 Carton (49401-101-01) / 1.5 Ml In 1 Vial,348.86,348.86,,,0 HCPCS,J0490,Benlysta: 1 Vial In 1 Carton (49401-102-01) / 5 Ml In 1 Vial,345.52,345.52,,,0 HCPCS,J0491,Inj anifrolumab-fnia 1mg,,,18.08,33.49,9 HCPCS,J0491,"Saphnelo: 1 Vial, Glass In 1 Carton (0310-3040-00) / 2 Ml In 1 Vial, Glass",117.55,117.55,,,0 HCPCS,J0500,Bentyl: 5 Ampule In 1 Box (58914-080-52) / 2 Ml In 1 Ampule,563.19,563.19,,,0 HCPCS,J0500,"Dicyclomine Hydrochloride: 5 Vial, Single-Dose In 1 Carton (72266-127-05) / 2 Ml In 1 Vial, Single-Dose (72266-127-01)",164.82,164.82,,,0 HCPCS,J0500,Dicyclomine injection,,,15.77,35.5,5 HCPCS,J0500,NDC Description Not Available,145.025,145.025,,,0 HCPCS,J0515,Inj benztropine mesylate,,,22.99,31.95,5 HCPCS,J0517,"Fasenra: 1 Syringe, Glass In 1 Carton (0310-1730-30) / 1 Ml In 1 Syringe, Glass",804.06,804.06,,,0 HCPCS,J0517,"Inj., benralizumab, 1 mg",,,164.59,311.04,9 HCPCS,J0520,Bethanechol chloride inject,,,6.06,26.16,3 HCPCS,J0558,PenG benzathine/procaine inj,,,19.52,32.13,9 HCPCS,J0561,Bicillin L-A: 10 Syringe In 1 Package (60793-700-10) / 1 Ml In 1 Syringe (60793-700-01),196.47,196.47,,,0 HCPCS,J0561,Bicillin L-A: 10 Syringe In 1 Package (60793-701-10) / 2 Ml In 1 Syringe (60793-701-02),168.21,168.21,,,0 HCPCS,J0561,Bicillin L-A: 10 Syringe In 1 Package (60793-702-10) / 4 Ml In 1 Syringe (60793-702-04),178.14,178.14,,,0 HCPCS,J0561,NDC Description Not Available,178.53,178.53,,,0 HCPCS,J0561,Penicillin g benzathine inj,,,28.99,54.21,9 HCPCS,J0565,"Inj, bezlotoxumab, 10 mg",,,39.83,73.69,9 HCPCS,J0565,NDC Description Not Available,254.6,254.6,,,0 HCPCS,J0567,"Inj., cerliponase alfa 1 mg",,,117.96,257.19,7 HCPCS,J0570,Buprenorphine implant 74.2mg,,,2004.36,2747.25,2 HCPCS,J0571,Buprenorphine oral 1mg,,,0.36,2.49,4 HCPCS,J0572,Bupren/nal up to 3mg bupreno,,,6.58,11.78,3 HCPCS,J0572,NDC Description Not Available,22.66,22.66,,,0 HCPCS,J0573,Bupren/nal 3.1 to 6mg bupren,,,10.18,18.63,3 HCPCS,J0574,Bupren/nal 6.1 to 10mg bupre,,,11.77,19.07,3 HCPCS,J0574,Buprenorphine Hydrochloride And Naloxone Hydrochloride Dihydrate: 50 Blister Pack In 1 Carton (0904-7010-06) / 1 Tablet In 1 Blister Pack,24.71,24.71,,,0 HCPCS,J0574,NDC Description Not Available,31.12,31.12,,,0 HCPCS,J0575,Bupren/nal over 10mg bupreno,,,20.35,34.45,3 HCPCS,J0577,"Inj, brixadi, 7 days or less",,,420.64,782.24,8 HCPCS,J0578,"Inj brixadi, more than 7 day",,,1682.54,2829.14,8 HCPCS,J0582,Bivalirudin (endo) 1 mg,,,0.21,0.21,1 HCPCS,J0583,Bivalirudin,,,0.23,0.69,5 HCPCS,J0583,"Bivalirudin: 1 Vial, Single-Dose In 1 Carton (42023-622-01) / 1 Injection, Solution In 1 Vial, Single-Dose",1.2,1.2,,,0 HCPCS,J0583,"Bivalirudin: 10 Vial, Single-Use In 1 Carton (0781-3158-95) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (0781-3158-94)",2.02,2.02,,,0 HCPCS,J0583,NDC Description Not Available,4.7,4.7,,,0 HCPCS,J0584,"Injection, burosumab-twza 1m",,,484.14,890.9,9 HCPCS,J0585,"Botox Cosmetic: 1 Vial, Glass In 1 Carton (0023-3919-50) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",48.51,48.51,,,0 HCPCS,J0585,"Botox Cosmetic: 1 Vial, Glass In 1 Carton (0023-9232-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",43.74,43.74,,,0 HCPCS,J0585,"Botox: 1 Vial In 1 Carton (0023-1145-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",43.21,43.21,,,0 HCPCS,J0585,"Botox: 1 Vial In 1 Carton (0023-1145-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",41.67,41.67,,,0 HCPCS,J0585,"Botox: 1 Vial In 1 Carton (0023-3921-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",43.28,43.28,,,0 HCPCS,J0585,Hc Botox Full Cash,1298.0,1298.0,,,0 HCPCS,J0585,Hc Botox Half Vial-Cash,624.0,624.0,,,0 HCPCS,J0585,Hc Botox Plastics Cash-Csm,12.0,12.0,,,0 HCPCS,J0585,"Hc Botox Plastics Cash-Csm,Ucm",10.0,10.0,,,0 HCPCS,J0585,Hc Botox Plstcs Cash-Csm,10.0,10.0,,,0 HCPCS,J0585,"Injection,onabotulinumtoxina",,,6.5,12.03,9 HCPCS,J0585,Noncdm Charge Record Pharmacy,11.0,11.0,,,0 HCPCS,J0586,Abobotulinumtoxina,,,8.75,16.96,9 HCPCS,J0587,"Inj, rimabotulinumtoxinb",,,13.29,24.68,9 HCPCS,J0587,"Myobloc: 1 Vial, Single-Use In 1 Carton (10454-711-10) / 1 Ml In 1 Vial, Single-Use",83.85,83.85,,,0 HCPCS,J0588,Incobotulinumtoxin a,,,5.57,9.82,9 HCPCS,J0589,Inj daxibotulinumtoxina-lanm,,,3.15,5.75,8 HCPCS,J0591,"Inj deoxycholic acid, 1 mg",,,20.66,33.3,3 HCPCS,J0592,Buprenorphine Hydrochloride: 5 Vial In 1 Carton (42023-179-05) / 1 Ml In 1 Vial,30.77,30.77,,,0 HCPCS,J0592,Buprenorphine hydrochloride,,,5.58,7.64,5 HCPCS,J0592,NDC Description Not Available,30.37,30.37,,,0 HCPCS,J0593,"Inj., lanadelumab-flyo, 1 mg",,,87.28,169.7,9 HCPCS,J0594,Busulfan injection,,,0.88,4.23,9 HCPCS,J0594,Busulfan: 8 Vial In 1 Carton (25021-241-10) / 10 Ml In 1 Vial,55.84,55.84,,,0 HCPCS,J0594,"Busulfan: 8 Vial, Single-Dose In 1 Carton (71288-116-11) / 10 Ml In 1 Vial, Single-Dose (71288-116-10)",12.99,12.99,,,0 HCPCS,J0594,Busulfex: 8 Carton In 1 Carton (59148-070-91) / 1 Vial In 1 Carton (59148-070-90) / 10 Ml In 1 Vial,55.83,55.83,,,0 HCPCS,J0594,NDC Description Not Available,12.84,12.84,,,0 HCPCS,J0595,"Butorphanol Tartrate: 10 Vial, Single-Dose In 1 Carton (0409-1623-01) / 1 Ml In 1 Vial, Single-Dose (0409-1623-21)",59.0,59.0,,,0 HCPCS,J0595,Butorphanol tartrate 1 mg,,,5.29,9.65,5 HCPCS,J0595,NDC Description Not Available,59.0,59.0,,,0 HCPCS,J0596,"Injection, ruconest",,,36.77,67.97,9 HCPCS,J0597,Berinert: 1 Kit In 1 Carton (63833-825-02) * 10 Ml In 1 Vial (63833-835-01) * 10 Ml In 1 Vial (63833-765-15),549.08,549.08,,,0 HCPCS,J0597,"C-1 esterase, berinert",,,75.86,140.34,9 HCPCS,J0597,NDC Description Not Available,549.03,549.03,,,0 HCPCS,J0598,"C-1 esterase, cinryze",,,65.63,121.6,9 HCPCS,J0599,"Inj., haegarda 10 units",,,14.69,26.86,4 HCPCS,J0600,Edetate calcium disodium inj,,,6408.38,11940.95,9 HCPCS,J0601,NDC Description Not Available,4.575,4.575,,,0 HCPCS,J0601,"Sevelamer Carbonate: 270 Tablet, Film Coated In 1 Bottle (55111-789-27)",0.58,0.58,,,0 HCPCS,J0601,"Sevelamer Carbonate: 50 Blister Pack In 1 Carton (0904-6707-06) / 1 Tablet, Film Coated In 1 Blister Pack",9.82,9.82,,,0 HCPCS,J0601,Sevelamer carbonate 20 mg,,,0.01,0.18,3 HCPCS,J0602,NDC Description Not Available,0.57,0.57,,,0 HCPCS,J0602,"Renvela: 90 Packet In 1 Carton (58468-0131-2) / 1 Powder, For Suspension In 1 Packet (58468-0131-1)",9.36,9.36,,,0 HCPCS,J0602,"Sevelamer Carbonate: 90 Packet In 1 Box (0955-1052-90) / 1 Powder, For Suspension In 1 Packet (0955-1052-01)",4.07,4.07,,,0 HCPCS,J0602,Sevelamer carbonate pdr 20mg,,,0.07,0.5,3 HCPCS,J0603,Sevelamer hydrochloride 20mg,,,0.12,0.33,3 HCPCS,J0604,"Cinacalcet, esrd on dialysis",,,0.03,1.63,4 HCPCS,J0604,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (31722-104-30)",0.54,0.54,,,0 HCPCS,J0604,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (64380-883-04)",0.41,0.41,,,0 HCPCS,J0604,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (64380-884-04)",0.1,0.1,,,0 HCPCS,J0604,"Cinacalcet: 90 Tablet, Film Coated In 1 Bottle, Plastic (16729-440-15)",2.46,2.46,,,0 HCPCS,J0604,NDC Description Not Available,60.33,60.33,,,0 HCPCS,J0604,"Sensipar: 30 Tablet, Coated In 1 Bottle, Plastic (55513-074-30)",16.42,16.42,,,0 HCPCS,J0605,Sucroferric oxyhydroxide 5mg,,,0.24,0.39,3 HCPCS,J0606,"Inj, etelcalcetide, 0.1 mg",,,2.29,9.16,7 HCPCS,J0607,Lanthanum carbonate oral 5mg,,,0.05,0.15,3 HCPCS,J0608,Lanthanum carbonate pwdr 5mg,,,0.08,0.13,3 HCPCS,J0609,Ferric citrate orl 3 mg iron,,,0.05,0.24,3 HCPCS,J0610,NDC Description Not Available,0.83,0.83,,,0 HCPCS,J0612,Calcium Gluconate: 24 Bag In 1 Case (65219-164-50) / 100 Ml In 1 Bag (65219-164-01),1.11,1.11,,,0 HCPCS,J0612,"Calcium Gluconate: 25 VIAL, SINGLE-USE in 1 TRAY (63323-311-59) / 50 mL in 1 VIAL, SINGLE-USE",0.15,0.15,,,0 HCPCS,J0612,Calcium glucon (fresenius),,,0.05,0.69,5 HCPCS,J0612,NDC Description Not Available,0.705,0.705,,,0 HCPCS,J0613,Calcium glucon (wg critical),,,0.11,0.69,5 HCPCS,J0613,NDC Description Not Available,1.5150000000000001,1.5150000000000001,,,0 HCPCS,J0614,"Inj, treosulfan, 50 mg",,,32.33,48.5,5 HCPCS,J0615,Calcium Acetate: 100 Blister Pack In 1 Carton (68084-479-01) / 1 Capsule In 1 Blister Pack (68084-479-11),0.57,0.57,,,0 HCPCS,J0615,Calcium Acetate: 200 Capsule In 1 Bottle (0054-0088-26),0.5,0.5,,,0 HCPCS,J0615,"Calcium acetate, oral, 23 mg",,,0.03,0.05,3 HCPCS,J0615,NDC Description Not Available,0.91,0.91,,,0 HCPCS,J0616,Inj metoprolol tartrate 1 mg,,,0.18,0.24,3 HCPCS,J0618,"Inj, calcium chloride, 2 mg",,,0.04,0.06,2 HCPCS,J0620,Calcium glycer & lact/10 ML,,,12.08,28.49,4 HCPCS,J0630,Calcitonin salmon injection,,,1101.6,2070.17,4 HCPCS,J0636,Inj calcitriol per 0.1 mcg,,,1.18,2.2,4 HCPCS,J0636,NDC Description Not Available,10.66,10.66,,,0 HCPCS,J0637,Caspofungin acetate,,,3.06,8.35,5 HCPCS,J0638,Canakinumab injection,,,141.6,260.85,9 HCPCS,J0638,"Ilaris: 1 Vial, Single-Use In 1 Carton (0078-0734-61) / 1 Ml In 1 Vial, Single-Use",575.59,575.59,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 VIAL, SINGLE-USE in 1 CARTON (0703-5145-01) / 17.5 mL in 1 VIAL, SINGLE-USE",19.62,19.62,,,0 HCPCS,J0640,Leucovorin Calcium: 1 Vial In 1 Box (0143-9554-01) / 10 Ml In 1 Vial,61.3,61.3,,,0 HCPCS,J0640,Leucovorin Calcium: 1 Vial In 1 Box (0143-9555-01) / 5 Ml In 1 Vial,67.0,67.0,,,0 HCPCS,J0640,Leucovorin Calcium: 1 Vial In 1 Box (63323-710-50) / 20 Ml In 1 Vial,39.81,39.81,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 Vial In 1 Box, Unit-Dose (0143-9552-01) / 17.5 Ml In 1 Vial",24.74,24.74,,,0 HCPCS,J0640,Leucovorin Calcium: 1 Vial In 1 Carton (25021-814-30) / 10 Ml In 1 Vial,67.15,67.15,,,0 HCPCS,J0640,Leucovorin Calcium: 1 Vial In 1 Carton (25021-816-30) / 17.5 Ml In 1 Vial,66.15,66.15,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-528-10) / 10 Ml In 1 Vial, Single-Dose",69.04,69.04,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-529-20) / 20 Ml In 1 Vial, Single-Dose",67.65,67.65,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-530-35) / 17.5 Ml In 1 Vial, Single-Dose",18.64,18.64,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-160-10) / 5 Ml In 1 Vial, Single-Dose",62.89,62.89,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-161-20) / 10 Ml In 1 Vial, Single-Dose",56.35,56.35,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 Vial, Single-Use In 1 Carton (63323-631-10) / 10 Ml In 1 Vial, Single-Use",74.68,74.68,,,0 HCPCS,J0640,Leucovorin Calcium: 10 VIAL in 1 BOX (55390-051-10) / 5 mL in 1 VIAL,32.66,32.66,,,0 HCPCS,J0640,Leucovorin Calcium: 10 Vial In 1 Carton (25021-813-10) / 5 Ml In 1 Vial,64.03,64.03,,,0 HCPCS,J0640,Leucovorin calcium injection,,,4.83,7.31,5 HCPCS,J0641,Levoleucovorin injection,,,0.05,0.69,5 HCPCS,J0642,"Injection, khapzory, 0.5 mg",,,2.02,3.51,5 HCPCS,J0650,"Inj, levothyroxine nos 10mcg",,,8.89,14.25,4 HCPCS,J0650,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (42023-201-01) / 5 Ml In 1 Vial, Single-Dose",67.62,67.62,,,0 HCPCS,J0650,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (70710-1833-1) / 5 Ml In 1 Vial, Single-Dose",61.81,61.81,,,0 HCPCS,J0651,"Inj, levothyroxine, freskabi",,,6.3,13.14,8 HCPCS,J0651,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (63323-649-07) / 5 Ml In 1 Vial, Single-Dose",73.3,73.3,,,0 HCPCS,J0652,"Inj, levothyroxine, hikma",,,6.94,9.51,4 HCPCS,J0665,10 DOSE PACK in 1 CARTON (0409-1761-02) / 1 AMPULE in 1 DOSE PACK / 2 mL in 1 AMPULE (0409-1761-19),2.51,2.51,,,0 HCPCS,J0665,"Bupivacaine Hydrochloride: 1 Vial, Single-Dose In 1 Carton (71288-721-11) / 10 Ml In 1 Vial, Single-Dose",2.36,2.36,,,0 HCPCS,J0665,"Bupivacaine Hydrochloride: 1 Vial, Single-Dose In 1 Carton (71288-722-32) / 30 Ml In 1 Vial, Single-Dose",0.79,0.79,,,0 HCPCS,J0665,"Bupivacaine Hydrochloride: 10 Ml In 1 Vial, Single-Dose (76420-018-10)",2.12,2.12,,,0 HCPCS,J0665,"Bupivacaine Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (0143-9329-10) / 50 Ml In 1 Vial, Multi-Dose (0143-9329-01)",0.24,0.24,,,0 HCPCS,J0665,"Bupivacaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-249-50) / 50 Ml In 1 Vial, Multi-Dose",0.6,0.6,,,0 HCPCS,J0665,"Bupivacaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-250-50) / 50 Ml In 1 Vial, Multi-Dose",0.24,0.24,,,0 HCPCS,J0665,"Bupivacaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-1160-01) / 50 Ml In 1 Vial, Multi-Dose (0409-1160-18)",4.66,4.66,,,0 HCPCS,J0665,"Bupivacaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-1163-01) / 50 Ml In 1 Vial, Multi-Dose (0409-1163-18)",0.2,0.2,,,0 HCPCS,J0665,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-167-10) / 10 Ml In 1 Vial, Single-Dose",2.36,2.36,,,0 HCPCS,J0665,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-168-30) / 30 Ml In 1 Vial, Single-Dose",0.79,0.79,,,0 HCPCS,J0665,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-169-10) / 10 Ml In 1 Vial, Single-Dose",1.18,1.18,,,0 HCPCS,J0665,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-170-30) / 30 Ml In 1 Vial, Single-Dose",0.33,0.33,,,0 HCPCS,J0665,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-171-10) / 10 Ml In 1 Vial, Single-Dose",0.12,0.12,,,0 HCPCS,J0665,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-172-30) / 30 Ml In 1 Vial, Single-Dose",0.07,0.07,,,0 HCPCS,J0665,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-01) / 10 Ml In 1 Vial, Single-Dose (0409-1159-18)",2.02,2.02,,,0 HCPCS,J0665,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-02) / 30 Ml In 1 Vial, Single-Dose (0409-1159-19)",0.47000000000000003,0.47000000000000003,,,0 HCPCS,J0665,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-10) / 30 Ml In 1 Vial, Single-Dose (0409-1159-09)",0.79,0.79,,,0 HCPCS,J0665,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1162-01) / 10 Ml In 1 Vial, Single-Dose (0409-1162-18)",0.73,0.73,,,0 HCPCS,J0665,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1162-02) / 30 Ml In 1 Vial, Single-Dose (0409-1162-19)",0.29,0.29,,,0 HCPCS,J0665,"Inj, bupivacaine, nos, 0.5mg",,,0.01,0.02,4 HCPCS,J0665,"Marcaine: 1 Vial, Multi-Dose In 1 Carton (0409-1587-50) / 50 Ml In 1 Vial, Multi-Dose",0.48,0.48,,,0 HCPCS,J0665,"Marcaine: 1 Vial, Multi-Dose In 1 Carton (0409-1610-50) / 50 Ml In 1 Vial, Multi-Dose",0.24,0.24,,,0 HCPCS,J0665,"Marcaine: 10 Vial, Single-Dose In 1 Carton (0409-1559-30) / 30 Ml In 1 Vial, Single-Dose (0409-1559-19)",0.79,0.79,,,0 HCPCS,J0665,"Marcaine: 10 Vial, Single-Dose In 1 Tray (0409-1559-10) / 10 Ml In 1 Vial, Single-Dose (0409-1559-18)",2.26,2.26,,,0 HCPCS,J0665,"Marcaine: 10 Vial, Single-Dose In 1 Tray (0409-1560-10) / 10 Ml In 1 Vial, Single-Dose (0409-1560-18)",1.18,1.18,,,0 HCPCS,J0665,NDC Description Not Available,0.725,0.725,,,0 HCPCS,J0665,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-466-37) / 30 Ml In 1 Vial, Single-Dose (63323-466-01)",0.39,0.39,,,0 HCPCS,J0665,"Sensorcaine: 25 Vial, Multi-Dose In 1 Tray (63323-465-57) / 50 Ml In 1 Vial, Multi-Dose (63323-465-01)",5.9,5.9,,,0 HCPCS,J0665,"Sensorcaine: 25 Vial, Multi-Dose In 1 Tray (63323-467-57) / 50 Ml In 1 Vial, Multi-Dose (63323-467-01)",0.24,0.24,,,0 HCPCS,J0666,"Inj, bupivacaine liposome",,,1.47,2.76,8 HCPCS,J0670,"Carbocaine: 1 VIAL, SINGLE-DOSE in 1 CARTON (0409-1067-20) / 20 mL in 1 VIAL, SINGLE-DOSE",57.26,57.26,,,0 HCPCS,J0670,Inj mepivacaine HCL/10 ml,,,5.16,7.07,5 HCPCS,J0670,NDC Description Not Available,74.49000000000001,74.49000000000001,,,0 HCPCS,J0687,"Cefazolin: 25 Vial In 1 Carton (44567-706-25) / 1 Injection, Powder, For Solution In 1 Vial",193.0,193.0,,,0 HCPCS,J0687,"Cefazolin: 25 Vial In 1 Carton (44567-707-25) / 1 Injection, Powder, For Solution In 1 Vial",17.915,17.915,,,0 HCPCS,J0687,Inj cefazolin (wg crit care),,,1.2,1.85,5 HCPCS,J0688,Cefazolin: 3 Ml In 1 Vial (0143-9924-90),18.57,18.57,,,0 HCPCS,J0688,"Inj cefazolin sodium, hikma",,,1.23,1.68,4 HCPCS,J0688,NDC Description Not Available,9.8,9.8,,,0 HCPCS,J0689,"Inj cefazolin sodium, baxter",,,1.8,2.46,5 HCPCS,J0690,Cefazolin sodium injection,,,1.13,1.55,5 HCPCS,J0690,"Cefazolin: 10 Vial In 1 Carton (0781-3450-95) / 1 Injection, Powder, For Solution In 1 Vial (0781-3450-70)",59.81,59.81,,,0 HCPCS,J0690,"Cefazolin: 10 Vial In 1 Carton (63323-238-61) / 1 Powder, For Solution In 1 Vial (63323-238-01)",48.25,48.25,,,0 HCPCS,J0690,"Cefazolin: 10 Vial, Pharmacy Bulk Package In 1 Carton (0143-9983-03) / 1 Injection, Powder, For Solution In 1 Vial, Pharmacy Bulk Package (0143-9983-91)",7.61,7.61,,,0 HCPCS,J0690,"Cefazolin: 25 VIAL, SINGLE-DOSE in 1 CARTON (60505-0749-5) / 3 mL in 1 VIAL, SINGLE-DOSE",14.75,14.75,,,0 HCPCS,J0690,Cefazolin: 25 Vial In 1 Carton (0143-9262-25) / 3 Ml In 1 Vial (0143-9262-01),13.41,13.41,,,0 HCPCS,J0690,Cefazolin: 25 Vial In 1 Carton (25021-101-10) / 3 Ml In 1 Vial,96.5,96.5,,,0 HCPCS,J0690,"Cefazolin: 25 Vial, Single-Dose In 1 Carton (60505-6231-5) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (60505-6231-0)",16.72,16.72,,,0 HCPCS,J0690,Cefazolin: 3 Ml In 1 Vial (0143-9924-90),32.23,32.23,,,0 HCPCS,J0690,NDC Description Not Available,17.39,17.39,,,0 HCPCS,J0691,Inj lefamulin 1 mg,,,0.95,1.52,4 HCPCS,J0692,Cefepime hcl for injection,,,1.66,2.28,5 HCPCS,J0692,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6146-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",62.754999999999995,62.754999999999995,,,0 HCPCS,J0692,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6147-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",35.644999999999996,35.644999999999996,,,0 HCPCS,J0692,"Cefepime: 10 Vial In 1 Carton (0409-9566-10) / 1 Injection, Powder, For Solution In 1 Vial (0409-9566-01)",96.5,96.5,,,0 HCPCS,J0692,"Cefepime: 10 Vial In 1 Carton (0409-9735-10) / 1 Injection, Powder, For Solution In 1 Vial (0409-9735-01)",48.25,48.25,,,0 HCPCS,J0692,"Cefepime: 10 Vial In 1 Carton (25021-122-50) / 1 Injection, Powder, For Solution In 1 Vial",32.5,32.5,,,0 HCPCS,J0692,Cefepime: 10 Vial In 1 Carton (44567-241-10) / 20 Ml In 1 Vial,16.42,16.42,,,0 HCPCS,J0692,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6145-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",14.75,14.75,,,0 HCPCS,J0692,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6146-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",52.23,52.23,,,0 HCPCS,J0692,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6147-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",32.025,32.025,,,0 HCPCS,J0692,NDC Description Not Available,16.84,16.84,,,0 HCPCS,J0694,Cefoxitin sodium injection,,,6.93,9.49,5 HCPCS,J0694,"Cefoxitin: 10 Vial In 1 Carton (25021-109-10) / 1 Injection, Powder, For Solution In 1 Vial",104.08,104.08,,,0 HCPCS,J0694,"Cefoxitin: 10 Vial In 1 Carton (25021-110-20) / 1 Injection, Powder, For Solution In 1 Vial",75.5,75.5,,,0 HCPCS,J0694,"Cefoxitin: 25 VIAL in 1 CARTON (60505-0759-5) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL (60505-0759-1)",118.22,118.22,,,0 HCPCS,J0694,"Cefoxitin: 25 Vial In 1 Carton (0143-9877-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9877-01)",90.47,90.47,,,0 HCPCS,J0694,"Cefoxitin: 25 Vial In 1 Carton (0143-9878-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9878-01)",193.0,193.0,,,0 HCPCS,J0694,"Cefoxitin: 25 Vial In 1 Carton (44567-245-25) / 1 Injection, Powder, For Solution In 1 Vial",193.0,193.0,,,0 HCPCS,J0694,"Cefoxitin: 25 Vial In 1 Carton (44567-246-25) / 1 Injection, Powder, For Solution In 1 Vial",78.8,78.8,,,0 HCPCS,J0694,NDC Description Not Available,102.525,102.525,,,0 HCPCS,J0695,Inj ceftolozane tazobactam,,,9.07,16.89,9 HCPCS,J0695,"Zerbaxa: 10 Vial, Single-Dose In 1 Carton (67919-030-01) / 10 Ml In 1 Vial, Single-Dose",55.16,55.16,,,0 HCPCS,J0696,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (0781-3206-85) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",59.0,59.0,,,0 HCPCS,J0696,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (0781-3207-85) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",29.5,29.5,,,0 HCPCS,J0696,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (0781-3208-85) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",25.035,25.035,,,0 HCPCS,J0696,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (60505-6148-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",30.305,30.305,,,0 HCPCS,J0696,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7332-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7332-11)",24.27,24.27,,,0 HCPCS,J0696,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7335-03) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7335-13)",17.48,17.48,,,0 HCPCS,J0696,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7338-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7338-11)",30.45,30.45,,,0 HCPCS,J0696,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0781-3208-95) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",14.75,14.75,,,0 HCPCS,J0696,Ceftriaxone sodium injection,,,0.65,0.89,5 HCPCS,J0696,"Ceftriaxone: 10 VIAL in 1 CARTON (60505-0753-4) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL",24.12,24.12,,,0 HCPCS,J0696,"Ceftriaxone: 25 Vial In 1 Box (0143-9856-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9856-01)",24.12,24.12,,,0 HCPCS,J0696,"Ceftriaxone: 25 Vial In 1 Box (0143-9859-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9859-01)",14.75,14.75,,,0 HCPCS,J0696,"Ceftriaxone: 25 Vial In 1 Carton (44567-701-25) / 1 Injection, Powder, For Solution In 1 Vial",48.25,48.25,,,0 HCPCS,J0696,NDC Description Not Available,23.94,23.94,,,0 HCPCS,J0697,"Cefuroxime: 25 Vial In 1 Carton (0143-9977-22) / 1 Injection, Powder, For Solution In 1 Vial (0143-9977-90)",59.0,59.0,,,0 HCPCS,J0697,"Cefuroxime: 25 Vial In 1 Carton (0143-9979-22) / 1 Injection, Powder, For Solution In 1 Vial (0143-9979-90)",59.0,59.0,,,0 HCPCS,J0697,Sterile cefuroxime injection,,,2.77,4.24,5 HCPCS,J0698,Cefotaxime sodium injection,,,3.64,21.76,4 HCPCS,J0698,NDC Description Not Available,156.59,156.59,,,0 HCPCS,J0699,"Fetroja: 10 Vial, Single-Use In 1 Carton (59630-266-10) / 10 Ml In 1 Vial, Single-Use (59630-266-01)",19.48,19.48,,,0 HCPCS,J0699,"Inj, cefiderocol, 10 mg",,,2.42,4.44,9 HCPCS,J0699,NDC Description Not Available,15.21,15.21,,,0 HCPCS,J0701,Inj. cefepime hcl (baxter),,,7.92,10.86,5 HCPCS,J0702,"Betamethasone Sodium Phosphate And Betamethasone Acetate: 1 Vial, Multi-Dose In 1 Carton (0517-0720-01) / 5 Ml In 1 Vial, Multi-Dose",73.74,73.74,,,0 HCPCS,J0702,Betamethasone acet&sod phosp,,,9.3,12.75,5 HCPCS,J0702,"Celestone Soluspan: 1 Vial, Multi-Dose In 1 Box (78206-118-01) / 5 Ml In 1 Vial, Multi-Dose",55.72,55.72,,,0 HCPCS,J0703,"Inj, cefepime hcl (b braun)",,,6.84,9.38,5 HCPCS,J0706,Caffeine Citrate: 1 Vial In 1 Box (63323-407-03) / 3 Ml In 1 Vial,27.86,27.86,,,0 HCPCS,J0706,Caffeine Citrate: 1 Vial In 1 Carton (25021-601-03) / 3 Ml In 1 Vial,20.275,20.275,,,0 HCPCS,J0706,Caffeine Citrate: 1 Vial In 1 Carton (51754-0500-1) / 3 Ml In 1 Vial,21.83,21.83,,,0 HCPCS,J0706,"Caffeine Citrate: 1 Vial, Glass In 1 Carton (72485-104-01) / 3 Ml In 1 Vial, Glass",21.07,21.07,,,0 HCPCS,J0706,Caffeine citrate injection,,,1.16,3.32,4 HCPCS,J0706,NDC Description Not Available,14.35,14.35,,,0 HCPCS,J0710,Cephapirin sodium injection,,,1.88,3.03,2 HCPCS,J0712,Ceftaroline fosamil inj,,,4.23,7.84,9 HCPCS,J0712,NDC Description Not Available,27.97,27.97,,,0 HCPCS,J0712,"Teflaro: 10 Vial, Single-Dose In 1 Carton (0456-0600-10) / 20 Ml In 1 Vial, Single-Dose (0456-0600-01)",28.74,28.74,,,0 HCPCS,J0713,"Ceftazidime: 10 Vial In 1 Carton (25021-128-50) / 1 Injection, Powder, For Solution In 1 Vial",33.335,33.335,,,0 HCPCS,J0713,"Ceftazidime: 10 Vial In 1 Carton (44567-236-10) / 1 Injection, Powder, For Solution In 1 Vial",30.235,30.235,,,0 HCPCS,J0713,"Ceftazidime: 25 Vial In 1 Carton (25021-127-20) / 1 Injection, Powder, For Solution In 1 Vial",96.5,96.5,,,0 HCPCS,J0713,"Ceftazidime: 25 Vial In 1 Carton (44567-235-25) / 1 Injection, Powder, For Solution In 1 Vial",57.845,57.845,,,0 HCPCS,J0713,Ceftazidime: 6 Bottle In 1 Carton (25021-129-99) / 30 Ml In 1 Bottle,29.71,29.71,,,0 HCPCS,J0713,Ceftazidime: 6 Vial In 1 Carton (44567-237-06) / 100 Ml In 1 Vial,26.82,26.82,,,0 HCPCS,J0713,Inj ceftazidime per 500 mg,,,2.21,3.03,5 HCPCS,J0713,NDC Description Not Available,35.415,35.415,,,0 HCPCS,J0713,"Tazicef: 10 Vial In 1 Carton (0409-5084-11) / 1 Injection, Powder, For Solution In 1 Vial (0409-5084-13)",48.25,48.25,,,0 HCPCS,J0714,"Avycaz: 10 Vial, Single-Dose In 1 Carton (0456-2700-10) / 1 Powder, For Solution In 1 Vial, Single-Dose (0456-2700-01)",557.17,557.17,,,0 HCPCS,J0714,Ceftazidime and avibactam,,,104.73,194.16,9 HCPCS,J0714,NDC Description Not Available,603.63,603.63,,,0 HCPCS,J0715,Ceftizoxime sodium / 500 MG,,,7.07,10.55,3 HCPCS,J0716,Centruroides immune f(ab),,,4871.94,11646.34,7 HCPCS,J0717,Certolizumab pegol inj 1mg,,,3.91,8.31,9 HCPCS,J0717,"Cimzia: 2 Kit In 1 Carton (50474-700-62) / 1 Kit In 1 Kit * 1 Ml In 1 Vial, Glass * 1 Ml In 1 Vial, Glass",97.36,97.36,,,0 HCPCS,J0717,"Cimzia: 2 Syringe, Glass In 1 Carton (50474-710-79) / 1 Ml In 1 Syringe, Glass",97.45,97.45,,,0 HCPCS,J0720,Chloramphenicol sodium injec,,,50.26,108.0,7 HCPCS,J0725,Chorionic gonadotropin/1000u,,,23.64,34.77,5 HCPCS,J0735,Clonidine hydrochloride,,,23.85,35.68,5 HCPCS,J0736,Cleocin Phosphate: 25 Vial In 1 Carton (0009-0870-26) / 2 Ml In 1 Vial (0009-0870-21),32.18,32.18,,,0 HCPCS,J0736,Clindamycin In 5 Percent Dextrose: 1 Vial In 1 Carton (0143-9267-01) / 50 Ml In 1 Vial,39.99,39.99,,,0 HCPCS,J0736,Clindamycin In 5 Percent Dextrose: 24 Bag In 1 Carton (0781-3289-09) / 50 Ml In 1 Bag (0781-3289-91),96.73,96.73,,,0 HCPCS,J0736,Clindamycin In 5 Percent Dextrose: 24 Bag In 1 Carton (0781-3290-09) / 50 Ml In 1 Bag (0781-3290-91),65.91,65.91,,,0 HCPCS,J0736,"Inj, clindamycin phosp 300mg",,,2.25,3.51,4 HCPCS,J0736,NDC Description Not Available,89.08500000000001,89.08500000000001,,,0 HCPCS,J0737,Clindamycin Phosphate: 24 Bag In 1 Carton (0338-3814-24) / 50 Ml In 1 Bag (0338-3814-50),96.5,96.5,,,0 HCPCS,J0737,"Inj, clindamycin (baxter)",,,2.32,4.31,4 HCPCS,J0737,NDC Description Not Available,96.5,96.5,,,0 HCPCS,J0738,"Hiv prep, inj, lenacapavir",,,16.13,24.2,5 HCPCS,J0739,Apretude: 1 Kit In 1 Carton (49702-264-23) * 3 Ml In 1 Vial (49702-238-03),44.34,44.34,,,0 HCPCS,J0739,"Injection, cabotegravir 1 mg",,,7.02,13.01,9 HCPCS,J0739,NDC Description Not Available,44.29,44.29,,,0 HCPCS,J0740,"Cidofovir Dihydrate: 5 Ml In 1 Vial, Glass (23155-216-31)",1916.74,1916.74,,,0 HCPCS,J0740,Cidofovir injection,,,496.82,979.35,9 HCPCS,J0741,Cabenuva: 1 Kit In 1 Carton (49702-240-15) * 3 Ml In 1 Vial (49702-238-01) * 3 Ml In 1 Vial (49702-243-02),46.61,46.61,,,0 HCPCS,J0741,Cabenuva: 1 Kit In 1 Carton (49702-253-15) * 2 Ml In 1 Vial (49702-245-01) * 2 Ml In 1 Vial (49702-249-02),61.0,61.0,,,0 HCPCS,J0741,"Inj, cabote rilpivir 2mg 3mg",,,23.65,43.72,9 HCPCS,J0742,Inj imip 4 cilas 4 releb 2mg,,,3.52,4.83,5 HCPCS,J0742,NDC Description Not Available,2056.44,2056.44,,,0 HCPCS,J0743,Cilastatin sodium injection,,,9.41,15.37,5 HCPCS,J0743,"Imipenem And Cilastatin: 25 Vial, Single-Dose In 1 Carton (63323-322-25) / 20 Ml In 1 Vial, Single-Dose (63323-322-01)",96.69,96.69,,,0 HCPCS,J0743,"Imipenem and Cilastatin: 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-3507-01) / 100 mL in 1 VIAL, SINGLE-DOSE (0409-3507-21)",96.5,96.5,,,0 HCPCS,J0743,NDC Description Not Available,96.08,96.08,,,0 HCPCS,J0743,"Primaxin Iv: 25 Vial, Single-Dose In 1 Tray (0006-3516-59) / 100 Ml In 1 Vial, Single-Dose",96.5,96.5,,,0 HCPCS,J0744,CIPROFLOXACIN: 24 POUCH in 1 CASE (0409-4777-02) / 1 BAG in 1 POUCH / 200 mL in 1 BAG (0409-4777-21),96.71,96.71,,,0 HCPCS,J0744,"Cipro: 40 mL in 1 VIAL, GLASS (0085-1731-01)",89.33,89.33,,,0 HCPCS,J0744,Ciprofloxacin iv,,,1.37,4.35,5 HCPCS,J0744,Ciprofloxacin: 1 VIAL in 1 CARTON (0409-4778-86) / 40 mL in 1 VIAL,59.0,59.0,,,0 HCPCS,J0744,Ciprofloxacin: 200 Ml In 1 Bag (36000-009-24),96.5,96.5,,,0 HCPCS,J0744,Ciprofloxacin: 24 Pouch In 1 Carton (25021-114-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,96.5,96.5,,,0 HCPCS,J0744,Ciprofloxacin: 24 Pouch In 1 Carton (25021-192-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,96.5,96.5,,,0 HCPCS,J0744,NDC Description Not Available,132.69,132.69,,,0 HCPCS,J0745,Inj codeine phosphate /30 MG,,,1.6,2.81,3 HCPCS,J0750,"Emtricitabine And Tenofovir Disoproxil Fumarate: 30 Blister Pack In 1 Carton (0904-7172-07) / 1 Tablet, Film Coated In 1 Blister Pack",12.07,12.07,,,0 HCPCS,J0750,"Hiv prep, ftc/tdf 200/300mg",,,1.73,3.22,8 HCPCS,J0750,"Truvada: 30 Tablet, Film Coated In 1 Bottle, Plastic (61958-0701-1)",380.74,380.74,,,0 HCPCS,J0751,"Descovy: 30 Tablet In 1 Bottle, Plastic (61958-2002-1)",455.15,455.15,,,0 HCPCS,J0751,"Hiv prep, ftc/taf 200/25mg",,,71.32,131.85,8 HCPCS,J0752,"Hiv prep, oral lenacapavir",,,449.03,673.55,5 HCPCS,J0770,Colistimethate sodium inj,,,15.38,24.32,5 HCPCS,J0770,Colistimethate: 1 Vial In 1 Box (63323-393-06) / 2 Ml In 1 Vial,187.54,187.54,,,0 HCPCS,J0775,"Collagenase, clost hist inj",,,75.9,135.35,9 HCPCS,J0775,"Xiaflex: 1 Kit In 1 Carton (66887-003-01) * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial * 3 Ml In 1 Vial",499.73,499.73,,,0 HCPCS,J0780,NDC Description Not Available,59.0,59.0,,,0 HCPCS,J0780,Prochlorperazine Edisylate: 10 VIAL in 1 BOX (55390-077-10) / 2 mL in 1 VIAL,59.0,59.0,,,0 HCPCS,J0780,Prochlorperazine Edisylate: 10 Vial In 1 Carton (25021-790-02) / 2 Ml In 1 Vial,59.0,59.0,,,0 HCPCS,J0780,Prochlorperazine Edisylate: 10 Vial In 1 Package (23155-294-42) / 2 Ml In 1 Vial (23155-294-31),58.01,58.01,,,0 HCPCS,J0780,Prochlorperazine injection,,,2.71,4.87,5 HCPCS,J0791,"Adakveo: 10 Ml In 1 Vial, Glass (0078-0883-61)",772.47,772.47,,,0 HCPCS,J0791,Inj crizanlizumab-tmca 5mg,,,129.48,239.72,9 HCPCS,J0795,Corticorelin ovine triflutal,,,6.95,20.26,4 HCPCS,J0800,Corticotropin injection,,,6070.86,7764.45,2 HCPCS,J0801,Inj. acthar gel to 40 units,,,4134.62,7746.75,8 HCPCS,J0802,"Inj. (ani), up to 40 units",,,3534.6,6562.54,8 HCPCS,J0834,Cortrosyn: 10 Vial In 1 Carton (0548-5900-00) / 1 Ml In 1 Vial,639.31,639.31,,,0 HCPCS,J0834,Cosyntropin cortrosyn inj,,,37.83,55.16,5 HCPCS,J0834,Cosyntropin: 10 VIAL in 1 CARTON (67457-227-02) / 1 mL in 1 VIAL (67457-227-00),590.74,590.74,,,0 HCPCS,J0834,NDC Description Not Available,280.45500000000004,280.45500000000004,,,0 HCPCS,J0840,Crotalidae poly immune fab,,,1828.72,3443.09,9 HCPCS,J0841,Inj crotalidae im f(ab')2 eq,,,675.28,1931.66,9 HCPCS,J0850,Cytomegalovirus imm IV /vial,,,1808.64,3347.46,9 HCPCS,J0870,"Injection, imetelstat, 1 mg",,,57.03,105.49,8 HCPCS,J0870,"Rytelo: 1 Vial, Single-Dose In 1 Carton (82959-111-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",780.65,780.65,,,0 HCPCS,J0870,"Rytelo: 1 Vial, Single-Dose In 1 Carton (82959-112-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",414.63,414.63,,,0 HCPCS,J0872,Daptomycin (xellia) unrefrig,,,0.06,0.09,4 HCPCS,J0873,"Inj, daptomycin (xellia)",,,0.05,0.07,4 HCPCS,J0874,"Inj, daptomycin (baxter)",,,0.08,0.12,4 HCPCS,J0875,Dalvance: 1 Vial In 1 Package (57970-100-01) / 25 Ml In 1 Vial,119.2,119.2,,,0 HCPCS,J0875,"Injection, dalbavancin",,,15.61,28.77,9 HCPCS,J0877,"Inj, daptomycin (hospira)",,,0.07,0.69,5 HCPCS,J0878,Daptomycin injection,,,0.04,0.69,5 HCPCS,J0878,Daptomycin: 1 Vial In 1 Carton (25021-179-15) / 7 Ml In 1 Vial,1.48,1.48,,,0 HCPCS,J0878,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (43598-476-11) / 7 Ml In 1 Vial, Single-Dose",0.77,0.77,,,0 HCPCS,J0878,Daptomycin: 10 Vial In 1 Carton (25021-179-16) / 7 Ml In 1 Vial,1.48,1.48,,,0 HCPCS,J0879,"Difelikefalin, esrd on dialy",,,0.21,0.69,4 HCPCS,J0881,Aranesp: 1 Blister Pack In 1 Package (55513-027-04) / 4 Syringe In 1 Blister Pack / .3 Ml In 1 Syringe (55513-027-01),51.86,51.86,,,0 HCPCS,J0881,Aranesp: 1 Blister Pack In 1 Package (55513-032-01) / 1 Syringe In 1 Blister Pack / 1 Ml In 1 Syringe,51.86,51.86,,,0 HCPCS,J0881,"Darbepoetin alfa, non-esrd",,,2.93,5.55,9 HCPCS,J0881,NDC Description Not Available,51.86,51.86,,,0 HCPCS,J0882,"Darbepoetin alfa, esrd use",,,2.93,5.55,9 HCPCS,J0882,NDC Description Not Available,52.81,52.81,,,0 HCPCS,J0883,ARGATROBAN: 1 VIAL in 1 CARTON (0007-4407-01) / 2.5 mL in 1 VIAL,35.2,35.2,,,0 HCPCS,J0883,ARGATROBAN: 1 VIAL in 1 CARTON (0007-4407-54) / 2.5 mL in 1 VIAL,35.2,35.2,,,0 HCPCS,J0883,Argatroban nonesrd use 1mg,,,0.8,4.1,9 HCPCS,J0883,Argatroban: 1 Vial In 1 Carton (42023-182-01) / 2.5 Ml In 1 Vial,13.67,13.67,,,0 HCPCS,J0883,"Argatroban: 1 Vial, Single-Dose In 1 Carton (0409-1140-01) / 2.5 Ml In 1 Vial, Single-Dose",7.28,7.28,,,0 HCPCS,J0883,"Argatroban: 1 Vial, Single-Dose In 1 Carton (63323-526-03) / 2.5 Ml In 1 Vial, Single-Dose",8.66,8.66,,,0 HCPCS,J0883,Argatroban: 2.5 Ml In 1 Vial (0143-9674-01),13.24,13.24,,,0 HCPCS,J0884,Argatroban esrd dialysis 1mg,,,1.0,4.1,5 HCPCS,J0885,"Epoetin alfa, non-esrd",,,8.54,14.21,9 HCPCS,J0885,NDC Description Not Available,67.015,67.015,,,0 HCPCS,J0885,"Procrit: 4 Vial, Multi-Dose In 1 Carton (59676-320-04) / 1 Ml In 1 Vial, Multi-Dose (59676-320-00)",179.06,179.06,,,0 HCPCS,J0885,"Procrit: 4 Vial, Single-Dose In 1 Carton (59676-340-01) / 1 Ml In 1 Vial, Single-Dose (59676-340-00)",179.06,179.06,,,0 HCPCS,J0885,"Procrit: 6 Vial, Single-Dose In 1 Carton (59676-310-01) / 1 Ml In 1 Vial, Single-Dose (59676-310-00)",31.64,31.64,,,0 HCPCS,J0887,Epoetin beta esrd use,,,1.9,3.07,5 HCPCS,J0888,Epoetin beta non esrd,,,1.9,3.07,5 HCPCS,J0889,Daprodustat oral 1mg esrd,,,5.39,8.68,2 HCPCS,J0890,Peginesatide injection,,,11.07,23.99,3 HCPCS,J0891,Argatroban nonesrd (accord),,,0.69,8.79,7 HCPCS,J0892,Argatroban dialysis (accord),,,0.69,8.79,4 HCPCS,J0893,"Inj, decitabine (sun pharma)",,,1.17,60.92,5 HCPCS,J0894,Decitabine injection,,,1.83,5.49,5 HCPCS,J0894,"Decitabine: 1 Vial, Single-Dose In 1 Carton (0143-9385-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",13.23,13.23,,,0 HCPCS,J0894,"Decitabine: 1 Vial, Single-Use In 1 Carton (55111-556-10) / 10 Ml In 1 Vial, Single-Use",80.0,80.0,,,0 HCPCS,J0894,"Decitabine: 1 Vial, Single-Use In 1 Carton (72205-031-01) / 20 Ml In 1 Vial, Single-Use",26.45,26.45,,,0 HCPCS,J0895,Deferoxamine mesylate inj,,,12.18,16.69,5 HCPCS,J0895,NDC Description Not Available,59.05,59.05,,,0 HCPCS,J0896,Inj luspatercept-aamt 0.25mg,,,41.98,77.63,9 HCPCS,J0896,"Reblozyl: 1 Vial, Glass In 1 Carton (59572-711-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",278.34,278.34,,,0 HCPCS,J0896,"Reblozyl: 1 Vial, Glass In 1 Carton (59572-775-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",271.54,271.54,,,0 HCPCS,J0897,Denosumab injection,,,29.38,54.09,9 HCPCS,J0897,Prolia: 1 Syringe In 1 Carton (55513-710-01) / 1 Ml In 1 Syringe,199.63,199.63,,,0 HCPCS,J0897,Prolia: 1 Syringe In 1 Carton (55513-710-21) / 1 Ml In 1 Syringe,186.49,186.49,,,0 HCPCS,J0897,"Xgeva: 1 Vial, Single-Use In 1 Carton (55513-730-01) / 1.7 Ml In 1 Vial, Single-Use",182.93,182.93,,,0 HCPCS,J0898,Argatroban nonesrd (auromed),,,1.96,3.17,5 HCPCS,J0899,"Argatroban dialysis, auromed",,,1.96,8.7,5 HCPCS,J0901,Vadadustat oral 1mg for esrd,,,0.19,0.31,4 HCPCS,J0911,Inst tauro 1.35mg/hep 100u,,,6.41,18.5,6 HCPCS,J0945,Brompheniramine maleate inj,,,0.53,1.7,4 HCPCS,J1000,Depo-estradiol cypionate inj,,,45.59,86.78,5 HCPCS,J1010,"Depo-Medrol: 1 Vial, Single-Dose In 1 Package (0009-3073-01) / 1 Ml In 1 Vial, Single-Dose",1.9,1.9,,,0 HCPCS,J1010,"Depo-Medrol: 1 Vial, Single-Dose In 1 Package (0009-3475-01) / 1 Ml In 1 Vial, Single-Dose",1.65,1.65,,,0 HCPCS,J1010,"Inj, methylpred acetate 1 mg",,,0.16,0.36,5 HCPCS,J1010,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (70121-1573-1) / 1 Ml In 1 Vial, Single-Dose",2.95,2.95,,,0 HCPCS,J1010,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (70121-1574-1) / 1 Ml In 1 Vial, Single-Dose",1.37,1.37,,,0 HCPCS,J1020,Methylprednisolone 20 MG inj,,,7.19,15.78,2 HCPCS,J1030,Methylprednisolone 40 MG inj,,,12.6,20.17,2 HCPCS,J1040,Methylprednisolone 80 MG inj,,,19.87,34.65,2 HCPCS,J1050,Depo-Provera: 1 Syringe In 1 Carton (0009-7376-11) / 1 Ml In 1 Syringe,2.45,2.45,,,0 HCPCS,J1050,Depo-Provera: 1 Vial In 1 Carton (0009-0746-30) / 1 Ml In 1 Vial,2.35,2.35,,,0 HCPCS,J1050,Medroxyprogesterone Acetate: 1 Ml In 1 Container (70700-315-22),1.54,1.54,,,0 HCPCS,J1050,Medroxyprogesterone Acetate: 1 Vial In 1 Carton (66993-370-83) / 1 Ml In 1 Vial,0.5,0.5,,,0 HCPCS,J1050,Medroxyprogesterone Acetate: 1 Vial In 1 Carton (67457-887-99) / 1 Ml In 1 Vial (67457-887-00),1.37,1.37,,,0 HCPCS,J1050,"Medroxyprogesterone Acetate: 1 Vial, Single-Dose In 1 Carton (0548-5400-00) / 1 Ml In 1 Vial, Single-Dose",1.62,1.62,,,0 HCPCS,J1050,"Medroxyprogesterone Acetate: 1 Vial, Single-Dose In 1 Carton (55150-329-01) / 1 Ml In 1 Vial, Single-Dose",1.3,1.3,,,0 HCPCS,J1050,Medroxyprogesterone acetate,,,0.77,1.2,4 HCPCS,J1050,NDC Description Not Available,1.34,1.34,,,0 HCPCS,J1050,medroxyprogesterone acetate: 1 VIAL in 1 CARTON (59762-4537-1) / 1 mL in 1 VIAL,2.73,2.73,,,0 HCPCS,J1071,Depo-Testosterone: 1 Vial In 1 Carton (0009-0417-01) / 1 Ml In 1 Vial,0.71,0.71,,,0 HCPCS,J1071,Depo-Testosterone: 1 Vial In 1 Carton (0009-0417-02) / 10 Ml In 1 Vial,0.46,0.46,,,0 HCPCS,J1071,Inj testosterone cypionate,,,0.04,0.69,5 HCPCS,J1071,Testosterone Cypionate: 1 Vial In 1 Carton (0409-6562-01) / 1 Ml In 1 Vial,0.56,0.56,,,0 HCPCS,J1071,Testosterone Cypionate: 1 Vial In 1 Carton (0409-6562-02) / 1 Ml In 1 Vial,2.36,2.36,,,0 HCPCS,J1071,Testosterone Cypionate: 1 Vial In 1 Carton (70700-289-22) / 1 Ml In 1 Vial,2.36,2.36,,,0 HCPCS,J1071,"Testosterone Cypionate: 1 Vial, Glass In 1 Carton (0574-0820-01) / 1 Ml In 1 Vial, Glass",0.72,0.72,,,0 HCPCS,J1071,"Testosterone Cypionate: 1 Vial, Glass In 1 Carton (0574-0827-01) / 1 Ml In 1 Vial, Glass",0.62,0.62,,,0 HCPCS,J1071,"Testosterone Cypionate: 1 Vial, Glass In 1 Carton (69097-802-32) / 1 Ml In 1 Vial, Glass",0.25,0.25,,,0 HCPCS,J1071,"Testosterone Cypionate: 1 Vial, Single-Dose In 1 Carton (52536-625-01) / 1 Ml In 1 Vial, Single-Dose",0.9,0.9,,,0 HCPCS,J1072,"Inj, testosterone, azmiro",,,1.32,2.46,7 HCPCS,J1094,Inj dexamethasone acetate,,,0.53,0.69,3 HCPCS,J1095,"Injection, dexamethasone 9%",,,1.58,4.47,4 HCPCS,J1096,Dexametha opth insert 0.1 mg,,,102.94,192.59,9 HCPCS,J1097,Phenylep ketorolac opth soln,,,96.91,261.96,7 HCPCS,J1100,Dexamethasone Sodium Phosphate: 10 Vial In 1 Carton (70069-025-10) / 10 Ml In 1 Vial,5.9,5.9,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 10 Vial In 1 Tray (63323-516-10) / 10 Ml In 1 Vial (63323-516-01),5.72,5.72,,,0 HCPCS,J1100,"Dexamethasone Sodium Phosphate: 24 Blister Pack In 1 Carton (76045-109-10) / 1 Syringe, Glass In 1 Blister Pack / 1 Ml In 1 Syringe, Glass (76045-109-01)",4.61,4.61,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (0641-0367-25) / 1 Ml In 1 Vial (0641-0367-21),7.29,7.29,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (25021-053-01) / 1 Ml In 1 Vial,5.9,5.9,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-423-12) / 1 Ml In 1 Vial (67457-423-00),1.2,1.2,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (70069-021-25) / 1 Ml In 1 Vial (70069-021-01),3.99,3.99,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-165-01) / 1 Ml In 1 Vial (63323-165-02),10.805,10.805,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-506-01) / 1 Ml In 1 Vial (63323-506-00),5.875,5.875,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-506-16) / 1 Ml In 1 Vial (63323-506-41),5.9,5.9,,,0 HCPCS,J1100,"Dexamethasone Sodium Phosphate: 25 Vial, Multi-Dose In 1 Tray (63323-165-05) / 5 Ml In 1 Vial, Multi-Dose (63323-165-03)",8.43,8.43,,,0 HCPCS,J1100,Dexamethasone sodium phos,,,0.14,0.69,5 HCPCS,J1100,NDC Description Not Available,6.015000000000001,6.015000000000001,,,0 HCPCS,J1105,"Dexmedetomidine film, 1 mcg",,,1.07,1.07,1 HCPCS,J1110,Inj dihydroergotamine mesylt,,,67.72,179.58,5 HCPCS,J1120,Acetazolamid sodium injectio,,,23.26,45.22,5 HCPCS,J1120,"Acetazolamide: 1 Vial In 1 Box, Unit-Dose (0143-9503-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",294.54,294.54,,,0 HCPCS,J1120,Acetazolamide: 1 Vial In 1 Carton (67457-853-50) / 5 Ml In 1 Vial,268.0,268.0,,,0 HCPCS,J1120,"Acetazolamide: 1 Vial, Glass In 1 Carton (39822-0190-1) / 5 Ml In 1 Vial, Glass",211.05,211.05,,,0 HCPCS,J1120,"Acetazolamide: 5 Ml In 1 Vial, Glass (23155-313-31)",265.99,265.99,,,0 HCPCS,J1130,Inj diclofenac sodium 0.5mg,,,0.28,0.83,3 HCPCS,J1160,Digoxin injection,,,5.4,14.55,5 HCPCS,J1160,Digoxin: 25 Ampule In 1 Carton (0641-1410-35) / 2 Ml In 1 Ampule (0641-1410-31),59.0,59.0,,,0 HCPCS,J1160,Lanoxin: 10 Ampule In 1 Box (70515-262-10) / 1 Ml In 1 Ampule,103.68,103.68,,,0 HCPCS,J1160,Lanoxin: 10 Vial In 1 Box (70515-261-10) / 2 Ml In 1 Vial,949.82,949.82,,,0 HCPCS,J1160,NDC Description Not Available,59.0,59.0,,,0 HCPCS,J1162,"Digifab: 1 Vial, Glass In 1 Carton (50633-120-11) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass (50633-120-12)",30813.3,30813.3,,,0 HCPCS,J1162,Digoxin immune fab (ovine),,,5168.23,9191.87,9 HCPCS,J1163,"Inj, diltiazem hcl, 0.5 mg",,,0.05,0.07,3 HCPCS,J1165,NDC Description Not Available,4.65,4.65,,,0 HCPCS,J1165,Phenytoin Sodium: 25 Vial In 1 Carton (0641-0493-25) / 2 Ml In 1 Vial (0641-0493-21),4.66,4.66,,,0 HCPCS,J1165,Phenytoin sodium injection,,,0.68,1.22,5 HCPCS,J1170,10 SYRINGE in 1 CARTON (0409-1283-05) / .5 mL in 1 SYRINGE (0409-1283-04),35.13,35.13,,,0 HCPCS,J1170,"25 VIAL, SINGLE-DOSE in 1 TRAY (0409-3365-01) / 1 mL in 1 VIAL, SINGLE-DOSE (0409-3365-11)",11.09,11.09,,,0 HCPCS,J1170,Hydromorphone injection,,,5.99,8.47,2 HCPCS,J1170,NDC Description Not Available,59.0,59.0,,,0 HCPCS,J1171,10 SYRINGE in 1 CARTON (0409-1283-10) / 1 mL in 1 SYRINGE (0409-1283-09),16.86,16.86,,,0 HCPCS,J1171,Dilaudid: 10 Syringe In 1 Carton (76045-009-06) / .5 Ml In 1 Syringe (76045-009-96),11.8,11.8,,,0 HCPCS,J1171,Hydromorphone Hydrochloride: 1 Vial In 1 Carton (0703-0018-01) / 50 Ml In 1 Vial,0.24,0.24,,,0 HCPCS,J1171,"Hydromorphone Hydrochloride: 1 Vial, Single-Dose In 1 Box (0409-2634-50) / 50 Ml In 1 Vial, Single-Dose",0.4,0.4,,,0 HCPCS,J1171,Hydromorphone Hydrochloride: 10 AMPULE in 1 CARTON (17478-540-01) / 1 mL in 1 AMPULE,1.195,1.195,,,0 HCPCS,J1171,Hydromorphone Hydrochloride: 10 Cartridge In 1 Carton (0409-1283-31) / 1 Ml In 1 Cartridge (0409-1283-03),50.57,50.57,,,0 HCPCS,J1171,Hydromorphone Hydrochloride: 10 Cartridge In 1 Carton (0409-1312-30) / 1 Ml In 1 Cartridge (0409-1312-03),11.764999999999999,11.764999999999999,,,0 HCPCS,J1171,Hydromorphone Hydrochloride: 10 Syringe In 1 Cello Pack (0409-1805-01) / .5 Ml In 1 Syringe (0409-1805-10),19.67,19.67,,,0 HCPCS,J1171,"Hydromorphone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (63323-851-10) / 1 Ml In 1 Vial, Single-Dose (63323-851-03)",0.31,0.31,,,0 HCPCS,J1171,"Inj, hydromorphone, 0.1 mg",,,0.12,0.17,5 HCPCS,J1171,NDC Description Not Available,5.94,5.94,,,0 HCPCS,J1180,Dyphylline injection,,,13.77,17.56,2 HCPCS,J1190,"Dexrazoxane Hydrochloride: 1 KIT in 1 PACKAGE (67457-208-50) * 50 mL in 1 VIAL, SINGLE-DOSE (67457-209-50) * 50 mL in 1 VIAL (67457-205-50)",1470.01,1470.01,,,0 HCPCS,J1190,Dexrazoxane hcl injection,,,57.76,377.16,9 HCPCS,J1190,Dexrazoxane: 1 KIT in 1 PACKAGE (55390-014-02) * 25 mL in 1 VIAL * 25 mL in 1 VIAL (55390-015-01),1281.54,1281.54,,,0 HCPCS,J1190,"Dexrazoxane: 1 Kit In 1 Package (55150-434-01) * 25 Ml In 1 Vial, Single-Dose (55150-432-01) * 25 Ml In 1 Vial (55150-433-01)",1685.49,1685.49,,,0 HCPCS,J1190,"Dexrazoxane: 1 Vial In 1 Box (0143-9247-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",1545.95,1545.95,,,0 HCPCS,J1190,Dexrazoxane: 1 Vial In 1 Carton (72266-101-01) / 50 Ml In 1 Vial,1347.59,1347.59,,,0 HCPCS,J1190,"Dexrazoxane: 1 Vial, Single-Dose In 1 Carton (72611-716-01) / 50 Ml In 1 Vial, Single-Dose",1179.59,1179.59,,,0 HCPCS,J1190,NDC Description Not Available,1508.9450000000002,1508.9450000000002,,,0 HCPCS,J1200,Diphenhydramine Hydrochloride: 25 Vial In 1 Package (0641-0376-25) / 1 Ml In 1 Vial (0641-0376-21),59.0,59.0,,,0 HCPCS,J1200,Diphenhydramine hcl injectio,,,1.13,1.76,5 HCPCS,J1200,"Diphenhydramine: 25 Vial, Single-Dose In 1 Tray (63323-664-01) / 1 Ml In 1 Vial, Single-Dose (63323-664-00)",58.78,58.78,,,0 HCPCS,J1200,NDC Description Not Available,58.28,58.28,,,0 HCPCS,J1201,Inj. cetirizine hcl 0.5mg,,,16.52,30.34,9 HCPCS,J1202,Miglustat oral 65 mg,,,46.16,74.41,3 HCPCS,J1203,"Inj, cipaglucosidase, 5 mg",,,91.21,166.13,8 HCPCS,J1205,Chlorothiazide Sodium: 1 Vial In 1 Carton (0517-1820-01) / 18 Ml In 1 Vial,1072.58,1072.58,,,0 HCPCS,J1205,Chlorothiazide Sodium: 1 Vial In 1 Carton (25021-305-20) / 18 Ml In 1 Vial,283.2,283.2,,,0 HCPCS,J1205,"Chlorothiazide Sodium: 1 Vial, Single-Dose In 1 Carton (47335-330-40) / 18 Ml In 1 Vial, Single-Dose",668.66,668.66,,,0 HCPCS,J1205,Chlorothiazide sodium inj,,,54.51,119.83,5 HCPCS,J1205,Chlorothiazide: 1 Vial In 1 Box (63323-658-20) / 18 Ml In 1 Vial,1139.17,1139.17,,,0 HCPCS,J1212,Dimethyl sulfoxide 50% 50 ML,,,748.84,1374.37,9 HCPCS,J1230,"Methadone Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (67457-217-20) / 20 Ml In 1 Vial, Multi-Dose",73.11,73.11,,,0 HCPCS,J1230,"Methadone Hydrochloride: 20 mL in 1 VIAL, MULTI-DOSE (17478-380-20)",60.3,60.3,,,0 HCPCS,J1230,Methadone injection,,,26.01,42.38,5 HCPCS,J1230,NDC Description Not Available,98.28,98.28,,,0 HCPCS,J1240,Dimenhydrinate injection,,,9.21,14.32,5 HCPCS,J1245,Dipyridamole injection,,,5.21,12.62,5 HCPCS,J1245,Hc Dipyridamole Per 10 Mg Inj,128.0,128.0,,,0 HCPCS,J1245,NDC Description Not Available,26.4,26.4,,,0 HCPCS,J1246,"Inj, dinutuximab, 0.1 mg",,,200.06,200.06,1 HCPCS,J1246,"Unituxin: 1 Vial, Single-Dose In 1 Box (66302-014-01) / 5 Ml In 1 Vial, Single-Dose",646.59,646.59,,,0 HCPCS,J1250,Dobutamine Hydrochloride In Dextrose: 18 Bag In 1 Carton (0338-1073-02) / 250 Ml In 1 Bag,193.0,193.0,,,0 HCPCS,J1250,Dobutamine Hydrochloride In Dextrose: 18 Bag In 1 Carton (0338-1077-02) / 250 Ml In 1 Bag,49.23,49.23,,,0 HCPCS,J1250,Dobutamine In Dextrose: 12 Pouch In 1 Case (0409-2346-32) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag (0409-2346-31),190.34,190.34,,,0 HCPCS,J1250,"Dobutamine: 1 Vial, Single-Dose In 1 Carton (0409-2344-01) / 20 Ml In 1 Vial, Single-Dose",49.31,49.31,,,0 HCPCS,J1250,"Dobutamine: 10 Vial, Single-Dose In 1 Tray (0409-2344-02) / 20 Ml In 1 Vial, Single-Dose (0409-2344-62)",46.5,46.5,,,0 HCPCS,J1250,"Dobutamine: 10 Vial, Single-Dose In 1 Tray (0409-2344-88) / 20 Ml In 1 Vial, Single-Dose (0409-2344-68)",45.96,45.96,,,0 HCPCS,J1250,Hc Inj Dobutamine Hydrchlrde Per 250Mg,354.0,354.0,,,0 HCPCS,J1250,Inj dobutamine HCL/250 mg,,,10.18,14.76,5 HCPCS,J1250,NDC Description Not Available,51.06,51.06,,,0 HCPCS,J1260,Dolasetron mesylate,,,5.87,13.02,4 HCPCS,J1265,"Dopamine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-9104-20) / 10 Ml In 1 Vial, Single-Dose (0409-9104-21)",3.52,3.52,,,0 HCPCS,J1265,Dopamine injection,,,0.89,1.27,5 HCPCS,J1265,Hc Dopamine In D5W 400 Mg/250 Ml Iv Soln,231.0,231.0,,,0 HCPCS,J1265,NDC Description Not Available,4.34,4.34,,,0 HCPCS,J1267,Doripenem injection,,,1.07,1.76,4 HCPCS,J1270,"Injection, doxercalciferol",,,0.5,1.09,5 HCPCS,J1271,"Doxycycline: 10 Vial In 1 Carton (0143-9381-10) / 1 Injection, Powder, For Solution In 1 Vial (0143-9381-01)",12.75,12.75,,,0 HCPCS,J1271,Inj doxycycline hyclate 1 mg,,,0.16,0.22,3 HCPCS,J1271,NDC Description Not Available,9.63,9.63,,,0 HCPCS,J1290,Ecallantide injection,,,579.96,1072.98,9 HCPCS,J1299,"Inj, eculizumab, 2 mg",,,44.82,82.82,7 HCPCS,J1300,Eculizumab injection,,,352.64,482.7,3 HCPCS,J1300,Soliris: 1 Vial In 1 Carton (25682-001-01) / 30 Ml In 1 Vial,580.14,580.14,,,0 HCPCS,J1301,"Injection, edaravone, 1 mg",,,20.99,35.77,9 HCPCS,J1302,"Inj, sutimlimab-jome, 10 mg",,,18.86,33.5,8 HCPCS,J1303,"Inj., ravulizumab-cwvz 10 mg",,,225.11,416.6,9 HCPCS,J1303,"Ultomiris: 1 Vial, Glass In 1 Carton (25682-025-01) / 3 Ml In 1 Vial, Glass",969.58,969.58,,,0 HCPCS,J1303,"Ultomiris: 1 Vial, Glass In 1 Carton (25682-028-01) / 11 Ml In 1 Vial, Glass",969.6,969.6,,,0 HCPCS,J1304,Inj tofersen intrathec 1 mg,,,159.4,287.38,8 HCPCS,J1305,"Inj, evinacumab-dgnb, 5mg",,,193.76,351.04,9 HCPCS,J1306,"Injection, inclisiran, 1 mg",,,12.32,22.85,9 HCPCS,J1306,"Leqvio: 1 Syringe, Glass In 1 Carton (0078-1000-60) / 1.5 Ml In 1 Syringe, Glass",76.75,76.75,,,0 HCPCS,J1307,"Inj, crovalimab-akkz, 10 mg",,,551.51,1155.05,7 HCPCS,J1308,"Inj, famotidine, 0.25 mg",,,0.01,0.02,3 HCPCS,J1320,Amitriptyline injection,,,3.02,4.88,3 HCPCS,J1322,"Elosulfase alfa, injection",,,308.68,567.58,9 HCPCS,J1323,"Elrexfio: 1 Vial, Single-Dose In 1 Carton (0069-2522-02) / 1.1 Ml In 1 Vial, Single-Dose (0069-2522-01)",1150.52,1150.52,,,0 HCPCS,J1323,"Elrexfio: 1 Vial, Single-Dose In 1 Carton (0069-4494-02) / 1.9 Ml In 1 Vial, Single-Dose (0069-4494-01)",1152.69,1152.69,,,0 HCPCS,J1323,"Inj, elranatamab-bcmm, 1 mg",,,184.07,342.82,8 HCPCS,J1324,Enfuvirtide injection,,,0.92,1.48,4 HCPCS,J1325,Epoprostenol injection,,,21.87,29.97,5 HCPCS,J1325,Epoprostenol: 1 Vial In 1 Carton (62756-060-40) / 10 Ml In 1 Vial,69.78,69.78,,,0 HCPCS,J1325,Veletri: 1 Vial In 1 Carton (66215-402-01) / 10 Ml In 1 Vial,75.68,75.68,,,0 HCPCS,J1326,"Inj, zolbetuximab-clzb, 2 mg",,,33.71,62.09,7 HCPCS,J1327,Eptifibatide injection,,,2.99,41.81,7 HCPCS,J1330,Ergonovine maleate injection,,,6.57,10.6,3 HCPCS,J1335,"Ertapenem Sodium: 10 Vial, Single-Dose In 1 Carton (0143-9398-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0143-9398-01)",114.59,114.59,,,0 HCPCS,J1335,Ertapenem injection,,,12.18,19.99,5 HCPCS,J1335,"Ertapenem: 10 Vial, Single-Dose In 1 Carton (55150-282-20) / 1 Injection In 1 Vial, Single-Dose",171.08,171.08,,,0 HCPCS,J1335,"Invanz: 10 Vial, Single-Dose In 1 Package (0006-3843-71) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",360.25,360.25,,,0 HCPCS,J1335,NDC Description Not Available,264.01,264.01,,,0 HCPCS,J1364,Erythro lactobionate /500 MG,,,96.93,138.84,5 HCPCS,J1364,Erythrocin Lactobionate: 10 Vial In 1 Tray (0409-6482-01) / 10 Ml In 1 Vial (0409-6482-11),304.47,304.47,,,0 HCPCS,J1364,NDC Description Not Available,305.42499999999995,305.42499999999995,,,0 HCPCS,J1380,Estradiol valerate 10 MG inj,,,10.41,15.67,5 HCPCS,J1410,Inj estrogen conjugate 25 MG,,,392.06,722.87,9 HCPCS,J1410,Premarin: 1 Vial In 1 Carton (0046-0749-05) / 5 Ml In 1 Vial,1785.57,1785.57,,,0 HCPCS,J1411,"Inj, hemgenix, per tx dose",,,3685266.67,6121500.0,4 HCPCS,J1412,Inj roctavian ml 2x10^13vc g,,,12553.71,25903.24,5 HCPCS,J1413,Inj delandistrogene mox rokl,,,3316462.59,5480939.49,4 HCPCS,J1414,"Inj, beqvez, per tx dose",,,6121500.0,6121500.0,1 HCPCS,J1426,"Injection, casimersen, 10 mg",,,166.06,355.2,7 HCPCS,J1427,Inj. viltolarsen,,,77.67,125.21,4 HCPCS,J1428,"Inj, eteplirsen, 10 mg",,,167.35,355.2,7 HCPCS,J1429,Inj golodirsen 10 mg,,,220.32,355.2,3 HCPCS,J1430,Ethanolamine oleate 100 mg,,,508.96,961.11,9 HCPCS,J1430,NDC Description Not Available,3376.13,3376.13,,,0 HCPCS,J1434,"Inj, focinvez, 1mg",,,0.69,5.31,9 HCPCS,J1435,Injection estrone per 1 MG,,,0.32,0.69,4 HCPCS,J1436,Etidronate disodium inj,,,125.31,149.55,2 HCPCS,J1437,Inj. fe derisomaltose 10 mg,,,22.02,35.06,9 HCPCS,J1438,Etanercept injection,,,1223.08,2263.73,4 HCPCS,J1438,NDC Description Not Available,6285.045,6285.045,,,0 HCPCS,J1439,Inj ferric carboxymaltos 1mg,,,1.11,2.11,9 HCPCS,J1439,"Injectafer: 1 Vial, Single-Dose In 1 Box (0517-0650-01) / 15 Ml In 1 Vial, Single-Dose",12.86,12.86,,,0 HCPCS,J1440,Fecal?microbiota jslm 1 ml,,,63.84,118.46,8 HCPCS,J1442,Inj filgrastim excl biosimil,,,1.0,2.22,9 HCPCS,J1442,NDC Description Not Available,7.03,7.03,,,0 HCPCS,J1442,Neupogen: 1 Syringe In 1 Box (55513-924-91) / .5 Ml In 1 Syringe,4.97,4.97,,,0 HCPCS,J1442,Neupogen: 10 Syringe In 1 Box (55513-209-10) / .8 Ml In 1 Syringe (55513-209-01),5.56,5.56,,,0 HCPCS,J1442,Neupogen: 10 Vial In 1 Box (55513-546-10) / 1.6 Ml In 1 Vial (55513-546-01),7.0,7.0,,,0 HCPCS,J1442,Neupogen: 10 Vial In 1 Package (55513-530-10) / 1 Ml In 1 Vial (55513-530-01),7.03,7.03,,,0 HCPCS,J1443,Inj ferric pyrophosphate cit,,,0.04,0.69,3 HCPCS,J1444,Fe pyro cit pow 0.1 mg iron,,,0.04,0.69,3 HCPCS,J1445,Inj triferic avnu 0.1mg iron,,,0.24,0.69,3 HCPCS,J1447,Inj tbo filgrastim 1 microg,,,0.28,1.0,9 HCPCS,J1448,"Injection, trilaciclib, 1mg",,,5.46,11.56,9 HCPCS,J1449,Inj eflapegrastim-xnst 0.1mg,,,20.87,68.58,9 HCPCS,J1450,Fluconazole,,,3.05,4.18,5 HCPCS,J1450,Fluconazole in Sodium Chloride: 6 BAG in 1 CARTON (69784-003-06) / 200 mL in 1 BAG,96.5,96.5,,,0 HCPCS,J1450,Fluconazole: 10 Bag In 1 Carton (0338-6045-37) / 200 Ml In 1 Bag,98.79,98.79,,,0 HCPCS,J1450,Fluconazole: 10 Bag In 1 Carton (0338-6046-48) / 100 Ml In 1 Bag,62.65,62.65,,,0 HCPCS,J1450,Fluconazole: 10 Pouch In 1 Carton (25021-184-66) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,59.0,59.0,,,0 HCPCS,J1450,Fluconazole: 10 Pouch In 1 Carton (25021-184-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,60.3,60.3,,,0 HCPCS,J1450,Fluconazole: 10 Pouch In 1 Carton (25021-184-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,53.61,53.61,,,0 HCPCS,J1450,NDC Description Not Available,54.625,54.625,,,0 HCPCS,J1451,"Fomepizole, 15 mg",,,6.28,28.05,7 HCPCS,J1451,Fomepizole: 1 Vial In 1 Carton (0517-0710-01) / 1.5 Ml In 1 Vial,145.07,145.07,,,0 HCPCS,J1451,Fomepizole: 1 Vial In 1 Carton (70710-1478-1) / 1.5 Ml In 1 Vial,100.56,100.56,,,0 HCPCS,J1451,"Fomepizole: 1 Vial, Glass In 1 Carton (67457-211-02) / 1.5 Ml In 1 Vial, Glass",67.47,67.47,,,0 HCPCS,J1452,Intraocular Fomivirsen na,,,286.2,1850.0,3 HCPCS,J1453,"Fosaprepitant Dimeglumine: 1 Vial, Single-Dose In 1 Carton (0143-9384-01) / 5 Ml In 1 Vial, Single-Dose",2.93,2.93,,,0 HCPCS,J1453,Fosaprepitant injection,,,0.15,0.69,5 HCPCS,J1453,"Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (16714-248-01) / 5 Ml In 1 Vial, Single-Dose",3.67,3.67,,,0 HCPCS,J1453,"Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (67457-889-10) / 5 Ml In 1 Vial, Single-Dose",3.67,3.67,,,0 HCPCS,J1453,"Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (72205-054-01) / 5 Ml In 1 Vial, Single-Dose",1.12,1.12,,,0 HCPCS,J1453,NDC Description Not Available,14.95,14.95,,,0 HCPCS,J1454,Akynzeo: 1 Vial In 1 Carton (69639-105-01) / 20 Ml In 1 Vial,4577.31,4577.31,,,0 HCPCS,J1454,"Akynzeo: 1 Vial, Single-Dose In 1 Carton (69639-106-01) / 20 Ml In 1 Vial, Single-Dose",4477.34,4477.34,,,0 HCPCS,J1454,"Inj fosnetupitant, palonoset",,,575.5,1121.75,9 HCPCS,J1455,Foscarnet Sodium: 10 Carton In 1 Case (0143-9192-01) / 1 Bottle In 1 Carton / 250 Ml In 1 Bottle,59.0,59.0,,,0 HCPCS,J1455,Foscarnet sodium injection,,,21.03,109.36,5 HCPCS,J1455,NDC Description Not Available,492.98,492.98,,,0 HCPCS,J1456,"Inj, fosaprepitant (teva)",,,0.69,2.09,9 HCPCS,J1457,Gallium nitrate injection,,,2.13,4.44,4 HCPCS,J1458,Galsulfase injection,,,508.76,935.19,9 HCPCS,J1458,Naglazyme: 1 Vial In 1 Carton (68135-020-01) / 5 Ml In 1 Vial,2111.4,2111.4,,,0 HCPCS,J1459,Inj IVIG privigen 500 mg,,,50.74,93.3,9 HCPCS,J1459,NDC Description Not Available,411.91499999999996,411.91499999999996,,,0 HCPCS,J1459,"Privigen: 1 Vial, Glass In 1 Carton (44206-436-05) / 50 Ml In 1 Vial, Glass (44206-436-90)",407.8,407.8,,,0 HCPCS,J1459,"Privigen: 1 Vial, Glass In 1 Carton (44206-437-10) / 100 Ml In 1 Vial, Glass (44206-437-91)",415.61,415.61,,,0 HCPCS,J1459,"Privigen: 1 Vial, Glass In 1 Carton (44206-438-20) / 200 Ml In 1 Vial, Glass (44206-438-92)",416.2,416.2,,,0 HCPCS,J1459,"Privigen: 1 Vial, Glass In 1 Carton (44206-439-40) / 400 Ml In 1 Vial, Glass (44206-439-93)",416.08,416.08,,,0 HCPCS,J1460,Gamma globulin 1 CC inj,,,49.03,89.58,9 HCPCS,J1551,Inj cutaquig 100 mg,,,14.23,26.29,9 HCPCS,J1552,"Inj, alyglo, 500 mg",,,73.56,242.57,9 HCPCS,J1554,Inj. asceniv,,,496.74,918.54,9 HCPCS,J1555,"Inj cuvitru, 100 mg",,,16.84,32.54,9 HCPCS,J1556,"Inj, imm glob bivigam, 500mg",,,77.39,142.95,9 HCPCS,J1557,Gammaplex injection,,,63.68,115.57,9 HCPCS,J1558,"Inj. xembify, 100 mg",,,14.84,27.58,9 HCPCS,J1559,Hizentra injection,,,14.34,26.12,9 HCPCS,J1560,Gamma globulin > 10 CC inj,,,170.48,815.36,9 HCPCS,J1561,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-20) / 50 Ml In 1 Vial, Glass (13533-800-21)",474.86,474.86,,,0 HCPCS,J1561,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-24) / 200 Ml In 1 Vial, Glass (13533-800-25)",489.1,489.1,,,0 HCPCS,J1561,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-40) / 400 Ml In 1 Vial, Glass (13533-800-41)",489.1,489.1,,,0 HCPCS,J1561,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-71) / 100 Ml In 1 Vial, Glass (13533-800-72)",484.485,484.485,,,0 HCPCS,J1561,Gamunex-c/gammaked,,,48.96,88.86,9 HCPCS,J1561,NDC Description Not Available,484.85,484.85,,,0 HCPCS,J1562,"Vivaglobin, inj",,,11.95,26.64,3 HCPCS,J1566,"Immune globulin, powder",,,78.8,151.15,9 HCPCS,J1568,"Octagam Immune Globulin (Human): 300 Ml In 1 Bottle, Glass (68982-850-05)",650.74,650.74,,,0 HCPCS,J1568,Octagam injection,,,47.52,89.5,9 HCPCS,J1569,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-04) / 50 Ml In 1 Bottle, Glass (0944-2700-10)",567.89,567.89,,,0 HCPCS,J1569,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-05) / 100 Ml In 1 Bottle, Glass (0944-2700-11)",584.94,584.94,,,0 HCPCS,J1569,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-06) / 200 Ml In 1 Bottle, Glass (0944-2700-12)",567.89,567.89,,,0 HCPCS,J1569,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-07) / 300 Ml In 1 Bottle, Glass (0944-2700-13)",578.12,578.12,,,0 HCPCS,J1569,Gammagard liquid injection,,,45.31,88.43,9 HCPCS,J1569,NDC Description Not Available,573.29,573.29,,,0 HCPCS,J1570,Cytovene: 25 VIAL in 1 CARTON (0004-6940-03) / 10 mL in 1 VIAL,233.54,233.54,,,0 HCPCS,J1570,Ganciclovir sodium injection,,,47.42,73.78,5 HCPCS,J1570,Ganciclovir: 25 Vial In 1 Carton (70436-089-55) / 10 Ml In 1 Vial,165.05,165.05,,,0 HCPCS,J1570,Ganciclovir: 25 Vial In 1 Tray (63323-315-10) / 10 Ml In 1 Vial (63323-315-01),329.12,329.12,,,0 HCPCS,J1570,NDC Description Not Available,245.25,245.25,,,0 HCPCS,J1571,HepaGam B IM injection,,,66.64,132.57,9 HCPCS,J1571,"Hepagam B: 1 Vial, Glass In 1 Carton (49591-052-51) / 1 Ml In 1 Vial, Glass (49591-052-11)",681.23,681.23,,,0 HCPCS,J1571,"Hepagam B: 1 Vial, Glass In 1 Carton (70257-052-51) / 1 Ml In 1 Vial, Glass (70257-052-11)",681.22,681.22,,,0 HCPCS,J1571,NDC Description Not Available,668.45,668.45,,,0 HCPCS,J1572,Flebogamma injection,,,69.43,117.53,4 HCPCS,J1573,"Hepagam B intravenous, inj",,,66.64,132.57,9 HCPCS,J1573,"Hepagam B: 1 Vial, Glass In 1 Carton (49591-051-51) / 5 Ml In 1 Vial, Glass (49591-051-05)",596.26,596.26,,,0 HCPCS,J1573,"Hepagam B: 1 Vial, Glass In 1 Carton (70257-051-51) / 5 Ml In 1 Vial, Glass (70257-051-05)",596.26,596.26,,,0 HCPCS,J1573,NDC Description Not Available,596.26,596.26,,,0 HCPCS,J1574,"Inj, ganciclovir (exela)",,,68.85,111.0,4 HCPCS,J1575,Hyqvia 100mg immuneglobulin,,,18.15,34.02,9 HCPCS,J1576,"Inj, panzyga, 500 mg",,,73.0,137.75,8 HCPCS,J1580,Garamycin gentamicin inj,,,3.31,4.85,5 HCPCS,J1580,Gentamicin Sulfate In Sodium Chloride: 100 Ml In 1 Bag (0338-0503-48),193.0,193.0,,,0 HCPCS,J1580,Gentamicin Sulfate In Sodium Chloride: 100 Ml In 1 Bag (0338-0507-48),46.61,46.61,,,0 HCPCS,J1580,Gentamicin Sulfate In Sodium Chloride: 50 Ml In 1 Bag (0338-0507-41),58.74,58.74,,,0 HCPCS,J1580,Gentamicin Sulfate In Sodium Chloride: 50 Ml In 1 Bag (0338-0511-41),85.78,85.78,,,0 HCPCS,J1580,Gentamicin: 25 Vial In 1 Tray (63323-010-02) / 2 Ml In 1 Vial (63323-010-01),38.6,38.6,,,0 HCPCS,J1580,Gentamicin: 25 Vial In 1 Tray (63323-010-20) / 20 Ml In 1 Vial (63323-010-03),20.61,20.61,,,0 HCPCS,J1580,Gentamicin: 25 Vial In 1 Tray (63323-173-02) / 2 Ml In 1 Vial (63323-173-01),127.55,127.55,,,0 HCPCS,J1580,NDC Description Not Available,31.55,31.55,,,0 HCPCS,J1595,Injection glatiramer acetate,,,86.06,283.09,4 HCPCS,J1596,Glycopyrrolate: 1 Vial In 1 Carton (16714-536-01) / 1 Ml In 1 Vial,59.0,59.0,,,0 HCPCS,J1596,Glycopyrrolate: 25 Vial In 1 Carton (0143-9682-25) / 1 Ml In 1 Vial (0143-9682-01),38.62,38.62,,,0 HCPCS,J1596,"Glycopyrrolate: 25 Vial, Multi-Dose In 1 Tray (0517-4605-25) / 5 Ml In 1 Vial, Multi-Dose",73.7,73.7,,,0 HCPCS,J1596,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Tray (0517-4601-25) / 1 Ml In 1 Vial, Single-Dose",65.56,65.56,,,0 HCPCS,J1596,"Inj, glycopyrrolate, 0.1 mg",,,0.58,0.96,4 HCPCS,J1596,NDC Description Not Available,54.61,54.61,,,0 HCPCS,J1597,"Inj glycopyrrolate, glyrx-pf",,,2.2,3.55,3 HCPCS,J1598,Inj glycopyrrolate fres kabi,,,2.01,3.42,4 HCPCS,J1599,"Ivig non-lyophilized, NOS",,,137.99,205.17,2 HCPCS,J1600,Gold sodium thiomaleate inj,,,21.88,47.01,4 HCPCS,J1602,Golimumab for iv use 1mg,,,11.04,21.59,9 HCPCS,J1602,"Simponi Aria: 1 Vial, Single-Dose In 1 Carton (57894-350-01) / 4 Ml In 1 Vial, Single-Dose",262.94,262.94,,,0 HCPCS,J1610,Glucagon hydrochloride/1 mg,,,182.45,362.21,9 HCPCS,J1610,Hc Inj Glucagon Hcl Per 1 Mg,492.0,492.0,,,0 HCPCS,J1611,"Glucagon: 1 Kit In 1 Carton (63323-593-03) * 1 Ml In 1 Vial, Single-Dose (63323-596-03) * 1 Ml In 1 Vial, Single-Dose (63323-185-03)",1536.45,1536.45,,,0 HCPCS,J1611,"Inj glucagon hcl, fresenius",,,148.99,268.03,9 HCPCS,J1611,NDC Description Not Available,1485.06,1485.06,,,0 HCPCS,J1620,Gonadorelin hydroch/ 100 mcg,,,316.71,393.33,2 HCPCS,J1626,Granisetron hcl injection,,,0.28,0.69,5 HCPCS,J1627,"Inj, granisetron, xr, 0.1 mg",,,4.29,9.2,9 HCPCS,J1628,"Inj., guselkumab, 1 mg",,,75.97,183.39,9 HCPCS,J1628,NDC Description Not Available,245.95,245.95,,,0 HCPCS,J1628,"Tremfya: 1 Vial, Single-Dose In 1 Carton (57894-650-02) / 20 Ml In 1 Vial, Single-Dose (57894-650-01)",382.09,382.09,,,0 HCPCS,J1630,Haloperidol Lactate: 25 Vial In 1 Carton (67457-426-12) / 1 Ml In 1 Vial (67457-426-00),58.13,58.13,,,0 HCPCS,J1630,Haloperidol injection,,,1.13,2.0,5 HCPCS,J1630,NDC Description Not Available,58.25,58.25,,,0 HCPCS,J1631,"Haloperidol Decanoate: 1 Vial, Multi-Dose In 1 Carton (70069-384-01) / 5 Ml In 1 Vial, Multi-Dose",142.93,142.93,,,0 HCPCS,J1631,"Haloperidol Decanoate: 1 Vial, Multi-Dose In 1 Carton (70710-1464-1) / 5 Ml In 1 Vial, Multi-Dose",138.47,138.47,,,0 HCPCS,J1631,Haloperidol Decanoate: 3 Ampule In 1 Box (10147-0921-3) / 1 Ml In 1 Ampule,173.47,173.47,,,0 HCPCS,J1631,Haloperidol Decanoate: 5 Ampule In 1 Carton (70069-031-05) / 1 Ml In 1 Ampule (70069-031-01),164.15,164.15,,,0 HCPCS,J1631,Haloperidol decanoate inj,,,6.32,11.92,5 HCPCS,J1632,"Inj., brexanolone, 1 mg",,,102.59,165.39,4 HCPCS,J1640,"Hemin, 1 mg",,,34.18,63.21,9 HCPCS,J1640,NDC Description Not Available,209.43,209.43,,,0 HCPCS,J1640,Panhematin: 1 Vial In 1 Carton (55292-702-55) / 48 Ml In 1 Vial (55292-702-54),209.43,209.43,,,0 HCPCS,J1642,Inj heparin sodium per 10 u,,,0.03,0.69,5 HCPCS,J1642,NDC Description Not Available,4.68,4.68,,,0 HCPCS,J1643,Heparin Sodium: 25 Vial In 1 Container (0069-0059-03) / 1 Ml In 1 Vial (0069-0059-04),19.67,19.67,,,0 HCPCS,J1643,"Inj heparin, pfizer, 1000u",,,0.69,5.81,5 HCPCS,J1643,NDC Description Not Available,3.935,3.935,,,0 HCPCS,J1644,Heparin Sodium: 12 Pouch In 1 Case (0409-7620-59) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag (0409-7620-49),45.209999999999994,45.209999999999994,,,0 HCPCS,J1644,Heparin Sodium: 18 Pouch In 1 Case (0409-7620-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag (0409-7620-13),193.0,193.0,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Carton (25021-400-66) / 1 Ml In 1 Vial,9.83,9.83,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Carton (25021-401-02) / 2 Ml In 1 Vial,33.53,33.53,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Tray (63323-262-01) / 1 Ml In 1 Vial,7.37,7.37,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Tray (63323-262-06) / 1 Ml In 1 Vial (63323-262-03),11.01,11.01,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Tray (63323-276-02) / 2 Ml In 1 Vial (63323-276-01),14.34,14.34,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Tray (63323-540-01) / 1 Ml In 1 Vial,25.93,25.93,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Tray (63323-540-11) / 10 Ml In 1 Vial,8.2,8.2,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Tray (63323-540-13) / 1 Ml In 1 Vial (63323-540-03),29.5,29.5,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Tray (63323-540-31) / 30 Ml In 1 Vial,2.48,2.48,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Tray (63323-543-13) / .5 Ml In 1 Vial (63323-543-03),7.6,7.6,,,0 HCPCS,J1644,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Carton (81952-114-09) / 10 Ml In 1 Vial, Multi-Dose (81952-114-04)",1.97,1.97,,,0 HCPCS,J1644,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Tray (0409-2723-02) / 10 Ml In 1 Vial, Multi-Dose (0409-2723-31)",5.9,5.9,,,0 HCPCS,J1644,"Heparin Sodium: 25 Vial, Single-Dose In 1 Carton (71288-403-02) / 1 Ml In 1 Vial, Single-Dose (71288-403-01)",5.9,5.9,,,0 HCPCS,J1644,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2720-01) / 1 Ml In 1 Vial, Single-Dose (0409-2720-30)",16.05,16.05,,,0 HCPCS,J1644,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2721-01) / 1 Ml In 1 Vial, Single-Dose (0409-2721-30)",5.3,5.3,,,0 HCPCS,J1644,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2723-01) / 1 Ml In 1 Vial, Single-Dose (0409-2723-30)",12.785,12.785,,,0 HCPCS,J1644,Inj heparin sodium per 1000u,,,0.3,0.69,5 HCPCS,J1644,NDC Description Not Available,9.09,9.09,,,0 HCPCS,J1645,Dalteparin sodium,,,21.78,33.37,5 HCPCS,J1650,Enoxaparin Sodium: 1 Vial In 1 Carton (0548-5608-00) / 3 Ml In 1 Vial,27.3,27.3,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Blister Pack In 1 Carton (63323-564-97) / 1 Syringe In 1 Blister Pack (63323-564-21) / .4 Ml In 1 Syringe,14.75,14.75,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Blister Pack In 1 Carton (63323-586-96) / 1 Syringe In 1 Blister Pack (63323-586-21) / 1 Ml In 1 Syringe,11.8,11.8,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Cello Pack In 1 Carton (0955-1008-10) / 1 Syringe In 1 Cello Pack (0955-1008-01) / .8 Ml In 1 Syringe,14.32,14.32,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Syringe In 1 Carton (0548-5603-00) / .6 Ml In 1 Syringe,10.55,10.55,,,0 HCPCS,J1650,Enoxaparin sodium: 10 SYRINGE in 1 CARTON (63323-568-87) / .4 mL in 1 SYRINGE,14.75,14.75,,,0 HCPCS,J1650,Inj enoxaparin sodium,,,0.77,1.18,5 HCPCS,J1650,Lovenox: 10 Cello Pack In 1 Carton (0075-0621-60) / 1 Syringe In 1 Cello Pack (0075-0621-01) / .6 Ml In 1 Syringe,16.64,16.64,,,0 HCPCS,J1650,Lovenox: 10 Cello Pack In 1 Carton (0075-2912-01) / 1 Syringe In 1 Cello Pack (0075-2912-00) / .8 Ml In 1 Syringe,16.65,16.65,,,0 HCPCS,J1650,NDC Description Not Available,13.8,13.8,,,0 HCPCS,J1652,"Fondaparinux Sodium: 10 Syringe, Glass In 1 Carton (67457-582-10) / .5 Ml In 1 Syringe, Glass (67457-582-00)",33.31,33.31,,,0 HCPCS,J1652,"Fondaparinux Sodium: 10 Syringe, Glass In 1 Carton (67457-583-04) / .4 Ml In 1 Syringe, Glass (67457-583-00)",39.19,39.19,,,0 HCPCS,J1652,"Fondaparinux Sodium: 10 Syringe, Glass In 1 Carton (67457-584-06) / .6 Ml In 1 Syringe, Glass (67457-584-00)",26.13,26.13,,,0 HCPCS,J1652,"Fondaparinux Sodium: 10 Syringe, Glass In 1 Carton (67457-585-08) / .8 Ml In 1 Syringe, Glass (67457-585-00)",19.6,19.6,,,0 HCPCS,J1652,Fondaparinux sodium,,,0.97,1.67,5 HCPCS,J1652,NDC Description Not Available,30.93,30.93,,,0 HCPCS,J1655,Tinzaparin sodium injection,,,4.71,9.71,4 HCPCS,J1670,"Hypertet: 1 Syringe, Glass In 1 Box (13533-634-02) / 1 Ml In 1 Syringe, Glass (13533-634-20)",4349.44,4349.44,,,0 HCPCS,J1670,NDC Description Not Available,4349.44,4349.44,,,0 HCPCS,J1670,Tetanus immune globulin inj,,,593.0,1067.54,9 HCPCS,J1675,Histrelin acetate,,,1.11,1.6,2 HCPCS,J1700,Hydrocortisone acetate inj,,,0.88,2.39,3 HCPCS,J1710,Hydrocortisone sodium ph inj,,,6.32,10.84,3 HCPCS,J1720,Hydrocortisone sodium succ i,,,27.93,39.22,5 HCPCS,J1720,NDC Description Not Available,73.965,73.965,,,0 HCPCS,J1720,Solu-Cortef: 1 Vial In 1 Carton (0009-0825-01) / 2 Ml In 1 Vial,59.0,59.0,,,0 HCPCS,J1720,"Solu-Cortef: 1 Vial, Single-Dose In 1 Carton (0009-0013-05) / 2 Ml In 1 Vial, Single-Dose",73.28,73.28,,,0 HCPCS,J1720,"Solu-Cortef: 25 Vial, Single-Dose In 1 Carton (0009-0011-04) / 2 Ml In 1 Vial, Single-Dose (0009-0011-03)",132.98,132.98,,,0 HCPCS,J1726,"Makena, 10 mg",,,22.8,44.88,3 HCPCS,J1729,Inj hydroxyprogst capoat nos,,,18.78,56.31,4 HCPCS,J1730,Diazoxide injection,,,162.24,239.43,3 HCPCS,J1738,Inj. meloxicam 1 mg,,,4.32,6.96,4 HCPCS,J1740,Ibandronate sodium injection,,,41.58,56.98,5 HCPCS,J1741,Ibuprofen injection,,,4.03,5.62,5 HCPCS,J1742,"Corvert: 1 Vial, Single-Dose In 1 Carton (0009-3794-01) / 10 Ml In 1 Vial, Single-Dose",3750.87,3750.87,,,0 HCPCS,J1742,Ibutilide fumarate injection,,,172.31,676.03,7 HCPCS,J1743,Idursulfase injection,,,558.46,1033.34,9 HCPCS,J1744,Icatibant injection,,,96.3,348.93,4 HCPCS,J1745,Infliximab not biosimil 10mg,,,31.09,57.68,9 HCPCS,J1746,"Inj., ibalizumab-uiyk, 10 mg",,,79.26,146.87,9 HCPCS,J1746,NDC Description Not Available,510.71,510.71,,,0 HCPCS,J1746,"Trogarzo: 2 Vial, Single-Use In 1 Carton (62064-122-02) / 1.33 Ml In 1 Vial, Single-Use (62064-122-01)",500.87,500.87,,,0 HCPCS,J1747,"Inj, spesolimab-sbzo, 1 mg",,,65.73,121.6,9 HCPCS,J1747,"Spevigo: 2 Vial, Glass In 1 Carton (0597-0035-10) / 7.5 Ml In 1 Vial, Glass",268.08,268.08,,,0 HCPCS,J1748,"Inj, zymfentra, 10 mg",,,53.07,594.63,7 HCPCS,J1749,"Aurlumyn: 1 Vial, Single-Dose In 1 Carton (83226-2001-1) / 1 Ml In 1 Vial, Single-Dose",24.75,24.75,,,0 HCPCS,J1749,"Inj, iloprost, 0.1 mcg",,,7.71,10.89,4 HCPCS,J1750,"Infed: 10 Vial, Single-Dose In 1 Carton (0023-6082-10) / 2 Ml In 1 Vial, Single-Dose (0023-6082-01)",120.06,120.06,,,0 HCPCS,J1750,Inj iron dextran,,,18.11,33.36,9 HCPCS,J1750,NDC Description Not Available,119.3,119.3,,,0 HCPCS,J1756,Iron sucrose injection,,,0.3,0.69,5 HCPCS,J1756,NDC Description Not Available,3.885,3.885,,,0 HCPCS,J1756,"Venofer: 1 Vial, Single-Dose In 1 Box (0517-2340-01) / 5 Ml In 1 Vial, Single-Dose",4.16,4.16,,,0 HCPCS,J1756,"Venofer: 10 Vial, Single-Dose In 1 Box (0517-2340-10) / 5 Ml In 1 Vial, Single-Dose",3.6900000000000004,3.6900000000000004,,,0 HCPCS,J1756,"Venofer: 25 Vial, Single-Dose In 1 Tray (0517-2340-25) / 5 Ml In 1 Vial, Single-Dose",4.1,4.1,,,0 HCPCS,J1756,"Venofer: 5 Vial, Single-Dose In 1 Box (0517-2310-05) / 10 Ml In 1 Vial, Single-Dose (0517-2310-01)",4.005,4.005,,,0 HCPCS,J1786,Imuglucerase injection,,,43.19,80.09,9 HCPCS,J1790,Droperidol injection,,,7.24,20.11,5 HCPCS,J1790,"Droperidol: 25 Vial, Single-Dose In 1 Tray (0517-9702-25) / 2 Ml In 1 Vial, Single-Dose",64.05,64.05,,,0 HCPCS,J1790,NDC Description Not Available,62.67,62.67,,,0 HCPCS,J1800,NDC Description Not Available,65.895,65.895,,,0 HCPCS,J1800,Propranolol injection,,,4.46,21.63,4 HCPCS,J1805,Brevibloc: 10 Bag In 1 Carton (10019-055-61) / 250 Ml In 1 Bag,3.48,3.48,,,0 HCPCS,J1805,Brevibloc: 10 Bag In 1 Carton (10019-670-10) / 250 Ml In 1 Bag,2.9,2.9,,,0 HCPCS,J1805,Esmolol Hydrochloride In Sodium Chloride: 1 Bag In 1 Pouch (67457-657-25) / 250 Ml In 1 Bag,7.47,7.47,,,0 HCPCS,J1805,Esmolol Hydrochloride: 10 Bag In 1 Carton (25021-308-84) / 250 Ml In 1 Bag,3.72,3.72,,,0 HCPCS,J1805,Esmolol Hydrochloride: 10 Vial In 1 Carton (67457-182-10) / 10 Ml In 1 Vial (67457-182-00),14.15,14.15,,,0 HCPCS,J1805,"Esmolol Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-194-10) / 10 Ml In 1 Vial, Single-Dose",14.54,14.54,,,0 HCPCS,J1805,"Inj, esmolol hcl, 10mg",,,0.33,0.52,4 HCPCS,J1806,Inj esmolol hcl wg crit care,,,0.57,0.78,4 HCPCS,J1808,"Inj, folic acid, 0.1 mg",,,0.08,0.11,3 HCPCS,J1809,"Inj, fosdenopterin, 0.1mg",,,16.97,25.46,5 HCPCS,J1810,Droperidol/fentanyl inj,,,11.02,31.32,2 HCPCS,J1811,Fiasp for insulin pump use,,,10.48,14.36,4 HCPCS,J1812,Inj. Insulin (fiasp),,,2.0,3.22,3 HCPCS,J1813,Lyumjev for insulin pump use,,,20.61,28.25,4 HCPCS,J1814,Inj. insulin (lyumjev),,,1.89,3.3,3 HCPCS,J1815,"1 VIAL, MULTI-DOSE in 1 CARTON (0002-8715-17) / 3 mL in 1 VIAL, MULTI-DOSE",9.12,9.12,,,0 HCPCS,J1815,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,41.875,41.875,,,0 HCPCS,J1815,"Admelog: 1 Vial, Multi-Dose In 1 Carton (0024-5924-10) / 10 Ml In 1 Vial, Multi-Dose",33.97,33.97,,,0 HCPCS,J1815,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,36.875,36.875,,,0 HCPCS,J1815,Humalog: 1 Vial In 1 Carton (0002-7510-17) / 3 Ml In 1 Vial,30.42,30.42,,,0 HCPCS,J1815,Humalog: 1 Vial In 1 Carton (0002-7533-01) / 3 Ml In 1 Vial,38.06,38.06,,,0 HCPCS,J1815,Humalog: 1 Vial In 1 Carton (50090-1375-0) / 10 Ml In 1 Vial,59.0,59.0,,,0 HCPCS,J1815,"Humulin N: 1 Vial, Multi-Dose In 1 Carton (0002-8315-01) / 10 Ml In 1 Vial, Multi-Dose",16.79,16.79,,,0 HCPCS,J1815,Humulin R U-500 Kwikpen: 2 Syringe In 1 Carton (0002-8824-27) / 3 Ml In 1 Syringe,6.41,6.41,,,0 HCPCS,J1815,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-0213-01) / 3 Ml In 1 Vial, Multi-Dose",29.5,29.5,,,0 HCPCS,J1815,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-01) / 10 Ml In 1 Vial, Multi-Dose",43.03,43.03,,,0 HCPCS,J1815,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-17) / 3 Ml In 1 Vial, Multi-Dose",59.0,59.0,,,0 HCPCS,J1815,Insulin Glargine: 1 Syringe In 1 Carton (83257-015-31) / 3 Ml In 1 Syringe,1.9,1.9,,,0 HCPCS,J1815,"Insulin Glargine: 1 Vial, Multi-Dose In 1 Carton (49502-393-80) / 10 Ml In 1 Vial, Multi-Dose",15.95,15.95,,,0 HCPCS,J1815,"Insulin Glargine: 1 Vial, Multi-Dose In 1 Carton (83257-014-11) / 10 Ml In 1 Vial, Multi-Dose",16.33,16.33,,,0 HCPCS,J1815,Insulin Glargine: 5 Syringe In 1 Carton (49502-394-75) / 3 Ml In 1 Syringe (49502-394-71),3.0,3.0,,,0 HCPCS,J1815,Insulin injection,,,0.31,1.39,4 HCPCS,J1815,"Lantus: 1 Vial, Glass In 1 Carton (0088-2220-33) / 10 Ml In 1 Vial, Glass",19.67,19.67,,,0 HCPCS,J1815,Myxredlin: 12 Container In 1 Carton (0338-0126-12) / 100 Ml In 1 Container,10.88,10.88,,,0 HCPCS,J1815,NDC Description Not Available,6.41,6.41,,,0 HCPCS,J1815,Novolin 70/30: 1 Vial In 1 Carton (0169-1837-11) / 10 Ml In 1 Vial,1.18,1.18,,,0 HCPCS,J1815,Novolin R: 1 Vial In 1 Carton (0169-1833-02) / 10 Ml In 1 Vial,11.8,11.8,,,0 HCPCS,J1815,Novolin R: 1 Vial In 1 Carton (0169-1833-11) / 10 Ml In 1 Vial,25.8,25.8,,,0 HCPCS,J1815,Novolin R: 1 Vial In 1 Carton (50090-0497-0) / 10 Ml In 1 Vial,59.0,59.0,,,0 HCPCS,J1815,"Novolog: 1 Vial, Glass In 1 Carton (0169-7501-11) / 10 Ml In 1 Vial, Glass",19.67,19.67,,,0 HCPCS,J1815,Semglee: 1 Syringe In 1 Carton (83257-012-31) / 3 Ml In 1 Syringe,8.35,8.35,,,0 HCPCS,J1815,"Semglee: 1 Vial, Multi-Dose In 1 Carton (49502-250-80) / 10 Ml In 1 Vial, Multi-Dose",13.11,13.11,,,0 HCPCS,J1815,"Semglee: 1 Vial, Multi-Dose In 1 Carton (83257-011-11) / 10 Ml In 1 Vial, Multi-Dose",17.38,17.38,,,0 HCPCS,J1817,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,43.81,43.81,,,0 HCPCS,J1817,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,22.24,22.24,,,0 HCPCS,J1817,Humalog: 1 Vial In 1 Carton (0002-7510-17) / 3 Ml In 1 Vial,92.02,92.02,,,0 HCPCS,J1817,Humalog: 1 Vial In 1 Carton (0002-7533-01) / 3 Ml In 1 Vial,22.3,22.3,,,0 HCPCS,J1817,Insulin Lispro: 1 Vial In 1 Carton (0002-7737-01) / 10 Ml In 1 Vial,8.38,8.38,,,0 HCPCS,J1817,Insulin for insulin pump use,,,3.93,13.62,5 HCPCS,J1823,"Inj. inebilizumab-cdon, 1 mg",,,495.54,914.7,9 HCPCS,J1823,NDC Description Not Available,2081.32,2081.32,,,0 HCPCS,J1823,"Uplizna: 3 Vial, Single-Dose In 1 Carton (75987-150-03) / 10 Ml In 1 Vial, Single-Dose (75987-150-01)",2103.73,2103.73,,,0 HCPCS,J1826,Interferon Beta-1A inj,,,2717.22,4793.98,4 HCPCS,J1830,Interferon beta-1b / .25 MG,,,713.55,1577.44,4 HCPCS,J1833,"Injection, isavuconazonium",,,1.0,2.35,7 HCPCS,J1835,Itraconazole injection,,,74.36,1500.81,3 HCPCS,J1836,"Inj, metronidazole, 10 mg",,,0.04,0.06,4 HCPCS,J1836,Metronidazole: 1 Bag In 1 Pouch (47335-993-01) / 100 Ml In 1 Bag,16.495,16.495,,,0 HCPCS,J1836,Metronidazole: 24 Bag In 1 Carton (0338-1055-48) / 100 Ml In 1 Bag,7.43,7.43,,,0 HCPCS,J1836,Metronidazole: 24 POUCH in 1 CASE (0409-7811-24) / 1 BAG in 1 POUCH / 100 mL in 1 BAG (0409-7811-31),7.72,7.72,,,0 HCPCS,J1836,Metronidazole: 24 Pouch In 1 Carton (25021-131-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,11.315,11.315,,,0 HCPCS,J1836,Metronidazole: 6 Carton In 1 Case (0264-5535-32) / 4 Container In 1 Carton / 100 Ml In 1 Container,17.2,17.2,,,0 HCPCS,J1836,NDC Description Not Available,3.86,3.86,,,0 HCPCS,J1840,Kanamycin sulfate 500 MG inj,,,11.98,11.98,1 HCPCS,J1850,Kanamycin sulfate 75 MG inj,,,1.8,1.8,1 HCPCS,J1885,Ketorolac Tromethamine: 10 Vial In 1 Carton (0338-0069-10) / 1 Ml In 1 Vial,59.0,59.0,,,0 HCPCS,J1885,Ketorolac Tromethamine: 25 Vial In 1 Carton (0338-0072-25) / 1 Ml In 1 Vial,59.0,59.0,,,0 HCPCS,J1885,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-161-01) / 1 Ml In 1 Vial, Single-Use (63323-161-00)",59.0,59.0,,,0 HCPCS,J1885,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-162-01) / 1 Ml In 1 Vial, Single-Use (63323-162-00)",37.93,37.93,,,0 HCPCS,J1885,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-162-02) / 2 Ml In 1 Vial, Single-Use (63323-162-03)",13.69,13.69,,,0 HCPCS,J1885,Ketorolac tromethamine inj,,,0.3,1.24,8 HCPCS,J1885,NDC Description Not Available,50.8,50.8,,,0 HCPCS,J1890,Cephalothin sodium injection,,,15.15,19.98,2 HCPCS,J1920,"Inj, labetalol hcl, 5mg",,,0.48,0.72,4 HCPCS,J1920,Labetalol Hydrochloride: 1 Vial In 1 Carton (36000-322-02) / 20 Ml In 1 Vial (36000-322-01),25.75,25.75,,,0 HCPCS,J1920,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0409-2267-20) / 20 Ml In 1 Vial, Multi-Dose",23.37,23.37,,,0 HCPCS,J1920,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (72266-102-01) / 20 Ml In 1 Vial, Multi-Dose",37.51,37.51,,,0 HCPCS,J1920,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (72611-734-01) / 20 Ml In 1 Vial, Multi-Dose",29.5,29.5,,,0 HCPCS,J1920,NDC Description Not Available,26.72,26.72,,,0 HCPCS,J1921,"Inj labetalol hcl hikma, 5mg",,,1.86,2.55,4 HCPCS,J1930,Lanreotide Acetate: 1 Syringe In 1 Carton (69097-870-67) / .5 Ml In 1 Syringe,496.51,496.51,,,0 HCPCS,J1930,Lanreotide injection,,,34.05,89.51,9 HCPCS,J1930,Somatuline Depot: 1 Pouch In 1 Carton (15054-1090-4) / 1 Syringe In 1 Pouch / .3 Ml In 1 Syringe,603.6,603.6,,,0 HCPCS,J1930,Somatuline Depot: 1 Pouch In 1 Carton (15054-1120-4) / 1 Syringe In 1 Pouch / .5 Ml In 1 Syringe,529.39,529.39,,,0 HCPCS,J1931,Laronidase injection,,,39.87,73.78,9 HCPCS,J1932,"Inj, lanreotide, (cipla) 1mg",,,29.84,136.69,9 HCPCS,J1938,"Inj, furosemide, 1 mg",,,0.03,0.04,3 HCPCS,J1938,NDC Description Not Available,2.83,2.83,,,0 HCPCS,J1939,Bumetanide: 10 VIAL in 1 BOX (0409-1412-04) / 4 mL in 1 VIAL (0409-1412-34),3.86,3.86,,,0 HCPCS,J1939,Bumetanide: 10 Vial In 1 Carton (0641-6007-10) / 10 Ml In 1 Vial (0641-6007-01),4.4,4.4,,,0 HCPCS,J1939,Bumetanide: 10 Vial In 1 Carton (0641-6008-10) / 4 Ml In 1 Vial (0641-6008-01),10.12,10.12,,,0 HCPCS,J1939,Bumetanide: 10 Vial In 1 Carton (25021-321-10) / 10 Ml In 1 Vial,4.54,4.54,,,0 HCPCS,J1939,Bumetanide: 10 Vial In 1 Carton (70748-323-11) / 10 Ml In 1 Vial,4.4,4.4,,,0 HCPCS,J1939,"Bumetanide: 10 Vial, Multi-Dose In 1 Carton (68462-470-54) / 10 Ml In 1 Vial, Multi-Dose (68462-470-40)",3.67,3.67,,,0 HCPCS,J1939,"Bumetanide: 10 Vial, Single-Dose In 1 Carton (65219-570-04) / 4 Ml In 1 Vial, Single-Dose (65219-570-01)",11.59,11.59,,,0 HCPCS,J1939,"Bumetanide: 10 Vial, Single-Dose In 1 Carton (68462-469-54) / 4 Ml In 1 Vial, Single-Dose (68462-469-40)",7.62,7.62,,,0 HCPCS,J1939,"Inj, bumetanide, 0.5 mg",,,0.55,1.13,4 HCPCS,J1939,NDC Description Not Available,7.705,7.705,,,0 HCPCS,J1940,Furosemide injection,,,0.64,2.0,3 HCPCS,J1940,Furosemide: 25 Vial In 1 Carton (25021-311-02) / 2 Ml In 1 Vial,26.57,26.57,,,0 HCPCS,J1940,Furosemide: 25 Vial In 1 Carton (25021-311-04) / 4 Ml In 1 Vial,4.12,4.12,,,0 HCPCS,J1940,Furosemide: 25 Vial In 1 Tray (63323-280-02) / 2 Ml In 1 Vial (63323-280-01),14.75,14.75,,,0 HCPCS,J1940,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-282-25) / 2 Ml In 1 Vial, Single-Dose",5.15,5.15,,,0 HCPCS,J1940,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-283-25) / 4 Ml In 1 Vial, Single-Dose",11.8,11.8,,,0 HCPCS,J1940,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-02) / 2 Ml In 1 Vial, Single-Dose (0409-6102-19)",3.66,3.66,,,0 HCPCS,J1940,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-04) / 4 Ml In 1 Vial, Single-Dose (0409-6102-18)",3.68,3.68,,,0 HCPCS,J1940,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-10) / 10 Ml In 1 Vial, Single-Dose (0409-6102-20)",2.47,2.47,,,0 HCPCS,J1940,NDC Description Not Available,17.700000000000003,17.700000000000003,,,0 HCPCS,J1941,"Inj, furoscix, 20 mg",,,326.16,525.83,3 HCPCS,J1943,"Inj., aristada initio, 1 mg",,,3.24,6.03,9 HCPCS,J1944,Aripirazole lauroxil 1 mg,,,3.34,6.16,9 HCPCS,J1945,Lepirudin,,,239.65,1194.9,4 HCPCS,J1950,Leuprolide acetate /3.75 mg,,,1730.32,3213.64,9 HCPCS,J1950,Lupron Depot-Ped: 1 Kit In 1 Carton (0074-9694-03) * 1.5 Ml In 1 Syringe * 1 Swab In 1 Packet,1295.9,1295.9,,,0 HCPCS,J1950,Lupron Depot: 1 Kit In 1 Carton (0074-3641-03) * 1 Ml In 1 Syringe * 1 Ml In 1 Packet,11708.28,11708.28,,,0 HCPCS,J1950,Lupron Depot: 1 Kit In 1 Carton (0074-3663-03) * 1.5 Ml In 1 Syringe * 1 Ml In 1 Packet,8888.54,8888.54,,,0 HCPCS,J1951,Inj fensolvi 0.25 mg,,,140.99,259.8,9 HCPCS,J1952,"Leuprolide inj, camcevi, 1mg",,,78.92,118.37,8 HCPCS,J1953,Levetiracetam injection,,,0.06,0.69,5 HCPCS,J1953,"Levetiracetam: 10 Vial, Single-Dose In 1 Carton (55150-177-05) / 5 Ml In 1 Vial, Single-Dose",1.24,1.24,,,0 HCPCS,J1953,"Levetiracetam: 25 Vial, Glass In 1 Carton (0143-9673-25) / 5 Ml In 1 Vial, Glass (0143-9673-01)",0.7,0.7,,,0 HCPCS,J1953,"Levetiracetam: 25 Vial, Single-Dose In 1 Carton (0143-9574-25) / 5 Ml In 1 Vial, Single-Dose (0143-9574-01)",0.16,0.16,,,0 HCPCS,J1953,NDC Description Not Available,0.67,0.67,,,0 HCPCS,J1954,Leuprolide depot cipla 7.5mg,,,388.21,1060.0,9 HCPCS,J1955,Carnitor: 5 Vial In 1 Carton (54482-147-01) / 5 Ml In 1 Vial,256.93,256.93,,,0 HCPCS,J1955,Inj levocarnitine per 1 gm,,,32.79,53.26,5 HCPCS,J1955,NDC Description Not Available,238.99,238.99,,,0 HCPCS,J1956,Levofloxacin injection,,,1.31,3.81,5 HCPCS,J1956,Levofloxacin: 1 Bag In 1 Pouch (63323-355-50) / 50 Ml In 1 Bag,193.0,193.0,,,0 HCPCS,J1956,Levofloxacin: 24 Pouch In 1 Carton (25021-132-81) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,193.0,193.0,,,0 HCPCS,J1956,Levofloxacin: 24 Pouch In 1 Carton (25021-132-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,136.58,136.58,,,0 HCPCS,J1956,Levofloxacin: 24 Pouch In 1 Carton (25021-132-83) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,64.33,64.33,,,0 HCPCS,J1956,Levofloxacin: 24 Pouch In 1 Carton (44567-436-24) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,96.5,96.5,,,0 HCPCS,J1956,Levofloxacin: 24 Pouch In 1 Carton (44567-437-24) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,80.41499999999999,80.41499999999999,,,0 HCPCS,J1956,NDC Description Not Available,80.41499999999999,80.41499999999999,,,0 HCPCS,J1960,Levorphanol tartrate inj,,,0.83,5.51,3 HCPCS,J1961,"Inj, lenacapavir, 1 mg",,,22.15,40.74,8 HCPCS,J1961,Sunlenca: 1 Kit In 1 Carton (61958-3002-1) * 1.5 Ml In 1 Vial (61958-3004-1),44.51,44.51,,,0 HCPCS,J1961,Sunlenca: 1 Kit In 1 Carton (61958-3005-1) * 1.5 Ml In 1 Vial (61958-3004-1),70.47,70.47,,,0 HCPCS,J1980,Hyoscyamine sulfate inj,,,14.95,119.88,4 HCPCS,J1990,Chlordiazepoxide injection,,,28.42,48.67,4 HCPCS,J2001,Lidocaine Hydrochloride And Dextrose: 24 Bag In 1 Carton (0338-0411-02) / 250 Ml In 1 Bag,0.45,0.45,,,0 HCPCS,J2001,Lidocaine Hydrochloride And Dextrose: 24 Container In 1 Case (0264-9598-20) / 250 Ml In 1 Container,0.96,0.96,,,0 HCPCS,J2001,Lidocaine injection,,,0.09,0.69,2 HCPCS,J2001,NDC Description Not Available,2.3,2.3,,,0 HCPCS,J2002,"Inj, lidocaine in d5w, 1 mg",,,0.01,0.07,4 HCPCS,J2002,Lidocaine Hydrochloride And Dextrose: 24 Bag In 1 Carton (0338-0411-02) / 250 Ml In 1 Bag,0.20500000000000002,0.20500000000000002,,,0 HCPCS,J2002,Lidocaine Hydrochloride And Dextrose: 24 Container In 1 Case (0264-9598-20) / 250 Ml In 1 Container,0.33499999999999996,0.33499999999999996,,,0 HCPCS,J2003,"Inj, lidocaine hcl, 1 mg",,,0.01,0.1,4 HCPCS,J2003,Lidocaine Hydrochloride: 1 Vial In 1 Carton (70756-641-85) / 5 Ml In 1 Vial,1.18,1.18,,,0 HCPCS,J2003,"Lidocaine Hydrochloride: 1 Vial, Single-Dose In 1 Carton (55150-163-30) / 30 Ml In 1 Vial, Single-Dose",5.66,5.66,,,0 HCPCS,J2003,Lidocaine Hydrochloride: 10 Ampule In 1 Carton (55150-158-72) / 2 Ml In 1 Ampule,1.97,1.97,,,0 HCPCS,J2003,Lidocaine Hydrochloride: 10 Ampule In 1 Carton (55150-159-74) / 5 Ml In 1 Ampule,5.45,5.45,,,0 HCPCS,J2003,Lidocaine Hydrochloride: 10 Syringe In 1 Package (76329-3390-1) / 5 Ml In 1 Syringe,0.87,0.87,,,0 HCPCS,J2003,"Lidocaine Hydrochloride: 10 Vial, Multi-Dose In 1 Tray (50102-400-10) / 20 Ml In 1 Vial, Multi-Dose (50102-400-01)",1.18,1.18,,,0 HCPCS,J2003,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0409-2066-05) / 5 Ml In 1 Vial, Single-Dose (0409-2066-10)",0.68,0.68,,,0 HCPCS,J2003,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-161-02) / 2 Ml In 1 Vial, Single-Dose",1.65,1.65,,,0 HCPCS,J2003,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-162-05) / 5 Ml In 1 Vial, Single-Dose",2.14,2.14,,,0 HCPCS,J2003,Lidocaine Hydrochloride: 25 Ampule In 1 Carton (0409-4282-02) / 10 Ml In 1 Ampule (0409-4282-12),0.8,0.8,,,0 HCPCS,J2003,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-254-10) / 10 Ml In 1 Vial, Multi-Dose",5.62,5.62,,,0 HCPCS,J2003,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-255-20) / 20 Ml In 1 Vial, Multi-Dose",2.95,2.95,,,0 HCPCS,J2003,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-256-50) / 50 Ml In 1 Vial, Multi-Dose",2.95,2.95,,,0 HCPCS,J2003,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4276-02) / 50 Ml In 1 Vial, Multi-Dose (0409-4276-17)",2.43,2.43,,,0 HCPCS,J2003,Lidocaine Hydrochloride: 5 Carton In 1 Package (0409-4713-32) / 10 Ampule In 1 Carton (0409-4713-25) / 2 Ml In 1 Ampule (0409-4713-42),1.62,1.62,,,0 HCPCS,J2003,Lidocaine Hydrochloride: 5 Cello Pack In 1 Package (0409-4713-02) / 5 Ampule In 1 Cello Pack (0409-4713-26) / 5 Ml In 1 Ampule (0409-4713-12),3.65,3.65,,,0 HCPCS,J2003,"Lidocaine Hydrochloride: 5 Ml In 1 Vial, Single-Dose (76420-080-05)",1.97,1.97,,,0 HCPCS,J2003,Lidocaine Hydrochloride: 800 Ampule In 1 Case (0409-4713-62) / 2 Ml In 1 Ampule (0409-4713-72),1.97,1.97,,,0 HCPCS,J2003,Lidocaine Hydrochloride: 800 Ampule In 1 Case (0409-4713-65) / 5 Ml In 1 Ampule (0409-4713-75),3.02,3.02,,,0 HCPCS,J2003,Lidocaine: 25 Vial In 1 Tray (63323-202-02) / 2 Ml In 1 Vial (63323-202-01),0.77,0.77,,,0 HCPCS,J2003,NDC Description Not Available,1.23,1.23,,,0 HCPCS,J2003,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-16) / 2 Ml In 1 Vial, Single-Dose (63323-492-41)",1.74,1.74,,,0 HCPCS,J2003,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-27) / 2 Ml In 1 Vial, Single-Dose (63323-492-04)",3.45,3.45,,,0 HCPCS,J2003,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-36) / 5 Ml In 1 Vial, Single-Dose (63323-492-43)",1.97,1.97,,,0 HCPCS,J2003,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-57) / 5 Ml In 1 Vial, Single-Dose (63323-492-09)",1.26,1.26,,,0 HCPCS,J2003,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-495-27) / 2 Ml In 1 Vial, Single-Dose (63323-495-09)",0.71,0.71,,,0 HCPCS,J2003,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-491-57) / 50 Ml In 1 Vial, Single-Dose (63323-491-01)",1.38,1.38,,,0 HCPCS,J2003,Xylocaine Mpf: 5 Ampule In 1 Box (63323-492-97) / 10 Ml In 1 Ampule (63323-492-08),1.14,1.14,,,0 HCPCS,J2003,"Xylocaine Mpf: 5 Vial, Single-Dose In 1 Carton (63323-492-31) / 30 Ml In 1 Vial, Single-Dose (63323-492-03)",1.61,1.61,,,0 HCPCS,J2003,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-484-57) / 50 Ml In 1 Vial, Multi-Dose",0.56,0.56,,,0 HCPCS,J2003,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-17) / 10 Ml In 1 Vial, Multi-Dose (63323-486-01)",0.69,0.69,,,0 HCPCS,J2003,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-26) / 20 Ml In 1 Vial, Multi-Dose (63323-486-41)",2.95,2.95,,,0 HCPCS,J2003,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-27) / 20 Ml In 1 Vial, Multi-Dose (63323-486-02)",0.83,0.83,,,0 HCPCS,J2003,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-57) / 50 Ml In 1 Vial, Multi-Dose (63323-486-05)",2.95,2.95,,,0 HCPCS,J2004,"Inj, lidocaine w epinephrine",,,0.01,11.64,4 HCPCS,J2004,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3177-01) / 50 Ml In 1 Vial, Multi-Dose (0409-3177-16)",4.54,4.54,,,0 HCPCS,J2004,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3178-01) / 20 Ml In 1 Vial, Multi-Dose (0409-3178-16)",0.37,0.37,,,0 HCPCS,J2004,NDC Description Not Available,0.35,0.35,,,0 HCPCS,J2004,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-487-37) / 30 Ml In 1 Vial, Single-Dose (63323-487-07)",2.75,2.75,,,0 HCPCS,J2004,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-489-17) / 10 Ml In 1 Vial, Single-Dose (63323-489-01)",0.75,0.75,,,0 HCPCS,J2004,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-481-57) / 50 Ml In 1 Vial, Multi-Dose (63323-481-01)",1.77,1.77,,,0 HCPCS,J2004,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-482-57) / 50 Ml In 1 Vial, Multi-Dose (63323-482-05)",0.17,0.17,,,0 HCPCS,J2010,Lincomycin injection,,,6.75,15.3,5 HCPCS,J2020,Linezolid injection,,,4.68,6.42,5 HCPCS,J2020,NDC Description Not Available,78.69,78.69,,,0 HCPCS,J2020,Zyvox: 10 Bag In 1 Box (0009-5140-04) / 300 Ml In 1 Bag (0009-5140-01),64.34,64.34,,,0 HCPCS,J2021,"Inj, linezolid (hospira)",,,8.56,23.78,5 HCPCS,J2060,Hc Lorazepam 2 Mg/Ml Inj Syrg,69.0,69.0,,,0 HCPCS,J2060,Lorazepam injection,,,1.78,2.44,5 HCPCS,J2060,Lorazepam: 25 Vial In 1 Carton (0641-6044-25) / 1 Ml In 1 Vial (0641-6044-01),54.31,54.31,,,0 HCPCS,J2060,Lorazepam: 25 Vial In 1 Carton (0641-6045-25) / 1 Ml In 1 Vial (0641-6045-01),48.59,48.59,,,0 HCPCS,J2060,NDC Description Not Available,54.01,54.01,,,0 HCPCS,J2062,Loxapine for inhalation 1 mg,,,15.9,33.3,7 HCPCS,J2150,Hc Mannitol 25 % Iv Soln,69.0,69.0,,,0 HCPCS,J2150,Mannitol injection,,,3.02,4.72,4 HCPCS,J2150,Mannitol: 24 Container In 1 Case (0264-7578-10) / 500 Ml In 1 Container,48.7,48.7,,,0 HCPCS,J2150,"Mannitol: 25 Vial, Single-Dose In 1 Tray (63323-024-25) / 50 Ml In 1 Vial, Single-Dose (63323-024-01)",48.76,48.76,,,0 HCPCS,J2150,NDC Description Not Available,30.8,30.8,,,0 HCPCS,J2150,Osmitrol: 250 Ml In 1 Bag (0338-0357-02),73.5,73.5,,,0 HCPCS,J2150,Osmitrol: 500 Ml In 1 Bag (0338-0357-03),86.365,86.365,,,0 HCPCS,J2151,Hc Metoprolol Tartrate 5 Mg/5 Ml Iv Soln - 5Ml Vial,69.0,69.0,,,0 HCPCS,J2151,"Inj, mannitol, 250 mg",,,0.09,0.09,1 HCPCS,J2170,Mecasermin injection,,,204.11,816.13,4 HCPCS,J2175,Demerol: 10 Cartridge In 1 Carton (0409-1178-30) / 1 Ml In 1 Cartridge (0409-1178-03),59.0,59.0,,,0 HCPCS,J2175,Meperidine Hydrochloride: 25 Vial In 1 Carton (0641-6052-25) / 1 Ml In 1 Vial (0641-6052-01),59.0,59.0,,,0 HCPCS,J2175,Meperidine Hydrochloride: 25 Vial In 1 Carton (0641-6053-25) / 1 Ml In 1 Vial (0641-6053-01),59.0,59.0,,,0 HCPCS,J2175,Meperidine hydrochl /100 MG,,,10.95,29.03,5 HCPCS,J2175,NDC Description Not Available,59.0,59.0,,,0 HCPCS,J2180,Meperidine/promethazine inj,,,5.12,17.52,4 HCPCS,J2182,"Injection, mepolizumab, 1mg",,,31.27,57.96,9 HCPCS,J2182,Nucala: 1 Vial In 1 Carton (0173-0881-01) / 1 Ml In 1 Vial,146.69,146.69,,,0 HCPCS,J2183,Inj meropenem (wg crit care),,,0.77,3.0,5 HCPCS,J2184,"Inj, meropenem (b. braun)",,,2.81,3.85,5 HCPCS,J2185,Meropenem,,,0.59,0.81,5 HCPCS,J2185,Meropenem: 10 Vial In 1 Carton (0409-0222-10) / 10 Ml In 1 Vial (0409-0222-01),38.6,38.6,,,0 HCPCS,J2185,Meropenem: 10 Vial In 1 Carton (0409-1391-22) / 20 Ml In 1 Vial (0409-1391-21),19.3,19.3,,,0 HCPCS,J2185,"Meropenem: 10 Vial In 1 Carton (55150-207-20) / 1 Injection, Powder, For Solution In 1 Vial",25.200000000000003,25.200000000000003,,,0 HCPCS,J2185,"Meropenem: 10 Vial In 1 Carton (55150-208-30) / 1 Injection, Powder, For Solution In 1 Vial",11.62,11.62,,,0 HCPCS,J2185,Meropenem: 10 Vial In 1 Carton (63323-507-20) / 10 Ml In 1 Vial (63323-507-01),25.200000000000003,25.200000000000003,,,0 HCPCS,J2185,Meropenem: 10 Vial In 1 Carton (63323-508-30) / 20 Ml In 1 Vial (63323-508-01),15.51,15.51,,,0 HCPCS,J2185,Meropenem: 10 Vial In 1 Carton (63323-508-31) / 20 Ml In 1 Vial (63323-508-21),5.9,5.9,,,0 HCPCS,J2185,NDC Description Not Available,11.8,11.8,,,0 HCPCS,J2186,"Inj., meropenem, vaborbactam",,,2.18,4.94,7 HCPCS,J2210,Methylergonovin maleate inj,,,29.78,40.81,5 HCPCS,J2210,Methylergonovine Maleate: 10 Ampule In 1 Box (51991-144-17) / 1 Ml In 1 Ampule,132.4,132.4,,,0 HCPCS,J2210,NDC Description Not Available,132.4,132.4,,,0 HCPCS,J2212,Methylnaltrexone injection,,,1.78,3.15,4 HCPCS,J2212,NDC Description Not Available,4.01,4.01,,,0 HCPCS,J2212,Relistor: 1 Blister Pack In 1 Carton (65649-551-07) / 1 Syringe In 1 Blister Pack / .6 Ml In 1 Syringe,12.530000000000001,12.530000000000001,,,0 HCPCS,J2246,"Inj, micafungin (baxter)",,,0.69,1.53,5 HCPCS,J2247,"Inj, micafungin (par pharm)",,,0.49,0.69,5 HCPCS,J2247,"Micafungin: 10 Vial, Single-Dose In 1 Carton (42023-230-10) / 10 Ml In 1 Vial, Single-Dose",10.02,10.02,,,0 HCPCS,J2247,NDC Description Not Available,9.225,9.225,,,0 HCPCS,J2248,Micafungin sodium injection,,,0.38,1.29,5 HCPCS,J2248,"Micafungin: 1 Vial In 1 Carton (0143-9361-01) / 5 Injection, Powder, Lyophilized, For Solution In 1 Vial",8.38,8.38,,,0 HCPCS,J2248,Micafungin: 1 Vial In 1 Carton (25021-191-10) / 5 Ml In 1 Vial,12.11,12.11,,,0 HCPCS,J2248,"Micafungin: 10 Carton In 1 Carton (63323-728-10) / 1 Vial, Single-Dose In 1 Carton (63323-728-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",4.83,4.83,,,0 HCPCS,J2248,"Micafungin: 10 Carton In 1 Carton (63323-729-10) / 1 Vial, Single-Dose In 1 Carton (63323-729-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",3.0,3.0,,,0 HCPCS,J2248,"Mycamine: 10 Vial, Single-Dose In 1 Carton (0469-3211-10) / 10 Ml In 1 Vial, Single-Dose",12.49,12.49,,,0 HCPCS,J2248,"Mycamine: 10 Vial, Single-Dose In 1 Carton (0469-3250-10) / 5 Ml In 1 Vial, Single-Dose",11.379999999999999,11.379999999999999,,,0 HCPCS,J2248,NDC Description Not Available,4.305,4.305,,,0 HCPCS,J2249,"Inj, remimazolam, 1 mg",,,3.02,4.87,3 HCPCS,J2250,Hc Midazolam (Pf) 1 Mg/Ml Inj Soln - 2 Ml,69.0,69.0,,,0 HCPCS,J2250,Hc Midazolam (Pf) 5 Mg/Ml Inj Soln - 5 Ml,69.0,69.0,,,0 HCPCS,J2250,Inj midazolam hydrochloride,,,0.21,0.69,5 HCPCS,J2250,Midazolam: 10 VIAL in 1 BOX (55390-125-10) / 10 mL in 1 VIAL,21.59,21.59,,,0 HCPCS,J2250,Midazolam: 10 VIAL in 1 BOX (55390-137-02) / 2 mL in 1 VIAL,31.47,31.47,,,0 HCPCS,J2250,Midazolam: 10 VIAL in 1 BOX (55390-137-05) / 5 mL in 1 VIAL,29.5,29.5,,,0 HCPCS,J2250,Midazolam: 10 Vial In 1 Carton (0641-6060-10) / 10 Ml In 1 Vial (0641-6060-01),1.16,1.16,,,0 HCPCS,J2250,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2305-05) / 5 Ml In 1 Vial, Single-Dose (0409-2305-04)",11.12,11.12,,,0 HCPCS,J2250,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2305-50) / 5 Ml In 1 Vial, Single-Dose (0409-2305-55)",29.5,29.5,,,0 HCPCS,J2250,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2308-02) / 2 Ml In 1 Vial, Single-Dose (0409-2308-22)",0.91,0.91,,,0 HCPCS,J2250,"Midazolam: 25 Vial, Single-Dose In 1 Carton (70860-600-02) / 2 Ml In 1 Vial, Single-Dose (70860-600-41)",28.53,28.53,,,0 HCPCS,J2250,"Midazolam: 25 Vial, Single-Dose In 1 Tray (0409-2305-17) / 2 Ml In 1 Vial, Single-Dose (0409-2305-16)",7.04,7.04,,,0 HCPCS,J2250,NDC Description Not Available,19.055,19.055,,,0 HCPCS,J2251,Inj midazolam (wg crit care),,,0.23,0.69,5 HCPCS,J2251,NDC Description Not Available,1.93,1.93,,,0 HCPCS,J2252,Inj midazolam in 0.8% nacl,,,0.09,0.69,4 HCPCS,J2253,Inj midazolam (seizalam),,,0.69,0.69,1 HCPCS,J2260,Inj milrinone lactate / 5 mg,,,1.89,3.3,5 HCPCS,J2260,Milrinone Lactate In Dextrose: 10 Bag In 1 Carton (0338-6010-48) / 100 Ml In 1 Bag,48.25,48.25,,,0 HCPCS,J2260,Milrinone Lactate In Dextrose: 10 Bag In 1 Carton (25021-313-82) / 100 Ml In 1 Bag,48.25,48.25,,,0 HCPCS,J2260,Milrinone Lactate In Dextrose: 10 Container In 1 Package (0143-9719-10) / 100 Ml In 1 Container (0143-9719-01),50.22,50.22,,,0 HCPCS,J2260,Milrinone Lactate: 10 VIAL in 1 BOX (55390-020-10) / 20 mL in 1 VIAL,35.18,35.18,,,0 HCPCS,J2260,"Milrinone Lactate: 10 Vial, Single-Dose In 1 Tray (63323-617-10) / 10 Ml In 1 Vial, Single-Dose (63323-617-01)",26.51,26.51,,,0 HCPCS,J2260,"Milrinone Lactate: 10 Vial, Single-Dose In 1 Tray (63323-617-20) / 20 Ml In 1 Vial, Single-Dose (63323-617-02)",28.58,28.58,,,0 HCPCS,J2260,NDC Description Not Available,24.09,24.09,,,0 HCPCS,J2265,Minocycline hydrochloride,,,2.67,5.74,7 HCPCS,J2265,NDC Description Not Available,16.89,16.89,,,0 HCPCS,J2267,"Inj, mirikizumab-mrkz, 1 mg",,,43.05,89.3,8 HCPCS,J2267,"Omvoh: 1 Vial, Single-Dose In 1 Carton (0002-7575-01) / 15 Ml In 1 Vial, Single-Dose",214.25,214.25,,,0 HCPCS,J2270,Hc Morphine 10 Mg/Ml Inj Soln (1 Ml Vial),69.0,69.0,,,0 HCPCS,J2270,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1890-01) / 1 Ml In 1 Cartridge (0409-1890-03),29.5,29.5,,,0 HCPCS,J2270,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1893-01) / 1 Ml In 1 Cartridge (0409-1893-03),59.0,59.0,,,0 HCPCS,J2270,Morphine sulfate injection,,,3.27,8.42,5 HCPCS,J2270,NDC Description Not Available,39.345,39.345,,,0 HCPCS,J2272,"Inj, morphine (fresenius)",,,6.7,15.04,5 HCPCS,J2272,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Box (63323-451-01) / 1 Ml In 1 Vial, Single-Dose (63323-451-00)",25.03,25.03,,,0 HCPCS,J2272,NDC Description Not Available,39.019999999999996,39.019999999999996,,,0 HCPCS,J2274,Duramorph: 10 Ampule In 1 Carton (0641-6019-10) / 10 Ml In 1 Ampule (0641-6019-01),80.27,80.27,,,0 HCPCS,J2274,In morphine preservativ free,,,14.57,26.04,5 HCPCS,J2274,"Mitigo: 1 Ml In 1 Vial, Single-Use (66794-162-02)",47.43,47.43,,,0 HCPCS,J2274,"Morphine Sulfate: 5 Vial, Glass In 1 Carton (0409-3815-12) / 10 Ml In 1 Vial, Glass (0409-3815-11)",96.97,96.97,,,0 HCPCS,J2274,NDC Description Not Available,114.19,114.19,,,0 HCPCS,J2277,"Inj, motixafortide, 0.25 mg",,,25.22,226.85,9 HCPCS,J2278,Ziconotide injection,,,10.14,18.74,9 HCPCS,J2280,"Inj, moxifloxacin 100 mg",,,11.76,16.21,5 HCPCS,J2281,Inj moxifloxacin (fres kabi),,,10.18,14.36,5 HCPCS,J2290,"Inj, nafcillin sodium, 20 mg",,,0.08,0.46,5 HCPCS,J2291,"Inj, nafcillin (baxter) 20mg",,,0.23,0.23,1 HCPCS,J2300,Inj nalbuphine hydrochloride,,,4.46,6.49,5 HCPCS,J2300,NDC Description Not Available,59.0,59.0,,,0 HCPCS,J2300,"Nalbuphine Hydrochloride: 25 Carton In 1 Case (0409-1464-01) / 1 Vial, Multi-Dose In 1 Carton (0409-1464-61) / 10 Ml In 1 Vial, Multi-Dose",59.0,59.0,,,0 HCPCS,J2305,"Inj, nitroglycerin, 5 mg",,,1.92,2.63,3 HCPCS,J2305,NDC Description Not Available,10.42,10.42,,,0 HCPCS,J2305,"Nitroglycerin In Dextrose: 12 Bottle, Glass In 1 Box (0338-1049-02) / 250 Ml In 1 Bottle, Glass",107.18,107.18,,,0 HCPCS,J2305,"Nitroglycerin in Dextrose: 250 mL in 1 BOTTLE, GLASS (0409-1482-02)",19.3,19.3,,,0 HCPCS,J2305,"Nitroglycerin: 25 Vial, Single-Dose In 1 Tray (0517-4810-25) / 10 Ml In 1 Vial, Single-Dose (0517-4810-01)",85.63,85.63,,,0 HCPCS,J2310,Inj naloxone hydrochloride,,,12.59,14.36,2 HCPCS,J2310,NDC Description Not Available,117.25,117.25,,,0 HCPCS,J2310,"Naloxone Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (36000-310-02) / 10 Ml In 1 Vial, Multi-Dose (36000-310-01)",117.25,117.25,,,0 HCPCS,J2310,Naloxone Hydrochloride: 10 AMPULE in 1 TRAY (0409-1212-01) / 1 mL in 1 AMPULE,66.66,66.66,,,0 HCPCS,J2310,Naloxone Hydrochloride: 10 Syringe In 1 Box (76329-1469-1) / 2 Ml In 1 Syringe,107.92,107.92,,,0 HCPCS,J2310,Naloxone Hydrochloride: 10 Syringe In 1 Box (76329-3369-1) / 2 Ml In 1 Syringe,109.23,109.23,,,0 HCPCS,J2310,"Naloxone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0409-1215-01) / 1 Ml In 1 Vial, Single-Dose (0409-1215-21)",121.62,121.62,,,0 HCPCS,J2310,"Naloxone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (36000-308-10) / 1 Ml In 1 Vial, Single-Dose (36000-308-01)",83.75,83.75,,,0 HCPCS,J2310,"Naloxone Hydrochloride: 25 Carton In 1 Case (0409-1219-01) / 1 Vial, Multi-Dose In 1 Carton / 10 Ml In 1 Vial, Multi-Dose (0409-1219-41)",198.89,198.89,,,0 HCPCS,J2311,"Inj, naloxone hcl (zimhi)",,,2.48,13.7,2 HCPCS,J2312,"Inj naloxone hcl nos, 0.01mg",,,0.09,0.13,3 HCPCS,J2313,"Inj, naloxone (zimhi) 0.01mg",,,0.02,0.04,3 HCPCS,J2315,"Naltrexone, depot form",,,4.24,7.84,9 HCPCS,J2315,"Vivitrol: 1 Kit In 1 Carton (65757-300-01) * 4 Ml In 1 Vial, Glass (65757-302-02) * 4 Ml In 1 Vial, Glass (65757-304-03)",22.86,22.86,,,0 HCPCS,J2320,Nandrolone decanoate 50 MG,,,5.06,7.86,4 HCPCS,J2323,Natalizumab injection,,,24.0,44.64,9 HCPCS,J2323,"Tysabri: 1 Vial, Single-Use In 1 Carton (64406-008-01) / 15 Ml In 1 Vial, Single-Use",185.93,185.93,,,0 HCPCS,J2325,Nesiritide injection,,,48.03,156.66,4 HCPCS,J2326,"Inj, nusinersen, 0.1mg",,,1190.63,2706.53,7 HCPCS,J2326,"Spinraza: 1 Vial, Single-Use In 1 Box (64406-058-01) / 5 Ml In 1 Vial, Single-Use",7505.51,7505.51,,,0 HCPCS,J2327,Inj risankizumab-rzaa 1 mg,,,14.94,27.45,9 HCPCS,J2327,"Skyrizi: 1 Vial, Single-Dose In 1 Carton (0074-5015-01) / 10 Ml In 1 Vial, Single-Dose",64.55,64.55,,,0 HCPCS,J2329,"Briumvi: 1 Vial, Single-Dose In 1 Carton (73150-150-06) / 6 Ml In 1 Vial, Single-Dose",321.48,321.48,,,0 HCPCS,J2329,"Inj ublituximab-xiiy, 1 mg",,,70.75,133.02,8 HCPCS,J2350,"Injection, ocrelizumab, 1 mg",,,59.41,110.45,9 HCPCS,J2350,"Ocrevus: 1 Vial, Single-Use In 1 Carton (50242-150-01) / 10 Ml In 1 Vial, Single-Use",445.36,445.36,,,0 HCPCS,J2351,Inj ocrelizumab 1mg hya-ocsq,,,47.23,87.39,7 HCPCS,J2353,NDC Description Not Available,1543.62,1543.62,,,0 HCPCS,J2353,"Octreotide injection, depot",,,203.58,392.57,9 HCPCS,J2353,Sandostatin Lar Depot: 1 Kit In 1 Kit (0078-0818-81) * 6 Ml In 1 Vial (0078-0797-61) * 2 Ml In 1 Syringe,1355.51,1355.51,,,0 HCPCS,J2353,Sandostatin Lar Depot: 1 Kit In 1 Kit (0078-0825-81) * 2 Ml In 1 Syringe * 6 Ml In 1 Vial (0078-0804-61),1541.01,1541.01,,,0 HCPCS,J2354,NDC Description Not Available,14.834999999999999,14.834999999999999,,,0 HCPCS,J2354,OCTREOTIDE ACETATE: 10 AMPULE in 1 PACKAGE (62756-349-44) / 1 mL in 1 AMPULE,20.87,20.87,,,0 HCPCS,J2354,"Octreotide Acetate: 1 Vial, Multi-Dose In 1 Carton (0641-6178-01) / 5 Ml In 1 Vial, Multi-Dose",8.04,8.04,,,0 HCPCS,J2354,"Octreotide Acetate: 10 Vial, Glass In 1 Carton (23155-689-41) / 1 Ml In 1 Vial, Glass (23155-689-31)",7.17,7.17,,,0 HCPCS,J2354,"Octreotide Acetate: 5 Ml In 1 Vial, Glass (23155-686-31)",6.98,6.98,,,0 HCPCS,J2354,"Octreotide inj, non-depot",,,0.82,1.8,5 HCPCS,J2354,"Octreotide: 1 Vial, Multi-Dose In 1 Carton (63323-379-05) / 5 Ml In 1 Vial, Multi-Dose",16.65,16.65,,,0 HCPCS,J2354,"Octreotide: 10 Vial, Single-Dose In 1 Tray (63323-377-01) / 1 Ml In 1 Vial, Single-Dose (63323-377-00)",16.65,16.65,,,0 HCPCS,J2355,Oprelvekin injection,,,394.94,978.5,4 HCPCS,J2356,"Inj tezepelumab-ekko, 1mg",,,18.01,33.86,9 HCPCS,J2356,Tezspire: 1 Syringe In 1 Carton (55513-112-01) / 1.91 Ml In 1 Syringe,107.54,107.54,,,0 HCPCS,J2357,Omalizumab injection,,,44.6,75.04,9 HCPCS,J2357,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-214-01) / .5 Ml In 1 Syringe, Glass",307.95,307.95,,,0 HCPCS,J2357,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-214-03) / .5 Ml In 1 Syringe, Glass",316.27,316.27,,,0 HCPCS,J2357,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-215-01) / 1 Ml In 1 Syringe, Glass",299.9,299.9,,,0 HCPCS,J2357,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-215-03) / 1 Ml In 1 Syringe, Glass",316.27,316.27,,,0 HCPCS,J2357,"Xolair: 1 Syringe, Glass In 1 Carton (50242-227-01) / 2 Ml In 1 Syringe, Glass",276.06,276.06,,,0 HCPCS,J2357,"Xolair: 1 Vial, Single-Use In 1 Carton (50242-040-62) / 1.2 Ml In 1 Vial, Single-Use",309.83,309.83,,,0 HCPCS,J2358,Olanzapine long-acting inj,,,3.94,5.4,5 HCPCS,J2359,"Inj. olanzapine, 0.5mg",,,1.23,1.68,4 HCPCS,J2359,Olanzapine: 1 Vial In 1 Carton (0781-3159-72) / 2 Ml In 1 Vial,9.72,9.72,,,0 HCPCS,J2359,"Olanzapine: 1 Vial, Glass In 1 Carton (0517-0955-01) / 2 Ml In 1 Vial, Glass",13.27,13.27,,,0 HCPCS,J2359,"Olanzapine: 1 Vial, Single-Dose In 1 Carton (55150-308-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",11.87,11.87,,,0 HCPCS,J2360,Orphenadrine injection,,,8.39,23.08,5 HCPCS,J2370,Phenylephrine hcl injection,,,4.45,4.45,1 HCPCS,J2371,Inj phenylephrine hcl 20 mcg,,,0.01,0.02,3 HCPCS,J2371,NDC Description Not Available,0.06,0.06,,,0 HCPCS,J2371,"Phenylephrine Hydrochloride: 10 Vial, Pharmacy Bulk Package In 1 Carton (42023-214-10) / 5 Ml In 1 Vial, Pharmacy Bulk Package",0.06,0.06,,,0 HCPCS,J2371,Phenylephrine Hydrochloride: 25 VIAL in 1 CARTON (0517-0405-25) / 5 mL in 1 VIAL,0.03,0.03,,,0 HCPCS,J2371,"Phenylephrine Hydrochloride: 25 VIAL, SINGLE-DOSE in 1 CARTON (66758-016-04) / 5 mL in 1 VIAL, SINGLE-DOSE (66758-016-03)",0.02,0.02,,,0 HCPCS,J2371,Phenylephrine Hydrochloride: 25 Vial In 1 Carton (0641-6142-25) / 1 Ml In 1 Vial (0641-6142-01),0.07,0.07,,,0 HCPCS,J2372,"Inj, biorphen, 20 micrograms",,,0.23,0.31,4 HCPCS,J2373,"Inj, immphentiv, 20 mcg",,,0.18,0.24,4 HCPCS,J2400,Chloroprocaine hcl injection,,,46.07,46.07,1 HCPCS,J2401,Chloroprocaine hcl injection,,,0.05,0.69,5 HCPCS,J2401,NDC Description Not Available,0.305,0.305,,,0 HCPCS,J2401,"Nesacaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-477-27) / 20 Ml In 1 Vial, Single-Dose (63323-477-01)",0.44,0.44,,,0 HCPCS,J2401,"Nesacaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-478-27) / 20 Ml In 1 Vial, Single-Dose (63323-478-01)",0.29,0.29,,,0 HCPCS,J2402,Chloroprocaine (clorotekal),,,0.42,0.69,4 HCPCS,J2403,"Chloroprocaine opht gel, 1mg",,,0.58,1.11,8 HCPCS,J2404,"Inj, nicardipine 0.1 mg",,,0.11,0.17,4 HCPCS,J2404,NDC Description Not Available,0.92,0.92,,,0 HCPCS,J2404,Nicardipine Hydrochloride: 10 Vial In 1 Carton (0143-9689-10) / 10 Ml In 1 Vial (0143-9689-01),0.79,0.79,,,0 HCPCS,J2405,Hc Ondansetron Hcl 2 Mg/Ml Iv Soln,69.0,69.0,,,0 HCPCS,J2405,NDC Description Not Available,11.98,11.98,,,0 HCPCS,J2405,Ondansetron hcl injection,,,0.14,1.12,5 HCPCS,J2405,"Ondansetron: 1 VIAL, MULTI-DOSE in 1 BOX (55390-121-01) / 20 mL in 1 VIAL, MULTI-DOSE",14.75,14.75,,,0 HCPCS,J2405,Ondansetron: 1 Vial In 1 Box (63323-374-20) / 20 Ml In 1 Vial,3.39,3.39,,,0 HCPCS,J2405,Ondansetron: 1 Vial In 1 Carton (23155-549-31) / 20 Ml In 1 Vial,1.47,1.47,,,0 HCPCS,J2405,"Ondansetron: 1 Vial, Multi-Dose In 1 Carton (0409-4759-01) / 20 Ml In 1 Vial, Multi-Dose",14.75,14.75,,,0 HCPCS,J2405,"Ondansetron: 24 Blister Pack In 1 Carton (76045-103-20) / 1 Syringe, Glass In 1 Blister Pack (76045-103-00) / 2 Ml In 1 Syringe, Glass",29.5,29.5,,,0 HCPCS,J2405,Ondansetron: 25 Vial In 1 Carton (0641-6078-25) / 2 Ml In 1 Vial (0641-6078-01),12.27,12.27,,,0 HCPCS,J2405,Ondansetron: 25 Vial In 1 Carton (23155-547-42) / 2 Ml In 1 Vial (23155-547-31),8.85,8.85,,,0 HCPCS,J2405,Ondansetron: 25 Vial In 1 Tray (63323-373-02) / 2 Ml In 1 Vial (63323-373-00),14.75,14.75,,,0 HCPCS,J2406,"Injection, oritavancin 10 mg",,,42.48,76.59,9 HCPCS,J2407,"Injection, oritavancin",,,28.68,52.76,9 HCPCS,J2410,Oxymorphone hcl injection,,,3.73,6.94,4 HCPCS,J2425,NDC Description Not Available,217.05,217.05,,,0 HCPCS,J2425,Palifermin injection,,,35.55,66.43,9 HCPCS,J2426,"Erzofri Extended-Release: 1 Syringe, Glass In 1 Kit (72526-105-11) / .25 Ml In 1 Syringe, Glass",88.72,88.72,,,0 HCPCS,J2426,"Erzofri Extended-Release: 1 Syringe, Glass In 1 Kit (72526-108-11) / 1 Ml In 1 Syringe, Glass",103.23,103.23,,,0 HCPCS,J2426,"Erzofri Extended-Release: 1 Syringe, Glass In 1 Kit (72526-109-11) / 1.5 Ml In 1 Syringe, Glass",88.73,88.73,,,0 HCPCS,J2426,Invega Sustenna: 1 Syringe In 1 Kit (50458-560-01) / .25 Ml In 1 Syringe,100.51,100.51,,,0 HCPCS,J2426,Invega Sustenna: 1 Syringe In 1 Kit (50458-561-01) / .5 Ml In 1 Syringe,100.12,100.12,,,0 HCPCS,J2426,Invega Sustenna: 1 Syringe In 1 Kit (50458-563-01) / 1 Ml In 1 Syringe,83.48,83.48,,,0 HCPCS,J2426,Invega Sustenna: 1 Syringe In 1 Kit (50458-563-03) / 1 Ml In 1 Syringe,44.36,44.36,,,0 HCPCS,J2426,Invega Sustenna: 1 Syringe In 1 Kit (50458-564-01) / 1.5 Ml In 1 Syringe,98.71,98.71,,,0 HCPCS,J2426,Paliperidone palmitate inj,,,15.11,27.9,9 HCPCS,J2427,"Inj, invega hafyera/trinza",,,13.0,23.98,8 HCPCS,J2427,Invega Trinza: 1 Syringe In 1 Kit (50458-606-01) / 1 Ml In 1 Syringe,85.99,85.99,,,0 HCPCS,J2427,Invega Trinza: 1 Syringe In 1 Kit (50458-608-01) / 1 Ml In 1 Syringe,86.49,86.49,,,0 HCPCS,J2427,Invega Trinza: 1 Syringe In 1 Kit (50458-609-01) / 1 Ml In 1 Syringe,85.77,85.77,,,0 HCPCS,J2428,"Inj, erzofri, 1 mg",,,16.76,36.96,7 HCPCS,J2430,Pamidronate disodium /30 mg,,,14.46,20.76,5 HCPCS,J2440,NDC Description Not Available,230.815,230.815,,,0 HCPCS,J2440,Papaverin hcl injection,,,51.64,83.25,4 HCPCS,J2440,"Papaverine Hydrochloride: 10 Vial, Single-Use In 1 Carton (14789-121-05) / 2 Ml In 1 Vial, Single-Use (14789-121-07)",209.38,209.38,,,0 HCPCS,J2440,Papaverine Hydrochloride: 25 Vial In 1 Carton (0517-4002-25) / 2 Ml In 1 Vial (0517-4002-01),230.49,230.49,,,0 HCPCS,J2440,Papaverine Hydrochloride: 25 Vial In 1 Carton (72516-024-25) / 2 Ml In 1 Vial,245.53,245.53,,,0 HCPCS,J2460,Oxytetracycline injection,,,1.27,2.04,3 HCPCS,J2468,"Inj, palonosetron (avyxa)",,,2.02,108.85,9 HCPCS,J2469,NDC Description Not Available,33.5,33.5,,,0 HCPCS,J2469,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0409-2504-10) / 5 Ml In 1 Vial, Single-Dose",53.05,53.05,,,0 HCPCS,J2469,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0781-3312-75) / 5 Ml In 1 Vial, Single-Dose",23.46,23.46,,,0 HCPCS,J2469,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (71288-409-05) / 5 Ml In 1 Vial, Single-Dose",6.03,6.03,,,0 HCPCS,J2469,Palonosetron hcl,,,0.53,2.02,5 HCPCS,J2469,Palonosetron: 1 Vial In 1 Carton (60505-6193-1) / 5 Ml In 1 Vial,12.06,12.06,,,0 HCPCS,J2469,"Palonosetron: 1 Vial, Single-Use In 1 Carton (16714-834-01) / 5 Ml In 1 Vial, Single-Use",189.42,189.42,,,0 HCPCS,J2469,"Palonosetron: 1 Vial, Single-Use In 1 Carton (55111-694-07) / 5 Ml In 1 Vial, Single-Use",33.36,33.36,,,0 HCPCS,J2470,Inj pantoprazole sodium 40mg,,,2.61,16.14,4 HCPCS,J2470,NDC Description Not Available,57.425,57.425,,,0 HCPCS,J2470,Pantoprazole Sodium: 10 Vial In 1 Carton (25021-751-10) / 10 Ml In 1 Vial,59.0,59.0,,,0 HCPCS,J2470,"Pantoprazole Sodium: 10 Vial, Single-Dose In 1 Carton (55150-202-10) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (55150-202-00)",57.555,57.555,,,0 HCPCS,J2470,Protonix I.V.: 1 Vial In 1 Carton (0008-0923-51) / 10 Ml In 1 Vial,58.77,58.77,,,0 HCPCS,J2470,Protonix I.V.: 10 Carton In 1 Package (0008-0923-55) / 1 Vial In 1 Carton / 10 Ml In 1 Vial,59.0,59.0,,,0 HCPCS,J2471,Inj pantoprazole(hikma) 40mg,,,7.05,14.43,4 HCPCS,J2471,NDC Description Not Available,58.32,58.32,,,0 HCPCS,J2471,"Pantoprazole Sodium: 10 Vial In 1 Carton (0143-9284-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9284-01)",57.85,57.85,,,0 HCPCS,J2472,"Inj, pantoprazole sodium chl",,,12.14,19.57,3 HCPCS,J2501,Paricalcitol,,,0.9,1.49,5 HCPCS,J2502,"Inj, pasireotide long acting",,,572.96,1660.0,9 HCPCS,J2503,Pegaptanib sodium injection,,,1060.43,1645.11,4 HCPCS,J2504,"Pegademase bovine, 25 iu",,,255.12,770.64,4 HCPCS,J2506,Inj pegfilgrast ex bio 0.5mg,,,32.97,247.84,9 HCPCS,J2506,Neulasta: 1 Kit In 1 Carton (55513-192-01) * .6 Ml In 1 Syringe,3583.38,3583.38,,,0 HCPCS,J2506,Neulasta: 1 Syringe In 1 Carton (55513-190-01) / .6 Ml In 1 Syringe,3399.62,3399.62,,,0 HCPCS,J2507,Krystexxa: 1 Vial In 1 Carton (75987-080-10) / 1 Ml In 1 Vial,24399.01,24399.01,,,0 HCPCS,J2507,Pegloticase injection,,,3660.83,6731.89,9 HCPCS,J2508,Pegunigalsidase alfa-iwxj,,,228.16,426.02,8 HCPCS,J2510,Penicillin g procaine inj,,,61.32,102.01,4 HCPCS,J2513,Pentastarch 10% solution,,,17.17,29.42,3 HCPCS,J2515,Nembutal Sodium: 1 VIAL in 1 CARTON (67386-501-52) / 20 mL in 1 VIAL,469.0,469.0,,,0 HCPCS,J2515,Pentobarbital Sodium: 1 Vial In 1 Carton (24201-010-20) / 20 Ml In 1 Vial,405.44,405.44,,,0 HCPCS,J2515,Pentobarbital Sodium: 1 Vial In 1 Carton (25021-676-20) / 20 Ml In 1 Vial,468.55,468.55,,,0 HCPCS,J2515,Pentobarbital sodium inj,,,27.99,117.25,7 HCPCS,J2540,NDC Description Not Available,18.25,18.25,,,0 HCPCS,J2540,"Penicillin G Potassium: 1 Vial In 1 Carton (0781-6136-94) / 1 Injection, Powder, For Solution In 1 Vial",12.31,12.31,,,0 HCPCS,J2540,"Penicillin G Potassium: 1 Vial In 1 Carton (72603-210-01) / 1 Injection, Powder, For Solution In 1 Vial",22.05,22.05,,,0 HCPCS,J2540,"Penicillin G Potassium: 10 Vial In 1 Tray (44567-311-10) / 1 Injection, Powder, For Solution In 1 Vial",25.15,25.15,,,0 HCPCS,J2540,Penicillin g potassium inj,,,1.18,1.63,5 HCPCS,J2540,"Pfizerpen: 1 Vial In 1 Carton (0049-0530-28) / 1 Powder, For Solution In 1 Vial",24.385,24.385,,,0 HCPCS,J2540,"Pfizerpen: 10 Vial In 1 Carton (0049-0520-83) / 1 Powder, For Solution In 1 Vial (0049-0520-84)",20.77,20.77,,,0 HCPCS,J2543,NDC Description Not Available,45.86,45.86,,,0 HCPCS,J2543,"Piperacillin And Tazobactam: 10 Vial In 1 Box (44567-802-10) / 1 Injection, Powder, For Solution In 1 Vial",30.555,30.555,,,0 HCPCS,J2543,"Piperacillin And Tazobactam: 10 Vial In 1 Box (44567-803-10) / 1 Injection, Powder, For Solution In 1 Vial",31.5,31.5,,,0 HCPCS,J2543,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-119-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",89.41,89.41,,,0 HCPCS,J2543,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-120-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",34.485,34.485,,,0 HCPCS,J2543,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-121-50) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",49.11,49.11,,,0 HCPCS,J2543,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0409-3374-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (0409-3374-11)",96.5,96.5,,,0 HCPCS,J2543,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0409-3378-13) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (0409-3378-11)",36.76,36.76,,,0 HCPCS,J2543,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0409-3379-04) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (0409-3379-11)",48.25,48.25,,,0 HCPCS,J2543,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0781-3110-95) / 10 Ml In 1 Vial, Single-Use (0781-3110-90)",89.52,89.52,,,0 HCPCS,J2543,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0781-3114-95) / 20 Ml In 1 Vial, Single-Use (0781-3114-91)",24.32,24.32,,,0 HCPCS,J2543,Piperacillin/tazobactam,,,1.5,2.08,5 HCPCS,J2543,"Zosyn: 10 VIAL, SINGLE-USE in 1 CARTON (0206-8855-16) / 20 mL in 1 VIAL, SINGLE-USE (0206-8855-08)",23.0,23.0,,,0 HCPCS,J2545,Pentamidine non-comp unit,,,104.59,152.38,5 HCPCS,J2547,"Injection, peramivir",,,1.68,3.52,7 HCPCS,J2550,Promethazine hcl injection,,,3.87,5.89,5 HCPCS,J2560,NDC Description Not Available,150.51999999999998,150.51999999999998,,,0 HCPCS,J2560,Phenobarbital Sodium: 25 Vial In 1 Carton (0641-0476-25) / 1 Ml In 1 Vial (0641-0476-21),164.42,164.42,,,0 HCPCS,J2560,Phenobarbital Sodium: 25 Vial In 1 Carton (0641-0477-25) / 1 Ml In 1 Vial (0641-0477-21),344.62,344.62,,,0 HCPCS,J2560,Phenobarbital sodium inj,,,36.94,60.85,5 HCPCS,J2561,"Inj, sezaby, 1 mg",,,1.07,2.96,6 HCPCS,J2561,"Sezaby: 1 Injection In 1 Vial, Single-Dose (62756-301-01)",9.1,9.1,,,0 HCPCS,J2562,Plerixafor injection,,,25.33,907.4,9 HCPCS,J2590,Hc Oxytocin 10 Unit/Ml Inj Soln (1Ml Vial),69.0,69.0,,,0 HCPCS,J2590,NDC Description Not Available,61.78,61.78,,,0 HCPCS,J2590,Oxytocin injection,,,1.2,3.32,4 HCPCS,J2590,Pitocin: 25 Vial In 1 Tray (42023-116-25) / 1 Ml In 1 Vial,26.91,26.91,,,0 HCPCS,J2597,Ddavp: 10 Ampule In 1 Carton (55566-2200-0) / 1 Ml In 1 Ampule,157.44,157.44,,,0 HCPCS,J2597,Desmopressin Acetate: 1 Ml In 1 Ampule (69918-899-01),112.07,112.07,,,0 HCPCS,J2597,"Desmopressin Acetate: 1 Vial, Multi-Dose In 1 Carton (69918-901-10) / 10 Ml In 1 Vial, Multi-Dose",98.73,98.73,,,0 HCPCS,J2597,Desmopressin Acetate: 10 Ampule In 1 Carton (69918-899-10) / 1 Ml In 1 Ampule,131.31,131.31,,,0 HCPCS,J2597,Inj desmopressin acetate,,,5.25,11.03,5 HCPCS,J2598,"Inj, vasopressin, 1 unit",,,1.39,2.69,4 HCPCS,J2598,NDC Description Not Available,17.54,17.54,,,0 HCPCS,J2598,"Vasopressin: 1 Vial, Multi-Dose In 1 Carton (55150-370-01) / 1 Ml In 1 Vial, Multi-Dose",9.57,9.57,,,0 HCPCS,J2598,Vasostrict: 25 Vial In 1 Carton (42023-164-25) / 1 Ml In 1 Vial (42023-164-01),30.0,30.0,,,0 HCPCS,J2599,Inj vasopressin (am reg) 1 u,,,0.65,1.98,4 HCPCS,J2599,NDC Description Not Available,16.75,16.75,,,0 HCPCS,J2601,"Inj, vasopressin (baxter)",,,2.01,5.99,8 HCPCS,J2650,Prednisolone acetate inj,,,0.7,1.38,3 HCPCS,J2670,Totazoline hcl injection,,,4.64,7.64,3 HCPCS,J2675,Inj progesterone per 50 MG,,,0.85,1.49,5 HCPCS,J2675,"Progesterone: 1 Vial, Multi-Dose In 1 Carton (63323-261-10) / 10 Ml In 1 Vial, Multi-Dose",59.0,59.0,,,0 HCPCS,J2675,"Progesterone: 10 Ml In 1 Vial, Multi-Dose (55150-306-10)",59.0,59.0,,,0 HCPCS,J2679,Inj fluphenazine hcl 1.25 mg,,,10.03,13.75,4 HCPCS,J2680,"Fluphenazine Decanoate: 1 VIAL, MULTI-DOSE in 1 BOX (55390-465-05) / 5 mL in 1 VIAL, MULTI-DOSE",59.0,59.0,,,0 HCPCS,J2680,Fluphenazine Decanoate: 1 Vial In 1 Carton (42023-129-01) / 5 Ml In 1 Vial,94.32,94.32,,,0 HCPCS,J2680,"Fluphenazine Decanoate: 1 Vial, Multi-Dose In 1 Carton (55150-267-05) / 5 Ml In 1 Vial, Multi-Dose",144.72,144.72,,,0 HCPCS,J2680,"Fluphenazine Decanoate: 1 Vial, Multi-Dose In 1 Carton (63323-272-05) / 5 Ml In 1 Vial, Multi-Dose",191.69,191.69,,,0 HCPCS,J2680,Fluphenazine decanoate 25 MG,,,10.17,15.53,5 HCPCS,J2690,NDC Description Not Available,2399.98,2399.98,,,0 HCPCS,J2690,Procainamide Hydrochloride: 10 Vial In 1 Carton (25021-322-10) / 10 Ml In 1 Vial,2010.0,2010.0,,,0 HCPCS,J2690,"Procainamide Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (14789-901-10) / 10 Ml In 1 Vial, Multi-Dose",3216.0,3216.0,,,0 HCPCS,J2690,Procainamide hcl injection,,,256.23,442.04,9 HCPCS,J2700,NDC Description Not Available,17.15,17.15,,,0 HCPCS,J2700,Oxacillin sodium injeciton,,,1.11,1.77,5 HCPCS,J2700,"Oxacillin: 1 Vial, Pharmacy Bulk Package In 1 Box (55150-129-99) / 100 Ml In 1 Vial, Pharmacy Bulk Package",18.59,18.59,,,0 HCPCS,J2700,"Oxacillin: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-811-00) / 100 Ml In 1 Vial, Pharmacy Bulk Package",19.56,19.56,,,0 HCPCS,J2700,"Oxacillin: 10 VIAL in 1 PACKAGE (0781-9111-95) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL (0781-9111-80)",23.42,23.42,,,0 HCPCS,J2700,"Oxacillin: 10 VIAL, PHARMACY BULK PACKAGE in 1 PACKAGE (0781-3103-95) / 100 mL in 1 VIAL, PHARMACY BULK PACKAGE (0781-3103-46)",18.6,18.6,,,0 HCPCS,J2700,"Oxacillin: 10 Vial In 1 Box (55150-127-15) / 1 Injection, Powder, For Solution In 1 Vial",48.62,48.62,,,0 HCPCS,J2700,"Oxacillin: 10 Vial In 1 Box (55150-128-24) / 1 Injection, Powder, For Solution In 1 Vial",23.23,23.23,,,0 HCPCS,J2700,"Oxacillin: 10 Vial In 1 Carton (25021-162-24) / 1 Injection, Powder, For Solution In 1 Vial",24.12,24.12,,,0 HCPCS,J2704,1 VIAL in 1 CARTON (0069-0234-01) / 50 mL in 1 VIAL,3.86,3.86,,,0 HCPCS,J2704,1 VIAL in 1 CARTON (0069-0248-01) / 100 mL in 1 VIAL,1.93,1.93,,,0 HCPCS,J2704,Diprivan: 10 Vial In 1 Box (63323-269-29) / 20 Ml In 1 Vial (63323-269-22),5.915,5.915,,,0 HCPCS,J2704,Diprivan: 10 Vial In 1 Box (63323-269-65) / 100 Ml In 1 Vial (63323-269-35),2.7,2.7,,,0 HCPCS,J2704,Diprivan: 10 Vial In 1 Box (63323-269-67) / 100 Ml In 1 Vial (63323-269-21),1.93,1.93,,,0 HCPCS,J2704,Diprivan: 10 Vial In 1 Box (63323-269-78) / 100 Ml In 1 Vial (63323-269-31),1.93,1.93,,,0 HCPCS,J2704,Diprivan: 20 Vial In 1 Box (63323-269-50) / 50 Ml In 1 Vial (63323-269-30),7.88,7.88,,,0 HCPCS,J2704,"Inj, propofol, 10 mg",,,0.12,0.69,5 HCPCS,J2704,NDC Description Not Available,8.43,8.43,,,0 HCPCS,J2704,Propofol: 10 VIAL in 1 BOX (63323-270-26) / 20 mL in 1 VIAL,11.8,11.8,,,0 HCPCS,J2710,NDC Description Not Available,59.0,59.0,,,0 HCPCS,J2710,"Neostigmine Methylsulfate: 10 Carton In 1 Package (0548-9602-00) / 1 Vial, Multi-Dose In 1 Carton / 10 Ml In 1 Vial, Multi-Dose",8.73,8.73,,,0 HCPCS,J2710,Neostigmine methylslfte inj,,,1.11,2.74,4 HCPCS,J2720,Inj protamine sulfate/10 MG,,,1.35,3.03,5 HCPCS,J2720,NDC Description Not Available,20.36,20.36,,,0 HCPCS,J2720,"Protamine Sulfate: 1 Vial, Single-Dose In 1 Box (63323-229-30) / 25 Ml In 1 Vial, Single-Dose",13.97,13.97,,,0 HCPCS,J2720,"Protamine Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-229-05) / 5 Ml In 1 Vial, Single-Dose (63323-229-01)",21.3,21.3,,,0 HCPCS,J2724,Protein C concentrate,,,2.03,24.8,9 HCPCS,J2725,Inj protirelin per 250 mcg,,,29.4,47.51,3 HCPCS,J2730,Pralidoxime chloride inj,,,119.38,192.47,4 HCPCS,J2760,Phentolaine mesylate inj,,,432.02,807.54,9 HCPCS,J2760,Phentolamine Mesylate: 1 Vial In 1 Box (0143-9564-01) / 1 Ml In 1 Vial,2940.39,2940.39,,,0 HCPCS,J2765,Metoclopramide hcl injection,,,1.35,1.85,5 HCPCS,J2765,Metoclopramide: 25 AMPULE in 1 CONTAINER (0409-3413-01) / 2 mL in 1 AMPULE,6.0,6.0,,,0 HCPCS,J2765,"Metoclopramide: 25 Vial, Single-Dose In 1 Tray (0409-3414-01) / 2 Ml In 1 Vial, Single-Dose (0409-3414-18)",58.73,58.73,,,0 HCPCS,J2765,NDC Description Not Available,58.125,58.125,,,0 HCPCS,J2770,Quinupristin/dalfopristin,,,7.03,1034.54,4 HCPCS,J2777,"Inj, faricimab-svoa, 0.1mg",,,33.88,63.79,9 HCPCS,J2778,Ranibizumab injection,,,86.38,386.06,9 HCPCS,J2779,"Inj, susvimo 0.1 mg",,,78.93,145.1,9 HCPCS,J2780,Ranitidine hydrochloride inj,,,8.28,14.3,2 HCPCS,J2781,"Inj, pegcetacoplan, 1mg",,,139.18,262.53,8 HCPCS,J2782,Inj avacincaptad pegol 0.1mg,,,105.12,195.92,8 HCPCS,J2782,"Izervay: 1 Vial, Single-Dose In 1 Carton (82829-002-01) / .35 Ml In 1 Vial, Single-Dose",703.5,703.5,,,0 HCPCS,J2783,"Elitek: 3 Kit In 1 Carton (0024-5150-10) / 1 Kit In 1 Kit * 1 Ml In 1 Vial, Single-Use (0024-5154-11) * 1 Ml In 1 Ampule (0024-5152-11)",2408.64,2408.64,,,0 HCPCS,J2783,NDC Description Not Available,2435.75,2435.75,,,0 HCPCS,J2783,Rasburicase,,,377.52,696.49,9 HCPCS,J2785,Hc Lexiscan Regadenoson 0.1 Mg,1750.0,1750.0,,,0 HCPCS,J2785,"Lexiscan: 5 Ml In 1 Syringe, Plastic (0469-6501-89)",431.73,431.73,,,0 HCPCS,J2785,Regadenoson injection,,,3.9,96.64,5 HCPCS,J2785,Regadenoson: 1 Syringe In 1 Carton (55150-443-01) / 5 Ml In 1 Syringe,251.25,251.25,,,0 HCPCS,J2785,"Regadenoson: 1 Syringe, Plastic In 1 Carton (0641-6253-01) / 5 Ml In 1 Syringe, Plastic",50.25,50.25,,,0 HCPCS,J2785,"Regadenoson: 1 Syringe, Plastic In 1 Carton (60505-6116-0) / 5 Ml In 1 Syringe, Plastic",41.88,41.88,,,0 HCPCS,J2785,"Regadenoson: 1 Syringe, Plastic In 1 Carton (71288-201-85) / 5 Ml In 1 Syringe, Plastic",33.5,33.5,,,0 HCPCS,J2786,"Injection, reslizumab, 1mg",,,10.95,19.57,9 HCPCS,J2787,"Photrexa Cross-Linking Kit: 2 Pouch In 1 Box (25357-025-03) / 1 Pouch In 1 Pouch / 1 Syringe, Glass In 1 Pouch / 1 Kit In 1 Syringe, Glass",13076.84,13076.84,,,0 HCPCS,J2787,Riboflavin 5?phos opth<=3ml,,,2616.41,5061.6,4 HCPCS,J2788,Rho d immune globulin 50 mcg,,,37.61,51.54,5 HCPCS,J2790,Hc Rho Immune Globulin,757.0,757.0,,,0 HCPCS,J2790,Rho d immune globulin inj,,,111.27,152.48,5 HCPCS,J2791,NDC Description Not Available,74.34,74.34,,,0 HCPCS,J2791,Rhophylac injection,,,6.71,9.19,5 HCPCS,J2791,"Rhophylac: 1 Syringe, Glass In 1 Carton (44206-300-01) / 2 Ml In 1 Syringe, Glass (44206-300-90)",73.79,73.79,,,0 HCPCS,J2792,"Rho(D) immune globulin h, sd",,,25.46,56.92,9 HCPCS,J2793,Rilonacept injection,,,33.79,60.16,4 HCPCS,J2794,"Risperidone, long acting",,,10.98,20.24,9 HCPCS,J2795,NDC Description Not Available,1.4500000000000002,1.4500000000000002,,,0 HCPCS,J2795,Naropin: 12 Bottle In 1 Case (63323-285-64) / 200 Ml In 1 Bottle (63323-285-57),1.14,1.14,,,0 HCPCS,J2795,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-285-23) / 20 Ml In 1 Vial, Single-Dose (63323-285-07)",2.49,2.49,,,0 HCPCS,J2795,Naropin: 5 Ampule In 1 Box (63323-286-20) / 20 Ml In 1 Ampule (63323-286-01),0.97,0.97,,,0 HCPCS,J2795,Naropin: 5 Ampule In 1 Box (63323-287-20) / 20 Ml In 1 Ampule (63323-287-01),0.84,0.84,,,0 HCPCS,J2795,Ropivacaine HCl injection,,,0.07,0.69,5 HCPCS,J2795,"Ropivacaine Hydrochloride: 1 VIAL, SINGLE-DOSE in 1 CARTON (17478-081-30) / 30 mL in 1 VIAL, SINGLE-DOSE",0.46,0.46,,,0 HCPCS,J2796,Romiplostim injection,,,141.25,232.82,2 HCPCS,J2797,"Inj., rolapitant, 0.5 mg",,,1.22,1.96,2 HCPCS,J2798,"Inj., perseris, 0.5 mg",,,12.14,22.46,9 HCPCS,J2799,"Inj, uzedy, 1 mg",,,25.04,46.4,8 HCPCS,J2800,Methocarbamol injection,,,6.47,10.84,5 HCPCS,J2801,"Inj, rykindo, 0.5 mg",,,13.03,27.29,7 HCPCS,J2802,"Inj, romiplostim 1 microgram",,,11.01,20.35,9 HCPCS,J2802,Nplate: 1 Vial In 1 Carton (55513-221-01) / .5 Ml In 1 Vial,137.3,137.3,,,0 HCPCS,J2802,Nplate: 1 Vial In 1 Carton (55513-222-01) / 1 Ml In 1 Vial,191.14,191.14,,,0 HCPCS,J2802,"Nplate: 1 Vial, Single-Dose In 1 Carton (55513-223-01) / .25 Ml In 1 Vial, Single-Dose",132.29,132.29,,,0 HCPCS,J2804,"Inj, rifampin, 1 mg",,,0.21,0.3,3 HCPCS,J2804,"Rifadin Iv: 1 Vial, Glass In 1 Carton (0068-0597-01) / 10 Ml In 1 Vial, Glass",58.3,58.3,,,0 HCPCS,J2805,Hc Injection Sincalide 5Mcg (Kinevac),118.0,118.0,,,0 HCPCS,J2805,Kinevac: 10 Vial In 1 Package (0270-0556-15) / 5 Ml In 1 Vial,240.6,240.6,,,0 HCPCS,J2805,Sincalide injection,,,181.25,251.54,5 HCPCS,J2806,"Inj sincalide, Maia, 5 mcg",,,60.66,60.66,1 HCPCS,J2810,Inj theophylline per 40 MG,,,0.55,1.73,4 HCPCS,J2820,"Leukine: 5 Vial, Single-Dose In 1 Carton (71837-5843-5) / 1 Ml In 1 Vial, Single-Dose (71837-5843-1)",379.59,379.59,,,0 HCPCS,J2820,NDC Description Not Available,392.67,392.67,,,0 HCPCS,J2820,Sargramostim injection,,,50.36,128.98,9 HCPCS,J2840,Inj sebelipase alfa 1 mg,,,539.91,1133.31,7 HCPCS,J2850,"Chirhostim: 8 Ml In 1 Vial, Single-Use (67066-005-01)",219.84,219.84,,,0 HCPCS,J2850,Hc Secroflo Tm Secretin,132.0,132.0,,,0 HCPCS,J2850,Inj secretin synthetic human,,,40.52,91.72,7 HCPCS,J2860,"Injection, siltuximab",,,165.83,314.61,9 HCPCS,J2860,"Sylvant: 1 Vial, Single-Dose In 1 Box (73090-420-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",1008.15,1008.15,,,0 HCPCS,J2865,Inj sulfameth/trim 5 mg/1 mg,,,0.07,0.09,3 HCPCS,J2910,Aurothioglucose injeciton,,,33.08,54.39,3 HCPCS,J2916,"Ferrlecit: 10 Vial, Single-Use In 1 Carton (0024-2792-10) / 5 Ml In 1 Vial, Single-Use (0024-2792-01)",35.62,35.62,,,0 HCPCS,J2916,NDC Description Not Available,42.61,42.61,,,0 HCPCS,J2916,Na ferric gluconate complex,,,2.94,4.03,5 HCPCS,J2919,"Inj, methylpred sod succ 5mg",,,0.32,0.81,5 HCPCS,J2919,"Methylprednisolone Sodium Succinate: 1 Injection, Powder, For Solution In 1 Vial, Multi-Dose (0143-9850-01)",1.93,1.93,,,0 HCPCS,J2919,"Methylprednisolone Sodium Succinate: 1 Injection, Powder, For Solution In 1 Vial, Multi-Dose (0143-9851-01)",1.25,1.25,,,0 HCPCS,J2919,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (43598-128-11) / 8 Ml In 1 Vial, Multi-Dose",1.94,1.94,,,0 HCPCS,J2919,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (63323-265-30) / 16 Ml In 1 Vial, Multi-Dose",1.06,1.06,,,0 HCPCS,J2919,"Methylprednisolone Sodium Succinate: 25 Vial, Single-Dose In 1 Tray (63323-258-03) / 2 Ml In 1 Vial, Single-Dose (63323-258-01)",3.25,3.25,,,0 HCPCS,J2919,NDC Description Not Available,6.49,6.49,,,0 HCPCS,J2919,Solu-Medrol: 1 Vial In 1 Carton (0009-0018-20) / 8 Ml In 1 Vial,2.31,2.31,,,0 HCPCS,J2919,Solu-Medrol: 1 Vial In 1 Carton (0009-0698-01) / 16 Ml In 1 Vial,1.4,1.4,,,0 HCPCS,J2919,Solu-Medrol: 1 Vial In 1 Carton (0009-0698-02) / 16 Ml In 1 Vial,1.23,1.23,,,0 HCPCS,J2919,Solu-Medrol: 1 Vial In 1 Carton (0009-0758-01) / 8 Ml In 1 Vial,1.87,1.87,,,0 HCPCS,J2919,Solu-Medrol: 25 Vial In 1 Carton (0009-0039-28) / 1 Ml In 1 Vial (0009-0039-30),11.004999999999999,11.004999999999999,,,0 HCPCS,J2919,Solu-Medrol: 25 Vial In 1 Carton (0009-0047-22) / 2 Ml In 1 Vial (0009-0047-25),6.03,6.03,,,0 HCPCS,J2919,Solu-Medrol: 5 Vial In 1 Bag (55154-3940-5) / 1 Ml In 1 Vial,29.5,29.5,,,0 HCPCS,J2920,Methylprednisolone injection,,,6.44,10.66,2 HCPCS,J2920,NDC Description Not Available,9.84,9.84,,,0 HCPCS,J2930,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (43598-130-74) / 16 Ml In 1 Vial, Multi-Dose",1.21,1.21,,,0 HCPCS,J2930,Methylprednisolone injection,,,8.52,16.87,2 HCPCS,J2940,Somatrem injection,,,57.09,97.81,3 HCPCS,J2941,Somatropin injection,,,80.72,345.1,4 HCPCS,J2950,Promazine hcl injection,,,0.69,1.92,2 HCPCS,J2993,Reteplase injection,,,2904.58,6706.69,7 HCPCS,J2995,Inj streptokinase /250000 IU,,,107.33,173.44,4 HCPCS,J2997,"Activase: 1 Kit In 1 Carton (50242-044-13) * 50 Ml In 1 Vial, Single-Use * 50 Ml In 1 Vial, Single-Use",589.62,589.62,,,0 HCPCS,J2997,"Activase: 1 Kit In 1 Carton (50242-085-27) * 100 Ml In 1 Vial, Single-Use * 100 Ml In 1 Vial, Single-Use",589.62,589.62,,,0 HCPCS,J2997,Alteplase recombinant,,,94.45,174.18,9 HCPCS,J2997,Cathflo Activase: 1 Vial In 1 Carton (50242-041-64) / 2 Ml In 1 Vial,588.33,588.33,,,0 HCPCS,J2997,Cathflo Activase: 10 Vial In 1 Carton (50242-041-10) / 2 Ml In 1 Vial,651.0799999999999,651.0799999999999,,,0 HCPCS,J2997,NDC Description Not Available,589.62,589.62,,,0 HCPCS,J2998,Inj plasminogen tvmh 1mg,,,32.77,80.53,7 HCPCS,J3000,Streptomycin injection,,,42.32,65.88,5 HCPCS,J3010,"Fentanyl Citrate: 1 Vial, Single-Dose In 1 Carton (63323-806-50) / 50 Ml In 1 Vial, Single-Dose",7.109999999999999,7.109999999999999,,,0 HCPCS,J3010,Fentanyl Citrate: 10 Ampule In 1 Cello Pack (0409-9093-32) / 2 Ml In 1 Ampule (0409-9093-37),59.0,59.0,,,0 HCPCS,J3010,Fentanyl Citrate: 10 Ampule In 1 Cello Pack (0409-9093-35) / 5 Ml In 1 Ampule (0409-9093-45),12.97,12.97,,,0 HCPCS,J3010,"Fentanyl Citrate: 25 Carton In 1 Tray (0409-9094-61) / 1 Vial, Single-Dose In 1 Carton / 50 Ml In 1 Vial, Single-Dose (0409-9094-41)",5.83,5.83,,,0 HCPCS,J3010,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Carton (63323-806-01) / 1 Ml In 1 Vial, Single-Dose (63323-806-11)",53.52,53.52,,,0 HCPCS,J3010,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-22) / 2 Ml In 1 Vial, Single-Dose (0409-9094-12)",59.0,59.0,,,0 HCPCS,J3010,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-31) / 20 Ml In 1 Vial, Single-Dose (0409-9094-16)",39.34,39.34,,,0 HCPCS,J3010,Fentanyl Citrate: 50 Ml In 1 Vial (0641-6030-01),7.345000000000001,7.345000000000001,,,0 HCPCS,J3010,Fentanyl citrate injeciton,,,1.3,1.78,5 HCPCS,J3010,Hc Fentanyl Citrate (Pf) 0.05 Mg/Ml- 2 Ml Amp.,69.0,69.0,,,0 HCPCS,J3010,NDC Description Not Available,16.075000000000003,16.075000000000003,,,0 HCPCS,J3030,"Sumatriptan Succinate: 1 Vial, Single-Dose In 1 Carton (63323-273-01) / .5 Ml In 1 Vial, Single-Dose",328.3,328.3,,,0 HCPCS,J3030,Sumatriptan succinate / 6 MG,,,50.95,267.18,4 HCPCS,J3030,"Sumatriptan: 5 Vial, Single-Dose In 1 Carton (55150-173-01) / .5 Ml In 1 Vial, Single-Dose",73.7,73.7,,,0 HCPCS,J3031,"Inj., fremanezumab-vfrm 1 mg",,,4.3,7.46,4 HCPCS,J3032,Inj. eptinezumab-jjmr 1 mg,,,19.97,36.72,9 HCPCS,J3032,"Vyepti: 1 Vial, Single-Dose In 1 Carton (67386-130-51) / 1 Ml In 1 Vial, Single-Dose",122.46,122.46,,,0 HCPCS,J3055,Inj talquetamab-tgvs 0.25 mg,,,72.62,133.94,8 HCPCS,J3055,"Talvey: 1 Vial, Single-Dose In 1 Carton (57894-469-01) / 1.5 Ml In 1 Vial, Single-Dose",456.71000000000004,456.71000000000004,,,0 HCPCS,J3055,"Talvey: 1 Vial, Single-Dose In 1 Carton (57894-470-01) / 1 Ml In 1 Vial, Single-Dose",457.25,457.25,,,0 HCPCS,J3060,Hc Hydralazine 20 Mg/Ml Inj Soln,97.0,97.0,,,0 HCPCS,J3060,"Inj, taliglucerace alfa 10 u",,,41.11,75.96,9 HCPCS,J3070,Pentazocine injection,,,43.76,227.0,4 HCPCS,J3090,Inj tedizolid phosphate,,,1.96,3.53,9 HCPCS,J3095,Telavancin injection,,,7.11,13.82,9 HCPCS,J3101,NDC Description Not Available,1069.345,1069.345,,,0 HCPCS,J3101,Tenecteplase injection,,,172.22,318.09,9 HCPCS,J3101,"Tnkase: 1 Kit In 1 Carton (50242-120-47) * 1 Vial, Single-Use In 1 Carton (50242-037-06) / 10 Ml In 1 Vial, Single-Use * 1 Vial, Single-Use In 1 Carton (50242-901-09) / 10 Ml In 1 Vial, Single-Us",1038.41,1038.41,,,0 HCPCS,J3105,NDC Description Not Available,62.43,62.43,,,0 HCPCS,J3105,"Terbutaline Sulfate: 25 Vial, Single-Use In 1 Tray (63323-665-01) / 1 Ml In 1 Vial, Single-Use (63323-665-00)",61.96,61.96,,,0 HCPCS,J3105,Terbutaline sulfate inj,,,1.31,11.09,5 HCPCS,J3110,Teriparatide injection,,,63.91,115.47,4 HCPCS,J3111,Evenity: 2 Syringe In 1 Carton (55513-880-02) / 1.17 Ml In 1 Syringe (55513-880-01),72.11,72.11,,,0 HCPCS,J3111,"Evenity: 2 Syringe, Glass In 1 Carton (55513-998-02) / 1.17 Ml In 1 Syringe, Glass (55513-998-01)",75.69,75.69,,,0 HCPCS,J3111,Inj. romosozumab-aqqg 1 mg,,,12.07,22.2,9 HCPCS,J3121,Inj testostero enanthate 1mg,,,0.08,0.69,5 HCPCS,J3145,Testosterone undecanoate 1mg,,,2.07,3.68,9 HCPCS,J3230,Chlorpromazine Hydrochloride: 25 Ampule In 1 Carton (0641-1398-35) / 2 Ml In 1 Ampule (0641-1398-31),221.79,221.79,,,0 HCPCS,J3230,Chlorpromazine hcl injection,,,36.54,50.29,5 HCPCS,J3230,NDC Description Not Available,221.79,221.79,,,0 HCPCS,J3240,NDC Description Not Available,13343.3,13343.3,,,0 HCPCS,J3240,"Thyrogen: 2 Vial, Single-Dose In 1 Carton (58468-0030-2) / 1 Ml In 1 Vial, Single-Dose (58468-0030-1)",13351.21,13351.21,,,0 HCPCS,J3240,Thyrotropin injection,,,2116.32,3909.49,9 HCPCS,J3241,Inj. teprotumumab-trbw 10 mg,,,359.19,664.32,9 HCPCS,J3241,"Tepezza: 1 Vial, Single-Dose In 1 Carton (75987-130-15) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",2195.19,2195.19,,,0 HCPCS,J3243,Tigecycline injection,,,0.58,1.04,5 HCPCS,J3243,"Tigecycline: 10 Vial, Single-Dose In 1 Carton (63323-960-10) / 5 Ml In 1 Vial, Single-Dose (63323-960-01)",20.9,20.9,,,0 HCPCS,J3244,Inj. tigecycline (accord),,,0.94,5.58,4 HCPCS,J3245,Ilumya: 1 Ml In 1 Carton (47335-177-95),721.51,721.51,,,0 HCPCS,J3245,"Inj., tildrakizumab, 1 mg",,,127.45,233.54,9 HCPCS,J3246,Aggrastat: 1 Bag In 1 Carton (25208-002-01) / 100 Ml In 1 Bag,28.965000000000003,28.965000000000003,,,0 HCPCS,J3246,"Aggrastat: 1 Vial, Glass In 1 Carton (25208-001-04) / 15 Ml In 1 Vial, Glass",25.43,25.43,,,0 HCPCS,J3246,Tirofiban hcl,,,4.63,6.35,5 HCPCS,J3246,Tirofiban: 1 Pouch In 1 Carton (55150-429-01) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,25.855,25.855,,,0 HCPCS,J3247,"Cosentyx: 5 Ml In 1 Vial, Glass (0078-1168-61)",115.19,115.19,,,0 HCPCS,J3247,Inj secukinumab intrav 1mg,,,17.84,33.0,8 HCPCS,J3250,"Tigan: 25 Vial, Single-Dose In 1 Tray (42023-119-25) / 2 Ml In 1 Vial, Single-Dose",351.03,351.03,,,0 HCPCS,J3250,Trimethobenzamide hcl inj,,,70.06,98.79,5 HCPCS,J3260,NDC Description Not Available,22.35,22.35,,,0 HCPCS,J3260,Tobramycin sulfate injection,,,3.25,4.55,5 HCPCS,J3260,Tobramycin: 1 Vial In 1 Carton (39822-0412-1) / 30 Ml In 1 Vial,34.38,34.38,,,0 HCPCS,J3260,"Tobramycin: 1 Vial, Multi-Dose In 1 Carton (36000-242-01) / 30 Ml In 1 Vial, Multi-Dose",9.05,9.05,,,0 HCPCS,J3260,"Tobramycin: 10 Vial, Multi-Dose In 1 Tray (63323-306-30) / 30 Ml In 1 Vial, Multi-Dose (63323-306-05)",9.25,9.25,,,0 HCPCS,J3260,"Tobramycin: 25 Vial, Multi-Dose In 1 Tray (0409-3578-01) / 2 Ml In 1 Vial, Multi-Dose (0409-3578-11)",14.14,14.14,,,0 HCPCS,J3260,"Tobramycin: 25 Vial, Multi-Dose In 1 Tray (63323-306-02) / 2 Ml In 1 Vial, Multi-Dose (63323-306-01)",21.02,21.02,,,0 HCPCS,J3260,Tobramycin: 6 Vial In 1 Carton (39822-0412-6) / 30 Ml In 1 Vial,34.63,34.63,,,0 HCPCS,J3262,"Actemra: 1 Vial, Single-Use In 1 Box (50242-135-01) / 4 Ml In 1 Vial, Single-Use",43.5,43.5,,,0 HCPCS,J3262,"Actemra: 1 Vial, Single-Use In 1 Box (50242-136-01) / 10 Ml In 1 Vial, Single-Use",43.9,43.9,,,0 HCPCS,J3262,"Actemra: 1 Vial, Single-Use In 1 Box (50242-137-01) / 20 Ml In 1 Vial, Single-Use",43.95,43.95,,,0 HCPCS,J3262,Tocilizumab injection,,,5.71,10.71,9 HCPCS,J3263,"Inj, toripalimab-tpzi, 1 mg",,,39.41,73.08,8 HCPCS,J3263,"Loqtorzi: 1 Vial, Glass In 1 Carton (70114-340-01) / 6 Ml In 1 Vial, Glass",259.44,259.44,,,0 HCPCS,J3265,Injection torsemide 10 mg/ml,,,2.96,6.6,3 HCPCS,J3280,Thiethylperazine maleate inj,,,6.43,13.73,4 HCPCS,J3285,Remodulin: 1 Vial In 1 Box (66302-102-01) / 20 Ml In 1 Vial,425.79,425.79,,,0 HCPCS,J3285,Remodulin: 1 Vial In 1 Box (66302-105-01) / 20 Ml In 1 Vial,425.88,425.88,,,0 HCPCS,J3285,Remodulin: 1 Vial In 1 Box (66302-110-01) / 20 Ml In 1 Vial,352.89,352.89,,,0 HCPCS,J3285,Treprostinil injection,,,54.71,102.64,9 HCPCS,J3285,Treprostinil: 1 Vial In 1 Carton (43598-648-11) / 20 Ml In 1 Vial,377.29,377.29,,,0 HCPCS,J3285,Treprostinil: 1 Vial In 1 Carton (43598-649-11) / 20 Ml In 1 Vial,191.96,191.96,,,0 HCPCS,J3285,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0703-0666-01) / 20 Ml In 1 Vial, Multi-Dose",312.275,312.275,,,0 HCPCS,J3285,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0703-0676-01) / 20 Ml In 1 Vial, Multi-Dose",405.24,405.24,,,0 HCPCS,J3285,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0703-0686-01) / 20 Ml In 1 Vial, Multi-Dose",135.08,135.08,,,0 HCPCS,J3285,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0703-0696-01) / 20 Ml In 1 Vial, Multi-Dose",405.23,405.23,,,0 HCPCS,J3285,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0781-3427-80) / 20 Ml In 1 Vial, Multi-Dose",299.39,299.39,,,0 HCPCS,J3299,Inj xipere 1 mg,,,47.97,88.8,9 HCPCS,J3299,Xipere: 1 Tray In 1 Carton (24208-040-40) / 1 Vial In 1 Tray / .9 Ml In 1 Vial (24208-040-41),308.72,308.72,,,0 HCPCS,J3300,Triamcinolone A inj PRS-free,,,6.53,46.73,9 HCPCS,J3300,"Triesence: 1 Blister Pack In 1 Carton (0065-0543-01) / 1 Vial, Glass In 1 Blister Pack / 1 Ml In 1 Vial, Glass",158.12,158.12,,,0 HCPCS,J3300,"Triesence: 1 Blister Pack In 1 Carton (0078-0897-78) / 1 Vial, Glass In 1 Blister Pack / 1 Ml In 1 Vial, Glass",158.12,158.12,,,0 HCPCS,J3301,"Kenalog-10: 1 Vial, Multi-Dose In 1 Carton (0003-0494-20) / 5 Ml In 1 Vial, Multi-Dose",48.1,48.1,,,0 HCPCS,J3301,"Kenalog-10: 1 Vial, Multi-Dose In 1 Carton (50090-0295-1) / 5 Ml In 1 Vial, Multi-Dose",59.0,59.0,,,0 HCPCS,J3301,"Kenalog-40: 1 Ml In 1 Vial, Single-Dose (76420-085-01)",15.68,15.68,,,0 HCPCS,J3301,"Kenalog-40: 1 Vial, Multi-Dose In 1 Carton (0003-0293-20) / 5 Ml In 1 Vial, Multi-Dose",15.94,15.94,,,0 HCPCS,J3301,"Kenalog-40: 1 Vial, Multi-Dose In 1 Carton (0003-0293-28) / 10 Ml In 1 Vial, Multi-Dose",13.29,13.29,,,0 HCPCS,J3301,NDC Description Not Available,14.43,14.43,,,0 HCPCS,J3301,Triamcinolone Acetonide: 1 Vial In 1 Carton (16714-130-01) / 1 Ml In 1 Vial,14.75,14.75,,,0 HCPCS,J3301,Triamcinolone Acetonide: 1 Vial In 1 Carton (16714-150-01) / 10 Ml In 1 Vial,14.75,14.75,,,0 HCPCS,J3301,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1049-2) / 1 Ml In 1 Vial (70121-1049-1),14.53,14.53,,,0 HCPCS,J3301,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1651-1) / 1 Ml In 1 Vial,14.41,14.41,,,0 HCPCS,J3301,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1657-1) / 1 Ml In 1 Vial,14.53,14.53,,,0 HCPCS,J3301,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (0703-0243-01) / 5 Ml In 1 Vial, Multi-Dose",14.58,14.58,,,0 HCPCS,J3301,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (0703-0245-01) / 10 Ml In 1 Vial, Multi-Dose",12.4,12.4,,,0 HCPCS,J3301,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1168-1) / 5 Ml In 1 Vial, Multi-Dose",14.75,14.75,,,0 HCPCS,J3301,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1169-1) / 10 Ml In 1 Vial, Multi-Dose",10.85,10.85,,,0 HCPCS,J3301,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1652-1) / 5 Ml In 1 Vial, Multi-Dose",14.75,14.75,,,0 HCPCS,J3301,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1653-1) / 10 Ml In 1 Vial, Multi-Dose",14.75,14.75,,,0 HCPCS,J3301,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1654-1) / 5 Ml In 1 Vial, Multi-Dose",14.75,14.75,,,0 HCPCS,J3301,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1655-1) / 10 Ml In 1 Vial, Multi-Dose",13.77,13.77,,,0 HCPCS,J3301,"Triamcinolone Acetonide: 1 Vial, Single-Dose In 1 Carton (0703-0241-01) / 1 Ml In 1 Vial, Single-Dose",15.37,15.37,,,0 HCPCS,J3301,"Triamcinolone Acetonide: 1 Vial, Single-Dose In 1 Carton (67457-621-02) / 1 Ml In 1 Vial, Single-Dose",14.89,14.89,,,0 HCPCS,J3301,Triamcinolone Acetonide: 25 Vial In 1 Carton (16714-130-25) / 1 Ml In 1 Vial,14.75,14.75,,,0 HCPCS,J3301,Triamcinolone Acetonide: 25 Vial In 1 Carton (70121-1049-5) / 1 Ml In 1 Vial (70121-1049-1),14.41,14.41,,,0 HCPCS,J3301,Triamcinolone acet inj nos,,,1.16,1.75,5 HCPCS,J3302,Triamcinolone diacetate inj,,,0.38,0.69,4 HCPCS,J3303,Triamcinolone hexacetonl inj,,,4.74,18.04,4 HCPCS,J3304,Inj triamcinolone ace xr 1mg,,,18.3,33.69,9 HCPCS,J3305,Inj trimetrexate glucoronate,,,263.01,326.62,2 HCPCS,J3310,Perphenazine injeciton,,,5.51,13.89,3 HCPCS,J3315,NDC Description Not Available,5988.475,5988.475,,,0 HCPCS,J3315,"Trelstar: 1 Kit In 1 Carton (74676-5904-1) * 2 Ml In 1 Vial, Single-Dose (74676-5904-0) * 2 Ml In 1 Syringe",6122.17,6122.17,,,0 HCPCS,J3315,Triptorelin pamoate,,,474.84,910.02,9 HCPCS,J3316,"Inj., triptorelin xr 3.75 mg",,,3817.28,6979.77,9 HCPCS,J3316,NDC Description Not Available,8299.69,8299.69,,,0 HCPCS,J3316,"Triptodur: 1 Kit In 1 Carton (24338-150-20) * 2 Ml In 1 Vial * 2 Ml In 1 Syringe, Glass",10307.03,10307.03,,,0 HCPCS,J3320,Spectinomycn di-hcl inj,,,40.61,65.64,3 HCPCS,J3350,Urea injection,,,101.99,164.43,2 HCPCS,J3355,"Urofollitropin, 75 iu",,,85.63,277.83,4 HCPCS,J3357,Stelara: 1 Syringe In 1 Carton (57894-061-03) / 1 Ml In 1 Syringe,1202.61,1202.61,,,0 HCPCS,J3357,"Ustekinumab sub cu inj, 1 mg",,,239.71,629.19,4 HCPCS,J3358,"Stelara: 1 Vial, Single-Use In 1 Box (57894-054-27) / 26 Ml In 1 Vial, Single-Use",104.98,104.98,,,0 HCPCS,J3358,"Ustekinumab, iv inject, 1 mg",,,12.99,24.59,9 HCPCS,J3360,Diazepam injection,,,8.33,14.11,5 HCPCS,J3360,"Diazepam: 10 Vial, Multi-Dose In 1 Box (0409-3213-12) / 10 Ml In 1 Vial, Multi-Dose (0409-3213-11)",59.0,59.0,,,0 HCPCS,J3360,NDC Description Not Available,72.23,72.23,,,0 HCPCS,J3364,Urokinase 5000 IU injection,,,12.37,19.17,3 HCPCS,J3365,"Urokinase 250,000 IU inj",,,617.94,958.63,3 HCPCS,J3370,NDC Description Not Available,86.99,86.99,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON (0409-6510-01) / 100 mL in 1 VIAL, PHARMACY BULK PACKAGE",54.01,54.01,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 1 Vial, Glass In 1 Carton (68001-407-75) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",59.0,59.0,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-1319-01) / 100 Ml In 1 Vial, Pharmacy Bulk Package",38.25,38.25,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (0143-9355-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9355-01)",96.5,96.5,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (0143-9357-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9357-01)",96.5,96.5,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (0409-6533-21) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-6533-11)",54.54,54.54,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (70436-021-82) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",93.28,93.28,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 10 Vial In 1 Tray (0409-3515-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-3515-11)",64.33,64.33,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 10 Vial In 1 Tray (0409-6531-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-6531-12)",85.03,85.03,,,0 HCPCS,J3370,Vancomycin Hydrochloride: 10 Vial In 1 Tray (63323-284-20) / 20 Ml In 1 Vial (63323-284-01),96.5,96.5,,,0 HCPCS,J3370,Vancomycin Hydrochloride: 200 Ml In 1 Bag (0338-3552-48),96.5,96.5,,,0 HCPCS,J3370,Vancomycin Hydrochloride: 25 Vial In 1 Package (0143-9161-25) / 513 Mg In 1 Vial (0143-9161-01),193.0,193.0,,,0 HCPCS,J3370,Vancomycin hcl injection,,,3.07,3.87,2 HCPCS,J3370,Vancomycin: 1 Bottle In 1 Carton (25021-158-99) / 100 Ml In 1 Bottle,23.065,23.065,,,0 HCPCS,J3371,"Inj, vancomycin hcl (mylan)",,,10.18,10.61,2 HCPCS,J3371,NDC Description Not Available,64.32,64.32,,,0 HCPCS,J3371,"Vancomycin Hydrochloride: 10 Vial, Single-Dose In 1 Carton (67457-823-99) / 25 Ml In 1 Vial, Single-Dose (67457-823-12)",58.8,58.8,,,0 HCPCS,J3372,"Inj, vancomycin hcl (xellia)",,,10.23,10.53,2 HCPCS,J3373,"Inj, vancomycin hcl, 10 mg",,,0.04,0.06,3 HCPCS,J3374,"Inj, vancomycin (mylan) 10mg",,,0.16,0.22,3 HCPCS,J3375,Inj vancomycin (xellia) 10mg,,,0.18,0.24,3 HCPCS,J3380,"Entyvio: 1 Vial, Single-Dose In 1 Carton (64764-300-20) / 5 Ml In 1 Vial, Single-Dose",196.6,196.6,,,0 HCPCS,J3380,"Injection, vedolizumab",,,21.31,40.81,9 HCPCS,J3385,Velaglucerase alfa,,,381.36,703.33,9 HCPCS,J3392,"Inj, exagamglogene autotem",,,2332000.0,3847800.0,4 HCPCS,J3393,"Inj, betibeglogene autotemce",,,2945740.0,4897200.0,4 HCPCS,J3394,"Inj, lovotibeglogene autotem",,,3248445.72,5268450.0,4 HCPCS,J3396,Verteporfin injection,,,11.54,21.37,9 HCPCS,J3397,"Inj., vestronidase alfa-vjbk",,,279.93,602.95,7 HCPCS,J3398,Inj luxturna 1 billion vec g,,,2882.48,6761.75,5 HCPCS,J3399,Inj onase abepar-xioi treat,,,2209599.54,3559910.38,4 HCPCS,J3400,Triflupromazine hcl inj,,,14.92,24.05,3 HCPCS,J3401,"Vyjuvek 5x10^9pfu/ml, 0.1 ml",,,1025.44,1918.67,8 HCPCS,J3402,Inj. remestemcel-l-rknd/ td,,,205640.0,308460.0,5 HCPCS,J3410,"Hydroxyzine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0517-5601-25) / 1 Ml In 1 Vial, Single-Dose (0517-5601-01)",162.71,162.71,,,0 HCPCS,J3410,Hydroxyzine hcl injection,,,20.31,31.32,5 HCPCS,J3411,NDC Description Not Available,38.455,38.455,,,0 HCPCS,J3411,Thiamine Hydrochloride: 25 Vial In 1 Carton (25021-500-02) / 2 Ml In 1 Vial,38.66,38.66,,,0 HCPCS,J3411,Thiamine hcl 100 mg,,,2.42,3.43,5 HCPCS,J3411,"Thiamine: 25 Vial, Multi-Dose In 1 Tray (63323-013-02) / 2 Ml In 1 Vial, Multi-Dose (63323-013-01)",59.0,59.0,,,0 HCPCS,J3415,NDC Description Not Available,117.95,117.95,,,0 HCPCS,J3415,Pyridoxine Hydrochloride: 25 Vial In 1 Tray (63323-180-01) / 1 Ml In 1 Vial (63323-180-00),121.67,121.67,,,0 HCPCS,J3415,Pyridoxine hcl 100 mg,,,8.77,26.04,5 HCPCS,J3420,Cyanocobalamin: 25 Vial In 1 Box (0143-9621-25) / 1 Ml In 1 Vial (0143-9621-01),59.0,59.0,,,0 HCPCS,J3420,Cyanocobalamin: 25 Vial In 1 Box (69680-112-25) / 1 Ml In 1 Vial (69680-112-01),59.0,59.0,,,0 HCPCS,J3420,"Cyanocobalamin: 25 Vial, Multi-Dose In 1 Carton (71288-303-02) / 1 Ml In 1 Vial, Multi-Dose (71288-303-01)",59.0,59.0,,,0 HCPCS,J3420,"Cyanocobalamin: 25 Vial, Multi-Dose In 1 Tray (0517-0031-25) / 1 Ml In 1 Vial, Multi-Dose (0517-0031-01)",59.0,59.0,,,0 HCPCS,J3420,"Cyanocobalamin: 25 Vial, Multi-Dose In 1 Tray (63323-044-01) / 1 Ml In 1 Vial, Multi-Dose (63323-044-00)",59.0,59.0,,,0 HCPCS,J3420,NDC Description Not Available,59.055,59.055,,,0 HCPCS,J3420,Vitamin b12 injection,,,1.28,2.51,5 HCPCS,J3424,Inj hydroxocobalamin iv 25mg,,,5.18,11.08,6 HCPCS,J3425,"Inj, hydroxocobalamin",,,0.01,0.02,4 HCPCS,J3430,NDC Description Not Available,30.665,30.665,,,0 HCPCS,J3430,Phytonadione: 1 Syringe In 1 Carton (76329-1240-1) / .5 Ml In 1 Syringe,165.7,165.7,,,0 HCPCS,J3430,Phytonadione: 10 Vial In 1 Carton (69097-708-96) / 1 Ml In 1 Vial,28.66,28.66,,,0 HCPCS,J3430,Vitamin K1: 5 Tray In 1 Container (0409-9158-01) / 5 Ampule In 1 Tray (0409-9158-50) / 1 Ml In 1 Ampule (0409-9158-31),32.92,32.92,,,0 HCPCS,J3430,Vitamin k phytonadione inj,,,3.65,5.25,5 HCPCS,J3465,"Injection, voriconazole",,,1.05,1.6,5 HCPCS,J3465,NDC Description Not Available,999.58,999.58,,,0 HCPCS,J3465,"Vfend: 1 Vial, Single-Dose In 1 Carton (0049-3190-28) / 20 Ml In 1 Vial, Single-Dose",46.25,46.25,,,0 HCPCS,J3465,"Voriconazole: 1 Injection, Powder, Lyophilized, For Solution In 1 Box (70436-029-80)",40.89,40.89,,,0 HCPCS,J3465,"Voriconazole: 1 Vial, Single-Use In 1 Carton (0781-3416-94) / 20 Ml In 1 Vial, Single-Use",24.54,24.54,,,0 HCPCS,J3470,Hyaluronidase injection,,,42.59,77.46,5 HCPCS,J3471,"Ovine, up to 999 usp units",,,0.61,0.93,5 HCPCS,J3472,"Ovine, 1000 USP units",,,175.59,300.63,4 HCPCS,J3473,Hyaluronidase recombinant,,,0.49,0.69,5 HCPCS,J3473,Hylenex Recombinant: 4 Box In 1 Carton (18657-117-04) / 1 Vial In 1 Box (18657-117-02) / 1 Ml In 1 Vial (18657-117-01),2.49,2.49,,,0 HCPCS,J3473,NDC Description Not Available,2.49,2.49,,,0 HCPCS,J3475,24 POUCH in 1 CASE (0409-6729-03) / 1 BAG in 1 POUCH / 500 mL in 1 BAG (0409-6729-21),1.83,1.83,,,0 HCPCS,J3475,Hc Magnesium Sulfate 50 % Inj Soln - 10Ml Vial,69.0,69.0,,,0 HCPCS,J3475,Inj magnesium sulfate,,,0.68,1.23,5 HCPCS,J3475,Magnesium Sulfate In Water: 24 Container In 1 Case (0264-4204-52) / 50 Ml In 1 Container,48.31,48.31,,,0 HCPCS,J3475,Magnesium Sulfate In Water: 24 Pouch In 1 Carton (44567-420-24) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,48.25,48.25,,,0 HCPCS,J3475,Magnesium Sulfate In Water: 24 Pouch In 1 Case (0409-6729-24) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag (0409-6729-11),48.07,48.07,,,0 HCPCS,J3475,Magnesium Sulfate: 24 Bag In 1 Case (63323-106-05) / 50 Ml In 1 Bag (63323-106-02),48.25,48.25,,,0 HCPCS,J3475,Magnesium Sulfate: 24 Bag In 1 Case (63323-106-15) / 500 Ml In 1 Bag,1.48,1.48,,,0 HCPCS,J3475,Magnesium Sulfate: 24 Pouch In 1 Case (47335-992-01) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,47.93,47.93,,,0 HCPCS,J3475,"Magnesium Sulfate: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-2650-25) / 50 mL in 1 VIAL, SINGLE-DOSE",2.57,2.57,,,0 HCPCS,J3475,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Carton (63323-064-03) / 2 Ml In 1 Vial, Single-Dose (63323-064-01)",34.31,34.31,,,0 HCPCS,J3475,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-064-02) / 2 Ml In 1 Vial, Single-Dose",14.75,14.75,,,0 HCPCS,J3475,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-064-10) / 10 Ml In 1 Vial, Single-Dose",23.46,23.46,,,0 HCPCS,J3475,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-064-11) / 10 Ml In 1 Vial, Single-Dose (63323-064-04)",27.48,27.48,,,0 HCPCS,J3475,NDC Description Not Available,27.285,27.285,,,0 HCPCS,J3480,Inj potassium chloride,,,0.17,0.69,5 HCPCS,J3480,NDC Description Not Available,6.95,6.95,,,0 HCPCS,J3480,POTASSIUM CHLORIDE: 12 CONTAINER in 1 CASE (0264-1940-20) / 250 mL in 1 CONTAINER,1.44,1.44,,,0 HCPCS,J3480,Potassium Chloride: 24 Bag In 1 Carton (0338-0703-48) / 100 Ml In 1 Bag,26.77,26.77,,,0 HCPCS,J3480,Potassium Chloride: 24 Bag In 1 Carton (0338-0705-41) / 50 Ml In 1 Bag,38.6,38.6,,,0 HCPCS,J3480,Potassium Chloride: 24 Bag In 1 Carton (0338-0705-48) / 100 Ml In 1 Bag,19.3,19.3,,,0 HCPCS,J3480,Potassium Chloride: 24 Pouch In 1 Case (0990-7075-14) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,38.6,38.6,,,0 HCPCS,J3480,Potassium Chloride: 24 Pouch In 1 Case (0990-7075-26) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,19.33,19.33,,,0 HCPCS,J3480,Potassium Chloride: 24 Pouch In 1 Case (0990-7077-26) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,38.6,38.6,,,0 HCPCS,J3480,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-6635-01) / 5 Ml In 1 Vial, Single-Dose (0409-6635-18)",7.0,7.0,,,0 HCPCS,J3480,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-965-20) / 20 Ml In 1 Vial, Single-Dose (63323-965-02)",1.88,1.88,,,0 HCPCS,J3485,NDC Description Not Available,59.0,59.0,,,0 HCPCS,J3485,Zidovudine,,,1.51,2.79,9 HCPCS,J3486,"Geodon: 10 Vial, Single-Dose In 1 Carton (0049-3920-83) / 1 Ml In 1 Vial, Single-Dose (0049-3920-20)",215.84,215.84,,,0 HCPCS,J3486,NDC Description Not Available,180.735,180.735,,,0 HCPCS,J3486,Ziprasidone mesylate,,,4.24,15.77,5 HCPCS,J3489,"Zoledronic Acid: 1 Bottle, Glass In 1 Carton (71288-806-51) / 100 Ml In 1 Bottle, Glass",112.0,112.0,,,0 HCPCS,J3489,Zoledronic Acid: 1 Vial In 1 Carton (54288-100-01) / 5 Ml In 1 Vial,36.14,36.14,,,0 HCPCS,J3489,Zoledronic Acid: 1 Vial In 1 Carton (67457-390-54) / 5 Ml In 1 Vial,70.24,70.24,,,0 HCPCS,J3489,Zoledronic Acid: 1 Vial In 1 Carton (67457-619-10) / 100 Ml In 1 Vial,263.2,263.2,,,0 HCPCS,J3489,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (43598-330-11) / 5 Ml In 1 Vial, Glass",74.74,74.74,,,0 HCPCS,J3489,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (55111-685-07) / 5 Ml In 1 Vial, Glass",121.0,121.0,,,0 HCPCS,J3489,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (63323-966-00) / 100 Ml In 1 Vial, Glass",335.96,335.96,,,0 HCPCS,J3489,"Zoledronic Acid: 100 Ml In 1 Bottle, Glass (55111-688-52)",336.0,336.0,,,0 HCPCS,J3489,Zoledronic acid 1mg,,,7.02,12.63,5 HCPCS,J3489,Zometa: 1 VIAL in 1 CARTON (0078-0387-25) / 5 mL in 1 VIAL,1421.54,1421.54,,,0 HCPCS,J3490,"Amidate: 10 Vial, Single-Dose In 1 Tray (0409-6695-01) / 10 Ml In 1 Vial, Single-Dose (0409-6695-11)",7.03,7.03,,,0 HCPCS,J3490,"Amidate: 10 Vial, Single-Dose In 1 Tray (0409-6695-02) / 20 Ml In 1 Vial, Single-Dose (0409-6695-12)",6.76,6.76,,,0 HCPCS,J3490,"Aminocaproic Acid: 25 Vial, Single-Dose In 1 Tray (0409-4346-73) / 20 Ml In 1 Vial, Single-Dose (0409-4346-16)",3.11,3.11,,,0 HCPCS,J3490,"Brevital Sodium: 1 Vial In 1 Carton (42023-105-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",646.53,646.53,,,0 HCPCS,J3490,"Bridion: 10 Vial, Single-Dose In 1 Carton (0006-5423-12) / 2 Ml In 1 Vial, Single-Dose (0006-5423-02)",848.22,848.22,,,0 HCPCS,J3490,"Bupivacaine Hydrochloride And Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-9042-01) / 10 Ml In 1 Vial, Single-Dose (0409-9042-11)",3.53,3.53,,,0 HCPCS,J3490,"Bupivacaine Hydrochloride And Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-9045-01) / 10 Ml In 1 Vial, Single-Dose (0409-9045-11)",3.03,3.03,,,0 HCPCS,J3490,"Bupivacaine Hydrochloride And Epinephrine: 25 Vial, Single-Dose In 1 Tray (0409-9045-17) / 30 Ml In 1 Vial, Single-Dose (0409-9045-16)",2.09,2.09,,,0 HCPCS,J3490,"Calcium Chloride: 10 Carton In 1 Container (0409-1631-10) / 1 Syringe, Plastic In 1 Carton (0409-1631-40) / 10 Ml In 1 Syringe, Plastic",76.85,76.85,,,0 HCPCS,J3490,Calcium Chloride: 10 Syringe In 1 Package (76329-3304-1) / 10 Ml In 1 Syringe,70.35,70.35,,,0 HCPCS,J3490,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-6015-10) / 25 Ml In 1 Vial (0641-6015-01),2.44,2.44,,,0 HCPCS,J3490,Diltiazem Hydrochloride: 10 Vial In 1 Carton (25021-319-10) / 10 Ml In 1 Vial,21.24,21.24,,,0 HCPCS,J3490,Diltiazem Hydrochloride: 10 Vial In 1 Carton (25021-319-25) / 25 Ml In 1 Vial,2.44,2.44,,,0 HCPCS,J3490,Doxy 100: 10 Vial In 1 Tray (63323-130-11) / 10 Ml In 1 Vial (63323-130-02),101.1,101.1,,,0 HCPCS,J3490,"Etomidate: 10 Vial, Single-Dose In 1 Carton (55150-221-10) / 10 Ml In 1 Vial, Single-Dose",6.81,6.81,,,0 HCPCS,J3490,Famotidine: 25 Vial In 1 Carton (0641-6022-25) / 2 Ml In 1 Vial (0641-6022-01),2.93,2.93,,,0 HCPCS,J3490,"Famotidine: 25 Vial, Single-Dose In 1 Tray (63323-739-12) / 2 Ml In 1 Vial, Single-Dose (63323-739-11)",2.32,2.32,,,0 HCPCS,J3490,"Flumazenil: 10 Vial, Multi-Dose In 1 Tray (63323-424-05) / 5 Ml In 1 Vial, Multi-Dose (63323-424-01)",14.49,14.49,,,0 HCPCS,J3490,"Folic Acid: 1 Vial, Multi-Dose In 1 Carton (39822-1100-1) / 10 Ml In 1 Vial, Multi-Dose",8.91,8.91,,,0 HCPCS,J3490,"Folic Acid: 1 Vial, Multi-Dose In 1 Carton (63323-184-10) / 10 Ml In 1 Vial, Multi-Dose",23.53,23.53,,,0 HCPCS,J3490,"Gleevec: 30 Tablet In 1 Box, Unit-Dose (0078-0649-30)",522.99,522.99,,,0 HCPCS,J3490,Gleevec: 90 Tablet In 1 Bottle (0078-0401-34),522.5,522.5,,,0 HCPCS,J3490,Hc Axumin,1641.0,1641.0,,,0 HCPCS,J3490,Hc Hourly Nitric/Oxide Thpy,637.0,637.0,,,0 HCPCS,J3490,Hc Latisse (Cash),130.0,130.0,,,0 HCPCS,J3490,Hc Restylane Inj (Cash),373.0,373.0,,,0 HCPCS,J3490,"Imatinib Mesylate: 30 Tablet, Film Coated In 1 Bottle (59651-241-30)",6.72,6.72,,,0 HCPCS,J3490,"Imatinib Mesylate: 90 Tablet, Film Coated In 1 Bottle (47335-472-81)",16.5,16.5,,,0 HCPCS,J3490,"Indocyanine Green: 6 Package In 1 Carton (70100-424-02) / 1 Kit In 1 Package * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial * 10 Ml In 1 Vial, Plastic (0409-4887-17)",1325.42,1325.42,,,0 HCPCS,J3490,"Kenalog-40: 1 Vial, Single-Dose In 1 Carton (0003-0293-05) / 1 Ml In 1 Vial, Single-Dose",15.86,15.86,,,0 HCPCS,J3490,Ketalar: 10 Vial In 1 Carton (42023-113-10) / 20 Ml In 1 Vial,76.695,76.695,,,0 HCPCS,J3490,"Ketamine Hydrochloride: 10 Vial, Multi-Dose In 1 Box (0409-2051-05) / 5 Ml In 1 Vial, Multi-Dose (0409-2051-15)",2.96,2.96,,,0 HCPCS,J3490,"Lidocaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-4279-02) / 30 Ml In 1 Vial, Single-Dose (0409-4279-16)",0.95,0.95,,,0 HCPCS,J3490,"Marcaine With Epinephrine: 1 Vial, Multi-Dose In 1 Carton (0409-1752-50) / 50 Ml In 1 Vial, Multi-Dose",3.61,3.61,,,0 HCPCS,J3490,"Marcaine With Epinephrine: 1 Vial, Multi-Dose In 1 Carton (0409-1755-50) / 50 Ml In 1 Vial, Multi-Dose",4.63,4.63,,,0 HCPCS,J3490,"Metoprolol Tartrate: 10 Vial, Single-Dose In 1 Carton (0409-1778-05) / 5 Ml In 1 Vial, Single-Dose (0409-1778-15)",14.17,14.17,,,0 HCPCS,J3490,NDC Description Not Available,11.8,11.8,,,0 HCPCS,J3490,Regonol: 10 Ampule In 1 Carton (0781-3040-95) / 2 Ml In 1 Ampule (0781-3040-72),59.0,59.0,,,0 HCPCS,J3490,Rocuronium Bromide: 10 Vial In 1 Carton (43066-007-10) / 5 Ml In 1 Vial,46.85,46.85,,,0 HCPCS,J3490,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Box (0409-9558-05) / 5 Ml In 1 Vial, Multi-Dose (0409-9558-11)",24.89,24.89,,,0 HCPCS,J3490,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-460-37) / 30 Ml In 1 Vial, Single-Dose (63323-460-01)",29.5,29.5,,,0 HCPCS,J3490,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-468-37) / 30 Ml In 1 Vial, Single-Dose (63323-468-02)",2.48,2.48,,,0 HCPCS,J3490,"Sildenafil: 1 Vial, Single-Dose In 1 Carton (55150-166-13) / 12.5 Ml In 1 Vial, Single-Dose",243.44,243.44,,,0 HCPCS,J3490,"Sodium Acetate: 100 Ml In 1 Vial, Pharmacy Bulk Package (69784-231-10)",2.61,2.61,,,0 HCPCS,J3490,"Sodium Acetate: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-2096-25) / 20 mL in 1 VIAL, SINGLE-DOSE",9.1,9.1,,,0 HCPCS,J3490,Sodium Acetate: 25 Vial In 1 Tray (0409-3299-05) / 50 Ml In 1 Vial (0409-3299-15),2.85,2.85,,,0 HCPCS,J3490,"Sodium Acetate: 25 Vial, Single-Dose In 1 Tray (0409-7299-73) / 20 Ml In 1 Vial, Single-Dose (0409-7299-83)",2.66,2.66,,,0 HCPCS,J3490,"Sodium Acetate: 50 Ml In 1 Vial, Pharmacy Bulk Package (69784-230-10)",3.0,3.0,,,0 HCPCS,J3490,"Sodium Acetate: 50 Ml In 1 Vial, Pharmacy Bulk Package (69784-230-20)",3.0,3.0,,,0 HCPCS,J3490,"Sotradecol: 5 Vial, Multi-Dose In 1 Carton (67457-163-02) / 2 Ml In 1 Vial, Multi-Dose (67457-163-00)",523.45,523.45,,,0 HCPCS,J3490,"Spravato: 2 Blister Pack In 1 Kit (50458-028-02) / 1 Vial, Single-Use In 1 Blister Pack / .2 Ml In 1 Vial, Single-Use (50458-028-00)",2586.02,2586.02,,,0 HCPCS,J3490,"Spravato: 3 Blister Pack In 1 Kit (50458-028-03) / 1 Vial, Single-Use In 1 Blister Pack / .2 Ml In 1 Vial, Single-Use (50458-028-00)",329.08,329.08,,,0 HCPCS,J3490,Sufentanil Citrate: 10 AMPULE in 1 CARTON (17478-050-01) / 1 mL in 1 AMPULE,30.05,30.05,,,0 HCPCS,J3490,Sufentanil Citrate: 10 AMPULE in 1 CARTON (17478-050-02) / 2 mL in 1 AMPULE,23.5,23.5,,,0 HCPCS,J3490,Sulfamethoxazole And Trimethoprim: 1 Vial In 1 Carton (70069-363-01) / 30 Ml In 1 Vial,6.16,6.16,,,0 HCPCS,J3490,"Sulfamethoxazole And Trimethoprim: 1 Vial, Multi-Dose In 1 Carton (0703-9526-01) / 30 Ml In 1 Vial, Multi-Dose",1.96,1.96,,,0 HCPCS,J3490,"Sulfamethoxazole And Trimethoprim: 10 Vial, Multi-Dose In 1 Carton (0703-9514-03) / 10 Ml In 1 Vial, Multi-Dose (0703-9514-01)",41.51,41.51,,,0 HCPCS,J3490,"Valproate Sodium: 10 Vial, Single-Dose In 1 Carton (0143-9785-10) / 5 Ml In 1 Vial, Single-Dose (0143-9785-01)",22.82,22.82,,,0 HCPCS,J3490,Vecuronium Bromide: 10 Vial In 1 Box (47335-931-44) / 10 Ml In 1 Vial (47335-931-40),42.09,42.09,,,0 HCPCS,J3490,ethacrynic sodium: 1 VIAL in 1 CARTON (68682-012-27) / 50 mL in 1 VIAL,25453.3,25453.3,,,0 HCPCS,J3520,Edetate disodium per 150 mg,,,0.53,2.76,4 HCPCS,J3590,"Dupixent: 2 Syringe, Glass In 1 Carton (0024-5918-01) / 1.14 Ml In 1 Syringe, Glass (0024-5918-00)",7308.54,7308.54,,,0 HCPCS,J3590,"Kineret: 7 Syringe, Glass In 1 Carton (66658-234-07) / .67 Ml In 1 Syringe, Glass",1347.39,1347.39,,,0 HCPCS,J3590,NDC Description Not Available,1194.48,1194.48,,,0 HCPCS,J7030,NDC Description Not Available,193.0,193.0,,,0 HCPCS,J7030,Normal saline solution infus,,,2.92,4.22,4 HCPCS,J7030,Sodium Chloride: 1 Bag In 1 Package (0338-0049-41) / 50 Ml In 1 Bag,176.71,176.71,,,0 HCPCS,J7030,Sodium Chloride: 1 Bag In 1 Package (0338-0049-48) / 100 Ml In 1 Bag,191.775,191.775,,,0 HCPCS,J7030,Sodium Chloride: 100 Ml In 1 Bag (0338-0553-18),193.0,193.0,,,0 HCPCS,J7030,Sodium Chloride: 100 Ml In 1 Bag (0338-9159-30),193.0,193.0,,,0 HCPCS,J7030,Sodium Chloride: 1000 Ml In 1 Bag (0338-0043-04),193.0,193.0,,,0 HCPCS,J7030,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),189.39,189.39,,,0 HCPCS,J7030,Sodium Chloride: 12 Container In 1 Case (0264-7800-00) / 1000 Ml In 1 Container,173.7,173.7,,,0 HCPCS,J7030,Sodium Chloride: 12 Container In 1 Case (0264-7800-09) / 1000 Ml In 1 Container,193.0,193.0,,,0 HCPCS,J7030,Sodium Chloride: 16 Bag In 1 Package (0338-0049-31) / 50 Ml In 1 Bag,148.475,148.475,,,0 HCPCS,J7030,Sodium Chloride: 16 Bag In 1 Package (0338-0049-38) / 100 Ml In 1 Bag,183.12,183.12,,,0 HCPCS,J7030,Sodium Chloride: 4 Bag In 1 Package (0338-0049-11) / 50 Ml In 1 Bag,193.0,193.0,,,0 HCPCS,J7030,Sodium Chloride: 4 Bag In 1 Package (0338-0049-18) / 100 Ml In 1 Bag,192.33,192.33,,,0 HCPCS,J7030,Sodium Chloride: 48 POUCH in 1 CASE (0409-7984-13) / 1 BAG in 1 POUCH / 50 mL in 1 BAG,193.0,193.0,,,0 HCPCS,J7030,Sodium Chloride: 50 Ml In 1 Bag (0338-0553-11),193.0,193.0,,,0 HCPCS,J7030,Sodium Chloride: 500 Ml In 1 Bag (0338-0043-03),192.37,192.37,,,0 HCPCS,J7030,Sodium Chloride: 60 BAG in 1 BOX (63323-623-50) / 50 mL in 1 BAG,193.0,193.0,,,0 HCPCS,J7030,Sodium Chloride: 60 BAG in 1 CASE (0409-7984-06) / 50 mL in 1 BAG,193.0,193.0,,,0 HCPCS,J7030,Sodium Chloride: 64 Container In 1 Case (0264-1800-32) / 100 Ml In 1 Container,193.0,193.0,,,0 HCPCS,J7030,Sodium Chloride: 84 Container In 1 Case (0264-1800-31) / 50 Ml In 1 Container,172.38,172.38,,,0 HCPCS,J7040,NDC Description Not Available,185.46,185.46,,,0 HCPCS,J7040,Normal saline solution infus,,,1.86,2.55,4 HCPCS,J7040,Sodium Chloride: 20 BAG in 1 BOX (63323-623-51) / 500 mL in 1 BAG,193.0,193.0,,,0 HCPCS,J7040,Sodium Chloride: 24 Container In 1 Case (0264-7800-10) / 500 Ml In 1 Container,193.0,193.0,,,0 HCPCS,J7040,Sodium Chloride: 24 Pouch In 1 Case (0990-7983-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,193.0,193.0,,,0 HCPCS,J7040,Sodium Chloride: 500 Ml In 1 Bag (0338-0049-03),180.23,180.23,,,0 HCPCS,J7040,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-04),188.44,188.44,,,0 HCPCS,J7042,5% dextrose/normal saline,,,1.84,2.52,4 HCPCS,J7042,Dextrose And Sodium Chloride: 10 Bag In 1 Case (63323-870-74) / 1000 Ml In 1 Bag (63323-870-04),96.5,96.5,,,0 HCPCS,J7042,Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7616-00) / 1000 Ml In 1 Container,96.5,96.5,,,0 HCPCS,J7042,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0077-04) / 1000 Ml In 1 Bag,96.5,96.5,,,0 HCPCS,J7042,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0085-04) / 1000 Ml In 1 Bag,92.63,92.63,,,0 HCPCS,J7042,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0089-04) / 1000 Ml In 1 Bag,91.27,91.27,,,0 HCPCS,J7042,Dextrose And Sodium Chloride: 24 Bag In 1 Carton (0338-0085-03) / 500 Ml In 1 Bag,96.5,96.5,,,0 HCPCS,J7042,Dextrose And Sodium Chloride: 24 Bag In 1 Carton (0338-0089-03) / 500 Ml In 1 Bag,193.0,193.0,,,0 HCPCS,J7050,NDC Description Not Available,192.64,192.64,,,0 HCPCS,J7050,Noncdm Charge Record Pharmacy,9.47,9.47,,,0 HCPCS,J7050,Normal saline solution infus,,,0.96,1.31,4 HCPCS,J7050,Sodium Chloride: 24 Container In 1 Case (0264-7800-20) / 250 Ml In 1 Container,189.36,189.36,,,0 HCPCS,J7050,Sodium Chloride: 250 Ml In 1 Bag (0338-0049-02),177.94,177.94,,,0 HCPCS,J7050,Sodium Chloride: 250 Ml In 1 Bag (0338-9543-02),189.61,189.61,,,0 HCPCS,J7060,5% dextrose/water,,,2.63,3.76,4 HCPCS,J7060,Dextrose: 1 Bag In 1 Package (0338-0017-41) / 50 Ml In 1 Bag,156.31,156.31,,,0 HCPCS,J7060,Dextrose: 1 Bag In 1 Package (0338-0017-48) / 100 Ml In 1 Bag,187.29,187.29,,,0 HCPCS,J7060,Dextrose: 100 Ml In 1 Bag (0338-0551-18),193.0,193.0,,,0 HCPCS,J7060,Dextrose: 1000 Ml In 1 Bag (0338-0017-04),96.13,96.13,,,0 HCPCS,J7060,Dextrose: 16 Bag In 1 Pouch (0338-0017-31) / 50 Ml In 1 Bag,177.37,177.37,,,0 HCPCS,J7060,Dextrose: 16 Bag In 1 Pouch (0338-0017-38) / 100 Ml In 1 Bag,176.56,176.56,,,0 HCPCS,J7060,Dextrose: 24 Container In 1 Case (0264-7510-10) / 500 Ml In 1 Container,193.0,193.0,,,0 HCPCS,J7060,Dextrose: 24 Container In 1 Case (0264-7510-20) / 250 Ml In 1 Container,193.0,193.0,,,0 HCPCS,J7060,Dextrose: 250 Ml In 1 Bag (0338-0017-02),177.93,177.93,,,0 HCPCS,J7060,Dextrose: 32 POUCH in 1 CASE (0409-7922-61) / 1 BAG in 1 POUCH / 150 mL in 1 BAG,180.13,180.13,,,0 HCPCS,J7060,Dextrose: 4 Bag In 1 Pouch (0338-0017-18) / 100 Ml In 1 Bag,184.81,184.81,,,0 HCPCS,J7060,Dextrose: 50 Ml In 1 Bag (0338-0551-11),193.0,193.0,,,0 HCPCS,J7060,Dextrose: 500 Ml In 1 Bag (0338-0017-03),182.54,182.54,,,0 HCPCS,J7060,Dextrose: 64 Container In 1 Case (0264-1510-32) / 100 Ml In 1 Container,193.0,193.0,,,0 HCPCS,J7060,Dextrose: 84 Container In 1 Case (0264-1510-31) / 50 Ml In 1 Container,193.0,193.0,,,0 HCPCS,J7060,NDC Description Not Available,179.94,179.94,,,0 HCPCS,J7070,D5w infusion,,,4.1,5.62,4 HCPCS,J7100,Dextran 40 infusion,,,44.78,147.76,3 HCPCS,J7100,Lmd In Sodium Chloride: 12 Pouch In 1 Case (0409-7419-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag (0409-7419-14),246.4,246.4,,,0 HCPCS,J7110,Dextran 75 infusion,,,19.6,26.86,3 HCPCS,J7120,Lactated Ringers: 1000 Ml In 1 Bag (0338-0117-04),165.26,165.26,,,0 HCPCS,J7120,Lactated Ringers: 250 Ml In 1 Bag (0338-0117-02),131.53,131.53,,,0 HCPCS,J7120,Lactated Ringers: 500 Ml In 1 Bag (0338-0117-03),193.0,193.0,,,0 HCPCS,J7120,Ringers lactate infusion,,,3.32,4.55,4 HCPCS,J7121,5% dextrose in lac ringers,,,10.16,17.72,3 HCPCS,J7121,Lactated Ringers And Dextrose: 1000 Ml In 1 Bag (0338-0125-04),192.03,192.03,,,0 HCPCS,J7121,Lactated Ringers And Dextrose: 24 Pouch In 1 Case (0990-7929-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,68.2,68.2,,,0 HCPCS,J7121,Lactated Ringers And Dextrose: 500 Ml In 1 Bag (0338-0125-03),193.0,193.0,,,0 HCPCS,J7131,Hypertonic saline sol,,,0.23,0.69,3 HCPCS,J7131,NDC Description Not Available,0.065,0.065,,,0 HCPCS,J7131,Sodium Chloride: 24 Bag In 1 Carton (0338-0054-03) / 500 Ml In 1 Bag,1.12,1.12,,,0 HCPCS,J7131,Sodium Chloride: 24 Container In 1 Case (0264-7805-10) / 500 Ml In 1 Container,3.6599999999999997,3.6599999999999997,,,0 HCPCS,J7165,"Inj, human-lans, per i.u",,,1.55,6.99,6 HCPCS,J7168,"Kcentra: 1 Kit In 1 Carton (63833-386-02) * 20 Ml In 1 Vial, Single-Use (63833-396-01) * 20 Ml In 1 Vial, Single-Use (63833-761-20)",18.48,18.48,,,0 HCPCS,J7168,NDC Description Not Available,18.48,18.48,,,0 HCPCS,J7168,Prothrombin complex kcentra,,,2.14,6.62,7 HCPCS,J7169,"Inj andexxa, 10 mg",,,131.38,277.5,7 HCPCS,J7169,NDC Description Not Available,837.5,837.5,,,0 HCPCS,J7170,"Inj., emicizumab-kxwh 0.5 mg",,,56.1,106.25,9 HCPCS,J7171,"Inj, adzynma, 10 iu",,,35.59,65.84,8 HCPCS,J7172,"Inj marstacim-hncq, 0.5 mg",,,51.1,93.81,7 HCPCS,J7173,"Inj. concizumab-mtci, 0.5 mg",,,86.4,129.61,5 HCPCS,J7175,"Inj, factor x, (human), 1iu",,,9.78,18.33,9 HCPCS,J7177,"Fibryga: 1 Kit In 1 Carton (68982-347-01) * 50 Ml In 1 Bottle, Glass (68982-348-01)",7.37,7.37,,,0 HCPCS,J7177,"Inj., fibryga, 1 mg",,,1.23,2.24,9 HCPCS,J7178,Human fibrinogen conc inj,,,1.52,2.81,9 HCPCS,J7179,Vonvendi inj 1 iu vwf:rco,,,1.85,3.42,9 HCPCS,J7180,Factor XIII anti-hem factor,,,10.76,19.94,9 HCPCS,J7181,Factor xiii recomb a-subunit,,,18.16,33.84,9 HCPCS,J7181,NDC Description Not Available,81.46,81.46,,,0 HCPCS,J7181,"Tretten: 1 Kit In 1 Kit (0169-7013-01) * 3 Ml In 1 Vial, Glass (0169-7113-11) * 3.2 Ml In 1 Vial, Glass (0169-7000-93)",85.18,85.18,,,0 HCPCS,J7182,Factor viii recomb novoeight,,,1.54,2.81,9 HCPCS,J7183,Wilate injection,,,1.29,2.35,9 HCPCS,J7185,Xyntha inj,,,1.67,2.85,9 HCPCS,J7186,Antihemophilic viii/vwf comp,,,1.25,2.28,9 HCPCS,J7187,"Humate-P, inj",,,1.49,2.76,9 HCPCS,J7187,"Humate-P: 1 Kit In 1 Carton (63833-616-02) * 10 Ml In 1 Vial (63833-626-01) * 10 Ml In 1 Vial, Single-Dose (63833-765-54)",10.71,10.71,,,0 HCPCS,J7188,Factor viii recomb obizur,,,3.23,5.98,9 HCPCS,J7189,Factor viia,,,2.66,4.9,9 HCPCS,J7189,NDC Description Not Available,18.07,18.07,,,0 HCPCS,J7189,"Novoseven Rt: 1 Kit In 1 Kit (0169-7201-01) * 1 Ml In 1 Vial, Glass (0169-7211-11) * 1 Ml In 1 Syringe, Glass (0169-7011-98)",17.98,17.98,,,0 HCPCS,J7190,Factor viii,,,1.08,2.09,9 HCPCS,J7191,Factor viii (porcine),,,2.75,7.92,5 HCPCS,J7192,"Advate: 1 Blister Pack In 1 Carton (0944-3053-02) / 1 Container In 1 Blister Pack (0944-3053-04) / 1 Kit In 1 Container (0944-3053-03) * 5 Ml In 1 Vial, Glass (0944-2943-02) * 2 Ml In 1 Vial, Gl",11.88,11.88,,,0 HCPCS,J7192,Factor viii recombinant nos,,,1.61,2.85,9 HCPCS,J7192,NDC Description Not Available,12.73,12.73,,,0 HCPCS,J7193,Factor ix non-recombinant,,,1.4,2.48,9 HCPCS,J7194,Factor ix complex,,,1.7,3.15,9 HCPCS,J7195,Factor ix recombinant nos,,,1.85,3.48,9 HCPCS,J7196,Antithrombin recombinant,,,193.47,311.91,3 HCPCS,J7197,Antithrombin iii injection,,,4.1,7.57,9 HCPCS,J7197,"Thrombate Iii: 1 Kit In 1 Carton (13533-602-50) * 10 Ml In 1 Vial, Glass (13533-605-21) * 10 Ml In 1 Vial, Glass (13533-200-10)",29.2,29.2,,,0 HCPCS,J7198,Anti-inhibitor,,,2.41,4.53,9 HCPCS,J7198,"Feiba: 1 Kit In 1 Carton (64193-424-02) * 20 Ml In 1 Vial, Glass (64193-324-01) * 20 Ml In 1 Vial, Glass (64764-517-20)",17.71,17.71,,,0 HCPCS,J7198,NDC Description Not Available,18.09,18.09,,,0 HCPCS,J7200,Factor ix recombinan rixubis,,,1.69,2.9,9 HCPCS,J7201,Factor ix alprolix recomb,,,3.59,6.72,9 HCPCS,J7202,Factor ix idelvion inj,,,5.32,9.88,9 HCPCS,J7203,Factor ix recomb gly rebinyn,,,4.46,8.47,9 HCPCS,J7204,Inj recombin esperoct per iu,,,2.22,4.18,9 HCPCS,J7205,Factor viii fc fusion recomb,,,2.43,4.48,9 HCPCS,J7207,Factor viii pegylated recomb,,,2.1,3.98,9 HCPCS,J7208,Inj. jivi 1 iu,,,2.65,4.9,9 HCPCS,J7209,Factor viii nuwiq recomb 1iu,,,1.12,2.18,9 HCPCS,J7210,"Inj, afstyla, 1 i.u.",,,1.57,2.92,9 HCPCS,J7211,"Inj, kovaltry, 1 i.u.",,,1.57,2.92,9 HCPCS,J7212,Factor viia recomb sevenfact,,,2.37,4.44,9 HCPCS,J7213,"Inj, ixinity, 1 i.u.",,,1.91,3.63,8 HCPCS,J7214,Altuviiio per factor viii iu,,,4.66,8.64,8 HCPCS,J7294,Seg acet and eth estr yearly,,,3199.78,5373.62,4 HCPCS,J7295,Eth estr and eton monthly,,,168.98,308.47,4 HCPCS,J7296,"Kyleena, 19.5 mg",,,1529.17,2696.49,4 HCPCS,J7296,Kyleena: 1 Intrauterine Device In 1 Carton (50419-424-01),7291.64,7291.64,,,0 HCPCS,J7296,Kyleena: 1 Intrauterine Device In 1 Carton (50419-424-08),6505.29,6505.29,,,0 HCPCS,J7297,"Liletta, 52 mg",,,1173.01,2068.45,4 HCPCS,J7297,Liletta: 1 Tray In 1 Carton (0023-5858-01) / 1 Intrauterine Device In 1 Tray,5599.17,5599.17,,,0 HCPCS,J7298,"Mirena, 52 mg",,,1529.17,2696.49,4 HCPCS,J7298,Mirena: 1 Intrauterine Device In 1 Carton (50419-423-01),7318.22,7318.22,,,0 HCPCS,J7300,Intraut copper contraceptive,,,1422.72,2527.1,4 HCPCS,J7300,Paragard T 380A: 1 Pouch In 1 Carton (59365-5128-1) / 1 Intrauterine Device In 1 Pouch,6852.96,6852.96,,,0 HCPCS,J7300,Paragard T 380A: 1 Pouch In 1 Carton (59365-5129-1) / 1 Intrauterine Device In 1 Pouch,6435.6,6435.6,,,0 HCPCS,J7301,"Skyla, 13.5 mg",,,1273.3,2245.27,4 HCPCS,J7301,Skyla: 1 Intrauterine Device In 1 Carton (50419-422-01),6115.74,6115.74,,,0 HCPCS,J7304,Contraceptive hormone patch,,,58.88,90.39,2 HCPCS,J7306,Levonorgestrel implant sys,,,431.35,938.88,3 HCPCS,J7307,Etonogestrel implant system,,,1516.38,2696.49,4 HCPCS,J7307,Nexplanon: 1 Blister Pack In 1 Carton (78206-145-01) / 1 Implant In 1 Blister Pack,7310.5,7310.5,,,0 HCPCS,J7308,Aminolevulinic acid hcl top,,,392.09,885.09,9 HCPCS,J7308,Levulan Kerastick: 1 Kit In 1 Applicator (67308-101-01) * 1.5 Ml In 1 Ampule * 1.5 Ml In 1 Ampule,2437.97,2437.97,,,0 HCPCS,J7308,Levulan Kerastick: 6 Applicator In 1 Carton (67308-101-06) / 1 Kit In 1 Applicator (67308-101-01) * 1.5 Ml In 1 Ampule * 1.5 Ml In 1 Ampule,2437.95,2437.95,,,0 HCPCS,J7309,"Methyl aminolevulinate, top",,,112.98,175.27,3 HCPCS,J7310,Ganciclovir long act implant,,,6772.87,35520.0,4 HCPCS,J7311,Fluocinolone acetonide implt,,,340.31,628.56,9 HCPCS,J7312,Dexamethasone intra implant,,,204.61,379.77,9 HCPCS,J7312,Ozurdex: 1 Pouch In 1 Carton (0023-3348-07) / 1 Implant In 1 Pouch,1314.16,1314.16,,,0 HCPCS,J7313,Fluocinol acet intravit imp,,,498.14,920.93,9 HCPCS,J7313,Iluvien: 1 Tray In 1 Carton (68611-190-02) / 1 Applicator In 1 Tray / 1 Implant In 1 Applicator,3126.67,3126.67,,,0 HCPCS,J7314,"Inj., yutiq, 0.01 mg",,,529.89,985.27,9 HCPCS,J7314,"Yutiq: 1 Pouch In 1 Box, Unit-Dose (71879-136-01) / 1 Applicator In 1 Pouch / 1 Implant In 1 Applicator",3348.51,3348.51,,,0 HCPCS,J7314,Yutiq: 1 Pouch In 1 Carton (68611-180-01) / 1 Applicator In 1 Pouch / 1 Implant In 1 Applicator,3325.43,3325.43,,,0 HCPCS,J7315,Mitomycin: 1 Vial In 1 Carton (16729-115-05) / 10 Ml In 1 Vial,116.01,116.01,,,0 HCPCS,J7315,NDC Description Not Available,2225.8,2225.8,,,0 HCPCS,J7315,Ophthalmic mitomycin,,,592.11,954.6,3 HCPCS,J7316,"Inj, ocriplasmin, 0.125 mg",,,1413.36,2192.62,3 HCPCS,J7318,"Inj, durolane 1 mg",,,6.77,12.36,9 HCPCS,J7318,NDC Description Not Available,121.185,121.185,,,0 HCPCS,J7320,"Genvisc 850, inj, 1mg",,,5.77,11.62,9 HCPCS,J7321,Hyalgan/supartz inj per dose,,,99.08,135.77,5 HCPCS,J7321,NDC Description Not Available,254.6,254.6,,,0 HCPCS,J7322,Hymovis injection 1 mg,,,17.62,32.26,9 HCPCS,J7323,Euflexxa inj per dose,,,112.45,211.79,9 HCPCS,J7323,NDC Description Not Available,2538.66,2538.66,,,0 HCPCS,J7324,NDC Description Not Available,3202.6,3202.6,,,0 HCPCS,J7324,Orthovisc inj per dose,,,114.54,209.61,9 HCPCS,J7325,NDC Description Not Available,191.18,191.18,,,0 HCPCS,J7325,Synvisc or Synvisc-One,,,7.95,16.82,9 HCPCS,J7326,Gel-one,,,529.26,969.44,9 HCPCS,J7327,Monovisc inj per dose,,,636.59,1121.33,9 HCPCS,J7328,Gel-syn injection 0.1 mg,,,0.7,1.2,9 HCPCS,J7329,"Inj, trivisc 1 mg",,,4.69,15.08,9 HCPCS,J7330,Cultured chondrocytes implnt,,,72526.62,146124.84,4 HCPCS,J7331,"Synojoynt, inj., 1 mg",,,5.45,20.66,5 HCPCS,J7332,"Inj., triluron, 1 mg",,,10.27,18.8,9 HCPCS,J7336,Capsaicin 8% patch,,,3.42,6.25,9 HCPCS,J7336,Qutenza: 1 Kit In 1 Carton (72512-928-01) * 1 Pouch In 1 Carton (72512-920-00) / 1 Patch In 1 Pouch / 179 Mg In 1 Patch * 50 G In 1 Tube,19.73,19.73,,,0 HCPCS,J7340,Carbidopa levodopa ent 100ml,,,243.61,449.83,9 HCPCS,J7342,Ciprofloxacin otic susp 6 mg,,,38.99,62.86,4 HCPCS,J7345,"Aminolevulinic acid, 10% gel",,,1.79,3.73,9 HCPCS,J7351,Inj bimatoprost itc imp 1mcg,,,213.84,392.87,9 HCPCS,J7352,"Afamelanotide implant, 1 mg",,,2943.42,6994.28,7 HCPCS,J7353,Anacaulase-bcdb 8.8% gel 1 g,,,58.31,127.15,6 HCPCS,J7354,"Cantharidin top, applicator",,,654.76,1238.74,8 HCPCS,J7354,Ycanth: 1 Applicator In 1 Package (71349-070-01) / 1 Ampule In 1 Applicator / .45 Ml In 1 Ampule,4247.0,4247.0,,,0 HCPCS,J7355,Inj travoprost intra impl,,,195.72,361.21,7 HCPCS,J7356,Inj foscarb/foslevodopa 5 mg,,,0.95,1.52,3 HCPCS,J7402,Mometasone sinus sinuva,,,11.34,21.0,9 HCPCS,J7500,Azathioprine oral 50mg,,,0.09,22.8,5 HCPCS,J7500,Azathioprine: 100 Blister Pack In 1 Carton (68084-229-01) / 1 Tablet In 1 Blister Pack (68084-229-11),4.34,4.34,,,0 HCPCS,J7500,Azathioprine: 100 Tablet In 1 Bottle (60219-1076-1),3.0,3.0,,,0 HCPCS,J7500,NDC Description Not Available,5.86,5.86,,,0 HCPCS,J7501,Azathioprine parenteral,,,254.07,555.0,7 HCPCS,J7502,Cyclosporine oral 100 mg,,,2.79,3.83,5 HCPCS,J7502,"Cyclosporine, Modfied: 30 Blister Pack In 1 Carton (60505-4632-3) / 6 Capsule, Liquid Filled In 1 Blister Pack",20.45,20.45,,,0 HCPCS,J7502,Gengraf: 5 Blister Pack In 1 Carton (0074-3109-32) / 6 Capsule In 1 Blister Pack,43.32,43.32,,,0 HCPCS,J7502,NDC Description Not Available,26.74,26.74,,,0 HCPCS,J7502,Neoral: 1 Bottle In 1 Carton (0078-0274-22) / 50 Ml In 1 Bottle,58.84,58.84,,,0 HCPCS,J7502,"Neoral: 30 Blister Pack In 1 Carton (0078-0248-15) / 1 Capsule, Liquid Filled In 1 Blister Pack (0078-0248-61)",68.93,68.93,,,0 HCPCS,J7503,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3010-1) / 1 Bottle In 1 Pouch / 100 Tablet, Extended Release In 1 Bottle",10.64,10.64,,,0 HCPCS,J7503,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3010-3) / 1 Bottle, Plastic In 1 Pouch / 30 Tablet, Extended Release In 1 Bottle, Plastic",10.66,10.66,,,0 HCPCS,J7503,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3040-1) / 1 Bottle In 1 Pouch / 100 Tablet, Extended Release In 1 Bottle",10.62,10.62,,,0 HCPCS,J7503,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3040-3) / 1 Bottle, Plastic In 1 Pouch / 30 Tablet, Extended Release In 1 Bottle, Plastic",10.66,10.66,,,0 HCPCS,J7503,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3075-1) / 1 Bottle In 1 Pouch / 100 Tablet, Extended Release In 1 Bottle",10.64,10.64,,,0 HCPCS,J7503,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3075-3) / 1 Bottle, Plastic In 1 Pouch / 30 Tablet, Extended Release In 1 Bottle, Plastic",10.62,10.62,,,0 HCPCS,J7503,Tacrol envarsus ex rel oral,,,2.47,3.39,5 HCPCS,J7504,Atgam: 5 Ampule In 1 Carton (0009-7224-02) / 5 Ml In 1 Ampule (0009-7224-01),30568.03,30568.03,,,0 HCPCS,J7504,Lymphocyte immune globulin,,,4678.62,9274.25,9 HCPCS,J7504,NDC Description Not Available,29024.47,29024.47,,,0 HCPCS,J7505,Monoclonal antibodies,,,1433.03,2421.22,2 HCPCS,J7507,NDC Description Not Available,9.26,9.26,,,0 HCPCS,J7507,Tacrolimus imme rel oral 1mg,,,0.2,0.69,5 HCPCS,J7507,Tacrolimus: 100 Blister Pack In 1 Carton (0904-6623-61) / 1 Capsule In 1 Blister Pack,6.65,6.65,,,0 HCPCS,J7507,Tacrolimus: 100 Blister Pack In 1 Carton (0904-6624-61) / 1 Capsule In 1 Blister Pack,11.16,11.16,,,0 HCPCS,J7507,Tacrolimus: 100 Blister Pack In 1 Carton (0904-7097-61) / 1 Capsule In 1 Blister Pack,8.47,8.47,,,0 HCPCS,J7507,Tacrolimus: 100 Capsule In 1 Bottle (16714-099-01),9.44,9.44,,,0 HCPCS,J7507,Tacrolimus: 100 Capsule In 1 Bottle (16729-043-01),3.62,3.62,,,0 HCPCS,J7507,Tacrolimus: 100 Capsule In 1 Bottle (68462-687-01),1.81,1.81,,,0 HCPCS,J7507,"Tacrolimus: 100 Capsule In 1 Bottle, Plastic (0378-2047-01)",5.81,5.81,,,0 HCPCS,J7508,Tacrol astagraf ex rel oral,,,0.8,1.09,5 HCPCS,J7509,Methylprednisolone oral,,,0.16,0.69,5 HCPCS,J7509,Methylprednisolone: 100 TABLET in 1 BOTTLE (0781-5022-01),7.07,7.07,,,0 HCPCS,J7509,NDC Description Not Available,10.36,10.36,,,0 HCPCS,J7510,MILLIPRED: 100 TABLET in 1 BOTTLE (23594-505-01),95.77,95.77,,,0 HCPCS,J7510,Millipred: 100 Tablet In 1 Bottle (73534-505-01),95.77,95.77,,,0 HCPCS,J7510,Prednisolone Sodium Phosphate: 237 Ml In 1 Bottle (0121-0759-08),1.54,1.54,,,0 HCPCS,J7510,Prednisolone Sodium Phosphate: 237 Ml In 1 Bottle (69238-2122-9),1.74,1.74,,,0 HCPCS,J7510,"Prednisolone Sodium Phosphate: 237 Ml In 1 Bottle, Plastic (42799-815-01)",6.0,6.0,,,0 HCPCS,J7510,Prednisolone oral per 5 mg,,,0.35,0.94,5 HCPCS,J7510,Prednisolone: 1 BOTTLE in 1 CARTON (50383-042-24) / 240 mL in 1 BOTTLE,2.13,2.13,,,0 HCPCS,J7510,Prednisolone: 1 BOTTLE in 1 CARTON (50383-042-48) / 480 mL in 1 BOTTLE,1.87,1.87,,,0 HCPCS,J7510,Prednisolone: 100 Tablet In 1 Bottle (42658-160-05),69.75,69.75,,,0 HCPCS,J7510,Prednisolone: 100 Tablet In 1 Bottle (59651-491-01),76.62,76.62,,,0 HCPCS,J7510,Prednisolone: 240 Ml In 1 Bottle (0121-0885-08),5.99,5.99,,,0 HCPCS,J7511,Antithymocyte globuln rabbit,,,999.37,1843.32,9 HCPCS,J7511,"Thymoglobulin: 1 Vial, Glass In 1 Carton (58468-0080-1) / 5 Ml In 1 Vial, Glass",7227.59,7227.59,,,0 HCPCS,J7512,NDC Description Not Available,0.375,0.375,,,0 HCPCS,J7512,Prednisone ir or dr oral 1mg,,,0.01,0.69,5 HCPCS,J7512,Prednisone: 10 Blister Pack In 1 Carton (0054-0017-20) / 10 Tablet In 1 Blister Pack,0.55,0.55,,,0 HCPCS,J7512,Prednisone: 10 Blister Pack In 1 Carton (0054-0018-20) / 10 Tablet In 1 Blister Pack,0.16,0.16,,,0 HCPCS,J7512,Prednisone: 10 Blister Pack In 1 Carton (0054-0019-20) / 10 Tablet In 1 Blister Pack,0.07,0.07,,,0 HCPCS,J7512,Prednisone: 10 Blister Pack In 1 Carton (0054-8724-25) / 10 Tablet In 1 Blister Pack,1.11,1.11,,,0 HCPCS,J7512,Prednisone: 10 Blister Pack In 1 Carton (0054-8740-25) / 10 Tablet In 1 Blister Pack,2.0,2.0,,,0 HCPCS,J7512,Prednisone: 10 Tablet In 1 Bottle (66267-172-10),0.15,0.15,,,0 HCPCS,J7512,Prednisone: 100 Blister Pack In 1 Carton (0904-6923-61) / 1 Tablet In 1 Blister Pack,0.57,0.57,,,0 HCPCS,J7512,Prednisone: 100 Blister Pack In 1 Carton (0904-7127-61) / 1 Tablet In 1 Blister Pack,0.16,0.16,,,0 HCPCS,J7512,Prednisone: 100 Tablet In 1 Bottle (10135-779-01),0.07,0.07,,,0 HCPCS,J7512,Prednisone: 100 Tablet In 1 Bottle (59651-485-01),1.91,1.91,,,0 HCPCS,J7512,Prednisone: 100 Tablet In 1 Bottle (59651-486-01),0.78,0.78,,,0 HCPCS,J7512,Prednisone: 100 Tablet In 1 Bottle (59651-488-01),0.16,0.16,,,0 HCPCS,J7512,Prednisone: 100 Tablet In 1 Bottle (59651-489-01),0.07,0.07,,,0 HCPCS,J7512,Prednisone: 100 Tablet In 1 Bottle (59746-172-06),0.8,0.8,,,0 HCPCS,J7512,Prednisone: 100 Tablet In 1 Bottle (59746-173-06),0.58,0.58,,,0 HCPCS,J7512,Prednisone: 100 Tablet In 1 Bottle (59746-175-06),0.16,0.16,,,0 HCPCS,J7512,Prednisone: 100 Tablet In 1 Bottle (70954-059-10),0.57,0.57,,,0 HCPCS,J7512,"Prednisone: 100 Tablet In 1 Bottle, Plastic (0054-0018-25)",0.17,0.17,,,0 HCPCS,J7512,"Prednisone: 100 Tablet In 1 Bottle, Plastic (0054-4741-25)",2.28,2.28,,,0 HCPCS,J7512,"Prednisone: 100 Tablet In 1 Bottle, Plastic (0378-0642-01)",0.16,0.16,,,0 HCPCS,J7512,"Prednisone: 100 Tablet In 1 Bottle, Plastic (0603-5335-21)",2.39,2.39,,,0 HCPCS,J7512,"Prednisone: 100 Tablet In 1 Bottle, Plastic (64380-782-06)",2.14,2.14,,,0 HCPCS,J7512,"Prednisone: 100 Tablet In 1 Bottle, Plastic (64380-783-06)",0.89,0.89,,,0 HCPCS,J7512,Prednisone: 21 Tablet In 1 Bottle (60760-002-21),0.27,0.27,,,0 HCPCS,J7512,Prednisone: 30 TABLET in 1 BOTTLE (66267-173-30),0.6,0.6,,,0 HCPCS,J7513,"Daclizumab, parenteral",,,618.59,1102.34,3 HCPCS,J7514,Mycophenol (myhibbin) 100 mg,,,0.28,4.85,4 HCPCS,J7515,Cyclosporine oral 25 mg,,,1.04,1.42,5 HCPCS,J7515,Gengraf: 3 Blister Pack In 1 Carton (0074-3108-32) / 10 Capsule In 1 Blister Pack,11.01,11.01,,,0 HCPCS,J7515,NDC Description Not Available,5.800000000000001,5.800000000000001,,,0 HCPCS,J7515,"Neoral: 30 Blister Pack In 1 Carton (0078-0246-15) / 1 Capsule, Liquid Filled In 1 Blister Pack (0078-0246-61)",16.97,16.97,,,0 HCPCS,J7516,Cyclosporin parenteral 250mg,,,78.12,134.48,5 HCPCS,J7516,NDC Description Not Available,259.45,259.45,,,0 HCPCS,J7516,Sandimmune: 10 Ampule In 1 Box (0078-0109-01) / 5 Ml In 1 Ampule (0078-0109-61),280.52,280.52,,,0 HCPCS,J7517,Mycophenolate Mofetil: 1 Bottle In 1 Carton (31722-878-01) / 100 Capsule In 1 Bottle,3.99,3.99,,,0 HCPCS,J7517,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (67877-230-22) / 225 Ml In 1 Bottle, Plastic",54.55,54.55,,,0 HCPCS,J7517,"Mycophenolate Mofetil: 100 Blister Pack In 1 Capsule (0904-7078-61) / 1 Tablet, Film Coated In 1 Blister Pack",2.95,2.95,,,0 HCPCS,J7517,"Mycophenolate Mofetil: 100 Blister Pack In 1 Carton (51079-379-20) / 1 Tablet, Film Coated In 1 Blister Pack (51079-379-01)",3.07,3.07,,,0 HCPCS,J7517,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (0093-7334-01),4.24,4.24,,,0 HCPCS,J7517,Mycophenolate Mofetil: 100 Tablet In 1 Bottle (16729-019-01),1.88,1.88,,,0 HCPCS,J7517,"Mycophenolate Mofetil: 100 Tablet, Film Coated In 1 Bottle, Plastic (64380-725-06)",1.82,1.82,,,0 HCPCS,J7517,Mycophenolate mofetil oral,,,0.22,0.69,5 HCPCS,J7517,NDC Description Not Available,3.3,3.3,,,0 HCPCS,J7518,"Mycophenolic Acid: 100 Blister Pack In 1 Carton (0904-6785-61) / 1 Tablet, Delayed Release In 1 Blister Pack",30.47,30.47,,,0 HCPCS,J7518,"Mycophenolic Acid: 30 Blister Pack In 1 Box, Unit-Dose (68084-907-21) / 1 Tablet, Delayed Release In 1 Blister Pack (68084-907-11)",23.1,23.1,,,0 HCPCS,J7518,"Mycophenolic Acid: 30 Blister Pack In 1 Carton (0904-6786-04) / 1 Tablet, Delayed Release In 1 Blister Pack",30.27,30.27,,,0 HCPCS,J7518,Mycophenolic acid,,,0.5,1.01,5 HCPCS,J7518,"Myfortic: 120 Tablet, Delayed Release In 1 Bottle (0078-0386-66)",43.64,43.64,,,0 HCPCS,J7518,NDC Description Not Available,23.59,23.59,,,0 HCPCS,J7519,Inj. mycophenolate mofetil,,,0.54,0.76,4 HCPCS,J7519,"Mycophenolate Mofetil: 4 Vial, Single-Dose In 1 Carton (71288-803-21) / 20 Ml In 1 Vial, Single-Dose (71288-803-20)",10.07,10.07,,,0 HCPCS,J7519,NDC Description Not Available,7.625,7.625,,,0 HCPCS,J7520,"Rapamune: 1 Carton In 1 Kit (0008-1030-06) / 1 Bottle, Glass In 1 Carton (0008-1030-04) / 60 Ml In 1 Bottle, Glass",171.29,171.29,,,0 HCPCS,J7520,"Sirolimus, oral",,,1.3,4.57,5 HCPCS,J7521,Tacrolim granules oral susp,,,1.69,2.31,3 HCPCS,J7525,Prograf: 10 Ampule In 1 Box (0469-3016-01) / 1 Ml In 1 Ampule,675.58,675.58,,,0 HCPCS,J7525,Tacrolimus injection,,,263.15,485.13,9 HCPCS,J7527,Everolimus: 60 Tablet In 1 Bottle (0054-0470-21),49.16,49.16,,,0 HCPCS,J7527,NDC Description Not Available,50.875,50.875,,,0 HCPCS,J7527,Oral everolimus,,,2.06,7.05,5 HCPCS,J7527,Zortress: 60 Blister Pack In 1 Box (0078-0414-20) / 1 Tablet In 1 Blister Pack (0078-0414-61),65.72,65.72,,,0 HCPCS,J7527,Zortress: 60 Blister Pack In 1 Box (0078-0415-20) / 1 Tablet In 1 Blister Pack (0078-0415-61),64.97,64.97,,,0 HCPCS,J7601,Ensifentrine inh 3 mg,,,70.36,97.35,4 HCPCS,J7605,Arformoterol non-comp unit,,,1.06,4.53,5 HCPCS,J7606,"Formoterol fumarate, inh",,,2.66,9.86,5 HCPCS,J7608,Acetylcysteine non-comp unit,,,9.65,16.45,5 HCPCS,J7608,Acetylcysteine: 25 Vial In 1 Carton (63323-694-04) / 4 Ml In 1 Vial (63323-694-22),73.42,73.42,,,0 HCPCS,J7608,Acetylcysteine: 3 Vial In 1 Carton (63323-690-30) / 30 Ml In 1 Vial (63323-690-22),16.13,16.13,,,0 HCPCS,J7608,NDC Description Not Available,69.405,69.405,,,0 HCPCS,J7609,Albuterol comp unit,,,0.69,1.11,2 HCPCS,J7610,Albuterol comp con,,,1.66,2.68,2 HCPCS,J7611,"Albuterol Sulfate: 1 BOTTLE, GLASS in 1 CARTON (50383-741-20) / 20 mL in 1 BOTTLE, GLASS",5.83,5.83,,,0 HCPCS,J7611,Albuterol non-comp con,,,0.22,0.69,5 HCPCS,J7611,NDC Description Not Available,5.66,5.66,,,0 HCPCS,J7612,Levalbuterol non-comp con,,,0.41,0.69,5 HCPCS,J7613,"Albuterol Sulfate: 25 Pouch In 1 Carton (0487-9904-25) / 1 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",4.12,4.12,,,0 HCPCS,J7613,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-9904-01) / 1 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",4.12,4.12,,,0 HCPCS,J7613,Albuterol Sulfate: 30 Pouch In 1 Carton (76204-200-01) / 1 Ampule In 1 Pouch / 3 Ml In 1 Ampule,5.4,5.4,,,0 HCPCS,J7613,Albuterol non-comp unit,,,0.11,0.69,5 HCPCS,J7613,NDC Description Not Available,3.905,3.905,,,0 HCPCS,J7614,Levalbuterol non-comp unit,,,0.12,0.69,5 HCPCS,J7614,"Levalbuterol: 25 Pouch In 1 Carton (35573-445-25) / 25 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",2.48,2.48,,,0 HCPCS,J7614,Levalbuterol: 30 Pouch In 1 Carton (76204-900-01) / 1 Ampule In 1 Pouch (76204-900-11) / 3 Ml In 1 Ampule,2.05,2.05,,,0 HCPCS,J7614,NDC Description Not Available,3.31,3.31,,,0 HCPCS,J7614,"Xopenex: 2 POUCH in 1 CARTON (17478-173-24) / 12 VIAL, SINGLE-DOSE in 1 POUCH (17478-173-12) / 3 mL in 1 VIAL, SINGLE-DOSE",16.18,16.18,,,0 HCPCS,J7615,Levalbuterol comp unit,,,1.94,3.2,3 HCPCS,J7620,Albuterol ipratrop non-comp,,,0.27,0.69,5 HCPCS,J7620,Ipratropium Bromide And Albuterol Sulfate: 1 Pouch In 1 Carton (76204-600-30) / 30 Ampule In 1 Pouch / 3 Ml In 1 Ampule,6.0,6.0,,,0 HCPCS,J7620,"Ipratropium Bromide And Albuterol Sulfate: 30 Pouch In 1 Carton (0487-0201-01) / 1 Vial, Single-Use In 1 Pouch / 3 Ml In 1 Vial, Single-Use",5.99,5.99,,,0 HCPCS,J7620,Ipratropium Bromide And Albuterol Sulfate: 30 Pouch In 1 Carton (76204-600-01) / 1 Ampule In 1 Pouch / 3 Ml In 1 Ampule,5.99,5.99,,,0 HCPCS,J7620,NDC Description Not Available,6.0,6.0,,,0 HCPCS,J7622,Beclomethasone comp unit,,,0.06,0.06,1 HCPCS,J7624,Betamethasone comp unit,,,2.24,2.24,1 HCPCS,J7626,Budesonide non-comp unit,,,1.4,2.37,5 HCPCS,J7626,"Budesonide: 6 Pouch In 1 Carton (0093-6815-73) / 5 Vial, Single-Dose In 1 Pouch (0093-6815-45) / 2 Ml In 1 Vial, Single-Dose (0093-6815-19)",53.53,53.53,,,0 HCPCS,J7626,Budesonide: 6 Pouch In 1 Carton (0487-9601-01) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,68.91,68.91,,,0 HCPCS,J7626,NDC Description Not Available,78.65,78.65,,,0 HCPCS,J7626,Pulmicort Respules: 6 Pouch In 1 Carton (0186-1988-04) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,68.78,68.78,,,0 HCPCS,J7627,Budesonide comp unit,,,0.42,7.47,3 HCPCS,J7628,Bitolterol mesylate comp con,,,0.3,0.48,2 HCPCS,J7629,Bitolterol mesylate comp unt,,,0.52,0.52,1 HCPCS,J7631,Cromolyn sodium noncomp unit,,,0.35,1.8,5 HCPCS,J7632,Cromolyn sodium comp unit,,,0.36,0.53,2 HCPCS,J7633,Budesonide non-comp con,,,6.51,14.45,2 HCPCS,J7635,Atropine comp con,,,0.22,0.22,1 HCPCS,J7636,Atropine comp unit,,,1.26,1.26,1 HCPCS,J7637,Dexamethasone comp con,,,0.11,0.11,1 HCPCS,J7638,Dexamethasone comp unit,,,0.22,0.22,1 HCPCS,J7639,Dornase alfa non-comp unit,,,74.47,102.05,5 HCPCS,J7639,NDC Description Not Available,299.77,299.77,,,0 HCPCS,J7639,Pulmozyme: 5 Pouch In 1 Carton (50242-100-40) / 6 Ampule In 1 Pouch (50242-100-39) / 2.5 Ml In 1 Ampule,276.4,276.4,,,0 HCPCS,J7640,Formoterol comp unit,,,2.34,5.46,2 HCPCS,J7641,Flunisolide comp unit,,,0.39,16.55,3 HCPCS,J7642,Glycopyrrolate comp con,,,2.2,2.2,1 HCPCS,J7643,Glycopyrrolate comp unit,,,1.03,1.65,2 HCPCS,J7643,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Tray (0517-4601-25) / 1 Ml In 1 Vial, Single-Dose",435.5,435.5,,,0 HCPCS,J7643,NDC Description Not Available,67.0,67.0,,,0 HCPCS,J7644,"Ipratropium Bromide: 30 Pouch In 1 Carton (0487-9801-01) / 1 Vial, Single-Dose In 1 Pouch / 2.5 Ml In 1 Vial, Single-Dose",5.96,5.96,,,0 HCPCS,J7644,Ipratropium Bromide: 30 Pouch In 1 Carton (76204-100-01) / 1 Ampule In 1 Pouch / 2.5 Ml In 1 Ampule,6.0,6.0,,,0 HCPCS,J7644,Ipratropium bromide non-comp,,,0.53,0.72,5 HCPCS,J7644,NDC Description Not Available,5.81,5.81,,,0 HCPCS,J7645,Ipratropium bromide comp,,,0.07,0.11,2 HCPCS,J7648,Isoetharine non-comp con,,,0.33,0.33,1 HCPCS,J7649,Isoetharine non-comp unit,,,0.37,0.37,1 HCPCS,J7658,Isoproterenol non-comp con,,,3.83,3.83,1 HCPCS,J7659,Isoproterenol non-comp unit,,,3.83,3.83,1 HCPCS,J7665,Mannitol for inhaler,,,1.36,14.6,4 HCPCS,J7668,Metaproterenol non-comp con,,,0.57,0.57,1 HCPCS,J7669,Metaproterenol non-comp unit,,,0.58,0.8,3 HCPCS,J7674,"Methacholine chloride, neb",,,1.29,3.2,5 HCPCS,J7674,"Provocholine Inhalation Solution: 6 Package In 1 Package (64281-110-06) / 6 Carton In 1 Package (64281-110-05) / 1 Kit In 1 Carton * 1 Vial, Plastic In 1 Kit / 3 Ml In 1 Vial, Plastic (64281-113-00",3645.0,3645.0,,,0 HCPCS,J7677,Revefenacin inh non-com 1mcg,,,0.26,0.69,5 HCPCS,J7680,Terbutaline sulf comp con,,,0.04,20.82,3 HCPCS,J7681,Terbutaline sulf comp unit,,,0.04,20.82,3 HCPCS,J7682,NDC Description Not Available,111.6,111.6,,,0 HCPCS,J7682,Tobramycin non-comp unit,,,19.52,39.38,5 HCPCS,J7682,Tobramycin: 56 Ampule In 1 Carton (65162-914-46) / 5 Ml In 1 Ampule,105.19,105.19,,,0 HCPCS,J7683,Triamcinolone comp con,,,1.04,7.47,3 HCPCS,J7684,Triamcinolone comp unit,,,1.04,1.04,1 HCPCS,J7685,Tobramycin comp unit,,,66.45,95.54,2 HCPCS,J7686,"Treprostinil, non-comp unit",,,1080.2,1480.28,4 HCPCS,J7686,Tyvaso: 4 Ampule In 1 Box (66302-206-03) / 2.9 Ml In 1 Ampule,4285.04,4285.04,,,0 HCPCS,J8498,NDC Description Not Available,48.644999999999996,48.644999999999996,,,0 HCPCS,J8499,"Ambrisentan: 30 Tablet, Film Coated In 1 Bottle (47335-236-83)",221.08,221.08,,,0 HCPCS,J8499,Estradiol: 100 Tablet In 1 Bottle (0555-0887-02),0.11,0.11,,,0 HCPCS,J8499,"Letairis: 30 Tablet, Film Coated In 1 Bottle, Plastic (61958-0801-1)",2548.52,2548.52,,,0 HCPCS,J8501,Aprepitant: 1 Blister Pack In 1 Carton (0781-2322-68) / 6 Capsule In 1 Blister Pack (0781-2322-06),56.67,56.67,,,0 HCPCS,J8501,NDC Description Not Available,60.010000000000005,60.010000000000005,,,0 HCPCS,J8501,Oral aprepitant,,,3.67,5.03,5 HCPCS,J8510,Oral busulfan,,,10.12,304.95,7 HCPCS,J8515,"Cabergoline, oral 0.25mg",,,2.16,30.24,4 HCPCS,J8520,"Capecitabine, oral, 150 mg",,,1.0,1.15,2 HCPCS,J8521,"Capecitabine, oral, 500 mg",,,2.22,3.33,2 HCPCS,J8522,"Capecitabine, oral, 50 mg",,,0.04,0.34,9 HCPCS,J8522,NDC Description Not Available,7.05,7.05,,,0 HCPCS,J8522,"Xeloda: 120 Tablet, Film Coated In 1 Bottle, Plastic (0004-1101-50)",17.38,17.38,,,0 HCPCS,J8530,Cyclophosphamide oral 25 MG,,,1.39,3.66,5 HCPCS,J8540,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8175-25) / 1 Tablet In 1 Blister Pack,0.39,0.39,,,0 HCPCS,J8540,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8176-25) / 1 Tablet In 1 Blister Pack,0.71,0.71,,,0 HCPCS,J8540,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8179-25) / 1 Tablet In 1 Blister Pack,1.4,1.4,,,0 HCPCS,J8540,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8180-25) / 1 Tablet In 1 Blister Pack,0.84,0.84,,,0 HCPCS,J8540,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8183-25) / 1 Tablet In 1 Blister Pack,0.41,0.41,,,0 HCPCS,J8540,Dexamethasone: 100 Blister Pack In 1 Carton (0904-7266-61) / 1 Tablet In 1 Blister Pack,0.4,0.4,,,0 HCPCS,J8540,Dexamethasone: 100 Mg In 1 Bottle (72603-212-01),1.73,1.73,,,0 HCPCS,J8540,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4180-25)",1.17,1.17,,,0 HCPCS,J8540,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4183-25)",0.75,0.75,,,0 HCPCS,J8540,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4186-25)",0.38,0.38,,,0 HCPCS,J8540,"Dexamethasone: 240 Ml In 1 Bottle, Plastic (0054-3177-57)",3.29,3.29,,,0 HCPCS,J8540,"Dexamethasone: 500 Ml In 1 Bottle, Plastic (0054-3177-63)",2.59,2.59,,,0 HCPCS,J8540,NDC Description Not Available,1.98,1.98,,,0 HCPCS,J8540,Oral dexamethasone,,,0.02,0.69,5 HCPCS,J8541,"Oral, hemady, 0.25 mg",,,0.5,0.81,4 HCPCS,J8560,Etoposide oral 50 mg,,,77.46,172.99,9 HCPCS,J8562,Oral fludarabine phosphate,,,171.25,191.62,2 HCPCS,J8565,Gefitinib oral,,,257.42,522.37,4 HCPCS,J8600,Melphalan oral 2 MG,,,16.81,21.29,4 HCPCS,J8610,Methotrexate oral 2.5 MG,,,0.28,0.69,5 HCPCS,J8610,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3675-01) / 10 Ml In 1 Vial, Single-Dose",5.4,5.4,,,0 HCPCS,J8610,Methotrexate: 20 Blister Pack In 1 Carton (51079-670-05) / 1 Tablet In 1 Blister Pack (51079-670-01),17.17,17.17,,,0 HCPCS,J8610,NDC Description Not Available,17.22,17.22,,,0 HCPCS,J8611,Oral methotrexate (jylamvo),,,0.69,34.28,9 HCPCS,J8612,Oral methotrexate (xatmep),,,0.69,41.92,9 HCPCS,J8650,Nabilone oral,,,25.08,87.02,4 HCPCS,J8655,Netupitant palonosetron oral,,,422.89,757.61,9 HCPCS,J8670,"Rolapitant, oral, 1mg",,,1.86,2.89,9 HCPCS,J8700,NDC Description Not Available,9.5,9.5,,,0 HCPCS,J8700,Temozolomide,,,0.45,1.0,5 HCPCS,J8700,Temozolomide: 1 Bottle In 1 Carton (65162-803-14) / 14 Capsule In 1 Bottle,7.75,7.75,,,0 HCPCS,J8700,Temozolomide: 14 CAPSULE in 1 BOTTLE (0093-7601-41),60.09,60.09,,,0 HCPCS,J8700,Temozolomide: 14 Capsule In 1 Bottle (67877-538-14),11.81,11.81,,,0 HCPCS,J8700,Temozolomide: 14 Capsule In 1 Bottle (67877-539-14),10.5,10.5,,,0 HCPCS,J8705,Topotecan oral,,,124.83,235.83,9 HCPCS,J8999,"Dasatinib: 30 Tablet, Film Coated In 1 Bottle (60505-3631-3)",2579.3,2579.3,,,0 HCPCS,J8999,"Dasatinib: 30 Tablet, Film Coated In 1 Bottle (60505-3817-3)",2579.3,2579.3,,,0 HCPCS,J8999,"Idhifa: 30 Tablet, Film Coated In 1 Bottle (59572-710-30)",7025.53,7025.53,,,0 HCPCS,J8999,"Imbruvica: 1 Blister Pack In 1 Carton (57962-014-28) / 28 Tablet, Film Coated In 1 Blister Pack",2268.49,2268.49,,,0 HCPCS,J8999,"Imbruvica: 1 Blister Pack In 1 Carton (57962-420-28) / 28 Tablet, Film Coated In 1 Blister Pack",3716.69,3716.69,,,0 HCPCS,J8999,"Jakafi: 60 Tablet In 1 Bottle, Plastic (50881-005-60)",1793.65,1793.65,,,0 HCPCS,J8999,"Jakafi: 60 Tablet In 1 Bottle, Plastic (50881-010-60)",1277.74,1277.74,,,0 HCPCS,J8999,"Mektovi: 1 Bottle In 1 Carton (70255-010-02) / 180 Tablet, Film Coated In 1 Bottle",268.8,268.8,,,0 HCPCS,J8999,NDC Description Not Available,1014.26,1014.26,,,0 HCPCS,J8999,Sprycel: 1 Bottle In 1 Carton (0003-0852-22) / 30 Tablet In 1 Bottle,3770.91,3770.91,,,0 HCPCS,J8999,Sprycel: 1 Bottle In 1 Carton (0003-0857-22) / 30 Tablet In 1 Bottle,3770.91,3770.91,,,0 HCPCS,J8999,"Venclexta: 1 Blister Pack In 1 Carton (0074-0561-11) / 2 Tablet, Film Coated In 1 Blister Pack",79.86,79.86,,,0 HCPCS,J8999,"Venclexta: 1 Blister Pack In 1 Carton (0074-0566-07) / 7 Tablet, Film Coated In 1 Blister Pack",305.75,305.75,,,0 HCPCS,J8999,"Venclexta: 1 Blister Pack In 1 Carton (0074-0566-11) / 1 Tablet, Film Coated In 1 Blister Pack",380.59,380.59,,,0 HCPCS,J8999,"Venclexta: 1 Blister Pack In 1 Carton (0074-0576-11) / 1 Tablet, Film Coated In 1 Blister Pack",793.86,793.86,,,0 HCPCS,J8999,Xospata: 1 Bottle In 1 Carton (0469-1425-90) / 90 Tablet In 1 Bottle,1265.55,1265.55,,,0 HCPCS,J9000,Adriamycin: 1 VIAL in 1 BOX (55390-237-01) / 25 mL in 1 VIAL,74.37,74.37,,,0 HCPCS,J9000,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (25021-207-25) / 25 Ml In 1 Vial,31.96,31.96,,,0 HCPCS,J9000,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (25021-207-51) / 100 Ml In 1 Vial,42.02,42.02,,,0 HCPCS,J9000,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (67457-436-50) / 25 Ml In 1 Vial,164.11,164.11,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0069-1542-20) / 100 Ml In 1 Vial, Multi-Dose",20.99,20.99,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0069-3034-20) / 100 Ml In 1 Vial, Multi-Dose",20.28,20.28,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (45963-733-60) / 100 Ml In 1 Vial, Multi-Dose",43.4,43.4,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (63323-101-61) / 100 Ml In 1 Vial, Multi-Dose",42.48,42.48,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-0343-02) / 25 Ml In 1 Vial, Single-Dose",32.93,32.93,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-3030-20) / 5 Ml In 1 Vial, Single-Dose",68.01,68.01,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-3032-20) / 25 Ml In 1 Vial, Single-Dose",31.71,31.71,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (63323-883-05) / 5 Ml In 1 Vial, Single-Dose",61.82,61.82,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (63323-883-30) / 25 Ml In 1 Vial, Single-Dose",42.84,42.84,,,0 HCPCS,J9000,Doxorubicin hcl injection,,,4.53,5.57,5 HCPCS,J9011,"Datopotamab deruxtecan, 1 mg",,,51.56,77.34,5 HCPCS,J9015,Aldesleukin injection,,,3338.87,13453.2,7 HCPCS,J9015,"Proleukin: 1 VIAL, SINGLE-USE in 1 CARTON (65483-116-07) / 1 mL in 1 VIAL, SINGLE-USE",27630.94,27630.94,,,0 HCPCS,J9015,"Proleukin: 1 Vial, Single-Dose In 1 Carton (73776-022-01) / 1 Ml In 1 Vial, Single-Dose",33639.62,33639.62,,,0 HCPCS,J9015,"Proleukin: 1 Vial, Single-Dose In 1 Carton (76310-022-01) / 1 Ml In 1 Vial, Single-Dose",32748.21,32748.21,,,0 HCPCS,J9017,Arsenic Trioxide: 10 Vial In 1 Carton (68382-997-10) / 10 Ml In 1 Vial (68382-997-01),252.24,252.24,,,0 HCPCS,J9017,"Arsenic Trioxide: 10 Vial, Single-Dose In 1 Carton (14789-600-10) / 10 Ml In 1 Vial, Single-Dose",376.7,376.7,,,0 HCPCS,J9017,"Arsenic Trioxide: 10 Vial, Single-Dose In 1 Carton (23155-869-41) / 10 Ml In 1 Vial, Single-Dose (23155-869-31)",76.38,76.38,,,0 HCPCS,J9017,"Arsenic Trioxide: 10 Vial, Single-Dose In 1 Carton (70121-1483-7) / 10 Ml In 1 Vial, Single-Dose (70121-1483-1)",100.5,100.5,,,0 HCPCS,J9017,Arsenic trioxide injection,,,7.72,30.96,5 HCPCS,J9017,NDC Description Not Available,253.28,253.28,,,0 HCPCS,J9019,Erwinaze injection,,,740.07,965.47,4 HCPCS,J9020,"Asparaginase, nos",,,84.33,145.89,3 HCPCS,J9021,"Inj, aspara, rylaze, 0.1 mg",,,55.47,102.31,9 HCPCS,J9021,NDC Description Not Available,347.26,347.26,,,0 HCPCS,J9021,"Rylaze: 3 Vial, Single-Dose In 1 Carton (68727-900-03) / .5 Ml In 1 Vial, Single-Dose (68727-900-01)",350.63,350.63,,,0 HCPCS,J9022,"Inj, atezolizumab,10 mg",,,91.34,183.17,9 HCPCS,J9022,"Tecentriq: 1 Vial, Single-Use In 1 Carton (50242-917-01) / 20 Ml In 1 Vial, Single-Use",615.34,615.34,,,0 HCPCS,J9022,"Tecentriq: 1 Vial, Single-Use In 1 Carton (50242-918-01) / 14 Ml In 1 Vial, Single-Use",619.42,619.42,,,0 HCPCS,J9023,"Bavencio: 1 Vial, Single-Dose In 1 Carton (44087-3535-1) / 10 Ml In 1 Vial, Single-Dose",655.13,655.13,,,0 HCPCS,J9023,"Injection, avelumab, 10 mg",,,100.09,201.52,9 HCPCS,J9024,Inj atezolizumb 5mg hya-tqjs,,,31.58,58.53,7 HCPCS,J9025,Azacitidine injection,,,0.38,1.14,5 HCPCS,J9025,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (0781-3491-94)",3.01,3.01,,,0 HCPCS,J9025,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (16729-306-10)",6.7,6.7,,,0 HCPCS,J9025,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (43598-305-62)",13.38,13.38,,,0 HCPCS,J9025,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (72485-201-01)",3.01,3.01,,,0 HCPCS,J9025,"Azacitidine: 1 Vial In 1 Carton (0143-9606-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",6.7,6.7,,,0 HCPCS,J9025,"Azacitidine: 1 Vial, Single-Dose In 1 Carton (55150-393-01) / 4 Ml In 1 Vial, Single-Dose",6.69,6.69,,,0 HCPCS,J9025,"Azacitidine: 1 Vial, Single-Dose In 1 Carton (71288-115-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",3.01,3.01,,,0 HCPCS,J9025,"Vidaza: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (59572-102-01)",39.14,39.14,,,0 HCPCS,J9026,"Inj, tarlatamab-dlle, 1 mg",,,17.75,2899.86,9 HCPCS,J9026,NDC Description Not Available,6750.0,6750.0,,,0 HCPCS,J9027,Clofarabine injection,,,4.19,72.81,9 HCPCS,J9028,"Inj, nogapendekin pmln, 1mcg",,,94.66,174.12,8 HCPCS,J9029,Adstiladrin: 4 Vial In 1 Carton (55566-1050-1) / 20 Ml In 1 Vial (55566-1050-0),253125.0,253125.0,,,0 HCPCS,J9029,"Inj, adstiladrin, per tx dos",,,63342.28,117347.44,8 HCPCS,J9029,NDC Description Not Available,253125.0,253125.0,,,0 HCPCS,J9030,Bcg live intravesical 1mg,,,3.26,5.77,9 HCPCS,J9030,NDC Description Not Available,22.58,22.58,,,0 HCPCS,J9030,Tice Bcg: 1 Vial In 1 Carton (0052-0602-02) / 50 Ml In 1 Vial (0052-0602-01),42.055,42.055,,,0 HCPCS,J9032,Beleodaq: 1 Vial In 1 Carton (72893-002-01) / 10 Ml In 1 Vial,325.92,325.92,,,0 HCPCS,J9032,"Injection, belinostat, 10mg",,,52.47,106.47,9 HCPCS,J9033,"Inj., treanda 1 mg",,,1.88,32.47,9 HCPCS,J9034,"Bendamustine Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (60505-6228-0) / 5 Ml In 1 Vial, Multi-Dose",218.26,218.26,,,0 HCPCS,J9034,"Bendeka: 1 Vial, Multi-Dose In 1 Carton (63459-348-04) / 4 Ml In 1 Vial, Multi-Dose",165.49,165.49,,,0 HCPCS,J9034,"Inj., bendeka 1 mg",,,13.49,38.2,9 HCPCS,J9035,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-060-01) / 4 Ml In 1 Vial, Single-Use",533.95,533.95,,,0 HCPCS,J9035,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-061-01) / 16 Ml In 1 Vial, Single-Use",532.66,532.66,,,0 HCPCS,J9035,Bevacizumab injection,,,73.2,161.24,9 HCPCS,J9036,Inj. belrapzo/bendamustine,,,12.28,34.03,9 HCPCS,J9037,Inj belantamab mafodont blmf,,,68.85,102.31,3 HCPCS,J9038,Inj axatilimab-csfr 0.1 mg,,,55.65,116.55,7 HCPCS,J9038,"Niktimvo: 1 Vial, Single-Use In 1 Carton (50881-023-11) / .44 Ml In 1 Vial, Single-Use",236.25,236.25,,,0 HCPCS,J9038,"Niktimvo: 1 Vial, Single-Use In 1 Carton (50881-034-12) / .18 Ml In 1 Vial, Single-Use",369.98,369.98,,,0 HCPCS,J9039,Blincyto: 1 Kit In 1 Package (55513-160-01) * 3.088 Ml In 1 Vial (55513-150-01) * 10.6 Ml In 1 Vial (55513-155-01),840.425,840.425,,,0 HCPCS,J9039,"Injection, blinatumomab",,,164.25,307.46,9 HCPCS,J9039,NDC Description Not Available,792.19,792.19,,,0 HCPCS,J9040,Bleomycin sulfate injection,,,32.29,54.87,5 HCPCS,J9040,"Bleomycin: 1 VIAL, SINGLE-DOSE in 1 CARTON (0703-3154-01) / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL, SINGLE-DOSE",383.24,383.24,,,0 HCPCS,J9040,"Bleomycin: 1 Vial In 1 Box, Unit-Dose (0143-9241-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",279.07,279.07,,,0 HCPCS,J9040,"Bleomycin: 1 Vial In 1 Carton (63323-136-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",221.91,221.91,,,0 HCPCS,J9040,"Bleomycin: 1 Vial In 1 Carton (63323-137-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",198.38,198.38,,,0 HCPCS,J9040,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (61703-323-22) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",234.18,234.18,,,0 HCPCS,J9040,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (61703-332-18) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",338.08,338.08,,,0 HCPCS,J9040,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (71288-106-10) / 15 Powder, For Solution In 1 Vial, Single-Dose",205.56,205.56,,,0 HCPCS,J9040,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (71288-107-20) / 30 Powder, For Solution In 1 Vial, Single-Dose",152.55,152.55,,,0 HCPCS,J9041,Bortezomib injection,,,2.86,14.05,5 HCPCS,J9041,"Velcade: 1 Vial In 1 Carton (63020-049-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",306.27,306.27,,,0 HCPCS,J9042,"Adcetris: 1 Vial, Single-Dose In 1 Box (51144-050-01) / 10.5 Ml In 1 Vial, Single-Dose",1587.79,1587.79,,,0 HCPCS,J9042,Brentuximab vedotin inj,,,258.64,483.09,9 HCPCS,J9043,Cabazitaxel injection,,,227.28,450.98,9 HCPCS,J9043,"Jevtana: 1 Kit In 1 Carton (0024-5824-11) * 5.7 Ml In 1 Vial, Glass (0024-5823-15) * 5.7 Ml In 1 Vial, Glass (0024-5822-01)",1600.76,1600.76,,,0 HCPCS,J9043,NDC Description Not Available,1580.95,1580.95,,,0 HCPCS,J9045,Carboplatin injection,,,3.71,5.99,5 HCPCS,J9045,Carboplatin: 1 Vial In 1 Box (63323-172-60) / 60 Ml In 1 Vial,57.5,57.5,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4239-01) / 60 Ml In 1 Vial, Multi-Dose",34.9,34.9,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4244-01) / 5 Ml In 1 Vial, Multi-Dose",50.86,50.86,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4246-01) / 15 Ml In 1 Vial, Multi-Dose",45.44,45.44,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4248-01) / 45 Ml In 1 Vial, Multi-Dose",45.6,45.6,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-164-01) / 5 Ml In 1 Vial, Multi-Dose",29.52,29.52,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-165-01) / 15 Ml In 1 Vial, Multi-Dose",55.78,55.78,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (55150-335-01) / 45 Ml In 1 Vial, Multi-Dose",29.42,29.42,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (55150-386-01) / 60 Ml In 1 Vial, Multi-Dose",26.8,26.8,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-18) / 5 Ml In 1 Vial, Multi-Dose",89.78,89.78,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-22) / 15 Ml In 1 Vial, Multi-Dose",45.9,45.9,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-50) / 45 Ml In 1 Vial, Multi-Dose",33.16,33.16,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-56) / 60 Ml In 1 Vial, Multi-Dose",32.02,32.02,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-600-05) / 60 Ml In 1 Vial, Multi-Dose",31.62,31.62,,,0 HCPCS,J9046,"Inj, bortezomib, dr. reddy's",,,3.46,101.68,7 HCPCS,J9047,"Injection, carfilzomib, 1 mg",,,55.65,101.92,9 HCPCS,J9047,"Kyprolis: 1 Vial, Single-Dose In 1 Carton (76075-102-01) / 15 Ml In 1 Vial, Single-Dose",372.63,372.63,,,0 HCPCS,J9047,"Kyprolis: 1 Vial, Single-Dose In 1 Carton (76075-103-01) / 10 Ml In 1 Vial, Single-Dose",370.12,370.12,,,0 HCPCS,J9047,"Kyprolis: 1 Vial, Single-Use In 1 Carton (76075-101-01) / 30 Ml In 1 Vial, Single-Use",373.34,373.34,,,0 HCPCS,J9048,"Inj, bortezomib freseniuskab",,,6.05,101.68,7 HCPCS,J9049,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (0409-1703-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",50.9,50.9,,,0 HCPCS,J9049,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (0409-1704-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",54.05,54.05,,,0 HCPCS,J9049,"Inj, bortezomib, hospira",,,2.2,8.84,5 HCPCS,J9050,Carmustine injection,,,238.46,688.32,9 HCPCS,J9050,"Carmustine: 1 Kit In 1 Carton (23155-649-41) * 3 Ml In 1 Vial (23155-648-31) * 30 Ml In 1 Vial, Single-Dose (23155-647-31)",3317.55,3317.55,,,0 HCPCS,J9050,NDC Description Not Available,4141.2,4141.2,,,0 HCPCS,J9051,"Inj, bortezomib (maia)",,,4.71,7.6,2 HCPCS,J9052,"Inj, carmustine (accord)",,,0.08,543.9,6 HCPCS,J9054,Inj bortezomib boruzu 0.1 mg,,,26.15,56.61,7 HCPCS,J9055,Cetuximab injection,,,78.37,158.5,9 HCPCS,J9055,"Erbitux: 1 Vial, Single-Dose In 1 Carton (66733-948-23) / 50 Ml In 1 Vial, Single-Dose",536.83,536.83,,,0 HCPCS,J9055,"Erbitux: 1 Vial, Single-Dose In 1 Carton (66733-958-23) / 100 Ml In 1 Vial, Single-Dose",540.59,540.59,,,0 HCPCS,J9056,"Inj, bendamustine, 1 mg",,,29.85,51.91,8 HCPCS,J9057,"Inj., copanlisib, 1 mg",,,147.11,194.38,4 HCPCS,J9058,Inj apotex/bendamustine 1 mg,,,72.32,72.32,1 HCPCS,J9059,"Inj bendamustine, baxter 1mg",,,51.95,51.95,1 HCPCS,J9060,Cisplatin 10 mg injection,,,3.44,4.44,5 HCPCS,J9060,Cisplatin: 1 Vial In 1 Carton (25021-253-50) / 50 Ml In 1 Vial,34.12,34.12,,,0 HCPCS,J9060,Cisplatin: 1 Vial In 1 Carton (25021-253-51) / 100 Ml In 1 Vial,25.37,25.37,,,0 HCPCS,J9060,Cisplatin: 1 Vial In 1 Carton (44567-530-01) / 50 Ml In 1 Vial,670.0,670.0,,,0 HCPCS,J9060,Cisplatin: 1 Vial In 1 Carton (63323-103-51) / 50 Ml In 1 Vial,27.0,27.0,,,0 HCPCS,J9060,Cisplatin: 1 Vial In 1 Carton (63323-103-64) / 200 Ml In 1 Vial,26.46,26.46,,,0 HCPCS,J9060,Cisplatin: 1 Vial In 1 Carton (63323-103-65) / 100 Ml In 1 Vial,25.94,25.94,,,0 HCPCS,J9060,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0703-5747-11) / 50 Ml In 1 Vial, Multi-Dose",25.72,25.72,,,0 HCPCS,J9060,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0703-5748-11) / 100 Ml In 1 Vial, Multi-Dose",25.66,25.66,,,0 HCPCS,J9060,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (60505-6277-0) / 50 Ml In 1 Vial, Multi-Dose",40.2,40.2,,,0 HCPCS,J9060,Cisplatin: 100 Ml In 1 Vial (16729-288-38),21.71,21.71,,,0 HCPCS,J9060,Cisplatin: 50 Ml In 1 Vial (16729-288-11),24.42,24.42,,,0 HCPCS,J9061,"Inj, amivantamab-vmjw",,,22.54,41.09,9 HCPCS,J9061,NDC Description Not Available,142.49,142.49,,,0 HCPCS,J9061,"Rybrevant: 1 Vial, Single-Use In 1 Carton (57894-501-01) / 1 Injection In 1 Vial, Single-Use (57894-501-00)",143.08,143.08,,,0 HCPCS,J9063,"Elahere: 1 Vial, Single-Use In 1 Carton (72903-853-01) / 20 Ml In 1 Vial, Single-Use",294.88,294.88,,,0 HCPCS,J9063,"Inj, elahere, 1 mg",,,69.49,128.61,8 HCPCS,J9065,"Cladribine: 1 Ml In 1 Vial, Single-Dose (42658-010-01)",230.51,230.51,,,0 HCPCS,J9065,"Cladribine: 1 Vial, Single-Dose In 1 Carton (63323-140-10) / 10 Ml In 1 Vial, Single-Dose",291.45,291.45,,,0 HCPCS,J9065,Inj cladribine per 1 mg,,,10.68,42.65,9 HCPCS,J9070,Cyclophosphamide 100 mg inj,,,48.88,103.27,2 HCPCS,J9071,Inj cyclophosphamd auromedic,,,0.63,8.74,9 HCPCS,J9072,Inj cyclophos dr.reddy's 5mg,,,9.1,17.33,8 HCPCS,J9073,Inj cyclophosphamd (ingenus),,,0.78,8.74,9 HCPCS,J9074,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3233-94) / 25 Ml In 1 Vial, Single-Dose",18.77,18.77,,,0 HCPCS,J9074,"Inj, cyclophosphamd, sandoz",,,3.94,8.74,9 HCPCS,J9075,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3244-94) / 50 Ml In 1 Vial, Single-Dose",18.71,18.71,,,0 HCPCS,J9075,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-938-01) / 25 Ml In 1 Vial, Single-Dose (10019-938-25)",12.4,12.4,,,0 HCPCS,J9075,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-939-01) / 50 Ml In 1 Vial, Single-Dose (10019-939-50)",12.4,12.4,,,0 HCPCS,J9075,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-955-01) / 25 Ml In 1 Vial, Single-Dose (10019-955-50)",24.52,24.52,,,0 HCPCS,J9075,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-956-01) / 50 Ml In 1 Vial, Single-Dose (10019-956-16)",15.83,15.83,,,0 HCPCS,J9075,"Inj, cyclophosphamide, nos",,,0.48,8.74,9 HCPCS,J9075,NDC Description Not Available,20.605,20.605,,,0 HCPCS,J9076,"Inj, cyclophos (baxter) 5mg",,,5.01,9.59,8 HCPCS,J9098,Cytarabine liposome inj,,,674.62,1342.19,4 HCPCS,J9100,Cytarabine hcl 100 mg inj,,,1.25,2.12,5 HCPCS,J9100,"Cytarabine: 1 Vial, Multi-Dose In 1 Carton (61703-304-36) / 25 Ml In 1 Vial, Multi-Dose",69.38,69.38,,,0 HCPCS,J9100,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (61703-319-22) / 20 Ml In 1 Vial, Single-Dose",8.74,8.74,,,0 HCPCS,J9100,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (63323-120-20) / 20 Ml In 1 Vial, Single-Dose",8.02,8.02,,,0 HCPCS,J9100,"Cytarabine: 5 Vial, Single-Dose In 1 Carton (61703-305-38) / 5 Ml In 1 Vial, Single-Dose (61703-305-58)",45.37,45.37,,,0 HCPCS,J9100,NDC Description Not Available,43.61,43.61,,,0 HCPCS,J9118,"Asparlas: 1 Vial, Single-Use In 1 Carton (72694-515-01) / 5 Ml In 1 Vial, Single-Use",532.28,532.28,,,0 HCPCS,J9118,Inj. calaspargase pegol-mknl,,,82.08,151.53,9 HCPCS,J9119,"Inj., cemiplimab-rwlc, 1 mg",,,29.29,61.34,9 HCPCS,J9119,"Libtayo: 1 Vial, Single-Use In 1 Carton (61755-008-01) / 7 Ml In 1 Vial, Single-Use",199.14,199.14,,,0 HCPCS,J9120,Dactinomycin injection,,,328.34,1235.12,9 HCPCS,J9120,"Dactinomycin: 1 VIAL, SINGLE-DOSE in 1 CARTON (67457-513-05) / 1 mL in 1 VIAL, SINGLE-DOSE",9413.83,9413.83,,,0 HCPCS,J9120,"Dactinomycin: 1 Vial In 1 Carton (42658-008-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",3350.0,3350.0,,,0 HCPCS,J9120,"Dactinomycin: 1 Vial, Single-Dose In 1 Carton (39822-2100-2) / 1 Ml In 1 Vial, Single-Dose (39822-2100-1)",3883.24,3883.24,,,0 HCPCS,J9120,"Dactinomycin: 1 Vial, Single-Dose In 1 Carton (55150-431-01) / 1 Ml In 1 Vial, Single-Dose",5723.28,5723.28,,,0 HCPCS,J9120,"Dactinomycin: 1 Vial, Single-Dose In 1 Carton (71288-129-02) / 1 Ml In 1 Vial, Single-Dose",2948.0,2948.0,,,0 HCPCS,J9130,Dacarbazine 100 mg inj,,,5.17,8.68,5 HCPCS,J9130,"Dacarbazine: 10 Vial, Single-Dose In 1 Tray (63323-127-10) / 10 Ml In 1 Vial, Single-Dose (63323-127-00)",77.08,77.08,,,0 HCPCS,J9130,"Dacarbazine: 10 Vial, Single-Dose In 1 Tray (63323-128-20) / 20 Ml In 1 Vial, Single-Dose (63323-128-00)",39.25,39.25,,,0 HCPCS,J9130,NDC Description Not Available,38.77,38.77,,,0 HCPCS,J9144,"Daratumumab, hyaluronidase",,,55.57,108.94,9 HCPCS,J9144,"Darzalex Faspro: 1 Vial, Single-Dose In 1 Box (57894-503-01) / 15 Ml In 1 Vial, Single-Dose",372.68,372.68,,,0 HCPCS,J9145,"Darzalex Iv: 1 Vial, Single-Dose In 1 Box (57894-505-05) / 5 Ml In 1 Vial, Single-Dose",326.49,326.49,,,0 HCPCS,J9145,"Darzalex Iv: 1 Vial, Single-Dose In 1 Box (57894-505-20) / 20 Ml In 1 Vial, Single-Dose",327.75,327.75,,,0 HCPCS,J9145,"Injection, daratumumab 10 mg",,,71.37,137.32,9 HCPCS,J9150,Daunorubicin Hydrochloride: 1 Vial In 1 Box (42658-021-01) / 4 Ml In 1 Vial,415.52,415.52,,,0 HCPCS,J9150,Daunorubicin Hydrochloride: 10 Vial In 1 Box (0143-9551-10) / 4 Ml In 1 Vial (0143-9551-01),449.37,449.37,,,0 HCPCS,J9150,Daunorubicin injection,,,32.55,83.97,5 HCPCS,J9150,NDC Description Not Available,438.91,438.91,,,0 HCPCS,J9150,"daunorubicin hydrochloride: 10 VIAL, SINGLE-DOSE in 1 CARTON (0703-5233-13) / 4 mL in 1 VIAL, SINGLE-DOSE (0703-5233-11)",428.66,428.66,,,0 HCPCS,J9151,Daunorubicin citrate inj,,,85.39,510.6,4 HCPCS,J9153,"Inj daunorubicin, cytarabine",,,256.09,495.17,9 HCPCS,J9155,Degarelix injection,,,4.45,9.18,9 HCPCS,J9155,"Firmagon: 1 Kit In 1 Carton (55566-8303-1) * 4 Ml In 1 Vial, Glass * 4.2 Ml In 1 Syringe",40.91,40.91,,,0 HCPCS,J9155,"Firmagon: 1 Kit In 1 Carton (55566-8403-1) * 3 Ml In 1 Syringe * 3 Ml In 1 Vial, Glass",42.55,42.55,,,0 HCPCS,J9155,NDC Description Not Available,42.55,42.55,,,0 HCPCS,J9160,Denileukin diftitox inj,,,3447.66,3719.75,2 HCPCS,J9165,Diethylstilbestrol injection,,,20.66,28.06,2 HCPCS,J9171,"Docetaxel Anhydrous: 1 Vial, Multi-Dose In 1 Carton (71288-144-16) / 16 Ml In 1 Vial, Multi-Dose",13.36,13.36,,,0 HCPCS,J9171,Docetaxel injection,,,0.49,1.2,5 HCPCS,J9171,"Docetaxel: 1 Vial, Glass In 1 Carton (0955-1020-01) / 1 Ml In 1 Vial, Glass",36.36,36.36,,,0 HCPCS,J9171,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (0409-0016-01) / 16 Ml In 1 Vial, Multi-Dose",21.08,21.08,,,0 HCPCS,J9171,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (0409-0201-20) / 16 Ml In 1 Vial, Multi-Dose",21.04,21.04,,,0 HCPCS,J9171,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (43066-010-01) / 16 Ml In 1 Vial, Multi-Dose",11.42,11.42,,,0 HCPCS,J9171,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (62332-678-16) / 16 Ml In 1 Vial, Multi-Dose",13.31,13.31,,,0 HCPCS,J9171,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (66758-050-03) / 16 Ml In 1 Vial, Multi-Dose",19.2,19.2,,,0 HCPCS,J9171,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (67457-533-16) / 16 Ml In 1 Vial, Multi-Dose",13.37,13.37,,,0 HCPCS,J9172,"Docetaxel (ingenus), 1 mg",,,50.78,90.8,8 HCPCS,J9173,Imfinzi: 1 Vial In 1 Carton (0310-4500-12) / 2.4 Ml In 1 Vial,558.25,558.25,,,0 HCPCS,J9173,Imfinzi: 1 Vial In 1 Carton (0310-4611-50) / 10 Ml In 1 Vial,557.16,557.16,,,0 HCPCS,J9173,"Inj., durvalumab, 10 mg",,,85.12,177.54,9 HCPCS,J9174,"Inj, docetaxel (beizray) 1mg",,,52.47,109.89,5 HCPCS,J9175,Elliotts b solution per ml,,,13.47,22.64,4 HCPCS,J9176,"Empliciti: 1 Vial, Single-Use In 1 Carton (0003-4522-11) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",50.18,50.18,,,0 HCPCS,J9176,"Injection, elotuzumab, 1mg",,,7.88,15.95,9 HCPCS,J9177,Inj enfort vedo-ejfv 0.25mg,,,36.74,76.41,9 HCPCS,J9177,"Padcev Ejfv: 1 Vial, Single-Dose In 1 Box (51144-020-01) / 2 Ml In 1 Vial, Single-Dose",234.74,234.74,,,0 HCPCS,J9177,"Padcev Ejfv: 1 Vial, Single-Dose In 1 Box (51144-030-01) / 3 Ml In 1 Vial, Single-Dose",234.86,234.86,,,0 HCPCS,J9178,"Ellence: 1 Vial, Single-Dose In 1 Carton (0009-5091-01) / 25 Ml In 1 Vial, Single-Dose",12.71,12.71,,,0 HCPCS,J9178,"Ellence: 1 Vial, Single-Dose In 1 Carton (0009-5091-25) / 25 Ml In 1 Vial, Single-Dose",12.41,12.41,,,0 HCPCS,J9178,"Inj, epirubicin hcl, 2 mg",,,2.69,3.17,5 HCPCS,J9179,Eribulin mesylate injection,,,89.34,219.98,8 HCPCS,J9179,"Halaven: 1 Vial, Single-Dose In 1 Carton (62856-389-01) / 2 Ml In 1 Vial, Single-Dose",940.6,940.6,,,0 HCPCS,J9181,"Etopophos: 1 Vial, Single-Dose In 1 Carton (61269-410-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",114.13,114.13,,,0 HCPCS,J9181,Etoposide injection,,,1.41,2.41,5 HCPCS,J9181,"Etoposide: 1 Vial In 1 Box, Unit-Dose (0143-9510-01) / 5 Ml In 1 Vial",6.25,6.25,,,0 HCPCS,J9181,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-08) / 25 Ml In 1 Vial, Multi-Dose",6.73,6.73,,,0 HCPCS,J9181,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-11) / 50 Ml In 1 Vial, Multi-Dose",6.7,6.7,,,0 HCPCS,J9181,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-31) / 5 Ml In 1 Vial, Multi-Dose",6.86,6.86,,,0 HCPCS,J9181,"Etoposide: 1 Vial, Multi-Dose In 1 Carton (63323-104-06) / 5 Ml In 1 Vial, Multi-Dose",7.65,7.65,,,0 HCPCS,J9181,"Etoposide: 1 Vial, Multi-Dose In 1 Carton (63323-104-25) / 25 Ml In 1 Vial, Multi-Dose",8.14,8.14,,,0 HCPCS,J9181,"Etoposide: 1 Vial, Multi-Dose In 1 Carton (63323-104-50) / 50 Ml In 1 Vial, Multi-Dose",8.15,8.15,,,0 HCPCS,J9181,"Etoposide: 10 Box In 1 Carton (63323-104-05) / 1 Vial, Multi-Dose In 1 Box (63323-104-01) / 5 Ml In 1 Vial, Multi-Dose",8.27,8.27,,,0 HCPCS,J9181,"Toposar: 1 VIAL, MULTI-DOSE in 1 CARTON (0703-5653-01) / 5 mL in 1 VIAL, MULTI-DOSE",6.22,6.22,,,0 HCPCS,J9185,Fludarabine Phosphate: 1 Vial In 1 Carton (25021-242-02) / 2 Ml In 1 Vial,959.3199999999999,959.3199999999999,,,0 HCPCS,J9185,"Fludarabine Phosphate: 1 Vial, Glass In 1 Carton (45963-609-55) / 2 Ml In 1 Vial, Glass",442.02,442.02,,,0 HCPCS,J9185,Fludarabine phosphate inj,,,102.3,365.49,5 HCPCS,J9185,Fludarabine: 1 Vial In 1 Box (63323-192-02) / 2 Ml In 1 Vial,1056.53,1056.53,,,0 HCPCS,J9185,fludarabine phosphate: 1 VIAL in 1 CARTON (24201-237-01) / 2 mL in 1 VIAL,604.8,604.8,,,0 HCPCS,J9190,Fluorouracil injection,,,2.99,5.35,5 HCPCS,J9190,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (62332-779-31) / 100 Ml In 1 Vial, Pharmacy Bulk Package",33.24,33.24,,,0 HCPCS,J9190,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-117-61) / 100 Ml In 1 Vial, Pharmacy Bulk Package",37.0,37.0,,,0 HCPCS,J9190,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (70700-188-22) / 50 Ml In 1 Vial, Pharmacy Bulk Package",37.34,37.34,,,0 HCPCS,J9190,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-10) / 10 Ml In 1 Vial, Single-Dose (63323-117-00)",29.64,29.64,,,0 HCPCS,J9190,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-19) / 10 Ml In 1 Vial, Single-Dose (63323-117-31)",37.0,37.0,,,0 HCPCS,J9190,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-20) / 20 Ml In 1 Vial, Single-Dose (63323-117-01)",40.7,40.7,,,0 HCPCS,J9190,NDC Description Not Available,28.97,28.97,,,0 HCPCS,J9196,Inj gemcitabine hcl (accord),,,7.94,15.41,5 HCPCS,J9198,"Inj. infugem, 100 mg",,,55.73,84.36,3 HCPCS,J9200,Floxuridine injection,,,4128.02,7939.33,9 HCPCS,J9200,"Floxuridine: 1 Vial In 1 Box, Unit-Dose (81643-9270-1) / 5 Injection, Powder, Lyophilized, For Solution In 1 Vial",6664.92,6664.92,,,0 HCPCS,J9201,Gemcitabine hcl injection,,,4.69,7.52,5 HCPCS,J9201,Gemcitabine: 1 Vial In 1 Carton (25021-235-50) / 25 Ml In 1 Vial,65.14,65.14,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0181-01) / 26.3 Ml In 1 Vial, Single-Dose",57.52,57.52,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0181-25) / 26.3 Ml In 1 Vial, Single-Dose",60.485,60.485,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0182-01) / 52.6 Ml In 1 Vial, Single-Dose",60.69,60.69,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0183-01) / 5.26 Ml In 1 Vial, Single-Dose",62.52,62.52,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0183-25) / 5.26 Ml In 1 Vial, Single-Dose",61.15,61.15,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0185-01) / 5 Ml In 1 Vial, Single-Dose",72.59,72.59,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0186-01) / 25 Ml In 1 Vial, Single-Dose",65.65,65.65,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (67457-617-30) / 26.3 Ml In 1 Vial, Single-Dose",49.120000000000005,49.120000000000005,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-113-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",59.91,59.91,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-117-06) / 5.26 Ml In 1 Vial, Single-Dose",46.79,46.79,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-117-28) / 26.3 Ml In 1 Vial, Single-Dose",29.244999999999997,29.244999999999997,,,0 HCPCS,J9202,Goserelin acetate implant,,,733.66,1358.18,9 HCPCS,J9202,Zoladex: 1 Pouch In 1 Carton (70720-950-36) / 1 Syringe In 1 Pouch / 1 Implant In 1 Syringe,6776.83,6776.83,,,0 HCPCS,J9202,Zoladex: 1 Pouch In 1 Carton (70720-951-30) / 1 Syringe In 1 Pouch / 1 Implant In 1 Syringe,6286.98,6286.98,,,0 HCPCS,J9203,Gemtuzumab ozogamicin 0.1 mg,,,236.62,491.46,9 HCPCS,J9203,"Mylotarg: 1 Vial, Single-Dose In 1 Carton (0008-4510-01) / 5 Ml In 1 Vial, Single-Dose",1484.27,1484.27,,,0 HCPCS,J9204,"Inj mogamulizumab-kpkc, 1 mg",,,248.5,488.66,9 HCPCS,J9204,"Poteligeo: 1 Vial, Glass In 1 Carton (42747-761-01) / 5 Ml In 1 Vial, Glass",1542.99,1542.99,,,0 HCPCS,J9205,Inj irinotecan liposome 1 mg,,,66.0,135.47,9 HCPCS,J9205,"Onivyde: 1 Vial, Single-Dose In 1 Carton (15054-0043-1) / 10 Ml In 1 Vial, Single-Dose",435.09,435.09,,,0 HCPCS,J9206,"Camptosar: 1 Vial, Single-Dose In 1 Carton (0009-7529-03) / 5 Ml In 1 Vial, Single-Dose",54.03,54.03,,,0 HCPCS,J9206,"Camptosar: 1 Vial, Single-Dose In 1 Carton (0009-7529-04) / 2 Ml In 1 Vial, Single-Dose",88.13,88.13,,,0 HCPCS,J9206,"Irinotecan Hydrochloide: 1 Vial, Single-Dose In 1 Carton (70700-169-22) / 2 Ml In 1 Vial, Single-Dose",46.79,46.79,,,0 HCPCS,J9206,"Irinotecan Hydrochloride: 1 VIAL, SINGLE-DOSE in 1 CARTON (66758-048-01) / 2 mL in 1 VIAL, SINGLE-DOSE",116.93,116.93,,,0 HCPCS,J9206,Irinotecan Hydrochloride: 1 Vial In 1 Box (63323-193-52) / 2 Ml In 1 Vial,53.11,53.11,,,0 HCPCS,J9206,Irinotecan Hydrochloride: 1 Vial In 1 Carton (25021-230-02) / 2 Ml In 1 Vial,54.64,54.64,,,0 HCPCS,J9206,Irinotecan Hydrochloride: 1 Vial In 1 Carton (25021-230-05) / 5 Ml In 1 Vial,39.94,39.94,,,0 HCPCS,J9206,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (16714-027-01) / 2 Ml In 1 Vial, Single-Dose",45.45,45.45,,,0 HCPCS,J9206,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (45963-614-55) / 5 Ml In 1 Vial, Single-Dose",39.09,39.09,,,0 HCPCS,J9206,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (55150-352-01) / 2 Ml In 1 Vial, Single-Dose",47.97,47.97,,,0 HCPCS,J9206,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (61703-349-09) / 5 Ml In 1 Vial, Single-Dose",29.16,29.16,,,0 HCPCS,J9206,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6128-0) / 2 Ml In 1 Vial, Single-Use",21.98,21.98,,,0 HCPCS,J9206,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6128-1) / 5 Ml In 1 Vial, Single-Use",19.78,19.78,,,0 HCPCS,J9206,"Irinotecan Hydrochloride: 2 Ml In 1 Vial, Glass (0143-9702-01)",50.31,50.31,,,0 HCPCS,J9206,"Irinotecan Hydrochloride: 5 Ml In 1 Vial, Glass (0143-9701-01)",40.2,40.2,,,0 HCPCS,J9206,Irinotecan injection,,,2.52,4.89,5 HCPCS,J9206,NDC Description Not Available,201.6,201.6,,,0 HCPCS,J9207,Ixabepilone injection,,,139.21,275.41,9 HCPCS,J9208,Ifosfamide injection,,,37.81,59.6,5 HCPCS,J9208,"Ifosfamide: 1 Vial, Single-Dose In 1 Box (63323-142-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",343.56,343.56,,,0 HCPCS,J9208,"Ifosfamide: 1 Vial, Single-Dose In 1 Carton (10019-925-01) / 20 Ml In 1 Vial, Single-Dose (10019-925-82)",147.7,147.7,,,0 HCPCS,J9208,"Ifosfamide: 1 Vial, Single-Dose In 1 Carton (10019-926-02) / 60 Ml In 1 Vial, Single-Dose (10019-926-16)",205.86,205.86,,,0 HCPCS,J9208,NDC Description Not Available,206.42,206.42,,,0 HCPCS,J9209,Mesna injection,,,2.39,4.03,5 HCPCS,J9209,Mesna: 1 Vial In 1 Carton (25021-201-10) / 10 Ml In 1 Vial,38.29,38.29,,,0 HCPCS,J9209,"Mesna: 1 Vial, Multi-Dose In 1 Box (10019-953-01) / 10 Ml In 1 Vial, Multi-Dose (10019-953-62)",41.59,41.59,,,0 HCPCS,J9209,"Mesnex: 1 Vial, Multi-Dose In 1 Box (0338-1305-01) / 10 Ml In 1 Vial, Multi-Dose",45.4,45.4,,,0 HCPCS,J9209,NDC Description Not Available,49.614999999999995,49.614999999999995,,,0 HCPCS,J9210,"Gamifant: 1 Vial, Single-Use In 1 Carton (66658-501-01) / 2 Ml In 1 Vial, Single-Use",3005.91,3005.91,,,0 HCPCS,J9210,"Gamifant: 1 Vial, Single-Use In 1 Carton (66658-505-01) / 10 Ml In 1 Vial, Single-Use",1519.65,1519.65,,,0 HCPCS,J9210,"Inj., emapalumab-lzsg, 1 mg",,,350.21,706.03,9 HCPCS,J9211,Idarubicin hcl injection,,,55.01,100.3,5 HCPCS,J9212,Interferon alfacon-1 inj,,,10.15,21.44,4 HCPCS,J9213,Interferon alfa-2a inj,,,51.97,94.24,4 HCPCS,J9214,Interferon alfa-2b inj,,,20.82,68.23,4 HCPCS,J9215,Interferon alfa-n3 inj,,,41.81,66.86,4 HCPCS,J9216,Interferon gamma 1-b inj,,,10877.16,18780.42,4 HCPCS,J9217,Eligard: 1 Kit In 1 Carton (62935-223-05) * .375 Ml In 1 Syringe (62935-221-04) * .375 Ml In 1 Syringe (62935-224-05),3026.32,3026.32,,,0 HCPCS,J9217,Eligard: 1 Kit In 1 Carton (62935-453-45) * .375 Ml In 1 Syringe (62935-454-44) * .375 Ml In 1 Syringe (62935-455-45),3026.31,3026.31,,,0 HCPCS,J9217,Eligard: 1 Syringe In 1 Carton (62935-227-10) / .375 Ml In 1 Syringe,3026.32,3026.32,,,0 HCPCS,J9217,Eligard: 1 Syringe In 1 Carton (62935-306-40) / .5 Ml In 1 Syringe,3026.32,3026.32,,,0 HCPCS,J9217,Eligard: 1 Syringe In 1 Carton (62935-461-50) / .375 Ml In 1 Syringe,3026.31,3026.31,,,0 HCPCS,J9217,Eligard: 1 Syringe In 1 Carton (62935-756-80) / .25 Ml In 1 Syringe,3026.32,3026.32,,,0 HCPCS,J9217,Leuprolide acetate suspnsion,,,176.45,298.3,9 HCPCS,J9217,Lupron Depot-Ped: 1 Kit In 1 Carton (0074-3575-01) * 1.5 Ml In 1 Syringe (0074-3410-01) * 2 Swab In 1 Packet (0074-0010-01),9582.12,9582.12,,,0 HCPCS,J9217,Lupron Depot: 1 Kit In 1 Carton (0074-3346-03) * 1.5 Ml In 1 Syringe * 1 Swab In 1 Packet,13956.6,13956.6,,,0 HCPCS,J9217,Lupron Depot: 1 Kit In 1 Carton (0074-3473-03) * 1 Swab In 1 Packet * 1.5 Ml In 1 Syringe,10899.28,10899.28,,,0 HCPCS,J9217,Lupron Depot: 1 Kit In 1 Carton (0074-3642-03) * 1 Ml In 1 Syringe * 1 Swab In 1 Packet,13912.82,13912.82,,,0 HCPCS,J9217,Lupron Depot: 1 Kit In 1 Carton (0074-3683-03) * 1.5 Ml In 1 Syringe * 1 Swab In 1 Packet,13874.07,13874.07,,,0 HCPCS,J9218,"Leuprolide Acetate: 1 Kit In 1 Carton (47335-936-40) * 1 Vial, Multi-Dose In 1 Carton / 2.8 Ml In 1 Vial, Multi-Dose * 1 Ml In 1 Packet",126.64,126.64,,,0 HCPCS,J9218,Leuprolide acetate injeciton,,,14.7,112.24,4 HCPCS,J9219,Leuprolide acetate implant,,,8675.68,11345.26,3 HCPCS,J9220,Indigotindisulfonate sod 1mg,,,9.96,22.2,5 HCPCS,J9223,"Inj. lurbinectedin, 0.1 mg",,,207.13,425.49,9 HCPCS,J9223,"Zepzelca: 8 Ml In 1 Vial, Single-Dose (68727-712-01)",1346.27,1346.27,,,0 HCPCS,J9225,Vantas implant,,,7525.42,10819.97,4 HCPCS,J9226,Supprelin LA implant,,,45020.65,84286.72,9 HCPCS,J9226,"Supprelin La: 1 Vial, Glass In 1 Carton (67979-002-01) / 1 Implant In 1 Vial, Glass",213268.37,213268.37,,,0 HCPCS,J9227,Inj. isatuximab-irfc 10 mg,,,81.9,162.02,9 HCPCS,J9227,"Sarclisa: 1 Vial, Single-Dose In 1 Carton (0024-0654-01) / 5 Ml In 1 Vial, Single-Dose",517.37,517.37,,,0 HCPCS,J9227,"Sarclisa: 1 Vial, Single-Dose In 1 Carton (0024-0656-01) / 25 Ml In 1 Vial, Single-Dose",521.68,521.68,,,0 HCPCS,J9228,Ipilimumab injection,,,183.48,373.87,9 HCPCS,J9228,"Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2327-11) / 10 Ml In 1 Vial, Single-Use",788.68,788.68,,,0 HCPCS,J9228,"Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2328-22) / 40 Ml In 1 Vial, Single-Use",798.95,798.95,,,0 HCPCS,J9229,"Besponsa: 1 Vial, Single-Dose In 1 Carton (0008-0100-01) / 4 Ml In 1 Vial, Single-Dose",16770.93,16770.93,,,0 HCPCS,J9229,Inj inotuzumab ozogam 0.1 mg,,,2698.05,5603.77,9 HCPCS,J9230,Mechlorethamine hcl inj,,,209.22,687.55,4 HCPCS,J9245,Inj melphalan hydrochl 50 MG,,,95.9,421.46,9 HCPCS,J9245,"Melphalan Hydrochloride: 1 Kit In 1 Carton (43598-392-48) * 10 Ml In 1 Vial, Single-Dose (43598-391-50) * 10 Ml In 1 Vial, Single-Use (43598-393-35)",2719.5,2719.5,,,0 HCPCS,J9245,"Melphalan Hydrochloride: 1 Kit In 1 Carton (67457-195-01) * 10 Ml In 1 Vial, Glass (67457-193-50) * 10 Ml In 1 Vial, Glass (67457-194-10)",3151.54,3151.54,,,0 HCPCS,J9245,"Melphalan Hydrochloride: 1 Kit In 1 Carton (71288-132-90) * 15 Ml In 1 Vial, Single-Dose (71288-130-15) * 10 Ml In 1 Vial, Single-Use (71288-131-10)",1287.59,1287.59,,,0 HCPCS,J9245,"Melphalan Hydrochloride: 1 Kit In 1 Carton (72266-128-01) * 10 Ml In 1 Vial, Single-Dose (72266-144-01) * 10 Ml In 1 Vial, Single-Use (72266-145-01)",3182.31,3182.31,,,0 HCPCS,J9245,NDC Description Not Available,2991.175,2991.175,,,0 HCPCS,J9246,"Inj., evomela, 1 mg",,,18.5,37.94,9 HCPCS,J9247,"Inj, melphalan flufenami 1mg",,,1054.5,1137.72,2 HCPCS,J9248,Inj melphalan (hepzato) 1 mg,,,37.94,1457.41,9 HCPCS,J9249,"Inj, melphalan (apotex) 1 mg",,,37.94,135.66,6 HCPCS,J9250,Methotrexate sodium inj,,,0.41,0.69,2 HCPCS,J9255,Methotrexate: 1 Vial In 1 Carton (16729-277-30) / 2 Ml In 1 Vial,17.21,17.21,,,0 HCPCS,J9259,Paclitaxel (american regent),,,36.39,36.39,1 HCPCS,J9260,Methotrexate sodium inj,,,3.81,5.56,5 HCPCS,J9260,"Methotrexate: 1 Vial In 1 Box (0143-9830-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",21.3,21.3,,,0 HCPCS,J9260,"Methotrexate: 1 Vial In 1 Carton (63323-122-50) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",21.3,21.3,,,0 HCPCS,J9260,Methotrexate: 1 Vial In 1 Carton (63323-123-10) / 10 Ml In 1 Vial,42.68,42.68,,,0 HCPCS,J9260,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3671-01) / 2 Ml In 1 Vial, Single-Dose",20.31,20.31,,,0 HCPCS,J9260,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3675-01) / 10 Ml In 1 Vial, Single-Dose",10.78,10.78,,,0 HCPCS,J9260,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (61703-408-41) / 40 Ml In 1 Vial, Single-Dose",12.24,12.24,,,0 HCPCS,J9260,NDC Description Not Available,11.14,11.14,,,0 HCPCS,J9261,"ARRANON: 6 VIAL, GLASS in 1 CARTON (0007-4401-06) / 50 mL in 1 VIAL, GLASS (0007-4401-01)",966.89,966.89,,,0 HCPCS,J9261,Arranon: 50 Ml In 1 Vial (0078-0683-61),1082.92,1082.92,,,0 HCPCS,J9261,Nelarabine injection,,,79.86,293.37,9 HCPCS,J9261,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (43598-142-11) / 50 Ml In 1 Vial, Single-Dose",885.74,885.74,,,0 HCPCS,J9261,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (70710-1726-1) / 50 Ml In 1 Vial, Single-Dose",873.17,873.17,,,0 HCPCS,J9261,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (81927-111-01) / 50 Ml In 1 Vial, Single-Dose",873.6,873.6,,,0 HCPCS,J9262,"Inj, omacetaxine mep, 0.01mg",,,6.52,8.44,4 HCPCS,J9263,Oxaliplatin,,,0.12,1.0,5 HCPCS,J9263,Oxaliplatin: 1 Vial In 1 Carton (25021-233-20) / 20 Ml In 1 Vial,1.67,1.67,,,0 HCPCS,J9263,Oxaliplatin: 1 Vial In 1 Carton (60505-6132-6) / 10 Ml In 1 Vial,1.34,1.34,,,0 HCPCS,J9263,Oxaliplatin: 1 Vial In 1 Carton (60505-6132-7) / 20 Ml In 1 Vial,1.34,1.34,,,0 HCPCS,J9263,Oxaliplatin: 1 Vial In 1 Carton (67457-469-10) / 10 Ml In 1 Vial,3.34,3.34,,,0 HCPCS,J9263,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (61703-363-18) / 10 Ml In 1 Vial, Single-Dose",3.21,3.21,,,0 HCPCS,J9263,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (61703-363-22) / 20 Ml In 1 Vial, Single-Dose",3.21,3.21,,,0 HCPCS,J9263,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (71288-101-10) / 10 Ml In 1 Vial, Single-Dose",1.0,1.0,,,0 HCPCS,J9263,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (72603-101-01) / 20 Ml In 1 Vial, Single-Dose",3.3,3.3,,,0 HCPCS,J9263,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-3315-70) / 10 Ml In 1 Vial, Single-Use",2.01,2.01,,,0 HCPCS,J9263,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-3317-80) / 20 Ml In 1 Vial, Single-Use",2.01,2.01,,,0 HCPCS,J9264,"Abraxane: 1 Vial, Single-Use In 1 Carton (68817-134-50) / 20 Ml In 1 Vial, Single-Use",105.86,105.86,,,0 HCPCS,J9264,Paclitaxel Protein Bound Particles Albumin Bound: 1 Vial In 1 Carton (0517-4300-01) / 20 Ml In 1 Vial,109.7,109.7,,,0 HCPCS,J9264,Paclitaxel protein bound,,,10.54,26.63,9 HCPCS,J9264,"Paclitaxel: 1 Vial, Single-Dose In 1 Carton (0781-3531-91) / 20 Ml In 1 Vial, Single-Dose",105.86,105.86,,,0 HCPCS,J9266,"Oncaspar: 1 Vial, Single-Use In 1 Carton (72694-954-01) / 5 Ml In 1 Vial, Single-Use",96226.54,96226.54,,,0 HCPCS,J9266,Pegaspargase injection,,,28424.06,53275.14,9 HCPCS,J9267,Paclitaxel injection,,,0.18,1.0,5 HCPCS,J9267,Paclitaxel: 1 Vial In 1 Carton (25021-255-50) / 50 Ml In 1 Vial,1.43,1.43,,,0 HCPCS,J9267,Paclitaxel: 1 Vial In 1 Carton (70860-200-05) / 5 Ml In 1 Vial,3.02,3.02,,,0 HCPCS,J9267,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (0703-3213-01) / 5 Ml In 1 Vial, Multi-Dose",2.23,2.23,,,0 HCPCS,J9267,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (0703-3217-01) / 25 Ml In 1 Vial, Multi-Dose",2.95,2.95,,,0 HCPCS,J9267,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (16714-137-01) / 50 Ml In 1 Vial, Multi-Dose",1.93,1.93,,,0 HCPCS,J9267,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (61703-342-09) / 5 Ml In 1 Vial, Multi-Dose",2.08,2.08,,,0 HCPCS,J9267,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (61703-342-50) / 50 Ml In 1 Vial, Multi-Dose",1.59,1.59,,,0 HCPCS,J9267,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (63323-763-50) / 50 Ml In 1 Vial, Multi-Dose",2.88,2.88,,,0 HCPCS,J9268,"Nipent: 1 Vial, Single-Dose In 1 Carton (0409-0801-01) / 5 Ml In 1 Vial, Single-Dose",12623.45,12623.45,,,0 HCPCS,J9268,Pentostatin injection,,,2608.16,5842.05,9 HCPCS,J9269,"Elzonris: 1 Vial, Single-Dose In 1 Carton (72187-0401-1) / 1 Ml In 1 Vial, Single-Dose",1446.71,1446.71,,,0 HCPCS,J9269,Inj. tagraxofusp-erzs 10 mcg,,,356.93,728.0,9 HCPCS,J9270,Plicamycin (mithramycin) inj,,,182.67,201.6,2 HCPCS,J9271,Inj pembrolizumab,,,60.29,125.23,9 HCPCS,J9271,Keytruda: 1 Vial In 1 Carton (0006-3026-02) / 4 Ml In 1 Vial (0006-3026-01),382.12,382.12,,,0 HCPCS,J9271,Keytruda: 2 Vial In 1 Carton (0006-3026-04) / 4 Ml In 1 Vial (0006-3026-01),384.08,384.08,,,0 HCPCS,J9271,NDC Description Not Available,382.14,382.14,,,0 HCPCS,J9272,"Inj, dostarlimab-gxly, 10 mg",,,243.71,451.07,9 HCPCS,J9272,Jemperli: 1 Vial In 1 Carton (0173-0898-03) / 10 Ml In 1 Vial,1040.18,1040.18,,,0 HCPCS,J9273,"Inj tisotu vedotin-tftv, 1mg",,,188.76,365.97,9 HCPCS,J9273,Tivdak: 1 Vial In 1 Carton (51144-003-01) / 4 Ml In 1 Vial,1155.5,1155.5,,,0 HCPCS,J9274,"Inj, tebentafusp-tebn, 1 mcg",,,217.09,401.62,8 HCPCS,J9274,"Kimmtrak: 1 Vial, Glass In 1 Carton (80446-401-01) / .5 Ml In 1 Vial, Glass",1365.24,1365.24,,,0 HCPCS,J9276,"Inj zanidatamab-hrii, 2 mg",,,25.05,46.4,7 HCPCS,J9280,Mitomycin injection,,,20.35,76.48,9 HCPCS,J9280,"Mitomycin: 1 VIAL in 1 BOX, UNIT-DOSE (55390-251-01) / 10 mL in 1 VIAL",375.2,375.2,,,0 HCPCS,J9280,"Mitomycin: 1 Vial In 1 Box, Unit-Dose (0143-9279-01) / 40 Ml In 1 Vial",1020.4,1020.4,,,0 HCPCS,J9280,Mitomycin: 1 Vial In 1 Carton (16729-115-05) / 10 Ml In 1 Vial,1616.1,1616.1,,,0 HCPCS,J9280,"Mitomycin: 1 Vial, Single-Dose In 1 Carton (71288-138-50) / 40 Ml In 1 Vial, Single-Dose",680.26,680.26,,,0 HCPCS,J9281,Mitomycin instillation,,,318.53,654.19,9 HCPCS,J9281,NDC Description Not Available,2001.54,2001.54,,,0 HCPCS,J9285,"Inj, olaratumab, 10 mg",,,93.73,109.04,4 HCPCS,J9286,"Columvi: 1 Vial, Single-Dose In 1 Carton (50242-125-01) / 2.5 Ml In 1 Vial, Single-Dose",11809.86,11809.86,,,0 HCPCS,J9286,"Columvi: 1 Vial, Single-Dose In 1 Carton (50242-127-01) / 10 Ml In 1 Vial, Single-Dose",11822.08,11822.08,,,0 HCPCS,J9286,"Inj glofitamab gxbm, 2.5 mg",,,2767.88,5125.55,8 HCPCS,J9289,Inj nivolumab 2 mg hyaluron,,,27.36,57.63,7 HCPCS,J9292,"Inj, pemetrexed (avyxa) 10mg",,,30.28,175.38,9 HCPCS,J9293,Mitoxantrone hydrochl / 5 MG,,,23.88,111.46,9 HCPCS,J9293,"Mitoxantrone: 1 Vial, Multi-Dose In 1 Box (63323-132-10) / 10 Ml In 1 Vial, Multi-Dose",659.69,659.69,,,0 HCPCS,J9294,"Inj pemetrexed, hospira 10mg",,,3.55,23.63,9 HCPCS,J9294,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (0409-0020-02) / 4 Ml In 1 Vial, Single-Dose",73.7,73.7,,,0 HCPCS,J9294,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (0409-0021-03) / 20 Ml In 1 Vial, Single-Dose",66.71,66.71,,,0 HCPCS,J9294,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (0409-1045-01) / 4 Ml In 1 Vial, Single-Dose",73.67,73.67,,,0 HCPCS,J9294,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (0409-2188-01) / 20 Ml In 1 Vial, Single-Dose",66.71,66.71,,,0 HCPCS,J9295,"Injection, necitumumab, 1 mg",,,5.73,12.95,9 HCPCS,J9296,Inj pemetrexed (accord) 10mg,,,9.74,22.0,9 HCPCS,J9297,Inj pemetrexed (sandoz) 10mg,,,2.18,20.7,5 HCPCS,J9298,Inj nivol relatlimab 3mg/1mg,,,197.83,365.65,9 HCPCS,J9298,"Opdualag: 1 Vial, Single-Dose In 1 Carton (0003-7125-11) / 20 Ml In 1 Vial, Single-Dose",1246.46,1246.46,,,0 HCPCS,J9299,"Injection, nivolumab",,,32.96,67.58,9 HCPCS,J9299,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3734-13) / 24 Ml In 1 Vial, Single-Dose",213.22,213.22,,,0 HCPCS,J9299,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3756-14) / 12 Ml In 1 Vial, Single-Dose",214.87,214.87,,,0 HCPCS,J9299,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3772-11) / 4 Ml In 1 Vial, Single-Dose",210.78,210.78,,,0 HCPCS,J9299,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3774-12) / 10 Ml In 1 Vial, Single-Dose",214.96,214.96,,,0 HCPCS,J9301,"Gazyva: 1 Vial, Single-Use In 1 Carton (50242-070-01) / 40 Ml In 1 Vial, Single-Use",559.86,559.86,,,0 HCPCS,J9301,Obinutuzumab inj,,,79.0,151.2,9 HCPCS,J9302,Ofatumumab injection,,,62.23,144.51,7 HCPCS,J9303,Panitumumab injection,,,173.03,321.82,9 HCPCS,J9303,"Vectibix: 1 Vial, Single-Dose In 1 Carton (55513-954-01) / 5 Ml In 1 Vial, Single-Dose",1173.87,1173.87,,,0 HCPCS,J9303,"Vectibix: 1 Vial, Single-Dose In 1 Carton (55513-956-01) / 20 Ml In 1 Vial, Single-Dose",1213.81,1213.81,,,0 HCPCS,J9304,"Inj. pemetrexed, 10 mg",,,46.32,175.23,9 HCPCS,J9305,Alimta: 1 Vial In 1 Carton (0002-7623-01) / 20 Ml In 1 Vial,541.76,541.76,,,0 HCPCS,J9305,Pemetrexed injection,,,4.36,38.72,9 HCPCS,J9305,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (71288-167-50) / 50 Ml In 1 Vial, Single-Dose",20.0,20.0,,,0 HCPCS,J9306,"Injection, pertuzumab, 1 mg",,,17.02,32.59,9 HCPCS,J9306,"Perjeta: 1 Vial, Single-Use In 1 Carton (50242-145-01) / 14 Ml In 1 Vial, Single-Use",105.71,105.71,,,0 HCPCS,J9307,Pralatrexate injection,,,392.63,795.29,9 HCPCS,J9308,"Cyramza: 1 Vial, Single-Dose In 1 Carton (0002-7669-01) / 10 Ml In 1 Vial, Single-Dose",489.57,489.57,,,0 HCPCS,J9308,"Cyramza: 1 Vial, Single-Dose In 1 Carton (0002-7678-01) / 50 Ml In 1 Vial, Single-Dose",488.14,488.14,,,0 HCPCS,J9308,"Injection, ramucirumab",,,74.36,151.06,9 HCPCS,J9309,"Inj, polatuzumab vedotin 1mg",,,136.67,266.89,9 HCPCS,J9309,Polivy: 1 Vial In 1 Carton (50242-103-01) / 6 Ml In 1 Vial,592.16,592.16,,,0 HCPCS,J9309,"Polivy: 1 Vial, Single-Dose In 1 Carton (50242-105-01) / 20 Ml In 1 Vial, Single-Dose",585.13,585.13,,,0 HCPCS,J9311,"Inj rituximab, hyaluronidase",,,36.69,84.71,9 HCPCS,J9312,"Inj., rituximab, 10 mg",,,75.22,183.45,9 HCPCS,J9312,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-051-21) / 10 Ml In 1 Vial, Single-Use",418.78,418.78,,,0 HCPCS,J9312,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-053-06) / 50 Ml In 1 Vial, Single-Use",595.86,595.86,,,0 HCPCS,J9313,"Inj., lumoxiti, 0.01 mg",,,23.39,52.85,7 HCPCS,J9314,Inj pemetrexed (teva) 10mg,,,6.82,30.28,9 HCPCS,J9316,"Pertuzu, trastuzu, 10 mg",,,62.1,154.65,9 HCPCS,J9316,"Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-245-01) / 15 Ml In 1 Vial, Single-Dose",510.57,510.57,,,0 HCPCS,J9316,"Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-260-01) / 10 Ml In 1 Vial, Single-Dose",501.17,501.17,,,0 HCPCS,J9317,Sacituzumab govitecan-hziy,,,36.28,73.55,9 HCPCS,J9317,"Trodelvy: 1 Vial In 1 Box (55135-132-01) / 1 Powder, For Solution In 1 Vial",229.7,229.7,,,0 HCPCS,J9318,Inj romidepsin non-lyo 0.1mg,,,28.52,64.35,9 HCPCS,J9319,Inj romidepsin lyophil 0.1mg,,,30.78,57.5,9 HCPCS,J9319,NDC Description Not Available,214.31,214.31,,,0 HCPCS,J9320,Streptozocin injection,,,691.48,2386.8,4 HCPCS,J9321,"Epkinly: 1 Vial, Glass In 1 Carton (82705-002-01) / .8 Ml In 1 Vial, Glass",298.27,298.27,,,0 HCPCS,J9321,"Epkinly: 1 Vial, Glass In 1 Carton (82705-010-01) / .8 Ml In 1 Vial, Glass",298.22,298.22,,,0 HCPCS,J9321,Inj epcoritamab-bysp 0.16 mg,,,55.84,102.97,8 HCPCS,J9322,Inj pemetrexed (bluepoint),,,10.6,20.22,5 HCPCS,J9323,Inj pemetrexed ditromethamin,,,0.12,19.13,8 HCPCS,J9324,"Inj, pemrydi rtu, 10 mg",,,75.81,148.19,8 HCPCS,J9325,Imlygic: 1 Vial In 1 Carton (55513-079-01) / 1 Ml In 1 Vial,445.76,445.76,,,0 HCPCS,J9325,Inj talimogene laherparepvec,,,73.94,140.9,9 HCPCS,J9328,Temozolomide injection,,,10.39,23.53,9 HCPCS,J9329,"Inj, tislelizumab-jsgr",,,57.44,910.17,8 HCPCS,J9330,Temsirolimus injection,,,26.71,72.69,9 HCPCS,J9331,Inj sirolimus prot part 1 mg,,,84.57,236.21,9 HCPCS,J9332,Inj efgartigimod 2mg,,,32.15,59.94,9 HCPCS,J9332,"Vyvgart: 1 Vial, Single-Dose In 1 Carton (73475-3041-5) / 20 Ml In 1 Vial, Single-Dose",207.3,207.3,,,0 HCPCS,J9333,Inj ronzanolixizum-noli 1 mg,,,23.16,42.85,8 HCPCS,J9334,Inj efgart-alfa 2mg hya-qvfc,,,33.89,62.42,8 HCPCS,J9334,"Vyvgart Hytrulo: 1 Vial, Single-Dose In 1 Carton (73475-3102-3) / 5.6 Ml In 1 Vial, Single-Dose",142.34,142.34,,,0 HCPCS,J9340,Thiotepa injection,,,365.89,671.69,2 HCPCS,J9340,"Thiotepa: 1 VIAL in 1 BOX, UNIT-DOSE (55390-030-10) / 1.5 mL in 1 VIAL",3986.5,3986.5,,,0 HCPCS,J9340,"Thiotepa: 1 Vial In 1 Box, Unit-Dose (0143-9565-01) / 1.5 Ml In 1 Vial",4977.14,4977.14,,,0 HCPCS,J9340,"Thiotepa: 1 Vial In 1 Carton (43598-650-11) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",5019.1,5019.1,,,0 HCPCS,J9340,"Thiotepa: 1 Vial, Glass In 1 Box (72205-045-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",4612.4,4612.4,,,0 HCPCS,J9340,"Thiotepa: 1 Vial, Single-Dose In 1 Carton (71288-156-05) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",1340.0,1340.0,,,0 HCPCS,J9341,Inj thiotepa (tepylute) 1 mg,,,51.14,82.45,2 HCPCS,J9342,Inj thiotepa nos 1 mg,,,10.54,22.64,7 HCPCS,J9345,"Inj, retifanlimab-dlwr, 1 mg",,,30.56,55.46,8 HCPCS,J9345,"Zynyz: 1 Vial, Single-Use In 1 Carton (50881-006-03) / 20 Ml In 1 Vial, Single-Use",161.88,161.88,,,0 HCPCS,J9347,Imjudo: 1 Vial In 1 Carton (0310-4505-25) / 1.25 Ml In 1 Vial,608.63,608.63,,,0 HCPCS,J9347,Imjudo: 1 Vial In 1 Carton (0310-4535-30) / 15 Ml In 1 Vial,599.68,599.68,,,0 HCPCS,J9347,"Inj, tremelimumab-actl, 1 mg",,,140.9,261.16,8 HCPCS,J9348,"Inj. naxitamab-gqgk, 1 mg",,,686.0,1268.93,9 HCPCS,J9349,"Inj., tafasitamab-cxix",,,14.31,29.72,9 HCPCS,J9349,Monjuvi: 1 Vial In 1 Carton (50881-013-03) / 5 Ml In 1 Vial,91.69,91.69,,,0 HCPCS,J9349,Monjuvi: 1 Vial In 1 Carton (73535-208-01) / 5 Ml In 1 Vial,90.34,90.34,,,0 HCPCS,J9350,"Inj mosunetuzumab-axgb, 1 mg",,,654.63,1207.59,8 HCPCS,J9350,Lunsumio: 1 Vial In 1 Carton (50242-142-01) / 30 Ml In 1 Vial,4117.14,4117.14,,,0 HCPCS,J9350,Lunsumio: 1 Vial In 1 Carton (50242-159-01) / 1 Ml In 1 Vial,4131.22,4131.22,,,0 HCPCS,J9351,Topotecan Hydrochloride: 1 Vial In 1 Package (16729-151-31) / 4 Ml In 1 Vial,23.45,23.45,,,0 HCPCS,J9351,Topotecan injection,,,2.41,3.81,5 HCPCS,J9351,"Topotecan: 1 Vial, Multi-Dose In 1 Carton (16729-243-31) / 4 Ml In 1 Vial, Multi-Dose",22.74,22.74,,,0 HCPCS,J9351,"Topotecan: 1 Vial, Single-Dose In 1 Carton (0409-0302-01) / 4 Ml In 1 Vial, Single-Dose",11.4,11.4,,,0 HCPCS,J9352,Injection trabectedin 0.1mg,,,391.07,749.82,9 HCPCS,J9352,"Yondelis: 20 Ml In 1 Vial, Single-Use (59676-610-01)",2354.03,2354.03,,,0 HCPCS,J9353,"Inj. margetuximab-cmkb, 5 mg",,,52.49,101.78,9 HCPCS,J9354,"Inj, ado-trastuzumab emt 1mg",,,42.16,81.9,9 HCPCS,J9354,"Kadcyla: 1 Vial, Single-Use In 1 Carton (50242-087-01) / 8 Ml In 1 Vial, Single-Use",265.09,265.09,,,0 HCPCS,J9354,"Kadcyla: 1 Vial, Single-Use In 1 Carton (50242-088-01) / 5 Ml In 1 Vial, Single-Use",264.96,264.96,,,0 HCPCS,J9355,"Herceptin: 1 Vial, Single-Dose In 1 Carton (50242-132-01) / 15 Ml In 1 Vial, Single-Dose",695.5450000000001,695.5450000000001,,,0 HCPCS,J9355,Trastuzumab injection,,,75.03,181.34,9 HCPCS,J9356,"Herceptin Hylecta: 1 Vial, Single-Dose In 1 Carton (50242-077-01) / 5 Ml In 1 Vial, Single-Dose",522.07,522.07,,,0 HCPCS,J9356,"Inj. herceptin hylecta, 10mg",,,61.44,147.05,9 HCPCS,J9357,Valrubicin injection,,,1323.34,3259.59,9 HCPCS,J9358,"Enhertu: 1 Vial, Single-Dose In 1 Carton (65597-406-01) / 5 Ml In 1 Vial, Single-Dose",191.61,191.61,,,0 HCPCS,J9358,Inj fam-trastu deru-nxki 1mg,,,29.98,57.92,9 HCPCS,J9359,Inj lon tesirin-lpyl 0.075mg,,,216.9,432.55,9 HCPCS,J9359,"Zynlonta: 1 Vial, Single-Dose In 1 Carton (79952-110-01) / 2 Ml In 1 Vial, Single-Dose",1362.62,1362.62,,,0 HCPCS,J9360,"Vinblastine Sulfate: 1 Vial, Multi-Dose In 1 Box (63323-278-10) / 10 Ml In 1 Vial, Multi-Dose",34.98,34.98,,,0 HCPCS,J9360,Vinblastine sulfate inj,,,7.95,9.79,5 HCPCS,J9361,"Inj, efbemalenograstim alfa-",,,158.36,255.3,2 HCPCS,J9370,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-06) / 1 Ml In 1 Vial, Single-Dose",92.95,92.95,,,0 HCPCS,J9370,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-16) / 2 Ml In 1 Vial, Single-Dose",46.68,46.68,,,0 HCPCS,J9370,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-25) / 2 Ml In 1 Vial, Single-Dose",49.94,49.94,,,0 HCPCS,J9370,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-26) / 1 Ml In 1 Vial, Single-Dose",83.19,83.19,,,0 HCPCS,J9370,Vincristine sulfate 1 MG inj,,,10.96,14.54,5 HCPCS,J9371,"Inj, vincristine sul lip 1mg",,,7635.34,7729.67,2 HCPCS,J9376,"Inj pozelimab-bbfg, 1 mg",,,91.73,192.12,6 HCPCS,J9380,Inj teclistamab cqyv 0.5 mg,,,33.58,61.55,8 HCPCS,J9380,"Tecvayli: 1 Vial, Single-Dose In 1 Carton (57894-449-01) / 3 Ml In 1 Vial, Single-Dose",210.22,210.22,,,0 HCPCS,J9380,"Tecvayli: 1 Vial, Single-Dose In 1 Carton (57894-450-01) / 1.7 Ml In 1 Vial, Single-Dose",158.39,158.39,,,0 HCPCS,J9381,Inj teplizumab mzwv 5 mcg,,,37.66,69.65,8 HCPCS,J9381,"Tzield: 1 Vial, Single-Dose In 1 Carton (73650-316-01) / 2 Ml In 1 Vial, Single-Dose",162.12,162.12,,,0 HCPCS,J9382,Inj zenocutuzumab-zbco 1 mg,,,32.91,70.3,7 HCPCS,J9390,Vinorelbine tartrate inj,,,3.53,16.83,5 HCPCS,J9390,Vinorelbine: 1 Vial In 1 Carton (25021-204-01) / 1 Ml In 1 Vial,144.47,144.47,,,0 HCPCS,J9390,Vinorelbine: 1 Vial In 1 Carton (25021-204-05) / 5 Ml In 1 Vial,106.84,106.84,,,0 HCPCS,J9390,"Vinorelbine: 1 Vial, Single-Dose In 1 Carton (45963-607-55) / 1 Ml In 1 Vial, Single-Dose",45.53,45.53,,,0 HCPCS,J9393,"Inj, fulvestrant (teva)",,,6.93,60.42,7 HCPCS,J9394,"Fulvestrant: 2 Syringe, Glass In 1 Carton (63323-715-05) / 5 Ml In 1 Syringe, Glass (63323-715-01)",331.3,331.3,,,0 HCPCS,J9394,"Inj, fulvestrant (fresenius)",,,5.98,40.15,9 HCPCS,J9395,"Faslodex: 2 Syringe, Glass In 1 Carton (0310-0720-10) / 5 Ml In 1 Syringe, Glass",649.58,649.58,,,0 HCPCS,J9395,"Fulvestrant: 2 SYRINGE, GLASS in 1 CARTON (0310-7720-10) / 5 mL in 1 SYRINGE, GLASS",117.25,117.25,,,0 HCPCS,J9395,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0143-9022-02) / 5 Ml In 1 Syringe, Glass (0143-9022-01)",49.82,49.82,,,0 HCPCS,J9395,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0781-3532-12) / 5 Ml In 1 Syringe, Glass (0781-3532-01)",107.35,107.35,,,0 HCPCS,J9395,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0781-9055-12) / 5 Ml In 1 Syringe, Glass (0781-9055-01)",67.0,67.0,,,0 HCPCS,J9395,"Fulvestrant: 2 Syringe, Glass In 1 Carton (43598-262-02) / 5 Ml In 1 Syringe, Glass (43598-262-11)",67.0,67.0,,,0 HCPCS,J9395,"Fulvestrant: 2 Syringe, Glass In 1 Carton (43598-262-23) / 5 Ml In 1 Syringe, Glass (43598-262-11)",192.07,192.07,,,0 HCPCS,J9395,"Injection, Fulvestrant",,,10.09,27.31,5 HCPCS,J9395,NDC Description Not Available,87.94,87.94,,,0 HCPCS,J9400,"Inj, ziv-aflibercept, 1mg",,,7.88,16.69,9 HCPCS,J9600,"Photofrin: 1 Vial In 1 Box, Unit-Dose (76128-155-75) / 31.8 Ml In 1 Vial",74167.14,74167.14,,,0 HCPCS,J9600,Porfimer sodium injection,,,24228.42,51777.06,7 HCPCS,K0672,Removable soft interface le,,,104.22,151.12,3 HCPCS,L0112,Cranial cervical orthosis,,,1720.06,2494.09,3 HCPCS,L0113,Cranial cervical torticollis,,,350.47,508.18,3 HCPCS,L0120,Cerv flex n/adj foam pre ots,,,32.51,47.14,3 HCPCS,L0120,Noncdm Charge Record Medical Supplies,19.17,19.17,,,0 HCPCS,L0130,Flex thermoplastic collar mo,,,187.59,272.01,3 HCPCS,L0130,"Hc Cervical, Flexible, Thermoplastic Collar, Molded To Patient",599.55,599.55,,,0 HCPCS,L0140,Cervical semi-rigid adjustab,,,73.56,106.66,3 HCPCS,L0150,Cerv semi-rig adj molded chn,,,131.54,190.73,3 HCPCS,L0160,Cerv sr wire occ/man pre ots,,,192.08,278.52,3 HCPCS,L0170,Cervical collar molded to pt,,,988.11,1432.76,3 HCPCS,L0172,Cerv col sr foam 2pc pre ots,,,174.05,252.37,3 HCPCS,L0172,Noncdm Charge Record Medical Supplies,64.96,64.96,,,0 HCPCS,L0174,Cerv sr 2pc thor ext pre ots,,,342.24,496.25,3 HCPCS,L0180,Cer post col occ/man sup adj,,,554.45,803.95,3 HCPCS,L0190,Cerv collar supp adj cerv ba,,,653.92,948.18,3 HCPCS,L0200,Cerv col supp adj bar & thor,,,758.49,1099.81,3 HCPCS,L0220,Thor rib belt custom fabrica,,,158.76,230.2,3 HCPCS,L0450,Tlso flex trunk/thor pre ots,,,123.17,178.6,3 HCPCS,L0454,Tlso trnk sj-t9 pre cst,,,426.22,618.02,3 HCPCS,L0455,Tlso flex trnk sj-t9 pre ots,,,228.66,331.56,3 HCPCS,L0456,Tlso flex trnk sj-ss pre cst,,,1222.31,1772.35,3 HCPCS,L0457,Tlso flex trnk sj-ss pre ots,,,655.74,950.82,3 HCPCS,L0458,TLSO 2Mod symphis-xipho pre,,,1096.06,1589.29,3 HCPCS,L0460,Tlso 2 shl symphys-stern cst,,,1233.68,1788.84,3 HCPCS,L0462,TLSO 3Mod sacro-scap pre,,,1534.47,2224.98,3 HCPCS,L0464,TLSO 4Mod sacro-scap pre,,,1826.79,2648.85,3 HCPCS,L0466,Tlso r fram soft ant pre cst,,,466.26,676.08,3 HCPCS,L0467,Tlso r fram soft pre ots,,,256.45,371.85,3 HCPCS,L0468,Tlso rig fram pelvic pre cst,,,584.34,847.29,3 HCPCS,L0469,Tlso rig fram pelvic pre ots,,,326.76,473.8,3 HCPCS,L0470,TLSO rigid frame pre subclav,,,808.59,1172.46,3 HCPCS,L0472,TLSO rigid frame hyperex pre,,,497.56,721.46,3 HCPCS,L0480,TLSO rigid plastic custom fa,,,1856.29,2691.62,3 HCPCS,L0482,TLSO rigid lined custom fab,,,2073.49,3006.56,3 HCPCS,L0484,TLSO rigid plastic cust fab,,,2239.27,3246.94,3 HCPCS,L0486,TLSO rigidlined cust fab two,,,2514.79,3646.45,3 HCPCS,L0488,TLSO rigid lined pre one pie,,,1233.68,1788.84,3 HCPCS,L0490,TLSO rigid plastic pre one,,,347.64,504.08,3 HCPCS,L0491,TLSO 2 piece rigid shell,,,943.84,1368.57,3 HCPCS,L0492,TLSO 3 piece rigid shell,,,614.59,891.16,3 HCPCS,L0621,Sio flex pelvic/sacr pre ots,,,64.94,94.16,3 HCPCS,L0622,Sio flex pelvisacral custom,,,328.48,476.3,3 HCPCS,L0623,Sio rig pnl pelv/sac pre ots,,,116.41,168.79,3 HCPCS,L0625,Lo flex l1-below l5 pre ots,,,36.33,52.68,3 HCPCS,L0626,Lo sag rig pnl stays pre cst,,,95.79,138.9,3 HCPCS,L0627,Lo sag ri an/pos pnl pre cst,,,505.13,732.44,3 HCPCS,L0628,Lso flex no ri stays pre ots,,,55.32,80.21,3 HCPCS,L0630,Lso r post pnl sj-t9 pre cst,,,199.05,288.62,3 HCPCS,L0631,Lso sag r an/pos pnl pre cst,,,1261.6,1829.32,3 HCPCS,L0633,Lso sc r pos/lat pnl pre cst,,,352.41,510.99,3 HCPCS,L0635,Lso sagit rigid panel prefab,,,1228.02,1780.63,3 HCPCS,L0636,Lso sagittal rigid panel cus,,,1666.22,2416.02,3 HCPCS,L0637,Lso sc r ant/pos pnl pre cst,,,1592.13,2308.59,3 HCPCS,L0638,Lso sag-coronal panel custom,,,1620.91,2350.32,3 HCPCS,L0639,Lso s/c shell/panel prefab,,,1592.13,2308.59,3 HCPCS,L0640,Lso s/c shell/panel custom,,,1285.97,1864.66,3 HCPCS,L0641,Lo rig pos pnl l1-l5 pre ots,,,51.4,74.53,3 HCPCS,L0642,Lo sag ri an/pos pnl pre ots,,,271.08,393.07,3 HCPCS,L0643,Lso sag ctr rigi pos pre ots,,,106.8,154.86,3 HCPCS,L0648,Lso sag r an/pos pnl pre ots,,,676.99,981.64,3 HCPCS,L0649,Lso sc r pos/lat pnl pre ots,,,189.11,274.21,3 HCPCS,L0650,Lso sc r ant/pos pnl pre ots,,,783.31,1135.8,3 HCPCS,L0651,LSO sag-co shell pnl pre ots,,,783.31,1135.8,3 HCPCS,L0700,Ctlso a-p-l control molded,,,2446.57,3547.53,3 HCPCS,L0710,Ctlso a-p-l control w/ inter,,,2689.42,3899.66,3 HCPCS,L0720,Ctlso a-p-l control custom,,,2381.24,3452.8,3 HCPCS,L0810,Halo cervical into jckt vest,,,3284.91,4763.12,3 HCPCS,L0820,Halo cervical into body jack,,,2584.02,3746.83,3 HCPCS,L0830,Halo cerv into milwaukee typ,,,3953.92,5733.18,3 HCPCS,L0859,MRI compatible system,,,1399.89,2029.84,3 HCPCS,L0861,Halo repl liner/interface,,,264.89,384.09,3 HCPCS,L0970,Tlso corset front,,,131.34,190.44,3 HCPCS,L0972,Lso corset front,,,119.54,173.33,3 HCPCS,L0974,Tlso full corset,,,214.76,311.4,3 HCPCS,L0976,Lso full corset,,,183.75,266.44,3 HCPCS,L0978,Axillary crutch extension,,,231.25,335.31,3 HCPCS,L0980,Peroneal straps pair pre ots,,,20.99,30.44,3 HCPCS,L0982,Stocking sup grips 4 pre ots,,,19.23,27.88,3 HCPCS,L0984,Protect body sock ea pre ots,,,83.16,120.58,3 HCPCS,L1000,Ctlso milwauke initial model,,,2492.04,3613.46,3 HCPCS,L1005,Tension based scoliosis orth,,,3933.46,5703.52,3 HCPCS,L1010,Ctlso axilla sling,,,102.83,149.1,3 HCPCS,L1020,Kyphosis pad,,,132.43,192.02,3 HCPCS,L1025,Kyphosis pad floating,,,191.06,277.04,3 HCPCS,L1030,Lumbar bolster pad,,,96.23,139.53,3 HCPCS,L1040,Lumbar or lumbar rib pad,,,108.96,157.99,3 HCPCS,L1050,Sternal pad,,,123.31,178.8,3 HCPCS,L1060,Thoracic pad,,,133.1,192.99,3 HCPCS,L1070,Trapezius sling,,,137.88,199.93,3 HCPCS,L1080,Outrigger,,,64.3,93.24,3 HCPCS,L1085,Outrigger bil w/ vert extens,,,215.27,312.14,3 HCPCS,L1090,Lumbar sling,,,123.66,179.31,3 HCPCS,L1100,Ring flange plastic/leather,,,233.39,338.42,3 HCPCS,L1110,Ring flange plas/leather mol,,,391.31,567.4,3 HCPCS,L1120,Covers for upright each,,,46.74,67.77,3 HCPCS,L1200,Furnsh initial orthosis only,,,2199.24,3188.9,3 HCPCS,L1210,Lateral thoracic extension,,,300.68,435.99,3 HCPCS,L1220,Anterior thoracic extension,,,292.66,424.36,3 HCPCS,L1230,Milwaukee type superstructur,,,819.86,1188.8,3 HCPCS,L1240,Lumbar derotation pad,,,111.77,162.07,3 HCPCS,L1250,Anterior asis pad,,,97.2,140.94,3 HCPCS,L1260,Anterior thoracic derotation,,,115.91,168.07,3 HCPCS,L1270,Abdominal pad,,,101.86,147.7,3 HCPCS,L1280,Rib gusset (elastic) each,,,107.39,155.72,3 HCPCS,L1290,Lateral trochanteric pad,,,95.49,138.46,3 HCPCS,L1300,Body jacket mold to patient,,,2118.07,3071.2,3 HCPCS,L1310,Post-operative body jacket,,,2206.15,3198.92,3 HCPCS,L1600,Ho flex frejka w/cov pre cst,,,158.37,229.64,3 HCPCS,L1610,Ho frejka cov only pre cst,,,67.26,97.53,3 HCPCS,L1620,Ho flex pavlik harns pre cst,,,193.1,280.0,3 HCPCS,L1630,Abduct control hip semi-flex,,,259.63,376.46,3 HCPCS,L1640,Pelv band/spread bar thigh c,,,581.79,843.6,3 HCPCS,L1650,HO abduction hip adjustable,,,303.07,439.45,3 HCPCS,L1652,HO bi thighcuffs w sprdr bar,,,438.09,635.23,3 HCPCS,L1660,HO abduction static plastic,,,222.08,322.02,3 HCPCS,L1680,Pelvic & hip control thigh c,,,1400.11,2030.16,3 HCPCS,L1681,Ho bilateral hip abduction,,,2303.12,3339.52,3 HCPCS,L1685,Post-op hip abduct custom fa,,,1366.86,1981.95,3 HCPCS,L1686,HO post-op hip abduction,,,1151.56,1669.76,3 HCPCS,L1690,Combination bilateral HO,,,2376.51,3445.94,3 HCPCS,L1700,Leg perthes orth toronto typ,,,1912.04,2772.46,3 HCPCS,L1710,Legg perthes orth newington,,,2434.79,3530.45,3 HCPCS,L1720,Legg perthes orthosis trilat,,,1812.94,2628.76,3 HCPCS,L1730,Legg perthes orth scottish r,,,1530.52,2219.25,3 HCPCS,L1755,Legg perthes patten bottom t,,,2200.45,3190.65,3 HCPCS,L1800,Knee orthoses elas w stays,,,205.51,205.51,1 HCPCS,L1810,Ko elastic with joints,,,126.52,334.69,4 HCPCS,L1810,Noncdm Charge Record Medical Supplies,287.28,287.28,,,0 HCPCS,L1812,Ko elastic w/joints pre ots,,,78.51,334.69,4 HCPCS,L1815,Elastic with condylar pads,,,305.33,305.33,1 HCPCS,L1820,Ko elas w/ condyle pads & jo,,,174.65,460.94,4 HCPCS,L1820,Noncdm Charge Record Medical Supplies,197.06,197.06,,,0 HCPCS,L1825,Ko elastic knee cap,,,193.77,193.77,1 HCPCS,L1830,Ko immob canvas long pre ots,,,70.75,270.1,4 HCPCS,L1830,Noncdm Charge Record Medical Supplies,203.465,203.465,,,0 HCPCS,L1831,Knee orth pos locking joint,,,361.7,524.46,3 HCPCS,L1832,Ko adj jnt pos r sup pre cst,,,846.51,1227.44,3 HCPCS,L1832,Noncdm Charge Record Medical Supplies,413.20500000000004,413.20500000000004,,,0 HCPCS,L1833,Ko adj jnt pos r sup pre ots,,,509.63,738.96,3 HCPCS,L1834,"Hc Knee Orthotic, Without Knee Joint, Rigid, Custom",603.75,603.75,,,0 HCPCS,L1834,Ko w/0 joint rigid molded to,,,892.02,1293.43,3 HCPCS,L1836,Ko rigid w/o joints pre ots,,,100.03,145.04,3 HCPCS,L1840,Ko derot ant cruciate custom,,,1155.72,3056.27,4 HCPCS,L1843,Ko single upright pre cst,,,1102.71,1598.93,3 HCPCS,L1844,Ko w/adj jt rot cntrl molded,,,1871.51,2713.69,3 HCPCS,L1845,Ko double upright pre cst,,,1029.48,1492.75,3 HCPCS,L1846,Ko w adj flex/ext rotat mold,,,1437.92,2084.98,3 HCPCS,L1847,Ko dbl upright w/air pre cst,,,706.86,1024.95,3 HCPCS,L1848,Ko dbl upright w/air pre ots,,,706.86,1024.95,3 HCPCS,L1850,Ko swedish type pre ots,,,230.4,334.08,3 HCPCS,L1851,Ko single upright prefab ots,,,672.67,975.37,3 HCPCS,L1852,Ko double upright prefab ots,,,641.72,930.49,3 HCPCS,L1860,Ko supracondylar socket mold,,,1532.49,2222.11,3 HCPCS,L1900,Afo sprng wir drsflx calf bd,,,350.64,508.43,3 HCPCS,L1902,Afo ankle gauntlet pre ots,,,91.73,133.01,3 HCPCS,L1902,Noncdm Charge Record Medical Supplies,154.2,154.2,,,0 HCPCS,L1904,Afo molded ankle gauntlet,,,554.72,804.34,3 HCPCS,L1906,Afo multilig ank sup pre ots,,,138.2,200.39,3 HCPCS,L1907,AFO supramalleolar custom,,,691.55,1002.75,3 HCPCS,L1910,Afo sing bar clasp attach sh,,,344.65,499.74,3 HCPCS,L1920,Afo sing upright w/ adjust s,,,504.86,732.05,3 HCPCS,L1930,Afo plastic,,,309.6,448.92,3 HCPCS,L1932,Afo rig ant tib prefab TCF/=,,,1096.64,1590.13,3 HCPCS,L1933,Afo rig ant tib tcf/= ots,,,1096.64,1590.13,3 HCPCS,L1940,Afo molded to patient plasti,,,598.47,867.78,3 HCPCS,L1945,Afo molded plas rig ant tib,,,1379.49,2000.26,3 HCPCS,L1950,Afo spiral molded to pt plas,,,945.14,1370.45,3 HCPCS,L1951,AFO spiral prefabricated,,,1032.09,1496.53,3 HCPCS,L1952,Afo spiral prefab ots,,,1032.09,1496.53,3 HCPCS,L1960,Afo pos solid ank plastic mo,,,761.8,1104.61,3 HCPCS,L1960,"Hc Ankle-Foot Orthotic, Posterior Solid Ankle, Custom",595.35,595.35,,,0 HCPCS,L1970,Afo plastic molded w/ankle j,,,850.61,1233.38,3 HCPCS,L1971,"AFO w/ankle joint, prefab",,,576.1,835.34,3 HCPCS,L1980,Afo sing solid stirrup calf,,,496.21,719.5,3 HCPCS,L1990,Afo doub solid stirrup calf,,,574.3,832.73,3 HCPCS,L2000,Kafo sing fre stirr thi/calf,,,1374.81,1993.47,3 HCPCS,L2005,KAFO sng/dbl mechanical act,,,5035.93,7302.1,3 HCPCS,L2010,Kafo sng solid stirrup w/o j,,,1072.34,1554.89,3 HCPCS,L2020,Kafo dbl solid stirrup band/,,,1354.33,1963.78,3 HCPCS,L2030,Kafo dbl solid stirrup w/o j,,,1331.19,1930.23,3 HCPCS,L2034,Kafo pla sin up w/wo k/a cus,,,2496.59,3620.06,3 HCPCS,L2035,KAFO plastic pediatric size,,,212.91,308.72,3 HCPCS,L2036,Kafo plas doub free knee mol,,,2278.43,3303.72,3 HCPCS,L2037,Kafo plas sing free knee mol,,,2038.02,2955.13,3 HCPCS,L2038,Kafo w/o joint multi-axis an,,,1642.94,2382.26,3 HCPCS,L2040,Hkafo torsion bil rot straps,,,248.63,360.51,3 HCPCS,L2050,Hkafo torsion cable hip pelv,,,598.88,868.38,3 HCPCS,L2060,Hkafo torsion ball bearing j,,,749.08,1086.17,3 HCPCS,L2070,Hkafo torsion unilat rot str,,,190.75,276.59,3 HCPCS,L2080,Hkafo unilat torsion cable,,,458.63,665.01,3 HCPCS,L2090,Hkafo unilat torsion ball br,,,611.07,886.05,3 HCPCS,L2106,Afo tib fx cast plaster mold,,,968.68,1404.59,3 HCPCS,L2108,Afo tib fx cast molded to pt,,,1412.85,2048.63,3 HCPCS,L2112,Afo tibial fracture soft,,,620.02,899.03,3 HCPCS,L2114,Afo tib fx semi-rigid,,,776.59,1126.06,3 HCPCS,L2116,Afo tibial fracture rigid,,,947.2,1373.44,3 HCPCS,L2126,Kafo fem fx cast thermoplas,,,1569.24,2275.4,3 HCPCS,L2128,Kafo fem fx cast molded to p,,,1970.44,2857.14,3 HCPCS,L2132,Kafo femoral fx cast soft,,,1196.02,1734.23,3 HCPCS,L2134,Kafo fem fx cast semi-rigid,,,1416.24,2053.55,3 HCPCS,L2136,Kafo femoral fx cast rigid,,,1549.86,2247.3,3 HCPCS,L2180,Plas shoe insert w ank joint,,,162.92,236.23,3 HCPCS,L2182,Drop lock knee,,,140.43,203.62,3 HCPCS,L2184,Limited motion knee joint,,,142.35,206.41,3 HCPCS,L2186,Adj motion knee jnt lerman t,,,189.31,274.5,3 HCPCS,L2188,Quadrilateral brim,,,344.15,499.02,3 HCPCS,L2190,Waist belt,,,104.83,152.0,3 HCPCS,L2192,Pelvic band & belt thigh fla,,,409.73,594.11,3 HCPCS,L2200,Limited ankle motion ea jnt,,,61.75,89.54,3 HCPCS,L2210,Dorsiflexion assist each joi,,,77.24,112.0,3 HCPCS,L2220,Dorsi & plantar flex ass/res,,,99.43,144.17,3 HCPCS,L2230,Split flat caliper stirr & p,,,117.56,170.46,3 HCPCS,L2232,"Rocker bottom, contact AFO",,,119.38,173.1,3 HCPCS,L2240,Round caliper and plate atta,,,117.01,169.66,3 HCPCS,L2250,Foot plate molded stirrup at,,,410.5,595.22,3 HCPCS,L2260,Reinforced solid stirrup,,,230.35,334.01,3 HCPCS,L2265,Long tongue stirrup,,,165.21,239.55,3 HCPCS,L2270,Varus/valgus strap padded/li,,,75.76,109.85,3 HCPCS,L2275,Plastic mod low ext pad/line,,,160.19,232.28,3 HCPCS,L2280,Molded inner boot,,,693.78,1005.98,3 HCPCS,L2300,Abduction bar jointed adjust,,,309.39,448.62,3 HCPCS,L2310,Abduction bar-straight,,,141.37,204.99,3 HCPCS,L2320,Non-molded lacer,,,237.08,343.77,3 HCPCS,L2330,Lacer molded to patient mode,,,451.21,654.25,3 HCPCS,L2335,Anterior swing band,,,345.46,500.92,3 HCPCS,L2340,Pre-tibial shell molded to p,,,513.58,744.69,3 HCPCS,L2350,Prosthetic type socket molde,,,1023.92,1484.68,3 HCPCS,L2360,Extended steel shank,,,63.37,91.89,3 HCPCS,L2370,Patten bottom,,,393.31,570.3,3 HCPCS,L2375,Torsion ank & half solid sti,,,151.22,219.27,3 HCPCS,L2380,Torsion straight knee joint,,,158.6,229.97,3 HCPCS,L2385,Straight knee joint heavy du,,,180.58,261.84,3 HCPCS,L2387,Add le poly knee custom kafo,,,234.6,340.17,3 HCPCS,L2390,Offset knee joint each,,,125.79,182.4,3 HCPCS,L2395,Offset knee joint heavy duty,,,179.8,260.71,3 HCPCS,L2397,Suspension sleeve lower ext,,,150.0,217.5,3 HCPCS,L2405,Knee joint drop lock ea jnt,,,107.14,155.35,3 HCPCS,L2415,Knee joint cam lock each joi,,,149.3,216.48,3 HCPCS,L2425,Knee disc/dial lock/adj flex,,,176.17,255.45,3 HCPCS,L2430,Knee jnt ratchet lock ea jnt,,,176.17,255.45,3 HCPCS,L2492,Knee lift loop drop lock rin,,,144.15,209.02,3 HCPCS,L2500,Thi/glut/ischia wgt bearing,,,384.58,557.64,3 HCPCS,L2510,Th/wght bear quad-lat brim m,,,991.19,1437.23,3 HCPCS,L2520,Th/wght bear quad-lat brim c,,,660.58,957.84,3 HCPCS,L2525,Th/wght bear nar m-l brim mo,,,1400.77,2031.12,3 HCPCS,L2526,Th/wght bear nar m-l brim cu,,,787.09,1141.28,3 HCPCS,L2530,Thigh/wght bear lacer non-mo,,,294.73,427.36,3 HCPCS,L2540,Thigh/wght bear lacer molded,,,557.7,808.67,3 HCPCS,L2550,Thigh/wght bear high roll cu,,,418.16,606.33,3 HCPCS,L2570,Hip clevis type 2 posit jnt,,,547.34,793.64,3 HCPCS,L2580,Pelvic control pelvic sling,,,533.32,773.31,3 HCPCS,L2600,Hip clevis/thrust bearing fr,,,262.12,380.07,3 HCPCS,L2610,Hip clevis/thrust bearing lo,,,289.65,419.99,3 HCPCS,L2620,Pelvic control hip heavy dut,,,307.25,445.51,3 HCPCS,L2622,Hip joint adjustable flexion,,,391.07,567.05,3 HCPCS,L2624,Hip adj flex ext abduct cont,,,479.52,695.3,3 HCPCS,L2627,Plastic mold recipro hip & c,,,2626.58,3808.54,3 HCPCS,L2628,Metal frame recipro hip & ca,,,1925.23,2791.58,3 HCPCS,L2630,Pelvic control band & belt u,,,284.55,412.6,3 HCPCS,L2640,Pelvic control band & belt b,,,386.17,559.95,3 HCPCS,L2650,Pelv & thor control gluteal,,,170.06,246.59,3 HCPCS,L2660,Thoracic control thoracic ba,,,220.2,319.29,3 HCPCS,L2670,Thorac cont paraspinal uprig,,,196.02,284.23,3 HCPCS,L2680,Thorac cont lat support upri,,,179.82,260.74,3 HCPCS,L2750,Plating chrome/nickel pr bar,,,96.05,139.27,3 HCPCS,L2755,Carbon graphite lamination,,,160.58,232.84,3 HCPCS,L2760,Extension per extension per,,,69.82,101.24,3 HCPCS,L2768,Ortho sidebar disconnect,,,160.11,232.16,3 HCPCS,L2780,Non-corrosive finish,,,77.77,112.77,3 HCPCS,L2785,Drop lock retainer each,,,36.42,52.81,3 HCPCS,L2795,Knee control full kneecap,,,100.8,146.16,3 HCPCS,L2800,Knee cap medial or lateral p,,,123.76,179.45,3 HCPCS,L2810,Knee control condylar pad,,,100.38,145.55,3 HCPCS,L2820,Soft interface below knee se,,,99.79,144.7,3 HCPCS,L2830,Soft interface above knee se,,,107.96,156.54,3 HCPCS,L2840,Tibial length sock fx or equ,,,53.02,76.88,3 HCPCS,L2850,Femoral lgth sock fx or equa,,,74.34,107.79,3 HCPCS,L3000,Ft insert ucb berkeley shell,,,386.06,559.79,3 HCPCS,L3001,Foot insert remov molded spe,,,162.56,235.71,3 HCPCS,L3002,Foot insert plastazote or eq,,,198.48,287.8,3 HCPCS,L3003,Foot insert silicone gel eac,,,214.11,310.46,3 HCPCS,L3003,Noncdm Charge Record Medical Supplies,98.28,98.28,,,0 HCPCS,L3010,Foot longitudinal arch suppo,,,214.11,310.46,3 HCPCS,L3020,Foot longitud/metatarsal sup,,,243.83,353.55,3 HCPCS,L3030,Foot arch support remov prem,,,93.77,135.97,3 HCPCS,L3031,Foot lamin/prepreg composite,,,150.51,218.24,3 HCPCS,L3040,Ft arch suprt premold longit,,,57.84,83.87,3 HCPCS,L3050,Foot arch supp premold metat,,,57.84,83.87,3 HCPCS,L3060,Foot arch supp longitud/meta,,,90.65,131.44,3 HCPCS,L3070,Arch suprt att to sho longit,,,39.08,56.67,3 HCPCS,L3080,Arch supp att to shoe metata,,,39.08,56.67,3 HCPCS,L3090,Arch supp att to shoe long/m,,,50.02,72.53,3 HCPCS,L3100,Hallus-valgus nt dyn pre ots,,,53.16,77.08,3 HCPCS,L3140,Abduction rotation bar shoe,,,109.41,158.64,3 HCPCS,L3150,Abduct rotation bar w/o shoe,,,100.05,145.07,3 HCPCS,L3170,Foot plas heel stabi pre ots,,,62.52,90.65,3 HCPCS,L3224,Woman's shoe oxford brace,,,83.04,120.41,3 HCPCS,L3225,Man's shoe oxford brace,,,90.7,131.51,3 HCPCS,L3260,Hc Post Op Shoe Employee Health,57.75,57.75,,,0 HCPCS,L3260,Noncdm Charge Record Medical Supplies,27.04,27.04,,,0 HCPCS,L3300,Sho lift taper to metatarsal,,,64.1,92.94,3 HCPCS,L3310,Shoe lift elev heel/sole neo,,,100.05,145.07,3 HCPCS,L3330,Lifts elevation metal extens,,,695.51,1008.49,3 HCPCS,L3332,Shoe lifts tapered to one-ha,,,90.65,131.44,3 HCPCS,L3334,Shoe lifts elevation heel /i,,,46.87,67.96,3 HCPCS,L3340,Shoe wedge sach,,,104.74,151.87,3 HCPCS,L3350,Shoe heel wedge,,,28.11,40.76,3 HCPCS,L3360,Shoe sole wedge outside sole,,,43.76,63.45,3 HCPCS,L3370,Shoe sole wedge between sole,,,60.96,88.39,3 HCPCS,L3380,Shoe clubfoot wedge,,,60.96,88.39,3 HCPCS,L3390,Shoe outflare wedge,,,60.96,88.39,3 HCPCS,L3400,Shoe metatarsal bar wedge ro,,,50.02,72.53,3 HCPCS,L3410,Shoe metatarsal bar between,,,114.09,165.43,3 HCPCS,L3420,Full sole/heel wedge btween,,,67.21,97.45,3 HCPCS,L3430,Sho heel count plast reinfor,,,196.94,285.56,3 HCPCS,L3440,Heel leather reinforced,,,93.77,135.97,3 HCPCS,L3450,Shoe heel sach cushion type,,,129.69,188.05,3 HCPCS,L3455,Shoe heel new leather standa,,,50.02,72.53,3 HCPCS,L3460,Shoe heel new rubber standar,,,42.22,61.22,3 HCPCS,L3465,Shoe heel thomas with wedge,,,71.94,104.31,3 HCPCS,L3470,Shoe heel thomas extend to b,,,76.57,111.03,3 HCPCS,L3480,Noncdm Charge Record Medical Supplies,186.48,186.48,,,0 HCPCS,L3480,Shoe heel pad & depress for,,,76.57,111.03,3 HCPCS,L3500,Ortho shoe add leather insol,,,35.93,52.1,3 HCPCS,L3510,Orthopedic shoe add rub insl,,,35.93,52.1,3 HCPCS,L3520,O shoe add felt w leath insl,,,39.08,56.67,3 HCPCS,L3530,Ortho shoe add half sole,,,39.08,56.67,3 HCPCS,L3540,Ortho shoe add full sole,,,62.52,90.65,3 HCPCS,L3550,O shoe add standard toe tap,,,10.99,15.94,3 HCPCS,L3560,O shoe add horseshoe toe tap,,,28.11,40.76,3 HCPCS,L3570,O shoe add instep extension,,,104.74,151.87,3 HCPCS,L3580,O shoe add instep velcro clo,,,79.7,115.56,3 HCPCS,L3590,O shoe convert to sof counte,,,65.66,95.21,3 HCPCS,L3595,Ortho shoe add march bar,,,51.54,74.73,3 HCPCS,L3600,Trans shoe calip plate exist,,,93.77,135.97,3 HCPCS,L3610,Trans shoe caliper plate new,,,123.48,179.05,3 HCPCS,L3620,Trans shoe solid stirrup exi,,,93.77,135.97,3 HCPCS,L3630,Trans shoe solid stirrup new,,,123.48,179.05,3 HCPCS,L3640,Shoe dennis browne splint bo,,,53.16,77.08,3 HCPCS,L3649,Noncdm Charge Record Medical Supplies,135.83,135.83,,,0 HCPCS,L3650,Noncdm Charge Record Medical Supplies,218.99,218.99,,,0 HCPCS,L3650,So 8 abd restraint pre ots,,,80.6,116.87,3 HCPCS,L3660,So 8 ab rstr can/web pre ots,,,115.57,167.58,3 HCPCS,L3670,Noncdm Charge Record Medical Supplies,288.09,288.09,,,0 HCPCS,L3670,So acro/clav can web pre ots,,,127.15,184.37,3 HCPCS,L3671,"Hc Shoulder Orthotic, Shoulder Joint Design, Without Joints, Custom, Includes Fit And Adjustment",747.6,747.6,,,0 HCPCS,L3671,SO cap design w/o jnts CF,,,1007.79,1461.3,3 HCPCS,L3674,SO airplane w/wo joint CF,,,1322.06,1916.99,3 HCPCS,L3675,Noncdm Charge Record Medical Supplies,360.07,360.07,,,0 HCPCS,L3675,So vest canvas/web pre ots,,,196.31,284.65,3 HCPCS,L3702,EO w/o joints CF,,,322.97,468.31,3 HCPCS,L3702,"Hc Elbow Orthotic, Without Joints, Custom, Includes Fitting And Adjustment",756.0,756.0,,,0 HCPCS,L3710,Eo elas w/metal jnts pre ots,,,159.7,231.56,3 HCPCS,L3720,Forearm/arm cuffs free motio,,,764.22,1108.12,3 HCPCS,L3730,Forearm/arm cuffs ext/flex a,,,1013.66,1469.81,3 HCPCS,L3740,Cuffs adj lock w/ active con,,,1201.78,1742.58,3 HCPCS,L3760,"EO withjoint, Prefabricated",,,559.36,811.07,3 HCPCS,L3760,"Hc Elbow Orthotic, Adjustable Position Locking Joint, Prefabricated, Includes Fitting And Adjustment",720.3,720.3,,,0 HCPCS,L3761,"Eo, adj lock joint prefab ot",,,559.36,811.07,3 HCPCS,L3762,Eo rigid w/o joints pre ots,,,120.25,174.36,3 HCPCS,L3763,EWHO rigid w/o jnts CF,,,836.99,1213.64,3 HCPCS,L3763,"Hc Ewho, Rigid, Without Joints, Custom, Includes Fitting And Adjustment",719.25,719.25,,,0 HCPCS,L3764,EWHO w/joint(s) CF,,,875.94,1270.11,3 HCPCS,L3764,Hc Ewho W/Joint(S) Cf,2154.6,2154.6,,,0 HCPCS,L3765,EWHFO rigid w/o jnts CF,,,1434.15,2079.52,3 HCPCS,L3766,EWHFO w/joint(s) CF,,,1518.68,2202.09,3 HCPCS,L3806,"Hc Whfo, Includes One Or More Nontorsion Joints, Custom, Includes Fitting And Adjustment",903.0,903.0,,,0 HCPCS,L3806,WHFO w/joint(s) custom fab,,,508.03,736.64,3 HCPCS,L3807,"Hc Whfo, Without Joints, Prefabricated Custom",221.885,221.885,,,0 HCPCS,L3807,Whfo w/o joints pre cst,,,279.67,405.52,3 HCPCS,L3808,"Hc Whfo, Rigid Without Joints, Custom, Includes Fitting And Adjustment",715.05,715.05,,,0 HCPCS,L3808,"WHFO, rigid w/o joints",,,398.43,577.72,3 HCPCS,L3809,Whfo w/o joints pre ots,,,279.67,405.52,3 HCPCS,L3900,Hinge extension/flex wrist/f,,,1811.85,2627.18,3 HCPCS,L3901,Hinge ext/flex wrist finger,,,2374.53,3443.07,3 HCPCS,L3904,Whfo electric custom fitted,,,3775.23,5474.08,3 HCPCS,L3905,Hc Who W/ Jnt(S) Cust Fab,637.35,637.35,,,0 HCPCS,L3905,Who w/nontorsion jnt(s) cf,,,1109.16,1608.28,3 HCPCS,L3906,"Hc Wrst-Hnd Orthosis, W/O Joints,May Incld Soft Intrfc,Straps,Custm Fabricatd,Includs Fittng And Adj",662.55,662.55,,,0 HCPCS,L3906,Who w/o joints cf,,,566.79,821.85,3 HCPCS,L3908,"Hc Wrist Hand Orthosis, Wrist Extension Control Cock-Up, Non Molded, Prefabricated, Off-The-Shelf",117.16,117.16,,,0 HCPCS,L3908,Who cock-up nonmolde pre ots,,,82.0,118.9,3 HCPCS,L3912,Hfo flexion glove pre ots,,,117.84,170.87,3 HCPCS,L3912,Noncdm Charge Record Medical Supplies,63.0,63.0,,,0 HCPCS,L3913,HFO w/o joints CF,,,302.9,439.2,3 HCPCS,L3913,"Hc Hfo, Without Joints, Custom, Includes Fitting And Adjustment",579.6,579.6,,,0 HCPCS,L3915,Who nontorsion jnts pre cst,,,594.54,862.08,3 HCPCS,L3916,Who nontorsion jnts pre ots,,,594.54,862.08,3 HCPCS,L3917,Metacarp fx orthosis pre cst,,,118.11,171.26,3 HCPCS,L3918,Metacarp fx orthosis pre ots,,,118.11,171.26,3 HCPCS,L3919,HO w/o joints CF,,,302.9,439.2,3 HCPCS,L3919,"Hc Static Hand Orthosis, Custom",459.9,459.9,,,0 HCPCS,L3921,HFO w/joint(s) CF,,,359.28,520.96,3 HCPCS,L3921,"Hc Hfo Includes One Or More Nontorsion Joints, Custom, Includes Fitting And Adjustment",541.8,541.8,,,0 HCPCS,L3923,Hfo without joints pre cst,,,108.04,156.66,3 HCPCS,L3923,Noncdm Charge Record Medical Supplies,107.1,107.1,,,0 HCPCS,L3924,Hfo without joints pre ots,,,108.04,156.66,3 HCPCS,L3925,Fo pip dip jnt/sprng pre ots,,,73.47,106.53,3 HCPCS,L3925,"Hc Finger Orthosis, Pip/Dip, Non Torsion Joint, Prefabricated, Off-The-Shelf",246.75,246.75,,,0 HCPCS,L3927,Fo pip dip no jt spr pre ots,,,39.15,56.77,3 HCPCS,L3927,"Hc Finger Orthosis, Pip/Dip, Without Joint, Prefab Employee Health",87.15,87.15,,,0 HCPCS,L3927,"Hc Finger Orthosis, Pip/Dip, Without Joint, Prefabricated, Off-The-Shelf",240.45,240.45,,,0 HCPCS,L3929,Hfo nontorsion jnts pre cst,,,102.16,148.13,3 HCPCS,L3929,Noncdm Charge Record Medical Supplies,431.235,431.235,,,0 HCPCS,L3930,Hfo nontorsion jnts pre ots,,,102.16,148.13,3 HCPCS,L3931,"Hc Whfo, Thumb Spica, Includes Fitting And Adjustment",185.85,185.85,,,0 HCPCS,L3931,WHFO nontorsion joint prefab,,,233.2,338.14,3 HCPCS,L3933,FO w/o joints CF,,,238.64,346.03,3 HCPCS,L3933,"Hc Finger Orthotic, Without Joints, Custom, Includes Fitting And Adjustment",592.2,592.2,,,0 HCPCS,L3935,FO nontorsion joint CF,,,247.07,358.25,3 HCPCS,L3935,"Hc Finger Orthotic, Nontorsion Joint, Custom, Includes Fitting And Adjustment",301.35,301.35,,,0 HCPCS,L3960,Sewho airplan desig abdu pos,,,892.05,1293.47,3 HCPCS,L3961,Sewho cap design w/o jnts cf,,,1879.17,2724.8,3 HCPCS,L3962,Sewho erbs palsey design abd,,,806.8,1169.86,3 HCPCS,L3967,"Hc Sewho, Airplane Splint, Custom Made, Includes Fitting And Adjustment",1284.15,1284.15,,,0 HCPCS,L3967,Sewho airplane w/o jnts cf,,,2218.63,3217.01,3 HCPCS,L3971,Hc Sewho Cap Design W/Jnt(S) Cf,5181.75,5181.75,,,0 HCPCS,L3971,Sewho cap design w/jnt(s) cf,,,2106.0,3053.7,3 HCPCS,L3973,Sewho airplane w/jnt(s) cf,,,2218.63,3217.01,3 HCPCS,L3975,Sewhfo cap design w/o jnt cf,,,1879.17,2724.8,3 HCPCS,L3976,Sewhfo airplane w/o jnts cf,,,1879.17,2724.8,3 HCPCS,L3977,Sewhfo cap desgn w/jnt(s) cf,,,2106.0,3053.7,3 HCPCS,L3978,Sewhfo airplane w/jnt(s) cf,,,2218.63,3217.01,3 HCPCS,L3980,"Hc Upper Extremity Fracture Orthotic, Humeral, Includes Fitting And Adjustment",699.3,699.3,,,0 HCPCS,L3980,Up ext fx orthos humeral nos,,,432.69,627.4,3 HCPCS,L3981,Ue fx orth shoul cap forearm,,,1125.8,1632.41,3 HCPCS,L3982,Upper ext fx orthosis rad/ul,,,439.35,637.06,3 HCPCS,L3984,Upper ext fx orthosis wrist,,,387.03,561.19,3 HCPCS,L3995,Sock fracture or equal each,,,45.92,66.58,3 HCPCS,L3999,Hc Tennis Elbow Support Employee Health,100.8,100.8,,,0 HCPCS,L4000,Repl girdle milwaukee orth,,,1623.97,2354.76,3 HCPCS,L4010,Replace trilateral socket br,,,987.07,1431.25,3 HCPCS,L4020,Replace quadlat socket brim,,,1185.74,1719.32,3 HCPCS,L4030,Replace socket brim cust fit,,,753.5,1092.58,3 HCPCS,L4040,Replace molded thigh lacer,,,510.29,739.92,3 HCPCS,L4045,Replace non-molded thigh lac,,,376.94,546.56,3 HCPCS,L4050,Replace molded calf lacer,,,505.37,732.79,3 HCPCS,L4055,Replace non-molded calf lace,,,307.2,445.44,3 HCPCS,L4060,Replace high roll cuff,,,399.32,579.01,3 HCPCS,L4070,Replace prox & dist upright,,,323.39,468.92,3 HCPCS,L4080,Repl met band kafo-afo prox,,,122.09,177.03,3 HCPCS,L4090,Repl met band kafo-afo calf/,,,103.88,150.63,3 HCPCS,L4100,Repl leath cuff kafo prox th,,,124.81,180.97,3 HCPCS,L4110,Repl leath cuff kafo-afo cal,,,97.45,141.3,3 HCPCS,L4130,Replace pretibial shell,,,589.05,854.12,3 HCPCS,L4205,Ortho dvc repair per 15 min,,,29.92,43.38,3 HCPCS,L4350,Ankle control ortho pre ots,,,118.9,172.4,3 HCPCS,L4350,Hc Ankle Air Splint Employee Health,181.65,181.65,,,0 HCPCS,L4350,Noncdm Charge Record Medical Supplies,100.24,100.24,,,0 HCPCS,L4360,Pneumat walking boot pre cst,,,318.18,461.36,3 HCPCS,L4361,Noncdm Charge Record Medical Supplies,329.83,329.83,,,0 HCPCS,L4361,Pneuma/vac walk boot pre ots,,,318.18,461.36,3 HCPCS,L4370,Pneum full leg splnt pre ots,,,289.25,419.41,3 HCPCS,L4386,Non-pneum walk boot pre cst,,,194.86,282.55,3 HCPCS,L4386,Noncdm Charge Record Medical Supplies,276.22,276.22,,,0 HCPCS,L4387,Non-pneum walk boot pre ots,,,194.86,282.55,3 HCPCS,L4387,Noncdm Charge Record Medical Supplies,331.28,331.28,,,0 HCPCS,L4392,Replace AFO soft interface,,,28.91,41.92,3 HCPCS,L4394,Replace foot drop spint,,,21.09,30.58,3 HCPCS,L4396,Noncdm Charge Record Medical Supplies,591.5550000000001,591.5550000000001,,,0 HCPCS,L4396,Static or dynami afo pre cst,,,206.23,299.03,3 HCPCS,L4397,Static or dynami afo pre ots,,,206.23,299.03,3 HCPCS,L4398,Foot drop splint pre ots,,,94.92,137.63,3 HCPCS,L4398,"Hc Foot Drop Splint, Recumbent Positioning Device, Prefabricated, Off-The-Shelf",426.3,426.3,,,0 HCPCS,L4631,"Afo, walk boot type, cus fab",,,1811.67,2626.92,3 HCPCS,L5000,Sho insert w arch toe filler,,,705.71,1023.28,3 HCPCS,L5010,Mold socket ank hgt w/ toe f,,,1971.82,2859.14,3 HCPCS,L5020,Tibial tubercle hgt w/ toe f,,,3089.2,4479.34,3 HCPCS,L5050,Ank symes mold sckt sach ft,,,3374.0,4892.3,3 HCPCS,L5060,Symes met fr leath socket ar,,,4159.16,6030.78,3 HCPCS,L5100,Molded socket shin sach foot,,,3359.56,4871.36,3 HCPCS,L5105,Plast socket jts/thgh lacer,,,4741.07,6874.55,3 HCPCS,L5150,Mold sckt ext knee shin sach,,,5270.94,7642.86,3 HCPCS,L5160,Mold socket bent knee shin s,,,5787.25,8391.51,3 HCPCS,L5200,Kne sing axis fric shin sach,,,4476.02,6490.23,3 HCPCS,L5210,No knee/ankle joints w/ ft b,,,3553.95,5153.23,3 HCPCS,L5220,No knee joint with artic ali,,,3914.91,5676.62,3 HCPCS,L5230,Fem focal defic constant fri,,,5871.76,8514.05,3 HCPCS,L5250,Hip canad sing axi cons fric,,,6884.81,9982.97,3 HCPCS,L5270,Tilt table locking hip sing,,,7671.01,11122.96,3 HCPCS,L5280,Hemipelvect canad sing axis,,,7456.53,10811.97,3 HCPCS,L5301,Bk mold socket sach ft endo,,,3299.01,4783.56,3 HCPCS,L5312,"Knee disart, SACH ft, endo",,,5197.83,7536.85,3 HCPCS,L5321,Ak open end sach,,,4399.13,6378.74,3 HCPCS,L5331,Hip disart canadian sach ft,,,6443.12,9342.52,3 HCPCS,L5341,Hemipelvectomy canadian sach,,,6848.94,9930.96,3 HCPCS,L5400,Postop dress & 1 cast chg bk,,,1964.57,2848.63,3 HCPCS,L5410,Postop dsg bk ea add cast ch,,,542.75,786.99,3 HCPCS,L5420,Postop dsg & 1 cast chg ak/d,,,2481.17,3597.7,3 HCPCS,L5430,Postop dsg ak ea add cast ch,,,673.51,976.59,3 HCPCS,L5450,Postop app non-wgt bear dsg,,,582.35,844.41,3 HCPCS,L5460,Postop app non-wgt bear dsg,,,763.82,1107.54,3 HCPCS,L5500,Init bk ptb plaster direct,,,1815.83,2632.95,3 HCPCS,L5505,Init ak ischal plstr direct,,,2554.38,3703.85,3 HCPCS,L5510,Prep BK ptb plaster molded,,,2168.42,3144.21,3 HCPCS,L5520,Perp BK ptb thermopls direct,,,1943.72,2818.39,3 HCPCS,L5530,Prep BK ptb thermopls molded,,,2555.15,3704.97,3 HCPCS,L5535,Prep BK ptb open end socket,,,2381.94,3453.81,3 HCPCS,L5540,Prep BK ptb laminated socket,,,2522.82,3658.09,3 HCPCS,L5560,Prep AK ischial plast molded,,,2874.62,4168.2,3 HCPCS,L5570,Prep AK ischial direct form,,,2789.92,4045.38,3 HCPCS,L5580,Prep AK ischial thermo mold,,,3462.71,5020.93,3 HCPCS,L5585,Prep AK ischial open end,,,4055.09,5879.88,3 HCPCS,L5590,Prep AK ischial laminated,,,3610.21,5234.8,3 HCPCS,L5595,Hip disartic sach thermopls,,,5641.82,8180.64,3 HCPCS,L5600,Hip disart sach laminat mold,,,6421.23,9310.78,3 HCPCS,L5610,Above knee hydracadence,,,3096.92,4490.53,3 HCPCS,L5611,Ak 4 bar link w/fric swing,,,1972.47,2860.08,3 HCPCS,L5613,Ak 4 bar ling w/hydraul swig,,,3000.26,4350.38,3 HCPCS,L5614,4-bar link above knee w/swng,,,2077.88,3012.93,3 HCPCS,L5615,Ak 4 bar link hydl swg/stanc,,,6927.99,10045.59,3 HCPCS,L5616,Ak univ multiplex sys frict,,,1809.06,2623.14,3 HCPCS,L5617,AK/BK self-aligning unit ea,,,688.96,998.99,3 HCPCS,L5618,Test socket symes,,,411.43,596.57,3 HCPCS,L5620,Test socket below knee,,,365.04,529.31,3 HCPCS,L5622,Test socket knee disarticula,,,491.79,713.1,3 HCPCS,L5624,Test socket above knee,,,491.61,712.83,3 HCPCS,L5626,Test socket hip disarticulat,,,778.27,1128.49,3 HCPCS,L5628,Test socket hemipelvectomy,,,788.11,1142.76,3 HCPCS,L5629,Below knee acrylic socket,,,389.06,564.14,3 HCPCS,L5630,Syme typ expandabl wall sckt,,,676.01,980.21,3 HCPCS,L5631,Ak/knee disartic acrylic soc,,,537.91,779.97,3 HCPCS,L5632,Symes type ptb brim design s,,,331.54,480.73,3 HCPCS,L5634,Symes type poster opening so,,,414.62,601.2,3 HCPCS,L5636,Symes type medial opening so,,,316.91,459.52,3 HCPCS,L5637,Below knee total contact,,,471.56,683.76,3 HCPCS,L5638,Below knee leather socket,,,794.39,1151.87,3 HCPCS,L5639,Below knee wood socket,,,1372.6,1990.27,3 HCPCS,L5640,Knee disarticulat leather so,,,902.21,1308.2,3 HCPCS,L5642,Above knee leather socket,,,836.32,1212.66,3 HCPCS,L5643,Hip flex inner socket ext fr,,,2466.73,3576.76,3 HCPCS,L5644,Above knee wood socket,,,723.09,1048.48,3 HCPCS,L5645,Bk flex inner socket ext fra,,,1199.56,1739.36,3 HCPCS,L5646,Below knee cushion socket,,,760.2,1102.29,3 HCPCS,L5647,Below knee suction socket,,,973.84,1412.07,3 HCPCS,L5648,Above knee cushion socket,,,898.23,1302.43,3 HCPCS,L5649,Isch containmt/narrow m-l so,,,3018.14,4376.3,3 HCPCS,L5650,Tot contact ak/knee disart s,,,597.66,866.61,3 HCPCS,L5651,Ak flex inner socket ext fra,,,1751.06,2539.04,3 HCPCS,L5652,Suction susp ak/knee disart,,,533.75,773.94,3 HCPCS,L5653,Knee disart expand wall sock,,,832.81,1207.57,3 HCPCS,L5654,Socket insert symes,,,482.77,700.02,3 HCPCS,L5655,Socket insert below knee,,,348.56,505.41,3 HCPCS,L5656,Socket insert knee articulat,,,529.54,767.83,3 HCPCS,L5658,Socket insert above knee,,,558.94,810.46,3 HCPCS,L5661,Multi-durometer symes,,,801.96,1162.84,3 HCPCS,L5665,Multi-durometer below knee,,,712.97,1033.81,3 HCPCS,L5666,Below knee cuff suspension,,,94.4,136.88,3 HCPCS,L5668,Bk molded distal cushion,,,140.62,203.9,3 HCPCS,L5670,Bk molded supracondylar susp,,,332.2,481.69,3 HCPCS,L5671,Bk/ak locking mechanism,,,608.96,882.99,3 HCPCS,L5672,Bk removable medial brim sus,,,439.6,637.42,3 HCPCS,L5673,Socket insert w lock mech,,,967.82,1403.34,3 HCPCS,L5676,Bk knee joints single axis p,,,443.63,643.26,3 HCPCS,L5677,Bk knee joints polycentric p,,,679.42,985.16,3 HCPCS,L5678,Bk joint covers pair,,,48.61,70.48,3 HCPCS,L5679,Socket insert w/o lock mech,,,806.49,1169.41,3 HCPCS,L5680,Bk thigh lacer non-molded,,,372.63,540.31,3 HCPCS,L5681,Intl custm cong/latyp insert,,,1619.74,2348.62,3 HCPCS,L5682,Bk thigh lacer glut/ischia m,,,765.63,1110.16,3 HCPCS,L5683,Initial custom socket insert,,,1619.74,2348.62,3 HCPCS,L5684,Bk fork strap,,,58.93,85.45,3 HCPCS,L5685,Below knee sus/seal sleeve,,,157.74,228.72,3 HCPCS,L5686,Bk back check,,,70.87,102.76,3 HCPCS,L5688,Bk waist belt webbing,,,75.28,109.16,3 HCPCS,L5690,Bk waist belt padded and lin,,,153.65,222.79,3 HCPCS,L5692,Ak pelvic control belt light,,,162.67,235.87,3 HCPCS,L5694,Ak pelvic control belt pad/l,,,222.1,322.04,3 HCPCS,L5695,Ak sleeve susp neoprene/equa,,,199.65,289.49,3 HCPCS,L5696,Ak/knee disartic pelvic join,,,241.17,349.7,3 HCPCS,L5697,Ak/knee disartic pelvic band,,,114.53,166.07,3 HCPCS,L5698,Ak/knee disartic silesian ba,,,146.92,213.03,3 HCPCS,L5699,Shoulder harness,,,251.1,364.1,3 HCPCS,L5700,Replace socket below knee,,,3776.99,5476.64,3 HCPCS,L5701,Replace socket above knee,,,4685.7,6794.26,3 HCPCS,L5702,Replace socket hip,,,5905.61,8563.13,3 HCPCS,L5703,Symes ankle w/o (sach) foot,,,3106.52,4504.45,3 HCPCS,L5704,Custom shape cover bk,,,770.11,1116.66,3 HCPCS,L5705,Custom shape cover ak,,,1411.9,2047.26,3 HCPCS,L5706,Custom shape cvr knee disart,,,1377.12,1996.82,3 HCPCS,L5707,Custom shape cvr hip disart,,,1850.21,2682.8,3 HCPCS,L5710,Kne-shin exo sng axi mnl loc,,,440.31,638.45,3 HCPCS,L5711,Knee-shin exo mnl lock ultra,,,738.97,1071.51,3 HCPCS,L5712,Knee-shin exo frict swg & st,,,527.52,764.9,3 HCPCS,L5714,Knee-shin exo variable frict,,,536.75,778.29,3 HCPCS,L5716,Knee-shin exo mech stance ph,,,1061.36,1538.97,3 HCPCS,L5718,Knee-shin exo frct swg & sta,,,1134.92,1645.63,3 HCPCS,L5722,Knee-shin pneum swg frct exo,,,1380.15,2001.22,3 HCPCS,L5724,Knee-shin exo fluid swing ph,,,2127.27,3084.54,3 HCPCS,L5726,Knee-shin ext jnts fld swg e,,,2532.6,3672.27,3 HCPCS,L5728,Knee-shin fluid swg & stance,,,2967.93,4303.5,3 HCPCS,L5780,Knee-shin pneum/hydra pneum,,,1634.07,2369.4,3 HCPCS,L5781,Lower limb pros vacuum pump,,,4926.9,7144.0,3 HCPCS,L5782,HD low limb pros vacuum pump,,,5194.06,7531.39,3 HCPCS,L5783,Add low ext mec limb vol sys,,,3150.07,4567.6,3 HCPCS,L5785,Exoskeletal bk ultralt mater,,,636.06,922.29,3 HCPCS,L5790,Exoskeletal ak ultra-light m,,,917.99,1331.09,3 HCPCS,L5795,Exoskel hip ultra-light mate,,,1314.46,1905.97,3 HCPCS,L5810,Endoskel knee-shin mnl lock,,,700.33,1015.48,3 HCPCS,L5811,Endo knee-shin mnl lck ultra,,,966.47,1401.38,3 HCPCS,L5812,Endo knee-shin frct swg & st,,,727.31,1054.6,3 HCPCS,L5814,Endo knee-shin hydral swg ph,,,4573.12,6631.02,3 HCPCS,L5816,Endo knee-shin polyc mch sta,,,1041.16,1509.68,3 HCPCS,L5818,Endo knee-shin frct swg & st,,,1175.67,1704.72,3 HCPCS,L5822,Endo knee-shin pneum swg frc,,,2156.75,3127.29,3 HCPCS,L5824,Endo knee-shin fluid swing p,,,2038.76,2956.2,3 HCPCS,L5826,Miniature knee joint,,,3845.42,5575.86,3 HCPCS,L5827,Endo knee shin single axis,,,7159.66,10381.51,3 HCPCS,L5828,Endo knee-shin fluid swg/sta,,,3628.49,5261.31,3 HCPCS,L5830,Endo knee-shin pneum/swg pha,,,2446.57,3547.53,3 HCPCS,L5840,Multi-axial knee/shin system,,,4801.96,6962.84,3 HCPCS,L5841,Addition endoskletl knee-shi,,,2814.38,4080.85,3 HCPCS,L5845,Knee-shin sys stance flexion,,,2207.05,3200.22,3 HCPCS,L5848,Knee-shin sys hydraul stance,,,1324.12,1919.97,3 HCPCS,L5850,Endo ak/hip knee extens assi,,,156.61,227.08,3 HCPCS,L5855,Mech hip extension assist,,,378.09,548.23,3 HCPCS,L5856,Elec knee-shin swing/stance,,,29559.78,42861.68,3 HCPCS,L5857,Elec knee-shin swing only,,,10488.92,15208.93,3 HCPCS,L5858,Stance phase only,,,22885.05,33183.32,3 HCPCS,L5859,Knee-shin pro flex/ext cont,,,17866.14,25905.9,3 HCPCS,L5910,Endo below knee alignable sy,,,443.39,642.92,3 HCPCS,L5920,Endo ak/hip alignable system,,,649.58,941.89,3 HCPCS,L5925,Above knee manual lock,,,411.36,596.47,3 HCPCS,L5926,Endoskel posit rotat unit,,,791.74,1148.02,3 HCPCS,L5930,High activity knee frame,,,4144.66,6009.76,3 HCPCS,L5940,Endo bk ultra-light material,,,614.1,890.44,3 HCPCS,L5950,Endo ak ultra-light material,,,952.47,1381.08,3 HCPCS,L5960,Endo hip ultra-light materia,,,1424.19,2065.08,3 HCPCS,L5961,"Endo poly hip, pneu/hyd/rot",,,5877.61,8522.53,3 HCPCS,L5962,Below knee flex cover system,,,719.6,1043.42,3 HCPCS,L5964,Above knee flex cover system,,,1380.34,2001.49,3 HCPCS,L5966,Hip flexible cover system,,,1778.12,2578.27,3 HCPCS,L5968,Multiaxial ankle w dorsiflex,,,4474.62,6488.2,3 HCPCS,L5970,Foot external keel sach foot,,,267.47,387.83,3 HCPCS,L5971,"SACH foot, replacement",,,267.47,387.83,3 HCPCS,L5972,Flexible keel foot,,,487.23,706.48,3 HCPCS,L5973,Ank-foot sys dors-plant flex,,,21739.52,31522.3,3 HCPCS,L5974,Foot single axis ankle/foot,,,285.29,413.67,3 HCPCS,L5975,Combo ankle/foot prosthesis,,,570.86,827.75,3 HCPCS,L5976,Energy storing foot,,,723.64,1049.28,3 HCPCS,L5978,Ft prosth multiaxial ankl/ft,,,383.44,555.99,3 HCPCS,L5979,Multi-axial ankle/ft prosth,,,3070.11,4451.66,3 HCPCS,L5980,Flex foot system,,,4677.59,6782.51,3 HCPCS,L5981,Flex-walk sys low ext prosth,,,4201.6,6092.32,3 HCPCS,L5982,Exoskeletal axial rotation u,,,789.31,1144.5,3 HCPCS,L5984,Endoskeletal axial rotation,,,791.74,1148.02,3 HCPCS,L5985,Lwr ext dynamic prosth pylon,,,347.73,504.21,3 HCPCS,L5986,Multi-axial rotation unit,,,955.08,1384.87,3 HCPCS,L5987,Shank ft w vert load pylon,,,8858.1,12844.24,3 HCPCS,L5988,Vertical shock reducing pylo,,,2459.87,3566.81,3 HCPCS,L5990,User adjustable heel height,,,2233.87,3239.11,3 HCPCS,L5991,Low pros ext osseo connector,,,11755.04,17044.81,3 HCPCS,L6000,Part hand thumb rem,,,2168.87,3144.86,3 HCPCS,L6010,Part hand little/ring,,,2413.59,3499.71,3 HCPCS,L6020,Part hand no fingers,,,2250.28,3262.91,3 HCPCS,L6026,Part hand myo exclu term dev,,,5356.25,7766.56,3 HCPCS,L6050,Wrst MLd sck flx hng tri pad,,,3060.84,4438.22,3 HCPCS,L6055,Wrst mold sock w/exp interfa,,,3904.27,5661.19,3 HCPCS,L6100,Elb mold sock flex hinge pad,,,3097.46,4491.32,3 HCPCS,L6110,Elbow mold sock suspension t,,,3276.91,4751.52,3 HCPCS,L6120,Elbow mold doub splt soc ste,,,3706.2,5373.99,3 HCPCS,L6130,Elbow stump activated lock h,,,3910.12,5669.67,3 HCPCS,L6200,Elbow mold outsid lock hinge,,,4027.88,5840.43,3 HCPCS,L6205,Elbow molded w/ expand inter,,,5556.38,8056.75,3 HCPCS,L6250,Elbow inter loc elbow forarm,,,3962.73,5745.96,3 HCPCS,L6300,Shlder disart int lock elbow,,,5465.7,7925.26,3 HCPCS,L6310,Shoulder passive restor comp,,,4953.47,7182.53,3 HCPCS,L6320,Shoulder passive restor cap,,,2581.59,3743.31,3 HCPCS,L6350,Thoracic intern lock elbow,,,5988.72,8683.64,3 HCPCS,L6360,Thoracic passive restor comp,,,5199.26,7538.93,3 HCPCS,L6370,Thoracic passive restor cap,,,3015.22,4372.07,3 HCPCS,L6380,Postop dsg cast chg wrst/elb,,,1743.91,2528.67,3 HCPCS,L6382,Postop dsg cast chg elb dis/,,,2076.05,3010.27,3 HCPCS,L6384,Postop dsg cast chg shlder/t,,,2626.33,3808.18,3 HCPCS,L6386,Postop ea cast chg & realign,,,575.71,834.78,3 HCPCS,L6388,Postop applicat rigid dsg on,,,633.99,919.29,3 HCPCS,L6400,Below elbow prosth tiss shap,,,3350.67,4858.47,3 HCPCS,L6450,Elb disart prosth tiss shap,,,4379.16,6349.78,3 HCPCS,L6500,Above elbow prosth tiss shap,,,4300.25,6235.36,3 HCPCS,L6550,Shldr disar prosth tiss shap,,,5569.71,8076.08,3 HCPCS,L6570,Scap thorac prosth tiss shap,,,6217.85,9015.88,3 HCPCS,L6580,Wrist/elbow bowden cable mol,,,2486.04,3604.76,3 HCPCS,L6582,Wrist/elbow bowden cbl dir f,,,2087.94,3027.51,3 HCPCS,L6584,Elbow fair lead cable molded,,,3091.67,4482.92,3 HCPCS,L6586,Elbow fair lead cable dir fo,,,2754.87,3994.56,3 HCPCS,L6588,Shdr fair lead cable molded,,,4387.49,6361.86,3 HCPCS,L6590,Shdr fair lead cable direct,,,3823.85,5544.58,3 HCPCS,L6600,Polycentric hinge pair,,,279.3,404.98,3 HCPCS,L6605,Single pivot hinge pair,,,287.48,416.85,3 HCPCS,L6610,Flexible metal hinge pair,,,271.77,394.07,3 HCPCS,L6611,"Additional switch, ext power",,,506.97,735.11,3 HCPCS,L6615,Disconnect locking wrist uni,,,263.8,382.51,3 HCPCS,L6616,Disconnect insert locking wr,,,79.41,115.14,3 HCPCS,L6620,Flexion/extension wrist unit,,,461.17,668.7,3 HCPCS,L6621,Flex/ext wrist w/wo friction,,,2816.5,4083.92,3 HCPCS,L6623,Spring-ass rot wrst w/ latch,,,878.53,1273.87,3 HCPCS,L6624,Flex/ext/rotation wrist unit,,,4637.39,6724.22,3 HCPCS,L6625,Rotation wrst w/ cable lock,,,651.11,944.11,3 HCPCS,L6628,Quick disconn hook adapter o,,,700.86,1016.25,3 HCPCS,L6629,Lamination collar w/ couplin,,,238.81,346.27,3 HCPCS,L6630,Stainless steel any wrist,,,351.8,510.11,3 HCPCS,L6632,Latex suspension sleeve each,,,79.54,115.33,3 HCPCS,L6635,Lift assist for elbow,,,254.26,368.68,3 HCPCS,L6637,Nudge control elbow lock,,,497.8,721.81,3 HCPCS,L6638,Elec lock on manual pw elbow,,,3079.31,4465.0,3 HCPCS,L6640,Shoulder abduction joint pai,,,414.58,601.14,3 HCPCS,L6641,Excursion amplifier pulley t,,,241.41,350.04,3 HCPCS,L6642,Excursion amplifier lever ty,,,354.94,514.66,3 HCPCS,L6645,Shoulder flexion-abduction j,,,448.35,650.11,3 HCPCS,L6646,Multipo locking shoulder jnt,,,3883.7,5631.36,3 HCPCS,L6647,Shoulder lock actuator,,,639.39,927.12,3 HCPCS,L6648,Ext pwrd shlder lock/unlock,,,4005.49,5807.96,3 HCPCS,L6650,Shoulder universal joint,,,486.29,705.12,3 HCPCS,L6655,Standard control cable extra,,,94.34,136.79,3 HCPCS,L6660,Heavy duty control cable,,,126.24,183.05,3 HCPCS,L6665,Teflon or equal cable lining,,,56.38,81.75,3 HCPCS,L6670,Hook to hand cable adapter,,,58.71,85.13,3 HCPCS,L6672,Harness chest/shlder saddle,,,269.43,390.67,3 HCPCS,L6675,Harness figure of 8 sing con,,,147.02,213.18,3 HCPCS,L6676,Harness figure of 8 dual con,,,153.82,223.04,3 HCPCS,L6677,UE triple control harness,,,365.26,529.63,3 HCPCS,L6680,Test sock wrist disart/bel e,,,378.71,549.13,3 HCPCS,L6682,Test sock elbw disart/above,,,418.71,607.13,3 HCPCS,L6684,Test socket shldr disart/tho,,,568.98,825.02,3 HCPCS,L6686,Suction socket,,,844.29,1224.22,3 HCPCS,L6687,Frame typ socket bel elbow/w,,,706.16,1023.93,3 HCPCS,L6688,Frame typ sock above elb/dis,,,781.53,1133.22,3 HCPCS,L6689,Frame typ socket shoulder di,,,931.44,1350.59,3 HCPCS,L6690,Frame typ sock interscap-tho,,,1096.63,1590.11,3 HCPCS,L6691,Removable insert each,,,432.88,627.68,3 HCPCS,L6692,Silicone gel insert or equal,,,787.53,1141.92,3 HCPCS,L6693,Lockingelbow forearm cntrbal,,,3495.85,5068.98,3 HCPCS,L6694,Elbow socket ins use w/lock,,,967.82,1403.34,3 HCPCS,L6695,Elbow socket ins use w/o lck,,,806.49,1169.41,3 HCPCS,L6696,Cus elbo skt in for con/atyp,,,1619.74,2348.62,3 HCPCS,L6697,Cus elbo skt in not con/atyp,,,1619.74,2348.62,3 HCPCS,L6698,Below/above elbow lock mech,,,608.96,882.99,3 HCPCS,L6700,Ue add ext power myoel,,,29510.19,42789.78,3 HCPCS,L6703,"Term dev, passive hand mitt",,,430.7,624.52,3 HCPCS,L6704,"Term dev, sport/rec/work att",,,831.35,1205.46,3 HCPCS,L6706,Term dev mech hook vol open,,,515.91,748.07,3 HCPCS,L6707,Term dev mech hook vol close,,,1825.05,2646.32,3 HCPCS,L6708,Term dev mech hand vol open,,,1206.42,1749.31,3 HCPCS,L6709,Term dev mech hand vol close,,,1712.21,2482.7,3 HCPCS,L6711,"Ped term dev, hook, vol open",,,827.85,1200.38,3 HCPCS,L6712,"Ped term dev, hook, vol clos",,,1524.28,2210.21,3 HCPCS,L6713,"Ped term dev, hand, vol open",,,1923.74,2789.42,3 HCPCS,L6714,"Ped term dev, hand, vol clos",,,1629.4,2362.63,3 HCPCS,L6715,"Term device, multi art digit",,,3887.6,5637.02,3 HCPCS,L6721,"Hook/hand, hvy dty, vol open",,,2896.15,4199.42,3 HCPCS,L6722,"Hook/hand, hvy dty, vol clos",,,2496.64,3620.13,3 HCPCS,L6805,Term dev modifier wrist unit,,,472.26,684.78,3 HCPCS,L6810,Term dev precision pinch dev,,,251.06,364.04,3 HCPCS,L6880,Elec hand ind art digits,,,29420.21,42659.3,3 HCPCS,L6881,Term dev auto grasp feature,,,5034.12,7299.47,3 HCPCS,L6882,Microprocessor control uplmb,,,3818.61,5536.98,3 HCPCS,L6883,Replc sockt below e/w disa,,,2446.07,3546.8,3 HCPCS,L6884,Replc sockt above elbow disa,,,3346.77,4852.82,3 HCPCS,L6885,Replc sockt shldr dis/interc,,,5199.26,7538.93,3 HCPCS,L6890,Prefab glove for term device,,,245.93,356.6,3 HCPCS,L6895,Custom glove for term device,,,822.33,1192.38,3 HCPCS,L6900,Hand restorat thumb/1 finger,,,2387.98,3462.57,3 HCPCS,L6905,Hand restoration multiple fi,,,2363.43,3426.97,3 HCPCS,L6910,Hand restoration no fingers,,,2323.42,3368.96,3 HCPCS,L6915,Hand restoration replacmnt g,,,998.28,1447.51,3 HCPCS,L6920,Wrist disarticul switch ctrl,,,10315.01,14956.76,3 HCPCS,L6925,Wrist disart myoelectronic c,,,11019.87,15978.81,3 HCPCS,L6930,Below elbow switch control,,,9934.8,14405.46,3 HCPCS,L6935,Below elbow myoelectronic ct,,,10968.08,15903.72,3 HCPCS,L6940,Elbow disarticulation switch,,,12829.08,18602.17,3 HCPCS,L6945,Elbow disart myoelectronic c,,,14312.5,20753.12,3 HCPCS,L6950,Above elbow switch control,,,12805.28,18567.66,3 HCPCS,L6955,Above elbow myoelectronic ct,,,14850.1,21532.64,3 HCPCS,L6960,Shldr disartic switch contro,,,15621.74,22651.52,3 HCPCS,L6965,Shldr disartic myoelectronic,,,18506.37,26834.24,3 HCPCS,L6970,Interscapular-thor switch ct,,,19809.02,28723.08,3 HCPCS,L6975,Interscap-thor myoelectronic,,,21834.21,31659.6,3 HCPCS,L7007,Adult electric hand,,,4497.55,6521.45,3 HCPCS,L7008,Pediatric electric hand,,,6974.35,10112.81,3 HCPCS,L7009,Adult electric hook,,,4601.53,6672.22,3 HCPCS,L7040,Prehensile actuator,,,3745.35,5430.76,3 HCPCS,L7045,Pediatric electric hook,,,1978.79,2869.25,3 HCPCS,L7170,Electronic elbow hosmer swit,,,7406.87,10739.96,3 HCPCS,L7180,Electronic elbow sequential,,,47919.99,69483.99,3 HCPCS,L7181,Electronic elbo simultaneous,,,49338.18,71540.36,3 HCPCS,L7185,Electron elbow adolescent sw,,,7787.04,11291.21,3 HCPCS,L7186,Electron elbow child switch,,,13091.11,18982.11,3 HCPCS,L7190,Elbow adolescent myoelectron,,,10332.65,14982.34,3 HCPCS,L7191,Elbow child myoelectronic ct,,,13769.77,19966.17,3 HCPCS,L7259,Electronic wrist rotator any,,,5046.41,7317.29,3 HCPCS,L7360,Six volt bat otto bock/eq ea,,,325.76,472.35,3 HCPCS,L7362,Battery chrgr six volt otto,,,355.87,516.01,3 HCPCS,L7364,Twelve volt battery utah/equ,,,629.69,913.05,3 HCPCS,L7366,Battery chrgr 12 volt utah/e,,,865.98,1255.67,3 HCPCS,L7367,Replacemnt lithium ionbatter,,,479.42,695.16,3 HCPCS,L7368,Lithium ion battery charger,,,621.46,901.12,3 HCPCS,L7400,"Add ue prost be/wd, ultlite",,,377.39,547.22,3 HCPCS,L7401,Add ue prost a/e ultlite mat,,,422.45,612.55,3 HCPCS,L7402,Add ue prost s/d ultlite mat,,,456.27,661.59,3 HCPCS,L7403,Add UE prost b/e acrylic,,,453.48,657.55,3 HCPCS,L7404,Add UE prost a/e acrylic,,,684.45,992.45,3 HCPCS,L7405,Add UE prost s/d acrylic,,,895.08,1297.87,3 HCPCS,L7406,Add to upp extr user adj mec,,,3150.07,4567.6,3 HCPCS,L7520,Repair prosthesis per 15 min,,,40.67,58.97,3 HCPCS,L7700,Pros soc insert gasket/seal,,,184.22,267.12,3 HCPCS,L8000,Hc Vest Surgical 3 Medium Cup Right Left,266.7,266.7,,,0 HCPCS,L8000,Hc Vest Surgical 4 Large Cup Right Left,267.75,267.75,,,0 HCPCS,L8000,Hc Vest Surgical 5 Xl Cup Right Left,265.65,265.65,,,0 HCPCS,L8000,Hc Vst 2 Frnt Zip Adjstbl Shldr Strp Wo Cps Postop,271.95,271.95,,,0 HCPCS,L8000,Mastectomy bra,,,52.13,75.59,3 HCPCS,L8001,Breast prosthesis bra & form,,,154.49,224.01,3 HCPCS,L8002,Brst prsth bra & bilat form,,,203.15,294.57,3 HCPCS,L8015,Ext breastprosthesis garment,,,73.81,107.02,3 HCPCS,L8020,Mastectomy form,,,278.4,403.68,3 HCPCS,L8030,Breast prosthes w/o adhesive,,,430.39,624.07,3 HCPCS,L8031,Breast prosthesis w adhesive,,,430.39,624.07,3 HCPCS,L8032,Reusable nipple prosthesis,,,48.23,69.93,3 HCPCS,L8035,Custom breast prosthesis,,,4511.21,6541.25,3 HCPCS,L8040,Nasal prosthesis,,,3052.75,4426.49,3 HCPCS,L8041,Midfacial prosthesis,,,3679.2,5334.84,3 HCPCS,L8042,Orbital prosthesis,,,4133.93,5994.2,3 HCPCS,L8043,Upper facial prosthesis,,,4630.01,6713.51,3 HCPCS,L8044,Hemi-facial prosthesis,,,5126.08,7432.82,3 HCPCS,L8045,Auricular prosthesis,,,4014.06,5820.39,3 HCPCS,L8046,Partial facial prosthesis,,,3307.18,4795.41,3 HCPCS,L8047,Nasal septal prosthesis,,,1694.92,2457.63,3 HCPCS,L8300,Truss single w/ standard pad,,,103.28,149.76,3 HCPCS,L8310,Truss double w/ standard pad,,,182.95,265.28,3 HCPCS,L8320,Truss addition to std pad wa,,,75.9,110.06,3 HCPCS,L8330,Truss add to std pad scrotal,,,60.44,87.64,3 HCPCS,L8400,Sheath below knee,,,19.27,27.94,3 HCPCS,L8410,Sheath above knee,,,25.36,36.77,3 HCPCS,L8415,Sheath upper limb,,,26.24,38.05,3 HCPCS,L8417,Pros sheath/sock w gel cushn,,,92.62,134.3,3 HCPCS,L8420,Prosthetic sock multi ply BK,,,25.68,37.24,3 HCPCS,L8430,Prosthetic sock multi ply AK,,,29.09,42.18,3 HCPCS,L8435,Pros sock multi ply upper lm,,,27.64,40.08,3 HCPCS,L8440,Shrinker below knee,,,57.4,83.23,3 HCPCS,L8460,Shrinker above knee,,,81.59,118.31,3 HCPCS,L8465,Shrinker upper limb,,,75.41,109.34,3 HCPCS,L8470,Pros sock single ply BK,,,8.17,11.85,3 HCPCS,L8480,Pros sock single ply AK,,,11.27,16.34,3 HCPCS,L8485,Pros sock single ply upper l,,,15.17,22.0,3 HCPCS,L8500,Artificial larynx,,,810.32,1174.96,3 HCPCS,L8501,Noncdm Charge Record Medical Supplies,561.71,561.71,,,0 HCPCS,L8501,Tracheostomy speaking valve,,,147.88,214.43,3 HCPCS,L8507,Trach-esoph voice pros pt in,,,51.55,74.75,3 HCPCS,L8509,Noncdm Charge Record Medical Supplies,1765.575,1765.575,,,0 HCPCS,L8509,Trach-esoph voice pros md in,,,134.48,195.0,3 HCPCS,L8510,Voice amplifier,,,311.17,451.2,3 HCPCS,L8511,Indwelling trach insert,,,89.55,129.85,3 HCPCS,L8512,Gel cap for trach voice pros,,,2.68,3.89,3 HCPCS,L8513,Trach pros cleaning device,,,6.41,9.29,3 HCPCS,L8514,Repl trach puncture dilator,,,116.13,168.39,3 HCPCS,L8515,Gel cap app device for trach,,,77.74,112.72,3 HCPCS,L8603,Hc Inject Agent Collagen Implant 2.5Ml,2601.9,2601.9,,,0 HCPCS,L8604,Noncdm Charge Record Medical Supplies,24688.71,24688.71,,,0 HCPCS,L8605,Inj bulking agent anal canal,,,1699.73,1699.73,1 HCPCS,L8606,Hc Injection Agent Synthetic Implant Urinary,3460.8,3460.8,,,0 HCPCS,L8606,Noncdm Charge Record Medical Supplies,4468.275,4468.275,,,0 HCPCS,L8607,Inj vocal cord bulking agent,,,101.79,101.79,1 HCPCS,L8610,Noncdm Charge Record Medical Supplies,889.16,889.16,,,0 HCPCS,L8612,Noncdm Charge Record Medical Supplies,5788.65,5788.65,,,0 HCPCS,L8613,Noncdm Charge Record Medical Supplies,313.99,313.99,,,0 HCPCS,L8614,Noncdm Charge Record Medical Supplies,157184.765,157184.765,,,0 HCPCS,L8615,Coch implant headset replace,,,555.35,805.26,3 HCPCS,L8616,Coch implant microphone repl,,,129.34,187.54,3 HCPCS,L8617,Coch implant trans coil repl,,,112.98,163.82,3 HCPCS,L8618,Coch implant tran cable repl,,,32.29,46.82,3 HCPCS,L8619,Coch imp ext proc/contr rplc,,,10350.06,15007.59,3 HCPCS,L8619,Noncdm Charge Record Medical Supplies,16295.325,16295.325,,,0 HCPCS,L8621,Repl zinc air battery,,,0.77,1.12,3 HCPCS,L8622,Repl alkaline battery,,,0.4,0.58,3 HCPCS,L8623,"Lith ion batt cid,non-earlvl",,,79.65,115.49,3 HCPCS,L8624,"Lith ion batt cid, ear level",,,198.57,287.93,3 HCPCS,L8625,Charger coch impl/aoi battry,,,232.57,337.23,3 HCPCS,L8627,CID ext speech process repl,,,8784.91,12738.12,3 HCPCS,L8628,CID ext controller repl,,,1565.13,2269.44,3 HCPCS,L8629,CID transmit coil and cable,,,220.48,319.7,3 HCPCS,L8630,Noncdm Charge Record Medical Supplies,12424.23,12424.23,,,0 HCPCS,L8681,Pt prgrm for implt neurostim,,,1404.38,2036.35,3 HCPCS,L8683,Radiofq trsmtr for implt neu,,,6635.61,9621.63,3 HCPCS,L8684,Radiof trsmtr implt scrl neu,,,1041.21,1509.75,3 HCPCS,L8689,External recharg sys intern,,,2124.03,3079.84,3 HCPCS,L8690,Noncdm Charge Record Medical Supplies,50870.355,50870.355,,,0 HCPCS,L8691,Osseointegrated snd proc rpl,,,2120.58,3074.84,3 HCPCS,L8693,"Aud osseo dev, abutment",,,1867.13,2707.34,3 HCPCS,L8694,Aoi transducer/actuator repl,,,1162.87,1686.16,3 HCPCS,L8695,External recharg sys extern,,,20.53,29.77,3 HCPCS,L8696,Ext antenna phren nerve stim,,,266.86,386.95,3 HCPCS,L8699,Noncdm Charge Record Medical Supplies,3839.85,3839.85,,,0 HCPCS,L8701,Pow ue rom dev ewh uprt cust,,,34970.13,50706.69,3 HCPCS,L8702,Pow ue rom dev ewhf uprt cus,,,68801.71,99762.48,3 HCPCS,L9900,Hc Fitting And Orientation Of Speech Processor,315.0,315.0,,,0 HCPCS,M0005,Promot wellness mvp,,,152.67,152.67,1 HCPCS,M0220,Hc Tixagev And Cilgav Inj,406.0,406.0,,,0 HCPCS,M0222,Hc Bebtelovimab Injection,947.0,947.0,,,0 HCPCS,M0224,Hc Pemivibart Infusion,1182.0,1182.0,,,0 HCPCS,M0224,Pemivibart infusion,,,472.53,685.17,3 HCPCS,M0235,"Intrav inf, mon anti, fir do",,,472.53,685.17,3 HCPCS,M0236,"Intrav inf, mon anti, sec do",,,472.53,685.17,3 HCPCS,M0237,"Intrav inf, toci, first dose",,,472.53,685.17,3 HCPCS,M0238,"Intrav inf, toci, second dos",,,472.53,685.17,3 HCPCS,M0243,Hc Casirivi And Imdevi Infusion,892.0,892.0,,,0 HCPCS,M0249,Adm tocilizu covid-19 1st,,,472.53,685.17,3 HCPCS,M0250,Adm tocilizu covid-19 2nd,,,472.53,685.17,3 HCPCS,M1145,"Hc Mfn Drug Add-On, Per Dose",399.0,399.0,,,0 HCPCS,P2028,Cephalin floculation test,,,4.95,17.33,4 HCPCS,P2029,Congo red blood test,,,4.95,17.33,4 HCPCS,P2031,Hair analysis,,,17.33,17.33,1 HCPCS,P2033,Blood thymol turbidity,,,4.95,17.33,4 HCPCS,P2038,Blood mucoprotein,,,4.95,51.2,6 HCPCS,P3000,Screen pap by tech w md supv,,,18.54,174.06,6 HCPCS,P3001,Screening pap smear by phys,,,76.93,76.93,1 HCPCS,P7001,Culture bacterial urine,,,65.94,65.94,1 HCPCS,P9010,Hc Reconstituted Blood,1042.0,1042.0,,,0 HCPCS,P9010,Hc Whole Blood Per Unit,1412.0,1412.0,,,0 HCPCS,P9010,Whole blood for transfusion,,,189.84,275.27,3 HCPCS,P9011,"Hc Red Blood Count 70Cc Or Less, Per Unit",929.0,929.0,,,0 HCPCS,P9012,"Hc Cryoprecipitate, Each Unit",568.0,568.0,,,0 HCPCS,P9016,"Hc Red Blood Cells, Leukocytes Reduced, Each Unit",2000.0,2000.0,,,0 HCPCS,P9016,Rbc leukocytes reduced,,,184.91,268.12,3 HCPCS,P9017,"Hc Ffp, Peds Unit",465.0,465.0,,,0 HCPCS,P9017,"Hc Ffp, Single Donor",744.0,744.0,,,0 HCPCS,P9022,"Hc Red Blood Cells, Washed, Each Unit",3008.0,3008.0,,,0 HCPCS,P9026,Hc Cryo Fib Comp Path Redu Each,650.0,650.0,,,0 HCPCS,P9034,"Hc Platelets, Pheresis, Each Unit",2353.0,2353.0,,,0 HCPCS,P9035,Hc Platelet Aph/Pher L/R Per Unit 1,818.0,818.0,,,0 HCPCS,P9035,Hc Platelet Aph/Pher L/R Per Unit 3,2471.0,2471.0,,,0 HCPCS,P9035,Hc Platelet Aph/Pher L/R Per Unit 4,3140.0,3140.0,,,0 HCPCS,P9035,Hc Platelet Aph/Pher L/R Per Unit 5,4193.0,4193.0,,,0 HCPCS,P9035,Hc Platelet Aph/Pher L/R Unit 6 Pr Unt,5008.0,5008.0,,,0 HCPCS,P9035,Hc Platelets Pas Phr(6) L/R,5028.0,5028.0,,,0 HCPCS,P9037,Hc Platelets Pas Phr(1) L/R Irr Pr Unt,1720.0,1720.0,,,0 HCPCS,P9037,Hc Platelets Pas Phr(2) L/R Irr Pr Unt,2251.0,2251.0,,,0 HCPCS,P9037,Hc Platelets Pas Phr(3) L/R Irr Pr Unt,2812.0,2812.0,,,0 HCPCS,P9037,Hc Platelets Pas Phr(4) L/R Irr Pr Unt,3593.0,3593.0,,,0 HCPCS,P9037,Hc Platelets Pas Phr(5) L/R Irr Pr Unt,4598.0,4598.0,,,0 HCPCS,P9037,Hc Platelets Pas Phr(6) L/R Irr Pr Unt,5533.0,5533.0,,,0 HCPCS,P9037,"Hc Platelets, Phr,L/R,Irr Unit(1)",1632.0,1632.0,,,0 HCPCS,P9037,"Hc Platelets, Phr,L/R,Irr Unit(2)",2136.0,2136.0,,,0 HCPCS,P9037,"Hc Platelets, Phr,L/R,Irr Unit(3)",2803.0,2803.0,,,0 HCPCS,P9037,"Hc Platelets, Phr,L/R,Irr Unit(4)",3793.0,3793.0,,,0 HCPCS,P9037,"Hc Platelets, Phr,L/R,Irr Unit(5)",4627.0,4627.0,,,0 HCPCS,P9037,"Hc Platelets, Phr,L/R,Irr Unit(6)",5558.0,5558.0,,,0 HCPCS,P9037,Plate pheres leukoredu irrad,,,680.61,986.88,3 HCPCS,P9039,"Hc Red Blood Cells, Deglycerolized, Each Unit",3980.0,3980.0,,,0 HCPCS,P9040,"Hc Red Bloods Cells, Leukocytes Reduced, Irradiated, Each Unit",2405.0,2405.0,,,0 HCPCS,P9040,RBC leukoreduced irradiated,,,265.41,384.84,3 HCPCS,P9041,"Albumin (human),5%, 50ml",,,10.62,45.16,9 HCPCS,P9043,"Plasma protein fract,5%,50ml",,,8.11,49.99,6 HCPCS,P9044,Cryoprecipitatereducedplasma,,,132.05,191.47,3 HCPCS,P9044,Hc Liquid Plasma,659.0,659.0,,,0 HCPCS,P9044,"Hc Plasma Cryoprecipitate Reduced, Each Unit",599.0,599.0,,,0 HCPCS,P9045,Albuked: 1 Vial In 1 Carton (76125-790-25) / 250 Ml In 1 Vial (76125-790-26),268.8,268.8,,,0 HCPCS,P9045,"Albumin (human), 5%, 250 ml",,,53.08,98.2,9 HCPCS,P9045,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-25) / 250 Ml In 1 Vial, Glass (44206-310-90)",502.74,502.74,,,0 HCPCS,P9045,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-50) / 500 Ml In 1 Vial, Glass (44206-310-91)",504.31,504.31,,,0 HCPCS,P9045,Albutein: 1 Vial In 1 Carton (68516-5214-1) / 250 Ml In 1 Vial (68516-5214-3),260.4,260.4,,,0 HCPCS,P9045,Albutein: 1 Vial In 1 Carton (68516-5214-2) / 500 Ml In 1 Vial (68516-5214-4),260.65999999999997,260.65999999999997,,,0 HCPCS,P9045,Albutein: 2 Bag In 1 Carton (68516-5214-0) / 500 Ml In 1 Bag (68516-5214-8),260.4,260.4,,,0 HCPCS,P9045,Flexbumin: 2 Bag In 1 Carton (0944-0495-05) / 250 Ml In 1 Bag (0944-0495-06),386.93,386.93,,,0 HCPCS,P9045,"Hc Therapeutic Infusion, Albumin 250Ml",1182.0,1182.0,,,0 HCPCS,P9045,NDC Description Not Available,323.4,323.4,,,0 HCPCS,P9046,"Albumin (human), 25%, 20 ml",,,21.23,39.28,9 HCPCS,P9047,"Albumin (human), 25%, 50ml",,,53.08,98.2,9 HCPCS,P9047,"Albuminar-25: 1 VIAL, GLASS in 1 CARTON (0053-7680-32) / 50 mL in 1 VIAL, GLASS (0053-7680-91)",504.0,504.0,,,0 HCPCS,P9047,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-05) / 50 Ml In 1 Vial, Glass (44206-251-90)",503.9,503.9,,,0 HCPCS,P9047,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-10) / 100 Ml In 1 Vial, Glass (44206-251-91)",504.0,504.0,,,0 HCPCS,P9047,Albutein: 1 Vial In 1 Carton (68516-5216-1) / 50 Ml In 1 Vial (68516-5216-3),260.68,260.68,,,0 HCPCS,P9047,NDC Description Not Available,503.22,503.22,,,0 HCPCS,P9048,"Plasmaprotein fract,5%,250ml",,,35.32,117.42,6 HCPCS,P9050,"Hc Granulocytes, Pheresis, Each Unit",7675.0,7675.0,,,0 HCPCS,P9052,"Hc Plate, Hla-Matched Leukocytes Reduce, Aspheresis/Pheresis, Each",6440.0,6440.0,,,0 HCPCS,P9052,"Hc Platelets, Pheresis, Leukocutes Reduced, Cmv-Negative, Irradiated, Each Unit",7489.0,7489.0,,,0 HCPCS,P9052,"Platelets, hla-m, l/r, unit",,,708.06,1026.69,3 HCPCS,P9059,"Hc Fresh Frozen Plasma Between 8-24 Hours Of Collection, Each Unit",599.0,599.0,,,0 HCPCS,P9059,"Plasma, frz between 8-24hour",,,73.77,106.97,3 HCPCS,P9073,Hc Platelets Pher Pathogen Reduced Unit (1),1549.0,1549.0,,,0 HCPCS,P9073,Hc Platelets Pher Pathogen Reduced Unit (3),2672.0,2672.0,,,0 HCPCS,P9073,Hc Platelets Pher Pathogen Reduced Unit (5),4275.0,4275.0,,,0 HCPCS,P9073,Hc Platelets Pher Pathogen Reduced Unit (6),5344.0,5344.0,,,0 HCPCS,P9073,"Platelets, pathogen reduced",,,607.43,880.77,3 HCPCS,P9100,Pathogen test for platelets,,,63.22,364.26,5 HCPCS,P9612,Catheterize for urine spec,,,2.93,85.33,6 HCPCS,P9612,"Hc Catheterization For Collection Of Specimen, Single Patient",86.0,86.0,,,0 HCPCS,P9615,Urine specimen collect mult,,,2.93,85.33,3 HCPCS,Q0035,Cardiokymography,,,40.03,58.04,3 HCPCS,Q0086,Physical therapy evaluation/,,,64.59,64.59,1 HCPCS,Q0091,Hc Screen Pap Smear Obtain Prep Convey,284.0,284.0,,,0 HCPCS,Q0091,Hc Screen Pap Smear Obtain Prep Convey-Pbb,387.5,387.5,,,0 HCPCS,Q0091,Obtaining Screen Pap Smear-Pbb,206.0,206.0,,,0 HCPCS,Q0091,Obtaining screen pap smear,,,30.99,86.35,4 HCPCS,Q0103,Description Not Available,,,208.45,208.45,1 HCPCS,Q0104,Description Not Available,,,76.33,76.33,1 HCPCS,Q0109,Description Not Available,,,208.45,208.45,1 HCPCS,Q0110,Description Not Available,,,76.33,76.33,1 HCPCS,Q0111,Wet mounts/ w preparations,,,8.91,174.06,6 HCPCS,Q0112,Potassium Hydroxide Preps-Pbb,190.0,190.0,,,0 HCPCS,Q0112,Potassium hydroxide preps,,,5.83,58.02,6 HCPCS,Q0113,Pinworm examinations,,,4.27,44.37,6 HCPCS,Q0114,Fern test,,,9.74,98.98,6 HCPCS,Q0115,Post-coital mucous exam,,,21.17,252.56,6 HCPCS,Q0136,Non esrd epoetin alpha inj,,,52.85,52.85,1 HCPCS,Q0138,"Feraheme: 1 Vial, Single-Use In 1 Carton (59338-775-01) / 17 Ml In 1 Vial, Single-Use",15.68,15.68,,,0 HCPCS,Q0138,"Ferumoxytol, non-esrd",,,0.32,0.74,8 HCPCS,Q0138,"Ferumoxytol: 1 Vial, Single-Dose In 1 Carton (0781-3154-01) / 17 Ml In 1 Vial, Single-Dose",11.42,11.42,,,0 HCPCS,Q0139,"Ferumoxytol, esrd use",,,0.32,0.74,8 HCPCS,Q0144,"Azithromycin dihydrate, oral",,,20.82,54.83,4 HCPCS,Q0155,Dronabinol (syndros) 0.1 mg,,,0.05,7.2,4 HCPCS,Q0161,"Chlorpromazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7132-61) / 1 Tablet, Film Coated In 1 Blister Pack",3.87,3.87,,,0 HCPCS,Q0161,"Chlorpromazine Hydrochloride: 100 TABLET, SUGAR COATED in 1 BOTTLE (0832-0300-00)",8.2,8.2,,,0 HCPCS,Q0161,"Chlorpromazine Hydrochloride: 100 TABLET, SUGAR COATED in 1 BOTTLE (0832-0301-00)",6.0,6.0,,,0 HCPCS,Q0161,"Chlorpromazine Hydrochloride: 100 TABLET, SUGAR COATED in 1 BOTTLE (0832-0303-00)",2.39,2.39,,,0 HCPCS,Q0161,"Chlorpromazine Hydrochloride: 100 Tablet, Coated In 1 Bottle (0527-2963-37)",1.17,1.17,,,0 HCPCS,Q0161,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0832-6019-00)",0.99,0.99,,,0 HCPCS,Q0161,"Chlorpromazine Hydrochloride: 50 Blister Pack In 1 Carton (0904-7130-06) / 1 Tablet, Film Coated In 1 Blister Pack",3.1,3.1,,,0 HCPCS,Q0161,Chlorpromazine hcl 5mg oral,,,0.45,2.49,3 HCPCS,Q0161,NDC Description Not Available,7.025,7.025,,,0 HCPCS,Q0162,NDC Description Not Available,16.105,16.105,,,0 HCPCS,Q0162,"Ondansetron Hydrochloride: 1 Blister Pack In 1 Carton (65862-188-03) / 3 Tablet, Film Coated In 1 Blister Pack",1.15,1.15,,,0 HCPCS,Q0162,"Ondansetron Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (68084-221-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-221-11)",0.75,0.75,,,0 HCPCS,Q0162,Ondansetron Hydrochloride: 50 Ml In 1 Bottle (62135-555-58),27.12,27.12,,,0 HCPCS,Q0162,Ondansetron oral,,,0.01,0.69,5 HCPCS,Q0162,"Ondansetron: 120 Syringe In 1 Box, Unit-Dose (17856-0555-4) / 1.25 Ml In 1 Syringe",9.14,9.14,,,0 HCPCS,Q0162,"Ondansetron: 3 Blister Pack In 1 Carton (65862-390-10) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",1.55,1.55,,,0 HCPCS,Q0162,"Ondansetron: 30 Tablet, Film Coated In 1 Bottle (16714-160-01)",0.4,0.4,,,0 HCPCS,Q0162,"Ondansetron: 30 Tablet, Film Coated In 1 Bottle (55111-154-30)",0.51,0.51,,,0 HCPCS,Q0163,Allergy Relief: 473 Ml In 1 Bottle (54859-811-16),3.03,3.03,,,0 HCPCS,Q0163,Diphenhydramine HCl 50mg,,,0.03,2.15,4 HCPCS,Q0163,"Diphenhydramine Hcl: 10 Tray In 1 Case (0121-1730-00) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (0121-1730-10)",27.66,27.66,,,0 HCPCS,Q0163,"Diphenhydramine Hcl: 3 Tray In 1 Case (0121-0865-30) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0865-05)",13.21,13.21,,,0 HCPCS,Q0163,"Diphenhydramine Hcl: 473 Ml In 1 Bottle, Plastic (0904-6985-16)",3.0,3.0,,,0 HCPCS,Q0163,"Diphenhydramine Hydrochloride: 10 Tray In 1 Case (0121-0489-00) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0489-05)",15.83,15.83,,,0 HCPCS,Q0163,Foster And Thrive Childrens Allergy Relief: 1 Bottle In 1 Carton (70677-1012-1) / 118 Ml In 1 Bottle,3.6,3.6,,,0 HCPCS,Q0163,NDC Description Not Available,11.285,11.285,,,0 HCPCS,Q0164,NDC Description Not Available,3.355,3.355,,,0 HCPCS,Q0164,"Prochlorperazine Maleate: 100 BLISTER PACK in 1 CARTON (51079-542-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-542-01)",3.0,3.0,,,0 HCPCS,Q0164,Prochlorperazine Maleate: 100 Tablet In 1 Bottle (59746-115-06),2.93,2.93,,,0 HCPCS,Q0164,Prochlorperazine Maleate: 50 Blister Pack In 1 Box (50268-685-15) / 1 Tablet In 1 Blister Pack (50268-685-11),3.7,3.7,,,0 HCPCS,Q0164,Prochlorperazine maleate 5mg,,,0.47,1.3,4 HCPCS,Q0166,Granisetron HCl 1 mg oral,,,2.15,85.14,4 HCPCS,Q0167,Dronabinol 2.5mg oral,,,1.23,3.11,5 HCPCS,Q0167,Dronabinol: 100 Blister Pack In 1 Carton (0904-7144-61) / 1 Capsule In 1 Blister Pack,29.29,29.29,,,0 HCPCS,Q0167,Dronabinol: 30 Blister Pack In 1 Carton (0904-7145-04) / 1 Capsule In 1 Blister Pack,29.89,29.89,,,0 HCPCS,Q0167,Dronabinol: 60 Capsule In 1 Bottle (67877-753-60),11.56,11.56,,,0 HCPCS,Q0167,Dronabinol: 60 Capsule In 1 Bottle (67877-754-60),10.65,10.65,,,0 HCPCS,Q0167,"Dronabinol: 60 Capsule In 1 Bottle, Plastic (0527-1451-06)",10.9,10.9,,,0 HCPCS,Q0167,NDC Description Not Available,42.115,42.115,,,0 HCPCS,Q0169,NDC Description Not Available,3.0,3.0,,,0 HCPCS,Q0169,"PROMETHAZINE HYDROCHLORIDE: 473 mL in 1 BOTTLE, PLASTIC (60432-608-16)",5.3,5.3,,,0 HCPCS,Q0169,Promethazine HCl 12.5mg oral,,,0.12,0.69,4 HCPCS,Q0169,Promethazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6461-61) / 1 Tablet In 1 Blister Pack,3.0,3.0,,,0 HCPCS,Q0169,Promethazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7304-61) / 1 Tablet In 1 Blister Pack,2.94,2.94,,,0 HCPCS,Q0173,Trimethobenzamide HCl 250mg,,,0.65,1.36,4 HCPCS,Q0174,Thiethylperazine maleate10mg,,,0.85,1.13,4 HCPCS,Q0175,Perphenazine 4mg oral,,,0.65,2.77,4 HCPCS,Q0177,Hydroxyzine pamoate 25mg,,,0.14,3.2,4 HCPCS,Q0180,Dolasetron mesylate oral,,,83.05,237.22,4 HCPCS,Q0220,"Tixagev and cilgav, 300mg",,,0.02,0.02,1 HCPCS,Q0221,"Tixagev and cilgav, 600mg",,,0.02,0.02,1 HCPCS,Q0222,Bebtelovimab 175 mg,,,3296.54,4158.0,2 HCPCS,Q0224,"Inj, pemivibart, 4500 mg",,,8744.19,10862.78,3 HCPCS,Q0224,"Pemgarda: 9 Vial, Single-Dose In 1 Carton (81960-031-03) / 4 Ml In 1 Vial, Single-Dose",25987.56,25987.56,,,0 HCPCS,Q0240,Casirivi and imdevi 600 mg,,,0.02,0.02,1 HCPCS,Q0243,Casirivimab and imdevimab,,,0.02,0.02,1 HCPCS,Q0244,Casirivi and imdevi 1200 mg,,,0.02,0.02,1 HCPCS,Q0245,Bamlanivimab and etesevima,,,0.02,0.02,1 HCPCS,Q0247,Sotrovimab,,,3296.54,4158.0,2 HCPCS,Q0249,Tocilizumab for covid-19,,,9.14,14.0,5 HCPCS,Q0477,Pwr module pt cable lvad rpl,,,955.35,1385.26,3 HCPCS,Q0478,"Power adapter, combo vad",,,226.28,328.11,3 HCPCS,Q0479,Noncdm Charge Record Medical Supplies,43545.6,43545.6,,,0 HCPCS,Q0479,"Power module combo vad, rep",,,14780.89,21432.29,3 HCPCS,Q0480,"driver pneumatic vad, rep",,,110901.76,160807.55,3 HCPCS,Q0481,"microprcsr cu elec vad, rep",,,17892.75,25944.49,3 HCPCS,Q0482,Noncdm Charge Record Medical Supplies,22680.0,22680.0,,,0 HCPCS,Q0482,"microprcsr cu combo vad, rep",,,5604.34,8126.29,3 HCPCS,Q0483,"monitor elec vad, rep",,,23087.32,33476.61,3 HCPCS,Q0484,monitor elec or comb vad rep,,,4483.48,6501.05,3 HCPCS,Q0485,"monitor cable elec vad, rep",,,432.9,627.7,3 HCPCS,Q0486,mon cable elec/pneum vad rep,,,360.28,522.41,3 HCPCS,Q0487,"leads any type vad, rep only",,,420.31,609.45,3 HCPCS,Q0489,"pwr pck base combo vad, rep",,,20015.46,29022.42,3 HCPCS,Q0490,"emr pwr source elec vad, rep",,,865.78,1255.38,3 HCPCS,Q0491,emr pwr source combo vad rep,,,1361.1,1973.59,3 HCPCS,Q0492,"emr pwr cbl elec vad, rep",,,109.67,159.02,3 HCPCS,Q0493,"emr pwr cbl combo vad, rep",,,312.22,452.72,3 HCPCS,Q0494,Noncdm Charge Record Medical Supplies,50505.0,50505.0,,,0 HCPCS,Q0494,"emr hd pmp elec/combo, rep",,,264.19,383.08,3 HCPCS,Q0495,Noncdm Charge Record Medical Supplies,35271.94,35271.94,,,0 HCPCS,Q0495,"charger elec/combo vad, rep",,,5143.47,7458.03,3 HCPCS,Q0496,"battery elec/combo vad, rep",,,1846.09,2676.83,3 HCPCS,Q0497,"bat clps elec/comb vad, rep",,,576.44,835.84,3 HCPCS,Q0498,Noncdm Charge Record Medical Supplies,2819.25,2819.25,,,0 HCPCS,Q0498,"holster elec/combo vad, rep",,,632.48,917.1,3 HCPCS,Q0499,Noncdm Charge Record Medical Supplies,2282.0299999999997,2282.0299999999997,,,0 HCPCS,Q0499,belt/vest elec/combo vad rep,,,205.51,297.99,3 HCPCS,Q0500,"filters elec/combo vad, rep",,,37.58,54.49,3 HCPCS,Q0501,Noncdm Charge Record Medical Supplies,2449.44,2449.44,,,0 HCPCS,Q0501,"shwr cov elec/combo vad, rep",,,628.84,911.82,3 HCPCS,Q0502,"mobility cart pneum vad, rep",,,800.65,1160.94,3 HCPCS,Q0503,battery pneum vad replacemnt,,,1601.2,2321.74,3 HCPCS,Q0504,"pwr adpt pneum vad, rep veh",,,844.96,1225.19,3 HCPCS,Q0506,Lith-ion batt elec/pneum VAD,,,1051.71,1524.98,3 HCPCS,Q0506,Noncdm Charge Record Medical Supplies,3780.0,3780.0,,,0 HCPCS,Q0508,Noncdm Charge Record Medical Supplies,40849.085,40849.085,,,0 HCPCS,Q0509,Noncdm Charge Record Medical Supplies,2790.9,2790.9,,,0 HCPCS,Q0515,Sermorelin acetate injection,,,2.13,3.33,4 HCPCS,Q2004,Bladder calculi irrig sol,,,22.95,224.65,3 HCPCS,Q2009,Cerebyx: 10 Vial In 1 Package (0069-6001-21) / 10 Ml In 1 Vial (0069-6001-10),53.85,53.85,,,0 HCPCS,Q2009,Cerebyx: 25 Vial In 1 Carton (0069-6001-25) / 2 Ml In 1 Vial (0069-6001-02),90.3,90.3,,,0 HCPCS,Q2009,"Fosphenytoin Sodium: 10 Vial, Single-Dose In 1 Carton (68462-622-10) / 10 Ml In 1 Vial, Single-Dose (68462-622-64)",11.81,11.81,,,0 HCPCS,Q2009,Fosphenytoin inj pe,,,1.47,13.78,7 HCPCS,Q2009,NDC Description Not Available,44.975,44.975,,,0 HCPCS,Q2017,"Teniposide, 50 mg",,,4582.57,5541.01,4 HCPCS,Q2026,Hc Radiesse Inj (Cash),319.0,319.0,,,0 HCPCS,Q2026,Radiesse injection,,,349.19,550.14,4 HCPCS,Q2028,"Inj, sculptra, 0.5mg",,,0.89,3.13,7 HCPCS,Q2028,Noncdm Charge Record Pharmacy,5.3,5.3,,,0 HCPCS,Q2035,"Afluria vacc, 3 yrs & >, im",,,16.05,16.05,1 HCPCS,Q2035,"Pr Afluria Vacc, 3 Yrs & >, Im",69.0,69.0,,,0 HCPCS,Q2036,"Flulaval vacc, 3 yrs & >, im",,,11.57,11.57,1 HCPCS,Q2037,"Fluvirin vacc, 3 yrs & >, im",,,23.65,23.65,1 HCPCS,Q2038,"Fluzone vacc, 3 yrs & >, im",,,16.16,16.16,1 HCPCS,Q2041,Axicabtagene ciloleucel car+,,,533230.17,807703.3,6 HCPCS,Q2041,NDC Description Not Available,3105000.0,3105000.0,,,0 HCPCS,Q2042,Tisagenlecleucel car-pos t,,,591726.2,933279.34,6 HCPCS,Q2043,Sipuleucel-t auto cd54+,,,55272.32,121184.41,8 HCPCS,Q2049,Imported Lipodox inj,,,298.74,965.07,6 HCPCS,Q2050,"DOXIL: 1 VIAL, SINGLE-USE in 1 CARTON (59676-960-01) / 10 mL in 1 VIAL, SINGLE-USE",3974.82,3974.82,,,0 HCPCS,Q2050,"DOXIL: 1 VIAL, SINGLE-USE in 1 CARTON (59676-960-02) / 25 mL in 1 VIAL, SINGLE-USE",4184.02,4184.02,,,0 HCPCS,Q2050,"Doxil: 1 Vial, Single-Use In 1 Carton (0338-0063-01) / 10 Ml In 1 Vial, Single-Use",1103.67,1103.67,,,0 HCPCS,Q2050,"Doxil: 1 Vial, Single-Use In 1 Carton (0338-0067-01) / 25 Ml In 1 Vial, Single-Use",2161.91,2161.91,,,0 HCPCS,Q2050,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (70710-1530-1) / 10 Ml In 1 Vial, Single-Dose",2233.56,2233.56,,,0 HCPCS,Q2050,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (70710-1531-1) / 25 Ml In 1 Vial, Single-Dose",2140.58,2140.58,,,0 HCPCS,Q2050,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (47335-049-40) / 10 Ml In 1 Vial, Single-Dose",1422.82,1422.82,,,0 HCPCS,Q2050,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (47335-050-40) / 25 Ml In 1 Vial, Single-Dose",1639.74,1639.74,,,0 HCPCS,Q2050,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (72603-103-01) / 10 Ml In 1 Vial, Single-Dose",3024.65,3024.65,,,0 HCPCS,Q2050,"Doxorubicin Hydrochloride: 1 Vial, Single-Use In 1 Carton (70748-339-01) / 10 Ml In 1 Vial, Single-Use",1343.05,1343.05,,,0 HCPCS,Q2050,Doxorubicin inj 10mg,,,108.47,224.48,9 HCPCS,Q2053,Brexucabtagene car pos t,,,489304.61,805284.99,6 HCPCS,Q2053,NDC Description Not Available,3105000.0,3105000.0,,,0 HCPCS,Q2054,"Breyanzi: 1 Kit In 1 Carton (73153-900-01) * 5 Ml In 1 Vial, Single-Dose (73153-902-04) * 5 Ml In 1 Vial, Single-Dose (73153-901-08)",3275000.0,3275000.0,,,0 HCPCS,Q2054,Lisocabtagene mara car pos t,,,562538.19,852201.85,6 HCPCS,Q2055,Idecabtagene vicleucel car,,,557317.93,871715.51,6 HCPCS,Q2056,"Carvykti: 1 Injection, Suspension In 1 Bag (57894-111-01)",3525000.0,3525000.0,,,0 HCPCS,Q2056,Ciltacabtagene car-pos t,,,565868.94,909675.26,6 HCPCS,Q2057,Afamitresgene autoleucel,,,770620.0,1155930.0,5 HCPCS,Q3001,Brachytherapy radioelements,,,98.74,98.74,1 HCPCS,Q3001,Hc Radioelements Brachtx Any Type Ea,1690.5,1690.5,,,0 HCPCS,Q3014,Hc Telehealth Facility Fee,277.0,277.0,,,0 HCPCS,Q3027,Inj beta interferon im 1 mcg,,,82.74,159.8,4 HCPCS,Q3028,Inj beta interferon sq 1 mcg,,,52.16,92.41,4 HCPCS,Q4074,Iloprost non-comp unit dose,,,214.54,244.6,4 HCPCS,Q4081,"Epoetin alfa, 100 units ESRD",,,1.04,1.42,5 HCPCS,Q4081,NDC Description Not Available,22.64,22.64,,,0 HCPCS,Q4100,Noncdm Charge Record Medical Supplies,8764.56,8764.56,,,0 HCPCS,Q4101,Apligraf,,,40.91,193.37,7 HCPCS,Q4102,Oasis wound matrix,,,15.8,193.37,7 HCPCS,Q4103,Oasis burn matrix,,,16.71,193.37,7 HCPCS,Q4104,Integra bmwd,,,72.58,193.37,7 HCPCS,Q4104,Noncdm Charge Record Medical Supplies,33823.0,33823.0,,,0 HCPCS,Q4105,Integra drt or omnigraft,,,35.22,193.37,7 HCPCS,Q4106,Dermagraft,,,25.34,84.05,3 HCPCS,Q4106,Noncdm Charge Record Medical Supplies,2991.45,2991.45,,,0 HCPCS,Q4107,Graftjacket,,,116.05,225.18,6 HCPCS,Q4107,Noncdm Charge Record Medical Supplies,8547.0,8547.0,,,0 HCPCS,Q4108,Integra matrix,,,57.81,193.37,7 HCPCS,Q4108,Noncdm Charge Record Medical Supplies,5600.93,5600.93,,,0 HCPCS,Q4110,Primatrix,,,63.44,193.37,7 HCPCS,Q4111,Gammagraft,,,9.61,193.37,7 HCPCS,Q4112,Cymetra injectable,,,1177.31,1264.5,2 HCPCS,Q4113,Graftjacket xpress,,,1029.89,3295.88,3 HCPCS,Q4114,Integra flowable wound matri,,,2082.02,2641.01,4 HCPCS,Q4114,Noncdm Charge Record Medical Supplies,491.615,491.615,,,0 HCPCS,Q4114,Noncdm Charge Record Pharmacy,554.11,554.11,,,0 HCPCS,Q4115,Alloskin,,,19.29,193.37,7 HCPCS,Q4116,Alloderm,,,42.0,193.37,5 HCPCS,Q4116,Noncdm Charge Record Medical Supplies,245.76,245.76,,,0 HCPCS,Q4116,Noncdm Charge Record Pharmacy,179.38,179.38,,,0 HCPCS,Q4117,Hyalomatrix,,,18.26,193.37,6 HCPCS,Q4118,Matristem micromatrix,,,3.46,4.19,4 HCPCS,Q4121,Theraskin,,,65.95,193.37,7 HCPCS,Q4122,Dermacell,,,133.36,199.7,6 HCPCS,Q4123,Alloskin,,,34.69,193.37,7 HCPCS,Q4124,Oasis tri-layer wound matrix,,,3.35,193.37,7 HCPCS,Q4125,Noncdm Charge Record Medical Supplies,8857.8,8857.8,,,0 HCPCS,Q4126,Memoderm/derma/tranz/integup,,,80.74,193.37,7 HCPCS,Q4127,Talymed,,,92.46,193.37,7 HCPCS,Q4128,Flexhd/allopatchhd/matrixhd,,,41.45,193.37,6 HCPCS,Q4128,Noncdm Charge Record Medical Supplies,95159.19,95159.19,,,0 HCPCS,Q4130,Noncdm Charge Record Medical Supplies,254.93,254.93,,,0 HCPCS,Q4132,Grafix core,,,120.39,528.75,7 HCPCS,Q4133,Grafix prime,,,133.36,228.94,7 HCPCS,Q4134,hMatrix,,,133.36,218.81,4 HCPCS,Q4137,"Amnioexcel or biodexcel, 1cm",,,133.36,193.37,7 HCPCS,Q4138,"Biodfence dryflex, 1cm",,,133.36,272.21,7 HCPCS,Q4140,Biodfence 1cm,,,133.36,319.17,7 HCPCS,Q4141,"Alloskin ac, 1 cm",,,62.67,193.37,6 HCPCS,Q4143,"Repriza, 1cm",,,45.79,193.37,6 HCPCS,Q4145,"Epifix, inj, 1mg",,,26.3,29.41,3 HCPCS,Q4147,Architect ecm px fx 1 sq cm,,,65.56,2600.86,6 HCPCS,Q4148,"Neox 1k, 1cm",,,133.36,325.22,7 HCPCS,Q4149,"Excellagen, 0.1 cc",,,199.67,325.22,3 HCPCS,Q4150,Allowrap ds or dry 1 sq cm,,,114.56,193.37,6 HCPCS,Q4151,"Amnioband, guardian 1 sq cm",,,133.36,236.64,7 HCPCS,Q4152,Dermapure 1 square cm,,,61.3,193.37,7 HCPCS,Q4153,"Dermavest, plurivest sq cm",,,133.36,383.97,6 HCPCS,Q4154,Biovance 1 square cm,,,133.36,238.19,7 HCPCS,Q4155,Neoxflo or clarixflo 1 mg,,,36.87,47.39,3 HCPCS,Q4156,Neox 100 1 square cm,,,89.57,208.2,7 HCPCS,Q4157,Revitalon 1 square cm,,,133.36,334.79,6 HCPCS,Q4158,Hc Kerecis Omega3 Wound 1.75X1.75Cm,22747.855,22747.855,,,0 HCPCS,Q4158,Hc Kerecis Omega3 Wound 14Mm,18874.94,18874.94,,,0 HCPCS,Q4158,Hc Kerecis Omega3 Wound 16Mm,1248.45,1248.45,,,0 HCPCS,Q4158,Hc Kerecis Omega3 Wound 3X3.5Cm,2728.95,2728.95,,,0 HCPCS,Q4158,Hc Kerecis Omega3 Wound 3X7Cm,5118.75,5118.75,,,0 HCPCS,Q4158,Marigen 1 square cm,,,89.53,193.37,7 HCPCS,Q4159,Affinity1 square cm,,,133.36,655.55,7 HCPCS,Q4160,Nushield 1 square cm,,,133.36,4176.57,7 HCPCS,Q4161,Bio-connekt per square cm,,,133.36,4804.92,6 HCPCS,Q4162,Amnio bio and woundex flow,,,2524.5,4235.01,3 HCPCS,Q4163,Amnio bio and woundex sq cm,,,133.36,300.6,7 HCPCS,Q4164,"Helicoll, per square cm",,,133.36,2491.63,6 HCPCS,Q4165,"Keramatrix, per square cm",,,41.61,193.37,6 HCPCS,Q4166,"Cytal, per square centimeter",,,22.79,193.37,7 HCPCS,Q4167,"Truskin, per sq centimeter",,,133.36,199.68,6 HCPCS,Q4168,"Amnioband, 1 mg",,,23.02,23.02,1 HCPCS,Q4169,"Artacent wound, per sq cm",,,133.36,5667.52,7 HCPCS,Q4170,"Cygnus, per sq cm",,,56.09,1269.06,6 HCPCS,Q4171,"Interfyl, 1 mg",,,14.32,45.11,4 HCPCS,Q4173,Palingen or palingen xplus,,,133.36,1880.24,7 HCPCS,Q4174,Palingen or promatrx,,,454.05,2378.48,3 HCPCS,Q4175,Miroderm,,,91.42,193.37,7 HCPCS,Q4176,"Neopatch, per sq centimeter",,,133.36,293.04,6 HCPCS,Q4177,"Floweramnioflo, 0.1 cc",,,206.55,297.0,3 HCPCS,Q4178,"Floweramniopatch, per sq cm",,,125.7,193.37,7 HCPCS,Q4180,"Revita, per sq cm",,,133.36,2752.53,7 HCPCS,Q4181,"Amnio wound, per square cm",,,133.36,269.02,4 HCPCS,Q4182,"Transcyte, per sq centimeter",,,54.16,193.37,4 HCPCS,Q4183,"Surgigraft, 1 sq cm",,,114.75,265.52,6 HCPCS,Q4184,"Cellesta, 1 sq cm",,,108.05,1030.16,7 HCPCS,Q4186,Epifix 1 sq cm,,,133.36,261.24,7 HCPCS,Q4186,Noncdm Charge Record Medical Supplies,943.75,943.75,,,0 HCPCS,Q4186,Noncdm Charge Record Pharmacy,1067.9,1067.9,,,0 HCPCS,Q4187,Epicord 1 sq cm,,,133.36,400.5,7 HCPCS,Q4188,Amnioarmor 1 sq cm,,,133.36,731.38,6 HCPCS,Q4189,"Artacent ac, 1 mg",,,28.71,28.71,1 HCPCS,Q4190,Artacent ac 1 sq cm,,,133.36,388.89,6 HCPCS,Q4191,Restorigin 1 sq cm,,,133.36,1676.91,6 HCPCS,Q4193,Coll-e-derm 1 sq cm,,,133.36,3862.67,6 HCPCS,Q4194,Novachor 1 sq cm,,,133.36,1417.22,7 HCPCS,Q4195,Puraply 1 sq cm,,,111.04,193.37,7 HCPCS,Q4196,Puraply am 1 sq cm,,,133.03,193.37,7 HCPCS,Q4197,Puraply xt 1 sq cm,,,95.9,193.37,6 HCPCS,Q4199,"Cygnus matrix, per sq cm",,,133.36,600.25,6 HCPCS,Q4201,Matrion 1 sq cm,,,106.96,193.37,6 HCPCS,Q4203,"Derma-gide, 1 sq cm",,,133.36,1579.33,6 HCPCS,Q4204,Xwrap 1 sq cm,,,133.36,5645.26,6 HCPCS,Q4205,Membrane graft or wrap sq cm,,,133.36,1913.36,6 HCPCS,Q4208,Novafix per sq cm,,,133.36,550.8,5 HCPCS,Q4213,"Ascent, 0.5 mg",,,79.11,113.82,3 HCPCS,Q4217,Woundfix biowound plus xplus,,,133.36,1431.5,7 HCPCS,Q4218,Surgicord per sq cm,,,133.36,193.37,4 HCPCS,Q4219,Surgigraft dual per sq cm,,,120.07,1377.0,6 HCPCS,Q4221,Amniowrap2 per sq cm,,,133.36,3169.22,6 HCPCS,Q4222,"Progenamatrix, per sq cm",,,133.36,218.23,6 HCPCS,Q4225,"Amniobind, per sq cm",,,133.36,2408.26,6 HCPCS,Q4226,Myown harv prep proc sq cm,,,1652.4,1652.4,1 HCPCS,Q4227,Amniocore per sq cm,,,133.36,2074.74,6 HCPCS,Q4229,Cogenex amnio memb per sq cm,,,133.36,859.7,6 HCPCS,Q4231,"Corplex p, per cc",,,1055.86,1671.63,2 HCPCS,Q4232,"Corplex, per sq cm",,,133.36,437.48,6 HCPCS,Q4234,"Xcellerate, per sq cm",,,133.36,830.9,6 HCPCS,Q4235,Amniorepair or altiply sq cm,,,108.65,193.37,6 HCPCS,Q4236,Carepatch per sq cm,,,133.36,1012.44,6 HCPCS,Q4237,"cryo-cord, per sq cm",,,133.36,824.04,5 HCPCS,Q4238,"Derm-maxx, per sq cm",,,133.36,2570.68,6 HCPCS,Q4239,Amnio-maxx or lite per sq cm,,,133.36,4167.42,6 HCPCS,Q4244,"Procenta, per 200 mg",,,13741.36,13741.36,1 HCPCS,Q4246,"Coretext or protext, per cc",,,4626.72,5542.43,3 HCPCS,Q4247,"Amniotext patch, per sq cm",,,133.36,4222.8,5 HCPCS,Q4248,Dermacyte Amn mem allo sq cm,,,133.36,4450.64,6 HCPCS,Q4249,"Amniply, per sq cm",,,133.36,4458.56,6 HCPCS,Q4250,AmnioAMP-MP per sq cm,,,133.36,4711.38,6 HCPCS,Q4251,"Vim, per square centimeter",,,133.36,297.0,6 HCPCS,Q4252,"Vendaje, per square centimet",,,71.55,193.37,6 HCPCS,Q4253,Zenith amniotic membrane psc,,,112.29,197.06,6 HCPCS,Q4254,Novafix dl per sq cm,,,133.36,550.8,4 HCPCS,Q4256,"Mlg complet, per sq cm",,,133.36,1605.17,6 HCPCS,Q4257,"Relese, per sq cm",,,133.36,1372.63,6 HCPCS,Q4258,"Enverse, per sq cm",,,111.25,193.37,6 HCPCS,Q4259,Celera per sq cm,,,133.36,2113.22,6 HCPCS,Q4261,"Tag, per square centimeter",,,133.36,1194.96,6 HCPCS,Q4262,"Dual layer impax, per sq cm",,,84.85,499.16,6 HCPCS,Q4263,"Surgraft tl, per sq cm",,,133.36,2723.67,6 HCPCS,Q4264,"Cocoon membrane, per sq cm",,,133.36,5345.77,6 HCPCS,Q4265,Neostim tl per sq cm,,,133.36,3489.26,7 HCPCS,Q4266,Neostim per sq cm,,,133.36,1466.72,7 HCPCS,Q4267,Neostim dl per sq cm,,,133.36,612.66,7 HCPCS,Q4268,Surgraft ft per sq cm,,,133.36,2168.46,6 HCPCS,Q4269,Surgraft xt per sq cm,,,133.36,3098.25,6 HCPCS,Q4270,Complete sl per sq cm,,,133.36,4979.77,5 HCPCS,Q4271,Complete ft per sq cm,,,133.36,2543.66,6 HCPCS,Q4272,"Esano a, per sq cm",,,133.36,577.67,5 HCPCS,Q4274,"Esano ac, per sq cm",,,133.36,3516.93,6 HCPCS,Q4275,"Esano aca, per sq cm",,,133.36,4244.82,6 HCPCS,Q4276,"Orion, per sq cm",,,133.36,798.25,6 HCPCS,Q4278,"Epieffect, per sq cm",,,133.36,505.02,6 HCPCS,Q4279,"Vendaje ac, per sq cm",,,133.36,3935.25,6 HCPCS,Q4280,Xcell amnio matrix per sq cm,,,133.36,3905.35,6 HCPCS,Q4281,Barrera slor dl per sq cm,,,133.36,1465.38,6 HCPCS,Q4282,Cygnus dual per sq cm,,,133.36,803.19,6 HCPCS,Q4283,"Biovance tri or 3l, sq cm",,,133.36,1089.63,6 HCPCS,Q4285,Nudyn dl or dl mesh pr sq cm,,,133.36,317.21,5 HCPCS,Q4286,"Nudyn sl or slw, per sq cm",,,133.36,418.11,5 HCPCS,Q4289,"Revoshield+ amnio, per sq cm",,,133.36,3068.18,6 HCPCS,Q4290,Membrane wrap hydr per sq cm,,,133.36,3662.04,6 HCPCS,Q4291,"Lamellas xt, per sq cm",,,133.36,5753.48,5 HCPCS,Q4292,"Lamellas, per sq cm",,,133.36,2426.75,5 HCPCS,Q4293,"Acesso dl, per sq cm",,,133.36,2464.77,6 HCPCS,Q4294,"Amnio quad-core, per sq cm",,,133.36,5045.71,6 HCPCS,Q4295,"Amnio tri-core, per sq cm",,,133.36,4358.18,6 HCPCS,Q4296,"Rebound matrix, per sq cm",,,133.36,4458.83,6 HCPCS,Q4297,"Emerge matrix, per sq cm",,,133.36,2950.46,6 HCPCS,Q4298,"Amnicore pro, per sq cm",,,133.36,3951.22,6 HCPCS,Q4299,"Amnicore pro+, per sq cm",,,133.36,4741.86,6 HCPCS,Q4300,"Acesso tl, per sq cm",,,133.36,3489.26,6 HCPCS,Q4301,"Activate matrix, per sq cm",,,133.36,3192.63,6 HCPCS,Q4302,"Complete aca, per sq cm",,,133.36,3314.36,6 HCPCS,Q4303,"Complete aa, per sq cm",,,133.36,5631.1,6 HCPCS,Q4304,"Grafix plus, per sq cm",,,133.36,1517.98,6 HCPCS,Q4309,"Via matrix, per sq cm",,,133.36,3466.73,6 HCPCS,Q4310,"Procenta, per 100 mg",,,1778.44,6870.68,4 HCPCS,Q4311,"Acesso, per sq cm",,,133.36,2868.75,4 HCPCS,Q4312,"Acesso ac, per sq cm",,,133.36,3617.65,5 HCPCS,Q4313,"Dermabind fm, per sq cm",,,133.36,5719.54,6 HCPCS,Q4314,"Reeva, per sq cm",,,133.36,3498.0,5 HCPCS,Q4316,"Amchoplast, per sq cm",,,133.36,6341.95,5 HCPCS,Q4317,"Vitograft, per sq cm",,,133.36,7155.0,4 HCPCS,Q4319,"Sanograft, per sq cm",,,133.36,4213.5,6 HCPCS,Q4320,"Pellograft, per sq cm",,,133.36,1485.64,6 HCPCS,Q4321,"Renograft, per sq cm",,,133.36,5724.0,5 HCPCS,Q4322,"Caregraft, per sq cm",,,133.36,3895.16,6 HCPCS,Q4323,"Alloply, per sq cm",,,133.36,3234.73,6 HCPCS,Q4324,"Amniotx, per sq cm",,,133.36,3200.37,5 HCPCS,Q4325,"Acapatch, per sq cm",,,133.36,4670.59,6 HCPCS,Q4326,"Woundplus, per sq cm",,,133.36,3099.41,6 HCPCS,Q4328,"Most, per sq cm",,,133.36,5765.3,6 HCPCS,Q4331,"Axolotl graft, per sq cm",,,133.36,3351.56,6 HCPCS,Q4332,"Axolotl dualgraft, per sq cm",,,133.36,3352.72,6 HCPCS,Q4333,"Ardeograft, per sq cm",,,133.36,1413.09,5 HCPCS,Q4336,"Artecent c, per sq cm",,,133.36,410.43,4 HCPCS,Q4339,"Artacent vericlen, per sq cm",,,133.36,4692.44,6 HCPCS,Q4340,"Simpligraft, per sq cm",,,133.36,2960.55,5 HCPCS,Q4341,"Simplimax, per sq cm",,,133.36,5825.47,6 HCPCS,Q4342,"Theramend, per sq cm",,,133.36,6993.74,6 HCPCS,Q4343,Dermacyte ac matrx per sq cm,,,133.36,4597.41,6 HCPCS,Q4344,"Tri membrane wrap, per sq cm",,,133.36,5361.58,6 HCPCS,Q4345,Matrix hd allogrft per sq cm,,,133.36,3975.0,5 HCPCS,Q4346,Shelter dm matrix per sq cm,,,133.36,6935.96,6 HCPCS,Q4347,Rampart dl matrix per sq cm,,,133.36,4649.15,5 HCPCS,Q4348,Sentry sl matrix per sq cm,,,133.36,3864.32,6 HCPCS,Q4349,Mantle dl matrix per sq cm,,,133.36,6935.96,5 HCPCS,Q4350,Palisade dm matrix per sq cm,,,133.36,6935.96,6 HCPCS,Q4351,"Enclose tl matrix, per sq cm",,,133.36,7431.39,5 HCPCS,Q4352,"Overlay sl matrix, per sq cm",,,133.36,3864.32,5 HCPCS,Q4353,Xceed tl matrix per sq cm,,,133.36,6223.26,6 HCPCS,Q4354,Palingen dual-layer sq cm,,,133.36,1404.54,4 HCPCS,Q4355,Abio xpl abio xpl hy p sq cm,,,133.36,4253.57,5 HCPCS,Q4356,Abio mem abio hyd per sq cm,,,133.36,3442.5,4 HCPCS,Q4357,"Xwrap plus, per sq cm",,,133.36,7155.0,5 HCPCS,Q4358,"Xwrap dual, per sq cm",,,133.36,8840.02,5 HCPCS,Q4359,"Choriply, per sq cm",,,133.36,4168.98,5 HCPCS,Q4361,"Epixpress, per sq cm",,,133.36,3180.0,5 HCPCS,Q4364,Am bur xp mem xpl hy p sq cm,,,133.36,4252.18,4 HCPCS,Q4367,"Amniocore sl, per sq cm",,,133.36,1128.59,5 HCPCS,Q4373,Membrane wrp lt per sq cm,,,133.36,4946.18,4 HCPCS,Q4378,Renew ft matrix per sq cm,,,133.36,5301.45,4 HCPCS,Q4379,Amniodefend ft per sq cm,,,133.36,3924.45,4 HCPCS,Q5098,"Inj ustekinumab-srlf, 1 mg",,,15.73,15.73,1 HCPCS,Q5099,"Inj ustekinumab-stba, 1 mg",,,3.21,18.96,2 HCPCS,Q5100,"Inj ustekinumab-kfce, 1 mg",,,4.24,37.47,6 HCPCS,Q5101,Inj filgrastim gcsf biosimil,,,0.46,1.0,9 HCPCS,Q5101,NDC Description Not Available,6.13,6.13,,,0 HCPCS,Q5101,ZARXIO: 1 BLISTER PACK in 1 CARTON (61314-304-01) / 1 SYRINGE in 1 BLISTER PACK / .5 mL in 1 SYRINGE,6.16,6.16,,,0 HCPCS,Q5101,Zarxio: 1 Blister Pack In 1 Carton (61314-318-01) / 1 Syringe In 1 Blister Pack / .5 Ml In 1 Syringe,6.13,6.13,,,0 HCPCS,Q5101,Zarxio: 1 Blister Pack In 1 Carton (61314-326-01) / 1 Syringe In 1 Blister Pack / .8 Ml In 1 Syringe,6.13,6.13,,,0 HCPCS,Q5101,Zarxio: 2 Blister Pack In 1 Carton (61314-318-10) / 5 Syringe In 1 Blister Pack (61314-318-05) / .5 Ml In 1 Syringe,6.13,6.13,,,0 HCPCS,Q5101,Zarxio: 2 Blister Pack In 1 Carton (61314-326-10) / 5 Syringe In 1 Blister Pack (61314-326-05) / .8 Ml In 1 Syringe,6.13,6.13,,,0 HCPCS,Q5103,"Inflectra: 1 Vial, Single-Use In 1 Carton (0069-0809-01) / 10 Ml In 1 Vial, Single-Use",635.66,635.66,,,0 HCPCS,Q5103,"Injection, inflectra",,,19.06,57.68,9 HCPCS,Q5104,"Injection, renflexis",,,27.0,56.79,9 HCPCS,Q5105,Inj Retacrit esrd on dialysi,,,1.03,1.41,5 HCPCS,Q5105,NDC Description Not Available,8.63,8.63,,,0 HCPCS,Q5105,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1307-10) / 1 Ml In 1 Vial, Single-Dose (0069-1307-01)",7.39,7.39,,,0 HCPCS,Q5106,Inj Retacrit non-esrd use,,,7.85,14.0,9 HCPCS,Q5106,NDC Description Not Available,71.07,71.07,,,0 HCPCS,Q5106,"Retacrit: 10 Vial, Multi-Dose In 1 Carton (0069-1311-10) / 1 Ml In 1 Vial, Multi-Dose (0069-1311-01)",73.9,73.9,,,0 HCPCS,Q5106,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1305-10) / 1 Ml In 1 Vial, Single-Dose (0069-1305-01)",73.9,73.9,,,0 HCPCS,Q5106,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1308-10) / 1 Ml In 1 Vial, Single-Dose (0069-1308-01)",73.9,73.9,,,0 HCPCS,Q5106,"Retacrit: 10 Vial, Single-Dose In 1 Carton (59353-002-10) / 1 Ml In 1 Vial, Single-Dose (59353-002-01)",73.9,73.9,,,0 HCPCS,Q5106,"Retacrit: 4 Vial, Single-Dose In 1 Carton (0069-1309-04) / 1 Ml In 1 Vial, Single-Dose (0069-1309-01)",73.9,73.9,,,0 HCPCS,Q5107,Inj mvasi 10 mg,,,27.86,53.37,9 HCPCS,Q5107,Mvasi: 1 Vial In 1 Carton (55513-206-01) / 4 Ml In 1 Vial,467.615,467.615,,,0 HCPCS,Q5107,Mvasi: 1 Vial In 1 Carton (55513-207-01) / 16 Ml In 1 Vial,467.47,467.47,,,0 HCPCS,Q5108,Fulphila: 1 Syringe In 1 Carton (83257-005-41) / .6 Ml In 1 Syringe,1144.99,1144.99,,,0 HCPCS,Q5108,"Injection, fulphila",,,99.13,299.44,9 HCPCS,Q5110,NDC Description Not Available,4.89,4.89,,,0 HCPCS,Q5110,Nivestym,,,0.3,0.69,9 HCPCS,Q5110,Nivestym: 1 Syringe In 1 Carton (0069-0291-01) / .5 Ml In 1 Syringe,4.53,4.53,,,0 HCPCS,Q5110,Nivestym: 1 Syringe In 1 Carton (0069-0292-01) / .8 Ml In 1 Syringe,4.89,4.89,,,0 HCPCS,Q5110,Nivestym: 10 Carton In 1 Carton (0069-0292-10) / 1 Syringe In 1 Carton (0069-0292-01) / .8 Ml In 1 Syringe,4.89,4.89,,,0 HCPCS,Q5110,"Nivestym: 10 Vial, Single-Dose In 1 Carton (0069-0293-10) / 1 Ml In 1 Vial, Single-Dose (0069-0293-01)",4.89,4.89,,,0 HCPCS,Q5110,"Nivestym: 10 Vial, Single-Dose In 1 Carton (0069-0294-10) / 1.6 Ml In 1 Vial, Single-Dose (0069-0294-01)",4.89,4.89,,,0 HCPCS,Q5110,Releuko: 1 Syringe In 1 Box (70121-1568-1) / .5 Ml In 1 Syringe,7.1,7.1,,,0 HCPCS,Q5110,Releuko: 1 Syringe In 1 Box (70121-1570-1) / .8 Ml In 1 Syringe,3.55,3.55,,,0 HCPCS,Q5110,Releuko: 10 Syringe In 1 Box (70121-1568-7) / .5 Ml In 1 Syringe,7.1,7.1,,,0 HCPCS,Q5111,"Injection, udenyca 0.5 mg",,,106.33,251.67,9 HCPCS,Q5112,Inj ontruzant 10 mg,,,19.0,112.65,9 HCPCS,Q5113,"Herzuma: 1 Kit In 1 Carton (63459-305-47) * 50 Ml In 1 Vial, Multi-Dose (63459-307-41) * 20 Ml In 1 Vial (63459-221-20)",626.11,626.11,,,0 HCPCS,Q5113,"Herzuma: 1 Vial, Single-Dose In 1 Carton (63459-303-43) / 20 Ml In 1 Vial, Single-Dose",626.45,626.45,,,0 HCPCS,Q5113,Inj herzuma 10 mg,,,66.73,143.36,9 HCPCS,Q5113,NDC Description Not Available,621.98,621.98,,,0 HCPCS,Q5114,Inj ogivri 10 mg,,,40.29,106.51,9 HCPCS,Q5114,"Ogivri: 1 Kit In 1 Carton (83257-004-12) * 20 Ml In 1 Vial, Multi-Dose (83257-003-11) * 20 Ml In 1 Vial (83257-002-11)",414.52,414.52,,,0 HCPCS,Q5115,Inj truxima 10 mg,,,29.38,108.0,9 HCPCS,Q5115,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-103-10) / 10 Ml In 1 Vial, Single-Use",566.46,566.46,,,0 HCPCS,Q5115,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-104-50) / 50 Ml In 1 Vial, Single-Use",566.52,566.52,,,0 HCPCS,Q5116,"Inj., trazimera, 10 mg",,,27.99,61.56,9 HCPCS,Q5116,NDC Description Not Available,540.96,540.96,,,0 HCPCS,Q5117,"Inj., kanjinti, 10 mg",,,47.55,80.07,9 HCPCS,Q5117,"Kanjinti: 1 Vial, Multi-Dose In 1 Carton (55513-132-01) / 20 Ml In 1 Vial, Multi-Dose",605.35,605.35,,,0 HCPCS,Q5117,"Kanjinti: 1 Vial, Single-Dose In 1 Carton (55513-141-01) / 7.15 Ml In 1 Vial, Single-Dose",650.935,650.935,,,0 HCPCS,Q5117,NDC Description Not Available,696.09,696.09,,,0 HCPCS,Q5118,"Inj., zirabev, 10 mg",,,25.77,70.2,9 HCPCS,Q5118,"Zirabev: 1 Vial, Single-Use In 1 Carton (0069-0315-01) / 4 Ml In 1 Vial, Single-Use",410.83,410.83,,,0 HCPCS,Q5118,"Zirabev: 1 Vial, Single-Use In 1 Carton (0069-0342-01) / 16 Ml In 1 Vial, Single-Use",410.96,410.96,,,0 HCPCS,Q5119,"Inj ruxience, 10 mg",,,27.84,49.03,9 HCPCS,Q5119,"Ruxience: 1 Vial, Single-Use In 1 Carton (0069-0238-01) / 10 Ml In 1 Vial, Single-Use",480.21,480.21,,,0 HCPCS,Q5119,"Ruxience: 1 Vial, Single-Use In 1 Carton (0069-0249-01) / 50 Ml In 1 Vial, Single-Use",480.26,480.26,,,0 HCPCS,Q5120,Inj pegfilgrastim-bmez 0.5mg,,,30.32,180.92,9 HCPCS,Q5121,"Avsola: 1 Vial, Single-Dose In 1 Carton (55513-670-01) / 10 Ml In 1 Vial, Single-Dose",335.0,335.0,,,0 HCPCS,Q5121,"Inj. avsola, 10 mg",,,20.4,57.68,9 HCPCS,Q5122,"Inj, nyvepria",,,131.16,283.15,9 HCPCS,Q5123,"Inj. riabni, 10 mg",,,26.51,70.47,9 HCPCS,Q5123,"Riabni: 1 Vial, Single-Dose In 1 Carton (55513-224-01) / 10 Ml In 1 Vial, Single-Dose",480.22,480.22,,,0 HCPCS,Q5123,"Riabni: 1 Vial, Single-Dose In 1 Carton (55513-326-01) / 50 Ml In 1 Vial, Single-Dose",479.43,479.43,,,0 HCPCS,Q5124,"Byooviz: 1 Vial, Single-Dose In 1 Carton (64406-019-01) / .05 Ml In 1 Vial, Single-Dose (64406-019-07)",1559.63,1559.63,,,0 HCPCS,Q5124,"Inj. byooviz, 0.1 mg",,,61.8,279.18,7 HCPCS,Q5125,"Inj, releuko 1 mcg",,,0.38,0.74,7 HCPCS,Q5125,Releuko: 1 Syringe In 1 Box (70121-1568-1) / .5 Ml In 1 Syringe,3.55,3.55,,,0 HCPCS,Q5125,Releuko: 1 Syringe In 1 Box (70121-1570-1) / .8 Ml In 1 Syringe,3.55,3.55,,,0 HCPCS,Q5125,Releuko: 10 Syringe In 1 Box (70121-1570-7) / .8 Ml In 1 Syringe,3.55,3.55,,,0 HCPCS,Q5126,Alymsys: 1 Vial In 1 Carton (70121-1754-1) / 4 Ml In 1 Vial,481.16,481.16,,,0 HCPCS,Q5126,Alymsys: 1 Vial In 1 Carton (70121-1755-1) / 16 Ml In 1 Vial,481.46,481.46,,,0 HCPCS,Q5126,Inj alymsys 10 mg,,,37.82,166.55,8 HCPCS,Q5127,"Inj, stimufend, 0.5 mg",,,184.91,700.0,8 HCPCS,Q5128,"Cimerli: 1 Vial, Single-Dose In 1 Carton (61314-624-94) / .05 Ml In 1 Vial, Single-Dose",1822.4,1822.4,,,0 HCPCS,Q5128,"Cimerli: 1 Vial, Single-Dose In 1 Carton (61314-625-94) / .05 Ml In 1 Vial, Single-Dose",1822.4,1822.4,,,0 HCPCS,Q5128,"Cimerli: 1 Vial, Single-Dose In 1 Carton (70114-440-01) / .05 Ml In 1 Vial, Single-Dose",1822.4,1822.4,,,0 HCPCS,Q5128,"Cimerli: 1 Vial, Single-Dose In 1 Carton (70114-441-01) / .05 Ml In 1 Vial, Single-Dose",1822.4,1822.4,,,0 HCPCS,Q5128,"Inj, cimerli, 0.1 mg",,,86.16,377.55,8 HCPCS,Q5129,"Inj, vegzelma, 10 mg",,,39.96,136.29,8 HCPCS,Q5130,Fylnetra: 1 Syringe In 1 Carton (70121-1627-1) / .6 Ml In 1 Syringe,1395.83,1395.83,,,0 HCPCS,Q5130,"Inj, fylnetra, 0.5 mg",,,137.96,419.16,8 HCPCS,Q5133,"Inj, tofidence, 1 mg",,,5.54,9.9,8 HCPCS,Q5134,"Inj, tyruko, 1 mg",,,37.4,37.4,1 HCPCS,Q5135,"Inj, tyenne, 1 mg",,,4.42,6.78,7 HCPCS,Q5135,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-590-04) / 4 Ml In 1 Vial, Single-Dose",32.8,32.8,,,0 HCPCS,Q5135,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-592-10) / 10 Ml In 1 Vial, Single-Dose",32.8,32.8,,,0 HCPCS,Q5135,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-594-20) / 20 Ml In 1 Vial, Single-Dose",32.8,32.8,,,0 HCPCS,Q5136,"Inj. denosumab-bbdz, 1 mg",,,27.54,39.93,6 HCPCS,Q5137,"Inj, wezlana, sub cu, 1 mg",,,85.2,364.11,3 HCPCS,Q5138,"Inj, wezlana, iv, 1 mg",,,11.64,561.2,8 HCPCS,Q5139,"Inj, eculizumab-aeeb, 10 mg",,,352.64,352.64,1 HCPCS,Q5140,"Inj adalimumab-fkjp, 1 mg",,,143.78,143.78,1 HCPCS,Q5141,"Inj adalimumab-aaty, 1 mg",,,71.89,71.89,1 HCPCS,Q5142,"Inj adalimumab-ryvk, 1 mg",,,17.39,17.86,2 HCPCS,Q5143,"Inj adalimumab-adbm, 1 mg",,,17.21,17.21,1 HCPCS,Q5144,"Inj, idacio, 1 mg",,,24.78,30.94,2 HCPCS,Q5145,"Inj, abrilada, 1 mg",,,211.32,211.32,1 HCPCS,Q5146,"Inj, hercessi, 10 mg",,,40.02,181.34,8 HCPCS,Q5147,"Inj, aflibercept-ayyh, 1 mg",,,859.36,1289.04,6 HCPCS,Q5148,"Inj, nyposi 1 mcg",,,0.55,1.0,6 HCPCS,Q5151,"Inj, eculizumab-aagh, 2 mg",,,31.35,45.46,5 HCPCS,Q5152,"Inj, eculizumab-aeeb, 2 mg?",,,40.31,58.45,5 HCPCS,Q9950,Inj sulf hexa lipid microsph,,,25.1,34.39,5 HCPCS,Q9951,"LOCM >= 400 mg/ml iodine,1ml",,,4.13,4.13,1 HCPCS,Q9953,"Inj fe-based mr contrast,1ml",,,83.77,100.76,2 HCPCS,Q9954,"Oral MR contrast, 100 ml",,,14.54,14.54,1 HCPCS,Q9955,"Inj perflexane lip micros,ml",,,17.89,29.97,3 HCPCS,Q9956,Hc Optison Inj Per Ml,264.08000000000004,264.08000000000004,,,0 HCPCS,Q9956,"Inj octafluoropropane mic,ml",,,51.07,76.22,5 HCPCS,Q9957,Hc Definity Per Ml,316.0,316.0,,,0 HCPCS,Q9957,"Inj perflutren lip micros,ml",,,55.62,76.48,5 HCPCS,Q9957,"Isovue 300: 10 Vial, Single-Dose In 1 Box (0270-1315-25) / 30 Ml In 1 Vial, Single-Dose",200.0,200.0,,,0 HCPCS,Q9958,Cystografin Dilute: 10 Bottle In 1 Package (0270-1410-30) / 300 Ml In 1 Bottle,0.82,0.82,,,0 HCPCS,Q9958,Cystografin: 10 Bottle In 1 Package (0270-0149-57) / 300 Ml In 1 Bottle,2.0,2.0,,,0 HCPCS,Q9958,"HOCM <=149 mg/ml iodine, 1ml",,,0.09,0.69,4 HCPCS,Q9958,"Hc Cystografin-Hocm Up To 149Mg/Ml Iodine, Per Ml-100 Ml Via",1.0,1.0,,,0 HCPCS,Q9960,"HOCM 200-249mg/ml iodine,1ml",,,0.38,0.69,2 HCPCS,Q9961,"HOCM 250-299mg/ml iodine,1ml",,,0.36,0.69,4 HCPCS,Q9962,"HOCM 300-349mg/ml iodine,1ml",,,0.24,0.69,2 HCPCS,Q9962,Hc Cystografin-High Osmolar Up To 300-349Mg/Ml Iodine Per Ml,1.0,1.0,,,0 HCPCS,Q9963,"HOCM 350-399mg/ml iodine,1ml",,,0.3,0.69,4 HCPCS,Q9964,"Hocm>= 400mg/ml iodine, 1ml",,,0.39,0.69,2 HCPCS,Q9965,Hc Omnipaque.Pluspak.140Mg.1-50Ml,1.0,1.0,,,0 HCPCS,Q9965,Hc Omnipaque.Vial.140Mgi/Ml-50Ml,1.0,1.0,,,0 HCPCS,Q9965,Hc Omnipaque.Vial.180Mg.1-10Ml,1.0,1.0,,,0 HCPCS,Q9965,Hc Omnipaque.Vial.180Mg.11-20Ml,1.0,1.0,,,0 HCPCS,Q9965,"LOCM 100-199mg/ml iodine,1ml",,,1.44,2.43,4 HCPCS,Q9965,Noncdm Charge Record Pharmacy,213.83,213.83,,,0 HCPCS,Q9965,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1401-52) / 50 Ml In 1 Bottle, Plastic",9.47,9.47,,,0 HCPCS,Q9965,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1411-10) / 10 Ml In 1 Vial, Glass",58.2,58.2,,,0 HCPCS,Q9966,Hc Omnipaque.Pluspak.240Mg.1-50Ml,1.0,1.0,,,0 HCPCS,Q9966,Hc Omnipaque.Vial.240Mg.1-10Ml,1.0,1.0,,,0 HCPCS,Q9966,"LOCM 200-299mg/ml iodine,1ml",,,0.61,0.78,4 HCPCS,Q9966,Noncdm Charge Record Pharmacy,46.47,46.47,,,0 HCPCS,Q9966,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1412-34) / 150 Ml In 1 Bottle, Plastic",4.62,4.62,,,0 HCPCS,Q9966,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1412-38) / 50 Ml In 1 Bottle, Plastic",5.25,5.25,,,0 HCPCS,Q9966,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1412-10) / 10 Ml In 1 Vial, Glass",30.45,30.45,,,0 HCPCS,Q9966,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1412-20) / 20 Ml In 1 Vial, Glass",49.51,49.51,,,0 HCPCS,Q9967,"10 BOTTLE, GLASS in 1 BOX (0407-1413-60) / 100 mL in 1 BOTTLE, GLASS",9.38,9.38,,,0 HCPCS,Q9967,"10 BOTTLE, GLASS in 1 BOX (0407-2223-04) / 200 mL in 1 BOTTLE, GLASS",8.72,8.72,,,0 HCPCS,Q9967,"10 BOTTLE, PLASTIC in 1 BOX (0407-1413-92) / 150 mL in 1 BOTTLE, PLASTIC",5.92,5.92,,,0 HCPCS,Q9967,Hc Omnipaque.Bottle.300Mg.1-50Ml,2.0,2.0,,,0 HCPCS,Q9967,Hc Omnipaque.Pluspak.300Mg.1-50Ml,2.0,2.0,,,0 HCPCS,Q9967,Hc Omnipaque.Pluspak.300Mg.101-150Ml,2.0,2.0,,,0 HCPCS,Q9967,Hc Omnipaque.Pluspak.300Mg.151-500Ml,2.0,2.0,,,0 HCPCS,Q9967,Hc Omnipaque.Pluspak.300Mg.51-100Ml,2.0,2.0,,,0 HCPCS,Q9967,Hc Omnipaque.Pluspak.350Mg.1-100Ml,2.0,2.0,,,0 HCPCS,Q9967,Hc Omnipaque.Pluspak.350Mg.1-50Ml,2.0,2.0,,,0 HCPCS,Q9967,Hc Omnipaque.Pluspak.350Mg.1-75Ml,2.0,2.0,,,0 HCPCS,Q9967,Hc Omnipaque.Pluspak.350Mg.101-150Ml,2.0,2.0,,,0 HCPCS,Q9967,Hc Omnipaque.Pluspak.350Mg.101-200Ml,2.0,2.0,,,0 HCPCS,Q9967,Hc Omnipaque.Pluspak.350Mg.151-500Ml,2.0,2.0,,,0 HCPCS,Q9967,Hc Omnipaque.Pluspak.350Mg.51-100Ml,2.0,2.0,,,0 HCPCS,Q9967,Hc Omnipaque.Vial.300Mg.1-50Ml,2.0,2.0,,,0 HCPCS,Q9967,Hc Visipaque.Bottle.320Mg.1-100Ml,2.0,2.0,,,0 HCPCS,Q9967,Hc Visipaque.Bottle.320Mg.101-150Ml,2.0,2.0,,,0 HCPCS,Q9967,Hc Visipaque.Pluspak.320Mg.1-50Ml,2.0,2.0,,,0 HCPCS,Q9967,Hc Visipaque.Pluspak.320Mg.101-200Ml,2.0,2.0,,,0 HCPCS,Q9967,Hc Visipaque.Pluspak.320Mg.151-200Ml,2.0,2.0,,,0 HCPCS,Q9967,Hc Visipaque.Pluspak.320Mg.51-100Ml,2.0,2.0,,,0 HCPCS,Q9967,Hc Visipaque.Pluspak.320Mg.51-150Ml,2.0,2.0,,,0 HCPCS,Q9967,Hc Visipaque.Widenckbttle.320Mg.1-50Ml,2.0,2.0,,,0 HCPCS,Q9967,Isovue 300: 10 Bottle In 1 Box (0270-1315-35) / 100 Ml In 1 Bottle,3.07,3.07,,,0 HCPCS,Q9967,"Isovue 300: 10 Vial, Single-Dose In 1 Box (0270-1315-25) / 30 Ml In 1 Vial, Single-Dose",2.0,2.0,,,0 HCPCS,Q9967,Isovue 370: 10 Vial In 1 Box (0270-1316-30) / 50 Ml In 1 Vial,3.44,3.44,,,0 HCPCS,Q9967,"LOCM 300-399mg/ml iodine,1ml",,,0.2,0.69,4 HCPCS,Q9967,Noncdm Charge Record Pharmacy,99.83,99.83,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-59) / 30 Ml In 1 Bottle, Plastic",10.82,10.82,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-61) / 50 Ml In 1 Bottle, Plastic",13.37,13.37,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-62) / 75 Ml In 1 Bottle, Plastic",2.0,2.0,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-63) / 100 Ml In 1 Bottle, Plastic",30.04,30.04,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-72) / 500 Ml In 1 Bottle, Plastic",5.67,5.67,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-89) / 50 Ml In 1 Bottle, Plastic",27.02,27.02,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-90) / 75 Ml In 1 Bottle, Plastic",7.74,7.74,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-91) / 100 Ml In 1 Bottle, Plastic",7.41,7.41,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-93) / 150 Ml In 1 Bottle, Plastic",6.22,6.22,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-94) / 200 Ml In 1 Bottle, Plastic",5.76,5.76,,,0 HCPCS,Q9967,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-16) / 50 Ml In 1 Bottle, Plastic",16.79,16.79,,,0 HCPCS,Q9967,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-17) / 100 Ml In 1 Bottle, Plastic",9.68,9.68,,,0 HCPCS,Q9967,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-19) / 150 Ml In 1 Bottle, Plastic",6.66,6.66,,,0 HCPCS,Q9967,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-21) / 200 Ml In 1 Bottle, Plastic",9.42,9.42,,,0 HCPCS,Q9968,Hc Inject Nonrad Methylene Blue,1.0,1.0,,,0 HCPCS,Q9968,"Isosulfan Blue: 6 Vial, Glass In 1 Carton (67457-220-05) / 5 Ml In 1 Vial, Glass (67457-220-00)",161.38,161.38,,,0 HCPCS,Q9968,Methylene Blue: 1 Vial In 1 Carton (54288-147-01) / 10 Ml In 1 Vial,34.64,34.64,,,0 HCPCS,Q9968,NDC Description Not Available,13.610000000000001,13.610000000000001,,,0 HCPCS,Q9968,Visualization adjunct,,,3.71,14.69,5 HCPCS,Q9969,Non-HEU TC-99M add-on/dose,,,16.5,16.5,1 HCPCS,Q9982,flutemetamol f18 diagnostic,,,1442.76,4406.4,5 HCPCS,Q9983,Hc Florbetaben,15790.0,15790.0,,,0 HCPCS,Q9983,NDC Description Not Available,808.78,808.78,,,0 HCPCS,Q9983,florbetaben f18 diagnostic,,,1584.67,4681.8,5 HCPCS,Q9991,Buprenorph xr 100 mg or less,,,2016.42,3656.62,9 HCPCS,Q9992,Buprenorphine xr over 100 mg,,,2016.42,3656.62,9 HCPCS,Q9996,Ustekinumab- ttwe sub cu inj,,,63.49,239.71,2 HCPCS,Q9997,Ustekinumab-ttwe iv inj 1 mg,,,9.29,19.09,7 HCPCS,Q9998,Ustekinumab-aekn inj,,,14.82,60.52,7 HCPCS,Q9999,Inj ustekinumab-aauz 1 mg,,,17.86,49.63,6 HCPCS,S0012,"Butorphanal tartrate, nasal spray, 25 mg",,,83.5,134.61,3 HCPCS,S0013,Description Not Available,,,18.23,33.08,3 HCPCS,S0014,"Tacrine HCl, 10mg",,,3.35,5.4,3 HCPCS,S0017,"Injection, aminocaproic acid, 5mg",,,11.31,18.07,2 HCPCS,S0020,"Injection, bupivicaine HCl, 30mg",,,4.16,4.16,1 HCPCS,S0021,"Injection, cefoperazone sodium, 1 g",,,20.66,33.3,3 HCPCS,S0023,"Injection, cimetidine HCl, 300 mg",,,3.29,5.31,3 HCPCS,S0028,"Injection, famotidine, 20mg",,,1.24,1.98,2 HCPCS,S0030,"Injection, metronidazole, 500mg",,,2.93,2.93,1 HCPCS,S0032,"Injection, nafcillin sodium, 2 g",,,29.19,30.89,2 HCPCS,S0034,"Injection, ofloxacin, 400 mg",,,3.64,48.84,3 HCPCS,S0039,"Injection, sulfamethoxazole and trimethoprim, 10 ml",,,17.41,27.84,2 HCPCS,S0040,"Injection, ticarcillin disodium and clavulanate potassium, 3.1 g",,,18.36,29.6,3 HCPCS,S0073,"Injection, aztreonam, 500 mg",,,20.13,20.13,1 HCPCS,S0074,"Injection, cefotetan disodium, 500 mg",,,16.67,26.88,3 HCPCS,S0077,"Injection, clindamycin phosphate, 300 mg",,,1.07,1.07,1 HCPCS,S0078,"Injection, fosphenytoin sodium, 750 mg",,,52.97,88.25,3 HCPCS,S0080,"Injection, pentamidine isethonate, 300 mg",,,134.53,216.89,3 HCPCS,S0081,"Injection, piperacillin sodium, 500 mg",,,2.4,3.87,3 HCPCS,S0088,"Imatinib, 100 mg",,,5.45,169.38,3 HCPCS,S0090,"Sildenafil citrate, 25 mg",,,0.36,76.88,3 HCPCS,S0091,"Granisetron HCl, 1mg (for circumstances falling under the Medicare Statute, use Q0166)",,,4.13,68.27,3 HCPCS,S0092,"Injection, hydromorphone HCl, 250 mg (loading dose for infusion pump)",,,73.74,185.19,3 HCPCS,S0093,"Injection, morphine sulfate, 500mg (loding dose for infusion pump)",,,8.34,24.14,3 HCPCS,S0104,"Zidovudine, oral, 100 mg",,,2.09,3.37,3 HCPCS,S0106,"Buproprion HCl sustained release tablit, 150 mg, per bottle of 60 tablets",,,21.2,134.23,3 HCPCS,S0108,"Mercaptopuine, oral, 50 mg",,,5.67,12.04,3 HCPCS,S0109,"Methadone, oral, 5 mg",,,0.42,0.69,3 HCPCS,S0117,"Tretinoin, topical, 5 g",,,5.21,8.33,3 HCPCS,S0119,Description Not Available,,,0.62,26.73,3 HCPCS,S0119,NDC Description Not Available,1.43,1.43,,,0 HCPCS,S0119,"Ondansetron Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (65862-187-30)",1.81,1.81,,,0 HCPCS,S0119,"Ondansetron Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (65862-188-30)",0.46,0.46,,,0 HCPCS,S0119,"Ondansetron Hydrochloride: 500 Tablet, Film Coated In 1 Bottle (57237-076-50)",1.71,1.71,,,0 HCPCS,S0119,"Ondansetron: 10 Tablet, Orally Disintegrating In 1 Box, Unit-Dose (68462-158-11)",3.0,3.0,,,0 HCPCS,S0119,"Ondansetron: 100 Blister Pack In 1 Carton (0904-6551-61) / 1 Tablet, Film Coated In 1 Blister Pack",1.3,1.3,,,0 HCPCS,S0119,"Ondansetron: 100 Blister Pack In 1 Carton (0904-6552-61) / 1 Tablet, Film Coated In 1 Blister Pack",0.55,0.55,,,0 HCPCS,S0119,"Ondansetron: 3 Blister Pack In 1 Carton (65862-391-10) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",0.79,0.79,,,0 HCPCS,S0119,"Ondansetron: 30 Tablet, Film Coated In 1 Bottle (55111-153-30)",6.0,6.0,,,0 HCPCS,S0119,Ondansetron: 500 Tablet In 1 Bottle (62135-351-05),5.9,5.9,,,0 HCPCS,S0122,"Injection, menotropins, 75 IU",,,311.52,560.46,3 HCPCS,S0126,"Injection, follitropin alfa, 75 IU",,,332.56,536.15,3 HCPCS,S0128,"Injection, follitropin beta, 75 IU",,,258.77,482.85,3 HCPCS,S0132,"Injection, ganirelix acetate, 250 mcg",,,258.67,417.03,3 HCPCS,S0136,"Clozapine, 25 mg",,,0.89,1.53,3 HCPCS,S0137,"Didanosine (ddI), 25 mg",,,0.77,1.25,3 HCPCS,S0138,"Finasteride, 5 mg",,,0.2,3.62,3 HCPCS,S0139,"Minoxidil, 10 mg",,,0.63,1.49,3 HCPCS,S0140,"Saquinavir, 200 mg",,,1.67,3.07,3 HCPCS,S0145,"pegylated interferon alfa-2a, 180 mcg/ ml",,,1417.84,2471.79,3 HCPCS,S0148,Peg interferon alfa-2B/10,,,208.81,333.96,3 HCPCS,S0155,"Sterile dilutant for epoprostenol, 50 ml",,,16.32,19.97,2 HCPCS,S0156,"Exemestane, 25 mg",,,3.06,23.4,3 HCPCS,S0157,"Becaplermin gel 0.01%, 0.5 gm",,,59.91,100.62,3 HCPCS,S0160,"Dextoamphetamine sulfate, 5 mg",,,0.96,3.36,3 HCPCS,S0164,"Injection, pantoprazole sodium, 40 mg",,,7.05,10.1,2 HCPCS,S0166,"Injection, olanzapine, 2.5 mg",,,12.15,17.95,2 HCPCS,S0169,Calcitrol,,,0.38,1.17,2 HCPCS,S0170,"Anastrozole, oral, 1 mg",,,0.88,15.41,3 HCPCS,S0171,"Injection, bumetanide, 0.5 mg",,,1.39,1.39,1 HCPCS,S0172,"Chlorambucil, oral, 2 mg",,,36.81,586.41,3 HCPCS,S0174,"Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180)",,,40.7,65.62,3 HCPCS,S0175,"Flutamide, oral, 125 mg",,,56.71,98.88,3 HCPCS,S0176,"Hydroxyurea, oral, 500 mg",,,0.74,1.34,3 HCPCS,S0177,"Levamisole HCl, oral, 50 mg",,,4.08,11.77,3 HCPCS,S0178,"Lomustine, oral, 10 mg",,,135.11,269.71,3 HCPCS,S0179,"Megestrol acetate, oral, 20 mg",,,0.5,0.8,3 HCPCS,S0182,"Procarbazine HCl, oral, 50 mg",,,260.08,329.71,3 HCPCS,S0183,"Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164)",,,0.63,0.76,3 HCPCS,S0187,"Tamoxifen citrate, oral, 10 mg",,,0.36,2.19,3 HCPCS,S0189,"testosterone pellet, 75 mg",,,144.77,233.4,3 HCPCS,S0190,"Mitepristone, oral, 200 mg",,,49.34,79.55,3 HCPCS,S0191,"Misoprostol, oral, 200 mcg",,,1.34,2.15,3 HCPCS,S0194,"Dialysis/stress vitamin supplement, oral, 100 capsules",,,13.57,77.77,2 HCPCS,S0199,Pr Med Abortion Inc All Ex Drug,3947.0,3947.0,,,0 HCPCS,S0199,Pr Med Abortion Inc All Ex Drug-Pbb,3947.0,3947.0,,,0 HCPCS,S0280,"Pr Medical Home, Initial Plan",208.0,208.0,,,0 HCPCS,S0281,"Pr Medical Home, Maintenance",416.0,416.0,,,0 HCPCS,S0281,"Pr Medical Home, Maintenance-Ocm,Pbb",73.0,73.0,,,0 HCPCS,S1091,Description Not Available,,,2151.42,2375.33,2 HCPCS,S3722,Description Not Available,,,19.05,19.05,1 HCPCS,S4024,Description Not Available,,,1280.61,1280.61,1 HCPCS,S4990,Nicotine patch legend,,,4.66,4.66,1 HCPCS,S4993,Contraceptive pills for bc,,,1.6,2.55,2 HCPCS,S4995,Smoking cessation gum,,,0.69,0.78,2 HCPCS,S5010,5% dextrose and 0.45% saline,,,2.92,17.54,3 HCPCS,S5012,5% dextrose with potassium,,,6.4,10.55,3 HCPCS,S5550,Insulin rapid 5 u,,,0.32,1.97,3 HCPCS,S5551,Insulin most rapid 5 u,,,0.5,1.01,2 HCPCS,S5552,Insulin intermed 5 u,,,0.32,0.96,2 HCPCS,S5553,Insulin long acting 5 u,,,0.69,1.34,2 HCPCS,S5561,Insulin reuse pen 3 ml,,,58.98,58.98,1 HCPCS,S5566,Insulin cartridge 300 u,,,37.0,37.0,1 HCPCS,S5570,Insulin dispos pen 1.5 ml,,,137.7,137.7,1 HCPCS,S5571,Insulin dispos pen 3 ml,,,43.81,43.81,1 HCPCS,S8490,100 insulin syringes,,,58.83,58.83,1 HCPCS,T5999,Noncdm Charge Record Medical Supplies,154.23,154.23,,,0 HCPCS,U0001,2019 nCoV diagnostic P,,,35.92,125.72,4 HCPCS,U0002,COVID-19 lab test non-CDC,,,51.31,179.59,4 HCPCS,V2524,Cntct lens hydrophil photoch,,,171.49,248.66,3 HCPCS,V2627,Noncdm Charge Record Medical Supplies,76.15,76.15,,,0 HCPCS,V2630,Noncdm Charge Record Medical Supplies,815.85,815.85,,,0 HCPCS,V2632,Noncdm Charge Record Medical Supplies,1170.55,1170.55,,,0 HCPCS,V2785,Noncdm Charge Record Acquisition,29578.24,29578.24,,,0 HCPCS,V2787,Noncdm Charge Record Medical Supplies,3846.15,3846.15,,,0 HCPCS,V2790,Noncdm Charge Record Medical Supplies,14274.14,14274.14,,,0 HCPCS,V5011,Hc Hearing Aid Fitting/Checking,150.0,150.0,,,0 HCPCS,V5011,Hc Hearing Aid Fitting/Checking Bi,300.0,300.0,,,0 HCPCS,V5014,Hc Hearing Aid Repair/Modification,250.0,250.0,,,0 HCPCS,V5020,Hc Conformity Evaluation (Verification/Validation),86.0,86.0,,,0 HCPCS,V5090,Hc Hearing Aid Dispensing Fee,150.0,150.0,,,0 HCPCS,V5160,Hc Dispensing Fee Binaural,160.0,160.0,,,0 HCPCS,V5171,Hc Hearing Aid Monaural Ite - Cros Transmitter,863.1,863.1,,,0 HCPCS,V5172,Hc Hearing Aid Monaural Itc - Cros Transmitter,863.1,863.1,,,0 HCPCS,V5181,Hc Hearing Aid Monaural Bte - Cros Transmitter,863.1,863.1,,,0 HCPCS,V5241,Hc Dispensing Fee Monaural,150.0,150.0,,,0 HCPCS,V5254,"Hc Hearing Aid, Digit, Mon, Cic - Premium",3005.1,3005.1,,,0 HCPCS,V5254,"Hc Hearing Id, Digit, Mon, Cic - Advanced",2226.0,2226.0,,,0 HCPCS,V5254,"Hc Hearing Id, Digit, Mon, Cic - Economy",890.4,890.4,,,0 HCPCS,V5254,"Hc Hearing Id, Digit, Mon, Cic - Standard",1335.6,1335.6,,,0 HCPCS,V5255,"Hc Hearing Aid, Digit, Mon, Itc - Advanced",2226.0,2226.0,,,0 HCPCS,V5255,"Hc Hearing Aid, Digit, Mon, Itc - Economy",890.4,890.4,,,0 HCPCS,V5255,"Hc Hearing Aid, Digit, Mon, Itc - Premium",3005.1,3005.1,,,0 HCPCS,V5255,"Hc Hearing Aid, Digit, Mon, Itc - Standard",1335.6,1335.6,,,0 HCPCS,V5256,"Hc Hearing Aid, Digit, Mon, Ite - Advanced",2226.0,2226.0,,,0 HCPCS,V5256,"Hc Hearing Aid, Digit, Mon, Ite - Economy",890.4,890.4,,,0 HCPCS,V5256,"Hc Hearing Aid, Digit, Mon, Ite - Premium",3005.1,3005.1,,,0 HCPCS,V5256,"Hc Hearing Aid, Digit, Mon, Ite - Standard",1335.6,1335.6,,,0 HCPCS,V5257,"Hc Hearing Aid, Digit, Mon, Bte - Advanced",2226.0,2226.0,,,0 HCPCS,V5257,"Hc Hearing Aid, Digit, Mon, Bte - Economy",890.4,890.4,,,0 HCPCS,V5257,"Hc Hearing Aid, Digit, Mon, Bte - Premium",3005.1,3005.1,,,0 HCPCS,V5257,"Hc Hearing Aid, Digit, Mon, Bte - Standard",1335.6,1335.6,,,0 HCPCS,V5258,"Hc Hearing Aid Digital, Binaural, Cic - Advanced",4452.0,4452.0,,,0 HCPCS,V5258,"Hc Hearing Aid Digital, Binaural, Cic - Economy",1780.8,1780.8,,,0 HCPCS,V5258,"Hc Hearing Aid Digital, Binaural, Cic - Premium",6010.2,6010.2,,,0 HCPCS,V5258,"Hc Hearing Aid Digital, Binaural, Cic - Standard",2671.2,2671.2,,,0 HCPCS,V5259,"Hc Hearing Aid Digital, Binaural, Itc - Advanced",4452.0,4452.0,,,0 HCPCS,V5259,"Hc Hearing Aid Digital, Binaural, Itc - Economy",1780.8,1780.8,,,0 HCPCS,V5259,"Hc Hearing Aid Digital, Binaural, Itc - Premium",6010.2,6010.2,,,0 HCPCS,V5259,"Hc Hearing Aid Digital, Binaural, Itc - Standard",2671.2,2671.2,,,0 HCPCS,V5260,"Hc Hearing Aid Digital, Binaural, Ite - Advanced",4452.0,4452.0,,,0 HCPCS,V5260,"Hc Hearing Aid Digital, Binaural, Ite - Economy",1780.8,1780.8,,,0 HCPCS,V5260,"Hc Hearing Aid Digital, Binaural, Ite - Premium",6010.2,6010.2,,,0 HCPCS,V5260,"Hc Hearing Aid Digital, Binaural, Ite - Standard",2671.2,2671.2,,,0 HCPCS,V5261,"Hc Hearing Aid Digital, Binaural, Bte - Advanced",4452.0,4452.0,,,0 HCPCS,V5261,"Hc Hearing Aid Digital, Binaural, Bte - Economy",1780.8,1780.8,,,0 HCPCS,V5261,"Hc Hearing Aid Digital, Binaural, Bte - Premium",6010.2,6010.2,,,0 HCPCS,V5261,"Hc Hearing Aid Digital, Binaural, Bte - Standard",2671.2,2671.2,,,0 HCPCS,V5264,"Hc Ear Mold/Insert,Not Disposable, Any Type",139.65,139.65,,,0 HCPCS,V5266,Hc Battery For Hearing Device,11.55,11.55,,,0 HCPCS,V5275,Hc Ear Impression,66.15,66.15,,,0 HCPCS,V5299,Hc Audiology Loss & Damage Deductible,288.0,288.0,,,0 HCPCS,V5299,Hc Hearing Service,29.0,29.0,,,0 MS-DRG,001,Heart Transplant Or Implant Of Heart Assist System With Mcc,,,266927.65,580262.87,16 MS-DRG,002,Heart Transplant Or Implant Of Heart Assist System Without Mcc,,,107935.4,234636.25,16 MS-DRG,003,"Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major",,,202170.03,439488.99,16 MS-DRG,004,"Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R.",,,131934.59,286807.09,16 MS-DRG,005,Liver Transplant With Mcc Or Intestinal Transplant,,,98207.51,213489.21,16 MS-DRG,006,Liver Transplant Without Mcc,,,44167.43,96013.72,16 MS-DRG,007,Lung Transplant,,,123350.66,268146.84,16 MS-DRG,008,Simultaneous Pancreas And Kidney Transplant,,,53383.82,116048.85,16 MS-DRG,009,Bone marrow transplant,,,,,0 MS-DRG,010,Pancreas Transplant,,,68348.54,148580.04,16 MS-DRG,011,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc",,,51950.3,112932.59,16 MS-DRG,012,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc",,,40157.4,87296.5,16 MS-DRG,013,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc",,,27449.15,59670.55,16 MS-DRG,014,Allogeneic Bone Marrow Transplant,,,114470.5,248842.64,16 MS-DRG,016,Autologous Bone Marrow Transplant With Cc/Mcc,,,56480.39,122780.37,16 MS-DRG,017,Autologous Bone Marrow Transplant Without Cc/Mcc,,,51742.66,112481.2,16 MS-DRG,018,Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies,,,411316.17,894143.06,16 MS-DRG,019,Simultaneous Pancreas And Kidney Transplant With Hemodialysis,,,67957.07,147729.03,16 MS-DRG,020,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc,,,74950.32,162931.37,16 MS-DRG,021,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc,,,50423.45,109613.42,16 MS-DRG,022,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc,,,30264.74,65791.24,16 MS-DRG,023,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla,,,54581.11,118651.59,16 MS-DRG,024,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc,,,37260.85,80999.8,16 MS-DRG,025,Craniotomy And Endovascular Intracranial Procedures With Mcc,,,43307.32,94143.97,16 MS-DRG,026,Craniotomy And Endovascular Intracranial Procedures With Cc,,,29615.13,64379.1,16 MS-DRG,027,Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc,,,24030.62,52239.17,16 MS-DRG,028,Spinal Procedures With Mcc,,,57229.06,124407.86,16 MS-DRG,029,Spinal Procedures With Cc Or Spinal Neurostimulators,,,32495.49,70640.59,16 MS-DRG,030,Spinal Procedures Without Cc/Mcc,,,20909.28,45453.81,16 MS-DRG,031,Ventricular Shunt Procedures With Mcc,,,42676.76,92773.23,16 MS-DRG,032,Ventricular Shunt Procedures With Cc,,,20297.78,44124.49,16 MS-DRG,033,Ventricular Shunt Procedures Without Cc/Mcc,,,15839.12,34432.01,16 MS-DRG,034,Carotid Artery Stent Procedures With Mcc,,,36868.42,80146.71,16 MS-DRG,035,Carotid Artery Stent Procedures With Cc,,,22769.51,49497.69,16 MS-DRG,036,Carotid Artery Stent Procedures Without Cc/Mcc,,,18505.17,40227.62,16 MS-DRG,037,Extracranial Procedures With Mcc,,,31357.25,68166.22,16 MS-DRG,038,Extracranial Procedures With Cc,,,15455.27,33597.56,16 MS-DRG,039,Extracranial Procedures Without Cc/Mcc,,,11196.64,24339.9,16 MS-DRG,040,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc",,,36777.93,79950.01,16 MS-DRG,041,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator",,,20942.62,45526.28,16 MS-DRG,042,"Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc",,,16456.34,35773.76,16 MS-DRG,043,Hyphema,,,,,0 MS-DRG,044,Acute Major Eye Infections,,,,,0 MS-DRG,045,Neurological eye disorders,,,,,0 MS-DRG,046,Other Disorders of the Eye Age >17 w CC,,,,,0 MS-DRG,047,Other Disorders of the Eye Age >17 w/o CC,,,,,0 MS-DRG,048,Other Disorders of the Eye Age 0-17,,,,,0 MS-DRG,049,Major Head & Neck Procedures,,,,,0 MS-DRG,050,Sialoadenectomy,,,,,0 MS-DRG,051,Salivary Gland Procedures Except Sialoadenectomy,,,,,0 MS-DRG,052,Spinal Disorders And Injuries With Cc/Mcc,,,17252.63,37504.78,16 MS-DRG,053,Spinal Disorders And Injuries Without Cc/Mcc,,,9326.88,20275.32,16 MS-DRG,054,Nervous System Neoplasms With Mcc,,,14543.72,31615.99,16 MS-DRG,055,Nervous System Neoplasms Without Mcc,,,9711.69,21111.84,16 MS-DRG,056,Degenerative Nervous System Disorders With Mcc,,,22127.53,48102.11,16 MS-DRG,057,Degenerative Nervous System Disorders Without Mcc,,,12340.59,26826.69,16 MS-DRG,058,Multiple Sclerosis And Cerebellar Ataxia With Mcc,,,16282.99,35396.91,16 MS-DRG,059,Multiple Sclerosis And Cerebellar Ataxia With Cc,,,11819.57,25694.08,16 MS-DRG,060,Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc,,,8761.1,19045.38,16 MS-DRG,061,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc",,,26261.38,57088.51,16 MS-DRG,062,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc",,,16737.33,36384.58,16 MS-DRG,063,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc",,,13371.2,29067.08,16 MS-DRG,064,Intracranial Hemorrhage Or Cerebral Infarction With Mcc,,,19154.78,41639.77,16 MS-DRG,065,Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours,,,9623.11,20919.27,16 MS-DRG,066,Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc,,,6518.91,14171.19,16 MS-DRG,067,Precerebral Occlusion Without Infarction With Mcc,,,13989.37,30410.9,16 MS-DRG,068,Precerebral Occlusion Without Infarction Without Mcc,,,8233.41,17898.27,16 MS-DRG,069,Transient Ischemia Without Thrombolytic,,,7608.57,16539.95,16 MS-DRG,070,Other Cerebrovascular Disorders With Mcc,,,15857.22,34471.35,16 MS-DRG,071,Other Cerebrovascular Disorders With Cc,,,9772.65,21244.36,16 MS-DRG,072,Other Cerebrovascular Disorders Without Cc/Mcc,,,7202.81,15657.88,16 MS-DRG,073,Cranial And Peripheral Nerve Disorders With Mcc,,,15280.96,33218.64,16 MS-DRG,074,Cranial And Peripheral Nerve Disorders Without Mcc,,,9818.37,21343.74,16 MS-DRG,075,Viral Meningitis With Cc/Mcc,,,18264.19,39703.76,16 MS-DRG,076,Viral Meningitis Without Cc/Mcc,,,7860.03,17086.59,16 MS-DRG,077,Hypertensive Encephalopathy With Mcc,,,,,0 MS-DRG,078,Hypertensive Encephalopathy With Cc,,,,,0 MS-DRG,079,Hypertensive Encephalopathy Without Cc/Mcc,,,,,0 MS-DRG,080,Nontraumatic Stupor And Coma With Mcc,,,17240.25,37477.86,16 MS-DRG,081,Nontraumatic Stupor And Coma Without Mcc,,,8530.59,18544.29,16 MS-DRG,082,Traumatic Stupor And Coma >1 Hour With Mcc,,,21770.34,47325.63,16 MS-DRG,083,Traumatic Stupor And Coma >1 Hour With Cc,,,13295.0,28901.43,16 MS-DRG,084,Traumatic Stupor And Coma >1 Hour Without Cc/Mcc,,,9104.0,19790.79,16 MS-DRG,085,Traumatic Stupor And Coma <1 Hour With Mcc,,,21639.85,47041.96,16 MS-DRG,086,Traumatic Stupor And Coma <1 Hour With Cc,,,12408.22,26973.71,16 MS-DRG,087,Traumatic Stupor And Coma <1 Hour Without Cc/Mcc,,,8712.52,18939.78,16 MS-DRG,088,Concussion With Mcc,,,12875.9,27990.37,16 MS-DRG,089,Concussion With Cc,,,10464.17,22747.61,16 MS-DRG,090,Concussion Without Cc/Mcc,,,7840.98,17045.18,16 MS-DRG,091,Other Disorders Of Nervous System With Mcc,,,16727.81,36363.88,16 MS-DRG,092,Other Disorders Of Nervous System With Cc,,,9744.08,21182.24,16 MS-DRG,093,Other Disorders Of Nervous System Without Cc/Mcc,,,7584.76,16488.19,16 MS-DRG,094,Bacterial And Tuberculous Infections Of Nervous System With Mcc,,,33522.29,72872.7,16 MS-DRG,095,Bacterial And Tuberculous Infections Of Nervous System With Cc,,,24566.88,53404.92,16 MS-DRG,096,Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc,,,24566.88,53404.92,16 MS-DRG,097,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc,,,34402.4,74785.93,16 MS-DRG,098,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc,,,21858.92,47518.2,16 MS-DRG,099,Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc,,,12976.86,28209.85,16 MS-DRG,100,Seizures With Mcc,,,18448.02,40103.38,16 MS-DRG,101,Seizures Without Mcc,,,8597.27,18689.24,16 MS-DRG,102,Headaches With Mcc,,,10676.57,23209.36,16 MS-DRG,103,Headaches Without Mcc,,,7965.76,17316.43,16 MS-DRG,104,Cardiac Valve & Oth Major Cardiothoracic Proc w Cardiac Cath,,,,,0 MS-DRG,105,Cardiac Valve & Oth Major Cardiothoracic Proc w/o Cardiac Cath,,,,,0 MS-DRG,106,Coronary Bypass w PTCA,,,,,0 MS-DRG,107,No Longer Valid,,,,,0 MS-DRG,108,Other Cardiothoracic Procedures,,,,,0 MS-DRG,109,No Longer Valid,,,,,0 MS-DRG,110,Major Cardiovascular Procedures w CC,,,,,0 MS-DRG,111,Major Cardiovascular Procedures w/o CC,,,,,0 MS-DRG,112,No Longer Valid,,,,,0 MS-DRG,113,Orbital Procedures With Cc/Mcc,,,22394.23,48681.88,16 MS-DRG,114,Orbital Procedures Without Cc/Mcc,,,12887.33,28015.22,16 MS-DRG,115,Extraocular Procedures Except Orbit,,,14619.92,31781.64,16 MS-DRG,116,Intraocular Procedures With Cc/Mcc,,,17222.15,37438.52,16 MS-DRG,117,Intraocular Procedures Without Cc/Mcc,,,10333.67,22463.94,16 MS-DRG,118,Cardiac Pacemaker Device Replacement,,,,,0 MS-DRG,119,Vein ligation & stripping,,,,,0 MS-DRG,120,Other circulatory system O.R. procedures,,,,,0 MS-DRG,121,Acute Major Eye Infections With Cc/Mcc,,,11080.43,24087.29,16 MS-DRG,122,Acute Major Eye Infections Without Cc/Mcc,,,7484.75,16270.77,16 MS-DRG,123,Neurological Eye Disorders,,,7606.67,16535.81,16 MS-DRG,124,Other Disorders Of The Eye With Mcc Or Thrombolytic Agent,,,12602.53,27396.11,16 MS-DRG,125,Other Disorders Of The Eye Without Mcc,,,7313.3,15898.07,16 MS-DRG,126,Acute & Subacute Endocarditis,,,,,0 MS-DRG,127,Heart Failure & Shock,,,,,0 MS-DRG,128,Deep Vein Thrombophlebitis,,,,,0 MS-DRG,129,Major Head & Neck Procedures W Cc/Mcc Or Major Device,,,,,0 MS-DRG,130,Major Head & Neck Procedures W/O Cc/Mcc,,,,,0 MS-DRG,131,Cranial/Facial Procedures W Cc/Mcc,,,,,0 MS-DRG,132,Cranial/Facial Procedures W/O Cc/Mcc,,,,,0 MS-DRG,133,"Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/Mcc",,,,,0 MS-DRG,134,"Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/Mcc",,,,,0 MS-DRG,135,Sinus And Mastoid Procedures With Cc/Mcc,,,20669.25,44932.02,16 MS-DRG,136,Sinus And Mastoid Procedures Without Cc/Mcc,,,9670.73,21022.8,16 MS-DRG,137,Mouth Procedures With Cc/Mcc,,,14222.73,30918.2,16 MS-DRG,138,Mouth Procedures Without Cc/Mcc,,,8441.06,18349.66,16 MS-DRG,139,Salivary Gland Procedures,,,11770.04,25586.4,16 MS-DRG,140,Major Head And Neck Procedures With Mcc,,,40626.98,88317.3,16 MS-DRG,141,Major Head And Neck Procedures With Cc,,,20774.98,45161.86,16 MS-DRG,142,Major Head And Neck Procedures Without Cc/Mcc,,,15205.71,33055.06,16 MS-DRG,143,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc",,,35686.37,77577.1,16 MS-DRG,144,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc",,,16505.87,35881.43,16 MS-DRG,145,"Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc",,,11451.91,24894.82,16 MS-DRG,146,"Ear, Nose, Mouth And Throat Malignancy With Mcc",,,20168.24,43842.88,16 MS-DRG,147,"Ear, Nose, Mouth And Throat Malignancy With Cc",,,12111.04,26327.68,16 MS-DRG,148,"Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc",,,7592.38,16504.75,16 MS-DRG,149,Dysequilibrium,,,7158.99,15562.63,16 MS-DRG,150,Epistaxis With Mcc,,,12682.54,27570.04,16 MS-DRG,151,Epistaxis Without Mcc,,,6991.35,15198.2,16 MS-DRG,152,Otitis Media And Uri With Mcc,,,11260.46,24478.63,16 MS-DRG,153,Otitis Media And Uri Without Mcc,,,7031.36,15285.17,16 MS-DRG,154,"Other Ear, Nose, Mouth And Throat Diagnoses With Mcc",,,14892.34,32373.83,16 MS-DRG,155,"Other Ear, Nose, Mouth And Throat Diagnoses With Cc",,,8729.66,18977.05,16 MS-DRG,156,"Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc",,,6582.73,14309.92,16 MS-DRG,157,Dental And Oral Diseases With Mcc,,,16352.52,35548.06,16 MS-DRG,158,Dental And Oral Diseases With Cc,,,8665.85,18838.32,16 MS-DRG,159,Dental And Oral Diseases Without Cc/Mcc,,,6748.46,14670.2,16 MS-DRG,160,Hernia Procedures Except Inguinal & Femoral Age >17 w/o CC,,,,,0 MS-DRG,161,Inguinal & Femoral Hernia Procedures Age >17 w CC,,,,,0 MS-DRG,162,Inguinal & Femoral Hernia Procedures Age >17 w/o CC,,,,,0 MS-DRG,163,Major Chest Procedures With Mcc,,,42689.15,92800.15,16 MS-DRG,164,Major Chest Procedures With Cc,,,24041.1,52261.94,16 MS-DRG,165,Major Chest Procedures Without Cc/Mcc,,,18232.76,39635.43,16 MS-DRG,166,Other Respiratory System O.R. Procedures With Mcc,,,35601.59,77392.82,16 MS-DRG,167,Other Respiratory System O.R. Procedures With Cc,,,17177.39,37341.2,16 MS-DRG,168,Other Respiratory System O.R. Procedures Without Cc/Mcc,,,13014.96,28292.68,16 MS-DRG,169,Mouth Procedures w/o CC,,,,,0 MS-DRG,171,Other Digestive System O.R. Procedures w/o CC,,,,,0 MS-DRG,173,Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism,,,28350.21,61629.34,16 MS-DRG,174,G.I. hemorrhage w CC,,,,,0 MS-DRG,175,Pulmonary Embolism With Mcc Or Acute Cor Pulmonale,,,13083.54,28441.76,16 MS-DRG,176,Pulmonary Embolism Without Mcc,,,7667.63,16668.33,16 MS-DRG,177,Respiratory Infections And Inflammations With Mcc,,,14884.72,32357.27,16 MS-DRG,178,Respiratory Infections And Inflammations With Cc,,,9296.4,20209.06,16 MS-DRG,179,Respiratory Infections And Inflammations Without Cc/Mcc,,,7191.38,15633.03,16 MS-DRG,180,Respiratory Neoplasms With Mcc,,,16821.15,36566.8,16 MS-DRG,181,Respiratory Neoplasms With Cc,,,10201.28,22176.13,16 MS-DRG,182,Respiratory Neoplasms Without Cc/Mcc,,,7179.95,15608.18,16 MS-DRG,183,Major Chest Trauma With Mcc,,,14572.3,31678.11,16 MS-DRG,184,Major Chest Trauma With Cc,,,10135.55,22033.25,16 MS-DRG,185,Major Chest Trauma Without Cc/Mcc,,,7491.41,16285.27,16 MS-DRG,186,Pleural Effusion With Mcc,,,14844.71,32270.3,16 MS-DRG,187,Pleural Effusion With Cc,,,9421.18,20480.3,16 MS-DRG,188,Pleural Effusion Without Cc/Mcc,,,6831.33,14850.34,16 MS-DRG,189,Pulmonary Edema And Respiratory Failure,,,11767.19,25580.19,16 MS-DRG,190,Chronic Obstructive Pulmonary Disease With Mcc,,,10550.84,22936.04,16 MS-DRG,191,Chronic Obstructive Pulmonary Disease With Cc,,,8029.58,17455.16,16 MS-DRG,192,Chronic Obstructive Pulmonary Disease Without Cc/Mcc,,,6115.05,13293.25,16 MS-DRG,193,Simple Pneumonia And Pleurisy With Mcc,,,12519.66,27215.97,16 MS-DRG,194,Simple Pneumonia And Pleurisy With Cc,,,7676.2,16686.97,16 MS-DRG,195,Simple Pneumonia And Pleurisy Without Cc/Mcc,,,5986.46,13013.72,16 MS-DRG,196,Interstitial Lung Disease With Mcc,,,17975.58,39076.36,16 MS-DRG,197,Interstitial Lung Disease With Cc,,,9040.18,19652.06,16 MS-DRG,198,Interstitial Lung Disease Without Cc/Mcc,,,6821.81,14829.64,16 MS-DRG,199,Pneumothorax With Mcc,,,16803.05,36527.45,16 MS-DRG,200,Pneumothorax With Cc,,,10470.83,22762.11,16 MS-DRG,201,Pneumothorax Without Cc/Mcc,,,6811.33,14806.86,16 MS-DRG,202,Bronchitis And Asthma With Cc/Mcc,,,9250.68,20109.67,16 MS-DRG,203,Bronchitis And Asthma Without Cc/Mcc,,,6381.75,13873.02,16 MS-DRG,204,Respiratory Signs And Symptoms,,,7690.49,16718.02,16 MS-DRG,205,Other Respiratory System Diagnoses With Mcc,,,17440.28,37912.69,16 MS-DRG,206,Other Respiratory System Diagnoses Without Mcc,,,8963.98,19486.42,16 MS-DRG,207,Respiratory System Diagnosis With Ventilator Support >96 Hours,,,61290.52,133236.9,16 MS-DRG,208,Respiratory System Diagnosis With Ventilator Support <=96 Hours,,,26181.37,56914.58,16 MS-DRG,209,Complex Aortic Arch Procedures,,,107811.57,234367.07,16 MS-DRG,210,Hip & Femur Procedures Except Major Joint Age >17 w CC,,,,,0 MS-DRG,211,Hip & Femur Procedures Except Major Joint Age >17 w/o CC,,,,,0 MS-DRG,212,Concomitant Aortic And Mitral Valve Procedures,,,103575.8,225159.11,16 MS-DRG,213,Endovascular Abdominal Aorta With Iliac Branch Procedures,,,54358.22,118167.07,16 MS-DRG,214,No Longer Valid,,,,,0 MS-DRG,215,Other Heart Assist System Implant,,,94840.43,206169.64,16 MS-DRG,216,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc,,,93181.17,202562.66,16 MS-DRG,217,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc,,,62629.73,136148.16,16 MS-DRG,218,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc,,,62629.73,136148.16,16 MS-DRG,219,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc,,,73135.81,158986.88,16 MS-DRG,220,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc,,,50794.92,110420.96,16 MS-DRG,221,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M,,,48007.91,104362.38,16 MS-DRG,222,"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With Mcc",,,,,0 MS-DRG,223,"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without Mcc",,,,,0 MS-DRG,224,"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With Mcc",,,,,0 MS-DRG,225,"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without Mcc",,,,,0 MS-DRG,226,Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc,,,,,0 MS-DRG,227,Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc,,,,,0 MS-DRG,228,Other Cardiothoracic Procedures With Mcc,,,47123.99,102440.86,16 MS-DRG,229,Other Cardiothoracic Procedures Without Mcc,,,29998.99,65213.55,16 MS-DRG,230,Other cardiothoracic procedures w/o CC/MCC,,,,,0 MS-DRG,231,Coronary Bypass With Ptca With Mcc,,,80294.8,174549.51,16 MS-DRG,232,Coronary Bypass With Ptca Without Mcc,,,57746.27,125532.2,16 MS-DRG,233,Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc,,,72820.53,158301.51,16 MS-DRG,234,Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc,,,52032.22,113110.67,16 MS-DRG,235,Coronary Bypass Without Cardiac Catheterization With Mcc,,,55898.42,121515.23,16 MS-DRG,236,Coronary Bypass Without Cardiac Catheterization Without Mcc,,,39898.32,86733.29,16 MS-DRG,237,Major cardiovasc procedures w MCC,,,,,0 MS-DRG,238,Major cardiovasc procedures w/o MCC,,,,,0 MS-DRG,239,Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc,,,46879.19,101908.72,16 MS-DRG,240,Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc,,,27151.01,59022.45,16 MS-DRG,241,Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc,,,13186.41,28665.39,16 MS-DRG,242,Permanent Cardiac Pacemaker Implant With Mcc,,,30411.42,66110.12,16 MS-DRG,243,Permanent Cardiac Pacemaker Implant With Cc,,,20296.82,44122.42,16 MS-DRG,244,Permanent Cardiac Pacemaker Implant Without Cc/Mcc,,,17216.44,37426.1,16 MS-DRG,245,Aicd Generator Procedures,,,43456.86,94469.05,16 MS-DRG,246,Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents,,,,,0 MS-DRG,247,Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without Mcc,,,,,0 MS-DRG,248,Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents,,,,,0 MS-DRG,249,Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without Mcc,,,,,0 MS-DRG,250,Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc,,,20788.31,45190.85,16 MS-DRG,251,Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc,,,14235.11,30945.12,16 MS-DRG,252,Other Vascular Procedures With Mcc,,,33226.06,72228.74,16 MS-DRG,253,Other Vascular Procedures With Cc,,,24723.09,53744.49,16 MS-DRG,254,Other Vascular Procedures Without Cc/Mcc,,,16970.69,36891.88,16 MS-DRG,255,Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc,,,25692.74,55852.36,16 MS-DRG,256,Upper Limb And Toe Amputation For Circulatory System Disorders With Cc,,,16172.5,35156.72,16 MS-DRG,257,Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc,,,10403.21,22615.09,16 MS-DRG,258,Cardiac Pacemaker Device Replacement With Mcc,,,29928.5,65060.32,16 MS-DRG,259,Cardiac Pacemaker Device Replacement Without Mcc,,,19260.5,41869.6,16 MS-DRG,260,Cardiac Pacemaker Revision Except Device Replacement With Mcc,,,30982.92,67352.48,16 MS-DRG,261,Cardiac Pacemaker Revision Except Device Replacement With Cc,,,18007.01,39144.69,16 MS-DRG,262,Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc,,,15524.8,33748.71,16 MS-DRG,263,Vein Ligation And Stripping,,,29121.74,63306.52,16 MS-DRG,264,Other Circulatory System O.R. Procedures,,,31819.22,69170.46,16 MS-DRG,265,Aicd Lead Procedures,,,34463.36,74918.45,16 MS-DRG,266,Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc,,,58373.01,126894.65,16 MS-DRG,267,Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc,,,45346.62,98577.12,16 MS-DRG,268,Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc,,,65512.0,142413.8,16 MS-DRG,269,Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc,,,40225.98,87445.58,16 MS-DRG,270,Other Major Cardiovascular Procedures With Mcc,,,50256.76,109251.07,16 MS-DRG,271,Other Major Cardiovascular Procedures With Cc,,,33873.76,73636.75,16 MS-DRG,272,Other Major Cardiovascular Procedures Without Cc/Mcc,,,24317.33,52862.42,16 MS-DRG,273,Percutaneous And Other Intracardiac Procedures With Mcc,,,39295.39,85422.6,16 MS-DRG,274,Percutaneous And Other Intracardiac Procedures Without Mcc,,,31353.44,68157.94,16 MS-DRG,275,Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc,,,67917.06,147642.06,16 MS-DRG,276,Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator,,,57212.87,124372.66,16 MS-DRG,277,Cardiac Defibrillator Implant Without Mcc,,,43991.21,95630.66,16 MS-DRG,278,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc,,,53018.06,115253.74,16 MS-DRG,279,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc,,,34350.96,74674.12,16 MS-DRG,280,"Acute Myocardial Infarction, Discharged Alive With Mcc",,,15279.05,33214.49,16 MS-DRG,281,"Acute Myocardial Infarction, Discharged Alive With Cc",,,8754.43,19030.88,16 MS-DRG,282,"Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc",,,6887.53,14972.51,16 MS-DRG,283,"Acute Myocardial Infarction, Expired With Mcc",,,18867.12,41014.44,16 MS-DRG,284,"Acute Myocardial Infarction, Expired With Cc",,,6593.21,14332.69,16 MS-DRG,285,"Acute Myocardial Infarction, Expired Without Cc/Mcc",,,5704.52,12400.82,16 MS-DRG,286,"Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc",,,21076.92,45818.24,16 MS-DRG,287,"Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc",,,10192.7,22157.49,16 MS-DRG,288,Acute And Subacute Endocarditis With Mcc,,,25776.56,56034.58,16 MS-DRG,289,Acute And Subacute Endocarditis With Cc,,,16258.22,35343.07,16 MS-DRG,290,Acute And Subacute Endocarditis Without Cc/Mcc,,,8855.39,19250.37,16 MS-DRG,291,Heart Failure And Shock With Mcc,,,12228.2,26582.36,16 MS-DRG,292,Heart Failure And Shock With Cc,,,8086.73,17579.39,16 MS-DRG,293,Heart Failure And Shock Without Cc/Mcc,,,5391.15,11719.6,16 MS-DRG,294,Deep Vein Thrombophlebitis With Cc/Mcc,,,,,0 MS-DRG,295,Deep Vein Thrombophlebitis Without Cc/Mcc,,,,,0 MS-DRG,296,"Cardiac Arrest, Unexplained With Mcc",,,14877.1,32340.7,16 MS-DRG,297,"Cardiac Arrest, Unexplained With Cc",,,6038.85,13127.6,16 MS-DRG,298,"Cardiac Arrest, Unexplained Without Cc/Mcc",,,4334.83,9423.3,16 MS-DRG,299,Peripheral Vascular Disorders With Mcc,,,15551.47,33806.69,16 MS-DRG,300,Peripheral Vascular Disorders With Cc,,,10167.94,22103.66,16 MS-DRG,301,Peripheral Vascular Disorders Without Cc/Mcc,,,6855.14,14902.11,16 MS-DRG,302,Atherosclerosis With Mcc,,,11397.62,24776.8,16 MS-DRG,303,Atherosclerosis Without Mcc,,,6412.23,13939.28,16 MS-DRG,304,Hypertension With Mcc,,,11334.75,24640.14,16 MS-DRG,305,Hypertension Without Mcc,,,7192.33,15635.1,16 MS-DRG,306,Cardiac Congenital And Valvular Disorders With Mcc,,,15009.5,32628.51,16 MS-DRG,307,Cardiac Congenital And Valvular Disorders Without Mcc,,,8698.23,18908.72,16 MS-DRG,308,Cardiac Arrhythmia And Conduction Disorders With Mcc,,,11468.1,24930.02,16 MS-DRG,309,Cardiac Arrhythmia And Conduction Disorders With Cc,,,7007.54,15233.4,16 MS-DRG,310,Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc,,,5392.1,11721.67,16 MS-DRG,311,Angina Pectoris,,,6685.6,14533.54,16 MS-DRG,312,Syncope And Collapse,,,8301.99,18047.35,16 MS-DRG,313,Chest Pain,,,6858.0,14908.32,16 MS-DRG,314,Other Circulatory System Diagnoses With Mcc,,,19861.53,43176.15,16 MS-DRG,315,Other Circulatory System Diagnoses With Cc,,,9175.43,19946.09,16 MS-DRG,316,Other Circulatory System Diagnoses Without Cc/Mcc,,,6497.0,14123.56,16 MS-DRG,317,Concomitant Left Atrial Appendage Closure And Cardiac Ablation,,,63688.91,138450.67,16 MS-DRG,318,Percutaneous Coronary Atherectomy Without Intraluminal Device,,,23071.46,50154.07,16 MS-DRG,319,Other Endovascular Cardiac Valve Procedures With Mcc,,,42509.12,92408.81,16 MS-DRG,320,Other Endovascular Cardiac Valve Procedures Without Mcc,,,22910.48,49804.14,16 MS-DRG,321,Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal,,,25915.62,56336.88,16 MS-DRG,322,Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc,,,16792.58,36504.68,16 MS-DRG,323,Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc,,,41218.49,89603.14,16 MS-DRG,324,Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc,,,30013.28,65244.61,16 MS-DRG,325,Coronary Intravascular Lithotripsy Without Intraluminal Device,,,30579.06,66474.54,16 MS-DRG,326,"Stomach, Esophageal And Duodenal Procedures With Mcc",,,47504.99,103269.1,16 MS-DRG,327,"Stomach, Esophageal And Duodenal Procedures With Cc",,,23281.01,50609.61,16 MS-DRG,328,"Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc",,,15261.91,33177.22,16 MS-DRG,329,Major Small And Large Bowel Procedures With Mcc,,,43781.66,95175.13,16 MS-DRG,330,Major Small And Large Bowel Procedures With Cc,,,22833.33,49636.42,16 MS-DRG,331,Major Small And Large Bowel Procedures Without Cc/Mcc,,,16029.62,34846.13,16 MS-DRG,332,Rectal Resection With Mcc,,,34487.17,74970.21,16 MS-DRG,333,Rectal Resection With Cc,,,22309.46,48497.59,16 MS-DRG,334,Rectal Resection Without Cc/Mcc,,,15601.0,33914.36,16 MS-DRG,335,Peritoneal Adhesiolysis With Mcc,,,34012.82,73939.06,16 MS-DRG,336,Peritoneal Adhesiolysis With Cc,,,20085.37,43662.74,16 MS-DRG,337,Peritoneal Adhesiolysis Without Cc/Mcc,,,14620.88,31783.71,16 MS-DRG,338,Appendectomy With Complicated Principal Diagnosis With Mcc,,,,,0 MS-DRG,339,Appendectomy With Complicated Principal Diagnosis With Cc,,,,,0 MS-DRG,340,Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc,,,,,0 MS-DRG,341,Appendectomy Without Complicated Principal Diagnosis With Mcc,,,,,0 MS-DRG,342,Appendectomy Without Complicated Principal Diagnosis With Cc,,,,,0 MS-DRG,343,Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc,,,,,0 MS-DRG,344,Minor Small And Large Bowel Procedures With Mcc,,,24601.17,53479.46,16 MS-DRG,345,Minor Small And Large Bowel Procedures With Cc,,,14332.27,31156.32,16 MS-DRG,346,Minor Small And Large Bowel Procedures Without Cc/Mcc,,,11298.56,24561.46,16 MS-DRG,347,Anal And Stomal Procedures With Mcc,,,21865.59,47532.69,16 MS-DRG,348,Anal And Stomal Procedures With Cc,,,12466.32,27100.01,16 MS-DRG,349,Anal And Stomal Procedures Without Cc/Mcc,,,8292.47,18026.64,16 MS-DRG,350,Inguinal And Femoral Hernia Procedures With Mcc,,,23735.35,51597.28,16 MS-DRG,351,Inguinal And Femoral Hernia Procedures With Cc,,,14520.86,31566.3,16 MS-DRG,352,Inguinal And Femoral Hernia Procedures Without Cc/Mcc,,,11123.3,24180.47,16 MS-DRG,353,Hernia Procedures Except Inguinal And Femoral With Mcc,,,27641.55,60088.81,16 MS-DRG,354,Hernia Procedures Except Inguinal And Femoral With Cc,,,16024.86,34835.77,16 MS-DRG,355,Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc,,,12811.13,27849.57,16 MS-DRG,356,Other Digestive System O.R. Procedures With Mcc,,,41841.42,90957.32,16 MS-DRG,357,Other Digestive System O.R. Procedures With Cc,,,22150.39,48151.8,16 MS-DRG,358,Other Digestive System O.R. Procedures Without Cc/Mcc,,,13315.0,28944.92,16 MS-DRG,359,Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc,,,32752.67,71199.65,16 MS-DRG,360,Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc,,,22996.21,49990.5,16 MS-DRG,361,Laparoscopy & Incisional Tubal Interruption,,,,,0 MS-DRG,362,Endoscopic Tubal Interruption,,,,,0 MS-DRG,363,"D&C, Conization & Radio-Implant, for Malignancy",,,,,0 MS-DRG,364,"D&C, Conization Except for Malignancy",,,,,0 MS-DRG,365,Other Female Reproductive System O.R. Procedures,,,,,0 MS-DRG,366,"Malignancy, female reproductive system w CC",,,,,0 MS-DRG,367,"Malignancy, Female Reproductive System w/o CC",,,,,0 MS-DRG,368,Major Esophageal Disorders With Mcc,,,15162.85,32961.88,16 MS-DRG,369,Major Esophageal Disorders With Cc,,,9526.91,20710.14,16 MS-DRG,370,Major Esophageal Disorders Without Cc/Mcc,,,6675.12,14510.76,16 MS-DRG,371,Major Gastrointestinal Disorders And Peritoneal Infections With Mcc,,,16888.78,36713.81,16 MS-DRG,372,Major Gastrointestinal Disorders And Peritoneal Infections With Cc,,,9725.03,21140.83,16 MS-DRG,373,Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc,,,6928.49,15061.54,16 MS-DRG,374,Digestive Malignancy With Mcc,,,20371.12,44283.92,16 MS-DRG,375,Digestive Malignancy With Cc,,,11521.44,25045.98,16 MS-DRG,376,Digestive Malignancy Without Cc/Mcc,,,8803.96,19138.56,16 MS-DRG,377,Gastrointestinal Hemorrhage With Mcc,,,17411.7,37850.57,16 MS-DRG,378,Gastrointestinal Hemorrhage With Cc,,,9341.17,20306.37,16 MS-DRG,379,Gastrointestinal Hemorrhage Without Cc/Mcc,,,6004.56,13053.06,16 MS-DRG,380,Complicated Peptic Ulcer With Mcc,,,18689.96,40629.31,16 MS-DRG,381,Complicated Peptic Ulcer With Cc,,,10320.34,22434.95,16 MS-DRG,382,Complicated Peptic Ulcer Without Cc/Mcc,,,7625.72,16577.22,16 MS-DRG,383,Uncomplicated Peptic Ulcer With Mcc,,,13151.17,28588.77,16 MS-DRG,384,Uncomplicated Peptic Ulcer Without Mcc,,,8141.97,17699.49,16 MS-DRG,385,Inflammatory Bowel Disease With Mcc,,,15071.41,32763.1,16 MS-DRG,386,Inflammatory Bowel Disease With Cc,,,9299.26,20215.27,16 MS-DRG,387,Inflammatory Bowel Disease Without Cc/Mcc,,,6489.38,14107.0,16 MS-DRG,388,Gastrointestinal Obstruction With Mcc,,,14066.52,30578.62,16 MS-DRG,389,Gastrointestinal Obstruction With Cc,,,7522.85,16353.6,16 MS-DRG,390,Gastrointestinal Obstruction Without Cc/Mcc,,,5181.6,11264.06,16 MS-DRG,391,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc",,,12080.56,26261.42,16 MS-DRG,392,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc",,,7425.69,16142.4,16 MS-DRG,393,Other Digestive System Diagnoses With Mcc,,,15233.33,33115.11,16 MS-DRG,394,Other Digestive System Diagnoses With Cc,,,8912.54,19374.6,16 MS-DRG,395,Other Digestive System Diagnoses Without Cc/Mcc,,,6181.73,13438.19,16 MS-DRG,396,Red Blood Cell Disorders Age 0-17,,,,,0 MS-DRG,397,Appendix Procedures With Mcc,,,22811.42,49588.8,16 MS-DRG,398,Appendix Procedures With Cc,,,14417.04,31340.6,16 MS-DRG,399,Appendix Procedures Without Cc/Mcc,,,10903.27,23702.16,16 MS-DRG,400,No Longer Valid,,,,,0 MS-DRG,401,Lymphoma & non-acute leukemia w other O.R. proc w CC,,,,,0 MS-DRG,402,Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical,,,38295.26,83248.47,16 MS-DRG,403,Lymphoma & non-acute leukemia w CC,,,,,0 MS-DRG,404,Lymphoma & Non-Acute Leukemia w/o CC,,,,,0 MS-DRG,405,"Pancreas, Liver And Shunt Procedures With Mcc",,,52106.51,113272.17,16 MS-DRG,406,"Pancreas, Liver And Shunt Procedures With Cc",,,27624.41,60051.54,16 MS-DRG,407,"Pancreas, Liver And Shunt Procedures Without Cc/Mcc",,,21141.69,45959.04,16 MS-DRG,408,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc,,,33962.34,73829.31,16 MS-DRG,409,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc,,,20738.78,45083.17,16 MS-DRG,410,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc,,,15122.84,32874.92,16 MS-DRG,411,Cholecystectomy With C.D.E. With Mcc,,,31463.93,68398.13,16 MS-DRG,412,Cholecystectomy With C.D.E. With Cc,,,20026.31,43534.37,16 MS-DRG,413,Cholecystectomy With C.D.E. Without Cc/Mcc,,,15816.26,34382.31,16 MS-DRG,414,Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc,,,33933.77,73767.2,16 MS-DRG,415,Cholecystectomy Except By Laparoscope Without C.D.E. With Cc,,,19685.32,42793.09,16 MS-DRG,416,Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc,,,12985.43,28228.49,16 MS-DRG,417,Laparoscopic Cholecystectomy Without C.D.E. With Mcc,,,22730.46,49412.8,16 MS-DRG,418,Laparoscopic Cholecystectomy Without C.D.E. With Cc,,,16112.49,35026.27,16 MS-DRG,419,Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc,,,13009.25,28280.25,16 MS-DRG,420,Hepatobiliary Diagnostic Procedures With Mcc,,,32452.63,70547.41,16 MS-DRG,421,Hepatobiliary Diagnostic Procedures With Cc,,,16549.69,35976.68,16 MS-DRG,422,Hepatobiliary Diagnostic Procedures Without Cc/Mcc,,,13330.24,28978.05,16 MS-DRG,423,Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc,,,39557.33,85992.02,16 MS-DRG,424,Other Hepatobiliary Or Pancreas O.R. Procedures With Cc,,,20839.75,45302.66,16 MS-DRG,425,Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc,,,14290.36,31065.21,16 MS-DRG,426,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made,,,104976.93,228204.97,16 MS-DRG,427,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc,,,68757.17,149468.33,16 MS-DRG,428,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc,,,53549.55,116409.13,16 MS-DRG,429,Combined Anterior And Posterior Cervical Spinal Fusion With Mcc,,,85816.44,186552.78,16 MS-DRG,430,Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc,,,54931.63,119413.57,16 MS-DRG,431,Childhood Mental Disorders,,,,,0 MS-DRG,432,Cirrhosis And Alcoholic Hepatitis With Mcc,,,18747.11,40753.55,16 MS-DRG,433,Cirrhosis And Alcoholic Hepatitis With Cc,,,10060.31,21869.68,16 MS-DRG,434,Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc,,,6786.56,14753.03,16 MS-DRG,435,Malignancy Of Hepatobiliary System Or Pancreas With Mcc,,,17494.57,38030.71,16 MS-DRG,436,Malignancy Of Hepatobiliary System Or Pancreas With Cc,,,10773.73,23420.56,16 MS-DRG,437,Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc,,,8127.68,17668.43,16 MS-DRG,438,Disorders Of Pancreas Except Malignancy With Mcc,,,15527.66,33754.92,16 MS-DRG,439,Disorders Of Pancreas Except Malignancy With Cc,,,8012.43,17417.89,16 MS-DRG,440,Disorders Of Pancreas Except Malignancy Without Cc/Mcc,,,5918.84,12866.71,16 MS-DRG,441,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc",,,17094.52,37161.06,16 MS-DRG,442,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc",,,9194.48,19987.5,16 MS-DRG,443,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc",,,6664.64,14487.99,16 MS-DRG,444,Disorders Of The Biliary Tract With Mcc,,,15915.32,34597.66,16 MS-DRG,445,Disorders Of The Biliary Tract With Cc,,,10424.16,22660.65,16 MS-DRG,446,Disorders Of The Biliary Tract Without Cc/Mcc,,,7880.03,17130.07,16 MS-DRG,447,Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody,,,63642.24,138349.21,16 MS-DRG,448,Multiple Level Spinal Fusion Except Cervical Without Mcc,,,40393.62,87810.0,16 MS-DRG,449,Poisoning & toxic Effects of Drugs Age >17 w CC,,,,,0 MS-DRG,450,Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F,,,50764.44,110354.7,16 MS-DRG,451,Single Level Spinal Fusion Except Cervical Without Mcc,,,30769.56,66888.66,16 MS-DRG,452,Complications of treatment w CC,,,,,0 MS-DRG,453,Combined Anterior And Posterior Spinal Fusion With Mcc,,,,,0 MS-DRG,454,Combined Anterior And Posterior Spinal Fusion With Cc,,,,,0 MS-DRG,455,Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc,,,,,0 MS-DRG,456,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,80042.39,174000.8,16 MS-DRG,457,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,56798.53,123471.95,16 MS-DRG,458,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,39744.02,86397.86,16 MS-DRG,459,Spinal Fusion Except Cervical With Mcc,,,,,0 MS-DRG,460,Spinal Fusion Except Cervical Without Mcc,,,,,0 MS-DRG,461,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc,,,52606.58,114359.24,16 MS-DRG,462,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc,,,25336.5,55077.96,16 MS-DRG,463,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,54287.74,118013.85,16 MS-DRG,464,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,29667.52,64492.98,16 MS-DRG,465,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,17370.74,37761.53,16 MS-DRG,466,Revision Of Hip Or Knee Replacement With Mcc,,,49581.44,107783.01,16 MS-DRG,467,Revision Of Hip Or Knee Replacement With Cc,,,33590.87,73021.78,16 MS-DRG,468,Revision Of Hip Or Knee Replacement Without Cc/Mcc,,,26174.7,56900.09,16 MS-DRG,469,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl,,,28891.23,62805.44,16 MS-DRG,470,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc,,,18372.77,39939.8,16 MS-DRG,471,Cervical Spinal Fusion With Mcc,,,45993.37,99983.06,16 MS-DRG,472,Cervical Spinal Fusion With Cc,,,28061.6,61001.95,16 MS-DRG,473,Cervical Spinal Fusion Without Cc/Mcc,,,23253.38,50549.56,16 MS-DRG,474,Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc,,,40889.87,88888.79,16 MS-DRG,475,Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc,,,21676.04,47120.64,16 MS-DRG,476,Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc,,,11241.41,24437.22,16 MS-DRG,477,Biopsies Of Musculoskeletal System And Connective Tissue With Mcc,,,32905.07,71530.95,16 MS-DRG,478,Biopsies Of Musculoskeletal System And Connective Tissue With Cc,,,23423.88,50920.2,16 MS-DRG,479,Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc,,,17706.02,38490.38,16 MS-DRG,480,Hip And Femur Procedures Except Major Joint With Mcc,,,27739.66,60302.08,16 MS-DRG,481,Hip And Femur Procedures Except Major Joint With Cc,,,19950.11,43368.72,16 MS-DRG,482,Hip And Femur Procedures Except Major Joint Without Cc/Mcc,,,15535.28,33771.49,16 MS-DRG,483,Major Joint Or Limb Reattachment Procedures Of Upper Extremities,,,26402.35,57394.96,16 MS-DRG,484,Major joint & limb reattachment proc of upper extremity w/o CC/MCC,,,,,0 MS-DRG,485,Knee Procedures With Principal Diagnosis Of Infection With Mcc,,,30738.13,66820.33,16 MS-DRG,486,Knee Procedures With Principal Diagnosis Of Infection With Cc,,,19917.73,43298.32,16 MS-DRG,487,Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc,,,14918.06,32429.74,16 MS-DRG,488,Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc,,,16848.77,36626.84,16 MS-DRG,489,Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc,,,10637.52,23124.46,16 MS-DRG,490,Back & neck proc exc spinal fusion w CC/MCC or disc device/neurostim,,,,,0 MS-DRG,491,Back & neck proc exc spinal fusion w/o CC/MCC,,,,,0 MS-DRG,492,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc",,,34971.99,76024.15,16 MS-DRG,493,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc",,,24156.35,52512.49,16 MS-DRG,494,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc",,,19111.91,41546.59,16 MS-DRG,495,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc,,,34534.79,75073.74,16 MS-DRG,496,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc,,,17182.15,37351.55,16 MS-DRG,497,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc,,,11509.06,25019.06,16 MS-DRG,498,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc,,,28735.02,62465.86,16 MS-DRG,499,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc,,,19190.97,41718.45,16 MS-DRG,500,Soft Tissue Procedures With Mcc,,,30144.72,65530.35,16 MS-DRG,501,Soft Tissue Procedures With Cc,,,16650.65,36196.16,16 MS-DRG,502,Soft Tissue Procedures Without Cc/Mcc,,,12819.7,27868.21,16 MS-DRG,503,Foot Procedures With Mcc,,,26585.23,57792.52,16 MS-DRG,504,Foot Procedures With Cc,,,17804.13,38703.66,16 MS-DRG,505,Foot Procedures Without Cc/Mcc,,,17076.42,37121.72,16 MS-DRG,506,Major Thumb Or Joint Procedures,,,12851.13,27936.54,16 MS-DRG,507,Major Shoulder Or Elbow Joint Procedures With Cc/Mcc,,,17205.96,37403.32,16 MS-DRG,508,Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc,,,14424.66,31357.17,16 MS-DRG,509,Arthroscopy,,,,,0 MS-DRG,510,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc",,,28770.26,62542.47,16 MS-DRG,511,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc",,,19806.29,43056.06,16 MS-DRG,512,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc",,,15767.69,34276.71,16 MS-DRG,513,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc",,,14995.21,32597.46,16 MS-DRG,514,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc",,,9737.41,21167.74,16 MS-DRG,515,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc,,,30355.22,65987.95,16 MS-DRG,516,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc,,,19793.9,43029.14,16 MS-DRG,517,Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc,,,14637.07,31818.91,16 MS-DRG,518,Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator,,,35597.78,77384.53,16 MS-DRG,519,Back And Neck Procedures Except Spinal Fusion With Cc,,,19051.91,41416.14,16 MS-DRG,520,Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc,,,14229.4,30932.69,16 MS-DRG,521,Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc,,,27338.66,59430.36,16 MS-DRG,522,Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc,,,20171.09,43849.1,16 MS-DRG,523,Alc/Drug Abuse or Depend w/o Rehabilitation therapy w/o CC,,,,,0 MS-DRG,524,Transient ischemia,,,,,0 MS-DRG,525,Other heart assist system implant,,,,,0 MS-DRG,526,No Longer Valid,,,,,0 MS-DRG,527,No Longer Valid,,,,,0 MS-DRG,528,Intracranial Vascular Proc w Pdx Hemorrhage,,,,,0 MS-DRG,529,Ventricular shunt procedures w CC,,,,,0 MS-DRG,530,Ventricular Shunt Procedures w/o CC,,,,,0 MS-DRG,531,Spinal Procedures w CC,,,,,0 MS-DRG,532,Spinal Procedures w/o CC,,,,,0 MS-DRG,533,Fractures Of Femur With Mcc,,,14932.34,32460.8,16 MS-DRG,534,Fractures Of Femur Without Mcc,,,7678.1,16691.11,16 MS-DRG,535,Fractures Of Hip And Pelvis With Mcc,,,12211.05,26545.09,16 MS-DRG,536,Fractures Of Hip And Pelvis Without Mcc,,,7692.39,16722.17,16 MS-DRG,537,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc",,,9089.71,19759.74,16 MS-DRG,538,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc",,,6860.86,14914.53,16 MS-DRG,539,Osteomyelitis With Mcc,,,18761.39,40784.61,16 MS-DRG,540,Osteomyelitis With Cc,,,12347.26,26841.19,16 MS-DRG,541,Osteomyelitis Without Cc/Mcc,,,7499.99,16303.9,16 MS-DRG,542,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc,,,16825.91,36577.15,16 MS-DRG,543,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc,,,9791.7,21285.77,16 MS-DRG,544,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc,,,7187.57,15624.75,16 MS-DRG,545,Connective Tissue Disorders With Mcc,,,23638.19,51386.08,16 MS-DRG,546,Connective Tissue Disorders With Cc,,,10986.14,23882.3,16 MS-DRG,547,Connective Tissue Disorders Without Cc/Mcc,,,7964.81,17314.36,16 MS-DRG,548,Septic Arthritis With Mcc,,,18391.82,39981.22,16 MS-DRG,549,Septic Arthritis With Cc,,,11498.58,24996.28,16 MS-DRG,550,Septic Arthritis Without Cc/Mcc,,,8325.8,18099.11,16 MS-DRG,551,Medical Back Problems With Mcc,,,15964.85,34705.33,16 MS-DRG,552,Medical Back Problems Without Mcc,,,9156.38,19904.68,16 MS-DRG,553,Bone Diseases And Arthropathies With Mcc,,,12347.26,26841.19,16 MS-DRG,554,Bone Diseases And Arthropathies Without Mcc,,,7906.7,17188.05,16 MS-DRG,555,Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc,,,12590.15,27369.19,16 MS-DRG,556,Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc,,,7911.47,17198.4,16 MS-DRG,557,"Tendonitis, Myositis And Bursitis With Mcc",,,14162.72,30787.75,16 MS-DRG,558,"Tendonitis, Myositis And Bursitis Without Mcc",,,8507.73,18494.6,16 MS-DRG,559,"Aftercare, Musculoskeletal System And Connective Tissue With Mcc",,,17763.17,38614.62,16 MS-DRG,560,"Aftercare, Musculoskeletal System And Connective Tissue With Cc",,,10726.1,23317.03,16 MS-DRG,561,"Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc",,,7657.15,16645.55,16 MS-DRG,562,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc",,,13571.22,29501.91,16 MS-DRG,563,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc",,,8529.64,18542.22,16 MS-DRG,564,Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc,,,14702.79,31961.78,16 MS-DRG,565,Other Musculoskeletal System And Connective Tissue Diagnoses With Cc,,,9281.16,20175.93,16 MS-DRG,566,Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc,,,7137.08,15515.01,16 MS-DRG,567,"Stomach, Esophageal & Duodenal Proc Age > 17 w CC w Major Gi Dx",,,,,0 MS-DRG,568,"Stomach, Esophageal & Duodenal Procedures Proc Age > 17 w CC w/o Major Gi Dx",,,,,0 MS-DRG,569,Major Small & Large Bowel Procedures w CC w Major Gi Dx,,,,,0 MS-DRG,570,Skin Debridement With Mcc,,,28013.98,60898.42,16 MS-DRG,571,Skin Debridement With Cc,,,16092.49,34982.79,16 MS-DRG,572,Skin Debridement Without Cc/Mcc,,,10918.51,23735.29,16 MS-DRG,573,Skin Graft For Skin Ulcer Or Cellulitis With Mcc,,,62402.09,135653.29,16 MS-DRG,574,Skin Graft For Skin Ulcer Or Cellulitis With Cc,,,33065.09,71878.81,16 MS-DRG,575,Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,17116.43,37208.68,16 MS-DRG,576,Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc,,,46683.93,101484.25,16 MS-DRG,577,Skin Graft Except For Skin Ulcer Or Cellulitis With Cc,,,25247.92,54885.39,16 MS-DRG,578,Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,15300.96,33262.12,16 MS-DRG,579,"Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc",,,30846.71,67056.38,16 MS-DRG,580,"Other Skin, Subcutaneous Tissue And Breast Procedures With Cc",,,16459.2,35779.97,16 MS-DRG,581,"Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc",,,13745.53,29880.83,16 MS-DRG,582,Mastectomy For Malignancy With Cc/Mcc,,,18350.87,39892.18,16 MS-DRG,583,Mastectomy For Malignancy Without Cc/Mcc,,,16424.91,35705.43,16 MS-DRG,584,"Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc",,,20390.17,44325.33,16 MS-DRG,585,"Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc",,,18374.68,39943.94,16 MS-DRG,592,Skin Ulcers With Mcc,,,18433.73,40072.32,16 MS-DRG,593,Skin Ulcers With Cc,,,11299.51,24563.53,16 MS-DRG,594,Skin Ulcers Without Cc/Mcc,,,8256.27,17947.96,16 MS-DRG,595,Major Skin Disorders With Mcc,,,20199.67,43911.21,16 MS-DRG,596,Major Skin Disorders Without Mcc,,,10310.81,22414.25,16 MS-DRG,597,Malignant Breast Disorders With Mcc,,,15879.13,34518.97,16 MS-DRG,598,Malignant Breast Disorders With Cc,,,10775.63,23424.7,16 MS-DRG,599,Malignant Breast Disorders Without Cc/Mcc,,,7328.54,15931.2,16 MS-DRG,600,Non-Malignant Breast Disorders With Cc/Mcc,,,9921.24,21567.37,16 MS-DRG,601,Non-Malignant Breast Disorders Without Cc/Mcc,,,5762.63,12527.13,16 MS-DRG,602,Cellulitis With Mcc,,,13537.88,29429.44,16 MS-DRG,603,Cellulitis Without Mcc,,,8295.32,18032.86,16 MS-DRG,604,"Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc",,,14021.75,30481.3,16 MS-DRG,605,"Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc",,,8724.9,18966.7,16 MS-DRG,606,Minor Skin Disorders With Mcc,,,14413.23,31332.32,16 MS-DRG,607,Minor Skin Disorders Without Mcc,,,8633.46,18767.92,16 MS-DRG,614,Adrenal And Pituitary Procedures With Cc/Mcc,,,20876.9,45383.41,16 MS-DRG,615,Adrenal And Pituitary Procedures Without Cc/Mcc,,,13328.33,28973.91,16 MS-DRG,616,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,33217.49,72210.1,16 MS-DRG,617,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc",,,17814.61,38726.43,16 MS-DRG,618,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,13509.31,29367.32,16 MS-DRG,619,O.R. Procedures For Obesity With Mcc,,,27502.49,59786.5,16 MS-DRG,620,O.R. Procedures For Obesity With Cc,,,15242.86,33135.81,16 MS-DRG,621,O.R. Procedures For Obesity Without Cc/Mcc,,,14367.51,31232.93,16 MS-DRG,622,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,33901.38,73696.8,16 MS-DRG,623,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc",,,17086.9,37144.49,16 MS-DRG,624,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,11924.35,25921.84,16 MS-DRG,625,"Thyroid, Parathyroid And Thyroglossal Procedures With Mcc",,,28766.45,62534.19,16 MS-DRG,626,"Thyroid, Parathyroid And Thyroglossal Procedures With Cc",,,14281.79,31046.58,16 MS-DRG,627,"Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc",,,12652.06,27503.78,16 MS-DRG,628,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc",,,35497.77,77167.12,16 MS-DRG,629,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc",,,20753.07,45114.23,16 MS-DRG,630,"Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc",,,13901.74,30220.41,16 MS-DRG,637,Diabetes With Mcc,,,13684.57,29748.31,16 MS-DRG,638,Diabetes With Cc,,,8536.31,18556.72,16 MS-DRG,639,Diabetes Without Cc/Mcc,,,5916.93,12862.57,16 MS-DRG,640,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc",,,12721.59,27654.93,16 MS-DRG,641,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc",,,7412.36,16113.41,16 MS-DRG,642,Inborn And Other Disorders Of Metabolism,,,13545.5,29446.0,16 MS-DRG,643,Endocrine Disorders With Mcc,,,15679.1,34084.15,16 MS-DRG,644,Endocrine Disorders With Cc,,,9763.13,21223.65,16 MS-DRG,645,Endocrine Disorders Without Cc/Mcc,,,7318.06,15908.42,16 MS-DRG,650,Kidney Transplant With Hemodialysis With Mcc,,,44780.84,97347.19,16 MS-DRG,651,Kidney Transplant With Hemodialysis Without Mcc,,,35297.75,76732.29,16 MS-DRG,652,Kidney Transplant,,,30760.99,66870.03,16 MS-DRG,653,Major Bladder Procedures With Mcc,,,49495.71,107596.66,16 MS-DRG,654,Major Bladder Procedures With Cc,,,26663.33,57962.31,16 MS-DRG,655,Major Bladder Procedures Without Cc/Mcc,,,20160.62,43826.32,16 MS-DRG,656,Kidney And Ureter Procedures For Neoplasm With Mcc,,,30325.7,65923.76,16 MS-DRG,657,Kidney And Ureter Procedures For Neoplasm With Cc,,,17430.75,37891.98,16 MS-DRG,658,Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc,,,14780.9,32131.57,16 MS-DRG,659,Kidney And Ureter Procedures For Non-Neoplasm With Mcc,,,24202.07,52611.88,16 MS-DRG,660,Kidney And Ureter Procedures For Non-Neoplasm With Cc,,,12589.19,27367.12,16 MS-DRG,661,Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc,,,9862.19,21438.99,16 MS-DRG,662,Minor Bladder Procedures With Mcc,,,29160.79,63391.42,16 MS-DRG,663,Minor Bladder Procedures With Cc,,,14479.91,31477.26,16 MS-DRG,664,Minor Bladder Procedures Without Cc/Mcc,,,9971.72,21677.11,16 MS-DRG,665,Prostatectomy With Mcc,,,29729.43,64627.57,16 MS-DRG,666,Prostatectomy With Cc,,,16662.08,36221.01,16 MS-DRG,667,Prostatectomy Without Cc/Mcc,,,10536.56,22904.98,16 MS-DRG,668,Transurethral Procedures With Mcc,,,27813.0,60461.52,16 MS-DRG,669,Transurethral Procedures With Cc,,,14782.8,32135.71,16 MS-DRG,670,Transurethral Procedures Without Cc/Mcc,,,9308.78,20235.97,16 MS-DRG,671,Urethral Procedures With Cc/Mcc,,,17097.38,37167.27,16 MS-DRG,672,Urethral Procedures Without Cc/Mcc,,,10282.24,22352.13,16 MS-DRG,673,Other Kidney And Urinary Tract Procedures With Mcc,,,40020.24,86998.33,16 MS-DRG,674,Other Kidney And Urinary Tract Procedures With Cc,,,22275.17,48423.05,16 MS-DRG,675,Other Kidney And Urinary Tract Procedures Without Cc/Mcc,,,15634.34,33986.83,16 MS-DRG,682,Renal Failure With Mcc,,,14106.53,30665.59,16 MS-DRG,683,Renal Failure With Cc,,,8342.0,18134.31,16 MS-DRG,684,Renal Failure Without Cc/Mcc,,,5717.86,12429.81,16 MS-DRG,685,Admit For Renal Dialysis,,,,,0 MS-DRG,686,Kidney And Urinary Tract Neoplasms With Mcc,,,17180.24,37347.41,16 MS-DRG,687,Kidney And Urinary Tract Neoplasms With Cc,,,9980.3,21695.75,16 MS-DRG,688,Kidney And Urinary Tract Neoplasms Without Cc/Mcc,,,7527.61,16363.95,16 MS-DRG,689,Kidney And Urinary Tract Infections With Mcc,,,11051.86,24025.17,16 MS-DRG,690,Kidney And Urinary Tract Infections Without Mcc,,,7710.49,16761.51,16 MS-DRG,691,Urinary Stones W Esw Lithotripsy W Cc/Mcc,,,,,0 MS-DRG,692,Urinary Stones W Esw Lithotripsy W/O Cc/Mcc,,,,,0 MS-DRG,693,Urinary Stones With Mcc,,,12806.36,27839.22,16 MS-DRG,694,Urinary Stones Without Mcc,,,7445.69,16185.88,16 MS-DRG,695,Kidney And Urinary Tract Signs And Symptoms With Mcc,,,10894.7,23683.52,16 MS-DRG,696,Kidney And Urinary Tract Signs And Symptoms Without Mcc,,,6562.73,14266.43,16 MS-DRG,697,Urethral Stricture,,,10266.05,22316.93,16 MS-DRG,698,Other Kidney And Urinary Tract Diagnoses With Mcc,,,15758.16,34256.01,16 MS-DRG,699,Other Kidney And Urinary Tract Diagnoses With Cc,,,9667.88,21016.59,16 MS-DRG,700,Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc,,,6571.3,14285.07,16 MS-DRG,707,Major Male Pelvic Procedures With Cc/Mcc,,,19052.86,41418.21,16 MS-DRG,708,Major Male Pelvic Procedures Without Cc/Mcc,,,14613.26,31767.15,16 MS-DRG,709,Penis Procedures With Cc/Mcc,,,22165.63,48184.93,16 MS-DRG,710,Penis Procedures Without Cc/Mcc,,,13346.43,29013.25,16 MS-DRG,711,Testes Procedures With Cc/Mcc,,,19848.2,43147.16,16 MS-DRG,712,Testes Procedures Without Cc/Mcc,,,10474.64,22770.39,16 MS-DRG,713,Transurethral Prostatectomy With Cc/Mcc,,,14319.89,31129.4,16 MS-DRG,714,Transurethral Prostatectomy Without Cc/Mcc,,,10071.74,21894.52,16 MS-DRG,715,Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc,,,21310.28,46325.53,16 MS-DRG,716,Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc,,,14011.28,30458.53,16 MS-DRG,717,Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc,,,18007.01,39144.69,16 MS-DRG,718,Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc,,,12793.03,27810.23,16 MS-DRG,722,"Malignancy, Male Reproductive System With Mcc",,,17237.39,37471.65,16 MS-DRG,723,"Malignancy, Male Reproductive System With Cc",,,10884.22,23660.75,16 MS-DRG,724,"Malignancy, Male Reproductive System Without Cc/Mcc",,,6245.54,13576.92,16 MS-DRG,725,Benign Prostatic Hypertrophy With Mcc,,,11146.16,24230.16,16 MS-DRG,726,Benign Prostatic Hypertrophy Without Mcc,,,6877.05,14949.73,16 MS-DRG,727,Inflammation Of The Male Reproductive System With Mcc,,,14124.62,30704.93,16 MS-DRG,728,Inflammation Of The Male Reproductive System Without Mcc,,,7726.68,16796.71,16 MS-DRG,729,Other Male Reproductive System Diagnoses With Cc/Mcc,,,10084.12,21921.44,16 MS-DRG,730,Other Male Reproductive System Diagnoses Without Cc/Mcc,,,6400.8,13914.43,16 MS-DRG,734,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc",,,20288.25,44103.78,16 MS-DRG,735,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc",,,12815.89,27859.92,16 MS-DRG,736,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc,,,34047.11,74013.6,16 MS-DRG,737,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc,,,19627.22,42666.78,16 MS-DRG,738,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc,,,13987.46,30406.76,16 MS-DRG,739,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc,,,34126.17,74185.46,16 MS-DRG,740,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc,,,17236.44,37469.58,16 MS-DRG,741,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc,,,13583.6,29528.83,16 MS-DRG,742,Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc,,,17476.47,37991.37,16 MS-DRG,743,Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc,,,11817.67,25689.93,16 MS-DRG,744,"D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc",,,19517.68,42428.66,16 MS-DRG,745,"D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc",,,10834.69,23553.08,16 MS-DRG,746,"Vagina, Cervix And Vulva Procedures With Cc/Mcc",,,16545.88,35968.39,16 MS-DRG,747,"Vagina, Cervix And Vulva Procedures Without Cc/Mcc",,,8188.64,17800.95,16 MS-DRG,748,Female Reproductive System Reconstructive Procedures,,,13214.03,28725.43,16 MS-DRG,749,Other Female Reproductive System O.R. Procedures With Cc/Mcc,,,24456.39,53164.73,16 MS-DRG,750,Other Female Reproductive System O.R. Procedures Without Cc/Mcc,,,14057.0,30557.91,16 MS-DRG,754,"Malignancy, Female Reproductive System With Mcc",,,17542.19,38134.24,16 MS-DRG,755,"Malignancy, Female Reproductive System With Cc",,,10361.3,22523.99,16 MS-DRG,756,"Malignancy, Female Reproductive System Without Cc/Mcc",,,9148.76,19888.11,16 MS-DRG,757,"Infections, Female Reproductive System With Mcc",,,13638.85,29648.92,16 MS-DRG,758,"Infections, Female Reproductive System With Cc",,,9324.98,20271.17,16 MS-DRG,759,"Infections, Female Reproductive System Without Cc/Mcc",,,6320.79,13740.5,16 MS-DRG,760,Menstrual And Other Female Reproductive System Disorders With Cc/Mcc,,,9596.44,20861.3,16 MS-DRG,761,Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc,,,5434.01,11812.77,16 MS-DRG,765,Cesarean Section W Cc/Mcc,,,,,0 MS-DRG,766,Cesarean Section W/O Cc/Mcc,,,,,0 MS-DRG,767,Vaginal Delivery W Sterilization &/Or D&C,,,,,0 MS-DRG,768,Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C,,,10206.99,22188.55,16 MS-DRG,769,Postpartum And Post Abortion Diagnoses With O.R. Procedures,,,16095.35,34989.0,16 MS-DRG,770,"Abortion With D&C, Aspiration Curettage Or Hysterotomy",,,9550.72,20761.91,16 MS-DRG,774,Vaginal Delivery W Complicating Diagnoses,,,,,0 MS-DRG,775,Vaginal Delivery W/O Complicating Diagnoses,,,,,0 MS-DRG,776,Postpartum And Post Abortion Diagnoses Without O.R. Procedures,,,6236.02,13556.22,16 MS-DRG,777,Ectopic Pregnancy,,,,,0 MS-DRG,778,Threatened Abortion,,,,,0 MS-DRG,779,Abortion Without D&C,,,8013.38,17419.96,16 MS-DRG,780,False Labor,,,,,0 MS-DRG,781,Other Antepartum Diagnoses W Medical Complications,,,,,0 MS-DRG,782,Other Antepartum Diagnoses W/O Medical Complications,,,,,0 MS-DRG,783,Cesarean Section With Sterilization With Mcc,,,23384.83,50835.3,16 MS-DRG,784,Cesarean Section With Sterilization With Cc,,,10097.45,21950.43,16 MS-DRG,785,Cesarean Section With Sterilization Without Cc/Mcc,,,9123.05,19832.21,16 MS-DRG,786,Cesarean Section Without Sterilization With Mcc,,,15711.49,34154.55,16 MS-DRG,787,Cesarean Section Without Sterilization With Cc,,,10637.52,23124.46,16 MS-DRG,788,Cesarean Section Without Sterilization Without Cc/Mcc,,,9132.57,19852.91,16 MS-DRG,789,"Neonates, Died Or Transferred To Another Acute Care Facility",,,17165.96,37316.35,16 MS-DRG,790,"Extreme Immaturity Or Respiratory Distress Syndrome, Neonate",,,56611.84,123066.11,16 MS-DRG,791,Prematurity With Major Problems,,,38661.98,84045.65,16 MS-DRG,792,Prematurity Without Major Problems,,,23328.63,50713.14,16 MS-DRG,793,Full Term Neonate With Major Problems,,,39715.44,86335.74,16 MS-DRG,794,Neonate With Other Significant Problems,,,14057.95,30559.99,16 MS-DRG,795,Normal Newborn,,,1903.1,4899.14,16 MS-DRG,796,Vaginal Delivery With Sterilization And/Or D&C With Mcc,,,11115.68,24163.9,16 MS-DRG,797,Vaginal Delivery With Sterilization And/Or D&C With Cc,,,9528.81,20714.28,16 MS-DRG,798,Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc,,,9116.38,19817.71,16 MS-DRG,799,Splenic Procedures With Mcc,,,43137.77,93775.4,16 MS-DRG,800,Splenic Procedures With Cc,,,26759.54,58171.44,16 MS-DRG,801,Splenic Procedures Without Cc/Mcc,,,18182.27,39525.68,16 MS-DRG,802,Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc,,,37948.55,82494.77,16 MS-DRG,803,Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc,,,17706.02,38490.38,16 MS-DRG,804,Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc,,,12915.9,28077.34,16 MS-DRG,805,Vaginal Delivery Without Sterilization Or D&C With Mcc,,,10279.38,22345.92,16 MS-DRG,806,Vaginal Delivery Without Sterilization Or D&C With Cc,,,7181.85,15612.32,16 MS-DRG,807,Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc,,,6421.76,13959.99,16 MS-DRG,808,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders ,,,21030.25,45716.78,16 MS-DRG,809,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders ,,,12057.7,26211.73,16 MS-DRG,810,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders ,,,9968.87,21670.9,16 MS-DRG,811,Red Blood Cell Disorders With Mcc,,,13375.96,29077.44,16 MS-DRG,812,Red Blood Cell Disorders Without Mcc,,,8745.86,19012.25,16 MS-DRG,813,Coagulation Disorders,,,14528.48,31582.86,16 MS-DRG,814,Reticuloendothelial And Immunity Disorders With Mcc,,,20256.82,44035.45,16 MS-DRG,815,Reticuloendothelial And Immunity Disorders With Cc,,,9658.35,20995.88,16 MS-DRG,816,Reticuloendothelial And Immunity Disorders Without Cc/Mcc,,,6019.8,13086.19,16 MS-DRG,817,Other Antepartum Diagnoses With O.R. Procedures With Mcc,,,21732.24,47242.81,16 MS-DRG,818,Other Antepartum Diagnoses With O.R. Procedures With Cc,,,11041.38,24002.4,16 MS-DRG,819,Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc,,,8190.55,17805.09,16 MS-DRG,820,Lymphoma And Leukemia With Major O.R. Procedures With Mcc,,,55862.22,121436.55,16 MS-DRG,821,Lymphoma And Leukemia With Major O.R. Procedures With Cc,,,21322.67,46352.45,16 MS-DRG,822,Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc,,,11468.1,24930.02,16 MS-DRG,823,Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc,,,43670.22,94932.87,16 MS-DRG,824,Lymphoma And Non-Acute Leukemia With Other Procedures With Cc,,,21579.84,46911.51,16 MS-DRG,825,Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc,,,12853.04,27940.68,16 MS-DRG,826,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc,,,44556.05,96858.53,16 MS-DRG,827,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc,,,22014.18,47855.71,16 MS-DRG,828,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C,,,16228.7,35278.88,16 MS-DRG,829,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc,,,30099.0,65430.96,16 MS-DRG,830,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc,,,14335.13,31162.53,16 MS-DRG,831,Other Antepartum Diagnoses Without O.R. Procedures With Mcc,,,11453.81,24898.97,16 MS-DRG,832,Other Antepartum Diagnoses Without O.R. Procedures With Cc,,,6873.24,14941.45,16 MS-DRG,833,Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc,,,4980.62,10827.17,16 MS-DRG,834,Acute Leukemia With Mcc,,,52291.3,113673.87,16 MS-DRG,835,Acute Leukemia With Cc,,,19867.25,43188.57,16 MS-DRG,836,Acute Leukemia Without Cc/Mcc,,,11615.74,25250.97,16 MS-DRG,837,Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc,,,45760.96,99477.84,16 MS-DRG,838,Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent,,,19882.49,43221.7,16 MS-DRG,839,Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,13753.15,29897.39,16 MS-DRG,840,Lymphoma And Non-Acute Leukemia With Mcc,,,30812.42,66981.84,16 MS-DRG,841,Lymphoma And Non-Acute Leukemia With Cc,,,15539.09,33779.77,16 MS-DRG,842,Lymphoma And Non-Acute Leukemia Without Cc/Mcc,,,9624.06,20921.34,16 MS-DRG,843,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc,,,19000.47,41304.33,16 MS-DRG,844,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc,,,11595.74,25207.48,16 MS-DRG,845,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc,,,8111.49,17633.23,16 MS-DRG,846,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc,,,24693.56,53680.31,16 MS-DRG,847,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc,,,12460.61,27087.59,16 MS-DRG,848,Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,8090.54,17587.68,16 MS-DRG,849,Radiotherapy,,,25807.99,56102.91,16 MS-DRG,850,Acute Leukemia With Other Procedures,,,82481.74,179303.61,16 MS-DRG,853,Infectious And Parasitic Diseases With O.R. Procedures With Mcc,,,47040.17,102258.65,16 MS-DRG,854,Infectious And Parasitic Diseases With O.R. Procedures With Cc,,,19031.9,41372.66,16 MS-DRG,855,Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc,,,14260.83,31001.02,16 MS-DRG,856,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc,,,43326.37,94185.38,16 MS-DRG,857,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc,,,20397.79,44341.9,16 MS-DRG,858,Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc,,,13267.37,28841.39,16 MS-DRG,862,Postoperative And Post-Traumatic Infections With Mcc,,,17370.74,37761.53,16 MS-DRG,863,Postoperative And Post-Traumatic Infections Without Mcc,,,9505.0,20662.52,16 MS-DRG,864,Fever And Inflammatory Conditions,,,8455.34,18380.72,16 MS-DRG,865,Viral Illness With Mcc,,,14271.31,31023.8,16 MS-DRG,866,Viral Illness Without Mcc,,,8282.94,18005.94,16 MS-DRG,867,Other Infectious And Parasitic Diseases Diagnoses With Mcc,,,19937.73,43341.8,16 MS-DRG,868,Other Infectious And Parasitic Diseases Diagnoses With Cc,,,9821.23,21349.96,16 MS-DRG,869,Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc,,,6950.39,15109.17,16 MS-DRG,870,Septicemia Or Severe Sepsis With Mv >96 Hours,,,65834.9,143115.73,16 MS-DRG,871,Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc,,,18502.31,40221.41,16 MS-DRG,872,Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc,,,9746.93,21188.45,16 MS-DRG,876,O.R. Procedures With Principal Diagnosis Of Mental Illness,,,36813.17,80026.62,16 MS-DRG,880,Acute Adjustment Reaction And Psychosocial Dysfunction,,,9145.91,19881.9,16 MS-DRG,881,Depressive Neuroses,,,8962.07,19482.28,16 MS-DRG,882,Neuroses Except Depressive,,,10227.95,22234.1,16 MS-DRG,883,Disorders Of Personality And Impulse Control,,,18729.01,40714.21,16 MS-DRG,884,Organic Disturbances And Intellectual Disability,,,15324.77,33313.88,16 MS-DRG,885,Psychoses,,,13304.52,28922.14,16 MS-DRG,886,Behavioral And Developmental Disorders,,,19767.23,42971.16,16 MS-DRG,887,Other Mental Disorder Diagnoses,,,10200.32,22174.06,16 MS-DRG,894,"Alcohol, Drug Abuse Or Dependence, Left Ama",,,5875.97,12773.53,16 MS-DRG,895,"Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy",,,13483.59,29311.41,16 MS-DRG,896,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc",,,16622.08,36134.04,16 MS-DRG,897,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc",,,8408.67,18279.26,16 MS-DRG,901,Wound Debridements For Injuries With Mcc,,,39972.62,86894.8,16 MS-DRG,902,Wound Debridements For Injuries With Cc,,,18235.61,39641.64,16 MS-DRG,903,Wound Debridements For Injuries Without Cc/Mcc,,,11140.44,24217.74,16 MS-DRG,904,Skin Grafts For Injuries With Cc/Mcc,,,34986.28,76055.21,16 MS-DRG,905,Skin Grafts For Injuries Without Cc/Mcc,,,14129.39,30715.28,16 MS-DRG,906,Hand Procedures For Injuries,,,18709.96,40672.8,16 MS-DRG,907,Other O.R. Procedures For Injuries With Mcc,,,36569.33,79496.55,16 MS-DRG,908,Other O.R. Procedures For Injuries With Cc,,,19004.28,41312.61,16 MS-DRG,909,Other O.R. Procedures For Injuries Without Cc/Mcc,,,12503.47,27180.77,16 MS-DRG,913,Traumatic Injury With Mcc,,,15569.57,33846.03,16 MS-DRG,914,Traumatic Injury Without Mcc,,,8434.39,18335.16,16 MS-DRG,915,Allergic Reactions With Mcc,,,16017.24,34819.21,16 MS-DRG,916,Allergic Reactions Without Mcc,,,6346.51,13796.41,16 MS-DRG,917,Poisoning And Toxic Effects Of Drugs With Mcc,,,14939.01,32475.29,16 MS-DRG,918,Poisoning And Toxic Effects Of Drugs Without Mcc,,,8163.88,17747.11,16 MS-DRG,919,Complications Of Treatment With Mcc,,,17438.37,37908.54,16 MS-DRG,920,Complications Of Treatment With Cc,,,9546.91,20753.62,16 MS-DRG,921,Complications Of Treatment Without Cc/Mcc,,,6557.01,14254.01,16 MS-DRG,922,"Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc",,,16663.04,36223.08,16 MS-DRG,923,"Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc",,,9693.59,21072.5,16 MS-DRG,927,Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft,,,203363.51,442083.45,16 MS-DRG,928,Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc,,,68319.97,148517.93,16 MS-DRG,929,Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc,,,30678.12,66689.88,16 MS-DRG,933,Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft,,,37092.26,80633.31,16 MS-DRG,934,Full Thickness Burn Without Skin Graft Or Inhalation Injury,,,21055.97,45772.68,16 MS-DRG,935,Non-Extensive Burns,,,19621.5,42654.36,16 MS-DRG,939,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc,,,34561.46,75131.72,16 MS-DRG,940,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc,,,22258.97,48387.85,16 MS-DRG,941,O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc,,,19313.84,41985.56,16 MS-DRG,945,Rehabilitation With Cc/Mcc,,,14750.42,32065.31,16 MS-DRG,946,Rehabilitation Without Cc/Mcc,,,10923.27,23745.64,16 MS-DRG,947,Signs And Symptoms With Mcc,,,12091.04,26284.2,16 MS-DRG,948,Signs And Symptoms Without Mcc,,,7624.76,16575.15,16 MS-DRG,949,Aftercare With Cc/Mcc,,,11331.89,24633.93,16 MS-DRG,950,Aftercare Without Cc/Mcc,,,5978.84,12997.16,16 MS-DRG,951,Other Factors Influencing Health Status,,,5295.9,11512.54,16 MS-DRG,955,Craniotomy For Multiple Significant Trauma,,,64113.73,139374.16,16 MS-DRG,956,"Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma",,,35842.58,77916.68,16 MS-DRG,957,Other O.R. Procedures For Multiple Significant Trauma With Mcc,,,72579.55,157777.65,16 MS-DRG,958,Other O.R. Procedures For Multiple Significant Trauma With Cc,,,40137.4,87253.01,16 MS-DRG,959,Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc,,,28042.55,60960.53,16 MS-DRG,963,Other Multiple Significant Trauma With Mcc,,,26039.45,56606.06,16 MS-DRG,964,Other Multiple Significant Trauma With Cc,,,14598.02,31734.02,16 MS-DRG,965,Other Multiple Significant Trauma Without Cc/Mcc,,,8958.26,19473.99,16 MS-DRG,969,Hiv With Extensive O.R. Procedures With Mcc,,,58305.38,126747.64,16 MS-DRG,970,Hiv With Extensive O.R. Procedures Without Mcc,,,25121.24,54610.0,16 MS-DRG,974,Hiv With Major Related Condition With Mcc,,,27489.15,59757.52,16 MS-DRG,975,Hiv With Major Related Condition With Cc,,,12334.88,26814.27,16 MS-DRG,976,Hiv With Major Related Condition Without Cc/Mcc,,,8598.22,18691.31,16 MS-DRG,977,Hiv With Or Without Other Related Condition,,,12360.59,26870.18,16 MS-DRG,981,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc,,,44689.4,97148.41,16 MS-DRG,982,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,23417.21,50905.7,16 MS-DRG,983,Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,16325.85,35490.08,16 MS-DRG,984,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Mcc,,,,,0 MS-DRG,985,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Cc,,,,,0 MS-DRG,986,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W/O Cc/Mcc,,,,,0 MS-DRG,987,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc,,,32655.51,70988.45,16 MS-DRG,988,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,15655.29,34032.38,16 MS-DRG,989,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,11422.38,24830.64,16 MS-DRG,998,Principal Diagnosis Invalid As Discharge Diagnosis,,,,,0 MS-DRG,999,Ungroupable,,,,,0 NDC,00002021301,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-0213-01) / 3 Ml In 1 Vial, Multi-Dose",38.35,38.35,,,0 NDC,00002323560,"Cymbalta: 60 Capsule, Delayed Release In 1 Bottle (0002-3235-60)",51.71,51.71,,,0 NDC,00002445301,NDC Description Not Available,103.73,103.73,,,0 NDC,00002446430,"Cialis: 30 Tablet, Film Coated In 1 Bottle (0002-4464-30)",349.08,349.08,,,0 NDC,00002512377,"Effient: 90 BLISTER PACK in 1 CARTON (0002-5123-77) / 1 TABLET, FILM COATED in 1 BLISTER PACK (0002-5123-01)",94.86,94.86,,,0 NDC,00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,34.42,34.42,,,0 NDC,00002751017,Humalog: 1 Vial In 1 Carton (0002-7510-17) / 3 Ml In 1 Vial,40.74,40.74,,,0 NDC,00002753301,Humalog: 1 Vial In 1 Carton (0002-7533-01) / 3 Ml In 1 Vial,31.815,31.815,,,0 NDC,00002757501,"Omvoh: 1 Vial, Single-Dose In 1 Carton (0002-7575-01) / 15 Ml In 1 Vial, Single-Dose",214.25,214.25,,,0 NDC,00002762301,Alimta: 1 Vial In 1 Carton (0002-7623-01) / 20 Ml In 1 Vial,541.76,541.76,,,0 NDC,00002766901,"Cyramza: 1 Vial, Single-Dose In 1 Carton (0002-7669-01) / 10 Ml In 1 Vial, Single-Dose",489.57,489.57,,,0 NDC,00002767801,"Cyramza: 1 Vial, Single-Dose In 1 Carton (0002-7678-01) / 50 Ml In 1 Vial, Single-Dose",488.14,488.14,,,0 NDC,00002771559,Basaglar Kwikpen: 5 Syringe In 1 Carton (0002-7715-59) / 3 Ml In 1 Syringe (0002-7715-01),437.32,437.32,,,0 NDC,00002773701,Insulin Lispro: 1 Vial In 1 Carton (0002-7737-01) / 10 Ml In 1 Vial,8.38,8.38,,,0 NDC,00002821301,NDC Description Not Available,3.29,3.29,,,0 NDC,00002821501,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-01) / 10 Ml In 1 Vial, Multi-Dose",43.03,43.03,,,0 NDC,00002821517,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-17) / 3 Ml In 1 Vial, Multi-Dose",59.0,59.0,,,0 NDC,00002831501,"Humulin N: 1 Vial, Multi-Dose In 1 Carton (0002-8315-01) / 10 Ml In 1 Vial, Multi-Dose",16.79,16.79,,,0 NDC,00002871517,"1 VIAL, MULTI-DOSE in 1 CARTON (0002-8715-17) / 3 mL in 1 VIAL, MULTI-DOSE",9.12,9.12,,,0 NDC,00002882401,NDC Description Not Available,6.41,6.41,,,0 NDC,00002882427,Humulin R U-500 Kwikpen: 2 Syringe In 1 Carton (0002-8824-27) / 3 Ml In 1 Syringe,6.41,6.41,,,0 NDC,00002940101,"Kisunla: 1 Vial, Single-Dose In 1 Carton (0002-9401-01) / 20 Ml In 1 Vial, Single-Dose",26.63,26.63,,,0 NDC,00003029305,"Kenalog-40: 1 Vial, Single-Dose In 1 Carton (0003-0293-05) / 1 Ml In 1 Vial, Single-Dose",15.86,15.86,,,0 NDC,00003029320,"Kenalog-40: 1 Vial, Multi-Dose In 1 Carton (0003-0293-20) / 5 Ml In 1 Vial, Multi-Dose",15.94,15.94,,,0 NDC,00003029328,"Kenalog-40: 1 Vial, Multi-Dose In 1 Carton (0003-0293-28) / 10 Ml In 1 Vial, Multi-Dose",13.29,13.29,,,0 NDC,00003037113,"Nulojix: 1 Vial, Single-Use In 1 Carton (0003-0371-13) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",25.94,25.94,,,0 NDC,00003049420,"Kenalog-10: 1 Vial, Multi-Dose In 1 Carton (0003-0494-20) / 5 Ml In 1 Vial, Multi-Dose",48.1,48.1,,,0 NDC,00003052711,Sprycel: 1 Bottle In 1 Carton (0003-0527-11) / 60 Tablet In 1 Bottle,2587.77,2587.77,,,0 NDC,00003085222,Sprycel: 1 Bottle In 1 Carton (0003-0852-22) / 30 Tablet In 1 Bottle,3770.91,3770.91,,,0 NDC,00003085722,Sprycel: 1 Bottle In 1 Carton (0003-0857-22) / 30 Tablet In 1 Bottle,3770.91,3770.91,,,0 NDC,00003089321,"Eliquis: 60 Tablet, Film Coated In 1 Bottle, Plastic (0003-0893-21)",61.57,61.57,,,0 NDC,00003089331,"Eliquis: 10 Blister Pack In 1 Carton (0003-0893-31) / 10 Tablet, Film Coated In 1 Blister Pack",61.84,61.84,,,0 NDC,00003089421,"Eliquis: 60 Tablet, Film Coated In 1 Bottle, Plastic (0003-0894-21)",61.49,61.49,,,0 NDC,00003089431,"Eliquis: 10 Blister Pack In 1 Carton (0003-0894-31) / 10 Tablet, Film Coated In 1 Blister Pack",61.85,61.85,,,0 NDC,00003218713,"Orencia: 1 Vial, Single-Use In 1 Carton (0003-2187-13) / 15 Ml In 1 Vial, Single-Use",396.75,396.75,,,0 NDC,00003232711,"Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2327-11) / 10 Ml In 1 Vial, Single-Use",788.68,788.68,,,0 NDC,00003232822,"Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2328-22) / 40 Ml In 1 Vial, Single-Use",798.95,798.95,,,0 NDC,00003257016,"Azactam: 10 Vial, Single-Dose In 1 Carton (0003-2570-16) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",18.285,18.285,,,0 NDC,00003362412,"REYATAZ: 60 CAPSULE, GELATIN COATED in 1 BOTTLE, PLASTIC (0003-3624-12)",151.21,151.21,,,0 NDC,00003373413,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3734-13) / 24 Ml In 1 Vial, Single-Dose",213.22,213.22,,,0 NDC,00003375614,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3756-14) / 12 Ml In 1 Vial, Single-Dose",214.87,214.87,,,0 NDC,00003377211,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3772-11) / 4 Ml In 1 Vial, Single-Dose",210.78,210.78,,,0 NDC,00003377412,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3774-12) / 10 Ml In 1 Vial, Single-Dose",214.96,214.96,,,0 NDC,00003452211,"Empliciti: 1 Vial, Single-Use In 1 Carton (0003-4522-11) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",50.18,50.18,,,0 NDC,00003712511,"Opdualag: 1 Vial, Single-Dose In 1 Carton (0003-7125-11) / 20 Ml In 1 Vial, Single-Dose",1246.46,1246.46,,,0 NDC,00004003909,"Valcyte: 1 Bottle, Glass In 1 Carton (0004-0039-09) / 100 Ml In 1 Bottle, Glass",776.64,776.64,,,0 NDC,00004080085,Tamiflu: 1 Blister Pack In 1 Carton (0004-0800-85) / 10 Capsule In 1 Blister Pack,94.17,94.17,,,0 NDC,00004080285,Tamiflu: 1 Blister Pack In 1 Carton (0004-0802-85) / 10 Capsule In 1 Blister Pack,86.4,86.4,,,0 NDC,00004082205,"Tamiflu: 1 Bottle, Glass In 1 Carton (0004-0822-05) / 60 Ml In 1 Bottle, Glass",124.24,124.24,,,0 NDC,00004110150,"Xeloda: 120 Tablet, Film Coated In 1 Bottle, Plastic (0004-1101-50)",17.38,17.38,,,0 NDC,00004694003,Cytovene: 25 VIAL in 1 CARTON (0004-6940-03) / 10 mL in 1 VIAL,233.54,233.54,,,0 NDC,00005197101,NDC Description Not Available,834.035,834.035,,,0 NDC,00005200001,NDC Description Not Available,565.0,565.0,,,0 NDC,00005200002,Prevnar 20: 1 Syringe In 1 Carton (0005-2000-02) / .5 Ml In 1 Syringe (0005-2000-01),1199.6799999999998,1199.6799999999998,,,0 NDC,00005200010,Prevnar 20: 10 Syringe In 1 Carton (0005-2000-10) / .5 Ml In 1 Syringe (0005-2000-01),565.0,565.0,,,0 NDC,00006003220,Stromectol: 2 Blister Pack In 1 Carton (0006-0032-20) / 10 Tablet In 1 Blister Pack,28.85,28.85,,,0 NDC,00006022761,"Isentress: 60 Tablet, Film Coated In 1 Bottle (0006-0227-61)",208.47,208.47,,,0 NDC,00006027528,NDC Description Not Available,32.48,32.48,,,0 NDC,00006096054,"COZAAR: 90 TABLET, FILM COATED in 1 BOTTLE (0006-0960-54)",31.38,31.38,,,0 NDC,00006302501,NDC Description Not Available,254.6,254.6,,,0 NDC,00006302601,NDC Description Not Available,382.14,382.14,,,0 NDC,00006302602,Keytruda: 1 Vial In 1 Carton (0006-3026-02) / 4 Ml In 1 Vial (0006-3026-01),382.12,382.12,,,0 NDC,00006302604,Keytruda: 2 Vial In 1 Carton (0006-3026-04) / 4 Ml In 1 Vial (0006-3026-01),384.08,384.08,,,0 NDC,00006306101,NDC Description Not Available,14.95,14.95,,,0 NDC,00006306901,"Pifeltro: 30 Tablet, Film Coated In 1 Bottle (0006-3069-01)",366.61,366.61,,,0 NDC,00006307502,"Prevymis: 4 Dose Pack In 1 Carton (0006-3075-02) / 7 Tablet, Film Coated In 1 Dose Pack (0006-3075-01)",953.57,953.57,,,0 NDC,00006307503,NDC Description Not Available,1635.48,1635.48,,,0 NDC,00006307603,NDC Description Not Available,1650.48,1650.48,,,0 NDC,00006307604,"Prevymis: 14 Blister Pack In 1 Carton (0006-3076-04) / 1 Tablet, Film Coated In 1 Blister Pack (0006-3076-03)",1654.23,1654.23,,,0 NDC,00006351659,"Primaxin Iv: 25 Vial, Single-Dose In 1 Tray (0006-3516-59) / 100 Ml In 1 Vial, Single-Dose",96.5,96.5,,,0 NDC,00006360301,NDC Description Not Available,51.59,51.59,,,0 NDC,00006384371,"Invanz: 10 Vial, Single-Dose In 1 Package (0006-3843-71) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",360.25,360.25,,,0 NDC,00006385601,NDC Description Not Available,2056.44,2056.44,,,0 NDC,00006404701,NDC Description Not Available,574.0,574.0,,,0 NDC,00006404702,NDC Description Not Available,494.5,494.5,,,0 NDC,00006404720,Rotateq: 25 Pouch In 1 Carton (0006-4047-20) / 1 Tube In 1 Pouch (0006-4047-02) / 2 Ml In 1 Tube (0006-4047-01),494.5,494.5,,,0 NDC,00006404741,Rotateq: 10 Pouch In 1 Carton (0006-4047-41) / 1 Tube In 1 Pouch (0006-4047-02) / 2 Ml In 1 Tube (0006-4047-01),494.5,494.5,,,0 NDC,00006409301,NDC Description Not Available,91.0,91.0,,,0 NDC,00006409302,Recombivax Hb: 10 Syringe In 1 Carton (0006-4093-02) / .5 Ml In 1 Syringe (0006-4093-01),91.0,91.0,,,0 NDC,00006409501,NDC Description Not Available,105.0,105.0,,,0 NDC,00006409502,Vaqta: 10 Syringe In 1 Carton (0006-4095-02) / .5 Ml In 1 Syringe (0006-4095-01),238.0,238.0,,,0 NDC,00006411901,NDC Description Not Available,574.0,574.0,,,0 NDC,00006411903,"Gardasil 9: 10 Vial, Single-Dose In 1 Carton (0006-4119-03) / .5 Ml In 1 Vial, Single-Dose (0006-4119-01)",1247.73,1247.73,,,0 NDC,00006412101,NDC Description Not Available,574.0,574.0,,,0 NDC,00006412102,"Gardasil 9: 10 Syringe, Glass In 1 Carton (0006-4121-02) / .5 Ml In 1 Syringe, Glass (0006-4121-01)",1284.28,1284.28,,,0 NDC,00006417100,"Proquad: 10 Vial, Single-Dose In 1 Carton (0006-4171-00) / .5 Ml In 1 Vial, Single-Dose (0006-4171-01)",323.0,323.0,,,0 NDC,00006417101,NDC Description Not Available,72.0,72.0,,,0 NDC,00006417589,NDC Description Not Available,224.0,224.0,,,0 NDC,00006468100,"M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01)",224.0,224.0,,,0 NDC,00006468101,NDC Description Not Available,224.0,224.0,,,0 NDC,00006473900,"PNEUMOVAX 23: 1 VIAL, MULTI-DOSE in 1 CARTON (0006-4739-00) / .5 mL in 1 VIAL, MULTI-DOSE (0006-4739-01)",96.5,96.5,,,0 NDC,00006482700,"Varivax: 10 Vial, Single-Dose In 1 Carton (0006-4827-00) / .5 Ml In 1 Vial, Single-Dose (0006-4827-01)",778.815,778.815,,,0 NDC,00006482701,NDC Description Not Available,385.0,385.0,,,0 NDC,00006483141,"Vaqta: 10 Vial, Single-Dose In 1 Carton (0006-4831-41) / .5 Ml In 1 Vial, Single-Dose (0006-4831-01)",105.0,105.0,,,0 NDC,00006483701,NDC Description Not Available,100.045,100.045,,,0 NDC,00006483703,"Pneumovax 23: 10 Syringe, Glass In 1 Carton (0006-4837-03) / .5 Ml In 1 Syringe, Glass (0006-4837-01)",100.045,100.045,,,0 NDC,00006484100,"Vaqta: 1 Vial, Single-Dose In 1 Carton (0006-4841-00) / 1 Ml In 1 Vial, Single-Dose (0006-4841-01)",269.0,269.0,,,0 NDC,00006494300,"Pneumovax 23: 10 Vial, Single-Dose In 1 Carton (0006-4943-00) / .5 Ml In 1 Vial, Single-Dose (0006-4943-01)",117.08,117.08,,,0 NDC,00006494301,NDC Description Not Available,433.725,433.725,,,0 NDC,00006498100,"Recombivax Hb: 10 Vial, Single-Dose In 1 Carton (0006-4981-00) / .5 Ml In 1 Vial, Single-Dose (0006-4981-01)",91.0,91.0,,,0 NDC,00006498101,NDC Description Not Available,91.0,91.0,,,0 NDC,00006542302,NDC Description Not Available,662.555,662.555,,,0 NDC,00006542312,"Bridion: 10 Vial, Single-Dose In 1 Carton (0006-5423-12) / 2 Ml In 1 Vial, Single-Dose (0006-5423-02)",848.22,848.22,,,0 NDC,00007440106,"ARRANON: 6 VIAL, GLASS in 1 CARTON (0007-4401-06) / 50 mL in 1 VIAL, GLASS (0007-4401-01)",966.89,966.89,,,0 NDC,00007440701,ARGATROBAN: 1 VIAL in 1 CARTON (0007-4407-01) / 2.5 mL in 1 VIAL,35.2,35.2,,,0 NDC,00007440754,ARGATROBAN: 1 VIAL in 1 CARTON (0007-4407-54) / 2.5 mL in 1 VIAL,35.2,35.2,,,0 NDC,00008010001,"Besponsa: 1 Vial, Single-Dose In 1 Carton (0008-0100-01) / 4 Ml In 1 Vial, Single-Dose",16770.93,16770.93,,,0 NDC,00008092351,Protonix I.V.: 1 Vial In 1 Carton (0008-0923-51) / 10 Ml In 1 Vial,58.77,58.77,,,0 NDC,00008092355,Protonix I.V.: 10 Carton In 1 Package (0008-0923-55) / 1 Vial In 1 Carton / 10 Ml In 1 Vial,59.0,59.0,,,0 NDC,00008094101,NDC Description Not Available,59.0,59.0,,,0 NDC,00008103006,"Rapamune: 1 Carton In 1 Kit (0008-1030-06) / 1 Bottle, Glass In 1 Carton (0008-1030-04) / 60 Ml In 1 Bottle, Glass",171.29,171.29,,,0 NDC,00008104005,"Rapamune: 100 Tablet, Sugar Coated In 1 Bottle (0008-1040-05)",106.57,106.57,,,0 NDC,00008104010,"Rapamune: 100 Blister Pack In 1 Carton (0008-1040-10) / 1 Tablet, Sugar Coated In 1 Blister Pack",106.57,106.57,,,0 NDC,00008451001,"Mylotarg: 1 Vial, Single-Dose In 1 Carton (0008-4510-01) / 5 Ml In 1 Vial, Single-Dose",1484.27,1484.27,,,0 NDC,00009001103,NDC Description Not Available,86.255,86.255,,,0 NDC,00009001104,"Solu-Cortef: 25 Vial, Single-Dose In 1 Carton (0009-0011-04) / 2 Ml In 1 Vial, Single-Dose (0009-0011-03)",132.98,132.98,,,0 NDC,00009001201,Cortef: 50 Tablet In 1 Bottle (0009-0012-01),6.24,6.24,,,0 NDC,00009001305,"Solu-Cortef: 1 Vial, Single-Dose In 1 Carton (0009-0013-05) / 2 Ml In 1 Vial, Single-Dose",73.28,73.28,,,0 NDC,00009001820,Solu-Medrol: 1 Vial In 1 Carton (0009-0018-20) / 8 Ml In 1 Vial,2.31,2.31,,,0 NDC,00009003905,NDC Description Not Available,14.75,14.75,,,0 NDC,00009003928,Solu-Medrol: 25 Vial In 1 Carton (0009-0039-28) / 1 Ml In 1 Vial (0009-0039-30),11.004999999999999,11.004999999999999,,,0 NDC,00009003930,NDC Description Not Available,11.46,11.46,,,0 NDC,00009003933,NDC Description Not Available,7.38,7.38,,,0 NDC,00009004722,Solu-Medrol: 25 Vial In 1 Carton (0009-0047-22) / 2 Ml In 1 Vial (0009-0047-25),6.03,6.03,,,0 NDC,00009004725,NDC Description Not Available,5.82,5.82,,,0 NDC,00009004727,NDC Description Not Available,5.58,5.58,,,0 NDC,00009035301,NDC Description Not Available,5.48,5.48,,,0 NDC,00009041701,Depo-Testosterone: 1 Vial In 1 Carton (0009-0417-01) / 1 Ml In 1 Vial,0.71,0.71,,,0 NDC,00009041702,Depo-Testosterone: 1 Vial In 1 Carton (0009-0417-02) / 10 Ml In 1 Vial,0.46,0.46,,,0 NDC,00009043304,NDC Description Not Available,520.18,520.18,,,0 NDC,00009043601,R-Gene: 1 Container In 1 Carton (0009-0436-01) / 300 Ml In 1 Container,235.2,235.2,,,0 NDC,00009069801,Solu-Medrol: 1 Vial In 1 Carton (0009-0698-01) / 16 Ml In 1 Vial,1.4,1.4,,,0 NDC,00009069802,Solu-Medrol: 1 Vial In 1 Carton (0009-0698-02) / 16 Ml In 1 Vial,1.23,1.23,,,0 NDC,00009072805,NDC Description Not Available,20.32,20.32,,,0 NDC,00009074630,Depo-Provera: 1 Vial In 1 Carton (0009-0746-30) / 1 Ml In 1 Vial,2.35,2.35,,,0 NDC,00009075801,Solu-Medrol: 1 Vial In 1 Carton (0009-0758-01) / 8 Ml In 1 Vial,1.87,1.87,,,0 NDC,00009082501,Solu-Cortef: 1 Vial In 1 Carton (0009-0825-01) / 2 Ml In 1 Vial,59.0,59.0,,,0 NDC,00009085605,Hemabate: 1 Ml In 1 Ampule (0009-0856-05),938.0,938.0,,,0 NDC,00009085608,Hemabate: 10 Ampule In 1 Package (0009-0856-08) / 1 Ml In 1 Ampule (0009-0856-05),938.0,938.0,,,0 NDC,00009087026,Cleocin Phosphate: 25 Vial In 1 Carton (0009-0870-26) / 2 Ml In 1 Vial (0009-0870-21),32.18,32.18,,,0 NDC,00009307301,"Depo-Medrol: 1 Vial, Single-Dose In 1 Package (0009-3073-01) / 1 Ml In 1 Vial, Single-Dose",1.9,1.9,,,0 NDC,00009316901,NDC Description Not Available,2.58,2.58,,,0 NDC,00009316906,Prostin Vr Pediatric: 5 Ampule In 1 Package (0009-3169-06) / 1 Ml In 1 Ampule (0009-3169-01),2.61,2.61,,,0 NDC,00009347501,"Depo-Medrol: 1 Vial, Single-Dose In 1 Package (0009-3475-01) / 1 Ml In 1 Vial, Single-Dose",1.65,1.65,,,0 NDC,00009370105,"Caverject: 6 Vial, Single-Dose In 1 Package (0009-3701-05) / 1 Ml In 1 Vial, Single-Dose (0009-3701-08)",77.11,77.11,,,0 NDC,00009379401,"Corvert: 1 Vial, Single-Dose In 1 Carton (0009-3794-01) / 10 Ml In 1 Vial, Single-Dose",3750.87,3750.87,,,0 NDC,00009454102,"Detrol: 60 Tablet, Film Coated In 1 Bottle (0009-4541-02)",52.31,52.31,,,0 NDC,00009509101,"Ellence: 1 Vial, Single-Dose In 1 Carton (0009-5091-01) / 25 Ml In 1 Vial, Single-Dose",12.71,12.71,,,0 NDC,00009509125,"Ellence: 1 Vial, Single-Dose In 1 Carton (0009-5091-25) / 25 Ml In 1 Vial, Single-Dose",12.41,12.41,,,0 NDC,00009513601,Zyvox: 150 Ml In 1 Bottle (0009-5136-01),208.38,208.38,,,0 NDC,00009514001,NDC Description Not Available,78.69,78.69,,,0 NDC,00009514004,Zyvox: 10 Bag In 1 Box (0009-5140-04) / 300 Ml In 1 Bag (0009-5140-01),64.34,64.34,,,0 NDC,00009722401,NDC Description Not Available,29024.47,29024.47,,,0 NDC,00009722402,Atgam: 5 Ampule In 1 Carton (0009-7224-02) / 5 Ml In 1 Ampule (0009-7224-01),30568.03,30568.03,,,0 NDC,00009737611,Depo-Provera: 1 Syringe In 1 Carton (0009-7376-11) / 1 Ml In 1 Syringe,2.45,2.45,,,0 NDC,00009752902,NDC Description Not Available,201.6,201.6,,,0 NDC,00009752903,"Camptosar: 1 Vial, Single-Dose In 1 Carton (0009-7529-03) / 5 Ml In 1 Vial, Single-Dose",54.03,54.03,,,0 NDC,00009752904,"Camptosar: 1 Vial, Single-Dose In 1 Carton (0009-7529-04) / 2 Ml In 1 Vial, Single-Dose",88.13,88.13,,,0 NDC,00009766304,Aromasin: 30 Tablet In 1 Bottle (0009-7663-04),237.92,237.92,,,0 NDC,00013111420,NDC Description Not Available,134.0,134.0,,,0 NDC,00019481604,"Md Gastroview: 25 Bottle, Glass In 1 Box (0019-4816-04) / 30 Ml In 1 Bottle, Glass",143.04,143.04,,,0 NDC,00023024004,1 TUBE in 1 CARTON (0023-0240-04) / 3.5 g in 1 TUBE,52.435,52.435,,,0 NDC,00023031204,Refresh Lacri-Lube: 1 Tube In 1 Carton (0023-0312-04) / 3.5 G In 1 Tube,20.77,20.77,,,0 NDC,00023066704,Refresh P.M.: 1 Tube In 1 Carton (0023-0667-04) / 3.5 G In 1 Tube,49.94,49.94,,,0 NDC,00023079815,"Refresh Tears: 1 Bottle, Dropper In 1 Carton (0023-0798-15) / 15 Ml In 1 Bottle, Dropper",51.99,51.99,,,0 NDC,00023114501,"Botox: 1 Vial In 1 Carton (0023-1145-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",43.21,43.21,,,0 NDC,00023114502,"Botox: 1 Vial In 1 Carton (0023-1145-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",41.67,41.67,,,0 NDC,00023334807,Ozurdex: 1 Pouch In 1 Carton (0023-3348-07) / 1 Implant In 1 Pouch,1314.16,1314.16,,,0 NDC,00023391950,"Botox Cosmetic: 1 Vial, Glass In 1 Carton (0023-3919-50) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",48.51,48.51,,,0 NDC,00023392102,"Botox: 1 Vial In 1 Carton (0023-3921-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",43.28,43.28,,,0 NDC,00023585318,"Delzicol: 180 Capsule, Delayed Release In 1 Bottle (0023-5853-18)",24.06,24.06,,,0 NDC,00023585801,Liletta: 1 Tray In 1 Carton (0023-5858-01) / 1 Intrauterine Device In 1 Tray,5599.17,5599.17,,,0 NDC,00023608201,NDC Description Not Available,119.3,119.3,,,0 NDC,00023608210,"Infed: 10 Vial, Single-Dose In 1 Carton (0023-6082-10) / 2 Ml In 1 Vial, Single-Dose (0023-6082-01)",120.06,120.06,,,0 NDC,00023916330,"Restasis: 30 Vial, Single-Use In 1 Tray (0023-9163-30) / .4 Ml In 1 Vial, Single-Use",66.72,66.72,,,0 NDC,00023923201,"Botox Cosmetic: 1 Vial, Glass In 1 Carton (0023-9232-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",43.74,43.74,,,0 NDC,00024065401,"Sarclisa: 1 Vial, Single-Dose In 1 Carton (0024-0654-01) / 5 Ml In 1 Vial, Single-Dose",517.37,517.37,,,0 NDC,00024065601,"Sarclisa: 1 Vial, Single-Dose In 1 Carton (0024-0656-01) / 25 Ml In 1 Vial, Single-Dose",521.68,521.68,,,0 NDC,00024159601,"Primaquine Phosphate: 100 Tablet, Film Coated In 1 Bottle (0024-1596-01)",12.69,12.69,,,0 NDC,00024279201,NDC Description Not Available,42.61,42.61,,,0 NDC,00024279210,"Ferrlecit: 10 Vial, Single-Use In 1 Carton (0024-2792-10) / 5 Ml In 1 Vial, Single-Use (0024-2792-01)",35.62,35.62,,,0 NDC,00024414260,"Multaq: 60 Tablet, Film Coated In 1 Bottle (0024-4142-60)",82.74,82.74,,,0 NDC,00024515010,"Elitek: 3 Kit In 1 Carton (0024-5150-10) / 1 Kit In 1 Kit * 1 Ml In 1 Vial, Single-Use (0024-5154-11) * 1 Ml In 1 Ampule (0024-5152-11)",2408.64,2408.64,,,0 NDC,00024515411,NDC Description Not Available,2435.75,2435.75,,,0 NDC,00024582315,NDC Description Not Available,1580.95,1580.95,,,0 NDC,00024582411,"Jevtana: 1 Kit In 1 Carton (0024-5824-11) * 5.7 Ml In 1 Vial, Glass (0024-5823-15) * 5.7 Ml In 1 Vial, Glass (0024-5822-01)",1600.76,1600.76,,,0 NDC,00024586201,"Mozobil: 1 Vial, Single-Use In 1 Carton (0024-5862-01) / 1.2 Ml In 1 Vial, Single-Use",2781.07,2781.07,,,0 NDC,00024591400,NDC Description Not Available,12740.72,12740.72,,,0 NDC,00024591401,"Dupixent: 2 Syringe, Glass In 1 Carton (0024-5914-01) / 2 Ml In 1 Syringe, Glass (0024-5914-00)",4910.49,4910.49,,,0 NDC,00024591800,NDC Description Not Available,12995.54,12995.54,,,0 NDC,00024591801,"Dupixent: 2 Syringe, Glass In 1 Carton (0024-5918-01) / 1.14 Ml In 1 Syringe, Glass (0024-5918-00)",7308.54,7308.54,,,0 NDC,00024592410,"Admelog: 1 Vial, Multi-Dose In 1 Carton (0024-5924-10) / 10 Ml In 1 Vial, Multi-Dose",33.97,33.97,,,0 NDC,00024592605,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,43.81,43.81,,,0 NDC,00025145134,Cytotec: 100 Blister Pack In 1 Carton (0025-1451-34) / 1 Tablet In 1 Blister Pack,13.935,13.935,,,0 NDC,00032004570,"Creon: 70 Capsule, Delayed Release In 1 Bottle (0032-0045-70)",10.35,10.35,,,0 NDC,00032004670,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-0046-70)",12.97,12.97,,,0 NDC,00032004770,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-0047-70)",26.13,26.13,,,0 NDC,00032120370,"Creon: 1 Bottle In 1 Carton (0032-1203-70) / 70 Capsule, Delayed Release In 1 Bottle",10.94,10.94,,,0 NDC,00032120601,"Creon: 1 Bottle In 1 Carton (0032-1206-01) / 100 Capsule, Delayed Release Pellets In 1 Bottle",12.9,12.9,,,0 NDC,00032121201,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-1212-01)",25.91,25.91,,,0 NDC,00032122401,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-1224-01)",51.05,51.05,,,0 NDC,00032122407,"Creon: 250 Capsule, Delayed Release Pellets In 1 Bottle (0032-1224-07)",50.22,50.22,,,0 NDC,00032263601,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-2636-01)",51.5,51.5,,,0 NDC,00032301613,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-3016-13)",78.34,78.34,,,0 NDC,00037044267,"Felbatol: 237 Ml In 1 Bottle, Plastic (0037-0442-67)",261.19,261.19,,,0 NDC,00037683015,Cortifoam: 1 Canister In 1 Carton (0037-6830-15) / 15 G In 1 Canister,2765.91,2765.91,,,0 NDC,00045016604,NDC Description Not Available,2.0,2.0,,,0 NDC,00045018404,NDC Description Not Available,2.0,2.0,,,0 NDC,00045019201,NDC Description Not Available,3.67,3.67,,,0 NDC,00045040704,NDC Description Not Available,2.0,2.0,,,0 NDC,00045048101,NDC Description Not Available,1.0,1.0,,,0 NDC,00046074905,Premarin: 1 Vial In 1 Carton (0046-0749-05) / 5 Ml In 1 Vial,1785.57,1785.57,,,0 NDC,00046110081,"Premarin: 100 Tablet, Film Coated In 1 Bottle (0046-1100-81)",42.82,42.82,,,0 NDC,00046110281,"Premarin: 100 Tablet, Film Coated In 1 Bottle (0046-1102-81)",43.85,43.85,,,0 NDC,00049001381,NDC Description Not Available,59.0,59.0,,,0 NDC,00049001481,NDC Description Not Available,96.5,96.5,,,0 NDC,00049052083,"Pfizerpen: 10 Vial In 1 Carton (0049-0520-83) / 1 Powder, For Solution In 1 Vial (0049-0520-84)",20.77,20.77,,,0 NDC,00049052084,NDC Description Not Available,18.25,18.25,,,0 NDC,00049053028,"Pfizerpen: 1 Vial In 1 Carton (0049-0530-28) / 1 Powder, For Solution In 1 Vial",24.385,24.385,,,0 NDC,00049316044,Vfend: 1 Bottle In 1 Carton (0049-3160-44) / 75 Ml In 1 Bottle,207.75,207.75,,,0 NDC,00049319028,"Vfend: 1 Vial, Single-Dose In 1 Carton (0049-3190-28) / 20 Ml In 1 Vial, Single-Dose",46.25,46.25,,,0 NDC,00049392020,NDC Description Not Available,204.02,204.02,,,0 NDC,00049392083,"Geodon: 10 Vial, Single-Dose In 1 Carton (0049-3920-83) / 1 Ml In 1 Vial, Single-Dose (0049-3920-20)",215.84,215.84,,,0 NDC,00052060201,NDC Description Not Available,22.58,22.58,,,0 NDC,00052060202,Tice Bcg: 1 Vial In 1 Carton (0052-0602-02) / 50 Ml In 1 Vial (0052-0602-01),42.055,42.055,,,0 NDC,00053768032,"Albuminar-25: 1 VIAL, GLASS in 1 CARTON (0053-7680-32) / 50 mL in 1 VIAL, GLASS (0053-7680-91)",504.0,504.0,,,0 NDC,00054000725,"Calcitriol: 100 Capsule In 1 Bottle, Plastic (0054-0007-25)",5.88,5.88,,,0 NDC,00054001020,Flecainide Acetate: 100 Blister Pack In 1 Carton (0054-0010-20) / 1 Tablet In 1 Blister Pack,5.34,5.34,,,0 NDC,00054001120,Flecainide Acetate: 100 Blister Pack In 1 Carton (0054-0011-20) / 1 Tablet In 1 Blister Pack,5.98,5.98,,,0 NDC,00054001121,Flecainide Acetate: 60 Tablet In 1 Bottle (0054-0011-21),5.99,5.99,,,0 NDC,00054001720,Prednisone: 10 Blister Pack In 1 Carton (0054-0017-20) / 10 Tablet In 1 Blister Pack,0.55,0.55,,,0 NDC,00054001820,Prednisone: 10 Blister Pack In 1 Carton (0054-0018-20) / 10 Tablet In 1 Blister Pack,0.16,0.16,,,0 NDC,00054001825,"Prednisone: 100 Tablet In 1 Bottle, Plastic (0054-0018-25)",0.17,0.17,,,0 NDC,00054001920,Prednisone: 10 Blister Pack In 1 Carton (0054-0019-20) / 10 Tablet In 1 Blister Pack,0.07,0.07,,,0 NDC,00054005746,Digoxin: 60 Ml In 1 Bottle (0054-0057-46),15.09,15.09,,,0 NDC,00054008826,Calcium Acetate: 200 Capsule In 1 Bottle (0054-0088-26),0.5,0.5,,,0 NDC,00054023524,Morphine Sulfate: 100 Blister Pack In 1 Carton (0054-0235-24) / 1 Tablet In 1 Blister Pack,5.585,5.585,,,0 NDC,00054023749,Morphine Sulfate: 100 Ml In 1 Bottle (0054-0237-49),6.0,6.0,,,0 NDC,00054023763,Morphine Sulfate: 500 Ml In 1 Bottle (0054-0237-63),6.0,6.0,,,0 NDC,00054024424,Codeine Sulfate: 10 Blister Pack In 1 Box (0054-0244-24) / 10 Tablet In 1 Blister Pack,6.0,6.0,,,0 NDC,00054026424,Hydromorphone Hydrochloride: 10 CONTAINER in 1 CARTON (0054-0264-24) / 10 TABLET in 1 CONTAINER,5.29,5.29,,,0 NDC,00054038325,Cyclophosphamide: 100 Capsule In 1 Bottle (0054-0383-25),85.22,85.22,,,0 NDC,00054038663,Hydromorphone Hydrochloride: 473 Ml In 1 Bottle (0054-0386-63),22.69,22.69,,,0 NDC,00054040444,Morphine Sulfate: 30 mL in 1 BOTTLE (0054-0404-44),6.0,6.0,,,0 NDC,00054042523,"Rufinamide: 120 Tablet, Film Coated In 1 Bottle (0054-0425-23)",18.55,18.55,,,0 NDC,00054042825,flucytosine: 100 CAPSULE in 1 BOTTLE (0054-0428-25),787.67,787.67,,,0 NDC,00054047021,Everolimus: 60 Tablet In 1 Bottle (0054-0470-21),49.16,49.16,,,0 NDC,00054051744,Morphine Sulfate: 30 Ml In 1 Bottle (0054-0517-44),10.66,10.66,,,0 NDC,00054071020,Methadone Hydrochloride: 1 Blister Pack In 1 Carton (0054-0710-20) / 100 Tablet In 1 Blister Pack,3.44,3.44,,,0 NDC,00054074287,"Albuterol Sulfate: 1 Canister In 1 Carton (0054-0742-87) / 200 Aerosol, Metered In 1 Canister",223.07,223.07,,,0 NDC,00054195030,Indomethacin: 30 Suppository In 1 Box (0054-1950-30),1918.46,1918.46,,,0 NDC,00054311763,Calcium Carbonate: 500 mL in 1 BOTTLE (0054-3117-63),2.0,2.0,,,0 NDC,00054312041,"Calcitriol: 1 Bottle, Glass In 1 Carton (0054-3120-41) / 15 Ml In 1 Bottle, Glass",63.74,63.74,,,0 NDC,00054317757,"Dexamethasone: 240 Ml In 1 Bottle, Plastic (0054-3177-57)",3.29,3.29,,,0 NDC,00054317763,"Dexamethasone: 500 Ml In 1 Bottle, Plastic (0054-3177-63)",2.59,2.59,,,0 NDC,00054318863,"Diazepam: 500 Ml In 1 Bottle, Plastic (0054-3188-63)",6.81,6.81,,,0 NDC,00054319446,Diphenoxylate Hydrochloride And Atropine Sulfate: 1 Bottle In 1 Carton (0054-3194-46) / 60 Ml In 1 Bottle,36.18,36.18,,,0 NDC,00054327099,"Fluticasone Propionate: 1 Bottle, Glass In 1 Carton (0054-3270-99) / 120 Spray, Metered In 1 Bottle, Glass",84.62,84.62,,,0 NDC,00054329450,Furosemide: 120 Ml In 1 Bottle (0054-3294-50),6.0,6.0,,,0 NDC,00054350049,Lidocaine Viscous: 1 Bottle In 1 Carton (0054-3500-49) / 100 Ml In 1 Bottle,16.13,16.13,,,0 NDC,00054350547,Lidocaine Hydrochloride: 50 Ml In 1 Bottle (0054-3505-47),267.99,267.99,,,0 NDC,00054355563,Methadone Hydrochloride: 500 Ml In 1 Bottle (0054-3555-63),7.22,7.22,,,0 NDC,00054355663,Methadone Hydrochloride: 500 Ml In 1 Bottle (0054-3556-63),6.0,6.0,,,0 NDC,00054356699,"Midazolam Hydrochloride: 118 Ml In 1 Bottle, Glass (0054-3566-99)",49.35,49.35,,,0 NDC,00054372763,"Propranolol Hydrochloride: 500 Ml In 1 Bottle, Plastic (0054-3727-63)",6.0,6.0,,,0 NDC,00054418025,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4180-25)",1.17,1.17,,,0 NDC,00054418325,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4183-25)",0.75,0.75,,,0 NDC,00054418625,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4186-25)",0.38,0.38,,,0 NDC,00054429725,"Furosemide: 100 Tablet In 1 Bottle, Plastic (0054-4297-25)",3.0,3.0,,,0 NDC,00054449911,Leucovorin Calcium: 25 Tablet In 1 Bottle (0054-4499-11),70.05,70.05,,,0 NDC,00054453825,"Diskets: 100 Tablet In 1 Bottle, Plastic (0054-4538-25)",4.28,4.28,,,0 NDC,00054458111,"Mercaptopurine: 25 Tablet In 1 Bottle, Plastic (0054-4581-11)",24.35,24.35,,,0 NDC,00054474125,"Prednisone: 100 Tablet In 1 Bottle, Plastic (0054-4741-25)",2.28,2.28,,,0 NDC,00054814622,Clotrimazole: 70 Blister Pack In 1 Carton (0054-8146-22) / 1 Lozenge In 1 Blister Pack,17.04,17.04,,,0 NDC,00054817525,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8175-25) / 1 Tablet In 1 Blister Pack,0.39,0.39,,,0 NDC,00054817625,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8176-25) / 1 Tablet In 1 Blister Pack,0.71,0.71,,,0 NDC,00054817925,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8179-25) / 1 Tablet In 1 Blister Pack,1.4,1.4,,,0 NDC,00054818025,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8180-25) / 1 Tablet In 1 Blister Pack,0.84,0.84,,,0 NDC,00054818325,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8183-25) / 1 Tablet In 1 Blister Pack,0.41,0.41,,,0 NDC,00054829725,Furosemide: 10 Blister Pack In 1 Carton (0054-8297-25) / 10 Tablet In 1 Blister Pack,5.86,5.86,,,0 NDC,00054829925,Furosemide: 10 Blister Pack In 1 Carton (0054-8299-25) / 10 Tablet In 1 Blister Pack,5.83,5.83,,,0 NDC,00054830125,Furosemide: 10 Blister Pack In 1 Carton (0054-8301-25) / 10 Tablet In 1 Blister Pack,5.97,5.97,,,0 NDC,00054849619,Leucovorin Calcium: 5 Blister Pack In 1 Carton (0054-8496-19) / 10 Tablet In 1 Blister Pack,9.77,9.77,,,0 NDC,00054852625,"Lithium Carbonate: 10 Capsule, Gelatin Coated In 1 Blister Pack (0054-8526-25)",5.57,5.57,,,0 NDC,00054852725,"Lithium Carbonate: 10 Capsule, Gelatin Coated In 1 Blister Pack (0054-8527-25)",4.85,4.85,,,0 NDC,00054855324,METHADONE HYDROCHLORIDE: 100 BLISTER PACK in 1 CARTON (0054-8553-24) / 1 TABLET in 1 BLISTER PACK,5.94,5.94,,,0 NDC,00054872425,Prednisone: 10 Blister Pack In 1 Carton (0054-8724-25) / 10 Tablet In 1 Blister Pack,1.11,1.11,,,0 NDC,00054874025,Prednisone: 10 Blister Pack In 1 Carton (0054-8740-25) / 10 Tablet In 1 Blister Pack,2.0,2.0,,,0 NDC,00056017375,COUMADIN: 10 BLISTER PACK in 1 CARTON (0056-0173-75) / 10 TABLET in 1 BLISTER PACK (0056-0173-01),19.13,19.13,,,0 NDC,00056051030,"SUSTIVA: 30 TABLET, FILM COATED in 1 BOTTLE (0056-0510-30)",202.66,202.66,,,0 NDC,00065002315,"Miostat: 12 Vial, Glass In 1 Carton (0065-0023-15) / 1.5 Ml In 1 Vial, Glass",296.16,296.16,,,0 NDC,00065009265,Fluorescite: 12 Vial In 1 Carton (0065-0092-65) / 5 Ml In 1 Vial,363.37,363.37,,,0 NDC,00065027510,"Azopt: 1 BOTTLE, PLASTIC in 1 CARTON (0065-0275-10) / 10 mL in 1 BOTTLE, PLASTIC",2128.03,2128.03,,,0 NDC,00065035902,"Cyclomydril: 2 Ml In 1 Bottle, Plastic (0065-0359-02)",215.35,215.35,,,0 NDC,00065039515,"Cyclogyl: 1 Bottle, Plastic In 1 Carton (0065-0395-15) / 15 Ml In 1 Bottle, Plastic",597.81,597.81,,,0 NDC,00065039602,"Cyclogyl: 1 Bottle, Plastic In 1 Carton (0065-0396-02) / 2 Ml In 1 Bottle, Plastic",209.19,209.19,,,0 NDC,00065039702,"Cyclogyl: 1 Bottle, Plastic In 1 Carton (0065-0397-02) / 2 Ml In 1 Bottle, Plastic",273.8,273.8,,,0 NDC,00065040872,"Alcon Tears Lubricant Eye Drops: 1 Bottle, Dropper In 1 Carton (0065-0408-72) / 15 Ml In 1 Bottle, Dropper",684.05,684.05,,,0 NDC,00065047401,Systane: 1 Tube In 1 Carton (0065-0474-01) / 10 G In 1 Tube,41.73,41.73,,,0 NDC,00065054301,"Triesence: 1 Blister Pack In 1 Carton (0065-0543-01) / 1 Vial, Glass In 1 Blister Pack / 1 Ml In 1 Vial, Glass",158.12,158.12,,,0 NDC,00065064435,TOBREX: 3.5 g in 1 TUBE (0065-0644-35),1329.04,1329.04,,,0 NDC,00065064515,"NATACYN: 1 BOTTLE, GLASS in 1 CARTON (0065-0645-15) / 15 mL in 1 BOTTLE, GLASS",2936.57,2936.57,,,0 NDC,00065074114,"Tetracaine Hydrochloride: 12 Blister Pack In 1 Carton (0065-0741-14) / 1 Bottle, Dropper In 1 Blister Pack / 4 Ml In 1 Bottle, Dropper",81.23,81.23,,,0 NDC,00065079515,Bss: 15 Ml In 1 Bottle (0065-0795-15),75.065,75.065,,,0 NDC,00065080050,"Bss Plus: 1 Kit In 1 Package (0065-0800-50) * 480 Ml In 1 Bottle, Glass * 20 Ml In 1 Vial, Single-Dose",607.16,607.16,,,0 NDC,00065179504,Bss: 500 Ml In 1 Bag (0065-1795-04),226.91,226.91,,,0 NDC,00065414727,"Simbrinza: 1 Bottle, Dropper In 1 Carton (0065-4147-27) / 8 Ml In 1 Bottle, Dropper",11.24,11.24,,,0 NDC,00065924007,DUREZOL: 1 BOTTLE in 1 CARTON (0065-9240-07) / 5 mL in 1 BOTTLE,1351.6,1351.6,,,0 NDC,00067612814,SUNMARK NICOTINE TRANSDERMAL SYSTEM: 14 POUCH in 1 CARTON (0067-6128-14) / 1 PATCH in 1 POUCH / 24 h in 1 PATCH,3.26,3.26,,,0 NDC,00067628171,Maalox: 355 mL in 1 BOTTLE (0067-6281-71),6.75,6.75,,,0 NDC,00067815202,Voltaren Arthritis Pain: 1 Tube In 1 Carton (0067-8152-02) / 50 G In 1 Tube,55.49,55.49,,,0 NDC,00068059701,"Rifadin Iv: 1 Vial, Glass In 1 Carton (0068-0597-01) / 10 Ml In 1 Vial, Glass",58.3,58.3,,,0 NDC,00069005902,NDC Description Not Available,5.9,5.9,,,0 NDC,00069005903,Heparin Sodium: 25 Vial In 1 Container (0069-0059-03) / 1 Ml In 1 Vial (0069-0059-04),19.67,19.67,,,0 NDC,00069013701,NDC Description Not Available,1.97,1.97,,,0 NDC,00069020701,NDC Description Not Available,299.5,299.5,,,0 NDC,00069023401,1 VIAL in 1 CARTON (0069-0234-01) / 50 mL in 1 VIAL,3.86,3.86,,,0 NDC,00069023801,"Ruxience: 1 Vial, Single-Use In 1 Carton (0069-0238-01) / 10 Ml In 1 Vial, Single-Use",480.21,480.21,,,0 NDC,00069024801,1 VIAL in 1 CARTON (0069-0248-01) / 100 mL in 1 VIAL,1.93,1.93,,,0 NDC,00069024901,"Ruxience: 1 Vial, Single-Use In 1 Carton (0069-0249-01) / 50 Ml In 1 Vial, Single-Use",480.26,480.26,,,0 NDC,00069029101,Nivestym: 1 Syringe In 1 Carton (0069-0291-01) / .5 Ml In 1 Syringe,4.53,4.53,,,0 NDC,00069029201,Nivestym: 1 Syringe In 1 Carton (0069-0292-01) / .8 Ml In 1 Syringe,4.89,4.89,,,0 NDC,00069029210,Nivestym: 10 Carton In 1 Carton (0069-0292-10) / 1 Syringe In 1 Carton (0069-0292-01) / .8 Ml In 1 Syringe,4.89,4.89,,,0 NDC,00069029301,NDC Description Not Available,4.89,4.89,,,0 NDC,00069029310,"Nivestym: 10 Vial, Single-Dose In 1 Carton (0069-0293-10) / 1 Ml In 1 Vial, Single-Dose (0069-0293-01)",4.89,4.89,,,0 NDC,00069029401,NDC Description Not Available,4.89,4.89,,,0 NDC,00069029410,"Nivestym: 10 Vial, Single-Dose In 1 Carton (0069-0294-10) / 1.6 Ml In 1 Vial, Single-Dose (0069-0294-01)",4.89,4.89,,,0 NDC,00069030601,NDC Description Not Available,540.96,540.96,,,0 NDC,00069031501,"Zirabev: 1 Vial, Single-Use In 1 Carton (0069-0315-01) / 4 Ml In 1 Vial, Single-Use",410.83,410.83,,,0 NDC,00069034201,"Zirabev: 1 Vial, Single-Use In 1 Carton (0069-0342-01) / 16 Ml In 1 Vial, Single-Use",410.96,410.96,,,0 NDC,00069034302,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-0343-02) / 25 Ml In 1 Vial, Single-Dose",32.93,32.93,,,0 NDC,00069034401,"Abrysvo: 1 Tray In 1 Carton (0069-0344-01) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01)",307.0,307.0,,,0 NDC,00069034405,"Abrysvo: 5 Tray In 1 Carton (0069-0344-05) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01)",307.0,307.0,,,0 NDC,00069046956,"Chantix: 56 Tablet, Film Coated In 1 Bottle (0069-0469-56)",51.97,51.97,,,0 NDC,00069080901,"Inflectra: 1 Vial, Single-Use In 1 Carton (0069-0809-01) / 10 Ml In 1 Vial, Single-Use",635.66,635.66,,,0 NDC,00069100201,"Xeljanz: 60 Tablet, Film Coated In 1 Bottle (0069-1002-01)",597.68,597.68,,,0 NDC,00069130501,NDC Description Not Available,12.85,12.85,,,0 NDC,00069130510,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1305-10) / 1 Ml In 1 Vial, Single-Dose (0069-1305-01)",73.9,73.9,,,0 NDC,00069130601,NDC Description Not Available,8.63,8.63,,,0 NDC,00069130701,NDC Description Not Available,7.73,7.73,,,0 NDC,00069130710,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1307-10) / 1 Ml In 1 Vial, Single-Dose (0069-1307-01)",7.39,7.39,,,0 NDC,00069130801,NDC Description Not Available,10.7,10.7,,,0 NDC,00069130810,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1308-10) / 1 Ml In 1 Vial, Single-Dose (0069-1308-01)",73.9,73.9,,,0 NDC,00069130901,NDC Description Not Available,68.24,68.24,,,0 NDC,00069130904,"Retacrit: 4 Vial, Single-Dose In 1 Carton (0069-1309-04) / 1 Ml In 1 Vial, Single-Dose (0069-1309-01)",73.9,73.9,,,0 NDC,00069131101,NDC Description Not Available,73.9,73.9,,,0 NDC,00069131110,"Retacrit: 10 Vial, Multi-Dose In 1 Carton (0069-1311-10) / 1 Ml In 1 Vial, Multi-Dose (0069-1311-01)",73.9,73.9,,,0 NDC,00069154220,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0069-1542-20) / 100 Ml In 1 Vial, Multi-Dose",20.99,20.99,,,0 NDC,00069252202,"Elrexfio: 1 Vial, Single-Dose In 1 Carton (0069-2522-02) / 1.1 Ml In 1 Vial, Single-Dose (0069-2522-01)",1150.52,1150.52,,,0 NDC,00069303020,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-3030-20) / 5 Ml In 1 Vial, Single-Dose",68.01,68.01,,,0 NDC,00069303220,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-3032-20) / 25 Ml In 1 Vial, Single-Dose",31.71,31.71,,,0 NDC,00069303420,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0069-3034-20) / 100 Ml In 1 Vial, Multi-Dose",20.28,20.28,,,0 NDC,00069449402,"Elrexfio: 1 Vial, Single-Dose In 1 Carton (0069-4494-02) / 1.9 Ml In 1 Vial, Single-Dose (0069-4494-01)",1152.69,1152.69,,,0 NDC,00069547401,NDC Description Not Available,36.6,36.6,,,0 NDC,00069580043,Tikosyn: 40 Blister Pack In 1 Carton (0069-5800-43) / 1 Capsule In 1 Blister Pack,68.71,68.71,,,0 NDC,00069581043,Tikosyn: 40 Blister Pack In 1 Carton (0069-5810-43) / 1 Capsule In 1 Blister Pack,68.71,68.71,,,0 NDC,00069582043,Tikosyn: 40 Blister Pack In 1 Carton (0069-5820-43) / 1 Capsule In 1 Blister Pack,68.71,68.71,,,0 NDC,00069600102,NDC Description Not Available,76.81,76.81,,,0 NDC,00069600110,NDC Description Not Available,53.35,53.35,,,0 NDC,00069600121,Cerebyx: 10 Vial In 1 Package (0069-6001-21) / 10 Ml In 1 Vial (0069-6001-10),53.85,53.85,,,0 NDC,00069600125,Cerebyx: 25 Vial In 1 Carton (0069-6001-25) / 2 Ml In 1 Vial (0069-6001-02),90.3,90.3,,,0 NDC,00071000740,"Dilantin Infatabs: 100 Blister Pack In 1 Box, Unit-Dose (0071-0007-40) / 1 Tablet, Chewable In 1 Blister Pack",13.62,13.62,,,0 NDC,00071036940,Dilantin: 100 Blister Pack In 1 Carton (0071-0369-40) / 1 Capsule In 1 Blister Pack,11.5,11.5,,,0 NDC,00071041813,Nitrostat: 4 Bottle In 1 Carton (0071-0418-13) / 25 Tablet In 1 Bottle,9.98,9.98,,,0 NDC,00071080324,Neurontin: 100 Capsule In 1 Bottle (0071-0803-24),17.94,17.94,,,0 NDC,00071201244,1 BOTTLE in 1 CARTON (0071-2012-44) / 470 mL in 1 BOTTLE,25.85,25.85,,,0 NDC,00074056111,"Venclexta: 1 Blister Pack In 1 Carton (0074-0561-11) / 2 Tablet, Film Coated In 1 Blister Pack",79.86,79.86,,,0 NDC,00074056607,"Venclexta: 1 Blister Pack In 1 Carton (0074-0566-07) / 7 Tablet, Film Coated In 1 Blister Pack",305.75,305.75,,,0 NDC,00074056611,"Venclexta: 1 Blister Pack In 1 Carton (0074-0566-11) / 1 Tablet, Film Coated In 1 Blister Pack",380.59,380.59,,,0 NDC,00074057611,"Venclexta: 1 Blister Pack In 1 Carton (0074-0576-11) / 1 Tablet, Film Coated In 1 Blister Pack",793.86,793.86,,,0 NDC,00074104328,"Rinvoq: 28 Tablet, Extended Release In 1 Bottle (0074-1043-28)",2691.44,2691.44,,,0 NDC,00074231030,"Rinvoq: 30 Tablet, Extended Release In 1 Bottle (0074-2310-30)",1395.58,1395.58,,,0 NDC,00074262500,NDC Description Not Available,974.27,974.27,,,0 NDC,00074262528,"Mavyret: 4 Carton In 1 Carton (0074-2625-28) / 7 Dose Pack In 1 Carton / 3 Tablet, Film Coated In 1 Dose Pack",974.29,974.29,,,0 NDC,00074310832,Gengraf: 3 Blister Pack In 1 Carton (0074-3108-32) / 10 Capsule In 1 Blister Pack,11.01,11.01,,,0 NDC,00074310932,Gengraf: 5 Blister Pack In 1 Carton (0074-3109-32) / 6 Capsule In 1 Blister Pack,43.32,43.32,,,0 NDC,00074317390,Tricor: 90 Tablet In 1 Bottle (0074-3173-90),5.47,5.47,,,0 NDC,00074327813,"K-Tab: 100 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (0074-3278-13)",5.2,5.2,,,0 NDC,00074333330,"Norvir: 30 Tablet, Film Coated In 1 Bottle (0074-3333-30)",53.15,53.15,,,0 NDC,00074334603,Lupron Depot: 1 Kit In 1 Carton (0074-3346-03) * 1.5 Ml In 1 Syringe * 1 Swab In 1 Packet,13956.6,13956.6,,,0 NDC,00074347303,Lupron Depot: 1 Kit In 1 Carton (0074-3473-03) * 1 Swab In 1 Packet * 1.5 Ml In 1 Syringe,10899.28,10899.28,,,0 NDC,00074357501,Lupron Depot-Ped: 1 Kit In 1 Carton (0074-3575-01) * 1.5 Ml In 1 Syringe (0074-3410-01) * 2 Swab In 1 Packet (0074-0010-01),9582.12,9582.12,,,0 NDC,00074364103,Lupron Depot: 1 Kit In 1 Carton (0074-3641-03) * 1 Ml In 1 Syringe * 1 Ml In 1 Packet,11708.28,11708.28,,,0 NDC,00074364203,Lupron Depot: 1 Kit In 1 Carton (0074-3642-03) * 1 Ml In 1 Syringe * 1 Swab In 1 Packet,13912.82,13912.82,,,0 NDC,00074366303,Lupron Depot: 1 Kit In 1 Carton (0074-3663-03) * 1.5 Ml In 1 Syringe * 1 Ml In 1 Packet,8888.54,8888.54,,,0 NDC,00074368303,Lupron Depot: 1 Kit In 1 Carton (0074-3683-03) * 1.5 Ml In 1 Syringe * 1 Swab In 1 Packet,13874.07,13874.07,,,0 NDC,00074379902,Humira: 2 Kit In 1 Carton (0074-3799-02) / 1 Kit In 1 Kit * 1 Syringe In 1 Tray / .8 Ml In 1 Syringe * 1 Ml In 1 Packet,620.33,620.33,,,0 NDC,00074455211,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-4552-11) / 10 Tablet In 1 Blister Pack",9.95,9.95,,,0 NDC,00074501501,"Skyrizi: 1 Vial, Single-Dose In 1 Carton (0074-5015-01) / 10 Ml In 1 Vial, Single-Dose",64.55,64.55,,,0 NDC,00074662411,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-6624-11) / 10 Tablet In 1 Blister Pack",9.93,9.93,,,0 NDC,00074706811,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7068-11) / 10 Tablet In 1 Blister Pack",10.18,10.18,,,0 NDC,00074706911,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7069-11) / 10 Tablet In 1 Blister Pack",10.01,10.01,,,0 NDC,00074706990,Synthroid: 90 Tablet In 1 Bottle (0074-7069-90),10.28,10.28,,,0 NDC,00074714811,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7148-11) / 10 Tablet In 1 Blister Pack",9.82,9.82,,,0 NDC,00074969403,Lupron Depot-Ped: 1 Kit In 1 Carton (0074-9694-03) * 1.5 Ml In 1 Syringe * 1 Swab In 1 Packet,1295.9,1295.9,,,0 NDC,00075062001,NDC Description Not Available,16.62,16.62,,,0 NDC,00075062160,Lovenox: 10 Cello Pack In 1 Carton (0075-0621-60) / 1 Syringe In 1 Cello Pack (0075-0621-01) / .6 Ml In 1 Syringe,16.64,16.64,,,0 NDC,00075291201,Lovenox: 10 Cello Pack In 1 Carton (0075-2912-01) / 1 Syringe In 1 Cello Pack (0075-2912-00) / .8 Ml In 1 Syringe,16.65,16.65,,,0 NDC,00078010901,Sandimmune: 10 Ampule In 1 Box (0078-0109-01) / 5 Ml In 1 Ampule (0078-0109-61),280.52,280.52,,,0 NDC,00078010961,NDC Description Not Available,259.45,259.45,,,0 NDC,00078024615,"Neoral: 30 Blister Pack In 1 Carton (0078-0246-15) / 1 Capsule, Liquid Filled In 1 Blister Pack (0078-0246-61)",16.97,16.97,,,0 NDC,00078024815,"Neoral: 30 Blister Pack In 1 Carton (0078-0248-15) / 1 Capsule, Liquid Filled In 1 Blister Pack (0078-0248-61)",68.93,68.93,,,0 NDC,00078024915,"Femara: 30 Tablet, Film Coated In 1 Bottle, Plastic (0078-0249-15)",165.04,165.04,,,0 NDC,00078027422,Neoral: 1 Bottle In 1 Carton (0078-0274-22) / 50 Ml In 1 Bottle,58.84,58.84,,,0 NDC,00078033184,"Simulect: 1 Vial, Single-Use In 1 Carton (0078-0331-84) / 5 Ml In 1 Vial, Single-Use",29716.345,29716.345,,,0 NDC,00078035806,NDC Description Not Available,20.15,20.15,,,0 NDC,00078038666,"Myfortic: 120 Tablet, Delayed Release In 1 Bottle (0078-0386-66)",43.64,43.64,,,0 NDC,00078038725,Zometa: 1 VIAL in 1 CARTON (0078-0387-25) / 5 mL in 1 VIAL,1421.54,1421.54,,,0 NDC,00078040134,Gleevec: 90 Tablet In 1 Bottle (0078-0401-34),522.5,522.5,,,0 NDC,00078041420,Zortress: 60 Blister Pack In 1 Box (0078-0414-20) / 1 Tablet In 1 Blister Pack (0078-0414-61),65.72,65.72,,,0 NDC,00078041461,NDC Description Not Available,65.63,65.63,,,0 NDC,00078041520,Zortress: 60 Blister Pack In 1 Box (0078-0415-20) / 1 Tablet In 1 Blister Pack (0078-0415-61),64.97,64.97,,,0 NDC,00078041561,NDC Description Not Available,65.32,65.32,,,0 NDC,00078041761,NDC Description Not Available,65.35,65.35,,,0 NDC,00078051005,"Tegretol Xr: 100 Tablet, Extended Release In 1 Bottle (0078-0510-05)",10.09,10.09,,,0 NDC,00078051205,"Tegretol Xr: 100 Tablet, Extended Release In 1 Bottle (0078-0512-05)",40.21,40.21,,,0 NDC,00078064930,"Gleevec: 30 Tablet In 1 Box, Unit-Dose (0078-0649-30)",522.99,522.99,,,0 NDC,00078065415,"Jadenu: 30 Tablet, Film Coated In 1 Bottle (0078-0654-15)",311.18,311.18,,,0 NDC,00078065515,"Jadenu: 30 Tablet, Film Coated In 1 Bottle (0078-0655-15)",638.79,638.79,,,0 NDC,00078065920,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0659-20)",71.87,71.87,,,0 NDC,00078065967,"Entresto: 180 Tablet, Film Coated In 1 Bottle (0078-0659-67)",71.19,71.19,,,0 NDC,00078068361,Arranon: 50 Ml In 1 Vial (0078-0683-61),1082.92,1082.92,,,0 NDC,00078068515,"Promacta: 30 Tablet, Film Coated In 1 Bottle (0078-0685-15)",1429.08,1429.08,,,0 NDC,00078068615,"Promacta: 30 Tablet, Film Coated In 1 Bottle (0078-0686-15)",2764.46,2764.46,,,0 NDC,00078068715,"Promacta: 30 Tablet, Film Coated In 1 Bottle (0078-0687-15)",2694.58,2694.58,,,0 NDC,00078069620,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0696-20)",72.88,72.88,,,0 NDC,00078069667,"Entresto: 180 Tablet, Film Coated In 1 Bottle (0078-0696-67)",71.49,71.49,,,0 NDC,00078069802,NDC Description Not Available,1014.26,1014.26,,,0 NDC,00078072210,Azopt: 1 Bottle In 1 Carton (0078-0722-10) / 10 Ml In 1 Bottle,2279.12,2279.12,,,0 NDC,00078073461,"Ilaris: 1 Vial, Single-Use In 1 Carton (0078-0734-61) / 1 Ml In 1 Vial, Single-Use",575.59,575.59,,,0 NDC,00078077720,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0777-20)",71.66,71.66,,,0 NDC,00078077767,"Entresto: 180 Tablet, Film Coated In 1 Bottle (0078-0777-67)",71.59,71.59,,,0 NDC,00078079761,NDC Description Not Available,1546.46,1546.46,,,0 NDC,00078079975,Ciprodex: 1 Bottle In 1 Carton (0078-0799-75) / 7.5 Ml In 1 Bottle,1544.36,1544.36,,,0 NDC,00078080461,NDC Description Not Available,1540.78,1540.78,,,0 NDC,00078081881,Sandostatin Lar Depot: 1 Kit In 1 Kit (0078-0818-81) * 6 Ml In 1 Vial (0078-0797-61) * 2 Ml In 1 Syringe,1355.51,1355.51,,,0 NDC,00078082581,Sandostatin Lar Depot: 1 Kit In 1 Kit (0078-0825-81) * 2 Ml In 1 Syringe * 6 Ml In 1 Vial (0078-0804-61),1541.01,1541.01,,,0 NDC,00078082761,"1 VIAL, SINGLE-DOSE in 1 CARTON (0078-0827-61) / .05 mL in 1 VIAL, SINGLE-DOSE",2065.83,2065.83,,,0 NDC,00078087601,Tobradex: 3.5 G In 1 Tube (0078-0876-01),1749.12,1749.12,,,0 NDC,00078088361,"Adakveo: 10 Ml In 1 Vial, Glass (0078-0883-61)",772.47,772.47,,,0 NDC,00078089778,"Triesence: 1 Blister Pack In 1 Carton (0078-0897-78) / 1 Vial, Glass In 1 Blister Pack / 1 Ml In 1 Vial, Glass",158.12,158.12,,,0 NDC,00078093926,Vigamox: 1 Bottle In 1 Carton (0078-0939-26) / 3 Ml In 1 Bottle,1245.78,1245.78,,,0 NDC,00078100060,"Leqvio: 1 Syringe, Glass In 1 Carton (0078-1000-60) / 1.5 Ml In 1 Syringe, Glass",76.75,76.75,,,0 NDC,00078116861,"Cosentyx: 5 Ml In 1 Vial, Glass (0078-1168-61)",115.19,115.19,,,0 NDC,00081079887,NDC Description Not Available,45.78,45.78,,,0 NDC,00085132801,"Noxafil: 1 Bottle, Glass In 1 Carton (0085-1328-01) / 105 Ml In 1 Bottle, Glass",370.73,370.73,,,0 NDC,00085173101,"Cipro: 40 mL in 1 VIAL, GLASS (0085-1731-01)",89.33,89.33,,,0 NDC,00085433101,"Noxafil: 1 Vial, Glass In 1 Carton (0085-4331-01) / 16.7 Ml In 1 Vial, Glass",3553.97,3553.97,,,0 NDC,00088222033,"Lantus: 1 Vial, Glass In 1 Carton (0088-2220-33) / 10 Ml In 1 Vial, Glass",19.67,19.67,,,0 NDC,00093001806,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (0093-0018-06)",16.85,16.85,,,0 NDC,00093013501,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (0093-0135-01)",5.86,5.86,,,0 NDC,00093026215,Fluocinonide: 1 Tube In 1 Carton (0093-0262-15) / 15 G In 1 Tube,225.9,225.9,,,0 NDC,00093026315,Fluocinonide: 1 Tube In 1 Carton (0093-0263-15) / 15 G In 1 Tube,238.92,238.92,,,0 NDC,00093031801,"Diltiazem Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-0318-01)",6.0,6.0,,,0 NDC,00093031901,"Diltiazem Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-0319-01)",5.86,5.86,,,0 NDC,00093075301,Atenolol: 100 Tablet In 1 Bottle (0093-0753-01),6.0,6.0,,,0 NDC,00093081101,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (0093-0811-01),4.14,4.14,,,0 NDC,00093083201,Clonazepam: 100 Tablet In 1 Bottle (0093-0832-01),5.79,5.79,,,0 NDC,00093101042,Mupirocin: 1 Tube In 1 Carton (0093-1010-42) / 22 G In 1 Tube,56.47,56.47,,,0 NDC,00093106001,Sotalol Hydrochloride: 100 Tablet In 1 Bottle (0093-1060-01),6.0,6.0,,,0 NDC,00093106101,Sotalol Hydrochloride: 100 Tablet In 1 Bottle (0093-1061-01),6.0,6.0,,,0 NDC,00093117701,Neomycin Sulfate: 100 Tablet In 1 Bottle (0093-1177-01),6.89,6.89,,,0 NDC,00093202631,Azithromycin: 30 Ml In 1 Bottle (0093-2026-31),25.92,25.92,,,0 NDC,00093227434,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (0093-2274-34)",8.75,8.75,,,0 NDC,00093227534,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (0093-2275-34)",10.47,10.47,,,0 NDC,00093310905,Amoxicillin: 500 Capsule In 1 Bottle (0093-3109-05),3.96,3.96,,,0 NDC,00093312701,Disopyramide Phosphate: 100 Capsule In 1 Bottle (0093-3127-01),12.36,12.36,,,0 NDC,00093314701,Cephalexin: 100 Capsule In 1 Bottle (0093-3147-01),5.12,5.12,,,0 NDC,00093314705,Cephalexin: 500 Capsule In 1 Bottle (0093-3147-05),6.0,6.0,,,0 NDC,00093317431,"Albuterol Sulfate Hfa: 1 Inhaler In 1 Carton (0093-3174-31) / 200 Aerosol, Metered In 1 Inhaler",223.08,223.08,,,0 NDC,00093321201,Clonazepam: 100 Tablet In 1 Bottle (0093-3212-01),4.18,4.18,,,0 NDC,00093342201,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-3422-01)",6.0,6.0,,,0 NDC,00093342501,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3425-01)",4.84,4.84,,,0 NDC,00093342601,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3426-01)",5.2,5.2,,,0 NDC,00093342701,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3427-01)",5.4,5.4,,,0 NDC,00093412573,Penicillin V Potassium: 100 Ml In 1 Bottle (0093-4125-73),6.0,6.0,,,0 NDC,00093412773,Penicillin V Potassium: 100 Ml In 1 Bottle (0093-4127-73),6.0,6.0,,,0 NDC,00093415573,Amoxicillin: 100 Ml In 1 Bottle (0093-4155-73),6.0,6.0,,,0 NDC,00093416176,Amoxicillin: 50 Ml In 1 Bottle (0093-4161-76),6.43,6.43,,,0 NDC,00093417773,Cephalexin: 100 Ml In 1 Bottle (0093-4177-73),11.15,11.15,,,0 NDC,00093542088,Cabergoline: 1 Bottle In 1 Carton (0093-5420-88) / 8 Tablet In 1 Bottle,1.77,1.77,,,0 NDC,00093551798,"Sildenafil: 90 Tablet, Film Coated In 1 Bottle (0093-5517-98)",5.84,5.84,,,0 NDC,00093681519,NDC Description Not Available,78.65,78.65,,,0 NDC,00093681573,"Budesonide: 6 Pouch In 1 Carton (0093-6815-73) / 5 Vial, Single-Dose In 1 Pouch (0093-6815-45) / 2 Ml In 1 Vial, Single-Dose (0093-6815-19)",53.53,53.53,,,0 NDC,00093681619,NDC Description Not Available,54.96,54.96,,,0 NDC,00093716456,"Tolterodine Tartrate: 30 Capsule, Extended Release In 1 Bottle (0093-7164-56)",39.86,39.86,,,0 NDC,00093720198,Pravastatin Sodium: 90 Tablet In 1 Bottle (0093-7201-98),5.33,5.33,,,0 NDC,00093727098,Pravastatin Sodium: 90 Tablet In 1 Bottle (0093-7270-98),6.0,6.0,,,0 NDC,00093729601,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (0093-7296-01)",5.49,5.49,,,0 NDC,00093733401,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (0093-7334-01),4.24,4.24,,,0 NDC,00093760141,Temozolomide: 14 CAPSULE in 1 BOTTLE (0093-7601-41),60.09,60.09,,,0 NDC,00093762056,"Letrozole: 30 Tablet, Film Coated In 1 Bottle (0093-7620-56)",6.0,6.0,,,0 NDC,00093867575,Amoxicillin And Clavulanate Potassium: 125 Ml In 1 Bottle (0093-8675-75),13.85,13.85,,,0 NDC,00093873901,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (0093-8739-01),8.02,8.02,,,0 NDC,00093874001,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (0093-8740-01),9.76,9.76,,,0 NDC,00093901819,NDC Description Not Available,6.82,6.82,,,0 NDC,00093902019,NDC Description Not Available,26.74,26.74,,,0 NDC,00093916301,Venlafaxine Hydrochloride: 100 Tablet In 1 Bottle (0093-9163-01),6.0,6.0,,,0 NDC,00113006510,"Good Sense Nasal: 1 Bottle, Spray In 1 Carton (0113-0065-10) / 30 Ml In 1 Bottle, Spray",5.82,5.82,,,0 NDC,00113030601,Good Sense Clear Lax: 119 G In 1 Bottle (0113-0306-01),2.0,2.0,,,0 NDC,00113040378,Good Sense Pain Relief: 1 Bottle In 1 Carton (0113-0403-78) / 100 Tablet In 1 Bottle,1.0,1.0,,,0 NDC,00113088210,"good sense simethicone: 1 BOTTLE, DROPPER in 1 CARTON (0113-0882-10) / 30 mL in 1 BOTTLE, DROPPER",2.0,2.0,,,0 NDC,00115101101,Baclofen: 100 Tablet In 1 Bottle (0115-1011-01),3.33,3.33,,,0 NDC,00115107201,Dipyridamole: 100 Tablet In 1 Bottle (0115-1072-01),6.68,6.68,,,0 NDC,00115136530,NDC Description Not Available,0.57,0.57,,,0 NDC,00115140408,"Pyridostigmine Bromide: 30 TABLET, EXTENDED RELEASE in 1 BOTTLE (0115-1404-08)",99.98,99.98,,,0 NDC,00115169430,"Epinephrine: 1 Case In 1 Carton (0115-1694-30) / 1 Syringe, Glass In 1 Case / .3 Ml In 1 Syringe, Glass",335.0,335.0,,,0 NDC,00115169449,"Epinephrine: 2 Case In 1 Carton (0115-1694-49) / 1 Syringe, Glass In 1 Case / .3 Ml In 1 Syringe, Glass",335.0,335.0,,,0 NDC,00115170001,"Hydrocortisone: 100 Tablet In 1 Bottle, Plastic (0115-1700-01)",5.62,5.62,,,0 NDC,00115351101,Pyridostigmine Bromide: 100 Tablet In 1 Bottle (0115-3511-01),5.54,5.54,,,0 NDC,00115441101,Dantrolene Sodium: 100 Capsule In 1 Bottle (0115-4411-01),5.02,5.02,,,0 NDC,00116200104,Chlorhexidine Gluconate: 118 Ml In 1 Bottle (0116-2001-04),6.0,6.0,,,0 NDC,00116200116,Chlorhexidine Gluconate: 473 Ml In 1 Bottle (0116-2001-16),6.62,6.62,,,0 NDC,00116400508,Lactulose: 237 Ml In 1 Bottle (0116-4005-08),6.0,6.0,,,0 NDC,00116400515,"Lactulose: 15 Ml In 1 Cup, Unit-Dose (0116-4005-15)",9.024999999999999,9.024999999999999,,,0 NDC,00116400530,"Lactulose: 30 Ml In 1 Cup, Unit-Dose (0116-4005-30)",10.23,10.23,,,0 NDC,00121043130,"Milk Of Magnesia: 10 Tray In 1 Case (0121-0431-30) / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",3.71,3.71,,,0 NDC,00121048900,"Diphenhydramine Hydrochloride: 10 Tray In 1 Case (0121-0489-00) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0489-05)",15.83,15.83,,,0 NDC,00121048905,NDC Description Not Available,11.285,11.285,,,0 NDC,00121048910,NDC Description Not Available,3.11,3.11,,,0 NDC,00121053005,NDC Description Not Available,6.46,6.46,,,0 NDC,00121054410,"Docusate Sodium: 10 TRAY in 1 CASE (0121-0544-10) / 10 CUP, UNIT-DOSE in 1 TRAY / 10 mL in 1 CUP, UNIT-DOSE",2.11,2.11,,,0 NDC,00121057616,Metoclopramide: 473 Ml In 1 Bottle (0121-0576-16),6.0,6.0,,,0 NDC,00121059500,"Sodium Citrate And Citric Acid: 10 Tray In 1 Case (0121-0595-00) / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (0121-0595-15)",29.02,29.02,,,0 NDC,00121059516,Sodium Citrate And Citric Acid: 473 Ml In 1 Bottle (0121-0595-16),6.0,6.0,,,0 NDC,00121059530,"Sodium Citrate And Citric Acid: 10 Tray In 1 Case (0121-0595-30) / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",11.16,11.16,,,0 NDC,00121065402,Fluphenazine Hydrochloride: 60 Ml In 1 Bottle (0121-0654-02),33.67,33.67,,,0 NDC,00121065700,"Acetaminophen: 10 Tray In 1 Case (0121-0657-00) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0657-05)",2.75,2.75,,,0 NDC,00121065705,NDC Description Not Available,2.7649999999999997,2.7649999999999997,,,0 NDC,00121065816,Trihexyphenidyl Hydrochloride: 473 Ml In 1 Bottle (0121-0658-16),6.7,6.7,,,0 NDC,00121067016,Ethosuximide: 473 Ml In 1 Bottle (0121-0670-16),6.04,6.04,,,0 NDC,00121067516,473 mL in 1 BOTTLE (0121-0675-16),6.0,6.0,,,0 NDC,00121067716,Tricitrates: 473 Ml In 1 Bottle (0121-0677-16),6.0,6.0,,,0 NDC,00121072208,NDC Description Not Available,6.0,6.0,,,0 NDC,00121075908,Prednisolone Sodium Phosphate: 237 Ml In 1 Bottle (0121-0759-08),1.54,1.54,,,0 NDC,00121076616,Calcium Carbonate: 12 Bottle In 1 Case (0121-0766-16) / 473 Ml In 1 Bottle,2.0,2.0,,,0 NDC,00121077001,"Lorazepam: 1 Bottle, Dropper In 1 Carton (0121-0770-01) / 30 Ml In 1 Bottle, Dropper",12.93,12.93,,,0 NDC,00121086505,NDC Description Not Available,23.67,23.67,,,0 NDC,00121086530,"Diphenhydramine Hcl: 3 Tray In 1 Case (0121-0865-30) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0865-05)",13.21,13.21,,,0 NDC,00121086720,Vancomycin Hydrochloride: 2 Blister Pack In 1 Carton (0121-0867-20) / 10 Capsule In 1 Blister Pack,12.4,12.4,,,0 NDC,00121086800,"Nystatin: 10 Tray In 1 Case (0121-0868-00) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0868-05)",11.72,11.72,,,0 NDC,00121086805,NDC Description Not Available,11.72,11.72,,,0 NDC,00121086816,Nystatin: 473 Ml In 1 Bottle (0121-0868-16),6.0,6.0,,,0 NDC,00121088508,Prednisolone: 240 Ml In 1 Bottle (0121-0885-08),5.99,5.99,,,0 NDC,00121089315,NDC Description Not Available,10.69,10.69,,,0 NDC,00121090315,NDC Description Not Available,19.83,19.83,,,0 NDC,00121090340,"Lidocaine Viscous: 4 Tray In 1 Case (0121-0903-40) / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (0121-0903-15)",23.16,23.16,,,0 NDC,00121090405,NDC Description Not Available,8.41,8.41,,,0 NDC,00121090505,NDC Description Not Available,23.75,23.75,,,0 NDC,00121093516,Docusate Sodium: 473 Ml In 1 Bottle (0121-0935-16),2.0,2.0,,,0 NDC,00121094510,NDC Description Not Available,25.92,25.92,,,0 NDC,00121096694,"Dye Free Childrens Acetaminophen: 3 Tray In 1 Case (0121-0966-94) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0966-05)",2.0,2.0,,,0 NDC,00121097410,NDC Description Not Available,55.8,55.8,,,0 NDC,00121097810,NDC Description Not Available,9.285,9.285,,,0 NDC,00121101605,NDC Description Not Available,222.86,222.86,,,0 NDC,00121115430,NDC Description Not Available,9.98,9.98,,,0 NDC,00121119030,NDC Description Not Available,30.08,30.08,,,0 NDC,00121127610,NDC Description Not Available,4.39,4.39,,,0 NDC,00121148810,NDC Description Not Available,3.06,3.06,,,0 NDC,00121155000,"Guaifenesin And Codeine Phosphate: 10 Tray In 1 Case (0121-1550-00) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (0121-1550-10)",6.0,6.0,,,0 NDC,00121155010,NDC Description Not Available,24.48,24.48,,,0 NDC,00121157610,"Metoclopramide: 10 Tray In 1 Case (0121-1576-10) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose",25.11,25.11,,,0 NDC,00121173000,"Diphenhydramine Hcl: 10 Tray In 1 Case (0121-1730-00) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (0121-1730-10)",27.66,27.66,,,0 NDC,00121174405,NDC Description Not Available,3.04,3.04,,,0 NDC,00121174410,NDC Description Not Available,1.86,1.86,,,0 NDC,00121174415,NDC Description Not Available,2.0,2.0,,,0 NDC,00121176130,"Mag-Al Plus: 10 Tray In 1 Case (0121-1761-30) / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",5.99,5.99,,,0 NDC,00121178105,NDC Description Not Available,1.75,1.75,,,0 NDC,00121197100,"Acetaminophen: 10 Tray In 1 Case (0121-1971-00) / 10 Cup, Unit-Dose In 1 Tray / 20.3 Ml In 1 Cup, Unit-Dose (0121-1971-21)",3.86,3.86,,,0 NDC,00121197121,NDC Description Not Available,3.86,3.86,,,0 NDC,00121223215,NDC Description Not Available,3.45,3.45,,,0 NDC,00121231615,NDC Description Not Available,28.93,28.93,,,0 NDC,00121457715,NDC Description Not Available,4.125,4.125,,,0 NDC,00121476605,"Calcium Carbonate: 4 Tray In 1 Case (0121-4766-05) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose",4.87,4.87,,,0 NDC,00121482705,NDC Description Not Available,38.41,38.41,,,0 NDC,00121495015,NDC Description Not Available,30.33,30.33,,,0 NDC,00121495040,"Lidocaine Hydrochloride: 4 Tray In 1 Case (0121-4950-40) / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (0121-4950-15)",36.41,36.41,,,0 NDC,00131181067,"Vimpat: 10 Vial, Glass In 1 Carton (0131-1810-67) / 20 Ml In 1 Vial, Glass",283.235,283.235,,,0 NDC,00131247760,"Vimpat: 6 Blister Pack In 1 Carton (0131-2477-60) / 10 Tablet, Film Coated In 1 Blister Pack",81.14,81.14,,,0 NDC,00131247835,"Vimpat: 60 Tablet, Film Coated In 1 Bottle, Plastic (0131-2478-35)",115.78,115.78,,,0 NDC,00131247860,"Vimpat: 6 Blister Pack In 1 Carton (0131-2478-60) / 10 Tablet, Film Coated In 1 Blister Pack",126.64,126.64,,,0 NDC,00131247935,"Vimpat: 60 Tablet, Film Coated In 1 Bottle, Plastic (0131-2479-35)",121.62,121.62,,,0 NDC,00131248035,"Vimpat: 60 Tablet, Film Coated In 1 Bottle, Plastic (0131-2480-35)",123.1,123.1,,,0 NDC,00131248060,"Vimpat: 6 Blister Pack In 1 Carton (0131-2480-60) / 10 Tablet, Film Coated In 1 Blister Pack",133.05,133.05,,,0 NDC,00131541072,"Vimpat: 200 Ml In 1 Bottle, Glass (0131-5410-72)",14.17,14.17,,,0 NDC,00132007912,Fleet: 12 SUPPOSITORY in 1 JAR (0132-0079-12),2.0,2.0,,,0 NDC,00132008112,Pedia-Lax: 12 Suppository In 1 Jar (0132-0081-12),2.0,2.0,,,0 NDC,00132020140,"Fleet: 133 Ml In 1 Bottle, With Applicator (0132-0201-40)",2.03,2.03,,,0 NDC,00132020220,"Pedia-Lax: 66 Ml In 1 Bottle, With Applicator (0132-0202-20)",5.0,5.0,,,0 NDC,00143117201,Captopril: 100 Tablet In 1 Bottle (0143-1172-01),6.73,6.73,,,0 NDC,00143117401,Captopril: 100 Tablet In 1 Bottle (0143-1174-01),15.34,15.34,,,0 NDC,00143145505,Phenobarbital: 500 Tablet In 1 Bottle (0143-1455-05),5.47,5.47,,,0 NDC,00143149501,Phenobarbital: 100 Tablet In 1 Bottle (0143-1495-01),4.8,4.8,,,0 NDC,00143314250,"Doxycycline Hyclate: 50 Capsule, Gelatin Coated In 1 Bottle, Plastic (0143-3142-50)",7.44,7.44,,,0 NDC,00143902201,NDC Description Not Available,47.86,47.86,,,0 NDC,00143902202,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0143-9022-02) / 5 Ml In 1 Syringe, Glass (0143-9022-01)",49.82,49.82,,,0 NDC,00143913901,NDC Description Not Available,9.8,9.8,,,0 NDC,00143914101,NDC Description Not Available,51.06,51.06,,,0 NDC,00143916101,NDC Description Not Available,193.0,193.0,,,0 NDC,00143916125,Vancomycin Hydrochloride: 25 Vial In 1 Package (0143-9161-25) / 513 Mg In 1 Vial (0143-9161-01),193.0,193.0,,,0 NDC,00143916201,NDC Description Not Available,96.5,96.5,,,0 NDC,00143918001,NDC Description Not Available,0.7,0.7,,,0 NDC,00143918401,NDC Description Not Available,0.33,0.33,,,0 NDC,00143919201,Foscarnet Sodium: 10 Carton In 1 Case (0143-9192-01) / 1 Bottle In 1 Carton / 250 Ml In 1 Bottle,59.0,59.0,,,0 NDC,00143921001,NDC Description Not Available,0.25,0.25,,,0 NDC,00143924101,"Bleomycin: 1 Vial In 1 Box, Unit-Dose (0143-9241-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",279.07,279.07,,,0 NDC,00143924501,NDC Description Not Available,38.22,38.22,,,0 NDC,00143924701,"Dexrazoxane: 1 Vial In 1 Box (0143-9247-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",1545.95,1545.95,,,0 NDC,00143925401,NDC Description Not Available,6.0,6.0,,,0 NDC,00143926201,NDC Description Not Available,29.5,29.5,,,0 NDC,00143926225,Cefazolin: 25 Vial In 1 Carton (0143-9262-25) / 3 Ml In 1 Vial (0143-9262-01),13.41,13.41,,,0 NDC,00143926701,Clindamycin In 5 Percent Dextrose: 1 Vial In 1 Carton (0143-9267-01) / 50 Ml In 1 Vial,39.99,39.99,,,0 NDC,00143927901,"Mitomycin: 1 Vial In 1 Box, Unit-Dose (0143-9279-01) / 40 Ml In 1 Vial",1020.4,1020.4,,,0 NDC,00143928401,NDC Description Not Available,58.32,58.32,,,0 NDC,00143928410,"Pantoprazole Sodium: 10 Vial In 1 Carton (0143-9284-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9284-01)",57.85,57.85,,,0 NDC,00143929901,NDC Description Not Available,245.25,245.25,,,0 NDC,00143931601,NDC Description Not Available,96.5,96.5,,,0 NDC,00143931801,NDC Description Not Available,96.59,96.59,,,0 NDC,00143932801,NDC Description Not Available,2.36,2.36,,,0 NDC,00143932901,NDC Description Not Available,1.18,1.18,,,0 NDC,00143932910,"Bupivacaine Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (0143-9329-10) / 50 Ml In 1 Vial, Multi-Dose (0143-9329-01)",0.24,0.24,,,0 NDC,00143933001,NDC Description Not Available,2.28,2.28,,,0 NDC,00143933101,NDC Description Not Available,0.38,0.38,,,0 NDC,00143933301,NDC Description Not Available,5.9,5.9,,,0 NDC,00143933801,NDC Description Not Available,10.18,10.18,,,0 NDC,00143935510,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (0143-9355-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9355-01)",96.5,96.5,,,0 NDC,00143935710,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (0143-9357-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9357-01)",96.5,96.5,,,0 NDC,00143936101,"Micafungin: 1 Vial In 1 Carton (0143-9361-01) / 5 Injection, Powder, Lyophilized, For Solution In 1 Vial",8.38,8.38,,,0 NDC,00143938101,NDC Description Not Available,182.62,182.62,,,0 NDC,00143938110,"Doxycycline: 10 Vial In 1 Carton (0143-9381-10) / 1 Injection, Powder, For Solution In 1 Vial (0143-9381-01)",12.75,12.75,,,0 NDC,00143938401,"Fosaprepitant Dimeglumine: 1 Vial, Single-Dose In 1 Carton (0143-9384-01) / 5 Ml In 1 Vial, Single-Dose",2.93,2.93,,,0 NDC,00143938501,"Decitabine: 1 Vial, Single-Dose In 1 Carton (0143-9385-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",13.23,13.23,,,0 NDC,00143939810,"Ertapenem Sodium: 10 Vial, Single-Dose In 1 Carton (0143-9398-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0143-9398-01)",114.59,114.59,,,0 NDC,00143950301,"Acetazolamide: 1 Vial In 1 Box, Unit-Dose (0143-9503-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",294.54,294.54,,,0 NDC,00143950601,NDC Description Not Available,5.88,5.88,,,0 NDC,00143950901,NDC Description Not Available,44.155,44.155,,,0 NDC,00143951001,"Etoposide: 1 Vial In 1 Box, Unit-Dose (0143-9510-01) / 5 Ml In 1 Vial",6.25,6.25,,,0 NDC,00143951901,NDC Description Not Available,10.29,10.29,,,0 NDC,00143952501,NDC Description Not Available,193.0,193.0,,,0 NDC,00143955101,NDC Description Not Available,438.91,438.91,,,0 NDC,00143955110,Daunorubicin Hydrochloride: 10 Vial In 1 Box (0143-9551-10) / 4 Ml In 1 Vial (0143-9551-01),449.37,449.37,,,0 NDC,00143955201,"Leucovorin Calcium: 1 Vial In 1 Box, Unit-Dose (0143-9552-01) / 17.5 Ml In 1 Vial",24.74,24.74,,,0 NDC,00143955401,Leucovorin Calcium: 1 Vial In 1 Box (0143-9554-01) / 10 Ml In 1 Vial,61.3,61.3,,,0 NDC,00143955501,Leucovorin Calcium: 1 Vial In 1 Box (0143-9555-01) / 5 Ml In 1 Vial,67.0,67.0,,,0 NDC,00143956401,Phentolamine Mesylate: 1 Vial In 1 Box (0143-9564-01) / 1 Ml In 1 Vial,2940.39,2940.39,,,0 NDC,00143956501,"Thiotepa: 1 Vial In 1 Box, Unit-Dose (0143-9565-01) / 1.5 Ml In 1 Vial",4977.14,4977.14,,,0 NDC,00143957001,NDC Description Not Available,42.61,42.61,,,0 NDC,00143957425,"Levetiracetam: 25 Vial, Single-Dose In 1 Carton (0143-9574-25) / 5 Ml In 1 Vial, Single-Dose (0143-9574-01)",0.16,0.16,,,0 NDC,00143957701,NDC Description Not Available,1.05,1.05,,,0 NDC,00143959501,NDC Description Not Available,25.544999999999998,25.544999999999998,,,0 NDC,00143960601,"Azacitidine: 1 Vial In 1 Carton (0143-9606-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",6.7,6.7,,,0 NDC,00143962101,NDC Description Not Available,59.0,59.0,,,0 NDC,00143962125,Cyanocobalamin: 25 Vial In 1 Box (0143-9621-25) / 1 Ml In 1 Vial (0143-9621-01),59.0,59.0,,,0 NDC,00143963301,NDC Description Not Available,2.29,2.29,,,0 NDC,00143963701,NDC Description Not Available,10.53,10.53,,,0 NDC,00143966001,NDC Description Not Available,13.96,13.96,,,0 NDC,00143967301,NDC Description Not Available,0.6,0.6,,,0 NDC,00143967325,"Levetiracetam: 25 Vial, Glass In 1 Carton (0143-9673-25) / 5 Ml In 1 Vial, Glass (0143-9673-01)",0.7,0.7,,,0 NDC,00143967401,Argatroban: 2.5 Ml In 1 Vial (0143-9674-01),13.24,13.24,,,0 NDC,00143968001,NDC Description Not Available,64.84,64.84,,,0 NDC,00143968201,NDC Description Not Available,47.349999999999994,47.349999999999994,,,0 NDC,00143968225,Glycopyrrolate: 25 Vial In 1 Carton (0143-9682-25) / 1 Ml In 1 Vial (0143-9682-01),38.62,38.62,,,0 NDC,00143968901,NDC Description Not Available,0.72,0.72,,,0 NDC,00143968910,Nicardipine Hydrochloride: 10 Vial In 1 Carton (0143-9689-10) / 10 Ml In 1 Vial (0143-9689-01),0.79,0.79,,,0 NDC,00143970101,"Irinotecan Hydrochloride: 5 Ml In 1 Vial, Glass (0143-9701-01)",40.2,40.2,,,0 NDC,00143970201,"Irinotecan Hydrochloride: 2 Ml In 1 Vial, Glass (0143-9702-01)",50.31,50.31,,,0 NDC,00143971001,NDC Description Not Available,20.94,20.94,,,0 NDC,00143971901,NDC Description Not Available,120.625,120.625,,,0 NDC,00143971910,Milrinone Lactate In Dextrose: 10 Container In 1 Package (0143-9719-10) / 100 Ml In 1 Container (0143-9719-01),50.22,50.22,,,0 NDC,00143972001,NDC Description Not Available,64.33,64.33,,,0 NDC,00143972101,NDC Description Not Available,144.75,144.75,,,0 NDC,00143974601,NDC Description Not Available,42.9,42.9,,,0 NDC,00143975301,NDC Description Not Available,6.49,6.49,,,0 NDC,00143975401,NDC Description Not Available,2.95,2.95,,,0 NDC,00143978401,NDC Description Not Available,10.08,10.08,,,0 NDC,00143978501,NDC Description Not Available,22.6,22.6,,,0 NDC,00143978510,"Valproate Sodium: 10 Vial, Single-Dose In 1 Carton (0143-9785-10) / 5 Ml In 1 Vial, Single-Dose (0143-9785-01)",22.82,22.82,,,0 NDC,00143978601,NDC Description Not Available,41.68,41.68,,,0 NDC,00143983001,"Methotrexate: 1 Vial In 1 Box (0143-9830-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",21.3,21.3,,,0 NDC,00143983701,"Penicillin V Potassium: 100 Tablet, Film Coated In 1 Bottle (0143-9837-01)",5.48,5.48,,,0 NDC,00143985001,"Methylprednisolone Sodium Succinate: 1 Injection, Powder, For Solution In 1 Vial, Multi-Dose (0143-9850-01)",1.93,1.93,,,0 NDC,00143985101,"Methylprednisolone Sodium Succinate: 1 Injection, Powder, For Solution In 1 Vial, Multi-Dose (0143-9851-01)",1.25,1.25,,,0 NDC,00143985201,NDC Description Not Available,238.99,238.99,,,0 NDC,00143985601,NDC Description Not Available,15.41,15.41,,,0 NDC,00143985625,"Ceftriaxone: 25 Vial In 1 Box (0143-9856-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9856-01)",24.12,24.12,,,0 NDC,00143985701,NDC Description Not Available,48.25,48.25,,,0 NDC,00143985801,NDC Description Not Available,29.79,29.79,,,0 NDC,00143985925,"Ceftriaxone: 25 Vial In 1 Box (0143-9859-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9859-01)",14.75,14.75,,,0 NDC,00143987201,NDC Description Not Available,55.07,55.07,,,0 NDC,00143987501,NDC Description Not Available,6.97,6.97,,,0 NDC,00143987701,NDC Description Not Available,89.72,89.72,,,0 NDC,00143987725,"Cefoxitin: 25 Vial In 1 Carton (0143-9877-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9877-01)",90.47,90.47,,,0 NDC,00143987801,NDC Description Not Available,108.55,108.55,,,0 NDC,00143987825,"Cefoxitin: 25 Vial In 1 Carton (0143-9878-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9878-01)",193.0,193.0,,,0 NDC,00143988801,Amoxicillin: 100 Ml In 1 Bottle (0143-9888-01),6.0,6.0,,,0 NDC,00143992490,Cefazolin: 3 Ml In 1 Vial (0143-9924-90),28.39,28.39,,,0 NDC,00143992950,"Ciprofloxacin: 50 Tablet, Film Coated In 1 Bottle (0143-9929-50)",6.0,6.0,,,0 NDC,00143993805,"Amoxicillin: 500 CAPSULE in 1 BOTTLE, PLASTIC (0143-9938-05)",6.0,6.0,,,0 NDC,00143997722,"Cefuroxime: 25 Vial In 1 Carton (0143-9977-22) / 1 Injection, Powder, For Solution In 1 Vial (0143-9977-90)",59.0,59.0,,,0 NDC,00143997922,"Cefuroxime: 25 Vial In 1 Carton (0143-9979-22) / 1 Injection, Powder, For Solution In 1 Vial (0143-9979-90)",59.0,59.0,,,0 NDC,00143998303,"Cefazolin: 10 Vial, Pharmacy Bulk Package In 1 Carton (0143-9983-03) / 1 Injection, Powder, For Solution In 1 Vial, Pharmacy Bulk Package (0143-9983-91)",7.61,7.61,,,0 NDC,00143998391,NDC Description Not Available,7.2,7.2,,,0 NDC,00149003978,NDC Description Not Available,1.03,1.03,,,0 NDC,00168000380,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0003-80) / 80 G In 1 Tube,57.54,57.54,,,0 NDC,00168000415,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0004-15) / 15 G In 1 Tube,18.6,18.6,,,0 NDC,00168000480,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0004-80) / 80 G In 1 Tube,43.65,43.65,,,0 NDC,00168000580,Triamcinolone Acetonide: 80 G In 1 Tube (0168-0005-80),57.54,57.54,,,0 NDC,00168000615,Triamcinolone Acetonide: 15 G In 1 Tube (0168-0006-15),28.83,28.83,,,0 NDC,00168000616,Triamcinolone Acetonide: 454 G In 1 Jar (0168-0006-16),154.82,154.82,,,0 NDC,00168001531,Hydrocortisone: 1 Tube In 1 Carton (0168-0015-31) / 28.35 G In 1 Tube,37.65,37.65,,,0 NDC,00168005546,Betamethasone Dipropionate: 1 Tube In 1 Carton (0168-0055-46) / 45 G In 1 Tube,523.97,523.97,,,0 NDC,00168005646,Betamethasone Dipropionate: 1 Tube In 1 Carton (0168-0056-46) / 45 G In 1 Tube,609.9,609.9,,,0 NDC,00168008031,Hydrocortisone: 30 G In 1 Tube (0168-0080-31),20.46,20.46,,,0 NDC,00168009930,Ketoconazole: 1 Tube In 1 Carton (0168-0099-30) / 30 G In 1 Tube,154.94,154.94,,,0 NDC,00168013460,Fluocinonide: 1 Bottle In 1 Carton (0168-0134-60) / 60 Ml In 1 Bottle,248.13,248.13,,,0 NDC,00168014630,Hydrocortisone: 29 G In 1 Tube (0168-0146-30),20.39,20.39,,,0 NDC,00168020437,Lidocaine: 1 Tube In 1 Carton (0168-0204-37) / 35.44 G In 1 Tube,1488.0,1488.0,,,0 NDC,00168026550,Betamethasone Dipropionate: 50 G In 1 Tube (0168-0265-50),294.5,294.5,,,0 NDC,00168041660,Tacrolimus: 1 Tube In 1 Carton (0168-0416-60) / 60 G In 1 Tube,1679.58,1679.58,,,0 NDC,00169183302,Novolin R: 1 Vial In 1 Carton (0169-1833-02) / 10 Ml In 1 Vial,11.8,11.8,,,0 NDC,00169183311,Novolin R: 1 Vial In 1 Carton (0169-1833-11) / 10 Ml In 1 Vial,25.8,25.8,,,0 NDC,00169183711,Novolin 70/30: 1 Vial In 1 Carton (0169-1837-11) / 10 Ml In 1 Vial,1.18,1.18,,,0 NDC,00169701301,"Tretten: 1 Kit In 1 Kit (0169-7013-01) * 3 Ml In 1 Vial, Glass (0169-7113-11) * 3.2 Ml In 1 Vial, Glass (0169-7000-93)",85.18,85.18,,,0 NDC,00169711311,NDC Description Not Available,81.46,81.46,,,0 NDC,00169720101,"Novoseven Rt: 1 Kit In 1 Kit (0169-7201-01) * 1 Ml In 1 Vial, Glass (0169-7211-11) * 1 Ml In 1 Syringe, Glass (0169-7011-98)",17.98,17.98,,,0 NDC,00169721111,NDC Description Not Available,18.07,18.07,,,0 NDC,00169750111,"Novolog: 1 Vial, Glass In 1 Carton (0169-7501-11) / 10 Ml In 1 Vial, Glass",19.67,19.67,,,0 NDC,00172208960,Hydrochlorothiazide: 100 Tablet In 1 Bottle (0172-2089-60),6.0,6.0,,,0 NDC,00172290710,"Furosemide: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (0172-2907-10) / 1 TABLET in 1 BLISTER PACK (0172-2907-00)",6.0,6.0,,,0 NDC,00172375810,"Lisinopril: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (0172-3758-10) / 1 TABLET in 1 BLISTER PACK (0172-3758-00)",6.0,6.0,,,0 NDC,00172392560,Diazepam: 100 Tablet In 1 Bottle (0172-3925-60),4.2,4.2,,,0 NDC,00172409660,Baclofen: 100 Tablet In 1 Bottle (0172-4096-60),2.0,2.0,,,0 NDC,00172531210,NDC Description Not Available,6.0,6.0,,,0 NDC,00172531310,NDC Description Not Available,6.0,6.0,,,0 NDC,00172541360,Fluconazole: 100 TABLET in 1 BOTTLE (0172-5413-60),8.27,8.27,,,0 NDC,00172572810,NDC Description Not Available,5.57,5.57,,,0 NDC,00173017855,"WELLBUTRIN: 100 TABLET, FILM COATED in 1 BOTTLE (0173-0178-55)",20.17,20.17,,,0 NDC,00173052700,"Lamictal: 100 Tablet, For Suspension In 1 Bottle (0173-0527-00)",70.79,70.79,,,0 NDC,00173054700,Mepron: 42 Pouch In 1 Dose Pack (0173-0547-00) / 5 Ml In 1 Pouch,205.57,205.57,,,0 NDC,00173068220,"Ventolin Hfa: 1 Inhaler In 1 Carton (0173-0682-20) / 200 Aerosol, Metered In 1 Inhaler",353.55,353.55,,,0 NDC,00173068224,"Ventolin Hfa: 1 Inhaler In 1 Carton (0173-0682-24) / 60 Aerosol, Metered In 1 Inhaler",140.87,140.87,,,0 NDC,00173071820,"Flovent Hfa: 1 Inhaler In 1 Carton (0173-0718-20) / 120 Aerosol, Metered In 1 Inhaler",1268.14,1268.14,,,0 NDC,00173071920,"Flovent Hfa: 1 Inhaler In 1 Carton (0173-0719-20) / 120 Aerosol, Metered In 1 Inhaler",1697.74,1697.74,,,0 NDC,00173072020,"Flovent Hfa: 1 Inhaler In 1 Carton (0173-0720-20) / 120 Aerosol, Metered In 1 Inhaler",2637.04,2637.04,,,0 NDC,00173086906,Anoro Ellipta: 1 Tray In 1 Carton (0173-0869-06) / 1 Inhaler In 1 Tray / 7 Powder In 1 Inhaler,50.98,50.98,,,0 NDC,00173086910,Anoro Ellipta: 1 Tray In 1 Carton (0173-0869-10) / 1 Inhaler In 1 Tray / 30 Powder In 1 Inhaler,2944.01,2944.01,,,0 NDC,00173087306,"Incruse Ellipta: 1 Tray In 1 Carton (0173-0873-06) / 1 Inhaler In 1 Tray / 7 Aerosol, Powder In 1 Inhaler",66.47,66.47,,,0 NDC,00173087310,"Incruse Ellipta: 1 Tray In 1 Carton (0173-0873-10) / 1 Inhaler In 1 Tray / 30 Aerosol, Powder In 1 Inhaler",73.18,73.18,,,0 NDC,00173088101,Nucala: 1 Vial In 1 Carton (0173-0881-01) / 1 Ml In 1 Vial,146.69,146.69,,,0 NDC,00173089803,Jemperli: 1 Vial In 1 Carton (0173-0898-03) / 10 Ml In 1 Vial,1040.18,1040.18,,,0 NDC,00173093310,"Valtrex: 90 Tablet, Film Coated In 1 Bottle (0173-0933-10)",83.25,83.25,,,0 NDC,00179830201,Cetirizine Hydrochloride: 100 TABLET in 1 BOTTLE (0179-8302-01),6.0,6.0,,,0 NDC,00182055489,Hydralazine Hydrochloride: 100 BLISTER PACK in 1 BOX (0182-0554-89) / 1 TABLET in 1 BLISTER PACK (0182-0554-00),4.71,4.71,,,0 NDC,00182055589,Hydralazine Hydrochloride: 100 BLISTER PACK in 1 BOX (0182-0555-89) / 1 TABLET in 1 BLISTER PACK (0182-0555-00),4.0,4.0,,,0 NDC,00182090589,Hydralazine Hydrochloride: 100 BLISTER PACK in 1 BOX (0182-0905-89) / 1 TABLET in 1 BLISTER PACK (0182-0905-00),6.0,6.0,,,0 NDC,00182125989,Trazodone Hydrochloride: 100 BLISTER PACK in 1 BOX (0182-1259-89) / 1 TABLET in 1 BLISTER PACK (0182-1259-00),6.0,6.0,,,0 NDC,00182194989,Carbidopa and Levodopa: 100 BLISTER PACK in 1 BOX (0182-1949-89) / 1 TABLET in 1 BLISTER PACK (0182-1949-00),6.0,6.0,,,0 NDC,00185012201,Nitrofurantoin (Monohydrate/Macrocrystals): 100 Capsule In 1 Bottle (0185-0122-01),6.0,6.0,,,0 NDC,00185012801,Bumetanide: 100 Tablet In 1 Bottle (0185-0128-01),6.0,6.0,,,0 NDC,00185041501,"Bupropion Hydrochloride: 100 Tablet, Extended Release In 1 Bottle (0185-0415-01)",6.0,6.0,,,0 NDC,00185075701,Sulfadiazine: 100 TABLET in 1 BOTTLE (0185-0757-01),25.04,25.04,,,0 NDC,00185080130,Rifampin: 30 Capsule In 1 Bottle (0185-0801-30),16.09,16.09,,,0 NDC,00185434601,Quinidine Sulfate: 100 Tablet In 1 Bottle (0185-4346-01),4.26,4.26,,,0 NDC,00186037020,Symbicort: 1 Pouch In 1 Carton (0186-0370-20) / 1 Canister In 1 Pouch / 120 Aerosol In 1 Canister,1452.56,1452.56,,,0 NDC,00186037028,Symbicort: 1 Pouch In 1 Carton (0186-0370-28) / 1 Canister In 1 Pouch / 60 Aerosol In 1 Canister,987.03,987.03,,,0 NDC,00186037220,Symbicort: 1 Pouch In 1 Carton (0186-0372-20) / 1 Canister In 1 Pouch / 120 Aerosol In 1 Canister,1270.81,1270.81,,,0 NDC,00186037228,Symbicort: 1 Pouch In 1 Carton (0186-0372-28) / 1 Canister In 1 Pouch / 60 Aerosol In 1 Canister,858.09,858.09,,,0 NDC,00186077660,Brilinta: 60 Tablet In 1 Bottle (0186-0776-60),47.06,47.06,,,0 NDC,00186077739,"Brilinta: 10 Blister Pack In 1 Box, Unit-Dose (0186-0777-39) / 10 Tablet In 1 Blister Pack",47.11,47.11,,,0 NDC,00186198804,Pulmicort Respules: 6 Pouch In 1 Carton (0186-1988-04) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,68.78,68.78,,,0 NDC,00186404001,"Nexium: 30 Granule, Delayed Release In 1 Carton (0186-4040-01)",59.37,59.37,,,0 NDC,00187170405,Mephyton: 1 BOTTLE in 1 CARTON (0187-1704-05) / 100 TABLET in 1 BOTTLE,364.32,364.32,,,0 NDC,00187410010,Librax: 100 Capsule In 1 Bottle (0187-4100-10),306.56,306.56,,,0 NDC,00187510001,Elidel: 1 Tube In 1 Carton (0187-5100-01) / 30 G In 1 Tube,1854.05,1854.05,,,0 NDC,00187526701,NDC Description Not Available,6.06,6.06,,,0 NDC,00206885516,"Zosyn: 10 VIAL, SINGLE-USE in 1 CARTON (0206-8855-16) / 20 mL in 1 VIAL, SINGLE-USE (0206-8855-08)",23.0,23.0,,,0 NDC,00206886101,NDC Description Not Available,64.33,64.33,,,0 NDC,00225029515,"Anaspaz: 100 Tablet, Orally Disintegrating In 1 Bottle, Plastic (0225-0295-15)",3.84,3.84,,,0 NDC,00225080047,"Neo-Synephrine Mild: 15 Ml In 1 Bottle, Spray (0225-0800-47)",6.49,6.49,,,0 NDC,00225080547,"Neo-Synephrine Regular: 15 Ml In 1 Bottle, Spray (0225-0805-47)",6.59,6.59,,,0 NDC,00228202910,Alprazolam: 100 Tablet In 1 Bottle (0228-2029-10),4.8,4.8,,,0 NDC,00228212710,Clonidine Hydrochloride: 100 Tablet In 1 Bottle (0228-2127-10),4.23,4.23,,,0 NDC,00228212850,Clonidine Hydrochloride: 500 Tablet In 1 Bottle (0228-2128-50),6.0,6.0,,,0 NDC,00228234810,Propylthiouracil: 100 Tablet In 1 Bottle (0228-2348-10),4.97,4.97,,,0 NDC,00228249710,"Nifedipine: 100 CAPSULE, LIQUID FILLED in 1 BOTTLE (0228-2497-10)",6.0,6.0,,,0 NDC,00228253010,"Nifedipine: 100 CAPSULE, LIQUID FILLED in 1 BOTTLE (0228-2530-10)",11.43,11.43,,,0 NDC,00228262011,Isosorbide Mononitrate: 100 Tablet In 1 Bottle (0228-2620-11),5.55,5.55,,,0 NDC,00228285011,"Guanfacine: 100 Tablet, Extended Release In 1 Bottle (0228-2850-11)",4.64,4.64,,,0 NDC,00228306111,"Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, Amphetamine Sulfate: 100 Capsule, Extended Release In 1 Bottle (0228-3061-11)",7.23,7.23,,,0 NDC,00245014401,Pacerone: 100 Blister Pack In 1 Carton (0245-0144-01) / 1 Tablet In 1 Blister Pack (0245-0144-89),17.28,17.28,,,0 NDC,00245014430,Pacerone: 30 Tablet In 1 Bottle (0245-0144-30),17.28,17.28,,,0 NDC,00245014489,NDC Description Not Available,17.3,17.3,,,0 NDC,00245014789,NDC Description Not Available,4.36,4.36,,,0 NDC,00245021111,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (0245-0211-11),4.98,4.98,,,0 NDC,00245021289,NDC Description Not Available,5.84,5.84,,,0 NDC,00245021311,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (0245-0213-11),4.62,4.62,,,0 NDC,00245036001,"Klor-Con: 100 Packet In 1 Carton (0245-0360-01) / 1 Powder, For Solution In 1 Packet (0245-0360-89)",9.43,9.43,,,0 NDC,00245036089,NDC Description Not Available,9.43,9.43,,,0 NDC,00245055650,Vigadrone: 50 Packet In 1 Carton (0245-0556-50) / 10 Ml In 1 Packet (0245-0556-89),568.63,568.63,,,0 NDC,00245531689,NDC Description Not Available,3.17,3.17,,,0 NDC,00245531911,"Klor-Con M: 100 Tablet, Extended Release In 1 Bottle (0245-5319-11)",3.64,3.64,,,0 NDC,00245531989,NDC Description Not Available,3.81,3.81,,,0 NDC,00259050116,Cuvposa: 1 Bottle In 1 Carton (0259-0501-16) / 473 Ml In 1 Bottle,37.25,37.25,,,0 NDC,00264151031,Dextrose: 84 Container In 1 Case (0264-1510-31) / 50 Ml In 1 Container,193.0,193.0,,,0 NDC,00264151032,Dextrose: 64 Container In 1 Case (0264-1510-32) / 100 Ml In 1 Container,193.0,193.0,,,0 NDC,00264180031,Sodium Chloride: 84 Container In 1 Case (0264-1800-31) / 50 Ml In 1 Container,172.38,172.38,,,0 NDC,00264180032,Sodium Chloride: 64 Container In 1 Case (0264-1800-32) / 100 Ml In 1 Container,193.0,193.0,,,0 NDC,00264194020,POTASSIUM CHLORIDE: 12 CONTAINER in 1 CASE (0264-1940-20) / 250 mL in 1 CONTAINER,1.44,1.44,,,0 NDC,00264420452,Magnesium Sulfate In Water: 24 Container In 1 Case (0264-4204-52) / 50 Ml In 1 Container,48.31,48.31,,,0 NDC,00264553532,Metronidazole: 6 Carton In 1 Case (0264-5535-32) / 4 Container In 1 Carton / 100 Ml In 1 Container,17.2,17.2,,,0 NDC,00264751010,Dextrose: 24 Container In 1 Case (0264-7510-10) / 500 Ml In 1 Container,193.0,193.0,,,0 NDC,00264751020,Dextrose: 24 Container In 1 Case (0264-7510-20) / 250 Ml In 1 Container,193.0,193.0,,,0 NDC,00264757810,Mannitol: 24 Container In 1 Case (0264-7578-10) / 500 Ml In 1 Container,48.7,48.7,,,0 NDC,00264761600,Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7616-00) / 1000 Ml In 1 Container,96.5,96.5,,,0 NDC,00264762320,Dextrose And Sodium Chloride: 24 Container In 1 Case (0264-7623-20) / 250 Ml In 1 Container,193.0,193.0,,,0 NDC,00264765200,Potassium Chloride In Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7652-00) / 1000 Ml In 1 Container,59.0,59.0,,,0 NDC,00264780000,Sodium Chloride: 12 Container In 1 Case (0264-7800-00) / 1000 Ml In 1 Container,173.7,173.7,,,0 NDC,00264780009,Sodium Chloride: 12 Container In 1 Case (0264-7800-09) / 1000 Ml In 1 Container,193.0,193.0,,,0 NDC,00264780010,Sodium Chloride: 24 Container In 1 Case (0264-7800-10) / 500 Ml In 1 Container,193.0,193.0,,,0 NDC,00264780020,Sodium Chloride: 24 Container In 1 Case (0264-7800-20) / 250 Ml In 1 Container,189.36,189.36,,,0 NDC,00264780510,Sodium Chloride: 24 Container In 1 Case (0264-7805-10) / 500 Ml In 1 Container,3.6599999999999997,3.6599999999999997,,,0 NDC,00264786500,Potassium Chloride In Sodium Chloride: 12 Container In 1 Case (0264-7865-00) / 1000 Ml In 1 Container,59.0,59.0,,,0 NDC,00264959820,Lidocaine Hydrochloride And Dextrose: 24 Container In 1 Case (0264-9598-20) / 250 Ml In 1 Container,0.48,0.48,,,0 NDC,00268024705,"Histamine Positive Skin Test Control: 5 Ml In 1 Vial, Multi-Dose (0268-0247-05)",2379.34,2379.34,,,0 NDC,00268024901,NDC Description Not Available,284.08,284.08,,,0 NDC,00270014957,Cystografin: 10 Bottle In 1 Package (0270-0149-57) / 300 Ml In 1 Bottle,2.0,2.0,,,0 NDC,00270044535,Gastrografin: 24 Bottle In 1 Box (0270-0445-35) / 30 Ml In 1 Bottle,143.04,143.04,,,0 NDC,00270055615,Kinevac: 10 Vial In 1 Package (0270-0556-15) / 5 Ml In 1 Vial,240.6,240.6,,,0 NDC,00270131525,"Isovue 300: 10 Vial, Single-Dose In 1 Box (0270-1315-25) / 30 Ml In 1 Vial, Single-Dose",101.0,101.0,,,0 NDC,00270131535,Isovue 300: 10 Bottle In 1 Box (0270-1315-35) / 100 Ml In 1 Bottle,3.07,3.07,,,0 NDC,00270131630,Isovue 370: 10 Vial In 1 Box (0270-1316-30) / 50 Ml In 1 Vial,3.44,3.44,,,0 NDC,00270141030,Cystografin Dilute: 10 Bottle In 1 Package (0270-1410-30) / 300 Ml In 1 Bottle,0.82,0.82,,,0 NDC,00270516412,"Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-12) / 5 Ml In 1 Vial, Single-Dose",45.09,45.09,,,0 NDC,00270516413,"Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-13) / 10 Ml In 1 Vial, Single-Dose",38.53,38.53,,,0 NDC,00270516414,"Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-14) / 15 Ml In 1 Vial, Single-Dose",38.02,38.02,,,0 NDC,00280210012,Bayer Low Dose: 1 Bottle In 1 Carton (0280-2100-12) / 120 Tablet In 1 Bottle,2.0,2.0,,,0 NDC,00281032608,Nitro-Bid: 48 Packet In 1 Box (0281-0326-08) / 1 G In 1 Packet,14.485,14.485,,,0 NDC,00283067902,Hurricaine Topical Anesthetic: 59.7 G In 1 Can (0283-0679-02),191.58,191.58,,,0 NDC,00310072010,"Faslodex: 2 Syringe, Glass In 1 Carton (0310-0720-10) / 5 Ml In 1 Syringe, Glass",649.58,649.58,,,0 NDC,00310075430,"CRESTOR: 30 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0310-0754-30)",57.16,57.16,,,0 NDC,00310110501,NDC Description Not Available,172.54,172.54,,,0 NDC,00310110539,Lokelma: 11 Packet In 1 Box (0310-1105-39) / 5 G In 1 Packet (0310-1105-01),169.57,169.57,,,0 NDC,00310111001,NDC Description Not Available,172.37,172.37,,,0 NDC,00310111039,Lokelma: 11 Packet In 1 Box (0310-1110-39) / 10 G In 1 Packet (0310-1110-01),169.57,169.57,,,0 NDC,00310173030,"Fasenra: 1 Syringe, Glass In 1 Carton (0310-1730-30) / 1 Ml In 1 Syringe, Glass",804.06,804.06,,,0 NDC,00310304000,"Saphnelo: 1 Vial, Glass In 1 Carton (0310-3040-00) / 2 Ml In 1 Vial, Glass",117.55,117.55,,,0 NDC,00310320001,NDC Description Not Available,837.5,837.5,,,0 NDC,00310450012,Imfinzi: 1 Vial In 1 Carton (0310-4500-12) / 2.4 Ml In 1 Vial,558.25,558.25,,,0 NDC,00310450525,Imjudo: 1 Vial In 1 Carton (0310-4505-25) / 1.25 Ml In 1 Vial,608.63,608.63,,,0 NDC,00310453530,Imjudo: 1 Vial In 1 Carton (0310-4535-30) / 15 Ml In 1 Vial,599.68,599.68,,,0 NDC,00310461150,Imfinzi: 1 Vial In 1 Carton (0310-4611-50) / 10 Ml In 1 Vial,557.16,557.16,,,0 NDC,00310621030,"Farxiga: 30 Tablet, Film Coated In 1 Bottle, Plastic (0310-6210-30)",121.05,121.05,,,0 NDC,00310621039,"Farxiga: 3 Blister Pack In 1 Carton (0310-6210-39) / 10 Tablet, Film Coated In 1 Blister Pack",121.79,121.79,,,0 NDC,00310772010,"Fulvestrant: 2 SYRINGE, GLASS in 1 CARTON (0310-7720-10) / 5 mL in 1 SYRINGE, GLASS",117.25,117.25,,,0 NDC,00316022530,Desenex: 85 G In 1 Container (0316-0225-30),34.26,34.26,,,0 NDC,00316022975,"Sarna: 222 Ml In 1 Bottle, Pump (0316-0229-75)",48.18,48.18,,,0 NDC,00338000404,"Sterile Water: 12 Bottle, Plastic In 1 Carton (0338-0004-04) / 1000 Ml In 1 Bottle, Plastic",193.0,193.0,,,0 NDC,00338001304,Sterile Water: 1000 Ml In 1 Bag (0338-0013-04),799.0,799.0,,,0 NDC,00338001306,Sterile Water: 2000 Ml In 1 Bag (0338-0013-06),59.0,59.0,,,0 NDC,00338001702,Dextrose: 250 Ml In 1 Bag (0338-0017-02),185.465,185.465,,,0 NDC,00338001703,Dextrose: 500 Ml In 1 Bag (0338-0017-03),187.76999999999998,187.76999999999998,,,0 NDC,00338001704,Dextrose: 1000 Ml In 1 Bag (0338-0017-04),96.13,96.13,,,0 NDC,00338001718,Dextrose: 4 Bag In 1 Pouch (0338-0017-18) / 100 Ml In 1 Bag,188.905,188.905,,,0 NDC,00338001731,Dextrose: 16 Bag In 1 Pouch (0338-0017-31) / 50 Ml In 1 Bag,183.805,183.805,,,0 NDC,00338001738,Dextrose: 16 Bag In 1 Pouch (0338-0017-38) / 100 Ml In 1 Bag,192.18,192.18,,,0 NDC,00338001741,Dextrose: 1 Bag In 1 Package (0338-0017-41) / 50 Ml In 1 Bag,156.31,156.31,,,0 NDC,00338001748,Dextrose: 1 Bag In 1 Package (0338-0017-48) / 100 Ml In 1 Bag,187.29,187.29,,,0 NDC,00338002302,Dextrose: 250 Ml In 1 Bag (0338-0023-02),192.155,192.155,,,0 NDC,00338002303,Dextrose: 500 Ml In 1 Bag (0338-0023-03),180.94,180.94,,,0 NDC,00338002304,Dextrose: 1000 Ml In 1 Bag (0338-0023-04),193.0,193.0,,,0 NDC,00338004303,Sodium Chloride: 500 Ml In 1 Bag (0338-0043-03),192.37,192.37,,,0 NDC,00338004304,Sodium Chloride: 1000 Ml In 1 Bag (0338-0043-04),193.0,193.0,,,0 NDC,00338004727,Sodium Chloride: 4 Bag In 1 Carton (0338-0047-27) / 3000 Ml In 1 Bag,193.0,193.0,,,0 NDC,00338004804,"Sodium Chloride: 12 Bottle, Plastic In 1 Carton (0338-0048-04) / 1000 Ml In 1 Bottle, Plastic",187.32,187.32,,,0 NDC,00338004902,Sodium Chloride: 250 Ml In 1 Bag (0338-0049-02),177.94,177.94,,,0 NDC,00338004903,Sodium Chloride: 500 Ml In 1 Bag (0338-0049-03),180.23,180.23,,,0 NDC,00338004904,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),189.39,189.39,,,0 NDC,00338004911,Sodium Chloride: 4 Bag In 1 Package (0338-0049-11) / 50 Ml In 1 Bag,193.0,193.0,,,0 NDC,00338004918,Sodium Chloride: 4 Bag In 1 Package (0338-0049-18) / 100 Ml In 1 Bag,192.33,192.33,,,0 NDC,00338004931,Sodium Chloride: 16 Bag In 1 Package (0338-0049-31) / 50 Ml In 1 Bag,148.475,148.475,,,0 NDC,00338004938,Sodium Chloride: 16 Bag In 1 Package (0338-0049-38) / 100 Ml In 1 Bag,183.12,183.12,,,0 NDC,00338004941,Sodium Chloride: 1 Bag In 1 Package (0338-0049-41) / 50 Ml In 1 Bag,176.71,176.71,,,0 NDC,00338004948,Sodium Chloride: 1 Bag In 1 Package (0338-0049-48) / 100 Ml In 1 Bag,190.55,190.55,,,0 NDC,00338005403,Sodium Chloride: 24 Bag In 1 Carton (0338-0054-03) / 500 Ml In 1 Bag,1.12,1.12,,,0 NDC,00338006301,"Doxil: 1 Vial, Single-Use In 1 Carton (0338-0063-01) / 10 Ml In 1 Vial, Single-Use",1103.67,1103.67,,,0 NDC,00338006701,"Doxil: 1 Vial, Single-Use In 1 Carton (0338-0067-01) / 25 Ml In 1 Vial, Single-Use",2161.91,2161.91,,,0 NDC,00338006910,Ketorolac Tromethamine: 10 Vial In 1 Carton (0338-0069-10) / 1 Ml In 1 Vial,59.0,59.0,,,0 NDC,00338007225,Ketorolac Tromethamine: 25 Vial In 1 Carton (0338-0072-25) / 1 Ml In 1 Vial,59.0,59.0,,,0 NDC,00338007704,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0077-04) / 1000 Ml In 1 Bag,96.5,96.5,,,0 NDC,00338008503,Dextrose And Sodium Chloride: 24 Bag In 1 Carton (0338-0085-03) / 500 Ml In 1 Bag,96.5,96.5,,,0 NDC,00338008504,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0085-04) / 1000 Ml In 1 Bag,92.63,92.63,,,0 NDC,00338008903,Dextrose And Sodium Chloride: 24 Bag In 1 Carton (0338-0089-03) / 500 Ml In 1 Bag,193.0,193.0,,,0 NDC,00338008904,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0089-04) / 1000 Ml In 1 Bag,91.27,91.27,,,0 NDC,00338011702,Lactated Ringers: 250 Ml In 1 Bag (0338-0117-02),131.53,131.53,,,0 NDC,00338011703,Lactated Ringers: 500 Ml In 1 Bag (0338-0117-03),193.0,193.0,,,0 NDC,00338011704,Lactated Ringers: 1000 Ml In 1 Bag (0338-0117-04),165.26,165.26,,,0 NDC,00338012503,Lactated Ringers And Dextrose: 500 Ml In 1 Bag (0338-0125-03),193.0,193.0,,,0 NDC,00338012504,Lactated Ringers And Dextrose: 1000 Ml In 1 Bag (0338-0125-04),192.03,192.03,,,0 NDC,00338012612,Myxredlin: 12 Container In 1 Carton (0338-0126-12) / 100 Ml In 1 Container,10.88,10.88,,,0 NDC,00338022103,Plasma-Lyte A: 500 Ml In 1 Bag (0338-0221-03),193.0,193.0,,,0 NDC,00338032201,Recothrom: 1 Kit In 1 Kit (0338-0322-01) * 5 Ml In 1 Vial (0338-0324-01) * 5 Ml In 1 Syringe,533.2,533.2,,,0 NDC,00338035702,Osmitrol: 250 Ml In 1 Bag (0338-0357-02),73.5,73.5,,,0 NDC,00338035703,Osmitrol: 500 Ml In 1 Bag (0338-0357-03),86.365,86.365,,,0 NDC,00338041102,Lidocaine Hydrochloride And Dextrose: 24 Bag In 1 Carton (0338-0411-02) / 250 Ml In 1 Bag,0.27,0.27,,,0 NDC,00338050348,Gentamicin Sulfate In Sodium Chloride: 100 Ml In 1 Bag (0338-0503-48),193.0,193.0,,,0 NDC,00338050741,Gentamicin Sulfate In Sodium Chloride: 50 Ml In 1 Bag (0338-0507-41),58.74,58.74,,,0 NDC,00338050748,Gentamicin Sulfate In Sodium Chloride: 100 Ml In 1 Bag (0338-0507-48),46.61,46.61,,,0 NDC,00338051141,Gentamicin Sulfate In Sodium Chloride: 50 Ml In 1 Bag (0338-0511-41),139.39,139.39,,,0 NDC,00338051909,Intralipid: 250 Ml In 1 Bag (0338-0519-09),263.2,263.2,,,0 NDC,00338051913,Intralipid: 500 Ml In 1 Bag (0338-0519-13),80.9,80.9,,,0 NDC,00338051958,Intralipid: 100 Ml In 1 Bag (0338-0519-58),192.57,192.57,,,0 NDC,00338055111,Dextrose: 50 Ml In 1 Bag (0338-0551-11),193.0,193.0,,,0 NDC,00338055118,Dextrose: 100 Ml In 1 Bag (0338-0551-18),193.0,193.0,,,0 NDC,00338055311,Sodium Chloride: 50 Ml In 1 Bag (0338-0553-11),193.0,193.0,,,0 NDC,00338055318,Sodium Chloride: 100 Ml In 1 Bag (0338-0553-18),193.0,193.0,,,0 NDC,00338065604,"Acetic Acid: 1000 Ml In 1 Bottle, Plastic (0338-0656-04)",193.0,193.0,,,0 NDC,00338066904,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0669-04),193.0,193.0,,,0 NDC,00338067104,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0671-04),193.0,193.0,,,0 NDC,00338067304,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0673-04),193.0,193.0,,,0 NDC,00338069104,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0691-04) / 1000 Ml In 1 Bag,193.0,193.0,,,0 NDC,00338070348,Potassium Chloride: 24 Bag In 1 Carton (0338-0703-48) / 100 Ml In 1 Bag,109.82000000000001,109.82000000000001,,,0 NDC,00338070434,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0704-34) / 1000 Ml In 1 Bag,193.0,193.0,,,0 NDC,00338070541,Potassium Chloride: 24 Bag In 1 Carton (0338-0705-41) / 50 Ml In 1 Bag,38.6,38.6,,,0 NDC,00338070548,Potassium Chloride: 24 Bag In 1 Carton (0338-0705-48) / 100 Ml In 1 Bag,19.3,19.3,,,0 NDC,00338071906,Dextrose: 2000 Ml In 1 Bag (0338-0719-06),193.0,193.0,,,0 NDC,00338080304,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0803-04),193.0,193.0,,,0 NDC,00338100702,Dopamine Hydrochloride And Dextrose: 18 Bag In 1 Carton (0338-1007-02) / 250 Ml In 1 Bag,193.0,193.0,,,0 NDC,00338100902,Dopamine Hydrochloride And Dextrose: 18 Bag In 1 Carton (0338-1009-02) / 250 Ml In 1 Bag,192.83,192.83,,,0 NDC,00338104902,"Nitroglycerin In Dextrose: 12 Bottle, Glass In 1 Box (0338-1049-02) / 250 Ml In 1 Bottle, Glass",107.18,107.18,,,0 NDC,00338105548,Metronidazole: 24 Bag In 1 Carton (0338-1055-48) / 100 Ml In 1 Bag,7.43,7.43,,,0 NDC,00338107302,Dobutamine Hydrochloride In Dextrose: 18 Bag In 1 Carton (0338-1073-02) / 250 Ml In 1 Bag,193.0,193.0,,,0 NDC,00338107702,Dobutamine Hydrochloride In Dextrose: 18 Bag In 1 Carton (0338-1077-02) / 250 Ml In 1 Bag,49.23,49.23,,,0 NDC,00338113303,Clinimix: 1000 Ml In 1 Bag (0338-1133-03),241.55,241.55,,,0 NDC,00338114203,Clinimix E: 1000 Ml In 1 Bag (0338-1142-03),272.8,272.8,,,0 NDC,00338114403,Clinimix E: 1000 Ml In 1 Bag (0338-1144-03),266.6,266.6,,,0 NDC,00338114703,Clinimix E: 1000 Ml In 1 Bag (0338-1147-03),252.0,252.0,,,0 NDC,00338130501,"Mesnex: 1 Vial, Multi-Dose In 1 Box (0338-1305-01) / 10 Ml In 1 Vial, Multi-Dose",45.4,45.4,,,0 NDC,00338341050,NDC Description Not Available,193.0,193.0,,,0 NDC,00338355248,Vancomycin Hydrochloride: 200 Ml In 1 Bag (0338-3552-48),96.5,96.5,,,0 NDC,00338361250,NDC Description Not Available,96.5,96.5,,,0 NDC,00338381424,Clindamycin Phosphate: 24 Bag In 1 Carton (0338-3814-24) / 50 Ml In 1 Bag (0338-3814-50),96.5,96.5,,,0 NDC,00338381450,NDC Description Not Available,64.33,64.33,,,0 NDC,00338601048,Milrinone Lactate In Dextrose: 10 Bag In 1 Carton (0338-6010-48) / 100 Ml In 1 Bag,48.25,48.25,,,0 NDC,00338604537,Fluconazole: 10 Bag In 1 Carton (0338-6045-37) / 200 Ml In 1 Bag,98.79,98.79,,,0 NDC,00338604648,Fluconazole: 10 Bag In 1 Carton (0338-6046-48) / 100 Ml In 1 Bag,60.825,60.825,,,0 NDC,00338702201,NDC Description Not Available,266.6,266.6,,,0 NDC,00338703001,NDC Description Not Available,279.0,279.0,,,0 NDC,00338915930,Sodium Chloride: 100 Ml In 1 Bag (0338-9159-30),193.0,193.0,,,0 NDC,00338954001,NDC Description Not Available,193.2,193.2,,,0 NDC,00338954002,NDC Description Not Available,243.26,243.26,,,0 NDC,00338954302,Sodium Chloride: 250 Ml In 1 Bag (0338-9543-02),189.61,189.61,,,0 NDC,00338954304,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-04),188.44,188.44,,,0 NDC,00338955524,Dexmedetomidine Hydrochloride: 24 Bag In 1 Carton (0338-9555-24) / 50 Ml In 1 Bag,204.48,204.48,,,0 NDC,00338955712,Dexmedetomidine Hydrochloride: 12 Bag In 1 Carton (0338-9557-12) / 100 Ml In 1 Bag,145.025,145.025,,,0 NDC,00338979101,NDC Description Not Available,192.64,192.64,,,0 NDC,00363006330,NDC Description Not Available,2.7,2.7,,,0 NDC,00363013338,NDC Description Not Available,3.72,3.72,,,0 NDC,00378001801,"Metoprolol Tartrate: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-0018-01)",5.66,5.66,,,0 NDC,00378003001,"Clorazepate Dipotassium: 100 TABLET in 1 BOTTLE, PLASTIC (0378-0030-01)",6.17,6.17,,,0 NDC,00378003201,"Metoprolol Tartrate: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-0032-01)",6.0,6.0,,,0 NDC,00378007801,"Carbidopa And Levodopa: 100 Tablet In 1 Bottle, Plastic (0378-0078-01)",6.0,6.0,,,0 NDC,00378008501,"Carbidopa And Levodopa: 100 Tablet In 1 Bottle, Plastic (0378-0085-01)",5.06,5.06,,,0 NDC,00378018201,"Propranolol Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0378-0182-01)",4.97,4.97,,,0 NDC,00378018301,"Propranolol Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0378-0183-01)",4.93,4.93,,,0 NDC,00378018401,"Propranolol Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0378-0184-01)",5.78,5.78,,,0 NDC,00378021301,Chlorthalidone: 100 Tablet In 1 Bottle (0378-0213-01),7.39,7.39,,,0 NDC,00378021401,"Haloperidol: 100 Tablet In 1 Bottle, Plastic (0378-0214-01)",5.34,5.34,,,0 NDC,00378039918,NDC Description Not Available,413.34,413.34,,,0 NDC,00378064201,"Prednisone: 100 Tablet In 1 Bottle, Plastic (0378-0642-01)",0.16,0.16,,,0 NDC,00378082501,"Clozapine: 100 Tablet In 1 Bottle, Plastic (0378-0825-01)",5.56,5.56,,,0 NDC,00378086001,"Clozapine: 100 Tablet In 1 Bottle, Plastic (0378-0860-01)",13.53,13.53,,,0 NDC,00378087116,NDC Description Not Available,164.29,164.29,,,0 NDC,00378087216,NDC Description Not Available,276.61,276.61,,,0 NDC,00378087316,NDC Description Not Available,383.72,383.72,,,0 NDC,00378087399,Clonidine: 4 Pouch In 1 Carton (0378-0873-99) / 1 Patch In 1 Pouch (0378-0873-16) / 7 D In 1 Patch,383.72,383.72,,,0 NDC,00378116001,Guanfacine: 100 TABLET in 1 BOTTLE (0378-1160-01),6.0,6.0,,,0 NDC,00378181177,"Levothyroxine Sodium: 90 Tablet In 1 Bottle, Plastic (0378-1811-77)",6.0,6.0,,,0 NDC,00378204701,"Tacrolimus: 100 Capsule In 1 Bottle, Plastic (0378-2047-01)",5.81,5.81,,,0 NDC,00378235093,"Esomeprazole Magnesium: 30 Capsule, Delayed Release Pellets In 1 Bottle, Plastic (0378-2350-93)",5.24,5.24,,,0 NDC,00378300701,"Captopril: 100 TABLET in 1 BOTTLE, PLASTIC (0378-3007-01)",6.29,6.29,,,0 NDC,00378301701,"Captopril: 100 TABLET in 1 BOTTLE, PLASTIC (0378-3017-01)",11.69,11.69,,,0 NDC,00378306577,"Fenofibrate: 90 Tablet, Film Coated In 1 Bottle, Plastic (0378-3065-77)",5.18,5.18,,,0 NDC,00378351501,"Mirtazapine: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-3515-01)",4.9,4.9,,,0 NDC,00378363501,"Cetirizine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-3635-01)",4.9,4.9,,,0 NDC,00378363701,"Cetirizine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-3637-01)",5.73,5.73,,,0 NDC,00378425001,"Doxepin Hydrochloride: 100 Capsule In 1 Bottle, Plastic (0378-4250-01)",6.0,6.0,,,0 NDC,00378464216,NDC Description Not Available,56.23,56.23,,,0 NDC,00378561505,"Levetiracetam: 500 Tablet, Film Coated In 1 Bottle, Plastic (0378-5615-05)",4.0,4.0,,,0 NDC,00378563059,"Sumatriptan Succinate: 9 Tablet, Film Coated In 1 Bottle, Plastic (0378-5630-59)",6.45,6.45,,,0 NDC,00378617301,"Metolazone: 100 Tablet In 1 Bottle, Plastic (0378-6173-01)",12.71,12.71,,,0 NDC,00378617401,"Metolazone: 100 Tablet In 1 Bottle, Plastic (0378-6174-01)",15.23,15.23,,,0 NDC,00378633380,"Acamprosate Calcium: 180 Tablet, Delayed Release In 1 Bottle, Plastic (0378-6333-80)",5.1,5.1,,,0 NDC,00378715501,"Budesonide: 100 CAPSULE, DELAYED RELEASE in 1 BOTTLE, PLASTIC (0378-7155-01)",27.59,27.59,,,0 NDC,00378773293,"Ondansetron: 30 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE, PLASTIC (0378-7732-93)",1.5,1.5,,,0 NDC,00378827031,NDC Description Not Available,5.81,5.81,,,0 NDC,00378876616,NDC Description Not Available,24.73,24.73,,,0 NDC,00378910416,NDC Description Not Available,6.0,6.0,,,0 NDC,00378911216,NDC Description Not Available,6.0,6.0,,,0 NDC,00378911616,NDC Description Not Available,6.43,6.43,,,0 NDC,00378911693,Nitroglycerin: 30 Pouch In 1 Carton (0378-9116-93) / 1 Patch In 1 Pouch (0378-9116-16) / 14 H In 1 Patch,6.43,6.43,,,0 NDC,00378911916,NDC Description Not Available,100.71,100.71,,,0 NDC,00378911998,Fentanyl: 5 Pouch In 1 Carton (0378-9119-98) / 1 Patch In 1 Pouch (0378-9119-16) / 72 H In 1 Patch,100.71,100.71,,,0 NDC,00378912116,NDC Description Not Available,44.21,44.21,,,0 NDC,00378912216,NDC Description Not Available,78.53,78.53,,,0 NDC,00378912416,NDC Description Not Available,170.86,170.86,,,0 NDC,00378967131,NDC Description Not Available,6.0,6.0,,,0 NDC,00404100003,Styptstix: 100 Stick In 1 Tube (0404-1000-03),6.0,6.0,,,0 NDC,00406012301,Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle (0406-0123-01),4.13,4.13,,,0 NDC,00406012323,Hydrocodone Bitartrate And Acetaminophen: 1 Tablet In 1 Blister Pack (0406-0123-23),4.25,4.25,,,0 NDC,00406012362,Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Blister Pack (0406-0123-62),4.89,4.89,,,0 NDC,00406048423,Acetaminophen And Codeine Phosphate: 1 Tablet In 1 Blister Pack (0406-0484-23),3.99,3.99,,,0 NDC,00406051223,Oxycodone And Acetaminophen: 1 Tablet In 1 Blister Pack (0406-0512-23),3.78,3.78,,,0 NDC,00406051262,Oxycodone And Acetaminophen: 100 Tablet In 1 Blister Pack (0406-0512-62),4.0,4.0,,,0 NDC,00406054034,Methadose Dispersible: 100 Tablet In 1 Bottle (0406-0540-34),3.335,3.335,,,0 NDC,00406055223,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-0552-23),4.94,4.94,,,0 NDC,00406055262,Oxycodone Hydrochloride: 100 Tablet In 1 Blister Pack (0406-0552-62),5.425000000000001,5.425000000000001,,,0 NDC,00406114201,Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle (0406-1142-01),4.97,4.97,,,0 NDC,00406114401,Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle (0406-1144-01),5.06,5.06,,,0 NDC,00406117003,"Naltrexone Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (0406-1170-03)",10.29,10.29,,,0 NDC,00406123601,Diphenoxylate Hydrochloride And Atropine Sulfate: 100 Tablet In 1 Bottle (0406-1236-01),3.98,3.98,,,0 NDC,00406324301,Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle (0406-3243-01),4.28,4.28,,,0 NDC,00406324401,Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle (0406-3244-01),5.38,5.38,,,0 NDC,00406324901,Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle (0406-3249-01),5.11,5.11,,,0 NDC,00406575523,Methadone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-5755-23),5.45,5.45,,,0 NDC,00406575562,Methadone Hydrochloride: 100 Tablet In 1 Blister Pack (0406-5755-62),6.0,6.0,,,0 NDC,00406577123,Methadone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-5771-23),3.35,3.35,,,0 NDC,00406831523,"Morphine Sulfate: 1 Tablet, Extended Release In 1 Blister Pack (0406-8315-23)",5.85,5.85,,,0 NDC,00406831562,"Morphine Sulfate: 100 Tablet, Extended Release In 1 Blister Pack (0406-8315-62)",6.0,6.0,,,0 NDC,00406833023,"Morphine Sulfate: 1 Tablet, Extended Release In 1 Blister Pack (0406-8330-23)",9.86,9.86,,,0 NDC,00406833062,"Morphine Sulfate: 100 Tablet, Extended Release In 1 Blister Pack (0406-8330-62)",9.88,9.88,,,0 NDC,00406838001,"Morphine Sulfate: 100 Tablet, Extended Release In 1 Bottle (0406-8380-01)",15.41,15.41,,,0 NDC,00406838023,"Morphine Sulfate: 1 Tablet, Extended Release In 1 Blister Pack (0406-8380-23)",19.22,19.22,,,0 NDC,00406851023,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-8510-23),5.64,5.64,,,0 NDC,00407140152,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1401-52) / 50 Ml In 1 Bottle, Plastic",9.47,9.47,,,0 NDC,00407141110,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1411-10) / 10 Ml In 1 Vial, Glass",58.2,58.2,,,0 NDC,00407141210,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1412-10) / 10 Ml In 1 Vial, Glass",30.45,30.45,,,0 NDC,00407141220,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1412-20) / 20 Ml In 1 Vial, Glass",49.51,49.51,,,0 NDC,00407141234,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1412-34) / 150 Ml In 1 Bottle, Plastic",4.62,4.62,,,0 NDC,00407141238,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1412-38) / 50 Ml In 1 Bottle, Plastic",5.25,5.25,,,0 NDC,00407141359,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-59) / 30 Ml In 1 Bottle, Plastic",10.82,10.82,,,0 NDC,00407141360,"10 BOTTLE, GLASS in 1 BOX (0407-1413-60) / 100 mL in 1 BOTTLE, GLASS",9.38,9.38,,,0 NDC,00407141361,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-61) / 50 Ml In 1 Bottle, Plastic",13.37,13.37,,,0 NDC,00407141362,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-62) / 75 Ml In 1 Bottle, Plastic",2.0,2.0,,,0 NDC,00407141363,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-63) / 100 Ml In 1 Bottle, Plastic",30.04,30.04,,,0 NDC,00407141372,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-72) / 500 Ml In 1 Bottle, Plastic",5.67,5.67,,,0 NDC,00407141392,"10 BOTTLE, PLASTIC in 1 BOX (0407-1413-92) / 150 mL in 1 BOTTLE, PLASTIC",5.92,5.92,,,0 NDC,00407141489,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-89) / 50 Ml In 1 Bottle, Plastic",27.02,27.02,,,0 NDC,00407141490,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-90) / 75 Ml In 1 Bottle, Plastic",7.74,7.74,,,0 NDC,00407141491,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-91) / 100 Ml In 1 Bottle, Plastic",7.41,7.41,,,0 NDC,00407141493,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-93) / 150 Ml In 1 Bottle, Plastic",6.22,6.22,,,0 NDC,00407141494,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-94) / 200 Ml In 1 Bottle, Plastic",5.76,5.76,,,0 NDC,00407222304,"10 BOTTLE, GLASS in 1 BOX (0407-2223-04) / 200 mL in 1 BOTTLE, GLASS",8.72,8.72,,,0 NDC,00407222316,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-16) / 50 Ml In 1 Bottle, Plastic",16.79,16.79,,,0 NDC,00407222317,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-17) / 100 Ml In 1 Bottle, Plastic",9.68,9.68,,,0 NDC,00407222319,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-19) / 150 Ml In 1 Bottle, Plastic",6.66,6.66,,,0 NDC,00407222321,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-21) / 200 Ml In 1 Bottle, Plastic",9.42,9.42,,,0 NDC,00409000101,NDC Description Not Available,26.705,26.705,,,0 NDC,00409000701,NDC Description Not Available,0.28,0.28,,,0 NDC,00409000902,NDC Description Not Available,14.75,14.75,,,0 NDC,00409001601,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (0409-0016-01) / 16 Ml In 1 Vial, Multi-Dose",21.08,21.08,,,0 NDC,00409002002,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (0409-0020-02) / 4 Ml In 1 Vial, Single-Dose",73.7,73.7,,,0 NDC,00409002103,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (0409-0021-03) / 20 Ml In 1 Vial, Single-Dose",66.71,66.71,,,0 NDC,00409012501,NDC Description Not Available,27.59,27.59,,,0 NDC,00409014411,"Azithromycin: 10 Vial, Single-Dose In 1 Tray (0409-0144-11) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0409-0144-21)",193.0,193.0,,,0 NDC,00409015201,NDC Description Not Available,8.575,8.575,,,0 NDC,00409018101,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0181-01) / 26.3 Ml In 1 Vial, Single-Dose",57.52,57.52,,,0 NDC,00409018125,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0181-25) / 26.3 Ml In 1 Vial, Single-Dose",60.485,60.485,,,0 NDC,00409018201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0182-01) / 52.6 Ml In 1 Vial, Single-Dose",60.69,60.69,,,0 NDC,00409018301,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0183-01) / 5.26 Ml In 1 Vial, Single-Dose",62.52,62.52,,,0 NDC,00409018325,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0183-25) / 5.26 Ml In 1 Vial, Single-Dose",61.15,61.15,,,0 NDC,00409018501,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0185-01) / 5 Ml In 1 Vial, Single-Dose",72.59,72.59,,,0 NDC,00409018601,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0186-01) / 25 Ml In 1 Vial, Single-Dose",65.65,65.65,,,0 NDC,00409020120,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (0409-0201-20) / 16 Ml In 1 Vial, Multi-Dose",21.04,21.04,,,0 NDC,00409021210,NDC Description Not Available,24.09,24.09,,,0 NDC,00409022210,Meropenem: 10 Vial In 1 Carton (0409-0222-10) / 10 Ml In 1 Vial (0409-0222-01),38.6,38.6,,,0 NDC,00409030201,"Topotecan: 1 Vial, Single-Dose In 1 Carton (0409-0302-01) / 4 Ml In 1 Vial, Single-Dose",11.4,11.4,,,0 NDC,00409052831,NDC Description Not Available,64.33,64.33,,,0 NDC,00409080101,"Nipent: 1 Vial, Single-Dose In 1 Carton (0409-0801-01) / 5 Ml In 1 Vial, Single-Dose",12623.45,12623.45,,,0 NDC,00409082901,"Aztreonam: 10 Vial, Single-Dose In 1 Carton (0409-0829-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0409-0829-11)",19.3,19.3,,,0 NDC,00409082911,NDC Description Not Available,20.7,20.7,,,0 NDC,00409083001,"Aztreonam: 10 Vial, Single-Dose In 1 Carton (0409-0830-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0409-0830-11)",18.28,18.28,,,0 NDC,00409083011,NDC Description Not Available,20.475,20.475,,,0 NDC,00409104501,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (0409-1045-01) / 4 Ml In 1 Vial, Single-Dose",73.67,73.67,,,0 NDC,00409106720,"Carbocaine: 1 VIAL, SINGLE-DOSE in 1 CARTON (0409-1067-20) / 20 mL in 1 VIAL, SINGLE-DOSE",57.26,57.26,,,0 NDC,00409109812,NDC Description Not Available,94.74,94.74,,,0 NDC,00409113002,"Sodium Chloride: 12 BOTTLE, GLASS in 1 CASE (0409-1130-02) / 250 mL in 1 BOTTLE, GLASS",1405.0,1405.0,,,0 NDC,00409113403,"Morphine Sulfate: 1 Vial, Single-Dose In 1 Carton (0409-1134-03) / 20 Ml In 1 Vial, Single-Dose",104.39,104.39,,,0 NDC,00409114001,"Argatroban: 1 Vial, Single-Dose In 1 Carton (0409-1140-01) / 2.5 Ml In 1 Vial, Single-Dose",7.28,7.28,,,0 NDC,00409114112,NDC Description Not Available,105.34,105.34,,,0 NDC,00409114405,Verapamil Hydrochloride: 25 Vial In 1 Carton (0409-1144-05) / 2 Ml In 1 Vial (0409-1144-65),173.65,173.65,,,0 NDC,00409115901,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-01) / 10 Ml In 1 Vial, Single-Dose (0409-1159-18)",2.02,2.02,,,0 NDC,00409115902,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-02) / 30 Ml In 1 Vial, Single-Dose (0409-1159-19)",0.47000000000000003,0.47000000000000003,,,0 NDC,00409115909,NDC Description Not Available,0.79,0.79,,,0 NDC,00409115910,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-10) / 30 Ml In 1 Vial, Single-Dose (0409-1159-09)",0.79,0.79,,,0 NDC,00409115918,NDC Description Not Available,2.29,2.29,,,0 NDC,00409115919,NDC Description Not Available,0.74,0.74,,,0 NDC,00409116001,"Bupivacaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-1160-01) / 50 Ml In 1 Vial, Multi-Dose (0409-1160-18)",4.66,4.66,,,0 NDC,00409116018,NDC Description Not Available,5.85,5.85,,,0 NDC,00409116201,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1162-01) / 10 Ml In 1 Vial, Single-Dose (0409-1162-18)",0.73,0.73,,,0 NDC,00409116202,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1162-02) / 30 Ml In 1 Vial, Single-Dose (0409-1162-19)",0.29,0.29,,,0 NDC,00409116219,NDC Description Not Available,0.2,0.2,,,0 NDC,00409116301,"Bupivacaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-1163-01) / 50 Ml In 1 Vial, Multi-Dose (0409-1163-18)",0.2,0.2,,,0 NDC,00409116318,NDC Description Not Available,0.24,0.24,,,0 NDC,00409116518,NDC Description Not Available,0.415,0.415,,,0 NDC,00409116519,NDC Description Not Available,0.07,0.07,,,0 NDC,00409117803,NDC Description Not Available,59.0,59.0,,,0 NDC,00409117830,Demerol: 10 Cartridge In 1 Carton (0409-1178-30) / 1 Ml In 1 Cartridge (0409-1178-03),59.0,59.0,,,0 NDC,00409120713,NDC Description Not Available,22.45,22.45,,,0 NDC,00409121201,Naloxone Hydrochloride: 10 AMPULE in 1 TRAY (0409-1212-01) / 1 mL in 1 AMPULE,66.66,66.66,,,0 NDC,00409121501,"Naloxone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0409-1215-01) / 1 Ml In 1 Vial, Single-Dose (0409-1215-21)",110.815,110.815,,,0 NDC,00409121521,NDC Description Not Available,103.36,103.36,,,0 NDC,00409121901,"Naloxone Hydrochloride: 25 Carton In 1 Case (0409-1219-01) / 1 Vial, Multi-Dose In 1 Carton / 10 Ml In 1 Vial, Multi-Dose (0409-1219-41)",198.89,198.89,,,0 NDC,00409121941,NDC Description Not Available,198.89,198.89,,,0 NDC,00409127303,NDC Description Not Available,93.31,93.31,,,0 NDC,00409128303,NDC Description Not Available,10.23,10.23,,,0 NDC,00409128305,10 SYRINGE in 1 CARTON (0409-1283-05) / .5 mL in 1 SYRINGE (0409-1283-04),35.13,35.13,,,0 NDC,00409128310,10 SYRINGE in 1 CARTON (0409-1283-10) / 1 mL in 1 SYRINGE (0409-1283-09),16.86,16.86,,,0 NDC,00409128331,Hydromorphone Hydrochloride: 10 Cartridge In 1 Carton (0409-1283-31) / 1 Ml In 1 Cartridge (0409-1283-03),50.57,50.57,,,0 NDC,00409131203,NDC Description Not Available,55.38,55.38,,,0 NDC,00409131230,Hydromorphone Hydrochloride: 10 Cartridge In 1 Carton (0409-1312-30) / 1 Ml In 1 Cartridge (0409-1312-03),11.764999999999999,11.764999999999999,,,0 NDC,00409131611,NDC Description Not Available,5.9,5.9,,,0 NDC,00409131901,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-1319-01) / 100 Ml In 1 Vial, Pharmacy Bulk Package",38.25,38.25,,,0 NDC,00409132315,NDC Description Not Available,0.9,0.9,,,0 NDC,00409139122,Meropenem: 10 Vial In 1 Carton (0409-1391-22) / 20 Ml In 1 Vial (0409-1391-21),19.3,19.3,,,0 NDC,00409141204,Bumetanide: 10 VIAL in 1 BOX (0409-1412-04) / 4 mL in 1 VIAL (0409-1412-34),3.86,3.86,,,0 NDC,00409145420,Precedex: 20 Bottle In 1 Tray (0409-1454-20) / 50 Ml In 1 Bottle (0409-1454-01),193.0,193.0,,,0 NDC,00409146401,"Nalbuphine Hydrochloride: 25 Carton In 1 Case (0409-1464-01) / 1 Vial, Multi-Dose In 1 Carton (0409-1464-61) / 10 Ml In 1 Vial, Multi-Dose",59.0,59.0,,,0 NDC,00409146461,NDC Description Not Available,59.0,59.0,,,0 NDC,00409148202,"Nitroglycerin in Dextrose: 250 mL in 1 BOTTLE, GLASS (0409-1482-02)",19.3,19.3,,,0 NDC,00409153503,NDC Description Not Available,156.64,156.64,,,0 NDC,00409154101,NDC Description Not Available,2.95,2.95,,,0 NDC,00409155910,"Marcaine: 10 Vial, Single-Dose In 1 Tray (0409-1559-10) / 10 Ml In 1 Vial, Single-Dose (0409-1559-18)",2.26,2.26,,,0 NDC,00409155918,NDC Description Not Available,2.1,2.1,,,0 NDC,00409155930,"Marcaine: 10 Vial, Single-Dose In 1 Carton (0409-1559-30) / 30 Ml In 1 Vial, Single-Dose (0409-1559-19)",0.79,0.79,,,0 NDC,00409156010,"Marcaine: 10 Vial, Single-Dose In 1 Tray (0409-1560-10) / 10 Ml In 1 Vial, Single-Dose (0409-1560-18)",1.18,1.18,,,0 NDC,00409156019,NDC Description Not Available,0.39,0.39,,,0 NDC,00409158219,NDC Description Not Available,0.12,0.12,,,0 NDC,00409158750,"Marcaine: 1 Vial, Multi-Dose In 1 Carton (0409-1587-50) / 50 Ml In 1 Vial, Multi-Dose",0.48,0.48,,,0 NDC,00409159601,NDC Description Not Available,280.1,280.1,,,0 NDC,00409161050,"Marcaine: 1 Vial, Multi-Dose In 1 Carton (0409-1610-50) / 50 Ml In 1 Vial, Multi-Dose",0.24,0.24,,,0 NDC,00409162301,"Butorphanol Tartrate: 10 Vial, Single-Dose In 1 Carton (0409-1623-01) / 1 Ml In 1 Vial, Single-Dose (0409-1623-21)",59.0,59.0,,,0 NDC,00409162321,NDC Description Not Available,59.0,59.0,,,0 NDC,00409163010,"Atropine Sulfate: 10 Carton In 1 Package (0409-1630-10) / 1 Syringe, Plastic In 1 Carton / 10 Ml In 1 Syringe, Plastic (0409-1630-15)",22.94,22.94,,,0 NDC,00409163015,NDC Description Not Available,0.92,0.92,,,0 NDC,00409163110,"Calcium Chloride: 10 Carton In 1 Container (0409-1631-10) / 1 Syringe, Plastic In 1 Carton (0409-1631-40) / 10 Ml In 1 Syringe, Plastic",76.85,76.85,,,0 NDC,00409163140,NDC Description Not Available,82.74,82.74,,,0 NDC,00409163201,Vecuronium Bromide: 10 Vial In 1 Carton (0409-1632-01) / 10 Ml In 1 Vial (0409-1632-21),49.17,49.17,,,0 NDC,00409163802,Precedex: 25 Vial In 1 Tray (0409-1638-02) / 2 Ml In 1 Vial (0409-1638-32),40.58,40.58,,,0 NDC,00409166020,Precedex: 10 Vial In 1 Carton (0409-1660-20) / 20 Ml In 1 Vial (0409-1660-22),164.43,164.43,,,0 NDC,00409166022,NDC Description Not Available,164.43,164.43,,,0 NDC,00409166035,NDC Description Not Available,280.0,280.0,,,0 NDC,00409166055,NDC Description Not Available,188.97,188.97,,,0 NDC,00409170301,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (0409-1703-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",50.9,50.9,,,0 NDC,00409170401,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (0409-1704-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",54.05,54.05,,,0 NDC,00409175250,"Marcaine With Epinephrine: 1 Vial, Multi-Dose In 1 Carton (0409-1752-50) / 50 Ml In 1 Vial, Multi-Dose",3.61,3.61,,,0 NDC,00409175550,"Marcaine With Epinephrine: 1 Vial, Multi-Dose In 1 Carton (0409-1755-50) / 50 Ml In 1 Vial, Multi-Dose",4.63,4.63,,,0 NDC,00409176102,10 DOSE PACK in 1 CARTON (0409-1761-02) / 1 AMPULE in 1 DOSE PACK / 2 mL in 1 AMPULE (0409-1761-19),2.51,2.51,,,0 NDC,00409177805,"Metoprolol Tartrate: 10 Vial, Single-Dose In 1 Carton (0409-1778-05) / 5 Ml In 1 Vial, Single-Dose (0409-1778-15)",14.17,14.17,,,0 NDC,00409177815,NDC Description Not Available,12.59,12.59,,,0 NDC,00409180501,Hydromorphone Hydrochloride: 10 Syringe In 1 Cello Pack (0409-1805-01) / .5 Ml In 1 Syringe (0409-1805-10),19.67,19.67,,,0 NDC,00409180510,NDC Description Not Available,22.18,22.18,,,0 NDC,00409188622,NDC Description Not Available,0.67,0.67,,,0 NDC,00409189001,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1890-01) / 1 Ml In 1 Cartridge (0409-1890-03),29.5,29.5,,,0 NDC,00409189003,NDC Description Not Available,23.12,23.12,,,0 NDC,00409189013,NDC Description Not Available,38.45,38.45,,,0 NDC,00409189301,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1893-01) / 1 Ml In 1 Cartridge (0409-1893-03),59.0,59.0,,,0 NDC,00409189303,NDC Description Not Available,59.0,59.0,,,0 NDC,00409190211,NDC Description Not Available,779.96,779.96,,,0 NDC,00409204501,NDC Description Not Available,48.25,48.25,,,0 NDC,00409205001,NDC Description Not Available,1.48,1.48,,,0 NDC,00409205105,"Ketamine Hydrochloride: 10 Vial, Multi-Dose In 1 Box (0409-2051-05) / 5 Ml In 1 Vial, Multi-Dose (0409-2051-15)",2.96,2.96,,,0 NDC,00409205115,NDC Description Not Available,56.1,56.1,,,0 NDC,00409206605,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0409-2066-05) / 5 Ml In 1 Vial, Single-Dose (0409-2066-10)",0.68,0.68,,,0 NDC,00409210205,"Sodium Chloride: 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-2102-05) / 5 mL in 1 VIAL, SINGLE-DOSE",6.0,6.0,,,0 NDC,00409218801,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (0409-2188-01) / 20 Ml In 1 Vial, Single-Dose",66.71,66.71,,,0 NDC,00409226720,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0409-2267-20) / 20 Ml In 1 Vial, Multi-Dose",23.37,23.37,,,0 NDC,00409230001,NDC Description Not Available,132.69,132.69,,,0 NDC,00409230504,NDC Description Not Available,17.35,17.35,,,0 NDC,00409230505,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2305-05) / 5 Ml In 1 Vial, Single-Dose (0409-2305-04)",11.12,11.12,,,0 NDC,00409230516,NDC Description Not Available,38.07,38.07,,,0 NDC,00409230517,"Midazolam: 25 Vial, Single-Dose In 1 Tray (0409-2305-17) / 2 Ml In 1 Vial, Single-Dose (0409-2305-16)",7.04,7.04,,,0 NDC,00409230550,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2305-50) / 5 Ml In 1 Vial, Single-Dose (0409-2305-55)",29.5,29.5,,,0 NDC,00409230802,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2308-02) / 2 Ml In 1 Vial, Single-Dose (0409-2308-22)",0.91,0.91,,,0 NDC,00409230821,NDC Description Not Available,8.9,8.9,,,0 NDC,00409230822,NDC Description Not Available,1.135,1.135,,,0 NDC,00409233715,NDC Description Not Available,59.05,59.05,,,0 NDC,00409234401,"Dobutamine: 1 Vial, Single-Dose In 1 Carton (0409-2344-01) / 20 Ml In 1 Vial, Single-Dose",49.31,49.31,,,0 NDC,00409234402,"Dobutamine: 10 Vial, Single-Dose In 1 Tray (0409-2344-02) / 20 Ml In 1 Vial, Single-Dose (0409-2344-62)",46.5,46.5,,,0 NDC,00409234462,NDC Description Not Available,46.5,46.5,,,0 NDC,00409234488,"Dobutamine: 10 Vial, Single-Dose In 1 Tray (0409-2344-88) / 20 Ml In 1 Vial, Single-Dose (0409-2344-68)",45.96,45.96,,,0 NDC,00409234631,NDC Description Not Available,193.0,193.0,,,0 NDC,00409234632,Dobutamine In Dextrose: 12 Pouch In 1 Case (0409-2346-32) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag (0409-2346-31),190.34,190.34,,,0 NDC,00409250410,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0409-2504-10) / 5 Ml In 1 Vial, Single-Dose",53.05,53.05,,,0 NDC,00409259615,NDC Description Not Available,1.01,1.01,,,0 NDC,00409263410,NDC Description Not Available,0.56,0.56,,,0 NDC,00409263425,NDC Description Not Available,0.37,0.37,,,0 NDC,00409263450,"Hydromorphone Hydrochloride: 1 Vial, Single-Dose In 1 Box (0409-2634-50) / 50 Ml In 1 Vial, Single-Dose",0.4,0.4,,,0 NDC,00409268715,"Ampicillin and Sulbactam: 100 mL in 1 VIAL, PHARMACY BULK PACKAGE (0409-2687-15)",48.25,48.25,,,0 NDC,00409272001,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2720-01) / 1 Ml In 1 Vial, Single-Dose (0409-2720-30)",16.05,16.05,,,0 NDC,00409272030,NDC Description Not Available,14.59,14.59,,,0 NDC,00409272031,NDC Description Not Available,19.67,19.67,,,0 NDC,00409272101,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2721-01) / 1 Ml In 1 Vial, Single-Dose (0409-2721-30)",5.3,5.3,,,0 NDC,00409272130,NDC Description Not Available,4.035,4.035,,,0 NDC,00409272301,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2723-01) / 1 Ml In 1 Vial, Single-Dose (0409-2723-30)",12.785,12.785,,,0 NDC,00409272302,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Tray (0409-2723-02) / 10 Ml In 1 Vial, Multi-Dose (0409-2723-31)",5.9,5.9,,,0 NDC,00409272330,NDC Description Not Available,8.850000000000001,8.850000000000001,,,0 NDC,00409272331,NDC Description Not Available,5.9,5.9,,,0 NDC,00409299803,"Ampicillin and Sulbactam: 10 VIAL in 1 CARTON (0409-2998-03) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL",96.5,96.5,,,0 NDC,00409302401,NITROPRESS: 1 VIAL in 1 CARTON (0409-3024-01) / 2 mL in 1 VIAL,319.86,319.86,,,0 NDC,00409315005,NDC Description Not Available,7.77,7.77,,,0 NDC,00409317701,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3177-01) / 50 Ml In 1 Vial, Multi-Dose (0409-3177-16)",4.54,4.54,,,0 NDC,00409317801,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3178-01) / 20 Ml In 1 Vial, Multi-Dose (0409-3178-16)",0.37,0.37,,,0 NDC,00409318202,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3182-02) / 30 Ml In 1 Vial, Multi-Dose (0409-3182-21)",0.13,0.13,,,0 NDC,00409318905,NDC Description Not Available,28.44,28.44,,,0 NDC,00409321311,NDC Description Not Available,52.42,52.42,,,0 NDC,00409321312,"Diazepam: 10 Vial, Multi-Dose In 1 Box (0409-3213-12) / 10 Ml In 1 Vial, Multi-Dose (0409-3213-11)",59.0,59.0,,,0 NDC,00409329461,NDC Description Not Available,47.82,47.82,,,0 NDC,00409329905,Sodium Acetate: 25 Vial In 1 Tray (0409-3299-05) / 50 Ml In 1 Vial (0409-3299-15),703.925,703.925,,,0 NDC,00409329915,NDC Description Not Available,3.0,3.0,,,0 NDC,00409329916,NDC Description Not Available,2.67,2.67,,,0 NDC,00409330001,NDC Description Not Available,81.21000000000001,81.21000000000001,,,0 NDC,00409336501,"25 VIAL, SINGLE-DOSE in 1 TRAY (0409-3365-01) / 1 mL in 1 VIAL, SINGLE-DOSE (0409-3365-11)",11.09,11.09,,,0 NDC,00409336511,NDC Description Not Available,3.05,3.05,,,0 NDC,00409337402,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0409-3374-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (0409-3374-11)",96.5,96.5,,,0 NDC,00409337504,"Levophed: 10 Vial, Single-Dose In 1 Carton (0409-3375-04) / 4 Ml In 1 Vial, Single-Dose (0409-3375-14)",109.635,109.635,,,0 NDC,00409337514,NDC Description Not Available,150.59,150.59,,,0 NDC,00409337813,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0409-3378-13) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (0409-3378-11)",36.76,36.76,,,0 NDC,00409337904,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0409-3379-04) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (0409-3379-11)",48.25,48.25,,,0 NDC,00409338211,NDC Description Not Available,63.23,63.23,,,0 NDC,00409338311,NDC Description Not Available,63.0,63.0,,,0 NDC,00409338511,NDC Description Not Available,41.435,41.435,,,0 NDC,00409339011,NDC Description Not Available,35.6,35.6,,,0 NDC,00409341301,Metoclopramide: 25 AMPULE in 1 CONTAINER (0409-3413-01) / 2 mL in 1 AMPULE,6.0,6.0,,,0 NDC,00409341401,"Metoclopramide: 25 Vial, Single-Dose In 1 Tray (0409-3414-01) / 2 Ml In 1 Vial, Single-Dose (0409-3414-18)",58.73,58.73,,,0 NDC,00409341418,NDC Description Not Available,58.82,58.82,,,0 NDC,00409341421,NDC Description Not Available,57.43,57.43,,,0 NDC,00409343501,NDC Description Not Available,59.0,59.0,,,0 NDC,00409349516,"Sodium Bicarbonate: 10 CARTON in 1 CONTAINER (0409-3495-16) / 1 SYRINGE, PLASTIC in 1 CARTON / 50 mL in 1 SYRINGE, PLASTIC",16.42,16.42,,,0 NDC,00409350701,"Imipenem and Cilastatin: 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-3507-01) / 100 mL in 1 VIAL, SINGLE-DOSE (0409-3507-21)",96.5,96.5,,,0 NDC,00409351501,"Vancomycin Hydrochloride: 10 Vial In 1 Tray (0409-3515-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-3515-11)",64.33,64.33,,,0 NDC,00409351511,NDC Description Not Available,64.34,64.34,,,0 NDC,00409357801,"Tobramycin: 25 Vial, Multi-Dose In 1 Tray (0409-3578-01) / 2 Ml In 1 Vial, Multi-Dose (0409-3578-11)",14.14,14.14,,,0 NDC,00409361311,NDC Description Not Available,2.46,2.46,,,0 NDC,00409371801,"Ampicillin: 10 Vial, Glass In 1 Package (0409-3718-01) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0409-3718-10)",193.0,193.0,,,0 NDC,00409372001,"Ampicillin: 10 VIAL, GLASS in 1 PACKAGE (0409-3720-01) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, GLASS (0409-3720-10)",48.25,48.25,,,0 NDC,00409372601,"Ampicillin: 10 VIAL, GLASS in 1 PACKAGE (0409-3726-01) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, GLASS (0409-3726-10)",96.5,96.5,,,0 NDC,00409379319,NDC Description Not Available,58.03,58.03,,,0 NDC,00409379519,NDC Description Not Available,41.3,41.3,,,0 NDC,00409381511,NDC Description Not Available,114.19,114.19,,,0 NDC,00409381512,"Morphine Sulfate: 5 Vial, Glass In 1 Carton (0409-3815-12) / 10 Ml In 1 Vial, Glass (0409-3815-11)",96.97,96.97,,,0 NDC,00409409101,"Manganese: 25 Vial, Plastic In 1 Tray (0409-4091-01) / 10 Ml In 1 Vial, Plastic (0409-4091-11)",1405.0,1405.0,,,0 NDC,00409409201,"Copper: 25 Vial, Single-Dose In 1 Tray (0409-4092-01) / 10 Ml In 1 Vial, Single-Dose (0409-4092-11)",770.365,770.365,,,0 NDC,00409426411,NDC Description Not Available,8.4,8.4,,,0 NDC,00409427501,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4275-01) / 50 Ml In 1 Vial, Multi-Dose (0409-4275-16)",59.0,59.0,,,0 NDC,00409427601,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4276-01) / 20 Ml In 1 Vial, Multi-Dose (0409-4276-16)",0.56,0.56,,,0 NDC,00409427602,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4276-02) / 50 Ml In 1 Vial, Multi-Dose (0409-4276-17)",2.43,2.43,,,0 NDC,00409427616,NDC Description Not Available,0.63,0.63,,,0 NDC,00409427617,NDC Description Not Available,2.99,2.99,,,0 NDC,00409427701,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4277-01) / 20 Ml In 1 Vial, Multi-Dose (0409-4277-16)",0.59,0.59,,,0 NDC,00409427702,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4277-02) / 50 Ml In 1 Vial, Multi-Dose (0409-4277-17)",0.4,0.4,,,0 NDC,00409427716,NDC Description Not Available,29.675,29.675,,,0 NDC,00409427717,NDC Description Not Available,30.975,30.975,,,0 NDC,00409427902,"Lidocaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-4279-02) / 30 Ml In 1 Vial, Single-Dose (0409-4279-16)",29.975,29.975,,,0 NDC,00409427916,NDC Description Not Available,29.765,29.765,,,0 NDC,00409428202,Lidocaine Hydrochloride: 25 Ampule In 1 Carton (0409-4282-02) / 10 Ml In 1 Ampule (0409-4282-12),0.8,0.8,,,0 NDC,00409428212,NDC Description Not Available,0.14,0.14,,,0 NDC,00409433211,NDC Description Not Available,114.8,114.8,,,0 NDC,00409434616,NDC Description Not Available,2.44,2.44,,,0 NDC,00409434673,"Aminocaproic Acid: 25 Vial, Single-Dose In 1 Tray (0409-4346-73) / 20 Ml In 1 Vial, Single-Dose (0409-4346-16)",3.11,3.11,,,0 NDC,00409444401,NDC Description Not Available,64.33,64.33,,,0 NDC,00409468816,NDC Description Not Available,96.5,96.5,,,0 NDC,00409468822,NDC Description Not Available,77.75,77.75,,,0 NDC,00409469954,NDC Description Not Available,17.05,17.05,,,0 NDC,00409471302,Lidocaine Hydrochloride: 5 Cello Pack In 1 Package (0409-4713-02) / 5 Ampule In 1 Cello Pack (0409-4713-26) / 5 Ml In 1 Ampule (0409-4713-12),3.65,3.65,,,0 NDC,00409471312,NDC Description Not Available,3.49,3.49,,,0 NDC,00409471332,Lidocaine Hydrochloride: 5 Carton In 1 Package (0409-4713-32) / 10 Ampule In 1 Carton (0409-4713-25) / 2 Ml In 1 Ampule (0409-4713-42),1.62,1.62,,,0 NDC,00409471342,NDC Description Not Available,1.97,1.97,,,0 NDC,00409471362,Lidocaine Hydrochloride: 800 Ampule In 1 Case (0409-4713-62) / 2 Ml In 1 Ampule (0409-4713-72),1.97,1.97,,,0 NDC,00409471365,Lidocaine Hydrochloride: 800 Ampule In 1 Case (0409-4713-65) / 5 Ml In 1 Ampule (0409-4713-75),3.02,3.02,,,0 NDC,00409471375,NDC Description Not Available,3.07,3.07,,,0 NDC,00409475518,NDC Description Not Available,14.75,14.75,,,0 NDC,00409475901,"Ondansetron: 1 Vial, Multi-Dose In 1 Carton (0409-4759-01) / 20 Ml In 1 Vial, Multi-Dose",14.75,14.75,,,0 NDC,00409477702,CIPROFLOXACIN: 24 POUCH in 1 CASE (0409-4777-02) / 1 BAG in 1 POUCH / 200 mL in 1 BAG (0409-4777-21),96.71,96.71,,,0 NDC,00409477886,Ciprofloxacin: 1 VIAL in 1 CARTON (0409-4778-86) / 40 mL in 1 VIAL,59.0,59.0,,,0 NDC,00409488710,"Sterile Water: 25 Vial, Plastic In 1 Tray (0409-4887-10) / 10 Ml In 1 Vial, Plastic (0409-4887-17)",60.245,60.245,,,0 NDC,00409488717,NDC Description Not Available,66.98,66.98,,,0 NDC,00409488723,NDC Description Not Available,78.345,78.345,,,0 NDC,00409488724,NDC Description Not Available,134.17000000000002,134.17000000000002,,,0 NDC,00409488725,NDC Description Not Available,127.115,127.115,,,0 NDC,00409488750,"Sterile Water: 25 Vial, Plastic In 1 Tray (0409-4887-50) / 50 Ml In 1 Vial, Plastic (0409-4887-24)",193.0,193.0,,,0 NDC,00409488801,NDC Description Not Available,37.6,37.6,,,0 NDC,00409488802,NDC Description Not Available,55.49,55.49,,,0 NDC,00409488803,NDC Description Not Available,30.21,30.21,,,0 NDC,00409488806,NDC Description Not Available,63.69,63.69,,,0 NDC,00409488810,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-4888-10) / 10 Ml In 1 Vial, Single-Dose (0409-4888-02)",28.51,28.51,,,0 NDC,00409488812,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-4888-12) / 10 Ml In 1 Vial, Single-Dose (0409-4888-01)",59.0,59.0,,,0 NDC,00409488850,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-4888-50) / 50 Ml In 1 Vial, Single-Dose (0409-4888-06)",36.01,36.01,,,0 NDC,00409490264,NDC Description Not Available,116.36,116.36,,,0 NDC,00409493311,NDC Description Not Available,59.0,59.0,,,0 NDC,00409508211,NDC Description Not Available,41.7,41.7,,,0 NDC,00409508411,"Tazicef: 10 Vial In 1 Carton (0409-5084-11) / 1 Injection, Powder, For Solution In 1 Vial (0409-5084-13)",48.25,48.25,,,0 NDC,00409508413,NDC Description Not Available,27.325,27.325,,,0 NDC,00409553424,NDC Description Not Available,134.74,134.74,,,0 NDC,00409555502,"Sodium Bicarbonate: 25 Vial, Single-Use In 1 Tray (0409-5555-02) / 5 Ml In 1 Vial, Single-Use (0409-5555-12)",52.64,52.64,,,0 NDC,00409555512,NDC Description Not Available,53.32,53.32,,,0 NDC,00409582011,NDC Description Not Available,26.84,26.84,,,0 NDC,00409592101,"Aminophylline: 25 Vial, Single-Dose In 1 Tray (0409-5921-01) / 10 Ml In 1 Vial, Single-Dose (0409-5921-16)",61.57,61.57,,,0 NDC,00409592116,NDC Description Not Available,75.075,75.075,,,0 NDC,00409592216,NDC Description Not Available,57.495000000000005,57.495000000000005,,,0 NDC,00409610202,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-02) / 2 Ml In 1 Vial, Single-Dose (0409-6102-19)",24.990000000000002,24.990000000000002,,,0 NDC,00409610204,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-04) / 4 Ml In 1 Vial, Single-Dose (0409-6102-18)",3.68,3.68,,,0 NDC,00409610210,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-10) / 10 Ml In 1 Vial, Single-Dose (0409-6102-20)",2.47,2.47,,,0 NDC,00409610218,NDC Description Not Available,19.64,19.64,,,0 NDC,00409610219,NDC Description Not Available,31.015,31.015,,,0 NDC,00409610220,NDC Description Not Available,39.135000000000005,39.135000000000005,,,0 NDC,00409610235,NDC Description Not Available,59.0,59.0,,,0 NDC,00409648201,Erythrocin Lactobionate: 10 Vial In 1 Tray (0409-6482-01) / 10 Ml In 1 Vial (0409-6482-11),304.47,304.47,,,0 NDC,00409648211,NDC Description Not Available,339.64,339.64,,,0 NDC,00409651001,"Vancomycin Hydrochloride: 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON (0409-6510-01) / 100 mL in 1 VIAL, PHARMACY BULK PACKAGE",58.05,58.05,,,0 NDC,00409653102,"Vancomycin Hydrochloride: 10 Vial In 1 Tray (0409-6531-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-6531-12)",85.03,85.03,,,0 NDC,00409653112,NDC Description Not Available,96.38,96.38,,,0 NDC,00409653311,NDC Description Not Available,95.13,95.13,,,0 NDC,00409653321,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (0409-6533-21) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-6533-11)",54.54,54.54,,,0 NDC,00409653359,NDC Description Not Available,38.44,38.44,,,0 NDC,00409656201,Testosterone Cypionate: 1 Vial In 1 Carton (0409-6562-01) / 1 Ml In 1 Vial,0.56,0.56,,,0 NDC,00409656202,Testosterone Cypionate: 1 Vial In 1 Carton (0409-6562-02) / 1 Ml In 1 Vial,2.36,2.36,,,0 NDC,00409662502,Sodium Bicarbonate: 25 VIAL in 1 TRAY (0409-6625-02) / 50 mL in 1 VIAL,65.33,65.33,,,0 NDC,00409662514,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (0409-6625-14) / 50 Ml In 1 Vial, Single-Dose (0409-6625-22)",66.0,66.0,,,0 NDC,00409662522,NDC Description Not Available,66.0,66.0,,,0 NDC,00409662530,NDC Description Not Available,61.31,61.31,,,0 NDC,00409662902,"Quelicin: 25 Vial, Multi-Dose In 1 Tray (0409-6629-02) / 10 Ml In 1 Vial, Multi-Dose (0409-6629-12)",13.54,13.54,,,0 NDC,00409662912,NDC Description Not Available,13.5,13.5,,,0 NDC,00409663501,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-6635-01) / 5 Ml In 1 Vial, Single-Dose (0409-6635-18)",706.0,706.0,,,0 NDC,00409663714,Sodium Bicarbonate: 10 Carton In 1 Package (0409-6637-14) / 1 Syringe In 1 Carton / 50 Ml In 1 Syringe (0409-6637-24),132.88,132.88,,,0 NDC,00409663724,NDC Description Not Available,132.555,132.555,,,0 NDC,00409664802,"Dextrose: 25 Vial, Single-Dose In 1 Tray (0409-6648-02) / 50 Ml In 1 Vial, Single-Dose (0409-6648-16)",59.0,59.0,,,0 NDC,00409664816,NDC Description Not Available,59.0,59.0,,,0 NDC,00409665318,NDC Description Not Available,6.95,6.95,,,0 NDC,00409669501,"Amidate: 10 Vial, Single-Dose In 1 Tray (0409-6695-01) / 10 Ml In 1 Vial, Single-Dose (0409-6695-11)",7.03,7.03,,,0 NDC,00409669502,"Amidate: 10 Vial, Single-Dose In 1 Tray (0409-6695-02) / 20 Ml In 1 Vial, Single-Dose (0409-6695-12)",6.76,6.76,,,0 NDC,00409672903,24 POUCH in 1 CASE (0409-6729-03) / 1 BAG in 1 POUCH / 500 mL in 1 BAG (0409-6729-21),1.83,1.83,,,0 NDC,00409672911,NDC Description Not Available,48.28,48.28,,,0 NDC,00409672924,Magnesium Sulfate In Water: 24 Pouch In 1 Case (0409-6729-24) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag (0409-6729-11),48.07,48.07,,,0 NDC,00409672941,NDC Description Not Available,110.29,110.29,,,0 NDC,00409710168,NDC Description Not Available,193.0,193.0,,,0 NDC,00409724101,EPINEPHRINE: 25 AMPULE in 1 CARTON (0409-7241-01) / 1 mL in 1 AMPULE (0409-7241-10),4.0,4.0,,,0 NDC,00409729501,"Potassium Phosphates: 25 Vial, Single-Dose In 1 Tray (0409-7295-01) / 15 Ml In 1 Vial, Single-Dose (0409-7295-11)",33.489999999999995,33.489999999999995,,,0 NDC,00409729511,NDC Description Not Available,46.019999999999996,46.019999999999996,,,0 NDC,00409729973,"Sodium Acetate: 25 Vial, Single-Dose In 1 Tray (0409-7299-73) / 20 Ml In 1 Vial, Single-Dose (0409-7299-83)",2.66,2.66,,,0 NDC,00409729983,NDC Description Not Available,4.02,4.02,,,0 NDC,00409733201,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7332-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7332-11)",24.27,24.27,,,0 NDC,00409733211,NDC Description Not Available,40.790000000000006,40.790000000000006,,,0 NDC,00409733221,NDC Description Not Available,14.75,14.75,,,0 NDC,00409733503,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7335-03) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7335-13)",17.48,17.48,,,0 NDC,00409733513,NDC Description Not Available,15.344999999999999,15.344999999999999,,,0 NDC,00409733711,NDC Description Not Available,24.14,24.14,,,0 NDC,00409733801,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7338-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7338-11)",30.45,30.45,,,0 NDC,00409733811,NDC Description Not Available,29.575,29.575,,,0 NDC,00409733821,NDC Description Not Available,29.5,29.5,,,0 NDC,00409739172,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (0409-7391-72) / 15 Ml In 1 Vial, Single-Dose (0409-7391-82)",117.325,117.325,,,0 NDC,00409739182,NDC Description Not Available,45.62,45.62,,,0 NDC,00409741903,Lmd In Sodium Chloride: 12 Pouch In 1 Case (0409-7419-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag (0409-7419-14),246.4,246.4,,,0 NDC,00409751716,"Dextrose: 10 Carton In 1 Container (0409-7517-16) / 1 Syringe, Plastic In 1 Carton / 50 Ml In 1 Syringe, Plastic (0409-7517-66)",115.64,115.64,,,0 NDC,00409751766,NDC Description Not Available,111.215,111.215,,,0 NDC,00409762003,Heparin Sodium: 18 Pouch In 1 Case (0409-7620-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag (0409-7620-13),193.0,193.0,,,0 NDC,00409762059,Heparin Sodium: 12 Pouch In 1 Case (0409-7620-59) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag (0409-7620-49),45.209999999999994,45.209999999999994,,,0 NDC,00409765113,NDC Description Not Available,9.09,9.09,,,0 NDC,00409780911,NDC Description Not Available,193.0,193.0,,,0 NDC,00409781011,NDC Description Not Available,193.0,193.0,,,0 NDC,00409781124,Metronidazole: 24 POUCH in 1 CASE (0409-7811-24) / 1 BAG in 1 POUCH / 100 mL in 1 BAG (0409-7811-31),7.72,7.72,,,0 NDC,00409792261,Dextrose: 32 POUCH in 1 CASE (0409-7922-61) / 1 BAG in 1 POUCH / 150 mL in 1 BAG,180.13,180.13,,,0 NDC,00409798406,Sodium Chloride: 60 BAG in 1 CASE (0409-7984-06) / 50 mL in 1 BAG,193.0,193.0,,,0 NDC,00409798413,Sodium Chloride: 48 POUCH in 1 CASE (0409-7984-13) / 1 BAG in 1 POUCH / 50 mL in 1 BAG,193.0,193.0,,,0 NDC,00409818301,"Potassium Acetate: 25 Vial, Single-Dose In 1 Tray (0409-8183-01) / 20 Ml In 1 Vial, Single-Dose (0409-8183-11)",710.09,710.09,,,0 NDC,00409818311,NDC Description Not Available,26.92,26.92,,,0 NDC,00409830020,NDC Description Not Available,13.57,13.57,,,0 NDC,00409904201,"Bupivacaine Hydrochloride And Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-9042-01) / 10 Ml In 1 Vial, Single-Dose (0409-9042-11)",3.53,3.53,,,0 NDC,00409904501,"Bupivacaine Hydrochloride And Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-9045-01) / 10 Ml In 1 Vial, Single-Dose (0409-9045-11)",3.03,3.03,,,0 NDC,00409904517,"Bupivacaine Hydrochloride And Epinephrine: 25 Vial, Single-Dose In 1 Tray (0409-9045-17) / 30 Ml In 1 Vial, Single-Dose (0409-9045-16)",2.09,2.09,,,0 NDC,00409909332,Fentanyl Citrate: 10 Ampule In 1 Cello Pack (0409-9093-32) / 2 Ml In 1 Ampule (0409-9093-37),59.0,59.0,,,0 NDC,00409909335,Fentanyl Citrate: 10 Ampule In 1 Cello Pack (0409-9093-35) / 5 Ml In 1 Ampule (0409-9093-45),12.97,12.97,,,0 NDC,00409909412,NDC Description Not Available,52.77,52.77,,,0 NDC,00409909417,NDC Description Not Available,6.34,6.34,,,0 NDC,00409909418,NDC Description Not Available,6.56,6.56,,,0 NDC,00409909422,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-22) / 2 Ml In 1 Vial, Single-Dose (0409-9094-12)",59.0,59.0,,,0 NDC,00409909431,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-31) / 20 Ml In 1 Vial, Single-Dose (0409-9094-16)",39.34,39.34,,,0 NDC,00409909441,NDC Description Not Available,6.19,6.19,,,0 NDC,00409909461,"Fentanyl Citrate: 25 Carton In 1 Tray (0409-9094-61) / 1 Vial, Single-Dose In 1 Carton / 50 Ml In 1 Vial, Single-Dose (0409-9094-41)",5.83,5.83,,,0 NDC,00409910420,"Dopamine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-9104-20) / 10 Ml In 1 Vial, Single-Dose (0409-9104-21)",3.52,3.52,,,0 NDC,00409910421,NDC Description Not Available,2.68,2.68,,,0 NDC,00409915801,Vitamin K1: 5 Tray In 1 Container (0409-9158-01) / 5 Ampule In 1 Tray (0409-9158-50) / 1 Ml In 1 Ampule (0409-9158-31),32.92,32.92,,,0 NDC,00409915831,NDC Description Not Available,32.84,32.84,,,0 NDC,00409915850,NDC Description Not Available,32.64,32.64,,,0 NDC,00409955805,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Box (0409-9558-05) / 5 Ml In 1 Vial, Multi-Dose (0409-9558-11)",24.89,24.89,,,0 NDC,00409955811,NDC Description Not Available,24.93,24.93,,,0 NDC,00409956610,"Cefepime: 10 Vial In 1 Carton (0409-9566-10) / 1 Injection, Powder, For Solution In 1 Vial (0409-9566-01)",96.5,96.5,,,0 NDC,00409973501,NDC Description Not Available,16.84,16.84,,,0 NDC,00409973510,"Cefepime: 10 Vial In 1 Carton (0409-9735-10) / 1 Injection, Powder, For Solution In 1 Vial (0409-9735-01)",48.25,48.25,,,0 NDC,00414200040,NDC Description Not Available,2.0,2.0,,,0 NDC,00430375414,"Estrace: 36 Carton In 1 Case (0430-3754-14) / 1 Tube, With Applicator In 1 Carton / 42.5 G In 1 Tube, With Applicator",2137.52,2137.52,,,0 NDC,00436067216,Dakins Quarter: 473 Ml In 1 Bottle (0436-0672-16),84.32,84.32,,,0 NDC,00440162620,NDC Description Not Available,2.0,2.0,,,0 NDC,00456060001,NDC Description Not Available,27.97,27.97,,,0 NDC,00456060010,"Teflaro: 10 Vial, Single-Dose In 1 Carton (0456-0600-10) / 20 Ml In 1 Vial, Single-Dose (0456-0600-01)",28.74,28.74,,,0 NDC,00456120130,"Linzess: 1 Bottle In 1 Carton (0456-1201-30) / 30 Capsule, Gelatin Coated In 1 Bottle",113.8,113.8,,,0 NDC,00456120230,"Linzess: 1 Bottle In 1 Carton (0456-1202-30) / 30 Capsule, Gelatin Coated In 1 Bottle",113.46,113.46,,,0 NDC,00456120330,"Linzess: 1 Bottle In 1 Carton (0456-1203-30) / 30 Capsule, Gelatin Coated In 1 Bottle",108.53,108.53,,,0 NDC,00456270001,NDC Description Not Available,603.63,603.63,,,0 NDC,00456270010,"Avycaz: 10 Vial, Single-Dose In 1 Carton (0456-2700-10) / 1 Powder, For Solution In 1 Vial, Single-Dose (0456-2700-01)",557.17,557.17,,,0 NDC,00456320563,"10 BLISTER PACK in 1 BOX, UNIT-DOSE (0456-3205-63) / 10 TABLET in 1 BLISTER PACK (0456-3205-11)",45.96,45.96,,,0 NDC,00456321063,"10 BLISTER PACK in 1 BOX, UNIT-DOSE (0456-3210-63) / 10 TABLET in 1 BLISTER PACK (0456-3210-11)",45.96,45.96,,,0 NDC,00456430001,Monurol: 1 PACKET in 1 CARTON (0456-4300-01) / 1 POWDER in 1 PACKET (0456-4300-08),565.88,565.88,,,0 NDC,00469052001,NDC Description Not Available,706.28,706.28,,,0 NDC,00469052002,Cresemba: 2 Blister Pack In 1 Carton (0469-0520-02) / 7 Capsule In 1 Blister Pack,704.02,704.02,,,0 NDC,00469142590,Xospata: 1 Bottle In 1 Carton (0469-1425-90) / 90 Tablet In 1 Bottle,1265.55,1265.55,,,0 NDC,00469260230,"Myrbetriq: 1 Bottle In 1 Carton (0469-2602-30) / 30 Tablet, Film Coated, Extended Release In 1 Bottle",95.13,95.13,,,0 NDC,00469301601,Prograf: 10 Ampule In 1 Box (0469-3016-01) / 1 Ml In 1 Ampule,675.58,675.58,,,0 NDC,00469305130,"Ambisome: 12.5 Ml In 1 Vial, Single-Dose (0469-3051-30)",416.81,416.81,,,0 NDC,00469321110,"Mycamine: 10 Vial, Single-Dose In 1 Carton (0469-3211-10) / 10 Ml In 1 Vial, Single-Dose",12.49,12.49,,,0 NDC,00469325010,"Mycamine: 10 Vial, Single-Dose In 1 Carton (0469-3250-10) / 5 Ml In 1 Vial, Single-Dose",11.379999999999999,11.379999999999999,,,0 NDC,00469342510,Vyloy: 1 Vial In 1 Box (0469-3425-10) / 5 Ml In 1 Vial,168.08,168.08,,,0 NDC,00469650189,"Lexiscan: 5 Ml In 1 Syringe, Plastic (0469-6501-89)",431.73,431.73,,,0 NDC,00472001304,Griseofulvin: 120 Ml In 1 Bottle (0472-0013-04),20.04,20.04,,,0 NDC,00472008216,Acyclovir: 473 Ml In 1 Bottle (0472-0082-16),38.03,38.03,,,0 NDC,00472016615,Nystatin: 1 Tube In 1 Carton (0472-0166-15) / 15 G In 1 Tube,86.77,86.77,,,0 NDC,00472024260,Permethrin: 1 Tube In 1 Carton (0472-0242-60) / 60 G In 1 Tube,188.1,188.1,,,0 NDC,00472033720,Hydrocortisone: 1 Tube In 1 Carton (0472-0337-20) / 20 G In 1 Tube,30.51,30.51,,,0 NDC,00472033730,Hydrocortisone: 1 Tube In 1 Carton (0472-0337-30) / 30 G In 1 Tube,39.02,39.02,,,0 NDC,00472173803,Miconazole Nitrate: 3 Suppository In 1 Carton (0472-1738-03),98.69,98.69,,,0 NDC,00480268806,"Ticagrelor: 60 Tablet, Film Coated In 1 Bottle (0480-2688-06)",43.77,43.77,,,0 NDC,00480372056,"Pyrimethamine: 30 Tablet In 1 Bottle, Plastic (0480-3720-56)",1590.3,1590.3,,,0 NDC,00480773606,"Darunavir: 60 Tablet, Film Coated In 1 Bottle (0480-7736-06)",72.57,72.57,,,0 NDC,00485005708,"Ed Apap: 236 Ml In 1 Bottle, Plastic (0485-0057-08)",6.0,6.0,,,0 NDC,00486112501,"K Phos Neutral: 100 Tablet, Coated In 1 Bottle (0486-1125-01)",4.34,4.34,,,0 NDC,00487020100,NDC Description Not Available,6.0,6.0,,,0 NDC,00487020101,"Ipratropium Bromide And Albuterol Sulfate: 30 Pouch In 1 Carton (0487-0201-01) / 1 Vial, Single-Use In 1 Pouch / 3 Ml In 1 Vial, Single-Use",5.99,5.99,,,0 NDC,00487278401,"Asthmanefrin: 30 Pouch In 1 Carton (0487-2784-01) / 1 Vial, Single-Use In 1 Pouch / .5 Ml In 1 Vial, Single-Use",7.31,7.31,,,0 NDC,00487590199,"S2: 30 Pouch In 1 Carton (0487-5901-99) / 1 Vial, Single-Use In 1 Pouch / .5 Ml In 1 Vial, Single-Use",10.53,10.53,,,0 NDC,00487900330,NDC Description Not Available,6.0,6.0,,,0 NDC,00487900360,NDC Description Not Available,6.0,6.0,,,0 NDC,00487900730,NDC Description Not Available,6.0,6.0,,,0 NDC,00487900760,NDC Description Not Available,6.0,6.0,,,0 NDC,00487930201,NDC Description Not Available,4.88,4.88,,,0 NDC,00487950101,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-9501-01) / 1 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",3.54,3.54,,,0 NDC,00487950102,NDC Description Not Available,2.0,2.0,,,0 NDC,00487960101,Budesonide: 6 Pouch In 1 Carton (0487-9601-01) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,68.91,68.91,,,0 NDC,00487970101,Budesonide: 6 Pouch In 1 Carton (0487-9701-01) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,57.69,57.69,,,0 NDC,00487980101,"Ipratropium Bromide: 30 Pouch In 1 Carton (0487-9801-01) / 1 Vial, Single-Dose In 1 Pouch / 2.5 Ml In 1 Vial, Single-Dose",5.96,5.96,,,0 NDC,00487990401,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-9904-01) / 1 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",4.12,4.12,,,0 NDC,00487990425,"Albuterol Sulfate: 25 Pouch In 1 Carton (0487-9904-25) / 1 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",4.12,4.12,,,0 NDC,00496088205,Lmx4: 5 G In 1 Tube (0496-0882-05),43.4,43.4,,,0 NDC,00496088207,Lmx4: 5 Tube In 1 Box (0496-0882-07) / 5 G In 1 Tube (0496-0882-05),248.38,248.38,,,0 NDC,00496088230,Lmx4: 30 G In 1 Tube (0496-0882-30),279.19,279.19,,,0 NDC,00501379801,NDC Description Not Available,11.97,11.97,,,0 NDC,00517003101,NDC Description Not Available,59.0,59.0,,,0 NDC,00517003125,"Cyanocobalamin: 25 Vial, Multi-Dose In 1 Tray (0517-0031-25) / 1 Ml In 1 Vial, Multi-Dose (0517-0031-01)",59.0,59.0,,,0 NDC,00517037401,NDC Description Not Available,9.05,9.05,,,0 NDC,00517040125,"Atropine Sulfate: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-0401-25) / 1 mL in 1 VIAL, SINGLE-DOSE",1.3599999999999999,1.3599999999999999,,,0 NDC,00517040525,Phenylephrine Hydrochloride: 25 VIAL in 1 CARTON (0517-0405-25) / 5 mL in 1 VIAL,0.03,0.03,,,0 NDC,00517065001,"Injectafer: 1 Vial, Single-Dose In 1 Box (0517-0650-01) / 15 Ml In 1 Vial, Single-Dose",12.86,12.86,,,0 NDC,00517071001,Fomepizole: 1 Vial In 1 Carton (0517-0710-01) / 1.5 Ml In 1 Vial,145.07,145.07,,,0 NDC,00517072001,"Betamethasone Sodium Phosphate And Betamethasone Acetate: 1 Vial, Multi-Dose In 1 Carton (0517-0720-01) / 5 Ml In 1 Vial, Multi-Dose",73.74,73.74,,,0 NDC,00517073001,Clonidine Hydrochloride: 1 VIAL in 1 CARTON (0517-0730-01) / 10 mL in 1 VIAL,281.4,281.4,,,0 NDC,00517095501,"Olanzapine: 1 Vial, Glass In 1 Carton (0517-0955-01) / 2 Ml In 1 Vial, Glass",13.27,13.27,,,0 NDC,00517100401,NDC Description Not Available,2.98,2.98,,,0 NDC,00517102001,NDC Description Not Available,16.75,16.75,,,0 NDC,00517113001,NDC Description Not Available,0.295,0.295,,,0 NDC,00517113401,NDC Description Not Available,59.0,59.0,,,0 NDC,00517117101,NDC Description Not Available,10.66,10.66,,,0 NDC,00517182001,Chlorothiazide Sodium: 1 Vial In 1 Carton (0517-1820-01) / 18 Ml In 1 Vial,682.015,682.015,,,0 NDC,00517205101,NDC Description Not Available,160.6,160.6,,,0 NDC,00517205125,"Potassium Phosphates: 25 Vial, Single-Dose In 1 Tray (0517-2051-25) / 5 Ml In 1 Vial, Single-Dose (0517-2051-01)",160.6,160.6,,,0 NDC,00517209625,"Sodium Acetate: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-2096-25) / 20 mL in 1 VIAL, SINGLE-DOSE",9.1,9.1,,,0 NDC,00517230525,"potassium phosphates: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-2305-25) / 5 mL in 1 VIAL, SINGLE-DOSE",26.54,26.54,,,0 NDC,00517231001,NDC Description Not Available,3.885,3.885,,,0 NDC,00517231005,"Venofer: 5 Vial, Single-Dose In 1 Box (0517-2310-05) / 10 Ml In 1 Vial, Single-Dose (0517-2310-01)",4.005,4.005,,,0 NDC,00517234001,"Venofer: 1 Vial, Single-Dose In 1 Box (0517-2340-01) / 5 Ml In 1 Vial, Single-Dose",4.16,4.16,,,0 NDC,00517234010,"Venofer: 10 Vial, Single-Dose In 1 Box (0517-2340-10) / 5 Ml In 1 Vial, Single-Dose",3.6900000000000004,3.6900000000000004,,,0 NDC,00517234025,"Venofer: 25 Vial, Single-Dose In 1 Tray (0517-2340-25) / 5 Ml In 1 Vial, Single-Dose",4.1,4.1,,,0 NDC,00517250201,NDC Description Not Available,224.61,224.61,,,0 NDC,00517250210,"Caffeine And Sodium Benzoate: 10 Vial, Single-Dose In 1 Box (0517-2502-10) / 2 Ml In 1 Vial, Single-Dose (0517-2502-01)",212.73,212.73,,,0 NDC,00517265025,"Magnesium Sulfate: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-2650-25) / 50 mL in 1 VIAL, SINGLE-DOSE",2.57,2.57,,,0 NDC,00517400201,NDC Description Not Available,236.68,236.68,,,0 NDC,00517400225,Papaverine Hydrochloride: 25 Vial In 1 Carton (0517-4002-25) / 2 Ml In 1 Vial (0517-4002-01),230.49,230.49,,,0 NDC,00517430001,Paclitaxel Protein Bound Particles Albumin Bound: 1 Vial In 1 Carton (0517-4300-01) / 20 Ml In 1 Vial,109.7,109.7,,,0 NDC,00517460101,NDC Description Not Available,51.89,51.89,,,0 NDC,00517460125,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Tray (0517-4601-25) / 1 Ml In 1 Vial, Single-Dose",250.53,250.53,,,0 NDC,00517460525,"Glycopyrrolate: 25 Vial, Multi-Dose In 1 Tray (0517-4605-25) / 5 Ml In 1 Vial, Multi-Dose",73.7,73.7,,,0 NDC,00517481001,NDC Description Not Available,10.42,10.42,,,0 NDC,00517481025,"Nitroglycerin: 25 Vial, Single-Dose In 1 Tray (0517-4810-25) / 10 Ml In 1 Vial, Single-Dose (0517-4810-01)",85.63,85.63,,,0 NDC,00517560125,"Hydroxyzine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0517-5601-25) / 1 Ml In 1 Vial, Single-Dose (0517-5601-01)",162.71,162.71,,,0 NDC,00517610101,NDC Description Not Available,191.67,191.67,,,0 NDC,00517610125,Zinc Sulfate: 25 Vial In 1 Tray (0517-6101-25) / 10 Ml In 1 Vial (0517-6101-01),795.06,795.06,,,0 NDC,00517651025,"Selenium: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-6510-25) / 10 mL in 1 VIAL, SINGLE-DOSE",59.0,59.0,,,0 NDC,00517671001,NDC Description Not Available,128.53,128.53,,,0 NDC,00517731501,NDC Description Not Available,157.63,157.63,,,0 NDC,00517731525,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (0517-7315-25) / 15 Ml In 1 Vial, Single-Dose (0517-7315-01)",92.03,92.03,,,0 NDC,00517760401,NDC Description Not Available,76.325,76.325,,,0 NDC,00517912001,NDC Description Not Available,3.6,3.6,,,0 NDC,00517930525,"Tralement: 25 Vial, Single-Dose In 1 Tray (0517-9305-25) / 1 Ml In 1 Vial, Single-Dose (0517-9305-01)",1405.0,1405.0,,,0 NDC,00517970201,NDC Description Not Available,62.67,62.67,,,0 NDC,00517970225,"Droperidol: 25 Vial, Single-Dose In 1 Tray (0517-9702-25) / 2 Ml In 1 Vial, Single-Dose",64.05,64.05,,,0 NDC,00527058601,Dicyclomine Hydrochloride: 100 Capsule In 1 Bottle (0527-0586-01),5.2,5.2,,,0 NDC,00527076237,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (0527-0762-37)",4.27,4.27,,,0 NDC,00527131101,Terbutaline Sulfate: 100 Tablet In 1 Bottle (0527-1311-01),32.97,32.97,,,0 NDC,00527131301,"Pilocarpine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0527-1313-01)",5.6,5.6,,,0 NDC,00527131801,Terbutaline Sulfate: 100 Tablet In 1 Bottle (0527-1318-01),26.99,26.99,,,0 NDC,00527145106,"Dronabinol: 60 Capsule In 1 Bottle, Plastic (0527-1451-06)",10.9,10.9,,,0 NDC,00527169501,"Butalbital, Acetaminophen, And Caffeine: 100 Tablet In 1 Bottle, Plastic (0527-1695-01)",3.6,3.6,,,0 NDC,00527193106,"Clarithromycin: 60 Tablet, Film Coated In 1 Bottle, Plastic (0527-1931-06)",5.82,5.82,,,0 NDC,00527213335,"Posaconazole: 60 Tablet, Delayed Release In 1 Bottle (0527-2133-35)",25.84,25.84,,,0 NDC,00527296337,"Chlorpromazine Hydrochloride: 100 Tablet, Coated In 1 Bottle (0527-2963-37)",1.17,1.17,,,0 NDC,00527328046,Levothyroxine Sodium: 90 Tablet In 1 Bottle (0527-3280-46),5.67,5.67,,,0 NDC,00527512570,Lactulose: 473 Ml In 1 Bottle (0527-5125-70),6.0,6.0,,,0 NDC,00536100836,"Rugby Aspirin: 1 Bottle In 1 Carton (0536-1008-36) / 36 Tablet, Chewable In 1 Bottle",2.0,2.0,,,0 NDC,00536104710,Sodium Bicarbonate Antacid: 1000 Tablet In 1 Bottle (0536-1047-10),3.76,3.76,,,0 NDC,00536110888,Nicotine Transdermal System Step 1: 14 Patch In 1 Carton (0536-1108-88) / 24 H In 1 Patch,3.26,3.26,,,0 NDC,00536114263,Levonorgestrel: 1 Blister Pack In 1 Carton (0536-1142-63) / 1 Tablet In 1 Blister Pack,46.75,46.75,,,0 NDC,00536114398,Rugby Petrolatum Hydrating Skin Protectant: 454 G In 1 Jar (0536-1143-98),76.0,76.0,,,0 NDC,00536117201,Acetaminophen: 100 Tablet In 1 Bottle (0536-1172-01),1.08,1.08,,,0 NDC,00536120610,"Calcium Carbonate 10 Gr (648 Mg) (Antacid): 1000 Tablet In 1 Bottle, Plastic (0536-1206-10)",1.93,1.93,,,0 NDC,00536123201,"Aspirin Regular Strength: 1 Bottle, Plastic In 1 Carton (0536-1232-01) / 100 Tablet, Delayed Release In 1 Bottle, Plastic",1.93,1.93,,,0 NDC,00536124701,"Senexon-S: 100 Tablet, Film Coated In 1 Bottle, Plastic (0536-1247-01)",1.18,1.18,,,0 NDC,00536124710,"Senexon-S: 1000 Tablet, Film Coated In 1 Bottle, Plastic (0536-1247-10)",1.18,1.18,,,0 NDC,00536124810,"Stimulant Laxative Plus Stool Softener: 1000 Tablet, Film Coated In 1 Bottle, Plastic (0536-1248-10)",1.23,1.23,,,0 NDC,00536125494,Sodium Chlorode Hypertonicity Ophthalmic Solution: 1 Bottle In 1 Carton (0536-1254-94) / 15 Ml In 1 Bottle,27.16,27.16,,,0 NDC,00536126328,Bacitracin Zinc: 1 Tube In 1 Box (0536-1263-28) / 28 G In 1 Tube,4.74,4.74,,,0 NDC,00536126595,Rugby Clotrimazole Antifungal Cream: 1 Tube In 1 Box (0536-1265-95) / 28 G In 1 Tube,6.33,6.33,,,0 NDC,00536126812,"Rugby Anti-Itch: 212 G In 1 Bottle, Pump (0536-1268-12)",32.52,32.52,,,0 NDC,00536127180,First Aid Antiseptic: 1 Tube In 1 Box (0536-1271-80) / 28.4 G In 1 Tube,1.52,1.52,,,0 NDC,00536128636,"Stomach Relief Regular Strength: 237 Ml In 1 Bottle, Plastic (0536-1286-36)",2.0,2.0,,,0 NDC,00536129901,"Meclizine Hydrochloride: 100 Tablet, Chewable In 1 Bottle (0536-1299-01)",5.77,5.77,,,0 NDC,00536130375,"Infants: 1 Bottle, Dropper In 1 Carton (0536-1303-75) / 30 Ml In 1 Bottle, Dropper",3.7750000000000004,3.7750000000000004,,,0 NDC,00536132701,"Rugby Regular Strength Acetaminophen: 100 Tablet In 1 Bottle, Plastic (0536-1327-01)",1.0,1.0,,,0 NDC,00536132710,"Rugby Regular Strength Acetaminophen: 1000 Tablet In 1 Bottle, Plastic (0536-1327-10)",1.01,1.01,,,0 NDC,00536136601,NDC Description Not Available,5.73,5.73,,,0 NDC,00536252525,Capsaicin: 1 Tube In 1 Carton (0536-2525-25) / 60 G In 1 Tube,43.16,43.16,,,0 NDC,00536322301,NDC Description Not Available,5.73,5.73,,,0 NDC,00536407810,NDC Description Not Available,1.75,1.75,,,0 NDC,00536440601,NDC Description Not Available,1.67,1.67,,,0 NDC,00536589488,Nicotine: 14 Pouch In 1 Carton (0536-5894-88) / 1 H In 1 Pouch,3.26,3.26,,,0 NDC,00536589688,Nicotine: 14 Pouch In 1 Carton (0536-5896-88) / 1 H In 1 Pouch,3.26,3.26,,,0 NDC,00536741551,Ready-To-Use: 1 Bottle In 1 Carton (0536-7415-51) / 133 Ml In 1 Bottle,2.78,2.78,,,0 NDC,00538800924,NDC Description Not Available,1.5,1.5,,,0 NDC,00538862842,NDC Description Not Available,2.0,2.0,,,0 NDC,00548540000,"Medroxyprogesterone Acetate: 1 Vial, Single-Dose In 1 Carton (0548-5400-00) / 1 Ml In 1 Vial, Single-Dose",1.62,1.62,,,0 NDC,00548560300,Enoxaparin Sodium: 10 Syringe In 1 Carton (0548-5603-00) / .6 Ml In 1 Syringe,10.55,10.55,,,0 NDC,00548560800,Enoxaparin Sodium: 1 Vial In 1 Carton (0548-5608-00) / 3 Ml In 1 Vial,27.3,27.3,,,0 NDC,00548590000,Cortrosyn: 10 Vial In 1 Carton (0548-5900-00) / 1 Ml In 1 Vial,639.31,639.31,,,0 NDC,00548950200,Isoproterenol Hydrochloride: 10 Vial In 1 Carton (0548-9502-00) / 5 Ml In 1 Vial,1340.0,1340.0,,,0 NDC,00548960200,"Neostigmine Methylsulfate: 10 Carton In 1 Package (0548-9602-00) / 1 Vial, Multi-Dose In 1 Carton / 10 Ml In 1 Vial, Multi-Dose",8.73,8.73,,,0 NDC,00555003302,Chlordiazepoxide Hydrochloride: 100 Capsule In 1 Bottle (0555-0033-02),6.0,6.0,,,0 NDC,00555007102,Isoniazid: 100 Tablet In 1 Bottle (0555-0071-02),6.0,6.0,,,0 NDC,00555015902,Chlordiazepoxide Hydrochloride: 100 Capsule In 1 Bottle (0555-0159-02),3.82,3.82,,,0 NDC,00555048401,Leucovorin Calcium: 30 Tablet In 1 Bottle (0555-0484-01),7.24,7.24,,,0 NDC,00555048402,Leucovorin Calcium: 100 Tablet In 1 Bottle (0555-0484-02),7.44,7.44,,,0 NDC,00555048527,Leucovorin Calcium: 25 Tablet In 1 Bottle (0555-0485-27),55.44,55.44,,,0 NDC,00555060602,Megestrol Acetate: 100 Tablet In 1 Bottle (0555-0606-02),6.0,6.0,,,0 NDC,00555077902,Medroxyprogesterone Acetate: 100 Tablet In 1 Bottle (0555-0779-02),3.62,3.62,,,0 NDC,00555087202,Medroxyprogesterone Acetate: 100 Tablet In 1 Bottle (0555-0872-02),4.0,4.0,,,0 NDC,00555088702,Estradiol: 100 Tablet In 1 Bottle (0555-0887-02),0.11,0.11,,,0 NDC,00555097202,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (0555-0972-02)",4.99,4.99,,,0 NDC,00573051330,NDC Description Not Available,2.0,2.0,,,0 NDC,00574006915,Glutose: 37.5 g in 1 TUBE (0574-0069-15),19.53,19.53,,,0 NDC,00574010601,"Bromocriptine Mesylate: 100 Tablet In 1 Bottle, Plastic (0574-0106-01)",18.63,18.63,,,0 NDC,00574010603,"Bromocriptine Mesylate: 30 Tablet In 1 Bottle, Plastic (0574-0106-03)",20.52,20.52,,,0 NDC,00574010770,"Clotrimazole: 70 Lozenge In 1 Bottle, Plastic (0574-0107-70)",7.98,7.98,,,0 NDC,00574010777,Clotrimazole: 70 Packet In 1 Box (0574-0107-77) / 1 Lozenge In 1 Packet,7.09,7.09,,,0 NDC,00574012901,"Clindamycin Palmitate Hydrochloride: 1 Bottle, Glass In 1 Carton (0574-0129-01) / 100 Ml In 1 Bottle, Glass",6.0,6.0,,,0 NDC,00574027500,NDC Description Not Available,2.36,2.36,,,0 NDC,00574027501,NDC Description Not Available,6.0,6.0,,,0 NDC,00574029201,Amiloride Hydrochloride: 100 Tablet In 1 Bottle (0574-0292-01),4.02,4.02,,,0 NDC,00574031216,NDC Description Not Available,6.0,6.0,,,0 NDC,00574052174,Actidose Aqua: 120 Ml In 1 Tube (0574-0521-74),82.59,82.59,,,0 NDC,00574080530,Acetylcysteine: 4 Vial In 1 Carton (0574-0805-30) / 30 Ml In 1 Vial,12.23,12.23,,,0 NDC,00574082001,"Testosterone Cypionate: 1 Vial, Glass In 1 Carton (0574-0820-01) / 1 Ml In 1 Vial, Glass",0.72,0.72,,,0 NDC,00574082701,"Testosterone Cypionate: 1 Vial, Glass In 1 Carton (0574-0827-01) / 1 Ml In 1 Vial, Glass",0.62,0.62,,,0 NDC,00574113316,Spironolactone: 473 Ml In 1 Bottle (0574-1133-16),29.27,29.27,,,0 NDC,00574200815,"Nystop: 15 G In 1 Bottle, Plastic (0574-2008-15)",120.945,120.945,,,0 NDC,00574402435,Erythromycin: 1 Tube In 1 Carton (0574-4024-35) / 3.5 G In 1 Tube,92.82,92.82,,,0 NDC,00574703412,Aspirin: 12 Packet In 1 Carton (0574-7034-12) / 1 Suppository In 1 Packet,2.22,2.22,,,0 NDC,00574703612,aspirin: 12 PACKET in 1 CARTON (0574-7036-12) / 1 SUPPOSITORY in 1 PACKET,2.3,2.3,,,0 NDC,00574705012,Bisacodyl: 12 Blister Pack In 1 Carton (0574-7050-12) / 1 Suppository In 1 Blister Pack,2.0,2.0,,,0 NDC,00575620030,"Proglycem: 1 Bottle, Dropper In 1 Box (0575-6200-30) / 30 Ml In 1 Bottle, Dropper",128.25,128.25,,,0 NDC,00591024001,"Lorazepam: 100 TABLET in 1 BOTTLE, PLASTIC (0591-0240-01)",6.0,6.0,,,0 NDC,00591034501,"Verapamil Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-0345-01)",6.0,6.0,,,0 NDC,00591044401,"Guanfacine: 100 Tablet In 1 Bottle, Plastic (0591-0444-01)",4.08,4.08,,,0 NDC,00591060501,"Labetalol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-0605-01)",5.21,5.21,,,0 NDC,00591079501,"Dicyclomine Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0591-0795-01)",6.0,6.0,,,0 NDC,00591081046,Silver Sulfadiazene: 400 g in 1 JAR (0591-0810-46),327.36,327.36,,,0 NDC,00591115930,Acyclovir: 1 Tube In 1 Carton (0591-1159-30) / 30 G In 1 Tube,3967.94,3967.94,,,0 NDC,00591231245,NDC Description Not Available,974.09,974.09,,,0 NDC,00591246401,"Desmopressin Acetate: 100 TABLET in 1 BOTTLE, PLASTIC (0591-2464-01)",23.6,23.6,,,0 NDC,00591251260,"Bosentan: 60 Tablet, Film Coated In 1 Bottle (0591-2512-60)",135.85,135.85,,,0 NDC,00591271202,"Albendazole: 2 Tablet, Film Coated In 1 Bottle (0591-2712-02)",600.32,600.32,,,0 NDC,00591299801,Ursodiol: 100 Tablet In 1 Bottle (0591-2998-01),13.31,13.31,,,0 NDC,00591333119,"Bupropion Hydrochloride Xl: 90 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (0591-3331-19)",8.1,8.1,,,0 NDC,00591350854,NDC Description Not Available,164.29,164.29,,,0 NDC,00591352511,NDC Description Not Available,18.55,18.55,,,0 NDC,00591352530,Lidocaine: 30 Pouch In 1 Carton (0591-3525-30) / 1 G In 1 Pouch (0591-3525-11),18.56,18.56,,,0 NDC,00591387560,Memantine Hydrochloride: 60 Tablet In 1 Bottle (0591-3875-60),6.0,6.0,,,0 NDC,00591401201,"Valproic: 100 Capsule, Liquid Filled In 1 Bottle (0591-4012-01)",2.75,2.75,,,0 NDC,00591533501,"Trihexyphenidyl Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0591-5335-01)",3.02,3.02,,,0 NDC,00591534701,"Probenecid: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-5347-01)",4.38,4.38,,,0 NDC,00591554301,"Allopurinol: 100 Tablet In 1 Bottle, Plastic (0591-5543-01)",6.0,6.0,,,0 NDC,00591555701,"Propranolol Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0591-5557-01)",6.0,6.0,,,0 NDC,00591564301,"Minoxidil: 100 Tablet In 1 Bottle, Plastic (0591-5643-01)",6.0,6.0,,,0 NDC,00591569550,"Minocycline Hydrochloride: 50 Capsule In 1 Bottle, Plastic (0591-5695-50)",3.96,3.96,,,0 NDC,00597003234,Catapres-TTS: 4 POUCH in 1 CARTON (0597-0032-34) / 1 PATCH in 1 POUCH / 1 d in 1 PATCH,757.51,757.51,,,0 NDC,00597003510,"Spevigo: 2 Vial, Glass In 1 Carton (0597-0035-10) / 7.5 Ml In 1 Vial, Glass",268.08,268.08,,,0 NDC,00597004037,Micardis: 3 Blister Pack In 1 Carton (0597-0040-37) / 10 Tablet In 1 Blister Pack,28.99,28.99,,,0 NDC,00597004137,Micardis: 3 Blister Pack In 1 Carton (0597-0041-37) / 10 Tablet In 1 Blister Pack,28.99,28.99,,,0 NDC,00597004724,"Viramune: 1 Bottle, Plastic In 1 Carton (0597-0047-24) / 240 Ml In 1 Bottle, Plastic",28.41,28.41,,,0 NDC,00597007575,Spiriva Handihaler: 1 Blister Pack In 1 Carton (0597-0075-75) / 5 Capsule In 1 Blister Pack,109.26,109.26,,,0 NDC,00597010051,"Spiriva Respimat: 1 Cartridge In 1 Carton (0597-0100-51) / 10 Spray, Metered In 1 Cartridge",465.0,465.0,,,0 NDC,00597010061,"Spiriva Respimat: 1 Cartridge In 1 Carton (0597-0100-61) / 60 Spray, Metered In 1 Cartridge",3269.84,3269.84,,,0 NDC,00597014061,"Tradjenta: 100 Blister Pack In 1 Carton (0597-0140-61) / 1 Tablet, Film Coated In 1 Blister Pack",108.52,108.52,,,0 NDC,00597014090,"Tradjenta: 90 Tablet, Film Coated In 1 Bottle (0597-0140-90)",108.52,108.52,,,0 NDC,00597015230,"Jardiance: 30 Tablet, Film Coated In 1 Bottle (0597-0152-30)",126.3,126.3,,,0 NDC,00597015237,"Jardiance: 30 Blister Pack In 1 Carton (0597-0152-37) / 1 Tablet, Film Coated In 1 Blister Pack",127.75,127.75,,,0 NDC,00597015290,"Jardiance: 90 Tablet, Film Coated In 1 Bottle (0597-0152-90)",126.46,126.46,,,0 NDC,00597015337,"Jardiance: 30 Blister Pack In 1 Carton (0597-0153-37) / 1 Tablet, Film Coated In 1 Blister Pack",127.46,127.46,,,0 NDC,00597015390,"Jardiance: 90 Tablet, Film Coated In 1 Bottle (0597-0153-90)",126.36,126.36,,,0 NDC,00597035556,Pradaxa: 60 Blister Pack In 1 Carton (0597-0355-56) / 1 Capsule In 1 Blister Pack,20.51,20.51,,,0 NDC,00597036082,Pradaxa: 60 Blister Pack In 1 Carton (0597-0360-82) / 1 Capsule In 1 Blister Pack,20.51,20.51,,,0 NDC,00603020922,Magnesium Oxide: 120 Tablet In 1 Bottle (0603-0209-22),1.4,1.4,,,0 NDC,00603150858,"Phenobarbital: 473 mL in 1 BOTTLE, PLASTIC (0603-1508-58)",14.46,14.46,,,0 NDC,00603154258,"Potassium Chloride: 473 Ml In 1 Bottle, Plastic (0603-1542-58)",8.89,8.89,,,0 NDC,00603155410,NDC Description Not Available,44.71,44.71,,,0 NDC,00603188010,NDC Description Not Available,18.57,18.57,,,0 NDC,00603240621,"Baclofen: 100 Tablet In 1 Bottle, Plastic (0603-2406-21)",4.18,4.18,,,0 NDC,00603243321,"Benztropine Mesylate: 100 Tablet In 1 Bottle, Plastic (0603-2433-21)",6.0,6.0,,,0 NDC,00603307821,"Cyclobenzaprine Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0603-3078-21)",5.59,5.59,,,0 NDC,00603374121,"Furosemide: 100 TABLET in 1 BOTTLE, PLASTIC (0603-3741-21)",6.0,6.0,,,0 NDC,00603533521,"Prednisone: 100 Tablet In 1 Bottle, Plastic (0603-5335-21)",2.39,2.39,,,0 NDC,00603544821,"Propafenone Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0603-5448-21)",6.0,6.0,,,0 NDC,00603633020,"Valganciclovir: 60 Tablet, Film Coated In 1 Bottle, Plastic (0603-6330-20)",104.33,104.33,,,0 NDC,00603786274,Triamcinolone Acetonide: 15 g in 1 TUBE (0603-7862-74),20.65,20.65,,,0 NDC,00641036725,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (0641-0367-25) / 1 Ml In 1 Vial (0641-0367-21),7.29,7.29,,,0 NDC,00641037621,NDC Description Not Available,58.28,58.28,,,0 NDC,00641037625,Diphenhydramine Hydrochloride: 25 Vial In 1 Package (0641-0376-25) / 1 Ml In 1 Vial (0641-0376-21),59.0,59.0,,,0 NDC,00641039137,NDC Description Not Available,21.56,21.56,,,0 NDC,00641040037,NDC Description Not Available,9.83,9.83,,,0 NDC,00641047621,NDC Description Not Available,161.1,161.1,,,0 NDC,00641047625,Phenobarbital Sodium: 25 Vial In 1 Carton (0641-0476-25) / 1 Ml In 1 Vial (0641-0476-21),164.42,164.42,,,0 NDC,00641047721,NDC Description Not Available,259.5,259.5,,,0 NDC,00641047725,Phenobarbital Sodium: 25 Vial In 1 Carton (0641-0477-25) / 1 Ml In 1 Vial (0641-0477-21),344.62,344.62,,,0 NDC,00641049121,NDC Description Not Available,16.75,16.75,,,0 NDC,00641049321,NDC Description Not Available,4.65,4.65,,,0 NDC,00641049325,Phenytoin Sodium: 25 Vial In 1 Carton (0641-0493-25) / 2 Ml In 1 Vial (0641-0493-21),4.66,4.66,,,0 NDC,00641139831,NDC Description Not Available,221.79,221.79,,,0 NDC,00641139835,Chlorpromazine Hydrochloride: 25 Ampule In 1 Carton (0641-1398-35) / 2 Ml In 1 Ampule (0641-1398-31),221.79,221.79,,,0 NDC,00641141031,NDC Description Not Available,59.0,59.0,,,0 NDC,00641141035,Digoxin: 25 Ampule In 1 Carton (0641-1410-35) / 2 Ml In 1 Ampule (0641-1410-31),59.0,59.0,,,0 NDC,00641255541,NDC Description Not Available,2.69,2.69,,,0 NDC,00641256941,NDC Description Not Available,26.4,26.4,,,0 NDC,00641600101,NDC Description Not Available,55.64,55.64,,,0 NDC,00641600201,NDC Description Not Available,59.0,59.0,,,0 NDC,00641600601,NDC Description Not Available,1.18,1.18,,,0 NDC,00641600701,NDC Description Not Available,5.72,5.72,,,0 NDC,00641600710,Bumetanide: 10 Vial In 1 Carton (0641-6007-10) / 10 Ml In 1 Vial (0641-6007-01),4.4,4.4,,,0 NDC,00641600801,NDC Description Not Available,11.67,11.67,,,0 NDC,00641600810,Bumetanide: 10 Vial In 1 Carton (0641-6008-10) / 4 Ml In 1 Vial (0641-6008-01),10.12,10.12,,,0 NDC,00641601301,NDC Description Not Available,21.07,21.07,,,0 NDC,00641601401,NDC Description Not Available,14.98,14.98,,,0 NDC,00641601501,NDC Description Not Available,2.44,2.44,,,0 NDC,00641601510,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-6015-10) / 25 Ml In 1 Vial (0641-6015-01),2.44,2.44,,,0 NDC,00641601910,Duramorph: 10 Ampule In 1 Carton (0641-6019-10) / 10 Ml In 1 Ampule (0641-6019-01),80.27,80.27,,,0 NDC,00641602201,NDC Description Not Available,2.87,2.87,,,0 NDC,00641602225,Famotidine: 25 Vial In 1 Carton (0641-6022-25) / 2 Ml In 1 Vial (0641-6022-01),703.965,703.965,,,0 NDC,00641602701,NDC Description Not Available,58.7,58.7,,,0 NDC,00641603001,Fentanyl Citrate: 50 Ml In 1 Vial (0641-6030-01),7.345000000000001,7.345000000000001,,,0 NDC,00641604401,NDC Description Not Available,54.01,54.01,,,0 NDC,00641604425,Lorazepam: 25 Vial In 1 Carton (0641-6044-25) / 1 Ml In 1 Vial (0641-6044-01),54.31,54.31,,,0 NDC,00641604501,NDC Description Not Available,50.86,50.86,,,0 NDC,00641604525,Lorazepam: 25 Vial In 1 Carton (0641-6045-25) / 1 Ml In 1 Vial (0641-6045-01),48.59,48.59,,,0 NDC,00641605201,NDC Description Not Available,59.0,59.0,,,0 NDC,00641605225,Meperidine Hydrochloride: 25 Vial In 1 Carton (0641-6052-25) / 1 Ml In 1 Vial (0641-6052-01),59.0,59.0,,,0 NDC,00641605301,NDC Description Not Available,59.0,59.0,,,0 NDC,00641605325,Meperidine Hydrochloride: 25 Vial In 1 Carton (0641-6053-25) / 1 Ml In 1 Vial (0641-6053-01),59.0,59.0,,,0 NDC,00641605701,NDC Description Not Available,37.94,37.94,,,0 NDC,00641605901,NDC Description Not Available,31.485,31.485,,,0 NDC,00641606001,NDC Description Not Available,0.92,0.92,,,0 NDC,00641606010,Midazolam: 10 Vial In 1 Carton (0641-6060-10) / 10 Ml In 1 Vial (0641-6060-01),1.16,1.16,,,0 NDC,00641606101,NDC Description Not Available,21.69,21.69,,,0 NDC,00641607801,NDC Description Not Available,11.415,11.415,,,0 NDC,00641607825,Ondansetron: 25 Vial In 1 Carton (0641-6078-25) / 2 Ml In 1 Vial (0641-6078-01),12.27,12.27,,,0 NDC,00641608001,NDC Description Not Available,7.48,7.48,,,0 NDC,00641611601,NDC Description Not Available,103.82,103.82,,,0 NDC,00641611610,Ampicillin And Sulbactam: 10 Vial In 1 Carton (0641-6116-10) / 1.5 G In 1 Vial (0641-6116-01),52.86,52.86,,,0 NDC,00641611701,NDC Description Not Available,94.14,94.14,,,0 NDC,00641611710,Ampicillin And Sulbactam: 10 Vial In 1 Carton (0641-6117-10) / 3 G In 1 Vial (0641-6117-01),71.16,71.16,,,0 NDC,00641611801,"Ampicillin And Sulbactam: 100 Ml In 1 Vial, Pharmacy Bulk Package (0641-6118-01)",34.94,34.94,,,0 NDC,00641612501,NDC Description Not Available,58.14,58.14,,,0 NDC,00641612701,NDC Description Not Available,19.07,19.07,,,0 NDC,00641613501,NDC Description Not Available,59.0,59.0,,,0 NDC,00641613701,NDC Description Not Available,20.89,20.89,,,0 NDC,00641614201,NDC Description Not Available,0.06,0.06,,,0 NDC,00641614225,Phenylephrine Hydrochloride: 25 Vial In 1 Carton (0641-6142-25) / 1 Ml In 1 Vial (0641-6142-01),0.07,0.07,,,0 NDC,00641614501,NDC Description Not Available,14.75,14.75,,,0 NDC,00641614601,NDC Description Not Available,2.95,2.95,,,0 NDC,00641616201,NDC Description Not Available,9.465,9.465,,,0 NDC,00641617301,NDC Description Not Available,146.65,146.65,,,0 NDC,00641617501,NDC Description Not Available,13.02,13.02,,,0 NDC,00641617801,"Octreotide Acetate: 1 Vial, Multi-Dose In 1 Carton (0641-6178-01) / 5 Ml In 1 Vial, Multi-Dose",8.04,8.04,,,0 NDC,00641622801,NDC Description Not Available,39.35,39.35,,,0 NDC,00641624401,NDC Description Not Available,72.23,72.23,,,0 NDC,00641624701,NDC Description Not Available,56.38,56.38,,,0 NDC,00641625101,NDC Description Not Available,1.18,1.18,,,0 NDC,00641625301,"Regadenoson: 1 Syringe, Plastic In 1 Carton (0641-6253-01) / 5 Ml In 1 Syringe, Plastic",50.25,50.25,,,0 NDC,00703001801,Hydromorphone Hydrochloride: 1 Vial In 1 Carton (0703-0018-01) / 50 Ml In 1 Vial,0.24,0.24,,,0 NDC,00703011001,NDC Description Not Available,0.6,0.6,,,0 NDC,00703024101,"Triamcinolone Acetonide: 1 Vial, Single-Dose In 1 Carton (0703-0241-01) / 1 Ml In 1 Vial, Single-Dose",15.37,15.37,,,0 NDC,00703024301,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (0703-0243-01) / 5 Ml In 1 Vial, Multi-Dose",14.58,14.58,,,0 NDC,00703024501,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (0703-0245-01) / 10 Ml In 1 Vial, Multi-Dose",12.4,12.4,,,0 NDC,00703066601,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0703-0666-01) / 20 Ml In 1 Vial, Multi-Dose",312.275,312.275,,,0 NDC,00703067601,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0703-0676-01) / 20 Ml In 1 Vial, Multi-Dose",405.24,405.24,,,0 NDC,00703068601,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0703-0686-01) / 20 Ml In 1 Vial, Multi-Dose",135.08,135.08,,,0 NDC,00703069601,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0703-0696-01) / 20 Ml In 1 Vial, Multi-Dose",405.23,405.23,,,0 NDC,00703203301,NDC Description Not Available,93.8,93.8,,,0 NDC,00703205601,NDC Description Not Available,154.1,154.1,,,0 NDC,00703291403,"Vecuronium Bromide: 10 VIAL, SINGLE-USE in 1 CARTON (0703-2914-03) / 10 mL in 1 VIAL, SINGLE-USE (0703-2914-01)",42.21,42.21,,,0 NDC,00703315401,"Bleomycin: 1 VIAL, SINGLE-DOSE in 1 CARTON (0703-3154-01) / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL, SINGLE-DOSE",383.24,383.24,,,0 NDC,00703321301,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (0703-3213-01) / 5 Ml In 1 Vial, Multi-Dose",2.23,2.23,,,0 NDC,00703321701,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (0703-3217-01) / 25 Ml In 1 Vial, Multi-Dose",2.95,2.95,,,0 NDC,00703367101,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3671-01) / 2 Ml In 1 Vial, Single-Dose",20.31,20.31,,,0 NDC,00703367501,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3675-01) / 10 Ml In 1 Vial, Single-Dose",10.455,10.455,,,0 NDC,00703423901,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4239-01) / 60 Ml In 1 Vial, Multi-Dose",34.9,34.9,,,0 NDC,00703424401,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4244-01) / 5 Ml In 1 Vial, Multi-Dose",50.86,50.86,,,0 NDC,00703424601,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4246-01) / 15 Ml In 1 Vial, Multi-Dose",45.44,45.44,,,0 NDC,00703424801,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4248-01) / 45 Ml In 1 Vial, Multi-Dose",45.6,45.6,,,0 NDC,00703514501,"Leucovorin Calcium: 1 VIAL, SINGLE-USE in 1 CARTON (0703-5145-01) / 17.5 mL in 1 VIAL, SINGLE-USE",19.62,19.62,,,0 NDC,00703523313,"daunorubicin hydrochloride: 10 VIAL, SINGLE-DOSE in 1 CARTON (0703-5233-13) / 4 mL in 1 VIAL, SINGLE-DOSE (0703-5233-11)",428.66,428.66,,,0 NDC,00703565301,"Toposar: 1 VIAL, MULTI-DOSE in 1 CARTON (0703-5653-01) / 5 mL in 1 VIAL, MULTI-DOSE",6.22,6.22,,,0 NDC,00703574711,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0703-5747-11) / 50 Ml In 1 Vial, Multi-Dose",25.72,25.72,,,0 NDC,00703574811,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0703-5748-11) / 100 Ml In 1 Vial, Multi-Dose",25.66,25.66,,,0 NDC,00703854021,NDC Description Not Available,14.75,14.75,,,0 NDC,00703951401,NDC Description Not Available,3.31,3.31,,,0 NDC,00703951403,"Sulfamethoxazole And Trimethoprim: 10 Vial, Multi-Dose In 1 Carton (0703-9514-03) / 10 Ml In 1 Vial, Multi-Dose (0703-9514-01)",41.51,41.51,,,0 NDC,00703951491,NDC Description Not Available,7.33,7.33,,,0 NDC,00703952601,"Sulfamethoxazole And Trimethoprim: 1 Vial, Multi-Dose In 1 Carton (0703-9526-01) / 30 Ml In 1 Vial, Multi-Dose",1.96,1.96,,,0 NDC,00713019757,Miconazole Nitrate: 7 SUPPOSITORY in 1 BOX (0713-0197-57),0.85,0.85,,,0 NDC,00713022515,Triamcinolone Acetonide: 1 Tube In 1 Carton (0713-0225-15) / 15 G In 1 Tube,20.09,20.09,,,0 NDC,00713028031,Bacitracin: 28.4 G In 1 Tube (0713-0280-31),4.21,4.21,,,0 NDC,00713035102,NDC Description Not Available,58.72,58.72,,,0 NDC,00713050306,NDC Description Not Available,71.3,71.3,,,0 NDC,00713050312,Anucort-Hc: 12 Suppository In 1 Carton (0713-0503-12),71.3,71.3,,,0 NDC,00713052606,NDC Description Not Available,36.85,36.85,,,0 NDC,00713063737,Metronidazole: 1 Tube In 1 Carton (0713-0637-37) / 45 G In 1 Tube,607.67,607.67,,,0 NDC,00713066415,Fluocinonide: 1 Tube In 1 Carton (0713-0664-15) / 15 G In 1 Tube,174.1,174.1,,,0 NDC,00713068315,Gentamicin Sulfate: 1 Tube In 1 Carton (0713-0683-15) / 15 G In 1 Tube,244.87,244.87,,,0 NDC,00761055520,NDC Description Not Available,2.0,2.0,,,0 NDC,00781106101,Alprazolam: 100 Tablet In 1 Bottle (0781-1061-01),5.26,5.26,,,0 NDC,00781107901,Alprazolam: 100 Tablet In 1 Bottle (0781-1079-01),4.94,4.94,,,0 NDC,00781108901,Alprazolam: 100 Tablet In 1 Bottle (0781-1089-01),5.71,5.71,,,0 NDC,00781148701,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0781-1487-01)",4.07,4.07,,,0 NDC,00781149001,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0781-1490-01)",7.09,7.09,,,0 NDC,00781163501,Isosorbide Dinitrate: 100 Tablet In 1 Bottle (0781-1635-01),6.0,6.0,,,0 NDC,00781207401,Triamterene And Hydrochlorothiazide: 100 Capsule In 1 Bottle (0781-2074-01),6.0,6.0,,,0 NDC,00781214501,Ampicillin: 100 Capsule In 1 Bottle (0781-2145-01),6.0,6.0,,,0 NDC,00781224801,Dicloxacillin Sodium: 100 CAPSULE in 1 BOTTLE (0781-2248-01),3.0,3.0,,,0 NDC,00781232206,NDC Description Not Available,63.17,63.17,,,0 NDC,00781232268,Aprepitant: 1 Blister Pack In 1 Carton (0781-2322-68) / 6 Capsule In 1 Blister Pack (0781-2322-06),56.67,56.67,,,0 NDC,00781232306,NDC Description Not Available,63.17,63.17,,,0 NDC,00781304072,NDC Description Not Available,59.0,59.0,,,0 NDC,00781304095,Regonol: 10 Ampule In 1 Carton (0781-3040-95) / 2 Ml In 1 Ampule (0781-3040-72),59.0,59.0,,,0 NDC,00781310395,"Oxacillin: 10 VIAL, PHARMACY BULK PACKAGE in 1 PACKAGE (0781-3103-95) / 100 mL in 1 VIAL, PHARMACY BULK PACKAGE (0781-3103-46)",18.6,18.6,,,0 NDC,00781311090,NDC Description Not Available,95.62,95.62,,,0 NDC,00781311095,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0781-3110-95) / 10 Ml In 1 Vial, Single-Use (0781-3110-90)",89.52,89.52,,,0 NDC,00781311390,NDC Description Not Available,41.215,41.215,,,0 NDC,00781311491,NDC Description Not Available,31.125,31.125,,,0 NDC,00781311495,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0781-3114-95) / 20 Ml In 1 Vial, Single-Use (0781-3114-91)",24.32,24.32,,,0 NDC,00781315075,NDC Description Not Available,57.415000000000006,57.415000000000006,,,0 NDC,00781315095,Cisatracurium Besylate: 10 Box In 1 Carton (0781-3150-95) / 1 Vial In 1 Box (0781-3150-75) / 5 Ml In 1 Vial,72.52000000000001,72.52000000000001,,,0 NDC,00781315270,NDC Description Not Available,72.575,72.575,,,0 NDC,00781315295,"Cisatracurium Besylate: 10 Vial, Multi-Dose In 1 Carton (0781-3152-95) / 10 Ml In 1 Vial, Multi-Dose (0781-3152-70)",72.92,72.92,,,0 NDC,00781315380,NDC Description Not Available,670.0,670.0,,,0 NDC,00781315395,Cisatracurium Besylate: 10 Box In 1 Carton (0781-3153-95) / 1 Vial In 1 Box (0781-3153-80) / 20 Ml In 1 Vial,782.76,782.76,,,0 NDC,00781315401,"Ferumoxytol: 1 Vial, Single-Dose In 1 Carton (0781-3154-01) / 17 Ml In 1 Vial, Single-Dose",11.42,11.42,,,0 NDC,00781315606,NDC Description Not Available,0.75,0.75,,,0 NDC,00781315695,"Acetaminophen: 10 Vial, Glass In 1 Carton (0781-3156-95) / 100 Ml In 1 Vial, Glass (0781-3156-06)",1.79,1.79,,,0 NDC,00781315894,NDC Description Not Available,2.03,2.03,,,0 NDC,00781315895,"Bivalirudin: 10 Vial, Single-Use In 1 Carton (0781-3158-95) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (0781-3158-94)",2.02,2.02,,,0 NDC,00781315972,Olanzapine: 1 Vial In 1 Carton (0781-3159-72) / 2 Ml In 1 Vial,9.72,9.72,,,0 NDC,00781320685,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (0781-3206-85) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",59.0,59.0,,,0 NDC,00781320785,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (0781-3207-85) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",29.5,29.5,,,0 NDC,00781320885,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (0781-3208-85) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",47.16,47.16,,,0 NDC,00781320895,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0781-3208-95) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",14.75,14.75,,,0 NDC,00781320990,NDC Description Not Available,15.66,15.66,,,0 NDC,00781323294,NDC Description Not Available,59.0,59.0,,,0 NDC,00781323394,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3233-94) / 25 Ml In 1 Vial, Single-Dose",18.77,18.77,,,0 NDC,00781324494,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3244-94) / 50 Ml In 1 Vial, Single-Dose",18.71,18.71,,,0 NDC,00781324602,NDC Description Not Available,14.82,14.82,,,0 NDC,00781326805,NDC Description Not Available,10.12,10.12,,,0 NDC,00781328891,NDC Description Not Available,193.0,193.0,,,0 NDC,00781328909,Clindamycin In 5 Percent Dextrose: 24 Bag In 1 Carton (0781-3289-09) / 50 Ml In 1 Bag (0781-3289-91),96.73,96.73,,,0 NDC,00781328991,NDC Description Not Available,73.02000000000001,73.02000000000001,,,0 NDC,00781329009,Clindamycin In 5 Percent Dextrose: 24 Bag In 1 Carton (0781-3290-09) / 50 Ml In 1 Bag (0781-3290-91),65.91,65.91,,,0 NDC,00781329091,NDC Description Not Available,64.55,64.55,,,0 NDC,00781331275,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0781-3312-75) / 5 Ml In 1 Vial, Single-Dose",23.46,23.46,,,0 NDC,00781331570,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-3315-70) / 10 Ml In 1 Vial, Single-Use",2.01,2.01,,,0 NDC,00781331780,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-3317-80) / 20 Ml In 1 Vial, Single-Use",2.01,2.01,,,0 NDC,00781340278,NDC Description Not Available,59.0,59.0,,,0 NDC,00781340485,NDC Description Not Available,66.43,66.43,,,0 NDC,00781340778,NDC Description Not Available,190.56,190.56,,,0 NDC,00781340795,"Ampicillin: 10 Vial, Glass In 1 Package (0781-3407-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-3407-78)",56.77,56.77,,,0 NDC,00781340880,NDC Description Not Available,38.54,38.54,,,0 NDC,00781340895,"Ampicillin: 10 Vial, Glass In 1 Package (0781-3408-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-3408-80)",56.05,56.05,,,0 NDC,00781341170,NDC Description Not Available,13.26,13.26,,,0 NDC,00781341694,"Voriconazole: 1 Vial, Single-Use In 1 Carton (0781-3416-94) / 20 Ml In 1 Vial, Single-Use",24.54,24.54,,,0 NDC,00781342780,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0781-3427-80) / 20 Ml In 1 Vial, Multi-Dose",299.39,299.39,,,0 NDC,00781343346,NDC Description Not Available,64.33,64.33,,,0 NDC,00781344071,NDC Description Not Available,501.91,501.91,,,0 NDC,00781345095,"Cefazolin: 10 Vial In 1 Carton (0781-3450-95) / 1 Injection, Powder, For Solution In 1 Vial (0781-3450-70)",59.81,59.81,,,0 NDC,00781349194,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (0781-3491-94)",3.01,3.01,,,0 NDC,00781349380,NDC Description Not Available,161.2,161.2,,,0 NDC,00781349546,NDC Description Not Available,268.8,268.8,,,0 NDC,00781353191,"Paclitaxel: 1 Vial, Single-Dose In 1 Carton (0781-3531-91) / 20 Ml In 1 Vial, Single-Dose",105.86,105.86,,,0 NDC,00781353201,NDC Description Not Available,108.88,108.88,,,0 NDC,00781353212,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0781-3532-12) / 5 Ml In 1 Syringe, Glass (0781-3532-01)",107.35,107.35,,,0 NDC,00781375575,NDC Description Not Available,85.39,85.39,,,0 NDC,00781502201,Methylprednisolone: 100 TABLET in 1 BOTTLE (0781-5022-01),7.07,7.07,,,0 NDC,00781518392,Levothyroxine sodium: 90 TABLET in 1 BOTTLE (0781-5183-92),6.0,6.0,,,0 NDC,00781522301,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (0781-5223-01)",4.82,4.82,,,0 NDC,00781532501,Bromocriptine Mesylate: 100 Tablet In 1 Bottle (0781-5325-01),31.01,31.01,,,0 NDC,00781532531,Bromocriptine Mesylate: 30 Tablet In 1 Bottle (0781-5325-31),31.1,31.1,,,0 NDC,00781600078,Difluprednate Ophthalmic: 1 Bottle In 1 Carton (0781-6000-78) / 5 Ml In 1 Bottle,768.68,768.68,,,0 NDC,00781602194,Diluent: 1 Vial In 1 Carton (0781-6021-94) / 50 Ml In 1 Vial,151.08,151.08,,,0 NDC,00781602346,Clarithromycin: 100 Ml In 1 Bottle (0781-6023-46),108.19,108.19,,,0 NDC,00781613694,"Penicillin G Potassium: 1 Vial In 1 Carton (0781-6136-94) / 1 Injection, Powder, For Solution In 1 Vial",12.31,12.31,,,0 NDC,00781618667,"Ciprofloxacin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (0781-6186-67) / 7.5 Ml In 1 Bottle, Dropper",1389.94,1389.94,,,0 NDC,00781627043,Oxcarbazepine: 250 Ml In 1 Bottle (0781-6270-43),17.63,17.63,,,0 NDC,00781707787,"Metronidazole: 1 Tube, With Applicator In 1 Carton (0781-7077-87) / 70 G In 1 Tube, With Applicator",758.2,758.2,,,0 NDC,00781713593,"Moxifloxacin Ophthalmic Solution: 1 Bottle, Plastic In 1 Carton (0781-7135-93) / 3 Ml In 1 Bottle, Plastic",217.01,217.01,,,0 NDC,00781729685,"Albuterol Sulfate: 1 Canister In 1 Carton (0781-7296-85) / 200 Aerosol, Metered In 1 Canister",223.07,223.07,,,0 NDC,00781905501,NDC Description Not Available,67.0,67.0,,,0 NDC,00781905512,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0781-9055-12) / 5 Ml In 1 Syringe, Glass (0781-9055-01)",67.0,67.0,,,0 NDC,00781911195,"Oxacillin: 10 VIAL in 1 PACKAGE (0781-9111-95) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL (0781-9111-80)",23.42,23.42,,,0 NDC,00832003889,NDC Description Not Available,5.85,5.85,,,0 NDC,00832011103,Amantadine Hydrochloride: 100 Blister Pack In 1 Carton (0832-0111-03) / 1 Tablet In 1 Blister Pack (0832-0111-89),10.26,10.26,,,0 NDC,00832011189,NDC Description Not Available,11.52,11.52,,,0 NDC,00832030000,"Chlorpromazine Hydrochloride: 100 TABLET, SUGAR COATED in 1 BOTTLE (0832-0300-00)",8.2,8.2,,,0 NDC,00832030100,"Chlorpromazine Hydrochloride: 100 TABLET, SUGAR COATED in 1 BOTTLE (0832-0301-00)",6.0,6.0,,,0 NDC,00832030300,"Chlorpromazine Hydrochloride: 100 TABLET, SUGAR COATED in 1 BOTTLE (0832-0303-00)",2.39,2.39,,,0 NDC,00832051289,NDC Description Not Available,6.0,6.0,,,0 NDC,00832121100,Jantoven: 100 Tablet In 1 Bottle (0832-1211-00),5.31,5.31,,,0 NDC,00832121101,Jantoven: 100 Blister Pack In 1 Carton (0832-1211-01) / 1 Tablet In 1 Blister Pack (0832-1211-89),4.24,4.24,,,0 NDC,00832121189,NDC Description Not Available,5.65,5.65,,,0 NDC,00832121201,Jantoven: 100 Blister Pack In 1 Carton (0832-1212-01) / 1 Tablet In 1 Blister Pack (0832-1212-89),4.49,4.49,,,0 NDC,00832121289,NDC Description Not Available,4.45,4.45,,,0 NDC,00832121301,Jantoven: 100 Blister Pack In 1 Carton (0832-1213-01) / 1 Tablet In 1 Blister Pack (0832-1213-89),6.0,6.0,,,0 NDC,00832121389,NDC Description Not Available,5.92,5.92,,,0 NDC,00832121601,Jantoven: 100 Blister Pack In 1 Carton (0832-1216-01) / 1 Tablet In 1 Blister Pack (0832-1216-89),5.47,5.47,,,0 NDC,00832121689,NDC Description Not Available,5.56,5.56,,,0 NDC,00832121789,NDC Description Not Available,5.87,5.87,,,0 NDC,00832121801,Jantoven: 100 Blister Pack In 1 Carton (0832-1218-01) / 1 Tablet In 1 Blister Pack (0832-1218-89),5.27,5.27,,,0 NDC,00832121900,Jantoven: 100 Tablet In 1 Bottle (0832-1219-00),6.0,6.0,,,0 NDC,00832121901,Jantoven: 100 Blister Pack In 1 Carton (0832-1219-01) / 1 Tablet In 1 Blister Pack (0832-1219-89),6.0,6.0,,,0 NDC,00832121989,NDC Description Not Available,5.68,5.68,,,0 NDC,00832141003,"Moxifloxacin Hydrochloride: 1 Bottle, Plastic In 1 Carton (0832-1410-03) / 3 Ml In 1 Bottle, Plastic",158.66,158.66,,,0 NDC,00832601900,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0832-6019-00)",0.99,0.99,,,0 NDC,00832712389,NDC Description Not Available,4.13,4.13,,,0 NDC,00832712489,NDC Description Not Available,4.97,4.97,,,0 NDC,00904020261,"Amitriptyline Hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-0202-61) / 1 TABLET, FILM COATED in 1 BLISTER PACK",5.9,5.9,,,0 NDC,00904042804,Doxycycline Hyclate: 30 Blister Pack In 1 Carton (0904-0428-04) / 1 Capsule In 1 Blister Pack,13.26,13.26,,,0 NDC,00904042806,Doxycycline Hyclate: 50 Blister Pack In 1 Carton (0904-0428-06) / 1 Capsule In 1 Blister Pack,12.67,12.67,,,0 NDC,00904043004,"Doxycycline Hyclate: 30 Blister Pack In 1 Carton (0904-0430-04) / 1 Tablet, Coated In 1 Blister Pack",22.49,22.49,,,0 NDC,00904043006,"Doxycycline Hyclate: 50 Blister Pack In 1 Carton (0904-0430-06) / 1 Tablet, Coated In 1 Blister Pack",13.55,13.55,,,0 NDC,00904052260,NDC Description Not Available,6.0,6.0,,,0 NDC,00904052361,NDC Description Not Available,1.69,1.69,,,0 NDC,00904053061,NDC Description Not Available,2.0,2.0,,,0 NDC,00904053961,NDC Description Not Available,2.0,2.0,,,0 NDC,00904188361,NDC Description Not Available,1.92,1.92,,,0 NDC,00904205661,Diphenhydramine Hydrochloride: 10 Blister Pack In 1 Box (0904-2056-61) / 10 Capsule In 1 Blister Pack,2.0,2.0,,,0 NDC,00904208560,NDC Description Not Available,1.7,1.7,,,0 NDC,00904227260,NDC Description Not Available,1.8,1.8,,,0 NDC,00904272561,Sulfamethoxazole And Trimethoprim: 100 Blister Pack In 1 Carton (0904-2725-61) / 1 Tablet In 1 Blister Pack,4.71,4.71,,,0 NDC,00904282161,Oxybutynin Chloride: 100 BLISTER PACK in 1 CARTON (0904-2821-61) / 1 TABLET in 1 BLISTER PACK,5.92,5.92,,,0 NDC,00904385461,"Carbamazepine: 100 Blister Pack In 1 Carton (0904-3854-61) / 1 Tablet, Chewable In 1 Blister Pack",3.31,3.31,,,0 NDC,00904386575,NDC Description Not Available,2.0,2.0,,,0 NDC,00904399061,"Trazodone Hydrochloride: 100 TABLET in 1 BOX, UNIT-DOSE (0904-3990-61)",5.68,5.68,,,0 NDC,00904429909,NDC Description Not Available,11.91,11.91,,,0 NDC,00904504561,Captopril: 100 BLISTER PACK in 1 CARTON (0904-5045-61) / 1 TABLET in 1 BLISTER PACK,8.77,8.77,,,0 NDC,00904505359,"Sudogest: 1 Bottle, Plastic In 1 Carton (0904-5053-59) / 100 Tablet, Film Coated In 1 Bottle, Plastic",1.01,1.01,,,0 NDC,00904515460,"Guaifenesin: 100 Tablet In 1 Bottle, Plastic (0904-5154-60)",4.11,4.11,,,0 NDC,00904516561,"Senna-Lax: 10 BLISTER PACK in 1 BOX (0904-5165-61) / 10 TABLET, FILM COATED in 1 BLISTER PACK",1.08,1.08,,,0 NDC,00904530661,Diphenhydramine Hydrochloride: 10 Blister Pack In 1 Box (0904-5306-61) / 10 Capsule In 1 Blister Pack,1.61,1.61,,,0 NDC,00904531346,NDC Description Not Available,6.0,6.0,,,0 NDC,00904531360,NDC Description Not Available,6.0,6.0,,,0 NDC,00904535431,Banophen: 1 Tube In 1 Carton (0904-5354-31) / 28 G In 1 Tube,10.94,10.94,,,0 NDC,00904544861,"Pentoxifylline: 100 Blister Pack In 1 Carton (0904-5448-61) / 1 Tablet, Extended Release In 1 Blister Pack",6.0,6.0,,,0 NDC,00904546052,NDC Description Not Available,5.89,5.89,,,0 NDC,00904549261,NDC Description Not Available,2.0,2.0,,,0 NDC,00904552261,Doxazosin: 100 Blister Pack In 1 Carton (0904-5522-61) / 1 Tablet In 1 Blister Pack,5.89,5.89,,,0 NDC,00904552361,Doxazosin: 100 Blister Pack In 1 Carton (0904-5523-61) / 1 Tablet In 1 Blister Pack,3.72,3.72,,,0 NDC,00904552461,Doxazosin: 100 Blister Pack In 1 Carton (0904-5524-61) / 1 Tablet In 1 Blister Pack,5.64,5.64,,,0 NDC,00904560961,ENALAPRIL MALEATE: 100 BLISTER PACK in 1 CARTON (0904-5609-61) / 1 TABLET in 1 BLISTER PACK,4.45,4.45,,,0 NDC,00904561061,ENALAPRIL MALEATE: 100 BLISTER PACK in 1 CARTON (0904-5610-61) / 1 TABLET in 1 BLISTER PACK,6.0,6.0,,,0 NDC,00904561161,ENALAPRIL MALEATE: 100 BLISTER PACK in 1 CARTON (0904-5611-61) / 1 TABLET in 1 BLISTER PACK,5.09,5.09,,,0 NDC,00904578461,Fluoxetine: 100 Blister Pack In 1 Carton (0904-5784-61) / 1 Capsule In 1 Blister Pack,4.77,4.77,,,0 NDC,00904578561,Fluoxetine: 100 Blister Pack In 1 Carton (0904-5785-61) / 1 Capsule In 1 Blister Pack,3.33,3.33,,,0 NDC,00904578961,Acyclovir: 100 Blister Pack In 1 Carton (0904-5789-61) / 1 Capsule In 1 Blister Pack,5.65,5.65,,,0 NDC,00904579061,"Acyclovir: 100 Blister Pack In 1 Box, Unit-Dose (0904-5790-61) / 1 Tablet In 1 Blister Pack",5.82,5.82,,,0 NDC,00904579146,"Childrens Mapap: 1 Bottle, Plastic In 1 Carton (0904-5791-46) / 30 Tablet, Chewable In 1 Bottle, Plastic",0.57,0.57,,,0 NDC,00904582360,NDC Description Not Available,1.74,1.74,,,0 NDC,00904585361,Ibuprofen: 100 Blister Pack In 1 Carton (0904-5853-61) / 1 Tablet In 1 Blister Pack,1.25,1.25,,,0 NDC,00904585440,Ibuprofen: 500 Tablet In 1 Bottle (0904-5854-40),2.0,2.0,,,0 NDC,00904585460,Ibuprofen: 100 Tablet In 1 Bottle (0904-5854-60),2.0,2.0,,,0 NDC,00904585461,Ibuprofen: 100 Blister Pack In 1 Carton (0904-5854-61) / 1 Tablet In 1 Blister Pack,2.0,2.0,,,0 NDC,00904589161,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5891-61) / 1 Tablet In 1 Blister Pack",4.94,4.94,,,0 NDC,00904589261,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5892-61) / 1 Tablet In 1 Blister Pack",4.69,4.69,,,0 NDC,00904589361,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5893-61) / 1 Tablet In 1 Blister Pack",5.62,5.62,,,0 NDC,00904589430,"INFANTS GAS RELIEF: 1 BOTTLE, DROPPER in 1 CARTON (0904-5894-30) / 30 mL in 1 BOTTLE, DROPPER",6.0,6.0,,,0 NDC,00904592161,Digoxin: 100 Blister Pack In 1 Carton (0904-5921-61) / 1 Tablet In 1 Blister Pack,8.36,8.36,,,0 NDC,00904592261,Digoxin: 100 Blister Pack In 1 Carton (0904-5922-61) / 1 Tablet In 1 Blister Pack,8.36,8.36,,,0 NDC,00904592861,"Labetalol hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-5928-61) / 1 TABLET, FILM COATED in 1 BLISTER PACK",5.59,5.59,,,0 NDC,00904595961,Clindamycin Hydrochloride: 100 Blister Pack In 1 Carton (0904-5959-61) / 1 Capsule In 1 Blister Pack,2.41,2.41,,,0 NDC,00904600760,Lorazepam: 100 Tablet In 1 Bottle (0904-6007-60),6.0,6.0,,,0 NDC,00904600761,Lorazepam: 100 Blister Pack In 1 Carton (0904-6007-61) / 1 Tablet In 1 Blister Pack,5.335,5.335,,,0 NDC,00904600861,Lorazepam: 100 Blister Pack In 1 Carton (0904-6008-61) / 1 Tablet In 1 Blister Pack,5.13,5.13,,,0 NDC,00904600961,Lorazepam: 100 Blister Pack In 1 Carton (0904-6009-61) / 1 Tablet In 1 Blister Pack,3.14,3.14,,,0 NDC,00904601946,Bicalutamide: 30 Tablet In 1 Bottle (0904-6019-46),6.0,6.0,,,0 NDC,00904605161,Levetiracetam: 100 BLISTER PACK in 1 CARTON (0904-6051-61) / 1 TABLET in 1 BLISTER PACK,5.65,5.65,,,0 NDC,00904608261,Zolpidem Tartrate: 100 Blister Pack In 1 Carton (0904-6082-61) / 1 Tablet In 1 Blister Pack,4.43,4.43,,,0 NDC,00904608461,"Citalopram: 100 Blister Pack In 1 Carton (0904-6084-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.43,5.43,,,0 NDC,00904608561,"Citalopram: 100 Blister Pack In 1 Carton (0904-6085-61) / 1 Tablet, Film Coated In 1 Blister Pack",4.79,4.79,,,0 NDC,00904617261,Carbamazepine: 100 Blister Pack In 1 Carton (0904-6172-61) / 1 Tablet In 1 Blister Pack,5.67,5.67,,,0 NDC,00904618761,Extended Phenytoin Sodium: 100 Blister Pack In 1 Carton (0904-6187-61) / 1 Capsule In 1 Blister Pack,4.21,4.21,,,0 NDC,00904623761,Carbidopa and Levodopa: 100 BLISTER PACK in 1 CARTON (0904-6237-61) / 1 TABLET in 1 BLISTER PACK,3.84,3.84,,,0 NDC,00904623861,Carbidopa And Levodopa: 100 Blister Pack In 1 Carton (0904-6238-61) / 1 Tablet In 1 Blister Pack,6.0,6.0,,,0 NDC,00904625549,Sore Throat Logenzes Sore Throat: 18 Blister Pack In 1 Carton (0904-6255-49) / 18 Lozenge In 1 Blister Pack,2.0,2.0,,,0 NDC,00904626945,Ziprasidone: 80 Blister Pack In 1 Carton (0904-6269-45) / 1 Capsule In 1 Blister Pack,17.1,17.1,,,0 NDC,00904627245,Ziprasidone: 80 Blister Pack In 1 Carton (0904-6272-45) / 1 Capsule In 1 Blister Pack,17.1,17.1,,,0 NDC,00904627761,"Quetiapine fumarate: 100 BLISTER PACK in 1 CARTON (0904-6277-61) / 1 TABLET, FILM COATED in 1 BLISTER PACK",3.75,3.75,,,0 NDC,00904629061,"Atorvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6290-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.98,5.98,,,0 NDC,00904629161,"Atorvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6291-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.83,5.83,,,0 NDC,00904629206,"Atorvastatin Calcium: 50 Blister Pack In 1 Carton (0904-6292-06) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 NDC,00904629261,"Atorvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6292-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 NDC,00904629304,"Atorvastatin Calcium: 30 Blister Pack In 1 Carton (0904-6293-04) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 NDC,00904629461,"Clopidogrel: 100 Blister Pack In 1 Carton (0904-6294-61) / 1 Tablet, Film Coated In 1 Blister Pack",4.71,4.71,,,0 NDC,00904630061,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6300-61)",5.7,5.7,,,0 NDC,00904630161,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6301-61)",5.87,5.87,,,0 NDC,00904630261,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6302-61)",5.08,5.08,,,0 NDC,00904630361,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6303-61)",5.57,5.57,,,0 NDC,00904630521,"Sore Throat Cherry: 177 Ml In 1 Bottle, Spray (0904-6305-21)",2.4,2.4,,,0 NDC,00904632206,"Metoprolol Succinate: 50 Blister Pack In 1 Carton (0904-6322-06) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",5.79,5.79,,,0 NDC,00904632261,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6322-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",5.94,5.94,,,0 NDC,00904632361,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6323-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",6.5,6.5,,,0 NDC,00904632461,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6324-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",7.55,7.55,,,0 NDC,00904634061,Metoprolol Tartrate: 100 BLISTER PACK in 1 CARTON (0904-6340-61) / 1 TABLET in 1 BLISTER PACK,5.92,5.92,,,0 NDC,00904635161,"Levofloxacin: 100 Blister Pack In 1 Carton (0904-6351-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.98,5.98,,,0 NDC,00904635261,"Levofloxacin: 100 Blister Pack In 1 Carton (0904-6352-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 NDC,00904635361,"Levofloxacin: 100 Blister Pack In 1 Carton (0904-6353-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 NDC,00904635861,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6358-61)",5.9,5.9,,,0 NDC,00904635961,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6359-61)",5.54,5.54,,,0 NDC,00904636061,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6360-61)",5.62,5.62,,,0 NDC,00904636161,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6361-61)",6.0,6.0,,,0 NDC,00904636961,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6369-61) / 1 Tablet In 1 Blister Pack,5.77,5.77,,,0 NDC,00904637061,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6370-61) / 1 Tablet In 1 Blister Pack,5.93,5.93,,,0 NDC,00904637161,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6371-61) / 1 Tablet In 1 Blister Pack,6.0,6.0,,,0 NDC,00904637361,"Ropinirole: 100 Blister Pack In 1 Carton (0904-6373-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.64,5.64,,,0 NDC,00904637461,"Ropinirole: 100 Blister Pack In 1 Carton (0904-6374-61) / 1 Tablet, Film Coated In 1 Blister Pack",3.52,3.52,,,0 NDC,00904637661,"Olanzapine: 100 Blister Pack In 1 Carton (0904-6376-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.33,5.33,,,0 NDC,00904637761,"Olanzapine: 100 Blister Pack In 1 Carton (0904-6377-61) / 1 Tablet, Film Coated In 1 Blister Pack",4.95,4.95,,,0 NDC,00904640761,"Bisacodyl: 10 Blister Pack In 1 Box (0904-6407-61) / 10 Tablet, Delayed Release In 1 Blister Pack",1.09,1.09,,,0 NDC,00904641292,"Major Regular Strength Assorted Flavors: 150 Tablet, Chewable In 1 Bottle, Plastic (0904-6412-92)",3.55,3.55,,,0 NDC,00904641861,Tizanidine: 100 Blister Pack In 1 Carton (0904-6418-61) / 1 Tablet In 1 Blister Pack,5.67,5.67,,,0 NDC,00904642661,"Escitalopram: 100 Blister Pack In 1 Carton (0904-6426-61) / 1 Tablet, Film Coated In 1 Blister Pack",4.91,4.91,,,0 NDC,00904644061,"Hydralazine Hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-6440-61) / 1 TABLET, FILM COATED in 1 BLISTER PACK",2.0,2.0,,,0 NDC,00904644161,"Hydralazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6441-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.12,5.12,,,0 NDC,00904644261,"Hydralazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6442-61) / 1 Tablet, Film Coated In 1 Blister Pack",4.5,4.5,,,0 NDC,00904644961,"Isosorbide Mononitrate: 100 Blister Pack In 1 Carton (0904-6449-61) / 1 Tablet, Extended Release In 1 Blister Pack",4.38,4.38,,,0 NDC,00904645061,"Isosorbide Mononitrate: 100 Blister Pack In 1 Carton (0904-6450-61) / 1 Tablet, Extended Release In 1 Blister Pack",5.27,5.27,,,0 NDC,00904645561,"DOK: 10 BLISTER PACK in 1 PACKAGE (0904-6455-61) / 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK",2.0,2.0,,,0 NDC,00904646161,Promethazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6461-61) / 1 Tablet In 1 Blister Pack,3.0,3.0,,,0 NDC,00904646707,"Clopidogrel: 30 Blister Pack In 1 Carton (0904-6467-07) / 1 Tablet, Film Coated In 1 Blister Pack",82.38,82.38,,,0 NDC,00904647461,"Pantoprazole Sodium: 100 Blister Pack In 1 Carton (0904-6474-61) / 1 Tablet, Delayed Release In 1 Blister Pack",6.0,6.0,,,0 NDC,00904647561,Baclofen: 100 Blister Pack In 1 Carton (0904-6475-61) / 1 Tablet In 1 Blister Pack,3.87,3.87,,,0 NDC,00904647761,"Donepezil Hydrochloride: 100 Blister Pack In 1 Carton (0904-6477-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.18,5.18,,,0 NDC,00904647861,"Donepezil Hydrochloride: 100 Blister Pack In 1 Carton (0904-6478-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.99,5.99,,,0 NDC,00904648838,Major Lubrifresh Pm: 1 Tube In 1 Carton (0904-6488-38) / 3.5 G In 1 Tube,33.42,33.42,,,0 NDC,00904650061,Fluconazole: 100 Blister Pack In 1 Carton (0904-6500-61) / 1 Tablet In 1 Blister Pack,8.78,8.78,,,0 NDC,00904650106,Fluconazole: 50 Blister Pack In 1 Carton (0904-6501-06) / 1 Tablet In 1 Blister Pack,9.01,9.01,,,0 NDC,00904650161,Fluconazole: 100 Blister Pack In 1 Carton (0904-6501-61) / 1 Tablet In 1 Blister Pack,12.65,12.65,,,0 NDC,00904650361,Celecoxib: 100 Blister Pack In 1 Carton (0904-6503-61) / 1 Capsule In 1 Blister Pack,12.36,12.36,,,0 NDC,00904650561,"Memantine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6505-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.24,5.24,,,0 NDC,00904650661,"Memantine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6506-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.85,5.85,,,0 NDC,00904651061,Aripiprazole: 100 Blister Pack In 1 Carton (0904-6510-61) / 1 Tablet In 1 Blister Pack,119.66,119.66,,,0 NDC,00904651961,"Mirtazapine: 100 Blister Pack In 1 Carton (0904-6519-61) / 1 Tablet, Film Coated In 1 Blister Pack",4.6,4.6,,,0 NDC,00904652261,"Senna-Lax: 10 Blister Pack In 1 Box (0904-6522-61) / 10 Tablet, Film Coated In 1 Blister Pack",1.46,1.46,,,0 NDC,00904653061,Methadone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6530-61) / 1 Tablet In 1 Blister Pack,2.81,2.81,,,0 NDC,00904655061,Propranolol Hydrochloride: 100 Blister Pack In 1 Carton (0904-6550-61) / 1 Tablet In 1 Blister Pack,3.6,3.6,,,0 NDC,00904655161,"Ondansetron: 100 Blister Pack In 1 Carton (0904-6551-61) / 1 Tablet, Film Coated In 1 Blister Pack",1.3,1.3,,,0 NDC,00904655261,"Ondansetron: 100 Blister Pack In 1 Carton (0904-6552-61) / 1 Tablet, Film Coated In 1 Blister Pack",0.55,0.55,,,0 NDC,00904655304,"Linezolid: 30 Blister Pack In 1 Carton (0904-6553-04) / 1 Tablet, Film Coated In 1 Blister Pack",38.38,38.38,,,0 NDC,00904655761,"Morphine Sulfate Extended Release: 100 Blister Pack In 1 Carton (0904-6557-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",7.1,7.1,,,0 NDC,00904656561,"Valacyclovir Hydrochloride: 100 Blister Pack In 1 Carton (0904-6565-61) / 1 Tablet, Film Coated In 1 Blister Pack",15.11,15.11,,,0 NDC,00904657261,Allopurinol: 100 Blister Pack In 1 Carton (0904-6572-61) / 1 Tablet In 1 Blister Pack,5.97,5.97,,,0 NDC,00904657304,"Bupropion Hydrochloride: 30 Blister Pack In 1 Carton (0904-6573-04) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",14.44,14.44,,,0 NDC,00904658304,"Lamivudine: 30 Blister Pack In 1 Carton (0904-6583-04) / 1 Tablet, Film Coated In 1 Blister Pack",47.73,47.73,,,0 NDC,00904659204,"Tolterodine Tartrate: 30 Blister Pack In 1 Carton (0904-6592-04) / 1 Capsule, Extended Release In 1 Blister Pack",56.22,56.22,,,0 NDC,00904659304,"Tolterodine Tartrate: 30 Blister Pack In 1 Carton (0904-6593-04) / 1 Capsule, Extended Release In 1 Blister Pack",58.9,58.9,,,0 NDC,00904659961,"Perphenazine: 100 Blister Pack In 1 Carton (0904-6599-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.14,6.14,,,0 NDC,00904661561,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-6615-61) / 1 Capsule, Delayed Release In 1 Blister Pack",5.55,5.55,,,0 NDC,00904661761,"Hydroxyzine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6617-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.49,5.49,,,0 NDC,00904661861,"Hydroxyzine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6618-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.91,5.91,,,0 NDC,00904661961,Isosorbide Dinitrate: 100 Blister Pack In 1 Carton (0904-6619-61) / 1 Tablet In 1 Blister Pack,5.2,5.2,,,0 NDC,00904662061,Isosorbide Dinitrate: 100 Blister Pack In 1 Carton (0904-6620-61) / 1 Tablet In 1 Blister Pack,5.49,5.49,,,0 NDC,00904662261,Pyridostigmine Bromide: 100 Blister Pack In 1 Carton (0904-6622-61) / 1 Tablet In 1 Blister Pack,8.34,8.34,,,0 NDC,00904662361,Tacrolimus: 100 Blister Pack In 1 Carton (0904-6623-61) / 1 Capsule In 1 Blister Pack,6.65,6.65,,,0 NDC,00904662461,Tacrolimus: 100 Blister Pack In 1 Carton (0904-6624-61) / 1 Capsule In 1 Blister Pack,11.16,11.16,,,0 NDC,00904662735,Ear Drops Major: 1 Bottle In 1 Carton (0904-6627-35) / 15 Ml In 1 Bottle,11.72,11.72,,,0 NDC,00904663561,"Bupropion Hydrochloride: 100 Blister Pack In 1 Carton (0904-6635-61) / 1 Tablet, Film Coated In 1 Blister Pack",7.5,7.5,,,0 NDC,00904663661,"Bupropion Hydrochloride: 100 Blister Pack In 1 Carton (0904-6636-61) / 1 Tablet, Film Coated In 1 Blister Pack",10.16,10.16,,,0 NDC,00904663861,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6638-61) / 1 Tablet, Film Coated In 1 Blister Pack",4.8,4.8,,,0 NDC,00904664061,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6640-61) / 1 Tablet, Film Coated In 1 Blister Pack",3.83,3.83,,,0 NDC,00904666361,Acetazolamide: 100 Blister Pack In 1 Carton (0904-6663-61) / 1 Tablet In 1 Blister Pack,22.39,22.39,,,0 NDC,00904666561,Gabapentin: 100 Blister Pack In 1 Carton (0904-6665-61) / 1 Capsule In 1 Blister Pack,4.46,4.46,,,0 NDC,00904666661,Gabapentin: 100 Blister Pack In 1 Carton (0904-6666-61) / 1 Capsule In 1 Blister Pack,4.28,4.28,,,0 NDC,00904666761,Gabapentin: 100 Blister Pack In 1 Carton (0904-6667-61) / 1 Capsule In 1 Blister Pack,4.29,4.29,,,0 NDC,00904667104,"Sildenafil: 30 Blister Pack In 1 Carton (0904-6671-04) / 1 Tablet, Film Coated In 1 Blister Pack",7.21,7.21,,,0 NDC,00904667106,"Sildenafil: 50 Blister Pack In 1 Carton (0904-6671-06) / 1 Tablet, Film Coated In 1 Blister Pack",5.74,5.74,,,0 NDC,00904668208,Dofetilide: 40 Blister Pack In 1 Carton (0904-6682-08) / 1 Capsule In 1 Blister Pack,32.33,32.33,,,0 NDC,00904670310,Leucovorin Calcium: 20 Blister Pack In 1 Carton (0904-6703-10) / 1 Tablet In 1 Blister Pack,58.53,58.53,,,0 NDC,00904670461,Pramipexole Dihydrochloride: 100 Blister Pack In 1 Carton (0904-6704-61) / 1 Tablet In 1 Blister Pack,5.46,5.46,,,0 NDC,00904670506,Propranolol Hydrochloride: 50 Blister Pack In 1 Carton (0904-6705-06) / 1 Tablet In 1 Blister Pack,5.0,5.0,,,0 NDC,00904670561,Propranolol Hydrochloride: 100 Blister Pack In 1 Carton (0904-6705-61) / 1 Tablet In 1 Blister Pack,6.92,6.92,,,0 NDC,00904670606,"Omega-3-Acid Ethyl Esters: 50 Blister Pack In 1 Carton (0904-6706-06) / 1 Capsule, Liquid Filled In 1 Blister Pack",20.94,20.94,,,0 NDC,00904670706,"Sevelamer Carbonate: 50 Blister Pack In 1 Carton (0904-6707-06) / 1 Tablet, Film Coated In 1 Blister Pack",9.82,9.82,,,0 NDC,00904670961,Glycopyrrolate: 100 Blister Pack In 1 Carton (0904-6709-61) / 1 Tablet In 1 Blister Pack,6.72,6.72,,,0 NDC,00904671746,"Cetirizine: 1 Bottle In 1 Carton (0904-6717-46) / 30 Tablet, Film Coated In 1 Bottle",6.0,6.0,,,0 NDC,00904671761,"Cetirizine: 100 Blister Pack In 1 Carton (0904-6717-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.71,5.71,,,0 NDC,00904673059,Acetaminophen: 1 Bottle In 1 Carton (0904-6730-59) / 100 Tablet In 1 Bottle,1.08,1.08,,,0 NDC,00904673060,Acetaminophen: 100 Tablet In 1 Bottle (0904-6730-60),1.09,1.09,,,0 NDC,00904673061,"Acetaminophen: 10 Blister Pack In 1 Box, Unit-Dose (0904-6730-61) / 10 Tablet In 1 Blister Pack",1.08,1.08,,,0 NDC,00904673080,Acetaminophen: 1000 Tablet In 1 Bottle (0904-6730-80),1.08,1.08,,,0 NDC,00904673870,"Acetaminophen Oral Solution: 10 TRAY in 1 CASE (0904-6738-70) / 10 CUP, UNIT-DOSE in 1 TRAY / 5 mL in 1 CUP, UNIT-DOSE",2.32,2.32,,,0 NDC,00904676130,"Nasal Decongestant: 1 Bottle, Spray In 1 Carton (0904-6761-30) / 30 Ml In 1 Bottle, Spray",4.28,4.28,,,0 NDC,00904677361,"Acetaminophen: 10 Blister Pack In 1 Box, Unit-Dose (0904-6773-61) / 10 Tablet In 1 Blister Pack",1.0,1.0,,,0 NDC,00904677861,"Rosuvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6778-61) / 1 Tablet, Coated In 1 Blister Pack",6.21,6.21,,,0 NDC,00904678161,"Rosuvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6781-61) / 1 Tablet, Coated In 1 Blister Pack",8.4,8.4,,,0 NDC,00904678261,Haloperidol: 100 Blister Pack In 1 Carton (0904-6782-61) / 1 Tablet In 1 Blister Pack,5.14,5.14,,,0 NDC,00904678561,"Mycophenolic Acid: 100 Blister Pack In 1 Carton (0904-6785-61) / 1 Tablet, Delayed Release In 1 Blister Pack",30.47,30.47,,,0 NDC,00904678604,"Mycophenolic Acid: 30 Blister Pack In 1 Carton (0904-6786-04) / 1 Tablet, Delayed Release In 1 Blister Pack",30.27,30.27,,,0 NDC,00904679204,Modafinil: 30 Blister Pack In 1 Carton (0904-6792-04) / 1 Tablet In 1 Blister Pack,87.45,87.45,,,0 NDC,00904679430,"Aspirin Low Dose Chewable Orange: 300 Blister Pack In 1 Carton (0904-6794-30) / 1 Tablet, Chewable In 1 Blister Pack",1.81,1.81,,,0 NDC,00904679480,"Aspirin Low Dose Chewable Orange: 1000 Tablet, Chewable In 1 Package (0904-6794-80)",2.0,2.0,,,0 NDC,00904679761,Lisinopril: 100 Blister Pack In 1 Carton (0904-6797-61) / 1 Tablet In 1 Blister Pack,5.75,5.75,,,0 NDC,00904679861,Lisinopril: 100 Blister Pack In 1 Carton (0904-6798-61) / 1 Tablet In 1 Blister Pack,5.97,5.97,,,0 NDC,00904679961,Lisinopril: 100 Blister Pack In 1 Carton (0904-6799-61) / 1 Tablet In 1 Blister Pack,4.04,4.04,,,0 NDC,00904680806,"Montelukast Sodium: 50 Blister Pack In 1 Carton (0904-6808-06) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 NDC,00904680861,"Montelukast Sodium: 100 Blister Pack In 1 Carton (0904-6808-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 NDC,00904681761,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6817-61) / 1 Tablet In 1 Blister Pack,5.74,5.74,,,0 NDC,00904681861,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6818-61) / 1 Tablet In 1 Blister Pack,5.78,5.78,,,0 NDC,00904681907,Midodrine Hydrochloride: 30 Blister Pack In 1 Carton (0904-6819-07) / 1 Tablet In 1 Blister Pack,6.66,6.66,,,0 NDC,00904682805,NDC Description Not Available,35.78,35.78,,,0 NDC,00904683006,"Finasteride: 50 Blister Pack In 1 Carton (0904-6830-06) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 NDC,00904683061,"Finasteride: 100 Blister Pack In 1 Carton (0904-6830-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.39,6.39,,,0 NDC,00904686061,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-6860-61) / 1 Tablet, Delayed Release In 1 Blister Pack",3.74,3.74,,,0 NDC,00904686861,Trazodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6868-61) / 1 Tablet In 1 Blister Pack,4.62,4.62,,,0 NDC,00904686961,Trazodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6869-61) / 1 Tablet In 1 Blister Pack,5.24,5.24,,,0 NDC,00904687045,"Pantoprazole Sodium: 80 Blister Pack In 1 Carton (0904-6870-45) / 1 Tablet, Delayed Release In 1 Blister Pack",6.0,6.0,,,0 NDC,00904687204,"Clarithromycin: 30 Blister Pack In 1 Carton (0904-6872-04) / 1 Tablet, Film Coated In 1 Blister Pack",20.14,20.14,,,0 NDC,00904688210,Phytonadione: 20 Blister Pack In 1 Carton (0904-6882-10) / 1 Tablet In 1 Blister Pack,530.66,530.66,,,0 NDC,00904688806,Minocycline Hydrochloride: 50 Blister Pack In 1 Carton (0904-6888-06) / 1 Capsule In 1 Blister Pack,7.12,7.12,,,0 NDC,00904690061,Chlorthalidone: 100 Blister Pack In 1 Carton (0904-6900-61) / 1 Tablet In 1 Blister Pack,13.54,13.54,,,0 NDC,00904690904,azithromycin monohydrate: 3 BLISTER PACK in 1 CARTON (0904-6909-04) / 10 TABLET in 1 BLISTER PACK,14.12,14.12,,,0 NDC,00904692361,Prednisone: 100 Blister Pack In 1 Carton (0904-6923-61) / 1 Tablet In 1 Blister Pack,0.57,0.57,,,0 NDC,00904692461,"Sertraline Hydrochloride: 100 Blister Pack In 1 Carton (0904-6924-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.62,5.62,,,0 NDC,00904692761,"Spironolactone: 100 Blister Pack In 1 Carton (0904-6927-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.49,5.49,,,0 NDC,00904692861,"Topiramate: 100 Blister Pack In 1 Carton (0904-6928-61) / 1 Tablet, Film Coated In 1 Blister Pack",2.9,2.9,,,0 NDC,00904693186,Polyethylene Glycol 3350: 17 G In 1 Packet (0904-6931-86),2.96,2.96,,,0 NDC,00904693961,Hydroxyurea: 100 Blister Pack In 1 Carton (0904-6939-61) / 1 Capsule In 1 Blister Pack,12.15,12.15,,,0 NDC,00904694961,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6949-61) / 1 Tablet In 1 Blister Pack,6.0,6.0,,,0 NDC,00904695061,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6950-61) / 1 Tablet In 1 Blister Pack,5.2,5.2,,,0 NDC,00904695261,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6952-61) / 1 Tablet In 1 Blister Pack,6.0,6.0,,,0 NDC,00904695561,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6955-61) / 1 Tablet In 1 Blister Pack,5.84,5.84,,,0 NDC,00904695661,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (0904-6956-61) / 1 Tablet In 1 Blister Pack,5.82,5.82,,,0 NDC,00904696661,Oxycodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6966-61) / 1 Tablet In 1 Blister Pack,6.0,6.0,,,0 NDC,00904698516,"Diphenhydramine Hcl: 473 Ml In 1 Bottle, Plastic (0904-6985-16)",3.0,3.0,,,0 NDC,00904698861,Dicyclomine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6988-61) / 1 Tablet In 1 Blister Pack,5.98,5.98,,,0 NDC,00904699261,Pregabalin: 100 Blister Pack In 1 Carton (0904-6992-61) / 1 Capsule In 1 Blister Pack,5.67,5.67,,,0 NDC,00904699361,Amiodarone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6993-61) / 1 Tablet In 1 Blister Pack,4.37,4.37,,,0 NDC,00904699860,"Docusate Sodium: 100 Capsule In 1 Bottle, Plastic (0904-6998-60)",2.0,2.0,,,0 NDC,00904700061,Pregabalin: 100 Blister Pack In 1 Carton (0904-7000-61) / 1 Capsule In 1 Blister Pack,5.58,5.58,,,0 NDC,00904700161,Pregabalin: 100 Blister Pack In 1 Carton (0904-7001-61) / 1 Capsule In 1 Blister Pack,5.5,5.5,,,0 NDC,00904700261,Pregabalin: 100 Blister Pack In 1 Carton (0904-7002-61) / 1 Capsule In 1 Blister Pack,5.99,5.99,,,0 NDC,00904700635,"Major: 1 Bottle, Spray In 1 Carton (0904-7006-35) / 15 Ml In 1 Bottle, Spray",3.8,3.8,,,0 NDC,00904700761,Lamotrigine: 100 Blister Pack In 1 Carton (0904-7007-61) / 1 Tablet In 1 Blister Pack,3.13,3.13,,,0 NDC,00904700861,Lamotrigine: 100 Blister Pack In 1 Carton (0904-7008-61) / 1 Tablet In 1 Blister Pack,3.3,3.3,,,0 NDC,00904701006,Buprenorphine Hydrochloride And Naloxone Hydrochloride Dihydrate: 50 Blister Pack In 1 Carton (0904-7010-06) / 1 Tablet In 1 Blister Pack,24.71,24.71,,,0 NDC,00904701606,Bumetanide: 50 Blister Pack In 1 Carton (0904-7016-06) / 1 Tablet In 1 Blister Pack,6.62,6.62,,,0 NDC,00904702404,"Voriconazole: 30 Blister Pack In 1 Carton (0904-7024-04) / 1 Tablet, Film Coated In 1 Blister Pack",136.51,136.51,,,0 NDC,00904702761,Oxybutynin Chloride: 100 Blister Pack In 1 Carton (0904-7027-61) / 1 Tablet In 1 Blister Pack,6.0,6.0,,,0 NDC,00904703604,"Naltrexone Hydrochloride: 30 Blister Pack In 1 Carton (0904-7036-04) / 1 Tablet, Film Coated In 1 Blister Pack",11.07,11.07,,,0 NDC,00904704161,Allopurinol: 100 Blister Pack In 1 Carton (0904-7041-61) / 1 Tablet In 1 Blister Pack,4.14,4.14,,,0 NDC,00904704261,Amantadine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7042-61) / 1 Capsule In 1 Blister Pack,8.03,8.03,,,0 NDC,00904704304,"Duloxetine: 30 Blister Pack In 1 Carton (0904-7043-04) / 1 Capsule, Delayed Release In 1 Blister Pack",9.03,9.03,,,0 NDC,00904704361,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7043-61) / 1 Capsule, Delayed Release In 1 Blister Pack",9.95,9.95,,,0 NDC,00904704461,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7044-61) / 1 Capsule, Delayed Release In 1 Blister Pack",8.91,8.91,,,0 NDC,00904704561,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7045-61) / 1 Capsule, Delayed Release In 1 Blister Pack",8.91,8.91,,,0 NDC,00904704661,"Hydroxychloroquine Sulfate: 100 Blister Pack In 1 Carton (0904-7046-61) / 1 Tablet, Film Coated In 1 Blister Pack",8.62,8.62,,,0 NDC,00904704861,"Losartan Potassium: 100 Blister Pack In 1 Carton (0904-7048-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.65,5.65,,,0 NDC,00904704961,"Losartan Potassium: 100 Blister Pack In 1 Carton (0904-7049-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 NDC,00904707061,Nadolol: 100 Blister Pack In 1 Carton (0904-7070-61) / 1 Tablet In 1 Blister Pack,21.97,21.97,,,0 NDC,00904707107,Nadolol: 30 Blister Pack In 1 Carton (0904-7071-07) / 1 Tablet In 1 Blister Pack,22.39,22.39,,,0 NDC,00904707861,"Mycophenolate Mofetil: 100 Blister Pack In 1 Capsule (0904-7078-61) / 1 Tablet, Film Coated In 1 Blister Pack",2.95,2.95,,,0 NDC,00904708361,"Ciprofloxacin: 100 Blister Pack In 1 Carton (0904-7083-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 NDC,00904708404,"Bupropion Hydrochloride Xl: 30 Blister Pack In 1 Carton (0904-7084-04) / 1 Tablet, Extended Release In 1 Blister Pack",8.11,8.11,,,0 NDC,00904708461,"Bupropion Hydrochloride Xl: 100 Blister Pack In 1 Carton (0904-7084-61) / 1 Tablet, Extended Release In 1 Blister Pack",11.31,11.31,,,0 NDC,00904709761,Tacrolimus: 100 Blister Pack In 1 Carton (0904-7097-61) / 1 Capsule In 1 Blister Pack,8.47,8.47,,,0 NDC,00904710561,Captopril: 100 Blister Pack In 1 Carton (0904-7105-61) / 1 Tablet In 1 Blister Pack,8.77,8.77,,,0 NDC,00904710661,Captopril: 100 Blister Pack In 1 Carton (0904-7106-61) / 1 Tablet In 1 Blister Pack,9.29,9.29,,,0 NDC,00904710961,"Labetalol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7109-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.02,5.02,,,0 NDC,00904711061,"Labetalol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7110-61) / 1 Tablet, Film Coated In 1 Blister Pack",3.38,3.38,,,0 NDC,00904712004,"Colchicine: 30 Blister Pack In 1 Carton (0904-7120-04) / 1 Tablet, Film Coated In 1 Blister Pack",29.75,29.75,,,0 NDC,00904712361,"Levetiracetam: 100 Blister Pack In 1 Carton (0904-7123-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.65,5.65,,,0 NDC,00904712461,"Levetiracetam: 100 Blister Pack In 1 Carton (0904-7124-61) / 1 Tablet, Film Coated In 1 Blister Pack",3.8,3.8,,,0 NDC,00904712661,Metronidazole: 100 Blister Pack In 1 Carton (0904-7126-61) / 1 Tablet In 1 Blister Pack,5.85,5.85,,,0 NDC,00904712761,Prednisone: 100 Blister Pack In 1 Carton (0904-7127-61) / 1 Tablet In 1 Blister Pack,0.16,0.16,,,0 NDC,00904713006,"Chlorpromazine Hydrochloride: 50 Blister Pack In 1 Carton (0904-7130-06) / 1 Tablet, Film Coated In 1 Blister Pack",3.1,3.1,,,0 NDC,00904713061,"Chlorpromazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7130-61) / 1 Tablet, Film Coated In 1 Blister Pack",9.1,9.1,,,0 NDC,00904713261,"Chlorpromazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7132-61) / 1 Tablet, Film Coated In 1 Blister Pack",3.87,3.87,,,0 NDC,00904713761,Nitrofurantoin Monohydrate/ Macrocrystalline: 100 Blister Pack In 1 Carton (0904-7137-61) / 1 Capsule In 1 Blister Pack,14.31,14.31,,,0 NDC,00904713961,METOLAZONE: 100 BLISTER PACK in 1 CARTON (0904-7139-61) / 1 TABLET in 1 BLISTER PACK,22.03,22.03,,,0 NDC,00904714004,Guanfacine: 30 Blister Pack In 1 Carton (0904-7140-04) / 1 Tablet In 1 Blister Pack,9.97,9.97,,,0 NDC,00904714461,Dronabinol: 100 Blister Pack In 1 Carton (0904-7144-61) / 1 Capsule In 1 Blister Pack,29.29,29.29,,,0 NDC,00904714504,Dronabinol: 30 Blister Pack In 1 Carton (0904-7145-04) / 1 Capsule In 1 Blister Pack,29.89,29.89,,,0 NDC,00904715361,Benzonatate: 100 Blister Pack In 1 Carton (0904-7153-61) / 1 Capsule In 1 Blister Pack,5.7,5.7,,,0 NDC,00904715404,Buprenorphine: 30 Blister Pack In 1 Carton (0904-7154-04) / 1 Tablet In 1 Blister Pack,14.51,14.51,,,0 NDC,00904715661,Metronidazole: 100 Blister Pack In 1 Carton (0904-7156-61) / 1 Tablet In 1 Blister Pack,5.55,5.55,,,0 NDC,00904716261,Metformin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7162-61) / 1 Tablet In 1 Blister Pack,4.4,4.4,,,0 NDC,00904716806,Ursodiol: 50 Blister Pack In 1 Carton (0904-7168-06) / 1 Capsule In 1 Blister Pack,30.37,30.37,,,0 NDC,00904716861,Ursodiol: 100 Blister Pack In 1 Carton (0904-7168-61) / 1 Capsule In 1 Blister Pack,27.24,27.24,,,0 NDC,00904717207,"Emtricitabine And Tenofovir Disoproxil Fumarate: 30 Blister Pack In 1 Carton (0904-7172-07) / 1 Tablet, Film Coated In 1 Blister Pack",12.07,12.07,,,0 NDC,00904717761,Furosemide: 100 Blister Pack In 1 Carton (0904-7177-61) / 1 Tablet In 1 Blister Pack,4.86,4.86,,,0 NDC,00904717961,Tramadol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7179-61) / 1 Tablet In 1 Blister Pack,5.7,5.7,,,0 NDC,00904718261,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-7182-61) / 1 Tablet, Extended Release In 1 Blister Pack",12.78,12.78,,,0 NDC,00904718361,"Docusate Sodium - Stool Softener Laxative: 10 Blister Pack In 1 Carton (0904-7183-61) / 10 Capsule, Liquid Filled In 1 Blister Pack",1.99,1.99,,,0 NDC,00904718461,"Amitriptyline Hydrochloride: 100 Blister Pack In 1 Carton (0904-7184-61) / 1 Tablet, Film Coated In 1 Blister Pack",4.89,4.89,,,0 NDC,00904718561,"Amitriptyline Hydrochloride: 100 Blister Pack In 1 Carton (0904-7185-61) / 10 Tablet, Film Coated In 1 Blister Pack",4.77,4.77,,,0 NDC,00904718761,Atenolol: 100 Blister Pack In 1 Carton (0904-7187-61) / 1 Tablet In 1 Blister Pack,3.88,3.88,,,0 NDC,00904718861,Hydrocortisone: 100 Blister Pack In 1 Carton (0904-7188-61) / 1 Tablet In 1 Blister Pack,11.13,11.13,,,0 NDC,00904719106,NDC Description Not Available,1.845,1.845,,,0 NDC,00904719306,"Famotidine: 50 Blister Pack In 1 Carton (0904-7193-06) / 1 Tablet, Film Coated In 1 Blister Pack",5.69,5.69,,,0 NDC,00904719361,"Famotidine: 100 Blister Pack In 1 Carton (0904-7193-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.6,5.6,,,0 NDC,00904720546,"Major Bismuth Subsalicylate: 5 Blister Pack In 1 Box (0904-7205-46) / 6 Tablet, Chewable In 1 Blister Pack",1.03,1.03,,,0 NDC,00904720660,"Antiflatulent: 100 Tablet, Chewable In 1 Bottle (0904-7206-60)",1.97,1.97,,,0 NDC,00904721104,Dantrolene Sodium: 30 Blister Pack In 1 Carton (0904-7211-04) / 1 Capsule In 1 Blister Pack,9.81,9.81,,,0 NDC,00904721861,"Diltiazem Hydrochloride: 100 Blister Pack In 1 Carton (0904-7218-61) / 1 Capsule, Extended Release In 1 Blister Pack",4.43,4.43,,,0 NDC,00904722461,Folic Acid: 100 Blister Pack In 1 Carton (0904-7224-61) / 1 Tablet In 1 Blister Pack,5.86,5.86,,,0 NDC,00904722761,Clonazepam: 100 Blister Pack In 1 Carton (0904-7227-61) / 1 Tablet In 1 Blister Pack,6.0,6.0,,,0 NDC,00904722961,Nifedipine: 100 Blister Pack In 1 Carton (0904-7229-61) / 1 Capsule In 1 Blister Pack,6.68,6.68,,,0 NDC,00904723661,Megestrol Acetate: 100 Blister Pack In 1 Carton (0904-7236-61) / 1 Tablet In 1 Blister Pack,6.0,6.0,,,0 NDC,00904723724,Diphenhydramine Hydrochloride: 2 Blister Pack In 1 Carton (0904-7237-24) / 12 Capsule In 1 Blister Pack,1.8,1.8,,,0 NDC,00904723760,Diphenhydramine Hydrochloride: 100 Capsule In 1 Bottle (0904-7237-60),1.74,1.74,,,0 NDC,00904723761,"Diphenhydramine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (0904-7237-61) / 10 Capsule In 1 Blister Pack",1.82,1.82,,,0 NDC,00904724361,"Ciprofloxacin: 100 Blister Pack In 1 Carton (0904-7243-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.87,5.87,,,0 NDC,00904724468,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7244-68) / 1 Tablet, Film Coated In 1 Blister Pack",7.64,7.64,,,0 NDC,00904724568,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7245-68) / 1 Tablet, Film Coated In 1 Blister Pack",12.72,12.72,,,0 NDC,00904724668,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7246-68) / 1 Tablet, Film Coated In 1 Blister Pack",15.26,15.26,,,0 NDC,00904724768,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7247-68) / 1 Tablet, Film Coated In 1 Blister Pack",15.26,15.26,,,0 NDC,00904725261,"Sennosides: 10 Blister Pack In 1 Box, Unit-Dose (0904-7252-61) / 10 Tablet, Film Coated In 1 Blister Pack",1.08,1.08,,,0 NDC,00904725761,Carbidopa And Levodopa: 100 Blister Pack In 1 Carton (0904-7257-61) / 1 Tablet In 1 Blister Pack,4.37,4.37,,,0 NDC,00904726261,"Oxcarbazepine: 100 Blister Pack In 1 Carton (0904-7262-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.85,5.85,,,0 NDC,00904726361,"Oxcarbazepine: 100 Blister Pack In 1 Carton (0904-7263-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.48,5.48,,,0 NDC,00904726661,Dexamethasone: 100 Blister Pack In 1 Carton (0904-7266-61) / 1 Tablet In 1 Blister Pack,0.4,0.4,,,0 NDC,00904727641,NDC Description Not Available,5.83,5.83,,,0 NDC,00904727966,NDC Description Not Available,2.17,2.17,,,0 NDC,00904728060,"Stool Softener Laxative: 100 Capsule, Liquid Filled In 1 Bottle, Plastic (0904-7280-60)",1.97,1.97,,,0 NDC,00904728080,"Stool Softener Laxative: 1000 Capsule, Liquid Filled In 1 Bottle, Plastic (0904-7280-80)",2.0,2.0,,,0 NDC,00904728961,Benztropine Mesylate: 100 Blister Pack In 1 Carton (0904-7289-61) / 1 Tablet In 1 Blister Pack,5.11,5.11,,,0 NDC,00904729361,"Potassium Chloride: 100 Blister Pack In 1 Carton (0904-7293-61) / 1 Tablet, Extended Release In 1 Blister Pack",3.54,3.54,,,0 NDC,00904730461,Promethazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7304-61) / 1 Tablet In 1 Blister Pack,2.94,2.94,,,0 NDC,00904730561,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7305-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.68,5.68,,,0 NDC,00904730661,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7306-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.93,5.93,,,0 NDC,00904730761,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7307-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.03,5.03,,,0 NDC,00904730861,"Carvedilol: 100 Blister Pack In 1 Carton (0904-7308-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.61,5.61,,,0 NDC,00904732562,NDC Description Not Available,6.62,6.62,,,0 NDC,00904733735,NDC Description Not Available,4.93,4.93,,,0 NDC,00904734661,Fluoxetine: 100 Blister Pack In 1 Carton (0904-7346-61) / 1 Capsule In 1 Blister Pack,3.39,3.39,,,0 NDC,00904735006,"Azithromycin: 50 Blister Pack In 1 Carton (0904-7350-06) / 1 Tablet, Film Coated In 1 Blister Pack",7.66,7.66,,,0 NDC,00904735104,"Azithromycin: 30 Blister Pack In 1 Carton (0904-7351-04) / 1 Tablet, Film Coated In 1 Blister Pack",14.12,14.12,,,0 NDC,00904735661,"Lurasidone Hydrochloride: 100 Blister Pack In 1 Carton (0904-7356-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 NDC,00904736161,"Risperidone: 100 Blister Pack In 1 Carton (0904-7361-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.76,5.76,,,0 NDC,00904736261,"Risperidone: 100 Blister Pack In 1 Carton (0904-7362-61) / 1 Tablet, Film Coated In 1 Blister Pack",4.05,4.05,,,0 NDC,00904736361,"Risperidone: 100 Blister Pack In 1 Carton (0904-7363-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.36,5.36,,,0 NDC,00904736461,"Risperidone: 100 Blister Pack In 1 Carton (0904-7364-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.8,5.8,,,0 NDC,00904737561,Meclizine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7375-61) / 1 Tablet In 1 Blister Pack,6.0,6.0,,,0 NDC,00904737661,Meclizine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7376-61) / 1 Tablet In 1 Blister Pack,5.96,5.96,,,0 NDC,00904738361,Tamsulosin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7383-61) / 1 Capsule In 1 Blister Pack,5.67,5.67,,,0 NDC,00904740161,"Cyclobenzaprine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7401-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 NDC,00904741161,Amitriptyline Hydrochloride: 100 Blister Pack In 1 Carton (0904-7411-61) / 1 Tablet In 1 Blister Pack,5.01,5.01,,,0 NDC,00904741844,"Magnesium Citrate: 296 Ml In 1 Bottle, Plastic (0904-7418-44)",11.9,11.9,,,0 NDC,00904742730,"Major Nasal Decongestant: 1 Bottle, Pump In 1 Carton (0904-7427-30) / 30 Ml In 1 Bottle, Pump",4.28,4.28,,,0 NDC,00904743535,"Major Nasal Decongestant: 1 Bottle, Spray In 1 Carton (0904-7435-35) / 15 Ml In 1 Bottle, Spray",3.8,3.8,,,0 NDC,00904744061,"Sennosides, Docusate Sodium: 10 Blister Pack In 1 Box, Unit-Dose (0904-7440-61) / 10 Tablet, Film Coated In 1 Blister Pack",1.15,1.15,,,0 NDC,00904744261,Clonidine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7442-61) / 1 Tablet In 1 Blister Pack,3.95,3.95,,,0 NDC,00904747066,"Sucralfate: 10 Ml In 1 Cup, Unit-Dose (0904-7470-66)",51.28,51.28,,,0 NDC,00904749661,"Tramadol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7496-61) / 1 Tablet, Coated In 1 Blister Pack",4.7,4.7,,,0 NDC,00904750161,Carbidopa And Levodopa: 100 Blister Pack In 1 Carton (0904-7501-61) / 1 Tablet In 1 Blister Pack,4.8,4.8,,,0 NDC,00904750561,"Bupropion Hydrochloride Xl: 100 Blister Pack In 1 Carton (0904-7505-61) / 1 Tablet, Extended Release In 1 Blister Pack",19.62,19.62,,,0 NDC,00904750761,Acyclovir: 100 Blister Pack In 1 Carton (0904-7507-61) / 1 Tablet In 1 Blister Pack,5.76,5.76,,,0 NDC,00904759060,NDC Description Not Available,2.0,2.0,,,0 NDC,00904759080,NDC Description Not Available,2.0,2.0,,,0 NDC,00904759161,NDC Description Not Available,2.0,2.0,,,0 NDC,00904772861,Clonazepam: 100 Blister Pack In 1 Carton (0904-7728-61) / 1 Tablet In 1 Blister Pack,4.02,4.02,,,0 NDC,00904775127,NDC Description Not Available,25.34,25.34,,,0 NDC,00904791459,"Ibuprofen: 1 Bottle, Plastic In 1 Carton (0904-7914-59) / 100 Tablet, Film Coated In 1 Bottle, Plastic",1.0,1.0,,,0 NDC,00904791461,"Ibuprofen: 10 Blister Pack In 1 Carton (0904-7914-61) / 10 Tablet, Film Coated In 1 Blister Pack",1.03,1.03,,,0 NDC,00944049505,Flexbumin: 2 Bag In 1 Carton (0944-0495-05) / 250 Ml In 1 Bag (0944-0495-06),386.93,386.93,,,0 NDC,00944049506,NDC Description Not Available,323.4,323.4,,,0 NDC,00944270004,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-04) / 50 Ml In 1 Bottle, Glass (0944-2700-10)",567.89,567.89,,,0 NDC,00944270005,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-05) / 100 Ml In 1 Bottle, Glass (0944-2700-11)",584.94,584.94,,,0 NDC,00944270006,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-06) / 200 Ml In 1 Bottle, Glass (0944-2700-12)",567.89,567.89,,,0 NDC,00944270007,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-07) / 300 Ml In 1 Bottle, Glass (0944-2700-13)",578.12,578.12,,,0 NDC,00944270010,NDC Description Not Available,567.89,567.89,,,0 NDC,00944270011,NDC Description Not Available,573.29,573.29,,,0 NDC,00944270012,NDC Description Not Available,576.42,576.42,,,0 NDC,00944283301,NDC Description Not Available,12.73,12.73,,,0 NDC,00944305302,"Advate: 1 Blister Pack In 1 Carton (0944-3053-02) / 1 Container In 1 Blister Pack (0944-3053-04) / 1 Kit In 1 Container (0944-3053-03) * 5 Ml In 1 Vial, Glass (0944-2943-02) * 2 Ml In 1 Vial, Gl",11.88,11.88,,,0 NDC,00944305303,NDC Description Not Available,12.73,12.73,,,0 NDC,00955100301,NDC Description Not Available,19.67,19.67,,,0 NDC,00955100401,NDC Description Not Available,14.75,14.75,,,0 NDC,00955100601,NDC Description Not Available,14.61,14.61,,,0 NDC,00955100810,Enoxaparin Sodium: 10 Cello Pack In 1 Carton (0955-1008-10) / 1 Syringe In 1 Cello Pack (0955-1008-01) / .8 Ml In 1 Syringe,14.32,14.32,,,0 NDC,00955101501,NDC Description Not Available,15.34,15.34,,,0 NDC,00955102001,"Docetaxel: 1 Vial, Glass In 1 Carton (0955-1020-01) / 1 Ml In 1 Vial, Glass",36.36,36.36,,,0 NDC,00955105201,NDC Description Not Available,58.63,58.63,,,0 NDC,00955105290,"Sevelamer Carbonate: 90 Packet In 1 Box (0955-1052-90) / 1 Powder, For Suspension In 1 Packet (0955-1052-01)",4.07,4.07,,,0 NDC,00955173730,"Leflunomide: 1 Bottle In 1 Carton (0955-1737-30) / 30 Tablet, Film Coated In 1 Bottle",31.0,31.0,,,0 NDC,00990707514,Potassium Chloride: 24 Pouch In 1 Case (0990-7075-14) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,38.6,38.6,,,0 NDC,00990707526,Potassium Chloride: 24 Pouch In 1 Case (0990-7075-26) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,19.33,19.33,,,0 NDC,00990707726,Potassium Chloride: 24 Pouch In 1 Case (0990-7077-26) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,114.53,114.53,,,0 NDC,00990771512,NDC Description Not Available,30.8,30.8,,,0 NDC,00990771513,NDC Description Not Available,26.66,26.66,,,0 NDC,00990792903,Lactated Ringers And Dextrose: 24 Pouch In 1 Case (0990-7929-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,68.2,68.2,,,0 NDC,00990793519,Dextrose: 12 Pouch In 1 Case (0990-7935-19) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,182.66,182.66,,,0 NDC,00990798303,Sodium Chloride: 24 Pouch In 1 Case (0990-7983-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,193.0,193.0,,,0 NDC,00998020415,ISOPTO CARPINE: 1 BOTTLE in 1 CARTON (0998-0204-15) / 15 mL in 1 BOTTLE,590.09,590.09,,,0 NDC,00998040815,"Isopto Tears: 15 Ml In 1 Bottle, Dropper (0998-0408-15)",1810.71,1810.71,,,0 NDC,00998061505,"Maxidex: 5 mL in 1 BOTTLE, PLASTIC (0998-0615-05)",467.55,467.55,,,0 NDC,01000670012,NDC Description Not Available,1.0,1.0,,,0 NDC,01000670013,NDC Description Not Available,3.42,3.42,,,0 NDC,01000670028,NDC Description Not Available,1.4,1.4,,,0 NDC,01000670038,NDC Description Not Available,5.88,5.88,,,0 NDC,01000673027,NDC Description Not Available,1.99,1.99,,,0 NDC,01093904633,NDC Description Not Available,14.16,14.16,,,0 NDC,01093936233,NDC Description Not Available,0.5,0.5,,,0 NDC,01093940233,NDC Description Not Available,2.0,2.0,,,0 NDC,01093956433,NDC Description Not Available,4.3,4.3,,,0 NDC,01093976744,NDC Description Not Available,2.0,2.0,,,0 NDC,01093995666,NDC Description Not Available,2.0,2.0,,,0 NDC,01182215796,NDC Description Not Available,2.0,2.0,,,0 NDC,01191700555,NDC Description Not Available,2.0,2.0,,,0 NDC,01191710655,NDC Description Not Available,3.72,3.72,,,0 NDC,01191711810,NDC Description Not Available,2.0,2.0,,,0 NDC,01191714379,NDC Description Not Available,34.42,34.42,,,0 NDC,01254717167,NDC Description Not Available,22.99,22.99,,,0 NDC,01381152501,NDC Description Not Available,6.0,6.0,,,0 NDC,01483201101,NDC Description Not Available,86.25,86.25,,,0 NDC,01513702127,NDC Description Not Available,43.4,43.4,,,0 NDC,01650053502,NDC Description Not Available,5.74,5.74,,,0 NDC,01650059920,NDC Description Not Available,6.0,6.0,,,0 NDC,01657187290,NDC Description Not Available,3.97,3.97,,,0 NDC,01698602080,NDC Description Not Available,120.04,120.04,,,0 NDC,02055502101,NDC Description Not Available,2.0,2.0,,,0 NDC,02055503200,NDC Description Not Available,3.0,3.0,,,0 NDC,02055503300,NDC Description Not Available,4.38,4.38,,,0 NDC,02055503600,NDC Description Not Available,3.67,3.67,,,0 NDC,02055503601,NDC Description Not Available,3.87,3.87,,,0 NDC,03076816836,NDC Description Not Available,6.0,6.0,,,0 NDC,03160401796,NDC Description Not Available,2.0,2.0,,,0 NDC,03786400103,NDC Description Not Available,2.0,2.0,,,0 NDC,03932855750,NDC Description Not Available,6.0,6.0,,,0 NDC,04009310144,NDC Description Not Available,1.67,1.67,,,0 NDC,04009310287,NDC Description Not Available,2.0,2.0,,,0 NDC,04009310600,NDC Description Not Available,5.67,5.67,,,0 NDC,04056512249,NDC Description Not Available,83.275,83.275,,,0 NDC,04098521154,NDC Description Not Available,2.0,2.0,,,0 NDC,04110081123,NDC Description Not Available,11.6,11.6,,,0 NDC,04167936503,NDC Description Not Available,6.0,6.0,,,0 NDC,04167936513,NDC Description Not Available,6.02,6.02,,,0 NDC,04203710478,NDC Description Not Available,29.33,29.33,,,0 NDC,04494610328,NDC Description Not Available,6.0,6.0,,,0 NDC,04580252555,NDC Description Not Available,59.99,59.99,,,0 NDC,04628750030,NDC Description Not Available,17.3,17.3,,,0 NDC,04746907405,NDC Description Not Available,6.0,6.0,,,0 NDC,04843310401,NDC Description Not Available,6.0,6.0,,,0 NDC,04910038164,NDC Description Not Available,6.31,6.31,,,0 NDC,04910040007,NDC Description Not Available,6.38,6.38,,,0 NDC,05019014123,NDC Description Not Available,6.0,6.0,,,0 NDC,05019014263,NDC Description Not Available,6.0,6.0,,,0 NDC,05026852411,NDC Description Not Available,3.95,3.95,,,0 NDC,05026852415,NDC Description Not Available,4.14,4.14,,,0 NDC,05026885111,NDC Description Not Available,1.92,1.92,,,0 NDC,05026885411,NDC Description Not Available,3.62,3.62,,,0 NDC,05026885511,NDC Description Not Available,5.46,5.46,,,0 NDC,05026885811,NDC Description Not Available,1.04,1.04,,,0 NDC,05026886011,NDC Description Not Available,2.0,2.0,,,0 NDC,05026886811,NDC Description Not Available,1.75,1.75,,,0 NDC,05038391750,NDC Description Not Available,2.04,2.04,,,0 NDC,05042830704,NDC Description Not Available,2.0,2.0,,,0 NDC,05140900722,NDC Description Not Available,33.37,33.37,,,0 NDC,05199170390,NDC Description Not Available,1.88,1.88,,,0 NDC,05280048316,NDC Description Not Available,9.12,9.12,,,0 NDC,05280048846,NDC Description Not Available,10.79,10.79,,,0 NDC,05483800530,NDC Description Not Available,45.44,45.44,,,0 NDC,05483801150,NDC Description Not Available,6.0,6.0,,,0 NDC,05556641000,NDC Description Not Available,2408.8,2408.8,,,0 NDC,05556641001,NDC Description Not Available,2538.66,2538.66,,,0 NDC,05556641003,NDC Description Not Available,7037.5,7037.5,,,0 NDC,05707400177,NDC Description Not Available,2.0,2.0,,,0 NDC,05777100704,NDC Description Not Available,105.09,105.09,,,0 NDC,05789663412,NDC Description Not Available,1.51,1.51,,,0 NDC,05789686501,NDC Description Not Available,2.0,2.0,,,0 NDC,05820400401,NDC Description Not Available,5.25,5.25,,,0 NDC,05820400404,NDC Description Not Available,6.65,6.65,,,0 NDC,05820400408,NDC Description Not Available,4.64,4.64,,,0 NDC,05846800901,NDC Description Not Available,191.18,191.18,,,0 NDC,05846800903,NDC Description Not Available,191.18,191.18,,,0 NDC,05967636001,NDC Description Not Available,3202.6,3202.6,,,0 NDC,06025800116,NDC Description Not Available,6.4,6.4,,,0 NDC,06025800216,NDC Description Not Available,15.3,15.3,,,0 NDC,06025800615,NDC Description Not Available,3.86,3.86,,,0 NDC,06332325410,NDC Description Not Available,127.43,127.43,,,0 NDC,06373612002,NDC Description Not Available,16.93,16.93,,,0 NDC,06373614308,NDC Description Not Available,34.894999999999996,34.894999999999996,,,0 NDC,06380750055,NDC Description Not Available,18.31,18.31,,,0 NDC,06382471016,NDC Description Not Available,2.0,2.0,,,0 NDC,06425322235,NDC Description Not Available,17.52,17.52,,,0 NDC,06425333335,NDC Description Not Available,703.54,703.54,,,0 NDC,06498010401,NDC Description Not Available,3.17,3.17,,,0 NDC,06498014612,NDC Description Not Available,2.47,2.47,,,0 NDC,06498014698,NDC Description Not Available,2.47,2.47,,,0 NDC,06498033990,NDC Description Not Available,1.4,1.4,,,0 NDC,06761811128,NDC Description Not Available,1.98,1.98,,,0 NDC,06809411059,NDC Description Not Available,3.83,3.83,,,0 NDC,06817600011,NDC Description Not Available,6.0,6.0,,,0 NDC,06858500575,NDC Description Not Available,3.59,3.59,,,0 NDC,06936725001,NDC Description Not Available,3.16,3.16,,,0 NDC,06936728302,NDC Description Not Available,2.84,2.84,,,0 NDC,06961806259,NDC Description Not Available,6.0,6.0,,,0 NDC,06961806359,NDC Description Not Available,6.0,6.0,,,0 NDC,07135101399,NDC Description Not Available,3.09,3.09,,,0 NDC,07139901408,NDC Description Not Available,59.99,59.99,,,0 NDC,07214003147,NDC Description Not Available,81.03,81.03,,,0 NDC,07214003711,NDC Description Not Available,36.71,36.71,,,0 NDC,07214063386,NDC Description Not Available,90.85,90.85,,,0 NDC,07214063608,NDC Description Not Available,90.85,90.85,,,0 NDC,07431258913,NDC Description Not Available,2.0,2.0,,,0 NDC,07620402160,NDC Description Not Available,6.0,6.0,,,0 NDC,07620402260,NDC Description Not Available,6.0,6.0,,,0 NDC,07733311025,NDC Description Not Available,5.94,5.94,,,0 NDC,07733383125,NDC Description Not Available,4.12,4.12,,,0 NDC,07733383525,NDC Description Not Available,3.64,3.64,,,0 NDC,07733393425,NDC Description Not Available,1.93,1.93,,,0 NDC,07733393725,NDC Description Not Available,3.96,3.96,,,0 NDC,07733393825,NDC Description Not Available,5.11,5.11,,,0 NDC,07733394025,NDC Description Not Available,1.0,1.0,,,0 NDC,07733394825,NDC Description Not Available,1.74,1.74,,,0 NDC,07733395110,NDC Description Not Available,1.9,1.9,,,0 NDC,07733395125,NDC Description Not Available,1.91,1.91,,,0 NDC,07811201103,NDC Description Not Available,4.28,4.28,,,0 NDC,08065183004,NDC Description Not Available,935.96,935.96,,,0 NDC,08065183150,NDC Description Not Available,1681.68,1681.68,,,0 NDC,08065183905,NDC Description Not Available,1270.49,1270.49,,,0 NDC,08068104900,NDC Description Not Available,6.0,6.0,,,0 NDC,08068110000,NDC Description Not Available,0.45999999999999996,0.45999999999999996,,,0 NDC,08068111600,NDC Description Not Available,6.0,6.0,,,0 NDC,08068113100,NDC Description Not Available,1.32,1.32,,,0 NDC,08068113400,NDC Description Not Available,1.39,1.39,,,0 NDC,08068113500,NDC Description Not Available,2.0,2.0,,,0 NDC,08068114000,NDC Description Not Available,2.45,2.45,,,0 NDC,08068116900,NDC Description Not Available,4.15,4.15,,,0 NDC,08068117200,NDC Description Not Available,3.0,3.0,,,0 NDC,08068117400,NDC Description Not Available,1.94,1.94,,,0 NDC,08290306424,NDC Description Not Available,5.9,5.9,,,0 NDC,08349020760,NDC Description Not Available,6.0,6.0,,,0 NDC,08770142512,NDC Description Not Available,2.0,2.0,,,0 NDC,08913020201,NDC Description Not Available,122.33,122.33,,,0 NDC,09277160001,NDC Description Not Available,47.86,47.86,,,0 NDC,09999000002,NDC Description Not Available,59.0,59.0,,,0 NDC,09999000015,NDC Description Not Available,0.81,0.81,,,0 NDC,09999000054,NDC Description Not Available,10.8,10.8,,,0 NDC,09999000072,NDC Description Not Available,3.55,3.55,,,0 NDC,09999000079,NDC Description Not Available,3.68,3.68,,,0 NDC,09999000236,NDC Description Not Available,193.0,193.0,,,0 NDC,09999005850,NDC Description Not Available,426.69,426.69,,,0 NDC,09999005889,NDC Description Not Available,193.0,193.0,,,0 NDC,09999006027,NDC Description Not Available,6.0,6.0,,,0 NDC,09999006076,NDC Description Not Available,22298.195,22298.195,,,0 NDC,09999006089,NDC Description Not Available,207.17,207.17,,,0 NDC,09999006090,NDC Description Not Available,60.3,60.3,,,0 NDC,09999006091,NDC Description Not Available,126.84,126.84,,,0 NDC,09999006239,NDC Description Not Available,6.0,6.0,,,0 NDC,09999006364,NDC Description Not Available,5.99,5.99,,,0 NDC,09999006371,NDC Description Not Available,30.15,30.15,,,0 NDC,09999006413,NDC Description Not Available,362.14,362.14,,,0 NDC,09999006517,NDC Description Not Available,6.0,6.0,,,0 NDC,09999006591,NDC Description Not Available,130.2,130.2,,,0 NDC,09999006598,NDC Description Not Available,21.7,21.7,,,0 NDC,09999006600,NDC Description Not Available,21.7,21.7,,,0 NDC,09999006637,NDC Description Not Available,696.09,696.09,,,0 NDC,09999006640,NDC Description Not Available,92.97,92.97,,,0 NDC,09999006683,NDC Description Not Available,167.5,167.5,,,0 NDC,09999006822,NDC Description Not Available,0.08,0.08,,,0 NDC,09999007049,NDC Description Not Available,59.0,59.0,,,0 NDC,09999007056,NDC Description Not Available,193.0,193.0,,,0 NDC,09999007065,NDC Description Not Available,6.5649999999999995,6.5649999999999995,,,0 NDC,09999007085,NDC Description Not Available,231.82,231.82,,,0 NDC,09999318001,NDC Description Not Available,9.65,9.65,,,0 NDC,09999319201,NDC Description Not Available,4.64,4.64,,,0 NDC,10019005561,Brevibloc: 10 Bag In 1 Carton (10019-055-61) / 250 Ml In 1 Bag,3.48,3.48,,,0 NDC,10019016301,NDC Description Not Available,0.01,0.01,,,0 NDC,10019055301,Transderm Scop: 10 POUCH in 1 BOX (10019-553-01) / 1 PATCH in 1 POUCH / 3 d in 1 PATCH,132.04,132.04,,,0 NDC,10019055303,Transderm Scop: 10 Pouch In 1 Box (10019-553-03) / 1 Patch In 1 Pouch / 3 D In 1 Patch,132.04,132.04,,,0 NDC,10019055390,Transderm Scop: 1 Patch In 1 Pouch (10019-553-90) / 3 D In 1 Patch,132.04,132.04,,,0 NDC,10019067010,Brevibloc: 10 Bag In 1 Carton (10019-670-10) / 250 Ml In 1 Bag,2.9,2.9,,,0 NDC,10019092501,"Ifosfamide: 1 Vial, Single-Dose In 1 Carton (10019-925-01) / 20 Ml In 1 Vial, Single-Dose (10019-925-82)",147.7,147.7,,,0 NDC,10019092582,NDC Description Not Available,186.14,186.14,,,0 NDC,10019092602,"Ifosfamide: 1 Vial, Single-Dose In 1 Carton (10019-926-02) / 60 Ml In 1 Vial, Single-Dose (10019-926-16)",205.86,205.86,,,0 NDC,10019092616,NDC Description Not Available,226.7,226.7,,,0 NDC,10019093801,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-938-01) / 25 Ml In 1 Vial, Single-Dose (10019-938-25)",12.4,12.4,,,0 NDC,10019093901,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-939-01) / 50 Ml In 1 Vial, Single-Dose (10019-939-50)",12.4,12.4,,,0 NDC,10019095301,"Mesna: 1 Vial, Multi-Dose In 1 Box (10019-953-01) / 10 Ml In 1 Vial, Multi-Dose (10019-953-62)",41.59,41.59,,,0 NDC,10019095362,NDC Description Not Available,44.8,44.8,,,0 NDC,10019095501,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-955-01) / 25 Ml In 1 Vial, Single-Dose (10019-955-50)",24.52,24.52,,,0 NDC,10019095550,NDC Description Not Available,24.53,24.53,,,0 NDC,10019095601,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-956-01) / 50 Ml In 1 Vial, Single-Dose (10019-956-16)",15.83,15.83,,,0 NDC,10019095616,NDC Description Not Available,16.68,16.68,,,0 NDC,10122051001,"Curosurf: 1.5 Ml In 1 Vial, Glass (10122-510-01)",3863.33,3863.33,,,0 NDC,10122061001,NDC Description Not Available,19.33,19.33,,,0 NDC,10122061010,"Cleviprex: 10 Carton In 1 Carton (10122-610-10) / 1 Vial, Single-Use In 1 Carton (10122-610-01) / 50 Ml In 1 Vial, Single-Use",22.91,22.91,,,0 NDC,10122061101,NDC Description Not Available,19.37,19.37,,,0 NDC,10122062001,NDC Description Not Available,108.38,108.38,,,0 NDC,10122062010,"Kengreal: 10 Vial, Single-Use In 1 Carton (10122-620-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (10122-620-01)",108.78,108.78,,,0 NDC,10135012301,Acetaminophen 325mg: 100 TABLET in 1 BOTTLE (10135-123-01),0.89,0.89,,,0 NDC,10135012305,NDC Description Not Available,1.0,1.0,,,0 NDC,10135014301,NDC Description Not Available,0.67,0.67,,,0 NDC,10135014401,NDC Description Not Available,1.5,1.5,,,0 NDC,10135014405,NDC Description Not Available,1.0,1.0,,,0 NDC,10135014410,NDC Description Not Available,1.0,1.0,,,0 NDC,10135014424,NDC Description Not Available,1.0,1.0,,,0 NDC,10135014614,"Sodium Polystyrene Sulfonate: 15 G In 1 Bottle, Plastic (10135-146-14)",19.72,19.72,,,0 NDC,10135014901,NDC Description Not Available,2.0,2.0,,,0 NDC,10135015201,Acetaminophen: 100 TABLET in 1 BOTTLE (10135-152-01),1.33,1.33,,,0 NDC,10135015250,NDC Description Not Available,1.0,1.0,,,0 NDC,10135015601,NDC Description Not Available,2.0,2.0,,,0 NDC,10135015610,NDC Description Not Available,2.0,2.0,,,0 NDC,10135016314,NDC Description Not Available,1.0,1.0,,,0 NDC,10135018301,NDC Description Not Available,0.67,0.67,,,0 NDC,10135020301,NDC Description Not Available,0.67,0.67,,,0 NDC,10135031401,Sennosides: 1 Bottle In 1 Carton (10135-314-01) / 100 Tablet In 1 Bottle,1.03,1.03,,,0 NDC,10135053201,"Baclofen: 100 Tablet In 1 Bottle, Plastic (10135-532-01)",4.14,4.14,,,0 NDC,10135054101,"Probenecid: 100 Tablet, Film Coated In 1 Bottle (10135-541-01)",5.19,5.19,,,0 NDC,10135066901,Senna S: 1 Bottle In 1 Carton (10135-669-01) / 100 Tablet In 1 Bottle,1.17,1.17,,,0 NDC,10135071101,"Labetalol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (10135-711-01)",5.8,5.8,,,0 NDC,10135071944,Alendronate: 1 Blister Pack In 1 Carton (10135-719-44) / 4 Tablet In 1 Blister Pack,6.22,6.22,,,0 NDC,10135073590,Pyrazinamide: 90 Tablet In 1 Bottle (10135-735-90),22.61,22.61,,,0 NDC,10135077901,Prednisone: 100 Tablet In 1 Bottle (10135-779-01),0.07,0.07,,,0 NDC,10147092103,Haloperidol Decanoate: 3 Ampule In 1 Box (10147-0921-3) / 1 Ml In 1 Ampule,173.47,173.47,,,0 NDC,10147170003,Itraconazole: 30 Capsule In 1 Bottle (10147-1700-3),46.02,46.02,,,0 NDC,10361075003,NDC Description Not Available,15.57,15.57,,,0 NDC,10361077831,"E-Z-Disk: 100 Tablet In 1 Bottle, Glass (10361-778-31)",16.91,16.91,,,0 NDC,10361079301,E-Z-Gas Ii: 50 Pouch In 1 Box (10361-793-01) / 4 G In 1 Pouch,14.66,14.66,,,0 NDC,10370026801,Tretinoin: 100 Capsule In 1 Bottle (10370-268-01),147.15,147.15,,,0 NDC,10454071110,"Myobloc: 1 Vial, Single-Use In 1 Carton (10454-711-10) / 1 Ml In 1 Vial, Single-Use",83.85,83.85,,,0 NDC,10481011208,"MONSELS SOLUTION: 8 g in 1 BOTTLE, GLASS (10481-0112-8)",71.8,71.8,,,0 NDC,10511300102,"Cysview: 1 Kit In 1 Carton (10511-3001-2) * 50 Ml In 1 Syringe, Plastic * 50 Ml In 1 Vial, Glass",6532.5,6532.5,,,0 NDC,10544005720,cephalexin: 20 CAPSULE in 1 BOTTLE (10544-057-20),6.0,6.0,,,0 NDC,10572010001,Peg-3350 And Electrolytes: 4 L In 1 Jug (10572-100-01),148.8,148.8,,,0 NDC,10702000610,"Cyclobenzaprine Hydrochloride: 1000 Tablet, Film Coated In 1 Bottle (10702-006-10)",6.0,6.0,,,0 NDC,10702001001,"Hydroxyzine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (10702-010-01)",6.0,6.0,,,0 NDC,10702005601,Oxycodone Hydrochloride: 100 Tablet In 1 Bottle (10702-056-01),5.36,5.36,,,0 NDC,10888713502,PROGESTERONE: 100 CAPSULE in 1 BOTTLE (10888-7135-2),0.51,0.51,,,0 NDC,10939074444,NDC Description Not Available,56.51,56.51,,,0 NDC,11673088210,"Up And Up Infants Gas Relief: 1 Bottle, Dropper In 1 Carton (11673-882-10) / 30 Ml In 1 Bottle, Dropper",2.0,2.0,,,0 NDC,11701003816,Micro-Guard (Af): 85 G In 1 Bottle (11701-038-16),42.16,42.16,,,0 NDC,11704037001,"Cyanokit: 1 VIAL, GLASS in 1 CARTON (11704-370-01) / 250 mL in 1 VIAL, GLASS",5782.1,5782.1,,,0 NDC,11822989540,NDC Description Not Available,2.0,2.0,,,0 NDC,11980018005,"Pred Forte: 1 Bottle, Dropper In 1 Carton (11980-180-05) / 5 Ml In 1 Bottle, Dropper",994.48,994.48,,,0 NDC,12496120201,NDC Description Not Available,31.07,31.07,,,0 NDC,12496120203,"Suboxone: 30 Pouch In 1 Carton (12496-1202-3) / 1 Film, Soluble In 1 Pouch (12496-1202-1)",31.07,31.07,,,0 NDC,12496120401,NDC Description Not Available,55.68,55.68,,,0 NDC,12496120403,"Suboxone: 30 Pouch In 1 Carton (12496-1204-3) / 1 Film, Soluble In 1 Pouch (12496-1204-1)",55.68,55.68,,,0 NDC,12496120801,NDC Description Not Available,55.68,55.68,,,0 NDC,12496120803,"Suboxone: 30 Pouch In 1 Carton (12496-1208-3) / 1 Film, Soluble In 1 Pouch (12496-1208-1)",55.68,55.68,,,0 NDC,12870000101,Silver Nitrate Applicators: 10 Packet In 1 Box (12870-0001-1) / 10 Applicator In 1 Packet / 100 Mg In 1 Applicator,4.68,4.68,,,0 NDC,12870000102,Silver Nitrate Applicators: 100 Applicator In 1 Vial (12870-0001-2) / 100 Mg In 1 Applicator,4.74,4.74,,,0 NDC,13107000130,"Mirtazapine: 30 Tablet, Film Coated In 1 Bottle (13107-001-30)",8.43,8.43,,,0 NDC,13107008401,Lorazepam: 100 Tablet In 1 Bottle (13107-084-01),5.49,5.49,,,0 NDC,13107008501,Lorazepam: 100 Tablet In 1 Bottle (13107-085-01),3.75,3.75,,,0 NDC,13310014601,"Bactrim DS: 100 TABLET in 1 BOTTLE, PLASTIC (13310-146-01)",16.12,16.12,,,0 NDC,13517075501,Phenobarbital: 100 TABLET in 1 BOTTLE (13517-755-01),2.22,2.22,,,0 NDC,13533031801,Hyperrab: 1 Vial In 1 Carton (13533-318-01) / 1 Ml In 1 Vial (13533-318-10),327.91499999999996,327.91499999999996,,,0 NDC,13533031805,Hyperrab: 1 Vial In 1 Carton (13533-318-05) / 5 Ml In 1 Vial (13533-318-50),338.595,338.595,,,0 NDC,13533031810,NDC Description Not Available,340.25,340.25,,,0 NDC,13533031850,NDC Description Not Available,330.03999999999996,330.03999999999996,,,0 NDC,13533060250,"Thrombate Iii: 1 Kit In 1 Carton (13533-602-50) * 10 Ml In 1 Vial, Glass (13533-605-21) * 10 Ml In 1 Vial, Glass (13533-200-10)",29.2,29.2,,,0 NDC,13533063402,"Hypertet: 1 Syringe, Glass In 1 Box (13533-634-02) / 1 Ml In 1 Syringe, Glass (13533-634-20)",4349.44,4349.44,,,0 NDC,13533063420,NDC Description Not Available,4349.44,4349.44,,,0 NDC,13533080013,NDC Description Not Available,489.1,489.1,,,0 NDC,13533080020,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-20) / 50 Ml In 1 Vial, Glass (13533-800-21)",474.86,474.86,,,0 NDC,13533080021,NDC Description Not Available,489.1,489.1,,,0 NDC,13533080024,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-24) / 200 Ml In 1 Vial, Glass (13533-800-25)",489.1,489.1,,,0 NDC,13533080040,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-40) / 400 Ml In 1 Vial, Glass (13533-800-41)",489.1,489.1,,,0 NDC,13533080071,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-71) / 100 Ml In 1 Vial, Glass (13533-800-72)",484.485,484.485,,,0 NDC,13533080072,NDC Description Not Available,483.98,483.98,,,0 NDC,13668018930,"Tolterodine Tartrate: 30 Capsule, Extended Release In 1 Bottle (13668-189-30)",6.2,6.2,,,0 NDC,13668058130,Tadalafil: 30 Tablet In 1 Bottle (13668-581-30),9.3,9.3,,,0 NDC,13668059283,NDC Description Not Available,63.17,63.17,,,0 NDC,13668060601,"Erythromycin: 100 Tablet, Coated In 1 Bottle (13668-606-01)",20.87,20.87,,,0 NDC,13668072090,Rosuvastatin Calcium: 90 Tablet In 1 Bottle (13668-720-90),4.85,4.85,,,0 NDC,13925050530,Dapsone: 2 BLISTER PACK in 1 CARTON (13925-505-30) / 15 TABLET in 1 BLISTER PACK,15.0,15.0,,,0 NDC,13925052201,Pentamidine Isethionate: 1 Vial In 1 Carton (13925-522-01) / 300 Mg In 1 Vial,882.43,882.43,,,0 NDC,14789001202,"Sodium Nitroprusside: 1 Vial, Glass In 1 Carton (14789-012-02) / 2 Ml In 1 Vial, Glass",536.0,536.0,,,0 NDC,14789001505,"Isoproterenol Hydrochloride: 10 Vial, Single-Dose In 1 Carton (14789-015-05) / 5 Ml In 1 Vial, Single-Dose",4020.0,4020.0,,,0 NDC,14789001507,NDC Description Not Available,4020.0,4020.0,,,0 NDC,14789010808,NDC Description Not Available,38.6,38.6,,,0 NDC,14789010816,NDC Description Not Available,22.4,22.4,,,0 NDC,14789011607,NDC Description Not Available,271.21,271.21,,,0 NDC,14789011907,NDC Description Not Available,18.17,18.17,,,0 NDC,14789012105,"Papaverine Hydrochloride: 10 Vial, Single-Use In 1 Carton (14789-121-05) / 2 Ml In 1 Vial, Single-Use (14789-121-07)",209.38,209.38,,,0 NDC,14789012107,NDC Description Not Available,224.95,224.95,,,0 NDC,14789012207,NDC Description Not Available,1976.5,1976.5,,,0 NDC,14789012807,NDC Description Not Available,139.94,139.94,,,0 NDC,14789050010,"Tranexamic acid: 10 VIAL, SINGLE-DOSE in 1 BOX (14789-500-10) / 10 mL in 1 VIAL, SINGLE-DOSE",442.2,442.2,,,0 NDC,14789060010,"Arsenic Trioxide: 10 Vial, Single-Dose In 1 Carton (14789-600-10) / 10 Ml In 1 Vial, Single-Dose",376.7,376.7,,,0 NDC,14789070007,NDC Description Not Available,59.0,59.0,,,0 NDC,14789090107,NDC Description Not Available,4020.0,4020.0,,,0 NDC,14789090110,"Procainamide Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (14789-901-10) / 10 Ml In 1 Vial, Multi-Dose",3216.0,3216.0,,,0 NDC,15054004301,"Onivyde: 1 Vial, Single-Dose In 1 Carton (15054-0043-1) / 10 Ml In 1 Vial, Single-Dose",435.09,435.09,,,0 NDC,15054109004,Somatuline Depot: 1 Pouch In 1 Carton (15054-1090-4) / 1 Syringe In 1 Pouch / .3 Ml In 1 Syringe,603.6,603.6,,,0 NDC,15054112004,Somatuline Depot: 1 Pouch In 1 Carton (15054-1120-4) / 1 Syringe In 1 Pouch / .5 Ml In 1 Syringe,529.39,529.39,,,0 NDC,16103035311,Pharbetol Regular Strength: 1000 Tablet In 1 Bottle (16103-353-11),1.0,1.0,,,0 NDC,16252051501,"Ciprofloxacin: 100 Tablet, Film Coated In 1 Bottle, Plastic (16252-515-01)",6.0,6.0,,,0 NDC,16571040110,Cetirizine Hydrochloride: 100 Tablet In 1 Bottle (16571-401-10),4.68,4.68,,,0 NDC,16571067250,Phenobarbital: 500 Tablet In 1 Bottle (16571-672-50),3.94,3.94,,,0 NDC,16571067450,Phenobarbital: 500 Tablet In 1 Bottle (16571-674-50),4.2,4.2,,,0 NDC,16571067516,Phenobarbital: 473 Ml In 1 Bottle (16571-675-16),6.0,6.0,,,0 NDC,16571072348,Sulfamylon: 453.6 G In 1 Jar (16571-723-48),1548.14,1548.14,,,0 NDC,16571072360,Sulfamylon: 1 Tube In 1 Carton (16571-723-60) / 56.7 G In 1 Tube,448.92,448.92,,,0 NDC,16571076209,Levocarnitine: 9 Blister Pack In 1 Carton (16571-762-09) / 10 Tablet In 1 Blister Pack,5.53,5.53,,,0 NDC,16714000601,NDC Description Not Available,19.67,19.67,,,0 NDC,16714000901,Isosorbide Dinitrate: 100 Tablet In 1 Bottle (16714-009-01),5.8,5.8,,,0 NDC,16714001401,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (16714-014-01)",6.0,6.0,,,0 NDC,16714001601,NDC Description Not Available,14.75,14.75,,,0 NDC,16714002601,NDC Description Not Available,14.05,14.05,,,0 NDC,16714002701,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (16714-027-01) / 2 Ml In 1 Vial, Single-Dose",45.45,45.45,,,0 NDC,16714003501,"Levetiracetam: 120 Tablet, Film Coated In 1 Bottle (16714-035-01)",4.12,4.12,,,0 NDC,16714003601,NDC Description Not Available,14.2,14.2,,,0 NDC,16714003701,NDC Description Not Available,59.0,59.0,,,0 NDC,16714004601,NDC Description Not Available,12.93,12.93,,,0 NDC,16714005210,Clopidogrel: 10 Tablet In 1 Blister Pack (16714-052-10),5.56,5.56,,,0 NDC,16714005501,Mupirocin: 1 Tube In 1 Carton (16714-055-01) / 15 G In 1 Tube,1215.98,1215.98,,,0 NDC,16714005601,NDC Description Not Available,13.59,13.59,,,0 NDC,16714006301,"Carbamazepine: 100 Tablet, Extended Release In 1 Bottle (16714-063-01)",5.9,5.9,,,0 NDC,16714006601,NDC Description Not Available,13.46,13.46,,,0 NDC,16714007001,NDC Description Not Available,543.54,543.54,,,0 NDC,16714007104,Baclofen: 100 Tablet In 1 Bottle (16714-071-04),3.26,3.26,,,0 NDC,16714007204,Baclofen: 100 Tablet In 1 Bottle (16714-072-04),3.0,3.0,,,0 NDC,16714008110,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (16714-081-10),4.8,4.8,,,0 NDC,16714008210,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (16714-082-10),6.0,6.0,,,0 NDC,16714009901,Tacrolimus: 100 Capsule In 1 Bottle (16714-099-01),9.44,9.44,,,0 NDC,16714011501,NDC Description Not Available,65.09,65.09,,,0 NDC,16714013001,Triamcinolone Acetonide: 1 Vial In 1 Carton (16714-130-01) / 1 Ml In 1 Vial,14.75,14.75,,,0 NDC,16714013025,Triamcinolone Acetonide: 25 Vial In 1 Carton (16714-130-25) / 1 Ml In 1 Vial,14.75,14.75,,,0 NDC,16714013701,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (16714-137-01) / 50 Ml In 1 Vial, Multi-Dose",1.93,1.93,,,0 NDC,16714014301,Aripiprazole: 30 Tablet In 1 Bottle (16714-143-01),7.3,7.3,,,0 NDC,16714015001,Triamcinolone Acetonide: 1 Vial In 1 Carton (16714-150-01) / 10 Ml In 1 Vial,14.75,14.75,,,0 NDC,16714016001,"Ondansetron: 30 Tablet, Film Coated In 1 Bottle (16714-160-01)",0.4,0.4,,,0 NDC,16714016701,Liothyronine Sodium: 100 Tablet In 1 Bottle (16714-167-01),6.2,6.2,,,0 NDC,16714017101,Tizanidine: 150 Tablet In 1 Bottle (16714-171-01),4.94,4.94,,,0 NDC,16714020010,NDC Description Not Available,6.0,6.0,,,0 NDC,16714023401,"Penicillin V Potassium: 100 Tablet, Film Coated In 1 Bottle (16714-234-01)",5.38,5.38,,,0 NDC,16714023501,"Penicillin V Potassium: 100 Tablet, Film Coated In 1 Bottle (16714-235-01)",6.0,6.0,,,0 NDC,16714024801,"Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (16714-248-01) / 5 Ml In 1 Vial, Single-Dose",3.67,3.67,,,0 NDC,16714025001,Tretinoin: 1 Tube In 1 Carton (16714-250-01) / 20 G In 1 Tube,679.28,679.28,,,0 NDC,16714025701,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-257-01)",4.73,4.73,,,0 NDC,16714029301,Amoxicillin And Clavulanate Potassium: 50 Ml In 1 Bottle (16714-293-01),11.66,11.66,,,0 NDC,16714029501,"Amoxicillin And Clavulanate Potassium: 30 Tablet, Film Coated In 1 Bottle (16714-295-01)",29.43,29.43,,,0 NDC,16714029801,Amoxicillin: 100 Capsule In 1 Bottle (16714-298-01),5.23,5.23,,,0 NDC,16714029903,Amoxicillin: 100 Capsule In 1 Bottle (16714-299-03),3.68,3.68,,,0 NDC,16714035801,"Levetiracetam: 473 Ml In 1 Bottle, Plastic (16714-358-01)",6.46,6.46,,,0 NDC,16714036501,Elinest: 1 Blister Pack In 1 Packet (16714-365-01) / 1 Kit In 1 Blister Pack,6.0,6.0,,,0 NDC,16714036504,Elinest: 6 Blister Pack In 1 Carton (16714-365-04) / 1 Kit In 1 Blister Pack,5.95,5.95,,,0 NDC,16714039102,Cefdinir: 60 CAPSULE in 1 BOTTLE (16714-391-02),9.57,9.57,,,0 NDC,16714040301,Cefpodoxime Proxetil: 1 Bottle In 1 Carton (16714-403-01) / 50 Ml In 1 Bottle,76.34,76.34,,,0 NDC,16714044201,Enalapril Maleate: 100 Tablet In 1 Bottle (16714-442-01),3.46,3.46,,,0 NDC,16714044301,Enalapril Maleate: 100 Tablet In 1 Bottle (16714-443-01),6.0,6.0,,,0 NDC,16714044401,Enalapril Maleate: 100 Tablet In 1 Bottle (16714-444-01),3.46,3.46,,,0 NDC,16714044501,Enalapril Maleate: 100 Tablet In 1 Bottle (16714-445-01),5.73,5.73,,,0 NDC,16714047601,"Amoxicillin And Clavulanate Potassium: 30 Tablet, Film Coated In 1 Bottle (16714-476-01)",29.43,29.43,,,0 NDC,16714048301,Clindamycin Palmitate Hydrochloride (Pediatric): 1 Bottle In 1 Carton (16714-483-01) / 100 Ml In 1 Bottle,42.46,42.46,,,0 NDC,16714049601,Clotrimazole And Betamethasone Dipropionate: 1 Tube In 1 Carton (16714-496-01) / 15 G In 1 Tube,135.88,135.88,,,0 NDC,16714053601,Glycopyrrolate: 1 Vial In 1 Carton (16714-536-01) / 1 Ml In 1 Vial,59.0,59.0,,,0 NDC,16714055701,"Metronidazole: 1 Tube, With Applicator In 1 Carton (16714-557-01) / 70 G In 1 Tube, With Applicator",715.67,715.67,,,0 NDC,16714057602,Allopurinol: 100 Tablet In 1 Bottle (16714-576-02),5.44,5.44,,,0 NDC,16714057701,Allopurinol: 100 Tablet In 1 Bottle (16714-577-01),5.98,5.98,,,0 NDC,16714061104,"Sertraline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-611-04)",5.78,5.78,,,0 NDC,16714061204,"Sertraline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-612-04)",3.14,3.14,,,0 NDC,16714062101,"Zolpidem Tartrate: 100 Tablet, Film Coated In 1 Bottle (16714-621-01)",3.94,3.94,,,0 NDC,16714062201,"Zolpidem Tartrate: 100 Tablet, Film Coated In 1 Bottle (16714-622-01)",5.91,5.91,,,0 NDC,16714062801,"Ciprofloxacin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (16714-628-01) / 7.5 Ml In 1 Bottle, Dropper",1274.8,1274.8,,,0 NDC,16714063301,Alendronate Sodium: 1 Blister Pack In 1 Carton (16714-633-01) / 4 Tablet In 1 Blister Pack,6.98,6.98,,,0 NDC,16714064301,Moxifloxacin: 1 Bottle In 1 Carton (16714-643-01) / 3 Ml In 1 Bottle,316.39,316.39,,,0 NDC,16714066101,Gabapentin: 100 Capsule In 1 Bottle (16714-661-01),4.89,4.89,,,0 NDC,16714066202,Gabapentin: 500 Capsule In 1 Bottle (16714-662-02),4.55,4.55,,,0 NDC,16714066301,Gabapentin: 100 Capsule In 1 Bottle (16714-663-01),4.4,4.4,,,0 NDC,16714067102,"Ondansetron: 1 Bottle, Plastic In 1 Carton (16714-671-02) / 50 Ml In 1 Bottle, Plastic",9.97,9.97,,,0 NDC,16714069001,NDC Description Not Available,1.93,1.93,,,0 NDC,16714069102,Fluconazole: 100 Tablet In 1 Bottle (16714-691-02),7.55,7.55,,,0 NDC,16714069302,Fluconazole: 100 Tablet In 1 Bottle (16714-693-02),16.52,16.52,,,0 NDC,16714069401,Fluconazole: 30 Tablet In 1 Bottle (16714-694-01),5.8,5.8,,,0 NDC,16714069601,Fluconazole: 1 Bottle In 1 Carton (16714-696-01) / 35 Ml In 1 Bottle,56.24,56.24,,,0 NDC,16714069701,"30 TABLET, FILM COATED in 1 BOTTLE (16714-697-01)",8.08,8.08,,,0 NDC,16714072002,Fluoxetine: 100 Capsule In 1 Bottle (16714-720-02),3.18,3.18,,,0 NDC,16714072102,Fluoxetine: 100 Capsule In 1 Bottle (16714-721-02),2.94,2.94,,,0 NDC,16714075501,Atomoxetine: 30 Capsule In 1 Bottle (16714-755-01),4.2,4.2,,,0 NDC,16714076903,"Nystatin: 60 G In 1 Bottle, Plastic (16714-769-03)",335.55,335.55,,,0 NDC,16714078202,1 TUBE in 1 CARTON (16714-782-02) / 30 g in 1 TUBE,657.51,657.51,,,0 NDC,16714079501,Terbinafine: 30 Tablet In 1 Bottle (16714-795-01),6.0,6.0,,,0 NDC,16714079601,Sumatriptan: 1 Blister Pack In 1 Carton (16714-796-01) / 9 Tablet In 1 Blister Pack,10.99,10.99,,,0 NDC,16714079701,Sumatriptan: 1 Blister Pack In 1 Carton (16714-797-01) / 9 Tablet In 1 Blister Pack,10.99,10.99,,,0 NDC,16714081301,Ezetimibe: 30 Tablet In 1 Bottle (16714-813-01),6.0,6.0,,,0 NDC,16714082001,"Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (16714-820-01)",13.97,13.97,,,0 NDC,16714083401,"Palonosetron: 1 Vial, Single-Use In 1 Carton (16714-834-01) / 5 Ml In 1 Vial, Single-Use",189.42,189.42,,,0 NDC,16714083501,Ziprasidone: 60 Capsule In 1 Bottle (16714-835-01),8.37,8.37,,,0 NDC,16714088502,Acyclovir: 1 Tube In 1 Carton (16714-885-02) / 30 G In 1 Tube,2188.48,2188.48,,,0 NDC,16714088701,Clobazam: 100 Tablet In 1 Bottle (16714-887-01),10.87,10.87,,,0 NDC,16714088801,Clobazam: 100 Tablet In 1 Bottle (16714-888-01),21.73,21.73,,,0 NDC,16714089701,Permethrin: 1 Tube In 1 Container (16714-897-01) / 60 G In 1 Tube,188.1,188.1,,,0 NDC,16714098801,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (16714-988-01)",5.23,5.23,,,0 NDC,16714099101,"Rosuvastatin Calcium: 30 Tablet, Film Coated In 1 Bottle (16714-991-01)",6.0,6.0,,,0 NDC,16714099602,Betamethasone Dipropionate: 1 Tube In 1 Carton (16714-996-02) / 45 G In 1 Tube,449.75,449.75,,,0 NDC,16729001901,Mycophenolate Mofetil: 100 Tablet In 1 Bottle (16729-019-01),1.88,1.88,,,0 NDC,16729002310,Bicalutamide: 30 Tablet In 1 Bottle (16729-023-10),6.0,6.0,,,0 NDC,16729003510,"Anastrozole: 30 Tablet In 1 Bottle, Plastic (16729-035-10)",27.0,27.0,,,0 NDC,16729004301,Tacrolimus: 100 Capsule In 1 Bottle (16729-043-01),3.62,3.62,,,0 NDC,16729009001,"Finasteride: 100 Tablet, Film Coated In 1 Bottle (16729-090-01)",6.0,6.0,,,0 NDC,16729011408,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-08) / 25 Ml In 1 Vial, Multi-Dose",6.73,6.73,,,0 NDC,16729011411,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-11) / 50 Ml In 1 Vial, Multi-Dose",6.7,6.7,,,0 NDC,16729011431,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-31) / 5 Ml In 1 Vial, Multi-Dose",6.86,6.86,,,0 NDC,16729011505,Mitomycin: 1 Vial In 1 Carton (16729-115-05) / 10 Ml In 1 Vial,1616.1,1616.1,,,0 NDC,16729013600,"Clonazepam: 100 Tablet In 1 Bottle, Plastic (16729-136-00)",4.98,4.98,,,0 NDC,16729013700,"Clonazepam: 100 Tablet In 1 Bottle, Plastic (16729-137-00)",5.29,5.29,,,0 NDC,16729013800,"Clonazepam: 100 Tablet In 1 Bottle, Plastic (16729-138-00)",2.75,2.75,,,0 NDC,16729014501,"Quetiapine: 100 Tablet, Film Coated In 1 Bottle (16729-145-01)",4.1,4.1,,,0 NDC,16729015131,Topotecan Hydrochloride: 1 Vial In 1 Package (16729-151-31) / 4 Ml In 1 Vial,23.45,23.45,,,0 NDC,16729018401,Hydrochlorothiazide: 100 Tablet In 1 Bottle (16729-184-01),6.0,6.0,,,0 NDC,16729024331,"Topotecan: 1 Vial, Multi-Dose In 1 Carton (16729-243-31) / 4 Ml In 1 Vial, Multi-Dose",22.74,22.74,,,0 NDC,16729027730,Methotrexate: 1 Vial In 1 Carton (16729-277-30) / 2 Ml In 1 Vial,17.21,17.21,,,0 NDC,16729028710,"Rosuvastatin: 30 Tablet, Film Coated In 1 Bottle (16729-287-10)",6.0,6.0,,,0 NDC,16729028811,Cisplatin: 50 Ml In 1 Vial (16729-288-11),24.42,24.42,,,0 NDC,16729028838,Cisplatin: 100 Ml In 1 Vial (16729-288-38),21.71,21.71,,,0 NDC,16729029315,"Eplerenone: 90 Tablet, Film Coated In 1 Bottle (16729-293-15)",8.68,8.68,,,0 NDC,16729029410,"Eplerenone: 30 Tablet, Film Coated In 1 Bottle (16729-294-10)",8.68,8.68,,,0 NDC,16729030610,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (16729-306-10)",6.7,6.7,,,0 NDC,16729042210,Tacrolimus: 1 Tube In 1 Carton (16729-422-10) / 30 G In 1 Tube,619.94,619.94,,,0 NDC,16729044015,"Cinacalcet: 90 Tablet, Film Coated In 1 Bottle, Plastic (16729-440-15)",2.46,2.46,,,0 NDC,16729044110,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle, Plastic (16729-441-10)",5.83,5.83,,,0 NDC,16729044310,"Bupropion Hydrochloride: 30 Tablet, Extended Release In 1 Bottle (16729-443-10)",4.56,4.56,,,0 NDC,16729044715,Levothyroxine Sodium: 90 Tablet In 1 Bottle (16729-447-15),5.67,5.67,,,0 NDC,16729044815,Levothyroxine Sodium: 90 Tablet In 1 Bottle (16729-448-15),5.3,5.3,,,0 NDC,16729048403,"Atropine Sulfate: 10 Ml In 1 Syringe, Glass (16729-484-03)",0.97,0.97,,,0 NDC,16729051205,NDC Description Not Available,1.18,1.18,,,0 NDC,16729052563,"Atropine Sulfate: 1 Vial, Single-Dose In 1 Carton (16729-525-63) / 1 Ml In 1 Vial, Single-Dose",3.22,3.22,,,0 NDC,16864068003,Dermoplast Pain Relieving: 85 G In 1 Can (16864-680-03),34.26,34.26,,,0 NDC,17238090011,Bioglo: 100 Packet In 1 Box (17238-900-11) / 1 Mg In 1 Packet (17238-900-99),5.33,5.33,,,0 NDC,17478005001,Sufentanil Citrate: 10 AMPULE in 1 CARTON (17478-050-01) / 1 mL in 1 AMPULE,30.05,30.05,,,0 NDC,17478005002,Sufentanil Citrate: 10 AMPULE in 1 CARTON (17478-050-02) / 2 mL in 1 AMPULE,23.5,23.5,,,0 NDC,17478008130,"Ropivacaine Hydrochloride: 1 VIAL, SINGLE-DOSE in 1 CARTON (17478-081-30) / 30 mL in 1 VIAL, SINGLE-DOSE",0.46,0.46,,,0 NDC,17478010002,"Cyclopentolate Hydrochloride: 1 BOTTLE, DROPPER in 1 CARTON (17478-100-02) / 2 mL in 1 BOTTLE, DROPPER",73.29,73.29,,,0 NDC,17478010212,"Tropicamide: 1 BOTTLE, DROPPER in 1 CARTON (17478-102-12) / 15 mL in 1 BOTTLE, DROPPER",52.74,52.74,,,0 NDC,17478017324,"Xopenex: 2 POUCH in 1 CARTON (17478-173-24) / 12 VIAL, SINGLE-DOSE in 1 POUCH (17478-173-12) / 3 mL in 1 VIAL, SINGLE-DOSE",16.18,16.18,,,0 NDC,17478020102,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (17478-201-02) / 2 Ml In 1 Bottle, Dropper",201.5,201.5,,,0 NDC,17478020115,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (17478-201-15) / 15 Ml In 1 Bottle, Dropper",558.0,558.0,,,0 NDC,17478021502,"Atropine: 1 BOTTLE, DROPPER in 1 CARTON (17478-215-02) / 2 mL in 1 BOTTLE, DROPPER",237.4,237.4,,,0 NDC,17478023835,AK-POLY-BAC: 1 TUBE in 1 CARTON (17478-238-35) / 3.5 g in 1 TUBE,86.18,86.18,,,0 NDC,17478025310,"AK-FLUOR: 12 VIAL, SINGLE-DOSE in 1 PACKAGE (17478-253-10) / 5 mL in 1 VIAL, SINGLE-DOSE",482.4,482.4,,,0 NDC,17478026312,"Proparacaine Hydrochloride: 1 BOTTLE, DROPPER in 1 CARTON (17478-263-12) / 15 mL in 1 BOTTLE, DROPPER",217.62,217.62,,,0 NDC,17478028310,"Gentamicin Sulfate: 1 BOTTLE, DROPPER in 1 CARTON (17478-283-10) / 5 mL in 1 BOTTLE, DROPPER",95.17,95.17,,,0 NDC,17478038020,"Methadone Hydrochloride: 20 mL in 1 VIAL, MULTI-DOSE (17478-380-20)",60.3,60.3,,,0 NDC,17478040303,FUL-GLO: 300 APPLICATOR in 1 CARTON (17478-403-03) / 1 STRIP in 1 APPLICATOR,6.0,6.0,,,0 NDC,17478054001,Hydromorphone Hydrochloride: 10 AMPULE in 1 CARTON (17478-540-01) / 1 mL in 1 AMPULE,1.195,1.195,,,0 NDC,17478062312,"Sodium Chloride: 1 BOTTLE, DROPPER in 1 CARTON (17478-623-12) / 15 mL in 1 BOTTLE, DROPPER",73.1,73.1,,,0 NDC,17478062512,"LATANOPROST: 1 BOTTLE, DROPPER in 1 CARTON (17478-625-12) / 2.5 mL in 1 BOTTLE, DROPPER",96.41,96.41,,,0 NDC,17478071410,"Ciprofloxacin: 1 BOTTLE, DROPPER in 1 CARTON (17478-714-10) / 5 mL in 1 BOTTLE, DROPPER",55.0,55.0,,,0 NDC,17856004503,"Max Relief Junior: 120 Syringe In 1 Box, Unit-Dose (17856-0045-3) / 2.5 Ml In 1 Syringe (17856-0045-7)",8.98,8.98,,,0 NDC,17856018204,"ACETAMINOPHEN: 72 CUP, UNIT-DOSE in 1 BOX, UNIT-DOSE (17856-0182-4) / 5 mL in 1 CUP, UNIT-DOSE (17856-0182-5)",7.75,7.75,,,0 NDC,17856055504,"Ondansetron: 120 Syringe In 1 Box, Unit-Dose (17856-0555-4) / 1.25 Ml In 1 Syringe",9.14,9.14,,,0 NDC,17856130305,"Infants: 60 Syringe In 1 Box, Unit-Dose (17856-1303-5) / 1.2 Ml In 1 Syringe",6.0,6.0,,,0 NDC,17856356603,Midazolam Hydrochloride: 5 Ml In 1 Cup (17856-3566-3),42.2,42.2,,,0 NDC,18657011701,NDC Description Not Available,2.49,2.49,,,0 NDC,18657011702,NDC Description Not Available,2.49,2.49,,,0 NDC,18657011704,Hylenex Recombinant: 4 Box In 1 Carton (18657-117-04) / 1 Vial In 1 Box (18657-117-02) / 1 Ml In 1 Vial (18657-117-01),2.49,2.49,,,0 NDC,19515080841,NDC Description Not Available,113.625,113.625,,,0 NDC,19515080852,Flulaval Quadrivalent: 10 SYRINGE in 1 CARTON (19515-808-52) / .5 mL in 1 SYRINGE (19515-808-41),29.0,29.0,,,0 NDC,19515081041,NDC Description Not Available,70.0,70.0,,,0 NDC,19515081052,Flulaval 2024/2025: 10 Syringe In 1 Carton (19515-810-52) / .5 Ml In 1 Syringe (19515-810-41),29.0,29.0,,,0 NDC,19515081441,NDC Description Not Available,29.0,29.0,,,0 NDC,19515081452,Flulaval Quadrivalent: 10 SYRINGE in 1 CARTON (19515-814-52) / .5 mL in 1 SYRINGE (19515-814-41),29.0,29.0,,,0 NDC,21586001101,NDC Description Not Available,59.0,59.0,,,0 NDC,21922001604,"Clobetasol Propionate Cream Usp, 0.05% Clobetasol Propionate Cream Usp, 0.05%: 15 G In 1 Tube (21922-016-04)",30.97,30.97,,,0 NDC,21922001705,Clobetasol Propionate: 1 Tube In 1 Carton (21922-017-05) / 30 G In 1 Tube,61.94,61.94,,,0 NDC,21922006330,Triamcinolone Acetonide: 454 G In 1 Jar (21922-063-30),154.82,154.82,,,0 NDC,23155002601,Verapamil Hydrochloride: 100 Tablet In 1 Bottle (23155-026-01),5.95,5.95,,,0 NDC,23155004303,Leflunomide: 30 Tablet In 1 Bottle (23155-043-03),5.22,5.22,,,0 NDC,23155007001,Methimazole: 100 Tablet In 1 Bottle (23155-070-01),4.35,4.35,,,0 NDC,23155007101,Methimazole: 100 Tablet In 1 Bottle (23155-071-01),4.4,4.4,,,0 NDC,23155016631,NDC Description Not Available,57.265,57.265,,,0 NDC,23155019501,Nifedipine: 100 Capsule In 1 Bottle (23155-195-01),6.0,6.0,,,0 NDC,23155021631,"Cidofovir Dihydrate: 5 Ml In 1 Vial, Glass (23155-216-31)",1916.74,1916.74,,,0 NDC,23155024801,Venlafaxine: 100 Tablet In 1 Bottle (23155-248-01),4.83,4.83,,,0 NDC,23155024901,Venlafaxine: 100 Tablet In 1 Bottle (23155-249-01),4.64,4.64,,,0 NDC,23155025001,Venlafaxine: 100 Tablet In 1 Bottle (23155-250-01),6.0,6.0,,,0 NDC,23155025831,Adenosine: 1 Vial In 1 Carton (23155-258-31) / 20 Ml In 1 Vial,7.26,7.26,,,0 NDC,23155029031,NDC Description Not Available,9.98,9.98,,,0 NDC,23155029032,NDC Description Not Available,9.72,9.72,,,0 NDC,23155029431,NDC Description Not Available,59.04,59.04,,,0 NDC,23155029442,Prochlorperazine Edisylate: 10 Vial In 1 Package (23155-294-42) / 2 Ml In 1 Vial (23155-294-31),58.01,58.01,,,0 NDC,23155031331,"Acetazolamide: 5 Ml In 1 Vial, Glass (23155-313-31)",265.99,265.99,,,0 NDC,23155047331,NDC Description Not Available,59.0,59.0,,,0 NDC,23155048901,Desmopressin Acetate: 100 Tablet In 1 Bottle (23155-489-01),6.51,6.51,,,0 NDC,23155050001,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (23155-500-01),5.75,5.75,,,0 NDC,23155051200,"Nimodipine: 10 Blister Pack In 1 Carton (23155-512-00) / 10 Capsule, Liquid Filled In 1 Blister Pack",7.44,7.44,,,0 NDC,23155051211,NDC Description Not Available,7.44,7.44,,,0 NDC,23155053201,Ethosuximide: 100 Capsule In 1 Bottle (23155-532-01),7.44,7.44,,,0 NDC,23155054731,NDC Description Not Available,11.98,11.98,,,0 NDC,23155054742,Ondansetron: 25 Vial In 1 Carton (23155-547-42) / 2 Ml In 1 Vial (23155-547-31),8.85,8.85,,,0 NDC,23155054931,Ondansetron: 1 Vial In 1 Carton (23155-549-31) / 20 Ml In 1 Vial,1.47,1.47,,,0 NDC,23155060031,NDC Description Not Available,24.585,24.585,,,0 NDC,23155060132,NDC Description Not Available,0.77,0.77,,,0 NDC,23155064731,NDC Description Not Available,3925.72,3925.72,,,0 NDC,23155064941,"Carmustine: 1 Kit In 1 Carton (23155-649-41) * 3 Ml In 1 Vial (23155-648-31) * 30 Ml In 1 Vial, Single-Dose (23155-647-31)",3317.55,3317.55,,,0 NDC,23155066201,Calcitriol: 100 Capsule In 1 Bottle (23155-662-01),3.05,3.05,,,0 NDC,23155068631,"Octreotide Acetate: 5 Ml In 1 Vial, Glass (23155-686-31)",6.98,6.98,,,0 NDC,23155068931,NDC Description Not Available,7.17,7.17,,,0 NDC,23155068941,"Octreotide Acetate: 10 Vial, Glass In 1 Carton (23155-689-41) / 1 Ml In 1 Vial, Glass (23155-689-31)",7.17,7.17,,,0 NDC,23155070401,Enalapril Maleate: 100 Tablet In 1 Bottle (23155-704-01),3.86,3.86,,,0 NDC,23155072401,Labetalol Hydrochloride: 100 Tablet In 1 Bottle (23155-724-01),3.14,3.14,,,0 NDC,23155074831,NDC Description Not Available,654.59,654.59,,,0 NDC,23155076701,Tetracycline Hydrochloride: 100 Capsule In 1 Bottle (23155-767-01),16.8,16.8,,,0 NDC,23155077201,Enalapril Maleate: 100 Tablet In 1 Bottle (23155-772-01),5.14,5.14,,,0 NDC,23155083301,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (23155-833-01),5.12,5.12,,,0 NDC,23155083401,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (23155-834-01),3.0,3.0,,,0 NDC,23155085878,Vancomycin Hydrochloride: 2 Blister Pack In 1 Carton (23155-858-78) / 10 Capsule In 1 Blister Pack,29.45,29.45,,,0 NDC,23155086931,NDC Description Not Available,87.53,87.53,,,0 NDC,23155086941,"Arsenic Trioxide: 10 Vial, Single-Dose In 1 Carton (23155-869-41) / 10 Ml In 1 Vial, Single-Dose (23155-869-31)",76.38,76.38,,,0 NDC,23594050501,MILLIPRED: 100 TABLET in 1 BOTTLE (23594-505-01),95.77,95.77,,,0 NDC,24201001020,Pentobarbital Sodium: 1 Vial In 1 Carton (24201-010-20) / 20 Ml In 1 Vial,405.44,405.44,,,0 NDC,24201010001,NDC Description Not Available,0.93,0.93,,,0 NDC,24201023701,fludarabine phosphate: 1 VIAL in 1 CARTON (24201-237-01) / 2 mL in 1 VIAL,604.8,604.8,,,0 NDC,24201040002,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (24201-400-02) / 2 Ml In 1 Vial, Multi-Dose",12143.76,12143.76,,,0 NDC,24208000202,"2 VIAL, SINGLE-USE in 1 CARTON (24208-002-02) / 1.2 mL in 1 VIAL, SINGLE-USE",809.54,809.54,,,0 NDC,24208004040,Xipere: 1 Tray In 1 Carton (24208-040-40) / 1 Vial In 1 Tray / .9 Ml In 1 Vial (24208-040-41),308.72,308.72,,,0 NDC,24208029905,Lotemax: 1 Bottle In 1 Carton (24208-299-05) / 5 Ml In 1 Bottle,1972.35,1972.35,,,0 NDC,24208031510,"Polymyxin B Sulfate And Trimethoprim: 1 Bottle, Dropper In 1 Carton (24208-315-10) / 10 Ml In 1 Bottle, Dropper",66.65,66.65,,,0 NDC,24208034205,"Desmopressin Acetate: 1 Bottle, Pump In 1 Carton (24208-342-05) / 5 Ml In 1 Bottle, Pump",1221.47,1221.47,,,0 NDC,24208046325,Latanoprost: 1 Bottle In 1 Carton (24208-463-25) / 2.5 Ml In 1 Bottle,111.6,111.6,,,0 NDC,24208048510,"Dorzolamide Hcl: 1 Bottle, Dropper In 1 Carton (24208-485-10) / 10 Ml In 1 Bottle, Dropper",210.74,210.74,,,0 NDC,24208048610,"Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle, Dropper In 1 Carton (24208-486-10) / 10 Ml In 1 Bottle, Dropper",309.94,309.94,,,0 NDC,24208050307,Lotemax: 1 Bottle In 1 Carton (24208-503-07) / 5 G In 1 Bottle,1606.24,1606.24,,,0 NDC,24208053920,Miochol E: 1 Kit In 1 Blister Pack (24208-539-20) * 2 Ml In 1 Vial * 2 Ml In 1 Ampule,868.05,868.05,,,0 NDC,24208055555,Bacitracin Zinc And Polymyxin B Sulfate: 1 Tube In 1 Carton (24208-555-55) / 3.5 G In 1 Tube,142.12,142.12,,,0 NDC,24208058060,"Gentamicin Sulfate: 1 Bottle, Dropper In 1 Carton (24208-580-60) / 5 Ml In 1 Bottle, Dropper",221.41,221.41,,,0 NDC,24208063110,"Neomycin And Polymyxin B Sulfates And Hydrocortisone: 1 Bottle, Dropper In 1 Carton (24208-631-10) / 10 Ml In 1 Bottle, Dropper",520.18,520.18,,,0 NDC,24208067004,"Sulfacetamide Sodium: 1 Bottle, Dropper In 1 Carton (24208-670-04) / 15 Ml In 1 Bottle, Dropper",302.25,302.25,,,0 NDC,24208072002,"Dexamethasone Sodium Phosphate: 1 Bottle, Dropper In 1 Carton (24208-720-02) / 5 Ml In 1 Bottle, Dropper",334.18,334.18,,,0 NDC,24208073006,"Proparacaine Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-730-06) / 15 Ml In 1 Bottle, Dropper",217.53,217.53,,,0 NDC,24208073501,"Cyclopentolate Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-735-01) / 2 Ml In 1 Bottle, Dropper",75.02,75.02,,,0 NDC,24208078055,Neomycin And Polymyxin B Sulfates And Bacitracin Zinc: 1 Tube In 1 Carton (24208-780-55) / 3.5 G In 1 Tube,282.54,282.54,,,0 NDC,24208079062,"Neomycin And Polymyxin B Sulfates And Gramicidin: 1 Bottle, Dropper In 1 Carton (24208-790-62) / 10 Ml In 1 Bottle, Dropper",316.51,316.51,,,0 NDC,24208079535,Neomycin And Polymyxin B Sulfates And Dexamethasone: 1 Tube In 1 Carton (24208-795-35) / 3.5 G In 1 Tube,98.52,98.52,,,0 NDC,24208091019,Erythromycin: 50 Tube In 1 Box (24208-910-19) / 1 G In 1 Tube,61.58,61.58,,,0 NDC,24208091055,Erythromycin: 1 Tube In 1 Carton (24208-910-55) / 3.5 G In 1 Tube,94.25,94.25,,,0 NDC,24338001009,"Bidil: 90 Tablet, Film Coated In 1 Bottle (24338-010-09)",28.4,28.4,,,0 NDC,24338001018,"180 TABLET, FILM COATED in 1 BOTTLE (24338-010-18)",23.78,23.78,,,0 NDC,24338010213,"Erythromycin: 100 Tablet, Film Coated In 1 Bottle (24338-102-13)",71.95,71.95,,,0 NDC,24338013610,E.E.S: 200 Ml In 1 Bottle (24338-136-10),37.17,37.17,,,0 NDC,24338015001,NDC Description Not Available,8299.69,8299.69,,,0 NDC,24338015020,"Triptodur: 1 Kit In 1 Carton (24338-150-20) * 2 Ml In 1 Vial * 2 Ml In 1 Syringe, Glass",10307.03,10307.03,,,0 NDC,24338023005,NDC Description Not Available,303.84,303.84,,,0 NDC,24338023012,"Nymalize: 12 Package In 1 Carton (24338-230-12) / 1 Syringe, Plastic In 1 Package (24338-230-05) / 5 Ml In 1 Syringe, Plastic",306.75,306.75,,,0 NDC,24338023015,NDC Description Not Available,292.24,292.24,,,0 NDC,24338026008,Nymalize: 237 Ml In 1 Bottle (24338-260-08),623.66,623.66,,,0 NDC,24357070105,NDC Description Not Available,21.7,21.7,,,0 NDC,24357070106,Anecream: 5 Tube In 1 Carton (24357-701-06) / 5 G In 1 Tube (24357-701-05),21.7,21.7,,,0 NDC,24357070107,Anecream: 5 Tube In 1 Carton (24357-701-07) / 5 G In 1 Tube (24357-701-05),124.0,124.0,,,0 NDC,24357070115,Anecream: 1 Tube In 1 Carton (24357-701-15) / 15 G In 1 Tube,99.24,99.24,,,0 NDC,24385036126,Good Neighbor Pharmacy Childrens Ibuprofen: 1 Bottle In 1 Carton (24385-361-26) / 120 Ml In 1 Bottle,2.0,2.0,,,0 NDC,24385037226,Good Neighbor Pharmacy Childrens Ibuprofen: 1 Bottle In 1 Carton (24385-372-26) / 120 Ml In 1 Bottle,2.0,2.0,,,0 NDC,24658080130,Rifampin: 30 Capsule In 1 Bottle (24658-801-30),24.79,24.79,,,0 NDC,24979015514,Cephalexin: 100 mL in 1 BOTTLE (24979-155-14),6.0,6.0,,,0 NDC,24979015538,Cephalexin: 200 mL in 1 BOTTLE (24979-155-38),6.0,6.0,,,0 NDC,25010021515,Edecrin: 100 Tablet In 1 Bottle (25010-215-15),151.55,151.55,,,0 NDC,25021005301,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (25021-053-01) / 1 Ml In 1 Vial,5.9,5.9,,,0 NDC,25021010110,Cefazolin: 25 Vial In 1 Carton (25021-101-10) / 3 Ml In 1 Vial,96.5,96.5,,,0 NDC,25021010910,"Cefoxitin: 10 Vial In 1 Carton (25021-109-10) / 1 Injection, Powder, For Solution In 1 Vial",104.08,104.08,,,0 NDC,25021011020,"Cefoxitin: 10 Vial In 1 Carton (25021-110-20) / 1 Injection, Powder, For Solution In 1 Vial",75.5,75.5,,,0 NDC,25021011487,Ciprofloxacin: 24 Pouch In 1 Carton (25021-114-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,144.75,144.75,,,0 NDC,25021012250,"Cefepime: 10 Vial In 1 Carton (25021-122-50) / 1 Injection, Powder, For Solution In 1 Vial",32.5,32.5,,,0 NDC,25021012720,"Ceftazidime: 25 Vial In 1 Carton (25021-127-20) / 1 Injection, Powder, For Solution In 1 Vial",96.5,96.5,,,0 NDC,25021012850,"Ceftazidime: 10 Vial In 1 Carton (25021-128-50) / 1 Injection, Powder, For Solution In 1 Vial",33.335,33.335,,,0 NDC,25021012999,Ceftazidime: 6 Bottle In 1 Carton (25021-129-99) / 30 Ml In 1 Bottle,29.71,29.71,,,0 NDC,25021013182,Metronidazole: 24 Pouch In 1 Carton (25021-131-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,11.315,11.315,,,0 NDC,25021013281,Levofloxacin: 24 Pouch In 1 Carton (25021-132-81) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,193.0,193.0,,,0 NDC,25021013282,Levofloxacin: 24 Pouch In 1 Carton (25021-132-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,136.58,136.58,,,0 NDC,25021013283,Levofloxacin: 24 Pouch In 1 Carton (25021-132-83) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,64.33,64.33,,,0 NDC,25021014220,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (25021-142-20) / 1 Injection, Powder, For Solution In 1 Vial",108.67,108.67,,,0 NDC,25021014499,Ampicillin And Sulbactam: 1 Bottle In 1 Carton (25021-144-99) / 100 Ml In 1 Bottle,32.17,32.17,,,0 NDC,25021015899,Vancomycin: 1 Bottle In 1 Carton (25021-158-99) / 100 Ml In 1 Bottle,23.065,23.065,,,0 NDC,25021016224,"Oxacillin: 10 Vial In 1 Carton (25021-162-24) / 1 Injection, Powder, For Solution In 1 Vial",24.12,24.12,,,0 NDC,25021017915,Daptomycin: 1 Vial In 1 Carton (25021-179-15) / 7 Ml In 1 Vial,1.48,1.48,,,0 NDC,25021017916,Daptomycin: 10 Vial In 1 Carton (25021-179-16) / 7 Ml In 1 Vial,1.48,1.48,,,0 NDC,25021018466,Fluconazole: 10 Pouch In 1 Carton (25021-184-66) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,59.0,59.0,,,0 NDC,25021018482,Fluconazole: 10 Pouch In 1 Carton (25021-184-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,60.23,60.23,,,0 NDC,25021018487,Fluconazole: 10 Pouch In 1 Carton (25021-184-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,53.61,53.61,,,0 NDC,25021019110,Micafungin: 1 Vial In 1 Carton (25021-191-10) / 5 Ml In 1 Vial,12.11,12.11,,,0 NDC,25021019287,Ciprofloxacin: 24 Pouch In 1 Carton (25021-192-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,96.5,96.5,,,0 NDC,25021020110,Mesna: 1 Vial In 1 Carton (25021-201-10) / 10 Ml In 1 Vial,38.29,38.29,,,0 NDC,25021020401,Vinorelbine: 1 Vial In 1 Carton (25021-204-01) / 1 Ml In 1 Vial,144.47,144.47,,,0 NDC,25021020405,Vinorelbine: 1 Vial In 1 Carton (25021-204-05) / 5 Ml In 1 Vial,106.84,106.84,,,0 NDC,25021020725,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (25021-207-25) / 25 Ml In 1 Vial,31.96,31.96,,,0 NDC,25021020751,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (25021-207-51) / 100 Ml In 1 Vial,42.02,42.02,,,0 NDC,25021023002,Irinotecan Hydrochloride: 1 Vial In 1 Carton (25021-230-02) / 2 Ml In 1 Vial,54.64,54.64,,,0 NDC,25021023005,Irinotecan Hydrochloride: 1 Vial In 1 Carton (25021-230-05) / 5 Ml In 1 Vial,39.94,39.94,,,0 NDC,25021023320,Oxaliplatin: 1 Vial In 1 Carton (25021-233-20) / 20 Ml In 1 Vial,1.67,1.67,,,0 NDC,25021023550,Gemcitabine: 1 Vial In 1 Carton (25021-235-50) / 25 Ml In 1 Vial,65.14,65.14,,,0 NDC,25021024110,Busulfan: 8 Vial In 1 Carton (25021-241-10) / 10 Ml In 1 Vial,55.84,55.84,,,0 NDC,25021024202,Fludarabine Phosphate: 1 Vial In 1 Carton (25021-242-02) / 2 Ml In 1 Vial,959.3199999999999,959.3199999999999,,,0 NDC,25021025350,Cisplatin: 1 Vial In 1 Carton (25021-253-50) / 50 Ml In 1 Vial,34.12,34.12,,,0 NDC,25021025351,Cisplatin: 1 Vial In 1 Carton (25021-253-51) / 100 Ml In 1 Vial,25.37,25.37,,,0 NDC,25021025550,Paclitaxel: 1 Vial In 1 Carton (25021-255-50) / 50 Ml In 1 Vial,1.43,1.43,,,0 NDC,25021030520,Chlorothiazide Sodium: 1 Vial In 1 Carton (25021-305-20) / 18 Ml In 1 Vial,179.435,179.435,,,0 NDC,25021030884,Esmolol Hydrochloride: 10 Bag In 1 Carton (25021-308-84) / 250 Ml In 1 Bag,3.72,3.72,,,0 NDC,25021031102,Furosemide: 25 Vial In 1 Carton (25021-311-02) / 2 Ml In 1 Vial,26.57,26.57,,,0 NDC,25021031104,Furosemide: 25 Vial In 1 Carton (25021-311-04) / 4 Ml In 1 Vial,4.12,4.12,,,0 NDC,25021031382,Milrinone Lactate In Dextrose: 10 Bag In 1 Carton (25021-313-82) / 100 Ml In 1 Bag,48.25,48.25,,,0 NDC,25021031802,Adenosine: 10 Vial In 1 Carton (25021-318-02) / 2 Ml In 1 Vial,8.35,8.35,,,0 NDC,25021031910,Diltiazem Hydrochloride: 10 Vial In 1 Carton (25021-319-10) / 10 Ml In 1 Vial,21.24,21.24,,,0 NDC,25021031925,Diltiazem Hydrochloride: 10 Vial In 1 Carton (25021-319-25) / 25 Ml In 1 Vial,2.44,2.44,,,0 NDC,25021032110,Bumetanide: 10 Vial In 1 Carton (25021-321-10) / 10 Ml In 1 Vial,4.54,4.54,,,0 NDC,25021032210,Procainamide Hydrochloride: 10 Vial In 1 Carton (25021-322-10) / 10 Ml In 1 Vial,2010.0,2010.0,,,0 NDC,25021040066,Heparin Sodium: 25 Vial In 1 Carton (25021-400-66) / 1 Ml In 1 Vial,9.83,9.83,,,0 NDC,25021040102,Heparin Sodium: 25 Vial In 1 Carton (25021-401-02) / 2 Ml In 1 Vial,33.53,33.53,,,0 NDC,25021050002,Thiamine Hydrochloride: 25 Vial In 1 Carton (25021-500-02) / 2 Ml In 1 Vial,38.66,38.66,,,0 NDC,25021060103,Caffeine Citrate: 1 Vial In 1 Carton (25021-601-03) / 3 Ml In 1 Vial,21.73,21.73,,,0 NDC,25021060203,Caffeine Citrate: 10 Vial In 1 Carton (25021-602-03) / 3 Ml In 1 Vial,41.34,41.34,,,0 NDC,25021067376,Glydo: 10 Syringe In 1 Carton (25021-673-76) / 6 Ml In 1 Syringe,57.99,57.99,,,0 NDC,25021067377,Glydo: 10 Syringe In 1 Carton (25021-673-77) / 11 Ml In 1 Syringe,37.97,37.97,,,0 NDC,25021067620,Pentobarbital Sodium: 1 Vial In 1 Carton (25021-676-20) / 20 Ml In 1 Vial,468.55,468.55,,,0 NDC,25021075110,Pantoprazole Sodium: 10 Vial In 1 Carton (25021-751-10) / 10 Ml In 1 Vial,59.0,59.0,,,0 NDC,25021079002,Prochlorperazine Edisylate: 10 Vial In 1 Carton (25021-790-02) / 2 Ml In 1 Vial,59.0,59.0,,,0 NDC,25021079120,"Lacosamide: 10 Vial, Glass In 1 Carton (25021-791-20) / 20 Ml In 1 Vial, Glass",274.04,274.04,,,0 NDC,25021081230,Acetylcysteine: 4 Vial In 1 Carton (25021-812-30) / 30 Ml In 1 Vial,11.14,11.14,,,0 NDC,25021081310,Leucovorin Calcium: 10 Vial In 1 Carton (25021-813-10) / 5 Ml In 1 Vial,64.03,64.03,,,0 NDC,25021081430,Leucovorin Calcium: 1 Vial In 1 Carton (25021-814-30) / 10 Ml In 1 Vial,67.15,67.15,,,0 NDC,25021081630,Leucovorin Calcium: 1 Vial In 1 Carton (25021-816-30) / 17.5 Ml In 1 Vial,66.15,66.15,,,0 NDC,25208000104,"Aggrastat: 1 Vial, Glass In 1 Carton (25208-001-04) / 15 Ml In 1 Vial, Glass",25.43,25.43,,,0 NDC,25208000201,Aggrastat: 1 Bag In 1 Carton (25208-002-01) / 100 Ml In 1 Bag,28.965000000000003,28.965000000000003,,,0 NDC,25357002503,"Photrexa Cross-Linking Kit: 2 Pouch In 1 Box (25357-025-03) / 1 Pouch In 1 Pouch / 1 Syringe, Glass In 1 Pouch / 1 Kit In 1 Syringe, Glass",13076.84,13076.84,,,0 NDC,25682000101,Soliris: 1 Vial In 1 Carton (25682-001-01) / 30 Ml In 1 Vial,580.14,580.14,,,0 NDC,25682002501,"Ultomiris: 1 Vial, Glass In 1 Carton (25682-025-01) / 3 Ml In 1 Vial, Glass",969.58,969.58,,,0 NDC,25682002801,"Ultomiris: 1 Vial, Glass In 1 Carton (25682-028-01) / 11 Ml In 1 Vial, Glass",969.6,969.6,,,0 NDC,27241009706,"Duloxetine: 60 Capsule, Delayed Release In 1 Bottle (27241-097-06)",3.1,3.1,,,0 NDC,27241009903,"Duloxetine: 30 Capsule, Delayed Release In 1 Bottle (27241-099-03)",5.2,5.2,,,0 NDC,27241012302,Tadalafil: 60 Tablet In 1 Bottle (27241-123-02),5.56,5.56,,,0 NDC,27241013421,NDC Description Not Available,6.2,6.2,,,0 NDC,27241016201,Captopril: 100 Tablet In 1 Bottle (27241-162-01),8.68,8.68,,,0 NDC,27505000367,"Revonto: 6 VIAL, GLASS in 1 CARTON (27505-003-67) / 60 mL in 1 VIAL, GLASS",469.0,469.0,,,0 NDC,29033000301,"Sucralfate: 100 Tablet In 1 Bottle, Plastic (29033-003-01)",5.76,5.76,,,0 NDC,29300012601,"Bisoprolol Fumarate: 100 Tablet In 1 Bottle, Plastic (29300-126-01)",6.0,6.0,,,0 NDC,29300012613,"Bisoprolol Fumarate: 30 Tablet In 1 Bottle, Plastic (29300-126-13)",5.75,5.75,,,0 NDC,29300012801,Hydrochlorothiazide: 100 Tablet In 1 Bottle (29300-128-01),4.56,4.56,,,0 NDC,29300017216,"Memantine Hydrochloride: 60 Tablet, Film Coated In 1 Bottle, Plastic (29300-172-16)",6.0,6.0,,,0 NDC,29300035501,"Tramadol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (29300-355-01)",5.57,5.57,,,0 NDC,29300041301,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (29300-413-01)",5.3,5.3,,,0 NDC,29300042901,Zonisamide: 100 Capsule In 1 Bottle (29300-429-01),1.61,1.61,,,0 NDC,30698091115,Rocaltrol: 15 Ml In 1 Bottle (30698-911-15),88.73,88.73,,,0 NDC,31722001130,"Deferasirox: 30 Tablet, Film Coated In 1 Bottle (31722-011-30)",8.48,8.48,,,0 NDC,31722001330,"Deferasirox: 30 Tablet, Film Coated In 1 Bottle (31722-013-30)",33.9,33.9,,,0 NDC,31722005030,"Eplerenone: 30 Tablet, Film Coated In 1 Bottle (31722-050-30)",5.16,5.16,,,0 NDC,31722010430,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (31722-104-30)",0.54,0.54,,,0 NDC,31722011705,NDC Description Not Available,1.18,1.18,,,0 NDC,31722011730,NDC Description Not Available,0.31,0.31,,,0 NDC,31722014201,Captopril: 100 Tablet In 1 Bottle (31722-142-01),5.79,5.79,,,0 NDC,31722015130,"Valsartan: 30 Tablet, Film Coated In 1 Bottle (31722-151-30)",6.0,6.0,,,0 NDC,31722050560,Nevirapine: 60 Tablet In 1 Bottle (31722-505-60),6.0,6.0,,,0 NDC,31722052001,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (31722-520-01),6.0,6.0,,,0 NDC,31722052101,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (31722-521-01),4.11,4.11,,,0 NDC,31722053001,Torsemide: 100 Tablet In 1 Bottle (31722-530-01),4.93,4.93,,,0 NDC,31722053101,Torsemide: 100 Tablet In 1 Bottle (31722-531-01),2.2,2.2,,,0 NDC,31722063031,Oseltamivir Phosphate: 10 Capsule In 1 Carton (31722-630-31),16.12,16.12,,,0 NDC,31722063231,Oseltamivir Phosphate: 10 Capsule In 1 Carton (31722-632-31),16.12,16.12,,,0 NDC,31722068147,Acyclovir: 473 Ml In 1 Bottle (31722-681-47),8.39,8.39,,,0 NDC,31722072690,"Montelukast Sodium: 90 Tablet, Film Coated In 1 Bottle (31722-726-90)",6.0,6.0,,,0 NDC,31722072830,"Montelukast Sodium: 30 Tablet, Chewable In 1 Bottle (31722-728-30)",3.27,3.27,,,0 NDC,31722074920,"Linezolid: 20 Tablet, Film Coated In 1 Bottle (31722-749-20)",36.43,36.43,,,0 NDC,31722077701,Acyclovir: 100 Tablet In 1 Bottle (31722-777-01),5.83,5.83,,,0 NDC,31722077801,Acyclovir: 100 Tablet In 1 Bottle (31722-778-01),6.0,6.0,,,0 NDC,31722087801,Mycophenolate Mofetil: 1 Bottle In 1 Carton (31722-878-01) / 100 Capsule In 1 Bottle,3.99,3.99,,,0 NDC,32909010510,"Varibar Thin Liquid: 24 Bottle, Plastic In 1 Case (32909-105-10) / 148 G In 1 Bottle, Plastic",7.54,7.54,,,0 NDC,32909011500,"Varibar Nectar: 240 mL in 1 BOTTLE, PLASTIC (32909-115-00)",14.6,14.6,,,0 NDC,32909012107,"Varibar Thin Honey: 12 Bottle, Plastic In 1 Case (32909-121-07) / 250 Ml In 1 Bottle, Plastic",24.8,24.8,,,0 NDC,32909012207,"Varibar Honey: 12 Bottle, Plastic In 1 Case (32909-122-07) / 250 Ml In 1 Bottle, Plastic",14.6,14.6,,,0 NDC,32909012522,Varibar Pudding: 1 Tube In 1 Box (32909-125-22) / 230 Ml In 1 Tube,24.76,24.76,,,0 NDC,32909016755,"Liquid Polibar Plus: 750 Ml In 1 Bottle, Plastic (32909-167-55)",57.39,57.39,,,0 NDC,32909018601,NDC Description Not Available,12.62,12.62,,,0 NDC,32909072403,"Readi-Cat 2: 24 BOTTLE, PLASTIC in 1 CARTON (32909-724-03) / 450 mL in 1 BOTTLE, PLASTIC",27.9,27.9,,,0 NDC,32909076401,E-Z-Hd: 24 Bottle In 1 Carton (32909-764-01) / 340 G In 1 Bottle,37.3,37.3,,,0 NDC,33342005507,Pioglitazone: 30 Tablet In 1 Bottle (33342-055-07),5.62,5.62,,,0 NDC,33342006310,"Valsartan: 90 Tablet, Film Coated In 1 Bottle (33342-063-10)",3.18,3.18,,,0 NDC,33342006807,"Olanzapine: 30 Tablet, Film Coated In 1 Bottle (33342-068-07)",6.0,6.0,,,0 NDC,33342009607,"Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (33342-096-07)",6.0,6.0,,,0 NDC,33342009809,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (33342-098-09)",6.0,6.0,,,0 NDC,33342025866,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (33342-258-66) / 10 Capsule In 1 Blister Pack,15.5,15.5,,,0 NDC,34324000067,NDC Description Not Available,254.18,254.18,,,0 NDC,34324000073,NDC Description Not Available,59.0,59.0,,,0 NDC,35573042851,NDC Description Not Available,6.0,6.0,,,0 NDC,35573044525,"Levalbuterol: 25 Pouch In 1 Carton (35573-445-25) / 25 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",2.48,2.48,,,0 NDC,36000000924,Ciprofloxacin: 200 Ml In 1 Bag (36000-009-24),96.5,96.5,,,0 NDC,36000014801,NDC Description Not Available,16.86,16.86,,,0 NDC,36000024201,"Tobramycin: 1 Vial, Multi-Dose In 1 Carton (36000-242-01) / 30 Ml In 1 Vial, Multi-Dose",9.05,9.05,,,0 NDC,36000028225,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-282-25) / 2 Ml In 1 Vial, Single-Dose",32.075,32.075,,,0 NDC,36000028325,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-283-25) / 4 Ml In 1 Vial, Single-Dose",11.8,11.8,,,0 NDC,36000030801,NDC Description Not Available,61.64,61.64,,,0 NDC,36000030810,"Naloxone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (36000-308-10) / 1 Ml In 1 Vial, Single-Dose (36000-308-01)",83.75,83.75,,,0 NDC,36000031001,NDC Description Not Available,117.25,117.25,,,0 NDC,36000031002,"Naloxone Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (36000-310-02) / 10 Ml In 1 Vial, Multi-Dose (36000-310-01)",117.25,117.25,,,0 NDC,36000032201,NDC Description Not Available,25.85,25.85,,,0 NDC,36000032202,Labetalol Hydrochloride: 1 Vial In 1 Carton (36000-322-02) / 20 Ml In 1 Vial (36000-322-01),25.75,25.75,,,0 NDC,37000001804,Pepto-Bismol: 5 CELLO PACK in 1 CARTON (37000-018-04) / 6 TABLET in 1 CELLO PACK,1.01,1.01,,,0 NDC,37000080301,"Vicks Sinex: 1 BOTTLE, SPRAY in 1 CARTON (37000-803-01) / 15 mL in 1 BOTTLE, SPRAY",9.55,9.55,,,0 NDC,39328002008,"Senna: 237 Ml In 1 Bottle, Plastic (39328-020-08)",2.0,2.0,,,0 NDC,39328006325,NDC Description Not Available,62.5,62.5,,,0 NDC,39822015101,Liothyronine Sodium: 1 Vial In 1 Carton (39822-0151-1) / 1 Ml In 1 Vial,2834.1,2834.1,,,0 NDC,39822019001,"Acetazolamide: 1 Vial, Glass In 1 Carton (39822-0190-1) / 5 Ml In 1 Vial, Glass",211.05,211.05,,,0 NDC,39822031005,"Neomycin Sulfate: 100 Blister Pack In 1 Box, Unit-Dose (39822-0310-5) / 1 Tablet In 1 Blister Pack (39822-0310-7)",8.42,8.42,,,0 NDC,39822041201,Tobramycin: 1 Vial In 1 Carton (39822-0412-1) / 30 Ml In 1 Vial,34.38,34.38,,,0 NDC,39822041206,Tobramycin: 6 Vial In 1 Carton (39822-0412-6) / 30 Ml In 1 Vial,34.63,34.63,,,0 NDC,39822061502,Colistimethate: 12 Carton In 1 Carton (39822-0615-2) / 1 Vial In 1 Carton (39822-0615-1) / 2 Ml In 1 Vial,26040.0,26040.0,,,0 NDC,39822100001,Tranexamic Acid: 10 Vial In 1 Carton (39822-1000-1) / 10 Ml In 1 Vial,53.065,53.065,,,0 NDC,39822105505,Amphotericin B: 10 Ml In 1 Vial (39822-1055-5),65.83,65.83,,,0 NDC,39822110001,"Folic Acid: 1 Vial, Multi-Dose In 1 Carton (39822-1100-1) / 10 Ml In 1 Vial, Multi-Dose",8.91,8.91,,,0 NDC,39822210002,"Dactinomycin: 1 Vial, Single-Dose In 1 Carton (39822-2100-2) / 1 Ml In 1 Vial, Single-Dose (39822-2100-1)",3883.24,3883.24,,,0 NDC,41388000732,NDC Description Not Available,0.15,0.15,,,0 NDC,42023010301,NDC Description Not Available,1553.48,1553.48,,,0 NDC,42023010501,"Brevital Sodium: 1 Vial In 1 Carton (42023-105-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",646.53,646.53,,,0 NDC,42023011310,Ketalar: 10 Vial In 1 Carton (42023-113-10) / 20 Ml In 1 Vial,76.695,76.695,,,0 NDC,42023011625,Pitocin: 25 Vial In 1 Tray (42023-116-25) / 1 Ml In 1 Vial,26.91,26.91,,,0 NDC,42023011925,"Tigan: 25 Vial, Single-Dose In 1 Tray (42023-119-25) / 2 Ml In 1 Vial, Single-Dose",351.03,351.03,,,0 NDC,42023012401,Dantrium: 100 Capsule In 1 Bottle (42023-124-01),6.64,6.64,,,0 NDC,42023012901,Fluphenazine Decanoate: 1 Vial In 1 Carton (42023-129-01) / 5 Ml In 1 Vial,94.32,94.32,,,0 NDC,42023015901,NDC Description Not Available,10.26,10.26,,,0 NDC,42023015925,Adrenalin: 25 Vial In 1 Carton (42023-159-25) / 1 Ml In 1 Vial (42023-159-01),19.759999999999998,19.759999999999998,,,0 NDC,42023016401,NDC Description Not Available,344.52000000000004,344.52000000000004,,,0 NDC,42023016425,Vasostrict: 25 Vial In 1 Carton (42023-164-25) / 1 Ml In 1 Vial (42023-164-01),30.0,30.0,,,0 NDC,42023016801,Adrenalin: 1 Vial In 1 Carton (42023-168-01) / 30 Ml In 1 Vial,5.6,5.6,,,0 NDC,42023017901,NDC Description Not Available,30.37,30.37,,,0 NDC,42023017905,Buprenorphine Hydrochloride: 5 Vial In 1 Carton (42023-179-05) / 1 Ml In 1 Vial,30.77,30.77,,,0 NDC,42023018201,Argatroban: 1 Vial In 1 Carton (42023-182-01) / 2.5 Ml In 1 Vial,13.67,13.67,,,0 NDC,42023020101,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (42023-201-01) / 5 Ml In 1 Vial, Single-Dose",67.62,67.62,,,0 NDC,42023021401,NDC Description Not Available,0.06,0.06,,,0 NDC,42023021410,"Phenylephrine Hydrochloride: 10 Vial, Pharmacy Bulk Package In 1 Carton (42023-214-10) / 5 Ml In 1 Vial, Pharmacy Bulk Package",0.06,0.06,,,0 NDC,42023021625,Ephedrine Sulfate: 25 Vial In 1 Carton (42023-216-25) / 1 Ml In 1 Vial (42023-216-01),89.32,89.32,,,0 NDC,42023022901,NDC Description Not Available,8.43,8.43,,,0 NDC,42023023001,NDC Description Not Available,10.02,10.02,,,0 NDC,42023023010,"Micafungin: 10 Vial, Single-Dose In 1 Carton (42023-230-10) / 10 Ml In 1 Vial, Single-Dose",10.02,10.02,,,0 NDC,42023023701,NDC Description Not Available,59.49,59.49,,,0 NDC,42023062201,"Bivalirudin: 1 Vial, Single-Dose In 1 Carton (42023-622-01) / 1 Injection, Solution In 1 Vial, Single-Dose",1.2,1.2,,,0 NDC,42043014358,Cephalexin: 200 mL in 1 BOTTLE (42043-143-58),11.44,11.44,,,0 NDC,42192032901,Np Thyroid 30: 100 Tablet In 1 Bottle (42192-329-01),4.46,4.46,,,0 NDC,42192033801,"Hyoscyamine Sulfate Odt: 100 Tablet, Orally Disintegrating In 1 Bottle (42192-338-01)",3.55,3.55,,,0 NDC,42192060816,Gabapentin: 470 Ml In 1 Bottle (42192-608-16),14.74,14.74,,,0 NDC,42192061405,NDC Description Not Available,6.65,6.65,,,0 NDC,42291018790,"Diltiazem Hydrochloride: 90 CAPSULE, COATED, EXTENDED RELEASE in 1 BOTTLE (42291-187-90)",6.0,6.0,,,0 NDC,42291020950,Cephalexin: 500 Capsule In 1 Bottle (42291-209-50),1.5,1.5,,,0 NDC,42291041260,"Dofetilide: 60 Capsule In 1 Bottle, Plastic (42291-412-60)",6.0,6.0,,,0 NDC,42291041360,"Dofetilide: 60 Capsule In 1 Bottle, Plastic (42291-413-60)",6.0,6.0,,,0 NDC,42291046501,Carbidopa and levodopa: 100 TABLET in 1 BOTTLE (42291-465-01),6.0,6.0,,,0 NDC,42291047711,NDC Description Not Available,14.84,14.84,,,0 NDC,42291049511,NDC Description Not Available,14.84,14.84,,,0 NDC,42291062290,"Montelukast Sodium: 90 Tablet, Chewable In 1 Bottle (42291-622-90)",6.0,6.0,,,0 NDC,42291077360,"Ranolazine: 60 Tablet, Film Coated, Extended Release In 1 Bottle (42291-773-60)",4.23,4.23,,,0 NDC,42291080030,"Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (42291-800-30)",6.0,6.0,,,0 NDC,42291089890,"Venlafaxine Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (42291-898-90)",3.26,3.26,,,0 NDC,42291092301,Ursodiol: 100 Capsule In 1 Bottle (42291-923-01),4.35,4.35,,,0 NDC,42291096401,"Zolpidem Tartrate: 100 Tablet, Film Coated In 1 Bottle (42291-964-01)",6.0,6.0,,,0 NDC,42292000101,NDC Description Not Available,6.0,6.0,,,0 NDC,42292000120,Metronidazole: 100 BLISTER PACK in 1 CARTON (42292-001-20) / 1 TABLET in 1 BLISTER PACK (42292-001-01),5.37,5.37,,,0 NDC,42292000320,DIGITEK: 100 BLISTER PACK in 1 CARTON (42292-003-20) / 1 TABLET in 1 BLISTER PACK (42292-003-01),8.36,8.36,,,0 NDC,42292003801,NDC Description Not Available,5.98,5.98,,,0 NDC,42292003901,NDC Description Not Available,5.87,5.87,,,0 NDC,42292004301,NDC Description Not Available,27.0,27.0,,,0 NDC,42292005401,NDC Description Not Available,57.62,57.62,,,0 NDC,42292005403,"Colchicine: 30 Blister Pack In 1 Carton (42292-054-03) / 1 Tablet, Film Coated In 1 Blister Pack (42292-054-01)",28.81,28.81,,,0 NDC,42515000201,Ixiaro: .5 Ml In 1 Syringe (42515-002-01),371.0,371.0,,,0 NDC,42571013725,Ketorolac Tromethamine: 5 Ml In 1 Bottle (42571-137-25),186.0,186.0,,,0 NDC,42571014126,Dorzolamide Hydrochloride Ophthalmic Solution: 1 Bottle In 1 Carton (42571-141-26) / 10 Ml In 1 Bottle,210.74,210.74,,,0 NDC,42571014726,Dorzolamide Hydrochloride And Timolol Maleate Ophthalmic Solution: 1 Bottle In 1 Carton (42571-147-26) / 10 Ml In 1 Bottle,310.0,310.0,,,0 NDC,42571035707,Potassium Chloride: 473 Ml In 1 Bottle (42571-357-07),12.59,12.59,,,0 NDC,42658000801,"Dactinomycin: 1 Vial In 1 Carton (42658-008-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",3350.0,3350.0,,,0 NDC,42658001001,"Cladribine: 1 Ml In 1 Vial, Single-Dose (42658-010-01)",230.51,230.51,,,0 NDC,42658002101,Daunorubicin Hydrochloride: 1 Vial In 1 Box (42658-021-01) / 4 Ml In 1 Vial,415.52,415.52,,,0 NDC,42658016005,Prednisolone: 100 Tablet In 1 Bottle (42658-160-05),69.75,69.75,,,0 NDC,42702010210,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (42702-102-10) / 10 Ml In 1 Bottle, Dropper",372.0,372.0,,,0 NDC,42747076101,"Poteligeo: 1 Vial, Glass In 1 Carton (42747-761-01) / 5 Ml In 1 Vial, Glass",1542.99,1542.99,,,0 NDC,42794001812,Liothyronine Sodium: 90 Tablet In 1 Bottle (42794-018-12),5.07,5.07,,,0 NDC,42799021701,"Opium Tincture Deodorized: 118 Ml In 1 Bottle, Plastic (42799-217-01)",32.46,32.46,,,0 NDC,42799080601,Ivermectin: 2 Blister Pack In 1 Carton (42799-806-01) / 10 Tablet In 1 Blister Pack,25.68,25.68,,,0 NDC,42799081501,"Prednisolone Sodium Phosphate: 237 Ml In 1 Bottle, Plastic (42799-815-01)",6.0,6.0,,,0 NDC,42806014448,"Demeclocycline Hydrochloride: 48 Tablet, Film Coated In 1 Bottle (42806-144-48)",142.14,142.14,,,0 NDC,42806026698,NDC Description Not Available,6.2,6.2,,,0 NDC,42806034101,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle, Plastic (42806-341-01)",3.13,3.13,,,0 NDC,42806051330,Quinidine Sulfate: 30 Tablet In 1 Bottle (42806-513-30),74.84,74.84,,,0 NDC,42806055212,"Omega-3-Acid Ethyl Esters: 120 Capsule, Liquid Filled In 1 Bottle (42806-552-12)",3.89,3.89,,,0 NDC,42806071401,Benzonatate: 100 Capsule In 1 Bottle (42806-714-01),5.85,5.85,,,0 NDC,42806075760,Sulfadiazine: 60 Tablet In 1 Bottle (42806-757-60),99.38,99.38,,,0 NDC,42858000201,"Oxycodone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-002-01)",5.52,5.52,,,0 NDC,42858000210,Oxycodone Hydrochloride: 10 Blister Pack In 1 Carton (42858-002-10) / 10 Tablet In 1 Blister Pack,5.76,5.76,,,0 NDC,42858011830,Lidocaine 5%: 30 POUCH in 1 PACKAGE (42858-118-30) / 1 PATCH in 1 POUCH,13.44,13.44,,,0 NDC,42858030101,"Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-301-01)",4.15,4.15,,,0 NDC,42858030125,Hydromorphone Hydrochloride: 4 Blister Pack In 1 Carton (42858-301-25) / 25 Tablet In 1 Blister Pack,5.125,5.125,,,0 NDC,42858030201,"Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-302-01)",5.77,5.77,,,0 NDC,42858030225,Hydromorphone Hydrochloride: 4 Blister Pack In 1 Carton (42858-302-25) / 25 Tablet In 1 Blister Pack,5.41,5.41,,,0 NDC,42858030301,"Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-303-01)",5.64,5.64,,,0 NDC,42858051501,"Ms Contin: 100 Tablet In 1 Bottle, Plastic (42858-515-01)",28.46,28.46,,,0 NDC,42858080201,"Morphine Sulfate Extended Release: 100 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (42858-802-01)",5.57,5.57,,,0 NDC,42937070110,"Phenazopyridine Hydrochloride: 100 TABLET, COATED in 1 BOTTLE (42937-701-10)",5.47,5.47,,,0 NDC,42998030202,Nitropress: 1 VIAL in 1 CARTON (42998-302-02) / 2 mL in 1 VIAL,5901.9,5901.9,,,0 NDC,43063053610,"Cephalexin: 10 Capsule In 1 Bottle, Plastic (43063-536-10)",6.0,6.0,,,0 NDC,43066000710,Rocuronium Bromide: 10 Vial In 1 Carton (43066-007-10) / 5 Ml In 1 Vial,46.85,46.85,,,0 NDC,43066000801,NDC Description Not Available,59.0,59.0,,,0 NDC,43066001001,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (43066-010-01) / 16 Ml In 1 Vial, Multi-Dose",11.42,11.42,,,0 NDC,43066009001,NDC Description Not Available,59.0,59.0,,,0 NDC,43066015010,Nexterone: 100 Ml In 1 Bag (43066-150-10),46.48,46.48,,,0 NDC,43066036020,Nexterone: 200 Ml In 1 Bag (43066-360-20),21.59,21.59,,,0 NDC,43386009019,Gavilyte G Tm: 274.31 G In 1 Bottle (43386-090-19),148.8,148.8,,,0 NDC,43386009661,Clobetasol Propionate: 1 Tube In 1 Carton (43386-096-61) / 30 G In 1 Tube,74.4,74.4,,,0 NDC,43386077001,Flucytosine: 100 Capsule In 1 Bottle (43386-770-01),124.0,124.0,,,0 NDC,43393000101,NDC Description Not Available,310.0,310.0,,,0 NDC,43528000301,NDC Description Not Available,653.81,653.81,,,0 NDC,43528000305,Heplisav-B: 5 Syringe In 1 Carton (43528-003-05) / .5 Ml In 1 Syringe (43528-003-01),306.0,306.0,,,0 NDC,43547026910,"Ropinirole Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (43547-269-10)",4.61,4.61,,,0 NDC,43547027609,"Donepezil Hydrochloride: 90 Tablet, Film Coated In 1 Bottle, Plastic (43547-276-09)",5.87,5.87,,,0 NDC,43547028010,"Escitalopram: 100 Tablet, Film Coated In 1 Bottle (43547-280-10)",5.71,5.71,,,0 NDC,43547034106,Risperidone: 60 Tablet In 1 Bottle (43547-341-06),4.45,4.45,,,0 NDC,43547035110,Lisinopril: 100 Tablet In 1 Bottle (43547-351-10),6.0,6.0,,,0 NDC,43547035410,Lisinopril: 100 Tablet In 1 Bottle (43547-354-10),4.04,4.04,,,0 NDC,43547037503,Irbesartan: 30 Tablet In 1 Bottle (43547-375-03),6.0,6.0,,,0 NDC,43547037703,"Voriconazole: 30 Tablet, Coated In 1 Bottle (43547-377-03)",35.44,35.44,,,0 NDC,43598005011,NDC Description Not Available,32.26,32.26,,,0 NDC,43598012611,Sterile Diluent For Treprostinil: 1 Vial In 1 Carton (43598-126-11) / 50 Ml In 1 Vial,171.82,171.82,,,0 NDC,43598012811,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (43598-128-11) / 8 Ml In 1 Vial, Multi-Dose",1.94,1.94,,,0 NDC,43598012901,NDC Description Not Available,2.36,2.36,,,0 NDC,43598013074,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (43598-130-74) / 16 Ml In 1 Vial, Multi-Dose",1.21,1.21,,,0 NDC,43598014211,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (43598-142-11) / 50 Ml In 1 Vial, Single-Dose",885.74,885.74,,,0 NDC,43598020451,amoxicillin and clavulanate potassium: 75 mL in 1 BOTTLE (43598-204-51),57.7,57.7,,,0 NDC,43598021025,Ssd Cream: 25 G In 1 Tube (43598-210-25),46.5,46.5,,,0 NDC,43598021040,Ssd Cream: 400 G In 1 Jar (43598-210-40),327.36,327.36,,,0 NDC,43598021050,Ssd Cream: 50 G In 1 Tube (43598-210-50),76.88,76.88,,,0 NDC,43598021055,Ssd Cream: 50 G In 1 Jar (43598-210-55),76.88,76.88,,,0 NDC,43598026202,"Fulvestrant: 2 Syringe, Glass In 1 Carton (43598-262-02) / 5 Ml In 1 Syringe, Glass (43598-262-11)",67.0,67.0,,,0 NDC,43598026223,"Fulvestrant: 2 Syringe, Glass In 1 Carton (43598-262-23) / 5 Ml In 1 Syringe, Glass (43598-262-11)",192.07,192.07,,,0 NDC,43598028530,Fingolimod: 30 Capsule In 1 Bottle (43598-285-30),136.4,136.4,,,0 NDC,43598030562,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (43598-305-62)",13.38,13.38,,,0 NDC,43598032675,"Ciprofloxacin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (43598-326-75) / 7.5 Ml In 1 Bottle, Dropper",843.7550000000001,843.7550000000001,,,0 NDC,43598033011,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (43598-330-11) / 5 Ml In 1 Vial, Glass",74.74,74.74,,,0 NDC,43598039150,NDC Description Not Available,2798.07,2798.07,,,0 NDC,43598039248,"Melphalan Hydrochloride: 1 Kit In 1 Carton (43598-392-48) * 10 Ml In 1 Vial, Single-Dose (43598-391-50) * 10 Ml In 1 Vial, Single-Use (43598-393-35)",2719.5,2719.5,,,0 NDC,43598040511,NDC Description Not Available,28.69,28.69,,,0 NDC,43598044671,NDC Description Not Available,3.26,3.26,,,0 NDC,43598045202,"Albendazole: 2 Tablet, Film Coated In 1 Bottle (43598-452-02)",248.0,248.0,,,0 NDC,43598045901,Trientine Hydrochloride: 100 Capsule In 1 Bottle (43598-459-01),310.0,310.0,,,0 NDC,43598047611,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (43598-476-11) / 7 Ml In 1 Vial, Single-Dose",0.77,0.77,,,0 NDC,43598054952,NDC Description Not Available,1.93,1.93,,,0 NDC,43598058811,Difluprednate Ophthalmic Emulsion: 1 Bottle In 1 Carton (43598-588-11) / 5 Ml In 1 Bottle,1084.26,1084.26,,,0 NDC,43598064811,Treprostinil: 1 Vial In 1 Carton (43598-648-11) / 20 Ml In 1 Vial,377.29,377.29,,,0 NDC,43598064911,Treprostinil: 1 Vial In 1 Carton (43598-649-11) / 20 Ml In 1 Vial,191.96,191.96,,,0 NDC,43598065011,"Thiotepa: 1 Vial In 1 Carton (43598-650-11) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",5019.1,5019.1,,,0 NDC,43598067230,"Pyrimethamine: 30 Tablet In 1 Bottle, Plastic (43598-672-30)",1813.5,1813.5,,,0 NDC,43598072511,NDC Description Not Available,59.0,59.0,,,0 NDC,43598074130,Ramelteon: 30 Tablet In 1 Bottle (43598-741-30),60.31,60.31,,,0 NDC,43598084811,NDC Description Not Available,157.45,157.45,,,0 NDC,43598085130,Deferasirox: 30 Tablet In 1 Bottle (43598-851-30),157.08,157.08,,,0 NDC,43598091411,NDC Description Not Available,7.87,7.87,,,0 NDC,43825010201,"Ofirmev: 24 VIAL, GLASS in 1 CARTON (43825-102-01) / 100 mL in 1 VIAL, GLASS",3.18,3.18,,,0 NDC,43825020001,"Terlivaz: 1 Vial, Single-Dose In 1 Carton (43825-200-01) / 5 Ml In 1 Vial, Single-Dose",6613.68,6613.68,,,0 NDC,44087353501,"Bavencio: 1 Vial, Single-Dose In 1 Carton (44087-3535-1) / 10 Ml In 1 Vial, Single-Dose",655.13,655.13,,,0 NDC,44206025105,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-05) / 50 Ml In 1 Vial, Glass (44206-251-90)",503.9,503.9,,,0 NDC,44206025110,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-10) / 100 Ml In 1 Vial, Glass (44206-251-91)",504.0,504.0,,,0 NDC,44206025190,NDC Description Not Available,503.22,503.22,,,0 NDC,44206025191,NDC Description Not Available,523.8,523.8,,,0 NDC,44206030001,"Rhophylac: 1 Syringe, Glass In 1 Carton (44206-300-01) / 2 Ml In 1 Syringe, Glass (44206-300-90)",73.79,73.79,,,0 NDC,44206030090,NDC Description Not Available,74.34,74.34,,,0 NDC,44206031025,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-25) / 250 Ml In 1 Vial, Glass (44206-310-90)",502.74,502.74,,,0 NDC,44206031050,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-50) / 500 Ml In 1 Vial, Glass (44206-310-91)",504.31,504.31,,,0 NDC,44206031090,NDC Description Not Available,504.0,504.0,,,0 NDC,44206031091,NDC Description Not Available,504.0,504.0,,,0 NDC,44206043605,"Privigen: 1 Vial, Glass In 1 Carton (44206-436-05) / 50 Ml In 1 Vial, Glass (44206-436-90)",407.8,407.8,,,0 NDC,44206043690,NDC Description Not Available,388.695,388.695,,,0 NDC,44206043710,"Privigen: 1 Vial, Glass In 1 Carton (44206-437-10) / 100 Ml In 1 Vial, Glass (44206-437-91)",415.61,415.61,,,0 NDC,44206043791,NDC Description Not Available,412.27,412.27,,,0 NDC,44206043820,"Privigen: 1 Vial, Glass In 1 Carton (44206-438-20) / 200 Ml In 1 Vial, Glass (44206-438-92)",416.2,416.2,,,0 NDC,44206043892,NDC Description Not Available,414.055,414.055,,,0 NDC,44206043940,"Privigen: 1 Vial, Glass In 1 Carton (44206-439-40) / 400 Ml In 1 Vial, Glass (44206-439-93)",416.08,416.08,,,0 NDC,44206043993,NDC Description Not Available,410.17,410.17,,,0 NDC,44567010210,"Ampicillin: 10 Vial In 1 Tray (44567-102-10) / 1 Injection, Powder, For Solution In 1 Vial",96.5,96.5,,,0 NDC,44567010310,"Ampicillin: 10 Vial In 1 Tray (44567-103-10) / 1 Injection, Powder, For Solution In 1 Vial",48.25,48.25,,,0 NDC,44567021010,Ampicillin And Sulbactam: 10 Vial In 1 Carton (44567-210-10) / 10 Ml In 1 Vial,193.0,193.0,,,0 NDC,44567021110,Ampicillin And Sulbactam: 10 Vial In 1 Carton (44567-211-10) / 20 Ml In 1 Vial,55.06,55.06,,,0 NDC,44567023525,"Ceftazidime: 25 Vial In 1 Carton (44567-235-25) / 1 Injection, Powder, For Solution In 1 Vial",57.845,57.845,,,0 NDC,44567023610,"Ceftazidime: 10 Vial In 1 Carton (44567-236-10) / 1 Injection, Powder, For Solution In 1 Vial",30.235,30.235,,,0 NDC,44567023706,Ceftazidime: 6 Vial In 1 Carton (44567-237-06) / 100 Ml In 1 Vial,26.82,26.82,,,0 NDC,44567024110,Cefepime: 10 Vial In 1 Carton (44567-241-10) / 20 Ml In 1 Vial,16.42,16.42,,,0 NDC,44567024525,"Cefoxitin: 25 Vial In 1 Carton (44567-245-25) / 1 Injection, Powder, For Solution In 1 Vial",193.0,193.0,,,0 NDC,44567024625,"Cefoxitin: 25 Vial In 1 Carton (44567-246-25) / 1 Injection, Powder, For Solution In 1 Vial",78.8,78.8,,,0 NDC,44567031110,"Penicillin G Potassium: 10 Vial In 1 Tray (44567-311-10) / 1 Injection, Powder, For Solution In 1 Vial",25.15,25.15,,,0 NDC,44567042024,Magnesium Sulfate In Water: 24 Pouch In 1 Carton (44567-420-24) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,48.25,48.25,,,0 NDC,44567043624,Levofloxacin: 24 Pouch In 1 Carton (44567-436-24) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,144.75,144.75,,,0 NDC,44567043724,Levofloxacin: 24 Pouch In 1 Carton (44567-437-24) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,80.41499999999999,80.41499999999999,,,0 NDC,44567053001,Cisplatin: 1 Vial In 1 Carton (44567-530-01) / 50 Ml In 1 Vial,670.0,670.0,,,0 NDC,44567061101,NDC Description Not Available,1.93,1.93,,,0 NDC,44567062001,NDC Description Not Available,1.92,1.92,,,0 NDC,44567062101,NDC Description Not Available,1.11,1.11,,,0 NDC,44567064201,NDC Description Not Available,471.64,471.64,,,0 NDC,44567070125,"Ceftriaxone: 25 Vial In 1 Carton (44567-701-25) / 1 Injection, Powder, For Solution In 1 Vial",48.25,48.25,,,0 NDC,44567070501,NDC Description Not Available,94.06,94.06,,,0 NDC,44567070625,"Cefazolin: 25 Vial In 1 Carton (44567-706-25) / 1 Injection, Powder, For Solution In 1 Vial",193.0,193.0,,,0 NDC,44567070725,"Cefazolin: 25 Vial In 1 Carton (44567-707-25) / 1 Injection, Powder, For Solution In 1 Vial",17.915,17.915,,,0 NDC,44567080210,"Piperacillin And Tazobactam: 10 Vial In 1 Box (44567-802-10) / 1 Injection, Powder, For Solution In 1 Vial",30.555,30.555,,,0 NDC,44567080310,"Piperacillin And Tazobactam: 10 Vial In 1 Box (44567-803-10) / 1 Injection, Powder, For Solution In 1 Vial",31.5,31.5,,,0 NDC,45802004635,Gentamicin Sulfate: 1 Tube In 1 Carton (45802-046-35) / 15 G In 1 Tube,244.87,244.87,,,0 NDC,45802004835,Nystatin: 1 Tube In 1 Carton (45802-048-35) / 15 G In 1 Tube,86.77,86.77,,,0 NDC,45802004935,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-049-35) / 15 G In 1 Tube,50.69,50.69,,,0 NDC,45802005505,Triamcinolone Acetonide: 454 G In 1 Jar (45802-055-05),208.3,208.3,,,0 NDC,45802005535,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-055-35) / 15 G In 1 Tube,28.0,28.0,,,0 NDC,45802005635,Gentamicin Sulfate: 1 Tube In 1 Carton (45802-056-35) / 15 G In 1 Tube,244.87,244.87,,,0 NDC,45802005935,Nystatin: 1 Tube In 1 Carton (45802-059-35) / 15 G In 1 Tube,86.77,86.77,,,0 NDC,45802006000,NDC Description Not Available,1.99,1.99,,,0 NDC,45802006336,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-063-36) / 80 G In 1 Tube,50.6,50.6,,,0 NDC,45802006405,Triamcinolone Acetonide: 454 G In 1 Jar (45802-064-05),121.04,121.04,,,0 NDC,45802009828,Mesalamine: 28 Bottle In 1 Carton (45802-098-28) / 60 Ml In 1 Bottle,81.1,81.1,,,0 NDC,45802011222,Mupirocin: 1 Tube In 1 Carton (45802-112-22) / 22 G In 1 Tube,55.79,55.79,,,0 NDC,45802014300,NDC Description Not Available,6.0,6.0,,,0 NDC,45802014303,Triple Antibiotic: 1 Tube In 1 Carton (45802-143-03) / 28 G In 1 Tube,5.43,5.43,,,0 NDC,45802014370,Triple Antibiotic: 144 Packet In 1 Carton (45802-143-70) / .9 G In 1 Packet (45802-143-00),6.0,6.0,,,0 NDC,45802018816,Hemorrhoidal: 1 Tube In 1 Carton (45802-188-16) / 57 G In 1 Tube,4.99,4.99,,,0 NDC,45802020126,Childrens Acetaminophen: 1 Bottle In 1 Carton (45802-201-26) / 118 Ml In 1 Bottle,2.0,2.0,,,0 NDC,45802020326,Childrens Acetaminophen: 1 Bottle In 1 Carton (45802-203-26) / 118 Ml In 1 Bottle,2.0,2.0,,,0 NDC,45802021001,Nitroglycerin Lingual: 1 Bottle In 1 Carton (45802-210-01) / 60 Spray In 1 Bottle,1159.79,1159.79,,,0 NDC,45802027603,Hydrocortisone: 1 Tube In 1 Carton (45802-276-03) / 28 G In 1 Tube,13.19,13.19,,,0 NDC,45802035803,Diphenhydramine Hcl And Zinc Acetate: 1 Tube In 1 Carton (45802-358-03) / 28 G In 1 Tube,13.37,13.37,,,0 NDC,45802041059,"Oxymetazoline Hcl: 1 Bottle, Spray In 1 Carton (45802-410-59) / 30 Ml In 1 Bottle, Spray",3.99,3.99,,,0 NDC,45802041954,"Ammonium Lactate: 225 G In 1 Bottle, Plastic (45802-419-54)",125.55,125.55,,,0 NDC,45802043401,Clotrimazole: 1 Tube In 1 Carton (45802-434-01) / 15 G In 1 Tube,19.53,19.53,,,0 NDC,45802043411,Clotrimazole: 1 Tube In 1 Carton (45802-434-11) / 28 G In 1 Tube,26.72,26.72,,,0 NDC,45802043803,Hydrocortisone: 1 Tube In 1 Carton (45802-438-03) / 28 G In 1 Tube,6.98,6.98,,,0 NDC,45802046564,Ketoconazole: 120 Ml In 1 Bottle (45802-465-64),136.9,136.9,,,0 NDC,45802046611,Econazole Nitrate: 1 Tube In 1 Carton (45802-466-11) / 30 G In 1 Tube,310.44,310.44,,,0 NDC,45802056201,"Clindamycin Phosphate: 1 Bottle, With Applicator In 1 Carton (45802-562-01) / 30 Ml In 1 Bottle, With Applicator",149.55,149.55,,,0 NDC,45802058001,"Scopolamine Transdermal System: 1 Patch, Extended Release In 1 Pouch (45802-580-01)",118.83,118.83,,,0 NDC,45802070000,Tacrolimus: 1 Tube In 1 Carton (45802-700-00) / 30 G In 1 Tube,619.94,619.94,,,0 NDC,45802071032,Bisacodyl: 10 BLISTER PACK in 1 CARTON (45802-710-32) / 5 SUPPOSITORY in 1 BLISTER PACK,2.0,2.0,,,0 NDC,45802073000,Acetaminophen Pain Reliever Fever Reducer: 1 Suppository In 1 Blister Pack (45802-730-00),1.97,1.97,,,0 NDC,45802073033,Acetaminophen Pain Reliever Fever Reducer: 100 Blister Pack In 1 Carton (45802-730-33) / 1 Suppository In 1 Blister Pack,1.95,1.95,,,0 NDC,45802073200,NDC Description Not Available,1.56,1.56,,,0 NDC,45802073230,Acetaminophen For Children: 12 Blister Pack In 1 Carton (45802-732-30) / 1 Suppository In 1 Blister Pack,1.48,1.48,,,0 NDC,45802075900,NDC Description Not Available,60.44,60.44,,,0 NDC,45802086800,NDC Description Not Available,3.91,3.91,,,0 NDC,45802086866,Polyethylene Glycol 3350: 14 Packet In 1 Carton (45802-868-66) / 17 G In 1 Packet,3.9,3.9,,,0 NDC,45802088014,Nystatin And Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-880-14) / 15 G In 1 Tube,129.93,129.93,,,0 NDC,45963060755,"Vinorelbine: 1 Vial, Single-Dose In 1 Carton (45963-607-55) / 1 Ml In 1 Vial, Single-Dose",45.53,45.53,,,0 NDC,45963060955,"Fludarabine Phosphate: 1 Vial, Glass In 1 Carton (45963-609-55) / 2 Ml In 1 Vial, Glass",442.02,442.02,,,0 NDC,45963061455,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (45963-614-55) / 5 Ml In 1 Vial, Single-Dose",39.09,39.09,,,0 NDC,45963070911,"Metoprolol Succinate: 100 Tablet, Film Coated, Extended Release In 1 Bottle (45963-709-11)",6.0,6.0,,,0 NDC,45963073360,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (45963-733-60) / 100 Ml In 1 Vial, Multi-Dose",43.4,43.4,,,0 NDC,46028020801,"Menveo: 5 KIT in 1 CARTON (46028-208-01) / 1 KIT in 1 KIT (46028-208-02) * .5 mL in 1 VIAL, SINGLE-DOSE (46028-218-11) * .5 mL in 1 VIAL, SINGLE-DOSE (46028-219-11)",200.0,200.0,,,0 NDC,46122054703,"Infant Gas Relief: 1 Bottle, Dropper In 1 Carton (46122-547-03) / 30 Ml In 1 Bottle, Dropper",2.0,2.0,,,0 NDC,46287000660,"Sodium Polystyrene Sulfonate: 10 Bottle, Unit-Dose In 1 Carton (46287-006-60) / 60 Ml In 1 Bottle, Unit-Dose",153.64,153.64,,,0 NDC,46287000901,Isoniazid: 473 Ml In 1 Bottle (46287-009-01),90.43,90.43,,,0 NDC,46287002001,Carospir: 473 Ml In 1 Bottle (46287-020-01),36.4,36.4,,,0 NDC,47335004940,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (47335-049-40) / 10 Ml In 1 Vial, Single-Dose",1422.82,1422.82,,,0 NDC,47335005040,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (47335-050-40) / 25 Ml In 1 Vial, Single-Dose",1639.74,1639.74,,,0 NDC,47335006186,Dofetilide: 60 Capsule In 1 Bottle (47335-061-86),9.92,9.92,,,0 NDC,47335017795,Ilumya: 1 Ml In 1 Carton (47335-177-95),721.51,721.51,,,0 NDC,47335023683,"Ambrisentan: 30 Tablet, Film Coated In 1 Bottle (47335-236-83)",221.08,221.08,,,0 NDC,47335033040,"Chlorothiazide Sodium: 1 Vial, Single-Dose In 1 Carton (47335-330-40) / 18 Ml In 1 Vial, Single-Dose",668.66,668.66,,,0 NDC,47335037983,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (47335-379-83)",5.52,5.52,,,0 NDC,47335038083,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (47335-380-83)",9.1,9.1,,,0 NDC,47335047281,"Imatinib Mesylate: 90 Tablet, Film Coated In 1 Bottle (47335-472-81)",16.5,16.5,,,0 NDC,47335071086,"Topiramate: 60 Tablet, Film Coated In 1 Bottle (47335-710-86)",5.91,5.91,,,0 NDC,47335089060,NDC Description Not Available,14.59,14.59,,,0 NDC,47335089160,NDC Description Not Available,9.5,9.5,,,0 NDC,47335089260,NDC Description Not Available,6.9,6.9,,,0 NDC,47335093144,Vecuronium Bromide: 10 Vial In 1 Box (47335-931-44) / 10 Ml In 1 Vial (47335-931-40),42.09,42.09,,,0 NDC,47335093640,"Leuprolide Acetate: 1 Kit In 1 Carton (47335-936-40) * 1 Vial, Multi-Dose In 1 Carton / 2.8 Ml In 1 Vial, Multi-Dose * 1 Ml In 1 Packet",126.64,126.64,,,0 NDC,47335099201,Magnesium Sulfate: 24 Pouch In 1 Case (47335-992-01) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,47.93,47.93,,,0 NDC,47335099301,Metronidazole: 1 Bag In 1 Pouch (47335-993-01) / 100 Ml In 1 Bag,16.495,16.495,,,0 NDC,47426020101,"Cinvanti: 1 Vial, Glass In 1 Carton (47426-201-01) / 18 Ml In 1 Vial, Glass",22.68,22.68,,,0 NDC,47469074050,NDC Description Not Available,6.21,6.21,,,0 NDC,47781010444,"Estradiol: 1 Tube, With Applicator In 1 Carton (47781-104-44) / 42.5 G In 1 Tube, With Applicator",1036.88,1036.88,,,0 NDC,47781029703,Nitroglycerin Transdermal Delivery System: 30 PATCH in 1 CARTON (47781-297-03) / 12 h in 1 PATCH,6.0,6.0,,,0 NDC,47781042311,NDC Description Not Available,100.71,100.71,,,0 NDC,47781042411,NDC Description Not Available,44.21,44.21,,,0 NDC,47781042611,NDC Description Not Available,78.53,78.53,,,0 NDC,47781042811,NDC Description Not Available,170.86,170.86,,,0 NDC,47781046813,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (47781-468-13) / 10 Capsule In 1 Blister Pack,58.03,58.03,,,0 NDC,47781047013,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (47781-470-13) / 10 Capsule In 1 Blister Pack,63.25,63.25,,,0 NDC,47781057036,NDC Description Not Available,27.9,27.9,,,0 NDC,47781057701,Methenamine Hippurate: 100 Tablet In 1 Bottle (47781-577-01),10.81,10.81,,,0 NDC,48102005711,Erythromycin: 50 Tube In 1 Carton (48102-057-11) / 1 G In 1 Tube,60.76,60.76,,,0 NDC,48433023015,Strong Iodine Solution: 14 Ml In 1 Bottle (48433-230-15),42.2,42.2,,,0 NDC,49281012265,"FLUZONE High-Dose Quadrivalent Northern Hemisphere: 10 SYRINGE, GLASS in 1 PACKAGE (49281-122-65) / .7 mL in 1 SYRINGE, GLASS (49281-122-88)",209.0,209.0,,,0 NDC,49281012288,NDC Description Not Available,209.0,209.0,,,0 NDC,49281012465,"Fluzone High Dose Northern Hemisphere: 5 Syringe, Glass In 1 Package (49281-124-65) / .5 Ml In 1 Syringe, Glass (49281-124-88)",141.20499999999998,141.20499999999998,,,0 NDC,49281012488,NDC Description Not Available,141.20499999999998,141.20499999999998,,,0 NDC,49281021510,"Tenivac: 10 Vial, Single-Dose In 1 Package (49281-215-10) / .5 Ml In 1 Vial, Single-Dose (49281-215-58)",245.37,245.37,,,0 NDC,49281021515,Tenivac: 10 Syringe In 1 Package (49281-215-15) / .5 Ml In 1 Syringe (49281-215-88),243.91,243.91,,,0 NDC,49281021588,NDC Description Not Available,244.13,244.13,,,0 NDC,49281022558,NDC Description Not Available,43.0,43.0,,,0 NDC,49281024658,NDC Description Not Available,451.16,451.16,,,0 NDC,49281025051,"IMOVAX RABIES: 1 KIT in 1 PACKAGE (49281-250-51) * 1 mL in 1 VIAL, SINGLE-USE (49281-248-58) * 1 mL in 1 SYRINGE (49281-249-01)",433.81,433.81,,,0 NDC,49281025251,"Imovax Rabies: 1 Kit In 1 Package (49281-252-51) * 1 Ml In 1 Vial, Single-Use (49281-246-58) * 1 Ml In 1 Syringe (49281-263-58)",451.16,451.16,,,0 NDC,49281028610,Daptacel: 10 Vial In 1 Package (49281-286-10) / .5 Ml In 1 Vial (49281-286-58),106.0,106.0,,,0 NDC,49281040010,Adacel Tdap: 10 Vial In 1 Package (49281-400-10) / .5 Ml In 1 Vial (49281-400-58),308.45,308.45,,,0 NDC,49281040089,NDC Description Not Available,45.58,45.58,,,0 NDC,49281042350,"Fluzone Quadrivalent Northern Hemisphere: 10 SYRINGE, GLASS in 1 PACKAGE (49281-423-50) / .5 mL in 1 SYRINGE, GLASS (49281-423-88)",29.0,29.0,,,0 NDC,49281042388,NDC Description Not Available,24.005000000000003,24.005000000000003,,,0 NDC,49281042450,"Fluzone Trivalent Northern Hemisphere: 10 Syringe, Glass In 1 Package (49281-424-50) / .5 Ml In 1 Syringe, Glass (49281-424-88)",29.0,29.0,,,0 NDC,49281042488,NDC Description Not Available,29.0,29.0,,,0 NDC,49281054503,"Acthib: 1 Kit In 1 Carton (49281-545-03) * .5 Ml In 1 Vial, Single-Dose (49281-547-58) * .6 Ml In 1 Vial, Single-Dose (49281-546-58)",101.0,101.0,,,0 NDC,49281054758,NDC Description Not Available,101.0,101.0,,,0 NDC,49281057415,Beyfortus: 5 Syringe In 1 Carton (49281-574-15) / 1 Ml In 1 Syringe,507.0,507.0,,,0 NDC,49281057488,Beyfortus: 1 Syringe In 1 Carton (49281-574-88) / 1 Ml In 1 Syringe,380.25,380.25,,,0 NDC,49281057500,Beyfortus: 1 Syringe In 1 Carton (49281-575-00) / .5 Ml In 1 Syringe,507.0,507.0,,,0 NDC,49281057515,Beyfortus: 5 Syringe In 1 Carton (49281-575-15) / .5 Ml In 1 Syringe,507.0,507.0,,,0 NDC,49281075221,"Tubersol: 1 Vial, Multi-Dose In 1 Carton (49281-752-21) / 1 Ml In 1 Vial, Multi-Dose (49281-752-78)",672.97,672.97,,,0 NDC,49281075278,NDC Description Not Available,677.58,677.58,,,0 NDC,49281079051,Typhim Vi: 1 Syringe In 1 Package (49281-790-51) / .5 Ml In 1 Syringe (49281-790-88),580.925,580.925,,,0 NDC,49281079088,NDC Description Not Available,301.5,301.5,,,0 NDC,49281086010,"Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10) / 5 Ml In 1 Vial, Multi-Dose (49281-860-78)",106.0,106.0,,,0 NDC,49281086078,NDC Description Not Available,106.0,106.0,,,0 NDC,49281091501,"Yf-Vax: 5 Vial, Single-Dose In 1 Package (49281-915-01) / .5 Ml In 1 Vial, Single-Dose (49281-915-58)",151.0,151.0,,,0 NDC,49281091558,NDC Description Not Available,221.0,221.0,,,0 NDC,49348014546,NICOTINE: 14 PATCH in 1 CARTON (49348-145-46) / 24 h in 1 PATCH,5.74,5.74,,,0 NDC,49348015078,Sunmark Lice Treatment: 1 Bottle In 1 Carton (49348-150-78) / 59 Ml In 1 Bottle,661.39,661.39,,,0 NDC,49348015472,Antibiotic Bacitracin Zinc: 1 Tube In 1 Carton (49348-154-72) / 28.4 G In 1 Tube,4.3,4.3,,,0 NDC,49348027472,Sunmark Double Antibiotic: 1 Tube In 1 Carton (49348-274-72) / 28.4 G In 1 Tube,10.04,10.04,,,0 NDC,49348049934,Sunmark Ibuprofen Childrens: 1 Bottle In 1 Carton (49348-499-34) / 120 Ml In 1 Bottle,2.0,2.0,,,0 NDC,49348083361,Miconazole 7: 7 Suppository In 1 Applicator (49348-833-61),14.16,14.16,,,0 NDC,49348085472,Sunmark Anti-Itch: 1 Tube In 1 Carton (49348-854-72) / 28.4 G In 1 Tube,13.37,13.37,,,0 NDC,49348087277,Sunmark Miconazole 7: 1 Tube In 1 Carton (49348-872-77) / 45 G In 1 Tube,1919.52,1919.52,,,0 NDC,49401010101,Benlysta: 1 Vial In 1 Carton (49401-101-01) / 1.5 Ml In 1 Vial,348.86,348.86,,,0 NDC,49401010201,Benlysta: 1 Vial In 1 Carton (49401-102-01) / 5 Ml In 1 Vial,345.52,345.52,,,0 NDC,49452268001,Levodopa: 5 G In 1 Bottle (49452-2680-1),6.2,6.2,,,0 NDC,49471000101,NDC Description Not Available,1142.51,1142.51,,,0 NDC,49471000105,Pre-Pen: 5 Ampule In 1 Carton (49471-001-05) / .25 Ml In 1 Ampule,1129.14,1129.14,,,0 NDC,49502025080,"Semglee: 1 Vial, Multi-Dose In 1 Carton (49502-250-80) / 10 Ml In 1 Vial, Multi-Dose",13.11,13.11,,,0 NDC,49502039380,"Insulin Glargine: 1 Vial, Multi-Dose In 1 Carton (49502-393-80) / 10 Ml In 1 Vial, Multi-Dose",15.95,15.95,,,0 NDC,49502039475,Insulin Glargine: 5 Syringe In 1 Carton (49502-394-75) / 3 Ml In 1 Syringe (49502-394-71),3.0,3.0,,,0 NDC,49591005105,NDC Description Not Available,596.26,596.26,,,0 NDC,49591005151,"Hepagam B: 1 Vial, Glass In 1 Carton (49591-051-51) / 5 Ml In 1 Vial, Glass (49591-051-05)",596.26,596.26,,,0 NDC,49591005211,NDC Description Not Available,655.68,655.68,,,0 NDC,49591005251,"Hepagam B: 1 Vial, Glass In 1 Carton (49591-052-51) / 1 Ml In 1 Vial, Glass (49591-052-11)",681.23,681.23,,,0 NDC,49591012611,NDC Description Not Available,13428.14,13428.14,,,0 NDC,49702020548,Epivir: 240 Ml In 1 Bottle (49702-205-48),11.77,11.77,,,0 NDC,49702021301,NDC Description Not Available,173.09,173.09,,,0 NDC,49702021326,"Retrovir: 5 Vial, Single-Use In 1 Carton (49702-213-26) / 20 Ml In 1 Vial, Single-Use (49702-213-01)",195.64,195.64,,,0 NDC,49702022813,"Tivicay: 30 Tablet, Film Coated In 1 Bottle (49702-228-13)",470.74,470.74,,,0 NDC,49702023803,NDC Description Not Available,44.29,44.29,,,0 NDC,49702024015,Cabenuva: 1 Kit In 1 Carton (49702-240-15) * 3 Ml In 1 Vial (49702-238-01) * 3 Ml In 1 Vial (49702-243-02),46.61,46.61,,,0 NDC,49702025315,Cabenuva: 1 Kit In 1 Carton (49702-253-15) * 2 Ml In 1 Vial (49702-245-01) * 2 Ml In 1 Vial (49702-249-02),61.0,61.0,,,0 NDC,49702026423,Apretude: 1 Kit In 1 Carton (49702-264-23) * 3 Ml In 1 Vial (49702-238-03),44.34,44.34,,,0 NDC,49771000201,NDC Description Not Available,2225.8,2225.8,,,0 NDC,49884006501,Glycopyrrolate: 100 Tablet In 1 Bottle (49884-065-01),4.01,4.01,,,0 NDC,49884011701,Amiloride Hydrochloride: 100 Tablet In 1 Bottle (49884-117-01),5.76,5.76,,,0 NDC,49884015952,NDC Description Not Available,36.43,36.43,,,0 NDC,49884028901,Megestrol Acetate: 100 Tablet In 1 Bottle (49884-289-01),6.0,6.0,,,0 NDC,49884046565,Cholestyramine: 60 Packet In 1 Carton (49884-465-65) / 9 G In 1 Packet (49884-465-64),12.72,12.72,,,0 NDC,49884064101,Methimazole: 100 Tablet In 1 Bottle (49884-641-01),4.4,4.4,,,0 NDC,49938010130,Dapsone: 2 Blister Pack In 1 Carton (49938-101-30) / 15 Tablet In 1 Blister Pack,17.36,17.36,,,0 NDC,49938010230,Dapsone: 2 Blister Pack In 1 Carton (49938-102-30) / 15 Tablet In 1 Blister Pack,14.15,14.15,,,0 NDC,49999000600,Ibuprofen: 100 TABLET in 1 BOTTLE (49999-006-00),2.0,2.0,,,0 NDC,49999000640,Ibuprofen: 40 TABLET in 1 BOTTLE (49999-006-40),2.0,2.0,,,0 NDC,49999004221,"IBU: 21 TABLET in 1 BOTTLE, PLASTIC (49999-042-21)",6.0,6.0,,,0 NDC,49999009530,Metronidazole: 30 TABLET in 1 BOTTLE (49999-095-30),6.0,6.0,,,0 NDC,50090029501,"Kenalog-10: 1 Vial, Multi-Dose In 1 Carton (50090-0295-1) / 5 Ml In 1 Vial, Multi-Dose",59.0,59.0,,,0 NDC,50090049700,Novolin R: 1 Vial In 1 Carton (50090-0497-0) / 10 Ml In 1 Vial,59.0,59.0,,,0 NDC,50090055900,"Prednisolone Acetate: 1 Bottle, Plastic In 1 Carton (50090-0559-0) / 10 Ml In 1 Bottle, Plastic",6.0,6.0,,,0 NDC,50090137500,Humalog: 1 Vial In 1 Carton (50090-1375-0) / 10 Ml In 1 Vial,59.0,59.0,,,0 NDC,50090150200,Havrix: 10 Syringe In 1 Carton (50090-1502-0) / 1 Ml In 1 Syringe (50090-1502-9),508.68,508.68,,,0 NDC,50090337200,Shingrix: 1 Kit In 1 Kit (50090-3372-0) * .5 Ml In 1 Vial (58160-828-03) * .5 Ml In 1 Vial (58160-829-03),1103.0,1103.0,,,0 NDC,50090594800,Cephalexin: 20 Capsule In 1 Bottle (50090-5948-0),6.0,6.0,,,0 NDC,50090728803,"Ibuprofen: 30 Tablet, Film Coated In 1 Bottle (50090-7288-3)",2.0,2.0,,,0 NDC,50102040010,"Lidocaine Hydrochloride: 10 Vial, Multi-Dose In 1 Tray (50102-400-10) / 20 Ml In 1 Vial, Multi-Dose (50102-400-01)",1.18,1.18,,,0 NDC,50102091101,Ella: 1 BLISTER PACK in 1 CARTON (50102-911-01) / 1 TABLET in 1 BLISTER PACK,221.65,221.65,,,0 NDC,50111032701,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (50111-327-01),5.59,5.59,,,0 NDC,50111032801,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (50111-328-01),4.09,4.09,,,0 NDC,50111033301,Metronidazole: 100 Tablet In 1 Bottle (50111-333-01),3.0,3.0,,,0 NDC,50111039801,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (50111-398-01),6.0,6.0,,,0 NDC,50111043301,Trazodone Hydrochloride: 100 TABLET in 1 BOTTLE (50111-433-01),5.87,5.87,,,0 NDC,50111056001,Trazodone Hydrochloride: 100 Tablet In 1 Bottle (50111-560-01),4.81,4.81,,,0 NDC,50111078710,"Azithromycin: 30 Tablet, Film Coated In 1 Bottle (50111-787-10)",13.18,13.18,,,0 NDC,50228010501,Metformin Hydrochloride: 100 Tablet In 1 Bottle (50228-105-01),4.54,4.54,,,0 NDC,50228033410,Ethacrynic Acid: 100 Tablet In 1 Bottle (50228-334-10),9.3,9.3,,,0 NDC,50228045701,Carbidopa And Levodopa: 100 Tablet In 1 Bottle (50228-457-01),6.0,6.0,,,0 NDC,50228048301,Diltiazem Hydrochloride: 100 Tablet In 1 Bottle (50228-483-01),6.0,6.0,,,0 NDC,50242003706,NDC Description Not Available,1069.345,1069.345,,,0 NDC,50242004062,"Xolair: 1 Vial, Single-Use In 1 Carton (50242-040-62) / 1.2 Ml In 1 Vial, Single-Use",309.83,309.83,,,0 NDC,50242004110,Cathflo Activase: 10 Vial In 1 Carton (50242-041-10) / 2 Ml In 1 Vial,651.0799999999999,651.0799999999999,,,0 NDC,50242004164,Cathflo Activase: 1 Vial In 1 Carton (50242-041-64) / 2 Ml In 1 Vial,588.33,588.33,,,0 NDC,50242004406,NDC Description Not Available,589.62,589.62,,,0 NDC,50242004413,"Activase: 1 Kit In 1 Carton (50242-044-13) * 50 Ml In 1 Vial, Single-Use * 50 Ml In 1 Vial, Single-Use",589.62,589.62,,,0 NDC,50242005121,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-051-21) / 10 Ml In 1 Vial, Single-Use",418.78,418.78,,,0 NDC,50242005306,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-053-06) / 50 Ml In 1 Vial, Single-Use",595.86,595.86,,,0 NDC,50242006001,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-060-01) / 4 Ml In 1 Vial, Single-Use",533.95,533.95,,,0 NDC,50242006101,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-061-01) / 16 Ml In 1 Vial, Single-Use",273.525,273.525,,,0 NDC,50242007001,"Gazyva: 1 Vial, Single-Use In 1 Carton (50242-070-01) / 40 Ml In 1 Vial, Single-Use",559.86,559.86,,,0 NDC,50242007701,"Herceptin Hylecta: 1 Vial, Single-Dose In 1 Carton (50242-077-01) / 5 Ml In 1 Vial, Single-Dose",522.07,522.07,,,0 NDC,50242008525,NDC Description Not Available,589.62,589.62,,,0 NDC,50242008527,"Activase: 1 Kit In 1 Carton (50242-085-27) * 100 Ml In 1 Vial, Single-Use * 100 Ml In 1 Vial, Single-Use",589.62,589.62,,,0 NDC,50242008701,"Kadcyla: 1 Vial, Single-Use In 1 Carton (50242-087-01) / 8 Ml In 1 Vial, Single-Use",265.09,265.09,,,0 NDC,50242008801,"Kadcyla: 1 Vial, Single-Use In 1 Carton (50242-088-01) / 5 Ml In 1 Vial, Single-Use",264.96,264.96,,,0 NDC,50242010039,NDC Description Not Available,299.77,299.77,,,0 NDC,50242010040,Pulmozyme: 5 Pouch In 1 Carton (50242-100-40) / 6 Ampule In 1 Pouch (50242-100-39) / 2.5 Ml In 1 Ampule,276.4,276.4,,,0 NDC,50242010301,Polivy: 1 Vial In 1 Carton (50242-103-01) / 6 Ml In 1 Vial,592.16,592.16,,,0 NDC,50242010501,"Polivy: 1 Vial, Single-Dose In 1 Carton (50242-105-01) / 20 Ml In 1 Vial, Single-Dose",585.13,585.13,,,0 NDC,50242012047,"Tnkase: 1 Kit In 1 Carton (50242-120-47) * 1 Vial, Single-Use In 1 Carton (50242-037-06) / 10 Ml In 1 Vial, Single-Use * 1 Vial, Single-Use In 1 Carton (50242-901-09) / 10 Ml In 1 Vial, Single-Us",1038.41,1038.41,,,0 NDC,50242012501,"Columvi: 1 Vial, Single-Dose In 1 Carton (50242-125-01) / 2.5 Ml In 1 Vial, Single-Dose",11809.86,11809.86,,,0 NDC,50242012701,"Columvi: 1 Vial, Single-Dose In 1 Carton (50242-127-01) / 10 Ml In 1 Vial, Single-Dose",11822.08,11822.08,,,0 NDC,50242013201,"Herceptin: 1 Vial, Single-Dose In 1 Carton (50242-132-01) / 15 Ml In 1 Vial, Single-Dose",695.5450000000001,695.5450000000001,,,0 NDC,50242013501,"Actemra: 1 Vial, Single-Use In 1 Box (50242-135-01) / 4 Ml In 1 Vial, Single-Use",43.5,43.5,,,0 NDC,50242013601,"Actemra: 1 Vial, Single-Use In 1 Box (50242-136-01) / 10 Ml In 1 Vial, Single-Use",43.9,43.9,,,0 NDC,50242013701,"Actemra: 1 Vial, Single-Use In 1 Box (50242-137-01) / 20 Ml In 1 Vial, Single-Use",43.95,43.95,,,0 NDC,50242014201,Lunsumio: 1 Vial In 1 Carton (50242-142-01) / 30 Ml In 1 Vial,4117.14,4117.14,,,0 NDC,50242014501,"Perjeta: 1 Vial, Single-Use In 1 Carton (50242-145-01) / 14 Ml In 1 Vial, Single-Use",105.71,105.71,,,0 NDC,50242015001,"Ocrevus: 1 Vial, Single-Use In 1 Carton (50242-150-01) / 10 Ml In 1 Vial, Single-Use",2286.7799999999997,2286.7799999999997,,,0 NDC,50242015901,Lunsumio: 1 Vial In 1 Carton (50242-159-01) / 1 Ml In 1 Vial,4131.22,4131.22,,,0 NDC,50242021401,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-214-01) / .5 Ml In 1 Syringe, Glass",307.95,307.95,,,0 NDC,50242021403,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-214-03) / .5 Ml In 1 Syringe, Glass",316.27,316.27,,,0 NDC,50242021501,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-215-01) / 1 Ml In 1 Syringe, Glass",299.9,299.9,,,0 NDC,50242021503,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-215-03) / 1 Ml In 1 Syringe, Glass",316.27,316.27,,,0 NDC,50242022701,"Xolair: 1 Syringe, Glass In 1 Carton (50242-227-01) / 2 Ml In 1 Syringe, Glass",276.06,276.06,,,0 NDC,50242024501,"Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-245-01) / 15 Ml In 1 Vial, Single-Dose",510.57,510.57,,,0 NDC,50242026001,"Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-260-01) / 10 Ml In 1 Vial, Single-Dose",501.17,501.17,,,0 NDC,50242091701,"Tecentriq: 1 Vial, Single-Use In 1 Carton (50242-917-01) / 20 Ml In 1 Vial, Single-Use",615.34,615.34,,,0 NDC,50242091801,"Tecentriq: 1 Vial, Single-Use In 1 Carton (50242-918-01) / 14 Ml In 1 Vial, Single-Use",619.42,619.42,,,0 NDC,50268003711,NDC Description Not Available,5.49,5.49,,,0 NDC,50268003811,NDC Description Not Available,3.9,3.9,,,0 NDC,50268006111,NDC Description Not Available,5.83,5.83,,,0 NDC,50268006115,"Acyclovir: 50 Blister Pack In 1 Bottle, Unit-Dose (50268-061-15) / 1 Tablet In 1 Blister Pack (50268-061-11)",5.89,5.89,,,0 NDC,50268006815,"Carboxymethylcellulose Sodium: 1 Bottle, Dropper In 1 Carton (50268-068-15) / 15 Ml In 1 Bottle, Dropper",49.06,49.06,,,0 NDC,50268006911,NDC Description Not Available,12.38,12.38,,,0 NDC,50268007511,NDC Description Not Available,27.0,27.0,,,0 NDC,50268008611,NDC Description Not Available,94.21,94.21,,,0 NDC,50268008811,NDC Description Not Available,5.13,5.13,,,0 NDC,50268008911,NDC Description Not Available,4.85,4.85,,,0 NDC,50268009511,NDC Description Not Available,6.0,6.0,,,0 NDC,50268009711,NDC Description Not Available,21.82,21.82,,,0 NDC,50268009815,"Azithromycin: 50 BLISTER PACK in 1 BOX (50268-098-15) / 1 TABLET, FILM COATED in 1 BLISTER PACK (50268-098-11)",9.3,9.3,,,0 NDC,50268009911,NDC Description Not Available,18.16,18.16,,,0 NDC,50268010511,NDC Description Not Available,8.84,8.84,,,0 NDC,50268010611,NDC Description Not Available,4.15,4.15,,,0 NDC,50268010711,NDC Description Not Available,4.98,4.98,,,0 NDC,50268012711,NDC Description Not Available,7.23,7.23,,,0 NDC,50268013111,NDC Description Not Available,6.2,6.2,,,0 NDC,50268014411,NDC Description Not Available,22.66,22.66,,,0 NDC,50268014511,NDC Description Not Available,31.12,31.12,,,0 NDC,50268015211,NDC Description Not Available,4.79,4.79,,,0 NDC,50268015215,Cephalexin: 50 Blister Pack In 1 Box (50268-152-15) / 1 Capsule In 1 Blister Pack (50268-152-11),6.0,6.0,,,0 NDC,50268016411,NDC Description Not Available,2.11,2.11,,,0 NDC,50268016911,NDC Description Not Available,7.3,7.3,,,0 NDC,50268017311,NDC Description Not Available,5.51,5.51,,,0 NDC,50268017511,NDC Description Not Available,3.84,3.84,,,0 NDC,50268017611,NDC Description Not Available,5.89,5.89,,,0 NDC,50268017911,NDC Description Not Available,13.89,13.89,,,0 NDC,50268018911,NDC Description Not Available,4.49,4.49,,,0 NDC,50268019011,NDC Description Not Available,5.66,5.66,,,0 NDC,50268019015,"Cyclobenzaprine Hydrochloride: 50 Blister Pack In 1 Box (50268-190-15) / 1 Tablet, Film Coated In 1 Blister Pack (50268-190-11)",5.63,5.63,,,0 NDC,50268019111,NDC Description Not Available,6.0,6.0,,,0 NDC,50268019560,Capsaicin External Analgesic: 1 Tube In 1 Carton (50268-195-60) / 60 G In 1 Tube,19.72,19.72,,,0 NDC,50268027711,NDC Description Not Available,9.68,9.68,,,0 NDC,50268027811,NDC Description Not Available,8.35,8.35,,,0 NDC,50268029711,NDC Description Not Available,8.68,8.68,,,0 NDC,50268029911,NDC Description Not Available,6.0,6.0,,,0 NDC,50268030411,NDC Description Not Available,6.0,6.0,,,0 NDC,50268033911,NDC Description Not Available,15.5,15.5,,,0 NDC,50268040511,NDC Description Not Available,10.09,10.09,,,0 NDC,50268040611,NDC Description Not Available,11.39,11.39,,,0 NDC,50268043011,NDC Description Not Available,3.89,3.89,,,0 NDC,50268043015,"Indomethacin: 50 Blister Pack In 1 Box, Unit-Dose (50268-430-15) / 1 Capsule In 1 Blister Pack (50268-430-11)",5.74,5.74,,,0 NDC,50268043111,NDC Description Not Available,6.0,6.0,,,0 NDC,50268043115,"Indomethacin: 50 Blister Pack In 1 Box, Unit-Dose (50268-431-15) / 1 Capsule In 1 Blister Pack (50268-431-11)",6.0,6.0,,,0 NDC,50268044711,NDC Description Not Available,5.98,5.98,,,0 NDC,50268045011,NDC Description Not Available,18.58,18.58,,,0 NDC,50268047611,NDC Description Not Available,6.0,6.0,,,0 NDC,50268047711,NDC Description Not Available,15.34,15.34,,,0 NDC,50268047811,NDC Description Not Available,12.01,12.01,,,0 NDC,50268048211,NDC Description Not Available,1.74,1.74,,,0 NDC,50268052211,NDC Description Not Available,6.0,6.0,,,0 NDC,50268052311,NDC Description Not Available,6.0,6.0,,,0 NDC,50268053511,NDC Description Not Available,5.76,5.76,,,0 NDC,50268054011,NDC Description Not Available,5.77,5.77,,,0 NDC,50268054111,NDC Description Not Available,5.44,5.44,,,0 NDC,50268054211,NDC Description Not Available,5.3,5.3,,,0 NDC,50268056311,NDC Description Not Available,8.26,8.26,,,0 NDC,50268057311,NDC Description Not Available,6.49,6.49,,,0 NDC,50268057411,NDC Description Not Available,5.98,5.98,,,0 NDC,50268058511,NDC Description Not Available,5.99,5.99,,,0 NDC,50268059411,NDC Description Not Available,4.26,4.26,,,0 NDC,50268059511,NDC Description Not Available,6.0,6.0,,,0 NDC,50268059711,NDC Description Not Available,7.12,7.12,,,0 NDC,50268059715,"Nifedipine Er: 50 Blister Pack In 1 Box, Unit-Dose (50268-597-15) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack (50268-597-11)",7.12,7.12,,,0 NDC,50268059811,NDC Description Not Available,12.18,12.18,,,0 NDC,50268059815,"Nifedipine Er: 50 Blister Pack In 1 Box, Unit-Dose (50268-598-15) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack (50268-598-11)",12.18,12.18,,,0 NDC,50268060411,NDC Description Not Available,4.59,4.59,,,0 NDC,50268060415,"Nortriptyline Hydrochloride: 50 Blister Pack In 1 Box, Unit-Dose (50268-604-15) / 1 Capsule In 1 Blister Pack (50268-604-11)",4.35,4.35,,,0 NDC,50268062111,NDC Description Not Available,1.43,1.43,,,0 NDC,50268062211,NDC Description Not Available,0.54,0.54,,,0 NDC,50268062511,NDC Description Not Available,16.12,16.12,,,0 NDC,50268063211,NDC Description Not Available,3.37,3.37,,,0 NDC,50268063911,NDC Description Not Available,6.0,6.0,,,0 NDC,50268064711,NDC Description Not Available,15.47,15.47,,,0 NDC,50268066211,NDC Description Not Available,2.66,2.66,,,0 NDC,50268066311,NDC Description Not Available,4.12,4.12,,,0 NDC,50268068311,NDC Description Not Available,189.23,189.23,,,0 NDC,50268068411,NDC Description Not Available,6.87,6.87,,,0 NDC,50268068511,NDC Description Not Available,3.71,3.71,,,0 NDC,50268068515,Prochlorperazine Maleate: 50 Blister Pack In 1 Box (50268-685-15) / 1 Tablet In 1 Blister Pack (50268-685-11),3.7,3.7,,,0 NDC,50268068611,NDC Description Not Available,4.5,4.5,,,0 NDC,50268068615,"Primidone: 50 Blister Pack In 1 Box, Unit-Dose (50268-686-15) / 1 Tablet In 1 Blister Pack (50268-686-11)",4.46,4.46,,,0 NDC,50268068711,NDC Description Not Available,6.0,6.0,,,0 NDC,50268068715,"Primidone: 50 Blister Pack In 1 Box, Unit-Dose (50268-687-15) / 1 Tablet In 1 Blister Pack (50268-687-11)",6.0,6.0,,,0 NDC,50268070811,NDC Description Not Available,24.26,24.26,,,0 NDC,50268070911,NDC Description Not Available,4.95,4.95,,,0 NDC,50268071011,NDC Description Not Available,5.37,5.37,,,0 NDC,50268071111,NDC Description Not Available,8.2,8.2,,,0 NDC,50268071711,NDC Description Not Available,5.71,5.71,,,0 NDC,50268071811,NDC Description Not Available,58.37,58.37,,,0 NDC,50268071813,Sirolimus: 30 Blister Pack In 1 Box (50268-718-13) / 1 Tablet In 1 Blister Pack (50268-718-11),58.36,58.36,,,0 NDC,50268072211,NDC Description Not Available,9.78,9.78,,,0 NDC,50268072511,NDC Description Not Available,6.0,6.0,,,0 NDC,50268072811,NDC Description Not Available,5.91,5.91,,,0 NDC,50268074411,NDC Description Not Available,4.73,4.73,,,0 NDC,50268074711,NDC Description Not Available,7.28,7.28,,,0 NDC,50268075511,NDC Description Not Available,3.76,3.76,,,0 NDC,50268075911,NDC Description Not Available,5.71,5.71,,,0 NDC,50268075915,"Tizanidine: 50 Blister Pack In 1 Box, Unit-Dose (50268-759-15) / 1 Tablet In 1 Blister Pack (50268-759-11)",5.88,5.88,,,0 NDC,50268077211,NDC Description Not Available,26.09,26.09,,,0 NDC,50268078711,NDC Description Not Available,98.83,98.83,,,0 NDC,50268078811,NDC Description Not Available,10.85,10.85,,,0 NDC,50268078911,NDC Description Not Available,12.45,12.45,,,0 NDC,50268079711,NDC Description Not Available,25.64,25.64,,,0 NDC,50289325001,Aer Pre-Moistened Witch Hazel Pad: 40 Applicator In 1 Jar (50289-3250-1) / 2.8 Ml In 1 Applicator,0.11,0.11,,,0 NDC,50383004224,Prednisolone: 1 BOTTLE in 1 CARTON (50383-042-24) / 240 mL in 1 BOTTLE,2.13,2.13,,,0 NDC,50383004248,Prednisolone: 1 BOTTLE in 1 CARTON (50383-042-48) / 480 mL in 1 BOTTLE,1.87,1.87,,,0 NDC,50383017290,Levocarnitine: 9 BLISTER PACK in 1 CARTON (50383-172-90) / 10 TABLET in 1 BLISTER PACK,5.47,5.47,,,0 NDC,50383023210,Dorzolamide Hydrochloride: 1 BOTTLE in 1 CARTON (50383-232-10) / 10 mL in 1 BOTTLE,217.0,217.0,,,0 NDC,50383028604,Levofloxacin: 1 BOTTLE in 1 CARTON (50383-286-04) / 100 mL in 1 BOTTLE,78.5,78.5,,,0 NDC,50383034910,NDC Description Not Available,2.0,2.0,,,0 NDC,50383074120,"Albuterol Sulfate: 1 BOTTLE, GLASS in 1 CARTON (50383-741-20) / 20 mL in 1 BOTTLE, GLASS",5.83,5.83,,,0 NDC,50383077116,Docu Liquid: 473 mL in 1 BOTTLE (50383-771-16),2.0,2.0,,,0 NDC,50383082416,Sulfamethoxazole and Trimethoprim: 473 mL in 1 BOTTLE (50383-824-16),11.57,11.57,,,0 NDC,50383092493,Buprenorphine Hydrochloride: 30 Tablet In 1 Bottle (50383-924-93),5.55,5.55,,,0 NDC,50419025001,"Adempas: 90 Tablet, Film Coated In 1 Bottle (50419-250-01)",952.34,952.34,,,0 NDC,50419025101,"Adempas: 90 Tablet, Film Coated In 1 Bottle (50419-251-01)",889.73,889.73,,,0 NDC,50419032001,NDC Description Not Available,115.95,115.95,,,0 NDC,50419032502,NDC Description Not Available,5.56,5.56,,,0 NDC,50419042201,Skyla: 1 Intrauterine Device In 1 Carton (50419-422-01),6115.74,6115.74,,,0 NDC,50419042301,Mirena: 1 Intrauterine Device In 1 Carton (50419-423-01),7318.22,7318.22,,,0 NDC,50419042401,Kyleena: 1 Intrauterine Device In 1 Carton (50419-424-01),7291.64,7291.64,,,0 NDC,50419042408,Kyleena: 1 Intrauterine Device In 1 Carton (50419-424-08),6505.29,6505.29,,,0 NDC,50419074701,"Biltricide: 6 Tablet, Film Coated In 1 Bottle (50419-747-01)",514.84,514.84,,,0 NDC,50419077701,"Cipro: 1 Kit In 1 Kit (50419-777-01) * 100 Ml In 1 Bottle, Glass * 100 Ml In 1 Bottle, Plastic",69.02,69.02,,,0 NDC,50436011704,cephalexin: 14 CAPSULE in 1 BOTTLE (50436-0117-4),6.0,6.0,,,0 NDC,50436011705,cephalexin: 20 CAPSULE in 1 BOTTLE (50436-0117-5),6.0,6.0,,,0 NDC,50458002802,"Spravato: 2 Blister Pack In 1 Kit (50458-028-02) / 1 Vial, Single-Use In 1 Blister Pack / .2 Ml In 1 Vial, Single-Use (50458-028-00)",2586.02,2586.02,,,0 NDC,50458002803,"Spravato: 3 Blister Pack In 1 Kit (50458-028-03) / 1 Vial, Single-Use In 1 Blister Pack / .2 Ml In 1 Vial, Single-Use (50458-028-00)",329.08,329.08,,,0 NDC,50458029515,Sporanox: 150 Ml In 1 Bottle (50458-295-15),300.55,300.55,,,0 NDC,50458056001,Invega Sustenna: 1 Syringe In 1 Kit (50458-560-01) / .25 Ml In 1 Syringe,100.51,100.51,,,0 NDC,50458056101,Invega Sustenna: 1 Syringe In 1 Kit (50458-561-01) / .5 Ml In 1 Syringe,100.12,100.12,,,0 NDC,50458056301,Invega Sustenna: 1 Syringe In 1 Kit (50458-563-01) / 1 Ml In 1 Syringe,83.48,83.48,,,0 NDC,50458056303,Invega Sustenna: 1 Syringe In 1 Kit (50458-563-03) / 1 Ml In 1 Syringe,44.36,44.36,,,0 NDC,50458056401,Invega Sustenna: 1 Syringe In 1 Kit (50458-564-01) / 1.5 Ml In 1 Syringe,98.71,98.71,,,0 NDC,50458057501,"Xarelto: 1 Bottle In 1 Carton (50458-575-01) / 1 Granule, For Suspension In 1 Bottle",79.94,79.94,,,0 NDC,50458057701,NDC Description Not Available,59.72,59.72,,,0 NDC,50458057801,NDC Description Not Available,119.18,119.18,,,0 NDC,50458057810,"Xarelto: 10 Blister Pack In 1 Carton (50458-578-10) / 10 Tablet, Film Coated In 1 Blister Pack (50458-578-01)",118.92,118.92,,,0 NDC,50458057901,NDC Description Not Available,119.61,119.61,,,0 NDC,50458057910,"Xarelto: 10 Blister Pack In 1 Carton (50458-579-10) / 10 Tablet, Film Coated In 1 Blister Pack (50458-579-01)",119.03,119.03,,,0 NDC,50458058001,NDC Description Not Available,119.99,119.99,,,0 NDC,50458058010,"Xarelto: 10 Blister Pack In 1 Carton (50458-580-10) / 10 Tablet, Film Coated In 1 Blister Pack (50458-580-01)",118.78,118.78,,,0 NDC,50458060601,Invega Trinza: 1 Syringe In 1 Kit (50458-606-01) / 1 Ml In 1 Syringe,85.99,85.99,,,0 NDC,50458060801,Invega Trinza: 1 Syringe In 1 Kit (50458-608-01) / 1 Ml In 1 Syringe,86.49,86.49,,,0 NDC,50458060901,Invega Trinza: 1 Syringe In 1 Kit (50458-609-01) / 1 Ml In 1 Syringe,85.77,85.77,,,0 NDC,50474057009,"Briviact: 100 Blister Pack In 1 Carton (50474-570-09) / 1 Tablet, Film Coated In 1 Blister Pack",149.08,149.08,,,0 NDC,50474070062,"Cimzia: 2 Kit In 1 Carton (50474-700-62) / 1 Kit In 1 Kit * 1 Ml In 1 Vial, Glass * 1 Ml In 1 Vial, Glass",97.36,97.36,,,0 NDC,50474071079,"Cimzia: 2 Syringe, Glass In 1 Carton (50474-710-79) / 1 Ml In 1 Syringe, Glass",97.45,97.45,,,0 NDC,50474080403,Neupro: 30 Pouch In 1 Carton (50474-804-03) / 1 Patch In 1 Pouch / 24 H In 1 Patch,178.56,178.56,,,0 NDC,50474087015,Briviact: 1 Bottle In 1 Carton (50474-870-15) / 300 Ml In 1 Bottle,191.51,191.51,,,0 NDC,50484001030,Collagenase Santyl: 1 Tube In 1 Carton (50484-010-30) / 30 G In 1 Tube,1912.48,1912.48,,,0 NDC,50488102501,Capsaicin: 1 Tube In 1 Carton (50488-1025-1) / 120 G In 1 Tube,3239.38,3239.38,,,0 NDC,50580013444,Imodium A-D: 120 Ml In 1 Bottle (50580-134-44),2.14,2.14,,,0 NDC,50580060122,"Childrens Motrin: 1 Bottle, Plastic In 1 Carton (50580-601-22) / 30 Ml In 1 Bottle, Plastic",3.66,3.66,,,0 NDC,50580061201,Childrens Tylenol: 1 Bottle In 1 Carton (50580-612-01) / 120 Ml In 1 Bottle,2.0,2.0,,,0 NDC,50580061401,Childrens Tylenol: 1 Bottle In 1 Carton (50580-614-01) / 120 Ml In 1 Bottle,2.0,2.0,,,0 NDC,50632000101,NDC Description Not Available,0.01,0.01,,,0 NDC,50632000102,Jynneos: 20 Vial In 1 Carton (50632-001-02) / .5 Ml In 1 Vial (50632-001-01),0.01,0.01,,,0 NDC,50632001001,"Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01)",974.0,974.0,,,0 NDC,50632001301,NDC Description Not Available,974.0,974.0,,,0 NDC,50633012011,"Digifab: 1 Vial, Glass In 1 Carton (50633-120-11) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass (50633-120-12)",30813.3,30813.3,,,0 NDC,50633021011,"Voraxaze: 1 Vial In 1 Carton (50633-210-11) / 1 Injection, Powder, For Solution In 1 Vial",1852.83,1852.83,,,0 NDC,50633031011,"Cyanokit: 1 Vial, Glass In 1 Carton (50633-310-11) / 250 Ml In 1 Vial, Glass",6686.6,6686.6,,,0 NDC,50742019001,"Cyproheptadine Hydrochloride: 100 Tablet In 1 Bottle, Plastic (50742-190-01)",5.65,5.65,,,0 NDC,50742025090,"Diltiazem Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (50742-250-90)",6.0,6.0,,,0 NDC,50742036260,"Ivabradine: 60 Tablet, Film Coated In 1 Bottle (50742-362-60)",14.99,14.99,,,0 NDC,50742036401,NDC Description Not Available,17.47,17.47,,,0 NDC,50742037201,NDC Description Not Available,258.07,258.07,,,0 NDC,50742050501,NDC Description Not Available,58.9,58.9,,,0 NDC,50881000560,"Jakafi: 60 Tablet In 1 Bottle, Plastic (50881-005-60)",1793.65,1793.65,,,0 NDC,50881000603,"Zynyz: 1 Vial, Single-Use In 1 Carton (50881-006-03) / 20 Ml In 1 Vial, Single-Use",161.88,161.88,,,0 NDC,50881001060,"Jakafi: 60 Tablet In 1 Bottle, Plastic (50881-010-60)",1277.74,1277.74,,,0 NDC,50881001303,Monjuvi: 1 Vial In 1 Carton (50881-013-03) / 5 Ml In 1 Vial,91.69,91.69,,,0 NDC,50881002311,"Niktimvo: 1 Vial, Single-Use In 1 Carton (50881-023-11) / .44 Ml In 1 Vial, Single-Use",236.25,236.25,,,0 NDC,50881003412,"Niktimvo: 1 Vial, Single-Use In 1 Carton (50881-034-12) / .18 Ml In 1 Vial, Single-Use",369.98,369.98,,,0 NDC,51079002301,NDC Description Not Available,16.98,16.98,,,0 NDC,51079002320,Metolazone: 100 Blister Pack In 1 Carton (51079-023-20) / 1 Tablet In 1 Blister Pack (51079-023-01),16.98,16.98,,,0 NDC,51079002401,NDC Description Not Available,19.29,19.29,,,0 NDC,51079005101,NDC Description Not Available,6.0,6.0,,,0 NDC,51079005801,NDC Description Not Available,11.87,11.87,,,0 NDC,51079005820,Chlorthalidone: 100 Blister Pack In 1 Carton (51079-058-20) / 1 Tablet In 1 Blister Pack (51079-058-01),11.87,11.87,,,0 NDC,51079007201,NDC Description Not Available,6.0,6.0,,,0 NDC,51079007220,Furosemide: 100 BLISTER PACK in 1 CARTON (51079-072-20) / 1 TABLET in 1 BLISTER PACK (51079-072-01),5.94,5.94,,,0 NDC,51079007320,Furosemide: 100 Blister Pack In 1 Carton (51079-073-20) / 1 Tablet In 1 Blister Pack (51079-073-01),5.56,5.56,,,0 NDC,51079007401,NDC Description Not Available,5.95,5.95,,,0 NDC,51079007420,Hydralazine Hydrochloride: 100 Blister Pack In 1 Carton (51079-074-20) / 1 Tablet In 1 Blister Pack (51079-074-01),6.0,6.0,,,0 NDC,51079007501,NDC Description Not Available,5.74,5.74,,,0 NDC,51079007601,NDC Description Not Available,4.23,4.23,,,0 NDC,51079008301,NDC Description Not Available,6.39,6.39,,,0 NDC,51079008601,NDC Description Not Available,4.74,4.74,,,0 NDC,51079008620,"Mirtazapine: 100 Blister Pack In 1 Carton (51079-086-20) / 1 Tablet, Film Coated In 1 Blister Pack (51079-086-01)",4.82,4.82,,,0 NDC,51079008701,NDC Description Not Available,5.93,5.93,,,0 NDC,51079010301,NDC Description Not Available,3.99,3.99,,,0 NDC,51079010903,"Bupropion Hydrochloride: 30 BLISTER PACK in 1 CARTON (51079-109-03) / 1 TABLET, FILM COATED, EXTENDED RELEASE in 1 BLISTER PACK (51079-109-01)",12.65,12.65,,,0 NDC,51079014101,NDC Description Not Available,3.69,3.69,,,0 NDC,51079014720,"Amitriptyline Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-147-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-147-01)",5.61,5.61,,,0 NDC,51079014920,"Sertraline Hydrochloride: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (51079-149-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-149-01)",5.55,5.55,,,0 NDC,51079016401,NDC Description Not Available,52.89,52.89,,,0 NDC,51079016403,"Voriconazole: 30 Blister Pack In 1 Carton (51079-164-03) / 1 Tablet, Film Coated In 1 Blister Pack (51079-164-01)",52.89,52.89,,,0 NDC,51079016501,NDC Description Not Available,204.23,204.23,,,0 NDC,51079016503,"Voriconazole: 30 Blister Pack In 1 Carton (51079-165-03) / 1 Tablet, Film Coated In 1 Blister Pack (51079-165-01)",204.23,204.23,,,0 NDC,51079016901,NDC Description Not Available,5.95,5.95,,,0 NDC,51079020501,NDC Description Not Available,4.61,4.61,,,0 NDC,51079020601,NDC Description Not Available,6.0,6.0,,,0 NDC,51079020620,Allopurinol: 100 Blister Pack In 1 Carton (51079-206-20) / 1 Tablet In 1 Blister Pack (51079-206-01),5.96,5.96,,,0 NDC,51079021101,NDC Description Not Available,6.0,6.0,,,0 NDC,51079025501,NDC Description Not Available,5.56,5.56,,,0 NDC,51079025520,"Metoprolol Tartrate: 100 Blister Pack In 1 Carton (51079-255-20) / 1 Tablet, Film Coated In 1 Blister Pack (51079-255-01)",5.89,5.89,,,0 NDC,51079027303,"Entacapone: 30 BLISTER PACK in 1 CARTON (51079-273-03) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-273-01)",35.19,35.19,,,0 NDC,51079028401,NDC Description Not Available,5.09,5.09,,,0 NDC,51079028420,Diazepam: 100 Blister Pack In 1 Carton (51079-284-20) / 1 Tablet In 1 Blister Pack (51079-284-01),3.2,3.2,,,0 NDC,51079028501,NDC Description Not Available,4.71,4.71,,,0 NDC,51079030601,NDC Description Not Available,2.87,2.87,,,0 NDC,51079030630,Polyethylene Glycol (3350): 30 Pouch In 1 Carton (51079-306-30) / 17 G In 1 Pouch (51079-306-01),2.87,2.87,,,0 NDC,51079032120,"Finasteride: 100 BLISTER PACK in 1 CARTON (51079-321-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-321-01)",6.0,6.0,,,0 NDC,51079034820,Nitrofurantoin Monohydrate/Macrocrystals: 100 BLISTER PACK in 1 CARTON (51079-348-20) / 1 CAPSULE in 1 BLISTER PACK (51079-348-01),23.91,23.91,,,0 NDC,51079037401,NDC Description Not Available,6.0,6.0,,,0 NDC,51079037501,NDC Description Not Available,6.0,6.0,,,0 NDC,51079037901,NDC Description Not Available,3.09,3.09,,,0 NDC,51079037920,"Mycophenolate Mofetil: 100 Blister Pack In 1 Carton (51079-379-20) / 1 Tablet, Film Coated In 1 Blister Pack (51079-379-01)",3.07,3.07,,,0 NDC,51079038720,Lorazepam: 100 BLISTER PACK in 1 CARTON (51079-387-20) / 1 TABLET in 1 BLISTER PACK (51079-387-01),1.94,1.94,,,0 NDC,51079042320,Meclizine Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-423-20) / 1 TABLET in 1 BLISTER PACK (51079-423-01),6.0,6.0,,,0 NDC,51079044001,NDC Description Not Available,5.38,5.38,,,0 NDC,51079044201,NDC Description Not Available,5.34,5.34,,,0 NDC,51079044220,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (51079-442-20) / 1 Tablet In 1 Blister Pack (51079-442-01),4.94,4.94,,,0 NDC,51079044301,NDC Description Not Available,5.76,5.76,,,0 NDC,51079044320,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (51079-443-20) / 1 Tablet In 1 Blister Pack (51079-443-01),5.86,5.86,,,0 NDC,51079044401,NDC Description Not Available,5.71,5.71,,,0 NDC,51079044420,Levothyroxine Sodium: 100 Blister Pack In 1 Carton (51079-444-20) / 1 Tablet In 1 Blister Pack (51079-444-01),4.85,4.85,,,0 NDC,51079044501,NDC Description Not Available,5.79,5.79,,,0 NDC,51079045301,NDC Description Not Available,7.07,7.07,,,0 NDC,51079045320,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (51079-453-20) / 1 Tablet In 1 Blister Pack (51079-453-01),7.07,7.07,,,0 NDC,51079049920,Lamotrigine: 100 BLISTER PACK in 1 CARTON (51079-499-20) / 1 TABLET in 1 BLISTER PACK (51079-499-01),3.96,3.96,,,0 NDC,51079051120,Meclizine Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-511-20) / 1 TABLET in 1 BLISTER PACK (51079-511-01),6.0,6.0,,,0 NDC,51079054201,NDC Description Not Available,3.0,3.0,,,0 NDC,51079054220,"Prochlorperazine Maleate: 100 BLISTER PACK in 1 CARTON (51079-542-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-542-01)",3.0,3.0,,,0 NDC,51079056320,"Amitriptyline Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-563-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-563-01)",7.09,7.09,,,0 NDC,51079058106,Leucovorin Calcium: 50 BLISTER PACK in 1 CARTON (51079-581-06) / 1 TABLET in 1 BLISTER PACK (51079-581-01),16.25,16.25,,,0 NDC,51079059701,NDC Description Not Available,5.9,5.9,,,0 NDC,51079059720,"Cetirizine Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (51079-597-20) / 1 Tablet, Film Coated In 1 Blister Pack (51079-597-01)",5.92,5.92,,,0 NDC,51079062381,Sulfamylon: 1 TUBE in 1 CARTON (51079-623-81) / 56.7 g in 1 TUBE,375.1,375.1,,,0 NDC,51079062485,"Sulfamylon: 5 PACKET in 1 CARTON (51079-624-85) / 1 POWDER, FOR SOLUTION in 1 PACKET (51079-624-84)",1529.07,1529.07,,,0 NDC,51079063001,NDC Description Not Available,9.37,9.37,,,0 NDC,51079063201,NDC Description Not Available,22.26,22.26,,,0 NDC,51079064420,"Cyclobenzaprine Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-644-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-644-01)",6.0,6.0,,,0 NDC,51079067001,NDC Description Not Available,17.22,17.22,,,0 NDC,51079067005,Methotrexate: 20 Blister Pack In 1 Carton (51079-670-05) / 1 Tablet In 1 Blister Pack (51079-670-01),17.17,17.17,,,0 NDC,51079068401,NDC Description Not Available,5.06,5.06,,,0 NDC,51079068420,Atenolol: 100 Blister Pack In 1 Carton (51079-684-20) / 1 Tablet In 1 Blister Pack (51079-684-01),6.0,6.0,,,0 NDC,51079068501,NDC Description Not Available,6.0,6.0,,,0 NDC,51079069001,NDC Description Not Available,1.63,1.63,,,0 NDC,51079069020,Loperamide Hydrochloride: 100 Blister Pack In 1 Carton (51079-690-20) / 1 Capsule In 1 Blister Pack (51079-690-01),1.65,1.65,,,0 NDC,51079072101,NDC Description Not Available,3.19,3.19,,,0 NDC,51079073401,NDC Description Not Available,3.14,3.14,,,0 NDC,51079073420,Haloperidol: 100 Blister Pack In 1 Carton (51079-734-20) / 1 Tablet In 1 Blister Pack (51079-734-01),3.01,3.01,,,0 NDC,51079073501,NDC Description Not Available,5.92,5.92,,,0 NDC,51079073520,Haloperidol: 100 Blister Pack In 1 Carton (51079-735-20) / 1 Tablet In 1 Blister Pack (51079-735-01),5.48,5.48,,,0 NDC,51079073601,NDC Description Not Available,5.79,5.79,,,0 NDC,51079073620,Haloperidol: 100 Blister Pack In 1 Carton (51079-736-20) / 1 Tablet In 1 Blister Pack (51079-736-01),5.73,5.73,,,0 NDC,51079074520,"Diltiazem Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-745-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-745-01)",4.68,4.68,,,0 NDC,51079074720,"Diltiazem Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-747-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-747-01)",6.0,6.0,,,0 NDC,51079075301,NDC Description Not Available,5.83,5.83,,,0 NDC,51079075320,Sucralfate: 100 Blister Pack In 1 Carton (51079-753-20) / 1 Tablet In 1 Blister Pack (51079-753-01),5.8,5.8,,,0 NDC,51079075901,NDC Description Not Available,3.53,3.53,,,0 NDC,51079075920,Atenolol: 100 Blister Pack In 1 Carton (51079-759-20) / 1 Tablet In 1 Blister Pack (51079-759-01),5.47,5.47,,,0 NDC,51079076701,NDC Description Not Available,15.41,15.41,,,0 NDC,51079076708,"Divalproex Sodium: 80 Blister Pack In 1 Carton (51079-767-08) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack (51079-767-01)",15.41,15.41,,,0 NDC,51079077620,Hydrochlorothiazide: 100 BLISTER PACK in 1 CARTON (51079-776-20) / 1 CAPSULE in 1 BLISTER PACK (51079-776-01),5.61,5.61,,,0 NDC,51079078201,NDC Description Not Available,5.78,5.78,,,0 NDC,51079078220,Pravastatin Sodium: 100 Blister Pack In 1 Carton (51079-782-20) / 1 Tablet In 1 Blister Pack (51079-782-01),6.0,6.0,,,0 NDC,51079080101,NDC Description Not Available,5.19,5.19,,,0 NDC,51079080219,NDC Description Not Available,6.0,6.0,,,0 NDC,51079081220,Nadolol: 100 BLISTER PACK in 1 CARTON (51079-812-20) / 1 TABLET in 1 BLISTER PACK (51079-812-01),31.99,31.99,,,0 NDC,51079081320,Nadolol: 100 BLISTER PACK in 1 CARTON (51079-813-20) / 1 TABLET in 1 BLISTER PACK (51079-813-01),37.34,37.34,,,0 NDC,51079081701,NDC Description Not Available,7.07,7.07,,,0 NDC,51079081801,NDC Description Not Available,7.12,7.12,,,0 NDC,51079082101,NDC Description Not Available,4.5,4.5,,,0 NDC,51079082120,"Levetiracetam: 100 Blister Pack In 1 Carton (51079-821-20) / 1 Tablet, Film Coated In 1 Blister Pack (51079-821-01)",4.75,4.75,,,0 NDC,51079088320,Clonazepam: 100 BLISTER PACK in 1 CARTON (51079-883-20) / 1 TABLET in 1 BLISTER PACK (51079-883-01),3.91,3.91,,,0 NDC,51079088601,NDC Description Not Available,5.43,5.43,,,0 NDC,51079088801,NDC Description Not Available,5.98,5.98,,,0 NDC,51079088820,Metoclopramide: 100 Blister Pack In 1 Carton (51079-888-20) / 1 Tablet In 1 Blister Pack (51079-888-01),6.0,6.0,,,0 NDC,51079092101,NDC Description Not Available,4.6,4.6,,,0 NDC,51079092201,NDC Description Not Available,10.23,10.23,,,0 NDC,51079092301,NDC Description Not Available,6.0,6.0,,,0 NDC,51079092320,"Carbidopa And Levodopa: 100 Blister Pack In 1 Carton (51079-923-20) / 1 Tablet, Extended Release In 1 Blister Pack (51079-923-01)",6.0,6.0,,,0 NDC,51079092401,NDC Description Not Available,20.53,20.53,,,0 NDC,51079092420,"Diltiazem Hydrochloride: 100 Blister Pack In 1 Carton (51079-924-20) / 1 Capsule, Extended Release In 1 Blister Pack (51079-924-01)",20.53,20.53,,,0 NDC,51079092920,"Labetalol HCl: 100 BLISTER PACK in 1 CARTON (51079-929-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-929-01)",4.61,4.61,,,0 NDC,51079093101,NDC Description Not Available,6.0,6.0,,,0 NDC,51079093520,Triamterene and Hydrochlorothiazide: 100 BLISTER PACK in 1 CARTON (51079-935-20) / 1 CAPSULE in 1 BLISTER PACK (51079-935-01),6.0,6.0,,,0 NDC,51079094320,"Bupropion Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-943-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-943-01)",7.62,7.62,,,0 NDC,51079095820,Doxazosin: 100 BLISTER PACK in 1 CARTON (51079-958-20) / 1 TABLET in 1 BLISTER PACK (51079-958-01),19.42,19.42,,,0 NDC,51079095920,Doxazosin: 100 BLISTER PACK in 1 CARTON (51079-959-20) / 1 TABLET in 1 BLISTER PACK (51079-959-01),20.38,20.38,,,0 NDC,51079097801,NDC Description Not Available,4.5,4.5,,,0 NDC,51079097820,"Carbidopa And Levodopa: 100 Blister Pack In 1 Carton (51079-978-20) / 1 Tablet, Extended Release In 1 Blister Pack (51079-978-01)",6.0,6.0,,,0 NDC,51079097901,NDC Description Not Available,3.96,3.96,,,0 NDC,51079097920,"Spironolactone: 100 Blister Pack In 1 Carton (51079-979-20) / 1 Tablet, Film Coated In 1 Blister Pack (51079-979-01)",3.3,3.3,,,0 NDC,51079098501,NDC Description Not Available,4.24,4.24,,,0 NDC,51079098520,Buspirone Hydrochloride: 100 Blister Pack In 1 Carton (51079-985-20) / 1 Tablet In 1 Blister Pack (51079-985-01),4.72,4.72,,,0 NDC,51079098601,NDC Description Not Available,3.62,3.62,,,0 NDC,51079098620,Buspirone Hydrochloride: 100 Blister Pack In 1 Carton (51079-986-20) / 1 Tablet In 1 Blister Pack (51079-986-01),3.28,3.28,,,0 NDC,51079099120,"Tramadol Hydrochloride: 100 BLISTER PACK in 1 CARTON (51079-991-20) / 1 TABLET, FILM COATED in 1 BLISTER PACK (51079-991-01)",5.845000000000001,5.845000000000001,,,0 NDC,51079099820,"Tizanidine: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (51079-998-20) / 1 TABLET in 1 BLISTER PACK (51079-998-01)",5.44,5.44,,,0 NDC,51144000301,Tivdak: 1 Vial In 1 Carton (51144-003-01) / 4 Ml In 1 Vial,1155.5,1155.5,,,0 NDC,51144002001,"Padcev Ejfv: 1 Vial, Single-Dose In 1 Box (51144-020-01) / 2 Ml In 1 Vial, Single-Dose",234.74,234.74,,,0 NDC,51144003001,"Padcev Ejfv: 1 Vial, Single-Dose In 1 Box (51144-030-01) / 3 Ml In 1 Vial, Single-Dose",234.86,234.86,,,0 NDC,51144005001,"Adcetris: 1 Vial, Single-Dose In 1 Box (51144-050-01) / 10.5 Ml In 1 Vial, Single-Dose",1587.79,1587.79,,,0 NDC,51224001120,Cholestyramine: 60 Pouch In 1 Carton (51224-011-20) / 8.3 G In 1 Pouch,11.49,11.49,,,0 NDC,51224016224,Astringent: 12 Box In 1 Carton (51224-162-24) / 12 Packet In 1 Box (51224-162-12) / 2299 Mg In 1 Packet (51224-162-99),1.49,1.49,,,0 NDC,51293069101,"Phenobarbital: 100 TABLET in 1 BOTTLE, PLASTIC (51293-691-01)",4.9,4.9,,,0 NDC,51407015390,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (51407-153-90)",5.57,5.57,,,0 NDC,51479004215,"AZACTAM: 10 VIAL, SINGLE-DOSE in 1 CARTON (51479-042-15) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, SINGLE-DOSE",75.74,75.74,,,0 NDC,51552134501,Lets Kit: 1 Kit In 1 Box (51552-1345-1) * 180 Mg In 1 Container (51552-0454-9) * 500 Mg In 1 Container (51552-0269-9) * 4 G In 1 Container (51552-0106-9),14.41,14.41,,,0 NDC,51645070610,"PlusPharma Extra Strength: 1000 TABLET in 1 BOTTLE, PLASTIC (51645-706-10)",1.0,1.0,,,0 NDC,51660020030,Ezetimibe: 30 Tablet In 1 Bottle (51660-200-30),6.0,6.0,,,0 NDC,51672125801,Clobetasol Propionate: 1 Tube In 1 Carton (51672-1258-1) / 15 G In 1 Tube,62.04,62.04,,,0 NDC,51672125902,Clobetasol Propionate: 1 Tube In 1 Carton (51672-1259-2) / 30 G In 1 Tube,61.94,61.94,,,0 NDC,51672126301,Nystatin And Triamcinolone Acetonide: 1 Tube In 1 Carton (51672-1263-1) / 15 G In 1 Tube,129.93,129.93,,,0 NDC,51672126403,Fluocinonide: 1 Tube In 1 Carton (51672-1264-3) / 60 G In 1 Tube,241.06,241.06,,,0 NDC,51672126705,Triamcinolone Acetonide: 1 Tube In 1 Carton (51672-1267-5) / 5 G In 1 Tube,399.72,399.72,,,0 NDC,51672127501,Clotrimazole: 1 Tube In 1 Carton (51672-1275-1) / 15 G In 1 Tube,72.54,72.54,,,0 NDC,51672128101,Desonide: 1 Tube In 1 Carton (51672-1281-1) / 15 G In 1 Tube,143.32,143.32,,,0 NDC,51672128901,Nystatin: 1 Tube In 1 Carton (51672-1289-1) / 15 G In 1 Tube,54.04,54.04,,,0 NDC,51672129802,Ketoconazole: 1 Tube In 1 Carton (51672-1298-2) / 30 G In 1 Tube,235.85,235.85,,,0 NDC,51672130302,Econazole Nitrate: 1 Tube In 1 Carton (51672-1303-2) / 30 G In 1 Tube,310.44,310.44,,,0 NDC,51672136002,Acyclovir: 1 Tube In 1 Carton (51672-1360-2) / 30 G In 1 Tube,310.07,310.07,,,0 NDC,51672200102,Miconazole Nitrate: 1 Tube In 1 Carton (51672-2001-2) / 30 G In 1 Tube,26.79,26.79,,,0 NDC,51672200201,Clotrimazole: 1 Tube In 1 Carton (51672-2002-1) / 15 G In 1 Tube,31.62,31.62,,,0 NDC,51672200306,Clotrimazole: 1 Tube In 1 Carton (51672-2003-6) / 45 G In 1 Tube,25.11,25.11,,,0 NDC,51672201002,Hydrocortisone: 1 Tube In 1 Carton (51672-2010-2) / 28.4 G In 1 Tube,20.39,20.39,,,0 NDC,51672203701,Clotrimazole: 1 Bottle In 1 Carton (51672-2037-1) / 10 Ml In 1 Bottle,223.82,223.82,,,0 NDC,51672207501,Bacitracin Zinc: 1 Tube In 1 Carton (51672-2075-1) / 15 G In 1 Tube,6.05,6.05,,,0 NDC,51672211500,NDC Description Not Available,1.82,1.82,,,0 NDC,51672211502,Feverall Childrens: 6 Blister Pack In 1 Carton (51672-2115-2) / 1 Suppository In 1 Blister Pack (51672-2115-0),2.0,2.0,,,0 NDC,51672213008,Ibuprofen: 1 Bottle In 1 Carton (51672-2130-8) / 120 Ml In 1 Bottle,2.0,2.0,,,0 NDC,51672300803,Lidocaine: 50 G In 1 Jar (51672-3008-3),471.2,471.2,,,0 NDC,51672302002,Lidocaine: 1 Tube In 1 Carton (51672-3020-2) / 30 G In 1 Tube,186.0,186.0,,,0 NDC,51672400501,Carbamazepine: 100 Tablet In 1 Bottle (51672-4005-1),4.16,4.16,,,0 NDC,51672402201,Acetazolamide: 100 Tablet In 1 Bottle (51672-4022-1),6.0,6.0,,,0 NDC,51672403701,Enalapril Maleate: 100 Tablet In 1 Bottle (51672-4037-1),3.0,3.0,,,0 NDC,51672403801,Enalapril Maleate: 100 Tablet In 1 Bottle (51672-4038-1),5.2,5.2,,,0 NDC,51672404001,Enalapril Maleate: 100 Tablet In 1 Bottle (51672-4040-1),5.1,5.1,,,0 NDC,51672404101,"Carbamazepine: 100 Tablet, Chewable In 1 Bottle (51672-4041-1)",2.89,2.89,,,0 NDC,51672404201,Clorazepate Dipotassium: 100 Tablet In 1 Bottle (51672-4042-1),6.17,6.17,,,0 NDC,51672404301,Clorazepate Dipotassium: 100 Tablet In 1 Bottle (51672-4043-1),8.65,8.65,,,0 NDC,51672404801,Clotrimazole And Betamethasone Dipropionate: 1 Tube In 1 Carton (51672-4048-1) / 15 G In 1 Tube,104.54,104.54,,,0 NDC,51672411101,"Phenytoin Sodium: 100 Capsule, Extended Release In 1 Bottle (51672-4111-1)",3.13,3.13,,,0 NDC,51672411606,Metronidazole: 1 Tube In 1 Carton (51672-4116-6) / 45 G In 1 Tube,607.67,607.67,,,0 NDC,51672412401,"Carbamazepine: 100 Tablet, Extended Release In 1 Bottle (51672-4124-1)",6.0,6.0,,,0 NDC,51672414601,"Phenytoin: 100 Tablet, Chewable In 1 Bottle (51672-4146-1)",3.0,3.0,,,0 NDC,51672424501,Enalapril Maleate: 100 Tablet In 1 Bottle (51672-4245-1),3.59,3.59,,,0 NDC,51754050001,Caffeine Citrate: 1 Vial In 1 Carton (51754-0500-1) / 3 Ml In 1 Vial,24.025,24.025,,,0 NDC,51754100601,Nipride Rtu: 1 Vial In 1 Vial (51754-1006-1) / 100 Ml In 1 Vial,308.0,308.0,,,0 NDC,51754200104,"Potassium Acetate: 25 Vial, Single-Dose In 1 Carton (51754-2001-4) / 20 Ml In 1 Vial, Single-Dose",25.34,25.34,,,0 NDC,51754400001,NDC Description Not Available,0.06,0.06,,,0 NDC,51754500101,NDC Description Not Available,58.74,58.74,,,0 NDC,51801001101,NDC Description Not Available,3.86,3.86,,,0 NDC,51801001130,"Effer-K 20 Meq Unflavored: 30 Pouch In 1 Carton (51801-011-30) / 1 Tablet, Effervescent In 1 Pouch",3.81,3.81,,,0 NDC,51801001201,NDC Description Not Available,3.86,3.86,,,0 NDC,51801001230,"Effer-K 20 Meq Orange Cream: 30 Pouch In 1 Carton (51801-012-30) / 1 Tablet, Effervescent In 1 Pouch",3.41,3.41,,,0 NDC,51801001330,"Effer-K 10 Meq Unflavored: 30 Pouch In 1 Carton (51801-013-30) / 1 Tablet, Effervescent In 1 Pouch",3.97,3.97,,,0 NDC,51801001430,"Effer-K 10 Meq Cherry Vanilla: 30 Pouch In 1 Carton (51801-014-30) / 1 Tablet, Effervescent In 1 Pouch",3.45,3.45,,,0 NDC,51862032001,"Liothyronine Sodium: 100 Tablet In 1 Bottle, Plastic (51862-320-01)",6.41,6.41,,,0 NDC,51862045801,NDC Description Not Available,4.78,4.78,,,0 NDC,51862046001,NDC Description Not Available,18.72,18.72,,,0 NDC,51991000590,"Exemestane: 90 Tablet, Film Coated In 1 Bottle (51991-005-90)",20.67,20.67,,,0 NDC,51991014417,Methylergonovine Maleate: 10 Ampule In 1 Box (51991-144-17) / 1 Ml In 1 Ampule,132.4,132.4,,,0 NDC,51991014499,NDC Description Not Available,132.4,132.4,,,0 NDC,51991031290,"Desvenlafaxine: 90 Tablet, Extended Release In 1 Bottle (51991-312-90)",6.0,6.0,,,0 NDC,51991034906,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle (51991-349-06)",4.74,4.74,,,0 NDC,51991038099,NDC Description Not Available,25.84,25.84,,,0 NDC,51991038199,NDC Description Not Available,25.83,25.83,,,0 NDC,51991070401,Alprazolam: 100 Tablet In 1 Bottle (51991-704-01),6.0,6.0,,,0 NDC,51991083801,CYPROHEPTADINE HYDROCHLORIDE: 100 TABLET in 1 BOTTLE (51991-838-01),5.71,5.71,,,0 NDC,51991087733,"Eplerenone: 30 Tablet, Film Coated In 1 Bottle (51991-877-33)",8.68,8.68,,,0 NDC,52015008001,"Dificid: 1 Bottle In 1 Carton (52015-080-01) / 20 Tablet, Film Coated In 1 Bottle",1566.95,1566.95,,,0 NDC,52268010001,"Golytely: 4 L In 1 Bottle, Plastic (52268-100-01)",148.8,148.8,,,0 NDC,52427028601,"Macrodantin: 100 Capsule In 1 Bottle, Plastic (52427-286-01)",72.67,72.67,,,0 NDC,52536000609,"Isosorbide Dinitrate And Hydralazine Hydrochloride: 90 Tablet, Film Coated In 1 Bottle (52536-006-09)",6.82,6.82,,,0 NDC,52536009605,NDC Description Not Available,15.35,15.35,,,0 NDC,52536013613,Erythromycin Ethylsuccinate: 200 Ml In 1 Bottle (52536-136-13),11.79,11.79,,,0 NDC,52536060011,Baclofen: 1 Bottle In 1 Carton (52536-600-11) / 120 Ml In 1 Bottle,88.71,88.71,,,0 NDC,52536062501,"Testosterone Cypionate: 1 Vial, Single-Dose In 1 Carton (52536-625-01) / 1 Ml In 1 Vial, Single-Dose",0.9,0.9,,,0 NDC,52605012105,"Ibuprofen: 500 TABLET, FILM COATED in 1 BOTTLE (52605-121-05)",1.0,1.0,,,0 NDC,52652195001,"Thyquidity: 1 Bottle, Glass In 1 Carton (52652-1950-1) / 100 Ml In 1 Bottle, Glass",43.87,43.87,,,0 NDC,52652300101,Qbrelis: 150 Ml In 1 Bottle (52652-3001-1),1128.9,1128.9,,,0 NDC,52652400101,Epaned: 150 Ml In 1 Bottle (52652-4001-1),48.87,48.87,,,0 NDC,52652500101,Katerzia: 1 Bottle In 1 Carton (52652-5001-1) / 150 Ml In 1 Bottle,72.69,72.69,,,0 NDC,52652800101,Zonisade: 1 Bottle In 1 Carton (52652-8001-1) / 150 Ml In 1 Bottle,140.23,140.23,,,0 NDC,52652900101,Eprontia: 473 Ml In 1 Bottle (52652-9001-1),31.45,31.45,,,0 NDC,52817023530,"Ramelteon: 30 Tablet, Film Coated In 1 Bottle, Plastic (52817-235-30)",7.02,7.02,,,0 NDC,52817031910,Baclofen: 100 Tablet In 1 Bottle (52817-319-10),5.76,5.76,,,0 NDC,52817033010,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (52817-330-10)",5.25,5.25,,,0 NDC,53276101001,NDC Description Not Available,373.55,373.55,,,0 NDC,53276101002,NDC Description Not Available,1178.0,1178.0,,,0 NDC,53276101009,NDC Description Not Available,1178.0,1178.0,,,0 NDC,53276101015,NDC Description Not Available,1240.0,1240.0,,,0 NDC,53489011802,"Doxycycline Hyclate: 50 Capsule In 1 Bottle, Plastic (53489-118-02)",6.0,6.0,,,0 NDC,53489012002,"Doxycycline Hyclate: 50 Tablet, Film Coated In 1 Bottle, Plastic (53489-120-02)",5.9,5.9,,,0 NDC,53489014101,"Quinidine Gluconate: 100 Tablet, Extended Release In 1 Bottle, Plastic (53489-141-01)",44.95,44.95,,,0 NDC,53489014601,"Sulfamethoxazole And Trimethoprim: 100 Tablet In 1 Bottle, Plastic (53489-146-01)",6.0,6.0,,,0 NDC,53489017601,Albuterol Sulfate: 100 Tablet In 1 Bottle (53489-176-01),4.48,4.48,,,0 NDC,53746010901,Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle (53746-109-01),6.0,6.0,,,0 NDC,53746027101,Sulfamethoxazole And Trimethoprim: 100 Tablet In 1 Bottle (53746-271-01),5.61,5.61,,,0 NDC,53746036101,Folic Acid: 100 Tablet In 1 Bottle (53746-361-01),5.8,5.8,,,0 NDC,53746057101,Bethanechol Chloride: 100 Tablet In 1 Bottle (53746-571-01),1.82,1.82,,,0 NDC,53746073490,Felbamate: 90 Tablet In 1 Bottle (53746-734-90),14.88,14.88,,,0 NDC,54092018981,Pentasa: 240 Capsule In 1 Bottle (54092-189-81),18.82,18.82,,,0 NDC,54092039101,"Adderall Xr: 100 Capsule, Extended Release In 1 Bottle (54092-391-01)",44.17,44.17,,,0 NDC,54092054701,"Motegrity: 30 Tablet, Film Coated In 1 Bottle (54092-547-01)",114.59,114.59,,,0 NDC,54288010001,Zoledronic Acid: 1 Vial In 1 Carton (54288-100-01) / 5 Ml In 1 Vial,36.14,36.14,,,0 NDC,54288010301,NDC Description Not Available,7.38,7.38,,,0 NDC,54288010310,Epinephrine: 10 Ampule In 1 Box (54288-103-10) / 1 Ml In 1 Ampule,8.68,8.68,,,0 NDC,54288010502,NDC Description Not Available,6666.5,6666.5,,,0 NDC,54288010515,Dehydrated Alcohol: 10 Ampule In 1 Carton (54288-105-15) / 5 Ml In 1 Ampule (54288-105-02),6666.5,6666.5,,,0 NDC,54288012001,Epinephrine: 1 Vial In 1 Carton (54288-120-01) / 10 Ml In 1 Vial,6.04,6.04,,,0 NDC,54288013701,NDC Description Not Available,100.86,100.86,,,0 NDC,54288014101,NDC Description Not Available,4.36,4.36,,,0 NDC,54288014201,NDC Description Not Available,217.75,217.75,,,0 NDC,54288014701,Methylene Blue: 1 Vial In 1 Carton (54288-147-01) / 10 Ml In 1 Vial,34.64,34.64,,,0 NDC,54288016401,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-164-01) / 5 Ml In 1 Vial, Multi-Dose",29.52,29.52,,,0 NDC,54288016501,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-165-01) / 15 Ml In 1 Vial, Multi-Dose",55.78,55.78,,,0 NDC,54482014407,Carnitor: 10 Blister Pack In 1 Carton (54482-144-07) / 9 Tablet In 1 Blister Pack,7.64,7.64,,,0 NDC,54482014701,Carnitor: 5 Vial In 1 Carton (54482-147-01) / 5 Ml In 1 Vial,830.965,830.965,,,0 NDC,54482014801,"Carnitor Sf: 24 Bottle, Plastic In 1 Case (54482-148-01) / 118 Ml In 1 Bottle, Plastic",12.01,12.01,,,0 NDC,54629005001,NDC Description Not Available,6.0,6.0,,,0 NDC,54643564901,Infuvite Adult: 1 Kit In 1 Carton (54643-5649-1) * 5 Ml In 1 Vial (54643-5657-1) * 5 Ml In 1 Vial (54643-5659-1),753.595,753.595,,,0 NDC,54828000101,NDC Description Not Available,808.78,808.78,,,0 NDC,54838050140,"Haloperidol: 120 Ml In 1 Bottle, Dropper (54838-501-40)",6.47,6.47,,,0 NDC,54838055840,Loratadine: 120 Ml In 1 Carton (54838-558-40),2.0,2.0,,,0 NDC,54859081116,Allergy Relief: 473 Ml In 1 Bottle (54859-811-16),3.03,3.03,,,0 NDC,54868489700,PROVIGIL: 30 TABLET in 1 BOTTLE (54868-4897-0),87.45,87.45,,,0 NDC,55111014330,Fluconazole: 30 Tablet In 1 Bottle (55111-143-30),6.95,6.95,,,0 NDC,55111015313,"Ondansetron: 3 Dose Pack In 1 Box (55111-153-13) / 1 Tablet, Film Coated In 1 Dose Pack",1.63,1.63,,,0 NDC,55111015330,"Ondansetron: 30 Tablet, Film Coated In 1 Bottle (55111-153-30)",6.0,6.0,,,0 NDC,55111015413,"Ondansetron: 3 Dose Pack In 1 Box (55111-154-13) / 1 Tablet, Film Coated In 1 Dose Pack",1.36,1.36,,,0 NDC,55111015430,"Ondansetron: 30 Tablet, Film Coated In 1 Bottle (55111-154-30)",0.51,0.51,,,0 NDC,55111018015,Tizanidine: 150 Tablet In 1 Bottle (55111-180-15),4.99,4.99,,,0 NDC,55111026279,"Olanzapine: 10 Tablet, Orally Disintegrating In 1 Blister Pack (55111-262-79)",10.72,10.72,,,0 NDC,55111026281,"Olanzapine: 3 Blister Pack In 1 Carton (55111-262-81) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",10.72,10.72,,,0 NDC,55111029209,Sumatriptan Succinate: 9 Blister Pack In 1 Carton (55111-292-09) / 9 Tablet In 1 Blister Pack,10.99,10.99,,,0 NDC,55111053201,"Divalproex Sodium: 100 Capsule, Delayed Release In 1 Bottle (55111-532-01)",5.79,5.79,,,0 NDC,55111055610,"Decitabine: 1 Vial, Single-Use In 1 Carton (55111-556-10) / 10 Ml In 1 Vial, Single-Use",80.0,80.0,,,0 NDC,55111065207,NDC Description Not Available,7.37,7.37,,,0 NDC,55111065301,Sirolimus: 100 Tablet In 1 Bottle (55111-653-01),46.51,46.51,,,0 NDC,55111067106,NDC Description Not Available,128.79,128.79,,,0 NDC,55111067131,"Clopidogrel Bisulfate: 5 Blister Pack In 1 Carton (55111-671-31) / 6 Tablet, Film Coated In 1 Blister Pack (55111-671-06)",128.79,128.79,,,0 NDC,55111067811,NDC Description Not Available,30.93,30.93,,,0 NDC,55111067911,NDC Description Not Available,36.4,36.4,,,0 NDC,55111068507,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (55111-685-07) / 5 Ml In 1 Vial, Glass",121.0,121.0,,,0 NDC,55111068852,"Zoledronic Acid: 100 Ml In 1 Bottle, Glass (55111-688-52)",336.0,336.0,,,0 NDC,55111069407,"Palonosetron: 1 Vial, Single-Use In 1 Carton (55111-694-07) / 5 Ml In 1 Vial, Single-Use",33.36,33.36,,,0 NDC,55111078927,"Sevelamer Carbonate: 270 Tablet, Film Coated In 1 Bottle (55111-789-27)",0.58,0.58,,,0 NDC,55111078948,NDC Description Not Available,46.07,46.07,,,0 NDC,55135013201,"Trodelvy: 1 Vial In 1 Box (55135-132-01) / 1 Powder, For Solution In 1 Vial",229.7,229.7,,,0 NDC,55150011310,"Ampicillin: 10 Vial In 1 Box (55150-113-10) / 1 Injection, Powder, For Solution In 1 Vial",54.91,54.91,,,0 NDC,55150011420,"Ampicillin: 10 Vial In 1 Box (55150-114-20) / 1 Injection, Powder, For Solution In 1 Vial",48.71,48.71,,,0 NDC,55150011620,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (55150-116-20) / 1 Injection, Powder, For Solution In 1 Vial",34.85,34.85,,,0 NDC,55150011720,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (55150-117-20) / 1 Injection, Powder, For Solution In 1 Vial",75.22,75.22,,,0 NDC,55150011930,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-119-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",89.41,89.41,,,0 NDC,55150012030,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-120-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",34.485,34.485,,,0 NDC,55150012150,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-121-50) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",49.11,49.11,,,0 NDC,55150012715,"Oxacillin: 10 Vial In 1 Box (55150-127-15) / 1 Injection, Powder, For Solution In 1 Vial",48.62,48.62,,,0 NDC,55150012824,"Oxacillin: 10 Vial In 1 Box (55150-128-24) / 1 Injection, Powder, For Solution In 1 Vial",23.23,23.23,,,0 NDC,55150012999,"Oxacillin: 1 Vial, Pharmacy Bulk Package In 1 Box (55150-129-99) / 100 Ml In 1 Vial, Pharmacy Bulk Package",18.59,18.59,,,0 NDC,55150015410,"Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-154-10) / 10 Ml In 1 Vial, Single-Dose",0.81,0.81,,,0 NDC,55150015520,"Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-155-20) / 20 Ml In 1 Vial, Single-Dose",0.85,0.85,,,0 NDC,55150015872,Lidocaine Hydrochloride: 10 Ampule In 1 Carton (55150-158-72) / 2 Ml In 1 Ampule,1.97,1.97,,,0 NDC,55150015974,Lidocaine Hydrochloride: 10 Ampule In 1 Carton (55150-159-74) / 5 Ml In 1 Ampule,5.45,5.45,,,0 NDC,55150016102,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-161-02) / 2 Ml In 1 Vial, Single-Dose",30.325,30.325,,,0 NDC,55150016205,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-162-05) / 5 Ml In 1 Vial, Single-Dose",28.835,28.835,,,0 NDC,55150016330,"Lidocaine Hydrochloride: 1 Vial, Single-Dose In 1 Carton (55150-163-30) / 30 Ml In 1 Vial, Single-Dose",5.66,5.66,,,0 NDC,55150016613,"Sildenafil: 1 Vial, Single-Dose In 1 Carton (55150-166-13) / 12.5 Ml In 1 Vial, Single-Dose",243.44,243.44,,,0 NDC,55150016710,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-167-10) / 10 Ml In 1 Vial, Single-Dose",2.36,2.36,,,0 NDC,55150016830,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-168-30) / 30 Ml In 1 Vial, Single-Dose",0.79,0.79,,,0 NDC,55150016910,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-169-10) / 10 Ml In 1 Vial, Single-Dose",1.18,1.18,,,0 NDC,55150017030,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-170-30) / 30 Ml In 1 Vial, Single-Dose",0.33,0.33,,,0 NDC,55150017110,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-171-10) / 10 Ml In 1 Vial, Single-Dose",0.12,0.12,,,0 NDC,55150017230,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-172-30) / 30 Ml In 1 Vial, Single-Dose",0.07,0.07,,,0 NDC,55150017301,"Sumatriptan: 5 Vial, Single-Dose In 1 Carton (55150-173-01) / .5 Ml In 1 Vial, Single-Dose",73.7,73.7,,,0 NDC,55150017410,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (55150-174-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",118.98,118.98,,,0 NDC,55150017705,"Levetiracetam: 10 Vial, Single-Dose In 1 Carton (55150-177-05) / 5 Ml In 1 Vial, Single-Dose",1.24,1.24,,,0 NDC,55150018301,NDC Description Not Available,0.6,0.6,,,0 NDC,55150018810,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (55150-188-10) / 10 Ml In 1 Vial, Single-Dose",57.96,57.96,,,0 NDC,55150019410,"Esmolol Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-194-10) / 10 Ml In 1 Vial, Single-Dose",14.54,14.54,,,0 NDC,55150020200,NDC Description Not Available,57.32,57.32,,,0 NDC,55150020210,"Pantoprazole Sodium: 10 Vial, Single-Dose In 1 Carton (55150-202-10) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (55150-202-00)",58.29,58.29,,,0 NDC,55150020720,"Meropenem: 10 Vial In 1 Carton (55150-207-20) / 1 Injection, Powder, For Solution In 1 Vial",25.200000000000003,25.200000000000003,,,0 NDC,55150020830,"Meropenem: 10 Vial In 1 Carton (55150-208-30) / 1 Injection, Powder, For Solution In 1 Vial",11.62,11.62,,,0 NDC,55150020902,Dexmedetomidine: 25 Vial In 1 Carton (55150-209-02) / 2 Ml In 1 Vial,48.26,48.26,,,0 NDC,55150022110,"Etomidate: 10 Vial, Single-Dose In 1 Carton (55150-221-10) / 10 Ml In 1 Vial, Single-Dose",6.81,6.81,,,0 NDC,55150023501,NDC Description Not Available,11.96,11.96,,,0 NDC,55150024950,"Bupivacaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-249-50) / 50 Ml In 1 Vial, Multi-Dose",0.6,0.6,,,0 NDC,55150025050,"Bupivacaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-250-50) / 50 Ml In 1 Vial, Multi-Dose",0.24,0.24,,,0 NDC,55150025110,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-251-10) / 10 Ml In 1 Vial, Multi-Dose",3.73,3.73,,,0 NDC,55150025410,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-254-10) / 10 Ml In 1 Vial, Multi-Dose",5.62,5.62,,,0 NDC,55150025520,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-255-20) / 20 Ml In 1 Vial, Multi-Dose",2.95,2.95,,,0 NDC,55150025650,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-256-50) / 50 Ml In 1 Vial, Multi-Dose",2.95,2.95,,,0 NDC,55150025930,"Acetylcysteine: 4 Vial, Single-Dose In 1 Carton (55150-259-30) / 30 Ml In 1 Vial, Single-Dose",5.93,5.93,,,0 NDC,55150026705,"Fluphenazine Decanoate: 1 Vial, Multi-Dose In 1 Carton (55150-267-05) / 5 Ml In 1 Vial, Multi-Dose",144.72,144.72,,,0 NDC,55150028220,"Ertapenem: 10 Vial, Single-Dose In 1 Carton (55150-282-20) / 1 Injection In 1 Vial, Single-Dose",171.08,171.08,,,0 NDC,55150029701,NDC Description Not Available,445.95,445.95,,,0 NDC,55150030610,"Progesterone: 10 Ml In 1 Vial, Multi-Dose (55150-306-10)",59.0,59.0,,,0 NDC,55150030801,"Olanzapine: 1 Vial, Single-Dose In 1 Carton (55150-308-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",11.87,11.87,,,0 NDC,55150032901,"Medroxyprogesterone Acetate: 1 Vial, Single-Dose In 1 Carton (55150-329-01) / 1 Ml In 1 Vial, Single-Dose",1.3,1.3,,,0 NDC,55150033501,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (55150-335-01) / 45 Ml In 1 Vial, Multi-Dose",29.42,29.42,,,0 NDC,55150035201,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (55150-352-01) / 2 Ml In 1 Vial, Single-Dose",47.97,47.97,,,0 NDC,55150036501,"Amphotericin B: 1 Vial, Single-Dose In 1 Carton (55150-365-01) / 12.5 Ml In 1 Vial, Single-Dose",1024.0,1024.0,,,0 NDC,55150037001,"Vasopressin: 1 Vial, Multi-Dose In 1 Carton (55150-370-01) / 1 Ml In 1 Vial, Multi-Dose",9.57,9.57,,,0 NDC,55150038601,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (55150-386-01) / 60 Ml In 1 Vial, Multi-Dose",26.8,26.8,,,0 NDC,55150039301,"Azacitidine: 1 Vial, Single-Dose In 1 Carton (55150-393-01) / 4 Ml In 1 Vial, Single-Dose",6.69,6.69,,,0 NDC,55150040001,NDC Description Not Available,59.0,59.0,,,0 NDC,55150040301,NDC Description Not Available,15.16,15.16,,,0 NDC,55150042901,Tirofiban: 1 Pouch In 1 Carton (55150-429-01) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,25.855,25.855,,,0 NDC,55150043101,"Dactinomycin: 1 Vial, Single-Dose In 1 Carton (55150-431-01) / 1 Ml In 1 Vial, Single-Dose",5723.28,5723.28,,,0 NDC,55150043201,NDC Description Not Available,1631.88,1631.88,,,0 NDC,55150043401,"Dexrazoxane: 1 Kit In 1 Package (55150-434-01) * 25 Ml In 1 Vial, Single-Dose (55150-432-01) * 25 Ml In 1 Vial (55150-433-01)",1685.49,1685.49,,,0 NDC,55150043501,NDC Description Not Available,1386.01,1386.01,,,0 NDC,55150044301,Regadenoson: 1 Syringe In 1 Carton (55150-443-01) / 5 Ml In 1 Syringe,251.25,251.25,,,0 NDC,55150047101,NDC Description Not Available,64.33,64.33,,,0 NDC,55154394005,Solu-Medrol: 5 Vial In 1 Bag (55154-3940-5) / 1 Ml In 1 Vial,29.5,29.5,,,0 NDC,55289002060,"Amoxicillin: 60 Capsule In 1 Bottle, Plastic (55289-020-60)",1.5,1.5,,,0 NDC,55289005715,"Cephalexin: 15 Capsule In 1 Bottle, Plastic (55289-057-15)",3.0,3.0,,,0 NDC,55289014212,"Ibuprofen: 12 TABLET in 1 BOTTLE, PLASTIC (55289-142-12)",2.0,2.0,,,0 NDC,55289014215,"Ibuprofen: 15 TABLET in 1 BOTTLE, PLASTIC (55289-142-15)",2.0,2.0,,,0 NDC,55289014240,"Ibuprofen: 40 TABLET in 1 BOTTLE, PLASTIC (55289-142-40)",2.0,2.0,,,0 NDC,55289014290,"Ibuprofen: 90 TABLET in 1 BOTTLE, PLASTIC (55289-142-90)",2.0,2.0,,,0 NDC,55289014298,"Ibuprofen: 120 TABLET in 1 BOTTLE, PLASTIC (55289-142-98)",2.0,2.0,,,0 NDC,55289073890,"Potassium Chloride: 90 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTIC (55289-738-90)",6.0,6.0,,,0 NDC,55292013301,NDC Description Not Available,2296.08,2296.08,,,0 NDC,55292013306,NDC Description Not Available,2201.99,2201.99,,,0 NDC,55292020111,Chemet: 100 Capsule In 1 Bottle (55292-201-11),136.62,136.62,,,0 NDC,55292070254,NDC Description Not Available,209.43,209.43,,,0 NDC,55292070255,Panhematin: 1 Vial In 1 Carton (55292-702-55) / 48 Ml In 1 Vial (55292-702-54),209.43,209.43,,,0 NDC,55390001402,Dexrazoxane: 1 KIT in 1 PACKAGE (55390-014-02) * 25 mL in 1 VIAL * 25 mL in 1 VIAL (55390-015-01),1281.54,1281.54,,,0 NDC,55390002010,Milrinone Lactate: 10 VIAL in 1 BOX (55390-020-10) / 20 mL in 1 VIAL,35.18,35.18,,,0 NDC,55390002810,Famotidine: 10 VIAL in 1 BOX (55390-028-10) / 4 mL in 1 VIAL,59.0,59.0,,,0 NDC,55390003010,"Thiotepa: 1 VIAL in 1 BOX, UNIT-DOSE (55390-030-10) / 1.5 mL in 1 VIAL",3986.5,3986.5,,,0 NDC,55390005110,Leucovorin Calcium: 10 VIAL in 1 BOX (55390-051-10) / 5 mL in 1 VIAL,32.66,32.66,,,0 NDC,55390007710,Prochlorperazine Edisylate: 10 VIAL in 1 BOX (55390-077-10) / 2 mL in 1 VIAL,59.0,59.0,,,0 NDC,55390012101,"Ondansetron: 1 VIAL, MULTI-DOSE in 1 BOX (55390-121-01) / 20 mL in 1 VIAL, MULTI-DOSE",14.75,14.75,,,0 NDC,55390012510,Midazolam: 10 VIAL in 1 BOX (55390-125-10) / 10 mL in 1 VIAL,21.59,21.59,,,0 NDC,55390013702,Midazolam: 10 VIAL in 1 BOX (55390-137-02) / 2 mL in 1 VIAL,31.47,31.47,,,0 NDC,55390013705,Midazolam: 10 VIAL in 1 BOX (55390-137-05) / 5 mL in 1 VIAL,29.5,29.5,,,0 NDC,55390023701,Adriamycin: 1 VIAL in 1 BOX (55390-237-01) / 25 mL in 1 VIAL,74.37,74.37,,,0 NDC,55390025101,"Mitomycin: 1 VIAL in 1 BOX, UNIT-DOSE (55390-251-01) / 10 mL in 1 VIAL",375.2,375.2,,,0 NDC,55390046505,"Fluphenazine Decanoate: 1 VIAL, MULTI-DOSE in 1 BOX (55390-465-05) / 5 mL in 1 VIAL, MULTI-DOSE",59.0,59.0,,,0 NDC,55513000301,NDC Description Not Available,51.86,51.86,,,0 NDC,55513002101,NDC Description Not Available,51.86,51.86,,,0 NDC,55513002104,Aranesp: 1 Blister Pack In 1 Package (55513-021-04) / 4 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe (55513-021-01),51.86,51.86,,,0 NDC,55513002301,NDC Description Not Available,51.86,51.86,,,0 NDC,55513002304,Aranesp: 1 Blister Pack In 1 Package (55513-023-04) / 4 Syringe In 1 Blister Pack / .3 Ml In 1 Syringe (55513-023-01),51.86,51.86,,,0 NDC,55513002501,NDC Description Not Available,52.0,52.0,,,0 NDC,55513002504,Aranesp: 1 Blister Pack In 1 Package (55513-025-04) / 4 Syringe In 1 Blister Pack / .5 Ml In 1 Syringe (55513-025-01),53.2,53.2,,,0 NDC,55513002701,NDC Description Not Available,52.81,52.81,,,0 NDC,55513002704,Aranesp: 1 Blister Pack In 1 Package (55513-027-04) / 4 Syringe In 1 Blister Pack / .3 Ml In 1 Syringe (55513-027-01),51.86,51.86,,,0 NDC,55513002801,Aranesp: 1 Blister Pack In 1 Package (55513-028-01) / 1 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe,51.89,51.89,,,0 NDC,55513003201,Aranesp: 1 Blister Pack In 1 Package (55513-032-01) / 1 Syringe In 1 Blister Pack / 1 Ml In 1 Syringe,51.86,51.86,,,0 NDC,55513005701,NDC Description Not Available,51.86,51.86,,,0 NDC,55513005704,Aranesp: 1 Blister Pack In 1 Package (55513-057-04) / 4 Syringe In 1 Blister Pack / .42 Ml In 1 Syringe (55513-057-01),51.86,51.86,,,0 NDC,55513005901,Imdelltra (Amg757): 1 Kit In 1 Package (55513-059-01) * 1 Mg In 1 Vial (55513-103-01) * 7 Ml In 1 Vial (55513-068-01),6738.85,6738.85,,,0 NDC,55513006901,NDC Description Not Available,6750.0,6750.0,,,0 NDC,55513007330,"Sensipar: 30 Tablet, Coated In 1 Bottle, Plastic (55513-073-30)",166.72,166.72,,,0 NDC,55513007430,"Sensipar: 30 Tablet, Coated In 1 Bottle, Plastic (55513-074-30)",16.42,16.42,,,0 NDC,55513007701,Imdelltra (Amg757): 1 Kit In 1 Package (55513-077-01) * 10 Mg In 1 Vial (55513-069-01) * 7 Ml In 1 Vial (55513-068-01),7553.41,7553.41,,,0 NDC,55513007901,Imlygic: 1 Vial In 1 Carton (55513-079-01) / 1 Ml In 1 Vial,445.76,445.76,,,0 NDC,55513010301,NDC Description Not Available,6750.0,6750.0,,,0 NDC,55513011101,Aranesp: 1 Blister Pack In 1 Package (55513-111-01) / 1 Syringe In 1 Blister Pack / .6 Ml In 1 Syringe,51.86,51.86,,,0 NDC,55513011201,Tezspire: 1 Syringe In 1 Carton (55513-112-01) / 1.91 Ml In 1 Syringe,107.54,107.54,,,0 NDC,55513012601,NDC Description Not Available,21.82,21.82,,,0 NDC,55513013201,"Kanjinti: 1 Vial, Multi-Dose In 1 Carton (55513-132-01) / 20 Ml In 1 Vial, Multi-Dose",605.35,605.35,,,0 NDC,55513014101,"Kanjinti: 1 Vial, Single-Dose In 1 Carton (55513-141-01) / 7.15 Ml In 1 Vial, Single-Dose",650.935,650.935,,,0 NDC,55513014401,NDC Description Not Available,22.94,22.94,,,0 NDC,55513014801,NDC Description Not Available,14.88,14.88,,,0 NDC,55513015001,NDC Description Not Available,792.19,792.19,,,0 NDC,55513016001,Blincyto: 1 Kit In 1 Package (55513-160-01) * 3.088 Ml In 1 Vial (55513-150-01) * 10.6 Ml In 1 Vial (55513-155-01),840.425,840.425,,,0 NDC,55513019001,Neulasta: 1 Syringe In 1 Carton (55513-190-01) / .6 Ml In 1 Syringe,3399.62,3399.62,,,0 NDC,55513019201,Neulasta: 1 Kit In 1 Carton (55513-192-01) * .6 Ml In 1 Syringe,3583.38,3583.38,,,0 NDC,55513020601,Mvasi: 1 Vial In 1 Carton (55513-206-01) / 4 Ml In 1 Vial,467.615,467.615,,,0 NDC,55513020701,Mvasi: 1 Vial In 1 Carton (55513-207-01) / 16 Ml In 1 Vial,467.47,467.47,,,0 NDC,55513020910,Neupogen: 10 Syringe In 1 Box (55513-209-10) / .8 Ml In 1 Syringe (55513-209-01),5.56,5.56,,,0 NDC,55513022101,Nplate: 1 Vial In 1 Carton (55513-221-01) / .5 Ml In 1 Vial,137.3,137.3,,,0 NDC,55513022201,Nplate: 1 Vial In 1 Carton (55513-222-01) / 1 Ml In 1 Vial,191.14,191.14,,,0 NDC,55513022301,"Nplate: 1 Vial, Single-Dose In 1 Carton (55513-223-01) / .25 Ml In 1 Vial, Single-Dose",132.29,132.29,,,0 NDC,55513022401,"Riabni: 1 Vial, Single-Dose In 1 Carton (55513-224-01) / 10 Ml In 1 Vial, Single-Dose",480.22,480.22,,,0 NDC,55513026701,NDC Description Not Available,12.99,12.99,,,0 NDC,55513032601,"Riabni: 1 Vial, Single-Dose In 1 Carton (55513-326-01) / 50 Ml In 1 Vial, Single-Dose",479.43,479.43,,,0 NDC,55513047801,NDC Description Not Available,111.09,111.09,,,0 NDC,55513053001,NDC Description Not Available,7.03,7.03,,,0 NDC,55513053010,Neupogen: 10 Vial In 1 Package (55513-530-10) / 1 Ml In 1 Vial (55513-530-01),7.03,7.03,,,0 NDC,55513054610,Neupogen: 10 Vial In 1 Box (55513-546-10) / 1.6 Ml In 1 Vial (55513-546-01),7.0,7.0,,,0 NDC,55513067001,"Avsola: 1 Vial, Single-Dose In 1 Carton (55513-670-01) / 10 Ml In 1 Vial, Single-Dose",335.0,335.0,,,0 NDC,55513071001,Prolia: 1 Syringe In 1 Carton (55513-710-01) / 1 Ml In 1 Syringe,199.63,199.63,,,0 NDC,55513071021,Prolia: 1 Syringe In 1 Carton (55513-710-21) / 1 Ml In 1 Syringe,186.49,186.49,,,0 NDC,55513073001,"Xgeva: 1 Vial, Single-Use In 1 Carton (55513-730-01) / 1.7 Ml In 1 Vial, Single-Use",182.93,182.93,,,0 NDC,55513080060,"Corlanor: 60 Tablet, Film Coated In 1 Bottle (55513-800-60)",58.1,58.1,,,0 NDC,55513088002,Evenity: 2 Syringe In 1 Carton (55513-880-02) / 1.17 Ml In 1 Syringe (55513-880-01),72.11,72.11,,,0 NDC,55513092491,Neupogen: 1 Syringe In 1 Box (55513-924-91) / .5 Ml In 1 Syringe,4.97,4.97,,,0 NDC,55513095401,"Vectibix: 1 Vial, Single-Dose In 1 Carton (55513-954-01) / 5 Ml In 1 Vial, Single-Dose",1173.87,1173.87,,,0 NDC,55513095601,"Vectibix: 1 Vial, Single-Dose In 1 Carton (55513-956-01) / 20 Ml In 1 Vial, Single-Dose",1213.81,1213.81,,,0 NDC,55513099802,"Evenity: 2 Syringe, Glass In 1 Carton (55513-998-02) / 1.17 Ml In 1 Syringe, Glass (55513-998-01)",75.69,75.69,,,0 NDC,55566105000,NDC Description Not Available,253125.0,253125.0,,,0 NDC,55566105001,Adstiladrin: 4 Vial In 1 Carton (55566-1050-1) / 20 Ml In 1 Vial (55566-1050-0),253125.0,253125.0,,,0 NDC,55566220000,Ddavp: 10 Ampule In 1 Carton (55566-2200-0) / 1 Ml In 1 Ampule,157.44,157.44,,,0 NDC,55566260000,Ddavp: 1 Bottle In 1 Carton (55566-2600-0) / 100 Tablet In 1 Bottle,48.31,48.31,,,0 NDC,55566830301,"Firmagon: 1 Kit In 1 Carton (55566-8303-1) * 4 Ml In 1 Vial, Glass * 4.2 Ml In 1 Syringe",40.91,40.91,,,0 NDC,55566840200,NDC Description Not Available,42.55,42.55,,,0 NDC,55566840301,"Firmagon: 1 Kit In 1 Carton (55566-8403-1) * 3 Ml In 1 Syringe * 3 Ml In 1 Vial, Glass",42.55,42.55,,,0 NDC,56151161011,NDC Description Not Available,4.78,4.78,,,0 NDC,56151161211,NDC Description Not Available,9.24,9.24,,,0 NDC,57237000201,Hydrochlorothiazide: 100 Capsule In 1 Bottle (57237-002-01),6.0,6.0,,,0 NDC,57237007650,"Ondansetron Hydrochloride: 500 Tablet, Film Coated In 1 Bottle (57237-076-50)",1.71,1.71,,,0 NDC,57237007710,"Ondansetron: 3 Blister Pack In 1 Carton (57237-077-10) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",1.43,1.43,,,0 NDC,57237010601,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (57237-106-01)",3.1,3.1,,,0 NDC,57237017201,Venlafaxine: 100 Tablet In 1 Bottle (57237-172-01),2.73,2.73,,,0 NDC,57237021330,"Montelukast Sodium: 30 Tablet, Chewable In 1 Bottle (57237-213-30)",4.34,4.34,,,0 NDC,57237031603,NDC Description Not Available,6.1,6.1,,,0 NDC,57664051083,Mirtazapine: 30 Tablet In 1 Bottle (57664-510-83),12.86,12.86,,,0 NDC,57664063340,NDC Description Not Available,19.67,19.67,,,0 NDC,57664068331,NDC Description Not Available,116.48,116.48,,,0 NDC,57664068988,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (57664-689-88)",5.89,5.89,,,0 NDC,57782039726,"Cromolyn Sodium: 1 Bottle In 1 Carton (57782-397-26) / 200 Spray, Metered In 1 Bottle",43.37,43.37,,,0 NDC,57841130103,"Movantik: 10 Blister Pack In 1 Carton (57841-1301-3) / 10 Tablet, Film Coated In 1 Blister Pack",81.81,81.81,,,0 NDC,57844011001,Adderall: 100 Tablet In 1 Bottle (57844-110-01),66.48,66.48,,,0 NDC,57894003001,"Remicade: 1 Vial, Single-Use In 1 Box (57894-030-01) / 10 Ml In 1 Vial, Single-Use",630.03,630.03,,,0 NDC,57894005427,"Stelara: 1 Vial, Single-Use In 1 Box (57894-054-27) / 26 Ml In 1 Vial, Single-Use",104.98,104.98,,,0 NDC,57894006103,Stelara: 1 Syringe In 1 Carton (57894-061-03) / 1 Ml In 1 Syringe,1202.61,1202.61,,,0 NDC,57894011101,"Carvykti: 1 Injection, Suspension In 1 Bag (57894-111-01)",3525000.0,3525000.0,,,0 NDC,57894015012,Zytiga: 120 Tablet In 1 Bottle (57894-150-12),142.24,142.24,,,0 NDC,57894016001,"Infliximab: 1 Vial, Single-Use In 1 Box (57894-160-01) / 10 Ml In 1 Vial, Single-Use",257.34,257.34,,,0 NDC,57894035001,"Simponi Aria: 1 Vial, Single-Dose In 1 Carton (57894-350-01) / 4 Ml In 1 Vial, Single-Dose",262.94,262.94,,,0 NDC,57894044901,"Tecvayli: 1 Vial, Single-Dose In 1 Carton (57894-449-01) / 3 Ml In 1 Vial, Single-Dose",210.22,210.22,,,0 NDC,57894045001,"Tecvayli: 1 Vial, Single-Dose In 1 Carton (57894-450-01) / 1.7 Ml In 1 Vial, Single-Dose",158.39,158.39,,,0 NDC,57894046901,"Talvey: 1 Vial, Single-Dose In 1 Carton (57894-469-01) / 1.5 Ml In 1 Vial, Single-Dose",456.71000000000004,456.71000000000004,,,0 NDC,57894047001,"Talvey: 1 Vial, Single-Dose In 1 Carton (57894-470-01) / 1 Ml In 1 Vial, Single-Dose",457.25,457.25,,,0 NDC,57894050100,NDC Description Not Available,142.49,142.49,,,0 NDC,57894050101,"Rybrevant: 1 Vial, Single-Use In 1 Carton (57894-501-01) / 1 Injection In 1 Vial, Single-Use (57894-501-00)",143.08,143.08,,,0 NDC,57894050301,"Darzalex Faspro: 1 Vial, Single-Dose In 1 Box (57894-503-01) / 15 Ml In 1 Vial, Single-Dose",372.68,372.68,,,0 NDC,57894050505,"Darzalex Iv: 1 Vial, Single-Dose In 1 Box (57894-505-05) / 5 Ml In 1 Vial, Single-Dose",326.49,326.49,,,0 NDC,57894050520,"Darzalex Iv: 1 Vial, Single-Dose In 1 Box (57894-505-20) / 20 Ml In 1 Vial, Single-Dose",327.75,327.75,,,0 NDC,57894065001,NDC Description Not Available,245.95,245.95,,,0 NDC,57894065002,"Tremfya: 1 Vial, Single-Dose In 1 Carton (57894-650-02) / 20 Ml In 1 Vial, Single-Dose (57894-650-01)",382.09,382.09,,,0 NDC,57896014509,NDC Description Not Available,2.0,2.0,,,0 NDC,57896020101,100 TABLET in 1 BOTTLE (57896-201-01),1.0,1.0,,,0 NDC,57896020401,Extra Strength Acetaminophen: 100 Tablet In 1 Bottle (57896-204-01),1.11,1.11,,,0 NDC,57896030301,"Stool Softener with Laxative: 100 TABLET, FILM COATED in 1 BOTTLE (57896-303-01)",1.0,1.0,,,0 NDC,57896030401,"Stool Softener With Laxative: 100 Tablet, Film Coated In 1 Bottle (57896-304-01)",1.0,1.0,,,0 NDC,57896043401,Geri-Kot: 100 Tablet In 1 Bottle (57896-434-01),1.07,1.07,,,0 NDC,57896090101,Aspirin: 100 Tablet In 1 Bottle (57896-901-01),2.0,2.0,,,0 NDC,57962001428,"Imbruvica: 1 Blister Pack In 1 Carton (57962-014-28) / 28 Tablet, Film Coated In 1 Blister Pack",2268.49,2268.49,,,0 NDC,57962042028,"Imbruvica: 1 Blister Pack In 1 Carton (57962-420-28) / 28 Tablet, Film Coated In 1 Blister Pack",3716.69,3716.69,,,0 NDC,57970010001,Dalvance: 1 Vial In 1 Package (57970-100-01) / 25 Ml In 1 Vial,119.2,119.2,,,0 NDC,58151011032,NDC Description Not Available,11.69,11.69,,,0 NDC,58151031094,NDC Description Not Available,8.51,8.51,,,0 NDC,58160072303,NDC Description Not Available,299.5,299.5,,,0 NDC,58160072615,Hiberix: 1 Kit In 1 Carton (58160-726-15) * .85 Ml In 1 Syringe (58160-817-02) * .5 Ml In 1 Vial (58160-816-03),213.0,213.0,,,0 NDC,58160074002,NDC Description Not Available,494.5,494.5,,,0 NDC,58160074021,Rotarix: 10 Applicator In 1 Carton (58160-740-21) / 1.5 Ml In 1 Applicator (58160-740-02),494.5,494.5,,,0 NDC,58160081043,NDC Description Not Available,106.0,106.0,,,0 NDC,58160081052,Infanrix: 10 Syringe In 1 Carton (58160-810-52) / .5 Ml In 1 Syringe (58160-810-43),106.0,106.0,,,0 NDC,58160081143,NDC Description Not Available,260.0,260.0,,,0 NDC,58160081243,NDC Description Not Available,139.0,139.0,,,0 NDC,58160081252,Kinrix: 10 Syringe In 1 Carton (58160-812-52) / .5 Ml In 1 Syringe (58160-812-43),264.065,264.065,,,0 NDC,58160081543,NDC Description Not Available,402.39,402.39,,,0 NDC,58160081552,Twinrix: 10 Syringe In 1 Carton (58160-815-52) / 1 Ml In 1 Syringe (58160-815-43),177.0,177.0,,,0 NDC,58160081601,NDC Description Not Available,90.88,90.88,,,0 NDC,58160081603,NDC Description Not Available,91.19,91.19,,,0 NDC,58160081605,NDC Description Not Available,101.0,101.0,,,0 NDC,58160081702,NDC Description Not Available,101.0,101.0,,,0 NDC,58160081811,Hiberix: 1 Kit In 1 Carton (58160-818-11) * 10 Vial In 1 Carton (58160-816-05) / .5 Ml In 1 Vial (58160-816-01) * 10 Vial In 1 Package (58160-817-05) / .85 Ml In 1 Vial (58160-817-01),101.0,101.0,,,0 NDC,58160081912,Shingrix: 1 Kit In 1 Carton (58160-819-12) * .5 Ml In 1 Vial (58160-828-01) * .5 Ml In 1 Vial (58160-829-01),1214.4650000000001,1214.4650000000001,,,0 NDC,58160082043,NDC Description Not Available,139.14,139.14,,,0 NDC,58160082052,Engerix-B: 10 Syringe In 1 Carton (58160-820-52) / .5 Ml In 1 Syringe (58160-820-43),139.315,139.315,,,0 NDC,58160082101,NDC Description Not Available,469.78,469.78,,,0 NDC,58160082111,Engerix-B: 10 Vial In 1 Carton (58160-821-11) / 1 Ml In 1 Vial (58160-821-01),472.85,472.85,,,0 NDC,58160082143,NDC Description Not Available,350.91499999999996,350.91499999999996,,,0 NDC,58160082152,Engerix-B: 10 Syringe In 1 Carton (58160-821-52) / 1 Ml In 1 Syringe (58160-821-43),310.15999999999997,310.15999999999997,,,0 NDC,58160082311,Shingrix: 1 Kit In 1 Carton (58160-823-11) * .5 Ml In 1 Vial (58160-828-03) * .5 Ml In 1 Vial (58160-829-03),1230.875,1230.875,,,0 NDC,58160082415,Priorix: 1 Kit In 1 Carton (58160-824-15) * .5 Ml In 1 Vial (58160-831-03) * .5 Ml In 1 Syringe (58160-833-02),190.0,190.0,,,0 NDC,58160082543,NDC Description Not Available,269.0,269.0,,,0 NDC,58160082552,Havrix: 10 Syringe In 1 Carton (58160-825-52) / .5 Ml In 1 Syringe (58160-825-43),105.0,105.0,,,0 NDC,58160082643,NDC Description Not Available,269.0,269.0,,,0 NDC,58160082652,Havrix: 10 Syringe In 1 Carton (58160-826-52) / 1 Ml In 1 Syringe (58160-826-43),108.0,108.0,,,0 NDC,58160082703,NDC Description Not Available,574.0,574.0,,,0 NDC,58160082730,Menveo: 10 Vial In 1 Carton (58160-827-30) / .5 Ml In 1 Vial (58160-827-03),387.0,387.0,,,0 NDC,58160082801,NDC Description Not Available,1214.4650000000001,1214.4650000000001,,,0 NDC,58160082803,NDC Description Not Available,1103.0,1103.0,,,0 NDC,58160083103,NDC Description Not Available,609.82,609.82,,,0 NDC,58160083302,NDC Description Not Available,224.0,224.0,,,0 NDC,58160084201,NDC Description Not Available,187.345,187.345,,,0 NDC,58160084205,NDC Description Not Available,285.09,285.09,,,0 NDC,58160084211,Boostrix: 10 Vial In 1 Carton (58160-842-11) / .5 Ml In 1 Vial (58160-842-01),186.88,186.88,,,0 NDC,58160084234,NDC Description Not Available,70.0,70.0,,,0 NDC,58160084243,NDC Description Not Available,86.0,86.0,,,0 NDC,58160084252,Boostrix: 10 Syringe In 1 Carton (58160-842-52) / .5 Ml In 1 Syringe (58160-842-43),188.32,188.32,,,0 NDC,58160084811,Arexvy: 1 Kit In 1 Carton (58160-848-11) * .5 Ml In 1 Vial (58160-723-03) * .5 Ml In 1 Vial (58160-744-03),292.0,292.0,,,0 NDC,58160085101,NDC Description Not Available,706.0,706.0,,,0 NDC,58160085452,Rotarix: 1 Kit In 1 Carton (58160-854-52) * 10 Vial In 1 Carton (58160-851-10) / 1 Ml In 1 Vial (58160-851-01) * 1 Ml In 1 Applicator (58160-853-02),706.0,706.0,,,0 NDC,58160088441,NDC Description Not Available,35.0,35.0,,,0 NDC,58160088452,Fluarix 2024/2025: 10 Syringe In 1 Carton (58160-884-52) / .5 Ml In 1 Syringe (58160-884-41),66.0,66.0,,,0 NDC,58160090941,NDC Description Not Available,29.0,29.0,,,0 NDC,58160090952,FLUARIX QUADRIVALENT: 10 SYRINGE in 1 CARTON (58160-909-52) / .5 mL in 1 SYRINGE (58160-909-41),29.0,29.0,,,0 NDC,58160095509,"Menveo: 1 Kit In 1 Carton (58160-955-09) * .5 Ml In 1 Vial, Single-Dose (58160-958-01) * .5 Ml In 1 Vial, Single-Dose (58160-959-01)",200.0,200.0,,,0 NDC,58160097602,NDC Description Not Available,385.705,385.705,,,0 NDC,58160097620,Bexsero: 10 Syringe In 1 Carton (58160-976-20) / .5 Ml In 1 Syringe (58160-976-02),1127.04,1127.04,,,0 NDC,58181304005,"Gleostine: 1 Bottle In 1 Carton (58181-3040-5) / 5 Capsule, Gelatin Coated In 1 Bottle",697.44,697.44,,,0 NDC,58181304105,"Gleostine: 1 Bottle In 1 Carton (58181-3041-5) / 5 Capsule, Gelatin Coated In 1 Bottle",2789.69,2789.69,,,0 NDC,58406001001,NDC Description Not Available,6199.05,6199.05,,,0 NDC,58406005501,NDC Description Not Available,6371.04,6371.04,,,0 NDC,58468003001,NDC Description Not Available,13343.3,13343.3,,,0 NDC,58468003002,"Thyrogen: 2 Vial, Single-Dose In 1 Carton (58468-0030-2) / 1 Ml In 1 Vial, Single-Dose (58468-0030-1)",13351.21,13351.21,,,0 NDC,58468008001,"Thymoglobulin: 1 Vial, Glass In 1 Carton (58468-0080-1) / 5 Ml In 1 Vial, Glass",7227.59,7227.59,,,0 NDC,58468013101,NDC Description Not Available,0.92,0.92,,,0 NDC,58468013102,"Renvela: 90 Packet In 1 Carton (58468-0131-2) / 1 Powder, For Suspension In 1 Packet (58468-0131-1)",9.36,9.36,,,0 NDC,58468022501,"Cablivi: 1 Kit In 1 Carton (58468-0225-1) * 1 Ml In 1 Vial, Glass (58468-0227-1) * 1 Ml In 1 Syringe, Glass (58468-0229-1)",4645.49,4645.49,,,0 NDC,58468042601,"Nexviazyme: 1 Vial, Single-Dose In 1 Carton (58468-0426-1) / 10 Ml In 1 Vial, Single-Dose",339.02,339.02,,,0 NDC,58657052504,M-Pap: 120 Ml In 1 Bottle (58657-525-04),2.05,2.05,,,0 NDC,58914008052,Bentyl: 5 Ampule In 1 Box (58914-080-52) / 2 Ml In 1 Ampule,563.19,563.19,,,0 NDC,58914017014,Carafate: 420 Ml In 1 Bottle (58914-170-14),15.78,15.78,,,0 NDC,58914050101,NDC Description Not Available,240.11,240.11,,,0 NDC,58914050156,Canasa: 30 Suppository In 1 Box (58914-501-56),240.11,240.11,,,0 NDC,58980001110,Bacitracin Zinc: 1 Tube In 1 Box (58980-011-10) / 28.35 G In 1 Tube,7.49,7.49,,,0 NDC,58980040912,Stratuscare Glycerin Laxative Pediatric: 12 Suppository In 1 Jar (58980-409-12),2.0,2.0,,,0 NDC,59011041010,"Oxycontin: 100 Tablet, Film Coated, Extended Release In 1 Bottle (59011-410-10)",35.13,35.13,,,0 NDC,59011041020,"Oxycontin: 2 Blister Pack In 1 Carton (59011-410-20) / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",34.6,34.6,,,0 NDC,59011042010,"Oxycontin: 100 Tablet, Film Coated, Extended Release In 1 Bottle (59011-420-10)",61.66,61.66,,,0 NDC,59011042020,"Oxycontin: 2 Blister Pack In 1 Carton (59011-420-20) / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",64.81,64.81,,,0 NDC,59011044010,"Oxycontin: 100 Tablet, Film Coated, Extended Release In 1 Bottle (59011-440-10)",111.43,111.43,,,0 NDC,59011044020,"Oxycontin: 2 Blister Pack In 1 Carton (59011-440-20) / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",110.9,110.9,,,0 NDC,59148001871,"Abilify Maintena: 1 Kit In 1 Carton (59148-018-71) * 1.5 Ml In 1 Vial, Single-Use * 5 Ml In 1 Vial, Single-Use",47.87,47.87,,,0 NDC,59148001970,NDC Description Not Available,47.94,47.94,,,0 NDC,59148001971,"Abilify Maintena: 1 Kit In 1 Carton (59148-019-71) * 1.9 Ml In 1 Vial, Single-Use * 5 Ml In 1 Vial, Single-Use",47.77,47.77,,,0 NDC,59148002050,Samsca: 1 Blister Pack In 1 Carton (59148-020-50) / 10 Tablet In 1 Blister Pack,3225.23,3225.23,,,0 NDC,59148002150,Samsca: 1 Blister Pack In 1 Carton (59148-021-50) / 10 Tablet In 1 Blister Pack,3345.79,3345.79,,,0 NDC,59148007090,NDC Description Not Available,55.83,55.83,,,0 NDC,59148007091,Busulfex: 8 Carton In 1 Carton (59148-070-91) / 1 Vial In 1 Carton (59148-070-90) / 10 Ml In 1 Vial,55.83,55.83,,,0 NDC,59148023212,"Abilify Maintena: 1 Kit In 1 Carton (59148-232-12) * 1.5 Ml In 1 Vial, Single-Use (59148-235-70) * 2.5 Ml In 1 Vial, Single-Use (59148-100-12)",45.12,45.12,,,0 NDC,59148024512,"Abilify Maintena: 1 Kit In 1 Carton (59148-245-12) * 1.9 Ml In 1 Vial, Single-Use (59148-238-90) * 2.5 Ml In 1 Vial, Single-Use (59148-100-12)",48.65,48.65,,,0 NDC,59267030401,NDC Description Not Available,220.0,220.0,,,0 NDC,59267056501,NDC Description Not Available,220.0,220.0,,,0 NDC,59310057922,"PROAIR: 1 INHALER in 1 CARTON (59310-579-22) / 200 AEROSOL, METERED in 1 INHALER",454.49,454.49,,,0 NDC,59338077501,"Feraheme: 1 Vial, Single-Use In 1 Carton (59338-775-01) / 17 Ml In 1 Vial, Single-Use",15.68,15.68,,,0 NDC,59353000210,"Retacrit: 10 Vial, Single-Dose In 1 Carton (59353-002-10) / 1 Ml In 1 Vial, Single-Dose (59353-002-01)",73.9,73.9,,,0 NDC,59353000301,NDC Description Not Available,7.39,7.39,,,0 NDC,59353000401,NDC Description Not Available,7.39,7.39,,,0 NDC,59353001001,NDC Description Not Available,73.9,73.9,,,0 NDC,59365512801,Paragard T 380A: 1 Pouch In 1 Carton (59365-5128-1) / 1 Intrauterine Device In 1 Pouch,6852.96,6852.96,,,0 NDC,59365512901,Paragard T 380A: 1 Pouch In 1 Carton (59365-5129-1) / 1 Intrauterine Device In 1 Pouch,6435.6,6435.6,,,0 NDC,59572010201,"Vidaza: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (59572-102-01)",39.14,39.14,,,0 NDC,59572071030,"Idhifa: 30 Tablet, Film Coated In 1 Bottle (59572-710-30)",7025.53,7025.53,,,0 NDC,59572071101,"Reblozyl: 1 Vial, Glass In 1 Carton (59572-711-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",278.34,278.34,,,0 NDC,59572077501,"Reblozyl: 1 Vial, Glass In 1 Carton (59572-775-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",271.54,271.54,,,0 NDC,59572096210,NDC Description Not Available,214.31,214.31,,,0 NDC,59584013801,"Candin: 1 Ml In 1 Vial, Multi-Dose (59584-138-01)",594.96,594.96,,,0 NDC,59630026601,NDC Description Not Available,15.21,15.21,,,0 NDC,59630026610,"Fetroja: 10 Vial, Single-Use In 1 Carton (59630-266-10) / 10 Ml In 1 Vial, Single-Use (59630-266-01)",19.48,19.48,,,0 NDC,59651003212,Ibuprofen: 1 Bottle In 1 Carton (59651-032-12) / 120 Ml In 1 Bottle,2.0,2.0,,,0 NDC,59651024130,"Imatinib Mesylate: 30 Tablet, Film Coated In 1 Bottle (59651-241-30)",6.72,6.72,,,0 NDC,59651029960,"Tamoxifen Citrate: 60 Tablet, Film Coated In 1 Bottle (59651-299-60)",3.26,3.26,,,0 NDC,59651033201,Flucytosine: 100 Capsule In 1 Bottle (59651-332-01),124.0,124.0,,,0 NDC,59651036001,Ibuprofen: 100 Tablet In 1 Bottle (59651-360-01),1.0,1.0,,,0 NDC,59651042601,Spironolactone: 100 Tablet In 1 Bottle (59651-426-01),6.0,6.0,,,0 NDC,59651045601,Carbidopa And Levodopa: 100 Tablet In 1 Bottle (59651-456-01),6.0,6.0,,,0 NDC,59651045701,Carbidopa And Levodopa: 100 Tablet In 1 Bottle (59651-457-01),5.05,5.05,,,0 NDC,59651048501,Prednisone: 100 Tablet In 1 Bottle (59651-485-01),1.91,1.91,,,0 NDC,59651048601,Prednisone: 100 Tablet In 1 Bottle (59651-486-01),0.78,0.78,,,0 NDC,59651048801,Prednisone: 100 Tablet In 1 Bottle (59651-488-01),0.16,0.16,,,0 NDC,59651048901,Prednisone: 100 Tablet In 1 Bottle (59651-489-01),0.07,0.07,,,0 NDC,59651049101,Prednisolone: 100 Tablet In 1 Bottle (59651-491-01),76.62,76.62,,,0 NDC,59651056501,Dicloxacillin Sodium: 100 Capsule In 1 Bottle (59651-565-01),3.88,3.88,,,0 NDC,59651072201,Clonazepam: 100 Tablet In 1 Bottle (59651-722-01),4.68,4.68,,,0 NDC,59651072301,Clonazepam: 100 Tablet In 1 Bottle (59651-723-01),4.76,4.76,,,0 NDC,59651072401,Clonazepam: 100 Tablet In 1 Bottle (59651-724-01),2.0,2.0,,,0 NDC,59651087350,"Ciprofloxacin: 50 Tablet, Film Coated In 1 Bottle (59651-873-50)",6.0,6.0,,,0 NDC,59676027801,"Edurant: 30 Tablet, Film Coated In 1 Bottle (59676-278-01)",306.01,306.01,,,0 NDC,59676030200,NDC Description Not Available,37.13,37.13,,,0 NDC,59676030300,NDC Description Not Available,23.46,23.46,,,0 NDC,59676030400,NDC Description Not Available,21.23,21.23,,,0 NDC,59676031000,NDC Description Not Available,51.87,51.87,,,0 NDC,59676031001,"Procrit: 6 Vial, Single-Dose In 1 Carton (59676-310-01) / 1 Ml In 1 Vial, Single-Dose (59676-310-00)",31.64,31.64,,,0 NDC,59676032000,NDC Description Not Available,179.06,179.06,,,0 NDC,59676032004,"Procrit: 4 Vial, Multi-Dose In 1 Carton (59676-320-04) / 1 Ml In 1 Vial, Multi-Dose (59676-320-00)",179.06,179.06,,,0 NDC,59676034000,NDC Description Not Available,179.06,179.06,,,0 NDC,59676034001,"Procrit: 4 Vial, Single-Dose In 1 Carton (59676-340-01) / 1 Ml In 1 Vial, Single-Dose (59676-340-00)",179.06,179.06,,,0 NDC,59676056201,"Prezista: 60 Tablet, Film Coated In 1 Bottle, Plastic (59676-562-01)",223.01,223.01,,,0 NDC,59676056630,"Prezista: 30 Tablet, Film Coated In 1 Bottle, Plastic (59676-566-30)",446.02,446.02,,,0 NDC,59676057001,"Intelence: 120 Tablet In 1 Bottle, Plastic (59676-570-01)",77.39,77.39,,,0 NDC,59676061001,"Yondelis: 20 Ml In 1 Vial, Single-Use (59676-610-01)",2354.03,2354.03,,,0 NDC,59676080030,"Symtuza: 30 Tablet, Film Coated In 1 Bottle (59676-800-30)",974.83,974.83,,,0 NDC,59676096001,"DOXIL: 1 VIAL, SINGLE-USE in 1 CARTON (59676-960-01) / 10 mL in 1 VIAL, SINGLE-USE",3974.82,3974.82,,,0 NDC,59676096002,"DOXIL: 1 VIAL, SINGLE-USE in 1 CARTON (59676-960-02) / 25 mL in 1 VIAL, SINGLE-USE",4184.02,4184.02,,,0 NDC,59746011506,Prochlorperazine Maleate: 100 Tablet In 1 Bottle (59746-115-06),2.93,2.93,,,0 NDC,59746017206,Prednisone: 100 Tablet In 1 Bottle (59746-172-06),0.8,0.8,,,0 NDC,59746017306,Prednisone: 100 Tablet In 1 Bottle (59746-173-06),0.58,0.58,,,0 NDC,59746017506,Prednisone: 100 Tablet In 1 Bottle (59746-175-06),0.16,0.16,,,0 NDC,59762004801,"Tolterodine Tartrate Extended Release: 30 Capsule, Extended Release In 1 Bottle (59762-0048-1)",15.68,15.68,,,0 NDC,59762007301,Hydrocortisone: 50 Tablet In 1 Bottle (59762-0073-1),6.0,6.0,,,0 NDC,59762007401,Hydrocortisone: 100 Tablet In 1 Bottle (59762-0074-1),5.61,5.61,,,0 NDC,59762007501,Hydrocortisone: 100 Tablet In 1 Bottle (59762-0075-1),3.92,3.92,,,0 NDC,59762011901,"Phenelzine Sulfate: 60 Tablet, Film Coated In 1 Bottle (59762-0119-1)",4.39,4.39,,,0 NDC,59762017006,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (59762-0170-6)",9.24,9.24,,,0 NDC,59762018103,"Venlafaxine Hydrochloride: 100 BLISTER PACK in 1 CARTON (59762-0181-3) / 1 CAPSULE, EXTENDED RELEASE in 1 BLISTER PACK",3.79,3.79,,,0 NDC,59762033302,"Latanoprost: 1 Bottle, Dropper In 1 Carton (59762-0333-2) / 2.5 Ml In 1 Bottle, Dropper",43.07,43.07,,,0 NDC,59762081201,Nadolol: 100 TABLET in 1 BOTTLE (59762-0812-1),15.38,15.38,,,0 NDC,59762093503,Voriconazole: 1 Bottle In 1 Carton (59762-0935-3) / 75 Ml In 1 Bottle,348.97,348.97,,,0 NDC,59762100101,"Sirolimus: 100 Tablet, Sugar Coated In 1 Bottle (59762-1001-1)",27.01,27.01,,,0 NDC,59762106101,Diphenoxylate Hydrochloride And Atropine Sulfate: 100 Tablet In 1 Bottle (59762-1061-1),3.9,3.9,,,0 NDC,59762120701,Liothyronine Sodium: 100 Tablet In 1 Bottle (59762-1207-1),6.0,6.0,,,0 NDC,59762135001,Rifabutin: 100 Capsule In 1 Bottle (59762-1350-1),86.77,86.77,,,0 NDC,59762171002,"Eplerenone: 30 Tablet, Film Coated In 1 Bottle (59762-1710-2)",8.68,8.68,,,0 NDC,59762171003,"Eplerenone: 90 Tablet, Film Coated In 1 Bottle (59762-1710-3)",8.68,8.68,,,0 NDC,59762172001,"Eplerenone: 30 Tablet, Film Coated In 1 Bottle (59762-1720-1)",8.68,8.68,,,0 NDC,59762219807,"Azithromycin: 30 Tablet, Film Coated In 1 Bottle (59762-2198-7)",5.11,5.11,,,0 NDC,59762314001,Azithromycin: 1 Bottle In 1 Carton (59762-3140-1) / 30 Ml In 1 Bottle,20.58,20.58,,,0 NDC,59762372001,Alprazolam: 100 Tablet In 1 Bottle (59762-3720-1),3.77,3.77,,,0 NDC,59762372101,Alprazolam: 100 Tablet In 1 Bottle (59762-3721-1),4.16,4.16,,,0 NDC,59762453701,medroxyprogesterone acetate: 1 VIAL in 1 CARTON (59762-4537-1) / 1 mL in 1 VIAL,2.73,2.73,,,0 NDC,59762490003,"SERTRALINE HYDROCHLORIDE: 100 BLISTER PACK in 1 DOSE PACK (59762-4900-3) / 1 TABLET, FILM COATED in 1 BLISTER PACK",3.41,3.41,,,0 NDC,59762500005,Sulfasalazine: 1 Bottle In 1 Carton (59762-5000-5) / 100 Tablet In 1 Bottle,2.37,2.37,,,0 NDC,59762500801,Misoprostol: 60 Tablet In 1 Bottle (59762-5008-1),5.99,5.99,,,0 NDC,59762505007,"Gabapentin: 1 Bottle, Plastic In 1 Carton (59762-5050-7) / 470 Ml In 1 Bottle, Plastic",6.0,6.0,,,0 NDC,59762521001,"Phenytoin Infatabs: 100 TABLET, CHEWABLE in 1 BOTTLE (59762-5210-1)",3.08,3.08,,,0 NDC,60219107601,Azathioprine: 100 Tablet In 1 Bottle (60219-1076-1),3.0,3.0,,,0 NDC,60219172107,"Etravirine: 120 Tablet In 1 Bottle, Plastic (60219-1721-7)",66.51,66.51,,,0 NDC,60219174802,"Atropine: 1 Bottle, Dropper In 1 Carton (60219-1748-2) / 2 Ml In 1 Bottle, Dropper",222.58,222.58,,,0 NDC,60219174903,"Atropine: 1 Bottle, Dropper In 1 Carton (60219-1749-3) / 5 Ml In 1 Bottle, Dropper",271.5,271.5,,,0 NDC,60219234801,"Tramadol Hydrochloride: 100 Tablet, Coated In 1 Bottle (60219-2348-1)",5.91,5.91,,,0 NDC,60267070550,"Sodium Thiosulfate: 50 Ml In 1 Vial, Single-Dose (60267-705-50)",5.2,5.2,,,0 NDC,60432006547,"Amoxicillin And Clavulanate Potassium: 150 Ml In 1 Bottle, Plastic (60432-065-47)",27.19,27.19,,,0 NDC,60432009316,"Amantadine Hydrochloride: 473 mL in 1 BOTTLE, PLASTIC (60432-093-16)",6.0,6.0,,,0 NDC,60432012916,"CARBAMAZEPINE: 450 mL in 1 BOTTLE, PLASTIC (60432-129-16)",10.15,10.15,,,0 NDC,60432015016,"Hydroxyzine Hydrochloride: 473 mL in 1 BOTTLE, PLASTIC (60432-150-16)",7.75,7.75,,,0 NDC,60432046550,NDC Description Not Available,198.4,198.4,,,0 NDC,60432053716,"Nystatin: 473 mL in 1 BOTTLE, PLASTIC (60432-537-16)",6.0,6.0,,,0 NDC,60432053760,"Nystatin: 60 mL in 1 BOTTLE, GLASS (60432-537-60)",6.0,6.0,,,0 NDC,60432060816,"PROMETHAZINE HYDROCHLORIDE: 473 mL in 1 BOTTLE, PLASTIC (60432-608-16)",5.3,5.3,,,0 NDC,60505003306,"Pentoxifylline: 100 Tablet, Extended Release In 1 Bottle (60505-0033-6)",6.0,6.0,,,0 NDC,60505016601,Fluvoxamine Maleate: 100 Tablet In 1 Bottle (60505-0166-1),6.0,6.0,,,0 NDC,60505025203,Tizanidine: 150 Tablet In 1 Bottle (60505-0252-3),4.36,4.36,,,0 NDC,60505025701,Desmopressin Acetate: 100 Tablet In 1 Bottle (60505-0257-1),4.76,4.76,,,0 NDC,60505056403,"Brimonidine Tartrate: 1 Bottle, Dropper In 1 Carton (60505-0564-3) / 15 Ml In 1 Bottle, Dropper",2851.66,2851.66,,,0 NDC,60505058204,"Moxifloxacin: 1 Bottle, Dropper In 1 Carton (60505-0582-4) / 3 Ml In 1 Bottle, Dropper",415.03,415.03,,,0 NDC,60505058903,"Brimonidine Tartrate/Timolol Maleate Ophthalmic Solution: 1 Bottle, Dropper In 1 Carton (60505-0589-3) / 15 Ml In 1 Bottle, Dropper",1581.0,1581.0,,,0 NDC,60505074905,"Cefazolin: 25 VIAL, SINGLE-DOSE in 1 CARTON (60505-0749-5) / 3 mL in 1 VIAL, SINGLE-DOSE",14.75,14.75,,,0 NDC,60505075304,"Ceftriaxone: 10 VIAL in 1 CARTON (60505-0753-4) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL",24.12,24.12,,,0 NDC,60505075905,"Cefoxitin: 25 VIAL in 1 CARTON (60505-0759-5) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL (60505-0759-1)",118.22,118.22,,,0 NDC,60505082306,"Calcitonin Salmon: 1 Bottle, Glass In 1 Carton (60505-0823-6) / 30 Spray, Metered In 1 Bottle, Glass",464.2,464.2,,,0 NDC,60505082901,"Fluticasone Propionate: 1 Bottle, Spray In 1 Carton (60505-0829-1) / 120 Spray, Metered In 1 Bottle, Spray",111.6,111.6,,,0 NDC,60505100301,"Ketorolac Tromethamine: 1 Bottle, Dropper In 1 Carton (60505-1003-1) / 5 Ml In 1 Bottle, Dropper",198.78,198.78,,,0 NDC,60505100302,"Ketorolac Tromethamine: 1 Bottle, Dropper In 1 Carton (60505-1003-2) / 10 Ml In 1 Bottle, Dropper",397.55,397.55,,,0 NDC,60505132309,Pravastatin Sodium: 90 Tablet In 1 Bottle (60505-1323-9),6.0,6.0,,,0 NDC,60505250201,Leflunomide: 30 Tablet In 1 Bottle (60505-2502-1),16.54,16.54,,,0 NDC,60505252101,Cilostazol: 60 Tablet In 1 Bottle (60505-2521-1),3.22,3.22,,,0 NDC,60505263301,"Cetirizine Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE (60505-2633-1)",6.0,6.0,,,0 NDC,60505311000,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3110-0) / 10 Tablet, Film Coated In 1 Blister Pack",5.11,5.11,,,0 NDC,60505311100,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3111-0) / 10 Tablet, Film Coated In 1 Blister Pack",3.64,3.64,,,0 NDC,60505311300,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3113-0) / 10 Tablet, Film Coated In 1 Blister Pack",5.44,5.44,,,0 NDC,60505325106,"Lamivudine: 60 Tablet, Film Coated In 1 Bottle (60505-3251-6)",23.25,23.25,,,0 NDC,60505327500,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3275-0) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",11.07,11.07,,,0 NDC,60505362806,"Dasatinib: 60 Tablet, Film Coated In 1 Bottle (60505-3628-6)",2146.65,2146.65,,,0 NDC,60505363103,"Dasatinib: 30 Tablet, Film Coated In 1 Bottle (60505-3631-3)",2579.3,2579.3,,,0 NDC,60505381703,"Dasatinib: 30 Tablet, Film Coated In 1 Bottle (60505-3817-3)",2579.3,2579.3,,,0 NDC,60505392701,"Guanfacine Extended-Release: 100 Tablet, Extended Release In 1 Bottle (60505-3927-1)",2.85,2.85,,,0 NDC,60505463203,"Cyclosporine, Modfied: 30 Blister Pack In 1 Carton (60505-4632-3) / 6 Capsule, Liquid Filled In 1 Blister Pack",20.45,20.45,,,0 NDC,60505464303,"Prasugrel: 30 Tablet, Film Coated In 1 Bottle (60505-4643-3)",6.0,6.0,,,0 NDC,60505530701,Acyclovir: 100 Tablet In 1 Bottle (60505-5307-1),6.0,6.0,,,0 NDC,60505611600,"Regadenoson: 1 Syringe, Plastic In 1 Carton (60505-6116-0) / 5 Ml In 1 Syringe, Plastic",41.88,41.88,,,0 NDC,60505612800,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6128-0) / 2 Ml In 1 Vial, Single-Use",21.98,21.98,,,0 NDC,60505612801,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6128-1) / 5 Ml In 1 Vial, Single-Use",19.78,19.78,,,0 NDC,60505613000,NDC Description Not Available,11.53,11.53,,,0 NDC,60505613206,Oxaliplatin: 1 Vial In 1 Carton (60505-6132-6) / 10 Ml In 1 Vial,1.34,1.34,,,0 NDC,60505613207,Oxaliplatin: 1 Vial In 1 Carton (60505-6132-7) / 20 Ml In 1 Vial,1.34,1.34,,,0 NDC,60505614200,NDC Description Not Available,56.115,56.115,,,0 NDC,60505614504,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6145-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",14.75,14.75,,,0 NDC,60505614600,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6146-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",62.754999999999995,62.754999999999995,,,0 NDC,60505614604,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6146-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",52.23,52.23,,,0 NDC,60505614700,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6147-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",35.644999999999996,35.644999999999996,,,0 NDC,60505614704,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6147-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",32.025,32.025,,,0 NDC,60505614800,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (60505-6148-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",45.86,45.86,,,0 NDC,60505614900,NDC Description Not Available,15.57,15.57,,,0 NDC,60505615600,NDC Description Not Available,59.0,59.0,,,0 NDC,60505615700,NDC Description Not Available,64.33,64.33,,,0 NDC,60505615900,NDC Description Not Available,32.69,32.69,,,0 NDC,60505619301,Palonosetron: 1 Vial In 1 Carton (60505-6193-1) / 5 Ml In 1 Vial,12.06,12.06,,,0 NDC,60505619600,NDC Description Not Available,96.81,96.81,,,0 NDC,60505622600,"Atropine: 1 Bottle, Dropper In 1 Carton (60505-6226-0) / 2 Ml In 1 Bottle, Dropper",225.5,225.5,,,0 NDC,60505622800,"Bendamustine Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (60505-6228-0) / 5 Ml In 1 Vial, Multi-Dose",218.26,218.26,,,0 NDC,60505623100,NDC Description Not Available,28.81,28.81,,,0 NDC,60505623105,"Cefazolin: 25 Vial, Single-Dose In 1 Carton (60505-6231-5) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (60505-6231-0)",16.72,16.72,,,0 NDC,60505626600,NDC Description Not Available,17.39,17.39,,,0 NDC,60505627700,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (60505-6277-0) / 50 Ml In 1 Vial, Multi-Dose",40.2,40.2,,,0 NDC,60505700702,Fentanyl: 5 Pouch In 1 Carton (60505-7007-2) / 1 Patch In 1 Pouch (60505-7007-0) / 72 H In 1 Patch,60.76,60.76,,,0 NDC,60505700902,Fentanyl: 5 Pouch In 1 Carton (60505-7009-2) / 1 Patch In 1 Pouch (60505-7009-0) / 72 H In 1 Patch,120.28,120.28,,,0 NDC,60505706100,NDC Description Not Available,3.53,3.53,,,0 NDC,60505706200,NDC Description Not Available,3.53,3.53,,,0 NDC,60505706300,NDC Description Not Available,3.53,3.53,,,0 NDC,60687010001,"Ursodiol: 100 Blister Pack In 1 Box, Unit-Dose (60687-100-01) / 1 Capsule In 1 Blister Pack (60687-100-11)",36.92,36.92,,,0 NDC,60687010011,NDC Description Not Available,36.92,36.92,,,0 NDC,60687010511,NDC Description Not Available,8.67,8.67,,,0 NDC,60687011211,NDC Description Not Available,27.0,27.0,,,0 NDC,60687011311,NDC Description Not Available,4.32,4.32,,,0 NDC,60687012195,NDC Description Not Available,14.02,14.02,,,0 NDC,60687012211,NDC Description Not Available,0.87,0.87,,,0 NDC,60687012311,NDC Description Not Available,11.75,11.75,,,0 NDC,60687012401,"Clonidine Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-124-01) / 1 Tablet In 1 Blister Pack (60687-124-11)",6.0,6.0,,,0 NDC,60687012411,NDC Description Not Available,5.82,5.82,,,0 NDC,60687012711,NDC Description Not Available,18.86,18.86,,,0 NDC,60687012911,NDC Description Not Available,2.0,2.0,,,0 NDC,60687013411,NDC Description Not Available,0.59,0.59,,,0 NDC,60687014311,NDC Description Not Available,6.0,6.0,,,0 NDC,60687014511,NDC Description Not Available,0.16,0.16,,,0 NDC,60687014911,NDC Description Not Available,7.05,7.05,,,0 NDC,60687015211,NDC Description Not Available,5.18,5.18,,,0 NDC,60687015511,NDC Description Not Available,4.43,4.43,,,0 NDC,60687015695,NDC Description Not Available,9.3,9.3,,,0 NDC,60687015711,NDC Description Not Available,57.94,57.94,,,0 NDC,60687015721,"Aripiprazole: 30 Blister Pack In 1 Box, Unit-Dose (60687-157-21) / 1 Tablet In 1 Blister Pack (60687-157-11)",57.94,57.94,,,0 NDC,60687016111,NDC Description Not Available,5.83,5.83,,,0 NDC,60687016301,"Cephalexin: 100 Blister Pack In 1 Box, Unit-Dose (60687-163-01) / 1 Capsule In 1 Blister Pack (60687-163-11)",6.0,6.0,,,0 NDC,60687016311,NDC Description Not Available,5.07,5.07,,,0 NDC,60687016811,NDC Description Not Available,50.94,50.94,,,0 NDC,60687017811,NDC Description Not Available,4.93,4.93,,,0 NDC,60687017901,"Aripiprazole: 100 Blister Pack In 1 Box, Unit-Dose (60687-179-01) / 1 Tablet In 1 Blister Pack (60687-179-11)",50.94,50.94,,,0 NDC,60687017911,NDC Description Not Available,50.94,50.94,,,0 NDC,60687018811,NDC Description Not Available,25.54,25.54,,,0 NDC,60687019511,NDC Description Not Available,5.55,5.55,,,0 NDC,60687020611,NDC Description Not Available,5.44,5.44,,,0 NDC,60687021011,NDC Description Not Available,5.74,5.74,,,0 NDC,60687021111,NDC Description Not Available,4.77,4.77,,,0 NDC,60687021695,NDC Description Not Available,115.18,115.18,,,0 NDC,60687021711,NDC Description Not Available,5.92,5.92,,,0 NDC,60687022401,"Gemfibrozil: 100 Blister Pack In 1 Box, Unit-Dose (60687-224-01) / 1 Tablet In 1 Blister Pack (60687-224-11)",6.0,6.0,,,0 NDC,60687022411,NDC Description Not Available,6.0,6.0,,,0 NDC,60687022711,NDC Description Not Available,66.38,66.38,,,0 NDC,60687022811,NDC Description Not Available,9.86,9.86,,,0 NDC,60687022911,NDC Description Not Available,1.75,1.75,,,0 NDC,60687023001,"Zonisamide: 100 Blister Pack In 1 Box, Unit-Dose (60687-230-01) / 1 Capsule In 1 Blister Pack (60687-230-11)",3.75,3.75,,,0 NDC,60687023011,NDC Description Not Available,3.79,3.79,,,0 NDC,60687023111,NDC Description Not Available,5.74,5.74,,,0 NDC,60687023411,NDC Description Not Available,8.68,8.68,,,0 NDC,60687024211,NDC Description Not Available,3.56,3.56,,,0 NDC,60687024501,"Rosuvastatin Calcium: 100 Blister Pack In 1 Box, Unit-Dose (60687-245-01) / 1 Tablet, Film Coated In 1 Blister Pack (60687-245-11)",8.68,8.68,,,0 NDC,60687024511,NDC Description Not Available,8.68,8.68,,,0 NDC,60687025240,NDC Description Not Available,16.74,16.74,,,0 NDC,60687025246,NDC Description Not Available,17.16,17.16,,,0 NDC,60687025601,"Rosuvastatin Calcium: 100 Blister Pack In 1 Box, Unit-Dose (60687-256-01) / 1 Tablet, Film Coated In 1 Blister Pack (60687-256-11)",8.68,8.68,,,0 NDC,60687025611,NDC Description Not Available,8.68,8.68,,,0 NDC,60687028101,"Nortriptyline Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-281-01) / 1 Capsule In 1 Blister Pack (60687-281-11)",4.82,4.82,,,0 NDC,60687028111,NDC Description Not Available,4.72,4.72,,,0 NDC,60687028611,NDC Description Not Available,42.76,42.76,,,0 NDC,60687029211,NDC Description Not Available,4.83,4.83,,,0 NDC,60687029311,NDC Description Not Available,4.02,4.02,,,0 NDC,60687029995,NDC Description Not Available,20.67,20.67,,,0 NDC,60687030295,NDC Description Not Available,18.1,18.1,,,0 NDC,60687031211,NDC Description Not Available,11.29,11.29,,,0 NDC,60687031395,NDC Description Not Available,22.18,22.18,,,0 NDC,60687031911,NDC Description Not Available,62.27,62.27,,,0 NDC,60687032511,NDC Description Not Available,6.0,6.0,,,0 NDC,60687032811,NDC Description Not Available,41.51,41.51,,,0 NDC,60687032833,NDC Description Not Available,8.57,8.57,,,0 NDC,60687033311,NDC Description Not Available,4.07,4.07,,,0 NDC,60687033611,NDC Description Not Available,6.82,6.82,,,0 NDC,60687034511,NDC Description Not Available,4.94,4.94,,,0 NDC,60687034911,NDC Description Not Available,4.03,4.03,,,0 NDC,60687035111,NDC Description Not Available,9.23,9.23,,,0 NDC,60687035711,NDC Description Not Available,5.47,5.47,,,0 NDC,60687036811,NDC Description Not Available,6.0,6.0,,,0 NDC,60687036901,"Dicyclomine Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-369-01) / 1 Capsule In 1 Blister Pack (60687-369-11)",5.92,5.92,,,0 NDC,60687036911,NDC Description Not Available,5.61,5.61,,,0 NDC,60687037311,NDC Description Not Available,64.05,64.05,,,0 NDC,60687037511,NDC Description Not Available,42.17,42.17,,,0 NDC,60687038411,NDC Description Not Available,6.71,6.71,,,0 NDC,60687038611,NDC Description Not Available,42.06,42.06,,,0 NDC,60687038711,NDC Description Not Available,6.07,6.07,,,0 NDC,60687038811,NDC Description Not Available,3.76,3.76,,,0 NDC,60687038911,NDC Description Not Available,57.62,57.62,,,0 NDC,60687039011,NDC Description Not Available,6.03,6.03,,,0 NDC,60687039479,NDC Description Not Available,5.81,5.81,,,0 NDC,60687039579,NDC Description Not Available,2.0,2.0,,,0 NDC,60687039811,NDC Description Not Available,5.7,5.7,,,0 NDC,60687040211,NDC Description Not Available,6.03,6.03,,,0 NDC,60687040579,NDC Description Not Available,6.0,6.0,,,0 NDC,60687040995,NDC Description Not Available,8.74,8.74,,,0 NDC,60687041311,NDC Description Not Available,8.67,8.67,,,0 NDC,60687041511,NDC Description Not Available,10.36,10.36,,,0 NDC,60687041611,NDC Description Not Available,6.09,6.09,,,0 NDC,60687041744,NDC Description Not Available,25.39,25.39,,,0 NDC,60687041911,NDC Description Not Available,13.29,13.29,,,0 NDC,60687042095,NDC Description Not Available,58.13,58.13,,,0 NDC,60687042211,NDC Description Not Available,11.26,11.26,,,0 NDC,60687042311,NDC Description Not Available,16.12,16.12,,,0 NDC,60687042811,NDC Description Not Available,6.0,6.0,,,0 NDC,60687043011,NDC Description Not Available,10.02,10.02,,,0 NDC,60687043127,Polyethylene Glycol 3350: 30 Pouch In 1 Carton (60687-431-27) / 17 G In 1 Pouch (60687-431-99),2.78,2.78,,,0 NDC,60687043311,NDC Description Not Available,3.91,3.91,,,0 NDC,60687043711,NDC Description Not Available,3.0,3.0,,,0 NDC,60687043811,NDC Description Not Available,3.41,3.41,,,0 NDC,60687043911,NDC Description Not Available,5.16,5.16,,,0 NDC,60687044111,NDC Description Not Available,5.5,5.5,,,0 NDC,60687044311,NDC Description Not Available,4.5,4.5,,,0 NDC,60687044411,NDC Description Not Available,4.66,4.66,,,0 NDC,60687044601,"Ibuprofen: 100 Blister Pack In 1 Box, Unit-Dose (60687-446-01) / 1 Tablet In 1 Blister Pack (60687-446-11)",1.0,1.0,,,0 NDC,60687044611,NDC Description Not Available,1.2,1.2,,,0 NDC,60687044711,NDC Description Not Available,12.55,12.55,,,0 NDC,60687045011,NDC Description Not Available,4.22,4.22,,,0 NDC,60687045111,NDC Description Not Available,25.84,25.84,,,0 NDC,60687045211,NDC Description Not Available,4.03,4.03,,,0 NDC,60687045311,NDC Description Not Available,5.76,5.76,,,0 NDC,60687045411,NDC Description Not Available,4.09,4.09,,,0 NDC,60687045701,"Ibuprofen: 100 Blister Pack In 1 Box, Unit-Dose (60687-457-01) / 1 Tablet In 1 Blister Pack (60687-457-11)",2.0,2.0,,,0 NDC,60687045711,NDC Description Not Available,2.0,2.0,,,0 NDC,60687046411,NDC Description Not Available,5.23,5.23,,,0 NDC,60687046511,NDC Description Not Available,5.26,5.26,,,0 NDC,60687047311,NDC Description Not Available,8.36,8.36,,,0 NDC,60687047611,NDC Description Not Available,4.09,4.09,,,0 NDC,60687048111,NDC Description Not Available,12.66,12.66,,,0 NDC,60687048301,Nitrofurantoin: 100 Blister Pack In 1 Box (60687-483-01) / 1 Capsule In 1 Blister Pack (60687-483-11),17.05,17.05,,,0 NDC,60687048401,"Pregabalin: 100 Blister Pack In 1 Box, Unit-Dose (60687-484-01) / 1 Capsule In 1 Blister Pack (60687-484-11)",8.36,8.36,,,0 NDC,60687048411,NDC Description Not Available,8.36,8.36,,,0 NDC,60687049311,NDC Description Not Available,8.73,8.73,,,0 NDC,60687049501,"Pregabalin: 100 Blister Pack In 1 Box, Unit-Dose (60687-495-01) / 1 Capsule In 1 Blister Pack (60687-495-11)",8.36,8.36,,,0 NDC,60687049511,NDC Description Not Available,8.36,8.36,,,0 NDC,60687050011,NDC Description Not Available,9.92,9.92,,,0 NDC,60687050411,NDC Description Not Available,9.35,9.35,,,0 NDC,60687050611,NDC Description Not Available,8.36,8.36,,,0 NDC,60687050811,NDC Description Not Available,5.97,5.97,,,0 NDC,60687051311,NDC Description Not Available,10.39,10.39,,,0 NDC,60687051411,NDC Description Not Available,5.84,5.84,,,0 NDC,60687051701,"Pregabalin: 100 Blister Pack In 1 Box, Unit-Dose (60687-517-01) / 1 Capsule In 1 Blister Pack (60687-517-11)",8.36,8.36,,,0 NDC,60687051711,NDC Description Not Available,8.36,8.36,,,0 NDC,60687052311,NDC Description Not Available,292.13,292.13,,,0 NDC,60687052321,"Posaconazole: 30 Blister Pack In 1 Box, Unit-Dose (60687-523-21) / 1 Tablet, Delayed Release In 1 Blister Pack (60687-523-11)",292.44,292.44,,,0 NDC,60687052479,NDC Description Not Available,57.88,57.88,,,0 NDC,60687052511,NDC Description Not Available,60.33,60.33,,,0 NDC,60687052611,NDC Description Not Available,6.0,6.0,,,0 NDC,60687052711,NDC Description Not Available,21.08,21.08,,,0 NDC,60687052721,"Ursodiol: 30 Blister Pack In 1 Box, Unit-Dose (60687-527-21) / 1 Tablet In 1 Blister Pack (60687-527-11)",18.43,18.43,,,0 NDC,60687053011,NDC Description Not Available,5.87,5.87,,,0 NDC,60687053440,NDC Description Not Available,177.16,177.16,,,0 NDC,60687053811,NDC Description Not Available,15.5,15.5,,,0 NDC,60687054011,NDC Description Not Available,7.18,7.18,,,0 NDC,60687054411,NDC Description Not Available,5.45,5.45,,,0 NDC,60687054911,NDC Description Not Available,8.68,8.68,,,0 NDC,60687055001,"Metronidazole: 100 Blister Pack In 1 Box, Unit-Dose (60687-550-01) / 1 Tablet In 1 Blister Pack (60687-550-11)",6.0,6.0,,,0 NDC,60687055011,NDC Description Not Available,5.84,5.84,,,0 NDC,60687055511,NDC Description Not Available,4.67,4.67,,,0 NDC,60687055633,NDC Description Not Available,43.03,43.03,,,0 NDC,60687055811,NDC Description Not Available,6.0,6.0,,,0 NDC,60687057156,"Acetaminophen: 10 TRAY in 1 CASE (60687-571-56) / 10 CUP, UNIT-DOSE in 1 TRAY (60687-571-48) / 10.15 mL in 1 CUP, UNIT-DOSE (60687-571-42)",2.03,2.03,,,0 NDC,60687057511,NDC Description Not Available,19.75,19.75,,,0 NDC,60687057640,NDC Description Not Available,38.23,38.23,,,0 NDC,60687057711,NDC Description Not Available,5.67,5.67,,,0 NDC,60687057811,NDC Description Not Available,29.49,29.49,,,0 NDC,60687057911,NDC Description Not Available,4.69,4.69,,,0 NDC,60687058011,NDC Description Not Available,4.66,4.66,,,0 NDC,60687058111,NDC Description Not Available,6.0,6.0,,,0 NDC,60687058311,NDC Description Not Available,20.86,20.86,,,0 NDC,60687058411,NDC Description Not Available,17.66,17.66,,,0 NDC,60687058511,NDC Description Not Available,5.78,5.78,,,0 NDC,60687058611,NDC Description Not Available,11.54,11.54,,,0 NDC,60687058711,NDC Description Not Available,3.67,3.67,,,0 NDC,60687058811,NDC Description Not Available,4.99,4.99,,,0 NDC,60687059011,NDC Description Not Available,5.59,5.59,,,0 NDC,60687059111,NDC Description Not Available,4.52,4.52,,,0 NDC,60687059211,NDC Description Not Available,6.78,6.78,,,0 NDC,60687059311,NDC Description Not Available,5.65,5.65,,,0 NDC,60687059411,NDC Description Not Available,35.99,35.99,,,0 NDC,60687059511,NDC Description Not Available,5.54,5.54,,,0 NDC,60687059633,NDC Description Not Available,83.7,83.7,,,0 NDC,60687059811,NDC Description Not Available,4.56,4.56,,,0 NDC,60687060311,NDC Description Not Available,5.96,5.96,,,0 NDC,60687060911,NDC Description Not Available,5.22,5.22,,,0 NDC,60687061011,NDC Description Not Available,971.36,971.36,,,0 NDC,60687061211,NDC Description Not Available,5.99,5.99,,,0 NDC,60687061811,NDC Description Not Available,7.72,7.72,,,0 NDC,60687061911,NDC Description Not Available,21.64,21.64,,,0 NDC,60687062011,NDC Description Not Available,5.02,5.02,,,0 NDC,60687062211,NDC Description Not Available,1.17,1.17,,,0 NDC,60687062311,NDC Description Not Available,6.64,6.64,,,0 NDC,60687062711,NDC Description Not Available,6.0,6.0,,,0 NDC,60687062911,NDC Description Not Available,20.46,20.46,,,0 NDC,60687063111,NDC Description Not Available,6.0,6.0,,,0 NDC,60687063511,NDC Description Not Available,21.26,21.26,,,0 NDC,60687064811,NDC Description Not Available,80.72,80.72,,,0 NDC,60687064911,NDC Description Not Available,5.88,5.88,,,0 NDC,60687065611,NDC Description Not Available,5.62,5.62,,,0 NDC,60687065711,NDC Description Not Available,3.87,3.87,,,0 NDC,60687066111,NDC Description Not Available,5.0,5.0,,,0 NDC,60687066411,NDC Description Not Available,5.56,5.56,,,0 NDC,60687066911,NDC Description Not Available,5.13,5.13,,,0 NDC,60687067011,NDC Description Not Available,5.77,5.77,,,0 NDC,60687067511,NDC Description Not Available,5.53,5.53,,,0 NDC,60687067611,NDC Description Not Available,12.18,12.18,,,0 NDC,60687067701,Allopurinol: 100 Blister Pack In 1 Carton (60687-677-01) / 1 Tablet In 1 Blister Pack (60687-677-11),6.0,6.0,,,0 NDC,60687067711,NDC Description Not Available,4.87,4.87,,,0 NDC,60687067911,NDC Description Not Available,8.06,8.06,,,0 NDC,60687068011,NDC Description Not Available,5.38,5.38,,,0 NDC,60687068111,NDC Description Not Available,5.69,5.69,,,0 NDC,60687068311,NDC Description Not Available,5.9,5.9,,,0 NDC,60687068611,NDC Description Not Available,6.0,6.0,,,0 NDC,60687068711,NDC Description Not Available,19.05,19.05,,,0 NDC,60687069411,NDC Description Not Available,15.28,15.28,,,0 NDC,60687069811,NDC Description Not Available,20.18,20.18,,,0 NDC,60687069911,NDC Description Not Available,20.92,20.92,,,0 NDC,60687070811,NDC Description Not Available,2.76,2.76,,,0 NDC,60687070911,NDC Description Not Available,6.0,6.0,,,0 NDC,60687071011,NDC Description Not Available,17.16,17.16,,,0 NDC,60687071021,Guanfacine Hydrochloride: 30 Blister Pack In 1 Carton (60687-710-21) / 1 Tablet In 1 Blister Pack (60687-710-11),17.16,17.16,,,0 NDC,60687071111,NDC Description Not Available,5.86,5.86,,,0 NDC,60687071711,NDC Description Not Available,5.16,5.16,,,0 NDC,60687072111,NDC Description Not Available,13.58,13.58,,,0 NDC,60687072211,NDC Description Not Available,5.62,5.62,,,0 NDC,60687072311,NDC Description Not Available,10.96,10.96,,,0 NDC,60687072511,NDC Description Not Available,5.94,5.94,,,0 NDC,60687072811,NDC Description Not Available,5.03,5.03,,,0 NDC,60687073011,NDC Description Not Available,6.0,6.0,,,0 NDC,60687073179,NDC Description Not Available,111.6,111.6,,,0 NDC,60687073411,NDC Description Not Available,9.92,9.92,,,0 NDC,60687073511,NDC Description Not Available,12.81,12.81,,,0 NDC,60687074037,"Acetaminophen: 10 Tray In 1 Case (60687-740-37) / 10 Cup, Unit-Dose In 1 Tray (60687-740-53) / 20.3 Ml In 1 Cup, Unit-Dose (60687-740-24)",3.9,3.9,,,0 NDC,60687074211,NDC Description Not Available,10.77,10.77,,,0 NDC,60687074511,NDC Description Not Available,9.92,9.92,,,0 NDC,60687074601,Misoprostol: 100 Blister Pack In 1 Carton (60687-746-01) / 1 Tablet In 1 Blister Pack (60687-746-11),14.08,14.08,,,0 NDC,60687074611,NDC Description Not Available,14.08,14.08,,,0 NDC,60687075011,NDC Description Not Available,26.62,26.62,,,0 NDC,60687075311,NDC Description Not Available,22.74,22.74,,,0 NDC,60687075321,"Azithromycin: 30 Blister Pack In 1 Carton (60687-753-21) / 1 Tablet, Film Coated In 1 Blister Pack (60687-753-11)",22.74,22.74,,,0 NDC,60687076040,NDC Description Not Available,8.5,8.5,,,0 NDC,60687077511,NDC Description Not Available,6.0,6.0,,,0 NDC,60687077811,NDC Description Not Available,13.28,13.28,,,0 NDC,60687078811,NDC Description Not Available,7.22,7.22,,,0 NDC,60687078911,NDC Description Not Available,35.99,35.99,,,0 NDC,60687079211,NDC Description Not Available,34.92,34.92,,,0 NDC,60687079511,NDC Description Not Available,5.57,5.57,,,0 NDC,60687080311,NDC Description Not Available,39.49,39.49,,,0 NDC,60687080411,NDC Description Not Available,8.87,8.87,,,0 NDC,60687080711,NDC Description Not Available,4.1,4.1,,,0 NDC,60687081011,NDC Description Not Available,1.88,1.88,,,0 NDC,60687081511,NDC Description Not Available,3.22,3.22,,,0 NDC,60687081911,NDC Description Not Available,63.56,63.56,,,0 NDC,60687082211,NDC Description Not Available,5.17,5.17,,,0 NDC,60687083311,NDC Description Not Available,4.08,4.08,,,0 NDC,60687083611,NDC Description Not Available,6.0,6.0,,,0 NDC,60687084111,NDC Description Not Available,9.67,9.67,,,0 NDC,60687085411,NDC Description Not Available,0.08,0.08,,,0 NDC,60687086511,NDC Description Not Available,3.93,3.93,,,0 NDC,60687087211,NDC Description Not Available,6.0,6.0,,,0 NDC,60687088511,NDC Description Not Available,4.01,4.01,,,0 NDC,60758011905,"Prednisolone Acetate: 1 Bottle, Dropper In 1 Carton (60758-119-05) / 5 Ml In 1 Bottle, Dropper",272.8,272.8,,,0 NDC,60758011910,"Prednisolone Acetate: 1 Bottle, Dropper In 1 Carton (60758-119-10) / 10 Ml In 1 Bottle, Dropper",545.6,545.6,,,0 NDC,60758011915,"Prednisolone Acetate: 1 Bottle, Dropper In 1 Carton (60758-119-15) / 15 Ml In 1 Bottle, Dropper",818.4,818.4,,,0 NDC,60758080205,"Timolol Maleate: 1 Bottle, Dropper In 1 Carton (60758-802-05) / 5 Ml In 1 Bottle, Dropper",18.48,18.48,,,0 NDC,60758088005,"Fluorometholone: 1 Bottle, Dropper In 1 Carton (60758-880-05) / 5 Ml In 1 Bottle, Dropper",480.13,480.13,,,0 NDC,60760000221,Prednisone: 21 Tablet In 1 Bottle (60760-002-21),0.27,0.27,,,0 NDC,60760037460,"Ibuprofen: 60 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (60760-374-60)",2.0,2.0,,,0 NDC,60793021505,"Thrombin-Jmi: 1 Kit In 1 Carton (60793-215-05) * 5 Ml In 1 Vial, Glass (60793-315-01) * 5 Ml In 1 Vial, Glass (60793-218-09)",451.23,451.23,,,0 NDC,60793031501,NDC Description Not Available,447.21,447.21,,,0 NDC,60793070001,NDC Description Not Available,182.34,182.34,,,0 NDC,60793070010,Bicillin L-A: 10 Syringe In 1 Package (60793-700-10) / 1 Ml In 1 Syringe (60793-700-01),196.47,196.47,,,0 NDC,60793070102,NDC Description Not Available,168.12,168.12,,,0 NDC,60793070110,Bicillin L-A: 10 Syringe In 1 Package (60793-701-10) / 2 Ml In 1 Syringe (60793-701-02),168.21,168.21,,,0 NDC,60793070204,NDC Description Not Available,178.53,178.53,,,0 NDC,60793070210,Bicillin L-A: 10 Syringe In 1 Package (60793-702-10) / 4 Ml In 1 Syringe (60793-702-04),178.14,178.14,,,0 NDC,60793070505,"Thrombin-Jmi: 1 Kit In 1 Carton (60793-705-05) * 5 Ml In 1 Vial, Glass (60793-218-09) * 5 Ml In 1 Vial, Glass (60793-315-01)",501.5,501.5,,,0 NDC,61269022041,"Clotrimazole: 1 Tube, With Applicator In 1 Carton (61269-220-41) / 45 G In 1 Tube, With Applicator",24.84,24.84,,,0 NDC,61269041020,"Etopophos: 1 Vial, Single-Dose In 1 Carton (61269-410-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",114.13,114.13,,,0 NDC,61269061010,"Klonopin: 100 Tablet In 1 Bottle, Plastic (61269-610-10)",18.05,18.05,,,0 NDC,61269073542,Miconazole Nitrate: 1 Tube In 1 Carton (61269-735-42) / 42.5 G In 1 Tube,21.35,21.35,,,0 NDC,61269073556,Miconazole Nitrate: 1 Tube In 1 Carton (61269-735-56) / 28 G In 1 Tube,14.76,14.76,,,0 NDC,61269073607,Miconazole 7: 7 Suppository In 1 Box (61269-736-07),2.22,2.22,,,0 NDC,61314001601,Proparacaine Hydrochloride: 1 Bottle In 1 Carton (61314-016-01) / 15 Ml In 1 Bottle,217.62,217.62,,,0 NDC,61314001910,Dorzolamide Hydrochloride: 10 Ml In 1 Bottle (61314-019-10),155.0,155.0,,,0 NDC,61314004475,"Trifluridine: 1 Bottle, Plastic In 1 Carton (61314-044-75) / 7.5 Ml In 1 Bottle, Plastic",1215.28,1215.28,,,0 NDC,61314012605,Ketorolac Tromethamine: 1 Bottle In 1 Carton (61314-126-05) / 5 Ml In 1 Bottle,173.6,173.6,,,0 NDC,61314014405,Brimonidine Tartrate: 1 Bottle In 1 Carton (61314-144-05) / 5 Ml In 1 Bottle,950.77,950.77,,,0 NDC,61314020315,Pilocarpine Hydrochloride: 1 Bottle In 1 Carton (61314-203-15) / 15 Ml In 1 Bottle,488.91,488.91,,,0 NDC,61314022605,"Timolol Maleate: 5 Ml In 1 Bottle, Plastic (61314-226-05)",32.06,32.06,,,0 NDC,61314022705,"Timolol Maleate: 5 Ml In 1 Bottle, Plastic (61314-227-05)",59.83,59.83,,,0 NDC,61314030401,ZARXIO: 1 BLISTER PACK in 1 CARTON (61314-304-01) / 1 SYRINGE in 1 BLISTER PACK / .5 mL in 1 SYRINGE,6.16,6.16,,,0 NDC,61314031801,Zarxio: 1 Blister Pack In 1 Carton (61314-318-01) / 1 Syringe In 1 Blister Pack / .5 Ml In 1 Syringe,6.13,6.13,,,0 NDC,61314031805,NDC Description Not Available,6.13,6.13,,,0 NDC,61314031810,Zarxio: 2 Blister Pack In 1 Carton (61314-318-10) / 5 Syringe In 1 Blister Pack (61314-318-05) / .5 Ml In 1 Syringe,6.13,6.13,,,0 NDC,61314032601,Zarxio: 1 Blister Pack In 1 Carton (61314-326-01) / 1 Syringe In 1 Blister Pack / .8 Ml In 1 Syringe,6.13,6.13,,,0 NDC,61314032605,NDC Description Not Available,6.13,6.13,,,0 NDC,61314032610,Zarxio: 2 Blister Pack In 1 Carton (61314-326-10) / 5 Syringe In 1 Blister Pack (61314-326-05) / .8 Ml In 1 Syringe,6.13,6.13,,,0 NDC,61314035401,"Tropicamide: 1 Bottle, Plastic In 1 Carton (61314-354-01) / 15 Ml In 1 Bottle, Plastic",132.72,132.72,,,0 NDC,61314035501,"Tropicamide: 1 Bottle, Plastic In 1 Carton (61314-355-01) / 3 Ml In 1 Bottle, Plastic",63.24,63.24,,,0 NDC,61314035502,"Tropicamide: 1 Bottle, Plastic In 1 Carton (61314-355-02) / 15 Ml In 1 Bottle, Plastic",189.72,189.72,,,0 NDC,61314039601,Cyclopentolate Hydrochloride: 2 Ml In 1 Bottle (61314-396-01),74.09,74.09,,,0 NDC,61314054701,Latanoprost: 1 Bottle In 1 Carton (61314-547-01) / 2.5 Ml In 1 Bottle,66.34,66.34,,,0 NDC,61314062494,"Cimerli: 1 Vial, Single-Dose In 1 Carton (61314-624-94) / .05 Ml In 1 Vial, Single-Dose",1822.4,1822.4,,,0 NDC,61314062594,"Cimerli: 1 Vial, Single-Dose In 1 Carton (61314-625-94) / .05 Ml In 1 Vial, Single-Dose",1822.4,1822.4,,,0 NDC,61314062810,"Polymyxin B Sulfate And Trimethoprim: 10 Ml In 1 Bottle, Plastic (61314-628-10)",64.17,64.17,,,0 NDC,61314063006,"Neomycin And Polymyxin B Sulfates And Dexamethasone: 5 Ml In 1 Bottle, Plastic (61314-630-06)",111.6,111.6,,,0 NDC,61314063136,Neomycin And Polymyxin B Sulfates And Dexamethasone: 3.5 G In 1 Tube (61314-631-36),111.61,111.61,,,0 NDC,61314063705,"Prednisolone Acetate: 1 Bottle, Plastic In 1 Carton (61314-637-05) / 5 Ml In 1 Bottle, Plastic",274.35,274.35,,,0 NDC,61314063710,"Prednisolone Acetate: 1 Bottle, Plastic In 1 Carton (61314-637-10) / 10 Ml In 1 Bottle, Plastic",548.27,548.27,,,0 NDC,61314064725,Tobramycin And Dexamethasone: 1 Bottle In 1 Carton (61314-647-25) / 2.5 Ml In 1 Bottle,235.17,235.17,,,0 NDC,61314065605,"Ciprofloxacin Hydrochloride: 1 Bottle, Plastic In 1 Carton (61314-656-05) / 5 Ml In 1 Bottle, Plastic",86.8,86.8,,,0 NDC,61314065625,"Ciprofloxacin Hydrochloride: 1 Bottle, Plastic In 1 Carton (61314-656-25) / 2.5 Ml In 1 Bottle, Plastic",65.1,65.1,,,0 NDC,61314066505,Apraclonidine: 5 Ml In 1 Bottle (61314-665-05),398.35,398.35,,,0 NDC,61314070101,"Sulfacetamide Sodium: 15 Ml In 1 Bottle, Plastic (61314-701-01)",276.03,276.03,,,0 NDC,61442012101,Famotidine: 24 Bottle In 1 Box (61442-121-01) / 100 Tablet In 1 Bottle,5.71,5.71,,,0 NDC,61442012201,Famotidine: 24 Bottle In 1 Box (61442-122-01) / 100 Tablet In 1 Bottle,6.0,6.0,,,0 NDC,61553034334,NDC Description Not Available,26.75,26.75,,,0 NDC,61570013140,Silvadene: 400 G In 1 Jar (61570-131-40),305.04,305.04,,,0 NDC,61570013150,Silvadene: 50 G In 1 Jar (61570-131-50),89.28,89.28,,,0 NDC,61703030436,"Cytarabine: 1 Vial, Multi-Dose In 1 Carton (61703-304-36) / 25 Ml In 1 Vial, Multi-Dose",69.38,69.38,,,0 NDC,61703030538,"Cytarabine: 5 Vial, Single-Dose In 1 Carton (61703-305-38) / 5 Ml In 1 Vial, Single-Dose (61703-305-58)",45.37,45.37,,,0 NDC,61703030558,NDC Description Not Available,43.61,43.61,,,0 NDC,61703030906,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-06) / 1 Ml In 1 Vial, Single-Dose",92.95,92.95,,,0 NDC,61703030916,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-16) / 2 Ml In 1 Vial, Single-Dose",46.68,46.68,,,0 NDC,61703030925,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-25) / 2 Ml In 1 Vial, Single-Dose",49.94,49.94,,,0 NDC,61703030926,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-26) / 1 Ml In 1 Vial, Single-Dose",83.19,83.19,,,0 NDC,61703031922,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (61703-319-22) / 20 Ml In 1 Vial, Single-Dose",8.74,8.74,,,0 NDC,61703032322,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (61703-323-22) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",234.18,234.18,,,0 NDC,61703033218,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (61703-332-18) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",338.08,338.08,,,0 NDC,61703033918,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-18) / 5 Ml In 1 Vial, Multi-Dose",89.78,89.78,,,0 NDC,61703033922,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-22) / 15 Ml In 1 Vial, Multi-Dose",45.9,45.9,,,0 NDC,61703033950,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-50) / 45 Ml In 1 Vial, Multi-Dose",33.16,33.16,,,0 NDC,61703033956,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-56) / 60 Ml In 1 Vial, Multi-Dose",32.02,32.02,,,0 NDC,61703034209,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (61703-342-09) / 5 Ml In 1 Vial, Multi-Dose",2.08,2.08,,,0 NDC,61703034250,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (61703-342-50) / 50 Ml In 1 Vial, Multi-Dose",1.59,1.59,,,0 NDC,61703034909,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (61703-349-09) / 5 Ml In 1 Vial, Single-Dose",29.16,29.16,,,0 NDC,61703035037,NDC Description Not Available,43.26,43.26,,,0 NDC,61703036318,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (61703-363-18) / 10 Ml In 1 Vial, Single-Dose",3.21,3.21,,,0 NDC,61703036322,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (61703-363-22) / 20 Ml In 1 Vial, Single-Dose",3.21,3.21,,,0 NDC,61703040841,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (61703-408-41) / 40 Ml In 1 Vial, Single-Dose",12.24,12.24,,,0 NDC,61703060005,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-600-05) / 60 Ml In 1 Vial, Multi-Dose",31.62,31.62,,,0 NDC,61748001201,Pyrazinamide: 100 Tablet In 1 Container (61748-012-01),30.53,30.53,,,0 NDC,61755000501,"Eylea: 1 Syringe, Glass In 1 Carton (61755-005-01) / .05 Ml In 1 Syringe, Glass",6260.81,6260.81,,,0 NDC,61755000502,"Eylea: 1 Vial, Single-Use In 1 Carton (61755-005-02) / .05 Ml In 1 Vial, Single-Use",6256.38,6256.38,,,0 NDC,61755000801,"Libtayo: 1 Vial, Single-Use In 1 Carton (61755-008-01) / 7 Ml In 1 Vial, Single-Use",199.14,199.14,,,0 NDC,61755005000,NDC Description Not Available,2257.18,2257.18,,,0 NDC,61755005001,"Eylea Hd: 1 Vial, Single-Dose In 1 Carton (61755-050-01) / .07 Ml In 1 Vial, Single-Dose (61755-050-00)",2210.43,2210.43,,,0 NDC,61958040101,"Viread: 30 Tablet, Coated In 1 Bottle, Plastic (61958-0401-1)",259.06,259.06,,,0 NDC,61958060101,"Emtriva: 30 Capsule In 1 Bottle, Plastic (61958-0601-1)",110.89,110.89,,,0 NDC,61958070101,"Truvada: 30 Tablet, Film Coated In 1 Bottle, Plastic (61958-0701-1)",380.74,380.74,,,0 NDC,61958080101,"Letairis: 30 Tablet, Film Coated In 1 Bottle, Plastic (61958-0801-1)",2548.52,2548.52,,,0 NDC,61958100301,"Ranexa: 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE, PLASTIC (61958-1003-1)",42.49,42.49,,,0 NDC,61958140101,"Tybost: 30 Tablet, Film Coated In 1 Bottle (61958-1401-1)",62.47,62.47,,,0 NDC,61958190101,"Genvoya: 30 Tablet In 1 Bottle, Plastic (61958-1901-1)",848.4,848.4,,,0 NDC,61958200201,"Descovy: 30 Tablet In 1 Bottle, Plastic (61958-2002-1)",455.15,455.15,,,0 NDC,61958250101,"Biktarvy: 30 Tablet In 1 Bottle, Plastic (61958-2501-1)",837.16,837.16,,,0 NDC,61958290102,"Veklury: 1 Vial, Single-Dose In 1 Carton (61958-2901-2) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",2028.545,2028.545,,,0 NDC,61958300201,Sunlenca: 1 Kit In 1 Carton (61958-3002-1) * 1.5 Ml In 1 Vial (61958-3004-1),44.51,44.51,,,0 NDC,61958300501,Sunlenca: 1 Kit In 1 Carton (61958-3005-1) * 1.5 Ml In 1 Vial (61958-3004-1),70.47,70.47,,,0 NDC,61959000101,NDC Description Not Available,164.77,164.77,,,0 NDC,61990061100,NDC Description Not Available,59.0,59.0,,,0 NDC,62037055901,"Potassium Chloride: 100 Capsule, Extended Release In 1 Bottle, Plastic (62037-559-01)",3.22,3.22,,,0 NDC,62037059790,"Cartia Xt: 90 Capsule, Extended Release In 1 Bottle (62037-597-90)",6.0,6.0,,,0 NDC,62037072001,"Potassium Chloride: 100 Tablet, Extended Release In 1 Bottle, Plastic (62037-720-01)",6.0,6.0,,,0 NDC,62064012201,NDC Description Not Available,510.71,510.71,,,0 NDC,62064012202,"Trogarzo: 2 Vial, Single-Use In 1 Carton (62064-122-02) / 1.33 Ml In 1 Vial, Single-Use (62064-122-01)",500.87,500.87,,,0 NDC,62135005741,Cetirizine Hydrochloride Oral Solution: 120 Ml In 1 Bottle (62135-057-41),21.95,21.95,,,0 NDC,62135005747,Cetirizine Hydrochloride Oral Solution: 473 Ml In 1 Bottle (62135-057-47),13.325,13.325,,,0 NDC,62135020690,Methimazole: 90 Tablet In 1 Bottle (62135-206-90),18.6,18.6,,,0 NDC,62135030801,"Ciprofloxacin: 100 Tablet, Film Coated In 1 Bottle, Plastic (62135-308-01)",18.23,18.23,,,0 NDC,62135031050,"Ciprofloxacin: 50 Tablet, Film Coated In 1 Bottle, Plastic (62135-310-50)",32.0,32.0,,,0 NDC,62135035105,Ondansetron: 500 Tablet In 1 Bottle (62135-351-05),5.9,5.9,,,0 NDC,62135043690,Sucralfate: 90 Tablet In 1 Bottle (62135-436-90),24.8,24.8,,,0 NDC,62135050247,Hydroxyzine Hydrochloride: 473 Ml In 1 Bottle (62135-502-47),26.22,26.22,,,0 NDC,62135052047,Oxybutynin Chloride: 473 Ml In 1 Bottle (62135-520-47),28.7,28.7,,,0 NDC,62135052990,Triamterene And Hydrochlorothiazide: 90 Capsule In 1 Bottle (62135-529-90),21.7,21.7,,,0 NDC,62135055558,Ondansetron Hydrochloride: 50 Ml In 1 Bottle (62135-555-58),27.12,27.12,,,0 NDC,62135057912,"Hydralazine Hydrochloride: 120 Tablet, Film Coated In 1 Bottle (62135-579-12)",15.5,15.5,,,0 NDC,62135071242,Lidocaine Hydrochloride: 100 Ml In 1 Bottle (62135-712-42),137.17,137.17,,,0 NDC,62135096001,Sulfasalazine: 100 Tablet In 1 Bottle (62135-960-01),12.4,12.4,,,0 NDC,62175010701,Isosorbide Mononitrate: 100 Tablet In 1 Bottle (62175-107-01),6.0,6.0,,,0 NDC,62175011937,"isosorbide mononitrate: 100 TABLET, EXTENDED RELEASE in 1 BOTTLE (62175-119-37)",5.09,5.09,,,0 NDC,62327033303,NDC Description Not Available,951.4,951.4,,,0 NDC,62327044404,NDC Description Not Available,985.8,985.8,,,0 NDC,62332003331,"Ropinirole: 100 Tablet, Film Coated In 1 Bottle (62332-033-31)",4.89,4.89,,,0 NDC,62332003731,Lamotrigine: 100 Tablet In 1 Bottle (62332-037-31),3.12,3.12,,,0 NDC,62332011990,Pregabalin: 90 Capsule In 1 Bottle (62332-119-90),5.52,5.52,,,0 NDC,62332017360,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle (62332-173-60)",5.9,5.9,,,0 NDC,62332019030,"Febuxostat: 30 Tablet, Coated In 1 Bottle (62332-190-30)",10.96,10.96,,,0 NDC,62332024631,Amantadine: 100 Capsule In 1 Bottle (62332-246-31),6.0,6.0,,,0 NDC,62332050503,Moxifloxacin Ophthalmic Solution: 1 Bottle In 1 Carton (62332-505-03) / 3 Ml In 1 Bottle,124.01,124.01,,,0 NDC,62332059901,NDC Description Not Available,59.0,59.0,,,0 NDC,62332060001,NDC Description Not Available,41.99,41.99,,,0 NDC,62332060615,Nystatin And Triamcinolone Acetonide: 1 Tube In 1 Carton (62332-606-15) / 15 G In 1 Tube,129.83,129.83,,,0 NDC,62332067816,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (62332-678-16) / 16 Ml In 1 Vial, Multi-Dose",13.31,13.31,,,0 NDC,62332077931,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (62332-779-31) / 100 Ml In 1 Vial, Pharmacy Bulk Package",33.24,33.24,,,0 NDC,62559013807,Hydrocortisone: 7 Bottle In 1 Box (62559-138-07) / 60 Ml In 1 Bottle (62559-138-11),132.81,132.81,,,0 NDC,62559039020,Vancomycin Hydrochloride: 2 Blister Pack In 1 Carton (62559-390-20) / 10 Capsule In 1 Blister Pack,15.5,15.5,,,0 NDC,62559072101,Terbutaline Sulfate: 100 Tablet In 1 Bottle (62559-721-01),6.2,6.2,,,0 NDC,62559072201,Terbutaline Sulfate: 100 Tablet In 1 Bottle (62559-722-01),7.57,7.57,,,0 NDC,62559082001,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (62559-820-01),5.78,5.78,,,0 NDC,62584026511,NDC Description Not Available,5.7,5.7,,,0 NDC,62584026611,NDC Description Not Available,5.56,5.56,,,0 NDC,62584026711,NDC Description Not Available,6.0,6.0,,,0 NDC,62584069311,NDC Description Not Available,23.77,23.77,,,0 NDC,62584069321,"Doxycycline: 30 Blister Pack In 1 Box, Unit-Dose (62584-693-21) / 1 Tablet, Coated In 1 Blister Pack (62584-693-11)",23.77,23.77,,,0 NDC,62584073301,"Hydralazine Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (62584-733-01) / 1 Tablet, Film Coated In 1 Blister Pack (62584-733-11)",6.0,6.0,,,0 NDC,62584073311,NDC Description Not Available,5.49,5.49,,,0 NDC,62584073411,NDC Description Not Available,3.36,3.36,,,0 NDC,62584098801,"Allopurinol: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (62584-988-01) / 1 TABLET in 1 BLISTER PACK (62584-988-11)",5.38,5.38,,,0 NDC,62584099411,NDC Description Not Available,5.52,5.52,,,0 NDC,62756006040,Epoprostenol: 1 Vial In 1 Carton (62756-060-40) / 10 Ml In 1 Vial,69.78,69.78,,,0 NDC,62756025902,Zonisamide: 100 Capsule In 1 Bottle (62756-259-02),2.1,2.1,,,0 NDC,62756030101,"Sezaby: 1 Injection In 1 Vial, Single-Dose (62756-301-01)",9.1,9.1,,,0 NDC,62756034944,OCTREOTIDE ACETATE: 10 AMPULE in 1 PACKAGE (62756-349-44) / 1 mL in 1 AMPULE,712.935,712.935,,,0 NDC,62756042790,"Ciprofloxacin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (62756-427-90) / 7.5 Ml In 1 Bottle, Dropper",1389.94,1389.94,,,0 NDC,62756079688,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (62756-796-88)",2.24,2.24,,,0 NDC,62756079888,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (62756-798-88)",5.4,5.4,,,0 NDC,62856021201,"Leqembi: 1 Vial, Single-Dose In 1 Carton (62856-212-01) / 2 Ml In 1 Vial, Single-Dose",8.55,8.55,,,0 NDC,62856021501,"Leqembi: 1 Vial, Single-Dose In 1 Carton (62856-215-01) / 5 Ml In 1 Vial, Single-Dose",8.55,8.55,,,0 NDC,62856027230,Fycompa: 30 Tablet In 1 Bottle (62856-272-30),128.34,128.34,,,0 NDC,62856038901,"Halaven: 1 Vial, Single-Dose In 1 Carton (62856-389-01) / 2 Ml In 1 Vial, Single-Dose",940.6,940.6,,,0 NDC,62856058252,"Banzel: 120 Tablet, Film Coated In 1 Bottle (62856-582-52)",57.73,57.73,,,0 NDC,62856058446,Banzel: 1 Bottle In 1 Carton (62856-584-46) / 460 Ml In 1 Bottle,320.37,320.37,,,0 NDC,62935022305,Eligard: 1 Kit In 1 Carton (62935-223-05) * .375 Ml In 1 Syringe (62935-221-04) * .375 Ml In 1 Syringe (62935-224-05),3026.32,3026.32,,,0 NDC,62935022710,Eligard: 1 Syringe In 1 Carton (62935-227-10) / .375 Ml In 1 Syringe,3026.32,3026.32,,,0 NDC,62935030640,Eligard: 1 Syringe In 1 Carton (62935-306-40) / .5 Ml In 1 Syringe,3026.32,3026.32,,,0 NDC,62935045345,Eligard: 1 Kit In 1 Carton (62935-453-45) * .375 Ml In 1 Syringe (62935-454-44) * .375 Ml In 1 Syringe (62935-455-45),3026.31,3026.31,,,0 NDC,62935046150,Eligard: 1 Syringe In 1 Carton (62935-461-50) / .375 Ml In 1 Syringe,3026.31,3026.31,,,0 NDC,62935075680,Eligard: 1 Syringe In 1 Carton (62935-756-80) / .25 Ml In 1 Syringe,3026.32,3026.32,,,0 NDC,63020004901,"Velcade: 1 Vial In 1 Carton (63020-049-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",306.27,306.27,,,0 NDC,63037010005,NDC Description Not Available,27.67,27.67,,,0 NDC,63044048409,"Ammonium Lactate: 225 g in 1 BOTTLE, PLASTIC (63044-484-09)",40.46,40.46,,,0 NDC,63304077201,Lorazepam: 100 Tablet In 1 Bottle (63304-772-01),6.0,6.0,,,0 NDC,63323001001,NDC Description Not Available,31.55,31.55,,,0 NDC,63323001002,Gentamicin: 25 Vial In 1 Tray (63323-010-02) / 2 Ml In 1 Vial (63323-010-01),38.6,38.6,,,0 NDC,63323001003,NDC Description Not Available,43.54,43.54,,,0 NDC,63323001020,Gentamicin: 25 Vial In 1 Tray (63323-010-20) / 20 Ml In 1 Vial (63323-010-03),20.61,20.61,,,0 NDC,63323001203,NDC Description Not Available,55.53,55.53,,,0 NDC,63323001301,NDC Description Not Available,722.43,722.43,,,0 NDC,63323001302,"Thiamine: 25 Vial, Multi-Dose In 1 Tray (63323-013-02) / 2 Ml In 1 Vial, Multi-Dose (63323-013-01)",59.0,59.0,,,0 NDC,63323001321,NDC Description Not Available,59.0,59.0,,,0 NDC,63323002401,NDC Description Not Available,46.69,46.69,,,0 NDC,63323002425,"Mannitol: 25 Vial, Single-Dose In 1 Tray (63323-024-25) / 50 Ml In 1 Vial, Single-Dose (63323-024-01)",48.76,48.76,,,0 NDC,63323004400,NDC Description Not Available,59.0,59.0,,,0 NDC,63323004401,"Cyanocobalamin: 25 Vial, Multi-Dose In 1 Tray (63323-044-01) / 1 Ml In 1 Vial, Multi-Dose (63323-044-00)",59.0,59.0,,,0 NDC,63323006401,NDC Description Not Available,24.875,24.875,,,0 NDC,63323006402,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-064-02) / 2 Ml In 1 Vial, Single-Dose",14.75,14.75,,,0 NDC,63323006403,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Carton (63323-064-03) / 2 Ml In 1 Vial, Single-Dose (63323-064-01)",34.31,34.31,,,0 NDC,63323006404,NDC Description Not Available,22.18,22.18,,,0 NDC,63323006410,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-064-10) / 10 Ml In 1 Vial, Single-Dose",23.46,23.46,,,0 NDC,63323006411,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-064-11) / 10 Ml In 1 Vial, Single-Dose (63323-064-04)",27.48,27.48,,,0 NDC,63323006620,NDC Description Not Available,0.68,0.68,,,0 NDC,63323008305,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (63323-083-05) / 5 Ml In 1 Vial, Single-Dose (63323-083-03)",156.15,156.15,,,0 NDC,63323008615,"Potassium Phosphates: 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-086-15) / 15 mL in 1 VIAL, SINGLE-DOSE",67.64,67.64,,,0 NDC,63323008950,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (63323-089-50) / 50 Ml In 1 Vial, Single-Dose (63323-089-25)",151.8,151.8,,,0 NDC,63323009002,NDC Description Not Available,30.42,30.42,,,0 NDC,63323009301,NDC Description Not Available,59.0,59.0,,,0 NDC,63323009330,"Sodium Chloride: 25 Vial, Plastic In 1 Tray (63323-093-30) / 30 Ml In 1 Vial, Plastic (63323-093-01)",59.0,59.0,,,0 NDC,63323009502,NDC Description Not Available,56.73,56.73,,,0 NDC,63323009903,NDC Description Not Available,42.83,42.83,,,0 NDC,63323010161,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (63323-101-61) / 100 Ml In 1 Vial, Multi-Dose",42.48,42.48,,,0 NDC,63323010351,Cisplatin: 1 Vial In 1 Carton (63323-103-51) / 50 Ml In 1 Vial,27.0,27.0,,,0 NDC,63323010364,Cisplatin: 1 Vial In 1 Carton (63323-103-64) / 200 Ml In 1 Vial,26.46,26.46,,,0 NDC,63323010365,Cisplatin: 1 Vial In 1 Carton (63323-103-65) / 100 Ml In 1 Vial,25.94,25.94,,,0 NDC,63323010405,"Etoposide: 10 Box In 1 Carton (63323-104-05) / 1 Vial, Multi-Dose In 1 Box (63323-104-01) / 5 Ml In 1 Vial, Multi-Dose",8.27,8.27,,,0 NDC,63323010406,"Etoposide: 1 Vial, Multi-Dose In 1 Carton (63323-104-06) / 5 Ml In 1 Vial, Multi-Dose",7.65,7.65,,,0 NDC,63323010425,"Etoposide: 1 Vial, Multi-Dose In 1 Carton (63323-104-25) / 25 Ml In 1 Vial, Multi-Dose",8.14,8.14,,,0 NDC,63323010450,"Etoposide: 1 Vial, Multi-Dose In 1 Carton (63323-104-50) / 50 Ml In 1 Vial, Multi-Dose",8.15,8.15,,,0 NDC,63323010602,NDC Description Not Available,65.50999999999999,65.50999999999999,,,0 NDC,63323010605,Magnesium Sulfate: 24 Bag In 1 Case (63323-106-05) / 50 Ml In 1 Bag (63323-106-02),48.25,48.25,,,0 NDC,63323010615,Magnesium Sulfate: 24 Bag In 1 Case (63323-106-15) / 500 Ml In 1 Bag,1.48,1.48,,,0 NDC,63323011301,NDC Description Not Available,872.26,872.26,,,0 NDC,63323011700,NDC Description Not Available,28.97,28.97,,,0 NDC,63323011701,NDC Description Not Available,28.88,28.88,,,0 NDC,63323011710,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-10) / 10 Ml In 1 Vial, Single-Dose (63323-117-00)",29.64,29.64,,,0 NDC,63323011719,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-19) / 10 Ml In 1 Vial, Single-Dose (63323-117-31)",37.0,37.0,,,0 NDC,63323011720,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-20) / 20 Ml In 1 Vial, Single-Dose (63323-117-01)",40.7,40.7,,,0 NDC,63323011731,NDC Description Not Available,37.0,37.0,,,0 NDC,63323011761,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-117-61) / 100 Ml In 1 Vial, Pharmacy Bulk Package",37.0,37.0,,,0 NDC,63323012020,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (63323-120-20) / 20 Ml In 1 Vial, Single-Dose",8.02,8.02,,,0 NDC,63323012110,NDC Description Not Available,11.14,11.14,,,0 NDC,63323012250,"Methotrexate: 1 Vial In 1 Carton (63323-122-50) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",21.3,21.3,,,0 NDC,63323012310,Methotrexate: 1 Vial In 1 Carton (63323-123-10) / 10 Ml In 1 Vial,42.68,42.68,,,0 NDC,63323012700,NDC Description Not Available,74.66,74.66,,,0 NDC,63323012710,"Dacarbazine: 10 Vial, Single-Dose In 1 Tray (63323-127-10) / 10 Ml In 1 Vial, Single-Dose (63323-127-00)",77.08,77.08,,,0 NDC,63323012800,NDC Description Not Available,38.77,38.77,,,0 NDC,63323012820,"Dacarbazine: 10 Vial, Single-Dose In 1 Tray (63323-128-20) / 20 Ml In 1 Vial, Single-Dose (63323-128-00)",39.25,39.25,,,0 NDC,63323013002,NDC Description Not Available,93.02499999999999,93.02499999999999,,,0 NDC,63323013011,Doxy 100: 10 Vial In 1 Tray (63323-130-11) / 10 Ml In 1 Vial (63323-130-02),101.1,101.1,,,0 NDC,63323013210,"Mitoxantrone: 1 Vial, Multi-Dose In 1 Box (63323-132-10) / 10 Ml In 1 Vial, Multi-Dose",659.69,659.69,,,0 NDC,63323013610,"Bleomycin: 1 Vial In 1 Carton (63323-136-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",221.91,221.91,,,0 NDC,63323013720,"Bleomycin: 1 Vial In 1 Carton (63323-137-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",198.38,198.38,,,0 NDC,63323014010,"Cladribine: 1 Vial, Single-Dose In 1 Carton (63323-140-10) / 10 Ml In 1 Vial, Single-Dose",291.45,291.45,,,0 NDC,63323014210,"Ifosfamide: 1 Vial, Single-Dose In 1 Box (63323-142-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",343.56,343.56,,,0 NDC,63323016100,NDC Description Not Available,57.845,57.845,,,0 NDC,63323016101,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-161-01) / 1 Ml In 1 Vial, Single-Use (63323-161-00)",59.0,59.0,,,0 NDC,63323016200,NDC Description Not Available,44.91,44.91,,,0 NDC,63323016201,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-162-01) / 1 Ml In 1 Vial, Single-Use (63323-162-00)",37.93,37.93,,,0 NDC,63323016202,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-162-02) / 2 Ml In 1 Vial, Single-Use (63323-162-03)",13.69,13.69,,,0 NDC,63323016501,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-165-01) / 1 Ml In 1 Vial (63323-165-02),10.805,10.805,,,0 NDC,63323016502,NDC Description Not Available,5.235,5.235,,,0 NDC,63323016505,"Dexamethasone Sodium Phosphate: 25 Vial, Multi-Dose In 1 Tray (63323-165-05) / 5 Ml In 1 Vial, Multi-Dose (63323-165-03)",8.43,8.43,,,0 NDC,63323017260,Carboplatin: 1 Vial In 1 Box (63323-172-60) / 60 Ml In 1 Vial,57.5,57.5,,,0 NDC,63323017302,Gentamicin: 25 Vial In 1 Tray (63323-173-02) / 2 Ml In 1 Vial (63323-173-01),127.55,127.55,,,0 NDC,63323018000,NDC Description Not Available,117.95,117.95,,,0 NDC,63323018001,Pyridoxine Hydrochloride: 25 Vial In 1 Tray (63323-180-01) / 1 Ml In 1 Vial (63323-180-00),763.335,763.335,,,0 NDC,63323018410,"Folic Acid: 1 Vial, Multi-Dose In 1 Carton (63323-184-10) / 10 Ml In 1 Vial, Multi-Dose",714.265,714.265,,,0 NDC,63323018509,NDC Description Not Available,135.155,135.155,,,0 NDC,63323018600,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-186-00) / 100 Ml In 1 Vial, Single-Dose",65.02,65.02,,,0 NDC,63323018601,NDC Description Not Available,44.7,44.7,,,0 NDC,63323019202,Fludarabine: 1 Vial In 1 Box (63323-192-02) / 2 Ml In 1 Vial,1056.53,1056.53,,,0 NDC,63323019352,Irinotecan Hydrochloride: 1 Vial In 1 Box (63323-193-52) / 2 Ml In 1 Vial,53.11,53.11,,,0 NDC,63323020102,Lidocaine: 25 Vial In 1 Tray (63323-201-02) / 2 Ml In 1 Vial (63323-201-01),4.1,4.1,,,0 NDC,63323020103,NDC Description Not Available,1.18,1.18,,,0 NDC,63323020110,Lidocaine: 25 Vial In 1 Tray (63323-201-10) / 10 Ml In 1 Vial (63323-201-03),1.72,1.72,,,0 NDC,63323020202,Lidocaine: 25 Vial In 1 Tray (63323-202-02) / 2 Ml In 1 Vial (63323-202-01),0.77,0.77,,,0 NDC,63323020500,"Omegaven: 10 Vial, Single-Dose In 1 Carton (63323-205-00) / 100 Ml In 1 Vial, Single-Dose (63323-205-31)",500.66,500.66,,,0 NDC,63323020531,NDC Description Not Available,533.12,533.12,,,0 NDC,63323020801,NDC Description Not Available,2.3,2.3,,,0 NDC,63323022901,NDC Description Not Available,20.36,20.36,,,0 NDC,63323022905,"Protamine Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-229-05) / 5 Ml In 1 Vial, Single-Dose (63323-229-01)",21.3,21.3,,,0 NDC,63323022930,"Protamine Sulfate: 1 Vial, Single-Dose In 1 Box (63323-229-30) / 25 Ml In 1 Vial, Single-Dose",13.97,13.97,,,0 NDC,63323023861,"Cefazolin: 10 Vial In 1 Carton (63323-238-61) / 1 Powder, For Solution In 1 Vial (63323-238-01)",48.25,48.25,,,0 NDC,63323025803,"Methylprednisolone Sodium Succinate: 25 Vial, Single-Dose In 1 Tray (63323-258-03) / 2 Ml In 1 Vial, Single-Dose (63323-258-01)",3.25,3.25,,,0 NDC,63323026001,NDC Description Not Available,74.58,74.58,,,0 NDC,63323026110,"Progesterone: 1 Vial, Multi-Dose In 1 Carton (63323-261-10) / 10 Ml In 1 Vial, Multi-Dose",59.0,59.0,,,0 NDC,63323026201,Heparin Sodium: 25 Vial In 1 Tray (63323-262-01) / 1 Ml In 1 Vial,7.37,7.37,,,0 NDC,63323026203,NDC Description Not Available,11.17,11.17,,,0 NDC,63323026206,Heparin Sodium: 25 Vial In 1 Tray (63323-262-06) / 1 Ml In 1 Vial (63323-262-03),11.01,11.01,,,0 NDC,63323026530,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (63323-265-30) / 16 Ml In 1 Vial, Multi-Dose",1.06,1.06,,,0 NDC,63323026922,NDC Description Not Available,16.69,16.69,,,0 NDC,63323026929,Diprivan: 10 Vial In 1 Box (63323-269-29) / 20 Ml In 1 Vial (63323-269-22),5.915,5.915,,,0 NDC,63323026950,Diprivan: 20 Vial In 1 Box (63323-269-50) / 50 Ml In 1 Vial (63323-269-30),7.88,7.88,,,0 NDC,63323026965,Diprivan: 10 Vial In 1 Box (63323-269-65) / 100 Ml In 1 Vial (63323-269-35),2.7,2.7,,,0 NDC,63323026967,Diprivan: 10 Vial In 1 Box (63323-269-67) / 100 Ml In 1 Vial (63323-269-21),1.93,1.93,,,0 NDC,63323026978,Diprivan: 10 Vial In 1 Box (63323-269-78) / 100 Ml In 1 Vial (63323-269-31),1.93,1.93,,,0 NDC,63323027026,Propofol: 10 VIAL in 1 BOX (63323-270-26) / 20 mL in 1 VIAL,11.8,11.8,,,0 NDC,63323027205,"Fluphenazine Decanoate: 1 Vial, Multi-Dose In 1 Carton (63323-272-05) / 5 Ml In 1 Vial, Multi-Dose",191.69,191.69,,,0 NDC,63323027301,"Sumatriptan Succinate: 1 Vial, Single-Dose In 1 Carton (63323-273-01) / .5 Ml In 1 Vial, Single-Dose",328.3,328.3,,,0 NDC,63323027601,NDC Description Not Available,18.72,18.72,,,0 NDC,63323027602,Heparin Sodium: 25 Vial In 1 Tray (63323-276-02) / 2 Ml In 1 Vial (63323-276-01),14.34,14.34,,,0 NDC,63323027810,"Vinblastine Sulfate: 1 Vial, Multi-Dose In 1 Box (63323-278-10) / 10 Ml In 1 Vial, Multi-Dose",34.98,34.98,,,0 NDC,63323028001,NDC Description Not Available,29.38,29.38,,,0 NDC,63323028002,Furosemide: 25 Vial In 1 Tray (63323-280-02) / 2 Ml In 1 Vial (63323-280-01),14.75,14.75,,,0 NDC,63323028003,NDC Description Not Available,23.6,23.6,,,0 NDC,63323028005,NDC Description Not Available,59.0,59.0,,,0 NDC,63323028401,NDC Description Not Available,95.72,95.72,,,0 NDC,63323028420,Vancomycin Hydrochloride: 10 Vial In 1 Tray (63323-284-20) / 20 Ml In 1 Vial (63323-284-01),96.5,96.5,,,0 NDC,63323028506,NDC Description Not Available,1.79,1.79,,,0 NDC,63323028507,NDC Description Not Available,3.13,3.13,,,0 NDC,63323028523,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-285-23) / 20 Ml In 1 Vial, Single-Dose (63323-285-07)",2.49,2.49,,,0 NDC,63323028564,Naropin: 12 Bottle In 1 Case (63323-285-64) / 200 Ml In 1 Bottle (63323-285-57),1.14,1.14,,,0 NDC,63323028605,NDC Description Not Available,1.11,1.11,,,0 NDC,63323028611,NDC Description Not Available,1.01,1.01,,,0 NDC,63323028620,Naropin: 5 Ampule In 1 Box (63323-286-20) / 20 Ml In 1 Ampule (63323-286-01),0.97,0.97,,,0 NDC,63323028701,NDC Description Not Available,0.84,0.84,,,0 NDC,63323028720,Naropin: 5 Ampule In 1 Box (63323-287-20) / 20 Ml In 1 Ampule (63323-287-01),0.84,0.84,,,0 NDC,63323029401,NDC Description Not Available,74.4,74.4,,,0 NDC,63323030601,NDC Description Not Available,35.4,35.4,,,0 NDC,63323030602,"Tobramycin: 25 Vial, Multi-Dose In 1 Tray (63323-306-02) / 2 Ml In 1 Vial, Multi-Dose (63323-306-01)",21.02,21.02,,,0 NDC,63323030605,NDC Description Not Available,9.3,9.3,,,0 NDC,63323030630,"Tobramycin: 10 Vial, Multi-Dose In 1 Tray (63323-306-30) / 30 Ml In 1 Vial, Multi-Dose (63323-306-05)",52.505,52.505,,,0 NDC,63323031159,"Calcium Gluconate: 25 VIAL, SINGLE-USE in 1 TRAY (63323-311-59) / 50 mL in 1 VIAL, SINGLE-USE",0.15,0.15,,,0 NDC,63323031501,NDC Description Not Available,278.13,278.13,,,0 NDC,63323031510,Ganciclovir: 25 Vial In 1 Tray (63323-315-10) / 10 Ml In 1 Vial (63323-315-01),329.12,329.12,,,0 NDC,63323032201,NDC Description Not Available,98.1,98.1,,,0 NDC,63323032225,"Imipenem And Cilastatin: 25 Vial, Single-Dose In 1 Carton (63323-322-25) / 20 Ml In 1 Vial, Single-Dose (63323-322-01)",96.69,96.69,,,0 NDC,63323032503,NDC Description Not Available,1.34,1.34,,,0 NDC,63323032509,NDC Description Not Available,1.25,1.25,,,0 NDC,63323032510,"Acyclovir: 10 Vial, Single-Dose In 1 Tray (63323-325-10) / 10 Ml In 1 Vial, Single-Dose (63323-325-03)",1.26,1.26,,,0 NDC,63323034101,NDC Description Not Available,193.0,193.0,,,0 NDC,63323034201,NDC Description Not Available,96.5,96.5,,,0 NDC,63323035550,Levofloxacin: 1 Bag In 1 Pouch (63323-355-50) / 50 Ml In 1 Bag,193.0,193.0,,,0 NDC,63323036001,NDC Description Not Available,0.755,0.755,,,0 NDC,63323036003,NDC Description Not Available,0.37,0.37,,,0 NDC,63323036920,"Ampicillin and Sulbactam: 10 VIAL in 1 CARTON (63323-369-20) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL",32.17,32.17,,,0 NDC,63323037302,Ondansetron: 25 Vial In 1 Tray (63323-373-02) / 2 Ml In 1 Vial (63323-373-00),14.75,14.75,,,0 NDC,63323037420,Ondansetron: 1 Vial In 1 Box (63323-374-20) / 20 Ml In 1 Vial,3.39,3.39,,,0 NDC,63323037600,NDC Description Not Available,17.14,17.14,,,0 NDC,63323037700,NDC Description Not Available,16.65,16.65,,,0 NDC,63323037701,"Octreotide: 10 Vial, Single-Dose In 1 Tray (63323-377-01) / 1 Ml In 1 Vial, Single-Dose (63323-377-00)",16.65,16.65,,,0 NDC,63323037905,"Octreotide: 1 Vial, Multi-Dose In 1 Carton (63323-379-05) / 5 Ml In 1 Vial, Multi-Dose",16.65,16.65,,,0 NDC,63323039306,Colistimethate: 1 Vial In 1 Box (63323-393-06) / 2 Ml In 1 Vial,187.54,187.54,,,0 NDC,63323039801,NDC Description Not Available,186.26,186.26,,,0 NDC,63323039810,Azithromycin: 10 Vial In 1 Tray (63323-398-10) / 5 Ml In 1 Vial (63323-398-01),191.29,191.29,,,0 NDC,63323040101,NDC Description Not Available,22.785,22.785,,,0 NDC,63323040120,"Aztreonam: 10 Vial In 1 Tray (63323-401-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-401-01)",20.2,20.2,,,0 NDC,63323040703,Caffeine Citrate: 1 Vial In 1 Box (63323-407-03) / 3 Ml In 1 Vial,27.86,27.86,,,0 NDC,63323041115,NDC Description Not Available,32.47,32.47,,,0 NDC,63323041118,NDC Description Not Available,20.235,20.235,,,0 NDC,63323041203,NDC Description Not Available,13.03,13.03,,,0 NDC,63323041218,NDC Description Not Available,14.8,14.8,,,0 NDC,63323041701,NDC Description Not Available,123.28,123.28,,,0 NDC,63323041801,NDC Description Not Available,1812.35,1812.35,,,0 NDC,63323041820,Cisatracurium: 10 Vial In 1 Carton (63323-418-20) / 20 Ml In 1 Vial (63323-418-01),1812.35,1812.35,,,0 NDC,63323042405,"Flumazenil: 10 Vial, Multi-Dose In 1 Tray (63323-424-05) / 5 Ml In 1 Vial, Multi-Dose (63323-424-01)",14.49,14.49,,,0 NDC,63323042602,NDC Description Not Available,50.85,50.85,,,0 NDC,63323045101,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Box (63323-451-01) / 1 Ml In 1 Vial, Single-Dose (63323-451-00)",25.03,25.03,,,0 NDC,63323045200,NDC Description Not Available,59.0,59.0,,,0 NDC,63323046037,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-460-37) / 30 Ml In 1 Vial, Single-Dose (63323-460-01)",29.5,29.5,,,0 NDC,63323046201,NDC Description Not Available,3.93,3.93,,,0 NDC,63323046401,NDC Description Not Available,5.9,5.9,,,0 NDC,63323046402,NDC Description Not Available,0.79,0.79,,,0 NDC,63323046501,NDC Description Not Available,5.86,5.86,,,0 NDC,63323046557,"Sensorcaine: 25 Vial, Multi-Dose In 1 Tray (63323-465-57) / 50 Ml In 1 Vial, Multi-Dose (63323-465-01)",5.9,5.9,,,0 NDC,63323046601,NDC Description Not Available,0.39,0.39,,,0 NDC,63323046637,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-466-37) / 30 Ml In 1 Vial, Single-Dose (63323-466-01)",0.39,0.39,,,0 NDC,63323046701,NDC Description Not Available,0.24,0.24,,,0 NDC,63323046757,"Sensorcaine: 25 Vial, Multi-Dose In 1 Tray (63323-467-57) / 50 Ml In 1 Vial, Multi-Dose (63323-467-01)",0.24,0.24,,,0 NDC,63323046837,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-468-37) / 30 Ml In 1 Vial, Single-Dose (63323-468-02)",2.48,2.48,,,0 NDC,63323047201,NDC Description Not Available,0.22999999999999998,0.22999999999999998,,,0 NDC,63323047400,NDC Description Not Available,58.46,58.46,,,0 NDC,63323047701,NDC Description Not Available,0.36,0.36,,,0 NDC,63323047727,"Nesacaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-477-27) / 20 Ml In 1 Vial, Single-Dose (63323-477-01)",0.44,0.44,,,0 NDC,63323047827,"Nesacaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-478-27) / 20 Ml In 1 Vial, Single-Dose (63323-478-01)",0.29,0.29,,,0 NDC,63323048157,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-481-57) / 50 Ml In 1 Vial, Multi-Dose (63323-481-01)",1.77,1.77,,,0 NDC,63323048203,NDC Description Not Available,0.35,0.35,,,0 NDC,63323048257,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-482-57) / 50 Ml In 1 Vial, Multi-Dose (63323-482-05)",0.17,0.17,,,0 NDC,63323048457,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-484-57) / 50 Ml In 1 Vial, Multi-Dose",0.56,0.56,,,0 NDC,63323048501,NDC Description Not Available,2.95,2.95,,,0 NDC,63323048503,NDC Description Not Available,2.95,2.95,,,0 NDC,63323048557,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-485-57) / 50 Ml In 1 Vial, Multi-Dose (63323-485-03)",5.62,5.62,,,0 NDC,63323048601,NDC Description Not Available,29.91,29.91,,,0 NDC,63323048602,NDC Description Not Available,30.78,30.78,,,0 NDC,63323048605,NDC Description Not Available,0.05,0.05,,,0 NDC,63323048617,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-17) / 10 Ml In 1 Vial, Multi-Dose (63323-486-01)",0.69,0.69,,,0 NDC,63323048626,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-26) / 20 Ml In 1 Vial, Multi-Dose (63323-486-41)",2.95,2.95,,,0 NDC,63323048627,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-27) / 20 Ml In 1 Vial, Multi-Dose (63323-486-02)",29.915,29.915,,,0 NDC,63323048657,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-57) / 50 Ml In 1 Vial, Multi-Dose (63323-486-05)",2.95,2.95,,,0 NDC,63323048737,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-487-37) / 30 Ml In 1 Vial, Single-Dose (63323-487-07)",2.75,2.75,,,0 NDC,63323048801,NDC Description Not Available,1.61,1.61,,,0 NDC,63323048917,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-489-17) / 10 Ml In 1 Vial, Single-Dose (63323-489-01)",0.75,0.75,,,0 NDC,63323049157,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-491-57) / 50 Ml In 1 Vial, Single-Dose (63323-491-01)",1.38,1.38,,,0 NDC,63323049204,NDC Description Not Available,30.3,30.3,,,0 NDC,63323049207,NDC Description Not Available,30.2,30.2,,,0 NDC,63323049208,NDC Description Not Available,0.82,0.82,,,0 NDC,63323049209,NDC Description Not Available,25.814999999999998,25.814999999999998,,,0 NDC,63323049216,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-16) / 2 Ml In 1 Vial, Single-Dose (63323-492-41)",1.74,1.74,,,0 NDC,63323049227,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-27) / 2 Ml In 1 Vial, Single-Dose (63323-492-04)",31.225,31.225,,,0 NDC,63323049231,"Xylocaine Mpf: 5 Vial, Single-Dose In 1 Carton (63323-492-31) / 30 Ml In 1 Vial, Single-Dose (63323-492-03)",1.61,1.61,,,0 NDC,63323049236,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-36) / 5 Ml In 1 Vial, Single-Dose (63323-492-43)",1.97,1.97,,,0 NDC,63323049243,NDC Description Not Available,1.18,1.18,,,0 NDC,63323049257,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-57) / 5 Ml In 1 Vial, Single-Dose (63323-492-09)",27.395,27.395,,,0 NDC,63323049289,NDC Description Not Available,3.38,3.38,,,0 NDC,63323049297,Xylocaine Mpf: 5 Ampule In 1 Box (63323-492-97) / 10 Ml In 1 Ampule (63323-492-08),1.14,1.14,,,0 NDC,63323049401,NDC Description Not Available,8.98,8.98,,,0 NDC,63323049527,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-495-27) / 2 Ml In 1 Vial, Single-Dose (63323-495-09)",0.71,0.71,,,0 NDC,63323049603,NDC Description Not Available,1.76,1.76,,,0 NDC,63323050600,NDC Description Not Available,8.79,8.79,,,0 NDC,63323050601,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-506-01) / 1 Ml In 1 Vial (63323-506-00),5.875,5.875,,,0 NDC,63323050616,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-506-16) / 1 Ml In 1 Vial (63323-506-41),5.9,5.9,,,0 NDC,63323050701,NDC Description Not Available,23.895000000000003,23.895000000000003,,,0 NDC,63323050720,Meropenem: 10 Vial In 1 Carton (63323-507-20) / 10 Ml In 1 Vial (63323-507-01),25.200000000000003,25.200000000000003,,,0 NDC,63323050801,NDC Description Not Available,12.59,12.59,,,0 NDC,63323050830,Meropenem: 10 Vial In 1 Carton (63323-508-30) / 20 Ml In 1 Vial (63323-508-01),15.51,15.51,,,0 NDC,63323050831,Meropenem: 10 Vial In 1 Carton (63323-508-31) / 20 Ml In 1 Vial (63323-508-21),5.9,5.9,,,0 NDC,63323051610,Dexamethasone Sodium Phosphate: 10 Vial In 1 Tray (63323-516-10) / 10 Ml In 1 Vial (63323-516-01),5.72,5.72,,,0 NDC,63323051801,NDC Description Not Available,7.72,7.72,,,0 NDC,63323052603,"Argatroban: 1 Vial, Single-Dose In 1 Carton (63323-526-03) / 2.5 Ml In 1 Vial, Single-Dose",8.66,8.66,,,0 NDC,63323053021,NDC Description Not Available,0.05,0.05,,,0 NDC,63323053101,NDC Description Not Available,15.54,15.54,,,0 NDC,63323053501,NDC Description Not Available,14.75,14.75,,,0 NDC,63323053701,NDC Description Not Available,13.78,13.78,,,0 NDC,63323054001,Heparin Sodium: 25 Vial In 1 Tray (63323-540-01) / 1 Ml In 1 Vial,25.93,25.93,,,0 NDC,63323054003,NDC Description Not Available,26.505,26.505,,,0 NDC,63323054011,Heparin Sodium: 25 Vial In 1 Tray (63323-540-11) / 10 Ml In 1 Vial,8.2,8.2,,,0 NDC,63323054013,Heparin Sodium: 25 Vial In 1 Tray (63323-540-13) / 1 Ml In 1 Vial (63323-540-03),29.5,29.5,,,0 NDC,63323054031,Heparin Sodium: 25 Vial In 1 Tray (63323-540-31) / 30 Ml In 1 Vial,2.48,2.48,,,0 NDC,63323054033,NDC Description Not Available,2.275,2.275,,,0 NDC,63323054209,NDC Description Not Available,5.9,5.9,,,0 NDC,63323054303,NDC Description Not Available,7.6,7.6,,,0 NDC,63323054313,Heparin Sodium: 25 Vial In 1 Tray (63323-543-13) / .5 Ml In 1 Vial (63323-543-03),7.6,7.6,,,0 NDC,63323054501,NDC Description Not Available,3.46,3.46,,,0 NDC,63323054505,NDC Description Not Available,1.13,1.13,,,0 NDC,63323055921,NDC Description Not Available,19.65,19.65,,,0 NDC,63323056397,Tranexamic Acid: 10 AMPULE in 1 BOX (63323-563-97) / 10 mL in 1 AMPULE,393.23,393.23,,,0 NDC,63323056421,NDC Description Not Available,14.75,14.75,,,0 NDC,63323056497,Enoxaparin Sodium: 10 Blister Pack In 1 Carton (63323-564-97) / 1 Syringe In 1 Blister Pack (63323-564-21) / .4 Ml In 1 Syringe,14.75,14.75,,,0 NDC,63323056621,NDC Description Not Available,10.42,10.42,,,0 NDC,63323056887,Enoxaparin sodium: 10 SYRINGE in 1 CARTON (63323-568-87) / .4 mL in 1 SYRINGE,14.75,14.75,,,0 NDC,63323058003,NDC Description Not Available,1.18,1.18,,,0 NDC,63323058421,NDC Description Not Available,7.92,7.92,,,0 NDC,63323058621,NDC Description Not Available,6.67,6.67,,,0 NDC,63323058696,Enoxaparin Sodium: 10 Blister Pack In 1 Carton (63323-586-96) / 1 Syringe In 1 Blister Pack (63323-586-21) / 1 Ml In 1 Syringe,11.8,11.8,,,0 NDC,63323059303,"Glucagon: 1 Kit In 1 Carton (63323-593-03) * 1 Ml In 1 Vial, Single-Dose (63323-596-03) * 1 Ml In 1 Vial, Single-Dose (63323-185-03)",1536.45,1536.45,,,0 NDC,63323059603,NDC Description Not Available,1692.96,1692.96,,,0 NDC,63323059606,NDC Description Not Available,542.7,542.7,,,0 NDC,63323059611,NDC Description Not Available,1485.06,1485.06,,,0 NDC,63323060400,NDC Description Not Available,76.82,76.82,,,0 NDC,63323060401,"Propranolol: 10 Vial, Single-Dose In 1 Tray (63323-604-01) / 1 Ml In 1 Vial, Single-Dose",76.92,76.92,,,0 NDC,63323060501,NDC Description Not Available,27.91,27.91,,,0 NDC,63323060701,NDC Description Not Available,13.67,13.67,,,0 NDC,63323060708,NDC Description Not Available,10.78,10.78,,,0 NDC,63323060901,NDC Description Not Available,13.82,13.82,,,0 NDC,63323061400,NDC Description Not Available,60.29,60.29,,,0 NDC,63323061401,"Hydralazine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (63323-614-01) / 1 Ml In 1 Vial, Single-Dose (63323-614-00)",62.92,62.92,,,0 NDC,63323061421,NDC Description Not Available,59.0,59.0,,,0 NDC,63323061601,NDC Description Not Available,8.96,8.96,,,0 NDC,63323061602,NDC Description Not Available,4.22,4.22,,,0 NDC,63323061701,NDC Description Not Available,27.2,27.2,,,0 NDC,63323061710,"Milrinone Lactate: 10 Vial, Single-Dose In 1 Tray (63323-617-10) / 10 Ml In 1 Vial, Single-Dose (63323-617-01)",26.51,26.51,,,0 NDC,63323061720,"Milrinone Lactate: 10 Vial, Single-Dose In 1 Tray (63323-617-20) / 20 Ml In 1 Vial, Single-Dose (63323-617-02)",28.58,28.58,,,0 NDC,63323062350,Sodium Chloride: 60 BAG in 1 BOX (63323-623-50) / 50 mL in 1 BAG,193.0,193.0,,,0 NDC,63323062351,Sodium Chloride: 20 BAG in 1 BOX (63323-623-51) / 500 mL in 1 BAG,193.0,193.0,,,0 NDC,63323063110,"Leucovorin Calcium: 1 Vial, Single-Use In 1 Carton (63323-631-10) / 10 Ml In 1 Vial, Single-Use",74.68,74.68,,,0 NDC,63323063703,NDC Description Not Available,397.98,397.98,,,0 NDC,63323064201,NDC Description Not Available,28.42,28.42,,,0 NDC,63323064907,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (63323-649-07) / 5 Ml In 1 Vial, Single-Dose",73.3,73.3,,,0 NDC,63323065102,"Adenosine: 10 Vial, Single-Use In 1 Tray (63323-651-02) / 2 Ml In 1 Vial, Single-Use (63323-651-00)",11.39,11.39,,,0 NDC,63323065521,NDC Description Not Available,6.46,6.46,,,0 NDC,63323065820,Chlorothiazide: 1 Vial In 1 Box (63323-658-20) / 18 Ml In 1 Vial,1139.17,1139.17,,,0 NDC,63323066400,NDC Description Not Available,59.0,59.0,,,0 NDC,63323066401,"Diphenhydramine: 25 Vial, Single-Dose In 1 Tray (63323-664-01) / 1 Ml In 1 Vial, Single-Dose (63323-664-00)",58.78,58.78,,,0 NDC,63323066500,NDC Description Not Available,98.92500000000001,98.92500000000001,,,0 NDC,63323066501,"Terbutaline Sulfate: 25 Vial, Single-Use In 1 Tray (63323-665-01) / 1 Ml In 1 Vial, Single-Use (63323-665-00)",96.97500000000001,96.97500000000001,,,0 NDC,63323067321,NDC Description Not Available,33.5,33.5,,,0 NDC,63323069030,Acetylcysteine: 3 Vial In 1 Carton (63323-690-30) / 30 Ml In 1 Vial (63323-690-22),16.13,16.13,,,0 NDC,63323069404,Acetylcysteine: 25 Vial In 1 Carton (63323-694-04) / 4 Ml In 1 Vial (63323-694-22),73.42,73.42,,,0 NDC,63323069422,NDC Description Not Available,74.27,74.27,,,0 NDC,63323071050,Leucovorin Calcium: 1 Vial In 1 Box (63323-710-50) / 20 Ml In 1 Vial,39.81,39.81,,,0 NDC,63323071505,"Fulvestrant: 2 Syringe, Glass In 1 Carton (63323-715-05) / 5 Ml In 1 Syringe, Glass (63323-715-01)",331.3,331.3,,,0 NDC,63323072801,NDC Description Not Available,4.52,4.52,,,0 NDC,63323072810,"Micafungin: 10 Carton In 1 Carton (63323-728-10) / 1 Vial, Single-Dose In 1 Carton (63323-728-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",4.83,4.83,,,0 NDC,63323072901,NDC Description Not Available,4.09,4.09,,,0 NDC,63323072910,"Micafungin: 10 Carton In 1 Carton (63323-729-10) / 1 Vial, Single-Dose In 1 Carton (63323-729-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",3.0,3.0,,,0 NDC,63323073911,NDC Description Not Available,2.79,2.79,,,0 NDC,63323073912,"Famotidine: 25 Vial, Single-Dose In 1 Tray (63323-739-12) / 2 Ml In 1 Vial, Single-Dose (63323-739-11)",2.32,2.32,,,0 NDC,63323075100,NDC Description Not Available,0.04,0.04,,,0 NDC,63323076350,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (63323-763-50) / 50 Ml In 1 Vial, Multi-Dose",2.88,2.88,,,0 NDC,63323080601,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Carton (63323-806-01) / 1 Ml In 1 Vial, Single-Dose (63323-806-11)",53.52,53.52,,,0 NDC,63323080614,NDC Description Not Available,7.87,7.87,,,0 NDC,63323080650,"Fentanyl Citrate: 1 Vial, Single-Dose In 1 Carton (63323-806-50) / 50 Ml In 1 Vial, Single-Dose",7.109999999999999,7.109999999999999,,,0 NDC,63323081100,"Oxacillin: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-811-00) / 100 Ml In 1 Vial, Pharmacy Bulk Package",19.56,19.56,,,0 NDC,63323081201,NDC Description Not Available,20.34,20.34,,,0 NDC,63323082000,Smoflipid: 10 Bag In 1 Case (63323-820-00) / 100 Ml In 1 Bag (63323-820-01),148.19,148.19,,,0 NDC,63323082001,NDC Description Not Available,190.49,190.49,,,0 NDC,63323082003,NDC Description Not Available,193.0,193.0,,,0 NDC,63323082004,NDC Description Not Available,191.67,191.67,,,0 NDC,63323082074,Smoflipid: 10 Bag In 1 Case (63323-820-74) / 250 Ml In 1 Bag (63323-820-04),156.26,156.26,,,0 NDC,63323085103,NDC Description Not Available,1.22,1.22,,,0 NDC,63323085110,"Hydromorphone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (63323-851-10) / 1 Ml In 1 Vial, Single-Dose (63323-851-03)",0.31,0.31,,,0 NDC,63323085303,NDC Description Not Available,1.34,1.34,,,0 NDC,63323087074,Dextrose And Sodium Chloride: 10 Bag In 1 Case (63323-870-74) / 1000 Ml In 1 Bag (63323-870-04),96.5,96.5,,,0 NDC,63323087715,"Nebupent: 1 Vial, Single-Dose In 1 Carton (63323-877-15) / 6 Ml In 1 Vial, Single-Dose",982.23,982.23,,,0 NDC,63323088101,NDC Description Not Available,223.33,223.33,,,0 NDC,63323088116,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (63323-881-16) / 15 Ml In 1 Vial, Single-Dose (63323-881-01)",92.03,92.03,,,0 NDC,63323088305,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (63323-883-05) / 5 Ml In 1 Vial, Single-Dose",61.82,61.82,,,0 NDC,63323088330,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (63323-883-30) / 25 Ml In 1 Vial, Single-Dose",42.84,42.84,,,0 NDC,63323088401,NDC Description Not Available,129.88,129.88,,,0 NDC,63323088406,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (63323-884-06) / 5 Ml In 1 Vial, Single-Dose (63323-884-01)",130.05,130.05,,,0 NDC,63323093000,NDC Description Not Available,7.7,7.7,,,0 NDC,63323094021,NDC Description Not Available,70.35,70.35,,,0 NDC,63323096010,"Tigecycline: 10 Vial, Single-Dose In 1 Carton (63323-960-10) / 5 Ml In 1 Vial, Single-Dose (63323-960-01)",20.9,20.9,,,0 NDC,63323096502,NDC Description Not Available,5.06,5.06,,,0 NDC,63323096503,NDC Description Not Available,5.45,5.45,,,0 NDC,63323096520,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-965-20) / 20 Ml In 1 Vial, Single-Dose (63323-965-02)",703.44,703.44,,,0 NDC,63323096600,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (63323-966-00) / 100 Ml In 1 Vial, Glass",335.96,335.96,,,0 NDC,63361024310,"Vaxelis: 10 Vial, Single-Dose In 1 Package (63361-243-10) / .5 Ml In 1 Vial, Single-Dose (63361-243-58)",658.0799999999999,658.0799999999999,,,0 NDC,63361024315,Vaxelis: 10 Syringe In 1 Package (63361-243-15) / .5 Ml In 1 Syringe (63361-243-88),655.28,655.28,,,0 NDC,63361024358,NDC Description Not Available,655.275,655.275,,,0 NDC,63361024388,NDC Description Not Available,330.0,330.0,,,0 NDC,63459010310,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-103-10) / 10 Ml In 1 Vial, Single-Use",566.46,566.46,,,0 NDC,63459010450,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-104-50) / 50 Ml In 1 Vial, Single-Use",566.52,566.52,,,0 NDC,63459030343,"Herzuma: 1 Vial, Single-Dose In 1 Carton (63459-303-43) / 20 Ml In 1 Vial, Single-Dose",626.45,626.45,,,0 NDC,63459030547,"Herzuma: 1 Kit In 1 Carton (63459-305-47) * 50 Ml In 1 Vial, Multi-Dose (63459-307-41) * 20 Ml In 1 Vial (63459-221-20)",626.11,626.11,,,0 NDC,63459030741,NDC Description Not Available,621.98,621.98,,,0 NDC,63459034804,"Bendeka: 1 Vial, Multi-Dose In 1 Carton (63459-348-04) / 4 Ml In 1 Vial, Multi-Dose",165.49,165.49,,,0 NDC,63459060111,NDC Description Not Available,648.36,648.36,,,0 NDC,63629106403,"Spironolactone: 90 Tablet In 1 Bottle, Plastic (63629-1064-3)",6.0,6.0,,,0 NDC,63629191301,Indomethacin: 100 Capsule In 1 Bottle (63629-1913-1),4.78,4.78,,,0 NDC,63629250401,Lidocaine: 1 Tube In 1 Carton (63629-2504-1) / 35.44 G In 1 Tube,69.44,69.44,,,0 NDC,63629866701,Hydrocortisone: 1 Tube In 1 Carton (63629-8667-1) / 28 G In 1 Tube,30.21,30.21,,,0 NDC,63739000833,"Voriconazole: 3 Blister Pack In 1 Box, Unit-Dose (63739-008-33) / 10 Tablet In 1 Blister Pack",122.45,122.45,,,0 NDC,63739001610,"Diltiazem Hydrochloride: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-016-10) / 10 CAPSULE, COATED, EXTENDED RELEASE in 1 BLISTER PACK",4.93,4.93,,,0 NDC,63739005110,Amiodarone Hydrochloride: 10 Blister Pack In 1 Box (63739-051-10) / 10 Tablet In 1 Blister Pack,4.44,4.44,,,0 NDC,63739005274,"Sky Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (63739-052-74)",10.13,10.13,,,0 NDC,63739006610,"Cyclobenzaprine Hydrochloride: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-066-10) / 10 TABLET, FILM COATED in 1 BLISTER PACK",6.0,6.0,,,0 NDC,63739006933,"Aripiprazole: 3 Blister Pack In 1 Box, Unit-Dose (63739-069-33) / 10 Tablet In 1 Blister Pack",52.32,52.32,,,0 NDC,63739007233,"Sildenafil: 3 Blister Pack In 1 Box, Unit-Dose (63739-072-33) / 10 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 NDC,63739007633,"Valganciclovir: 3 Blister Pack In 1 Box, Unit-Dose (63739-076-33) / 10 Tablet, Film Coated In 1 Blister Pack",263.5,263.5,,,0 NDC,63739007710,"Valacyclovir: 10 Blister Pack In 1 Box, Unit-Dose (63739-077-10) / 10 Tablet, Film Coated In 1 Blister Pack",8.46,8.46,,,0 NDC,63739008610,"Valproic Acid: 10 Blister Pack In 1 Box, Unit-Dose (63739-086-10) / 10 Capsule In 1 Blister Pack",3.31,3.31,,,0 NDC,63739008702,Acetaminophen 325Mg Rs: 30 Blister Pack In 1 Box (63739-087-02) / 10 Tablet In 1 Blister Pack,1.0,1.0,,,0 NDC,63739009810,"Mirtazapine: 10 Blister Pack In 1 Box (63739-098-10) / 10 Tablet, Film Coated In 1 Blister Pack",4.85,4.85,,,0 NDC,63739015977,NDC Description Not Available,3.6,3.6,,,0 NDC,63739016070,"Nystatin: 5 Ml In 1 Cup, Unit-Dose (63739-160-70)",8.56,8.56,,,0 NDC,63739017013,NDC Description Not Available,27.89,27.89,,,0 NDC,63739017830,"Clopidogrel Bisulfate: 5 Blister Pack In 1 Carton (63739-178-30) / 6 Tablet, Film Coated In 1 Blister Pack",82.38,82.38,,,0 NDC,63739019601,NDC Description Not Available,3.71,3.71,,,0 NDC,63739020301,"Atovaquone: 5 Ml In 1 Cup, Unit-Dose (63739-203-01)",141.49,141.49,,,0 NDC,63739022510,NDC Description Not Available,2.0,2.0,,,0 NDC,63739023610,"Gabapentin: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-236-10) / 10 CAPSULE in 1 BLISTER PACK",4.53,4.53,,,0 NDC,63739025340,Valproic Acid: 100 Capsule In 1 Bottle (63739-253-40),2.52,2.52,,,0 NDC,63739026310,"Clonazepam: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-263-10) / 10 TABLET in 1 BLISTER PACK",4.14,4.14,,,0 NDC,63739032710,Hydralazine Hydrochloride: 10 Blister Pack In 1 Case (63739-327-10) / 10 Tablet In 1 Blister Pack,4.49,4.49,,,0 NDC,63739032810,Hydralazine Hydrochloride: 10 Blister Pack In 1 Case (63739-328-10) / 10 Tablet In 1 Blister Pack,3.78,3.78,,,0 NDC,63739036710,"Isosorbide Dinitrate: 10 Blister Pack In 1 Box, Unit-Dose (63739-367-10) / 10 Tablet In 1 Blister Pack",5.63,5.63,,,0 NDC,63739041510,"Rifampin: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-415-10) / 10 CAPSULE in 1 BLISTER PACK",10.08,10.08,,,0 NDC,63739043201,"Sennosides and Docusate Sodium: 25 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-432-01) / 30 TABLET in 1 BLISTER PACK",1.0,1.0,,,0 NDC,63739043202,Sennosides and Docusate Sodium: 30 BLISTER PACK in 1 BOX (63739-432-02) / 10 TABLET in 1 BLISTER PACK,1.18,1.18,,,0 NDC,63739043402,Aspirin Chewable: 30 Blister Pack In 1 Box (63739-434-02) / 10 Tablet In 1 Blister Pack,1.55,1.55,,,0 NDC,63739044001,"Acetaminophen: 25 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-440-01) / 30 TABLET in 1 BLISTER PACK",1.0,1.0,,,0 NDC,63739046021,NDC Description Not Available,29.15,29.15,,,0 NDC,63739047910,"Baclofen: 10 Blister Pack In 1 Box, Unit-Dose (63739-479-10) / 10 Tablet In 1 Blister Pack",4.34,4.34,,,0 NDC,63739048010,"Baclofen: 10 Blister Pack In 1 Box, Unit-Dose (63739-480-10) / 10 Tablet In 1 Blister Pack",5.63,5.63,,,0 NDC,63739048310,"Hydroxyzine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-483-10) / 10 Tablet In 1 Blister Pack",5.91,5.91,,,0 NDC,63739048610,"Hydroxyzine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-486-10) / 10 Tablet In 1 Blister Pack",5.42,5.42,,,0 NDC,63739049910,"Lorazepam: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-499-10) / 10 TABLET in 1 BLISTER PACK",5.69,5.69,,,0 NDC,63739050601,NDC Description Not Available,4.39,4.39,,,0 NDC,63739054410,"Spironolactone: 10 Blister Pack In 1 Box, Unit-Dose (63739-544-10) / 10 Tablet In 1 Blister Pack",5.720000000000001,5.720000000000001,,,0 NDC,63739054510,"Spironolactone: 10 Blister Pack In 1 Box, Unit-Dose (63739-545-10) / 10 Tablet In 1 Blister Pack",3.79,3.79,,,0 NDC,63739055910,"Ciprofloxacin: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-559-10) / 10 TABLET, FILM COATED in 1 BLISTER PACK",6.0,6.0,,,0 NDC,63739056410,"Pantoprazole Sodium: 10 Blister Pack In 1 Box, Unit-Dose (63739-564-10) / 10 Tablet, Delayed Release In 1 Blister Pack",6.0,6.0,,,0 NDC,63739056710,"Tamsulosin Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-567-10) / 10 Capsule In 1 Blister Pack",5.54,5.54,,,0 NDC,63739056910,"Isosorbide Dinitrate: 10 Blister Pack In 1 Box, Unit-Dose (63739-569-10) / 10 Tablet In 1 Blister Pack",5.75,5.75,,,0 NDC,63739057010,"Simvastatin: 10 Blister Pack In 1 Box, Unit-Dose (63739-570-10) / 10 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 NDC,63739057110,"Simvastatin: 10 Blister Pack In 1 Box, Unit-Dose (63739-571-10) / 10 Tablet, Film Coated In 1 Blister Pack",4.53,4.53,,,0 NDC,63739057210,"Simvastatin: 10 Blister Pack In 1 Box, Unit-Dose (63739-572-10) / 10 Tablet, Film Coated In 1 Blister Pack",5.97,5.97,,,0 NDC,63739057310,"Simvastatin: 10 Blister Pack In 1 Box, Unit-Dose (63739-573-10) / 10 Tablet, Film Coated In 1 Blister Pack",5.84,5.84,,,0 NDC,63739059110,"Gabapentin: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-591-10) / 10 CAPSULE in 1 BLISTER PACK",4.23,4.23,,,0 NDC,63739064510,"Famotidine: 10 Blister Pack In 1 Box, Unit-Dose (63739-645-10) / 10 Tablet In 1 Blister Pack",5.61,5.61,,,0 NDC,63739067310,"Losortan Potassium: 10 Blister Pack In 1 Box, Unit-Dose (63739-673-10) / 10 Tablet, Film Coated In 1 Blister Pack",5.22,5.22,,,0 NDC,63739067510,"Gabapentin: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-675-10) / 10 CAPSULE in 1 BLISTER PACK",4.66,4.66,,,0 NDC,63739068610,"Losartan Potassium: 10 Blister Pack In 1 Box, Unit-Dose (63739-686-10) / 10 Tablet, Film Coated In 1 Blister Pack",5.25,5.25,,,0 NDC,63739068910,"Gabapentin: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-689-10) / 10 CAPSULE in 1 BLISTER PACK",5.25,5.25,,,0 NDC,63739069810,"Losartan Potassium: 10 Blister Pack In 1 Box, Unit-Dose (63739-698-10) / 10 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 NDC,63739088810,"Paroxetine: 10 Blister Pack In 1 Box, Unit-Dose (63739-888-10) / 10 Tablet, Film Coated In 1 Blister Pack",6.0,6.0,,,0 NDC,63739090210,Gabapentin: 10 Blister Pack In 1 Carton (63739-902-10) / 10 Capsule In 1 Blister Pack,4.57,4.57,,,0 NDC,63739090310,Gabapentin: 10 Blister Pack In 1 Carton (63739-903-10) / 10 Capsule In 1 Blister Pack,4.31,4.31,,,0 NDC,63739090410,Gabapentin: 10 Blister Pack In 1 Carton (63739-904-10) / 10 Capsule In 1 Blister Pack,3.39,3.39,,,0 NDC,63739093114,NDC Description Not Available,2.51,2.51,,,0 NDC,63739097310,"Potassium Chloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-973-10) / 10 Tablet, Extended Release In 1 Blister Pack",4.72,4.72,,,0 NDC,63739098410,"Gabapentin: 10 BLISTER PACK in 1 BOX, UNIT-DOSE (63739-984-10) / 10 CAPSULE in 1 BLISTER PACK",3.56,3.56,,,0 NDC,63739099510,"Divalproex Sodium: 10 Blister Pack In 1 Box, Unit-Dose (63739-995-10) / 10 Capsule In 1 Blister Pack",4.67,4.67,,,0 NDC,63824071316,Cepacol Extra Strength Sore Throat Cherry: 2 Blister Pack In 1 Carton (63824-713-16) / 8 Lozenge In 1 Blister Pack,2.0,2.0,,,0 NDC,63833038602,"Kcentra: 1 Kit In 1 Carton (63833-386-02) * 20 Ml In 1 Vial, Single-Use (63833-396-01) * 20 Ml In 1 Vial, Single-Use (63833-761-20)",18.48,18.48,,,0 NDC,63833039601,NDC Description Not Available,18.48,18.48,,,0 NDC,63833039701,NDC Description Not Available,18.48,18.48,,,0 NDC,63833061602,"Humate-P: 1 Kit In 1 Carton (63833-616-02) * 10 Ml In 1 Vial (63833-626-01) * 10 Ml In 1 Vial, Single-Dose (63833-765-54)",10.71,10.71,,,0 NDC,63833082502,Berinert: 1 Kit In 1 Carton (63833-825-02) * 10 Ml In 1 Vial (63833-835-01) * 10 Ml In 1 Vial (63833-765-15),549.08,549.08,,,0 NDC,63833083501,NDC Description Not Available,549.03,549.03,,,0 NDC,63868017526,Pain Relief Childrens: 1 Bottle In 1 Box (63868-175-26) / 118 Ml In 1 Bottle,2.0,2.0,,,0 NDC,64067021601,"Uvadex: 12 Vial, Glass In 1 Carton (64067-216-01) / 10 Ml In 1 Vial, Glass",3893.84,3893.84,,,0 NDC,64193032501,NDC Description Not Available,18.09,18.09,,,0 NDC,64193042402,"Feiba: 1 Kit In 1 Carton (64193-424-02) * 20 Ml In 1 Vial, Glass (64193-324-01) * 20 Ml In 1 Vial, Glass (64764-517-20)",17.71,17.71,,,0 NDC,64253040030,NDC Description Not Available,0.84,0.84,,,0 NDC,64281011006,"Provocholine Inhalation Solution: 6 Package In 1 Package (64281-110-06) / 6 Carton In 1 Package (64281-110-05) / 1 Kit In 1 Carton * 1 Vial, Plastic In 1 Kit / 3 Ml In 1 Vial, Plastic (64281-113-00",3645.0,3645.0,,,0 NDC,64380015801,Megestrol Acetate: 100 Tablet In 1 Bottle (64380-158-01),3.37,3.37,,,0 NDC,64380015901,Megestrol Acetate: 100 Tablet In 1 Bottle (64380-159-01),4.14,4.14,,,0 NDC,64380016502,"Propafenone Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (64380-165-02)",6.0,6.0,,,0 NDC,64380071404,Tenofovir Disoproxil Fumarate: 30 Tablet In 1 Bottle (64380-714-04),6.0,6.0,,,0 NDC,64380072306,Calcitriol: 100 Capsule In 1 Container (64380-723-06),4.8,4.8,,,0 NDC,64380072506,"Mycophenolate Mofetil: 100 Tablet, Film Coated In 1 Bottle, Plastic (64380-725-06)",1.82,1.82,,,0 NDC,64380073506,Hydralazine Hydrochloride: 100 Tablet In 1 Bottle (64380-735-06),3.88,3.88,,,0 NDC,64380073706,"Vitamin D: 100 Capsule In 1 Bottle, Plastic (64380-737-06)",6.0,6.0,,,0 NDC,64380075806,"Acarbose: 100 Tablet In 1 Bottle, Plastic (64380-758-06)",6.0,6.0,,,0 NDC,64380076621,Polyethylene Glycol 3350 And Electrolytes With Lemon Flavor: 4 L In 1 Jug (64380-766-21),347.2,347.2,,,0 NDC,64380078206,"Prednisone: 100 Tablet In 1 Bottle, Plastic (64380-782-06)",2.14,2.14,,,0 NDC,64380078306,"Prednisone: 100 Tablet In 1 Bottle, Plastic (64380-783-06)",0.89,0.89,,,0 NDC,64380079701,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (64380-797-01),7.44,7.44,,,0 NDC,64380079901,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (64380-799-01),11.47,11.47,,,0 NDC,64380082706,Ketoconazole: 100 Tablet In 1 Bottle (64380-827-06),6.52,6.52,,,0 NDC,64380083406,Acetazolamide: 100 Tablet In 1 Bottle (64380-834-06),4.74,4.74,,,0 NDC,64380087806,Ethosuximide: 100 Capsule In 1 Bottle (64380-878-06),6.0,6.0,,,0 NDC,64380088304,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (64380-883-04)",0.41,0.41,,,0 NDC,64380088404,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (64380-884-04)",0.1,0.1,,,0 NDC,64380097025,"Hydrocortisone: 50 Tablet In 1 Bottle, Plastic (64380-970-25)",5.41,5.41,,,0 NDC,64406000801,"Tysabri: 1 Vial, Single-Use In 1 Carton (64406-008-01) / 15 Ml In 1 Vial, Single-Use",185.93,185.93,,,0 NDC,64406001901,"Byooviz: 1 Vial, Single-Dose In 1 Carton (64406-019-01) / .05 Ml In 1 Vial, Single-Dose (64406-019-07)",1559.63,1559.63,,,0 NDC,64406005801,"Spinraza: 1 Vial, Single-Use In 1 Box (64406-058-01) / 5 Ml In 1 Vial, Single-Use",7505.51,7505.51,,,0 NDC,64679070002,NDC Description Not Available,13.96,13.96,,,0 NDC,64679092402,ENALAPRIL MALEATE: 100 TABLET in 1 BOTTLE (64679-924-02),5.85,5.85,,,0 NDC,64679092502,ENALAPRIL MALEATE: 100 TABLET in 1 BOTTLE (64679-925-02),4.9,4.9,,,0 NDC,64764011901,"Colcrys: 100 Tablet, Film Coated In 1 Bottle, Plastic (64764-119-01)",43.94,43.94,,,0 NDC,64764030020,"Entyvio: 1 Vial, Single-Dose In 1 Carton (64764-300-20) / 5 Ml In 1 Vial, Single-Dose",4778.255,4778.255,,,0 NDC,64764030114,Actos: 30 Tablet In 1 Bottle (64764-301-14),122.72,122.72,,,0 NDC,64764080028,"Livtencity: 1 Bottle In 1 Carton (64764-800-28) / 28 Tablet, Coated In 1 Bottle",1386.72,1386.72,,,0 NDC,64764080510,"Rozerem: 100 Tablet, Film Coated In 1 Bottle (64764-805-10)",80.4,80.4,,,0 NDC,64764091830,Uloric: 30 Tablet In 1 Bottle (64764-918-30),68.21,68.21,,,0 NDC,64850050201,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (64850-502-01)",3.0,3.0,,,0 NDC,64875000101,NDC Description Not Available,266.6,266.6,,,0 NDC,64950035405,NDC Description Not Available,36.58,36.58,,,0 NDC,64950036204,"Cocaine Hydrochloride: 1 Bottle, Glass In 1 Carton (64950-362-04) / 4 Ml In 1 Bottle, Glass",9.49,9.49,,,0 NDC,64980013301,"Dipyridamole: 100 Tablet, Film Coated In 1 Bottle (64980-133-01)",7.35,7.35,,,0 NDC,64980013401,"Dipyridamole: 100 Tablet, Film Coated In 1 Bottle (64980-134-01)",11.83,11.83,,,0 NDC,64980013501,"Dipyridamole: 100 Tablet, Film Coated In 1 Bottle (64980-135-01)",15.82,15.82,,,0 NDC,64980041109,Pregabalin: 90 Capsule In 1 Bottle (64980-411-09),5.53,5.53,,,0 NDC,64980050448,Cyproheptadine Hydrochloride: 473 Ml In 1 Bottle (64980-504-48),6.05,6.05,,,0 NDC,64980051405,Timolol Maleate: 1 Bottle In 1 Carton (64980-514-05) / 5 Ml In 1 Bottle,60.14,60.14,,,0 NDC,64980052660,"Nitazoxanide: 6 Tablet, Film Coated In 1 Bottle (64980-526-60)",806.58,806.58,,,0 NDC,65145012901,NDC Description Not Available,33.8,33.8,,,0 NDC,65162000203,"Prasugrel: 30 Tablet, Film Coated In 1 Bottle (65162-002-03)",4.74,4.74,,,0 NDC,65162004710,Oxycodone Hydrochloride: 100 Tablet In 1 Bottle (65162-047-10),6.0,6.0,,,0 NDC,65162006205,Sucralfate: 420 Ml In 1 Bottle (65162-062-05),28.15,28.15,,,0 NDC,65162018810,Naproxen: 100 Tablet In 1 Bottle (65162-188-10),3.57,3.57,,,0 NDC,65162018910,Naproxen: 100 Tablet In 1 Bottle (65162-189-10),6.0,6.0,,,0 NDC,65162046410,Ibuprofen: 100 Tablet In 1 Bottle (65162-464-10),1.34,1.34,,,0 NDC,65162046510,Ibuprofen: 100 Tablet In 1 Bottle (65162-465-10),2.0,2.0,,,0 NDC,65162057110,Bethanechol Chloride: 100 Tablet In 1 Bottle (65162-571-10),1.57,1.57,,,0 NDC,65162064978,Oxcarbazepine: 1 Bottle In 1 Carton (65162-649-78) / 250 Ml In 1 Bottle,27.76,27.76,,,0 NDC,65162067384,Risperidone: 30 Ml In 1 Bottle (65162-673-84),6.16,6.16,,,0 NDC,65162068110,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (65162-681-10),3.71,3.71,,,0 NDC,65162073409,Felbamate: 90 Tablet In 1 Bottle (65162-734-09),14.88,14.88,,,0 NDC,65162077810,"Budesonide: 100 Capsule, Delayed Release In 1 Bottle (65162-778-10)",13.8,13.8,,,0 NDC,65162079104,NDC Description Not Available,15.58,15.58,,,0 NDC,65162080314,Temozolomide: 1 Bottle In 1 Carton (65162-803-14) / 14 Capsule In 1 Bottle,7.75,7.75,,,0 NDC,65162091446,Tobramycin: 56 Ampule In 1 Carton (65162-914-46) / 5 Ml In 1 Ampule,105.19,105.19,,,0 NDC,65162099304,NDC Description Not Available,56.23,56.23,,,0 NDC,65162099704,NDC Description Not Available,56.32,56.32,,,0 NDC,65219001401,NDC Description Not Available,59.0,59.0,,,0 NDC,65219002003,NDC Description Not Available,48.25,48.25,,,0 NDC,65219005209,NDC Description Not Available,160.54,160.54,,,0 NDC,65219005229,"Potassium Phosphates: 25 Vial, Single-Dose In 1 Tray (65219-052-29) / 5 Ml In 1 Vial, Single-Dose (65219-052-09)",160.67,160.67,,,0 NDC,65219005409,NDC Description Not Available,104.89,104.89,,,0 NDC,65219016401,NDC Description Not Available,1.11,1.11,,,0 NDC,65219016450,Calcium Gluconate: 24 Bag In 1 Case (65219-164-50) / 100 Ml In 1 Bag (65219-164-01),1.11,1.11,,,0 NDC,65219022401,NDC Description Not Available,185.46,185.46,,,0 NDC,65219023801,NDC Description Not Available,179.94,179.94,,,0 NDC,65219025905,NDC Description Not Available,27.255,27.255,,,0 NDC,65219044501,NDC Description Not Available,6.06,6.06,,,0 NDC,65219047005,NDC Description Not Available,193.0,193.0,,,0 NDC,65219053101,NDC Description Not Available,171.57,171.57,,,0 NDC,65219053301,NDC Description Not Available,246.4,246.4,,,0 NDC,65219053501,NDC Description Not Available,86.16,86.16,,,0 NDC,65219057001,NDC Description Not Available,12.6,12.6,,,0 NDC,65219057004,"Bumetanide: 10 Vial, Single-Dose In 1 Carton (65219-570-04) / 4 Ml In 1 Vial, Single-Dose (65219-570-01)",11.59,11.59,,,0 NDC,65219057201,NDC Description Not Available,6.7,6.7,,,0 NDC,65219059004,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-590-04) / 4 Ml In 1 Vial, Single-Dose",32.8,32.8,,,0 NDC,65219059210,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-592-10) / 10 Ml In 1 Vial, Single-Dose",32.8,32.8,,,0 NDC,65219059420,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-594-20) / 20 Ml In 1 Vial, Single-Dose",32.8,32.8,,,0 NDC,65219065002,NDC Description Not Available,1.93,1.93,,,0 NDC,65282160501,Lidocaine Hydrochloride: 25 Ampule In 1 Carton (65282-1605-1) / 5 Ml In 1 Ampule,137.87,137.87,,,0 NDC,65483011607,"Proleukin: 1 VIAL, SINGLE-USE in 1 CARTON (65483-116-07) / 1 mL in 1 VIAL, SINGLE-USE",27630.94,27630.94,,,0 NDC,65483070210,ENTOCORT: 100 CAPSULE in 1 BOTTLE (65483-702-10),27.59,27.59,,,0 NDC,65597040601,"Enhertu: 1 Vial, Single-Dose In 1 Carton (65597-406-01) / 5 Ml In 1 Vial, Single-Dose",191.61,191.61,,,0 NDC,65597080101,"Datroway: 1 Vial, Single-Dose In 1 Carton (65597-801-01) / 5 Ml In 1 Vial, Single-Dose",29493.15,29493.15,,,0 NDC,65628005001,"Diphenhydramine Hydrochloride And Lidocaine Hydrochloride And Aluminum Hydroxide And Magnesium Hydro: 1 Kit In 1 Container (65628-050-01) * 236 Ml In 1 Bottle, Plastic * .2 G In 1 Bottle, Glass * ",166.04,166.04,,,0 NDC,65628008003,"Lansoprazole: 1 Kit In 1 Container (65628-080-03) * .27 G In 1 Bottle, Plastic * 90 Ml In 1 Bottle, Plastic",7.5,7.5,,,0 NDC,65628008010,"Lansoprazole: 1 Kit In 1 Container (65628-080-10) * 300 Ml In 1 Bottle, Plastic * .9 G In 1 Bottle, Plastic",14.98,14.98,,,0 NDC,65628020205,"Metronidazole Benzoate: 1 Kit In 1 Carton (65628-202-05) * 12 G In 1 Bottle, Plastic * 141 Ml In 1 Bottle, Plastic",29.88,29.88,,,0 NDC,65628020810,Firvanq: 1 Kit In 1 Carton (65628-208-10) * 15 G In 1 Bottle * 289 Ml In 1 Bottle,15.9,15.9,,,0 NDC,65649030303,Xifaxan: 6 Blister Pack In 1 Carton (65649-303-03) / 10 Tablet In 1 Blister Pack,345.51,345.51,,,0 NDC,65649031112,Diuril: 1 Bottle In 1 Carton (65649-311-12) / 237 Ml In 1 Bottle,6.02,6.02,,,0 NDC,65649055107,Relistor: 1 Blister Pack In 1 Carton (65649-551-07) / 1 Syringe In 1 Blister Pack / .6 Ml In 1 Syringe,12.530000000000001,12.530000000000001,,,0 NDC,65649065102,NDC Description Not Available,2521.2,2521.2,,,0 NDC,65757030001,"Vivitrol: 1 Kit In 1 Carton (65757-300-01) * 4 Ml In 1 Vial, Glass (65757-302-02) * 4 Ml In 1 Vial, Glass (65757-304-03)",22.86,22.86,,,0 NDC,65862000601,"Citalopram: 100 Tablet, Film Coated In 1 Bottle (65862-006-01)",4.86,4.86,,,0 NDC,65862001601,Amoxicillin: 100 Capsule In 1 Bottle (65862-016-01),3.61,3.61,,,0 NDC,65862001801,Cephalexin: 100 Capsule In 1 Bottle (65862-018-01),5.6,5.6,,,0 NDC,65862001901,Cephalexin: 100 Capsule In 1 Bottle (65862-019-01),6.0,6.0,,,0 NDC,65862002106,"Mirtazapine: 5 Blister Pack In 1 Carton (65862-021-06) / 6 Tablet, Orally Disintegrating In 1 Blister Pack",5.48,5.48,,,0 NDC,65862002206,"Mirtazapine: 5 Blister Pack In 1 Carton (65862-022-06) / 6 Tablet, Orally Disintegrating In 1 Blister Pack",5.96,5.96,,,0 NDC,65862004824,Zidovudine: 240 Ml In 1 Bottle (65862-048-24),6.18,6.18,,,0 NDC,65862005724,Nevirapine: 240 Ml In 1 Bottle (65862-057-24),17.87,17.87,,,0 NDC,65862006401,"Metoprolol Tartrate: 100 Tablet, Film Coated In 1 Bottle (65862-064-01)",6.0,6.0,,,0 NDC,65862007101,Amoxicillin: 100 Ml In 1 Bottle (65862-071-01),6.0,6.0,,,0 NDC,65862007601,"Ciprofloxacin: 100 Tablet, Film Coated In 1 Bottle (65862-076-01)",4.16,4.16,,,0 NDC,65862007850,"Ciprofloxacin: 50 Tablet, Film Coated In 1 Bottle (65862-078-50)",6.0,6.0,,,0 NDC,65862010701,Zidovudine: 100 Capsule In 1 Bottle (65862-107-01),9.39,9.39,,,0 NDC,65862014201,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (65862-142-01)",6.0,6.0,,,0 NDC,65862014401,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (65862-144-01)",5.44,5.44,,,0 NDC,65862014990,"Finasteride: 90 Tablet, Film Coated In 1 Bottle (65862-149-90)",6.0,6.0,,,0 NDC,65862018730,"Ondansetron Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (65862-187-30)",1.81,1.81,,,0 NDC,65862018803,"Ondansetron Hydrochloride: 1 Blister Pack In 1 Carton (65862-188-03) / 3 Tablet, Film Coated In 1 Blister Pack",1.15,1.15,,,0 NDC,65862018830,"Ondansetron Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (65862-188-30)",0.46,0.46,,,0 NDC,65862020199,"Losartan Potassium: 1000 Tablet, Film Coated In 1 Bottle (65862-201-99)",5.36,5.36,,,0 NDC,65862020290,"Losartan Potassium: 90 Tablet, Film Coated In 1 Bottle (65862-202-90)",6.0,6.0,,,0 NDC,65862020390,"Losartan Potassium: 90 Tablet, Film Coated In 1 Bottle (65862-203-90)",6.0,6.0,,,0 NDC,65862022560,"Clarithromycin: 60 Tablet, Film Coated In 1 Bottle (65862-225-60)",5.81,5.81,,,0 NDC,65862022660,"Clarithromycin: 60 Tablet, Film Coated In 1 Bottle (65862-226-60)",6.0,6.0,,,0 NDC,65862022801,Lamotrigine: 100 Tablet In 1 Bottle (65862-228-01),3.4,3.4,,,0 NDC,65862029084,Ribavirin: 84 Capsule In 1 Bottle (65862-290-84),8.27,8.27,,,0 NDC,65862030612,"Fluoxetine: 120 Ml In 1 Bottle, Glass (65862-306-12)",17.9,17.9,,,0 NDC,65862036101,"Lamotrigine: 100 Tablet, Chewable In 1 Bottle (65862-361-01)",2.18,2.18,,,0 NDC,65862037301,"Escitalopram: 100 Tablet, Film Coated In 1 Bottle (65862-373-01)",6.0,6.0,,,0 NDC,65862039010,"Ondansetron: 3 Blister Pack In 1 Carton (65862-390-10) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",1.55,1.55,,,0 NDC,65862039110,"Ondansetron: 3 Blister Pack In 1 Carton (65862-391-10) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",0.79,0.79,,,0 NDC,65862041901,Sulfamethoxazole And Trimethoprim: 100 Tablet In 1 Bottle (65862-419-01),5.97,5.97,,,0 NDC,65862044990,"Valacyclovir Hydrochloride: 90 Tablet, Film Coated In 1 Bottle (65862-449-90)",8.04,8.04,,,0 NDC,65862049647,Sulfamethoxazole And Trimethoprim: 473 Ml In 1 Bottle (65862-496-47),7.78,7.78,,,0 NDC,65862050220,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (65862-502-20)",6.0,6.0,,,0 NDC,65862050301,"Amoxicillin And Clavulanate Potassium: 100 Tablet, Film Coated In 1 Bottle (65862-503-01)",6.0,6.0,,,0 NDC,65862050320,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (65862-503-20)",6.0,6.0,,,0 NDC,65862051230,Pioglitazone Hydrochloride: 30 Tablet In 1 Bottle (65862-512-30),6.0,6.0,,,0 NDC,65862056890,"Montelukast Sodium: 90 Tablet, Chewable In 1 Bottle (65862-568-90)",4.98,4.98,,,0 NDC,65862057490,"Montelukast Sodium: 90 Tablet, Film Coated In 1 Bottle (65862-574-90)",6.0,6.0,,,0 NDC,65862060130,Modafinil: 30 Tablet In 1 Bottle (65862-601-30),4.83,4.83,,,0 NDC,65862060330,"Moxifloxacin Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (65862-603-30)",18.24,18.24,,,0 NDC,65862064169,"Azithromycin: 1 Blister Pack In 1 Carton (65862-641-69) / 6 Tablet, Film Coated In 1 Blister Pack",4.93,4.93,,,0 NDC,65862064230,"Azithromycin: 30 Tablet, Film Coated In 1 Bottle (65862-642-30)",7.9,7.9,,,0 NDC,65862068730,"Ritonavir: 30 Tablet, Film Coated In 1 Bottle (65862-687-30)",16.54,16.54,,,0 NDC,65862075360,Valganciclovir Hydrochloride: 60 Tablet In 1 Bottle (65862-753-60),24.61,24.61,,,0 NDC,65862078201,Methenamine Hippurate: 100 Tablet In 1 Bottle (65862-782-01),6.0,6.0,,,0 NDC,65862084130,Entecavir: 1 Bottle In 1 Carton (65862-841-30) / 30 Tablet In 1 Bottle,13.23,13.23,,,0 NDC,65862093108,NDC Description Not Available,0.23,0.23,,,0 NDC,65862094601,"Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle, Dropper In 1 Carton (65862-946-01) / 10 Ml In 1 Bottle, Dropper",124.0,124.0,,,0 NDC,66215010106,"Tracleer: 1 Bottle, Plastic In 1 Carton (66215-101-06) / 60 Tablet, Film Coated In 1 Bottle, Plastic",1260.83,1260.83,,,0 NDC,66215010203,"Tracleer: 10 Blister Pack In 1 Carton (66215-102-03) / 3 Tablet, Film Coated In 1 Blister Pack",1260.83,1260.83,,,0 NDC,66215010206,"Tracleer: 1 Bottle, Plastic In 1 Carton (66215-102-06) / 60 Tablet, Film Coated In 1 Bottle, Plastic",1261.61,1261.61,,,0 NDC,66215040201,Veletri: 1 Vial In 1 Carton (66215-402-01) / 10 Ml In 1 Vial,7298.04,7298.04,,,0 NDC,66215050115,"Opsumit: 1 Blister Pack In 1 Carton (66215-501-15) / 15 Tablet, Film Coated In 1 Blister Pack",2628.9,2628.9,,,0 NDC,66215060206,"Uptravi: 1 Bottle In 1 Carton (66215-602-06) / 60 Tablet, Coated In 1 Bottle",366.51,366.51,,,0 NDC,66259014601,NDC Description Not Available,648.79,648.79,,,0 NDC,66267000120,Acetaminophen and Codeine: 20 TABLET in 1 BOTTLE (66267-001-20),3.0,3.0,,,0 NDC,66267011615,NDC Description Not Available,1.33,1.33,,,0 NDC,66267011620,IBU: 20 TABLET in 1 BOTTLE (66267-116-20),2.0,2.0,,,0 NDC,66267011640,IBU: 40 TABLET in 1 BOTTLE (66267-116-40),1.0,1.0,,,0 NDC,66267014804,Metronidazole: 4 TABLET in 1 BOTTLE (66267-148-04),6.0,6.0,,,0 NDC,66267017210,Prednisone: 10 Tablet In 1 Bottle (66267-172-10),0.15,0.15,,,0 NDC,66267017330,Prednisone: 30 TABLET in 1 BOTTLE (66267-173-30),0.6,0.6,,,0 NDC,66302001401,"Unituxin: 1 Vial, Single-Dose In 1 Box (66302-014-01) / 5 Ml In 1 Vial, Single-Dose",646.59,646.59,,,0 NDC,66302010201,Remodulin: 1 Vial In 1 Box (66302-102-01) / 20 Ml In 1 Vial,425.79,425.79,,,0 NDC,66302010501,Remodulin: 1 Vial In 1 Box (66302-105-01) / 20 Ml In 1 Vial,425.88,425.88,,,0 NDC,66302011001,Remodulin: 1 Vial In 1 Box (66302-110-01) / 20 Ml In 1 Vial,352.89,352.89,,,0 NDC,66302020603,Tyvaso: 4 Ampule In 1 Box (66302-206-03) / 2.9 Ml In 1 Ampule,4285.04,4285.04,,,0 NDC,66302071604,Tyvaso Dpi: 1 Blister Pack In 1 Kit (66302-716-04) / 4 Blister Pack In 1 Blister Pack / 4 Inhalant In 1 Blister Pack,634.8,634.8,,,0 NDC,66302073204,Tyvaso Dpi: 1 Blister Pack In 1 Kit (66302-732-04) / 4 Blister Pack In 1 Blister Pack / 4 Inhalant In 1 Blister Pack,924.91,924.91,,,0 NDC,66302074804,Tyvaso Dpi: 1 Blister Pack In 1 Kit (66302-748-04) / 4 Blister Pack In 1 Blister Pack / 4 Inhalant In 1 Blister Pack,163.25,163.25,,,0 NDC,66302076404,Tyvaso Dpi: 1 Blister Pack In 1 Kit (66302-764-04) / 4 Blister Pack In 1 Blister Pack / 4 Inhalant In 1 Blister Pack,476.1,476.1,,,0 NDC,66553000101,NDC Description Not Available,1.95,1.95,,,0 NDC,66553000201,NDC Description Not Available,1.86,1.86,,,0 NDC,66553000401,NDC Description Not Available,3.63,3.63,,,0 NDC,66553000801,NDC Description Not Available,3.71,3.71,,,0 NDC,66658011301,NDC Description Not Available,217.05,217.05,,,0 NDC,66658023401,NDC Description Not Available,1194.48,1194.48,,,0 NDC,66658023407,"Kineret: 7 Syringe, Glass In 1 Carton (66658-234-07) / .67 Ml In 1 Syringe, Glass",1347.39,1347.39,,,0 NDC,66658050101,"Gamifant: 1 Vial, Single-Use In 1 Carton (66658-501-01) / 2 Ml In 1 Vial, Single-Use",3005.91,3005.91,,,0 NDC,66658050501,"Gamifant: 1 Vial, Single-Use In 1 Carton (66658-505-01) / 10 Ml In 1 Vial, Single-Use",1519.65,1519.65,,,0 NDC,66689002301,NDC Description Not Available,26.32,26.32,,,0 NDC,66689002350,"Hydrocodone Bitartrate And Acetaminophen: 50 Cup, Unit-Dose In 1 Case (66689-023-50) / 15 Ml In 1 Cup, Unit-Dose (66689-023-01)",26.42,26.42,,,0 NDC,66689003101,NDC Description Not Available,33.48,33.48,,,0 NDC,66689003150,"Metoclopramide Hydrochloride: 5 Tray In 1 Case (66689-031-50) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (66689-031-01)",33.48,33.48,,,0 NDC,66689003801,NDC Description Not Available,7.63,7.63,,,0 NDC,66689003901,NDC Description Not Available,6.05,6.05,,,0 NDC,66689004850,Potassium Chloride: 5 Tray In 1 Case (66689-048-50) / 10 Cup In 1 Tray / 30 Ml In 1 Cup (66689-048-01),131.32,131.32,,,0 NDC,66689005301,NDC Description Not Available,3.71,3.71,,,0 NDC,66689006201,NDC Description Not Available,222.86,222.86,,,0 NDC,66689010701,NDC Description Not Available,87.77,87.77,,,0 NDC,66689020108,"Insta-Char Aqueous: 240 Ml In 1 Bottle, Plastic (66689-201-08)",186.0,186.0,,,0 NDC,66689020204,"Insta-Char Aqueous Cherry: 120 Ml In 1 Bottle, Plastic (66689-202-04)",136.16,136.16,,,0 NDC,66689020308,"Insta-Char Sorbitol: 240 Ml In 1 Bottle, Plastic (66689-203-08)",200.29,200.29,,,0 NDC,66689040101,NDC Description Not Available,42.78,42.78,,,0 NDC,66689040150,"Oxycodone Hydrochloride: 5 Tray In 1 Case (66689-401-50) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (66689-401-01)",42.78,42.78,,,0 NDC,66689077508,Phenytoin: 237 Ml In 1 Bottle (66689-775-08),8.12,8.12,,,0 NDC,66733094823,"Erbitux: 1 Vial, Single-Dose In 1 Carton (66733-948-23) / 50 Ml In 1 Vial, Single-Dose",536.83,536.83,,,0 NDC,66733095823,"Erbitux: 1 Vial, Single-Dose In 1 Carton (66733-958-23) / 100 Ml In 1 Vial, Single-Dose",540.59,540.59,,,0 NDC,66758001604,"Phenylephrine Hydrochloride: 25 VIAL, SINGLE-DOSE in 1 CARTON (66758-016-04) / 5 mL in 1 VIAL, SINGLE-DOSE (66758-016-03)",0.02,0.02,,,0 NDC,66758004801,"Irinotecan Hydrochloride: 1 VIAL, SINGLE-DOSE in 1 CARTON (66758-048-01) / 2 mL in 1 VIAL, SINGLE-DOSE",116.93,116.93,,,0 NDC,66758005003,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (66758-050-03) / 16 Ml In 1 Vial, Multi-Dose",19.2,19.2,,,0 NDC,66758016013,"KLOR-CON: 10 BLISTER PACK in 1 CARTON (66758-160-13) / 10 TABLET, FILM COATED, EXTENDED RELEASE in 1 BLISTER PACK (66758-160-06)",3.7,3.7,,,0 NDC,66794015701,"Gablofen: 20 Ml In 1 Syringe, Glass (66794-157-01)",1702.77,1702.77,,,0 NDC,66794016202,"Mitigo: 1 Ml In 1 Vial, Single-Use (66794-162-02)",47.43,47.43,,,0 NDC,66794021963,NDC Description Not Available,128.665,128.665,,,0 NDC,66794023002,NDC Description Not Available,35.18,35.18,,,0 NDC,66887000301,"Xiaflex: 1 Kit In 1 Carton (66887-003-01) * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial * 3 Ml In 1 Vial",499.73,499.73,,,0 NDC,66993001968,"Albuterol Sulfate Hfa: 1 Inhaler In 1 Carton (66993-019-68) / 200 Aerosol, Metered In 1 Inhaler",223.09,223.09,,,0 NDC,66993007896,"Fluticasone Propionate Hfa: 1 Inhaler In 1 Carton (66993-078-96) / 120 Aerosol, Metered In 1 Inhaler",824.27,824.27,,,0 NDC,66993007996,"Fluticasone Propionate Hfa: 1 Inhaler In 1 Carton (66993-079-96) / 120 Aerosol, Metered In 1 Inhaler",1103.58,1103.58,,,0 NDC,66993008096,"Fluticasone Propionate Hfa: 1 Inhaler In 1 Carton (66993-080-96) / 120 Aerosol, Metered In 1 Inhaler",1714.03,1714.03,,,0 NDC,66993037083,Medroxyprogesterone Acetate: 1 Vial In 1 Carton (66993-370-83) / 1 Ml In 1 Vial,0.5,0.5,,,0 NDC,66993049084,NDC Description Not Available,3056.81,3056.81,,,0 NDC,66993072757,"Sulfamethoxazole And Trimethoprim: 473 Ml In 1 Bottle, Plastic (66993-727-57)",6.0,6.0,,,0 NDC,67066000501,"Chirhostim: 8 Ml In 1 Vial, Single-Use (67066-005-01)",219.84,219.84,,,0 NDC,67157010150,"Ascor: 1 Vial, Glass In 1 Carton (67157-101-50) / 50 Ml In 1 Vial, Glass",851.17,851.17,,,0 NDC,67308010101,Levulan Kerastick: 1 Kit In 1 Applicator (67308-101-01) * 1.5 Ml In 1 Ampule * 1.5 Ml In 1 Ampule,2437.97,2437.97,,,0 NDC,67308010106,Levulan Kerastick: 6 Applicator In 1 Carton (67308-101-06) / 1 Kit In 1 Applicator (67308-101-01) * 1.5 Ml In 1 Ampule * 1.5 Ml In 1 Ampule,2437.95,2437.95,,,0 NDC,67386012252,NeoProfen: 3 VIAL in 1 CARTON (67386-122-52) / 2 mL in 1 VIAL,3400.25,3400.25,,,0 NDC,67386013051,"Vyepti: 1 Vial, Single-Dose In 1 Carton (67386-130-51) / 1 Ml In 1 Vial, Single-Dose",122.46,122.46,,,0 NDC,67386021165,Sabril: 50 Packet In 1 Carton (67386-211-65) / 10 Ml In 1 Packet,1225.96,1225.96,,,0 NDC,67386031321,Onfi: 1 Bottle In 1 Carton (67386-313-21) / 120 Ml In 1 Bottle,235.53,235.53,,,0 NDC,67386031401,Onfi: 1 Bottle In 1 Carton (67386-314-01) / 100 Tablet In 1 Bottle,145.75,145.75,,,0 NDC,67386031501,Onfi: 1 Bottle In 1 Carton (67386-315-01) / 100 Tablet In 1 Bottle,370.88,370.88,,,0 NDC,67386050152,Nembutal Sodium: 1 VIAL in 1 CARTON (67386-501-52) / 20 mL in 1 VIAL,469.0,469.0,,,0 NDC,67457015300,NDC Description Not Available,8.85,8.85,,,0 NDC,67457016300,NDC Description Not Available,523.45,523.45,,,0 NDC,67457016302,"Sotradecol: 5 Vial, Multi-Dose In 1 Carton (67457-163-02) / 2 Ml In 1 Vial, Multi-Dose (67457-163-00)",523.45,523.45,,,0 NDC,67457017750,"Rimso-50: 1 Vial, Glass In 1 Carton (67457-177-50) / 50 Ml In 1 Vial, Glass",3274.84,3274.84,,,0 NDC,67457018210,Esmolol Hydrochloride: 10 Vial In 1 Carton (67457-182-10) / 10 Ml In 1 Vial (67457-182-00),14.15,14.15,,,0 NDC,67457019350,NDC Description Not Available,3186.22,3186.22,,,0 NDC,67457019501,"Melphalan Hydrochloride: 1 Kit In 1 Carton (67457-195-01) * 10 Ml In 1 Vial, Glass (67457-193-50) * 10 Ml In 1 Vial, Glass (67457-194-10)",3151.54,3151.54,,,0 NDC,67457019600,NDC Description Not Available,37.93,37.93,,,0 NDC,67457019700,NDC Description Not Available,64.2,64.2,,,0 NDC,67457020850,"Dexrazoxane Hydrochloride: 1 KIT in 1 PACKAGE (67457-208-50) * 50 mL in 1 VIAL, SINGLE-DOSE (67457-209-50) * 50 mL in 1 VIAL (67457-205-50)",1470.01,1470.01,,,0 NDC,67457021102,"Fomepizole: 1 Vial, Glass In 1 Carton (67457-211-02) / 1.5 Ml In 1 Vial, Glass",67.47,67.47,,,0 NDC,67457021720,"Methadone Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (67457-217-20) / 20 Ml In 1 Vial, Multi-Dose",73.11,73.11,,,0 NDC,67457021810,Duraclon: 1 Vial In 1 Carton (67457-218-10) / 10 Ml In 1 Vial,209.98,209.98,,,0 NDC,67457022005,"Isosulfan Blue: 6 Vial, Glass In 1 Carton (67457-220-05) / 5 Ml In 1 Vial, Glass (67457-220-00)",161.38,161.38,,,0 NDC,67457022702,Cosyntropin: 10 VIAL in 1 CARTON (67457-227-02) / 1 mL in 1 VIAL (67457-227-00),590.74,590.74,,,0 NDC,67457022800,NDC Description Not Available,59.0,59.0,,,0 NDC,67457025100,NDC Description Not Available,112.83,112.83,,,0 NDC,67457025102,"Dexmedetomidine: 25 Vial, Glass In 1 Carton (67457-251-02) / 2 Ml In 1 Vial, Glass (67457-251-00)",112.83,112.83,,,0 NDC,67457029200,NDC Description Not Available,69.87,69.87,,,0 NDC,67457029900,NDC Description Not Available,233.615,233.615,,,0 NDC,67457033900,NDC Description Not Available,193.0,193.0,,,0 NDC,67457034000,NDC Description Not Available,94.81,94.81,,,0 NDC,67457037412,NDC Description Not Available,9.45,9.45,,,0 NDC,67457038600,NDC Description Not Available,9.72,9.72,,,0 NDC,67457039054,Zoledronic Acid: 1 Vial In 1 Carton (67457-390-54) / 5 Ml In 1 Vial,70.24,70.24,,,0 NDC,67457041900,NDC Description Not Available,4.85,4.85,,,0 NDC,67457042200,NDC Description Not Available,29.5,29.5,,,0 NDC,67457042300,NDC Description Not Available,7.33,7.33,,,0 NDC,67457042312,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-423-12) / 1 Ml In 1 Vial (67457-423-00),1.2,1.2,,,0 NDC,67457042600,NDC Description Not Available,58.04,58.04,,,0 NDC,67457042612,Haloperidol Lactate: 25 Vial In 1 Carton (67457-426-12) / 1 Ml In 1 Vial (67457-426-00),58.13,58.13,,,0 NDC,67457042800,NDC Description Not Available,46.525,46.525,,,0 NDC,67457043300,NDC Description Not Available,3.85,3.85,,,0 NDC,67457043650,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (67457-436-50) / 25 Ml In 1 Vial,164.11,164.11,,,0 NDC,67457043700,NDC Description Not Available,7.36,7.36,,,0 NDC,67457043800,NDC Description Not Available,8.69,8.69,,,0 NDC,67457044000,NDC Description Not Available,14.75,14.75,,,0 NDC,67457046910,Oxaliplatin: 1 Vial In 1 Carton (67457-469-10) / 10 Ml In 1 Vial,3.34,3.34,,,0 NDC,67457047300,NDC Description Not Available,50.08,50.08,,,0 NDC,67457051305,"Dactinomycin: 1 VIAL, SINGLE-DOSE in 1 CARTON (67457-513-05) / 1 mL in 1 VIAL, SINGLE-DOSE",9413.83,9413.83,,,0 NDC,67457052810,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-528-10) / 10 Ml In 1 Vial, Single-Dose",69.04,69.04,,,0 NDC,67457052920,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-529-20) / 20 Ml In 1 Vial, Single-Dose",67.65,67.65,,,0 NDC,67457053035,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-530-35) / 17.5 Ml In 1 Vial, Single-Dose",18.64,18.64,,,0 NDC,67457053316,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (67457-533-16) / 16 Ml In 1 Vial, Multi-Dose",13.37,13.37,,,0 NDC,67457058200,NDC Description Not Available,33.31,33.31,,,0 NDC,67457058210,"Fondaparinux Sodium: 10 Syringe, Glass In 1 Carton (67457-582-10) / .5 Ml In 1 Syringe, Glass (67457-582-00)",33.31,33.31,,,0 NDC,67457058304,"Fondaparinux Sodium: 10 Syringe, Glass In 1 Carton (67457-583-04) / .4 Ml In 1 Syringe, Glass (67457-583-00)",39.19,39.19,,,0 NDC,67457058400,NDC Description Not Available,26.13,26.13,,,0 NDC,67457058406,"Fondaparinux Sodium: 10 Syringe, Glass In 1 Carton (67457-584-06) / .6 Ml In 1 Syringe, Glass (67457-584-00)",26.13,26.13,,,0 NDC,67457058500,NDC Description Not Available,19.6,19.6,,,0 NDC,67457058508,"Fondaparinux Sodium: 10 Syringe, Glass In 1 Carton (67457-585-08) / .8 Ml In 1 Syringe, Glass (67457-585-00)",19.6,19.6,,,0 NDC,67457061730,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (67457-617-30) / 26.3 Ml In 1 Vial, Single-Dose",49.120000000000005,49.120000000000005,,,0 NDC,67457061910,Zoledronic Acid: 1 Vial In 1 Carton (67457-619-10) / 100 Ml In 1 Vial,263.2,263.2,,,0 NDC,67457062102,"Triamcinolone Acetonide: 1 Vial, Single-Dose In 1 Carton (67457-621-02) / 1 Ml In 1 Vial, Single-Dose",14.89,14.89,,,0 NDC,67457064000,NDC Description Not Available,108.46,108.46,,,0 NDC,67457065725,Esmolol Hydrochloride In Sodium Chloride: 1 Bag In 1 Pouch (67457-657-25) / 250 Ml In 1 Bag,7.47,7.47,,,0 NDC,67457067502,"Miacalcin: 1 Vial, Multi-Dose In 1 Carton (67457-675-02) / 2 Ml In 1 Vial, Multi-Dose",15325.72,15325.72,,,0 NDC,67457070500,NDC Description Not Available,36.07,36.07,,,0 NDC,67457082312,NDC Description Not Available,64.31,64.31,,,0 NDC,67457082399,"Vancomycin Hydrochloride: 10 Vial, Single-Dose In 1 Carton (67457-823-99) / 25 Ml In 1 Vial, Single-Dose (67457-823-12)",58.8,58.8,,,0 NDC,67457082415,NDC Description Not Available,64.33,64.33,,,0 NDC,67457085200,NDC Description Not Available,116.99,116.99,,,0 NDC,67457085350,Acetazolamide: 1 Vial In 1 Carton (67457-853-50) / 5 Ml In 1 Vial,268.0,268.0,,,0 NDC,67457085500,NDC Description Not Available,6.25,6.25,,,0 NDC,67457088700,NDC Description Not Available,1.34,1.34,,,0 NDC,67457088799,Medroxyprogesterone Acetate: 1 Vial In 1 Carton (67457-887-99) / 1 Ml In 1 Vial (67457-887-00),1.37,1.37,,,0 NDC,67457088910,"Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (67457-889-10) / 5 Ml In 1 Vial, Single-Dose",3.67,3.67,,,0 NDC,67457089300,NDC Description Not Available,10.82,10.82,,,0 NDC,67457090200,NDC Description Not Available,6.63,6.63,,,0 NDC,67457092500,NDC Description Not Available,459.2,459.2,,,0 NDC,67546011112,"Alinia: 1 Bottle, Plastic In 1 Carton (67546-111-12) / 30 Tablet In 1 Bottle, Plastic",834.73,834.73,,,0 NDC,67618030010,"Senokot: 1 Bottle, Plastic In 1 Carton (67618-300-10) / 100 Tablet In 1 Bottle, Plastic",1.6,1.6,,,0 NDC,67618030050,"Senokot: 1 Bottle, Plastic In 1 Carton (67618-300-50) / 50 Tablet In 1 Bottle, Plastic",1.17,1.17,,,0 NDC,67684200003,Dotarem: 10 Vial In 1 Package (67684-2000-3) / 20 Ml In 1 Vial,3.37,3.37,,,0 NDC,67684423001,Elucirem: 1 Vial In 1 Carton (67684-4230-1) / 3 Ml In 1 Vial,73.22,73.22,,,0 NDC,67684423101,Elucirem: 1 Vial In 1 Carton (67684-4231-1) / 7.5 Ml In 1 Vial,72.23,72.23,,,0 NDC,67684423201,Elucirem: 1 Vial In 1 Carton (67684-4232-1) / 10 Ml In 1 Vial,73.99,73.99,,,0 NDC,67871479006,NDC Description Not Available,3376.13,3376.13,,,0 NDC,67877012405,Silver Sulfadiazine: 50 G In 1 Tube (67877-124-05),75.95,75.95,,,0 NDC,67877022310,Gabapentin: 1000 Capsule In 1 Bottle (67877-223-10),3.04,3.04,,,0 NDC,67877023022,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (67877-230-22) / 225 Ml In 1 Bottle, Plastic",54.55,54.55,,,0 NDC,67877025145,Triamcinolone Acetonide: 454 G In 1 Jar (67877-251-45),137.93,137.93,,,0 NDC,67877028660,Riluzole: 60 Tablet In 1 Bottle (67877-286-60),6.0,6.0,,,0 NDC,67877032005,"Ibuprofen: 500 Tablet, Film Coated In 1 Bottle (67877-320-05)",2.0,2.0,,,0 NDC,67877041933,"Linezolid: 1 Blister Pack In 1 Carton (67877-419-33) / 10 Tablet, Film Coated In 1 Blister Pack",21.7,21.7,,,0 NDC,67877053814,Temozolomide: 14 Capsule In 1 Bottle (67877-538-14),11.81,11.81,,,0 NDC,67877053914,Temozolomide: 14 Capsule In 1 Bottle (67877-539-14),10.5,10.5,,,0 NDC,67877054360,Cefdinir: 60 Capsule In 1 Bottle (67877-543-60),6.0,6.0,,,0 NDC,67877054898,Cefdinir: 60 Ml In 1 Bottle (67877-548-98),6.0,6.0,,,0 NDC,67877059001,"Metoprolol Succinate: 100 Tablet, Film Coated, Extended Release In 1 Bottle (67877-590-01)",6.0,6.0,,,0 NDC,67877073295,Lacosamide Oral Solution: 200 Ml In 1 Bottle (67877-732-95),6.0,6.0,,,0 NDC,67877075360,Dronabinol: 60 Capsule In 1 Bottle (67877-753-60),11.56,11.56,,,0 NDC,67877075460,Dronabinol: 60 Capsule In 1 Bottle (67877-754-60),10.65,10.65,,,0 NDC,67919002010,Entereg: 6 BLISTER PACK in 1 CARTON (67919-020-10) / 5 CAPSULE in 1 BLISTER PACK,1127.41,1127.41,,,0 NDC,67919003001,"Zerbaxa: 10 Vial, Single-Dose In 1 Carton (67919-030-01) / 10 Ml In 1 Vial, Single-Dose",55.16,55.16,,,0 NDC,67979000201,"Supprelin La: 1 Vial, Glass In 1 Carton (67979-002-01) / 1 Implant In 1 Vial, Glass",213268.37,213268.37,,,0 NDC,68001024200,Zonisamide: 100 Capsule In 1 Bottle (68001-242-00),6.0,6.0,,,0 NDC,68001036206,Cefdinir: 60 Capsule In 1 Bottle (68001-362-06),7.5,7.5,,,0 NDC,68001040775,"Vancomycin Hydrochloride: 1 Vial, Glass In 1 Carton (68001-407-75) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",59.0,59.0,,,0 NDC,68084002111,NDC Description Not Available,54.71,54.71,,,0 NDC,68084002121,"Abacavir: 30 Blister Pack In 1 Box, Unit-Dose (68084-021-21) / 1 Tablet, Film Coated In 1 Blister Pack (68084-021-11)",54.71,54.71,,,0 NDC,68084004411,NDC Description Not Available,5.74,5.74,,,0 NDC,68084004501,"Paroxetine: 100 Blister Pack In 1 Box, Unit-Dose (68084-045-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-045-11)",4.44,4.44,,,0 NDC,68084004511,NDC Description Not Available,4.4,4.4,,,0 NDC,68084007101,"Ciprofloxacin: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-071-01) / 1 TABLET, FILM COATED in 1 BLISTER PACK (68084-071-11)",6.0,6.0,,,0 NDC,68084007511,NDC Description Not Available,170.67,170.67,,,0 NDC,68084008211,NDC Description Not Available,6.0,6.0,,,0 NDC,68084008311,NDC Description Not Available,6.0,6.0,,,0 NDC,68084009411,NDC Description Not Available,6.0,6.0,,,0 NDC,68084009701,"Atorvastatin Calcium: 100 Blister Pack In 1 Box, Unit-Dose (68084-097-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-097-11)",5.9,5.9,,,0 NDC,68084009711,NDC Description Not Available,5.95,5.95,,,0 NDC,68084010309,"Ziprasidone Hydrochloride: 80 Blister Pack In 1 Box, Unit-Dose (68084-103-09) / 1 Capsule In 1 Blister Pack (68084-103-11)",17.18,17.18,,,0 NDC,68084010311,NDC Description Not Available,17.18,17.18,,,0 NDC,68084010409,"Ziprasidone Hydrochloride: 80 Blister Pack In 1 Box, Unit-Dose (68084-104-09) / 1 Capsule In 1 Blister Pack (68084-104-11)",17.18,17.18,,,0 NDC,68084010411,NDC Description Not Available,17.18,17.18,,,0 NDC,68084010609,"Ziprasidone Hydrochloride: 80 Blister Pack In 1 Box, Unit-Dose (68084-106-09) / 1 Capsule In 1 Blister Pack (68084-106-11)",17.18,17.18,,,0 NDC,68084010611,NDC Description Not Available,17.18,17.18,,,0 NDC,68084010811,NDC Description Not Available,5.57,5.57,,,0 NDC,68084010911,NDC Description Not Available,6.0,6.0,,,0 NDC,68084011911,NDC Description Not Available,3.97,3.97,,,0 NDC,68084012011,NDC Description Not Available,5.91,5.91,,,0 NDC,68084014911,NDC Description Not Available,10.36,10.36,,,0 NDC,68084015511,NDC Description Not Available,3.0,3.0,,,0 NDC,68084018911,NDC Description Not Available,4.48,4.48,,,0 NDC,68084020401,"Minoxidil: 100 Blister Pack In 1 Box, Unit-Dose (68084-204-01) / 1 Tablet In 1 Blister Pack (68084-204-11)",4.66,4.66,,,0 NDC,68084020411,NDC Description Not Available,4.24,4.24,,,0 NDC,68084020511,NDC Description Not Available,6.0,6.0,,,0 NDC,68084021411,NDC Description Not Available,5.81,5.81,,,0 NDC,68084021511,NDC Description Not Available,19.84,19.84,,,0 NDC,68084022011,NDC Description Not Available,1.44,1.44,,,0 NDC,68084022101,"Ondansetron Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (68084-221-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-221-11)",0.75,0.75,,,0 NDC,68084022111,NDC Description Not Available,0.75,0.75,,,0 NDC,68084022901,Azathioprine: 100 Blister Pack In 1 Carton (68084-229-01) / 1 Tablet In 1 Blister Pack (68084-229-11),4.34,4.34,,,0 NDC,68084022911,NDC Description Not Available,4.65,4.65,,,0 NDC,68084024411,NDC Description Not Available,6.86,6.86,,,0 NDC,68084025211,NDC Description Not Available,15.7,15.7,,,0 NDC,68084025301,"Hydroxyzine Hydrochloride: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-253-01) / 1 TABLET, FILM COATED in 1 BLISTER PACK (68084-253-11)",5.72,5.72,,,0 NDC,68084026901,"Hydroxychloroquine Sulfate: 100 Blister Pack In 1 Box, Unit-Dose (68084-269-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-269-11)",11.93,11.93,,,0 NDC,68084026911,NDC Description Not Available,11.97,11.97,,,0 NDC,68084027011,NDC Description Not Available,6.0,6.0,,,0 NDC,68084027111,NDC Description Not Available,5.09,5.09,,,0 NDC,68084027211,NDC Description Not Available,4.68,4.68,,,0 NDC,68084028011,NDC Description Not Available,6.72,6.72,,,0 NDC,68084028401,"Hydroxyurea: 100 Blister Pack In 1 Box, Unit-Dose (68084-284-01) / 1 Capsule In 1 Blister Pack (68084-284-11)",13.184999999999999,13.184999999999999,,,0 NDC,68084028411,NDC Description Not Available,18.94,18.94,,,0 NDC,68084028801,"Fludrocortisone Acetate: 100 Blister Pack In 1 Box, Unit-Dose (68084-288-01) / 1 Tablet In 1 Blister Pack (68084-288-11)",5.755,5.755,,,0 NDC,68084028811,NDC Description Not Available,5.64,5.64,,,0 NDC,68084029111,NDC Description Not Available,17.1,17.1,,,0 NDC,68084029911,NDC Description Not Available,5.48,5.48,,,0 NDC,68084030011,NDC Description Not Available,10.1,10.1,,,0 NDC,68084030911,NDC Description Not Available,21.7,21.7,,,0 NDC,68084031001,"Divalproex Sodium: 100 Blister Pack In 1 Box, Unit-Dose (68084-310-01) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack (68084-310-11)",9.13,9.13,,,0 NDC,68084031011,NDC Description Not Available,9.13,9.13,,,0 NDC,68084031301,"Divalproex Sodium: 100 Blister Pack In 1 Box, Unit-Dose (68084-313-01) / 1 Capsule, Coated Pellets In 1 Blister Pack (68084-313-11)",5.23,5.23,,,0 NDC,68084031311,NDC Description Not Available,5.23,5.23,,,0 NDC,68084031811,NDC Description Not Available,3.0,3.0,,,0 NDC,68084031911,NDC Description Not Available,3.67,3.67,,,0 NDC,68084034201,"Topiramate: 100 Blister Pack In 1 Box, Unit-Dose (68084-342-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-342-11)",4.78,4.78,,,0 NDC,68084034211,NDC Description Not Available,3.06,3.06,,,0 NDC,68084034311,NDC Description Not Available,5.45,5.45,,,0 NDC,68084034401,"Topiramate: 100 Blister Pack In 1 Box, Unit-Dose (68084-344-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-344-11)",5.68,5.68,,,0 NDC,68084034411,NDC Description Not Available,4.89,4.89,,,0 NDC,68084034511,NDC Description Not Available,6.18,6.18,,,0 NDC,68084034521,"Topiramate: 30 Blister Pack In 1 Box, Unit-Dose (68084-345-21) / 1 Tablet, Film Coated In 1 Blister Pack (68084-345-11)",6.18,6.18,,,0 NDC,68084034611,NDC Description Not Available,5.12,5.12,,,0 NDC,68084034701,"Losartan Potassium: 100 Blister Pack In 1 Box, Unit-Dose (68084-347-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-347-11)",5.69,5.69,,,0 NDC,68084034711,NDC Description Not Available,5.56,5.56,,,0 NDC,68084034811,NDC Description Not Available,6.0,6.0,,,0 NDC,68084035411,NDC Description Not Available,6.0,6.0,,,0 NDC,68084037611,NDC Description Not Available,6.0,6.0,,,0 NDC,68084038811,NDC Description Not Available,4.82,4.82,,,0 NDC,68084041511,NDC Description Not Available,13.56,13.56,,,0 NDC,68084044411,NDC Description Not Available,3.81,3.81,,,0 NDC,68084044911,NDC Description Not Available,12.29,12.29,,,0 NDC,68084045011,NDC Description Not Available,9.26,9.26,,,0 NDC,68084047901,Calcium Acetate: 100 Blister Pack In 1 Carton (68084-479-01) / 1 Capsule In 1 Blister Pack (68084-479-11),0.57,0.57,,,0 NDC,68084047911,NDC Description Not Available,0.91,0.91,,,0 NDC,68084049411,NDC Description Not Available,8.59,8.59,,,0 NDC,68084051111,NDC Description Not Available,5.29,5.29,,,0 NDC,68084051211,NDC Description Not Available,6.0,6.0,,,0 NDC,68084053201,"Quetiapine fumarate: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-532-01) / 1 TABLET, FILM COATED in 1 BLISTER PACK (68084-532-11)",55.05,55.05,,,0 NDC,68084053611,NDC Description Not Available,5.67,5.67,,,0 NDC,68084053911,NDC Description Not Available,2.85,2.85,,,0 NDC,68084054101,AcetaZOLAMIDE: 10 BLISTER PACK in 1 CARTON (68084-541-01) / 10 TABLET in 1 BLISTER PACK (68084-541-11),21.64,21.64,,,0 NDC,68084054111,NDC Description Not Available,21.64,21.64,,,0 NDC,68084059095,NDC Description Not Available,6.0,6.0,,,0 NDC,68084059101,"Isosorbide Mononitrate: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-591-01) / 1 TABLET, EXTENDED RELEASE in 1 BLISTER PACK (68084-591-11)",5.7,5.7,,,0 NDC,68084059111,NDC Description Not Available,6.0,6.0,,,0 NDC,68084061701,"Escitalopram: 100 Blister Pack In 1 Box, Unit-Dose (68084-617-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-617-11)",4.19,4.19,,,0 NDC,68084061711,NDC Description Not Available,4.17,4.17,,,0 NDC,68084064301,"Pantoprazole Sodium: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-643-01) / 1 TABLET, DELAYED RELEASE in 1 BLISTER PACK (68084-643-11)",5.91,5.91,,,0 NDC,68084064511,NDC Description Not Available,5.92,5.92,,,0 NDC,68084065411,NDC Description Not Available,7.89,7.89,,,0 NDC,68084067511,NDC Description Not Available,10.96,10.96,,,0 NDC,68084068301,"Duloxetine: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-683-01) / 1 CAPSULE, DELAYED RELEASE in 1 BLISTER PACK (68084-683-11)",9.92,9.92,,,0 NDC,68084070401,"Bethanechol Chloride: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-704-01) / 1 TABLET in 1 BLISTER PACK (68084-704-11)",6.0,6.0,,,0 NDC,68084070911,NDC Description Not Available,4.01,4.01,,,0 NDC,68084072111,NDC Description Not Available,104.78,104.78,,,0 NDC,68084072211,NDC Description Not Available,71.3,71.3,,,0 NDC,68084072301,"Olanzapine: 100 Blister Pack In 1 Box, Unit-Dose (68084-723-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-723-11)",5.84,5.84,,,0 NDC,68084072311,NDC Description Not Available,5.15,5.15,,,0 NDC,68084072811,NDC Description Not Available,11.61,11.61,,,0 NDC,68084073511,NDC Description Not Available,16.71,16.71,,,0 NDC,68084073801,"Methadone Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (68084-738-01) / 1 Tablet In 1 Blister Pack (68084-738-11)",2.27,2.27,,,0 NDC,68084073811,NDC Description Not Available,2.58,2.58,,,0 NDC,68084075311,NDC Description Not Available,6.0,6.0,,,0 NDC,68084075395,NDC Description Not Available,5.45,5.45,,,0 NDC,68084076511,NDC Description Not Available,6.0,6.0,,,0 NDC,68084077595,NDC Description Not Available,6.69,6.69,,,0 NDC,68084077601,"Divalproex Sodium: 100 Blister Pack In 1 Box, Unit-Dose (68084-776-01) / 1 Tablet, Delayed Release In 1 Blister Pack (68084-776-11)",5.74,5.74,,,0 NDC,68084077611,NDC Description Not Available,3.58,3.58,,,0 NDC,68084080811,NDC Description Not Available,5.76,5.76,,,0 NDC,68084081309,"Pantoprazole Sodium: 80 Blister Pack In 1 Box, Unit-Dose (68084-813-09) / 1 Tablet, Delayed Release In 1 Blister Pack (68084-813-11)",6.0,6.0,,,0 NDC,68084081311,NDC Description Not Available,6.0,6.0,,,0 NDC,68084082311,NDC Description Not Available,10.2,10.2,,,0 NDC,68084084401,"Venlafaxine: 100 Blister Pack In 1 Box, Unit-Dose (68084-844-01) / 1 Tablet In 1 Blister Pack (68084-844-11)",5.91,5.91,,,0 NDC,68084084411,NDC Description Not Available,5.73,5.73,,,0 NDC,68084084511,NDC Description Not Available,5.87,5.87,,,0 NDC,68084085195,NDC Description Not Available,5.66,5.66,,,0 NDC,68084085301,"Oxcarbazepine: 100 Blister Pack In 1 Box, Unit-Dose (68084-853-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-853-11)",5.7,5.7,,,0 NDC,68084085411,NDC Description Not Available,5.9,5.9,,,0 NDC,68084085601,"Venlafaxine: 100 Blister Pack In 1 Box, Unit-Dose (68084-856-01) / 1 Tablet In 1 Blister Pack (68084-856-11)",5.98,5.98,,,0 NDC,68084085611,NDC Description Not Available,5.97,5.97,,,0 NDC,68084085911,NDC Description Not Available,5.47,5.47,,,0 NDC,68084086211,NDC Description Not Available,5.75,5.75,,,0 NDC,68084087511,NDC Description Not Available,6.0,6.0,,,0 NDC,68084089695,NDC Description Not Available,6.51,6.51,,,0 NDC,68084090721,"Mycophenolic Acid: 30 Blister Pack In 1 Box, Unit-Dose (68084-907-21) / 1 Tablet, Delayed Release In 1 Blister Pack (68084-907-11)",23.1,23.1,,,0 NDC,68084091895,NDC Description Not Available,23.59,23.59,,,0 NDC,68084092895,NDC Description Not Available,14.11,14.11,,,0 NDC,68084096495,NDC Description Not Available,17.36,17.36,,,0 NDC,68084096595,NDC Description Not Available,121.15,121.15,,,0 NDC,68084096811,NDC Description Not Available,5.72,5.72,,,0 NDC,68084097611,NDC Description Not Available,12.55,12.55,,,0 NDC,68084098833,NDC Description Not Available,4.97,4.97,,,0 NDC,68094000159,NDC Description Not Available,8.44,8.44,,,0 NDC,68094000162,"Morphine Sulfate: 3 Tray In 1 Case (68094-001-62) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-001-59)",8.44,8.44,,,0 NDC,68094000459,NDC Description Not Available,12.27,12.27,,,0 NDC,68094001559,NDC Description Not Available,2.24,2.24,,,0 NDC,68094003459,NDC Description Not Available,0.58,0.58,,,0 NDC,68094012959,NDC Description Not Available,5.02,5.02,,,0 NDC,68094023159,NDC Description Not Available,1.46,1.46,,,0 NDC,68094049459,NDC Description Not Available,1.51,1.51,,,0 NDC,68094049461,"Childrens Ibuprofen: 10 Tray In 1 Case (68094-494-61) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-494-59)",1.52,1.52,,,0 NDC,68094050359,NDC Description Not Available,7.67,7.67,,,0 NDC,68094060059,NDC Description Not Available,1.89,1.89,,,0 NDC,68094075059,NDC Description Not Available,23.75,23.75,,,0 NDC,68094075062,"Diazepam: 3 Tray In 1 Case (68094-750-62) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-750-59)",23.75,23.75,,,0 NDC,68094076459,NDC Description Not Available,37.89,37.89,,,0 NDC,68094085362,"Naltrexone Hydrochloride: 3 Blister Pack In 1 Carton (68094-853-62) / 10 Tablet, Film Coated In 1 Blister Pack (68094-853-59)",14.14,14.14,,,0 NDC,68134020116,"Naproxen: 500 mL in 1 BOTTLE, PLASTIC (68134-201-16)",33.48,33.48,,,0 NDC,68134040116,Baclofen: 473 Ml In 1 Bottle (68134-401-16),51.46,51.46,,,0 NDC,68135002001,Naglazyme: 1 Vial In 1 Carton (68135-020-01) / 5 Ml In 1 Vial,2111.4,2111.4,,,0 NDC,68180012201,Cephalexin: 100 Capsule In 1 Bottle (68180-122-01),4.45,4.45,,,0 NDC,68180015001,Famotidine: 50 Ml In 1 Bottle (68180-150-01),6.21,6.21,,,0 NDC,68180015801,Clobazam: 1 Bottle In 1 Carton (68180-158-01) / 100 Tablet In 1 Bottle,7.44,7.44,,,0 NDC,68180016611,NDC Description Not Available,15.5,15.5,,,0 NDC,68180028001,Ethambutol Hydrochloride: 100 Tablet In 1 Bottle (68180-280-01),2.85,2.85,,,0 NDC,68180029407,"Duloxetine: 60 Capsule, Delayed Release In 1 Bottle (68180-294-07)",3.96,3.96,,,0 NDC,68180029509,"Duloxetine: 90 Capsule, Delayed Release In 1 Bottle (68180-295-09)",4.94,4.94,,,0 NDC,68180029609,"Duloxetine: 90 Capsule, Delayed Release In 1 Bottle (68180-296-09)",5.22,5.22,,,0 NDC,68180031909,"Bupropion Hydrochloride Xl: 90 Tablet, Extended Release In 1 Bottle (68180-319-09)",4.28,4.28,,,0 NDC,68180032009,"Bupropion Hydrochloride Xl: 90 Tablet, Extended Release In 1 Bottle (68180-320-09)",5.93,5.93,,,0 NDC,68180037709,Losartan Potassium: 90 Tablet In 1 Bottle (68180-377-09),5.82,5.82,,,0 NDC,68180040501,Cefixime: 50 Ml In 1 Bottle (68180-405-01),11.16,11.16,,,0 NDC,68180042201,Moxifloxacin: 1 Bottle In 1 Carton (68180-422-01) / 3 Ml In 1 Bottle,93.0,93.0,,,0 NDC,68180042311,Cefixime: 1 Blister Pack In 1 Carton (68180-423-11) / 10 Capsule In 1 Blister Pack,74.4,74.4,,,0 NDC,68180044002,Cephalexin: 200 Ml In 1 Bottle (68180-440-02),7.19,7.19,,,0 NDC,68180065701,Doxycycline: 60 Ml In 1 Bottle (68180-657-01),30.86,30.86,,,0 NDC,68180067511,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (68180-675-11) / 10 Capsule In 1 Blister Pack,16.12,16.12,,,0 NDC,68180071160,Cefdinir: 60 Capsule In 1 Bottle (68180-711-60),6.0,6.0,,,0 NDC,68180072304,Cefdinir: 60 Ml In 1 Bottle (68180-723-04),9.65,9.65,,,0 NDC,68180085211,My Way: 1 Blister Pack In 1 Carton (68180-852-11) / 1 Tablet In 1 Blister Pack,83.7,83.7,,,0 NDC,68180086211,"Azithromycin: 1 Blister Pack In 1 Carton (68180-862-11) / 3 Tablet, Film Coated In 1 Blister Pack",10.07,10.07,,,0 NDC,68180096301,"Albuterol Sulfate: 1 Canister In 1 Carton (68180-963-01) / 200 Aerosol, Metered In 1 Canister",223.08,223.08,,,0 NDC,68180097501,Levothyroxine Sodium: 100 Tablet In 1 Bottle (68180-975-01),6.0,6.0,,,0 NDC,68308015215,"Nystatin: 15 G In 1 Bottle, Plastic (68308-152-15)",43.44,43.44,,,0 NDC,68308015260,"Nystatin: 60 G In 1 Bottle, Plastic (68308-152-60)",136.53,136.53,,,0 NDC,68382000414,"Topiramate: 60 Capsule, Coated Pellets In 1 Bottle (68382-004-14)",6.72,6.72,,,0 NDC,68382000514,"Topiramate: 60 Capsule, Coated Pellets In 1 Bottle (68382-005-14)",8.22,8.22,,,0 NDC,68382009201,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68382-092-01)",5.72,5.72,,,0 NDC,68382009401,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68382-094-01)",5.1,5.1,,,0 NDC,68382011214,"Risperidone: 60 Tablet, Film Coated In 1 Bottle (68382-112-14)",6.0,6.0,,,0 NDC,68382012205,Amlodipine Besylate: 500 Tablet In 1 Bottle (68382-122-05),6.0,6.0,,,0 NDC,68382012216,Amlodipine Besylate: 90 Tablet In 1 Bottle (68382-122-16),6.0,6.0,,,0 NDC,68382014406,Ramipril: 30 Capsule In 1 Bottle (68382-144-06),3.48,3.48,,,0 NDC,68382014601,Ramipril: 100 Capsule In 1 Bottle (68382-146-01),2.87,2.87,,,0 NDC,68382044714,"Bosentan: 60 Tablet, Coated In 1 Bottle (68382-447-14)",120.2,120.2,,,0 NDC,68382052001,"Sirolimus: 100 Tablet, Film Coated In 1 Bottle (68382-520-01)",33.85,33.85,,,0 NDC,68382056928,"Acamprosate Calcium: 180 Tablet, Delayed Release In 1 Bottle (68382-569-28)",8.72,8.72,,,0 NDC,68382080501,Trazodone Hydrochloride: 100 Tablet In 1 Bottle (68382-805-01),5.09,5.09,,,0 NDC,68382080601,Trazodone Hydrochloride: 100 Tablet In 1 Bottle (68382-806-01),5.13,5.13,,,0 NDC,68382084993,NDC Description Not Available,48.4,48.4,,,0 NDC,68382099701,NDC Description Not Available,253.28,253.28,,,0 NDC,68382099710,Arsenic Trioxide: 10 Vial In 1 Carton (68382-997-10) / 10 Ml In 1 Vial (68382-997-01),252.24,252.24,,,0 NDC,68462010630,"Ondansetron: 30 Tablet, Film Coated In 1 Bottle (68462-106-30)",0.75,0.75,,,0 NDC,68462012801,Zonisamide: 100 Capsule In 1 Bottle (68462-128-01),2.69,2.69,,,0 NDC,68462014301,Clindamycin Hydrochloride: 100 Capsule In 1 Bottle (68462-143-01),2.45,2.45,,,0 NDC,68462015811,"Ondansetron: 10 Tablet, Orally Disintegrating In 1 Box, Unit-Dose (68462-158-11)",3.0,3.0,,,0 NDC,68462015840,NDC Description Not Available,0.8,0.8,,,0 NDC,68462016301,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68462-163-01)",6.0,6.0,,,0 NDC,68462016401,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68462-164-01)",6.0,6.0,,,0 NDC,68462016501,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68462-165-01)",5.4,5.4,,,0 NDC,68462018022,Mupirocin: 22 G In 1 Tube (68462-180-22),55.79,55.79,,,0 NDC,68462018117,Clotrimazole: 15 G In 1 Tube (68462-181-17),64.55,64.55,,,0 NDC,68462022801,"Lamotrigine: 100 Tablet, Chewable In 1 Bottle (68462-228-01)",3.0,3.0,,,0 NDC,68462022901,"Lamotrigine: 100 Tablet, Chewable In 1 Bottle (68462-229-01)",2.8,2.8,,,0 NDC,68462025501,"Ropinirole: 100 Tablet, Film Coated In 1 Bottle (68462-255-01)",4.67,4.67,,,0 NDC,68462026001,"Verapamil Hydrochloride: 100 Tablet, Film Coated, Extended Release In 1 Bottle (68462-260-01)",6.0,6.0,,,0 NDC,68462029201,"Verapamil Hydrochloride: 100 Tablet, Film Coated, Extended Release In 1 Bottle (68462-292-01)",6.0,6.0,,,0 NDC,68462029301,"Verapamil Hydrochloride: 100 Tablet, Film Coated, Extended Release In 1 Bottle (68462-293-01)",3.7,3.7,,,0 NDC,68462030201,Indomethacin: 100 Capsule In 1 Bottle (68462-302-01),6.0,6.0,,,0 NDC,68462030450,Norethindrone Acetate: 50 Tablet In 1 Bottle (68462-304-50),6.0,6.0,,,0 NDC,68462033090,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (68462-330-90),6.0,6.0,,,0 NDC,68462033390,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (68462-333-90),4.08,4.08,,,0 NDC,68462033490,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (68462-334-90),5.07,5.07,,,0 NDC,68462043518,"Acamprosate Calcium: 180 Tablet, Delayed Release In 1 Bottle (68462-435-18)",6.81,6.81,,,0 NDC,68462046940,NDC Description Not Available,19.705,19.705,,,0 NDC,68462046954,"Bumetanide: 10 Vial, Single-Dose In 1 Carton (68462-469-54) / 4 Ml In 1 Vial, Single-Dose (68462-469-40)",7.62,7.62,,,0 NDC,68462047040,NDC Description Not Available,5.055,5.055,,,0 NDC,68462047054,"Bumetanide: 10 Vial, Multi-Dose In 1 Carton (68462-470-54) / 10 Ml In 1 Vial, Multi-Dose (68462-470-40)",3.67,3.67,,,0 NDC,68462047830,NDC Description Not Available,64.33,64.33,,,0 NDC,68462057230,"Voriconazole: 30 Tablet, Film Coated In 1 Bottle (68462-572-30)",13.44,13.44,,,0 NDC,68462058440,NDC Description Not Available,56.85,56.85,,,0 NDC,68462058540,NDC Description Not Available,63.17,63.17,,,0 NDC,68462062210,"Fosphenytoin Sodium: 10 Vial, Single-Dose In 1 Carton (68462-622-10) / 10 Ml In 1 Vial, Single-Dose (68462-622-64)",11.81,11.81,,,0 NDC,68462063925,NDC Description Not Available,1.52,1.52,,,0 NDC,68462063945,Nitroglycerin: 4 Bottle In 1 Carton (68462-639-45) / 25 Tablet In 1 Bottle (68462-639-25),0.89,0.89,,,0 NDC,68462068701,Tacrolimus: 100 Capsule In 1 Bottle (68462-687-01),1.81,1.81,,,0 NDC,68462074635,Acyclovir: 1 Tube In 1 Carton (68462-746-35) / 30 G In 1 Tube,186.0,186.0,,,0 NDC,68462076010,"Epinephrine: 1 Vial, Multi-Dose In 1 Carton (68462-760-10) / 10 Ml In 1 Vial, Multi-Dose",6.03,6.03,,,0 NDC,68462079201,Tretinoin: 100 Capsule In 1 Bottle (68462-792-01),182.58,182.58,,,0 NDC,68462090401,Posaconazole: 1 Vial In 1 Carton (68462-904-01) / 16.7 Ml In 1 Vial,1809.04,1809.04,,,0 NDC,68516521400,Albutein: 2 Bag In 1 Carton (68516-5214-0) / 500 Ml In 1 Bag (68516-5214-8),260.4,260.4,,,0 NDC,68516521401,Albutein: 1 Vial In 1 Carton (68516-5214-1) / 250 Ml In 1 Vial (68516-5214-3),260.4,260.4,,,0 NDC,68516521402,Albutein: 1 Vial In 1 Carton (68516-5214-2) / 500 Ml In 1 Vial (68516-5214-4),260.65999999999997,260.65999999999997,,,0 NDC,68516521403,NDC Description Not Available,260.4,260.4,,,0 NDC,68516521404,NDC Description Not Available,261.03,261.03,,,0 NDC,68516521601,Albutein: 1 Vial In 1 Carton (68516-5216-1) / 50 Ml In 1 Vial (68516-5216-3),260.68,260.68,,,0 NDC,68516521603,NDC Description Not Available,260.68,260.68,,,0 NDC,68516521800,NDC Description Not Available,260.4,260.4,,,0 NDC,68547011110,"Xacduro: 1 Kit In 1 Carton (68547-111-10) * 5 Ml In 1 Vial, Single-Dose (68547-211-20) * 2.5 Ml In 1 Vial, Single-Dose (68547-311-30)",3245.67,3245.67,,,0 NDC,68547050102,"Giapreza: 1 Vial, Single-Dose In 1 Carton (68547-501-02) / 1 Ml In 1 Vial, Single-Dose",11053.32,11053.32,,,0 NDC,68611018001,Yutiq: 1 Pouch In 1 Carton (68611-180-01) / 1 Applicator In 1 Pouch / 1 Implant In 1 Applicator,3325.43,3325.43,,,0 NDC,68611019002,Iluvien: 1 Tray In 1 Carton (68611-190-02) / 1 Applicator In 1 Tray / 1 Implant In 1 Applicator,3126.67,3126.67,,,0 NDC,68682001227,ethacrynic sodium: 1 VIAL in 1 CARTON (68682-012-27) / 50 mL in 1 VIAL,25453.3,25453.3,,,0 NDC,68682046410,"Brinzolamide: 1 Bottle, Plastic In 1 Carton (68682-464-10) / 10 Ml In 1 Bottle, Plastic",1913.14,1913.14,,,0 NDC,68682071101,Enalapril Maleate: 100 Tablet In 1 Bottle (68682-711-01),5.35,5.35,,,0 NDC,68682071301,Enalapril Maleate: 100 Tablet In 1 Bottle (68682-713-01),5.88,5.88,,,0 NDC,68682081305,"Timolol Maleate: 1 Bottle, Dispensing In 1 Carton (68682-813-05) / 5 Ml In 1 Bottle, Dispensing",68.2,68.2,,,0 NDC,68682092005,Tetracaine Hydrochloride: 1 Bottle In 1 Carton (68682-920-05) / 5 Ml In 1 Bottle,186.0,186.0,,,0 NDC,68682092064,Tetracaine Hydrochloride: 1 Bottle In 1 Carton (68682-920-64) / 15 Ml In 1 Bottle,558.0,558.0,,,0 NDC,68682099398,"Diltiazem Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (68682-993-98)",5.85,5.85,,,0 NDC,68682099898,"Diltiazem Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (68682-998-98)",10.66,10.66,,,0 NDC,68727071201,"Zepzelca: 8 Ml In 1 Vial, Single-Dose (68727-712-01)",1346.27,1346.27,,,0 NDC,68727080001,Defitelio: 2.5 Ml In 1 Vial (68727-800-01),4722.25,4722.25,,,0 NDC,68727090001,NDC Description Not Available,347.26,347.26,,,0 NDC,68727090003,"Rylaze: 3 Vial, Single-Dose In 1 Carton (68727-900-03) / .5 Ml In 1 Vial, Single-Dose (68727-900-01)",350.63,350.63,,,0 NDC,68803061210,"Visionblue: 10 Pouch In 1 Carton (68803-612-10) / 1 Syringe, Glass In 1 Pouch / .5 Ml In 1 Syringe, Glass",532.93,532.93,,,0 NDC,68817013450,"Abraxane: 1 Vial, Single-Use In 1 Carton (68817-134-50) / 20 Ml In 1 Vial, Single-Use",105.86,105.86,,,0 NDC,68850001202,"Myambutol: 10 Blister Pack In 1 Box, Unit-Dose (68850-012-02) / 10 Tablet, Film Coated In 1 Blister Pack",4.85,4.85,,,0 NDC,68875010301,"Gattex: 1 Kit In 1 Carton (68875-0103-1) * .5 Ml In 1 Syringe, Plastic * .7 Ml In 1 Packet * .5 Ml In 1 Vial (68875-0101-1)",12046.14,12046.14,,,0 NDC,68982034701,"Fibryga: 1 Kit In 1 Carton (68982-347-01) * 50 Ml In 1 Bottle, Glass (68982-348-01)",7.37,7.37,,,0 NDC,68982085005,"Octagam Immune Globulin (Human): 300 Ml In 1 Bottle, Glass (68982-850-05)",650.74,650.74,,,0 NDC,68992301001,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3010-1) / 1 Bottle In 1 Pouch / 100 Tablet, Extended Release In 1 Bottle",10.64,10.64,,,0 NDC,68992301003,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3010-3) / 1 Bottle, Plastic In 1 Pouch / 30 Tablet, Extended Release In 1 Bottle, Plastic",10.66,10.66,,,0 NDC,68992304001,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3040-1) / 1 Bottle In 1 Pouch / 100 Tablet, Extended Release In 1 Bottle",10.62,10.62,,,0 NDC,68992304003,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3040-3) / 1 Bottle, Plastic In 1 Pouch / 30 Tablet, Extended Release In 1 Bottle, Plastic",10.66,10.66,,,0 NDC,68992307501,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3075-1) / 1 Bottle In 1 Pouch / 100 Tablet, Extended Release In 1 Bottle",10.64,10.64,,,0 NDC,68992307503,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3075-3) / 1 Bottle, Plastic In 1 Pouch / 30 Tablet, Extended Release In 1 Bottle, Plastic",10.62,10.62,,,0 NDC,69097000845,NDC Description Not Available,1.12,1.12,,,0 NDC,69097012303,Topiramate: 60 Tablet In 1 Bottle (69097-123-03),5.62,5.62,,,0 NDC,69097012805,Amlodipine Besylate: 90 Tablet In 1 Bottle (69097-128-05),6.0,6.0,,,0 NDC,69097014260,Albuterol Sulfate: 1 Canister In 1 Carton (69097-142-60) / 200 Inhalant In 1 Canister,161.1,161.1,,,0 NDC,69097032303,"Dimethyl Fumarate: 1 Bottle, Plastic In 1 Carton (69097-323-03) / 60 Capsule, Delayed Release In 1 Bottle, Plastic",11.63,11.63,,,0 NDC,69097041002,Cinacalcet: 30 Tablet In 1 Bottle (69097-410-02),5.48,5.48,,,0 NDC,69097041102,Cinacalcet: 30 Tablet In 1 Bottle (69097-411-02),6.0,6.0,,,0 NDC,69097052934,Esomeprazole Magnesium: 30 For Suspension In 1 Carton (69097-529-34),48.39,48.39,,,0 NDC,69097064202,Emtricitabine: 30 Capsule In 1 Bottle (69097-642-02),95.79,95.79,,,0 NDC,69097070831,NDC Description Not Available,28.58,28.58,,,0 NDC,69097070896,Phytonadione: 10 Vial In 1 Carton (69097-708-96) / 1 Ml In 1 Vial,28.66,28.66,,,0 NDC,69097080232,"Testosterone Cypionate: 1 Vial, Glass In 1 Carton (69097-802-32) / 1 Ml In 1 Vial, Glass",0.25,0.25,,,0 NDC,69097086707,Nadolol: 100 Tablet In 1 Bottle (69097-867-07),5.14,5.14,,,0 NDC,69097087067,Lanreotide Acetate: 1 Syringe In 1 Carton (69097-870-67) / .5 Ml In 1 Syringe,496.51,496.51,,,0 NDC,69097096453,Vigabatrin: 50 Packet In 1 Carton (69097-964-53) / 10 Ml In 1 Packet,29.17,29.17,,,0 NDC,69238105103,Phytonadione: 1 Bottle In 1 Carton (69238-1051-3) / 30 Tablet In 1 Bottle,248.0,248.0,,,0 NDC,69238106901,"Potassium Chloride: 100 Tablet, Extended Release In 1 Bottle (69238-1069-1)",3.87,3.87,,,0 NDC,69238110002,Doxycycline Hyclate: 50 Capsule In 1 Bottle (69238-1100-2),5.98,5.98,,,0 NDC,69238115403,Ezetimibe: 30 Tablet In 1 Bottle (69238-1154-3),6.0,6.0,,,0 NDC,69238130601,Clobazam: 100 Tablet In 1 Bottle (69238-1306-1),5.84,5.84,,,0 NDC,69238131209,Pregabalin: 90 Capsule In 1 Bottle (69238-1312-9),6.0,6.0,,,0 NDC,69238134401,Albuterol: 100 Tablet In 1 Bottle (69238-1344-1),3.83,3.83,,,0 NDC,69238138003,Difluprednate: 1 Bottle In 1 Carton (69238-1380-3) / 5 Ml In 1 Bottle,1084.26,1084.26,,,0 NDC,69238153205,Clobetasol Propionate: 1 Tube In 1 Carton (69238-1532-5) / 15 G In 1 Tube,27.9,27.9,,,0 NDC,69238153502,"Clobazam: 1 Bottle, Glass In 1 Carton (69238-1535-2) / 120 Ml In 1 Bottle, Glass",6.0,6.0,,,0 NDC,69238157401,"Sildenafil: 1 Bottle, Glass In 1 Carton (69238-1574-1) / 112 Ml In 1 Bottle, Glass",6.8,6.8,,,0 NDC,69238160508,Methylergonovine Maleate: 28 Tablet In 1 Bottle (69238-1605-8),102.3,102.3,,,0 NDC,69238207701,Propranolol Hydrochloride: 100 Tablet In 1 Bottle (69238-2077-1),4.91,4.91,,,0 NDC,69238207801,Propranolol Hydrochloride: 100 Tablet In 1 Bottle (69238-2078-1),5.37,5.37,,,0 NDC,69238209004,Famotidine: 50 Ml In 1 Bottle (69238-2090-4),19.65,19.65,,,0 NDC,69238212209,Prednisolone Sodium Phosphate: 237 Ml In 1 Bottle (69238-2122-9),1.74,1.74,,,0 NDC,69238214107,Enalapril Maleate: 1 Bottle In 1 Carton (69238-2141-7) / 150 Ml In 1 Bottle,11.14,11.14,,,0 NDC,69292053801,Propranolol Hydrochloride: 100 Tablet In 1 Bottle (69292-538-01),6.0,6.0,,,0 NDC,69315011601,Furosemide: 100 Tablet In 1 Bottle (69315-116-01),4.7,4.7,,,0 NDC,69315021101,"Nifedipine: 100 Capsule In 1 Bottle, Plastic (69315-211-01)",5.95,5.95,,,0 NDC,69315030615,"Nystatin: 15 G In 1 Bottle, Plastic (69315-306-15)",120.25,120.25,,,0 NDC,69315090401,Lorazepam: 100 Tablet In 1 Bottle (69315-904-01),4.68,4.68,,,0 NDC,69315091001,Diphenoxylate Hydrochloride And Atropine Sulfate: 100 Tablet In 1 Bottle (69315-910-01),3.83,3.83,,,0 NDC,69339013815,"Dash Chlorhexidine Gluconate 0.12% Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (69339-138-15)",10.9,10.9,,,0 NDC,69339015105,NDC Description Not Available,20.134999999999998,20.134999999999998,,,0 NDC,69339017402,NDC Description Not Available,2.55,2.55,,,0 NDC,69344010233,Indocin: 30 Suppository In 1 Box (69344-102-33),2243.82,2243.82,,,0 NDC,69367034960,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle, Plastic (69367-349-60)",5.41,5.41,,,0 NDC,69367035160,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle, Plastic (69367-351-60)",6.0,6.0,,,0 NDC,69367039101,"Amitriptyline Hydrochloride: 100 Tablet, Coated In 1 Bottle (69367-391-01)",4.25,4.25,,,0 NDC,69374033005,NDC Description Not Available,5.66,5.66,,,0 NDC,69374054350,NDC Description Not Available,64.33,64.33,,,0 NDC,69374054701,NDC Description Not Available,5.9,5.9,,,0 NDC,69374090305,NDC Description Not Available,110.55,110.55,,,0 NDC,69374091450,NDC Description Not Available,99.5,99.5,,,0 NDC,69374092405,NDC Description Not Available,147.8,147.8,,,0 NDC,69374092510,NDC Description Not Available,5.9,5.9,,,0 NDC,69374098255,NDC Description Not Available,70.66,70.66,,,0 NDC,69374098505,NDC Description Not Available,28.19,28.19,,,0 NDC,69374098810,NDC Description Not Available,672.0,672.0,,,0 NDC,69452013117,Dofetilide: 60 Capsule In 1 Bottle (69452-131-17),5.82,5.82,,,0 NDC,69452015020,"Valproic Acid: 100 Capsule, Liquid Filled In 1 Bottle, Plastic (69452-150-20)",2.62,2.62,,,0 NDC,69452015220,"Ethosuximide: 100 Capsule, Liquid Filled In 1 Bottle, Plastic (69452-152-20)",2.63,2.63,,,0 NDC,69452034560,NDC Description Not Available,4.86,4.86,,,0 NDC,69543013120,Alendronate: 2 BLISTER PACK in 1 CARTON (69543-131-20) / 10 TABLET in 1 BLISTER PACK,17.3,17.3,,,0 NDC,69616027230,Fycompa: 30 Tablet In 1 Bottle (69616-272-30),128.34,128.34,,,0 NDC,69616027430,Fycompa: 30 Tablet In 1 Bottle (69616-274-30),253.58,253.58,,,0 NDC,69618001101,"Acetaminophen 500 Mg: 100 Tablet In 1 Bottle, Plastic (69618-011-01)",1.24,1.24,,,0 NDC,69618002701,"Meclizine Hcl 12.5 Mg: 100 Tablet In 1 Bottle, Plastic (69618-027-01)",6.0,6.0,,,0 NDC,69618002801,"Meclizine Hcl 25 Mg: 100 Tablet In 1 Bottle, Plastic (69618-028-01)",6.0,6.0,,,0 NDC,69639010501,Akynzeo: 1 Vial In 1 Carton (69639-105-01) / 20 Ml In 1 Vial,4577.31,4577.31,,,0 NDC,69639010601,"Akynzeo: 1 Vial, Single-Dose In 1 Carton (69639-106-01) / 20 Ml In 1 Vial, Single-Dose",4477.34,4477.34,,,0 NDC,69680011201,NDC Description Not Available,59.11,59.11,,,0 NDC,69680011225,Cyanocobalamin: 25 Vial In 1 Box (69680-112-25) / 1 Ml In 1 Vial (69680-112-01),59.0,59.0,,,0 NDC,69784000306,Fluconazole in Sodium Chloride: 6 BAG in 1 CARTON (69784-003-06) / 200 mL in 1 BAG,96.5,96.5,,,0 NDC,69784023010,"Sodium Acetate: 50 Ml In 1 Vial, Pharmacy Bulk Package (69784-230-10)",3.0,3.0,,,0 NDC,69784023020,"Sodium Acetate: 50 Ml In 1 Vial, Pharmacy Bulk Package (69784-230-20)",3.0,3.0,,,0 NDC,69784023110,"Sodium Acetate: 100 Ml In 1 Vial, Pharmacy Bulk Package (69784-231-10)",2.61,2.61,,,0 NDC,69918010101,Desmopressin Acetate: 1 Bottle In 1 Carton (69918-101-01) / 100 Tablet In 1 Bottle,6.51,6.51,,,0 NDC,69918030130,Tranexamic Acid: 30 Tablet In 1 Bottle (69918-301-30),26.94,26.94,,,0 NDC,69918089901,Desmopressin Acetate: 1 Ml In 1 Ampule (69918-899-01),112.07,112.07,,,0 NDC,69918089910,Desmopressin Acetate: 10 Ampule In 1 Carton (69918-899-10) / 1 Ml In 1 Ampule,131.31,131.31,,,0 NDC,69918090110,"Desmopressin Acetate: 1 Vial, Multi-Dose In 1 Carton (69918-901-10) / 10 Ml In 1 Vial, Multi-Dose",98.73,98.73,,,0 NDC,69968006009,Polysporin First Aid Antibiotic: 144 Packet In 1 Carton (69968-0060-9) / .9 G In 1 Packet,2.0,2.0,,,0 NDC,70004008544,NDC Description Not Available,59.08,59.08,,,0 NDC,70004020232,NDC Description Not Available,24.37,24.37,,,0 NDC,70004022932,NDC Description Not Available,24.45,24.45,,,0 NDC,70004024440,NDC Description Not Available,213.31,213.31,,,0 NDC,70004025440,NDC Description Not Available,273.73,273.73,,,0 NDC,70004043009,NDC Description Not Available,59.0,59.0,,,0 NDC,70004043509,NDC Description Not Available,55.34,55.34,,,0 NDC,70004077540,NDC Description Not Available,389.2,389.2,,,0 NDC,70004078540,NDC Description Not Available,389.2,389.2,,,0 NDC,70004080640,NDC Description Not Available,0.16,0.16,,,0 NDC,70004081022,NDC Description Not Available,0.98,0.98,,,0 NDC,70004084140,NDC Description Not Available,192.74,192.74,,,0 NDC,70004085012,NDC Description Not Available,107.87,107.87,,,0 NDC,70004090809,NDC Description Not Available,53.0,53.0,,,0 NDC,70004092059,NDC Description Not Available,98.0,98.0,,,0 NDC,70004092459,NDC Description Not Available,193.0,193.0,,,0 NDC,70004092844,NDC Description Not Available,48.25,48.25,,,0 NDC,70004093232,NDC Description Not Available,1822.8,1822.8,,,0 NDC,70010016101,Acetaminophen: 1 Bottle In 1 Carton (70010-161-01) / 100 Tablet In 1 Bottle,1.33,1.33,,,0 NDC,70069000501,NDC Description Not Available,59.0,59.0,,,0 NDC,70069002101,NDC Description Not Available,6.015000000000001,6.015000000000001,,,0 NDC,70069002125,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (70069-021-25) / 1 Ml In 1 Vial (70069-021-01),3.99,3.99,,,0 NDC,70069002501,NDC Description Not Available,5.9,5.9,,,0 NDC,70069002510,Dexamethasone Sodium Phosphate: 10 Vial In 1 Carton (70069-025-10) / 10 Ml In 1 Vial,5.9,5.9,,,0 NDC,70069003105,Haloperidol Decanoate: 5 Ampule In 1 Carton (70069-031-05) / 1 Ml In 1 Ampule (70069-031-01),164.15,164.15,,,0 NDC,70069005101,Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle In 1 Carton (70069-051-01) / 10 Ml In 1 Bottle,124.0,124.0,,,0 NDC,70069007201,NDC Description Not Available,134.0,134.0,,,0 NDC,70069014101,Cisatracurium Besylate: 1 Vial In 1 Carton (70069-141-01) / 5 Ml In 1 Vial,59.0,59.0,,,0 NDC,70069016101,Cisatracurium Besylate: 1 Vial In 1 Carton (70069-161-01) / 10 Ml In 1 Vial,61.11,61.11,,,0 NDC,70069018101,Pilocarpine Hydrochloride: 1 Bottle In 1 Carton (70069-181-01) / 15 Ml In 1 Bottle,459.98,459.98,,,0 NDC,70069030101,NDC Description Not Available,11.8,11.8,,,0 NDC,70069036201,NDC Description Not Available,59.0,59.0,,,0 NDC,70069036301,Sulfamethoxazole And Trimethoprim: 1 Vial In 1 Carton (70069-363-01) / 30 Ml In 1 Vial,6.16,6.16,,,0 NDC,70069038401,"Haloperidol Decanoate: 1 Vial, Multi-Dose In 1 Carton (70069-384-01) / 5 Ml In 1 Vial, Multi-Dose",142.93,142.93,,,0 NDC,70069042101,Latanoprost: 1 Bottle In 1 Carton (70069-421-01) / 2.5 Ml In 1 Bottle,30.69,30.69,,,0 NDC,70069072701,NDC Description Not Available,72.41000000000001,72.41000000000001,,,0 NDC,70069074601,NDC Description Not Available,151.96,151.96,,,0 NDC,70069074625,Potassium Phosphate: 25 Bottle In 1 Carton (70069-746-25) / 5 Ml In 1 Bottle,151.96,151.96,,,0 NDC,70069080701,NDC Description Not Available,18.44,18.44,,,0 NDC,70069081601,NDC Description Not Available,34.53,34.53,,,0 NDC,70092101550,NDC Description Not Available,99.5,99.5,,,0 NDC,70092101650,NDC Description Not Available,99.5,99.5,,,0 NDC,70092104646,NDC Description Not Available,53.35,53.35,,,0 NDC,70092105305,NDC Description Not Available,98.0,98.0,,,0 NDC,70092105705,NDC Description Not Available,193.0,193.0,,,0 NDC,70092106807,NDC Description Not Available,63.894999999999996,63.894999999999996,,,0 NDC,70092108644,NDC Description Not Available,59.0,59.0,,,0 NDC,70092109236,NDC Description Not Available,24.59,24.59,,,0 NDC,70092109337,NDC Description Not Available,7.58,7.58,,,0 NDC,70092111675,NDC Description Not Available,231.82,231.82,,,0 NDC,70092124505,NDC Description Not Available,193.0,193.0,,,0 NDC,70092126937,NDC Description Not Available,213.31,213.31,,,0 NDC,70092143350,NDC Description Not Available,2.25,2.25,,,0 NDC,70092147550,NDC Description Not Available,84.42,84.42,,,0 NDC,70092155207,NDC Description Not Available,63.92,63.92,,,0 NDC,70092165844,NDC Description Not Available,75.58,75.58,,,0 NDC,70092166146,NDC Description Not Available,320.98,320.98,,,0 NDC,70092166343,NDC Description Not Available,59.0,59.0,,,0 NDC,70092248046,NDC Description Not Available,107.87,107.87,,,0 NDC,70095005001,NDC Description Not Available,146.06,146.06,,,0 NDC,70100042401,NDC Description Not Available,1365.13,1365.13,,,0 NDC,70100042402,"Indocyanine Green: 6 Package In 1 Carton (70100-424-02) / 1 Kit In 1 Package * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial * 10 Ml In 1 Vial, Plastic (0409-4887-17)",1325.42,1325.42,,,0 NDC,70114034001,"Loqtorzi: 1 Vial, Glass In 1 Carton (70114-340-01) / 6 Ml In 1 Vial, Glass",259.44,259.44,,,0 NDC,70114044001,"Cimerli: 1 Vial, Single-Dose In 1 Carton (70114-440-01) / .05 Ml In 1 Vial, Single-Dose",1822.4,1822.4,,,0 NDC,70114044101,"Cimerli: 1 Vial, Single-Dose In 1 Carton (70114-441-01) / .05 Ml In 1 Vial, Single-Dose",1822.4,1822.4,,,0 NDC,70121100001,NDC Description Not Available,8.56,8.56,,,0 NDC,70121104901,NDC Description Not Available,14.43,14.43,,,0 NDC,70121104902,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1049-2) / 1 Ml In 1 Vial (70121-1049-1),14.53,14.53,,,0 NDC,70121104905,Triamcinolone Acetonide: 25 Vial In 1 Carton (70121-1049-5) / 1 Ml In 1 Vial (70121-1049-1),14.41,14.41,,,0 NDC,70121116801,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1168-1) / 5 Ml In 1 Vial, Multi-Dose",14.75,14.75,,,0 NDC,70121116901,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1169-1) / 10 Ml In 1 Vial, Multi-Dose",10.85,10.85,,,0 NDC,70121138801,NDC Description Not Available,250.6,250.6,,,0 NDC,70121145301,NDC Description Not Available,7.37,7.37,,,0 NDC,70121148301,NDC Description Not Available,100.3,100.3,,,0 NDC,70121148307,"Arsenic Trioxide: 10 Vial, Single-Dose In 1 Carton (70121-1483-7) / 10 Ml In 1 Vial, Single-Dose (70121-1483-1)",100.5,100.5,,,0 NDC,70121156801,Releuko: 1 Syringe In 1 Box (70121-1568-1) / .5 Ml In 1 Syringe,5.324999999999999,5.324999999999999,,,0 NDC,70121156807,Releuko: 10 Syringe In 1 Box (70121-1568-7) / .5 Ml In 1 Syringe,7.1,7.1,,,0 NDC,70121157001,Releuko: 1 Syringe In 1 Box (70121-1570-1) / .8 Ml In 1 Syringe,3.55,3.55,,,0 NDC,70121157007,Releuko: 10 Syringe In 1 Box (70121-1570-7) / .8 Ml In 1 Syringe,3.55,3.55,,,0 NDC,70121157301,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (70121-1573-1) / 1 Ml In 1 Vial, Single-Dose",2.95,2.95,,,0 NDC,70121157401,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (70121-1574-1) / 1 Ml In 1 Vial, Single-Dose",1.37,1.37,,,0 NDC,70121162701,Fylnetra: 1 Syringe In 1 Carton (70121-1627-1) / .6 Ml In 1 Syringe,1395.83,1395.83,,,0 NDC,70121165101,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1651-1) / 1 Ml In 1 Vial,14.41,14.41,,,0 NDC,70121165201,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1652-1) / 5 Ml In 1 Vial, Multi-Dose",14.75,14.75,,,0 NDC,70121165301,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1653-1) / 10 Ml In 1 Vial, Multi-Dose",14.75,14.75,,,0 NDC,70121165401,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1654-1) / 5 Ml In 1 Vial, Multi-Dose",14.75,14.75,,,0 NDC,70121165501,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1655-1) / 10 Ml In 1 Vial, Multi-Dose",13.77,13.77,,,0 NDC,70121165701,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1657-1) / 1 Ml In 1 Vial,14.53,14.53,,,0 NDC,70121169402,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (70121-1694-2) / 1.2 Ml In 1 Vial, Single-Dose",295.08,295.08,,,0 NDC,70121171201,NDC Description Not Available,193.0,193.0,,,0 NDC,70121171901,NDC Description Not Available,48.25,48.25,,,0 NDC,70121175401,Alymsys: 1 Vial In 1 Carton (70121-1754-1) / 4 Ml In 1 Vial,481.16,481.16,,,0 NDC,70121175501,Alymsys: 1 Vial In 1 Carton (70121-1755-1) / 16 Ml In 1 Vial,481.46,481.46,,,0 NDC,70121249605,Lioresal (Baclofen): 5 Ampule In 1 Box (70121-2496-5) / 1 Ml In 1 Ampule,204.5,204.5,,,0 NDC,70127010001,NDC Description Not Available,405.48,405.48,,,0 NDC,70127010010,"Epidiolex: 1 Bottle, Glass In 1 Carton (70127-100-10) / 100 Ml In 1 Bottle, Glass (70127-100-01)",323.8,323.8,,,0 NDC,70199002611,"Aquasol A: 1 Vial, Single-Dose In 1 Carton (70199-026-11) / 2 Ml In 1 Vial, Single-Dose",4213.68,4213.68,,,0 NDC,70255001002,"Mektovi: 1 Bottle In 1 Carton (70255-010-02) / 180 Tablet, Film Coated In 1 Bottle",268.8,268.8,,,0 NDC,70257005105,NDC Description Not Available,596.26,596.26,,,0 NDC,70257005151,"Hepagam B: 1 Vial, Glass In 1 Carton (70257-051-51) / 5 Ml In 1 Vial, Glass (70257-051-05)",596.26,596.26,,,0 NDC,70257005211,NDC Description Not Available,681.22,681.22,,,0 NDC,70257005251,"Hepagam B: 1 Vial, Glass In 1 Carton (70257-052-51) / 1 Ml In 1 Vial, Glass (70257-052-11)",681.22,681.22,,,0 NDC,70257012651,"Varizig: 1 Vial, Glass In 1 Carton (70257-126-51) / 1.2 Ml In 1 Vial, Glass (70257-126-11)",14623.22,14623.22,,,0 NDC,70257056255,Lioresal (Baclofen): 5 Ampule In 1 Box (70257-562-55) / 1 Ml In 1 Ampule (70257-562-11),220.9,220.9,,,0 NDC,70257056301,Lioresal (Baclofen): 1 Ampule In 1 Box (70257-563-01) / 20 Ml In 1 Ampule (70257-563-20),1583.11,1583.11,,,0 NDC,70324007701,NDC Description Not Available,193.0,193.0,,,0 NDC,70324032601,NDC Description Not Available,196.0,196.0,,,0 NDC,70408023932,"Nitrofurantoin: 240 Ml In 1 Bottle, Plastic (70408-239-32)",411.43,411.43,,,0 NDC,70436002182,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (70436-021-82) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",93.28,93.28,,,0 NDC,70436002980,"Voriconazole: 1 Injection, Powder, Lyophilized, For Solution In 1 Box (70436-029-80)",40.89,40.89,,,0 NDC,70436008955,Ganciclovir: 25 Vial In 1 Carton (70436-089-55) / 10 Ml In 1 Vial,165.05,165.05,,,0 NDC,70461012203,"FLUAD QUADRIVALENT: 10 SYRINGE, GLASS in 1 CARTON (70461-122-03) / .5 mL in 1 SYRINGE, GLASS (70461-122-04)",62.26,62.26,,,0 NDC,70461012204,NDC Description Not Available,62.26,62.26,,,0 NDC,70461012304,NDC Description Not Available,365.0,365.0,,,0 NDC,70505010010,"Doxylamine Succinate And Pyridoxine Hydrochloride: 100 Tablet, Delayed Release In 1 Bottle (70505-100-10)",19.4,19.4,,,0 NDC,70515026110,Lanoxin: 10 Vial In 1 Box (70515-261-10) / 2 Ml In 1 Vial,949.82,949.82,,,0 NDC,70515026210,Lanoxin: 10 Ampule In 1 Box (70515-262-10) / 1 Ml In 1 Ampule,103.68,103.68,,,0 NDC,70594011101,NDC Description Not Available,6.7,6.7,,,0 NDC,70594011401,NDC Description Not Available,2.36,2.36,,,0 NDC,70594011701,NDC Description Not Available,1.18,1.18,,,0 NDC,70677002101,Stay Awake: 2 Blister Pack In 1 Carton (70677-0021-1) / 8 Tablet In 1 Blister Pack,1.95,1.95,,,0 NDC,70677003101,Nicotine: 14 Pouch In 1 Carton (70677-0031-1) / 1 H In 1 Pouch,5.74,5.74,,,0 NDC,70677005101,"Citroma: 296 Ml In 1 Bottle, Plastic (70677-0051-1)",7.44,7.44,,,0 NDC,70677101201,Foster And Thrive Childrens Allergy Relief: 1 Bottle In 1 Carton (70677-1012-1) / 118 Ml In 1 Bottle,3.6,3.6,,,0 NDC,70677111101,"Magnesium Citrate: 296 Ml In 1 Bottle, Plastic (70677-1111-1)",7.08,7.08,,,0 NDC,70677111201,"Magnesium Citrate: 296 Ml In 1 Bottle, Plastic (70677-1112-1)",4.47,4.47,,,0 NDC,70677111901,"Pain Relief Regular Strength: 1 Bottle, Plastic In 1 Carton (70677-1119-1) / 100 Tablet In 1 Bottle, Plastic",1.0,1.0,,,0 NDC,70677112601,Stay Awake: 2 Blister Pack In 1 Carton (70677-1126-1) / 8 Tablet In 1 Blister Pack,2.0,2.0,,,0 NDC,70677114301,Foster And Thrive Childrens Pain And Fever: 1 Bottle In 1 Carton (70677-1143-1) / 118 Ml In 1 Bottle,2.0,2.0,,,0 NDC,70677115301,Foster And Thrive Earwax Removal Kit Ear Wax Drops: 1 Kit In 1 Kit (70677-1153-1) * 1 Bottle In 1 Box (70677-1154-1) / 15 Ml In 1 Bottle,16.84,16.84,,,0 NDC,70700014617,Fluocinonide: 1 Tube In 1 Carton (70700-146-17) / 60 G In 1 Tube,241.06,241.06,,,0 NDC,70700016922,"Irinotecan Hydrochloide: 1 Vial, Single-Dose In 1 Carton (70700-169-22) / 2 Ml In 1 Vial, Single-Dose",46.79,46.79,,,0 NDC,70700018622,NDC Description Not Available,28.41,28.41,,,0 NDC,70700018722,NDC Description Not Available,38.65,38.65,,,0 NDC,70700018822,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (70700-188-22) / 50 Ml In 1 Vial, Pharmacy Bulk Package",37.34,37.34,,,0 NDC,70700026305,"Lansoprazole: 500 Capsule, Delayed Release In 1 Bottle (70700-263-05)",6.0,6.0,,,0 NDC,70700026894,Fosfomycin Tromethamine: 1 Dose Pack In 1 Carton (70700-268-94) / 1 Powder In 1 Dose Pack,497.99,497.99,,,0 NDC,70700026899,Fosfomycin Tromethamine: 1 Powder In 1 Packet (70700-268-99),497.99,497.99,,,0 NDC,70700027030,"Deferasirox: 30 Tablet In 1 Bottle, Plastic (70700-270-30)",6.2,6.2,,,0 NDC,70700027130,"Deferasirox: 30 Tablet In 1 Bottle, Plastic (70700-271-30)",12.4,12.4,,,0 NDC,70700028922,Testosterone Cypionate: 1 Vial In 1 Carton (70700-289-22) / 1 Ml In 1 Vial,2.36,2.36,,,0 NDC,70700031522,Medroxyprogesterone Acetate: 1 Ml In 1 Container (70700-315-22),1.54,1.54,,,0 NDC,70710106101,Albuterol: 100 Tablet In 1 Bottle (70710-1061-1),6.14,6.14,,,0 NDC,70710111001,Cyproheptadine Hydrochloride: 100 Tablet In 1 Bottle (70710-1110-1),4.52,4.52,,,0 NDC,70710114001,Fluconazole: 100 Tablet In 1 Bottle (70710-1140-1),5.83,5.83,,,0 NDC,70710116201,Meclizine Hydrochloride: 100 Tablet In 1 Bottle (70710-1162-1),6.0,6.0,,,0 NDC,70710122801,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (70710-1228-1)",4.91,4.91,,,0 NDC,70710135901,NDC Description Not Available,196.125,196.125,,,0 NDC,70710135906,Lacosamide: 10 Vial In 1 Carton (70710-1359-6) / 20 Ml In 1 Vial (70710-1359-1),438.99,438.99,,,0 NDC,70710146401,"Haloperidol Decanoate: 1 Vial, Multi-Dose In 1 Carton (70710-1464-1) / 5 Ml In 1 Vial, Multi-Dose",138.47,138.47,,,0 NDC,70710147801,Fomepizole: 1 Vial In 1 Carton (70710-1478-1) / 1.5 Ml In 1 Vial,100.56,100.56,,,0 NDC,70710152401,NDC Description Not Available,4356.68,4356.68,,,0 NDC,70710153001,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (70710-1530-1) / 10 Ml In 1 Vial, Single-Dose",2233.56,2233.56,,,0 NDC,70710153101,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (70710-1531-1) / 25 Ml In 1 Vial, Single-Dose",2140.58,2140.58,,,0 NDC,70710172601,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (70710-1726-1) / 50 Ml In 1 Vial, Single-Dose",873.17,873.17,,,0 NDC,70710183301,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (70710-1833-1) / 5 Ml In 1 Vial, Single-Dose",61.81,61.81,,,0 NDC,70710185206,NDC Description Not Available,2131.62,2131.62,,,0 NDC,70710185207,Indomethacin: 5 Blister Pack In 1 Carton (70710-1852-7) / 6 Suppository In 1 Blister Pack (70710-1852-6),2131.62,2131.62,,,0 NDC,70720095036,Zoladex: 1 Pouch In 1 Carton (70720-950-36) / 1 Syringe In 1 Pouch / 1 Implant In 1 Syringe,6776.83,6776.83,,,0 NDC,70720095130,Zoladex: 1 Pouch In 1 Carton (70720-951-30) / 1 Syringe In 1 Pouch / 1 Implant In 1 Syringe,6286.98,6286.98,,,0 NDC,70748013006,"Leflunomide: 30 Tablet, Film Coated In 1 Bottle (70748-130-06)",4.36,4.36,,,0 NDC,70748032302,NDC Description Not Available,4.630000000000001,4.630000000000001,,,0 NDC,70748032311,Bumetanide: 10 Vial In 1 Carton (70748-323-11) / 10 Ml In 1 Vial,4.4,4.4,,,0 NDC,70748033901,"Doxorubicin Hydrochloride: 1 Vial, Single-Use In 1 Carton (70748-339-01) / 10 Ml In 1 Vial, Single-Use",1343.05,1343.05,,,0 NDC,70752010212,Albuterol Sulfate: 473 Ml In 1 Bottle (70752-102-12),6.0,6.0,,,0 NDC,70756001405,NDC Description Not Available,1.78,1.78,,,0 NDC,70756020511,"Amitriptyline Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (70756-205-11)",5.86,5.86,,,0 NDC,70756062285,NDC Description Not Available,0.03,0.03,,,0 NDC,70756062925,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (70756-629-25) / 2 Ml In 1 Bottle, Dropper",201.5,201.5,,,0 NDC,70756064185,Lidocaine Hydrochloride: 1 Vial In 1 Carton (70756-641-85) / 5 Ml In 1 Vial,1.18,1.18,,,0 NDC,70756064687,Lidocaine Hydrochloride: 1 Vial In 1 Carton (70756-646-87) / 20 Ml In 1 Vial,3.93,3.93,,,0 NDC,70756064935,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (70756-649-35) / 15 Ml In 1 Bottle, Dropper",558.0,558.0,,,0 NDC,70756070360,"Ranolazine: 60 Tablet, Film Coated, Extended Release In 1 Bottle (70756-703-60)",4.41,4.41,,,0 NDC,70842016001,NDC Description Not Available,16.89,16.89,,,0 NDC,70860010010,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (70860-100-10) / 5 Ml In 1 Vial, Single-Dose (70860-100-41)",16.75,16.75,,,0 NDC,70860010041,NDC Description Not Available,156.25,156.25,,,0 NDC,70860012641,NDC Description Not Available,10.41,10.41,,,0 NDC,70860020005,Paclitaxel: 1 Vial In 1 Carton (70860-200-05) / 5 Ml In 1 Vial,3.02,3.02,,,0 NDC,70860030141,NDC Description Not Available,11.35,11.35,,,0 NDC,70860030243,NDC Description Not Available,11.8,11.8,,,0 NDC,70860040641,NDC Description Not Available,4.45,4.45,,,0 NDC,70860040741,NDC Description Not Available,393.23,393.23,,,0 NDC,70860060002,"Midazolam: 25 Vial, Single-Dose In 1 Carton (70860-600-02) / 2 Ml In 1 Vial, Single-Dose (70860-600-41)",28.53,28.53,,,0 NDC,70860070041,NDC Description Not Available,59.0,59.0,,,0 NDC,70860077641,NDC Description Not Available,15.08,15.08,,,0 NDC,70860077841,NDC Description Not Available,59.0,59.0,,,0 NDC,70860078441,NDC Description Not Available,9.67,9.67,,,0 NDC,70954004110,Rifabutin: 100 Capsule In 1 Bottle (70954-041-10),78.1,78.1,,,0 NDC,70954005910,Prednisone: 100 Tablet In 1 Bottle (70954-059-10),0.57,0.57,,,0 NDC,70954013510,Dapsone: 30 Tablet In 1 Bottle (70954-135-10),6.1,6.1,,,0 NDC,70954013520,Dapsone: 100 Tablet In 1 Bottle (70954-135-20),5.49,5.49,,,0 NDC,70954013610,Dapsone: 30 Tablet In 1 Bottle (70954-136-10),7.5,7.5,,,0 NDC,70954013620,Dapsone: 100 Tablet In 1 Bottle (70954-136-20),6.7,6.7,,,0 NDC,70954020010,Digoxin: 100 Tablet In 1 Bottle (70954-200-10),57.14,57.14,,,0 NDC,70954049210,Levocarnitine: 90 Blister Pack In 1 Carton (70954-492-10) / 10 Tablet In 1 Blister Pack,5.47,5.47,,,0 NDC,71019001101,NDC Description Not Available,1.51,1.51,,,0 NDC,71205090960,Diphenoxylate Hydrochloride And Atropine Sulfate: 60 Tablet In 1 Bottle (71205-909-60),3.11,3.11,,,0 NDC,71225012602,NDC Description Not Available,193.0,193.0,,,0 NDC,71266510001,NDC Description Not Available,64.31,64.31,,,0 NDC,71266510301,NDC Description Not Available,64.33,64.33,,,0 NDC,71266821101,NDC Description Not Available,49.6,49.6,,,0 NDC,71266821105,NDC Description Not Available,372.0,372.0,,,0 NDC,71266908002,NDC Description Not Available,75.82,75.82,,,0 NDC,71266908101,NDC Description Not Available,193.0,193.0,,,0 NDC,71285042101,NDC Description Not Available,240.8,240.8,,,0 NDC,71287011901,NDC Description Not Available,3105000.0,3105000.0,,,0 NDC,71287021901,NDC Description Not Available,3105000.0,3105000.0,,,0 NDC,71288003120,NDC Description Not Available,86.97,86.97,,,0 NDC,71288003220,NDC Description Not Available,81.29,81.29,,,0 NDC,71288003221,"Ampicillin And Sulbactam: 10 Vial, Single-Dose In 1 Carton (71288-032-21) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (71288-032-20)",96.5,96.5,,,0 NDC,71288010110,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (71288-101-10) / 10 Ml In 1 Vial, Single-Dose",1.0,1.0,,,0 NDC,71288010610,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (71288-106-10) / 15 Powder, For Solution In 1 Vial, Single-Dose",205.56,205.56,,,0 NDC,71288010720,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (71288-107-20) / 30 Powder, For Solution In 1 Vial, Single-Dose",152.55,152.55,,,0 NDC,71288011310,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-113-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",59.91,59.91,,,0 NDC,71288011530,"Azacitidine: 1 Vial, Single-Dose In 1 Carton (71288-115-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",3.01,3.01,,,0 NDC,71288011610,NDC Description Not Available,12.84,12.84,,,0 NDC,71288011611,"Busulfan: 8 Vial, Single-Dose In 1 Carton (71288-116-11) / 10 Ml In 1 Vial, Single-Dose (71288-116-10)",12.99,12.99,,,0 NDC,71288011706,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-117-06) / 5.26 Ml In 1 Vial, Single-Dose",46.79,46.79,,,0 NDC,71288011728,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-117-28) / 26.3 Ml In 1 Vial, Single-Dose",29.244999999999997,29.244999999999997,,,0 NDC,71288012902,"Dactinomycin: 1 Vial, Single-Dose In 1 Carton (71288-129-02) / 1 Ml In 1 Vial, Single-Dose",2948.0,2948.0,,,0 NDC,71288013015,NDC Description Not Available,1275.57,1275.57,,,0 NDC,71288013290,"Melphalan Hydrochloride: 1 Kit In 1 Carton (71288-132-90) * 15 Ml In 1 Vial, Single-Dose (71288-130-15) * 10 Ml In 1 Vial, Single-Use (71288-131-10)",1287.59,1287.59,,,0 NDC,71288013850,"Mitomycin: 1 Vial, Single-Dose In 1 Carton (71288-138-50) / 40 Ml In 1 Vial, Single-Dose",680.26,680.26,,,0 NDC,71288014416,"Docetaxel Anhydrous: 1 Vial, Multi-Dose In 1 Carton (71288-144-16) / 16 Ml In 1 Vial, Multi-Dose",13.36,13.36,,,0 NDC,71288015501,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (71288-155-01) / 1.2 Ml In 1 Vial, Single-Dose",139.58,139.58,,,0 NDC,71288015605,"Thiotepa: 1 Vial, Single-Dose In 1 Carton (71288-156-05) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",1340.0,1340.0,,,0 NDC,71288016010,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-160-10) / 5 Ml In 1 Vial, Single-Dose",62.89,62.89,,,0 NDC,71288016120,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-161-20) / 10 Ml In 1 Vial, Single-Dose",56.35,56.35,,,0 NDC,71288016750,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (71288-167-50) / 50 Ml In 1 Vial, Single-Dose",20.0,20.0,,,0 NDC,71288020185,"Regadenoson: 1 Syringe, Plastic In 1 Carton (71288-201-85) / 5 Ml In 1 Syringe, Plastic",33.5,33.5,,,0 NDC,71288020202,"Sodium Nitroprusside: 1 Vial, Single-Dose In 1 Carton (71288-202-02) / 2 Ml In 1 Vial, Single-Dose",201.0,201.0,,,0 NDC,71288020302,NDC Description Not Available,14.059999999999999,14.059999999999999,,,0 NDC,71288020304,NDC Description Not Available,29.5,29.5,,,0 NDC,71288020310,NDC Description Not Available,13.4,13.4,,,0 NDC,71288030301,NDC Description Not Available,59.0,59.0,,,0 NDC,71288030302,"Cyanocobalamin: 25 Vial, Multi-Dose In 1 Carton (71288-303-02) / 1 Ml In 1 Vial, Multi-Dose (71288-303-01)",59.0,59.0,,,0 NDC,71288030391,NDC Description Not Available,59.0,59.0,,,0 NDC,71288040002,NDC Description Not Available,14.78,14.78,,,0 NDC,71288040210,NDC Description Not Available,3.41,3.41,,,0 NDC,71288040301,NDC Description Not Available,11.01,11.01,,,0 NDC,71288040302,"Heparin Sodium: 25 Vial, Single-Dose In 1 Carton (71288-403-02) / 1 Ml In 1 Vial, Single-Dose (71288-403-01)",5.9,5.9,,,0 NDC,71288040310,NDC Description Not Available,5.9,5.9,,,0 NDC,71288040905,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (71288-409-05) / 5 Ml In 1 Vial, Single-Dose",6.03,6.03,,,0 NDC,71288042710,NDC Description Not Available,1.96,1.96,,,0 NDC,71288060010,NDC Description Not Available,57.5,57.5,,,0 NDC,71288071205,NDC Description Not Available,52.635000000000005,52.635000000000005,,,0 NDC,71288071206,"Cisatracurium Besylate: 10 Vial, Single-Dose In 1 Carton (71288-712-06) / 5 Ml In 1 Vial, Single-Dose (71288-712-05)",46.9,46.9,,,0 NDC,71288071910,NDC Description Not Available,11.52,11.52,,,0 NDC,71288072111,"Bupivacaine Hydrochloride: 1 Vial, Single-Dose In 1 Carton (71288-721-11) / 10 Ml In 1 Vial, Single-Dose",2.36,2.36,,,0 NDC,71288072232,"Bupivacaine Hydrochloride: 1 Vial, Single-Dose In 1 Carton (71288-722-32) / 30 Ml In 1 Vial, Single-Dose",0.79,0.79,,,0 NDC,71288080320,NDC Description Not Available,9.86,9.86,,,0 NDC,71288080321,"Mycophenolate Mofetil: 4 Vial, Single-Dose In 1 Carton (71288-803-21) / 20 Ml In 1 Vial, Single-Dose (71288-803-20)",10.07,10.07,,,0 NDC,71288080651,"Zoledronic Acid: 1 Bottle, Glass In 1 Carton (71288-806-51) / 100 Ml In 1 Bottle, Glass",112.0,112.0,,,0 NDC,71288080875,NDC Description Not Available,0.03,0.03,,,0 NDC,71335101601,Tizanidine: 30 Tablet In 1 Bottle (71335-1016-1),4.41,4.41,,,0 NDC,71336100301,"Amvuttra: 1 Syringe, Glass In 1 Carton (71336-1003-1) / .5 Ml In 1 Syringe, Glass",21483.18,21483.18,,,0 NDC,71349007001,Ycanth: 1 Applicator In 1 Package (71349-070-01) / 1 Ampule In 1 Applicator / .45 Ml In 1 Ampule,4247.0,4247.0,,,0 NDC,71399004101,Teeny Tummy Gas Relief Drops: 30 Ml In 1 Bottle (71399-0041-1),2.0,2.0,,,0 NDC,71399102503,Acetaminophen: 100 Pouch In 1 Package (71399-1025-3) / 1 Tablet In 1 Pouch,1.01,1.01,,,0 NDC,71506002859,NDC Description Not Available,64.33,64.33,,,0 NDC,71699005030,"Xcopri: 30 Tablet, Film Coated In 1 Bottle (71699-050-30)",238.89,238.89,,,0 NDC,71699020128,"Xcopri Titration Pack: 1 Kit In 1 Carton (71699-201-28) * 1 Tablet In 1 Blister Pack * 1 Tablet, Film Coated In 1 Blister Pack",23.87,23.87,,,0 NDC,71740011230,"Sski: 1 Bottle, With Applicator In 1 Carton (71740-112-30) / 30 Ml In 1 Bottle, With Applicator",45.37,45.37,,,0 NDC,71776000515,"Natacyn: 1 Bottle, Glass In 1 Carton (71776-005-15) / 15 Ml In 1 Bottle, Glass",5871.37,5871.37,,,0 NDC,71837584301,NDC Description Not Available,392.67,392.67,,,0 NDC,71837584305,"Leukine: 5 Vial, Single-Dose In 1 Carton (71837-5843-5) / 1 Ml In 1 Vial, Single-Dose (71837-5843-1)",379.59,379.59,,,0 NDC,71839011801,NDC Description Not Available,5.36,5.36,,,0 NDC,71879013601,"Yutiq: 1 Pouch In 1 Box, Unit-Dose (71879-136-01) / 1 Applicator In 1 Pouch / 1 Implant In 1 Applicator",3348.51,3348.51,,,0 NDC,71921022610,"Dorzolamide Hydrochloride Timolol Maleate: 1 Bottle, Dispensing In 1 Carton (71921-226-10) / 10 Ml In 1 Bottle, Dispensing",217.0,217.0,,,0 NDC,72078003400,NDC Description Not Available,410.65,410.65,,,0 NDC,72078003500,NDC Description Not Available,59.0,59.0,,,0 NDC,72078006550,NDC Description Not Available,59.32,59.32,,,0 NDC,72078006650,NDC Description Not Available,74.86,74.86,,,0 NDC,72187040101,"Elzonris: 1 Vial, Single-Dose In 1 Carton (72187-0401-1) / 1 Ml In 1 Vial, Single-Dose",1446.71,1446.71,,,0 NDC,72196606401,NDC Description Not Available,98.0,98.0,,,0 NDC,72196607801,NDC Description Not Available,48.25,48.25,,,0 NDC,72205001590,Pregabalin: 90 Capsule In 1 Bottle (72205-015-90),5.41,5.41,,,0 NDC,72205002790,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (72205-027-90)",6.0,6.0,,,0 NDC,72205003101,"Decitabine: 1 Vial, Single-Use In 1 Carton (72205-031-01) / 20 Ml In 1 Vial, Single-Use",26.45,26.45,,,0 NDC,72205004060,Dofetilide: 60 Capsule In 1 Bottle (72205-040-60),4.56,4.56,,,0 NDC,72205004160,Dofetilide: 60 Capsule In 1 Bottle (72205-041-60),6.42,6.42,,,0 NDC,72205004411,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (72205-044-11) / 10 Capsule In 1 Blister Pack,11.47,11.47,,,0 NDC,72205004501,"Thiotepa: 1 Vial, Glass In 1 Box (72205-045-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",4612.4,4612.4,,,0 NDC,72205005401,"Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (72205-054-01) / 5 Ml In 1 Vial, Single-Dose",1.12,1.12,,,0 NDC,72205010101,NDC Description Not Available,9.505,9.505,,,0 NDC,72205010201,NDC Description Not Available,4.56,4.56,,,0 NDC,72205024901,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (72205-249-01) / 1.2 Ml In 1 Vial, Single-Dose",305.81,305.81,,,0 NDC,72205036891,Ticagrelor: 100 Tablet In 1 Bottle (72205-368-91),33.66,33.66,,,0 NDC,72266010101,Dexrazoxane: 1 Vial In 1 Carton (72266-101-01) / 50 Ml In 1 Vial,1347.59,1347.59,,,0 NDC,72266010201,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (72266-102-01) / 20 Ml In 1 Vial, Multi-Dose",37.51,37.51,,,0 NDC,72266011801,NDC Description Not Available,37.62,37.62,,,0 NDC,72266012201,NDC Description Not Available,12.52,12.52,,,0 NDC,72266012701,NDC Description Not Available,143.4,143.4,,,0 NDC,72266012705,"Dicyclomine Hydrochloride: 5 Vial, Single-Dose In 1 Carton (72266-127-05) / 2 Ml In 1 Vial, Single-Dose (72266-127-01)",164.82,164.82,,,0 NDC,72266012801,"Melphalan Hydrochloride: 1 Kit In 1 Carton (72266-128-01) * 10 Ml In 1 Vial, Single-Dose (72266-144-01) * 10 Ml In 1 Vial, Single-Use (72266-145-01)",3182.31,3182.31,,,0 NDC,72266014401,NDC Description Not Available,3184.28,3184.28,,,0 NDC,72266014601,NDC Description Not Available,5.9,5.9,,,0 NDC,72266015801,Moxifloxacin Ophthalmic Solution: 1 Bottle In 1 Carton (72266-158-01) / 3 Ml In 1 Bottle,71.93,71.93,,,0 NDC,72266023401,NDC Description Not Available,58.5,58.5,,,0 NDC,72266024201,NDC Description Not Available,401.74,401.74,,,0 NDC,72266025101,NDC Description Not Available,10.66,10.66,,,0 NDC,72305005090,Euthyrox: 6 Blister Pack In 1 Carton (72305-050-90) / 15 Tablet In 1 Blister Pack,6.0,6.0,,,0 NDC,72319002302,"Posaconazole: 60 Tablet, Delayed Release In 1 Bottle (72319-023-02)",46.5,46.5,,,0 NDC,72485010101,NDC Description Not Available,59.0,59.0,,,0 NDC,72485010401,"Caffeine Citrate: 1 Vial, Glass In 1 Carton (72485-104-01) / 3 Ml In 1 Vial, Glass",21.07,21.07,,,0 NDC,72485010601,NDC Description Not Available,0.72,0.72,,,0 NDC,72485010701,"Tranexamic Acid: 1 Vial, Glass In 1 Carton (72485-107-01) / 10 Ml In 1 Vial, Glass",59.0,59.0,,,0 NDC,72485020101,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (72485-201-01)",3.01,3.01,,,0 NDC,72485041501,NDC Description Not Available,5.53,5.53,,,0 NDC,72485041701,NDC Description Not Available,32.17,32.17,,,0 NDC,72485042201,NDC Description Not Available,49.01,49.01,,,0 NDC,72485050701,NDC Description Not Available,30.34,30.34,,,0 NDC,72485050801,NDC Description Not Available,4.72,4.72,,,0 NDC,72485051001,NDC Description Not Available,57.82,57.82,,,0 NDC,72485062513,"Ciprofloxacin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (72485-625-13) / 7.5 Ml In 1 Bottle, Dropper",715.31,715.31,,,0 NDC,72485067031,Erythromycin: 50 Tube In 1 Carton (72485-670-31) / 1 G In 1 Tube,62.84,62.84,,,0 NDC,72493010140,NDC Description Not Available,2001.54,2001.54,,,0 NDC,72512092801,Qutenza: 1 Kit In 1 Carton (72512-928-01) * 1 Pouch In 1 Carton (72512-920-00) / 1 Patch In 1 Pouch / 179 Mg In 1 Patch * 50 G In 1 Tube,19.73,19.73,,,0 NDC,72516002401,NDC Description Not Available,245.17,245.17,,,0 NDC,72516002425,Papaverine Hydrochloride: 25 Vial In 1 Carton (72516-024-25) / 2 Ml In 1 Vial,245.53,245.53,,,0 NDC,72526010511,"Erzofri Extended-Release: 1 Syringe, Glass In 1 Kit (72526-105-11) / .25 Ml In 1 Syringe, Glass",88.72,88.72,,,0 NDC,72526010811,"Erzofri Extended-Release: 1 Syringe, Glass In 1 Kit (72526-108-11) / 1 Ml In 1 Syringe, Glass",103.23,103.23,,,0 NDC,72526010911,"Erzofri Extended-Release: 1 Syringe, Glass In 1 Kit (72526-109-11) / 1.5 Ml In 1 Syringe, Glass",88.73,88.73,,,0 NDC,72572037001,NDC Description Not Available,1.06,1.06,,,0 NDC,72572061201,NDC Description Not Available,1.93,1.93,,,0 NDC,72578000201,Acyclovir: 100 Capsule In 1 Bottle (72578-002-01),6.0,6.0,,,0 NDC,72578004001,Zonisamide: 100 Capsule In 1 Bottle (72578-040-01),6.0,6.0,,,0 NDC,72603010101,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (72603-101-01) / 20 Ml In 1 Vial, Single-Dose",3.3,3.3,,,0 NDC,72603010301,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (72603-103-01) / 10 Ml In 1 Vial, Single-Dose",3024.65,3024.65,,,0 NDC,72603012801,NDC Description Not Available,57.35,57.35,,,0 NDC,72603013901,NDC Description Not Available,38.98,38.98,,,0 NDC,72603015301,NDC Description Not Available,57.77,57.77,,,0 NDC,72603016401,Desonide: 1 Tube In 1 Carton (72603-164-01) / 15 G In 1 Tube,124.9,124.9,,,0 NDC,72603020301,NDC Description Not Available,126.05,126.05,,,0 NDC,72603021001,"Penicillin G Potassium: 1 Vial In 1 Carton (72603-210-01) / 1 Injection, Powder, For Solution In 1 Vial",22.05,22.05,,,0 NDC,72603021201,Dexamethasone: 100 Mg In 1 Bottle (72603-212-01),1.73,1.73,,,0 NDC,72603025101,NDC Description Not Available,7.01,7.01,,,0 NDC,72603026101,Rufinamide: 1 Bottle In 1 Carton (72603-261-01) / 460 Ml In 1 Bottle,86.49,86.49,,,0 NDC,72603031601,Methimazole: 100 Tablet In 1 Bottle (72603-316-01),6.0,6.0,,,0 NDC,72603038701,NDC Description Not Available,59.0,59.0,,,0 NDC,72603052001,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (72603-520-01) / 2 Ml In 1 Bottle, Dropper",201.5,201.5,,,0 NDC,72603065001,NDC Description Not Available,59.0,59.0,,,0 NDC,72603080001,NDC Description Not Available,0.07,0.07,,,0 NDC,72611071601,"Dexrazoxane: 1 Vial, Single-Dose In 1 Carton (72611-716-01) / 50 Ml In 1 Vial, Single-Dose",1179.59,1179.59,,,0 NDC,72611071901,NDC Description Not Available,59.0,59.0,,,0 NDC,72611072201,NDC Description Not Available,29.5,29.5,,,0 NDC,72611073401,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (72611-734-01) / 20 Ml In 1 Vial, Multi-Dose",29.5,29.5,,,0 NDC,72611074001,NDC Description Not Available,11.8,11.8,,,0 NDC,72611076501,NDC Description Not Available,78.85,78.85,,,0 NDC,72626270101,"Sofosbuvir And Velpatasvir: 2 Blister Pack In 1 Carton (72626-2701-1) / 14 Tablet, Film Coated In 1 Blister Pack",1771.43,1771.43,,,0 NDC,72694051501,"Asparlas: 1 Vial, Single-Use In 1 Carton (72694-515-01) / 5 Ml In 1 Vial, Single-Use",532.28,532.28,,,0 NDC,72694095401,"Oncaspar: 1 Vial, Single-Use In 1 Carton (72694-954-01) / 5 Ml In 1 Vial, Single-Use",96226.54,96226.54,,,0 NDC,72865022990,"Pantoprazole Sodium: 90 Tablet, Delayed Release In 1 Bottle (72865-229-90)",6.0,6.0,,,0 NDC,72888001001,Baclofen: 100 Tablet In 1 Bottle (72888-010-01),6.0,6.0,,,0 NDC,72888003501,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (72888-035-01)",5.98,5.98,,,0 NDC,72888005401,Metolazone: 100 Tablet In 1 Bottle (72888-054-01),5.66,5.66,,,0 NDC,72888012526,Lidocaine Hydrochloride: 100 Ml In 1 Bottle (72888-125-26),26.05,26.05,,,0 NDC,72888015301,Clonazepam: 100 Tablet In 1 Bottle (72888-153-01),4.91,4.91,,,0 NDC,72893000201,Beleodaq: 1 Vial In 1 Carton (72893-002-01) / 10 Ml In 1 Vial,325.92,325.92,,,0 NDC,72903085301,"Elahere: 1 Vial, Single-Use In 1 Carton (72903-853-01) / 20 Ml In 1 Vial, Single-Use",294.88,294.88,,,0 NDC,73013101301,NDC Description Not Available,24.37,24.37,,,0 NDC,73090042001,"Sylvant: 1 Vial, Single-Dose In 1 Box (73090-420-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",1008.15,1008.15,,,0 NDC,73150015006,"Briumvi: 1 Vial, Single-Dose In 1 Carton (73150-150-06) / 6 Ml In 1 Vial, Single-Dose",321.48,321.48,,,0 NDC,73153090001,"Breyanzi: 1 Kit In 1 Carton (73153-900-01) * 5 Ml In 1 Vial, Single-Dose (73153-902-04) * 5 Ml In 1 Vial, Single-Dose (73153-901-08)",3275000.0,3275000.0,,,0 NDC,73293000101,NDC Description Not Available,20.855,20.855,,,0 NDC,73302045601,Ella: 1 Blister Pack In 1 Carton (73302-456-01) / 1 Tablet In 1 Blister Pack,240.25,240.25,,,0 NDC,73475304105,"Vyvgart: 1 Vial, Single-Dose In 1 Carton (73475-3041-5) / 20 Ml In 1 Vial, Single-Dose",207.3,207.3,,,0 NDC,73475310203,"Vyvgart Hytrulo: 1 Vial, Single-Dose In 1 Carton (73475-3102-3) / 5.6 Ml In 1 Vial, Single-Dose",142.34,142.34,,,0 NDC,73534050501,Millipred: 100 Tablet In 1 Bottle (73534-505-01),95.77,95.77,,,0 NDC,73535020801,Monjuvi: 1 Vial In 1 Carton (73535-208-01) / 5 Ml In 1 Vial,90.34,90.34,,,0 NDC,73562010410,Viokace: 1 Bottle In 1 Carton (73562-104-10) / 100 Tablet In 1 Bottle,26.2,26.2,,,0 NDC,73562011001,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-110-01)",25.64,25.64,,,0 NDC,73562011101,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-111-01)",36.79,36.79,,,0 NDC,73562011201,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-112-01)",50.38,50.38,,,0 NDC,73562011401,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-114-01)",98.78,98.78,,,0 NDC,73562011501,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-115-01)",12.86,12.86,,,0 NDC,73650031601,"Tzield: 1 Vial, Single-Dose In 1 Carton (73650-316-01) / 2 Ml In 1 Vial, Single-Dose",162.12,162.12,,,0 NDC,73776000111,NDC Description Not Available,3475000.0,3475000.0,,,0 NDC,73776002201,"Proleukin: 1 Vial, Single-Dose In 1 Carton (73776-022-01) / 1 Ml In 1 Vial, Single-Dose",33639.62,33639.62,,,0 NDC,74676590200,NDC Description Not Available,6122.13,6122.13,,,0 NDC,74676590400,NDC Description Not Available,5854.82,5854.82,,,0 NDC,74676590401,"Trelstar: 1 Kit In 1 Carton (74676-5904-1) * 2 Ml In 1 Vial, Single-Dose (74676-5904-0) * 2 Ml In 1 Syringe",6122.17,6122.17,,,0 NDC,75826011410,"Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle, Plastic (75826-114-10)",3.99,3.99,,,0 NDC,75826013810,"Phenobarbital: 100 Tablet In 1 Bottle, Plastic (75826-138-10)",4.91,4.91,,,0 NDC,75834015901,Verapamil Hydrochloride: 100 Tablet In 1 Bottle (75834-159-01),6.0,6.0,,,0 NDC,75834024230,"Erythromycin: 30 Tablet, Film Coated In 1 Bottle (75834-242-30)",34.88,34.88,,,0 NDC,75907004881,NDC Description Not Available,39.12,39.12,,,0 NDC,75907005860,"Tamoxifen Citrate: 60 Tablet, Film Coated In 1 Bottle (75907-058-60)",3.16,3.16,,,0 NDC,75907006901,"Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle, Plastic (75907-069-01)",5.95,5.95,,,0 NDC,75987008010,Krystexxa: 1 Vial In 1 Carton (75987-080-10) / 1 Ml In 1 Vial,24399.01,24399.01,,,0 NDC,75987013015,"Tepezza: 1 Vial, Single-Dose In 1 Carton (75987-130-15) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",2195.19,2195.19,,,0 NDC,75987015001,NDC Description Not Available,2081.32,2081.32,,,0 NDC,75987015003,"Uplizna: 3 Vial, Single-Dose In 1 Carton (75987-150-03) / 10 Ml In 1 Vial, Single-Dose (75987-150-01)",2103.73,2103.73,,,0 NDC,76045000401,NDC Description Not Available,19.04,19.04,,,0 NDC,76045000901,NDC Description Not Available,24.96,24.96,,,0 NDC,76045000903,NDC Description Not Available,59.0,59.0,,,0 NDC,76045000906,Dilaudid: 10 Syringe In 1 Carton (76045-009-06) / .5 Ml In 1 Syringe (76045-009-96),11.8,11.8,,,0 NDC,76045000996,NDC Description Not Available,16.76,16.76,,,0 NDC,76045010320,"Ondansetron: 24 Blister Pack In 1 Carton (76045-103-20) / 1 Syringe, Glass In 1 Blister Pack (76045-103-00) / 2 Ml In 1 Syringe, Glass",29.5,29.5,,,0 NDC,76045010910,"Dexamethasone Sodium Phosphate: 24 Blister Pack In 1 Carton (76045-109-10) / 1 Syringe, Glass In 1 Blister Pack / 1 Ml In 1 Syringe, Glass (76045-109-01)",4.61,4.61,,,0 NDC,76045012101,NDC Description Not Available,35.4,35.4,,,0 NDC,76075010101,"Kyprolis: 1 Vial, Single-Use In 1 Carton (76075-101-01) / 30 Ml In 1 Vial, Single-Use",373.34,373.34,,,0 NDC,76075010201,"Kyprolis: 1 Vial, Single-Dose In 1 Carton (76075-102-01) / 15 Ml In 1 Vial, Single-Dose",372.63,372.63,,,0 NDC,76075010301,"Kyprolis: 1 Vial, Single-Dose In 1 Carton (76075-103-01) / 10 Ml In 1 Vial, Single-Dose",370.12,370.12,,,0 NDC,76125079025,Albuked: 1 Vial In 1 Carton (76125-790-25) / 250 Ml In 1 Vial (76125-790-26),268.8,268.8,,,0 NDC,76125079026,NDC Description Not Available,268.8,268.8,,,0 NDC,76128015575,"Photofrin: 1 Vial In 1 Box, Unit-Dose (76128-155-75) / 31.8 Ml In 1 Vial",74167.14,74167.14,,,0 NDC,76204010001,Ipratropium Bromide: 30 Pouch In 1 Carton (76204-100-01) / 1 Ampule In 1 Pouch / 2.5 Ml In 1 Ampule,6.0,6.0,,,0 NDC,76204020001,Albuterol Sulfate: 30 Pouch In 1 Carton (76204-200-01) / 1 Ampule In 1 Pouch / 3 Ml In 1 Ampule,5.4,5.4,,,0 NDC,76204060001,Ipratropium Bromide And Albuterol Sulfate: 30 Pouch In 1 Carton (76204-600-01) / 1 Ampule In 1 Pouch / 3 Ml In 1 Ampule,5.99,5.99,,,0 NDC,76204060030,Ipratropium Bromide And Albuterol Sulfate: 1 Pouch In 1 Carton (76204-600-30) / 30 Ampule In 1 Pouch / 3 Ml In 1 Ampule,6.0,6.0,,,0 NDC,76204090001,Levalbuterol: 30 Pouch In 1 Carton (76204-900-01) / 1 Ampule In 1 Pouch (76204-900-11) / 3 Ml In 1 Ampule,2.05,2.05,,,0 NDC,76204090011,NDC Description Not Available,3.31,3.31,,,0 NDC,76282022601,Zonisamide: 100 Capsule In 1 Bottle (76282-226-01),6.0,6.0,,,0 NDC,76282070245,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (76282-702-45),10.6,10.6,,,0 NDC,76282073101,Lisinopril: 100 Tablet In 1 Bottle (76282-731-01),3.97,3.97,,,0 NDC,76297000122,NDC Description Not Available,193.0,193.0,,,0 NDC,76297000132,NDC Description Not Available,193.0,193.0,,,0 NDC,76310002201,"Proleukin: 1 Vial, Single-Dose In 1 Carton (76310-022-01) / 1 Ml In 1 Vial, Single-Dose",32748.21,32748.21,,,0 NDC,76310002415,NDC Description Not Available,492.98,492.98,,,0 NDC,76329124001,Phytonadione: 1 Syringe In 1 Carton (76329-1240-1) / .5 Ml In 1 Syringe,165.7,165.7,,,0 NDC,76329146901,Naloxone Hydrochloride: 10 Syringe In 1 Box (76329-1469-1) / 2 Ml In 1 Syringe,107.92,107.92,,,0 NDC,76329330201,Dextrose Monohydrate: 1 Syringe In 1 Carton (76329-3302-1) / 50 Ml In 1 Syringe,124.91,124.91,,,0 NDC,76329330401,Calcium Chloride: 10 Syringe In 1 Package (76329-3304-1) / 10 Ml In 1 Syringe,70.35,70.35,,,0 NDC,76329331601,Epinephrine: 10 VIAL in 1 PACKAGE (76329-3316-1) / 10 mL in 1 VIAL,12.01,12.01,,,0 NDC,76329331801,Epinephrine: 10 Carton In 1 Package (76329-3318-1) / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,52.84,52.84,,,0 NDC,76329334001,Atropine Sulfate: 10 Carton In 1 Package (76329-3340-1) / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,1.36,1.36,,,0 NDC,76329335201,Sodium Bicarbonate: 1 Syringe In 1 Carton (76329-3352-1) / 50 Ml In 1 Syringe,121.77,121.77,,,0 NDC,76329336901,Naloxone Hydrochloride: 10 Syringe In 1 Box (76329-3369-1) / 2 Ml In 1 Syringe,109.23,109.23,,,0 NDC,76329339001,Lidocaine Hydrochloride: 10 Syringe In 1 Package (76329-3390-1) / 5 Ml In 1 Syringe,0.87,0.87,,,0 NDC,76329630005,Lidocaine Hydrochloride: 25 Vial In 1 Carton (76329-6300-5) / 4 Ml In 1 Vial,185.89,185.89,,,0 NDC,76329826100,NDC Description Not Available,53.51,53.51,,,0 NDC,76329906000,Epinephrine: 1 Vial In 1 Carton (76329-9060-0) / 30 Ml In 1 Vial,5.02,5.02,,,0 NDC,76336045518,"Metopirone: 18 Capsule, Gelatin Coated In 1 Bottle (76336-455-18)",315.72,315.72,,,0 NDC,76385010401,"BENZTROPINE MESYLATE: 100 TABLET in 1 BOTTLE, PLASTIC (76385-104-01)",5.51,5.51,,,0 NDC,76385013401,Nadolol: 100 Tablet In 1 Bottle (76385-134-01),5.4,5.4,,,0 NDC,76385013501,Nadolol: 100 Tablet In 1 Bottle (76385-135-01),6.0,6.0,,,0 NDC,76420001810,"Bupivacaine Hydrochloride: 10 Ml In 1 Vial, Single-Dose (76420-018-10)",2.12,2.12,,,0 NDC,76420008005,"Lidocaine Hydrochloride: 5 Ml In 1 Vial, Single-Dose (76420-080-05)",1.97,1.97,,,0 NDC,76420008501,"Kenalog-40: 1 Ml In 1 Vial, Single-Dose (76420-085-01)",15.68,15.68,,,0 NDC,77333081225,NDC Description Not Available,1.98,1.98,,,0 NDC,77333082725,NDC Description Not Available,3.67,3.67,,,0 NDC,77333084425,NDC Description Not Available,3.43,3.43,,,0 NDC,77790002215,"Vista Gonio Eye Lubricant: 1 Bottle, Dropper In 1 Carton (77790-022-15) / 15 Ml In 1 Bottle, Dropper",182.94,182.94,,,0 NDC,78206011801,"Celestone Soluspan: 1 Vial, Multi-Dose In 1 Box (78206-118-01) / 5 Ml In 1 Vial, Multi-Dose",55.72,55.72,,,0 NDC,78206014501,Nexplanon: 1 Blister Pack In 1 Carton (78206-145-01) / 1 Implant In 1 Blister Pack,7310.5,7310.5,,,0 NDC,78206015301,"Proscar: 30 Tablet, Film Coated In 1 Bottle (78206-153-01)",33.74,33.74,,,0 NDC,78670000367,"Revonto: 6 Vial, Glass In 1 Carton (78670-003-67) / 60 Ml In 1 Vial, Glass",469.0,469.0,,,0 NDC,79802020030,Rezurock: 1 Bottle In 1 Carton (79802-200-30) / 30 Tablet In 1 Bottle,3730.26,3730.26,,,0 NDC,79952011001,"Zynlonta: 1 Vial, Single-Dose In 1 Carton (79952-110-01) / 2 Ml In 1 Vial, Single-Dose",1362.62,1362.62,,,0 NDC,80446040101,"Kimmtrak: 1 Vial, Glass In 1 Carton (80446-401-01) / .5 Ml In 1 Vial, Glass",1365.24,1365.24,,,0 NDC,80777010011,NDC Description Not Available,220.0,220.0,,,0 NDC,80777010201,NDC Description Not Available,180.75,180.75,,,0 NDC,80777010293,"Spikevax: 10 SYRINGE, PLASTIC in 1 CARTON (80777-102-93) / .5 mL in 1 SYRINGE, PLASTIC (80777-102-01)",220.0,220.0,,,0 NDC,80777010296,"Spikevax: 10 SYRINGE, PLASTIC in 1 CARTON (80777-102-96) / .5 mL in 1 SYRINGE, PLASTIC (80777-102-01)",220.0,220.0,,,0 NDC,80777011001,NDC Description Not Available,180.775,180.775,,,0 NDC,80777011093,"Spikevax: 10 Syringe, Plastic In 1 Carton (80777-110-93) / .5 Ml In 1 Syringe, Plastic (80777-110-01)",180.9,180.9,,,0 NDC,80777011096,"Spikevax: 10 Syringe, Plastic In 1 Carton (80777-110-96) / .5 Ml In 1 Syringe, Plastic (80777-110-01)",180.9,180.9,,,0 NDC,80777028707,NDC Description Not Available,220.0,220.0,,,0 NDC,80777028792,"Moderna COVID-19 Vaccine: 10 VIAL, SINGLE-DOSE in 1 CARTON (80777-287-92) / .25 mL in 1 VIAL, SINGLE-DOSE (80777-287-07)",220.0,220.0,,,0 NDC,80777029109,NDC Description Not Available,220.0,220.0,,,0 NDC,80777029180,"Moderna Covid-19 Vaccine: 10 Syringe, Plastic In 1 Carton (80777-291-80) / .25 Ml In 1 Syringe, Plastic (80777-291-09)",220.0,220.0,,,0 NDC,80777029181,"Moderna Covid-19 Vaccine: 10 Syringe, Plastic In 1 Carton (80777-291-81) / .25 Ml In 1 Syringe, Plastic (80777-291-09)",220.0,220.0,,,0 NDC,80830169101,NDC Description Not Available,108.93,108.93,,,0 NDC,80830169301,NDC Description Not Available,154.1,154.1,,,0 NDC,80830169303,"Potassium Phosphates: 5 Vial, Single-Dose In 1 Carton (80830-1693-3) / 5 Ml In 1 Vial, Single-Dose (80830-1693-1)",154.1,154.1,,,0 NDC,80830236201,NDC Description Not Available,1.93,1.93,,,0 NDC,80830236301,NDC Description Not Available,1.12,1.12,,,0 NDC,81005012401,Metolazone: 100 Tablet In 1 Bottle (81005-124-01),16.98,16.98,,,0 NDC,81033000205,NDC Description Not Available,1.67,1.67,,,0 NDC,81033000220,NDC Description Not Available,4.75,4.75,,,0 NDC,81033006620,Likmez: 200 Ml In 1 Bottle (81033-066-20),47.83,47.83,,,0 NDC,81033010405,NDC Description Not Available,117.37,117.37,,,0 NDC,81284015300,NDC Description Not Available,30.815,30.815,,,0 NDC,81284061100,NDC Description Not Available,58.3,58.3,,,0 NDC,81284061200,NDC Description Not Available,59.0,59.0,,,0 NDC,81284061210,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (81284-612-10) / 10 Ml In 1 Vial, Single-Dose (81284-612-00)",59.0,59.0,,,0 NDC,81298501001,NDC Description Not Available,991.6,991.6,,,0 NDC,81298501005,"Carboprost Tromethamine: 1 Carton In 1 Box (81298-5010-5) / 1 Vial, Single-Dose In 1 Carton (81298-5010-1) / 1 Ml In 1 Vial, Single-Dose",979.92,979.92,,,0 NDC,81643927001,"Floxuridine: 1 Vial In 1 Box, Unit-Dose (81643-9270-1) / 5 Injection, Powder, Lyophilized, For Solution In 1 Vial",6664.92,6664.92,,,0 NDC,81665010810,"Isoniazid: 100 Tablet In 1 Bottle, Plastic (81665-108-10)",20.15,20.15,,,0 NDC,81927011101,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (81927-111-01) / 50 Ml In 1 Vial, Single-Dose",873.6,873.6,,,0 NDC,81952011409,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Carton (81952-114-09) / 10 Ml In 1 Vial, Multi-Dose (81952-114-04)",1.97,1.97,,,0 NDC,81960003103,"Pemgarda: 9 Vial, Single-Dose In 1 Carton (81960-031-03) / 4 Ml In 1 Vial, Single-Dose",25987.56,25987.56,,,0 NDC,81964020407,Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle (81964-204-07),24.23,24.23,,,0 NDC,82089010234,Catapres-Tts-2: 4 Pouch In 1 Carton (82089-102-34) / 1 Patch In 1 Pouch / 1 D In 1 Patch,757.51,757.51,,,0 NDC,82182077305,"Brimonidine Tartrate: 1 Bottle, Dropper In 1 Carton (82182-773-05) / 5 Ml In 1 Bottle, Dropper",710.78,710.78,,,0 NDC,82260010305,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (82260-103-05) / 5 Ml In 1 Bottle, Dropper",248.0,248.0,,,0 NDC,82347050504,NDC Description Not Available,17.82,17.82,,,0 NDC,82347050505,Lidocaine 5%: 30 Pouch In 1 Package (82347-0505-5) / 14 G In 1 Pouch (82347-0505-4),17.67,17.67,,,0 NDC,82584060510,"Cosopt: 1 Bottle, Dropper In 1 Carton (82584-605-10) / 10 Ml In 1 Bottle, Dropper",1390.66,1390.66,,,0 NDC,82625880201,"Movantik: 30 Tablet, Film Coated In 1 Bottle (82625-8802-1)",88.62,88.62,,,0 NDC,82667010005,"Maxitrol: 5 Ml In 1 Bottle, Plastic (82667-100-05)",712.49,712.49,,,0 NDC,82705000201,"Epkinly: 1 Vial, Glass In 1 Carton (82705-002-01) / .8 Ml In 1 Vial, Glass",298.27,298.27,,,0 NDC,82705001001,"Epkinly: 1 Vial, Glass In 1 Carton (82705-010-01) / .8 Ml In 1 Vial, Glass",298.22,298.22,,,0 NDC,82829000201,"Izervay: 1 Vial, Single-Dose In 1 Carton (82829-002-01) / .35 Ml In 1 Vial, Single-Dose",703.5,703.5,,,0 NDC,82959011101,"Rytelo: 1 Vial, Single-Dose In 1 Carton (82959-111-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",780.65,780.65,,,0 NDC,82959011201,"Rytelo: 1 Vial, Single-Dose In 1 Carton (82959-112-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",414.63,414.63,,,0 NDC,83047041004,Aucatzyl: 1 Kit In 1 Package (83047-410-04) * 1 Suspension In 1 Bag (83047-100-30) * 1 Suspension In 1 Bag (83047-100-10) * 1 Suspension In 1 Bag (83047-300-30) * 1 Suspension In 1 Bag (83047-,3390000.0,3390000.0,,,0 NDC,83090000201,NDC Description Not Available,2.69,2.69,,,0 NDC,83090000301,NDC Description Not Available,0.69,0.69,,,0 NDC,83226200101,"Aurlumyn: 1 Vial, Single-Dose In 1 Carton (83226-2001-1) / 1 Ml In 1 Vial, Single-Dose",24.75,24.75,,,0 NDC,83257000412,"Ogivri: 1 Kit In 1 Carton (83257-004-12) * 20 Ml In 1 Vial, Multi-Dose (83257-003-11) * 20 Ml In 1 Vial (83257-002-11)",414.52,414.52,,,0 NDC,83257000541,Fulphila: 1 Syringe In 1 Carton (83257-005-41) / .6 Ml In 1 Syringe,1144.99,1144.99,,,0 NDC,83257001111,"Semglee: 1 Vial, Multi-Dose In 1 Carton (83257-011-11) / 10 Ml In 1 Vial, Multi-Dose",17.38,17.38,,,0 NDC,83257001231,Semglee: 1 Syringe In 1 Carton (83257-012-31) / 3 Ml In 1 Syringe,8.35,8.35,,,0 NDC,83257001411,"Insulin Glargine: 1 Vial, Multi-Dose In 1 Carton (83257-014-11) / 10 Ml In 1 Vial, Multi-Dose",16.33,16.33,,,0 NDC,83257001531,Insulin Glargine: 1 Syringe In 1 Carton (83257-015-31) / 3 Ml In 1 Syringe,1.9,1.9,,,0 NDC,83324013301,"Quality Choice Infants Non-Staining Gas Relief: 1 Bottle, Dropper In 1 Carton (83324-133-01) / 30 Ml In 1 Bottle, Dropper",2.0,2.0,,,0 NDC,89122072420,NDC Description Not Available,254.6,254.6,,,0 NDC,99999000058,NDC Description Not Available,47.5,47.5,,,0 NDC,99999000076,NDC Description Not Available,385.0,385.0,,,0 NDC,99999000907,NDC Description Not Available,101.0,101.0,,,0 NDC,99999000938,NDC Description Not Available,198.77,198.77,,,0 NDC,99999000939,NDC Description Not Available,193.0,193.0,,,0 NDC,99999000941,NDC Description Not Available,106.0,106.0,,,0 NDC,99999000958,NDC Description Not Available,1405.0,1405.0,,,0 NDC,99999000959,NDC Description Not Available,1405.0,1405.0,,,0 NDC,99999000965,NDC Description Not Available,59.0,59.0,,,0 NDC,99999000977,NDC Description Not Available,31.2,31.2,,,0 NDC,99999000984,NDC Description Not Available,1405.0,1405.0,,,0 NDC,99999000988,NDC Description Not Available,6.2,6.2,,,0 NDC,99999000989,NDC Description Not Available,2.41,2.41,,,0 NDC,99999000993,NDC Description Not Available,193.0,193.0,,,0 NDC,99999000996,NDC Description Not Available,193.0,193.0,,,0 NDC,99999001004,NDC Description Not Available,6.0,6.0,,,0 NDC,99999001012,NDC Description Not Available,30.56,30.56,,,0 NDC,99999001068,NDC Description Not Available,70.0,70.0,,,0 NDC,99999001152,NDC Description Not Available,21.86,21.86,,,0 NDC,99999001153,NDC Description Not Available,193.0,193.0,,,0 NDC,99999001184,NDC Description Not Available,6.0,6.0,,,0 NDC,99999001187,NDC Description Not Available,1.87,1.87,,,0 NDC,99999001188,NDC Description Not Available,6.0,6.0,,,0 NDC,99999001189,NDC Description Not Available,2.0,2.0,,,0 NDC,99999001191,NDC Description Not Available,5.83,5.83,,,0 NDC,99999001226,NDC Description Not Available,193.0,193.0,,,0 NDC,99999001229,NDC Description Not Available,9.85,9.85,,,0 NDC,99999001230,NDC Description Not Available,7.32,7.32,,,0 NDC,99999001231,NDC Description Not Available,14.69,14.69,,,0 NDC,99999001239,NDC Description Not Available,2.0,2.0,,,0 NDC,99999001270,NDC Description Not Available,7.26,7.26,,,0 NDC,99999001316,NDC Description Not Available,747.94,747.94,,,0 NDC,99999001340,NDC Description Not Available,1.54,1.54,,,0 NDC,99999001341,NDC Description Not Available,1.1,1.1,,,0 NDC,99999001344,NDC Description Not Available,1.48,1.48,,,0 NDC,99999001394,NDC Description Not Available,3267.66,3267.66,,,0 NDC,99999001589,NDC Description Not Available,193.0,193.0,,,0 NDC,99999001652,NDC Description Not Available,12.19,12.19,,,0 NDC,99999001690,NDC Description Not Available,7.47,7.47,,,0 NDC,99999001757,NDC Description Not Available,168.41,168.41,,,0 NDC,99999001769,NDC Description Not Available,91.0,91.0,,,0 NDC,99999001790,NDC Description Not Available,1405.0,1405.0,,,0 NDC,99999001868,NDC Description Not Available,35.8,35.8,,,0 NDC,99999001870,NDC Description Not Available,44.83,44.83,,,0 NDC,99999001871,NDC Description Not Available,938.0,938.0,,,0 NDC,99999001883,NDC Description Not Available,170.32,170.32,,,0 NDC,99999001900,NDC Description Not Available,73.3,73.3,,,0 NDC,99999001902,NDC Description Not Available,59.0,59.0,,,0 NDC,99999001934,NDC Description Not Available,17.37,17.37,,,0 NDC,99999002016,NDC Description Not Available,1323.92,1323.92,,,0 NDC,99999002023,NDC Description Not Available,6.1,6.1,,,0 NDC,99999002035,NDC Description Not Available,0.26,0.26,,,0 NDC,99999002037,NDC Description Not Available,55.15,55.15,,,0 NDC,99999002054,NDC Description Not Available,59.0,59.0,,,0 NDC,99999002055,NDC Description Not Available,51.34,51.34,,,0 NDC,99999002056,NDC Description Not Available,39.33,39.33,,,0 NDC,99999002057,NDC Description Not Available,1.31,1.31,,,0 NDC,99999002058,NDC Description Not Available,16.51,16.51,,,0 NDC,99999002061,NDC Description Not Available,61.64,61.64,,,0 NDC,99999002062,NDC Description Not Available,136.68,136.68,,,0 NDC,99999002066,NDC Description Not Available,59.0,59.0,,,0 NDC,99999002068,NDC Description Not Available,6.2,6.2,,,0 NDC,99999002069,NDC Description Not Available,5.83,5.83,,,0 NDC,99999002102,NDC Description Not Available,1.51,1.51,,,0 NDC,99999002112,NDC Description Not Available,2.0,2.0,,,0 NDC,99999002157,NDC Description Not Available,44.53,44.53,,,0 NDC,99999002158,NDC Description Not Available,193.0,193.0,,,0 NDC,99999002160,NDC Description Not Available,26.53,26.53,,,0 NDC,99999002217,NDC Description Not Available,426.69,426.69,,,0 NDC,99999002232,NDC Description Not Available,167.53,167.53,,,0 NDC,99999002234,NDC Description Not Available,1.65,1.65,,,0 NDC,99999002235,NDC Description Not Available,3.52,3.52,,,0 NDC,99999002236,NDC Description Not Available,5.17,5.17,,,0 NDC,99999002237,NDC Description Not Available,6.58,6.58,,,0 NDC,99999002276,NDC Description Not Available,6.17,6.17,,,0 NDC,99999002278,NDC Description Not Available,277.2,277.2,,,0 NDC,99999002280,NDC Description Not Available,145.53,145.53,,,0 NDC,99999002282,NDC Description Not Available,56.74,56.74,,,0 NDC,99999002291,NDC Description Not Available,98.28,98.28,,,0 NDC,99999002295,NDC Description Not Available,59.0,59.0,,,0 NDC,99999002313,NDC Description Not Available,193.0,193.0,,,0 NDC,99999002316,NDC Description Not Available,4.4,4.4,,,0 NDC,99999002366,NDC Description Not Available,36.49,36.49,,,0 NDC,99999002383,NDC Description Not Available,17.33,17.33,,,0 NDC,99999002495,NDC Description Not Available,3.86,3.86,,,0 NDC,99999002511,NDC Description Not Available,124.0,124.0,,,0 NDC,99999002542,NDC Description Not Available,8.43,8.43,,,0 NDC,99999002586,NDC Description Not Available,1145.86,1145.86,,,0 NDC,99999002611,NDC Description Not Available,245.0,245.0,,,0 NDC,99999002613,NDC Description Not Available,37.14,37.14,,,0 NDC,99999002657,NDC Description Not Available,328.72,328.72,,,0 NDC,99999002757,NDC Description Not Available,3.31,3.31,,,0 NDC,99999002844,NDC Description Not Available,57.7,57.7,,,0 NDC,99999002846,NDC Description Not Available,9.3,9.3,,,0 NDC,99999002930,NDC Description Not Available,31.77,31.77,,,0 NDC,99999003058,NDC Description Not Available,4.01,4.01,,,0 NDC,99999003102,NDC Description Not Available,193.0,193.0,,,0 NDC,99999003124,NDC Description Not Available,193.0,193.0,,,0 NDC,99999003125,NDC Description Not Available,193.0,193.0,,,0 NDC,99999003135,NDC Description Not Available,48.82,48.82,,,0 NDC,99999003147,NDC Description Not Available,47.14,47.14,,,0 NDC,99999003148,NDC Description Not Available,6.42,6.42,,,0 NDC,99999003165,NDC Description Not Available,0.06,0.06,,,0 NDC,99999003166,NDC Description Not Available,35.53,35.53,,,0 NDC,99999003212,NDC Description Not Available,160.8,160.8,,,0 NDC,99999003333,NDC Description Not Available,103.54,103.54,,,0 NDC,99999003373,NDC Description Not Available,39.9,39.9,,,0 NDC,99999003380,NDC Description Not Available,6.0,6.0,,,0 NDC,99999003383,NDC Description Not Available,109.34,109.34,,,0 NDC,99999003420,NDC Description Not Available,220.32,220.32,,,0 NDC,99999003470,NDC Description Not Available,431.21,431.21,,,0 NDC,99999003701,NDC Description Not Available,141.98,141.98,,,0 NDC,99999003728,NDC Description Not Available,146.32,146.32,,,0 NDC,99999003767,NDC Description Not Available,5.4,5.4,,,0 NDC,99999003787,NDC Description Not Available,57.0,57.0,,,0 NDC,99999003849,NDC Description Not Available,59.0,59.0,,,0 NDC,99999003903,NDC Description Not Available,59.52,59.52,,,0 NDC,99999003925,NDC Description Not Available,193.0,193.0,,,0 NDC,99999003926,NDC Description Not Available,21.05,21.05,,,0 NDC,99999003981,NDC Description Not Available,193.0,193.0,,,0 NDC,99999003982,NDC Description Not Available,193.0,193.0,,,0 NDC,99999004014,NDC Description Not Available,78.12,78.12,,,0 NDC,99999004130,NDC Description Not Available,62.215,62.215,,,0 NDC,99999004166,NDC Description Not Available,98.49,98.49,,,0 NDC,99999004283,NDC Description Not Available,6.0,6.0,,,0 NDC,99999004327,NDC Description Not Available,1100.55,1100.55,,,0 NDC,99999004599,NDC Description Not Available,6.0,6.0,,,0 NDC,99999004675,NDC Description Not Available,6.0,6.0,,,0 NDC,99999004786,NDC Description Not Available,600.97,600.97,,,0 NDC,99999004800,NDC Description Not Available,5.41,5.41,,,0 NDC,99999004802,NDC Description Not Available,58.77,58.77,,,0 NDC,99999004923,NDC Description Not Available,0.92,0.92,,,0 NDC,99999004989,NDC Description Not Available,17.76,17.76,,,0 NDC,99999005007,NDC Description Not Available,11.48,11.48,,,0 NDC,99999005044,NDC Description Not Available,12.72,12.72,,,0 NDC,99999005045,NDC Description Not Available,27.0,27.0,,,0 NDC,99999005047,NDC Description Not Available,6.0,6.0,,,0 NDC,99999005147,NDC Description Not Available,13.07,13.07,,,0 NDC,99999005149,NDC Description Not Available,193.0,193.0,,,0 NDC,99999005158,NDC Description Not Available,1.98,1.98,,,0 NDC,99999005193,NDC Description Not Available,0.55,0.55,,,0 NDC,99999005194,NDC Description Not Available,6.0,6.0,,,0 NDC,99999005213,NDC Description Not Available,1405.0,1405.0,,,0 NDC,99999005234,NDC Description Not Available,41.45,41.45,,,0 NDC,99999005339,NDC Description Not Available,999.58,999.58,,,0 NDC,99999005514,NDC Description Not Available,5.98,5.98,,,0 NDC,99999005580,NDC Description Not Available,191.91,191.91,,,0 NDC,99999005632,NDC Description Not Available,2.0,2.0,,,0 NDC,99999005734,NDC Description Not Available,1405.0,1405.0,,,0 NDC,99999005735,NDC Description Not Available,1405.0,1405.0,,,0 NDC,99999100001,NDC Description Not Available,3.14,3.14,,,0 NDC,99999100101,NDC Description Not Available,124.0,124.0,,,0 NDC,99999100301,NDC Description Not Available,1.12,1.12,,,0 NDC,99999100901,NDC Description Not Available,237.15,237.15,,,0 NDC,99999101001,NDC Description Not Available,0.6,0.6,,,0 NDC,99999101201,NDC Description Not Available,3.94,3.94,,,0 NDC,99999101301,NDC Description Not Available,7.07,7.07,,,0 NDC,99999101801,NDC Description Not Available,6.0,6.0,,,0 NDC,99999102001,NDC Description Not Available,17.5,17.5,,,0 NDC,99999102101,NDC Description Not Available,2.55,2.55,,,0 NDC,99999102501,NDC Description Not Available,2.0,2.0,,,0 NDC,99999103001,NDC Description Not Available,5.29,5.29,,,0 NDC,99999103701,NDC Description Not Available,4.22,4.22,,,0 NDC,99999104501,NDC Description Not Available,4.86,4.86,,,0 NDC,99999105301,NDC Description Not Available,1.9,1.9,,,0 NDC,99999105401,NDC Description Not Available,1.84,1.84,,,0 NDC,99999105901,NDC Description Not Available,12.0,12.0,,,0 NDC,99999106301,NDC Description Not Available,10.11,10.11,,,0 NDC,99999106501,NDC Description Not Available,12.35,12.35,,,0 NDC,99999107101,NDC Description Not Available,96.5,96.5,,,0 NDC,99999107601,NDC Description Not Available,193.0,193.0,,,0 NDC,99999108001,NDC Description Not Available,193.0,193.0,,,0 NDC,99999200001,NDC Description Not Available,18.87,18.87,,,0 NDC,99999201101,NDC Description Not Available,14.35,14.35,,,0 NDC,99999201801,NDC Description Not Available,1.98,1.98,,,0 NDC,99999202401,NDC Description Not Available,35.4,35.4,,,0 NDC,99999202501,NDC Description Not Available,59.0,59.0,,,0 NDC,99999202701,NDC Description Not Available,59.0,59.0,,,0 NDC,99999203701,NDC Description Not Available,47.48,47.48,,,0 NDC,99999203801,NDC Description Not Available,59.0,59.0,,,0 NDC,99999203901,NDC Description Not Available,0.62,0.62,,,0 NDC,99999204001,NDC Description Not Available,80.04,80.04,,,0 NDC,99999204401,NDC Description Not Available,2.87,2.87,,,0 NDC,99999204601,NDC Description Not Available,3543.9,3543.9,,,0 NDC,99999204901,NDC Description Not Available,2.15,2.15,,,0 NDC,99999205401,NDC Description Not Available,5.73,5.73,,,0 NDC,99999205901,NDC Description Not Available,19.67,19.67,,,0 NDC,99999206101,NDC Description Not Available,1.99,1.99,,,0 NDC,99999206201,NDC Description Not Available,1.85,1.85,,,0 NDC,99999206801,NDC Description Not Available,4.14,4.14,,,0 NDC,99999207301,NDC Description Not Available,6.0,6.0,,,0 NDC,99999207401,NDC Description Not Available,29.22,29.22,,,0 NDC,99999207501,NDC Description Not Available,4.21,4.21,,,0 NDC,99999208901,NDC Description Not Available,2.43,2.43,,,0 NDC,99999209201,NDC Description Not Available,8.43,8.43,,,0 NDC,99999209501,NDC Description Not Available,17.69,17.69,,,0 NDC,99999209601,NDC Description Not Available,1.87,1.87,,,0 NDC,99999209801,NDC Description Not Available,2.99,2.99,,,0 NDC,99999210201,NDC Description Not Available,0.53,0.53,,,0 NDC,99999210601,NDC Description Not Available,59.0,59.0,,,0 NDC,99999210901,NDC Description Not Available,32.18,32.18,,,0 NDC,99999211101,NDC Description Not Available,22.125,22.125,,,0 NDC,99999211201,NDC Description Not 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NDC,99999215801,NDC Description Not Available,5.37,5.37,,,0 NDC,99999312001,NDC Description Not Available,26.97,26.97,,,0 NDC,99999312701,NDC Description Not Available,3.0,3.0,,,0 NDC,99999312801,NDC Description Not Available,394.0,394.0,,,0 NDC,99999313101,NDC Description Not Available,484.84,484.84,,,0 NDC,99999317401,NDC Description Not Available,19.35,19.35,,,0 NDC,99999317701,NDC Description Not Available,2.71,2.71,,,0 NDC,99999318801,NDC Description Not Available,1.4,1.4,,,0 NDC,99999319001,NDC Description Not Available,59.0,59.0,,,0 NDC,99999320301,NDC Description Not Available,2593.71,2593.71,,,0 NDC,99999371101,NDC Description Not Available,50.6,50.6,,,0 NDC,99999371401,NDC Description Not Available,3492.0,3492.0,,,0 NDC,99999371501,NDC Description Not Available,3492.0,3492.0,,,0 NDC,99999601301,NDC Description Not Available,59.0,59.0,,,0 NDC,99999601401,NDC Description Not Available,59.0,59.0,,,0 NDC,99999601701,NDC Description Not Available,61.68,61.68,,,0 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